- Statement of Changes in Beneficial Ownership (4)

FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).	UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES	OMB APPROVAL OMB Number: 3235-0287 Expires: February 28, 2011 Estimated average burden hours per response... 0.5
	Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

1. Name and Address of Reporting Person * MACOMBER SCOTT T	2. Issuer Name and Ticker or Trading Symbol NOVAMED INC [ NOVA ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director                      _____ 10% Owner __ X __ Officer (give title below)      _____ Other (specify below) Executive Vice President/CFO
(Last)          (First)          (Middle) 333 W. WACKER DR., SUITE 1010	3. Date of Earliest Transaction (MM/DD/YYYY) 2/21/2011
(Street) CHICAGO, IL 60606 (City)        (State)        (Zip)	4. If Amendment, Date Original Filed (MM/DD/YYYY)	6. Individual or Joint/Group Filing (Check Applicable Line) _ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security (Instr. 3)	2. Trans. Date	2A. Deemed Execution Date, if any	3. Trans. Code (Instr. 8)		4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	2/21/2011		F		63	D (8)	$13.21	42532   (7)	D

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Trans. Date	3A. Deemed Execution Date, if any	4. Trans. Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (right to buy)	$5.10							(1)	10/25/2011	Common Stock	83333		0	D
Stock Option (right to buy)	$2.34							(2)	4/2/2012	Common Stock	30000		0	D
Stock Option (right to buy)	$3.81							(3)	3/21/2013	Common Stock	15000		0	D
Stock Option (right to buy)	$13.35							(4)	3/17/2014	Common Stock	18333		0	D
Stock Option (right to buy)	$17.88							(5)	6/17/2015	Common Stock	21666		0	D
Stock Option (right to buy)	$20.61							(6)	6/20/2016	Common Stock	8333		0	D
Stock Option (right to buy)	$22.05							(9)	2/21/2017	Common Stock	8333		0	D
Stock Option (right to buy)	$8.25							(10)	2/18/2019	Common Stock	24242		0	D

Explanation of Responses:
( 1)	As of 10/25/2005, these options have all fully vested.
( 2)	As of 4/2/2006, these options have all fully vested.
( 3)	As of 3/21/2008, these options have all fully vested.
( 4)	As of 3/17/2009, these options have all fully vested.
( 5)	As of 6/17/2009, these options have all fully vested.
( 6)	As of 6/20/2010, these options have all fully vested.
( 7)	Includes 19,345 restricted shares of common stock. This share total and the other share figures reported on this Form 4 have been adjusted to reflect the Issuer's one-for-three reverse stock split which was effective on June 1, 2010.
( 8)	Represents the disposition of shares to the Issuer to fund the Reporting Person's tax withholding obligations relating to the vesting on 2/21/2011 of 174 shares of a restricted stock award as permitted pursuant to the terms of the award.
( 9)	Subject to certain restrictions, 1,041 of these option vested on 8/21/07 with the remainder vesting approximately 173 per month starting 9/21/07.
( 10)	Subject to certain restrictions, 3,030 of these options vested on 8/18/09 with the remainder vesting approximately 505 per month starting on 9/18/09.

Reporting Owners
Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
MACOMBER SCOTT T 333 W. WACKER DR. SUITE 1010 CHICAGO, IL 60606			Executive Vice President/CFO

Signatures
/s/ Scott T. Macomber		2/23/2011
** Signature of Reporting Person		Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:	File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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