Cleaver Medical Group Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEAVER MEDICAL GROUP DERMATOLOGY INC

Doing business as

Cleaver Medical Group Dermatology

Practice address

105 Professional Park Dr
Cumming, GA 30040-2381

Phone

(770) 800-3455

Fax

(770) 284-8380

NPI assigned

Jul 9, 2019

Last updated

Dec 2, 2025By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other names 1

• Cleaver Medical Group Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine O'Rourke Ashton, FNP

  • Family Nurse Practitioner
  • Dawsonville, GA
  • NPI 1225308927
  Medicare reassignment Care Compare group NPD
• Nathan Jerome Cleaver, DO

  • Dermatology Physician
  • Cumming, GA
  • NPI 1871882225
  Medicare reassignment Care Compare group NPD
• Stephanie Stein Gardner, MD

  • Dermatology Physician
  • Johns Creek, GA
  • NPI 1033151063
  Medicare reassignment Care Compare group NPD
• Larissa Aleksandrovna Melnik, PA

  • Physician Assistant
  • Gainesville, GA
  • NPI 1780107474
  Medicare reassignment Care Compare group NPD
• Jennifer Erin Millsap, PHYSICIANS ASSISTANT

  • Dermatology Physician
  • Roswell, GA
  • NPI 1265927230
  Medicare reassignment Care Compare group NPD
• Ansley Pulsifer, FNP

  • Family Nurse Practitioner
  • Lavonia, GA
  • NPI 1093440745

  Dermatology

  Medicare reassignment Care Compare group NPD
• Rebecca Leigh Watson, NP

  • Family Nurse Practitioner
  • Toccoa, GA
  • NPI 1497365779
  Medicare reassignment Care Compare group NPD
• Weston Thomas Waxweiler, MD

  • Dermatology Physician
  • Cumming, GA
  • NPI 1386936839
  Medicare reassignment Care Compare group NPD
• Scott W Craven, PA-C

  • Physician Assistant
  • Gainesville, GA
  • NPI 1457863839
  Medicare reassignment Care Compare group
• Grace Delerme, NP

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1073015921
  Medicare reassignment Care Compare group
• Hannah Kim, PA-C

  • Physician Assistant
  • Canton, GA
  • NPI 1205563442
  Medicare reassignment Care Compare group
• Matthew V Myers, PA-C

  • Physician Assistant
  • Cumming, GA
  • NPI 1053065896
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1841852076",
    "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": "770-284-8380"
        },
        {
            "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": "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": "73 Prestige Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346370",
            "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": "1521 Hickory Flat Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301153502",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "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"
        },
        {
            "address_1": "1488 Jesse Jewell Pkwy SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013804",
            "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"
        }
    ],
    "basic": {
        "organization_name": "CLEAVER MEDICAL GROUP DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "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": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleaver Medical Group Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Elizabeth Clark, OTR
• Jenna Clausen-Voorhees, RBT
• Clear Life Consulting LLC (Clear Life Counseling & Testing)
• Clear Life Counseling & Testing
• Clearview Eye Care, Inc
• Cleaver Medical Group PC (Cleaver Medical Group)
• Cleaver Medical Group Surgery Center
• Nathan Jerome Cleaver, DO
• Amanda Nicole Cleghorne, NP
• Cassandra J Cleland, PT

• 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.
• 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.