Magellan Healthcare Provider Group, Inc.

Company Details

Name:	Magellan Healthcare Provider Group, Inc.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	30 Sep 2022 (3 years ago)
Business ID:	1360194
State of Incorporation:	MARYLAND
Principal Office Address:	8621 Robert Fulton DriveColumbia, MD 21046

Agent

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

Assistant Treasurer

Name	Role	Address
Camille Guillot	Assistant Treasurer	8621 Robert Fulton Drive, Columbia, MD 21046

President

Name	Role	Address
Derrick Duke	President	8621 Robert Fulton Drive, Columbia, MD 21046

Assistant Secretary

Name	Role	Address
Caroline Becker	Assistant Secretary	8621 Robert Fulton Dr, Columbia, MD 21046

Director

Name	Role	Address
Derrick Duke	Director	8621 Robert Fulton Drive, Columbia, MD 21046
Erika Rose	Director	8621 Robert Fulton Drive, Columbia, MD 21046

Secretary

Name	Role	Address
Erika Rose	Secretary	8621 Robert Fulton Drive, Columbia, MD 21046

Chief Financial Officer

Name	Role	Address
Erik Daugherty	Chief Financial Officer	8621 Robert Fulton Drive, Columbia, MD 21046

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-04-09	Annual Report For Magellan Healthcare Provider Group, Inc.
Annual Report	Filed	2024-04-09	Annual Report For Magellan Healthcare Provider Group, Inc.
Annual Report	Filed	2023-04-10	Annual Report For Magellan Healthcare Provider Group, Inc.
Formation Form	Filed	2022-09-30	Formation For Magellan Healthcare Provider Group, Inc.

Date of last update: 10 Apr 2025

Sources: Mississippi Secretary of State