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PRIVIA MEDICAL GROUP, LLC
NPI 1073375416
Pediatrics - Adolescent Medicine in Rockville, MD

Active since January 30, 2024
15215 SHADY GROVE RD STE 303, ROCKVILLE, MD 20850(301) 330-3216 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Privia Medical Group, Llc NPPES

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

PRIVIA MEDICAL GROUP, LLC (NPI 1073375416) is a healthcare organization registered as an adolescent medicine in Rockville, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1073375416
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address15215 SHADY GROVE RD STE 303Rockville, MD 20850-0201
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Phone(301) 330-3216
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateJanuary 30, 2024
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1073375416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
15215 SHADY GROVE RD STE 303, Rockville, MD 20850
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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.

DR. SRIPARNA MITRA M.D.
Pediatrics
15215 SHADY GROVE RD STE 303
ROCKVILLE, MD 20850
Montgomery County (301) 330-3216

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 1073375416. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 15215 Shady Grove Rd Ste 303, Rockville, MD 20850. The listed phone number is (301) 330-3216.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.