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MODERN PODIATRY, LLC
NPI 1346070141
Clinic/Center - Podiatric in Griffin, GA

Active since August 06, 2024
730 S 8TH ST, GRIFFIN, GA 30224(770) 228-6644(770) 228-5769 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Podiatry, Llc NPPES

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

MODERN PODIATRY, LLC (NPI 1346070141) is a healthcare organization registered as a podiatric in Griffin, Georgia and active in the NPI registry since August 2024. The organization lists Kibibi Wanzu, Owner, as its authorized official.

NPPES Registry Identity

NPI1346070141
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameMODERN PODIATRY, LLC
Location Address730 S 8TH STGriffin, GA 30224-4827
Mailing Address730 S 8th StGriffin, GA 30224-4827 · (770) 228-6644 · Fax (770) 228-5769
Phone(770) 228-6644
Fax(770) 228-5769
Organization SubpartNo
Authorized OfficialKibibi WanzuOwner · (470) 781-5585
Enumeration DateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1346070141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
Also ListedPodiatristTaxonomy 213E00000X
730 S 8TH ST, Griffin, GA 30224
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

OUTPATIENT CENTER FOR FOOT SURGERY
Clinic/Center (Ambulatory Surgical)
730 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-6644
MR. LUIS E REMY CSA
Physician Assistant (Surgical)
730 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 389-8637
MARK J HENSON DPM PC
Podiatrist (Foot & Ankle Surgery)
730 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-6644
JDD ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
730 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-6644
MARK J HENSON DPM
Podiatrist (Foot & Ankle Surgery)
730 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-6644

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 Modern Podiatry, LLC's NPI number?

The NPI number for Modern Podiatry, LLC is 1346070141. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Modern Podiatry, LLC located?

Modern Podiatry, LLC is located at 730 S 8th St, Griffin, GA 30224. The listed phone number is (770) 228-6644.

What is Modern Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Modern Podiatry, LLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.