Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Praharsha Ravindranatha Menon, MD

Individual provider Family Medicine Physician · NPI 1265693543

Praharsha Ravindranatha Menon, MD is a Family Practice in East Point, Georgia. Qualified in 2004, 22 years ago. Practices with Glutality Provider Group PA, a 9-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2084 Headland Dr Jencare Neighborhood Medical Center East Point Llc
East Point, GA 30344-2135
Phone: (404) 965-5691
Fax: (404) 965-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 066627 (GA)

Record details

NPI number1265693543
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESAugust 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Glutality Provider Group Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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