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Madison Physician Surgery Center, LLC

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Company Details

Name: Madison Physician Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 May 2013 (12 years ago)
Business ID: 1021362
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1325 E Fortification StJackson, MS 39202
Fictitious names: The Surgery Center of Mississippi Sports Medicine
Historical names: The Surgery Center at Mississippi Sports Medicine, LLC
Madison Physician Surgery Center, LLC

Agent

Name Role Address
Meredith Warf Agent 1325 East Fortification Street, Jackson, MS 39202

Member

Name Role Address
Chris Ethridge Member 1325 E FORTIFICATION ST, JACKSON, MS 39202
E. Payne Atkinson Member Phelps Dunbar, LLPOne Mississippi Plaza, 7th Floor, 201 South Spring StPO Box 1220, Tupelo, MS 38802

National Provider Identifier

NPI Number:
1073946216

Authorized Person:

Name:
MEREDITH GORE WARF
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6016056393
Fax:
6019449780

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-17 Annual Report For Madison Physician Surgery Center, LLC
Fictitious Name Renewal Filed 2024-08-14 Fictitious Name Renewal For Madison Physician Surgery Center, LLC
Amendment Form Filed 2024-05-01 Amendment For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2024-01-22 Annual Report For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2023-01-20 Annual Report For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2022-01-24 Annual Report For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2021-01-28 Annual Report For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2020-01-22 Annual Report For Madison Physician Surgery Center, LLC
Annual Report LLC Filed 2019-09-07 Annual Report For Madison Physician Surgery Center, LLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

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Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website