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

Jeffrey S. Colburn, MD

Individual provider Family Medicine Physician · NPI 1780979211

Jeffrey S. Colburn, MD is a Family Practice in Chattanooga, Tennessee. Qualified in 2011, 15 years ago. Practices with Legacy Care ACO LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Alabama, Georgia, Tennessee and Virginia.

Years since qualifying
15
Licensed in
AL, GA, TN, VA
In the registry since
2011
Specialties on file
5
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

2030 Hamilton Place Blvd Ste 220
Chattanooga, TN 37421-6040
Phone: (423) 892-4289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101270308 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32025 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 50198 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 071481 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 50198 (TN)

Record details

NPI number1780979211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2011
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address202 Jennifer Dr, Yorktown, VA 23693-3138

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Legacy Care Aco Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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