Privia Medical Group, LLC
Emergency Medicine in Gaithersburg, MD. Organization (NPI-2).
NPI number1598528697
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1598528697
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
203 Perry Pkwy Ste 1Gaithersburg, MD 20877-2169
Phone 571-982-6636
Mailing address
950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Authorized official
Brianna Foulkrod
Avp
5716502710
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