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CLEAVER MEDICAL GROUP DERMATOLOGY INC
NPI 1841852076
Dermatology in Cumming, GA

Active since July 09, 2019CLIA Certified · 9 labs
105 PROFESSIONAL PARK DR, 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 18, 2026.

Record update history: Dec 2, 2025, Jun 20, 2024, May 24, 2022 and 2 more (5 updates tracked since 2019).

About Cleaver Medical Group Dermatology Inc NPPES

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

CLEAVER MEDICAL GROUP DERMATOLOGY INC (NPI 1841852076), doing business as Cleaver Medical Group Dermatology, is a healthcare organization registered as a dermatology in Cumming, Georgia and active in the NPI registry since July 2019. The organization holds 9 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Ashley N Dorsey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1841852076
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEAVER MEDICAL GROUP DERMATOLOGY INC
Location Address105 PROFESSIONAL PARK DRCumming, GA 30040-2381
Mailing Address59 Tipton DrDahlonega, GA 30533-1603 · (770) 800-3455 · Fax (770) 284-8380
Phone(770) 800-3455
Fax(770) 284-8380
Organization SubpartNo
Authorized OfficialAshley N DorseyPractice Administrator · (770) 746-6380
Enumeration DateJuly 9, 2019
Last NPPES UpdateDecember 2, 20255 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1841852076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
105 PROFESSIONAL PARK DR, Cumming, GA 30040
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Other Names 1

Doing Business AsCleaver Medical Group Dermatology

Secondary Practice Locations 8

Location 159 Tipton DrDahlonega, GA 30533-1603 · Phone (770) 800-3455 · Fax (770) 284-8380
Location 273 Prestige Ln Ste 101Dawsonville, GA 30534-6370 · Phone (770) 800-3455 · Fax (770) 284-8380
Location 315 Rock Quarry RdToccoa, GA 30577-8721 · Phone (770) 800-3455 · Fax (770) 284-8380
Location 41521 Hickory Flat Hwy Ste 203Canton, GA 30115-3502 · Phone (770) 800-3455 · Fax (770) 284-8380
Location 511315 Johns Creek Pkwy Ste 140Johns Creek, GA 30097-2665 · Phone (770) 800-3455 · Fax (770) 450-8024
Location 63905 Brookside Pkwy Ste 203Alpharetta, GA 30022-4425 · Phone (770) 800-3455 · Fax (770) 450-8024
Location 71488 Jesse Jewell Pkwy SE Ste 100Gainesville, GA 30501-3804 · Phone (770) 800-3455 · Fax (770) 450-8024
Location 8355 Clear Creek Pkwy Ste 1005Lavonia, GA 30553-4271 · Phone (770) 800-3455 · Fax (770) 450-8024

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Cleaver Medical Group Dermatology Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nathan Cleaver, DO
Micrographic Dermatologic Surgery (MDS)
NPI 1871882225
105 PROFESSIONAL PARK DR
Cumming, GA 30040
(770) 800-3455
✔ PECOS✔ Accepts MedicareSame address
Weston Waxweiler, MD
Dermatology
NPI 1386936839
105 PROFESSIONAL PARK DR
Cumming, GA 30040
(770) 800-3455
✔ PECOS✔ Accepts MedicareSame address
Grace Delerme, NP
Nurse Practitioner
NPI 1073015921
11315 JOHNS CREEK PKWY STE 140
Johns Creek, GA 30097
(770) 800-3455
✔ PECOS✔ Accepts Medicare11 mi
Stephanie Gardner, MD
Dermatology
NPI 1033151063
11315 JOHNS CREEK PKWY STE 140
Johns Creek, GA 30097
(770) 800-3455
✔ PECOS✔ Accepts Medicare11 mi
Christine Ashton, FNP
Nurse Practitioner
NPI 1225308927
73 PRESTIGE LN STE 101
Dawsonville, GA 30534
(770) 800-3455
✔ PECOS✔ Accepts Medicare13 mi
Michelle Militello, DO
Dermatology
NPI 1598405615
1265 UPPER HEMBREE RD STE 100
Roswell, GA 30076
(770) 800-3455
✔ PECOS14 mi
Rebecca Watson, NP
Dermatology
NPI 1497365779
15 ROCK QUARRY RD
Toccoa, GA 30577
(770) 800-3455
✔ PECOS✔ Accepts Medicare53 mi
Ansley Pulsifer, FNP
Nurse Practitioner
NPI 1093440745
355 CLEAR CREEK PKWY STE 1005
Lavonia, GA 30553
(770) 800-3455
✔ PECOS✔ Accepts Medicare72 mi

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 9

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 11D2262534

Cleaver Medical Group Dermatology Inc · Johns Creek, GA
Active · expires Jun 14, 2028
CLIA Number11D2262534
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorStephanie Gardner
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology Inc11315 Johns Creek Parkway, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2262572

Cleaver Medical Group Dermatology Inc · Canton, GA
Active · expires Jun 14, 2028
CLIA Number11D2262572
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorNathan Cleaver
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology Inc1521 Hickory Flat Highway, Suite 203, Canton, GA 30115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D2130431

Cleaver Medical Group Dermatology, Inc · Cumming, GA
Active · expires Jan 18, 2028
CLIA Number11D2130431
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorNathan J. Cleaver
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology, Inc105 Professional Park Drive, Cumming, GA 30040
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D2290881

Cleaver Medical Group Dermatology · Alpharetta, GA
Active · expires Oct 2, 2027
CLIA Number11D2290881
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorWeston T. Waxweiler
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology3905 Brookside Parkway, Suite 203, Alpharetta, GA 30022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D2215646

Cleaver Medical Group Dermatology, Inc · Toccoa, GA
Active · expires Sep 7, 2027
CLIA Number11D2215646
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorNathan J. Cleaver
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology, Inc15 Rock Quarry Road, Toccoa, GA 30577
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D2164962

Cleaver Medical Group Dermatology, Inc · Dawsonville, GA
Active · expires Jul 23, 2027
CLIA Number11D2164962
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorNathan J. Cleaver
Laboratory Phone(770) 800-3455
Laboratory LocationCleaver Medical Group Dermatology, Inc73 Prestige Lane, Suite 101, Dawsonville, GA 30534
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Dermatology Inc's NPI number?

The NPI number for Cleaver Medical Group Dermatology Inc is 1841852076. It was assigned to this organization in the NPPES registry on July 9, 2019. The provider is doing business as Cleaver Medical Group Dermatology.

Where is Cleaver Medical Group Dermatology Inc located?

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

What is Cleaver Medical Group Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cleaver Medical Group Dermatology Inc enrolled in Medicare?

Yes. Cleaver Medical Group Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cleaver Medical Group Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Cleaver Medical Group Dermatology Inc. 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. The largest specialties are Dermatology (4), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cleaver Medical Group Dermatology Inc hold CLIA laboratory certificates?

Yes. 9 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 Dermatology Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Cleaver Medical Group Dermatology Inc 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 Dermatology Inc 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 10 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.