TRIDENT PULMONARY AND CRITICAL CARE PC
NPI 1063915338
Internal Medicine - Pulmonary Disease in Riverdale, GA
About Trident Pulmonary And Critical Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIDENT PULMONARY AND CRITICAL CARE PC (NPI 1063915338) is a healthcare organization registered as a pulmonary disease in Riverdale, Georgia and active in the NPI registry since March 2018. The organization lists Akinloye Julius Makanjuola, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trident Pulmonary And Critical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Trident Pulmonary And Critical Care PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Trident Pulmonary And Critical Care PC's NPI number?
The NPI number for Trident Pulmonary And Critical Care PC is 1063915338. It was assigned to this organization in the NPPES registry on March 13, 2018.
Where is Trident Pulmonary And Critical Care PC located?
Trident Pulmonary And Critical Care PC is located at 483 Upper Riverdale Rd SW Ste E, Riverdale, GA 30274. The listed phone number is (678) 545-8134.
What is Trident Pulmonary And Critical Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Trident Pulmonary And Critical Care PC enrolled in Medicare?
Yes. Trident Pulmonary And Critical Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trident Pulmonary And Critical Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Trident Pulmonary And Critical Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trident Pulmonary And Critical Care PC was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Trident Pulmonary And Critical Care Pc · NPI 1063915338
Pulmonary Disease organization in Riverdale, Georgia. Organization record, active in the CMS NPPES registry since March 13, 2018.
## Identity
- **NPI:** 1063915338 (Entity type: Organization)
- **Enumerated:** March 13, 2018
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Akinloye Makanjuola, PRESIDENT
## Practice location
- **Address:** 483 UPPER RIVERDALE RD SW STE E, Riverdale, GA 30274-2579
- **Phone:** (678) 545-8134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pulmonary Disease) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063915338) · Data from the CMS NPPES public registry.