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GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
1
The Georgia Composite Medical Board (GCMB) held its regular meeting on June 9, 2016 at 2 Peachtree
St., NW 36th Floor, Atlanta, GA 30303 to consider Medical Board matters.
Board members present:
Alice A. House, MD, FAAFP, Chair
John S. Antalis, MD, Vice Chair
Keisha Callins, MD, MPH
E. Daniel DeLoach, MD
John Downey, DO
Charmaine Faucher, PA-C (ex-officio)
Alexander S. Gross, MD
J. Jeffrey Marshall, MD
Jane “Cami” McGarity
B. K. Mohan, MD
George “Trey” Powell, MD
Joe Sam Robinson, MD
Ronald “Ronnie” Wallace, MBA
Charles White, DO
Board members absent:
David Retterbush, MD
Richard Weil, MD
Management and legal staff present:
Robert Jeffery, MBA, Executive Director
Edwin Slappey, MD, Medical Director
Janet Wray, Senior Assistant Attorney General
David Stubins, Senior Assistant Attorney General
Carl Bedingfield, MD, Assistant Medical Director
Betsy Cohen, Staff Attorney
Carol Dorsey, Licensure Unit Manager
Daniel Dorsey, Operations Unit Manager
Karl Reimers, Investigations Unit Manager
Patricia Sherman, Enforcement Unit Manager
Phyllis White, Director of Special Projects
CALL TO ORDER
Dr. House called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.
AGENDA AND MINUTES
Dr. Gross submitted a motion, seconded by Dr. Robinson, to approve the agenda of the June 9, 2016
meeting. The motion carried unanimously.
Dr. Gross submitted a motion, seconded by Dr. White, to approve the minutes of the May 5, 2016
meeting. The motion carried unanimously.
Dr. Gross submitted a motion, seconded by Dr. White, to approve the minutes of the June 6, 2016
meeting. The motion carried unanimously.
Dr. Gross submitted a motion, seconded by Dr. DeLoach, to amend the minutes of the June 4, 2015
meeting to correct a spelling error on page 4. The motion carried unanimously.
Dr. Gross submitted a motion, seconded by Dr. DeLoach, to amend the minutes of the January 7, 2016
meeting to reflect the appointment of Jennifer Bass to the position of Deputy Executive Director. The
motion carried unanimously.
Dr. Gross submitted a motion, seconded by Dr. DeLoach, to amend the minutes of the March 3, 2016
meeting to reflect the appointment of Robert Jeffery to the position of Executive Director. The motion
carried unanimously.
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
2
CHAIRPERSON’S REPORT Dr. House presented the following items in her report:
Presented a certificate issued by Secretary of State Brian Kemp proclaiming Ms. McGarity an
outstanding citizen of Georgia.
Presented a certificate issued by Secretary of State Brian Kemp proclaiming Dr. Powell an
outstanding citizen of Georgia.
Presented a certificate issued by Secretary of State Brian Kemp proclaiming Dr. White an
outstanding citizen of Georgia.
The Board took the following actions:
1. Thanked Ms. McGarity for her faithful service to the people of Georgia as a member of the
Georgia Composite Medical Board from July 2, 2012 through July 1, 2016.
2. Thanked Dr. Powell for his faithful service to the people of Georgia as a member of the Georgia
Composite Medical Board from August 15, 2012 through July 1, 2016.
3. Thanked Dr. White for his faithful service to the people of Georgia as a member of the Georgia
Composite Medical Board from May 11, 2007 through July 1, 2016.
EXECUTIVE DIRECTOR’S REPORT Mr. Jeffery presented the following items in his report:
Correspondence from Laura Tao, QT Medical, asking whether or not an out-of-state physician’
reading of results from an electrocardiogram (ECG) device would fall under the Board’s
jurisdiction.
A discussion draft of a document codifying the manner of nominations, elections, and duties of
the Chairperson and Vice Chairperson.
Information and discussion from Dr. Gross concerning model legislation to permit out-of-state
sports teams’ physicians to engage in the treatment of injured athletes during their sporting events
in Georgia.
A proposed rule by the US Department of Veterans Affairs to grant full practice authority to
APRNs.
A May 2016 Medscape article ranking Georgia the 11th-best place to practice medicine, and
naming Johns Creek as a recommended city in Georgia.
A May 2016 Wall Street Journal article discussing a study of telemedicine that found that the
incidence of misdiagnoses of skin problems was unsettlingly high.
Correspondence from Andrew L. Turnage, M.Ed., executive director of the Georgia State Board
of Cosmetology and Barbers, asking whether ultrasound cavitation is regulated by the Georgia
Composite Medical Board.
The Board took the following actions:
1. Referred Ms. Tao to the laws and rules governing telemedicine in Georgia, particularly O.C.G.A.
43-34-31.
2. Assigned the Rules Committee the task of reviewing the issue of codifying the manner of
nominations, elections, and duties of the Chairperson and Vice Chairperson.
3. Tabled the item concerning model legislation to permit out-of-state sports teams’ physicians to
treat injured athletes in Georgia, and asked Dr. Gross to provide more information.
4. Asked Dr. DeLoach to develop a resolution concerning the proposed Veterans Affairs rule.
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
3
5. Asked Mr. Jeffery to inform Mr. Turnage that ultrasound cavitation is the practice of medicine,
and therefore falls under the Board’s jurisdiction.
RULES HEARING
Dr. Gross convened the public hearing concerning the following proposed Rules amendments:
Rule 360-8-.06: “Renewals and Continuing Education.”
Dr. Gross asked if anyone was present to address the Board on the posted Rule amendments. No was
present to address the Board.
Dr. Gross made a motion to amend Rule 360-8-.06 “Renewals and Continuing Education.”
that the Board find the formulation and adoption of these rules do not impose excessive regulatory cost on
any licensee and any cost to comply with the rule cannot be reduced by a less expensive alternative that
fully accomplishes the objectives of the applicable laws; that the Board finds that it is not legal or feasible
to meet the objectives of the applicable laws to adopt or implement differing actions for businesses as
listed in O.C.G.A. 50-13-4(A) (3)(A),(B),(C), and (D).
Rule 360-14-.06: Exceptions to Disclosure and Consent Requirements
Dr. Gross asked if anyone was present to address the Board on the posted Rule amendments. No was
present to address the Board.
Dr. Gross made a motion to amend Rule Rule 360-14-.06: “Exceptions to Disclosure and Consent
Requirements” that the Board find the formulation and adoption of these rules do not impose excessive
regulatory cost on any licensee and any cost to comply with the rule cannot be reduced by a less
expensive alternative that fully accomplishes the objectives of the applicable laws; that the Board finds
that it is not legal or feasible to meet the objectives of the applicable laws to adopt or implement differing
actions for businesses as listed in O.C.G.A. 50-13-4(A) (3)(A),(B),(C), and (D).
Dr. Gross made a motion to amend Rule 360-31-.13: Composition and Responsibilities of the Orthotist &
Prosthetist Advisory Committee. Dr. Gross asked if anyone was present to address the Board on the posted Rule amendments. No was
present to address the Board.
Dr. Gross made a motion to amend Rule 360-31-.13: “Composition and Responsibilities of the Orthotist &
Prosthetist Advisory Committee” that the Board find the formulation and adoption of these rules do not
impose excessive regulatory cost on any licensee and any cost to comply with the rule cannot be reduced
by a less expensive alternative that fully accomplishes the objectives of the applicable laws; that the
Board finds that it is not legal or feasible to meet the objectives of the applicable laws to adopt or
implement differing actions for businesses as listed in O.C.G.A. 50-13-4(A) (3)(A),(B),(C), and (D).
Dr. Deloach seconded the motion, and it carried unanimously.
EXECUTIVE SESSION Mr. Wallace submitted a motion, seconded by Dr. White, to go into executive session to discuss
investigative matters. Dr. House declared the meeting in executive session. Upon conclusion of the
Board’s discussion of confidential matters, Dr. House declared the meeting in open session.
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
4
LEGAL / ENFORCEMENT ACTION REPORT
Ms. Cohen presented the Legal / Enforcement Action Report. Dr. Gross submitted a motion, seconded by
Dr. White, to accept the report. The motion carried unanimously.
The Board took the following actions:
1. SHAH, CHANDRESH BHAUVAT, MD (physician license # 38955): Terminated probation.
2. HEGWOOD, TEKI SUSAN, MD (physician license # 64386): Upon a motion submitted by Dr.
Gross and seconded by Dr. DeLoach, approved a public consent order based on disciplinary
action taken by the Medical Board of California and the Medical Licensure Commission of
Alabama.
3. COHEN, LISA MICHELE, MD (physician license # 62959): Upon a motion submitted by Dr.
Gross and seconded by Mr. Wallace, approved a public consent order based on disciplinary action
taken by the Massachusetts Board of Registration in Medicine, the Medical Board of California,
and the Illinois Division of Professional Regulation.
4. THOMAS, SOREN S., MD (physician license # 26895): Upon a motion submitted by Dr. Gross
and seconded by Dr. Powell, identified an acceptable training program that would comply with
the terms of a public consent order issued October 9, 2014.
5. CASE # 2015-0856: Upon a motion submitted by Dr. Gross and seconded by Dr. Powell,
approved a particular course and training program that would comply with the terms of a private
consent order issued May 5, 2016.
6. CASE # 2016-0049: Upon a motion submitted by Dr. Gross and seconded by Dr. DeLoach,
referred the matter to the Attorney General for summary suspension.
7. CASE # 2016-0622: Issued a letter of concern and closed the case.
8. CASE # 2010-0015: Closed the case.
9. CASE # 2010-0931: Closed the case.
10. CASE # 2010-1369: Closed the case
11. Y.N.: Allowed the Attorney General’s Special Prosecutions Unit access to requested application
and enforcement files.
12. CASE # 2013-0713: Upon a motion submitted by Ms. McGarity and seconded by Dr. DeLoach,
accepted a request for inactive status and closed the case.
13. WINDSOR, ROBERT EARL, MD (license # 31857): Upon a motion submitted by Dr. Gross and
seconded by Mr. Wallace, approved an interim public consent order suspending the license until
the resolution of the pending criminal charges.
14. R.R.: Released information to the US Drug Enforcement Agency in response to a subpoena.
15. POTTS, FRED ERNEST IV, MD (license # 75324): Denied a request to lift prescribing
restrictions specified in a January 7, 2016 public consent order.
16. G.C.: Released information demanded by a Federal Grand Jury subpoena.
17. GOWDER, GEORGE DAVID III, MD (license # 25163): Upon a motion submitted by Mr.
Wallace and seconded by Ms. McGarity, approved an interim public consent order suspending
the license until the resolution of the pending criminal charges.
ATTORNEY GENERAL’S REPORT
Ms. Wray updated the Board on the status of matter that have been referred to the Attorney General for
legal action.
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
5
RECESS
Dr. House declared the meeting in recess at 8:40 a.m. for the purpose of holding committee meetings.
Upon the conclusion of the committee meetings, Dr. House reconvened the meeting at 2:00 p.m.
LICENSURE COMMITTEE Dr. Gross presented the Licensure Committee report as a motion. The motion was seconded by Dr.
Powell. The Board accepted the report by unanimous vote.
The Board took the following actions:
Petitions for Variance / Waiver of Rules
Name Rule Decision
BANSAL, VIPIN KUMAR 360-.02 (5) Granted
CHAND, CHANTELLE 360-2-.09 (3) (b) Granted
HARRELL, SEAN 360-2-.09 (3) (b) Granted
LOPEZ, JOSE 360-2-.01 Granted
PUTHUVEL, SHAJI 360-2-.02 (5) Granted
TATUGADE, ANIKET 360-2-.02 Granted
Requests from Applicants / Licensees
Name Request Decision
D.M. Refund application fee. Granted
J.W. Refund application fee. Denied
N.V. Release certain application documents. Granted
R.V. Release certain application documents. Granted
Applications Not Approved
Name Decision
J.M. Allow to withdraw reinstatement application.
J.W. Allow to withdraw reinstatement application.
M.G. Deny initial licensure application.
D.M. Allow to withdraw initial licensure application.
T.A. Table. Invite for interview.
C.E. Table. Invite for interview.
R.N. Table. Require clinical skills assessment.
S.P. Table. Invite for interview.
J.W. Table. Invite for interview.
V.A. Table. Invite for interview.
P.A. Table. Require documentation of continuing medical education. Unless
Administrative License is requested, require clinical skills assessment. Allow
to withdraw application upon request.
C.W. Table. Unless Administrative License is requested, require clinical skills
assessment.
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
6
Other Business
1. Adopted a policy to administratively approve applications for educational training certificates and
applications for administrative licenses, so long as the applicants have no malpractice or other
practice and/or license history issues.
2. Authorized the Licensure Unit Manager to approve applications for residency training permits
upon receipt of ECFMG test result notifications and all other required documentation, so long as
the applicants have no practice and/or educational history issues.
3. Authorized the Licensure Committee to review and approve applications for residency training
permits that are received and/or completed between June 9, 2016 and July 7, 2016.
4. Directed the staff to draft a letter to the Centers for Disease Control, as well as a newsletter
article, concerning Administrative Physician Licenses.
Approved Applications for Educational Training Certificate:
Name Certificate #
OSTERMAN, FLOYD A JR 1009
ROIZENTAL, MOISES 1008
Approved Applications for Reinstatement of Residency Training Permit:
Name Permit #
WILLIAMS, PELHAM LEONARD IV 7650
Approved Applications for Initial Residency Training Permit:
Name Permit #
AARON, HAYDEN KOEHLER 8400
ABDALLAH, AMJAD 8370
ADEDAPO-JIMOH, OLASUPO 8342
AHLSTROM, SHANE MICHAEL 8343
AHMAD, IMRAN 8367
AHN, JANICE SEULGY 8356
ALI, SHOHEB S 8389
AMIN, PARTH N 8401
AWAD, MOSAAB 8371
BARNES, MATTHEW ALAN 8431
BARRIENTOS, OSVALDO ANDRES 8398
BARRS, CHADWICK DALE 8344
BASILY, ARSANY IBRAHIM 8338
BATAL, HANNIE S 8394
BENSON, RACHEL HANNAH 8435
BERNADIN, TASHINEA MICHELLE 8406
BIEBIGHAUSER, KC 8372
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
7
Name Permit #
BILLINGS, JUSTIN ALEXANDER 8442
BOOKOUT, GREGORY PAUL 8390
CARSTENS, DAVID MICHAEL 8412
CAWLEY, CLINTON MATTHEW 8403
CELANO, EMMA CHRISTINE 8373
CHAVARRIAGA, ALEJANDRO 8399
CHIRANJEEVI, SIVA 8443
CHOKSHI, YERA VIRAL 8330
COLE, BRITTANY RENEE 8339
CRISONA, FRANK JOSEPH III 8358
CUKO, EVIS 8345
DANIEL, STEPHEN PAUL 8354
DE CROOS, MARY CHIRANKA 8355
DE LA LUZ, TATIANA 8357
DE SIMONE, LAURA MARIE 8426
DESAI, KEVAN SUBHASH 8423
DEUTSCH, KALIE ANN 8374
DODD, ASHLEY NICOLE 8375
DOWNEY, GEORGE THOMAS 8441
DZIUBA, KAYLA KRISTINE 8361
EAMES, LACEY JUNE 8437
ELREDGE, KYLE STEVEN 8376
ESSALI, NORAH 8445
FERNANDEZ, JENELLE MARIE 8434
GAMBOA, ADRIANA CAROLINA 8377
GANCAR, JESSICA LAUREN 8413
GARCIA, MARIA VICTORIA 8378
GARLAND, WESLEY ALLEN 8438
GUNNETT, WILLIAM MARSHALL 8408
GUPTA, SHABNAM 8379
HANS, GURKAMAL 8366
HARRELL, SEAN ALEXANDER 8410
HATIC, HARIS 8396
HAYES, BENJAMIN MICHAEL 8391
HEATH, JODI-ANN 8405
HOLT, MAYYADA FAIZAH 8335
JEROME, MAIRIN ASHLING MURPHY 8380
JOHNSON, CARL ANTHONY JR 8432
JORDAN, DESHA MELISSA 8369
KALATHIL, ALKA ABRAHAM 8334
KHAN, SAAD ALI 8428
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
8
Name Permit #
KING, LISA MARIAN 8436
KLENK, LYNNDSEY MICHELLE 8331
KOBLICK, SARAH BETH 8427
KOERNER, JOSHUA N 8407
LAKE, SAMANTHA ANN 8362
LARSEN, REBECCA LYNN 8420
LEE, JIN SUNG 8397
LEE, RACHEL MICHELLE 8381
LEVINA, YELENA 8402
LIU, YING XIN 8382
LOVASIK, BRENDAN PAIGE 8383
LUDI, ERICA KRISTEN 8384
MAALI, LAITH 8409
MARIANO, JOSEPH LAGUANA 8353
MATAR, ABRAHAM JAMIL 8385
MCCULLOUGH, IAN LAWRENCE 8392
MERRITT, MONIQUE L 8336
MILLER, ROYCE CLIFTON 8440
MILLER, SERENA NICOLE 8425
NIEHUUS, RACHEL MARIE 8386
NORMAN, ASHLEY DIANA 8414
NOWACK, TIMOTHY ELLIOT 8429
OLAGUNJU, TOLANI TEMITOPE 8444
PADMANABHA, DEEPAK 8416
PAISIBLE, JAMES DANIEL 8433
PARIKH, VRATI DIPAK 8337
PARKER, JAMES COLE 8430
PATEL, SMEET 8346
PERRY, RICHARD LANE 8347
POORAK, MITRA DEAN 8421
QURESHI, OWAIS A 8411
RAHMAN, HUMA 8333
REDDY, TANYA LUKE 8365
REDMOND, MICHAEL LEE 8393
RENKEN, BRYAN 8348
ROSS, YAEL SARAH 8422
RYAN, CHELSEA ROSE 8363
RYAN, NATHAN E 8349
SAIBU, ABIOLA OMOLABAKE 8360
SHAPIRO, SAMUEL ELLIOT 8395
SHEPARD, ALEJANDRO 8340
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
9
Name Permit #
SHOLES, TIPTON DOVEY 8415
SINGHAL, RISHI 8446
SMITH, MARCHE TEON 8341
SPARKS, TYLER GREGGORY 8350
THOMPSON, ROBERT GILMORE 8404
UKWU, YVONNE NNENNIA 8419
UTHAMAN, MARVIN 8332
VU, QUANGHUY NHAT 8439
WEI, SHIPENG 8368
WHITE, JOSEPH KARL 8359
WOO, REBECCA JO 8352
WOODY, JOHN DENNIS 8424
WUILLEUMIER, JEAN-PAUL 8418
YEE, VICTORIA WEI-YA 8417
YOO, JAMES JAE-HYUNG 8351
YOUNGSTROM, MALLORY LYNN 8387
ZACHARY, GRANT EUGENE 8364
ZAPATA, DAVID SAMUEL 8388
Approved Applications for Reinstatement of Physician Licensure:
Name License #
ANDERSON, JOHN EDWARD 27484
BEALL, JAMES HARVEY III 27492
DESAI, BIREN B 51925
DINGLASAN, JOSEPH R 18799
FEOLE, JOHN BENEDICT 65656
HAIDAR, AQEEL 46767
MCCLUNG, JOHN ARTHUR 39864
MORSEK, JOHN ROBERT 61130
NANCE, DALE RUSSELL 48448
PROTIGAL, MELISSA GRACE 55365
SEKAR, SUNANDHA 39229
SMITH, VERNON C JR 15510
Approved Applications for Initial Physician Licensure:
Name License #
ABENOZA, PASCUAL 76250
ADRISH, MUHAMMAD 76254
AFEWORK, MESFIN 76230
AGOCHUKWU, UZONDU FRANCIS 76259
AJAYI, OLUMIDE ADENIYI 76284
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
10
Name License #
ALBERTSON, CHRISTOPHER MICHAEL 76232
ALI, IRSHAD 76264
ALLEN, LAVEIL MASHUN 76266
ANDERSON, BROOKE 76268
ANDERSON, GRETCHEN NICOLE 76269
ANDERSON, SHAE STEPHEN 76270
ANYANWU, TRACEY 76373
APPAU, KWEKU 76272
ARNOVITZ, PEARL ANN 76274
ASHRAF, SAMIRAH MUNIR 76286
AUGUSTIN, BROOKE 76290
AVERY, RASHIDA ALLEN 76294
AWAAD, MOHAMMED 76236
BANSAL, VIPIN KUMAR 76242
BAUSER-HEATON, HOLLY 76296
BEHBAHANI, TURANG ED 76298
BENARROCH-GAMPEL, JAIME 76380
BISHNOI, RAM JEEVAN 76299
BISSLER, JOHN J 76301
BLAIZE, MARIE DR 76302
BOAKYE, KWABENA 76303
BOYD, JEREMY 76304
BOYER, FREDERICK AUSTIN 76306
BRENNAN, JOHN A 76308
BROCK, KATHARINE ELIZABETH 76309
BROOKS, THOMAS JEFFERSON IV 76311
BUENO, YOLIN AUGUSTO 76312
CARRION-JONES, MONICA JEANETT 76314
CHAMPAGNE, BRADLEY PAUL 76317
CHARRIER, REGINA CHARRIER 76381
CHO, SUNG ROCK 76319
CHOI, MARY JOUNG WON 76378 (Administrative License)
CHOKSI, KASHYAP B 76320
CHUANG, PHILIP YEN YEA 76322
CHUNG, EUNJIN 76323
COSTE, HILDA ELIZABETH 76243
DANIELS, AMARIS EVANS 76324
DAVENPORT, WILLIAM W 76325
DAVIDSON, KELSEY 76326
DAVIDSON, NICOLE ADRIANA 76327
DIPOCE, JASON MARC 76329
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
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Name License #
DRYZER, SCOTT RANDALL 76376
EFOBI, ANTHONY UDOKWU 76331
EHSANI, LALEH 76332
ENWEZOR, CHUKWUNYELU 76336
EZEWUIRO, OBIAGELI CHINAKA 76245
FAASSE, SARAH 76337
FABER, THEODORE TOM 76339
FERREIRA, YVONNE BARBARA 76247
FITHIAN, WILLIAM TAYLOR III 76340
FLASTER, RONALD D 76248
FLETCHER, DEREK 76371
FRANCIS, SERENE ANNIE 76341
GAFFNEY, VANDY THEODORE II 76342
GAINOR, DANIELLE 76343
GALAT, JOHN A 76345
GANDHI, JONATHAN 76346
GARCIA-HERNANDEZ, ALEJANDRO 76292
GARRICK, BENJAMIN 76348
GILBERTSON, LAURA 76361
GOYAL, DHARMENDRA KUMAR 76249
GUPTA, PALLAVI 76349
HAFER, AMANDA ELIZABETH 76211
HALFORD, BRITTNE A 76262
HALL, GRAVES SCOTT 76214
HALL, HAROLD ANDREW 76196
HAMEED, FARWA 76234
HAMMOND, MATTHEW WILLIAM 76119
HANDRATTA, VENKATESH DHANANJAY 76148
HAYLIE, SHIMELS 76334
HAYNES, RENEE MONIQUE 76287
HEBERT, LAUREN MARIE 76318
HEDLEY, JEFFREY STEPHEN 76276
HENDERSON, DEANNA 76223
HERBIG, PETER KARL 76355
HOCH, MICHAEL JOSEPH 76121
HOLLANDER, JUDD 76131
HUFFINGHAM, ASHLEY 76138
HYATT, DARREN JAMES 76133
IBELEMA, DANIELLE BOMA 76263
IBIE, NOWOGHOMWENMA CHARLES 76354
INGLESE, MARC 76297
GEORGIA COMPOSITE MEDICAL BOARD
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Name License #
IVANAUSKAS, SAULIUS 76221
JACKSON, JUSTIN MYRON 76288
JACOBS, JULIE 76275
JAIN, ANKIT 76244
JAVIDFAR, JEFFREY 76252
JIANG, JIMMY 76128
JO, JAMES KIM 76155
JUDGE, ERICA LATISHA 76347
JULIANO, BARBARA MARIE 76338
KARKI, YALIZA 76330
KASSAMALI, ALI 76333
KAVOLUS, JOSEPH JOHN 76217
KAVURI, RATIKA S 76321
KHAN, ASMA LATEEF 76237
KHAN, MONICA 76344
KHAN, ZARAQ 76226
KINER, JASON LAWRENCE 76124
KIRKLAND, BRANDON WINSLETT 76350
KISSIEDU, JULIANA 76265
KNIGHT-NELSON, LINDA JOY 76258
KOCH, CHRISTOPHER TROY 76362
KOEPPEL, WILLIAM 76204
KONERU, VEDA LAKSHMI 76253
KORNBLATT, BENJAMIN 76305
KOSIK, RUSSELL OLIVER 76246
KRASHIN, JAMIE 76251
KUMAR, NAVEEN 76260
KUNTZ, JOANNE GOULD 76316
KUNTZ, RICHARD 76168
LACCHEO, IKUKO 76375
LAKHANPAL, SANJIV MD 76357
LAMIKANRA, OPEYEMI ELAINE 76202
LAMOUREUX, CHRISTINE ANNE 76377
LAMPTEY, LESLIE 76352
LANHAM, JASON S 76328
LAOTHAVORN, JUNTIRA 76279
LEAVITT, MITCHEL ALTMAN 76160
LEE, LATOYA JEAN 76289
LEE, MONICA HYUN JOO 76307
LEFEVRE, ASHLEY SUZANNE 76353
LOGAN, MELISSA 76273
GEORGIA COMPOSITE MEDICAL BOARD
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JUNE 9, 2016
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Name License #
LOHMANN, KATHRYN MARGARET 76241
LOPEZ, CHRISSY 76313
LOPEZ, ENRIQUE PATRICK 76310
LOUGH, CHRISTOPHER MICHAEL 76199
LUTGRING, JOSEPH DANIEL 76360
LYNCH, MARSHA CAMILLA 76165
MACKEY, ROBERT ANDREW 76278
MALIREDDY, RAHUL REDDY 76174
MANOHAR, AKSHAY 76280
MANSOURI, AZAD 76153
MANU, YAA 76283
MARSHALL, KEIR DOUGLAS 76295
MARTIN, JONATHAN GILBERT 76229
MARTINO, JENNY LIVIA 76363
MASSOLL, NICOLE ANN 76374
MATHUR, JAY SIMLOTE 76257
MAULDIN, JILL G 76366
MAURICE, NICHOLAS MICHAEL 76171
MAYHALL, GEORGE ALLEN 76282
MCCANN, ASHLEY LAUREN 76369
MEDINA, PAMELA 76359
MEHTA, AMISHA S 76261
MERSHA, KAREZHE TIGINEH 76151
MESSERSCHMIDT, CORY ARTHUR 76255
MIER, MARY LEE 76143
MILLER, DEON 76271
MITRA, SUBHASH CHANDRA 76135
MONAHAN, MICHAEL BLAIR 76351
MONDERSON, THESSELON 76367
MOUSAVI, FATEMEH 76267
MUESSE, JASON LEONARD 76178
MUFTAH, LOAY AHMED 76281
MURPHY, JAMES ANTHONY 76126
MUSYIMI, SUSAN NDUKU 76132
MUZAHIR, SAIMA 76335
MWANGI, WANJA E 76118
NAGAR, ANUSUIYA 76136
NANOS, KATHERINE 76372
NEIMKIN, MICHAEL GEORGE 76141
NELSON, KATHRYN JOY 76207
NEWTON, DAVID 76163
GEORGIA COMPOSITE MEDICAL BOARD
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JUNE 9, 2016
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Name License #
NGUYEN, BINH VINH LE 76285
NGUYEN, JONATHAN 76300
NGUYEN, KHANH QUOC DO 76293
NJOKU, VICTOR C 76291
NNODIM, AHAMEFULA 76122
NORELIUS, RONA 76358
NUTANKALVA, LAVANYA 76150
OBIAKA, CHIGOZIE UZOCHUKWU DR 76356
ONUIGBO, MACAULAY 76209
ORLOSKY, MICHAEL JOE 76256 (Administrative License)
OVERMAN, KELLY 76315
OYEKOYA, ADEBOLA IRETIOLA 76277
PATEL, BHAVIKA RAJANIKANT DR 76120
PATEL, GAURANG PUNAMCHAND 76123
PATEL, JAY GIRISH 76125
PATEL, JOY 76127
PATEL, RUCHI 76146
PATEL, VAISHALI 76129
PATIDAR, VINIYA 76130
PENMETSA, RAM GOPAL 76134
PHILIPSBORN, REBECCA 76137
PIRKLE, CHRISTEN SUZANNE 76139
POLING, JUSTIN SCOTT 76140
PORUBSKY, CAITLIN 76142
PRABHU, SANJIV DR 76144
QUINLIVAN, EVELYN BYRD 76145
QUINONES, LUIS ANTONIO 76117
RADOSEVICH, MISTY ASET 76365
RAMAN, BHARGAV 76147
REYES, LORETTA 76149
RICHARDSON, ZACHARY 76157
RICKS, NITASHA MENON 76364
ROCHE, WILLIAM PATRICK IV 76152
ROCUTS MARTINEZ, KLIFFORD ALEXANDER 76154
ROWE, KRYSTINA ASHLEY 76156
RUSSO, CHLOE LAN 76158
SANDERS, LINDA 76159
SARDI, ALEJANDRO HUMBERTO 76161
SCALCIONE, LUKE 76162
SCHIAVO, DANTE NICHOLAS 76164
SCHNEIDER, THOMAS MICHAEL 76166
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
15
Name License #
SCHULLER, KYLE WILLIAM 76167
SCHURDELL, MICHAEL SCOTT 76169
SCHWARTZ, AARON REUBEN 76370
SENGUPTA, SOMA 76170
SEVDY, TRISTAN 76172
SEWELL, ELIZABETH KAREN 76173
SHAFEY, AMIRA 76175
SHAH, MICHAEL 76176
SHAKER, SHAUN SANTHOSH 76177
SHAPOVAL, ANTON 76179
SHIH, EDMOND 76180
SHILDT, NATALY DE LOS ANGELES 76181
SHIN, AH RIM 76182
SHYELLE, MAURIEKE DEER 76200
SIBLEY, CHARLES ALLAN 76183
SIDHPURA, VINIL 76184
SIMELTON, BERNARD HUGH JR 76201
SIMMS, K'JOY JASMINE ANTHEA 76203
SINGH, BHAVANA PENDURTHI 76185
SINGH, SATYA 76187
SINHA, RAINA 76186
SMALLS, NORMA MICHELLE 76205
SMITH-WINFIELD, CHRISTINA MARIE 76206
SOKKARY, NANCY 76208
SOLIMAN, JOHN SELIM 76368
SONG, CLIFFORD 76210
TAGHIZADEH, PANTHEA 76188
TAJ, JABEEN 76189
TATUGADE, ANIKET ASHOK 76212
TAYLOR, ANGELETA 76190
TAYLOR, MICHAEL ASHLEY 76191
TAYLOR, SARAH KRISTEN 76213
THIEL, JAMES MICHAEL 76379
THOMAS, TIMOTHY NATHAN 76192
THOMPSON, ALLISON HARRIS 76193
TIFFEE, AARON SCOTT 76215
TODD, SHEEL 76194
TROTTA, BRIAN 76195
TRUSSELL, JOHN KERWIN 76197
TSAI, YI JOU 76198
VIERA-NEGRON, KARLA AITME 76216
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
16
Name License #
VU, ANH-THU NGO 76218
VULAVA, SRIKRISHNA 76219
WANG, LIHUAN 76220
WANTA, BRENDAN THOMAS 76222
WATSON, JONATHAN RICHARD 76224
WATSON, MELISSA J 76225
WHITE, FRANKIE HUGH JR 76227
WHITE, SHENITA 76228
WHITFIELD, JOHN DAVID 76231
WU, ZHEN 76233
YIRENKYI, HENAKU KWADWO 76235
ZAIDI, TAKI A 76239
ZHANG, SHUANG QIN 76240
ZHANG, YUANHUI 76238
Applications to be Approved upon Receipt of Additional Information:
Name File #
C.C. 75485
D.A. 74673
J.M. 75119
K.H. 74977
K.S. 74736
M.R. 75653
P.P. 75307
S.E. 74545
S.P. 75546
S.S. 75297
D.M. 75501
PHYSICIAN ASSISTANT COMMITTEE Dr. Antalis presented the Physician Assistant Committee report as a motion. The motion was seconded by
Dr. Mohan. The Board accepted the report by unanimous vote.
The Board took the following actions:
Approved Requests for Additional Duties:
Physician Assistant (License #) Supervising Physician (License #)
BOLTON, CASEY (7500)
1. Cosmetic filler injections
2. Neurotoxins
MULBERRY, MICHAEL JACOB (50725)
CURTIS, BERKLEY CALVIN (5534) HEAD, LYNDSAY WALTERS (69864)
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
17
1. Central lines
2. Chest tubes
3. Intubation
4. Thoracentesis
DANIELS, CARA (7031)
1. Arterial lines
2. Intubation
3. Pulmonary artery catheters
BENDER, WILLIAM SCOTT (73903)
EASTERLING, SIDNEY ADAIR (6138)
1. Image-guided abdominal abscess drainage
2. Image-guided liver biopsy
3. Image-guided lung drainage
4. Image-guided thyroid biopsy
SMALL, WILLIAM CLARK (31836)
FRIEDMAN, MATTHEW (7111)
1. Central lines
2. Chest tubes
3. Intubation
4. Thoracentesis
SWENSON, COLIN (74378)
REGER, HEATHER DANIELLE (5509)
1. Central lines
2. Chest tubes
3. Intubation
4. Thoracentesis
BROWN, ANGEL (74482)
SIEDOR, KATHERINE MARY (7654)
1. Botox and Dysport injections
BABCOCK, MELISSA DAWN (59368)
TIAN, LARISSA (5526)
1. Central lines
2. Chest tubes
3. Intubation
4. Thoracentesis
BROWN, ANGEL (74482)
Tabled Requests for Additional Duties:
Physician Assistant Supervising Physician
H.P.
1. Diagnostic and therapeutic paracentesis
A.Q.
Approved Applications for Reinstatement of Physician Assistant Licensure:
Physician Assistant License # Supervising Physician (License #)
JONES, GARY PAUL 3366 (No supervising physician approved)
ROBB, DANIELLE LINDSEY 5722 CRANFORD, MATTHEW S (34801)
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
18
Approved Applications for Initial Physician Assistant Licensure:
Physician Assistant License # Supervising Physician (License #)
ALBRITTON, JULIAN 7996 FRAY, ALICE M (66598)
AMAN, JESSICA LYNN 7999 (No supervising physician approved)
BECK, JESSICA ELIZABETH 8009 FABREGAS, JORGE A (56556)
BERMAN, ASHLEY ELISABETH 7995 DUKES, RICHARD GERALD (51875)
BOOS, EDWARD PHILIPP 7994 PENDLETON, ALBERT MARTIN (68965)
BRANNEN, JODI 7975 WILLIAMS, SHAWN RAY (66841)
CUMBIE, ERICA 7974 DUKES, RICHARD GERALD (51875)
ECKERT, JACQUELINE 8003 BARBER, WILLIAM ALAN (25525)
ELLIOTT, ASHLEY ELAINE 8000 HUM, MONICA ANN (53247)
FLANAGAN, ERIN 7972 (No supervising physician approved)
FREEMAN, CAROLINE CLARK 7993 REDDY, ASHOK SATTY (39449)
FRUTCHEY, AMIEE MORGAN 7978 COOPER, WILLIAM ARTHUR (37977)
GIERKE, KRISTY JOANNE 7973 BROCK, CHAD JASON (54795)
GIGLIO, MICHELLE 8002 ROBINSON, BURKE PAUL (39921)
HALES, DELANEY STOVALL 7977 SPIEGL, PAUL VICTOR (25045)
HASS, CHRISTOPHER BRIAN 7992 JENSEN, ERIC EUGENE (50304)
JAGOR, HAYDEN SUTHERLAND 7991 PATEL, JITESH VINOD (65869)
JENKINS, JESSICA LAUREN 8007 BLANKS, KEITH ANTHONY (52042)
KIMBLE, ERIN GROH 7970 (No supervising physician approved)
LONG, DARCY MCDONALD 7990 ROMAN, CHARLES PAUL (43757)
MALONZO, BENJAMIN LAGUITAR 7976 DUGGAN, MICHAEL (69400)
MASSAD, GEORGIANA MOODY 7989 JONES, JOHN ELDRED (58886)
MATHENY, ELIZABETH MARIE 8001 PARAMESH, SRIRAM IYER (47129)
MATHEW, MARINA 8008 ANTIN, TODD MITCHELL (36495)
MCDONALD, JESSICA ELIZABETH 7988 PRINGLE, KIMBERLY DIANA (69425)
MCPHAIL, REBECCA CLANTON 7979 (No supervising physician approved)
MENTON, KEITH 8005 ROGERS, STEPHEN ERNEST (26180)
MUSCIANO-HOWARD, ALLYSON 7987 GUY-CRAFT, WANDA (64224)
POWELL, SHEENA 7986 WHITLEY, MATTHEW KYLE (66673)
RALSTON, JORDAN NIX 7981 (No supervising physician approved)
RAY, CRISTEN LEA 7971 PATEL, CHIRAG HASMUKH (58715)
ROSENBERG, MAX RYAN 7985 PATEL, HIREN (70619)
RUTLAND, WILLIAM CARY 7984 SANDIFER, BRETT LEE (51381)
SANCHEZ, MONICA SULEMA 7997 SATUR, NANCY MARLENE (70772)
SMITH, ANN KATHRYN 7980 (No supervising physician approved)
STEFFEN, KATHLEEN ELIZABETH 7983 BACKER, THOMAS SCHEELE (30711)
STONE, CAROLINE CARVER 7998 (No supervising physician approved)
WARD, JOANNA MARIE 8004 JACKSON, ALVIN (66163)
WEDDINGTON, JASON TYLER 7982 JAMES, PLAS TERRENCE (32756)
WILLIAMS, MALLORY STEWART 8006 RENDON-GARCIA, JOSE MIGUEL (37655)
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
19
Approved Applications to Add/Change Supervising Physician:
Physician Assistant License # Supervising Physician (License #)
ANDERSON, CHRISTINE ANN 4789 CARNEY, KENNETH JEFF (50349)
ANDERSON, CHRISTINE ANN 4789 KROWICKI, JOHN ANTHONY (25880)
ANDERSON, CHRISTINE ANN 4789 DAVOODI, PUYA (62833
ANDERSON, CHRISTINE ANN 4789 GAY, SOPHENIA REBECCA (67868)
BABABEKOVA, YANA 6758 PATEL, DHARMESHKUMAR (55264)
BALDWIN, SAMANTHA DECAMP 6199 LU, JOHN TUAN (40727)
BASSEY, SHIRLEY EPHRAIM 6593 CARTHON, BRADLEY CURTIS (66462)
BAYES, EMILY KAY 7461 BUSBEE, JONATHAN FRANK (40336)
BENCE, SARAH 6477 MORGAN, CHRISTOPHER (66151)
BENDER, MEAGAN ANNE 7178 AUGUSTIN, GUY YVES (70852)
BLAIR, EMORY SCOTT 7540 GARRETT, JOSHUA LEON (58866)
BOETTCHER, KATHLEEN 6568 KAKKAR, AMAN KUMAR (56303)
BOLTON, CASEY 7500 MULBERRY, MICHAEL JACOB (50725)
BOZEK, BROOKE DOUGLAS 7562 ROARTY, JOSEPH (61648)
CAMP, ALEXANDRA V. 7181 GOSS, JENNIFER G. (57367)
CASANOVA, PEDRO JUAN 2333 OJIAKU, ALAMEZIE (69819)
CASANOVA, PEDRO JUAN 2333 QUINLAN, JESSICA ANNE (73135)
CASANOVA, ROSEMARIE 5231 GAY, SOPHENIA REBECCA (67868)
CASTILLO, LORENA ADRIANA 7131 KALAITZIDIS, GEORGINA (56186)
COLEMAN, ELIZABETH BLAIR 3744 SASSER, THOMAS MICHAEL (53152)
COLLINS, JESSICA ELLA 4460 PATEL, NEAL CHHITU (71755)
CONNER, AMANDA MICHELLE 5057 GILBERT-GREEN, JACALYN (74801)
CURTIS, BERKLEY CALVIN 5534 HEAD, LYNDSAY WALTERS (69864)
DAPAAH, RALPH 6248 HANDA, AJAY (46599)
DARBY, JOLINA M 7339 WETSTONE, JORDAN MATTHEW (30239)
DARE, TIMOTHY JAY 3559 FREDERICK, DAVID MICHAEL (74006)
DAVDA, NARESH MANEKLAL 7937 FLEMISTER, AKEEM (74137)
DAVIS, FRANKIE ELIZABETH 4429 KELLY, ROBERT A (34872)
DAYA, UMA TRIVEDI 5779 LEE, JAMES YONG (56583)
DEGRAW, KATY 7722 VICCHRILLI, MOLLY REES (58364)
DESAI, BIJAL JYOTINDRA 6335 ASTIL, BEFIKIR (73741)
DESRUISSEAUX, NICOLE 7738 FLEXON, PHILLIP BILLINGS (31737)
DEV, JASMINDER SINGH 5853 GANDHI, KAMLESH SHANTILAL (27190)
EID, CHRISTINA KHALIL 5855 DESAI, HARSHEEL H (70874)
EVBUOMWAN, ENOMA 7457 FLEMISTER, AKEEM (74137)
FAZEKAS, ALICE FISHER 4858 GALE, DAVID WILLSON (43618)
FISHER, GREGORY LEE 2916 ALLEYNE, RON (70518)
FORRISTER, LORI BRUMIT 1543 PRYOR, HEATHER ANNALEE (44310)
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
20
Physician Assistant License # Supervising Physician (License #)
FRIEDMAN, MATTHEW 7111 SWENSON, COLIN (74378)
GARCIA, SHAWN DWAYNE 7229 RAFEEDIE, GEORGE KALEEL (67591)
GIECK, RICHARD E 7451 FILMORE, GERALD L (50288)
GIST, JULIAN CHRISTOPHER 4861 OJIAKU, ALAMEZIE (69819)
GLOBERMAN, MARK A 3396 SWARTZENTRUBER, GARY (63965)
GROMADZKI, MARY 3057 SMITH, BENJAMIN ROY (44338)
HANLON, JENNIFER 7589 SYROP, TAMA LYNN (43135)
HANSANA, BINA PATEL 5259 FRIEDLAND, LANCE BRIAN (28268)
HARDIN, TRAVIS KEITH 7192 GONZALEZ, RAUL ALBERTO (24942)
HARRIS, MARGARET F. 4041 GBADEBO, OLUFOWOBI SUNDAY (54096)
HARRIS, MARGARET F. 4041 LICHTMAN, MICHAEL STEPHEN (44003)
HERMECZ, HILARY LEIGH 7806 PATEL, HIREN (70619)
HERSCH, THOMAS ELLIOT 5859 DI BLASI, JOHN JAMES (75206)
JOHNSON, FRANCIS NICOLE 6284 MCLEOD, DONALD SCOTT (22591)
JOHNSON, LAURA NICOLE 4660 MCMAHON, MICHELE MARIE (64679)
JONES, TRACI TAYLOR 7877 BOOKOUT, ANGELA LOVE (68485)
KERR-GRIFFIN, KIMBERLY 2396 ROBINSON, RANDY GERALD (35987)
KESHWANI, YASMEEN 5986 KENNEDY, SHEILA (68227)
KRUENEGEL, KEVIN LOUIS 5820 TAYLOR, COLLEEN ANN (63967)
LAMB, JOSEPH 5768 JOHNSON, MICHELE MARIE (53763)
LEAVITT, BLAIR ALAN 6927 BUSHNELL, BRANDON DUBOSE (61216)
LEE, CHANTEL MARIA 5514 ACQUAH, FRANCIS KWAME (38160)
LIDELL, JOHN MARK 2952 GILBERT-GREEN, JACALYN (74801)
LYTLE, NICOLE ALICIA 3771 MCLAREN, JOHN RANDON (21749)
MALCOLM, RONALD MAURICE 2081 DUCHYNSKI, MICHAEL PATRICK (71336)
MARTINELLI, MICHAEL PAUL 4436 LEFKOVE, BENJAMIN (72629)
MATTINGLY, JILL RAE 3283 KELLER, SCOTT TERRY (24445)
MCELMURRY, ELIZABETH 7485 MOON, KYONG ROK (63374)
MEHTA, KARMA D 6676 SELSER, HELEN GORDON (29529)
MELKUS, CAROLYN M 7894 MECCA, ANDREW THOMAS (36574)
MORROW, BRANDON LEE 7888 HAZZARD, MATTHEW AARON (74233)
MURRELL, BRIAN PATRICK 5100 ARKIN, DAVID BARRY (28136)
NAJARRO, GABRIEL R 6368 PATEL, DHAVAL D (72394)
NCHO, CLEMENT A 6000 RAMSUE, CLAYTON MARCELLUS (49938)
OPOKU-AMANKWAH, PATRICK 5919 NOYES, CHRISTINA DITHMER (58542)
PAGADALA, REKHA 5410 KOKENES, CONSTANTINE (30334)
PALMER, ANTRON JAMAL 6942 LU, JOHN TUAN (40727)
PANDYA, KALYANI ARUN 7671 BURSTEIN, FERNANDO DAVID (32141)
PATEL, AAKASHI 6792 KAMAT, PARESH (70212)
PEARCE, SHANNON LYNN 4196 ESTES, JAMESON ANDREW (48852)
RANDALL, EMILY KIRSTEN 7635 MILLER, JACK LEON (24987)
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
21
Physician Assistant License # Supervising Physician (License #)
REGER, HEATHER DANIELLE 5509 BROWN, ANGEL (74482)
ROBINSON, GILLIAN ANDREA 5970 PODDAR, SATISH BABULAL (43264)
ROBINSON, SUSAN PAULETTE 2513 OKWUMABUA, ISIOMA (70256)
ROSE, JAMES ERIC 3570 GILBERT-GREEN, JACALYN (74801)
RUBIO, SUSAN J 6752 HUONG, JOE TZONG-JYH (65568)
RUSS, EMILY LYNN 6411 LAIPPLE, DOUGLAS KAY (21410)
SADOWSKI, CATHERINE KELSO 7818 DICKERSON, ELIZABETH ANNE (36136)
SALLY, DONALD E 2071 PARIKH, NARESH KUMAR (28851)
SAWYER, MARY RACHEL 7887 WOLFSON, ILYA (51860)
SAWYER, SOONJA LOUNAZA 6829 RANDOLPH, BRION VINCENT (68281)
SHELLITO, KAREN QUINN 2842 SHAY, ROBERT JOSEPH (40546)
SMITH, GABRIEL GORDON 5325 GILLIARD, FRED E (12468)
SPENCER, JASON C 3768 MUNRO, IAN (66226)
STANSELL, CHRISTOPHER ALLEN 5105 HARRIS, EUGENE HERBERT (59658)
STONE, DAWN 5977 GAY, SOPHENIA REBECCA (67868)
TAYLOR, COURTNEY NICOLE 4237 BURKMAR, JENNIFER ANNE (72437)
TAYLOR, TIFFANY ANN 5828 WOLFF, CRAIG EDWIN (34272)
THOMAS, REBEKAH EVELYN 6585 TATA, UDAY KUMAR (53413)
THORPE, BRIAN JOHN 5327 SUTHERLAND, GEORGE BEATTIE (62612)
TIAN, LARISSA 5526 BROWN, ANGEL (74482)
TRAN, NGOC BUU 6553 PENDLETON, ALBERT MARTIN (68965)
TRAN, NGOC BUU 6553 WILSON, DAWN R (47279)
TRAN, TAM HOANG 6554 PERDOMO, ONELIO EMILIO (22351)
TYWON, SHAWN EDWARD 2613 GUTIERREZ, RAYMOND ELIAS (57983)
VIGIL, HILDA 7526 MILLER, JACK LEON (24987)
WALDMAN, ASHLEY L. 5718 BAILEY, KATIE (73733)
WHITIS, NICOLE ANN 6503 CLURE, CHRISSIE GAYE (49281)
WILLIS, KANDI LAUREN 7204 MCCORMACK, THOMAS WAYNE (51255)
WOODS, CHRISTOPHER ALLEN 7755 GILLIARD, FRED E (12468)
CLINICAL PERFUSIONISTS COMMITTEE Dr. House presented the Clinical Perfusionists Committee report as a motion. The motion was seconded
by Dr. DeLoach. The Board accepted the report by unanimous vote.
The Board took the following actions:
Approved Applications for Initial Clinical Perfusionist Licensure:
Name License #
MILLER, HAYDEN DUANE 271
PRESTON, THOMAS JOHN 274
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
22
Approved Applications for Provisional Clinical Perfusionist Licensure:
Name License #
GILMORE, SEBASTIAN G 268
HINTON, JACKLYN 272
LAMONTAGNE, ALAIN NICHOLAS JR 273
TREADWAY, ANNA 269
WALLER, CHELSEY ELIZABETH 270
Other Business
1. Directed the staff to follow up on an inquiry concerning the use of the letters “C.C.P.” in clinical
settings.
RESPIRATORY CARE PROFESSIONAL COMMITTEE
Cami McGarity presented the Respiratory Care Committee report as a motion. The motion was seconded
by Dr. Downey. The Board accepted the report by unanimous vote.
The Board took the following actions:
1. Approve of the following applicant requesting a twelve (12)-month Permit:
Armstrong State University
1. Harris, Allendra
2. Menard, Frederick – Table pending more information
Central Virginia Community College
1. White, Shaneka
Columbus Tech College
1. Caradine, Doron
Concorde Career College
1. White, Jennifer
Georgia Regents University
1. Ivey, Naeconda – Pending more information
Georgia State University
1. Aguilar, Iorena
2. Henderson, Jasmine
3. Lim, Elizabeth
4. Rogers, Kizzel
George C. Wallace Community College
1. Tindell, Anna
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
23
Middle Georgia State University
1. Benford, Cassidy
2. Clance, Caleb
3. Fields, Jonathan
4. Huynh, Thao
5. Joyner, Brittany
6. Riley, Cierra
7. Stewart, Rebecca
8. Vaughn, Amber
9. Warren, Janna
South Western Community College
1. Marsocci, Nicole
2. Review of the following applicants requesting licensure by Reciprocity:
1. Abraham, Tiam
2. Brooking, Meredith – Pending more information
3. Campbell, Shirley
4. Clark, Sonya – Pending more information
5. Cochrane, Shenitra
6. Cooper, Marianne
7. Fobare, Hermina
8. Filimon, Vasile
9. Guyse, Nancy
10. Heath, Stephanie
11. Morrison, Christine
12. Paige, Erin Pending more information
13. Seigel, Shanna
14. Scott, Ramone – Pending more information
15. Smith, Randall
16. Taylor, Gregory Pending more information
17. Thomas, Archaiela
18. Walker, Chnette Pending more information
19. Webber, LaTony
20. White, Ashley – Pending more information
21. Williams, Carol
3. Review of the following applicants requesting licensure by Reinstatement:
1. Abdulahi, Burlie
2. Dorley, kou
4. The following given full licensure by Administrative Action:
1. Davis, Sherri
2. Griffin, Anthony
GEORGIA COMPOSITE MEDICAL BOARD
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JUNE 9, 2016
24
3. Jackson, Toni
4. Jones, Sherelle
5. Massey, Peyton
6. Mathis, Chelsey
7. Mena, Gabriela
8. Osman, Ikraam
9. Roeder, Fharyn
10. Jones, Tanesha
11. Walton, Jacob
12. Williams, Jeremy
13. Akuffo, Joseph
Other Business:
Review Prior minutes regrading having license requirement change for TRCP upgrade to full licensure
RRT from NBRC. Staff research Laws/Rules on this matter.
ACUPUNCTURE COMMITTEE
Dr.Mohan presented the Acupuncture Committee report as a motion. The motion was seconded by Dr.
DeLoach. The Board accepted the report by unanimous vote.
The Board took the following actions:
Accepted the following Quarterly Report:
John Albright
Hannah Tran
Other Business:
Invited Li Jiang to join the advisory committee.
Accepted the list of limited licensees and supervisors.
COSMETIC LASER PRACTITIONER COMMITTEE REPORT
Dr. Gross presented the Cosmetic Laser Practitioner Committee report as a motion. The motion was seconded by Dr. Downey. The Board accepted the report by unanimous vote.
Approve of the following applicants for an Assistant Laser License:
Bridges, Logan
Bogle, Alexandra
Giddens, Talarie
Graves, November – Table for further information
NURSE PROTOCOL COMMITTEE Dr. House presented the Nurse Protocol Committee report as a motion. The motion was seconded by Dr.
Antalis. The Board accepted the report by unanimous vote.
The Board took the following actions:
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
25
The Board determined that the following protocol agreements meet the provisions of
OCGA 43-34-25:
APRN DELEGATING PHYSICIAN
Bastia, Jean Gill, Ravinderpal MD
Bell, Lindsey Harper, Lina MD
Belouche, Renato Huong, Joe DO
Bowden, Allison Patel, Dipesh MD
Bowden, Allison Caldwell, Craig MD
Bowden, Allison Goodwin, Jeremy MD
Bowden, Allison Livingston, James MD
Bowden, Allison Manley, Haley MD
Bowden, Allison Baraltei, Florence MD
Bowden, Allison Woodall, Lee MD
Bowden, Allison Wilson Terri MD
Boyd, Pamela Poynter, David MD
Brinkley, Josephine Ludwig-Arona, Audrey MD
Brooks Sr., Damion Scott, William MD
Cameron, April Kelly, Patricia MD
Carpenter, Francine Jackson, Thomas MD
Cavazos, Sara Cloutier, Megan MD
Cheeseman, Karen Dutta, Eamon MD
Crawford, Randall Higgins, John MD
Davenport, Lottie Polow, Sarah MD
Day, Elizabeth Harbin, Anthony MD
Diskin, Lindsey Kalynych, Anna MD
Favis, Tara Sow, Charles MD
Felser, Carole Winokur, Mark MD
Fleming, Carrie Rogers, Benjamin MD
Folkert, Michelle Effinger, Karen MD
Ford Jr., William Brown Jr, James MD
Ford, Nicole Brown Jr, James MD
Hicks, Robert Ramsdell, Bruce MD
Holts, Kalato Amoa-Bonsu, Felix MD
Jackson, AnJanean Primrose, Melissa MD
Jani, Drashti Opanuga, Ademola MD
King-Byrne, Ava Caldwell, Craig MD
King-Byrne, Ava Frinks, Terrance MD
King-Byrne, Ava Goodwin, Jeremy MD
King-Byrne, Ava Hendrick Jr, Edwin MD
King-Byrne, Ava Joseph, Kirpich MD
King-Byrne, Ava Klassen, Robert MD
King-Byrne, Ava Baralatei, Florence MD
King-Byrne, Ava Bullecer, May MD
King-Byrne, Ava Livingston, James MD
King-Byrne, Ava Manley, Haley MD
King-Byrne, Ava Morris, Wayne MD
GEORGIA COMPOSITE MEDICAL BOARD
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JUNE 9, 2016
26
King-Byrne, Ava Patel, Dipesh MD
King-Byrne, Ava Watson, Nancy MD
King-Byrne, Ava Westmoreland, Anon MD
King-Byrne, Ava Wilson, Terri MD
King-Byrne, Ava Woodall, Lee MD
Lipscomb, Cheri Sow, Charles MD
Marshall, Damali Onofre, Gabriel MD
Marshall, Tiffany Howard, Kenneth MD
Moore, Verreta MgBodile, Francisca MD
Moreland, Rayona Amoa-Bonsu, Felix MD
Muranja, Mary Vakharia, Mahaveer MD
Nicholson, Teresa Mixson, Robert MD
Nofziger, Angel Burkich, Robert MD
Oliver, Kristin Chin, Victor MD
Pingeton, Robin Figiel, Gary MD
Pulliam, Kira Beckford, Tanya MD
Raimondo, Kristine Darlington, Andrew DO
Rollins, Kalita Singhal, Sunit MD
Sauers, Caroline Hemphill, John MD
Siddle, Jennifer Montero, Aldemar MD
Spearman, Pamela Onofre, Gabriel MD
Stephens, Tammy Primrose, Melissa MD
Swift, Lisa Bullecer, May MD
Swift, Lisa Frinks, Terrence MD
Swift, Lisa Hendricks Jr, Edwin DO
Swift, Lisa Joseph, Kirpich MD
Swift, Lisa Morris, Wayne MD
Swift, Lisa Westmoreland, Anon MD
Tanner, Virginia Smith, Tania MD
Taylor, Dwayne Usoh, Fred MD
Thompson, Tessa Woodall, Lee MD
Thompson, Tessa Baralatei, Florence MD
Thompson, Tessa Caldwell, Craig MD
Thompson, Tessa Goodwin, Jeremy MD
Thompson, Tessa Livingston, James MD
Thompson, Tessa Manley, Haley MD
Thompson, Tessa Patel, Dipesh MD
Thompson, Tessa Wilson, Terri MD
Tripp, Dawn Spafford, Patrick MD
Unongo, Cindy Afridi, Zahid MD
Van Dorn, Terri Kelly, Patricia MD
Wacasey, Daphne Hindash, Osama MD
Webster, Robert White, Kelvin MD
Weigmann-Ross, Michele Danits, Harvey MD
Whatley, susan Virmani, Sharad MD
Yufenyuy, Mamboh Wright, Richard MD
Administrative Approvals
Almburg, Lauren Lee, James DO
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
27
Alston, Marion Shiver, Marlene MD
Anderson, Christa Warner, Melissa MD
Bailey, Rhonda Jones, Ernest DO
Bain, Judy Genova, Kenneth MD
Barham, Jason Pirzada, Jehanger DO
Bhimani, Samreen Pirani, Safia MD
Bongiovanni, Delana Daniel, Gary MD
Borders, Virginia Wilkins, Jeff MD
Boyd, Jason Bass, Edward MD
Boyd, Jason Livingston IV, Joe MD
Bridges, Kathleen Acosta, Maria MD
Caballer, Lorene Hafeez, Nabeel MD
Cambell, Jimmy Woodard, Alfred MD
Choate, Elizabeth Ogunniyi, Modele MD
Choe, Julia Galan, Vincent MD
Clay-Keith, Sharon Risby, Emile MD
Cooksey, Karen Riser, Kenneth DO
Copeland, Christina Martin, Paul MD
Copeland, Miriam Waguespack, Scott MD
Couse, Tracey Walkup, Raymond MD
Crawford, Randall Giles, Paul MD
Davison, Wendy Moore, Karen MD
Decker, Laura Ofohoa, Kenneth MD
Duncan, Laura Dutta, Eamon MD
Esozobor, Cherri Moore, Karen MD
Falkner, Myron Rohit, Khanna MD
Faudree, Cyndi Hand, Joseph MD
Freeman, Charisma Desai, Saurabh DO
French-Mirtschink, Teri McKee, Scott MD
Friedl, Martha London, Dayna MD
Gainey, Tyrongala Khanna, Rohit MD
Garmon, Lindsey Pandya, Darshak DO
Garner, Jennifer Kirsch, Andrew MD
Gay, Rachel Allen, Justin MD
Graham, Latisha Lee, Peter MD
Harrelson, Lauren Ramesh, Kandallu MD
Harrelson, Lauren Lynch, Donald MD
Hart, Rebecca Reddy, Rani MD
Hawkland, Robin Winter, Jeffrey MD
Hayman-Jones, Shandora Vaughn, Mary Bell MD
Haynes, Twilla Shongo, Patrice MD
Hernandez, Odessa Stirne, Howard MD
Hornsby, Lauren Patel, Darshan MD
Hudson, Lori Lloyd, John MD
Jean-Philippe, Marjani Dyson, Kritstie MD
Jividen, Elaine Mathews, Ressy MD
Kang, Mindy Syed, Aazrum MD
Kennett, Marsha Ellis, Michael DO
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
28
Knee, Laura Easley, Raymond DO
Knight, Tristia McCraken, Mark MD
Lattimore, Willie Galliano, Enrique MD
Law, Latonya Ajayi, Ganiat MD
Lee, Sook Hyun Kim, Chang Soo MD
Legg, Fred Thompson, Kenneth MD
Lemene, Kristina Costley, Chad MD
Lukano, Caroline Khan, Zia MD
Mascarin, Jennifer Fisher, Lyle MD
McCord, Frances Lemley, James MD
McDaniel, Jasmine Baruti, Dingave MD
Melvin, Heather Clay, Dwayne MD
Minkoff, Alice Gandhi, Kamlesh MD
Mori, Kathryn Bosch, Ortelio MD
Moxon, Jeannie Hall, Robert MD
O’Brien, Mallory Harper, Dennis MD
Odom, Jhaelyn Braswell, Precious MD
Olson, Sheryl Stirne, Howard MD
Opara, Mary Mihalovits, Karl MD
Parks, Diane Ross, Mary MD
Parrish, Jessica Waguespack, Scott MD
Patrono, Jane Collier, Millard MD
Patrono, Jane Andrist, Eric MD
Patton, Deanna Gerhardt, Charles MD
Paulk, Jane Hunter, Clarence MD
Peden, Alison Bledsoe, John MD
Pelican, Megan Gage, Alexis MD
Pence, Wendy Robinson, Randy MD
Peterson, Alison Wingate, Harry MD
Prestidge, Taryn Swayne, Angela MD
Price, Sarah Garrett, Joshua MD
Purdell, Kimberly Tift, William MD
Rakhmanova, Rano Moussa, Mohamad MD
Randels, Camden Fordham, Donald MD
Ridgeway, Sarah Thompson, Albert MD
Roseberry, Lisa Harris, Brent MD
Ross, Kimmarie Qayed, Emad MD
Schilinger, Rhonda Sanders, Alan MD
Schornack, Theresa Pullium, Patrick MD
Seagraves, Joseph Waguespack, Scott MD
Sharp, Jennie Euteneuer, Jill MD
Simonds, Kadie Ouderkirk, John MD
Simpson, Adrienne Guerdan, Mark DO
Singleton, Sandy Gardner, Alan MD
Smith, Daniel Gutierrez, Raymond MD
Smith, Joni Dunagan, Donnie MD
Sorapuru, Anjenette Andrist, Eric MD
Stanley, Robin Griffith, James MD
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
29
Steinmeyer, Ashleigh Sekul, Elizabeth MD
Stokes, marcid Jurado, Rafael MD
Strickland, Tricia Babalakin, Haolat MD
Sutherland, Joanna Hurd, Thomas MD
Tatman, Hardie Natarajan, Nirupama MD
Thomas, Melissa Womack, Rosalind MD
Tooles, Ronda Thigpen, James MD
Tyler, Christina Collier, Millard MD
Tyler, Christina Andrist, Eric MD
Varghese, Sonia Hoodo, Crystal MD
Waddell, Karen Katragadda, Suneel MD
Walsh, Lisa Griffin, Joseph MD
Wesley, Joanna Lipham, Mark MD
Willard, Brandi Jacobsen, William MD
Williams, Natalie Burke, Michael MD
Williams, Tasheeka Moore, Karen MD
Wilson, Anissa Sharpton, Julian MD
Woughter, Linda Cobiella, Robert MD
The Board determined that the following protocol agreements meet the provisions of
OCGA 43-34-25 with additions/changes:
Alfors, Suzanne Simon, Dawn MD Demott, Jennifer Pallay, Robert MD Mullins, Rodney Murphy, Richard MD Norrell, Jaimi Campbell, Becky MD Shockley, Naiomi Danits, Harvey MD Stephens, Leigh Chronos, Nicolas MD Swift, Lisa Watson, Nancy MD
The Committee recommends to the Board that the following protocol agreement does not meet
the provisions of OCGA 43-34-25 and is TABLED for more information:
Cheeseman, Karen Dutta, Eamon MD
The Board approved the following Other Business items: 1. Approved Melinda Jennings, NP to add Trigger Point and Joint Injections to the agreement
with Dr. Jeremy Statton.
2. Approved Kallayanee Techapatikul, NP to add Nuclear Stress Testing to the agreement with
Dr. Nirag Sharma - with resubmission of Form C with corrected information.
3. Modify Form C to clarify the “APRN CERTIFICATION SPECIALTY” in ALL CAPS SPECIALTY” in ALL CAPS
4. Invite Autumn Lucas to an open position on the NP advisory Committee
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
30
PAIN CLINIC COMMITTEE
Dr. Downey presented the Pain Clinic Committee report as a motion. The motion was seconded by Dr.
Antalis. The Board accepted the report by unanimous vote.
The Board took the following actions:
Approve 2 Initial Applications for Licensure
1. File #378 - Coastal Pain and Spine Center. Advise owner they cannot open clinic until
the DEA issues Georgia DEA numbers.
2. File # 384 - PM&R Specialists, PC – Louisville
Approve 2 Change in Location Applications
1. License #380 - Center for Spine and Pain Medicine – Dacula
2. License #266 - Total Diagnostic Interventional Pain (TDI Pain)
Approve selling of 5 medical practices of Pain Solutions Treatment (License #124, 126, 127,
305, 310) to Alliance Spine and Pain Centers for file #379–383 effective 7/15/2016. Owner
must submit signed Bill of Sale prior to licenses being issued.
Approve renewal of license #305 (Canton) and #310 (Hiram) from Pain Solutions Treatment until
7/15/2016, effective date of selling medical practices to Alliance Spine and Pain Centers. After
that date, lapse out the renewal licenses.
Applications Administratively Approved: Approved pending additional information where noted.
License# Pain Clinic Name
124
Pain Solutions Treatment Centers, Inc. – Cartersville
Add APRN Joanne Sutherland
Delete Practicing Physician Virlyn Bishop
Delete Physician Assistant Frankie Davis
Add Physician Assistant Alice Fisher Fazekas
126
Pain Solutions Treatment Centers, Inc. – Marietta
Add APRN Joanne Sutherland
Delete Practicing Physician Virlyn Bishop
Delete Physician Assistant Frankie Davis
Add Physician Assistant Alice Fisher Fazekas
127
Pain Solutions Treatment Centers, Inc. – Woodstock
Add APRN Joanne Sutherland
Delete Practicing Physician Virlyn Bishop
Delete Physician Assistant Frankie Davis
Add Physician Assistant Alice Fisher Fazekas
305
Pain Solutions Treatment Centers, Inc. – Canton
Add APRN Joanne Sutherland
Delete Practicing Physician Virlyn Bishop
Delete Physician Assistant Frankie Davis
Add Physician Assistant Alice Fisher Fazekas
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
31
License# Pain Clinic Name
310
Pain Solutions Treatment Centers, Inc. – Hiram
Add APRN Joanne Sutherland
Delete Practicing Physician Virlyn Bishop
Delete Physician Assistant Frankie Davis
Add Physician Assistant Alice Fisher Fazekas
274
South Atlanta Medical Care
Add APRN Adrienne Simpson
Revise hours of practicing physician Mark Guerdan
120
Southeast Spine Care and Pain Management
Add APRN Kathryn Mori
143
Spine Care and Pain Management – Greensboro
Add APRN Dwayne Taylor
370
Spine Care and Pain Management - Milledgeville
Add APRN Dwayne Taylor
370
Spine Care and Pain Management – Milledgeville
Add practicing physician Olufemi Ogunyemi
239
Lakeside Pain Center
Add APRN Heather Melvin
225
Pain Management Specialists of Atlanta - Stockbridge
Add practicing physician Paul White
Add practicing physician Myung Yoo
Add physician assistant Dana Burch
226
Pain Management Specialists of Atlanta – Griffin
Add practicing physician Ngano Takawira
Add physician assistant Tonya Ogletree
227
Pain Management Specialists of Atlanta – Peachtree City
Add practicing physician Paul White
Add physician assistant Tonya Ogletree
273
Pain Management Specialists of Atlanta – Lithia Springs
Add practicing physician Myung Yo
Add practicing physician Paul White
311
Pain Care, LLC – Newnan
Delete practicing physician David Webb
312
Pain Care, LLC – Stockbridge
Delete practicing physician David Webb
313
Pain Care, LLC – Griffin
Delete practicing physician David Webb
314
Pain Care, LLC – Fayetteville
Delete practicing physician David Webb
234
Specialty Clinics Spine Intervention – Gainesville
Add APRN Ashley Zimmerman
291
Specialty Clinics Spine Intervention – Braselton
Add APRN Ashley Zimmerman
388
Advanced Pain and Rehabilitation
Revise hours practicing physician Lawrence Berman
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
32
Other Business
1. The Committee interviewed LB and CT regarding withdrawal of Marietta Rehabilitation and
Wellness, PC pain application and recommends approving the withdrawal of the application
and to send an agent to the clinic to make sure it is closed.
2. The Committee requested to interview LB on the Marietta issue before making a decision
regarding LB’s request to change the location of Advanced Pain and Rehabilitation (License
#388) and recommends approving the request.
3. The Committee requested that JD come in for an interview regarding the application for
licensure for Marietta Rehabilitation and Wellness, PC. This is the same clinic that LB and
CT recently requested to withdraw. The physician declined to come in for an interview and
requested to withdraw the application. The Committee recommends allowing JD to
withdraw the application and open a case on JD regarding failure to report an arrest on the
initial physician and pain clinic applications.
WELLNESS COMMITTEE
Dr. Powell presented the Wellness Committee report as a motion. The motion was seconded by Dr.
DeLoach. The Board accepted the report by unanimous vote.
1. 20160766: Offer Public CO.
2. PHP report received from Paul Earley, MD
3. 20162053: Table
4. 20121183: Table 30 days.
5. Sandra Chapkowski, MD: Issue Order of Summary Suspension.
6. 20162219: Table 30 days.
INVESTIGATIVE INTERVIEW REPORT
Cami McGarity presented the Investigative Interview report as a motion, and was seconded by
Daniel DeLoach, M.D. The Board accepted the report by unanimous vote. The Board took the
following actions.
20140113 Table 20160806 Further Investigation
20160010 Letter of Concern 20160848 Letter of Concern
20160541 Table 20161176 Close
20160553 Letter of Concern
INVESTIGATIVE COMMITTEE
The Investigative Committee report was presented as a motion by Dr. House and was seconded
by Dr. Antalis. The Board accepted the report by unanimous vote. The Board took the
following actions.
Close:
20140264 20140364 20140699 20141654 20150022 20150316
20150423 20150598 20150685 20150803 20151103 20151394
20160098 20160145 20160265 20160506 20160656 20160708
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
33
20160709 20160821 20160842 20160896 20160913 20160929
20160987 20161010 20161015 20161125 20161173 20161203
20161297 20161298 20161316 20161318 20161351 20161422
20161429 20161446 20161463 20161508 20161513 20161514
20161515 20161516 20161528 20161530 20161535 20161538
20161540 20161573 20161574 20161580 20161581 20161583
20161594 20161598 20161599 20161600 20161615 20161617
20161619 20161627 20161628 20161636 20161637 20161644
20161645 20161648 20161649 20161654 20161949 20161965
20161998 20162021 20162057 20162066 20162124
Close with Letter of Concern:
20141148 20151061 20161063 20161159 20161512 20161524
20161590
Invite for Investigative Interview:
20141364 20150952 20160749 20161339 20161533 20161915
20160130
Further Investigation:
20130270 20141729 20150843 20150940 20160551
OMPE
2060697 20161741
Table
20141060 20160195 20160850 20161216 20161423 20161911 INITIAL COMPLAINT EVALUATIONS
The Board approved the following recommendations.
20160738 20160792 20160813 20161484 20161848 20161863
20161878 20161955 20162004 20162056 20162062 20162065
20162068 20162069 20162070 20162084 20162086 20162107
20162110 20162111 20162114 20162123 20162139 20162146
20162147 20162152 20162153 20162158 20162159 20162163
20162178 20162184 20162185 20162186 20162187 20162188
20162191 20162193 20162195 20162198 20162206 20162207
20162210 20162214 20162225 20162228 20162242 20162251
20162256 20162260 RECUSALS
Antalis 20160806 20161637
Callins 20161010 20161574
DeLoach 20130270 20141364 20150856 20160697 20160709
20161125 20161483 20161516 20161533 20161637
20161949 20162159 20162225
House 20130713 20160929
Marshall 20150856 20161540 20161998 20162056 20162065
20162193
McGarity 20162123
Wallace 20161598
White 20162193
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
JUNE 9, 2016
34
RULES COMMITTEE
Dr. Gross presented the Rules Committee report as a motion, and was seconded by Dr. DeLoach, The Board accepted the report by unanimous vote. The Board took the following actions.
1. Approved dividing certain sections of the 2016 legislation amongst Board members to assist with
rules.
2. Referred Andrea Wilder from Avenia Behavioral Management to the law regarding telemedicine.
Dr. House submitted a motion, seconded by Dr. Antalis, to adjourn the June 9, 2016 Board meeting at
4:50 p.m. The motion carried unanimously.
____________________________ ________________________________
John Antalis, MD Robert Jeffery, MBA
Chairperson Executive Director
-
Recorded by Phyllis White
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