MEDICARE: HEALTH FIRST 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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1770449159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH FIRST PRIVIA MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	3715 NORTHSIDE PARKWAY, BUILDING 100
Second Line	:	STE 550
City	:	ATLANTA
State	:	GA
Zip	:	30327
Country	:	US
Telephone Number	:	770-312-5226
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 MALABAR RD NE STE 200
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2559
Country	:	US
Telephone Number	:	321-308-2660
Fax Number	:	321-394-2669

Authorized Official
Title or Position	:	VICE PRESIDENT RCM
Name	:	LORA MORSE
Credential	:
Telephone Number	:	321-419-7360

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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