Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andre Vontral Haynes, MD

Individual provider General Practice Physician · NPI 1174857940

Dr. Andre Vontral Haynes, MD is a General Practice Physician in Stockbridge, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2009.

Licensed in
AL, GA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

229 Rugged Creek Dr
Stockbridge, GA 30281-4568
Phone: (404) 783-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 68818 (GA)
General Practice Physician Taxonomy 208D00000X · Licence MD.29119 (AL)

Record details

NPI number1174857940
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2009
Last updated in NPPESNovember 29, 2018
Mailing address229 Rugged Creek Dr, Stockbridge, GA 30281-4568

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