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Contact Information

PRIVIA MEDICAL GROUP, LLC
11301 AMHERST AVE STE 102
SILVER SPRING, MD20902-4665
 Phone: 301-933-7827
 Fax: 240-290-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Migrant Health

261QM1000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PRIVIA MEDICAL GROUP, LLC

NPI # 1922959048
LBN Legal business name PRIVIA MEDICAL GROUP, LLC
Authorized official BRIANNA PEOPLES - (AVP, CREDENTIALING & PAYER ENROLLME)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2026
Last updated 02/05/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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