Individual provider Active NPI

Harendra N Fernando, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053756254
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76714 Issued in GA
Practice address
650 North Ave NE Ste 204
Atlanta, GA 30308-2749
Phone
(888) 663-6331
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0070695 CO
Family Medicine Physician 207Q00000X 66761 AZ
Family Medicine Physician 207Q00000X 2023-03051 NC
Family Medicine Physician 207Q00000X 76714 GA Primary

Addresses

Primary practice location

650 North Ave NE Ste 204
Atlanta, GA 30308-2749

Mailing address

4850 Sugarloaf Pkwy
Ste 101
Lawrenceville, GA 30044-2860
Phone (404) 855-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MS, LA, TN, AL, FL, VA, DC, WV, KY10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20170919001105 GA Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260209003158 MS Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260211003050 LA Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260212003382 TN Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260213002090 AL Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260318002466 FL Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260330000457 VA Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260406001984 DC Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260501000645 WV Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization
I20260515000386 KY Practitioner - Family Practice 2062702632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66761AZMDFamily Medicine Physician
76714GAMDFamily Medicine Physician
2023-03051NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jan 23, 2026 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jan 21, 2025 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jan 21, 2026 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jan 21, 2025 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Dec 15, 2025 Accepting new patients
Monogram Health Professional Services of Florida LLC Family Medicine CurrentSince Feb 10, 2026 Accepting new patients
Iora Health Georgia, P.C. Past Accepting new patients
Emory Specialty Associates, LLC Family Medicine Past Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: harendra.fernando.1@22854.direct.athenahealth.com

Organizations & group practices 8

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1053756254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY",
            "address_2": "STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442860",
            "telephone_number": "404-855-2228",
            "fax_number": "404-793-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTH AVE NE STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082749",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "HARENDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0070695",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "66761",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-03051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "76714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.