Heartland Pathology Consultants, PSC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

HEARTLAND PATHOLOGY CONSULTANTS, PSC

Practice address

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Phone

(270) 706-1212

NPI assigned

Sep 20, 2006

Last updated

Jul 1, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gwendolyn Godfrey, DONPI 1972797678

Title

President

Phone

(270) 706-1212

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwendolyn Janel Godfrey, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1972797678
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Ashli Clevenger, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1124262357

  KY

  Medicare reassignment Care Compare group NPD
• Aaron Phelan

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1861873960

  KY

  Medicare reassignment Care Compare group NPD
• James T Engle Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Elizabethtown, KY
  • NPI 1245327972
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1730287574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950206",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950206",
            "telephone_number": "270-360-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012503",
            "telephone_number": "270-706-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PATHOLOGY CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-706-1212",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931511",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI3480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Digestive Disease Center, LLC
• Heartland ENT & Allergy Center, P.S.C.
• Heartland Family Chiropractic, PLLC
• Heartland Internal Medicine PLLC.
• Heartland Orthopaedic Associates (Elizabethtown Orthopaedic Associates)
• Heartland Patient Care, PLLC
• Heartland Whole Brain Learning-Pediatric & Adult Therapy LLC
• Heartland Woman's Healthcare PLLC
• Brandy Heavrin, LPCC
• Robert J Heberly, RN/CSW

• Anatomic Pathology & Clinical Pathology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.