APRN and Delegating Physician - Reviewed Nurse Protocol ......APRN and Delegating Physician -...
Transcript of APRN and Delegating Physician - Reviewed Nurse Protocol ......APRN and Delegating Physician -...
APRN and Delegating Physician - Reviewed Nurse Protocol Agreements
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011David Dean, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030964808RN116808Aaron, Stephanie
3/7/2008Sanjay Lall, MD 95 Collier Rd, Suite 5015 Atlanta GA 30309‐172157878RN116808Aaron, Stephanie 7/1/2011
5/4/2012Schaefer, Timothy MD 1700 Hospital South Drive, Ste 500 Austell GA 3010647524RN079832Abernathy, Deborah
5/4/2012Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016RN107241Abernathy, Pamela
6/3/2011Jaime Burkle, MD 309 Highland Pkwy, Suite 201 Ellijay GA 3053948881RN154956Abernathy, Kari Elizabeth 5/7/2012
10/5/2012Albert Anderson, MD 341 Ponce deLeon Ave. Atlanta GA 3030858136RN141176Abon, Moradeke
10/10/2013Jonathan Ehrlich, MD 993‐D Johnson Ferry Rd, Suite 360 Atlanta GA 3034215580RN178502Abraham, Linda M.
2/7/2013Josephine Lopez, MD 1500 Oglethorpe Ave, Suite 100 Athens GA 344125RN204958Abraham, Rennie Juanillo
10/5/2012Lynette Stewart, MD 3660 Flat Shoals Rd., Ste 180 Decatur GA 3003439681RN178502Abraham, Linda 4/16/2013
2/3/2012Hodges, Sharon MD 1372 Wellbrook Circle Conyers GA 3001240759RN178502Abraham, Linda 3/30/2012
1/7/2011Mohamad El‐Attar, MD 1372 Wellbrook Cir NE Conyers GA 3001241286RN178502Abraham, Linda M. 11/30/2011
1/7/2010Phillip Bannister, MD 603‐A Old Norcross Rd Lawrenceville GA 3004516503RN178502Abraham, Linda M. 10/1/2010
2/5/2010Thomas Seay, MD 5670 P'tree Dunwoody Rd, #1100 Atlanta GA 3034230884RN108696Abramson, Cara Michelle Rothfi
10/10/2013Melissa Dillmon, MD 255 West Fifth St Rome GA 3016554073RN126710Acree, Lisa Pinkard
6/8/2007William Whaley, MD 750 Deep South Farm Rd Blairsville GA 3051211504RN126710Acree, Lisa Pinkard
1/6/2012Winston, Alan Daniel MD 200 South Enota, Suite 380 Gainesville GA 3050141245RN124420Acton, Patricia
Wednesday, May 07, 2014 Page 1 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Paul Guichard, DO 55 Whitcher St, Suite 350 Marietta GA 3006054386RN176923Adams, Holly Scott
11/2/2012Asit K. Jha, MD 1451 Churth St. Waycross GA 3150155248RN158173Adams, Angela D.
10/2/2012Donald Davis, MD 1525 Clifton Road Atlanta GA 3032219506RN079253Adams, Jewel Ann
1/6/2012Knepp, Ira MD 1009 N. Monroe Street Albany GA 3170134002RN181346Adams, Sherida 4/30/2012
12/3/2010James Lindley, MD 4 Jackson Blvd Savannah GA 3140533138RN157995Adams, Jennifer Campbell
4/4/2013Dean Karampelas, MD 743 Spring St Gainesville GA 3050126141RN226384Adamski, Jennifer Lynn
3/8/2013James Bailey, MD 743 Spring St Gainesville GA 3050128368RN226384Adamski, Jennifer Lynn
1/7/2010William Morris Brown, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030929309RN063419Adcock, Leslie Hollowell
3/6/2009Cullen Morris, MD 1270 Prince Ave, Suite 303 Athens GA 3060644285RN063419Adcock, Leslie Hollowell 9/18/2009
5/6/2011Michael Connor, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050131581RN114338Addison, Nivenann Townsend
12/7/2012Edward Matthews, MD 2525 Williams Rd. Columbus GA 3190934896RN218443Addy, Sharon N.
11/2/2012Jada Bussey‐Jones, MD 80 Jesse Hill Jr. Dr. SE Atlanta GA 3030347306RN144155Adebayo, Monsurat M.
12/4/2009Madhu Vishwanath, MD 595 Piedmont Ave, Suite 1000 Atlanta GA 3030856499RN161498Adegbuji, Omoronke Olufunmil
6/5/2009Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN161498Adegbuji, Omoronke Olufunmil 11/17/2009
8/10/2012Lloydstone Jacobs II, MD 2980 University Parkway Lawrenceville GA 3004349179RN175655Adeshigbin, Alaba
1/7/2010Adrienne Mims, MD 477 Windsor St, Suite 309 Atlanta GA 3031233152RN175655Adeshigbin, Alaba Risikat 7/1/2013
11/1/2007Lee Grose, MD 2900 University Parkway Lawrenceville GA 3004546856RN175655Adeshigbin, Alaba Risikat
1/9/2014Debra Houry, MD 49 Jesse Hill Dr SE, Emer Dept. Atlanta GA 3030350889RN175909Adeyemo, Oluwatoke Abidemi
11/5/2010Douglas Stuart, MD 95 Collier Rd, Suite 4045 Atlanta GA 3030935527RN208832Adham, Sarah Christin
Wednesday, May 07, 2014 Page 2 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/7/2013Eric Hall, MD 512 South Main St, Suite A Hinesville GA 3131345814RN183996Adkins, India Marcell
9/14/2007Robersteen Howard, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016540103RN117328Adkins, Amelia Rose Craighead
11/8/2013Frank Casey, MD 5400 Bowman Rd Macon GA 3121059614RN181617Adkinson, Lauren Aaron
2/4/2011Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147420Adkison, Tasha Michele Cobb 7/1/2011
10/2/2009Todd Robinson, MD 14 Cherokee Rd Cedartown GA 3012540773RN147420Adkison, Tasha Michele Cobb 1/21/2012
9/13/2013Hassan Sayegh, MD 95 Collier Rd, Suite 300 Atlanta GA 3030936066RN131199Aerstin, Monica Christine
4/4/2014Francis Gonzalez, MD 677 Church St Marietta GA 3006057810RN205174Agbede, Olubunmi Omolola
1/9/2014Frank Bynes, MD 106 East Broad St Savannah GA 3140136932RN158183Agyemang, Dora Agyei
10/8/2010Eric Fogam, MD PO Box 7150 Garden City GA 3141847902RN154407Agyemang, William O. B.
4/4/2014Douglas Perry, MD 89 Interchange Dr Richmond hill GA 3132440753RN211307Ahearn, Nanci Lee Brinn
3/4/2011Wallace Holland, MD 10055 Ford Ave, Suite 5A Richmond Hill GA 3132424438RN211307Ahearn, Nanci Lee Brinn
3/1/2012Robinowitz, Michael MD 1255 Highway 54 West Fayetteville GA 3021417274rn153656Aina, Joan
4/4/2013Willis McVay, MD 501 East Long St Claxton GA 3041754833RN081701Akins, Katharine L Reeves 5/1/2014
5/4/2012Ault, Kevin MD 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, 4th floor
Atlanta GA 3030356403RN181184Akpan, Inemienyu 12/13/2012
10/10/2013Melissa Schepp, MD 5665 Peachtree Dunwoody Rd NE Atlanta GA 3034250221RN165259Alaka, Olushola Denai
8/8/2008Jeff Donohue, MD 3755 Sixes Road, Suite 202 Canton GA 3014446540RN159786Albano, Jessica Lyn 3/24/2009
3/6/2014James Palazzolo, MD 804 13th Ave Albany GA 3170737637RN174507Albritton, Amber Laine
1/9/2014Josephine Tan, MD 106 East Broad St Savannah GA 3140119193RN195292Alcius, Martine Eliette
Wednesday, May 07, 2014 Page 3 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/1/2007Jennifer Miller, MD 390 E H Court Brunswick GA 3152046996RN061053Alday, Vicky W.
6/8/2007Tom Vann Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN061053Alday, Vicky Lynn Whittington
4/4/2014Jorge Pisarello, MD 701 North Slappey Blvd Albany GA 3170158914RN212358Alderman, Troy Drawdy
7/12/2012Gutierrez, Raymond MD 701 N. Slappey Blvd Albany GA 3170157983RN212358Alderman, Troy
5/3/2013Charles Johnson, MD 6392 Murphy Dr Morrow GA 302607504RN119193Ales, Lisa Marie
8/9/2013Colville Ferdinand, MD 1120 15th Street, BA‐4416 Augusta GA 3091253439RN140383Alexander, Cassie Rae
8/5/2011Margaret White, MD 500 Springhouse Circle Stone Mountain GA 3008736482RN168429Alexander, Shona Rasheeda
11/1/2007Robert Hall, MD 231 Graefe Street Griffin GA 3022345234RN059514Alexander, Gary Richard
7/12/2012Willard, Kim MD 101 Commerce Blvd, Ste l Barnesville GA 3020429123RN198438Alexis‐Destin, Bernadette
10/7/2011Gwathney, Miriam DO 101 Commerce Place, Suite 1 Barnesville GA 3020463343RN198438Alexis‐Destin, Bernadette 3/30/2012
12/6/2013Melody Palmore, MD 341 Ponce de Leon Ave Atlanta GA 3030833679RN188235Al‐Haroun, Katherine Melton
8/9/2013Christopher Oldfield, MD 1326 Eisenhower Dr Savannah GA 3140646195RN229841Ali, Idris Pasha
12/6/2013Nathan Neufeld, DO 600 Parkway North Newnan GA 3026570135RN089463Aliffi, Kathy Jeanette Castille
10/4/2007George Vellanikaran, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027733219RN089463Aliffi, Kathy Jeanette Castille
2/5/2009William Osborne, MD 4750 Waters Avenue, Suite 400 Savannah GA 3140433664RN142957Aliotta, Brandy Taylor
1/11/2013Marc J. Harringan, MD 3699 Cascade Rd., #B1 Atlanta GA 3033156719RN225178Allain, Lauren C.
4/3/2008Michael Sharkey, MD 510 East Oglethorpe Hwy Hinesville GA 3131338609RN052669Allcott, Mary Alice Giblin
1/9/2014David Asrael, MD 2988 Shallowford Rd Marietta GA 3006651291RN222518Allen, Renai A
12/6/2013Robert Kelly, MD 5875 Thompson Mill Rd, Suite 100 Hoschton GA 3054834384RN072414Allen, Jane Nix
Wednesday, May 07, 2014 Page 4 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/10/2013Wallace Duncan, MD 2988 Shallowford Rd Marietta GA 30066‐303341109RN222518Allen, Renai A
5/3/2013Terry Hansen, MD 184‐A Professional Dr Baldwin GA 3051147330RN072414Allen, Jane Nix
4/4/2013Song Na, MD 4995 Lanier Islands Pkwy, Suite A Buford GA 3051838059RN077192Allen, Sonya A
2/7/2013Meena J. Shah, MD 475 Philip Blvd, Ste 100 Lawrenceville GA 3004521464RN077192Allen, Sonya M. 5/10/2013
9/1/2011Virginia Price, MD 705 Dallas Hwy, Suite 101 Villa Rica GA 3018019897RN184309Allen, Amber Beth
8/5/2011Raja Ram, MD 475 Phillip Blvd. Lawrenceville GA 3004539822RN077192Allen, Sonya M. 12/1/2012
3/4/2011William Adcox, MD 100 Genevieve Court, Suite A Fayetteville GA 3021531376RN065074Allen, Nancy Leigh Ward
4/1/2010Thomas Karisny, MD 170 Hospital Circle, Suite A Blairsville GA 3051250029RN077192Allen, Sonya M. 8/18/2010
4/1/2010Carl Foster, MD 6400 Flat Rock Rd Columbus GA 3190757618RN162545Allen, Bryan Patrick
2/5/2010Rose Cesar, MD 1497 Fair Rd, Suite 201 Statesboro GA 3045848217RN190740Allen, Deborah C.
11/7/2008Richard Morse, MD 2122 Manchester Expressway Columbus GA 3190442094RN162545Allen, Bryan Patrick
8/8/2008Herman Levy, MD 2500 Starling St, Suite 504 Brunswick GA 3152034010RN134633Allen, Vivian Lynn
6/6/2008Rani Reddy, MD 106 Briarwood Road Statesboro GA 3045834450RN190740Allen, Deborah C.
12/7/2007Joseph Watlington, MD 201 Thomas Road Ft. Oglethorpe GA 3074225685RN081047Allen, Beth Ann
12/7/2007Lindsay Crawford, MD 614 Patterson Road Lafayette GA 3072856531RN081047Allen, Beth Ann
11/1/2007Zulfiquar Bhatti, MD 1906 Warm Springs Road Columbus GA 3190948482RN162545Allen, Bryan Patrick 9/9/2008
4/13/2007Husham Peter Mishu, MD 285 Boulevard, NE Ste #345 Atlanta GA 3031240740RN121276Allen, Aurelia 8/21/2009
11/8/2013Valens Plummer, MD 595 Piedmont Ave, Suite 100 Atlanta GA 3030849496RN155438Alleyne, Montrese Pitmon
12/6/2013Kabir Das, MD 231 Graefe St Griffin GA 3022462867RN198722Allicock, Alisa Natasha
Wednesday, May 07, 2014 Page 5 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/6/2013Vida Reklaitis, MD 1000 Johnson Ferry Rd, Emer Dept Atlanta GA 3034234718RN226437Allman, Danielle Kristin Renee
9/13/2013Deborah Griffiths, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635888RN226437Allman, Danielle Kristin Renee
9/3/2009Daron Ferris, MD 1423 Harper St Augusta GA 3091231593RN111386Allmond, Lynn Marie Downard
1/9/2014Troy Murphy, DO 9 Chatham Center South, Suite C Savannah GA 3140553290RN175707Almeida, Tammy Renee
3/1/2012Trefts, Lori MD 2500 Starling St, Ste 503 Brunswick GA 3152066093RN087708Alston, Marion
7/12/2012Takacs‐diLoranzo, Eva MD 202 Lakeshore Drive, Ste A St. Marys GA 3155848859RN131761Altringer, Joanne May Gensel
12/4/2008Riba Kelsey‐Harris, MD 3740 Cascade Road Atlanta GA 3033153833RN041284Amaker, Iris
5/1/2014Courtney Shelton, MD 315 Boulevard NE, Suite 200 Atlanta GA 3031250559RN195776Amankwah, Pearl Opokua
11/8/2013Amanda Davis, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028150152RN195776Amankwah, Pearl Opokua 4/1/2014
12/1/2011Baker, Roy MD 4 Jackson Blvd Savannah GA 3140525096RN186569Amato, Juliet Renee
8/9/2013Deborah Griffiths, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635888RN091643Amatriain, Valerie Renee
11/5/2010Jae Pak, MD 2160 Fountain Dr, Suite 200 Snellville GA 3007840185RN096082Amazon, Jody Lee
3/8/2013Venkatappa R. Rangaraj, MD
2795 Main St, West #27 Snellville GA 3007858633RN096082Amazon‐Leece, Jody Lee
2/5/2009Naresh Parikh, MD 6330 Primrose Hill Court Norcross GA 3009228851RN096082Amazon‐Leece, Jody Lee
8/9/2013Robert Cook, MD 707 Old Dalton Elijay Rd, Emer Dept Chatsworth GA 3070526087RN208577Amba, Katheryne Tifuh
6/3/2011Richard Ambrozic, MD 3321‐B N. Valdosta Rd Valdosta GA 3160243851RN141829Amerson, Keri Lynn
8/9/2013Daniel Kleinman, MD 55 Whitcher St, Suite 350 Marietta GA 3006025627RN147435Amidei, Tina Marie
1/9/2014Jay Schlossberg, MD 5820 Old National HWY College Park GA 3034919996RN201832Amukamara, Ernest U
Wednesday, May 07, 2014 Page 6 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN201832Amukamara, Ernest U 5/23/2013
9/3/2009James Criner, MD 7530 Roswell Road Atlanta GA 3035054179RN201832Amukamara, Ernest U. 10/21/2010
5/3/2013Luzmira Torres, MD 2121 Fairburn Rd, Suite B Douglasville GA 3013554287RN135346Anaele, Caroline Chika Obasi
7/12/2012Louis, Okiki MD 1762 Mars Hill Rd NW Acworth GA 3010147479RN135346Anaele, Caroline
10/7/2011Obiorah, Samuel MD 1009 3rd Avenue West Point GA 3183342379RN135346Anaele, Caroline 4/9/2012
5/1/2014Sheila Southerland, MD 902 7th Street North Cordele GA 3101555894RN115669Anderson, Geraldine Jackson
9/13/2013David Celestial, DO 610 19th st Columbus GA 31901‐152854990RN107552Anderson, Sherry L
4/4/2013Edet Bassey, MD 1041 Talbotton Rd Columbus GA 3190744408RN154861Anderson, Christina Elaine 12/4/2013
3/8/2013Sidney Morgan, Jr, MD 105 Rocky Ford Rd Sylvania GA 3046721262RN101306Anderson, Karen Beale
12/7/2012Harold D. Hubert, MD 820 St. Sebastian Way, Ste *‐A Augusta GA 309016355RN139756Anderson, Christine G.
11/2/2012Kecia J. Jones, MD 638 Historic Hwy 441, Ste. B Demorest GA 3053555247RN149791Anderson, Tabatha P.
3/1/2012Fordham, Donald MD 865 Austin Drive, PO Box 308 Demorest GA 3053544718RN129289Anderson, Christa
1/6/2012Anderson, Michael MD 391 East Main street Canton GA 30111454532RN173488Anderson, Stephanie Heaton
12/1/2011Grundfast, Matthew DO 1009 N. Monroe Street Albany GA 3170152944RN189512Anderson, Laura
11/3/2011Jones, Ernest DO 216 Hospital Drive Cordele GA 3101541851RN115669Anderson, Geraldine
5/6/2011Sima Dehghany, MD 216 Hospital Rd Cordele GA 3101562494RN115669Anderson, Geraldine Jackson 8/31/2011
4/1/2011Sidney Smith, MD 900 Mohawk St Savannah GA 3141938615RN105862Anderson, Christopher James
9/2/2010Andrew Michas, MD 1001 N. Monroe Street Albany GA 3170149065RN146734Anderson, Alana Dee Austin
1/7/2010Tonya Fordham, DO 277 Lackawanna Street Baxley GA 3151349292RN127974Anderson, Cynthia Lynne
Wednesday, May 07, 2014 Page 7 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Harrison Carter, MD 1126 West 12th Street Alma GA 3151050575RN154703Anderson, Caroline Carter
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN060007Anderson, Mae Kelly
6/6/2008James Greene, MD 590 Historic Hwy 441 North Demorest GA 3053532741RN149791Anderson, Tabatha Peavy 8/13/2013
3/7/2008Mark Smith, MD 1303 D'Antignac Street, Suite 2500 Augusta GA 3090137908RN139756Anderson, Christine Gayle
12/7/2007Robert Dambach, DO 4720 Nelson Brogdon Blvd Sugar Hill GA 3051830039RN183773Anderson, Tasha LC
10/10/2013Muhammad Alam, MD 3015 Veterans Pkwy Moultrie GA 3178869167RN122052Anderson‐Parris, Mary Ann
1/11/2013Ernest Han, MD 663 Lanier Park Dr. Gainesville GA 3050162511RN178688Anderson‐Reid, Marlene
4/13/2007Nydia Maria Bladuell, MD 55 Whitcher St, Suite 350 Marietta GA 3006038429RN157084Andler, Pamela Joy Salett
4/2/2009Sherry Taylor, MD 5780 P'tree Dunwoody Rd, #295 Atlanta GA 3034235151RN159210Andres, Garland R. S.
8/9/2013Raj Gupta, MD 308 Coliseum Dr, Suite 120 Macon GA 3121733345RN154122Andrews, Regina Lynn
6/6/2008Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN154122Andrews, Regina Lynn 5/3/2013
2/7/2008Dorothy Stewart, MD 325‐A North Cobb Street Milledgeville GA 3106146565RN154122Andrews, Regina Lynn 4/12/2008
5/7/2009Paul Bradley, MD 340 Eisenhower Dr, Suite 1200 Savannah GA 3140630016RN176262Angstadt, Joanne Fitzgerald 11/6/2009
12/4/2008Christopher Stevens, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004454515RN113842Anom, Aileen Michelle 7/27/2009
3/6/2014Lisa Ruschak, MD 1022 Miller Lane SW Darien GA 3130559956RN046318Ansley, Diane H
10/7/2011Blumer, John MD 3222A Shrine Road Brunswick GA 3152053101RN046318Ansley, Diane 1/5/2014
6/6/2008Robert Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN183722Anthony, Charmaine Simone
8/6/2010Charles Roman, DO 2737 Warm Springs Rd, Suite B Columbus GA 3190443757RN091472Antinoro, Gloria Taff Hicks 9/24/2010
5/4/2012Nagnur, Shreedhar MD 600 West Memorial Drive Dallas GA 3013249192RN156181Anyanwu, Justina 6/7/2013
Wednesday, May 07, 2014 Page 8 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Broadney, Michlene MD 1279 Hwy 54 West, Ste 220 Fayetteville GA 3021455207RN211693Apke, Jennifer 6/30/2012
3/7/2008James Cox, MD 6918 McGinnis Ferry Road Suwanee GA 3002434323RN138437Aplin, Brooke Johnson
1/7/2010Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN185422Appiah‐Kubi, Mavis 7/31/2010
1/9/2009Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN185422Appiah‐Kubi, Mavis 8/25/2009
12/4/2008Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN185422Appiah‐Kubi, Mavis 5/29/2009
8/6/2010Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN133688Archer, Ava Dawn
6/8/2007Richard Loyd, DO 601 A Professional Dr. Lawrenceville GA 3004537446RN124097Archer, Holly Lynn Hargrove 11/1/2007
12/7/2012Hubert R. Smith, MD 412 Northside Dr., East Statesboro GA 3045818745RN070092Ard, Cheryl J.
4/4/2014Thomas DeMaro, DO 710 Center St, Emer Dept Columbus GA 3180158665RN183299Armand, Jean Marie
3/1/2012Upshaw,Thomas MD 1968 Peachtree Road NW Atlanta GA 3030937716RN183299Armand, Jean
11/3/2011Jackson, William MD 1365 Rock Quarry Road, Ste 200 Stockbridge GA 3028135913RN183299Armand, Jean
4/1/2011Shakira Thomas, MD 60 Hospital Rd, Emer Dept Newnan GA 3026364729RN183299Armand, Jean Marie
3/4/2011Michael Flueckiger, MD 1968 Peachtree Rd, Emer Dept Atlanta GA 3030935869RN183299Armand, Jean Marie
2/3/2012Schramm, Charles Steven MD
993F Johnson Ferry Road, Ste 210 Atlanta GA 3034229944RN176012Armstrong, Lisa
2/4/2011Kenneth Taylor, MD 275 Collier Rd, Suite 500 Atlanta GA 3030938985RN176012Armstrong, Lisa Kristen 2/18/2013
11/5/2009Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN200896Armstrong, Helen Victoria 1/1/2010
8/7/2009Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN126964Arp, Michelle Aimee
11/2/2012Matthew A. Wheatley, MD 80 Jesse Hill Jr. Dr. Atlanta GA 3030357702RN187913Arrington, John Davis
Wednesday, May 07, 2014 Page 9 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2014Alicia Hopkins, DO 2800 Overlook Pkwy Atlanta GA 3033966506RN170388Asa, Michele 4/5/2014
11/2/2012Betsy S. Horton, MD 745 S. Glynn St. Fayetteville GA 3021440693RN170388Asa, Michele
8/5/2011Crystal Comeau, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051361224RN142933Asher, Sue
4/1/2010Paul Cox, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051349762RN142933Asher, Sue 6/1/2010
12/7/2007William Raisig, MD 64 Call‐Wright Road Ellijay GA 3054055290RN142933Asher, Sue 5/23/2008
9/14/2007Robert Stahlkuppe, MD 56 Hospital St. Hiawassee GA 3054617089RN142933Asher, Sue
9/2/2010Jeffrey Tharp, MD 176 Marietta Hwy Hiram GA 3014135153RN080564Ashworth, Susan Elizabeth Lest
9/13/2013William Swofford, MD 210 West Main St, Suite 4 Colquitt GA 3983746262RN084786Askew, Susan Lee Michelle Bro
12/7/2007Sharon Steele, MD 601‐A Professional Drive, Suite 370 Lawrenceville GA 3004529795RN083491Aspinwall, Susan Elena Gilstrap
3/4/2011Nichole LeBoyd, MD 3003 Old Alabama Rd Alpharetta GA 3002254452RN150271Astles, Colleen Anne 4/12/2014
1/11/2008Edward Clark, MD 744 First Street Macon GA 3120136700RN118404Atherton, Ann Ritchie
11/3/2011Michael Schmitz, MD 5445 Meridian Mark, Ste 250 Atlanta GA 3034240542RN190298Athre, Stephanie Detamore
10/5/2012Jill W. Kitchens 150 Gentilly Blvd. Cartersville GA 3012060516RN157938Atkins, Letisha
11/5/2010Richard Wheeler, MD 416‐A East McPherson Ave Nashville GA 3163946277RN124759Atkins, David Ryan
7/10/2009Joseph Joyave, MD 100 Market Place Blvd, #201 Cartersville GA 3012143977RN157938Atkins, Letisha Nicole 7/20/2012
2/6/2014William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN123829Atkinson, Denise F
8/6/2010Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN170658Atkinson, Julie Ellen
2/5/2009Martha Ward, MD 400 S. Pinetree Blvd Thomasville GA 3179220360RN123829Atkinson, Denise F
1/7/2010Bhumiben Purohit, MD 50 Barrett Pkwy Marietta GA 3006658812RN174546Augereau, Cynthia Lindsay 10/12/2010
Wednesday, May 07, 2014 Page 10 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/6/2014Miriam Gwathney, DO 931 Lower Fayetteville Rd, Suite J Newnan GA 3026363343RN181184Augustine‐Akpan, Inemienyu
6/7/2013Jane Ellis, MD 69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor
Atlanta GA 3030344208RN181184Augustine‐Akpan, Inemienyu N
2/3/2012McCord, Charles MD 3345 Hwy 34E, Ste 102 Sharpsburg GA 3027739409RN181184Augustine‐Akpan, Inemienyu
6/8/2012Garrot, Louis Crain MD 790 Church St, Suite 335 Marietta GA 3006059157RN113740Auriemma, Kimberly
11/3/2011Zemsky, Lynn MD 340 Kennestone Hospitl Blvd, Ste 100 Marietta GA 3006051281RN113740Auriemma, Kimberly 6/8/2012
6/8/2007Gena Volas‐Redd, MD 340 Kennestone Hospital Blvd Marietta GA 3006045356RN113740Auriemma, Kimberly Anne Woo 10/31/2011
4/4/2014Pete Williams, MD 743 Spring St Gainesville GA 3050159940RN162994Austin, Nancy MacCrae
12/6/2013Jonathan Hall, MD 12192 Augusta Rd Lavonia GA 3055359655RN145096Austin, Valerie Anne
3/29/2012Epps, Douglas MD 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 3028148349RN128161Austin, Barbara 8/20/2012
3/29/2012Clark, Robert DO 1701 Magnolia Way, Ste 101 Augusta GA 3090940887RN128161Austin, Barbara
10/7/2011McCoy, Frank MD 340 Kennestone Hospital Blvd, Ste 200 Marietta GA 30060RN187723Austin, Jennifer
9/1/2011Menchion, Kenneth MD 350 Country Club Dr, Suite B Stockbridge GA 3028147236RN128161Austin, Barbara
7/10/2009Debra Miller, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010641898RN187723Austin, Jennifer Chipps 8/15/2011
6/6/2008Thomas Olson, MD 1405 Clifton Rd, Tower I,4th Floor Atlanta GA 3032240180RN065814Austin, Colleen Mccoy
7/12/2012Pak, Jae MD 2160 Fountain Drive Ste 101 Snellville GA 3007840185RN115997Avist, Dana Marie
5/7/2009Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN139568Aycox, Melissa Dawn McElreath
10/10/2013Clarence Hendrix, MD 1825 County Services Pkwy Marietta GA 3006028569RN143045Ayeni, Regina Foluke
3/29/2012Bleacher, John MD 5455 Meridian Mark Road, Ste 570 Atlanta GA 3034242182RN199510Ayer, Adam
Wednesday, May 07, 2014 Page 11 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN123161Bachtel, Mary Kathleen Jones
12/7/2007William Little, MD 6175 Newton Drive Covington GA 3001424288RN123161Bachtel, Mary Kathleen Jones 10/25/2012
1/9/2014George Palmer, MD 1012 Bremuda Run Rd Statesboro GA 3045830658RN203478Bacot, Brittany
8/5/2011Pradeep Jolly, MD 1100 Johnson Ferry Rd, Ste 600 Atlanta GA 3034222798RN089038Badnin, Martha Ellen
6/8/2007Joseph Lesesne, MD 1100 Johnson Ferry Rd, #600 Atlanta GA 3034229712RN089038Badnin, Martha Ellen 12/31/2010
10/7/2011Seward, James MD 200 Industrial Blvd ER Dublin GA 3102127247RN159515Baggett, Krystal 3/31/2014
2/5/2010Leslie Cottrell, MD PO Box 658 Mt. Zion GA 3015045194RN065906Baggett, Patricia Robin 6/14/2013
6/8/2007Andy F. Williamson, MD 908 Hillcrest Parkway Dublin GA 3102125402RN159515Baggett, Krystal E.
10/7/2011Badea, Calin MD 213 N. McDonald Street, Suite A & B Ludowici GA 3131655918RN089010Baggs, Florence
10/8/2010Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN089010Baggs, Florence Oralee 8/26/2011
4/13/2007Olugbenga A. Awe, MD PO Box 52 Hinesville GA 3131048329RN089010Baggs, Florence Oralee
8/8/2008David Dillard, MD 1000 Hawthorne Avenue, Suite O Athens GA 3060640364RN078685Bagwell, Kristy Sue
6/7/2013Eric Mitchell, MD 1267 Hwy 54 West, Suite 2200 Fayetteville GA 3021446177RN186045Bailey, Courtney Ann Mels
12/7/2012Heywood K. Gay, MD 961 E. Winthrope Ave. Millen GA 3044238768RN092042Bailey, Jean M.
3/29/2012Shields, James MD 200 s. Houston Lake Rd, Ste A Warner Robins GA 3108827911RN135442Bailey, Natisha
8/8/2008Benjamin Bailon, MD 890 W. Main Street Lakeland GA 3163527025RN073825Bailon, Melva Curameng Blanqu
5/3/2013Robert Wilson, MD 308 Bedell Ave Woodbine GA 3156938133RN051587Baird, Kim Andrea Timmerman
10/2/2008Arvind Gupta, MD 3207 Country Club Drive Valdosta GA 3160533344RN156046Baize, Theresa Elaine
4/4/2014Lawrence Zottoli, MD 4704 Augusta Rd Garden City GA 3140836639RN175998Baker, Nidsa Doris
Wednesday, May 07, 2014 Page 12 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/6/2013Richard Rickman, MD 3200‐C North Ashley St Valdosta GA 3160249332RN072455Baker, Vanessa Young
1/11/2013Eduard Docu, MD St. Marys Hlth Center, 1302 Drayton St Savannah GA 3140156426RN175998Baker, Nidsa D.
1/11/2013Ellen E. Courson, MD 3811 Old US Hwy 41 North Valdosta GA 3160434089RN072455Baker, Vanessa Y.
11/5/2010W. Merrill Hicks, Jr., MD 334 Smith ave Thomasville GA 3179238251RN072455Baker, Vanessa Young 10/31/2012
9/3/2009James Terry Greene, MD 130 Magnolia Lane Cornelia GA 3053132741RN146348Baker, Chester Riley
7/10/2009Ellen Courson, MD 3811 Old US Hwy 41 North Valdosta GA 3160234089RN072455Baker, Vanessa Young 3/16/2011
2/5/2009Victoria Afshani, MD 1000 Cowles Clinic Way, Suite M‐200 Greensboro GA 3064255214RN078399Baker, Karen Marie
11/1/2007Frederick Moore, MD 663 Lanier Park Drive Gainesville GA 3050122254RN146348Baker, Chester Riley 9/1/2009
6/8/2007Cheryl Jones, MD 308 Coliseum Dr., Suite 120 Macon GA 3121734865RN078399Baker, Karen Marie 7/24/2008
4/13/2007Thomas A. Buice, MD 102 Swatts Street Barnesville GA 3020451758RN097754Baker, Tracey Lea Lewis 2/28/2011
3/8/2013Robert Deimler, DO 3555 Centerville Hwy, Suite 100 Snellville GA 3003938728RN190935Baker‐Janis, Victoria M
1/6/2012Smith, Harmon MD 1080 Green Street S.W. Conyers GA 3001241486RN190935Baker‐Janis, Victoria 2/28/2013
8/5/2011Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN190935Baker‐Janis, Victoria M. 2/15/2013
8/5/2011Hai Trinh, MD 2118 Scenic Hwy, Suite H Snellville GA 3007855991RN190935Baker‐Janis, Victoria M. 4/16/2012
6/5/2009Noreen Andrews, MD 2380 Buford Dr, Suite 201 Lawrenceville GA 3004346861RN190935Baker‐Janis, Victoria M 1/2/2011
5/3/2013Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN107598Ballard, Linda Kozak
6/6/2008Jeanne Boudreaux, MD 5455 Meridian mark Rd, Suite 400 Atlanta GA 3034243559RN107598Ballard, Linda Kozak 4/1/2013
6/8/2007Carlos Franco, MD 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 3000523733RN107100Balun, Brooke Poindexter
Wednesday, May 07, 2014 Page 13 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/11/2008Hope Hamilton‐Rodgers, MD
330 Turner McCall Blvd, Suite 306 Rome GA 3016553548RN194007Banerjee, Pamela Mouhot 12/15/2010
10/7/2011Palmore, Melody MD 341 Ponce de Leon Avenue Atlanta GA 3030833679RN147934Bangurah, Saphie 12/4/2013
5/6/2011James Cornwell, MD 3 Hidden Creek Guyton GA 3031250608RN144607Banister, Anna Lee
5/6/2011Christopher Mathews, MD 100 Goshen Rd Rincon GA 3132649133RN144607Banister, Anna Lee 6/1/2012
5/6/2011Christopher DeLisle, DO 7306 Hwy 21, Suite 105 Pt. Wentworth GA 3140761961RN144607Banister, Anna Lee 1/26/2012
1/9/2014Naghma Khan, MD 1645 Tullie Cir Atlanta GA 3032937252RN226809Banks, Kai Lynneice
3/8/2013Elizabeth Norwood, MD 2739 Felton Dr East Point GA 3034446192RN226809Banks, Kai Lynniece
2/5/2009Benjamin Epstein, MD 2665 N. Decatur Road, Suite 255 Decatur GA 3003335044RN123620Banks, Elizabeth Davidson
5/3/2013Mihaela Saler, MD 1350 Walton Way Augusta GA 3090166316RN169953Banks‐Blades, Paulette Rena 12/16/2013
1/7/2011Alison Lauber, MD 1120 15th St, HB‐4022 Augusta GA 3090922812RN169953Banks‐Blades, Paulette Rena
1/6/2012Penix, LaRoy MD 1315 Jesse Jewell Pkwy Ste 300 Gainesville GA 3050149080RN198626Banner, Laura
1/6/2012Bailey, Marion MD 109 Industrial Drive, Ste B St. Mary's GA 3155810469RN120593Baran, Susan
5/9/2008Eduard Docu, MD 102 Bryan Woods Road Savannah GA 3141056426RN120593Baran, Susan Lorraine 11/1/2008
3/6/2009Willard Hearin, MD 761 Old Norcross Road Lawrenceville GA 3004523604RN047021Baraona, Laura K 1/7/2010
2/5/2009Michael Sims, MD 3934 Woodruff Road Columbus GA 3190419775RN166195Barbaree, Leigh Ann
2/3/2012Duke, Michael MD 134 West Campus Drive, Cbox 091 Milledgeville GA 3106142041RN159846Barbee, Leah
3/1/2012Roberts, Michael MD 750 N. Cobb Street, Ste 110 Milledgeville GA 3106126367RN049419Barber, Charlotte
5/6/2011Bradley Ward, MD 97 Church St Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 10/15/2012
Wednesday, May 07, 2014 Page 14 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/7/2009Yolanda Wade, MD 40 Jefferson Street Newnan GA 3026358345RN135629Barber, Ronald Blake
7/10/2009Barry Morgan, MD 1755 Hwy 34, Suite 2150 Newnan GA 3026525554RN135629Barber, Ronald Blake
12/7/2007Stephen Dawkins, MD 535 North Central Avenue Hapeville GA 3035433066RN135629Barber, Ronald Blake 5/30/2009
10/4/2007Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 11/17/2010
12/7/2012Mihaela Saler, MD 1350 Walton Way Augusta GA 3090166316RN221722Barco, Angela Marie
10/5/2012Amy Lucas, MD 1062 Forsyth St., Ste 1‐B Macon GA 3120165452RN101335Barfield, John
8/6/2010Thomas Hatchett, MD 870‐A Austin Dr Demorest GA 3053536984RN119659Barlowe, Brenda Jane Harvel
8/9/2013S Joe Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN105904Barnes, Susan McGraw
7/11/2013Mahaveer Vakharia, MD 4171 Marietta St, Suite 300‐A Powder Springs GA 3012738390RN165438Barnes, Wendy Denise
2/7/2008Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN105904Barnes, Susan McGraw 10/1/2008
1/11/2008Wayne Richey, MD 160 Central Avenue Trion GA 3075350910RN105904Barnes, Susan McGraw
1/11/2008Raulnina Uzzle, MD 770 Village Square Drive Stone Mountain GA 3008343499RN125306Barnes, Maria Martinez
10/4/2007Dennis Estep, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074225429RN138894Barnes, Dawn Kyla Daw
5/3/2013Daniela Rojas‐Molina, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054055331RN060038Barnett, Toni Odom
4/1/2010William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN147543Barnett, Tammy Lynn 2/4/2011
9/3/2009Jeremy Goodwin, MD 97 Martin Luther King Dr Forsyth GA 3102959416RN147543Barnett, Tammy Lynn
12/4/2008Thad Riley, MD PO Box 957 Statesboro GA 3045928637RN060037Barnett, Connie J.
5/9/2008Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN147543Barnett, Tammy Lynn 6/23/2009
11/2/2012Matthew A. Wheatley, MD 80 Jesse Hill Jr., Dr., Ste 127 Atlanta GA 3030357702RN176758Barnette, Katherine
Wednesday, May 07, 2014 Page 15 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Bryan Cheever, MD 1107 Memorial Dr, Suite 200 Dalton GA 3072034120RN149515Barrett, Kasie Deann
1/11/2013Herman V. Barnes, MD 1314 West Ridge Rd. Gainesville GA 3050112029RN080586Barrett, Karen L.
5/4/2012Powell, Eric MD 82 College Circle, Room 107 HNS Dahlonega GA 3059749081RN080586Barrett, Karen 5/1/2012
8/5/2011Sinan Haddad, MD 1250 Jesse Jewell Pkwy, Ste 400 Gainesville GA 3050156455RN080586Barrett, Karen Lee 4/22/2014
8/5/2011Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN143515Barrett, Nadine Janice Fearon 8/1/2011
11/5/2010Abdullah Kutlar, MD 1120 15th Street Augusta GA 3091234751RN143515Barrett, Nadine Janice Fearon
12/3/2010James Spivey, MD 1365 Clifton Rd, Suite 6400 Atlanta GA 3032251848RN128594Barrett‐Brown, Angela Dian
11/7/2008Roshan Shrestha, MD 1968 Peachtree Road NW Atlatna GA 3030956765RN128594Barrett‐Brown, Angela Dian 12/16/2008
10/5/2012Najaz Woods‐Bishop, MD 1510 Hudson Bridge Rd. Stockbridge GA 3028158350RN140084Barrington, Elizabeth C.
6/8/2012Harrison Stetler, MD 3957 Holcomb Bridge Road S, Ste 100 Norcross GA 3009241681RN140084Barrington, Elizabeth 10/1/2012
8/6/2010Thomas Hatchett, MD 870 A. Austin Drive Demorest GA 3053536984RN132239Barron, Britteny Lee
3/8/2013Serena D. Tidwell, MD 1538 13th Ave. Columbus GA 3190751192RN135517Barrow, Bridget A.
1/7/2010John Bergsagel, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034229407RN156491Barry, Amy Elizabeth Gartner
6/6/2008Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN156491Barry, Amy Elizabeth Gartner 11/30/2009
3/6/2014Michael Papciak, MD 3400‐A Old Milton Pkwy, Suite 330 Alpharetta GA 3000516823RN225792Barthold, Nichole Marie
3/6/2014Victor Thomas, MD 1200 Memorial Drive Dalton GA 3072040574RN097337Bartlett, Katherine Evans
2/3/2012Cullison, James MD 150 Clinic Avenue, Ste 202 Carrollton GA 3011745057RN130291Bartlett, Donya
6/7/2013Todd Cooper, DO 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta GA 3032261411RN221390Bartock, Dawn Jennifer
11/2/2012Shawn Jobe, MD 1405 Clifton Rd., NE Atlanta GA 3032260143RN221390Bartock, Dawn J. 2/25/2013
Wednesday, May 07, 2014 Page 16 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Hulse, Michael MD 10515 Bells Ferry Road, Ste 200 Canton GA 3011440695RN144473Basham, Carson 7/25/2012
4/4/2014Renaldas Smidtas, MD 4002 North Oak St Ext Valdosta GA 3160241959RN128236Bass, Pollyanna Marie
7/1/2010Jerry Purvis, MD 520 Griffin Ave Valdosta GA 316019235RN128236Bass, Pollyanna Marie 4/14/2014
8/9/2013Scott Leibowitz, MD 5673 Peachtree Dunwoody Rd, # 775 Atlanta GA 3034253477RN090604Batson, Anne 2/21/2014
8/5/2011Scott Leibowitz, MD 275 Collier Rd, Suite 300 Atlanta GA 3030953477RN090604Batson, Anne Richards Watson
2/4/2011Robert Collins, DO 1101 Ocilla Rd Douglas GA 3153448034RN138008Batten, Lisa Ann Tyre
11/7/2008Henry Lewis, MD 1990 Limestone Circle, Suite 100 Gainesville GA 3050149052RN087170Battle, Debra Kaye 6/30/2010
11/2/2012Kelly C. Grow, MD 740 Prince Ave., Bldg 15 Athens GA 3060651353RN203867Baughcum, Milissa B.
8/6/2010Jeffrey Esslinger, MD 300 Courtyard Dr, Suite A Cartersville GA 3012045455RN168400Baughman, Diana Marie 2/14/2013
3/4/2010Mary East, MD 300 Cherokee Pl Cartersville GA 3012163187RN168400Baughman, Diana Marie 6/10/2010
11/7/2008Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN168400Baughman, Diana Marie 2/4/2010
4/4/2014Kartik Reddy, MD 600 West Memorial Dr Dallas GA 3013269700RN189178Baumann, Joni Leigh
9/13/2013Lawrence Berman, MD 413 Pottery Factory Dr Commerce GA 3052935374RN112931Beaird, Carrie M.
1/11/2008Ronald Forehand, MD University Health Ctr, 370 River Rd Athens GA 3060222760RN040301Beall, Frances Margaret Eicher
1/11/2013Julie Segal, MD 755 Mt. Vernon Hwy. NE, #150 Atlanta GA 3032850260RN129550Bean, Heather M.
8/8/2008Avril Beckford, MD 1810 Mulkey Road, Suite 201 Austell GA 3010635814RN129550Bean, Heather Michelle 1/1/2013
1/7/2011Anozie Ukaonu, MD 48 US Hwy 19 South Camilla GA 3173053729RN159427Beasley, Kitty Marie
9/3/2009Robert Mullins, MD 1220 George C. Willson Drive Augusta GA 3090949835RN145084Beasley, Jocelyn Hills
5/7/2009Robert Shiver, MD 48 US Hwy 19 South Camilla GA 3173017489RN159427Beasley, Kitty Marie 12/8/2010
Wednesday, May 07, 2014 Page 17 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/3/2013Vishwas S. Sakhalkar, MD 770 Pine St., #520 Macon GA 3120166808RN224465Beauchamp, Hannah Rebecca 9/27/2013
2/5/2010Kirk Kanter, MD 1405 Clifton Rd Atlanta GA 3032230631RN120701Bechler‐Karsch, Abby
7/11/2013Bruce S. Ribner, MD 1364 Clifton Rd. NE Atlanta GA 3032249086RN190666Beck, Emily Marie
3/6/2009Dan Ioanitescu, MD 940‐C Hwy 96 Warner Robins GA 3108851476RN066734Becker, Deborah A. 8/6/2012
6/7/2013Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN225162Becklenberg, Amy M 2/19/2014
1/11/2013Yulianty D. Kusuma, MD 130 Stephenson Ave, #102 Savannah GA 3140661279RN132814Beckworth, Jill K. 3/31/2014
1/6/2012Bohnstengel, Sandra MD 132 Stephenson Ave, Ste 102 Savannah GA 3140538692RN132814Beckworth, Jill
7/13/2007Christopher Oldfield, MD 1326 Eisenhower Drive Savannah GA 3140646195RN132814Beckworth, Jill Katrice 7/31/2010
5/3/2013Yolanda Hacker, MD Take Care Clinic, 5985 Peachtree Pkwy Norcross GA 3009245811RN182810Beddard, Crystal Patrice 3/26/2014
1/11/2013Marc G. Amaya, MD 88954 Hospital Dr. Douglasville GA 3013447181RN182810Beddard, Crystal P. 3/13/2013
8/5/2011Lawrence Devoe, MD 1120 15th St, BA‐7410 Augusta GA 3091224929RN046188Bedingfield, Amy P.
1/7/2010Andrew Helfgott, MD 1120 15th Street, Suite BA‐7410 Augusta GA 3091255953RN046188Bedingfield, Amy P 5/20/2011
11/2/2012Yvonne Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN105146Beelman, Lynne 2/7/2013
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN105146Beelman, Lynne Ann 7/16/2012
9/14/2007 Kevin J. Smith, MD 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 3014441961RN105146Beelman, Lynne Ann 9/30/2009
11/5/2009Bennie Johnson, DO 18 Cumming St Alpharetta GA 3000923999RN100419Beerman, Pastora Amparo
9/11/2008Rhett Bergeron, MD 555 Sun Valley Drive, Suite D‐1 Roswell GA 3007644683RN100419Beerman, Pastora Amparo
2/5/2009O W Stephaine Yap, MD 1462 Montreal Road, Suite 403 Tucker GA 3008455044RN154156Behunin, Jennifer Shrum
5/3/2013Gordon Leslie Walters, MD 818 St Sebastian Way, Suite 311 Augusta GA 3090130919RN148859Beilman, John Patrick
Wednesday, May 07, 2014 Page 18 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Kevin Lokkesmoe, MD 4328 Armour Rd Columbus GA 3190432941RN169682Bell, Melissa Bradley
9/13/2013Anupama Ravikanth, MD 335 Roselane St, Suite 203 Marietta GA 3006048297RN181266Bell, Sally N.
8/10/2012Arlauskas, Vincent MD 2500 Starling Street, Ste 201 Brunswick GA 3152048408RN222369Bell, Shannon 10/1/2012
3/4/2011Obinnaya Emerole, MD 654 First St Macon GA 3120141550RN162894Bell, LaCheisa Sherell
10/8/2010Raymond Rudolph, MD 4700 Waters Ave, Suite 405 Savannah GA 3140430205RN116708Bell, Catie Miller
4/4/2014George L. Smith III, MD 4166 A Newton Drive Covington GA 3001421816RN127670Bellamy, Virginia Elizabeth
1/9/2014Richard Ambrozic, MD 3321‐B N Valdosta Rd Valdosta GA 3160243851RN201410Bellinger, Susan Elise
8/5/2011Raymond McKoy, DO 18 Riverbend Dr Rome GA 3016144536RN124223Beltran, Beverly
8/5/2011Christopher Doerr, DO 108 Park Ave Athens GA 3060134578RN124223Beltran, Beverly E. 7/23/2011
1/7/2010Shameka McElhaney, MD 7530 Roswell Road Atlanta GA 3035054854RN124223Beltran, Beverly E. 4/25/2011
10/2/2009Ronald Forehand, MD 370 River Road, Univ Health Center Athens GA 3060222760RN124223Beltran, Beverly E.
5/6/2011Andre McShan, MD 7828 River Rd Waynesboro GA 3083054869RN149999Bembry, Earl Dan 9/1/2011
1/9/2014Tsung Hsu, MD 677 Church St, 310 Bldg Marietta GA 3006062220RN172939Bender, NaToya Nicola
8/9/2013Walisa Maynard, MD 677 Church St, Bldg 310 Marietta GA 3006050658RN172939Bender, NaToya Nicola 11/1/2013
2/7/2013Alison E. Krause, MD 404 Hospital W Dr. Austell GA 3010640443RN172939Bender, Natoya N. 5/16/2013
4/1/2010Terri McFadden, MD 35 Jesse Hill Jr Dr Atlanta GA 3030332110RN116279Benjamin, Valerie Lynne
3/8/2013Jeffrey Lamp, MD 2151 West Spring St Monroe GA 3065556736RN077666Bennett, Stephanie Leigh Stocks
10/8/2010Marc Coan, MD 58 Big A Rd Toccoa GA 3057733295RN144863Bennett, Jennifer SuAnne 4/9/2014
6/3/2011Dennis O'Brien, MD 3877 Morris Court Norcross GA 3009225893RN110079Benson, Ellen Mary 4/20/2013
Wednesday, May 07, 2014 Page 19 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN093585Benston, Janna Marie Langemo
1/9/2014Guilherme Cantuaria, MD 960 Johnson Ferry Rd, Suite 130 Atlanta GA 3034265227RN212018Bent, Octavia Lenora
5/4/2012Rowley, Lawrence MD 1700 Hospital South Drive, Ste 500 Austell GA 3010635992RN044253Benvenue, Pamela
4/4/2014Jeffery Reid, MD 100 Professional Place, Suite 204 Carrollton GA 2011755792RN113194Berg, Shawna Marie Aukerman
9/13/2013Thomas Comstock, MD 802 Dixie St Carrollton GA 3011719151RN113194Berg, Shawna Marie Aukerman
10/5/2012Gaye Haynes, MD 2906 Franklin Parkway Franklin GA 3021749696RN113194Berg, Shawna 6/1/2013
12/1/2011Ou, Mike MD 1125 East Highway 166 Bowdon GA 3010853301RN113194Berg, Shawna 6/10/2013
12/6/2013Zenobia Day, MD 2600 Martin Luther King Jr Dr SW, Suite 100
Atlanta GA 3031161959RN175534Berglund, Molly Kathryn
11/8/2013Shriprasad Deshpande, MD 1405 Clifton Rd NE, Heart Transplant Dept
Atlanta GA 3032264531RN225497Berkowitz, Katie Ann
1/9/2014Cindy Freed, D.O. 6135 Roosevelt Highway Warm Springs GA 3183045791RN158389Berry, Marian Adale
10/10/2013Kesha Allen, MD 417 Third Ave, Emer Dept Albany GA 31710157920RN164502Berry, Jennifer Peters
9/13/2012Warren, Brandi DO 44 11th St SW Moultrie GA 3176861681RN164502Berry, Jennifer
2/4/2011Allen Jones, Jr, MD 6135 Roosevelt Hwy Warm Springs GA 3183032214RN158389Berry, Marian Adale 8/30/2013
1/7/2010Benjamin Andrews, Jr, MD 1048 Easy Forsyth Street Americus GA 3170931867RN164502Berry, Jennifer Peters
6/5/2009Cindy Freed, DO 6135 Roosevelt Hwy Warm Springs GA 3183045791RN158389Berry, Marian Adale 8/9/2010
9/14/2007Roy Jefferson, MD 6135 Roosevelt Hwy, PO Box 1000 Warm Springs GA 3183041443RN158389Berry, Marian Adale 3/15/2009
5/9/2008John West, MD 2295 Henry Clower Blvd, Suite 101 Snellville GA 3007828915RN087583Bertram, Monica Clare Ninaber
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd Floor Augusta GA 3090133283RN042166Bertucci, Rosalee C
Wednesday, May 07, 2014 Page 20 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/10/2012Edsworth John, MD 811 13th St, Ste 10 Augusta GA 3090165012RN221907Bethea, Bridget
1/9/2009Arnold Mellits, MD 3400‐C Old Milton Pkwy, Suite 500 Alpharetta GA 3000541168RN036066Beverly, Joan Mckee
9/13/2013John Reed, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635506RN168372Bhakta, Mayuri Ashok
10/7/2011Alli, Renee MD 11 Dunwoody Park, Ste 190 Dunwoody GA 3033851424RN214759Bhimani, Anila
10/10/2013Steven Diamond, MD 100 Doctor's Dr, Suite 202 Douglas GA 3153336135RN186980Bice, Amanda Michelle
11/2/2012Bharatkumar Patel, MD 390 1th Street NW Atlanta GA 3036348693RN058793Biglow, Anicia S
11/5/2010Linda Casteel, MD 3725 Zoar Rd Snellville GA 3003943346RN069002Bird, Patricia Anne Keesee
8/7/2009William Delp, DO 4589 Lawrenceville Rd Loganville GA 3005217791RN069002Bird, Patricia Anne Keesee
6/5/2009Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN069002Bird, Patricia Anne Keesee 11/1/2010
9/13/2013Aashish Patel, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004662410RN211598Biron, Jose Lee Belandres
12/1/2011Friedman, Mark MD 5673 Peachtree Dunwoody Road Ste 775
Atlanta GA 3034238488RN212857Bishara, Melody
11/8/2013Andrea Hill, MD 517 Great Oaks Dr, Suite 103 Monroe GA 3065551332RN102177Bishop, Joy Elaine Miller
6/30/2011Lasonya Roberts, MD 340 Kennestone Hosp Blvd, Suite 150 Marietta GA 3006052818RN184335Bishop, Diana Rogers 4/26/2013
10/2/2008Lisa Miller, MD 4152 Baker Street NE Covington GA 3001438874RN102177Bishop, Joy Elaine Miller 6/18/2013
9/11/2008Prakash Desai, MD 1664 Mulkey Road Austell GA 3010618482RN094302Bivins, Laurie Eileen
9/14/2007Walter Wilson, MD 129 Carl Vinson Parkway Warner Robins GA 3108827947RN155124Bizzell, Nicole Phaye
2/6/2014William Cleveland, MD 3620 Martin Luther King Jr Dr SW Atlanta GA 3033117375RN214831Black, Tekesa Michell
1/11/2013Scott J. Cahoon, MD 6635 Lake Dr. Morrow GA 3026048492RN146749Black, Casey R.
Wednesday, May 07, 2014 Page 21 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/9/2008Russell Wagner, MD 2160 Fountain Drive, Suite D Snellville GA 3007833740RN164274Black, Kelli Nicole
11/2/2012Bozeman K. Sherwood, MD 447 North Belair Road Evans GA 3080926379RN173529Blackburn, Carol A
6/4/2010George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN152997Blackburn, Karen Foster
12/7/2012Kashif Ahmed, MD Eagle's Landing Family Practice, 2200 Hwy 155 Nort
McDonough GA 3025261547RN184648Blackmon, Ashley 3/22/2013
3/29/2012Wyatt, David MD 9925 Haynes Bridge Road Alpharetta GA 3002242979RN164653Blaesser, Marian 12/15/2012
12/4/2009Thomas Seay, MD 1505 Northside Blvd, Suite 4600 Cumming GA 3004130884RN164653Blaesser, Marian
11/1/2007William Cook, MD 1267 Hwy 54 West, Suite 3200 Fayetteville GA 3021432461RN147139Blair, Tammie Mae
5/1/2014Debora Quigley, MD 2257 Hwy 515, Ste B Blairsville GA 3051236601RN149435Blalock, Jamie Rivkin
8/10/2012Thomas Gary, MD 123 Weaver Roaad, Ste A Blairsville GA 3051260264RN149435Blalock, Jamie 8/29/2012
2/3/2012Merlino, John MD 550 Peachtree St, 6th Floor MOT Atlanta GA 3030827868RN089049Blalock, Dedra
10/5/2012Andre Schoeffler, MD 294 Highway 515 W., Unit L Blairsville GA 3051239463RN149435Blalock
1/6/2012Hitson, Charles MD 231 Graefe Street Griffin GA 3022326554RN164599Bland, Loren 11/22/2013
8/6/2010George Capo, DO 1007 Memorial Dr Griffin GA 3022442539RN164599Bland, Loren Copeland 5/1/2011
11/5/2010Jon Trankina, MD 4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock GA 3018930681RN105484Blankenship, Kimberly Jo
4/1/2010William Kriegel, DO 3405 SW Dallas Hwy, Suite 505 Marietta GA 3006431962RN105484Blankenship, Kimberly Jo 11/29/2011
4/1/2011Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN118524Blanks, Evelinn Suarez
8/7/2009Phillip Bannister, MD 401 West Pike St, Suite A Lawrenceville GA 3004516503RN118524Blanks, Evelinn Suarez
3/29/2012Lalla, Michael MD 2330 N. Ashley Street Valdosta GA 3160266204RN093010Blanton, Carla
Wednesday, May 07, 2014 Page 22 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/29/2012Retterbush, David MD 403 Cowart Avenue Valdosta GA 3160420145rn093010Blanton, Carla
10/7/2011Stephen Zeigler, MD 2330 North Ashley St Valdosta GA 3160335174RN093010Blanton, Carla Arlene Gustin 2/16/2012
8/5/2011Eric Anderson, MD PO Box 1727 Valdosta GA 3160251577RN093010Blanton, Carla Arlene Gustin
10/8/2010Arvind Gupta, MD 3207 Country Club Dr, Suite 2010 Valdosta GA 3160533344RN093010Blanton, Carla Arlene Gustin 2/4/2011
5/10/2007Guillermo Saurina, MD 201 Pendleton Dr. Valdosta GA 3160548570RN093010Blanton, Carla Arlene Gustin 7/27/2010
5/6/2011Jeff Reinhardt, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050147250RN093785Blasingame, Kim P
3/7/2008Edward Meier, MD 2112 Shorter Avenue, Suite 200 Rome GA 3016543426RN039694Blevins, Joann H
10/8/2010Crystal Owens, MD 144 E. Main St Irwinton GA 3104248854RN143856Blick, Susan Katherine
7/11/2013Christopher Dente, MD 69 Jesse Hill Jr Dr SE, Suite 307 Atlanta GA 3030351873RN179749Blomquist, Tyler Jean
12/6/2013Mahmood Ahmed, MD 231 Graefe St Griffin GA 3022442008RN106260Blow, Catherine Ann
2/6/2014Michael Deen, MD 143 Hwy 32 By‐Pass Alma GA 3151058459RN169897Boatright, Amanda Lee
1/6/2012Carter, Harrison MD 1126 West 12th Street Alma GA 3151050575RN169897Boatright, Amanda
4/4/2014Sean Delaney, MD 631 Professional Dr, Suite 360 Lawrenceville GA 3004649001RN100238Bobon, Marguerite Horen
3/8/2013Bruce Bode, MD 1800 Howell Mil Rd, Suite 450 Atlanta GA 3031823909RN228010Bode, Justine Alexandra
10/7/2011Wu, Changchun MD 65 Old Jackson Road McDonough GA 3025261537RN149754Boggs, Heather 10/1/2011
5/6/2011Julian McLendon, Jr., MD 1502 West 3rd St Jackson GA 3023338557RN149754Boggs, Heather Marie 10/1/2011
2/3/2012Hodges, Sharon MD 1372 Wellbrook Circle Conyers GA 3001240759RN053871Bogle, Regina
1/11/2008Mohamad El‐Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN053871Bogle, Regina Lynette Chupp 11/30/2011
9/1/2011Kunz, David MD 1655 Lebanon Road, Suite A Lawrenceville GA 3004329703RN063667Bohn, Joy Page 8/17/2013
Wednesday, May 07, 2014 Page 23 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2008Ellis Malone, MD 1680 Hospital South Drive Austell GA 3010613773RN106498Boland, Susan Harper
1/11/2013Mary DeVaul‐Eshleman, DO 1915 Eisenhower Dr. Savannah GA 3140668402RN151817Boles, Shaheedah
1/9/2014Raymond Easley, DO 555 Old Norcross Rd, Suite 100 Lawrenceville GA 3004620987RN200066Bolger, Angela Y
11/5/2009Ceylon Rowland, MD 3855 Pleasant Hill Rd, Suite 210 Duluth GA 3009652202RN200066Bolger, Angela Y. 11/12/2010
1/9/2009Magdi Hanafi, MD 5673 Peachtree Dunwoody Rd, #750 Atlanta GA 3034219269RN200066Bolger, Angela Y. 3/31/2009
1/7/2011Brett Bowie, MD 1602 Vernon Rd, suite 200 LaGrange GA 3024054552RN149753Bolt, Stephanie White
5/6/2011Donald Fordham, MD 865 Austin Dr Demorest GA 3053544718RN134351Bolton, Kasey Lynn Armour
4/3/2008Jonathan Ehrlich, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN176585Bolton, Margaret Lynne 6/8/2008
12/6/2013Divya Gupta, MD 550 Peachtree St Atlanta GA 3030859652RN135828Bolton‐Harris, Elizabeth Kay
10/5/2012Daniel Sims, MD 1365 Clifton Rd., Ste A2115 Atlanta GA 3032257323RN135828Bolton‐Harris, Elizabeth 10/20/2013
3/7/2008Harold Carlson, MD 275 Collier Rd., NW Ste 300 Atlanta GA 3030927508RN135828Bolton‐Harris, Elizabeth Kay
8/9/2013Saleem Malik, MD 1700 Hospital South Dr, Suite 500 Austell GA 3010644523RN177260Bonhaus, Stephanie R
5/4/2012Kidd, Mary MD 1700 Hospital South Dr, Ste 500 Austell GA 3010657092RN177260Bonhaus, Stephanie 5/21/2013
3/6/2009Renwick Hood, MD 761 Old Norcross Road Lawrenceville GA 3004524265RN177260Bonhaus, Stephanie R. 12/23/2009
11/2/2012Raymond R. Jarvis, MD 330 Turner McCall Blvd, Ste 3000 Rome GA 3016545505RN174045Bonk, Donna M.
1/6/2012Hamdi, Haleh MD 1700 Tree Lane, Ste 290 Snellville GA 3007849022RN170150Bono, Laura 7/25/2012
3/4/2010Honorio Bulos, MD 300 Dawson Commons Cir, Suite 320 Dawsonville GA 3053448029RN076497Booher, Peggy Jane Webb
5/7/2009Robert David Thomson, MD 3619 Braselton Hwy, Suite 103 Dacula GA 3001947166RN076497Booher, Peggy Jane Webb
8/10/2012Leli Gail Matthews, MD 2988 shallowford Road Marietta GA 3006652182RN099067Boone, Karen
Wednesday, May 07, 2014 Page 24 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Joyce Drayton, MD PO Box 1536 Lawrenceville GA 3004638737RN160520Boone, Nicole Michelle
12/4/2008Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN099067Boone, Karen Y 8/24/2012
2/6/2014Wendy Vandemark, MD 3116 N Oak Street Ext Valdosta GA 3160257511RN112063Booth, Carmen Diana
1/9/2014Martha Millan‐Sanchez, MD 3015 Veternas Pkwy Moultrie GA 3178866223RN112063Booth, Carmen Diana
9/13/2013Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN112063Booth, Carmen Diana
12/3/2010Anthony Ditaranto, MD 1629 10th Ave, Suite B Columbus GA 3190129865RN208838Booth, Kristin Ann 12/1/2011
10/2/2009James Eutzler, DO 520 Griffin Ave Valdosta GA 3160149729RN112063Booth, Carmen Diana 3/31/2010
7/10/2009Joel Morgan, MD 3541 N. Crossing Cir Valdosta GA 3160231295RN112063Booth, Carmen Diana 5/30/2013
3/6/2009Roy Harry, MD PO Box 326 Midville GA 3044128781RN112063Booth, Carmen Diana 7/1/2009
3/6/2009Wendy Vandemark, MD 103 Wayne Avenue Valdosta GA 3160257511RN112063Booth, Carmen Diana 5/31/2010
6/6/2008Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN168378Booth, Sara Elizabeth 4/13/2009
11/8/2013Amanda Cowan, MD 14089 Abercorn St Savannah GA 3141950793RN227783Bootle, Jennifer Boyd
9/11/2008Mike Dwyer, MD 5901‐C Peachtree‐Dunwoody Rd, #C65 Atlanta GA 3032850360RN157261Bordelon, III, Curry Joseph
4/4/2014Crystal Bailey‐Gary, MD 123 Weaver Rd., Ste. A Blairsville GA 3051258943RN194520Boring, Tiffany Elizabeth
8/5/2011Rolf Meinhold, MD 2700 Abbey Court Alpharetta GA 3000429727RN156861Borkovich, Eileen Clare 5/2/2013
8/9/2013Stuart Handelsman, MD 980 Johnson Ferry Rd, Suite 410 Atlatna GA 3034221512RN165608Boros, Barbara Judith
12/4/2008Charles Sow, MD 4398 Atlanta Hwy Loganville GA 3005255343RN173279Bosse, Adelyne
6/8/2007Carlos Zayas‐Montalvo, MD 1968 Peachtree Rd. NW 5th Fl Bldg 77 Atlanta GA 3030936668RN112876Bossie, Andrea Elizabeth Logan
3/8/2013Howard Melton, MD 3004 2nd St SE Moultrie GA 3176835697RN181134Bostick, Ashley
Wednesday, May 07, 2014 Page 25 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Chauncey Herrington, MD 3131 South Main St Moultrie GA 3176822559RN181134Bostick, Ashley Lacey
3/8/2013Andrew Cordista, MD 8 Live Oak Court Moultrie GA 3176851451RN181134Bostick, Ashley Lacey
3/8/2013Venu Madhipatla, MD 3131 South Main St Moultrie GA 3176865559RN181134Bostick, Ashley Lacey
10/10/2013Nancy Dawson, MD 1900 Tebeau St Waycross GA 3150168719RN229289Bosworth, Veronica A
12/4/2009Joyce Drayton, MD 1 Baltimore Place, Suite 360 Atlanta GA 3030838737RN145040Botah‐Odduro, Ophelia Anane 7/8/2011
9/13/2013Gregory Zakers, MD 6455 Tara Blvd, Suite 7‐A Jonesboro GA 3023649847RN145040Botah‐Oduro, Ophelia Anane
4/1/2011Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN145040Botah‐Oduro, Ophelia Anane 7/1/2011
8/6/2010Chukwudi Amu, MD 5530‐B Old National Hwy, Suite 100 College Park GA 3034926967RN145040Botah‐Oduro, Ophelia Anane 12/1/2009
9/11/2008Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2‐D East Point GA 3034451703RN145040Botah‐Oduro, Ophelia Anane 3/19/2013
2/7/2008Chukwudi Amu, MD 4150 Snapfinger Wds Dr, Suite 100 Decatur GA 3003526967RN145040Botah‐Oduro, Ophelia Anane 8/10/2009
3/1/2012Dott, Andrew MD 993D Johnson Ferry Rd, Ste 360 Atlanta GA 3034233314RN165964Botelho, Kathryn
4/4/2014Lisa Amodio, DO 417 Third Ave, Emer Dept Albany GA 3170167272RN207415Botero, John David
4/4/2013David Stone, MD 367 Clear Creek Pkwy, Emer Dept Lavonia GA 3055324501RN207415Botero, John David
6/8/2012Soyoola, Emmanuel MD 1870 Atlanta Hwy Ste J Gainesville GA 3050453032RN207415Botero, John 3/19/2014
2/5/2010Mahendra Shah, MD 227‐A Scenic Hwy, Suite A Lawrenceville GA 3004634466RN118785Botnick, Beth S.
10/7/2011Williams, Jr., Byron MD 550 Peachtree St, 5th floor MOT, Ste 4411
Atlanta GA 3030818974RN106754Botters, Kara
7/11/2013Marcus Sims, MD 5 Dunwoody Park Place, Suite 118 Atlanta GA 3033860507RN172317Boulware, Angel Brown
1/9/2009Hope McDaniel, MD 11766 Hwy 27 Summerville GA 3074759287RN118574Bovee, Anna Marie 1/20/2009
Wednesday, May 07, 2014 Page 26 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/6/2014Manjushree Ghose, MD Walgreens Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004442827RN146042Bowen, Cindy Jo‐Ann
7/12/2012Powell, Lawrence MD 1762 Mars Hill Road NW Acworth GA 3010138915RN146042Bowen, Cindy 7/7/2013
3/29/2012Reinheimer, Susan MD 100 Main Street, Annex II Garden City GA 3140831493RN084864Bowen, Mark
3/4/2011Sidney Smith, III, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN084864Bowen, Mark Timothy 6/1/2011
10/8/2010John Coleman, MD 1720 Peachtree Rd, Suite 200 Atlanta GA 3030948498RN146042Bowen, Cindy Jo‐Ann 10/10/2013
7/1/2010Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN146042Bowen, Cindy Jo‐Ann 1/31/2011
1/7/2010Phillip Nowlin, MD 491 East Main St Cartersville GA 3012136588RN146042Bowen, Cindy Jo‐Ann 10/26/2013
1/9/2009Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN146042Bowen, Cindy Jo‐Ann 8/25/2009
9/14/2007Cari Ouderkirk, MD Northside Hsp ‐ Em Dpt, 1000 J'son Ferry Rd
Atlanta GA 3034232730RN124766Bowen, Sally Winifred
5/4/2012House, Alice MD 100 College Station Drived Macon GA 3120643065RN119753Bower, Bonnie
12/1/2011Pinell, Michael MD 4123 Forsyth Rd, Ste K Macon GA 3121058102RN119753Bower, Bonnie 3/25/2013
12/4/2009Rana Munna, MD 330 Hospital Dr, Bldg C, Suite 302 Macon GA 3121752466RN119753Bower, Bonnie Gayle
10/10/2013Toby Bond, MD 1181 Langford Dr, Bldg 200, Suite 105 Bogart GA 3062243880RN178996Bowers, Thomas Andrew
6/30/2011Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN128899Bowie, Myra Annette
4/1/2011Wanda Guy‐Craft, MD 1315 Delaunay Ave, Suite 201 Columbus GA 3190164224RN128899Bowie, Myra Annette
5/4/2012Leach, Andrew MD 1000 Hawthorn Drive, Ste G Athens GA 3060649051RN209511Bowling, Rhonda
4/1/2010Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN088489Bowman, Patricia Smith
4/4/2014Wendy Vandermark, MD 3116 N Oak Street Ext Valdosta GA 3160257511RN101527Bowser, Karen Alene
Wednesday, May 07, 2014 Page 27 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Bennett Hogan, MD 117 W Northside Dr Valdosta GA 3160250024RN101527Bowser, Karen Alene
6/30/2011Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN101527Bowser, Karen Alene
12/3/2010Wendy Vandemark, MD 2310 W. Patterson St, Unit B Valdosta GA 3160257511RN101527Bowser, Karen Alene
1/9/2014Dragos Vladesczu, MD 2594 Loganville Hwy, Suite 101 Grayson GA 3001766098RN060082Boyd, Pamela Amelia
1/11/2013Michele Aguayo, MD 2594 Loganville Hwy, Suite 101 Grayson GA 3001736490RN060082Boyd, Pamela Ameilia 9/13/2013
8/5/2011Michelle Evans, MD 35 Collier Rd NW, Ste 150 Atlanta GA 3030952171RN214860Boye‐Doe, Sylvia B
7/11/2008Devender Reddy, MD 1010 Johnson Ferry Rd Marietta GA 3006838589RN059048Boyers, Jane Gilbert
2/5/2009Benjamin Epstein, MD 2665 N. Decatur Road, Suite 255 Decatur GA 3003335044RN135750Boyette, Eric Lawrence
12/7/2007Jeffrey Lennox, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030838844RN135750Boyette, Eric Lawrence 12/19/2008
6/8/2012Sheth, Darshana MD 3822 Roswell Road Marietta GA 3006258642RN105979Boyle, Lynn
10/8/2010Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN105979Boyle, Lynn Michele 10/26/2011
1/9/2009Robert Strauss, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010627307RN105979Boyle, Lynn Michele 7/15/2011
2/7/2008Sharon Fitzgerald‐Soapes, MD
3685 Lawrenceville Hwy, Suite 100 Lawrenceville GA 3004416509RN091497Boyles, Sandra Grace Paterson
1/11/2013Juan Ayerdi, MD 575 First St. Macon GA 3120157278RN184674Bozarth, Melissa E.
1/7/2011Stephen Pitts, MD 550 Peachtree St NE Atlanta GA 3030824066RN175716Bozeman, Lindsey Jo
7/10/2009Wiley Perry Ballard, MD 275 Collier Rd NW, Suite 400 Atlanta GA 3030930265RN130261Braatz, Stephanie Stephens
4/4/2013Claudele Souffrant‐Razo, MD
607 Fourth St West Darien GA 3130568002RN217510Bracewell, Joanne Ellen
10/5/2012Lourdes deArmas, MD 607 4th Street West Darien GA 3130543917RN217510Bracewell, Joanne Ellen
Wednesday, May 07, 2014 Page 28 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/1/2011Bailey, Marion MD 107 Industrial Drive, Ste B St. Mary's GA 3155810467RN217510Bracewell, Joanne
2/4/2011Alexander Gluzman, MD 3820 Medical Park Dr Austell GA 3010656452RN101397Brackett, Robin Ann
12/3/2010Richard Maxa, MD 3505 Duluth Park Lane, Suite 400 Duluth GA 3009642655RN101397Brackett, Robin Ann
8/6/2010F. Stephen Moore, MD 2324 Limestone Overlook Gainesville GA 3050122254RN044266Braden, Robin 11/14/2011
5/4/2012Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN221074Bradford, Tammy 4/20/2012
3/6/2014Daniel Martin, MD 425 3rd Ave, Suite 510 Albany GA 3170162255RN164831Bradley, Jennifer Holloway
3/6/2014Steven Wolinsky, DO 425 W Third Ave, Suite 600 Albany GA 3170147175RN164831Bradley, Jennifer Holloway
4/4/2013Sharon C. Tuckett, MD 88 Wellstar Douglasville Medical Center Douglasville GA 3013436309RN150905Bradley, Janice May
1/7/2011Stephen Szabo, MD 6335 Hospital Pkwy, Suite 107 Duluth GA 3009744850RN148400Bradley, Tajuana Belinda
2/5/2009Anthony Sussman, MD 4750 Waters Avenue, Suite 500 Savannah GA 3140430388RN093726Bradley, Catherine M
1/9/2014Joseph Hand, III, MD 1000 B ‐ North Veterans Blvd Glennville GA 3042749984RN205143Bradshaw, Jessica Lynn
3/1/2012Ochsner, M. Gage MD 4750 Waters Avenue, 2nd floor Savannah GA 3140438894RN219030Bradshaw, Denise
6/8/2012Richardson, Tommie MD 4‐15 South Cobb Drive #115 Palmetto GA 3026831313RN141141Bradshaw‐Small, Lisa
1/9/2014Traceyan Mendez, MD 215 North coleman St Swainsboro GA 3040157831RN195811Brady, Mary Virginia
11/7/2008Mark Coker, MD 212 Cherokee Road Thomaston GA 3028656276RN088662Brady, Linda L.
10/7/2011Halwig, John MD 1620 Mulkey Road Austell GA 3010627558RN101050Braker, Susan
10/4/2007John Zora, MD 1990 Riverside Parkway NW Lawrenceville GA 3004326420RN101050Braker, Susan Jean 8/31/2011
8/10/2012Powell, Eric MD 1111 Glynco Parkway, Bldg 1, Ste 10 Brunswick GA 3152549081RN160904Brandeberry, Thomas 9/22/2012
1/6/2012Ruschak, Lisa MD 1022 Miller Lane SW Darien GA 3130559956RN160904Brandeberry, Thomas 8/19/2012
Wednesday, May 07, 2014 Page 29 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2009Bryan Weatherspoon, MD 51 Lindsay Lane Kingsland GA 3154833482RN160904RN160904
Brandeberry, Thomas Keith
8/6/2010Stephen Pastan, MD 1365 Clifton Rd, 6th Floor, B‐6400 Atlanta GA 3032239196RN089072Brannon, Laura Elizabeth
9/11/2008Ramie Tritt, MD 5555 Peachtree Dunwoody Rd, Suite 235
Atlanta GA 3034220005RN092114Brannon, Elissa Darlene 4/3/2009
10/5/2012Amy Hardin, MD 1140 Hammond Dr., Ste E5250 Atlanta GA 3032835307RN214358Brantley, Amanda M.
1/7/2011Charles Wilmer, MD 275 Collier Rd, Suite 300 Atlanta GA 3030929394RN152769Brantley, Nina Sheria 10/15/2013
1/9/2009Nitasha Burney, MD 4120 Austell Road SW Austell GA 3010655931RN152769Brantley, Nina Sheria
12/4/2009Ian Crocker, MD 1365 Clifton Rd NE Atlanta GA 3032228391RN150354Brat, Donna Ashlee
1/9/2014Hina Hussain, MD 2440 Sandy Plains Rd, Suite 100, Bldg 6 Marietta GA 3006655063RN205338Bratoeva, Maria D
1/9/2014Ilya Wolfson, MD 3353 Trickum Rd, Suite 201 Woodstock GA 3018851860RN205338Bratoeva, Maria D
4/2/2009Michelle Morgan, DO 2990 Five Forks Trickum Rd Lawrenceville GA 3004451694RN143102Braxton, Charisse Alene Gathers 3/31/2011
1/9/2014Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN177281Bray, Onie Beatrice Diane
8/5/2011John Clark Hill, III MD 1935‐A Homer Road, Suite A Commerce GA 3052946122RN135396Breedlove, Rene Richardson
9/3/2009Frances Owen, MD 172 Follins Lane St. Simon's Island GA 3152240973RN174289Brennan, Laura Ann
10/10/2013Bradley Goldberg, MD 2010 Ocilla Rd Douglas GA 3153340079RN101667Brewer, Angela Evans
11/7/2008Beverly Hyacinth, MD 1050 Delta Blvd SW Atlanta GA 3035457003RN042077Brewer, Deborah Ann
4/1/2011Laura Beaty, MD 755 Mt Vernon Hwy, Suite 120 Atlanta GA 3032845168RN165564Brewster, Kimberly Enfield 11/13/2013
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN076524Bridges, Kathleen Rose Dunham
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN107666Brier, Janie Clare Rishel 1/6/2014
Wednesday, May 07, 2014 Page 30 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Glen Lew, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034241457RN171528Brill, Pamela Beth
1/6/2012Janss, Anna MD 1405 Clifton Road, 4th floor Atlanta GA 3032252965RN171528Brill, Pamela 5/11/2013
6/6/2008Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN171528Brill, Pamela Beth 12/15/2011
4/4/2013Brion V. Randolph, MD 600 Parkway North Newnan GA 3026568281RN216589Britt, Latoya Denique
2/3/2012Matthews, Graham MD 100 Stone Forest Drive, Ste 240 Woodstock GA 3018941883RN072541Britt, Sarah
7/13/2007Errol Graham, MD 105 E. Tollison St. Baxley GA 3151332388RN115507Britt, Janey Butler
11/8/2013William Parrish, MD 204 Allen Memorial Dr, Suite 201 Bremen GA 3011047989RN177270Brock, Chasity Cowart
7/11/2013Ruth O'Regan, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032253350RN1678369Brock, La‐Urshalar Beausheniqu
5/7/2009Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN167836Brock, La‐Urshalar Beausheniqu 6/28/2011
3/6/2014James Short, MD 882 Ponce de Leon Ave Atlanta GA 3030623877RN184254Brockett, Camille Tisha
5/1/2014John Tapp, MD 2205 McCollie Avenue Chattanooga TN 3740453188RN129994Brooks, Lisa Mae Vickers
4/4/2014Fred Tega, MD 15A Baynard Park Newnan GA 3026556493RN190550Brooks, Chasidy Leigh
6/8/2012Morgan III, Joe Harris MD 2300 Dawson Road, Ste 101 Albany GA 3170753503RN129516Brooks, James
8/6/2010Louis Mameli, MD 214 Cherokee Rd Thomaston GA 3028630648RN050475Brooks, Rhonda M
11/7/2008Jaza Marina, MD South Albany Med Ctr, 1300 Newton Road
Albany GA 3170155267RN129516Brooks, James Michael 3/2/2012
4/3/2008David Bosshardt, MD 128 Battlefield Crossing Court Ringgold GA 3073626225RN129994Brooks, Lisa Mae Vickers 2/1/2014
7/11/2008Marcus Simmons, MD 4226 Hartley Bridge Rd, Suite 104 Macon GA 3121649946RN040914Broom, Sharon Kaye Mullins
8/8/2008Charles Crabbe, MD 320 Kennestone Hosp Blvd, Suite 201 Marietta GA 3006022132RN137975Brower, Patricia Anne
Wednesday, May 07, 2014 Page 31 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/1/2014Rifquat Giwa, MD 3950 Austell Rd. Austell GA 3010663198RN160388Brown, Mignon Delores
3/6/2014Megan Bowles, MD 1000 Chastain Rd, House 53 Kennesaw GA 3014468486RN076533Brown, Brenda Rebecca McCun 3/18/2014
12/6/2013Donato Roman, MD 3259 Valtech Rd Valdosta GA 3160212855RN038371Brown, Cynthia Jo Martin
12/6/2013Michael Powell, MD 464 Mt Pleasant Rd Thomson GA 3082423663RN212391Brown, Tranika Charisse
12/6/2013Victor Thomas, MD 1200 Memorial Dr Dalton GA 3072040574RN166498Brown, Melinda Hope Cain‐Mar
10/10/2013James Sipp, MD 54556 Meridian mark Rd, Suite 130 Atlanta GA 3034253880RN218652Brown, Danelle Leigh
10/10/2013Kathleen Gunchick, MD KSU ‐ 1000 Chastain Rd NW, House 52 Kennesaw GA 3014428760RN076533Brown, Brenda Rebecca McCun 1/6/2014
9/13/2013Srinivasa Ayinala, MD 301 Philip Blvd NW, Suiote A Lawrenceville GA 3004652531RN200229Brown, Chundra Shevonne
8/9/2013Lawrence Rowley, MD 1700 Hospital South Dr, Suite 500 Austell GA 3010635992RN051771Brown, Betsy L
11/2/2012Angela J. Hale, MD 655 First St. Macon GA 3120137230RN67038Brown, Michelle
6/8/2012Costley, Chad MD 402 W. Ponce de Leon Ave Decatur GA 3003054263RN209213Brown, Kara
5/4/2012Kidd, Mary MD 1700 Hospital South Drive, Ste 500 Austell GA 3010657092RN051771Brown, Betsy 5/21/2013
11/3/2011Gupta, Daisy DO 114 Canal Street Pooler GA 3132264946RN064864Brown, Ludella
8/5/2011Alvaro Velasquez, MD 550 Peachtree St NE, 6th Floor Atlanta GA 3030845020RN171398Brown, Yvonne
6/30/2011Eric Manahan, MD 1504 Broadrick Dr Dalton GA 3072048916RN080547Brown, Lee Ann Lancaster
5/6/2011Andrew Toledo, MD 1150 Lake Hearn Dr, Suite 400 Atlanta GA 3034227933RN144959Brown, Virginia Corley
2/4/2011Alice House, MD 100 College Station Dr Macon GA 3120643065RN112057Brown, Monica Renee'
2/4/2011S. Thomas Greenstone, MD 374 Coats Dr Toccoa GA 3057717812RN163094Brown, Lachanda Felice
9/2/2010R. Brian Raybon, MD 79 Doyle Street Toccoa GA 3057738339RN117303Brown, Sandra Hemphill
Wednesday, May 07, 2014 Page 32 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/4/2010George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN171398Brown, Yvonne 6/13/2011
5/7/2010Henry Lewis, MD 1990 Limestone Circle, Suite 100 Gainesville GA 3050149052RN074964Brown, Mary Jane 7/12/2010
12/4/2009Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN171398Brown, Yvonne 8/9/2010
12/4/2009Maurice Clifton, MD MSC Health Clinic ‐ 100 College Station Dr
Macon GA 3120661053RN112057Brown, Monica Renee' 11/21/2010
7/10/2009Daniel Wu, MD 49 Jesse Hill Jr Dr, Emergency Dept Atlanta G 3030351572RN177029Brown, Eric Jay
6/5/2009Donald Fordham, MD 865 Austin Drive Demorest GA 3053544718RN074964Brown, Mary Jane 3/31/2010
1/9/2009Mina Jacob, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010651477RN191333Brown, Andrea Celina 4/13/2009
12/4/2008Allen Garrison, MD 100 College Station Dr Macon GA 3120654017RN112057RN112057
Brown, Monica Renee' 7/9/2009
12/4/2008Nydia Bladuell, MD 790 Church Street, Suite 470 Marietta GA 3006038429RN177029Brown, Eric Jay 4/1/2009
12/4/2008Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN076533Brown, Brenda Rebecca McCun 10/1/2013
11/7/2008Russell Sliker, MD 1000 Town Center Blvd, Suite 701 Pooler GA 3132246250RN064864Brown, Ludella 5/1/2010
8/8/2008Shaun Franklin, MD 14089 Abercorn Street Savannah GA 3140640663RN064864Brown, Ludella
8/8/2008Miles Johnson, MD 4115 Glenwood Road Decatur GA 3003238817RN119715Brown, Andrea Elaine
7/11/2008Nicole Franks, MD 550 Peachtree St NE Atlanta GA 3030849691RN171398Brown, Yvonne
11/1/2007Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2‐D East Point GA 3034451703RN171398Brown, Yvonne 2/25/2008
10/4/2007Gerald Brantley, MD 100 College Station Drive Macon GA 3120633535RN112057Brown, Monica Renee 8/3/2008
7/13/2007Richard Dent, MD 310 Eisenhower Dr, Suite 5A Savannah GA 3140617RN064864Brown, Ludella 5/28/2008
8/9/2013Judith Cauvin, MD 1260 Hwy 54 West, Suite 101 Fayetteville GA 3021459135RN050915Browne, Vickie H
Wednesday, May 07, 2014 Page 33 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Ralph C. Lyons, MD 34 Upper Riverdale Rd., Ste 201 Riverdale GA 3027425217RN050915Browne, Vickie H.
7/11/2013Monica Hoffmeister‐Becerra, MD
2122 Manchester Pkwy Columbus GA 3190468209RN229413Browning, Harvey Dewayne
1/7/2011Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN184377Brownlee, Amanda Lynn 2/1/2013
6/5/2009Beatrice Gee, MD 35 Jesse Hill Jr Dr SE Atlanta GA 3030345468RN180036Broyard, Enid P.
11/8/2013Devin Handley, MD 2659 Abutment Rd Dalton GA 3072048356RN117972Bruce, Myra Patricia Lane
5/4/2012Pryor, Heather MD 508 North Main Street Cedartown GA 3012544310RN117972Bruce, Myra 11/30/2012
12/1/2011Blache, Charlene MD 130 W. Screven Street Quitman GA 3164345728RN086371Bruce, Anne
9/2/2010Charlene Blache, MD 1309 W. Screven St Quitman GA 3164345728RN086371Bruce, Anne Louise
12/7/2007Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN112048Brumbelow, Kelly Denea 12/23/2008
12/6/2013Charles Campbell, MD 86 South Cobb Dr, MZ 0454 Marietta GA 3006369772RN047850Bruner, Kim J
9/13/2012Pamella Thomas, MD 86 S. Cobb Dr., Suite M20454 Marietta GA 3006319277RN047850Bruner, Kim J. 10/1/2013
1/7/2011Rodothea Milatou, MD 86 S. Cobb Dr Marietta GA 3006343713RN047850Bruner, Kim J.
8/2/2007Ognjenka Brkic‐Vukotic, MD 11050 Crabapple Rd. Roswell GA 3007547576RN047850rn047850rn047850
Bruner, Kim 10/15/2010
7/1/2010David Lawson, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032217231RN167522Brutcher, Edith Anastasia Postel
3/6/2014Robert Kaufmann, MD 2001 Professional Way, suite 220 Woodstock GA 3018830115RN213727Bryan, Ashley Ruth
2/7/2013Romeo R. Moriles, MD 236 Arrowhead Blvd Jonesboro GA 30236######RN158290Bryan‐Grant, Sharon
11/7/2008Ann Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN158290Bryan‐Grant, Sharon May
Wednesday, May 07, 2014 Page 34 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2014Anita Johnson, MD 600 Parkway North Newnan GA 3026553464RN165380Bryant, Allison Adcock
3/8/2013Muhammad Khan, MD 915 Gordon Ave Thomasville GA 3179263080RN128293Bryant, Charles W, Jr
10/7/2011Talley, Thomas MD 414 5th Avenue Albany GA 3170733895RN152834Bryant, Natalie
2/4/2011Vanessa Cabaron, MD 1350 Walton Way, POB II, Suite 200 Augusta GA 3090153843RN082727Bryant, Roxanne Rush
2/4/2011William Callaghan, MD 1350 Walton Way, POB II, Suite 200 Augusta GA 3090127974RN082727Bryant, Roxanne Rush
10/8/2010Mufaddal Kheda, MD 1200 N. Jefferson St Albany GA 3170159860RN152834Bryant, Natalie Gayle 2/1/2011
2/5/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN082044Bryant, Jacquelyn Rose Evans
7/10/2009William Kittle, MD 1350 Walton Way, POB II, Suite 200 Augusta GA 3090125197RN082727Bryant, Roxanne Rush 7/1/2011
6/5/2009Douglas Moss, MD 814 Northwood Park Dr Valdosta GA 3160241178RN128293Bryant, Charles W. 7/14/2013
5/7/2009Andrew Michas, MD 1001 N. Monroe Street Albany GA 3170149065RN152834Bryant, Natalie Gayle 8/13/2010
4/2/2009Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN152834Bryant, Natalie Gayle 8/13/2010
12/4/2008Richard Ambrozic, MD 2501 N. Patterson Street Valdosta GA 3160243851RN128293Bryant, Charles W. 3/27/2009
9/11/2008Stephen Salmieri, DO 759 Old Norcross Road Lawrenceville GA 3004549151RN061119Bryant, Beth Susan Cohen
9/14/2007Kenneth Deaton, MD 233 North Houston Rd. Suite 141 Warner Robins GA 3109331585RN154368Bryant, Summer M
5/1/2014Jonathan Wade, DO 100 S. Madison St. Thomasville GA 3179266666RN128293Bryant Jr., Charles W.
3/8/2013Eric Davis, MD 100 S. Madison Ave Thomasville GA 3179263648RN128293Bryant, Jr, Charles W
7/11/2013Mohamad Kassem, MD 3580 Cameron Pkwy Stockbridge GA 3028140934RN229758Bryant, Jr., Lawrence Earl
3/6/2014Ashley Davis, MD 5555 Whittlesey Blvd Columbus GA 3190958161RN221056Bubar, Kate Elizabeth
8/9/2013Kirti Kandalkar, MD CHOA, 2660 Satellite Blvd Duluth GA 3009662877RN160752Buchanan, Stacy Briana
Wednesday, May 07, 2014 Page 35 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Gerald Bohn, MD 1857 West McIntosh Rd Griffin GA 3022330957RN149616Buchanan, Theresa Kassack
11/3/2011Ahmed, Mahmood MD 231 Graefe Street Griffin GA 3022442008RN149616Buchanan, Theresa
10/8/2010Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN149616Buchanan, Theresa Kassack 6/11/2011
10/4/2007Marie Baudean, MD 980 Hwy 29 South Lawrenceville GA 3004523898RN160752Buchanan, Stacy Briana
3/8/2013Jeffrey Esslinger, MD 300 Courtyard Dr, Suite A Cartersville GA 3012045455RN123889Buckley, Sheri Sullins
1/11/2013Bhumiben S.Purohit, MD 1890 Manor View Cumming GA 3004158812RN123889Buckley, Sheri 6/30/2013
2/6/2014Henry Perez, MD 5665 Peachtree‐Dunwoody Rd NE, Emer Dept
Atlanta GA 3034229990RN199198Buckman, Laura Lee
6/5/2009Mohamad Kassem, MD 3580 Cameron Pkwy Stockbridge GA 3023140934RN101831Buckner, Joretta Ann Harvey
12/7/2012John A. Pablo, MD 225 Candler Dr., Ste 100 Savannah GA 3140542102RN221955Buckovich, Veronica M.
3/4/2010Mohammad Kamran, MD 700 Church Street Marietta GA 3006059535RN177114Buendia, Allyson Joy
3/6/2009Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN127335Bui, Binh Quoc 9/30/2011
9/13/2012Yolanda Hacker, MD 2990 Five Forks Trickum Rd Lawrenceville GA 3004445811RN127335Bui‐Oliver, Binh 9/19/2013
7/10/2009Anu Murthy, MD One CNN Ctr, NT1008D Atlanta GA 3030354867RN078274Buist, Nancy Naucke
12/6/2013Suzanne Turner, MD 1357 Hembree Rd, Suite 240 Roswell GA 3007647772RN202943Bukshteyn, Irina
4/4/2014John Blumer, MD 3222 Shrine Road Suite A Brunswick GA 3152053101RN137184Bulatao, Elizabeth Aguanta
5/6/2011Carl Shenkman, MD 1111 Glynco Pkwy, Suite 400 Brunswick GA 3152536000RN137184Bulatao, Elizabeth Aguanta
12/4/2008Donovan Christie, MD 5985 Peachtree Pkwy NW Norcross GA 3009244432RN185242Bulfin, Susan Jean 2/1/2009
12/4/2008L. Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN135809Bumgardner, Robert Louis 8/6/2012
Wednesday, May 07, 2014 Page 36 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/10/2013Cecilia Arango, MD 304 Westside Dr Douglas GA 3153368354RN177195Bunch, Jana Lamb
1/6/2012Hand III, Joseph MD 1000B N. Veterans Blvd Glennville GA 3042749984RN177195Bunch, Jana 10/2/2013
2/5/2010Frank Bixler, MD 15 Yarbrough St Hazlehurst GA 3153934779RN177195Bunch, Jana Lamb 3/28/2010
2/3/2012Vevera, Elizabeth MD 3400A Old Milton Parkway, Ste 130 Alpharetta GA 3000541990RN050495Bundy, Virginia
10/5/2012Ronald Nash, MD 501 Mt. Vernon Rd., NW Monroe GA 3065558909RN176757Bupp, Melissa Jones
12/6/2013Gregory Matechak, MD 1650 Chattahoochee Dr Rockmart GA 3015352992RN084921Burch, Mary Catherine Cobb 4/14/2014
8/9/2013Thomas L. Garcia, DO 1008 Piedmont Ave. Rockmart GA 3015363420RN084921Burch, Mary C. 8/21/2013
3/8/2013Eugene Jackson, MD 151 South Houston Rd, Suite 190 Warner Robins GA 3108822793RN136571Burch, Erin Tapley
8/5/2011Alain Toland, DO 1719 Russell Parkway, Ste 300 Warner Robins GA 3108822901RN136571Burch, Erin Tapley
12/7/2007James Douglas, MD 1013 North 5th Avenue, Suite 2 Rome GA 3016533569RN084921Burch, Mary Catherine Cobb 11/1/2012
12/4/2009William Mills, MD 58 Big A Road Toccoa GA 3057750901RN126640Burger, Susan Elizabeth Reitting 1/1/2011
10/5/2012Randy Warner, MD 690 Dallas Hwy, Ste 201 Villa Rick GA 3018053905RN126100Burke, Julie
12/7/2007Suzanne Molock, MD 601‐A Professional Drive, Suite 370 Lawrenceville GA 3004526344RN177306Burke, Colleen E.
10/5/2012Dale M. Lawson, MD 126 Hwy 280 West Americus GA 3171954233RN104337Burkes, Henry
1/9/2014William Lyday, II, MD 600 Parkway North Newnan GA 3026549859RN093687Burks, Olivia Good Mentzer
9/14/2007David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN124541Burman, Holly Elizabeth
10/5/2012Carley S. Ebanks, MD 610 Third St., Ste. 100 Macon GA 3120135619RN155040Burnett, Tonya
2/3/2012Al‐Shroof, Mohammad MD 2054 Watson Blvd Warner Robins A 3109345158RN185246Burnett, Erica
1/7/2010Christopher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006721796RN063097Burnett, Lillie Kathryn
Wednesday, May 07, 2014 Page 37 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/6/2013Richard Chewning, MD 231 Graefe St Griffin GA 3022420091RN157565Burns, Susannah 4/7/2014
7/12/2012Kandzari, David MD 275 Collier Rd, Ste 300 Atlanta GA 3030964993RN157565Burns, Susannah
11/3/2011Keating, William MD 1800 Lumpkin Campground Road, Ste 300
Dawsonville GA 3053452971RN073196Burns, Kimberly
5/1/2014Panyavee Khan, MD 777 Franklin Rd Marietta GA 3006754756RN133692Burris, Robin Asay
2/7/2013Olaitan Adeniji, MD 301 Philip Blv d, Ste A Lawrenceville GA 3004552670RN198894Burris, Ashley
10/5/2012Alan Muster, MD 55 Whitcher St, Suite 160 Marietta GA 3006045305RN194654Burse, Julia LaToya
7/1/2010Michlene Broadney, MD 11 Upper Riverdale Rd SW Riverdale GA 3027455207RN127607Burslem, Victoria Ann Henderso 8/1/2012
5/4/2012Spencer, Louis MD 4159 Martha Berry Hwy, NW Rome GA 3016561351RN191802Burt, Kristie
4/3/2008Arthur Chandler, MD 1348 Walton Way, Suite 5100 Augusta GA 3090127513RN093515Burt, Victoria McShell
7/12/2012Tamaddon, Houman MD 1350 Walton Way Augusta GA 3090163032RN162227Burton, Julyn
3/8/2013Michael Pinell, MD 6440 W Hamilton Park Dr, Suite F Columbus GA 3191958102RN060034Bush, Karon J Pearson
3/29/2012Sethi, Kapil MD 1429 Harper St HF Augusta GA 3091227303RN069061Bush, Lisa 11/30/2012
1/9/2014Brandi Weaver Warren, DO 809 11th Ave Suite A Cordele GA 3101561681RN160658Bussey, Schvon Yvette May
2/7/2013Diana M. Whiteman, MD 748 Old Norcross, Ste 150 Lawrenceville GA 3004537729RN115674Bussoletti, April J.
11/7/2008James Drury, MD 401 Old Albany Road Thomasville GA 3179948891RN178406Buswell, Catherine L. 5/20/2010
11/8/2013Brian Kornblatt, MD 5 Executive Circle Savannah GA 3140638029RN093087Butler, Patricia B
2/7/2013Edward Gotlieb, MD 5405 Memorial Dr., #D Stone Mtn. GA 3008314500RN184069Butler, Yentl C.
10/5/2012Eastlyn Harding‐Marin, MD 3812 Salem Rd. Covington GA 3001656841RN184069Butler, Yentl 10/4/2012
Wednesday, May 07, 2014 Page 38 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/4/2011Carlos Martinez, MD 165 Emery Hwy, Suite 100 Macon GA 3121731793RN096331Butler, Sheila Wilmore
9/3/2009Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN122940Butler, Jennifer Barnes 9/30/2009
1/9/2009Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN156529Butler, Erin Brantley 1/1/2010
11/7/2008Richard LoCicero, MD 725 Jesse Jewell Pkwy, Suite 150 Gainesville GA 3050148535RN121419Butler, Jennifer Marie
1/11/2008Frank Cole, MD 101 Yorktown Drive Fayetteville GA 3021428520RN156529Butler, Erin Brantley
10/5/2012Roger Brooksbank, MD 501 Redmond Rd. Rome GA 3016568120RN149469Byars, Terri
10/7/2011Styderek, Robert MD 504 Redmond Road Rome GA 3016541491RN149469Byars, Terri 6/28/2013
10/10/2013William Bohlke, MD 128 Parker Ave Brooklet GA 3041537490RN144570Byczkoski, Christy Natasha 2/21/2014
10/10/2013LaRoy Penix, MD 743 Spring St Gainesville GA 3050149080RN221894Byers, Ann Marie
10/5/2012Shelley A. Griffin, MD 305 Jones Ave. Waynesboro GA 3083016238RN149798Byrd, Jenifer J.
2/5/2009William McDonald, MD 1841 Clifton Rd NE Atlanta GA 3032937292RN081218Byrd, Eve Heemann
2/5/2009Maria Mascolo, MD PO Box 14417 Savannah GA 3141652469RN165617Byrd, Lorraine Lott
4/13/2007Mahaveer C. Vakharia, MD 4171 Marietta Street Powder Springs GA 3012738390RN179366Byrd, Mary Elizabeth
5/1/2014Dawn Wilson, MD 197 14th St NW, Suite 100 Atlanta GA 3031847279RN198706Caballero, Lorena Maria
11/3/2011Perez, Pablo MD 1102 West Waugh Street Dalton GA 3072047502RN206214Caban, Mariana
9/13/2012Brian Kogon, MD 1405 Clifton Rd Atlanta GA 3032253322RN146346Cabrera, Maria Elena
2/3/2012Cabrera, Anthony MD 200 West Gordon Dalton GA 3071042538RN128826Cabrera, Tammy
2/5/2010Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN146346Cabrera, Maria Elena 7/12/2012
7/10/2009Kevin Smith, MD PO Box 4128 Canton GA 3011441961RN149820Cadle, Harriet Eyvonne
Wednesday, May 07, 2014 Page 39 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/11/2008Jorge Simmonds‐Diaz, MD 3379 Trickum Road Woodstock GA 3018834947RN149820Cadle, Harriet Eyvonne
4/13/2007Eduardo Montana, Jr., DO 61 Whitcher Street, Ste 4140 Marietta GA 3006035954RN149820Cadle, Harriet Eyvonne 11/1/2007
6/3/2011Kevin Lanclos, MD 6175 Newton Dr Covington GA 3001447109RN100014Cady, Christlaen Elizabeth
7/13/2007Gregory Zakers, MD 4711 Peachtree Industrial Blvd. Suite B Norcross GA 3009249847RN083997Cahill, Mary E
10/7/2011Snell, William DO 880 Canton Road, Ste 300 Marietta GA 3015224495RN054027Cain, Trina
4/2/2009Larisa Bradford, MD 706 South Wall Street Calhoun GA 3070157050RN054027Cain, Trina Renee 9/14/2009
1/9/2014Lisa Amodio, DO 417 Third Avenue Albany GA 3170167272RN115517Caldwell, Cindy
5/4/2012Smith, Christopher MD 401 Fourth Avenue Albany GA 3170120820rn115517Caldwell, Cindy
9/1/2011Lawson, Dale MD 2000 Palmyra Rd Albany GA 3170754233RN115517Caldwell, Cindy 3/30/2014
4/1/2011Vito Bagnato, MD 810 13th Ave Albany GA 3170145711RN115517Caldwell, Cindy M.
4/1/2011Joseph Stubbs, MD 2402 Osler Court Albany GA 3170724105RN115517Caldwell, Cindy M.
4/1/2011Joseph Burnette, MD 401 Fourth Ave Albany GA 3170133286RN115517Caldwell, Cindy M.
2/5/2009Roy Reardon, MD 210 W. Main Street, Suite 4 Colquitt GA 3983742402RN115517Caldwell, Cindy M.
3/29/2012Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN069645Calhoun, Sherry
12/7/2007Mark Elam, MD 808 Professional Blvd Dalton GA 3072036147RN069645Calhoun, Sherry Jo Manley 12/1/2008
8/2/2007Michael Banov, MD 108 Margaret Avenue Marietta GA 3006037945RN072598Calhoun, Cathleen
11/8/2013Hitendra Patel, MD 55 Whitcher St, Suite 160 Marietta GA 3006045312RN232017Calkin, Valerie Ann
3/4/2011Roshni Patel, MD 1645 Tullie Cir Atlanta GA 3032957141RN150230Callahan, Kimberly Anne 2/15/2013
11/7/2008Rayna Jobe, MD 805 Sandy Plains Road Marietta GA 3006660386RN150230Callahan, Kimberly Anne 10/30/2009
Wednesday, May 07, 2014 Page 40 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Howard Snapper, MD 55 whitcher St, Suite 350 Marietta GA 3006038970RN234191Callander, Sarah Bianca
9/11/2008Patrick Spafford, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032838971RN141273Callison, James Robert
5/1/2014Elbridge Bills, MD 3365 Piedmont Rd, NE Atlanta GA 3030537139RN226129Calvert, Helen Hardie
5/3/2013Mehrdad Seilanian Toosi, MD
200 South Enota Dr, Suite 200 Gainesville GA 3050167089RN221721Calvert, Angela Mary 3/1/2014
1/9/2014Jeremy Pantin, MD 1120 15th St, BA‐5407 Augusta GA 3091266390RN077336Campbell, Lisa Owens
11/2/2012Denise Workman, DO 55 Cantrell Rd. Cleveland GA 3052850693RN149456Campbell, Joyce E
3/1/2012Jillella, Anand MD 1120 15th Street, Ste BA=54‐7 Augusta GA 3091233843RN077336Campbell, Lisa 9/30/2013
1/6/2012Smith, Jason MD 550 Professional Drive Macon GA 3120152635RN145376Campbell, Jennifer
12/1/2011Smith, Jason MD 550 Professional Drive Macon GA 3120152635RN145376Campbell, Jennifer
10/7/2011Vicki Knight‐Mathis, MD 2920 Marietta Hwy, Suite 142 Canton GA 3011447337RN126988Campbell, Lynnda Joy Brooks
11/5/2010Nicolas Krawiecki, MD 1605 Chantilly Dr Atlanta GA 3032422804RN135678Campbell, Jennifer Guerrero
2/5/2010Vicente Galan, MD 1365 Rock Quarry Rd, Suite 304 Stockbridge GA 3028128685RN198068Campbell, Melissa Anne
1/7/2010David Vann, MD 2959 Sharpsburg‐McCollum Rd Newnan GA 3026537919RN179027Campbell, Kimberly Michael
1/9/2009David Hart, MD 2959 Sharpsburg McCollum Road Newnan GA 3026540682RN179027Campbell, Kimberly Michael 10/25/2009
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN150649Campbell, Kathleen Anne
7/11/2008E. Wynn Kallay, MD 550 Professional Drive Macon GA 3120127395RN145376Campbell, Jennifer M. Silas 6/17/2005
3/7/2008Patricia Nevius, MD 2155 Post Oak Tritt Road, Suite 100 Marietta GA 3006225648RN088648Campbell, Karen Jo 11/9/2011
5/6/2011Thomas Gore, MD 1551 Doctors Dr LaGrange GA 3024027553RN201888Campbell Dunlap, Jane Lynn
Wednesday, May 07, 2014 Page 41 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2009Andre Feria, MD 142 Old Mill Road LaGrange GA 3024148513RN201888Campbell Dunlap, Jane Lynn 10/25/2010
8/9/2013Mahendra R. Shah, MD 227 Scenic Hwy, Suite A Lawrenceville GA 3004634466RN051954Cannon, Robert D.
4/2/2009Avril Beckford, MD 1810 Mulkey Road, Suite 201 Austell GA 3010635814RN157546Cannon, Rebecca Lynn
6/8/2012Cook, William MD 1267 Highway 54 West Ste 3200 Fayetteville GA 3021432461RN135756Cano Johnson, Claudia
5/9/2008Robert David Thomson, MD 3619 Braselton Hwy, Suite 103 Dacula GA 3001947166RN166999Cantrell, Jennifer Suzanne 2/22/2013
9/2/2010R. Brian Raybon, MD 79 Doyle St Toccoa GA 3057738339RN101692Cape, Wanda Ivy
4/4/2013Margot B. Cseley, MD 78 Atlanta St. Marietta GA 3006020523RN176831Carasick, Terry A.
6/5/2009Amer Al‐Rafati, MD 116 South Houston Rd Warner Robins GA 3108842160RN044419Caraway, Elaine Bowen
3/8/2013John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN168656Cargill, Martha Nadine
9/2/2010Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN168656Cargill, Martha Nadine 2/15/2013
4/1/2010Ann‐Marie Brooks, MD 35 Jesse Hill Jr Dr Atlanta GA 3030356806RN168656Cargill, Martha Nadine 7/2/2010
3/4/2011Noreen Andrews, MD 3720 South Rockbridge Rd Stone Mountain GA 3008746861RN178335Carlile, Ashley Dawn 10/4/2011
12/7/2012Ashley Stolle, MD 601‐A Professional Dr., Ste 370 Lawrenceville GA 3004652097RN202283Carlton, Amanda
2/3/2012Alexander, Diane MD 5670 Peachtree Dunwody Road, Ste 820 Atlanta GA 3034234996RN171371Carman, Catherine 7/3/2012
11/5/2010Stephen Messner, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034259282RN171371Carman, Catherine Michelle
9/11/2008George Raschbaum, MD 5455 Meridian Mark Rd, Suite 570 Atlanta GA 3034250252RN171371Carman, Catherine Michelle 8/10/2010
11/5/2010James Campagna, MD 2418 North Oak St, Suite B‐1 Valdosta GA 3160233806RN117177Carnegie, Serenia Porter
9/11/2008Joseph Burnette, MD 401 4th Avenue Albany GA 3170133286RN117177Carnegie, Serenia Porter
9/14/2007Terry B. Tri, MD 2301 North Ashley Street Valdosta GA 3160238991RN117177Carnegie, Serenia Porter 1/18/2008
Wednesday, May 07, 2014 Page 42 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN043286Carnes, Michelle
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN084947Carnes, Betty Darlene
4/4/2014Sreekanth Reddy, MD 1505 Northside Blvd Cumming GA 3004149476RN168354Carney, Julie Freeman
8/9/2013Deborah Griffiths, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635888RN169432Caron, Jason
3/1/2012Gerber, Alan MD 2069 Teron Trace Dacula GA 3001958672RN095425Carpenter, Deborah
8/5/2011Joseph Hand, MD 247 S Main St Reidsville GA 3045349984RN109260Carpenter, Barbie Jenine Hackle
1/7/2011Tressa Scineaux, MD 1616 Market Place Blvd Cumming GA 3004149499RN095425Carpenter, Deborah Elizabeth B 1/30/2012
5/7/2010Bruce Gioia, MD 247 S. Main St Reidsville GA 3045338774RN109260Carpenter, Barbie Jenine Hackle 4/21/2011
9/14/2007Kathleen Funk, MD Northside Hosp ‐ ER, 1000 Johnson Ferry Rd
Atlanta GA 3034237997RN038702Carper, Brenda Carol Campbell
3/1/2012Davis, Mitchell MD 200 E.Enota Drive, Ste 200 Gainesville GA 3050135030RN120116Carpinello, Jeniffer
8/5/2011Brenda Hott, MD 200 S Enota Dr, Ste 200 Gainesville GA 3050141441RN120116Carpinello, Jeniffer Carol Culber 1/1/2012
7/11/2013Nandana Reddy, MD 6002 Hwy 53 East, Suite 100 Dawsonville GA 3053155641RN026518Carr, Gwendolyn Jane Conner 5/31/2013
10/7/2011Melissa Bruhn, MD 918 South Broad St Thomasville GA 3179243565RN077674Carr, Lisa S
6/30/2011Raja Ram, MD 475 Philip Blvd, Suite 100 lawrenceville GA 3004638922RN026518Carr, Gwendolyn Jane Conner 1/31/2013
7/1/2010Sharon Lynch‐Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN121940Carr, Margery McMichael 3/31/2011
7/1/2010Meena Shah, MD 475 Phillip Blvd, Suite 100 Lawrenceville GA 3004621464RN026518Carr, Gwendolyn Jane Conner 4/30/2011
3/6/2009Irandathy Rodrigo, MD 2522 Cruse Road, Suite C‐2 Lawrenceville GA 3004442715RN026518Carr, Gwendolyn Jane Conner 5/20/2009
2/5/2009Stewart Grizzard, MD 136 W. Dykes Street Cochran GA 3101443948RN026518Carr, Gwendolyn Jane Conner 4/30/2010
Wednesday, May 07, 2014 Page 43 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Candice Wallace, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004630918RN151657Carrega, Timothy Norman
6/8/2012Grossman, Jeffrey MD 5555 Peachtree Dunwoody Rd, Ste 201 Atlanta GA 3034246109RN196773Carrithers, Natalie
6/7/2013William T. Mahle, MD 1405 N. Clifton Rd. Atlanta GA 3032250110RN198991Carroll, Mallory Erin
5/4/2012Palmore, Melody MD 341 Ponce de Leon Avenue Atlanta GA 3030833679RN128437Cartagena, Rhonda
4/4/2014Brendan Groarke, DO 1199 Prince Ave Athens GA 3060650172RN172705Carter, Stephanie Ann
11/8/2013Fredrick O'Neal, Jr, MD 1825 Martha Berry Blvd Rome GA 3016533419RN155084Carter, Mary Kelly
1/11/2013David C. Snyder, MD 1490 Milstead Rd., NE, #A Conyers GA 3001333711RN186538Carter, Kariba D.
6/8/2012Cabeca, Anna DO 2712 Parkwood Drive Brunswick GA 3152042537RN113495Carter, Olivia
8/5/2011Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN155084Carter, Mary Kelly 6/19/2012
5/6/2011Timothy Connor, MD 1825 Martha Berry Blvd Rome GA 3016539549RN155084Carter, Mary Kelly 9/30/2013
2/4/2011Margret Thorhallsdottir, MD
1825 Martha Berry Blvd Rome GA 3016564286RN155084Carter, Mary Kelly 7/16/2011
11/5/2010Salim Osta, MD 1131 Chapel Crossing Rd, Bldg 759 Glynco GA 3152415631RN047967Carter, Michael A.
8/7/2009Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN047967Carter, Michael A. 9/1/2010
7/11/2008Tom Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN047967Carter, Michael A. 9/2/2010
2/7/2008Juanita Lott, MD 418 E H Court Brunswick GA 3152019847RN047967Carter, Michael A 4/15/2008
10/4/2007Carlos Zayas‐Montalvo, MD 1968 Peachtree Rd. NW Bldg 77 5th Flr Atlanta GA 3030936668RN135657Carter, Janis Kristine
3/6/2014Woody Francis, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030348325RN072622Cartledge, Tracy Ann
9/3/2009Mark Waterman, MD 303 Parkway Dr NE, Emergency Dept Atlanta GA 3031221214RN072622Cartledge, Tracy Ann
Wednesday, May 07, 2014 Page 44 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011William Lambert, MD 110 Lloyd Ave Tyrone GA 3029035926RN044369Carusi, Gloria Jean
2/6/2014Raushamah Hud‐Aleem, DO 3110 Clifton Springs Rd Dacatur GA 3003462999RN114781Casaday, Julie Choe
2/6/2014Shyam Gupta, MD 3807 Clairmont Rd, Suite 2008 Chamblee GA 3034163784RN114781Casaday, Julie Choe 5/15/2014
9/11/2008D. S. Siddappa, MD 3110 Clifton Springs Rd, Suite B Decatur GA 3003421810RN114781Casaday, Julie Choe 9/1/2013
9/11/2008Joshua Wolf, MD 1968 Peachtree Rd, Bldg 77, 5thFloor Atlanta GA 3030959792RN117028Casanova, Christiana Sipper
12/7/2012Joe W. Bateman, MD 1360 Upper Hembree Rd., Ste 100 Roswell GA 3007651019RN139341Casbourne, Daniela J.
3/6/2009Jonathan Kaufman, MD 1365 Clifton Rd NE, Bldg C, Plaza Floor Atlanta GA 3032253470RN139341Casbourne, Daniela Jordon
10/8/2010Verlia Gower, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034238499RN196209Case, Kimberly Lynne 8/1/2012
10/5/2012Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN159440Cash, Alecia
12/7/2012James Thomsen, MD 5455 Meridian Mark Rd., Ste 130 Atlanta GA 3034234485RN138794Casheba, Janet L.
1/6/2012Hinchcliffe, Annette 6300 Hospital Pkwy, Suite 125 Johns Creek GA 3009742607RN138794Casheba, Janet 11/26/2012
11/5/2010Walter Ingram, MD 80 Jesse Hill Dr, Suite 3B Atlanta GA 3030331766RN130675Cason, Evelyn Maria
8/2/2007John Harsch, MD 1050 Eagles Ldg Pkwy, Suite 102 Stockbridge GA 3021828566RN060504Casper, Tamra Jo James
4/4/2013William Norris Little, MD 6175 Newton Dr Covington GA 3001424288RN115513Cassara, Pamela Sue
9/3/2009William Delp, DO 4589 Lawrenceville Road Loganville GA 3005217791RN115513Cassara, Pamela Sue 7/19/2012
2/3/2012Parry, Bryan 4181 Hospital Drive, Suite 204 Covington GA 3001443734RN215260Cassidy, Beau
11/5/2010Ashwinkumar Patel, MD 1130 Talbotton Rd Columbus GA 3190438326RN156994Cassman, June
9/13/2013William Griffith, MD 4904 Timber Ridge Dr, Suite 104 Douglasville GA 3013540675RN150641Castle, Karen Reese
6/5/2009James Lantz, Jr, MD 8820 Hospital Drive Douglasville GA 3013428028RN150641Castle, Karen Reese 4/2/2013
Wednesday, May 07, 2014 Page 45 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/4/2012Francis, Milele MD 1700 Hospital South Drive Ste 500 Austell GA 3010655218RN152933Castro, Gina
4/13/2007Anthony Mark Landis, DO 600 Professional Drive, Ste 210 Lawrenceville GA 3004521733RN172224Catlin, Theresa Lynn
1/9/2014Daniel Singleton, MD 131 East 6th Ave Buena Vista GA 3180368857RN041402Catrett, Judy Hallman
3/8/2013Alluri Raju, MD 131 East 6th Ave Buena Vista GA 3180322626RN041402Catrett, Judy Hallman
12/1/2011Alvarez, Ricardo MD 131 6th Avenue East Buena Vista GA 3180352876RN041402Catrett, Judy 2/28/2013
8/5/2011William Catrett, MD 365 Geneva Rd Buena Vista GA 3180314471RN041402Catrett, Judy Hallman 10/6/2011
3/4/2011Virginia Sharron Jones, MD 18 S. Broad St Butler GA 3100645847RN041402Catrett, Judy Hallman 7/1/2011
2/6/2014Allison Turk, MD 110 S Chestatee St Dahlonega GA 3059763037RN159917Caudell, Jennifer Carol 3/31/2014
7/12/2012Haddad, Sinan MD 1250 Jesse Jewell Pkwy, Ste 400 Gainesville GA 3050156455RN154971Caudell, Jason
6/7/2013Henry Lonnie Gardiner, MD 11459 Johns Creek Pkwy, Suite 250 Johns Creek GA 3009739346RN133307Caulley, Kelly Danette
3/6/2014Oscar Espetia, MD 2501 N Patterson St Valdosta GA 3160265358RN112129Causbey, Faith Enetta
8/7/2009Alfred Woodard, MD 417 W. 3rd Avenue Albany GA 3170540592RN112129Causbey, Faith Enetta
2/3/2012Lanier, John MD 1600 Kennesaw Due West Rd, Ste 501 Kennesaw GA 3015228809RN192359Cave, Kimberly 1/7/2013
6/30/2011Bruce Ramsdell, MD 3145 Peachtree Rd NE, Suite 165 Atlanta GA 3030518722RN192359Cave, Kimberly Lorraine 12/16/2011
10/8/2010James Polhill, MD 1067 Peachtree St Louisville GA 3043418066RN170411Cave, Melissa Morgan
4/2/2009Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN192359Cave, Kimberly Lorraine 4/8/2011
11/5/2010Mary Evelyn McKinley, MD 360 Hospital Dr, Bldg D, #110 Macon GA 3121751256RN184009Caves, Erin Faulkner 6/29/2013
7/12/2012Chunduri, Ananda MD 39 Kent Rd, Ste 5 Tifton GA 3179464911RN089149Cawley, Ramona
10/8/2010C. Granville Simmons, MD 907 E. 18th St, Suite 400 Tifton GA 3179417301RN089149Cawley, Ramona M. 6/8/2012
Wednesday, May 07, 2014 Page 46 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/2/2009Sreeroop Sen, MD 77 W. Gibson Street Hartwell GA 3064341667RN072630Cawthon, Wanda Alane
10/5/2012Curtis Clark, MD 610 19th St. Columbus GA 3190147068RN165331Ceasar, Robbyn
8/9/2013Mark Bradshaw, MD 315 South 12th St Griffin GA 3022466574RN155230Cecil, Hannah Rae
12/7/2012Dwayne L. Watkins, MD 327 S. 9th St. Griffin GA 30224‐411153054RN155230Cecil, Hannah R. 11/20/2012
8/8/2008Heather Henry, MD 327 South 9th Street Griffin GA 3022444231RN155230Cecil, Hannah Rae 10/1/2012
6/5/2009James Lah, MD 1841 Clifton Road Atlanta GA 3032941863RN131301Cellar, Janet Cecilia Schilling
11/7/2008Allan Levey, MD 1841 Clifton Road NE Atlanta GA 3032934885RN131301Cellar, Janet Cecilia Schilling
11/8/2013David Faulk, MD 87 Lindsey Lane, Suite B Kingsland GA 3154839787RN232564Cenerizio, Michelle C 11/19/2013
11/2/2012Robert E. Springer, MD 50 Executive Park, Ste. 5012 Atlanta GA 3032937081RN213895Cercone, Elizabeth A.
1/9/2014Billy Greening, MD 7285 Hwy 16, Suite C Senoia GA 3027642585RN208967Chaffin, Dana Reynolds
7/11/2013Dwayne Watkins, MD 327 S 9th St Griffin GA 3022453054RN208967Chaffin, Dana Reynolds
5/3/2013Kesha L. Allen, MD 417 Third Ave. Albany GA 3170157920RN135836Chaffin, Timothy B.
9/12/2012Prince, Bobby MD 2311 Lake Park Dr Albany GA 3170735735RN135836Chaffin, Timothy
8/8/2008Jyotir Mehta, MD 1909 Aberdeen Road, Room 102 Albany GA 3170145887RN135836Chaffin, Timothy Barrett 6/8/2012
9/11/2008Larry Clements, MD 760 Kennesaw Avenue Marietta GA 3006021489RN067693Chaffins, Carolyn Sue Lambert
7/12/2012Ghosn, Ramzi MD 1078 Lumpkin Campground Rd, Ste 100 Dawsonville GA 3053457974RN063135Chafin, Sonja
7/12/2012Wherry, Richard MD 59 Tifton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja
7/12/2012Petro, George MD 59 Tifton Drive Dahlonega GA 3053362155RN063135Chafin, Sonja
1/6/2012Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN057027Chafin, Phyllis
Wednesday, May 07, 2014 Page 47 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/7/2011Westmoreland, Anon MD 479‐B North Hall Road Dahlonega GA 3053313534RN063135Chafin, Sonja 1/7/2012
8/5/2011Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja Elaine Lingerfelt 1/7/2012
8/5/2011George Petro, MD 59 Tipton Drive Dahlonega GA 3053362155RN063135Chafin, Sonja Elaine Lingerfelt 1/7/2012
3/4/2010Ramzi Ghosn, MD 1078 Lumpkin Campground Rd, #100 Dawsonville GA 3053457974RN063135Chafin, Sonja Elaine Lingerfelt 1/7/2012
9/11/2008John Souza, MD PO Box 16100 Dublin GA 3104039475RN057027Chafin, Phyllis Amanda 6/18/2010
12/4/2009Subodh Lal, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010652771RN123599Chalk, Suzanne Marie
3/6/2009Raymond Rubin, MD 95 Collier Rd NW, #4085 Atlanta GA 3030941204RN123599Chalk, Suzanne Marie
10/5/2012Hina Hussain, MD 2440 Sandy Plains, Suite 100, Bldg 6 Marietta GA 3006655063RN059901Chambers, Donna Marie
7/12/2012Geary Jr., Franklyn MD 80 Jesse Hill Jr. Drive Atlanta GA 3030330306RN120392Chambers, Terri
12/1/2011Cantrell, David MD 1407 Cobb Parkway North Marietta GA 3006232883RN059901Chambers, Donna 7/30/2013
3/1/2012Conley, Jason MD 960 Joe Frank Harris Parkway Cartersvville GA 3012054602RN145959Chamlee, Gina
4/2/2009Joyce Duquette, MD 150 Gentilly Blvd Cartersville GA 3012048111RN145959Chamlee, Gina Satterfield 2/19/2010
7/11/2013Dale Wing, MD 116 Mimosa Dr Thomasville GA 3179268022RN195224Champion, Heather Michelle
10/5/2012Josephine Dunagan, MD 1700 Tree Lane Snellville GA 3007815553RN113163Chandler, Laurie
8/5/2011Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN061123Chandler, Barbara Jean
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN061123Chandler, Barbara Jean
1/11/2008Steve Daugherty, DO 313 Boynton Drive Ringgold GA 3073628259RN184560Chandler, Beryl Jo
7/13/2007Philip Weiss, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034238398RN061123Chandler, Barbara
7/13/2007John C. Knox, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034222575RN061123Chandler, Barbara Jean 3/1/2014
Wednesday, May 07, 2014 Page 48 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/13/2007Susan Harrell, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034233100RN061123Chandler, Barbara
7/13/2007Elizabeth LeDuc, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034234754RN061123Chandler, Barbara 2/28/2011
7/13/2007Tama Fuller, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034221981RN061123Chandler, Barbara
9/11/2008Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN170578Chang, Kai Yuan
7/11/2013Shannon Meeks, MD 2015 Uppergate Dr, Suite 400 Atlanta GA 3032254163RN080752Chapman, Robin Lee
6/7/2013Polow, Sarah DO 824 G I Maddox Pkwy Chatsworth GA 3070524067RN066554Chapman, Vickie
3/8/2013James A. Sexson, MD 1810 Mulkey Rd., #200 Austell GA 3010638362RN134966Chapman, Sarah C.
2/3/2012McIncrow, Richard DO 5354 Reynolds St, Ste 424 Savannah GA 3140559099RN176461Chapman, Samuel
10/7/2011Chase, Richard DO 509 Sumter Street Montezuma GA 31063‐173317784RN139882Chapman, Shelby Colquitt
4/1/2011Obaid Rehman, MD 11700 Mercy Blvd, Bldg #5 Savannah GA 3141944990RN176461Chapman, Samuel David
5/7/2010Christine Kempton, MD 2015 Upper Gate Dr, Suite 400 Atlanta GA 3032256189RN080752Chapman, Robin Lee
1/7/2010Shawn Jobe, MD 2015 Upper Gate Dr, Suite 400 Atlanta GA 3032260143RN080752Chapman, Robin Lee 6/1/2013
10/2/2009Harold Holloway, DO 56 Ebenezer Rd Ellaville GA 3180613327RN139882Chapman, Shelby Lynn Colquitt 6/26/2012
6/6/2008Thomas Abshire, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034239990RN080752Chapman, Robin Lee 10/15/2009
12/6/2013Sherri Barton, MD 6158 Hwy 92, Suite 101 Acworth GA 3010248595RN192517Charles, Venyette A.
11/8/2013Divina Dyer, MD Take Care Clinic, 780 North Glynn Fayetteville GA 30214‐119357161RN187056Charlot, Mary Jane
8/7/2009Kim Lipscomb, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034258696RN099786Charlton, Julie Ann Salsbury
4/4/2013Dorel Bidiuc, MD 707 Old Dalton Ellijay Rd Chatsworth GA 3070551296RN217048Charrance, Penny Lynn
3/29/2012Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN217048Charrance, Penny 3/4/2013
Wednesday, May 07, 2014 Page 49 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Andrew Green, MD 1498 Jesse Jewell Pkwy, Suite C Gainesville GA 3050158961RN139247Chase, Kelly
9/11/2008Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN050194Chase, Lana Marie 8/30/2009
9/11/2008Wendy Troyer, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032833786RN044384Chastain, Janet Lynn
4/13/2007William A. Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN153918Chatman, Shannon Craig 4/30/2013
8/9/2013Kimberly Champney, MD 980 Johnson Ferry Rd NE, Suite 520 Atlanta GA 3034253115RN144252Chausmer, Jaimie Klein
7/1/2010Stephen Frohwein, MD 5669 P'tree Dunwoody Rd NE, Suite 315 Atlanta GA 3034234834RN144252Chausmer, Jaimie Klein 6/6/2013
5/1/2014Africa Alvarez‐McLeod, MD 1605 Peachtree St., NE Atlanta GA 3030935733RN146277Cheeks, Miyesha A.
8/6/2010Franklin Brown, MD 445 Winn Way Decatur GA 3003062315RN187042Chen, Huey Jen
3/6/2014Angela Gerguis, MD 586 Brannen St Statesboro GA 3045847261RN066069Cheney, Teresa Charlene Browe
11/8/2013Charles Harden, MD 586 Brannen St Statesboro GA 3045844930RN066069Cheney, Teresa Charlene Browe 3/1/2014
2/3/2012Bohlke, William MD 9945 US Hwy 301 S Statesboro GA 3045837490RN066069Cheney, Teresa
5/6/2011Brian Deloach, MD PO Box 8043 Statesboro GA 3046051216RN066069Cheney, Teresa Charlene Browe 10/23/2013
7/11/2008Roger Branch, MD 10 Doctor's Street Metter GA 3043930272RN066069Cheney, Teresa Charlene Browe 9/10/2010
3/7/2008Donna Fearing, MD 120 Stonebridge Pkwy Woodstock GA 3018929447RN137932Chernik, Christine Ann
12/6/2013John Gott, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030928989RN189928Chery, Yves Reginald
5/4/2012Ganapathy, Malliga MD 1120 15th Street, The Pavilion I, AE‐3038
Augusta GA 3091232734RN189928Chery, Yves
12/3/2010Parker Grow, MD PO Box 5860 Athens GA 3060452943RN123120Chesser, Yvonne Allen
1/9/2014Barbara S Nelson, MD 508 East Morris St Dalton GA 3072154628RN225780Chessor, Misty Lynn
Wednesday, May 07, 2014 Page 50 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Jason Hefner, MD 508 East Morris St. Dalton GA 3073161444RN225780Chessor, Misty L. 2/1/2014
10/5/2012Emanuel Soyoola, MD 1870 Atlanta Hwy, Ste J‐K Gainesville GA 3050453032RN145607Chetty, Sundari
10/5/2012Carlos Franco, MD 1100 Johnson Ferry Rd, Suite 600 Atlanta GA 3034223733RN161771Chicoine, Jennifer Lynn
9/2/2010Eugene Hurwitz, MD 690 Dallas Hwy, Suite 101 Villa Rica GA 3018024694RN155127Child, Chris Buchanan
9/3/2009Jocelyn Holland, MD 10 Market Square Way, Suite 100 Newnan GA 3026540691RN155127Child, Chris Buchanan 9/25/2009
11/8/2013Monica Newton, DO 950‐A South Enota Dr Gainesville GA 3050164874RN179111Childers, Suzanne Amanda
7/12/2012Richardson, Matthew MD 5555 Peachtree Dunwoody Rd, Ste 201 Atlanta GA 3034253023RN175483Childers, Tabitha
3/1/2012Babalola, Cecilia MD 3509 Braselton Hwy, Bldg F Dacula GA 3001958389RN175483Childers, Tabitha 3/31/2012
3/1/2012Halleck, Sylvia MD 1431 Riverside Parkway Lawrenceville GA 3004316356RN175483Childers, Tabitha 1/10/2012
10/4/2007Ann Ward, MD 97 Church Street Taylorville GA 3017823242RN097177Childers, Dona Faye Earwood
7/11/2008William Bohlke, MD PO Box 487 Brooklet GA 3041537490RN043261Childree, Rene B.
9/14/2007William Williams, MD 204 East 15th Street Alma GA 3151011095RN043261Childree, Rene B 6/1/2008
9/13/2012Edward J. Kruse, DO 1120 15th St, BA‐4107 Augusta GA 3091258055RN185501Childress, Irene M.
3/4/2011Eugene Hurwitz, MD 690 Dallas Hwy, Suite 101 Villa Rica GA 3018024694RN141373Childress‐Rodriquez, Robin Ren
7/12/2012Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN174288Chismar, Ron 2/4/2014
10/7/2011Ghiathi, A.S. DO 125 McDonald Avenue Cuthbert GA 3984040908RN197564Chitoh, John
2/3/2012Lee, Peter MD 3840 Peachtree Industrial Blvd Duluth GA 3009638545RN195897Cho, Ki‐hyun
2/5/2009Stephen Clements, MD 1365 Clifton Rd NE, #A‐2432 Atlanta GA 3032211305RN134174Choate, Elizabeth Thompson
9/11/2008Patrick Spafford, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032838971RN155231Choate, Tara Nicole
Wednesday, May 07, 2014 Page 51 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Paul Zolty, MD 55 Whitcher St, Suite 160 Marietta GA 3006054142RN170392Chosewood, Christa Ryan
9/14/2007James Capes, MD 550 Peachtree Street Atlanta GA 3030838438RN128856Christian, Dana Lorraine
10/2/2008William Watkins, MD 235 P'tree St NE, North Tower, #2100 Atlanta GA 3030332076RN159008Christie, Melville Devon
1/11/2008Donovan Christie, MD 725 North Central Avenue, Suite 1 Atlanta GA 3035444432RN151674Christie, Jacqueline Thomas
6/7/2013Gaston Moran‐Celayes, MD 602 East 16th Ave, Suite B Cordele GA 3101564675RN119135Christmas, Marcy Ann Herringto
11/1/2007James Roth, MD 3925 Johns Creek Court, Suite A Suwanee GA 3002446525RN142649Christodoulos, Rozalinde B
2/3/2012Anand Jillella, MD 1120 15th Street, Ste BAA 5407 Augusta GA 3091233843RN217541Christopherson, Kala 8/14/2013
4/13/2007William Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN099070Christos, Ruth Hirschberg 1/1/2011
8/5/2011Charlene Beard, MD 2201 Mt Zion Parkway Morrow GA 3026020513RN138578Chukoian, Lois Eleanor Skinner
3/6/2009John Bergsagel, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3032229407RN138578Chukoian, Lois Eleanor Skinner
3/6/2009Frances Decker, MD 241 Silverwood Comm Dr Rincon GA 3132633953RN085064Chumley, Angela Deloach
6/4/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN127763Chung, Judith P Hart
12/6/2013Allison Turk, MD 110 S Chestatee St Dahlonega GA 3059763037RN123601Clapp, Allison Goggans 4/1/2014
5/4/2012Box, James Brent MD 1035 Red Bud Road Calhoun GA 3070131566RN051923Clardy, Nancy Lucille Ennis
7/11/2013Sowmya Reddy, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007660596RN093663Clark, Michele Poole 1/1/2014
4/4/2013Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN093663Clark, Michele Poole 5/5/2013
3/8/2013Forrest Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN060471Clark, Joanna Ruth 1/27/2014
12/7/2012Wilham M. McDonald, MD P.O. Box 26238 Atlanta GA 30303380137292RN030832Clark, Ann M. 1/4/2013
1/6/2012Meier, Edward MD 2112 Shorter Ave NW, Ste 200 Rome GA 30165######RN173733Clark, Jennifer
Wednesday, May 07, 2014 Page 52 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2010Joseph Joyave, MD 100 Market Place Blvd, Suite 201 Cartersville GA 3012143977RN173733Clark, Jennifer Lee Reed 9/23/2011
3/6/2009Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN030832Clark, Ann Marie 1/17/2014
6/6/2008Benjamin Cheek, MD 2000 Hamilton Road Columbus GA 3190425332RN193329Clark, Amy Taryn 3/31/2009
12/7/2007Andre Kallab, MD 1240 Jesse Jewell Rd. Suite 600 Gainesville GA 3050145259RN128712Clark, Mark Douglas
8/5/2011Richard Young, MD 958‐A J F Harris Pkwy, Suite 105 Cartersville GA 3012021218RN180285Clarke‐Hall, Renee Marie
1/7/2011Gwendolyn Delaney, MD 410 Peachtree Pkwy, Suite 4260 Cumming GA 3004149380RN180285Clarke‐Hall, Renee Marie
8/10/2012Penix, Laroy MD 743 Spring Street Gainesville GA 3050149080RN176382Classon, Rebecca
9/2/2010Stanley Fineman, MD 895 Canton Rd, Bldg 200, Suite 200 Marietta GA 3006016229RN140016Clay, Kimberly George
1/9/2009Subodh Lal, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010652771RN140016Clay, Kimberly George 6/4/2010
3/8/2013Timothy Longaker, MD 1339 Gray Hwy Macon GA 3121125883RN160625Clay‐Austin, Cherrice 11/1/2013
1/9/2014Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN211336Clay‐Keith, Sharon Denise 11/28/2013
10/5/2012Richard Baldwin, MD 9280 Hwy 5, Ste A Douglasville GA 3013423894RN217058Clayton, Brandi
6/6/2008Michael Steinbook, MD 1117 20th Street Columbus GA 3190126661RN113665Clayton, Sonie Marie
3/6/2009Anthony Harbin, MD 1525 Chattanooga Road Dalton GA 3072029665RN200259Clemmons, Lori Anne
5/1/2014Farris Johnson, MD 496 Reese St Athens GA 3060127580RN043294Cleveland, Janna B
2/6/2014Eric Powell, MD 1375 East King Ave, GA State Rd 40, Suite A
Kingsland GA 3154849081RN174980Cleveland, Lauren Mary‐Marie
10/7/2011Stoughton‐Doherty, Kimberly MD
2040 Dan Proctor Drive, Ste 140 St. Mary's GA 3155855981RN174980Cleveland, Lauren
10/5/2012Mark A. Matthews, MD 200 S.Enota Dr., Ste 200 Gainesville GA 3050154861RN153940Clevenger, Zachary Allen
Wednesday, May 07, 2014 Page 53 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2010Anne Lule, MD 330 Turner McCall Blvd, Suite 206 Rome GA 3016551507RN120899Clevenger, Gina Price
11/5/2009Thomas Ryan, MD 20 Collins Drive, Suite B Cartersville GA 3012042415RN120899Clevenger, Gina Price
6/8/2007Glenn C. Heigerick, DO 615‐B Beaver Ruin Road Lilburn GA 3004724947RN153941Clevenger, Carolyn Kay Satterfie
11/2/2012Suzanne C. Manley, MD 148 Clinic Ave. Carrollton GA 3011746167RN065545Cline, Nyla F.
3/6/2009Elizabeth Adamiak, MD 804 Dixie Street Carrollton GA 3011733015RN065545Cline, Nyla Faye Clifford
7/13/2007Charles Stevenson, Jr., MD 804 Dixie Street Carrollton GA 3011716288RN065545Cline, Nyla Faye Clifford 1/2/2009
1/9/2014Crystal Bright, MD 118 Alice Coleman Dr Vidalia GA 3047467869RN040042Clinton, Mymie T.
5/4/2012Ombogo, Anthony MD 215 North Coleman Street Swainsboro GA 3040166728RN040042Clinton, Mymie 10/25/2013
1/7/2011Hiromi Maruyama, MD 118 Alice Coleman Dr Vidalia GA 3047460744RN040042Clinton, Mymie T. 4/20/2012
7/10/2009Muhammad Jamal, MD 118 Broad Street Mount Vernon GA 3044558255RN040042Clinton, Mymie T. 12/3/2010
1/7/2010Donald Gates, MD 6602 Abercorn St, Suite 102 Savannah GA 3140553915RN165558Close, Mary Jennifer
9/14/2007James Gore, Jr., MD 1512 Highway 19 North Thomaston GA 3028636384RN146108Cloud, Paulette Marie Dyson
12/7/2012Mary Bell Vaughn, MD 3448 Vineville Ave. Macon GA 3120449552RN154974Clowers, Ayanna T.
10/5/2012Joseph Slappey, MD 1600 Forsyth St. Macon GA 312013447RN077688Clubb, Karen
5/9/2008Charles Brown, III, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN113899Clymer, Emily Susan Jones
10/5/2012Keathem Malone, MD 301 Watson Blvd, Ste 525 Warner Robins GA 3109344524RN185308Coar, Jaekea
9/13/2013Clifford Tumambing, MD 380 South Davis Rd, Suites E&F LaGrange GA 3024068326RN193814Cobb, Amy Beckman
4/3/2008Benise Williams, MD 303 Smith Street LaGrange GA 3024046924RN193814Cobb, Amy Beckman 9/23/2013
6/4/2010Jonathan Ehrlich, MD 993‐D Johnson Ferry Rd, Suite 360 Atlanta GA 3034215580RN198926Coburn, Allison Inga Buri
Wednesday, May 07, 2014 Page 54 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/1/2014James Box, MD 1035 Red Bud Rd Calhoun GA 3070131566RN139566Cochran, Charma Louise
5/1/2014Andrea M. Dabney, MD 274 Big A Rd. Toccoa GA 3057766274RN179932Cochran, Amy Denise Woodring
9/2/2010Charlene Blache, MD 406‐M Northside Dr Valdosta GA 3160245728RN154552Cochran, Virginia Parramore
4/13/2007Louis Fernandez, MD 121 N. Big A. Road Toccoa GA 3057739790RN179932Cochran, Amy Denise Woodring 5/1/2013
8/6/2010Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN042368Cochrane, Janice H.
5/7/2010Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN042368Cochrane, Janice H. 6/22/2010
5/7/2009Jonathan Hall, MD 12192 Augusta Road Lavonia Ga 3055359655RN042368Cochrane, Janice H. 2/15/2010
4/13/2007William A. Mills, MD 12192 Augusta Road Lavonia GA 3057750901RN042368Cochrane, Janice H. 11/1/2008
4/1/2010Jack Borders, MD 1446 Harper St, Ped Surg, 3rd ACC Augusta GA 3090939054RN192162Cockfield, Christy Michelle 8/18/2011
7/10/2009Traceyan Mendez, MD 316 North Main Street Swainsboro GA 3040157831RN117919Cody, Regina G.
9/1/2011Vadelund, Karin MD 235 Peachtree St NE, Ste 2100 Atlanta GA 3030358934RN137838Coggins, Brenna Jean Williford
3/1/2012Merchen, Todd MD 1120 15th St BA 4407 Augusta GA 3091258986RN193985Cohan, Amy
5/7/2009Joel Cohen, DO 3207 Country Club Drive Valdosta GA 3160560359RN201143Cohen, Bonni S.
12/3/2010Lee Woodall, MD 101 Houston Street Barnesville GA 3020422917RN097198Coke, Sallie Poole
9/2/2010Irandathy Rodrigo, MD 2522 Cruse Rd, Suite C‐2 Lawrenceville GA 3004442715RN185318Colac, Olga
6/7/2013G. Walden Garriss, III, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN145608Cole, Valerie M
1/9/2014Vijitha Prasad, MD 544 W Church St Swainsboro GA 3040140520RN198551Coleman, Megan Delane
8/9/2013Eric Fan, DO 1102 Smith Ave Thomasville GA 3179249615RN094148Coleman, Glendell Bradley
4/4/2013Sandra Ligneel, MD 1915 Eisenhower Dr Savannah GA 3140632424RN094148Coleman, Glendell Bradley Wim 4/16/2013
Wednesday, May 07, 2014 Page 55 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/3/2010Thomas Murphy, MD PO Box 5860 Athens GA 3060430158RN065066Coleman, Julie W
3/8/2013Clyde Granville Simmons, MD
5488 Alabama Ave Omega GA 3177517301RN076675Collier, Pamela Crownover
12/7/2012Carl D. Johnson, MD 1950 Old Ocilla Rd. Tifton GA 3179428796RN076675Collier, Pamela C. 3/27/2013
5/4/2012Bowman, Robert MD 1430 Hwy 82, Ste 105 Tifton GA 3179431387RN076675Collier, Pamela 8/9/2012
5/7/2010Faiz Rahman, MD 404 Savannah Ave Statesboro GA 3045863433RN090997Collier, Pamela Lee Bowman
4/13/2007Clyde Cranville Simmons, MD
907 E. 18th Street Tifton GA 3179417301RN076675Collier, Pamela Crownover 4/2/2012
5/1/2014Michael McDaniel, MD 5780 Peachtree Dunwoody Rd, #200 Atlanta GA 3034257398RN117850Collins, Janice M
4/4/2014Archna Poddar, MD 3685 Brasleton Hwy, Suite 100 Dacula GA 3001950827RN081190Collins, Linda Savage
11/8/2013Haritha Arikatla, MD 3685 Braselton Hwy Dacula GA 3001955723RN081190Collins, Linda Savage 12/12/2013
9/13/2013Antonio Moran, Jr, MD 2500 Starling St, Suite 303 Brunswick GA 3152034669RN133916Collins, Mary Katherine
7/12/2012Nooka, Ajay MD 1365 Clifton Road NE, Bldg C, Plaza Level
Atlanta GA 3032263380RN185288Collins, Hannah
3/29/2012Bergrab, Peggy MD 417 Third Avenue Albany GA 3170264330RN162833Collins, Jessica
11/3/2011Maxa, Richard MD 3505 Duluth Park Lane, Ste 400 Duluth GA 3009642655RN152165Collins, Krista
8/5/2011Dale Lawson, MD 2000 Palmyra Road ‐ Emer Dept Albany GA 3170154233RN162833Collins, Jessica Michelle 3/30/2014
6/4/2010Kevin Davis, MD 77 Weaver Road Blairsville GA 3051245765RN130301Collins, Christy Michelle
3/4/2010George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN130301Collins, Christy Michelle 12/1/2011
12/4/2009Vito John Bagnato, MD 810 13th Ave, Suite 108 Albany GA 3170145711RN162833Collins, Jessica Michelle 3/22/2011
11/5/2009Paul Cox, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051349762RN130301Collins, Christy Michelle
Wednesday, May 07, 2014 Page 56 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/7/2009Shannon Morgan, MD 101 Riverstone Vista, Suite 106 Blue Ridge GA 3054060539RN130301Collins, Christy Michelle 11/3/2009
10/2/2008A. S. Ghiathi, MD 106 E. Hartford Road Fort Gaines GA 3985140908RN162833Collins, Jessica Michelle 8/14/2009
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN033411Collins, Penelope B 3/1/2012
7/11/2008Tania Morgan, MD 5354 Reynolds St, Suite 303 Savannah GA 3141948172RN117850Collins, Janice M.
10/7/2011Garland Martin MD 391 South lst Street Jesup GA 3154547233RN057165Collum, Melanie Rose Durrence 9/20/2011
10/2/2008Sandra Bohnstengel, MD 391 South 1st Street Jesup GA 3154538692RN057165Collum, Melanie Rose Durrence 7/31/2011
10/10/2013Lee Rippy, MD 7129 Floyd St Covington GA 3001433884RN149647Colson, Amy Leanne Morris 2/28/2014
3/4/2011Michael Avidano, MD 1101 Hospital Dr, Suite100‐A Stockbridge GA 3028139722RN113723Colton, Wendy Marley
2/5/2010Asher Galloway, MD 6095 Professional Pkwy, Suite A‐210 Douglasville GA 3013416511RN144273Colvin, Shannon Leigh Bentley
10/10/2013Nathan Spell, MD 1364 Clifton Rd, Suite D‐218 Atlanta GA 3032245012RN166066Comer, Rosalynn Nadia Miller
10/5/2012Herbert Carter, MD 550 Peachtree St., NE, MOT 7th Flr. Atlanta GA 3030841409RN166066Comer, Rosalynn
1/7/2010Ronald Hart, MD 11 Charlie Morris Rd Colbert GA 3062846115RN073864Comer, Judith Lynn
2/7/2013Diane V. Duvall, MD 1800 Howell Mill Rd., #680 Atlanta GA 3031833739RN211468Compton, Anne B.
5/9/2008Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN147542Conklin, Sarah Elizabeth 9/20/2009
11/2/2012Ramana P. Rao, MD 801 13th Ave., Stuie A Albany GA 3170137052RN121290Conley, Gail D.
10/5/2012Timothy Osborne, MD One Meadows Pkwy ‐ Emergency Dept Vidalia GA 3047568085RN137050Conley, Becky Ann
10/5/2012Adam Kennah, MD 865 South First ST Jesup GA 3154556578RN137050Conley, Becky Ann
10/5/2012Robert Herrington, MD 462 E G Miles Pkwy Hinesville GA 3131331942RN137050Conley, Becky Ann
12/7/2007Nimish N. Dhruva, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027745200RN157373Conlon, Barbara Jean Ruff
Wednesday, May 07, 2014 Page 57 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Michael Rogers, MD 1941 Phinizy Rd Augusta GA 3090646482RN042170Conn, Laurie A. 11/8/2013
9/2/2010James Whatley, MD 1825 Martha Berry Blvd Rome GA 3016520622RN150768Connell, April Hellums 8/16/2012
4/13/2007Billy George Chacko, MD 1825 Martha Berry Blvd. Rome GA 3016543900RN150768Connell, April Hellums 7/1/2010
2/4/2011Dolly Aguilera, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034255386RN171851Connelly, Erin Lynaugh
3/6/2009Andrew Muir, MD 2015 Uppergate Road Atlanta GA 3032252079RN170580Consedine, Megan Alexander
9/14/2007Alison Wright, MD 1025 North Houston Road Warner Robins GA 3109346017RN081259Conway, Julie Michelle Hooks
4/13/2007Charles Dieas Ruis, MD 2858 Pine Street Unadilla GA 3109130206RN022461Conway, Marian Ann Lancaster 6/1/2007
4/4/2014Joseph A. Bishop, MD 100 Peters St., Ste. 38 Calhoun GA 3070110372RN163150Conyers, Babara Jean
3/6/2014Lloyd Rimer, MD 3541 Chattanooga RD Tunnel Hill GA 3075530665RN163150Conyers, Barbara Jean
5/4/2012Bishop, Joseph MD 100 Peters Street, Ste 38 Calhoun GA 3070110372RN163150Conyers, Barbara 8/26/2013
7/1/2010Frank David Newby, MD 1506 Broadrick Dr Dalton GA 3072038314RN163150Conyers, Barbara Jean 3/28/2011
12/6/2013Allison Turk, MD 95 Morrison Moore Pkwy Dahlonega GA 3053863037RN128463Cook, Jennifer Sue 4/1/2014
7/11/2013Suzanne Manley, MD 148 Clinic Ave Carrollton GA 3011746167RN191725Cook, Erin Elizabeth Norton
3/8/2013Husham P. Mishu, MD 285 Boulevard NE, #345 Atlanta GA 3031240740RN209855Cook, Calli Leighann
9/13/2012John Kludt, MD 3700 Club Drive Lawrenceville GA 3004434876RN209855Cook, Calli Leighann 11/30/2012
3/29/2012Petro, Jr., George MD 59 Tipton Drive Dahlonega GA 3053362155RN128463Cook, Jennifer 8/16/2013
4/1/2011Firas Bannout, MD 455 S. Main St, Suite 201 Hinesville GA 3131355176RN143588Cook, Kerri Anne
5/7/2010Charles Burton, Jr, MD 1587 Phoenix Blvd, Suite 6 College Park GA 3034923025RN154812Cook, Sheryl L.
4/1/2010A. E. Westmoreland, MD 280 West Main Street Dahlonega GA 3059713534RN128463Cook, Jennifer Sue 9/30/2010
Wednesday, May 07, 2014 Page 58 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2009Sandra Brickman, MD 1806 Lee Avenue Tifton GA 3179345043RN072673Cook, Joann G. 7/24/2009
1/11/2008Nicola Botley‐Lee, MD 5026 Snapfinger Woods Dr, Suite 112 Decatur GA 3003552106RN104354Cook, Camille Pleshette
11/1/2007John Sladky, MD 2015 Uppergate Drive NE Atlanta GA 3002241219RN059531Cook, William Byron
11/1/2007Mark Moers, MD 95 Morrison Moore Pkwy, West Dahlonega GA 3053345555RN128463Cook, Jennifer Sue 4/1/2009
2/5/2009Carolyn Sigman, MD 10745 Westside Way, Suite 125 Alpharetta GA 3000937904RN084993Cooksey, Karen Paula Rice
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN095692Cooley, Kim Verleigh
8/8/2008Avril Beckford, MD 1810 Mulkey Road, Suite 201 Austell GA 3010635814RN159289Coon, Melanie B.
9/13/2013Faiz Rehman, MD 818 St Sebastian Way, Suite 307 Augusta GA 3090143270RN197896Cooper, Erin Timmerman
2/5/2010Fernando Burstein, MD 975 Johnson Ferry Rd NE, Suite 100 Atlanta GA 3034232141RN084801Cooper, Debra Denise
9/3/2009Connie DuPre, MD 1512 Hwy 19 West Thomaston GA 3028631675RN084801Cooper, Debra Denise
5/9/2008John Schilling, MD 290 Country Club Drive, Suite 130 Stockbridge GA 3028130880RN084801Cooper, Debra Denise 12/31/2009
5/9/2008Jonathan Ehrlich, MD 993‐D Johnson Ferry Rd, #360 Atlanta GA 3034215580RN196254Cooper‐McQueen, Paula Stephe 2/1/2012
2/5/2009Tania Morgan, MD 5354 Reynolds St, Suite 303 Savannah GA 3140548172RN125895Cope, Mary Christine
5/1/2014David Fletcher, MD 1075 South Main St., Suite 100 Madison GA 3065059718RN199904Copeland, Christina Danielle
8/6/2010Frank Bixler, MD 15 Yarbrough St Hazlehurst GA 3153934779RN066094Copeland, Sherry C.
4/2/2009Haley Manley, MD 101 Houston Street Barnesville GA 3020442079RN102110Copeland, Sandra Davis
7/13/2007Garland Martin, MD 12 Tippins St. Baxley GA 3151047233RN066094Copeland, Sherry C. 3/5/2010
1/7/2011Scott Cooper, MD 1400 Northside Forsyth Dr, Suite 250 Cumming GA 3004127696RN112198Corbett, Tarra Lea Mccullar
4/4/2013Kevin Nash, MD 1350 Walton Way, Medical Staff Office Augusta GA 3091068078RN093591Corcoran, Patricia Ann
Wednesday, May 07, 2014 Page 59 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2013James Douglas, MD 15 Riverbend Dr SW, Suite 100 Rome GA 3016133569RN168452Cordle, Emma Walker
11/5/2010Romualda Klicius, MD 145 N. Medical Pkwy Woodstock GA 3018946305RN160643Corley, Caitlin Michele 7/8/2013
4/4/2013Nancy Lefever, MD PO Box 680 Tate GA 3017750205RN122788Correia, Wanda Denise Wall
6/4/2010Forrest Clark Cantrell, MD 5041 Dallas Hwy, Bldg 2, Suite 2 Powder Springs GA 3012728948RN105376Cosgrove, Julie Claire Thompson 2/20/2011
7/11/2008Marisa Gadea, MD 1121 Johnson Ferry Rd, Suite 220 Marietta GA 3006841802RN049752Cossman, Barbara H
11/1/2007Michael Miles, MD 7869 Villa Rica Hwy Dallas GA 3015752082RN146776Costanzo, Erin Reynolds
11/8/2013John Affronti, MD 1120 15th St, Suite BBR‐2538 Augusta GA 3091245686RN158279Costello, Phyllis Pelfry
10/7/2011Martin, Garland 391 South lst Street Jesup GA 3154547233RN073478Cote, Wilma
11/5/2010Sandra Bohnstengel, MD 391 South First St Jesup GA 3154538692RN073478Cote, Wilma Jean Rogers 7/31/2011
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN080800Cotroneo, Mia
2/5/2009Peter Lee, MD 34 Upper Riverdale Rd, #100A Riverdale GA 3027438545RN124073Couch, Mark Edward
8/8/2008James Brennan, MD 303 Smith Street LaGrange GA 3024019645RN051998Coulombe, Serena
1/9/2014Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN195756Coulter, Kirsten Baum
5/10/2007Brook Bearden, MD 5116 Northwind Blvd. Valdosta GA 3160556527RN186396186396
Courington, Aaron S.
4/4/2014Luther Vance, Jr, MD 8470 Senoia Rd Fairburn GA 3021319354RN204335Cousins, Valerie Jean
11/5/2010Hermogenes Pagsisihan, MD
100 Professional Park, Suite 204 Carrollton GA 3011750666RN204335Cousins, Valerie Jean
9/11/2008Allen W. Jones, Jr., MD 1610 East 10th Street West Point GA 3183332214RN106393Cousins, Diane 11/1/2013
1/9/2014Angela Gerguis, MD 586 Brannon St Statesboro GA 3045847261RN135671Coussons‐Dyches, Angela Vawn
Wednesday, May 07, 2014 Page 60 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Emory Powers Smith, MD 1203 Brampton Ave Statesboro GA 3045825281RN135671Coussons‐Dyches, Angela Vawn
8/5/2011Amy Clemons, MD 300 Cedar St Metter GA 3043957058RN135671Coussons‐Dyches, Angela Vawn
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN135671Coussons‐Dyches, Angela Vawn 5/5/2014
10/10/2013David Markham, MD 5673 Peachtree‐Dunwoody Rd, Suite 650
Atlanta GA 3034269311RN141005Cowan, Karen Demesa
4/4/2014Sanjay Nariani, MD 3457 Lawrenceville Suwanee Rd, Suite C Suwanee GA 3002449861RN157695Cowart, Rebecca Leanne
5/7/2009Thomas Gearhard, MD 1790 Mulkey Road, Suite 8 Austell GA 3010627193RN051252Cowart, Linda Rae
10/10/2013Obaid Rehman, MD PO Box 14417 Savannah GA 3141644990RN181784Cowgill, Bryce Simpson
11/8/2013Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN175357Cox, Erin Marie 1/22/2014
10/5/2012Corrigan, Victor MD 1700 Tree Lane Ste 190 Snellville GA 3007826489RN145683Cox, Cynthia
3/1/2012Mills, Robert MD 120 Hickory Road Canton GA 3011532252RN150316Cox, Stacey
9/14/2007William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101986Cox, Virginia Lee Brady 5/1/2012
7/11/2008Eric Karlen, MD 1121 Johnson Ferry Rd, Suite 220 Marietta GA 3006837584RN047904Coyne, Darlene Mendenhall
9/13/2013Pravinchandra Patel, MD 1130 Talbotton Rd Columbus GA 3190427888RN160794Cozart, Angela Lynn Jones
2/6/2014James Collins, MD 304 Turner McCall Blvd Rome GA 3016529833RN140243Crabbe, Karla Blythe
3/4/2010Dennis Williams, MD 339 Fury's Fewrry Rd, Suite 2 Martinez GA 3090738402RN057080Craft, Kathryn Smithwick
1/7/2010Jibike Adegbile, MD 7196 Northlake Dr, Suite B Columbus GA 3190948967RN169370Crafton, Julie Witt
3/8/2013Julaine B. Cross, MD 255 W. 5th Street, #300 Rome GA 3016556037RN107717Craig, Karen J.
6/8/2012Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016RN144337Craig, Jessica 2/15/2013
Wednesday, May 07, 2014 Page 61 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Wilma Briones‐Mull, MD 255 W. 5th St, Suite 300 Rome GA 3016564783RN107717Craig, Karen Abbott 12/3/2012
9/11/2008Dee Russell, MD 255 W. 5th St, Suite 300 Rome GA 3016519593RN107717Craig, Karen J.
3/7/2008Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN107717Craig, Karen Jenell Abbott 5/2/2008
1/6/2012Farquhar, Scott MD 3316 Greystone Way Valdosta GA 3160541290RN186759Crance, Jessica
1/6/2012Ambrozic, Richard MD 3321 B N. Valdosta Rd, Ste B Valdosta GA 3160243851RN186759Crance, Jessica
1/9/2009David Wyatt, MD 3540 Duluth Park Lane, Suite 260 Duluth GA 3009642979RN173213Crandall, Lisa Marie 3/28/2014
9/13/2013Alan Moy, DO 501 Redmond Rd NW, Emer Dept Rome GA 3016558990RN147995Crane, Christina Reese
2/7/2013David Wharton, MD 100 Gross Crescent Cr. Ft. Oglethorpe GA 3074225310RN147995Crane, Christina
3/29/2012Feaster, Joshua MD 235 Peachtree St NE, North Tower, Ste 2100
Atlanta GA 3030362690RN210385Crane, Esther 7/25/2012
5/7/2009Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147995RN147995
Crane, Christina Reese 6/19/2012
6/6/2008Todd Robinson, MD 14 Cherokee Road Cedartown GA 3012540773RN147995Crane, Christine Reese 12/18/2008
3/7/2008Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN147995Crane, Christina Reese 3/31/2009
11/5/2009William Lynds, MD 5320 Memorial Dr Stone Mountain GA 3008333140RN080107Cranwell‐Bruce, Lisa Ann
10/7/2011Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN123659Cravey, Amy 4/30/2012
9/2/2010Michele Pennington, MD 817 Griffin Ave Eastman GA 3102363003RN123659Cravey, Amy Elizabeth Harrell
6/4/2010Blake Milner, MD 817 Griffin Ave, Suite B Eastman GA 3102352789RN123659Cravey, Amy Elizabeth Harrell 9/1/2010
4/4/2013John Vender, MD 1120 15th St, BI‐3088 Augusta GA 3091242475RN192423Crawford, Miranda Wallace 2/7/2014
7/11/2013Kevin King, MD 2122 Manchester Expway, Hosp Med Dept
Columbus GA 3190456310RN184601Creed, Whitney Lauren
Wednesday, May 07, 2014 Page 62 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Heindel, N. Hadley MD 710 Newnan Crossing Bypass, Ste # Newnan GA 3026331939RN140894Creed, Tracy
10/8/2010George Powell, MD 3207 Country Clun Drive Valdosta GA 3160537046RN140894Creed, Tracy Christine 7/5/2011
9/11/2008Guillermo Saurina, MD 201 Pendleton Drive, Suite 250 Valdosta GA 3160548570RN140894Creed, Tracy Christine 8/25/2010
12/6/2013William Thorneloe, MD 2978 Hwy 36, West/PO Box 3088 Jackson GA 3023323119RN052883Crenshaw, Claudia Regan
5/4/2012Reynolds, Scott MD 1700 Hospital South Drive, Ste 500 Austell GA 30100659009RN139554Cressy, Stacey
6/7/2013Troy Coon, MD 618 Ponder Place, Suite 2 Evans GA 3080956422RN151479Criswell, Robin Annette
11/3/2011John Oester, MD 3651 Wheeler Rd, MOB I, #205 Augusta GA 3090954021RN151479Criswell, Robin Annette
4/4/2013Brandee Urrutia, MD 4355 Browns Bridge Rd, Suite 1 Cumming GA 3004166661RN160548Crites, Julie Brooks
10/8/2010Kenneth Rice, MD 1628 Market Place Blvd Cumming GA 3004147251RN160548Crites, Julie Brooks
1/7/2010Renee Waters, MD 285 Elm St, Suite 102 Cumming GA 3004035782RN160548Crites, Julie Brooks 8/1/2010
2/5/2009Sinan Haddad, MD 1250 Jesse Jewell Pkwy, #400 Gainesville GA 3050156455RN160548Crites, Julie Brooks
2/6/2014Paul Hanna, DO 2122 Manchester Exprwy, Hosp Med Dept
Columbus GA 3190859161RN106186Crittenden, Darlene Rene Seldo
11/2/2012Reden C. Delgado, MD 12293 Rome Hwy Rockmart GA 3015365957RN049428Croft, Sheilia H. 4/24/2014
9/2/2010George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3053013275RN049428Croft, Sheila Darlene Hill 12/1/2011
2/5/2009William Raisig, MD 64 Call‐Wright Road Ellijay GA 3054055290RN049428Croft, Shelia Darlene Hill 6/26/2009
1/9/2009Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN119083RN119083
Crom, Kimberly Williams 5/2/2012
9/2/2010Christopher McLeroy, MD 465 N. Belair Rd, Suite 2B Evans GA 3080939865RN067104Cromer, Pamela Richardson
5/6/2011Mohammad Al‐Shroof, MD 2054 Watson Blvd Warner Robins GA 3109345158RN143740Crook, Kimberly Ann
Wednesday, May 07, 2014 Page 63 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Alvarado, Alan MD 3440 North Valdosta Road Valdosta GA 3160537463RN132708Crosby, Melissa
12/3/2010Jose Medina‐Bairan, MD PO Box 3550 Valdosta GA 3160441166RN132708RN132708
Crosby, Melissa Greene 8/20/2011
3/4/2011William Snell, DO 880 Canton Rd, Suite 300 Marietta GA 3006024495RN208438Crosen, Kanina Diane
6/30/2011Raymond Jarvis, MD 330 Turner McCall Blvd Rome GA 3016545505RN214410Crow, Kimberly Kay Lindsey 8/8/2013
1/6/2012Wells, Jr., Charles MD 435 Second Street, Ste 430 Macon GA 3120119807RN153999Crowe, Lora
10/2/2009Ronald Forehand, MD 370 River Rd, Univ Health Ctr Athens GA 3060222760RN171418Crowe, Julia Rosdeutscher
3/8/2013David Wharton, MD 100 Gross Crescent Circle Fort Oglethorpe GA 3074225310RN089205Crowe, Jr., William Charles
1/6/2012Love, Michael MD 979 East Third Street, Ste 520 Chattanooga TN 3740364856RN089205Crowe, Jr., William Charles
4/4/2014Chandrasekhar Sankaran, MD
101 Regency Park Dr, Suite 140 McDonough GA 3025331549RN221959Crumbley, Michelle Renee
3/6/2014James Taylor, MD 541 Historic Hwy 441 North Demorest GA 3053565189RN155758Crump, Christie Rae
3/6/2014Safia Pirani, MD 220 Oakside Lane Canton GA 3011456624RN221042Crumpler, Carolyn Dohme
5/1/2014Matthew Britton, MD 3 Washington Ave, Suite C Gainesville GA 3050126067RN085019Cruz, Erwin Osiris
4/4/2014Lawrence Zottoli, MD 4704 Augusta Rd Garden City GA 3140836639RN169066Cruz, Yvette Nicole McLloyd
11/8/2013Michael Pompey, MD 901 Rice St Atlanta GA 3031823097RN085019Cruz, Erwin Osiris
5/3/2013Eduard Docu, MD 1302 Drayton St Savannah GA 3140156426RN169066Cruz, Yvette Nicole McLloyd
11/5/2010Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN126162Cruz, Cheunita Rae Tyler 4/1/2012
5/3/2013Stephanie Keller, MD 975 Johnson Ferry Rd, Suite 340 Atlanta GA 3034264120RN188328Cruz‐Harris, Jennifer Anne
11/8/2013Jesse Jones, MD 4300 Buford Hwy, Suite 216 Atlanta GA 3034535072RN219464Cruz‐Morales, Esmerardo
Wednesday, May 07, 2014 Page 64 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/1/2014Pablo Quintonilla, MD 3369 Buford Hwy, ste. 800 Atlanta GA 3032917546RN220894Cuadrado‐Barrera, Diana
4/4/2013Raymond Ramirez, MD 5280 Buford Hwy, Suite H Doraville GA 3034031310RN220894Cuadrado‐Barrera, Diana 2/3/2014
1/11/2013Gail Matthews, MD 6158 Highway 92, Suite 101 Acworth GA 3010252182RN220894Cuadrado‐Barrera, Diana 2/24/2013
1/11/2013Folake Aminu, MD 584 Lanier Park Dr. Gainesville GA 3050162871RN203087Cueto, Jonathan
12/7/2012Sanjay Nariani, MD 3795 Buford Dr., inside Walmart Buford GA 30519######RN203087Cueto, Johathan 7/25/2013
9/13/2012Ashok Kancharla, MD 132 Franklin Spring St. Royston GA 3066248250RN203087Cueto, Jonathan 6/1/2013
4/4/2013Marilyn Lavallee, MD 1001 Memorial Lane Savannah GA 3141053263RN188387Culbreth, Jennifer Lauren
11/2/2012Beverly Hyacinth, MD 2990 Five Forks Trickum Rd. Lawrencefille GA 3004457003RN133042Cummings, Thelma B.
4/4/2014Davey Deal, Jr, MD 310 Hospital Dr, Suite 305 Macon GA 3121746076RN217465Cummins, Doniece Ross
5/7/2009Thomas Hurd, MD 400 Tower Road, Suite 350 Marietta GA 3006027070RN149914Cummins, Emily Annette Sasser
10/7/2011Plummer, Valens MD 5230 Dallas Hwy Powder Springs GA 3012749496RN084875Cunningham, Sylvia 5/1/2013
9/2/2010Robert Williams, MD 111 S. Washington St Lincolnton GA 3081729263RN115548Cunningham, Thomas Keith
8/6/2010Jeffrey Tharp, MD 176 Marietta Hwy, Bldg A Hiram Ga 3014135153RN084875Cunningham, Sylvia Shannon
8/6/2010Muhammad Sheikh, MD 2500 Dallas Hwy SW Marietta GA 3006459195RN084875Cunningham, Sylvia Shannon
10/2/2009Daniela Rojas Molina, MD 526 Maddox Drive Ellijay GA 3054055331RN033755Cunningham, Deloris Hefner
1/11/2008Ronald Forehand, MD University Health Ctr, 370 River Rd Athens GA 3060222760RN036369Cunningham, Benna E.
10/8/2010Albert Lintel, MD 775 West Ave, Suite A Cartersville GA 3012058595RN093196Curl, Carla Sue McFarland 1/31/2013
8/5/2011Michael Hamm, DO 410 Darling Ave Waycross GA 3150149021RN177851Cutia, James Robert
4/13/2007John Y. Chung, MD 1107 Memorial Drive, Ste 201 Dalton GA 3072041532RN187417Czerkasij, Victor
Wednesday, May 07, 2014 Page 65 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/11/2013Ali Z. Fakhri, MD 3000 Schatulga Rd. Columbus GA 3191739567RN186907Dada, Olasumbo O.
11/5/2009Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN094340Dalcour, Lori Anita
12/7/2012Henry J. Baughman, MD 375 Boynton Dr. Ringgold GA 3073645395RN188679Dale, Amanda A.
12/7/2012Mary L. Tyson, MD 1727 Wrightsboro Rd., Ste. B Augusta GA 3090430683RN048295Daley, Lydia L.
2/5/2010John Swing, III, MD PO Box 1259 Swainsboro GA 3040146914RN048295Daley, Lydia Lee 9/30/2010
7/10/2009David Bate, MD PO Box 1505 Sylvania GA 3046734291RN048295Daley, Lydia Lee
12/4/2008Mona Hanna, MD 223 N. Anderson Drive Swainsboro GA 3040153824RN048295Daley, Lydia Lee 9/30/2011
4/3/2008Mary Lynn Tyson, MD 629 Shadrack Street Waynesboro GA 3083030683RN048295Daley, Lydia Lee 2/28/2009
4/13/2007Roy Thomas Harry, MD 408 Green Street, P.O. Box 737 Louisville GA 3043428781RN048295Daley, Lydia Lee 8/31/2007
1/9/2009Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN143047Dalley, Patricia Ann 1/14/2009
7/12/2012Hubbard, John MD 1763 Fernside Drive Toccoa GA 3057730787RN044035Dalton, Ceree
7/11/2013William Benedict, Jr, MD 61 Whitcher St, Suite 3110 Marietta GA 3006059122RN160363Daly, Serena Holder
9/2/2010Ibrez Bandukwala, MD 5673 Peachtree Dunwoody, Suite 775 Atlanta ga 3034246036RN093201D'Amico Thomas, Elizabeth Ann
4/4/2014David Persaud, MD 772 Maddox Dr., Ste. 122 Ellijay GA 3054070703RN169909Daniel, Julia Fabrycy
1/7/2010Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN169909Daniel, Julia Fabrycy 9/1/2012
8/9/2013Nadia Cameron, MD 3760 Sixes Rd, Suite 120 Canton GA 3011453982RN153645Daniels, Christina Dawn
12/1/2011Fernandez, Eusebio MD 772 Maddux Drive, Ste 110 East Ellijay GA 3054012038RN153645Daniels, Christina
9/2/2010Crystal Comeau, MD 101 Riverstone Vists, Suite 111 Blue Ridge GA 3051361224RN153645Daniels, Christina Dawn 4/25/2011
8/6/2010Rene Romero, MD 1405 Clifton Rd NE Atlanta GA 3032237060RN198156Daniels, Mary Caroline Toher
Wednesday, May 07, 2014 Page 66 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/1/2010George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN153645Daniels, Christina Dawn 7/15/2010
4/1/2010Thomas Nguyen, DO 772 Maddox Dr, Suite 110 E. Ellijay GA 3054062579RN153645Daniels, Christina Dawn 10/11/2011
1/7/2010Paul Cox, MD 101 Riverstone Vista, Ssuite 111 Blue Ridge GA 3051349762RN153645Daniels, Christina Dawn
5/7/2009Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN152695Daniels, Lakeysha Myrie 7/2/2009
12/4/2008Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN152695Daniels, Lakeysha Myrie 5/13/2009
10/2/2008Eusebio Fernandez, MD 772 Maddox Drive, Suite 110 East Ellijay GA 3054012038RN153645Daniels, Christina Dawn 1/22/2010
9/14/2007Thomas Karisny, MD 170 Hospital Circle, Suite A Blairsville GA 3051250029RN153645Daniels, Christina Dawn 2/1/2008
8/2/2007Daniel Allan Williams, MD 1128 Southpark street Carrollton GA 3011937926RN183020Daniels, LaDonia C. 4/11/2008
5/7/2010Marty Sellers, MD 1968 Peachtree Rd NW, Bldg 77, 6th Floor
Atlanta GA 3030956925RN155782D'Annunzio, Shannan Hoyt
6/7/2013Daniel Green, MD 865 1st Street Jesup GA 3154553230RN226208Dansby, Elisha Marchette
1/11/2013Nicola B. Lee, MD 4223 Highway 42 Conley GA 3028852106RN222649Dark, Lela K.
7/11/2013Raul Santos, MD 334 Smith Ave Thomasville GA 3179241662RN135450Darley, Clayton Barkley
1/11/2013Musaddid Waheed, MD 914 Gordon Ave. Thomasville GA 3179261368RN135450Darley, Clayton B.
10/7/2011Miller, Jeri MD 200 Industrial Blvd Dublin GA 3102130835RN164973Darsey, Holly 10/31/2013
10/10/2013Crandall Chambers, MD 811 22nd St Columbus GA 3190443182RN205657Darty, Monica Shyrell
10/7/2011Ringer, Dave 803 South Main Street Greensboro GA 3064230368RN054103Darugar, Deborah Crutcher
11/7/2008Vimala Nair, MD 100 Lacy Street Marietta GA 3006018058RN170840Daskal, Kathleen Theresa
5/1/2014Scott Tarplee, DO 2300 Parkwood Dr. Brunswick GA 3152021057RN162729Daugherty, Lindsey
Wednesday, May 07, 2014 Page 67 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Suh, Daniel MD 4 Jackson Blvd Savannah GA 3140542125RN080817Daugherty, Susan
1/7/2010Bhumiben Purohit, MD 1890 Manor View Cumming GA 3004158812RN162729Daugherty, Lindsey 12/21/2010
6/6/2008R. Alexander Wynn, MD 7120 Hodgson Memorial Drive Savannah GA 3140656939RN080817Daugherty, Susan Kathleen 4/3/2011
3/4/2010Darwin Brown, MD 2665 N. Decatur Rd, Suite 520 Decatur GA 3003346531RN170152Davage, Lindsay Marie
7/13/2007Scott B. Parry, DO 730 Ponce de Leon Place, Ste B Atlanta GA 3030639899RN170152Davage, Lindsay Marie 1/1/2010
2/6/2014Anil Yadav, MD 51 Gordon Rd Jasper GA 3014353898RN149848Davenport, Lottie S
12/3/2010Crystal Comeau, MD PO Box 306 East Ellijay GA 3053961224RN149848Davenport, Lottie S.
11/1/2007Rahil Kazi, MD 1707 Watson Boulevard Warner Robins GA 3109341593RN134353Davey, Julie Ann
4/4/2014Dennis Harper, MD 1400 N Peterson Ave, Suite C Douglas GA 3153353749RN057110Davis, Jennifer Flanders
1/9/2014Garland Martin, MD 23 Tippins St Baxley GA 3151347233RN120009Davis, Kimberly Ann Faulk
11/8/2013Phillip Potter, MD 699 Church St, Suite 320 Marietta GA 3006034220RN177687Davis, Daisy Bisola
10/10/2013Swati Gaur, MD 743 Spring Street Gainesville GA 3050157624RN158615Davis, Barbara Nicole
9/13/2013Sunil John, MD 2122 Manchester Exprwy Columbus GA 3190450530RN155517Davis, R. Tim
8/9/2013Noreen Andrews, MD 1180 McKendree Church Rd, Suite 202 Lawrenceville GA 3004346861RN140088Davis, Amy Leigh Christian
4/4/2013Dean Karampelas,MD 743 Spring St Gainesville GA 3050126141RN158615Davis, Barbara Nicole
11/2/2012Louis E. Hempel, MD 6918 McGinnis Ferry Rd. Suwanee GA 3002433106RN201662Davis, Lindsey N.
8/10/2012Lloydstone Jacobs, II, MD 2900 University Pkwy Lawrenceville GA 3004349179RN191859Davis, Sarah
8/10/2012Wade, Jim MD 58 Big A Road Toccoa GA 3057722664RN174985Davis, Charlotte Ann Hawley
7/12/2012Chunduri, Ananda MD 39 Kent Road, Ste 5 Tifton GA 3179464911RN128572Davis, Monica 8/31/2012
Wednesday, May 07, 2014 Page 68 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/29/2012Jenkins II, John MD 612 West Gordon Street, Ste C Thomaston GA 3028662726RN144410Davis, Cassandra
3/1/2012Harden, Charles MD 1811 Manning Drive Vidalia GA 3047544930RN120009Davis, Kimberly 9/29/2013
1/6/2012Love, Michael MD 979 E. 3rd Street, Ste C‐520 Chattanooga TN 3740364856RN129150Davis, Karrie 7/25/2012
12/1/2011Kestin, Sharon MD 11700 Mercy Blvd, Ste 1‐B Savannah GA 3141934990RN143842Davis, Jaqueline
11/3/2011Grossman, Stephanie MD 1365‐C Clifton Road Atlanta GA 3032241814RN215920RN215920
Davis, Debra 7/25/2012
10/7/2011Earl Young, MD 915 Thornton Road Lithia Springs GA 3012246338RN176709Davis, Margaret
4/1/2011Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN181221Davis, Sarah Louise 12/31/2012
4/1/2011Mark Kats, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050161275RN050862Davis, Sherry Annice Harwell
4/1/2011Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN181221Davis, Sarah Louise
4/1/2011Jennifer Meyer‐Carper, MD 315 Winn Way Decatur GA 3003064604RN181221Davis, Sarah Louise
4/1/2011Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN181221Davis, Sarah Louise
4/1/2011Lisa Dawn Mandeville, MD 315 Winn Way Decatur GA 3003046987RN181221Davis, Sarah Louise
4/1/2011Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN181221Davis, Sarah Louise
3/4/2011Dennis Estep, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074225429RN148442Davis, Jennifer Cross
2/4/2011Nirav Raval, MD 275 Collier Rd, Suite 300 Atlanta GA 3030954496RN207840Davis, Lindsey Leigh 9/13/2013
2/5/2010Gregory Fountain, MD 766 Walther Rd, Suite 100 Lawrenceville GA 3004534593RN069177Davis, Priscilla Ann Edwards
7/10/2009Edward Meier, MD 2112 Shorter Ave, Suite 200 Rome GA 3016543426RN182147Davis, Nicole Elizabeth 4/18/2011
10/2/2008Khaled Nass, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050143717RN050862Davis, Sherry Annice Harwell 12/9/2010
Wednesday, May 07, 2014 Page 69 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN148442Davis, Jennifer Cross 6/30/2009
4/3/2008Bridgett Asbury, MD 1806 Lee Avenue Tifton GA 3179348752RN089222Davis, Shelly Denice
9/14/2007Clyde Simmons, MD 907 E. 18th Street, Suite 400 Tifton GA 3179417301RN128572Davis, Monica Rowe 9/28/2012
7/13/2007Felicia M. Carr, MD 305 West Harris Street Savannah GA 3140128190RN143842Davis, Jaqueline Margaret 8/31/2011
10/5/2012Deepti Munjal, MD 4586 Timber Ridge Dr, Suite 200 Douglasville GA 3013546627RN171108Dawe, Jennifer J.
8/5/2011Morohunfolu Akinnusi, MD 55 Whitcher St NE, Suite 160 Marietta GA 3006064741RN171108Dawe, Jennifer 11/15/2012
9/13/2012Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN162457Dawkins, Laneisha Ann 10/21/2013
12/3/2010Brett Cannon, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032846053RN168036Dawson, Christopher Michael
2/3/2012Ross, Priscilla MD 210 E. DeRenne Avenue Savannah GA 3140558635RN090084Day, Claudia
2/3/2012Riesco, Ricardo MD 1933 Shields Road Dalton GA 3072044069RN122559Day, Cynthia 2/8/2013
1/6/2012Kadum, Fareed MD 970 Joe Frank Harris Pkwy, Ste 240 Cartersville GA 3012022993RN064251Day, Elizabeth
6/4/2010Andrew Pandya, MD 210 E. DeRenne Ave Savannah GA 3140555323RN090084Day, Claudia Eileen Yarbrough 7/31/2011
6/4/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN121449Day, Leigh Anne Smith
10/2/2009Nedra Dodds, MD 9020 Peridot Pkwy Stockbridge GA 3028139170RN064251Day, Elizabeth Jean 4/19/2010
12/7/2007Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN064251Day, Elizabeth Jean 10/31/2011
5/1/2014Joseph Zarge, MD 5673 Peachtree Dunwoody Rd, Ste 675 Atlanta GA 3034244150RN180824De Meglio, Naomi Ann
5/4/2012Conley, Jason MD 960 Joe Frank Harris Parkway, Emer Dept
Cartersville GA 3012054602RN187668Deal, Darron 7/25/2012
3/6/2014Victor Corrigan, MD 275 Collier Rd, Suite 500 Atlanta GA 3030926489RN080864Dean, Lynn Dixon
Wednesday, May 07, 2014 Page 70 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2014Maziar Rezvani, MD 1000 Johnson Ferry Rd, Suite E‐200 Marietta GA 3006853937RN170709deArmas, Karla Vanessa
7/13/2007Gregory Zakers, MD 4711 Peachtree Ind Blvd, Ste B Norcross GA 3009249847RN170709deArmas, Karla Vanessa 3/31/2014
7/11/2013Luther Vance, Jr, MD 2171 Northlake Pkwy, Bldg 6, Suite 120 Tucker GA 3008419354RN170709deArmes, Karla Vanessa 9/1/2013
3/6/2014Christine Kempton, MD 2015 Uppergate Dr, 4th Floor Atlanta GA 3032256189RN084438Debalsi, Anthony Joseph
11/5/2010R. Bradley Bedgood, DO 420 Charter Blvd, Suite 303 Macon GA 3121052054RN137169deBey, Susan Meredith
5/7/2009Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN089225Decamp, Cynthia Cherie
12/4/2008Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN089225Decamp, Cynthia Cherie 5/13/2009
11/5/2009Nichole LeBoyd, MD 649 Shallowford Rd Gainesville GA 3050454452RN138117Decker, Julie Ann 12/1/2009
7/11/2008Edward Salzberg, MD 3400‐C Old Milton Pkwy, Suite 545 Alpharetta GA 3000534460RN111248Degnan, Ellen Dri
5/1/2014Jayson Fields, MD 150 Gentilly Blvd. Cartersville GA 3012049794RN144344DeGuia, Susan Elaine
11/5/2010Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN144344Deguia, Susan Elaine 5/3/2011
8/8/2008Khawaja Mahmood, MD 12 Sammy McGhee Blvd, Suite 102 Jasper GA 3014342648RN144344Deguia, Susan Elaine
6/7/2013Keith A. Blanks, DO 710 Center St., Emer Dept Columbus GA 3190152042RN092845RN092845
Dehner, Carissa F.
6/5/2009Anthony Royek, MD 4750 Waters Ave, Suite 202 Savannah GA 3140450914RN111884Dekle, Angelyn A
10/8/2010Richard Kerensky, MD 100 Mimosa Dr, 2nd Floor Thomasville GA 3179257236RN122291Delaney, Donna Collins
2/5/2009Andrew Kirsch, MD 5445 Meridian Mark Rd, #420 Atlanta GA 3034245518RN194057Delaney, Christina Lynn
12/1/2011Harbin, Anthony MD 1525 Chattanooga Road Dalton GA 3072029665RN202030Delestowicz, Victoria
11/8/2013Langston Cleveland, MD 4468 Union Rd Tifton GA 3179446584RN107350Dell, Karen Strickland
Wednesday, May 07, 2014 Page 71 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Robert Raybon, MD 79 Doyle St Toccoa GA 3057738339RN216236DeLoach, Shana Barker
1/11/2013Jill Bryant, MD 711 Knight Ave. Waycross GA 3150143375RN072616DeLoach, Andrea M.
12/6/2013Shaun Price, MD 705 17th St Columbus GA 3190157744RN225396Demarest, Lauren Whitney 4/1/2014
9/13/2013Linda Moore, MD 610 19th St Columbus GA 31901‐152855849RN225396Demarest, Lauren Whitney
4/4/2014Thomas DeMaro, DO 710 Center St , Emer Dept Columbus GA 3180158665RN229838DeMaro, Erica Ann
5/1/2014Michele Musto, MD 633 Stephenson Ave Savannah GA 3140559790RN096491Demott, Jennifer Marie Smith
8/9/2013Paul Bradley, MD 340 Eisenhower Dr, Suite 1200 Savannah GA 3140630016RN096491Demott, Jennifer Marie Smith
12/7/2012Ethan R. Rogers, MD 743 Spring St. Gainesville GA 3050159926RN186485Denly, Gregory P.
3/6/2009Tracey Lemon, MD 315 Boulevard NE, Suite 328 Atlanta GA 3031250723RN136934Dennis‐Crooks, Hyacinth
7/13/2007Tressa Acineaux, MD 936 Holcomb Bridge Rd, Suite 2 Roswell GA 3007649499RN136934Dennis‐Crooks, Hyacinth Isolyn
4/2/2009Leslie Matthews, MD 720 Westview Dr SW, Surgery Dept Atlanta GA 3031058705RN152771Dennis‐Griggs, Diane Mae
11/2/2012William E. Richards, MD 5353 Reynolds St., Ste 200 Savannah GA 3140567939RN221807Denny, Jean M. 2/13/2014
11/5/2010Jeffrey Haller, MD 104 Prominence Point Pkwy, Suite 108 Canton GA 3011455826RN116008Denny‐Smith, Tammy Jane
4/3/2008Bram Wieskopf, MD 1192 Buckhead Crossing, Suite E Woodstock GA 3018945136RN116008Denny‐Smith, Tammy Jane 11/10/2008
1/7/2010Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN055775Dent Johnson, Lowanda 3/31/2010
10/10/2013Anthony Olofintuyi, MD 2009 Warm Springs Rd Columbus GA 3190445309RN055775Dent‐Johnson, Lowanda
4/4/2014Melissa Rhodes, MD 21 Pointe North Dr Cartersville GA 3012047060RN106233Denton, Sherry Lynn
6/8/2007William Hudson, MD 1400 Northside Forsyth Dr. Cumming GA 3004125619RN108911Depetrillo, Merrill Elizabeth
4/4/2014Timothy Lin, MD 21 Pointe North Drive Cartersville GA 3012060401RN230271Derby, Ashley Nicole
Wednesday, May 07, 2014 Page 72 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/6/2014Swati Gaur, MD 743 Spring St Gainesville GA 3050157624RN218179Deringer, Ashley Cannon 3/19/2014
12/4/2008William Barber, MD 77 Collier Road NW, Suite 2050 Atlanta GA 3030925525RN146512Deriso, Anna Tallman
2/6/2014Felissa Goldstein, MD CHOA, 1920 Briarcliff Rd NE Atlanta GA 3032957467RN219197Derrick, John Westly
6/4/2010Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN136363DesRoches, Paula Marie Gilmer
7/13/2007Cathy Larrimore, MD 4181 Hospital Dr., Ste #104 Covington GA 3001438836RN166939Detzel, Patricia Ann 12/31/2010
8/2/2007Louis G. Lee, MD 301 West Hansell Street Thomasville GA 3179221540RN123631Deutsch, Kristin Elizabeth
11/8/2013Tania Smith, MD 2420 Westgate Dr, Suite 102 Albany GA 3170751602RN149567Dew, Brandy Pellicano
7/11/2013Eric Deal, DO 316 N Broad St, Emer Dept Winder GA 3068024226RN194703Dew, Patricia L
2/3/2012Maria, Bernard MD 417 West 3rd Ave Albny GA 3170162741RN149567Dew, Brandy 9/24/2013
10/2/2009Anthony Wahbeh, MD 2701 Meredyth Drive Albany GA 3170746003RN149567Dew, Brandy Pellicano 7/13/2010
7/10/2009George Fredrick, MD 2336 Dawson Rd, Suite 1500 Albany GA 3170761736RN149567Dew, Brandy Pellicano
7/13/2007Cathy Larrimore, MD 4181 Hospital Drive, Ste 104 Covington GA 3001438836RN172870Dewberry, Kerry Garcia
10/4/2007Dennis Estep, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074225429RN145900Deweese, Vicki Renee 5/5/2012
1/7/2010Hal Scherz, MD 5445 Meridian Mark Rd, Suite 420 Atlanta GA 3034238357RN145318Dewhurst, Marja‐Liisa Liv
3/29/2012Sarin, Sanjay MD 1267 Hwy 54 West, Ste 2200 Fayetteville GA 3021460501RN182779Dews, Stephanie
8/9/2013Naren Logendra, MD 2151 West Spring St, Emer Dept Monroe GA 3065542336RN148538Dexter, Susan Elizabeth Ragland
6/30/2011Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN148538Dexter, Susan Elizabeth Ragland 8/12/2011
8/6/2010Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN148538Dexter, Susan Elizabeth Ragland
7/1/2010Muthu Kuttappan, MD 14779 Brown Bridge Rd Covington GA 3001637851RN148538Dexter, Susan Elizabeth Ragland
Wednesday, May 07, 2014 Page 73 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2010Irandathy Rodrigo, MD 2522 Cruse Rd, Suite C‐2 Lawrenceville GA 3004442715RN148538Dexter, Susan Elizabeth Ragland 6/5/2010
3/4/2010Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN148538Dexter, Susan Elizabeth Ragland 2/25/2010
1/7/2010William Delp, DO 4589 Lawrenceville Road Loganville GA 3005217791RN148538Dexter, Susan Elizabeth Ragland
3/1/2012Young, Raymond MD 1841 Clifton Rd, Atlanta GA 3032953381RN054079Dey, Sherry
2/6/2014Arvind Aggarwal, MD 206 Hospital Dr, Suite B Dublin GA 3102156400RN234841Diaz, Scarlett Renee'
3/4/2011Husham Mishu, MD 285 Boulevard NE, Suite 345 Atlanta GA 3031240740RN199729Diaz, Maria Teresa
1/9/2014Robert Cossio, MD 322 Stephenson Ave Savannah GA 3140536357RN198332Dickerson, Haley Nicole
10/10/2013Medel Reyes, MD 55 Whitcher St, Suite 160 Marietta GA 3006048815RN188543Dickinson, Elizabeth Crook
2/7/2008Kristi Mulchahey, MD 2550 Windy Hill Drive, Suite 115 Marietta GA 3006734209RN120829Diehl, Paula Kim Nader
1/7/2011Charles Okolo, MD 1151 Cleveland Ave, Suite D East Point GA 3034448686RN125161Dietz Lindo, Karan Antoinette
8/9/2013Douglas Cooper, MD 600 Coastal Village Dr Brunswick GA 3152037180RN196911Dill, Winston Elmer
3/29/2012Johnson, Debora MD 950 Dannon View, Ste 4101 Atlanta GA 3033143071RN196911Dill, Winston 5/7/2012
3/29/2012Warren, Bryan MD 605 Osborne Street St. Marys GA 3155841237RN196911Dill, Winston 4/1/2013
7/1/2010Reemon Bishara, MD 1915 Eisenhower Dr Savannah GA 3140663759RN196911Dill, Winston Elmer 6/25/2010
6/5/2009Frank Shelp, MD 1915 Eisenhower Drive Savannah GA 3140662166RN196911Dill, Winston Elmer
1/9/2009Brett Murphy‐Dawson, MD 2100 Comer Avenue Columbus GA 3190454080RN196911Dill, Winston Elmer 1/9/2009
2/5/2010Sharon Amaya, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032847182RN163507Diller, Jeffrey Duane
5/1/2014Mark Hancock, MD 163 Hospital Dr. Toccoa GA 6057767750RN169332Dillon, Laura
4/13/2007Jim Wade, MD 800 East Doyle Street Toccoa GA 3057722664RN169332Dillon, Laura J. 7/25/2008
Wednesday, May 07, 2014 Page 74 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN218672Din, Erica Shozaki
12/6/2013Vickie James, MD 1897 Godby Rd College Park GA 3034931032RN064892Dinkins‐Learmont, Beverly Ann
12/6/2013Nana Kwaku Opare, MD 6062 Buford Hwy, Suite 114 Norcross GA 3007158113RN064892Dinkins‐Learmont, Beverly Ann
9/11/2008Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN064892Dinkins‐Learmont, Beverly Ann 11/20/2013
2/7/2013Lisa Wannamaker, DO 1120 15th St., Pavilion II AF‐1040 Augusta GA 3091255462RN071559DiNonato, Caroline J.
11/7/2008Timothy Ryan, MD 84 Pine Gove Road Cartersville GA 3012040220RN104267Dirico, Laura Anne 10/30/2009
7/11/2008Husham Mishu, MD 285 Boulevard NE, Suite 345 Atlanta GA 3031240740RN104267Dirico, Laura Anne
1/6/2012Mathews, Jr., Kenneth MD 118 Howard Street Rossville GA 3074164626RN194657Dittmar, Jennifer 3/14/2013
12/4/2008Leli Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN085072Dixey, Priscilla Ann 1/15/2014
3/1/2012Sheth, Anuradha MD 755 Old Norcross Road Lawrenceville GA 3004640547RN170285Dixon, Michelle
9/11/2008Patrick Spafford, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032838971RN050751Doan, Cynthia Louise Lively
6/4/2010Jesenko Vukotic, MD 2000 Professional Way, Bldg 200 Woodstock GA 3018843300RN112293Dobson, Shannon Nunn
5/4/2012Hancock, William MD 907 E. l8th Street, Ste 100 Tifton GA 3179447089RN117801Dodd, John
12/6/2013Brinkley Goodson, DO 260 Elm St Cumming GA 30040‐246724680RN203965Doedens, Danielle Lane
11/5/2009Ben Thrower, MD 2020 Peachtree Rd NW Atlanta GA 3030950311RN139444Doepel, Colby Bixby
9/11/2008Sandy Jun, MD 590‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN112295Doherty‐Chandler, Diane Arlene
4/1/2010Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN117159Doker, Robin Lucille Huff 12/14/2010
8/25/2010Charles Burke, MD 1008 North 3rd Avenue Chatsworth GA 3070558876RN036308Dollar, Susan Elisabeth
2/5/2010Teresa Baysden, DO 450 Clarence King Pkwy Calhoun GA 3070157348RN036308Dollar, Susan Elisabeth
Wednesday, May 07, 2014 Page 75 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/13/2007Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN189322Domzal, Bethany Lyn 1/25/2013
9/3/2009Annette Hinchcliffe, MD 3915 Johns Creek Court, Suite 120 Suwanee GA 3002442607RN155467Donkar, Lauren Marie
4/1/2010Robert Spruill, MD 8 Laurel Court Moultrie GA 3176859026RN064894Donnan, Judith Ann Ferguson
4/1/2010Rhonda Bedell, MD 633 Veteran's Pkwy South Moultrie GA 3178836097RN064894Donnan, Judith Ann Ferguson
9/13/2013Michelle Schofield, MD 600 Parkway North Newnan GA 3026555885RN227986Dooley, Mary Ellen
5/6/2011Heerain Shah, MD 3509 Mabry Rd Gainesville GA 3050459016RN085079Dooley, Patricia Dianne Cole 1/9/2012
10/8/2010Hector Aviles, MD 3509 Mabry Rd Gainesville GA 3050457144RN085079Dooley, Patricia Dianne Cole 3/15/2011
10/7/2011Misra, Sudipta MD 1446 Harper Street BG‐1132 Augusta GA 3‐01259563RN162426Dorman, Joyce 2/23/2012
11/7/2008Amy Hardin, MD 4595 Towne Lake Pkwy, Bldg 400, #100 Woodstock GA 3018935307RN152697Dorsey, Sara Dawn
3/6/2009Meera Garcia, MD 5780 P'tree Dunwoody Rd, #295 Atlanta GA 3034246101RN130308Dortch, Janet Rose 12/31/2010
4/13/2007Lynley S. Durrett, MD 105 Collier Road, Ste 1080 Atlanta GA 3030944912RN130308Dortch, Janet Rose 12/22/2008
4/13/2007Gregory S. Smith, MD 21 Jefferson Place, Ste 1 Athens GA 3060147532RN085083Dotson, Mary
1/9/2014Raulnina Uzzle, MD 770 Village Square Dr Stone Mountain GA 3008343499RN072764Doughton‐Johnson, Renea
10/5/2012Riba Kelsey‐Harris, MD 595 Piedmont Ave., Ste 100 Atlanta GA 3030853833RN072764Doughton‐Johnson, Renea 7/5/2013
12/4/2008Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN072764Doughton‐Johnson, Susan Rene 8/24/2012
8/9/2013Lora Efaw, MD 39 Kent Rd, Suite 2 Tifton GA 3179436727RN160818Douglas, Christy Nichole
3/6/2009Ehi Osehobo, MD 1007 Memorial Drive Griffin GA 3022449075RN112304Douglas‐Adams, Tresselyn Y. 9/26/2009
8/7/2009Satya Suddala, MD 135 Eagle's Walk, Suite 200 Stockbridge GA 3028135148RN187527Dover, Eileen Ann
4/4/2013Michael Frankel, MD 80 Jesse Hill Jr, 8th Foor Atlanta GA 3030334832RN169902Dow, Andrew Ryan
Wednesday, May 07, 2014 Page 76 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/5/2009Renee Corley, MD 653 Roberts Drive, Suite A Riverdale GA 3027433302RN188812Dowden, Margaret Phyllis 3/1/2011
7/11/2013Leigh Barrell, MD 1608 Martha Berry Blvd Rome GA 3016540777RN175134Dowdy, Regina Marie
7/12/2012Messulam, Elizabeth MD 3421 Mike Padgett Hwy Ste C Augusta GA 3090644786RN099709Downey, Gloria 2/4/2014
5/4/2012Campbell, Becky MD 500 Spillers Way Warner Robins GA 3108848105RN110538Doyle, Konnie 10/1/2013
5/4/2012Baggett, Kevin DO 500 Spillers Way Warner Robins GA 3108848410RN110538Doyle, Konnie 10/1/2013
3/29/2012Al‐Shroof, Mohammad MD 2054 Watson Blvd Warner Robins GA 3109345158RN110538Doyle, Konnie 4/14/2012
1/9/2014Richard Myung, MD 61 Whitcher St, Suite 4100 Marietta GA 3006057902RN181191Dozier, James Bradford
8/9/2013Steven Niergarth, DO 1201North Columbia Dr Milledgeville GA 3106144553RN222121Drakeford, Torrence Tremayne
7/12/2012Floyd, John MD 840 Pine Street Macon GA 3120151041RN222121Drakeford, Torrence
2/7/2008George Zoret, MD 2215 Tobacco Road, Suite F Augusta GA 3090624744RN185715Drake‐Hughes, Denise Kim 5/1/2008
7/13/2007Arnold Ray Christopher, MD 3624 J Dewey Gray Circle, Ste 110 Augusta GA 3090953119RN185715Drake‐Hughes, Denise Kim 2/11/2008
9/13/2013Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004621464RN203207Draucek, Mary Jeanette
9/1/2011Syed, Imran MD 11820 Northfall Lane Alpharetta GA 3000944117RN211572Driscoll, Erin Caitrin
11/2/2012Zanthia E. Wiley. MD 550 Peachtree Street Atlanta GA 3030854293RN102335Driver, Walline T.
3/6/2009Robert Campbell, MD 1226 D'Antignac Street Augusta GA 3090153429RN129426Driver, Katherine Ann Johnson
1/7/2011Jeremy London, MD 11706 Mercy Blvd, Plaza A, Bldg 7 Savannah GA 3141950403RN097897Drown, Cynthia Crockett
10/2/2009Brian Griner, MD 117 West Northside Dr Valdosta GA 3160246966RN141047Drumheller, Kelly Wilson
7/10/2009Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN141047Drumheller, Kelly Wilson
1/9/2014Igor Legostaev, MD 501 Redmond Rd Rome GA 3016558067RN137657Dryer, Sheba
Wednesday, May 07, 2014 Page 77 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/7/2013S. Nok Keomahathai, MD 550 Redmond Rd. Rome GA 3016551054RN137657Dryer, Sheba 7/10/2013
5/3/2013John Layher, MD 2470 Daniells Bridge Rd, Suite 251 Athens GA 3060646692RN194227Duane, Danielle Sikes
2/7/2008Michael Lindsay, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030327602RN129528Dubin, Cynthia E.
6/8/2007Michael Gardner, MD 69 Jesse Hill Jr, Dr. SE Atlanta GA 3030356710RN129528Dubin, Cynthia Ellen 1/1/2008
9/3/2009Vithal Kusuma, MD 1009 N. Monroe St Albany GA 3170121536RN069794Dubravcic, Cindia Leigh Poole
1/11/2008Michael Maloney, MD 520 Jesse Jewell Pkwy Gainesville GA 3050124982RN092409Ducote, Mary Donell Moreland
11/8/2013Robert Vandermeer, MD 2950 Buford Hwy, Suite 140 Cumming GA 3004126670RN121801Dudley, Susan Gail
3/29/2012Merlin, Mark DO 1140 Hammond Drive, Ste 110 Atlanta GA 3032831635RN121801Dudley, Susan 9/21/2012
10/8/2010Loy Cowart, MD 207 S. Duke Street Lafayette GA 3072837979RN121801Dudley, Susan Gail 11/1/2010
5/7/2009Yolanda Hacker, MD 780 North Glynn Fayetteville GA 3021445811RN094669Dugas, Princess Marie 1/16/2014
12/4/2008Germaine Denise Cummings, MD
780 North Glynn Fayetteville GA 3021452340RN094669Dugas, Princess Marie 5/13/2009
6/30/2011Thomas Simpson, Jr., MD 255 West Fifth St Rome GA 3016534949RN130310Duggar, Gina Darlene
5/9/2008Bradley Larson, MD 157 Clinic Avenue, Suite 101 Carrollton GA 3011754449RN130310Duggar, Gina Darlene
7/12/2012Keilin, Steven MD 1365 Clifton Rd, Ste 1200 Atlanta GA 3032252408RN202278Dugue, Michele
9/3/2009Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN177273Dukas, Brenda Cheryl 3/2/2010
2/5/2010Karthik Ramaswamy, MD 200 S. Enota Dr NE, Suite 200 Gainesville GA 3050140525RN204460Dukes, Deanna May
11/8/2013Thomas Fariss, MD 1400 Holcomb Bridge Rd Roswell GA 3007655747RN132595Dumas, Nicole Yvette
8/5/2011Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN172907Dumas, Therese Williams
Wednesday, May 07, 2014 Page 78 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/3/2009Charlie Rouse, MD 100 Professional Park, Suite 303 Carrollton GA 3011744076RN172907Dumas, Therese Williams 6/18/2011
10/2/2009Andrew Pippas, MD 1831 5th Avenue Columbus GA 3190453806RN153544Dumbuya, Angela Memuna Kor
9/2/2010Honorio Bulos, MD 300 Dawson Commons Cir, Suite 320 Dawsonville GA 3053448029RN169649Dumphy, Deborah Ann
8/9/2013Peter Jiang, MD 1831 5th Ave Columbus GA 3190459981RN129997Duncan, Tammy Rebecca
9/13/2012Ballay, Tereasa MD 735 Glynn Street Fayetteville GA 3021456027RN064975Duncan, Philicia
9/2/2010Benjamin Rucker, MD 1448 Lee Beard Way Augusta GA 3090117877RN078954Duncan, Patricia Williams
5/7/2010Edwin Hiatt, MD 200 Georgia Ave, Student Hlth Ctr Valdosta GA 3169812920RN163035Duncan, Kristen Lee
2/5/2010Marion Dudley Weems, MD 55 Carlton St, Univ Health Ctr Athens GA 3060233223RN134435Duncan, Laura Murray
6/5/2009Suvrat Bhargave, MD 120 Handley Rd, Suite 310 Tyrone GA 3029047297RN138799Duncan, Cynthia Abbott
9/11/2008Bobby Smith, MD 275 Collier Rd, Suite 500 Atlanta GA 3030938966RN149029Duncan, Sandy Marchas Joseph
8/8/2008Shahzad Hashmi, MD 250 North Avenue Athens GA 3060153239RN134435Duncan, Laura Murray
12/7/2007William C. Jacobs, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030918679RN149029Duncan, Sandy Marchas Joseph
8/2/2007Craig Johnson, MD 4460 Atlanta Hwy Loganville GA 3005229689RN134435Duncan, Laura Murray 1/31/2008
2/7/2013Samantha Benson, MD 3340 Paddocks Pkwy Suwanee GA 3002447699RN039868Dunn, Sara Karon P.
9/13/2012Mark Hancock, MD 163 Hospital Dr Toccoa GA 3057767750RN105176Dunn, Ida Marie
8/6/2010Crystal Slade, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453881RN190028Dunn, Alexis Brennae 10/30/2012
9/3/2009Edward Meier, MD 501 Redmond Rd Rome GA 3016543426RN063689Dunwoody, Paula Suzanne Perr
5/3/2013Eugene Jackson, MD 151 South Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN153403DuPraw, Virginia Ann Pearson
2/4/2011Jesse Ray Grant, MD 124 Third St Macon GA 3120121510RN153403DuPraw, Virginia Ann Pearson
Wednesday, May 07, 2014 Page 79 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2013Ruchir Khurana, MD 960 Joe F Harris Pkwy, Emer Dept Cartersville GA 3012053772RN193186Dupree, Susan Lee
3/8/2013Thomas A. Self, MD 1825 Marth Berry Blvd. Rome GA 3016521587RN193186Dupree, Susan Lee
11/2/2012Kenneth J. Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN193186Dupree, Susan Lee 12/7/2012
11/8/2013Madhurima Uppalapati, MD 100 Market Place Blvd, Suite 200 Cartersville GA 3012157509RN171820Duprey, Cynthia Elizabeth
10/7/2011Jin, Erica DO 1942 Atkinson Road, Ste 100 Lawrenceville GA 3004364396RN048536Durdin, Joan
10/7/2011Parker, Stacey MD 2578 Helen Highway Cleveland GA 3052860022RN112059Durham, Rebecca 9/26/2000
6/4/2010W. Perry Ballard, MD 1800 Howell Mill Rd, Suite 800 Atlanta GA 3031830265RN180719Durham, Angela Melissa
10/2/2009David Lowance, MD 1903 North Druid Hills Rd Atlanta GA 3031916095RN180719Durham, Angela Melissa 3/5/2010
9/11/2008Rebecca Loomis, MD 1331 Helen Hwy Cleveland GA 3052846984RN112059Durham, Rebecca Caroline Bro 9/12/2011
10/5/2012Robert Byrne, MD 1500 Oglethorpe Ave, Suite 200‐C Athens GA 3060651443RN161843DuVall, Caroline
6/7/2013Amy K. Pearson, MD 2481 Hwy 17 Richmond Hill GA 3132447638RN193961Duverger‐Juleus, Sandy
2/3/2012Ferree, Suzanne MD 1357 Hembree Rd, Ste 240 Roswell GA 3007647772RN109974Duxbury, Linda McIver 4/16/2014
2/6/2014William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN185734Dyal, Brenda Sue
4/1/2010Debora Quigley, MD 178 Hospital Circle Blairsville GA 3051236601RN164989Dyer, Elizabeth Marie
12/6/2013Bounthavy Homsombath, MD
3675 J Dewey Gray Cir, Suite 300 Augusta GA 3090968031RN228108Dykes, Angela Renee
5/3/2013Shahriar Sedghi, MD 610 Third St, Suite 204 Macon GA 3120137678RN192090Dykes, Lauren Mathews
1/6/2012Dean, R. Jonathan MD 380 Hospital Drive, Bldg A, Ste 430 Macon GA 3121731403RN192090Dykes, Lauren
3/6/2009Andrew Doris, MD 761 Old Norcross Road Lawrenceville GA 3004549005RN108119Dysinger, June Neil 1/9/2010
Wednesday, May 07, 2014 Page 80 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009Jan Mayfield, MD 49 Hosiery Mill Road, Suite 124 Dallas GA 3015751355RN066361Eades, Lee Ann Hunter 10/11/2009
4/4/2014Leilani Shivers, MD 900 Dallis St, Suite D LaGrange GA 3024057507RN188112Earl, Merri Anderson
2/6/2014George Katsitadze, MD 4120 Five Forks Trickum Rd, Suite 102 Lilburn GA 3004752456RN217816Earnest, Nina Choi
3/8/2013Harrison Stetler, MD 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 3009241681RN217816Earnest, Nina Choi 8/23/2013
6/7/2013Barbara Weissman, MD 2015 Uppergate Dr Atlanta GA 3032232082RN195095Eaton, Lynnfield Massey
9/13/2013Lloyd Rimer, MD 3541 Chattanooga Rd Tunnel Hill GA 3075530665RN225095Eckert, Cynthia Jean
12/7/2012David R. Wharton 100 Gross Crescent Cr. Ft. Oglethorpe GA 3074225310RN225095Eckert, Cynthia J. 3/1/2013
1/11/2008Matthew Keadey, MD 1364 Clifton Road Atlanta GA 3032249143RN156896Economy, Lee Nicky
3/4/2010Glenda Wright, MD 125‐B Victory Dr Swainsboro GA 3040162456RN134734Edds, Crystal Michele
8/10/2012Edsworth John, MD 811 13th St, Ste 10 Augusta GA 3090165012RN184707Edenfield, Monica
3/4/2011Francis Kwarteng, MD 401 South Madison St Albany GA 3170161792RN054422Edge, Elois Lewis
7/10/2009Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN190120Edge‐Knauff, Julia Kaye 10/1/2009
9/11/2008Daniel Messcher, MD VSU Stud Health Ctr, North Oak St Valdosta GA 3169848443RN190120Edge‐Knauff, Julia Kaye 3/18/2009
3/6/2009Anthony Harbin, MD 1525 Chattanooga Road Dalton GA 3072029665RN135120Edgeman, Michelle Blalock 7/16/2011
11/8/2013Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN112337Edmonds, Peggy Dockery
6/8/2012Rogers, Michael MD 1941 Phinizy Road Augusta GA 3090646482RN112337Edmonds, Peggy 9/7/2012
11/5/2010Eugene Jackson, MD 151 South Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN112337Edmonds, Peggy Dockery 2/20/2012
5/7/2009Steven Johnson, MD 1111 Glynco Pkwy, #100 Brunswick GA 3152517836RN112337Edmonds, Peggy Dockery 7/15/2010
6/7/2013Dennis Thomas, MD 3374 Greystone Way Valdosta GA 3160522898RN113560Edwards, Michelle East
Wednesday, May 07, 2014 Page 81 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Friedman, Brenda MD 6325 Hospital Parkway ER Johns Creek GA 3009754709RN207801Edwards, Michele
10/7/2011Jose Acevedo, MD 1299 Interstate Pkwy Augusta GA 3090925499RN172925Edwards, Kilauna Marisa
6/30/2011W. Perry Ballard, MD 1800 Howell Mill Rd, Suite 800 Atlanta GA 3031830265RN211927Edwards, Annalee Skelton
3/4/2011Allen Dollar, MD 80 Jesse Hill Dr, Suite 2F Atlanta GA 3030335244RN207801Edwards, Michele Lee
2/4/2011Gopala Derebail, MD 2336 Dawson Rd Albany Ga 3170714307RN113560Edwards, Michelle East
2/7/2008David Arnall, MD 101 Yorktown Drive, Suite 100 Fayetteville GA 3021436916RN183206Edwards, Patricia Ann
7/10/2009Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN164522Eichenlaub, Gretchen Dean 12/31/2012
7/10/2009Catherine Bonk, MD 315 Winn way Decatur GA 3003030435RN164522Eichenlaub, Gretchen Dean
7/10/2009Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN164522Eichenlaub, Gretchen Dean
7/10/2009Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN164522Eichenlaub, Gretchen Dean
7/10/2009Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN164522Eichenlaub, Gretchen Dean
7/10/2009Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN164522Eichenlaub, Gretchen Dean
1/9/2014Josephine Tan, MD 106 East Broad St Savannah GA 3140119193RN119402Eiland, Carolyn A.
4/4/2013Raymond Ramirez, MD 5180 Jimmy Carter Blvd Norcross GA 3009331310RN120872Ejifoma, Mary Iniovosa 2/3/2014
8/5/2011Franklin Von Hack, MD 861 Holcomb Bridge Rd, Ste 200 Roswell GA 3007639501RN120872Ejifoma, Mary Iniovosa 8/20/2012
8/7/2009Ahmad Jingo, MD 3424 Flat Shoals Rd Decatur GA 3003445842RN120872Ejifoma, Mary Iniovosa 2/18/2014
5/7/2010Shahzad Hashmi, MD PO Box 263 Lawrenceville GA 3004653239RN042548Ekard, Charlotte Ann Hodges
5/9/2008Corliss Rupp, MD 1711 Athens Hwy, Suite 500 Grayson GA 3001749091RN042548Ekard, Charlotte Ann Hodges 5/31/2008
4/3/2008Craig Johnson, MD 4460 Atlanta Hwy, Suite B Loganville GA 3005229689RN042548Ekard, Charlotte Ann Hodges 9/30/2008
Wednesday, May 07, 2014 Page 82 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/13/2007Robin M. Johnson, MD 1014 Main Street Stone Mountain GA 3008351410RN042548Ekard, Charlotte Ann
4/4/2013Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632Rn161701Elango, Theresa Elena
5/9/2008David Kunz, MD 1655 Lebanon Rd, Suite A Lawrenceville GA 3004329703RN134366Eldred, Susan Elaine
12/4/2008Valens Plummer, MD 780 North Glynn Fayetteville GA 3021449496RN045263Eley, Cecelia Joyce 5/12/2009
8/5/2011Robert Dourron, MD 2675 N. Decatur Rd, Ste 301 Decatur GA 3003348617RN124957Elie, Joann 10/5/2012
3/4/2011Shalandra Ross, MD 770 Village Square Dr Stone Mountain GA 3008364457RN124957Elie, Joann
4/1/2010Shirley Rigaud‐Echols, MD 770 Village Square Dr Stone Mountain GA 3008358639RN124957Elie, Joann 8/31/2010
6/8/2012Gillett, Richard MD 1800 10th Avenue Columbus GA 3190134142RN175222Elkins, Amanda 11/28/2012
8/5/2011Derek Woessner, MD 1800 10th Ave Columbus GA 3190151194RN175222Elkins, Amanda Layne 6/17/2011
10/10/2013Douglas Olson, MD 1200 Northside‐Forsyth Dr, Emer Dept Cumming GA 3004151073RN209871Eller, Tanya Haydee
10/5/2012Uchenna Kalu, MD 157 Burke St. Stockbridge GA 3028162127RN186595Ellington, Rosina
7/12/2012Robinowitz, Michael MD 1255 Hwy 54 West Fayetteville GA 3021417274RN186595Ellington, Rosina
1/9/2014Robert Holland, MD 2927 Demere Rd St Simons Island GA 3152259662RN225477Elliott, J. Carol
1/11/2013Anthony Captain, MD 400 Timms Rd., NE Calhoun GA 3070139300RN115578Elliott, Kelly R.
7/13/2007Frank David Newby, MD 1506 Broadrick Drive Dalton GA 3072038314RN115578Elliott, Kelly Ray 1/30/2013
2/6/2014Thomas Whitesell, MD 2060 Dan Proctor Dr, Suite 210 St Marys GA 3155852854RN184088Ellis, Robyn Nicole
3/6/2009Linda Sacks, MD 4750 Waters Avenue, Suite 206 Savannah GA 3140424724RN154735Ellis, Kyndra Lenee
6/8/2007Pradeep Jolly, MD 975 Johnson Ferry Rd. Atlanta GA 3034222798RN150577Ellis, Laura Anne Green
10/5/2012Kerry Neises, MD 1107 Memorial Dr., Ste 300 Dalton GA 3072043720RN164926Elrod, Leah
Wednesday, May 07, 2014 Page 83 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/7/2013Jane Ellis, MD 69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor
Atlanta GA 3030344208RN204492Elsinga, Elysia Nicole
5/4/2012Ault, Kevin MD 69 Jessee Hill Jr., Dr, SE, GYN/OB Dept, 4th floor
Atlanta GA 3030356403RN204492Elsinga, Elysia 12/13/2012
8/6/2010Jeffrey Esslinger, MD 300 Court Yard Drive Cartersville GA 3012045455RN154628Emery, Tonya Leigh
3/4/2010Mary East, MD 300 Cherokee Pl Cartersville GA 3012163187RN154628Emery, Tonya Leigh 10/2/2010
7/10/2009Nichole LeBoyd, MD 5985 Peachtree Pkwy Norcross GA 3009254452RN064364Emery, Marie Kerr
12/4/2008Eric Powell, MD 1250 Jesse Jewell Pkwy, Suite 400 Gainesville GA 3050149081RN064364Emery, Marie Kerr 12/31/2009
11/7/2008Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN154628Emery, Tonya Leigh 2/4/2010
4/13/2007Lenka Novotna, MD 800 East Doyle Street Toccoa GA 3057751698RN064364Emery, Marie Kerr 3/18/2011
5/7/2010Joe Harris Morgan, III, MD 2402 Osler Court, Suite 200 Albany GA 3170753503RN130096Enfinger, Lesley Johnson
4/2/2009Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN130096Enfinger, Lesley Johnson 5/1/2009
3/6/2009Luis Murrain, DO 360 College Street Blakely GA 3982357747RN144558Enfinger, Casidy Davis
10/2/2008Abdollatif Ghiathi, DO 208 McDonald Aveune Cuthbert GA 3984040908RN144558Enfinger, Casidy Davis 2/6/2009
1/9/2014Brenda Hott, MD 200 S Enota Dr, Suite 200 Gainesville GA 3050141441RN183909Engel, Bryan Scott
11/5/2009Lawrence Powell, MD 3740 Cascade Road Atlanta GA 3033138915RN123591English, Tracy C. 2/24/2010
12/6/2013Tyrone Malloy, MD 4201 Rainbow Dr Decatur GA 3003423086RN111252Enrique‐Lofton, Laverne Juanita
1/6/2012Thomas Ho, MD 7494 Battlefield Pkwy Ringgold GA 3073644748RN077047Ensley, Deirdre Walker 1/26/2012
10/4/2007Dennis Estep, MD 2366 Battlefield Parkway FT Oglethorpe GA 3074225429RN077047Ensley, Deirdre Walker 3/1/2011
8/5/2011Kirti Shah, MD 605 Old Norcross Rd Lawrenceville GA 3001927248RN180187Enworom, Chinyere D.
Wednesday, May 07, 2014 Page 84 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Okiki Louis, MD 1490 Pleasant Hill Road Duluth GA 3009647479RN180187Enworom, Chinyere D. 4/25/2014
1/11/2013Stephanie H. Gordon, MD 2750 Owens Dr., Suite A Conyers GA 3009449382RN164147Epling, Maria Goenaga
2/5/2010William Mahle, MD 1405 Clifton Rd Atlanta GA 3032250110RN138969Epstein, Robin Nadine Pollack 8/5/2013
11/5/2009Robert Younger, III, MD 1107 Memorial Dr, Suite G‐2 Dalton GA 3072031373RN152483Erhard, Darla Rae
11/1/2007Philip Henderson, MD 289 Grayson Hwy Lawrenceville GA 3004547601RN137469Erkenbrack, Susan Karen 6/20/2010
3/6/2014William Whitten, MD 3934 Woodruff Rd Columbus GA 3190442770RN162446Ernest, Michelle Kelly
2/4/2011Raushanah Hud‐Aleem, DO 3110 Clifton Springs Rd, Suite B Decatur GA 3003462999RN049625Ervin, Nora
7/1/2010Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN049625Ervin, Nora 5/30/2012
10/10/2013Lester Freeman, MD 2600 MLK Jr Dr, Suite 206 Atlanta GA 3031147431RN128018Esezobor, Cherri Denise
4/1/2011Richard Schwartz, MD 1120 15th St, Suite AF‐2044 Augusta GA 3091242935RN040164Espitallier, Catherine V 8/1/2011
11/8/2013Ruth O'Regan, MD 490 Jesse Hill Dr SE, Room 120 Atlanta GA 3030353350RN185062Estabrook, Christine M
1/6/2012Kauh, John MD 80 Jesse Hill Jr Drive SE Atlanta GA 3030352970RN185062Estabrook, Christine
8/5/2011John Kauh, MD 1365 Clifton Rd, Bldg C Atlanta GA 3022252970RN185062Estabrook, Christine M. 10/18/2013
2/5/2010Richard Carter, MD 1506 Klondike Rd, Suite 205 Conyers GA 3009438439RN185062Estabrook, Christine M. 10/3/2010
10/10/2013Joy Smith, MD 35 Jesse Hill Jr Dr Atlanta GA 30306338968RN142360Estes, Shaquita Nichole Lewis
10/10/2013Najaz Woods‐Bishop, MD 1510 Hudson Bridge Rd Stockbridge GA 3028158350RN142360Estes, Shaquita Nichole Lewis
2/7/2013Dekisha Drayton, MD 3885 Princeton Lakes Way, Suite 302 Atlanta GA 3033153016RN142360Estes, Shaquita Nichole Lewis
12/1/2011Flowers, Runette MD 2855 Candler Rd, Ste 9 Decatur GA 3003418297RN142360Estes, Shaquita
11/5/2009Ann Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN142360Estes, Shaquita Nichole Lewis
Wednesday, May 07, 2014 Page 85 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007E. Wynn Kallay, MD 550 Professional Drive Macon GA 3120127395RN125688Estes, Sandi Waits
5/1/2014Maurice Solis, MD 575 First St Macon GA 3120130673RN081198Etheridge, Christy Rebecca
1/9/2014Eric K Davis, MD 235 E Washington Ave Ashburn GA 3171463648RN076629Ethridge, Susan Rachel
7/12/2012Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN076629Ethridge, Rachel 3/27/2014
3/4/2010Patrina Lockette‐Smith, MD 354 E. Washington Ave Ashburn GA 3171448855RN076629Ethridge, Rachel Susan
2/5/2010Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN076629Ethridge, Rachel Susan 4/19/2010
11/5/2009Dong Shin, MD 1365‐C Clifton Rd NE Atlanta GA 3032254026RN063255Etris, Sharon Ann Reid
12/6/2013Charles Harden, MD 621 East First St, Suite B Vidalia GA 3047544930RN113548Evans, Kimberly
3/8/2013Thomas A. Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN145456Evans, Rebecca Berrier 4/8/2013
11/2/2012Alice R. House, MD 100 College Station Dr. Macon GA 3120643065RN168361Evans, Natalie F.
3/29/2012Moore, Helen‐Louise MD 116 S. Houston Road Warner Robins GA 3108845098RN150100Evans, Monica
1/6/2012Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN113548Evans, Kimberly 1/28/2013
12/1/2011Munsayac, Lumawig MD 111 North 3rd Street Glenwood GA 3042815028RN113548Evans, Kimberly
6/3/2011Alice House, MD 100 College Station DR Macon GA 3120643065RN168361Evans, Natalie Fulford
9/11/2008Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN033687Evans, Anne T. 10/24/2008
6/6/2008Josephine Lopez, MD 650 Oglethorpe Avenue, Suite 4 Athens GA 3060644125RN138783Evans, Ann Marie Ostrander
12/7/2007Hal Herd, MD 601‐A Professional Dr, Ste 370 Lawrenceville GA 3004513140RN120377Evavold, Kristine Marie Kenney
7/1/2010Charles McCord, MD 3345 Hwy 34 East, Suite 102 Sharpsburg GA 3027739409RN145552Everett, Kendra Davis
8/5/2011Tommy Morgan, MD 120‐A Gordon Commercial Dr LaGrange GA 3024057755RN087281Evers, Sharon Lee Sterner 10/18/2011
Wednesday, May 07, 2014 Page 86 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2011Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN129054RN129054
Ewart‐Madhere, Arlene Elaine 9/6/2012
12/4/2008William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN129054Ewart‐Madhere, Arlene Elaine 9/24/2009
5/7/2010Mark Stovroff, MD 960 Johnson Ferry Rd, Suite 315 Atlanta GA 3034237088RN167366Fahien, Erin Mary 6/9/2010
7/11/2013James Richardson, MD 743 Spring St Gainesville GA 3050153601RN205146Fairchilds, Mary Elizabeth
3/1/2012Fussell, Melvin MD 1770 Watson Blvd Warner Roins GA 3109352565RN154242Faircloth, Lisa
8/5/2011Richard Wheeler, MD 416‐A E. McPherson Street Nashville GA 3163946227RN122237Faircloth, John Myron
6/3/2011Alberto Garcia, MD 209 E. Main St Hahira GA 3163254374RN122237Faircloth, John Myron
10/10/2013John Attokaren, MD 11600 Atlantis Place, Suite B Alpharetta GA 3002229575RN203210Fairfield, Lois Arlou
9/3/2009James Sipp, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034253880RN062189Fairlamb, Catherine Lois Visha
11/1/2007David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN048537Fannon, Marjorie Ann Pryor
10/5/2012Precious Braswell, MD 2885 Headland Dr. East Point GA 3034455729RN092866Fareed, Surayyuh W
5/7/2009Joseph Boveri, MD 5430 Glenridge Drive Atlanta GA 3034238693RN198099Fargason, Danielle Nicole
1/9/2014Amyn Hirani, MD 55 Whitcher St, Suite 160 Marietta GA 3006064388RN188848Fargnoli, Marisa Lee
1/9/2014Chrissie Clure, MD 800 E. 70th St Savannah GA 3140549281RN231734Farnum, Marsha Delaine
4/13/2007Houston H. Pittman, MD 20 Riverbend Drive, SW Rome GA 3016118065RN186074Farrington, Sherry Lynn 3/14/2008
2/5/2010Christpher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006221796RN136220Farris, Scott Penn
3/29/2012Martinez, Frederick MD 5354 Reynolds Street Ste 424 Savannah GA 3140560185RN118892Faudree, Cyndi
6/30/2011John Vu, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024840813RN069262Faulkner, Linda Leigh
Wednesday, May 07, 2014 Page 87 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2009Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN069262Faulkner, Linda Leigh 4/15/2010
7/10/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN069262Faulkner, Linda Leigh
10/2/2008William Watkins, MD 235 P'tree St NE, North Tower, #2100 Atlanta GA 3030332076RN069262Faulkner, Linda Leigh
12/6/2012Neelima Kothari, MD 55 Whitcher St, Suite 160 Marietta GA 3006051494RN195879Favis, Tara Lynn
3/8/2013Derrell Anglyn, Jr, MD 55 Sims St McDonough GA 3025324198RN173878Fears, Stacey Lorraine
11/2/2012Lee D. Jacobs, MD 107 Mountain Brook Dr., Ste 100 Canton GA 3011528283RN154172Fegely, Karen J.
11/3/2011Donna Gregory, MD 107 Mountain Brook Dr, Ste 100 Canton GA 3011551227RN154172Fegely, Karen 10/14/2012
4/1/2011William Chastain, MD 400 Timms Rd NE Calhoun GA 3070165091RN154172Fegely, Karen Joy Krasley
10/8/2010Carla Bedford‐Dixon, MD 143 Hickory Flat Hwy Canton GA 3011460239RN154172Fegely, Karen Joy Krasley 9/29/2011
7/11/2013Ram Reddy, MD 132 Franklin Springs St Royston GA 3066224178RN226586Fekadu, Aynaddis
3/1/2012Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN080116Fell, Jeanne
11/3/2011Beard, Charlene MD 2201 Mt. Zion Pkwy Morrow GA 3026020513RN080116Fell, Jeanne
1/9/2009Hansa Bhargava, MD 2201 Mt Zion Pkwy Morrow GA 3026052423RN080116Fell, Jeanne Ingraham 7/1/2011
4/13/2007Nydia Maria Bladuell, MD 790 Church Street, Ste 470 Marietta GA 3006038429RN153328Felser, Felice 6/28/2007
5/1/2014Eyal Meiri, MD 600 Parkway North Newnan GA 3026570324RN207428Fenceroy, Megan Louise
1/9/2014Raymond Easley, DO 1675 Cumberland Pkwy, Suite 205 Smyrna GA 3008020987RN207428Fenceroy, Megan Louise 3/19/2014
1/9/2014Ekan Essian, MD 5815 Windward Pkwy, Suite 205 Alpharetta GA 3000561772RN207428Fenceroy, Megan Louise
11/8/2013Ademola Opanuga, MD 2636 MLK Jr Dr, Suite 12 Atlanta GA 3031166352RN207428Fenceroy, Megan Louise 11/7/2013
4/4/2013Dennis Conrad Harper, MD 1400 N Peterson Ave Douglas GA 3153353749RN194077Fender, Justin Marcus
Wednesday, May 07, 2014 Page 88 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2012Justin F. Harrell, MD Coffee Family Medicine, 200 Doctors Dr., Ste 224
Douglas GA 3153359162RN194077Fender, Justin M.
10/5/2012Jeffery Winge, MD 1101 Ocilla Rd. Douglas GA 3153359530RN194077Fender, Justin
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd floor Augusta GA 3090133283RN039700Ferguson, Kathy Patterson
1/7/2010Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN126877Fernandes, Glenn Raymond 1/1/2012
1/11/2013Pierre J. Fontaine, MD 1153 North Liberty St. Nicholls GA 3155462686RN040735Ferra, Mary G.
1/7/2010Brian Herrmann, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034254219RN063288Ferrand, Mary Ellen
5/1/2014Fariborz Zaer, MD 106 East Broad St. Savannah GA 3140145679RN052324Ferrelle, Christine Bruyette
4/1/2011L. Kyrin Dunston, MD 800 East 70th St Savannah GA 3140541781RN170784Ferrelli, Dorothy Lynn 7/29/2011
7/11/2008Marisa Gadea, MD 1121 Johnson Ferry Rd, Suite 220 Marietta GA 3006841802RN136405Fetsch, Deanna Marlene
8/7/2009Amy Wetter, MD 980 Johnson Ferry Rd, #620 Atlanta GA 30347257701RN071233Fielder, Judy Parsons
9/13/2013Thomas Ho, MD 7494 Battlefield Pkwy Ringgold GA 3073644748RN228752Figueroa, Susan Woollen
6/3/2011Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN143128Figueroa, Renee Sunshine
7/11/2008William Early, MD 320 Hospital Road Canton GA 3011420694RN144625Figueroa, Virgil
8/8/2008Shazib Khawaja, MD 705 Dixie Street Carrollton GA 3011758888RN126896Fikes, Debra Kay Cofield 10/22/2010
4/4/2013Maiysha Clairborne, MD 2801 Buford Hwy, Suite T‐30 Atlanta GA 3032455194RN183720Fingerman, Olga
4/4/2013Sendhil Subramanian, MD 1000 Johnson Ferry Rd, Suite B‐155 Marietta GA 3006849107RN183720Fingerman, Olga
10/4/2007Tan‐Loc Nguyen, MD 1025 N. Houston Road Warner Robins GA 3109352213RN159627Fingles, Debra
2/6/2014Vicki Morgan, MD 3815 Harrison Rd Loganville GA 3005225645RN071833Finkenhoefer, Patricia S
Wednesday, May 07, 2014 Page 89 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Mark Coker, MD 14557 Hwy 19, Suite A Griffin GA 3022456276RN180071Finn, Stephanie Marlene
12/7/2012Robert P. Dourron, MD 2675 N. Decatur Rd., Ste. 301 Decatur GA 3003348617RN112386Finnegan, Kimberly L.
6/4/2010George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN129326Fisher, Mary Grace
3/6/2009Robert Taylor, DO 5281 Cleveland Hwy Clermont GA 3052731338RN062903Fisher, Nancy Elizabeth Morse
9/11/2008Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN055758Fisher, Melanie Crittenden 10/24/2008
4/13/2007Edward Ira Galaid, MD 678 Lanier Park Drive Gainesville GA 3050637544RN062903Fisher, Nancy Elizabeth Morse 1/5/2009
8/7/2009Kelly Davillier, MD 51 Hiram Dr, Bldg B Hiram GA 3014160168RN197580Fishman, Nicole Beth
8/5/2011Peter Wrobel, MD 409 Uvalda Street Waycross GA 3150140285RN096592Fitzpatrick, Kathleen 5/13/2013
3/4/2010Honorio Bulos, MD 300 Dawson Commons Cir, Suite 320 Dawsonville GA 3053448029RN095260Flax, Debra S.
4/3/2008Margaret Boudreaux, MD 763 Peachtree Parkway, Suite 2 Cumming GA 3004144172RN095260Flax, Debra S. 9/29/2009
5/1/2014Michael Banov, MD 11755 Pointe Place, Suite A‐1 Roswell GA 3007637945RN142299Fleming, Marla Kaye Yancey
5/10/2007Paul Behrmann, MD 224 Reagan Circle Dawsonville GA 3053419638RN057211Fleming, Janice Hardin
4/4/2013Verlia Gower, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034238499RN191589Fletcher, Natalie Nason
6/3/2011James Stillerman, MD 4181 Hospital Dr, Suite 401 Covington GA 3001431515RN046271Flicek, Barbara Lynn
1/7/2011Stuart Brooker, MD 550 Peachtree Street Atlanta GA 3030836929RN196619Flint, Deborah N Chika
12/4/2008Gary Billingsley, MD 1215 West Wheeler Pkwy Augusta GA 3090929582RN114986Flippo, Sharyn Renee 1/2/2013
12/7/2012Cecilia D. Arango, MD CRH Family Med., 304 Weside Dr. Douglas GA 3153368354RN175893Flory, Michael
2/3/2012Lister, Debra MD 1101 Ocilla Road Douglas GA 3153338849RN175893Flory, Michael
6/30/2011Johnathan Gaskins, MD PO Box 1287 Douglas GA 3153356836RN175893Flory, Michael S. 1/12/2012
Wednesday, May 07, 2014 Page 90 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/8/2008Warren Henderson, MD 303 Smith Street LaGrange GA 3024020734RN134967Flory, Tracy
1/11/2013Mandy Moye, MD 603 S. Wheat Ave., #450 Bainbridge GA 3981965589RN112395Flowers, Deborah H.
7/11/2013Gayoung Hong, MD 13570 N Main St Trenton GA 3075267467RN200664Floyd, Kaci J 12/20/2013
6/7/2013Rajeshkumar Miniyar, MD 140 Three Rivers Dr Rome GA 3016151597RN181122Floyd, Kortney Melissa
3/8/2013John DeSimone, MD 611 East Washington Ave Ashburn GA 3179419930RN169929Floyd, Dawn Marie
6/30/2011Donna Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200664Floyd, Kaci J. 5/10/2013
6/3/2011Roger Venable, MD 901 E. 18th St, Emer Dept Tifton GA 3179421437RN169929Floyd, Dawn Marie 2/20/2013
1/9/2009Harvey Harris, MD 1900 10th Avenue, Suite 211 Columbus GA 3190137825RN112396Fluker, Janet Gay
11/7/2008Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN163789Fly, Mary Donaldson
3/7/2008Sean Lynch, DO 3736 Mike Padgett Hwy, Suite A Augusta GA 3090649186RN163789Fly, Mary Donaldson
6/6/2008Benjamin Cheek, MD 2000 Hamilton Road Columbus GA 3190425332RN067040Flynn, Melissa Melinda Terry
11/5/2010Sharon Rabinovitz, MD 141 Piedmont Ave, Suite D Atlanta GA 3030346806RN049093Foley, Kathryn Liedtke
3/6/2009Theresa Berry, MD 1525 Clifton Road NE Atlanta GA 3004749355RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Michael Allan, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032233511RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Lisa Lefkovits, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032250117RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Dawn Mielke, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032237752RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Michael Huey, MD 1525 Clifton Road NE, 2nd Floor Atlatna GA 3032250962RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Carol Rappaport, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032231435RN049093Foley, Kathryn Liedtke 5/16/2009
5/9/2008Catherine Dekle, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032253130RN049093Foley, Kathryn Liedtke 8/16/2008
Wednesday, May 07, 2014 Page 91 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2008Lori Corley, MD 3707 Largent Way Marietta GA 3006434251RN088862Follmer, Diane Marie Schaefer
9/13/2013Candice Wallace, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004630918RN162306Foote, Regina Marie
3/6/2014Swapna Madhavan, MD 260 Elm St Cumming GA 3004057098RN207084Ford, Ashley Kathleen
1/9/2014Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN111299Ford, Deborah Patrice 12/31/2013
5/3/2013Charis Trench‐Simmons, MD
386 Princeton Lakes Way, Suite 280 Atlanta GA 3033158337RN066207Ford, Marsha Denise
7/12/2012Cornwell, James MD 800 Towne Park Drive, Ste 100 Springfield GA 3132950608RN057176Ford, Janice
1/6/2012Laygo, Romualdo MD 1451 Hwy 21 South, Ste H Springfield GA 3132017843RN057176Ford, Janice
11/3/2011Sharpton, Julian MD 891 church Street Royston GA 3066217084RN139406Ford, Nicole
11/3/2011Sharpton, Julian MD 891 Church Street Royston GA 3066217084RN144697Ford, William
5/7/2010Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN139406Ford, Nicole Ruff
5/7/2010Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 9/22/2011
11/5/2009Prakash Patel, MD 499 Hwy 119 South Springfield GA 3132945909RN057176Ford, Janice E. 9/8/2010
11/5/2009Joseph Ratchford, MD 499 Hwy 119 South Springfield GA 3132932848RN057176Ford, Janice E. 9/8/2010
9/3/2009Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN144697Ford, William Chester 5/1/2010
9/3/2009Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN139406Ford, Nicole Ruff 5/1/2010
5/7/2009Tracey Lemon, MD 315 Boulevard NE, Suite 328 Atlanta GA 3031250723RN066207Ford, Marsha Denise 2/7/2011
7/11/2008Christopher Mathews, MD 1451 Hwy 21 South, Suite H Springfield GA 3132949133RN057176RN057176
Ford, Janice E.
4/3/2008Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 3/26/2009
Wednesday, May 07, 2014 Page 92 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/3/2008Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN139406Ford, Nicole Ruff 3/26/2009
12/7/2007James Cornwell, Jr., MD 459 Hwy 119 South, Suite A Springfield GA 3132950608RN057176Ford, Janice E 7/10/2008
8/9/2013John Kludt, MD 3700 Club Dr Lawrenceville GA 3004434876RN144697Ford, Jr., William Chester
7/12/2012Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN144697Ford, Jr., William
1/11/2013Jonathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN214205Forehand, Michael A. 1/1/2013
9/13/2012Lee, Mark MD 1221 E. McPherson Avenue Nashville GA 3163959451RN214205Forehand, Michael
9/1/2011Peters, Howard MD 2501 N. Patterson Street Valdosta GA 3160251530RN021405Forehand, Michael A.
6/30/2011William Cross, DO 2501 N. Patterson St Valdosta GA 3160262831RN214205Forehand, Michael Anthony 7/12/2011
12/6/2013William Thorneloe, MD 2978 Hwy 36 West Jackson GA 3023323119RN022696Foreman, Jerrye A
9/11/2008Leslie Gray, MD 9900 Medlock Bridge Road Duluth GA 3009740083RN154091Foreman, Lisa Marie
10/7/2011Richard Wherry, MD 59 Tipton Dr Dahlonega GA 3053317341RN164301Fortenberry, Melanie Renea
8/5/2011George Petro, MD 59 Tipton Drive Dahlonega GA 3053362511RN164301Fortenberry, Melanie
4/1/2010Debora Quigley, MD 178 Hospital Circle Blairsville GA 3051236601RN164301Fortenberry, Melanie Renea 6/16/2010
3/4/2010Ramzi Ghosn, MD 278 Hwy 400 North, Suite 1160 Dawsonville GA 3053357974RN164301Fortenberry, Melanie Renea
8/9/2013James Smith, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004659763RN118689Foss, Merry‐Lynn
1/9/2009James Capes, MD 550 Peachtree St, Emergency Dept Atlanta GA 3030838438RN118689Foss, Merry‐Lynn
10/10/2013Tami Breton, MD 3805 Cherokee St Kennesaw GA 3014438695RN159786Foster, Jessica Lyn Albano
5/3/2013Joshua King, MD 5126 Hospital Dr Covington GA 3001452116RN173330Foster, Amber Brooke
12/7/2012Cecilia D. Arango, MD 304 Westside Dr. Douglas GA 3153368354RN115596Foster, Michal A.
Wednesday, May 07, 2014 Page 93 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Lister, Debra MD 1101 Ocilla Road Douglas GA 3153338849RN115596Foster, Michal
3/4/2011Mark Brulte, MD 200 Doctors Dr, Suite 106 Douglas GA 3153348490RN115596Foster, Michal Aimee Lockaby 6/15/2012
10/8/2010Michael Nulph, MD 203 S. Wayne St Alma GA 3151057735RN115596Foster, Michal Aimee Lockaby 3/31/2011
3/4/2010Stan Bravy, MD 153 Independence Drive Carrollton GA 3011628145RN206637Foster, Carole Ann 10/31/2012
2/7/2013Samantha Benson, MD 3340 Paddocks Pkwy Suwanee GA 3002447699RN157997Foster‐Hall, Tracy Michelle
12/6/2013John Vu, MD 3384 Peachtree Rd NE, Suite 700 Atlanta GA 3032640813RN119706Foston, Tenita Phillips
8/6/2010James Spivey, MD 1365‐B Clifton Rd Atlanta GA 3032251848RN119706Foston, Tenita Phillips
9/13/2012Amelia Mathews, MD 200 Wisteria Dr. Gaineville GA 3050158285RN201885Fountain, Amber L. 1/29/2014
10/7/2011Black, Jeff MD 200 Wisteria Drive Gainesville GA 3050137486RN201885Fountain, Amber 3/27/2012
1/7/2010Elizabeth Furbish, MD 2450 Vinson Hwy, Cook Bldg Milledgeville GA 3106258472RN201885Fountain, Amber Linnet
12/4/2009James Daly, MD PO Box 14417 Savannah GA 3141636358RN101700Fountain, Athena Joann Sinopol
8/5/2011Catherine James‐Peters, MD
454 Smith Avenue Thomasville GA 3179263671RN214962Foutch, Brandon 9/28/2011
11/8/2013Noemi Carcar, MD 303 Fraser Dr Hinesville GA 3131341526RN206545Fowler, Elizabeth Ashley
9/13/2012Nicolas Sanchez, MD 3000 Schatulga Road Columbus GA 3190737356RN050746Fowler, David 6/25/2013
8/5/2011Joseph LeRoy, MD 400 S Pinetree Blvd Thomasville GA 3179933623RN050746Fowler, David Hunt 6/29/2012
1/7/2011Salman Baseer, MD 705 North Division St Rome GA 3016559121RN050746Fowler, David H. 7/14/2011
1/7/2010Smita Varshney, MD 306 Shorter Ave Rome GA 3016545997RN050746Fowler, David H. 2/1/2010
9/13/2012John Chung, MD 1107 Memorial Dr., Ste 201 Dalton GA 3072041532RN210612Fowlkes, Rebecca J.
Wednesday, May 07, 2014 Page 94 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Joseph Sentef, Jr, MD 513 Benjamin Way, Suite 200 Dalton GA 3072132816RN084674Fox, Bruce Michael
11/5/2009Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN038536Fox, Stephanie Elaine
9/11/2008Wendy Troyer, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032833786RN047729Fox, Vickie Pendley
9/14/2007David Morris, MD 3280 Howell Mill Rd. NW, Suite 326 Atlanta GA 3032728828RN138434Fox, Rodney Paul
4/1/2011Sandra Maryman, MD 1525 Clifton Rd, Student Health Atlanta GA 3032224035RN103393Fraher, Margaret Mary McCarth
5/7/2010LaJune Oliver, MD 1525 Clifton Rd Atlanta GA 3032247986RN103393Fraher, Margaret Mary McCarth 7/17/2010
3/6/2009Theresa Berry, MD 1525 Clifton Road NE Atlanta GA 3004749355RN103393Fraher, Margaret Mary M
5/9/2008Catherine Dekle, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032253130RN103393Fraher, Margaret Mary Mccarth 8/16/2008
5/9/2008Michael Allan, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032233511RN103393Fraher, Margaret McCarthy
5/9/2008Lisa Lefkovits, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032250117RN103393Fraher, Margaret McCarthy 8/1/2009
5/9/2008Dawn Mielke, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032237752RN103393Fraher, Margaret McCarthy
5/9/2008Michael Huey, MD 1525 Clifton Road ND, 2nd Floor Atlanta GA 3032250962RN103393Fraher, Margaret McCarthy
5/9/2008Carol Rappaport, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032231435RN103393Fraher, Margaret McCarthy 12/31/2009
5/7/2009Arunas Urbonas, MD 3564 N. Crossing Cir, Suite B Valdosta GA 3160254135RN149522Fralick, Ivy Duncan
8/5/2011Yahya Siddiq, MD 1700 Hospital South Dr, Suite 200 Austell GA 3010618954RN195296Francisco, Geraldine Ann Del Ca
1/7/2010Christopher Stevens, MD 2945 Panola Road Lithonia GA 3003854515RN114539Francis‐Liburd, Julyn Clair 1/16/2014
12/4/2008William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN114539Francis‐Liburd, Julyn Clair 11/30/2009
7/11/2013John Mix, MD 575 First St Macon GA 3120155271RN207843Francois, Erica Nicole
7/11/2008Marisa Gadea, MD 1121 Johnson Ferry Rd, Suite 220 Marietta GA 3006841802RN114621Frankhouser, Kimberly Elizabet
Wednesday, May 07, 2014 Page 95 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Edwin Bello, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021436099RN229900Franklin, Sherri DeAnne
5/6/2011Claudia Venable, MD 5455 Meridian Mark Rd, Suite 200 Atlanta GA 3034250455RN112888Fraser, Laura Ann Lucas 1/17/2013
2/7/2013Walt Reid, MD 705 Dixie St Carrollton GA 3011739663RN164239Frawley, Stacy Lyn
2/3/2012Zaidi, Syed MD 1211 Sherwood Park Drive NE Gainesville GA 3050160489RN208616Frazier, Rhonda
9/11/2008Felix Sogade, MD 639 Hemlock Street, Suite 100 Macon GA 3120142444RN149395Frazier, Kathy Stephens
11/8/2013Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN095043Frederick, Carlie Ann
9/13/2013Michael Ellis, DO 2000 16th Ave Columbus GA 3190162835RN095043Frederick, Carlie Ann
9/13/2012Ed Childs, MD 75 Piedmont Ave. Atlanta GA 3030267203RN178750Frederick, Alexis Taylor
9/13/2012Mark Winokur, MD 1401 Johnson Ferry Rd., #390 Marietta GA 3006236317RN178750Frederick, Alexis Taylor
8/5/2011Nisha Chande, MD 1000 Chastain Rd, Hse 53, #5300 Kennesaw GA 30144‐559161454RN057224Frederick, Jane Anne
1/7/2010James Morris, MD 2000 16th Ave, Suite 101 Columbus GA 3190157898RN095043Frederick, Carlie Ann 4/27/2012
5/1/2014Michael McDaniel, MD 5780 Peachtree Dunwoody Rd, Suite 200
Atlanta GA 3034257398RN154520Freeman, Jennifer Wendy
4/4/2014Russell Jones, MD 425 Third Ave, Suite 600 Albany GA 3170168177RN104531Freeman, Pamela Phillips
1/9/2014Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN134889Freeman, Christi Renee
11/8/2013Allen Beecham, DO 2000 Village Professional Dr, Suite 200 Canton GA 3011425102RN168338Freeman, Rasheeda Japaka
6/7/2013Barry Munn, MD 655 Jesse Jewell Pkwy, Suite B Gainesville GA 3050154167RN181566Freeman, Karen Jeanette Buice
5/3/2013Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN134889Freeman, Christi Renee 12/1/2013
11/2/2012Christopher Recknor, MD 2350 Limestone Pkwy Gainesville GA 3050140982RN181566Freeman, Karen 4/26/2013
Wednesday, May 07, 2014 Page 96 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/10/2012Sung Chang, MD 7351 Old Moon Road Columbus GA 3190952693RN163543Freeman, Kirstie
1/6/2012Campbell, Mary MD 1700 Tree Lane, Ste 290 Snellville GA 3007832526RN128290Freeman, Dorian 7/25/2012
2/5/2010Tamer Middleton, MD 1924 Cliff Valley Way NE Atlanta GA 3032951987RN029221Freeman, Sarah Benton 6/15/2012
10/2/2008James Freeman, MD 803 N Jefferson Albany GA 317018764RN024690Freeman, Shannon Lois Mccoy
9/14/2007Lawrence Steigelman, MD 59 Hospital Road Newnan GA 3026331135RN146535Freeman, Melanie Lynn Leather 11/24/2007
9/1/2011Rhodes, Melissa MD 21 Pointe North Drive Cartersville GA 3012047060RN113806Frena, Colette 8/2/2013
8/2/2007Mark M. Beaty, MD 3823 Roswell Rd., Ste 101 Marietta GA 3006245169RN113806Frena, Colette Busko
1/9/2014Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN232398French, Jessica Adrienne
7/11/2008Barry Mangel, MD 55 Whitcher Street, Suite 350 Marietta GA 3006038296RN106388French‐Mirtschink, Teri Elaine T
1/11/2013Juliana Nahas, MD 4181 Hospital Dr., Ste 202 Covington GA 3001444549RN167990Frey, Janet
8/5/2011Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN167990Frey, Janet Marie 1/23/2014
10/2/2008Patrick Voswinkel, MD 4305 State Bridge Road Alpharetta GA 3002242760RN167990Frey, Janet Marie 9/30/2011
5/4/2012Matricia, Daniel DO 214 Professional Circle, Ste A St. Marys GA 3155831289RN211812Fricke, Susan 7/25/2012
12/3/2010Eric Paulk, MD 410 Darling Ave, Emer Dept Waycross GA 3150162271RN211812Fricke, Susan Lynn Gordon 1/8/2011
12/7/2012Verlia C. Gower, MD 5455 Meridian Mark Rd., NE Atlanta GA 3034238499RN140297Friedman, Paula W
4/1/2011Eric Felner, MD 2015 Uppergate Dr Atlanta GA 3032252564RN212251Fritz, Heather Lynn
8/7/2009Ketan Desai, DO 1791 Mulkey Rd, Suite 101 Austell GA 3010657600RN165016Frost‐Johnson, Genieve
6/8/2012Tolliver, Cheryl MD 2941‐D N. Ashley Street, Ste D Valdosta GA 3160253040RN186644Fry, Melanie
9/2/2010Christopher Borrego, DO 4720 Nelson Brogdon Blvd Sugar Hill GA 3051852259RN158316Fukuda, Cristiane Lemos
Wednesday, May 07, 2014 Page 97 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/7/2011Levit, Ronald MD 4425 Paulsen Street Savannah GA 3140559268RN137639Fulcher, Sheila
5/1/2014Michael Duke, MD 120 Barnet Dr Milledgeville GA 3106142041RN093416Fuller, Wendy Brannan
11/8/2013Madhu Vishwanath, MD Take Care, 181 S Clayton St Lawrenceville GA 3004556499RN172405Fuller, Selena Nekita
11/8/2013Andrea Hill, MD 517 Great Oaks Dr, Suite 103 Monroe GA 3065551332RN147639Fuller, Jana Allen
5/3/2013Cynthia Libert, MD 48 Haralson Place, Suite 1 Blairsville GA 3051259457RN227177Fuller, Jaynee Lee
2/5/2009Thomas Hatchett, MD 870 Austin Drive Demorest GA 3053536984RN098416Fuller, Andrea Johnson 9/30/2009
5/9/2008Kevin Lanclos, MD 6175 Newton Drive Covington GA 3001447109RN082682Fuller, Wendy Susan Damcott
11/1/2007Bradford Lipman, MD 275 Collier Road NW, Suite 300 Atlanta GA 3030928596RN093416Fuller, Wendy Brannan
5/1/2014Mokhtar Hacena, MD 2054 Watson Blvd. Warner Robins GA 3109355062RN167969Fults, Selvi
9/11/2008Steven Leichter, MD 2425 Brookstone Centre Pkwy Columbus GA 3190440452RN113877Funston, Lisa Michelle 8/23/2012
5/4/2012Hurd, Thomas MD 400 Tower Road, Ste 350 Marietta GA 3006027070RN221058Fur, Kara
12/7/2012Ae Seon Cha, MD 1942 Atkinson Rd., Ste 100 Lawrenceville GA 3004366463RN209383Furlong, Sarah C.
8/10/2012Richard Stewart, MD 4164 Riggins Mill Road Macon GA 312179270RN077664Furnier, Karen 1/1/2014
12/4/2008Riba Kelsey‐Harris, MD 1762 Mars Hill Road NW Acworth GA 3010153833RN167745Furtah, Anne Davidson 1/8/2012
9/13/2013Rembert Williams, MD 2122 Manchester Exprwy Columbus GA 3190428105RN106397Futrell, Lisa Marie Rowe
5/7/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN143523Gabrels, Dorothy A.
8/2/2007Henry Lewis, MD 1208A Sherwood Park Drive Gainesville GA 3050149052RN143523Gabrels, Dorothy A.
2/3/2012Galan, Vincent MD 1365 Rock Quarry Road, Ste 202 Stockbridge GA 3028128685RN186624Gaddis, Funlola
11/8/2013Tania Edwards,DO 1110 Farr Rd, Suite C Columbus GA 3190653462RN060447Gaillard, Denotra Hicks
Wednesday, May 07, 2014 Page 98 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/7/2011Warren, Brandi DO 1110 Farr Road Columbus GA 3190661681RN060447Gaillard, Denotra Hicks 6/1/2013
12/7/2012Javed H. Fazal, MD 1860 Watson Blvd. Warner Robins GA 3109357457RN091787Gainer, Judy R.
9/2/2010William Meadows, MD 1507 Broomtown Rd LaFayette GA 3072830513RN114111Gallagher, Joanne Marie
5/7/2010Lloyd James Rimer, MD 1507 Broomtown Rd LaFayette GA 3072830665RN114111Gallagher, Joanne Marie 7/1/2010
1/9/2014Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN200274Galland, Elizabeth Hamrick
10/10/2013Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN200274Galland, Elizabeth Hamrick 12/1/2013
9/2/2010Cynthia Rust, MD 634 McDonough Blvd SE Atlanta GA 3031535132RN058116Gallaway, Dorothy Kay Clark
6/8/2007James Meadows, MD PO Box14417 Savannah GA 3141625641RN112436Gamble, Kathy Cooper
5/1/2014Mark Hancock, MD 163 Hospital Dr Toccoa GA 3057767750RN050877Gambrell, Patricia Healy
7/10/2009Wesley Bray, MD 55 Whitcher St, Suite 420 Marietta GA 3006027035RN050877Gambrell, Patricia Healy 6/1/2010
6/8/2012Gore, James MD 1657 North Expressway Griffin GA 3022336384rn139591Gamel, Mary Suzanne
11/5/2009Robert Younger, III, MD 1107 Memorial Dr, Suite G‐2 Dalton GA 3072031373RN144204Gannaway, Geri Lauraine Mathi
9/13/2012Gretchen Collins, MD 8201 Hazelbrand Rd. Covington GA 3001432712RN190223Garcia, Cheryl Anita
7/1/2010Gretchen Collins, MD 8201 Hazelbrand Rd Covington GA 3001432712RN190223Garcia, Cheryl 5/6/2011
8/9/2013David Allen, MD 120 Trinity Place Athens GA 3060724773RN185338Gardner, Katherine Elizabeth
12/7/2012Joon Ahn, MD 200 S. Enota Dr., Ste. 200 Gainesville GA 3050148750RN022359Gardner, Alana M.
11/3/2011Gimpelevich, Akiva DO 2398 Mt. Vernon Road Ste 150 Dunwoody GA 3033864219RN082384Gardner, Colleen
8/7/2009Gail Gross, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034223161RN082384Gardner, Colleen Chace
3/4/2011Kyoung‐Soon Kim, MD 5150 Stilesboro Rd, Suite 220 Kennesaw GA 3015239144RN170685Garfield, Jennifer Juliana Wick
Wednesday, May 07, 2014 Page 99 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/1/2010Richard Young, MD 958‐A Joe F Harris Pkwy, Suites 101 & 105
Cartersville GA 3012021218RN170685Garfield, Jennifer Juliana Wick 1/1/2011
2/6/2014Phillip Gray, MD 450 Clarence King Pkwy Calhoun GA 3070133340RN149595Garland, Rachel Toi
9/13/2013Eden F English, MD 470 Valley St., #200 Ball Ground GA 3010752432RN149595Garland, Rachel Toi 2/1/2014
4/4/2014Patrick Bowen, MD 1365 Clifton Rd NE, Suite A‐4 Atlanta GA 3032248982RN174395Garner, Danielle LaTese
5/6/2011Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN040072Garner, Julia M
2/7/2008Jill Pottinger, MD 304 Turner McCall Blvd Rome GA 3016542601RN112439Garner, William Martin
7/1/2010Ward Warren, MD 1350 Walton Way Augusta GA 3090163045RN100396Garnett, Laura Marie Nofziger
2/5/2010Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN100396Garnett, Laura Marie Nofziger 6/17/2010
9/3/2009Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN100396Garnett, Laura Marie Nofziger 2/6/2010
10/5/2012Andrew Wickliffe 275 Collier Rd., Ste 500 Atlanta GA 3030947868RN159613Gaskill, Catherine
3/8/2013Thomas H. Chun, MD 55 Whitcher St., #250 Marietta GA 3006047580RN138448Gaskin, Kara L.
3/29/2012Sexson, James MD 1810 Mulkey Rd, Ste 200 Austell GA 3010638362RN138448Gaskin, Kara
11/5/2009Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN140352Gaskin, Kelley Lynn
1/6/2012Medina‐Bairan, Jose MD 3334 Greystone Wayh Valdosta GA 3160541166RN066224Gaskins, Rebecca
12/6/2013Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN186817Gass, Deborah K
12/6/2013Yvonne Smith, MD 145 Standing Oak Place Fayetteville GA 3021442443RN186817Gass, Deborah K
3/8/2013Karina Belinfante, MD 3903 South Cobb Dr, Suite 120 Smyrna GA 3008055726RN186817Gass, Deborah K
1/11/2013Brendee N. Urrutia, MD 4355 Browns Bridge Rd., #1 Cumming GA 3004166661RN186817Gass, Deborah K.
Wednesday, May 07, 2014 Page 100 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/10/2012Divina Dyer, MD 6158 Hwy 92, Ste 101 Acworth GA 3010257161RN186817Gass, Deborah
12/7/2012Angela B. Reese, MD 154 W. Tugalo St. Toccoa GA 3057747514RN154209Gastley, Joshva F. 2/14/2014
2/5/2010Jamie Rich, MD 58 Big A Road Toccoa GA 3057753547RN154209Gastley, Joshua Farris 8/31/2011
10/5/2012Daniel Sims, MD 550 Peachtree St., MOT 4 Atlanta GA 3030857323RN063960Gaston, Jeanette
6/8/2007Jack E. Dawson, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030911945RN063960Gaston, Jeanette Wimbish
8/9/2013Erskine James, MD 777 Hemlock St Macon GA 3120147980RN085176Gates, Yolanda April
7/11/2013Tamika J. Bryant, MD 1001 Johnson Ferry Rd, #500 Atlanta GA 3034265940RN173289Gates, Mary Alisha
3/6/2014Frank Saucier, MD 2122 Manchester Exprwy, Emer Dept Columbus GA 3190428880RN210406Gay, Sarah Elizabeth
10/7/2011Niebaum, Kevin DO 306 Corder Road Warner Robins GA 3108847353RN039869Gay, Judith
5/6/2011Rayna Jobe, MD 300 Cherokee Place Cartersville GA 3012160386RN071597Gay, Linda L. 9/1/2012
4/3/2008Edward Clark, MD 744 First Street Macon GA 3120136700RN039869Gay, Judith Ann
12/6/2013Thomas Taylor, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233212RN144324Gaynor, Amy Lempyne
7/11/2008Melissa Eaton, MD 110 N Corners Pkwy, Suite 100 Cumming GA 3004048507RN108005Gaynor, Deborah Anne Hertz
2/5/2009Hal Scherz, MD 5445 Meridian Mark Road, #420 Atlanta GA 3034238357RN090045Geers, Christine Maria
1/9/2014Keith Huckaby, MD 519 West Main St Thomaston GA 3028627573RN122957Geiger, Roberta Lynn
2/3/2012Jenkins, John MD 612 W. Gordon Street, Ste C Thomaston GA 3028662726RN122957Geiger, Roberta 11/9/2013
8/5/2011Gary Voccio, MD 1825 Martha Berry Blvd Rome GA 3016529550RN178373Geimer, Connie L. 5/24/2012
12/6/2013Adrienne Mims, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233152RN183088Geller, Daniel Edward 12/31/2013
11/8/2013Charles Sow, MD Take Care, 5230 Dallas Hwy Powder Springs GA 3012755343RN135253Gentles, Carolyn Ann
Wednesday, May 07, 2014 Page 101 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/8/2012Hahm, Hillary MD 340 Kennestone Hospital Blvd, Ste 200 Marietta GA 3006048051RN135253Gentles, Carolyn 8/15/2013
4/2/2009Hitendra Patel, MD 55 Whitcher Street, Suite 420 Marietta GA 3006045312RN135253Gentles, Carolyn Ann 5/7/2012
2/7/2008Steven Schuster, DO 5800 Windward Pkwy, Suite MSA211 Alpharetta GA 3000531661RN135253Gentles, Carolyn Ann 12/2/2008
6/7/2013Aerica Summers, MD 240 Highland Ave, Bldg 3, Suite E Atlanta GA 3030765902RN089319Gentry, John Mitchell
6/7/2013Maya Carter, MD 3355 Cascade Rd SW, Suite 100 Atlanta GA 3031159904RN089319Gentry, John Mitchell
6/4/2010George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN089319Gentry, John Mitchell
7/11/2013Timothy Ward, MD 500 Gordon Ave Thomasville GA 3179223125RN185389George, Crystal Dawn
7/12/2012Fontaine, Pierre MD 1153 North Liberty St,. PO Box 650 Nicholls GA 3155462686RN102350George, Deborah
2/3/2012Sightler, William DO 195 n. Broad Street Alamo GA 3041134715RN102350George, Deborah 6/6/2012
12/1/2011Ross, Mary MD 337 Commercial Drive, Ste 100 Savannah GA 3140655437RN215413George, Jennifer 3/20/2012
2/4/2011Nurallah Esmail, MD 1153 North Liberty St Nichols GA 3155435623RN102350George, Deborah Lee Price 12/14/2011
11/5/2009Abdollatif Ghiathi, DO 7 Taylor St Cuthbert GA 3984040908RN102350George, Deborah Lee Price 2/2/2010
6/8/2012Joseph, Kirpich MD 969 Windy Hill Rd Ste E Smyrna GA 3008054904RN149930George Dalmida, Safiya
12/6/2013Sandra Carmichael, MD 100 Gross Crescent, Emer Dept Ft Oglethorpe GA 3074236116RN197890Gephart, Rebecca Young
7/12/2012Coleman, Angela MD 501 Redmond Road Rome GA 3016561717RN197890Gephart, Rebecca
2/5/2009Robert Pyle, MD 14 Cherokee Road Cedartown GA 3070142702RN053785Gerhard, Laurie Turner Ansley 2/27/2009
1/6/2012Groover, Ann MD 2945 Miller Ferry Rd SW, Ste D Calhoun GA 3070136765RN118577Gerrin, Rebecca
9/1/2011Peters, Howard MD 2501 N. Patterson Street Valdosta GA 3160251530RN124581Gervin, Coretta
6/5/2009Benjamin Andrews, MD 1048 E. Forsyth Street Americus GA 3170931867RN124581Gervin, Coretta Delia Keith
Wednesday, May 07, 2014 Page 102 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007Alfred Woodard, MD 417 West 3rd Ave. Albany GA 3170140592RN124581Gervin, Coretta Delia Keith
10/10/2013Jeffrey Bell, MD 1200 N Jefferson St Albany GA 3170134539RN197685Gervin‐Clark, Cheryl 4/26/2014
9/13/2013Tamara New, MD 1405 Clifton Rd NE, AFLAC Cancer Center
Atlanta GA 3032258712RN106417Geter, Jacqueline Jones
6/6/2008Ifeyinwa Osunkwo, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032255681RN106417Geter, Jacqueline Jones 8/31/2013
10/10/2013Jude Emokpare, MD 710 Center St Columbus GA 3190163416RN204133Gibble, Anne Crane 1/23/2014
5/1/2014Courtney Middleton, MD 11975 Morris Rd, Suite 300 Alpharetta GA 3000557295RN069862Gibbons, Wanda L. Rogler
10/5/2012Hetal Thakore 811 13th Street, Ste 10 Augusta GA 3090153556RN093348Gibbons‐Berry, Karen
4/1/2011Vanessa Cabaron, MD 1350 Walton Way Augusta GA 3090153843RN093348Gibbons‐Berry, Karen Leigh
4/1/2011William Callaghan, MD 1350 Walton Way Augusta GA 3090127974RN093348Gibbons‐Berry, Karen Leigh 8/31/2012
6/5/2009Steven Vaughn, MD 818 St. Sebastian Way, Suite 307 Augusta GA 3090148095RN093348Gibbons‐Berry, Karen Leigh 6/18/2010
10/10/2013Thomas Ho, MD 7494 Battlefield Pkwy Ringgold GA 30736‐730644748RN233060Gibbs, Jennifer Dokupil
9/3/2009Kim Blevens, MD 116 South Houston Rd Warner Robins GA 3108832131RN149561Gibbs, Stephanie
2/5/2009Daniel Williams, MD 1128 Southpark street Carrollton GA 3011937926RN050776Gibbs, Martha K.
8/2/2007Leslie Cottrell, MD 1600 Maple St Carrollton GA 3011845194RN050776Gibbs, Martha K 2/28/2008
2/6/2014Jose Justiniano‐Ayala, MD 1430 Suggs St Rossville GA 3074146773RN181151Gibson, Patricia Louise Carter 2/14/2014
7/12/2012Haller, Jeffrey MD 5081 Hwy 14 Lyerly GA 3073055826RN181151Gibson, Patricia 1/4/2013
6/8/2012Sved, Isaac MD 236 Johnson Ferry Rd, NE, #200 Sandy Springs GA 3032838981RN039884Gibson, Belinda 1/22/2013
6/8/2012Cameron, Nadia MD 3760 Sixes Road, Ste 120 Canton GA 3011453982RN039884Gibson, Belinda 6/13/2012
Wednesday, May 07, 2014 Page 103 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011John Price, MD 611 E Villanow St LaFayette GA 3072855274RN181151Gibson, Patricia Louise Carter 7/23/2012
1/7/2011John Pittman, MD 715 E. 2nd St Rome GA 3016137045RN073501Gibson, Barbara Lillian Dew 7/31/2011
4/1/2010Richard Smith, MD 5081 Hwy 114 Lyerly GA 3073019603RN181151Gibson, Patricia Louise Carter 5/31/2011
2/5/2010Rudolph Tacoronti, MD 5019 LaVista Road Tucker GA 3008445347RN039884Gibson, Belinda Joyce Heard 7/1/2010
12/4/2008Chadalavada Kishore, MD 425 Third Avenue, Suite 340 Albany GA 3170127846RN159726Giddens, Ashley Gay 5/29/2009
5/3/2013William Lytollis, MD 316 North Broad St Winder GA 3068057392RN189614Giedd, Ann Marie Beckwith
6/7/2013Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN181533Gifford, Virginia L.
1/9/2014William Edwards, MD 800 Professional Blvd Dalton GA 3072047079RN051556Gilbert, Cindy Gail Tarrer
5/9/2008Frank Newby, MD 1506 Broadrick Drive Dalton GA 3072038314RN051556Gilbert, Cindy Gail Tarrer 3/7/2011
3/6/2014Megan Bowles, MD 1000 Chastain Rd, House 52 Kennesaw GA 3014468486RN134977Giles, Alexander Lance
11/3/2011Mahoney, William MD 1000 Chastain Road Kennesaw GA 3014459274RN134977Giles, Alexander 3/28/2013
4/4/2013Olufemi Taiwo, MD 222 Arrowhead Blvd Jonesboro GA 3023651606RN150994Gilfillan, Kelly West
4/4/2013Aly Ahmed, MD 2340 Patrick Henry Pkwy, Suite 225 McDonough GA 3025339026RN150994Gilfillan, Kelly West
12/1/2011Paxton, William MD 170 Camden Hill Rd Lawrenceville GA 3004646206RN188635Gill, Sherry
4/2/2009Kevin King, MD 2122 Manchester Expwy Columbus GA 3190456310RN124898Gill, Nicole K.
11/8/2013Edwin Bello, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021436099RN233119Gillette, Tiffany Celeste
3/4/2010Douglas Joyner, MD 151 E. Mayo St Americus GA 3170931039RN149543Gilliard, Candace Usry
2/7/2013Caroline D. Yaphockun, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016553213RN089950Gillis, Hollie T.
11/5/2009Thomas Ryan, MD 20 Collins Dr, Suite B Cartersville GA 3012042415RN089950Gillis, Hollie Thacker
Wednesday, May 07, 2014 Page 104 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/8/2007Victoria Green, MD 69 Jesse Hill Jr. Dr. SE 4th Fl Atlanta GA 3030338240RN043355Gillmor‐Kahn, Mary 3/1/2012
8/9/2013Eduard Docu, MD St. Marys Hlth Center, 1302 Drayton St Savannah GA 3140156426RN144662Gilreath, Kathryn Mae 11/15/2013
1/6/2012Carter, Cynthia MD 1000 Towne Center Blvd, Ste 705 Pooler GA 3132256534RN144662Gilreath, Kathryn 11/15/2013
8/2/2007William Garrett, MD 6602 Waters Ave. Bldg. C Savannah GA 3140643373RN144662Gilreath, Kathryn Mae 7/23/2009
7/11/2013Elbridge Bills, MD 3365 Piedmont Rd, Suite 1250 Atlanta GA 3030537139RN071039Ginn, Alice Kay 12/20/2013
6/7/2013Michael B. Chisner, MD 11700 Mercy Blvd, #6 Savannah GA 3141929426RN190461Ginn, Caitlin Bachler Thomson 4/22/2014
6/8/2012Laungani, Rajesh MD 1800 Howell Mill Road Ste 500 Atlanta GA 3031862544RN071039Ginn, Alice 4/25/2013
9/11/2008Daniel Wu, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030351572RN064140Gisness, Christine Marie Miller
9/2/2010William Gist, MD 112 Hedekin Circle Ft. Oglethorpe GA 3074262849RN203818Gist, Beth Ann Caldwell 2/1/2012
2/5/2009Michelle Morgan, DO 4398 Atlanta Hwy Loganville GA 3005251694RN178900Gittens, Clavel Alexia
6/8/2007Shyam Khanwani, MD 1250 Highway 54 West, Suite 102 Fayetteville GA 3021451672RN178900Gittens, Clavel Alexia 7/11/2008
8/6/2010Franklin Geoffery Connor, MD
300 Arlington Dr Vidalia GA 3047433555RN137168Gjone, Mandy Sellars 5/24/2012
1/7/2010Thomas Ferrari, MD 704 Maple Dr, Suite 1 Vidalia GA 3047434829RN137168Gjone, Mandy Sellars 6/17/2010
12/7/2007Shannon Vaughn, MD 310 W. 10th Street Rome GA 3016546000RN106430Gladney, Tammy Annette
12/4/2009Craig Kerins, MD 1384 Greene St Augusta GA 3090121170RN145311Gladue, Clara Ann
7/13/2007Frederick Merrill, III, MD 465 North Belair Rd. Suite 1‐C Evans GA 3080934664RN145311Gladue, Clara Ann 8/7/2008
2/6/2014Brooks Moore, MD 49 Jesse Hill Jr Dr SE, Emer Dept Atlanta GA 3030353336RN208103Glasheen, Debra Ann
3/6/2009Sagar Lonial, MD 1365 Clifton Rd NE, Bldg C, Plaza Level Atlanta GA 3032244007RN139408Gleason, Charise Lyn
Wednesday, May 07, 2014 Page 105 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/1/2011Soyoola, Emmanuel MD 1870 Atlanta Hwy Ste J‐K Gainesville GA 300453032RN135128Glebikowska, Iwona 6/8/2012
8/6/2010Ann Drayton, MD 1870 Atlanta Hwy, Suite J Gainesville GA 3050449512RN135128Glebikowska, Iwona Violetta 9/30/2011
6/4/2010Margaret Boudreaux, MD 763 Peachtree Pkwy, Suite 2 Cumming GA 3004144172RN135128Glebikowska, Iwona Violetta
3/6/2014Oswaldo Henriquez, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030370141RN155519Glover, Shontreka Akisha
11/8/2013Dudley Stone, MD 2 Wheeler St Savannah GA 3140551088RN217049Glover, Jessica Brandt
12/4/2008David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN130753Gluzman, Julia 12/1/2012
12/4/2008Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN130753Gluzman, Julia 12/1/2012
11/1/2007Tammy Williams, MD 150 Gentilly Blvd Cartersville GA 3012051563RN087807Gnann, Kathryn Ann Kohn
10/10/2013Sean Delaney, MD 631 Professional Dr, Suite 360 Lawrenceville GA 3004649001RN178818Gobeille‐Dormio, Rosalee
10/5/2012Searle Videlefsky, MD 631 Professional Dr., Ste 360 Lawrenceville GA 3004642477RN178818Gobeille‐Dormio, Rose 3/25/2013
2/5/2010Joseph Joyave, MD 201 Professional Court Calhoun GA 3070143977RN145415Goble, Anne‐Marie 8/15/2011
7/11/2013Douglas Brewer, MD 240 Sheraton Blvd Macon GA 3121038696RN165613Goddard, Tami Marie
12/7/2012Mohammad N. Al‐shroof, MD
2054 Watson Blvd Warner Robins GA 3109345158RN165613Goddard, Tami M.
9/13/2013Frederick Roberts, MD 2122 Manchester Exprwy Columbus GA 3190442113RN155713Godfrey, Chandra Tucwann
1/7/2011Howard Silk, MD 1240 Hwy 54 West, Suite 310 Fayetteville GA 3021429785RN155713Godfrey, Chandra T. 6/20/2013
2/4/2011Jonathan Williams, DO 1733 Gornto Rd, Suite 101‐C Valdosta GA 3160159237RN130256Godwin, Cristi Leigh
5/7/2009Douglas Moss, MD 814 Northwood Park Drive Valdosta GA 3160241178RN130256Godwin, Cristi Leigh 12/20/2010
12/4/2008Howard Jones, DO 2501 N. Patterson Street Valdosta GA 3160225774RN130256Godwin, Cristi Leigh 4/21/2009
Wednesday, May 07, 2014 Page 106 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009Sarah Hosford, MD 320 Parkway Drive NE, #244 Atlanta GA 3031232209RN164147Goenaga, Maria Elena 10/2/2010
5/6/2011Ezad Ahmad, MD 1411 Chattanooga Ave Dalton GA 3072038162RN188799Goff, Laura Rene 11/26/2013
12/7/2007Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN124928Goff, Macie Lane
11/8/2013Riba Kelsy‐Harris, MD 2670 Cobb Pkwy SE Smyrna GA 3008053833RN230566Golan, Tali
8/5/2011Alex Rikhter, MD 1140 Hammond Drive, Ste G7105 Atlanta GA 3032844070RN113630Gold, Kara Waldrop
12/4/2008Warren Weber, MD 3875 Austell Road South, Suite 203 Austell GA 3010626677RN113630Gold, Kara Waldrop 4/29/2011
12/3/2010Harriette Perlstein, MD 4395 Johns Creek Pkwy, Suite 150 Suwanee GA 3002431098RN161827Goldklang, Michelle Marie
8/5/2011Bridgett Bailey, DO 116 Smith St Tennille GA 3108958390RN159730Goldman, Karen Renee 5/9/2012
8/6/2010Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN159730Goldman, Karen Renee 6/13/2011
1/6/2012Duke, Michael MD 134 W. Campus Dr, CBX 091 Milledgeville GA 3106142041RN129746Goldsberry, Jennifer
6/7/2013Dawn Simon, MD 1605 Chantilly Dr, Suite 305 Atlanta GA 3032458644RN127360Golubic, Sharon Louise
1/9/2009Michael Schechter, MD 1547 Clifton Road NE Atlanta GA 3032258776RN127360Golubic, Sharon Louise 6/17/2013
1/9/2014Deborah Rodriguez, MD 771 Old Norcross Rd, Suite 250 Lawrenceville GA 3004662599RN200412Gonzalez‐Roepke, Raquel Idalis
8/5/2011Michael Hartley, MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072063668RN212025Gooch, Michelle E. Wright
8/5/2011Ian Hamilton, Jr., MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072047329RN212025Gooch, Michelle E. Wright
3/4/2011Kevin Brown, MD 20 Riverbend Dr SW Rome GA 3016136109RN069392Gooch, Carole Elaine Marshall
5/7/2009Anne White, MD 909 N Fifth Avenue Rome GA 3016530240RN069392Gooch, Carole Elaine Marshall 1/19/2011
6/6/2008Eric Taylor, MD 315 W. 10th Street, Suite 110 Rome GA 3016550564RN069392Gooch, Carole Elaine Marshall 4/1/2009
6/5/2009Rayna Jobe, MD 805 Sandy Plains Road Meriatta GA 3006660386RN152359Goodman, Theresa G. 5/30/2011
Wednesday, May 07, 2014 Page 107 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/1/2011Lee, Clay DO 207 31st Ave SE Moultrie GA 3176846610RN 164651Goodno, Shana
1/7/2011Rhonda Bedell, MD 633 Veteran's Pkwy South Moultrie GA 3178836097RN164651Goodno, Shana Leigh
10/8/2010Richard Pierzchajlo, MD 1489 Kennedy Rd Tifton GA 3179422620RN164651Goodno, Shana Leigh 9/1/2011
3/6/2014John Schuler, MD 600 Parkway North Newnan GA 3026537364RN124143Goodson, Jennifer Moore
4/1/2010Tania Edwards, DO 7777 Kia Pkwy West Point GA 3183353465RN124143Goodson, Jennifer Moore 8/1/2010
1/6/2012Smith, Ronnie MD 543 Jonesboro Rd McDonough GA 3025345338RN180693Goodwin, Dara
12/3/2010Oladapo Odujebe, MD 550 Peachtree St NE, Emer Room Atlanta GA 3030860950RN154592Goodwin, Willie James
6/5/2009Benjamin Lam, MD 550 Peachtree St NE Atlanta GA 3001659544RN154592Goodwin, Willie James 9/8/2009
8/2/2007Leslie Cotrell, MD 1600 Maple St. Carrollton GA 3011845194RN118448Goodwin, Amy Catherine
9/13/2013Thomas Gary, MD 123 Weaver Rd, Suite A Blairsville GA 3051260264RN191108Gordon, Catherine Doan
6/8/2012Goldstein, Matthew MD 1700 Medical Way, Emer Dept Snellville GA 3007848115RN158213Gordon, Bridgette
4/2/2009John Abell, MD 521 W. 3rd Avenue Albany GA 3170133014RN188412Gordon, Jane Louise
12/7/2007Luis Murrain, DO 360 College Street Blakely GA 3982357747RN188412Gordon, Jane Louise 9/26/2008
8/2/2007Ronald C. Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN069257Gordon, Karen Fancher 6/29/2010
1/9/2014Eyal Meiri, MD 600 Parkway North Newnan GA 3026570324RN231607Gordy, Bridget Nicole 1/24/2014
10/5/2012William Dasher, MD 3708 Northside Dr. Macon GA 3121051453RN118105Gore, Holly 5/31/2013
5/6/2011Julian Hutchins, Sr., MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN121027Gore, Victoria Ferlita 5/14/2012
3/4/2010Thomas Deering, MD 275 Collier Rd, Suite 300 Atlanta GA 3030932170RN149725Gore, Ashley Heath 12/31/2011
2/5/2010Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN121027Gore, Victoria Ferlita
Wednesday, May 07, 2014 Page 108 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/3/2009Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN121027Gore, Victoria Ferlita 2/6/2010
7/10/2009Wood Pope, MD 1600 Forsyth Street Macon GA 3120157741RN118105Gore, Holly Paige 7/2/2012
6/6/2008Jacob Varghese, MD 3700 Club Drive Lawrenceville GA 3004456933RN121027Gore, Victoria Ferlita 11/30/2008
8/5/2011Peter Rossi, MD 1365 Clifton Road Atlanta GA 3032257833RN185676Gorgens, Ulrike
2/5/2010Riba Kelsey‐Harris, MD 9465 Hwy 5 Douglasville GA 3013553833RN105044Gorgor, Saye Zunpudolo
10/2/2009Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN105044Gorgor, Saye Zunpudolo 2/3/2010
5/3/2013Milele Francis, MD 1700 Hospital South Dr, Suite 500 Austell GA 3010655218RN182301Gorham, Sara E.
11/8/2013Mark Brodersen, MD 305 Pineview Dr Waycross GA 3150168883RN230020Gosselin, David N
2/7/2013Matthew Shannon, MD 2501 N Patterson St, Emer Dept Valdosta GA 3160267439RN165086Graham, Vickie L.
11/3/2011Robertson, Gregory MD 6325 Hospital Parkway Johns Creek GA 3009752203RN176480Graham, Jennifer
3/4/2011Raymond Gutierrez, MD 417 W. 3rd Ave, Emer Dept Albany GA 3170157983RN165086Graham, Vickie L.
4/13/2007Thomas David Yates, MD 58 Big A Rd Toccoa GA 3057726417RN136905Grahn, Jody J.
3/29/2012Gillespie, Lisa MD 1412 Milstead Avenue Conyers GA 3001241433RN116530Granger, Elaine
12/3/2010Karim Godamunne, MD 1170 Cleveland Ave East Point GA 3034451652RN116530Granger, Elaine Frances Green
3/4/2010Joel Megli, MD 11 Upper Riverdale Rd Riverdale GA 3027449244RN116530Granger, Elaine Frances Green
6/5/2009Rodrick Lawton, MD 790 341 Blvd Hawkinsville GA 3103655766RN116530Granger, Elaine Frances Green
6/8/2007William Pullen, MD 1200 Memorial Dr. Dalton GA 3072017270RN117085Grant, Shayni L.
1/6/2012Crick, Mark MD 2709 Meredyth Drive SW, Ste 330 Albny GA 3170741421RN139828Grasman, Amy
9/1/2011Lawson, Dale MD 2000 Palmyra Road Albany GA 3170154233RN139828Grasman, Amy 3/30/2014
Wednesday, May 07, 2014 Page 109 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/1/2011Joseph Stubbs, MD 2402 Osler Court Albany GA 3170724105RN139828Grasman, Amy Joyce 10/11/2011
4/1/2011Joseph Burnette, MD 401 Fourth Ave Albany GA 3170133286RN139828Grasman, Amy Joyce
6/5/2009Vito John Bagnato, MD 810 13th Avenue, Suite 108 Albany GA 3170145711RN139828Grasman, Amy Joyce
6/5/2009Kyoung‐Soon Kim, MD 5150 Stilesboro Road, Suite 220 Kennesaw GA 3015239144RN191607Graves, Mary Elizabeth
1/9/2014Kimberly Stoughton‐Doherty, MD
2040 Dan Proctor Dr, Suite 140 St Mary's GA 3155855981RN191658Graw, Kimberly Hope Young
4/4/2014Christopher Morgan, MD West GA Health‐1514 Vernon Road LaGrange GA 3024066151RN229260Gray, Wendy Leigh
3/6/2014Nick Vlachos, MD 100 Glenn Bass Road LaGrange GA 3024062624RN229260Gray, Wendy Leigh
3/8/2013Victor W. Rosenfeld, MD 1326 Eisenhower Dr. Savannah GA 3140564752RN168105Gray, Jennifer H.
12/7/2012Colin Brinkmann, MD 1984 Peachtree Rd., Ste 515 Atlanta GA 3030959131RN059012Gray, Leah D.
10/2/2008Randall Berinhout, MD 210 Medical Blvd Stockbridge GA 3028134777RN121625Gray, Eleasha R.
11/1/2007Stephen Pastan, MD 35 Collier Road NW, Suite 610 Atlanta GA 3030939196RN143701Gray, Carol Ann Ferguson
11/1/2007Edward Frederickson, MD 35 Collier Road NW, Suite 610 Atlanta GA 3030932384RN143701Gray, Carol Ann Ferguson
11/1/2007Michael Katz, MD 35 Collier Road NW, Suite 610 Atlanta GA 3030940116RN143701Gray, Carol Ann Ferguson
5/10/2007Michael Powell, MD PO Box 840 Thomson GA 3082423663RN094164Gray, Pamela Ann Ansley
3/8/2013Venkatappa R. Rangaraj, MD
2795 Main St. W, #27 Snellville GA 3007858633RN167539Gray‐Smith, Patricia
11/5/2010Jae Pak, MD 2160 Fountain Dr, Suite 200 Snellville GA 3007840185RN167539Gray‐Smith, Patricia Theresa
2/5/2009Naresh Parikh, MD 6330 Primrose Hill Court Norcross GA 3009228851RN167539Gray‐Smith, Patricia Theresa
4/1/2011Ashley Davis, MD 5555 Whittlesey Rd, Suite L‐1 Columbus GA 3190958161RN168546Grealy, Charlotte Marie 3/6/2012
Wednesday, May 07, 2014 Page 110 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Jones, Andrew ND 2701 North Decatur Road Decatur GA 3003365467RN189878Greco, Lindsay
1/7/2010Samuel Szumstein, MD 3820 Medical Park Dr Austell GA 3010655796RN189878Greco, Lindsay Elizabeth
9/13/2013Robert Del Pozo, MD 2540 Windy Hill Rd Marietta GA 3006735853RN198522Green, Amanda Joy
5/4/2012Warren, Brandi DO 6203 Alabama Highway Ringold GA 3073661681RN199692Green, Laura
1/7/2011Loy Cowart, MD 207 S. Duke St Lafayette GA 3072837979RN199692Green, Laura Ann 4/10/2012
7/11/2013Ryan Moody, MD 138 Canal St, Suites 304‐305 Pooler GA 3132259284RN073914Greenbush, Rita Marie Clonan
1/11/2008John Rathbun, MD 11700 Mercy Blvd #6 Savannah GA 3141923665RN073914Greenbush, Rita Marie Clonan
3/6/2014Stacie Schmidt, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030363811RN171320Greene, Maloma Abidemi
9/11/2008Jonathan Parrott, MD 2501 N. Patterson Street Valdosta GA 3160236246RN117817Greene, Priscilla Rowan
11/1/2007Lora Efaw, MD 1807 Old Ocilla Road Tifton GA 3179436727RN117817Greene, Priscilla Rowan
6/6/2008Michael Banov, MD 108 Margaret Avenue Marietta GA 3006037945RN046959Greenhood, Karen E. Richards
6/8/2012Clifton, James DO PO Box 1199, 305 Kite Road Swainsboro GA 3040123926RN144604Greenway, Mary
7/1/2010Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN160240Gregory, Ashley Hardy 6/13/2011
1/7/2010Bryan Cheever, MD 1107 Memorial Dr, Suite 200 Dalton GA 3072034120RN159818Grenon, Suzanne Victoria Smith
8/9/2013Edwin Bello, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021436099RN226492Griffaw, Laura Ann
12/6/2013Sean Lynch, DO 3736 Mike Padgett Hwy, Suite A Augusta GA 3090649186RN218349Griffeth, Kirkley Ann
4/4/2014Jim Barlow, MD 235 Peachtree St., N Tower, Ste2100 Atlanta GA 3030330717RN193727Griffin, Shuvory Chyann
11/2/2012Edwin W. Allen III, MD 2000 Palmyra Road Albany GA 3170521472RN193727Griffin, Shuvory C. 10/15/2013
12/7/2007Michael Litrel, MD 227 Riverstone Dr Canton GA 3011439623RN059057Griggs, Susan Flanagan
Wednesday, May 07, 2014 Page 111 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Jose Aristizabal, MD 2665 N Decatur Rd, Suite 430 Decatur GA 3003351206RN197394Grindlay, Ashley Marie
4/1/2011John Currie, MD 1831 5th Ave Columbus GA 3190463768RN112041Griner, Dell Renee Britt
2/5/2009Darwin Brown, MD 2665 North Decatur Road, Suite 520 Decatur GA 3003346531RN127220Groover, Teresa Cook 11/13/2009
11/1/2007Alison Wright, MD 1025 North Houston Road Warner Robins GA 3109346017RN039862Grube, Kathy Dimeler
10/4/2007Leslie Tidwell, MD 1025 N. Houston Road Warner Robins GA 3109344359RN039862Grube, Kathy Dimeler 11/30/2007
1/9/2009Jeffrey Kim, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010656117RN109750Guenther, Paula Mechele 5/8/2009
6/8/2012Thompson, Sonya MD 1700 Hospital South Drive, Ste 500 Austell GA 3010637402RN197647Guercio, Cynthia
11/5/2009Lathan Overstreet, MD 340 Boulevard, Suite 103 Atlanta GA 3031236659RN197647Guercio, Cynthia Vaughn
1/9/2009Jeffrey Nicholas, MD 69 Jesse Hill Jr Dr, #308 Atlanta GA 3030348377RN151078Guerrero, Robin Montgomery 1/8/2010
4/4/2013Eric Paulk, MD 901 E. 18th St, Emer Dept Tifton GA 3179362271RN123486Guest, Sara
7/10/2009Mohak Dave', MD 743 Spring St, Emergency Dept Gainesville GA 3050151128RN123486Guest, Sara
5/3/2013Luther Vance, MD 3065 South Cobb Dr, Suite B Smyrna GA 3008019354RN195137Guevarra, Natividad Jesusa Bald 5/24/2013
3/6/2014Megan Bowles, MD 1000 Chastain Rd, House 52 Kennesaw GA 3014468486RN095654Guice, Emma Mae
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN095654Guice, Emma Mae 1/6/2014
9/14/2007Kevin F. Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441761RN095654Guice, Emma Mae 9/30/2009
6/7/2013Romeo Moriles, MD 236 Arrowhead Blvd Jonesboro GA 3023639639RN091759Guidry, Angela Marie
2/7/2013Jamie L. Walraven, MD 1418 Scott Blvd Decatur GA 3003045023RN091759Guidry, Angela Marie
2/3/2012David Goo, MD 1418 Scott Blvd Decatur GA 3003031924RN091759Guidry, Angela 10/3/2012
9/13/2012Pena, Gullermo MD 75 Bypass Road Morganton GA 3056059493RN078829Guild, Rene
Wednesday, May 07, 2014 Page 112 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2009Anne Todd, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054051395RN078829Guild, Rene Ronda 5/22/2012
1/6/2012Trivedi, Nimisha MD 3778 Hwy 42 Locust Grove GA 3024853715RN210215Guinoo, Gregory
10/7/2011Savage, Valeria MD 1942 Atkinson Road, Suite 100 Lawrenceville GA 3004352724RN063401Guldenschuh, Tanya
1/9/2014Rami Arfoosh, MD 30 Satellite Dr, Suite 200 Winder GA 3068063559RN209319Gulsby, Tara Phelps 2/27/2014
3/29/2012Leach, Andrew MD 1000 Hawthorne Ave, Ste G Athens GA 3060649051RN203047Gunby, Julie 4/13/2012
12/1/2011Lue, John MD 1120 15th Street Augusta `GA 3091240145RN205597Gustin, Courtney
7/11/2013Randy Durbin, DO 4914 Atlanta Hwy, Suite 14 Alpharetta GA 3000464776RN202617Gutknecht, Adrienne Nicole
3/29/2012Christopher Crooker, MD 748 Old Norcross Road Lawrenceville GA 3004639315RN202617Gutknecht, Adrienne 1/9/2013
11/8/2013Judith Cauvin, MD 1260 Hwy 54 West, Suite 101 Fayetteville GA 3021459135RN212085Guzi, Toni R
1/6/2012Merlino, John MD 550 Peachtree St NE, MOT 6th Floo Atlanta GA 3030827868RN075216Haack, Martha
3/1/2012Swartz, Amy MD 3280 Howell Mill Rd NW Atlanta GA 3032733718RN143003Hackworth, Terry
10/7/2011Morgan III, Joe Harris MD 2300 Dawson Rd, Suite 101 Albany GA 3170753503RN152867Haggerty, Sharon
10/5/2012Quinton Weldon, MD 906 Elmo Street Americus GA 3170956786RN118093Hagins, Linda Banks
1/7/2011Nelson Madrazo, MD 103 GA Hwy 27 East Americus GA 3170949862RN118093Hagins, Linda Banks 12/31/2011
11/1/2007Serena Tidwell, MD 1538 13th Avenue, Suite B200 Columbus GA 3190151192RN136073Hahn, Kaye Herring 11/1/2012
3/8/2013Amy Sprague, MD 3651 Wheeler Rd Augusta GA 3091935145RN097428Haid, Jeanne Ann
10/4/2007Caroline Yaphockun, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016553213RN094798Hairel, Tammy Michelle Beason
1/11/2013Mark V. Hendricks, MD 840 Pine St., #780 Macon GA 3120143061RN175434Hale, Ashley S.
11/2/2012Anil Modi, MD 300 Medical Dr., Ste 701 LaGrange GA 3024048066RN197929Hale, Jessi
Wednesday, May 07, 2014 Page 113 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012John C. Blankenship, MD 1500 Oglethorpe Ave. Athens GA 3060649529RN086905Hale, Tina Marie
8/10/2012Abdulla, Maher MD 301 Osigian Blvd Warner Robins GA 3108842151RN175434Hale, Ashley 11/2/2012
5/1/2014Andre Haynes, MD 195 N Broad St Alamo GA 3041168818RN118934Hall, Debra Lee
2/6/2014Charles Harden, MD 948 South Main St Baxley GA 3151344930RN123491Hall, Linda M 4/30/2014
12/6/2013Gary Olson, MD 1436 Broadrick Dr, Suite B Dalton GA 3072020465RN187338Hall, Kristina Lynn Nelson
7/11/2013Clive Albert, MD 1100 Northside Forsyth Dr, Suite 330 Cumming GA 3004135800RN180217Hall, Anna Mirinda
7/11/2013Michael Raines, MD 122 Hwy 280 West, Suite A Americus GA 3171935979RN051703Hall, Sharon Lee
7/11/2013Linwood Zoller, MD 675 White Sulphur Rd, Susite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 12/29/2013
6/7/2013Geetha R. Soodini, MD 1505 Northside Blvd, #2800 Cumming GA 3004159025RN198776Hall, Brandi Elizabeth
3/8/2013Kent Ford, DO 616 Ferncrest Dr Sandersville GA 3108240063RN086005Hall, Nora Marie
9/13/2012Allan Dias, MD 1100 Lake Hearn Dr, Suite 450 Atlanta GA 3034265759RN199078Hall, Adriana Sanchez
6/8/2012Franco, Carlos MD 507 Third Ave, Ste 2‐3 Albany GA 3170147748RN162539Hall, Peggy
3/29/2012Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN090459Hall, Cynthia
2/3/2012Kendrick, John MD 3527 North Valdosta Road Valdosta GA 3160226883RN219086Hall, Reagan
1/6/2012Highbaugh‐Battle, Agnela MD
143 S. Tallahassee St. Hazelhurst GA 3153959076RN123491Hall, Linda
8/5/2011Linwood Zoller, MD 675 White Sulphur Road, Suite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 8/1/2012
3/4/2011Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN086005Hall, Nora Marie 1/18/2013
6/5/2009James Hornsby, MD 1605 Roberta Drive Marietta GA 3000854389RN088093Hall, Marylin Doreen
Wednesday, May 07, 2014 Page 114 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2009Kirpich Joseph, MD 969 Windy Hill Road, Suite E Smyrna GA 3008054904RN088093Hall, Marylin Doreen
8/8/2008Bhagya Papudesu, MD 616 Ferncrest Drive Sandersville GA 3108252613RN086005Hall, Nora Marie 12/16/2010
2/3/2012Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN189107Halvey, Kathleen 4/11/2013
10/2/2009John O'Connell, MD 5671 P'tree‐Dunwoody Rd NE, #110 Atlanta GA 3034262266RN189107Halvey, Kathleen Ann 1/10/2012
5/1/2014Blake Illston, DO 5665 New Northside Dr, Suite 320 Atlanta GA 3032868035RN235848Hamilton, Doreen Cynteta
3/6/2014Ahmad Jingo, MD 3424 Flat Shoals Rd Decatur GA 3003545842RN210732Hamilton, Heather Brown
10/5/2012Zada Y. Weston‐Hill, MD 2453 Powder Springs Rd., Ste 210 Marietta GA 3006439009RN197737Hamilton, Earla D.
9/13/2012Andrew Pandya, MD 210 E. Derenne Ave. Savannah GA 3140555323RN089362Hamilton, Mariangeli Marrero
3/4/2010Jack Dawson, MD 275 Collier Rd NW, Suite 320 Atlanta GA 3030911945RN099535Hamilton, Cherille Elizabeth
11/1/2007Daniel Mark Henson, MD 1600 North Brown Road Lawrenceville GA 3004325173RN099535Hamilton, Cherille Elizabeth 8/26/2009
9/13/2013Steven Rigdon, MD 2225 US Hwy 41 North Tifton GA 3179422873RN122055Hamilton‐Anderson, Brenda Gai
8/5/2011Howard McMahan, MD 361 Cargile Rd Ocilla GA 3177422824RN122055Hamilton‐Anderson, Brenda Gai
2/4/2011Johnathan Gaskins, MD 1101 Ocilla Rd, Emer Dept Douglas GA 3153356836RN122055Hamilton‐Anderson, Brenda Gai
11/5/2010Olakunle Aina, MD 2000 Palmyra Rd, Emer Dept Albany GA 3170148968RN122055Hamilton‐Anderson, Brenda Gai 3/27/2014
5/7/2009Raymond Gutierrez, MD 701 N. Slappey Blvd Albany GA 3170157983RN122055Hamilton‐Anderson, Brenda Gai
5/7/2009Richard Lepanto, MD 901 E. 18th St, Emergency Med Svcs Tifton GA 3179458694RN122055Hamilton‐Anderson, Brenda Gai
3/7/2008Sandra Brickman, MD 1806 Lee Avenue Tifton GA 3179445043RN122055Hamilton‐Anderson, Brenda Gai
6/5/2009Anthony Hoots, MD 425 Third Ave, Suite 510 Albany GA 3170133114RN132831Hammack, Rebecca Murphy 12/1/2013
7/11/2013Dauda Griffin, MD 643 Main St Palmetto GA 3026857468RN226179Hammaker, Teresa Suzette
Wednesday, May 07, 2014 Page 115 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2013Daniel Lopez, MD 643 Main St Palmetto GA 3026864597RN226179Hammaker, Teresa Suzette 5/15/2013
5/7/2010Robersteen Howard, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016540103RN161874Hammett, Rebecca Pearl 4/9/2013
8/5/2011Jeffrey Cooper, MD 3645‐A Howell Ferry Rd Duluth GA 3009632895RN138345Hammock, Mary Frances
8/5/2011Reinaldo Verson, MD 610 19th Street Columbus GA 3190138120RN127086Hammock, Jodi Renee Taylor
8/5/2011Brenda Marino, MD 677 Church St Marietta GA 3006616392RN138345Hammock, Mary Frances 6/14/2011
4/1/2011Forrest Clark Cantrell, MD 3911 Mary Eliza Trace, Suite 200 Marietta GA 3006428948RN138345Hammock, Mary Frances 6/6/2011
3/4/2011Susan Staviss, MD 1523 Johnson Ferry Rd, Suite 150 Marietta GA 3006238652RN138345Hammock, Mary Frances 2/21/2011
1/7/2010David Asrael, MD 4398 Atlanta Hwy Loganville GA 3005251291RN127086Hammock, Jodi Renee Taylor 6/2/2011
1/7/2010Wallace Duncan, MD 4398 Atlanta Hwy Loganville GA 3005241109RN127086Hammock, Jodi Renee Taylor 6/2/2011
4/2/2009Dara Hosch, MD 410 Villa Rica Way Marietta GA 3006447770RN138345Hammock, Mary Frances 2/1/2011
1/9/2009William Jackson, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004435913RN127086Hammock, Jodi Renee Taylor
11/1/2007Dana Hogan, MD 146 W. Athens Street Winder GA 3068044236RN127086Hammock, Jodi Renee Taylor
4/13/2007Richard M. Schlossberg, MD 12 7th Street Auburn GA 3001144330RN127086Hammock, Jodi Renee Taylor 9/14/2007
5/1/2014Patrick Coleman, MD 232 19th St., Ste 7220 Atlanta GA 3036336354RN232621Hammond, Leigh Anne
10/5/2012Bryan Philbrook, MD 975 Johnson Ferry Rd, Ste 340 Atlanta GA 3034247009RN 171224Hammond, Heather
7/12/2012Cuddapah, Satish MD 551 Riverstone Pkwy Ste 100 Canton GA 3011448997RN203463Hammond, Steven 10/10/2012
7/12/2012Deganian, Javad MD 1700 Tree Lane Rd, Ste 110A Snellville GA 3007816053RN051972Hammond, Elizabeth
9/2/2010Charlene Blache, MD 406‐M Northside Dr Valdosta GA 3160245728RN051972Hammond, Elizabeth Jane Broo 7/31/2011
1/7/2010Rodger Chapman, MD 2890 Delk Road Marietta GA 3006716769RN048900Hammond, Rebecca M Westbro
Wednesday, May 07, 2014 Page 116 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/1/2007James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN079839Hammond, Myrna B
2/5/2010Fadi Nahab, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032259883RN205130Hammonds, Lisa Paige 12/17/2010
5/3/2013Dixie Griffin, MD 2225 US Hwy 41 North Tifton GA 3179463661RN116013RN116013
Hampton, Brigitte
10/5/2012Clyde Simmons, MD 39 Kent Rd., Ste 5 Tifton GA 3179417301RN116013Hampton, Brigitte 12/31/2012
7/12/2012Addington, Tony MD 39 Kent Road, Ste 5 Tifton GA 3179452526RN116013Hampton , Brigitte 8/20/2012
3/4/2010James Eutzler, DO 1550 Commerce Drive Valdosta GA 3150249729RN116013Hampton, Brigitte 2/23/2012
11/1/2007Darshan Shah, MD 125 B Victory Dr. Swainsboro GA 3040144096RN116013Hampton, Brigitte 9/25/2009
10/5/2012Richard Young 958‐A Joe Frank Harris Pkwy, Ste 101 & 105
Cartersville GA 3012021218RN195922Hamrick, Theresa
10/8/2010Mark Stovroff, MD 755 Mount Vernon Hwy, Suite 460 Atlanta GA 3032837088RN159447Hamrick, Ellen Elizabeth
3/4/2011Richard Chase, DO 509 Sumter St, Emer Room Montezuma GA 3106317784RN113167Hamsley, Linda Peterson 4/1/2012
4/4/2014Gary L. Smith Sr., MD 12978 N. Main St. Trenton GA 3075210666RN213708Hancock, Crystal LeeAnn
11/8/2013Guy Easterling, DO 277 Commerce St Hawkinsville GA 3103641283RN072945Hand, Charlotte Mock
9/13/2013Noel Battle, MD 176 Charles Hardy Pkwy, Unit C Hiram GA 3014154549RN177312Hand, Kristi Lashun
7/11/2013Deitrick Cox, MD 8811 Hwy 92, Suite 114 Woodstock GA 3018965394RN135542Haney, James Beaumont
6/8/2007Melvin Moore, MD 2675 N. Decatur Rd. Decatur GA 3003316647RN098649Hanik, Maria Muchortow 11/30/2009
1/9/2014William Macheski, MD 2525 Williams Rd Columbus GA 3190928038RN233370Hanna, Mary N
12/1/2011Maria, Bernard MD 1446 Harper Street Augusta GA 3091262741RN217488Hannah, Monica
6/30/2011Gary Minkiewicz, MD 200 S. Enota Dr, Suite 200 Gainesville GA 3050139182RN150842Hannon, Shelley Kristina
Wednesday, May 07, 2014 Page 117 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2013James Lantz, MD 8820 Hospital Dr Douglasville GA 3013428028RN167622Hannor, Tanisha Batrice
2/7/2008Michael Lindsay, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030327602RN096362Hanrahan, Caryn S.
6/8/2007Michael Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN096362Hanrahan, Caryn Schloss 1/1/2008
2/6/2014Shahriar Sedghi, MD 610 Third St, Suite 204 Macon GA 3120137678RN198740Hanse, Megan Michelle
7/11/2013John Kauh, MD 1365‐C Clifton Rd Atlanta GA 3032252970RN121522Happe, Anne Marie
6/8/2007Victoria Afshani, MD 1501 Milstead Rd, #110 Conyers GA 3001255214RN121522Happe, Anne Marie
5/7/2009Deneta Sells, MD 494 Boulevard SE Atlanta GA 3031258200RN125164Harbaugh, Christine M.
11/1/2007Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN125164Harbaugh, Christine M 4/9/2009
12/6/2013Johnny Peeples, MD 1223 Plaza Ave Eastman GA 3102333427RN169970Hardison, Melissa Anne
7/11/2013Alexander Kessler, MD 50 Medical Lane Canton GA 3011450647RN157897Hardison, Heather Smith
2/4/2011Douglas Lundy, MD 61 Whitcher St, Suite 1100 Marietta GA 3006044778RN157897Hardison, Heather Smith 5/6/2012
3/6/2009Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN157897Hardison, Heather Smith 1/2/2011
8/7/2009Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN188351Hardtman, Pandora Tamara
1/9/2014Michael Pompey, MD 901 Rice Street Atlanta GA 3031823097RN083197Hardy, Jennie M Johnson
5/4/2012Levy, Howard MD 59 Executive Park South Atlanta GA 3032936207RN118464Hardy, Paula
9/11/2008Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN118464Hardy, Paula K 11/21/2011
8/2/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN118464Hardy, Paula Kelly Tullis 7/10/2008
5/1/2014Lisa Robinson, DO 1601 Fair Rd., Ste 600 Statesboro GA 3045860863RN163941Hargett, April Pulliam
8/5/2011Melissa Bruhn, MD 918 South Broad St Thomasville GA 3179243565RN148927Hargraves, Andrea Marsha Kern
Wednesday, May 07, 2014 Page 118 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/7/2008Kimberly Williams, MD 460 West Main Street, Suite 100 Blue Ridge GA 3051332063RN185930Harlow, Andrea Christine
6/8/2012Ellenoff, Bonnie DO 3834‐C Austell Road, Ste C Marietta GA 3000851644RN075610Harmon, Jacqueline
8/5/2011Stephen Odom, MD 1810 Mulkey Rd, Suite 105 Austell GA 3010638895RN075610Harmon, Jacqueline C.
4/1/2010Stephanie Gordon, MD 2750 Owens Dr, Suite A Conyers GA 3009449382RN079076Harmon, Marcia Roberts
4/3/2008Shobha Rao, MD 2750 Owens Drive, Suite A Conyers GA 3009432893RN079076Harmon, Marcia Roberts 5/2/2008
8/9/2013Kenneth Harper, MD 556 Third St, Suite A Macon GA 3120125983RN044250Harper, Terri F
8/9/2013William Kriegel, DO 3707 Largent Way Marietta GA 3006431962RN177721Harper, Katharine Marie
12/7/2012Beena Patel, MD 8095 Roswell Rd Sandy Springs GA 3035037322RN177721Harper, Katharine M.
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd floor Augusta GA 3090133283RN042192Harper, Joan Daniel
5/7/2009Linda Sacks, MD 4750 Waters Ave, Suite 206 Savannah GA 3140424724RN151201Harper, Amanda Kay
2/5/2009Jeffrey Klopper, MD 3188 Atlanta Road SE Smyrna GA 3008026321RN024557Harper, Mary C.
4/4/2013Ian Davis, DO 1120 15th Street, AF‐2030 Augusta GA 3091264203RN071579Harrell, Lori Ann Miller
8/10/2012Divikar Jammalamadaka, MD
811 13th St, Ste 10 Augusta GA 3090166378RN071579Harrell, Lori 4/1/2013
2/3/2012Cowart, Charles MD 1101 Ocilla Road Douglas GA 3153329161RN056220Harrell, Shirley
8/5/2011Jon Gibbs, MD 3651 Wheeler Rd Augusta GA 3090938493RN071579Harrell, Lori Ann Miller 8/15/2012
5/6/2011Johnathan Gaskins, MD PO Box 1287 Douglas GA 3153456836RN056220Harrell, Shirley Lavon Knowles 1/13/2012
1/7/2010Douglas Cardillo, MD 3623 J. Dewey Gray Cir, Suite 113 Augusta GA 3090953432RN071579Harrell, Lori Ann Miller 7/13/2011
9/3/2009Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN071579Harrell, Lori Ann Miller 12/13/2009
Wednesday, May 07, 2014 Page 119 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/13/2007Frederick Merrill, III, MD 465 North Belair Rd, Suite 1‐C Evans GA 3080934664RN071579Harrell, Lori Ann Miller 9/3/2009
1/11/2008Douglas Lowery‐North, MD 1364 Clifton Road Atlanta GA 3032239854RN130649Harrell‐Ward, Antionette Felicia
9/13/2013Eric Goldklang, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004652729RN171135Harrelson, Christina Alison
1/11/2013Henry Perez, MD 5665 Peachtree Dunwoody Rd. Atlanta GA 3032229990RN204505Harrington, Meghan
2/6/2014Stephen Frohwein, MD 5669 Peachtree Dunwoody Rd, Suite 315
Atlanta GA 3032234834RN096458Harris, Kim Sheree Sturdivant
1/9/2014Anthony Clavo, MD 1975 Hwy 54 West, Suite 100 Peachtree City GA 3021445425RN153892Harris, Kyle Lazett Henderson
11/8/2013Erik Shaw, DO 2020 Peachtree Rd NW Atlanta GA 3030958012RN165597Harris, Delecia Monique
9/13/2013Mac Bowman, MD 818 St Sebastian Way, #308 Augusta GA 3090121647RN228995Harris, Jessica Mary
7/12/2012Waters, Renee MD 3651 Dawson Forest Rd E. Ste 100 Dawsonville GA 3053435782RN177469Harris, Heather
3/29/2012Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN149407Harris, Mandy 7/25/2012
8/5/2011Alan McDonald III, MD 2001 Peachtree Road, Suite 705 Atlanta GA 3030951509RN146291Harris, Elizabeth Marie
11/5/2010Donna Van Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200398Harris, Jaime Cherie 5/10/2013
5/7/2010W. Morris Brown, MD 95 Collier Rd, Suite 2055 Atlanta GA 3030929309RN146291Harris, Elizabeth Marie 10/9/2010
1/7/2010Gregory Teel, MD 13570 North Main St Trenton GA 3075239961RN200398Harris, Jaime Cherie 9/30/2010
5/7/2009Linda Sacks, MD 4750 Waters Avenue, Suite 206 Savannah GA 3140424724RN081306Harris, Lydia J Boston
12/4/2008Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN049658Harris, Yvonne D 8/28/2009
9/14/2007Suzanne Storey, MD 611 E. Villanow St, Bldg 3 Lafayette GA 3072849845RN189150Harris, Leah B
6/8/2007Cheryl Jones, MD 308 Coliseum Dr Macon GA 3121734865RN109366Harris, Jeffrey Alan
Wednesday, May 07, 2014 Page 120 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Gary Solt, MD 309 Vernon St LaGrange GA 3024024497RN198333Harrison, Jessica Marie
6/7/2013Julian D. Sharpton, MD 11973 Augusta Rd. Lavonia GA 3055317084RN159235Harrison, Jennifer Leigh
9/2/2010Willert Lynn, III, MD 802 Towne Park Drive Rincon GA 3132647979RN113434Harrison, Susan Neidlinger 3/7/2014
1/9/2014Mark Dorogy, MD 682 Hemlock St, Suite 490 Macon GA 3120141105RN081204Harrison‐Smith, Kemberly Jean
1/9/2014Gary Olson, MD 1436 Broadrick Dr Dalton GA 3072020465RN229745Harriss, Dorinda Kay 1/17/2014
5/4/2012Taylor, Michelle MD 3073 Panthersville Rd Decatur GA 3003460104RN133852Harry, Cheryl 7/25/2012
1/7/2010Deronda Person, MD 3208 Alcovy Club Court Dacula GA 3001950079RN133852Harry, Cheryl Rosanne 9/30/2010
11/2/2012Anthony Costrini, MD PO Box 14417 Savannah GA 3141614476RN198296Hart, Rebecca
10/8/2010Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN179734Hart, Ivan Pershing 2/15/2013
8/7/2009Norman Novelly, DO 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034240500RN119459Hart, Kimberly Womack
5/1/2014Hailu Demissachew, MD 19 Redmond Rd. Rome GA 3016554072RN234345Hartfield, Satoya Loreen
3/8/2013Avril Beckford, MD 4581 South Cobb Dr, Suite 100 Smyrna GA 3008035814RN188547Hartley, Christina Marie
11/3/2011Babalola, Cecilia MD 3970 Five Forks Trickum Rd, Suite A Lilburn GA 3004758389RN174554Hartley, Shanda Thompson 10/31/2011
5/6/2011Luther Vance, Jr., MD 4595 Towne Lake Pkwy, Bldg 300, #140 Woodstock GA 3018919354RN174554Hartley, Shanda Thompson 7/17/2012
5/7/2010Julia Wilson, MD 7530 Roswell Rd Atlanta GA 3035056787RN174554Hartley, Shanda Thompson 3/19/2011
11/5/2009Thomas Morrow, MD 5530 Windward Pkwy, Bldg One, #1210 Alpharetta GA 3000439879RN174554Hartley, Shanda Thompson
12/3/2010Alan Einstein, DO 5400 Laurel Springs Pkwy, Suite 1401 Suwanee GA 3002440900RN134198Hartman, Lisa Lou
3/6/2009Craig Johnson, MD 5775 P'tree Dunwoody Rd, #C‐200 Atlanta GA 3034229689RN134198Hartman, Lisa Lou
6/8/2007Wendy Hawke Lenz, MD 2712 Lawrenceville Hwy Decatur GA 3003327563RN134198Hartman, Lisa Lou 12/31/2007
Wednesday, May 07, 2014 Page 121 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Jennifer Wootten, MD 10 Park Place Atlanta GA 3030535791RN036560Hartsfield, Barbara
2/7/2013Charles Galea, MD 615‐A Pendleton St. Waycross GA 3150155229RN170256Harvell, Katherine Ganas
1/7/2010Brian Griner, MD 117 West Northside Drive Valdosta GA 3160246966RN170256Harvell, Katherine Ganas 6/30/2012
5/1/2014Prashant Mishra, MD 3950 Austell Rd Austell GA 3010655281RN175742Harvey, Maisha Nilanja
12/6/2013Scott Reynolds, MD 1700 Hospital Dr, Suite 500 Austell GA 3010659009RN218149Harwell, Christina Louise
10/7/2011Williams, Rembert Andrew MD
710 Center Street Columbus GA 3190228105RN178427Hasbach, Kimberly
12/4/2009John Coleman, MD 1720 Peachtree St, Suite 200 Atlaanta GA 3030948498RN151842Haskin, Hope Minyette 5/11/2010
10/10/2013Quyen Luu, MD 639 Hemlock St, Suite 200 Macon GA 3120125216RN125871Hastings, Judy Lynn
6/8/2012Jackson, Eugene MD 151 South Houston Lake Rd, Ste 190 Warner Robins GA 3108822793RN125871Hastings, Judy 2/13/2013
6/30/2011Eric Powell, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152549081RN125871Hastings, Judy Lynn 5/1/2012
7/10/2009Edward Young, MD 777 Hemlock St, MSC 117 Macon GA 3120136325RN125871Hastings, Judy Lynn
8/8/2008Shahriar Sedghi, MD 610 Third Street, Suite 204 Macon GA 3120137678RN125871Hastings, Judy Lynn 4/30/2009
8/2/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN057772Hastings, Judith Ann Rainey
9/13/2013Kaizad Shroff, MD 705 17th St, Suite 410 Columbus GA 3190162002RN154558Hatcher, Kimberly Denise
8/9/2013William Boydston, MD 5455 Meridian Mark Rd NE, Suite 540 Atlanta GA 3034234112RN191603Hatcher, Jessica Blaire
12/1/2011Woods, W. Jason MD 220 North Macon Street Macon GA 311044383RN138819Hatcher, Katherine
4/1/2011David Kent, MD 308 Coliseum Dr, Suite 200 Macon GA 3121725625RN138819Hatcher, Katherine Walker 6/1/2011
8/6/2010Samuel Johnson, MD 5300 Memorial Dr, Suite 112 Stone Mountain GA 3008337841RN118661Hatcher, Laurie Denise
Wednesday, May 07, 2014 Page 122 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Elisabeth Barclay, MD 5300 Memorial Dr, Suite 112 Stone Mountain GA 3008356406RN118661Hatcher, Laurie Denise 3/1/2010
1/9/2009Mark Hendricks, MD 380 Hospital Dr, Bldg A, #430 Macon GA 3121743061RN138819Hatcher, Katherine Walker 8/26/2010
7/11/2013Arnold Gaskin, MD 3384 Peachtree Rd NE, Suite 700 Atlanta GA 3032636382RN073560Hatfield, Susan Lynn
10/2/2009Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN073560Hatfield, Susan Lynn 4/15/2010
3/8/2013Christopher Richards, MD 300 Medical Court Oglethorpe GA 3106858316RN079347Hatten, Karen Patricia Dumprof
10/8/2010Richard Chase, DO 300 Medical Court Oglethorpe GA 3106317784RN079347Hatten, Karen Patricia Dumprof
3/8/2013Annette Hinchcliffe, MD 6300 Hospital Pkwy, Suite 125 Johns Creek GA 3009742607RN225760Haupt, Vivien G
2/7/2013Marty Sellers, MD 1968 Peachtree Rd., NW, Bldg 77, Flr 5 Atlanta GA 3030956925RN189625Hausner, Julie
4/1/2011Akiva Gimpelevich, DO 2398 Mt Vernon Rd, Suite 150 Dunwoody GA 3033864219RN048204Hawk, Virginia Margaret
3/4/2011Kay Lynn, MD 2398 Mt Vernon Rd, Suite 150 Dunwoody GA 3033813182RN048204Hawk, Virginia Margaret 2/5/2011
1/9/2009Thomas Murray, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050123194RN101168Hawkins, Theron Edward
1/6/2012Brickman, Sandra MD 1806 Lee Avenue Tifton GA 3179445043RN218887Hawthorne, Dolores 9/21/2012
9/13/2013Ifeoma Eke, MD 1510 Hudson Bridge Rd Stockbridge GA 3028152350RN174596Hayek, Brenda Carole
11/7/2008Eric Hoffler, MD 735 Glen Street South Fayetteville GA 3021432752RN174596Hayek, Brenda Carole
2/7/2013Janet Fason, DO 2990 Five Forks Trickum Rd Lawrenceville GA 3004448773RN062405Hayes, Vivian Anne Smith
1/6/2012William Richardson, MD 4791‐B Jonesboro Rd Union City GA 3029126631RN101149Haynes, Kathleen Norris Colden 8/18/2012
8/7/2009Terry Feng, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034226264RN122509Haynes, Nicole Lynn
6/8/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN045227Haynes, Mackie Lee Teate
Wednesday, May 07, 2014 Page 123 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2012Dwayne Gard, MD Memorial Univeristy Medical Center, 4700 Waters Av
Savannah GA 3140460731RN152773Hazel, Gina O. 2/1/2014
3/8/2013James Gore, MD 1657 North Expressway Griffin GA 3022336384RN144931Head, Amy Marie
2/3/2012Vevera, Elizabeth MD 3400A Old Milton Pkwy, Ste 130 Alpharetta GA 3000541990RN149423Head, Leslie
1/6/2012Cunningham, William MD PO Box 1000 Warm Springs GA 3183062325RN144931Head, Amy
1/11/2013Mandy S. Moye, MD 603 S. Wheat Ave. Bainbridge GA 3981965589RN129224Heard, April G.
3/6/2009Darrell Carpenter, MD 603 South Wheat Ave, Suite 400 Bainbridge GA 3981940023RN129224Heard, April Danene Goodwin 9/21/2012
8/2/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN144729Heath, Thomas Gregory
4/4/2014Robert Whipple, MD 775 Poplar Rd., Ste. 150 Newnan GA 3026546279RN180320Heavin, Jennifer Ashley
3/6/2014Lisa McMath, MD 4000 Shakerag Hill, Suite 201 Peachtree City GA 3026953332RN180320Heavin, Jennifer Ashley
10/7/2011Whipple, Robert MD 37 Calumet Pkwy Bldg G, Ste 101 Newnan GA 3026346279RN180320Heavin, Jennifer 12/18/2013
1/9/2009Joel Rosenstock, MD 2484 Briarcliff Road, Suite 24 Atlanta GA 3032932036RN116170Hebert, Mark G
6/8/2012Nulph, Michael MD 222 Perry Hwy Hawkinsville GA 3103657735RN129700Hedden, Danielle
6/8/2012Kopacz, Sandra MD 222 Perry Hwy Hawkinsville GA 3109232179RN129700Hedden, Danielle
2/4/2011Mark Senger, DO PO Box 485 Unadilla GA 3109158006RN129700Hedden, Danielle K.
11/5/2010Donna Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN168020Hedden, Sandra Lynn 7/1/2011
1/9/2009Gregory Teel, MD 13570 N. Main Street Trenton GA 3075239961RN168020Hedden, Sandra Lynn 9/30/2010
11/2/2012Rami Azzouz, MD 1507 Professional Court Dalton GA 3072050126RN087760Hedrick, Caroline M.
6/4/2010Nelson Oyesiku, MD 1364 Clifton Rd NE, Suite B‐2200 Atlanta GA 3032231484RN054432Heeke, Sheila Hope Little
Wednesday, May 07, 2014 Page 124 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2009Daniel Barrow, MD 1364 Clifton Rd NE, #B‐2200 Atlanta GA 3032228110RN054432Heeke, Sheila Hope Little
8/7/2009Varnada Karriem‐Norwood, MD
2701 N. Decatur Road Decatur GA 3003348902RN176347Heier, Lauren Phyllis
9/11/2008Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN141187Height, Crystal Michelle 12/31/2010
11/2/2012Robert D. Mixson, MD 104 Lakeshore Dr., Ste A St. Marys GA 3155839415RN194996Heinrich, Patricia Wood
8/2/2007John Mynatt, Jr., MD 5040 Bill Gardner Pkwy, Ste 100 Locust Grove GA 3024841469RN132478Hellam, Patricia Lynn Stauffer
11/8/2013David Van, MD 290 Country Club Dr, Suite 200 Stockbridge GA 3028129545RN135983Hellmer, Carol Ann
3/6/2014Jose Justiniano‐Ayala, MD 1430 Suggs St Rossville GA 3074146773RN106534Hellriegel, Karen Marie
8/10/2012Edward Meier, MD 2112 Shorter Ave, Ste 200 Rome GA 3016543426RN106534Hellriegel, Karen
2/4/2011Monica Hum, MD 95 Collier Rd NW, Suite 4025 Atlanta GA 3030953247RN142576Helm, Jansen Pryor
9/14/2007Wayne Richey, MD 160 Central Avenue Trion GA 3075350910RN081220Helms, Pamela Beth
11/8/2013Gregory Martin, MD 1498 Jesse Jewell Pkwy, Suite D Gainesville GA 3050147801RN134376Helton, Amy Leigh
9/13/2013Eric Powell, MD 1111 Glynco Pkwy, Bldg 1, #10 Brunswick GA 3152549081RN227468Helton, Sara Renee
4/4/2013Michael Hagues, DO 2300 Manchester Expwy, Emer Dept Columbus GA 3190423977RN170748Helton, Tamika LaShun
3/29/2012Clark, Jr., Curtis DO 610 19th Street Columbus GA 3190147068RN170748Helton, Tamika 8/1/2013
4/3/2008Michael Butler, MD 3226‐A Hampton Avenue Brunswick GA 3152035833RN180038Hemenway, Shannon Jean
9/13/2013Gregory Patterson, MD 100 Mimosa Dr, 3rd Floor Thomasville GA 3179245106RN231977Henderson, Rachel Ann
6/8/2012Page, Dexter MD 550 Peachtree S, Ste 1275 Atlanta GA 3030840974RN098527Henderson, Ruby
10/7/2011West, Robert MD 465 North Belair Rd, Ste 2B Evans GA 3080943818RN078420Henderson, Margo
Wednesday, May 07, 2014 Page 125 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN078420Henderson, Margo 8/1/2011
9/11/2008Andres Ruiz‐Arango, MD 1120 15th St Augusta GA 3091258770RN078420Henderson, Margo 8/1/2011
3/7/2008Veronica Garrett, MD 1567 Milstead Road NE, Suite B Conyers GA 3001239106RN098527Henderson, Ruby Larna 6/4/2010
12/4/2008Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN159161Henon, Robbin Renee 1/16/2010
10/4/2007Karin Alcantara, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074243996RN159161Henon, Robbin Renee 9/26/2008
11/8/2013Sharne Hampton, MD 901 Rice St Atlanta GA 3031830375RN185352Henry‐Ladge, Nadine Shahine
4/1/2010Ethan Tolbert, MD 550 Peachtree St NE, Suite 1185 Atlanta GA 3030846265RN185352Henry‐Ladge, Nadine Shahine
9/2/2010Mark Coker, MD 14557 Highway 19, Suite A Griffin GA 3022456276RN141558Henslee, Mary Roseann Branne 7/1/2013
10/2/2009Henry Baughman, MD 375 Boynton Drive Ringgold GA 3073645395RN171049Hensley, Tinsley Miller
9/1/2011Catherine Yeagley, MD 2665 N Decatur Rd, Suite 750 Decatur GA 3003346018RN122848Henson, Chelsea Skye
3/7/2008Janene Holladay, MD 1620 Prince Avenue Athens GA 3060637199RN062999Henson, Eva Lee 5/28/2010
2/7/2013Michael D. Hagues, DO 2122 Manchester Expwy, PO Box 7000, ER
Columbus GA 3190823977RN170417Herczeg, Katherine I.
4/1/2010Allen Woodrow Jones, MD 1610 East 10th Street West Point GA 3183332214RN170417Herczeg, Katherine Ilene 3/1/2012
1/9/2014Hyun Cho‐Steinberg, MD 1030 Delta Blvd Atlanta GA 3035435226RN160044Hern, Cynthia L.
11/2/2012Susan Alfonso, MD 1030 Delta Blvd Atlanta GA 3035446026RN160044Hern, Cynthia 1/3/2014
5/6/2011Michael Frankel, MD 80 Jesse Hill Jr Dr, 8th Floor Atlanta GA 3030334832RN137143Hernaiz, Lizzette
11/1/2007James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN071356Hernandez, Erin
5/1/2014Atulkumar Patel, MD 600 Parkway North Newnan GA 3026530179RN164161Herrick, Amy Lynn Hinton
Wednesday, May 07, 2014 Page 126 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Samuel Bleuez, MD 1267 Hwy 54 West, Suite 2200 Fayetteville GA 3021460241RN164161Herrick, Amy Lynn Hinton
9/2/2010Benjamin Epstein, MD 2665 N. Decatur Rd, Suite 255 Decatur GA 3003335044RN141123Herring, Gina Bailey
5/9/2008Mahaveer Vakharia, MD 4171 Marietta Street, Suite 300A Powder Springs GA 3012738390RN095672Herring, Belinda King
1/11/2008Melody Palmore, MD 341 Ponce de Leon Ave NE Atlanta GA 3030833679RN141123Herring, Gina Bailey
12/7/2007Minhly Nguyen, MD 341 Ponce de Leon Ave NE Atlanta GA 3030849149RN141123Herring, Gina Bailey
9/13/2012Jonathan Ehrlich, MD 993‐D Johnson Ferry Rd, #360 Atlanta GA 3004215580RN155556Herring James, Sherrenah
10/7/2011Kriegel, William DO 3707 Largent Way Marietta GA 3006431962RN125069Herrington, Angela
6/8/2012Thompson, Sonya MD 1700 Hospital South Drive Austell GA 3010637402RN029101Hersey, Lois
11/7/2008Matthew Burrell, MD 980 Johnson Ferry Rd NE, Suite 900 Atlanta GA 3034217998RN118553Hess, Carole Jean Zoccolillo
6/6/2008Hugo Ribot, MD 958A J F Harris Pkwy, Bldg 2, Suite 102 Cartersville GA 3012130196RN090517Hess, Tammy Jeanette Hamilton 7/24/2008
6/7/2013Ian Crocker, MD 1365 Clifton Rd NE Atlanta GA 3032228391RN089022Heup, Lynn D Leandro
11/7/2008Pudipeddi Sarma, MD 1700 Tree Lane, Suite 490 Snellville GA 3007818073RN089022Heup, Lynn D Leandro
6/6/2008Benjamin Cheek, MD 2000 Hamilton Road Columbus GA 3190425332RN160603Heynen, Courtney‐Maree
5/4/2012Andrews, Noreen MD 1860 Duluth Hwy Ste 103 Lawrenceville GA 3004346861RN066302Hibbitts, Marian 9/14/2012
11/5/2010Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN066302Hibbitts, Marian E. Hayes 9/1/2012
1/7/2010Deronda Person, MD 3208 Alcovy Club Ct Dacula GA 3001950079RN066302Hibbitts, Marian E. Hayes 9/30/2010
3/8/2013Brett A. Krummert, MD 2033 Buford Hwy, Ste. 109 Buford GA 3051865976RN193160Hickman, Dana Hull
7/12/2012Azar, Kenneth MD 306 Greenway Street Thomson GA 3082413721RN078036Hickman, Karen 1/14/2013
10/7/2011Thenmozhi Singaram, MD 3850 Windermere Pkwy, Suite 105 Cumming GA 3004165060RN193160Hickman, Dana Hull
Wednesday, May 07, 2014 Page 127 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Melvin Williams, MD 10 Glenlake Parkway, Ste 40 Atlanta GA 3032849260RN193160Hickman, Dana Hull 9/18/2012
6/30/2011Todd Kelley, MD 330 Turner McCall Blvd Rome GA 3016547781RN194193Hickman, Heather Renee
1/11/2013Cynthia B. Chamless, MD 6501 Peake Rd., #200 Macon GA 3121030975RN188989Hicks, Amy F.
10/5/2012Bobby Harrington, MD 462 E. G. Miles Pkwy Hinesville GA 3131331942RN097435Hicks, Violeta Elizabeth Trail
1/9/2014Devica Alappan, MD 1900 11th Ave, Suite A Columbus GA 3190149526RN167875Higgins, Amy Outlaw
7/11/2013Michael McDaniel, MD 1364 Clifton Rd, Suite F‐606 Atlanta GA 3032254841RN119881Higgins, Lisbeth
5/7/2010Cullen Morris, MD 1270 Prince Ave, Suite 303 Athens GA 3060644285RN119881Higgins, Lisbeth 5/19/2010
10/5/2012Ajay Kumar, MD 132 Sparta Hwy Eatonton GA 3102442326RN149476Higgs, Angela Odom
5/4/2012Richardson, Eddie MD 105 Harmony Crossing, Ste 3 Eatonton GA 3102452047RN149476Higgs, Angela
9/13/2013Kenneth Goolsby, MD 1990 Limestone Cir, Suite 110 Gainesville GA 3050125162RN196899Highsmith, Wykeisha Latrice
3/6/2014Sharon Amaya, MD 146 Bill Carruth Parkway, Emer Dept Hiram GA 3014147182RN149802Hightower, Kimberly Copeland
6/5/2009Sekhar Sankaran, MD 101 Regency Park Dr, Suite 140 McDonough GA 3025331549RN149811Hightower, Kimberly Faith
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN040814Hilde, Eldonna Marie Chase
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN142352Hilde, Karen Renea
12/7/2012Steven A. Durocher, MD 2151 W. Spring St. Monroe GA 3065556051RN123498Hildebrand, Maria A.
12/3/2010Henry Philip Morris, MD 1010 Prince Ave, Suite 17 Athens GA 3060630353RN123498Hildebrand, Maria A
8/7/2009Leon Martin, MD 2701 N. Decatur Rd Decatur GA 3003326594RN149041Hildebrand, Sara Eisen
1/9/2009Earl Grubbs, MD 1700 Medical Way Snellville GA 3007832742RN149041Hildebrand, Sara Eisen
2/5/2010Glen Dasher, MD 1044 Bermuda Run Rd Statesboro GA 3045843354RN152808Hildebrandt, Rana Hadden 5/1/2010
Wednesday, May 07, 2014 Page 128 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/6/2014Steven Wolinsky, DO 425 W Third Ave, Suite 600 Albany GA 3170147175RN159234Hill, Cara C
8/5/2011Jennifer Duke, MD 540 Charter Blvd, Suite 100 Macon GA 3121050615RN060452Hill, Patricia Cannington
8/5/2011Thomas Joiner, MD 425 W Third Ave, Ste 600 Albany GA 3170122797RN159234Hill, Cara C. 6/1/2013
10/8/2010Troy Kimsey, MD 425 W. Third Ave, Suite 105 Albany GA 3170146876RN159234Hill, Cara C. 4/10/2011
5/7/2010John Price, DO 611 Villanow St Lafayette GA 3072855274RN168131Hill, Calita Suzanne Allen 5/27/2011
4/1/2010William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN060452Hill, Patricia Cannington 6/1/2011
12/4/2009Lee Woodall, MD 101 Houston St Barnesville GA 3020422917RN060452Hill, Patricia Cannington
9/3/2009Jeremy Goodwin, MD 235 Medical Court Forsyth GA 3102959416RN060452Hill, Patricia Cannington 6/1/2011
9/3/2009Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN168131Hill, Calita Suzanne Allen 1/18/2010
1/9/2009Boykin Robinson, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032846229RN106566Hill, Eric Shannon
3/7/2008James Palazzolo, MD 804 13th Avenue Alabany GA 3170137637RN159234Hill, Cara C. 7/31/2010
1/9/2014Duane Moores, MD 2500 Starling St, Suite 506 Brunswick GA 3152046998RN195040Hiller, Nicole Ann
1/9/2009Gregory Zakers, MD 550 Fairburn Road, Suite B‐4 Atlanta GA 3033149847RN183075Hill‐Mekoba, Carmen Sharon
11/5/2010Mary East, MD 539 Hardee St Dallas GA 3013263187RN191957Hinds, Misty Meredith
7/11/2013Walter Metcalfe, MD Take Care Clinic, 794 S Park St Carrollton GA 3011758544RN143868Hinds‐Carden, Pamela Kay 9/10/2013
1/11/2008Marat Plotkin, MD 105 Greencastle Road, Suite A Tyrone GA 3029046473RN090519Hint, Harriet Carleen Panduro
8/5/2011Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN214271Hirsch, Lana Christian New 3/29/2013
6/4/2010Margaret Boudreaux, MD 763 Peachtree Pkwy, Suite 2 Cumming GA 3004144172RN158856Hiser, Melissa Sharon Johnson
1/11/2008Matthew Keadey, MD 1364 Clifton Road Atlanta GA 3002249143RN076949Hitchcock, Robin Annette 7/28/2009
Wednesday, May 07, 2014 Page 129 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Harrison Stetler, MD 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 3009241681Rn225115Hobbs, Laura Elizabeth 8/23/2013
11/3/2011Sedghi, Shahriar MD 610 Third Street, Ste 204 Macon GA 3120137678RN177607Hobbs, Sarah
10/10/2013Andrew Waldman, MD 710 Center St, Emer Dept Columbus GA 3190148001RN151941Hocking, Timothy Kevin
3/7/2008Daisy Lim, MD 2705 Airport Road, Suite 101 Dalton GA 3072138847RN151941Hocking, Timothy Kevin
2/6/2014Candi Nobles‐James, MD 777 Hemlock St, Suite 118 Macon GA 3120147985RN217912Hockstedler, Marita Ann
9/13/2012Richard Harvey, MD 575 First Street Macon GA 3120137827RN217912Hockstedler, Marita Ann 6/23/2013
4/1/2010Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN104429Hodnicki, Deanna Renee O'Don 5/17/2013
7/11/2013Theresa Christie, MD 2258 Wrightsboro Rd, Suite 150 Augusta GA 3090442543RN069440Hoehn, Nancy Lee
5/1/2014Courtney Middleton, MD 11975 Morris Rd, Suite 300 Alpharetta GA 3000557295RN218934Hoepfner, Marianne Vera
8/2/2007Thomas R. Rumble, MD 2121‐A Bellevue Rd Dublin GA 3102113078RN067755Hoffa, Evelyn Marie Head 1/1/2012
8/5/2011Kamlesh Patel, MD 303 Parkway Dr Atlanta GA 3031252481RN169860Hoffman, Judy Lynn
4/1/2011Kathy Mansfield, MD 210 Hannah's Mill Rd Thomaston GA 3028638299RN169860Hoffman, Judy Lynn
1/7/2011James Gore, MD 1657 N. Expressway Griffin GA 3022336384RN169860Hoffman, Judy Lynn
7/1/2010William Jackson, MD 1365 Rock Quarry Rd, Suite 200 Stockbridge GA 3028135913RN169860Hoffman, Judy Lynn
2/5/2010Dong Trang, DO 801 West Gordon Street Thomaston GA 3028657691RN169860Hoffman, Judy Lynn
9/11/2008Louis Spencer, MD 4159 Martha Berry Hwy, NW Rome GA 3016561351RN060455Hoffman, Linda Ann Hilpp 11/1/2009
1/6/2012Budlong, Brenda MD 304 Shorter Avenue Rome GA 3016534749RN060455Hoffmann, Linda
11/5/2009Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN060455Hoffmann, Linda Ann Hilpp 11/30/2011
12/7/2007Hope McDaniel, MD 4159 Martha Berry Hwy NW Rome GA 3016559287RN060455Hoffmann, Linda Ann Hilpp 10/1/2008
Wednesday, May 07, 2014 Page 130 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2009Lisa Rosa‐Re, MD 11660 Alpharetta Hwy, Suite 600 Roswell GA 3007629768RN087295Hogue‐Kinahan, Janice Kaye 8/17/2009
6/6/2008James Kinahan, MD 5471 Chamblee Dunwoody Road Dunwoody GA 3033835277RN087295Hogue‐Kinahan, Janice Kaye
8/9/2013Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN118690Holbrook, Alisha Jill
3/6/2014Sara Harbin MD 14‐A Legacy Way Adairsville GA 3010366353RN187563Holcomb, Mindy Lynn
3/8/2013Julaine B. Cross, MD 255 W 5th Street, #300 Rome GA 3016556037RN101888Holcomb, LaDonna L.
10/7/2011Wilma Briones‐Mull, MD 255 West 5th Street Rome GA 3016564783RN101888Holcomb, LaDonna 12/3/2012
10/2/2008Kenneth Howard, MD 1060 Redbud Road Calhoun GA 3070140412RN101888Holcomb, LaDonna Leigh 6/25/2011
12/6/2013Benjamin Holland, MD 1199 Prince Ave, MSB Bldg, 2nd floor Athens GA 3060667710RN196061Holland, Jennifer Rachel
4/1/2010William Garrett, MD 6602 Waters Ave, Bldg C Savannah GA 3140643373RN102280Holland, Wendy Jean Olmstead
6/8/2007Anthony Costrini, MD 11700 Mercy Blvd Suite 5 Savannah GA 3141914476RN102280Holland, Wendy Jean Olmstead 10/28/2009
6/4/2010Samuel Griffin, MD 700 Sunset Dr, Suite 101 Athens GA 3060626287RN123667Hollett, Mary Elizabeth
11/1/2007Jasmina Warren, MD 189 Jefferson Parkway Newnan GA 3026329555RN111917Holley, Sherry Perkins
7/11/2013John Corbin, MD 2122 Manchester Expry, Emer Dept Columbus GA 3190434800RN197148Hollifield, Jr, Anthony Theodore
8/10/2012Foster, Carl MD 6400 Flat Rock Road Columbus GA 3190757618RN197148Hollifield, Jr, Anthony
9/13/2013Norvin Ona, DO 1925 Old Peachtree Rd Lawrenceville GA 3004337634RN171362Hollingsworth, Crichton Anne
4/1/2011Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN138048Hollis, Elizabeth Maria 3/7/2014
4/1/2011D. Shawn Surratt, MD 603 S. Wheat Ave, Suite 700 Bainbridge GA 3981955984RN138048Hollis, Elizabeth Maria 3/7/2014
6/4/2010Gloria Kayfan, DO PO Box 1908 Albany GA 3170148431RN138048Hollis, Elizabeth Maria
3/6/2009Michael Brooks, MD 868 York Avenue Atlanta GA 3031029420RN196128Hollis, Nila Erica
Wednesday, May 07, 2014 Page 131 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2012Mark Elam, MD 1102 Burleyson Rd. Dalton GA 3072036147RN175341Holloway, Amy E.
9/13/2012Joseph Sentef, MD 513 Benjamin Way, Suite 200 Dalton GA 3072132816RN175341Holloway, Amy Elizabeth 9/20/2012
3/1/2012Smith, Jason MD 550 Professional Drive Macon GA 3120152635RN170114Holloway, Hollie
6/7/2013Jackie Cox Thompson, MD 2927 Demere Dr. St. Simons Island GA 3152212446RN047369Holmes, Jennifer
10/2/2009Foster Brin, MD 175 Emery Hwy Macon GA 3121729980RN047369Holmes, Jennifer Cassiel Spires
10/2/2009James Fenley, MD 175 Emery Hwy Macon GA 3121734584RN047369Holmes, Jennifer Cassiel Spires
10/2/2009Nathan Feibelman, MD 175 Emery Hwy Macon GA 3121728768RN047369Holmes, Jennifer Cassiel Spires
8/2/2007Thomas R. Rumble, MD 2121‐A Bellevue Road Dublin GA 3102113078RN047369Holmes, Jennifer Cassiel Spires
8/10/2012Patrick Dorvilus, MD 1555 Brampton Avenue Statesboro GA 3045860450RN152873Holsey, Angela
12/7/2007Melody Palmore, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030833679RN048542Holstad, Marcia McDonnell
1/11/2013Kenneth J. Howard, MD 1060 Redbud Rd. Calhoun GA 3070140412RN060670Holt, Tina M.
6/8/2012Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN060670Holt, Tina 4/24/2014
5/4/2012Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016rn060670Holt, Tina
10/8/2010Grace Davis, MD 203 W. Kelley St Sylvester GA 3179139770RN118735Holt, Stacy Exum
6/5/2009Samantha Anderson, MD 9 Dunwoody Park, Suite 108 Atlanta GA 3033849158RN081255Holt, Lisa Renee
5/1/2014F Geoffery Conner, MD 1608 Meadows Lane, Suite 1 Vidalia GA 3047433555RN164616Holton, Cynthia Kaye
10/5/2012Peter Higgins, MD 101 Harris Industrial Blvd., Suite A Vidalia GA 3047465260RN164616Holton, Cynthia
8/7/2009Cecil Sharp, MD 1350 Walton Way ‐ 3rd Floor Augusta GA 3090127662RN149723Holton, Rhonda Lynn
6/3/2011Henry Patton, MD 6175 Newton Dr Covington GA 3001422861RN057108Homeyer, Dana Carole Davis
Wednesday, May 07, 2014 Page 132 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2010Kirk Kanter, MD 1405 Clifton Rd Atlanta GA 3032230631RN159919Honeycutt, Stephanie W.
10/7/2011Skiwski, Jason MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074264973RN211820Hood, Terry 11/3/2012
11/8/2013Felix Amoa‐Bonsu, MD 5185 Old National Hwy Atlanta GA 3034955916RN141343Hooker, Tanisha Renae
2/6/2014Janise Whitesell, MD 501 N Kings Bay Rd Kingsland GA 3154847867RN115975Hooks, Donna Jean Joiner
12/1/2011Pierzchajlo, Richard MD 1489 Kennedy Road Tifton GA 3179422620RN118682Hooks, Julie
6/7/2013Polow, Sarah DO 824 G I Maddox Pkwy Chatsworth GA 3070524067RN095695Hooper, Tracy
2/5/2010Teresa Baysden, DO 2001 Antioch Road Dalton GA 3072157348RN095695Hooper, Tracy Lynn Martin 2/1/2011
10/7/2011Norvell, Mark MD 3300 Fourth Street Brunswick GA 3152023393RN155541Hoover, Abigail
5/6/2011Jennifer Miller, MD 390 EH Court Brunswick GA 3152046996RN155541Hoover, Abigail Currier
4/4/2013Samuel Sencil, DO 206 East Church St Bowman GA 3062455971RN048111Hopkins, Debra D
4/1/2011Denise Pecht, MD 771 Old Norcross Rd, Suite 305 Lawrenceville GA 3004634436RN205006Hopkins, Casey Leigh 5/12/2012
7/13/2007Thomas Simpson, MD 315 W. 5th St Rome GA 3016134949RN060470Hopkins, Janice Marie Gribble 3/21/2011
6/3/2011Bradley Ward, MD 97 Church St Taylorsville GA 3017821115RN188946Horn, Lauren Bramlett
6/6/2008David Jacobson, MD 2665 N. Decatur Rd, Suite 520 Decatur GA 3003321405RN182990Horn, Martha Tallman
5/4/2012Sells, Deneta MD 490 Bill Kennedy Way Atlanta GA 3031658200RN198433Horne, Allie
11/5/2009Anuj Manocha, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010045876RN200954Horne, Wanda Yejide
3/8/2013Larry A. Fritchman, MD 843 Falls Rd. Toccoa GA 3057757970RN159649Horner, Rose Marie I.
5/7/2010Larry Fritchman, MD 843 Falls Rd Toccoa GA 3057757970RN175950Horner, Dennis Duane
3/4/2011Mallory McRae, MD 1518 Miluli Ave Bainbridge GA 3981950218RN131042Hornsby, Julie Tiner
Wednesday, May 07, 2014 Page 133 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Michael Clifford, MD 11045 Columbia St Blakely GA 3982337508RN131042Hornsby, Julie Tiner
9/14/2007William Cook, MD 1267 Hwy 54 West, Suite 3200 Fayetteville GA 3021432461RN116039Hostetler, Joy 3/12/2012
9/14/2007Terry Wood, MD 1340 Boulevard SE Atlanta GA 3031536636RN116039Hostetler, Joy Lynn 3/12/2012
6/5/2009Medel Reyes, MD 55 Whitcher St, Suite 420 Marietta GA 3006048815RN165675Hough, Kenyetta Mashanna
1/9/2014Cheryl Tolliver, MD 417 Third Ave Albany GA 3170153040RN168272Howard, Heather Hendon
9/13/2013Idopise Umana, MD 5875 Thompson Nill Rd, Suite 200 Hoschton GA 3054862295RN208802Howard, Christie Jane
4/4/2013Brant Holt, MD 102 Erlanger South Drive Ringgold GA 3073654393RN226783Howard, Patricia Lauren 2/20/2014
4/13/2007Michael Walter Szpak, MD 1009 N. Monroe St. Albany GA 3170134256RN143388Howard, Jacqueline Elaine
4/4/2014Craig Fredericks, MD 704 South Broad St. Thomasville GA 3179232907RN198780Howell, Rachel Hearon
7/11/2013Dolapo Babalola, MD Take Care Clinic, 2464 Roswell Rd Marietta GA 3006259119RN073038Howell, Charlotte Adrienne
5/4/2012Lee, Clay DO 207 31st Avenue SE Moultrie GA 3176846610RN206614Howell, Jennifer
3/1/2012Berl, Seth MD #9 Hospital Park Moultrie GA 3176824390RN206614Howell, Jennifer
11/3/2011Quinton Weldon, MD 100 Plantation Ridge Drive Americus GA 3170956786RN186042Howell, Allen Blaine
10/7/2011Plummer, Valens MD 1762 Mars Hilol Rd NW Acworth GA 30101‐809149496RN073038Howell, Charlotte 5/1/2013
10/8/2010John Hubbard, MD 228 N. College Ave Hartwell GA 3064330787RN055858Howell, Scott Nelson 5/13/2011
5/7/2009Jeffrey Gallups, MD 2365 Old Milton Pkwy Alpharetta GA 3000433774RN189639Howell, Sarah Lynn
2/5/2009Michelle Morgan, MD 9465 Hwy 5 Douglasville GA 3013551694RN098139Howell, Deborah Smith 2/23/2013
9/14/2007David Arkin, MD 758 Old Norcross Rd, Ste 175 Lawrenceville GA 3004528136RN159191Howell, Frances Wilson 10/2/2007
2/6/2014Miriam Gwathney, DO 931 Lower Fayetteville Rd, Suite J Newnan GA 3026363343RN142462Howell‐Philip, Vanessa
Wednesday, May 07, 2014 Page 134 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Michelle Morgan, DO Take Care, 9465 Hwy 5 Douglasville GA 3013551694RN142462Howell‐Philip, Vanessa
3/1/2012Oliviere, James Jr. MD 931 Lower Fayetteville Road Newnan GA 3026360017RN142462Howell‐Philip, Vanessa 12/31/2012
7/10/2009Alvin Cheatham, MD 6000 N. Terminal Pkwy, Suite ATR‐R3 Atlanta GA 3032022732RN142462Howell‐Philip, Vanessa
4/4/2014Shalini Reddy, MD 1825 Martha Berry Blvd Rome GA 3016545935RN205032Hoyt, Heather Smith
4/4/2014Markus Porkert, MD 1700 Tree Ln., Ste. 190 Snellville GA 3007851716RN206671Hu, Yuan
7/12/2012Ralph Jackson, MD 771 Old Norcross Road Ste 110 Lawrenceville GA 3004622794RN206671Hu, Yuan
5/6/2011Morgan McLemore 1365‐C Clifton Rd, Suite 3078 Atlanta GA 3032259290RN121854Hu, Qiuping
3/4/2011Stanley Jones, MD 391 Peacdhtree St Jesup GA 3154547607RN169681Hubbard, Mandy D. Brinson
9/2/2010Eddie Thomas, MD 391 Peachtree St Jesup GA 3154553192RN169681Hubbard, Mandy D. Brinson
5/7/2010Eric Hall, MD 512‐B South Main Street Hinesville GA 3131345814RN169681Hubbard, Mandy D. Brinson
2/5/2009Heather Svenson, MD 47 Professional Drive Brunswick GA 3152050841RN169681Hubbard, Mandy D. Brinson
4/1/2010Viranuj Sueblinvong, MD 1365 Clifton Rd NE, Clinic A, Suite 4346 Atlanta GA 3032261664RN197288Hubbard‐Green, Deneek B.
8/7/2009Michael Szpak, MD 1009 N. Monroe Street Albany GA 3170134256RN048168Hubble, Wanda Ann Bland
1/9/2009Madhu Vishwanath, MD 3003 Old Alabama Road Alpharetta GA 3002256499RN097896Huckabay, Paige Adams Murph 12/12/2012
11/5/2010Bruce Williams, DO 1301 Sigman Rd NE, Suite 230 Conyers GA 3001262794RN069461Huckaby, Lisa Carole Potts 9/22/2011
1/11/2008Mohamad El‐Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN069461Huckaby, Lisa Carole Potts 2/26/2010
4/2/2009Enrique Isidro, MD PO Box 1000 Warm Springs GA 3183049617RN064157Hudson, Virginia N. 4/1/2014
10/4/2007Duan Huang, MD 6135 Roosevelt Hwy, PO Box 1000 Warm Springs GA 3183055058RN064157Hudson, Virginia N
9/14/2007Ronald Pirtle, MD 239 Ivan Allen, Jr. Blvd Atlanta GA 3031313784RN093576Hudson, Kelly Kruegler
Wednesday, May 07, 2014 Page 135 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2008Carl Goolsby, MD 176 Marietta Hwy, Bldg A, Suite A Hiram GA 3014134144RN168244Huenink, Laura Carlisle
10/10/2013Michael Tucker, MD 6262 Veterans Pkwy Columbus GA 3190957695RN203094Huff, Patrick Demond
5/3/2013Edwin Hiatt, MD VSU Student Health, 200 Georgia Ave Valdosta GA 3169812920RN194267Hughes, Joshua Emmett
7/1/2010Victoria Shirley, MD 109 Osigian Blvd, Suite 400 Warner Robins GA 3108850921RN203390Hughes, Tammy H. 2/28/2014
12/4/2009Keith Sanders, MD 993 Johnson Ferry Rd NE, Bldg F, #120 Atlanta GA 3034234237RN190189Hughes, Brandy Jeanne
8/7/2009Mobolaji Ogunsakin, MD 1118 Morningside Dr, Suite A Perry GA 3106955136RN203390Hughes, Tammy H.
4/3/2008William Bilek, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034241514RN056826Hughes, Linda Lee 12/31/2008
8/2/2007Debora Quigley, MD 130 Hospital Circle Blairsville GA 3051236601RN123670Hughes, Leslie Lynn
3/6/2014Jennifer Adu‐Frimpong, MD 710 Center St, Emer Dept Columbus GA 3190151901RN225315Huliganga, Christina Rimando
10/8/2010David Bosshardt, MD 128 Battlefield Crossing Ct Ringgold GA 3073626225RN113447Hullender, Loma Teems
8/9/2013Richard Warren, MD 705 Dixie St Carrollton GA 3011754956RN195261Hume, Kimberly Renee
4/4/2013Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN195261Hume, Kimberly Renee 6/23/2013
2/7/2013Charles E. Allen, MD 2324 Limestone Overlok Gainesville GA 3050120644RN089263Humphries, Marcella J.
8/10/2012Stepehn Jarrard, MD 196 Ridgecrest Circle Clayton GA 3052562897RN089263Humphries, Marcella J.E. 6/13/2013
5/7/2009Louellen Gurley, MD 303 Smith Street LaGrange GA 3024042263RN175845Humphries, Rebecca Fondren
8/5/2011John Coleman, MD 1720 Peachtree St, Ste 200 Atlanta GA 3030948498RN156325Hunte, Janell Lynn 10/19/2011
6/8/2012Sheth, Anuradha MD 755 Old Norcross Road Lawrenceville GA 3004640547RN173796Hunter, Elizabeth
6/8/2012Reynolds, Scott MD 1700 Hospital South Drive, Ste 500 Austell GA 3010659009RN073046Hunter, Vicky
10/7/2011Sinyard, Robert MD PO Box 5860 Athens GA 3060425829RN112687Hunter, Tamara Stewart
Wednesday, May 07, 2014 Page 136 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Daniel Moore, MD 790 Church St, Suite 330 Marietta GA 3006038562RN139521Hurd, Deborah Luann Aldridge
3/4/2011Bhumiben Purohit, MD 1425 Market Blvd Roswell GA 3007658812RN186637Hurd, Rebecca S.
1/7/2010Young An, MD 1260 Hwy 54 West, Suite 202 Fayetteville GA 3021452050RN186637Hurd, Rebecca S. 1/3/2011
5/6/2011Jeff Reinhardt, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050147250RN113074Hurdelbrink, Tappie Faye
2/5/2009Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351875RN149720Hurman, Wendy Kay 4/1/2014
11/2/2012Joseph D. DeVeau, MD 101 Yorktown Dr., Ste. 110 Fayetteville GA 3021552706RN182617Hurst, Sabine C.
10/7/2011Ahmed, Kashif MD 2200 Hwy 155 North McDonough GA 3025261547RN182617Hurst, Sabine 8/28/2012
1/6/2012Jones, Ernest DO 216 Hospital Drive Cordele GA 3101541851RN117835Hurt, Beatrice
12/4/2009Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN134515Hurt, Jason B.
5/7/2009Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN134515Hurt, Jason B. 6/10/2009
1/9/2009Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN134515Hurt, Jason B. 1/29/2009
5/10/2007William A. Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN134515Hurt, Jason B. 11/25/2007
5/7/2010Ali Fakhri, MD 705 North Division St Rome GA 3016539567RN044704Huskey, Betty L 4/30/2011
5/3/2013Albert Lintel, III, MD 958 Joe Frank Harris Pkwy, #100 Cartersville GA 3012028595RN061331Huston, Treasa Diane
1/7/2010Steven Schwartz, MD Occup Med 958 Joe Frank Harris Pkwy NW, #100
Cartersville GA 3012026025RN061331Huston, Treasa Diane
5/1/2014Franklin Geoffery Conner, MD
1608 Meadows Lane, Suite 1 Vidalia GA 3047433555RN154042Hutcheson, Ladonna Marie
12/7/2007Lumawig Munsayac, MD 441 W. Broad Street Mt. Vernon GA 3044515028RN154042Hutcheson, Ladonna Marie
9/2/2010Kaveh Khajavi, MD 2675 N. Decatur Rd, Suite 110 Decatur GA 3003351201RN181652Hutchison, Anthony Lauren
Wednesday, May 07, 2014 Page 137 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2009Christopher Clare, MD 2001 Peachtree Rd NE, Suite 550 Atlanta GA 3030934318RN181652Hutchison, Anthony Lauren
12/7/2012Dillon D. Miller, MD 4799 Blue Ridge Dr., Ste 104 Blue Ridge GA 3051367508RN125716Hyde, Douglas A.
7/12/2012Mullen, Thomas MD 126 Sequoyah Trail Ringgold GA 3073639882RN131917Hyde, Sylvia Helen Dunn 6/5/2013
2/4/2011Crystal Comeau, MD 4799 Blue Ridge Hwy, Suite 104 Blue Ridge GA 3051361224RN125716Hyde, Douglas Anderson
4/13/2007Gary W. Hunt, MD 2855 Old Hwy 5, Ste 104 Blue Ridge GA 3051333359RN125716Hyde, Douglas Anderson 12/31/2010
4/4/2014Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN232024Hyman, Rhona Alesia
3/8/2013Rahim Gul, MD 3945 Lawrenceville Hwy Lilburn GA 3004752073RN118753Ibeanusi, Grace Nwachukwu
3/4/2010Syamala Erramilli, MD 4500 Hugh Howell Rd, Suite 110 Tucker GA 3008447896RN171553Ikwueme, Seraphine
2/3/2012Warren, William MD 1015 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031823126RN047165Ilgenfritz, Nancy
11/7/2008Jonathan Winner, MD 1140 Hammond Dr, #E‐5250 Atlanta GA 3032813706RN047165Ilgenfritz, Nancy Gail Armstrong 2/18/2010
7/12/2012Schmidt, Michael MD 633 Veterans Pkwy, Ste 6 Moultrie GA 3176858500RN063917Ingram, Cynthia
5/7/2010Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN123672Intili, Henry 3/1/2013
7/11/2013Stephen Morgan, MD 743 Spring St Gainesville GA 3050163714RN064849Irick, Susan A.
9/14/2007David Johnson, MD 705 Jesse Jewell Pkwy SE Ste 200 Gainesville GA 3050132757RN064849Irick, Susan A. 7/18/2012
3/4/2010Barry Jones, MD 5965 Parkway North Blvd, Suite C Cumming GA 3004012495RN120987Irwin, Christine Lynn Miller
9/11/2008Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN120987Irwin, Christine Lynn Miller 10/24/2008
1/11/2013Karlsson, Gottfrid Jona MD 745 Poplar Road Newnan GA 3026566380RN136301Isaac, David
9/1/2011Obiorah, Samuel MD 350 Hospital Drive Macon GA 3121742379RN136301Isaac, David
4/13/2007Louis Fernandez, MD 121 North Big A Road Toccoa GA 3057739790RN159202Ivester, Alexandra Fleming 1/16/2009
Wednesday, May 07, 2014 Page 138 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN106643Ivey, Karen 10/18/2013
4/1/2010Eric Zanghi, MD 1719 Russell Pkwy, Suite 700 Warner Robins GA 3108830248RN106643Ivey, Karen Belinda
8/6/2010Erik Bauer, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034257425RN188532Ivie, Abigail Dahl
11/8/2013Pamella Charles‐Pryce, MD 2464 Roswell Rd Marietta GA 30062‐495458155RN108038Iwhere, Lovinda Ihuoma
7/11/2013Walter Metcalfe, MD Take Care Clinic, 2464 RoswellRd Marietta GA 3006258544RN108038Iwhere, Lovinda Ihuoma 9/10/2013
1/11/2013Valens M. Plummer, MD Take Care Clinic, 2464 Roswell Rd. Marietta GA 3006249496RN108038Iwhere, Lovinda 5/1/2013
1/7/2011Larry Tune, MD 1841 Clifton Rd Atlanta GA 3032937409RN108038Iwhere, Lovinda Ihuoma
12/6/2013Christopher Stevens, MD 5230 Dallas Hwy Powder Springs GA 3012754515RN109484Iwotor, Esther Ijeoma 12/21/2013
12/3/2010Dolapa Babalola, MD 1595 West Cleveland Ave East Point GA 3034459119RN109484Iwotor, Esther Ijeoma
5/10/2007Gulshan Harjee, MD 2536 Lawrenceville Hwy Decatur GA 3003326865RN079353Izadi, Mona 9/10/2010
7/11/2008Melissa Eaton, MD 110 N. Corners Pkwy, Suite 100 Cumming GA 3004048507RN138990Jacchia, Kelly Michelle
11/8/2013Dustin Russell, MD 4355 Browns Bridge Rd, Suite 1 Cumming GA 3004166541RN142499Jacek, Wendy
9/13/2013Lisa Miller, MD 4152 Baker St NE Covington GA 3001438874RN063451Jackson, Joy
7/11/2013Patrick Fenlon, MD 119 West Hill St Thomasville GA 3179227373RN045920Jackson, Beverly Kay Root
7/12/2012Ikpe, Chinedum MD 745 Poplar Road Newnan GA 3026566121RN071218Jackson, Stephanie
6/8/2012Donnan, Paul MD 100 Edgewood Avenue NE, Ste 1020 Atlanta GA 30303‐306547892RN140032Jackson, Antonina
1/6/2012Lynn Flowers, MD 601 South 8th Street Griffin GA 3022456708RN071218Jackson, Stephanie
10/7/2011Joe Harris Morgan, III MD 2300 Dawson Road Albany GA 3170753503RN128152Jackson, Hope Cherisse 6/14/2013
5/6/2011Michael Connor, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050131581RN136000Jackson, Rebecca Suzanne Brigh
Wednesday, May 07, 2014 Page 139 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/4/2011David Robertson, MD 77 Collier Rd, Suite 2080 Atlanta GA 3030927244RN140032Jackson, Antonina Gabrielle
8/6/2010Alton Pilcher, MD 3652 J Dewey Gray Circle Augusta GA 3090927238RN110128Jackson, Nancy Ellen Champion
7/1/2010Ryan Johnson, DO 1350 Walton Way Augusta GA 3081356876RN049375Jackson, William Neal
2/5/2010John Polak, DO 447 North Belair Rd, Suite 101 Evans GA 3080931100RN049375Jackson, William Neal
12/4/2009Rachel Velez, DO PO Box 845 Quitman GA 3164339500RN154383Jackson, David Ray
11/5/2009Reginald Nesbitt, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032858300RN071218Jackson, Stephanie B.
6/5/2009Jamie Walraven, MD 7285 Hwy 16, Suites C & D Senoia GA 3027645023RN071218Jackson, Stephanie B.
5/7/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN071218Jackson, Stephanie B. 12/21/2009
4/2/2009Michael Satchell, MD 806 14th Ave, Suite C Albany GA 3170149593RN128152Jackson, Hope Cherisse
3/6/2009Gary Orris, MD 6160 P'tree Dunwoody Rd NE, #100A Atlanta GA 3032837636RN194439Jackson, Anitra Lauche
1/9/2009Alexander Saker, Jr, MD 600 Professional Drive, Suite 210 Lawrenceville GA 3004533187RN143526Jackson, Kelly Len
10/2/2008John DuPre, MD 327 South 9th Street Griffin GA 3022431590RN071218Jackson, Stephanie B 5/7/2009
5/3/2013Richard Kim, MD 1525 Clifton Rd NE Atlanta GA 3032262129RN126358Jacob, Christine Mary
10/8/2010Micah Fisher, MD 1365 Clifton Rd NE, Bldg A, # A‐4322 Atlanta GA 3032256546RN126358Jacob, Christine Mary 4/22/2013
2/6/2014Eric Davis, MD 13202 Cleveland St West, Suite 200 Nahunta GA 3155363648RN121991Jacobs, Robert Scott
5/6/2011Eloy Diaz, MD 6572 River Park Dr, Suite 102 Riverdale GA 3027422596RN121991Jacobs, Robert Scott
9/14/2007Lina Harper, MD 303 Darling Ave. Waycross GA 3150155237RN121991Jacobs, Robert Scott
11/8/2013Devin Handley, MD 2659 Abutment Rd Dalton GA 3072048356RN230675Jacobs‐Kalick, Maria Anz
10/10/2013Rupert Dyer, DO PO Box 391 Dawson GA 3984251314RN102411James, Rita Robinson
Wednesday, May 07, 2014 Page 140 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Bonnie Ellenoff, DO 2010 Beaver Ruin Rd Norcross GA 3007151644RN057405James, Michael Thomas 3/28/2013
5/6/2011Matthew Grundfast, DO 1009 N. Monroe St, Suite 102 Albany GA 3170152944RN169998James, Chandra Marie Robinson
1/7/2011Jayanthi Srinivasian, MD 2712 Lawrenceville Hwy Decatur GA 3003333204RN106466James, Mylene Perez
1/7/2011Jeffrey Bell, MD 1200 N Jefferson St Albany GA 3170134539RN102411James, Rita Robinson 5/16/2013
9/3/2009Claus Brandigi, MD 1220 George C. Wilson Drive Augusta GA 3090943004RN194375James, Heather Koren 3/12/2010
3/1/2012Reisman, William MD 80 Jesse Hill Jr Drive Atlanta GA 3030361510RN218868Jamieson, Sarah
11/3/2011Sung Chang, MD 7351 Old Moon Rd Columbus GA 3190952693RN078803Janney, Magenia Walker
11/5/2010Deepali Agarwal, MD 1110 13th St Columbus GA 3190154783RN078803Janney, Magenia Walker 8/11/2010
8/6/2010Benedict Benigno, MD 960 Johnson Ferry Rd, Suite 130 Atlanta GA 3034217010RN130879Jaramillo, Martha Cecilia
12/4/2009Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1 #1210 Alpharetta GA 3000439879RN130879Jaramillo, Martha Cecilia 1/28/2010
8/7/2009Gerald Feuer, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034236154RN130879Jaramillo, Martha Cecilia 4/12/2010
3/6/2014Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN088693Jarboe, Kathleen Sue Mitchell
11/8/2013Anthony Hoots, MD 425 W 3rd Ave, Suite 510 Albany GA 3170733114RN198077Jarrett, Jared Lewis
11/2/2012Gail Matthews, MD 1855 Hudson Bridge Rd. Stockbridge GA 30281‐500052182RN140219Jasper, Lisa
2/5/2009Frederick Sengstacke, II, MD
861 Holcomb Bridge Rd, Suite 200 Roswell GA 3007642937RN140219Jasper, Lisa Lanee 6/7/2010
6/7/2013Solomon Tafari, MD 2701 N Decatur Rd Decatur GA 3003342956RN192215Jayakumar, Bhanu
6/7/2013Zada Weston‐Hill, MD 2890 Hwy 212, Suite E Conyers GA 3009439009RN157741Jefferson, Tonya Kay Smythwick
10/8/2010Alvin Griffin, MD 1039 E. Freeway Drive Conyers GA 3009432107RN157741Jefferson, Tonya Kay Smythwick
Wednesday, May 07, 2014 Page 141 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2008Joel Rosenstock, MD 2140 Peachtree Rd, Suite 232 Atlanta GA 3030932036RN103467Jefferson‐Saboor, Andrea Renee
1/11/2013Anthony J. Marchetti, MD 801 West Gordon St. Thomaston GA 3028631471RN100176Jenkins, Lisa M.
1/11/2013Foloshade Omole, MD Take Care Clinic, 794 S. Park St. Carrollton GA 3011749074RN166060Jenkins, Brandy G.
8/6/2010John Layher, MD 2470 Daniells Bridge Rd, Suite 251 Athens GA 3060646692RN091095Jenkins, Melinda Sue Hunter
8/6/2010Chukwudi Amu, MD 5530‐B Old National Hwy, Suite 100 College Park GA 3034926967RN143268Jenkins, Charles 12/1/2009
7/1/2010Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN166060Jenkins, Brandy Gaddy 10/28/2012
6/8/2007Vintonne' Naiden, MD 3951 Snapfinger Pkwy #350 Ste 350 Decatur GA 3003531482RN108642Jenkins, Michelle R.
5/10/2007Jonathan F. Busbee, MD 615 South Center Street Thomaston GA 3028640336RN100176Jenkins, Lisa Marie
5/10/2007Joseph R. Shaver, MD 3630 J. Dewey Gray Circle Augusta GA 3090942430RN117622Jenkins, Dana Michelle Ramer
10/10/2013Matthew Wheatley, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030357702RN143268Jenkins, III, Charles
6/30/2011Sarvotham Kini, MD 4930 Governors Dr, Suite 409 Forest Park GA 3029734170RN143268Jenkins, III, Charles
10/5/2012David Arnall, MD 101 Yorktown Dr., Ste 100 Rayetteville GA 3021436916RN099810Jennings, Melinda
10/7/2011Ammons, Katharine MD 1825 Martha Berry Blvd Rome GA 3016537744RN180153Jennings, Sunshine
1/9/2014Jin Kim, MD 1325 Satellite Blvd, Suite 701‐A Suwanee GA 3002454442RN205660Jeon, Jenny H
8/7/2009Jill Purdie, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034261324RN161911Jeon, Won Sun
4/4/2014Bruce Gioia, MD 1120‐C Indian Drive Eastman GA 3102338774RN149163Jernander, Brandi Smith
6/8/2007William McGarity, MD 5243 Snapfinger Woods Dr. Decatur GA 3003521747RN169469Jestel, Jennifer Lynn Waller
12/6/2013Gary Harvey, MD 3219 College St, Box 20448 Savannah GA 3140420728RN194643Jett, Sunni Lea
3/6/2014Peter Jungblut, MD 1000 Chastain Rd, House 52 Kennesaw GA 3014469056RN214076Jha, Shashank Kumar 3/21/2014
Wednesday, May 07, 2014 Page 142 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/7/2013Fidias DeLeon, MD 2484 Briarcliff Rd, Suite 24 Atlanta GA 3032963891RN214076Jha, Shashank Kumar
3/8/2013Kathleen Gunchick, MD KSU, 1000 Chastain Rd, House 52 #5200 Kennesaw GA 3014428760RN214076Jha, Shashank K. 1/6/2014
2/3/2012Hussain, Hina MD 4526 Clubhouse Drive Marietta GA 3006655063RN214076Jha, Shashank 2/26/2012
11/8/2013Thomas Armistead, MD 915 Interstate Ridge Rd Gainesville GA 3050169086RN230014Jividen, Elaine Beth
7/11/2008Adebukola Akintoye, MD 922 Gainesville Hwy, Suites 101‐102 Buford GA 3051838164RN158619Jockers, Barbara Scott 6/8/2009
6/8/2012Shah, Nikhil DO 1800 Howell Mill Rd, Ste 500 Atlanta GA 3031857674RN174399John, Leena
12/3/2010Karina Belinfante, MD 3903 South Cobb Dr, Suite 120 Smyrna GA 3008055726RN192936RN192936
John, Sarah Katherine
7/12/2012Robert Byrne, MD 120 Trinity Place Athens GA 3060751443RN201265Johns, Traci
4/4/2014Subhod Rao, MD 1514 Vernon Rd., ER Lagrange GA 3024064251RN139652Johnson, Kristie Michelle
4/4/2014Ashfaq Saiyed, MD 202 S Cherry St Ocilla GA 3177444833RN195771Johnson, Whitney Brooks
3/6/2014David Elwood, MD 55 Whitcher Street, Ste 130 Marietta GA 3006057963RN175391Johnson, Anita Joyce
3/6/2014Jennifer Adu‐Frimpong, MD 710 Center St, emer Dept Columbus GA 3190151901RN181532Johnson, Courtney Kate
2/6/2014Anekwe Onwuanyi, MD 80 Jesse Hill Dr Atlanta GA 3030358088RN229652Johnson, Jasmine Jevon
12/6/2013Marcus Roberts, MD 903 West Ward St, Suite A Douglas GA 3153335986RN195771Johnson, Whitney Brooks
10/10/2013Zada Weston‐Hill,MD 1810 GA Hwy 20 SE, Suite 172 Conyers GA 3001339009RN155651Johnson, Jessica Lynn
9/13/2013Lawrence Berman, MD 413 Pottery Factory Dr Commerce GA 3052935374RN123212Johnson, Denise
9/13/2013Peter Holliday, III, MD 420 Charter Blvd, Suite 402 Macon GA 3121026557RN101726Johnson, Laurie Faye Garfield
4/4/2013Anthony Ditaranto, MD 915 Elmo St Americus GA 3170929865RN190791Johnson, Jennifer Lynn
Wednesday, May 07, 2014 Page 143 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Catherine Schwender, MD 1500 Oglethorpe Ave, Suite 2000 Athens GA 3060659189RN083477Johnson, Stephanie Michelle Fin
3/8/2013Dean Karampelas, MD 743 Spring St. Gainesville GA 3050126141RN074598Johnson, Eva 3/31/2014
12/7/2012Devica Alappan, MD 1900 11th Ave., Ste. A Columbus GA 3190149526RN181532Johnson, Courtney K. 6/17/2013
9/13/2012Marcus Roberts, MD 1909 Hwy 82 West, Suite 5 Tifton GA 3179335986RN195771Johnson, Whitney Brooks 9/29/2013
7/12/2012Jones, Cheryl MD 308 Coliseum Drive, Ste 120 Macon GA 3121734865RN101726Johnson, Laurie 12/17/2012
6/8/2012Senger, Mark DO 2809 Pine Street Unadilla GA 3109158006RN093193Johnson, Kimberly
5/4/2012Hehn, Rudy MD 915 Gordon Avenue Thomasville GA 3179226302RN177719Johnson, Lakesha 8/27/2013
3/1/2012Fordham, Donald MD 865 Austin Drive, PO Box 1899 Demorest GA 3053544718RN074598Johnson, Eva 4/30/2012
1/6/2012Blache, Charlene MD 406 M Northside Drive Valdosta GA 3160245728RN139381Johnson, Kirsten
1/6/2012Moore, Linda MD 610 19th Street Columbus GA 3190155849RN162979Johnson, Brandilyn
1/6/2012Irfan, Ahmad MD 2003‐A Pioneer Street, Ste A Waycross GA 3150141584RN195771Johnson, Whitney
10/7/2011William Macheski, MD 2525 Williams Rd Columbus GA 3190928038RN162979Johnson, Brandilyn Kay
8/5/2011Quyen Luu, MD 639 Hemlock St, Suite 200 Macon GA 3120125216RN052724Johnson, Christy Lynn Rodeheav
8/5/2011Michael Dwyer, MD 5901‐B Peachtree Dunwoody Rd, Ste B‐420
Atlanta GA 3032850360RN057678Johnson, Mary Neel Parish
6/30/2011James Metcalf, MD 409 W Fourth Ave Albany GA 31701‐191528188RN164766Johnson, Heather Constance
5/6/2011Errol Graham, MD 105 E. Tollison St, Suite B Baxley GA 3151332388RN106778Johnson, Beverly Kay
5/6/2011Leonard Heffner, MD 1365‐C Clifton Rd NE Atlanta GA 3032215780RN112745Johnson, Paul Douglas
12/3/2010A. S. Ghiathi, MD 7 Taylor St Cuthbert GA 3984040908RN211354Johnson, Vickie Michelle 7/15/2011
Wednesday, May 07, 2014 Page 144 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/3/2010Daxes Banit, MD 3051 Watson Blvd, Suite 400 Warner Robins GA 3109352884RN093193Johnson, Kimberly Crump 12/31/2011
10/8/2010Maged Abdelmalik, MD 36261 Okefenokee Dr Folkston GA 3153755077RN113824Johnson, Angela Dawn
10/8/2010Reginald Strother, MD 1620 Prince Ave Athens GA 3060644597RN123212Johnson, Denise 12/18/2012
9/2/2010Orlando Fernando, MD 510 South Main St, Suite B Baxley GA 3151343934RN106778Johnson, Beverly Kay 1/31/2011
8/6/2010Evelyn Johnson, MD 510 South Main St, Suite B Baxley GA 3151356182RN106778Johnson, Beverly Kay
9/3/2009Connie DuPre, MD 1657 North Expressway Griffin GA 3022331675RN052724Johnson, Christy Lynn Rodeheav
8/7/2009Mohamad Kassem, MD 3580 Cameron Pkwy Stockbridge GA 3028140934RN179949Johnson, Nicole Tamara
7/10/2009Edwin Hiatt, MD 200 Georgia Avenue Valdosta GA 3169812920RN078675Johnson, Teresa W.
6/5/2009Robert Hudec, MD 145 N. Medical Pkwy Woodstock GA 3018940104RN040414Johnson, Margaret Jeanne Hails
2/5/2009Frenesa Hall, MD 5979 Buford Hwy, Suite B‐4 Doraville GA 3034035892RN170210Johnson, Christie Pheona
1/9/2009Albert Thompson, MD 1001 N. Third Street Folkston GA 3153722338RN113824Johnson, Angela Dawn
12/4/2008Matthew Grundfast, DO 1009 N. Monroe Street, Suite 102 Albany GA 3170152944RN164766Johnson, Heather Constance 4/15/2011
10/2/2008Timothy Daugherty, MD 4451 Paulsen Street Savannah GA 3140537781RN077029Johnson, Laura Kristen Jones
9/11/2008G. Edgar Anderson, MD 4700 Battlefield Pkwy, Suite 220 Ringgold GA 3073633263RN054352Johnson, Juanita Onbey
9/11/2008Vundyala Reddy, MD 308 Coliseum Drive, Suite 120 Macon GA 3121725022RN101726Johnson, Laurie Faye Garfield 9/6/2012
11/1/2007Richard Eaton, MD 1001 N. Third Street Folkston GA 3153740370RN113824Johnson, Angela Dawn 9/30/2008
9/14/2007James Blackwell, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072017132RN027354Johnson, Mae D
6/8/2007Al Soltan, MD 308 Coliseum Dr. Macon GA 3121745011RN101726Johnson, Laurie Faye Garfield 10/20/2008
4/4/2014Bruce Gioia, MD 1110 Hillcrest Pkwy Dublin GA 3102138774RN081322Johnson, Jr., Robert Howard
Wednesday, May 07, 2014 Page 145 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/8/2007Raj Gupta, MD 308 Coliseum Dr. Macon GA 3121733345RN123293Johnson‐Young, La Tonja Queve 7/25/2008
7/11/2013Tami Breton, MD 3805 Cherokee St Kennesaw GA 3014438695RN215247Johnston, Jennifer Beasley
7/11/2013Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN084667Joiner, Janice Dorsey
7/12/2012Deganian, Javad MD 1700 Tree Lane, Ste 110A/B & 360 Snellville GA 3007816053RN155547Joiner, Juanita
8/5/2011Crystal Slade MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453881RN084667Joiner, Janice Dorsey 11/14/2012
1/9/2014Andrew Waldman, MD 710 Center St, Emer Dept Columbus GA 3180148001RN196623Jones, Michelle Lea
12/6/2013Adrienne Mims, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233152RN189118Jones, Sherri Lynn 12/31/2013
10/10/2013Pete Williams, MD 743 Spring St Gainesville GA 3050159940RN176548Jones, Lisa Varney
8/9/2013David Bosshardt, MD 110 Battlefield Crossing Ct Ringgold GA 3073626225RN229904Jones, Robin Tidwell 1/1/2014
4/4/2013Valarie Manley, MD 101 Beckett Lane, Suite 502 Fayetteville GA 3021432783RN224915Jones, Lisa Michelle
2/7/2013Erica Jin, DO 1942 Atkinson Rd, Suite 100 Lawrenceville GA 3004364396RN093541Jones, Janine Roxanne Coleman
6/8/2012Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN151386Jones, Anna Christine
2/3/2012Bush, Stanley MD 1508‐B Hardeman Ave Macon GA 3120148846RN066948Jones, Anita
1/6/2012Biggs, Barbara MD 1810 White Circle, Ste 110 Marietta GA 3006625105RN112762Jones, Tracy 11/26/2013
1/6/2012Nayudu, Sasi MD 1112 N. Madison Albany GA 3170147932RN134343Jones, Floia
10/7/2011Wu, Jonathan MD 2665 N. Decatur Road #430 Decatur GA 3003353967rn047344Jones, Mary
10/7/2011Elam, Mark MD 1507 Professional Court Dalton GA 3072036147RN151386Jones, Anna 3/15/2012
8/5/2011Erskine James, MD 707 Pine St Macon GA 3121047980RN130471Jones, Angela Queen
6/30/2011Jonathon Molnar, MD 550 Redmond Rd Rome GA 3016554914RN176230Jones, Dustin T.
Wednesday, May 07, 2014 Page 146 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2010Rahil Kazi, MD 1707 Watson Blvd Warner Robins GA 3109341593RN167974Jones, April Gretchen Gaddy
10/8/2010William Boydston, MD 5455 Meridian Mark Rd, Suite 540 Atlanta GA 3034234112RN176256Jones, Anne Marie
9/2/2010Cynthia Rust, MD 634 McDonough Blvd SE Atlanta GA 3031535132RN047344Jones, Mary I.
9/2/2010Andre Feria, MD 142 Old Mill Rd LaGrange GA 3024148513RN093051Jones, Kelly Leighann Dudley 11/1/2011
8/6/2010Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN151386Jones, Anna Christine 4/22/2011
8/6/2010David Brand, MD 103 R E Jennings Ave SE Arlington GA 3981346045RN028735Jones, Marie E.
7/1/2010Aldrich Mendoza, MD 251 Hwy 53 Calhoun GA 3070162916RN151386Jones, Anna Christine 8/14/2011
3/4/2010Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN093541Jones, Janine Roxanne Coleman 4/19/2010
12/4/2009Shreedhar Nagnur, MD 600 West Memorial Dr Dallas GA 3013249192RN112762Jones, Tracy Kathleen
12/4/2009Karen Fehr‐D'Alessandro, MD
5354 Reynolds St, Suite 222 Savannah GA 3140535178RN073104Jones, Rhonda Dee
11/5/2009Prasad Rao, MD 960 J F Harris Pkwy Cartersville GA 3012055640RN151386Jones, Anna Christine 6/1/2010
10/2/2009John Zipperer, MD PO Box 496 Arlington GA 3981350750RN028735Jones, Marie E 8/1/2010
9/3/2009LaSonya Roberts, MD 340 Kennestone Hosp Blvd, Suite 150 Marietta GA 3006052818RN166594Jones, Tanya D.
6/5/2009William Shilling, III, MD 426 Hwy 26 East Cochran GA 3101447841RN066948Jones, Anita Carole Waller
3/6/2009Todd Robinson, MD 241 Silverwood Commercial Dr Rincon GA 3132641937RN104371Jones, Paula Deloach
1/9/2009Anuj Manocha, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010645876RN112762Jones, Tracy Kathleen
1/9/2009Sadiq Sohani, MD 1413 Chattanooga Avenue Dalton GA 3072045010RN151386Jones, Anna Christine 2/1/2009
9/11/2008Gregory Fountain, MD 766 Walther Road, Suite 100 Lawrenceville GA 3004534593RN093541Jones, Janine Roxanne Coleman 9/4/2009
Wednesday, May 07, 2014 Page 147 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/9/2008Charles Brown, III, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN153007Jones, Nikisha Sharina
3/7/2008Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN151386Jones, Anna Christine 8/30/2008
11/1/2007James M. Crane, MD 1825 Martha Berry Blvd. Rome GA 3016536519RN151386Jones, Anna Christine 8/30/2008
6/8/2007Victor E. Corrigan, MD 5665 P'tree D'woody Rd, Ste 172 Atlanta GA 3034226489RN047344Jones, Mary I
11/8/2013Ricardo Riesco, MD 1933 Shield Rd Dalton GA 3072044069RN227156Jordan, Susan Maria 3/21/2014
8/9/2013George Yared, MD 2225 US Hwy 41 North Tifton GA 3179446662RN094008Jordan, Sarah Jean Lee
5/3/2013Bryan Philbrook, MD 975 Johnson Ferry Rd Atlanta GA 3034247009RN044779Jordan, Mary Catherine
11/2/2012Raymond E. Gutierrez, MD 2000 Palmyra Rd. Albany GA 3170157983RN094008Jordan, Sarah J.L.
3/4/2011James Palazzolo, MD 804 13th Ave Albany GA 3170737637RN148424Jordan, Michelle Marie Chase
2/5/2010Marsha Pierdinock, MD 1009 N. Monroe St Albany GA 3170136846RN148424Jordan, Michelle Marie Chase
1/7/2010Roy Sanders, MD 1920 Briarcliff Rdoad Atlanta GA 3032950837RN061785Jordan, Dorothy Henry
6/6/2008Claire Mazewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246619RN044779Jordan, Mary Catherine 11/30/2012
1/11/2008Dan Dan, MD 275 Collier Road NW, Suite 300 Atlanta GA 3030939084RN165700Jordan, Lucynda Reaves
4/13/2007Nydia M. Bladuell, MD 790 Church Street Marietta GA 3006038429RN165700Jordan, Lucynda Reaves 10/26/2007
3/6/2009Shahzad Hashmi, MD 250 North Avenue Athens GA 3060153239RN098399Jorgensen, Maria Connie
3/4/2010William Parrish, MD 200 Allen Memorial Drive Bremen GA 3011047989RN204912Joseph, Elsie F.
3/4/2010Beena Patel, MD 8095‐A Roswell Rd Atlanta GA 3035037322RN165867Joseph, Jessica Susan Garland
11/3/2011Flexon, Phillip MD 1707 Meadows Lane, Suite C Vialia GA 3047431737RN155568Joyner, Amber
Wednesday, May 07, 2014 Page 148 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/10/2009Ronald Wayne Williams, MD
1707 Meadows Lane, Suite C Vidalia GA 3047460338RN155568Joyner, Amber Nobles
1/9/2014Igho Ofotokun, MD 341 Ponce de Leon Ave Atlanta GA 3030853346RN175271Jules‐Villefranche, Myrlande
4/4/2014Licheng Tian, MD 3405 Mike Padgett Hwy Augusta GA 3090647853RN204732Kaddour‐Djebbar, Benaissa
3/6/2014Carla Bedford‐Dixon, MD 2797 Campbellton Rd SW, Suite C‐2 Atlanta GA 3031160239RN115671Kagha, Esther C.
6/7/2013Donovan Christie, MD Take Care Clinic, 4398 Atlanta Hwy Loganville GA 3005244432RN143541Kaimachiande, Finda‐Mani Mar 2/1/2014
3/8/2013Manish Vig, MD 745 Poplar Rd, Emer Dept Newnan GA 3026567829RN189926Kalen, Jennifer Michelle
3/8/2013Kevin Cleary, MD 1255 Hwy 54 West Fayetteville GA 3021452263RN189926Kalen, Jennifer Michelle
3/7/2008Stephen Prater, MD 95 Collier Road, Suite 5015 Atlanta GA 3031941929RN189926Kalen, Jennifer Michelle
2/3/2012Obenshain, Michael MD 4000 Shakerag Hill, Ste 301 Peachtree City GA 3026936839RN119187Kallis, Kelly
10/5/2012Matthew A. Wheatley, MD 80 Jesse Hill Jr. Dr. Atlanta GA 3030357702RN152416Kalm, Heather
10/7/2011Mirza, Wajahat MD 1915 Eisenhower Drive Savannah GA 3141662563RN096231Kaplan, Phyllis 1/29/2013
2/5/2009Arun Pol, MD 6290 Abbotts Bridge Rd, Suite 502 Johns Creek GA 3009739907RN132103Karaga, Joann
8/10/2012Sheryl Vickery, MD 7820 Hickory Flat Hwy Woodstock GA 3018826446RN090147Karr, Nance 6/27/2013
12/6/2013Lawrence Dudas, MD 743 Spring St Gainesville GA 3050166026RN167541Kartchner, Elizabeth Ann Maug
12/4/2008Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN105066Kassens, Jane Marie
11/8/2013Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN098045Kauffman, Donna Amanda Ridle
12/4/2008Donovan Christie, MD 5985 Peachtree Pkwy NW Norcross GA 3009244432RN141621Kaur, Balwinder 2/1/2014
9/2/2010John Hostetler, MD 1825 Martha Berry Blvd Rome GA 3016535907RN112764Kaye, Leslie Anne
Wednesday, May 07, 2014 Page 149 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN112764Kaye, Leslie Ann 7/2/2010
8/7/2009Ivan Diamond, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034223040RN144801Kayler, Amy Elizabeth
12/7/2012Jimson Smith, MD 2201 North Decatur Rd. Decatur GA 3003362289RN152429Kededa, Berhanu
6/30/2011Vasilis Babaliaros, MD 1364 Clifton Rd, Suite F‐606 Atlanta GA 3032244160RN181512Keegan, Patricia Ann
8/5/2011Allen Hoffman, MD 52 Tower Rd Marietta GA 3006024822RN189072Keeley, Sara B.
5/7/2010Samuel Erinne, MD 1136 Cleveland Ave, Suite 308 East Point GA 3034435622RN087305Keels, Barbara J.
11/5/2009Oladayo Osinuga, MD 3290 Memorial Dr, Suite 1‐A Decatur GA 3003251703RN087305Keels, Barbara J 3/20/2013
10/7/2011O'Shea, Kevin MD 811 13th Street, Ste 20 Augusta GA 3090138574RN193399Keesling, Mark
1/7/2011Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN206799Kehoe, Doreen R. 6/30/2012
6/4/2010Paul Bradley, MD 315 Eisenhower Dr Savannah GA 3140630016RN206799Kehoe, Doreen R. 5/1/2012
5/1/2014Edward Kruse, DO 1120 15th St Augusta GA 3091258055RN184401Keip, Shelly Renee
11/2/2012David Asrael, MD 794 S Park St Carrollton GA 3011751291RN116927Kelker, Cassandra Yvonne
11/2/2012Wallace Duncan, MD 794 S Park St Carrollton GA 3011741109RN116927Kelker, Cassandra Yvonne
2/3/2012Hernandez‐Aviles, Milca MD
1933 Shields Road Dalton GA 3072061749RN205011Keller, Haley
2/5/2010Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN205011Keller, Hayley Lauren 12/18/2011
5/1/2014Terry Melvin, MD 1217 Lafayette Rd Rossville GA 3074135951RN085412Kelley, Angela Denise Kitchens
8/9/2013Walisa Maynard, MD 677 Church St, Bldg 310 Marietta GA 3006050658RN085412Kelley, Angela Denise Kitchens 11/1/2013
6/3/2011Noreen Andrews, MD 4480 South Cobb Dr SE Smyrna GA 3008046861RN212611Kelley, Michelle LaDonna 10/4/2011
Wednesday, May 07, 2014 Page 150 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2010Karen Clarke, MD 1514 Vernon Rd LaGrange GA 3024060570RN159555Kelley, Vivian Ann
11/5/2009David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004628136RN153888Kelley, Julia Elizabeth Brown
4/2/2009Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN085412Kelley, Angela Denise Kitchens 5/24/2013
5/10/2007Thippeswamy Murthy, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027752470RN145032Kelley, Gena Smith 10/19/2012
2/6/2014Brooks Moore, MD 49 Jesse Hill Dr. SE, ER Dept. Atlanta GA 3030353336RN218214Kelly, Susan Elizabeth
11/8/2013Scott Bell, MD 1538 13th Ave, Suite B‐300 Columbus GA 3190169174RN228991Kelly, Sean Patrick
2/3/2012Hott, Brenda MD 1200 Northside Forsyth Dr Cumming GA 3004141441RN205972Kelly, Linda
8/6/2010David Brand, MD PO Box 496 Arlington GA 3981346045RN050989Kelly, Elizabeth Ann S.
4/1/2010Julian McLendon, Jr, MD 1502 West 3rd Street Jackson GA 3023338557RN077027Kelly, Kathy Jean Hyder 11/1/2010
2/5/2010Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN087400Kelly, Karyn Elayne
1/7/2010Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN087400Kelly, Karyn Elayne 8/1/2011
12/4/2009John O'Connell, MD 5671 P'tree Dunwoody Rd NE, #110 Atlanta GA 3034262266RN205972Kelly, Linda Jeanne 1/10/2012
11/5/2009John Zipperer, MD PO Box 496 Arlington GA 3981350750RN050989Kelly, Elizabeth Ann S. 8/1/2010
10/2/2009Jill Miller, MD 1384 Greene Street Augusta GA 3090145891RN087400Kelly, Karyn Elayne
9/3/2009Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN087400Kelly, Karyn Elayne 2/6/2010
2/5/2009Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN087400Kelly, Karyn Elayne 9/2/2009
1/9/2009William Thompson, MD PO Box 496 Arlington GA 39813‐049640575RN050989Kelly, Elizabeth Ann S.
8/2/2007Ralph Marionneaux, MD 465 North Belair Road Evans GA 3080947621RN087400Kelly, Karyn Elayne 9/3/2009
8/8/2008David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004528136RN065283Kemmerer, Terri Penna 8/3/2009
Wednesday, May 07, 2014 Page 151 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Brandee Urrutia, MD 4355 Browns Bridge Rd, Suite 1 Cumming GA 3004166661RN152378Kendrick, Patricia Rose
12/4/2009Sinan Haddad, MD 1250 Jesse Jewell Pkwy, Suite 400 Gainesville GA 3050156455RN152378Kendrick, Patricia Rose
8/7/2009William Lynds, MD 649 Shallowford Rd Gainesville GA 3050433140RN152378Kendrick, Patricia Rose
7/10/2009Wallace Duncan, MD 649 Shallowford Rd Gainesville GA 3050441109RN152378Kendrick, Patricia Rose 12/17/2009
7/12/2012Burson, James MD 4000 Shakerag Hill, Ste 204 Peachtree City GA 3026934785RN176824Kennedy, Erica
6/8/2012Patel, Rajendra MD 2965 Johnson Ferry Road, Ste D Marietta GA 3006721781RN070145Kennedy, Sheryl
10/8/2010Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004621464RN070145Kennedy, Sheryl Ann 5/5/2012
5/7/2010Larry Vogler, MD 2015 Uppergate Drive Atlanta GA 3032230557RN048660Kennedy, Christine L
8/8/2008Mark Ling, MD 710 Newnan Crossing By‐pass Newnan GA 3026334647RN190959Kennedy, Trisha Lynn
8/8/2008Girish Shroff, MD 6025 Professional Pkwy, Suite 200 Douglasville GA 3013519103RN070145Kennedy, Sheryl Ann Wright 8/25/2008
10/10/2013Anthony Ditaranto, MD 118 Enterprise Ct, Suite A Columbus GA 3190429865RN106726Kent, Yolanda Michelle
4/4/2013Laurette Ho, MD 3225 Shallowford rd, Bldg 1300 Marietta GA 3006241831RN191560Kerr, Joanna Heden
11/2/2012Romualda S. Klicius, MD 145 N.Medical Parkway Woodstock GA 3018946305RN191560Kerr, Joanna H 1/12/2013
11/2/2012Howard Stirne, MD 316 N. Broad St. Winder GA 3068025050RN177718Kerr, Lakisha J.
6/7/2013Romualda Klicius, MD 145 North Medical Pkwy Woodstock GA 3018946305RN201497Kesselman, Alyssa Lauren
5/7/2010Nalini Narayan, MD 705 Dixie Street Carrollton GA 3011744287RN187457Kessler, Cathleen Ellen
4/2/2009Gregory Gibson, MD 6555 Professional Place, Suite C Riverdale GA 3027440388RN187457Kessler, Cathleen Ellen 6/15/2009
5/3/2013Kevin Nash, MD 1350 Walton Way Augusta GA 3090168078RN084616Key, Jennifer Leigh Bryan
11/5/2009Mac Bowman, MD 818 St. Sebastian Way, Suite 308 Augusta GA 3090121647RN084616Key, Jennifer Leigh Bryan 1/5/2013
Wednesday, May 07, 2014 Page 152 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008Franc Wallace, MD 624 Martin Luther King, Jr Drive Milledgeville GA 3106148582RN107136Key, Dawn Waddell
6/8/2007Al Soltan, MD 308 Coliseum Dr. Macon GA 3121745011RN107136Key, Dawn Waddell
6/30/2011Donna Sinclair, MD 1046 Ridge Ave Atlanta GA 3031564733RN160821Khan, Rani Sheereen
7/10/2009Jonathan Ehrlich, MD 9937 Johnson Ferry Rd, #360 Atlanta GA 3034215580RN160821Khan, Rani Sheereen
3/8/2013B Krishna Mohan, MD 6507 Professional Place Riverdale GA 3027419407RN207437Khanna, Dipti
11/8/2013Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN174019Kiarie, Catherine Njeri
12/7/2007Timothy Thomson, MD 951 South Broad Street Thonasville GA 3179246526RN032598Kicklighter, Cheryl Ann 4/1/2008
1/9/2009Vincent Viscomi, MD 83 Crye Leike Drive Ft. Oglethorpe GA 3074232320RN200047Kidd, Keith L.
7/11/2013Germaine Cummings, MD 4480 Atlanta Hwy Loganville GA 3005252340RN089707Kilgore, Catherine Martin 7/26/2013
11/5/2009Lynley Durrett, MD 105 Collier Rd NW, Suite 1080 Atlanta GA 3030944912RN185537Killeen, Jessica Guilfoil
12/4/2008Mark Beaty, MD 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 3000445169RN185537Killeen, Jessica Guilfoil 2/10/2011
6/30/2011Robert Hoff, MD 1357 Hembree Rd, Suite 150 Roswell Ga 3007622784RN118947Kim, Hyo Jin
9/11/2008Elizabeth McGee, MD 760 Kennesaw Avenue Marietta GA 3006033633RN077063Kimball, Kay Ann
10/4/2007Dennis Estep, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074225429RN133306Kimball, Michelle Sharon 3/27/2010
10/5/2012Jonathan Gore, MD 960 Joe F Harris Pkwy Cartersville GA 3012159417RN123684Kimbrell, Holly Devonda
3/4/2011Kenneth Jones, MD 501 Redmond Rd, Emer Dept Rome GA 3016531037RN123684Kimbrell, Holly Devonda 7/31/2012
6/8/2012Springer, Robert MD 50 Executive Park South, Ste 5012 Atlanta GA 3032937081RN198554Kinard, Amy
5/1/2014Praveen Reddy, MD 1000 Johnson Ferry Rd. NE Atlanta GA 3034256471 RN151113King, Mackenzie Jackson
4/4/2014Vijith Prasad, MD 131‐ B Victory Drive Swainsboro GA 3040140520RN142732King, Angela Bridget
Wednesday, May 07, 2014 Page 153 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2014Peter Jungblut, MD 1000 Chastain Road, House 53 Kennesaw GA 3014469056RN160699King, Emily Laura 3/29/2014
2/6/2014Stephen Frohwein, MD 5669 Peachtree Dunwoody Rd, Suite 315
Atlanta GA 3034234834RN185557King, Stephanie Marie
10/10/2013Kathleen Gunchick, MD KSU,1000 Chastain Rd, House 53 Kennesaw GA 3032728760RN160699King, Emily Laura 1/6/2014
11/3/2011Antin, Todd MD 465 Winn Way Decatur GA 3003036495RN076787King, Garnet
10/7/2011Pittman, John MD 715 E. 2nd Avenue SW Rome GA 3016137045RN160699King, Emily 6/2/2012
11/5/2010Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN160699King, Emily Laura 12/11/2010
8/6/2010Himanshu Patel, MD 504 Redmond Rd Rome GA 3016558116RN162789King, Jillian M. 6/3/2012
7/10/2009Matthews Gwynn, MD 993 Johnson Ferry Rd, Suite F‐120 Atlanta GA 3034234147RN114535King, Sharon D
11/7/2008Vincent Pearson, MD 504 Redmond Road Rome GA 3016532970RN162789King, Jillian M. 6/1/2010
12/7/2007Donna Fearing, MD 120 Stone Bridge Pkwy, Ste 410 Woodstock GA 3018929447RN123523King, Deborah Ann
10/4/2007Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN160699King, Emily Laura 6/22/2010
8/5/2011William Coleman, MD 1211 Palmyra Rd Albany GA 3170131577RN054127Kinnett, Marsha 11/18/2011
4/1/2011William Hu, MD 1841 Clifton Rd NE Atlanta GA 3032963701RN065116Kippels, Andrea Jean
6/5/2009James Lah, MD 1841 Clifton Road Atlanta GA 3032941863RN065116Kippels, Andrea Jean
11/7/2008Allan Levey, MD 1841 Clifton Road NE Atlanta GA 3032934885RN065116Kippels, Andrea Jean
3/6/2009William Mills, MD 58 Big A Road Toccoa GA 3057750901RN163585Kirby, Robert Steven
9/14/2007Ali Mortazavi, DO 2041 Mesa Valley Way, Suite 100 Austell GA 3010654865RN157966Kirby, Susan Howes 7/24/2013
5/4/2012Criner, James MD 1510 Milstead Ave NE Conyers GA 3001254179rn090840Kirkby, Dawn 1/13/2014
Wednesday, May 07, 2014 Page 154 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2009Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN090840Kirkby, Dawn Anne Marie 12/10/2011
12/4/2008Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN090840Kirkby, Dawn Anne Marie 5/13/2009
8/5/2011Mitchell Hecht, MD 1305 Henbree Rd, Ste 201 Roswell GA 3007640405RN116772Kirkley, Stephanie Renee King
9/13/2012Jean Sumner, MD 2257 West Elm St., Ste C Wrightsville GA 3109630225RN076916Kitchens, Layne Harvey
1/11/2008Wentzelle Kitchens, MD 501 Sparta Road, Suite F Sandersville GA 3108238277RN076916Kitchens, Layne Barrett Harvey
3/6/2014Calin Badea, MD 455 South Main St, Suite 104 Hinesville GA 3131355918RN022690Kitchings, Martha Helen Branne
10/7/2011Badea, Calin MD 303 Fraser Drive Hinesville GA 3131355918RN022690Kitchings, Martha 9/21/2012
10/8/2010Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN022690Kitchings, Martha Helen Branne 8/26/2011
4/13/2007Olugbenga A. Awe, MD PO Box 52 Hinesville GA 3131048329RN022690Kitchings, Martha Helen Branne
3/6/2009Joseph Bishop, MD 100 Peters Street, Suite 38 Calhoun GA 3070110372RN120499Kitson, Judy Diane 3/11/2009
8/5/2011Franklin Von Hack, MD 861 Holcomb Bridge Rd, Ste 200 Roswell GA 3007639501RN133502Kiwanuka, Sarah Cissy
12/4/2008Christopher Stevens, MD 181 South Clayton St SW Lawrenceville GA 3004554515RN133502Kiwanuka, Sarah Cissy 2/3/2010
10/10/2013Eric Lincoln, DO 840 Pine St, Suite 500 Macon GA 3120167343RN110772Kline, Gail Ann Mullin
11/2/2012Winston R. Jeshuian, MD 3708 Northside Drive Macon GA 3121059432RN110772Kline, Gail 12/21/2012
9/1/2011Valens Plummer, MD 2945 Panola Rd Lithonia GA 3003849496RN094587Klug, Cheryl Ann 1/21/2013
1/9/2014Kenneth M Rice, MD 2021 Marketplace Blvd Cumming GA 3004147251RN166274Knee, Laura Kay
11/8/2013Todd Albinger, MD 5665 Peachtree Dunwoody Rd NE, Emer Dept
Atlanta GA 3034233509RN166274Knee, Laura Kay
10/7/2011Atallah, Hany MD 49 Jesse Hill Jr Drive SE Atlanta GA 3030352678RN166274Knee, Laura 11/20/2013
Wednesday, May 07, 2014 Page 155 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Snehal Dalal, MD 5955 State Bridge Rd, Suite 200 Johns Creek GA 3009757297RN166274Knee, Laura Kay
9/13/2013Stephanie Eaton, MD 1000 Johnson Ferry Rd Atlanta GA 3034244204RN159369Knight, Ann Beecher
2/7/2013Praneen Reddy, MD 1000 Johnson Ferry Rd., Main Radiology Atlanta GA 3034256471RN214988Knight, Jacquelyne M.
9/13/2012Lance Stein, MD 1968 Peachtree Rd NW, Bldg 77, 5tgh floor
Atlanta GA 3030956368RN215036Knight, Lorraine
3/29/2012Nowlin, Phillip MD 491 E. Main Street Cartersville GA 3012136588RN214988Knight, Jacquelyn 9/1/2012
1/6/2012Coleman, John MD 1720 Peachtree Rd, Ste 200 Atlanta GA 3030948498RN214988Knight, Jacquelyn 10/10/2013
4/2/2009Jeffrey Proctor, MD 970 J F Harris Pkwy, Suite 260 Cartersville GA 3012043267RN143310Knight, Brandi Dawn
4/4/2013Thomas Mullen, MD 126 Sequoyah Trail Ringgold GA 3073639882RN111915Knowles, Constance Bailey
1/6/2012Elam, Mark MD 800 Professional Blvd Dalton GA 3071036147RN111915Knowles, Constance 2/20/2013
6/8/2007Victoria Green, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030338240RN082189Knowlson, Beth Frances 10/1/2010
7/11/2013Jonathan Gore, MD 960 Joe Frank Harris, Pkwy, Emer Dept Cartersville GA 3012059417RN060943Knox, Sharon Paulette
6/8/2012Camp, Barbara MD 33 Nacoochee Way PO Box 485 Sautee Nacoochee GA 3057141747RN060943Knox, Sharon
5/7/2010Shawn Holsonback, DO 1200 Memorial Dr, Emergency Dept Dalton GA 3072045242RN060943Knox, Sharon Paulette
3/4/2010Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN060943Knox, Sharon Paulette
10/2/2009Nedra Dodds, MD 9020 Peridot Pkwy Stockbridge GA 3028139170RN060943Knox, Sharon Paulette 1/29/2010
8/9/2013Hampton Groover, MD 1626 Jeurgens Court Norcross GA 3009335059RN185605Ko, Jung Yung
7/11/2013Gerald Staton, MD 1821 Clifton Rd NE Atlanta GA 3032922473RN185605Ko, Jung Yung
1/9/2014Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN195430Kobia, Sonya Hart
Wednesday, May 07, 2014 Page 156 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/1/2010Ruth Shim, MD PO Box 26238 Atlanta GA 3030355889RN055134Koblasz, Mary Bassett
3/6/2009Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN055134Koblasz, Mary Bassett 6/10/2010
12/3/2010Elliot Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN207747Kohler, Patricia Lynn
11/8/2013Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN233062Kohring, Kasey Elizabeth
7/11/2008Michael Ogden, MD 148 Clinic Avenue Carrollton GA 3011746893RN194621Kolsky, Jillian Morgan
4/4/2014Prashant V. Mishra, MD 3950 Austell Rd. Austell GA 3010655281RN204145Kombe, Marie‐ Louise Njonjo
10/10/2013Jeremy Hess, MD 49 Jesse Hill Jr Dr SE, Emer Dept Atlanta GA 3030357818RN210228Konieczka, Carl Heinz
8/5/2011Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN121158Konter, Roslyn P
7/13/2007Susan W. Harrell, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034233100RN121158Konter, Roslyn Pollard
7/13/2007John C. Knox, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034222575RN121158Konter, Roslyn Pollard
7/13/2007Tama Y. Fuller, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034221981RN121158Konter, Roslyn Pollard
7/13/2007Elizabeth Le Duc, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034234754RN121158Konter, Roslyn Pollard 2/28/2011
7/13/2007Philip S. Weiss, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034238398RN121158Konter, Roslyn Pollard
6/8/2012Mercadel, Thaedra MD 3872 Hwy 5 Douglasville GA 3013563061RN081378Kopp, Laurie
11/1/2007Gena Volas‐Redd, MD 340 Kennestone Hosp Blvd, Ste 100 Marietta GA 3006045356RN084872Koran, Ola Beth 12/26/2008
8/9/2013Ashok Kancharla, MD 138 West Gibson St Hartwell GA 3064348250RN218154Kotal‐Lee, Randi Bliss
3/7/2008Donna Fearing, MD 120 Stonebridge Pkwy, Suite 410 Woodstock GA 3018929447RN144368Koval, Barbara Kay 5/5/2008
11/1/2007David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN144368Koval, Barbara Kay
4/2/2009Steven Schuster, DO 5800 Windward Pkwy, Suite A‐211 Alpharetta GA 3000531661RN160612Kozma, Kellie Jo
Wednesday, May 07, 2014 Page 157 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/3/2011Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN151196Krackenberger, Denise
4/2/2009James Capes, MD 550 Peachtree St NE, Emergency Dept Atlanta GA 3030838438RN146180Krechmery, Karen Lynn
6/8/2012Flacker, Jonathan MD 1821 Clifton Road Atlanta GA 3032948148RN125419Kress, Karen
12/3/2010Kimford Meador, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032218705RN125419Kress, Karen Myers 5/11/2012
2/5/2009Frank Brown, MD 1821 Clifton Rd NE Atlanta GA 3032931212RN125419Kress, Karen Myers 9/2/2010
3/4/2011Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN155956Kripalani, Dimple Lilian 8/30/2012
3/29/2012Williams, Stewart MD 2412 N. Oak Street Valdosta GA 3160230242RN131953Krispin, Andrea
4/1/2010David Faulk, MD 121 Burgess St Brunswick GA 3152539787RN106135Kroll, Sherri Cofield
12/1/2011Cantrell, David MD 1407 Cobb Parkway North Marietta GA 3006232883RN134121Kruszka, Kathryn 7/18/2013
11/8/2013Pamella Charles‐Pryce, MD 2779 N Cobb Pkwy Kennesaw GA 3015258155RN127164Kuhn, Jessica Nicole DeMarco
7/11/2013Walter Metcalfe, MD Take Care Clinic, 2779 N Cobb Pkwy Kennesaw GA 3015258544RN127164Kuhn, Jessica Nicole De Marco 9/10/2013
12/7/2012Anu Murthy, MD 2255 Cumberland Pkwy, Suite 1400 Atlanta GA 3033954867RN125915Kulkin, Charlotte Virginia Conan
8/7/2009Madhu Vishwanath, MD 7530 Roswell Rd Atlanta GA 3035056499RN125915Kulkin, Charlotte Virginia Conan 8/5/2009
1/11/2008Tom Fariss, MD 1400 Holcomb Bridge Road Roswell GA 3007655747RN125915Kulkin, Charlotte Virginia Conan
5/3/2013Dillon Miller, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051367508RN206803Kunkel, Judith Ann
5/4/2012Rowley, Lawrence MD 1700 Hospsital South Drive Austell GA 3010635992RN089519Kunkel, Lynn
1/7/2011Jason Holbrook, MD 2050 Cumming Hwy, Suite 100 Canton GA 3011444237RN075453Kurtz, Laura Leigh Alsbury
5/7/2009Nagwa Eskander‐Demian, MD
553 Riverstone Pkwy, Suite B Canton GA 3011446297RN075453Kurtz, Laura Leigh Alsbury
Wednesday, May 07, 2014 Page 158 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/7/2008Rayna Jobe, MD 805 Sandy Plains Road Marietta GA 3006660386RN075453Kurtz, Laura Leigh Alsbury 10/30/2009
9/14/2007Miles Graivier, MD 1295 Hembree Road, Bldg B Suite 100 Roswell GA 3007634602RN075453Kurtz, Laura Leigh 5/2/2008
5/10/2007Ricardo R. Riesco, MD 711 Shields Road Dalton GA 3072044069RN075453Kurtz, Laura Leigh Alsbury 8/1/2007
12/7/2012Greaves, Paula MD 833 Campbell Hill St NE, Ste 400 Marietta GA 3006043631RN131245Kushner, Lauren
10/7/2011Dourron, Robert MD 2675 N. Decatur Rd, Ste 301 Decatur GA 3003348617RN131245Kushner, Lauren 2/25/2012
6/30/2011Donna Sinclair, MD 1046 Ridge Ave SW Atlanta GA 3031564733RN131245Kushner, Lauren M.
7/11/2008Neale Freeman, MD 1046 Ridge Avenue SW Atlanta GA 3031540065RN131245Kushner, Lauren M 5/31/2011
12/6/2013Steven Urken 1670 Clairmont Rd Decatur GA 3003336030RN180822Kuttukaran, Lijy John
11/5/2010Danny Branstetter, MD 341 Ponce de Leon Ave Atlanta GA 3030863175RN150116Kyle, Alison Walter
12/7/2007Laura Broyles, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030853839RN150116Kyle, Alison Walter
12/4/2009Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN106756La Count, Sharon Lynn Ragsdale 7/1/2011
1/11/2008Walter Mashman, MD 275 Collier Road NW, Suite 300 Atlatna GA 3030932956RN123691Labrador, Babs Rene
10/8/2010Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN182787Lacey, Mary Esther 1/4/2012
7/12/2012Johnson, Miles MD 3001 S. Cobb Drive, Ste 103 Smyrna GA 3008038817RN114591LaCoste, Kathalina
5/1/2014Nadia Cameron, MD 961 Green St, NE Gainesville GA 3050153982RN106756LaCount, Sharon Lynn Ragsdale
2/3/2012Harden, Charles MD 621 East First St, Suite B Vidalia GA 3047444930RN192197Ladson, Catherine
11/5/2009Laurie Tharpe, MD 330 Hospital Dr, Suite 304 Macon GA 3121736303RN192197Ladson, Catherine Dorsey 9/15/2011
1/6/2012Durocher, Steven MD 2000 Palmyra Road Albany GA 3170756051RN127193Laing, Denise 4/1/2013
9/2/2010Roy Reardon, MD 208 North Cuthbert Street Colquitt GA 3983742402RN127193Laing, Denise Cloud
Wednesday, May 07, 2014 Page 159 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2008Quinton Weldon, MD PO Box 544 Americus GA 3170956786RN127193Laing, Denise Cloud 7/31/2010
4/13/2007Timothy Thomson, MD 951 South Broad Street Thomasville GA 3179246526RN127193Laing, Denise Cloud 7/25/2008
10/5/2012Brett Murphy‐Dawson 2100 Comer Ave. Columbus GA 3190454080RN207007Lajiness‐Polosky, Danine
12/4/2008Nimisha Trivedi, MD 3778 Hwy 42 Locust Grove GA 3024853715RN117444Lake‐Thomas, Jacinta
12/6/2012Thomas N. Mullen, MD 126 Sequoyah Tr. Ringgold GA 3073639882RN221471Laman, Barbara C.
4/1/2010Gyula Soos, MD 230 Industrial Blvd, Suite 3 Dublin GA 3102149093RN163024Lamb, Jessica Mullis
5/3/2013Allen Hoffman, MD 8954 Hospital Dr, Bldg B, #115 Douglasville GA 3013424822RN174546Lambert, Cynthia Augereau
8/6/2010Edward Chen, MD 1365 Clifton Rd, A‐2232 Atlanta GA 3032248884RN173739Lambeth, Shannon Tomlinson
1/9/2014Christopher Scott, MD 1707 Meadows Lane Vidalia GA 3047457015RN131631Lancaster, Michael T
9/11/2008Linda Casteel 3725 Zoar Road Snellville GA 3003943346RN096607Landers, Phyllis Nadeau
2/7/2008Mark Mittenthal, MD 5669 P'tree D'woody Rd, Ste 100 Atlanta GA 3034217864RN096607Landers, Phyllis Nadeau
1/11/2013Charles M. Pugh, Jr., MD 1050 Carl Griffin Dr. Savannah GA 3140519089RN170492Landing, Stephanie R. 10/18/2013
3/29/2012Carter, Cynthia MD 1050 Carl Griffin Drive Savannah GA 3140556534RN170492Landing, Stephanie 6/18/2012
10/7/2011Wu, Jonathan MD 265 N. Decatur Blvd, Ste 430 Decatur GA 3003353967RN173390Landor, Misty
4/1/2010Bob Agbogu, MD 1136 Cleveland Ave, Suite 500 East Point GA 3034443839RN173390Landor, Misty Dawn
9/13/2013John Corbin, MD 2122 Manchester Expy, Emer Dept Columbus GA 3190434800RN109950Landrum, Bobby Gene
7/11/2013Kevin King, MD 2122 Manchester Expressway Columbus GA 3190456310RN109950Landrum, Bobby Gene
1/7/2011Billy Greening, MD 7285 Hwy 16, Suite C Senoia GA 3027642585RN164310Landrum, Frances Marie 5/3/2014
11/1/2007Joe Bruce Carr, MD 2122 Manchester Expressway Columbus GA 3190416889RN109950Landrum, Bobby Gene 7/15/2013
Wednesday, May 07, 2014 Page 160 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2014Mark Ellison, MD 1500 Oglethorpe Ave, Suite 200‐C Athens GA 3060626107RN194082Lane, Kristen Goodin
8/5/2011Charles Hendry, MD 1900 The Exchange, Suite 420 Atlanta GA 3033910422RN074324Lane, Teresa Elaine
2/5/2010Ann Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN163766Lane, Teresa Kay
12/4/2008Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN141537Lane, Felecia Charelle 12/12/2008
3/7/2008Patrick Railey, MD 3345 E. Hwy 34, Suite 101 Sharpsburg GA 3027743114RN163766Lane, Teresa Kay 9/22/2009
2/7/2008Michael Gladson, MD 70 Ada Street Blue Ridge GA 3051321506RN074324Lane, Teresa P.
10/10/2013Byron Williams, III, MD 1365 Clifton Rd NE Atlanta GA 3032253894RN170212Langdon, Kristan N Drake
7/12/2012Lutz, Jerre MD 1365 Clifton Rd NE, Ste A2208 Atlanta GA 3032215711RN170212Langdon, Kristan 8/27/2013
3/4/2011Francis Kwarteng, MD 401 South Madison St Albany GA 3170761792RN206784Langford, Da'na Michelle
1/9/2014Angela Gerguis, MD 586 Brannen St Statesboro GA 3045847261RN159370Lanier, Courtenay Renae
5/9/2008Frank Steele, Jr., MD 50 Kelly Rd McDonough GA 3025329378RN159370Lanier, Courtenay Renae 9/1/2009
11/1/2007Barry Jones, MD 5965 Pkwy North Blvd, Ste C Cumming GA 3004012495RN119081Lanier, Kimberly Tyra
1/6/2012Hess, Amy MD 960 Joe Frank Harris Pkwy Cartersville GA 3012065821RN176566Lantaff, Tracy
10/4/2007Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN156557Lao, Cindy Wei‐Hsin 11/19/2007
2/5/2010William Mahle, MD 1405 Clifton Rd Atlanta GA 3032250110RN194084Laporte, Kelci Jane
1/7/2010Sidney Paul Chastang, MD 3921 Shallowford Rd Marietta GA 3006241094RN170174Larson, Deborah Ann
10/10/2013Mark Majoch, MD 3855 Pleasant Hill Rd, Suite 100 Duluth GA 3009636651RN198754Lashley, Laura Elizabeth
10/8/2010Cynthia Giles, DO 555 Bluebird Blvd Ft Valley GA 3103048778RN173610Lashley, Glenna Willis 12/13/2013
10/5/2012John Blumer, MD 3222 Shrine Rd, Suite A Brunswick GA 3152053101RN115534Latham, Cassandra Coe
Wednesday, May 07, 2014 Page 161 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN184089Lathrop, Breanna Lynn
8/6/2010William Warren, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031823126RN184089Lathrop, Breanna Lynn
1/9/2009Joshua Perkel, MD 1062 Forsyth Street, Suite 2A Macon GA 31201‐863956343RN112839Lathrop, Barbara Lynn Wells
5/7/2010Eric Gibney, MD 1968 Peachtree Rd NW, Bldg 77, 5th Floor
Atlanta GA 3030961884RN200417Latterell, Brooke Linn
11/8/2013Oscar Espetia, MD 2501 North Patterson St, Emer Dept Valdosta GA 3160265358RN102042Lattimore, Willie Lee
1/6/2012Matthews, Barbara MD 2000 North Monroe Street Albany GA 3170146169RN102042Lattimore, Willie 7/31/2013
10/8/2010Raymond Gutierrez, MD 417 W. 3rd Avenue Albany GA 3170157983RN102042Lattimore, Willie Lee 1/31/2014
1/11/2008Thomas Bozzuto, DO 803 North Jefferson Street, Suite A Albany GA 3170156978RN095679Laue, Donna Jean Wills
5/1/2014Gopal Rao, MD 350 Country Club Dr. Ste A Stockbridge GA 3028132892RN214862Lavallo, Joseph
7/11/2013Xavier Moore, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028155619RN214862Lavallo, Joseph
8/9/2013Hubert Smith, MD 412 Northside Drive East Statesboro GA 3045818745RN073174Law, Patricia Velda Lee
1/11/2013Angela H. Coleman, MD 1140 Hammond Dr., Ste K110 Atlanta GA 3032861717RN224963Law, Latonya P.
4/3/2008Saraju Dalsania, MD 1601 Fair Road, Suite 700 Statesboro GA 3045845196RN073174Law, Patricia Velda Lee 5/17/2013
11/8/2013Valens Plummer, MD 1510 Milstead Ave NE Conyers GA 3001249496RN207425Lawrence, Tionya Nitara
6/7/2013Robert King, MD 1825 Martha Berry Blvd Rome GA 3016553835RN176980Lawrence, Sara Amanda Beth
6/7/2013John Ogundipe, MD 1500 S Johnson Ferry Rd NE Atlanta GA 3031939193RN134018Lawrence, James Fletcher
3/4/2010James Sexson, MD 1810 Mulkey Rd, Suite 200 Austell GA 3010638362RN134018Lawrence, James Fletcher 3/16/2011
11/5/2009Dipesh Patel, MD 3780 Eisenhower Pkwy Macon GA 3120653512RN134018Lawrence, James Fletcher 12/31/2009
Wednesday, May 07, 2014 Page 162 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Rita Livingston, MD 109 Minus Ave, Suite C‐10 Garden City GA 3140863494RN192522Lawson, Leslie Elizabeth Johnso
6/6/2008Walter Scott, Jr, MD 2500 Starling Street, Suite 306 Brunswick GA 3152059190RN146311Lawson, Donna Naomi
9/14/2007William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141266Lawson, Kristie LaShawn 11/13/2008
5/6/2011Cecil Sharp, MD 1350 Walton Way, NICU Augusta GA 3090127662RN141032Layfield, Nicole K.
7/11/2013Hemachandra Gunawardhana, MD
250 Constitution Blvd, Ste 203 Lawrenceville GA 3004663341RN124271Lazzari, Taren S.
6/8/2012Rab, Tamveer MD 1364 Clifton Rd, Ste F606 Atlanta GA 3032228451RN163404Le, Dung Kim
3/6/2014Jason Beland, MD 600 Parkway North Newnan GA 3026555920RN195450Leak, Xaviera Jonee
1/7/2010Wendy Wright, MD 6550 Roswell Road Sandy Springs GA 3032852658RN064892Learmont, Beverly Ann Dinkins
7/10/2009Alvin Cheatham, MD 6000 N. Termonal Pkwy, Suite 315 Atlanta GA 3032022732RN064892Learmont, Beverly Ann Dinkins
1/7/2011Phillip Nowlin, MD 4480 S. Cobb Dr SE Smyrna GA 3008036588RN211057Leathers, Breanne Nunnally
1/7/2011Laura Bleekrode, MD 1100 Northmeadow Pkwy, Suite 108 Roswell GA 3007634514RN211057211057
Leathers, Breanne Nunnally
7/11/2008Marisa Gadea, MD 1121 Johnson Ferry Rd, Suite 220 Marietta GA 3006841802RN055732Lebedin, Sharon Capelouto
1/6/2012Messner, Stephen MD 1001 Johnson Ferry Road, Ste 500 Atlanta GA 3034259282RN117190Lebiecki, Cindy 6/12/2012
9/13/2012Jon Trankina 4595 Town Lake Pkwy, Bldg. 300, Ste 100
Woodstock GA 3018930681RN123214LeCroy, Tiffany
4/1/2011William Kriegel, DO 3405 SW Dallas Hwy Marietta GA 3006431962RN123214LeCroy, Tiffany Reichert 4/15/2012
3/4/2010Mary East, MD 300 Cherokee Place Cartersville GA 3012163187RN123214LeCroy, Tiffany Reichert
11/7/2008Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN123214Lecroy, Tiffany Reichert 2/4/2010
Wednesday, May 07, 2014 Page 163 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Buhmiben Samir Purohit, MD
3240 South Cobb Dr. Smyrna GA 3008058812RN38288Ledbetter, Sharon 11/4/2012
1/6/2012Hewling, Kirk‐Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN038288Ledbetter, Sharon 9/1/2012
8/6/2010Muhammad Sheikh, MD 2774 North Cobb Pkwy Kennesaw GA 3015259195RN038288Ledbetter, Sharon E.
2/5/2010Daryl Sherrod, MD 1910 Hwy 20 Conyers GA 3001349976RN038288Ledbetter, Sharon E.
11/7/2008Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN038288Ledbetter, Sharon E. 1/1/2010
9/13/2013Barbara Camp, MD 33 Nacoochee Way Sautee GA 3057141747RN202959Ledford, Anna Michelle
2/5/2010Ronald Hudson, MD 610 19th Street Columbus GA 3190115384RN131920Ledford, Ladonna Kay Ellis
9/11/2008Jack Roof, MD 101 RiverStone Vista, Susite 207 Blue Ridge GA 3051317278RN154445Ledford, Camille York 3/6/2014
3/29/2012Ward, Martha MD 916 S Broad St, Thomasville GA 3179220360RN198797Ledger, Kelly
12/4/2008Brian Griner, MD 101‐G W. Northside Drive Valdosta GA 3160246966RN196360Ledwitch, John William
2/3/2012Gerber, Alan MD 2069 Teron Trace, Ste 300 Dacula GA 3001958672RN159890Ledwith, Crystal
4/4/2014Leilani Shivers, MD 900 Dallis St, Suite D LaGrange GA 3024057507RN203487Lee, Amanda Treston 4/9/2014
10/10/2013Howard Stirne, MD 2151 W Spring St, Emer Dept Monroe GA 3065525050RN153452Lee, Younju
10/10/2013Winston Clark Connell, MD 915 Gordon Ave, Emer Dept Thomasville GA 3179258733RN145509Lee, Karen Burke
8/9/2013Sung Chang, MD 7351 Old Moon Rd Columbus GA 3190952693RN178001Lee, Felisa Ann 8/26/2013
2/7/2013Teresa Cezar, MD 755 S Main St Baxley GA 3151348031RN116307Lee, Knicole Ann
10/5/2012Jonathan Wade, DO 204 E. 15th St. Alma GA 3151066666RN034673Lee, Pamela C. 5/31/2013
10/5/2012Bruce Ramsdell, MD 3145 Peachtree Rd., NE, Ste 165 Atlanta GA 3030518722RN221512Lee, Erin
Wednesday, May 07, 2014 Page 164 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/29/2012Ferrari, Thomas MD 110 R.T. Stanley Sr. Place Lyons GA 3‐43634829RN116307Lee, Knicole Ann
2/3/2012Baker, Norman DO 330 Alcovy Street Monroe GA 3065553665RN153452Lee, Youn 12/31/2012
6/3/2011Michael Deen, MD 143 Hwy 32 Bypass Alma GA 3151058459RN034673Lee, Pamela S. 9/9/2012
4/1/2011Keith Seibert, MD 10055 Ford Ave, Suite 4‐A Richmond Hill GA 3132451733RN079062Lee, Elizabeth Boatright
5/7/2009Michael Nulph, MD 204 E. 15th Street Alma GA 3151057735RN034673Lee, Pamela S. 4/1/2011
2/5/2009Eric Hall, MD 512‐B South Main Street Hinesville GA 3131345814RN079062Lee, Elizabeth Boatright 12/17/2010
11/1/2007Alvin Streat, MD 204 E. 15th Street Alma GA 3151034279RN034673Lee, Pamela S 3/2/2009
11/8/2013Andrew Green, MD 1498 Jesse Jewell Pkwy, Suite C Gainesville GA 3050158961RN172094Leech, Jennifer Tompkins
8/5/2011Kashyap Patel, MD 200 S Enota Dr, Ste 200 Gainesville GA 3050157230RN171688Leech, Christopher L
8/10/2012Beverly Hyacinth, MD 9465 Hwy 5 Douglasville GA 3013557003RN141240Leffall, Para
2/5/2009Jacob Varghese, MD 3740 Cascade Road Atlanta GA 3033156933RN141240Leffall, Para Ramon 8/24/2012
3/6/2014Naghma Khan, MD 1645 Tullie Circle Atlanta GA 3032937252RN139769Leidel, Laura Beth
9/3/2009Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN139769Leidel, Laura Beth 12/1/2010
12/7/2012Dennis Dean Wiles, MD 410 Peachtree Parkway Cumming GA 3004144865RN129499Leigh, Stacy Diann
2/6/2014Laura Beaty, MD 755 Mt Vernon Hwy, Suite 120 Sandy Springs GA 3032845168RN233740Lemene, Kristina Eder
6/7/2013Philip Henderson, MD 3696 Lawrenceville‐Suwanee Rd Suwanee GA 3002447601RN164788Lemons, Maria Linda
1/11/2013Lloydstone Jacobs II, MD 2900 University Pkwy Lawrenceville GA 3004349179RN164788Lemons, Maria
5/4/2012Akintoye, Adebukola MD 3780 Holcomb Bridge Road, Ste E Norcross GA 3009238164RN164788Lemons, Maria 5/22/2012
7/10/2009Divina Dyer, MD 181 S. Clayton Street Lawrenceville GA 3004557161RN164788Lemons, Maria Linda 8/6/2010
Wednesday, May 07, 2014 Page 165 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Donna Haley, MD 687 Marietta Hwy Canton GA 3011440916RN193714Lenaz, Leona Rausch
12/1/2011Vola‐Redd, Gena MD 790 Church St, Suite 335 Marietta GA 3006045356RN193714Lenaz, Leona
9/11/2008L. Crain Garrot, MD 340 Kennestone Hosp Blvd, Suite 100 Marietta GA 3006059157RN193714Lenaz, Leona Rausch 11/30/2011
10/5/2012Mark Beaty, MD 3823 Roswell Rd. Ste 101 Marietta GA 3006245169RN192239Lentsch, Rolvin
11/5/2010Wesley Smith, MD 11973 Augusta Rd Lavonia GA 3055345971RN192239Lentsch, Rolvin Charles
4/2/2009Richard Gorman, MD 1401 Georgian Park, Suite 200 Peachtree City GA 3026931008RN143499Leoffler, Kathleen Ann Collins
5/1/2014Nazario Villasenors, Jr, MD 18 Riverbend Dr SW, Suite 120 Rome GA 3016164985RN123700Leonard, Lori Michele
4/4/2014Amar K. Singh, MD 550 Redmond Rd. Rome GA 3016552227RN160156Leonard, Valerie Sanchez
3/8/2013Raulnina T. Uzzle, MD 770 Village Square Dr Stone Mountain GA 3008343499RN207063Leppke, Allison M.
6/30/2011Metra Wright, MD 770 Village Square Dr Stone Mountain GA 3008360634RN204063Leppke, Allison Marie 10/15/2012
12/7/2012Thomas Hobby, DO 3207 Country Club Valdosta GA 3160548647RN155655Lerstang, MaryAlyson
12/4/2008Christopher Wizner, MD 4250 BrownsvilleRoad Powder Springs GA 3012737734RN093485Lertpenmaeta, Della Lanette
11/1/2007Michael Jackson, MD 715 E. 2nd Avenue Rome GA 3016155376RN039939Lester, Dana C. 2/2/2010
11/7/2008Shahzad Hashmi, MD 301 Gwinnett Dr, Suite 150 Lawrenceville GA 3004653239RN140100Leverett, Kim Rebecca
4/4/2014Yuan‐Xiang Meng, MD 2670 Cobb Pkwy SE Smyrna GA 3008051257RN171645Lewis, Terri Maddrey
12/6/2013George Waldon Garriss, III, MD
3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN148871Lewis, Robert Lewis
11/8/2013Taofeek Owonikoko, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032260953RN177160Lewis, Colleen Margaret
10/10/2013Joseph Lavori, DO 220 North Cobb Pkwy, Suite 400 Marietta GA 3006239619RN148871Lewis, Robert Michael
Wednesday, May 07, 2014 Page 166 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN180944Lewis, Karen Lynn
4/4/2013Shelly D. Samuel, MD 148 Peacock St. Cochran GA 3101457248RN180944Lewis, Karen L. 8/31/2013
2/7/2013Samantha Benson, MD 3340 Paddocks Pkwy Suwanee GA 3002447699RN197350Lewis, Samantha McWilliams
5/4/2012Mchezagi, Tayari MD 1360 Upper Hembree Rd, Ste 100 Roswell GA 3007650409RN148871Lewis, Robert
5/4/2012Stone, Dudley MD 2 Wheeler Street Savannah GA 3140551088RN191733Lewis, Elizabeth
3/29/2012Lupi, Michael DO 3408 Trout St Brunswick GA 3152038152RN161641Lewis, Leanna
3/1/2012Charles‐Pryce, Pamella MD 220 North Cobb Pkwy, Ste 400 Marietta GA 3006258155RN148871Lewis, Robert
2/3/2012Oldham, Benjamin MD 1497 Fair Road, Ste 300 Statesboro GA 3045856210RN184063Lewis, Nikiya
4/1/2011Habigaile Cribe, MD 911 Plaza Ave, Suite B Eastman GA 3102350874RN118481Lewis, Tonya Yawn
1/7/2011Theodore Johnson, MD 1831 Clifton Rd, Pod A Atlanta GA 3032949656RN143524Lewis, Donna Rose Laroy 5/18/2012
10/8/2010Bryan Cheever, MD 1107 Memorial Dr, Suite 200 Dalton GA 3072034120RN068366Lewis, Rod Lee
9/2/2010Mark Elam, MD 800 Professional Blvd Dalton GA 3072036147RN148871Lewis, Robert Michael
5/7/2010John Kauh, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032252970RN177160Lewis, Colleen Margaret 10/15/2013
12/4/2009Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1, #1210 Alpharetta GA 3000439879RN149478Lewis, Kimberly Knapp 8/5/2010
2/5/2009Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351875RN148871Lewis, Robert Michael 8/12/2013
7/11/2008Jeffrey Donohue, MD 3755 Sixes Road, Suite 202 Canton GA 3011446540RN148871Lewis, Robert Michael
12/6/2013Jeffrey Winter, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010636044RN155957Lewis‐Austin, Michelle Abigal
4/1/2011Lisa Vinokur, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007638394RN116759Lewitt, Maryjane Massey
Wednesday, May 07, 2014 Page 167 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Mitchell Jones, MD 2500 Starling St, Suite 404 Brunswick GA 3152035448RN145239LeZotte, Ashley Willis
11/5/2010Salim Osta, MD 1131 Chapel Crossing Rd, Bldg 759 Glynco GA 3152415631RN145239LeZotte, Ashley Willis
9/3/2009Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN145239LeZotte, Ashley Willis 9/1/2010
5/10/2007Tom Vann Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN145239LeZotte, Ashley Willis 9/2/2010
1/9/2014Kalpesh Patel, MD 810 13th Ave, Suite 106 Albany GA 3170159106RN191159Li, Dan
7/12/2012Buchhammer, Carlos MD 111 Fieldstone Drive, Ste 114 Milledgeville GA 3106129598RN097756Liggins‐Spikes, Irona
6/8/2012Allotey, Peter MD 2660 Montpelier Avenue Macon GA 3120445643RN097756Liggins‐Spikes, Irona
5/7/2009Andrew Doris, II, MD 761 Old Norcross Road Lawrenceville GA 3004549005RN092698Lilly, Alice June West
3/4/2011Huitt Mattox, MD 3217 4th Street Brunswick GA 3152533402RN166817Lindahl, Deborah Ann
4/4/2014Yousef Hindi, MD 600 West Memorial Dr Dallas GA 3013255372RN198957Lindley, Jessica Cherie
8/9/2013Eric Powell, MD 1111 Glynco Pkwy, Bldg 1, Suite 10 Brunswick GA 3152549081RN178709Lindsay, Lorie Ann
9/11/2008Shelley Dunson‐Allen, MD 1305 Hembree Road, Suite 101 Roswell GA 3007633316RN187037Lindsay, Angela Schmidt
4/13/2007Kenneth W. Healey, MD 12389 Crabapple Road Alpharetta GA 3000424689RN187037Lindsay, Angela Schmidt 6/16/2008
9/3/2009Alberto Garcia, MD 209 East Main St Hahira GA 3163254374RN061439Lindsey, Melanie E.
5/7/2009Sandra Brickman, MD 1806 Lee Avenue Tifton GA 3179445043RN061439Lindsey, Melanie E. 6/9/2009
5/1/2014Joseph Watlington, MD 102 Erlanger South Dr. Ringgold GA 3073625685RN103785Lingerfelt, Kimbra Leigh White
5/7/2009Kimberley Wilson, MD 2001 Peachtree Rd NE, #205 Atlanta GA 3030931363RN150295Lingle, Kristen Anne
5/10/2007Joseph R. Shaver, MD 3630 J. Dewey Gray Circle Augusta GA 3090942430RN172995Linticum, Kimberly M.
10/8/2010William Boydston, MD 5455 Meridian Mark Rd, Suite 540 Atlanta GA 3034234112RN176752Linville, Melissa Anne
Wednesday, May 07, 2014 Page 168 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN176752Linville, Melissa Anne 4/1/2010
7/12/2012Burke, Michael MD 125 Clairemont Ave, Ste 170 Decaatur GA 3003054798RN087156Litchfield, Mary
1/9/2014Sohail Ejaz, MD 663 Lanier Park Dr Gainesville GA 3050160065RN234444Little, Mishell Carmela
7/11/2013Dinakara Shetty, MD 1719 Russell Pkwy, Suite 700 Warner Robins GA 3108842431RN138016Little, Deborah Jean Bailey
11/2/2012Hatem Asad, MD 105 Briarcliff, Ste B Warner Robins GA 3108849978RN138016Little, Deborah J. 12/14/2012
8/5/2011John Declue, DO 2024 6th Ave Columbus GA 3190437522RN131473Little, Valerie Jean Smart
9/2/2010Michael Rallo, MD 7020 Moon Road Columbus GA 3190954655RN131473Little, Valerie Jean Smart
3/6/2014Robert Spruill, MD 8 Laurel Ct Moultrie GA 3176859026RN128152Littleton, Hope Cherisse
12/4/2009Stephen Preas, MD 2430 Tucker Dr, Bldg A Loganville GA 3005219752RN060422Littrell, Kimberly Lyn Harrell
8/2/2007Craig Johnson, MD 4460 Atlanta Hwy Loganville GA 3005229689RN060422Littrell, Kimberly Harrell 11/1/2009
8/5/2011James Lamar, MD 9280 Hwy 5, Ste A Douglasville GA 3013432226RN180283Livengood, Lindsay Ann 7/28/2012
5/4/2012Craig Bishop, DO 2412 N. Oak St Valdosta GA 3160245725RN130337Livingston, Tracey Quinnell
11/3/2011Abdulbaaqee, Nailah MD 122 West Athens Street Winder GA 3068063829RN056238Lloyd, Kathleen
11/5/2010Ifeoma Nnaji, MD 123 Gordon St Washington GA 3067363931RN056238Lloyd, Kathleen Ann Mary 10/30/2011
1/7/2010Cathleen Quillian, DO 1351 Stonebridge Pkwy, Bldg 104 Watkinsville GA 3067745924RN056238Lloyd, Kathleen Ann Mary 1/31/2010
7/13/2007William Martin, MD 318 West Pike St. Lawrenceville GA 3004512937RN056238Lloyd, Kathleen Ann Mary 12/3/2009
4/4/2013Jonathan Chen, DO 55 Whitcher St, Suite 160 Marietta GA 3006060811RN209184Locher, Kim Elizabeth
1/7/2010Stephen Rubendall, MD 259 US Hwy 19 North Camilla GA 3173057320RN125749Lockhart, Christine Marie Strike
1/7/2010Dinesh Patel, MD 34 S. Ellis St Camilla GA 3173046798RN125749Lockhart, Christine Marie Strike
Wednesday, May 07, 2014 Page 169 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Stephanie Keller, MD 975 Johnson Ferry Rd NE Atlanta GA 3034264120RN149644Loeffel, Laura Jean
11/2/2012Antonius J. DeGrauw 975 Johnson Ferry Rd., Ste. 340 Atlanta GA 3034266687RN149644Loeffel, Laura Jean
3/1/2012Frazier, Cherise MD 2015 Uppergate Drive NE Atlanta GA 3032261512RN149644Loeffel, Laura 9/9/2012
5/1/2014Michael McDaniel, MD 5780 Peachtree Dunwoody Rd, Suite 200
Atlanta GA 3034257398RN124123Loft, Brenda Curd
11/5/2010Michael Flueckiger, MD 1968 Peachtree Rd NW Atlanta GA 3030935869RN157417Loftus, Nina Derieta
1/9/2009Subodh Lal, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010652771RN157417Loftus, Nina Derieta 12/9/2009
1/11/2008Matthew Keadey, MD 1364 Clifton Road Atlanta GA 3002249143RN157417Loftus, Nina Derieta
5/4/2012Das, Santanu MD 1049 N. Houston Road Warner Robins GA 3109342560RN189571Logan, Janet K
12/6/2013Charles Nash, MD 725 Jesse Jewell Pkwy, Suite 390 Gainesville GA 3050148068RN049489Logue, Lisa Clair Parker
6/4/2010Thomas Samuel, MD 1120 15th St, Suite BA‐5407 Augusta GA 3091257014RN196130Logue, Laura J. 5/31/2013
9/3/2009Anand Jillella, MD 1120 15th St, #BA‐5407 Augusta GA 3091233843RN196130Logue, Laura J. 4/12/2010
11/3/2011McLean, Ronald MD Rosedale Avenue Thomasville GA 3179230163RN166752Lomami, Mwingi Ida
5/3/2013F. Clark Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN117846Lomax, Susan Elizabeth
5/1/2014Cathy Lipton, MD 3720 Davinci Ct, Ste 400 Norcross GA 3009229028RN063853Long, Carol S
7/11/2013Melissa Davis, MD 1013 North 5th Ave Rome GA 3016559141RN175517Long, Mary Ann
5/3/2013Patrick Eagleson, MD 1230 Baxter St, Emer Dept Athens GA 3060665102RN170974Long, Barbara Fay
3/29/2012Moss, Kelvin MD 60 Old Highway 5 South Ellijay GA 3054054634RN093574Long, Marsha
12/1/2011Fernandez, Eusebio MD 772 Maddox Drive, Ste 110 East Elijay GA 3054012038RN093574Long, Marsha 2/24/2012
Wednesday, May 07, 2014 Page 170 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/8/2010Louis Cohen, MD 1230 Johnson Ferry Rd, Suite A‐10 Marietta GA 3006822496RN077139Long, Mary Lavonne Stewart
9/2/2010Crystal Comeau, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051361224RN093574Long, Marsha Nadine
5/7/2010George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN093574Long, Marsha Nadine 7/15/2010
4/1/2010Thomas Nguyen, DO 772 Maddox Dr, Suite 110 East Ellijay GA 3054062579RN093574Long, Marsha Nadine 10/11/2011
9/11/2008Richard Loyd, DO 1000 Hawthorne Avenue, Suite J Athens GA 3060637446RN135873Long, Christine Louise Nugent 3/29/2013
3/7/2008Jeffery Hines, MD 116 Upper Riverdale Road Riverdale GA 3027447443RN175274Long, Kelly
11/1/2007Evangelio Gonzalez, MD 690 Dallas Hwy, Suite 303 Villa Rica GA 3018016234RN032975Long, Ellen Kay
10/2/2008Miriam Gentry, MD 190 Hospital Circle Ellijay GA 3054010925RN093574Long‐Kimsey, Marsha 4/13/2009
3/7/2008William Raisig, MD 449 Industrial Blvd, Suite 105 Ellijay GA 3054055290RN093574Long‐Kimsey, Marsha 7/10/2008
4/13/2007Jack Roof, MD 101 Riverston Vista, Ste 207 Blue Ridge GA 3051317278RN093574Long‐Kimsey, Marsha 10/19/2007
1/6/2012Duke, Michael MD 134 W. Campus Dr, CBX 091 Milledgeville GA 3106142041RN070694Loper, Alice
2/6/2014Barry Warshaw, MD 1405 Clifton Rd NE Atlanta GA 3032915435RN134913Lopez, Leidys
11/2/2012Paul A. Martin, MD 1960 Riverside Pkwy, Ste 101 Lawrenceville GA 3004329034RN056928Lopez, Melanie B.
4/1/2011Ashley Davis, MD 5555 Whittlesey Blvd, Suite L‐1 Columbus GA 3190958161RN087816Lord, Resa Anne Wilson
7/12/2012Deen, Michael MD 143 Hwy 32 Bypass Alma GA 3151058459RN057626Lott, Patsy
3/29/2012Griffis, Mark MD 380 East Willow Creek Lane McRae GA 3105538140RN057626Lott, Patsy 9/12/2012
5/7/2010Harrison Clay Carter, MD 1126 West 12th Street Alma GA 3151050575RN057626Lott, Patsy L. 1/11/2012
1/9/2009Rao Moravineni, MD 246 O'Dell Road Griffin GA 3022451360RN160167Love, Tamara Rose
12/7/2012Ryan P. Carrick 3820 Medical Park Dr. Austell GA 3010665941RN225897Lovering, Carole J.
Wednesday, May 07, 2014 Page 171 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Jeffrey Pearce, MD 195 King Ave. Athens GA 3060660963RN063558Lovett, Megan
1/9/2009Jeffrey Kim, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010656117RN191241Lovett, Michelle Marie
4/4/2014Javad Deganian, MD 1700 Tree Lane Rd, Suite 110‐A Snellville GA 3007816053RN192194Lovvorn, Mackenzie Lyn
5/9/2008Tod Bethea, MD 536 Hwy 441 South Clayton GA 3052542016RN024085Lowe, Peggy Joyce Yarbrough
11/3/2011Bagheri, Bob MD 204 Canton Road Cumming GA 3004040865RN176229Lowman, Janice
10/7/2011Renee Waters, MD 3651Dawson Forest Rd, Suite 100 Dawsonville GA 3053335782RN176229Lowman, Janice Elaine
10/10/2013Brenda Hott, MD 1200 Northside‐Forsyth Dr Cumming GA 3004141441RN168434Lowman‐Kedzierski, Denise 12/27/2013
1/11/2013Lyla Correoso‐Thomas, MD 1395 Marietta Pkwy, #902 Marietta GA 300676886RN168434Lowman‐Kedzierski, Denise
4/1/2010Sonjoy Laskar, MD 550 Peachtree St, Med Off Tower, 4th Floor
Atlanta GA 3030854772RN168434Lowman‐Kedzierski, Denise
4/2/2009Dennis Incorvati, DO 355 Tower Road, Suite 300 Marietta GA 3006050527RN168434Lowman‐Kedzierski, Denise
1/11/2008David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN145456Lowrey, Rebecca Berrier
7/11/2008Fredric Flax, MD 12385 Crabapple Road, Suite 100 Alpharetta GA 3000417452RN067905Ludwick, Faith Ann
8/7/2009Daniel Eller, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034239563RN149205Luedecke, Eleanor Rogers
1/11/2013John D. Arnett, MD 200 Doctor's Dr., Suite 106 Douglas GA 3153338423RN089566Luke, Debra C.
4/4/2013Dan Ioanitescu, MD 940 Ga Hwy 96 Warner Robins GA 3108851476RN109444Lumansoc, Rita 7/20/2013
7/12/2012Rumble, Thomas MD 2121‐A Bellevue Road Dublin GA 3102113078RN109444Lumansoc, Rita
8/6/2010Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN181046Lumpkin, Mary Caroline
5/4/2012Perkins, Cheryl MD 1497 Fair Road, Ste 200 Statesboro GA 3045836430RN218596Lund, Christine
Wednesday, May 07, 2014 Page 172 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Eva Beaulieu, MD 3600 Dallas Hwy Marietta GA 3006466254RN038269Lunsford, Jeanne Rankine
11/3/2011Mian, Haroon MD 970 Joe Frank Harris Pkwy SE Cartersville GA 3012066222RN038269Lunsford, Jeanne 5/22/2011
12/6/2013Felecia Dawson, MD One Baltimore Place, NW, Suite 350 Atlanta GA 3030830292RN072457Lupa, Julia Suzanne Ball 12/12/2013
12/4/2008Byron Dickerson, MD 500 Medical Center Blvd, #290 Lawrenceville GA 3004536714RN072457Lupa, Julia Suzanne Ball 8/1/2013
6/7/2013Paul LoDuca, MD 710 Center St, 5 East Columbus GA 3190164595RN217917Lutin, Amanda Melanie 2/14/2014
6/6/2008Ann Haight, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032250522RN150285Lutterman, Deborah Hartman
12/4/2008Tara Hammond, MD 2250 Satellite Blvd, Ssuite 115 Duluth GA 3009752183RN068675Luttrell, Barbara K.
7/13/2007Harold D. Carlson, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030927508RN124797Lyda, Kenneth E 3/29/2013
3/29/2012Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN057538Lyden, Margaret 7/25/2012
5/9/2008Walter Mashman, MD 275 Collier Rd, Suite 300 Atlanta GA 3030932956RN057538Lyden, Margaret Ann
3/8/2013Nandana Reddy, MD 4415 Front Nine Dr Cumming GA 3004155641RN116155Lyerly, Linda Carol Phillips
12/1/2011Soyoola, Emmanuel MD 1870 Atlanta Hwy, Ste J‐K Gainesville GA 3050453032RN116155Lyerly, Carol 5/2/2012
10/7/2011Ram, Raja MD 475 Phillip Blvd, Ste 100 Lawrenceville GA 3004538922RN116155Lyerly, Linda 1/7/2013
8/5/2011Ann Drayton, MD 1870 Atlanta Hwy, Ste J Gainesville GA 3050449512RN116155Lyerly, Linda Carol Phillips 9/30/2011
5/7/2010Robert Campbell, MD 1226 D'Antignac St Augusta GA 3090153429RN202480Lyle, Rebecca S.
3/6/2014Ella Amador, MD 7301 Blackmon Rd. Columbus GA 3190970033RN097779Lynch, Gail L
4/4/2013Michael Hagues, DO 2122 Manchester Exprway Columbus GA 3190423977RN097779Lynch, Gail L.
12/7/2012Lisa W. Gantner, MD Acute Care Express, 7901 Veterans Pkwy
Columbus GA 3190127690RN097779Lynch, Gail L.
Wednesday, May 07, 2014 Page 173 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Wannamaker, Lisa DO 1120 15th St, AF‐1040 Augusta GA 30912‐746855462RN053247Lynch‐Hayes, Patricia 5/22/2012
1/7/2010Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN053247Lynch‐Hayes, Patricia A. 8/1/2011
11/7/2008Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN053247Lynch‐Hayes, Patricia A 9/2/2009
10/5/2012Jason Smith, MD 550 Professional Dr. Macon GA 3120152635RN196622Lyons, Lori
12/4/2008James Odom, Jr., MD 416 E. McPherson Street Nashville GA 3163942984RN146046Mac Kean, Thomas Alexander
4/13/2007Robert Sasine, MD 217 Broad Street Doerun GA 3174425389RN146046Mac Kean, Thomas Alexander
10/5/2012Bharatkumar Patel 4015 South Cobb Dr, Suite 110 Smyrna GA 3008048693RN109088Macauley, Quintina
2/5/2010Todd Cooper, DO 1405 Clifton Road NE Atlanta GA 3032261411RN204149MacDonald, Kelly Lynne
10/2/2008Christopher Rittmeyer, MD 4750 Waters Avenue, Suite 307 Savannah GA 3140442407RN073225MacDonald, Patti Mcgee
11/2/2012Thomas W. Hobby, DO 2501 N. Patterson St. Valdosta GA 3160248647RN127219Macera, Tana M.
9/11/2008James Sinnott 3207 Country Club Dr. Valdosta GA 3160635336RN127219Macera, Tana M. 9/13/2012
9/13/2013Dennis Spencer, DO 1077 South Main St, Emer Dept Madison GA 3065047663RN077194Mackel, George Scott
9/13/2012Caruso, Michael MD 196 Ridgecrest Circle Clayton GA 3052557558RN077194Mackel, George
8/5/2011Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN077194Mackel, George Scott
1/9/2014Timothy Helton, MD 1010 Johnson Ferry Rd Marietta GA 3006829669RN064087Mackenzie, Christine Mary Scan
1/7/2010Laurae Carpenetti, MD 3921 Shallowford Rd Marietta GA 3006250606RN064087Mackenzie, Christine Mary Scan 8/30/2013
10/2/2008Timothy Helton, MD 1010 Johnson Ferry Rd Marietta GA 3006829669RN064087Mackenzie, Christine Mary Scan 4/10/2011
5/4/2012Blache, Charlene MD 406 M Northside Drive Valdosta GA 3160245728RN151220Mackey‐Burns, Susan
5/4/2012Roberts, Jerry MD 4000 Shakerag Hill, Ste 201 Peachtree City GA 3026925657RN134284Macoy, Lisa 3/20/2014
Wednesday, May 07, 2014 Page 174 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/7/2008John Potts, MD 365 North Jeff Davis Drive Fayetteville GA 3021417642RN134284Macoy, Lisa S.
7/11/2013Jonathan Popler, MD 1100 Lake Hearn Dr, Suite 450 Atlanta GA 3034264052RN191035Madden, Ellen Patricia
6/7/2013Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN168142Maddox, Leigh Catherine
5/7/2010Odell Paul Still, DO 104 Maple Dr Vidalia GA 3047437085RN166580Maddox, Jr. 6/17/2010
6/5/2009Alexander Kessler, MD 50 Medical Lane, Suite A Canton GA 3011450647RN168142Maddox, Leigh Catherine
4/4/2014Carl Lift, MD 129 Admiralty Way NW Milledgeville GA 3106150206RN166580Maddox, Jr., Jimmy Harold
3/1/2012McGowan, James MD 303 Smith Street, lst floor Lagrange GA 3024028833RN121320MaGill, Marlis
9/14/2007Leroy Hubbert, MD 303 Smith Street LaGrange GA 3024035659RN121320MaGill, Marlis 2/3/2012
12/4/2008Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN116763Magner, Rosemary 3/30/2009
4/13/2007Donald Keith West, MD 823 Campbell Hill Street Marietta GA 3006032323RN116763Magner, Rosemary 11/1/2007
10/2/2009Brian Mason, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030341460RN118599Maharaj, Rajendra Kuldeep
10/2/2009Karin Vadelund, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030358934RN118599Maharaj, Rajendra Kuldeep
7/11/2008David Asrael, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351291RN118599Maharaj, Rajendra Kuldeep 9/1/2009
4/1/2011David Dean, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030964808RN133358Mahek, Amber Daley
10/2/2009William Knapp, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030917225RN133358Mahek, Amber Daley 2/9/2011
3/8/2013Thuy Bui, MD PO Box 422002 Atlanta GA 3034249276RN174074Maher, Anne R.
12/1/2011Fleming, Alesia MD 1645 Tullie Circle Atlanta GA 3032934841RN174074Maher, Anne
3/8/2013Michael O'Grady, MD 7100 Peachtree Dunwoody Rd, #100 Atlanta GA 3032841189RN147038Maina, Catherine Wangari
Wednesday, May 07, 2014 Page 175 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014Deepti Bhasin, MD 402 Osigian Blvd, Suite 400 Warner Robins GA 3108859979RN131694Maine, Stecy Bankston
4/4/2013Hatem Asad, MD 105 Briarcliff Rd Warner Robins GA 3108849978RN131694Maine, Stacy Bankston 7/12/2013
1/7/2010Debbie West, MD 116 S. Houston Road Warner Robins GA 3108841028RN131694Maine, Stacy Bankston 8/2/2012
1/7/2011Mary East, MD 5805 State Bridge Rd Johns Creek GA 3009763187RN162552Makinde, Roseline A.
4/4/2014Stephen F. Finn, MD 1825 Martha Berry Blvd. Rome GA 3016546961RN234796Malave, Mirei
10/7/2011Fletcher, David MD 1075 South Main Street, Ste 100 Madison GA 3065059718RN171386Malcom, Amelia
1/9/2014Tyrone Malloy, MD 1924 Cliff Valley Way Atlanta GA 3032923086RN170995Maldin, Melissa Paige
7/13/2007Harvey Sanders, MD 305 Jones Ave. Waynesboro GA 3083016975RN112902Mallard, Shelley Hendrix
10/10/2013Benise Williams, MD 303 Smith St LaGrange GA 3024046924RN185828Mallory, Edna Elaine 2/19/2014
5/7/2010Bradley Stearns, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032853380RN103102Malloy, Jacqueline A.
5/7/2010Kathleen Funk, MD 1000 Johnson Ferry Rd Atlanta GA 3034237997RN103102Malloy, Jacqueline A.
4/13/2007Raymond E. Tidman, MD 101 RiverStone Vista Blue Ridge GA 3051332826RN103102Malloy, Jacqueline A.
3/29/2012Hornetty, Paul MD 308 N. Parrish Avenue Adel GA 3162052951RN215209Malmquist, Lisa 7/2/2012
6/8/2007Victoria Green, MD 69 Jesse Hill Jr. DR. SE 4th FL Atlanta GA 3030338240RN049304Malone, Mary Marcella
10/7/2011Suh, David MD 1468 Montreal Road Tucker GA 3008457848RN117790Mancao, Caroline
5/4/2012Cleveland, William MD 3620 MLK Jr., Drive SW Atlanta GA 3033117375RN184067Maness, Edina 4/6/2013
3/6/2014Audrey Ludwig‐Arona, MD 500 Medical Center Blvd, Suite 290 Lawrenceville GA 3004648267RN100057Manga, Mercy Boh
12/4/2008Byron Dickerson, MD 500 Medical Center Blvd, #290 Lawrenceville GA 3004536714RN100057Manga, Mercy Boh 10/23/2013
1/7/2011Kent Plowman, MD 987 St. Sebastian Way, EB‐105 Augusta GA 3091217872RN110631Manghram, Diane Anthony
Wednesday, May 07, 2014 Page 176 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Michelle Morgan, DO 5320 Memorial Dr. Stone Mountain GA 3008351694RN053615Mann, Linda J.
8/7/2009Sara Marder, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034236814RN170607Manning, Christine Yvonne
2/7/2013Todd R. Kelley, MD Harbin Clinic, 330 Turner McCall Blvd, #4000
Rome GA 3016547781RN132924Maples, Melissa L.
5/7/2010Melissa Davis, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016559141RN132924Maples, Melissa Lynn 12/31/2012
5/6/2011James Graham, MD 331 South Main St Baxley GA 3151357979RN129055Marat, Patti Lorri
2/5/2010Robert Reese, Jr., DO 1111 Glynco Pkwy Brunswick GA 3152531312RN129055Marat, Patti Lorri 2/8/2011
1/7/2010R. Neal Boswell, MD 2605 Parkwood Drive Brunswick GA 3152016170RN129055Marat, Patti Lorri
11/5/2009Herman Levy, MD 815 Chapel Crossing Road Brunswick GA 3152534010RN129055Marat, Patti Lorri 6/8/2010
8/7/2009Lewis Litwack, MD 1131 Chapel Crossing Rd, Suite T‐759 Glynco GA 3152461981RN129055Marat, Patti Lorri 9/14/2010
12/4/2008Heather Svenson, MD 47 Professional Drive Brunswick GA 3152050841RN129055Marat, Patti Lorri 10/4/2009
4/4/2013Gary Billingsley, MD 1215 West Wheeler Pkwy Augusta GA 3090929582RN204200Marchant, Whitney Mimbs
12/7/2012Jose H. Acevedo 1299 Interstate Pkwy Augusta GA 3090925499RN204200Marchant, Whitney M. 11/8/2013
3/8/2013Jennifer Dark, MD 1012 Burleyson Rd Dalton GA 3072066016RN186421Marcius, Marva Montrose
6/7/2013Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN161635Marcum, Christian Leigh
12/4/2009John Coleman, MD 3193 Howell Mill Rd, Suite 215 Atlanta GA 3032748498RN161635Marcum, Christian Leigh 5/4/2011
7/11/2008Melissa Eaton, MD 3400‐C Old Milton Pkwy, Suite 545 Alpharetta GA 3000548507RN139669Marcus, Tara Leigh
11/8/2013Roger Hill, DO 114 Cherry St, Suite A Marietta GA 3006028277RN197666Margrave, Amy Rebecca Danfor
10/8/2010Jermaine Jackson, MD 3820 Medical Park Dr Austell GA 3010660278RN187059Markos, Yodit Katrell
Wednesday, May 07, 2014 Page 177 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/1/2011Bruce Friedman, MD 3630 J. Dewey Gray Cir Augusta GA 3090940066RN129040Markwalter, Gena Lynn Johnso
1/6/2012Messner, Stephen MD 1001 Johnson Ferry Road, Ste 500 Atlanta GA 3034259282RN069888Marlow, Louise
6/6/2008Claire Mazewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246619RN069888Marlow, Louise Ann 2/17/2009
11/8/2013Lawrence Powell, MD Take Care, 1490 Pleasant Hill Rd Duluth GA 3009638915RN171405Marrero, Isla Starr
4/4/2014Thomas Bozzuto, DO 803 North Jefferson St, Suite A Albany GA 3170156978RN133957Marshall, Patricia Ann
4/4/2014Stephen Weiss, MD 803 N Jefferson St, Suite A Albany GA 3170156391RN133957Marshall, Patricia Ann
3/6/2014Raymond Jarvis, MD 330 Turner McCall Blvd, Suite 300 Rome GA 3016545505RN199472Marshall, Shawanda Latrece
11/8/2013Kesha Allen, MD 417 Third Ave, Emer Dept Albany GA 3170157920RN133957Marshall, Patricia Ann
6/8/2012Burkich, Robert MD 171 Mount Paran Road Sandy Springs GA 3034246372RN054505Marshall, Valeriann
5/6/2011Vithal Kusuma, MD 1009 N. Monroe St Albany GA 3170121536RN133957Marshall, Patricia Ann
9/3/2009Donovan Christie, MD 725 N. Central Ave Hapeville GA 3035444432RN155764Marshall, Tracey Tamar
8/9/2013Mark Albritton, MD 105 Regency Park Dr McDonough GA 3025355912RN147969Martin, Ashley Elaine 8/23/2013
3/4/2011Michelle Morgan, MD 3800 Princeton Lake Pkwy Sw Atlanta GA 3033151694RN052052Martin, Jacquelyn Denise
2/4/2011Hillary Hahm, MD 340 Kennestone Hosp Blvd, Suite 200 Marietta GA 3006048051RN116159Martin, Cynthia Louise Walls
12/4/2008Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN052052Martin, Jacquelyn Denise 7/25/2011
8/8/2008Leslie Cottrell, MD 1600 Maple Street, UWG Health Svcs Carrollton GA 3011845194RN112921Martin, Jim Glen
6/6/2008Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN167333Martin, Melissa Anne
6/6/2008Joseph Hormes, MD 780 Canton Road, Suite 400 Marietta GA 3006029674RN141514Martin, Rebecca Jeanne 4/9/2010
Wednesday, May 07, 2014 Page 178 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/9/2008Kathleen Long, MD 2230 Towne Lake Pkwy, Bldg 1100, Ste 140
Woodstock GA 3018938549RN116159Martin, Cynthia Louise Walls 11/1/2010
1/9/2014Andre Haynes, MD 1153 N. Liberty St Nicholls GA 3155468818RN197990Martyn, Elizabeth A
7/11/2013Hamza Gorsi, MD East GA Healthcare Ctr, 404 Savannah Ave
Statesboro GA 3045866495RN216845Marucco, Kathryn Mary
6/8/2012Johnson, Paul MD 1001 Johnson Ferry Rd Atlanta GA 3034246132RN193287Mason, Emily
1/6/2012Duke, Michael MD 134 W. Campus Dr CBX 091 Milledgeville GA 3106142041RN089586Mason, Angelia
4/3/2008Sarah Ghayouri, MD 1800 Tree Lane Road, Suite 290‐A Snellville GA 3007839109RN124340Mason, Kelly Cassedy
1/11/2008Jack Dawson, Jr, MD 275 Collier Road NW, Suite 300 Atlanta GA 3030911945RN124340Mason, Kelly Cassedy
1/9/2014James Graham, MD 2225 Hwy 41 North Tifton GA 3179430071RN144412Massey, Kimberly D.
8/5/2011George Katsitadze, MD 976 Killian Hill Rd, Bldg A, Ste B Lilburn GA 3004752456RN133970Massey, Liza Nicole
5/10/2007Ann E. Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN111687Mastin, Janet Kay Martin
3/6/2014Jennifer Frimpong, MD 710 Center St, Emer Dept Columbus GA 3190151901RN160912Mathis, Elizabeth Ruth McKnigh
1/9/2014Bhumiben Purohit, MD 1890 Manor View Cumming GA 3004158812RN115936Mathis, Stephanie Latrell
9/13/2013Scott McKee, MD 55 Whitcher St, Suite 350 Marietta GA 3006058908RN170479Mathis, Sarah Naomi
5/3/2013Kalpana Nayak, MD 1912 Memorial Dr Waycross GA 3150126049RN138004Mathis, Scott Eugene
11/3/2011Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN115936Mathis, Stephanie 10/26/2013
8/6/2010Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN115936Mathis, Stephanie Latrell 9/30/2011
4/2/2009Forte David McEachin, MD PO Box 929 Tifton GA 3179344017RN142973Mathis, Jessica Hunter
5/9/2008Donald Waters, MD 120‐A Carter Avenue Blackshear GA 3151613804RN138004Mathis, Scott Eugene
Wednesday, May 07, 2014 Page 179 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Valens Plummer, MD 5320 Memorial Dr Stone Mountain GA 3008349496RN145196Matson, Sharon Templeton
1/9/2014Olaitan Adeniji, MD 1498 Jesse Jewell Pkwy SE, Suite A Gainesville GA 3050152670RN147300Matthews, Teresa Rebekah
6/8/2012Hicks, Claire MD 1290 Athens Street Gainesville GA 3050729466RN095379Matthews, Marianne
1/6/2012Jacob, Mina MD 1700 Hospital South Drive Ste 302 Austell GA 3010651477RN135902Matthews, Cheri
1/7/2010Mohammad Sl‐Shroof, MD 2054 Watson Blvd Warner Robins GA 3109345158RN118570Matthews, Mitzi Little 5/31/2011
12/7/2012Sidney P. Smith, MD 900 Mohawk St. Savannah GA 3141938615RN211306Mattox, Julie G.
3/1/2012Deen, Michael MD 204 E. 15th Street Alma GA 3151058459RN211306Mattox, Julie 5/9/2012
11/3/2011Hamm, Michael DO 410 Darling Avenue ‐ Emer Dept Waycross GA 3150149021RN211306Mattox, Julie 3/15/2012
12/3/2010Ahmad Irfan, MD 2003 Pioneer St, Suite A Waycross GA 3150141584RN211306Mattox, Julie Griner 9/21/2011
4/2/2009Adriana Hermida, MD 1821 Clifton Road Atlanta GA 3032959074RN044942Maxwell, Thomas Everett
8/8/2008Brad Prybis, MD 150 Clinic Avenue, Suite 101 Carrollton GA 3011754427RN161634Maxwell, Andrea Marie
1/7/2010Mallory Smith, MD 125 Memorial Drive Reidsville GA 3045322471RN149530May, Sherry Richardson
2/5/2009Nimisha Trivedi, MD 3778 Hwy 42 Locust Grove GA 3024853715RN175909Mayaki, Oluwatoke Abidemi 11/16/2009
5/1/2014Veronica Garrett, MD 1415 Milstead Rd, Ste A Conyers GA 3001239106RN159998Mayfield, Shannon Marie
8/6/2010Robert Blackwell, MD 3708 Northside Dr Macon GA 3121050128RN097258Mayhue, Michelle Day
7/11/2013David Lawson, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032217231RN081599Maynard, Necia Louise
11/8/2013Dorel Bidiuc, MD 707 Old Dalton Ellijay Rd, Emer Dept Chatsworth GA 3070551296RN169618Mayo, Jesse Ray
12/7/2012Dillon D. Miller, MD 101 Riverstone Vista Blue Ridge GA 3051367508RN169618Mayo, Jesse R.
3/8/2013Thuy T. Bui, MD P.O. Box 422022 Atlanta GA 3054249276RN085532Mayton, Melinda
Wednesday, May 07, 2014 Page 180 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2009Michelle Evans, MD 105 Collier Rd NW, Suite 4050 Atlanta GA 3030952171RN155427Mbah, Linda Angela
5/7/2009David Blake, MD 54 Peachtree Park Drive Atlanta GA 3030940613RN155427Mbah, Linda Angela 8/1/2009
12/4/2008Eddie Atwell, MD 15 Medical Drive Cartersville GA 3012129303RN050410McAfee, Laurene Barrett
6/6/2008Charles Cha, MD 15 Medical Drive Cartersville GA 3012149531RN050410McAfee, Laurene Barrett
1/9/2009Joseph Miller, MD 275 Collier Road, Suite 500 Atlanta GA 3030945892RN152221McAlister, Janice Louise
9/13/2012 Brian Kogon, MD 1405 Clifton Road Atlanta GA 3032253322RN160103McBrayer, Melanie Higgins
2/5/2010Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN160103McBrayer, Melanie Higgins 7/12/2012
8/5/2011Omer Kucuk, MD 1365‐C Clifton Rd NE Atlanta GA 3032961470RN165190McBride, Irene B.
6/4/2010Pablo Balboa‐Marciack, MD 100 Hospital Court Calhoun GA 3070155409RN112936McBryar, Lisa Paige 6/1/2012
8/7/2009Ramie Tritt, MD 5555 P'tree Dunewoody Rd, #125 Atlanta GA 3034220005RN112936McBryar, Lisa Paige 10/2/2009
1/11/2013Abiola Babalakin, MD 2089 Teron Trace, Ste 225 Dacula GA 3001962467RN050734McCall, Nancy F.
5/4/2012Shah, Mehendra MD 227A Scenic Hwy Lawrenceville GA 3004634466RN050734McCall, Nancy
12/1/2011Brandi Warren, DO 809A 11th Avenue East Cordele GA 3101561681RN093653McCall, Laurie
4/1/2010Catherine James‐Peters, MD
454 Smith Ave Thomasville GA 3179263671RN093653McCall, Laurie A. McLeod 1/3/2011
2/5/2010Ganiat Ajayi, MD 4330 South Lee St, Bldg 600 Buford GA 3051847776RN050734McCall, Nancy Fletcher 8/25/2011
12/4/2009Jason Griffin, MD 454 Smith Ave Thomasville GA 3179247325RN093653McCall, Laurie A. McLeod
9/11/2008Calvin Reams, MD 951 South Broad Street Thomasville GA 3179219585RN093653McCall, Laurie A. McLeod 10/22/2009
9/13/2013Bruce Wood, DO 259 Jonesboro Rd McDonough GA 3025323516RN139162McCall‐Gaston, Natalie Yvonne
Wednesday, May 07, 2014 Page 181 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Wondiful Colbert, MD 830 Eagles Landing Pkwy, Suite 203 Stockbridge GA 3028168389RN139162McCall‐Gaston, Natalie Yvonne
6/7/2013Maria Walker, MD 5040 Snapfinger Woods Dr, Suite 108 Decatur GA 3003525306RN139162McCall‐Gaston, Natalie Yvonne 6/26/2013
5/4/2012Malik, Saleem MD 1700 Hospital South Drive, Ste 500 Austell GA 3010644523RN065692McCann, Michael
1/9/2014Stephanie Eaton, MD 5505 Peachtree‐Dunwoody Rd, Suite 370
Atlanta GA 3034244204RN192261McCarthy, Melissa Smith
7/12/2012Griner, Brian MD 117 West Northside Drive Valdosta GA 3160246966RN173621McClain, Lindsey
1/9/2014Louis Fernandez, MD 274 Big A Rd Toccoa GA 3057739790RN054949McCollum, Joyce Ann Wilkinson
2/4/2011Padrica Hopkins‐Menchion, MD
1045 Southcrest Dr, Suite 200 Stockbridge GA 3028147446RN102128RN102128
McCollum, Kennon Howard
8/8/2008Shyam Khanwani, MD 1250 Hwy 54 West, Suite 102 Fayetteville GA 3021451672RN102128McCollum, Kennon Howard 11/30/2010
6/8/2007Laura Weakland, MD 550 Peachtree St, Suite 1185 Atlanta GA 3030839505RN102128McCollum, Kennon Howard 8/1/2008
4/13/2007Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN054949McCollum, Joyce Ann Wilkinson 5/7/2013
9/1/2011John Byers, MD 2525 Williams Rd Columbus GA 3190950076RN171520McConnell, Carrie F.
2/7/2013M. Frank Powell, MD 464 Mt. Plesant Rd. homson GA 3082423663RN149422McCord, Frances A.
5/7/2009Donald Gates, MD 6602 Abercorn St, Suite 102 Savannah GA 3140553915RN157075McCorkle, Laurel Williams
1/6/2012Jha, Asit MD 1451 Church Street Waycross GA 3150155248RN214963McCormick, Marie
1/6/2012Holzman, Martin MD 1451 Church Street Waycross GA 3150165824RN214963McCormick, Marie
12/4/2008Stephanie Riemann, MD 3755 Sixes Road, Suite 300 Canton GA 3011440362RN111872Mccormick, Marsha A Alexande
4/1/2010Paul Bradley, MD 315 Eisenhower Drive Savannah GA 3140630016RN046664Mccourt, Mary Elizabeth
1/9/2014Muhammad Alam, MD 3015 Veternas Pkwy Moultrie GA 3178869167RN096899McCoy, Sherry Marie Hay
Wednesday, May 07, 2014 Page 182 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN096899McCoy, Sherry Marie Hay
6/3/2011Melissa Sanchez Quiros, MD
1244 Historic Homer Hwy Homer GA 3054764056RN179017McCoy, Nancy Sue
5/7/2009Roshan Shrestha, MD 1968 Peachtree Rd NW, Bldg 77, 6th Floor
Atlanta GA 3030956765RN171151McCoy, Caroline Paige
1/6/2012Fisher, Neil MD 3262 Highway 252 Folkston GA 3153761733RN054448McCrary, Linda 2/25/2012
11/1/2007Serena Tidwell, MD 1538 13th Avenue, Suite B200 Columbus GA 3190151192RN050560McCrary, Judy Lynn Hay
2/6/2014Paula Brathwaite, MD 1255 Hwy 54 West, Emer Dept Fayetteville GA 3021462476RN057553McCullough, Michael Allen
2/6/2014Joseph Kim, MD 745 Poplar Rd, Emer Dept Newnan GA 3026569682RN057553McCullough, Michael Allen
4/4/2014Douglass Moss, MD 814 Northwood Park Dr Valdosta GA 3160241178RN127394McDade, Sharon Renee
4/1/2011Guillermo Saurina, MD 2301 N. Ashley St Valdosta GA 3160248570RN127394McDade, Sharon Renee 1/1/2014
2/4/2011Sheri Campbell, MD 690 Dallas Hwy, Suite 301 Villa Rica GA 3018058445RN191724McDaniel, Linda R.
5/9/2008Michael Fortson, MD 1058 Bear Creek Blvd Hampton GA 3022835051RN038289McDaniel, Wanda Ruth Shell
10/2/2008Madhavi Rayapudi, MD 1400 Northside Forsyth Drive, Suite 340 Cumming GA 3004150861RN171593McDaniels, Deborah Tracy 7/1/2012
7/11/2013Stephanie Keller, MD 975 Johnson Ferry Rd, Suite 340 Atlanta GA 3034264120RN180967McDonald, Lyndsey Lea
6/7/2013Honorio Bulos, MD 300 Dawson Commons Cir, #320 Dawsonville GA 3053448029RN180967McDonald, Lyndsey Lea
1/11/2013Richard L. Baldwin, MD 9280 Hwy 5, Suite A Douglasville GA 3013423894RN226556McDonald, Jenna N.
10/4/2007Karuna Shah, DO 5211 Highway 278 Covington GA 3001443773RN120924McDonald, Jennifer
5/3/2013Robin Fowler, MD 1388‐A Wellbrook Circle Conyers GA 3001252931RN154424McDowell, Kelly Marie
5/4/2012McMath, Lisa MD 4000 Shakerag Hill, Ste 200 Peachtree City GA 3026553332RN177697McDowell, Jacquelyn
Wednesday, May 07, 2014 Page 183 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Briones, Michael DO 1405 Clifton Rd NE, 4th floor Atlanta GA 3032242192RN096562McElfresh, Patricia
6/6/2008Anna Janss, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032252965RN096562McElfresh, Patricia Barry 11/28/2011
3/8/2013Dale McGregor, DO 3131 South Main St Moultrie GA 3176825220RN181453McFarland, Jade Griffin
1/11/2013Jeffrey Esslinger, MD 300 Courtyard Dr., Ste A Cartersville GA 3012045455RN093196McFarland, Carla 1/14/2013
8/5/2011Mukul Khurana, MD 780 26th Ave Moultrie GA 3176858975RN181453McFarland, Jade Griffin 1/18/2013
12/6/2013David Roth, MD 300 First Ave South Reidsville GA 3045354051RN057561McGaha, Delaine
3/8/2013Julaine Cross, MD 255 West 5th St, Suite 300 Rome GA 3016556037RN205330McGee, Joy Richardson
9/13/2012Dennis Thomas, MD 3374 Greystone Way Valdosta GA 3160522898RN 054469McGhin, Janie 12/30/2013
4/4/2014Julia Ballard, MD 130 Sam Walker Dr, Medical Unit LaGrange GA 3024021637RN066539McGill, Wanda Lee Broome
8/10/2012Vlachos, Nick MD 1514 Vernon Road LaGrange GA 3024062624RN066539McGill, Wanda
10/8/2010Reginald Orr, MD 1514 Vernon Rd LaGrange GA 3024054091RN066539McGill, Wanda Lee Broome 6/20/2013
5/6/2011Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN139815McGovern, Maureen Patrice 6/1/2012
2/6/2014Frank Bynes, MD 106 Wast Broad St Savannah GA 3140136932RN059933McGowan, Valerie Elaine James
3/8/2013Kirk‐Conrod P. Hewling, MD 4250 Brownsville Rd. Powder Springs GA 3012757559RN149268McGowan, Monica T. 10/26/2013
12/6/2012Robert Earl Windsor, MD 2550 Windy Hill Road, Suite 215 Marietta GA 3006731857RN149268McGowan, Monica Trechele Sp
11/5/2009Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN149268McGowan, Monica Trechele Sp 4/15/2010
11/5/2009Miles Johnson, MD 3001 South Cobb Dr, Susite 103 Smyrna GA 3008038817RN201165McGowan, Maxine Alberta Eure
11/5/2009Eric Felner, MD 2015 Upper Gate Drive Atlanta GA 3032252564RN150349McGrath, Maureen Therese
5/6/2011Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN053124McGuire, John F.
Wednesday, May 07, 2014 Page 184 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Davillier, Kelly MD 1 Hiram Blvd, Bldg B Hiram GA 3014160168RN191762McHargue, Nicole
8/5/2011Robert Mullins, MD 3675 J Dewey Gray Cir, Suite 300 Augusta GA 3090949835RN097828McHatton, Gina Rabun 1/20/2012
11/5/2010Hemant Yagnick, MD 404 Town Park Blvd, Suite 101 Evans GA 3080955321RN097828McHatton, Gina Rabun 7/14/2011
4/4/2013Harry A. Linkous, MD 320 Forest Hill Rd. Macon GA 3121031465RN123403McIlwain, Margaret A.
9/13/2013Monica Hoffmeister‐Becerra, MD
2122 Mnchester Exprwy, Hosp Med Dept
Columbus GA 3190468209RN112961McIntosh, Marie Kathlyn
1/6/2012Babalola, Cecilia MD 1720 Powers Ferry Road, Ste 100 Marietta GA 3006758389RN217449McIntosh, Brenda 4/13/2012
9/11/2008Wendy Troyer, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032833786RN092844McIntosh, Modupe Deas
8/5/2011Joseph DeVeau, MD 101 Yorktown Dr, Suite 100 Fayetteville GA 3021452706RN211545McIntyre, Jennifer Gregg
5/1/2014Omari Hodge, MD 2988 Shallowford Rd Marietta GA 3006670459RN180990McIntyre‐McKay, Florence Ange
11/2/2012Victoria A. Shirley, DO 109 Ostgian Blvd, Ste. 400 Warner Robins GA 3108850921RN162144McKay, Angela C.
5/7/2009Anthony Royek, MD 4750 Waters Ave, Suite 202 Savannah GA 3140450914RN093155McKay, Laura Marie
10/5/2012Herbert Carter, MD 550 Peachtree St. NE, 7th flr Medical Office Tower
Atlanta GA 3030841409RN063586McKee‐Waddle, Rebecca
5/1/2014Robert A. Mazur, MD 60 Exchange Street, Ste. B‐7 Richmond Hill GA 3132437864RN113883McKenna, Candace Habian Cole
10/10/2013Boris Shklyar, DO 10 Whitaker St, Suite A Savannah GA 3140165180RN113883McKenna, Candace Habian Cole
6/8/2007Gena Volas‐Redd, MD 340 Kennestone Hospital Blvd, Suite 100
Marietta GA 3006045356RN186495McLaughlin, Patricia Carol 6/27/2008
6/8/2007Victoria Green, MD 69 Jesse Hill Jr. SE 4th Fl Atlanta GA 3030338240RN032055McLaughlin, Denise
9/13/2013Jack Ross, MD 610 19th St Columbus GA 3190927302RN139185McLaurin, Laura Varga
11/3/2011Johnson, Joseph MD 575 First Streeet Macon GA 3120125621RN117468McLaurin, Nancy
Wednesday, May 07, 2014 Page 185 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007Frank DeMarco, MD 1100 N'side Forsyth Dr, Ste 450 Cumming GA 3004144442RN098801McLear, Barbara Sharp
7/12/2012Donohoe, Jeffrey MD 1446 Harper St, Ste BP‐3104 Augusta GA 3091256280RN192244McLees, Lauren
5/6/2011Mark Coker, MD 7171 Hwy 19 South Zebulon GA 3029556276RN192244McLees, Lauren Ashley 4/28/2012
5/1/2014William Lytollis, MD 316 N. Broad Street Winder GA 3068057392RN151929McLeish, Elizabeth R.
11/2/2012Thomas Buice, MD URMC Wound Healing Center, P.O. Box 1059
Thomaston GA 3028651758RN102736McLendon, Angela L.
8/10/2012Thomas Ferrari, MD 110 RT Stanley Senior Place Lyons GA 3‐43634829RN060662McLendon, Susan
1/6/2012Rao, Ramana MD 801 13th Ave, Ste A Albany GA 3170137052RN170663McLendon, Nicole
8/2/2007Gary Broadnax, DO 1944 Walton Way Augusta GA 3090416213RN091604McLeskey, Theodora Jean Frudd
9/2/2010Tracey St. Julian, MD 155 Medical Way, Suite B Riverdale GA 3027454127RN117155McLester, Kendra
1/11/2008Mohamad El‐Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN117155McLester, Kendra Linette 2/26/2010
5/6/2011Scott Pennington, MD 5505 Peachtree Dunwoody Rd, # 600 Atlanta GA 3034257555RN176496McMillan, Salia LaToria 3/27/2013
3/4/2010James Newlon, DO 145 N. Medical Pkwy Woodstock GA 3018926606RN134308McMillan, Vickie Ann Swad
3/6/2009Nagalakshmi Suryadevara, MD
145 N. Medical Pkwy Woodstock GA 3018958515RN134308McMillan, Vickie Ann Swad
12/4/2008Richard Schlossberg, MD 12 Seventh Street Auburn GA 3001144330RN102265McMillan, Trina Louise Nobles
1/7/2010Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN127929McMunn, Michael David 2/4/2011
7/12/2012Sams III, Ferrol MD 101 Yorktown Drive, Ste 100 Fayetteville GA 3021419767RN189661McNair, Deborah
10/10/2013James B White, MD 705 Dixie St Carrollton GA 3011739510RN165033McNeese, Haley Bree
9/3/2009S. M. Abu Zaheed Hassan, MD
1220 George C. Wilson Drive Augusta GA 3090948783RN053788McNeil, Francine Jacqueline
Wednesday, May 07, 2014 Page 186 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/1/2014Juan Ayerdi, MD 575 First Street Macon GA 3120157278RN135666McPhail, Melissa Cummings
6/7/2013Shelley D. Samuel, MD 218 Hwy 49 North, Suite A Byron GA 3100857248RN135666McPhail, Melissa
10/8/2010Anurag Kumbham, MD 215 McNaughton St Cusseta GA 3180558690RN135666McPhail, Melissa Cummings 10/8/2012
12/6/2013Chandresh Viradia, MD 100 Jim Mason Ct, Suite A Warner Robins GA 3108853050RN131500McPherson, Christi Ambrose
1/7/2011Robert Bowman, MD 1430 Hwy 82 West, Suite 105 Tifton GA 3179331387RN112980McPherson, Fran Annette Hann
6/4/2010Eugene Jackson, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152522793RN112980McPherson, Fran Annette Hann 10/21/2010
6/8/2012Darrin Strickland, MD 3025 Shrine Rd, Suite 190 Brunswick GA 3152038105RN130343McQuigg, Lesli
3/7/2008Juanita Lott, MD 418 E H Court Brunswick GA 3152019847RN130343McQuigg, Lesli Gowen
1/6/2012Duke, Michael MD 134 W. Campus Dr CBX 091 Milledgeville GA 3106142041RN123207McRae, Britt
6/8/2012Jacobs, Theresa MD 868 York Avenue Atlanta GA 3031046864RN168031McRae‐Spencer, Aribell
12/4/2009Charles Burke, MD 1008 North 3rd Avenue Chatsworth GA 3070558876RN168031McRae‐Spencer, Aribell A. 7/4/2010
12/4/2008Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN091649Mcroyal, Nancy Cathaleen Aver
2/6/2014Rene Romero, MD 1405 Clifton Rd NE, 6th Floor Atlanta GA 3032237060RN227080McSherry, Amalia Heneghan
2/5/2010Tania Morgan, MD 5354 Reynolds St, Suite 303 Savannah GA 3140548172RN184986McVay, Amanda Kaye
3/29/2012Conner, Franklin Geoffery MD
300 Arlington Dr Vidalia GA 3047433555RN029227Mead, Hazel
5/7/2009Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN112536Meadows, Elizabaeth Hall
5/9/2008Charles Brown, III, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN166826Mealing, Tatum Sherrell
3/6/2014Bobbie Kumar, MD 11935 Abercorn St, Suite 7106 Savannah GA 3141968197RN112985Medlin, Tammy Lynn Hostetler
Wednesday, May 07, 2014 Page 187 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN070135Medlin, Helen Clair 5/22/2013
4/4/2013Allen R. Beecham, DO 2000 Village Professional, Suite 200 Canton GA 3011425102RN070135Medlin, Helen Clair 4/15/2013
1/11/2013Huggins, Michelle MD 870 Crest Mark Drive, Ste 202 Lithia Springs GA 3012234368RN070135Medlin, Helen
8/5/2011Sharon Kestin, MD 11700 Mercy Blvd, Ste 1B Savannah GA 3141934990RN112985Medlin, Tammy Lynn Hostetler 8/23/2013
8/5/2011Mark Grimsley, MD 2260 Holly Springs Parkway, Ste 170 Canton GA 3011545172RN070135Medlin, Helen Clair 8/3/2011
6/30/2011Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN070135Medlin, Helen Clair 6/12/2011
1/7/2010Michael Katopes, MD 203 Woodpark Place, Bldg C Woodstock GA 3018825449RN070135Medlin, Helen Clair 12/10/2010
7/10/2009Michael Conlin, MD 2001 Professional Way, Suite 220 Woodstock GA 3018836054RN070135Medlin, Helen Clair 9/4/2009
7/10/2009Franklin Lin, MD 61 Whitcher St, Suite 4100 Marietta GA 3006052461RN111315Meekins, Jacqueline Loriann
11/7/2008Christopher Parman, MD 100 Stone Forest Drive, Suite 130 Woodstock GA 3018953803RN131825Meeks‐Sjostrom, Diana Joan
4/4/2014Yuan‐Xiang Meng, MD 4398 Atlanta Hwy Loganville GA 3005251257RN157541Mehta, Rovi‐Jane Ranada
12/6/2013Victor Corrigan, MD 275 Collier Rd, Suite 300 Atlanta GA 3030926489RN186511Mekhoukh, Jennifer Liechty
11/2/2012Randy J. Yanda, MD 95 Collier Road Suite 4075 Atlanta GA 3030936638RN186511Mekhoukh, Jennifer Liechty
1/9/2014Fiona Blair, MD 2240 West Park Pl, Suite A Stone Mountain GA 3008741729RN091317Melde, Karen Joan Dianora
7/11/2013Elizabeth Norwood, MD 2739 Felton Dr East Point GA 3034446192RN091317Melde, Karen Joan Dianora
3/4/2010Kathleen Gunchick, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014428760RN067035Melnick, Lisa Vivienne Taylor 3/16/2010
3/1/2012Singaram, Thenmozhi MD 3850 Windermere Pkwy, Ste 105 Cumming GA 3004165060RN213069Melson, Grace
8/5/2011Raymond McKoy, DO 18 Riverbend Drive, Ste 230 Rome GA 3016144536RN068992Meltzer, Liza Blevins
5/7/2010John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN068992Meltzer, Liza Blevins 7/31/2011
Wednesday, May 07, 2014 Page 188 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/7/2010Joseph Bishop, MD 100 Peters St, Suite 38 Calhoun GA 3070110372RN068992Meltzer, Liza Blevins 8/27/2010
9/11/2008Raj Miniyar, MD 330 Turner McCall Blvd, Suite 1050 Rome GA 3016551597RN068992Meltzer, Liza Blevins 10/13/2009
5/1/2014Kashif Naseem. MD 3642 Wheeler Rd Augusta GA 3090958109RN235296Melvin, Tonisha Jeane
4/4/2014James R. Goss, DO 3527 North Valdosta Rd. Valdosta GA 3160227381RN162600Melvin, Darin Jay
4/4/2014Jarod Bailey, DO 2704 North Oak St., Ste A‐2 Valdosta GA 3160265929RN162600Melvin, Darin Jay
4/4/2014John E. Gee, MD 3527 North Valdosta Rd. Valdosta GA 3160260732RN162600Melvin, Darin Jay
9/13/2013Joseph Slappey, MD 1610 Forsyth St Macon GA 3120134473RN164346Melvin, Heather Woodward
12/1/2011Martin, Garland MD 391 S. 1st Street Jesup GA 3154547233RN133916Mercado, Mary Katherine 2/8/2013
5/7/2010Peter Wrobel, MD 1218 Alice Street Waycross GA 3150140285RN133916Mercado, Mary Katherine 6/14/2011
7/12/2012Pena, Guillermo MD 75 Bypass Road Morganton GA 3056059493RN105216Mercer, Gayle
10/2/2009Daniela Rojas Molina, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054055331RN105216Mercer, Gayle Lockridge 5/29/2012
2/7/2008Gregg McHan, MD 785 E. Main Street Blue Ridge GA 3051334654RN105216Mercer, Gayle Lockridge 9/1/2009
8/2/2007Michael Gervasi, DO 75 Bypass Roadm Box 540 Morganton GA 3056044923RN105216Mercer, Gayle Lockridge 11/4/2007
6/6/2008Michael Briones, DO 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032242192RN113523Merck, Tara Taneski
10/2/2009Vijitha Prasad, MD 117 Kite Road Swainsboro GA 3040140520RN156565Meritt‐Iten, Lisa Michele
4/4/2013Joel Greenberg, MD 6602 Waters Ave, Bldg C Savannah GA 3140628560RN184377Merritt, Amanda Lynn
11/2/2012Phlilp I. Reese, DO 182 PerryHouse Road Suite C:D Fitzgerald GA 3175066407RN176738Merritt, Marcie LeAnn
7/12/2012Brady, Michael MD 320 Margie Drive Warner Robins GA 3108833534RN155336Merritt, Shannon 1/19/2014
11/5/2009William Rankine, Jr, DO 116 Tommy Stalnaker Dr, Bldg A Warner Robins GA 3108855294RN155336Merritt, Shannon Elizabeth 6/1/2012
Wednesday, May 07, 2014 Page 189 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Russell Brown, MD 2001 Martin Luther King Jr Dr, # 418‐430
Atlanta GA 3031039743RN224477Merriweather, Kenyatta Chevell
1/11/2013Jaymal R. Patel, MD 601 West 11th Ave., PO Box 1988 Albany GA 3170250984RN112998Metheny, David R.
11/3/2011Gobin, Wanda DO 601 West 11th Ave Albany GA 3176353912RN112998Metheny, David
8/2/2007William Kittle, MD 820 St. Sebastian Way, Ste 4‐C Augusta GA 3090125197RN045066Metz, Linda
4/13/2007David Villasana, MD 790 Church Street, Ste #400 Marietta GA 3006034973RN116908Meyer, Heidi Rae
4/4/2013Michael Dant, MD 4700 Battlefield Pkwy, Suite 200 Ringgold GA 3073623936RN218891Meyers, Michelle Emily
11/2/2012Anuj Chandra, MD 111 North Pine Street Trenton GA 3075241753RN218891Meyers, Michelle 1/16/2013
3/6/2014William Hudson, MD 2000 16th Ave Columbus GA 3190130484RN210777Meyers‐Prosyniuk, Stacey Mari
10/5/2012Wayne Kelley, Jr., MD 3708 Northside Dr. Macon GA 3121065447RN093691Michael, Garry
9/3/2009Sabin Tomus, MD 455 South Main St, Suite 203 Hinesville GA 3131345994RN135637Miclat, Cristine Palacios
8/8/2008Susan Nowak, MD 1050 Carl Griffin Drive Savannah GA 3140558713RN135637Miclat, Cristine Palacios 7/15/2009
10/10/2013Naghma Khan, MD 1645 Tullie Cir Atlanta GA 3032937252RN097848Middlebrooks, Brenda Denese
5/10/2007Ricardo Raul Riesco, MD 711 Shileds Road Dalton GA 3072044069RN113005Middleton, Connie Dianne Cole
1/11/2013Musaddiz Waheed, MD 915 Gordon Ave. Thomasville GA 3179261368RN162466Milam, Lindsay S.
1/6/2012Ward, Timothy MD 947 South Broad Street Thomasville GA 3179223125RN162466Milam, Lindsay
9/13/2012Husham Mishu, MD 285 Boulevard NE, Ste. 345 Atlanta GA 3031240740RN209012Milburn, Terri Lynn
6/8/2012Goldstein, Matthew MD 1700 Medical Way Snellville GA 3007848115RN209012Milburn, Terri
3/29/2012Vadelund, Karin MD 235 Peachtree St NE, North Tower, Ste 2100
Atlanta G 3030358934rn209012Milburn, Terri
Wednesday, May 07, 2014 Page 190 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/4/2012Hughes, Brian MD One Meadows Parkway Vidalia GA 3047431029RN135390Miles, Karen
6/4/2010Andrew Cichelli, MD 1601 Fair Rd, Suite 600 Statesboro GA 3045844433RN135390Miles, Karen L.
3/6/2014Michael Busman, MD 800 GSW State University Dr Americus GA 3170940628RN051585Miller, Elizabeth Ann Tillman
3/6/2014Anthony O'Meara, MD 4303 Jodeco Rd McDonough GA 3025363386RN198269Miller, Angela DeAnne
1/9/2014Dominique Smith, MD 5404 Hillandale Park Court Lithonia GA 3005842439RN221171Miller, Treecie Lee
1/9/2014Lisa Gantner, MD 7901 Veterans Pkwy Columbus GA 3190927690RN183390Miller, Gwendolyn Giddings
9/13/2013Martha Millan Sanchez, MD 3015 Verterans Pkwy Moultrie GA 3178866223RN228457Miller, Tonya D
8/9/2013Louellen Gurley, MD 303 Smith St LaGrange GA 3024042263RN182120Miller, Laura Southern
7/11/2013Frederick Roberts, MD 2122 Manchester Expry Columbus GA 3190842113RN212631Miller, Vashti Gift
2/7/2013Andrew A. Waldman, MD 710 Center St, Emer Dept Columbus GA 3190148001RN188390Miller, Gwendolyn G.
10/7/2011Boss‐Cole, Etta MD 414 Lugenia Blvd Vidalia GA 3047455541RN217874Miller, Macy
10/7/2011Kingsley, Jeffery DO 5210 Armour Road Columbus GA 3190452973RN212631Miller, Vashti
8/5/2011Masih Uddin, MD 385 Hawthorne Lane, #300 Athens GA 3060642751RN111545Miller, Jenifer S. 8/17/2012
6/30/2011Maurice Sholas, MD 1001 Johnson Ferry Rd Atlanta GA 3034260314RN170287Miller, Andrea Joslin
6/3/2011Michael Sharkey, MD 212 Hospital Dr, Suite C Warner Robins GA 3108838609RN187026Miller, Kelly Jena
2/4/2011H. Philip Morris, Jr., MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN111545Miller, Jenifer S. 12/17/2012
1/7/2011Kathleen McKie, MD 1445 Harper St, Suite BG‐1104 Augusta GA 3091252362RN199861Miller, Jocelyn Rae
7/1/2010Richard Young, MD 958‐A Joe F Harris Pkwy, Suites 101 & 105
Cartersville GA 3012021218RN089642Miller, Nancy Elizabeth
Wednesday, May 07, 2014 Page 191 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/4/2010A. Patrick Brooks, MD 1500 Oglethorpe Ave, Suite 400‐A Athens GA 3060622724RN111545Miller, Jenifer Susan Van Bracke 5/13/2011
5/7/2009Lance Wiist, MD 761 Old Norcross Road Lawrenceville GA 3004533754RN064231Miller, Kristine Elizabeth Atkins
9/14/2007Kevin Smith, MD 100 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441961RN078351Miller, Susan Jane Borich
3/8/2013Susan Wheatley, MD 6385 McGinnis Ferry Rd., #202 Johns Creek GA 3000531357RN150727Miller‐Tso, Denise A.
4/13/2007Frank Trigg, MD 101 RiverStone Vista, Suite 203 Blue Ridge GA 3051330556RN129911Millhouse, Paula W.
5/4/2012Parmer, Keith MD 1501 Shorter Avenue Rome GA 3016515200RN186725Millican, Ashley
11/2/2012Narasimhulu Neelagaru, MD
170 Cardiology Place Commerce GA 3052931081RN111545Millier, Jenifer S. 12/31/2013
4/1/2010James Brennan, MD 303 Smith Street LaGrange GA 3024019645RN132926Milliman, Dana Lynn
9/13/2013Shawn P. Allen, MD 3006 Clairmont Rd., #115 Atlanta GA 3032938168RN081528Millington‐Upshaw, Venus D.
10/5/2012Dominic Nkwocha, MD 4015 South Cobb Dr., Suite 110B Smyrna GA 3008055280RN081528Millington‐Upshaw, Venus
10/8/2010Candice Tate, MD 400 Galleria Pkwy, Suite 1500 Atlanta GA 3033959967RN081528Millington‐Upshaw, Venus D. 8/30/2012
1/7/2010Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN081528Millington‐Upshaw, Venus D 8/19/2010
3/29/2012Becton, Elizabeth MD 1303 d'Antignac Street, Ste 2600 Augusta GA 3090138178RN077228Mills, Leslie
5/7/2010Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN145096Mills, Valerie Anne 1/1/2010
11/7/2008Jose Acevedo, MD 1299 Interstate Pkwy Augusta GA 3090925499RN077228Mills, Leslie Carol Medford 7/22/2011
11/2/2012Safia Pirani, MD 220 Oakside Lane Canton GA 3011456624RN102683Millsap, Lori W.
12/4/2009Albert Lintel, MD 775 west Ave, Suite A Cartersville GA 3012028595RN102683Millsap, Lori Ann Waters 1/31/2013
7/10/2009Steven Spivey, MD 150 Gentilly Blvd Cartersville GA 3012050737RN178269Millsap, Kimberly Dawn
Wednesday, May 07, 2014 Page 192 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/3/2008Brent Beaird, MD 775 West Avenue, Suite A Cartersville GA 3012045720RN102683Millsap, Lori Ann Waters 10/19/2009
4/4/2014Irvine Duplan, MD 743 Spring St., NE Gainesville GA 3050157066RN149041Millwee, Sara Eisen
2/4/2011Jason Smith, MD 550 Professional Dr Macon GA 3120152635RN134487Milner, Joni Reba Dixon
9/3/2009Helen‐Louise Moore, MD 116 South Houston Rd Warner Robins GA 3108845098RN134487Milner, Joni Reba Dixon 9/23/2010
3/4/2011Hina Hussain, MD 4526 Clubhouse Dr Marietta GA 3006655063RN090178Milstead, Cynthia Nan
5/9/2008William Godfrey, MD 3525 Busbee Drive, Suite 100 Kennesaw GA 3014428552RN090178Milstead, Cynthia Nan
1/11/2008Brian Griner, MD 117 W. Northside Drive Valdosta GA 3160246966RN140594Miner, Katie Elizabeth
3/1/2012Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN081530Minter, Bonnie
12/7/2007Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030839818RN081530Minter, Bonnie Leigh 12/24/2009
5/3/2013Larry Stewart, MD 116 S. Houston Rd. Warner Robins GA 3108827123RN052474Mishra, Margaret M.
1/7/2011Sushila Mathew, MD 193 North Park Trail, Suite 100 Stockbridge GA 3028122250RN052474Mishra, Margaret Martini 1/7/2011
1/9/2014Ronnie Hendrix, MD 4835 Sugarloaf Pkwy Suite 200‐300 Lawrenceville GA 3004424690RN104197Mitcham, Betsy Sue Kirkpatrick
8/9/2013Ian Davis, MD 1120 15th Street, BI‐5092 Augusta GA 3091264203RN168369Mitchell, Trekesha Deshon
7/11/2013Gayoung Hong, MD 13570 N Main St Trenton GA 3075267467RN208361Mitchell, Patricia Gayle
6/7/2013Michael Riley, MD 55 Whitcher St, Suite 350 Marietta GA 3006059949RN151092Mitchell, Bridgette Anne
5/3/2013Wiley Smith, MD 218 North Fredrick St Dalton GA 3072163133RN208361Mitchell, Patricia Gayle 5/17/2013
1/11/2013Yvonne L. Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN206296Mitchell, Aundre R.
1/11/2013Dan Ioanitescu, MD Phoenix Center, 940 Georgia Highway 96
Warner Robins GA 3108851476RN063812Mitchell, Joan
Wednesday, May 07, 2014 Page 193 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Jackie Cox Thompson, MD 2927 Demere Rd. St. Simons Island GA 3152212446RN063812Mitchell, Joan
10/8/2010Kyaw Minn, MD 3575 Fulton Mill Rd Macon GA 3120746455RN063812Mitchell, Joan Sapp
10/8/2010Gloria Castillo, MD Blandy Way Office Pk 60, Hwy 22 W Milledgeville GA 3106124912RN063812Mitchell, Joan Sapp 7/3/2012
9/2/2010Willie Hillson, MD 2357 Tobacco Rd Augusta GA 3090620737RN159656Mitchell, Jamerall
8/6/2010Thomas Rumble, MD 2121‐A Bellevue Rd Dublin GA 3102113078RN063812Mitchell, Joan Sapp
5/7/2010Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN063812Mitchell, Joan Sapp 2/6/2014
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN151092Mitchell, Bridgette Anne 7/7/2012
11/5/2009James Fenley, MD 175 Emery Hwy Macon GA 3121734584RN063812Mitchell, Joan Sapp
11/5/2009Foster Brin, MD 175 Emery Hwy Macon GA 3121729980RN063812Mitchell, Joan Sapp
11/5/2009Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN114580Mitchell, Roberta Ann Leinwebe
1/9/2009Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN151092Mitchell, Bridgette Anne 5/1/2009
9/14/2007Kevin Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441961RN151092Mitchell, Bridgette Anne 9/30/2009
5/10/2007Ricardo Raul Riesco, MD 711 Shields Road Dalton GA 3072044069RN143794Mitchell, Cynthia Lorraine 11/6/2008
4/2/2009Dave Ringer, MD 1041 Park Drive Greensboro GA 3064230368RN089650Mitchell‐Powell, Sally‐Ann Mary
12/7/2012Anil Yadav, MD Prestige Primary Care, 51 Gordon Rd. Jasper GA 3014353898RN118764Mitton, Amy L.
5/3/2013Tidence Prince, MD 3951 Ridge Ave, Suite C Macon GA 3121037339RN225124Mix, Kristin L
5/6/2011John Quigley, MD 2257 GA Hwy 515 Blairsville GA 3051234925RN077261Mixon, Carol Renee Hagins 2/28/2012
1/11/2013Yejin Kim, MD 2600 Satelite Blvd. Duluth GA 3009657711RN170835Mobbs, Mary C.
Wednesday, May 07, 2014 Page 194 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2013Narasimhulu Neelagaru, MD
170 Cardiology Place Commerce GA 3052931081RN185316Mobley, Kathleen Johanna 9/8/2013
6/8/2012Cameron, Nadia MD 961 Green Street NE Gainesville GA 3050153982RN185316Mobley, Kathleen 3/8/2012
10/7/2011Huffman III, William MD 9 Hospital Park Moultrie GA 3176865007RN192380Mobley, Rebecca 2/3/2014
8/5/2011George Pursley, MD 1219 West Wheeler Pkwy Augusta GA 3030931308RN154040Mobley, Jennifer Bailie
6/4/2010James Pilcher, MD 1067 Peachtree Street Louisville GA 3043114541RN154040Mobley, Jennifer Bailie 4/5/2011
9/14/2007David Arkin, MD 758 Old Norcross Road, Suite 175 Lawrenceville GA 3004528136RN051796Mobley, Letetia Sue Howard 12/31/2010
8/2/2007James Sheppard, MD 400 Canterbury Dr. Wrens GA 3083347993RN154040Mobley, Jennifer Bailie 1/1/2010
3/4/2011Francis Kwarteng, MD 401 South Madison St Albany GA 3170161792RN083558Mock, Maria
11/8/2013William Richards, MD 5353 Reynolds St, Suite 200 Savannah GA 3140567939RN063326Moesch, Julie Graham
2/7/2008Mark Hutson, MD 1875 Century Blvd NE, suite 150 Atlanta GA 3034535908RN114838Mohiuddin, Suzanne Graybeal
12/7/2012John Y. Chung, MD 1107 Memorial Dr., Ste. 201 Dalton GA 3072041532RN222009Mohr, Amanda L.
9/13/2013Jayashree John, MD 2000 16th Ave Columbus GA 3190162125RN227657Mohren‐Graves, Shirley E
2/5/2009Ahmad Jingo, MD 3424 Flat Shoals Road Decatur GA 30034‐653645842RN200088Molet, Tamiko 2/18/2014
9/3/2009Benjamin Epstein, MD 2665 North Decatur Rd, Suite 255 Decatur GA 3003335044RN136010Momoh, Isata Celia
12/4/2008Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN136010Momoh, Isata Celia 3/15/2013
5/6/2011Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN086301Monroe, Sally A. Scott
1/6/2012Sharma, Chetan MD 1620 Bass Road Macon GA 3120164272RN154006Monteilh, Caridad
4/1/2010Nimisha Trivedi, MD 3778 Hwy 42 Locust grove GA 3024853715RN154006Monteilh, Caridad Mercedes
Wednesday, May 07, 2014 Page 195 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/3/2009Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN154006Monteilh, Caridad Mercedes 11/2/2009
12/4/2008Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN154006Monteilh, Caridad Mercedes 6/20/2013
1/9/2014Pamela Gordon, MD 677 Church St, 310 Bldg Marietta GA 3006069815RN208251Montgomery, Ginger Platte
8/5/2011Michael Raines, MD 122 Highway 280 West, Ste A Americus GA 3171935979RN160145Montgomery, Samantha Helton
9/2/2010Michael Busman, MD 72 South Broad St Ellaville GA 3180640628RN160145Montgomery, Samantha Helton
3/29/2012Pierce, David MD 2412 N. Oak Street Valdosta GA 3160229930RN177186Moody, Zakiyyah
1/11/2008Georgia Theriot, MD 51 Hospital Road Newnan GA 3026324357RN189877Moody, Susan E.
7/13/2007Michael P. Baker, MD 2101 Tebeau St Waycross GA 3150136497RN055947Moody, Andrea Denise Mobley
1/11/2008Mohammad Masroor, MD 6602 Waters Avenue, Bldg A Savannah GA 3140617705RN046402Moon, Charlene H 2/16/2010
5/1/2014Michael Rogers, MD 1941 Phinizy Rd‐Webster Det. Ctr Augusta GA 3090645482RN195252Moore, Terri Tonisha
3/6/2014Robert Hummer, MD 541 Historic Hwy 441 North Demorest GA 3053544242RN191172Moore, Shawn William
10/10/2013Clay Lee, DO 207 31st Ave SE Moultrie GA 3176846610RN127868Moore, Vernita Jena
9/13/2013David Carlton, MD 15 Riverbend Dr SW, Suite 120 Rome GA 3016141749RN189608Moore, Megan Elizabeth
5/3/2013Paul Walker, DO 1810 White Circle, Suite 155 Marietta GA 3006646272RN181455Moore, Kelsey Elizabeth
11/2/2012Kenneth Taylor, MD 275 Collier Rd., Ste 500 Atlanta GA 3030938985RN170740Moore, C. Meredith
8/10/2012Kenneth Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN189608Moore, Megan Elizabeth 12/6/2012
3/1/2012Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN170740Moore, Carolyn 2/1/2013
3/1/2012Taylor, William MD 160 Spring Branch Drive Dublin GA 3102133213RN138492Moore, Chaquita
Wednesday, May 07, 2014 Page 196 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Harbin, Anthony MD 1525 Chattanooga Road Dalton GA 3072029665RN169917RN1699417
Moore, Heather 1/14/2014
12/1/2011Thompson, Theron MD 1825 Martha Berry Blvd Rome GA 3016551772RN189608Moore, Megan 6/19/2012
8/5/2011Caroline Yaphockun, MD 330 Turner McCall Blvd, Ste 400 Rome GA 3016553213RN189608Moore, Megan Elizabeth 6/11/2013
4/1/2011William Shilling, III, MD 426 Hwy 26 East Cochran GA 3101447841RN164184Moore, Tara Thompson
12/3/2010Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN206234Moore, Bonnie Jo 2/21/2013
11/5/2010John O'Connell, MD 5671 P'tree Dunwoody Rd NE, Suite 110 Atlanta GA 3034262266RN170740Moore, Carolyn Meredith Camp 12/20/2011
2/5/2010Joseph Joyave, MD 204 Professional Court Calhoun Ga 3070143977RN137979Moore, Rebecca Mcwhorter
9/11/2008Michael Maley, MD 58 Big A Road Toccoa GA 3057734410RN134600Moore, Cecilia Pickett
6/8/2007Derralyn Harris, MD 1440 Benning Drive Columbus GA 3190352739RN138492Moore, Chaquita Martin 7/20/2007
9/3/2009Rodney M. Dourron, MD 2675 N. Decatur Rd, Suite 301 Decatur GA 3003336143RN087831Morales, Evelyn Rosa
11/5/2010Shyam Kelly Gupta, MD 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 3034163784RN030220Moree, June Powell 1/17/2014
11/7/2008Manjula Kallur, MD 3807 Clairmont Road NE, 2nd Floor Chamblee Ga 3034157126RN030220Moree, June Powell 10/6/2010
9/11/2008Derick Vergne, MD 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 3034157263RN030220Moree, June Powell 9/30/2008
4/4/2014Francis Gonzalez, MD 677 Church st Marietta GA 3006057810RN198744Morgan, Amy Danielle
6/8/2012Stout, Robert MD 1602 Vernon Rd, Ste 400 LaGrange GA 3024025835rn134518Morgan, Kelly
10/7/2011Bonk, Catherine MD 315 Winn Way Decatur GA 3003030435RN178238Morgan, Sarah
1/7/2011Thomas Karisny, MD 202 Hospital Rd Blairsville GA 3051250029RN093714Morgan, Jr.
1/7/2010Paresh Patel, MD 58 Big A Rd Toccoa GA 3057737325RN106080Morgan, Dawn Nicole Carlton
Wednesday, May 07, 2014 Page 197 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/5/2009Derrick Phillips, MD 3051 Watson Blvd Warner Robins GA 3109329514RN097019Morgan, Regina Laffonne
9/11/2008Christina Nguyen, MD 1331 Helen Hwy Cleveland GA 3052859083RN093714Morgan, Jr. 2/27/2009
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN052821Morgan, Constance Elaine
8/2/2007Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN178238Morgan, Sarah Abigail 6/25/2010
8/2/2007Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN178238Morgan, Sarah Abigail 11/14/2010
8/2/2007Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN178238Morgan, Sarah Abigail 11/16/2010
8/2/2007Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN178238Morgan, Sarah Abigail 12/28/2010
8/2/2007Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN178238Morgan, Sarah Abigail 11/16/2010
8/2/2007Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN178238Morgan, Sarah Abigail 6/25/2010
6/8/2007Vundyala Reddy, MD 308 Coliseum Drive Macon GA 3121725022RN081555Morgan, Edith Millicent
1/9/2014Andrew Toledo, MD 1100 Johnson Ferry Rd, Suite 200 Atlanta GA 3034227933RN183526Morin, Julie Marie
4/4/2014William Parrish, MD 3001 Mercer Univ Dr, Suite 206/Sheffield
Atlanta GA 303419905RN209720Morison, Laura Martino
10/10/2013Dennis Estep, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074225429RN123310Morris, Linda Pam
1/6/2012Dougherty, Anthony MD 3000 Schatulga Road Columbus GA 31917‐243530452RN165649Morris, Octavia 2/23/2012
12/1/2011Fisher, Neil MD 3262 Hwy 252 East Folkston GA 3153761733RN178709Morris, Lori
2/4/2011Craig Kubik, DO 1501 Alice St Waycross GA 3150147914RN178709Morris, Lorie Ann 3/25/2011
2/4/2011Sohail Choudhri, MD 1501 Alice St Waycross GA 3150136514RN178709Morris, Lorie Ann 3/25/2011
5/10/2007Ricardo Raul Riesco, MD 711 Shileds Road Dalton GA 3072044069RN163378Morris, Helen Celeste
Wednesday, May 07, 2014 Page 198 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/13/2007Richard R. Whitlock, Jr., MD 1348 Walton Way, Ste 5100 Augusta GA 3090120623RN153095Morris, Laura
3/1/2012Ellison, Margarett MD 960 Johnson Ferry Rd, Ste 130 Atlanta GA 3034262837RN178192Morrison, Melissa
7/1/2010Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN187113Morrison, Karen Lydia
9/14/2007Heide Moeling, MD 59 Hospital Road Newnan GA 3026348918RN187113Morrison, Karen L 6/1/2008
7/12/2012Ann Haight, MD 1405 Clifton Rd, AFLAC Admin Suite Atlanta GA 3032250522RN184142Morrison Spencer, Kathleen Ma
10/5/2012Heather Turner, MD 1279 Highway 54 West, Ste 220 Fayetteville GA 3021455714RN143857Morrow, Maria
12/4/2008Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN143857Morrow, Maria Michelle
9/1/2011Edward Matthews, DO 2525 Williams Rd Columbus GA 3190934896RN117861Morse, Teresa Renee
8/5/2011Michael Hilton, MD 200 S. Enota Dr, Suite 150 Gainesville GA 3050152581RN208550Morse, Kathy Sue Baxendale
12/6/2013Ricardo Zarzuela, MD 2015 Alice St Waycross GA 3150122292RN113050Moseley, Vanessa Vershel Crew
10/7/2011Ghamande, Sharad MD 1120 15th Street, BA7411 Augusta GA 3091249173RN192019Moser, Carissa
12/3/2010Daniel Lopez, MD 507 Park Street Palmetto GA 3026864597RN192019Moser, Carissa Anne 8/19/2011
9/2/2010Robert Burkich, MD 148 Scruggs Rd Ringgold GA 3073646372RN190965Moses, Charity Ann
3/29/2012Battey, Louis MD 275 Collier Road, Ste 500 Atlanta GA 3030921141RN124145Moshksaran, Mitra 7/25/2012
1/9/2014Rita Mezzatesta, MD 550 Redmond Rd Rome GA 3016558371RN230692Moss, Serena Nichole
8/9/2013Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN138834Moss, Debra Carol Taylor
1/6/2012Carter, Cynthia MD 1000 Towne Center Blvd, Ste 705 Pooler GA 3132256534RN174589Most, Anny
7/11/2013Anthony Captain, MD 3957 Cleveland Hwy Dalton GA 3072139300RN170080Mosteller, Buffy Saxon
9/11/2008Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN150892Mott, Michelle Cousins
Wednesday, May 07, 2014 Page 199 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/8/2010Tavares Williams, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074264990RN205058Moughrabi, Nancy Lynn 1/1/2011
4/1/2010David Martin, MD 80 Oakwood Ave Trenton GA 3075252410RN091202Moughrabi, Marwan Mohamme
1/7/2010William Meadows, MD 14 Fort Town Dr Ft. Oglethorpe GA 3074230513RN091202Moughrabi, Marwan Mohamme
11/5/2009Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN205058Moughrabi, Nancy Lynn 7/31/2010
10/10/2013Joe Clements, MD 743 Spring St Gainesville GA 3050143580RN203629Moulder, Nicole Taylor
7/11/2008Jodi Bayley, MD 1101 Nor Tec Drive Conyers GA 3001357575RN173415Moya, Sherry Rayne
10/5/2012Rayna Jobe, MD 172 Carriage Trace Marietta GA 3006860386RN190663Moyer, Rachel Lauren 10/26/2013
2/3/2012Riesco, Ricaardo MD 1933 Shields Road Dalton GA 3072044069RN190663Moyer, Rachel 2/13/2012
9/11/2008Carl Herring, MD 550 Redmond Road Rome GA 3016531941RN136093Mueller, Katherine Michelle
12/4/2009Harry D Watkins, MD 924 Old Philadelphia Rd, Suite 102 Jasper GA 3014325308RN160397Muhia, Naomi Wairimu 7/10/2011
10/10/2013Yolanda Hacker, MD 2990 Five Forks Trickum Rd Lawrenceville GA 30044‐587245811RN199201Mulkey, Emily Beteag
7/12/2012Osowa, Alexander MD 3331 Hamilton Mill Rd, Ste 1102 Buford GA 3051957551RN199201Mulkey, Emily 8/31/2013
8/5/2011Benjamin Roy Smith, MD 17 Collins Drive Cartersville GA 3012044338RN042463Mulkey, Marie Hagood 6/30/2012
4/13/2007Jeffrey Donohue, MD 3755 Sixes Road, Ste 202 Canton GA 3011446540RN042463Mulkey, Marie Hagood
6/7/2013Sarita Kansal, MD 55 Whitcher St, Suite 350 Marietta GA 3006052587RN168141Mull, Erin Christine
12/4/2008William Lynds, MD 780 North Glynn Fayetteville GA 3021433140RN146011Mullen, Bridget Yvette Stevens 10/13/2009
4/4/2014Hewatt M. Sims, MD 1622 Madison Avenue Tifton GA 3179448965RN196567Mullins, Rodney Amos
3/8/2013Gerald J. Bohn, MD 1857 West McIntosh Rd. Griffin GA 3022330957RN155767Mullis, Lisa R.
6/4/2010Richard Ackerman, MD 3780 Eisenhower Pkwy Macon GA 3120634759RN123086Mullis, Laura Denise Dubois 11/1/2013
Wednesday, May 07, 2014 Page 200 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2010Gerald Bohn, MD 231 Graeffe Street Griffin GA 3022430957RN155767Mullis, Lisa Renee
9/3/2009Billy Greening, MD 7285 Hwy 16, Suite B & C Senoia GA 3027642585RN155767Mullis, Lisa Renee 8/11/2011
4/2/2009Steven House, MD 3780 Eisenhower Pkwy Macon GA 3120643066RN123086Mullis, Laura Dubois 1/31/2010
2/5/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN155767Mullis, Lisa Renee 9/1/2009
8/8/2008Kevin Napier, MD 231 Graefe Street Griffin GA 3022440749RN155767Mullis, Lisa Renee 11/9/2009
5/3/2013Richard Schwartz, MD 1120 15th St, AF‐2039 Augusta GA 3091242935RN227568Mulry, Robert Francis
10/7/2011Jeffery Wadsworth, MD 1365A Clifton Rd NE Atlanta GA 3032262088RN214873Mundy, Martha J
4/1/2010Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN139537Mundy, Cynthia Allyson
3/6/2009Linda Sacks, MD 4750 Waters Avenue, Suite 206 Savannah GA 3140424724RN182123Munoz, Recia
5/4/2012Gladin, Collier MD 140 North Crest Blvd Macon GA 3121030609RN138265Murdock, Kimberly
8/9/2013Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN191449Murphy, Evelyn Ann
10/7/2011Schrum, Forest MD 1825 Martha Berry Blvd Rome GA 3016541946RN191449Murphy, Evelyn 4/26/2013
10/2/2008Rahil Kazi, MD 1707 Watson Blvd, Suite 200 Warner Robins GA 3109341593RN187836Murphy, Dorothy L.
6/4/2010William Fackler, MD 1014 Forsyth St, Suite 300 Macon GA 3120140830RN160381Murray, Tina Marie
12/4/2008David Atefi, MD 1100 Northside Forsyth Dr, #200 Cumming GA 3004119029RN160381Murray, Tina Marie 9/30/2009
3/7/2008Gregory McHan, MD 787 Main Street Blue Ridge GA 3051334654RN062691Murray, Patricia Ann Stranahan
10/5/2012William Shivers, MD 600 Coastal Village Dr. Brunswick GA 3152030214RN97900Musselman, Margaret
4/1/2010David Faulk, MD 600 Coastal Village Brunswick GA 3152039787RN097900Musselman, Margaret E. 1/25/2012
Wednesday, May 07, 2014 Page 201 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/4/2007Lourdes DeArmas‐Benitez, MD
1606 Norwich Street Brunswick GA 3152043917RN097900Musselman, Margaret E 8/21/2009
7/12/2012Kancharla, Ashok MD 132 Franklin Spring Street Royston GA 3066248250RN184372Musser, Alexis
6/8/2007Richard Levitt, MD 1285 Hembree Rd. Suite 100 Roswell GA 3007621541RN092707Musto, Patricia
12/7/2007Ighovwerha Ofotokun, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030853346RN153996Muther, Kristina Doris 12/22/2008
11/5/2009Oladayo Osinuga, MD 1203 Cleveland Ave, Suite 2‐D East Point GA 3034451703RN162748Mwangi, Dorcas Wangari
2/5/2009Kirpich Joseph, MD 969 Windy Hill Road, Suite E Smyrna GA 3008054904RN162748Mwangi, Dorcas Wangari
7/13/2007Joyce R. Drayton, MD 465 Winn Way, Ste 201 Decatur GA 3003038737RN162748Mwangi, Dorcas Wangari
12/4/2008Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN150943Mwaniki, Helen Wambui
12/6/2013George Waldon Garriss, III, MD
3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN135298Mwansa, Kym L
3/8/2013Luther Vance, Jr., MD 1150 Grimes Bridge Rd, Suite 400 Roswell GA 3007519354RN135298Mwansa, Kym
12/7/2012Julius B. Oderinde, MD 2400 Pleasant Hill Rd., NW, Ste. 300 Duluth GA 3009636658RN135298Mwansa, Kym L.
10/5/2012Emmanuel Soyoola, MD 7050 Jimmy Carter Blvd, Ste 212 Peachtree Corners GA 30092######RN135298Mwansa, Kym
11/3/2011Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN086957Myers, Debra 2/5/2012
9/3/2009Claus Brandigi, MD 1220 George C. Wilson Drive Augusta GA 3090943004RN103949Myers, Trisha Ann
9/11/2008Patrick Voswinkel, MD 10475 Medlock Bridge Road Duluth GA 3009742760RN086957Myers, Debra Ann 9/30/2011
7/11/2008Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN086957Myers, Debra Ann 10/11/2010
12/7/2007William Little, MD 6175 Newton Drive Covington GA 3001424288RN145952Myers, Sherie Diane
4/3/2008James Cox, MD 6918 McGinnis Ferry Road Suwanee GA 3002434323RN127464Mynatt, Candace Leigh
Wednesday, May 07, 2014 Page 202 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/3/2008David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN127464Mynatt, Candace Leigh 11/1/2009
6/7/2013George Waldon Garriss, III, MD
3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN143014Naab, Kimberly Michelle Willia 6/11/2013
6/7/2013Allen Randle Beecham, DO 2000 Village Professional Dr, Suite 200 Canton GA 3011425102RN143014Naab, Kimberly Michelle Willia
10/5/2012Aneesh Gupta, MD 455 Nathan Deal Blvd Dallas GA 3013253231RN143014Naab, Kimberly 1/30/2013
7/11/2013Okiki Louis, MD Take Care Clinic, 9465 Hwy 5 Douglasville GA 3013547479RN143664Nagaddya, Lillian M
8/5/2011Ahmad Jingo, MD 3424 Flat Shoal Rd, Suite A Decatur GA 3003445842RN143664Nagaddya, Lillian M. 2/18/2014
8/5/2011Kirpich Joseph, MD 969 Windy Hill Rd, Ste E Smyrna GA 3000854904RN143664Nagaddya, Lillian M 3/1/2012
5/7/2010Julia Wilson, MD 9465 Hwy 5 Douglasville GA 3013556787RN143664Nagaddya, Lillian M. 6/19/2013
11/5/2009Henry Watson, MD 3146 Chamblee‐Dunwoody Rd, Suite 103
Chamblee GA 3034125399RN143664Nagaddya, Lillian M 2/28/2010
5/3/2013Janet Fason, DO Take Care Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004448773RN196422Namakula, Judith
7/12/2012Jingo, Ahmad MD 3424 Flat Shoals Road Decatur GA 3003445842RN196422Namakula, Judith
4/1/2010Girish Shroff, MD 6025 Professional Pkwy, Suite 200 Douglasville GA 3013419103RN167533Nana, Hina Rajesh
5/3/2013Naseer Humayun, MD 1420 Mineral Springs Rd Dalton GA 3072052583RN183337Nation, Jody Christian
1/6/2012Oyebanjo, Mobolaji MD 307 Old Stone Road Villa Rica GA 3018053509RN197721Nation, Rebekah
10/7/2011Gardner, S. Lynn MD 1300 Joseph E. Boone Blvd. Atlant GA 3031444220RN102308Nation, Dawnmarie
6/30/2011Fred Tega, MD 15‐A Baynard Park Newnan GA 3026556493RN102308Nation, Dawnmarie E. Pearson 8/13/2011
1/9/2009Valarie Manley, MD 101 Beckett Lane, Suite 502 Fayetteville GA 3021432783RN102308Nation, Dawnmarie E. Pearson 2/1/2011
2/4/2011Eman Kaldas, MD 3121 Peach Orchard Rd, Suite 103 Augusta GA 3090649579RN182324Nattier, Natasha L. 6/27/2011
Wednesday, May 07, 2014 Page 203 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/7/2008Joshua Wolf, MD 1968 Peachtree Rd NW Atlanta GA 3030959792RN149109Nde, Beatrice Anih
2/6/2014James Heery, MD 3226‐A Hampton Ave Brunswick GA 3152040094RN202198Neal, Olivia Rambo
8/9/2013Erskine James, MD 777 Hemlock St Macon GA 3120147980RN202198Neal, Olivia Rambo 11/11/2013
5/4/2012Norwood, Elizabeth MD 2739 Pelton Drive East Point GA 3034446192RN097909Neeman, Ruth
4/3/2008Laurette Ho, MD 3225 Shallowford Road, Suite 1300 Marietta GA 3006241831RN057680Nejedly, Maureen Devaney
2/7/2013Imran Syed, MD 11820 Northfall Lane, Suite 1101 Alpharetta GA 3000944117RN207580Nejem, Rachel Elizabeth
4/4/2014Laurence Sperling, MD 1365 Clifton Rd., Ste. 2240 Atlanta GA 3032234250RN127904Nell‐Dybdahl, Christine L.
12/6/2013Joel Morgan, MD 3541 North Crossing Cir Valdosta GA 3160231295RN190528Nelson, Stephanie Lynn
10/5/2012Richard Ambrozic, MD 3321 B N. Valdosta Rd. Valdosta GA 3160243851RN190528Nelson, Stephanie
2/3/2012Garcia, Alberto MD 4370 Kingsway, Ste E Valdosta GA 3160254374RN190528Nelson, Stephanie 8/17/2012
10/7/2011Lal, Subodh MD 1700 Hospital South Drive Austell GA 3010652771RN129463Nelson, Stacie
9/1/2011Stephen Pastan MD Emory Transplant Ctr, 1365 Clifton Rd, Clinic B
Atlanta GA 3032239196RN212157Nelson, Melissa Marie
12/31/2010Stephen Pastan MD Emory Transplant Center, 1365 Clifton Rd #B
Atlanta GA 3032239196RN212157Nelson, Melissa Marie 8/6/2012
3/7/2008Bryan Cheever, MD 1107 Memorial Drive, Suite 200 Dalton GA 3072034120RN187338Nelson, Kristina Lynn 7/20/2010
6/7/2013David Caras, MD 55 Whitcher St, Suite 350 Marietta GA 3006034552RN157237Nerestil, Sandra
6/8/2012Jobe, Rayna MD 1615 Ridenour Blvd, Ste 202 Kennesaw GA 3015260386RN157237Nerestil, Sandra 10/30/2012
3/4/2010Mary East, MD 300 Cherokee Place Cartersville GA 3012163187RN157237Nerestil, Sandra
1/7/2010Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN157237Nerestil, Sandra 2/4/2010
Wednesday, May 07, 2014 Page 204 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/11/2013Robert A. Miller, MD 35 Collier Rd, Wound/Hyperbaric Ctr Atlanta GA 3030938295RN189528Nesbitt, Charkes C. 5/20/2013
5/6/2011Eyal Ben‐Aire, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030956520RN189528Nesbitt, Charkes Chaketha 6/21/2012
3/4/2010Joseph Miller, MD 275 Collier Rd NW, Suite 300 Atlanta GA 3030945892RN189528Nesbitt, Charkes Chaketha
4/2/2009William Michael Brown, MD 355 Tower Road, Suite 300 Marietta GA 3006021653RN189528Nesbitt, Charkes Chaketha 12/22/2010
7/11/2013Willis McVay, MD 501 East Long St Claxton GA 3041754833RN159829NeSmith, Nikki Renee
5/4/2012Dunagan, Josephine MD 1700 Tree Lane, Ste 110A/B and 360 Snellville GA 3007815553RN117902Neville, Anita Marlene
5/4/2012Taylor, Michelle MD 3073 Panthersville Road Decatur GA 3003460104RN132208New, Katina 7/25/2012
3/6/2014Dorel Bidiuc, MD 707 Old Dalton Ellijay Rd Chatsworth GA 3070551296RN155378Newberry, Brittany Marie
3/6/2014Christopher Atkins, MD 1266 HWY 515 South Jasper GA 3014352645708RN155378Newberry, Brtittany Marie
2/7/2013Paula J. Boyle, MD 101 Riverstone Vista, #111 Blue Ridge GA 3051355928RN155378Newberry, Brittany M.
7/12/2012Shuman, Robert MD 2121A Bellevue Road Dublin GA 3102118253RN054589Newberry, Linda
3/8/2013Nelson Madrazo, MD 103 GA Hwy 27 East Americus GA 3170949862RN190752Newsome, Brittiany Michelle
10/4/2007Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN146013Newton, Maureen Edythe 4/22/2010
8/9/2013Kenneth DiNella, MD 415 North Jackson St Americus GA 3170936716RN188608Nguyen, Mariana Thuyen
3/8/2013Brenda Friedman, MD 6325 Hospital Pkwy Johns Creek GA 3009754709RN161976Nguyen, Nga
3/8/2013James Lee, DO 310 Gold Creek Trail, Suite 200 Woodstock GA 3018856583RN184991Nguyen, Sophie Tranh
12/7/2012Dinakara B. Shetty, MD 1719 Russell Pkwy, Suite 700 Warner Robins GA 3108842431RN188608Nguyen, Mariana T.
11/3/2011Fleming, Alesia MD 1645 Tullie Circle Atlanta GA 3032934841RN161976Nguyen, Nga
6/3/2011Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN177230Nguyen, Trang Mai
Wednesday, May 07, 2014 Page 205 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Kenneth DiNella, MD 415 N Jackson St Americus Ga 3170936716RN216874Niazi, Abdul Hai
3/8/2013Guido H. Ring, MD 3955 Harrison Rd Loganville GA 3005245325RN216874Niazi, Abdul H. 3/15/2014
3/8/2013Guido H. Ring, MD 1431 Riverside Pkwy Lawrenceville GA 3004345325RN216874Niazi, Abdul Hai 3/15/2014
10/5/2012Emmanuel Soyoola, MD 1870 Atlanta Hwy, Ste J‐K Gainesville GA 3050453032RN216874Niazi, Abdul
10/7/2011Khusrow Niazi, MD 875 Johnson Ferry Rd Atlanta GA 3034242676RN185022Nicholas, Tracy Purcell
6/6/2008Joshua Wolf, MD 1968 Peachtree Road Atlanta GA 3030959792RN185022Nicholas, Tracy Purcell
1/9/2014William R Edwards, MD 800 Professional Blvd‐Health Dept Dalton GA 3072047079RN029126Nichols, Carol S
7/12/2012Rayapudi, Madhavi MD 1400 Northside Forsyth Drive Cumming GA 3004150861RN200861Nichols, Laura
6/8/2012Stetler, Harrison MD 3957 Holcomb Bridge Rd, Ste 100 Norcross GA 3009241681RN198801Nichols, Amy
3/29/2012Durrett, Lynley MD 105 Collier Road, Ste 1080 Atlanta GA 3030944912RN168367Nichols, Lindsey
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN162196Nichols, Anne Yost 6/29/2012
9/11/2008James Capo, MD 1100 Johnson Ferry Rd, #460, Bldg II Atlanta GA 3034222363RN168367Nichols, Lindsey Ann 12/15/2009
9/14/2007Kevin Smith, MD KSU Hlth Clinic, 1000 Chastain Rd, Hse 52, #5200
Kennesaw GA 3014441961RN162196Nichols, Anne Yost 9/30/2009
3/8/2013Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN103935Nicholson, Teresa Lynn Gifford 5/15/2013
5/7/2010Mark Boles, MD 2400 Bellevue Rd, Suite 26 Dublin GA 3102145731RN131379Nicholson, Tonya Blankenship
11/3/2011Gill, Jasbir MD 105 W. Crawford Avenue Valdosta GA 3160231429RN143057Niehanke, Kristina
9/14/2007Mary Wiles, MD PO Box 1000 Blairsville GA 3051419625RN107010Nielsen, Jill Marie
10/8/2010Rana Chakraborty, MD 341 Ponce de Leon Ave NE Atlanta GA 3030841752RN175052Nijem, Summer Starr 5/14/2013
Wednesday, May 07, 2014 Page 206 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2007Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlatna GA 3030839818RN175052Nijem, Summer Starr 7/30/2010
1/7/2010Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN103666Nipper, Wanda Vining 4/30/2010
5/9/2008Eduard Docu, MD 102 Bryan Woods Road Savannah GA 3141056426RN077978Nivens, Alice Anita Stokes
9/14/2007John Harris, MD 1820 Florence Street Savannah GA 3141526RN077978Nivens, Alice Anita Stokes 12/14/2007
4/2/2009James Clabby, MD 3825 Medical Park Dr, Suite 201 Austell GA 3010616042RN112048Nix, Kelly Brumbelow
10/7/2011Cuomo, Michael MD 85 Auburn Park Drive Auburn GA 3001159397RN150406Nix‐Beddingfield, Billie 11/16/2011
4/13/2007Riaz A. Syed, MD 870 Collins Hill Road Lawrenceville GA 3004343791RN150406Nix‐Beddingfield, Billie
12/6/2013Richard Eaton, MD 632 Ferncrest Dr Sandersville GA 3108240370RN185511Nobles, Erin Grace
12/4/2009Christopher Crooker, MD 748 Old Norcross Rd, Suite 185 Lawrenceville GA 3004639315RN144708Noblett, Heather Dawn
5/1/2014Ashley Thompson, MD 55 Carlton St. Athens GA 3060266830RN140654Nodine, Jan Kay Thomason
12/1/2011Duffey, Jr., Franklin MD 231 West Hancock Street, Box 061 Milledgeville GA 3106116856RN140654Nodine, Jan
12/6/2013Robert Burkich, MD 11300 Atlantis Place, Suite A Alpharetta GA 3002246372RN192187Nofziger, Angel Elizabeth
3/29/2012Parrish, William MD 3001 Mercer University Drive Atlanta GA 303419905RN192187Nofziger, Angel 9/19/2013
3/29/2012Burkich, Robert MD 171 Mt. Paran Rd Atlanta GA 3034246372RN192187Nofziger, Angel
6/5/2009Fuad Fakhreddine, MD 315 Boulevard NE, Suite 500 Atlanta GA 3031218294RN185530Nolan, Alyssa Jill
9/11/2008Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN154825Noland, Sharon Sue Stockard 3/14/2011
11/8/2013Gregory Martin, MD 1498 Jesse Jewell Pkwy, Suite D Gainesville GA 3050147801RN084333Nored, Sherry Lynn Moak
10/5/2012Olabisi Pearse, MD CHOA 2660 Satellite Blvd Duluth GA 3009649717RN205009Noronha, Preeti
6/8/2007Rodolfo Bordoni, MD 790 Church St, Suite 335 Marietta GA 3006031167RN136924Norris, Cheryl Lynn
Wednesday, May 07, 2014 Page 207 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/13/2007Michael Maley, MD 58 Big A Rd Toccoa GA 3057734410RN075091Norris, Juanita Pitts
12/7/2012Chukwuemeka Nwabuebo, MD
654 First St. Macon GA 3120148553RN195079Northcutt, Torre S.
3/6/2014Nancy Lefever, MD PO Box 680 Tate GA 3017750205RN107851Northover, Jill Marie Ernst
10/10/2013Ui Ho Park, MD 3889 Cobb Pkwy NW Acworth GA 3010118938RN107851Northover, Jill Marie Ernst 11/22/2013
9/13/2012Nadia Cameron, MD 3760 Sixes Rd, Ste 120 Canton GA 3011553982RN107851Northover, Jill Marie Ernst 8/24/2012
4/1/2011Satish Cuddapah, MD 551 Riverstone Pkwy, Suite 100 Canton GA 3011448997RN107851Northover, Jill Marie Ernst
12/6/2013Divina Dyer, MD 4398 Atlanta Hwy Locanville GA 30052‐731457161RN098033Norton, Carol B
1/11/2013Julia Wilson, MD 4398 Atlanta Hwy Loganville GA 3005256787RN098033Norton, Carol 6/19/2013
9/13/2012Robert Williams 21 W. Robert Toombs Ave. Washington GA 3067329263RN098033Norton, Carol
11/5/2010David Kunz, MD 1655‐A Lebanon Rd, Suite A Lawrenceville GA 3004329703RN098033Norton, Carol B. 7/23/2012
7/1/2010Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN098033Norton, Carol B. 7/21/2010
1/7/2010Noreen Andrews, MD 2380 Buford Drive Lawrenceville GA 3004346861RN098033Norton, Carol B. 1/31/2010
10/5/2012Edward Espinosa, DO 577 Glenridge Dr. NE, Ste E200 Atlanta GA 3032859636RN057688Norvell, Barbara 7/15/2013
1/9/2009Shameka McElhaney, MD 2464 Roswell Road Marietta GA 3006254854RN057688Norvell, Barbara Lynn
2/7/2013Linda S. Couture, MD 550 Peachtree St NE Atlanta GA 3030836518RN209239Nourparvar, Lauren E.
11/8/2013Joseph Slappey, MD 1600 Forsyth St Macon GA 3120134473RN175422Nowell, Michelle Leigh
9/13/2013Tamara New, MD 1405 Clifton Rd NE, AFLAC Cancer Ctr Atlanta GA 3032258712RN174175Nowlin, Andrea Nicole
3/6/2009Ifeyinwa Osunkwo, MD 1405 Clifton Rd, Tower 1, 4th Floor Atlanta GA 3032255681RN174175Nowlin, Andrea Nicole 8/31/2013
Wednesday, May 07, 2014 Page 208 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008James French, MD 2365 Old Milton Pkwy, Suite 300 Alpharetta GA 3000458959RN134347Nunziata, Mary Catherine
3/8/2013Kolade K. Obajuluwa, MD 609 E. Lamar St. Americus GA 3170967147RN222173Nussbaum, Elaine
8/8/2008Chukwudi Amu, MD 5526 Old National Hwy, Bldg J Suite B Atlanta GA 3034926967RN113098Nwogu, Cecilia Adamma 12/1/2009
4/13/2007Miguel E. Stubbs, MD 3001 South Cobb Dr, Ste 103 Smyrna GA 3008037708RN113098Nwogu, Cecilia Adamma
2/4/2011Christopher Hagenstad, MD 3855 Pleasant Hill Rd, Suite 480 Duluth GA 3009652738RN139570O'Callaghan, Barbara Butler
1/6/2012Nguyen, Elizabeth MD 980 Johnson Ferry Rd Ste 410 Atlanta GA 3034255862RN164836O'Connell, Erin
5/1/2014Margot Cseley, MD 268 Lawrence St. Marietta GA 3006020523RN182395O'Conner, Whitney Renee
4/4/2014Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN188468O'Connor, Diane Marie
12/1/2011Elam, Mark MD 800 Professional Blvd. Dalton GA 3072036147RN188468O'Connor, Diane
10/7/2011Baysden, Teresa DO 243 Huffaker Road Rome GA 3016157348RN188468O'Connor, Diane 10/27/2011
3/4/2011Teresa Baysden, DO 2001 Antioch Rd Dalton GA 3072157348RN188468O'Connor, Diane Marie 4/24/2011
1/7/2011Paul Kirschbaum, MD 2665 N. Decatur Rd, Suite 260 Decatur GA 3003321728RN182395O'Connor, Whitney Renee 7/18/2013
4/13/2007Barry K. Hull, MD 3000 Shakerag Hill Peachtree City GA 3026947096RN081010Odell, Teresa Mary Milton
4/1/2011Amar Patel, MD 55 Whitcher St, Suite 350 Marietta GA 3006052803RN138231Odom, Cicily Montina
10/4/2007William Douglas Knopf, MD 5665 Peachtree Dunwoody Rd. Atlanta GA 3034223469RN138231Odom, Cicily Montina
6/8/2012Whitesell, Thomas MD 2060 Dan Proctor Dr, Suite 2100 St. Marys GA 3155852854RN062128O'Donoghue, Cheryl
5/9/2008Andrew Green, MD 725 Jesse Jewell Parkway, Suite 300 Gainesville GA 3050158961RN191946Odum, Jacqueline Turner
1/9/2014Michael Litrel, MD 227 Riverstone Dr Canton GA 3011439623RN122151Oess, Barbara Ellen Ohlman
10/5/2012William A. Zorn, MD 2950 Buford Hwy, Ste 140 Cumming GA 3004127746RN122151Oess, Barbara 7/15/2013
Wednesday, May 07, 2014 Page 209 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2009Phillip Bannister, MD 401 West Pike St, Suite A Lawrenceville GA 3012716503RN122151Oess, Barbara Ellen Ohlman 7/15/2013
12/4/2008Christopher Stevens, MD 181 South Clayton St SW Lawrenceville GA 3004554515RN107027Ofodile, Ije E. 5/22/2009
7/11/2013Clarence Hendrix, MD 1825 County Services Pkwy Marietta GA 3000828569RN189070Ogbomoh, Evelyn Nwangulor
12/6/2013Huitt Mattox, MD 3217 4th St Brunswick GA 3152033402RN215726Oglesby, LeVinchi C
3/4/2010Radian Florea, MD 100 Gross Crescent Cir Ft. Oglethorpe GA 3074249171RN173168Oglesby, Brenda T. 3/11/2012
8/9/2013Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN079770O'Hara‐West, Patricia Shannon
12/4/2009Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN079770O'Hara‐West, Patricia Shannon 12/31/2010
4/4/2014Yuan‐Xiang Meng, MD 2779 N Cobb Pkwy Kennesaw GA 3015251257RN210195Ohawa, Joan Akinyi
12/4/2008Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN124521Okeani, Ngozi
5/1/2014Jayashree John, MD 2000 16th Ave. Columbus GA 3190162125RN234013Okibedi‐Ahanotu, Alphonso Ada
11/5/2010Jae Pak, MD 2795 Main St West, Bldg # 27 Snellville GA 3007840185RN144712Okoro, Roseline 1/1/2011
12/4/2009Afroz Rahman, MD 5211 Adams Street Covington GA 3001417940RN144712Okoro, Roseline 5/14/2010
8/9/2013Dolapo Babalola, MD Take Care Clinic, 181 S Clayton St Lawrenceville GA 3004559119RN150491Oladokun, Frederica Modupe
12/4/2008Melanie Cooper, MD 181 South Clayton St SW Lawrenceville GA 3004545753RN150491Oladokun, Frederica Modupe 5/20/2013
9/2/2010Gopala Derebail, MD 2336 Dawson Rd Albany GA 3170714307RN126090Oladunjoye, Busurat Kikelomo
4/13/2007Lomboy, Joseph Romarate 1031 Keith Drive, Suite B Perry GA 3106947921RN118138Olaivar‐Lomboy, Marietta Pana
12/1/2011Snell, William DO 880 Canton Road, Ste 300 Marietta GA 3015224495RN193864Olawuyi, Tiwalade
3/8/2013Ram K. Reddy, MD 1061 Dowdy Rd., #100 & 101 Athens GA 3060624178RN122840Olds, Gretchen E. 5/22/2013
1/9/2009Divina Dyer, MD 4398 Atlanta Hwy Loganville GA 3005257161RN122840Olds, Gretchen Elene 2/14/2009
Wednesday, May 07, 2014 Page 210 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Ravikanth, Anupana MD 335 Roselane Street Marietta GA 3006048297RN073151Oliver, Kathryn 12/29/2011
2/5/2010Okiki Louis, MD 5985 Peachtree Pkwy Norcross GA 3009247479RN117221Olofintuyi, Sophia Evette Yelder 4/2/2011
5/3/2013Phillip Potter, MD 1700 Hospital South Dr, Suite 504 Austell GA 3010634220RN063656Olsen, Susan Kimberly
1/11/2013Eric A. Deal, DO 2151 W. Spring St. Monroe GA 3065524226RN143016Olson, Sheryl A.
2/3/2012Ditaranto, Anthony MD 43 Hilltop Drive Jefferson GA 3054929865RN143016Olson, Sheryl 10/1/2012
8/5/2011Christopher Doerr, DO 108 Park Ave Athens GA 3060134578RN143016Olson, Sheryl A. 7/27/2011
8/5/2011Raymond McKoy, DO 18 Riverbend Drive Rome GA 3016144536RN143016Olson, Sheryl A 10/31/2011
4/1/2011Douglas Ash, MD 415‐B Pottery Factory Dr Commerce GA 3052949138RN143016Olson, Sheryl A. 6/15/2012
5/7/2010Christopher Stevens, MD 3003 Old Alabama Rd Alpharetta GA 3002254515RN143016Olson, Sheryl A. 5/26/2011
6/6/2008Ann Haight, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032250522RN125237Olson, Ellen Ann Carlson
9/1/2011Rittmeyer, Christopher 4750 Waters Avenue, Suiite 307 Savannah GA 3140442407RN168282Olsson, Alesha
1/11/2013Kristina L. Lundberg, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030362393RN104520Olubuyide, Taiye A.
3/1/2012Sigman, Steven MD 275 Collier Road, Suite 300 Atlanta GA 3030936612RN182004Omodele, Sarah
3/4/2011Jasmine Jeffers, MD 3825 Medical Park Dr, Suite 300 Austell GA 3010639136RN182004Omodele, Sarah Awolesi
1/7/2011Ahmad Jingo, MD 5898 Jonesboro Rd Morrow GA 3026045842RN094938Onunka, Evelyn Ihuoma Enyinn
12/7/2012Yousef Hindi, MD 600 W. Memorial Dr. Dallas GA 3013255372RN162813Onwusibe, Joy C.
1/7/2011Folashade Omole, MD 780 North Glynn Fayetteville GA 3021449074RN084496Oparah, Theresa
12/4/2008Valens Plummer, MD 780 North Glynn Fayetteville GA 3021449496RN084496Oparah, Theresa 7/25/2011
3/29/2012Johnson, Paul MD PO Box 422022 Atlanta GA 3054246132RN154025Opeka, Julie
Wednesday, May 07, 2014 Page 211 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/29/2012Fleming, Alesia MD 1645 Tullie Circle Atlanta GA 3032934841RN154025Opeka, Julie
8/8/2008Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN154025Opeka, Julie Ann 3/28/2014
1/9/2009Riba Kelsey‐Harris, MD 1050 Delta Blvd SW Atlanta GA 3035453833RN129064Oraka, Chika Cordelia 11/14/2009
6/30/2011Lawrence Devoe, MD 1120 15th St, BA‐7410 Augusta GA 3091224929RN181678Orfield, Christeen M.
1/7/2010Andrew Helfgott, MD 1120 15th Street, Suite BA‐7410 Augusta GA 3091255953RN181678Orfield, Christeen M. 5/20/2011
3/8/2013Eric Davis, MD 1221 E McPherson Ave Nashville GA 3163963648RN204986Origer, Andre Jean 12/15/2013
6/8/2007Jayanthi Srinivasian, MD 2675 North Decatur Rd. Decatur GA 3003333204RN147222Oropo, Sikirat Yetunde
9/13/2013David Propp, MD 1525 Clifton Rd Atlanta GA 3032240521RN198739O'Rourke, Christine Derise
6/8/2012Underset, Craig MD 5579 Maleton Pkwy Mableton GA 3012629961RN198739O'Rourke, Christine
10/7/2011Shah, Heerian MD 196 Scoggins Drive Demorest GA 3053559016RN060259Orr, Carol 9/12/2012
10/8/2010Albert Vernon Dixon, MD 76 Hunt Martin Rd, Suite A Blairsville GA 3051217570RN060259Orr, Carol Davis 3/25/2014
1/7/2010Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN167767Oskey, Rebecca Jo 4/5/2011
12/7/2007Robert Dambach, DO 4720 Nelson Brogdon Blvd Sugar Hill GA 3051830039RN144234Ostaszewski, Mary Eva Leboeuf
2/6/2014William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN153118Ott, Lynda Dee Davis
5/7/2009Hernan Posas, Jr., MD 4274 North Valdosta Road Valdosta GA 3160232026RN153118Ott, Lynda Dee Davis 12/1/2012
11/2/2012David A. Stone, MD 367 Clear Creek Pkwy Lavonia GA 3035324501RN191947Outz, Mary A.
9/13/2012Ashok Kancharla, MD 132 Frnklin Spring Street Royston GA 3066248250RN191947Outz, Mary Allison 9/18/2012
4/4/2014John O. Pittman, MD 715 E. 2nd Ave., SW Rome GA 3016137045RN200411Owen, Audrey Griffin
7/12/2012Evans, Bryon MD 1835 Savoy Drive, Ste 101 Atlanta GA 3034153850RN115796Owens, Jacquelyn
Wednesday, May 07, 2014 Page 212 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Klopper, Jeffrey MD 3188 Atlanta Rd SE Smyrna GA 3008026321RN115796Owens, Jacquelyn
10/8/2010Franklin Brown, MD 445 Winn Way Decatur GA 3003062315RN115796Owens, Jacquelyn Denise 10/7/2011
3/6/2009Anthony Harbin, MD 1525 Chattanooga Road Dalton GA 3072029665RN066880Owens, Cheryl Ann Wilson 1/1/2011
8/8/2008James Harbin, MD 1525 Chattanooga Road Dalton GA 3072038507RN066880Owens, Cheryl Ann Wilson 12/19/2008
12/7/2007Michael Litrel, MD 15 Reinhardt College Pkwy, Bldg 100, Suite 110
Canton GA 3011439623RN131956Owens, Kay Marie Williams 3/21/2008
3/6/2014Peter Jungblut, MD 1000 Chastain Rd, House 52 Kennesaw Ga 3014469056RN099451Pacitti, Elise Hurley
10/7/2011Atallah, Hany MD 80 Jesse Hill Jr Drive SE Atlanta GA 3030352678RN050884Pacitti, Tryphena
8/6/2010Amber Orquia, MD 3707 Largent Way Marietta GA 3006438899RN099451Pacitti, Elise Hurley
10/2/2009Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN050884Pacitti, Tryphena M Hendricks 4/15/2010
10/2/2008Steven Lenhard, MD 790 Church Street, Suite 250 Marietta GA 3006039153RN099451Pacitti, Elise Hurley 1/7/2014
12/3/2010Woody Francis, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030348325RN104525Pafford, Robert Lamar
2/5/2009Tayari Mchezaji, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030350409RN104525Pafford, Robert Lamar
2/5/2009Ehi Osehobo, MD 230 West College Street, Suite B Griffin GA 3022449075RN104525Pafford, Robert Lamar
11/2/2012Brian K. Jordan, DO 126 Highway 280 Americus GA 3171953561RN212002Page, Douglas L.
1/9/2014Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN212022Page, Jr, Douglas Lamar
5/3/2013John Souza, MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN212022Page, Jr, Douglas Lamar
5/3/2013Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN212022Page, Jr., Douglas Lamar 12/1/2013
4/4/2013Dawn Simon, MD 1605 Chantilly Dr, Suite 405 Atlanta GA 3032458644RN194830Painter, Amy Ruth Elizabeth
Wednesday, May 07, 2014 Page 213 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/8/2008Robert Palerino, MD 106 Enterprise Court, Suite B Columbus GA 3190428848RN077219Palerino, Lesa Kay
2/5/2009Shripal Makim, MD 227 Scenic Hwy, Suite A Lawrenceville GA 3004539861RN066649Palmer, Corinne Lynn
2/5/2009Mahendra Shah, MD 227 Scenic Hwy, Suite A Lawrenceville GA 3004534466RN066649Palmer, Corinne Lynn
6/5/2009Benjamin Abraham, DO 3020 Hwy 124 Snellville GA 3003934757RN089707Palnau, Catherine Martin 3/25/2013
6/5/2009Martin Michaels, MD 711 Shields Rd Dalton GA 3072026157RN135303Paniagua, Kelli Michelle 12/18/2011
2/3/2012Hernandez‐Aviles, Milca MD
1933 Shields Road Dalton A 3072061749RN135303Panigua, Kelli
7/12/2012Schock, Theodore DO 3509 Braselton Hwy, Bldg F Dacula GA 3001930882RN204629Panjwani, Ashraf 3/4/2014
7/12/2012Blake, Bryan MD 3509 Braselton Hwy, Bldg F Dacula GA 3001940613RN204629Panjwani, Ashraf 3/4/2014
4/2/2009Larry Payne, MD 535 Jessie Jewel Pkwy, Suite C Gainesville GA 3050134217RN070748Panter, Theresa Marie
9/14/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN044185Parham, Denise Y
1/9/2014Chang Soo Kim, MD 3590 Peachtree Industrial Blvd Duluth GA 3009659806RN190483Park, Nanyoung
12/6/2013Charles Campbell, MD 86 South Cobb Dr, MZ 0454 Marietta GA 3006369772RN064159Parker, Gail Lynne
8/5/2011Lynn Flowers, MD 601 South 8th Street Griffin GA 3022456708RN064159Parker, Gail Lynne
4/1/2011Elliot Raizes, MD 345 N. Harris St, Suite 100 Athens GA 3060624478RN151818Parker, Curtisia Denise 2/6/2014
1/7/2011Rodothea Milatou, MD 86 S. Cobb Dr Marietta GA 3006343713RN064159Parker, Gail Lynne 10/1/2013
12/4/2009James Criner, MD 2945 Panola Rd Lithonia GA 3003854179RN084681Parker, Jami Louise
12/7/2007Nicole Franks, MD 550 Peachtree Street NE Atlanta GA 3030849691RN064159Parker, Gail Lynne
10/7/2011Yagnick, Hemant MD 404 Town Park Blvd, Ste 101 Evans GA 3080955321RN176156Parkinson, Samantha 6/6/2013
Wednesday, May 07, 2014 Page 214 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Jay A. Schecter, MD 550 Redmond Rd. Rome GA 3016530879RN137055Parks, Melissa D.
11/8/2013Thomas Mann, MD Phoebe Dorminy Med Ctr, 200 Perry House Rd
Fitzgerald GA 3175037607RN176061Parrish, Heath Jackson
10/10/2013Donna Edmond‐King, MD PO Box 50098 Albany GA 3170344711RN187697Parrish, Frances Heard
3/8/2013Robert Ludwick, MD 118 Norman Dorminy Dr Fitzgerald GA 3175037277RN176061Parrish, Heath Jackson
11/2/2012Douglas K. Epps, MD 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 3028148349RN113642Parrish, Wendy
10/5/2012Patrina Lockette 110 Norman Dorminy Drive Fitzgerald GA 3175048855RN176061Parrish, Heath 5/31/2013
11/7/2008Edd Jones, III, MD PO Box 929 Fitzgerald GA 3175033123RN066656Parrish, Patricia Ann McDonnell
9/14/2007David Van, MD 747 South Hill Street Griffin GA 3022429545RN113642Parrish, Wendy
6/8/2012Stewart, Teresa MD 2225 US Hwy 41 N. Tifton GA 3179457022RN106229Parson, Carrie
10/8/2010Tony Addington, MD 39 Kent Rd, Suite 5 Tifton GA 3179452526RN106229Parson, Carrie Lyn Denby 4/13/2012
12/4/2008Riba Kelsey‐Harris, MD 3740 Cascade Road Atlanta GA 3033153833RN062697Parsons, Lisa Kay Douthitt
6/30/2011Kimberly Phillips, MD 142 Hospital Perimeter Rd Eatonton GA 3102451711RN060102Paschal, Debra Ann Brooks
4/13/2007Vickie Mixon Brown, MD 840 West Thomas Street Milledgeville GA 3106125115RN060102Paschal, Debra Ann Brooks 7/13/2009
5/3/2013Laura Harris, MD 105 Collier Rd, Suite 4060 Atlanta GA 3030954494RN129904Pasley, Jennifer Mason
11/1/2007David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN129904Pasley, Jennifer Mason
4/4/2013Donald Evans, MD 572 W. Main Cartersville GA 301209810RN153266Pastorino, Cynthia A.
9/11/2008Darshana Sheth, MD 2550 Windy Hill Road, Suite 309 Marietta GA 3006758642RN153266Pastorino, Cynthia Ann Mance 4/30/2012
9/14/2007Warren Weber, MD 3875 Austell Road, Suite 203 Austell GA 3010626677RN153266Pastorino, Cynthia Ann Mance 6/10/2009
Wednesday, May 07, 2014 Page 215 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/3/2012Kelly, Robert MD 5875 Thompson Mill Road, Ste 100 Hoschton GA 3054834384RN164623Pastrick, Kelli
11/5/2010Pierpont Brown, MD 1075‐B Jesse Jewell Pkwy Gainesville GA 3050130018RN164623Pastrick, Kelli Nichole
11/8/2013Vafa Rekaby, MD 6334 Roswell Rd NE Sandy Springs GA 3032862598RN213374Patel, Divyalata Vishal
10/10/2013David Nussbaum, DO 712 North 7th St Cordele GA 3101567697RN221100Patel, Falguni
8/9/2013Arthur Reitman, MD 55 Whitcher St, Suite 350 Marietta GA 3006051416RN102301Patel, Davdatt Vinod
10/7/2011Lee, Hans MD 55 Whichter Street #350 Marietta GA 3006058269RN149650Patel, Dharti
2/4/2011Stephen Pastan, MD 1365 Clifton Rd, Clinic B, B‐6400 Atlanta GA 3032239196RN207436Patel, Minal J.
11/5/2010Darshana Sheth, MD 2476 Canton Rd NE Marietta GA 3006658642RN174392Patel, Purvi Mukesh 2/1/2012
6/4/2010Lawrence Weiss, MD 1121 Johnson Ferry Rd, Suite 340 Marietta GA 3006844863RN174392Patel, Purvi Mukesh 10/6/2010
3/4/2010Christopher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006721796RN145957Patel, Namita G.
6/6/2008Stratton Kearns, MD 597 South Enota Drive Gainesville GA 3050132218RN102301Patel, Davdatt Vinod
2/6/2014Ramprasad Subramaniam, MD
677 Church St, Box 111 Marietta GA 3006056489RN228425Patil, Porsche Prashant
9/13/2013Kenneth Taylor, MD 95 Collier Rd, Suite 3000 Atlanta GA 3030938985RN113814Patrick, David Anthony
6/7/2013James Mossell, DO 907 E 18th St, Suite 490‐A Tifton GA 3179444028RN205538Patrick, Jessica L
9/13/2013Raymond Easley, DO 555 Old Norcross Rd, Suite 100 Lawrenceville GA 3004620987RN165491Patterson, Daphne Maria 10/1/2013
4/1/2011Claire Willie, MD 1324 Hwy 138 S.W. Riverdale GA 3029639177RN165491Patterson, Daphne Maria 12/30/2011
12/4/2008Mitchell Davis, MD 200 S. Enota Drive, NE Ste 200 Gainesville GA 3050135030RN164844Patterson, Ansleigh Remon
7/11/2008Gopal Rao, MD 350 Country Club Drive, Suite A Stockbridge GA 3028132892RN105305Patterson, Jauna D.
Wednesday, May 07, 2014 Page 216 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2012Bhumiben S. Purohit MD 3600 Dallas Hwy, SW Marietta GA 3006458812RN164071RN164071
Patton, David
11/3/2011Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3006466222RN164071Patton, David 7/13/2012
10/7/2011Mehta, Jyotir MD 8014 13th Ave, Ste A Albany GA 3170145887RN036987Patton, Deanna
3/6/2009Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN164071Patton, David Garrett 6/27/2011
7/13/2007Thomas R. Rumble, MD 2121‐A Bellevue Road Dublin GA 3102113078RN116807Patton, Beverly Lanell
1/6/2012Nelson, Donald MD 200 Industrial Blvd Dublin GA 3102124847RN167096Paulk, Rhonda
3/4/2011Walter Smith, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024837078RN150120Paulk, Tina Baker
2/7/2008David Turfler, MD PO Box 770 Hazlehurst GA 3153929255RN052908Paulk, Jane
1/6/2012Cheek, Kathryn MD 2416 Capstone Court Columbus GA 31909‐079526080RN164177Paulson, Tabatha
10/7/2011Foster, Prima MD 6400 Flat Rock Road Columbus GA 3190757619RN164177Paulson, Tabatha
3/4/2010Marc Goldman, MD 1538 13th Ave, Suite B‐300 Columbus GA 3190139579RN164177Paulson, Tabatha D. 6/23/2011
3/6/2014Jonathan Allen, MD 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 3074256949RN191676Payne, Andrea Bush
8/9/2013Donna C. Whitfield, MD 134 Ansley Dr., #400 Dahlonega GA 3053348130RN122561Payne, Teresa A.
6/7/2013Ralph Warnock, MD 4080 McGinnis Ferry Rd, #804 Alpharetta GA 3000517337RN137097Payne, Melissa Kirkland
12/7/2012Lawton C. Davis, MD 2121‐B Bellevue Rd. Dublin GA 3102121669RN077594Payne, Shelia E.
5/4/2012Corn, Stephanie MD 1055 Grove Street North Dahlonega GA 3053333810RN068135Payne, Margaret Ann
3/29/2012Mulberry, Michael MD 24 Alicia Lane, Ste 7 Dahlonega GA 3053350725RN122561Payne, Teresa 9/18/2008
3/1/2012Stewart, Deirdre MD 410 Peachtree Parkway, Ste 300 Cumming GA 3004139022RN068135Payne, Margaret
Wednesday, May 07, 2014 Page 217 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/5/2009Paul Sutej, MD 980 Johnson Ferry Rd NE, Suite 220 Atlanta GA 3034255030RN183181Payne, Jennifer
8/8/2008Barbara McMillan‐Persaud, MD
5127 Jimmy Carter Blvd Norcross GA 3009346887RN183181Payne, Jennifer 3/12/2009
9/11/2008David Gose, MD 176 Marietta Hwy Hiram GA 3014149694RN084011Payton, Ramona
3/6/2014Stanley Morgan, MD 101 Harris Industrial Blvd, Suite C Vidalia GA 3047435106RN085963Peacock, Barbara Tucker
11/2/2012John Gott, MD 95 Collier Rd., Ste 5015 Atlanta GA 3030928989RN159135Pearce, Robin 7/28/2013
7/12/2012Eutzler, James DO 520 Griffin Avenue Valdosta GA 3160149729RN054555Pearce, Barbara
3/4/2011Anna Kalynych, MD 275 Collier Rd, Suite 300 Atlanta GA 3030938527RN159135Pearce, Robin Wise 8/7/2012
3/4/2011Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN054555Pearce, Barbara Ann Patterson
8/7/2009K. G. Kumar, MD 3207 Country Club Drive Valdosta GA 3160520562RN054555Pearce, Barbara Ann Patterson 6/1/2012
6/8/2007William R. Grow, MD 3207 Country Club Drive Valdosta GA 3160513752RN054555Pearce, Barbara Ann Patterson 9/1/2009
5/1/2014Jelunder Clark, MD 990 Bear Creek Blvd, Ste. G Hampton GA 3022842544RN137049Peart, Adrienne Collins
9/2/2010Nelson Madrazo, MD 105 Walnut St Montezuma GA 3106349862RN074675Pease, Margaret Ann
5/7/2010Poornima Chintalapalli, MD 1610‐D E. Forsyth St Americus GA 3170961405RN074675Pease, Margaret Ann 7/5/2010
4/1/2010John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN113917Pease, Diane Susan Schroeder 8/4/2010
11/1/2007James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN074675Pease, Margaret Ann 9/1/2009
6/6/2008Thomas Hurd, MD 400 Tower Road, Suite 350 Marietta GA 3006027070RN143241Peavey, Alica Ann Giljam 1/31/2011
1/9/2009Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN113720Peay, Jennifer Williamson
10/4/2007Marie Baudean, MD 980 Hwy 29 South Lawrenceville GA 3004523898RN113720Peay, Jennifer Williamson
Wednesday, May 07, 2014 Page 218 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Thomas Hatchett, MD 870‐A Austin Dr Demorest GA 3053536984RN134282Peck, Ann Marie
9/13/2013Muhammad Alam, MD 3015 Veterans Pkwy Moultrie GA 3178869167RN162464Peckham, Richard Anthony
7/11/2013Sivasanker Bakthavachalam, MD
5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034262182RN168014Pecot, Jennifer Young
8/7/2009Brian Herrmann, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034254219RN168014Pecot, Jennifer Young 8/6/2010
3/29/2012Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN181612Peden, Alison
1/11/2013Kenneth M. Mathews, MD 118 Howard St., PO Box 766 Rossville GA 3074164626RN079019Peeples, Elizabeth Ann Bethea
1/11/2008Joseph Khouri, MD 3080 Highlands Pkwy, Suite A Smyrna GA 3008224698RN095733Peeples, Angela Fay
7/1/2010Norman Decker, DO 1915 Eisenhower Dr Savannah GA 3140637984RN206475Pena, Erica Denise 3/31/2013
5/3/2013Dawn Simon, MD 1605 Chantilly Dr, Suite 305 Atlanta GA 3032458644RN139571Pendley, Stephanie
9/1/2011Michael Schechter, MD 1547 Clifton Road NE Atlana GA 3032258776RN139571Pendley, Stephanie 2/18/2013
4/1/2011Robert King, MD 1825 Martha Berry Blvd Rome GA 3016553835RN210799Pendley, Kimberly Ann
10/10/2013Daniela Rojas‐Molina, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054055331RN175506Penland, Erin Nicole 11/13/2013
7/12/2012Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN175506Penland, Erin 6/14/2013
7/1/2010Charles Burke, MD 1008 North 3rd Ave Chatsworth GA 3070558876RN175506Penland, Erin Nicole 5/23/2012
4/1/2011Sidney Smith, III, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN101568Penrose, Karen C
6/7/2013Fernando Burstein, MD 975 Johnson Ferry Rd NE, Suite 100 Atlanta GA 3034232141RN061498Pepper, Bonnie Beth Snider
2/5/2010W. Morris Brown, III, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030929309RN172230Perez, Jenina Sampang
2/3/2012Hernandez‐Aviles, Milca MD
1933 Shields Road Dalton GA 3072061749RN202321Perrel, Diana
Wednesday, May 07, 2014 Page 219 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/5/2009Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN202321Perrel, Diana Marie 12/18/2011
1/9/2014Josephine Tan, MD 106 East Broad St Savannah GA 3140119193RN121310Perry, Merry Lynn
3/8/2013John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN166520RN166520
Perry, Venester A
10/7/2011Skiwski, Jason MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074264973RN134054Perry, Mitzie 3/3/2012
1/7/2011Nancy Fajman, MD 35 Jesse Hill Jr Dr Atlanta GA 3030336732RN166520Perry, Venester A
11/5/2009Stephen Messner, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034259282RN166520Perry, Venester A.
9/11/2008James McGowan, MD 303 Smith Street LaGrange GA 3024028833RN090323Perry, Nancy
8/2/2007Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN107663Persky, Lizette
8/2/2007Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN107663Persky, Lizette Simone Sellers
8/2/2007Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN107663Persky, Lizette
8/2/2007Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN107663Persky, Lizette
8/2/2007Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN107663Persky, Lizette 12/31/2012
8/2/2007Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN107663Persky, Lizette
3/6/2014Shazib Khawaja, MD 705 Dixie St, Suite 401 Carrollton GA 3011758888RN115803Peshel, Tabatha Michele
1/11/2008Harvey N. Sacks, MD 148 Bill Carruth Pkwy, Suite 100 Hiram GA 3014117880RN115803Peshel, Tabatha Michele 6/24/2011
5/7/2009Brett Murphy‐Dawson, MD 2100 Comer Avenue Columbus GA 3190454080RN200864Pestrak, Mary Ann 5/27/2011
6/8/2012Nariani, Sanjay MD 3463 Lawrenceville Suwanee Rd, Ste 109
Suwanee GA 3002449861RN199089Petca, Persida
3/29/2012Joseph, Kirpich MD 3795 Buford Drive Buford GA 3051954904RN199089Petca, Persida
Wednesday, May 07, 2014 Page 220 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/1/2011William Mills, MD 58 Big A Road Toccoa GA 3057750901RN199089Petca, Persida 2/17/2012
3/6/2009Mohammad Al‐Shroof, MD 2054 Watson Blvd Warner Robins GA 3108845158RN122988Peterman, Gerald Clifford
10/10/2013Rowland Chigbu, MD 2202 E Oglethorpe Blvd Albany GA 3170563642RN124526Peters, Zelda Regina 10/31/2013
12/4/2009Eric Gibney, MD 1968 Peachtree Rd NW, Bldg 77, 6th Floor
Atlanta GA 3030961884RN124526Peters, Zelda Regina
11/5/2009Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN189815Peters, Erin Michelle 7/31/2010
12/7/2007Ighouwerha Ofotokun, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030853346RN139529Peters, Marcia Jean 8/12/2011
4/13/2007Matthew Grundfast, DO 1009 North Monroe Street Albany GA 3170752944RN124526Peters, Zelda Regina
5/1/2014Jeffrey Peretz, MD 5671 Peachtree Dunwoody Rd Atlanta GA 3034265780RN200031Petersen, Dana Alice
7/10/2009Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN117123Petersen, Melissa Tucker 7/23/2010
7/10/2009Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN117123Petersen, Melissa Tucker 7/23/2010
7/10/2009Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN117123Petersen, Melissa Tucker 7/23/2010
7/10/2009Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN117123Petersen, Melissa Tucker 7/23/2010
7/10/2009Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN117123Petersen, Melissa Tucker 7/23/2010
7/10/2009Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN117123Petersen, Melissa Tucker 7/23/2010
2/5/2010Kirk Kanter, MD 1405 Clifton Rd Atlanta GA 3032230631RN113166Peterson Jr., Berry Lawrence 12/2/2012
5/9/2008John West, MD 2295 Henry Clower Blvd, Suite 101 Snellville GA 3007828915RN107083Pettay, John Alton
4/1/2011Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN175210Petty, Jeremy A. 9/1/2011
12/6/2013Anurag Sahu, MD 1365 Clifton Rd NE, Suite A‐2447 Atlanta GA 3032265174RN200011Peverini, Christine Marie
Wednesday, May 07, 2014 Page 221 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/7/2013Jamika Hallman‐Cooper, MD
2015 Uppergate Dr Atlanta GA 3032265120RN198199Philip, Sandra Milena
3/6/2014Christopher Arant, MD 705 Dixie St, Suite 401 Carrollton GA 3011760698RN130803Phillips, Ronda Stewart
12/6/2013John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN169956Phillips, Shanon Renee
9/13/2013Lisa Miller, MD 4152 Baker St Covington GA 30014‐140438874RN169956Phillips, Shanon Renee
11/2/2012John Arnett, MD 200 Doctor's Dr., #106 Douglas GA 3153338423RN133630Phillips, Jana
9/13/2012Geoffrey Deutsch, MD 100 Mimosa Dr. Thomasville GA 3179245061RN162571RN162571
Phillips, Nancy Elanore
8/10/2012Roy Reardon, MD 208 North Cuthbert Street Colquitt GA 3983742402RN183566Phillips, Stephanie
1/6/2012Narayan, Nalini MD 119 Ambulance Drive Carrollton GA 3011644287RN130803Phillips, Ronda 3/17/2014
10/7/2011Burton, Norris Kent MD 39 Kent Road, Suite 1 Tifton GA 3179431888RNRN133630
Phillips, Janna 8/3/2012
8/5/2011Roger Branch, MD 10 Doctors St Metter GA 3043930272RN184707Phillips, Monica Rae
10/8/2010Andrew Leach, MD 1000 Hawthorne Ave, Suite G Athens GA 3060649051RN209679Phillips, Anika Schulte
4/2/2009John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN169956Phillips, Shanon Renee 8/1/2013
2/5/2009Patrick Bowen, MD 1365 Clifton Rd NE, #A‐4 Atlanta GA 3032248982RN116540Phillips, Karen Curtis
1/9/2009Michael Rallo, MD 7020 Moon Road Columbus GA 3190954655RN141185Phillips, China Henry
8/8/2008Mark Vrana, MD 3320 Old Jefferson Road, Bldg 700 Athens GA 3060722663RN161741Phillips, Kimberly Dawn
1/6/2012Poling, John MD 1086A Baxter Street Athens GA 3060650051RN129070NP
Philpot, Holly Kimball
8/7/2009Svathi Reddy, MD PO Box 26238 Atlanta GA 3030356352RN088054Philson, Beverly Lynn 6/1/2010
Wednesday, May 07, 2014 Page 222 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/7/2009Ruth Shim, MD PO Box 26238 Atlanta GA 3030355889RN088054Philson, Beverly Lynn
4/2/2009Sara Carolyn Acker, MD PO Box 26238 Atlanta GA 3030358383RN088054Philson, Beverly Lynn 6/19/2009
2/6/2014Syed Rizvi, MD 4343 Shallowford Rd, Suite B4‐A Marietta GA 3006244073RN137164Pickens, Herretta La'Chell
2/7/2013Adrian Douglass, MD 35 Collier Rd, Suite 500 Atlanta GA 3030936522RN137164Pickens, Herretta La'Chell
6/8/2012Moore, Daniel MD 790 Church Street, Ste 330 Marietta GA 3006038562RN137164Pickens, Herretta LaChell 12/13/2012
8/5/2011Otis Powell Jr., MD 2391 Benjamin E Mays Dr SW, Second Fl, Ste A
Atlanta GA 3031125814RN137164Pickens, Herretta LaChell
10/7/2011Robinson, Todd MD 14 Cherokee Road Cedartown GA 3012540773RN186812Pickett, Angelique 10/3/2013
5/6/2011Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN186812Pickett, Angelique Laurelyn Sch
7/11/2013Sandra Brickman, MD 1806 Lee Ave Tifton GA 3179445043RN089608Pierce, Donna Michelle
5/4/2012Das, Santanu MD 1049 N. Houston Road Warner Robins GA 3109342560RN106291Pierce, April
6/4/2010Kelli Carter, MD PO Box 1197 Thompson GA 3082441529RN085698Pierson 8/1/2011
3/8/2013Jack L. Miller, MD Concentra, Plant Vogtle, 7825 River Rd Waynesboro GA 3083024987RN085698Pierson‐Elam, Sylvia Marie
6/7/2013Bryon Evans, MD 1835 Savoy Dr, Suite 101 Atlanta GA 3034153850RN167855Pihera, Rebecca Anne Pride
4/1/2011Seymour Solodar, MD 4015 S. Cobb Dr, Suite 10 Smyrna GA 3008014956RN167855Pihera, Rebecca Anne Pride 6/24/2013
10/7/2011Wheeler, George MD 1218 Alice Streeet Waycross GA 3150133751RN123572Pike, Dawn
11/5/2010Jae Pak, MD 2160 Fountain Dr, Suite 200 Snellville GA 3007840185RN072278Pilcher, Linnea Marie Haas 1/6/2011
2/5/2009Naresh Parikh, MD 6330 Primrose Hill Court Norcross GA 3009228851RN072278Pilcher, Linnea Marie Haas
5/9/2008Syamala Erramilli, MD 4500 Hugh Howell Rd, Suite 110 Tucker GA 3008447896RN072278Pilcher, Linnea Marie Haas
Wednesday, May 07, 2014 Page 223 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/1/2007Russell Wagner, MD 2160 Fountain Drive, Suite D Snellville GA 3007833740RN072278Pilcher, Linnea Marie Haas 3/14/2008
4/1/2010Terri McFadden, MD 35 Jesse Hill Jr Dr Atlanta GA 3030332110RN051329Pilgrim, Teresa K
8/5/2011Yolanda Graham, MD 1291 Stanley Rd NW Kennesaw GA 3015238001RN149651Pilgrim‐Boyd, Amber Hope
3/8/2013Barbara Nichols, DO 745 Poplar Rd, Emer Dept Newnan GA 3026559835RN144793Pindling, Andrea Flo
3/6/2009Wesley McDaniel, MD 11685 Alpharetta Hwy, Suite 155 Roswell GA 3007626588RN114408Pingeton, Robin Ann
3/4/2011David Martin, MD 1136 Cleveland Ave, Suite 608 East Point GA 3034421757RN140882Pinkston, Latoya N.
2/7/2008Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN135264Pipkin, Lisa Hocker 5/19/2008
1/9/2009Divina Dyer, MD 1762 Mars Hill Road NW Acworth GA 3010157161RN154748Piri, Manuel
11/1/2007Miguel Jimenez, MD 1676 Mulkey Road, Suite A Austell GA 3010652966RN154748Piri, Manuel 12/7/2007
5/4/2012Lassiter, Richard MD 2701 North Decatur Rd, Emer Dept Decatur GA 3003354917RN210817Pirkey, Daniel
1/7/2011Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN156539Pittman, Stephanie Renee
9/13/2013Robert Clark Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN081207Pitts, Robin Diane Harshman
1/9/2009John Cowan, Jr, MD 550 Redmond Road Rome GA 3016560167RN124333Pitts, Andrea Briscoe
6/6/2008New, Tamara, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN081207Pitts, Robin Diane Harshman 7/31/2013
3/1/2012Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN178205Planeaux, Michelle
6/6/2008Tamara New, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN178205Planeaux, Michelle B.
12/1/2011Yalamanchili, Gandhiji MD 1009 N. Monroe Street Albany GA 3170125312RN135055Plant, Kelley
1/6/2012Mendez, Traceyan MD 215 N. Coleman Street Swainsboro GA 3040157831RN171306Plaxico, Elisha 4/6/2012
12/1/2011Miller, Jeri MD 200 Industrial Blvd ER Dublin GA 31‐2130835RN171306Plaxico, Elisha 10/31/2013
Wednesday, May 07, 2014 Page 224 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Muhammad Jamal, MD 452 Second Street Sopeton GA 3045758255RN171306Plaxico, Elisha Amy 10/31/2011
12/4/2009Barry Jones, MD 5965 Parkway North Blvd, Suite C Cumming GA 3004012495RN190060Player, Susan Elizabeth
7/10/2009Anthony Miller, MD 3465‐D Macon Road Columbus GA 3190732433RN075180Plock, Lisa Renee Mills
9/14/2007Jefferson C. Jones, MD 2000 10th Ave, Suite 200 Columbus GA 3190126766RN075180Plock, Lisa Renee Mills
7/12/2012Mullen, Thomas MD 126 Sequoyah Ringgold GA 3073639882RN149595Poe, Rachel 6/11/2013
2/5/2010Kenneth Harper, MD 5910 Hillandale Dr, Suite 301 Lithonia GA 3005835182RN154249Poindexter, Tina Louise
2/6/2014Adebayo Akinsola, MD 3807 Clairmont Rd Chamblee GA 3034167381RN074932Poirier‐Elliott, Elaine Marie
11/7/2008Dawn Swaby‐Ellis, MD 3807 Clairmont Road Chamblee GA 3034129112RN074932Poirier‐Elliott, Elaine Marie 12/31/2013
11/3/2011Malone, Randolph MD 511 Gordon Avenue Thomasville GA 3179234412RN215571Polivka, Dwight
4/4/2014Bess Schoen, MD 2015 Uppergate Dr, Suite 252 Atlanta GA 3032231120RN234981Pollard‐Manigault, M. Denise
3/1/2012Talboy, Amy MD 1920 Briaracliff Rd NE Atlanta GA 3032937317RN054213Pomar, Pamela 11/27/2013
5/7/2009Muhammad Akmal, MD 200 Industrial Blvd, Suite 114 Ellijay GA 3054044665RN196129Ponniah, Shivanthi 6/11/2009
12/7/2012William D. Taylor, MD 160 Springbranch Dr. Dublin GA 3102133213RN118322Pool, Shelley H.
1/7/2010John Polak, DO 3121 Peach Orchard Rd, Suite 201 Augusta GA 3090631100RN045012Poole, Sally Wright
5/10/2007William E. Callaghan, MD 1348 Walton Way, Ste 5100 Augusta GA 3090127974RN045012Poole, Sally Wright
10/10/2013Patsy Mitchell, DO 118 Northpark Dr Brunswick GA 3152064606RN203157Pope, Bianca Rae Germano
7/12/2012Reddy, Bhaskar MD 1400 Northside Forsyth Dr, Ste 380 Cumming GA 3004155440RN107104Pope, Ohridia Amaki
1/9/2014Yvonne Smith, MD 145 Standing Oak Place Fayetteville GA 3021442443RN170616Porter, Erin James
9/1/2011George Miller, MD 2525 Williams Rd Columbus GA 3190956901RN170616Porter, Erin James
Wednesday, May 07, 2014 Page 225 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/4/2014Martha Millan‐Sanchez, MD 3015 Veterans Pkwy Moultrie GA 3178866223RN201646Posey, Julie Marie
5/6/2011Daniela Rojas‐Molina, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054055331RN210395Posey, Tammy Lynn 5/15/2012
10/8/2010Albert Copeland, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054031400RN210395Posey, Tammy Lynn 12/19/2010
2/3/2012Osborne, Anwar MD 550 Peachtree Street Atlanta GA 3030860778RN186958Postell, Pamela
1/11/2013Pablo E. Balboa‐Marciack, MD
100 Hospital Ct. Calhoun GA 3070155409RN170471Poteet, Tara A.
1/7/2011Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN192280Potter, Betty Jean 8/10/2012
3/8/2013Vivian Lennon, MD 4166 Buford Hwy, Suite 1102 Chamblee GA 3034543121RN192200Pottinger, Aikaterine Sofia
7/11/2013Scott Clark, MD 2324 Limestone Overlook Gainesville GA 3050152157RN117011Povolny, Angela Michelle
12/7/2012Bernerdine M. King, MD 705 Jesse Jewell Pkwy, Ste 200 Gainesville GA 3050142071RN117011Povolny, Angela M. 6/21/2013
11/2/2012Michael C. Pinell, MD 701 Baytree Rd., Ste A Valdosta GA 3160258102RN063932Powell, Pamela W. 9/9/2013
10/5/2012Anna Marie Cabeca, DO 2712 Parkwood Drive Brunswick GA 3152042537RN068688Powell, Mary Elizabeth
3/1/2012Ford, James MD 501 Broad Street Wrens GA 3083314489RN106617Powell, Laura
10/7/2011Carter, Kelli MD 1113 Washington Road Thomson GA 3082441529RN106617Powell, Laura Huff
8/5/2011Jerry Purvis, Sr, MD 520 Griffin Avenue Valdosta GA 316019235RN063932Powell, Pamela Westberry
11/5/2010Eric Stout, MD 1525 Baytree Rd, Suite F Valdosta GA 3160256629RN063932Powell, Pamela Westberry 2/16/2011
5/7/2010Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN106617Powell, Laura A Huff 8/1/2011
9/3/2009Niall Galloway, MD 1365‐B Clifton Rd, Suite 1400 Atlanta GA 3032231921RN092714Powell, Tracy Elaine Carr 2/14/2011
3/6/2009S. K. Naidu, MD 6564 Professional Place, Suite A Riverdale GA 3027419570RN170035Powell, Tanika Ramsey
Wednesday, May 07, 2014 Page 226 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/6/2008Thomas Olson, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032240180RN110996Powell, Christie Lee
8/6/2010Katharine Ammons, MD 1825 Martha Berry Blvd Rome GA 3016537744RN208590Powers, Lisa LuAnne 2/18/2011
9/2/2010Veronica Garrett, MD 1567 Milstead Rd NE, Suite B Conyers GA 3001239106RN206880Prade, Kenya Monique
9/13/2013Regis Haid, MD 2001 Peachtree Rd, Suite 575 Atlanta GA 3030937229RN122652Prado, Laura Ellen
4/4/2014Amyn Hirani, MD 55 Whitcher St, Suite 160 Marietta GA 3006064388RN200370Prata, Nina
5/4/2012Moreno, Jorge MD 1631 Hwy 20 W Donough GA 3025346792rn123825Prather, Deborah
10/7/2011Jackson, Robert MD 50 Kelly Road McDonough GA 3025349698RN123825Prather, Deborah 2/24/2012
8/7/2009William Watkins, MD 235 P'tree St NE, North Tower, #2100 Atlanta GA 3030332076RN123825Prather, Deborah Kay
5/9/2008Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN123825Prather, Deborah Kay 2/24/2012
7/11/2008James Lantz, MD 8820 Hospital Drive Douglasville GA 3013428028RN066085Pratt, Cindy Ann Clower
3/6/2014Christopher Stevens, MD 1762 MarsHill Rd NW Acworth GA 3010154515RN094003Prayter, Susan Marie
7/12/2012Criner, James MD 17612 Mars Hill Road NW Acworth GA 3010154179RN094003Prayter, Susan 1/13/2014
1/9/2009Nitasha Burney, MD 5230 Dallas Hwy Powder Springs GA 3012755931RN094003Prayter, Susan Marie
2/5/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN147000Preissler, Dianne Lynne Woods
9/14/2007James Smith, MD 15 Cavender Street Newnan GA 3026322644RN063723Prescott, Susan
7/11/2008Thomas Gearhard, MD 1790 Mulkey Road, Suite 8 Austell GA 3010627193RN061901Pressell, Louann
6/7/2013Barbara D'Orio, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030333956RN071143Prest, Lois Marie
10/7/2011Barnett III, Golden MD 80 Jesse Hill Jr Drive, 13th floor, Emer Dept
Atlanta GA 3030355090RN071143Prest, Lois 3/29/2013
Wednesday, May 07, 2014 Page 227 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/8/2010Patrick Haggard, MD 80 Jesse Hill Jr Dr Atlanta GA 3030349403RN071143Prest, Lois Marie 7/7/2011
9/3/2009Bandupriya Vidanagama, MD
80 Butler Street Atlanta GA 3030318758RN071143Prest, Lois Marie 8/26/2010
12/7/2012Kevin Napier, MD 231 Graefe St. Griffin GA 3022440749RN183505Prestidge, Taryn
10/5/2012Richard G. Dukes, MD 11705 Jones Bridge Rd. Johns Creek GA 3000551875RN109974Prevosti, Linda M. 8/12/2013
5/3/2013James Routon, MD 1497 Fair Rd, Suite 206 Statesboro GA 3045812231RN161346Price, Jennifer Dykes
6/5/2009Donald Fordham, MD 865 Austin Drive Demorest GA 3053544718RN141037Price, Paula Susanne
5/7/2009Gyula Soos, MD 102 Bowling Lane Dublin GA 3102149093RN107117Price, Amber Grace
9/11/2008John Souza, MD PO Box 16100 Dublin GA 3104039475RN107117Price, Amber Grace 5/10/2010
9/11/2008Wendy Troyer, MD 5901‐C P'tree Dunwoody Rd, Suite C‐65 Atlanta GA 3032833786RN077983Priester, Karen Joan Lagerberg
5/3/2013John Coleman, MD 1720 Peachtree St NE, Suite 200 Atlanta GA 3030948498RN171232Prieto, Dana Lynn
3/4/2011Lawrence Powell, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033138915RN155811Pringle, Tawnya Lynette
12/4/2008Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN155811Pringle, Tawnya Lynette 7/25/2011
2/6/2014George Palmer, MD 1012 Bermuda Run Rd Statesboro GA 3045830658RN217055Pritham, Ursula Anna
11/8/2013Brian DeLoach, MD 250 Forest Dr, Room #1004 Statesboro GA 30460‐000151216RN217055Pritham, Ursula Anna
1/9/2014Pamela Gordon, MD 677 Church St, 310 Bldg Marietta GA 3006069815RN151379Pruitt, Barbara Lynn Senterfitt
7/11/2013Walisa Maynard, MD 4040 Hospital West Dr Austell GA 3010650658RN151379Pruitt, Barbara Lynn Senterfitt 11/1/2013
6/6/2008Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN132591Pruitt, Shannon Daneal Ardeese 10/8/2010
2/7/2013Thomas W. Bloodworth, MD
101 Cleburne Pkwy Hiram GA 3014118124RN073134Pryor, Julie K. 1/17/2014
Wednesday, May 07, 2014 Page 228 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2012Jennifer Marrast‐Host, MD 601 South 8th Street Griffin GA 3022449313RN102357Pryor, Anita
5/6/2011Bill Greening, MD 7285 Hwy 16, Suites B & C Senoia GA 3027642585RN102357Pryor, Anita Lynn Rigsby
9/3/2009Muthusamy Sekar, MD 350 Country Club Dr, Suite A Stockbridge GA 3028147152RN102357Pryor, Anita Lynn Rigsby
6/5/2009Jamie Walraven, MD 601 South 8th St, Emergency Dept Griffin GA 3022445023RN102357Pryor, Anita Lynn Rigsby
11/7/2008Christopher Edens, MD PO Drawer 5 Griffin GA 3022442042RN102357Pryor, Anita Lynn Rigsby 1/31/2009
8/8/2008Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN102357Pryor, Anita Lynn Rigsby
8/9/2013James Smith, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004659763RN160924Puckett, Catherine Zuber
7/1/2010Sharon Lynch‐Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN089764Puett, Pamela T. 3/31/2011
2/6/2014Stephen Salmieri, MD 759 Old Norcross Rd Lawrenceville GA 3004649151RN208906Pugh, Jena Daneen
6/3/2011Sarah Hosford, MD 320 Parkway Dr NE, Suite 244 Atlanta GA 3031232209RN208906Pugh, Jena Daneen 7/5/2013
2/7/2008Vernon Henderson, MD 285 Boulevard NE, Suite 535 Atlanta GA 3031244746RN097978Pugmire, Karen Yarborough
6/8/2012Latif, Rhonda MD 2550 Windy Hill Rd, Ste 115 Marietta GA 3006730127RN137019Pulaski, Sandra
10/7/2011Yap, O.W. Stephanie MD 1462 Montreal Road, Ste 403 Tucker GA 3008455044RN137019Pulaski, Sandra 6/15/2012
2/4/2011Matthew Burrell, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034217998RN137019Pulaski, Sandra Brubaker 10/20/2011
2/7/2008Kristi Mulchahey, MD 2550 Windy Hill road, Suite 115 Marietta GA 3006734209RN137019Pulaski, Sandra Brubaker 6/5/2010
12/7/2012Todd H. Robinson, MD 14 Cherokee Rd. Cedartown GA 3012540773RN174219Pullen, Stacey L.
12/7/2007Manoj Hiralal Shah, MD 1021 N. Houston Road Warner Robins GA 3109328077RN184471Pullen, Ashlie Lynn
3/1/2012Sankaran, Sekhar MD 101 Regency Park Drive, Ste 140 McDonough GA 3025331549RN160206Purcell, Kimberly
1/9/2014Jack Miller, MD 220 Cobb Parkway Suite 400 Marietta GA 3006224987RN225420Purrman, Kathryn Christine 1/6/2014
Wednesday, May 07, 2014 Page 229 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2012Audra E. Ford, MD 6334 Roswell Rd., Ste C Sandy Springs GA 3032861581RN225420Purrman, Kathryn C.
7/12/2012Whipple, Oliver MD 4700 Waters Avenue, Ste 403 Savannah GA 3140452035RN140169Purvis, Shali
1/7/2010Paul Cox, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051349762RN124737Purvis, Juliet Elizabeth Waugh 1/7/2010
11/5/2009Jerry Purvis, Sr, MD 106 West Northside Dr Valdosta GA 316029235RN124737Purvis, Juliet Elizabeth Waugh
9/11/2008Randolph Bishop, MD 4 Jackson Blvd Savannah GA 3140541516RN140169Purvis, Shali Michelle
4/4/2014Eileen Javellana, MD 743 Spring St Gainesville GA 3050145841RN143497Qin, Ling
11/7/2008Andrew Cichelli, MD 1601 Fair Road, Suite 600 Statesboro GA 3045844433RN167566Quattlebaum, Adrian Menapac 8/28/2009
11/2/2012Courage Atekha, MD 1030 Bermuda Run Road Statesboro GA 3045849266RN167566Quattlebawn, Adrian M 5/31/2013
1/9/2014Cassandra Wanzo, MD 601 Bombay Lane Roswell GA 3007635165RN212300Quinn, Brandi Nicole Webber
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd Floor Augusta GA 3090133283RN063713Quinn, Karen
3/8/2013Shazia Khan, MD 32 Calumet Pkwy, Bldg H, #100 Newnan GA 3026348905RN186321Quinn‐Freeman, Lasagna Alaine
7/12/2012Willard‐Jelks, Kim MD 51 Gay Connector Greenville GA 3022229123RN186321Quinn‐Freeman, Lasagna
10/7/2011Roman, Charles DO 2757 Warm Springs Road Columbus GA 3190443757RN186321Quinn‐Freeman, Lasagna 2/9/2012
10/10/2013Anthony Mills, MD 4651 Chamblee‐Dunwoody Rd, Suite A Dunwoody GA 3033844023RN168805Rabayeva, Irina A
2/3/2012DeMarini, Thomas MD 2665 N. Decatur Rd, Ste 430 Decatur GA 3003332171RN168805Rabayeva, Irina
2/5/2009Vassily Assikis, MD 128 Millard Farmer Ind. Blvd Newnan GA 3026352530RN085945Rabern, Tammy Thompson
10/5/2012William Callaghan, MD 1348 Walton Way, Ste 5100 Augusta GA 3090127974RN136892Raborn, Nancy
9/11/2008Fawzi Himada, MD 811 N. 4th Street Cordele GA 3101547442RN109339Raburn, Martha Brown
12/7/2012Mubbashir Khan, MD Unison Behavior Hlth, 1005 Shirley Ave. Douglas GA 3153354327RN219574Rackley, Emmerll 2/28/2013
Wednesday, May 07, 2014 Page 230 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Kenneth Taylor, MD 95 Collier Rd, Suite 3000 Atlanta GA 3030938985RN116771Radke, Rebecca Linton
7/11/2013Sean Delaney, MD 631 Professional Dr, Suite 360 Lawrenceville GA 3004649001RN104540Raduszewski, Thomas Chester
11/5/2010Nassar Tehrani, MD 292 Industrial Blvd, Suite 101 Hawkinsville GA 3103653044RN104540Raduszewski, Thomas Chester 3/16/2013
10/2/2009Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN061422Rager, Mary Jane Boll 4/15/2010
11/2/2012Jeffrey Oyler, MD 1968 Peachtree Rd., NW Atlanta GA 3030941191RN160356Ragland, Kenya
6/30/2011Eugene Harris, MD 60 Hospital Rd Newnan GA 3026359658RN160356Ragland, Kenya Monee
3/8/2013Jeffrey Lamp, MD 2151 West Spring St. Monroe GA 3065556736RN176596Rainey, Tiffany
9/13/2012Mark Hancock, MD 163 Hospital Dr. Toccoa GA 3057767750RN176596Rainey, Tiffany
10/7/2011Papciak, Michael MD 3400A Old Milton Parkway #330 Alpharetta GA 3000516823RN112656Rainey, Patricia
4/13/2007William D. Tumlin, MD 774 Athens Road/P.O. Box 69 Lexington GA 3064812014RN068772Rainey, Jessica Keith
11/1/2007Joseph Weissman, MD 2665 N. Decatur Road, Suite 630 Decatur GA 3003332083RN057774Raiser, Cathy Conwell
2/4/2011Louis Battey, MD 275 Collier Rd, Suite 500 Atlanta GA 3030921141RN140212Ramasamy, Kanniammal
9/2/2010Allen Dollar, MD 49 Jessie Hill Jr Dr SE Atlanta GA 3030335244RN140212Ramasamy, Kanniammal 12/10/2010
12/4/2008Nanette Wenger, MD 80 Jesse Hill Jr Dr SE Atlanta GA 303038924RN140212Ramasamy, Kanniammal 7/14/2010
3/4/2010William Mahle, MD 1405 Clifton Rd Atlanta GA 3032250110RN150908Ramaswamy, Vandana
12/1/2011Shahriar Sedghi, MD 610 Third Street, Ste 204 Macon GA 3120137678RN149163Rambo, Brandi 12/19/2013
1/9/2014Rene Romero, MD 2015 Uppergate Dr NE Atlanta GA 3032237060RN199760Rambo‐Martin, Christine Monic
5/6/2011Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN085730Ramer, Shelia Clyde Barbree 1/29/2014
8/2/2007Tammy Williams, MD 150 Gentilly Blvd Cartersville GA 3012051563RN155483Ramey, Alice Crowe
Wednesday, May 07, 2014 Page 231 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/5/2012Thomas Whitesell, MD 2040 Dan Proctor Drive, Suite #170 St. Marys GA 3155852854RN183690Ramirez, Janice 4/30/2014
1/9/2014Gaston Moran‐Celayes, MD 618 East Lamar St Americus GA 3170964675RN104542Ramseur, Meleia Sue Green
10/10/2013Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN104542Ramseur, Meleia Sue Green
12/7/2012Allen Maxwell Hoffman, MD
1150 Powder Springs Road Mariettia GA 3000824822RN170346Ramsey, Edwina Antoinette
4/1/2010Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN170346Ramsey, Edwina Antoinnette 4/1/2010
9/13/2013Murtaza Cassoobhoy, MD 5 Dunwoody Park, Suite 118 Dunwoody GA 3033843014RN088363Randall, Rhonda T. 2/6/2014
4/4/2013Louis Fernandez, MD 274 Big A Road Toccoa GA 3057739790RN192210Randels, Camden Lorraine 6/21/2013
3/6/2014Xavier Moore, MD 1133 Eagles landing Parkway Stockbridge GA 3028155619RN230003Randolph, Bridget N.
9/13/2013Eva Beaulieu, MD 5185 Old National Hwy Atlanta GA 3034966254RN230003Randolph, Bridget N
3/8/2013Jeffrey Metts, MD 600 Parkway North Newnan GA 3026568070RN226334Randolph, Kimberly Michele
3/1/2012Cleary, Kevin MD 1255 Highway 54 West Emer Room Fayetteville GA 3021452263RN185110Rangnow, Katie
12/3/2010Robin Lowman, MD 1255 Hwy 54 West, Emer Dept Fayetteville GA 3021462392RN185110Rangnow, Katie Elizabeth 1/12/2012
9/2/2010John Holmes, MD 601 South 8th Street Griffin GA 3023344749RN185110Rangnow, Katie Elizabeth
9/2/2010David Eric Jones, MD 8 Eastbrook Bend, Suite B Peachtree City GA 3026945257RN185110Rangnow, Katie Elizabeth
11/5/2009Damon Kimes, MD 601 South 8th St, Emergency Dept Griffin GA 3022450322RN185110Rangnow, Katie Elizabeth 6/23/2010
8/2/2007Vinod Mehta, MD 546 South 8th Street, Suite B Griffin GA 3022429913RN128950Rankin, Lisa Renee
10/8/2010Angela Swayne, MD 1255 Hwy 54 West Fayetteville GA 3021453421RN151163Ranna, Diane Elizabeth
11/5/2009Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN158967Rapkin, Karen Ruth
Wednesday, May 07, 2014 Page 232 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2007Michael Litrel, MD 227 Riverstone Dr Canton GA 3011439623RN139510Rasmussen, Katherine Bowen
9/1/2011 Richard Dukes MD 235 Peachtree St Ne, North Tower #3200
Atlanta GA 3030351875RN102372Rast, Jean 8/12/2013
7/10/2009William Brown, MD 355 Tower Rd, Suite 300 Marietta GA 3006021653RN102372Rast, Jean Louise
10/2/2008Albert Lintel, III, MD 824 West Avenue Cartersville GA 3012028595RN102372Rast, Jean Louise 12/31/2008
9/14/2007Ronald Alvarez, MD 1100 N'side Forsyth Dr, Ste 250 Cumming GA 3007651405RN102372Rast, Jean Louise
10/8/2010Elizabeth Furbish, MD 2450 Vinson Hwy Milledgeville GA 3106258472RN093203Ratajczak, Pamela Camille danie
3/4/2010Louis Barton, MD 2450 Vinson Hwy Milledgeville GA 3106233024RN093203Ratajczak, Pamela Camille Dani 8/13/2010
7/1/2010Kenneth Sobel, MD 575 Professional Dr, Suite 510 Lawrenceville GA 3004624099RN120774Rawlings, Jane Paige
11/5/2010Wallace Mays, MD 151‐B Mayo St Americus GA 3170921258RN029455Rawlins, Frances H
3/29/2012Welch, Dennis MD 5665 Peachtree Dunwoody Rd Atlanta GA 3034233922RN204073Ray, Melanie
3/1/2012Gregory, Donna MD 321 N. Main Street, Ste A Adairsville GA 3010351227RN134959Ray, Trena 9/15/2013
12/1/2011Hargraves, Joshua MD 1364 Clifton Road Atlanta GA 3032262216RN204073Ray, Melanie
8/5/2011Melissa Bruhn, MD 918 South Broad St Thomasville GA 3179243565RN043729Ray, Rita Marie Birgen
5/6/2011Michael Connor, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050131581RN124867Ray, Shelley L.
12/3/2010Teresa Baysden, MD 450 Clarence King Pkwy Calhoun GA 3070157348RN134959Ray, Trena Dawn
7/1/2010John‐Mark Miller, DO 1008 Piedmont Ave Rockmart GA 3015356857RN134959Ray, Trena Dawn 10/5/2010
1/7/2010Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN134959Ray, Trena Dawn 11/30/2010
9/3/2009Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN085734Ray, Jeanette Wyatt 7/1/2010
Wednesday, May 07, 2014 Page 233 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2009Brenda Budlong, MD 304 Shorter Avenue, Suite 102 Rome GA 3016534749RN134959Ray, Trena Dawn 10/5/2010
8/8/2008Joel Greenburg, MD 5356 Reynolds St, Suite 300 Savannah GA 3140528560RN164257Ray, Angie E.
10/4/2007Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN085734Ray, Jeanette Wyatt 9/4/2010
2/6/2014Sonny Dosanjh, MD 7100 Peachtree Dunwoody Rd, Suite 100
Atlanta GA 3032866686RN213784Raytchev, Vesselin Stoyanov
2/6/2014Raymond Easley, DO 7100 Peachtree Dunwoody Rd, Suite 100
Atlanta GA 3032820987RN213784Raytchev, Vesselin Stoyanov
2/4/2011Wendy Vandemark, MD 2310 N. Patterson St, Bldg G Valdosta GA 3160257511RN093831Reagan, Deborah McDonald 12/10/2013
7/10/2009Edwin Hiatt, MD 200 Georgia Avenue Valdosta GA 3169812920RN093831Reagan, Deborah McDonald
12/7/2007Lisa Hasty, MD 100 Stone Forest Drive, Suite 300 Woodstock GA 3018935648RN150756Reagan, Mirrin Elizabeth
4/13/2007Daniel Messcher, MD 4721 Hummingbird Lane Valdosta GA 3160248443RN093831Reagan, Deborah McDonald 3/21/2009
5/1/2014Ronald Forehand, MD UGA Health Center 95 Carlton St Athens GA 3060222760RN205000Reagin, Hilari Alysia
10/5/2012Bryan Blake, MD 3509 Braselton Hwy, Bldg F Dacula GA 3001940613RN205000Reagin, Hilari
2/3/2012Dyer, Divina MD 1510 Milstead Avee NE Conyers GA 3001257161RN205000Reagin, Hilari 8/15/2012
5/4/2012Weselman, Kelly MD 4480 North Cooper Lake Road, Ste 201 Smyrna GA 3008247377RN077989Reardon, Elizabeth
11/7/2008Thad Riley, MD PO Box 957 Statesboro GA 3045928637RN155029Reavis, Catherine 6/1/2010
11/1/2007Anthony Salvo, MD 110 R T Stanley, Sr. Place Lyons GA 3043656359RN155029Reavis, Catherine Whittenburg 5/12/2010
5/4/2012Wasilewski, Karen MD 5455 Meridian Mark Rd, Ste 400 Atlanta GA 3034253203RN083762Record, Elizabeth
6/6/2008Tamara New, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN083762Record, Elizabeth Odenthal 4/4/2012
3/4/2011Mohan Papudesu, MD 610 Ferncrest Dr Sandersville GA 3108229063RN195027Redden, Laura Leigh
Wednesday, May 07, 2014 Page 234 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2008Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN195027Redden, Laura Leigh 10/15/2010
4/4/2013Christopher Crooker, MD 748 Old Norcross RD, Suite 185 Lawrenceville GA 3004639315RN208711Reddick, Rachel Nicole
10/7/2011Ahmed, Kashif MD 2200 Hwy 155 North McDonough Ga 3025261547RN054604Redding, Evelyn
9/3/2009Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN054604Redding, Evelyn Patricia O'Leary 4/15/2010
9/11/2008Fred Hood, MD 65 Old Jackson Road McDonough GA 3025245071RN054604Redding, Evelyn Patricia O'Leary
1/11/2008Matthew Keadey, MD 1364 Clifton Road Atlanta GA 3032249143RN182025Reddy, Tonya L.
9/3/2009Jeffrey Kim, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010656117RN160834Redjamand, Mojgan
10/10/2013Patricia Thompson, MD 600 Parkway North Newnan GA 3026569987RN231240Redmond, Terri Lynn
2/5/2010Karen Demuth, MD 2015 Uppergate Drive Atlanta GA 3032259707RN170766Reece, J. Shannon
1/7/2010Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN170766Reece, J. Shannon 1/31/2010
11/5/2009Darshana Sheth, MD 2550 Windy Hill Rd, Suite 309 Marietta GA 3006758642RN170766Reece, J. Shannon
4/4/2014William Early, MD 320 Hospital Rd Canton GA 3011420694RN129274Reed, Janice Denise
9/13/2013Syed Rizvi, MD 1200 N Jefferson St Albany GA 3170143754RN175387Reed, Melissa Nichole
2/3/2012Winston, Jeffrey MD 800 Kennesaw Ave, Ste 130 Marietta GA 3006028337RN102945Reed, Deborah 9/10/2012
8/5/2011Yassar Kanawati, MD 848 Hiram Acworth Hwy Hiram GA 3014149237RN102945Reed, Deborah Ann
1/7/2011Syed Rizvi, MD 1200 N. Jefferson St Albany GA 3170143754RN175387Reed, Melissa Nichole 12/14/2012
2/5/2010Angel Acevedo, MD 100 Market Place Blvd, Suite 201 Cartersville GA 3012160149RN149133Reed, Lisa Adams
10/2/2009Steven Disch, MD 2500 Hospital Blvd, Suite 310 Roswell GA 3007630989RN129274Reed, Janice Denise 9/9/2013
6/5/2009Kingsley Iyamu, MD 34 Peachtree St, Suite 770 Atlanta GA 3030344493RN102945Reed, Deborah Ann
Wednesday, May 07, 2014 Page 235 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/7/2008Donna Fearing, MD 120 Stonebridge Pkwy, Suite 410 Woodstock GA 3018929447RN069681Reed, Kelly Jean 1/8/2013
5/4/2012Johnston, Lester MD 212 Hospital Drive Washington GA 3067355605RN124766Reeder, Sally
11/1/2007Charles I. Wilmer, MD 275 Collier Road, NW, Ste 300 Atlanta GA 3030929394RN063216Reedus, Cheryl Denise
1/9/2014Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN174285Reese, Shataundia Nyrae
2/5/2009David Van, MD 747 S. Hill Street Griffin GA 3022429545RN045410Reeves, Merrilea Ward
9/14/2007James Gore, Jr., MD 1657 N. Expressway Griffin GA 3022336384RN045410Reeves, Merrilea Ward 6/27/2008
4/3/2008Shobha Rao, MD 350 Country Club Drive, Suite D Stockbridge GA 3028132893RN168464Regis, Sonja Allison
3/29/2012Steis, Ronald MD 3400‐C Old Milton Pkwy Ste 400 Alpharetta GA 3000534479RN063845Register, Mary
8/5/2011Kenneth Miller, MD 5665 Peachtree Dunwoody Rd NE Atlanta GA 3034220776RN063845Register, Mary Stiger
5/1/2014Xavier Moore, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028155619RN192897Reid, Andrea Nicole
1/9/2014Kenneth Newell, MD 1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta GA 3032249631RN143210Reid, Julianne Marie Bissett
1/9/2014Sundus Lodhi, MD 1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta GA 3032265021RN143210Reid, Julianne Marie Bissett
8/9/2013Sharne Hampton, MD Fulton Co Jail, 901 Rice St Atlanta GA 3031830375RN128880Reid, Verona Andrea
5/3/2013Glenn Bloom, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030364512RN128880Reid, Verona Andrea
1/7/2010Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN128880Reid, Verona Andrea 12/1/2010
1/7/2010Okiki Louis, MD 794 S. Park Street Carrollton GA 3011747479RN128880Reid, Verona Andrea 1/23/2012
12/4/2009Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN165481Reid, Stacy Cason
7/10/2009Daniel Wu, MD 49 Jesse Hill Jr Dr, Emergency Dept Atlanta GA 3030351572RN143210Reid, Julianne Marie Bissett 11/20/2013
Wednesday, May 07, 2014 Page 236 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2009Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN128880Reid, Verona Andrea 8/31/2009
2/5/2009Keith Kirby, MD 8 Wheeler Street Savannah GA 3140540438RN127281Reinhart, Margaret Greenwaide
10/7/2011Brown III, Charles MD 275 Collier Road, Ste 300 Atlanta GA 3030928383RN149081Reis, Maureen
1/9/2009Charles L. Brown, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN149081Reis, Maureen Jacqueline 1/31/2011
4/1/2011Sandra Maryman, MD 1525 Clifton Rd, Student Health Atlanta GA 3032224035RN070451Reiss, Eleanore
5/7/2010LaJune Oliver, MD 1525 Clifton Road Atlanta GA 3032247986RN070451Reiss, Eleanore
11/5/2009Dawn Mielke, MD 1525 Clifton Road Atlanta GA 3032237752RN070451Reiss, Eleanore
11/5/2009Carol Rappaport, MD 1525 Clifton Road Atlanta GA 3032231435RN070451Reiss, Eleanore
11/5/2009Michael Huey, MD 1525 Clifton Road, Suite 240 Atlanta GA 3032250962RN070451Reiss, Eleanore
11/5/2009Theresa Berry, MD 1525 Clifton Rd Atlanta GA 3032249355RN070451Reiss, Eleanore
11/5/2009Michael Allan, MD 1525 Clifton Road Atlanta GA 3032233511RN070451Reiss, Eleanore
12/4/2008Leli Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN070451Reiss, Eleanore
6/8/2012Coker, Mark MD 14557 Highway 19, Suite A Griffin GA 3022456276RN196290Rella, Karla 6/1/2012
2/6/2014Kamil Hanna, MD 425 W 3rd Ave, Suite 600 Albany GA 3170159422RN113439Rentz, Anna Victoria Westerma
6/8/2012Forbes, Robert MD 410 Villa Rica Way Marietta GA 3006434341RN104510Renz, Deanna
11/7/2008Amit Sharma, MD 6400 Bradley Park Dr, Bldg A, #A Columbus GA 3190459514RN127665Revell, Cherial Lashawn 12/22/2008
3/1/2012Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN073465Revels, Selina 9/25/2013
7/13/2007Errol Graham, MD 105 E. Tollison St. Baxley GA 3151332388RN073465Revels, Selina Elizabeth Altman 12/12/2011
10/2/2009Vivian Lennon, MD 4166 Buford Hwy NE Atlanta GA 3034543121RN192592Reyes, Imelda
Wednesday, May 07, 2014 Page 237 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/10/2013Matthew Lyon, MD 2260 Wrightsboro Rd, Emer Dept Augusta GA 3090450972RN092750Reyka, Ladonna Darlene
8/9/2013Sharon Amaya, MD 5665 New Northside Dr, Suite 320 Atlanta GA 3032847182RN215732Reynolds, Ryan Elizabeth
1/11/2013Dillon D. Miller, MD 101 Riverstone Vista, Ste. 111 Blkue Ridge GA 3051367508RN103757Reynolds, Deborah A.
1/7/2011Steven Eubanks, MD 148 Clinic Ave Carrollton GA 3011757608RN205796Reynolds, Keatrina Tarsha
9/11/2008Reuben Reynolds, MD 906 Hampton Rd McDonough GA 3025325822RN057361Reynolds, Patricia Ann Hicks
8/8/2008Reed Seligman, MD 5815 Windward Parkway, Suite 207 Alpharetta GA 3000542427RN120844Reynolds, Denise Skelton
10/5/2012William M. McDonald, MD P.O. Box 26238, 80 Jesse Hill Fr. Dr., SE Atlanta GA 3030337292RN098042Rhiver, Debra
6/30/2011Deirdre Cosby, MD PO Box 26238 Atlanta GA 3030355397RN098042Rhiver, Debra Elizabeth 7/30/2012
3/4/2011Niels Engberding, MD 80 Jesse Hill Jr Dr Atlanta GA 3030364535RN119314Rhoads, Barbara Jean Metz
5/1/2014George Myers, MF 504 Redmond Rd. Rome GA 3016535706RN047639Rhodes, Lila Kay Libbey
10/5/2012Mark Matthews, MD 200 S. Enota Dr., Ste. 200 Gainesville GA 3050154861RN170221Rhodes, Kristen Hollis
3/29/2012Norwood, Elizabeth MD 2739 Felton Drive East Point GA 3034446192RN066876Rhodes‐Bigham, Anderia
3/1/2012Flowers, Runette MD 2855 Candler Rd, Ste 9 Decatur GA 3003418297RN066876Rhodes‐Bigham, Anderia
11/8/2013Dennis Spencer, DO 1077 South Main St Madison GA 3065047663RN197319Rhymes, Monica Vanessa
12/6/2012Appavuchetty Soundappan, MD
1115 Morningside Dr. Perry GA 3106944107RN197319Rhymes, Monica V.
9/14/2007Vijay Patel, MD 15 Cavender Street Newnan GA 3026335723RN16998Rhynes, Sharon C. 1/31/2008
4/13/2007Marvin Reid, MD 705 Dixie Street Carrollton GA 3011739663RN169986Rhynes, Sharon Chatham
3/1/2012Sperling, Laurence MD 1365 Clifton Rd,Bldg A, Ste 2200 Emory Clinic
Atlanta GA 3032234250RN062144Rice, Claire
Wednesday, May 07, 2014 Page 238 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2009Hiba Tamim, MD 2665 North Decatur Rd, Suite 740 Decatur GA 3003338156RN148997Rice, Sandra Kay Futhey
9/13/2013Consuelo Fernandez, MD 2699 Klondike Rd Lithonia GA 3005839789RN133612Richards, Edecia Alexandria
9/13/2013Harmon Smith, MD 1301 Sigmon Rd NE, Suite 230 Conyers GA 3001241486RN133612Richards, Edecia Alexandria
1/9/2009Henry Watson, Jr, MD 3652 Chamblee Dunwoody Rd, Suite 4 Chamblee GA 3034125399RN136523Richards, Sonia Erica
5/1/2014Michael Christa, MD 4250 Brownsville Rd. Powder Springs GA 3012740637RN194397Richardson, Lindsay Suzanne
10/7/2011Wu, Changhun MD 65 Old Jackson Road McDonough GA 3025261537RN083527Richardson, Cynthia
11/5/2010Elliot Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN073504Richardson, Susan Alden
4/1/2010Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN073504Richardson, Susan Alden
1/9/2009Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN097935Richardson, Deanna O
8/8/2008N. Spencer Welch, MD 77 Collier Road, Suite 2080 Atlanta GA 3030924508RN041850Richardson, Patricia L
12/7/2007Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN161874Richardson, Rebecca Pearl 4/5/2010
7/13/2007Jamison Roberts, MD 2959 Sharpsburg McCollum Rd Unit A Newnan GA 3026538347RN145030Richardson, Amanda Lynn
7/11/2008Michael Fortson, MD 1058 Bear Creek Blvd Hampton GA 3022835051RN154504Richards‐Reynolds, Karen Ingrid
8/9/2013David Asrael, MD Take Care Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004451291RN151213Richey, Tiffany Boleman
8/9/2013Wallace Duncan, MD Take Care Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004441109RN151213Richey, Tiffany Boleman
12/4/2008Melanie Cooper, MD 4398 Atlanta Hwy Loganville GA 3005245753RN151213Richey, Tiffany Boleman 5/31/2013
3/7/2008James Roth, MD 4360 Chamblee D'woody Rd, Ste 515 Atlanta GA 3034146525RN139349Richins, Robin Rene Taylor
6/8/2007Bruce Goldweig, MD 1700 Hospital South Dr. Suite 102 Austell GA 3010648516RN154853Riddle, Sara Pauline 9/28/2007
Wednesday, May 07, 2014 Page 239 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2009Albert Thompson, MD 1001 N. Third Street Folkston GA 3153722338RN156030Ridgeway, Sarah Suzanne
5/10/2007Richard Eaton, MD 1001 N. Third St Folkston GA 3153740370RN156030Ridgeway, Sarah Suzanne 9/30/2008
5/4/2012Sulton, Jacqueline MD 5700 Hillandale Drive, Ste 150 Lithonia GA 3005827675RN199479Ridore, Chanon
6/3/2011James Turner, MD 400 Timms Rd NE Calhoun GA 3070155349RN211322Riemer, Amy Nicole Bryan
1/6/2012Owens, Crystal MD 144 E. Main Street Irwinton GA 3104248854RN049330Riggins, Gwendolyn
8/6/2010Charles Jackson, MD 1506 Telfair St Dublin GA 3102114513RN049330Riggins, Gwendolyn H 11/28/2011
9/13/2012Richard Bunt, MD 345 Blvd NE Atlanta GA 3031246834RN163734Riley, Cynthia W
6/3/2011Dennis O'Brien, MD 3877 Morris Ct Norcross GA 3009225893RN163734Riley, Cynthia Darlene 4/9/2012
3/7/2008Thaddeus Riley, MD PO Box 957 Statesboro GA 3046128637RN084374Riley, Susan Joan Braun
10/4/2007Michael Gladson, MD 1100 Cambridge Square, Suite B Alpharetta GA 3000421506RN163734Riley, Cynthia Darlene
2/7/2013Brinkley F. Goodson, DO 260 Elm St. Cumming GA 30040‐246724680RN157240Rinehart, Cynthia
3/6/2014Charles Pugh, MD 1050 Carl Griffin Dr Savannah GA 3140919089RN144955Riner, Betty Louyul
2/6/2014John Northup, MD 12345 Mercy Blvd Savannah GA 3141916651RN144955Riner, Betty Louyul 2/14/2014
9/13/2013Nicholas Costrini, MD 501 Eisenhower Dr Savannah GA 3140622534RN144955Riner, Betty Louyul 10/10/2013
5/6/2011Charles Pettus, MD 1267 W. Hwy 54, Suite 2200 Fayetteville GA 3021433675RN098573Ring, Cheri A. 3/4/2011
2/4/2011Ann Drayton, MD 1870 Atlanta Hwy, Suite J Gainesville GA 3050449512RN084634Ringstaff, Marilyn Teresa
11/5/2009Tamer Middleton, MD 1924 Cliff Valley Way Atlanta GA 3032951987RN084634Ringstaff, Marilyn Teresa
11/5/2009Claud Brandigi, MD 1220 George C Wilson Dr Augusta GA 3090943004RN168317Riordan, Elizabeth Dawn
3/8/2013Jan Bennett, MD 2346 Wisteria Dr, Suite 120 Snellville GA 3007830580RN116666Rittenhouse, Sharri Khay 10/18/2013
Wednesday, May 07, 2014 Page 240 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/3/2010Edward Espinosa, DO 5775 Glenridge Dr NE, Suite E‐200 Atlanta GA 3032859636RN116666Rittenhouse, Sharri Khay 2/4/2011
9/13/2013Jack Ross, MD 610 19th st Columbus GA 3190127302RN088485Rivera, Jose Fernando
9/11/2008Carol Hector, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050143640RN097864Roark, Jennifer Anne Mims
2/5/2009Thomas Hatchett, MD 870‐A Austin Drive Demorest GA 3053536984RN057807Robb, Sandra Wagner
8/9/2013Robert Dean, MD 840 Pine St, Suite 780 Macon GA 3120131403RN160532Robbins, Alison Martell
4/4/2013Miles Mason, MD 3500 McClure Bridge Rd Duluth GA 30096######RN172358Robbins, Christine 11/1/2013
2/4/2011William Brown, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030929309RN192418Robbins, Kristen Ruth
10/4/2007Arnold Negrin, MD 304 Commercila Drive, Suite A savannah GA 3140631544RN070928Robbins, Susan Vanagel
1/9/2014Jeremy Pantin, MD 1120 15th St, BA‐5407 Augusta GA 3091266390RN128926Roberson, Shawn Marie
7/11/2013Rohit Khanna, MD 1640 Powers Ferry Rd, Bldg 17, #100 Marietta GA 3006756188RN073844Roberson, Pamela Buckley
1/11/2013Anand P. Jillella, MD 1120 15th Street, Suite BA‐5407 Augusta GA 3091233843RN128926Roberson, Shawn M. 9/30/2013
8/6/2010Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN073844Roberson, Pamela
3/6/2009Svathi Reddy, MD PO Box 26238 Atlanta GA 3030356352RN073844Roberson, Pamela Buckley
1/9/2014Anupama Ravikanth, MD 335 Roseland St. Suite 203 Marietta GA 3006048297RN099303Roberts, Jo Persis
3/1/2012Burns, Bruce MD 1062 Forsyth Street, Ste 1‐B Macon GA 3120148882RN180140Roberts, Jessica
8/5/2011Jose Justiniano‐Ayala, MD 1430 Suggs Street Rossville GA 3074146773RN188172Roberts, Terry Lee 3/1/2013
8/5/2011Richard Dukes, MD 235 Peachtree St NE, North Tower Ste 2100
Atlanta GA 3030351875RN178157Roberts, Jessica E
11/5/2010Donna Van Schuyver, DO 1430 Suggs St Rossville GA 3075242754RN188172Roberts, Terry Lee 6/14/2011
Wednesday, May 07, 2014 Page 241 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009J. Michael Ware, MD 504 Redmond Road Rome GA 3016529967RN200814Roberts, Karen Jean
1/9/2009Gregory Teel, MD 1430 Suggs Street Rossville GA 3074139961RN188172Roberts, Terry Lee 9/30/2010
11/7/2008Timothy Helton, MD 1010 Johnson Ferry Road Marietta GA 3006829669RN099303Roberts, Jo Persis
10/4/2007Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN070413Roberts, Lori Jeanne Gardner
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN146420Robertson, Suzanne Patricia 3/21/2011
7/11/2008Kevin Smith, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014441961RN146420Robertson, Suzanne Patricia 9/30/2009
9/11/2008Gary Broadnax, DO 1944 Walton Way, Suite F Augusta GA 3090416213RN149275Robillard, Diane Larson
5/1/2014Seymour Solodar, MD 4015 South Cobb Drive Suite 10 Smyrna GA 3008014956RN158648Robinson, Elizabeth Lauren Scu
12/6/2013Karen Frank, DO 896 Hwy 441 South Clayton GA 3052569193RN154343Robinson, Shannon Latrelle
8/9/2013Arif Patni, DO 260 Elm St Cumming GA 3004042916RN195029Robinson, Deena Maria
8/9/2013Elizabeth LeDuc, MD 960 Johnson Ferry Rd, Suite 315 Atlanta GA 3034234754RN191143Robinson, Jennifer Nickole
8/9/2013Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN208654Robinson, Jakki Nicole
6/7/2013Fred Hood, MD 830 Eagles Landing Pkwy, Suite 203 Stockbridge GA 3028145071RN110950Robinson, Andrea Jo Smock
3/8/2013Bharatkumar Patel, MD 4015 South Cobb Dr, Suite 110 Smyrna GA 3008048693RN158648Robinson, Elizabeth Lauren Scu
2/7/2013Swapna Madhavan, MD 260 Elm St. Cumming GA 30040‐246757098RN195029Robinson, Deena M. 6/24/2013
1/11/2013Ugochi K. Ohuabunwo, MD 80 Jesse Hill Jr., Dr., SE Atlanta GA 3030355776RN036342Robinson, Aileen G.
11/2/2012William Lynds, MD 794 S Park St Carrollton GA 3011733140RN149710Robinson, Lisa Bridwell
11/2/2012Morris Clayton Pulliam, MD 896 Highway 441 South Clayton GA 3052534223RN154343Robinson, Shannon Latrelle
10/5/2012Edward A. Espinosa DO 5775 Glenridge Dr., NE, Ste. E200 Atlanta GA 3032859636RN 158648Robinson, Elizabeth 6/27/2013
Wednesday, May 07, 2014 Page 242 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/1/2012Purvis Sr, Jerry MD 520 Griffin Avenue Valdosta GA 316019235RN081735Robinson, Annette
1/6/2012Oller, Carlo MD 960 Joe Frank Harris Parkway Cartersville GA 3012065719RN083852Robinson, Lisa
10/7/2011Boyle, Paula MD 4799 Blue Ridge Drive, Suite 10 Blue Ridge GA 3051355928RN213047Robinson, Marianne
10/7/2011Burton, Kelvin MD 8464 Adair Street Douglasville GA 3013432101RN152308Robinson, Jennifer 3/19/2012
6/30/2011Kenneth Franco, MD 80 Jesse Hill Dr, Suite D‐332 Atlanta GA 3030358671RN202034Robinson, Cordelia
10/8/2010Clyde Watkins, Jr., MD 5900 Hillandale Dr, Annex E Lithonia GA 3005836033RN036342Robinson, Aileen G.
3/6/2009Phillip McGhee, MD 2906 Franklin Pkwy Franklin GA 3081718043RN149710Robinson, Lisa Bridwell
12/4/2008Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN110950Robinson, Andrea Jo Smock 3/22/2013
6/6/2008Daniel Bergsagel, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034229407RN158355Robinson, Teresa Jane 11/15/2008
3/7/2008Samuel Erinne, MD 1136 Cleveland Avenue, Suite 308 East Point GA 3034435622RN036342Robinson, Aileen G 3/11/2010
4/1/2010Terri McFadden, MD 35 Jesse Hill Jr Dr Atlanta GA 3030332110RN104552Robledo, Luz Marina
7/12/2012Falconer III, James MD 119 W. Hill Street Thomasville GA 3179244213RN186115Rodd, Amber
11/8/2013Tidence Prince, MD 3951 Ridge Ave, Suite C Macon GA 3121037339RN227114Roden, Karen P
3/8/2013Jody Velie, MD 1025 Keith Dr. Perry GA 3106957029RN224906Rodgers, Allyson M.
2/7/2013Jamie Rollins, MD 684 Sixes Rd, Suite 220 Holly Springs GA 3011560467RN118621Rodriguez, Jodie Ann Blons
12/3/2010Annmarie Brooks, MD 35 Jesse Hill Jr Dr SE Atlanta GA 3030356806RN118621Rodriguez, Jodie Ann Blons
5/7/2009Edmund Kim, MD 761 Old Norcross Road Lawrenceville GA 3004538273RN074697Roebuck, Victoria Anne Holland
2/6/2014T Wayne Bloodworth, MD 101 Cleburn Pkwy Hiram GA 3014118124RN125593Rogers, Dana Marie
1/9/2014Laura Larson, MD 819 Dixie St Carrollton GA 3001754450RN159909Rogers, Angela Michelle
Wednesday, May 07, 2014 Page 243 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Portee, Simone MD 4791 Jonesboro Road Union City GA 3029133177RN125593Rogers, Dana Maria Kinard
3/29/2012Shelton, Joseph MD 145 Edgewood Avenue Atlanta GA 3030365795RN125593Rogers, Dana
8/5/2011John Lipman, MD 3903 South Cobb Dr, Suite 230 Smyrna GA 3008034012RN159456Rogers, Locianna Cheree
1/7/2010Asit Jha, MD 1400 N. Peterson Ave, Suite 3 Douglas GA 3153355248RN160902Rogers, Augusta Danielle
12/4/2009Mohamad El‐Attar, MD 1372 Wellbrook Circle Conyers GA 3001241286RN159456Rogers, Locianna Cheree 9/1/2010
11/5/2009Rebecca Tarlton, MD 2406 Bellevue Ave, Suite 7 Dublin GA 3102128470RN160902Rogers, Augusta Danielle
12/4/2009Deepak Kapoor, MD 1120 15th St, Suite BBR‐6518 Augusta GA 3091251957RN086235Rollins, Margaret Rose Bowers
3/6/2009Melissa Anderson, MD 1181 Langford Dr, Bldg 300, #101 Bogart GA 3062249786RN150996Romines, Natalie Kathleen Sipf
1/9/2014Jean Philippe, MD 5825 Glenridge Dr, Suite 2‐120 Atlanta GA 3032844056RN183825Romulus, Rose Laure
2/6/2014Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN204746Rooney, Melissa Bucalan
3/4/2010Brian Kogon, MD 1405 Clifton Rd Atlanta GA 3032253322RN139930Rootare, Margrethe Ann
1/9/2009James Freemont, MD 1136 Cleveland Avenue, Suite 208 East Point GA 3034416343RN065472Roseberry, Beverly D
6/7/2013John Knox, MD 1100 Lake Hearn Dr, Suite 100 Atlanta GA 3034222575RN135881Rosen, Jill Margulies
8/7/2009Annette Hinchcliffe, MD 3915 Johns Creek Court, Suite 120 Suwanee GA 3002442607RN146598Rosenberg, Stacey E.
1/11/2008Ronald Forehand, MD Univ Hlth Ctr, 370 River Rd Athens GA 3060222760RN053910Rosenberger, Chandler Brooks
5/6/2011Andrew Dott, MD 993‐D Johnson Ferry Rd, Suite 360 Atlanta GA 3034233314RN092041Roser, Ruth Miriam 3/23/2011
2/5/2009Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN092041Roser, Ruth Miriam 7/31/2010
12/1/2011Ludwick, Robert MD 118 Norman Dorminy Drive Fitzgerald GA 3175037277RN102271Ross, Anita
1/7/2011Thomas Mann, MD 118 Norman Dorminy Dr Fitzgerald GA 3175037607RN102271Ross, Anita Michelle Nugent 11/2/2011
Wednesday, May 07, 2014 Page 244 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2008Fredric Flax, MD 12385 Crabapple Road, suite 100 Alpharetta GA 3000417452RN074416Ross, Susan Horion
6/6/2008Jagdeep Singh, MD 118 E. Girard Avenue, Suite 104 Cedartown GA 3012559761RN070037Ross, Janet Lorene
11/1/2007Anedi Eme‐Akwari, MD 2293 Rome Hwy Rockmart GA 3015355671RN070037Ross, Janet Lorene
3/2/2007Thopu, Anuradha 8954 Hospital Drive, Ste 100‐C Douglasville GA 3013441377RN070037Ross, Janet L. 5/12/2007
8/7/2009Sylvia Halleck, MD 3955 Harrison Rd, Suite 400 Loganville GA 3005216356RN078917Rossman, Sandy Davina 3/22/2010
11/3/2011Patel, Zara MD 550 Peachtree St NE, 9th Floor MOT Atlanta GA 3030865779RN154553Rotella, Melissa
8/7/2009Sarah Wise, MD 550 P'tree St NE, 9th Floor MOT, #4400 Atlanta GA 3030853208RN154553Rotella, Melissa Rayburn
8/7/2009John Delgaudio, MD 550 P'tree St NE, 9th Floor MOT, #4400 Atlanta GA 3030839772RN154553Rotella, Melissa Rayburn
3/4/2011Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN105840Rountree, Rhonda Lynn
12/4/2009Ahmad Irfan, MD 2003‐A Pioneer St Waycross GA 3150141584RN140401Rouse, William Monroe
3/29/2012Taylor, Kenneth MD 275 Collier Road, Ste 500 Atlanta GA 3030938985RN191082Roux, LaToya
10/10/2013Danny Vaughn, MD 3964 Elnora Dr Macon GA 3121065622RN113302Rowell, Michelle Frances
1/6/2012Braverman, Juana MD 2625 Beaver run Rd, Ste B Norcross GA 3007131536RN170185Rowell, Elizabeth 7/25/2012
1/9/2009Chandresh Viradia, MD 100 Jim Mason Court Warner Robins GA 3108853050RN113302Rowell, Michelle Frances 5/3/2013
9/1/2011John Vu, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024840813RN085782Rowell‐Crane, Nancy Gay
6/5/2009William Watkins, MD 235 P'tree St NE North Tower, #2100 Atlanta GA 3030332076RN085782Rowell‐Crane, Nancy Gay
2/5/2009Michael Manning, MD 2215 Exchange Place SE Conyers GA 3001333397RN085782Rowell‐Crane, Nancy Gay 3/1/2012
4/4/2014Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN186906Rowland, Lisa E
2/6/2014Phillip Gray, MD 2001 Antioch Rd Dalton GA 3072033340RN213704Rowland, Myriam
Wednesday, May 07, 2014 Page 245 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Kidwai, Asim MD 531 Duvall Road Chatsworth GA 3070564848RN213704Rowland, Myriam 2/1/2014
7/12/2012Okiki Louis, MD 794 S. Park Street Carrollton GA 3011747479RN186906Rowland, Lisa 3/1/2013
8/5/2011Teresa Baysden, DO 531 Duvall Rd Chatsworth GA 3070557348RN213704Rowland, Myriam Hernandez 7/20/2012
5/6/2011Nitasha Burney, MD 794 S. Park St Carrollton GA 3011755931RN186906Rowland, Lisa E.
5/7/2010John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN186906Rowland, Lisa E. 2/4/2011
10/2/2009William Parrish, MD 204 Allen Memorial Dr, Suite 201 Bremen GA 3011047989RN186906Rowland, Lisa E. 11/20/2009
8/8/2008Kenneth Boss, MD 705 Dallas Hwy, Suite 101 Villa Rica GA 3018052425RN186906Rowland, Lisa E.
1/11/2008David Monson, MD 59 Executive Park South, Suite 2000 Atlanta GA 3032931074RN140214Roy, Andre' J.
9/13/2013Marshall Tanner, MD 357 Cargile Rd Ocilla GA 3177456658RN077506Royal, Shirlene Daniel
1/11/2013Oscar H. Salvat, MD 357 Cargile Rd. Ocilla GA 3177449742RN077506Royal, Shirlene D. 4/10/2013
5/4/2012Hammond, William MD 357 Cargile Road Ocilla GA 3177419166RN077506Royal, Shirlene 11/23/2012
12/3/2010Charles Ruis, MD 609 1/2 N. Irwin Ave Ocilla GA 3177430206RN077506Royal, Shirlene Daniel 3/26/2012
4/1/2010Robert D. Lott, MD 609 1/2 N. Irwin Ave Ocilla GA 3177426000RN077506Royal, Shirlene Daniel
9/3/2009Douglas Ash, MD 609 1/2 N. Irwin Avenue Ocilla GA 3177449138RN077506Royal, Shirlene Daniel
9/2/2010Muhammad Sheikh, MD 2774 North Cobb Pkwy Kennesaw GA 3015259195RN160500Royster, Merissa Neshun
11/7/2008A. Kenneth Fuller, MD 400 S. Pinetree Blvd Thomasville GA 3179228165RN061915Rubin, Howard
2/7/2013Noemi A. Carcar, MD 303 Frasier Dr. Hinesville GA 3131341526RN098072Rubke, Patricia C.
10/7/2011Badea, Calin MD 213 N. McDonald Street, Ste A & B Lucowici GA 3131655918RN098072Rubke, Patricia 11/1/2011
10/8/2010Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN098072Rubke, Patricia 8/26/2011
Wednesday, May 07, 2014 Page 246 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Olugbenga Awe, MD PO Box 554 Ludowici GA 3131648329RN098072Rubke, Patricia
3/1/2012Proctor, Robert MD 310 Eisenhower Drive, Ste 5 Savannah GA 314068863RN080409Rudolph, Barbara
5/6/2011Julia Johnson, MD 310 Eisenhower Dr, Suite 5 Savannah GA 3140656721RN080409Rudolph, Barbara Baether Reed 12/31/2011
1/9/2014Chrissie Clure, MD 800 E 70th St Savannah GA 3140549281RN223241Ruis‐Thompson, Margaret E 4/14/2014
10/5/2012Manuel Martinez, MD 1915 Eisenhower Dr. Savannah GA 3140624757RN223241Ruis‐Thompson, Margaret 4/14/2014
9/13/2012Eric Hoffler, MD 735 Glynn St. South Fayetteville GA 3021432752RN142052Ruiz Stogner, Clara
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd floor Augusta GA 3090133283RN075017Rushton, Bonita B
1/6/2012Love, Michael MD 979 E. 3rd Street, Ste C‐520 Chattanooga TN 3740364856RN060846Russe, Deborah 7/25/2012
5/9/2008Thippeswamy Murthy, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027752470RN116405Russell, Tangella Evette
12/7/2007Sumandeep Sangha, MD 20 Francis way, Suite 101 Sharpsburg GA 3027756222RN172311Russell, Valerie Marie 7/24/2008
10/7/2011Zottoli, Lawrence MD #4 Medical Arts Savannah GA 3140536639RN217610Rutkowski, Patricia 8/2/2011
9/11/2008Stephen Carter, II, MD 915 Thornton Road Lithia Springs GA 3012224659RN103741Ryan, Nancy Josephine 7/17/2011
3/1/2012Vimala Nair, MD 100 Lacy St, Suite 150 Marietta GA 3006018058RN168965Saboura, Jennifer Anne
4/1/2010David Martin, MD 80 Oakwood Ave Trenton GA 3075252410RN092473Sager, Elmira Nora Faller
2/5/2010William Meadows, MD 80 Oakwood Ave Trenton GA 3075230513RN092473Sager, Elmira Nora Faller
12/4/2008Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN114039Sahota, Kavinder Kaur 1/31/2011
12/4/2008David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN114039Sahota, Kavinder Kaur 1/31/2011
3/1/2012Mixson, Robert MD 104 Lakeshore Drive, Ste A St. Marys GA 3155839415RN161279Sahrphillips, Jacqueline
2/5/2010Alan Justice, MD 446 Poplar St, Suite B Macon GA 3120132405RN115797Saiani, Tina
Wednesday, May 07, 2014 Page 247 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2011Hugo Ribot, MD 958‐A Joe Frank Harris Pkwy, #102 Cartersville GA 3012030196RN199330Saint, Ashley Nicole
5/1/2014Gunter Kurrle, MD 677 Church St Marietta GA 3006050396RN158218Saintil, Marianne E
2/7/2013Locke III, Thomas MD 3311 Highway 5, Ste C Douglasville GA 3013536409RN159225Sakor, Uvienome Linda
10/5/2012Maiysha Clairborne, MD 3311 Highway 5 Douglasville GA 3013555194RN159225Sakor, Uvienome
6/4/2010Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN159225Sakor, Uvienome Linda 1/31/2011
1/7/2010Phillip Nowlin, MD 4480 South Cobb Drive SE Smyrna GA 3008036588RN159225Sakor, Uvienome Linda 5/9/2011
7/10/2009Hermogenes Pagsisihan, MD
100 Professional Park, Suite 204 Carrollton GA 3011750666RN159225Sakor, Uvienome Linda
1/9/2009Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN159225Sakor, Uvienome Linda 8/28/2009
2/20/2012Taylor, Michelle MD 3073 Panthersville Road Decatur GA 3003460104RN152612Salami, Modupe
12/6/2013Michael Gaines, MD 307 West College St Bowden GA 3010822762RN141751Salter, Robert Christopher
10/10/2013Peter Litchfield, MD 117 Kite Rd, Emer Dept Swainsboro GA 3040165367RN141751Salter, Robert Christopher
11/5/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN116950Salter, Sandra Nicole
8/8/2008Mike Ou, MD 1125 East Hwy 166 Bowden GA 3010853301RN141751Salter, Robert Christopher 2/20/2009
11/8/2013David Roberts, MD 1365 Clifton Rd NE Atlanta GA 3032230199RN172768Samuel, Tseday
5/3/2013Venkatappa R. Rangaraj, MD
5675 Jimmy Carter Blvd, Box 20 Norcross GA 3007158633RN133706Samuels, Angella Veronica
1/11/2013Marie Lightbourne, MD 2356 Lenora Church Rd. Snellville GA 3007863059RN133706Samuels, Angella V. 12/13/2013
7/10/2009Benjamin Abraham, DO 3020 Hwy 124 Snellville GA 3003934757RN133706Samuels, Angella Veronica
12/4/2008William Lynds, MD 5320 Memorial Drive Stone Mountain GA 3008333140RN133706Samuels, Angella Veronica 1/31/2009
Wednesday, May 07, 2014 Page 248 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/7/2008Naresh Parikh, MD 1861 Peeler Road Dunwoody GA 3009728851RN133706Samuels, Angella Veronica 9/13/2012
11/2/2012Shameka McElhaney, MD 7530 Roswell Rd. Atlanta GA 30350‐483754854RN084728Sanchez, Victoria
12/3/2010John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN084728Sanchez, Victoria Lawrence 2/16/2013
11/5/2010Kirk‐Conrod Hewling, MD 4250 Brownville Rd Powder Springs GA 3012757559RN084728Sanchez, Victoria Lawrence 1/25/2013
1/7/2010Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN084728Sanchez, Victoria Lawrence 9/30/2010
2/7/2008Mark Oliver, MD 2416 Capstone Court Columbus GA 3190448557RN084392Sandak, Patricia Daly 11/4/2010
10/10/2013Martha Ward, MD 915 Gordon Ave Thomasville GA 3179220360RN124327Sanders, Rebecca Bailey
3/8/2013William Parrish, MD 3001 Mercer Univ Dr, #206 Sheffield Atlanta GA 303419905RN185902Sanders, Amanda Arrants
9/13/2012Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN102131Sanders, Julie V.
1/6/2012Ward, Martha MD 916 South Broad Street Thomasville GA 3179220360RN124327Sanders, Rebecca
4/13/2007Charles R. Sanders, MD 951 South Broad Street Thomasville GA 3179229087RN124327Sanders, Rebecca Bailey 11/18/2011
12/3/2010Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN063813Sanderson, Catherine S 3/11/2011
2/7/2013Celia Mamby, MD 2745 Dekalb Medical Pkwy, Suite 110 Lithonia GA 3005839629RN120356Sandiford, Janice Elizabeth
2/4/2011P. Ravi Sarma, MD 1700 Tree Lane, Suite 490 Snellville GA 3007818073RN120356Sandiford, Janice Elizabeth 1/11/2013
7/11/2013Gena Volas‐Redd, MD 340 Kennestone Hospital Blvd, Suite 100
Marietta GA 3006045356RN084872Sanford, Ola Beth
8/6/2010Thomas Deering, MD 275 Collier Rd NW, Suite 300 Atlanta GA 3030932170RN084872Sanford, Ola Beth
7/13/2007Donna Gregory, MD 321a North Main Street Adairsville GA 3010651227RN072580Sanford, Sally 9/15/2013
7/10/2009Roshan Shrestha, MD 1968 Peachtree Rd NW, Bldg 77, 6th floor
Atlanta GA 3030956765RN173666Sans, Kathryn Olivia 5/14/2010
Wednesday, May 07, 2014 Page 249 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/8/2010William Boydston, MD 5455 Meridian Mark Rd, Suite 540 Atlanta GA 3034234112RN208370Sant' Elia, Nicole R. 10/18/2010
3/8/2013Saeid Khansarinia, MD9 95 Collie Rd, Suite 5015 Atlanta GA 3030950649RN151614Santos, Andrea Dee
1/9/2014Faheem Nusrat, MD 1008 Atlanta Hwy warrenton GA 3082544043RN229391Sapp, Jennifer Albritton 4/24/2014
5/9/2008Sandra Kopacz, MD Hwy 341 S, Pulaski Prof Bldg A Hawkinsville GA 3103632179RN085794Sapp, Julie Joiner
3/7/2008Bradley Goff, MD 962 J F Harris Pkwy, Ste 202 Cartersville GA 3012043944RN155923Saranthus, Jill Ann Landry
4/13/2007Barbara C. Biggs, MD 1431 White Circle Marietta GA 3006625105RN155923Saranthus, Jill Ann Landry 5/14/2008
10/5/2012Scott Parry, DO 730 Ponce DeLeon Pl. NE Atlanta GA 3030639899RN185009Sariev, Michelle
7/11/2013Andrew Combs, MD 1430 Suggs St Rossville GA 3074169569RN228612Satterfield, Lena Marie
3/8/2013John C. Allen, MD 100 Gross Crescent Cr. Fort Oglethorpe GA 3074256949RN155152Satterfield, Aimee B.
1/6/2012Sightler, William DO 195 N. Broad Street Alamo GA 3105534715RN135001Saunders, Rosalyn 1/9/2012
7/11/2013Amanda Davis, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028150152RN139517Savage, Kimberly Ann 1/1/2014
11/5/2010Christopher Houk, MD 1120 15th St, BG‐1012 Augusta GA 3091257644RN085319Sayers, Barbara Jean
11/2/2012John C. Bleacher, MD 5455 Meridian Mark Road, Ste 570 Atlanta GA 3034242182RN182668Sayewich, Laura Handley
8/8/2008Paul Johnson, MD PO Box 422002 Atlanta GA 3034246132RN182668Sayewich, Laura Handley
3/6/2014Habigaile Cribe, MD 911 Plaza Ave, Suite B Eastman GA 3102350874RN134148Scarborough, Joy Renew
6/6/2008Johnny Peeples, MD PO Box 698 Eastman GA 3102333427RN134148Scarborough, Joy Renew
1/11/2008Habigaile Cribe, MD 903 East Willow Creek Lane McRae GA 3105550874RN134148Scarborough, Joy Renew 4/1/2008
7/11/2008James Lantz, MD 8820 Hospital Drive Douglasville GA 3013428028RN143233Schafer, Frances Georgina 9/27/2008
8/5/2011Ram Reddy, MD 1061 Dowdy Rd, Suite 100 Athens GA 3060624178RN211196Schalnat, Kimberly Mohr 1/31/2013
Wednesday, May 07, 2014 Page 250 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2014David Kandzari, MD 275 Collier Rd. Suite 500 Atlanta GA 3030964993RN185001Scharff, Leah Alford 1/28/2014
2/7/2008Robert Williams, MD 1127 Druid Park Avenue Augusta GA 3090458488RN074058Schear, Nancy Kappus 7/15/2008
9/14/2007Ralph Marionneaux, MD 465 North Belair Road, Suite 1‐C Evans GA 3080947621RN074058Schear, Nancy Shelley 6/29/2008
12/6/2013Charles Campbell, MD 86 South Cobb Dr, MZ‐0454 Marietta GA 3006369772RN206788Scheffer, Steven Rudolf
9/13/2012Thomas, Pamella MD 86 South Cobb Drive Marietta GA 3006319277RN206788Scheffer, Steven 4/1/2013
3/1/2012Pirtle, Ronald MD 1015 Donald Lee Hollowell Parkway Atlanta GA 3031813784RN206788Scheffer, Steven
2/4/2011Donna Fearing, MD 2155 Post Oak Tritt Rd, Suite 100 Marietta GA 3006229447RN206621Scheffer, Elizabeth Anne
8/6/2010James Sams, MD 1968 Peachtree Rd NW, Bldg 1984, Suite 300
Atlanta GA 3030922180RN206788Scheffer, Steven Rudolf
2/7/2013Janet T. Fason, DO Take Care Clinic, 2988 Shallowford Rd. Marietta GA 30066‐303348773RN184398Schempp, Catherine
3/1/2012Levy, Robyn MD 5555 Peachtree Dunwood Road, Ste 340
Atlanta GA 3034233625RN184398Schempp, Catherine 11/9/2012
7/11/2013William David Breedlove, MD
PO Box 1907 Blairsville GA 3051226465RN200480Schiff, Ella Schwartz
12/7/2012Julian Hutchins, Sr., MD 4150 Washington Rd., Ste. 11 Evans GA 3080918677RN178149Schiffbauer, Christopher T.
10/2/2009G. Craig Heigerick, DO 615‐B Beaver Ruin Road Lilburn GA 3004724947RN192983Schlenger, Alison Anthony
1/11/2013Angela L. Beninga, DO Shepherd Center, 2020 Peachtree Rd. Atlanta GA 3030968481RN102451Schmeier, Laura
1/6/2012Taubin, Rhonda MD 2020 Peachtree Rd NW Atlanta GA 3030932482RN102451Schmeier, Laura
10/7/2011Dennison, Andrew MD 2020 Peachtree Road Atlanta GA 3030362676RN102451Schmeier, Laura
11/5/2009John Lin, MD 2020 Peachtree Rd NW Atlanta GA 3030950208RN102451Schmeier, Laura Jean Blanchard
11/5/2009Arthur Simon, MD 2020 Peachtree Rd NW Atlanta GA 3030931125RN102451Schmeier, Laura Jean Blanchard
Wednesday, May 07, 2014 Page 251 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Anna Elmers, MD 2020 Peachtree Rd NW Atlanta GA 3030960248RN102451Schmeier, Laura Jean Blanchard
11/5/2009Payal Fadia, MD 2020 Peachtree Rd NW Atlanta GA 3030961773RN102451Schmeier, Laura Jean Blanchard
11/5/2009Erik Shaw, DO 2020 Peachtree Rd NW Atlanta GA 3030958012RN102451Schmeier, Laura Jean Blanchard 8/5/2011
11/5/2009Brock Bowman, MD 2020 Peachtree Rd NW Atlanta GA 3030945177RN102451Schmeier, Laura Jean Blanchard
11/5/2009Darryl Kaelin, MD 2020 Peachtree Rd NW Atlanta GA 3030956729RN102451Schmeier, Laura Jean Blanchard 6/1/2011
8/7/2009Gerald Bilsky, MD 2020 Peachtree Road Atlanta GA 3030931701RN102451Schmeier, Laura Jean Blanchard
12/4/2008David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN102451Schmeier, Laura Jean Blanchard 5/18/2012
12/4/2008Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN102451Schmeier, Laura Jean Blanchard 5/8/2012
11/5/2009Donald Leslie, MD 2020 Peachtree Rd NW Atlanta GA 3030925785RN102451Schmeirer, Laura Jean Blanchar
8/9/2013John Kludt, MD 3700 Club Dr Lawrenceville GA 3004434876RN184832Schmidt, Mirel Aline
1/7/2011Alexander Osowa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN184832Schmidt, Mirel Aline 10/24/2013
2/7/2008Michael Lindsay, MD 69 Jesse Hill Jr Dr SE, 4th Flr Atlanta GA 3030327602RN133708Schnedl, Anne Marie
8/2/2007Michael Gardner, MD 63 Jesse Hill Jr, Dr. SE 4th Fl Atlanta GA 3030356710RN133708Schnedl, Anne Marie 1/1/2008
9/13/2013Etienne Rodriguez, MD 1168 North Main St, Suite 120 Cedartown GA 3012567979RN129282Schneider, Kathy Ann
6/8/2012Gregory, Donna MD 906 South Wall Street Calhoun GA 3070151227RN129282Schneider, Kathy
10/2/2009Pablo Balboa‐Marciack, MD 100 Hospital Court Calhoun GA 3070155409RN183005Schnell, Kathryn Jean
2/5/2010Sreekanth Reddy, MD 5670 P'tree Dunwoody Rd, Suite 1100 Atlanta GA 3034249476RN176656Schnitzeler, Erica Ann 12/20/2013
12/6/2013Stephanie Kong, MD 210 Hannah's Mill Rd Thomaston GA 3028639388RN136627Schornack, Theresa Ann
12/7/2007Eric Hoffler, MD 735 South Glynn Street Fayetteville GA 3021432752RN136627Schornack, Theresa Ann
Wednesday, May 07, 2014 Page 252 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/10/2013Ki Hon Lin, MD 812 South Park St, Suite 3 Carrollton GA 3011751885RN150422Schuchman, Alisha Michelle
8/9/2013Reginald Strother, MD 1620 Prince Ave Athens GA 3060644597RN204214Schultz, Lindsay Chesley
8/10/2012Ashok Kancharla, MD 132 Franklin Spring Street Royston GA 3066248250RN204214Schultz, Lindsay 6/7/2013
5/7/2010Hanna Khoury, MD 1365 Clifton Rd, Bldg C Atlanta GA 3032255253RN199188Schultz, Alicia McCasland
10/2/2008Kenneth Jones, MD 6325 Shannon Pkwy, Suite D Union City GA 3029124000RN199188Schultz, Alicia McCasland 7/24/2009
2/7/2008Kristi Mulchahey, MD 2550 Windy Hill Road, Suite 115 Marietta GA 3006734209RN046697Schuyler, Clarice Marie Jones 10/23/2009
12/6/2013Robert Mullins, MD 3675 J Dewey Gray Cir, Suite 300 Augusta GA 3090949835RN194375Schwartz, Heather J
6/7/2013David Stewart, MD 1600 Medical Way, Suite 100 Snellville GA 3007841489RB123081Schwartz, Karen Ann Crooke
10/7/2011McElroy, Christopher MD 465 North Belair Rd, Ste 2B Evans GA 3080939865RN194375Schwartz, Heather
4/1/2011Lynette Stewart, MD 4775 Jimmy Carter Blvd, Suite 300 Norcross GA 3009339681RN123081Schwartz, Karen Ann Crooke
3/6/2009Byron Dickerson, MD 500 Medical Ctr Blvd, Suite 290 Lawrenceville GA 3004536714RN123081Schwartz, Karen Ann Crooke 3/9/2010
7/13/2007Dewey Hammond, MD 906 South Wall ST Calhoun GA 3070121367RN106672Schwartz, Donna Ruth Minton 4/15/2008
6/7/2013Sharon R. Rabinovitz, MD 141 Piedmont Ave., Ste D Atlanta GA 3030346806RN134791Schwarze, Elizabeth A.
9/3/2009Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN149696Schwarze, Lois Anne 11/20/2012
12/7/2007Minhly Nguyen, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030849149RN134791Schwarze, Elizabeth Ann Smith
11/8/2013Christopher Borrego, DO 4720 Nelson Brogdon Blvd Sugar Hill GA 3051852259RN193905Schweiker, Melissa Perry
9/11/2008Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN145815Schwendinger, James Edward
9/13/2013Michael Pinell, MD 10500 Abercorn St, Unit N Savannah GA 3141958102RN168251Schwerin, Kay sandra Stevens
7/11/2013Joseph Mondy, MD 4750 Waters Ave, Suite 500 Savannah GA 3140444546RN168251Schwerin, Kay Sandra Stevens
Wednesday, May 07, 2014 Page 253 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/11/2013Christopher L. Wixon, MD 4750 Waters Ave., #500 Savannah GA 3140449122RN168251Schwerin, Kay S. 7/8/2013
11/2/2012Greg Schlegel, MD 100 Medical Center Blvd, Ste 165 Lawrenceville GA 3004623222RN112607Scoggins, Kelly W.
10/8/2010Leigh Barrell, MD 1608 Martha Berry Blvd Rome GA 3016540777RN175735Scoggins, Savannah Smith
4/4/2014Melissa Schepp, MD 677 Church St, 310 Bldg Marietta GA 3006050221RN197872Scott, Jessica Elisabeth
10/10/2013Mukesh Kumar, MD 743 Spring St Gainesville GA 3050168447RN210416Scott, Amanda Sara Riley
8/10/2012Wallace Duncan, MD 5230 Dallas Hwy Powder Springs Ga 3012741109RN140254Scott, Denise 4/11/2013
8/10/2012David Asrael, MD 5230 Dallas Hwy Powder Springs GA 3012751291RN140254Scott, Denise 4/11/2013
2/3/2012Hansen, Terry MD 184‐A Professional Drive Baldwin GA 3051147330RN184467Scott, Linda
1/6/2012St. Clair, Jane 131 Ponce de Leon Ave NE, Ste 230 Atlanta GA 3030824485RN122867Scott, Michael
10/7/2011Chastain, William MD 400 Timms Road NE Calhoun GA 3070165091RN140254Scott, Denise
5/7/2009Micah Tepper, MD 1700 Hospital South Drive, Suite 302 Austell GA 3010657687RN140254Scott, Denise Ann
1/9/2009Stanley Smith, MD 15 Cavender Street Newnan GA 3026337696RN113833Scott, Kay Suzanne 8/6/2010
12/4/2008Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN167868Scott, Holly Anna 7/3/2009
10/4/2007Karin Alcantara, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074243996RN167868Scott, Holly Anna 10/1/2008
9/14/2007Kay Crosby, MD 15 Cavender Street Newnan GA 3026330593RN113833Scott, Kay S. 10/1/2009
6/8/2007Sadiq Sohani, MD 1413 Chattanooga Ave. Dalton GA 3072045010RN172672Scott, Zoe Marie 6/23/2008
10/2/2008Ronald McLean, MD 116 Rosedale Avenue Thomasville GA 3179230163RN145522Scott‐King, Geneva Michelle
9/14/2007Carlos Zayas‐Montalvo, MD 1968 P'tree Rd NW,5th Fl,Bldg 77 Atlanta GA 3030936668RN161095Scouller, Thomas Harmon
3/8/2013Lee Chisolm, MD 1500 Oglethorpe Ave, Suite 3300 Athens GA 3060655115RN141155Scruggs, Carrie Jackson
Wednesday, May 07, 2014 Page 254 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2011Jared Griffis, MD PO Box 5860 Athens GA 3060457469RN141155Scruggs, Carrie Jackson
10/5/2012Franklin Brown MD 445 Winn Way, 2nd Floor Decatur GA 3003062315RN197620Scully, Rosemarie
12/4/2008William Kriegel, DO 3707 Largent Way Marietta GA 3006431962RN151311Scully, Carol Joy Wesley
6/7/2013Saeid Khansarinia, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030950649RN192373Seaborn, Chelsea Louise McVica
11/8/2013Robert Yarbrough, MD 1100 Northside Forsyth Dr, Suite 340 Cumming GA 3004158242RN179255Searcy, Danny Frank
1/10/2013Dillon D. Miller, MD 101 Riverstone Vista, Ste 111 Blue Ridge GA 3051367508RN153721Searcy, Ann‐Maxwell 2/1/2013
10/5/2012George Galloway, MD 101 Riverstone Vista, Ste 111 Blue Ridge GA 3051313275RN153721Searcy, Ann‐Maxwell
7/10/2009Romualda Klicius, MD 145 N. Medical Pkwy Woodstock GA 3018946305RN055005Searcy, Laura J
3/6/2009Charles Cha, MD 15 Medical Drive Cartersville GA 3012149531RN179255Searcy, Danny Frank 9/28/2013
4/13/2007Alan M. Sanders, MD 231 Hwy 515, Ste. 5 Blairsville GA 3051239223RN153721Searcy, Ann‐Maxwell
9/11/2008Neely Dean, MD 59 Hospital Road Newnan GA 3026359401RN033268Segal, Linda Marie
11/2/2012James L. Beiter, MD 1001 Johnson Ferry Road N.E. Atlanta GA 3034240003RN185083Segovia Ruiz
3/7/2008William Strain, MD 1265 W. Hwy 54, Stes 402 & 409 Fayetteville GA 3021427921RN143913Seiler, Jan Marie
2/4/2011Joshua Hargraves, MD 531 Asbury Cir, Suite N‐340 Atlanta GA 3032262216RN185556Seitz, Roslyn Marie
11/3/2011Joyce‐Bailey, Sharon MD 1942 Atkinson Road, Ste 100 Lawrenceville GA 3004350770RN100226Selby, June
7/1/2010Robert David Thomson, MD 3619 Braselton Hwy, Suite 103 Dacula GA 3001947166RN207951Self, Julia Murdoch
2/4/2011Edward Gotlieb, MD 5405‐D Memorial Dr, Suite D Stone Mountain GA 3008314500RN204724Sellers, Lucinda Johnson
9/13/2013John Reed, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635506RN152508Sells, Kimberly Lynn Singleton
1/6/2012Johnson, Traci MD 1700 Tree Lane, Ste 290 Snellville GA 3007847723RN172738Sells, Katie 7/25/2012
Wednesday, May 07, 2014 Page 255 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Michael Christa, MD 4250 Brownsville Rd Powder Springs GA 3012740637RN119115Seltenright, Joan Lee Oliver
8/6/2010George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN119115Seltenright, Joan Lee Oliver
5/7/2009Christopher Wizner, MD 4250 Brownsville Rd Powder Springs GA 3012737734RN119115Seltenright, Joan Lee Oliver 12/1/2011
10/5/2012Karen Godette, MD 550 Peachtree St., Glenn Bldg. Lobby level
Atlanta GA 3030835884RN073553Sencer, Ann
4/4/2014Thomas Wayne Bloodworth, MD
101 Cleburne Pkwy Hiram GA 3014118124RN155684Senior‐Crosby, Diana R.
6/8/2012O'Regan, Ruth 80 Jesse Hill Jr Drive Atlanta GA 3030353350RN155684Senior‐Crosby, Diana
6/6/2008Frank Keller, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032257091RN128997Senn, Stacy L
10/5/2012Joseph Sentef, MD 513 Benjamin Way, Ste 200 Dalton GA 3072132816RN73026Sentef, Susan F.
1/11/2013John P. Gott, MD 95 Collier Rd., #5015 Atlanta GA 3030928989RN175608Seok, Rebecca
9/13/2013Charis Trench‐Simmons, MD
3886 Princeton Lakes Way, Suite 280 Atlanta GA 3033158337RN218012Settle, Xanthia Monquett
9/13/2013Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN218012Settle, Xanthia Monquett
8/5/2011Douglas Moss, MD 814 Northwood Park Drive Valdosta GA 3160241178RN134946Seyfried, Lavenia Juanita
3/4/2010James Eutzler, DO 520 Griffin Ave Valdosta GA 3160149729RN080625Shackelford, Dilleta Andree
11/8/2013Wiley Smith, MD 218 North Fredrick St Dalton GA 3072163133RN137113Shafer, Kristi Lynn
12/6/2013Devesh Patel, MD 820 St Sebastian Way, Suite 8‐A Augusta GA 3090154171RN202000Shaffer, Nicole Michelle
7/13/2007Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN069901Shaffer, Barbara J Reeves 1/1/2008
11/8/2013David Stahura, DO 2140 Peachtree Rd NW, Suite 232 Atlanta GA 3030960615RN105323Shah, Tracy Elaine 3/27/2014
4/4/2014Roger Morales, MD 333 Alcovy St, Suite 1 Monroe GA 3065555771RN235660Shanahan, Sara Ratchford
Wednesday, May 07, 2014 Page 256 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/3/2009Curtis Clark, DO 610 19th Street Columbus GA 3190147068RN160537Shanaman, Rachel Anne 9/1/2013
10/5/2012Brian Kogan,MD 1405 Clifton Rd. NE Atlanta GA 3032253322RN197727Shapin, Melanie Hull
3/4/2011Noreen Andrews, MD 3720 South Rockbridge Rd Stone Mountain GA 3008746861RN204969Sharova, Yelena 10/4/2011
10/10/2013Thuy Bui, MD 1001 Johnson Ferry Rd NE Atlanta GA 3034249276RN195511Sharpless, Sarah A
3/6/2014Joseph Watlington, MD 102 Erlanger South Dr Ringgold GA 3073625685RN185137Shaver, Eugenia Faith
4/4/2013Brant Holt, MD 102 Erlanger South Dr Ringgold GA 3073654393RN185137Shaver, Eugenia Faith 2/20/2014
12/7/2012Brett N. Murphy‐Dawson, MD
2100 Comer Ave. Columbus GA 3191454080RN070808Shaw, Pamela G.
11/2/2012Cedric Porter, MD 124 Victory Dr. Swainsboro GA 3040129363RN184339Shaw, Lauren T.
10/5/2012John Gerguis, MD 115 Gillikin St. Twin City GA 3047147085RN184339Shaw, Lauren T.
5/4/2012Gard, Dwayne MD 4700 Waters Avenue Savannah GA 3140460731RN184339Shaw, Lauren
10/7/2011Papciak, Michael MD 3400A Old Milton Parkway Ste 330 Alpharetta GA 3000516823RN171700Shaw, Kelley
9/1/2011Appel, Larry MD 4700 Waters Ave Savannah ga 3140458568RN184339Shaw, Lauren Taylor 8/2/2011
3/6/2009Anthony Dougherty, MD 3000 Schatulga Road Columbus GA 3190730452RN070808Shaw, Pamela G 6/27/2012
1/6/2012Osborne, Debra MD 175 Emery Highway Macon GA 3121744297RN078122Shaw‐Brown, Luann
10/5/2012Valeria Savage, MD 1942 Atkinson Road Lawrenceville GA 3004352724RN081672Shea, Kimberly
10/7/2011Rowland, Ceylon MD 1942 Atkinson Road, Ste 100 Lawrenceville GA 3004352202RN081672Shea, Kimberly
10/5/2012Antonio Rios, MD 1315 Jesse Jewell Pkwy, Ste 110 Gainesville GA 3050145114RN037691Shedd, Cheryl
12/1/2011Flynn,Timothy MD 3931 Mundy Mill Road, Ste A Oakwood GA 3056641795RN037691Shedd, Cheryl 8/13/2012
Wednesday, May 07, 2014 Page 257 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN037691Shedd, Cheryl Evans 12/30/2010
8/8/2008Timothy Flynn, MD 3931 Mundy Mill Road Oakwood GA 3056641795RN037691Shedd, Cheryl Evans
11/8/2013Vanderlyn Sewell, MD 2591 Candler Rd Decatur GA 3003251547RN055630Sheffield, Dian Thornton
4/1/2010Raulnina Uzzle, MD 2140 Peachtree Rd, Suite 232 Atlanta GA 3030943499RN055630Sheffield, Dian Thornton 4/30/2013
9/13/2013Alan Justice, MD 446 Poplar St, Suite B Macon GA 3120132405RN180629Sheldon, Jennifer Jean
4/13/2007Eddie R. Cheeks, MD 2803 Wrightsboro Road, Ste 45 Augusta GA 3090921661RN097650Shelton, Amanda J. Barton 10/31/2011
10/2/2009Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN149693Shepherd, Shannon Elizabeth 4/15/2010
6/5/2009Ehteshamul Huque, MD 6095 Professional Pkwy, Suite 100 Douglasville GA 3013439597RN140662Shepherd, Melissa Ann
12/7/2007James Vick, III, MD 1105 North 5th Avenue Rome GA 3016537720RN149693Shepherd, Shannon Elizabeth
8/5/2011Paul Martin, MD 1950 Riverside Parkway, Ste 100 Lawrenceville GA 3004329034RN184901Sheridian, Marissa Cook
7/12/2012English, Eden MD 120 Barnet Drive Milledgeville GA 3106152432RN140155Sherman, Penny 2/1/2014
3/1/2012Duke, Michael MD 800 West Thomas Street Milledgeville GA 3106142041RN140155Sherman, Penny
6/8/2012Lew, Glen MD 5455 Meridian Mark Rd, Ste 400 AFLAC Center
Atlanta GA 3034241457RN172913Sherrod, Amy
8/5/2011Melissa Bruhn, MD 918 South Broad St Thomasville GA 3179243565RN123110Sherrod, Elizabeth Robin
1/7/2010Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN172913Sherrod, Amy Elizabeth 1/20/2012
5/6/2011Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN064092Sherry, Ruth
5/1/2014Akin Ogundipe, MD 55 Whitcher St, Suite 460 Marietta GA 3006050237RN195642Shields, Heather Renee
3/6/2009Harold Carlson, MD 275 Collier Road, Suite 300 Atlanta GA 3030927508RN156421Shields, Allison Baker Thomas
Wednesday, May 07, 2014 Page 258 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Hardin, Amy MD 1140 Hammond Drive, Ste E5250 Atlanta GA 3032835307RN139815Shifflett, Maureen
11/1/2007Benjamin Oldham, MD 1497 Fair Road, Suite 300 Statesboro GA 3045856210RN069911Shilling, Dellarie Lane
9/14/2007William F. Kent, MD 1497 Fair Road, Ste 300 Statesboro GA 3045810585RN069911Shilling, Dellarie Lane 11/4/2011
4/13/2007Marsha Pierdinock, MD 1009 N. Monroe St., Ste 102 Albany GA 3170136846RN145300Shingles, Vernendia Anne
6/7/2013Charles Hughes, MD 1120 15th St, BP‐4109 Augusta GA 3091263471RN137551Shirley, Brian Bates
9/3/2009S. M. Abu Zaheed Hassan, MD
1220 George C. Wilson Drive Augusta GA 3090948783RN137551Shirley, Brian B. 4/1/2013
8/9/2013Athena Sotus‐Nawar, MD 1915 Eisenhower Dr Savannah GA 3140631512RN089259Shiver, Janice E
10/5/2012Sarvenaz Danesh, MD 55 Whitcher St., Ste 160 Marietta GA 3006065396RN177287Shiver, Kristi
2/3/2012Akiki, Hanna MD 1700 Hospitl South Drive Austell GA 3010656670RN177287Shiver, Kristi
9/1/2011Eduard Docu, MD 1302 Drayton St Savannah GA 3140156426RN089259Shiver, Janice E 3/23/2013
6/3/2011Micah Tepper, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010657687RN177287Shiver, Kristi Renee 12/28/2011
11/5/2009Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN177287Shiver, Kristi Renee 1/1/2011
4/3/2008Harvey Danits, MD 1000 Corporate Center Drive, Suite 220 Morrow GA 3026015242RN159492Shockley, Naiomi Michelle
4/2/2009Henry Watson, MD 3146 Chamblee Dunwoody Rd, #103 Chamblee GA 3034125399RN075946Shoemaker, Kathryn Goles 8/12/2009
1/11/2008Philip Macon, MD 11940 Alpharetta Hwy, Suite 110 Alpharetta GA 3000411414RN075946Shoemaker, Kathryn Goles
3/7/2008Bradley Pierce, MD 1240 Jesse Jewell Pkwy, Ste 500 Gainesville GA 3050154306RN113383Shook‐Payne, Michele D.
5/3/2013Nadia Cameron, MD 961 Green St NE Gainesville GA 3050153982RN148855Shore, Karen Elizabeth 8/3/2013
9/11/2008Wendy Troyer, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032833786RN139907Shorter, Brenda Leigh Smith
Wednesday, May 07, 2014 Page 259 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/1/2010James Foster, MD 1515 Pope Ave Augusta GA 3091241556RN143928Shouse, Karen Lee
2/3/2012Bohlke, William MD 9945 US Hwy 301 S Statesboro GA 3045837490RN196656Shropshire, Ali 4/16/2014
8/5/2011Brian DeLoach, MD Bldg 0404, Forest Dr Statesboro GA 30460‐804351216RN196656Shropshire, Ali Michelle
12/3/2010Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN196656Shropshire, Ali Michelle
5/4/2012Captain, Anthony MD 775 West Avenue, Ste B Cartersville GA 3012039300RN161177Shroth, Michael 8/7/2012
8/9/2013Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN111878Shuler, Linda J 1/3/2014
7/12/2012Hefner, Jason MD 420 Lavender Drive Rome GA 3016161444RN111878Shuler, Linda 5/28/2013
3/29/2012Chastain, William MD 400 Timms Rd NE Calhoun GA 3070165091RN111878Shuler, Linda 7/23/2012
1/6/2012Singh, Brij MD 1181 Old Summerville Road Rome GA 3016543777RN111878Shuler, Linda
8/5/2011Michael Hartley, MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072063668RN123324Shuler, Cynthia Ann
3/4/2010John Price, DO 462 Lavender Dr NW Rome GA 3016555274RN111878Shuler, Linda J. 6/1/2011
5/9/2008Ian Hamilton, Jr, MD 1109 Burleyson Road, Suite 202 Dalton GA 3072047329RN123324Shuler, Cynthia Ann 2/3/2014
1/11/2008Christopher Abbot, MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072058127RN123324Shuler, Cynthia Ann 8/13/2008
4/13/2007William Mills, MD 58 Big A Rd Toccoa GA 3057753547RN113834Shuler, Shannon
2/7/2013Teresa Thompson, MD 63 Pleasant Hill Road Blairsville GA 3051258650RN107256Shuman, Sherry
3/4/2011Cynthia Libert, MD 63 Pleasant Hill Rd Blairsville GA 3051259457RN107256Shuman, Sherry Gilleland 2/9/2012
9/2/2010George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054013275RN107256Shuman, Sherry Gilleland 12/1/2011
6/8/2007William G. Raisig, MD 64 Call Wright Road Ellijay GA 3054055290RN107256Shuman, Sherry Gilleland 4/20/2009
8/29/2012Patrick McDougal, MD 100 Gross Crescent Circle Fort Oglethorpe GA 3074257110RN175443Shumate, Donald H
Wednesday, May 07, 2014 Page 260 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Hope McDaniel‐Desarmes, MD
1328 Joe Frank Harris Pkwy Cartersville GA 3012059287RN175443Shumate, Jr, Donald H
2/7/2013Thomas A. Self, MD 1825 Martha Berry Bl Rome GA 3016521587RN175443Shumate, Jr., Donald H. 4/23/2013
8/10/2012Kenneth Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN175443Shumate, Jr., Donald 12/7/2012
10/7/2011Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN175443Shumate, Jr., Donald 6/19/2012
12/6/2013Pablo Perez, MD 1102 W Waugh St Dalton GA 3072047502RN207614Shumway, Gina Hiatt
11/7/2008Rex Ajayi, MD 803 N. Jackson Street Albany GA 3170119123RN100140Siau, Rodney Kenneth
4/4/2014Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004621464RN178422Siddle, Jennifer Elizabeth
2/6/2014Shveta Raju, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004666052RN178422Siddle, Jennifer Elizabeth 2/9/2014
9/13/2013Philip Henderson, MD 2696 Lawrenceville‐Suwanee Rd Suwanee GA 3002447601RN178422Siddle, Jennifer Elizabeth 12/6/2013
4/13/2007William A. Mills, MD 12192 Augusta Road Lavonia GA 3055350901RN027377Siefferman, Patricia Anne Thom 5/18/2007
4/3/2008Andrew Dott, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034233314RN069917Silberstein, Debra Janis
3/6/2014Lavon Thurman, Jr, MD 1200 Og Skinner Dr. West Point GA 3183319791RN235628Simmons, Jennilyn Alexis
2/6/2014Barbara Nelson, MD 531 Duvall Rd Chatsworth GA 3070554628RN188913Simmons, Pamela Jean
10/5/2012Jeffrey Haller 104 Prominence Point Pkwy, Ste 104 Canton GA 3011455826RN188913Simmons, Pamela 2/1/2014
1/6/2012Mendez, Traceyan MD 215 N. Coleman Street Swainsboro GA 3040157831RN069115Simmons, Carol
8/5/2011George Petro, MD 59 Tipton Drive Dahlonega GA 3053362155RN077582Simmons, Vickie Lynn
8/5/2011Ramzi Ghosn, MD 1078 Lumpkin Campgrd Rd, Suite 100 Dawsonville GA 3053457974RN077582Simmons, Vickie Lynn Miller
7/10/2009Muhammad Jamal, MD 452 Second Street Soperton GA 3045758255RN069115Simmons, Carol Collins 10/31/2011
Wednesday, May 07, 2014 Page 261 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2009Paul Bradley, MD 340 Eisenhower Drive, Suite 1200 Savannah GA 3140630016RN077580Simmons, Eleanor Dodd Kilroy 5/1/2012
7/11/2008Robert Wirt, DO 597 South Enota Drive Gainesville GA 3050126686RN077582Simmons, Vickie L.
12/7/2007Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN077582Simmons, Vickie Lynn Miller
10/5/2012William Sightler, DO Riverbend Corr Fac ‐ 196 Laying Farm Rd
Milledgeville GA 3106134715RN115640Simon, Patricia Ann 2/15/2013
1/9/2014AnnMarie Stokes, MD 4356 Communications Dr Norcross GA 3009363963RN140232Simone, Katherine Elizabeth L'E
7/12/2012King, Paul MD 285 Boulevard NE, Ste 640/415 Atlanta GA 3031236198RN179700Simonishvili, Suzana
5/1/2014Gayoung Hong, MD 13570 N. Main St Trenton GA 3075267467RN203796Simpson, William Andrew
12/6/2013W. Clark Connell, MD 915 Gordon Ave, Emer Dept Thomasville GA 3179258733RN172839Simpson, Melissa Ann
6/7/2013George Kramer, MD 55 Whitcher St, Suite 350 Marietta GA 3006030807RN141041Simpson, Utopia Teresa
2/7/2013Michael O'Grady, MD 5422 Hwy 20 Sugar Hill GA 3051841189RN141041Simpson, Utopia T.
11/2/2012Vitaliy Gavrikov, MD 5422 Hwy 20 Sugar Hill GA 3051861430RN141041Simpson, Utopia Teresa 3/1/2013
12/3/2010Gary Minkiewicz, MD 200 S. Enota Dr, Suite 200 Gainesville GA 3050139182RN176728Simpson, Rebecca Ashley Evans
8/7/2009Jon Stauffer, MD 301 W. Hansell St Thomasville GA 3179247950RN172839Simpson, Melissa Ann 2/21/2013
2/5/2009Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN085039Simpson, Connie Lynn 2/12/2009
2/7/2008Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN085039Simpson, Connie Lynn 10/1/2008
5/1/2014Nalini Narayan, MD 705 Ambulance Dr Carrollton GA 3011644287RN176715Sims, Melanie Wester
4/4/2014Philip Ploska, MD 105 Regency Park Dr McDonough GA 3025336848RN155250Sims, Lisa Nicole
1/7/2011Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN155250Sims, Lisa Nicole 3/2/2014
Wednesday, May 07, 2014 Page 262 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2009Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN153608Sims, John Winfield 4/15/2010
7/10/2009Bhat Mohan, MD 6507 Professional Place Riverdale GA 3027419407RN155250Sims, Lisa Nicole 9/10/2010
4/2/2009Harold Katner, MD 135 Macon West Drive Macon GA 3120128021RN057867Sims, Christy Little 3/26/2013
1/9/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN153608Sims, John Winfield 5/1/2009
10/10/2013Lee Wilkes, MD 4426 Hugh Howell Rd, Suite B‐303 Tucker GA 3008441033RN179410Sinclair, Kayon Ayton
5/7/2009Sandhya Ramayya, MD 5398 Thomaston Road Macon GA 3122056469RN075214Sinclair, Joann Sams
11/1/2007Loy Cowart, III, MD 601 South Main Street Glennville GA 3042737979RN177668Sineath, Dana Thorneburg 6/30/2008
4/13/2007Sandra Kae Bohnstengel, MD
391 South 1st Street Jesup GA 3154538692RN177668Sineath, Dana Thorneburg 3/5/2008
5/3/2013James A. Sirleaf, MD 417 Third Ave. Albany GA 3170167036RN226825Singer, Lamarquis D.
6/3/2011Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN149692Singer, Virginia Mae 10/13/2011
5/9/2008Tod Bethea, MD 536 Hwy 441 South Clayton GA 3052542016RN139651Singer, Margaret Leigh 9/23/2011
2/5/2010Brij Singh, MD 1181 Old Summerville Rd Rome GA 3016543777RN134406Singh, Kelli Leigh
7/11/2008H. Paul LeBlanc, MD 109 Hospital Drive Calhoun GA 3070124012RN134406Singh, Kelli Leigh 9/15/2009
11/2/2012Kesha L. Allen, MD 417 Third Ave. Albany GA 3170157920RN175972Singleton, Dawn B.
6/8/2012Robinson, Todd MD 14 Cherokee Road Cedartown GA 3012540773RN109487Singleton, Cynthia
1/7/2011Jay Thomas, MD 5764 New Calhoun Hwy NE Shannon GA 3017247997RN091620Singleton, Judy Fay Keener 12/31/2010
1/7/2010Joseph Biuso, MD 330 Turner McCall Blvd Rome GA 3016528726RN091620Singleton, Judy Fay Keener 11/30/2010
12/4/2009Albert Lintel, MD 775 West Ave, Suite A Cartersville GA 3012028595RN109487Singleton, Cynthia Lynn 1/31/2013
Wednesday, May 07, 2014 Page 263 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2009Dmitriy Pelishev, DO 65 Old Jackson Rd McDonough GA 3025262154RN169712Singleton, Leslie Anne 7/1/2011
4/3/2008William Asbury, MD 775 West Avenue, Suite A Cartersville GA 3012052139RN109487Singleton, Cynthia Lynn 2/21/2009
12/7/2007James Collins, Jr, MD 330 Turner McCall Blvd, Ste 101 Rome GA 3016529833RN091620Singleton, Judy Fay Keener
9/14/2007David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN135490Siniard, Susan Ashley
9/14/2007Jennifer Lawrence, MD 3018 N. Patterson St. Valdosta GA 3160244001RN098278Sinnott, Anita D.
10/7/2011Vicki Knight‐Mathis, MD 2920 Marietta Hwy, Suite 142 Canton GA 3011447337RN167888Sipe, Erin Brooke Harris
1/6/2012Murphey, James MD 2578 Helen Hwy Cleveland GA 3052864161RN144549Sisk, Carrie
7/11/2013Thomas Mullin, MD 126 Sequoyan Trail Ringgold GA 3073639882RN185647Sissom, Kasey Nicole
2/5/2009Thomas Murray, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050123194RN102486Sisson, April Buffington
9/11/2008Frances Owen, MD 172 Follins Lane St. Simon's Island GA 3152240973RN186468Sizer, Cathy Jean
1/11/2013David Weems, MD 27 Lester Rd. Statesboro GA 30458‐476428100RN175214Skipper, Alan
3/6/2009Jacques Dion, MD 1365‐B Clifton Rd, # 2200 Atlanta GA 3032245201RN144854Skukalek, Susana Libhaber
2/5/2009Charles Cawley, MD 1365‐B Clifton Rd, #2200 Atlanta GA 3032245741RN144854Skukalek, Susana Libhaber
9/3/2009Emmett Berry, MD 3888 Northside Dr Macon GA 3121023905RN117428Slade, Jennifer Johnson
4/3/2008Andrew Dott, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034233314RN193511Slade, Ashley Pierce
2/7/2013Bernard Maria, MD 1440 Harpo Street Augusta GA 3091262741RN149527Slagle, Kathleen
12/6/2013Susan Thomas, MD 2464 Roswell Rd Marietta GA 3006267173RN107276Slaughter, Traci Lynn
5/4/2012Weatherspoon, Bryan MD 51 Lindsey Lane Kingsland GA 3154833482RN051489Slay‐Chipp, Cathy
8/2/2007Olugbenga Awe, MD 242 South Coastal Hwy 17 Brunswick GA 3132048329RN051489Slay‐Chipp, Cathy Elizabeth
Wednesday, May 07, 2014 Page 264 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/7/2008Mark Hutson, MD 1875 Century Blvd NE, Suite 150 Atlanta GA 3034535908RN054948Slemp, Marietta Shell
9/13/2013Kim Jelks, MD 51 Gay Connector Greenville GA 3022229123RN199065Small, Amanda Leigh
10/5/2012Joseph DeVeau, MD 101 Yorktown Dr., Ste 110 Fayetteville GA 3021452706RN199065Small, Amanda
7/12/2012Burke, Charles MD 1008 North 3rd Avenue Chatswworth GA 3070558876RN199065Small, Amanda 1/21/2013
5/1/2014Thaddeus L. Chapman, MD 550 Peachtree St., Ste 1615 Atlanta GA 3030864380RN155251Smarr, Sherishe
4/1/2010Terri McFadden, MD 35 Jesse Hill Jr Dr Atlanta GA 3030332110RN060906Smikle, Gloria V
2/7/2008Michael Lindsay, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030327602RN103800Smillie, Anna Katharine
8/2/2007Micheal Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN103800Smillie, Anna Katharine 1/1/2008
4/4/2014Eileen Javellana, MD 743 Spring St Gainesville GA 3050145841RN148808Smith, Melissa Lynn
3/6/2014Kevin Kurey, MD 101 Regency Park Dr, Suite 130 McDonough GA 3025345862RN162256Smith, Rachel Stallings
1/9/2014Jeffrey Haller, MD 104 Prominence Point Pkwy, Suite 104 Canton GA 3011455826RN051699Smith, Nancy Willis
1/9/2014Chloe Armstead, DO 500 18th St, Suite B‐20 Columbus GA 3190170699RN128471Smith, Tara Newman
10/10/2013Laura Mulloy, DO 1120 15th St, Suite BA‐9413 Augusta GA 3091233412RN140291Smith, Robert Scott
10/10/2013Nathan Feibelman, MD 144 Pierce Ave Macon GA 3120428768RN184094Smith, Jamie Alice
10/10/2013Salvador Ramos‐Camacho, MD
298 US Hwy 520 Cusseta GA 3180569937RN045397Smith, Rebecca
9/13/2013Eddie Richardson, MD 105 Harmony Crossing, Suite 3 Eatonton GA 3102452047RN113417Smith, Daniel Joe
8/9/2013Jeffrey Oyler, MD 1968 Peachtree Rd NW Atlanta GA 30309641191RN195010Smith, Brianne Clare
8/9/2013Cynthia Libert, MD 48 Haralson Pl, Suite 1 Blairsville GA 3051259457RN181932Smith, Deborah Jean
Wednesday, May 07, 2014 Page 265 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Candice Wallace, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004630918RN135643Smith, Kimberly Marie Montroy
8/9/2013Yolanda Graham, MD 1291 Stanley Rd NW Kennesaw GA 3015238001RN057008Smith, Janet Lynn Campbell
8/9/2013Brian DeLoach, MD GSU, Bldg 0404 Forest Dr, PO Box 8043 Statesboro GA 3046051216RN118154Smith, Beverly Blige
8/9/2013James Smith, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004659763RN154813Smith, Alisha Aikens
8/9/2013Cameron Nixon, MD 907 E 18th St, Suite 209 Tifton GA 3179455155RN188644Smith, Elizabeth E
4/4/2013Abiola Babalakin, MD 4720 Peachtree Industrial Blvd, #4101 Norcross GA 3007162467RN185152Smith, Brenda Simpson
4/4/2013Nandara R. Reddy, MD 4415 Front Nine Dr., #700 Cumming GA 3004155641RN192533Smith, Marjorie Jordan 1/24/2014
3/8/2013Marvyn Cohen, MD 500 18th St, Suite B‐20 Columbus GA 3190111213RN128471Smith, Tara Newman 11/15/2013
1/11/2013Dan Ioanitescu, MD 940 GA Hwy 96 Warner Robins GA 3108851476RN184094Smith, Jamie A.
12/7/2012Rhonda E. Colombo, MD 1120 15th St. Augusta GA 3091254985RN082793Smith, Anne L.
11/2/2012Anthony J. Marchetti, MD 801 W. Goram St. Thomaston GA 3028631471RN113417RN113417
Smith, Daniel J.
10/5/2012Ambrous Findley, Jr., DO 331 Ridgecrest Cr. Clayton GA 3052528267RN117533Smith, Patricia Lynn
10/5/2012Clyde Simmons, MD 330 Benjamin H Hill Dr Fitzgerald GA 3175017301RN060915Smith, Lynne D.
10/5/2012Farid Qazi, MD 207 Fairview Park Dr. Dublin GA 3102135737RN195210RN195210
Smith, Cassie H. 4/29/2013
9/13/2012Van, David MD 747 S. Hill St Griffin GA 3022429545RN113417Smith, Daniel
9/13/2012David Dean, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030964808RN 182748Smith, Meghan
8/10/2012Battey, Patrick MD 95 Collier Rd, Ste 5015 Atlanta GA 3030924388RN080577Smith, Cherie
7/12/2012Addington, Tony MD 39 Kent Road, Ste 5 Tifton GA 3179452526RN060915Smith, Lynne 8/3/2012
Wednesday, May 07, 2014 Page 266 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Ahmed, Kashjf MD 2200 Hwy 155 North McDonough GA 3025261547RN218375Smith, Stephanie
6/8/2012Palmer, George MD 1012 Bermuda Run Road Statesboro GA 3045830658RN188916Smith, Jessica 9/30/2013
5/4/2012Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN038139Smith, Wanda 5/10/2012
5/4/2012Johnson, Miles MD 3001 S. Cobb Dr #103 Smyrna GA 3008038817RN172144Smith, Chrystal Dawn 2/4/2014
5/4/2012Mendez, Traceyan MD 215 North Coleman Street Swainsboro GA 3040157831RN081837Smith, Kathryn
2/3/2012Charles‐Pryce, Pamella MD 2800 Overlook Pkwy Atlanta GA 3033958155RN057008Smith, Janet 6/15/2013
1/6/2012Maruyama, Hiromi MD 222 S. Main Street Reidsville GA 3045360744RN081837Smith, Kathryn 4/20/2012
12/1/2011Webb, Lawrence MD 840 Pine Street Ste 500 Macon GA 3120163230RN113417Smith, Daniel
12/1/2011Grizzard, Stewart MD 136 w. Dykes Street Cochran GA 3101443947RN156452Smith, Nicole
11/3/2011Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN188916Smith, Jessica 1/24/2012
11/3/2011Robin Fowler, MD 1388 Wellbrook Circle, Suite A Conyers GA 3001252931RN150223Smith, Allison Leigh
10/7/2011Rhodes, Melissa MD 21 Pointe North Drive Cartersville GA 3012047060RN051699Smith, Nancy 9/10/2013
10/7/2011Keown, Kevin MD 330 Peachtree St Jesup GA 3154529897RN085868Smith, Tandy
6/30/2011Curtis Sorensen, MD 100 Brookstone Center Pkwy Columbus GA 3190439947RN154964Smith, Julie Ann
5/6/2011Peter Allotey, MD 2660 Montpelier Ave Macon GA 3120445693RN157400Smith, Kristine Marie 4/20/2012
5/6/2011Eugene Jackson, MD 151 S. Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN124380Smith, James Craig
5/6/2011Andre McShan, MD 5 Barber Industrial Court Villa Rica GA 3018054869RN057008Smith, Janet Lynn Campbell 11/30/2011
4/1/2011Lynn Flowers, MD 601 South 8th St, Emer Dept Griffin GA 3022456708RN207746Smith, Clover Jean
2/4/2011Pablo Balboa‐Marciack, MD 100 Hospital Court Calhoun GA 3070155409RN102046Smith, Jennifer Martinez 1/6/2013
Wednesday, May 07, 2014 Page 267 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2010Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN178265Smith, Mary Elizabeth 8/1/2013
10/8/2010Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN059221Smith, Susan Rice 9/15/2012
9/2/2010Olakunle Aina, MD 2000 Palmyra Rd Albany GA 3170148968RN113417Smith, Daniel Joe
8/6/2010Titus Duncan, MD 285 Boulevard NE, Ste 120 Atlanta GA 3031220692RN173666Smith, Kathryn Olivia
8/6/2010Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN192533Smith, Marjorie Jordan 12/25/2012
7/1/2010John Souza, MD PO Box 16100 Dublin GA 3104039475RN124380Smith, James Craig 9/6/2011
7/1/2010Debora Quigley, MD 178 Hospital Cir Blairsville GA 3051236601RN181932Smith, Deborah Jean
6/4/2010Paul Bradley, MD 315 Eisenhower Drive Savannah GA 3140630016RN160488Smith, Kristina Marie 6/11/2012
6/4/2010William Early, MD 320 Hospital Road Canton GA 3011420694RN051699Smith, Nancy Willis
5/7/2010Gloria Kayfan, DO PO Box 1908 Albany GA 3170148431RN113417Smith, Daniel Joe 7/16/2010
4/1/2010Douglas LaSuer, MD 105 E. Tollison St Baxley GA 3151361474RN038139Smith, Wanda Gail Hollis 9/1/2011
2/5/2010Terry Hansen, MD 184‐A Professional Dr Baldwin GA 3051147330RN063641Smith, Tina Carita
12/4/2009David Suh, MD 1468 Montreal Road Tucker GA 3008457848RN169748Smith, Jennifer Bedwell
11/5/2009Quyen Luu, MD 639 Hemlock St, Suite 200 Macon GA 3120125216RN154107Smith, Amanda Kelley
10/2/2009Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN057008Smith, Janet Lynn Campbell 1/31/2011
8/7/2009Clyde Granville Simmons, MD
907 East 18th St, Suite 400 Tifton GA 3179417301RN060915Smith, Lynne D. 6/8/2012
7/10/2009Rajeshkumar Miniyar, MD 140 Three Rivers Drive Rome GA 3016151597RN192262Smith, Alicia Louise 7/31/2013
7/10/2009Muhammad Jamal, MD 154 S. Leroy Street Metter GA 3043958255RN081837Smith, Kathryn Anne Edenfield 10/31/2011
Wednesday, May 07, 2014 Page 268 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/5/2009T. Dennis Sullivan, MD 3795 Mansell Road Alpharetta GA 3002215512RN089788Smith, Allison Bernice Reeves
6/5/2009John Demicco, MD 11700 Mercy Blvd, Plaza D, #1‐A Savannah GA 3141916855RN160488Smith, Kristina Marie 4/8/2010
4/2/2009Hubert Smith, MD 412 Northside Dr East, Suite 200 Statesboro GA 3045818745RN118154Smith, Beverly Blige 3/20/2013
1/9/2009David Kocherla, MD PO Box 908 Albany GA 3170745855RN113417Smith, Daniel Joe
12/4/2008Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN057008Smith, Janet Lynn Campbell 10/17/2009
12/4/2008Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN156014Smith, Amy Denise Ellsworth 1/12/2011
10/2/2008Jeffrey Grossman, MD 5555 Peachtree Dunwoody Rd, Suite G99
Atlanta GA 3034246109RN150223Smith, Allison Leigh
9/11/2008Asit Jha, MD 1706 Alice Street Waycross GA 3150155248RN133916Smith, Mary Katherine 1/16/2010
7/11/2008Larisa Bradford, MD 906 South Wall Street Calhoun GA 3070157050RN102046Smith, Jennifer Martinez 9/14/2009
7/11/2008Fred Hood, MD 65 Old Jackson Rd McDonough GA 3025245071RN192533Smith, Marjorie Jordan 3/28/2009
7/11/2008Howard Silverman, MD 3400‐C Old Milton Pkwy, Suite 545 Alpharetta GA 3000535521RN133503Smith, Susan Leigh Algood
6/6/2008Cherilyn Zellner, MD 508 W. Elm Street Wrightsville GA 3109643153RN125326Smith, Olivia P.
6/6/2008Shawn West, MD 907 E. 18th Street, Ssuite 400 Tifton GA 3179452495RN060915Smith, Lynne Elise DeBelly 6/15/2009
5/9/2008Benjamin Andrews, MD 100 Wheatley Drive Americus GA 3170931867RN113417Smith, Daniel Joe
5/9/2008Michael Fortson, MD 1058 Bear Creek Blvd Hampton GA 3022835051RN192533Smith, Marjorie Jordan 8/15/2008
12/7/2007Jeffrey Easom, DO 3051 Watson Blvd Warner Robins GA 3109354269RN124380Smith, James Craig
12/7/2007Paul Jarrett, MD 3051 Watson Blvd Warner Robins GA 3109323069RN124380Smith, James Craig
12/7/2007Sambasivam Suthan, MD 502‐G South Lee Street Americus GA 3170959773RN113417Smith, Daniel Joe 7/8/2008
Wednesday, May 07, 2014 Page 269 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2007Derrick Phillips, DO 3051 Watson Blvd Warner Robins GA 3109329514RN124380Smith, James Craig
11/1/2007Wayne Williams, MD 616 19th Street Columbus GA 3190125070RN113417Smith, Daniel Joe 11/28/2007
10/4/2007Marie Baudean, MD 980 Hwy 29 South Lawrenceville GA 3004523898RN089788Smith, Allison Bernice Reeves
9/14/2007Theodore Lee, MD 1938 Peachtree Rd. Atlanta GA 3030924014RN115453Smith, Ellen Gray
9/14/2007Evelyn Johnson, MD 105 E. Tollison St. Baxley GA 3151356182RN038139Smith, Wanda Gail Hollis
9/14/2007Clifford Cranford, MD 1755 Hwy 34 East, Suite 2400 Newnan GA 3026322738RN112907Smith, Marlo Patrice
6/8/2007Umbreen Lodi, MD 82 Jesse Hill Drive Atlanta GA 3030345284RN115453Smith, Ellen Gray
4/13/2007Clyde Cranville Simmons, MD
907 E. 18th Street Tifton GA 3179417301RN060915Smith, Lynne D. 4/28/2008
1/9/2014Kenneth Hayman, MD 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 3074229182RN206506Smith‐Vaughn, Melissa Joy
11/2/2012Roger Brooksbank, MD 501 Redmond Road Rome GA 3016568120RN206506Smith‐Vaughn, Melissa 10/31/2012
3/1/2012Marshall, John MD 1200 Memorial Drive Emer Dept Dalton GA 3072045877RN206506Smith‐Vaughn, Melissa 10/31/2012
11/3/2011Perlaky, Steven MD 100 Gross Crescent Circle Ft. Oglethorpe GA 3074241639RN206506Smith‐Vaughn, Melissa 8/18/2012
11/3/2011Boyd, Ronald MD Blandy Way Office Park 60, Hwy 22 W Milledgeville GA 310619438RN155696Snead, Keshana
4/3/2008Andrew Dott, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034233314RN058761Snead, Laurie Johnston
8/10/2012Kavtaradze, David MD 1008 7th Street North Cordele GA 3101551148RN169913Sneed, Holly
4/1/2010Julia Wilson, MD 3740 Cascade Rd Atlanta GA 3033156787RN073598Snider, Teresa Gale Oldham 6/19/2013
7/10/2009Derron Jones, MD 6000 N. Terminal Pkwy, Suite 315 Atlanta GA 3032059983RN073598Snider, Teresa Gale Oldham
7/10/2009Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN133811Snow, Kimberly Sheree Tucker
Wednesday, May 07, 2014 Page 270 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/7/2008Jonathan Parrott, MD 2501 N Patterson Street Valdosta GA 3160236246RN133811Snow, Kimberly Sheree Tucker 4/26/2009
4/13/2007Daniel J. Messcher, MD Fairburn Stud Hlth Ctr/North Oak Street Valdosta GA 3169848443RN133811Snow, Kimberly Sheree Tucker 3/21/2009
9/14/2007David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN124381Snuggs, Barbora Cerny 11/12/2010
1/9/2014Christopher Hagenstad, MD 631 Professional Dr, Suite 450 Lawrenceville GA 3004652738RN069952Snyder, Cynthia Tucker
8/13/2012David Fieseler, MD 523 West Main street Thomaston GA 3028617756RN176058Snyder, Amanda
1/7/2011Michael Duke, MD 120 Barnet Dr Milledgeville GA 3106142041RN191842Snyder, Tomoko 1/13/2012
6/4/2010Andre Lewis, MD 511 Masters Circle Dublin GA 3102140457RN191842Snyder, Tomoko 8/30/2010
4/1/2010Paul Johnson, MD PO Box 422002 Atlanta GA 3034246132RN127019Snyder, Ann Marie McGuire
8/7/2009William Delp, DO 4589 Lawrenceville Rd Loganville GA 3005217791RN069952Snyder, Cynthia Tucker
6/30/2011Hillary Hahn, MD 340 Kennestone Hosp Blvd, #200 Marietta GA 3006048051RN138753Sobolik, Kim Elise Wakely
6/8/2007Janice Galleshaw, MD 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 3000533906RN138753Sobolik, Kim Elise Wakely
1/7/2011Folashade Omole, MD 5985 Peachtree Pkwy Norcross GA 3009249074RN111832Soehnlein, Regina Louise
8/7/2009Valens Plummer, MD 7530 Roswell Rd Atlanta GA 3035049496RN111832Soehnlein, Regina Louise 7/25/2011
5/3/2013Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN197261Sollie, Michael Eland
10/7/2011Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN215505Soltwisch, Meagan 1/31/2012
11/2/2012Thomas M. Pantino, MD 3795 Mnsell Rd. Alpharetta GA 300223904RN080808Sommers, Tanya C.
6/8/2012Stetler, Harrison MD 3957 Holcomb Bridge Rd Ste 100 Norcross GA 3009241681RN080808Sommers, Tanya 2/1/2013
5/1/2014Charles Betz, MD 809 S Broad St Rome GA 3016117130RN176209Sone, Gladys Epote
5/1/2014Donald Evans, MD 78 Opal St Cartersville GA 301209810RN176209Sone, Gladys Epote
Wednesday, May 07, 2014 Page 271 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/7/2013Gaston Moran‐Celayes, MD 618 East Lamar St Americus GA 3170964675RN063963Songer, Betty Jo 9/6/2013
10/8/2010B. Bret Law, MD 131 E. 6th Ave Buena Vista GA 3180346879RN063963Songer, Betty Jo 7/31/2011
1/9/2014Christopher Atkins, MD 1266 Hwy 515 South, Emer Dept Jasper GA 3014345708RN183659Sorace, Breanna Leigh
12/7/2012David L. Dickensheets, MD 1100 Northside Forsyth Dr., Ste 250 Cumming GA 3004145769RN183659Sorace, Breanna L.
9/11/2008John Henson, MD 108 Prominence Ct, Suite 200 Dawsonville GA 3053429885RN123875Sosebee, Dawn Mooney
8/10/2012William Lynds, MD 3003 Old Alabama Road Alpharetta GA 3002233140RN124958Sostre, Maria
12/4/2008Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN124958Sostre, Maria Rosa 8/24/2012
8/9/2013Dennis Estep, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074225429RN229423Spada, Mary Kathryn
7/12/2012Aicher, John MD 2712 Hwy 411 SE Fairmount GA 3013926432RN107315Sparks, Tony
2/3/2012Oller, Carlo MD 960 Joe Frank Harris Pkwy Cartersville GA 3012065719RN107305Sparks, Tony
6/30/2011Byron Littlefield, DO 2712 Hwy 411 SE Fairmount GA 3031928810RN107315Sparks, Tony Lewis
7/11/2008John Sparti, DO PO Box 89 Dallas GA 3013216148RN065096Sparti, Frances Lillian
8/2/2007Michael Gervasi, DO 75 Bypass Road, Box 540 Morganton GA 3056044923RN065096Sparti, Frances Lillian 10/4/2007
2/7/2008Garrett Barnes, MD 304 Turner McCall Blvd Rome GA 3016544163RN096054Spaulding, Micah Derrick
1/9/2014G W Garriss, III, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN154322Spearman, Amy Louise
2/5/2010Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN154322Spearman, Amy Louise Erickson 7/31/2012
9/14/2007Kevin F. Smith, MD 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 3014441961RN154322Spearman, Amy Louise Erickson 9/30/2009
12/3/2010Gary Minkiewicz, MD 200 S. Enota Dr, Suite 200 Gainesville GA 3050139182RN145966Spell, Samantha Suzanne
9/11/2008Patrick Spafford, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032838971RN139992Spencer, Leigh Winter
Wednesday, May 07, 2014 Page 272 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/10/2013Langston Cleveland, MD 4468 Union Rd Tifton GA 3179446584RN066989Spicer, William Troy
5/1/2014Jonathan wade, DO 204 East 15th St Alma GA 3151066666RN149993RN149993
Spikes, Ladonna Lorraine
7/11/2008James Logan, MD 1062 Forsyth St, Suite 2C Macon GA 3120140465RN131673Spinks, Victoria Sanvidge
9/14/2007P. Ravi Sarma, MD 1700 Tree Lane Ste 490 Snellville GA 3007818073RN157974Spinks, Katherine Renee 9/30/2008
3/1/2012Honeycutt, Deborah MD 2000 Clayton State Blvd SC 211 Morrow GA 3026038633RN135827Spinolo, Julia
5/1/2014Robert Blackwell, MD 3708 Northside Dr Macon GA 3121050128RN145338Spires, Kimberly Warren
11/5/2010Carmine Oddis, MD 682 Hemlock St, Suite 490 Macon GA 3120151072RN145338Spires, Kimberly Warren 2/5/2014
7/11/2013Robert Clark Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN167104Springman, Courtney Louise
10/5/2012Brian Kogon, MD 1405 Clifton Rd. Atlanta GA 3032253322RN167104Springman, Courtney
6/8/2012Tamara New, MD 5455 Meridian Mark Road, Ste 400 Atlanta GA 3034258712RN167104Springman, Courtney 7/31/2013
2/5/2010Paul Kirshbom, MD 1405 Clifton rd Atlanta GA 3032251593RN167104Springman, Courtney Louise 7/12/2012
9/13/2013Rembert Williams, MD 2122 Manchester Exprwy, Emer Dept Columbus GA 3190428105RN162398Sprout, Amanda Marie Baldwin
3/4/2011Rembert Andrew Williams, MD
710 Center St, Emer Dept Columbus GA 3190128105RN162398Sprout, Amanda Marie 8/1/2013
1/7/2010Linda Moore, MD 610 19th Street Columbus GA 3190155849RN162398Sprout, Amanda Marie Baldwin 12/16/2010
11/5/2009Thomas Isenovski, DO 2122 Manchester Expressway Columbus GA 3190455602RN162398Sprout, Amanda Marie Baldwin 9/20/2013
12/6/2013Vanessa Stewart, MD 820 St Sebastian Way, Suite 4‐A Augusta GA 3090155201RN070342Spurr, Melissa Marie
6/8/2007Alfred Brannen, MD 818 St. Sebastian Way Augusta GA 3090130584RN070342Spurr, Melissa Marie 9/20/2012
4/2/2009Grace Chin‐Yut, MD 2100 Comer Avenue, Plaza G Columbus GA 3190240886RN170535St. Louis, Latersha Sherrell
Wednesday, May 07, 2014 Page 273 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009Timothy Whitaker, MD 2855 Old Hwy 5, Suite 109 Blue Ridge GA 3051354697RN169872Stafford, John David 8/20/2012
9/13/2013Phillip Nowlin, MD 3384 Peachtree St NE, Suite 700 Atlanta GA 3032636588RN117738Staines, Kelly Lochridge 10/26/2013
2/5/2010Cynthia Brown, MD 400 Timms Road Calhoun GA 3070149876RN117738Staines, Kelly Lochridge 1/31/2012
1/9/2014Federico Milla, MD 95 Collier Road Suite 5015 Atlanta GA 3030969356RN146014Stallings, Judith Anna
6/30/2011Sackdinanh Keomahathai, MD
550 Redmond Rd Rome GA 3016551054RN147939Stallings, Kimberly Ann
2/5/2010Christopher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006721796RN127250Stamegna, Lynn Mary
4/1/2011Gretchen Diaz‐Lopez, MD 2709 Airport Rd, Suite 101 Dalton GA 3072152918RN052926Stamm, Alice Marie Nash
9/3/2009James Millen, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080930834RN113457Stamper, Michael Scott 2/6/2010
9/14/2007Ralph Marionneaux, MD 465 North Belair Road, Suite 1‐C Evans GA 3080947621RN113457Stamper, Michael Scott 9/3/2009
4/13/2007Daryl Carson Wiley, MD 315 Fluker Street Thomson GA 3082432327RN113457Stamper, Michael Scott
1/9/2009Divina Dyer, MD 3740 Cascade Road Atlanta GA 3033157161RN105323Stamps, Tracy Elaine 4/5/2010
11/8/2013Byron Sizemore, MD 100 Mimosa Dr, 2nd Floor Thomasville GA 3179263959RN205273Stanaland, Leslie Carrie
1/6/2012Smith, Ronnie MD 543 Jonesb oro Road McDonough GA 3026345338RN169676Stancel, Stephanie
4/4/2014Eduard Docu, MD 1302 Drayton St Savannah GA 3141056426RN175956Standiford, Christen Faith
5/4/2012Gard, Dwayne MD 4700 Waters Avenue Savannah GA 3140460731RN175956Standiford, Christen 11/5/2013
1/7/2011Larry Appel, MD 4700 Waters Ave Savannah GA 3140458568RN175956Standiford, Christen Faith 2/20/2012
11/7/2008James McAvoy, MD 109 College Avenue Elberton GA 3063518696RN077658Stanfill, Teresa Lyn Bradberry
9/2/2010Franklin Von Hack, MD 861 Holcomb Bridge Rd Roswell GA 3007639501RN117053 3/12/2011
Wednesday, May 07, 2014 Page 274 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/9/2009Frederick Sengstacke, II, MD
861 Holcomb Bridge Rd, Suite 200 Roswell GA 3007642937RN117053 6/7/2010
2/5/2009Robert Strauss, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010627307RN042551Stariha, Linda Sadler
10/10/2013Nagma Lott, MD 107 Main St Plains GA 3178060504RN066998Stark, Suzanne
6/7/2013Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN066998Stark, Suzanne 10/1/2013
9/14/2007Alluri Raju, MD 650 Alston Street Richland GA 3182522626RN066998Stark, Suzanne 4/8/2013
12/4/2009John Shoffner, MD 1 Dunwoody Park South, Suite 250 Atlanta GA 3033832655RN159717Starnes, Maureen E.
9/11/2008Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN159717Starnes, Maureen E. 8/21/2009
10/5/2012Amy Bailey, MD 7850 Hwy 145 Carnesville GA 3052162809RN093153Starrett, Laura Lynn Collins
8/5/2011Julian Sharpton, MD 1850 Hwy 145 Carnesville GA 3052117084RN093153Starrett, Laura Lynn Collins
3/6/2014Michael Busman, MD 800 GA SW State Univ Dr Americus GA 3170940628RN111226Statham, Annie Denise
1/7/2010Kristy Carter, MD 11 Charlie Morris Rd Colbert GA 3062862666RN169008Stauff, Bertha Nichols
3/8/2013Susan Wheatley, MD 6385 McGinnis Ferry Rd., #202 Johns Creek GA 3000531357RN187046Steding, Dawnelle S. 12/13/2013
3/29/2012Huff, Philip MD 6385 McGinnis Ferry Rd, Ste 202 Johns Creek GA 3000526872RN187046Steding, Dawnelle
2/5/2010John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN187046Steding, Dawnelle Shaw 1/28/2013
4/4/2013Eric Gibney, MD 1968 Peachtree Rd N,W Bldg 77, 5th Floor
Atlanta GA 3030961884RN064448Steele, Katherine Long 2/10/2014
1/11/2013Theresa M. Courtney, MD Park 60, Georgia 22 Milledgeville GA 3106127043RN147012Steelman, Brittany C. 5/1/2013
3/29/2012Caplan, Howard MD 620 Broad Street Milledgeville GA 3106215916RN147012Steelman, Brittany 9/1/2013
9/2/2010Theresa Courtney, MD 2283 Vinson Hwy Milledgeville GA 3106227043RN147012Steelman, Brittany Carnley 1/31/2012
Wednesday, May 07, 2014 Page 275 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/4/2012Kinsey, Gary MD 4 North Main Street Maysville GA 3055830637RN209945Steerman, Holly
12/6/2013Bruce Ramsdell, MD 3145 Peachtree Rd NE, Suite 165 Atlanta GA 3030518722RN230998Stegall, Carolyn Lovejoy
4/4/2013Ariana Buchanan, MD 1800 Peachtree St NW, Suite 720 Atlanta GA 3030948323RN076478RN076478
Stein, Christina Lynn Bisca
5/6/2011Jon Stahlman, MD 2390 Wall St Conyers GA 3001349207RN076478Stein, Christina Lynn Bisca 12/23/2013
9/13/2013William Mahle, MD 1405 Clifton Rd NE, Heart Transplant Atlanta GA 3032250110RN124632Steinmetz, Jami Dearmon
6/4/2010Claudia Venable, MD 1001 Johnson Ferry Rd Atlanta GA 3034250455RN124632Steinmetz, Jami Dearmon
3/6/2009Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN124632Steinmetz, Jami Dearmon 8/23/2013
5/1/2014Larry Mellick, MD 423 Crawford Ave Augusta GA 3090442892RN203151Steinmeyer, Ashleigh Lauren
6/8/2012Ahmed, Emad MD 385 Hawthorne Lane, Ste 200 Athens GA 3060645157RN191455Stell, Flora 7/25/2012
10/8/2010Jay Prakash, MD 4865 Bill Gardener Pkwy Locust Grove GA 3024825986RN145780Stemberger, Jennifer Williams
3/8/2013Chandresh Viradia, MD 100 Jim Mason Ct, Suite A Warner Robins GA 3108853050RN207096Stembridge, Fredicia LaSandra
11/8/2013George Rafeedie, MD 2878 Five Forks‐Trickum Rd, Suite 2A Lawrenceville GA 3004467591RN170552Stemp, Linda Denise
11/2/2012Bryan D. Blake, MD 1650 Honey Creek Commons, Ste F Conyers GA 3001340613RN170552Stemp, Linda D.
10/5/2012William Stinnette, MD 1650 Honey Creek Commons Conyers GA 3001346499RN170552Stemp, Linda Denise 6/30/2004
7/12/2012Vance, Luther MD 3065 South Cobb Dr, Ste B Smyrna GA 3008019354RN170552Stemp, Linda 12/31/2012
8/6/2010Richard Pike, MD 2001 Peachtree Rd, Suite 705 Atlanta GA 3030947640RN170552Stemp, Linda Denise 12/11/2012
12/4/2008Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN170552Stemp, Linda Denise 6/5/2009
5/9/2008Paul Spiegl, MD 5673 Peachtree Dunwoody Road, Suite 825
Atlanta GA 3034225045RN170552Stemp, Linda Denise 12/11/2012
Wednesday, May 07, 2014 Page 276 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2012Brian Kogon, MD 1405 Clifton Rd Atlanta GA 3032253322RN160130Stephan, Karen Marie
2/5/2010Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN160130Stephan, Karen Marie 7/12/2012
6/7/2013Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN101834Stephens, Tammy Lynn
6/7/2013Angelica James‐Herry, MD 1405 Clifton Rd, 4th Floor, AFLAC Atlanta GA 3032248362RN167716Stephens, Melia Ann
2/7/2013Arif Patni, DO 260 Elm St. Cumming GA 30040‐246742916RN069200Stephens, Cheryl L.
7/12/2012Lopez, Daniel MD 643 Main Street Palmetto GA 3026864597RN211903Stephens, Ceretha
3/1/2012Sinclair, Courtney MD 310 Paper Trail Way, Ste 109 Canton GA 3011545208RN069200Stephens, Cheryl
10/8/2010Joy Smith, MD 35 Jesse Hill Jr Dr Atlanta GA 3030338968RN167716Stephens, Melia Ann
8/6/2010Chukwudi Amu, MD 5530‐B Old National Hwy, Suite 100 College Park GA 3034926967RN129457Stephens, Latonya 12/1/2009
3/4/2010Kyoung‐Soon Kim, MD 5150 Stilesboro Rd, Suite 220 Kennesaw GA 3015239144RN167716Stephens, Melia Ann 9/4/2010
1/9/2014Jeremy Pantin, MD 1120 15th St, BA‐5409 Augusta GA 3091266390RN167843Sterling, Kristen Heather
6/8/2012Hutchins Sr., Julian MD 4150 Washington Rd, Ste 11 Evans GA 3080918677RN167843Sterling, Kristen 11/12/2013
6/4/2010Anand Jillella, MD 1120 15th St, Suite BA‐5407 Augusta GA 3091233843RN167843Sterling, Kristen Heather 9/30/2013
9/3/2009Celalettin Ustun, MD 1120 15th Street, #BA‐5407 Augusta GA 3091255993RN167843Sterling, Kristen Heather 4/28/2010
9/14/2007Bhagat Reddy, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030955012RN185213Stern, Christina Myers
6/3/2011John Blankenship, MD 1500 Oglethorpe Ave, Suite 2000 Athens GA 3060649529RN201841Stevens, Lacey Nicole
1/9/2009Cynthia Dolan, MD 565 Old Norcross Road, Suite 200 Lawrenceville GA 3004535615RN108425Stevens, Joy Manry
11/7/2008Joenie Almeida, MD 527 Eisenhower Drive Savannah GA 3140645694RN069281Stevens, Deena Pierce
11/1/2007Michelle Futral, MD 2045 Peachtree Rd, Ste 525 Atlanta GA 3030936378RN108425Stevens, Joy Manry
Wednesday, May 07, 2014 Page 277 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/13/2007William W. Crone, MD 3169 Holcomb Bridge Rd, Ste 760 Norcross GA 3007141540RN108425Stevens, Joy Manry 8/15/2007
4/4/2014Roy Rajan, MD 2015 Uppergate Dr NE Atlanta GA 3032266553RN193370Steves, Amy Brewster
5/7/2009Deborah Burton, MD 2550 Windy Hill Rd, Suite 307 Marietta GA 3006739297RN193370Steves, Amy Brewster
2/6/2014Thomas Chun, MD 55 Whitcher St, Suite 250 Marietta GA 3006047580RN170096Stewart, Natalie Holland
10/10/2013Robert West, MD 465 North Belair Rd, Suite 2‐B Evans GA 3080943818RN205580Stewart, Merry Ann
8/9/2013Cynthia Brown, MD 815 Curtis Pkwy SE Calhoun GA 3070149876RN145278Stewart, Dana Michelle
3/8/2013Justin R. Kunes, MD 6 Executive Park Dr., #10 Atlanta GA 3032966201RN226921Stewart, Fallon K.
10/5/2012Sward, Lisa Ann MD 150 Gentilly Blvd Cartersville GA 3012045639RN170096Stewart, Natalie 1/9/2014
9/13/2012Lee Ann Merchen MD 1447 Harper St. Augusta GA 3091260009RN205580RN205580
Stewart, Merry Ann 5/16/2013
5/4/2012Jones, Tommy MD PO Box 1726 Highway 301 Glennville GA 3042748365RN124133Stewart, Deborah
4/1/2011Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN145278Stewart, Dana Michelle 5/24/2013
9/2/2010Betsy Horton, MD 745 South Glynn St Fayetteville GA 3021440693RN111294Stewart, Jacquelyn M.
3/4/2010Sharad Ghamande, MD 1120 15th Street, Suite BA‐7411 Augusta GA 3091249173RN175513Stewart, Katherine Anna
11/2/2012Kaveh Ehsanipoor, MD 4750 Waters Ave., Ste 452 Savannah GA 3140420309RN140664Stier, Ingrid 3/25/2013
9/13/2013Jeff Reinhardt, MD 725 Jesse Jewell Pkwy SE, Suite 200 Gainesville GA 30501‐383447250RN176064Stillman, Elizabeth Bernice
11/3/2011Busman, Michael MD 922 E. Jefferson Street, Suite B Americus GA 3170940628RN169306Stinchcum, Anna
10/5/2012Sydney Hendrix, MD 228 Memorial Dr. Jesup GA 3154556459RN119496Stively, Deborah
8/9/2013Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN202416Stock, Lynn Marie
Wednesday, May 07, 2014 Page 278 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/6/2010Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN202416Stock, Lynn Marie 1/17/2013
6/5/2009Charles McCord, MD 3345 Hwy 34 East, Suite 102 Sharpsburg GA 3027739409RN202416Stock, Lynn Marie 12/31/2009
7/7/2012Akintoye, Adebukola MD 3420 Buford Dr, Ste E‐780 Buford GA 3051938164RN184595Stocker, Melody Love
6/8/2007Deepti Manjal, MD 6002 Professional Pkwy Douglasville GA 3013446627RN113476Stockwell, Helen Rosemary Jack 7/6/2012
12/4/2009Gurinderjit Kaur‐Sidhu, MD 7444 Hannover Pkwy, Suite 100 Stockbridge GA 3028135275RN102555Stoddard, Samantha Denice Jett
2/6/2014Anurupa Damineni, MD 1670 Clairmont Rd Decatur GA 3003347419RN103931Stokes, Marcia Lynette
12/1/2011Chen, Jonathen DO 55 Whitcher Street, Ste 160 Marietta GA 3006660811RN183437Stoll, Sarah
3/4/2010John McCravey, MD 4750 Battlefield Pkwy Ringgold GA 3073629048RN042582Stone, Ellen H 4/22/2011
6/6/2008Thomas Olson, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032240180RN065002Stone, Kathleen Nissly
6/8/2012Proctor, Robert MD 310 Eisenhower Drive, Ste 5 Savannah GA 314068863RN060668Storey, susan
4/1/2011Julia Johnson, MD 310 Eisenhower Dr, Suite 5 Savannah GA 3140656721RN060668Storey, Susan Carol 12/31/2011
11/7/2008Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN060668Storey, Susan Carol 3/14/2011
10/10/2013James Dunaway, Jr, MD 305 South 8th St Griffin GA 3022431588RN095778Story, Leigh Ann Woods
6/8/2012Lah, James MD 1821 Clifton Rd NE, POD A Atlanta GA 3032941863RN070640Stout, Deborah 3/19/2013
1/7/2010Brij Singh, MD 1181 Old Summerville Rd Rome GA 3016543777RN063851Stovall, Susan Melinda McPhers
10/4/2007Ernest Jones, DO 135 Dogwood Street Warwick GA 3179641851RN022471Stowe, Patricia A
2/3/2012Hunsel, Ryan MD 1170 Cleveland, South Fulton Medical Center
East Point GA 3034466508RN202333Straach, Brittany
7/10/2009Seymour Rosenbloom, MD 55 Whitcher St, Suite 400 Marietta GA 3006015849RN077156Straub, Sharnee Elizabeth
Wednesday, May 07, 2014 Page 279 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/6/2008Brett Murphy‐Dawson, MD PO Box 5328 Colubus GA 3190654080RN140175Street, Wanda Lisa Monroig 4/22/2013
9/14/2007Velda Givens, DO 2100 Comer Ave Columbus GA 3190646763RN140175Street, Wanda Lisa 9/10/2008
11/8/2013Devin Handley, MD 2659 Abutment Rd Dalton GA 3072048356RN064327Strickland, Thomas
3/29/2012Almon, William MD 5755 North Point Pkwy Ste 72 Alpharetta GA 3002230938RN146690Strickland, Kelleigh
2/4/2011Thomas Carswell, MD 2830 Clearview Place, Suite 500 Doraville GA 3034026238RN146690Strickland, Kelleigh Jean 12/1/2011
7/1/2010Jay Thomas, MD 5764New Calhoun Hwy NE Shannon GA 3017247997RN064327Strickland, Thomas
2/5/2009Michelle Morgan, DO 5895 Peachtree Pkwy Norcross GA 3009251694RN146690Strickland, Kelleigh Jean 2/2/2010
12/4/2008Eric Jensen, MD 1107 Memorial Dr, Suite 300 Dalton GA 3072050304RN064327Strickland, Thomas E.
5/9/2008Michael Witt, MD 1289 Gi Maddox Pkwy Chatsworth GA 3070526045RN064327Strickland, Thomas
11/1/2007Margaret Still, MD 1380 Upper Hembree Road Roswell GA 3007631332RN127023Strickland, Tina Michele Huie
6/8/2007Suzanne Anderson, MD 340 Eisenhowser Drive, Bldg 1500 Savannah GA 3140657922RN111997Strickland, Carol Lynn Bland 7/11/2008
3/1/2012Davis, Mitchell MD 200 S. Enota Drive, Ste 200 Gainesville GA 3050135030RN134286Stringer, Marsha 8/30/2013
8/5/2011Brenda Hott, MD 200 S Enota Dr, Ste. 200 gainesville GA 3050141441RN134286Stringer, Marsha Ann 1/1/2012
5/7/2010James Greene, MD 114 Northpark Drive Brunswick GA 3152029657RN173597Strother, Nancy Hodges
11/5/2010Ui Ho Park, MD 3889 Cobb Pkwy NW Acworth GA 3010118938RN145301Stroud, Melissa F.
1/9/2014Gifford Lorenz, MD 310 Eisenhower Dr, Suite 5 Savannah GA 3140630816RN112208Stubbs, Rachel Cowan
4/4/2013Pinell, Michael MD 340 Eisenhower Drive, Suite 910 Savannah GA 3140658102RN112208Stubbs, Rachel 6/15/2013
1/6/2012Owen, Frances MD 7000 Wellnes Way, Ste 7230 St. Simon's Island GA 3152240973RN135494Stubbs, Allison
8/5/2011Jerry Williams, Jr, MD 602 1st Ave Tybee Island GA 3132863231RN112208Stubbs, Rachel Cowan
Wednesday, May 07, 2014 Page 280 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/7/2007George Katsitadze, MD 976 Killian Hill Road, Bldg A, Suite B Lilburn GA 3004752456RN135494Stubbs, Allison Leigh 5/31/2011
9/13/2013Daryl Wiley, MD 315 Fluker St Thomson GA 3082432327RN199743Stuckey, Megan Danielle
9/2/2010Teresa Luhrs, MD 682 Hemlock St, Suite 210 Macon GA 3120132778RN148291Stuckey, Jennifer Tade
5/6/2011Lawrence Gynther, MD 1514 Vernon Rd LaGrange GA 3024026863RN067248Stuckwisch, Frances A Leyba 8/23/2012
4/2/2009Lawrence Gynther, MD 303 Smith Street LaGrange GA 3024026863RN067248Stuckwisch, Frances A Leyba 1/21/2011
8/6/2010George Capo, DO 1007 Memorial Dr Griffin GA 3022442539RN043103Stull, Mildred Potter 5/1/2011
9/14/2007Lyndall C. Van Vicki, MD 747 South Hill Street Griffin GA 3022429811RN043103Stull, Mildred Potter
6/30/2011Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN192344Stump, Catherine Elizabeth
6/3/2011William Warren, IV, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031823126RN192344Stump, Catherine Elizabeth
9/13/2012Michelle Evans, MD 35 Collier Road NW Atlanta GA 3030952171RN191978Stuparits, Melissa Lynn
5/10/2007Mark Todd Smith, MD 1303 D'Antignac St., Ste 2500 Augusta GA 3090137908RN067070Sturcken, Doris Jean Junkin
5/6/2011David Smith, DO 13081 Hwy 9 Alpharetta GA 3000433707RN102569Suao‐Castleberry, Tania
12/3/2010Kenneth Rice, MD 1628 Market Place Blvd Cumming GA 3004147251RN102569Suao‐Castleberry, Tania
9/14/2007Douglas Olson, MD Northside Hosp ‐ ER, 1000 Johnson Ferry Rd
Atlanta GA 3034251073RN102569Suao‐Castleberry, Tania
5/4/2012Weinkle, David MD PO Box 422002 Atlanta GA 30342=900238645RN205834Suchanek, Brittany
1/9/2014Reden Delgado, MD 508 East Morris St Dalton GA 3072165957RN113269Suddeth, Misty Meshell
10/10/2013Jason Hefner, MD 104 Prominence Point Pkwy, Suite 104 Canton GA 3011461444RN113269Suddeth, Misty Meshell 2/1/2014
7/12/2012Witt, Michael MD 1289 G.T. Maddox Pkwy chatsworth GA 3070526045RN113269Suddeth, Misty 5/10/2013
Wednesday, May 07, 2014 Page 281 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/2/2010Josephine Lopez, MD 1500 Oglethorpe Ave, Suite 100 Athens GA 3060644125RN202534Suggs, Melisa A
12/4/2009Scott Tarplee, DO 2300 Parkwood Drive Brunswick GA 3152021057RN112143Sullins, Lisia Ann
1/9/2014Steven Leichter, MD 2425 Brookstone Centre Pkwy Columbus GA 3190440452RN197605Sullivan, Haley Patterson
7/11/2013Bantwal Baliga, MD 1400 Bradley Lake Blvd Columbus GA 3190456680RN197605Sullivan, Haley Patterson 10/25/2013
1/6/2012Blatt, Jacob MD 55 Whitcher Street, Ste 350 Marietta GA 3006057935RN116948Sullivan, Virginia
10/7/2011Surber, Joseph DO 2122 Manchester Expresway Columbus GA 3190452232RN197605Sullivan, Haley
8/5/2011Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN073627Sullivan, Eleanor C
4/2/2009William Brown, MD 355 Tower Road, Suite 300 Marietta GA 3006021653RN116948Sullivan, Virginia Therese
7/13/2007Philip Weiss, MD 1100 Lake Hearn Drive Suite 100 Atlanta GA 3034238398RN073627Sullivan, Eleanor
7/13/2007John C. Knox, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034222575RN073627Sullivan, Eleanor C. Cochrane
7/13/2007Susan W. Harrell, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034233100RN073627Sullivan, Eleanor C. Cochrane
7/13/2007Tama Y. Fuller, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034221981RN073627Sullivan, Eleanor C .Cochrane
7/13/2007Elizabeth Le Duc, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034234754RN073627Sullivan, Eleanor C. Cochrane 2/28/2011
1/11/2013Johathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN127085Sumler, Todd 4/5/2013
8/10/2012Douglas Moss, MD 814 Northwood Park Valdosta GA 3160241178RN127085Sumler, Todd
5/1/2014Vasily Assikis, MD 775 Poplar Rd, Suite 310 Newnan GA 3026552530RN186148Summerlin, Aurelia King
6/3/2011Frank Lake, III, MD 743 Spring St Gainesville GA 3050111972RN174484Summerlin, Melissa Davis
12/1/2011Bennett, Jan DO 761 North Cherokee Road Social Circle GA 3002530580RN130632Summerour, Lanissa 3/11/2014
11/7/2008Carl Goolsby, MD 176 Marietta Hwy Hiram GA 3014134144RN129461Summerville, Glenda June
Wednesday, May 07, 2014 Page 282 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Caroline Yaphockun, MD 330 Turner McCall Blvd, Suite 4000 Rome Ga 3016553213RN162508Summey, Kristin Bryson
9/11/2008James Douglas, MD 15 Riverbend Drive, Suite 100 Rome GA 3016133569RN162508Summey, Kristin Bryson
4/4/2013Michael B. Sumner, Jr, MD 3002 Allen Dr, Suite C Evans GA 3080963062RN146794Sumner, Melissa Lampp
11/2/2012Israel B.D. Bryson, MD 2251 W. Elm St.; P.O. Box 371 Wrightsville GA 3109654797RN177081Sumner, Erin
10/7/2011Hutchins Sr., Julian MD 4150 Washington Road, Ste 11 Evans GA 3080918677RN146794Sumner, Melissa 11/23/2011
2/5/2010Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN146794Sumner, Melissa Lampp
9/3/2009James Millen, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080930834RN146794Sumner, Melissa Lampp 2/6/2010
11/1/2007Timothy Mecredy, MD 393 North Belair Road Evans GA 3080930652RN146794Sumner, Melissa Lampp
7/13/2007Frederick Merrill, III, MD 465 North Belair Rd. Evans GA 3080934664RN146794Sumner, Melissa L 9/3/2009
4/4/2013Guido Ring, MD 106 West 4th Ave. Cordele GA 3101545325RN218916Sunara‐Waters, Adriana 3/15/2014
7/12/2012Halleck, Sylvia MD 1431 Riverside Parkway Lawrenceville GA 3004316356RN218916Sunara‐Waters, Adriana 7/17/2012
7/11/2013James Harbin, MD 10155 Eagle Dr Covington GA 3001438507RN116490Susin, Barbara Leeanne Weitzel
10/5/2012Ellner, James MD 120 Stone Bridge Parkway Woodstock GA 3018935861RN110992Sutherland, Joanna
2/3/2012Hurd, Thomas MD 400 Taver Road, Ste 350 Marietta GA 3006027070RN110992Sutherland, Joanna 6/28/2022
4/1/2011Anita Rao, MD 400 Tower Rd, Suite 350 Marietta GA 3006060315RN110992Sutherland, Joanna Wilson 1/31/2011
4/4/2014Gary Smith, MD 615 East Villanow St Lafayette GA 3072810666RN171885Sutton, Stephanie Le Ann
10/10/2013Wiley Smith, MD 218 North Fredrick St Dalton GA 3072163133RN035712Sutton, Beverly Lorraine Head
11/5/2009Anne Todd, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054051395RN035712Sutton, Beverly Lorraine Head 5/30/2013
5/3/2013Haritha Pabbathi, MD 600 Parkway North, 1st Floor Newnan GA 3026564236RN152000Sutton‐Aransevia, Joylene Winif
Wednesday, May 07, 2014 Page 283 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2009Renwick Hood, MD 761 Old Norcross Road Lawrenceville GA 3004524265RN091126Sveum, Jonne
8/5/2011Thomas Varughese, MD 6130 Prestley Mill Rd, Suite B Douglasville GA 3013545998RN195459Swafford, Jodi Leigh
6/4/2010Julia Gaines, MD 5041 Dallas Hwy, Bldg 2, Suite D Powder Springs GA 3012740384RN124349Swain, Angela Denise Dunsmor
9/14/2007James Capes, MD 550 Peachtree Street Atlanta GA 3030838438RN081904Swartzberg, Barbara Jane Brow
9/13/2013John Jenkins, II, MD 612 West Gordon St, Suite C Thomaston GA 3028662726RN190818Swatts, Brandi Jackson
4/2/2009Brooks Moore, MD 550 Peachtree St NE Atlanta GA 3030853336RN071880Sweigart, Valorie Ann Wilson
6/7/2013Kavita Patel, MD 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta GA 3032268850RN175610Swerdlin, Rachel Felice
12/1/2011Chu, Ha MD 6000 Joe Fran k Harris Pkwy NW Adairsville GA 3010361952RN116714Swiger, Nicole
9/2/2010Jay Thomas, MD 6000 Joe Frank Harris Pkwy, # C Adairsville GA 3010347997RN116714Swiger, Nicole Belcher
4/1/2010Hope McDaniel, MD 6000 Joe Frank Harris Pkwy, Suite C Adairsville GA 3010359287RN116714Swiger, Nicole Belcher 8/6/2010
10/4/2007Marcia Williams, MD 6000 J F Harris Pkwy, Ste C Adairsville GA 3010334985RN116714Swiger, Nicole Belcher 7/1/2010
3/4/2011Heather Henry, MD 327 S. 9th St Griffin GA 3022444231RN140778Swilling‐Nobles, Ericka Denise
12/3/2010Henry Watson, Jr, MD 1795 Washington Rd East Point GA 3034425399RN140778Swilling‐Nobles, Ericka Denise
6/5/2009Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN147478Swint, Charlotte Elizabeth 2/21/2013
11/1/2007John Sladky, MD 2015 Uppergate Drive Atlanta GA 3032241219RN147478Swint, Charlotte Elizabeth 5/26/2009
5/1/2014Mark El‐Deiry, MD 550 Peachtree Rd, 9th Floor, MOT Atlanta GA 3030866483RN108709Switzer, Traci Larue Warner
3/6/2009William Swofford, MD 210 W. Main Street, Suite 2 Colquitt GA 3983746262RN132537Swofford, Lisa Ann Staib
9/1/2011Nizar Eskandar, MD 455 South Main St, Suite 201 Hinesville GA 3131347425RN184840Swords, Christine Ann
Wednesday, May 07, 2014 Page 284 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/12/2012Gavrikov, Vitaliy MD 7100 Peachtree Dunwoody Road, ste 100
Atlanta GA 3032861430RN175586Sybert, Jules 9/4/2012
3/29/2012Lanier, John MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032828809RN175586Sybert, Jules 4/17/2012
3/1/2012O'Grady, Michael MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032841189RN175586Sybert, Jules 9/4/2012
3/4/2011Edgar Kenton, MD 550 Peachtree St, Suite 3343 Atlanta GA 3030858531RN175586Sybert, Jules C.
7/11/2013Dwayne Watkins, MD 2734 Ledo Rd, Suite 15 Albany GA 3170753054RN081905Sykes, Mary Elizabeth Werne
6/8/2012Jordan, Brian MD 1048 E. Forsythe Street Americus GA 3170953561RN081905Sykes, Mary
10/7/2011Aina, Olakunle MD 200 Palmyra Road Emer Dept Albany GA 3170148968RN081905Sykes, Mary Elizabeth
12/3/2010Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351875RN184836Sykes, Brandy M. 5/1/2014
11/5/2010Linda Hudson, MD 2734 Ledo Rd, #15 Albany GA 3170747771RN081905Sykes, Mary Elizabeth Werne 3/11/2013
7/1/2010Gloria Kayfan, DO PO Box 1908 Albany GA 3170748431RN081905Sykes, Mary Elizabeth Werne 8/1/2010
7/13/2007David L. Brand, MD 208 North Cuthbert St. Colquitt GA 3983746045RN081905Sykes, Mary Elizabeth Werne 3/1/2008
1/6/2012Sullivan, Thomas Dennis MD
3795 Mansell Road Alpharetta GA 3002215512RN200358Symes‐Gilbert, Sandra
12/6/2013Melissa Davis, MD 1013 N 5th Ave Rome GA 3016559141RN233644Szabo, Christa Lauren
12/3/2010Damon Kimes, MD 60 Hospital Rd, Emer Dept Newnan GA 3026350322RN176079Szczepanski, Crystal Renee
1/9/2009Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayettevill GA 3021437488RN176079Szczepanski, Crystal Renee 12/2/2009
11/1/2007Jeffrey Nicholas, MD 69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Rm 308
Atlanta GA 3030348377RN176079Szczepanski, Crystal Renee
8/6/2010Kingsley Iyamu, MD 1850 Lake Park Dr, Suite 218 Smyrna GA 3008044493RN024079Taff, Audie Jean
Wednesday, May 07, 2014 Page 285 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/8/2013Amy Pattishall, MD 1645 Tullie Circle Atlanta GA 3032960781RN183964Tai, Eva Chen
9/3/2009Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN183964Tai, Eva Chen 2/15/2013
10/7/2011Talley, Thomas MD 414 5th Avenue Albany GA 3170133895RN156813Talley, Lynette
12/4/2008Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN171089Talley, Jamila A. 7/25/2012
3/8/2013Nelson Madrazo, MD 103 Ga Hwy 27 East Americus GA 3170949862RN180141Tan, Grace Madrazo
1/7/2010Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN163540Tanner, Brianne S. Mason 3/15/2012
4/1/2011Anne White, MD 909 North 5th Ave Rome GA 3016530240RN186677Tant, Erin Molly
5/3/2013Maurice Sholas, MD 1001 Johnson Ferry Rd Atlanta GA 3034260314RN148036Tarabicos, Anna‐Lisa Marie Dec
5/4/2012Laura Bleekrode, MD 1100 Northmeadow Pkwy, Ste 108 Roswell GA 3007634514RN148036Tarabicos, Anna‐Lisa 1/4/2013
4/4/2014Amy Elsass, MD 55 Whitcher St, Suite 350 Marietta GA 3006063188RN159761Tarpley, Amy Elaine
11/2/2012Christopher Kang, MD 2801 DeKalb Medical Parkway Lithonia GA 3005839141RN164778Tarver, Pamela G.
10/7/2011Snyder, David MD 1490 Milstead Road, Ste A Conyers GA 3001233711RN164778Tarver, Pamela
2/6/2014Francis Gonzalez, MD 677 Church St, Box 111 Marietta GA 3006057810RN102375Tate, Lorrie Suzanne Ray
2/6/2014Gerard McGorisk, MD 1365 Clifton Rd Atlanta GA 3032239866RN192014Taylor, Emily Modlin
8/9/2013Lina Harper, MD 303 Darling Ave Waycross GA 3150155237RN169794Taylor, Crystal Leigh
8/9/2013Benjamin Cheek, MD 2000 Hamilton Rd Columbus GA 3190425332RN176264Taylor, Nicole DeWeese
1/11/2013Eugene H. Jackson, MD 151 S. Houston Lake Rd., Ste 190 Warner Robins GA 3108822793RN154709Taylor, Jaimi M.
1/11/2013Krishna Eechampati, MD 2985 George Busbee Pkwy, NW Kennesaw GA 3014443994RN145142Taylor, Delisha B. 1/25/2013
12/7/2012Kristin Walsh, MD 1912 Memorial Dr., Ste. 300 Waycross GA 3150168019RN169794Taylor, Crystal L.
Wednesday, May 07, 2014 Page 286 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Warren J. Henderson, MD 303 Smith St. LaGrange GA 3024020734RN154560Taylor, Wendy L.
6/8/2012Hewling, Kirk‐Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN219174Taylor, Gina 4/22/2013
6/8/2012Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN169794Taylor, Crystal
2/3/2012Washington, Kevin MD 1170 Cleveland Avenue, Emer Dept East Point GA 3034462629RN188938Taylor, Lyndsey
12/1/2011Rogers, John MD 400 Charter Blvd, Emer Dept Macon GA 3121021040RN154709Taylor, Jaimi
11/3/2011Wrobel, Peter MD 409 Uvalida Street Waycross GA 3150140285RN159262Taylor, Leslie
6/30/2011Rajnish Prasad, MD 55 Whitcher St, Suite 350 Marietta GA 3006055850RN164955Taylor, Shelley Sharon
5/6/2011Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009749717RN074994Taylor, Tina Armstrong
9/2/2010Paresh Patel, MD 101‐B Adams Dr Demorest GA 3052337325RN101845Taylor, Kristie Denese Helton
4/1/2010Mohak Dave', MD 743 Spring St, Emergency Dept Gainesville GA 3050151128RN098212Taylor, Danielle Marie
12/4/2009Wallace Anderson, DO 1311 Ocilla Road Douglas GA 3153328708RN126365Taylor, Stephanie Purvis
9/11/2008Prakash Desai, MD 1664 Mulkey Road Austell GA 3010618482RN145142Taylor, Delisha Brantley 11/1/2010
6/6/2008George Wheeler, MD 1218 Alice Street Waycross GA 3150133751RN045223Taylor, Alice Ruth Wajick
6/6/2008Robert Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN074994Taylor, Tina Armstrong
4/3/2008Sandra Diehl, MD 709 Canton Road, Suite 200 Marietta GA 3006031237RN155989Taylor, Jean Osowiecki 12/23/2011
11/1/2007Rahil Kazi, MD 1707 Watson Warner Robins GA 3109341593RN151696Taylor, Sharon Louise Webster
7/13/2007Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN174968Taylor, Shalu Renee
7/12/2012Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN157407Taylor‐Jones, Antoinette
11/8/2013Pamella Charles‐Pryce, MD 7530 Roswell Rd Atlanta GA 30350‐483758155RN172042Tchaya, Sylvie V
Wednesday, May 07, 2014 Page 287 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013Walter Metcalfe, MD Take Care Clinic, 7530 Roswell Rd Atlanta GA 3035058544RN172042Tchaya, Sylvie V 9/10/2013
10/7/2011Plummer, Valens MD 7530 Roswell Road Atlanta GA 3035049496RN172042Tchaya, Sylvie 5/1/2013
3/6/2009Susan Palac, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032260954RN105822Teagarden, Diane Leigh Agosti 8/8/2011
3/6/2009Page Pennell, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032240513RN105822Teagarden, Diane Leigh Agosti 6/21/2009
3/6/2009Suzette LaRoche, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032246149RN105822Teagarden, Diane Leigh Agosti
3/6/2009Charles Epstein, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032216228RN105822Teagarden, Diane Leigh Agosti
3/6/2009Sandra Helmers, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032248784RN105822Teagarden, Diane Leigh Agosti
3/6/2009Kimford Meador, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032218705RN105822Teagarden, Diane Leigh Agosti 9/21/2013
1/11/2008Ronald Forehand, MD University Health Ctr, 370 River Road Athens GA 3060222760RN117547Teasley, Christa Clare Tumblest 9/6/2013
12/3/2010Larry Stewart, Jr., MD 1024 Keith Dr Perry GA 3106927123RN045228Tedder, Cathy M.
11/5/2009Sandra Kopacz, MD 1303 Hwy 215 Vienna GA 3109232179RN045228Tedder, Cathy M 10/8/2010
8/9/2013John Marshall, MD 1200 Memorial Dr, Emer Dept Dalton GA 3072045877RN175477Teel, Lesley Dale
9/13/2012Eva Takacs‐di Lorenzo, MD 202A Lakeshore Dr St Mary's GA 3155848859RN128774Teffault, April Lynn
4/13/2007Lionel Meadows, MD 121 N. Big A Road Toccoa GA 3057745550RN128774Teffault, April Lynn 7/24/2011
4/4/2013Kathryn Neely, MD 310 Paper Trail Way, Suite 306 Canton GA 3011546189RN175665Tejeda, Grace Powell
12/6/2013Alexander Osowa, MD 3331 Hamilton Mill Rd, Syite 1102 Buford GA 3051957551RN184550Telemaque, Coyette Annisee
1/11/2013David A. Stone, MD 367 Clear Creek Pkwy Lavonia GA 3055324501RN205639Tellano‐Daniel, Ruth L.
3/8/2013Nagma Lott, MD 107 Main St Plains GA 3178060504RN223698Tenebruso, Lillian E 5/25/2013
11/2/2012Anurag K. Kumbham, MD 298 US Highway 520 Cusseta GA 3182558690RN223698Tenebruso, Lillian E. 2/4/2013
Wednesday, May 07, 2014 Page 288 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013John Blumer, MD 3222 Shrine Rd, Suite A Brunswick GA 3152053101RN171345Terrell, Karen Jean
2/3/2012Sightler, William DO 195 N. Broad Street Alamo GA 3041134715RN171345Terrell, Karen 5/4/2012
5/6/2011Nurrallah Esmail, MD PO Box 650, Medical Dept Nicholls GA 3155435623RN171345Terrell, Karen Jean 12/14/2011
7/1/2010Richard Young, MD 958‐A Joe F. Harris Pkwy, Suites 101 & 105
Cartersville GA 3012021218RN134412Terry, Barbara Vaughan
5/3/2013F. Clark Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN140783Tesh, Ana Lynn
5/4/2012Francis, Milele MD 1700 Hospital South Drive, Ste 500 Austell GA 3010655218RN150205Tetreault, Colette
2/6/2014Ed Childs, MD 80 Jesse Hill Dr SW Atlanta GA 3030367203RN154255Thackston, Tricia Williamson
4/4/2014Murray Robinson, MD 2675 N Decatur Rd, Suite 110 Decatur GA 3003352518RN122730Thames, Linda Ann
12/7/2012Fremont P. Wirth, MD 4 East Jackson Blvd. Savannah GA 3140516449RN122730Thames, Linda A. 2/28/2014
9/14/2007Keith Kirby, MD 8 Wheeler Street Savannah GA 3140540438RN122730Thames, Linda Ann 9/15/2012
11/1/2007Robersteen Howard, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016540103RN104841Tharp, Mary Beth Bruner
9/13/2013Curtis Clark, DO 610 19th St Columbus GA 31901‐152847068RN151127Theobald, David Alan
12/3/2010Mark Oliver, MD 2416 Capstone Court Columbus GA 3091948557RN149771Theobald, Kamie Dawn
5/3/2013Allen Randle Beecham, DO 2000 Village Professional Dr., #200 Canton GA 3011425102RN174649Thibault, Paula S.
3/29/2012Haley, Donna MD 100 Medical Lane, Ste 1 Canton GA 3011440916RN174649Thibault, Paula 7/26/2012
5/1/2014Cathy Lipton, MD 3720 Davinci Ct, Ste 400 Norcross GA 3009229028RN073654Thiel, Shelba Jean Riddle
2/7/2013Taylor Graves, MD 1821 Clifton Rd NE Atlanta GA 3032940082RN073654Thiel, Shelba Jean Riddle
10/10/2013Tania Edwards, DO 7413 Whitesville Rd, Suite 700 Columbus GA 3190453465RN201767Thigpen, Judith Lee
Wednesday, May 07, 2014 Page 289 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/6/2008Kenneth Azar, MD 306 Greenway Street Thomson GA 3082413721RN082980RN082980
Thisell, Susan K. 10/16/2009
1/7/2011Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN135792Thomae, Maria Carmen 3/11/2011
6/8/2007Indrani Bongu, MD 2804 Hill Creek Drive Augusta GA 3090949418RN135792Thomae, Maria Carmen
5/1/2014Brion Randolph,MD 600 Parkway North Newnan GA 3026568281RN185361Thomas, Jessica Joy
5/1/2014Mona Massoud, MD 526 West Broad Ave Albany GA 3170570479RN149165Thomas, Tawenna Tajuanda
4/4/2014Thomas Taylor, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233212RN154661Thomas, Maquissa LaShanta
8/9/2013Candice Wallace, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004630918RN076259Thomas, Patricia Ann
7/11/2013Reneka Dobbs, MD 1328 Joe Frank Harris Pkwy Cartersville GA 3012064770RN163447Thomas, Charmaine Betty
2/7/2013Stephen Messner, MD 1001 Johnson Ferry RD NE, Suite 500 Atlanta GA 3034259282RN219545Thomas, Robin Althea
10/5/2012Tanjela M. Jackson, MD 3620 M.L. King Jr. Drive., SW Atlanta GA 3033154755RN053639Thomas, Carol Ann
3/1/2012Gabram, Sheryl MD 69 Jesse Hill Jr Dr SE, Ste 303 Atlanta GA 3030356834RN053639Thomas, Carol
11/3/2011Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3600466222RN133666Thomas, Barbara 7/13/2012
10/7/2011Budell, John MD 2175 Northlake Pkwy, Ste 142 Tucker GA 3008417369RN177250Thomas, Jency 12/14/2012
5/6/2011Mary Jo Lechowicz, MD 1365 Clifton Rd NE, Bldg C, Plaza floor Atlanta GA 3032253339RN185361Thomas, Jessica Joy 3/14/2014
4/1/2011David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004628136RN192999Thomas, Hyacinth
3/4/2011Miriam Gwathney, DO 300 W. Perry St Manchester GA 3181663343RN211903Thomas, Ceretha Mae 3/30/2012
1/7/2011Cacia Soares‐Welch, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050155704RN192999Thomas, Hyacinth 1/31/2011
11/5/2010Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN133666Thomas, Barbara Ann 5/30/2011
Wednesday, May 07, 2014 Page 290 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN133666Thomas, Barbara Ann 9/30/2010
3/6/2009Deepali Agarwal, MD 1110 13th Street Columbus GA 3190154783RN156089Thomas, Tawya Scherri 2/24/2011
1/9/2009Adam Leaderman, MD 5673 P'tree Dunwoody Rd, #775 Atlatna GA 3034229709RN093201Thomas, Elizabeth Ann D'Amico 5/20/2010
1/9/2009Philip Cannon, MD 1000 Medical Center Blvd Lawrenceville GA 3004529853RN076259Thomas, Patricia Ann
11/7/2008William Michael Brown, MD 355 Tower Road, Suite 300 Marietta GA 3006021653RN163447Thomas, Charmaine Betty
9/11/2008David Feliciano, MD 80Jesse Hill Jr Dr SE, Suite 304 Atlanta GA 3030334827RN053639Thomas, Carol Ann 1/31/2011
7/11/2008Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN171973Thomas, Heather Renae 7/21/2010
9/14/2007Jacob Ward, MD 1200‐B Buckhead Crossing, Suite B Woodstock GA 3018932075RN060973Thomas, Constance Faye Coker
10/5/2012Richard Wright, MD 1103 Forest Parkway Forest Park GA 3029746927RN150780Thomas‐Cloud, Rosemary
12/1/2011Odujebe, Oladapo MD 1103 Forest Park Forest Park GA 3029760950RN150780Thomas‐Cloud, Rosemary
9/3/2009Joyce Drayton, MD PO Box 1536 Lawrenceville GA 3004638737RN150780Thomas‐Cloud, Rosemary
5/6/2011Gerald Feuer, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 30342RN171973Thomas‐Osuntokun, Heather Re
10/8/2010Edward Young, MD 777 Hemlock St, MSC 104 Macon GA 3120136325RN180911Thompkins, Fabia Brown
2/6/2014Suzana Montana, MD 3780 Holcomb Bridge Rd, Suite C Norcross GA 3009245097RN147104Thompson, Alexa Denise
1/9/2014Jesse Grant, MD 124 Third St Macon GA 3120121510RN139742Thompson, Andrea Lucckino
11/8/2013Shameka McElhaney, MD 2670 Cobb Pkwy SE Smyrna GA 3008054854RN170568Thompson, Natalie Nicole
11/8/2013Yvonne Smith, MD 3600 Dallas Hwy SW Marietta GA 3006442443RN153018Thompson, Johnetta
7/11/2013Randal Sugerman, MD 1339 Gray Hwy Macon GA 3121136465RN139742Thompson, Andrea Lucckino 12/1/2013
7/12/2012Hunter, Timothy MD 1348 Walton Way Augusta GA 3091066702RN093591Thompson, Patricia
Wednesday, May 07, 2014 Page 291 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Narayan, Nalini MD 705 Dixie Street Carrollton GA 3011744287RN134604Thompson, Kelly
12/1/2011William Kitchens, MD 1348 Walton Way Ste 5700 Augusta GA 3091013222RN093591Thompson, Patricia 7/1/2012
11/3/2011Mian, Haroon MD 970 Joe Frank Harris Pkwy SE Cartersville GA 3012066222RN153018Thompson, Johnetta 7/13/2012
10/7/2011Hart, Ronald MD 247 Union Point Street Lexington GA 3064846115RN067355Thompson, Colette
10/7/2011Nam, Nakyoung Judy MD 2089 Teron Trace Dacula GA 3001959292RN161642Thompson, Amy 2/25/2014
10/7/2011Keith Lencher MD 2110 Powers Ferry Road SE Suite 302 Atlanta GA 3033954234RN161642NP
Thompson, Amy Elizabeth
10/7/2011Griffin, Kerry MD 1942 Atkinson Road, Suite 100 Lawrenceville GA 3004362042RN164801Thompson, Jill
9/1/2011Reginald Nesbitt, MD 1350 Walton Way Augusta GA 3091058300RN093591Thompson, Patricia Ann
3/4/2011Poornima Chintalapalli, MD 1610‐D East Forsyth St Americus GA 3170961405RN170568Thompson, Natalie Nicole 7/29/2011
2/4/2011Alice House, MD 100 College Station Dr Macon GA 3120643065RN120888Thompson, Darrel Winifred
1/7/2011Appavuchetty Soundappan, MD
1115 Morningside Dr Perry GA 3106944107RN139742Thompson, Andrea Lucckino 10/14/2013
11/5/2010Ifeoma Nnaji, MD 247 Union Point St Lexington GA 3064863931RN067355Thompson, Colette A Kowalski 10/20/2011
8/6/2010Muhammad Sheikh, MD 2774 North Cobb Pkwy Kennesaw GA 3015259195RN153018Thompson, Johnetta
8/6/2010Vijitha Prasad, MD 544 W. Church Street Swainsboro GA 3040140520RN070005Thompson, Brenda Meadows
7/1/2010Michlene Broadney, MD 11 Upper Riverdale Rd SW Riverdale GA 3027455207RN067048Thompson, Charlotte Allen 3/31/2011
7/1/2010M. Vinayak Kamath, MD 1350 Walton Way Augusta GA 3091023371RN093591Thompson, Patricia Ann 10/1/2011
4/1/2010Sam Khair, MD 145 Eagle's Walk, Suite A Stockbridge GA 3028135194RN142971Thompson, Jennifer Smith
4/1/2010William Callaghan, MD 818 St. Sebastian Way, POB II, Suite 200 Augusta GA 3090127974RN093591Thompson, Patricia Ann
Wednesday, May 07, 2014 Page 292 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
2/5/2010Daryl Sherrod, MD 4480 South Cobb Dr SE Smyrna GA 3008049976RN153018Thompson, Johnetta
2/5/2010Teresa Baysden, DO 2001 Antioch Rd Dalton GA 3072157348RN070005Thompson, Brenda Meadows 2/4/2010
12/4/2009Maurice Clifton, MD MSC Health Clinic ‐ 100 College Station Dr
Macon GA 3120661053RN120888Thompson, Darrel Winifred 11/21/2010
6/5/2009Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN153018Thompson, Johnetta 1/1/2010
6/5/2009Richard Dent, MD 310 Eisenhower Dr, Bldg #5 savannah GA 3140617RN159396Thompson, Kristan Anne 11/9/2009
3/6/2009Lance Wiist, MD 761 Old Norcross Road Lawrenceville GA 3004533754RN164801Thompson, Jill Marie Antisell 11/5/2009
11/7/2008Faiz Rehman, MD 1348 Walton Way, Suite 5100 Augusta GA 3090143270RN093591Thompson, Patricia Ann
10/2/2008James Drury, MD 401 Old Albany Road Thomasville GA 3179248891RN077718Thompson, James Arthur
10/2/2008David Van, MD 747 South Hill Street Griffin GA 3022429545RN142971Thompson, Jennifer Smith 4/1/2010
10/5/2012Craig Banta, MD 2050 Cumming Hwy, Ste 100 Canton GA 3011548873RN207895Thorne, Julia
1/6/2012Lanier, John MD 2050 Cumming Hwy Canton GA 3011428809RN207895Thorne, Julia 7/25/2012
12/3/2010Donna Haley, MD 100 Medical Lane, #1‐3 Canton GA 3011440916RN207895Thorne, Julia McClellan
6/7/2013Julian Isakow, MD 1700 Hospital South Dr, Suite 409 Austell GA 3010652750RN2227169Thornsberry, Joshua Dane
4/4/2014Luther Vance, MD 3065 South Cobb Drive Suite B Smyrna GA 3008019354RN145384Thornton, Lisa Kathryn
3/8/2013Jeffrey Esslinger, MD 300 Courtyard Dr, Suite A Cartersville GA 3012045455RN145384Thornton, Lisa Kathryn
6/8/2012Nehmetallah, Jules MD 410 Darling Avenue Waycross GA 3150155262RN104839Thornton, Lois
9/3/2009Ronald Forehand, MD 370 River Road Athens GA 3060222760RN081936Thornton, Anita Lyn 8/9/2013
4/4/2014Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN174775Thrasher, MaryAnn Moulder
Wednesday, May 07, 2014 Page 293 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/2/2012Mark P. Elam, MD 9702 Chestnut Hill Lane Chattanooga TN 3742136147RN174775Thrasher, MaryAnn M.
4/1/2010Vimala Nair, MD 100 Lacy St, Suite 150 Marietta GA 3006018058RN174775Thrasher, Mary Aqnn Moulder 5/11/2012
5/4/2012Schaefer, Timothy MD 1700 Hospital South Drive, Ste 500 Austell GA 3010647524RN082194Thrower, Eileen
9/14/2007Walter Lonergan, MD 59 Hospital Road Newnan GA 3026327401RN082194Thrower, Eileen Joyce Barry 8/31/2011
6/3/2011Thomas Chun, MD 55 Whitcher St, Suite 250 Marietta GA 3006047580RN190553Tichy, Claire Elise
4/4/2014Carolyn Bennett, MD 1405 Clifton Rd NE, 4th floor, Tower 1 Atlanta GA 3032258729RN228738Tickle, Kelly Marie
4/13/2007Raymond E. Tidman, MD 101 RiverStone Vista, Suite 206 Blue Ridge GA 3051332826RN043489Tidman, Lee Ann Palmer
3/8/2013Thomas Jensen, MD 101 Quartz Dr, Suite 103 Villa Rica GA 3018067654RN125386Tidwell, Amber Nickolina
2/6/2014Mehrdad Seilanian Toosi, MD
200 S Enota Dr, Suite 200 Gainesville GA 3050167089RN206952Tillery, Heather Michelle
8/9/2013S Joe Vaughn, MD 304 Turner MCCall Blvd Rome GA 3016546000RN106991Tillery, Traci Myrick
2/7/2013S. Joe Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN106991Tillery, Traci Myrick 7/5/2013
2/7/2008Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN106991Tillery, Traci Myrick 10/1/2008
11/5/2010Beverly Brown, MD 477 Windsor St, Suite 309 Atlanta GA 3031242534RN142932Tillman, Candace M.
10/2/2008Robert Blackwell, MD 3708 Northside Drive Macon GA 3120450128RN101937Tillman, Judith Jacobs
4/4/2014David R. Persaud, MD 772 Maddox Dr., Ste. 122 Ellijay GA 3051370703RN202115Timmins, Christopher Louis
2/7/2013Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN202115Timmins, Christopher 5/31/2013
5/7/2009William Raisig, MD 64 Call‐Wright Road Ellijay GA 3054055290RN202115Timmins, Christopher Louis 11/14/2009
3/8/2013Thuy T. Bui, MD P.O. Box 422022 Atlanta GA 3054249276RN187007Timmons, Lauren B.
Wednesday, May 07, 2014 Page 294 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2008Steven Lenhard, MD 790 Church Street, Suite 250 Marietta GA 3006039153RN079447Tinsley, Pamela Ruth Dorris
10/10/2013Andrea Bretal, MD 618 East Lamar St Americus GA 3170964777RN121032Tinson, Aretha Marie
10/10/2013Salvador Ramos‐Camacho, MD
298 US Hwy 520 Cusseta GA 3180569937RN121032Tinson, Aretha Marie
1/6/2012Matthews, Barbara MD 2000 N. Monroe Street Albany GA 3170146169RN121032Tinson, Aretha 7/31/2013
7/12/2012Marler, Robert MD 725 Jesse Jewell Pkwy, Ste 300 Gainesville GA 3050135947RN102211Tipton, Anga‐Lee
4/13/2007Benedict Benigno, MD 980 Johnson Ferry Road, NE Atlanta GA 3034217010RN057356Tobia, Sherry Hoefling
5/3/2013Michael Ikeler, MD 465 N Belair Rd, Suite B Evans GA 3080944942RN113267Toburen, Kathryn Dale Ricks
8/10/2012Terrance Hughes, MD 1500 Langford Medical Dr, Bldg 200 Bogart GA 3062256454RN175489Tolbert, Gentry
10/7/2011Reddy, Ram MD 132 Franklin Springs Street Royston GA 3066224178RN175489Tolbert, Gentry 6/1/2012
8/5/2011Manuel Martinez, MD 1915 Eisenhower Drive Savannah GA 3140624757RN213583Tolbert, Shaun 4/11/2012
4/1/2010Mary Dailey‐Smith, MD 5610 Wendy Bagwell Pkwy, Suite 103 Hiram GA 3014150472RN109522Tolbert, Tameka Ransom
3/7/2008Miles Johnson, MD 3001 South Cobb Drive, Suite 103 Smyrna GA 3008038817RN109522Tolbert, Tameka Ransom 2/4/2014
2/3/2012Elmers, Anna MD 2020 Peachtree Road NW Atlanta GA 3030960248RN148026Tolcher, Maria
10/4/2007John Potts, MD 365 N. Jeff Davis Drive Fayetteville GA 3021417642RN119473Tolcher, Kelly Lynn Languell
7/12/2012Wanna, Fady MD 688 Walnut Street, Ste 200 Macon GA 3120143813RN175216Tomberlin, Tara 3/17/2014
1/9/2014Guillermo Saurina, MD 2301 N Ashley St Valdosta GA 3160248570RN183464Tomlinson, Lori Gordon
6/8/2007Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN047891Toney, Cheryl Virginia Warren
3/6/2009Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN113445Toole, Ronda Speir 11/29/2010
Wednesday, May 07, 2014 Page 295 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011John Layher, MD 2470 Daniells Bridge Rd, Ste 251 Athens GA 3060646692RN176177Towler, April Pearson
10/2/2008Glynn Chesser, MD 700 Sunset Drive, Suite 502 Athens GA 3060639307RN176177Towler, April Pearson 4/16/2010
9/3/2009James Millen, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080930834RN053829Towner, Susan B. 2/6/2010
7/10/2009Reginald Nesbitt, MD 1350 Walton Way Augusta GA 3090158300RN053829Towner, Susan B.
8/2/2007Fredrick Merrill, III, DO 465 North Belair Road, Suite 1‐C Evans GA 3080934664RN053829Towner, Susan B 9/3/2009
8/9/2013Michael Sumner, MD 1120 15th St, BI‐5092 Augusta GA 3091263062RN192270Towns, Lisa Spencer
1/9/2014Sandra Diehl, MD 709 Canton Rd, Suite 200 Marietta GA 3006031237RN183339Townsend, Stephanie Tia
2/5/2009Larry Tune, MD 1821 Clifton Road NE Atlanta GA 3032937409RN183339Townsend, Stephanie Tia
5/1/2014Jeffrey Klick, MD 1001 Johnson Ferry Rd NE Atlanta GA 3034265581RN218122Tracewski, Meghan Anne
3/7/2008Thomas Hurd, MD 55 Whitcher Street, Suite 130 Marietta GA 3006027070RN119757Trapp Jr, Lester Phillip
6/8/2007William Whaley, MD 1100 Johnson Ferry Rd, #600 Atlanta GA 3034211504RN150779Trattler, Maria E. Russum
6/7/2013Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN131277Trawick, Carmen Glen Campbell 6/29/2013
5/1/2014Michael Groover, MD 7345 Red Oak Rd Union City GA 3029135059RN151832Traylor, Winnifred Ann
8/6/2010James Bailey, MD 743 Spring St Gainesville GA 3050128368RN154502Trent, Amy Reilly
11/8/2013Nick A. Vlachos, MD 100 Glenn Bass Rd LaGrange GA 3024062624RN203487Treston, Amanda Kathryn
6/8/2012Hatcher, James MD 900 Dallas Street, Ste D LaGrange GA 3024014634RN203487Treston, Amanda
11/7/2008Ronald Pirtle, MD 239 Ivan Allen Jr Blvd NW Atlanta GA 3031313784RN063891Trevathan, Linda Scott 9/24/2010
9/14/2007Lyndall C. Van Vicki, MD 747 South Hill Street Griffin GA 3022429811RN066916Trice, Laura Leigh Moxon
9/13/2013Anupama Ravikanth, MD 335 Roselane St, Suite 203 Marietta GA 3006048297RN188936Trivedi, Tran B
Wednesday, May 07, 2014 Page 296 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007Nicole Franks, MD 550 Peachtree Street Atlanta GA 3030849691RN160044Trotta, Cynthia L. 5/1/2012
11/2/2012Steven G. Dawson, MD 2501 Patterson St. Valdosta GA 3160362198RN140275Trouille, Lori
1/9/2014Paul Steinwachs, MD 1336 3rd Ave Columbus GA 3190142736RN135047Trouse, Shannon Ashlee
3/29/2012Perkel, Joshua MD 1062 Forsyth Street, Ste 2A Macon GA 3120156343RN107422Trull, Frieda
6/8/2012Frances Ferguson, MD 1212 E. Union St, PO Box 679 Vienna GA 3109235625RN084787Trussell, Sharl Ann
2/7/2008Quinton Weldon, MD 1212 East Union Street Vienna GA 3109256786RN084787Trussell, Sharl Ann McGee 9/1/2008
6/4/2010Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN156557Tu, Cindy Lao
5/9/2008Eduard Docu, MD 102 Bryan Woods Road Savannah GA 3141056426RN045697Tuck, Linda J.
3/7/2008F. Geoffery Conner, MD 1608 Meadows Lane Vidalia GA 3047433555RN021526Tuck, Mildred Elizabeth Wall
11/8/2013Clayton Cox, MD 668 Lanier Park Dr Gainesville GA 3050128523RN140294Tucker, Tiffany Jones
6/8/2012Hassanyeh, Akram MD 1058 Bermuda Run Rd Statesboro GA 3045829881RN162699Tucker, Jason
3/29/2012Kaufman, Robert MD 550 Peachtree St NE #170 Atlanta GA 3030831150RN193447Tucker, Ramie 4/23/2012
10/8/2010Frank Brown, MD 1821 Clifton Rd NE Atlanta GA 3032931212RN177247Tucker, Thomas Leon 11/12/2010
7/1/2010Bruce Ribner, MD 1364 Clifton Rd Atlanta GA 3032249086RN116109Tucker, Rosebud H. 2/29/2012
12/4/2008Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN116109Tucker, Rosebud H.
12/4/2008Donovan Christie, MD 7530 Roswell Road Atlanta GA 3035044432RN127022Tudorancea, Deanna Lynn 1/30/2013
11/3/2011Yang, Steven MD 1009 N. Monroe Street, Ste 102 Albany GA 3170165438RN192690Tullos, Chelsi 12/30/2013
3/6/2014Absar Mirza, MD 743 Spring St NE Gainesville GA 3050164864RN198112Tupko‐Maloy, Anna Magdalena
9/14/2007William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101998Turk, Pamela Diane Kight 5/1/2012
Wednesday, May 07, 2014 Page 297 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2014Joshua McNatt, MD 3193 Howell Mill Rd, Suite 306 Atlanta GA 3032766688RN054880Turner, Judith Ann Herndon
11/8/2013Louis Battey, MD 275 Collier Road, Ste 500 Atlanta GA 3030921141RN155163Turner, Ashli
8/9/2013Edward Meier, MD 2112 Shorter Ave NW, Suite 200 Rome GA 3016543426RN202294Turner, Rachel Anthony
8/9/2013Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN150217Turner, Martricia
8/9/2013Partricia Meadors, MD 1968 Peachtree Rd Atlanta GA 3030921006RN193966Turner, Zachary Paul
9/13/2012Paul D. Forney MD 1119 15th St. Family Medicine Center Augusta GA 3091223155RN079807Turner, Saundra L.
7/12/2012Jobe, Rayna MD 172 Carriage Trace Marietta GA 300860386RN123210Turner, Watonna 11/1/2012
2/3/2012Vasantha‐Kumar, Sinnathurai MD
21300 Hwy 82, Ste C Waynesville GA 3156644131RN077334Turner, Iris
6/3/2011Julian Hutchins, Sr., MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN165588Turner, Callie Jo Yassney
7/1/2010Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN150217Turner, Martricia 1/31/2011
5/7/2010Michelle Morgan, DO 5230 Dallas Hwy Powder Springs GA 3012751694RN123210Turner, Watonna Lynn 5/7/2010
1/7/2010Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN079807Turner, Saundra Lee 8/1/2011
1/7/2010Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN150217Turner, Martricia 8/30/2011
12/4/2009Robert Miller, MD 105 Collier Rd NW, Suite 3010 Atlanta GA 3030935295RN054880Turner, Judith Ann Herndon 12/11/2013
6/5/2009Anne Wiskind, MD 1800 Peachtree Rd, Suite 650 Atlanta GA 3030929013RN073684Turner, Christine Elaine
5/7/2009Stephanie Allen, MD 1000 Hawthorne Ave, Suite G Athens GA 3060650090RN196955Turner, Meredith Bobb
9/11/2008Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN040276Turner, Jennifer A. 8/30/2009
7/11/2008Tami Breton, MD 380 Cherokee Street Kennesaw GA 3014438695RN150217Turner, Martricia
Wednesday, May 07, 2014 Page 298 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007John H Smith, II, MD 550 P'tree St NE, Ste 1810 Atlanta GA 3030848940RN155163Turner, Ashli Brook 2/28/2008
7/13/2007Nathan Mordel, MD 105 Collier Rd. Suite 1010 Atlanta GA 3030945895RN073684Turner, Christine Elaine
1/9/2009Samuel Palmer, MD 233 North Houston Rd, Suite 140‐F Warner Robins GA 3109329061RN140344Tuten, Michelle Webb
1/7/2010Okiki Louis, MD 5230 Dallas Hwy Powder Springs GA 3012747479RN186816Twumasi, Gifty Owusu
8/9/2013Luther Vance, MD 3065 South Cobb Dr, Suite B Smyrna GA 3008019354RN153645Tyler, Christina Daniels 10/3/2013
2/7/2013Aiello, James MD 410 Darling Avenue Waycross GA 3150148023RN170702Tyre, Mitzi Braddock 9/18/2013
12/7/2012Kristen M. Walsh, MD 1912 Memorial Dr., Ste E Waycross GA 3150168019RN170702Tyre, Mitzi B.
4/1/2011D. Shawn Surratt, MD 603 S. Wheat Ave, Suite 700 Bainbridge GA 3981955984RN143534Tyus, Angela Frances
4/1/2011Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN143534Tyus, Angela Frances
7/11/2013Afolake Mobolaji, MD 5604 Wendy Bagwell Pkwy, Suite 611 Hiram GA 3014164805RN220844Uba, Sabo 3/31/2014
12/4/2008Melanie Cooper, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004445753RN137261Ukani, Hafiza Aziz 5/17/2013
11/8/2013Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN192047Underwood, Ashley Stockwell
9/11/2008Loy Cowart, III, MD 8816 Hwy 301 North Claxton GA 3041737979RN168120Upchurch, Linda Anne Liles 6/15/2009
3/8/2013Jane Ellis, MD 69 Jesse Hill Jr Dr SE, OB/GYN Dept Atlanta GA 3030344208RN184301Ura, Chiemi Amanda
10/2/2009Kevin Ault, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030356403RN184301Ura, Chiemi Amanda 12/13/2012
1/9/2009Rony Adam, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030339992RN184301Ura, Chiemi Amanda 8/7/2009
1/9/2014Martha Millan‐Sanchez, MD 3015 Veterans Pkwy Moultrie GA 3178866223RN167457Usher, Madeline Mary 4/30/2014
9/13/2013Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN167457Usher, Madeline Mary
1/6/2012Luke, Claude MD 3015 Veterans Parkway Moultrie GA 3178822247RN167457Usher, Madeline 4/29/2013
Wednesday, May 07, 2014 Page 299 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Henry Eugenio, MD 3015 Veterans Pkwy Moultrie GA 3177632379RN167457Usher, Madeline Mary 11/21/2011
2/6/2014Miles Johnson, MD 150 Fiddlers Ridge Fayetteville GA 3021438817RN185085Uwazie, Nkeiru Ngozi
2/7/2013Beverly Hyacinth, MD 2945 Panola Rd. Lithonia GA 3003857003RN185085Uwazie, Nkeiru 1/1/2014
7/1/2010Sharon Lynch‐Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN090354Uyesugi, Karen Denise Grail 3/31/2011
11/8/2013David Wyatt, MD 5337 Old National Hwy, Suite 100 College Park GA 3034942979RN145805Uzokwe, Helen Onyedikachi
12/4/2008Christopher Stevens, MD 4398 Atlanta Hwy Loganville GA 3005254515RN145066Uzuegbunam, Florence
10/2/2008Christopher Reddoch, MD 5997 Spring Street Warm Springs GA 3183061328RN138569Vael, Aimee Corley 6/26/2009
10/7/2011Amaya, Sharon MD 5665 New Northside Drive, Ste 320 Atlanta GA 3032847182RN175879Vail, Sara
6/7/2013Robert B. Copeland, MD 301 Medical Dr. LaGrange GA 3024011745RN192534Valenzona, Julieta Gilda
7/12/2012Galan, Vincent MD 1365 Rock Quarry Rd, Ste 202 Stockbridge GA 3028128685RN192534Valenzona, Julieta 9/17/2012
8/9/2013Deborah Griffiths, MD 1000 Medical Center Blvd,. Emer Dept Lawrenceville GA 3004635888RN153727Van Buren, Christy Denise
7/11/2013Scott Parry, DO 730 Ponce de Leon Pl, Unit B Atlanta GA 3030639899RN188240Van Dellen, Stephanie Klug
12/1/2011Williams, Stewart MND 2412 N. Oak Street Valdosta GA 3160230242RN154901Van Jura, Brandy
6/5/2009Sanjay Sharma, MD 341 Ponce de Leon Ave NE Atlanta GA 3030842119RN087348Van Liew, Sybil Lynn Stewart
9/11/2008Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN087348Van Liew, Sybil Lynn Stewart 8/30/2009
10/10/2013Walter James, MD 275 Collier Rd, Suite 500 Atlanta GA 3030931948RN149681Van Patten, Laura Elizabeth
10/5/2012Thomas Deering, MD 275 Collier Rd., Ste 500 Atlanta GA 3030932170RN149681Van Patten, Laura 9/7/2013
2/4/2011David Robertson, MD 77 Collier Rd, Suite 2080 Atlanta GA 3030927244RN149681Van Patten, Laura Elizabeth
11/2/2012Roger A. Brooksbank, MD 501 Redmond Rd. Rome GA 3016568120RN224765VanDenburg, George
Wednesday, May 07, 2014 Page 300 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/5/2010Daniel Sandler, MD 4700 Waters Ave, Suite 206 Savannah GA 3140442420RN208749Vanderstraeten, Delphine
3/6/2009Stephen Rosenberg, MD 5780 P'tree Dunwoody Rd, #295 Atlanta GA 3034225661RN064751Vanlooy, Christine Elizabeth Wa
1/9/2014David Markham, MD 5673 Peachtree Dunwoody Rd, Suite 650
Atlanta GA 3034269311RN169364Varghese, Susan
8/9/2013Eman Kaldas, MD 3121 Peach Orchard Rd, Suite 103 Augusta GA 3090649579RN201564Varghese, Mary Laurel
2/3/2012Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN169364Varghese, Susan 10/31/2013
8/5/2011John O'Connell, MD 5673 Peachtree Dunwoody Rd NE, #650 Atlanta GA 3034262266RN169364Varghese, Susan 1/10/2012
5/3/2013Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN224930Varnum, Allison Renee 2/1/2014
6/7/2013Amar Patel, MD 55 Whitcher St, Suite 350 Marietta GA 3006052803RN155488Vaughan, Emily Regina Gwinn 11/15/2013
1/6/2012Thomson, Robert MD 3619 Braselton Highway Dacula GA 3001947166rn172992Vaz, Denise
7/10/2009Babatunde Onasanya, MD 605 Beaver Ruin Rd, Suite B Lilburn GA 3004750983RN172992Vaz, Denise Sophia 4/30/2010
10/10/2013Manuel Vega, MD 206‐A Hospital Dr Dublin GA 3102128227RN095541Vega, Alicia Luisa
12/3/2010Mark Tanner, MD 1935 Howell Mill Rd Atlanta GA 3031825677RN192494Ventimiglia, John 4/6/2011
9/3/2009Elliot Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN192494Ventimiglia, John 9/1/2010
3/6/2014Gulshan Harjee, MD 2536 Lawrenceville Hwy Decatur GA 3003326865RN182347Verme, Mirose Philistin
3/6/2009Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN103582Vieira, Jennifer Cecilia 6/10/2010
5/6/2011Mary Dailey‐Smith, MD 5610 Wendy Bagwell Pkwy, Suite 103 Hiram GA 3014150472RN129147Vincent, Sandra Kay
8/9/2013Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN198125Vizinat, David Craig
11/2/2012Bradley S. Buckler, MD 4750 Waters Ave., Ste. 206 Savannah GA 3140458853RN124495Von Herbulis, Kelly A.
Wednesday, May 07, 2014 Page 301 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/6/2014H Verdain Barnes, MD 2000 North Monroe St Albany GA 3170112029RN168259Voyles, Bonny Sue Wood
1/6/2012Sanders, Charles MD 951 South Broad Street Thomasville GA 3179229087RN168259Voyles, Bonny 1/10/2014
9/2/2010George Wheeler, MD 1218 Alice Street Waycross GA 3150133751RN168259Voyles, Bonny Sue Wood
11/5/2009Calvin Reams, MD 951 South Broad St Thomasville GA 3179219585RN168259Voyles, Bonny Sue Wood 1/1/2011
1/9/2009Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN135333Vreeland, Christopher Allen 3/1/2010
1/11/2008Joseph Khouri, MD 3080 Highlands Pkwy, Suite A Smyrna GA 3008224698RN135333Vreeland, Christopher Allen
4/13/2007Donald Keith West, MD 823 Campbell Hill Street Marietta GA 3006032323RN135333Vreeland, Christopher Allen 11/1/2007
12/6/2013William Harper, MD 1021 Talbotton Rd Columbus GA 3190420726RN076432Vrooman, Linda August
1/9/2009Stephanie Gordon, MD 2750 Owens Drive, Suite A Conyers GA 3009449382RN134131Vu, Lan Thi
12/7/2007Jeffrey Lennox, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030838844RN035686Vuchetich, Marion Angelica
7/10/2009James Lah, MD 1841 Cliftin Road Atlanta GA 3032941863RN170635Vyverberg, Stephanie Leigh
11/7/2008Allan Levey, MD 1841 Clifton Road NE Atlanta GA 3032934885RN170635Vyverberg, Stephanie Leigh
2/6/2014Mubbashir Khan, MD 1007 Mary Street Waycross GA 3150154327RN235186Waddell, Amanda L
1/6/2012Eubanks, Amy MD 101 Quartz Drive, Ste 201 Villa Rica GA 3018052922RN173494Wadley, Felicia 10/19/2013
7/12/2012Hampton, Sharne MD 901 Rice Street Atlanta GA 3031830375RN210808Wadud, Mir
5/3/2013Gretchen Collins, MD 8201 Hazelbrand Rd Covington GA 3001432712Rn063518Waggoner, Lynda Lee
5/3/2013Steven Bonner, MD 15151 Alcovy Rd NE Covington GA 3001468484RN063518Waggoner, Lynda Lee 12/5/2013
7/12/2012Donald Kern, MD 15151 Alcovy Rd NE Covington GA 3001467068RN063518Waggoner, Lynda Lee 5/4/2013
1/7/2010Sylvia Halleck, MD 3955 Harrison Rd, Suite 400 Loganville GA 3005216356RN063518Waggoner, Lynda Lee 6/7/2010
Wednesday, May 07, 2014 Page 302 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Brandon Mednick, MD 1255 Highway 54 West Fayetteville GA 3021456138RN206617Wagner, Jaclyn Anne
8/7/2009Sadiq Sohani, MD 1413 Chattanooga Ave Dalton GA 3072045010RN155078Wagner, Muna Elizabeth 9/1/2012
2/5/2009Ricardo Riesco, MD 711 Shields Road Dalton GA 3072044069RN155078Wagner, Muna Elizabeth 10/17/2011
4/3/2008Jonathan Ehrlich, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN194802Wahab, Maybel Josephine 1/31/2011
11/3/2011Warner, Randy MD 690 Dallas Hwy, Ste 201 Villa Rica GA 3018053905RN218274Waid, Anita
1/9/2014Eric Davis, MD 116 W. Thigpen Ave Suite D Lakeland GA 3163563648RN183455Waite, Laura Sumner
12/4/2009Maurice Clifton, MD MSC Health Clinic ‐ 100 College Station Dr
Macon GA 3120661053RN033697Waits, Cornelia Evelyn Davis
2/7/2008Keith Hannay, MD 304 Shorter Avenue, Suite 201 Rome GA 3016525760RN073413Walden‐McBride, Deborah Lynn
2/6/2014Mubbashir Khan, MD 1007 Mary St Waycross GA 3150154327RN162692Walker, Sandra Lenette
10/10/2013Jeremy Hess, MD 49 Jesse Hill Jr Dr SE, Emer Dept Atlanta GA 3030357818RN171841Walker, Richard Jerome
6/7/2013Winston C. Connell, Jr, MD 915 Gordon Ave Thomasville GA 3179258733RN184239Walker, Sandra Louise
6/7/2013Ralph Warnock, MD 4080 McGinnis Ferry Rd, #804 Alpharetta GA 3000517337RN129698Walker, Jennifer Joiner
5/3/2013Thomas Park, MD 603 Wheat Ave, Suite 800 Bainbridge GA 3981956205RN184239Walker, Sandra Louise
10/5/2012Marcus Roberts, MD 903 West Ward St., Ste A Douglas GA 3153335986RN141132Walker, Benjamin
9/13/2012Kelvin Burton, MD 8464 Adair Street, # B Douglasville GA 3013432101RN186102Walker, Elizabeth Lathrop
7/12/2012Ditaranto, Anthony MD 1629 10th Ave, Ste B Columbus GA 3190129865RN129698Walker, Jennifer Joiner 7/11/2013
5/4/2012Cotton, Byron MD 2785 Lawrenceville Hwy, Ste 207 Decatur GA 3003341098RN159359Walker, Erica
3/29/2012Parrott, Jonathan MD 804 Northwood Park Valdosta GA 3160236246RN141132Walker, Benjamin James 9/7/2012
Wednesday, May 07, 2014 Page 303 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/1/2012Gatewood (Tolliver), Cheryl MD
2941‐D N. Ashley St, Ste D Valdosta GA 3160253040RN141132Walker, Benjamin 4/23/2012
1/6/2012Williams, Jonathan DO 1221 E McPherson St Nashville GA 3163959237RN184239Walker, Sandra 10/24/2013
12/1/2011Reddy, Ram MD 1061 Dowdy Road, Sts 100 & 101 Athens GA 3060624178RN091762Walker, Regina 11/30/2012
11/3/2011Harper, William MD 1021 Talbotton Road Columbus GA 3190420726RN129698Walker, Jennifer
9/1/2011G. Timothy Park MD 6175 Newton Drive Covington GA 3001422859RN118369Walker, Carol
5/6/2011Bradley Larson, MD 157 Clinic Ave, Suite 101 Carrollton GA 3011754449RN170353Walker, Melissa D.
4/1/2011Quinton Weldon, MD 116 W. Thigpen Ave Lakeland GA 3163556786RN184239Walker, Sandra Louise
9/2/2010Mark Gay, MD 2000 Palmyra Rd, Emer Dept Albany GA 3170146852RN184239Walker, Sandra Louise
9/2/2010Sujatha Hariharan, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010657635RN170353Walker, Melissa D. 3/7/2011
2/5/2010Ben Thrower, MD 2020 Peachtree Rd NW Atlanta GA 3030950311RN090005Walker, Tracy Lynn
11/7/2008Roger Branch, MD PO Box 538 Metter GA 3043930272RN094080Walker, James Leland
2/7/2008Heath Hampton, MD 5278 Adams Street Covington GA 3001452273RN118369Walker, Carol Walden
12/7/2007William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141132Walker, Benjamin James 5/1/2012
4/13/2007Michael Maley, MD 269 Ridgecrest Circle Clayton GA 3052534410RN091762Walker, Regina Ellen Elliott
11/8/2013Muhammad Khan, MD Archbold Hosp, 915 Gordon Ave Thomasville GA 3179263080RN184239Walker‐Nichols, Sandra
12/6/2013Jared Griffis, MD 1199 Prince Ave Athens GA 3060657469RN198482Wall, Kelly Elizabeth
9/13/2013Kathleen Long, MD 148 Bill Gardner Pkwy, Suite 260 Hiram GA 3014138549RN134321Wall, Donna Van Bladel
7/12/2012Miller, Debra MD 148 Bill Carruth Pkwy, Ste 260 Hiram GA 3014141898RN134321Wall, Donna 7/31/2013
Wednesday, May 07, 2014 Page 304 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Navin Wadehra, MD 6002 Professional Pkwy, Suite 220 Douglasville GA 3013458346RN134321Wall, Donna Van Bladel
12/4/2009Ravinder Reddy, MD 150 Gentilly Blvd Cartersville GA 3012063435RN134321Wall, Donna Van Bladel 9/30/2010
4/2/2009John Michael West, MD 740 Prince Ave, Bldg 15 Athens GA 3060620621RN045285Wall, Anthony B
3/6/2009Osagie Okundaye, MD 150 Gentilly Blvd Cartersville GA 3012055488RN134321Wall, Donna Van Bladel 9/18/2009
6/8/2007Bruce Goldsweig, MD 1700 Hospital South Drive Austell GA 3010648516RN134321Wall, Donna Van Bladel 7/25/2008
4/4/2014Melissa Schepp, MD 677 Church St Marietta GA 3006050221RN136273Wallace, Stephanie Ruth
11/8/2013Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN217995Wallace, Jasmia Nyree
7/10/2009Fareed Kadum, MD 203 Lakeshore Point, Suite A St. Mary's GA 3155822993RN046062Wallace, Cynthia S
3/6/2009Gregory Franz, MD 1707 Meadows Lane, Suite C Vidalia GA 3047460835RN143968Wallace, Deborah Elaine 2/26/2010
12/7/2007Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN046062Wallace, Cynthia S 12/7/2007
12/1/2011Leaderman, Adam MD 5673 Peachtree Dunwoody Road, Ste 775
Atlanta Ga 3034229709RN140799Walsh, Laurie 3/3/2014
5/6/2011Alexander Gross, MD 1505 Northside Blvd, Suite 1500 Cumming GA 3004130078RN164556Walsh, Janette J.
6/8/2012Rosenthal, Dinna MD 4181 Hospital Drive, Ste 202 Covington GA 3001449252RN166086Walter, Julie 1/30/2014
11/1/2007Charles Hitson, MD 231 Graefe Street Griffin GA 3022326554RN078025Walter, Susan Wheeler
5/1/2014Richard Wright, MD 315 Upper Riverdale Rd Riverdale GA 3027446927RN186508Walton, Nurah Jamilah
5/1/2014Paul Harvey, MD 6572 River Park Dr, Suite 102 Riverdale GA 3027448960RN186508Walton, Nurah Jamilah
1/11/2013Christopher Stevens, MD Take Care Clinic, 1855 Hudson Bridge Rd.
Stockbridge GA 3028154515RN186508Walton, Nurah J. 9/9/2013
5/6/2011Kashif Ahmed, MD 2200 Hwy 155 North McDonough GA 3025261547RN186508Walton, Nurah Jamilah 6/7/2011
Wednesday, May 07, 2014 Page 305 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/10/2007Joe K. Griffin, Jr., MD 1326 Eisenhower Dr. Savannah GA 3140638501RN077768Walz, Tammie Elizabeth Way
10/8/2010Carlton Kemp, Jr., MD 4700 Waters Ave, Suite 507 Savannah GA 3140446870RN184702Wanager, Ashley McKinney
1/9/2014Kristin Delahanty, MD 2450 Atlanta Hwy Suite 103 Cumming GA 3004050878RN203584Wandurraga, Megan Mewborn
6/30/2011Stephanie Gordon, MD 2750 Owens Dr, Suite A Conyers GA 3009449382RN203584Wandurraga, Megan Mewborn 6/30/2013
12/6/2013Randy Durbin, DO 4914 Atlanta Hwy, Suite 14 Alpharetta GA 30004‐292164776RN229572Wanner, Heather Brown
7/10/2009Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN187265Wansky, Michelle Stella 4/1/2010
4/4/2014Suzette Chin, MD 21 Pointe North Drive Cartersville GA 3012058955RN235092Ward, Jennifer Carol
5/3/2013Janet Fason, DO Take Care, 2464 Roswell Rd Marietta GA 3006248773RN130649Ward, Antoinette Felicia 11/1/2013
11/2/2012Charles Allen Semones 8453 Queen Anna Drive Tallahassee FL 323751737RN148845Ward, Sandra A.
7/12/2012Weldon, Quinton MD PO Box 904 Americus GA 3170956786RN148845Ward, Sandra 8/31/2012
1/6/2012Rutherford, Robin MD 1365 Clifton Road Ste 1200 Atlanta GA 3032254926RN109597Ward, Angela 7/25/2012
10/7/2011Padhiar, Dhanraj MD 207 Northside Drive Valdosta GA 3160222615RN148845Ward, Sandra
10/7/2011Moss, Douglas MD 415 Woodrow Wilson Street Valdosta GA 3160241178RN148845Ward, Sandra
6/4/2010Benjamin Cheek, MD 2724 Warm Springs Rd Columbus GA 3190425332RN148659Ward, Julie Jenell
6/4/2010Bennett Hogan, MD 117 W. Northside Drive Valdosta GA 3160250024RN148845Ward, Sandra Lynn Asher
8/7/2009Arunas Urbonas, MD 3564 N. Crossing Circle Valdosta GA 3160254135RN148845Ward, Sandra Lynn Asher
9/11/2008Jonathan Parrott, MD 2501 N Patterson Street Valdosta GA 3160236246RN148845Ward, Sandra Lynn Asher
10/4/2007J. Connor Smith, MD 303 Smith Street LaGrange GA 3024027916RN147488Ward, Kevin
1/6/2012Ditaranto, Anthony MD 915 Elmo Street Americus GA 3170929865RN142278Ware, Altheia
Wednesday, May 07, 2014 Page 306 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
5/6/2011Charles Roman, DO 2737 Warm Springs Rd, Suites B&C Columbus GA 3190443757RN142278Ware, Altheia Bass 8/26/2011
5/7/2010Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN142278Ware, Altheia Bass 12/31/2010
7/10/2009Howard Willis, MD 1005 Talbottom Rd, Suite B Columbus GA 3190430693RN142278Ware, Altheia Bass
12/4/2008Jibike Adegbile, MD 7196 North Lake Drive, Suite B Columbus GA 3190948967RN142278Ware, Altheia Bass 4/2/2009
11/5/2009Christopher Stevens, MD 3600 Sandy Plains Road Marietta GA 3006654515RN131361Warner, Mamron Hyndman 7/14/2012
12/4/2008Nichole LeBoyd, MD 3003 Old Alabama Road Alpharetta GA 3002254452RN106324Warner, Amy Elizabeth
5/1/2014Dennis Spencer, DO 1077 South Main St, Emer Dept Madison GA 3065047663RN203092Warnock, Kimberly Goodwin
2/6/2014Larry Elam, MD 10055 Ford Ave, Suite 4‐A Richmond Hill GA 3132453491RN127202Warren, Sarah Elizabeth Reiche
8/5/2011Michael Pinell, MD 227 Merchants Way Brunswick GA 3152558102RN031979Warren, Jennifer E Tyre
4/4/2014Janet Griffin, DO 5885 Glenridge Dr, Suite 200 Atlanta GA 3032846597RN137952RN137952
Washington, Patrick Lynn
10/10/2013Benedict Benigno, MD 960 Johnson Ferry Rd, Suite 130 Atlanta GA 3034217010RN102681Washington, Renice Andrea
9/13/2013Chandra B. Armstrong, MD 1862 Candler Rd. Decatur GA 3003243562RN198365Washington, Tonita R.
4/4/2013Jacqueline Sulton, MD 5700 Hillandale Dr, Suite 150 Lithonia GA 3005827675RN145575Washington, Barbara Jean
3/1/2012Jacob, Mina MD 1700 Hospital South Drive, Ste 302 Austell GA 3010651477RN137952Washington, Patrick
3/1/2012Cameron, Nadia MD 494 Boulevard SE Atlanta GA 3031253982RN198365Washington, Tonita 10/31/2012
3/4/2011Sasidhar Guthikonda, MD 1267 Hwy 54 West, Suite 2200 Fayetteville GA 3021457471RN137952Washington, Patrick Lynn
11/5/2010Bruce Ramsdell, MD 2225 Godby Road College Park GA 3034918722RN137952Washington, Patrick Lynn
7/10/2009Benjamin Camp, MD 705 Dixie Street Carrollton GA 3011744691RN137952Washington, Patrick Lynn
Wednesday, May 07, 2014 Page 307 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008Micah Tepper, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010657687RN137952Washington, Patrick Lynn 12/28/2011
10/10/2013Zada Weston‐Hill, MD 1810 Hwy 20 Suite 172 Conyers GA 3001339009RN206177Waters, Danielle Nicole
10/8/2010Alvin Griffin, MD 1039 E. Freeway Drive Conyers GA 3009432107RN206177Waters, Danielle Nicole
5/1/2014Thomas Bloodworth, MD 101 Cleburne Pkwy Hiram GA 3014118124RN083309Watkins, Cathy Elizabeth
4/2/2009Richard Gorman, MD 1401 Georgian Park, Suite 200 Peachtree City GA 3026931008RN144200Watkiss, Amy Odom
2/6/2014Paul Roberts, MD 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 3015269246RN229407Watson, Anna Evans
2/6/2014Bruce Ramsdell, MD 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 3015218722RN229407Watson, Anna Evans
2/7/2013Christopher Stevens, MD 2988 Shallowford Rd Marietta GA 3006654515RN087567Watson, Donna M. H. 4/10/2013
10/5/2012Carl Johnson, MD 1950 Old Ocilla Rd. Tifton GA 3179428796RN050405Watson, Vivian Elaine
10/5/2012Edward Hellman, MD 1610 John Orr Dr., Ste A Tifton GA 3179445823RN201031Watson, James
6/8/2012Peter Holliday, III, MD 420 Charter Blvd, Ste 402 Macon GA 3121026557RN201031Watson, James 8/6/2012
6/8/2012Badre, Shenon MD 2500 Starling Street Ste 501 Brunswick GA 3152052532RN112289Watson, Elizabeth K
10/8/2010Mark Hendricks, MD 380 Hospital Dr, Bldg A, Suite 430 Macon GA 3121743061RN193806Watson, Jennifer G.
7/1/2010Avril Beckford, MD 1810 Mulkey Rd, Suite 201 Austell GA 3010635814RN152146Watson, Holly Leo 8/31/2010
5/7/2010Husham Mishu, MD 285 Boulevard NE, Suite 345 Atlanta GA 3031240740RN057926Watson, Margaret E. 1/19/2013
4/1/2010Dennis Ashley, MD 777 Hemlock St, Hosp Box 103 Macon GA 3120133266RN117565Watson, Anita Carver
9/3/2009Rodger Chapman, MD 2890 Delk Road Marietta GA 3006716769RN087567Watson, Donna M.H.
8/8/2008Laura Verigan, MD 51 Hiram Drive, Bldg B Hiram GA 3014154043RN152146Watson, Holly Leo
7/11/2008Lee Herman, MD 4365 John's Creek Pkwy, Suite 400 Suwanee GA 3002443644RN142904Watson, Pamela Kaye Parham
Wednesday, May 07, 2014 Page 308 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/3/2008Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN107940Watson, Marcia Ava Pyne
12/7/2007Edward McDonald, MD PO Box 908851 Gainesville GA 3050141890RN057926Watson, Margaret E. 12/18/2009
4/13/2007C. Allen Woods, MD 410 Connell Road, Ste A Valdosta GA 3160226688RN170324Watt, Kathryn Coleman
7/12/2012Estep, Dennis MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074225429RN142322Watters, Jana 4/6/2013
2/5/2009Ricardo Riesco, MD 711 Shields Road Dalton GA 3072044069RN142322Watters, Jana Gayle Smith 6/22/2010
10/5/2012Rao Moravineni, MD 246 O'dell Rd, Ste #4 Griffin GA 3022451360RN196933Wattkis, Evon 2/4/2013
11/7/2008Anthony Onyegbula, DO 7444 Hannover Pkey, Ste 150 Stockbridge GA 3028153348RN196933Wattkis, Evon Rosilyn 5/4/2012
2/3/2012Vaughn, Candace MD 1012 Hwy 247 South Kathleen GA 3104740809RN036579Watts, Edna 8/22/2013
11/5/2010Jon Trankina, MD 4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock GA 3018930681RN107484Watts, Cindi Michele Still 6/1/2011
4/1/2010William Kriegel, DO 3405 SW Dallas Hwy, Suite 505 Marietta GA 3006431962RN107484Watts, Cindi Michele Still 2/20/2011
3/4/2010Luther Vance, MD 3065 South Cobb Dr Smyrna GA 3008019354RN107484Watts, Cindi Michele Still 9/19/2012
4/13/2007Eugene H. Jackson, MD 790‐341 Hwy, Professional Bldg. A Hawkinsville GA 3103622793RN036579Watts, Edna Earl Richardson 3/10/2010
4/3/2008Kent Plowman, MD 987 St. Sebastian Way, Suite 1509 Augusta GA 3091217872RN126204Way, Peter Joseph 8/20/2010
8/9/2013Kathryn Dudas, MD 1856‐14 Thompson Bridge Rd Gainesville GA 3050166025RN197635Weaver, Rachel Elizabeth
11/3/2011Bethea, Todd MD 536 Hwy 441 South Clayton GA 3052542016RN117742Weaver, Gail
3/4/2011H. Philip Morris, Jr, MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN117742Weaver, Gail Marner 7/31/2011
6/4/2010Mohak Dave', MD 743 Spring St Gainesville GA 3050151128RN117742Weaver, Gail Marner
4/1/2010Karen Muro, MD 497 Winn Way, Suite A‐210 Decatur GA 3003037304RN091813Weaver, Valencia Lavon
4/2/2009Georgina Kalaitzidis, MD 1292 Athens Street Gainesville GA 3050756186RN092374Weaver, Doris Munford
Wednesday, May 07, 2014 Page 309 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
10/2/2008Joel Johnson, MD 1007 Greenfield Drive Tifton GA 3179430799RN089815Weaver, Judy Elaine
9/11/2008David Blomert, MD 1292 Athens Street Gainesville GA 3050740870RN092374Weaver, Doris Munford
1/9/2014Frances Ferguson, MD 1212 East Union St Vienna GA 3109235625RN169815Webb, Mary Elizabeth Howell
11/8/2013Paresh Thanki, MD 3120 North Oak St Ext, Suite C Valdosta GA 3160255344RN091563Webb, Dorraine Baker
9/13/2013Muhammad Alam, MD 3015 Veterans Pkwy Moultrie GA 3178869167RN091563Webb, Dorraine Baker
12/7/2012Teddy A. Scoggins, MD 611 Villanow St. LaFayette GA 3072829089RN213372Webb, Emily T.
11/2/2012James Palazzolo, MD 804 13th Ave. Albany GA 3170137637RN175520Webb, Leah Dawn
1/6/2012Barker, Lucretia MD 1112 Plaza Avenue Eastman GA 3102342013RN118538Webb, Valarie 4/27/2012
8/5/2011Charles Alexis, MD 3120 N Oak St Ext, Ste C Valdosta GA 3160264716RN091563Webb, Dorraine Baker 8/14/2013
8/5/2011Robert Greenfield III, MD 3211 Iris Drive, Ste A Covington GA 3001637221RN094097Webb, Terrance David
2/4/2011Briccio Valdez, MD 3120 N Oak St Ext, Suite C Valdosta GA 3160219353RN091563Webb, Dorraine Baker 7/15/2011
2/5/2010Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN091563Webb, Dorraine Baker
11/5/2009Scott Morrell, MD 3211 Iris Dr, Suite A Covington GA 3001629218RN094097Webb, Terrance David 8/1/2011
10/2/2009John Souza, MD PO Box 16100 Dublin GA 3104039475RN118538Webb, Valarie Irene Adams
2/5/2009Ifeyinwa Osunkwo, MD 1405 Clifton Rd, Tower 1, 4th Floor Atlanta GA 3032255681RN198044Webb, Lindley Banner
9/13/2012Eubanks, Amy 101 Quartz Drive, Ste 201 Villa Rica GA 3018052922RN148627Weber, Julie Dorsch
5/7/2009Linda Sacks, MD 4750 Waters Ave, Suite 206 Savannah GA 3140424724RN144617Weber, Jennifer Lynn
7/13/2007Stephen H. Kahler, MD 150 Henry Burson Drive, Ste 200 Carrollton GA 3011730330RN148627Weber, Julie Dorsch
5/1/2014Courtney Middleton, MD 11975 Morris Road Suite 300 Alpharetta GA 3000557295RN081776Webster, Carol Anne
Wednesday, May 07, 2014 Page 310 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Hassan Sayegh, MD 95 Collier Rd, Suite 300 Atlanta GA 3030936066RN083512Webster, Julie Hilliard
7/10/2009Bradley Moore, MD 9 Dunwoody Park, Suite 108 Dunwoody GA 3033851691RN081776Webster, Carol Anne 2/7/2011
6/5/2009Samantha Anderson, MD 9 Dunwoody Park, Suite 108 Atlanta GA 3033849158RN081776Webster, Carol Anne 2/7/2011
11/1/2007Brian Cross, MD 231 Graefe Street Griffin GA 3022343190RN104626Webster, Robert Bruce
5/10/2007Suzanne Palmer, MD 750 North Cobb St. Milledgeville GA 3106125007RN166485166485
Webster, Katherine H.
12/3/2010O. Goga Vukotic, MD 11050 Crabapple Rd, Bldg A, #104‐B Roswell GA 3007547576RN155393Weeks, Keela Kathleen
12/4/2009John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN155393Weeks, Keela Kathleen 9/10/2010
12/4/2008Bruce Burns, MD 1062 Forsyth Street, Suite 1‐B Macon GA 3120148882RN190495Wegner, Jill Yatcko
4/4/2013Eastlyn Harding‐Marin, MD 15151 Alvovy Jersey Rd. Covington GA 3001456841RN153196Weir, Karene Gaile
5/9/2008Olubunkola Olubi, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027756613RN051662Weitzel, Sybil Stone
5/6/2011Laura Beaty, MD 755 Mt Vernon Hwy, # 120 & 220 Atlanta GA 3032845168RN110633Weizel, Pamela 7/25/2013
12/7/2007Melody Palmore, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030833679RN110633Weizel, Pamela 11/5/2011
2/5/2010Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN098265Wekesa, Grace Irene 11/26/2012
12/4/2009Stephen Szabo, MD 2712 Lawrenceville Hwy Decatur GA 3003344850RN098265Wekesa, Grace Irene
6/8/2007Carla Jorgensen, MD 1800 Tree Lane, Suite 180 Snellville GA 3007854576RN098265Wekesa, Grace Irene 4/23/2009
4/4/2014Jeffrey Dowis, MD 3193 East First St Vidalia GA 3047468199RN175924Welch, Lanie Demolfetto
1/11/2013Theresa M. Courtney, MD Park 60 Georgia 22 Milledgeville GA 31061######RN102154Welch, Stephanie A.
8/10/2012Murtaza Cassoobhoy, MD 5 Dunwoody Park, Ste 118 Atlanta GA 3033843014RN208091Welch, Natasha 2/10/2013
Wednesday, May 07, 2014 Page 311 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Duke, Michael MD 134 W. Campus Drive, Cbox 091 Milledgeville GA 3106142041RN102154Welch, Stephanie
10/7/2011Moore, Xavier MD 4340 Georgetown Square, Ste 608 Atlanta GA 3033855619RN208091Welch, Natasha
11/5/2010John O'Connell, MD 5671 P'tree Dunwoody Rd, Suite 110 Atlanta GA 3034262266RN208091Welch, Natasha Rosita 5/4/2011
6/8/2012Tidmore Jr., William C. MD 2412 North Oak Street Valdosta GA 3160241978RN154254Weldon , Lisa
6/8/2012Tidmore Jr., William C. MD 2412 North Oak Street Valdosta GA 3160241978RN115879Weldon, Jennifer
3/1/2012Slade, Lance MD 550 Professional Drive Macon GA 3120152488RN169965Weldon, Abby
12/7/2007Paul Weinberg, MD 600 Professional Drive, Suite 160 Lawrenceville GA 3004523244RN094541Weller, Ruby Ann Haddock
9/13/2013Don Heacock, MD 345 North Cobb St Milledgeville GA 3106137564RN149563Wells, Angela Gail Gordon
1/7/2010Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN135621Wells, Stephanie Marie 12/31/2010
9/14/2007Nicole Franks, MD 550 Peachtree Street Atlanta GA 3030849691RN135621Wells, Stephanie Marie
2/7/2008Keith Hannay, MD 304 Shorter Avenue, Suite 201 Rome GA 3016525760RN137037Wempe, Elizabeth Talcott
9/3/2009James Thomsen, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034234485RN202727Wenger, Molly Jo 7/1/2010
12/4/2008Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN169089Wermers, Victoria Mignon
8/7/2009Madhu Vishwanath, MD 4398 Atlanta Hwy Loganville GA 3005256499RN130480Werner, Melody Kellogg
9/13/2013Naghma Khan, MD 1645 Tullie Circle Atlanta GA 3032937252RN143311Wesley, Stacie Allyn Reed
6/7/2013Maged Abdelmalik, MD 36261 N Okefenokee Dr Folkston GA 3153755077RN213041West, Amanda Lee
3/8/2013Sara Mobasseri, MD 95 Collier Rd, Ste 2035 Atlanta GA 3030957112RN170279West, Adrienne
10/7/2011Thompson, Albert MD 2383 Third Street Folkston GA 3153722338RN213041West, Amanda
10/7/2011Rouse, Charlie MD 100 Professional Place, Ste 303 Carrollton GA 3011744076RN170279West, Adrianne
Wednesday, May 07, 2014 Page 312 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Donna Van Schuyver, DO 13570 N Main St Trenton GA 3075242754RN122688West, Pamela LM
3/4/2011Medel Reyes, MD 55 Whitcher St, Suite 420 Marietta GA 3006048815RN185014West, Heather Lynn
2/7/2008Sharon Fitzgerald‐Soapes, MD
3685 Lawrenceville Hwy, Suite 100 Lawrenceville GA 3004416509RN033891West, Jo Ann
2/5/2010James Butts, MD PO Box 2683 Gainesville GA 305039103RN072824Westbrook, Patricia Gay
1/9/2009Divina Dyer, MD 1762 Mars Hill Road NW Acworth GA 3010157161RN070078Westbrook, Anita D. 10/8/2011
2/7/2008Jane Ellis, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030344208RN120210Westdahl, Claire M.
6/8/2007Michael Lindsay, MD 69 Jesse Hill Jr. Drive SE Atlanta GA 3030327602RN120210Westdahl, Claire M. 1/1/2008
11/3/2011Babalola, Cecilia MD 3970 Five Forks Trickum Road, Ste A Lilburn GA 3004758389RN051666Westin, Candace 11/28/2011
7/12/2012Arunachalam, Krishnan MD 800 Virginia Avenue, Ste 200 Hapeville GA 3035424649RN051666Weston, Candace
5/30/2012Halleck, Sylvia MD 3955 Harrison Park Rd, Ste 400 Loganville GA 3005216356RN051666Weston, Candace
2/3/2012Brown, Beverly MD 3955 Harrison Rd, Ste 400 Loganville GA 3005242534RN051666Weston, Candace
6/4/2010Jagdeep Singh, MD 118 E. Girard Ave, Suite 104 Cedartown GA 3012559761RN088614Wetherington, Karen Joy 12/29/2012
1/6/2012Harjee, Gulshan MD 2536 Lawrenceville Hwy Decatur GA 3003326865RN154784Wetter, Suzanne
9/13/2013James Smith, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004659763RN188449Whaley, Janet Lorraine
11/2/2012Quinton Weldon, MD 100 Plantation Ridge Dr. Americus GA 3170956786RN139882Whaley, Shelby Chapman
9/13/2012Dowdell, William MD 55 Whitcher Street, Ste 160 Marietta GA 3006027535RN169622Whaley, Lucie
10/7/2011Voccio, Gary MD 1825 Martha Berry Blvd Rome GA 3016529550rn169622Whaley, Lucie
6/3/2011Sreeni Gangasani, MD 755 Walther Rd Lawrenceville GA 3004648777RN188449Whaley, Janet Lorraine
Wednesday, May 07, 2014 Page 313 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/7/2009John Spaulding, MD 2701 North Decatur Rd Decatur GA 3003342448RN188449Whaley, Janet Lorraine
5/7/2009Earl Grubbs, MD PO Box 587 Snellville GA 3007832742RN188449Whaley, Janet Lorraine 7/1/2012
9/11/2008Scott Keller, DO 4120 Five Forks Trickum Road, Suite 105
Lilburn GA 3004724445RN113675Wharton, Kelley Sue
10/8/2010Robert Kaufmann, MD 2001 Professional Pkwy, Suite 220 Woodstock GA 3018830115RN183030Whatley, Susan Porter
12/4/2008Antonio Rios, MD 669 Lanier Park Drive Gainesville GA 3050145114RN179064Wheatley, Lisa Ann
1/11/2013David R. Wharton, MD 100 Gross Crescent Cr. Ft. Oglethorpe GA 3074225310RN037416RN037416
Wheeler, Cheryl A.
2/3/2012Atkins, Christopher MD 1266 Highway 515 South, Emergency Dept
Jasper GA 3014345708RN037416Wheeler, Cheryl 4/9/2013
1/6/2012Perlaky, Steven MD 100 Gross Crescent Circle Ft. Oglethorpe GA 3074241639RN037416Wheeler, Cheryl 7/1/2012
1/9/2009William Pullen, MD PO Box 1168 Dalton GA 3072017270RN037416Wheeler, Cheryl Ann
6/6/2008William Parrish, MD 3001 Mercer Univ Dr, Sheffield Bldg #206
Atlanta GA 303419905RN066854Wheeler‐Ikuesan, Luella Corine 9/28/2011
9/14/2007Elliott Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN134199Whidby, Deborah Anne 9/10/2009
2/4/2011Todd Antin, MD 465 Winn Way, Suite 221 Decatur GA 3003036495RN151734Whiddon, Alexandra Lee
7/11/2013Paul Buczynsky, MD 700 Oglethorpe Ave, Suite C‐7 Athens GA 3060644891RN169930Whitaker, Mauree Harper
5/1/2014David Parks, MD 699 Church St, Suite 340 Marietta GA 3006027887RN117058White, Deidra K
1/9/2014Darshana Sheth, MD 3822 Roswell Rd, Suite 112 Marietta GA 3006258642RN109746White, Rhonda D
11/8/2013David Asrael, MD 2945 Panola Rd Lithonia GA 30038‐231351291RN136717White, Katharine Lynn
10/10/2013Wallace Duncan, MD 2945 Panola Rd Lithonia GA 30038‐231341109RN136717White, Katharine Lynn
Wednesday, May 07, 2014 Page 314 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/9/2013Patrick Battey, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030924388RN113401White, Sara Barron
12/1/2011Levin, Fred MD 1269 Wellbrook Circle NE Conyers GA 3001222434RN136717White, Katharine
5/6/2011Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN052900White, Della Denise Pittman 5/15/2012
6/4/2010Dawn Wilson, MD 245 Peachtree Ind Blvd, Suite 100 Sugar Hill GA 3051847279RN142311White, Opal Williams
9/3/2009James Criner, MD 2779 Cobb Pkwy SW Kennesaw GA 3015254179RN109746White, Rhonda D. 1/13/2014
1/9/2009Fareha Rahim, MD 613 Hospital Road Commerce GA 3052947505RN142311White, Opal Williams
11/7/2008Karen Bullington, MD 3750 Palladian Village Drive, Suite 300 Marietta GA 3006655930RN109746White, Rhonda D 3/17/2009
11/1/2007F. Geoffery Conner, MD 1608 Meadows Lane, Suite 1 Vidalia GA 3047433555RN112970White, Amanda R.
6/5/2009Gary Olson, MD 1436 Broadrick Dr, Suite B Dalton GA 3072020465RN058514Whitehead, Joanne Marion Tru
11/7/2008Phuong‐Lynh Ta, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072050447RN058514Whitehead, Joanne Marion Tru 6/29/2009
6/30/2011William Breedlove, MD 162 Hospital Rd Blairsville GA 3051226465RN094116Whitener, Sheila Lynne Butts
12/7/2007Saundra Maass‐Robinson, MD
KSU Hlth Clinic ‐ 1000 Chastain Rd, Hse 52, #520
Kennesaw GA 3014424621RN167681Whiting, Gwen Hatley
5/6/2011Michael Frankel, MD 80 Jessie Hill Jr Dr, 8th Floor Atlanta GA 3030334832RN180564Whitlock, Kimberly Jo
4/4/2014Tania Edwards, DO 2000 10th Ave, Ste 410 Columbus GA 3190153465RN214290Whitlow, Angie Michelle
7/12/2012Dawson, Gary MD 2300 13th Street, Ste A Columbus GA 3190653857RN214290Whitlow, Angie
7/11/2013Paul Steinwachs, MD 1336 3rd Ave Columbus GA 3190142736RN117775Whitted, Kelli Lynette Bellew
3/8/2013Kent Ford, DO 616 Ferncrest Dr Sandersville GA 3108240063RN117082Whitten, Shannon Elizabeth
3/4/2011Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN117082Whitten, Shannon Elizabeth 1/17/2013
Wednesday, May 07, 2014 Page 315 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
12/4/2009Richard Donadio, MD 550 Redmond Rd Rome GA 3016542232RN129474Whitten, Sarah Ann
12/4/2008Melanie Cooper, MD 181 South Clayton St SW Lawrenceville GA 3004545753RN129474Whitten, Sarah Ann 2/27/2010
5/9/2008Bridgett Bailey, DO PO Box 365 Tennille GA 3108958390RN117082Whitten, Shannon Elizabeth 12/15/2010
8/2/2007Guillermo Saurina, MD 201 Pendleton Dr, Suite 250 Valdosta GA 3160248570RN114700Whyte, Maria De Los Angeles
5/6/2011Saied Murphy, MD 1350 Montreal Rd, Suite 210 Tucker GA 3008439187RN045532Wickstrom, Betty R
9/13/2013Joel Greenberg, MD 6602 Waters Ave, Bldg C Savannah GA 3140628560RN113693Widener, Wallette Gwen
9/14/2007Eugene Lafranchise, MD 6602 Waters Ave. Bldg C Savannah GA 3140634638RN113693Widener, Wallette Gwen 7/31/2012
10/8/2010Howard Willis, MD 5353 Veterans Pkwy, Suite C Columbus GA 3190430693RN042301Wieczorek, Susan Carol Karm
5/7/2010Ricardo Alvarez, MD 8400 Veterans Pkwy, Suite 1026 Columbus GA 3190952876RN042301Wieczorek, Susan Carol Karm 5/17/2011
12/7/2012Robert E. Taylor, DO 5281 Cleveland Hwy Clermont GA 3052731338RN126531Wiegand, Jennifer C.
11/1/2007Sekhar Sankaran, MD 101 Regency Park Drive, Suite 140 McDonough GA 3025331549RN145899Wiegmann‐Ross, Michele Lee 1/23/2014
3/6/2009John DeSimone, MD 611 E. Washington Ave Ashburn GA 3171419930RN104534Wiggins, Sonia Coleman
6/8/2012Singh, Amar MD 550 Redmond Road Rome GA 3016552227RN190699Wilbanks, Ashley
10/7/2011Kenneth Howard, MD 11766 Hwy 27, Ste A Summerville GA 3074740412RN190699Wilbanks, Ashley Nicole 4/23/2012
1/11/2013Joyce H. Poag, MD 3571 Chamblee Tucker Rd. Atlanta GA 3034121355RN224720Wilbur, Christen N. 3/19/2013
6/5/2009Kyoung‐Soon Kim, MD 5150 Stilesboro Road, Suite 220 Kennesaw GA 3015239144RN143313Wilcox, Tanya Sellers
1/9/2009David Williams, MD 1046 Ridge Avenue Atlanta GA 3031529997RN071972Wilder, Myrtle Mai
4/2/2009Donna Haley, MD 100 Medical Lane, Suite 1 & 2 Canton GA 3011440916RN165632Wildermuth, Megan Marie 6/30/2011
10/2/2008L. Steven Lowman, MD 1230 Baxter Street Athens GA 3060637856RN165632Wildermuth, Megan Marie 1/31/2009
Wednesday, May 07, 2014 Page 316 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
6/8/2012Avino, Anthony 4750 Waters Avenue Ste 500 Savannah GA 3140447185RN077963Wildes, Deanna
10/8/2010Jonathan Hall, MD 12192 Augusta Rd Lavonia GA 3055359655RN192545Wiley, Kerri Leigh
1/9/2014Christopher Stevens, MD 9465 HWY 5 Douglasville GA` 3013554515RN043510Wilkerson, Evelyn P
12/4/2008Lawrence Powell, MD 9465 Hwy 5 Douglasville GA 3013538915RN043510Wilkerson, Evelyn P 11/14/2011
6/8/2012Kitchens, Wentzelle MD 501 Sparta Road, Ste F Sandersville GA 3108238277RN164167Wilkes, Erin
6/8/2012Sumner, Jean MD 2257 West Elm Street, Ste C Wrightsville GA 3109630225RN164167Wilkes, Erin
3/1/2012Prasad, Vijitha MD 544 West Church Street Swainsboro GA 3040140520RN164167Wilkes, Erin 6/22/2012
10/8/2010Israel Bryson, MD 2251 W. Elm St Wrightsville GA 3109654797RN164167Wilkes, Erin Ashley 1/31/2012
1/7/2011Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN191033Wilkey, Sheila R. 10/28/2013
1/9/2014Ashok Kancharla, MD 132 Franklin Springs St Royston GA 3066248250RN190879Willard, Sonya Lynn
7/11/2013Naren Logendra, MD 2151 West Spring St, Emer Dept Monroe GA 3065542336RN149632Willard, Brandi Hartman
4/4/2013Mark Hancock, MD 163 Hospital Dr. Toccoa GA 6057767750RN190879Willard, Sonya L.
4/4/2013Gottfrid Karlsson, MD 745 Poplar Rd Newnan GA 30268566380RN184536Willard, Karen K
8/10/2012Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN149632Willard, Brandi 11/29/2012
2/3/2012Moreno, Jorge MD 1631 Hwy 20 W McDonough GA 3025346792RN149632Willard, Brandi 3/16/2012
12/1/2011Hatmaker, David MD 555 Old Norcross Road, Ste 100 Lawrenceville GA 3004626300RN149632Willard, Brandi
10/7/2011Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN149632Willard, Brandi 2/21/2013
8/5/2011Jamie Rich, MD 58 Big A Road Toccoa GA 3057753547RN190879Willard, Sonya L 5/31/2012
6/30/2011Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN149632Willard, Brandi Hartman 2/14/2012
Wednesday, May 07, 2014 Page 317 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
4/1/2011Edward Shanik, MD 555 Old Norcross Rd, Suite 100 Lawrenceville GA 3004620484RN149632Willard, Brandi Hartman
1/7/2011Raja Ram, MD 475 Philip Blvd, Susite 100 Lawrenceville GA 3004638922RN149632Willard, Brandi Hartman 2/1/2011
8/6/2010Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN149632Willard, Brandi Hartman 3/1/2011
5/7/2010Leslie David, MD 115 Towne Center Pkwy, Suite 113 Hoschton GA 3054860363RN149632Willard, Brandi Hartman
2/6/2014William Webb, MD 10055 Ford Ave, Suite 4‐A Richmond Hill GA 3132458238RN140903Williams, Sheila M
10/10/2013Apurva Shah, MD 1623 Madison Ave Tifton GA 3179464742RN232850Williams, Patricia C.
10/10/2013Mark Vrana, MD 3320 Old Jefferson Rd, Bldg 700 Athens GA 3060722663RN230053Williams, Karen Paige
10/10/2013Paul Dainer, MD GRU Cancer Center, 1411 Laney Walker Blvd
Augusta GA 3091235233RN103047Williams, Lovoria Breckley Whit
8/9/2013Mark Elam, MD 800 Professional Blvd Dalton GA 3072036147RN066681Williams, Betty Lynn Phillips
7/11/2013Evelyn Johnson, MD 950 South Main St, Suite 2 Baxley GA 3151356182RN147732Williams, Greg Lee
7/11/2013Dolapo Babalola, MD Take Care Clinic, 3003 Old Alabama Rd Alpharetta GA 3002259119RN150777Williams, Natasha Renee
6/7/2013David M. Nussbaum, DO 712 N. 7th Street Cordele GA 3101567697RN102733Williams, Mary Lynn 9/25/2013
4/4/2013Dean Karampelas, MD 743 Spring St Gainesville GA 3050126141RN149347Williams, Mitzi Marie
3/8/2013John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN205403Williams, Whitney Nicole
1/11/2013Angela L. Beninga, DO 2020 Peachtree Rd Atlanta GA 3030968481RN056087Williams, Sandra
5/4/2012Newby, Frank MD 1506 Broadrick Drive Dalton GA 3071038314RN066681Williams, Betty Lynn Phillips 8/31/2012
5/4/2012Brown, Timothy MD 83 Upper Riverdale Road, Ste 135 Riverdale GA 3027432100RN163873Williams, Shirley
2/3/2012Deen, Michael MD 950 South Main Street, Ste 2 Baxley GA 3151358459RN147732Williams, Greg
Wednesday, May 07, 2014 Page 318 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/6/2012Williams, Benjamin MD 202 Cherokee Road Thomaston GA 3028631686RN136002Williams, Tammie
1/6/2012Taubin, Rhonda MD 2020 Peachtree Rd NW Atlanta GA 3030932482RN056087Williams, Sandra
11/3/2011Mason, Kein MD 1405 Franklin Road Marietta GA 3006728604RN163073Williams, Tasheeka
11/3/2011Martin, Garland MD 23 Tipping Street Baxley GA 3151347233RN147732Williams, Greg 1/1/2012
10/7/2011Murali, Sujatha MD 550 Peachtree St NE, Glenn Bldg Atlanta GA 3030854085RN142141Williams, Felicia
8/5/2011David Gowdy, MD 101 Devant Street, Suite 903 Fayetteville GA 3021434601RN125883Williams, Janet E.
6/30/2011Michael Hardee, MD 6001 Professional Park, Suite 2080 Douglasville GA 3013457634RN140322Williams, Inger Ferguson
6/3/2011Steven Macheers, MD 5665 Peachtree Dunwoody Rd, Suite 200
Atlanta GA 3034234187RN094494Williams, Kellie Sue Kratzer
4/1/2011Anthony Harbin, MD 1525 Chattanooga Rd Dalton GA 3072029665RN077012Williams, Trina Denise Johnson
2/4/2011Michael Nulph, MD 204 E. 15th St Alma GA 3151057735RN147732Williams, Greg Lee
1/7/2011Michael Deen, MD 143 Hwy 32 By‐Pass Alma GA 3151058459RN147732Williams, Greg Lee
12/3/2010Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN164328Williams, Tiffany Dawn 12/31/2011
12/3/2010Theresa Jacobs, MD 868 York Ave Atlanta GA 3031046864RN192734Williams, Tina
12/3/2010Susan Kinsella, MD 2953 Cobb Pkwy NW Kennesaw GA 3015231618RN192734Williams, Tina
10/8/2010Warren Henderson, MD 303 Smith St LaGrange GA 3024020734RN036755Williams, Mary K. Hart
10/8/2010Fernando Neuman, MD 602 East 16th Ave, Suite B Cordele GA 3101554640RN102733Williams, Mary Lynn 11/11/2011
6/4/2010Pablo Balboa, MD 100 Hospital Court Calhoun GA 3070155409RN107543Williams, Teresa Diane
6/4/2010Michael Hamm, DO 410 Darling Ave, Emerg Dept Waycross GA 3150149021RN147732Williams, Greg Lee
Wednesday, May 07, 2014 Page 319 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
1/7/2010Elizabeth Killebrew, MD 11 Upper Riverdale Rd SW, Bdg 29, #230
Riverdale GA 3027429898RN163873Williams, Shirley Marie 3/31/2011
1/7/2010Julia Wilson, MD 794 S. Park Street Carrollton GA 3011756787RN150777Williams, Natasha Renee 6/19/2013
1/7/2010Joseph Hand, MD 1002‐B Downing Musgrove Hwy Glennville GA 3042749984RN147732Williams, Greg Lee 3/18/2010
10/2/2009Sam Khair, MD 145 Eagle's Walk, Suite A Stockbridge GA 3028135194RN107542Williams, Sharon
10/2/2009Frank Steele, Jr, MD 50 Kelly Road McDounough GA 3025329378RN150777Williams, Natasha Renee 1/1/2010
10/2/2009Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN077012Williams, Trina Denise Johnson 1/31/2011
7/10/2009Veronica Garrett, MD 1567 Milstead Rd NE, Suite B Conyers GA 3001239106RN164328Williams, Tiffany Dawn 4/29/2010
5/7/2009John DuPre, MD 327 South 9th Street Griffin GA 3022431590RN125883Williams, Janet Elizabeth 2/25/2011
3/6/2009Ram Reddy, MD 132 Franklin Spring Street Royston GA 3066224178RN097616Williams, Marilyn Butler 7/1/2011
12/4/2008Gail Matthews, MD 9465 Hwy 5 Douglasville GA 3013552182RN120648Williams, Lillian Odeal 4/19/2012
9/11/2008Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN140322Williams, Inger Ferguson 1/14/2011
8/8/2008William Pullen, MD 1200 Memorial Drive Dalton GA 3072217270RN165285Williams, Shelly Renea
8/8/2008David Kent, MD 308 Coliseum Drive, Suite 200 Macon GA 3121725625RN115938Williams, Todd Michael
6/6/2008Heather Henry, MD 101 Devant Street, Suite 903 Fayetteville GA 3021444231RN125883Williams, Janet Elizabeth 10/21/2010
4/3/2008Clarence T. Alford, MD 303 Smith Street LaGrange GA 3024044619RN036755Williams, Mary Katherine 7/27/2010
3/7/2008Christian Ohagwu, MD 101 Devant Street, Suite 903 Fayetteville GA 3021439888RN125883Williams, Janet Elizabeth 3/3/2008
11/1/2007Roberto Pereira, MD 220 J L White Drive, Suite 100 Jasper GA 3014358303RN189268Williams, Sara Lynn
11/1/2007Juliana Raymaker, MD 1390 US Hwy 19 South Leesburg GA 3176353706RN115938Williams, Todd Michael
Wednesday, May 07, 2014 Page 320 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/14/2007Thomas DiFulco, MD 1462 Montreal Road, Suite 303 Tucker GA 3008418215RN057924Williams, Rita Teresa Stinson
9/14/2007Catherine Emeruwa, MD 1240 Hwy 54, Bldg 100, Suite 100 Fayetteville GA 3021449008RN125883Williams, Janet Elizabeth
6/8/2007Carlos Zayas‐Montalvo, MD 1968 Peachtree Rd., NW 5th Fl Bldg 77 Atlanta GA 3030936668RN056087Williams, Sandra Jean 6/8/2011
5/10/2007Scott A. Sheldon, MD 396 Historic Hwy, 441 N Demorest GA 3053557842RN146039Williams, Tammy Ellene 6/7/2007
4/13/2007Raymond E. Tidman, MD 101 RiverStone Vista, Suite 206 Blue Ridge GA 3051332826RN066872Williams, Marilyn Ann Parker
1/6/2012Badea, Calin MD 213 N. McDonald Street Ludowici GA 3131655918RN169751Williamson, Suzannah
1/6/2012Vladescu, D. Sorin MD 36671 Highway 23 Cobbtown GA 3042066098RN072778Williamson, Ronda 10/23/2013
5/7/2010Frank Cook, MD PO Box 765 Ludowici GA 3131618125RN058876Williamson, Susan Holt
11/7/2008Timothy Brown, MD 83 Upper Riverdale Rd, Suite 135 Riverdale GA 3027432100RN145364Williamson, Judy Gale Tillman
4/4/2013Eugene Hurwitz, MD 690 Dallas Hwy, Ste 101 Villa Rica GA 3018024694RN086758Williard, Julie
10/10/2013Edward McDavid, MD 205 Medical Arts Dr Sandersville GA 3108226794RN149431Williford, Stacey Hodges
5/1/2014Sean Sheff, MD 120 Hwy 280 W, Ste C Americus GA 3171965888RN177038Willis, Misty Faulk
11/8/2013Peggy Bergrab, MD 417 Third Ave Albany GA 3170264330RN141960Willis, Beverly Ann Waldon
10/10/2013Langston Cleveland, MD 6648 Union Rd Tifton GA 3179446584RN151609Willis, Micah Aaron
10/10/2013Eric Paulk, MD 901 East 18th St, Emer Dept Tifton GA 3179462271RN151609Willis, Micah Aaron
5/9/2008David Ferner, MD 901 E. 18th Street Tifton GA 3179354877RN151609Willis, Micah Aaron 3/18/2013
4/4/2014Danielle Epanchin, DO 1650 Chattahoochee Dr. Rockmart GA 3015368769RN045387Wilson, Susan B
12/6/2013Quintin Robinson, MD 2140 Peachtree Rd NW, Suite 232 Atlanta GA 3030962763RN106630Wilson, Hermeyone Theodora B
9/13/2013Millard Collier, Jr, MD 1046 Ridge Ave Atlanta GA 3031528114RN208918Wilson, Lavona Constancia
Wednesday, May 07, 2014 Page 321 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Michael Austin, MD 2010 Beaver Ruin Rd Norcross GA 3007125937RN193733Wilson, Joy Stanetrice
7/11/2013Anna Kalynych, MD 95 Collier Rd, Suite 2055 Atlanta GA 3030938527RN188929Wilson, Stacey Peverell
10/5/2012Daniel Robitshek, MD 330 Turner McCall Blvd., Ste 201 Rome GA 3016563804RN140128Wilson, Jaci
2/3/2012Sinclair, James MD 306 Westside Drive Douglas GA 3153336457RN098350Wilson, Teresa
8/5/2011Julaine Cross, MD 1025 North Main St Cedartown GA 3012556037RN045387Wilson, Susan 2/18/2014
5/6/2011Jafar Tabatabai, MD 212 Edgewood Ave NE Atlanta GA 3030314868RN106630Wilson, Hermeyone Theodora B 1/31/2012
3/4/2011Lee Ann Howell, MD 1025 North Main St Cedartown GA 3012560183RN045387Wilson, Susan B. 5/10/2011
12/3/2010David Woodard, MD PO Box 5860 Athens GA 3060459977RN164618Wilson, Cynthea Marie
12/3/2010Derex Stewart, MD 5239 Hwy 278 NE Covington GA 3001459209RN193733Wilson, Joy Stanetrice
9/2/2010Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN165425Wilson, Ashley Ritter
10/2/2009Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN193733Wilson, Joy Stanetrice 4/15/2010
8/7/2009Vincent Brawley, MD 1350 Walton Way ‐ 3rd Floor Augusta GA 3090133283RN145211Wilson, Jeanine Parks
7/10/2009Richard Prokesch, MD 6285 Garden Walk Blvd, Suite A Riverdale GA 3027419754RN106630Wilson, Hermeyone Theodora B
6/6/2008Denise Crawley, MD 1025 North Main Street Cedartown GA 3012541766RN045387Wilson, Susan B. 11/15/2010
6/6/2008Mark Tanner, MD 1935 Howell Mill Rd Atlanta GA 3031825677RN106630Wilson, Hermeyone Theodora B 2/13/2009
2/7/2008Hope McDaniel, MD 134 East Fairmount Avenue Cedartown GA 3012559287RN045387Wilson, Susan B 10/1/2008
11/1/2007James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN103701Wilson, Patty Jean
10/4/2007Heather Pryor, MD 134 East Fairmount Avenue Cedartown GA 3012544310RN045387Wilson, Susan B 1/25/2008
12/6/2013Lawrence Powell, MD 1510 Milstead Ave NE Conyers GA 3001238915RN135948Wilson‐Burris, Tiny
Wednesday, May 07, 2014 Page 322 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/11/2013James Sirleaf, MD 417 Third Ave Albany GA 3170167036RN229271Wimberly, Donna Frances
9/14/2007Mohamed Kassem, MD 3580 Cameron Parkway Stockbridge GA 3028140934RN137772Wimberly, Yvane Margaret 7/9/2009
10/2/2009Valera Hudson, MD 1446 Harper St, BG‐1104 Augusta GA 3091230622RN134467Wimmer, Nicole Scalise
2/7/2008Stanley Tenenbaum, MD 1805 Parke Plaza Circle, Suite 103 Stone Mountain GA 3008711493RN193467Wing, Jennifer Elizabeth
1/9/2014William Reisman, MD 49 Jesse Hill Jr Dr Atlanta GA 3030361510RN184664Wingo, Jennifer Downin
9/1/2011Faiz Rahman MD 404 Savannah Avenue Statesboro GA 3045863433RN216845Winn, Kathryn 6/1/2013
5/7/2010Vasudev Kulkarni, MD 902 Smith Street Dublin GA 3102118512RN066278Winn, Sheryl H
3/6/2009Iveta Berzinch, MD 307 Pineview Drive Waycross GA 3150143873RN170624Winn, Carla Kay Pye
6/7/2013Kyauna Miller, MD 222 South Main St Reidsville GA 3.45368071RN152637Winnette, Gina Frances
2/7/2013Traceyan Mendez, MD 215 North Coleman St Swainsboro GA 3040157831RN152637Winnette, Gina Frances 6/1/2013
3/4/2011Faiz Rahman, MD 404 Savannah Ave Statesboro GA 3045863433RN152637Winnette, Gina Frances 12/31/2012
9/2/2010Hiromi Maruyama, MD 222 South Main St Reidsville GA 3045360744RN152637Winnette, Gina Frances 12/30/2010
12/1/2011Jerath, Rita MD 1446 Harper Street Ste BG1017 Augusta GA 3091222937RN184306Winstead, Nicole
1/9/2014Shreedhar Naghur, MD 600 West Memorial Drive Dallas GA 3013249192RN216279Winston, Brette Cha
4/4/2013Shreedhar Nagnur, MD 900 Wylie Rd SE Marietta GA 3006749192RN216279Winston, Brette Cha
4/4/2014Christopher Morgan, MD 1514 Vernon Rd, Emer Dept LaGrange GA 3024066151RN175692Winter, Joni Lee
3/6/2014Louis Hempel, MD 6918 McGinnis Ferry Road Suwanee GA 3002433106RN215756Winters, Catherine Marshall
4/4/2013Kenneth Harper, MD 556 Third St, Suite A Macon GA 3120125983RN082052Winters, Rhonda Lynn Toole
11/5/2010Richard Thomas, MD 3708 Northside Dr Macon GA 3121059217RN082052Winters, Rhonda Lynn Toole
Wednesday, May 07, 2014 Page 323 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
7/10/2009Timothy Stapleton, MD 1600 Forsyth Street Macon GA 3120136295RN082052Winters, Rhonda Lynn Toole 11/4/2010
1/9/2014Panyavee Khan, MD 1505 Northside Blvd Suite 3600 Cumming GA 3004154756RN203289Wintersgill, Joanne Marie
5/3/2013Benjamin Abraham, DO 2020 McGee Rd Snellville GA 3007834757RN108564Wirth, Diane Lynn
4/1/2010Allen Dollar, MD 80 Jesse Hill Dr Atlanta GA 3030335244RN108564Wirth, Diane Lynn 4/5/2013
4/4/2014Michael Holman, MD 818 St Sebastian Way, Suite 308 Augusta GA 3090126558RN213344Wise, Mary Elizabeth
5/6/2011Jyotir Mehta, MD 801 13th Ave, Suite A Albany GA 3170145887RN146627Withers, Lorraine Taylor 11/12/2011
8/8/2008Ramana Rao, MD 1909 Aberdeen Road, Room 102 Albany GA 3170137052RN146627Withers, Lorraine Taylor 3/15/2011
5/1/2014Mark McElhannon, MD 501 Redmond Rd Rome GA 3016540154RN045044Witt, Connie Louise
10/8/2010Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN045044Witt, Connie Louise 10/5/2011
10/8/2010Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN180347Witt, Lindsey Leigh
7/10/2009Kenneth Howard, MD 11766 Hwy 27, Suite A Summerville GA 3074740412RN045044Witt, Connie Louise
5/7/2009Mark Beaty, MD 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 3000945169RN180347Witt, Lindsey Leigh 3/19/2010
2/5/2009James Michael Brown, MD 194 Allgood Street Trion GA 3075333284RN045044Witt, Connie Louise 5/31/2009
9/13/2013Afroz Rahman, MD 325 Lester Rd, Suite C Lawrenceville GA 3004417940RN168546Woessner, Charlotte Grealy
11/8/2013Ian Heger, MD 1120 15th St, BP‐3111 August GA 3091263870RN191945Wood, Miranda Harris
11/8/2013Charles Sow, MD Take Care, 2670 Cobb Pkwy SE Smyrna GA 3008055343RN113945Wood, Leanne Debra Amelio
4/4/2013Robert E. Windsor, MD 2550 Windy Hill Rd., #215 Marietta GA 3006731857RN113945Wood, Leanne D. 3/20/2013
6/8/2012Stone, David MD 521 Franklin Springs Street Royston GA 3066224501RN113945Wood, Leanne
3/29/2012Busman, Michael MD 922 East Jefferson Street, Ste B Americus GA 3170940628RN113945Wood, Leanne 3/28/2012
Wednesday, May 07, 2014 Page 324 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
8/5/2011Mohammed Elbasha, MD 350 Hospital Drive Macon GA 3121759714RN113945Wood, Leanne Debra 9/7/2011
5/6/2011Jeff Reinhardt, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 30501‐47250RN144656Wood, Kelly Michelle
11/5/2010Jeffrey Klopper, MD 3188 Atlanta Rd SE Smyrna GA 3008026321RN045109Wood, Carol Anne Kahl
11/1/2007Barry Jones, MD 5965 Parkway North Blvd Cumming GA 3004012495RN045109Wood, Carol Anne Kahl 9/30/2009
2/5/2010Kirk Kanter, MD 1405 Clifton Rd Atlanta GA 3032230631RN142316Woodall, Kimberly Janece
12/4/2008Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN033512Woodall, Jo Anne 10/31/2010
4/3/2008William Bilek, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034241514RN162935Woodall, Heather Marie
10/2/2009Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN082783Woodard, Katrina Anne Calhou 7/1/2011
9/14/2007Shereef Girgis, MD 550 Redmond Road Rome GA 3016545476RN082783Woodard, Katrina Anne Calhou
12/6/2013Roy Brownlow, MD 1665 Hwy 34 East, Suite 100 Newnan GA 3026542196RN069357Woodie, Jo Ann
3/29/2012McHugh, John MD 660 Lanier Park Drive, Ste A Gainesville GA 3050124023RN061075Woodruff, Christie
12/4/2008Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN079456Woodruff, Mary Teresa 6/30/2009
1/11/2008Karin Alcantara, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074243996RN079456Woodruff, Mary Teresa 9/26/2008
9/14/2007Charles White, DO PO Box 876 Cleveland GA 3052826682RN061075Woodruff, Christie Lee Ryder
11/2/2012Atif Iqbal, MD 2300 A manchester expressway Columbus GA 3190461971RN221754Woods, Jennifer Dania 4/17/2014
8/6/2010Eduard Docu, MD 1302 Drayton Street Savannah GA 3140156426RN074147Woods, Judith A
1/9/2009William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN105351Woods, Beverly A. 9/12/2009
11/8/2013Frank Lake, MD 668 Lanier Park Dr Gainesville GA 3050140716RN208762Woody, Heather Lauren
4/4/2013Mark Coker, MD 14557 Hwy 19, Suite A Griffin GA 3022456276RN223468Wooley, Kari Louise 6/4/2013
Wednesday, May 07, 2014 Page 325 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
3/4/2010Robert Cossio, MD 322 Stephenson Ave Savannah GA 3140536357RN115523Wooley, Angela Carter
1/6/2012Carter, Cynthia MD 1000 Towne Center Blvd, Ste 705 Pooler GA 3132256534RN107568Woo‐Sheffield, Marci
9/2/2010William Brown, III, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030929309RN120846Wooten, Kelleen Michele
2/5/2009Michael Poole, MD 4700 Waters Avenue Savannah GA 3140430190RN193536Work, Asia Ann
12/6/2013Srinivas Bramhadevi, MD 1497 Lafayette Pkwy LaGrange GA 3024161946RN100010Wortham, Candace H
12/7/2012Steven Leichter, MD 2425 Brookstone Center Pkwy Columbus GA 3190440452RN100010Wortham, Candace 8/1/2013
8/5/2011Robert Copeland, MD 301 Medical Dr, Suite 501 LaGrange GA 3024011745RN100010Wortham, Candace H. 9/7/2012
11/1/2007Kenneth Horlander, MD 303 Smith Street LaGrange GA 3024046128RN100010Wortham, Candace 3/11/2011
8/9/2013John Hubbard, MD 150‐A Johnson St Dahlonega GA 3053330787RN205309Woughter, Linda
12/1/2011Brannen, James MD 105‐A Johnson Street Dahlonega GA 3053310485RN205309Woughter, Linda
8/5/2011Karim Gokal, MD 105‐A Johnson Street Dahlonega GA 3004058868RN205309Woughter, Linda 11/1/2011
10/8/2010Franklin Duffey, MD PO Box 10 Cumming GA 3002816856RN205309Woughter, Linda 4/15/2011
3/8/2013Ruth O'Regan, MD 1365 Clifton Rd Atlanta GA 3032253350RN169458Wrammert, Kathryn Anne Carls
1/9/2014Richard Rickman, MD 3200‐C North Ashley St Valdosta GA 3160249332RN118839Wright, Daniel B
10/10/2013Ritu Khurana, MD 19 Redmond Rd Rome GA 3016555858RN175976Wright, Jenni Charity
8/9/2013Ian Davis, DO 1120 15th Street, BI 5092 Augusta GA 3091264203RN149121Wright, Latanya Kay
6/7/2013Robert C. Bowman, MD 1430 Hwy 82 West, #105 Tifton GA 3179331387RN118839Wright, Daniel B.
10/5/2012Florida Basilio, MD 2039 Warm Springs Rd. Columbus GA 3190428720RN133687Wright, Cindy
Wednesday, May 07, 2014 Page 326 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/1/2011Catherine James‐Peters, MD
454 Smith Ave Thomasville GA 3179263671RN118839Wright, Daniel B.
5/6/2011Cliphane McLeod, MD 4540 E. Oglethorpe Hinesville GA 3131329212RN165440Wright, Margaret A.
5/6/2011Marion Bailey, Jr, MD 107 Industrial Dr, Suite B St. Mary's GA 3155810467RN165440Wright, Margaret A.
4/1/2011Quinton Weldon, MD 116 W. Thigpen Ave Lakeland GA 3163546786RN118839Wright, Daniel B.
3/4/2011Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN050048Wright, Denise Jean 5/23/2013
12/3/2010Divina Dyer, MD 780 North Glynn Fayetteville GA 3021457161RN107575Wright, Karen Angella Uter 10/28/2012
9/2/2010Olakunle Aina, MD 2000 Palmyra Rd Albany GA 3170148968RN118839Wright, Daniel B. 3/27/2014
11/3/2011Busman, Michael MD 922 E. Jefferson Street, Suite B Americus GA 3170940628RN085059Wysochansky, Mary Helen
11/8/2013Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN204641Xue, Mei
1/7/2011Kimberlynn Richards, MD 1773 Sweetwater St Austell GA 3010638930RN115022Yandel, Susan Eileen
11/7/2008Christopher Crooker, MD 748 Old Norcross Road, Suite 185 Lawrenceville GA 3004539315RN115022Yandel, Susan Eileen 9/25/2009
7/11/2013F Clark Cantrell, MD 3911 Mary Eliza Trace, Suite 200 Marietta GA 3006428948RN216896Yang, Young Jin
2/4/2011Anthony Landis, DO 631 Peofessional Dr, Suite 450 Lawrenceville GA 3004621733RN153534Yang, Wan Li
12/1/2011Steckl, Pete MD 235 Peachtree St North Tower, Ste 2100
Atlanta GA 3030336296RN108692Yarnall, Richard
12/7/2007Christopher Crooker, MD 748 Old Norcross Road, Suite 185 Lawrenceville GA 3004539315RN108692Yarnall, Richard Clark 1/1/2012
5/3/2013Kesha Allen, MD 417 Third Ave Albany GA 3170157920RN093579Yawn, Traci Kurpe 10/15/2013
3/29/2012Gibbs, Sandra MD 145 E. Peacock St, Ste 3 Cochran GA 3101432192RN104649Yawn, Anthony
1/6/2012Kimsey, Troy MD 425 West Third Avenue, Medical Tower I, Ste 105
Albany GA 3170146876RN093579Yawn, Traci
Wednesday, May 07, 2014 Page 327 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/11/2008John Souza, MD PO Box 16100 Dublin GA 3104039475RN104649Yawn, Anthony Jackson 10/26/2011
5/10/2007Henry Edward Roberts, MD 146 East Peacock Street Cochran GA 3101430200RN104649Yawn, Anthony Jackson
1/9/2014John A Glenn, MD 840 Professional Center Dr Eastman GA 3102338495RN118481Yawn‐Lewis, Tonya
10/7/2011Seward, James MD 200 Industrial Blvd ER Dublin GA 3102127247RN118481Yawn‐Lewis, Tonya 3/31/2014
11/8/2013Louis Fernandez, MD 274 Big A Rd Toccoa GA 3057739790RN217018Yearous‐Algozin, Anna Livia
2/6/2014James Collins, MD 304 Turner McCall Blvd Rome GA 3016529833RN145132Yerke, Julie Leanne Johnson
11/2/2012Roger A. Brooksbank, MD 501 Redmond Rd. Rome GA 3016568120RN145132Yerke, Julie
4/4/2014Anthony Olofintuyi, MD 915 Elmo St. Americus GA 3170945309RN076381Yesbick, Elizabeth Anne
12/4/2008Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN099033Yi, Chai Y Kim
1/9/2014Bounthavy Homsombath, MD
3675 J Dewey Gray Circle, Suite 300 Augusta GA 3090968031RN190861Yon, Sarah Marie
8/9/2013Mark Elam, MD 800 Professional Blvd Dalton GA 3072036147RN061087York, Deborah Sue
5/4/2012Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3072066016RN061087York, Deborah Sue
1/9/2014William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN073220Youmans, Frances McDowell
2/5/2009Jerry Mallett, Jr, MD 400 S. Pinetree Blvd Thomasville GA 3179230647RN073220Youmans, Frances Mcdowell
5/1/2014Jon Stahlman, MD 565 Old Norcross Rd Lawrenceville GA 3067749207RN046139Young, Glenda D
5/1/2014Theresa Jacobs, MD 868 York Ave, SW Atlanta GA 3031046864RN148404Young, Nancy
3/6/2014Constance Enmon, MD 625 Big Shanty Rd NW Kennesaw GA 3014467561RN151008Young, Holly Stiehm
12/6/2013Mohammad Osman, MD 625 Big Shanty Rd NW Kennesaw GA 3014454323RN151008Young, Holly Stiehm 12/31/2013
Wednesday, May 07, 2014 Page 328 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
11/8/2013Valens Plummer, MD 780 North Glynn Fayetteville GA 3021449496RN148404Young, Nancy
9/13/2013Charles P. Catron, MD 1707 Meadows Lane, Ste F & H Vidalia GA 3047466362RN218687Young, Bradley H.
3/8/2013Deepti Bhasin, MD 402 Osigian Blvd., Ste 400 Warner Robins GA 3108859979RN173347Young, Joshua
2/7/2013John Layher, MD 2470 Daniels Bridge Rd., #251 Athens GA 3060646692RN047409Young, Beth B.
12/1/2011Edwards, Tania DO 1413 Whitesville Road, Ste 700 Columbus GA 3190453465RN153142Young, Dawn 5/31/2013
10/7/2011LaSuer, Douglas MD 105 East Tollison Street Baxley GA 3151361474RN113728Young, Melanie 4/5/2013
12/4/2009Daniela Rojas Molina, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054055331RN080340Young, Suzanne
9/3/2009James Criner, MD 1490 Pleasant Hill Rd Duluth GA 3009654179RN046139Young, Glenda D 1/13/2014
5/7/2009Joshua Wolf, MD 1968 Peachtree Rd NW Atlanta GA 3030959792RN047409Young, Beth Burch 8/10/2012
8/2/2007Anne B. Todd, MD 526 Maddox Drive, Ste 101 Ellijay GA 3054051395RN080340Young, Suzanne 8/31/2009
6/7/2013Michael Hagues, DO 2122 Manchester Expressway, Emer Dept
Columbus GA 3190423977RN150142Youngblood, Leigh Ann
9/14/2007Robert Stahlkuppe, MD 56 Hospital Street Hiawassee GA 3054617089RN053003Youngblood, Shirley Nell Wood
9/13/2013Curtis Clark, DO 610 19th St Columbus GA 3190147068RN150142Youngblood‐West, Leigh Ann 9/1/2013
10/10/2013Stephen Kissinger, MD 3384 Peachtree Rd NE, Suite 700 Atlanta GA 3032630493RN086363Younker, Marcia Lynn McMulle
2/5/2010Steve Kissinger, MD 9020 Peridot Pkwy Stockbridge GA 3028130493RN086363Younker, Marcia Lynn McMulle 4/15/2010
8/7/2009Manjeeri Sangvai, MD 980 Johnson Ferry Rd, #620 Atlanta GA 3034244083RN170286Yowler, Deena Marie
10/10/2013Ferrol Sams, III, MD 101 Yorktown Dr, Suite 100 Fayetteville GA 3021419767RN188712Yu, Fang
3/6/2014Timothy Helton, MD 1010 Johnson Ferry Rd Marietta GA 3006829669RN139657Yung, Melissa Marie
Wednesday, May 07, 2014 Page 329 of 330
Effective On Terminated RN# Delgating Physician AddressLicense#APRN Name
9/13/2013Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN221556Zavala, Sandra Marlene
3/1/2012Fleming, Alesia MD 1645 Tullie Circle Atlanta GA 3032934841RN140349Zaworski, Tamara
2/5/2009Waters Hicks, Jr., MD 334 Smith Avenue Thomasville GA 3179238251RN063876Zebley, Helen Darlene Thompso
7/12/2012Barlow, James MD 226 East College Street, Ste B Griffin GA 3022429304RN112750Zebrowski, Michelle
12/7/2007Lyudmila Vayman, MD 3005 Royal Blvd South Alpharetta GA 3002227318RN067932Zehnder, Sandra Victoria Smith
5/10/2007Margaret M. Boudreaux, MD
102 Pilgram Village Dr. Cumming GA 3004044172RN067932Zehnder, Sandra V. 10/1/2007
5/10/2007Bleekrode, Laura M. 11660 Alpharetta Hwy, Ste 290 Roswell GA 3007634514RN067932Zehnder, Sandra Victoria Smith
4/4/2013Morohunfolu Akinnusi, MD 55 Whitcher St, Sute 160 Marietta GA 3006064741RN131883Zhang, Weihua
3/1/2012McDonald, Edward MD 1498 Jesse Jewell Parkway SE, Ste A Gainesville GA 3050141890RN190851Zimmerman, Ashley
10/7/2011Tepper, Micah MD 1700 Hospital South Drive Austell GA 3010657687RN135902Zimmerman, Cheri 12/28/2011
5/1/2014Ian Davis, DO 1120 15th St, BI‐5092 Augusta GA 3091264203RN159464Ziobrowski, Ashley Christine
9/3/2009Anthony Ditaranto, MD 900 8th Street Columbus GA 3190529865RN137086Zollinger, Leigh Anne 12/1/2011
8/7/2009Reynaldo Polk, MD 7950 Martin Loop, Emergency Rm Ft. Benning GA 3190548928RN137086Zollinger, Leigh Anne
3/6/2009Rosa Urrutia, MD 562 Concord Road Smyrna GA 3008218967RN143427Zuleta, Francisco Javier 4/24/2009
Wednesday, May 07, 2014 Page 330 of 330