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New Wave Internal Medicine Clinic, PLLC

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Company Details

Name: New Wave Internal Medicine Clinic, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 28 Feb 2013 (12 years ago)
Business ID: 1016574
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 1135 Ocean Springs RoadOcean Springs, MS 39564

Agent

Name Role Address
Burrow, Stephen W Agent 711 Delmas Avenue, Pascagoula, MS 39567

Organizer

Name Role Address
Stephen W Burrow Organizer 711 Delmas AveP O Box 1407, Pascagoula, MS 39567

Member

Name Role Address
Amber Colville MD Member 1135 Ocean Springs Road, Ocean Springs, MS 39564
Stephen W. Burrow Member 711 Delmas Avenue, Pascagoula, MS 39567

National Provider Identifier

NPI Number:
1891138509

Authorized Person:

Name:
AMBER D COLVILLE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2288756696

Form 5500 Series

Employer Identification Number (EIN):
462196612
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-02 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2024-01-18 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2024-01-15 Annual Report For New Wave Internal Medicine Clinic, PLLC
Registered Agent Change of Address Filed 2023-01-24 Agent Address Change For Burrow, Stephen W
Annual Report LLC Filed 2023-01-17 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2022-03-02 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2021-01-19 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2020-02-18 Annual Report For New Wave Internal Medicine Clinic, PLLC
Annual Report LLC Filed 2019-04-04 Annual Report For New Wave Internal Medicine Clinic, PLLC
Registered Agent Change of Address Filed 2019-04-04 Agent Address Change For Burrow, Stephen W

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
65200.00
Total Face Value Of Loan:
65200.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
65200
Current Approval Amount:
65200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
65629.23

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Date of last update: 13 May 2025

Sources: Company Profile on Mississippi Secretary of State Website