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Independent Physicians Group, Inc

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Company Details

Name: Independent Physicians Group, Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Oct 2019 (6 years ago)
Business ID: 1191384
ZIP code: 39046
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 124 Links Dr Apt 105MCanton, MS 39046

Agent

Name Role Address
William Truly Agent 124 Links Dr , Apt 105M, Canton, MS 39046

Incorporator

Name Role Address
Phyllis Rhodes Incorporator 914 Rutherford Drive, Jackson, MS 39206

Director

Name Role Address
William Truly MD Director 124 Links Dr Apt 105M, Canton, MS 39046

National Provider Identifier

NPI Number:
1790316214
Certification Date:
2020-06-28

Authorized Person:

Name:
WILLIAM TRULY
Role:
MANAGER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QE0002X - Emergency Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
273R00000X - Psychiatric Hospital Unit
Is Primary:
No

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2023-08-03 Dissolution For Independent Physicians Group, Inc
Annual Report Filed 2023-03-31 Annual Report For Independent Physicians Group, Inc
Annual Report Filed 2022-03-13 Annual Report For Independent Physicians Group, Inc
Annual Report Filed 2021-03-02 Annual Report For Independent Physicians Group, Inc
Annual Report Filed 2020-09-11 Annual Report For Independent Physicians Group, Inc
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Formation Form Filed 2019-10-17 Formation For Independent Physicians Group, Inc

USAspending Awards / Financial Assistance

Date:
2021-03-02
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:
15000.00
Total Face Value Of Loan:
15000.00
Date:
2020-05-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
33000.00
Total Face Value Of Loan:
33000.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2021-03-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
15000
Current Approval Amount:
15000
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
15056.25

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website