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Cardiology Associates of Mobile, Inc.

Details

Name: Cardiology Associates of Mobile, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 08 Nov 1984 (40 years ago)
Entity Number: 000-100-875
Register Number: 000100875
Historical Names: Gerry M. Phillips, M.D., P.C.
Cardiology Associates of Mobile, P.C.
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 3715 DAUPHIN ST STE 4400MOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861666711 2008-04-22 2017-08-28 6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL, 366086705, US 6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL, 366086705, US

Contacts

Phone +1 251-607-9797

Authorized person

Name DR. GERRY M PHILLIPS
Role PRESIDENT/CHAIRMAN OF BOARD
Phone 2516079797

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 510-38007
State AL
Issuer UNITED HEALTHCARE
Number 2510092
State AL
Issuer MEDICAID
Number 0119053
State MS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2022 630889615 2023-07-11 CARDIOLOGY ASSOCIATES OF MOBILE, INC. 256
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, SUITE 1100, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 256
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2021 630889615 2022-07-27 CARDIOLOGY ASSOCIATES OF MOBILE, INC. 262
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, SUITE 1100, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 256
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2020 630889615 2021-07-29 CARDIOLOGY ASSOCIATES OF MOBILE, INC. 256
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 262
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2019 630889615 2020-07-10 CARDIOLOGY ASSOCIATES OF MOBILE, INC. 243
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 256
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2018 630889615 2019-07-31 CARDIOLOGY ASSOCIATES OF MOBILE, INC. 238
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET, SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 243
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2017 630889615 2018-10-10 CARDIOLOGY ASSOCIATES OF MOBILE INC 222
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, STE. 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 238
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2016 630889615 2017-07-31 CARDIOLOGY ASSOCIATES OF MOBILE INC 212
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, STE. 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 222
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2015 630889615 2016-10-17 CARDIOLOGY ASSOCIATES OF MOBILE INC 199
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET, STE. 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 212
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2015 630889615 2016-12-27 CARDIOLOGY ASSOCIATES OF MOBILE INC 206
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 197
CARDIOLOGY ASSOCIATES OF MOBILE, INC. WELFARE PLAN 2015 630889615 2016-12-27 CARDIOLOGY ASSOCIATES OF MOBILE INC 211
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 2516079797
Plan sponsor’s mailing address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608
Plan sponsor’s address 3715 DAUPHIN STREET SUITE 4400, MOBILE, AL, 36608

Number of participants as of the end of the plan year

Active participants 206

Incorporator

Name Role
PHILLIPS, GERRY M MD Incorporator

Agent

Name Role
PHILLIPS, GERRY M MD Agent

Events

Event Date Event Type Old Value New Value
2000-06-01 Name Change Cardiology Associates of Mobile, P.C. Cardiology Associates of Mobile, Inc.
1986-01-13 Name Change Gerry M. Phillips, M.D., P.C. Cardiology Associates of Mobile, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State