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North Mississippi Anesthesia, LLC

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Company Details

Name: North Mississippi Anesthesia, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 20 Nov 2018 (7 years ago)
Business ID: 1162405
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1211 S Gloster St Ste BTupelo, MS 38801

Agent

Name Role Address
SOG Surgery Center, LLC Agent 1211 S Gloster St, Tupelo, MS 38801

Manager

Name Role Address
Thomas M Luster Manager 1211 S Gloster Street, Tupelo, MS 38801

National Provider Identifier

NPI Number:
1871058792
Certification Date:
2020-02-21

Authorized Person:

Name:
ROBERT E MCCARVILLE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
4177197896

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: North Mississippi Anesthesia, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: North Mississippi Anesthesia, LLC
Annual Report LLC Filed 2020-02-21 Annual Report For North Mississippi Anesthesia, LLC
Annual Report LLC Filed 2019-04-15 Annual Report For North Mississippi Anesthesia, LLC
Formation Form Filed 2018-11-20 Formation For North Mississippi Anesthesia, LLC

USAspending Awards / Financial Assistance

Date:
2020-04-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
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:
103200.00
Total Face Value Of Loan:
103200.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$103,200
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$103,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$103,872.7
Servicing Lender:
BankPlus
Use of Proceeds:
Payroll: $77,413.5
Utilities: $9,982
Mortgage Interest: $15,804.5

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Date of last update: 06 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website