Proactive Md Sc Pa - Medicare Primary Care in Spartanburg, SC

  1. Home
  2. Primary Care Clinics
  3. SC
  4. Spartanburg
Proactive Md Sc Pa is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Spartanburg, South Carolina. The current practice location for Proactive Md Sc Pa is 101 W Saint John St Ste 107, Spartanburg, South Carolina. For appointments, you can reach them via phone at (864) 342-7070. The mailing address for Proactive Md Sc Pa is 124 Allawood Ct, Simpsonville, South Carolina and phone number is (864) 501-0751.

Proactive Md Sc Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538713813. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 342-7070.

Contact Information

Proactive Md Sc Pa
101 W Saint John St Ste 107
Spartanburg
SC 29306-5157
(864) 342-7070
(864) 573-5918

Map and Direction


Primary Care Clinic Profile

Full NameProactive Md Sc Pa
SpecialityClinic/Center
Location101 W Saint John St Ste 107, Spartanburg, South Carolina
Authorized Official Name and PositionMark Allen Kemble (CMO)
Authorized Official Contact8645010751
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Proactive Md Sc Pa
124 Allawood Ct
Simpsonville
SC 29681-6207

Ph: (864) 501-0751		Proactive Md Sc Pa
101 W Saint John St Ste 107
Spartanburg
SC 29306-5157

Ph: (864) 342-7070

NPI Details:

NPI Number1538713813
Provider Enumeration Date07/25/2019
Last Update Date04/03/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0143742593
Medicare Enrollment IDO20250314002891

Medical Identifiers

Medical identifiers for Proactive Md Sc Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538713813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Md Sc Pa acts as a billing entity for following providers:
Provider NameJoy D Hudson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184694069
PECOS PAC ID: 3274637343
Enrollment ID: I20070329000158
Provider NameDouglas Wayne Whitehead
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881639466
PECOS PAC ID: 3678653979
Enrollment ID: I20071227000365
Provider NameMark A Kemble
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457389637
PECOS PAC ID: 4486734787
Enrollment ID: I20071227000373
Provider NameKimberly A Mallin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750349502
PECOS PAC ID: 5294818878
Enrollment ID: I20080206000407
Provider NameJennifer G Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063690907
PECOS PAC ID: 1658445432
Enrollment ID: I20080926000493
Provider NameLaura Colleen Nall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013967652
PECOS PAC ID: 1850456377
Enrollment ID: I20090217000707
Provider NameEdgar B Barnard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023004546
PECOS PAC ID: 1557490125
Enrollment ID: I20100520000685
Provider NameAshley Rosser Wooten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912294562
PECOS PAC ID: 6103097449
Enrollment ID: I20110919000443
Provider NameMichelle T Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851608020
PECOS PAC ID: 0749431138
Enrollment ID: I20140321001160
Provider NameShawn C Charest
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659355998
PECOS PAC ID: 7214195478
Enrollment ID: I20141124000559
Provider NameBrooke Benson Gibbs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356604144
PECOS PAC ID: 9931347713
Enrollment ID: I20150323002614
Provider NameJulia Darby Darley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114377058
PECOS PAC ID: 2567757164
Enrollment ID: I20160822001424
Provider NameJames William Robinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144285354
PECOS PAC ID: 8527065002
Enrollment ID: I20170727002750
Provider NameGwendolyn E Bowers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306026554
PECOS PAC ID: 4183929995
Enrollment ID: I20180731000214
Provider NameCourtney Lynn Carsten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720462948
PECOS PAC ID: 5496062184
Enrollment ID: I20180906002571
Provider NameSharon E Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437647633
PECOS PAC ID: 9830443191
Enrollment ID: I20181126003682
Provider NameTiffany Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356969778
PECOS PAC ID: 6608291745
Enrollment ID: I20200806000067
Provider NameVanessa Ashley Kinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992356232
PECOS PAC ID: 5991116311
Enrollment ID: I20201116001445
Provider NameAndrika Godfrey Bluford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710569744
PECOS PAC ID: 1850791393
Enrollment ID: I20210621001810
Provider NameJames Dilleshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952061657
PECOS PAC ID: 9335536093
Enrollment ID: I20220427001240
Provider NameDaniel Barrett Dodds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871286732
PECOS PAC ID: 7012363880
Enrollment ID: I20231031000668
Provider NameAlicia Milan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427838440
PECOS PAC ID: 0143679043
Enrollment ID: I20231216000358
Provider NameSharon Y Mirante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790248102
PECOS PAC ID: 1355675083
Enrollment ID: I20250417002927
Provider NameGreta E Snow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578097812
PECOS PAC ID: 7315217015
Enrollment ID: I20250429003127
Provider NameShakeilla Smithbey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205118361
PECOS PAC ID: 2961620760
Enrollment ID: I20250507001449
Provider NameChandra Reddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508898818
PECOS PAC ID: 2062489909
Enrollment ID: I20250508000726
Provider NameStephen Baxley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316364334
PECOS PAC ID: 3476825795
Enrollment ID: I20250514000761
Provider NameAllison Skrezec
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952792178
PECOS PAC ID: 8123346079
Enrollment ID: I20250520001306

Reviews and Comments


Clinic/Center in Spartanburg, SC

Academic Primary Care Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 410 Magnolia St, Spartanburg, SC 29303
Phone: 540-443-7180    
Spartanburg Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302
Phone: 864-573-9595    Fax: 864-585-3752
Mary Black Physicians Group, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307
Phone: 864-342-4000    
Healogics Specialty Physicians Of South Carolina, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307
Phone: 904-446-3825    
Premise Health Of South Carolina Medical, P.c
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303
Phone: 864-599-3050    Fax: 864-599-3051
Proactive Md Sc,p.a.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2273 Hayne St., Spartanburg, SC 29301
Phone: 864-541-0555    Fax: 864-345-7898
Mary Black Physicians Group, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1250 John B White Sr Blvd, Spartanburg, SC 29306
Phone: 864-576-9201    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.