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

Privia Medical Group Tennessee LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1962160119

Privia Medical Group Tennessee LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Clarksville, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
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

1492 Tiny Town Rd Ste A2
Clarksville, TN 37042-7874
Phone: (571) 982-6636
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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 number1962160119
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 enumeratedDecember 6, 2021
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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