Athens Orthopedic Clinic, PA
Organization Active NPI Orthopaedic Surgery Physician · Royston, GA
NPI 1073906186 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1073906186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ATHENS ORTHOPEDIC CLINIC, PA
- Practice address
- 901 Franklin Springs St
Royston, GA 30662-3911 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Mar 13, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- ATHENS ORTHOPEDIC CLINIC, PA
Authorized official
- Name
- Michael Boblitz
- Title
- Ceo
- Phone
- (706) 549-1663
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 11
Practitioners 70
-
Onyeamaechi Ian Arinze, PT, DPT
-
Avery Barrett, OTR/L
-
Skye Mitchell Barrett, PA-C
-
Taylor Beauchamp, OTR/L
-
Amya B. Beckom, PA-C
-
Josiane Bernier, OTR/L, CHT
-
Stephen Daryl Burton, PA-C
-
Benjamin Wade Castleberry, PT, DPT, CSCS
-
Jeremy Evan Cryder, OTR/L, CHT
-
Gary Wayne Dykes, PT, MDT
-
Ashley Faircloth, OTR/L
-
Anna Katherine Femi, PA-C
-
Karin Downing Foster, MOT, OTR/L, CHT
-
Catherine Franke, OTR/L
-
William Gillespie, PT, ATC, CSCS
-
Samuel Michael Greavu, PT, DPT, CERT. DN
-
Bryan S Green, PA-C
-
Makenzie Grilliot, PA-C
-
Katherine Hamil, PT, DPT
-
Sarah Burnett Hardell, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150822015032 | GA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 5991600181 | Practice locations: Royston, GA |
National Provider Directory
- Tax ID family
- Athens Orthopedic Clinic PA
Locations
901 Franklin Springs St
Royston, GA 30662
Phone (706) 245-5040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
901 Franklin Springs St
Royston, GA 30662-3911
Mailing address
1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663
Other providers in Royston, GA
- Patricia Kieley Adkins
- Andrew Ryan Ariail
- Abby H Bedichek
- Madeline McRee Bell
- Savannah Bird
- S Tyrus C Brown
- Shonterreo L Browner
All providers in Royston, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.