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Modern Podiatry, LLC

Podiatric Clinic/Center in Mcdonough, GA · enumerated 2019 · authorized official Kibibi Wanzu, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811538390

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Podiatry, LLC
Practice address 366 Racetrack Rd, Mcdonough, GA, 30252
Phone (470) 781-5585
Enumeration date Oct 4, 2019
Last updated in NPPES May 13, 2024

Taxonomy & classification

261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kibibi Wanzu
Title Owner
Phone (470) 781-5585

Other identifiers

Identifier Type State Issuer
003233587A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Modern Podiatry, LLC?
The NPI for Modern Podiatry, LLC is 1811538390, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modern Podiatry, LLC?
NPPES lists Kibibi Wanzu (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-13.