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Madison Spine Surgery Center, LLC

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Company Details

Name: Madison Spine Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Nov 2019 (6 years ago)
Business ID: 1194392
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 1080 River Oaks Drive, Suite B-103Flowood, MS 39232

Agent

Name Role Address
Stubblefield & Yelverton, PLLC Agent 1400 Meadowbrook Road, Suite 102, Jackson, MS 39211

Organizer

Name Role Address
Ralph A. Yelverton Esq Organizer 1400 Meadowbrook Road, Suite 102, Jackson, MS 39211

Manager

Name Role Address
Adam I Lewis Manager 1080 River Oaks Drive, Suite B-103, Flowood, MS 39232

National Provider Identifier

NPI Number:
1497391619

Authorized Person:

Name:
ADAM I LEWIS
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6019326111

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-15 Annual Report For Madison Spine Surgery Center, LLC
Annual Report LLC Filed 2024-04-09 Annual Report For Madison Spine Surgery Center, LLC
Annual Report LLC Filed 2023-03-15 Annual Report For Madison Spine Surgery Center, LLC
Annual Report LLC Filed 2022-02-28 Annual Report For Madison Spine Surgery Center, LLC
Annual Report LLC Filed 2021-04-13 Annual Report For Madison Spine Surgery Center, LLC
Annual Report LLC Filed 2020-01-27 Annual Report For Madison Spine Surgery Center, LLC
Formation Form Filed 2019-11-21 Formation For Madison Spine Surgery Center, LLC

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Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website