Active NPI
Edward L Jacobson, MD
- Family Medicine Physician
- Chattanooga, TN
National Provider Identifier
1346214665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28164
- Practice address
- 961 Spring Creek Rd
Galen Medical Group
Chattanooga, TN 37412 - Phone
- (423) 892-2221
- Fax
- (423) 490-3407
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28164 | TN | Primary |
Addresses
Primary practice location
961 Spring Creek Rd
Galen Medical Group
Chattanooga, TN 37412
Mailing address
PO Box 1030
Galen Medical Group
Chatt, TN 37401
Phone (423) 894-3725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3806302 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28164 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Medical Group, PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346214665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"address_2": "GALEN MEDICAL GROUP",
"city": "CHATT",
"state": "TN",
"postal_code": "37401",
"telephone_number": "423-894-3725",
"fax_number": "423-954-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 SPRING CREEK RD",
"address_2": "GALEN MEDICAL GROUP",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37412",
"telephone_number": "423-892-2221",
"fax_number": "423-490-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "28164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3806302",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.