# PRIVIA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1659227171
- **Authorized official:** BRIANNA FOULKROD (AVP, CRED & ENROLLMENT)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 2500 WALLINGTON WAY STE 208, MARRIOTTSVILLE, MD 21104-1507
- **Practice address phone:** (410) 862-8860
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/06/2026