P Praxis·MD
● Active Type 1 · Individual

DR. Andre Vontral Haynes, M.D.

General Practice·Stockbridge, GA· NPI 1174857940 · Enumerated 2009 · 16 years on NPI
Haynes is 1 of 2 general practice providers in Stockbridge and 1 of 661 in Georgia.
NPI age
16 years
Enumerated 2009-09-28
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-11-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
16 years
↑ 2 yr above median (14 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Practice location
229 Rugged Creek Dr
Stockbridge, GA 302814568
📞 4047830792
Mailing address
229 Rugged Creek Dr
Stockbridge, GA 302814568

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #68818AL license #MD.29119 taxonomy 208D00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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