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ENT Surgical Group, PLLC

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Company Details

Name: ENT Surgical Group, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Jul 2022 (3 years ago)
Business ID: 1349966
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 138 Park Place BlvdMadison, MS 39110

Organizer

Name Role Address
G Michael Massey Esq Organizer Post Office Box 13664, Jackson, MS 39236

Manager

Name Role Address
Kyle F. Gordon MD Manager 333 Lake Village Drive, Madison, MS 39110

Agent

Name Role Address
Kyle F. Gordon MD Agent 333 Lake Village Drive, Madison, MS 39110

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
M5G2WUQ5T6B5
UEI Expiration Date:
2025-08-15

Business Information

Activation Date:
2024-08-19
Initial Registration Date:
2024-08-15

National Provider Identifier

NPI Number:
1023734878
Certification Date:
2022-10-06

Authorized Person:

Name:
KYLE GORDON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-26 Annual Report For ENT Surgical Group, PLLC
Annual Report LLC Filed 2024-04-22 Annual Report For ENT Surgical Group, PLLC
Reinstatement Filed 2024-01-22 Reinstatement For ENT Surgical Group, PLLC
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: ENT Surgical Group, PLLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: ENT Surgical Group, PLLC
Formation Form Filed 2022-07-20 Formation For ENT Surgical Group, PLLC

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Date of last update: 30 May 2025

Sources: Company Profile on Mississippi Secretary of State Website