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Privia Medical Group, LLC

Foot & Ankle Surgery Podiatrist in Falls Church, VA · enumerated 2019 · authorized official Courtney Ivess, Associate Director, Credentialing.

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

National Provider Identifier

1558919134

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Registry record

Entity type Organization (Type 2)
Legal business name Privia Medical Group, LLC
Practice address 104a E Broad St Ste A, Falls Church, VA, 22046
Enumeration date Aug 28, 2019
Last updated in NPPES Aug 28, 2019

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary
261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Courtney Ivess
Title Associate Director, Credentialing

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 Falls Church, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-08-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-28.