Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP, CRED & ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
6862 ELM ST, MC LEAN, VA 22101-3897
(301) 339-8027
Mailing address
950 N GLEBE RD, ARLINGTON, VA 22203-1824
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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