Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIVIA MEDICAL GROUP, LLC
NPI 1013779602
Internal Medicine in Glenn Dale, MD

Active since January 29, 2024
12150 ANNAPOLIS RD STE 300, GLENN DALE, MD 20769(301) 249-5384 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Privia Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVIA MEDICAL GROUP, LLC (NPI 1013779602) is a healthcare organization registered as an internal medicine in Glenn Dale, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1013779602
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address12150 ANNAPOLIS RD STE 300Glenn Dale, MD 20769-9183
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateJanuary 29, 2024
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1013779602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12150 ANNAPOLIS RD STE 300, Glenn Dale, MD 20769

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
12150 ANNAPOLIS RD STE 300
GLENN DALE, MD 20769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1013779602. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 12150 Annapolis Rd Ste 300, Glenn Dale, MD 20769. The listed phone number is (301) 249-5384.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.