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JACKSON CARDIOLOGY ASSOCIATES, P. A.

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Company Details

Name: JACKSON CARDIOLOGY ASSOCIATES, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 24 Mar 1980 (45 years ago)
Business ID: 109131
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 6501 Dogwood View Parkway, Suite CJackson, MS 39213

Agent

Name Role Address
TELLIS B ELLIS III Agent 971 LAKELAND DR #850, JACKSON, MS 39216

Director

Name Role Address
Malcolm P Taylor Director 6501 Dogwood View Parkway, Suite C, Jackson, MS 39213
Richard Rayford Director 6501 Dogwood VIew Parkway, Suite C, Jackson, MS 39213

President

Name Role Address
Malcolm P Taylor President 6501 Dogwood View Parkway, Suite C, Jackson, MS 39213

Secretary

Name Role Address
Malcolm P Taylor Secretary 6501 Dogwood View Parkway, Suite C, Jackson, MS 39213

Assistant Secretary

Name Role Address
Richard Rayford Assistant Secretary 6501 Dogwood VIew Parkway, Suite C, Jackson, MS 39213

Vice President

Name Role Address
Richard Rayford Vice President 6501 Dogwood VIew Parkway, Suite C, Jackson, MS 39213

National Provider Identifier

NPI Number:
1851305429

Authorized Person:

Name:
JAYNE HANNAH
Role:
CODING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
640639841
Plan Year:
2017
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
30
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report Filed 2018-04-15 Annual Report For JACKSON CARDIOLOGY ASSOCIATES, P. A.
Annual Report Filed 2017-04-10 Annual Report For JACKSON CARDIOLOGY ASSOCIATES, P. A.
Annual Report Filed 2016-04-13 Annual Report For JACKSON CARDIOLOGY ASSOCIATES, P. A.
Annual Report Filed 2015-03-25 Annual Report For JACKSON CARDIOLOGY ASSOCIATES, P. A.
Annual Report Filed 2014-03-21 Annual Report
Annual Report Filed 2013-03-07 Annual Report
Annual Report Filed 2012-04-02 Annual Report
Annual Report Filed 2011-03-22 Annual Report

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Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website