Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIVIA MEDICAL GROUP, LLC
NPI 1629830617
Internal Medicine - Cardiovascular Disease in Glenn Dale, MD

Q: What is Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1629830617. It was assigned to this organization in the NPPES registry on January 25, 2024.

Q: What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since January 25, 2024

12200 ANNAPOLIS RD STE 228, GLENN DALE, MD 20769(301) 459-9390 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Privia Medical Group, Llc NPPES

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

PRIVIA MEDICAL GROUP, LLC (NPI 1629830617) is a healthcare organization registered as a cardiovascular disease in Glenn Dale, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1629830617

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePRIVIA MEDICAL GROUP, LLC

Location Address12200 ANNAPOLIS RD STE 228Glenn Dale, MD 20769-9182

Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636

Phone(301) 459-9390

Organization SubpartNo

Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710

Enumeration DateJanuary 25, 2024

Last NPPES UpdateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1629830617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

12200 ANNAPOLIS RD STE 228, Glenn Dale, MD 20769

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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.

SALUDICITY LLC

Family Medicine (Hospice and Palliative Medicine)

12200 ANNAPOLIS RD STE 228
GLENN DALE, MD 20769

Prince George's County (301) 446-2513

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 1629830617. It was assigned to this organization in the NPPES registry on January 25, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 12200 Annapolis Rd Ste 228, Glenn Dale, MD 20769. The listed phone number is (301) 459-9390.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.