Jeffrey S. Colburn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101270308 Issued in VA

Practice address

2030 Hamilton Place Blvd Ste 220
Chattanooga, TN 37421-6040

Phone

(423) 892-4289

NPI assigned

Jun 13, 2011

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN, GA, VA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians

Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care - Yorktown Home health agency, Yorktown, VA, CCN 497607
• Legacy Hospice Hospice, Charlottesville, VA, CCN 491593
• Windsor Grove Health and Rehabilitation Nursing home, Windsor, VA, CCN 495347
• Williamsburg Post Acute & Rehabilitation Nursing home, Williamsburg, VA, CCN 495235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 23352 Courthouse Highway Opco LLC

  dba Windsor Grove Health & Rehabilitation

  • Skilled Nursing Facility
  • Windsor, VA
  • NPI 1386452233

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Care Aco LLC

  • Family Medicine Physician
  • Virginia BCH, VA
  • NPI 1538844857
  Medicare reassignment Care Compare group NPD
• Legacy Care LLC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1902149776
  Medicare reassignment Care Compare group NPD
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Medicare reassignment NPD
• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 23352 Courthouse Highway Opco LLC

  dba Windsor Grove Health & Rehabilitation

  • Skilled Nursing Facility
  • Windsor, VA
  • NPI 1386452233

  Nursing home

  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Yorktown, VA
  • NPI 1154359701
  Care Compare affiliation
• Commonwealth Healthcare, LLC

  dba Legacy Hospice

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1740430263
  Care Compare affiliation
• Williamsburg SNF Operations LLC

  dba Williamsburg Post Acute & Rehabilitation

  • Skilled Nursing Facility
  • Williamsburg, VA
  • NPI 1225753700

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1780979211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JENNIFER DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933138",
            "telephone_number": "205-529-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HAMILTON PLACE BLVD STE 220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216040",
            "telephone_number": "423-892-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "32025",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50198",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "071481",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "50198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101270308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan S Cohen, MD
• Samantha Cohen
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• Logan Bryant Colbaugh
• Mary Elizabeth Colbaugh
• Alexandra Colclough
• Cole Vision Corporation (Sears Optical #C0629)
• Daniel Jay Cole, M. DIV., MAC
• Darwin Reid Cole, BS
• Jennifer Flanagan Cole, DDS

• Family Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.