CENTRAL INDIANA MEDICAL GROUP
NPI 1851487706
Family Medicine in Indianapolis, IN

Q: What is Grand Ole Docs Of The Southside's NPI number?

The NPI number for Grand Ole Docs Of The Southside is 1851487706. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Central Indiana Medical Group.

Q: What is Grand Ole Docs Of The Southside's specialty?

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

Active since October 05, 2006

8921 SOUTHPOINTE DR, B1, INDIANAPOLIS, IN 46227(317) 882-0535(317) 882-1415 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Central Indiana Medical Group NPPES

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

CENTRAL INDIANA MEDICAL GROUP (NPI 1851487706) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since October 2006. The organization lists Gerald M Dewester, Physician, as its authorized official.

NPPES Registry Identity

NPI1851487706

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRAND OLE DOCS OF THE SOUTHSIDE

Location Address8921 SOUTHPOINTE DR, B1Indianapolis, IN 46227-0968

Mailing Address8921 Southpointe Dr, B1Indianapolis, IN 46227-0968 · (317) 882-0535 · Fax (317) 882-1415

Phone(317) 882-0535

Fax(317) 882-1415

Organization SubpartNo

Authorized OfficialGerald M DewesterPhysician · (317) 882-0535

Enumeration DateOctober 5, 2006

Last NPPES UpdateJune 30, 2008

✔ NPI 1851487706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01018751A

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.

8921 SOUTHPOINTE DR, Indianapolis, IN 46227

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Other Names 1

Doing Business AsCentral Indiana Medical Group

Other Identifiers 1

Medicare PIN132440IN

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 8

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

MRS. SAMANTHA LONETTA RAE HANNAH M.A. CCC-SLP

Speech-Language Pathologist

8921 SOUTHPOINTE DR, SUITE C-1
INDIANAPOLIS, IN 46227

Marion County (317) 881-1718

CORTESE DERMATOLOGY, P.C.

Dermatology

8921 SOUTHPOINTE DR, SUITE A-1
INDIANAPOLIS, IN 46227

Marion County (317) 780-7400

WINDROSE HEALTH NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

8921 SOUTHPOINTE DR, SUITE A1
INDIANAPOLIS, IN 46227

Marion County (317) 884-7820

SHELLEY JOHNSON

Nurse Practitioner

8921 SOUTHPOINTE DR
INDIANAPOLIS, IN 46227

Marion County (317) 355-3155

R.S. TROIANO, M.D., P.C.

Plastic Surgery (Surgery of the Hand)

8921 SOUTHPOINTE DR, SUITE A-1
INDIANAPOLIS, IN 46227

Marion County (317) 780-7400

MRS. EMILY DIANNE STAAB MOTR

Occupational Therapist

8921 SOUTHPOINTE DR
INDIANAPOLIS, IN 46227

Marion County (317) 881-1718

ASHLEY HELPINGSTINE

Speech-Language Pathologist

8921 SOUTHPOINTE DR, SUITE C-1
INDIANAPOLIS, IN 46227

Marion County (317) 881-1718

JESSICE HOGUE

Speech-Language Pathologist

8921 SOUTHPOINTE DR, SUITE C-1
INDIANAPOLIS, IN 46227

Marion County (317) 881-1718

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's NPI number?

The NPI number for Grand Ole Docs Of The Southside is 1851487706. 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 located?

Grand Ole Docs Of The Southside is located at 8921 Southpointe Dr B1, Indianapolis, IN 46227. The listed phone number is (317) 882-0535.

What is Grand Ole Docs Of The Southside'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 was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.