MICHAEL H. RIVNER (NPI# 1669582649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669582649 |
| Entity Type | Individual |
| Full Name | MICHAEL H. RIVNER |
| Credential | MD |
| Practice Address |
3351 Northside Dr Macon GA 31210-2587 |
| Practice Telephone | 4782016629 |
| Mailing Telephone | 4782016629 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
020806 | GA | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
020806 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3351 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915277 | Dawn Waddell Key | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-01-09 |
| 1639731615 | Kristin Kidd Settles | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2019-07-01 |
| 1295222636 | Rehabilitation Physician Specialists of Georgia, PC | Physical Medicine & Rehabilitation | 3351 Northside Dr, Macon, GA 31210-2587 | 2018-04-20 |
| 1912443466 | Janet Lindsey Findlay | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2017-01-09 |
| 1346484763 | Trista Jacinta Marshall | Physical Medicine & Rehabilitation | 3351 Northside Dr, Macon, GA 31210-2587 | 2009-04-29 |
| 1174689517 | Worldcare International Corp. | Physical Therapist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-12-29 |
| 1285795831 | Judie A. Dumelod | Physical Therapist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-12-13 |
| 1992881833 | Allison Paige Scheetz | Internal Medicine | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-10-31 |
| 1366450710 | Central Georgia Rehabilitation | Rehabilitation Hospital | 3351 Northside Dr, Macon, GA 31210 | 2006-08-03 |
| 1083669899 | Robert Alvin Foster IIi | Clinical Neuropsychologist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1023665742 | Chief Medical Services, LLC | Psychiatry & Neurology | 395 Eagles Pass, Alpharetta, GA 30004-4533 | 2019-08-19 |
| 1053891903 | Complete Neuro, LLC | Psychiatry & Neurology | 55 Craigs Ln, Tifton, GA 31794-9126 | 2018-08-20 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1811495989 | Pediatric Epilepsy and Child (peach) Neurology | Psychiatry & Neurology | 5935 Thoroughbred Way, Suwanee, GA 30024-1744 | 2018-01-24 |
| 1053658146 | Syntact, LLC | Psychiatry & Neurology | 1495 Natchez Way, Grayson, GA 30017-2930 | 2013-01-09 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1669654836 | Heidi Doss Riney | Psychiatry & Neurology | 4265 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | 2007-11-29 |
| 1497736045 | Plamen P Todorow | Psychiatry & Neurology | 105 Willowbrook Way Se, Calhoun, GA 30701 | 2005-11-10 |
| 1518598945 | Cameron Christopher Adam Smothers | Psychiatry & Neurology | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2020-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.