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Mississippi Ear, Nose & Throat Surgical Associates, P.C.

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Company Details

Name: Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 16 Jan 2004 (21 years ago)
Business ID: 850045
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 2550 Flowood Drive, Suite 303Flowood, MS 39232

Incorporator

Name Role Address
G Todd Burwell Incorporator 447 Northpark Drive, Ridgeland, MS 39157

Director

Name Role Address
Stephen F Lee MD Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232
Benjamin T. Jeffcoat Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232
J Peyton Hines, MD Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232

President

Name Role Address
Stephen F Lee MD President 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Vice President

Name Role Address
Benjamin T. Jeffcoat Vice President 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Secretary

Name Role Address
J Peyton Hines, MD Secretary 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Treasurer

Name Role Address
J Peyton Hines, MD Treasurer 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Agent

Name Role Address
Burwell, G Todd Agent 618 Crescent Blvd, Suite 200, Ridgeland, MS 39157

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
CEYNQMKLC728
UEI Expiration Date:
2026-05-27

Business Information

Division Name:
MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, P.C.
Activation Date:
2025-05-29
Initial Registration Date:
2022-11-08

National Provider Identifier

NPI Number:
1679905210

Authorized Person:

Name:
DR. CLARENCE M OSBORNE
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6017097701

Form 5500 Series

Employer Identification Number (EIN):
200633548
Plan Year:
2022
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-04 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2024-01-30 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2023-05-18 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2023-01-19 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2022-03-09 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2021-03-01 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2020-04-21 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2019-01-07 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2018-04-02 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2017-01-17 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.

USAspending Awards / Financial Assistance

Date:
2021-02-25
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:
198712.18
Total Face Value Of Loan:
198712.18

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website