Organization · NPI-2
Privia Medical Group, LLC
Psychiatry & Neurology, Neurology · Olney, MD
NPI number1093577447
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1093577447
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2024
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
18213 Hillcrest AveOlney, MD 20832-1422
Phone 301-260-7600
Mailing address
950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Phone 571-982-6636
Authorized official
Brianna Foulkrod
Avp
5716502710
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