Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. William Davis Tyus, FNP

Individual provider Emergency Medicine Physician · NPI 1801781042

Mr. William Davis Tyus, FNP is a Nurse Practitioner in Bainbridge, Georgia. Qualified in 2025, 1 year ago. Practices with Southland Emergency Medical Services LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
1
Licensed in
FL, GA
In the registry since
2025
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

832 E Shotwell St
Bainbridge, GA 39819-4146
Phone: (229) 234-6146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence GAA-NP003760 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence GAA-NP003760 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence APRN11041775 (FL)

Record details

NPI number1801781042
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southland Emergency Medical Services Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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