Active NPI
Harendra N Fernando, M.D.
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 76714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66761 | AZ | MD | Family Medicine Physician |
| 76714 | GA | MD | Family Medicine Physician |
| 2023-03051 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Monogram Health Professional Services of Florida LLC | Family Medicine | Current | 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
- 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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
Family Medicine
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
DC, Family Medicine, KY, VA, WV
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family Medicine, GA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1326655986
Family Medicine, MS
-
- Nephrology Physician
- Brentwood, TN
- NPI 1336748300
AL, Family Medicine
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
Family Medicine, LA
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
dba One Medical
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1700370475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.