OrganizationActiveAccepts Medicare
Dermatology Boutique LLC
NPI 1699800516 · Specialist · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1699800516
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Wakitha Griffin, Owner(404) 523-4223
- License
- 051138 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
550 Peachtree St Ne Ste 1490
Atlanta, GA 30308-2244
Phone: (404) 523-4223
Street-level locationGet directions
Mailing address
550 Peachtree St Ne Ste 1490
Atlanta, GA 30308-2244
Other names (DBA / former)
- Doing business as
- Intown Dermatology
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.