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CLEAVER MEDICAL GROUP SURGERY CENTER
NPI 1164093068
Clinic/Center - Ambulatory Surgical in Cumming, GA

Active since July 02, 2021CLIA Certified · 4 labs
105 PROFESSIONAL PARK DR STE 200, CUMMING, GA 30040(770) 800-3455(770) 284-8380 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, May 24, 2022, Jul 2, 2021 (3 updates tracked since 2021).

About Cleaver Medical Group Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAVER MEDICAL GROUP SURGERY CENTER (NPI 1164093068) is a healthcare organization registered as an ambulatory surgical in Cumming, Georgia and active in the NPI registry since July 2021. The organization holds 4 active CLIA laboratory certificates and lists Miranda L Reed, Owner, as its authorized official.

NPPES Registry Identity

NPI1164093068
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCLEAVER MEDICAL GROUP SURGERY CENTER
Location Address105 PROFESSIONAL PARK DR STE 200Cumming, GA 30040-2381
Mailing Address105 Professional Park Dr Ste 200Cumming, GA 30040-2381 · (770) 872-6179 · Fax (678) 302-6127
Phone(770) 800-3455
Fax(770) 284-8380
Organization SubpartNo
Authorized OfficialMiranda L ReedOwner · (770) 872-6179
Enumeration DateJuly 2, 2021
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1164093068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
105 PROFESSIONAL PARK DR STE 200, Cumming, GA 30040
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Other Identifiers 1

MedicaidASTC001560GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cleaver Medical Group Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211013002260Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cleaver Medical Group Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Miranda Reed, DO
Interventional Pain Management
NPI 1659684231
105 PROFESSIONAL PARK DR
Cumming, GA 30040
(770) 872-6179
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2172425

Cleaver Medical Group, PC · Dawsonville, GA
Active · expires Sep 23, 2027
CLIA Number11D2172425
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorMiranda Reed
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group, PC73 Prestige Lane Suite 102, Dawsonville, GA 30534
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2172426

Cleaver Medical Group, PC · Dahlonega, GA
Active · expires Sep 23, 2027
CLIA Number11D2172426
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorMiranda L. Reed
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group, PC59 Tipton Drive, Dahlonega, GA 30533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2130432

Cleaver Medical Group, PC · Cumming, GA
Active · expires May 8, 2027
CLIA Number11D2130432
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorMiranda R. Cleaver
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group, PC105 B Professional Park Drive, Cumming, GA 30040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2219437

Cleaver Medical Group ASC · Cumming, GA
Active · expires Apr 5, 2027
CLIA Number11D2219437
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorMiranda L. Reed
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group ASC105 Professional Park Drive, Suite 102, Cumming, GA 30040
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
112 services49 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
49 services29 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
40 services21 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
29 services14 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
29 services14 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
28 services23 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleaver Medical Group Surgery Center's NPI number?

The NPI number for Cleaver Medical Group Surgery Center is 1164093068. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is Cleaver Medical Group Surgery Center located?

Cleaver Medical Group Surgery Center is located at 105 Professional Park Dr Ste 200, Cumming, GA 30040. The listed phone number is (770) 800-3455.

What is Cleaver Medical Group Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Cleaver Medical Group Surgery Center enrolled in Medicare?

Yes. Cleaver Medical Group Surgery Center is registered in the Medicare PECOS enrollment system.

When is Cleaver Medical Group Surgery Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cleaver Medical Group Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Cleaver Medical Group Surgery Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cleaver Medical Group Surgery Center hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cleaver Medical Group Surgery Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Cleaver Medical Group Surgery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleaver Medical Group Surgery Center was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.