Trident Pulmonary and Critical Care PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

TRIDENT PULMONARY AND CRITICAL CARE PC

Practice address

483 Upper Riverdale Rd SW Ste E
Riverdale, GA 30274-2579

Phone

(678) 545-8134

NPI assigned

Mar 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Akinloye Julius MakanjuolaNPI 1760416077

Title

President

Phone

(678) 545-8134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akinloye Julius Makanjuola, MD

  • Internal Medicine Physician
  • Shiprock, NM
  • NPI 1760416077

  GA

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1063915338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "678-545-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "678-545-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PULMONARY AND CRITICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MAKANJUOLA",
        "authorized_official_first_name": "AKINLOYE",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-545-8134"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Earl Toney II, DC
• Touching Hearts Foster Care Inc.
• Tranquility Health Incorporated
• Kellie Michelle Trenholme, AGACNP-BC
• Tri-County Pediatrics
• Triple T Non Emergency Medical Transportation
• Tristar Injury Center of Riverdale LLC
• Truly Living Well PCH, LLC
• Lakredi Vinda Tu Alston, RBT
• Darlene Thea Tucker, RN

• Pulmonary Disease Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.