| CASE NUMBER | I-200-24121-939665 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/30/2024 |
| DECISION DATE | 5/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neuro-hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| 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 | Archbold Medical Group, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 915 Gordon Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Thomasville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31792 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12292282000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hembree |
| EMPLOYER POC FIRST NAME | Greg |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Vice President/CFO |
| EMPLOYER POC ADDRESS1 | 915 Gordon Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Thomasville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31792 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12292282853 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | gshembree@archbold.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | T. Mills |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 200 East Saint Julian Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Savannah |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 31401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19122360261 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mfleming@huntermaclean.com |
| LAWFIRM NAME BUSINESS NAME | Hunter Maclean Exley & Dunn PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | U.S. District Court For Southern District of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 915 Gordon Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Thomasville |
| WORKSITE COUNTY | THOMAS |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 31792 |
| WAGE RATE OF PAY FROM | 340000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 Business |
| PREPARER LAST NAME | Russell |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Hunter, Maclean, Exley & Dunn, P.C. |
| PREPARER EMAIL | mrussell@huntermaclean.com |
| BEGIN DATE CONVERTED | 2024-01-08 |
