PRIVIA MEDICAL GROUP, LLC – NPI #1225890882
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

PRIVIA MEDICAL GROUP, LLC is a provider located in GAITHERSBURG, MD. NPPES has assigned the NPI number 1225890882 to PRIVIA MEDICAL GROUP, LLC on January 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain 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
1225890882
Enumeration Date

(more than 2 years 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
501 N FREDERICK AVE STE 302
GAITHERSBURG, MD 20877-2507
Phone: (301) 591-8261 Fax:
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (571) 982-6636 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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
208VP0000X
- Pain Medicine / Pain Medicine

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.