Trinity Dialysis Clinic Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

TRINITY DIALYSIS CLINIC INC

Practice address

1354 Cleveland Ave
East Point, GA 30344-3431

Phone

(404) 763-0405

Fax

(404) 763-4223

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Adetola Akintade

Title

Ceo

Phone

(404) 763-0405

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Trinity Dialysis ClinicCCN 112702

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Sep 26, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

20

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jacqueline Hall Cooper, NP

  • Adult Health Nurse Practitioner
  • East Point, GA
  • NPI 1629335906
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Yilikal Tassew Kassa, MD

  • Nephrology Physician
  • Conyers, GA
  • NPI 1114222676

  Dialysis facility

  Care Compare affiliation Name & address match
• Elizabeth Thuy Nguyen, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1629000344

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1245227560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443431",
            "telephone_number": "404-763-0405",
            "fax_number": "404-763-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443431",
            "telephone_number": "404-763-0405",
            "fax_number": "404-763-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DIALYSIS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "AKINTADE",
        "authorized_official_first_name": "ADETOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-763-0405"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933831A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Smith Mayberry
• Tranquility Healthcare Services, LLC
• Trans Alliance Lab Inc
• Transcapable, LLC
• Tri-Cities Medical Associates
• Trinity House of Wellness, LLC.
• Denee Rochelle Trosterud, PT, DPT
• Maryah Renee Truss, FNP-BC
• Krystal D Turner, DC
• Turningpoint Chiropractic and Wellness Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Point, GA
• Providers in East Point, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.