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Mississippi Center for Advanced Medicine, P.C.

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Company Details

Name: Mississippi Center for Advanced Medicine, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 29 Mar 2016 (9 years ago)
Business ID: 1089421
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 7731 Old Canton Road, Suite BMadison, MS 39110

Incorporator

Name Role Address
Susan G Pinkston Incorporator 350 Arbor Drive, Suite D, PO Box 16927, Jackson, MS 39236, Ridgeland, MS 39157

President

Name Role Address
Spencer K Sullivan President 7731 Old Canton Road, Suite B, Madison, MS 39110

Secretary

Name Role Address
Spencer K Sullivan Secretary 7731 Old Canton Road, Suite B, Madison, MS 39110

Treasurer

Name Role Address
Spencer K Sullivan Treasurer 7731 Old Canton Road, Suite B, Madison, MS 39110

Chief Executive Officer

Name Role Address
Spencer K Sullivan Chief Executive Officer 7731 Old Canton Road, Suite B, Madison, MS 39110

Vice President

Name Role Address
Jordan Robinson Vice President 7731 Old Canton Road Ste B, Madison, MS 39110
Walter Rogers IV Vice President 7731 Old Canton Road Ste B, Madison, MS 39110

Chief Financial Officer

Name Role Address
Walter Rogers IV Chief Financial Officer 7731 Old Canton Road Ste B, Madison, MS 39110

Agent

Name Role Address
Susan G Pinkston Agent 350 Arbor Drive, Suite D, PO Box 16927 Jackson, MS 39236, Ridgeland, MS 39157

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:
U95WKJ5JWUM1
CAGE Code:
8SGU5
UEI Expiration Date:
2025-01-07

Business Information

Activation Date:
2024-01-10
Initial Registration Date:
2020-10-20

National Provider Identifier

NPI Number:
1427787845
Certification Date:
2022-06-09

Authorized Person:

Name:
SPENCER K SULLIVAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6014990936

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-29 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2024-02-07 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2023-01-24 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2022-03-10 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2021-04-12 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2020-03-17 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2019-02-01 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2018-02-04 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Annual Report Filed 2017-03-09 Annual Report For Mississippi Center for Advanced Medicine, P.C.
Formation Form Filed 2016-03-29 Formation For Mississippi Center for Advanced Medicine, P.C.

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
1069800.00
Total Face Value Of Loan:
1069800.00

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website