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TANYISKA FONDA NP-C
NPI 1528415478
Nurse Practitioner in Dothan, AL

Active since May 20, 2016PECOS Enrolled
3144 ROSS CLARK CIR, DOTHAN, AL 36303(334) 678-9123(334) 678-9124 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, May 9, 2017, May 20, 2016 (3 updates tracked since 2016).

About Tanyiska Fonda Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYISKA FONDA NP-C (NPI 1528415478) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1-104056) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528415478
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTANYISKA FONDACredential: NP-C
Location Address3144 ROSS CLARK CIRDothan, AL 36303-3038
Mailing Address4370 W Main StDothan, AL 36305-1056 · (334) 794-5000
Phone(334) 678-9123
Fax(334) 678-9124
Sole ProprietorNo
Enumeration DateMay 20, 2016
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1528415478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-104056
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3144 ROSS CLARK CIR, Dothan, AL 36303
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11501 Biscayne BlvdMiami, FL 33132-1449 · Phone (877) 870-0323 · Fax (866) 427-3798
Location 210175 Little Patuxent PkwyColumbia, MD 21044-2602 · Phone (334) 200-5917

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanyiska Fonda Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tanyiska Fonda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Alabama Physicians LLP
1.6 mi
Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 111 clinicians in this Medicare group
NPI 1467701490 (337) 609-1382
App Of Alabama Ed PLLC
261 mi
Emergency Medicine
15155 HIGHWAY 43
Russellville, AL 35653
  • Reassigned Medicare billing, Alabama enrollment
  • 286 clinicians in this Medicare group
NPI 1659646040 (256) 332-1611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASSER HEALTH LLC
General Practice
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 446-4712
DR. JOEY SASSER DO
General Practice
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 791-3355
KENNEDY WILLIAMS
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
REBECCA T CAIN CRNP
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
JESSLYN SMITH
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
AMBER FREEMAN
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 791-3355

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 Tanyiska Fonda's NPI number?

The NPI number for Tanyiska Fonda is 1528415478. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Tanyiska Fonda located?

Tanyiska Fonda practices at 3144 Ross Clark Cir, Dothan, AL 36303. The listed phone number is (334) 678-9123.

What is Tanyiska Fonda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tanyiska Fonda enrolled in Medicare?

Yes. Tanyiska Fonda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tanyiska Fonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanyiska Fonda reassigns Medicare benefits to 2 organizations: Southern Alabama Physicians LLP (Dothan, AL) and App Of Alabama Ed PLLC (Russellville, AL). 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 Tanyiska Fonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanyiska Fonda accept?

Health plans from Blue Cross and Blue Shield of Alabama list Tanyiska Fonda 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.

When was this NPI record last updated?

The NPPES record for Tanyiska Fonda was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.