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Covington Gynecology, P.C.

Details

Name: Covington Gynecology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Feb 1987 (38 years ago)
Entity Number: 000-115-489
Register Number: 000115489
Historical Names: Covington Obstetrics and Gynecology, P.C.
County: Covington
Place of Formation: Covington County
Principal Address: ANDALUSIA, AL
Registered Office Street Address: 115 MEDICAL PARK DRANDALUSIA, AL 36420
Registered Office Street Address ZIP Code: 36420
Registered Office Mailing Address: P O BOX 640ANDALUSIA, AL 36420
Registered Office Mailing Address ZIP Code: 36420
Authorized Capital: $1,000

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518137694 2008-03-05 2011-10-14 P O BOX 640, 115 MEDICAL PARK DRIVE, ANDALUSIA, AL, 36420, US 115 MEDICAL PARK DRIVE, ANDALUSIA, AL, 36420, US

Contacts
Phone +1 334-222-5781
Fax 3342225794

Authorized person
Name MICHAEL A. WELLS
Role PRESIDENT
Phone 3342225781

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 7388
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 528701390
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2023 630951474 2024-07-22 COVINGTON GYNECOLOGY, P. C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address 115 MEDICAL PARK DR, P O BOX 640, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing MICHAEL A WELLS
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2022 630951474 2023-07-20 COVINGTON GYNECOLOGY, P. C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address 115 MEDICAL PARK DR, ANDALUSIA, AL, 36420
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2021 630951474 2022-09-20 COVINGTON GYNECOLOGY, P. C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621112
Sponsor’s telephone number 3342225781
Plan sponsor’s address 115 MEDICAL PARK DR, ANDALUSIA, AL, 36420
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2020 630951474 2021-06-16 COVINGTON GYNECOLOGY, P. C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 36420
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2019 630951474 2020-06-29 COVINGTON GYNECOLOGY, P. C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212
COVINGTON GYNECOLOGY, P. C. PROFIT SHARING PLAN 2018 630951474 2019-09-09 COVINGTON GYNECOLOGY, P. C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing MICHAEL A. WELLS, M.D.
COVINGTON GYNECOLOGY, P.C. PROFIT SHARING PLAN 2017 630951474 2018-05-09 COVINGTON GYNECOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing MICHAEL WELLS
COVINGTON GYNECOLOGY, P.C. PROFIT SHARING PLAN 2016 630951474 2017-10-11 COVINGTON GYNECOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing MICHAEL WELLS
COVINGTON GYNECOLOGY, P.C. PROFIT SHARING PLAN 2015 630951474 2016-02-10 COVINGTON GYNECOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212

Signature of
Role Plan administrator
Date 2016-02-10
Name of individual signing MICHAEL WELLS
COVINGTON GYNECOLOGY, P.C. PROFIT SHARING PLAN 2014 630951474 2015-03-12 COVINGTON GYNECOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3342225781
Plan sponsor’s address P.O. BOX 640, ANDALUSIA, AL, 364201212

Signature of
Role Plan administrator
Date 2015-03-12
Name of individual signing MICHAEL WELLS

Agent

Name Role
LEE A CARNEY Agent

Incorporator

Name Role
ST JOHN, ALBERT B MD Incorporator
WELLS, MICHAEL A MD Incorporator

Events

Event Date Event Type Old Value New Value
2008-03-04 Name Change Covington Obstetrics and Gynecology, P.C. Covington Gynecology, P.C.

Related by officers

No related officers

Related by address

ANDALUSIA, AL

Andalusia Development Company Andalusia Farmers Cooperative, Inc. Andalusia Manufacturing Co. Andy Electric Company Benson & Co., Inc. Briarhills Stables, Inc. City Drug Store, Inc. Clark Trailer Service, Inc. Club Apartments, Inc. First Alabama Bank of Covington County

115 MEDICAL PARK DRANDALUSIA, AL 36420

Parturient Properties, LLP

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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