Primary Care Internists of Montgomery, P.C.

Details

Name:	Primary Care Internists of Montgomery, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	03 Jan 1977 (48 years ago) (Companies founded in January 1977)
Entity Number:	000-044-655
Register Number:	000044655
Historical Names:	Drs. Webb, Robinson & Strong, P.A. Drs. Webb & Robinson, P.A. Drs. Webb, Robinson & Strong, P.C. Drs. Robinson, Strong, Yates & Webb, P.C. Drs. Robinson, Strong, Yates & McLaughlin, P.C.
ZIP code:	36106 (Companies in Montgomery, 36106)
County:	Montgomery
Place of Formation:	Montgomery County
Principal Address:	MONTGOMERY, AL
Registered Office Street Address:	1722 PINE STREET SUITE 309MONTGOMERY, AL 36106
Authorized Capital:	$1,000

Activities MEDICAL SERVICES

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

LDB8S6VNLLC5

2023-03-16

1722 PINE ST STE 309, MONTGOMERY, AL, 36106, 1136, USA

1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

Business Information

Doing Business As	(AFF: JACKSON HOSPITAL & CLINIC)
URL	pcimontgomery.com
Division Name	PRIMARY CARE INTERNISTS OF MONTGOMERY
Congressional District	02
State/Country of Incorporation	AL, USA
Activation Date	2022-02-16
Initial Registration Date	2009-07-27
Entity Start Date	1977-01-03
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	GARY GILMORE
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

Title	ALTERNATE POC
Name	CHARLA SEWELL
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1136, USA

Government Business
Title	PRIMARY POC
Name	GARY GILMORE
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

Title	ALTERNATE POC
Name	CHARLA SEWELL
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

Past Performance
Title	PRIMARY POC
Name	CHARLA SEWELL
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

Title	ALTERNATE POC
Name	CHARLA SEWELL
Address	1722 PINE STREET , SUITE 309, MONTGOMERY, AL, 36106, 1178, USA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1306837976

2005-11-02

2015-06-16

1722 PINE ST, SUITE 309, MONTGOMERY, AL, 361061103, US

Contacts

Phone	+1 334-262-0342
Fax	3342620390

Authorized person

Name	CHARLA SEWELL
Role	ADMINISTRATOR
Phone	3342620342

Taxonomy

Taxonomy Code	207R00000X - Internal Medicine Physician
Is Primary	Yes

Other Provider Identifiers

Issuer	CLIA CERTIFICATE #
Number	01D0671060
State	AL

Commercial and government entity program

CAGE number

Status

Type

Established

CAGE Update Date

CAGE Expiration

SAM Expiration

5LRC0

Obsolete

Non-Manufacturer

2009-07-27

2023-03-16

No data

2023-03-16

Contact Information

POC	GARY GILMORE
Phone	+1 334-262-0342
Fax	+1 334-262-0390
Address	1722 PINE ST STE 309, MONTGOMERY, AL, 36106 1136, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2023

630719632

2024-04-10

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 36106

Signature of

Role	Plan administrator
Date	2024-04-10
Name of individual signing	GARY GILMORE

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2022

630719632

2023-03-14

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 36106

Signature of

Role	Plan administrator
Date	2023-03-14
Name of individual signing	GARY GILMORE

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2021

630719632

2022-04-22

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2020

630719632

2021-04-23

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2019

630719632

2020-07-13

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2018

630719632

2019-07-30

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2017

630719632

2018-04-05

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2016

630719632

2017-06-26

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2015

630719632

2016-07-22

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. 401(K) SAFE HARBOR PROFIT SHARING PLAN

2014

630719632

2015-06-16

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	3342620342
Plan sponsor’s address	1722 PINE STREET, SUITE 309, MONTGOMERY, AL, 361061178

Agent

Name	Role	Address
PATEL, RAKESH	Agent	3442 CHAPEL HILLS PKWYFULTONDALE, AL 35068

Incorporator

Name	Role
ROBINSON, PHILLIP R MD	Incorporator

Events

Event Date	Event Type	Old Value	New Value
1996-05-13	Name Change	Drs. Robinson, Strong, Yates & McLaughlin, P.C.	Primary Care Internists of Montgomery, P.C.
1991-11-19	Name Change	Drs. Robinson, Strong, Yates & Webb, P.C.	Drs. Robinson, Strong, Yates & McLaughlin, P.C.
1985-09-05	Name Change	Drs. Webb, Robinson & Strong, P.C.	Drs. Robinson, Strong, Yates & Webb, P.C.
1984-09-11	Name Change	Drs. Webb, Robinson & Strong, P.A.	Drs. Webb & Robinson, P.A.
1984-09-11	Name Change	Drs. Webb & Robinson, P.A.	Drs. Webb, Robinson & Strong, P.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

Primary Care Internists of Montgomery, P.C.

Details

Unique Entity ID

National Provider Identifier

Commercial and government entity program

form 5500

Agent

Incorporator

Events

Related by officers

Related by address