Individual provider Active NPI

Donna G Southers, PA-C

  • Family Medicine Physician
  • Princeton, WV
National Provider Identifier
1104931906
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
292 Issued in WV
Practice address
324 Oakvale Rd Ste 12
Princeton, WV 24740-3829
Phone
(681) 282-5576
Fax
(304) 431-7112
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 292 WV Primary

Addresses

Primary practice location

324 Oakvale Rd Ste 12
Princeton, WV 24740-3829

Mailing address

324 Oakvale Rd
Princeton, WV 24740-3829
Phone (681) 282-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20111111000135 WV Practitioner - Physician Assistant 3476727330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609

154 Majestic PL
Bluefield, WV 24701-9170
Phone (304) 409-6720

324 Oakvale Rd
Suite 12
Princeton, WV 24740-3829
Phone (681) 282-5576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Health Association, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients

Locations

154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720

3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499

106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

Organizations & group practices 6

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 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1104931906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "681-282-5576",
            "fax_number": "681-282-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 12",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "681-282-5576",
            "fax_number": "304-431-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERS",
        "first_name": "DONNA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.