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DR. ANDRE VONTRAL HAYNES M.D.
NPI 1174857940
General Practice in Stockbridge, GA

Active since September 28, 2009PECOS Enrolled
229 RUGGED CREEK DR, STOCKBRIDGE, GA 30281(404) 783-0792 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andre Vontral Haynes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRE VONTRAL HAYNES M.D. (NPI 1174857940) is an individual general practice provider in Stockbridge, Georgia, licensed in Georgia (68818) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174857940
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ANDRE VONTRAL HAYNESCredential: M.D.
Location Address229 RUGGED CREEK DRStockbridge, GA 30281-4568
Mailing Address229 Rugged Creek DrStockbridge, GA 30281-4568
Phone(404) 783-0792
Sole ProprietorNo
Enumeration DateSeptember 28, 2009
Last NPPES UpdateNovember 29, 2018
✔ NPI 1174857940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in GA · 68818✔ Licensed in AL · MD.29119
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

229 RUGGED CREEK DR, Stockbridge, GA 30281
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Medicare Participation & PECOS Enrollment Status

Andre Haynes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. ANDRE VONTRAL HAYNES M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

MEDICAL ESCORT LLC
General Practice
229 RUGGED CREEK DR
STOCKBRIDGE, GA 30281
Henry County (404) 617-5301
DR. SHONDA LANKFORD HAYNES OTD, MS, MBA, OTR/L
Occupational Therapist
229 RUGGED CREEK DR
STOCKBRIDGE, GA 30281
Henry County (251) 284-8633

Frequently Asked Questions

What is Andre Haynes's NPI number?

The NPI number assigned to this healthcare provider is 1174857940, enumerated as an "individual" on September 28, 2009.

Where is the provider located?

The provider is located at 229 RUGGED CREEK DR STOCKBRIDGE, GA 30281 and the phone number is (404) 783-0792.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.