Exhibit 21

NOVAMED SUBSIDIARIES

|1. |  | NovaMed Management of Kansas City, Inc., a Missouri
corporation
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|2. |  | Blue Ridge NovaMed, 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
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|12. |  | NovaMed Eye Surgery and Laser Center of St. Joseph, Inc., a
Missouri corporation
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|13. |  | NMGK, Inc., an Illinois corporation
|--- |  | -----------------------------------

|14. |  | NMLO, Inc., a Kansas corporation
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|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
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|23. |  | NovaMed of Texas, Inc., a Delaware corporation
|--- |  | ----------------------------------------------

|24. |  | NovaMed Surgery Center of Tyler, L.P., a Delaware limited
partnership
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|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
|--- |  | --------------------------------------------------------------------------------

|32. |  | NovaMed Surgery Center of Nashua, LLC, a Delaware limited
liability company
|--- |  | ---------------------------------------------------------------------------

|33. |  | NovaMed Surgery Center of Bedford, LLC, a Delaware limited
liability company
|--- |  | ----------------------------------------------------------------------------

|34. |  | NovaMed Surgery Center of Altamonte Springs, LLC, a Delaware
limited liability company
|--- |  | --------------------------------------------------------------------------------------

|35. |  | NovaMed Surgery Center of Oak Lawn, LLC, a Delaware limited
liability company
|--- |  | -----------------------------------------------------------------------------

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|36. |  | NovaMed Surgery Center of Palm Beach, LLC, a Delaware limited
liability company
|--- |  | -------------------------------------------------------------------------------

|37. |  | NovaMed Surgery Center of Fort Lauderdale, LLC, a Delaware
limited liability company
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|38. |  | NovaMed Surgery Center of Madison, Limited Partnership, a
Wisconsin limited partnership
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|39. |  | NovaMed of Wisconsin, Inc., a Delaware corporation
|--- |  | --------------------------------------------------

|40. |  | NovaMed Pain Management Center of New Albany, LLC, a Delaware
limited liability company
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|41. |  | The Cataract Specialty Surgical Center, L.L.C., a Michigan
limited liability company
|--- |  | ------------------------------------------------------------------------------------