Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Privia Medical Group, LLC

Organization Family Medicine Physician · NPI 1417719592

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

1 Kings Dr
Taneytown, MD 21787-2331
Phone: (410) 751-1111
Fax: (410) 751-1692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417719592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp Cred And Enrollment · (571) 650-2710
NPI enumeratedJanuary 25, 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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