DR. JAYA KRISHNA KOLLA (NPI# 1811123789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811123789 |
| Entity Type | Individual |
| Full Name | DR. JAYA KRISHNA KOLLA |
| Credential | M.D. |
| Practice Address |
University of Tennessee 910 Madison Avenue Suite 1031 Memphis TN 38163-0001 |
| Practice Telephone | 9014485364 |
| Mailing Telephone | 9014485364 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48877 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
UNIVERSITY OF TENNESSEE 910 MADISON AVENUE SUITE 1031 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457478521 | Karen Chandler Johnson | Internal Medicine | University of Tennessee, 66 N. Pauline St, Suite 633, Memphis, TN 38163-0001 | 2007-03-23 |
| 1437774585 | Vivek Batra | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2020-06-15 |
| 1659900520 | Lauren Elizabeth Lefler | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2020-04-03 |
| 1932737962 | Allison Arrigoni | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Ave. Suite 447, Memphis, TN 38163 | 2020-03-27 |
| 1982260758 | Mary Elizabeth Butts | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2019-05-16 |
| 1215490784 | David Wayne Cooper | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2019-04-10 |
| 1265922694 | Jeffrey M Mortenson | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue, Suite 447, Memphis, TN 38163 | 2018-05-10 |
| 1861929531 | Paul Molloy | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2017-05-12 |
| 1083140040 | Douglas Rhett Layman | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2017-05-11 |
| 1689101404 | Mary Katherine Hood | Pediatrics | University of Tennessee, 920 Madison Avenue Suite Suite 447, Memphis, TN 38163-0001 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1508496829 | Courtney Cordo | Family Medicine | 5901 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7328 | 2020-01-26 |
| 1801431499 | Geriatric and Hospice Associates of The Mid South Pllc | Family Medicine | 6025 Walnut Grove Rd Ste 317, Memphis, TN 38120-2131 | 2019-11-07 |
| 1831627280 | Humanity LLC | Family Medicine | 451 S Perkins Rd Apt 2, Memphis, TN 38117-3952 | 2017-05-30 |
| 1366979098 | Cross Medical Primary Care | Family Medicine | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1619403870 | Cross Medical Primary Care | Family Medicine | 6222 East Shelby Drive, Memphis, TN 38141 | 2017-05-10 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.