Active NPI
Privia Medical Group, LLC
- Allergy & Immunology Physician
- Washington, DC
National Provider Identifier
1629880760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- PRIVIA MEDICAL GROUP, LLC
- Practice address
- 650 Pennsylvania Ave SE Ste 480
Washington, DC 20003-4373 - Phone
- (202) 546-0062
- NPI assigned
- Jan 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianna Foulkrod
- Title
- Avp
- Phone
- (571) 650-2710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
650 Pennsylvania Ave SE Ste 480
Washington, DC 20003-4373
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (800) 973-1442
Other names 1
- Privia Medical Group, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Privia Medical Group LLC
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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-
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- Family Medicine Physician
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- Family Medicine Physician
- Washington, DC
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- Internal Medicine Physician
- Washington, DC
- NPI 1679367999
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- Orthopedic Chiropractor
- Washington, DC
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- Cardiovascular Disease Physician
- Washington, DC
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Locations
650 Pennsylvania Ave SE
Ste 480
Washington, DC 20003
Phone (202) 546-0062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1629880760",
"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": "800-973-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PENNSYLVANIA AVE SE STE 480",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034373",
"telephone_number": "202-546-0062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVIA MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-24",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "FOULKROD",
"authorized_official_first_name": "BRIANNA",
"authorized_official_title_or_position": "AVP",
"authorized_official_telephone_number": "571-650-2710"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Privia Medical Group, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.