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Grayson & Associates, P.C.

Details

Name: Grayson & Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 14 Feb 1986 (39 years ago) (Companies founded in February 1986)
Entity Number: 000-108-708
Register Number: 000108708
Historical Names: G.S. Grayson and Associates, P.C.
Grayson, Morrison & Associates, P.C.
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2200 LAKESHORE DR #150BIRMINGHAM, AL 35209
Authorized Capital: $1,000

Activities MEDICINE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
K3MTAGJF8M27 2025-02-22 2200 LAKESHORE DR, STE 150, BIRMINGHAM, AL, 35209, 8832, USA 2200 LAKESHORE DR STE 150, BIRMINGHAM, AL, 35209, 8832, USA

Business Information
Doing Business As GRAYSON & ASSOCIATES PC
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-02-26
Initial Registration Date 2017-06-29
Entity Start Date 1985-03-15
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHRISTINE SMITH
Address 2200 LAKESHORE DR, SUITE 150, BIRMINGHAM, AL, 35209, USA
Government Business
Title PRIMARY POC
Name CHRISTINE SMITH
Address 2200 LAKESHORE DR, SUITE 150, BIRMINGHAM, AL, 35209, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194772442 2006-05-30 2021-08-11 2200 LAKESHORE DRIVE, SUITE 150, BIRMINGHAM, AL, 35209, US 2200 LAKESHORE DR STE 150, BIRMINGHAM, AL, 352098832, US

Contacts
Phone +1 205-871-6926
Fax 2058686696
Fax 2058717981

Authorized person
Name DR. JOSEPH LUCAS
Role AUTHORIZED OFFICIAL
Phone 2058716926

Taxonomy
Taxonomy Code 101YP2500X - Professional Counselor
Is Primary No
Taxonomy Code 103G00000X - Clinical Neuropsychologist
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529200030
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAYSON & ASSOCIATES,P.C.401(K)PROFIT SHARING PLAN 2016 630917523 2017-10-10 GRAYSON & ASSOCIATES,P.C. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DRIVE SUITE 150, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing JAMES OWENS
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 630917523 2016-09-19 GRAYSON & ASSOCIATES, P.C. 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DRIVE SUITE 150, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing JAMES OWENS
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 630917523 2015-10-08 GRAYSON & ASSOCIATES, P.C. 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DRIVE SUITE 150, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JAMES OWENS
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 630917523 2014-09-18 GRAYSON & ASSOCIATES, P.C. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DRIVE SUITE 150, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing JAMES OWENS
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 630917523 2013-08-09 GRAYSON & ASSOCIATES, P.C. 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2013-08-09
Name of individual signing JAY OWENS
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 630917523 2012-07-26 GRAYSON & ASSOCIATES, P.C. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 630917523
Plan administrator’s name GRAYSON & ASSOCIATES, P.C.
Plan administrator’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058716926

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing LYNN CASTRO
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2010 630917523 2011-06-30 GRAYSON & ASSOCIATES, P.C. 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058686755
Plan sponsor’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 630917523
Plan administrator’s name GRAYSON & ASSOCIATES, P.C.
Plan administrator’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058686755

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing LYNN CASTRO
GRAYSON & ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2009 630917523 2010-07-30 GRAYSON & ASSOCIATES, P.C. 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621399
Sponsor’s telephone number 2058716926
Plan sponsor’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 630917523
Plan administrator’s name GRAYSON & ASSOCIATES, P.C.
Plan administrator’s address 2200 LAKESHORE DR., SUITE 150, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058716926

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing KEVIN WILLIAMS

Agent

Name Role Address
GRAYSON, GARRY S Agent 3505 BRANCH MILL ROADBIRMINGHAM, AL 35223

Incorporator

Name Role Address
GRAYSON, GARRY S Incorporator 3505 BRANCH MILL ROADBIRMINGHAM, AL 35223

Events

Event Date Event Type Old Value New Value
1992-11-05 Name Change Grayson, Morrison & Associates, P.C. Grayson & Associates, P.C.
1989-12-29 Name Change G.S. Grayson and Associates, P.C. Grayson, Morrison & Associates, P.C.

Related by officers

GRAYSON, GARRY S

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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