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Addison G Haynes, DO

Family Medicine in Kokomo, IN. Individual provider (NPI-1).

NPI number1295080620
StatusActive
Last updated in NPPESFeb 17, 2026

Details

NPI
1295080620
Entity type
Individual (NPI-1)
Name
Addison G Haynes
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2012
Certification date
Feb 17, 2026
Last updated
Feb 17, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine02004638AINYes

Practice location

3118 S Lafountain St
Kokomo, IN 46902-3710

Phone 765-864-4160 · Fax 765-400-4467

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946

Phone 317-576-1335 · Fax 317-343-6562

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Kokomo, IN

All 52 Family Medicine Physician providers in Kokomo · All 2,349 providers in Kokomo

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