Privia Medical Group, LLC
Privia Medical Group, LLC is a Family Medicine Physician in Waldorf, Maryland. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12101 Old Line CtrWaldorf, MD 20602-2552
Phone: (301) 638-0001
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1720872054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brianna Foulkrod — Avp Credentialing & Enrollment · (571) 650-2710 |
| NPI enumerated | April 9, 2025 |
| Last updated in NPPES | January 27, 2026 |
| Certification date | January 27, 2026 |
| Mailing address | 950 N Glebe Rd Ste 700, Arlington, VA 22203-4173 |
Other providers in Waldorf
-
Robert Timothy Pace, MD
12070 Old Line Ctr Ste 302, Waldorf, MD 20602-2513 · (301) 645-6667
-
Patient First Maryland Medical Group PLLC
2855 Crain Hwy, Waldorf, MD 20601-2807 · (240) 427-1926
-
Prime Medical Health Center, Inc
6B Industrial Park Dr Unit 8, Waldorf, MD 20735-2073 · (301) 337-1219
-
Privia Medical Group, LLC
3460 Old Washington Rd Ste 203A, Waldorf, MD 20602-3243 · (301) 638-9670
-
Privia Medical Group, LLC
12070 Old Line Ctr Ste 302, Waldorf, MD 20602-2567 · (301) 843-7667
-
Dr. Karlene Vanessa Ross, MD
3460 Old Washington Rd Ste #103, Waldorf, MD 20602-3240 · (301) 638-0001
-
Stacy O. Ross, MD
2855 Crain Hwy, Waldorf, MD 20601-2807 · (240) 427-1926
-
Southern Maryland Primary Care, LLC
3460 Old Washington Rd Ste 203A, Waldorf, MD 20602-3240 · (301) 638-9670