Mr William Davis Tyus, FNP - Medicare Nurse Practitioner in Bainbridge, GA

  1. Home
Mr William Davis Tyus, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bainbridge, Georgia. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southland Emergency Medical Services Llc, Southland Consolidated Emergency Services Llc, Paragon Emergency Services Llc and his current practice location is 832 E Shotwell St, Bainbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 234-6146.

Mr William Davis Tyus is licensed to practice in Georgia (license number GAA-NP003760) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801781042.

Contact Information

Mr William Davis Tyus, FNP
832 E Shotwell St,
Bainbridge, GA 39819-4146
(229) 234-6146
Not Available

Map and Direction




Physician's Profile

Full NameMr William Davis Tyus
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location832 E Shotwell St, Bainbridge, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr William Davis Tyus graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1801781042
  • Provider Enumeration Date: 06/10/2025
  • Last Update Date: 12/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365930971
  • Enrollment ID: I20251024000061

Medical Identifiers

Medical identifiers for Mr William Davis Tyus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801781042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine GAA-NP003760 (Georgia)Secondary
363LF0000XNurse Practitioner - Family GAA-NP003760 (Georgia)Primary
207P00000XEmergency Medicine APRN11041775 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital And ManorBainbridge, GAHospital
Archbold GradyCairo, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southland Emergency Medical Services Llc377970174324
Southland Consolidated Emergency Services Llc286079206668
Paragon Emergency Services Llc8628153087401

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr William Davis Tyus allows following entities to bill medicare on his behalf.
Entity NameSouthland Emergency Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477701472
PECOS PAC ID: 3779701743
Enrollment ID: O20140904001715
Entity NameSouthland Bainbridge Hospitalist Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356735336
PECOS PAC ID: 7214248335
Enrollment ID: O20150616002069
Entity NameSouthland Consolidated Emergency Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Davis Tyus is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr William Davis Tyus, FNP
227 Charles Cor,
Mexico Beach, FL 32456-0201

Ph: Not Available		Mr William Davis Tyus, FNP
832 E Shotwell St,
Bainbridge, GA 39819-4146

Ph: (229) 234-6146

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.