Organization Active NPI

Prana Brain and Nerve Health LLC

  • Neurology Physician
  • Conyers, GA
National Provider Identifier
1740171669
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PRANA BRAIN AND NERVE HEALTH LLC
Practice address
3641 Highway 20 SE Ste B
Conyers, GA 30013-3064
Phone
(470) 665-6050
Fax
(678) 806-5044
NPI assigned
Jul 9, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Ritika Mahajan, MDNPI 1285947283
Title
Physician
Phone
(470) 665-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

3641 Highway 20 SE Ste B
Conyers, GA 30013-3064

Mailing address

3641 Highway 20 SE Ste B
Conyers, GA 30013-3064
Phone (470) 665-6050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804001143 GA Part B Supplier - Clinic/Group Practice 0042728859 Receives reassigned benefits from 1 practitioner
Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Locations

3641 Highway 20 SE
#B
Conyers, GA 30013
Phone (470) 665-6050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1740171669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 HIGHWAY 20 SE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300133064",
            "telephone_number": "470-665-6050",
            "fax_number": "678-806-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 HIGHWAY 20 SE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300133064",
            "telephone_number": "470-665-6050",
            "fax_number": "678-806-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA BRAIN AND NERVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "RITIKA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "470-665-6050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.