Individual provider Active NPI

Benjamin Arjuna Fernando, M.D.

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1326350653
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69190 Issued in GA
Practice address
1418 Scott Blvd
Decatur, GA 30030-1424
Phone
(404) 446-3497
NPI assigned
Jul 1, 2010
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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 69190 GA Primary

Addresses

Primary practice location

1418 Scott Blvd
Decatur, GA 30030-1424

Mailing address

1418 Scott Blvd
Decatur, GA 30030-1424
Phone (404) 446-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000299 GA Practitioner - Family Practice 0244474724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

805 Peachtree St NE
Suite a
Atlanta, GA 30308-6009
Phone (404) 551-4242

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69190GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jun 25, 2019 Accepting new patients
Capital Healthcare PC CurrentSince Jan 14, 2021 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients
Rocdale Physician Practices, LLC Family Medicine Past Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • Direct secure messaging: benjamin.fernando.1@33029.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1326350653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301424",
            "telephone_number": "404-446-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301424",
            "telephone_number": "404-446-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "BENJAMIN",
        "middle_name": "ARJUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.