Individual provider Active NPI

Stan Mepurath Philip, PA-C

  • Physician Assistant
  • Rockwall, TX
National Provider Identifier
1780234096
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13090 Issued in TX
Practice address
2235 S Goliad St Ste 110
Rockwall, TX 75032-4903
Phone
(469) 495-9142
NPI assigned
Sep 18, 2019
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13090 TX Primary

Addresses

Primary practice location

2235 S Goliad St Ste 110
Rockwall, TX 75032-4903

Mailing address

2235 S Goliad St Ste 110
Rockwall, TX 75032-4903

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sphilip551086@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002713 TX Practitioner - Physician Assistant 8820422298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
STUDENTTXMDGeneral Practice Dentistry
PA13090TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Single Specialty Current Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2020 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 1, 2022 Accepting new patients
Texas Health Urgent Care Single Specialty Current Accepting new patients
Texas Health Urgent Care Single Specialty CurrentSince Dec 1, 2022 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: sphilip551086@direct.texashealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1780234096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S GOLIAD ST STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S GOLIAD ST STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324903",
            "telephone_number": "469-495-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "STAN",
        "middle_name": "MEPURATH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sphilip551086@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2235 S Goliad St Ste 110",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750324903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.