Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
1
The Georgia Composite Medical Board (GCMB) held its regular meeting on February 7, 2019 at
2 Peachtree 5th floor, Atlanta, Georgia, 30303 to consider Medical Board matters.
Board members present:
B. K. Mohan, MD, Vice Chair
John S. Antalis, MD
Gretchen Collins, MD
Daniel DeLoach, MD
Charmian Faucher, PA (ex-officio)
Michael Fowler
Alexander S. Gross, MD
Thomas Harbin, MD
Rob Law, CFA
Andrew Reisman, MD
Joe Sam Robinson, MD
Barby Simmons, DO
Board members absent:
J. Jeffrey Marshall, MD, Chair
David Retterbush, MD
Richard Weil, MD
Management and legal staff present:
LaSharn Hughes, MBA, Executive Director
Lisa Norris, MPH, Deputy Executive Director
Phyllis Douglas, JD, Board Attorney
Max Changus, JD, Senior Assistant Attorney General
Karl Reimers, Director of Investigation
Phyllis White, Operations Manager
CALL TO ORDER
Dr. Mohan called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.
AGENDA AND MINUTES
Dr. Robinson submitted a motion, seconded by Dr. Harbin to approve the agenda of the March 7,
2019 meeting. The motion carried unanimously.
Dr. Antalis made a motion to approve the minutes of the February 7, 2019 meeting. Dr. Collins
seconded the motion and it carried unanimously.
OATH OF OFFICE
Dr. Mohan introduced, Andrew Reisman, MD to the Board.
Dr. Mohan swore in Dr. Reisman, and the Board Members welcome him to the Medical Board.
Dr. Reisman gave a brief history of his background and experience.
Recognized Investigator Jonathan McGee for finishing the Instructor Training at the Georgia
Public Safety Training Center.
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Minutes of the February 7, 2019 Meeting
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The Board recognized Dr. Gross for having the won the “Best of The Best Reader Poll” award
again. He has won the award every year since it was started.
AUDIT
Matt Taylor from the Department of Audits gave an overview of the audit process.
LEGISLATION
Dr. DeLoach gave the Board an overview of House Bill 128. Board approved to support the
legislation.
Dr. Gross gave the Board an update on Senate Bill 16. He also updated the Board regarding a
proposed medical spa bill. Dr. Gross advised the Board, the Laser Law needs to be updated to
reflect all lasers for medical treatment.
INTERNATIONAL MEDICAL SCHOOL
Dr. Antalis gave a report for the International School Committee. Issues: Consider a pathway for
Georgia being able to attract well trained quality physicians trained in other countries. Dr. Gross
motioned to refer to Rules Committee. Dr. Robinson seconded the motion and it carried
unanimously.
EXECUTIVE DIRECTOR’S REPORT
Ms. Hughes, Executive Director presented the following report.
Thanked Keri Conley from Georgia Hospital Association for putting Ms. Hughes on their hot
line for legislative updates.
1. Dr. P. Tennent Slack requested approval of a Disclosure Form in line with
Code Section 43-1B-5. Dr. DeLoach motioned to approve request. Dr. Harbin seconded the
motion and it carried unanimously.
2 Dr. Mark Boles, requesting to have public board order from sixteen years ago removed. The
Law requires these orders to remain public.Deloach motioned to deny request to remove the
order. Dr. Harbin seconded the motion and it carried unanimously.
3. The Board submitted a resolution to the Federation of State Medical Boards (FSMB) asking
them to update its Ethics and Quality of Care Policy and
4. “Establishment of Quality Guidelines for Non-ABMS Organizations.” Dr. DeLoach
motioned to support both resolutions and submit them to the FSMB meeting held in
April 2019. Dr. Robinson seconded the motion and it carried unanimously.
5. Federation of State Medical Boards – call for Comment – Draft Report on “Social Media
Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
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and Electronic Communication.” Board assign to staff for review.
6. Article “Which Medical Specialties use telemedicine the most.” For information only.
7. Dr. Risby requested a rule waiver that a supervising physician be allowed to supervise
more than one institutional licensed physician at Central State Hospital. Dr. Gross
motioned to approve the waiver request. Dr. Harbin seconded the motion and it carried
unanimously.
8. Resolution from the Federation of State Medical Boards - Approving patient safety in
medical spa settings. For information only.
Dr. DeLoach motioned to go into closed session. Dr. Harbin seconded the motion and it carried
infamously.
Dr. Mohan declared open session.
ED REPORT CONTINUED
9. Jack B. Levy asked the Board to consider a different type of sanction for the
Prescription Drug Monitoring Program (PDMP) violators. Mr. Changus updated the
Board with different considerations to review. The Board members made comments
regarding different paths to precede with non-compliant physicians. Board replied the
physician can pay and sign the order or request a hearing.
10. Letter from Mary Daniels, Executive Director, American College of Physicians Georgia
Chapter, with comments regarding (PDMP). For information only.
LAW ENFORCEMENT ACTION REPORT Karl Reimers, presented the Law Enforcement Report.
The Board approved the report unanimously.
1. Michael Brady, MD: Approve request
2. William Goodhue, MD: Accept request for Inactive status
3. Kristine Germann, PA: Accept request for Inactive status
4. Xian LI, MD: Accept request for Inactive status
5. Marianne Cooper, PA: Accept request for Inactive status
6. James Radford, MD: Accept request for Inactive status
7. Amanda Williams, RCP: Accept request for Inactive status
Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
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ATTORNEY GENERAL (AG)
Max Changus, Senior Attorney General, presented the Attorney General Status Report,
Dr. Robinson submitted a motion, seconded by Dr. Deloach to accept the report as
information. The motion carried unanimously.
RECESS
Dr. Mohan declared the meeting in recess for the purpose of holding committee meetings
RECONVENE
Dr. Mohan reconvened the meeting at 2:00 p.m.
Dr. Simmons motioned to go into closed session. Dr. Collins seconded the motion and it carried
unanimously.
Dr. Mohan declared open session.
LICENSURE COMMITTEE
Dr. presented the Licensure Committee report as a motion. The Board accepted the report by
unanimous vote.
The Board took the following actions:
Other Business:
1. Petitions to Waive Rules
Saxena, Rokhee – Approved
Akhtar, Aisha – Rule 360-2-.02(5)
SM – Rule 360-2-02(5) – Pending additional information
Questions Request:
1. Approved request for medical school transcript for Dr. Murugavel Muthusamy.
2. Hall, Brent – Is a medical license required to eviscerate a body for pathologic
examination – Board replied yes.
3. YP - Florida Cares evaluation – Board responded complete requirements set forth by
Florida Cares Evaluation.
4. Anderson, Deborah – Inquiring about other options to renew license. Renewal period is
90 days before the license lapses.
Applications Denied:
SD
YU
TS
RW
Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
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BB
DB
Accepted as information only:
1. SB accepted Board’s decision to withdraw application.
2. JB – accepted the Board’s decision to withdraw application.
Applications Approved by Administrative Action;
The Board took the following actions:
License
Number Full Name
Degree
Suffix
82157 Lee, James T MD
82158 Killz, Robert MD
82159 Behling, David P MD
82160 Bleyer, Jamie E MD
82161 Brown, Daniel MD
82162 Davis, Ryan B MD
82163 Dhadwal, Neetu MD
82164 akoegbe, gray MD
82165 Bryan, Cory A MD
82166 Bustamante, Nirma D MD
82167 del Valle, Paul G MD
82168 DiMarco, Michelle A MD
82169 Dowdell-Smith, Cicely P MD
82170 Blackmon, Michael MD
82171 Resnick, Neil J MD
82172 Shah, Siddharth K MD
82173 Sparks, Nicole A MD
82174 Barrett, Amanda C MD
82175 Davis, David W MD
82176 Disla, Yalina MD
82177 Vlasenko, Artyom V MD
82178 Stevens, Jeffrey D MD
82179 Sciarretta, Jason D MD
82180 Rajput, Shilpa MD
82181 Reece, Elizabeth A MD
82182 Shahab, Shubin MD
82183 Rapaka, Babusai B MD
82184 Shulman, Rachel MD
82185 Russo, John P MD
82186 Chhabra, Anil K MD
Georgia Composite Medical Board
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82187 Arora, Taranjit K MD
82188 Maruthur, Mario MD
82189 Helman, Samuel N MD
82190 Manetta, Kiley E DO
82191 Pyles, Tameka J MD
82192 Gerlak, Jason B MD
82193 Manetta, Christopher MD
82194 Patel, Sonal R MD
82195 Ellis, Shemille MD
82196 Le, Michael H MD
82197 Moore, Carolyn B MD
82198 Guerroero, Evan M MD
82199 Gooding, Holly C MD
82200 Ford, Dee W MD
82201 Hayat, Asad A MD
82202 Villacis Nunez, Diana S MD
82203 Shaikh, Qamar U MD
82204 Tuel, Keelan T MD
82205 Harriott, Allison MD
82206 Punjani, Perveen MD
82207 Mian, Sarah M MD
82208 Martinez Morales, Andy J MD
82209 Hupp, Susan MD
82210 Evors, Laura MD
82211 Mucciarone, Xenophon M DO
82212 Parthvi, Rukma MD
82213 Moore, Faith C DO
82214 Lin, Catherine DO
82215 Nobo, Ulises MD
82216 Holmes, Laura E MD
82217 Raguraman, Ramakrishnan MD
82218 Shaikh, Waqas MD
82219 Singh, Gurkeerat MD
82220 Vanderbush, Brock Davidson MD
82221 Vu, Quanghuy Nhat MD
82222 Lefebvre, Thomas Andrew MD
82223 Hawk, Kristina Elizabeth MD
82224 Espino, Erasmo, Jr. MD
82225 Gladd, Jeffrey, E. MD
82226 Fernstrom, Timothy John MD
82227 Major-Nicolas, Maud Odell MD
Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
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82228 Lanka, Hematheja MD
82229 Heart, Rami MD
82230 Navalkele, Digvijaya MD
82231 Neely, Chameron Elizabeth MD
82232 Galanopoulos, Nicholas Sotirios MD
82233 Hartline, Braden Edward MD
82234 Hwang Michael Soownon MD
82235 Geller, Mathew David MD
82236 Palette, Cortney Lynn MD
82237 Lorio Rugama, Mareo Antonio MD
82238 McKinney, Michaele E. MD
82239 Sadikovic, Belma MD
82240 Sajid, Mansoor MD
82241 Ajayi, Oluseun O MD
82242 Zaccari, James A DO
82243 Scott, Lori C MD
82244 Saxena, Rakhee MD
82245 Stentiford, Dylan E MD
82246 Bast, Patricia R DO
82247 Berardi, Laura M MD
82248 Cambron, Kathrn A MD
82249 Desai, Kevan S MD
82250 Casey, Brendan J md
82251 Khan, Saqiba MD
82252 Mathews, Jeselle MD
82253 Hartz, William H MD
82254 Heisser, Randy R MD
82255 Kluwe, Gena K MD
82256 Gooch, John R MD
82257 Kumar, Srikar MD
82258 Kiltz, Robert MD
82259 Jain, Audrey E MD
82260 Nava, Kristen B MD
82261 Kettelhut, Kristen L MD
82262 Goldman, Jamie M MD
82263 Ghoussob -Pigeon, Rola MD
82264 Post, Lauren MD
82265 Hoang, MaryTheresa MD
82266 Mueller, Amanda E MD
82267 Ghavam, Cyrus MD
82268 Parker, Lynndsey MD
Georgia Composite Medical Board
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82269 Proza, Joseph F MD
82270 Muncie, Christopher D MD
Approved the following protocols under the provision of O.C.C.A. 43-34-25.
APRN DELEGATING PHYSICIAN Alexander, Carla David Sauls
Childress-Rodrigues, Robin Jason Berendt
Diaz, Betsy Meredith Koomson
Hill, Heather Daniel Gordon
Joseph, Alphonsa Vincent Naman
Joiner, Kimberly Henry Perez
Cawley, Matthew Jeffrey Lee
Determined the following protocol agreements meet the provisions of O.C.G.A. 43-34-25 with
changes.
APRN DELEGATING PHYSICIAN
Lissade, Marianna Rebecca Redding
Morsby, Nicol Kamal Ummed
Nizan, Michal Richard Goodjoin
Omorogbe, Franklin Delquis Mendoza
Parker, Angela Jonathan Rosenfield
Queen, Amy John Hoyt
Rollins, Amy Van Millin
Tamene, Yonas Golden Barnett III
Determined the following protocol agreements do not meet the provisions of O.C.G.A. 43-34-25.
APRN DELEGATING PHYSICIAN Brown-Davis, Janett James Drury - Additional Documents – Revisit
Lane, Brandi Lawrence Reccoppa
Lott, Jodi Lawrence Reccoppa
McBrayer, Sherri Lawrence Reccoppa
Myers, Chasity Lawrence Reccoppa
Pinero, Shakaola Brian Barczak
Stidham, David Lawrence Recoppa
Weatherspoon, Zakiyyah Lawrence Reccoppa
Williford, Stacey Bin Deann
Wolf, Meredith Laura Guadiana-Sanchez
Wright, Anna Brian Barczak
Protocols Administratively Reviewed:
The following protocol agreements meet the provisions of OCGA 43-34-25:
APRN Last APRN First Middle Supervising Physician Name
Abramson Cara Amelia Zelnak
Georgia Composite Medical Board
Minutes of the February 7, 2019 Meeting
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Adebisi Abiodun Damon Kimes
Adio Evelyn Nain Maria Walker
Alexander Carla Ann David Sauls
Allain Lauren Carol Karen M. Helland
Allen Holly Nicole Fredrick T. Work
Allen Lisa R. Michael Mirzabeigi
Anderson Bethany Jeffrey Davenport
Baker Tracey L. Thomas A. Buice
Barmett Mallory Richard Spurlick Jr.
Barnes Denise Ramona Jehangir T. Pirzada
Bayard Aline Kim Eubanks
Bennett Amanda Jill Overcash,
Berl Lauren Ann Laura Mulloy
Bibisi Lucy Shepherd Jeff Jenkins
Bloomfield Ingrid Lea Hunt Anderson
Bonilla Beverly E Brock Bowman
Bowling Lyndi N Charva P. Poole
Brooks Caroline Ames Maia Walton
Brown Rebecca Angeles Denise Leon Meeks
Bryant Kela Glenn Fussell
Bullard Angela Kennedy Charity Wilson
Calabro-Payne Antonia Lyn Dillon Miller
Canady Krystal James Seward
Carman Catherine M Suzanne Lowry
Carter Shanda DeLiece Darryl G. Hodson
Cashen Jana Lynn Stephen Skidmore
Cashen Jana Lynn Narendra Logendra
Cawley Matthew D Jeffrey Lee
Cedermark Ryan Daniel Gregory Smith
Childress-Rodrijuez Robin Renee Jason E. Berendt
Christopher Marjorie D Chester Lapeza
Chukwu Okeoma Ogo Vikash C. Modi
Chumley Angela Wesley Ensley
Clark Leila Thomas Stanley Irland
Cobb James Wesley George Faile
Cobb James Wesley Robert Nelson
Conklin Sarah Sudha Reddy
Conoly Emily A James Brown
Cosby Pamela Marie Stephanie Miles
Georgia Composite Medical Board
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Coulter Jennifer R James L. Hiller
Cox Lindsay Lancaster Bree R. Eaton
Curry Christy Alday Matthew Buck
Curtis Marion Marci Manna
Deal Karen Maria John Hoyt
Deslattes Asia K Joseph P. Johnson
Diaz Betsy Meredith Koomson
Drew Lindsay Peavy Mariel D. Hepburn
Dubois Derrick Austin Derek A. Dubois
Dubose-Cooper Sheila Antoinette Ijeoma C. Azonobi
Durden Debra D. Kurt P. Hofmann
Duru Stella Juliet Frank Rasler
Easom Derrick L. Marc E. Yune
Edgar Stacy Kenneth Ajabor
Edwards Laura Deniss Byron Mata Gonzalez
Edwards Laura Deniss Byron O. Mata Gonzalez
Eikelberry Leslie Wilkerson Zulfiquar A. Bhatti
Eke Onyinyechi Reginald Jackson
Eldridge Frank Schley Jeffrey Dowis
Ellis Kameelah Chinonye Nwoke
Elsdorfer Heather Lauren Frederick Work
Everden Kelly Caroline Miller
Exum Sarah Britney Parviz Brahman
Ezell Rachel Ugochukwu Egolum
Fleming Janice Alfred Martin
Forte Briana Ellen Stephanie Miles
Fountain Michael Ezekiel Terrell
Franklin Heather Lynn Robert Packer
Froede Lauren Taylor Raul Santos
Garrett James Jonathon Sule
Gaskins Rebecca B Howard McMahan
Gay Linda Michael Fortson
Georges Frantz Augustin Jose Cangiano
Gervin-Clark Cheryl Jacqueline Owusu
Gianneth Cynthia Elizabeth Ibrahim A. Opaleye
Giddens Mary Lance E. Slade
Gilbert Heather Rasnake Ezaldeen A. Numur
Gilbert Heather Rasnake Ezaldeen Numur
Goodwin Douglas Scott Gary Smith
Gordon Tanya Lynn Amy Kolarova
Georgia Composite Medical Board
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Gosier Endia N. Lester R. Johnson
Green Rachael Diane Michael D. Dykes
Green Mary Ann David Bate
Griffin Kimberly Sapp Robert Dollinger
Griffis Jr. Donald Neal Aristotle Cochon
Groves Theresa Corazon Tan
Gunn Petula Anju Bhushan
Hall Briana J Milaniera Latorre
Hammack Mary Jane Stephanie Miles
Hammond Leigh Stephanie Miles
Hatfield Kari Suzanne Michael Mendoza
Hattaway Holly Kathryn Veeral L. Kinger
Hawkins Kathy M Luis Montalvo
Hawkins Rebekah Vinna Simmons
Heard Felicia LaShawn Rani Chebrolu
Helton Tamika Curtis Clark
Hensley Pamela Evette Paul Wentland
Hill Heather Denese Daniel I. Gordon
Holmes Sandee Edwin Montague
Holyfield Candi Justine Henao
Hoshino Jeannie Yumiko Deslyn Olunuga
Idusuyi Esohe Michael Fortson
Ikeokwu Chidi D Nicholas Kemdi
Jackson Shirelle Damien Hansra
Johnson Joi Angela Michael Miller
Joiner Kimberly Michelle Henry Perez
Jones Keilah DeVon Dawson Willie D. Epps
Jones Keilah Wynn Lance Slade
Joseph Alphonsa Vinent Naman
Kanneh Hawa Stephen Salmieri
Kay Harriet Brett Kaylor
Keene Richard Steven Hampton Channing
Kennedy Johanna L. Melissa B. Rhodes
Keys Hunter M. Richisa Hamilton
Kress Leah Nicole McCullough John Cheng
Lampkin Anndrea Bryan Sleigh
Lancaster Frances Renee Renfus
Lanier Sarah Bruce Ramsdell
Lawrence Marguerite Clark Curtis
Lawrence Tionya Stalina Gowdie
Georgia Composite Medical Board
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Ledford Michelle Charles D. Procter, Jr.
Lopez Luis Ibrahim Opaleye
Lunn Kayla Aziz Pirani
Ma Lixuan Odetoyinbo Adedapo
Ma Lixuan Mohamad Moussa
Maraman Sharon Mark Coker
McClaude AnaMaria Umana Idopise
Mccoy Sherry Charles Alexis
McElveen Charles Lumawig Munsayac
McGowan Maxine Jennifer Robinson
McLeod Shelley Robert Hawes
McMahon Angela George Fai;e
Melde Karen Lekha Mathew
Menjivar Jorge Lloydstone Jacobs II
Messamer Ara Wendy Coto-Puckett
Miller Jessica Charles Cawley
Millwee Sara Eisen Sakib Maya
Mitchell Stacey Dwight Owens
Monticino Joyce John Henderson
Moore Audra Elizabeth Chinonye Nwoke
Moore Tara Madelaine Santos
Munna Melissa Katherine Taylor
Newton Sarah Priyank Shah
Ngulefac Judith Paul Chukelu
Noelting Nadine Nadine Noelting
Nwadike Linda Cedrella Jones-Taylor
Obi Eucharia Frank Rasler
Okafor Gertrude Swetang Desai
Olivas Pat Apurva Shah
Oliver Natasha John Barrett
Osborne Brittany Maddox Richard Goodjoin
Patel Sejal Christopher Sward
Patterson Anitra Colette Curtis
Peterson Tyressa Lisa Moody
Pocock Kelsey Opeoluwa Akinnusi
Pruitt Samantha Amar Singh
Randle Victoria Corazon Tan
Reed Lyudmilla James Kay
Reffeor Jennifer Robert Carter
Register Wendy Priscilla Ross
Georgia Composite Medical Board
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Reich Angela Nicole Walker
Rhoades Tausha Ravi Shekarappa
Ricks Aubrey James Hiller
Robertson Hope Melissa Davis
Robinson Michelle David Casey
Romero Natalie Sean Sue
Sachau Nicole Toth Lajos
Sapp Laurel Herbertta Pearson Boone
Saunders Tamika Marcus Sims
Scott Jill Albert Copeland
Sharpless Sarah Kathryn Leung
Shimel Heather William Goldsmith
Shiver Janice Martin Jacobson
Simmons Sarah Reuben Roberts
Smith Ida Jacqueline Harris
Smith Jeanna Justin Rantree
Snow Whitney Pamela Weigandt
Solomon Cheryl Chinmay Patel
Sommers Tanya Deepa Narang
Standard Brantley Johnny Bonner
Stevenson Jill Sidney Morgan
Stevick Jennifer Leon Meeks
Storey William Timothy Longaker
Strahan Alexis William Bing
Suite Julie James Brown
Tanner Virginia Lindsay Fowler
Taylor Jennifer Eric Wagner
Terry Marissa John Bleacher
Thomas Julienne Kirpich Joseph
Thomas Kyndra James Lee
Thomas-Seaton LaTeshia Andres Camacho-Gonzalez
Thomas-Seaton Lateshia Sophia Hussein
Thompson-Davis Andrea Sarita Moblay
Threatt Jamie Dominique Bayard
Tucker Lori Edwin Scott
Udoji Sameia Sameia Udoji
Varghese Julia Laura Divoky
Varnadore Katherine Earl Martin
Vaughan Emily Manuel Rodriguez
Georgia Composite Medical Board
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Watkins Sally Shane Darrah
Watts Christina Richard Goodjoin
Weatherspoon Zakiyyah Clifton Thomas
Wheeler Sherrie Joshua Hare
Williams Kasheika Shahin Chowdhury
Williamson-English Andrea Gary Kinsey
Williford Stacey Deann Bing
Wolf Meredith Laura Guadiana Sanchez
Wood Victoria Edward Killorin
Yeargan Caleb William Goldsmith
Youngblood Robert Sandesh Murali
Other Business
1- Form C – Jason Levy - Approved
2- Maximillian Changus/ APRN death pronouncement regulation – It is ok by law for a
APRN to pronounce death.
3- Dr. Gross will review FAQ to include clarification about training documents/and
certifications accepted for psychiatric practice is not within RN scope of practice.
4- The Committee will seek advice from Board of Nursing regarding RN’S
5- Will it be mandatory for new applicants to use latest version of the APRN Registration
Form.
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:
Approve the following applications for initial licensure with a supervising physician:
PA Supervising Physician
Clements, James Linville, Douglas
D'Alessandro, Bethany Alkhatib, Anas
Darroudi, Rebecca Smith, Sidney
Dysart, Kiersten Grabowski, Matthew
Fercilien, James Sailors, David
King, Ashley Harris, Eugene
Martin, Joshua Carreira, Dominic
McDaniel, Ashly Sanderlin, Charles
Polascik, Christopher Traub, Jeff
Smith, Allison Woods, Gregory
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Approved the applications for initial licensure without a supervising physician:
PA
Aaron, Elizabeth
Andrews, Asia
Batchelor, Courtney
Brinson, Bryan
Brogden, Harmony
Charles, Cheyne
Davis, Trevor
Kucek, Victoria
Layfield, William
Oshiro, David
Pinzon, Deborah
Ryan, Laura
Theobald, Amy
Thompson, Margaret
Walia, Palvi
Wetta, Hailey
Approved the following Add/Change applications:
PA SUPERVISING PHYSICIAN
Akin, Ann Morgan, Elena
Anderson, Christine Raybon, Robert
Atulo, Raphael Gwan-Nulla, Daniel
Baldwin, Samantha Tatman, John
Banya, Markeita Williams, Janssen
Beverly, Eugene Polak, John
Bonin, Elizabeth Finkel, Bruce
Brandow, Erin Ray, Michael
Brigmond, Hallie Hodson, Darryl
Brooks, Haidy Edjua, Paul
Brown, Katrina Woods, Gregory
Brown, Sarah Han, Sue
Buice, Bethany Bauman, Deborah
Butler, Alyson Pottinger, Jill
Cain, Laura Shiver, Stephen
Castellaw, Timothy Richardson, Eddie
Castillo, Lorena Limehouse, John
Chambers, James Agrawal, Subodh
Childress, Shawn Tatman, John
Dapaah, Ralph Jackson, Leopold
Darsey, Robert Oberste, David
Davis, Lee Bennett, Ray
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Dunman, Amy Morgan, Clarence
Elliott, Ashley Lamberson, Keith
Florez, Joan Jackson, Leopold
Fuller, Thomas Colon De Jesus, Manuel
Gibbert, Tiffany Beringer, Donald
Gill, David Byron, Charles
Gilley, Pamela Griffin, Ralph
Gist, Julian Johnson, Keith
Gist, Julian Roman, Carlos
Gray, Brittany Agha, Amr
Haber, Erica Akintayo, Adebowale
Halbrooks, Loren Jiang, Jimmy
Harrell, Christine Israel, Noel
Harvill, Leslie Gore, Ashwini
Hatcher, Roger Lu, John
Heimerich, Mollie Sumner, Pandolph
Holloway, Parker Burress, Thomas
Holt, Matthew Willliams, Charles
Howard, Shey McGann, Patrick
Hulsey, Meredith Shih, John
Joseph, Rodeline Hug, Aydin
King, Kathy Han, Sue
Krug, Aliza Holton, Benjamin
Legare, Angel Hocker, Michael
Little, Erik Felix, Frantz
Little, Lesley Nugent, Katherine
Lopez, Jorge Desai, Aashish
Loutezenhiser, James Abdalla, Eddie
Luo, Yea-Pyng Mendoza, Michael
Lytle, Nicole Sillah, Cherinor
Matherly, Melinda Rowe, David
McAfee, Marvin Hawes, Robert
McGowan, Angelica Ahmad, Khizer
Medved, Anne Penn, Brandon
Montgomery, Malatrice Silverstein, Mark
Moore, Chaska Goswami, Yogesh
Moore, Deborah Harris, Charles
Morgan, Jeffrey Minter, Jon
Munoz, Keith Ajabor, Kenneth
Muterspaugh, Robert Hodson, Darryl
Nalley, Dane Johnston, Edwin
Nelson, Ernest Himes, Stanley
Norman, Joshua Lynch, Lori
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Oquendo, Cynthia Moanna, Abeer
Palmer, Antron Ketsche, Reinhard
Parker, Kimberly Hougeir, Firas
Patel, Deep Nagel, Kerry
Perry, Allison Grice, Stephen
Phillips, Elizabeth Gadlin, Kassandra
Pitts, Johnny C Williams, Robert
Raja, Javalika Azer, Wael
Ray, Karri Vu, Loan
Reeves, Lasonja Onwuanyi, Anekwe
Riner, Ulys Kancharla, Ashok
Rosen, Christopher Han, Sue
Ruszkowski, Karen Roxo, Ana
Sanders, Sammy Tankersley, William
Sharma, Sanjiv Colon De Jesus, Manuel
Shaw, Karen Olszewski, Dana
Simpson, Mariann Kindregan, Patrick
Stores, Jordan Chen, Justin
Stubbs, Karin Chatrath, Monika
Taylor, Amanda Schrader, Tim
Taylor, Kit Tuttle, Jonathan
Taylor, Robin Cohen, Mark
Templeton, Katherine Hickerson, Walker
Thomas, Omokayode Han, Sue
Thompson, Christopher Ploch, Lauren
Thompson, Meredith Gates, Donald
Tompkins, Ava Patel, Rucha
Tran, Sang Nave, Lucretia
Trogdon, Virginia Jones, Christopher
Turner, Moniqua Holladay, David
Wells, Ashley Ploch, Lauren
West, Mckenzie Williams, Janssen
Whatley, Peter Aguilera, Martha
Wilkerson, Keisha Broderick, Daniel
Wilkinson, Daniel Anderson, Stephen
Williams, Mariah Sharpe, Marlon
Zollinger, David Livingston, Joe
Approved Additional Duties Request:
Laura Dean PA—with Dr. Amy Chen
Flexible Nasopharyngeal Laryngoscopy
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Amy Dunman PA—with Dr. Clarence Morgan
Botox injections
Facial filler injections
Emily Grayson PA—with Dr. Jason Levy
US Guided thoracentesis
US Guided paracentesis
Lesley Little PA—with Dr. Katherine Nugent
Intubation
Chest Tubes
Paracentesis
Thoracentesis
Central Lines
Arterial Lines
Lacey Wood PA—with Dr. John Barton
Port Removal
Bone Marrow Biopsy
Tabled Additional Duty Request for additional information:
Eric Chihuahua PA—with Dr. Ronald Walpart
Myelogram
Joanne Mora PA—with Dr. Ramana Rao
Intubation
Central Line Placement
Other Business:
1. Candidates for PA Advisory Committee:
Invite the following for Interview at the March 7, 2019 meeting:
Mr. Sasi Duggirala, CAA
Ms. Gina Scarboro, CAA
Ms. Claire Wainwright, CAA
1. Invite the following for Interview at the April 11, 2019 meeting:
Abbey Gilbert, PA
Ronald Jennings, PA
Kathy Kemle, PA
2. Natalie Majeed – asked for clarification:
-I understand that PAs can prescribe Schedules III-V controlled substances, NOT
Schedules I or II. However, GA R&R 360-5-.05(8), says that a PA can issue a written or
verbal order for a Schedule II controlled substance within a health care setting if the
supervising physician co-signs the order.
Georgia Composite Medical Board
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Is there a time frame in which the physician must co-sign the order? For example, 12
hours, 24 hours, etc.? Board advised to review medical office or hospital policy/bylaws.
3. Patrick Lambert asked:
Can a physician assistant obtain a GA license without a bachelor’s degree if he/she is
currently certified by the NCCPA? Board replied yes.
4. L.P. – Allowed to withdraw reinstatement application.
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:
Janet Alejandro
Maria Lourdes Alexander
Katiana Candido
Leo Charette
Lauryn Colquitt
Hillary Davis
Susan Garmon
Dilsha Himani
Carlie Ivey
Karla Jimenez
Carri Kornman
Annette Lowe
Sonja Miller
Lenee’ Mitchell
Kalina Patterson
Caroline Pirvu
Gabriel Puebla
Charmaine Tulloch
Approved applications for Senior Laser Practitioner:
Anthony Ferrara
Chasity Geiger
Emily Ludwig
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Approved applications for Reissue of Assistant Laser Practitioner:
Loretta Duckworth
Mary Erin Hutcheson
Danielle Lepori
Approved application for Reissue of Senior Laser Practitioner:
Julie Hooks
Other Business:
The Board upheld their previous decision to table the application of A.M.
ORTHOTIST & PROSTHETIST COMMITTEE Mr. Law, presented the Orthotist & Prosthetist Committee report as a motion. The Board
accepted the report by unanimous vote.
Approved the following application for Orthotist licensure:
1. Kori Campbell – Prosthetist
2. April Everatt – Dual O&P
3. Rebecca Jordan – Orthotist
4. Sarah Mitchell – Orthotist
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 Reinstatements Applications:
Bridges, Mary
Sanders, Deborah
Hendershot, Loryn – Pending additional information.
Pruitt, Latorie - Pending additional information.
Approved Administrative Upgrades:
Middleton, Tanzineka - Pending additional information.
Holloway, Roshawnda Pending additional information.
Approved Licensure by Reciprocity: 7 out 14:
Kramer, Linda Pending additional information.
Harden, Brianna
Jazayeri, Ray - Pending additional information.
Orengo, Anita - Pending additional information.
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Davis, Neidra - Pending additional information.
Grayson, Kiondra
Dionne, Joseph Pending additional information.
Findley, Julie Pending additional information.
Collet, Jason
Patel, Nahali
Falls, Steven Pending additional information.
Owens, Amy
Spencer, John
Gradinariv, Rebecca
Approved Applications for a Temporary Licensure:
Boatright, Franklin Pending additional information.
Selph, Rebekah
Moore, Cameron Pending additional information.
Sironen, Macie Pending additional information.
Steedley, Lindsay
Green, Joe Pending additional information.
Urieta, Abel
Benefield, Aliyah
Boatright, Emily
Wallace, Taylor
Other Business:
1. New RCP Committee Advisors Members
Megan D. Stearnes, BS, RRT, ACCS
Martin J. Bryson, B.S., RRT
M. Regina Lunde, MBA, RRT-NPS
Mark D. Thorne, Sr., MS, RRT
PAIN MANAGEMENT COMMITTEE
Dr. Simmons presented the report of the Pain Management Committee as a motion. The Board
approved the motion unanimously.
The Board took the following actions
Approved Request to add Practicing Physician/APRN:
439 The Hemlock Pain Center LLC (Milledgeville, GA)- Add APRN Nikki Govner
149–The Hemlock Pain Center LLC (Macon, GA)- Add APRN Nikki Govner
374- The Hemlock Pain Center LLC (Warner Robins, GA)-Add APRN Nikki Govner
437-The Hemlock Pain Center LLC (Dublin, GA) -Add APRN Nikki Govner
366- Neurological Spine and Pain
266 Total Diagnostic and Interventional Pain
289 Physician Pain Care
349 Medici Medical Arts
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460 Physician Pain Care (Jasper, Ga)
Approved Initial Pain Clinic Applications:
521604-Physician Disability Examination (Albany, Ga)
521603-Physician Disability Examination (Warner Robins, Ga)
542093-Interventional Spine and Pain Management Center (Suwanee)
Family Medical Center, PC
Approved Renewal Applications:
160 Physician Pain Care (Acworth, Ga)
434 North of Atlanta Pain Clinic
RULES COMMITTEE
Dr. Gross presented the report of the Pain Management Committee as a motion. The Board
approved the motion unanimously.
Motion Dr. Deloach seconded Dr. Antalis to send the following Rules to the Office of the
Attorney General (AG) for review and approval before posting:
Rule 360-2-.01(g)(i) “Requirement for Licensure”
Rule 360-2-14(7) “Requirements for Approval of International
Medical Schools.
Rule 360-3-.02 (5) (16) Unprofessional Conduct Defined
The Board also asked the AG’s Office to review the following Rule and discuss with Georgia
Drugs and Narcotics on whether medical assistants can call in refills:
Rule 360-3-.05 “Medical Assistants, Polysomnography Technologists,
and Radiology Technologists”
WELLNESS COMMITTEE
Dr. Collins presented the Wellness Committee report. The Board accepted the report by
unanimous:
The Board took the following actions.
1. PHP report by Paul Earley, M.D., and Robin McGown
2. 20191682 – Rescind OMPE. Table for additional information.
3. 20190009– Approved Jared DeFife, Ph.D. as individual therapist
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4. Audit University of Florida Medical School courses (Prescribing Medications and
Distressed Physicians) – Dr. Collins will audit the Distressed Physicians Course and Ms.
Faucher will audit the Prescribing Course. Availability dates will be provided soon.
5. Conference Call Presentation – Professional Boundaries, Inc. (Dr. Catherine Caldicott)
INVESTIGATIVE INTERVIEW REPORT
Alex Gross, M.D., presented the Investigative Interview report as a motion, and was seconded by
Joe Sam Robinson, M.D. The Board accepted the report by unanimous vote. The Board took the
following actions.
20172165 Letter of Concern 20180520 Peer review
20180655 Close 20181179 Letter of Concern
20181361 Peer Review 20181566 Close
20182102 Close
INVESTIGATIVE COMMITTEE
The Investigative Committee report was presented as a motion by E. Daniel DeLoach, M.D, and
was seconded by Joe Sam Robinson, M.D. The Board accepted the report by unanimous vote.
The Board took the following actions.
Close:
20161857 20171252 20171350 20171682 20172042 20180434
20180500 20180600 20180810 20180861 20180902 20180916
20180931 20180932 20180944 20180959 20180976 20181000
20181042 20181119 20181345 20181778 20181779 20181780
20181863 20181870 20182091 20182183 20182226 20182241
20182265 20190062 20190070 20190080 20190084 20190085
20190088 20190089 20190108 20190151 20190189 20190213
20190238 20190239 20190241 20190250 20190262 20190273
20190281 20190294 20190296 20190308 20190316 20190317
20190337 20190340 20190348 20190349 20190353 20190365
20190377 20190378 20190379 20190453 20190470 20190474
20190484 20190487 20190491 20190492 20190504 20190512
20190518 20190539 20190542 20190579 20190589 20190608
20190610 20190611 20190618 20190629 20190634 20190637
20190638 20190640 20190641 20190642 20190643 20190644
20190645 20190646 20190647 20190651 20190672 20190682
20190687 20190689 20190690 20190695 20190696 20190697
20190724 20190727 20190733 20190735 20190737 20190743
20190746 20190749 20190750 20190751 20190752 20190763
20190767 20190770 20190771 20190775 20190787 20190805
20190816 20190818 20190821 20190825 20190829 20190832
20190833 20190840 20190846 20190851 20190852 20190867
20190918 20191602 20191708 20191743 20191771 20191809
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20191846 20191874
Close with Letter of Concern:
20161712 20180075 20180077 20180942 20181335 20181861
20182057 20182180 20190082 20190197 20190214 20190293
20190615 20190726 20190802
Invite for Investigative Interview:
20180309 20181554 20181623 20181635 20181856 20181916
20182027 20182094 20190095 20190312 20190390 20190489
20190523 20190823
Table
20160488 20180685 20180978 20181417 20181445 20181543
20182243 20190012 20190245 20190329 20190335
Mirror Action from Other State
20181381
Attorney General’s Office
20180136 20190606
Peer Review
20180881
INITIAL COMPLAINT EVALUATIONS
The Board approved the following recommendations.
20182189 20191798 20191805 20191808 20191812 20191813
20191814 20191819 20191823 20191824 20191825 20191844
20191845 20191848 20191849 20191850 20191851 20191852
20191853 20191866 20191867 20191868 20191869 20191872
20191873 20191883 20191884 20191885 20191892 20191893
20191895 20191897 20191899 20191901 20191902 20191903
20191905 20191906
RECUSALS
DeLoach 20180942 20190245 20190474 20190606 20190643
20191708 20180861 20190579 20190787 20190821
20191812
Mohan 20180309 20190281
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There being no other business, Dr. DeLoach submitted a motion, seconded by Dr. Robinson, to
adjourn the meeting. The motion carried unanimously. Dr. Mohan adjourned the February 7,
2019 meeting at 4:50 PM
__________________________________ _____________________________________
Kershna B. Mohan, MD LaSharn Hughes, MBA
Vice Chairperson Executive Director
Recorded by Diane Atkinson