Active NPI
Medstat EMS Inc
- Ambulance
- Winona, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 244
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000550460 | Medicaid | MS | |
| 1514438 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080424000782 | MS | Part B Supplier - Ambulance Service Supplier | 0840378295 | Practice locations: Winona, MS; Starkville, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2209151 | Medstat EMS | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.