Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Privia Medical Group Tennessee LLC

Sports Medicine (Orthopaedic Surgery) Physician in Decherd, TN · enumerated 2021 · authorized official Mary Roller, Associate Director/Enrollment.

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

National Provider Identifier

1578220596

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Registry record

Entity type Organization (Type 2)

Legal business name Privia Medical Group Tennessee LLC

Other name <Unavail>

Practice address 116 Bible Crossing, Decherd, TN, 37324

Phone (571) 982-6636

Enumeration date Nov 24, 2021

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Privia Medical Group Tennessee LLC located?

The practice location on file with NPPES is in Decherd, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-13. Verify at npiregistry.cms.hhs.gov.

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