Privia Medical Group, Llc

LBN: Privia Medical Group, Llc
Privia Medical Group, Llc is an health care organization with primary practice located at 104A E Broad St Ste A , Falls Church VA 22046-4501. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Privia Medical Group, Llc can be contacted via phone (703) 237-1555, or through Ivess, Courtney Ainsworth via phone (571) 366-8831.

Contact Information

Primary practice address
104A E Broad St Ste A Falls Church VA 22046-4501
Phone: (703) 237-1555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ivess, Courtney Ainsworth
Phone: (571) 366-8831

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1558919134
LBN Legal business name Privia Medical Group, Llc
DBA Doing business as
Authorized official Ivess, Courtney Ainsworth
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2019
Last updated Aug 28th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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