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

Mark P Visitacion, MD

Individual provider Infectious Disease Physician · NPI 1912194960

Mark P Visitacion, MD is an Infectious Disease in Athens, Georgia. Qualified in 2003, 23 years ago. Practices with St Mary's Medical Group, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2007
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

1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165
Phone: (706) 559-4405
Fax: (706) 559-4773
Show map & directions

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 65514 (GA)

Record details

NPI number1912194960
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing addressPo Box 48089, Athens, GA 30604-8089

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St. Mary'S Medical Group, Inc. — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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