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Georgia Composite Medical Board Minutes of the April 2, 2020 Meeting 1 The Georgia Composite Medical Board (GCMB) held its regular meeting on April 2, 2020 at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters. Board members present: John S. Antalis, MD William Bostock, DO Gretchen Collins, MD, Chair E. Dan DeLoach, MD Charmaine Faucher, PA (ex-officio) Alexander Gross, MD Shawn Hanley, Consumer Member Thomas Harbin, MD Rob Law, CFA J. Jeffery Marshall, MD Matthew Norman, MD Andrew Reisman, MD David Retterbush, MD Barby Simmons, DO, Vice Chair Richard Weil, MD Board members absent: Debi Dalton, MD Management and legal staff present: LaSharn Hughes, MBA, Executive Director Lisa Norris, MPH, Deputy Executive Director Phyllis Douglas, JD, Legal Services Officer D. Williams-McNeely, Senior Assistant Attorney General Max Changus, JD, Assistant Attorney General Phyllis White, Executive Assistant Jonathan McGehee, Director of Investigations Latisha Bias, Enforcement Supervisor Gina Haskins, Licensure Manager CALL TO ORDER Dr. Collins called the meeting of the Georgia Composite Medical Board to order at 8:09 a.m. AGENDA Dr. Bostock submitted a motion, seconded by Dr. Marshall to approve the agenda of the April 2, 2020 meeting. The motion carried unanimously. MINUTES Dr. DeLoach made a motion to approve the minutes of the March 5, 2020 meeting. Dr. Retterbush seconded the motion and it carried unanimously. TELECONFERENCE MINUTES Dr. Marshall made a motion to approve the minutes of the March 18, 2020 teleconference. Dr. Weil seconded the motion and it carried unanimously. CHAIR’S REPORT

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Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

1

The Georgia Composite Medical Board (GCMB) held its regular meeting on April 2, 2020 at 2

Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters.

Board members present:

John S. Antalis, MD

William Bostock, DO

Gretchen Collins, MD, Chair

E. Dan DeLoach, MD

Charmaine Faucher, PA (ex-officio)

Alexander Gross, MD

Shawn Hanley, Consumer Member

Thomas Harbin, MD

Rob Law, CFA

J. Jeffery Marshall, MD

Matthew Norman, MD

Andrew Reisman, MD

David Retterbush, MD

Barby Simmons, DO, Vice Chair

Richard Weil, MD

Board members absent:

Debi Dalton, MD

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Lisa Norris, MPH, Deputy Executive Director

Phyllis Douglas, JD, Legal Services Officer

D. Williams-McNeely, Senior Assistant Attorney General

Max Changus, JD, Assistant Attorney General

Phyllis White, Executive Assistant

Jonathan McGehee, Director of Investigations

Latisha Bias, Enforcement Supervisor

Gina Haskins, Licensure Manager

CALL TO ORDER

Dr. Collins called the meeting of the Georgia Composite Medical Board to order at 8:09 a.m.

AGENDA

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

April 2, 2020 meeting. The motion carried unanimously.

MINUTES

Dr. DeLoach made a motion to approve the minutes of the March 5, 2020 meeting. Dr.

Retterbush seconded the motion and it carried unanimously.

TELECONFERENCE MINUTES

Dr. Marshall made a motion to approve the minutes of the March 18, 2020 teleconference. Dr.

Weil seconded the motion and it carried unanimously.

CHAIR’S REPORT

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

2

Dr. Collins made the following report:

1. Discussed the current crisis.

2. Head count for the May meeting.

EXECUTIVE DIRECTOR’S REPORT

Ms. Hughes made the following report, the report was accepted as information:

1. Memorandum regarding Closing of State Offices for Emergency Purposes. The Board

accepted as information.

2. Catherine Caldicott, MD, FACP, PBI Education, asking if the Board would accept certificates

that were conducted by virtual meetings. The Board approved the request.

3. Request to ask the Board to waive the CME requires for physicians, since most conferences

have been cancelled. The Board approved the request to waive the requirement for this renewal

year, which is 20-hours. The Board will prepare a draft emergency rule to address this matter.

4. Letter from Patrick A. Roberts – regarding restrictions on pain medicines. The physician

must follow the guidelines.

5. Letter from GPPA regarding Telepsychiatry during the COVID-19 Pandemic. The Board

accepted as information.

6. Emory Request – will we accept digital applications. Motion Dr. Retterbush, seconded Dr.

Harbin to approve the request.

7. Email from Tekie Mehreteab regarding delay in national testing for Perfusion. Motion Dr.

Retterbush, seconded Dr. Marshall and motion carried to give a six month extension on

Provisional Licenses to allow time for testing for permanent license.

9. Rules Waiver – John Salinas, MD. Motion Dr. Marshall, seconded Dr. Antalis and motion

carried to deny the request since the requestor did not provide a substantial hardship.

10. FSMB/USMLE – asking states to consider waiving the examination scores. Accepted as

information.

Motion Dr. Marshall, seconded Dr. Retterbush to approve the following Emergency Rules:

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

3

Rule 360-5-0.11-.10 “Emergencies” – Physician Assistants

Rule 360-3-0.10-.08 “Practice Through Electronic or Other Such Means during a State of

Emergency

Rule 360-15-0.12-.01 “Requirements for Physicians” – CME Rules

CLOSED SESSION

Dr. DeLoach motioned seconded by Dr. Harbin to go into closed session to discuss

investigations and disciplinary matters, and it carried unanimously.

OPEN SESSION

Dr. Collins declared open session.

ATTORNEY GENERAL (AG)

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

Dr. Antalis submitted a motion, seconded by Dr. Retterbush and motion carried to accept the

report as information.

PHYSICIAN LICENSURE COMMITTEE

Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions:

Waiver Request

BT – Denied – issue CD for advertising as a physician

Jennifer Decuir – Approved

Applications Approved Reinstatements

Mark Burke

Devanand Mangar

Board Review and Approval for Initial Licensure

Caroline Craven

Robert Gardner

Roland Jones

Miechia Esco

D. Livro Beauchamp

Roy Smith

Sean Lager

Edward Downey

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Approve for Voluntary in Medicine

Laura Bultman

Approve for Administrative License

Rachel Cash

Approve for Institutional License

Uzma Beg

Denied/Withdraw

SP – based on lack of clinical skills and probation

Applications Administatively Approved

Name Degree

Aboud, Talal MD

Abril, Maria Katrina P MD

Affram, Kwame O MD

Aguilar, Michael F MD

Ahmad, Muhammad Imtiaz MD

Ahrens, Jillian A MD

Akbary, Hares MD

Aldrich, Kathleen D MD

Almzayyen, Mohammed MD

Amin, Mansi MD

Amir, Murtaza MD

Anderson, Justin B MD

Arnold, Hope E MD

Aussenberg, Steven E MD

Badri, Anand V MD

Bae, Andrew S DO

Bahrami, Armita MD

Bailey, Alison MD

Bailey, Travis L MD

Bao, Erjia MD

Barnes, Angelica V MD

Basu, Reneeta DO

Battles, Kirsten MD

Bauchat, Andrea DO

Beaumont, Ryann R DO

Beeson, Jeffrey K DO

Bell, Tiffani L MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Bello Velez, Hernan R MD

Benton, Kayla B DO

Berl, Scott D MD

Bhandary, Sujatha P MD

Bhavani, Sivasubramanium V MD

Bieneman, Bruce K MD

Body, Cameron B MD

Bondugula, Vijayamala MD

Bowman, Andrew J MD

Branch, Andrea T MD

Brandt, Heather DO

Browning, Jonathan MD

Burnham, Amanda H MD

Cai, Jun Li S MD

Campos Flores, Rolando S MD

Cantu, Colby A MD

Carey, Patrick M DO

Carrera, Rogelio L MD

Cedeno Kelly, Karen MD

Chatham, Anthony MD

Chatham, Lauren N MD

Chawla, Dhruv MD

Cheeley, William MD

Cheriyan, Thomas MD

Choi, Sena Y MD

Cooke, Brian MD

Cornell, Hilary MD

Crowder, Ashley K MD

Dall-Winther, Kristen MD

Dammeyer, Merritt MD

Das, Manjusha MD

Davey, Shaunette DO

Davis, Susan A MD

Deaton, William J DO

DeBeck, Karla MD

Decker, Melissa DO

Del Rosario, Timothy J MD

Demaree, Dax H DO

Des Anges, Pierre MD

Desai, Shivam J MD

Dheeriya, Ujjwala MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Dixon, Jordan DO

Dogan, Cantey H MD

Dubester, Sherry MD

Dufour, Lauren E MD

Duncan, Kokie T MD

Edling, Kari L MD

Elahi, Shan M MD

Ellis, Richard A DO

Espinal, Jennifer MD

Evans, Kathleen DO

Faler, Lance C MD

Faleye, Olugbenga S MD

Falkner, Rachel MD

Farber, Andrew DO

Farber, Nicholas J MD

Farber, Stephanie E MD

Ferrell, Joyln MD

FitzGerald, Ryan MD

Friskey, Andrew J DO

Fuller, Timothy J MD

Gallagher, Michael A MD

Gandhiraj, Deepthi MD

Garcia-Cardenas, Elizabeth MD

Gayle, Michael O MD

George, Paul E MD

George, Renelle S MD

Gettys, Franklin K MD

Glenn, Amber L MD

Glickman, Michael MD

Goggin, Kathryn P MD

Goldenberg, Alison R MD

Gonzalez Jimenez, Pedro J MD

Goodroe, Benjamin S MD

Grady, Ariel N MD

Gross, Jennifer MD

Grube, Steven M MD

Guyden, Jamie MD

Haan, Amanda MD

Hagopian, Thomas MD

Haines, Daniel O MD

Hang, Minh Tuan H MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Hao, Shuai MD

Haridas, Arjun MD

Haroon, Mustafa MD

Hayden, Andrew J MD

Healy, William J MD

Hendricks, Tyler J MD

Henry, Heather E MD

Henson, Audrey S DO

Herzwurm, Zachary P MD

Hien, Kpienoba Manan MD

Higgins, Robert V MD

Hill, Destin E MD

Hill, Robert J DO

Hodges, Zachary T MD

Hogan, Jason M MD

Hollingsworth, Thaddeus D MD

Holmes, David K MD

Hotz, Steven D MD

Hoy, Stanley L, II MD

Hughes, Samuel P MD

Huynh, Patrick DO

Imam, Adonis MD

Iordanova, Rossitza MD

Isaac, Shani MD

Ishag Osman, Nadir MD

Izadpanah, Maryam A MD

Jafri, Kashif A MD

James, Courtney M MD

Johnson, Benton L MD

Johnson, Rachel M MD

Johnson, Taylor MD

Jones, Samuel W MD

Joshi, Nirav B MD

Jun, Emily MD

Kaalla, Merlyn J DO

Kablawi, Rawan O MD

Kaddoum, Romeo MD

Kamanu, Stella N MD

Kapadia, Akash MD

Karampelas, Ioannis MD

Kaza, Thanmayi MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

8

Kazim, Salman MD

Kelly, Joseph P DO

Kelly, Stephen M DO

Kemper, Michael W MD

Kennedy, Karen DO

Kimbel, Jason W MD

Kole, Abhisake MD

Kovalenko, Boris MD

Krakow, Barry MD

Kucuk, Kemal M MD

Kumar, Abhay MD

LaBahn, Jacob K MD

Lagaly, William J DO

Land, Charles F MD

Law, Kimberly MD

Lee, Eric J MD

Levine, David A MD

Lewis, Brittany T MD

Li, Chunjie MD

Li, Xiao Tian MD

Libby, Valerie R MD

Lin, Danielle W MD

Lin, Joel G DO

Madeo, Jennifer DO

Madu Gabriel I DO

Mahmoud, Karim MD

Mallen, Jonathan MD

Mallya, Anita MD

Maloney, Andrew H MD

Mamdani, Natasha MD

Mann, Jessica R MD

Marrone, Anna-Claire MD

McGuirl, Jennifer A MD

Medina, Miles A DO

Mehard, William B MD

Meziani, Adam MD

Mikkilineni, Sesank S MD

Modi, Jay J DO

Moheet, Asma MD

Morris, Heidi DO

Mosley, Rina P DO

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Muench, Michael A MD

Murphey, Michael S, Jr MD

Myint, Calvin W MD

Naidu, Krelin DO

Nawaz, Safia F MD

Naylor, Brandon DO

Newton, Bradley W MD

Nichols, Holly MD

Nickel, Christopher J MD

Nisbeth, Zalika T MD

Obeng, Pete K MD

Odia, Patrick O MD

O'Kane, Jacqueline M DO

Okonkwo, Adatee MD

Omer, Walid F MD

Ortolani, Elissa K MD

Owen, Robert J MD

Pai, Shweta MD

Pakdaman, Michael MD

Paladugu, Komal MD

Papoy, Andrew R MD

Pastuszak, Alexander W MD

Patel, Trisha MD

Patel, Vimal DO

Pechter, Patricia MD

Pelliccia, John MD

Peng, Haoran MD

Pettyjohn, Aaron C MD

Phillips, Haley MD

Phillips, Steven DO

Polacco, Marc MD

Polu, Ashok Reddy MD

Porter, Andrew MD

Powell, Steven W MD

Powers, Joseph K MD

Puente Espel, Jordi MD

Raje, Vikram DO

Ravindra Reddy, Divya MD

Real, Jennifer MD

Reyes Oliva, Jose S MD

Richards-Boyd, Jemese V MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Rigger, Wytch MD

Rim, Jeeyon G MD

Ripple, Michael J MD

Roberts, Capritta DO

Rogers, Robert F MD

Ron, Alexa K MD

Ross, Bryan D DO

Rountree, Harlan A MD

Roy, Anil K MD

Ruch, Laura M MD

Rustin, Rudolph B MD

Ruvo, Veronica Y DO

Ryan, Carly W MD

Sacco, Weston MD

Sancheti, Suraj P MD

Sanislo, Steven R MD

Sankoorikal, Vivek-Thomas J MD

Sawan, Mariem A MD

Schell, Adam J MD

Schmitt, Colleen M MD

Scholl, Seth DO

Schuler, Beverly D DO

Schwartz, Bryan W MD

Scott, Nancy M MD

Sekkarie, Mohamed A MD

Selver, Walter J DO

Setlik, Jennifer A MD

Shah, Kartik MD

Shah, Meera M MD

Shah, Yashesh MD

Shaikh, Jamil A MD

Shuster, Larry D MD

Sidaros, Rafik MD

Sigman, Erika J MD

Simpson, Ivana MD

Singh, Rajeev MD

Skelding, Kimberly A MD

Skjei, Stephen MD

Smither, Anna M MD

Snyderman, Jonathan DO

Soufer, Aaron MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Stanley, Michael I MD

Starr, James N DO

Stasikelis, Peter J MD

Stephenson, Samuel A MD

Stewart, Christopher M MD

Stockton, Sherrill W, III MD

Stutsman, Margaret S MD

Suen, Kyle P MD

Sun, Yamin MD

Sundaragiri, Pranathi R MD

Surapaneni, Amit MD

Susanto, Daniel MD

Sutton, Erica MD

Swerlick, Arin MD

Szolek, Kayla J DO

Tafish, Islam MD

Tanner, April M MD

Taparia, Piyush MD

Taylor, Emily P MD

Tian, Wei MD

Tilwalli, Shilpa D MD

Turner, Brian C MD

Vajpayee, Neha MD

Van Doren, Vanessa E MD

Vanderwood, Jeffrey C MD

Vann, Kaitlyn N DO

Varade, Preet MD

Venditto, Chelsea M MD

Vu, Julia T MD

Wadgaonkar, Ajay D MD

Wall, Weston B MD

Waters, Bianca R MD

Weinstein, Andrew L MD

Weis, Adina MD

Whitlow, Michael B MD

Williams, Ashley N MD

Williams, Vonzell MD

Wilson, William W MD

Wiltz, Jennifer L MD

Winstead, Alison MD

Wong, David S MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Wright, Kayleigh MD

Wu, Tina MD

Xu, Jindong MD

Yanagisawa, Mio MD

Yousuf, Arshad M MD

Zarzour, Abdalrahman MD

Zeidan, Laura N MD

Zhang, Eddie MD

Zurawin, Jonathan MD

Zussman, Benjamin M MD

Physicians Approved Through Compact

Name Degree

Adusumilli, Sesha S MD

Antonatos, Miguel R MD

Badejo, Erhime T MD

Bhella, Paul S MD

Bixler, Christopher J MD

Brahmbhatt, Hetal K MD

Burruss, Richard P MD

Carr, Michael J DO

Davey, William P, Jr. MD

Dunsmoor-Su, Rebecca F MD

Emami, Amir A, D.O. DO

Gallo, Ralph C MD

Griffin, Jill A MD

Hassan, Zahoorul MD

Issa, Sakeba N MD

Jhajj, Harjeet S DO

Karikkineth, Ajoy C MD

Lee, Arthur C MD

Mallipeddi, Mohan K MD

McCann, Michael L DO

Miller, Christine L MD

Padilla Vazquez, Arnoldo A MD

Park, Jeanhyong MD

Pham, Truc T MD

Prag, Ami MD

Saab, Ahmad N MD

Serota, Marcjonathan MD

Spencer, Elizabeth B MD

Vincent, Doreen L DO

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Approved Residency Training Permits

Babak, Alexey V

Saldana, Carlos S

Titanji, Boghuma K

NURSE PROTOCOL ADVISORY COMMITTEE

Dr. Gross presented the Nurse Protocol Report:

The Board took the following actions:

Other Business 1. Does a NP need a supervisor meaning (protocol agreement and 10% of charts signed quarterly) if

the MD is only writing the prescriptions? Yes

If you have an integrated facility, may a medical MD write prescriptions for np psychiatry

patients’ mom or narcotics? Please clarify the question

Does NP need a supervisor to write scripts for non-narcotics drugs? Yes

2. I am a nurse practitioner licensed to practice in your state. Per your law/rule: 10)"Physician"

means a person licensed to practice medicine pursuant to Article 2, Chapter 34 of Title 43; and

(a) Whose principal place of practice is within this state; or (b) Whose principal place of practice

is outside this state but is within 50 miles from the location where the nurse protocol agreement is

being utilized. The Delegating Physician has to be in Georgia or within 50 miles of the

practice location. (Send a copy of the ruling 360-32-01-section 10)

3. I know that the house just passed a bill which allows nurse practitioners to order radiographic

imaging tests without the presence of a life-threatening situation. This bill has not been

finalized.

4. We have had several cancellations due to coronavirus. I feel we will struggle to get the 20 total

procedures in by the 90-day point from the date we turned in the packet. Is there a way to get an

extension of time since we don't know when patients will be able to return to the clinics?

Yes. We will grant an extension please submit your procedures to the board, once you have

the total.

5. I am seeking clarification on trigger point injection in the state of Georgia. Does my collaborating

physician have to be present in the clinic for me to perform trigger point injections? No. Your

collaborating physician does not have to be present in the clinic to perform trigger point

injections.

6. If I have a Med Spa and I will not be prescribing medications, do I have to fill out your protocol

paperwork that’s on the website? Does my medical director have to review 30% of my charts?

Can my medical director be my delegating physician at my Med Spa-or would I need two

different physicians? The Delegating Physician cannot be your employee.

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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7. The delegating physician’s name, contact information, and record of the visit must be provided to

the patient’s primary care provider of choice with the patient’s consent within 24 hours of the

visit. Can clients refuse this? What if they don’t have a primary care provider? Does this rule only

apply if there is an allergic reaction or adverse outcome? Also, can an RN inject Botox with a NP

instead of an MD? Refer the question to Georgia Board of Nursing.

8. Why is it necessary for APRN to have protocol agreement if it is NP owned business? It is

required by law.

9. I've been in practice with Molly Tant APRN since 4/2011. I am retiring from clinical medicine

but plan to continue with administrative duties. I am trying to find a sample collaborative

agreement to use as a template for our future association. Referred him to the protocol

template from the Board’s website. Make sure the Delegating Physician’s license does not

lapse and that the APRN’s is not an employee.

Closed Session Form C:

➢ Holmes, Turquoise- Approved

➢ Jaramillo, Martha- Approved

➢ Nelson, Laqueta- Approved

➢ Pye, Lynette- Approve with changes, need Form C and clarify procedures 2, 3 & 6.

The Committee reviewed and approved the following protocols under the provision of

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

APRN Delegating Physician

Allen, Terrie Sandra Gibbs, MD

Braswell, Meagan Geoffrey Aaron, MD

Bright, April Theresa Jacobs, MD

Brooks, Kristal Gregory Smith, MD

Exum, Kayla David Green, MD

Hale, Jeanette Tonya Fordham, DO

Hensley, Pamela Janki Patel, MD

Muldrich, Laura (revisit) Kathleen Locker, MD

Nkoi-Mimba, Elise Solange Samuel Erinne, MD

Pass, Sherry Janki Patel, MD

Tharwani, Noureen George Hughes, MD

Yoder, Stanley George Hughes, MD

Amalaha, Ugo Allen Lavender, MD

Butler, Kathryn Rodrigo Falcao, MD

Forehand, Randall (3rd Submission) Jose Artadi, MD

Garritson, Natasha (3rd Submission) Jose Artadi, MD

Amalaha, Ugo Allen Lavender, MD

Butler, Kathryn Rodrigo Falcao, MD

Forehand, Randall (3rd Submission) Jose Artadi, MD

Garritson, Natasha (3rd Submission) Jose Artadi, MD

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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

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

APRN Delegating Physician

Maiava, Bentley Santanu Das, MD

Weathers, Alisha Travis Carroll, MD

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

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

APRN Delegating Physician

Cowan, Rhonda Yogesh Goswami, MD

Long, Brandy Benjamin Roy, MD

Protocols Administratively Reviewed:

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

APRN Last APRN First Delegating Physician Name

Abbey Ophelia Tyshantra Coleman

Abernathy Taylor Omorogiuwa Iguobadia

Adeyemi Afusat Douglas Cooper

Agomessou Ablavi Angela Dawson

Agomessou Ablavi Hassan Bokhari

Aibangee Kate Athena Sotus-Nawar

Aina Joan Martin Lynch

Akinyele Olajumoke Sonali Bora

Alexander Elizabeth Bisan Salhi

Amaker Iris Courtney Weaver

Ameer Teon Daniel Ralston

Amon Ashley Eliahu Feen

Anderson Nicole Melissa Quiros

Babajide-Gbenga Bolanle Dawit Weldemichael

Babayev Martin George Malcolm III

Bailey Molly Christiaan Webb

Ball Sharon Stephen Dawkins

Barham Jason Reginald Warren

Barnes Salena Richard Elliott

Baumann Joni Aidenojie Ihenyen

Bell Suzette Stephen Rohn

Georgia Composite Medical Board

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APRN Last APRN First Delegating Physician Name

Bennett Lila Michael Anigbogu

Berkner Kelsey Daniel Ralston

Bivins Laurie Forrest C. Cantrell Jr.

Blake-Raut Marisa Vaughn Tatum

Bolger Angela Ranjan Paul

Boree Charity Alan Brown

Bradley Ashley Lenox Morris

Bradley Jennifer Okah Anyokwu

Brand Brandon Thomas Chacko

Brooks Amanda Ammar Sharif

Brooks Charlotte Robert Lester

Brown Brandy Marcella Cox

Brown Starla William Walters

Bruner Christina Georgina Kalaitzidis

Bruner Christina Georgina Kalaitzidis

Bryant Alicia Gabriella Kacsoh

Burkett Angela James Graham

Callaway Kaitlin Wentzelle Kitchens

Campbell III James Jeffrey Dowis

Carr Bradley Hourman Tamaddon

Carstarphen Tracy Sanjay Singh

Carter Carolnatha Terri Lawless

Carter Tierra Warren Theis

Carter-Sims Linda Deepti Bhasin

Cason Jennifer Charlene Blache

Castlin Rena Jaymal Patel

Cate Victoria Druenell Linton

Chase Kelly Amber French

Chesser Kristy James Greene

Chesser Kristy David Kranc

Chiappetto Christopher Miles Johnson

Childree John Ryan Monti

Childress-Ward Kirsten Tzvetan Vassilev

Childs Jenny Chryselle Nazare

Clark Jeanine Akpomudiare Otuguor

Coleman Tamara Priyanka Raval

Collins Jennifer Mopelola Isola

Conn Danielle Lauren Hudak

Cornell Aimee Joao Plancher

Georgia Composite Medical Board

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APRN Last APRN First Delegating Physician Name

Coussons-Dyches Angela Gregory Fortner

Crenshaw Claudia Kamau Moyenda

Crew Laura Clayton Byron Littlefield

Criswell Jody Christopher Hogan

Cueto Jonathan Marcella Cox

Curtis Marion Bih Tambi

Dameron Andrea Michelle Glasgow

Daniels Elyse Jayanti Jasti

Davenport Jennifer Garrett Barnes

Dean Katie Satishchandra Patel

Deckelmann Charissa Chad Mao

Dennin Eric Russell Wagner

Denson Freda Christopher Richards

DiGiacomo Caroline Saba Bejanishvili

DiGiovanna Marcia David Clark

Dillard Phillip Lauren Hudak

Drogoul Anastasiya George Gottlieb

Duke Angela David Kunz

Dunn Jessica Josephine Ediale

DuPraw Virginia Dinakara Shetty

Dupree Melissa Alan Brown

Duran Allison Eric Hall

Dyer Julie Philip Tatum

Eke Onyinyechi Gary Smith

Elrod Sonya Sreeroop Sen

Eziakor Chiazor Walter Austin Jr.

Feeney Sherry Anthony Dougherty

Fekadu Aynaddis Ali Sayed

Fields Thomas Richard LoCicero

Fleming Janice Robin Armenia

Flewellen Tequillia Mahmood Ahmed

Fowler David Satishchandra Patel

Franklin Scott Jonathan Chen

Franz Jenna Dinakara Shetty

Frasier Lauren Sheldon Brown

Frasier Lauren Kenneth Benjamin

French Demechiko Jeffrey Alvarez

Fullard Nicole Catherine Dickens

Fuller Wendy James Lawrence III

Georgia Composite Medical Board

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APRN Last APRN First Delegating Physician Name

Gantt Paige Joe Clements

Georges Frantz Angela Dawson

Gibbons Gladys Michael Wheelis

Glass Abigail Roy Reardon

Goodwin Denise Kenneth Pittman

Gordon April Stacy Olliff

Gosden Katherine Robert Mazur

Goss Amber Jill Pottinger

Graham Margarett Joel Judah

Grant Charmaine Daniel Ralston

Greene Katie Steele Paula Brathwaite

Grier Demetrice Hany Elia

Grigsby John Christopher Richards

Grove Misty James Hull

Gulley Jordan Charles B. Idom Jr.

Gustavson Brittany Terence O'Keeffe

Habib Sonya Steven Lindsey

Haff Heather Olubunmi Pitan

Hall Talonda Daniel Vanriper

Hampton Brigitte Sajid Darvesh

Hampton Amber Sagar Damle

Han Annie Charles Weaver

Hardison Heather Russell Remalia

Harlan Breona Lorenza Simmons

Harrell-Boyd Lisa Laurel Murrow

Hill Summer Christopher Mathews

Hilley Brittany Fun Fong Jr.

Holder Maria John Lentz

Holiday Demetrius Chevon Brooks

Holiday Demetrius Holly Gooding

Hosea Melissa Carroll Odem

Huffman Mila Earl Joyner

Hughley-Hall Rhonda Serena Miller

Hume Kimberly William Courson

Hunter Kristin Michael Galambos

Irizar Lourdes Michael Gonsalves

Ivester Megan Vinaya Puppala

Jackson Nichelle Monique Smith

Jackson Carol Vincent Valencia

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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APRN Last APRN First Delegating Physician Name

Jelks Jr. Levi Abdulfatai Odemuyiwa

Jiles Jennifer Nicholas Vetrano

Johnson LaKesha Charles Roman

Johnson Kacie Lester Johnson

Johnson Kristie Joseph Kaplan

Johnson-Ruise Kimberlyn Dolapo Babalola

Jones Kyle Jermaine Jackson

Jones Aaron Walid Shaib

Joseph Margaret Shameka McElhaney

Kaufman Kyle Michael Nulph

Kemp Heather Richard Chase

Kiblinger Theresa Julie Glasson

Kim Jiyeon Navdeep Mangat

Kless Laura Jonathan Levy

Korf Ali Brian Adams

Lackey Keyatta Paul Chai

Landrum Bobby James Hull

Lane Brandi Wendy Vandemark

Langdon Kristan Marc Thames

Leddy Abigail Mrunalee Mehta

Lee Kimberly James Cunnigham

Leggett Solomon Adam White

Lemaster Nicholas Tenecia Allen

Letcher Jessica Katherine Moretz

Lewis Yanique Antony Labady

Little Lawerence Julie Glasson

Little Christinia Russell Pruitt

Livingston Tracey Hernan Posas Jr

Locke Mary John Haluing

Loper Melissa Juan Nieto

Lyle Mary Joshua Jackson

Lyons Jessica Ashfaq Saiyed

Machajewski Robin Jennifer McNear

Mathes Sherry Usha Nayak

McDaniel Jasmine Darren Dillard

McElveen Charles Afolabi Tiamiyu

McGowan Maxine John Engel

McGowan Maxine Gregory Floyd

McIntosh Ginger Tamara Nix

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

20

APRN Last APRN First Delegating Physician Name

McKissic Patricia Sai Nandamuru

McMillian Lauren Johnny Christian

McNichols Lee Faye Vargas Morris

Medders Christopher Simon Adames

Mekonnen Mahlet Alawode Oladele

Miceli Jack Robert Puckett Jr

Milks Sasha Monika Yadav

Miller Casey Mani Daneshmand

Millsap Kimberly Steven Spivey

Milner Jessica Madhumathy Gundlapalli

Moates Lindsay Reneka Dobbs-Jackson

Money Anna Richard Wheeler

Montford Susan Sharifa Abou-Medicine

Montgomery Gwendolyn Oladayo Osinuga

Moody Janna Ian Furtado

Moody Duane Thomas Gurley

Moon Laura Jaideep Patel

Moreland Kayona Wasiu Adisa

Morgan Hether David Woo

Morris Caitlin Lenox Morris

Morse Cara Charles Evans

Nates Lauren Debbie Benoit-Harris

Naude Hannah Julie Jensen

Netrow Mary Charles Roman

Nicks Marcie Nicole Robert Raybon

Njenga Edwin Walter Smith

Noble Kelli Stephanie LaFontaine

Noe Amanda Thuy Doan

Nored Sherry Amber French

Norrell Jami Robert Roddenberry

Obialor Naomi Jeaan Chin

Obijiofor Chukwunonso Evelyn Quinlivan

O'Donoghue Cheryl Gerald O'Donoghue

Onyeuku Felicia Phillip Nowlin

Parks Erica Letitia Royster

Parrish Jessica Ali Sallgheh-Araghi

Parrish Jessica Cynthina Phillips

Parrish Jessica Criag Smith

Patel Mira Chryselle Nazare

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

21

APRN Last APRN First Delegating Physician Name

Patton Lisa Kevin Trapnell

Paulk Rhonda Donald Nelson

Pause Donna Bhavin Jani

Payne Cristal Donna Van Schuvyer

Pearson Myrtle Evelyn Quinlivan

Peay Priscilla Theron Thompson

Peay Priscilla Daniel Ralston

Peledge Kelly Susan McWhirter

Perez Lauren Richard Hannay

Perez Abby Belise Livingston-Burns

Perry Merry Kennedy Okare

Phillip Sophia Laura Bleekrode

Pingeton Robin Faye Vargas-Morris

Pledger Allison Jon Risley

Polk-Seldon Gabriele Ashley Varner

Poore Margaret Jonathan Wade

Pope Bianca Colette Lee-Lewis

Pothen Abigail Alexcis Ford

Queen Amy Laneau Hayes

Queen Amy Paul Conrad

Reid Kiki Claus Brandigi

Remoe-Doherty Daphne Scott Cooper

Revels Jana Jonathan Constantin

Reynolds Shali Randolph Bishop

Rice Rebecca Pamela Salazar

Roberson III Robert David Peterson

Round Sally Patrick Narh-Martey

Royal Kyung Usama Khalid

Rupani Tarannum Jason Sciarretta

Saint-Amand Beverly William Walters

Sargent Jennifer Mitchell Davis

Sasine Katrina Betty Koukis

Sasine Katrina Robert Sasine

Scott Natalie Bert Wall

Scott Christina Renee Alli

Seward Christie Michael O'Neil

Shields Casey Stuart Segerman

Shirley Kelly Milan Meheta

Shoemaker Holly David Van

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

22

APRN Last APRN First Delegating Physician Name

Shuler Cynthia Christopher Dealashmitt

Sifford Rachel Christopher Taranto

Simmons Rebekah Dennis Harden

Sizemore Robert Christopher Bovinet

Smith LaSassha Jennifer Reeves

Smith Cassie Donald Nelson

Smith Chantalette Olugbenga Awe

Smith James William Brooks

Smith Christa Nazia Moiz Younus

Smith Terri Chinmay Patel

Smith Elizabeth Chryselle Nazare

Smith Tara Jaymal Patel

Smith Shelby Mitchell Wilson

Sporn Margaret David Song

Stokes Crystal Nancy Fajmon

Strickland Allison Shannon Ellis

Strickland Renita Jaime Recasens

Studle Whitney Jaime Davis

Sweklo Stacey Jon Risley

Tanner Virginia Brian Pratt

Taulbee Emilie William Shivers

Thach Julie Ndubuisi Ndukwe

Thomas Charmaine Amanda Reeves

Thompson Phyllis Livingston Rasalam

Tomberlin Tara Van Hill

Tucker Virginia Jose Acevedo

Tyler-Payton Melanie Muthayyah Srinivasan

Uba Marian Kehinde Idowu

VanBuul Carol Brett Sandifer

Vance Kari Roger Bessey

VanOsdol Linda Bao Dang

Varnadore Halei Catherine Dickens

Varnadore Halei Odell Still

Vickers David Wayne Hodges

Walker Nelum Sharon Marlow-Haynes

Watkins Cathy Shannon Trowell

Watson Kyle Samuel Waling

Weaver Gail Cecil Beehler

Wells Heather Newton Chism Jr

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

23

APRN Last APRN First Delegating Physician Name

Wertenberger Caitlin Dana Cason

Wiechman Micralyn Patrina Lockette

Williams Stephanie Yakov Rubinchik

Winston-Parker Whitney Stephen Dawkins

Wint Kereene Muthayyah Srinivasan

Wood Shenna Wilma Briones Mull

Worsham Nena Walter Smith

Wright Stephanie KM Shaheen Islam

Wright Caroline Jeffrey Broder

Young Tanya James Moore

Young Katherine John Ehert

PHYSICIAN ASSISTANT ADVISORY COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report.

The Board took the following actions:

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

PA Supervising Physician

Castro, Mariella Sullivan, Brendan

Curry, Halie Collins, James

Hanscom, Bethany Leshnower, Bradley

Hermann, Linda Rubin, Ashley

Marienga, Reagan Johnson, Stephanie

Maticic, Natasa Elder, Courtney

Russell, Caitlyn Fagan, Shawn

Shrago, Rebecca Hisamuddin, Mohsin

Spearman, Leah Oheron, Sara

Approved the following applications for initial licensure without a supervising physician

PA

Anand, Anu

Apatov, Sarah

Broadwater, Alyssa

Brown, Kayla

Connolly, Margaret

Ewing, Regina

Ford, Travis

Frazee, Donald

Hart, Nancy

Huwe, Megan

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Kozlovski, Stanislav

Kozlow, Ayanna

Moore, Gail

Russell, Lauren

Shelton, Jared

Svedin, Sarah

Tercero, Scott

Wilson, Annette

Approved the following application for licensure reinstatement with a supervising

physician:

PA Supervising Physician

Fawley, Jonie Alfonso, Susana

Lund, Maha Alfonso, Susana

Thomas, Vanessa Degenhardt, Charles

Approved the following application for licensure reinstatement without a supervising

physician:

PA

Michelin, Bridgette

Palcic, Marilyn

Approved the following Add/Change applications:

PA Supervising Physician

Abiodun, Abimbola Nave, Jessica

Abrahamson, Julie Ifarinde, Joan

Abrahamson, Julie Johnston, Benjamin

Amerson, Lindsey Elder, Courtney

Anderson, Adrienne Robertson, David

Anderson, Catrecha Tatum, Vaughn

Aromaye, Olasunkanmi Williams, Robert

Baker, Morgan Herren, Joseph

Bartosh, Allison Leshnower, Bradley

Blackburn, Kizuwan Dansby, Davina

Blackburn, Kizuwan Gray, Faith

Bozek, Brooke Hungerpiller, Jeanne

Cadwallader, Beverly Richardson Jr, Eddie

Cahill, Karen Noonburg, Greer

Cashen, Rachelrui Lacharite, Desiree

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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PA Supervising Physician

Collins, Brandy Bush, Stanley

Cooper, Lynn Nicholson, Heidi

Coughlin, Gene Guyton, Robert

Cox, Thomas Krysiak, Holly

Daniels, Jamison Alkhatib, Mhd. Anas

Davis, Catherine Turk, Paul

Davis, Hope Manlove-Simmons, Kris

Davis, Lee Mcmath, Jayson

Dooley, Madison Einstein, Alan

Filipek, Kathryn Taylor, Brent

Fleming, Elizabeth Kessler, Chad

Frank, Laurie Graham, Robert

Franklin, David Plavin, Stanford

Friedman, Edward Pierce, Angela

Gilbreath, Miles Langenbeck Jr, Donald

Glasco, Haley Sykola, Raymond

Glenn, Kevin Green, David

Gossett, Holly Corrigan, Grank

Grant, Ahmad Johnson, Mark

Hall, Wesley Bynum, Aliya

Hass, Christopher Nguyen, Thang

Haycook, Daniel Meduri, Christopher

Hendrix, Joseph Quinones, Ibrihim

Holloway, Michael Olofintuyi, Anthony

Holt, Michael Bynum, Aliya

Hong, Che Jason Bynum, Aliya

Hopper, Carabeth Sohail, Huma

Jacquet, Nelson Carlisle, Adam

Jagnandan, Davin Bynum, Aliya

Jennings, Ronald Ploska, Philip

Johnson, David Yao, Jimmy

Johnson, William Halkos, Michael

Jones, Robert Marshburn, Daniel

Karp, Hilary O'connell, William

Katon-Benitez, Iva Nave, Jessica

Lawson, Kianna Dillard, Darren

Lee, Benjamin Ralston, Daniel

Leray, Melissa Marchburn, Daniel

Lovelly, Julie Dillard, Darren

Lunsford, Jacob Willis, Blake

Luthra, Raina Stewart, Jacqueline

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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PA Supervising Physician

Luthra, Raina Williams, Jerry

Matthews, Amber Williams, Jerry

Mays, Jasmine Hurley, Cynthia

Miller, Kacey Bovinet, Christopher

Moelich, Gary Yao, Jimmy

Montes De Oca Sward, Christopher

Moseley, Natalie Wingate, Harry

Mullis, Ronald Fisher, Marlon

Munie, Jessica Kauffman, Richard

Nguyen, Songthu Grubb, Kendra

Nichols, Michael Yao, Jimmy

Nix, Abbey Liberman, Henry

Oenick, Paul Kothari, Preyasi

Paulson, Joseph Antalis, John

Payne, Whitney Bloom, Ingrid

Porter, Melissa Estes, Thomas

Risley, Ryan Shikh, Charanjit

Ritchie, Mark Holsonback, Shawn

Roberts, Justin Araghi, Ali

Robinson, Michelle Johnston, Benjamin

Robinson, Michelle Ifarinde, Joan

Romanello, Tiffany Lin, Edward

Romine, Jeremy Garcia, Thomas

Sandy, Elizabeth Amin, Aakash

Smith, James Heinsch, David

Speake, Sara Grubb, Kendra

Spitz, Kerri Melhem, Samer

Stone, Miranda Tatum, Vaughn

Taub, Sarah Wagner, Eric

Tepic, Nermin Lacharite, Desiree

Thompson, Daniel Yao, Jimmy

Toussaint, Eddy Bower, David

Trinh, Louis Yao, Jimmy

Trkulja, Marko Corbitt, Larry

Ulysse, Jean-Raynald Shatil, Ben

Von Pelser-Berensberg, Kristin Tatum, Vaughn

Wagoner, Rodger Lee, Jeffrey

Webb, Julie Ganjam, Satishkumar

Whatley, Peter Mayfield, William

Whatley, Peter Redcross, Joseph

Whiddon, Robert Pare, Anna

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

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Approved the following Additional Duty Request:

Margracious Brown, PA with – Dr. Jeff Carney

Cystoscopy/Cystourethroscopy

Kathryn Filipek, PA with – Dr. Brent Taylor

Injectables (Neurotoxins and Fillers)

Sclerotherapy

Other Business:

1. The following Initial Physician Assistant applications were reviewed and approved for

emergency PA license:

Robert Bundy (9724) with Supervising Physician Dr. Charles Bishop

Colt Cructhfield (9723) with Supervising Physician Dr. Robert Mazur

- Committee Agreed

2. TS: Request for extension to complete 240 shadowing hours. Inquiry regarding obtaining a

medical license. Submission of 138 shadowing hours and new reference forms.

- Approve. Applicant must submit remaining shadowing hours upon completion.

3. CH: Request an appeal for denial of reinstatement application.

- Table for May meeting

4. NH: Submission of completed 240 shadowing hours and supporting documents.

- Approve

5. AD: Submission of completed 240 shadowing hours and supporting documents.

- Approve

6. Will there be any changes to how applications and documents are submitted in relation to

COVID 19? May forms be emailed or faxed (original signatures to electronic signatures)?

May primary source documents be submitted by the applicant rather than the primary

source or submitted via email? For applicants that have been licensed in other states; Can

the application specialists retrieve the state license verification from the states’ medical

board website?

- Applicants applying for a Georgia initial and reinstatement of licensure may submit

documents and forms electronically for the duration of the COVID-19 Crisis.

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

28

- Proposed emergency rule change to be reviewed by the full Board. (refer to Charmaine

Faucher Ex Officio)

COSMETIC LASER ADVISORY COMMITTEE

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

unanimously.

The Board took the following actions:

Assistant Laser Practitioner – Approved

Holly Barnett

Ranada Bembry

Lauren Cole

Alisha Brown

Mia Cager

Jennifer Giltz

Melissa Gomez-Berrio

Wanda Green

Nicolette Hassell

Alicia Hokett

Dawn Katz

Karen Macolino

Jennifer Mangino-Echevarria

Lauren Nee

Kayla Robbins

Morgan Swader

Senior Laser Practitioner - Approved

Carolina French

Travis Young

The following application was tabled for additional information:

Misty Banknell

New Business

Dr. Gross discussed proposed legislation, which has been delayed until the General Assembly is

back in session.

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

29

RESPIRATORY CARE ADVISORY COMMITTEE

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

the report by unanimous vote.

The Board took the following actions:

Reinstatements:

Cockern, Christy - approved

Toro, Erwin - approved

Whitehead, Diana- pending additional documentation

Temporary:

Georgia Northwestern Technical College; Applications approved pending Form A

Bal, Kaleigh - approved

Garner, Promise - approved

BryZada, Hoffman - approved

James, Miranda - approved

Mathis, Deidra - approved

Parris, Richard - approved

Pineda, Jeisson - approved

Powell, Kelly - approved

Roberson, Debra - approved

Scott, Andrea - approved

Smith, Kenneth - approved

Syedali, Azizah - approved

Watkins, Jessica - approved

Wright, Allison - approved

Wright, Hailey - approved

Temporary:

Middle GA State University; Applications approved pending Form A

Brown, Jessica

Crockett, Matthew

King, Jasmine

Lindsay, Kiana

McNair, Justin

Poole, Chelsei

Purnell, Brianna

Thomas, Quinetrious

Temporary:

Augusta University; Applications approved pending Forms A and B

Boettcher, Ansley

Cotty, Daniel

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

30

Temporary:

Augusta University; Applications approved pending Forms A and B

Edwards, Terri

Fennell, Xavier

Goldner, Adriana

Hodges, Jessica

Osis, Brett

Price, Emily

Saleh, Heba

Warner, Jordan

Williams, Terrell

Temporary:

Almogren, Rashed

Henry, Chanel

Sims, Jacquelyn

Chestnut, Dion- pending Forms A and B

Foster, Taylor- pending Forms A and B

Marquez, Karem- pending Form B

Full Licensure:

Brown, Tegen - approved

Burns, Carrie - approved

Burns, Michael - approved

Butler, Shea - approved

Gibbs, Tabitha - approved

Krouse, Helen - approved

Lohkamp, Carmen - approved

Onwukwe, Kimberly - approved

Stallings, Amanda - approved

Truitt, Christian - approved

Wallace, Alysha pending Form A

Dominick, Trivelle-pending Form A

Harris, Jasmine- pending Form B

Administrative Upgrades

1. Shinice Pace

2. Corrine Green

3. Hayley Bush

4. Alexandra Trotter

5. Hayley Bush

6. Andrea Mabry

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

31

Administrative Upgrades

7. Amanda Talley

8. Mactrice Watkins

9. Courtney Laidford

10. Alexis Madrigal

11. Taylor Vaughn

12. Taylor Kratina

13. Kaitlyn Elliott

14. Leigha Crum

15. Devyn Campbell

PERFUSION ADVISORY COMMITTEE

Dr. Retterbush presented the Perfusion Committee report as a motion. The Board accepted the

report by unanimous vote.

The Board took the following actions:

The Committee reviewed and approved the following applications pending additional information:

Application for Licensure

Susan Schneider

PAIN MANAGEMENT COMMITTEE

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

accepted the report by unanimous vote.

The Board took the following actions:

Application Pain Clinic Name

F549243 The Physicians Spine & Rehabilitation Specialists of

Georgia PC- Stockbridge F549472 Summit Spine & Joint Centers-Winder

F549471 Rehabilitation Physicians of Georgia, P.C- Atlanta

Licensing # 104 Centers for Pain Management of Georgia Change Location Reinstatement License # 457 The Pain Relief Center of Georgia- Fayetteville

Approve pending additional information.

Reinstatement License # 450 Sports and Spine Institute- Marietta

Approve pending additional information.

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

32

License # 195 Care Medical Center- Valdosta

ADD physician, James Campagna

ADD APRN, Nathan Roberson

DELETE APRN, Jane Murray

REVISE business hours

The Committee approved the following applications that were Administratively Approved

License # Pain Clinic Name

350

Kroll Care

ADD practicing physician, Kali Gordon

289, 489

Physician Pain Care

ADD practicing physician, James Newlon

224

Harbin Clinic, LLC

ADD APRN, Whitney Albright- pending protocol agreement

293

The Spine Center of Southeast Georgia, LLC

ADD practicing physician, Anthony McPherson

ADD physician assistant, Kacey Miller

ADD managing employee, Daniel McGinnis

ADD APRN, Robert Sizemore

DELETE physician assistant, Laura Bishop

DELETE practicing physician, Emmanuel Gage

DELETE managing employee, Katie Fitzgerald

294

The Spine Center of Southeast Georgia, LLC

ADD practicing physician, Anthony McPherson

ADD physician assistant, Kacey Miller

ADD managing employee, Daniel McGinnis

DELETE physician assistant, Laura Bishop

DELETE practicing physician, Emmanuel Gage

DELETE managing employee, Katie Fitzgerald

234

Specialty Spine and Pain, PC

ADD APRN, Anna Balaban

506

Georgia Injury & Pain Specialists

ADD physician assistant, Robert Bundy-pending DEA # and PDMP

verification

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

33

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Deloach presented the Genetic Counselors Advisory Committee report.

The Board took the following actions:

1. The Committee discussed enforcing the law that requires all Genetic Counselors to be

licensed. The Committee agreed to review each situation on a case-by-case basis.

2. The Committee discussed the issue regarding licensure update and agreed that all applicants

will be notified within one week of licensure.

3. The Committee discussed the question from R.J. Okamura regarding who can and cannot see

patients. A correspondence will be sent to advise that an individual must be licensed in

Georgia in order to see patients.

4. The Committee reviewed the information presented regarding the timing of the transition

from ABMG to ABGC, in addition to verification that ABMG is the same board as ABMGG.

The Committee agreed that ABMGG is equivalent to ABGC.

5. The Committee reviewed the revised checklist and application and made a few changes.

6. Approved the following applications.

Applicant Name

Karlene Coleman

John Lewis

Kim Uhas Katherine Adler Jodie Asher Jennifer Boomsma Michelle Hearn Monique LaPointe Jacquelyn Magner Ariadna Martinez ` Natalie Murphy Jessamyn Nazario Rossello Cassandra Polun Lisa Bush Suzanne Cahn Elizabeth Kramer Dugan Kimberly McGreevy Karen Metzler Sarah Pass Jamie Paysour Morgan Simmons Matthew Walsh

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

34

Kate Wilson Jeanine Ashley Carolyn Wilson Katherine Curd Lindsay Dohany Heather Kamen Kelly Morse Honey Nagakura Bojana Pencheva Eleanor Westfall Shrutika Yeola Adrianne Baxter Eleanor Botha Jeanne Devine Kaylee Henson Kimberly Kopita Kate Loranger Jennifer Murphy Tessa Niemchak Rebecca Pollack Lauren Propst Jennifer Claus Angela Geist Yue Guan Julie Hufham Dawn Laney Patricia Page Andrea Ramirez Kelly Tangney Anjana Varma

Sarah Ahmed Emily Ayers Allison Foley Melanie Hardy Jill Harris Jennifer Luque Taryn Rosenthal Joan Vignovich Kathryn Warren Julia Wilkinson Eleina Cox Amanda Cozart Jessica Davidson Stacey Fiorillo Emily Goldberg Jessica Greenberg Erica Wahl

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

35

Rachel Willms Stephanie Woods Catherine Terhaar

ORTHOTIST & PROSTHETIST ADVISORY COMMITTEE

Dr. DeLoach presented the Orthotist & Prosthetist Advisory Committee report.

The Board took the following actions:

Approved the following application for upgrade:

Justin Marchant

New Member

Approved the appointment of the new Committee member, Stephen D. Miller, CPO, LPO.

The members thanked Mr. Kaufman for his willingness to continue to serve through the May

meeting and for his service to the Board and the citizens of Georgia.

WELLNESS COMMITTEE

Dr. Harbin presented the Wellness Committee report as a motion and Dr. Simmons seconded.

The Board accepted the report by unanimous vote:

a. No meeting was held on April 2, 2020.

b. During open session, Dr. Harbin, Chairperson (Wellness) informed the Board that the

PHP report submitted by Dr. Paul Earley and Robin McCown, is available on the Board’s

website for review.

INVESTIGATIVE COMMITTEE

The Investigative Committee report was presented as a motion by Dr. Bostock, and seconded by

Dr. Harbin. The Board accepted the report by unanimous vote. The Board took the following

actions.

Close:

20141639 20151031 20160031 20162483 20170058 20170064

20170065 20170130 20170463 20181486 20181980 20182243

20182454 20190046 20190471 20192447 20192453 20192476

20192527 20200035 20200074 20200180 20200258 20200332

20200398 20200417 20200473 20200478 20200503 20200536

20200536 20200542 20200555 20200561 20200562 20200563

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

36

20200564 20200582 20200600 20200607 20200610 20200614

20200618 20200625 20200628 20200639 20200650 20200663

20200670 20200672 20200672 20200673 20200686 20200698

20200717 20200718 20200727 20200736 20200807 20200832

20200939 20200965 20200987 20201015 20201046 20201119

20201165

Close with Letter of Concern:

20190877 20191670 20192303 20200079 20200344 20200626

20200642 20200690 20200715 20200768 20201033

Invite for Investigative Interview:

NONE

Further Investigation:

20200881 20200883 20201238

Table

20191765 20200117 20200153 20200951

Attorney General’s Office

20170633 20192485 20200102 20200947 20192571

Peer Review

20200724 20150747 20140319 20121233 20201238

OMPE

20200905

INITIAL COMPLAINT EVALUATIONS

The Board approved the following recommendations.

20201024 20201045 20201060 20201068 20201067 20201073

20201077 20201078 20201079 20201086 20201087 20201088

20201097 20201117 20201132 20201136 20201138 20201156

Georgia Composite Medical Board

Minutes of the April 2, 2020 Meeting

37

RECUSALS

Marshall 20192527 20200332 20201046

Reisman 20192453

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

the meeting at 10:0a.m.

__________________________________ _____________________________________

Gretchen Collins, MD LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by:

_______________________________________________

Phyllis White, Executive Assistant