Privia Medical Group, LLC
in Frederick, MD. Organization (NPI-2).
NPI number1093577751
StatusActive
Last updated in NPPESApr 18, 2026
Details
- NPI
- 1093577751
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2024
- Certification date
- Apr 18, 2026
- Last updated
- Apr 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Practice location
196 Thomas Johnson Dr Ste 215Frederick, MD 21702-4527
Phone 301-668-9988
Mailing address
950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Phone 571-982-6636
Authorized official
Brianna Foulkrod
Avp Cred And Enrollment
5716502710
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