Individual provider Active NPI

Nathan Jerome Cleaver, DO

  • Dermatology Physician
  • Cumming, GA
National Provider Identifier
1871882225
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
76962 Issued in GA
Practice address
105 Professional Park Dr
Cumming, GA 30040-2381
Phone
(770) 800-3455
Fax
(770) 800-3455
NPI assigned
Apr 6, 2011
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 76962 GA
Dermatology Physician 207N00000X 2015008267 MO
Dermatology Physician 207N00000X 76962 GA Primary
Dermatopathology Physician 207ND0900X 76962 GA

Addresses

Primary practice location

105 Professional Park Dr
Cumming, GA 30040-2381

Mailing address

59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 800-3455

Other practice location 1

59 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 800-3455

Other practice location 2

15 Rock Quarry Rd
Toccoa, GA 30577-8721
Phone (770) 800-3455

Other practice location 3

1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804
Phone (770) 800-3455

Other practice location 4

73 Prestige Ln Ste 101
Dawsonville, GA 30534-6370
Phone (770) 800-3455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address njc@cleavermed.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150624001969 MO Practitioner - DermatologyPractitioner - Pathology 1658522529 Reassigns benefits to 1 organization
I20170206001255 IA Practitioner - Dermatology 1658522529 Reassigns benefits to 1 organization
I20170206002516 GA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1658522529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians
Dalton Dermatology and Day Spa, LLCGroup PAC ID 8123268265, 3 clinicians
Cleaver Dermatology PCGroup PAC ID 4587946298, 6 clinicians

Practice addresses (Care Compare)

105 Professional Park Dr
Cumming, GA 30040-2381
Phone (770) 800-3455

1108 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 226-7546

1316 Country Club Dr
Kirksville, MO 63501-5362
Phone (660) 627-7546

509 N Madison St
Bloomfield, IA 52537-1271
Phone (660) 627-7546

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.68
Improvement activities
40
Cost
83.54

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision191
Removal of tissue1-10
Removal of skin lesions847
Removal of skin cancer1545
Removal of nail tissue1-10
Skin biopsy390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76962GAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleaver Dermatology PC Dermatology CurrentSince Jan 1, 2017 Accepting new patients
Dalton Dermatology & Day Spa, LLC Dermatology CurrentSince Mar 24, 2024 Accepting new patients
Cleaver Medical Group PC Dermatology CurrentSince Mar 1, 2017 Accepting new patients
Cleaver Medical Group Dermatology Inc Dermatology CurrentSince Jul 1, 2019 Accepting new patients

Locations

105 Professional Park Dr
Cumming, GA 30040
Phone 77080034555

59 Tipton Dr
Dahlonega, GA 30533
Phone (706) 864-4012

1108 Professional Blvd
Dalton, GA 30720
Phone (706) 226-6542

73 Prestige Ln
Ste 101
Dawsonville, GA 30534
Phone (770) 746-6380

1488 Jesse Jewell Pkwy SE
Ste 100
Gainesville, GA 30501

15 Rock Quarry Rd
Toccoa, GA 30577

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1316 Country Club Dr
Kirksville, MO 63501
Phone (660) 627-7546

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1871882225",
    "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": "770-800-3455"
        }
    ],
    "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": "15 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Toccoa",
            "state": "GA",
            "postal_code": "305778721",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024",
            "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": "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"
        }
    ],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "NATHAN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "76962",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2015008267",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "76962",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "76962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njc@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": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.