NPI age
1 years
Enumerated 2024-08-06
● Active Type 2 · Organization
Modern Podiatry, Llc
Modern Podiatry, Llc is 1 of 45 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wanzu
Owner
Last NPPES update
2024-08-06
Source: monthly bulk 2026-05
How this organization compares
Across 45 active clinic/center providers in Georgia.
NPI age
1 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 8% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
730 S 8th St
Griffin, GA 302244827
Mailing address
730 S 8th St
Griffin, GA 302244827
Authorized official
Kibibi Wanzu, DPM
Owner
📞 4707815585
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mark Henson, DPM Podiatrist NPI 1750473476
- Luis Remy, CSA Physician Assistant NPI 1164667374
Specialties
-
Clinic/Center 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 45 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.