Individual provider Active NPI

Jaya Krishna Kolla, M.D.

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1811123789
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48877 Issued in TN
Practice address
2810 Manatee Ave E
Bradenton, FL 34208-1828
Phone
(941) 226-0206
Fax
(941) 900-1043
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48877 TN Primary

Addresses

Primary practice location

2810 Manatee Ave E
Bradenton, FL 34208-1828

Mailing address

2810 Manatee Ave E
Bradenton, FL 34208-1828
Phone (941) 226-0206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120921000622 TN Practitioner - Family PracticePractitioner - Emergency Medicine 2769630458
I20140411001547 FL Practitioner - Family PracticePractitioner - Emergency Medicine 2769630458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers Urgent Care and WellnessGroup PAC ID 7113331679, 2 clinicians

Practice addresses (Care Compare)

2810 Manatee Ave E
Bradenton, FL 34208-1828
Phone (941) 226-0206

Hospital & facility affiliations

  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48877TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance LLC CurrentSince Aug 1, 2023 Accepting new patients
Paragon Emergency Services LLC CurrentSince May 1, 2015 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Dec 29, 2023 Accepting new patients
Two Rivers Urgent Care and Wellness CurrentSince Jan 1, 2021 Accepting new patients
Two Rivers Medical Current Accepting new patients
Francis J. Fenaughty MD, P.C. Past Accepting new patients
T M Carr MD PC Past Accepting new patients

Locations

2810 Manatee Ave E
Bradenton, FL 34208
Phone (941) 226-0206

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

633 75th St W
Palma Sola, FL 34209
Phone (941) 745-7311

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

7 Easton Oval
#L4387
Columbus, OH 43219

Interoperability endpoints

  • Direct secure messaging: jaya.kolla.1@23341.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23341/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1811123789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-226-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-226-0206",
            "fax_number": "941-900-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLA",
        "first_name": "JAYA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "48877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.