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Mississippi Premier Plastic Surgery, PLLC

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Company Details

Name: Mississippi Premier Plastic Surgery, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Sep 2008 (17 years ago)
Business ID: 938731
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 160 Fountains Blvd Ste BMadison, MS 39110
Historical names: Premier Plastic Surgery PLLC

Agent

Name Role Address
Pam Wilkerson Agent 160 Fountains Blvd Ste B, Madison, MS 39110

Organizer

Name Role Address
William Dotie Jackson Organizer 971 LAKELAND DR, SUITE 315, JACKSON, MS 39216

Member

Name Role Address
Songcharoen Somprasong Member 160 Fountains Blvd Ste B, Madison, MS 39110

Manager

Name Role Address
Pam Wilkerson Manager 160 Fountains Blvd Ste B, Madison, MS 39110

National Provider Identifier

NPI Number:
1639320864
Certification Date:
2022-09-26

Authorized Person:

Name:
MRS. PATRICIA B BYERS
Role:
CREDENTIALING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Is Primary:
No
Selected Taxonomy:
2082S0105X - Surgery of the Hand (Plastic Surgery) Physician
Is Primary:
No
Selected Taxonomy:
2086S0105X - Surgery of the Hand (Surgery) Physician
Is Primary:
No
Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6019813152

Form 5500 Series

Employer Identification Number (EIN):
263443949
Plan Year:
2023
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-03 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2024-02-05 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2023-01-19 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Amendment Form Filed 2022-01-12 Amendment For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2022-01-12 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Amendment Form Filed 2021-03-15 Amendment For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2021-03-15 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2020-02-26 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2019-02-23 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2018-02-03 Annual Report For Mississippi Premier Plastic Surgery, PLLC

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Date of last update: 08 May 2025

Sources: Company Profile on Mississippi Secretary of State Website