Privia Medical Group Arizona, LLC
Organization Active NPI Neurology Physician · Phoenix, AZ
NPI 1245876705 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1245876705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- PRIVIA MEDICAL GROUP ARIZONA, LLC
- Practice address
- 14001 N 7TH St Ste F111
Phoenix, AZ 85022-4382 - Phone
- (602) 633-3780
- Fax
- (602) 633-3782
- NPI assigned
- Nov 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Mindy Smith
- Title
- Ceo
- Phone
- (602) 633-3811
Other NPIs with the same Medicare PAC ID 1
Practitioners 174
-
Lisette Amezcua, FNP
-
Cathy Balzano, FNP
-
Lory Ellen Baraz, M.D.
-
Pallavi Bellamkonda, M.D.
-
Rachael Bennett, FNP-C
-
David Joseph Chadwick I, D.O.
-
Eric Clayton Christensen, M.D.
-
Rachael Lynn Daley, MSN
-
Kristina Deveau, NP-C
-
Trinh Doan, MD
-
Michael Scott Drury, M.D.
-
Gerald Wayne Dunn III, FNP-C
-
Carlos Roman Echevarria, MD, MMM
-
Billy Joe Evans, M.D.
-
Ana Maria Fuentes, ACNP
-
Renae Furar, APRN
-
Clarrissa Gober, NP
-
Rosa M Gomez, FNP-C
-
Morgan Gonzalez, FNP-C
-
Chelsea Greenwood, FNP
-
Jennifer Hawkins, APRN-RNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200220002978 | AZ | DME Supplier - Multi-Specialty - Physician | 1052328408 | Practice locations: Phoenix, AZ |
National Provider Directory
Locations
10815 W McDowell Rd
Ste 305
Avondale, AZ 85392
Phone (480) 840-1754
10815 W McDowell Rd
Ste 202
Avondale, AZ 85392
1300 S Watson Rd
#104105
Buckeye, AZ 85326
Phone (623) 251-3201
7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515
6525 W Sack Dr
#One
Glendale, AZ 85308
Phone (623) 825-5300
5996 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-2881
13575 W Indian School Rd
Ste 200
Litchfield Pk, AZ 85340
Phone (623) 512-4310
10265 W Camelback Rd
Phoenix, AZ 85037
Phone (623) 433-0271
2702 N 44th St
Ste 101A
Phoenix, AZ 85008
Phone (480) 990-9095
2815 E Bell Rd
Ste 2300
Phoenix, AZ 85032
Phone (602) 246-9080
9250 N 3rd St
Ste 2020
Phoenix, AZ 85020
Phone (602) 242-6500
9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838
14001 N 7th St
Ste F111
Phoenix, AZ 85022
Phone (602) 633-3780
3815 E Bell Rd
Phoenix, AZ 85032
Phone (602) 786-0088
9550 W Van Buren St
Ste 11
Tolleson, AZ 85353
Phone (602) 936-3312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
14001 N 7TH St Ste F111
Phoenix, AZ 85022-4382
Mailing address
3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3848
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- Private Healthcare Facilities
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- Privia Medical Group Arizona, LLC
- Privus Healthcare, LLC
- Fnu Priya
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All providers in Phoenix, AZ · Neurology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.