Praharsha Ravindranatha Menon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

066627 Issued in GA

Practice address

2084 Headland Dr
Jencare Neighborhood Medical Center East Point, LLC
East Point, GA 30344-2135

Phone

(404) 965-5691

Fax

(404) 965-5710

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Praharsha Ravindranatha Menon Other name

Medicare fee-for-service enrollment

Enrolled in GA, ID, CA3 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 3

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glutality Provider Group PAGroup PAC ID 9032549837, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: praharsha.ravindranathamenon@478600780382212.direct.elationemr.com

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.

• Glutality Provider Group, P.a.

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1083256168

  GA, ID

  Medicare reassignment Care Compare group
• PMR Georgia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630
  NPD
• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1265693543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER EASY POINT, LLC",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691",
            "fax_number": "404-965-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691",
            "fax_number": "404-965-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRANATHA MENON",
        "first_name": "PRAHARSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "066627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAHARSHA",
            "last_name": "RAVINDRANATHA MENON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Queenair TLC Home Services
• Eunice Elise Antoinette Radcliff, M.D.
• Kayatana Ramsby, MSN, APRN
• Timberley Randolph
• Lindsay Ann Ratcliffe, M.ED. CCC-SLP
• Shaye Elizabeth Rawson, PA-C
• Lashandra Nichole Rease, NP
• Rebirth Counseling and Training Center
• Mary Latrelle Reese
• Regency Hospital Company of South Atlanta, LLC

• Family Medicine Physician in East Point, GA
• Providers in East Point, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.

Verify at the official NPI Registry.