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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
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
(240) 956-5475
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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