Privia Medical Group, LLC
NPI 1720872054 · Family Medicine Physician · Waldorf, MD
Privia Medical Group, LLC is a Family Medicine Physician organization in Waldorf, MD (NPI 1720872054).
Provider details
- NPI number
- 1720872054
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brianna Foulkrod, Avp Credentialing & Enrollment(571) 650-2710
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Privia Medical Group, LLC's NPI number?
- Privia Medical Group, LLC's National Provider Identifier (NPI) is 1720872054, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Privia Medical Group, LLC located?
- Privia Medical Group, LLC's practice location on file with NPPES is 12101 Old Line Ctr, Waldorf, MD 20602-2552.
- What is Privia Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group, LLC is (301) 638-0001.
- Who is the authorized official for Privia Medical Group, LLC?
- The authorized official listed on Privia Medical Group, LLC's NPPES record is Brianna Foulkrod, Avp Credentialing & Enrollment. 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 (1720872054) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.