Exhibit 21

NOVAMED SUBSIDIARIES

|1.  | NovaMed
  Management of Kansas City, Inc., a Missouri corporation                            
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|    |                                                                                              
|2.  | NovaMed Blue
  Ridge, Inc., a Missouri corporation                                           
|    |                                                                                              
|3.  | NovaMed Eye
  Surgery Center (Plaza) L.L.C., a Delaware limited liability company            
|    |                                                                                              
|4.  | NovaMed Eye
  Surgery Center of Overland Park, L.L.C., a Delaware limited liability company  
|    |                                                                                              
|5.  | NovaMed
  Management Services, LLC, a Delaware limited liability company                     
|    |                                                                                              
|6.  | NovaMed Eye
  Surgery Center of Maryville, L.L.C., a Delaware limited liability company      
|    |                                                                                              
|7.  | NovaMed Eye
  Surgery Center of North County, LLC, a Delaware limited liability company      
|    |                                                                                              
|8.  | NovaMed Eye
  Surgery Center of New Albany, L.L.C., a Delaware limited liability company     
|    |                                                                                              
|9.  | NovaMed of
  Louisville, Inc., a Kentucky corporation                                        
|    |                                                                                              
|10. | Midwest
  Uncuts, Inc., an Iowa corporation                                                  
|    |                                                                                              
|11. | NovaMed
  Eyecare Research, Inc., a Delaware corporation                                     
|    |                                                                                              
|12. | NovaMed Eye
  Surgery and Laser Center of St. Joseph, Inc., a Missouri corporation           
|    |                                                                                              
|13. | NMGK, Inc.,
  an Illinois corporation                                                        
|    |                                                                                              
|14. | NMLO, Inc.,
  a Kansas corporation                                                           
|    |                                                                                              
|15. | NovaMed Eye
  Surgery Center of Cincinnati, LLC, a Delaware limited liability company        
|    |                                                                                              
|16. | Patient
  Education Concepts, Inc., a Delaware corporation                                   
|    |                                                                                              
|17. | NMI, Inc., a
  Georgia corporation                                                           
|    |                                                                                              
|18. | NovaMed
  Acquisition Company, Inc., a Delaware corporation                                  
|    |                                                                                              
|19. | NovaMed
  Surgery Center of Thibodaux, LLC, a Delaware limited liability company             
|    |                                                                                              
|20. | NovaMed
  Surgery Center of Richmond, LLC, a Delaware limited liability company              
|    |                                                                                              
|21. | NovaMed
  Surgery Center of River Forest, LLC, a Delaware limited liability company          
|    |                                                                                              
|22. | NovaMed
  Surgery Center of Colorado Springs, LLC, a Delaware limited liability company      
|    |                                                                                              
|23. | NovaMed of
  Texas, Inc., a Delaware corporation                                             
|    |                                                                                              
|24. | NovaMed
  Surgery Center of Tyler, L.P., a Delaware limited partnership                      
|    |                                                                                              
|25. | NovaMed
  Alliance, Inc., a Delaware corporation                                             
|    |                                                                                              
|26. | NovaMed
  Surgery Center of St. Joseph, LLC, a Delaware limited liability company            
|    |                                                                                              
|27. | NovaMed
  Surgery Center of Merrillville, LLC, a Delaware limited liability company          
|    |                                                                                              
|28. | NovaMed
  Surgery Center of Chicago  Northshore, LLC, a Delaware limited liability
  company
|    |                                                                                              
|29. | NovaMed
  Surgery Center of Columbus, LLC, a Delaware limited liability company              
|    |                                                                                              
|30. | Blue Ridge
  Surgical Center, LLC, a Delaware limited liability company                      
|    |                                                                                              
|31. | NovaMed
  Surgery Center of Chattanooga, LLC, a Delaware limited liability company           

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