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SOUTH MISSISSIPPI NEPHROLOGY, PLLC

Company Details

Name: SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Nov 1995 (29 years ago)
Business ID: 624454
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4300B WEST RAILROAD STREETGULFPORT, MS 39501

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH MISSISSIPPI NEPHROLOGY 401(K) PLAN 2023 640877964 2024-07-25 SOUTH MISSISSIPPI NEPHROLOGY, PLLC 15
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Three-digit plan number (PN) 003
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 2288637393
Plan sponsor’s address 4300B WEST RAILROAD STREET, GULFPORT, MS, 39501
SOUTH MISSISSIPPI NEPHROLOGY 401(K) PROFIT SHARING PLAN 2012 640877964 2013-09-26 SOUTH MISSISSIPPI NEPHROLOGY 19
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Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621111
Sponsor’s telephone number 3036748478
Plan sponsor’s mailing address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Plan sponsor’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501

Plan administrator’s name and address

Administrator’s EIN 640877964
Plan administrator’s name SOUTH MISSISSIPPI NEPHROLOGY
Plan administrator’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Administrator’s telephone number 3036748478

Number of participants as of the end of the plan year

Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-09-26
Name of individual signing DOUGLAS LANIER
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI NEPHROLOGY 401(K) PROFIT SHARING PLAN 2011 640877964 2012-06-22 SOUTH MISSISSIPPI NEPHROLOGY 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621111
Sponsor’s telephone number 3036748478
Plan sponsor’s mailing address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Plan sponsor’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501

Plan administrator’s name and address

Administrator’s EIN 640877964
Plan administrator’s name SOUTH MISSISSIPPI NEPHROLOGY
Plan administrator’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Administrator’s telephone number 3036748478

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-06-22
Name of individual signing JOSEPH OGORMAN
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI NEPHROLOGY 401(K) PROFIT SHARING PLAN 2010 640877964 2011-07-11 SOUTH MISSISSIPPI NEPHROLOGY 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621492
Sponsor’s telephone number 3036748478
Plan sponsor’s mailing address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Plan sponsor’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501

Plan administrator’s name and address

Administrator’s EIN 640877964
Plan administrator’s name SOUTH MISSISSIPPI NEPHROLOGY
Plan administrator’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Administrator’s telephone number 3036748478

Number of participants as of the end of the plan year

Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 19
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-07-11
Name of individual signing DOUGLAS LANIER
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI NEPHROLOGY 401(K) PROFIT SHARING PLAN 2009 640877964 2010-09-21 SOUTH MISSISSIPPI NEPHROLOGY 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 621492
Sponsor’s telephone number 3036748478
Plan sponsor’s mailing address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Plan sponsor’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501

Plan administrator’s name and address

Administrator’s EIN 640877964
Plan administrator’s name SOUTH MISSISSIPPI NEPHROLOGY
Plan administrator’s address 4300-B WEST RAIL ROAD STREET, GULFPORT, MS, 39501
Administrator’s telephone number 3036748478

Number of participants as of the end of the plan year

Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 22
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2010-09-21
Name of individual signing DOUGLAS LANIER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DOUGLAS C LANIER JR Agent 4300 W RAILROAD ST, GULFPORT, MS 39501

Member

Name Role Address
Douglas C Lanier Member 4300B WEST RAILROAD STREET, GULFPORT, MS 39501

Manager

Name Role Address
Benita Hughes Manager 4300B WEST RAILROAD STREET, GULFPORT, MS 39501

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-03 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2024-01-09 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2023-01-03 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2022-01-04 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2021-01-04 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2020-01-08 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2019-01-21 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2018-02-22 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2017-01-03 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Annual Report LLC Filed 2016-01-06 Annual Report For SOUTH MISSISSIPPI NEPHROLOGY, PLLC

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA520C20026 2012-09-26 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA520C20026_3600_VA256P0856_3600
Awarding Agency Department of Veterans Affairs
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Description

Title CONTRACTOR TO PROVIDE NEPHROLOGISTS TO PROVIDE ACUTE INPATIENT HEMODIALYSIS, ETC PER THE TERMS AND CONDITIONS OF STATION CONTRACT.
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: MEDICAL- OTHER

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES
DO AWARD VA520C10062 2011-05-05 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_VA520C10062_3600_VA256P0856_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CONTRACTOR TO PROVIDE NEPHROLOGISTS TO PROVIDE ACUTE INPATIENT HEMODIALYSIS, ETC PER THE TERMS AND CONDITIONS OF STATION CONTRACT.
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES
DO AWARD VA520C00434 2010-04-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA520C00434_3600_VA256P0856_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CONTRACTOR TO PROVIDE NEPHROLOGISTS TO PROVIDE ACUTE INPATIENT HEMODIALYSIS, ETC PER THE TERMS AND CONDITIONS OF STATION CONTRACT.
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES
No data IDV VA256P0856 2010-04-01 No data No data
Unique Award Key CONT_IDV_VA256P0856_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CONTRACTOR TO PROVIDE NEPHROLOGISTS TO PROVIDE ACUTE INPATIENT HEMODIALYSIS, ETC PER THE TERMS AND CONDITIONS OF STATION CONTRACT.
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES
PO AWARD VA520C00207 2009-10-01 2010-03-31 2010-03-31
Unique Award Key CONT_AWD_VA520C00207_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CONTRACTOR TO PROVIDE NEPHROLOGISTS TO PROVIDE DIALYSIS TO ACUTE INPATIENTS
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES
PO AWARD VA520C90284 2009-09-11 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA520C90284_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CONTRACTOR TO PROVIDE NEPHROLOGIST FOR INPATIENT DIALYSIS SERVICES
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient SOUTH MISSISSIPPI NEPHROLOGY, PLLC
UEI JCAVZAD6BNK3
Legacy DUNS 126713713
Recipient Address 4300 B W RAILROAD ST, GULFPORT, 395012568, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8235187210 2020-04-28 0470 PPP 4300B RAILROAD ST, GULFPORT, MS, 39501
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 10030
Loan Approval Amount (current) 10030
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39848
Servicing Lender Name Cadence Bank
Servicing Lender Address 201 S Spring St, TUPELO, MS, 38804-4811
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address GULFPORT, HARRISON, MS, 39501-1000
Project Congressional District MS-04
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 10127.51
Forgiveness Paid Date 2021-04-21

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State