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Olive Branch Emergency Physicians, LLC

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Company Details

Name: Olive Branch Emergency Physicians, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 Oct 2023 (2 years ago)
Business ID: 1413984
State of Incorporation: MISSISSIPPI
Principal Office Address: 5665 New Northside Drive, Suite 320Atlanta, GA 30328

Agent

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

Organizer

Name Role Address
Melissa Atkins Organizer 5665 New Northside Drive, Atlanta, GA 30328

Manager

Name Role Address
ApolloMD Business Services, LLC Manager 5665 New Northside Drive, Suite 320, Atlanta, GA 30328

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:
SKEJYCNPCDE6
UEI Expiration Date:
2026-03-24

Business Information

Activation Date:
2025-03-26
Initial Registration Date:
2025-03-24

National Provider Identifier

NPI Number:
1730969734
Certification Date:
2023-10-05

Authorized Person:

Name:
KIM LARSEN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-24 Annual Report For Olive Branch Emergency Physicians, LLC
Annual Report LLC Filed 2024-02-22 Annual Report For Olive Branch Emergency Physicians, LLC
Formation Form Filed 2023-10-05 Formation For Olive Branch Emergency Physicians, LLC

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Date of last update: 04 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website