Grand Old Docs of the Southside
NPI 1720277544 · Family Medicine Physician · Indianapolis, IN
Grand Old Docs of the Southside is a Family Medicine Physician organization in Indianapolis, IN (NPI 1720277544).
Provider details
- NPI number
- 1720277544
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Dicks, Md/Owner(317) 882-0535
- License
- 01022713A (IN)
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
18 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
Other names (DBA / former)
- Doing business as
- Central Indiana Medical Group
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2008-06-27
Frequently asked questions
- What is Grand Old Docs of the Southside's NPI number?
- Grand Old Docs of the Southside's National Provider Identifier (NPI) is 1720277544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Old Docs of the Southside?
- Grand Old Docs of the Southside is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Old Docs of the Southside located?
- Grand Old Docs of the Southside's practice location on file with NPPES is 8920 Southpointe Dr, Indianapolis, IN 46227-7509.
- What is Grand Old Docs of the Southside's phone number?
- The practice phone number listed in the NPPES registry for Grand Old Docs of the Southside is (317) 882-0535.
- Who is the authorized official for Grand Old Docs of the Southside?
- The authorized official listed on Grand Old Docs of the Southside's NPPES record is Robert Dicks, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Old Docs of the Southside's NPI active?
- Yes — Grand Old Docs of the Southside's NPI (1720277544) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.