Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group, LLC

Organization Internal Medicine Physician · NPI 1013779602

Privia Medical Group, LLC is an Internal Medicine Physician in Glenn Dale, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12150 Annapolis Rd Ste 300
Glenn Dale, MD 20769-9183
Phone: (301) 249-5384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1013779602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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