GEORGIA COMPOSITE MEDICAL BOARD 1
MINUTES
September 11-12, 2013
The Georgia Composite Medical Board (GCMB) held its regular meeting on September 11-12,
2013, at 2 Peachtree Street, NW, Atlanta Georgia 30303, to consider Medical Board matters.
Board members in attendance on Thursday September 11, 2013, were:
Richard Weil, MD, Chairperson
David W. Retterbush, MD Vice Chairperson
John S. Antalis, MD
Gilbert Chandler, III, MD
Daniel Deloach, MD
Alexander S. Gross, MD
Alice A. House, MD
Kathy Kemle, PA, Ex-Officio Board Member
Kathy Kinlaw, Consumer Member
Cami McGarity, Consumer Member
Krishna B. Mohan, MD
Trey Powell, MD
William S. Sightler, DO
Charles White, DO
Board members absent on Thursday September 11, 2013, were:
William Butler, MD
Wendy Troyer, MD
Representatives from the Attorney General’s Office:
Janet Wray, Senior Assistant Attorney General
Amelia Baker, Senior Assistant Attorney General
Reagan Dean, Senior Assistant Attorney General
Graham Barron, Assistant Attorney General
Scarlett Shell, Assistant Attorney General
Stephanie Mason, Assistant Attorney General
Dr. Weil called the meeting to order at 8:00 a.m.
AGENDA
Dr. Retterbush made a motion, seconded by Dr. White, to approve the agenda of the, September
11-12, 2013 meeting. The motion carried unanimously.
MINUTES
Dr. Retterbush made a motion, seconded by Dr. Chandler to approve the August 8-9, 2013
minutes.
The Board extends their congratulations to Harold Oglesby on being named St.
Josephs’s/Candler’s, 21th James R. Lientz Humanitarian.
GEORGIA COMPOSITE MEDICAL BOARD 2
MINUTES
September 11-12, 2013
Phyllis White gave an update on the Pain Clinic applications.
Board reviewed calendar for 2014 and approved the following tentative dates for the board
meetings subject to modifications.
January 9-10 July 10
February 6 August 7-8
March 6-7 September 11
April 3-4 - Savannah October 9-10
May 1-2 November 6-7
June 5-6 December 4-5
EXECUTIVE DIRECTOR’S REPORT
LaSharn Hughes, Executive Director, presented the following information for the Board’s review:
Dr. White motioned to go into Closed Session. Dr. Antalis seconded the motion and it carried
unanimously.
1. Letter from Representative B.J. Pak regarding the process for complaints. Dr. Retterbush
agreed to meet with Representative Pak to discuss the issues.
2. Yolanda McGee sent an email regarding pain management rules. Board referred Ms.
McGee to the Laws and Rules.
3. Dr. Nash sent an email regarding no physicians in the Emergency Room only physician
extenders without direct supervision. Board to refer Hospital Facility.
4. Report from a physician that his identity has been stolen. Board reported to the Secretary
of State and Georgia Drugs and Narcotics Administration.
5. Dr. Hood sent a letter regarding electronic medical records and questions relating to HER.
Referred to Board’s website to review the Board Laws and Rules.
6. Regarding a letter from HHS, FDA concerning Hyperbaric Oxygen Treatment Centers.
Board approved to put in next newsletter and email to the people who have requested to be
on the proposed Rule and Newsletter update email list.
7. Janet Wray gave an update on pending cases and attorney time for the AG’s Office. For
information only.
8. Reviewed a GBI list of ―Deaths Related to Prescription Drug Overdose Increase in 2012.‖
Board requested staff to contact the counties not listed on the list for a count.
9. An Article entitled ―Professional Licensing Report.‖ For information only.
10. An Article ―Why Physicians Should Steer Clear of Treating Family Members.‖ Ask
Author if we can publish in newsletter. For information only.
11. Article entitled ―Thousands of doctors practicing despite Misconduct.‖ For information
only.
12. Jim McNatt, MD emailed with information concerning a rule from Florida defining
surgery. The Board referred to the Rules Committee.
13. Felecia C. Lane, DNP, FNP-C, MS, BSN, RN, emailed concerning whether or not she can
address herself as Dr. Lane, Doctor of Nursing Practice. Tabled for further information.
GEORGIA COMPOSITE MEDICAL BOARD 3
MINUTES
September 11-12, 2013
Dr. White motioned to go into Closed Session to conduct Dr. Retterbush seconded, the motion and
it carried unanimously.
Dr. Weil declared Open Session.
Appearance before the Board
Parvaiz Syed, MD requested an appearance before the board. He was accompanied by his attorney
Fran Cullen. Dr. Syed and Ms. Cullen presented oral arguments. The Board members asked
questions. Dr. Gross motioned to go into closed session. Dr. Deloach seconded the motion and it
carried unanimously.
Dr. Weil declared Open Session.
Dr. Gross motioned to table application for further information. Dr. Sightler seconded the motion
and it carried unanimously.
Dr. White motioned to go into Executive Session to conduct Committee meetings and
Investigative Interviews. Dr. Retterbush seconded, the motion and it carried unanimously. Dr.
Weil then declared the meeting would be open session upon completion of the investigative
interviews and committee meetings.
Board members in attendance on Friday September 13, 2013, were:
Richard Weil, M. D., Chairperson
David W. Retterbush, M.D., Vice Chairperson
John S. Antalis, M.D.
Alice A. House, M.D.
Kathy Kemle, PA, Ex-Officio Board Member
Cami McGarity, Consumer Member
Krishna B. Mohan, M.D.
Trey Powell, M.D.
William S. Sightler, D.O.
Charles White, D.O.
Board members absent on Friday September 13, 2013 were: William Butler, M.D.
Kathy Kinlaw, Consumer Member
Wendy Troyer, M.D
Representatives from the Attorney General’s Office:
Janet Wray, Senior Assistant Attorney General
GEORGIA COMPOSITE MEDICAL BOARD 4
MINUTES
September 11-12, 2013
ADVISORY COMMITTEE REPORTS
PHYSICIAN LICENSING COMMITTEE
Dr. House presented the report of the Physician Licensing Committee as a motion. Dr. Deloach
seconded the Committee’s motion, and it carried unanimously.
The Board took the following actions:
Approved Reinstatement Applications:
66561 Alexander, Monica MD
51221 Fowler, Carol MD
31869 Aponte Jr., Henrik MD
44423 Camarano, Gustavo MD
53490 Baker, Alison MD
15603 Munna, John MD
51365 Nicholson, William MD
14532 Mingea, George MD
50546 Nega, Elizabeth MD
37029 Meyer, George MD
66846 Jacobs, David
27423 Popok, Steven MD
34693 Randleman, Carl MD
57394 Simmons, Chantelle MD
Approved Waiver Request:
1. Ashish Pershad- Approve Petition for Waiver of Rule 360-2-.01 (f) Medical School
Transcript
2. Glen Fleming- Approve Petition for Waiver of Rule 360-2-.02 (5) (7 year USMLE
Requirement)
3. Larisa Gavriolova-Jordan- Approve Petition for Waiver of Rule 360-2-.01 (f) Medical
School Transcript ACGME accredited training program in order to qualify for licensure
4. Hoque, Nurul – Approve Petition for Waiver of Rule 360-2-.05 (5) (7 year & Step 3
Requirements)
Denied Waiver Request:
1. Mazin Al-Salihi – Deny Petition for Waiver of Rule 360-2-.01
Other Business:
1. Okehi, Chukumeka—Clarification of Recommendation: Upon successful CSA, Applicant.
will be subject to previous imposed board order prior to licensure lapsed.
2. Gilliard, Fred – License with Public Non Disciplinary Consent Order.
3. Wochner, Dean – Approved to grant Administrative License.
GEORGIA COMPOSITE MEDICAL BOARD 5
MINUTES
September 11-12, 2013
4. Butler, Edward – Deny attorney request for documentation from applicant file. Advise that
we can only provide minutes from the decision meeting for applicant’s file.
5. Munna, John—Request clarification concerning last date of practice.
6. Beebe, Lucius – Require clinical skills examination.
7. Payne, Samuel—Approved request to Renew License
Applicants to invite for Interview:
1. D.H.
2. S.H.
3. N.H.
4. J.Z.C
Tabled Applications
1. J.M.
2. L.B.
Approved Residency Training Permits:
1. Robert Riley, MD
2. Bhikapurwala Hussein, MD
Approved Applications:
70629 OJELADE, OLUBUNMI ADEBIMPE MD
70630 JAMALDEEN, MOHAMED AZKAR MD
70631 MCCARTER, JOHN CHRISTIAN MD
70632 MAHONEY, KATHLEEN ELIZABETH MD
70633 MACIEL, MAUREEN JORDAN MD
70634 KUNG, DAVID HANS MD
70635 KHAN, AMIR SAIF MD
70636 KOELLER, KELLY KARL MD
70637 JOSEPH, THOMAS NIMMER MD
70638 LUETMER, PATRICK HENRY MD
70639 MCKAY, KRISTOPHER MICHAEL MD
70640 HARRIS, JAMES ALEXANDER DO
70641 MILLER, KARISSA RENEE MD
70642 KNITIG, CHRISTOPHER KEITH DO
70643 LANGEE, HARVEY ROBERT MD
70644 MATTINGLY, JOHN ANTHONY MD
70645 MONDKAR, MILIND MD
70646 LEWIS, WANDA MD
70647 KING, RUDOLPH CARLO MD
70648 MOORE, DWIGHT M MD
70649 KHOURI, ELIE MD
70650 LEI, JUNYI MD
70651 HUYNH, NANCY MD
70652 MANKINEN, RICHARD WILLIAM MD
GEORGIA COMPOSITE MEDICAL BOARD 6
MINUTES
September 11-12, 2013
70653 LEWIS, BRADLEY DOUGLAS MD
70654 LANE, JASON SCOTT MD
70655 LISI, MATTHEW MD
70656 KIM, ELI YONG MD
70657 ISAAC, AMA SERWAH DO
70658 ISSA, ANINDITA NANDA DEVANATH MD
70659 MAXWELL, ROBERT WATSON MD
70660 JIMINEZ, ARNALDO MANUEL MD
70661 MUNGER, IAN CHRISTOPHER DO
70662 LINDELL, EDWARD P MD
70663 KEY, KEMISHA MD
70664 HUSTON, JOHN MD
70665 MEADE, KATHLEEN LEE MD
70666 MCMULLAN, STEPHEN MD
70667 NICHOLS, DOUGLAS MD
70668 HOUGH, DAVID MAITLAND MD
70669 HUDSON, JANICE MARIE MD
70670 LEE, ROBERT ALAN MD
70671 LARAVIA, LEE MD
70672 MABRY-HEIGHT, VICKIE YVONNE MD
70673 MOHSEN, BASHAR MD
70674 MOTT, FRANK EDMUND MD
70675 NAGARAJA, ARCHANA MD
70676 KOUL, ABHINAV MD
70677 JAH, FATIMAH OMAR MD
70678 MARCHAL, MATTHEW WALTER MD
70679 MALLIN, JASON ROGER MD
70680 MMEREOLE, ROBERT UZODIMMA MD
70681 KABRA, ASHISH N MD
70682 KENDIG, ARTHUR CARLSON MD
70683 HOGAN, ELIZABETH MD
70684 MCMENOMY, BRENDAN PATRICK MD
70685 HAM, DAVID MD
70686 LIN, CHRISTINE S MD
70687 LEKAH, ALEXANDER MD
70688 JOHNSON, RICHARD MD
70689 JONES, DAWN JANELLE MD
70690 MORTON, MARILYN JEAN MD
70691 MENACKER, SHERYL JABLON MD
70692 ADESHINA, TAWANDA G MD
70693 AGBULOS, GERARD BIMBO MD
70694 ALLEN, NADINE NICHOLE MD
70695 PARITZ, BRANDON MATTHEW MD
70696 AMIN, SHILPA HARSHAD MD
GEORGIA COMPOSITE MEDICAL BOARD 7
MINUTES
September 11-12, 2013
70697 PARKER, WILLIAM JASON MD
70698 ANDERSON, ANDREW CHRISTOPHER DO
70699 ARMSTEAD, CHLOE DIANE DO
70700 AWONIYI, CALEB AGBOOLA MD
70701 PATEL, ANKUR ARVIND MD
70702 PEAK, EDWIN LOUIS MD
70703 PERSAUD, DAVID ROMESH MD
70704 PEWITT, JULIA ANNETTE DO
70705 PRAKASH, ANAND MD
70706 BAHARI-KASHANI, JESSICA MD
70707 RAHNEMA, MOLOUK MD
70708 BAILEY, DANIEL WAYNE MD
70709 BARAX, CHARLES NATHAN MD
70710 BARRETT, ROBERT SCOTT DO
70711 BAUTISTA, ROGER DO
70712 BEHESHTI SHIRAZI, SEYED ABDOLJAVAD MD
70713 BENNETT-GITTENS, RAQUEL L MD
70714 BHARGAVA, SANDEEP MD
70715 BINKOVITZ, LARRY ALAN MD
70716 BISCUP, ROBERT S DO
70717 BOND, JEFFREY ROBERT MD
70718 BRADLEY, NIKKI MD
70719 BREITKOPF, DANIEL MARC MD
70720 BROWN, DOUGLAS LEDEN MD
70721 CHASEN, NOAH NATHAN MD
70722 CHENG, PETER F MD
70723 CIARDULLI, LOUIS NICHOLAS MD
70724 COLE, IAN OLUREMILEKUN MD
70725 COSTELLO, BRIAN ADDIS MD
70726 CRACE, PHILLIP PARKER MD
70727 DANG, HELEN HUYEN MD
70728 DEBELLA, YALEW TAMIRU MD
70729 DEL PRIORE, GIUSEPPE MD
70730 DEVAULT, KENNETH RAPHAEL MD
70731 DE VERSA, PETER ROGER MD
70732 DIXON, DONALD JAMES MD
70733 DJUKIC, SERGE MD
70734 DORILAS, FANUEL MD
70735 DRAGULJIC, BLAZEN MD
70736 DRAPER, KAREN RENEE MD
70737 DUDIAK, KIKA MARIE MD
70738 DUNCAN, LYN M MD
70739 DUSZAK, RICHARD JR MD
70740 EDWARDS, ROY DEWAYNE DO
70741 FARGO, MATTHEW VERNON MD
GEORGIA COMPOSITE MEDICAL BOARD 8
MINUTES
September 11-12, 2013
70742 FAZZIO, ROBERT TROY MD
70743 FERGUSON-PAUL, KENICE DR MD
70744 FOLEY, THOMAS ANDREW MD
70745 FRAZIER, WILLIAM HENRY MD
70746 FLEMING, GLENN ERIC MD
70747 GAPP, JOSHUA MD
70748 GAVRILOVA-JORDAN, LARISA P MD
70749 GHANY, REYAN AZAD MD
70750 GIBSON, MARIA V MD
70751 GORADIA, AMI DINESH MD
70752 GORDON, GEORGE RICHARD MD
70753 GREGORY, REUEL MORGAN DO
70754 GUERRA, ERIC R MD
70755 DIAMOND, MICHAEL PETER MD
70756 RAJADHYAKSHA, KRISHNA DILIP MD
70757 RICHARDSON, ARLENE MD
70758 RAO, RAJA VEERAMACHANENI DR MD
70759 RAWNER, LEON MD
70760 ROCHE, FRANCOIS RONY MD
70761 RODDY, STEPHANIE MD
70762 ROSMAN, PAUL MARTIN DO
70763 ROSS, GLEN MD
70764 ROUGEOU, GLENDON PAUL MD
70765 RICHMAN, DANIEL MD
70766 RUBINOWICZ, BRUCE STUART DO
70767 ROBERTS, ALEXANDER GREGORY MD
70768 SACONN, PAUL ANTHONY MD
70769 SAENZ, REBECCA L MD
70770 SANDOVAL, JOHN ALEXANDER MD
70771 SANIK, EUGENE DO
70772 SATUR, NANCY MARLENE MD
70773 SCHWARTZ, KARA MICHELLE MD
70774 SEITZ, MAUREEN FRANCES MD
70775 SHANK, JONATHAN MICHAEL DO
70776 SKINNER, JOHN ANDREW MD
70777 SILEN, MARK MD
70778 STACKHOUSE, JAMES RUSSELL MD
70779 TANG, SHOU-CHING MD
70780 THOMAS, PATRICK GORDON MD
70781 THOMPSON, AMELIA MD
70782 THOMPSON, NADINE MD
70783 THIELEN, KENT RONALD MD
70784 TONDA, LAURA CLAUDIA MD
70785 TOUCHTON, JASON MD
70786 VARKEY, SHOBA C MD
GEORGIA COMPOSITE MEDICAL BOARD 9
MINUTES
September 11-12, 2013
70787 VARONA, CHRISTOPHER MICHAEL DO
70788 WALD, JOHN THOMAS MD
70789 WALKER, THOMAS MD
70790 WALL, DARCI JOY MD
70791 WATSON, ROBERT ELLINGER JR MD
70792 WEERASURIYA, DILANI MD
70793 WILLIAMS, SHAMITA MORGAN MD
70794 WITTE, ROBERT JAMES MD
70795 YAMAMOTO, KYLE TAKESHI MD
70796 YAM, JENNIFER SEE-WAH MD
70797 YAFFEE, ANNA QUAY MD
70798 YOO, MYUNG JAE MD
70799 YOUNG, PHILLIP MATTHEW MD
70800 YOUSSEF, NAGY ADEL MD
70801 ZAKHARIA, YOUSEF MD
70802 ZIMMERMAN, JOHN MARK MD
70803 DANG, BAO LAM MD
70804 EDELMAN, SAMUEL BRUCE DO
70805 KUMAR, PARDEEP MD
70806 ABELL, BECKY ANNE MD
70807 TRUONG, HAM MD
ADVANCED PRACTICE NURSE ADVISORY COMMITTEE
Dr. Gross presented the report of the amended APRN Advisory Committee as a motion. Dr. White
seconded the motion and it carried unanimously.
The Board took the following actions:
The Board determined that the following protocol agreements meet the provisions of OCGA 43-
34-25:
APRN DELEGATING PHYSICIAN
Monica Aerstin Hassan Sayegh, MD
Danielle Allman Deborah Griffith, MD
Sherry Anderson David Celestial, DO
Susan Askew William Swofford, MD
Carrie Beaird Lawrence Berman, MD
Melissa Bell Kevin Lokkesmoe, MD
Sally Bell Anupama Ravikanth, MD
Shawna Berg Thomas Comstock, MD
Mayuri Bhakta John Reed, MD
Jose Biron Aashish Patel, MD
Carmen Booth Wanda Gobin, DO
GEORGIA COMPOSITE MEDICAL BOARD 10
MINUTES
September 11-12, 2013
Ophelia Botah-Oduro Gregory Zakers, MD
Chundra Brown Srinivasa Ayinala, MD
Timothy Carrega Candice Wallace, MD
Karen Castle William Griffith, MD
Amy Cobb Clifford Tumambing, MD
Mary Katherine Collins Antonio Moran, Jr. MD
Erin Cooper Faiz Rehman, MD
Angela Cozart Pravinchandra Patel, MD
R. Tim Davis Sunil John, MD
Lauren Demorest Linda Moore, MD
Mary Ellen Dooley Michelle Schofield, MD
Mary Draucek Meena Shah, MD
Cynthia Eckert Lloyd Rimer, MD
Susan Figueroa Thomas Ho, MD
Stephanie Finn Mark Coker, MD
Regina Foote Candice Wallace, MD
Carlie Frederick Michael Ellis, DO
Lisa Futrell Rembert Williams, MD
Rachel Garland Eden English, MD
Jacqueline Geeter Tamara New, MD
Chandra Godfrey Frederick Roberts, MD
Catherine Gordon Thomas Gary, MD
Amanda Greene Robert Del Pozo, MD
Brenda Hamilton-Anderson Steven Rigdon, MD
Kristi Hand Noel Battle, MD
Christina Harrelson Eric Goldklang, MD
Jessica Harris Mac Brown, MD
Jessica Harrison Gary Solt, MD
Kimberly Hatcher Raizad Shroff, MD
Brenda Hayek Ifeoula Eke, MD
Sara Helton Eric Powell, MD
Rachel Henderson Gregory Patterson, MD
Wykeisha Highsmith Kenneth Goolsby, MD
Crichton Hollingsworth Norvin Ona, DO
Christie Howard Idopise Umana, MD
Joy Jackson Lisa Miller, MD
Denise Johnson Lawrence Berman, MD
Laurie Johnson Peter Holliday, III, MD
Ann Knight Stephanie Eaton, MD
Bobby Landrum John Corbin, MD
Anna Ledford Barbara Camp, MD
Karen Lewis Parviz Braham, MD
George Mackel Dennis Spencer, DO
Sara Mathis Scott McKee, MD
Natalie McCall-Gaston Bruce Wood, DO
GEORGIA COMPOSITE MEDICAL BOARD 11
MINUTES
September 11-12, 2013
Marie McIntosh Monica Hoffmeister-Becerra, MD
Laura McLaurin Jack Ross, MD
Kenyatta Merriweather Russell Brown, MD
Tonya Miller Martha Millan-Sanchez, MD
Venus Millington-Upshaw Shawn Allen, MD
Shirley Mohren-Graves Jayashree John, MD
Megan Moore David Carlton, MD
Andrea Nowlin Tamara New, MD
Christine O’Rourke David Propp, MD
David Patrick Kenneth Taylor, MD
Daphne Patterson Raymond Easley, DO
Richard Peckham Muhammad Alam, MD
Shanon Phillips Lisa Miller, MD
Robin Pitts Robert Brown, MD
Laura Prado Regis Haid, MD
Rebecca Radke Kenneth Taylor, MD
Rhonda Randall Murtaza Cassoobhoy, MD
Bridget Randolph Eva Beaulieu, MD
Melissa Reed Syed Rizvi, MD
Edecia Richards Consuelo Fernandez, MD
Edecia Richards Harmon Smith, MD
Jose Rivera Jack Ross, MD
Shirlene Royal Marshall Tanner, MD
Kathy Schneider Etienne Rodriguez, MD
Kay Schwerin Michael Pinell, MD
Kimberly Sells John Reed, MD
Xanthia Settle Bruce Ribner, MD
Jennifer Sheldon Alan Justice, MD
Jennifer Siddle Philip Henderson, MD
Amanda Small Kim Jelks, MD
Daniel Smith Eddie Richardson, MD
Amanda Sprout Rembert Williams, MD
Kelly Staines Phillip Nowlin, MD
Jami Steinmetz William Mahle, MD
Elizabeth Stillman Jeff Reinhardt, MD
Megan Stuckey Daryl Wiley, MD
Brandi Swatts John Jenkins, MD
David Theobald Curtis Clark, DO
Tran Trivedi Anupama Ravikanth, MD
Madeline Usher Wanda Gobin, DO
Donna Wall Kathleen Long, MD
Tonita Washington Chandra Armstrong, MD
Dorraine Webb Muhammad Alam, MD
Julie Webster Hassan Sayegh, MD
Angela Wells Don Heacock, MD
GEORGIA COMPOSITE MEDICAL BOARD 12
MINUTES
September 11-12, 2013
Stacie Wesley Maghma khan, MD
Janet Whaley James Smith, MD
Wallette Widener Joel Greenberg, MD
Joy Wilson Michael Austin, MD
Lavona Wilson Millard Collier, Jr., MD
Charlotte Woessner Afroz Rahman, MD
Bradley Young Charles Catron, MD
Leigh Youngblood Curtis Clark, DO
Sandra Zavala Collyn Steele, MD
The Board determined that the following protocol agreements meet the provisions of OCGA 43-
34-25 with additions or changes:
1. Christina Crane with Alan Moy, DO – Submit Form A or remove undocumented
designated physicians.
2. Xanthia Settle with Charis Trench-Simmons, MD – Submit training documentation for
Implanon insertion or remove Implanon from medication listing.
Protocol Agreements Tabled:
1. Heather Melvin with Joseph Slappey, MD
2. Betty Riner with Nicholas Costrini, MD
Other Business:
1. Linda Scott, APRN – Approved Committee recommendation to offer her a position on the
committee.
2. Approved changing the instructions for Form C to include the delegating physician must
supervise the APRN performing a medical procedure a minimum of 10 times as part of the
training documentation.
3. Tabled request for the additional procedures – joint aspiration and joint injection – to be
added to agreement between Torrence Drakeford, APRN and Steven Niergarth, DO and
request that documentation regarding the specific joint(s) be submitted.
4. Recommends the additional procedures – central venous lines (with/without ultrasound),
arterial lines (with/without ultrasound), and Vascath (with ultrasound) – be added to the
agreement between Carole Lovering, APRN and Ryan Carrick, MD.
5. Approved the Committee recommendation that delegating physicians who submit
incomplete NP registration packets be notified that they are allowed a 30-day period to
complete the submission of all documentation. If the items are not submitted within the 30
days, the protocol agreement will be null and void and a new registration packet with all
items including a new fee must be submitted.
ORTHOTICS AND PROSTHETICS ADVISORY COMMITTEE
Dr. Weil presented the report of the Orthotics and Prosthetics Advisory Committee as a motion.
Dr. Antalis seconded the motion and it carried unanimously.
The Board took the following actions:
GEORGIA COMPOSITE MEDICAL BOARD 13
MINUTES
September 11-12, 2013
Other Business:
1. Kinsey, Christopher -Deny waiver; requesting course in physics then
send approval to ABC to allow Mr. Kinsey to take examination for licensure.
2. The Board discussed Attorney General’s advice on whether a person that fits
custom spinal Orthotics be licensed and concluded that this practice does not
require licensure.
3. Andrea Clair, Fraud Analyst, with National Supplier Clearinghouse, inquired on whether
supplier who only provides custom fabricated diabetic footwear to patients are required to
have Orthotic licensure and concluded this practice does not require licensure.
PAIN CLINIC ADVISORY COMMITTEE
Dr. Chandler presented the report of the Pain Clinic Advisory Committee as a motion. Dr. Gross
seconded the motion and it carried unanimously.
The Board took the following actions:
Approved the following Applicants for Pain Clinic Licensure:
1. Advanced Pain Management
2. Care Medical Center
3. Comprehensive Pain Management
4. Consultants in Pain
5. Georgia Pain Physicians
6. Key Pain Center
7. MD Pain Care
8. National Centers for Pain Mgmt. & Research
9. Non-Surgical Orthopaedics
10. Southeast Spine & Rehab
11 The Pain Management Office at Memorial Health University Medical Center
12. Woodstock Pain Solutions
Pain Clinic Applications Tabled:
1. 20131211 and 20131214
Pain Clinic Application Denied:
1. PW
Other Business:
1. The Committee clarified the process for the change of location for pain clinics.
2. Approved the Committee recommends to place the denial information for pain
clinics on the website.
GEORGIA COMPOSITE MEDICAL BOARD 14
MINUTES
September 11-12, 2013
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
Dr. Retterbush presented the report of the PA Advisory Committee with amendments as a motion.
Dr. Powell seconded the motion, and it carried unanimously.
The Board took the following actions:
Approved the following additional duties requests:
Physician Assistant Additional Duties Requested
1. Robert Feldman 1. Chest Tube Insertion
2. Megan Hackney 1. Arothrocentesis
2. Intra Articular Injections
3. Surgical Site Marking
3. Jeri Humphries 1. Arterial Line Placement
2. Ultrasound guided Central Line Placement
4. Charles Kock 1. Central Line Placement
5. Casey Maidon 1. Arterial Line Placement
2. Central Venous Line
3. Pulmonary Artery Catheter
6. Jennifer Martin 1. Site Marking
7. Lindsey Moore 1. Peripheral Nerve Blocks
8. Gabriel Najarro 1. Arterial Line
2. Central Venous Access
3. Pulmonary Artery Catheter
4. Intubation
9. Megan Osborne 1. Bone Marrow Biopsy
10. Gwenette Rayford 1. Arterial Line Insertion
2. Central Line Placement
3. Vascath Insertion
11. Christine Tank 1. Endoscopic Vein Havesting and Chest Closure
Tabled the following additional duties requests:
1. Connie Boatman 1. Endotracheal Intubation
2. Arterial Line Placement
3. Central Line Placement
GEORGIA COMPOSITE MEDICAL BOARD 15
MINUTES
September 11-12, 2013
Approved Reinstatement Request:
1. Nancy Bailey
2. Shawn Brunelle
3. Angela Watkins
Approved Applicants for a Physician Assistant license:
Physician Assistant Supervising Physician
Rasaki Adebisi Gwendolyn Zember, MD
Victorial Arnada Grant Doornbos, MD
Anna Bradley J. Emery Swenson, MD
Allen Byrne Jack Sherrer, MD
Shawn Childress Maurice Gilbert, MD
Robert Coste J. Emery Swenson, MD
Sarah Fisher Simon Lee, MD
Anna Flectcher Christopher Ketchey, MD
David Gill Thomas Campen, MD
John Graeber Nathan Baldwin, MD
Micheal Guerzon Keith Craig, MD
Sasikanth Duggirala Steve Pierre, MD
Nathaniel Fuller Nicholas Martyak, MD
Thomas Fuller Charels De Jarnette, MD
Megan Hackeny Lawrenceville Webb, MD
Paul Hagood Kesha Allen, MD
Christy Harry Gwendolyn Zember, MD
Sandra Hrdlicka John Blair, MD
Rong Huang Simon Lee, MD
Russell James Saeid Khansarinia, MD
Marshall Johnson Joseph Brown. III, MD
Kathryn Kenline Joseph Ricotta, MD
Charles Kock Kerry Lynn Paape, MD
Andrew Loftin Charles Teague, MD
Patricia Lowe Ellen Shaver, MD
Katrina Lynch Richard James, MD
Lisa Manuzak Ghaleb Ghani, MD
Angela Marquis Zachery Lazarus, MD
Nadia Meah Joel Bress, MD
Michael Mohr Nathan Baldwin, MD
Robin Moore Francis Wolf, MD
Heather Morgan David Bailey, MD
Grant Mury James Dolak, MD
Deidra Munsanto Charanjit Shirh, MD
Antron Palmer Kenneth Mimms, MD
Alison Pardue Grant Doornbos, MD
Priya Patel Windell Davis-Boutee, MD
George Pattam Bernardine M. King, MD
GEORGIA COMPOSITE MEDICAL BOARD 16
MINUTES
September 11-12, 2013
Denis Pendrick Jonathan Wurl, MD
Matthew Pinto Eduard Docu, MD
Jamie Rath Jerry Williams. MD
Heather Repp Nathan Baldwin, MD
Keith Resetar Nathan Baldwin, MD
Marc Ranfone Jason Lemons, MD
Tor Robinson Ali Mortazavi,MD
Purvesh Ronvelwala Wayne Hutchens, MD
Jonathan Samaha Nicholas Martyak, MD
Sean Schafer Brian Thomas, MD
Bernard Scherer Terry Arrington, MD
Sara Shakil Erin Rosenberg, MD
William Summerford Donnie McMickle, MD
Shelley Staton Gwendolyn Zember, MD
April Still Dailey Bailey, MD
Jennifer Sweigart Ronald Fisher, MD
Mark Thiel William Dozier, MD
Timber Wages Synthia Murray, MD
Hannah Westmoreland Zachery D. Lazarus, MD
Vanessa Wood Kevin Norris, MD
Katherine Zimmerman Jason York, MD
5. Approve the following applications to add or change supervising physicians
PA's Name Previous Physician Physician's Name
Stifanos Almedom James Eckman, MD Morgan McLemore, MD
Christine Anderson Jonathan Woody, MD John Vachtesvanos, MD
Nancy Anderson Gary Ludi, MD Joseph Ricotta, MD
Annie Andrews-Bodi Cherilyn Zellner, MD Caleb Ajibade, MD
Yana Bababekova Chiquita Fye, MD Herman Dodani, MD
Yana Bababekova Chiquita Fye, MD William McGarity Jr., MD
Erin Baker Stephanie Stevenson, MD Mark Rheaume, MD
Paul Beck Satish Poddar, MD George Rafeddie, MD
Rebecca Bell Kenneth Goolsby, MD Tammy Morgan, MD
Verdale Benson Norberto Fas, MD Oguchi Nwosu, MD
Elizabeth Bleakley Norberto Fas, MD Laura Gonzalez, MD
Willie Booker Amanda Sumner, MD M. Allen Lee, MD
Patricia Brogan Julia Ballard, MD Kevin Cleary, MD
Kimberly Brown-Clark Jacobs Lloydstone, MD Calvin Terrelonge, MD
GEORGIA COMPOSITE MEDICAL BOARD 17
MINUTES
September 11-12, 2013
Larry Canfield Christopher Oldfield, MD Sidney Smith,MD
Justin Clack Carter Co, MD David Murphy, MD
Mary Cooper Zellner Young, MD Mary Alston, MD
Leigh Curtis Rubal Patel, MD John Schilling, MD
Michelle Davis-Watts Abarmard Zafari, MD Timothy Watts, MD
Mandi Del Pozo Hanna Akiki, MD Hwermoenes Pagsisihan,
MD
Jasminder Dev Richard Olson, MD LaShaun Elliott, MD
Sara DiCamillo Sudha Tata, MD Joseph Maliocca, MD
Sara DiCamillo Sudha Tata, MD James Spivey, MD
Sara DiCamillo Sudha Tata, MD Thomas Pearson, MD
Joseph Dicorpo Jean Phillips, MD Daniela Rusu, MD
David Dider David Van, MD Walter T. Smith, MD
Dina Dlugos Yalif Asaf, MD Michael J. Morrison, MD
Maria Earnhart John Meisinger, MD Dawn Wilson, MD
Anahid Ebrahimi Michael Flood, MD Riaz Gill, MD
Anahid Ebrahimi Riaz Gill, MD Bonnie Boles, MD
Tora Elder Eric Verg, MD Kimberly Singh, MD
Mireille Ellis Ann White, MD Marc Karlin, MD
Adrienne Elstad Timothy Micek, MD David Covell, MD
Mazen Fakhouri William Rosenblum, MD Robert Campbell, MD
Quentin Farmer Nick Vlachos, MD James Cruse, MD
Jonie Fawley Kimford Meador, MD Edward Faught, MD
Robert Feldman Joseph Miller, MD Allan Pickens, MD
Jacqueline Finke Kevin Lokkesmoe, MD Henry Siegelson, MD
Melvin Gaston Charles Wingo, MD Timothy Ward, MD
Rachel Ghiorso Jerry Williams, MD Eric Hall, MD
Scott Gilpatrick Rembert Williams, MD William Cross, MD
Amy Hatfield Nicolas Beaulieu, MD Carol Klingerberg,MD
Donna Hendley Faud Fakhreddine , MD Shyman Khanwani, MD
Amber Herring Jennifer Wares, MD Patrick Eagleson, MD
Julie Hopper Christopher Ratchford, MD David Smith, MD
GEORGIA COMPOSITE MEDICAL BOARD 18
MINUTES
September 11-12, 2013
Emmanuel Jean-Jacques Winsome Whittaker, MD Ishtiag Khan, MD
John Jenkins James Thomas, MD Andrew Waldman, MD
Kristen Jensen Alexander Justicz, MD Kerry Paape, MD
Christina Johnson James Portzer, MD Reginald Davis, MD
Aliza Krug Jack Powell, MD Binu George, MD
Sara Liebel John Rissing, MD Larry Mellick, MD
Mary Long Steven Eisenburg, MD Andrew Kobylivker, MD
Jeffrey Lynch David Pierce, MD Richard Rickman, MD
Dorethea Mackey Jason Arnold, MD Gururaj Nayak, MD
Donald Maner Timothy Young, MD Chad Asplund,MD
Jennifer Miller Linda Willoughby, MD Tonya Jones, MD
Jennifer Miller Linda Willoughby, MD David Russell, MD
Jannet Morais James Eckman, MD Morgan McLemore, MD
Lilly Moss Daniel Danyo, MD William Watkins, MD
Jayne O’Gorman Chima Onwokema, MD Ross Moorman, MD
Paul Oenick Richard Spurlock, MD Paula Braitwaite, MD
Joshua Pacut Myra Pope, MD Loy Cowart, MD
Loretta Parham Fernando Perez, MD David Russell, MD
Beth Pannell Earl Snyder, MD Michael Moody, MD
David Peck Todd Zeigler, MD Bruce Ziran, MD
John Pham Clifford Settle, MD William Blinoce, MD
Michael Pointer Frank Saucier, MD Kennon Mclendon, MD
Kimberly Powell Glen Beasley, MD Kevin Brown, MD
Kimberly Powell Kevin Brown, MD James Black, MD
Gwenette Rayford Randolph Taylor, MD Stephanie Eaton, MD
Ryan Risely David Parks, MD Adam Beechman, MD
Christa Rush Gary Slegel, MD Holly Berndt, MD
Amanda Sanders Wesley Wilborn, MD Avanta Collier, MD
Amanda Sanders Wesley Wilborn, MD Florence Humphrey, MD
Carol Shellabarger John Reed, MD David Markham, MD
Dennis Short Barbara Walker, MD Thomas Demaro, MD
GEORGIA COMPOSITE MEDICAL BOARD 19
MINUTES
September 11-12, 2013
John Sieber Pravin Jain, MD Michael Erwin, MD
John Simms David Stone, MD David M. Harris, MD
Dana Simpson Elizabeth Wiskind, MD Margarett Ellison, MD
David Slotin Geoffrey Williams, MD Ilya Wolfson, MD
Jason Spencer Mary Carter, MD Kalpana Nayak, MD
Roberto Springer Joel Johnson, MD Dennis Spencer, MD
Cory Stanley Patrick McMahon, MD Boris Shklar, MD
John Sweklo Alan Stout, MD Jonathon Allen, MD
Stephanie Tiv Abraham Benjamin, MD Patricia Barrington, DO
Karen Tomlinson Harold Skaggs, MD Alison Turk,MD
Karen Traynham Archna Poddar, MD George Rafeedie, MD
Cara Williams Robert Knight, MD Brian Kinder, MD
Amanda Wright James Caswell, MD Michael Erwin, MD
David Wright James Caswell, MD Michael Erwin, MD
Whitney Wright David Sanusi, MD Jeffrey Goldsmith, MD
Other Business:
1. Reviewed the inquiry received regarding the Student Mentoring Project at the Good
Samaritan Clinic of Gwinnett.
2. Reviewed PA Rule 360-5-.05 and will revisit at the October’s meeting.
3. Reviewed letter regarding B.S. approved to verify if PA is currently practicing with a
Supervising Physician; if not further action.
PERFUSION ADVISORY COMMITTEE
Dr. Chandler presented the report of the Perfusion Advisory Committee as a motion. Dr. White
seconded the motion, and it carried unanimously.
The Board took the following actions:
Approve applications for Provisional Licensure:
1. Jessi Griffith
Other Business:
1. Reviewed the proposed changes to the application questionnaire and will revisit.
GEORGIA COMPOSITE MEDICAL BOARD 20
MINUTES
September 11-12, 2013
RULES COMMITTEE
Dr. Weil presented the report of the Rules Committee as a motion. Dr. Gross seconded the
motion, and it carried unanimously.
The Board voted to post the following rules for comments:
Rule Chapter 360-8 Pain Clinics
Rule 360-28-.01 Definitions
Rule 360-28-.04 Optional Information
ACUPUNCTURE ADVISORY COMMITTEE
Dr. Retterbush presented the report of the Acupuncture Advisory Committee as a motion. Dr.
Chandler seconded the motion and it carried unanimously.
The Board took the following actions:
Accepted Quarterly Report:
Eunha Bond
S. Akinyi Osano
Hojun Park
Approved Applications for Full Licensure:
Maria Delangre
Kevin Lee
Sarah Welch
Physician Granted Acupuncture Privileges:
Jeffery Eliason, MD
Other Business:
1. S. Akinyi Osano – Deny request for change in supervisor.
2. Approved Committee recommendation: Carolos Parrado, MD has been approved as a
member of the Acupuncture Advisory Committee. Pending additional information.
3. Reviewed information concerning web information posted by Yu Kang., L.Ac.
4. The Committee reviewed the list of limited licensees and supervisors.
RESPIRATORY CARE ADVISORY COMMITTEE
Dr. Sightler presented the report of the Respiratory are Advisory Committee as a motion. Dr.
Retterbush seconded the motion, and it carried unanimously.
GEORGIA COMPOSITE MEDICAL BOARD 21
MINUTES
September 11-12, 2013
The Board took the following actions:
Approved the following applicants requesting 12-month permits:
Chattanooga State Community College
1. Bramlett, Stephanie - pending additional information.
Georgia Regents University
1. Bodalosky, Mallory
2. Coates, Gregory
3. Wagner, Lindsay
Kaplan Career Institute
1. Lalanne, Phara - pending additional information
Louisiana Technical College
1. Taylor, Courtney
Mohawk Valley Community College
1. Lonsway, Benjamin
Approved Applicants requesting Licensure by Reciprocity:
1. Ault, Christine - pending additional information.
2. Case, Mariah
3. Gay, Keri
4. Giles, Shauna - pending additional information
5. Jauregui, Elizabeth
6. Lieck, James
7. Magee, Patrick
8. Martino, Kelly
9. Palmer, Sandrena - pending additional information
10. Rodgers, Venita
11. Spicer, Jack - pending additional information
12. Thomas, Leneer
13. Williams, Quaneshia
Approved Applicants for Licensure by Reinstatement:
1. Butler, Karen - pending additional information
2. Pittman, Wendy
Approved Applicants for Licensure:
1. Ahmed, Mutiatu - pending additional information
2. Tomy, Liby - pending additional information
3. Byrd, Amanda
4. Byrd, Jacob
GEORGIA COMPOSITE MEDICAL BOARD 22
MINUTES
September 11-12, 2013
5. Forsac, Lovette
6. Glidewell, Bethany - pending additional information
7. Henderson, Kevin
8. Jaquish, Jacqueline
9. Kleinsteuber, John
10. Ling-Duan, Jasmine
11. Thompson, Tamesha
12. Krupp, Cathy – pending additional information
Other Business:
1. Stewart, DuRee - Approved 12 month permit
2. 20140092 – Refer back to the Wellness Committee.
3. Tabled discussion adding course - free trauma symposium as a CEU credit for
Respiratory care professionals.
4. Discussed NBRC changes to the Credentialing system. For information only
CLOSED MEETING
Dr. Retterbush made a motion, seconded by Dr. Gross, to go into Closed Session to discuss
pending Investigative matters. The motion carried unanimously.
Dr. Weil declared the meeting in Open Session.
LAW ENFORCEMENT ACTION REPORT
Tony Winborn, Director of Investigations, presented the Law Enforcement Report for the Boards
review.
Dr.Retterbush made a motion. Dr. Deloach seconded the motion to accept the following report as
amended. The motion carried. The Board took the following actions:
1. Dennis S. Momah, M.D. – Accepted Voluntary Surrender.
2. Randal D. Morgan, M.D. – Summary Suspension.
3. Lilburn Police Department is requested information from investigative files 20130864 &
20050645. Board approved to share investigative information with Lilburn Police
Department.
4. The Office of the Inspector General of the U.S. Department of Health and Humans
Services (HHS/OIG) requested information in investigative file 20131573. Board approved
request to share information.
GEORGIA COMPOSITE MEDICAL BOARD 23
MINUTES
September 11-12, 2013
5. Respondent has requested the Board share information in investigative cases 20030824,
041936, & 071394 with the Texas Medical Board. . Board approved to share information
with Texas Medical Board & provide closure letters to Respondent.
6. The California Medical Board is requesting licensing/credentialing in investigative
information concerning the Georgia Board’s decision to allow TDN to withdraw licensing
application in lieu of being denied a medical license by the Georgia Board. Board denied
request.
7. 1500023143 - Respondent has written the Board Staff requesting that a public note be
placed on his profile indicating that the past Board Order against him is no longer in effect.
Approved to issue and docket a Terminating Consent Order.
8. Abiola Ojewole, M.D. – Approved to Issue and Docket a Terminating Board Order.
9. Kevin Marler, M.D. - Approved to Issue and Docket a Terminating Board Order.
10. Julian B. Gordon, M.D. – Approved request to Amended Consent Order.
11. William Jeffrey Horton, RCP – Approved request to amend Public Consent Order.
12. 20140430 – Approved Private Consent Order
13. 20110879 - Deny Proposed to Consent Order. Propose New Consent Order and Docket
upon receipt.
14. David Walker, M.D. - Approved Public Consent Order for Suspension.
15. 2012135 – Close
16. George C. Johnson, M.D. - On September 4, 2013 the Fulton County Superior Court issued
a Final Order affirming the Board’s Revocation of Johnson’s Medical License. For
information only.
WELLNESS COMMITTEE
Dr. Earley and Robin McCown –Gave Physician Health Program report.
1. 20130847 – Issue a Private Consent Order
2. 20131126 – Issue a Public consent Order
3. 20080637 - Terminate Private Consent Order.
4. 20121646. Terminate Private Consent Order.
5. 20111814 –Approved letter terminating Agreement Not to Practice.
GEORGIA COMPOSITE MEDICAL BOARD 24
MINUTES
September 11-12, 2013
6. 20081061 - Terminate private consent order.
7. 20120146 - Order with terms and conditions.
8. 20121646 - Amend mend private consent order.
9. 20111997 – Close
10. 20130099 - Close
11. 20121256 - Close
12. 20140111 - Close
13. James Kelly, MD - Terminate consent order with additional information.
14. 20140334. Close.
15. 20120776 and 20121866. – Issue Order for renewal.
INVESTIGATIVE COMMITTEE
Dr. Antalis presented the report of the Investigative Committee as a motion. Dr. Retterbush
seconded the Committee’s motion, and it carried unanimously.
The Board took the following actions:
INVESTIGATIVE COMMITTEE
Investigative Committee
Recusals: Chandler (20111483) Gross (20131486, 20131553) McGarity (20131556) Powell
(20111483)
Retterbush (20111483, 20131460)
Close the following cases:
20100336 20100603 20100710 20100973 20101881 20102054
20110007 20110512 20110513 20110927 20110934 20111098
20111238 20111239 20111306 20111483 20111512 20111596
20111863 20111925 20112085 20112090 20112091 20112173
20120014 20120419 20120612 20120759 20120841 20121012
20121037 20121059 20121074 20121076 20121310 20121760
20121761 20121841 20121883 20122041 20130180 20130376
20130549 20130728 20130832 20130860 20131017 20131398
20131399 20131400 20131688 20140178 20140196
Close the following cases with letter of concern:
20081056 20111784 20120888 20121011 20121068 20121069
20121147 20121149 20130157 20130609 20131305 20131397
20131416 20131426 20131503 20131522 20131549 20140136
Invite for Investigative Interview the following cases:
20130648 20130722 20130733 20130882 20131095 20131666
Refer to Peer Review the following cases:
20101335 20121363 20131015 20131605
GEORGIA COMPOSITE MEDICAL BOARD 25
MINUTES
September 11-12, 2013
Table the following cases:
20130022 20130429 20131432 20140235
Initial Complaint Evaluations:
Close the following cases:
20120681 20121304 20121374 20121884 20121912 20130423
20130507 20130676 20130719 20130913 20131005 20131014
20131093 20131106 20131107 20131140 20131185 20131277
20131319 20131347 20131348 20131371 20131382 20131386
20131389 20131393 20131396 20131401 20131402 20131403
20131405 20131407 20131408 20131409 20131420 20131421
20131422 20131425 20131427 20131428 20131441 20131459
20131460 20131461 20131470 20131479 20131480 20131485
20131486 20131491 20131494 20131504 20131511 20131514
20131515 20131516 20131518 20131524 20131536 20131537
20131540 20131541 20131544 20131545 20131553 20131555
20131556 20131559 20131564 20131565 20131569 20131570
20131576 20131578 20131582 20131590 20131591 20131594
20131598 20131603 20131606 20131622 20131641 20131645
20131647 20131660 20131679 20131687 20131697 20131710
20131712 20131713 20131714 20131744 20140059 20140072
20140077 20140088 20140164 20140175 20140176 20140194
20140198 20140217 20140218 20140297
Initial Malpractice Evaluation
201410340
With no further business meeting was adjourned.
Investigative Interview Report
1. 20131581- TABLE
2. 20130234-CLOSE
3. 20140234- TABLE
4. 20120974- CLOSE
5. 20121958- CLOSE
6. 20121129 -CLOSE
7. 20130758-CLOSE
8. 20130936-TABLE
9. 20130529&20131224-CLOSE
GEORGIA COMPOSITE MEDICAL BOARD 26
MINUTES
September 11-12, 2013
Eddie Cheeks, MD and Dr. Antalis presented for consideration a discussion – International
Medical Schools.
Appearance before the Board
Key Pain requested an appearance before the Board. Their representatives made oral arguments.
The Board asked questions. Dr. Retterbush motioned to go into closed session. Dr. Chandler
seconded the motion and it carried unanimously.
Dr. Weil declared open session.
Dr. White motioned to license Key Pain Clinic. Dr. Powell seconded the motion and it carried
unanimously.
ADJOURNMENT
There being no further business, Dr. Gross made a motion, seconded by Dr. Deloach to adjourn
the September 11-12, 2013 Board meeting.
____________________________ ________________________________
Richard Weil, MD LaSharn Hughes, MBA
Chairperson Executive Director
Recorded Diane Atkinson