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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIVIA MEDICAL GROUP, LLC

Active Organization

PRIVIA MEDICAL GROUP, LLC is a Family Medicine organization located in WALDORF, Maryland. NPI 1720872054 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WALDORF, MD

Registration Details

NPI Number
1720872054
Provider Type
Organization
NPI Issued
Apr 9, 2025 (1.349741022843 yrs)
Last Updated
Jan 27, 2026

Practice Information

Address
12101 OLD LINE CTR
WALDORF, MD, 206022552
Browse MD providers · Browse ZIP 20602
Phone
3016380001
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant
Additional Specialty
Family Medicine

Other Family Medicine Organizations in WALDORF, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.