Active NPI
EMS Team of Tennessee LLC
Doing business as EMS Team
- Ambulance
- Nashville, TN
National Provider Identifier
1780496554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502003116 | TN | Part B Supplier - Ambulance Service Supplier | 8426575457 | Practice locations: Nashville, TN |
National Provider Directory
National Provider DirectoryMember 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.