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.
Physician's Profile
| Full Name | Mr William Davis Tyus |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 832 E Shotwell St, Bainbridge, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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.
| Identifier | Type | State | Issuer |
|---|
| 1801781042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | GAA-NP003760 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | GAA-NP003760 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | APRN11041775 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southland Emergency Medical Services Llc | 3779701743 | 24 |
| Southland Consolidated Emergency Services Llc | 2860792066 | 65 |
| Paragon Emergency Services Llc | 8628153087 | 398 |
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 Address | Practice Location Address |
|---|
Mr William Davis Tyus, FNP
227 Charles Cor,
Mexico Beach, FL 32456-0201
Ph: () - | Mr William Davis Tyus, FNP
832 E Shotwell St,
Bainbridge, GA 39819-4146
Ph: (229) 234-6146 |
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