Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174857940 Individual Practitioner Male Practitioner

Dr. Andre Vontral Haynes , MD

General Practice • Stockbridge, GA

Professional Overview & Biography Verified Profile Summary

Dr. Andre Haynes, MD is a registered healthcare professional specializing in General Practice in Stockbridge, GA. Practice services are available at 229 RUGGED CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

229 Rugged Creek Dr

Stockbridge, GA 302814568

Telephone 4047830792
Associated Practice Facility / Clinic
🏢 Medical Escort Llc Facility NPI 1861269995

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Stockbridge, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Stockbridge, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 68818

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AL MD.29119

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467578450

Doctor of Occupational Therapy, Master of Science, Master of Business Administration, Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 29, 2018

Registered at 229 RUGGED CREEK DR, STOCKBRIDGE, GA 302814568 (Tel: 4047830792)

📍
Updated Business Mailing Address November 29, 2018

Registered at 229 RUGGED CREEK DR, STOCKBRIDGE, GA 302814568

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2009

Registered at 36000 DARNALL LOOP, FORT HOOD, TX 765445095 (Tel: 2542888025)

📍
Updated Business Mailing Address September 28, 2009

Registered at 36000 DARNALL LOOP, FORT HOOD, TX 765445095

👤
Provider Name / Credentials Updated September 28, 2009

Recorded as ANDRE HAYNES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

General Practice (License #MD.29119 in AL)

🟢
Initial NPI Registration & Enumeration September 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174857940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2009
Last Update: November 29, 2018
Sole Proprietor: No

Mailing Address

229 Rugged Creek Dr

Stockbridge, GA 302814568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.