1. Home
  2. Directory
  3. Maryland
  4. Marriottsville
  5. Internal Medicine
  6. NPI Profile

PRIVIA MEDICAL GROUP, LLC
NPI 1457187718
Internal Medicine - Endocrinology, Diabetes & Metabolism in Marriottsville, MD

Active since September 12, 2024
2400 LONGSTONE LN STE 106, MARRIOTTSVILLE, MD 21104(410) 770-2793 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Sep 12, 2024 (2 updates tracked since 2024).

About Privia Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVIA MEDICAL GROUP, LLC (NPI 1457187718) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Marriottsville, Maryland and active in the NPI registry since September 2024. The organization lists Brianna Foulkrod, Avp Cred And Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457187718
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address2400 LONGSTONE LN STE 106Marriottsville, MD 21104-1532
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (484) 228-1065
Phone(410) 770-2793
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp Cred And Enrollment · (571) 650-2710
Enumeration DateSeptember 12, 2024
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1457187718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2400 LONGSTONE LN STE 106, Marriottsville, MD 21104
Open in Google Maps ↗

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 3

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

DR. MAHFUZUL HAQUE KHAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 LONGSTONE LN STE 106
MARRIOTTSVILLE, MD 21104
Howard County (410) 770-2793
ELIZABETH S BOWER MD
Internal Medicine
2400 LONGSTONE LN STE 106
MARRIOTTSVILLE, MD 21104
Howard County (410) 480-1895
JI YON KWON M.D.
Internal Medicine
2400 LONGSTONE LN STE 106
MARRIOTTSVILLE, MD 21104
Howard County (410) 480-1895

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 1457187718. It was assigned to this organization in the NPPES registry on September 12, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 2400 Longstone Ln Ste 106, Marriottsville, MD 21104. The listed phone number is (410) 770-2793.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.