Georgia Composite Medical Board Minutes of the October 6, 2016 Meeting 1 The Georgia Composite Medical Board (GCMB) held its regular meeting on October 6, 2017 at 2 Peachtree Street, NW Atlanta, Georgia to consider Medical Board matters. Board members present: John S. Antalis, MD, Chair E. Daniel DeLoach, MD, Vice Chair Keisha Callins, MD, MPH Gretchen Collins, MD John Downey, DO Charmaine Faucher, PA-C (ex-officio) Alexander S. Gross, MD Alice A. House, MD, FAAFP Alice House, MD J. Jeffrey Marshall, M.D. B. K. Mohan, MD David Retterbush, MD Joe Sam Robinson, MD Ronald “Ronnie” Wallace, MBA Richard Weil, MD Management and legal staff present: Bob Jeffery, MBA, Executive Director Carl Bedingfield, MD, Assistant Medical Director William Butler, MD, Medical Director Carol Dorsey, Licensure Manager Briana Fry-Jones, Administrative Assistant Karl Reimers, Director, Investigations & Enforcement David Stubins, Senior Assistant Attorney General Patricia Sherman, Enforcement Manager Janet Wray, Senior Assistant Attorney General CALL TO ORDER Dr. Antalis called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m. AGENDA AND MINUTES Dr. Retterbush submitted a motion, seconded by Dr. Weil, to approve the agenda of the October 6, 2016 meeting. The motion carried unanimously. Dr. Weil submitted a motion, seconded by Dr. Retterbush, to approve the minutes of the September 1, 2016 meeting. The motion carried unanimously. EXECUTIVE DIRECTOR’S REPORT Mr. Jeffery announced the addition of three new Board staff members: Briana Fry-Jones, Latisha Bias, and Sandra Rollins. He then presented a draft agenda for the November 2016 Board meeting at Lake Lanier Islands. The Board welcomed the new staff. EXECUTIVE SESSION Dr. Retterbush submitted a motion, seconded by Dr. Gross, to go into executive session to discuss investigative matters. Dr. Antalis declared the meeting in executive session. Upon conclusion of the Board’s discussion of confidential matters, Dr. Antalis declared the meeting in open session.
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Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
1
The Georgia Composite Medical Board (GCMB) held its regular meeting on October 6, 2017 at
2 Peachtree Street, NW Atlanta, Georgia to consider Medical Board matters.
Board members present:
John S. Antalis, MD, Chair
E. Daniel DeLoach, MD, Vice Chair
Keisha Callins, MD, MPH
Gretchen Collins, MD
John Downey, DO
Charmaine Faucher, PA-C (ex-officio)
Alexander S. Gross, MD
Alice A. House, MD, FAAFP
Alice House, MD
J. Jeffrey Marshall, M.D.
B. K. Mohan, MD
David Retterbush, MD
Joe Sam Robinson, MD
Ronald “Ronnie” Wallace, MBA
Richard Weil, MD
Management and legal staff present:
Bob Jeffery, MBA, Executive Director
Carl Bedingfield, MD, Assistant Medical Director
William Butler, MD, Medical Director
Carol Dorsey, Licensure Manager
Briana Fry-Jones, Administrative Assistant
Karl Reimers, Director, Investigations & Enforcement
David Stubins, Senior Assistant Attorney General
Patricia Sherman, Enforcement Manager
Janet Wray, Senior Assistant Attorney General
CALL TO ORDER
Dr. Antalis called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.
AGENDA AND MINUTES
Dr. Retterbush submitted a motion, seconded by Dr. Weil, to approve the agenda of the October
6, 2016 meeting. The motion carried unanimously.
Dr. Weil submitted a motion, seconded by Dr. Retterbush, to approve the minutes of the
September 1, 2016 meeting. The motion carried unanimously.
EXECUTIVE DIRECTOR’S REPORT
Mr. Jeffery announced the addition of three new Board staff members: Briana Fry-Jones, Latisha
Bias, and Sandra Rollins. He then presented a draft agenda for the November 2016 Board
meeting at Lake Lanier Islands. The Board welcomed the new staff.
EXECUTIVE SESSION
Dr. Retterbush submitted a motion, seconded by Dr. Gross, to go into executive session to
discuss investigative matters. Dr. Antalis declared the meeting in executive session. Upon
conclusion of the Board’s discussion of confidential matters, Dr. Antalis declared the meeting in
open session.
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
2
LEGAL / ENFORCEMENT ACTION REPORT
Mr. Reimers presented the Legal / Enforcement Action Report. Dr. Antalis submitted a
motion, seconded by Mr. Wallace, to accept the report. The motion carried unanimously.
The Board took the following actions:
1. 20161572 – Advise FBI no responsive documents.
2. Anthony Junco, MD – Approved Public Consent Order.
3. 20170048 – Invite for interview.
4. Georgia Pain Physicians – Deny request. Issue letter acknowledging ownership of the clinics.
5. 20131015 – Approved to amend private consent order.
RECESS
Dr. Antalis declared the meeting in recess for the purpose of holding committee meetings. Upon
the conclusion of the committee meetings, Dr. Antalis reconvened the meeting at 11:15 a.m.
ST. GEORGE’S UNIVERSITY SCHOOL OF MEDICINE
Eddie R. Cheeks, MD, representing Health Sciences Education Consultants, presented a report
of the review process for St. George’s University School of Medicine’s application for the
Board’s approval of the school. The Board accepted the report and resolved to discuss it at the
November 2016 meeting.
RECESS
Dr. Antalis declared the meeting in recess for the purpose of holding committee meetings. Upon
the conclusion of the committee meetings, Dr. Antalis reconvened the meeting at 2:30 p.m.
LICENSURE COMMITTEE
Dr. Retterbush presented the Licensure Committee report as a motion. The motion was seconded
by Dr. Marshall. The Board accepted the report by unanimous vote.
The Board took the following actions.
Approved Petitions for Waiver of Rules:
James C. Haynes - 360-2-.02(5)
Sherita A. King -360-2-.02(5)
Patrick Narh-Martley - 360-2-.02(5)
Mark Russell - 360-2-.02(5)
Other Business:
1. Regarding USMLE 7-year (MD/DO) and 9-year (MD/DO-PHD) completion
requirement: Request Executive Director to: Contact other State Medical Boards to
ascertain the number of years allowed to complete USMLE Steps 1, 2 and 3.
2. Reviewed Petition question #3 and edit so as to reflect a request for a more detailed
explanation of why it takes longer than the 7 (or 9) year requirement to complete instead
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
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of the most often hardship answer of: “I will be unable to work in Georgia and this would
be a substantial hardship.”
Interview
R.V. – Approved License without restriction.
Applications Not Approved
TS Invite for interview
ML Allow to withdraw and reapply when Kansas Medical Board issue(s) cleared
MP Table
MW Administrative Physician License or CSE for full license
RC Invite for interview.
SY Table
JD Allow to withdraw and reapply when South Carolina Medical Board issue(s) cleared
Revisit:
RW Invite for an interview with the PLC
ES Uphold previous decision
Approved Applications for Reinstatement:
64972 SINGLETON, RASHEED A MD
44162 BARNES, DANIEL MD
22392 BELL, WYNDOLYN MD
55851 IREH, UGO MD
12042 HOFFMAN, PAUL MD
51376 RILL, MATTHEW MD
Approved Applications Pending Receipt of Additional Information:
LANCELOT, MOIRA MD
MATHERS, BRADLEY MD
MCCAULIE, JOHN MD
SCHNEPP, ERIN MD
WEIS-MCNULTY, ANNETTE MD
NAVAL, NEERAJ MD
LINDLEY, SARAH MD
ANDRIANAKOS, ROSEMARY DO
ASHI, MAJDI, DO
GIANAKAKOS, GEORGIA MD
ORORIODE, HELEN MD
SHERRILL, MONIQUE MD
Approved Applications for Licensure:
76900 MACARTHUR, RODGER MD
76901 MARFATIA, RAVISUDHIR
76902 MAIGNAN, MONISE MD
76903 MALVOISIN, CRYSTAL MD
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Minutes of the October 6, 2016 Meeting
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76904 MARTIN, ANDREW MD
76905 MARTS, LUCIAN MD
76906 MCCOY, ROBERT MD
76907 MAKAROFF, LAURA MD
76908 MCDONALD, EVA MD
76909 MIKHAIL WASSEF, MAHA MD
76910 MCKIBBON, MARGARET MD
76911 MILSAP, JESSICA
76912 NAZNEEN, SALMA MD
76913 NARAYANASWAMY, DIVYA MD
76914 MOGANNAN, PAUL MD
76915 MCCARTER, KELLY MD
76916 NARH-MARTEY, PATRICK
76917 NEWTON, LISANNE MD
76918 NOVAK, ZUZANA, EVA MD
76919 OBIEFUNA, NKECHINYERE MD
76920 PARADA, STEPHEN MD
76921 PATEL, RUSHI MD
76922 PATERSON, ANASTASIIA MD
76923 PAYNE, THOMAS MD
76924 PEREZ, MARIO MD
76925 RAZACK-MALIK, NASREEN MD
76926 REDDY, MALINI
76927 REDDICK, STEPHANIE MD
76928 SALINAS, OSCAR MD
76929 SASI, SANDHYA MD
76930 SCAHILL, ,MICHAEL MD
76931 SHAKER, MOHAMMED MD
76932 SHEMIRANI, NIMA MD
76933 AGARWAL, AMIT MD
76934 ALCALA, MARCO MD
76935 ALLEN, GARY MD
76936 ALENTENBURG, RYAN DO
76937 ASSAAD, MURAD MD
76938 BABALAKIN, FAREEDA MD
76939 BAILEY, DOMINIQUE MD
76940 BAILEY, JONATHAN MD
76941 BATON, NEIL MD
76942 BATES, WILLIAM III DO
76943 BEALS, TIMOTHY DO
76944 BEATTY, MICHAEL MD
76945 BODLE, CHRISTOPHER MD
76946 BROWN, LESLIE MD
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76947 BRUS-RAMER, MARCEL MD
76948 BUICE, WILLIAM MD
76949 BULLA, ANA MD
76950 BURGGRAAFF, BARBARA MD
76951 CAMACHO-CUEVAS, RICHARD MD
76952 CAMPANA, KIRK MD
76953 CHAN, KATHERINE MD
76954 SHIRLEY, ERIC MD
76955 CHANG, THEODORE MD
76956 CHUNG, JIM MD
76957 SIDHPURA, MONALI MD
76958 CLAIRBORNE, JEREMY MD
76959 SMITH, AARON DO
76960 CLAY, GARY MD
76961 SOBOWALE, BABATUNDE MD
76962 CLEAVER, NATHAN DO
76963 STARECKI, LIZA MD
76964 CODREA, SARAH DO
76965 STEWART, EARL MD
76966 DAS, MANISHA MD
76967 DATTA, KRISHNA MD
76968 STEWART, JOHN E MD
76969 SERGEYEV, PAVEL MD
76970 SHIEH, CHARLES MD
76971 SEAVY, JACK MD
76972 STARK, CRAIG MD
76973 SHAH, SATU MD
76974 RUSSELL, AMRK
76975 DHAWAN, AJAY MD
76976 DOAN, JOHN DO
76977 SALMON, JASON MD
76978 DOROKHOVA, OLENA MD
76979 DUNDORE, PAUL MD
76980 TAYLOR, BARBARA MD
76981 DUFFY, KRISTINA
76982 VEGA-CASSANOVAS, RAMSES MD
76983 ELLIS, DAVID MD
76984 VINYARD, ALICIA DO
76985 FACTOR, STEVEN MD
76986 FAZZIO, LYDIA MD
76987 DUFFY, KRISTINA MD
76988 FEEN, ELIAHU, MD
76989 FELICIANO-APONTE, ALEXANDRA MD
Georgia Composite Medical Board
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76990 WHITE, CHRISTINE MD
76991 FEAKE, WILLIAM MD
76992 WILLIAMS, LASHUNDA MD
76993 FIELD, JOHN MD
76994 FLOWERS, DAMIAN MD
76995 WISSMAN, ROBERT MD
76996 WITT, JOHN MD
76997 FUNCHES, ANTONIO MD
76998 WOOD, JONATHAN MD
76999 GARCIA- LA TORRE, EDWIN MD
77000 GARG, NARENDRA MD
77001 GIBSON, ERICKA MD
77002 GONDI, HARSHA MD
77003 GONZALEZ, FELIX MD
77004 WOOD, KELLY MD
77005 WOOD, ROBERT MD
77006 WOODS, HENRY MD
77007 GRIFFIN, JOHN MD
77008 WU, CHRISTINA MD
77009 WYMAN, DAVID MD
77010 GRIFFITH, MATTHEW MD
77011 ZAMBUTO, DOMENIC MD
77012 GUPTA, VARUN MD
77013 WHALEN, SEAN MD
77014 WARNER, MICHAEL
77015 VISHNAGARA, RAJANIL
77016 VILLESCAS, BERNARDINO MD
77017 HALL, STEPHANIE MD
77018 HANDELSMAN, CORY MD
77019 HARPER, AARON MD
77020 HAYNES, JAMES MD
77021 HIRATA ARMANI, MILENA MD
77022 HO, CATHY MD
77023 HOMAN, CLARK MD
77024 HORN, JEFFREY MD
77025 HWANG, DANIEL MD
77026 JACKSON, ALOYSIUS MD
77027 JHURANI, SUNAINA MD
77028 JUDGE, DAVID MD
77029 LAMPLEY, ALEXANDER MD
77030 LEVINE, MICHAEL MD
77031 LONG, KASHITI MD
77032 LETTSOME, LYDELL MD
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Minutes of the October 6, 2016 Meeting
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77033 KAPIL, SHIKHA MD
77034 KATEMA, ANNA DO
77035 KHAMBHATI, JAY MD
77036 KING, SHERITA MD
77037 KOUYOUMDJIAN, MICHAEL DO
77038 LAMAR, DAVID MD
77039 KRATZER, JAMES MD
77040 GOEI, ANTHONY MD
77041 MILLER, LAURA MD
77042 MCCAULIE, JOHN ROBERT MD
77043 ALSPECTOR, DEBORA ANN MD
77044 LINDLEY, SARAH MD
77045 SHERRILL, MONIQUE MD
77046 SCHNEPP, ERIN MD
77047 MARION, LINDA DIANE MD
77048 JUNEJO, SHAKRA MD
77049 GRIJSEELS, STEPHANE MD
NURSE PROTOCOL COMMITTEE
Dr. House presented the Nurse Protocol Committee report as a motion. The motion was
seconded by Dr. Downey. The Board accepted the report by unanimous vote.
The Board took the following actions:
Determined that the following protocol agreements meet the provisions of OCGA 43-34-25:
APRN DELEGATING PHYSICIAN
Aas, Erin Creelman, Steven MD
Adeyemo, Oluwatoke Meloy, Patrick MD
Alaka, Olushola Idowu, Olatunde MD
Alamu, Ikeade Rosenfield, Jonathan MD
Atkinson, Denise Drury, James MD
Ausborn, Shanita Graves, Timothy MD
Brown, Jessica Ogundipe, Akinkunmi MD
Bruton, Laura Hittel, Glenn MD
Cave, Melissa West, Robert MD
Chessor, Misty Gray, Phillip MD
D’Antignac, Veronica Kinsey-Gorter, Kristi MD
Dixon, Lori Drury, James MD
Durso, Rachel Saghafi, Ramin MD
Etienne, Josette Bruton, Kelvin MD
Gibbons-Berry, Karen Smith, Craig MD
Gieseke, Katherine Barnett, Anthony MD
Giron, Lorena Montalvo, Luis MD
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
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Graf, Cheryl Creelman, Steven MD
Ikonne, Blessing Rosenfield, Jonathan MD
James, Kristina Branch, Clinton MD
Kirkby, Dawn Baker, Reneathia MD
KIRKBY, DAWN Armour, Christpher MD
Klatt, Rebeca Montero, Aldemar MD
Knowle, Constance Graham, Carliss MD
Lindsey, Charlotte Rosenfield, Jonathan MD
Litton, Jessica Matthews, Mark MD
Major, Jennifer Vermeer, Todd MD
Manghram, Diane Rivner, Michael MD
Martin, Stephanie Poddar, Archna MD
Mathis, Stephanie Vaughn, Candace MD
Mfortow, Emilea Verdun, Joseph MD
Myers, Chasity Solomon, Allen MD
Nation, Lola Crawley, Denise MD
Panek, Timothy Parker, Daniel MD
Paschal, Jennifer Clark, James MD
Pate, Christopher Peters, Jeffry MD
Patel, Sejal Hanley,Alan, MD
Posey, Julie Drury, James MD
Robertson, Trinell Rosenfield, Jonathan MD
Romero, Natalie Safri, Tabassum MD
Ryan, Martha El-Deiry, Mark MD
Sanders, Diana Owens, Crystal MD
Sawyer, Kathryn Poplar, Jonathan MD
Scoggins, Savannah Vick III, James MD
Stamps, Tonya Alam, Muhammad MD
Approved the following protocols by administrative action.
APRN DELEGATING PHYSICIAN
Albritton, Amber Brown, Alan MD
Andrews, Ashley Ellis, Margaret MD
Anyaoha, Sheila Jordan, Madhavi MD
Arnovitz, Jeffrey Faiman, Matthew MD
Atem, Eyong Huang, Duan MD
Bannister, Brandis Wright, Angel MD
Barley, Quavardes Douglas, Claire MD
Bell, Nicole Kabbani, Azmi MD
Bennett, Carrie Minnich, Thomas MD
Berry, Jasmine Douglas, Claire MD
Blalock, Jamil Jones, Jay MD
Boatright, Amber Mitchell, Michele MD
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
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Bond, Nicole Kidwai, Asim MD
Bravo, Dionne Smith, Yvonne MD
Brennen, Patricia Rikhter, Alex MD
Britt, Lauren Nish, William MD
Brooks, Sarah Crenshaw, Brittany MD
Brown, Cynthia Reed, John MD
Bryant, Beth Ghamande, Sharad MD
Bush, Jennifer Moore, Charles MD
Cargill, Martha Brooks, Ann-Marie MD
Carter, Amanda Dunagan, Josephine MD
Castellano, Jocelyn Harjee, Gurshan MD
Chapel, Melissa Stewart, Mark MD
Chester, Pate Headley, William MD
Childre, Mary Duke, Michael MD
Childress, Kirsten Martin, Paul MD
Conforti, Elisabeth Dowis, Jeffery MD
Conn, Laurie Ann Smith, Bill MD
Copeland, Alexandria Estevez, Lester DO
Cox, Jennifer Chapman, Stephanie DO
Crandall, Lisa Shah, Suresh MD
Cromey, Michele Gibbons, Caroline MD
Davis, Emily Emeruwa, Catherine MD
Davis, Laurie Wentland, Paul MD
Day, Julie Martin, Eva MD
Dickinson, Robert McCord, Cedric MD
Divinnie, Kaitlin Kelin, Steven MD
Dorsey, Kwneshia Ngwang, Marga MD
Dorsey, Rachel Grimm, Paul MD
Dubois, Derek Starnes, Trevor MD
Ejimofor, Kelechi Valancius, Daniel MD
Ellis, Sarah Tomus, Sabin MD
Elmore, William Guerreso, Robert DO
Eziakor, Chiazor Taiwo, Olufemi MD
Faust, Jessica Black, James MD
Fisher, Amy Beckford, Rita MD
Fortson, Nedra Autstin, Karen MD
Francis, Sonia Nwang, Marga MD
Furlong, Sarah Lancaster, Thaddius MD
Gattie, Amanda Mynatt Jr., John MD
Gentery, John Golden, Terry MD
Gerrin, Rebecca MgBodile, Francisca MD
Greene, Lawanda Friedrich, Eric MD
Grigg, Carolyn Co, Carter MD
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
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Hamilton-Anderson, Brenda Bowman, Robert MD
Hanaford, Katy Shah, Indravadan MD
Haney, Daniel Patel, Nitin MD
Harris, Wendy Woods-Bishop, Najaz MD
Harvey, Janelle Roarty, Joseph MD
Henderson, Lori McCarthy, Joshua MD
Hinton, Melissa Ahmed, Mahmood MD
Howard, Melanie Torkelson, Michael MD
Hughes, Phyllis Melton, Howard MD
Hurd, Rebecca Jacobs, Lee MD
Johnson, Alicia Lunceford, Gregory MD
Johnson, Sharon Wilson, Julia MD
Jolly, Tammy Himada, Fawzi MD
Jones, Sandra Mozer, David MD
Joyner, Gregory Pendley, Bruce MD
Kay , Harriet Babatope, Olasimbo MD
Kelly, David Carter,Kelli MD
Leonard, Wendy Brown, Audrey MD
Lew, Sybil Kaur, Onkar MD
Lindsey, Pamela Seward, James MD
Lingerfelt, Kimbra Yehnert, Hans MD
Looney, Gina Sharpton, Julian MD
Lucas, Bobby Elbash, Mohamed MD
Lunsford, Jennifer Gay, Heywood MD
Mallory, Edna Dyer, Divina MD
Martindale, LaWanda Lasher Jr., Stephen MD
May, Megan Tidmore, William MD
McDaniel, Karen Chase, Richard DO
McLeod, Benjamin Waller, James MD
McMillan, Lauren Cowart III, Loy MD
McNeal, Sandra Scaglione, Philip DO
Mitcham, Tonya Lewis Jr., Joseph MD
Mitchell, Chikeeta Manchireddy, Geetha MD
Nicholson, Justin Kent, Alana MD
Nicolas, Darc-Pucelle Valancius, Daniel MD
Njungwe, Eric Beckford, Rita MD
Orabueze, Ngozi Jingo, Ahmad MD
Pair, Vincent Goldstein, Matthew MD
Patrick, Jessica Nicely, Jason MD
Peachey, Trent Madrazo, Nelson MD
Peak, Aldrany Grundfast, Matthew DO
Perez, Amy Sampat, Radhika MD
Poole, Leslie Garcia, Thomas DO
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
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Powell, Julie Holton, Benjamin MD
Preethy, Letisha Varughese,Thomas MD
Puett, Pamela Slade, Crystal MD
Rafus, Jennifer Akram, Muhammad MD
Ray, Shelley Falany, Angela MD
Renfro, Rhonda Pendley, Bruce MD
Rhynes, Sharon Patel, Mayur MD
Richmond, Scharri Shah, Hiren MD
Ridolfo, Ardyce Pendley, Bruce MD
Rubio, Pamela Shirley, Steve MD
Sahota, Kavinder Shivers, Marlene MD
Salter, Sandra Walraven, Jamie MD
Sar, Kanitha Puhalovich, Frank MD
Schuh, Pennie Evans, Donald MD
Schultz-Tanner, Kristina Gunn, Earle MD
Seabrooks, Kimberly Elbasha, Mohamed MD
Sellers, Alyssa Ryals, Stephen MD
Sims, Shalandria Douglas, Claire MD
Smith, Jennifer Nussbaum, David MD
Smith, Natalie Zayas-Montalvo, Carlos MD
Stout, Mandy Oyewo, Adetolu MD
Thompson, Stephanie Jacobsen, William MD
Vermillion, Iliana Bowles, Megan MD
Webb, Emily Miranda, Paul MD
Wedd, Kristin Neujahr, David MD
Whitney, Kiara Katz, Michael MD
Whitten, Anita Shapiro, Scott MD
Wiggins, Andronica Patel,Siddharth MD
Wilbur, Christen Waters, Renee MD
Wilkinson, Elizabeth Parrish, William MD
Williams, Katherine Hill, Roger MD
Williams, Teresa Gray, Phillip MD
Willis, Misty Santos-Vega, Madelaine MD
Wilson, Rosemary Estevez, Lester DO
Davis, Jamil Patel, Shailesh MD
Foster, Marianne Lin, Edward MD
Hall-Faison, Talonda Portee, Simon MD
Holmes, Kimberly Ene Saint- Preaux, MD
Jordan, Millie Courson, Ellen MD
Determined the following protocol agreements meet the provisions of OCGA 43-34-25 with
additions/changes:
APRN DELEGATING PHYSICIAN
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Alaka, Olushola Ogundipe, John MD
Horton, Julia Solomon, Allen MD
McGowan, Monica Grochowska, Beata MD
Arnovitz, Jeffrey Faiman, Mathew MD
Lauer, Amy Keller, Frank MD
Other Business:
1. Administratively terminate agreement and notify Georgia Board of Nursing regarding JP
who has possibly been writing prescriptions under an agreement with her father, JP Sr.,
who has been deceased since December 2014.
2. Deny Rule Waiver Request from Jeanne Fell, NP to waive rule 360-32-.01 (50 mile
requirement).
3. Table requests from FastTrack Immediate For additional information.
4. Forward information to Investigative Committee regarding protocols that are being
received from CVM.
5. Advise Grady ER Director that an emergency room/department can be an exception to
the rule that requires a patient who receives a prescription drug order for any controlled
substance pursuant to an Agreement to be evaluated or examined by Physician (or Other
Designated Physician) on at least a quarterly basis, since most ER patients would not be
seen more than once within that time period.
6. Board approved Committee recommendation: staff may administratively withdraw a
protocol agreement that has not been completed after one year of notifying the
NP/delegating physician of the agreement status. Document the withdrawal by notifying
the NP/delegating and noting it in the NP database. A new registration packet AND fee
will be required to reestablish the agreement
PHYSICIAN ASSISTANT COMMITTEE
Dr. Antalis presented the Physician Assistant Committee report as a motion. The motion was
seconded by Dr. Weil. The Board accepted the report by unanimous vote.
The Board took the following actions:
Approved the following initial applications for licensure with a supervising physician:
PA PHYSICIAN
Beck, Warren Njaa, Matthew
Bergs, Kara Merchant, Rioddhi
Blair, Catherine Sarmiento, Juan
Bryan, Elizabeth Schwartz, Alan
Bui, Lin Lal, Neena
Busch, Anthony Caridi-Scheible, Mark
Campo, Arian Birenberg, Brad
Clements, Tia Duggan, Michael
Conner, III, James Gold, John
Cottrell, Morgan O'Brien, Stacey
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D'Angelo, Maria Quan Hong, Anthony
Deiler, Robert Alrick, Brooks
Dotson, Ashley Hamilton, Eric
Drobka, Sarah Roddy, Stephanie
Dutlinger, Robert Morris, Cullen
Early, Kathleen Gallagher, David
Flaherty, Patti Fister, Anthony
Fouts, Mark DeMarino, Frank
Frisbee, Katie Hall, Hugh
Gables, Traci Jetton, Chuck
Galaska, Kimberly Sabom, Michael
Gamblin, Patrick Phillips, Douglas
George, Caitlin Curley, Danika
Glore, Rachel Wan, Michelle
Gray, Robert Hamm, Michael
Grayson, Annalyse Black, Emily
Griffin, Courtney Sherrill, Reginald
Gruta, Christian Foster, Scott
Hammond, Stephen Kaplan, Alan
Harney, Morgann Vishal, Bhalani
Hong, Lisa Gold, John
Jenks, Natalie Lynde, Grant
Johnson, Justin Wu, Changchun
Jones, Kristen Stephenson, John
Kammer, Morgan Smith, Gregory
Kaszak, Melissa Roddy, Stephanie
Kim, Hye Knos, Gundy
Koslowski, Shelby Birenberg, Brad
Lamb, Julia Tolentino, Anita
Lester, Candace Rader, Melissa
Lyles, Matthew Gold, John
Maddox, Elizabeth Birenburg, Brad
Maldonado, Sylvia Jetton, Chuck
Miller, Julie Deavens, Todd
Miller, Kacey Sullivan, Michael
Mulder, Rachel Jackson, Jermaine
Nairn, Emily Kaplan, Alan
Nguyen, Hong Ngoc James, Tiencia
Orefice, Alyssa Jetton, Chuck
Parks, Morgan Stromberg, Richard
Pence, Taylor Handa, Ajay
Perrin, Jonae Romero, Nora
Perry, Stacey Nussbaum, Julian
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Randall, Mary Subrahmanian, Tarun
Rea, Marissa Lamberson, Melissa
Romanach, Christina Arasi, Robert
Ross, Sarah Taylor, Jr., William
Rowe, Latoya Schindler, Joanna
Sanchez, Matthew Richter, Ellen
Smith, Gabriella Bennett, James
Smith, Karen Chen, Edward
Stokes, Elliot Perry, Ronald
Vu, Dat Rader, Melissa
Walker, Jeffrey Daniel Trent, Richard
White, Blaise Turry, Paul
Winter, Charles Curley, Danika
Workman, Sharyl Coffey, Mark
Approved the following initial applications for licensure without a supervising physician:
PA
Blomenkamp,
Melaina
Bossard, Brandon
DeVaughn, Felicity
Gilley, Pamela
Krohn, Shayna
Maruri, Leslie
Oates-Oyaifo, Cherie
West, Brian
Referred the following application for reinstatement to the Wellness Committee:
D.S.
Approved the following applications for reinstatement:
J.M. – with conditions
Megan Verallas - #2453
Approved the following requests for additional duties:
Christa Rush -
Venograms
Port studies
Thrombolytic indwell/infusion
Swallow studies
Cholangiograms
Lumbar punctures
Arthrograms/ joint injections
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Asept/Pleurex drain placement
Feeding tube exchanges
Troy Hutcheson –
Hip injection
Knee injection
Shoulder injection
Deborah Caughman -
Tube Thoracostomy
Thoracentesis
Kathleen Steffen -
Stress testing
Julie Sears -
Supervise Stress test
Holli Paulk -
Diagnostic and Therapeutic paracentesis
David Johnson -
Insertion and removal of chest tubes
Aubrey Cabe -
Halo placement/ Gardner-Wells tongs for traction
ICP - Intracranial pressure monitor placement
Teresa Herring -
Sclerotherapy
Kybella injection
Megan Fincham -
US guided thoracentesis
US guided paracentesis
Jeremy Amayo –
Arterial line insertion
Central venous catheter insertion
Vas cath insertion
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
16
Heather Reger –
Chest tube
Central lines
Thoracentesis
Intubation
Larissa Tian –
Thoracentesis
Intubation
Chest tubes
Central lines
Kimberly Donahue –
Dermal fillers
Neurotoxins
Kybella
Kathleen Boettcher –
Stress Test
Noel Gusman-Ferrer –
Neurotoxins
Dermal fillers
Kybella
Chemical peels
Natalie McNeel –
Dermal fillers/Injectibles
Botox
Matthew Friedman –
Thoracentesis
Central lines
Intubation
Cara Daniels –
Central lines
Intubation
Pulmonary Artery Catheters
Katherine Siedor –
Botox
Georgia Composite Medical Board
Minutes of the October 6, 2016 Meeting
17
Berkley Curtis –
Intubation
Chest tubes
Thoracentesis
Central lines
Renee Thomas –
Cystoscopy
Kathryn Pellegrino –
Cystoscopy
Erin Hudson –
Bone marrow biopsy
Emily Gilbert –
Central lines
Denied the following requests for additional duties:
Charla Johnson -
Telemedicine – this is not an additional duty
Deborah Caughman -
Flexible Bronchoscopy
Kimberly Donahue –
Sclerotherapy – not adequate number performed under supervision
Chemical peels – not adequate number performed under supervision
Matthew Friedman –
Chest tubes – not adequate number performed under supervision
Thomas Hersch –
Botox and dermal fillers – resubmit request on separate forms
Delaina Hooks –
Chest tubes – resubmit request on appropriate form
Approved the following applications to add or change a supervising physician: