Look up the most recent NPI and PECOS records

Tejumade Adelore

Internal Medicine

Allopathic & Osteopathic Physicians

1270 Prince Ave Ste 201, Athens, GA 30606-2789

PECOS Enrollment

Based on the most recent information from CMS, provider Tejumade Adelore is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316493638
Provider Type
Individual
Full Name
Adelore, Tejumade
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
8/28/2016
Last Updated
10/3/2024

Contact Information

Practice Location

1270 Prince Ave Ste 201, Athens, GA 30606-2789

(706) 475-7055

Unlisted Fax

Mailing Location

1420 Aster Ives Dr, Lawrenceville, GA 30045-2261

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 82811 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 82811 Georgia

Tejumade Adelore

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bond, Mary T

Blackburn, Daphne Lorraine

Primedoc Of Athens Inc

Jamal, Ummar

Johnson, Elizabeth L

Schneider, Scarlett E

Ward, Lela Anne Laseter

Yunyongying, Pete

Baosman, Abdullah A

Shillinger, Mallory