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John F. Simmons, M.D., P.C.

Details

Name: John F. Simmons, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Jan 1994 (31 years ago)
Entity Number: 000-161-497
Register Number: 000161497
County: Geneva
Place of Formation: Geneva County
Principal Address: GENEVA, AL
Registered Office Street Address: 915 HOSPITAL DRIVEGENEVA, AL 36340
Registered Office Street Address ZIP Code: 36340
Authorized Capital: $5,000
Paid Share Capital: ----

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053425595 2006-08-19 2010-08-28 915 W HOSPITAL DR, GENEVA, AL, 363401645, US 915 W HOSPITAL DR, GENEVA, AL, 363401645, US

Contacts

Phone +1 334-684-3644
Fax 3346846472

Authorized person

Name DR. JOHN FRANKLIN SIMMONS
Role DOCTOR
Phone 3346843644

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 10418
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 000016076
State AL
Issuer MEDICAID
Number 000016076
State AL
Issuer MEDICAID
Number 0441944500
State FL
Issuer CLIA
Number 0100304950
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 631107327 2022-10-11 JOHN F. SIMMONS, M.D. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849890

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2021 631107327 2022-10-11 JOHN F. SIMMONS, M.D. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849490

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2020 631107327 2021-12-15 JOHN F. SIMMONS, M.D. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849490

Signature of

Role Plan administrator
Date 2021-12-15
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 631107327 2021-12-15 JOHN F. SIMMONS, M.D. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849890

Signature of

Role Plan administrator
Date 2021-12-15
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2019 631107327 2020-10-07 JOHN F. SIMMONS, M.D. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849490

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 631107327 2020-10-07 JOHN F. SIMMONS, M.D. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849890

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 631107327 2019-10-02 JOHN F. SIMMONS, M.D. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849890

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2018 631107327 2019-10-02 JOHN F. SIMMONS, M.D. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849490

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2017 631107327 2018-10-01 JOHN F. SIMMONS, M.D. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849490

Signature of

Role Plan administrator
Date 2018-10-01
Name of individual signing JOHN F. SIMMONS
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 631107327 2018-10-01 JOHN F. SIMMONS, M.D. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3346849890
Plan sponsor’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340

Plan administrator’s name and address

Administrator’s EIN 631107327
Plan administrator’s name JOHN F. SIMMONS, M.D.
Plan administrator’s address 915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
Administrator’s telephone number 3346849890

Signature of

Role Plan administrator
Date 2018-10-01
Name of individual signing JOHN F. SIMMONS

Agent

Name Role Address
SIMMONS, JOHN F Agent 1460 ANTIOCH CIRCLEHARTFORD, AL 36344

Incorporator

Name Role Address
SIMMONS, JOHN F Incorporator 1460 ANTIOCH CIRCLEHARTFORD, AL 36344

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State