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Southside Pain Specialists, P.C.

Details

Name: Southside Pain Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Dec 2007 (17 years ago)
Entity Number: 000-255-468
Register Number: 000255468
Historical Names: Michael Scott Kendrick, M.D., P.C.
County: Shelby
Place of Formation: Jefferson County
Registered Office Street Address: 1360 LEGACY DRBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558546994 2008-01-04 2022-01-13 1020 26TH ST S, BIRMINGHAM, AL, 352052412, US 1020 26TH ST S, SUITE 100, BIRMINGHAM, AL, 352052412, US

Contacts
Phone +1 205-332-3155
Fax 2053323162

Authorized person
Name JIM CARSON
Role ADMINISTRATOR
Phone 2052025711

Taxonomy
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number 19356
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHSIDE PAIN SPECIALISTS, P.C. CASH BALANCE PLAN 2021 261605441 2022-10-12 SOUTHSIDE PAIN SPECIALISTS, P.C. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
SOUTHSIDE PAIN SPECIALISTS, P.C. CASH BALANCE PLAN 2021 261605441 2022-11-30 SOUTHSIDE PAIN SPECIALISTS, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
SOUTHSIDE PAIN SPECIALISTS, P.C. CASH BALANCE PLAN 2020 261605441 2021-09-21 SOUTHSIDE PAIN SPECIALISTS, P.C. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
SOUTHSIDE PAIN SPECIALISTS, P.C. CASH BALANCE PLAN 2019 261605441 2020-09-22 SOUTHSIDE PAIN SPECIALISTS, P.C. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
SOUTHSIDE PAIN SPECIALISTS P.C. CASH BALANCE PLAN 2018 261605441 2019-10-04 SOUTHSIDE PAIN SPECIALISTS, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
SOUTHSIDE PAIN SPECIALISTS P.C. CASH BALANCE PLAN 2017 261605441 2018-10-08 SOUTHSIDE PAIN SPECIALISTS, P.C. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2053223155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2013 261605441 2014-10-10 MICHAEL SCOTT KENDRICK, M.D. P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053323155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2012 261605441 2013-10-11 MICHAEL SCOTT KENDRICK, M.D. P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053323155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing MICHAEL KENDRICK
MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2011 261605441 2012-10-15 MICHAEL SCOTT KENDRICK, M.D. P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053323155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 261605441
Plan administrator’s name MICHAEL SCOTT KENDRICK, M.D. P.C.
Plan administrator’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2053323155

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MICHAEL KENDRICK
MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2010 261605441 2011-10-06 MICHAEL SCOTT KENDRICK, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053323155
Plan sponsor’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 261605441
Plan administrator’s name MICHAEL SCOTT KENDRICK, M.D. P.C.
Plan administrator’s address 1020 26TH STREET SOUTH, SUITE 100, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2053323155

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing MICHAEL KENDRICK

Agent

Name Role
KENDRICK, MICHAEL SCO Agent

Incorporator

Name Role Address
SCHIFF, GARY S Incorporator 420 20TH STREET NORTH, SUITE 1400BIRMINGHAM, AL 35203

Events

Event Date Event Type Old Value New Value
2016-12-20 Name Change Michael Scott Kendrick, M.D., P.C. Southside Pain Specialists, P.C.

Related by officers

SCHIFF, GARY S

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Related by address

1360 LEGACY DRBIRMINGHAM, AL 35242

MSK Properties, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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