Tracie Shenelle Calloway-Lawson, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-8026 Issued in AR

Practice address

4503 Texas Blvd
Texarkana, TX 75503-3026

Phone

(903) 792-4003

Fax

(903) 792-2230

NPI assigned

May 1, 2010

Last updated

Apr 3, 2020By 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

Other names 1

• Dr. Tracie Shenelle Calloway Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Burns Professional Office

  • Pediatrics Physician
  • Texarkana, TX
  • NPI 1578866547
  NPD (past)

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1629395520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033026",
            "telephone_number": "903-792-4003",
            "fax_number": "903-792-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033026",
            "telephone_number": "903-792-4003",
            "fax_number": "903-792-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOWAY-LAWSON",
        "first_name": "TRACIE",
        "middle_name": "SHENELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-01",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7404",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "CALLOWAY",
            "middle_name": "SHENELLE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caleb Cain, APRN, FNP-C
• Kaylee Marie Cain, M.S., CCCC-SLP
• Christine Ann Caldwell, PTA
• Lance Raymond Calhoon, RPH
• California Emergency Physc Med GRP (CEPAmerica)
• Garrett W Camp, FNP-C
• D Scott Campanini, M.D.
• Yesenia Canciobello, CRNA
• Amy M Cannon, APRN, FNP-C
• Karen Cannon, LPC

• Pediatrics Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.