Privia Medical Group, LLC is a Otolaryngology Physician (organization) practicing in Leesburg, Virginia. The National Provider Identifier (NPI) is #1306631668, which was assigned on April 9, 2025, and the registration record was last updated on April 9, 2025. The practitioner's main practice location is at 19465 Deerfield Ave Ste 207, Leesburg, VA 20176-1703; the contact telephone number is 7036876001. The primary taxonomy of Privia Medical Group, LLC is Otolaryngology Physician (207Y00000X). The authorized official for Privia Medical Group, LLC is Allison Hennessey (Authorized Official).
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
| NPI | 1306631668 |
| Entity Type | Organization |
| Organization Name | PRIVIA MEDICAL GROUP, LLC |
| Provider Name | PRIVIA MEDICAL GROUP, LLC |
| Practice Address |
19465 Deerfield Ave Ste 207 Leesburg VA 20176-1703 |
| Practice Telephone | 7036876001 |
| Mailing Address |
950 N Glebe Rd Ste 700 Arlington VA 22203-4173 |
| Mailing Telephone | 8009731442 |
| Certification Date | 2025-04-09 |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |
| Is Organization Subpart | N |
| Official Name | ALLISON HENNESSEY |
| Official Title | AUTHORIZED OFFICIAL |
| Telephone | 3042769254 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Privia Medical Group, LLC | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | Internal Medicine Physician | 2025-04-09 |
| Privia Medical Group, LLC | 3025 Hamaker Ct Ste 100, Fairfax, VA 22031-2229 | Cardiovascular Disease Physician | 2025-04-09 |
| Privia Medical Group, LLC | 17341 Melford Blvd Ste L-M, Bowie, MD 20715-4457 | Pediatrics Physician | 2025-10-04 |
| Privia Medical Group, LLC | 101 Fleet St, Rockville, MD 20850-2309 | Internal Medicine Physician | 2025-05-09 |
| Privia Medical Group, LLC | 9 Saint Paul St Ste 3, Boonsboro, MD 21713-1334 | Physician Assistant | 2025-07-08 |
| Privia Medical Group, LLC | 6100 Executive Blvd Ste 300, Rockville, MD 20852-3913 | Internal Medicine Physician | 2025-10-04 |
| Privia Medical Group, LLC | 8401 Connecticut Ave Ste 200-01, Chevy Chase, MD 20815-5803 | Pediatric Nurse Practitioner | 2025-04-09 |
| Privia Medical Group, LLC | 1880 Howard Ave Ste 202, Vienna, VA 22182-2611 | Physician Assistant | 2025-04-09 |
| Privia Medical Group, LLC | 7525 Greenway Center Dr Ste 312, Greenbelt, MD 20770-3525 | Internal Medicine Physician | 2025-04-09 |
| Privia Medical Group, LLC | 2800 S Shirlington Rd Ste 300, Arlington, VA 22206-3623 | Cardiovascular Disease Physician | 2025-04-09 |
| Find all providers with the same name | |||
| Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| Classification | Otolaryngology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Forsyth Medical Group LLC | 1994 Wellness Blvd Ste 210, Monroe, NC 28110-7768 | Otolaryngology Physician | 2025-08-28 |
| Aesthetic Institute of Oklahoma PLLC | 4509 Integris Pkwy Ste 350, Edmond, OK 73034-8696 | Otolaryngology Physician | 2025-08-01 |
| Morgan Beck | 108 Cowpath Rd Ste 2, Lansdale, PA 19446-1152 | Otolaryngology Physician | 2025-10-09 |
| Medlegal Teams Khavkin Md PLLC | 5380 S Rainbow Blvd Ste 306, Las Vegas, NV 89118-1880 | Otolaryngology Physician | 2025-09-24 |
| Vienne Metoyer Brown | 1800 Peachtree St Nw Ste 400, Atlanta, GA 30309-2514 | Otolaryngology Physician | 2025-10-06 |
| Lifebridge Community Physicians Inc | 215 Schilling Cir Ste 110, Hunt Valley, MD 21031-1112 | Otolaryngology Physician | 2025-06-27 |
| Lifebridge Community Physicians Inc | 1954 Greenspring Dr, Timonium, MD 21093-4111 | Otolaryngology Physician | 2025-06-27 |
| Greater Baltimore Medical Center, Inc. | 6569 N Charles St Ste 402, Baltimore, MD 21204-5814 | Otolaryngology Physician | 2025-08-07 |
| Shadi Shinnawi | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | Otolaryngology Physician | 2025-07-14 |
| Ibtisam Mohammad | 1120 15th St # Bp-4109, Augusta, GA 30912-0006 | Otolaryngology Physician | 2025-06-26 |
| Find all providers with the same taxonomy | |||
| Street Address |
19465 DEERFIELD AVE STE 207 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-1703 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Atiyeh Emam | 44135 Woodridge Parkway, Suite 280, Leesburg, VA 20176 | General Practice Dentistry | 2006-01-03 |
| Kaie Manor | 211 Gibson Street, Nw, Suite 215, Leesburg, VA 20176-2115 | Family Nurse Practitioner | 2025-02-26 |
| Karen Ann Mazzara | 44084 Riverside Pkwy #240, Leesburg, VA 20176 | Professional Counselor | 2006-11-21 |
| Myeyedr Optometry of Virginia, PLLC | 617 Potomac Station Dr Ne Ste A, Leesburg, VA 20176-1817 | Optometrist | 2025-06-26 |
| Riverside Couseling Center | 44084 Riverside Parkway 240, Leesburg, VA 20176 | Psychiatry Physician | 2007-01-03 |
| Nadia Ramadhin | 224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2017 | Speech-Language Pathologist | 2019-07-03 |
| The Williams Center for Health and Community Education | 211 Gibson St Nw Ste 123, Leesburg, VA 20176-2115 | Addiction (Substance Use Disorder) Counselor | 2025-06-02 |
| Clifford C Souder | 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 | Physician Assistant | 2008-02-06 |
| Craig Ernest Vigliante | 19440 Golf Vista Plaza, Ste 130, Leesburg, VA 20176 | Oral & Maxillofacial Surgery (D.M.D.) | 2006-11-07 |
| Atiyeh Emam Dds PLLC | 44135 Woodridge Pkwy Ste 280, Lansdowne, VA 20176-1244 | Customized Equipment (DME) | 2025-06-05 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | 410 Park Pl Ste A, Mishawaka, IN 46545-3557 | Family Medicine Physician | 2006-09-15 |
| Privia Medical Group Indiana, LLC | 2115 W Lexington Ave, Elkhart, IN 46514-1423 | Family Medicine Physician | 2009-04-06 |
| Privia Medical Group Indiana, LLC | 410 Park Pl, Suite B, Mishawaka, IN 46545-3557 | Multi-Specialty Clinic/Center | 2008-04-22 |
| Privia Medical Group Arizona, LLC | 111 W Cedar Ln Ste A, Payson, AZ 85541-5417 | Family Medicine Physician | 2008-02-25 |
| Hand and Orthopedic Medical Associates, A Professional Medical Corpora | 8555 Florence Ave, Downey, CA 90240-4014 | Orthopaedic Hand Surgery Physician | 2024-07-10 |
| Privia Medical Group Indiana, LLC | 100 N. Elkhart St, Wakarusa, IN 46573 | Family Nurse Practitioner | 2023-06-15 |
| Privia Medical Group Indiana, LLC | 2222 W Lexington Ave, Suite B, Elkhart, IN 46514-1420 | Multi-Specialty Clinic/Center | 2016-10-18 |
| Privia Medical Group Arizona, LLC | 3815 E Bell Rd Ste 4500, Phoenix, AZ 85032-2171 | Pain Medicine (Anesthesiology) Physician | 2006-03-22 |
| Privia Medical Group Washington, PLLC | 905 E D St, Deer Park, WA 99006-5167 | Rural Health Clinic/Center | 2025-02-12 |
| Privia Medical Group Indiana, LLC | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | Ophthalmology Physician | 2015-11-05 |
Do you have more infomration about Privia Medical Group, LLC? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |