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PRENTISS PRIMARY CARE, P.A.

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Company Details

Name: PRENTISS PRIMARY CARE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 22 Oct 2002 (23 years ago)
Business ID: 724284
ZIP code: 39474
County: Jefferson Davis
State of Incorporation: MISSISSIPPI
Principal Office Address: 1529 Columbia AvenuePrentiss, MS 39474
Historical names: Madison Primary Care DBA

Agent

Name Role Address
JAISHANKAR JAGADEESAN Agent 610 Berridge Drive, Ridgeland, MS 39157

Incorporator

Name Role Address
Jaishankar Jagadeesan Incorporator 610 Bearidge Drive, Ridgeland, MS 39157

Director

Name Role Address
Jaishankar Jagadeesan Director 1529 Columbia Ave, P.o. Box 1373, Prentiss, MS 39474

President

Name Role Address
Jaishankar Jagadeesan President 1529 Columbia Ave, P.o. Box 1373, Prentiss, MS 39474

National Provider Identifier

NPI Number:
1902129455

Authorized Person:

Name:
DR. JAISHANKAR JAGADEESAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6017923299

Form 5500 Series

Employer Identification Number (EIN):
061656535
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-22 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2024-05-15 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2023-04-23 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2022-04-14 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2021-04-18 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2020-05-20 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2019-04-10 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2018-03-29 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2017-04-08 Annual Report For PRENTISS PRIMARY CARE, P.A.
Annual Report Filed 2016-04-10 Annual Report For PRENTISS PRIMARY CARE, P.A.

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Date of last update: 05 May 2025

Sources: Company Profile on Mississippi Secretary of State Website