ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC – NPI #1477586063
Clinic/Center

ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC is an AHC clinic located in ATHENS, GA. NPPES has assigned the NPI number 1477586063 to ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC on July 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jun 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC below.

NPI Profile for
ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC

NPI Number
1477586063
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER, LLC
Primary location
1765 OLD WEST BROAD ST BLDG 1-300
ATHENS, GA 30606-2887
Phone: (706) 549-1663 Fax: (706) 546-8792
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL BOBLITZ
CEO
Phone: (706) 433-3120
Updated
Certification Date
Jun 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.