Individual provider Active NPI

Tembele Yangandawele, MD

  • Family Medicine Physician
  • Gainesville, GA
National Provider Identifier
1588042147
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93589 Issued in GA
Practice address
1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806
Phone
(770) 219-9445
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28408 WV
Family Medicine Physician 207Q00000X 93589 GA Primary

Addresses

Primary practice location

1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8721

Other practice location 1

171 Taylor St
Harpers Ferry, WV 25425-3641
Phone (304) 535-6343

Other practice location 2

203 E 4th Ave
Ranson, WV 25438-1617
Phone (304) 725-6343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyangandawele153712@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181205003288 WV Practitioner - Family Practice 3971805789 Reassigns benefits to 2 organizations
I20221028001094 GA Practitioner - Family Practice 3971805789 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1010 Village Dr
Watkinsville, GA 30677-6004
Phone (706) 534-6970

110 Banks Crossing Dr
Suite 110
Commerce, GA 30529-6606
Phone (762) 244-5310

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

1439 Jesse Jewell Pkwy NE
Suite 102
Gainesville, GA 30501-3806
Phone (770) 219-9445

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

250 Hills and Dales Farm Rd
Lagrange, GA 30240-3805
Phone (248) 660-1220

485 Hwy 29 N
Athens, GA 30601-5583
Phone (706) 438-4080

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041
  • Twin City Trails of Journey LLC Nursing home, Twin City, GA, CCN 115540

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Oct 18, 2022 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Sep 25, 2018 Accepting new patients
Theoria Medical CurrentSince Jun 19, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Jan 23, 2026 Accepting new patients
University Healthcare Physicians Inc CurrentSince Sep 25, 2018 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 6, 2026 Accepting new patients
Twin View Operator LLC Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000

1439 Jesse Jewell Pkwy NE
Ste 102
Gainesville, GA 30501
Phone (770) 219-9445

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

1451 Newton Dr
Tifton, GA 31794
Phone (229) 382-1665

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343

Interoperability endpoints

  • Direct secure messaging: tyangandawele153712@nghs.gadirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1588042147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 JESSE JEWELL PKWY NE STE 102",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "770-219-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Harpers Ferry",
            "state": "WV",
            "postal_code": "254253641",
            "country_code": "US",
            "telephone_number": "304-535-6343",
            "fax_number": "304-535-4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381617",
            "country_code": "US",
            "telephone_number": "304-725-6343",
            "fax_number": "304-725-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANGANDAWELE",
        "first_name": "TEMBELE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "28408",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "93589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyangandawele153712@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1439 Jesse Jewell Pkwy NE Ste 102",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.