PRIVIA MEDICAL GROUP, LLC
NPI 1114789518
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ellicott City, MD

Active since January 30, 2024
2850 N RIDGE RD STE 203, ELLICOTT CITY, MD 21043(410) 770-2793 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1114789518) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Ellicott City, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp Cred And Enrollment, as its authorized official.

NPPES Registry Identity

NPI1114789518
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address2850 N RIDGE RD STE 203Ellicott City, MD 21043-3463
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp Cred And Enrollment · (571) 650-2710
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
NPI 1114789518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2850 N RIDGE RD STE 203, Ellicott City, MD 21043

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

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 1114789518. 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 2850 N Ridge Rd Ste 203, Ellicott City, MD 21043. The listed phone number is (410) 770-2793.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.