ATHENS ORTHOPEDIC CLINIC, PA — NPI 1154714475 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in MONROE, GA)

CMS-1500 Box 24J / 33a • NPI

1154714475

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207X00000X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

705 BREEDLOVE DR STE 200, MONROE, GA, 30655-2080

✓ 9-Digit EDI 837 ZIP+4 (30655-2080)

Practice Phone & Referral Fax

(770) 554-5009

Fax: (706) 546-8792

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154714475 (ATHENS ORTHOPEDIC CLINIC, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154714475` (NPI-2 Organization / Facility)
Provider / Legal Name	ATHENS ORTHOPEDIC CLINIC, PA
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `207X00000X` (Orthopaedic Surgery)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	705 BREEDLOVE DR STE 200, MONROE, GA, 30655-2080
Practice Telephone / Fax	Tel: (770) 554-5009 \| Fax: (706) 546-8792
Administrative Mailing Address	1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA, 30606-2887
Enumeration & Last Sync	Enumerated: 2015-03-11 \| CMS Record Updated: 2026-09-03
Authorized Official	MICHAEL BOBLITZ (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

705 BREEDLOVE DR STE 200, MONROE, GA, 30655-2080

🗺️ Open in Google Maps 🏥 More Providers in MONROE

🔒 Are you ATHENS ORTHOPEDIC CLINIC, PA? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207X00000X)

What Does Taxonomy Code 207X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ATHENS ORTHOPEDIC CLINIC, PA)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ATHENS ORTHOPEDIC CLINIC, PA (NPI #1154714475)