Provider Type Icon

CLEAVER MEDICAL GROUP PC NPI 1679018485


NPI Information

NPI: 1679018485
Provider Name: CLEAVER MEDICAL GROUP PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 11D2290880

Address:
105 PROFESSIONAL PARK DR
CUMMING, GA
ZIP 30040
Phone: (770) 800-3455
Get Directions

CLEAVER MEDICAL GROUP PC is an interventional pain medicine pain medicine in Cumming, GA. The provider is 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. CLEAVER MEDICAL GROUP PC NPI is 1679018485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 PROFESSIONAL PARK DR
CUMMING, GA
ZIP 30040-381
Phone: (770) 800-3455
Fax: (770) 284-8380

The provider's authorized official is Ashley N Dorsey .
The authorized official title is Practice Administrator and has the following contact phone number (770) 746-6380.

The CLIA number assigned to this NPI record is 11D2290880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 5/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207N00000XDermatologyNo
4207ND0101XDermatologyMOHS-Micrographic SurgeryNo
5207ND0900XDermatologyDermatopathologyNo
6208VP0000XPain MedicinePain MedicineNo
7208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.