Individual provider Active NPI

Tonya Ernsberger, CRNP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1164312310
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-139750 Issued in AL
Practice address
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone
(334) 305-2085
NPI assigned
Jul 8, 2025
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 1-139750 AL Primary

Addresses

Primary practice location

2967 Ross Clark Cir
Dothan, AL 36301-1119

Mailing address

617 Lashae LN
Troy, AL 36081-3848
Phone (334) 672-6808

Other practice location 1

11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-3000

Other practice location 2

3122 Southride Ln
Bonifay, FL 32425-3325
Phone (850) 547-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 3Rd St SE
Moultrie, GA 31768-5920

2967 Ross Clark Cir
Dothan, AL 36301-1119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-139750ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Wound & Amputation Prevention Center, LLC Nurse Practitioner CurrentSince Aug 17, 2025 Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC PastSince Jun 24, 2026 Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC Past Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC PastSince Jun 24, 2026 Accepting new patients

Locations

2967 Ross Clark Cir
Dothan, AL 36301
Phone (334) 305-2085

617 E Broad St
Eufaula, AL 36027
Phone (334) 687-3836

617 E Broad St
#B
Eufaula, AL 36027
Phone (334) 232-4368

11740 Columbia St
#1
Blakely, GA 39823
Phone (229) 724-3000

11740 Columbia St
Ste I
Blakely, GA 39823
Phone (229) 724-3000

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1164312310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 LASHAE LN",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813848",
            "telephone_number": "334-672-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011119",
            "telephone_number": "334-305-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "GA",
            "postal_code": "398232574",
            "country_code": "US",
            "telephone_number": "229-724-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3122 Southride Ln",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324253325",
            "country_code": "US",
            "telephone_number": "850-547-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNSBERGER",
        "first_name": "TONYA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-139750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.