GULF COAST OB-GYN, P.A.

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Company Details

Name:	GULF COAST OB-GYN, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	14 Oct 1996 (29 years ago)
Business ID:	635094
State of Incorporation:	MISSISSIPPI
Principal Office Address:	4507 HOSPITAL STPASCAGOULA, MS 395815336

Agent

Name	Role	Address
Nathan A Bosio	Agent	734 Delmas Ave, PASCAGOULA, MS 39567

President

Name	Role	Address
Nestor K Delgado MD	President	4507 Hospital Street, Pascagoula, MS 39581-5336

Treasurer

Name	Role	Address
Taylor M Banahan MD	Treasurer	4507 Hospital Street, Pascagoula, MS 39581-5336

Vice President

Name	Role	Address
Holly G Summerlin MD	Vice President	4507 Hospital Street, Pascagoula, MS 39581-5336

Secretary

Name	Role	Address
Fang Q Weng	Secretary	4507 Hospital Street, Pascagoula, MS 39581

National Provider Identifier

NPI Number:

1326016106

Link:

View on NPI website

Authorized Person:

Name:

MRS. BECKY BUTLER

Role:

ASST OFFICE MANAGER

Phone:

2287691940

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 228-769-1940

Fax:

2287699231

Form 5500 Series

Employer Identification Number (EIN):

640880874

Plan Year:

2023

Number Of Participants:

23

Sponsors Telephone Number:

2287691940

File:

Plan Year:

2022

Number Of Participants:

24

Sponsors Telephone Number:

2287691940

File:

Plan Year:

2021

Number Of Participants:

23

Sponsors Telephone Number:

2287691940

File:

Plan Year:

2020

Number Of Participants:

21

Sponsors Telephone Number:

2287691940

File:

Plan Year:

2019

Number Of Participants:

27

Sponsors Telephone Number:

2287691940

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-03-11	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2024-04-13	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2023-04-17	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2022-03-28	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2021-03-01	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2020-03-05	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2019-02-25	Annual Report For GULF COAST OB-GYN, P.A.
Amendment Form	Filed	2019-02-25	Amendment For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2018-01-19	Annual Report For GULF COAST OB-GYN, P.A.
Annual Report	Filed	2017-01-23	Annual Report For GULF COAST OB-GYN, P.A.

Paycheck Protection Program

Jobs Reported:

26

Initial Approval Amount:

$253,665

Date Approved:

2020-04-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$253,665

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$256,518.73

Servicing Lender:

Merchants & Marine Bank

Use of Proceeds:

Payroll: $253,665

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Date of last update: 20 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website