PRIVIA MEDICAL GROUP, LLC – NPI #1336095827
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

PRIVIA MEDICAL GROUP, LLC is a provider located in FAIRFAX, VA. NPPES has assigned the NPI number 1336095827 to PRIVIA MEDICAL GROUP, LLC on March 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

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
1336095827
Enumeration Date

(about 3 months 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
2810 OLD LEE HWY STE 305
FAIRFAX, VA 22031-4376
Phone: (703) 642-7522 Fax: (703) 642-7565
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (800) 973-1442 Fax: (571) 982-6636
Organization Subpart
No
Authorized Official
REBECCA INOA
ENROLLMENT SPECIALIST
Phone: (843) 569-6524
Updated
Certification Date
Mar 06, 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
207VG0400X
- Obstetrics & Gynecology / Gynecology (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.