Southside Family Medical Group, LLC
NPI 1215024674 · Family Medicine Physician · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Family Medical Group, LLC is a Family Medicine Physician organization in Indianapolis, IN (NPI 1215024674).
Provider details
- NPI number
- 1215024674
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Goul, Practice Manager(317) 452-8400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2015-10-07
Frequently asked questions
- What is Southside Family Medical Group, LLC's NPI number?
- Southside Family Medical Group, LLC's National Provider Identifier (NPI) is 1215024674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Family Medical Group, LLC?
- Southside Family Medical Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Family Medical Group, LLC located?
- Southside Family Medical Group, LLC's practice location on file with NPPES is 5955 S Emerson Ave, Indianapolis, IN 46237-2600.
- What is Southside Family Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Family Medical Group, LLC is (317) 789-9600.
- Does Southside Family Medical Group, LLC accept Medicare?
- Southside Family Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Family Medical Group, LLC?
- The authorized official listed on Southside Family Medical Group, LLC's NPPES record is Chris Goul, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Family Medical Group, LLC's NPI active?
- Yes — Southside Family Medical Group, LLC's NPI (1215024674) is active in the NPPES registry as of the last update on 2015-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.