OrganizationActive
Privia Medical Group Tennessee LLC
NPI 1386301307 · Sports Medicine (Orthopaedic Surgery) Physician · Hendersonville, TN
Provider details
- NPI number
- 1386301307
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mary Roller, Associate Director/Enrollment
Practice location
1047 Glenbrook Way Ste 110
Hendersonville, TN 37075-1308
Phone: (571) 982-6636
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Registry dates
- Enumerated
- 2021-11-24
- Last updated
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.