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

Privia Medical Group Tennessee LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1023775038

Privia Medical Group Tennessee LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Lawrenceburg, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
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

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone: (571) 982-6636
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1023775038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Roller — Associate Director/ Enrollment · (770) 312-5226
Other names Sports Ortho Urgent Care; Sports Ortho Urgent Care
NPI enumeratedNovember 24, 2021
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address950 N Glebe Rd Ste 400, Arlington, VA 22203-1824

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