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

Privia Medical Group, LLC

Organization Internal Medicine Physician · NPI 1962053306

Privia Medical Group, LLC is an Internal Medicine Physician in Lorton, Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

8988 Lorton Station Blvd Ste 100
Lorton, VA 22079-4757
Phone: (571) 366-8850
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1962053306
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 5, 2020
Certification dateMarch 5, 2020
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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