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  5. THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.

THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.

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Company Details

Name: THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 26 Jun 1978 (47 years ago)
Business ID: 308360
ZIP code: 39705
County: Lowndes
State of Incorporation: MISSISSIPPI
Principal Office Address: 670 Leigh Drive, 670 Leigh DriveColumbus, MS 39705

Agent

Name Role Address
Tammy Gavin Agent 670 Leigh Drive, Columbus, MS 39705

Director

Name Role Address
Justin M. Hall MD Director 670 Leigh Dr., Columbus, MS 39705
James A. Hurt, III MD Director 670 Leigh Dr., Columbus, MS 39705
G Chris Galjour MD Director 670 Leigh Dr., Columbus, MS 39705
Kenny B. Edwards MD Director 670 Leigh Dr., Columbus, MS 39705
Jackson L. Walters MD Director 670 Leigh Dr., Columbus, MS 39705
Aaron Mullane MD Director 670 Leigh Dr., Columbus, MS 39705

President

Name Role Address
Justin M. Hall MD President 670 Leigh Dr., Columbus, MS 39705

Secretary

Name Role Address
James A. Hurt, III MD Secretary 670 Leigh Dr., Columbus, MS 39705

Treasurer

Name Role Address
James A. Hurt, III MD Treasurer 670 Leigh Dr., Columbus, MS 39705

Chief Executive Officer

Name Role Address
James Locke, MBA Chief Executive Officer 670 Leigh Dr., Columbus, MS 39705

Chief Financial Officer

Name Role Address
Menissia Cowart Chief Financial Officer 670 Leigh Dr., Columbus, MS 39705

National Provider Identifier

NPI Number:
1225849599
Certification Date:
2025-01-16
Link:
View on NPI website

Authorized Person:

Name:
TAMMY J GAVIN
Role:
PRACTICE ADMIN/CREDENTIALING
Phone:
6623701014

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 662-328-1012
Phone:
+1 601-385-9111

Form 5500 Series

Employer Identification Number (EIN):
640934204
Plan Year:
2017
Number Of Participants:
107
Sponsors Telephone Number:
6623281012
File:
View File
Plan Year:
2016
Number Of Participants:
87
Sponsors Telephone Number:
6623281012
File:
View File
Plan Year:
2015
Number Of Participants:
68
Sponsors Telephone Number:
6623281012
File:
View File

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-15 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2024-04-02 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Amendment Form Filed 2023-08-11 Amendment For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2023-01-20 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Amendment Form Filed 2022-08-19 Amendment For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2022-03-25 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2021-04-14 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Amendment Form Filed 2020-10-20 Amendment For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2020-01-13 Annual Report For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Amendment Form Filed 2019-04-29 Amendment For THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.

USAspending Awards / Financial Assistance

Date:
2021-02-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1569010.93
Total Face Value Of Loan:
1569010.93
Date:
2020-04-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1573250.00
Total Face Value Of Loan:
1573250.00

Paycheck Protection Program

Jobs Reported:
117
Initial Approval Amount:
$1,573,250
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,573,250
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,593,046.73
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $1,573,250
Jobs Reported:
108
Initial Approval Amount:
$1,569,010.93
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,569,010.93
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$1,583,712.35
Servicing Lender:
Community Bank of Mississippi
Use of Proceeds:
Payroll: $1,569,007.93
Utilities: $1

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Date of last update: 10 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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