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

Privia Medical Group, LLC

Organization Pain Medicine Physician · NPI 1093577751

Privia Medical Group, LLC provides Pain Medicine Physician services in Frederick, 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

196 Thomas Johnson Dr Ste 215
Frederick, MD 21702-4527
Phone: (301) 668-9988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1093577751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp Cred And Enrollment · (571) 650-2710
NPI enumeratedJanuary 29, 2024
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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