Jeffrey S. Colburn, MD
Family Medicine in Chattanooga, TN. Individual provider (NPI-1).
NPI number1780979211
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1780979211
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey S. Colburn
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2011
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101270308 | VA | Yes |
| 207Q00000X | Family Medicine | 32025 | AL | |
| 207Q00000X | Family Medicine | 50198 | TN | |
| 208M00000X | Hospitalist | 071481 | GA | |
| 208M00000X | Hospitalist | 50198 | TN |
Practice location
2030 Hamilton Place Blvd Ste 220Chattanooga, TN 37421-6040
Phone 423-892-4289
Mailing address
202 Jennifer DrYorktown, VA 23693-3138
Phone 205-529-7126
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