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 1205582087

Privia Medical Group Tennessee LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Mt Juliet, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
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

4998 Crossings Cir Ste 200
Mt Juliet, TN 37122-0018
Phone: (615) 553-5000
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 number1205582087
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 enumeratedMarch 1, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173