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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PRIVIA MEDICAL GROUP, LLC
NPI 1245169978
Allergy & Immunology in Waldorf, MD

Active since May 18, 2026
11340 PEMBROOKE SQ STE 213, WALDORF, MD 20603(301) 868-9313 Get Directions Write a Review

NPPES record added: 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 1245169978) is a healthcare organization registered as an allergy & immunology 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

NPI1245169978
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address11340 PEMBROOKE SQ STE 213Waldorf, MD 20603-4808
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (800) 973-1442
Phone(301) 868-9313
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp, Cred & Enrollment · (571) 650-2710
Enumeration DateMay 18, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1245169978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
11340 PEMBROOKE SQ STE 213, Waldorf, MD 20603
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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

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

PRIVIA MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
11340 PEMBROOKE SQ STE 213
WALDORF, MD 20603
Charles County (202) 832-1800

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 1245169978. 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 11340 Pembrooke Sq Ste 213, Waldorf, MD 20603. The listed phone number is (301) 868-9313.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

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.