Organization Active NPI

Athens Orthopedic Clinic Ambulatory Surgery Center-Loganville, LLC

  • Ambulatory Surgical Clinic/Center
  • Loganville, GA
National Provider Identifier
1235677808
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER-LOGANVILLE, LLC
Practice address
3440 Highway 81
Ste 100
Loganville, GA 30052-9112
Phone
(706) 549-1663
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Boblitz
Title
Ceo
Phone
(706) 433-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3440 Highway 81
Ste 100
Loganville, GA 30052-9112

Mailing address

3440 Highway 81
Ste 100
Loganville, GA 30052-9112
Phone (706) 549-1663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801001304 GA Part B Supplier - Ambulatory Surgical Center 9931470580 Practice locations: Loganville, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Athens Orthopedic Clinic Ambulatory Surgery Center Loganville LLCCCN 11C0001477
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3440 Highway 81
Ste 100
Loganville, GA 30052
Phone (706) 227-3450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1235677808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HIGHWAY 81",
            "address_2": "STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529112",
            "telephone_number": "706-549-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HIGHWAY 81",
            "address_2": "STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529112",
            "telephone_number": "706-549-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS ORTHOPEDIC CLINIC AMBULATORY SURGERY CENTER-LOGANVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BOBLITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-433-3120"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.