Organization Active NPI

EMS Team of Georgia LLC

  • Ambulance
  • Vandalia, OH
National Provider Identifier
1093636284
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EMS TEAM OF GEORGIA LLC
Practice address
3501 Hangar Dr
Vandalia, OH 45377-1056
Phone
(937) 877-1235
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Dereck Pristas
Title
President
Phone
(937) 949-4611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

3501 Hangar Dr
Vandalia, OH 45377-1056

Mailing address

PO Box 189
Vandalia, OH 45377-0189
Phone (937) 949-4611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1093636284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453770189",
            "telephone_number": "937-949-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HANGAR DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771056",
            "telephone_number": "937-877-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS TEAM OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "PRISTAS",
        "authorized_official_first_name": "DERECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-949-4611"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.