Individual provider Active NPI

Angela Frances Tyus, NP

  • Nurse Practitioner
  • Bainbridge, GA
National Provider Identifier
1174851745
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN143534 Issued in GA
Practice address
832 E Shotwell St
Bainbridge, GA 39819-4146
Phone
(229) 231-6146
Fax
(229) 207-4127
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN143534 GA Primary

Addresses

Primary practice location

832 E Shotwell St
Bainbridge, GA 39819-4146

Mailing address

832 E Shotwell St
Bainbridge, GA 39819-4146
Phone (229) 231-6146

Other identifiers 1

IdentifierTypeStateIssuer
003100084AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000180 GA Practitioner - Nurse Practitioner 1254467269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical CareGroup PAC ID 5193240349, 3 clinicians

Practice addresses (Care Compare)

832 E Shotwell St
Bainbridge, GA 39819-4146
Phone (229) 234-6146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County CurrentSince Nov 24, 2009 Accepting new patients
L&K Chiropractic Services LLC CurrentSince Feb 4, 2017 Accepting new patients
Aurora Medical Care CurrentSince Dec 18, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Georgi CurrentSince Nov 24, 2009 Accepting new patients
Old Fields Emergency Physicians, LLC Past Accepting new patients

Locations

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

832 E Shotwell St
Bainbridge, GA 39819
Phone (229) 231-6146

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

902 S West St
Bainbridge, GA 39819

603 Wheat Ave
Ste 700
Bainbridge, GA 39819
Phone (229) 243-8462

922 S West St
Bainbridge, GA 39819
Phone (229) 248-8499

920 S West St
Bainbridge, GA 39819
Phone (229) 246-8850

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1174851745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194146",
            "telephone_number": "229-231-6146",
            "fax_number": "229-207-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194146",
            "telephone_number": "229-231-6146",
            "fax_number": "229-207-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUS",
        "first_name": "ANGELA",
        "middle_name": "FRANCES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN143534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003100084A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.