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

Privia Medical Group, LLC

Organization Pain Medicine Physician · NPI 1023715315

Privia Medical Group, LLC is a Pain Medicine Physician in Rockville, Maryland. Registered with an NPI since 2023.

In the registry since
2023
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

121 Congressional Ln Ste 403
Rockville, MD 20852-1542
Phone: (240) 630-2188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1023715315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Porter — Payer Enrollment Manager · (615) 500-2199
Other names Neurology, Headache & Pain Institute
NPI enumeratedFebruary 8, 2023
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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