Premise Health of Mississippi Medical, P.C.

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Company Details

Name:	Premise Health of Mississippi Medical, P.C.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	31 Dec 2019 (6 years ago)
Business ID:	1197025
State of Incorporation:	MISSISSIPPI
Principal Office Address:	5500 Maryland Way, Suite 120Brentwood, TN 37027
Fictitious names:	Premise Health - Industrial Health Services
Historical names:	Premise Health-Toyota MS Premise Health - Industrial Health Services

Agent

Name	Role	Address
CORPORATION SERVICE COMPANY	Agent	109 Executive Drive, Suite 3, Madison, MS 39110

Incorporator

Name	Role	Address
Catherine Womack MD	Incorporator	5500 Maryland Way, Suite 120, Brentwood, TN 37027

Director

Name	Role	Address
Jonathan Leizman MD	Director	5500 Maryland Way, Suite 120, Brentwood, TN 37027

President

Name	Role	Address
Jonathan Leizman MD	President	5500 Maryland Way, Suite 120, Brentwood, TN 37027

Treasurer

Name	Role	Address
Shannon Farrington	Treasurer	5500 Maryland Way, Suite 120, Brentwood, TN 37027

Secretary

Name	Role	Address
William Wright Esq	Secretary	5500 Maryland Way, Suite 120, Brentwood, TN 37027

National Provider Identifier

NPI Number:

1417620360

Certification Date:

2022-10-13

Link:

View on NPI website

Authorized Person:

Name:

JONATHAN LEIZMAN

Role:

PRESIDENT

Phone:

2164799063

Taxonomy:

Selected Taxonomy:

261QM1300X - Multi-Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 601-957-4276

Filings

Type	Status	Filed Date	Description
Fictitious Name Withdrawal	Filed	2025-07-07	Fictitious Name Withdrawal For Premise Health of Mississippi Medical, P.C.
Fictitious Name Registration	Filed	2025-07-07	Fictitious Name Registration For Premise Health of Mississippi Medical, P.C.
Fictitious Name Amendment	Filed	2025-06-27	Fictitious Name Amendment For Premise Health of Mississippi Medical, P.C.
Annual Report	Filed	2025-01-10	Annual Report For Premise Health of Mississippi Medical, P.C.
Annual Report	Filed	2024-01-08	Annual Report For Premise Health of Mississippi Medical, P.C.
Annual Report	Filed	2023-01-25	Annual Report For Premise Health of Mississippi Medical, P.C.
Fictitious Name Registration	Filed	2023-01-23	Fictitious Name Registration For Premise Health of Mississippi Medical, P.C.
Registered Agent Change of Address	Filed	2022-03-31	Agent Address Change For CORPORATION SERVICE COMPANY
Annual Report	Filed	2022-03-10	Annual Report For Premise Health of Mississippi Medical, P.C.
Reinstatement	Filed	2021-01-11	Reinstatement For Premise Health of Mississippi Medical, P.C.

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Date of last update: 08 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website