NPI age
10 years
Enumerated 2015-09-24
● Active
Type 1 · Individual
Kibibi Wanzu
Wanzu is 1 of 2 podiatrist providers in McDonough and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-25
Source: monthly bulk 2026-05
Sole proprietor
No
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
1
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
Mailing address
366 Racetrack Rd
McDonough, GA 302521022
Additional practice locations
1 secondary location on file with NPPES.
Location 2
730 S 8th St
Griffin, GA 302244827
Specialties
-
Podiatrist PrimaryDefinition to come...
-
PodiatristA 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...
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.
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- 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.