Michael Rizner Jr., DNP
Individual provider Active NPI Acute Care Nurse Practitioner · Athens, GA
NPI 1558093948 · NPPES record last updated Jun 26, 2022
Key facts
- NPI
- 1558093948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- RN258432 (GA)
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-7000
- NPI assigned
- Jun 26, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory Decatur Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819000194 | GA | Practitioner - Nurse Practitioner | 9537542824 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258432 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Pulmonary and Allergy, P.C. | Current |
Accepting new patients | |
| The Emory Clinic Inc | Current |
Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN258432 | GA | Yes |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Phone (706) 220-8815
Other providers in Athens, GA
- Edwin Aurelio Risler
- Riss Counseling, LLC
- Linda Ritter
- Stephane Rivard
- Crystal Maria Rivera Perez
- Syed Aamir Rizvi
- Rjpuder, LLC
- Brea Robbins
- Gayle Robbins
- Robert F. Gomez, MD, PC
All providers in Athens, GA · Acute Care Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.