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PRIVIA MEDICAL GROUP, LLC
NPI 1205787322
Podiatrist in Falls Church, VA

Active since February 05, 2026
104 E BROAD ST STE A, FALLS CHURCH, VA 22046(703) 237-1555(703) 237-2253 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Feb 5, 2026 (2 updates tracked since 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 1205787322), doing business as Paul B Cannon Dpm Dba Falls Church Foot And Ankle Center, Privia Medical Group, Llc, is a healthcare organization registered as a podiatrist in Falls Church, Virginia and active in the NPI registry since February 2026. The organization lists Brianna Peoples, Avp, Credentialing & Payer Enrollme, as its authorized official.

NPPES Registry Identity

NPI1205787322
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address104 E BROAD ST STE AFalls Church, VA 22046-4501
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Phone(703) 237-1555
Fax(703) 237-2253
Organization SubpartNo
Authorized OfficialBrianna PeoplesAvp, Credentialing & Payer Enrollme · (571) 650-2710
Enumeration DateFebruary 5, 2026
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1205787322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
104 E BROAD ST STE A, Falls Church, VA 22046
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Other Names 3

Doing Business AsPaul B Cannon Dpm Dba Falls Church Foot And Ankle Center, Privia Medical Group, Llc
Other NameFalls Church Foot And Ankle Center 104-4
Other NamePaul B Cannon Dpm, Pc

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 1205787322. It was assigned to this organization in the NPPES registry on February 5, 2026. The provider is doing business as Paul B Cannon DPM dba Falls Church Foot and Ankle Center, Privia Medical Group, LLC. The provider is also known as Falls Church Foot And Ankle Center 104-4 and Paul B Cannon DPM, PC.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 104 E Broad St Ste A, Falls Church, VA 22046. The listed phone number is (703) 237-1555.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.