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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: August 16, 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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre Vontral Haynes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Andre Haynes's NPI number?

The NPI number for Andre Haynes is 1174857940. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Where is Andre Haynes located?

Andre Haynes practices at 229 Rugged Creek Dr, Stockbridge, GA 30281. The listed phone number is (404) 783-0792.

What is Andre Haynes's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andre Haynes enrolled in Medicare?

Yes. Andre Haynes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Haynes was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.