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NPI · 1093474769 · NPPES-sourced

Privia Medical Group Tennessee LLC

ActiveOrthopaedic Sports Medicine
NPI Number
1093474769
Type 2 · Organisation
Taxonomy Code
207XX0005X
Contact
(571) 982-6636
Primary practice line
Last Updated
About 3 years ago (Jul 2022)
Enumerated 2021-12-10
Primary practice addressTN · 37129-5106
2113 Memorial BlvdMurfreesboro, TN 37129-5106
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About this NPIWhat this record shows.

NPI 1093474769 is registered to Privia Medical Group Tennessee LLC, a healthcare organisation classified as "Orthopaedic Sports Medicine" and located at 2113 Memorial Blvd in Murfreesboro, Tennessee. The organisation's authorised official is Mary Roller. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2021-12-10
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Privia Medical Group Tennessee LLC accepts. To confirm in-network status with your specific health plan, contact Privia Medical Group Tennessee LLC directly at (571) 982-6636.

Frequently asked

Yes. NPI 1093474769 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Orthopaedic Sports Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (571) 982-6636.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Privia Medical Group Tennessee LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207XX0005X
Last updated2022-07
Enumerated2021-12-10
StatusActive
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