Privia Medical Group North Texas – Orthopaedic Surgery Physician, NPI 1184491540

Privia Medical Group North Texas is a healthcare provider. based in Fort worth, Texas. specializing in Orthopaedic Surgery Physician. The NPI Number for Privia Medical Group North Texas is 1184491540

Main info

Organization
Name
Privia Medical Group North Texas
NPI
1184491540
Phone
(817) 740-8400
Address
PO BOX 961205
Authorized Official
LARRY D TATUM CEO MD
Enumeration Date
6 December 2023
Last Update Date
6 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Privia Medical Group North Texas

  • PO BOX 961205

    FORT WORTH, TX 761610205

    Phone: (817) 740-8400

    Fax: (817) 378-3699

    Type: Mailing

  • 1711 MARTIN DR STE 200

    WEATHERFORD, TX 760866738

    Phone: (817) 335-4316

    Fax: (817) 338-0342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76161)

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Reviews

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Frequently asked questions

Where can patients find Privia Medical Group North Texas's NPI?
You can confirm Privia Medical Group North Texas with NPI 1184491540; it appears in the national provider directory.
Is Privia Medical Group North Texas active in the national directory?
Privia Medical Group North Texas's public NPI profile is in an active state.
Does Privia Medical Group North Texas list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for Privia Medical Group North Texas. Clinical services aligned with this taxonomy classification.
Where is Privia Medical Group North Texas's primary listing?
We display Fort Worth, Texas because that is what the record indicates for Privia Medical Group North Texas.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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