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Crossgates Family Doctors, LLC

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Company Details

Name: Crossgates Family Doctors, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 05 Oct 2012 (13 years ago)
Business ID: 1009337
ZIP code: 39211
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 19 Highland MeadowsJackson, MS 39211

Agent

Name Role Address
Krooss, William F., II, M D Agent 2001 Airport Road, Suite 204, Flowood, MS 39232

Organizer

Name Role Address
Elizabeth G Hooper Organizer 401 E Capitol Street, Suite 600 PO Box 651, Jackson, MS 39201

Manager

Name Role Address
William F. Krooss II MD Manager 2001 Airport Road Suite 204, Flowood, MS 39232

National Provider Identifier

NPI Number:
1083952246

Authorized Person:

Name:
WILLIAM F KROOSS II
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Reinstatement Filed 2016-06-29 Reinstatement For Crossgates Family Doctors, LLC
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2012-10-05 Formation

OSHA's Inspections within Industry

Inspection Summary

Date:
2016-04-21
Type:
Monitoring
Address:
395 CROSSGATES BLVD SUITE 102, BRANDON, MS, 39042
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2016-02-29
Type:
Complaint
Address:
395 CROSSGATES BLVD. SUITE 102, BRANDON, MS, 39042
Safety Health:
Health
Scope:
Partial

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website