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Anderson Physician Alliance, Inc.

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Company Details

Name: Anderson Physician Alliance, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Jul 2010 (15 years ago)
Business ID: 969707
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 2124 14th StreetMeridian, MS 39301
Fictitious names: Baptist Anderson Urology Center
Baptist Medical Group-Anderson Physician Alliance
Baptist Medical Group-The Purvis Clinic
Baptist Medical Group-Women's Medical Center of Meridian
Baptist Medical Group-Premier Women's Clinic

Links between entities

Type:
Headquarter of
Company Number:
000-033-258
State:
ALABAMA

Agent

Name Role Address
Donna Herrington Agent 2124-14Th Street, Meridian, MS 39301

Director

Name Role Address
Denton Farr Director 2124 14th Street, Meridian, MS 39301
Shawn Anderson MD Director 2124 14th St., Meridian, MS 39301
John Anderson Director 2124 14th St., Meridian, MS 39301
Steven Brown Director 2124 14th St., Meridian, MS 39301
Wanda Cooper Director 2124 14th St., Meridian, MS 39301
Gregory M Duckett Director 350 N Humphreys Blvd, Memphis, TN 38120
Justin S Rhodes Director 350 N Humphreys Blvd, Memphis, TN 38120

Chairman

Name Role Address
Denton Farr Chairman 2124 14th Street, Meridian, MS 39301

Secretary

Name Role Address
Gregory M Duckett Secretary 350 N Humphreys Blvd, Memphis, TN 38120

Vice President

Name Role Address
Gregory M Duckett Vice President 350 N Humphreys Blvd, Memphis, TN 38120

President

Name Role Address
Justin S Rhodes President 350 N Humphreys Blvd, Memphis, TN 38120

Chief Executive Officer

Name Role Address
Justin S Rhodes Chief Executive Officer 350 N Humphreys Blvd, Memphis, TN 38120

National Provider Identifier

NPI Number:
1750671665

Authorized Person:

Name:
MR. RICHARD J. HIGHTOWER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6015536144
Fax:
6017033408

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-01-06 Annual Report For Anderson Physician Alliance, Inc.
Fictitious Name Registration Filed 2024-03-15 Fictitious Name Registration For Anderson Physician Alliance, Inc.
Amendment Form Filed 2014-09-03 Amendment For Anderson Physician Alliance, Inc.
Formation Form Filed 2012-04-24 Formation
Amendment Form Filed 2011-09-12 Amendment
Formation Form Filed 2010-07-22 Formation

Tax Exempt

Employer Identification Number (EIN) :
27-3274203
In Care Of Name:
% L RAY HUMPHREYS
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2012-05
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 09 May 2025

Sources: Company Profile on Mississippi Secretary of State Website