Privia Medical Group, LLC
NPI 1154961316ActiveOrganization· Family Medicine· Aldie, VA
Family Medicine in Aldie, Virginia, registered in NPPES in January 2020. The authorized official on file is Courtney Ainsworth Ivess, Associate Director, Credentialing.
Overview
| NPI | 1154961316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Mar 11, 2020 |
| Certified by provider | Mar 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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