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 1679336911
Family Medicine in Baltimore, MD

Active since January 31, 2024
4601 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21207(410) 670-9200 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 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 1679336911) is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1679336911
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address4601 LIBERTY HEIGHTS AVEBaltimore, MD 21207-7553
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateJanuary 31, 2024
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
NPI 1679336911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedPediatricsTaxonomy 208000000X
4601 LIBERTY HEIGHTS AVE, Baltimore, MD 21207

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 5

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

Clinic/Center (Federally Qualified Health Center (FQHC))
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacy (Community/Retail Pharmacy)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacy (Clinic Pharmacy)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679336911, enumerated as an "organization" on January 31, 2024.

The provider is located at 4601 LIBERTY HEIGHTS AVE BALTIMORE, MD 21207 and the phone number is (410) 670-9200.

Family Medicine with taxonomy code 207Q00000X.