Individual ProviderTembele YangandaweleFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501-3806(770) 219-9445(770) 219-8721PECOS EnrollmentBased on the most recent information from CMS, provider Tembele Yangandawele is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1588042147Provider TypeIndividualFull NameYangandawele, TembeleCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/14/2015Last Updated10/31/2022Contact InformationPractice LocationPractice Address1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501-3806Phone(770) 219-9445FaxUnlisted FaxMailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8721FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense93589GeorgiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense28408West Virginia