Georgia Composite Medical Board Minutes of the May 2-3 ...
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Georgia Composite Medical Board
Minutes of the May 2-3, 2019 Board Meeting
1
The Georgia Composite Medical Board (GCMB) held its regular meeting on May 2-3, 2019, at
Augusta University, J. Harold M.D., Education Commons 1301 Ra Dent Blvd., Augusta GA
30912 to consider Medical Board matters.
Board members present:
J. Jeffrey Marshall, Chair
B. K. Mohan, MD, Vice Chair
John S. Antalis, MD
Gretchen Collins, MD
Daniel DeLoach, MD
Charmian Faucher, PA (ex-officio)
Michael Fowler, Sr., CFSP
Alexander S. Gross, MD
Thomas Harbin, MD
Rob Law, CFA
Andrew Reisman, MD
David Retterbush, MD
Joe Sam Robinson, MD
Barby Simmons, DO
Richard Weil, MD
Board members absent:
Management and legal staff present:
LaSharn Hughes, MBA, Executive Director
Lisa Norris, MPH, Deputy Executive Director
Phyllis Douglas, JD, Legal Services Officer
Max Changus, JD, Assistant Attorney General
Johnathan McGehee, Interim Director of Investigation
Phyllis White, Operations Manager
Latisha Bias, Enforcement Lead
Charmian Faucher, PA (ex-office) (Friday)
Richard Weil, MD (Friday)
Alexander S. Gross, MD (Friday)
CALL TO ORDER
Dr. Marshall called the meeting of the Georgia Composite Medical Board to order at 8:00 a.m.
AGENDA AND MINUTES
Dr. Retterbush submitted a motion, seconded by Dr. Harbin to approve the agenda of the
May 2-3, 2019 meeting. The motion carried unanimously.
Dr. Weil made a motion to approve the minutes of the April 11, 2019 meeting. Dr. Collins
seconded the motion and it carried unanimously.
INTRODUCTIONS
Official Welcome:
Dr. Brooks Keel, President of Augusta University – welcome the Board to the campus.
Dr. David Hess, dean of the Medical College of Georgia – welcomed the Board, provided a
presentation on current and future growth of the Medical School.
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GEORGIA PROFESSIONAL HEALTH PROGRAM
Dr. Paul Earley provided an update on the Georgia Professional Health Program, how cases are
handled, and the reporting relationship with the Board.
BOARD CHAIRMAN’S REPORT
Dr. Marshall thanked Dr. Hess and Dr. Earley for their reports. He gave the Board a report on
the Federation of State Medical Board meeting in Dallas and what he took away that we can
work on changing. He thanked Dr. Gross for running a good campaign for the Nominating
Committee. He mentioned that he still had not heard anything on the appointments to the
Board. He also gave a legislative update. CB16 Interstate Compact
EXECUTIVE DIRECTOR’S REPORT
Ms. Hughes made the following report:
1. Sam Pondrom, JD Can a podiatrist and a physician co-own a practice, will this work with
physicians and other health care providers? There was not enough information to respond.
2. Karen T. Civali, RN – Who has to do the three-month clinical visit can it be a NP or
PA. Can the physician delegate? Okay to delegate.
3. Jianli Zhoa – Can the signature line be a digital signature. The Board will accept this type
of signature as long as it is reputable company.
4. Jjais Richards, MD – Can a physician determine whom they can supervise. It is between the
physician and the institution.
5. Compact information – Accepted as information.
6. City of Atlanta Resolution – regarding conversion therapy. The Board accepted as
information.
Dr. Antalis motioned to go into closed session Dr. Harbin seconded the motion and it carried
unanimously
ATTORNEY GENERAL (AG)
Max Changus, Assistant Attorney General presented the Attorney General Status Report;
Dr. Harbin submitted a motion, seconded by Dr. Reisman to accept the report as information.
The motion carried unanimously.
Dr. Marshall declared open session.
RECESS
Dr. Marshall declared the meeting in recess for holding committee meetings
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RECONVENE
Dr. Marshall reconvened the meeting at 2:15 p.m.
LICENSURE COMMITTEE
Dr. Retterbush presented the Licensure Committee report as a motion. The Board accepted the
report by unanimous vote.
The Board took the following actions:
Petitions requesting to Waive Rules:
Petitioner Rule Number:
Jasvir Singh, MD 360-2-.02 Approved request
Du, Tri, MD 360-2-.07 (6) (8)
Murala, John 360-2-.01(g)
Kuruva, Manohar 360-2-.01(f)(2)
Denied request
Tabled request
Approved request
Reinstatement request:
1. N.G. – Administrative license – if not invite for interview.
2. Sara, Danielle - Approved
3. Acree, Patricia - Approved
4. Druss, Benjamin – Approved Administrative License
Approved Applications for Licensure:
License# Name Degree
82803 Hiser, Wesley MD
82804 Gorti, Harika, Harika MD
82805 Hamilton, Joy M MD
82806 Henry, Brandon V MD
82807 John, Tamara MD
82808 Moyer, Amanda B MD
82809 Peace, DeVaughn K, II MD
82810 Meka, Naga P MD
82811 Adelore, Tejumade MD
82812 Akhtar, Aisha MD
82813 Andriessen, Emily MD
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82814 Patel, Margi B MD
82815 Angelle, Jonathan MD
82816 Patel, Rutveej MD
82817 Allen, John C MD
82818 Ball, Kimberly C MD
82819 Bocock, John MD
82820 Carter, Adam MD
82821 Murphy, Stephanie E MD
82822 Nasir, Junaid MD
82823 Payne, Michelle H MD
82824 Christman, Chad S DO
82825 Coy, Adam M MD
82826 Patel, Shyam A MD
82827 Czuprynski, Robert J MD
82828 Defnet, Ann M MD
82829 Jacobs, Lloydine MD
82830 Cha, Bede Soon T DO
82831 Goodridge, Sophia MD
82832 Kaufman, Michael R MD
82833 Kramer, Nicholas M MD
82834 Khan, Fahad DO
82835 Jurma, Duane MD
82836 Raiser, Sara N MD
82837 Beshish, Asaad MD
82838 Alfonso, Kristan P MD
82839 Azeem, Sameera MD
82840 Barnes, Benjamin MD
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82841 Bokhari, Hassan MD
82842 Calev, Hila MD
82843 Carmona Pires, Miguel MD
82844 Dalal, Curran MD
82845 Dellock, Carey A MD
82846 Bunker, Anna MD
82847 Burdette, Elliott MD
82848 Chen, Tina S MD
82849 De, Nidhi MD
82851 Martin, Ryan C MD
82852 Khamissi Sobi, Mali MD
82853 Webb, Christiaan A MD
82854 Jennings, Aisha C MD
82855 Lubin, Daniel MD
82856 Meisner, Peter MD
82857 Anvar, Bardia A MD
82858 Ma, Christopher M MD
82859 Ramos Saenz, Carlos R MD
82860 Thomas, Joseph H MD
82861 Wewel, Joshua T MD
82862 Ravi, Pranav MD
82863 Rouhana, Hailey F MD
82864 Taylor, Scott B DO
82865 Tran, Huu H MD
82866 Yuan, Hongjie MD
82867 Sarver, David B MD
82868 Siewe, Daku Y MD
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82869 Asakrah, Saja MD
82870 Bovenkerk, Stephen DO
82871 Catausan, Michael MD
82872 Degesys, Catherine MD
82873 Roy, Rajasree MD
82874 Aziz, Rommana DO
82875 Brown, Cameron A DO
82876 Chapman, Douglas E, Sr MD
82877 Chinwuba, Ijeoma MD
82878 Chumble, Shubhangi MD
82879 Kheder, Ammar MD
82880 Lyons, Valerie MD
82881 Nordsiek, Michael F DO
82882 Petersen, Katherine A MD
82883 Maxwell, Meredith M MD
82884 Ogiamien, Efosa O MD
82885 Mehta, Rohini S MD
82886 Kichloo, Saima MD
82887 McGinn, Thomas DO
82888 Hattaway, Joshua DO
82889 Garnica Moya, Loreli MD
82890 Gill, Puneet MD
82891 Hunt, Rachel MD
82892 Hamidi, Adam DO
82893 Sridharan, Lakshmi MD
82895 Gillman, Rachel E DO
82896 Chai, Zhijin MD
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82897 Warren, Nichelle A MD
82898 Shah, Nirav MD
82899 Yoon, James J MD
82900 Shah, Neel MD
82901 Smith, Marche T MD
82902 Trice, Kevin K MD
82903 Tolaymat, Omar A MD
82904 Tanaja, Jasmin MD
82905 Vera Ortiz, Juliana M MD
82906 Waseem, Bushra MD
82907 Wolf, Mattie F MD
82908 Wells, Robert S MD
82909 Yeh, Michael MD
82910 Ray, Laura A MD
82911 Tison, Katherine L MD
82912 Yang, Kevin K MD
82913 Spyris, Constantinos T MD
82914 Hasan, Syed Askari MD
82915 Kocharian, Naira MD
82916 Doshi, Shreyans MD
82918 Weinberg, Devin L MD
82919 Trubitt, Meredith E MD
82920 Bassett, Eliot A DO
82921 Kadalikattil Thomas, Mathew MD
82922 Danish, Timothy F MD
82923 Cafuir, Loraine A MD
82924 Bass, Jamie E DO
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82925 Beharrysingh, Rudra MD
82926 Christy, Ilia MD
82927 Daher, Hoda S MD
82928 Kanu, Okezika C MD
82929 Davis, Orrin MD
82930 Deschaine, Maria MD
82931 Dickson, Cristina DO
82932 DeBlock, Heidi F MD
82933 Key, Samuel R MD
82934 Dude, Carolynn MD
82935 Urbaniak, Steven DO
82936 Sullivan, Pamela C MD
82937 Williams, Audrey C MD
82938 Suma, Dominic MD
82939 Baker, Ronald W, Sr MD
82940 Rani, Pooja MD
82941 Andrews, Danielle MD
82942 Salah, Zahraa MD
82943 Hamilton, Kimberly M MD
82944 Ghosh, Radhika MD
82945 Johnson, Mark C MD
82946 Gorovoy, David S MD
82947 Hudspeth, Loren J MD
82948 Coke, Hugh, III MD
82949 Iboaya, Aiwane A DO
82950 Narapareddy, Bharat MD
82951 Hegarty, Daniel MD
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82952 Ha, Thoa K MD
82953 Gin, Nancy E MD
82954 Kuruva, Manohar MD
82955 Gershenbaum, Bart K, D.O. DO
82956 Kwayisi, Golda M MD
82957 Ebelhar, Jonathan S MD
82958 O'Keefe, John J MD
82959 Armstrong, Linda K DO
82960 Jaipal, Fnu MD
82961 Del Toro, Cristina MD
82962 Harb, Tad MD
82963 Flores-Bermudez, Hector MD
82964 Betts, Eric MD
82965 Felpel, Clair DO
82966 Bevier-Rawls, Elyse MD
82967 Khatiwada, Pooja MD
82968 Espinoza, Aldo J MD
82969 Holden, Rhiannon L MD
82970 Edwards, Shatia Y DO
82971 Siwawa, Portia MD
82972 Wooley, Rahim MD
82973 Martinez, Marwin MD
82975 Mai, Raymond DO
82976 Porteus, Cory DO
82977 Loye, Ayomide MD
82978 Liu, Emberlynn L MD
82979 Mehta, Minesh J MD
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82980 Patrick, Kristen M MD
82981 Ohienmhen, Beatrix MD
82982 Myers, Joshua P MD
82983 Negem, Matthew E DO
82984 McCready, Craig MD
82985 Martinez, Ariane MD
82986 Okyere, Britta A MD
82987 Mirzoyan, Michael MD
82988 McClung, Theresa MD
82989 Leach, Fredrick S MD
82990 Kesarwala, Aparna MD
82991 Harrell, Sean A MD
82992 Krueger, Loren D MD
82993 Kamireddy, Samata MD
82994 Kim, Daniel J MD
82995 Egger, Anthony MD
82996 Kang, Yao MD
82997 Head, Justin M DO
82998 Goldstein, Madeleine H DO
82999 Foster, Gregory S MD
83000 Thodeson, Drew M MD
83001 Kalathil, Alaka A MD
83002 Thomas, Jonathan A MD
83003 Becton, Wendell MD
83004 Boaen, Joseph D, IV MD
83005 Victoria, Samuel MD
83006 Scoon, Hedayah R MD
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83007 Zhu, Andy F MD
83008 Kokoski, Jordann DO
83009 Taylor, Danielle L MD
83010 Kagbo-Kue, Suaka MD
83011 Jeon, Peter S DO
83012 Fisher, Robert MD
NURSE PROTOCOL COMMITTEE Dr. Gross presented the Nurse Protocol Committee report as a motion. The Board accepted the
report by unanimous vote.
The Board took the following actions:
Other Business
1. Introduction and welcome to Suzanne Staebler, APRN, as a new member of the Nurse
Protocol Committee.
2. Form C – Jason Levy – Approved
Approved protocols under the provision of O.C.C.A. 43-34-25.
APRN DELEGATING PHYSICIAN
Atakorah, Hannah Osinuga Oladayo
Beaubrun, Shelley (Revisit) Yassar Kanawati
Carlson, Ashley Louis Barton
Croft, JiNa John Gott
DiCara, Sonya Erin London
Driver, Walline Robert Hall
Edwards, Cassondra Layth Saymeh
Freeman, Sharolette Gillian Greer
Greenwood, Austin Jane Clark
Herring, James (Revisit) Chadwick Stouffer
Herring, Meredith Anthony Captain
Hirsch, Ginger Joseph Bear
Lane, Brandi (Revisit) Lawrence Reccoppa
Newton, Keshala David Nussbaum
Robbins, Christine Esteban Lim
Underwood, Ashley Kenneth Patric
Weber, Amy Daniel Cobb
Ziegler, Elizabeth Jones Barbara
Determine the following protocols agreements meet the provisions of O.C.G.A., 43-34-25 with
changes
APRN DELEGATING PHYSICIAN Allen, Turquoise William Mahoney
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Brown, Lisa Daniel Broderick
Brown, Lisa John Lu
Castlin, Rena Jaymal Patel
Driver, Walline Robert Hall
Eaton, Stacy Gregory Jackson
Govner, Nikki Stephen Tafor
Guest, Sara James Appiah-Pippim
Joyce, Katrina Dare Adewumi
Korf, Ali Abul Matin
Meinken, Constance Neil Jariwala
Myers, Chasity_ (Revisit) Lawrence Reccoppa
Osayi, Monica Shahzad Hashmi
Paulk, Carlas Ajitabh Pandey
The Board determined that the following protocol agreements does NOT meet the provisions
of O.C.G.A. 43-34-25.
APRN DELEGATING PHYSICIAN
Lott, Jodi (Revisit) Lawrence Reccoppa
Mashburn, Lori Ajitabh Pandey
McBrayer, Sherri (Revisit) Lawrence Reccoppa
Stidham, David (Revisit) Lawrence Reccoppa
Weatherspoon, Zakiyyah (Revisit) Lawrence Reccoppa
Protocols Administratively Reviewed/Approved:
The following protocol agreements meet the provisions of OCGA 43-34-25:
Agbor Ebanga Mark Salsberry
Allen Turquoise William Mahoney
Atakorah Hannah Osinuga Oladayo
Atkins Bethany David Turfler
Bacot Brittany Kendall Griffith
Bahr Rugiatu Jacqueline Harris
Baily Dominique Brendan Doucette
Beaubrun Shelley Yassar Kanawati
Beck Beverly Mohsen Khodakaram
Bell Stephanie Gillian Greer
Berman Natalia Patrick Egbe
Billings Jordan Catherine James-Peters
Boateng Janet Yashaswini Parikh
Bostrom Katie Edwin Montague
Brisibe Modupeola Sherri Barton
Brooks Christen James Collins
Brown Lisa Daniel Broderick
Brown Brenda Afolake Mobolaji
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Brown Lisa John Lu
Brown Cyasha Vishal Patel
Carlson Ashley Louis Barton
Castlin Rena Jaymal Patel
Cate Victoria Lalit Vadlamani,
Cho Ye Seul Sooil Kim
Christie Melville Kalvin Nathaniel
Cloud Timra Shehzad Muhamed
Collier Samuel Jason Gardiner
Collins Karena Mary McKinley
Compaan Kyle Nicholas Beaulieu
Copeland Laura Stacia Dzikunu
Corley Caitlin Stnley Bush
Croft Ji na John Gott
Crowe, Jr. William Crystal Comeau
Darley Breanna Gloria Browne
Davis Aubrey Abul Matin
Davis Arthur Jorge Pisarello
DeCesare Meredith Thomas Hobby
Dennin Eric John Perry
Desrosiers Myrlene Phillip Hadley
Dexter Susan Ahamefula Nnodim
Diaby Nassaratou Vanderlyn Sewell
DiCara Sonya Erin London
Driver Walline Robert Hall
Dunaway Sherrie Ujwal Siddamreddy
Eaton Stacy Gregory Jackson
Edwards Cassondra Layth Saymeh
Ejimofor Kelechi Yvonne Maduka
Finley Beth Jacqueline Harris
Fletcher Carolyn William Cirillo
Foreman Jerrye Robert Hunter, Jr
Freeman Sharolette Gillian Greer
Gaddy Alicia Cheryl Perkins
Gardner Brooks Jenean Charmille Hare
Garner Amy Alejandra Staubs
Geimer Connie Wilson Tucker
Gilkey Corinna Donald Jones
Golden Marci Ravin Talati
Graham Latisha Chun Ng
Greenwood Austin Jane Clark
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Guevarra Natividad Frank Cook
Hall Brandon James Sinclair
Hammond Myrna Kimberly Stroud
Hawkins Rebekah Nirag Nagada
Heather Pickle Medelaine Santos Vega
Henning Kristen John Barnes
Henson Courtney Dawnetta Holladay
Herring Meredith Anthony Captain
Herring James Chadwick Stouffer
Higgins Christine Dawn Russell
Hill Cara Russell Jones
Hirjee Salima Ramya Rangaraj
Hirsch Ginger Joseph Bear
Hunter Kristin Chatherine James-Peters
Jackson Beverly Amer Al-Rafati
Jefferson-Saboor Andrea Renee Earl C. Joyner
Jennings Melinda Susan Jordan
Johnson Michelle Kristine Gould
Johnson Kimberly James Thigpen
Johnson-Lykes Natalie Davin Mitchell
Jolly McCall Piyushkumar Patel
Jones Chandria Lawrence Reccoppa
Kalick Maria Tam Nguyen
Kelley Wesley Gloria Browne
King-Byrne Ava Anjali Grandhige
Kuhn Crystal Sunil Vallurupalli
Lahey Amy Himalee Sabris
Lancaster Vanessa Andrew Diamond
Lane Brandi Lawrence Raccoppa
Lee Hyesun Young Won Kang
Lomax Jeneen Lynette Stewart
Loucks Andrea Usama Kanaan
Madlock Danielle Adebukola Akintoye
Mallory Sharon Anthony Adams
Martin Kerry John Ouderkirk
Massey Liza Steven Goudy
McDonald Erin Eliahu Feen
McKinney Jennifer Brittainy Dark
McKinnon Lisa Douglas Williams
Medders Lesly Jimmy Malaver
Meltzer Liza Joseph Bishop
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Merritt Marcie Bernard Oddi
Meyers Steven Joseph Kaplan
Mills Jennifer Martha Ward
Mitchell Shonkethia Jehangir Pirzada
Mock Maria Donald Jones
Morey Kayla Stacia Dzikunu
Nace Shana Pamela Gordon
Neely Kristin Charles Roman
Newton Keshala David Nussbaum
Outlaw Melanie James Sinclair
Paine Michael William Early
Patterson Moneka Roger Branch
Patteson Brooke Anna Janss
Peck Ann Melissa Warner
Powell Laura James Ford
Powell Silona Heather Gunn
Pruitt Megan Sajad Zalzala
Quincy Eleanor Debbie Hagins
Rafus Jennifer Robert Packer
Rease Lashandra Tamaurus Sutton
Reid Kiki Dingane Baruti
Releford Steven Michael Ofori
Rigsby Karen Jeffrey Winston
Robbins Christine Melanie Pointer
Robbins Christine Esteban Lim
Robertson Trinell Tod Bethea
Robertson Trinell Sakib Maya
Ross Susan Paul Wentland
Ruiz Alexandra Daniel Van Riper
Sapp Laurel Franklin Conner
Saunders Tamika Yvonne Maduka
Saunders Tamika Reginald Jackosn
Scarlett Christina Trent Schueneman
Seeger Kathryn Marc Yune
Sharma Upasna Solomon Teckle
Shipman Shaleacia Josephine Dunagan
Shore Karen Stephen Little
Singley Brittney Davey Herring
Sparks Tony Timothy Osborne
Stamegna Lynn Raymond Young
Startic Stefanie Helen Panarites
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Sturdivant Shuconda Jose Cangiano
Taylor Christine Bolanle Sogade
Teel Lesley Richard Spurlock
Thomas-Cloud Rosemary Precious Braswell
Ticle Christopher Davis Reames
Underwood Ashley Kenneth Patric
Uwagerikpe Felicitas Jennifer Robinson
Vessel Mary Lori Lynch
Wadhwania Zohra Patrick McDougal
Wall Kelly Etta Ross-Cole
Wallace Marlyn Satyajeet Patel
Ward Mary Robert Mitchell
Ward Mary Billy Chiou
Ware Erica Joanne Kuntz
Waters Melissa Justin Harrell
Watson Brandi Hughh Parks
Weber Amy Daniel Cobb
Wertengerger Caitlin Mark Oliver
Whitaker Kawajalein Sufiyan Patwa
White Julie Lisa Griggs
White Amanda Christen Weber
Wilkinson Elizabeth Julian Hutchins
Williams Chekeeta Albert Scott
Williams Tamika Joseph Saulsbury
Williams Jaqueline Robin White
Williams Kimberly David Turfler
Willingham Jodi Jeffery Winge
Wilson Donnamarie John Houser
Wilson Amber Linda Hendricks
Wint Marvet Miles Johnson
Wise Tiffany Leilani Shivers
Wood Tina Randy Robinson
Woodal Tara Jones Gresham
Wright Kelly Robert Wright
Other Business
1. The Committee agreed to meet with the APRNto discuss the items listed below.
Revision – APRN Forms:
Board to determine which documents will require an original signature
1. Protocol Agreement
Form A
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Form C
2. Registration form
3. Telemedicine Letter
4. Training Letter, etc.
5. Determine if both Page nine and Form A are needed for Designated Physicians.
6. Discuss updating FAQ, to include general comments about comparable
specialties.
7. Discussed family medicine/psychiatry.
PHYSICIAN ASSISTANT COMMITTEE
Dr. Antalis presented the Physician Assistant Committee report as a motion. The Board
accepted the report as amended by unanimous vote.
The Board took the following actions:
Approved the applications for initial licensure with a supervising physician:
PA Supervising Physician
Bond, Allison Williams, Joel
Brendle, Seth Barbour, Scott
Brubaker, Ethan Grory, James
Callahan, Daniel Adcox, William
Davis, Virginia Horwitz, Edwin
Gossett, Holly Gott, John
Henry, Amber Usmani, Asharul
Henry, Gage Ammar, Kevin
Kolski, Trevor Sacks, Todd
O'Steen, Pamela Elliot, Sean
Reed, Sawyer Musser, Daniel
Simonson, Tara McKoy, Raymond
Spott, Rebecca Goldsmith, William
Williamson, Timothy Gupta, Divya
Approved the following applications for initial licensure without a supervising physician
PA
Chapman, Rachel
Chester, Alexis
Clayton, Alexis
Galletta, Esther
Johnson, Edward
Matthews, Stephanie
Ogilvy, Leslie
Pham, Tram
Seay, Le’Tombria
Tioaquen, Cheryl
Warren, Brittany
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Weaver, Adam
Approved application for licensure reinstatement with a supervising physician:
PA Supervising Physician
Rains, John Snoddy, Robert
Approved the application for licensure reinstatement without a supervising physician:
PA
Blaich, Phillip
Johnson, Malinda
Approved Add/Change Applications
PA Supervising Physician
Abell, Margaret Bowden, John
Adams, Danny Haddad, Ayham
Alden, Christopher Brownlee, Richard
Alishio, Shaniah Geldres, Juan
Allen, Christian Huang, Christian
Baker, Julie Milla Federico
Bempong, Kojo Bigsby, Sara
Benefield, Richard Frankel, Roger
Birth, Synquincity Woodhouse, Sheila
Borrillo, Joseph Lynn, Pa
Brown, Rishia Vangallera, Robert
Campagna, Nikki Thobhani, Salman
Carr, Victoria Daly, Charles
Cobbs, Jennifer Carter, Michael
Denham, Stephanie Sebastian, Santhra
Deveau, Maria Maya, Sakib
Drusky, Elisa Manocha, Anuj
Dubose, David Dominguez, Jose
Fels, Brendan Lorentz, Charles
Gelin, Karine Bhuta, Pinkesh
Hale, Amanda Moore, Harry
Harrelson, Amy Hiller, James
Hartsfield, Traci Lee, Richard
Herring, Teresa Swerlick, Robert
Herzberger, Joseph Olson, Douglas
Highnote, Marissa Symbas, John
Howell, Caroline Ganz, Jodi
Howell, Chelsea Reeves, James
Hunter, Laquette Ladelle, Kalvin
Jarvis, Gregory Harris, Robert
Khliher, Sarah Shah, Suresh
Klein, Sarah Cowan, Amanda
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Kumar, Namita Babcock, Melissa
Lau, Daniel King, Joshua
Legare, Angel Yagnick, Hemant
Lester, Fleet Spaulding, Susan
Li, Weiwen Azonobi, Ijeoma
Luft, Scott Sharma, Jyoti
Madden, Daryl Donadio, Richard
Martinec, Jordan Oshinowo, Abayomi
Mattis, Debra Dorato-Iqbal, Paola
Mcever, Jeffrey Gilbert, William
Mesinger, Ramona Meduri, Christopher
Mills, Mark Sherrer, Jack
Modi, Pratik Gunn, Heather
Moore, Aubrey Ramanujeyam, Pitchamathu
Morais, Jannet Brown, Russell
Owens, Michael Valdamudi, Ratna
Parmar, Pretesh Sloan, Reuben
Patel, Ashley Willingham, Elizabeth
Patel, Dhara Ross, Rhonda
Patel, Kevin Lin, Franklin
Patel, Sanjay Bigsby, Sara
Payne, James Souza, John
Pracht, John Oshinowo, Abayomi
Quinn, Laura Weisman, Jamie
Rhondes, Sarah Hoke, Wesley
Riley, Retaunda Seiter, Thomas
Robinson, Ceronnie Carter, Clinton
Rose, Eric Erceg, Stefan
Rose, Kayla Gupta, Divya
Ruszkowski, Karen Dolak, James
Ryan, Beverly Dorato-Iqbal, Paola
Saydar, Michelle Mcleod, Donald
Sharma, Amit Nathaniel, Kalvin
Sharma, Sanjiv Kuntz, Richard
Sheppard, Jessica Mally, Abhijith
Shiels, Sheri Van Riper, Daniel
Spencer, Jason Xia, Tian
Stansell, Christopher Nnodim, Ahamefula
Tenney-Thomas, Kerry Tan, Miguel
Thompson, Margaret Nahas, Juliana
Umbehant, Leah Reschly, Matthew
Walsh, Ashlie Foreman, Juron
Williams, Kelly Hawkins, Clifford
Willis, Paula Cowan, Amanda
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Approved additional Duties request.
Synquincity Birth PA with—Dr. Sheila Woodhouse
Cardiac stress testing
Paul Hughes PA with—Dr. Ajay Nooka Bone
Marrow Biopsy and Aspirate
Jennifer Cobbs PA with—Dr. Michael Carter
Lasers
Vaginal rejuvenation
Fillers
Neuromodulators
Olivia Janus PA with—Dr. Ogbonna Ogbu
Arterial Line Insertion
Central Line Insertion
Vascath Insertion
Anna McFather PA with—Dr. Cynthia Shepherd
Bone Marrow Biopsy
Marcus Parker PA with—Dr. Arthur
McCain Lumbar Puncture
Porta Cath Removal
Joint Arthrogram and Arthrocentesis
Eddie Simms PA with—Dr. William Ballard
Arterial Line Placement
Central Line Placement
Pulmonary Artery Catheter Placement
Kelly Williams PA with—Dr. Chad Kuhlman
Myelogram
Paracentesis
Thoracentesis
Port
Placement
Lumbar
Puncture
Picc Line Placement
Central Line Placement
Tunneled Vascular
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Access
Lacey Wood PA with—Dr. John Barton
Myelogram
Lumbar Puncture
Other Business
1. T.S. – Tabled for additional information.
2. Texas A&M University College of Medicine Rural and Community Health Institute:
Offers assessments and evaluations of Physician Assistants to determine the
practitioner’s ability to safely practice medicine. Tabled.
COSMETIC LASER COMMITTEE
Dr. Gross presented the Cosmetic Laser Committee report as a motion and it carried
unanimously.
The Board took the following actions.
Approved applications for Assistant Laser Practitioner licensure
Ashley Beach
Chrissy Brooks
Karen Godwin
Lubna Hussain
Tamera Partiss
Darcy Pucciarello
Anna Reach
Adriana Santiago
Xiaoyan Sun
Tambra Watkins
Approved application for Reissue of Senior Laser Practitioner with conditions:
Emily Condle
Approved application for Senior Laser Practitioner:
Molly Couey
RESPIRATORY CARE COMMITTEE Dr. Collins presented the Respiratory Care Committee report as a motion. The Board accepted
the report by unanimous vote.
The Board took the following actions
Approved Reinstatement request:
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Waugh, Shane
Fregeau, Anne
Approved Applications:
McKinney, Jennifer, pending additional information
Mills, Bonita
Verdeflor, Northeryn
Thompson, Hermondoz, pending additional information
Gough,Weatherford, Jacob
Albritton, Emmalee, pending additional information
Mangan, Rhianon
Lord, Shannon
Vaughn, Taylor
Outing, Adonis
Butter, Amanda, pending additional information
Sharpe, Elexis
Forster, Phillip
Grissom, Bryanna
Smith, Anna, pending additional information
Tootle, Ashley
Pace, Shinice
Monsegue, Brandie-Anne
Dunn, Bruna - pending additional information
Young, Jennifer
Boone, Melissa, pending additional information
Glisson, Matthew, pending additional information
Green, Corine
Green, Octavia, pending additional information
Youngblood, Macy
Deen, Madiya , pending additional information
Shekur, Zewdie, pending additional information
Shih, Chi Hsiang
Smith, Rachel
Tran, Van
Askew, Jasmine
Barrett, Skky
Scruggs, April
Trotter, Alexandra
Beall, Christa
Davis, Carmen
Barnett, Charles
Lovelace, Jasmaine
Langford, Julie
Jones, Kathryn
Cheatwood, Maegan
Ballard, Kyleigh
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Dutton, Patrick
Cooper, Destiny
Andujar, Kristian
Baker, Mark
Watkins, Mactrice
Mabry, Andrea’
Palmer, Chavise
Hale, Meagan
Elliot, Kaithlyn
Crum, Wigha
Corcoran, Raquelle
Blake, Le’ron
Bell, Adelyn
Talley, Amanda
Paulino, Samantha
Kratina, Taylor
Fallin, Quanisha
Jacheo, Dina
Williams, Zoe
Martinez, Jessica, pending additional information
Meadows, Raela, pending additional information
Weaver, Chaston, pending additional information
Chambeilain, Kristen, pending additional information
Troche, Rebekah
Valenzuela, Tatyana, pending additional information
Warsama, Ayan, pending additional information
Wilkes, Amanda
Acevedo, Adrianna, pending additional information
Bermudez, Sara
Bhakta, Bindi
Black, Maya, pending additional information
Davila, Jessica
Dennis, Brittney, pending additional information
Browne, Lashonte, pending additional information
Diaz-Guerrero, Isabel
Do, Marie
Edge, Caroline
Harris, Rachel, pending additional information
Heard, Justin
Isagas, Salina
Jenei, Meghan
Jimenez, Jacqueline, pending additional information
Jones, Brandi
Jones, Dana
Jenkins, Kaylee, pending additional information
Jones, Chelsea, pending additional information
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Kebede, Melat
Laidford, Courtney, pending additional information
Martin, Shikari
Mathis, Samuel
Mitchell, Patrick
Miller, Shanique
Olgetree, Chelsea
Palacios, Elder
Patel, Krishna, pending additional information
Pham, Daniel
Schoening, Helen
Approved Administrative upgrades:
Bedwell, Hanna
Bilbrey, Carson
Bishop, Ryan
Blackwell, Brooke
Boatwright, Linsey
Boone, Dejah
Brown Jessica
Brown, Jackie
Bryant Christine
Burton, Lynda
Cleveland, Tyler
Cook, Emily
Ely, Katelyn
Ford, Donna
Fuller, Tamara
Hollifield, Marlena
Hilton, Tyler
Hoang, Dieu
Jarrord, Chelsea
Kim, Kim Sey Evn
Milam, Mary-Ann
Nguyen, Ly-Huong
Nwokike, McDonnell
Selamu, Redwan
Schinnery, Tiara
Silva, Lagera
Smith, Samantha
Swearing, Ramona
Tatti, Nicole
Trapkin, Lily
Truong, Kimberly
Uribe, Sandra
Vasquez, Katherine
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Webb, Johntez
Welch, LaShonda
Williams, Lindsey
Wright, Elizabeth
PERFUSION COMMITTEE
Dr. Retterbush presented the Perfusion Committee report. The Board accepted the report by
unanimous vote.
The Board took the following actions:
Approved applications for initial perfusion licensure:
Marc Adler
Timothy Gannon
ACUPUNCTURIST COMMITTEE
Mr. Law presented the Acupuncturist Committee report to the Board as a motion. The Board
accepted the report by unanimous vote.
The Board took the following actions:
Accepted the following quarterly reports:
1. Hyosun Choi
2. Tram-Huong Gebreyesus –Incomplete may resubmit request with the next quarterly
report
Other Business:
1. The Board accepted as information the list of limited licensees and supervisors.
2. The Board approved the request from Sook An-Kil for the NCCAOM CEU
packages, stating either CEU package would be acceptable.
Board gave will respond to the Arizona Acupuncture Board stating that Georgia law
does not have a specific definition of a chemical dependency program.
WELLNESS COMMITTEE
Dr. Collins presented the Wellness Committee report. The Board accepted the report by
unanimous:
The Board took the following actions.
Non-Interview Matters:
1. 20171205 - Review OMPE results. Refer to GA PHP
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2. 20180253 – Review OMPE results.
3. Goldberg, David A. – Public Consent Order with indefinite suspension.
PHP report – Paul Earley, M.D. (in-person) and Robin McCown (in-person)
INVESTIGATIVE INTERVIEW REPORT
Dr. Weil, M.D, presented the Investigative Interview report as a motion, Mr. Fowler seconded
the motion; The Board accepted the report by unanimous vote. The Board took the following
actions.
20182027 Letter of Concern 20180856 Letter of Concern
20180942 Close 20190390 Close
20190916 Forward to Investigations
INVESTIGATIVE COMMITTEE
The Investigative Committee report was presented as a motion by Dr. Gross, and was seconded
by Dr. Robinson. The Board accepted the report by unanimous vote. The Board took the
following actions.
Close:
20171353 20171394 20171556 20171781 20180695 20180744
20180759 20181560 20181576 20181673 20181746 20181835
20182032 20182033 20190073 20190216 20190272 20190373
20190441 20190509 20190510 20190519 20190595 20190633
20190674 20190736 20190754 20190781 20190815 20190870
20190896 20190897 20190919 20191617 20191621 20191634
20191640 20191685 20191706 20191710 20191720 20191733
20191734 20191735 20191736 20191745 20191758 20191759
20191769 20191774 20191775 20191781 20191783 20191785
20191797 20191799 20191800 20191801 20191802 20191803
20191804 20191811 20191822 20191842 20191843 20191858
20191862 20191863 20191865 20191881 20191887 20191889
20191891 20191924 20191925 20191929 20191937 20191953
20192001 20192013 20192019 20192046 20192051 20192080
20192086 20192101 20192104 20192176 20192205 20192218
20192223 20192225 20192269 20192271 20192284
Close with Letter of Concern:
20181978 20191626 20191907 20191910 20191747
Invite for Investigative Interview:
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20150910 20180666 20182258 20190301 20190858 20191624
20191773 20191909
Further Investigation:
20191718 20192054
Table
20190789 20191888 20192248
Attorney General’s Office
20150349 20160488 20191972 20192027 20121324 20140319
20150747 20172008 20172014 20180502 20192267
Peer Review
20190559 20190656 20191724
OMPE
20190570 20191968 20192198 20181187 20182263
INITIAL COMPLAINT EVALUATIONS
The Board approved the following recommendations.
20192281 20192282 20192287 20192293 20192295 20192296
20192297 20192309 20192313 20192316 20192320 20192336
RECUSALS
DeLoach 20180942 20091924 20171394 20191747 20181746
20190674 20191621 20191865 20192295
Mohan 20192104
Retterbush 20180942
Simmons 20192013
There being no other business, Dr. DeLoach submitted a motion, seconded by Dr. Robinson to
adjourn the meeting. The motion carried unanimously. Dr. Marshall adjourned the May 2-3,,
2019 meeting at 8:15 a.m.
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__________________________________ _____________________________________
J. Jeffery Marshall, MD LaSharn Hughes, MBA
Chairperson Executive Director
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