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Nephrology and Hypertension Consultants, P.C.

Details

Name: Nephrology and Hypertension Consultants, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Jul 1982 (42 years ago) (Companies founded in July 1982)
Entity Number: 000-064-622
Register Number: 000064622
Historical Names: David Zinn, M.D., P.A.
Place of Formation: Calhoun County
Principal Address: 522 EAST 11TH STREET STE 200ANNISTON, AL 36207-4770
Registered Office Street Address: 522 EAST 11TH STREET SUITE 200ANNISTON, AL 36207-4770
Registered Office Mailing Address: PO BOX 1967ANNISTON, AL 36202-1967

Activities PROVIDE MEDICAL SERVICES/SERVICES ANCILLARY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447349949 2006-10-12 2016-09-20 522 E 11TH ST, SUITE 200, ANNISTON, AL, 362074770, US 522 E 11TH ST, SUITE 200, ANNISTON, AL, 362074770, US

Contacts

Phone +1 256-237-5302
Fax 2562375368

Authorized person

Name DAVID ZINN
Role PHYSICIAN
Phone 2562375302

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 3525
State AL
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD MEDICARE GROUP NUMBER
Number CE8762
State AL
Issuer MEDICAID
Number 529503600
State AL
Issuer MEDICARE GROUP NUMBER
Number F216
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2023 360806057 2024-06-06 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing MELANIE SMITH
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2022 360806057 2023-08-02 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-08-02
Name of individual signing MELANIE SMITH
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2021 360806057 2022-10-17 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing MELANIE SMITH
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2021 360806057 2023-01-05 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-01-05
Name of individual signing MELANIE SMITH
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2020 360806057 2021-08-10 NEPHROLOGY AND HYPERTENSION CONSULTANTS 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2021-08-10
Name of individual signing DAVID ZINN
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2019 360806057 2020-10-14 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562375302
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing DAVID ZINN, MD
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2018 360806057 2019-10-15 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562371013
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2017 360806057 2020-12-21 NEPHROLOGY AND HYPERTENSION CONSULTANTS 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562371013
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2017 360806057 2018-09-25 NEPHROLOGY AND HYPERTENSION CONSULTANTS 13
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562371013
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing DAVID ZINN, MD
NEPHROLOGY AND HYPERTENSION PROFIT SHARING PLAN 2016 360806057 2020-12-21 NEPHROLOGY AND HYPERTENSION CONSULTANTS 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 2562371013
Plan sponsor’s address 522 EAST 11TH STREET 2ND FLOOR, ANNISTON, AL, 36207

Agent

Name Role Address
SMITH, MELANIE Agent 145 PERRYWORKS ROADATTALLA, AL 35954

Incorporator

Name Role
ZINN, DAVID MD Incorporator

Events

Event Date Event Type Old Value New Value
2014-10-01 Name Change David Zinn, M.D., P.A. Nephrology and Hypertension Consultants, P.C.

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DJBP0313IB210072 2009-09-16 2009-09-16 2009-09-16
Unique Award Key CONT_AWD_DJBP0313IB210072_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title DR. VISIT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient NEPHROLOGY & HYPERTENSION CONSULTANTS INC
UEI JKCKFFE59W72
Legacy DUNS 007696771
Recipient Address UNITED STATES, 901 LEIGHTON AVE STE 103, ANNISTON, 362075703
PO AWARD DJBTDGHB210081 2008-11-21 2008-11-21 2008-11-21
Unique Award Key CONT_AWD_DJBTDGHB210081_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 MEDICAL SERVICE
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient NEPHROLOGY & HYPERTENSION CONSULTANTS INC
UEI JKCKFFE59W72
Legacy DUNS 007696771
Recipient Address UNITED STATES, 901 LEIGHTON AVE STE 103, ANNISTON, 362075703
PO AWARD DJBDTGHB210081 2008-11-21 2008-11-21 2008-11-21
Unique Award Key CONT_AWD_DJBDTGHB210081_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title MEDICAL SERVICES FOR INMATE 151060
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient NEPHROLOGY & HYPERTENSION CONSULTANTS INC
UEI JKCKFFE59W72
Legacy DUNS 007696771
Recipient Address UNITED STATES, 901 LEIGHTON AVE STE 103, ANNISTON, 362075703
PO AWARD DJBTDGHB210082 2008-11-20 2008-11-20 2008-11-20
Unique Award Key CONT_AWD_DJBTDGHB210082_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title MEDICAL SERVICES FOR INMATE 151060
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient NEPHROLOGY & HYPERTENSION CONSULTANTS INC
UEI JKCKFFE59W72
Legacy DUNS 007696771
Recipient Address UNITED STATES, 901 LEIGHTON AVE STE 103, ANNISTON, 362075703

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State