Organization Active NPI

EMS Team of Tennessee LLC

Doing business as EMS Team

  • Ambulance
  • Nashville, TN
National Provider Identifier
1780496554
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EMS TEAM OF TENNESSEE LLC
Doing business as
EMS Team
Practice address
830 Fesslers Pkwy Ste 111
Nashville, TN 37210-2908
Phone
(800) 735-8190
Fax
(937) 877-1236
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dereck M Pristas
Title
President
Phone
(937) 877-1235

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

830 Fesslers Pkwy Ste 111
Nashville, TN 37210-2908

Mailing address

PO Box 189
Vandalia, OH 45377-0189
Phone (937) 877-1235

Other names 1

  • EMS Team Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502003116 TN Part B Supplier - Ambulance Service Supplier 8426575457 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

830 Fesslers Pkwy
Ste 111
Nashville, TN 37210
Phone (800) 735-8190

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1780496554",
    "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": "937-877-1235",
            "fax_number": "937-877-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FESSLERS PKWY STE 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102908",
            "telephone_number": "800-735-8190",
            "fax_number": "937-877-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS TEAM OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PRISTAS",
        "authorized_official_first_name": "DERECK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-877-1235"
    },
    "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMS Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.