MODERN PODIATRY, LLC
NPI 1346070141
Clinic/Center - Podiatric in Griffin, GA

NPI Status: Active since August 06, 2024

Contact Information

730 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 228-6644
Fax: (770) 228-5769

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  • Organization
  • Clinic/Center
  • Podiatric

About MODERN PODIATRY, LLC

This page provides the complete NPI Profile along with additional information for Modern Podiatry, Llc, a provider established in Griffin, Georgia operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1346070141 assigned on August 2024. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated one year ago. Modern Podiatry, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kibibi Wanzu Dpm (Owner)

NPI
1346070141
Provider Name
MODERN PODIATRY, LLC
Entity Type
Organization
Location Address
730 S 8TH ST GRIFFIN, GA 30224
Location Phone
(770) 228-6644
Location Fax
(770) 228-5769
Mailing Address
730 S 8TH ST GRIFFIN, GA 30224
Mailing Phone
(770) 228-6644
Mailing Fax
(770) 228-5769
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2024
Last Update Date
08-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIBIBI WANZU DPM

Authorized Official Title
OWNER
Authorized Official Phone
(470) 781-5585

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346070141
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238607018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 0 + 7 + 0 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1346070141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750473476 MARK J HENSON DPM
Individual
Podiatrist (Foot & Ankle Surgery)730 S 8TH ST
GRIFFIN, GA 30224
(770) 228-6644
1134275688OUTPATIENT CENTER FOR FOOT SURGERY
Organization
Clinic/Center (Ambulatory Surgical)730 S 8TH ST
GRIFFIN, GA 30224
(770) 228-6644
1649452632MARK J HENSON DPM PC
Organization
Podiatrist (Foot & Ankle Surgery)730 S 8TH ST
GRIFFIN, GA 30224
(770) 228-6644
1164667374MR. LUIS E REMY CSA
Individual
Physician Assistant (Surgical)730 S 8TH ST
GRIFFIN, GA 30224
(770) 389-8637
1710932256JDD ANESTHESIA, LLC
Organization
Nurse Anesthetist, Certified Registered730 S 8TH ST
GRIFFIN, GA 30224
(770) 228-6644
1437772431DR. NATHAN JEFFREY KALIL DPM
Individual
Podiatrist (Foot & Ankle Surgery)730 S 8TH ST
GRIFFIN, GA 30224
(770) 228-6644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346070141, enumerated in the NPI registry as an "organization" on August 06, 2024

The provider is located at 730 S 8th St Griffin, Ga 30224 and the phone number is (770) 228-6644

This medical organization specializes in Clinic/Center with taxonomy code 261QP1100X with a focus in Podiatric

This NPI record was last updated on August 06, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.