DESON GALEN HAYNIE MD
NPI 1417524240
Family Medicine in Apo, AP

Q: What is Deson Haynie's NPI number?

The NPI number for Deson Haynie is 1417524240. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Deson Haynie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Deson Haynie was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2021PECOS Enrolled

4408 SIJAN DR, UNIT 5225, APO, AP 96328(315) 225-7740 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Jun 9, 2021 (2 updates tracked since 2021).

On this page

About Deson Galen Haynie Md NPPES

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

DESON GALEN HAYNIE MD (NPI 1417524240) is an individual family medicine provider in Apo, AP, licensed in Virginia (0101276828) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417524240

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDESON GALEN HAYNIECredential: MD

Location Address4408 SIJAN DR, UNIT 5225Apo, AP 96328

Mailing Address4408 Sijan Dr, Unit 5225Apo, AP 96328

Phone(315) 225-7740

Sole ProprietorNo

Enumeration DateJune 9, 2021

Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1417524240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101276828

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deson Galen Haynie Md 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.

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 Deson Haynie's NPI number?

The NPI number for Deson Haynie is 1417524240. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Deson Haynie located?

Deson Haynie practices at 4408 Sijan Dr Unit 5225, Apo, AP 96328. The listed phone number is (315) 225-7740.

What is Deson Haynie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deson Haynie enrolled in Medicare?

Yes. Deson Haynie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deson Haynie was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.