Organization Active NPI

Medstat EMS Inc

  • Ambulance
  • Winona, MS
National Provider Identifier
1770533176
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
244 Issued in MS
Legal business name
MEDSTAT EMS INC
Practice address
506 N Applegate St
Winona, MS 38967-1829
Phone
(662) 283-8905
NPI assigned
May 10, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Brian Scott Tierney
Title
Evp, Chief Financial Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 244 MS Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

506 N Applegate St
Winona, MS 38967-1829

Mailing address

PO Box 198408
Atlanta, GA 30384-8408
Phone (800) 913-9106

Other identifiers 2

IdentifierTypeStateIssuer
000550460MedicaidMS
1514438MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000782 MS Part B Supplier - Ambulance Service Supplier 0840378295 Practice locations: Winona, MS; Starkville, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2209151Medstat EMS506 N Applegate Street, Winona, MS 38967Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

406 Chestnut St
Aberdeen, MS 39730
Phone (662) 319-9072

60002 Ritter Rd
Amory, MS 38821
Phone (662) 256-1517

309 Highway 51 N
Batesville, MS 38606
Phone (662) 561-0166

1515 Lasalle St
Greenwood, MS 38930
Phone (662) 455-7724

108 S Front St
Winona, MS 38967
Phone (662) 283-1110

506 N Applegate St
Winona, MS 38967
Phone (662) 283-1110

655 Middleton Rd
Winona, MS 38967
Phone (662) 283-1100

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1770533176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848408",
            "telephone_number": "800-913-9106",
            "fax_number": "330-384-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N APPLEGATE ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389671829",
            "telephone_number": "662-283-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "244",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000550460",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514438",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.