OrganizationActive
Privia Medical Group, LLC
NPI 1205787322 · Podiatrist · Falls Church, VA
Privia Medical Group, LLC is a Podiatrist organization in Falls Church, VA (NPI 1205787322).
Provider details
- NPI number
- 1205787322
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brianna Peoples, Avp, Credentialing & Payer Enrollme(571) 650-2710
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 E Broad St Ste a
Falls Church, VA 22046-4501
Phone: (703) 237-1555
Fax: (703) 237-2253
Street-level locationGet directions
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Other names (DBA / former)
- Other name
- Falls Church Foot and Ankle Center 104-4
- Doing business as
- Paul B Cannon DPM Dba Falls Church Foot and Ankle Center, Privia Medical Group, LLC
- Other name
- Paul B Cannon DPM, PC
Registry dates
- Enumerated
- 2026-02-05
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Privia Medical Group, LLC's NPI number?
- Privia Medical Group, LLC's National Provider Identifier (NPI) is 1205787322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group, LLC?
- Privia Medical Group, LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Privia Medical Group, LLC located?
- Privia Medical Group, LLC's practice location on file with NPPES is 104 E Broad St Ste a, Falls Church, VA 22046-4501.
- What is Privia Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group, LLC is (703) 237-1555.
- Who is the authorized official for Privia Medical Group, LLC?
- The authorized official listed on Privia Medical Group, LLC's NPPES record is Brianna Peoples, Avp, Credentialing & Payer Enrollme. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group, LLC's NPI active?
- Yes — Privia Medical Group, LLC's NPI (1205787322) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.