Exhibit 31

Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section 302 of the Sarbanes-Oxley Act of 2002

I, Scott T. Macomber, certify that:

|1. |  | I have reviewed this annual report on Form 10-K of NovaMed,
Inc.;
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|2. |  | Based on my knowledge, this report does not contain any untrue
statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such
statements were made, not misleading with respect to the period covered by this report;
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|3. |  | Based on my knowledge, the financial statements, and other
financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of
the registrant as of, and for, the periods presented in this report;
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|4. |  | I am the registrants sole certifying officer and I am
responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the
registrant and have:
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|(a) |  | Designed such disclosure controls and procedures, or caused such
disclosure controls and procedures to be designed under my supervision, to ensure that material information relating to the registrant, including its
consolidated subsidiaries, is made known to me by others within those entities, particularly during the period in which this report is being
prepared;
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|(b) |  | Evaluated the effectiveness of the registrants disclosure
controls and procedures and presented in this report my conclusions about the effectiveness of the disclosure controls and procedures, as of the end
of the period covered by this report based on such evaluation; and
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|(c) |  | Disclosed in this report any change in the registrants
internal control over financial reporting that occurred during the registrants most recent fiscal quarter that has materially affected, or is
reasonably likely to materially affect, the registrants internal control over financial reporting; and
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|5. |  | I have disclosed, based on my most recent evaluation
of internal control over financial reporting, to the registrants auditors and the audit committee
of the registrants board of directors:
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|(a) |  | All significant deficiencies and material weaknesses in the
design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrants ability to
record, process, summarize and report financial information; and
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|(b) |  | Any fraud, whether or not material, that involves management or
other employees who have a significant role in the registrants internal control over financial reporting.
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Date: March 31, 2005



/s/ SCOTT T.
MACOMBER Scott T. Macomber Principal Executive Officer and Chief Financial Officer*


|* |  | Stephen J. Winjum, the Companys Chairman, President and
Chief Executive Officer, passed away on March 30, 2005. The Company has not yet named a replacement to the positions of President and Chief Executive
Officer. Scott T. Macomber, the Companys Executive Vice President and Chief Financial Officer, as of the date hereof, is performing similar
functions to the Companys principal executive officer and is therefore executing this certification in such capacity.
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