PRIVIA MEDICAL GROUP, LLC – NPI #1629830666
Family Medicine

PRIVIA MEDICAL GROUP, LLC is a provider located in ACCIDENT, MD. NPPES recently assigned the NPI number 1629830666 to PRIVIA MEDICAL GROUP, LLC on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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
1629830666
Created

(about a month 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
106 CEMETERY RD
ACCIDENT, MD 21520-2097
Phone: (301) 334-7855 Fax:
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (571) 982-6636 Fax:
Organization Subpart
No
Authorized Official
MARIA GABBAI
ENROLLMENT MANAGER
Phone: (484) 569-9066
Updated
Certification Date
Jan 25, 2024

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
207Q00000X
- Family Medicine (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.