Georgia Composite Medical Board Minutes of the August 6 ...
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Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
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The Georgia Composite Medical Board (GCMB) held its regular meeting on August 6, 2020 via
teleconference at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters.
Board members on the call:
John S. Antalis, MD
William Bostock, DO
Gretchen Collins, MD
Debi Dalton, MD
E. Dan DeLoach, MD
Charmaine Faucher, PA (ex-officio)
Alexander Gross, MD
Thomas Harbin, MD, Vice Chair
Rob Law, CFA, Consumer Member
J. Jeffery Marshall, MD
Matthew Norman, MD
Andrew Reisman, MD
David Retterbush, MD
Barby Simmons, DO, Chair
Richard Weil, MD Board member absent:
Shawn Hanley, Consumer Member
Management and legal staff present:
LaSharn Hughes, MBA, Executive Director
Phyllis White, Executive Assistant
Jonathan McGehee, Director of Investigations
Latisha Bias, Enforcement Supervisor
Legal staff on the call:
Max Changus, JD, Assistant Attorney General
David Stubbins, JD, Assistant Attorney General
CALL TO ORDER
Dr. Simmons called the meeting of the Georgia Composite Medical Board to order at 7:31a.m.
AGENDA
Dr. Retterbush submitted a motion, seconded by Dr. Harbin to approve the agenda of the August 6,
2020 meeting. The motion carried unanimously.
MINUTES
Dr. Retterbush made a motion to approve the minutes of the July 9, 2020 meeting. Dr. Antalis seconded
the motion and it carried unanimously.
CHAIR’S REPORT
Dr. Simmons made the following report.
1. Due to COVID, the Board will hold virtual meetings through the end of the year.
2. Dr. Simmons discussed CME Credit discussion
EXECUTIVE DIRECTOR’S REPORT
LaSharn Hughes, Executive Director presented the following information:
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Meeting
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The Board has issued 2,000 Emergency Permits since we started in March.
Motion Retterbush, seconded Marshall and motion carried to make the following corrections to the June
4, 2020 minutes:
Page 4 – remove the following:
Remove approval for licensure for Arturo Diaz, should be denied.
Page 33 - add the following
WB – deny attorney’s recommended offer and move forward with the case
BG – deny request for investigative interview proceed with the case
The Board set the following meeting dates for 2021.
January 7th February 4
March 4th April 1st
May 6th June 3rd
July 1st August 5th
September 2nd October 7th
November 4th December 2nd
Michael S. Kaplan, MD, requested removal of an action from the Maryland Board be removed from his
profile since the Maryland Board has removed the action. Motion Dr. Retterbush, seconded Dr. Marshall
and motion carried to remove the action.
Lisa A. Robin, Chief Advocacy Officer, Federation of State Medical Board, informed the Board of
legislation that would impact the Board. Equal Access to Care Act, S. 3993 and Temporary Reciprocity
to Ensure Equal Access to Treatment “TREAT” Act. This legislation will allow health care professionals
to practice across state lines during COVID-19 in a secondary state without obtaining a license. The
Board has concerns regarding this type of practice since the applicant cannot be vetted by the state
where the practice occurs.
The Board discussed legislation that was signed by the Governor that directly impacts the Board. SB
321 APRN/PA legislation, referred to the Rules Committee for rule changes. HB 752 Interstate Compact
will require background checks for physicians. Motion Dr. Retterbush, seconded Dr. Gross and motion
carried to require background checks for all licensees of the Board. These will be conducted for new
applicants and during renewals for existing licensees.
RULES REPORT
Dr. Retterbush made a motion, seconded by Dr. Marshall to post the following Rules for
comments:
Rule 360-3-.02(12) “Unprofessional Conduct Defined” (Chaperone)
Rule Chapter 360-13 “Respiratory Care Professionals”
Rule 360-8 “Pain Management Clinics” Housekeeping Changes
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CLOSED SESSION
Dr. Retterbush motioned seconded by Dr. DeLoach to go into closed session to discuss applications,
investigations and disciplinary matters. The motion carried unanimously.
OPEN SESSION
Dr. Simmons declared open session.
ATTORNEY GENERAL (AG)
Max Changus, Assistant Attorney General presented the Attorney General Status Report.
Dr. DeLoach submitted a motion, seconded by Mr. Law and motion carried to accept the report as
information and approved the following Board Orders:
Sidney Smith, MD
Timothy Mulligan, MD
Yong Liu, MD
Rajae Janho, MD
TELEMEDICINE COMMITTEE The Telemedicine Committee made the following report to the Board:
The Committee established the following Goal and Purpose for the Committee:
To review the laws and rules regarding telemedicine and to make sure the laws and rules are
serving the needs of the state and citizens of Georgia; and to make any suggested legislative
changes to the General Assembly.
The Committee reviewed and discuss the following law and rules. After a reviewing the current law and
rules, there are not any recommended changes at this time. The Committee will wait to see if any
interested parties want to make any changes at this time.
O.C.G.A. Sec. 33-24-56.4 “Georgia Telehealth Act”
Rule 360-3-.07 “Practice Through Electronic or Other Such Means”
Emergency Rule:
Rule 360-3-0.10-.08 “Practice Through Electronic or Other Such Means”
Rule 360-2-.17 “Requirements for Telemedicine”
Rule 360-2-.03 “Unprofessional Conduct Defined”
SEXUAL MISCONDCUT COMMITTEE The Committee made the following report to the Board:
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Meeting
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FSMB Physician Sexual Misconduct
The Committee reviewed the report and recommendations from the report. There are recommendations
in the report that the Board reviewed regarding the following:
Investigations – the committee discussed the Board’s investigative process. A member suggested it
would be helpful for the full board to have a presentation on how cases are handled. Then a
determination will be made on any additional training the investigations may need.
Legislation – the committee reviewed some additional recommendations regarding that may be included
in some possible legislation next session.
Practice Monitors – the committee reviewed the recommendation regarding practice monitors. The staff
shared a brochure for a monitoring group that the Board has used before. The staff will see how other
states handle this group of employees of boards.
PHYSICIAN LICENSURE COMMITTEE
Dr. Retterbush presented the Licensure Committee Report:
The Board took the following actions:
Waivers
The following waivers were reviewed and approved.
Taherbhai, Akil Mohammed 360-2-01(1)(f)
Hejjo Alrefai, Basel 360-2-.01(f)
Questions/Requests
Notify Deborah Elizabeth Eapen that the Georgia Medical Board does not sponsor re-takes of USMLE Steps.
Gloria Hutchinson - does not need a license if only observing.
Applications Not Approved
TB Complete SPEX or other Clinical Skills Examination, or apply for VIM License and then
work for 90 days under supervising and then provide a letter of advocacy from
supervising physician, or allow to withdraw. JS Interview
CE Uphold previous decision to deny or withdraw
VP Refer to PHP
EU Deny or allow to withdraw
DR Clinical Skills Examination, or offer Emergency Practice Permit
VW Interview
RD (RNST) Deny based on criminal convictions
RM Interview
SK Refer to PHP
DB (RNST) Table for date of last clinical practice of medicine
AC Deny Institutional License due to practice not qualifying as an institution.
RN (RNST) Clinical Skills Examination or Allow to withdraw or deny
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Meeting
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Applications Approved
Avino, Lorianne License without restriction
Silver, John License without restriction
Luem, Carl (RNST) License without restriction
Elmansy, Hazem License without restriction
Fisher, Scott (RNST) Reinstate without restriction
Hoyt, Alastair License without restriction
Barrientos, Osvaldo License without restriction
Bazemore, Derek Reinstate without restriction
Wagner, Michel License without restriction
Brown, Dawn License without restriction
Buchanan, Jason License without restriction
Eames, James License without restriction
Delius, Ralph License without restriction
Frickel, Wendy License without restriction
Herron, Michael License without restriction
Kirsh, Therese License without restriction
Lo, Eric License without restriction
Hassan, Ahmed License without restriction
Herrin, Michael License without restriction
Larkins, Mark License without restriction
Brayboy, Tara License without restriction
Nolte, Ryan License without restriction
Holt, Eric License without restriction
Residency Training Permits
Blanton, Leah Approve
Jerome Homish Approve
Kevin Patel Application withdrawn
Administratively Approved Applications
Abid, Syed MD
Agarwal, Ankita MD
Agarwal, Rajender K MD
Ajose, Taiwo A MD
Akache, Rola W DO
Akinsanya, Olajide A MD
Al Kassem, Hatem MD
Alawi, Aws MD
Aldulescu, Monica DO
Alemany Colom, Eduardo MD
AlJaroudi, Wael MD
Allen, Delenya MD
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Alnabki, Ziad MD
Anderson, Kathy M MD
Andrews, Cody L DO
Ang, Sheryl S MD
Ansari, Abrar A DO
Avino, Lorianne E DO
Badia, Daniel J DO
Baig, Mohammad Q MD
Bansal, Ila MD
Barnes, Cassandra MD
Barney, Elise J DO
Barrientos, Osvaldo Andres MD
Beatte, Hope MD
Benjamin, Jacqueline A MD
Bentham, Wayne D MD
Berkow, Roger L MD
Betz, Kristina J MD
Beyene, Tolawak K MD
Bhatt, Binoy MD
Bobrov, Amira MD
Bobrov, Michael MD
Bost, Brian P MD
Boudreau, Edward D DO
Boulware, Ronald G MD
Bowe, Crystal C MD
Brayboy, Tara J MD
Brinkman, William J MD
Brock, Joseph C, Jr DO
Brown, Danielle R DO
Brown, Dawn MD
Browning, Benjamin B MD
Bruzzini, Daniel B MD
Buchanan, Jason MD
Butler-Quarles, Barika MD
Campbell, Earl, III MD
Campbell, Patrick MD
Carey, John E MD
Cesarine, Joseph MD
Cha, Yong K, K MD
Chandra, Shalabh MD
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Chisholm, Joshua S DO
Chivukula, Kaavya MD
Chorney, Elizabeth T MD
Chumley, Candace F MD
Chung, Michael H MD
Clayton, Warren F MD
Cleckler, Sarah DO
Coats, Travis MD
Crowder, Robert T MD
Crum, Rachal DO
Cruz, John W MD
Cruz, Victor MD
Dai, Shengchuan MD
Daniel, Annamma MD
Dannemann, Tanya M MD
Dave, Isha MD
DeJournett, Richard L MD
Delius, Ralph E MD
Dhakal, Dora R MD
Dhople, Anil A MD
DiBona, Alexander MD
Diller, Maggie L MD
Donaghy, Deirdre V MD
Duarte, Jeremias R DO
Dubique, Jordan MD
Duchon, Karman J MD
Dupont, Gregory P MD
Eames, James S MD
Eaton, Jennifer L MD
Edwards, James E MD
Ehrenberger, David R MD
Eisenberg, Joel L MD
Eken Sander, Stephanie C MD
Elmansy, Hazem M MD
Fan, Chuan F MD
Fedusenko, Ashley MD
Ferizaj, Redi MD
Fields, George DO
Fisher, Jeremy G MD
Follett, Kelly G MD
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Frickel, Wendy MD
Getz, Kelly E MD
Given, Michael J MD
Gliga, Louise A MD
Golden, Thomas M MD
Greenberg, Ilyssa DO
Greenspan, Matthew MD
Guerra, Daniel J MD
Harb, Ragheb MD
Harris, Ciel F MD
Hassan, Ahmed M DO
Hayden, Scott A MD
He, Steven MD
Hecker, Susan M MD
Hejjo Alrefai, Basel MD
Hermansen, John R MD
Herrin, Michael K MD
Herron, Michael K MD
Ho, Annie H MD
Hodgson, Joni DO
Hoyt, Alastair T MD
Huang, Charles MD
Hunt-Heinzen, Elyse MD
Hur, Eunmi MD
Hutton, Timothy P MD
Ihrig, Timothy G MD
Imran, Rajeel MD
Ireland-Gordy, Stephanie D MD
Jamshidi, Soheil MD
Jani, Ajay S MD
Jentzen, Noah MD
Jessani, Sehar N MD
Jones, James D MD
Jorandby, Lantie MD
Jordan, Brent MD
Jordan, Caleb MD
Kalaveshi, Sokol MD
Kalia, Junaid MD
Kallam, Erin F DO
Kaneria, Samir C MD
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Meeting
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Kern-Smith, Emily M MD
Kessler, Howard MD
Khan, Sadaf A MD
Khanna, Ashish MD
Khishchenko, Natan MD
Kim, Susie MD
Kirsch, Therese MD
Krieg, Carolyn DO
Lanneau, Grainger S MD
Larkins, Mark V MD
Law, Anthony B MD
Lerman, Dana T MD
Little, Patricia L MD
Lo, Eric MD
Lord, Christopher A MD
Mallarino-Haeger, Christina MD
Malone, Brett MD
Mandavia, Sujal MD
McGowan, Christopher E MD
McKenzie Johnson, Tamra MD
McKenzie, Alexandra S MD
McKnight, Jerry T MD
McLaughlin, Dell C MD
Melhem, Molly MD
Memon, Aurangzeb MD
Mendelow, Micahel J MD
Miller, Joel C MD
Minja, Frank J MD
Motiwala, Reshma MD
Mueller, Stephanie L MD
Narayana, Sumathi MD
Nasrin, Mubina MD
Nathanson, Richard A MD
Nguyen, Phuong V DO
Nolte, Ryan N MD
Odubanjo, Anthony A MD
Olds, Gregory D MD
Onwe, Charles N MD
Ortego, Jonathan C MD
Park, Dong MD
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Patel, Shiel MD
Patel, Vivak DO
Perry, Avital MD
Phillips, Pushpa MD
Pillenahalli Maheshwarappa, Ravishankar MD
Pita, Rafael MD
Price, Kyle M MD
Prostko, Michael MD
Qamar, Muhammad S MD
Quaynor, Samuel D MD
Qureshi, Anam MD
Qureshi, Owais MD
Raad, Roy MD
Rahman, Mohammad A MD
Rahman, Vanita J MD
Rajanahally, Saneal MD
Raley, James A MD
Rana, Muhammad A MD
Reddy, Kartik MD
Redfield, Colby S MD
Reid, Chad R MD
Rhoads, Susan MD
Rice, James MD
Rice, Sarah T MD
Riesz, David A MD
Ruffin, David M MD
Russell, Andrew A MD
Ryan, Christine M MD
Salame, Nicole F MD
Sarkar, Aishawarya MD
Satiya, Saawan MD
Scanlon, Nicholas MD
Schechter, Jade L MD
Schrager, Michael P MD
Scruggs, Stewart MD
Shadid, Hythem P MD
Shaikh, Umair MD
Shavladze, Nikolay MD
Sheider, Shelby L MD
Sherman, Steven J MD
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Siddiqui, Sabet M MD
Silver, John MD
Silverman, Jonathan MD
Simmons, Carnetha M MD
Simmons, Jennifer W MD
Sims, Tammy H MD
Sincebaugh, James B MD
Skjei, Leah MD
Sobani, Zain u MD
Sorenson, Jamie L MD
Stadnyk, Michael J MD
Stark, Craig G MD
Starkie, Roderick V DO
Starr, Carter MD
Steinberg, David M MD
Sterling, Kevin A MD
Stevens, Timothy J MD
Strickland, Johnnie W, Jr MD
Sundaramoorthy, Anita S MD
Swendris, Ronald P MD
Taka, Nchang MD
Thapa, Suman MD
Tibaleka, June B MD
Tolpinrud, Whitney L MD
Tomich, Jennifer L MD
Tran, Jacvinta P MD
Tran, Patricia A MD
Usman, Muhammad MD
Vaishnani, Devin M MD
Valadri, Ravinder MD
Valerio, Marcos G MD
Vanderby, Alexander MD
VanderVinne, Nathan DO
Vinson, Mohabe A MD
Wagner, Michel R MD
Walker, Gene E, Jr MD
Warmington, Janelle MD
Warren, Kyle C MD
Warrington, Janet M MD
Waters, Kathleen M MD
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Wheatley, Marsha K MD
Williams, Jason P MD
Wilson, Lytani Z MD
Wong, Bryan C MD
Wu, Amy MD
Yaish, Ayman D DO
Yang, Chien MD
Yoon, Jessica S MD
Residency Training Permits
Achram, Robert
Barrar, Elisabeth A
Blanton, Leah C
da Silva, Rafael C
Elazzouny, Osama H
Gordon, Wesley A
Haq, Jeesanul
Homish, Jerome D
Husband, David
Kumar, Navin
Mahat, Usha
Mandhan, Warsha
Mlynek, Karolina S
Napoli, Federico A
Newman, Maureen A
Pham, Nicolas T
Restivo, Bradley
Ruaengsri, Chawannuch
Sheaffer, Aaron A
Tan, Paul D
Waitimu, Susan
Zaidi, Beenish Z
Zuchowski, Colin R
NURSE PROTOCOL ADVISORY COMMITTEE
Dr. Gross presented the Nurse Protocol Report:
The Board took the following actions:
I. Sydnee Allison, Director of Human Resources at Reliant Medical Associates. We are looking
to expand into the state of Georgia for telemedicine. The APRN's address should be their
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Meeting
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mailing/residential address, not the practice address correct? On various forms such as the
Protocol Agreement, Registration Form, and Form A it asks for various addresses for the
Primary Practice Address and the Practice Locations- For safety reasons advise APRN to
use the practice address.
The following questions have been referred to the Attorney General Office for a
response.
1. Would it be appropriate to put the main headquarters address for the Primary Practice
Site information and add that this is for "Telemedicine"? Our headquarters is not based in
the state of Georgia, so we are unsure if that would be acceptable?
2. If using our corporate address is not acceptable, would the Physician and APRN list their
personal address where they are physically conducting the telehealth visits?
3. Will it be acceptable if their personal address is not located in Georgia because they live
out of state, but hold a Georgia license?
I am referring to the requirement that “the delegating physician shall document and maintain a
record of onsite observation and review of medical records on a quarterly basis to monitor
quality of care being provided to the patients” (Rule 360-32-.05). For nurses practicing via
telehealth, can the “onsite observation” requirement Be conducted via telehealth? Yes. The
statute does not differentiate.
II. I am a physician looking into arranging nurse collaboration supervisory agreements for nurse
practitioners in non-treating roles in Georgia. I am not currently located in Georgia, but I do have
an office location in Georgia. Would this be acceptable? I have heard different answers and
wanted to clarify before proceeding with the medical board. Define non-treating (clarify the
role). If will be doing the role of just a nurse does not need a protocol for non-treating.
The following Form C’s were approved:
McQuitty, Wanda
Nelson, Tricia
Shelton, Tracey
Wafer,Christina
The following Form C’s approved with changes.
Allmond, Lynn
Drogoul, Anastasiya
Sayani, Kiran
The Committee reviewed and approved the following protocols under the provision of O.C.C.A.
43-34-25.
APRN DELEGATING PHYSICIAN
Alaina, Noor Ashly Joseph, MD
Baker, Sharon John Pittman, MD
Bariyiga, Ann Geoffrey Aaron, MD
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Thornhill, Timiko Sudha Reddy, MD
Ulysse, Tameeka Sudha Reddy, MD
Long, Brandy Benjamin Roy, MD
Peck, Ann Ayman Fareed, MD
Sanni,Oyenike Jose Cangiano,, MD
Williams, Nicole Panchajanya Paul, MD
Walton, Patrice Miller, Serena, MD
Yadav, Lily Sherine Thomas, MD
The Committee determined that the following protocol agreements meet the provisions of
O.C.G.A. 43-34-25 with changes.
APRN DELEGATING PHYSICIAN
Bodi, Josephine William Blackwell, MD
Burbank, Gina Navin Wadehra, MD
Hecht, Hayley Dean Kirkel, MD
Hoffman, Judy Adrienne Van Curen, MD
Lancaster, Sabrina Nadine Regis, MD
Mwangi, Stella Kristina, Bowen, MD
Park, Michelle Meena Shah, MD
Pesce, Jodi Vera Lafosse, DO
Atkinson, Denise Eugene Sun, MD
Usher, Camille Kristin, Higgins, MD
Williams, Betty Rami Azzouz, MD
The Committee determined that the following protocol agreements do NOT meet the provisions of
O.C.G.A. 43-34-25.
APRN DELEGATING PHYSICIAN
Smith -Blevins, Rachel Amy Archer, MD
Barrow, Michael Eugene Sun, MD
Protocols Administratively Reviewed:
The following protocol agreements meet the provisions of OCGA 43-34-25
APRN Last APRN First Delegating Physician Name
Alaina Noor Ashly Joseph
Baker Sharon John Pittman
Battle Jessica Sujatha Reddy
Bevill Jana Lawrence Zottoli Jr.
Blais Miranda Neale Freeman
Brett Roberta Carter Tharpe
Butler Deborah Suzanne Schuessler
Carlile Ashley David Gale
Chaffin Dana Michael Duchynski
Chipman Wendy Hollis Sigman
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APRN Last APRN First Delegating Physician Name
Corbitt Mary Deanna Guthrie
Couch Jamie William White
Cowan Terri Meredith Lora
Cox Douglas Robert Blackwell
Davis Bradley Robert Bartosh
Davis Larissa Carol Williams
Dawson Christopher Desiree LaCharite
Dean Daniel Jesus Vazquez-Figueroa
Deneus Gracelyn Rhonda King
Dennis Gabrielle Timothy Daniel
Ekokobe Simon Hassan Bokhari
Eziakor Chiazor William Whissell
Fant Janette Joe Bateman
Gainous Joy James Karas
Gainous Joy William Ellis
Gosier Endia Timothy Daniel
Graves Dellinia Wayne Wells
Gravitt Christopher Melinda Knight
Grogan Lori Charles Hitson
Gupta Rachna Alina Barrett
Hai Ha Quy Leli Gail Matthews
Hardy Robert Harigopal Reddy
Hess Heather Randy Robinson
Hester Jessica Chad Zehms
Hocking Timothy Maureen Nwaokolo
Holdsworth Noel Roy Smith
Hughes Frances Jaideep Patel
Hughes Daniel Daniel Sandlin
James Kynthia Elvin Irvin Jr.
Johnson Celechia Satyajeet Patel
Jolly Tammy Thomas Williamson
Jones Kelsey Kashif Naseem
Josey Allison Linda Hudson
Kelley Tiffany Robert Lester IV
Kirkpatrick Brittney Robert Thompson
Kukharchuk Olga Sang Dao
Leverett MeSheal Moneer Sohail
Luckman Kimberly Angampally Rajeev
Maliwa Branderly Sharon Haynes
Markham Meghan Lee Jacobs
McDonald Brandee James Clark
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APRN Last APRN First Delegating Physician Name
Meyers Dana Sergio Naccarato
Mugwede Lilian Rodney Avery
Napier Audrey Kerin Napier
Perkins Ethan Jimi Malik
Reymar Nancy Jeffrey Schulze
Rivers Tammy Michael Stechison
Roberts Jenene Michele Flagge
Sanders Trina Diahann Moore
Schwartz Heather S.M. Abu Zaheed Hassan
Scully Carol John Lammert
Simonette Joseph Emmanuel Onyeka
Simpson Melissa Shaun Hoenstine
Sims Shaniqua Jack Cheng
Smith Alicia Brittany Andry
Tavenner Stacy Roy Smith
Thornhill Timiko Sudha Reddy
Wallace Tonya Samantha Storey
Walters Collen Dean Seehusen
Watson Lisa James Yost
Williams Forrest Amanda Cowan
Wrammert Kathryn Mani Daneshmand
Young Courtney Johnny Bonner
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
Dr. Antalis presented the Physician Assistant Committee report.
The Board took the following actions:
Approve the following applications for initial licensure with a supervising physician:
PA Supervising Physician
Charles, Melody Pittman, Jamya
Greeff, Kelsey Konn, Jasmine
Jarvis, Scott Kaye, Peter
Jones, Justin Lane, William
Rodgers, Caroline Myers, Thomas
Samandi, Arshia Nugent, Katherine
White-Lewis, Lacey Rubin, Ashley
Approve the following applications for initial licensure without a supervising physician:
PA
Benson, Kyle
Benson, Meghan
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Brodersen, Isabel
Chandler, Nicholas
Dunn, Michael
Ezagui, Nechama
Gamel, Andrew
Kumar, Alka
Loveridge, Carl
Maman, Daniel
McGovern, Kyle
Minava, Jeremy
Nagorsky, Leah
Nwadiogbu, Victoria
Patel, Pooja
Pippi, Eric
Ricketts, Joni
Sangster, Philip
Story, Cameron
Thompson, Dana
Thurmond, Shanice
Require the following initial licensure application to complete 240 Shadowing Hours:
PA
Williams, Molly
Approve the following application for initial licensure without supervising physician pending
clarification of reference:
PA
Zaman, Jasmine
Approve the following applications for reinstatement with a supervising physician with fine for
unlicensed practice:
PA Supervising Physician
Keith, Haley Wheeler, Tyler
McCracken, Lindsey Paulk, Kirk
Approve the following applications for reinstatement without a supervising physician:
PA
Hughes, Paul
Whaler, Kimberly
Table the following reinstatement application for clarification on professional duties:
PA
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Klaus, Kimberly Kim, Joyce
Require the following reinstatement application to complete 240 Shadowing Hours:
PA
Alsup, Bridget
Mahaffey, Lucinda
Approve the following requests for additional duties:
Olivia Flory, PA with—Dr. Blake Willis
Botulinum Toxin Injection
Sandhya Gupta, PA with—Dr. Manfred Sandler
Stress Testing
Ashley Hayes, PA with—Dr. Bhavik Shah
Prostate Biopsy
Testosterone Pallet Placement
Cystoscopy
Hydro-distention
Stent Removal
Percutaneous Nerve Evaluation
Lauren Holcomb, PA with – Dr. Teresa Lo
Nasal Endoscopy
Tasneem Huda, PA with—Dr. Salman Ashfaq
Supervision of Cardiac Stress Tests
Paige Johnson, PA with—Dr. Alexander Gluzman
Endotracheal Intubation with RSI
Amber Mayfield, PA with – Dr. Charles Harris
Fillers (Cosmetics)
Neurotoxin (Cosmetics)
Courtney Weglarz, PA with—Dr. Blake Willis
Botulinum Toxin Injections
Shelley Young, PA with – Dr. Matthew Pugliese
Fine Needle Aspiration
Other Business:
1. Approve submission of replacement Form D for initial PA licensure application for MG.
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2. Approve applicant July applicant MG after review of legal documents update.
3. Approve BA for approval of temporary license to complete 240 shadowing hours requirement.
4. Approve LM for approval of temporary license to complete 240 shadowing hours.
5. Add verbiage to Form D and Form C reference forms clarifying new graduates must only have MD’s
or DO’s who has recent knowledge of their PA skills complete the forms.
6. Have Rules Committee review PA prescriptive authority question regarding what the term
“evaluation” means for the reviewing Supervising Physician.
7. Inform pending applicant who questioned who else can sign reference form if he only rotated with
one physician that he can request the medical director or program director to complete the reference
form as well.
COSMETIC LASER ADVISORY COMMITTEE
Dr. Reisman presented the Cosmetic Laser Committee report as a motion and it carried
unanimously.
The Board took the following actions:
Approved the following for Assistant Laser Practitioner:
Asaya Besay
Monica Hayward
Tysha Henry
Minaz Khetani
Lauren Love
Lissete Perez-Rodriguez
Callahan Proctor
Akiya Ransom
Mahshid Rezaeidashti
Mary Robbins
Megan Waltemyer
Cynthia Winston
Jaclyn Young
Approved the following for reissue of Assistant Laser Practitioner:
Denise de Catalogne
Melissa Federico
Sophal Khat
Approved the following for Senior Laser Practitioner:
Jean Armand
Virginia Blount
Glory White
Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
20
Approved the following for reissue of Senior Laser Practitioner:
Erika Cooper
Approved the following for Assistant Laser Practitioner with conditions:
C. H.
Other Business:
Tabled the information regarding training provided by manufacturer representatives; to be
reviewed at the September meeting.
Referred to the Rules Committee – Rule 360-35-.01(12) to include those RN/NP licensed
through the Nursing Compact in states that participate.
RESPIRATORY CARE ADVISORY COMMITTEE
Dr. Dalton presented the Respiratory Care Committee report as a motion. The Board accepted the
report by unanimous vote.
The Board took the following actions:
Correspondence
The Committee approved the withdrawal of Dennis Burnley’s application.
The Committee accepted as information the final draft of the rules that will be presented to the Board at the
August board meeting.
Reinstatements:
Williams, Ranah
Bonner, Lorraine
Helferich, Lawrence
Moore, Jasmin
Leary, Michael- pending additional documentation
Romiluyi, Omotayo- pending additional documentation
Belmont, Alexander- pending additional documentation
Temporary:
Pickens, Shaterri
Dunlap, Nathaniel
Whitton, Andrew
King, Saadia- pending additional documentation
Full Licensure:
Banugariya, Hiral
Pearson-Moore, Dretecia
Baaheth, Carlette
Busby, Shamequia
Pike, Belinda
Louis-Charles, Colleen
Georgia Composite Medical Board
Minutes of the August 6, 2020
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Louis-Charles, Jean David
France, Taloria
Truong, Kum
Tjersland, Mary
Harris, Rhonda
McGee, Hoyt
Welch, Jennifer
Henson, Jacqueline- pending additional documentation
Celestin, Pierre- pending additional documentation
Morrison, Rukiya- pending additional documentation
Administrative Upgrades
Anthony Williams
Jasmaine Lovelace
Albern Domond
Chavise Palmer
Keltsey Gray
Rickie Kanaya
Yasmine Gilmore
Shannon McGriff
Ka-Terra Foster
Additional Business:
The Committee tabled the Committee Term Limits for further discussion with Asst. Attorney, Max Changus.
ACUPUNCTURE ADVISORY COMMITTEE
Rob Law presented the Acupuncture Committee report as a motion and it carried unanimously. The
Board took the following actions:
Accepted the quarterly report for the following:
Alpha Bond – and approved a 6-month extension to supervisory period – new expiration date
2/28/2021
Approved the following application for limited licensure:
Lu Phoun
Referred to the Attorney General’s Office for revocation of license due to falsification of records to the
Board:
T. P.
Other Business:
Recommended the temporary reduction to 20 hours of CEU for license renewal during the state
of emergency.
PERFUSION ADVISORY COMMITTEE
Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
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Dr. Retterbush presented the Perfusion Committee report as a motion. The Board accepted the
report by unanimous vote.
The Board took the following actions:
Approved the following application for Initial Perfusion Licensure:
Sarah Lombardi
PAIN MANAGEMENT COMMITTEE
Dr. Simmons presented the Pain Management Committee report as a motion. The Board accepted
the report by unanimous vote.
The Board took the following actions:
Application Pain Clinic Name
F552374 Comprehensive Spine & Pain, LLC- Decatur
F552585 Southeast Neurological Specialists- Thomasville
F552624 FX Spine and Performance Center, LLC- Evans
Pending clear background checks
License # Pain Clinic Name
375, 539 Alliance Spine and Pain Centers
ADD APRN, Melissa Chapel
118 Center for Spine & Pain Medicine
DELETE APRN, Kasie Barrett
293,294 Spine Center of Southeast Georgia
DELETE APRN, Robert Sizemore
328, 418, 419 Alliance Spine and Pain Centers
ADD Practicing Physician, Scott Masson
485 Neurological Spine Center
DELETE Practicing Physician, Chirag Patel
224 Harbin Clinic, LLC
DELETE Physician Assistant, William Johnson
195 Care Medical Center
ADD APRN, Robert Keen
375,539 Alliance Spine and Pain Centers
ADD APRN, Erin Key
388 Advanced Pain& Rehab, P.C.
ADD Practicing Physician, Pawanjit Singh
Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
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Other Business:
• Question from Dr. Matthew DiDuro regarding confirmation on allowing clinics to implement video calls
or virtual appointments. During the State of Emergency, the Board will approve this request, but
encourages the clinic to ensure that urine samples are done in a secure manner.
GENETIC COUNSELORS ADVISORY COMMITTEE
Dr. Deloach presented the Genetic Counselors Advisory Committee report.
The Board took the following actions:
1. The Committee reviewed the email from Lisa Oakes regarding new graduate who does not have a
temporary or permanent license. The Committee advised that the individual must have a temporary
or permanent license.
2. The Committee reviewed and approved the following applications:
Craig Adamski
Natalie Beck
Emily Daugherty
Hannah Davis (Temporary License) Whitney Ducaine Rebekah Hutchins (Temporary License) Mary Oliver Maureen Palmer Tessa Pitman Sarah Predham Rebecca Reeder Lauren Staunch Cynthia Trotter Emily Umscheid Cynthia Watson
ORTHOTIST & PROSTHETIST ADVISORY COMMITTEE
Dr. DeLoach presented the Orthotist & Prosthetist Advisory Committee report.
The Board took the following actions:
Approved the following applications for licensure:
Matthew Dunford – Upgrade to Dual O&P
Eleanor Malone Otwell – Dual O&P – pending additional information
Other Business:
Board staff to send reply to Mr. LeRoy Oddie stating a manufacturer representative may not
independently engage in patient care outside his/her role as an employee of the manufacturer and
must be under the direction of a physician or health provider (orthotist, prosthetist, or dual
Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
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orthotist/prosthetist) who is operating within his/her scope of practice.
LAW ENFORCEMENT ADVISORY REPORT
The Board took the following actions:
1. 20171376 & 22000184 – Approved release of records
2. 20192103 – Table
3. 20200279 – Table
4. 20141800 – offer voluntary surrender
5. 202000243, 2020285, 20200395, and 20210074 – approve indefinite Suspension
6. 20200884 – refer to AG’s Office
WELLNESS COMMITTEE
The Board took the following actions:
Georgia PHP Report
Robin F. McCown, Executive Director, provided the Committee with an update on cases with the PHP.
The members asked Ms. McCown for any data on relapses or the intake compared to last year this time.
RN - recommended licensure
GS - request additional information
LM - recommend licensure.
ML - Interview
The Committee accepted quarterly reports on the following:
DT
HM
INVESTIGATIVE INTERVIEW REPORT
Dr. DeLoach presented the Investigative Interview report as a motion, and was seconded by Dr.
Retterbush. The Board accepted the report by unanimous vote. The Board took the following actions.
20192241 FINV 20192472 CLOSE
20200457 PEER 20200624 LOC
20200725 TABLE
INVESTIGATIVE COMMITTEE
The Investigative Committee report was presented as a motion by Dr. DeLoach and was seconded by
Dr. Retterbush. The Board accepted the report by unanimous vote. The Board took the following
Georgia Composite Medical Board
Minutes of the August 6, 2020
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actions.
Close:
20180282 20180681 20200110 20200164 20200164 20200167
20200211 20200217 20200218 20200219 20200455 20200588
20200601 20200655 20200697 20200720 20200936 20201076
20201146 20201147 20201149 20201151 20201160 20201162
20201163 20201164 20201168 20201172 20201174 20201180
20201183 20201188 20201192 20201197 20201199 20201205
20201208 20201215 20201218 20201219 20201220 20201221
20201222 20201224 20201226 20201233 20201234 20201237
20201246 20201278 20201281 20201282 20201289 20201312
20201328 20201329 20201341 20201378 20201381 20201403
20201408 20201412 20201424 20201434 20201436 20201438
20201460 20201470 20201483 20201499 20201517 20201521
20201522 20201558 20201563 20201565 20201568 20201584
20201646
Close with Letter of Concern:
20192590 20200205 20201167 20201181 20201190 20201191
20201437
Invite for Investigative Interview:
20192412 20201377 20201469 20201535
Further Investigation:
20200166
Table
20172158 20200802 20201427
Attorney General’s Office
20151084
Peer Review
20200067
OMPE
20200435
INITIAL COMPLAINT EVALUATIONS
The Board approved the following recommendations.
202014769 20201480 20201631 20201640 20201655 20201663
20210010 20210013 20210020 20210025 20210029 20200034
20210080
RECUSALS
Georgia Composite Medical Board
Minutes of the August 6, 2020
Meeting
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Antalis 20200884
Dalton 20200884
Collins 20200457
DeLoach 20200725
Marshall 20200457 20201377 20201584
Norman 20200457
Reisman 20200884 20201151 20201584
There being no further business, motion Dr. Marshall, seconded Dr. Harbin voted to adjourn the
meeting at 1:51p.m.
__________________________________ ________________________________
Barby J. Simmons, DO LaSharn Hughes, MBA
Chairperson Executive Director
Recorded by:
________________________________________ Phyllis White, Executive Assistant