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

Privia Medical Group, LLC

Organization Pediatric Adolescent Medicine Physician · NPI 1710749387

Privia Medical Group, LLC provides Pediatric Adolescent 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

1161 Omega Dr Ste 100
Hagerstown, MD 21740-5574
Phone: (301) 393-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1710749387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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