Active NPI
Cleaver Medical Group PC
- Interventional Pain Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- CLEAVER MEDICAL GROUP PC
- Practice address
- 105 Professional Park Dr
Cumming, GA 30040-2381 - Phone
- (770) 872-6179
- Fax
- (678) 302-6127
- NPI assigned
- Jan 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley N Dorsey
- Title
- Practice Administrator
- Phone
- (770) 746-6380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
105 Professional Park Dr
Cumming, GA 30040-2381
Mailing address
59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 872-6179
Other practice location 1
73 Prestige Ln Ste 102
Dawsonville, GA 30534-6370
Phone (770) 872-6179
Other practice location 2
59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 872-6179
Other names 1
- Cleaver Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2219437 | Cleaver Medical Group ASC | Certificate of waiver | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
105 Professional Park Dr
Cumming, GA 30040
Phone (770) 746-6380
73 Prestige Ln
Ste 102
Dawsonville, GA 30534
Phone (770) 872-6179
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1659684231
Single Specialty
-
- Physician Assistant
- Cumming, GA
- NPI 1659338390
-
- Family Nurse Practitioner
- Dawsonville, GA
- NPI 1972010452
-
- Dermatology Physician
- Cumming, GA
- NPI 1871882225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1679018485",
"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": "770-872-6179",
"fax_number": "678-302-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PROFESSIONAL PARK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402381",
"telephone_number": "770-872-6179",
"fax_number": "678-302-6127"
}
],
"practiceLocations": [
{
"address_1": "73 Prestige Ln Ste 102",
"address_purpose": "LOCATION",
"city": "Dawsonville",
"state": "GA",
"postal_code": "305346370",
"country_code": "US",
"telephone_number": "770-872-6179",
"fax_number": "678-302-6127",
"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": "770-872-6179",
"fax_number": "678-302-6127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLEAVER MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-03",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "DORSEY",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "770-746-6380"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cleaver Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cumming, GA
Sources for this page
- 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.
- 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.