MEDICARE: PRIVIA MEDICAL GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0800X	Orthopedic Registered Nurse
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1497606396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIVIA MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	950 N GLEBE RD STE 700
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-4173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7811 MONTROSE RD STE 340
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3359
Country	:	US
Telephone Number	:	301-588-7888
Fax Number	:	301-588-3419

Authorized Official
Title or Position	:	AVP
Name	:	BRIANNA PEOPLES
Credential	:
Telephone Number	:	571-650-2710

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “PRIVIA MEDICAL GROUP, LLC ” Practice Location

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