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NPI Code Detail

MEDICARE: PRIVIA MEDICAL GROUP, LLC

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
12251X0800XOrthopedic Physical Therapist
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1700737699
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 : 8255 GREENSBORO DR STE 150
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4918
Country : US
Telephone Number : 571-416-8244
Fax Number : 571-441-5201
Authorized Official
Title or Position : AVP
Name : BRIANNA PEOPLES
Credential :
Telephone Number : 571-650-2710
Provider Enumeration Date : 02/05/2026
Last Update Date : 03/18/2026

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Directions to “PRIVIA MEDICAL GROUP, LLC ” Practice Location

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