Privia Care Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIVIA CARE CENTER LLC

Practice address

301 Saint Paul St Ste 409
Baltimore, MD 21202-2102

Phone

(571) 366-8850

NPI assigned

Oct 2, 2018

Last updated

Oct 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Ainsworth Ivess

Title

Associate Director, Credentialing

Phone

(571) 366-8831

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  O20170616001775, O20170619000055

  Same enrollment

Locations

Practitioners 556

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.

• Victor Peter Abdow Jr., M.D.

  • Pediatrics Physician
  • Rockville, MD
  • NPI 1306806872
  NPD
• Gillian Adams, M.D.

  • Family Medicine Physician
  • Bel Air, MD
  • NPI 1912086794
  NPD
• Sara Catherine Adelman, CRNP

  • Adult Health Nurse Practitioner
  • Arnold, MD
  • NPI 1427142553
  NPD
• Brianna Adkinson, PA-C

  • Physician Assistant
  • Mount Airy, MD
  • NPI 1619453487
  NPD
• Festus Addo Agyekum, PA-C

  • Physician Assistant
  • Frederick, MD
  • NPI 1508070913
  NPD
• Zareen Asif Ahmed, MD

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1407039043
  NPD
• Zoe L Ajebon, D.O.

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1376830182
  NPD
• Haroon Akhtar, M.D.

  • Family Medicine Physician
  • Aspen Hill, MD
  • NPI 1164614764
  NPD
• Marcelino Daniel Albuerne, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Catonsville, MD
  • NPI 1306817341
  NPD
• Mohammed Saber Ali, MD

  • General Practice Physician
  • Boonsboro, MD
  • NPI 1083783872
  NPD
• James P Amerena, M.D.

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1912981929
  NPD
• Jessica Leigh Anderson, PA-C

  • Physician Assistant
  • Frederick, MD
  • NPI 1740590595
  NPD

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1730664012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 4000",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031824",
            "telephone_number": "157-198-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST STE 409",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "571-366-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "IVESS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "AINSWORTH",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "571-366-8831"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Pritchard, CCC-SLP
• Jennifer Marie Pritchard, M.D.
• Jennifer Pritchett, LCSW-C
• Terry Pritt, MD
• Angela Privette
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.