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Pediatric Associates of Madison, PC.

Details

Name: Pediatric Associates of Madison, PC.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Jun 2000 (24 years ago)
Entity Number: 000-210-582
Register Number: 000210582
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 540 HUGHES RD STE 10MADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $200

Activities PEDIATRIC CARE MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083652036 2006-06-03 2020-08-22 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758, US 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758, US

Contacts
Phone +1 256-772-2037
Fax 2567729523

Authorized person
Name DR. TONYA T ZBELL
Role PRESIDENT
Phone 2567722037

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2023 631252822 2024-10-14 PEDIATRIC ASSOCIATES OF MADISON, PC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CHARLOTTE M. MEADOWS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2022 631252822 2023-07-26 PEDIATRIC ASSOCIATES OF MADISON, PC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2021 631252822 2022-10-14 PEDIATRIC ASSOCIATES OF MADISON, PC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2020 631252822 2021-06-16 PEDIATRIC ASSOCIATES OF MADISON, PC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2019 631252822 2020-05-27 PEDIATRIC ASSOCIATES OF MADISON, PC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing CHARLOTTE M. MEADOWS, MD
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2018 631252822 2019-08-27 PEDIATRIC ASSOCIATES OF MADISON, PC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing TONYA T. ZBELL, MD
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2018 631252822 2019-02-25 PEDIATRIC ASSOCIATES OF MADISON, PC 22
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-02-25
Name of individual signing TONYA T. ZBELL, MD
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2017 631252822 2018-09-18 PEDIATRIC ASSOCIATES OF MADISON, PC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing TONYA T. ZBELL, MD
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2016 631252822 2017-02-07 PEDIATRIC ASSOCIATES OF MADISON, PC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2017-02-07
Name of individual signing TONYA T. ZBELL, MD
PEDIATRIC ASSOCIATES OF MADISON, PC 401(K) PROFIT SHARING PLAN 2015 631252822 2016-10-14 PEDIATRIC ASSOCIATES OF MADISON, PC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 621111
Sponsor’s telephone number 2567722037
Plan sponsor’s address 21 HUGHES ROAD, SUITE 2, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing TONYA T. ZBELL, MD

Agent

Name Role
ZBELL, TONYA Agent

Incorporator

Name Role
ZBELL, TONYA Incorporator

Events

Event Date Event Type Old Value New Value
2006-08-18 Capital Change $100 Authorized --- Paid In $200 Authorized undefined Paid In

Related by officers

No related officers

Related by address

MADISON, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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