Jacquelyn Amera Lewchalermwong, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A118019 Issued in CA

Practice address

1117 Apple Valley Rd
Madison, TN 37115-2305

Phone

(310) 953-1919

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1619296340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243480645",
            "telephone_number": "310-953-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 APPLE VALLEY RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152305",
            "telephone_number": "310-953-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWCHALERMWONG",
        "first_name": "JACQUELYN",
        "middle_name": "AMERA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-01801",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A118019",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-R-8813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Jo Leonard, CF-SLP
• Sarah Rose Leonovicz
• David K Lepard, B.A.
• Leta Kant
• John M Levoy, MD
• Candyletta Shaunte Lewis
• Jennifer L Lewis, PHARM. D
• Krystal Lewis, LPC, LCDC, MAC, SAP
• Liberty EMS.Inc
• Randy Lillard Jr.

• General Practice Physician in Madison, TN
• Providers in Madison, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.