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 1104688860
Pediatrics in Fulton, MD

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

The NPI number for Privia Medical Group, LLC is 1104688860. It was assigned to this organization in the NPPES registry on January 29, 2024.

Q: What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 29, 2024

7625 MAPLE LAWN BLVD STE 145, FULTON, MD 20759(410) 224-7667 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Privia Medical Group, Llc NPPES

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

PRIVIA MEDICAL GROUP, LLC (NPI 1104688860) is a healthcare organization registered as a pediatrics in Fulton, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1104688860

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePRIVIA MEDICAL GROUP, LLC

Location Address7625 MAPLE LAWN BLVD STE 145Fulton, MD 20759-2565

Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636

Phone(410) 224-7667

Organization SubpartNo

Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710

Enumeration DateJanuary 29, 2024

Last NPPES UpdateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1104688860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7625 MAPLE LAWN BLVD STE 145, Fulton, MD 20759

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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 2

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

BEATRICE FLYNN

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

7625 MAPLE LAWN BLVD STE 145
FULTON, MD 20759

Howard County (410) 241-6594

BAYSIDE PEDIATRICS-FULTON, LLC

Pediatrics

7625 MAPLE LAWN BLVD STE 145
FULTON, MD 20759

Howard County (410) 224-7667

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 1104688860. 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 7625 Maple Lawn Blvd Ste 145, Fulton, MD 20759. The listed phone number is (410) 224-7667.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.