PRIVIA MEDICAL GROUP, LLC
NPI 1245169853
Internal Medicine in Waldorf, MD

Active since May 18, 2026
3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602(301) 638-9670 Get Directions Write a Review

NPPES record last updated: May 18, 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 1245169853) is a healthcare organization registered as an internal medicine in Waldorf, Maryland and active in the NPI registry since May 2026. The organization lists Brianna Foulkrod, Avp, Cred & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1245169853
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address3460 OLD WASHINGTON RD STE 203AWaldorf, MD 20602-3243
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (800) 973-1442
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp, Cred & Enrollment · (571) 650-2710
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
NPI 1245169853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3460 OLD WASHINGTON RD STE 203A, Waldorf, MD 20602

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 (Psychiatric/Mental Health)
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Internal Medicine
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Internal Medicine
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Nurse Practitioner (Family)
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602

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 1245169853. It was assigned to this organization in the NPPES registry on May 18, 2026.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 3460 Old Washington Rd Ste 203A, Waldorf, MD 20602. The listed phone number is (301) 638-9670.

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 May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.