KIBIBI WANZU – Foot & Ankle Surgery Podiatrist, NPI 1043689623

KIBIBI WANZU is a healthcare provider. based in Griffin, Georgia. specializing in PODIATRY. They hold a License No. POD001378 (GA). The NPI Number for KIBIBI WANZU is 1043689623

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KIBIBI WANZU
NPI
1043689623
Phone
(770) 228-6644
Address
730 S 8th St
Enumeration Date
24 September 2015
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4707815585
Graduation Year
2015 (11 years ago)
PAC ID
9133475221
Group Practice PAC ID
0345670980
Professional Enrollment ID
I20181022002108
Address ID
GA302521022MC366XXRDXX300

Contacts

Main Contact
www.modpodga.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

432 PODIATRY in GA

Provider Addresses for KIBIBI WANZU

  • 730 S 8th St

    Griffin, GA 302244827

    Phone: (770) 228-6644

    Type: Location

  • 990 BEAR CREEK BLVD STE E

    HAMPTON, GA 302281864

    Phone: (470) 781-5585

    Fax: (470) 781-5586

    Type: Mailing

  • 366 RACETRACK RD

    MCDONOUGH, GA 302521022

    Phone: (470) 781-5585

    Fax: (470) 781-5586

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($66).

Total Amount

$114

General + Research + Ownership

Payments

7

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181022002108IPodiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails558293$0
99213Established patient office or other outpatient visit, 20-29 minutes20482$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes11396$0
11056Removal of noncancer thickened skin growth, 2-4 growths5945$0
73630X-ray of foot, minimum of 3 views3824$0
View full utilization report →

Insurance plans in this area (ZIP 30224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345670980View full group profile
NameSpecialtyState
P O D I A T R YOH
P O D I A T R YGA
P O D I A T R YGA

Reviews

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Frequently asked questions

What number should I use to identify KIBIBI WANZU for billing?
Administrative and clinical systems typically use NPI 1043689623 for KIBIBI WANZU.
Should I treat KIBIBI WANZU as an active provider?
Patients and plans typically see KIBIBI WANZU as active in the national extract.
How should patients interpret KIBIBI WANZU's specialty?
The extract shows Foot & Ankle Surgery Podiatrist for KIBIBI WANZU. Clinical services aligned with this taxonomy classification.
What city is tied to KIBIBI WANZU?
The directory associates KIBIBI WANZU with Griffin, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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