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Heritage Medical Group, LLC

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Company Details

Name: Heritage Medical Group, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 14 Oct 2019 (6 years ago)
Business ID: 1191146
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 619 Grove Forest Way, Suite 200Oxford, MS 38655

Agent

Name Role Address
David Kincaid Agent 619 Grove Forest Way, Oxford, MS 38655

Organizer

Name Role Address
Leslie Bounds Organizer 100 Vision Drive, Suite 400, Jackson, MS 39211

Member

Name Role Address
William Kincaid Sr Member 300 Heritage Drive, Suite 200, Oxford, MS 38655

National Provider Identifier

NPI Number:
1578215422
Certification Date:
2022-01-21

Authorized Person:

Name:
DAVID M KINCAID
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-07 Annual Report For Heritage Medical Group, LLC
Annual Report LLC Filed 2023-05-24 Annual Report For Heritage Medical Group, LLC
Annual Report LLC Filed 2022-08-09 Annual Report For Heritage Medical Group, LLC
Reinstatement Filed 2021-12-21 Reinstatement For Heritage Medical Group, LLC
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: RA/AR: Heritage Medical Group, LLC
Amendment Form Filed 2021-11-02 Amendment For Heritage Medical Group, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: RA/AR: Heritage Medical Group, LLC
Agent Resignation Filed 2020-12-30 Agent Resignation For Robert H Paine
Annual Report LLC Filed 2020-10-28 Annual Report For Heritage Medical Group, LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website