Jemison Internal Medicine, P.C.

Details

Name:	Jemison Internal Medicine, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	02 Jul 1999 (25 years ago)
Entity Number:	000-203-771
Register Number:	000203771
County:	Chilton
Place of Formation:	Chilton County
Principal Address:	JEMISON, AL
Registered Office Street Address:	24548 US HWY 31JEMISON, AL 35085
Registered Office Street Address ZIP Code:	35085
Authorized Capital:	$1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1164569570

2007-02-01

2020-08-22

PO BOX 669, 24548 US HWY 31, JEMISON, AL, 35085, US

24548 US HWY 31, JEMISON, AL, 35085, US

Contacts

Phone	+1 205-688-4050
Fax	2056883207

Authorized person

Name	JAY PRAKASH D PATEL
Role	PRESIDENT
Phone	2056884050

Taxonomy

Taxonomy Code	207R00000X - Internal Medicine Physician
License Number	17742
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2023

631229007

2024-07-10

JEMISON INTERNAL MEDICINE, P.C.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 350850669

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2022

631229007

2023-10-16

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2021

631229007

2022-10-12

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2020

631229007

2021-10-15

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2019

631229007

2020-10-14

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2018

631229007

2019-10-15

JEMISON INTERNAL MEDICINE, P.C.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2017

631229007

2018-10-12

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2016

631229007

2017-10-12

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2015

631229007

2016-10-14

JEMISON INTERNAL MEDICINE, P.C.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

JEMISON INTERNAL MEDICINE. P.C. 401 (K) PROFIT SHARING PLAN

2014

631229007

2015-10-02

JEMISON INTERNAL MEDICINE, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2056884050
Plan sponsor’s address	P.O. BOX 669, JEMISON, AL, 35085

Agent

Name	Role	Address
PATEL, JAYPRAKASH D	Agent	143 WEATHERLY WAYPELHAM, AL 35124

Incorporator

Name	Role	Address
PATEL, JAYPRAKASH D	Incorporator	143 WEATHERLY WAYPELHAM, AL 35124

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State