# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376488262
- **Authorized official:** BRIANNA FOULKROD (VP, ENROLLMENT & CREDENTIALING)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 3204 TOWER OAKS BLVD STE 140, ROCKVILLE, MD 20852-4211
- **Practice address phone:** (301) 900-2652
- **Mailing address:** 950 N GLEBE RD, ARLINGTON, VA 22203-1824
- **Mailing address phone:** (800) 973-1442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/20/2026
