Modern Podiatry, LLC
NPI 1811538390 · Podiatric Clinic/Center · Mcdonough, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Podiatry, LLC is a Podiatric Clinic/Center organization in Mcdonough, GA (NPI 1811538390).
Provider details
- NPI number
- 1811538390
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kibibi Wanzu, Owner(470) 781-5585
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Frequently asked questions
- What is Modern Podiatry, LLC's NPI number?
- Modern Podiatry, LLC's National Provider Identifier (NPI) is 1811538390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Podiatry, LLC?
- Modern Podiatry, LLC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Podiatry, LLC located?
- Modern Podiatry, LLC's practice location on file with NPPES is 366 Racetrack Rd, Mcdonough, GA 30252-1022.
- What is Modern Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Podiatry, LLC is (470) 781-5585.
- Does Modern Podiatry, LLC accept Medicare?
- Modern Podiatry, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Podiatry, LLC?
- The authorized official listed on Modern Podiatry, LLC's NPPES record is Kibibi Wanzu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Podiatry, LLC's NPI active?
- Yes — Modern Podiatry, LLC's NPI (1811538390) is active in the NPPES registry as of the last update on 2024-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.