Cleaver Medical Group Dermatology Inc – Dermatology Physician, NPI 1841852076
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Cleaver Medical Group Dermatology Inc
3905 Brookside Pkwy Ste 203
Alpharetta, GA 300224425
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
59 Tipton Dr
Dahlonega, GA 305331603
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Location
11315 Johns Creek Pkwy Ste 140
Johns Creek, GA 300972665
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
105, Professional Park Drive, Cumming, Forsyth County, Georgia, 30040, United States
CUMMING, GA 300402381
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Mailing
1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 305013804
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
355 Clear Creek Pkwy Ste 1005
Lavonia, GA 305534271
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
73 Prestige Ln Ste 101
Dawsonville, GA 305346370
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Location
15 Rock Quarry Rd
Toccoa, GA 305778721
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Location
1521 Hickory Flat Hwy Ste 203
Canton, GA 301153502
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Location
73 PRESTIGE LN STE 101
DAWSONVILLE, GA 305346370
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Mailing
59 TIPTON DR
DAHLONEGA, GA 305331603
Phone: (770) 800-3455
Fax: (770) 284-8380
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (619 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190905002569 | O | Clinic/Group Practice | GA | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30022)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.