Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greg Robert Jacobsen, MD

Individual provider Dermatology Physician · NPI 1811105745

Greg Robert Jacobsen, MD is a Dermatology in St George, Utah. Graduated from Toledo Medical College in 2005, 21 years ago. Practices with Southwest Skin and Cancer LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Utah.

Years since qualifying
21
Trained at
Toledo Medical College
Licensed in
PA, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

383 S 300 E
St George, UT 84770-3620
Phone: (435) 628-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7153621-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence MT187813 (PA)

Record details

NPI number1811105745
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESJune 19, 2009
Mailing address383 S 300 E, St George, UT 84770-3620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolTOLEDO MEDICAL COLLEGE
Graduated 2005 (21 years in practice)
Group practice Southwest Skin And Cancer Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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