CLEAVER MEDICAL GROUP PC
NPI 1679018485
Pain Medicine - Interventional Pain Medicine in Cumming, GA

NPI Status: Active since January 03, 2017

Contact Information

105 PROFESSIONAL PARK DR
CUMMING, GA
ZIP 30040
Phone: (770) 872-6179
Fax: (678) 302-6127

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 11D2290880
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-04-2027

About CLEAVER MEDICAL GROUP PC

This page provides the complete NPI Profile along with additional information for Cleaver Medical Group Pc, a provider established in Cumming, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1679018485 assigned on January 2017. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Ashley N Dorsey (Practice Administrator)

NPI
1679018485
Provider Legal Name
CLEAVER MEDICAL GROUP PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
105 PROFESSIONAL PARK DR CUMMING, GA 30040
Location Phone
(770) 872-6179
Location Fax
(678) 302-6127
Mailing Address
59 TIPTON DR DAHLONEGA, GA 30533
Mailing Phone
(770) 872-6179
Mailing Fax
(678) 302-6127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2017
Last Update Date
12-02-2025
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Location Map

Secondary Locations

  • 73 Prestige Ln Ste 102
    Dawsonville, GA 30534
    (770) 872-6179
  • 59 Tipton Dr
    Dahlonega, GA 30533
    (770) 872-6179

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ASHLEY N DORSEY

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(770) 746-6380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2290880
Facility Type
Physician Office
Certificate Effective Date
August 05, 2025
Certificate Expiration Date
August 04, 2027
Laboratory Director
NATHAN J. CLEAVER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Cleaver Medical Group Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679018485, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 0 + 1 + 1 + 6 + 4 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1679018485.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Internal Medicine
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Internal Medicine
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Internal Medicine
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Anesthesiology
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Pain Medicine (Interventional Pain Medicine)
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Physician Assistant
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Dermatology
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Physician Assistant
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Pain Medicine (Interventional Pain Medicine)
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Nurse Practitioner (Family)
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Dermatology
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Physician Assistant
105 PROFESSIONAL PARK DR
CUMMING, GA 30040
Dermatology
105 PROFESSIONAL PARK DR
CUMMING, GA 30040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679018485, enumerated as an "organization" on January 03, 2017.

The provider is located at 105 PROFESSIONAL PARK DR CUMMING, GA 30040 and the phone number is (770) 872-6179.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.