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ATALAYA FITS BOUTIQUE LLC
NPI 1629920004
Mastectomy Fitter in Georgetown, SC

Active since February 10, 2026
1530 HIGHMARKET ST, GEORGETOWN, SC 29440(843) 833-8006(843) 833-8014 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Atalaya Fits Boutique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATALAYA FITS BOUTIQUE LLC (NPI 1629920004) is a healthcare organization registered as a mastectomy fitter in Georgetown, South Carolina and active in the NPI registry since February 2026. The organization lists Diona A Leak, Owner, as its authorized official.

NPPES Registry Identity

NPI1629920004
Entity TypeOrganization
Primary Taxonomy224900000X
Legal Business NameATALAYA FITS BOUTIQUE LLC
Location Address1530 HIGHMARKET STGeorgetown, SC 29440-3121
Mailing Address1768 Calhoun DrGeorgetown, SC 29440-6522 · (843) 359-2533 · Fax (843) 833-8014
Phone(843) 833-8006
Fax(843) 833-8014
Organization SubpartNo
Authorized OfficialDiona A LeakOwner · (843) 359-2533
Enumeration DateFebruary 10, 2026
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1629920004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224900000X
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1530 HIGHMARKET ST, Georgetown, SC 29440
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENDA E MINTER PA C
Family Medicine
1530 HIGHMARKET ST
GEORGETOWN, SC 29440
Georgetown County (843) 546-5128
GEORGETOWN HEALTH GROUP
Clinic/Center (Primary Care)
1530 HIGHMARKET ST
GEORGETOWN, SC 29440
Georgetown County (843) 546-5128
DIONA LEAK CMF
Mastectomy Fitter
1530 HIGHMARKET ST
GEORGETOWN, SC 29440
Georgetown County (843) 359-2533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atalaya Fits Boutique LLC's NPI number?

The NPI number for Atalaya Fits Boutique LLC is 1629920004. It was assigned to this organization in the NPPES registry on February 10, 2026.

Where is Atalaya Fits Boutique LLC located?

Atalaya Fits Boutique LLC is located at 1530 Highmarket St, Georgetown, SC 29440. The listed phone number is (843) 833-8006.

What is Atalaya Fits Boutique LLC's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Atalaya Fits Boutique LLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.