Georgia Composite Medical Board Minutes of the September 3 ...

Georgia Composite Medical Board

Minutes of the September 3, 2020 Meeting

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The Georgia Composite Medical Board (GCMB) held its regular meeting on September 3, 2020

via teleconference at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters.

Board members on the call:

John S. Antalis, MD

William Bostock, DO

Gretchen Collins, MD

Debi Dalton, MD

E. Dan DeLoach, MD

Charmaine Faucher, PA (ex-officio)

Alexander Gross, MD

Shawn Hanley, Consumer Member

Thomas Harbin, MD, Vice Chair

J. Jeffery Marshall, MD

Matthew Norman, MD

Andrew Reisman, MD

David Retterbush, MD

Barby Simmons, DO, Chair

Richard Weil, MD Board member absent:

Rob Law, CFA, Consumer Member

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Phyllis White, Executive Assistant

Jonathan McGehee, Director of Investigations

Latisha Bias, Enforcement Supervisor

Legal staff on the call:

Max Changus, JD, Assistant Attorney General

Casey Frew, Intern, Attorney General’s Office

Peggy Eckrote, Deputy Attorney General

CALL TO ORDER

Dr. Simmons called the meeting of the Georgia Composite Medical Board to order at 7:31a.m.

AGENDA

Dr. Marshall submitted a motion, seconded by Dr. Retterbush to approve the agenda of the

September 3, 2020 meeting. The motion carried unanimously.

MINUTES

Dr. Retterbush made a motion to approve the minutes of the August 6, 2020 meeting. Dr. Harbin

seconded the motion and it carried unanimously.

CHAIR’S REPORT

Dr. Simmons made the following report.

Charmaine Faucher, PA (ex-officio) will be out next month.

EXECUTIVE DIRECTOR’S REPORT

LaSharn Hughes, Executive Director presented the following information:

Performance Measures submitted to the Office of Planning and Budget which details the number of

applications and investigations of the Board during the fiscal year.



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Strategic Plan. Ms. Hughes after receiving input from Dr. Simmons and Dr. Harbin presented the

strategic plan for the Board.

The Board approved the request for Christine P. Glavey, MD to have her application released to her

attorney, if available.

The Board denied the Open Records Request for Council & Associates, LLC, Attorneys for copies of

application files. Application files are confidential.

The Board denied the Open Records Request for application materials if they exist for Gaurav Thakral,

MD. Application files are confidential.

FSMB Ethics and Professionalism Committee “Treatment of Self, Family Members and Close

Relations” FSMB would like input by October 2, 2020.

Bob Surovec, seeking clarification what the limitations are for PAs & APRNs to dispense prescription

drugs including Controlled Substances. The Board referred him to the Rules & Laws.

The Board accepted the following as information only:

The Public Citizen Report - “15-Year Summary of Sexual Misconduct by US Physician Reported to the

National Practitioner Data Bank, 2003-2007: In Depth, Updated Evidence on White Coat Betrayal.”

The Board accepted as information a letter from Leslie McGuire, Departments of Audit, explaining

changes the scope of the audit by amending the audit objectives.

The Board accepted as information the Article “Are Aging Physicians a Burden?”

Call for Federation of State Medical Boards Bylaws Amendments due by December.

RULES REPORT

Dr. Marshall made a motion, seconded by Dr. Reisman to send the following Rules to the Attorney General

for review and approval for posting:

Rule 360-34-.06(2) “Limitations of the Vaccine Protocol Agreement”

Rule 360-35-.01(12) “Definitions Lasers”

The Committee discussed a draft of the Opioid Guidelines. Dr. Gross asked the Board to send in any

comments to be added to the draft. The report will be added to the October meeting.

Next month’s agenda will include the following rules:

Institutional Licenses

SB 321 – Possible Rules for PA/APRN



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CLOSED SESSION

Dr. DeLoach motioned seconded by Dr. Dalton to go into closed session to discuss applications,

investigations and disciplinary matters. The motion carried unanimously.

OPEN SESSION

Dr. Simmons declared open session.

APPEARANCE BEFORE THE BOARD

SP, MD. The Board voted to license with terms and conditions. Dr. Gross opposed.

APPEARANCE BEFORE THE BOARD

RU, MD. The Board voted to deny licensure until the matter in Texas is taken care of.

ATTORNEY GENERAL (AG)

Max Changus, Assistant Attorney General presented the AG Status Report.

Dr. DeLoach submitted a motion, seconded by Dr. Marshall and motion carried to accept the report

as information and approved the following Board Orders:

20181623, 20181635, 20182252, and 20190046

Burnett, William—Voluntary Surrender

Moss, Douglas—Voluntary Surrender

PRESENTATION TO THE BOARD

CE Brokers, Donald Oliva, Business Development Executive, gave a presentation to the Board. The Board

asked questions and thanked Donald Oliva for his informative presentation.

PHYSICIAN LICENSURE COMMITTEE

Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions:

Rules Waver Denied

Khaled Ajib- Rule 360-2-.01(1)(g)(ii)

Rules Waiver Approved

Rahim, Thomas – Rule 360-2-.01(1)(g)(ii)

Nanda, Nitin – Rule 360-2-.01(g)

Rule Institutional License

The Committee discussed making changes to the Institutional Licensure Rule. Motion Dr. Weil, second

Dr. Antalis and motion carried to refer to the Rules Committee for the October meeting. Dr. Retterbush

opposed.

Applications Approved

Allegra, Piergiorgio



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Andrews, Samuel

Balledux, Jeroen

Benjamin Jean Marie, Nancy

Blaney, David (RNST)

Choe, Byung

Daly, Scott

Grover, Robert

Forbis, Courtney

Frazier, Ezra

Herron, Harrison

Hood, Johnathan

Kassis Hadid, Simon

Markowitz, Joseph

Martin, Robert

Murtagh, William

Rahim, Thomas

Rather, Dwarka

Richardson, Michael

Roberts, Christopher

Sassen, Brett

Tandon, Jagjit

Approved to withdraw applications:

TB

AD

Interview

DM

TS

Applications Denied/Allow to Withdraw

1) DC – past poor quality of care and NY disciplinary action

2) MG –does not meet licensure requirements

3) VW - only completed one year of residency training and failure of course/academic probation.,

withdraw of license applications in IL and TX.

4) RB – upheld previous decision to deny or allow to withdraw based on criminal convictions

Other Consideration

1) GS – submit reinstatement application and letter of advocacy from treating physician

Administratively Approved Applications

Abdul-Rahim, Osama MD

Agarwal, Abhinav MD

Allegra, Piergiorgio MD

Amaral, Georgina F MD

Andrews, Samuel MD



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Apraku, Abena MD

Asfour, Fareed R MD

Atluri, Mahesh G DO

Avaiya, Hitesh MD

Awad, Taysir W MD

Azerf, Saji P MD

Baden, Kerri L MD

Bailey, Omavi MD

Bailey, Rebecca S MD

Balledux, Jeroen MD

Balthazar, Patricia MD

Benjamin Jean-Marie, Nancy A MD

Bhamidipati, Divya R MD

Borsody, Mark MD

Carrillo, Tami C MD

Carter, Natasha F MD

Chia, Christopher MD

Choe, Byung H MD

Connor-Schuler, Randi L MD

Daly, Scott F MD

Echeverria, Angela B MD

Ekong, Essien U MD

Elges, Michael S MD

Ezealah, Ezinma MD

Fey, Geoffrey L MD

Forbis, Courtney MD

Fotinos, Peter N MD

Fountain, Dyanna M MD

Fraser, Ezra T MD

Ghuman, Harpreet K MD

Goff, Daniel J MD

Gonzales-Naval, Laarni E MD

Grissom, Murray J MD

Grover, Robert A DO

Grozenski, Andrew M MD

Gupta, Avneesh MD

Haber, Matthew A MD

Hayes, Joseph MD

Henderson, Carolyn J MD

Herron, Harrison A DO

Horowitz, Andrew I MD

Huldin, Jennifer A MD

Iqbal, Jawad MD



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Irazuzta, Jose E MD

Irizarry, Babette MD

Iyoha, Jolomi N MD

Jalalzai, Waheed MD

Janumpally, Ravi K MD

Jimenez, Megan DO

Jones, Ryan MD

Jordan, ChaRandle MD

Jumah, Rose L MD

Kaltz, Emily A MD

Kaplan-Weisman, Laura M MD

Kassis Hadid, Simon MD

Khalafbeigi, Sheva MD

Kiser, Andrew MD

Kok, Mitchell P MD

Krishnan, Ranjini MD

Leonard, Matthew M MD

Lin, Andrew DO

Lloyd, Robert J DO

Lowe, Matthew DO

Lyders, Eric M MD

Malkin, Abraham E MD

Marfori, Joseph B MD

Mariyam Joy, Christina MD

Markowitz, Joseph MD

Marson, John D DO

Martin, Robert H, Jr MD

Matar, Abraham J MD

McClellan, Katherine S MD

McQuinn, Garland H MD

Meadows, David T MD

Messersmith, Anders DO

Miani, Peter A DO

Miller, Daniel C MD

Mink, Jonah W MD

Mirakian, Alex S MD

Mohiuddin, Idrees M MD

Moidudin, Nasser J MD

Mora, Rafael V MD

Moreno Cuttle, Maria V MD

Muhammad, Khalilah MD

Murtagh, William O MD

Nabavi, Ali S DO



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Nadasy, Krisztina MD

Nerney, Michael E, MD MD

Nunn, Andre R MD

O'Connor, Kevin M MD

O'Donnell, Carmel M DO

ogbobe, francis DO

Okundaye, Etinosasere MD

Olsen, Andrew S MD

Pacheco, Esperanza MD

Patidar, Vinay MD

Phillips, Karen G MD

Potter, William A MD

Prather, Heidi DO

Putman, John MD

Qi, Yu Meng MD

Qutob, Hisham F MD

Rahim, Thomas MD

Rao, Edwin J MD

Rathi, Dwarka P MD

Ravitz, Risa MD

Resa, Joshua MD

Richardson, Michael S MD

Roberts, Christopher MD

Rossi, Daniel J, III MD

Rudder, Bongi A MD

Saha, Dipanwita MD

Sardana, Jasmol J DO

Schnabel, John F MD

Schoenmann, Nicholas A MD

Schumann, Sarah-Anne H MD

Seasly, Stephanie N MD

Sheehan, Vivien MD

Smith, Filiz A MD

Sparks, Dorothy A MD

Spratt, Eve G, MD, MSCR MD

Steele, Brian M MD

Stepanenko, Tatyana MD

Tandon, Jagjit MD

Tarrant, William P MD

Triana, Lucy A MD

Velazquez, Eric P MD

Virani, Sana MD

Waheed, Salman MD



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Wareham, John A MD

Wendel, Elizabeth C MD

Winograd, Evan MD

Wise, Deena DO

Wolf, Samantha A DO

Wymer, Antoinette MD

Yang, Gene W MD

Yaqub, Chanda MD

Yurcisin, Geoffrey MD

Zulfiqar, Muhammad I MD

Zwick, Matthew D MD

Residency Training Permits

Helseth, Kimberly A

Man, Tianshuo

NURSE PROTOCOL ADVISORY COMMITTEE

Dr. Gross presented the Nurse Protocol Report:


1. The Committee will work on updating the Rules in light of SB 321.

2. FAQs – may we add information about the VA/Government employees and whether they need a

protocol? The FAQ’s will be updated to include this language.

3. Questions regarding NP/PA Collaboration specifically related to the Physician Orders for Life

Sustaining Treatment (POLST). 1) Are both the NP & PA authorized to sign the POLST in the

state of Georgia? 2) Refer to the Department of Public Health.

4. I issue Bactrim from med room. Did I prescribe this medication or dispense it? That is important

to determination of whether I should be working yet without a collaborative agreement signed?

This is a federal organization; so, do they have to be the “prescribing physician” in GEORGIA?

They said they don’t have a state specific dispensing arrangement on file (to my understanding)

with state of GA? They are federal. Do I need a collaborative agreement in order to issue meds

that are available on my work site. If you are working and dispensing OTC and prescription

medication in a Federal facility you need a collaborating agreement. The NP should be

operating under a protocol agreement whether they will be dispensing, prescribing or

issuing medications.

5. Would it be appropriate to put the main headquarters address for the Primary Practice Site

information and add that this is for "Telemedicine"? Our headquarters is not based in the state of

Georgia, so we are unsure if that would be acceptable? The corporate address provides no

helpful information for the Board. If the NP nor the delegating physician are in Georgia,

then telehealth services cannot be provided.



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6. I am referring to the requirement that “the delegating physician shall document and maintain a

record of onsite observation and review of medical records on a quarterly basis to monitor

quality of care being provided to the patients” (Rule 360-32-.05). For nurses practicing via

telehealth, can the “onsite observation” requirement Be conducted via telehealth? No, the

delegating physician must conduct the onsite observations at the practice location not via

telehealth.

The following Form C’s were approved:

❖ Brunson, Robert

❖ Chausmer, Jaimie

❖ Register, Caitlyn

❖ Spears, Melanie

❖ Whitten, Sarah

The Committee reviewed and approved the following protocols under the provision of O.C.C.A.

43-34-25.

APRN Delegating Physician

Cameron, Heather Vahid Yeganeh, MD

Colcord, Herbert Jose Cangiano, MD

Fry, Heather Brandee Urrutia, MD

Fry, Heather Clarence Morgan Jr., MD

Garrett, James Sheri Swader, MD

Griffin, Erica Mahaveer Vakharia, MD

Haskin, Justin Sheri Swader, MD

Mahmoud-Deen, Zarinah Iyesatta Emeli, MD

McCall, Hannah Julie Allen, MD

Oliver, Kathryn Glen Nadel, MD

Peterson, Gena Ram Bishoni, MD

Schubert, Eric Nadine Regis, MD

Soles, Stanley Jaymal Patel

Spivey, Villanueva John Beat, MD

Taylor, Yuri Maneesha Sabharwal, MD

Yadav, Lily Jorge Leguizamo, MD

The Committee determined that the following protocol agreements meet the provisions of

O.C.G.A. 43-34-25 with changes.


Carpenter, Lisa Mark Watkins, MD

Guerrero, William Usama Khalid, MD

Niehanke, Kristen Cheryl Tolliver, MD

Obuba, Joseph Barry Moore, MD

Prudhomme, Anslie Leslye Pace, MD

Vaughan, Brookes Blake Willis, MD



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The Committee determined that the following protocol agreements do NOT meet the provisions of

O.C.G.A. 43-34-25.


Moore, Alysanah Panchajanya Paul, MD

O’Berry, Gabrielle Leslie Dowling, MD

Salimonu, Janet Neil Jariwala, MD

Sublett, Jami Caroline Roberts, MD

Vannoy, Kathlene Kristen Miranda, MD

Protocols Administratively Reviewed:

The following protocol agreements meet the provisions of OCGA 43-34-25:

APRN Last APRN First Delegating Physician Name

Anderson Derek Wendy Russell

Arzenshek Alexandra Rachel Libby

Barker Lauren Ron Alleyne

Baskins Mary Elizabeth Theodore Schock

Blackwelder Robert Piotr Skowronski

Brooks Jessica Pradeep Sinha

Bruce Danielle Sarah Mcbee

Bulti Chaltu Frederick Work Jr.

Bussey Sallie Richard Pearson Jr.

Cameron Heather Vahid Yeganeh

Caoile Michael William Tidmore Jr.

Clevenger Zachary Raza Abbas

Cochran Angela Paul Feldman

Coleman Elizabeth Keshma Saujani

Cone Jennifer Juan Armstrong

Corley Reba Willie Tapp IV

Cornell Aimee Salam Hadrami

Denney Rachelle Britton Crigler

Edwards Felicia Syamala Erramilli

Eldred Susan Murtaza Cassoobhoy

Elliott Lydia Leah Lowman

Ellis Sarah Douglas Perry

Farr Julie Ashley Stewart

Fears Stacey Brandon Paritz

Fletcher Carolyn Peter Richards

Fritz Taylor Leli Matthews

Galan Marissa Vincent Galan

Geiger Michaela Nydia Bladuell

Geiselman Robbie Annabelle Simpson



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Gibson James Dale Green

Gloor Alexandra Jack Heneisen

Grimaldo Monica Joshua Wilburn

Gunnels Lindsay Bradford Reynolds

Harris Delecia Geetha Manchireddy

Harrison Tanya Mary Hunter

Haskin Erin James Falconer III

Hayes Hannah James Mooney

Hendley Leigh Leon Meeks

Hodges DeAnna Christopher Mathews

Holzman Michelle Donald Jones

Hooper Kelsey John Joyave

Jackson Christy Zhiqiang Zhang

Johnston Caitlyn Bret Lewis

Jones Chandria Priscilla Chukwueke

Kaur Balwinder Naresh Parikh

Keen Robert James Campagna

Kitchens Jamekia Earle Taylor

Lavache Kateline Victor Alvarez

Lewis Olayinka Venkatappa Rangaraj

Lolley Karen Allan Purdie

Lovett Darnae Amanda Cowan

Martin Stephanie Peter Lee

Martin Autum Kelly McCants

May Connie Andrew Magnet

McCarley Kelly Russell Jones

McClelland Misty Thomas Campen

Merck Linne Yvonne Smith

Miller Jenifer Daniel Williams

Moore Jessica Shameka McElhaney, MD

Mulig Amanda Mahdi Taha

Park Michelle Meena Shah

Pimeniel Jessica Michael Torkelson

Pinilla Dominique Vlastimil Smetka

Potter Ashleigh Vlastimil Smetka

Richards Junienne Steven Sawyer

Richardson Theresia Nadia Cameron

Ricketts Andrea Sofia Zaman

Smith Renee Frederick Work

Solomon Phyliss Sreevalli Dega

Strickland Renita Tiffany Parks



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Strickland Amanda Michael Dawson

Taylor Troy Vlastimil Smetka

Ulysse Tameka Sudha Reddy

Uneanya Frances Jacqueline Owusu

Usry Candance Alicia Register

Vance Dale Yvoone McAllister

Walsh Lisa James Criag

Willman David Thomas Campen

Woodington Kenneth Thomas Campen

Zachery Sandy Varma Meka

PHYSICIAN ASSISTANT ADVISORY COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report.


Approve the following applications for initial licensure with a supervising physician:

PA Supervising Physician

Akins, Tyler Greeson, Nataly

Aphivantrankul, Panaporn Manning-Williams Dawn

Coryell, Rebecca Reddy, Ram

Kelley, Shelby Tarvers, Richard

Konomi Johnson, Juna Mcadoo, Billynda

Langlois, Lisa Elder, Courtney

McClure, Jennifer Ritcher, Ellen

Patel, Alisha Whalin, Matthew

Patel, Janam Nihal, Eisa

Peters, Samantha Burris, Richard

Phrommala, Alan Wurl, Jonathan

Radjenovic, Noah Graham, Kevin

Sander, Jessica Inglese, Marc

Tepic, Christy Bombulie, Mark

Tincher, Anna Jones, Christopher

Trocquet, Michael Klopman, Matthew

Venable, Jennifer Hosfeld, Christopher

Wolf, Hali Jones, Samuel

Wyatt, Jimmy Khairallah, Farhat

Zimmerman, Megan Subrahmanian, Tarun

Approve the following application for initial licensure with a supervising physician pending

additional information:



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Hix, Taylor Scaljon, Jennifer

Sharma, Mrinali Manning-Williams, Dawn

Approve the following applications for initial licensure without a supervising physician:

PA

Ard, Donny

Bartz, Lindsey

Bowman, Tracy

Dowdy, Gretchen

Freeman, Amber

Hutcherson, Caroline

Kleiber, Samantha

Lassen, Sydney

Lawson, Griffon

Leiba, Kalum

Multani, Permeet

Perez, Christal

Rider, Michael

Sanders, Sara

Snow, Jonathan

Tesfai, Helen

Vargas, Nijja

Vaswani, Roma

Vaughn, Storm

Approve the following applications for reinstatement with a supervising physician:


Moulton, Jeffrey Hodson, Darryl

Approve the following Add/Change applications:


Baker, Janna Ashford, Clinton

Benson, Meghan Keating, William

Boomgarden, Hannah Ritter, Edmond

Brown, Lauren Patel, Satyajeet

Burton, Stephen Harkins, David

Cadwallader, Daniel Ringer, Dave

Campbell, Kia Nowlan, Adam

Capito, Jennifer Ritter, Edmond

Chandler, Nicholas Arlauskas, Vincent

Chijioke, Adanna Aisiku, Imoigele

Clarke, Scott Mohammed, Khaja

Clatterback, Kayli Sherrow, Leighanne

Colon, Amy Zussman, Benjamin



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Connolly, Margaret Dixit, Adviteeya

Coyne, Victoria Tanifum, Ekei

Davis, Hope Rabinovitz, Sharon

Deberry, Katelyn Paik, Jeong

Dexter, Kathy Seehusen, Dean

Dicioccio, Christina Scott, Derek

Dicioccio, Christina Lorenz, Richard

Dickerson, Raymond Shah, Priya

Estrada, Sarah Annalise Lazarus, Kenneth

Fakhouri, Mazen Hunter, David

Farrow, Stephanie Vamsi, Kota

Fragoso, Wendy Paritz, Brandon

Frey, Svetlana Arfoosh, Rami

Fritz, Stacia Laipple, Douglas

Gaffar, Anum Pirani, Aziz

Galloway, Christian Beringer, Don

Garcia, Erica Davis-Jenkins, Petrenia

Garner, Rachel Glaser, Theodore

Garretson, Mallory Human, Anthony

Gay, Crystal Weinman, Eric

Giddens, Matthew O'Neal, Kenneth

Gilmer, Jodi Cowan, Amanda

Gonzalez, Melissa Ashfaq, Salman`

Goodchild, Charleen Harris, Gehrig

Gunter, Cliffon Natarella, Emily

Habte, Rebecca Mehdi, Asad

Hall, Morgan Sugarman, Jeffrey

Hart, Kimberly Busman, Michael

Harvey, Amelia Chokshi, Hitesh

Hastings, Jacquelyn Hudson, Linda

Head, Katrina Sami, Majraj

Hedden, Allison Waits, Kevin

Henson, John Asreal, David

Hulsebus, Elise Ritter, Edmond

Hulsey, Julie Zirkin, Daniel

Huwe, Megan Kim, Joyce

Iwasaki, Kathryn Alkhatib, Mhd. Anas

Kilpatrick, Benjamin Callaway, Sanders

Kim, Mijin Lee, Edward

Kim, Sungmee Albergotti III, William

Kumar, Alka Fite, Michael

Kumar, Namita Sandwich, James

Kurtz, Douglass Thomas, Clay

Layfield, William Shikh, Charanjit



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Lee, Jessica Woodson, Roderic

Leland, Brian Jones Iii, Edwin

Lowe, Kristina Usadi, Moshe

Magpantay, Kris Yost, James

Manry, Jennifer Mccabe, Jessica

Martinez, Alyssa Poulos, Phillip

Massey, Anthony McKinney, David

Mathew, Benita Paul, Christopher

Mathew, Benita Rachal Iii, Henry

McGovern, Kyle Dillard, Darren

McKenzie, Chelsea Reed, Dale

Messier, Sara Powell, Ian

Murthy, Sowjanya Mcleod, Donald

Nee, Caralyna Nisbet, Rachel

Newman, Eric Culnan, Derek

Newton, Rebecca Rachal, Henry

Nobles, Jenifer Jackson, Leopold

Oduah, Adanma Robinson, Elijah

Ogilvy, Leslie Sorensen, Curtis

Olds, Nicole Hill, Lauren

Olds, Nicole Rubin, Tod

Oliver, Benjamin Brown, Megan

O'Steen, Pamela Sugarman, Jeffrey

Pass, Heather Thai, Minh

Patel, Krisna Shakoor, Karim

Pipkin, Amanda Grunch, Betsy

Puckett, Nicolette Coy, Sean

Ravenell, Ericka Curvin, Frank

Rayner, Hansel Odjegba, Ochuko

Reed, Kelly Lopez, Mark

Rego, Jennifer Young, Michael

Reid, Destina Lavender, Allen

Rejzer, Courtney Do, Phong

Rice, William Acquah, Francis

Roberts, Danielle Blum, Kristie

Roberts, Felicia Scott, Derek

Robinson, Michelle Scott, Derek

Robinson, Susan Curvin, Frank

Rogers, Kalen Benson, Anna

Russell, Christopher Lester, Joseph

Samaha, Jonathan Newton, William

Sanders, David Gulati, Anu

Sanders, Ronald Lefkove, Benjamin

Santos, Jenise Gonzaga, Maria

Schutz, Douglas Iskhakov, Arthur

Sledge, Celine Bashan-Gilzenrat, Keren



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Smith, Julia Johnson, Donovan

Sok, Eunice Segarra-Brechtel, Ana

Stanley, Christopher Gore, Thomas

Steele, Katelyn Avery, Naila

Stewart, Paul Jones, Samuel

Story, Cameron Pauly, Tonya

Svedin, Sarah Singh, Pawanjit

Tate, Andrew Beach, Paul

Tepic, Nermin Lipscomb, Michael

Thurmond, Camden Davoodi, Puya

Toporek, Ewa Mehta, Pratik

Torell, James Deruyter, David

Traina, Alissa Perry, Ronald

Trusock, Corinne Magilen, Steven

Ulysse, Jean-Raynald Coy Sean

Umoren, Ukeme Eisa, Nihal

Unterberger, Kristen Phadke, Varun

Ward, Elizabeth Pradilla, Gustavo

Ward, Maggie Ahn, Joon

Warner, Nicole Vakharia, Mahaver

Waters, Jessica Carter, Robert

Wenzel, Spencer Park, Kevin

Winfrey, Kay Natarelle, Emily

Woo, Vivian Hubert, Amy

Wynn, Natalie Renew, Margaret

Zehna, Jessica Schoenfeld, Gordon

Approve the following Additional Duty Request:

Kelly Graham, PA—with Dr. George Kallianos

Fluoroscopic Lumbar Puncture with Intrathecal Injection

Claudia Griffin, PA—with Dr. Blake Willis

Botulinum Toxin Injections

Kathleen Keirn, PA—with Dr. Arvind Ponnambalam

Arterial Lines

Central Venous Lines

Vascular Catheter

Daryl Madden, PA with—Dr. Richard Donadio

Knee Joint Injections

Trigger Point Injections

James Torell, PA with—Dr. David DeRuyter

Vas Catheter

Arterial Lines



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Closed Thoracostomy

Endotracheal Intubation

Central Venous Access

Andrew Woodham, PA with—Dr. John Barton

Paracentesis

Lumbar Puncture

PICC Line Insertion

Other Business:

1. Amber Freeman- Notification from Georgia PHP

Approve application for licensure.

2. Augusta University- Request for new graduate application adjustment due to pandemic.

- Request for the PA program to submit a letter of exception, documenting completion of all

degree requirements and a list of potential graduate names.

- Issue temporary approvals for 90 days pending Form K, education verification form, and

NCCPA/NCCAA report.

COSMETIC LASER ADVISORY COMMITTEE

Dr. Reisman presented the Cosmetic Laser Committee report as a motion and it carried

unanimously.


Approved the following for Assistant Laser Practitioner –

April Abbott

Sakina Ali

Stacie Allington

Jessica Barahona

Katharine Brown

Stacey Castor

Jenair Mia George

Erika Gonzalez

Isani Grant

Sejal Gunderia

Vanessa Jiga

Cydni Lee

Salima Merchant

Sophia Miranda

Melody Montes

Ashlynn Newman

Myisha Powell

Meagan Rennick

Katrecia Saddler



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Helen Strickland

Tawana Strozier

Jennifer Taylor

Approved the following for a reissue of Assistant Laser Practitioner –

Cynthia Cook

Stacie El Bader

Stacey Murray

Approved the following for Senior Laser Practitioner –

Tammy Eisenhart

Other Business:

The Board invited Mr. David Kurkoski to interview with the Committee regarding training

provided by manufacturer representatives.

The Board advised Gayle Friese to contact the physician who provided her individual laser

training to provide certificates for her licensure application.

Board staff is to send a letter to American Med Spa (www.americanmedspa.org) informing them

the Georgia Senior Laser license information on their website is incorrect. The incorrect

information states that licensed senior laser practitioners may supervise unlicensed individual

who are firing lasers and supervise an LPN or esthetician who does not have an assistant laser

practitioner license. Senior laser practitioners can supervise assistant laser practitioners only.

RESPIRATORY CARE ADVISORY COMMITTEE

Dr. Dalton presented the Respiratory Care Committee report as a motion. The Board accepted the

report by unanimous vote.


Correspondence

The Committee approved and accepted Committee Member, Mark Thorne’s, resignation. The Committee

thanked him for his service.

The Committee discussed concerns of the RCP Rule changes; the Committee will review the rules and make

suggested changes to the Advisory Committee Rules.

The Committee tabled the Committee Term Limits for further discussion; will revisit next month

Denial

JM

Fine and Consent Order

LS- practicing without a license

Reinstatements:

Corley, Nicholas

about:blank



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Windsor, Tonya

Elzey, Heather

Vincent, Denise

Samuels, Nicolette

Wright, Ericka

Wright, Tanya- pending additional documentation

Carter, Brenda- pending additional documentation

Temporary:

Brown, Larry

Johnson, Arian- pending additional documentation

Full Licensure:

Alexyn, Jessica

Nathan, Yolanda

Urani, Kelly

Chapman, Suzanne

Juarez, Samantha

Baya, Ashley

Newman, Kristie

Souza, Hosana

Bielik, Jeffrey

Head, Jeffrey

Ransom, Laura

Tutko, Elizabeth

Quach, Ngan

Rogers-Clay, Connie

Warren, Megan

De Lima, Larisa

Jenkins, Victoria

Shines, Sellie

Jones, Ashley

Taunton, Tresa

Goodson, Celeste

Cathey, Tanisha

Holtzclaw, William- pending additional documentation

Lambert, Pamala- pending additional documentation

Smith, Bobby- pending additional documentation

Green, Jeffery- pending additional documentation

Johnson, Deborah- pending additional documentation

VerHagen, Rachel- pending additional documentation

Administrative Upgrades

Paul Fox

Sheenai Johnson

Ahmed Azeez

Julia Asavoaei

Lee-Ann Tolan

Michelle Allen

Shawn Mathew

Meghan McDuffie



20

Gariel Lester

Georgia Hulbert

Nathan Thomas

Kiana Davis

Shekina Harris

Roshay Hawkins

ACUPUNCTURE ADVISORY COMMITTEE

Dr. Bostick presented the Acupuncture Committee report as a motion and it carried unanimously.

The The Board took the following actions:

Accepted the quarterly report for the following:

Yiqiang Zhou

Tabled the following application for initial acupuncture license for additional information:

P.J. – needs two acceptable reference letters from licensed acupuncturists.

Other Business:

The Board accepted as information the list of limited licensees and supervisors.

The Board did not approve the request from Soledade Soleil for acupuncture externship during

September 2020 as externships are not part of the Board’s purview.

The Board appointed Dr. Laura Bowman and Ms. Una Cho for a second term on the committee.

The Board tabled the discussion of modifying member terms on the committee.

PAIN MANAGEMENT COMMITTEE

Dr. Simmons presented the Pain Management Committee report as a motion. The Board accepted

the report by unanimous vote.


Approved the following applications that were Administratively Approved:

License # Pain Clinic Name

508,519 Medici Medical Arts

DELETE Practicing Physician, Douglas Freiberger

ADD Practicing Physician, Gigi Geiger

350 Kroll Care

DELETE Practicing Physician Kali Gordon

DELETE Practicing Physician Carroll Odem

Other Business:



21

1. The Committee approved updates to the Personnel Information form.

2. Question from Asst. Attorney, Max Changus, regarding ketamine as treatment for pain. The

Committee tabled discussion pending further information. Will be reviewed next month.

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Deloach presented the Genetic Counselors Advisory Committee report.


1. The Committee reviewed the information received from Board of Chiropractic Examiners regarding

Sage L. Campione and recommended Jonathan McGee to follow-up on the investigation.

2. The Committee approved the following applications.

India Bradley Sarah Burzynski (Temporary License)

Katelyn Caesar Katherine Hill-Harfe

Kisha Johnson

Catherine Kelly (Temporary License) Sylvia Liebers

Elizabeth Lutz

Nicole Mattila

Holley May

Sarah Noblin

Ashley Parrott

Marlise Comb-Pierce Audrey Schlatchter (Temporary License)

Melissa Shelkey

Madison Thomason

Morgan Tosan

Nicole Truitt

LAW ENFORCEMENT ADVISORY REPORT


1. S.B. - Accept

2. 20181950 - Accept

3. 20071070 – Accept Voluntary Surrender

4. 20141104 – Terminate Board Order

WELLNESS COMMITTEE


Georgia PHP Report

Paul Earley, MD, Medical Director, provided the Committee an update on cases with the PHP.



22

ML - The applicant for licensure was interviewed by the Committee. The Committee asked for

additional information.

INVESTIGATIVE INTERVIEW REPORT Dr. Marshall presented the Investigative Interview report as a motion and was seconded by Dr. Norman. The

Board accepted the report by unanimous vote. The Board took the following actions.

20170011 AGNOH 20190635 Close

20190858 Table 20191600 PEER

20191854 PEER 20192259 LOC

20192470 Close 20200058 Close

20200117 LOC 20200152 Close

20201153 Close

INVESTIGATIVE COMMITTEE The Investigative Committee report was presented as a motion by Dr. DeLoach and was seconded by Dr.

Bostock. The Board accepted the report by unanimous vote. The Board took the following actions.

Close:

20161788 20191615 20192020 20200153 20200191 20200233

20200248 20200426 20200641 20201011 20201054 20201055

20201082 20201085 20201089 20201091 20201105 20201109

20201116 20201120 20201129 20201139 20201166 20201200

20201212 20201238 20201275 20201284 20201306 20201311

20201322 20201331 20201347 20201371 20201384 20201388

20201390 20201425 20201440 20201464 20201466 20201472

20201474 20201475 20201487 20201489 20201493 20201496

20201497 20201515 20201518 20201549 20201554 20201578

20201593 20201597 20201603 20201629 20201630 20201635

20201636 20210069 20210084 20210086 20210110 20210139

20210140 20210162

Close with Letter of Concern:

20200169 20200190 20200232 20200688 20201002 20201141

20201228 20201262 20201308 20201340 20201368 20201373

20201418 20201439 20201462 20201488 20201572

Invite for Investigative Interview:

20200017 20200125 20200653 20201213 20201293 20201334

20201348 20210101

Further Investigation:

20201422

Table

20200269

Attorney General’s Office

20200570 20210039 20210065 20210137



23

Peer Review

20201126

OMPE

NONE

INITIAL COMPLAINT EVALUATIONS The Board approved the following recommendations.

20210009 20210011 20210094 20210062 20210103 20210117

20210119 20210120 20210134 20210136 20210145 20210156

20210164 20210167 20210172 20210178 20210179 20210202

RECUSALS

Marshall 20201371 20201425 20201603

Retterbush 20191600 20191854

There being no further business, motion Dr. Marshall, seconded Dr. Harbin voted to adjourn the

meeting at 4:50p.m.

__________________________________ ________________________________

Barby J. Simmons, DO LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by:

________________________________________ Phyllis White, Executive Assistant

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