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Southern Women's Health, PLLC

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Company Details

Name: Southern Women's Health, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 15 Sep 2005 (20 years ago)
Business ID: 877988
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 1020 RIVER OAKS DRIVE, SUITE 310FLOWOOD, MS 39232

Agent

Name Role Address
Robin Clay Agent 1020 River Oaks Drive Suite 310, Flowood , MS 39232

Member

Name Role Address
Fred Ingram Member 1020 RIVER OAKS DRIVE STE 310, FLOWOOD, MS 39232
Donna Marcum Member 715 Westbury Lane, Georgetown, TX 78633

Unique Entity ID

Unique Entity ID:
MA4AF52VECR7
UEI Expiration Date:
2025-10-25

Business Information

Activation Date:
2024-10-29
Initial Registration Date:
2024-10-25

National Provider Identifier

NPI Number:
1548640642
Certification Date:
2023-12-27

Authorized Person:

Name:
HOLLEY JOHNSON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
320158728
Plan Year:
2023
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
30
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-03 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2024-01-19 Annual Report For Southern Women's Health, PLLC
Agent Resignation Filed 2023-06-09 Agent Resignation For Dawn Adams
Amendment Form Filed 2023-06-09 Amendment For Southern Women's Health, PLLC
Annual Report LLC Filed 2023-01-18 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2022-01-19 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2021-01-29 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2020-02-20 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2019-03-01 Annual Report For Southern Women's Health, PLLC
Annual Report LLC Filed 2018-03-14 Annual Report For Southern Women's Health, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
264600.00
Total Face Value Of Loan:
264600.00

Paycheck Protection Program

Jobs Reported:
27
Initial Approval Amount:
$264,600
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$264,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$266,562.45
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $264,600

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Date of last update: 25 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website