PRIVIA MEDICAL GROUP, LLC – NPI #1245169978
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Health Care Provider Taxonomy Code for Allergy & Immunology

PRIVIA MEDICAL GROUP, LLC is an allergy & immunologist located in WALDORF, MD. NPPES recently assigned the NPI number 1245169978 to PRIVIA MEDICAL GROUP, LLC on May 18, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207K00000X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIVIA MEDICAL GROUP, LLC below.

NPI Profile for
PRIVIA MEDICAL GROUP, LLC

NPI Number
1245169978
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVIA MEDICAL GROUP, LLC
Primary location
11340 PEMBROOKE SQ STE 213
WALDORF, MD 20603-4808
Phone: (301) 868-9313 Fax:
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (800) 973-1442 Fax:
Organization Subpart
No
Authorized Official
BRIANNA FOULKROD
AVP, CRED & ENROLLMENT
Phone: (571) 650-2710
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207K00000X
- Allergy & Immunology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.