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Southern Orthopaedic Specialists, P.C.

Details

Name: Southern Orthopaedic Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Jul 2001 (23 years ago)
Entity Number: 000-218-139
Register Number: 000218139
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 516 BROOKWOOD BLVD 2ND FLBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: $5,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568516151 2007-01-22 2013-01-22 516 BROOKWOOD BLVD, FLOOR 2, BIRMINGHAM, AL, 352096802, US 516 BROOKWOOD BLVD, FLOOR 2, BIRMINGHAM, AL, 352096802, US

Contacts
Phone +1 205-397-2663
Fax 2052780049

Authorized person
Name DR. GREGG KEVIN CARR
Role PRESIDENT
Phone 2053972663

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 22420
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529910970
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2022 631280331 2023-06-28 SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing KATHY CUNNINGHAM
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2021 631280331 2022-06-13 SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2022-06-13
Name of individual signing KATHY CUNNINGHAM
Role Employer/plan sponsor
Date 2022-06-13
Name of individual signing GREGG K. CARR
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2020 631280331 2021-07-26 SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing KATHY CUNNINGHAM
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2019 631280331 2020-07-22 SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing KATHY CUNNINGHAM
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631280331 2019-09-16 SOUTHERN ORTHOPAEDIC SPECIALISTS, 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 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing KATHY CUNNINGHAM
SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2017 631280331 2018-10-11 SOUTHERN ORTHOPAEDIC SPECIALISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2053972663
Plan sponsor’s address 516 BROOKWOOD BOULEVARD, 2ND FLOOR, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing KATHYCUNNINGHAM

Agent

Name Role Address
CARR, GREGG K Agent 3009 CANTERBURY LANEBIRMINGHAM, AL 35223

Incorporator

Name Role Address
CARR, GREGG K Incorporator 3009 CANTERBURY LANEBIRMINGHAM, AL 35223

Related by officers

CARR, GREGG K

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516 BROOKWOOD BLVD 2ND FLBIRMINGHAM, AL 35209

Innovative Clinical Trials, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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