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CENTRAL INDIANA MEDICAL GROUP
NPI 1033205984
Family Medicine in Indianapolis, IN

Active since October 05, 2006
8686 MADISON AVE, SUITE F, INDIANAPOLIS, IN 46227(317) 884-3725(317) 881-0933 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Central Indiana Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL INDIANA MEDICAL GROUP (NPI 1033205984) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since October 2006. The organization lists Andrew A Johnstone, Physician, as its authorized official.

NPPES Registry Identity

NPI1033205984
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND OLE DOCS OF THE SOUTHSIDE, LLC
Location Address8686 MADISON AVE, SUITE FIndianapolis, IN 46227-7207
Mailing Address1350 E County Line Rd, Suite HIndianapolis, IN 46227-0873 · (317) 887-7725 · Fax (317) 887-7751
Phone(317) 884-3725
Fax(317) 881-0933
Organization SubpartNo
Authorized OfficialAndrew A JohnstonePhysician · (317) 884-3725
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 5, 2013
✔ NPI 1033205984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8686 MADISON AVE, Indianapolis, IN 46227
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Other Names 1

Doing Business AsCentral Indiana Medical Group

Other Identifiers 4

OtherCI4722IN · Group Rr Medicare Number
Medicare PIN132440IN
Other5457630002IN · Dme
Medicare UPINE05257IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY BOWEN-BUZARD NP SOUTHSIDE PRIMARY CARE LLC
Nurse Practitioner (Primary Care)
8686 MADISON AVE, SUITE F
INDIANAPOLIS, IN 46227
Marion County (317) 353-3811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Ole Docs Of The Southside, LLC's NPI number?

The NPI number for Grand Ole Docs Of The Southside, LLC is 1033205984. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Central Indiana Medical Group.

Where is Grand Ole Docs Of The Southside, LLC located?

Grand Ole Docs Of The Southside, LLC is located at 8686 Madison Ave Suite F, Indianapolis, IN 46227. The listed phone number is (317) 884-3725.

What is Grand Ole Docs Of The Southside, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grand Ole Docs Of The Southside, LLC was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.