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 1710749387
Pediatrics - Adolescent Medicine in Hagerstown, MD

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

The NPI number for Privia Medical Group, LLC is 1710749387. It was assigned to this organization in the NPPES registry on January 29, 2024.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since January 29, 2024

1161 OMEGA DR STE 100, HAGERSTOWN, MD 21740(301) 393-2600 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 1710749387) is a healthcare organization registered as an adolescent medicine in Hagerstown, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1710749387

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NamePRIVIA MEDICAL GROUP, LLC

Location Address1161 OMEGA DR STE 100Hagerstown, MD 21740-5574

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

Phone(301) 393-2600

Organization SubpartNo

Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710

Enumeration DateJanuary 29, 2024

Last NPPES UpdateJuly 10, 2026

NPPES CertifiedJuly 10, 2026

✔ NPI 1710749387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1161 OMEGA DR STE 100, Hagerstown, MD 21740

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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

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 1710749387. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 1161 Omega Dr Ste 100, Hagerstown, MD 21740. The listed phone number is (301) 393-2600.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

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 43 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.