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Proactive Mso, LLC

Primary Care Clinic/Center in Plymouth, IN · enumerated 2019 · authorized official Jody Addair, Clinical Ops Project Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083250351

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Registry record

Entity type Organization (Type 2)
Legal business name Proactive Mso, LLC
Other name <Unavail>
Practice address 510 W Adams St Ste Gl30, Plymouth, IN, 46563
Phone (812) 645-1892
Enumeration date Nov 21, 2019
Last updated in NPPES Jun 24, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jody Addair
Title Clinical Ops Project Coordinator
Phone (317) 556-0017

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Proactive Mso, LLC?
NPPES lists Jody Addair (Clinical Ops Project Coordinator) as the authorized official for this organization.
What is the NPI number for Proactive Mso, LLC?
The NPI for Proactive Mso, LLC is 1083250351, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-24.