PRAHARSHA RAVINDRANATHA MENON MD
NPI 1265693543
Family Medicine in East Point, GA
About Praharsha Ravindranatha Menon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAHARSHA RAVINDRANATHA MENON MD (NPI 1265693543) is an individual family medicine provider in East Point, Georgia, licensed in Georgia (066627) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Praharsha Ravindranatha Menon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Praharsha Ravindranatha Menon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boca Raton, FL 33487
- Reassigned Medicare billing, Georgia and Idaho enrollments
- Medicare enrollment name: Glutality Provider Group PA
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST POINT, GA 30344
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Praharsha Ravindranatha Menon's NPI number?
The NPI number for Praharsha Ravindranatha Menon is 1265693543. It was assigned to this individual provider in the NPPES registry on June 19, 2008. The provider is also known as Praharsha Ravindranatha Menon MD.
Where is Praharsha Ravindranatha Menon located?
Praharsha Ravindranatha Menon practices at 2084 Headland Dr Jencare Neighborhood Medical Center East Point, LLC, East Point, GA 30344. The listed phone number is (404) 965-5691.
What is Praharsha Ravindranatha Menon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Praharsha Ravindranatha Menon enrolled in Medicare?
Yes. Praharsha Ravindranatha Menon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Praharsha Ravindranatha Menon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praharsha Ravindranatha Menon reassigns Medicare benefits to Glutality Provider Group, P.A. (Boca Raton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praharsha Ravindranatha Menon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praharsha Ravindranatha Menon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Praharsha Ravindranatha Menon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Praharsha Ravindranatha Menon was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Praharsha Ravindranatha Menon, MD · NPI 1265693543
Family Medicine physician in East Point, Georgia. Individual provider, active in the CMS NPPES registry since June 19, 2008.
## Identity
- **NPI:** 1265693543 (Entity type: Individual)
- **Enumerated:** June 19, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 066627 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2084 HEADLAND DR, JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC, East Point, GA 30344-2135
- **Phone:** (404) 965-5691 · **Fax:** (404) 965-5710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Glutality Provider Group, P.A. (NPI 1083256168, Boca Raton, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1265693543) · Data from the CMS NPPES public registry.