Cleaver Medical Group Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEAVER MEDICAL GROUP SURGERY CENTER

Practice address

105 Professional Park Dr Ste 200
Cumming, GA 30040-2381

Phone

(770) 800-3455

Fax

(770) 284-8380

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Miranda L Reed, DONPI 1659684231

Title

Owner

Phone

(770) 872-6179

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda L Reed, DO

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1659684231

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1164093068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-872-6179",
            "fax_number": "678-302-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAVER MEDICAL GROUP SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-872-6179",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASTC001560",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Life Consulting LLC
• Clear Life Counseling & Testing
• Clearview Eye Care, Inc
• Cleaver Medical Group Dermatology Inc
• Cleaver Medical Group PC
• Nathan Jerome Cleaver, DO
• Amanda Nicole Cleghorne, NP
• Cassandra J Cleland, PT
• Kaitlin Cleland, CRNA
• Clemons Physical Therapy, LLC

• Ambulatory Surgical Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.