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  5. MedServe, P.A.

MedServe, P.A.

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Company Details

Name: MedServe, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 Apr 2011 (14 years ago)
Business ID: 981122
ZIP code: 39047
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 200 Amity LaneBrandon, MS 39047

Agent

Name Role Address
Todd L Fulcher MD Agent 200 Amity Ln, Brandon, MS 39047

Incorporator

Name Role Address
T Calvin Wells Incorporator 4450 Old Canton Rd, Suite 200, Jackson, MS 39211

Secretary

Name Role Address
Pam Fulcher Secretary 200 Amity Lane, Brandon, MS 39047

Director

Name Role Address
Todd Fulcher Director 200 Amity Lane, Brandon, MS 39047

National Provider Identifier

NPI Number:
1871883223
Certification Date:
2022-01-13
Link:
View on NPI website

Authorized Person:

Name:
TODD L FULCHER
Role:
PHYSICIAN, OWNER
Phone:
6012060901

Taxonomy:

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

Contacts:

Phone:
+1 601-206-0901
Fax:
8882406288

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-26 Annual Report For MedServe, P.A.
Annual Report Filed 2024-02-21 Annual Report For MedServe, P.A.
Annual Report Filed 2023-03-01 Annual Report For MedServe, P.A.
Annual Report Filed 2022-03-08 Annual Report For MedServe, P.A.
Amendment Form Filed 2022-03-07 Amendment For MedServe, P.A.
Annual Report Filed 2021-03-30 Annual Report For MedServe, P.A.
Annual Report Filed 2020-02-14 Annual Report For MedServe, P.A.
Annual Report Filed 2019-02-08 Annual Report For MedServe, P.A.
Annual Report Filed 2018-03-12 Annual Report For MedServe, P.A.
Annual Report Filed 2017-02-21 Annual Report For MedServe, P.A.

USAspending Awards / Financial Assistance

Date:
2021-01-23
Link:
View on USAspending
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:
58705.00
Total Face Value Of Loan:
58705.00
Date:
2020-04-13
Link:
View on USAspending
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:
58705.00
Total Face Value Of Loan:
58705.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$58,705
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$59,238.24
Servicing Lender:
Cadence Bank
Use of Proceeds:
Payroll: $58,705
Jobs Reported:
2
Initial Approval Amount:
$58,705
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$59,292.05
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $58,705

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Date of last update: 28 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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