MODERN PODIATRY, LLC
NPI 1871323683
Clinic/Center - Podiatric in Newnan, GA

Active since August 06, 2024
1825 HIGHWAY 34 E STE 3410, NEWNAN, GA 30265(770) 251-8940(770) 251-5685 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Modern Podiatry, Llc NPPES

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

MODERN PODIATRY, LLC (NPI 1871323683) is a healthcare organization registered as a podiatric in Newnan, Georgia and active in the NPI registry since August 2024. The organization lists Kibibi Wanzu, Owner, as its authorized official.

NPPES Registry Identity

NPI1871323683
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameMODERN PODIATRY, LLC
Location Address1825 HIGHWAY 34 E STE 3410Newnan, GA 30265-6433
Mailing Address1825 Highway 34 E Ste 3410Newnan, GA 30265-6433 · (770) 251-8940 · Fax (770) 251-5685
Fax(770) 251-5685
Organization SubpartNo
Authorized OfficialKibibi WanzuOwner · (470) 781-5585
Enumeration DateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
NPI 1871323683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
1825 HIGHWAY 34 E STE 3410, Newnan, GA 30265

Other Providers at the Same Location NPPES

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

Internal Medicine (Interventional Cardiology)
1825 HIGHWAY 34 E STE 3410
NEWNAN, GA 30265

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 1871323683. 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 1825 Highway 34 E Ste 3410, Newnan, GA 30265. The listed phone number is (770) 251-8940.

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 with the weekly NPPES data releases published by CMS.