PERDETHIA NAOMI HAYNES
NPI 1336009588
Chiropractor in Frederick, MD
About Perdethia Naomi Haynes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERDETHIA NAOMI HAYNES (NPI 1336009588) is an individual chiropractor in Frederick, Maryland, licensed in Maryland (S04270) and active in the NPI registry since November 2025. She is a graduate of Life Chiropractic College (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Perdethia Naomi Haynes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICK, MD 21701
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 Perdethia Haynes's NPI number?
The NPI number for Perdethia Haynes is 1336009588. It was assigned to this individual provider in the NPPES registry on November 12, 2025.
Where is Perdethia Haynes located?
Perdethia Haynes practices at 1003 W 7th St, Frederick, MD 21701. The listed phone number is (301) 328-4929.
What is Perdethia Haynes's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Perdethia Haynes enrolled in Medicare?
Yes. Perdethia Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Perdethia Haynes was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Perdethia Naomi Haynes · NPI 1336009588
Chiropractor provider in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since November 12, 2025.
## Identity
- **NPI:** 1336009588 (Entity type: Individual)
- **Enumerated:** November 12, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** S04270 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1003 W 7TH ST, Frederick, MD 21701-4106
- **Phone:** (301) 328-4929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Life Chiropractic College, class of 2024
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336009588) · Data from the CMS NPPES public registry.