Active NPI
Madabhushi Vasudevan, M.D.
- Surgery Physician
- Dublin, GA
National Provider Identifier
1093773145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30916
- Practice address
- 1826 Veterans Blvd
Cvvamedical Center
Dublin, GA 31021-3620 - Phone
- (478) 277-2746
- Fax
- (478) 277-2812
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30916 | GA | Primary |
Addresses
Primary practice location
1826 Veterans Blvd
Cvvamedical Center
Dublin, GA 31021-3620
Mailing address
482 Fairfield Dr
Dublin, GA 31021-3879
Phone (478) 275-9805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30916 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093773145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 FAIRFIELD DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213879",
"telephone_number": "478-275-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 VETERANS BLVD",
"address_2": "CVVAMEDICAL CENTER",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213620",
"telephone_number": "478-277-2746",
"fax_number": "478-277-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASUDEVAN",
"first_name": "MADABHUSHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "30916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.