Healthcare Provider Details

I. General information

NPI: 1669654836
Provider Name (Legal Business Name): HEIDI RINEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 MANSELL RD STE 100
ALPHARETTA GA
30022-3068
US

IV. Provider business mailing address

100 KIMBALL PL STE 100
ALPHARETTA GA
30009-2614
US

V. Phone/Fax

Practice location:
  • Phone: 678-990-3962
  • Fax: 678-623-3862
Mailing address:
  • Phone: 678-990-3962
  • Fax: 678-623-3862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number054268
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number054268
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: