Individual provider Active NPI

Elizabeth McKenzie Sipple, FNP-C

  • Family Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1972010452
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230875 Issued in GA
Practice address
73 Prestige LN Ste 102
Dawsonville, GA 30534-6370
Phone
(770) 800-3455
Fax
(770) 284-8380
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230875 GA Primary

Addresses

Primary practice location

73 Prestige LN Ste 102
Dawsonville, GA 30534-6370

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

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Liz@cleaverpain.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110001903 GA Practitioner - Nurse Practitioner 7315283413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230875GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Oct 30, 2018 Accepting new patients
Cleaver Medical Group PC CurrentSince Aug 1, 2021 Accepting new patients
Cleaver Medical Group Dermatology Inc PastSince May 29, 2022 Accepting new patients

Locations

105 Professional Park Dr
Cumming, GA 30040
Phone (770) 746-6380

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

73 Prestige Ln
Ste 102
Dawsonville, GA 30534
Phone (770) 872-6179

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

3885 Mundy Mill Rd
Ste 114
Oakwood, GA 30566
Phone (678) 971-1892

3991 Stone Mountain Hwy
Snellville, GA 30039
Phone (470) 482-6933

209 Cooley Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 456-0911

Interoperability endpoints

  • Direct secure messaging: liz@cleaverpain.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1972010452",
    "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": "73 PRESTIGE LN STE 102",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346370",
            "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": "105 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402381",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "ELIZABETH",
        "middle_name": "MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "230875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Liz@cleaverpain.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "73 Prestige Ln Ste 102",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305346370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.