| Name: | Nephrology Associates of Mobile, P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Exists |
| Date of registration: | 06 Jun 1980 (44 years ago) (Companies founded in June 1980) |
| Entity Number: | 000-061-479 |
| Register Number: | 000061479 |
| ZIP code: | 36604 (Companies in Mobile, 36604) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1653 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Registered Office Street Address: | 124-A UNIVERSITY BOULEVARD SOUTHMOBILE, AL 36608 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861477507 | 2005-12-14 | 2021-04-13 | PO BOX 850849, MOBILE, AL, 366850849, US | 124 S UNIVERSITY BLVD STE A, MOBILE, AL, 366083078, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 251-343-5004 |
| Fax | 2513438383 |
Authorized person
| Name | DAVID SWEET |
| Role | CEO |
| Phone | 2513006969 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 04676322 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEPHROLOGY ASSOCIATES OF MOBILE, P.A. 401(K) PROFIT SHARING PLAN | 2021 | 630790569 | 2022-08-01 | NEPHROLOGY ASSOCIATES OF MOBILE, P.A. | 117 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2022-08-01 |
| Name of individual signing | DAVID SWEET |
| Name | Role |
|---|---|
| SWEET, DAVID F | Agent |
| Name | Role |
|---|---|
| HUDDLE, R MICHAEL MD | Member |
| LAMBERTH, EDWIN L JR MD | Member |
| MAZEY, RICHARD M MD | Member |
| BUTERA, PHILIP J MD | Member |
| TRAVIS, PHILIP S MD | Member |
| GAINES, RONALD L MD | Member |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
