Individual provider Active NPI

Maria Clarissa Lorete Visitacion, M.D.

  • Family Medicine Physician
  • Winder, GA
National Provider Identifier
1194904011
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65434 Issued in GA
Practice address
323 Resource Pkwy
Winder, GA 30680-8364
Phone
(678) 975-7471
Fax
(678) 975-7055
NPI assigned
Oct 27, 2007
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65434 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X 57.013820 OH

Addresses

Primary practice location

323 Resource Pkwy
Winder, GA 30680-8364

Mailing address

317 Resource Pkwy
Suite 4B
Winder, GA 30680-8364
Phone (678) 975-7471

Other names 1

  • Claire L Visitacion Other name

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
I20110406000044 GA Practitioner - Family Practice 0840474433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 Resource Pkwy
Unit 4B
Winder, GA 30680-8364

323 Resource Pkwy
Winder, GA 30680-8364
Phone (678) 975-7471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65434GAMDFamily Medicine Physician
57.013820OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Health Associates of Georgia, Inc. Family Medicine CurrentSince Jul 22, 2013 Accepting new patients

Locations

317 Resource Pkwy
Unit 4B
Winder, GA 30680
Phone (678) 975-7471

323 Resource Pkwy
Winder, GA 30680
Phone (678) 975-7471

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.

Hospital & facility affiliations 1

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": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1194904011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RESOURCE PKWY",
            "address_2": "SUITE 4B",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808364",
            "telephone_number": "678-975-7471",
            "fax_number": "678-975-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 RESOURCE PKWY",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808364",
            "telephone_number": "678-975-7471",
            "fax_number": "678-975-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISITACION",
        "first_name": "MARIA CLARISSA",
        "middle_name": "LORETE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65434",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.013820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "VISITACION",
            "middle_name": "L",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.