Individual provider Active NPI

Michael H. Rivner, MD

  • Clinical Neurophysiology Physician
  • Macon, GA
National Provider Identifier
1669582649
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
020806 Issued in GA
Practice address
4035 Elnora Dr
Macon, GA 31210-1822
Phone
(478) 731-4095
Fax
(478) 633-5261
NPI assigned
Aug 30, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 020806 GA
Clinical Neurophysiology Physician 2084N0600X 020806 GA Primary

Addresses

Primary practice location

4035 Elnora Dr
Macon, GA 31210-1822

Mailing address

3351 Northside Dr
Macon, GA 31210-2587
Phone (478) 201-6629

Other practice location 1

3351 Northside Dr
Macon, GA 31210-2587
Phone (478) 201-6629

Other practice location 2

Emg Lab Wellstar Mcg Health 1120 15th Street
Augusta, GA 30912-2587
Phone (706) 721-2681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000065 GA Practitioner - Neurology 2668537440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

3351 Northside Dr
Macon, GA 31210-2587
Phone (478) 201-6500

4035 Elnora Dr
Macon, GA 31210-1822
Phone (478) 201-6500

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020806GAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Apr 15, 2015 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Jan 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Apr 15, 2015 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3351 Northside Dr
Macon, GA 31210
Phone (478) 201-6500

4035 Elnora Dr
Macon, GA 31210
Phone (478) 201-6500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: mrivner433615@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1669582649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102587",
            "telephone_number": "478-201-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 ELNORA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101822",
            "telephone_number": "478-731-4095",
            "fax_number": "478-633-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102587",
            "country_code": "US",
            "telephone_number": "478-201-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Emg Lab Wellstar Mcg Health 1120 15th Street",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309122587",
            "country_code": "US",
            "telephone_number": "706-721-2681",
            "fax_number": "706-721-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVNER",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "020806",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "020806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.