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COASTAL CHRONIC PAIN SERVICES, PLLC

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Company Details

Name: COASTAL CHRONIC PAIN SERVICES, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Sep 1998 (27 years ago)
Business ID: 660669
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 3017 13th St.GULFPORT, MS 39501

Agent

Name Role Address
BRIAN R DIX Agent 4224 CENTRAL ST, PO BOX 1828, GULFPORT, MS 39501

Manager

Name Role Address
Brian R Dix Manager 23920 Stablewood Dr, Pass Christian, MS 39571
Kent T Overmyer Manager 22513 JOE WINDOM ROAD, SAUCIER, MS 39574

Member

Name Role Address
Brian R Dix Member 23920 Stablewood Dr, Pass Christian, MS 39571
DAVID W JONES Member 1605-23RD AVE PO BOX 4227, GULFPORT, MS 39501

National Provider Identifier

NPI Number:
1134214331

Authorized Person:

Name:
DIANE SCHULTZ
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
2288311121

Form 5500 Series

Employer Identification Number (EIN):
640899552
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-10 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2024-02-19 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2023-04-20 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2022-05-03 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2021-04-14 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2020-04-15 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2019-05-29 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Annual Report LLC Filed 2018-09-26 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-08-02 Annual Report For COASTAL CHRONIC PAIN SERVICES, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
134197.50
Total Face Value Of Loan:
134197.50

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
134197.5
Current Approval Amount:
134197.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
135919.7

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Date of last update: 02 May 2025

Sources: Company Profile on Mississippi Secretary of State Website