| CASE NUMBER | I-200-24135-992848 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/14/2024 |
| DECISION DATE | 5/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | PGY2 RESIDENT-INTERNAL MEDICINE |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 830 SOUTH GLOSTER STREET |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | TUPELO |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 38801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16623773000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | TOPPIN |
| EMPLOYER POC FIRST NAME | BRUCE |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | CHIEF LEGAL OFFICER |
| EMPLOYER POC ADDRESS1 | 830 SOUTH GLOSTER STREET |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | TUPELO |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 38801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16623773000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dpizzimenti@nmhs.net |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16628410629 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walker-immigration.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J. WALKER, ATTY P A |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 830 SOUTH GLOSTER STREET |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | TUPELO |
| WORKSITE COUNTY | LEE |
| WORKSITE STATE | MS |
| WORKSITE POSTAL CODE | 38801 |
| WAGE RATE OF PAY FROM | 64344 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $58,282.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BARRY J WALKER, ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
