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  5. JACKSON PEDIATRIC ASSOCIATES, P.A.

JACKSON PEDIATRIC ASSOCIATES, P.A.

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Company Details

Name: JACKSON PEDIATRIC ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Jan 2001 (25 years ago)
Business ID: 692669
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 297 HWY 51, SUITE BRIDGELAND, MS 39157

Agent

Name Role Address
YOLANDA WILSON M.D. Agent 297 Hwy 51 Suite B, Ridgeland, MS 39157

Incorporator

Name Role Address
Yolanda Wilson M.d. Incorporator 1117 Hallmark Drive, Jackson, MS 39206

Director

Name Role Address
Yolanda W Wilson Director 297 Hwy 51, Suite B, Ridgeland, MS 39157

President

Name Role Address
Yolanda W Wilson President 297 Hwy 51, Suite B, Ridgeland, MS 39157

Unique Entity ID

Unique Entity ID:
JG1VY76SC9Z7
UEI Expiration Date:
2026-01-13

Business Information

Division Name:
JACKSON PEDIATRIC ASSOCIATES
Activation Date:
2025-01-15
Initial Registration Date:
2025-01-13

National Provider Identifier

NPI Number:
1659556298
Link:
View on NPI website

Authorized Person:

Name:
DR. YOLANDA W WILSON
Role:
PRESIDENT
Phone:
6017075381

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Phone:
+1 601-707-5381
Fax:
6017375382
Phone:
+1 601-346-4586
Fax:
6013464587

Form 5500 Series

Employer Identification Number (EIN):
640930927
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
6017075381
File:
View File
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
6017075381
File:
View File
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
6017075381
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
6017075381
File:
View File
Plan Year:
2020
Number Of Participants:
19
Sponsors Telephone Number:
6017075381

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-11 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2024-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2023-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2022-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2021-04-14 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2020-04-15 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2019-04-11 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2018-04-13 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2017-04-11 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2016-09-23 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.

USAspending Awards / Financial Assistance

Date:
2021-03-13
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:
258170.00
Total Face Value Of Loan:
258170.00
Date:
2020-04-11
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:
258168.00
Total Face Value Of Loan:
258168.00

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$258,170
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$258,170
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$261,048.77
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $258,166
Utilities: $1
Jobs Reported:
21
Initial Approval Amount:
$258,168
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$258,168
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$260,333.74
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $258,168

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Date of last update: 23 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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