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Grand Ole Docs of the Southside

Family Medicine Physician in Indianapolis, IN · enumerated 2006 · authorized official Gerald Dewester, Physician.

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

National Provider Identifier

1851487706

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Ole Docs of the Southside
Other name <Unavail>
Practice address 8921 Southpointe Dr, B1, Indianapolis, IN, 46227
Fax (317) 882-1415
Enumeration date Oct 5, 2006
Last updated in NPPES Jun 30, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01018751A (IN) Primary

Authorized official

Name Gerald Dewester
Title Physician

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grand Ole Docs of the Southside?
Grand Ole Docs of the Southside is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-30.