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

Privia Medical Group, LLC

Organization Cardiovascular Disease Physician · NPI 1629830617

Privia Medical Group, LLC provides Cardiovascular Disease Physician services in Glenn Dale, 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.

See every abbreviation used in this directory →

Practice location Address checks out

12200 Annapolis Rd Ste 228
Glenn Dale, MD 20769-9182
Phone: (301) 459-9390
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1629830617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

Other providers in Glenn Dale