Active NPI
Brinthan Puhalrajan, NP-C
- Family Nurse Practitioner
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN290900
- Practice address
- 11710 Alpharetta Hwy
Roswell, GA 30076-3807 - Phone
- (770) 754-0141
- Fax
- (770) 754-0424
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN290900 | GA | Primary |
Addresses
Primary practice location
11710 Alpharetta Hwy
Roswell, GA 30076-3807
Mailing address
11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (770) 754-0141
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Single Specialty | Current | Accepting new patients |
| Primary Care PLLC | Single Specialty | Current | Accepting new patients |
Locations
2429 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 691-3344
800 E West Connector
Austell, GA 30106
Phone (770) 438-1680
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1427643238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11710 ALPHARETTA HWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763807",
"telephone_number": "770-754-0141",
"fax_number": "770-754-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 ALPHARETTA HWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763807",
"telephone_number": "770-754-0141",
"fax_number": "770-754-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUHALRAJAN",
"first_name": "BRINTHAN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN290900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.