OrganizationActive
Boutiquegyn Wellness Center
NPI 1457187742 · Gynecology Physician · Brookhaven, GA
Boutiquegyn Wellness Center is a Gynecology Physician organization in Brookhaven, GA (NPI 1457187742).
Provider details
- NPI number
- 1457187742
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fonda Martin, Ceo/Founder(713) 878-7102
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2970 Clairmont Rd Ne
Brookhaven, GA 30329-1638
Phone: (713) 878-7102
Street-level locationGet directions
Mailing address
530 Semira St Sw
Atlanta, GA 30331-8378
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Boutiquegyn Wellness Center's NPI number?
- Boutiquegyn Wellness Center's National Provider Identifier (NPI) is 1457187742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boutiquegyn Wellness Center?
- Boutiquegyn Wellness Center is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Boutiquegyn Wellness Center located?
- Boutiquegyn Wellness Center's practice location on file with NPPES is 2970 Clairmont Rd Ne, Brookhaven, GA 30329-1638.
- What is Boutiquegyn Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Boutiquegyn Wellness Center is (713) 878-7102.
- Who is the authorized official for Boutiquegyn Wellness Center?
- The authorized official listed on Boutiquegyn Wellness Center's NPPES record is Fonda Martin, Ceo/Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boutiquegyn Wellness Center's NPI active?
- Yes — Boutiquegyn Wellness Center's NPI (1457187742) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.