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Privia Medical Group Tennessee LLC

Sports Medicine (Orthopaedic Surgery) Physician in Mt Juliet, TN · enumerated 2022 · authorized official Mary Roller, Associate Director/Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205582087

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Registry record

Entity type Organization (Type 2)
Legal business name Privia Medical Group Tennessee LLC
Other name <Unavail>
Practice address 4998 Crossings Cir Ste 200, Mt Juliet, TN, 37122
Phone (615) 553-5000
Enumeration date Mar 1, 2022
Last updated in NPPES Jul 13, 2022

Taxonomy & classification

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mary Roller
Title Associate Director/Enrollment
Phone (770) 312-5226

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Privia Medical Group Tennessee LLC?
NPPES lists Mary Roller (Associate Director/Enrollment) as the authorized official for this organization.
What is the NPI number for Privia Medical Group Tennessee LLC?
The NPI for Privia Medical Group Tennessee LLC is 1205582087, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-13.