Individual provider Active NPI

Donzaleigh Priestley, PA

  • Physician Assistant
  • Corning, NY
National Provider Identifier
1326328824
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014794-1 Issued in NY
Practice address
130 Center Way
Corning, NY 14830-2255
Phone
(607) 937-8027
Fax
(607) 937-8161
NPI assigned
Aug 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014794-1 NY Primary

Addresses

Primary practice location

130 Center Way
Corning, NY 14830-2255

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpriestley49652@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111122000308 NY Practitioner - Physician Assistant 0840464277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014794NYMDMassage Therapist
014794-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Jan 6, 2014 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 6, 2014 Accepting new patients
Chemung Medical Services PC Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

4057 West Rd
Cortland, NY 13045
Phone (607) 299-7116

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

720 Willow Ave
Ithaca, NY 14850
Phone (570) 887-3025

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

110 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-4241

Interoperability endpoints

  • Direct secure messaging: dpriestley49652@direct-guthrie.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1326328824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302255",
            "telephone_number": "607-937-8027",
            "fax_number": "607-937-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTLEY",
        "first_name": "DONZALEIGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014794-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpriestley49652@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Center Way",
            "city": "Corning",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148302255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.