● Active Type 1 · Individual

Kibibi Wanzu

Podiatrist·McDonough, GA· NPI 1043689623 · Enumerated 2015 · 10 years on NPI

Wanzu is 1 of 2 podiatrist providers in McDonough and 1 of 397 in Georgia.

NPI age

10 years

Enumerated 2015-09-24

Primary specialty

Podiatrist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2024-11-25

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 397 active podiatrist providers in Georgia.

NPI age

10 years

↓ 5 yr below median (15 yr)

State licenses

1 state

13% of peers hold multiple states

Subspecialties

In the 25% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES

2015 2026

Where they practice

Practice location

366 Racetrack Rd

McDonough, GA 302521022

📞 4707815585fax 4707815586

Mailing address

366 Racetrack Rd

McDonough, GA 302521022

📞 4707815585fax 4707815586

Additional practice locations

1 secondary location on file with NPPES.

Location 2

730 S 8th St

Griffin, GA 302244827

📞 7702286644

Specialties

Podiatric Medicine & Surgery Service Providers › Podiatrist

Podiatrist Primary

Definition to come...

GA license #POD001378 taxonomy 213ES0103X
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...

GA license #POD001378 taxonomy 213E00000X

Identifiers

Type	Value	Notes
01 (GA)	14312441	CAQH
05 (GA)	003207314G
05 (GA)	003207314

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 397 Podiatrist providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.