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

Privia Medical Group, LLC

Organization Podiatrist · NPI 1205787322

Privia Medical Group, LLC is a Podiatrist in Falls Church, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

104 E Broad St Ste A
Falls Church, VA 22046-4501
Phone: (703) 237-1555
Fax: (703) 237-2253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1205787322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Peoples — Avp, Credentialing & Payer Enrollme · (571) 650-2710
Other names Paul B Cannon Dpm Dba Falls Church Foot And Ankle Center, Privia Medical Group, Llc; Falls Church Foot And Ankle Center 104-4; Paul B Cannon Dpm, Pc
NPI enumeratedFebruary 5, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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