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DRG Fayette, PLLC

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Company Details

Name: DRG Fayette, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 Nov 2007 (18 years ago)
Business ID: 922658
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 6501 Dogwood View Parkway, Suite BJackson, MS 39213

Agent

Name Role Address
Ryan, Alice Van Agent 321 Highway 51, Suite F;PO Box 2658, Madison, MS 39130

Manager

Name Role Address
Tunde Olutade Manager 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213

Member

Name Role Address
Tunde Olutade Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
Gary M Davis Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213

National Provider Identifier

NPI Number:
1649556721

Authorized Person:

Name:
DR. TUNDE OLUTADE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6018993343

Form 5500 Series

Employer Identification Number (EIN):
261226437
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-25 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2024-09-19 Annual Report For DRG Fayette, PLLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: DRG Fayette, PLLC
Annual Report LLC Filed 2023-01-24 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2022-02-06 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2021-02-02 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2020-02-03 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2019-03-10 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2018-02-13 Annual Report For DRG Fayette, PLLC
Annual Report LLC Filed 2017-02-07 Annual Report For DRG Fayette, PLLC

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website