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JACKSON PULMONARY ASSOCIATES, P.A.

JACKSON PULMONARY ASSOCIATES, P.A.

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Company Details

Name:	JACKSON PULMONARY ASSOCIATES, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	03 Nov 1986 (39 years ago)
Business ID:	533173
ZIP code:	39216
County:	Hinds
State of Incorporation:	MISSISSIPPI
Principal Office Address:	971 LAKELAND DR # 1052JACKSON, MS 39216

Agent

Name	Role	Address
Hudson, Brian E.	Agent	971 Lakeland Drive Suite 1052, Jackson, MS 39216

Director

Name	Role	Address
Benedict Ewaleifoh	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Raymond Portis	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Charles Evans	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Maria G Rappai, MD	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Robert V McGee	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
D Timothy Cannon M D	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Brandon Garriga	Director	971 Lakeland Dr, Suite 1052, Jackson, MS 39216
William Denney	Director	971 Lakeland Drive, Suite 1052, Jackson, MS 39216
Arash Samar	Director	971 Lakeland Drive, Suite 1052, Jackson, MS 39216

Chief Executive Officer

Name	Role	Address
Brian Hudson	Chief Executive Officer	971 Lakeland Dr, Suite 1052, Jackson, MS 39216

President

Name	Role	Address
Raymond Portis	President	971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Vice President

Name	Role	Address
Charles Evans	Vice President	971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Secretary

Name	Role	Address
William Denney	Secretary	971 Lakeland Drive, Suite 1052, Jackson, MS 39216

Treasurer

Name	Role	Address
William Denney	Treasurer	971 Lakeland Drive, Suite 1052, Jackson, MS 39216

National Provider Identifier

NPI Number:

1174570584

Link:

View on NPI website

Authorized Person:

Name:

R TODD WARREN

Role:

ADMINISTRATOR

Phone:

6013211183

Taxonomy:

Selected Taxonomy:

207RP1001X - Pulmonary Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 601-981-9503

Fax:

6019820148

Form 5500 Series

Employer Identification Number (EIN):

640735747

Plan Year:

2023

Number Of Participants:

108

Sponsors Telephone Number:

6019819503

File:

Plan Year:

2022

Number Of Participants:

108

Sponsors Telephone Number:

6019819503

File:

Plan Year:

2021

Number Of Participants:

82

Sponsors Telephone Number:

6019819503

File:

Plan Year:

2020

Number Of Participants:

89

Sponsors Telephone Number:

6019819503

File:

Plan Year:

2019

Number Of Participants:

78

Sponsors Telephone Number:

6019819503

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-04-30	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2024-01-27	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2023-04-06	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2022-02-07	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2021-03-15	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2020-05-14	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2019-03-09	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2018-04-18	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2017-03-06	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report	Filed	2016-02-05	Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.

USAspending Awards / Financial Assistance

Date:

2010-02-25

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE

Obligated Amount:

0.00

Face Value Of Loan:

47000.00

Total Face Value Of Loan:

47000.00

Paycheck Protection Program

Jobs Reported:

90

Initial Approval Amount:

$1,355,100

Date Approved:

2020-04-03

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,355,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,362,741.26

Servicing Lender:

First Commercial Bank

Use of Proceeds:

Payroll: $1,275,700
Utilities: $8,791
Rent: $70,609

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Date of last update: 15 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website