PRIVIA MEDICAL GROUP LLC NPI 1245169853

NPI Details

PRIVIA MEDICAL GROUP, LLC is an internal medicine in Waldorf, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIVIA MEDICAL GROUP, LLC NPI is 1245169853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3460 OLD WASHINGTON RD STE 203A
WALDORF, MD
ZIP 20602-243
Phone: (301) 638-9670

The provider's authorized official is Brianna Foulkrod .
The authorized official title is Avp, Cred & Enrollment and has the following contact phone number (571) 650-2710.

The enumeration date for this NPI number is 5/18/2026 and was last updated on 5/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: