Privia Medical Group, LLC
NPI 1225689698ActiveOrganization· Podiatrist· Springfield, VA
Podiatrist in Springfield, Virginia, registered in NPPES in September 2019. The authorized official on file is Courtney Ainsworth Ivess, Associate Director, Credentialing.
Overview
| NPI | 1225689698 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2019 |
| Last updated in NPPES | Mar 11, 2020 |
| Certified by provider | Mar 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
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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