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Medical Associates of Vicksburg PLLC

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Company Details

Name: Medical Associates of Vicksburg PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Apr 2014 (11 years ago)
Business ID: 1040707
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 2080 South Frontage Road Suite 100Vicksburg, MS 39180

Manager

Name Role Address
Samuel L. Pierce MD Manager 2080 South Frontage Road, Vicksburg, MS 39180-5328
Todd A Boolos Manager 1007 Mission Park Drive, Vicksburg, MS 39180

Member

Name Role Address
Samuel L. Pierce MD Member 2080 South Frontage Road, Vicksburg, MS 39180-5328

Agent

Name Role Address
Boolos, Todd A Agent 1007 Mission Park Drive, Vicksburg, MS 39180-3763

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FKPAMAJ7MF47
UEI Expiration Date:
2026-05-15

Business Information

Division Name:
MEDICAL ASSOCIATES OF VICKSBURG, PLLC
Activation Date:
2025-05-16
Initial Registration Date:
2025-05-15

National Provider Identifier

NPI Number:
1508278177

Authorized Person:

Name:
DR. PAUL PIERCE III
Role:
LLC MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6012621006

Form 5500 Series

Employer Identification Number (EIN):
465541802
Plan Year:
2023
Number Of Participants:
82
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
82
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
70
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
64
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-19 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2024-02-03 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2023-01-31 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2022-02-02 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2021-02-23 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2020-02-05 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2019-02-05 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2018-01-21 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2017-01-24 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2016-02-29 Annual Report For Medical Associates of Vicksburg PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
571220.00
Total Face Value Of Loan:
571220.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
571220
Current Approval Amount:
571220
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
574361.71

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Date of last update: 15 May 2025

Sources: Company Profile on Mississippi Secretary of State Website