Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark J Rivellese, MD

Individual provider Ophthalmology Physician · NPI 1891798039

Dr. Mark J Rivellese, MD is an Ophthalmology in Atlanta, Georgia. Graduated from State University of New York at Stony Brook, School of Medicine in 1994, 32 years ago. Practices with Georgia Retina, PC, a 23-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Johnson Ferry Rd NE Ste 593
Atlanta, GA 30342-1709
Phone: (404) 255-9096
Fax: (404) 255-9097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 050911 (GA)

Record details

NPI number1891798039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESFebruary 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Georgia Retina, Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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