Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grand Ole Docs of the Southside, LLC

Organization Family Medicine Physician · NPI 1033205984

Grand Ole Docs of the Southside, LLC provides Family Medicine Physician services in Indianapolis, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8686 Madison Ave Ste F
Indianapolis, IN 46227-7207 Not confirmed with CMS for 12 years — call before visiting
Phone: (317) 884-3725
Fax: (317) 881-0933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1033205984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Johnstone — Physician · (317) 884-3725
Other names Central Indiana Medical Group
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 5, 2013
Mailing address1350 E County Line Rd, Suite H, Indianapolis, IN 46227-0873

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