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Grand Ole Docs of the Southside, LLC

Family Medicine Physician in Greenwood, IN · enumerated 2006 · authorized official Charles Richert, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477653509

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Ole Docs of the Southside, LLC
Other name <Unavail>
Practice address 365 E Main St, Greenwood, IN, 46143
Phone (317) 881-5152
Fax (317) 881-8993
Enumeration date Sep 25, 2006
Last updated in NPPES Dec 5, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Richert
Title MD
Phone (317) 881-5152

Other identifiers

Identifier Type State Issuer
5457630006 Other IN DME
CI4722 Other IN GROUP RR MEDICARE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-05. Verify at npiregistry.cms.hhs.gov.
Where is Grand Ole Docs of the Southside, LLC located?
The practice location on file with NPPES is in Greenwood, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-05.