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 1225689698

Privia Medical Group, LLC is a Podiatrist in Springfield, Virginia. Registered with an NPI since 2019.

In the registry since
2019
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

6128 Brandon Ave Ste 201
Springfield, VA 22150-2693
Phone: (571) 366-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1225689698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Ivess — Associate Director, Credentialing · (571) 366-8831
Other names Mount Vernon Internal Medicine; Mount Vernon Internal Medicine
NPI enumeratedSeptember 26, 2019
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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