Organization Active NPI

Cleaver Medical Group PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
National Provider Identifier
1679018485
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Dec 2, 2025

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320000626 GA Part B Supplier - Clinic/Group Practice 0648555409 Receives reassigned benefits from 3 practitioners
Practice locations: Cumming, GA; Dahlonega, GA; Dawsonville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2219437Cleaver Medical Group ASC105 Professional Park Drive, Suite 102, Cumming, GA 30040Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.