Active NPI
Athens Joint and Spine Center LLC
- Ambulatory Surgical Clinic/Center
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ATHENS JOINT AND SPINE CENTER LLC
- Practice address
- 1765 Old West Broad St BLDG 3-400
Athens, GA 30606-2853 - Phone
- (706) 549-1663
- NPI assigned
- Feb 14, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1765 Old West Broad St BLDG 3-400
Athens, GA 30606-2853
Mailing address
1765 Old West Broad St BLDG 3-400
Athens, GA 30606-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250710002085 | GA | Part B Supplier - Ambulatory Surgical Center | 6608380605 | Practice locations: Athens, GA |
Ambulatory surgical center certification: CCN 11C0001589
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Athens Joint and Spine Center, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 17, 2025
- Last certification
- Jul 21, 2025
- Ownership / control type
- Proprietary
- Facility address
- 1765 Old West Broad St Bldg 3-400
Athens, GA 30606
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2314369 | Athens Joint and Spine Center, LLC | Certificate of waiver | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
1765 Old West Broad St
#3400
Athens, GA 30606
1765 Old West Broad St
Bldg 3
Athens, GA 30606
1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881
1765 Old West Broad St
Bldg 3400
Athens, GA 30606
Phone (706) 286-7637
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Monroe, GA
- NPI 1376592261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1942065552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST BLDG 3-400",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST BLDG 3-400",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062853",
"telephone_number": "706-549-1663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS JOINT AND SPINE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-14",
"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 Athens, 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.