Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Ole Docs of the Southside

Organization Family Medicine Physician · NPI 1851487706

Grand Ole Docs of the Southside is a Family Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

8921 Southpointe Dr B1
Indianapolis, IN 46227-0968
Phone: (317) 882-0535
Fax: (317) 882-1415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01018751A (IN)

Record details

NPI number1851487706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Dewester — Physician · (317) 882-0535
Other names Central Indiana Medical Group
NPI enumeratedOctober 5, 2006
Last updated in NPPESJune 30, 2008
Mailing address8921 Southpointe Dr, B1, Indianapolis, IN 46227-0968

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