NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medistat Group Associates, Inc.

Adult Medicine Physician in Desoto, TX · enumerated 2006 · authorized official Teri Shipman, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376565341

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Medistat Group Associates, Inc.
Practice address 2617 Bolton Boone Dr, Suite B, Desoto, TX, 75115
Phone (972) 709-1781
Fax (972) 709-1782
Enumeration date Jul 25, 2006
Last updated in NPPES Oct 5, 2008

Taxonomy & classification

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Primary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
225B00000X Pulmonary Function Technologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2278P1005X Pulmonary Rehabilitation Certified Respiratory Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License G6955 (TX) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Teri Shipman
Title Office Manager
Phone (972) 709-1781

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-05. Verify at npiregistry.cms.hhs.gov.
Where is Medistat Group Associates, Inc. located?
The practice location on file with NPPES is in Desoto, TX.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-05.