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 1104688852

Privia Medical Group, LLC provides Family Medicine Physician services in Annapolis, 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

133 Defense Hwy Ste 112
Annapolis, MD 21401-7015
Phone: (410) 518-9808
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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 number1104688852
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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