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DIVERSIFIED RENAL GROUP, PLLC

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Company Details

Name: DIVERSIFIED RENAL GROUP, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 Jan 1998 (27 years ago)
Business ID: 651174
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 6501 Dogwood View Parkway, Suite AJackson, MS 39213

Agent

Name Role Address
HERBERT J IRVIN Agent 728 N CONGRESS ST (39202, PO BOX 1869, JACKSON, MS 39215-1869

Manager

Name Role Address
Gary M Davis Manager 6501 DOGWOOD VIEW PKWY, STE A, JACKSON, MS 39213
Tunde Olutade Manager 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
HOLLYE R JOHNSON Manager 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213

Member

Name Role Address
Gary M Davis Member 6501 DOGWOOD VIEW PKWY, STE A, JACKSON, MS 39213
Tunde Olutade Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
HOLLYE R JOHNSON Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
James Onyirimba Member 6501 Dogwood View Pkwy, Suite A, Jackson, MS 39213

National Provider Identifier

NPI Number:
1184792038

Authorized Person:

Name:
GARY M DAVIS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
6018993343

Form 5500 Series

Employer Identification Number (EIN):
640894715
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-21 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2024-01-26 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2023-01-24 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2022-02-06 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2021-02-02 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2020-02-03 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2019-04-15 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2019-03-11 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2018-02-13 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2017-02-07 Annual Report For DIVERSIFIED RENAL GROUP, PLLC

USAspending Awards / Financial Assistance

Date:
2021-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
122990.00
Total Face Value Of Loan:
122990.00

Paycheck Protection Program

Date Approved:
2021-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
122990
Current Approval Amount:
122990
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
123331.64

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Date of last update: 01 May 2025

Sources: Company Profile on Mississippi Secretary of State Website