MARK B. VANDEUSEN M.D. – NPI #1225271018
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

MARK VANDEUSEN is an otolaryngologist located in CUMMING, GA. NPPES has assigned the NPI number 1225271018 to MARK VANDEUSEN on April 09, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was last updated on Jan 15, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK VANDEUSEN below.

NPI Profile for
MARK B. VANDEUSEN

NPI Number
1225271018
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK B. VANDEUSEN
Credentials
M.D.
Primary location
4150 DEPUTY BILL CANTRELL MEMORIAL RD
SUITE 260
CUMMING, GA 30040
Phone: (770) 292-3045 Fax: (770) 292-3046
1 Other location(s):
3180 N Point Pkwy Ste 512
Alpharetta, GA 30005-4569
Phone: (770) 292-3045
Fax: (770) 292-3046
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)		 GA 70919

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK VANDEUSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL
      1000 JOHNSON FERRY ROAD, NE
      ATLANTA, GA 30342
    • NORTHSIDE HOSPITAL FORSYTH
      1200 NORTHSIDE FORSYTH DRIVE
      CUMMING, GA 30041

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.