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

Destiny Etheridge, MD

Individual provider Family Medicine Physician · NPI 1871099002

Destiny Etheridge, MD is a Family Practice in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
8
Licensed in
IN, KY
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8820 S Meridian St Ste 120
Indianapolis, IN 46217-6057
Phone: (317) 865-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 W Broadway Ste 107, Louisville, KY 40203-3607 — (502) 340-5900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01085265A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 55932 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence TP282 (KY)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 55932 (KY)

Record details

NPI number1871099002
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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