Individual provider Active NPI

Matthew V Myers, PA-C

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1053065896
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
105 Professional Park Dr
Cumming, GA 30040-2381
Phone
(770) 800-3455
Fax
(770) 450-8024
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

105 Professional Park Dr
Cumming, GA 30040-2381

Mailing address

59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 800-3455

Other practice location 1

73 Prestige Ln Ste 101
Dawsonville, GA 30534-6370
Phone (770) 800-3455

Other practice location 2

1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804
Phone (770) 800-3455

Other practice location 3

15 Rock Quarry Rd
Toccoa, GA 30577-8721
Phone (770) 800-3455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvm@cleavermed.emadirect.md Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623002296 GA Practitioner - Physician Assistant 7416341268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians
Dalton Dermatology and Day Spa, LLCGroup PAC ID 8123268265, 3 clinicians

Practice addresses (Care Compare)

105 Professional Park Dr
Cumming, GA 30040-2381
Phone (770) 800-3455

1108 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 226-7546

15 Rock Quarry Rd
Toccoa, GA 30577-8721
Phone (770) 800-3455

73 Prestige LN
Suite 101
Dawsonville, GA 30534-6370
Phone (770) 800-3455

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1053065896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Prestige Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346370",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1488 Jesse Jewell Pkwy SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013804",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Toccoa",
            "state": "GA",
            "postal_code": "305778721",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MATTHEW",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvm@cleavermed.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Professional Park Dr",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300402381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.