Weston Thomas Waxweiler, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

073880 Issued in GA

Practice address

105 Professional Park Dr
Cumming, GA 30040-2381

Phone

(770) 800-3455

Fax

(770) 284-8380

NPI assigned

May 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

85.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wtw@cleavermed.emadirect.md

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.

• Cleaver Medical Group Dermatology Inc

  dba Cleaver Medical Group Dermatology

  • Dermatology Physician
  • Cumming, GA
  • NPI 1841852076
  Medicare reassignment Care Compare group NPD
• Thomas Chacko M.D. P.C

  dba Chacko Allergy

  • Allergy Physician
  • Alpharetta, GA
  • NPI 1669986709
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Sacred Heart Hospital, Inc.

  • Rural Acute Care Hospital
  • Lavonia, GA
  • NPI 1518354778
  Care Compare affiliation

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1386936839",
    "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": "770-284-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972665",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Clear Creek Pkwy Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Lavonia",
            "state": "GA",
            "postal_code": "305534271",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Tipton Dr",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331603",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380",
            "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": "770-284-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Brookside Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300224425",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAXWEILER",
        "first_name": "WESTON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "073880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtw@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": []
}

• Cynthia Marie Watkins, LCSW
• Nicola Natalie Watson Conduah, FNP-C
• Elisabeth Pezzano Watterson, OTR/L
• Watts Chiropractic Clinic P C
• Ramon Forrest Watts, D.C.
• Amber Way, MA, NCC, APC
• John Weathers Jr., OD
• Katherine Weaver, PMHNP-BC
• Margot Harris Weaver, RN
• Briana Webb

• Dermatology Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Dermatology Physician 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.