Individual provider Active NPI

Alicia Danielle Cleaver, D.O.

  • Family Medicine Physician
  • Athens, TX
National Provider Identifier
1730409939
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9688 Issued in TX
Practice address
117 Medical Cir
Athens, TX 75751-9003
Phone
(903) 676-3200
Fax
(903) 676-3277
NPI assigned
Jun 10, 2010
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N9688 TX Primary

Addresses

Primary practice location

117 Medical Cir
Athens, TX 75751-9003

Mailing address

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Other identifiers 1

IdentifierTypeStateIssuer
335366601MedicaidTX

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140627001893 TX Practitioner - Family Practice 3870718240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical AssociatesGroup PAC ID 2567476146, 16 clinicians

Practice addresses (Care Compare)

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Associates Family Medicine CurrentSince Apr 16, 2014 Accepting new patients
Athens Hospital, LLC Past Accepting new patients

Locations

117 Medical Cir
Athens, TX 75751
Phone (903) 676-3200

170 Municipal Dr
Gun Barrel City, TX 75156
Phone (903) 887-7992

Interoperability endpoints

  • Direct secure messaging: alicia.cleaver.1@31619.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1730409939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "ALICIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335366601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.