Active NPI
Charles Timothy Riney, PSY.D.
- Clinical Psychologist
- Lilburn, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003119
- Practice address
- 630 Hillcrest Rd NW Ste 400
Lilburn, GA 30047-6893 - Phone
- (678) 769-4088
- NPI assigned
- Sep 4, 2007
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003119 | GA | Primary |
Addresses
Primary practice location
630 Hillcrest Rd NW Ste 400
Lilburn, GA 30047-6893
Mailing address
630 Hillcrest Rd NW Ste 400
Lilburn, GA 30047-6893
Phone (678) 769-4088
Other practice location 1
317 W Hill St Ste 204D
Decatur, GA 30030-4368
Phone (678) 769-4088
Other names 1
- C. Timothy Riney
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
630 Hillcrest Rd NW
Suite 400
Lilburn, GA 30047-6893
Phone (678) 769-4088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003119 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theramed Health, LLC | Clinical | Current | Accepting new patients |
Locations
3950 Cobb Pkwy NW
Ste 401
Acworth, GA 30101
Phone (404) 857-9575
3250 Quick Water Lndg NW
Kennesaw, GA 30144
Phone (404) 857-9575
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1942494711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 HILLCREST RD NW STE 400",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476893",
"telephone_number": "678-769-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 HILLCREST RD NW STE 400",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476893",
"telephone_number": "678-769-4088"
}
],
"practiceLocations": [
{
"address_1": "317 W Hill St Ste 204D",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300304368",
"country_code": "US",
"telephone_number": "678-769-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RINEY",
"first_name": "CHARLES",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "C.",
"last_name": "RINEY",
"middle_name": "TIMOTHY",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.