Christopher J Godfrey, MD
Individual provider Active NPI Internal Medicine Physician · Elizabethtown, KY
NPI 1679564439 · NPPES record last updated Mar 4, 2015
Key facts
- NPI
- 1679564439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 31627 (KY)
- Practice address
- 914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520 - Phone
- (270) 769-1049
- Fax
- (270) 763-1978
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- PT Pros, Inc
Baptist Health Medical Group Inc
Practice addresses (Care Compare)
201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729
914 N Dixie Ave
Suite 304
Elizabethtown, KY 42701-2537
Phone (270) 769-1049
Hospital & facility affiliations
- Caretenders
- Centerwell Home Health
- Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health
- Family Home Health Care, LLC Dba Adoration Home Health
- Hosparus, Inc
- Baptist Health Hardin
- Baptist Health Louisville
- Owensboro Health Twin Lakes Medical Center
- Signature Healthcare of Elizabethtown
- Helmwood Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Helmwood Healthcare |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 6, 2025 Jan 6, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000121 | KY | Practitioner - Internal Medicine | 6608952429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP925 | KY | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Presbyterian Homes and Services of Kentucky, Inc. | Past | Accepting new patients | |
| Hardin Ky Opco LLC | Past | Accepting new patients | |
| LP E-Town, LLC | Past | Accepting new patients |
Locations
914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701
Phone (270) 769-1049
908 Memorial Ct
Ste 306
Elizabethtown, KY 42701
Phone (270) 769-1049
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31627 | KY | Yes |
Addresses
Primary practice location
914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520
Mailing address
914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520
Phone (270) 769-1049
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64316276 | Medicaid | KY |
Other providers in Elizabethtown, KY
- Misty G Gilley
- Leona Gwen Gilliam
- Brandie Marie Gillispie
- Marcella Amanda Gleason
- Robert Cleveland Gleason
- John A Godfrey
- William J Godfrey
- Bridget Amber Godson
- Taresa Lynn Goldsmith
- Lacy Goldstein
All providers in Elizabethtown, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.