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MR. WILLIAM DAVIS TYUS FNP
NPI 1801781042
Nurse Practitioner - Family in Bainbridge, GA

Active since June 10, 2025PECOS EnrolledAccepts Medicare Assignment
832 E SHOTWELL ST, BAINBRIDGE, GA 39819(229) 234-6146 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 10, 2025, Jul 3, 2025, Jun 10, 2025 (3 updates tracked since 2025).

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

NPI1801781042
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WILLIAM DAVIS TYUSCredential: FNP
Location Address832 E SHOTWELL STBainbridge, GA 39819-4146
Mailing Address227 Charles CorMexico Beach, FL 32456-0201
Phone(229) 234-6146
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 10, 2025
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1801781042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · GAA-NP003760
Also ListedEmergency MedicineTaxonomy 207P00000X · License GAA-NP003760 (GA), APRN11041775 (FL)
832 E SHOTWELL ST, Bainbridge, GA 39819
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2365930971
PECOS Enrollment IDI20251024000061, I20260310002483
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AURORA MEDICAL CARE
Family Medicine
832 E SHOTWELL ST
BAINBRIDGE, GA 39819
Decatur County (229) 234-6146
ANGELA FRANCES TYUS NP
Nurse Practitioner
832 E SHOTWELL ST
BAINBRIDGE, GA 39819
Decatur County (229) 231-6146
JANUARY MICHELLE FLOYD FNP-C
Nurse Practitioner (Family)
832 E SHOTWELL ST
BAINBRIDGE, GA 39819
Decatur County (229) 205-2954

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.

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 9 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.