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PRIVIA MEDICAL GROUP, LLC
NPI 1780530279
Obstetrics & Gynecology in Annandale, VA

Active since March 06, 2026
4208 EVERGREEN LN STE 213, ANNANDALE, VA 22003(703) 642-7522(703) 642-7565 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 1780530279) is a healthcare organization registered as an obstetrics & gynecology in Annandale, Virginia and active in the NPI registry since March 2026. The organization lists Rebecca Inoa, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1780530279
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address4208 EVERGREEN LN STE 213Annandale, VA 22003-3254
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (800) 973-1442
Phone(703) 642-7522
Fax(703) 642-7565
Organization SubpartNo
Authorized OfficialRebecca InoaEnrollment Specialist · (800) 973-1442
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1780530279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4208 EVERGREEN LN STE 213, Annandale, VA 22003
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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 11

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

SAMANTHA TALLIA PIERCE PA-C
Physician Assistant (Medical)
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
ALLISON CHEUNG RN, BSN, WHNP, CNM
Advanced Practice Midwife
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
AISAT OKANLAWON MD
Obstetrics & Gynecology
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
MRS. SHARA MAE SISON CHEN PA-C
Physician Assistant
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
MS. JESSICA UTECH RPA-C
Physician Assistant
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
PRIVIA MEDICAL GROUP, LLC
Obstetrics & Gynecology
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
ELHAM WAHEEDA ALTAF M.D.
Obstetrics & Gynecology
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
POSTERITY MEN'S HEALTH, P.C.
Urology
4208 EVERGREEN LN STE 213
ANNANDALE, VA 22003
Fairfax County (720) 666-4739

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 1780530279. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 4208 Evergreen Ln Ste 213, Annandale, VA 22003. The listed phone number is (703) 642-7522.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.