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

Privia Medical Group Tennessee LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1205582087

Privia Medical Group Tennessee LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Mt Juliet, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
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

4998 Crossings Cir Ste 200
Mt Juliet, TN 37122-0018
Phone: (615) 553-5000
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1205582087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Roller — Associate Director/Enrollment · (770) 312-5226
Other names Sports Ortho Urgent Care; Sports Ortho Urgent Care
NPI enumeratedMarch 1, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173