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RICHARD C. RANDOLPH, M.D., P.A.

RICHARD C. RANDOLPH, M.D., P.A.

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Company Details

Name:	RICHARD C. RANDOLPH, M.D., P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	03 Jan 1994 (32 years ago)
Business ID:	603486
ZIP code:	39042
County:	Rankin
State of Incorporation:	MISSISSIPPI
Principal Office Address:	348 CROSSGATES BLVD STE 2200, STE 2200BRANDON, MS 39042

Agent

Name	Role	Address
RICHARD C RANDOLPH	Agent	348 CROSSGATES BLVD #2200, STE 2200, BRANDON, MS 39042

Incorporator

Name	Role	Address
Richard C Randolph	Incorporator	348 Crossgates Blvd, Brandon, MS 39042

Director

Name	Role	Address
Richard C Randolph MD	Director	348 Crossgates Blvd, Brandon, MS 39042

President

Name	Role	Address
Richard C Randolph MD	President	348 Crossgates Blvd, Brandon, MS 39042

Secretary

Name	Role	Address
Richard C Randolph MD	Secretary	348 Crossgates Blvd, Brandon, MS 39042

Treasurer

Name	Role	Address
Richard C Randolph MD	Treasurer	348 Crossgates Blvd, Brandon, MS 39042

National Provider Identifier

NPI Number:

1679672745

Link:

View on NPI website

Authorized Person:

Name:

DR. RICHARD C RANDOLPH

Role:

PRESIDENT

Phone:

6018252466

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 601-825-2466

Fax:

6018248137

Form 5500 Series

Employer Identification Number (EIN):

640839481

Plan Year:

2023

Number Of Participants:

7

Sponsors Telephone Number:

6018252466

File:

Plan Year:

2022

Number Of Participants:

6

Sponsors Telephone Number:

6018252466

File:

Plan Year:

2021

Number Of Participants:

8

Sponsors Telephone Number:

6018252466

File:

Plan Year:

2020

Number Of Participants:

6

Sponsors Telephone Number:

6018252466

File:

Plan Year:

2019

Number Of Participants:

6

Sponsors Telephone Number:

6018252466

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-02-11	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2024-01-17	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2023-01-31	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2022-02-02	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2021-02-11	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2020-02-26	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2019-02-12	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2018-02-05	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2017-03-02	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.
Annual Report	Filed	2016-02-02	Annual Report For RICHARD C. RANDOLPH, M.D., P.A.

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$75,961.73

Date Approved:

2020-04-11

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$75,961.73

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$76,445.44

Servicing Lender:

Trustmark National Bank

Use of Proceeds:

Payroll: $75,961.73

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Date of last update: 18 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website