Organization · Type 2 NPI

Privia Medical Group Tennessee LLC

Sports Medicine (Orthopaedic Surgery) Physician · Mount Juliet, TN

NPI number 1205582087 Active

Practice location

4998 Crossings Cir Ste 200
Mount Juliet, TN 37122-0018

Call (615) 553-5000 Map

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

5 other providers at this address

NPI record

NPI: 1205582087
Entity type: Organization (Type 2)
Issued: Mar 1, 2022
Last updated: Jul 13, 2022
Status: Active

Other names

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Sports Ortho Urgent Care · doing business as
Sports Ortho Urgent Care · doing business as

Authorized official

Mary Roller
Associate Director/enrollment
(770) 312-5226

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205582087

Privia Medical Group Tennessee LLC's National Provider Identifier is 1205582087, issued on Mar 1, 2022. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Mount Juliet, TN. The record was last updated on Jul 13, 2022.