Privia Medical Group Tennessee Llc - Medicare Primary Care in Nashville, TN

Privia Medical Group Tennessee Llc is a medicare enrolled primary clinic (Family Medicine) in Nashville, Tennessee. The current practice location for Privia Medical Group Tennessee Llc is 1 Vantage Way Ste C240, Nashville, Tennessee. For appointments, you can reach them via phone at (571) 982-6636. The mailing address for Privia Medical Group Tennessee Llc is 950 N Glebe Rd Ste 700, Arlington, Virginia and phone number is (571) 982-6636.

Privia Medical Group Tennessee Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376110858. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (571) 982-6636.

Contact Information

Privia Medical Group Tennessee Llc
1 Vantage Way Ste C240
Nashville
TN 37228-1580
(571) 982-6636
(240) 696-1353

Map and Direction


Primary Care Clinic Profile

Full NamePrivia Medical Group Tennessee Llc
SpecialityFamily Medicine
Location1 Vantage Way Ste C240, Nashville, Tennessee
Authorized Official Name and PositionMary Roller (ASSOCIATE DIRECTOR/ENROLLMENT)
Authorized Official Contact7703125226
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Privia Medical Group Tennessee Llc
950 N Glebe Rd Ste 700
Arlington
VA 22203-4173

Ph: (571) 982-6636
Privia Medical Group Tennessee Llc
1 Vantage Way Ste C240
Nashville
TN 37228-1580

Ph: (571) 982-6636

NPI Details:

NPI Number1376110858
Provider Enumeration Date06/04/2021
Last Update Date08/16/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0547667552
Medicare Enrollment IDO20210917001131

Medical Identifiers

Medical identifiers for Privia Medical Group Tennessee Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376110858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Privia Medical Group Tennessee Llc acts as a billing entity for following providers:
Provider NameCharles R Kaelin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861469017
PECOS PAC ID: 3375440340
Enrollment ID: I20031217000657
Provider NameJulie C Stinson-reynolds
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598723645
PECOS PAC ID: 9739081100
Enrollment ID: I20040126000154
Provider NameWalter E Stephens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205878220
PECOS PAC ID: 2769470855
Enrollment ID: I20040505001703
Provider NameTammy L Mcgee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497700132
PECOS PAC ID: 8628037629
Enrollment ID: I20041006000243
Provider NameFrederick R Yarid
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508865205
PECOS PAC ID: 8820067028
Enrollment ID: I20041028001029
Provider NameAdejoke F. Aina-babalola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669556148
PECOS PAC ID: 8426013376
Enrollment ID: I20041119001020
Provider NameJessica M Ruffin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972514578
PECOS PAC ID: 8123085305
Enrollment ID: I20050221000189
Provider NameJason A Colinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609829241
PECOS PAC ID: 6709820160
Enrollment ID: I20050616000151
Provider NameKeith D Nord
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1033180948
PECOS PAC ID: 8921992835
Enrollment ID: I20051110000270
Provider NameRebecca A Walker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871642090
PECOS PAC ID: 9739199076
Enrollment ID: I20060504000014
Provider NameMichael Lee Stack
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316943301
PECOS PAC ID: 9032120829
Enrollment ID: I20060508000817
Provider NameJames E Seeley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568448736
PECOS PAC ID: 8224041298
Enrollment ID: I20060714000097
Provider NameJason Boylan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538116561
PECOS PAC ID: 3375546815
Enrollment ID: I20060822000608
Provider NameBryan D Chastain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023019429
PECOS PAC ID: 4880683325
Enrollment ID: I20080424000747
Provider NameKatie E Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023046794
PECOS PAC ID: 7618983701
Enrollment ID: I20081029000862
Provider NameBradley Dobner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427280221
PECOS PAC ID: 1759427693
Enrollment ID: I20091007000606
Provider NameDavid Sparks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033116488
PECOS PAC ID: 7911092432
Enrollment ID: I20100218000117
Provider NameSean B Kaminsky
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528030541
PECOS PAC ID: 7113002742
Enrollment ID: I20100331000008
Provider NameMarc A Mickiewicz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710074828
PECOS PAC ID: 3678601713
Enrollment ID: I20100511000052
Provider NameRoger N Passmore
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861482259
PECOS PAC ID: 9234216789
Enrollment ID: I20100629000462
Provider NameElizabeth S Meier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649501008
PECOS PAC ID: 9931233285
Enrollment ID: I20100823000380
Provider NameWilliam Bradford Brock
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023195807
PECOS PAC ID: 2163546151
Enrollment ID: I20100827000165
Provider NameJeffrey S Peterson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669689949
PECOS PAC ID: 4880731017
Enrollment ID: I20100928000641
Provider NameShevonda T Sherrow
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790701936
PECOS PAC ID: 4688679418
Enrollment ID: I20110809000017
Provider NameDawn L Bruni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730389743
PECOS PAC ID: 9234216136
Enrollment ID: I20120305000419
Provider NameJonathan B Geach
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1881871283
PECOS PAC ID: 4284768193
Enrollment ID: I20120529000209
Provider NameElizabeth A Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346509767
PECOS PAC ID: 8729242805
Enrollment ID: I20120621000506
Provider NameThomas I Babcock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164579967
PECOS PAC ID: 8729156443
Enrollment ID: I20130723000177
Provider NameWilliam Evan Kelley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922448786
PECOS PAC ID: 8820231970
Enrollment ID: I20130821000678
Provider NameSavita Fanta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750608113
PECOS PAC ID: 3971722083
Enrollment ID: I20140922001449
Provider NameMaxwell Emery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386043321
PECOS PAC ID: 3577783711
Enrollment ID: I20141009002502
Provider NameAlexandra Lynn Roberts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265844732
PECOS PAC ID: 6709007537
Enrollment ID: I20141021001040
Provider NameHalle Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740610609
PECOS PAC ID: 5890011506
Enrollment ID: I20150223001726
Provider NameEdmund D Hadley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871859819
PECOS PAC ID: 7012233968
Enrollment ID: I20150311002244
Provider NameSara Anne M Davidson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437539293
PECOS PAC ID: 9931412251
Enrollment ID: I20150715002413
Provider NameMelissa Ann Chittum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548652548
PECOS PAC ID: 1759699341
Enrollment ID: I20150930003406
Provider NameJamie Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235518697
PECOS PAC ID: 5799085643
Enrollment ID: I20151124002547
Provider NameNicole Huffman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295108439
PECOS PAC ID: 2264735406
Enrollment ID: I20160122000724
Provider NameEdward E Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518412105
PECOS PAC ID: 3779871017
Enrollment ID: I20161019001603
Provider NameJennifer M Law
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780855395
PECOS PAC ID: 2769384775
Enrollment ID: I20161027001438
Provider NameAngela L Barham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538471164
PECOS PAC ID: 8628200755
Enrollment ID: I20170919002671
Provider NameSravani V Mehta
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1902127582
PECOS PAC ID: 5395967400
Enrollment ID: I20170921001656
Provider NameJennifer C Dyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194246876
PECOS PAC ID: 2163782160
Enrollment ID: I20180213001965
Provider NameRyan Edward Griesenauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346773413
PECOS PAC ID: 3678820511
Enrollment ID: I20180723003477
Provider NameMicah T Allison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639651540
PECOS PAC ID: 0345584843
Enrollment ID: I20181211001589
Provider NameChristopher James Moberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457804130
PECOS PAC ID: 1557609146
Enrollment ID: I20190206000937
Provider NameJennifer A Dubois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629562277
PECOS PAC ID: 8325386147
Enrollment ID: I20190220001693
Provider NameAnne A Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437624293
PECOS PAC ID: 6406195163
Enrollment ID: I20190225002781
Provider NameDavid Neblett
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1720466741
PECOS PAC ID: 3375870355
Enrollment ID: I20190814000921
Provider NameJessica D Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124687785
PECOS PAC ID: 7416286547
Enrollment ID: I20190913002873
Provider NameJosh Drew Lowry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134441298
PECOS PAC ID: 1951632124
Enrollment ID: I20191021000188
Provider NameBrett Koehn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669981080
PECOS PAC ID: 0042576266
Enrollment ID: I20200301000004
Provider NameRachel Wingers Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255974556
PECOS PAC ID: 0446680011
Enrollment ID: I20200422001339
Provider NameJeremy J Stojakovich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487135281
PECOS PAC ID: 4183977960
Enrollment ID: I20200604001601
Provider NameMeagan Lyn Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104433192
PECOS PAC ID: 5799105375
Enrollment ID: I20201020003736
Provider NameAlicia C Lippard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881231074
PECOS PAC ID: 7113337072
Enrollment ID: I20201104000240
Provider NameTaylor W Riley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700206422
PECOS PAC ID: 5698995371
Enrollment ID: I20201119000072
Provider NameKeaton Allmaras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659972479
PECOS PAC ID: 7315359759
Enrollment ID: I20201209001164
Provider NameJoshua Hartless
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316588320
PECOS PAC ID: 4688086846
Enrollment ID: I20201210003177
Provider NameLauren Elizabeth Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538642178
PECOS PAC ID: 3971916016
Enrollment ID: I20210108000653
Provider NameChariti Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487164901
PECOS PAC ID: 7113331638
Enrollment ID: I20210125001574
Provider NameAshlan Snyder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003418567
PECOS PAC ID: 0749694123
Enrollment ID: I20210126001752
Provider NameJulie Simpkins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770101339
PECOS PAC ID: 7012324791
Enrollment ID: I20210324002552
Provider NameTiffany La Com
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740838580
PECOS PAC ID: 3274941778
Enrollment ID: I20210422001000
Provider NameKaitlyn Connor Matheney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689242463
PECOS PAC ID: 4284030073
Enrollment ID: I20210901004281
Provider NameLeanne M Reagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336810381
PECOS PAC ID: 2769871128
Enrollment ID: I20211105001658
Provider NameMelissa Malley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679636146
PECOS PAC ID: 7214028836
Enrollment ID: I20211130001177
Provider NameCami Elizabeth Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497413074
PECOS PAC ID: 4587058318
Enrollment ID: I20220222000068
Provider NameHolland Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396491817
PECOS PAC ID: 6608262753
Enrollment ID: I20220330000517
Provider NameCalvin Reed Fesler
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1285169136
PECOS PAC ID: 0840679379
Enrollment ID: I20220614000499
Provider NameKyndall Petry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134875842
PECOS PAC ID: 7113301623
Enrollment ID: I20220901001885
Provider NameKennedi Louth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427703594
PECOS PAC ID: 6507240801
Enrollment ID: I20220906002530
Provider NameMaddison Blair Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053873083
PECOS PAC ID: 3476920612
Enrollment ID: I20221101002288
Provider NameRobert Victor Peck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780350223
PECOS PAC ID: 9436554797
Enrollment ID: I20230103001529
Provider NameGraylin Clare Benusches
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821722968
PECOS PAC ID: 7012387277
Enrollment ID: I20230104000792
Provider NameMargaux Guysinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093486797
PECOS PAC ID: 7214334465
Enrollment ID: I20230510002750
Provider NameStuart Cox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134540735
PECOS PAC ID: 2365730637
Enrollment ID: I20230530002053
Provider NameCaroline Berry
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1770284846
PECOS PAC ID: 8022475268
Enrollment ID: I20230605000421
Provider NameAmanda Dee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295479350
PECOS PAC ID: 0547648115
Enrollment ID: I20230711002787
Provider NameQumara Hill-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871906024
PECOS PAC ID: 5597987594
Enrollment ID: I20230824003689
Provider NameFernando Porter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669785770
PECOS PAC ID: 0941435986
Enrollment ID: I20230831003908
Provider NameMary Elizabeth Butts
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982260758
PECOS PAC ID: 0547624074
Enrollment ID: I20230915001962
Provider NameEthan Cole Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174093090
PECOS PAC ID: 7315287083
Enrollment ID: I20231012000828
Provider NameChristina Schrack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861891566
PECOS PAC ID: 5092024711
Enrollment ID: I20231031001441
Provider NameMelanie Lieblang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508392952
PECOS PAC ID: 2365714995
Enrollment ID: I20231103002933
Provider NameKatherine J Flaugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619458221
PECOS PAC ID: 5698008316
Enrollment ID: I20231110000909
Provider NameShishir Kumar Khetan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861497372
PECOS PAC ID: 9335199017
Enrollment ID: I20231113003277
Provider NameJohnie Staton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114665528
PECOS PAC ID: 5597144493
Enrollment ID: I20240530001057

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.