NPIMap

Organization Active NPI

Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1013042480
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIVIA MEDICAL GROUP, LLC
Practice address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone
(571) 366-8850
Fax
(813) 315-6180
NPI assigned
Feb 23, 2007
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brianna Foulkrod
Title
Avp Credentialing and Enrollment
Phone
(571) 650-2710

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (571) 650-2710

Other practice location 1

17001 Science Dr Ste 116
Bowie, MD 20715-4330
Phone (301) 464-2300

Other practice location 2

4014 Mountville Rd
Jefferson, MD 21755-7713
Phone (301) 834-7188

Other practice location 3

7906 Andrus Rd Ste 7
Alexandria, VA 22306-3169
Phone (703) 360-8881

Other practice location 4

106 Irving St NW Ste 218
Washington, DC 20010-2993
Phone (202) 885-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050422000298 DC Part B Supplier - Clinic/Group Practice 4385682061 Receives reassigned benefits from 1,677 practitioners
O20140522000040 MD Part B Supplier - Clinic/Group Practice 4385682061 Receives reassigned benefits from 706 practitioners
1 other NPI on this enrollment
O20140603000011 VA Part B Supplier - Clinic/Group Practice 4385682061 Receives reassigned benefits from 1,516 practitioners
O20151210002856 VA DME Supplier - Physician - Podiatry 4385682061 Practice locations: Fairfax, VA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 303)

106 Irving St NW
Ste 308S
Washington, DC 20010

106 Irving St NW
Ste 3200
Washington, DC 20010
Phone (202) 726-7474

106 Irving St NW
Ste S406
Washington, DC 20010

1160 Varnum St NE
Ste 209
Washington, DC 20017

1226 Connecticut Ave NW
Washington, DC 20036

2021 K St NW
Ste 508
Washington, DC 20006
Phone (202) 223-6830

2311 M St NW
Ste 401
Washington, DC 20037
Phone (202) 331-3338

600 New Hampshire Ave NW
Ste 359
Washington, DC 20037
Phone (202) 337-4080

650 Pennsylvania Ave SE
Ste 480
Washington, DC 20003
Phone (202) 546-0062

2402 Osler Ct
Albany, GA 31707
Phone (229) 438-3300

3715 Northside Pkwy NW
Ste 100
Atlanta, GA 30327

100 Professional Pl
Ste 302
Carrollton, GA 30117
Phone (970) 682-9097

55 Cantrell Rd
Ste 100
Cleveland, GA 30528
Phone (706) 348-8763

1010 E Freeway Dr SE
Conyers, GA 30094
Phone (770) 922-8222

101 Meadow Dr
Ste A
Cumming, GA 30040

484 Irvin Ct
Ste 241
Decatur, GA 30030
Phone (770) 414-5611

3460 Summit Ridge Pkwy
Ste 304
Duluth, GA 30096
Phone (678) 667-3130

3660 Howell Ferry Rd
Bldg 13
Duluth, GA 30096

117 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 485-4004

101 Yorktown Dr
Ste 200
Fayetteville, GA 30214
Phone (678) 364-5300

101 Yorktown Dr
Ste 700
Fayetteville, GA 30214

440 Washington St SE
Gainesville, GA 30501
Phone (770) 532-9250

726 S 8th St
Griffin, GA 30224
Phone (770) 228-2273

728 S 8TH St
Griffin, GA 30224

109 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 368-2099

Practitioners & affiliated clinicians

Practitioners 3,555

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 3,555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1013042480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034173",
            "telephone_number": "571-650-2710",
            "fax_number": "240-696-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034173",
            "telephone_number": "571-366-8850",
            "fax_number": "813-315-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17001 Science Dr Ste 116",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154330",
            "country_code": "US",
            "telephone_number": "301-464-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4014 Mountville Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "MD",
            "postal_code": "217557713",
            "country_code": "US",
            "telephone_number": "301-834-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7906 Andrus Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063169",
            "country_code": "US",
            "telephone_number": "703-360-8881",
            "fax_number": "301-868-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Irving St NW Ste 218",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102993",
            "country_code": "US",
            "telephone_number": "202-885-9680",
            "fax_number": "202-758-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "FOULKROD",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "AVP CREDENTIALING AND ENROLLMENT",
        "authorized_official_telephone_number": "571-650-2710"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.