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

Grand Ole Docs of the Southside, LLC

Organization Family Medicine Physician · NPI 1477653509

Grand Ole Docs of the Southside, LLC provides Family Medicine Physician services in Greenwood, 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

365 E Main St
Greenwood, IN 46143-1361 Not confirmed with CMS for 12 years — call before visiting
Phone: (317) 881-5152
Fax: (317) 881-8993
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477653509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Richert — Md · (317) 881-5152
Other names Central Indiana Medical Group
NPI enumeratedSeptember 25, 2006
Last updated in NPPESDecember 5, 2013
Mailing address1350 E County Line Rd, Suite H, Indianapolis, IN 46227-0873

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