Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group, LLC

Organization Family Medicine Physician · NPI 1043072085

Privia Medical Group, LLC provides Family Medicine Physician services in Hagerstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13204 Fountain Head Plz
Hagerstown, MD 21742-2678
Phone: (240) 215-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043072085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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