Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PRIVIA MEDICAL GROUP, LLC
NPI 1144083429
Internal Medicine in Havre De Grace, MD

Active since January 31, 2024
669 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 939-2840 Get Directions Write a Review

NPPES record last updated: July 10, 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 1144083429) is a healthcare organization registered as an internal medicine in Havre De Grace, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1144083429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address669 REVOLUTION STHavre De Grace, MD 21078-3319
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateJanuary 31, 2024
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
NPI 1144083429 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.
669 REVOLUTION ST, Havre De Grace, MD 21078

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 4

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

Nurse Practitioner (Adult Health)
669 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Internal Medicine
669 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Nurse Practitioner (Family)
669 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Health Maintenance Organization
669 REVOLUTION ST
HAVRE DE GRACE, MD 21078

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 1144083429. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 669 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 939-2840.

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 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.