Home Page
Counties
Lamar
39402
Women's Pavilion of South Mississippi, PLLC

Women's Pavilion of South Mississippi, PLLC

Is this your business?

Get access!

Company Details

Name:	Women's Pavilion of South Mississippi, PLLC
Jurisdiction:	MISSISSIPPI
Business Type:	Limited Liability Company
Status:	Good Standing
Effective Date:	24 Sep 1998 (27 years ago)
Business ID:	661575
ZIP code:	39402
County:	Lamar
State of Incorporation:	MISSISSIPPI
Principal Office Address:	6524 U S Highway 98HATTIESBURG, MS 39402
Historical names:	TOWER PAVILION, PLLC

Agent

Name	Role	Address
William A. Whitehead Jr	Agent	204 W. Front Street , P.O. Box 18109 (39404), Hattiesburg, MS 39401

Manager

Name	Role	Address
Elizabeth C Washburne MD	Manager	6524 U S Highway 98, Hattiesburg, MS 39402

Member

Name	Role	Address
Elizabeth C Washburne MD	Member	6524 U S Highway 98, Hattiesburg, MS 39402
Shantele H Bolton MD	Member	6524 U S Highway 98, Hattiesburg, MS 39402
Joseph F Washburne MD	Member	6524 U S Highway 98, HATTIESBURG, MS 39402
Joseph Troy McIntire MD	Member	6524 U S Highway 98, Hattiesburg, MS 39402
Andrea M Carter MD	Member	6524 U S Highway 98, Hattiesburg, MS 39402
Eldred J Wiser MD	Member	6524 U S Highway 98, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:

1306922653

Certification Date:

2021-03-02

Link:

View on NPI website

Authorized Person:

Name:

MS. HOLLEY JOHNSON

Role:

ADMINISTRATOR

Phone:

6014509425

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 601-268-9393

Fax:

6012689559

Phone:

+1 601-736-6137

Fax:

6017311383

Form 5500 Series

Employer Identification Number (EIN):

640900000

Plan Year:

2020

Number Of Participants:

89

Sponsors Telephone Number:

6014509425

File:

Plan Year:

2019

Number Of Participants:

97

Sponsors Telephone Number:

6014509425

File:

Plan Year:

2017

Number Of Participants:

86

Sponsors Telephone Number:

6014509425

File:

Plan Year:

2016

Number Of Participants:

77

Sponsors Telephone Number:

6014509425

File:

Plan Year:

2015

Number Of Participants:

68

Sponsors Telephone Number:

6014509425

File:

Filings

Type	Status	Filed Date	Description
Annual Report LLC	Filed	2024-04-19	Annual Report For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2023-01-19	Annual Report For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2022-02-09	Annual Report For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2021-07-22	Annual Report For Women's Pavilion of South Mississippi, PLLC
Amendment Form	Filed	2020-05-27	Amendment For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2020-02-10	Annual Report For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2019-10-31	Annual Report For Women's Pavilion of South Mississippi, PLLC
Notice to Dissolve/Revoke	Filed	2019-08-22	Notice to Dissolve/Revoke
Annual Report LLC	Filed	2018-03-21	Annual Report For Women's Pavilion of South Mississippi, PLLC
Annual Report LLC	Filed	2017-01-23	Annual Report For Women's Pavilion of South Mississippi, PLLC

USAspending Awards / Financial Assistance

Date:

2020-04-29

Link:

View on USAspending

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:

465600.00

Total Face Value Of Loan:

465600.00

Paycheck Protection Program

Jobs Reported:

54

Initial Approval Amount:

$465,600

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$465,600

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$469,829.2

Servicing Lender:

First Bank

Use of Proceeds:

Payroll: $465,600

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website