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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 1376306514
Pediatrics in Laurel, MD

Active since January 31, 2024
9811 MALLARD DR, LAUREL, MD 20708(301) 776-8000 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 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 1376306514) is a healthcare organization registered as a pediatrics in Laurel, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1376306514
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address9811 MALLARD DRLaurel, MD 20708-3143
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Phone(301) 776-8000
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateJanuary 31, 2024
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1376306514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9811 MALLARD DR, Laurel, MD 20708
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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 20

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

DR. STEPHANIE WILKS PERDUE M.D.
Pediatrics (Adolescent Medicine)
9811 MALLARD DR, SUITE 109
LAUREL, MD 20708
Prince George's County (301) 776-8000
JILL BANGERT LCSWC
Social Worker (Clinical)
9811 MALLARD DR, SUITE 209
LAUREL, MD 20708
Prince George's County (301) 776-9492
DR. DAVID DURAIRAJ KOILPILLAI DDS
Dentist
9811 MALLARD DR, SUITE 207
LAUREL, MD 20708
Prince George's County (301) 604-0025
DR. MEI-LIN LU M.D.
Pediatrics
9811 MALLARD DR, SUITE 109
LAUREL, MD 20708
Prince George's County (301) 776-8000
DR. NEIL A MEADE M.D.
Family Medicine
9811 MALLARD DR, SUITE 205
LAUREL, MD 20708
Prince George's County (301) 953-1020
AGAS MEDICAL GROUP, LLC
General Practice
9811 MALLARD DR, SUITE # 213
LAUREL, MD 20708
Prince George's County (301) 604-0562
WENDY WOODS DPM
Podiatrist (Foot Surgery)
9811 MALLARD DR, 118-119
LAUREL, MD 20708
Prince George's County (301) 497-9490
DR. MARTHA JANE HORN PH.D.
Counselor (Professional)
9811 MALLARD DR, SUITE 211
LAUREL, MD 20708
Prince George's County (301) 776-8554

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 1376306514. 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 9811 Mallard Dr, Laurel, MD 20708. The listed phone number is (301) 776-8000.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 24 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.