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NPI · 1790886844 · NPPES-sourced

Grand Old Docs Of The Southside

ActiveFamily Medicine
NPI Number
1790886844
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(317) 865-9090
Primary practice line
Last Updated
Enumerated
Primary practice addressIN · 46142-3150
360 S Madison Ave, #200Greenwood, IN 46142-3150
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About this NPIWhat this record shows.

NPI 1790886844 is registered to Grand Old Docs Of The Southside, a healthcare organisation classified as "Family Medicine" and located at 360 S Madison Ave, #200 in Greenwood, Indiana. The organisation's authorised official is Brenda Russell. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 5457630003IN· Issued by DME
  • CI4722IN· Issued by GROUP RR MEDICARE NUMBER

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Grand Old Docs Of The Southside accepts. To confirm in-network status with your specific health plan, contact Grand Old Docs Of The Southside directly at (317) 865-9090.

Frequently asked

Yes. NPI 1790886844 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (317) 865-9090.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Grand Old Docs Of The Southside is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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