ATHENS ORTHOPEDIC CLINIC, PA
NPI 1063495299
Orthopaedic Surgery in Athens, GA

Active since November 22, 2005CLIA Certified · 5 labs
1765 OLD WEST BROAD ST, ATHENS, GA 30606(706) 549-1663(706) 546-8792 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 3, 2026, May 8, 2025, Dec 2, 2021 and 3 more (6 updates tracked since 2017).

About Athens Orthopedic Clinic, Pa NPPES

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

ATHENS ORTHOPEDIC CLINIC, PA (NPI 1063495299) is a healthcare organization registered as an orthopaedic surgery in Athens, Georgia and active in the NPI registry since November 2005. The organization holds 5 active CLIA laboratory certificates and lists Michael Boblitz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063495299
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameATHENS ORTHOPEDIC CLINIC, PA
Location Address1765 OLD WEST BROAD STAthens, GA 30606-2853
Mailing Address1765 Old West Broad St Bldg 2-200Athens, GA 30606-2887 · (706) 549-1663 · Fax (706) 286-7426
Fax(706) 546-8792
Organization SubpartYes
Authorized OfficialMichael BoblitzCeo · (706) 549-1663
Enumeration DateNovember 22, 2005
Last NPPES UpdateSeptember 3, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1063495299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1765 OLD WEST BROAD ST, Athens, GA 30606

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 SINGLE SPECIALTY GROUP

Accepted 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)

Athens Orthopedic Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Athens Orthopedic Clinic, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Physical Therapist in Private Practice25
Orthopedic Surgery15
Occupational Therapist in Private Practice9
Hand Surgery1
Nurse Practitioner1
Pain Management1
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 53
Occupational Therapist in Private Practice
NPI 1912638784
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1598601866
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1780280479
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1710728068
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Occupational Therapist in Private Practice
NPI 1316792484
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Orthopedic Surgery
NPI 1073774402
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Orthopedic Surgery
NPI 1720285398
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1750306031
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1154768828
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Orthopedic Surgery
NPI 1851373054
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Hand Surgery
NPI 1407034531
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Physical Medicine and Rehabilitation
NPI 1528204823
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1174681571
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Orthopedic Surgery
NPI 1518948835
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1598850117
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1962582445
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Occupational Therapist in Private Practice
NPI 1073007373
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1326575952
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare1.9 mi
Occupational Therapist in Private Practice
NPI 1023451051
1765 OLD WEST BROAD ST
Athens, GA 30606
(706) 549-1663
✔ Accepts Medicare3.0 mi
Pain Management
NPI 1295939452
855 KING AVE
Athens, GA 30606
(706) 549-1663
✔ PECOS✔ Accepts Medicare3.1 mi
See all 53 clinicians

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 5

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 11D1054478

Athens Orthopedic Clinic ASC · Athens, GA
Active · expires May 22, 2028
CLIA Number11D1054478
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorJoseph T. Johnson
Laboratory Phone(706) 549-1003
Laboratory LocationAthens Orthopedic Clinic ASC1765 Old West Broad St, Bldg 1, Suite 300, Athens, GA 30606
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2034683

Athens Orthopedic Clinic, PA · Athens, GA
Active · expires Jan 2, 2028
CLIA Number11D2034683
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorDavid S. Ryan
Laboratory Phone(706) 433-4088
Laboratory LocationAthens Orthopedic Clinic, PA1765 Old West Broad St, Bldg 2, Suite 200, Athens, GA 30606
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2122977

Athens Orthopedic Clinic Ambulatory Surgery Center- Loganville LLC · Loganville, GA
Active · expires Dec 11, 2026
CLIA Number11D2122977
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorMichael Shane Smith
Laboratory Phone(706) 549-1663
Laboratory LocationAthens Orthopedic Clinic Ambulatory Surgery Center- Loganville LLC3440 Highway 81, Suite 100, Loganville, GA 30052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2103769

Athens Orthopedic Clinic- Imaging Center · Athens, GA
Active · expires Oct 19, 2027
CLIA Number11D2103769
Laboratory TypeImaging Center
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJill L. Duncan
Laboratory Phone(706) 433-3298
Laboratory LocationAthens Orthopedic Clinic- Imaging Center1774 Old West Broad St, Athens, GA 30606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2123771

Athens Orthopedic Clinic, PA · Athens, GA
Active · expires Jan 2, 2027
CLIA Number11D2123771
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDavid S. Ryan
Laboratory Phone(706) 433-4088
Laboratory LocationAthens Orthopedic Clinic, PA125 King Avenue, Athens, GA 30606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Athens Orthopedic Clinic, PA's NPI number?

The NPI number for Athens Orthopedic Clinic, PA is 1063495299. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Athens Orthopedic Clinic, PA located?

Athens Orthopedic Clinic, PA is located at 1765 Old West Broad St, Athens, GA 30606. The listed phone number is (706) 549-1663.

What is Athens Orthopedic Clinic, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Athens Orthopedic Clinic, PA enrolled in Medicare?

Yes. Athens Orthopedic Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athens Orthopedic Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 7 Medicare specialties reassign their Medicare billing to Athens Orthopedic Clinic, PA. 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 Physical Therapist in Private Practice (25), Orthopedic Surgery (15) and Occupational Therapist in Private Practice (9). Of these, 3 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Athens Orthopedic Clinic, PA hold CLIA laboratory certificates?

Yes. 5 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 Athens Orthopedic Clinic, PA accept?

Health plans from Medica list Athens Orthopedic Clinic, PA 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 Athens Orthopedic Clinic, PA was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.