PRIVIA MEDICAL GROUP, LLC – NPI #1881418804
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

PRIVIA MEDICAL GROUP, LLC is a provider located in CATONSVILLE, MD. NPPES has assigned the NPI number 1881418804 to PRIVIA MEDICAL GROUP, LLC on November 15, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Apr 18, 2026. 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
1881418804
Enumeration Date

(more than a year 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
711 ACADEMY RD
CATONSVILLE, MD 21228-1802
Phone: (410) 788-3300 Fax:
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (484) 228-1065 Fax:
Organization Subpart
No
Authorized Official
BRIANNA FOULKROD
AVP CRED AND ENROLLMENT
Phone: (571) 650-2710
Updated
Certification Date
Apr 18, 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
207RG0300X
- Internal Medicine / Geriatric 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.