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JACKSON EAR CLINIC, P.A.

JACKSON EAR CLINIC, P.A.

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Company Details

Name:	JACKSON EAR CLINIC, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	03 Dec 1992 (33 years ago)
Business ID:	592954
ZIP code:	39232
County:	Rankin
State of Incorporation:	MISSISSIPPI
Principal Office Address:	290 East LayfairFlowood, MS 39232
Historical names:	Fyzical of Jackson

Agent

Name	Role	Address
JAMES R HOUSE III	Agent	4756 East Massena Drive, Jackson, MS 39211

Incorporator

Name	Role	Address
James R House Iii	Incorporator	2225 E Northside Drive, Jackson, MS 39211

Director

Name	Role	Address
James R House III	Director	290 East Layfair, Flowood, MS 39232
Janet G House	Director	290 East Layfair, Flowood, MS 39232

President

Name	Role	Address
James R House III	President	290 East Layfair, Flowood, MS 39232

Secretary

Name	Role	Address
Janet G House	Secretary	290 East Layfair, Flowood, MS 39232

Treasurer

Name	Role	Address
Janet G House	Treasurer	290 East Layfair, Flowood, MS 39232

National Provider Identifier

NPI Number:

1093934002

Certification Date:

2020-08-12

Link:

View on NPI website

Authorized Person:

Name:

KATHY PEEPLES

Role:

OFFICE MANAGER

Phone:

6019812825

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 601-981-2825

Fax:

6019812827

Form 5500 Series

Employer Identification Number (EIN):

640824189

Plan Year:

2023

Number Of Participants:

30

Sponsors Telephone Number:

6019812825

File:

Plan Year:

2022

Number Of Participants:

25

Sponsors Telephone Number:

6019812825

File:

Plan Year:

2021

Number Of Participants:

23

Sponsors Telephone Number:

6019812825

File:

Plan Year:

2020

Number Of Participants:

19

Sponsors Telephone Number:

6019812825

File:

Plan Year:

2019

Number Of Participants:

17

Sponsors Telephone Number:

6019812825

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-03-14	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2024-01-24	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2023-01-27	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2022-01-17	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2021-01-29	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2020-01-28	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2019-08-20	Annual Report For JACKSON EAR CLINIC, P.A.
Fictitious Name Registration	Filed	2018-11-27	Fictitious Name Registration For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2018-01-18	Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report	Filed	2017-02-01	Annual Report For JACKSON EAR CLINIC, P.A.

Paycheck Protection Program

Jobs Reported:

22

Initial Approval Amount:

$223,200

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$223,200

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$225,295.6

Servicing Lender:

BankPlus

Use of Proceeds:

Payroll: $206,934
Healthcare: $16266

Jobs Reported:

20

Initial Approval Amount:

$222,337.65

Date Approved:

2021-03-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$222,337.65

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$224,505.44

Servicing Lender:

BankPlus

Use of Proceeds:

Payroll: $222,334.65
Utilities: $1

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Date of last update: 17 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website