Home Page
Counties
Lincoln
39601
BROOKHAVEN SURGERY CLINIC, P.A.

BROOKHAVEN SURGERY CLINIC, P.A.

Is this your business?

Get access!

Company Details

Name:	BROOKHAVEN SURGERY CLINIC, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	21 Jan 1993 (33 years ago)
Business ID:	594290
ZIP code:	39601
County:	Lincoln
State of Incorporation:	MISSISSIPPI
Principal Office Address:	1036 Biglane DriveBrookhaven, MS 39601

Agent

Name	Role	Address
Charles Asa Reynolds MD	Agent	1036 Biglane Drive, Brookhaven, MS 39601

Incorporator

Name	Role	Address
D Michael Cockrell	Incorporator	600 Heritage Bldg, Congress At Capitol, Jackson, MS 39201

Director

Name	Role	Address
Charles Asa Reynolds	Director	1036 Biglane Drive, Brookhaven, MS 39601

President

Name	Role	Address
Charles Asa Reynolds	President	1036 Biglane Drive, Brookhaven, MS 39601

Secretary

Name	Role	Address
Charles Asa Reynolds	Secretary	1036 Biglane Drive, Brookhaven, MS 39601

Treasurer

Name	Role	Address
Charles Asa Reynolds	Treasurer	1036 Biglane Drive, Brookhaven, MS 39601

National Provider Identifier

NPI Number:

1760578736

Link:

View on NPI website

Authorized Person:

Name:

DAVID VANCE CARNER

Role:

PRESIDENT

Phone:

6018351182

Taxonomy:

Selected Taxonomy:

208600000X - Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 601-835-1182

Fax:

6018351546

Form 5500 Series

Employer Identification Number (EIN):

640822726

Plan Year:

2024

Number Of Participants:

13

Sponsors Telephone Number:

6018351182

File:

Plan Year:

2023

Number Of Participants:

10

Sponsors Telephone Number:

6018351182

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

6018351182

File:

Plan Year:

2021

Number Of Participants:

11

Sponsors Telephone Number:

6018351182

File:

Plan Year:

2020

Number Of Participants:

11

Sponsors Telephone Number:

6018351182

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-01-13	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2024-02-21	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2023-02-21	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Amendment Form	Filed	2022-10-13	Amendment For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2022-02-02	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2021-02-01	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2020-02-05	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2019-02-26	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Annual Report	Filed	2018-04-04	Annual Report For BROOKHAVEN SURGERY CLINIC, P.A.
Amendment Form	Filed	2018-01-18	Amendment For BROOKHAVEN SURGERY CLINIC, P.A.

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$133,730

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$133,730

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$135,137.88

Servicing Lender:

Trustmark National Bank

Use of Proceeds:

Payroll: $133,730

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 18 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website