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 (Physical Medicine & Rehabilitation) Physician · NPI 1790542652

Privia Medical Group, LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Olney, 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

18111 Prince Philip Dr Ste 121
Olney, MD 20832-1503
Phone: (301) 591-8263
Fax: (301) 591-8256
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1790542652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedMarch 6, 2024
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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