Gwen Heaton, MD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000171A Issued in IN

Legal business name

GWEN HEATON, MD

Practice address

606 E Main St
Madison, IN 47250-4708

Phone

(812) 265-4151

Fax

(812) 265-5028

NPI assigned

Mar 6, 2007

Last updated

Sep 11, 2025By 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

Gwen Heaton, MD

Title

Owner

Phone

(812) 265-4151

Specialties & licenses 7

Addresses

Locations

Practitioners 1

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 Heaton, MD

  • Psychiatry Physician
  • Madison, IN
  • NPI 1164478939
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891825576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504708",
            "telephone_number": "812-265-4151",
            "fax_number": "812-265-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504708",
            "telephone_number": "812-265-4151",
            "fax_number": "812-265-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN HEATON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-265-4151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34004330A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33002012A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001704A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000171A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000998A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000907A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01035782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Goodin, APRN
• Catherine Green, OD
• Natasha Joy Grider, MSSW
• Erik Randall Grove, PHARM.D.
• Abdelmessiah K Guirguis, MD
• Kimberly Elisa Hall, FNP-C
• Philip N Hall, MD
• Stacie Lynn Hall, R.PH.
• Jonathan B Hanson, M.D.
• Kenneth L Harding Jr., C.R.N.A.

• Clinical Social Worker in Madison, IN
• Providers in Madison, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.