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PRIVIA MEDICAL GROUP, LLC
NPI 1780446872
Family Medicine in Jefferson, MD

Active since January 25, 2024
4014 MOUNTVILLE RD, JEFFERSON, MD 21755(301) 834-7188(240) 578-4476 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1780446872) is a healthcare organization registered as a family medicine in Jefferson, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp Cred And Enrollment, as its authorized official.

NPPES Registry Identity

NPI1780446872
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address4014 MOUNTVILLE RDJefferson, MD 21755-7713
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Phone(301) 834-7188
Fax(240) 578-4476
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp Cred And Enrollment · (571) 650-2710
Enumeration DateJanuary 25, 2024
Last NPPES UpdateApril 18, 2026
NPPES CertifiedApril 18, 2026
✔ NPI 1780446872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4014 MOUNTVILLE RD, Jefferson, MD 21755
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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 2

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

FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Family Medicine
4014 MOUNTVILLE RD
JEFFERSON, MD 21755
Frederick County (301) 834-7188
JOSEPH LAMENDOLA
Social Worker
4014 MOUNTVILLE RD
JEFFERSON, MD 21755
Frederick County (240) 986-1001

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 1780446872. 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 4014 Mountville Rd, Jefferson, MD 21755. The listed phone number is (301) 834-7188.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on April 18, 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.