Frederic S Calloway

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

51659-0925 Issued in TX

Practice address

1705 Martin Luther King Jr Blvd # 75215
Dallas, TX 75215-3222

Phone

(214) 421-4800

NPI assigned

Sep 30, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16728/brand/1/csg/1/fhir/r4

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

• Abounding Prosperity Incorporated

  • General Practice Physician
  • Dallas, TX
  • NPI 1003191750

  Single Specialty

  NPD

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1871467233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MARTIN LUTHER KING JR BLVD # 75215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153222",
            "telephone_number": "214-421-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MARTIN LUTHER KING JR BLVD # 75215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153222",
            "telephone_number": "214-421-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "FREDERIC",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "51659-0925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callewart Chronic Care Management, LLC
• Craig Carter Callewart, M.D.
• Callon Doc
• Charles Calloway
• Emily Taylor Calloway
• Gwendolyn Calloway, RRT
• Latrevor Calloway
• Calm Commotion
• Nina Esther Calmenson
• Calming Horizons Health PLLC

• Peer Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Peer Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.