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  5. Mulberry Medical Associates, P.C.

Mulberry Medical Associates, P.C.

Details

Name: Mulberry Medical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Oct 1986 (38 years ago)
Entity Number: 000-113-170
Register Number: 000113170
Historical Names: John A. Jernigan, M.D., P.C.
ZIP code: 36106
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 1301 MULBERRY STREETMONTGOMERY, AL 36106
Authorized Capital: $100,000
Paid Share Capital: $1,000

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629025499 2006-05-27 2020-08-22 1301 MULBERRY ST, MONTGOMERY, AL, 361061132, US 1301 MULBERRY ST, MONTGOMERY, AL, 361061132, US

Contacts
Phone +1 334-265-6153
Fax 3342656943

Authorized person
Name DR. JOHN A. JERNIGAN
Role PRESIDENT
Phone 3342656153

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2022 630938944 2024-07-12 MULBERRY MEDICAL ASSOCIATES, P. C. 25
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2022 630938944 2024-07-12 MULBERRY MEDICAL ASSOCIATES, P. C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2021 630938944 2023-07-14 MULBERRY MEDICAL ASSOCIATES, P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2020 630938944 2022-07-08 MULBERRY MEDICAL ASSOCIATES, P. C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2022-07-08
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2019 630938944 2021-07-12 MULBERRY MEDICAL ASSOCIATES, P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2018 630938944 2020-07-01 MULBERRY MEDICAL ASSOCIATES, P. C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2017 630938944 2019-06-13 MULBERRY MEDICAL ASSOCIATES, P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2016 630938944 2018-06-22 MULBERRY MEDICAL ASSOCIATES, P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2015 630938944 2017-06-13 MULBERRY MEDICAL ASSOCIATES, P. C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing JOHN A. JERNIGAN
MULBERRY MEDICAL ASSOCIATES, P. C. 401(K) PLAN 2014 630938944 2016-06-15 MULBERRY MEDICAL ASSOCIATES, P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621111
Sponsor’s telephone number 3342656153
Plan sponsor’s address 1301 MULBERRY STREET, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing JOHN A. JERNIGAN

Agent

Name Role
JERNIGAN, JOHN A Agent

Incorporator

Name Role
JERNIGAN, JOHN A Incorporator

Events

Event Date Event Type Old Value New Value
1994-02-17 Name Change John A. Jernigan, M.D., P.C. Mulberry Medical Associates, P.C.

Related by officers

JERNIGAN, JOHN A

Central Alabama Medical Enterprises, Inc. WJOY Communications, Inc. Lawyers Capital, LLC Mulberry Medical Plaza Association, Inc. Insured Nomads LLC Advanced Self Storage, L.L.C. Advanced Diagnostic Services, LLC Barr-Jern Properties, L.L.C.

Related by address

MONTGOMERY, AL

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1301 MULBERRY STREETMONTGOMERY, AL 36106

Mulberry Medical Plaza Association, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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