Jeannie Sejin Lee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011232 Issued in VA

Practice address

5501 Backlick Rd Ste 105
Springfield, VA 22151-3940

Phone

(703) 564-5998

NPI assigned

Jan 14, 2025

Last updated

Oct 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unity Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1093894172
  Medicare reassignment Care Compare group NPD
• Unity Health Care Inc.

  dba Unity Health Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1346014412
  NPD
• Unity Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1801935234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1427869171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD STE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513940",
            "telephone_number": "703-564-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD STE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513940",
            "telephone_number": "703-564-5998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Galen St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204913",
            "country_code": "US",
            "telephone_number": "202-469-4699",
            "fax_number": "202-610-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEANNIE",
        "middle_name": "SEJIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011232",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "200002263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herve Leboeuf III, LIFE COACH
• Scot Lebolt, M.D,
• Danielle I Ledesma
• Mechelle Ledwith, FNP-BC
• Dezera Lee
• Kie D. Lee, DDS
• Ko Eun Lee
• Kyung Hyun Lee
• Seounghee Lee
• W.S. Maggie Lee, DDS

• Physician Assistant in Springfield, VA
• Providers in Springfield, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.