JCA MEDICAL ASSOCIATES LLC
NPI 1124859665
Nurse Practitioner - Primary Care in Germantown, MD

Q: What is Jca Medical Associates LLC's NPI number?

The NPI number for Jca Medical Associates LLC is 1124859665. It was assigned to this organization in the NPPES registry on August 7, 2024.

Q: What is Jca Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 07, 2024CLIA 21D2329432 · Waiver

12401 MIDDLEBROOK RD STE 170, GERMANTOWN, MD 20874(240) 203-8820(240) 349-7832 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 15, 2025, May 23, 2025, Jan 6, 2025 and 1 more (4 updates tracked since 2024).

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About Jca Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JCA MEDICAL ASSOCIATES LLC (NPI 1124859665) is a healthcare organization registered as a primary care in Germantown, Maryland and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through August 27, 2027, maintains a secondary practice location in Germantown, and lists Baekcheol Lee, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124859665

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameJCA MEDICAL ASSOCIATES LLC

Location Address12401 MIDDLEBROOK RD STE 170Germantown, MD 20874-1522

Mailing Address12401 Middlebrook Rd Ste 170Germantown, MD 20874-1522 · (240) 203-8820 · Fax (240) 203-8820

Phone(240) 203-8820

Fax(240) 349-7832

Organization SubpartNo

Authorized OfficialBaekcheol LeeNurse Practitioner · (240) 888-6512

Enumeration DateAugust 7, 2024

Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1124859665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

12401 MIDDLEBROOK RD STE 170, Germantown, MD 20874

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Secondary Practice Location 1

Location 119537 Doctors Dr Ste 1BGermantown, MD 20874-5262 · Phone (240) 888-1118 · Fax (240) 349-7832

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2329432

Jca Medical Associates LLC · Germantown, MD

Active · expires Aug 27, 2027

CLIA Number21D2329432

Laboratory TypePhysician Office

Certificate Effective DateAugust 28, 2025

Certificate Expiration DateAugust 27, 2027

Laboratory DirectorBaekcheol Lee

Laboratory Phone(240) 203-8820

Laboratory LocationJca Medical Associates LLC12401 Middlebrook Rd #170, Germantown, MD 20874

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAEKCHEOL LEE NP

Nurse Practitioner (Family)

12401 MIDDLEBROOK RD STE 170
GERMANTOWN, MD 20874

Montgomery County (240) 203-8820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jca Medical Associates LLC's NPI number?

The NPI number for Jca Medical Associates LLC is 1124859665. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Jca Medical Associates LLC located?

Jca Medical Associates LLC is located at 12401 Middlebrook Rd Ste 170, Germantown, MD 20874. The listed phone number is (240) 203-8820.

What is Jca Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Jca Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2329432) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jca Medical Associates LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.