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North Alabama Neurological, P.A.

Details

Name: North Alabama Neurological, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 15 Jan 1969 (56 years ago) (Companies founded in January 1969)
Date of dissolution: 30 May 2023
Entity Number: 000-013-711
Register Number: 000013711
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: 105 RAND AVENUEHUNTSVILLE, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235193053 2006-04-17 2012-03-22 201 GOVERNORS DRIVE 1ST FLOOR, HUNTSVILLE, AL, 358014317, US 201 GOVERNORS DRIVE 1ST FLOOR, HUNTSVILLE, AL, 358014317, US

Contacts
Phone +1 256-533-1600
Fax 2565390856

Authorized person
Name DR. JOEL PICKETT
Role MANAGING PARTNER
Phone 2565331600

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary No

Other Provider Identifiers
Issuer BCBS GROUP NUMBER
Number C076
State AL
Issuer MEDICAID
Number 000060076
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE SPINE AND NEUROSURGERY CENTER CASH BALANCE PLAN 2010 630572198 2011-10-14 NORTH ALABAMA NEUROLOGICAL, P.A. 45
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing KIMBERLY H. HUBBARD, CPA
NORTH ALABAMA NEUROLOGICAL, P.A. 401K PROFIT SHARING PLAN 2010 630572198 2011-10-14 NORTH ALABAMA NEUROLOGICAL, P.A. 48
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing KIMBERLY H. HUBBARD, CPA
NORTH ALABAMA NEUROLOGICAL, P.A. 401K PROFIT SHARING PLAN 2009 630572198 2010-07-27 NORTH ALABAMA NEUROLOGICAL, P.A. 53
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600
THE SPINE AND NEUROSURGERY CENTER CASH BALANCE PLAN 2009 630572198 2010-10-04 NORTH ALABAMA NEUROLOGICAL, P.A. 54
Three-digit plan number (PN) 004
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KIMBERLY H. HUBBARD, CPA
THE SPINE AND NEUROSURGERY CENTER CASH BALANCE PLAN 2009 630572198 2010-10-04 NORTH ALABAMA NEUROLOGICAL, P.A. 54
Three-digit plan number (PN) 004
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KIMBERLY H. HUBBARD, CPA
THE SPINE AND NEUROSURGERY CENTER CASH BALANCE PLAN 2009 630572198 2010-10-04 NORTH ALABAMA NEUROLOGICAL, P.A. 54
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KIMBERLY H. HUBBARD, CPA
NORTH ALABAMA NEUROLOGICAL, P.A. 401K PROFIT SHARING PLAN 2009 630572198 2010-10-01 NORTH ALABAMA NEUROLOGICAL, P.A. 53
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing KIMBERLY H. HUBBARD, CPA
THE SPINE AND NEUROSURGERY CENTER CASH BALANCE PLAN 2009 630572198 2010-10-01 NORTH ALABAMA NEUROLOGICAL, P.A. 54
Three-digit plan number (PN) 004
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331600
Plan sponsor’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 630572198
Plan administrator’s name NORTH ALABAMA NEUROLOGICAL, P.A.
Plan administrator’s address 201 GOVERNORS DRIVE, 1ST FLOOR, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565331600

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing KIMBERLY H. HUBBARD, CPA

Member

Name Role
HAWS, FRANK P Member
HASH, ROBERT L Member

Related by officers

HAWS, FRANK P

C-Cubed Avionics, Incorporated Finesse Yacht Charters, LLC CDHS Group, LLC Atlantic Investments, L.L.C. Atlantic Technologies, LLC Haws Aviation, LLC Huntsville Capital Corp. The Huntsville Corporation Vandenberg Corporation, Inc.

HASH, ROBERT L

SMWB, LLC SMD1, LLC

Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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