MR. WILLIAM DAVIS TYUS FNP
NPI 1801781042
Nurse Practitioner - Family in Bainbridge, GA
About Mr. William Davis Tyus Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIAM DAVIS TYUS FNP (NPI 1801781042) is an individual family provider in Bainbridge, Georgia, licensed in Georgia (GAA-NP003760) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Archbold Grady, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. William Davis Tyus Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show William Tyus reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bainbridge, GA 39819
- Reassigned Medicare billing, Georgia enrollment
- 145 clinicians in this Medicare group
Thomasville, GA 31792
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Southland Emergency Medical Services LLC
- 68 clinicians in this Medicare group
Elberton, GA 30635
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Archbold Grady
Acute Care Hospitals · Cairo, GAMemorial Hospital And Manor
Acute Care Hospitals · Bainbridge, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Tyus's NPI number?
The NPI number for William Tyus is 1801781042. It was assigned to this individual provider in the NPPES registry on June 10, 2025.
Where is William Tyus located?
William Tyus practices at 832 E Shotwell St, Bainbridge, GA 39819. The listed phone number is (229) 234-6146.
What is William Tyus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is William Tyus enrolled in Medicare?
Yes. William Tyus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for William Tyus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Tyus reassigns Medicare benefits to 4 organizations: Southland Bainbridge Hospitalist Group, LLC (Bainbridge, GA), Southland Emergency Medical Services, L.L.C (Thomasville, GA), Southland Consolidated Emergency Services, LLC (Elberton, GA) and Paragon Emergency Services LLC (Winter Haven, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Tyus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Tyus accept?
Health plans from Cigna Healthcare list William Tyus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is William Tyus affiliated with any hospitals?
According to CMS data, William Tyus is affiliated with Archbold Grady and Memorial Hospital And Manor.
When was this NPI record last updated?
The NPPES record for William Tyus was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. William Davis Tyus, FNP · NPI 1801781042
Family physician in Bainbridge, Georgia. Individual provider, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1801781042 (Entity type: Individual)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** GAA-NP003760 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 832 E SHOTWELL ST, Bainbridge, GA 39819-4146
- **Phone:** (229) 234-6146
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Southland Bainbridge Hospitalist Group, LLC (NPI 1356735336, Bainbridge, GA); Southland Emergency Medical Services, L.L.C (NPI 1477701472, Thomasville, GA); Southland Consolidated Emergency Services, LLC (NPI 1174917124, Elberton, GA); Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801781042) · Data from the CMS NPPES public registry.