Privia Medical Group, LLC
Internal Medicine in Annapolis, MD. Organization (NPI-2).
NPI number1316709751
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1316709751
- 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
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1616 Forest Dr Ste 1Annapolis, MD 21403-1019
Phone 410-363-4900
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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