Andre Vontral Haynes, M.D.
NPI 1174857940ActiveIndividual· General Practice· Stockbridge, GA
General Practice (M.D.) in Stockbridge, Georgia, licensed in GA and AL, with an NPI issued in September 2009. Part D covered 112 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1174857940 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 28, 2009 |
| Last updated in NPPES | Nov 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 68818 | GA |
| General Practice | 208D00000X | MD.29119 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 112 · 112 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $23,905 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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