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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACQUELYN AMERA LEWCHALERMWONG M.D.
NPI 1619296340
General Practice in Madison, TN

Active since May 20, 2010
1117 APPLE VALLEY RD, MADISON, TN 37115(310) 953-1919 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Feb 8, 2021 (2 updates tracked since 2021).

About Jacquelyn Amera Lewchalermwong M.d. NPPES

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

JACQUELYN AMERA LEWCHALERMWONG M.D. (NPI 1619296340) is an individual general practice provider in Madison, Tennessee, licensed in California (A118019) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1619296340
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJACQUELYN AMERA LEWCHALERMWONGCredential: M.D.
Location Address1117 APPLE VALLEY RDMadison, TN 37115-2305
Mailing AddressPo Box 645Independence, VA 24348-0645 · (310) 953-1919
Phone(310) 953-1919
Sole ProprietorYes
Enumeration DateMay 20, 2010
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1619296340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A118019
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD-R-8813 (IA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2014-01801 (NC)
1117 APPLE VALLEY RD, Madison, TN 37115
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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 Jacquelyn Lewchalermwong's NPI number?

The NPI number for Jacquelyn Lewchalermwong is 1619296340. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Jacquelyn Lewchalermwong located?

Jacquelyn Lewchalermwong practices at 1117 Apple Valley Rd, Madison, TN 37115. The listed phone number is (310) 953-1919.

What is Jacquelyn Lewchalermwong's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Lewchalermwong was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.