KIBIBI WANZU
NPI 1043689623
Podiatrist - Foot & Ankle Surgery in Mcdonough, GA

Q: What is Kibibi Wanzu's NPI number?

The NPI number for Kibibi Wanzu is 1043689623. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Q: What is Kibibi Wanzu's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kibibi Wanzu was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 24, 2015PECOS Enrolled

366 RACETRACK RD, MCDONOUGH, GA 30252(470) 781-5585(470) 781-5586 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2020, Mar 29, 2020, May 16, 2019 and 3 more (6 updates tracked since 2018).

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About Kibibi Wanzu NPPES

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

KIBIBI WANZU (NPI 1043689623) is an individual foot & ankle surgery provider in Mcdonough, Georgia, licensed in Georgia (POD001378) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Griffin, and is a graduate of Temple University School Of Medicine (2015).

NPPES Registry Identity

NPI1043689623

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameKIBIBI WANZU

Location Address366 RACETRACK RDMcdonough, GA 30252-1022

Mailing Address366 Racetrack RdMcdonough, GA 30252-1022 · (470) 781-5585 · Fax (470) 781-5586

Phone(470) 781-5585

Fax(470) 781-5586

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2015

Enumeration DateSeptember 24, 2015

Last NPPES UpdateNovember 25, 20246 updates tracked since enumeration

NPPES CertifiedNovember 25, 2024

✔ NPI 1043689623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in GA · POD001378

Also ListedPodiatristTaxonomy 213E00000X · License POD001378 (GA)

366 RACETRACK RD, Mcdonough, GA 30252

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Secondary Practice Location 1

Location 1730 S 8th StGriffin, GA 30224-4827 · Phone (770) 228-6644

Other Identifiers 3

Other14312441GA · Caqh

Medicaid003207314GGA

Medicaid003207314GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kibibi Wanzu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133475221

PECOS Enrollment IDI20181022002108

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kibibi Wanzu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Modern Podiatry, LLC

0.3 mi

Podiatric

366 RACETRACK RD
Mcdonough, GA 30252

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1811538390 (470) 781-5585

Heartstride Health LLC

34 mi

Interventional Cardiology

1825 HIGHWAY 34 E STE 3400
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
8 clinicians in this Medicare group

NPI 1013888973 (770) 400-9588

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

190 services156 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

181 services102 patients

Removal of fingernails or toenails, 6 or more nails 11721

161 services123 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

124 services65 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

104 services76 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

66 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services31 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

47 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

39 services34 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

36 services22 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

12 services11 patients

Other Providers at the Same Location NPPES 4

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

RONALD D PATRICK MD LLC

Surgery

366 RACETRACK RD
MCDONOUGH, GA 30252

Henry County (706) 331-5206

RONALD D PATRICK M.D.

Surgery

366 RACETRACK RD
MCDONOUGH, GA 30252

Henry County (678) 759-8401

MODERN PODIATRY, LLC

Clinic/Center (Podiatric)

366 RACETRACK RD
MCDONOUGH, GA 30252

Henry County (470) 781-5585

DR. BRITTANY C SUMPTER DPM

Podiatrist (Foot & Ankle Surgery)

366 RACETRACK RD
MCDONOUGH, GA 30252

Henry County (470) 781-5585

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 Kibibi Wanzu's NPI number?

The NPI number for Kibibi Wanzu is 1043689623. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Kibibi Wanzu located?

Kibibi Wanzu practices at 366 Racetrack Rd, Mcdonough, GA 30252. The listed phone number is (470) 781-5585.

What is Kibibi Wanzu's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kibibi Wanzu enrolled in Medicare?

Yes. Kibibi Wanzu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kibibi Wanzu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kibibi Wanzu reassigns Medicare benefits to 2 organizations: Modern Podiatry, LLC (Mcdonough, GA) and Heartstride Health LLC (Newnan, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kibibi Wanzu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kibibi Wanzu accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kibibi Wanzu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kibibi Wanzu was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.