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JONATHAN COLEMAN GLEN M.D.
NPI 1407904493
Internal Medicine in Savannah, GA

Active since January 08, 2007PECOS Enrolled
716 E 71ST ST, SAVANNAH, GA 31405(912) 355-1533(912) 355-5984 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2020, Nov 19, 2019 (2 updates tracked since 2019).

About Jonathan Coleman Glen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN COLEMAN GLEN M.D. (NPI 1407904493) is an individual internal medicine provider in Savannah, Georgia, licensed in South Carolina (7816) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407904493
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN COLEMAN GLENCredential: M.D.
Location Address716 E 71ST STSavannah, GA 31405-4907
Mailing Address721 Okatie Hwy # 170Okatie, SC 29909-3963 · (843) 987-7400
Phone(912) 355-1533
Fax(912) 355-5984
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1407904493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 7816
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License 21984 (GA)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 7816 (SC)
716 E 71ST ST, Savannah, GA 31405
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Secondary Practice Locations 2

Location 16315 Jonathan Francis SR RdSaint Helena Island, SC 29920-5310 · Phone (843) 838-2086
Location 2719 Okatie Hwy # 170Okatie, SC 29909-3963 · Phone (843) 987-7400

Other Identifiers 2

MedicaidG07186SC
Medicaid00234429AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Coleman Glen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NORMAN BAUER COSLICK L.AC.
Acupuncturist
716 E 71ST ST
SAVANNAH, GA 31405
Chatham County (912) 308-1103
HILLARY FAULK COSLICK LCSW
Social Worker (Clinical)
716 E 71ST ST
SAVANNAH, GA 31405
Chatham County (912) 308-6727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Glen's NPI number?

The NPI number for Jonathan Glen is 1407904493. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jonathan Glen located?

Jonathan Glen practices at 716 E 71st St, Savannah, GA 31405. The listed phone number is (912) 355-1533.

What is Jonathan Glen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Glen enrolled in Medicare?

Yes. Jonathan Glen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Glen was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.