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Privia Medical Group, LLC

Podiatrist in Springfield, VA · enumerated 2019 · authorized official Courtney Ivess, Associate Director, Credentialing.

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

National Provider Identifier

1225689698

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Registry record

Entity type Organization (Type 2)
Legal business name Privia Medical Group, LLC
Other name <Unavail>
Practice address 6128 Brandon Ave Ste 201, Springfield, VA, 22150
Phone (571) 366-8850
Enumeration date Sep 26, 2019
Last updated in NPPES Mar 11, 2020

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Courtney Ivess
Title Associate Director, Credentialing
Phone (571) 366-8831

Other identifiers

Identifier Type State Issuer
7442750010 Other VA MEDICARE DME

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

Where is Privia Medical Group, LLC located?
The practice location on file with NPPES is in Springfield, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-11.