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Ob-Gyn Associates of Anniston, LLC

Details

Name: Ob-Gyn Associates of Anniston, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Apr 2013 (12 years ago)
Entity Number: 000-275-700
Register Number: 000275700
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 201 LAUREL SPRINGS ROADANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207

Activities GENERAL PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215428529 2018-05-22 2023-04-13 PO BOX 632, ANNISTON, AL, 362020632, US 901 LEIGHTON AVE STE 102, ANNISTON, AL, 362075703, US

Contacts

Phone +1 256-294-7010
Fax 2564051138

Authorized person

Name DR. JEFFREY W COLLINS
Role OWNER
Phone 2562947010

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2023 462476892 2024-07-31 OB-GYN ASSOCIATES OF ANNISTON, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2022 462476892 2023-09-19 OB-GYN ASSOCIATES OF ANNISTON, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2021 462476892 2022-10-06 OB-GYN ASSOCIATES OF ANNISTON, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2020 462476892 2021-10-11 OB-GYN ASSOCIATES OF ANNISTON, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2019 462476892 2020-10-13 OB-GYN ASSOCIATES OF ANNISTON, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207
OB-GYN ASSOCIATES OF ANNISTON, LLC 401(K) PLAN 2018 462476892 2019-10-10 OB-GYN ASSOCIATES OF ANNISTON, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2562396760
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 102, ANNISTON, AL, 36207

Agent

Name Role Address
COLLINS, JEFFREY W Agent 201 LAUREL SPRINGS ROADANNISTON, AL 36207

Organizer

Name Role Address
COLLINS, JEFFREY W Organizer 201 LAUREL SPRINGS ROADANNISTON, AL 36207
PUMROY, JAY F Organizer 1431 LEIGHTON AVENUEANNISTON, AL 36207

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State