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American Primary Care of Prattville, P.C.

Details

Name: American Primary Care of Prattville, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 25 May 2004 (20 years ago)
Entity Number: 000-235-562
Register Number: 000235562
County: Autauga
Place of Formation: Autauga County
Principal Address: PRATTVILLE, AL
Registered Office Street Address: 120 SYCAMORE DRPRATTVILLE, AL 36067
Registered Office Street Address ZIP Code: 36067
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255516803 2008-01-02 2008-01-02 1807 STATION DR, SUITE C, PRATTVILLE, AL, 360665664, US 1807 STATION DR, SUITE C, PRATTVILLE, AL, 360665664, US

Contacts

Phone +1 334-491-1901
Fax 3344911903

Authorized person

Name DR. JAMES CARSON BYRD
Role OWNER
Phone 3344911901

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 25906
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 401(K) PLAN 2012 200985341 2013-01-28 AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3344911901
Plan sponsor’s address 4627 BLUEGRASS PARKWAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2013-01-28
Name of individual signing JAMES C BYRD MD
Role Employer/plan sponsor
Date 2013-01-28
Name of individual signing JAMES C BYRD MD
AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 401(K) PLAN 2011 200985341 2012-10-08 AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3344911901
Plan sponsor’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066

Plan administrator’s name and address

Administrator’s EIN 200985341
Plan administrator’s name AMERICAN PRIMARY CARE OF PRATTVILLE, P.C.
Plan administrator’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066
Administrator’s telephone number 3344911901

Signature of

Role Plan administrator
Date 2012-10-08
Name of individual signing JAMES C BYRD MD
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing JAMES C BYRD MD
AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 401 K PLAN 2010 200985341 2011-10-03 AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3344911901
Plan sponsor’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066

Plan administrator’s name and address

Administrator’s EIN 200985341
Plan administrator’s name AMERICAN PRIMARY CARE OF PRATTVILLE, P.C.
Plan administrator’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066
Administrator’s telephone number 3344911901

Signature of

Role Plan administrator
Date 2011-10-03
Name of individual signing JAMES C BYRD MD
AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 401 K PLAN 2009 200985341 2010-07-27 AMERICAN PRIMARY CARE OF PRATTVILLE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3344911901
Plan sponsor’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066

Plan administrator’s name and address

Administrator’s EIN 200985341
Plan administrator’s name AMERICAN PRIMARY CARE OF PRATTVILLE, P.C.
Plan administrator’s address 1807 STATION DRIVE, SUITE C, PRATTVILLE, AL, 36066
Administrator’s telephone number 3344911901

Signature of

Role Plan administrator
Date 2010-07-27
Name of individual signing JAMES C BYRD MD

Agent

Name Role
BRYD, JAMES CARSON Agent

Incorporator

Name Role
BYRD, JAMES CARSON Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State