Privia Medical Group Tennessee LLC
NPI 1992462923ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Clarksville, TN
Orthopaedic Surgery, Sports Medicine in Clarksville, Tennessee, registered in NPPES in November 2021. The authorized official on file is Mary Roller, Associate Director/Enrollment. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1992462923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2021 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
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) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (TN) |
|---|
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