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APRN and Delegating Physician - Terminated Nurse Protocol Agreements RN# Delegating Physicia Protcol Address PHY# APRN Name Protocol # Terminated 10/31/2021 Jose Justiniano-Ayala 46773 RN202374 Abbasi, Johnna 44686 118 E Girard Ave Cedartown, Ga 30752 7/8/2015 Melinda Willingham, MD 45669 RN215132 Abbey, Ophelia Alice 13872 4112 E. Ponce De Leon Ave. Clarkston, GA 30021 9/30/2019 Gertrude Arrington, MD 27036 RN215132 Abbey, Ophelia Alice 20998 1720 Phoenix Blvd Ste. 900&600 College Park, GA 30349 9/21/2021 Eduardo Safille 80175 RN293340 Abbott, Carol 53388 1375 E. Kings Ave Kingsland, GA 31548 5/13/2021 Jason Jian 67335 RN221110 Abebe, Mahlet 54057 833 Campbell Hill Street, Suite 350 Marietta, GA 30060 6/29/2020 Karl Mihalvotis, MD 11776 RN221110 Abebe, Mahlet 20770 4015 South Cobb Drive Smyrna, GA 30080 4/18/2017 Jayesh Naik, MD 33253 RN221110 Abebe, Mahlet M. 20253 11111 Houze Rd., Ste 225 Roswell, GA 30076 8/16/2021 Robert Ford 60833 RN281354 Abere, Moyosore 51447 5300 Bowman Road Macon, GA 31210 7/29/2016 Santanu Das, MD 42560 RN205283 Abernathy, Taylor M 13871 1049 N. Houston Rd. Warner Robins, GA 31093 2/1/2017 Dark, Jennifer MD 66016 RN107241 Abernathy, Pamela 10682 1012 Burleyson Road Dalton, GA 30710 11/8/2018 Schaefer, Timothy MD 47524 RN079832 Abernathy, Deborah 10688 1700 Hospital South Drive, Ste 500 Austell, GA 30106 5/7/2012 Jaime Burkle, MD 48881 RN154956 Abernathy, Kari Elizabeth 9783 309 Highland Pkwy, Suite 201 Ellijay, GA 30539 12/13/2021 Asaf Aleem 30260 RN186519 Abiodun, Dolapo 58270 2150 Peachford Road, Suite H Atlanta, GA 30338 12/1/2019 Susanne Hardy, DO 69860 RN212591 Abiri, Autherine Nnkeonyelum 21327 1364 Clifton Rd. NE Atlanta, GA 30322 2/16/2021 Christopher Marine 35292 RN141176 Abon, Moradeke 45587 445 Winn Way, #119 Decatur, Ga 30030 8/24/2015 Albert Anderson, MD 58136 RN141176 Abon, Moradeke 11082 341 Ponce deLeon Ave. Atlanta, GA 30308 4/16/2013 Lynette Stewart, MD 39681 RN178502 Abraham, Linda 11113 3660 Flat Shoals Rd., Ste 180 Decatur, GA 30034 12/31/2014 Josephine Lopez, MD 44125 RN204958 Abraham, Rennie Juanillo 11647 1500 Oglethorpe Ave, Suite 100 Athens, GA 30606 3/30/2012 Hodges, Sharon MD 40759 RN178502 Abraham, Linda 10470 1372 Wellbrook Circle Conyers, GA 30012 10/1/2010 Phillip Bannister, MD 16503 RN178502 Abraham, Linda M. 5019 603-A Old Norcross Rd Lawrenceville, GA 30045 11/30/2011 Mohamad El-Attar, MD 41286 RN178502 Abraham, Linda M. 9546 1372 Wellbrook Cir NE Conyers, GA 30012 6/16/2014 Thomas Seay, MD 30884 RN108696 Abramson, Cara Michelle Rothfi 5 5670 P'tree Dunwoody Rd, #1100 Atlanta, GA 30342 Monday, August 1, 2022 Page 1 of 482

APRN and Delegating Physician - Terminated Nurse Protocol

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APRN and Delegating Physician - Terminated Nurse Protocol Agreements

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/31/2021Jose Justiniano-Ayala 46773RN202374Abbasi, Johnna 44686 118 E Girard Ave Cedartown, Ga 30752

7/8/2015Melinda Willingham, MD 45669RN215132Abbey, Ophelia Alice 13872 4112 E. Ponce De Leon Ave. Clarkston, GA 30021

9/30/2019Gertrude Arrington, MD 27036RN215132Abbey, Ophelia Alice 20998 1720 Phoenix Blvd Ste. 900&600 College Park, GA 30349

9/21/2021Eduardo Safille 80175RN293340Abbott, Carol 53388 1375 E. Kings Ave Kingsland, GA 31548

5/13/2021Jason Jian 67335RN221110Abebe, Mahlet 54057 833 Campbell Hill Street, Suite 350 Marietta, GA 30060

6/29/2020Karl Mihalvotis, MD 11776RN221110Abebe, Mahlet 20770 4015 South Cobb Drive Smyrna, GA 30080

4/18/2017Jayesh Naik, MD 33253RN221110Abebe, Mahlet M. 20253 11111 Houze Rd., Ste 225 Roswell, GA 30076

8/16/2021Robert Ford 60833RN281354Abere, Moyosore 51447 5300 Bowman Road Macon, GA 31210

7/29/2016Santanu Das, MD 42560RN205283Abernathy, Taylor M 13871 1049 N. Houston Rd. Warner Robins, GA 31093

2/1/2017Dark, Jennifer MD 66016RN107241Abernathy, Pamela 10682 1012 Burleyson Road Dalton, GA 30710

11/8/2018Schaefer, Timothy MD 47524RN079832Abernathy, Deborah 10688 1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/7/2012Jaime Burkle, MD 48881RN154956Abernathy, Kari Elizabeth 9783 309 Highland Pkwy, Suite 201 Ellijay, GA 30539

12/13/2021Asaf Aleem 30260RN186519Abiodun, Dolapo 58270 2150 Peachford Road, Suite H Atlanta, GA 30338

12/1/2019Susanne Hardy, DO 69860RN212591Abiri, Autherine Nnkeonyelum 21327 1364 Clifton Rd. NE Atlanta, GA 30322

2/16/2021Christopher Marine 35292RN141176Abon, Moradeke 45587 445 Winn Way, #119 Decatur, Ga 30030

8/24/2015Albert Anderson, MD 58136RN141176Abon, Moradeke 11082 341 Ponce deLeon Ave. Atlanta, GA 30308

4/16/2013Lynette Stewart, MD 39681RN178502Abraham, Linda 11113 3660 Flat Shoals Rd., Ste 180 Decatur, GA 30034

12/31/2014Josephine Lopez, MD 44125RN204958Abraham, Rennie Juanillo 11647 1500 Oglethorpe Ave, Suite 100 Athens, GA 30606

3/30/2012Hodges, Sharon MD 40759RN178502Abraham, Linda 10470 1372 Wellbrook Circle Conyers, GA 30012

10/1/2010Phillip Bannister, MD 16503RN178502Abraham, Linda M. 5019 603-A Old Norcross Rd Lawrenceville, GA 30045

11/30/2011Mohamad El-Attar, MD 41286RN178502Abraham, Linda M. 9546 1372 Wellbrook Cir NE Conyers, GA 30012

6/16/2014Thomas Seay, MD 30884RN108696Abramson, Cara Michelle Rothfi 5 5670 P'tree Dunwoody Rd, #1100 Atlanta, GA 30342

Monday, August 1, 2022 Page 1 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/10/2019Daniel Dubovsky, MD 29866RN108696Abramson, Cara Rothfield 13455 5670 Peachtree Dunwoody Rd, Ste 1100 Atlanta, GA 30342

4/22/2020Amelia Zelnak 53634RN108696Abramson, Cara 44412 5670 Peachtree Dunwoody Road (Suite 1100) Atlanta, GA 30

1/31/2022Barbara Kupka 33852RN140474Abt, Kristina 53732 725 US Highway 19 Camilla, GA 31730

6/17/2019Thomas W. Hobby, DO 48647RN244930Abt, Ashley Allen 40259 2209 Pineview Drive Valdosta, GA 31602

2/24/2021Mark A. Lee, MD 59451RN244930Abt, Ashley Allen 41214 90 E.Stephens Street Camilla, GA 31730

3/1/2020Ralph Parks Warnock, MD 17337RN207908Acero-Smith, Grace Elena 41243 4421 Carnes Street Acworth, GA 30101

3/11/2022Richard Wherry 17341RN207908Acero-Smith, Grace 51069 1005 Boulder Drive Gray, GA 31032

4/5/2021Sean Lee 76604RN282393Acosta-Prows, Adriana 44678 55 WWhitcher St. Ste. 160 Marietta, Ga 30060

6/1/2019Reden Delgado, MD 65957RN126710Acree, Lisa Pinkard 20821 501 Redmond Rd. Rome, GA 30165

4/1/2015Melissa Dillmon, MD 54073RN126710Acree, Lisa Pinkard 12389 255 West Fifth St Rome, GA 30165

9/25/2014William Whaley, MD 11504RN126710Acree, Lisa Pinkard 9 750 Deep South Farm Rd Blairsville, GA 30512

1/16/2021Steven Black 45727RN164623Adams, Kelli 48330 535 Jesse Jewell Parkway, Suite A Gainesville, GA 30501

10/24/2021Jonathan Nguyen 76300RN164623Adams, Kelli 58891 80 Jesse Hill Jr. Drive SE Atlanta, GA 30303

4/30/2012Knepp, Ira MD 34002RN181346Adams, Sherida 10276 1009 N. Monroe Street Albany, GA 31701

7/15/2016Christopher Sward, MD 45638RN240230Adams, Jamie E 13737 150 Gentilly Blvd Cartersville, GA 30120

4/6/2020Dean Karampelas, MD 26141RN164623Adams, Kelli 15695 743 Spring St NE Gainesville, GA 30501

2/2/2016Asit K. Jha, MD 55248RN158173Adams, Angela D. 11189 1706 Alice St. Waycross, GA 31501

1/3/2017Yvonne Smith, MD 42443RN240230Adams, Jamie 16396 51 N Morning Side Dr Cartersville, GA 30121

7/15/2016Glenn Hittel, MD 34159RN240230Adams, Jamie Elizabeth 17603 150 Gentilly Blvd Cartersville, GA 30120

5/31/2018Lawton Davis, MD 21669RN093180Adams, Jina Cravey 39367 89 Telfair Avenue McRae Helena, GA 31055

8/9/2019Jack L. Copeland, MD 30289RN164623Adams, Kelli Nichole 42342 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

3/26/2018Brandon K. Hicks, MD 46683RN191947Adams, Mary Allison 41680 1230 Baxter Street Athens, GA 30606

1/4/2019Sofia Munir, MD. 68250RN240230Adams, Elizabeth Jamie 40298 1050 Techwood Drive Atlanta, Ga 30318

7/1/2021Nitya Reddy 61151RN164623Adams, Kelli 45521 725 Jesse jewell Pkwy SE Gainesville, Ga 30501

1/28/2019Dolapo Babalola 59119RN240230Adams, Jamie 43447 125 Main Street Market Place Cartersville, GA 30121

1/28/2019Dolapo Babalola 59119RN240230Adams, Jamie 43461 125 Main Street Market Place Cartersville, GA 30121

Monday, August 1, 2022 Page 2 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2020Amana Andrews 75679RN240230Adams, Jamie 44632 10 Main St Marketplace Cartersville, Ga 30121

6/21/2018Safia Pirani, MD 56624RN219584Adams 38766 3330 Peachtree Corners Circle, Suite H Peachtree Corners, G

4/30/2014James Bailey, MD 28368RN226384Adamski, Jennifer Lynn 11645 743 Spring St Gainesville, GA 30501

4/6/2020Dean Karampelas, MD 26141RN226384Adamski, Jennifer Lynn 11780 743 Spring St Gainesville, GA 30501

4/6/2020Dean Karampelas, MD 26141RN226384Adamski, Jennifer 13842 743 Spring St Gainesville, GA 30501

9/18/2009Cullen Morris, MD 44285RN063419Adcock, Leslie Hollowell 18 1270 Prince Ave, Suite 303 Athens, GA 30606

2/1/2017Sheryl Canady, MD 50999RN185219Adderley, Kisha 15543 1775 Parker Rd, Ste C-240 Conyes, GA 30094

12/1/2018Crystal Hood, MD 58813RN185219Adderley, Kisha 38666 1506 Klondike Rd. Conyers, GA 30094

11/17/2009Noreen Andrews, MD 46861RN161498Adegbuji, Omoronke Olufunmil 7921 1910 Hwy 20 SE, Suite 270 Conyers, GA 30013

11/2/2020Mehmood Mehdi 57725RN211681Adekunle, Toyin 46064 367 Athens Hwy Loganville, Ga 30052

11/9/2021Asha Pandya 34038RN211681Adekunle, Toyin 55144 1650 County Services Pkwy Drive Marietta, GA 30080

2/16/2022Lloydstone Jacobs II, MD 49179RN175655Adeshigbin, Alaba 10949 2980 University Parkway Lawrenceville, GA 30043

7/1/2013Adrienne Mims, MD 33152RN175655Adeshigbin, Alaba Risikat 8802 477 Windsor St, Suite 309 Atlanta, GA 30312

9/4/2020Douglas Cooper 37180RN202394Adeyemi, Afusat 48440 2636 MLK Jr Drive SW, Suite 12 & 22 Atlanta, GA 30311

2/20/2016Mehmood Mehdi, MD 57725RN202394Adeyemi, Afusat 14765 367 Athens Hwy, Ste 1050 Loganville, Ga 30052

9/30/2019Shelly Yusuff, MD 49482RN202394Adeyemi, Afusat Omolara 17139 1844 Old Norcross Rd, Ste 200 Lawrenceville, GA 30044

9/4/2020Douglas Cooper 37180RN202394Adeyemi, Afusat 49266 3883 Rogers Bridge Road Duluth, GA 30097

8/18/2020Diahann M. Meekins, MD 63458R202394Adeyemi, Afusat Omolara 40713 3469 Lawrenceville Hwy (Suite 301) Tucker, GA 30084

8/25/2014Debra Houry, MD 50889RN175909Adeyemo, Oluwatoke Abidemi 12805 49 Jesse Hill Dr SE, Emer Dept. Atlanta, GA 30303

8/19/2015Hany Atallah, MD 52678RN111866Adibe, Josephine Obiy 13869 80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta, GA 30303

1/9/2015Saied Murphy, MD 39187RN201559Adjei, Vincentia Asantewah 13714 1350 Montreal Rd., Ste 210 Tucker, GA 30084

3/15/2022Ijeoma Azonobi 62808RN201559Adjei, Vincentia 39947 2551 Rowell Road, Suite 415 Marietta, GA 30062

2/21/2019Pradyumma Tummala, MD 41016RN277207Adkins, Keith 41119 743 Spring Street Gainesville, GA 30501

6/1/2021Timothy Logaker, MD 25883RN245617Adkins, Kyrsta Rachelle 42733 298Hwy 520 Cusseta, GA 31805

6/1/2021Timothy M. Longaker, MD 25883RN245617Adkins, Krysta Rachelle 42751 298 Hwy 520 Cusseta, GA 31805

6/19/2021Michael Hocker 76093RN215084Adkins, Jacob 46065 1120 15th St., Suite AF2039 Augusta, GA 30912

Monday, August 1, 2022 Page 3 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2021Salem Sayar 47834RN277207Adkins, Keith 45125 200 South Enota Dr. NE #480 Gainesville, GA 30501

8/3/2019Ronnie Hendrix 24690RN183990Adkins, Lynsey 46602 4835 Sugarloaf Pkwy, Suite 200-300 Lawreneville, Ga 30044

1/21/2012Todd Robinson, MD 40773RN147420Adkison, Tasha Michele Cobb 8747 14 Cherokee Rd Cedartown, GA 30125

7/1/2011Theron Thompson, MD 51772RN147420Adkison, Tasha Michele Cobb 9555 1825 Martha Berry Blvd Rome, GA 30165

2/8/2021STEVE GARST - MD 48047RN256346ADOFO, MARGARET 39233 10905 HAYNIE BRIDGE RD ALPHARETTE, GA 30022

7/31/2017Patricia Kelly, MD 48528RN256346Adofo, Margaret 21330 424 Decatur St, SE Decatur, GA 30312

6/11/2016Deronda Brown, MD 50079RN210974Afolabi, Wuraola B. 17645 106 E. Broad St. Savannah, GA 31410

8/4/2021Yasmin Ahmed 84227RN279629Agbatchi Houedan, Ilako 57384 418 Town Park Blvd., Suite 1A Evans, GA 30809

5/11/2015Francis Gonzalez, MD 57810RN205174Agbede, Olubunmi Omolola 12794 677 Church St Marietta, GA 30060

12/1/2021Martha Murry 76736RN177491Agbojeyin, Fatimat 55018 125 Governors Square Peachtree City, GA 30269

9/25/2018Charles M.Moore, MD 30655RN226655Agbor, Ebanga E. 20748 4550 Cobb Parkway Acworth, GA 30101

10/31/2018Oladayo A Osinuga, MD 51703RN214710Agomessou, Ablavi Adodo 42535 1000 Briarcliff Road NE Atlanta, GA 30306

1/22/2021Dave A Ringer, MD 30368214710Agomessou, Ablavi Adodo 42127 112 Hospital Drive Washington, GA 30673

1/24/2022Robert W Klassen, MD 34385214710Agomessou, Ablavi Adodo 42132 2560 Flintridge Road Gainesville, GA 30501

2/28/2022Tracy Barefield 41717RN244670Aguilar, Erika 57673 4150 Washington Road, Suite 11 Evans, GA 30809

1/16/2019Barbara Brown, MD 49878RN109364Agyepong, Dorothy 42108 2000 10th Avenue (Suite 400) Columbus, GA 31901

2/28/2018Apal L. Hartman, MD 50887RN109364Agyepong, Dorothy Dee 17559 2000 10th Ave, Ste 400 Columbus, GA 31901

1/16/2019Richelle Gonzalez, MD 70121RN109364Agyepong, Dorothy 40113 2000 10th Avenue (Suite400) Columbus, GA 31901

11/20/2018Samar Shah, MD 75245RN109364Agyepong, Dorothy Dee 19256 1111 Bullsboro Dr, Ste 6&7 Newnan, GA 30265

2/5/2016Clyde Simmons, MD 17301RN109364Agyepong, Dorothy Dee 15108 5488 Alabama Ave Omega, GA 31775

4/10/2020Dixie Griffin 63661RN109364Agyepony, Dorothy Dee 44456 39 Kent Road Tifton, GA 31794

12/23/2016Douglas Perry, MD 40753RN211307Ahearn, Nanci Lee Brinn 13164 89 Interchange Dr Richmond hill, GA 31324

11/15/2019George Powell, MD 37046RN243116Ahnert, Jordan Joseph 42964 3226 - A Hampton Avenue Brunswick, GA 31520

12/23/2020Athena Sotus-Nawar 31512RN207207Aibangee, Kate 49579 450 Winn Way Decatur, GA 30030

4/19/2021Oliver Glass 77745RN169588Aiello, Lisa 51543 200 Wisteria Drive Gainesville, GA 30501

9/19/2020Shelly McIntyre, MD 74005RN196588Aiello, Lisa 39104 129 South Main Street, Suite C Hiawassee, GA 30546

Monday, August 1, 2022 Page 4 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/18/2022Ayman Fareed 58740RN169588Aiello, Lisa 57661 330 Mount Sinai Drive Dahlonega, GA 30533

7/1/2021Dinesh Gandhi 74119RN236766Aikens, Malcolm 56896 976 Killian Hill Road, Suite A Lilburn, GA 30047

2/22/2022Lekshmi Kumar 64083RN236766Aikens, Malcolm 47496 745 Memorial Drive Atlanta, GA 30316

11/12/2019Arthur Yancey 36909RN236766Aikens, Malcolm 45872 745 Memorial Dr. Atlanta, Ga 30316

9/29/2020Crispin Barlatt 79934RN236766Aikens, Malcolm 46328 921 Eagles Landing Pwky Stockbridge, GA 30281

6/6/2015Charles Roman, DO 43757RN243650Ailes, Lisa Renee 15167 2737 Warm Springs Rd Columbus, GA 31904

10/25/2019Robinowitz, Michael MD 17274RN153656Aina, Joan 10528 1255 Highway 54 West Fayetteville, GA 30214

10/1/2018Piyush C Patel, MD 53357RN201907Ajiboye-Lala, Oyeronke 42309 10090 Medlock Bridge Rd Johns Creek, GA 30097

11/5/2020Jean-Paul Landry, MD 33777RN081701Akins, Katharine R. 41744 200 N. River Street Claxton, GA 30417

10/22/2021Natalie Britt 79073RN081701Akins, Katharine 54454 100 S. Madison Street Thomasville, GA 31792

4/27/2022Brandi Jouett 65446RN231437Akins, Scott 53488 1100 Peachtree Street NE, Suite 200 Atlanta, GA 30309

1/8/2016Sara Sambandham, MD 64964RN231437Akins, Scott 16127 5673 Peachtree-Dunwoody Rd 5th floor Atlanta, GA 30342

5/1/2014Willis McVay, MD 54833RN081701Akins, Katharine L Reeves 25 501 East Long St Claxton, GA 30417

12/3/2020Shameka McElhaney 54854RN245997Akintoye, Nimota 51697 3451 Cobb Pkwy, Suite 4 Acworth, GA 30101

9/1/2018Neil Jariwala, MD 76851RN224730Akinyele, Olajumoke Elizabeth 41794 10090 Medlock Bridge Rd (Suite 110) Johns Creek, GA 30097

2/8/2019Phillip W Nowlin, MD 36588RN227710Akinyele, Emmanuel Omotayo 42137 668 Oglethorpe Street Macon, GA 31201

1/25/2018Brian Barczak, MD 76418RN224730Akinyele, Olajumoke 21000 2900 Chamblee Tucker Rd. Bldg 16 Atlanta, GA 30341

12/13/2012Ault, Kevin MD 56403RN181184Akpan, Inemienyu 10644 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, 4th floor Atlanta, GA 3

10/5/2021Terrell Bond 68701RN211457Akpan, Imaobong 44581 901 Rice St NW Atlanta, Ga 30318

11/10/2020Ganiat Ajayi 47776RN217067Akwiwu, Chika 51485 112 Lanthier Street Winder, GA 30580

5/25/2020Shahzad M Hashmi, MD 53239217067Akwiwu, Chika Okem 42126 311 Gwinnett Drive Lawrenceville, GA 30046

8/19/2020Ashly Joseph 80327RN293548Alaina, Noor 52800 145 Eagles Walk Stockbridge, GA 30281

10/4/2021Christina Price-Jackson 83262RN293548Alaina, Noor 54002 145 Eagles Walk Stockbridge, GA 30281

10/7/2015John Ogundipe, MD 39193RN165259Alaka, Olushola 15890 2130 Anderson Mill Rd Austell, GA 30106

10/18/2018Melissa Schepp, MD 50221RN165259Alaka, Olushola Denai 12390 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

7/31/2017Lawrence Powell, MD 38915RN211052Alamu, Ikeade Bello 16831 4120 Austell Rd. Austell, GA 30106

Monday, August 1, 2022 Page 5 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/4/2016Jonathan Rosenfiled, MD 74345RN211052Alamu, Ikeade Bello 18862 3240 South Cobb Dr. Smyrna, GA 30082

3/24/2009Jeff Donohue, MD 46540RN159786Albano, Jessica Lyn 8248 3755 Sixes Road, Suite 202 Canton, GA 30144

6/22/2021Khudr M. Burjak, MD 61709RN234544Albers, Elizabeth Cavanah 42040 2151 West Spring Street Monroe, GA 30655

9/24/2020Rita Mezzatesta 58371RN292604Albright, Whitney 50897 550 Redmond Road Rome, GA 30165

11/30/2018Alan Brown, MD 57782RN174507Albritton, Amber Laine 19037 417 West Third Ave, Ste 500 Albany, GA 31706

7/1/2021Randal K. Shipley 61343RN174507Albritton, Amber Laine 43686 417 3rd Avenue Albany, GA 31701

9/21/2021Muhammad Akram, MD 48476RN159216Albritton, Andrea Janan 40715 615 Pendleton Street (Suite C) Waycross, GA 31501

6/10/2016James Palazzolo, MD 37637RN174507Albritton, Amber Laine 13022 804 13th Ave Albany, GA 31707

5/31/2021Bruce Salzberg 29775RN268871Alce, Emily 44778 5775 P'tree Dunwoody Rd Atlanta, Ga 30342

11/1/2015Tom Vann Willis, Jr., MD 10695RN061053Alday, Vicky Lynn Whittington 27 1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524

11/14/2018Jennifer Miller, MD 46996RN061053Alday, Vicky W. 8081 390 E H Court Brunswick, GA 31520

3/7/2018Gutierrez, Raymond MD 57983RN212358Alderman, Troy 10892 701 N. Slappey Blvd Albany, GA 31701

7/10/2020Syed Rizvi 44073RN230220Aldridge, Katie 50355 770 Champions Close Alpharetta, GA 30004

12/1/2019Syed Rizvi 44073RN230220Aldridge, Katie 46973 5775 Peachtree Dunwoody Road NE, Bld C, Suite 500 Atlanta

5/9/2019Dwight A. Owens 43105RN213368Aldridge, Rodney 395 1720 Peachtree Street (Suite 640) Atlanta, GA 30309

11/15/2017Maria Walker, MD 25306RN257239Alegre-Guzman, Melisss Hayde 18745 5040 Snapfinger Woods Dr., Ste 108 Decatur, GA 30035

1/19/2022Ronald Sites 57325RN255754Alex, Aju 46445 6 Holmes Court Pooler, Ga 31322

1/19/2022Ronald Sites 57325RN255754Alex, Aju 46452 6 Holmes Court Pooler, GA 31322

7/10/2021David Morton 48279RN179275Alexander, Carla 50453 3000 Schatulga Road Columbus, GA 31907

4/1/2021Lucas Golub 74186RN168429Alexander, Shona 52298 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

11/2/2021Nyathappa Anand 83866RN237480Alexander, Carril 55483 304 Turner McCall Blvd Rome, GA 30165

2/26/2020David Sauls 72475RN179275Alexander, Carla Ann 44337 3000 Schatulga Road Columbus, GA 31820

3/1/2020James O'Shea, MD 74234RN228025Alexander, Elizabeth 39606 49 Jesse Hill Jr Drive SE Atlanta, GA 30303

6/8/2018Olufemi A. Taiwo, MD 51606RN179275Alexander, Carla 41463 110 Braxton Court Fayetteville, GA 30214

3/31/2017Colville Ferdinand, MD 53439RN140383Alexander, Cassie Rae 12189 1120 15th Street, BA-4416 Augusta, GA 30912

1/31/2020Eric Fan, MD 49615RN179472Alexander, Marrian 21161 1102 Smith Avenue Thomasville, GA 31792

Monday, August 1, 2022 Page 6 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/4/2022Emily Feely, MD 60831RN262128Alexander, Crystal Shantae 19828 15151 Alcovy Rd. Covington, GA 30014

2/11/2022Lori Lynch 68826RN237480Alexander, Carril 59824 513 Edgewood Ave SE, Unit 100 Atlanta, GA 30312

4/12/2022Sanjeev Bhavnani 77555RN168429Alexander, Shona 56920 1155 Perimeter Ctr West, 11th Floor Atlanta, GA 30338

11/2/2021Samuel Quaynor 86603RN237480Alexander, Carril 58774 304 Turner McCall Blvd Rome, GA 30165

9/7/2021Kristy Jackson 60643RN179275Alexander, Carla 58193 2540 Windy Hill Road, Entrance C Marietta, GA 30067

10/14/2021Paul E. Allen, MD 28490RN179509Alexis, Andrea Marie 42547 2795 Main Street W (Suite 27) Snellville, GA 30078

5/24/2022Michael Brunt 85059RN232669Alexis, Lakesha 55245 55 Whitcher Street, Suite 350 Marietta, GA 30060

10/1/2014Willard, Kim MD 29123RN198438Alexis-Destin, Bernadette 10891 101 Commerce Blvd, Ste l Barnesville, GA 30204

3/30/2012Gwathney, Miriam DO 63343RN198438Alexis-Destin, Bernadette 10101 101 Commerce Place, Suite 1 Barnesville, GA 30204

9/30/2016Anne Grant, MD 70244RN198438Alexis-Destin, Bernadette 15323 5294 Adams St Covington, GA 30014

10/19/2020Tonya Fordham 49292RN222327Alferink, Jessica 48134 18 E. Luckie Street, Suite F Baxley, GA 31513

6/10/2020Thomas Williamson, MD 42144RN227426Alford, Susan Ashley 38891 6005 Waltson Blvd, Suite 100 Byron, GA 31008

8/10/2021Lee Jacobs 28283RN170156Alfred, Carrie 55232 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

5/12/2017Andrew Leach, MD 49051RN217018Algozin, Anna Livia Yearous 18816 355 Hawthorne Lane Athens, GA 30606

11/20/2018Melody Palmore, MD 33679RN188235Al-Haroun, Katherine Melton 12631 341 Ponce de Leon Ave Atlanta, GA 30308

4/1/2022Christopher Oldfield, MD 46195RN229841Ali, Idris Pasha 12069 1326 Eisenhower Dr Savannah, GA 31406

6/17/2019Christina Oskins, MD 74153RN132742Ali, Natalie Renee 20463 1012 Burleyson Rd. Dalton, GA 30720

6/22/2020Yasir Taha 69451RN194032Ali, Nisha 48401 80 Jesse Hill Jr. Drive Atlanta, GA 30303

12/1/2020William Osborne, MD 33664RN142957Aliotta, Brandy Taylor 37 4750 Waters Avenue, Suite 400 Savannah, GA 31404

1/17/2019Marc J. Harringan, MD 56719RN225178Allain, Lauren C. 11404 35 Collier Rd., Ste 500 Atlanta, GA 30309

5/1/2020Daniel McKinney, MD 59477RN219105Allard, Wendy Daniels 17601 705 Dixie St. Carrollton, GA 30177

9/30/2019Raymond Easley 20987RN277137Alle, Anna 45874 11040 Crabapple Rd. Suite A Roswell, Ga 30075

1/1/2021Ryan Monti 78999RN190630Allen, Bambi 47327 817 Griffin Ave Eastman, GA 31023

11/8/2019Frederick T. Work 40593Rn226149Allen, Holly Nicole 44363 1 Baltimore Place NW (Suite 400) Atlanta, GA 30308

4/21/2021Aderemi Dosunmu 47893RN195025Allen, Terrie 55368 267 Topi Trail Hinesville, GA 31313

7/15/2021Michele Sewell 36281RN296746Allen, Patricia 55480 4153 Flat Shoals Pkwy, Suite 300 B Decatur, GA 30034

Monday, August 1, 2022 Page 7 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/27/2020Lucas Golub 74186RN296746Allen, Patricia 53486 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

11/6/2019Brandon Roberts 75127RN247091Allen, Pamela 43453 125 Main Street Market Place Cartersville, GA 30121

12/3/2019William Mahoney 59274RN214083Allen, Turquoise 45184 1506 Klonodike Rd. SW #403 Conyers, Ga 30094

2/12/2019Adebowale Akintayo, MD 73945RN218368Allen, Krystal 43313 1834 Clairmont Road Decatur, GA 30033

7/5/2016Kevin Fussell, MD 67298RN134633Allen, Vivian Lynn 17344 2500 Starling St, Ste 504 Brunswick, GA 31520

12/10/2019Aderemi S. Dosunmu, MD 47893RN195025Allen, Terrie Hattie 42575 1435 North Expressway (Suite 301) Griffin, GA 30223

7/15/2020Lenora Allen, MD 21473RN195025Allen, Terrie 44069 1435 North Expressway Griffin, GA 30223

1/11/2017Meenakshi Hari, MD 49026RN233995Allen, Mary Chandler 15342 2520 Windy Hill Rd, Ste 104 Marietta, GA 30067

9/17/2018Amar Singh, MD 52227RN214269Allen, Pamela Lashun 16663 550 Redmond Rd Rome, GA 30165

4/15/2019Stratton Kearns, MD 32218RN072414Allen, Jane Nix 19705 597 South Enota Dr. Gainesville, GA 30501

12/1/2017Jeffrey Metts, MD 68070RN195025Allen, Terrie Hattie 19632 600 Celebrate Life Parkway Newnan, GA 30265

8/15/2016Edgar Melendez, MD 41167RN201380Allen, Carrie Boswell 18500 9280 Hwy. 5 ste. A Douglasville, GA 30134

4/15/2019Tod Bethea, MD 42016RN072414Allen, Jane Nix 19409 2578 Helen Hwy Cleveland, GA 30528

3/13/2015David Asrael, MD 51291RN222518Allen, Renai A 12767 2988 Shallowford Rd Marietta, GA 30066

11/16/2015Elizabeth Norwood, MD 46192RN201380Allen, Carrie Boswell 12926 2739 Felton Dr East Point, GA 30344

8/10/2016Herman Levy, MD 34010RN134633Allen, Vivian Lynn 7821 2500 Starling St, Suite 504 Brunswick, GA 31520

3/13/2015Wallace Duncan, MD 41109RN222518Allen, Renai A 12419 2988 Shallowford Rd Marietta, GA 30066-3033

1/30/2020Robert Kelly, MD 34384RN072414Allen, Jane Nix 12427 5875 Thompson Mill Rd, Suite 100 Hoschton, GA 30548

6/24/2016Guilda Saint Fleur, MD 69627RN184598Allen, Michelle Marie 15834 774 GA Hwy 96 Bonaire, GA 31005

9/9/2008Zulfiquar Bhatti, MD 48482RN162545Allen, Bryan Patrick 8101 1906 Warm Springs Road Columbus, GA 31909

8/21/2009Husham Peter Mishu, MD 40740RN121276Allen, Aurelia 39 285 Boulevard, NE Ste #345 Atlanta, GA 30312

7/30/2014Terry Hansen, MD 47330RN072414Allen, Jane Nix 48 184-A Professional Dr Baldwin, GA 30511

3/31/2021Christopher Powell 73371RN203733Allen, April 48496 150 Clinic Avenue, Suite 202 Carrollton, GA 30117

10/13/2021Mazen Abdalla 38414RN229004Allen, Tychelle 57076 2386 Clower Street, Bldg C, Suite 105 Snellville, GA 30078

4/1/2009Rani Reddy, MD 34450RN190740Allen, Deborah C. 8201 106 Briarwood Road Statesboro, GA 30458

5/23/2014Richard Morse, MD 42094RN162545Allen, Bryan Patrick 8330 2122 Manchester Expressway Columbus, GA 31904

Monday, August 1, 2022 Page 8 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/23/2022Virginia Price, MD 19897RN184309Allen, Amber Beth 9914 705 Dallas Hwy, Suite 101 Villa Rica, GA 30180

8/30/2014Valens Plummer, MD 49496RN155438Alleyne, Montrese Pitmon 12539 595 Piedmont Ave, Suite 100 Atlanta, GA 30308

1/9/2022Lindsay Fowler 67016RN231086Allgary, Amy 45646 563 Mountain City Rd. Clayton, Ga 30525

12/19/2020Aziz Pirani, MD 61934RN172068Allibhoy, Rozina 19228 4025 Lawrenceville Hwy, (Suite A) Lilburn, GA 30047

9/30/2014Kabir Das, MD 62867RN198722Allicock, Alisa Natasha 12255 231 Graefe St Griffin, GA 30224

9/1/2019Eric M Lehman, DO 32231RN202902Alligood, Megan W 42145 525 Cassidy Road Thomasville, GA 31792

4/17/2019Craig Denlinger 70367RN191921Allman, Michael Alan 44277 4750 Waters Avenue (Suite 202) Savannah, GA 31404

11/1/2018Deborah Griffiths, MD 35888RN226437Allman, Danielle Kristin Renee 12289 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

8/15/2015Daron Ferris, MD 31593RN111386Allmond, Lynn Marie Downard 55 1423 Harper St Augusta, GA 30912

11/30/2016James Lee, DO 56583RN235362Almburg, Lauren Alyssa 17759 310 Gold Creek Trail, Ste 200 Woodstock, GA 30188

6/4/2019David Cox, MD 70247RN149944Alonzo, Alice Marie 16852 1111 Griffin Ave, Ste A & B Eastman, GA 31023

8/20/2019Tomas Hilsman, MD 15591RN149944Alonzo, Alice Marie 42039 1120 C Indian Drive Eastman, GA 31023

9/24/2021Margaret Richardson-Nixon 55015RN235407Alsobrook, Emma 44755 2225 US Hwy 41 N Tifton, Ga 31794

3/31/2022David Deuser 65100RN087708Alston, Marion 47740 7 Saint Andrews Court Brunswick, GA 31520

6/4/2020James R. Harrington, MD 51810RN200225Alston, Sharon 40485 2124 Candler Rd. Decatur, GA 30032

3/31/2022Miguel J. Martelli 32428RN087708Alston, Marion E 43711 7 St. Andrews Court Brunswick, GA 31520

5/1/2018Trefts, Lori MD 66093RN087708Alston, Marion 10484 2500 Starling St, Ste 503 Brunswick, GA 31520

10/15/2018James Graham,MD 30071RN213457Altman, Keri Lynn 19817 2225 US Hwy. 41 N. Tifton, GA 31794

6/5/2019Walter Rios Corujo, MD 75099RN213457Altman, Keri Lynn 39056 705 Hudson Avenue Ashburn, GA 31714

2/25/2020Richard Chase- DO 17784RN213457Altman, Keri 39239 705 Hudson Avenue Ashburn, GA 31714

8/31/2017Michelle Perry, MD 53017RN131761Altringer, Joanne May Gensel 14084 2060 Dan Proctor Dr., Ste 1800 St Marys, GA 31558

9/1/2014Takacs-diLoranzo, Eva MD 48859RN131761Altringer, Joanne May Gensel 5027 202 Lakeshore Drive, Ste A St. Marys, GA 31558

11/4/2021Jesus Vazquez-Figueroa 77220RN231680Alvarado, Meagen 59326 7887 roswell Road, Suite B and C Sandy Springs, GA 30350

7/20/2018Dannis E Hood, MD 35267RN167279Alverson, Trevor Lee 42124 132 Battlefield Crossing Court Ringgold, GA 30736

8/12/2019William L. Kriegel, DO 31962RN041284Amaker, Iris 40775 2670 Cobb Parkway, SE Smyrna, GA 30080

12/6/2021Terrell Bond 66701RN229495Amalaha, Ugo 43742 901 Rice Street Atlanta, GA 30318

Monday, August 1, 2022 Page 9 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/15/2022Allen Lavender 70833RN229495Amalaha, Ugo 50632 52 Perry Street Newnan, GA 30263

4/1/2014Amanda Davis, MD 50152RN195776Amankwah, Pearl Opokua 12531 1133 Eagles Landing Pkwy Stockbridge, GA 30281

2/9/2021Courtney Shelton, MD 50559RN195776Amankwah, Pearl Opokua 13232 315 Boulevard NE, Suite 200 Atlanta, GA 30312

1/1/2021Preetesh Patel, MD 54631RN229290Amara, Alice 16300 1295 Hembree Rd, Ste 105 Roswell, GA 30076

1/1/2021Syed Rizvi 44073RN229290Amara, Alice 48492 770 Champions Close Alpharetta, GA 30004

7/1/2020Deborah Griffiths, MD 35888RN091643Amatriain, Valerie Renee 62 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

1/1/2018Naresh Parikh, MD 28851RN096082Amazon-Leece, Jody Lee 63 6330 Primrose Hill Court Norcross, GA 30092

8/15/2014Venkatappa R. Rangaraj, MD

58633RN096082Amazon-Leece, Jody Lee 11468 2795 Main St, West #27 Snellville, GA 30078

12/13/2021Daniel Ralston 84078RN246167Ameer, Teon 49520 1829 Lawrenceville Highway Decatur, GA 30033

8/22/2014Richard Ambrozic, MD 43851RN141829Amerson, Keri Lynn 9748 3321-B N. Valdosta Rd Valdosta, GA 31602

6/30/2017Daniel Kleinman, MD 25627RN147435Amidei, Tina Marie 64 55 Whitcher St, Suite 350 Marietta, GA 30060

6/30/2017Alan Cheng, MD 66271RN147435Amidei, Tina Marie 13867 55 Whitcher St. Ste 350 Marietta, GA 30060

11/1/2021Michelle Fischer 54878RN214300Amin, Megha 47789 1240 Upper Hembree Road, Suite E Roswell, GA 30076

2/14/2020Amma Abunyewa 64774RN135475Amoaka, Pearl 47281 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Farzana Mumtaz 36419RN135475Amoako, Pearl 47369 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Sanjay Nariani 49861RN135475Amoako, Pearl 46497 2451 P'tree Ind Blvd Buford, Ga 30518

2/14/2020Michael Groover 35059RN135475Amoako, Pearl 46330 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Frank Curvin 45058RN135475Amoako, Pearl 45562 3535 Aston Woods Dr. Atlanta, Ga 30319

4/29/2020Donell Collins 74241RN163591Amoji, Uwa 45591 1275 Hwy 54W, #201 Fayetteville, Ga 30214

1/1/2019Syed W. Rizvl, MD 44073RN163591Amoji, Uwa Kalu 42254 1025 Old Roswell Road (Suite 205) Roswell, GA 30076

1/1/2018Vanderlyn Sewell, MD 51547RN212975Amougou, Yves-Aime Amougou 21084 934 Briarcliff Rd. NE Atlanta, GA 30306

7/22/2021Vanderlyn Sewell 51547RN212975Amougou Amougou, Yves-Aime 44931 934 Briarcliff Rd NE Atlanta, Ga 30306

4/8/2019Christina Wu, MD 77008RN199493Amster, Lori 44067 1365 Clifton Rd NW Atlanta, GA 30322

5/28/2016James L. Chappuis, MD 29604RN199493Amster, Lori 17560 3161 Howell Mill Rd. NW, Ste 400 Atlanta, GA 303027

2/11/2016Kent Remley, MD 43462RN199493Amster, Lori Rae 16891 1665 Hwy 34E, Ste 100 Newnan, GA 30265

Monday, August 1, 2022 Page 10 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/23/2013Mitzi Rubin, MD 49592RN201832Amukamara, Ernest U 12081 3939 Roswell Rd, Suite 200 Marietta, GA 30062

4/18/2018Sallu Jabati, MD 58527RN201832Amukamara, Ernest 15487 5615 Old National Highway, Ste D College Park, GA 30349

7/10/2014Jay Schlossberg, MD 19996RN201832Amukamara, Ernest U 11791 5820 Old National HWY College Park, GA 30349

10/21/2010James Criner, MD 54179RN201832Amukamara, Ernest U. 8733 7530 Roswell Road Atlanta, GA 30350

4/9/2012Obiorah, Samuel MD 42379RN135346Anaele, Caroline 9991 1009 3rd Avenue West Point, GA 31833

12/4/2014Travan Jasper, MD 45506RN135346Anaele, Caroline Chika 14148 1762 Mars Hill Rd N W Acworth, GA 30101-8091

11/8/2014Louis, Okiki MD 47479RN135346Anaele, Caroline 10893 1762 Mars Hill Rd NW Acworth, GA 30101

7/1/2015Jada Moore-Ruffin, MD 57395RN135346Anaele, Caroline Chika Obasi 13339 2121 Fairburn Rd., Ste B Douglasville, GA 30135

9/21/2015Xiaofeng Zhong, MD 69466RN222372Anders, Onitisha 15404 100 Goshen Rd Rincon, GA 31326

9/25/2015Toni Sylvester, MD 1104RN222372Anders, Onitisha Vondese 15161 110 Goshen Rd. Rincon, GA 31326

11/28/2016Matthew Wisdom, MD 69150RN183773Anderson, Tasha 15099 1000 Johnson Ferry Rd N E Atlanta, GA 30342

1/15/2015Fordham, Donald MD 44718RN129289Anderson, Christa 10538 865 Austin Drive, PO Box 308 Demorest, GA 30535

3/31/2017Charles Galea, MD 55229RN149756Anderson, Kymberly Dawn 17038 615 Pendleton St, Ste A Waycross, GA 31501

12/30/2015Matthew Grundfast, DO 52944RN207284Anderson, Justin 16750 2740 Ray Knight Way, Ste 100 Albany, GA 31707

5/25/2016Eric Friedrich, MD 16344RN149756Anderson, Kymberly Dawn 16770 227 Merchants Way Brunswick, GA 31525

12/4/2013Edet Bassey, MD 44408RN154861Anderson, Christina Elaine 11829 1041 Talbotton Rd Columbus, GA 31907

4/1/2015Lionel Bryan, MD 22725RN162692Anderson, Sandra 15039 1007 Mary St Waycross, GA 31501

5/9/2017Hewatt Sims, MD 48965RN207284Anderson, Justin Wayne 19812 1622 Madison Ave Tifton, GA 31794

7/1/2019Sreevalli Dega, MD 71063RN101306Anderson, Karen Beale 19720 5629 Hwy 21 South Rincon, GA 31326

4/30/2018Michael Satchell, MD 49593RN189512Anderson, Laura 16423 2822 Nottingham Way, Ste 4 Albany, GA 31707

8/23/2016Yvonne Smith, MD 42443RN251022Anderson, Camrin 16339 1227 Rock Bridge Rd Stone, GA 30087

3/11/2019Melissa L.Warner, MD 33480RN129289Anderson, Christa Smith 17760 310 Black Bear Ridge Sautee, GA 30571

12/25/2020James Rheudasil, MD 26926RN170864Anderson, Tatiana 14521 5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342

12/21/2021Sheila Southerland, MD 55894RN115669Anderson, Geraldine Jackson 13180 902 7th Street North Cordele, GA 31015

1/22/2016David Sydner Lockman, MD 63798RN176811Anderson, Letitia Belinda 13067 728 Cobb Street Athens, GA 30606

1/1/2019John Aicher, MD 26432RN205951Anderson, Melissa Marimarie 39965 744 Noah Dr. (Suite 108) Jasper, GA 30143

Monday, August 1, 2022 Page 11 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/29/2018William Chafin, MD 67542RN176811Anderson, Letitia Belinda 17295 957 Baxter St. Athens, GA 30606

2/14/2020Michael R. Cohen, DO 65646RN154206Anderson, June R 40098 12825 White Bluff Rd. Savannah, GA 31419

10/20/2020Jeffrey Davenport 63574RN243182Anderson, Bethany 43845 1900 Tebeau St Waycross, GA 31501

3/28/2019Michele M. Mitchell 71254RN243182Anderson, Bethany Ann 43738 1111 Glynco Parkway (Bldg 1 Suite 10) Brunswick, GA 31525

12/5/2019Eric Lehman 32231RN207284Anderson, Justin Wayne 43764 1102 Smith Ave. (Suite K) Thomasville, GA 31792

2/14/2020Cedric E. Porter 29363RN154206Anderson, June 43709 856 Highway 1 South Swainsboro, GA 30401

2/14/2020Anthony L. Howard 34616RN154206Anderson, June R 43710 856 Highway 1 South Swainsboro, GA 30401

3/21/2021Eugene Yo-Jen Sun 62170RN207284Anderson, Justin Wayne 43658 1005 South Washington Street Bainbridge, GA 39819

1/18/2022Jonathan Allen, MD 56949RN243182Anderson, Bethany 38853 1900 Tebeau St. Waycross, GA 31501

3/3/2020James L Ray, MD 16126RN154206Anderson, June R 42134 856 Highway 1 South Swainsboro, GA 30401

3/3/2020Heywood K. Gay, MD 38768RN154206Anderson, June 42135 466 South Gray Street Millen, GA 30442

2/14/2020Richard R Hightower, MD 39367RN154206Anderson, June R 42136 12825 White Bluff Road Savannah, GA 31419

3/31/2019Khadijatu E. Allen, MD 44669RN149756Anderson, Kymberly D. 42232 204 E. 15th Street Alma, GA 31510

2/14/2020David H Paine, MD 28618RN154206Anderson, June R 42531 1305 North Street, East Vidalia, GA 30474-8624

1/4/2022Robert B Rhoades, MD 13420RN154206Anderson, June R 42504 2541 Milledgeville Road Augusta, GA 30904

7/1/2018Harsh Singh, MD 57844RN149756Anderson, Kymberly Dawn 20098 204 East 15th Street Alma, GA 31510

6/13/2017Michael Schmidt, MD 58500RN207284Anderson, Justin Wayne 18750 454 Smith Avenue Thomasville, GA 31792

12/10/2018Parviz Brahman, MD 66576RN207284Anderson, Justin 39176 1401 South Main Street Moultrie, GA 31768

4/1/2022George Pursley 31308RN154206Anderson, June 46331 1626 Jeurgens Court Norcross, GA 30093

1/13/2020Deborah Chambers 74480RN154206Anderson, June 46332 1626 Jeurgens Court Norcross, GA 30093

9/1/2021Mark Wood 22668RN207284Anderson, Justin 45219 701 N. Slappy Blvd Albany, Ga 31701

5/31/2019Jason Cox 42034RN149756Anderson, Kymberly 45436 204 E 15th St. Alma, Ga 31510

9/11/2021Stanley Morgan 35106RN235670Anderson, Cara 45622 101 Harris Ind Blvd, Ste. C Vidalia, Ga 30474

7/1/2021Petrenia Davis-Jenkins 76812RN24382Anderson, Bethany 45054 1111 Glynco Pkwy, Bldg. 1, Ste. 10 Brunswick, Ga 31525

6/18/2021Eric M.Robach, MD. 64062RN123550Anderson, Heather Corey 40310 1351 Stonebridge Parkway Watkinsville, GA 30677

1/13/2020Deborah Chambers 74480RN154206Anderson, June 45869 12825 White Bluff Savannah, Ga 31419

Monday, August 1, 2022 Page 12 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/11/2022Bryan Hooker 32586RN205951Anderson, Melissa 44564 14 Sammy McGhee Blvd jasper, Ga 30143

6/13/2021Crystal Comeau 61224RN238134Anderson, Jeanne 46066 1362 S. Main St Ellijay, GA 30540

8/13/2021Dale Green 31926RN176811Anderson, Letitia 53640 55 Carlton Street Athens, GA 30602

2/8/2021Damien Hansra 77829GAA-NP000009

Anderson, Shela 55535 600 Celebrate Life Parkway Newnan, GA 30265

6/30/2015Grundfast, Matthew DO 52944RN189512Anderson, Laura 10260 1009 N. Monroe Street Albany, GA 31701

8/13/2013James Greene, MD 32741RN149791Anderson, Tabatha Peavy 8206 590 Historic Hwy 441 North Demorest, GA 30535

1/3/2022Jones, Ernest DO 41851RN115669Anderson, Geraldine 10194 216 Hospital Drive Cordele, GA 31015

9/11/2016Sidney Morgan, Jr, MD 21262RN101306Anderson, Karen Beale 74 105 Rocky Ford Rd Sylvania, GA 30467

3/10/2017Brian DeLoach, MD 51216RN060007Anderson, Mae Kelly 76 PO Box 8043 Statesboro, GA 30460-8043

10/20/2021Robert Dambach, DO 30039RN183773Anderson, Tasha LC 78 4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

8/31/2011Sima Dehghany, MD 62494RN115669Anderson, Geraldine Jackson 9709 216 Hospital Rd Cordele, GA 31015

10/31/2021Jose Justiniano-Ayla, MD 46773RN252314Anderson-Finch, Sheena 16718 13570 N. Main St. Trenton, GA 30752

12/21/2016Ranjan Avasthi, MD 63164RN122052Anderson-Parris, Mary Ann 16521 83 Upper Riverdale Rd Riverdale, GA 30274

1/24/2015Muhammad Alam, MD 69167RN122052Anderson-Parris, Mary Ann 12357 3015 Veterans Pkwy Moultrie, GA 31788

8/23/2019Raj Gupta, MD 33345RN154122Andrews, Regina Lynn 12188 308 Coliseum Dr, Suite 120 Macon, GA 31217

9/14/2016Timothy Graves, MD 26859RN169747Andrews, Rachel 16280 770 Walnut St Macon, GA 31201

7/1/2020John Wood, MD 59239RN169747Andrews, Rachel Alean 19415 777 Hemlock St. Macon, GA 31201

4/1/2022Franklin G. Conner 33555RN153075Andrews, Mary Frances 43585 1608 Meadows Lane (Suite 1) Vidalia, GA 30474

10/18/2021Matthew P. Rudy, MD 70904RN271430Andrews, Ryan Kenneth 42096 1350 Walton Way Augusta, GA 30901

5/5/2019Jeffrey Sarata, DO 76457RN153075Andrews, Mary Frances 41546 200 Industrial Blvd Dublin, GA 21021

4/30/2017Margaret Ellis, MD 46620RN169449Andrews, Ashley Brooke 19042 5102 Paulson St. Savannah, GA 31405

9/16/2019Anil Paya,MD 73134RN169449Andrews, Ashley 38713 5102 E. Paulsen Street Savannah, GA 31405

4/12/2008Dorothy Stewart, MD 46565RN154122Andrews, Regina Lynn 8129 325-A North Cobb Street Milledgeville, GA 31061

5/3/2013Timothy Graves, MD 26859RN154122Andrews, Regina Lynn 8227 770 Walnut Street Macon, GA 31201

10/27/2017Jose Ruiz-Lagos, MD 63948RN246634Angevine, Margaret McGarrity 15933 35 Collier Rd, Ste 635 Atlanta, GA 30309

Monday, August 1, 2022 Page 13 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/30/2020Atishi D. Aggarwal, MD. 75723RN246634Angevine, Margaret 39771 35 Collier Road Atlanta, ga 30309

11/6/2009Paul Bradley, MD 30016RN176262Angstadt, Joanne Fitzgerald 7954 340 Eisenhower Dr, Suite 1200 Savannah, GA 31406

1/1/2021Yolanda Wade 58345RN246801Angwabu, Charlotte 48907 56 Carriage Oaks Drive Tyrone, GA 30290

6/1/2020Mahmoud Abdou, MD 73423RN247408Anico, Nhu-Thao 40791 200 S Enota Dr. NE (Suite 100) Gainesville, GA 30501-3466

7/27/2009Christopher Stevens, MD 54515RN113842Anom, Aileen Michelle 8387 2990 Five Forks Trickum Rd SW Lawrenceville, GA 30044

1/5/2014Blumer, John MD 53101RN046318Ansley, Diane 10077 3222A Shrine Road Brunswick, GA 31520

6/10/2016Lisa Ruschak, MD 59956RN046318Ansley, Diane H 85 1022 Miller Lane SW Darien, GA 31305

7/17/2014Robert Brown, MD 56269RN183722Anthony, Charmaine Simone 8209 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

9/24/2010Charles Roman, DO 43757RN091472Antinoro, Gloria Taff Hicks 9259 2737 Warm Springs Rd, Suite B Columbus, GA 31904

7/31/2022Oladayo Osinuga 51703RN226765Anu, Joice 59494 4075 Charles Hardy Pkwy, Suite 122 Dallas, GA 30157

5/1/2018Jean Phillipe-Dambreville, MD

44056RN175316Anuforo, Sylvanus Amanze 19426 315 Boulevard NE Atlanta, GA 30312

12/15/2021Dawn Wilson 47279RN136584Anuliekette, Chidinma 44825 3286 Buckeye Rd Atlanta, Ga 30341

6/7/2013Nagnur, Shreedhar MD 49192RN156181Anyanwu, Justina 10540 600 West Memorial Drive Dallas, GA 30132

12/23/2021Brij Singh 43777RN156181Anyanwu, Justina 59383 4028 Hwy 5 Douglasville, GA 30135

1/24/2020Tariq Noohani, MD 66975RN210012Anyaoha, Forstina Nneka 16135 677 Church St. Marietta, GA 30060

2/2/2022Harry Lightfoot 60759RN210012Anyaoha, Forstina 45582 1700 Hospital South Dr. Austell, Ga 30106

3/15/2020Martha X. Aguilera 557192621Anyaoha, Sheila Ogochukwu 42602 55 Whitcher Street (Suite 130) Marietta, GA 30060

7/24/2018Madhavi Jordan, MD 56725RN216652Anyaoha, Sheila Ogochukwu 19011 55 Whitcher St, Ste130 Marietta, GA 30060

6/21/2022Kirpich Joseph 54904RN225611Anyu-Chita, Weks 45877 771 Old Norcross Rd. #375 Lawrenceville, Ga 30046

6/30/2012Broadney, Michlene MD 55207RN211693Apke, Jennifer 10185 1279 Hwy 54 West, Ste 220 Fayetteville, GA 30214

11/1/2014Jonathon Allen, MD 56949RN139914Apone, Karyn Leah 13388 100 Gross Cresent Circle Fort Oglethorpe, GA 30742

3/8/2019Asit Jha, MD 55248RN210307Apperle, Nancy 16454 1706 Alice St Waycross, GA 31501

5/29/2009Lawrence Powell, MD 38915RN185422Appiah-Kubi, Mavis 7977 4120 Austell Road SW Austell, GA 30106

7/31/2010Phillip Nowlin, MD 36588RN185422Appiah-Kubi, Mavis 8916 4480 South Cobb Dr SE Smyrna, GA 30080

8/25/2009Walter Smith, MD 37078RN185422Appiah-Kubi, Mavis 8415 3498 Walnut Ridge Atlanta, GA 30349

Monday, August 1, 2022 Page 14 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/9/2021Tsung Hsu 62220RN287670Apple, Christy 54447 1551 Jennings Mill Road, Suite 101 Watkinsville, GA 30677

11/14/2014Isioma Okwumabua, MD 70256RN151189Arabshahi, Farnaz 13931 3003 Old Alabama Rd Alpharetta, GA 30022

2/1/2022Holmes Marchman, MD 37021RN124097Archer, Holly 15968 655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501

11/8/2018Emile Risby, MD 30869RN185226Archer, Orchid M. 39158 2450 Vinson Highway, Cook Bldg. ste. O1 Milledgeville, GA 3

11/1/2007Richard Loyd, DO 37446RN124097Archer, Holly Lynn Hargrove 93 601 A Professional Dr. Lawrenceville, GA 30045

6/23/2021Steven Wilson 27947RN249228Ard, Danielle 46911 129 Carl Vinson Pkwy Warner Robins, GA 31088

2/28/2019Michael Satchell 49593RN165441Ard, Stephanie 2634 1120 C Indian Drive Eastman, GA 31023

12/1/2019Guy Foulkes 39794RN165441Ard, Stephanie 43411 1100 Second Street SE Cochran, GA 31014

1/15/2019Robert Granville, MD 69876RN165441Ard, Stephanie 41689 1909 N. Columbia Street Milledgeville, GA 31061

3/4/2016Alice House, MD 43065RN070092Ard, Cheryl Jean 15152 100 College Station Dr. Macon, GA 31206

11/1/2019Syed W Rizvi, MD 44073RN224247Areaya, Etsubdenke 42125 4600 E Ponce DeLeon Ave Atlanta, GA 30021

12/9/2021Brian McNiece 72651RN257256Arenas, Georgia 57986 1825 Marth Berry Boulevard Rome, GA 30165

12/30/2019Gregory Phelps 34042RN123745Argenbright, Kristi 44915 121 Battlefield Crossing Fort Oglethorpe, Ga 30742

4/24/2020Maria Gonzage, MD 70627RN182250Ariasochoa, Miriam 40280 199 10th Ave. (Suite 300) Columbus, GA 31901

5/1/2014Thomas DeMaro, DO 58665RN183299Armand, Jean Marie 12401 710 Center St, Emer Dept Columbus, GA 31801

1/7/2015Upshaw,Thomas MD 37716RN183299Armand, Jean 10529 1968 Peachtree Road NW Atlanta, GA 30309

4/1/2016Kory Vaughn, MD 69457RN183299Armand, Jean Marie 14282 745 Poplar Rd Newnan, GA 30265

12/1/2017Pamela Clanton, MD 61221RN200896Armstrong, Helen Victoria 13143 745 Poplar Rd Newnan, GA 30265

6/2/2014Schramm, Charles Steven MD

29944RN176012Armstrong, Lisa 10460 993F Johnson Ferry Road, Ste 210 Atlanta, GA 30342

11/13/2020Molly Vicchrilli, MD 58364RN220635Armstrong, Hailey 16119 304 Turner McCall Blvd Rome, GA 30165

11/30/2018Alan K. Brown 57782RN191805Armstrong, Kendra P. 19669 417 3rd Avenue Albany, GA 31701

6/18/2020Randal K. Shipley 61343RN191805Armstrong, Kendra 43683

10/21/2019Falgun D. Patel, MD 75226RN213122Armstrong, Laurel Jones 41251 2300 Manchester Expressway (Suite 2001) Columbus, GA 31

2/18/2013Kenneth Taylor, MD 38985RN176012Armstrong, Lisa Kristen 97 275 Collier Rd, Suite 500 Atlanta, GA 30309

1/1/2010Joan Harden, MD 48640RN200896Armstrong, Helen Victoria 8783 1862 Candler Road Decatur, GA 30032

Monday, August 1, 2022 Page 15 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/19/2021Temitope Olarewaju 78091RN238115Arnold, Annie 48766 425 3rd Avenue, Suite 105 Albany, GA 31701

4/14/2022Vlastimil Smetka 85033GAA-NP000285

Arntz, Mary 58705 2122 Cummin Road Augusta, GA 30904

2/28/2022Omari Hodge 70459RN304428Arowosegbe, Tolulope 59225 2450 Atlanta Road, Suite 601 Cumming, GA 30040

6/30/2016Lathan Overstreet, MD 36659RN126964Arp, Michelle Aimee 5033 340 Boulevard NE, Suite 103 Atlanta, GA 30312

4/23/2022Asim Kidwai 64848RN239790Arrant, Caroline 58281 174 Highland Xing, South East Ellijay, GA 30536

3/1/2021Ranga Rao 47642RN220258Arterberry, Edith 46624 74 Hospital Road Newnan, GA 30263

7/20/2020Iqbal H Dhanani, MD 45767RN220258Arterberry, Edith Agbomma 42147 5454 Yorktowne Dr Atlanta, GA 30349

9/21/2021Brandi Jouett 65446RN242704Arthur, Mary 53487 1100 Peachtree Street NE, Suite 200 Atlanta, GA 30309

11/27/2021Rachel Libby 79215RN268227Arzenshek, Alexandra 53255 80 Jesse Hill Jr Drive Atlanta, GA 30303

11/5/2021Melissa Sanchez Quiros 64056RN268227Arzenshek, Alexandra 57570 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/30/2014Alicia Hopkins, DO 66506RN170388Asa, Michele 13521 2800 Overlook Pkwy Atlanta, GA 30339

4/5/2014Alicia Hopkins, DO 66506RN170388Asa, Michele 13081 2800 Overlook Pkwy Atlanta, GA 30339

8/20/2021Nadia Cameron 53982RN271129Asante, Jade 55364 2033 Buford Hwy, Suite 109 Buford, GA 30518

7/16/2021Riaz Gill 61740RN102311Asbel, Sherri 47646 200 Gentilly Blvd Cartersville, GA 30120

5/1/2020Elizabeth J. Flail, DO 68772RN148845Asher, Sandra Lynn 38845 2501 N. Patterson Street Valdosta, GA 31605

6/1/2010Paul Cox, MD 49762RN142933Asher, Sue 9009 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

1/1/2016Crystal Comeau, MD 61224RN142933Asher, Sue 9868 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

5/23/2008William Raisig, MD 55290RN142933Asher, Sue 8094 64 Call-Wright Road Ellijay, GA 30540

8/31/2018Michael Early, MD 27806RN250642Ashley, Alisha 40675 201 Avera Dr Fort Valley, GA 31030

9/16/2021Erik Bauer, MD 57425RN243099Ashley, Claire 38958 5461 Meridan Mark Road Atlanta, GA 30342

5/13/2017Richard Young, MD 21218RN243099Ashley, Claire Nicole 17537 958-A Joe Frank Haris Pkwy ste. 101 & 105 Cartersville, GA 3

5/29/2020Duriel D. Gray, MD 71075RN250642Ashley, Alisha Nicole 42992 3236 Greenfield Drive Marietta, GA 30068

1/10/2017Sylvia Morris, MD 57546RN198848Ashu, Lyna Besong 18522 6001 Cumming Hwy, Ste 1 Sugar Hill, GA 30518

6/17/2016Kitasha Bumey, MD 55931RN198848Ashu, Lyna 14556 3885 Princeton Lakes Way Atlanta, GA 30331

8/1/2019Keith O'Malley, MD 65039RN172581Asmann, Sarah Crumley 42143 1120 15th Street Augusta, GA 30912

Monday, August 1, 2022 Page 16 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/4/2017Joshua Freedman, MD 64634RN220410Asnani, Tatiana Indicatti 16751 1100 Lake Hearn Dr. NE, Ste 450 Atlanta, GA 30342

7/25/2014Sharon Steele, MD 29795RN083491Aspinwall, Susan Elena Gilstrap 108 601-A Professional Drive, Suite 370 Lawrenceville, GA 30045

4/12/2014Nichole LeBoyd, MD 54452RN150271Astles, Colleen Anne 7868 3003 Old Alabama Rd Alpharetta, GA 30022

8/30/2019Osinuga Oladayo 51703RN232153Atakorah, Hannah 44648 480 John Wesley Dobbs Ave #403 Atlanta, Ga 30312

5/20/2019Duriel Gray 71075RN191965Atchley, Torrey 44470 4159 Martha Berry Highway, NW Rome, GA 30165

8/10/2019Raymond McKoy, DO 44536RN191965Atchley, Torrey L. 18758 304 Turner McCall Blvd. Rome, GA 30465

8/10/2019Raymond McKoy, DO 44536RN191965Atchley, Torrey 14601 2510 Redmond Cir N W Rome, GA 30165

11/6/2014Pablo Perez, MD 47502RN191965Atchley, Torrey 14607 2510 Redmond Cir N W Rome, GA 30165

9/24/2016Craig Campbell, MD 69773RN194301Atigbi-Hansen, Jueth 18634 464 W 3rd St, Ste 111 Jackson, GA 30233

5/31/2016Paul Allen, MD 28490RN194301Atigbi-Hansen, Jueth 15065 2795 Main St.W, Ste 27 Snellville, GA 30078

5/31/2016Venkatappa Rangaraj, MD 58633RN194301Atigbi-Hansen, Jueth 13942 2795 Main St. W, Ste 27 Snellville, GA 30078

10/27/2020Venkatappa R. Rangaraj, MD

58633RN194301Atigbi-Hansen, Jueth 17542 464 W 3rd St., Ste 111 Jackson, GA 30233

1/6/2020Lenora Allen, MD 21473RN202095Atkins, Denise 38882 715 Bradley Drive Fayetteville, GA 30215

11/16/2020Marilyn Carter 37166RN151775Atkins, Rachel 54505 141 Hill Road Sylvester, GA 31791

6/30/2020Benjamin Hess 68028RN151775Atkins, Rachel 46068 1657 N. Expressway Griffin, GA 30223

6/1/2019Jeffery Butler, MD 68488RN204317Atkins, Bethany 39906 950 South Main Street (Suite 1) Baxley, GA 31513

7/20/2012Joseph Joyave, MD 43977RN157938Atkins, Letisha Nicole 8543 100 Market Place Blvd, #201 Cartersville, GA 30121

12/15/2014William Grow, MD 13752RN123829Atkinson, Denise F 12781 203 Woodrow Wilson Dr Valdosta, GA 31602

9/24/2021Martha Ward, MD 20360RN123829Atkinson, Denise F 7793 400 S. Pinetree Blvd Thomasville, GA 31792

5/18/2021Alina Barrett 65109RN167706Atkinson, Deveane 55481 200 Merritt Drive Roswell, GA 30076

1/8/2019Vikash C Modi 70226RN167706Atkinson, Deveane TaTanya 43496 2464 Roswell Road Marietta, GA 30062

1/30/2018Douglas White, MD 29557RN167706Atkinson, Deveane Tatanya 39240 720 Transit Ave., (Sute 101) Canton, GA 30114

4/9/2021Benjamin Stong 54676RN291081Aubrey, Elaina 55227 371 East Paces Ferry Road NE, Suite 850 Atlanta, GA 30305

5/1/2018Michelle Evans, MD 52171RN191978Audy, Melissa Lynn 10973 54 Peachtree Park Dr. Atlanta, GA 30309

10/12/2010Bhumiben Purohit, MD 58812RN174546Augereau, Cynthia Lindsay 8922 50 Barrett Pkwy Marietta, GA 30066

Monday, August 1, 2022 Page 17 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/18/2015William Almon, MD 30938RN206701Augestad, Allison 14496 5755 North Point Parkway, Ste 72 Alpharetta, GA 30022

4/24/2021Robert Dambach, DO 30039RN206701Augestad, Allison 15875 4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

2/18/2015Elizabeth Littlefield, MD 36397RN206701Augestad, Allison Brooke 13542 11720 Medlock Bridge Rd, Suite 170 Johns Creek, GA 30097

3/16/2018Neil Gladstone, MD 16917RN206701Augestad, Allison Brooke 16543 5755 North Point Pkwy Alpharetta, GA 30022

4/24/2021Christopher Borrego 52259RN206701Augestad, Allison Brooke 47888 4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

1/16/2015Jane Ellis, MD 44208RN181184Augustine-Akpan, Inemienyu N 11979 69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor Atlanta, GA 30

12/24/2014McCord, Charles MD 39409RN181184Augustine-Akpan, Inemienyu 10444 3345 Hwy 34E, Ste 102 Sharpsburg, GA 30277

12/19/2016Candi Nobles-James, MD 47985RN199163Aupperle, Lanita Caryl 17970 777 Hemlock St. Macon, GA 31201

6/8/2012Zemsky, Lynn MD 51281RN113740Auriemma, Kimberly 10170 340 Kennestone Hospitl Blvd, Ste 100 Marietta, GA 30060

10/31/2011Gena Volas-Redd, MD 45356RN113740Auriemma, Kimberly Anne Woo 112 340 Kennestone Hospital Blvd Marietta, GA 30060

3/9/2017Pete Williams, MD 59940RN162994Austin, Nancy MacCrae 114 743 Spring St Gainesville, GA 30501

8/15/2011Debra Miller, MD 41898RN187723Austin, Jennifer Chipps 8620 1700 Hospital South Dr, Suite 300 Austell, GA 30106

6/6/2017Chase Ranson, MD 74330RN259939Austin, Susan Elizabeth 19731 1266 Hwy 515 South Jasper, GA 30143

8/20/2012Epps, Douglas MD 48349RN128161Austin, Barbara 10564 1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281

6/22/2015John Schilling, MD 28883RN195200Austin, SeKeithia Sims 15941 1200 N Jefferson St. Albany, GA 31701

5/15/2019Alison Krause, MD 40443RN133688Ava, King-Byrne 9178 4040 Hospital West Drive Austell, GA 30106

8/31/2019Nadine S. Halliburton-Foster 60079RN182243Avila, Laura M 43695 3720 Holcomb Bridge Road Norcross, GA 30092

6/8/2018Madhurima Uppalapati, MD 57509RN189154Avinger, Shanetia Sontavia 20418 100 Market Place Blvd Marietta, GA 30121

9/30/2015Anthony Clavo, MD 45425RN189154Avinger, Shanetia Sontavia 15354 1975 West Hwy 54 Fayetteville, GA 30214

6/1/2021Pak, Jae MD 40185RN115997Avist, Dana Marie 118 2160 Fountain Drive Ste 101 Snellville, GA 30078

6/19/2020Santanu Das 42560RN277851Awad, Rachel 46222 1049 N. Houston Rd. Warner Robins, Ga 31093

10/29/2021Ijeoma C. Azonobi 62808RN221363Awuah, Diana Maame 44258 141 Piedmont Ave NE (Suite D) Atlanta, GA 30303

4/25/2021Opeoluwa Akinnusi 64802RN175155Awyie, Cidia 53824 3750 Palladian Village Drive, Suite 110 Marietta, GA 30066

3/1/2022JULIA WHITLOCK - MD 76539RN149116AYALA, LAUREN KENYA 39241 743 SPRING STREET NE GAINESVILLE, GA 30501

1/1/2019Clarence Hendrix, MD 28569RN143045Ayeni, Regina Foluke 12454 1825 County Services Pkwy Marietta, GA 30060

Monday, August 1, 2022 Page 18 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/23/2020Barbara Dalton 48038RN143045Ayeni, Regina 47010 1825 County Services Parkway Marietta, GA 30008

4/1/2022 John Bleacher, MD 42182RN199510Ayer, Adam 10257 5461 Meridian Mark Rd NE, Ste. 570 Atlanta, GA 30342

12/31/2016Eugene Cindea, MD 33053RN164694Ayers, Heather Elizabeth 16630 155 Professional Dr. Baldwin, GA 30511

9/26/2017Anthony Sagel, MD 55966RN213277Azad, Farjana Halim 38668 775 Sunset Drive Athens, GA 30606

6/22/2021Inder Sam Tandon, MD 78477RN112637Azelton, Jenifer 40972 226 East College Street Suite B Griffin, GA 30224

10/1/2018Malaika Berkley , MD 57582RN261860Azike, Nkechi 39667 8800 Roswell Road Sandy Springs, Ga 30350

9/1/2017Cynthia Gillikin, MD 70116RN261860Azike, Nkechi Ashlee 19422 8800 Roswell Rd, A135 Atlanta, GA 30350

6/30/2020Dawit Weldemichael 75710RN223717Babajide-Gbenga, Bolanle 49348 4245 Johns Creek Pkwy, Suite E Suwanee, GA 30024

4/23/2020Dwight Owens 43105RN223717Babajide-Gbenga, Bolanle 46378 1720 Peachtree Street NW, Suite 640 Atlants, GA 30309

9/28/2021Kenneth O'Neal 60951RN241922Babayev, Martin 52321 70 Medical Center Drive Commerce, GA 30529

8/1/2019Cassandra Donney, DO 68144RN241922Babayev, Martin 39693 6063Peachtree Corners (Suite 201 A) Peachtree Corners, GA

8/25/2021Dion David MD 66775RN241922Babayev, Martin 39932 1170 Cleveland Ave East Point, GA 30344

1/25/2019Wendy L. Vandemark, MD 57511RN000000Babayev, Samuel Jason 17801 2109 North Patterson Valdosta, GA 31602

11/27/2020Naghma Khan, MD 37252RN123161Bachtel, Mary Kathleen 14792 1645 Tullie Circle Atlanta, GA 30329

1/16/2015John Cheng, MD 53117RN123161Bachtel, Mary Kathleen Jones 11719 1645 Tullie Circle Atlanta, GA 30329

10/25/2012William Little, MD 24288RN123161Bachtel, Mary Kathleen Jones 122 6175 Newton Drive Covington, GA 30014

8/10/2018David Quintero Bustos, MD 61149RN168366Bacot, Eliza 14886 600 Celebrate Life Pwy Newnan, GA 30265

1/30/2015George Palmer, MD 30658RN203478Bacot, Brittany 11929 1012 Bremuda Run Rd Statesboro, GA 30458

6/7/2019Scott Shelfo, MD 43479RN168366Bacot, Eliza 42745 600 Celebrate Life Parkway Newnan, GA 30265

8/26/2016Jorge Spinolo, MD 36016RN089038Badnin, Martha Ellen 17200 698 Duluth Hwy, Ste 201 Lawrenceville, GA 30046

12/31/2010Joseph Lesesne, MD 29712RN089038Badnin, Martha Ellen 125 1100 Johnson Ferry Rd, #600 Atlanta, GA 30342

8/22/2016Pradeep Jolly, MD 22798RN089038Badnin, Martha Ellen 9946 1100 Johnson Ferry Rd, Ste 600 Atlanta, GA 30342

3/31/2014Seward, James MD 27247RN159515Baggett, Krystal 10067 200 Industrial Blvd ER Dublin, GA 31021

6/14/2013Leslie Cottrell, MD 45194RN065906Baggett, Patricia Robin 126 PO Box 658 Mt. Zion, GA 30150

5/26/2018Leslie Cottrell, MD 45194RN065906Baggett, Patricia Robin 14171 4248 Mt. Zion Rd Carrollton, GA 30150

8/26/2011Lewis Litwack, MD 61981RN089010Baggs, Florence Oralee 9368 PO Box 554 Ludowici, GA 31316

Monday, August 1, 2022 Page 19 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2022Olugbenga A. Awe, MD 48329RN089010Baggs, Florence Oralee 5461 PO Box 52 Hinesville, GA 31310

8/15/2016Badea, Calin MD 55918RN089010Baggs, Florence 10058 213 N. McDonald Street, Suite A & B Ludowici, GA 31316

6/17/2019John T. Perry, MD 27421RN217150Bagley, Jordan Forsyth 41045 960 Joe Frank Harris Pkwy SE Carterville, GA 30120

8/24/2018Martin J Lynch, MD 34015RN217150Bagley, Jordan Forsyth 42169 501 Redmond Road Rome, GA 30165

6/17/2019Christopher L. Robinson, MD

54335RN217150Bagley, Jordan 43161 501 Redmond Road Rome, GA 30165

3/26/2021Oscar Aguero Jr. 36673RN262574Bagley, Leah 51828 3527 N Valdosta Road Valdosta, GA 31602

4/30/2015Alan Wang, MD 48017RN078685Bagwell, Kristy Sue 14016 601 Northholt Pkwy Suwanee, GA 30024

7/30/2009David Dillard, MD 40364RN078685Bagwell, Kristy Sue 128 1000 Hawthorne Avenue, Suite O Athens, GA 30606

2/17/2021Jacqueline Harris 63934RN2667593Bahr, Rugiatu 45245 1260 Hwy 54 W, #101 Fayetteville, Ga 30214

9/17/2018Jonathan Wade, MD 66666RN181781Bailey, Mary 40215 3030 Airport Rd East Macon, GA 31216

5/17/2019Hari G. Mabichetty, MD 54405RN227795Bailey, Dominique Leon 43252 604 A S. 8th Street Griffin, GA 30224

1/22/2021Dave Ringer 30368RN219236Bailey, Bruce 46342 1626 Jeurgens Court Norcross, GA 30093

1/24/2022Robert Klassen 34385RN219236Bailey, Bruce 46344 1626 Jeurgens Court Norcross, GA 30093

10/21/2021James Hamilton Jr. 29179RN219236Bailey, Bruce 46346 1626 Jeurgens Court Norcross, GA 30093

6/8/2020Caryn Masterman-Smith 63712RN107764Bailey, Alison 47842 125 Church Street Vidalia, GA 30474

9/1/2021Hugh Hall 40088RN219236Bailey, Bruce 53489 3686 Wheeler Road Augusta, GA 30909

4/17/2020Christiaan Webb 82853RN215638Bailey, Molly 49439 1948 Old Ocilla Road Tifton, GA 31794

5/1/2019Shirley Echols, MD 58639RN184125Bailey, Crystal 43868 2675 N Decatur Rd Suite 607 Decatur, GA 30033

6/30/2020Kelli Carter 41529RN219236Bailey, Bruce 38752 1113 Washington Road Thomson, GA 30824

7/31/2016Fred Hood MD 45071RN247639Bailey, Erin 15880 1050 Eagles Landing Pkwy, Ste 200 Stockbridge, GA 30281

12/18/2015Prakul Chandra, MD 66006RN092042Bailey, Jean Marie 13863 961 East Winthrope Ave Millen, GA 30442

8/5/2017Stephen Rubendall, MD 57320RN181781Bailey, Mary 19396 250 Blanton St. Pelham, GA 31779

10/15/2021Santanu Das 42560RN107764Bailey, Alison 58596 1049 N Houston Road Warner Robins, GA 31093

3/1/2021Jeuslyn Chandler 69284RN092042Bailey, Jean 51251 1570 Brampton Road Statesboro, GA 30458

9/13/2020Donald Menya 84635RN215638Bailey, Molly 51244 1948 Old Ocilla Road Tifton, GA 31794

Monday, August 1, 2022 Page 20 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/31/2014Heywood K. Gay, MD 38768RN092042Bailey, Jean M. 11365 961 E. Winthrope Ave. Millen, GA 30442

2/15/2019Roger Branch, MD 30272RN092042Bailey, Jean Marie 11458 10 Doctors St. Metter, GA 30439

2/23/2018Kenneth Geneva, MD 36977RN133680Bain, Judy Brooks 17857 104 Harwell Ave. Lagrange, GA 30240

10/11/2017Anthony Marchetti, MD 31471RN133680Bain, Judy Brooks 19732 801 W. Gordon St. Thomaston, GA 30286

4/11/2016James Gore, Jr, MD 36384RN133680Bain, Judy 16713 1657 N. Expressway Griffin, GA 30223

1/4/2019Shazia Khan, MD 48605RN133680Bain, Judy 40863 1425 Highway 34 E Newnan, GA 30265

10/5/2020David Eric Jones, MD 45257RN133680Bain, Judy Brooks 39671 745 Poplar Road Newnan, Ga 30265

12/3/2020Joseph Baker 41508RN146708Bain, Lori 53915 1825 Martha Berry Blvd NW Rome, GA 30165

12/14/2020Michael Pinell 58102RN133680Bain, Judy 47689 600 Celebrate Life Parkway Newnan, GA 30265

6/8/2016Dennis Thomas, MD 22898RN051587Baird, Kim 14453 209 East 4th St Woodbine, GA 31569

10/17/2015Robert Wilson, MD 38133RN051587Baird, Kim Andrea Timmerman 133 308 Bedell Ave Woodbine, GA 31569

2/14/2020Guido Ring 45325RN180323Bakary, Nassifatou 46626 1626 Jeurgens Court Norcross, GA 30093

1/6/2020Michael Satchell 49593RN180323Bakary, Nassifatou 46348 1626 Jeurgens Court Norcross, GA 30093

3/31/2020Michael Peacock 40752RN180323Bakary, Nassifatou 46352 1626 Jeurgens Court Norcross, GA 30093

5/3/2021Frankie White 76227RN202254Baker, Benjamin 56057 600 Celebrate Life Parkway Newnan, GA 30265

8/11/2020Kevin Napier, MD 40749RN202151Baker, Nikisha Michelle 20053 619 S 8th St. ste. 200 Griffin, GA 30224-4260

1/29/2019John Schuler, MD 37364RN202151Baker, Nikisha 40334 600 Celebrate Life Parkway Newnan, Ga 30265

4/13/2019Lester R Johnson, MD 69015RN072455Baker, Vanessa Young 42338 3200 North Ashley St Valdosta, GA 31602

8/11/2020Mahmood Mahmood 42008RN202254Baker, Benjamin Jermaine 15746 231 Graefe St Griffin, GA 30224

7/24/2008Cheryl Jones, MD 34865RN078399Baker, Karen Marie 5486 308 Coliseum Dr., Suite 120 Macon, GA 31217

10/31/2012W. Merrill Hicks, Jr., MD 38251RN072455Baker, Vanessa Young 9273 334 Smith ave Thomasville, GA 31792

7/1/2018Richard Rickman, MD 49332RN072455Baker, Vanessa Young 12627 3200-C North Ashley St Valdosta, GA 31602

5/8/2020Gregory Moore, MD 65031RN123435Baker, Rebecca Shan Bragg 18476 740 Ferst Dr, NW Atlanta, GA 30332

12/14/2018Mark Coker, MD 56276RN097754Baker, Tracey Lea Lewis 19640 14557 Highway 19 ste. A Griffin, GA 30224

9/1/2009Frederick Moore, MD 22254RN146348Baker, Chester Riley 135 663 Lanier Park Drive Gainesville, GA 30501

2/28/2011Thomas A. Buice, MD 51758RN097754Baker, Tracey Lea Lewis 142 102 Swatts Street Barnesville, GA 30204

Monday, August 1, 2022 Page 21 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/29/2020Bruce Gioia 38774RN257232Baker, Antwan 48304 865 1st Street Jesup, GA 31545

10/7/2016Ellen Courson, MD 34089RN072455Baker, Vanessa Young 8615 3811 Old US Hwy 41 North Valdosta, GA 31602

12/14/2015James Terry Greene, MD 32741RN146348Baker, Chester Riley 8727 130 Magnolia Lane Cornelia, GA 30531

9/25/2014Victoria Afshani, MD 55214RN078399Baker, Karen Marie 8340 1000 Cowles Clinic Way, Suite M-200 Greensboro, GA 30642

10/7/2016Ellen E. Courson, MD 34089RN072455Baker, Vanessa Y. 11535 3811 Old US Hwy 41 North Valdosta, GA 31604

1/2/2011Noreen Andrews, MD 46861RN190935Baker-Janis, Victoria M 8577 2380 Buford Dr, Suite 201 Lawrenceville, GA 30043

2/15/2013Noreen Andrews, MD 46861RN190935Baker-Janis, Victoria M. 9910 1910 Hwy 20 SE, Suite 270 Conyers, GA 30013

4/16/2012Hai Trinh, MD 55991RN190935Baker-Janis, Victoria M. 9917 2118 Scenic Hwy, Suite H Snellville, GA 30078

2/28/2013Smith, Harmon MD 41486RN190935Baker-Janis, Victoria 10271 1080 Green Street S.W. Conyers, GA 30012

5/11/2015Mark Elam, MD 36147RN190935Baker-Janis, Victoria M 13692 100 Medical Center Blvd, Suite 290 Lawrenceville, GA 30046

6/10/2014Robert Deimler, DO 38728RN190935Baker-Janis, Victoria M 11734 3555 Centerville Hwy, Suite 100 Snellville, GA 30039

8/23/2016William Stuart, MD 12645RN124698Baker-Newsholme, Beverly 16855 3200 Downwood Circle, Ste 550 Atlanta, GA 30327

12/7/2020Todd Hold, MD 46126RN111133Baldridge, Robert Lee 14177 1035 Redbud Rd (ER) Clhoun, GA 30701

2/10/2020Garrett E. Post 61143RN11133Baldridge, Robert Lee 43708 1035 Red Bud Road NE Calhoun, GA 30701

11/15/2020John Hardwell, MD 49177RN177268Baldwin, Jennifer Kay 18585 304 Turner McCall Blvd. Rome, GA 30165

1/1/2021Julian McLendon, MD 38557RN227441Bales, Crystal Hanley 39097 1502 West 3rd Street Jackson, GA 30233

9/18/2019Julian McLendon, MD 38557RN227441Bales, Crystal Hanley 39539 1502 West 3rd Street Jackson, GA 30233

12/1/2018William G. Grubb, MD 16606RN176462Ball, Nathan A. 17562 3025 Shrine Rd., #450 Brunswick, GA 31520

12/6/2019James Yost 63155RN195425Ballard, Monica 45766 9390 The Landing Dr. Douglasville, Ga 30135

4/25/2016Karen Wasilewski, MD 53203RN107598Ballard, Linda Kozak 11887 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

12/18/2020Clemons Holly 71921RN262005Ballard, Stephanie 15551 1050 Eagles Landing Parkway (Suite 200) Stockbridge, GA 30

9/20/2020Karla Booker 33800RN195425Ballard, Monica 48197 3747 Roswell Road, Suite 107 Marietta, GA 30062

4/1/2013Jeanne Boudreaux, MD 43559RN107598Ballard, Linda Kozak 147 5455 Meridian mark Rd, Suite 400 Atlanta, GA 30342

9/25/2014Carlos Franco, MD 23733RN107100Balun, Brooke Poindexter 149 3330 Preston Ridge Rd, Suite 110 Alpharetta, GA 30005

2/3/2016Gary Fischer, MD 57804RN220937Banasik, Stephanie Eileen 15762 10200 Ford Ave, Ste 101 Richmond Hill, GA 31324

9/30/2015Milanieva Latorre, MD 38032RN230719Bandell, Jaclyn Marie 14985 643 Main St. Palmetto, GA 30268

Monday, August 1, 2022 Page 22 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/15/2010Hope Hamilton-Rodgers, MD

53548RN194007Banerjee, Pamela Mouhot 8132 330 Turner McCall Blvd, Suite 306 Rome, GA 30165

12/4/2013Palmore, Melody MD 33679RN147934Bangurah, Saphie 10064 341 Ponce de Leon Avenue Atlanta, GA 30308

5/3/2022Rahil Kazi 41593RN233561Banichar, Brittany 57178 1707 Watson Blvd., Suite 200 Warner Robins, GA 31093

6/1/2012Christopher Mathews, MD 49133RN144607Banister, Anna Lee 9772 100 Goshen Rd Rincon, GA 31326

12/3/2015James Cornwell, MD 50608RN144607Banister, Anna Lee 9773 3 Hidden Creek Guyton, GA 30312

1/26/2012Christopher DeLisle, DO 61961RN144607Banister, Anna Lee 9774 7306 Hwy 21, Suite 105 Pt. Wentworth, GA 31407

12/23/2014Ramualdo Laygo, MD 17843RN144607Banister, Anna Lee 13527 1451 Hwy 21 South, Ste H Springfield, GA 31329

2/8/2019William Kolhoff, MD 63706RN144607Banister, Anna Lee 14860 800 Towne Park Dr, Ste 100 Rincon, GA 31326

12/23/2014John Bennett, MD 53838RN144607Banister, Anna Lee 12946 7306 Hwy 21, Suite 105 Pt Wentworth, GA 31407

1/8/2016Sarita Mobley, MD 46872RN140148Banks, Meredith 16228 1787 Broad St Lumpkin, GA 31815

7/5/2018William Asbury, MD 52139RN198171Banks, Heather Michelle 39572 251 Highway 53 Calhoun, GA 30707

9/23/2021Robert Holcombe 26556RN198171Banks, Heather 42691 302 Shorter Avenue Rome, GA 30165

12/16/2013Mihaela Saler, MD 66316RN169953Banks-Blades, Paulette Rena 11888 1350 Walton Way Augusta, GA 30901

6/23/2014Penix, LaRoy MD 49080RN198626Banner, Laura 10277 1315 Jesse Jewell Pkwy Ste 300 Gainesville, GA 30501

5/1/2016Oladapo Fawihe, MD 43608RN185747Bannister, Brandis K Singleton 13340 811 13th St., Ste 11 Augusta, GA 30901

10/28/2018Angela Wright, MD 45103RN185747Bannister, Brandis K. Singleton 18851 2467 Golden Camp Rd. Augusta, GA 30906

9/9/2016Mariamma George, mD 23734RN232928Banugaria, Bhumika 16632 3872 Hwy 5 Douglasville, GA 30135

3/7/2019Radcliff Allen, MD 55169RN133272Baptiste, Gina 19799 1412 Milstead Avenue Conyers, GA 30012

7/1/2019Daniel Valancius, MD 72151RN133272Baptiste, Gina 21301 304 Turner McCall Blvd. Rome, GA 30165

8/18/2021Rotimi Samuel 44082RN133272Baptiste, Gina 44909 367 Clear Creek Pkwy Lavonia, Ga 30553

11/1/2008Eduard Docu, MD 56426RN120593Baran, Susan Lorraine 153 102 Bryan Woods Road Savannah, GA 31410

1/1/2016Bailey, Marion MD 10469RN120593Baran, Susan 10379 109 Industrial Drive, Ste B St. Mary's, GA 31558

1/7/2010Willard Hearin, MD 23604RN047021Baraona, Laura K 5039 761 Old Norcross Road Lawrenceville, GA 30045

12/31/2021Michael Sims, MD 19775RN166195Barbaree, Leigh Ann 8464 3934 Woodruff Road Columbus, GA 31904

10/1/2021Lillian Schapiro 40540RN187480Barbee, Kimberly 57790 3200 Downwood Circle, Suite 220 Atlanta, GA 30327

Monday, August 1, 2022 Page 23 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/27/2018Fitz Harper 36773RN187480Barbee, Kimberly 38664 3286 Buckeye Road Atlanta, GA 30341

4/15/2020Tamika L. Sea, MD 67768RN187480Barbee, Kimberly Garnette 42612 1757 Rock Quarry Rd. Stockbridge, GA 30281

4/10/2021Michael A. Duke 42041RM159846Barbee, Leah Parker 43670 540 W. Thomas Street (Suite B) Milledgeville, GA 31061

4/29/2018Thaddeus Chapman, MD 46380RN187480Barbee, Kimberly Garnette 19692 550 Peachtree St. NE, Ste 1220 Atlanta, GA 30308

12/13/2018Michael Duke, MD 42041RN159846Barbee, Leah Parker 10420 134 West Campus Drive (CBX091) Milledgeville, GA 31061

10/15/2012Bradley Ward, MD 21115RN134966Barber, Sarah Crowe 9688 97 Church St Taylorsville, GA 30178

7/31/2017Yuan-Xiang Meng, MD 51257RN049093Barber, Ronald Blake 18317 1855 Hudson Bridge Rd. Stockbridge, GA 30281

2/5/2016Christopher Morgan, MD 66151RN135629Barber, Ronald Blake 17041 549 B Bullsboro Dr, Ste B Newnan, GA 30265

10/18/2018Alan Yahanda, MD 71202RN135629Barber, Ronald B. 42626 600 Celebrate Life Parkway Newnan, GA 30265

4/30/2019Ann Ward, MD 23242RN089020Barber, Babette 16031 48 Hill Creek Rd Taylorsville, GA 30178

5/30/2009Stephen Dawkins, MD 33066RN135629Barber, Ronald Blake 155 535 North Central Avenue Hapeville, GA 30354

4/1/2019Yolanda Wade, MD 58345RN135629Barber, Ronald Blake 8675 40 Jefferson Street Newnan, GA 30263

2/5/2016Barry Morgan, MD 25554RN135629Barber, Ronald Blake 8601 1755 Hwy 34, Suite 2150 Newnan, GA 30265

11/17/2010Bradley Ward, MD 21115RN134966Barber, Sarah Crowe 520 97 Church Street Taylorsville, GA 30178

5/26/2020Alawode Oladele 36423RN044227Barber-Anyaehie, F Delores 48981 445 Winn Way Decatur, GA 30030-1707

5/1/2019Wendy Coto-Puckett, MD 59908RN181995Barcenas, Crystal Gail 20051 743 Spring St. NE Gainesville, GA 30501-3715

3/21/2022Douglas W. Johnaon, MD. 56722RN221722Barco, Angela M. 39790 3651 Wheeler Rd. Augusta, Ga 30909

2/20/2017Mark Stewart, MD 32058RN221722Barco, Angela Marie 18050 840 Stevens Creek Rd. Augusta, GA 30907

3/22/2022David Brosnahan, MD 59132RN221722Barco, Angela Marie 14215 1350 Walton Way Augusta, GA 30901

12/18/2015Troy Akers, MD 67924RN221722Barco, Angela 15911 2260 Wrightboro Augusta, GA 30904

4/11/2018Jehangir Pirzada, DO 72082RN209107Barham, Jason 17763 601 S. 8th Street Griffin, GA 30224

5/1/2021Nadine M. Regis, MD 73138RN209104Barham, Jason M 43158 745 Poplar Road Newnan, GA 30265

3/28/2020Caroline Miller 54011RN216411Bariyaga, Ann 44695 3911 Mary Eliza Tr Marietta, Ga 30064

4/8/2019Yashaswini Parikh, MD 24864RN216411Bariyiga, Ann Bimbola 42649 6010 Singleton Rd (Suite 209) Norcross, GA 30093

4/1/2022Syamala Erramilli 47896RN220290Barker, Lauren 56022 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

12/15/2020Ron Alleyne 70518RN220290Barker, Lauren 53435 3707 Largent Way Marietta, GA 30064

Monday, August 1, 2022 Page 24 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2020Shaun Franklin, MD 40663RN037609Barker, Susan 14779 325 W Montgomery Crossroads Savannah, GA 31406

11/6/2015Karen Muro, MD 37304RN108439Barkhaus, Corby Lynn 14823 497 Winn Way, Ste A 210 Decatur, GA 30030

11/6/2015William Paxton, MD 46206RN108439Barkhaus, Corby Lynn 16678 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville, GA 300

11/30/2021Nyabilondi Ebama 81630RN108439Barkhaus, Corby 56032 1762 Rosalind Drive Atlanta, GA 30329

2/14/2020Dipesh R Patel, MD 53512RN201909Barkley, Quavardes B 42155 6190 Peake Road Macon, GA 31220

2/14/2020William D Taylor, MD 33213RN201909Barkley, Quavardes Beaunett 42156 210 Main Street Toomsboro, GA 31090

2/14/2020Alpesh Patel, MD 67948RN201909Barkley, Quavardes Beaunett 42158 1050 Hospital Drive Stockbridge, GA 30281

1/13/2020Javad H Fazal, MD 57457RN201909Barkley, Quavardes Beaunett 42311 2255 Anthony Road Macon, GA 31204

2/14/2020Amar Mohan, MD 66531RN201909Barkley, Quavardes Beaunett 42312 4148 Carroll Street SW Covington, GA 30014

6/26/2019Florence T Baralatei, MD 60040RN201909Barkley, Quavardes Beaunett 42313 2255 Anthony Road Macon, GA 31204

2/14/2020Jeremy T Goodwin, MD 59416RN201909Barkley, Quavardes B 42314 521 Cabiness Road Forsyth, GA 31209

2/14/2020Craig Caldwell, MD 21658RN201909Barkley, Quavardes B 42316 521 Cabiness Road Forsyth, GA 31029

1/3/2022Claire Douglas, MD 69575RN201909Barkley, Quavardes Beaunett 19009 1100 Peachtree St, NE, Ste 200 Atlanta, GA 30309

8/20/2019Michael Satchell, MD 49593RN210589Barksdale, Whittnye 42678 2822 Nottingham Way (Suite 4 ) Albany, GA 31707

9/12/2019Ambreen Mardhani, MD 75722RN079838Barlow, Paula 20881 2464 Roswell Rd. NE Marietta, GA 30062

10/11/2017Isioma Okwumabua, MD 70256RN079838Barlow, Paula 15118 2464 Roswell Rd Marietta, GA 30062-4954

10/25/2017Dolapo Babalola, MD 59119RN079838Barlow, Paula Carol Stller 19981 2464 Roswell Rd. Marietta, GA 30062-4954

9/3/2015Thomas Hatchett, MD 36984RN119659Barlowe, Brenda Jane Harvel 5040 870-A Austin Dr Demorest, GA 30535

5/21/2020Richard Spurlick Jr. MD 59207RN201378Barmett, Mallory 43847 931 Lower Fayetteville Rd. Ste F Newnan, Ga 30263

10/27/2021Kevin Coyle 60819RN096995Barnard, Angela 44478 3221 Glynn Ave Brunswick, GA 31520

10/15/2021Elliot Raizes 24478RN188321Barnes, Quinton 45639 523 Church St. Decatur, Ga 30030

7/31/2018Erin Dvis London, MD. 45440RN209634Barnes, Esther Marie 40295 101 Yorktown Drive Fayetteville, Ga 30214

9/30/2021Sujatha Reddy 20385RN192568Barnes, Salena 54245 175 Emery Highway Macon, GA 31217

11/17/2017Altee Johnson, MD 60387RN209634Barnes, Esther Marie 19984 101 Yorktown Drive ste. 110 Fayetteville, GA 30214

5/10/2020Mahaveer Vakharia, MD 38390RN165438Barnes, Wendy Denise 11843 4171 Marietta St, Suite 300-A Powder Springs, GA 30127

1/1/2020Shannon Vaughn, MD 46000RN105904Barnes, Susan 15780 304 Turner McCall Blvd Rome, GA 30165

Monday, August 1, 2022 Page 25 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/7/2015William Harper, MD 20726RN241927Barnes, Abby S 13861 1021 Talbotton Rd Columbus, GA 31904

5/1/2015S Joe Vaughn, MD 46000RN105904Barnes, Susan McGraw 12202 304 Turner McCall Blvd Rome, GA 30165

12/31/2018Dennis Estep, MD 25429RN138894Barnes, Dawn Kyla Daw 160 2366 Battlefield Parkway Ft Oglethorpe, GA 30742

6/8/2020James Collins 29833RN105904Barnes, Susan 48383 330 Turner McCall Blvd Rome, GA 30165

11/14/2020Deborah Chambers 74480RN234868Barnes, Mallory 48493 57 Lake Linden Lane Bluffton, SC 29910

10/1/2008Ann Ward, MD 23242RN105904Barnes, Susan McGraw 8128 304 Turner McCall Blvd Rome, GA 30165

9/22/2020Naveed Ummed, MD 66835RN165438Barnes-Mellstrom, Wendy Deni 40261 2151 Peachford Road Atlanta, GA 30338

9/23/2020Adefisan Olujimi, MD 63623RN165438Barnes-Mellstrom, Wendy Deni 40266 2151 Peachford Road Atanta, GA 30338

1/1/2020David Purselle, MD 44312RN165438Barnes-Mellstrom, Wendy Deni 17609 1 Technology Pkwy S - ATTN- Administration Norcross, GA 3

12/19/2017Ogechi Helen Mbakwe, MD. 69221RN060037Barnett, Connie J. 39676 6 Lester Road Statesboro, Ga 30458

5/14/2019Veera Pavuluri, MD 69927RN207440Barnett, Minh 42122 601 South 8th Street Griffin, GA 30224

2/25/2019Stanton McKenna MD 59100RN201378Barnett, Mallory Ciara 42807 3167 Peachtree Rd NE Suite G Atlanta, GA 30305

3/19/2020Gerald Slagel 30893RN201378Barnett, Mallory 44483 101 Yorktown Dr. Fayetteville, GA 30269

6/15/2020Thomas Williamson, MD 42144RN207440Barnett, Minh Ngoc 43183 101 Deluxe Circle Thomaston, GA 30286

5/31/2022Kenneth Healey 24689RN224980Barnett, Tiffani 46224 603 E. Lamar St Americus, Ga 31709

9/7/2021Timothy Longaker 25883RN207440Barnett, Minh 46217 101 Deluxe Circle, Suite B Thomaston, Ga 30286

5/9/2022Barry Moore 84557RN271197Barnett, Andrietta 52349 40 Highland Circle Blue Ridge, GA 30513

2/4/2011William Taunton, Jr., MD 63543RN060037Barnett, Tammy Lynn 9074 235 Medical Court Forsyth, GA 31029

12/28/2016Rani Reddy, MD 34450RN060037Barnett, Connie J 18227 106 Briarwood Rd. Statesboro, GA 30458

3/3/2020Mark McCracken, MD 55863RN060037Barnett, Connie J 19819 1499 Fair Rd. Statesboro, GA 30458

6/23/2009Julian McLendon, Jr., MD 38557RN147543Barnett, Tammy Lynn 163 3758 Hwy 42 Locust Grove, GA 30248

5/22/2017Daniela Rojas-Molina, MD 55331RN060038Barnett, Toni Odom 164 772 Maddox Dr, Suite 122 Ellijay, GA 30540

4/29/2016Thad Riley, MD 28637RN060037Barnett, Connie J. 8371 PO Box 957 Statesboro, GA 30459

3/16/2018Fred Tega, MD 56493RN234173Barnhill, Patrice 15964 15 A Baynard Park Newan, GA 30265

7/1/2022Paul Buczynsky 44891RN217069Barrera, Jaime 54536 700 Oglethorpe Ave, Suite C7 Athens, GA 30606

7/18/2022Anthony Carter 72967RN129513Barrett, Dena 55761 1314 Turner McCall Blvd SW Rome, GA 30161-6070

Monday, August 1, 2022 Page 26 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/23/2018Gary L. Smith, MD 10666RN093282Barrett, Patricia A. 40402 6120 Alabama Hwy (P. O. Box 729) Ringold, GA 30736

12/31/2017James Butts, MD 9103RN080586Barrett, Karen Lee 17357 810 Pine St Gainesville, GA 30501

8/1/2019Abdullah Kutlar, MD 34751RN143515Barrett, Nadine Janice Fearon 17447 989 St Sebastian Way Augusta, GA 30912

8/3/2018Allison P. Henery-Comrie 49650RN166274Barrett, Laura Kay 40927 5755 North Point Parkway (Suite 72) Alharetta, GA 30022

10/23/2020Michael E Gonsalves, MD 63337RN093282Barrett, Patricia Annette 42346 4159 Martha Berry Highway NW Rome, GA 30165

8/24/2020John Richmond, MD 26018RN129513Barrett, Dena 16275 2705 Airport Rd Dalton, GA 30721

6/4/2018Ted Pennel, MD 29068RN149515Barrett, Kasie Dean 18267 1035 Red Bud Rd. Calhoun, GA 30701

2/23/2018Gary Smith Sr., MD 10666RN093282Barrett, Patricia Annette 15000 204 North Duke St. LaFayette, GA 30728

7/31/2019Mitchell Wilson, MD 61188RN149515Barrett, Kasie Deann 18477 707 Old Dalton Ellijay Rd. Chatsworth, GA 30705

8/1/2011Richard Schwartz, MD 42935RN143515Barrett, Nadine Janice Fearon 9152 4471 Washington Road Evans, GA 30809

5/1/2012Powell, Eric MD 49081RN080586Barrett, Karen 10666 82 College Circle, Room 107 HNS Dahlonega, GA 30597

7/31/2015Robert Burkich, MD 46372RN129513Barrett, Dena 15846 148 Cobb Parkway Ringgold, GA 30736

10/10/2018Bryan Cheever, MD 34120RN149515Barrett, Kasie Deann 372 1107 Memorial Dr, Suite 200 Dalton, GA 30720

4/22/2014Sinan Haddad, MD 56455RN080586Barrett, Karen Lee 9981 1250 Jesse Jewell Pkwy, Ste 400 Gainesville, GA 30501

7/3/2020Sadiq Sohani 45010RN149515Barrett, Kasie 48129 1413 Chattanooga Ave Dalton, GA 30720

1/1/2022John Vendor 42475RN143515Barrett, Nadine 47005 1120 15th Street. B13088 Augusta, GA 30912

12/16/2008Roshan Shrestha, MD 56765RN128594Barrett-Brown, Angela Dian 8325 1968 Peachtree Road NW Atlatna, GA 30309

8/4/2017David Quintero Bustos, MD 61149RN128594Barrett-Brown, Angela 15433 600 Celebrate Life Parkway Newnan, GA 30265

6/10/2021Gary Berstein, MD 30269RN128594Barrett-Brown, Angela 38957 600 Celebrate Life Pwky Newnan, GA 30265

10/1/2012Harrison Stetler, MD 41681RN140084Barrington, Elizabeth 10762 3957 Holcomb Bridge Road S, Ste 100 Norcross, GA 30092

5/11/2014Najaz Woods-Bishop, MD 58350RN140084Barrington, Elizabeth C. 168 1510 Hudson Bridge Rd. Stockbridge, GA 30281

3/1/2022Santhi Adigopula 68470RN257566Barron, Corey 54256 200 S Enota Drive NE, Suite 100 Gainesville, GA 30501

4/9/2022William Robinson Jr. 75129RN216343Barron, Stephanie 54334 4441 Atlanta Road SE, Suite 107 Smyrna, GA 30080

9/24/2021Eric Lehman 32231RN200978Barrow, Michael 54050 1102 Smith Ave., Suite K Thomasville, GA 31792

5/3/2021Mark Lee 59451RN200978Barrow, Michael Richard 39784 601 11TH Ave Albany, GA 31701

5/3/2021Mark Allen Lee 59451RN200978Barrow, Micheal Richard 39825 601 11th Ave. Albany, Ga 31701

Monday, August 1, 2022 Page 27 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/15/2019Antonio Remollino, MD 57994RN135517Barrow, Bridget April 14983 103 GA Hwy 27 E Americus, GA 31709

4/4/2017Lisa Rudolph-Watson, MD 42414RN200978Barrow, Michael R 17040 401 Old Albany Rd Thomasville, GA 31792

6/3/2022Ngan Pham 58382RN288948Barrow, Sieda 59837 1050 Eagle's Landing Pkwy, Suite 300 Stockbridge, GA 30281

5/17/2019Serena D. Tidwell, MD 51192RN135517Barrow, Bridget A. 11423 1538 13th Ave. Columbus, GA 31907

11/30/2009Karen Wasilewski, MD 53203RN156491Barry, Amy Elizabeth Gartner 1061 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

3/17/2017John Bergsagel, MD 29407RN156491Barry, Amy Elizabeth Gartner 8928 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

7/22/2016Josephina Tan, MD 19193RN212817Barstow, Pamela 16432 106 East Broad St Savannah, GA 31401

6/15/2017Rosalind Womack, MD 72171RN212817Barstow, Pamela Dawn Croissa 19832 213 North McDonald St., Ste A&B Ludowici, GA 31316

10/24/2020Jon Risley 38933RN180767Bartenfield, Autumn 51803 1209 W. Walnut Avenue, Suite 1 Dalton, GA 30720-3961

12/31/2020Craig E. Bishop 45725RN239677Bartha, Zsuzsanna M. 40053 2405 Bemiss Rd. Valdosta, GA 31602

11/19/2018Alford Brady, MD 40616RN239677Bartha, Zsuzsanna Monika 38799 2209 Pineview Dr. Valdosta, GA 31602

8/1/2017Maria Castellano, MD 45419RN239677Bartha, Zsuzsanna Monika 19566 2418 N. Oak St., Ste G Valdosta, GA 31602

4/14/2021Thomas Demarco 32718RN206508Barthelemy, Judette 54133 3969 South Cobb Drive, Suite 202 Smyrna, GA 30080

6/29/2018Adrienne Fabrizio, MD 50365RN208432Barthelmes, Lauren Beth 41163 300 Bull Street Suite 200 Savannah, Ga 31401

4/20/2022Michael Papciak, MD 16823RN225792Barthold, Nichole Marie 13005 3400-A Old Milton Pkwy, Suite 330 Alpharetta, GA 30005

6/9/2017Victor Thomas, MD 40574RN097337Bartlett, Katherine Evans 12898 1200 Memorial Drive Dalton, GA 30720

10/24/2019Cullison, James MD 45057RN130291Bartlett, Donya 10426 150 Clinic Avenue, Ste 202 Carrollton, GA 30117

5/21/2020Jatinder Bhatia, MD 18784RN160240Bartley, Ashley 17539 1120 15th St., Ste BIW6033 Augusta, GA 30912

12/31/2014Todd Cooper, DO 61411RN221390Bartock, Dawn Jennifer 11916 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta, GA 30322

2/25/2013Shawn Jobe, MD 60143RN221390Bartock, Dawn J. 11287 1405 Clifton Rd., NE Atlanta, GA 30322

6/1/2019Randy G. Robinson, MD 35987RN055949Barton, Brenda D. 17670 5081 Hwy 114 Lyerly, GA 30730

2/16/2020Jayanti Jasti 56180RN217282Basha, Enas 43375 595 Hurricane Shoals Road, NW (Suite 100) Lawrenceville, G

7/25/2012Hulse, Michael MD 40695RN144473Basham, Carson 10171 10515 Bells Ferry Road, Ste 200 Canton, GA 30114

4/30/2021Matthew Whitley, MD 66673RN218322Basit, Kali 16171 5455 Meridian Mark Rd, Ste 130 Atlanta, GA 30342

3/26/2021Theodore Schock 30882RN165924Baskins, Mary Elizabeth 53259 63 West Gibson Street Hartwell, GA 30643

2/10/2016Craig Bishop, DO 45725RN128236Bass, Pollyanna 15981 2412 N Oak St Valdosta, GA 31602

Monday, August 1, 2022 Page 28 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/7/2015Jarod Bailey, DO 65929RN128236Bass, Pollyanna Marie 14049 2412 N. Oak St. Valdosta, GA 31602

8/31/2014Renaldas Smidtas, MD 41959RN128236Bass, Pollyanna Marie 13126 4002 North Oak St Ext Valdosta, GA 31602

4/14/2014Jerry Purvis, MD 9235RN128236Bass, Pollyanna Marie 174 520 Griffin Ave Valdosta, GA 31601

11/16/2019Michael Hamm, DO 49021RN208954Bassett, Robin 16464 5248 New Jesup Highway Brunswick, GA 31523

5/1/2021Muhammad Abbasi 43834RN208954Bassett, Robin 56026 1775 Access Road, Suite C Covington, GA 30014

6/14/2020Jose Gumarin, MD 54385RN142278Bass-Seldon, Altheia 17197 113 Willie Lee Pkwy Warner Robins, GA 31088

4/26/2020Ditaranto, Anthony MD 29865RN142278Bass-Seldon, Altheia 10262 915 Elmo Street Americus, GA 31709

4/2/2009Jibike Adegbile, MD 48967RN142278Bass-Seldon, Altheia 8374 7196 North Lake Drive, Suite B Columbus, GA 31909

3/11/2022Henry Gardiner III 39346RN223372Bastecki, Jennifer 55737 11459 Johns Creek Pkwy, Suite 250 Johns Creek, GA 30097

6/1/2020Dana M. Woodhall, MD 66843RN202433Batchelor, Whitney Shay 42671 100 Frist Ct. Columbus, GA 31909

3/15/2021Philicia Andrews 44621RN223364Bates, Mika 51399 2700 Clairmont Road Atlanta, GA 30329

2/3/2021Phillip Wesley Nowlin, MD 36588RN233364Bates, Mika Lea 14433 104 Zena Drive Cartersville, GA 30121

2/4/2021Jonathan Sule, MD 60329RN222875Batson, Joshua 15431 3790 Old US 41 N, Ste B Valdosta, GA 31602

2/21/2014Scott Leibowitz, MD 53477RN090604Batson, Anne 12167 5673 Peachtree Dunwoody Rd, # 775 Atlanta, GA 30342

1/31/2021Sheri Swader 80244RN222875Batson, Joshua 53986 101-F W. Northside Drive Valdosta, GA 31602

4/1/2019Valencia Burruss 41745RN195054Battaglia, Emily 44596 1735 S. Hwy 27 Carrollton, Ga 30117

6/1/2021Eyal Meirl 70324RN195054Battaglia, Emily G. 44150 600 Celebrate Life Parkway Newnan, GA 30265

9/14/2018John Schuler, MD 37364RN195054Battaglia, Emily 21328 600 Celebrate Life Pkwy Newman, GA 30265

6/4/2017Yvonne Smith, MD 42443RN195054Battaglia, Emily Grace 19743 1751 Newnan Crossing Blvd. Ste. E Newnan, GA 30265

3/1/2020Shad A. Stormant, MD 79703RN138003Batten, Lisa Ann Tyre 43233 1720 Reynolds Street Waycross, GA 31501

4/28/2021Stacia Dzikuni 80812RN036923Battle, Juanita 45500 2100 Palmyra Rd Albany, Ga 31701

6/1/2017Eugene Sun, MD 62170RN224123Battle, Jessica Nicole 18481 120 W. Broad Ave., Ste C5 Albany, GA 31707

4/11/2015Jabez Marshall, MD 13066RN036923Battle, Juanita 14441 205 Rees St, Ste A Americus, GA 31709

6/30/2010Henry Lewis, MD 49052RN087170Battle, Debra Kaye 8339 1990 Limestone Circle, Suite 100 Gainesville, GA 30501

2/26/2020David A. Sauls, MD 72475RN206994Battle-Wherry, LaTanya Treshe 43224 3000 Schatulga Road Columbus, GA 31907

2/9/2015Robert Hall, MD 45234RN230516Bauch, Marie Lynn 13623 231 Graefe St. Griffin, GA 30224

Monday, August 1, 2022 Page 29 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/10/2010Mary East, MD 63187RN168400Baughman, Diana Marie 9022 300 Cherokee Pl Cartersville, GA 30121

2/14/2013Jeffrey Esslinger, MD 45455RN168400Baughman, Diana Marie 9243 300 Courtyard Dr, Suite A Cartersville, GA 30120

2/4/2010Timothy Ryan, MD 40220RN168400Baughman, Diana Marie 8364 84 Pine Grove Road Cartersville, GA 30120

3/5/2020Kartik Reddy, MD 69700RN189178Baumann, Joni Leigh 13060 600 West Memorial Dr Dallas, GA 30132

4/26/2019Opeoluwa Akinnusi, MD 64802RN262773Baus, Beth 20374 1050 Downing Court Marietta, GA 30068

6/1/2020William Rivers III 74337RN293054Baxter, Janeen 51333 125 Townpark Drive, NW, Suite 300 Kennesaw, GA 30144

4/4/2020Miles Johnson 38817RN141931Bayard, Aline 47410 6131South Norcross-Tucker Rd, Suite 6 Norcross, GA 30093

1/18/2017Eugene Sun, MD 62170RN184024Beach, Lesa 18482 120 W. Broad Ave., Ste C5 Albany, GA 31707

5/13/2016Frank Mott, MD 70674RN176760Beagles, Rebekah 15023 1411 Laney Walker Blvd. Augusta, GA 30912

11/1/2019Paul Dainer, MD 35233RN176760Beagles, Rebekah Brown 18704 1411 Laney Walker Blvd, AN Bldg August, GA 30912

1/1/2013Avril Beckford, MD 35814RN129550Bean, Heather Michelle 183 1810 Mulkey Road, Suite 201 Austell, GA 30106

12/8/2010Robert Shiver, MD 17489RN159427Beasley, Kitty Marie 8528 48 US Hwy 19 South Camilla, GA 31730

8/21/2021Sophia Goodridge 82831RN197645Beasley, John 51232 2500 Hospital Blvd Roswell, GA 30076

10/21/2019Anozie Ukaonu 53729RN159427Beasley, Kitty Marie 21331 725 US Hwy 19 Camilla, GA 31730

10/21/2019David Drury, MD 44202RN159427Beasley, Kitty Marie 16627 410 Curry St Pelham, GA 31779

8/12/2021Nikolas P. Symbas 42127RN197645Beasley, III, John Simuel 43721 55 Whitcher Street (Suite 250) Marietta, GA 30060

8/4/2017Nzinga Harrison, MD 54202RN193787Beaubrun, Shelley Ann 18730 1708 Peachtree St. NW ste. 300 Atlanta, GA 30309

3/1/2017Mehmood Mehdi, MD 57725RN193787Beaubrun, Shelley 14766 367 Athens Hwy, Ste 1050 Loganville, GA 30052

4/1/2022Dana Cason 39302RN240598Beauchamp, Kaleigh 55477 5120 Warm Springs Road, Suite I Columbus, GA 31909

9/27/2013Vishwas S. Sakhalkar, MD 66808RN224465Beauchamp, Hannah Rebecca 11590 770 Pine St., #520 Macon, GA 31201

3/10/2022Tameka Walker-Blake MD 62448RN194212Beaufils, Sherley 40534 5126 Hospital Dr. Covington, GA 30014

10/22/2021Cathy Harper-Hogan 44228RN273375Beaulieu, Shanna 53647 781 Spring Street, Suite 230 Macon, GA 31201

1/13/2022Michael Duchynski 71336RN273375Beaulieu, Shanna 58931 8028 Senoia Road, Suite 100 Fairburn, GA 30213

8/1/2021CHERYL PERKINS MD 36430RN181588BEAUMONT, LANE 40234 1499 FAIR RD STATESBORO, GA 30458

1/3/2022Kirk Kanter, MD 30631RN120701Bechler-Karsch, Abby 184 1405 Clifton Rd Atlanta, GA 30322

2/1/2021David McGrew 82687RN152181Beck, Wendy 47442 1200 Abernathy Road, Suite 1700 Atlanta, GA 30328

Monday, August 1, 2022 Page 30 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/30/2018Martha K Presley, MD 77109RN152181Beck, Wendy 42161 1200 Abernathy Rd Atlanta, GA 30328-5671

1/17/2020Barbara McElhanon, MD 69354RN242580Beck, Casey Skye Love 42164 1400 Tullie Road (Feeding Department) Atlanta, GA 30329

7/7/2018Meredith C. Udell, MD 67451RN242580Beck, Casey S. 17545 11 Charlie Morris Rd. Colbert, GA 30628

6/15/2020Parviz Brahman, MD 66576RN207208Beck, Jeremy Wayne 14627 1401 N Tift Ave, Ste B Tifton, GA 31794

9/1/2021Dan O. Ioanitescu 51476RN066734Becker, Deborah 21007 233 N. Houston Rd, Suite 161 Warner Robins, GA 31093

5/1/2016Gariat Ajayi, MD 47776RN066734Becker, Deborah A 14200 250 North Ave Athens, GA 30601

8/6/2012Dan Ioanitescu, MD 51476RN066734Becker, Deborah A. 8475 940-C Hwy 96 Warner Robins, GA 31088

8/26/2020Melissa Sanchez, MD 64056RN225162Becklenberg, Amy 16238 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

2/19/2014Travis Bowles, MD 68374RN225162Becklenberg, Amy M 11985 3939 Roswell Rd, Suite 200 Marietta, GA 30062

11/1/2018Reemon Bishara, MD 63759RN262569Beckles, Saphia 40904 1915 Eisenhower Drive Savannah, GA 31406

7/31/2010Christopher Oldfield, MD 46195RN132814Beckworth, Jill Katrice 188 1326 Eisenhower Drive Savannah, GA 31406

3/31/2014Yulianty D. Kusuma, MD 61279RN132814Beckworth, Jill K. 11539 130 Stephenson Ave, #102 Savannah, GA 31406

3/13/2013Marc G. Amaya, MD 47181RN182810Beddard, Crystal P. 11493 88954 Hospital Dr. Douglasville, GA 30134

10/27/2016Tameka Walker-Blake, MD 62448RN182810Beddard, Crystal 16077 5126 Hospital Dr Covington, GA 30014

1/20/2020Douglas Cooper, MD 37180RN182810Beddard, Crystal Patrice 19236 831 Fairways Crt., Ste A Stockbridge, GA 30281

3/26/2014Yolanda Hacker, MD 45811RN182810Beddard, Crystal Patrice 11772 Take Care Clinic, 5985 Peachtree Pkwy Norcross, GA 30092

5/20/2011Andrew Helfgott, MD 55953RN046188Bedingfield, Amy P 189 1120 15th Street, Suite BA-7410 Augusta, GA 30912

11/4/2021Eddie Richardson, Jr. 52047RN307220Beecroft, Rebecca 59192 114 Harmony Crossing, Suite 1 Eatonton, GA 31024

9/30/2009 Kevin J. Smith, MD 41961RN105146Beelman, Lynne Ann 192 1000 Chastain Rd., Hse 52, #5200 Kennesaw, GA 30144

7/16/2012Kathleen Gunchick, MD 28760RN105146Beelman, Lynne Ann 8850 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

2/7/2013Yvonne Smith, MD 42443RN105146Beelman, Lynne 11050 1685 Old Pendergrass Rd. Jefferson, GA 30549

1/19/2019Bennie Johnson, DO 23999RN100419Beerman, Pastora Amparo 8811 18 Cumming St Alpharetta, GA 30009

9/23/2021Appavuchetty Soundappan 44107RN207892Beery, Julie 57179 1115 Morningside Drive Perry, GA 31069

6/2/2022Khaja Ahmed 42159RN272242Behrend, Rachel 59666 2732 Candler Road Decatur, GA 30034

12/5/2021Adolfo Molina 24166RN272242Behrend, Rachel 46021 3182 Shallowford Rd NE Chamblee, Ga 30341

11/1/2019Gordon Leslie Walters, MD 30919RN148859Beilman, John Patrick 194 818 St Sebastian Way, Suite 311 Augusta, GA 30901

Monday, August 1, 2022 Page 31 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/13/2017Brian Chadwick, MD 43575RN251256Belair, Trina 16705 1005 Virginia Ave., Ste 100 Atlanta, GA 30354

10/30/2019Niraj Sharma, MD 54276RN212141Belayneh, Wongelawit 42246 766 Walther Rod Lawrenceville, GA 30046

7/6/2021Jonathan S. Williams 59237RN203866Belcher, Robin 43790 1120 W. Broad Ave. Albany, GA 31707

9/24/2021Eric Lehman, DO 32231RN203866Belcher, Robin 41547 525 Cassidy Road Thomasville, GA 31792

2/16/2021Marci Manna 81273RN203866Belcher, Robin 44797 2927 Demeke Rd St Simons, Ga 31522

8/29/2019Praveen Rastogi, MD 26176RN132888Belcher, Julia Allen 17022 6572 River Park Dr., Ste 101 Riverdale, GA 30274

6/21/2017Karen Baker, MD 66251RN055207Belin, Nancy Inglis 16862 1692 Chatham Pkwy Savannah, GA 31405

6/1/2016Scott Parry, DO 39899RN106630Bell, Hermeyone 16740 2215 Cheshire Bridge Rd. Atlanta, GA 30324

10/31/2017Anupama Ravikanth, MD 48297RN181266Bell, Sally N. 11866 335 Roselane St, Suite 203 Marietta, GA 30060

5/7/2020Gregory Moore, MD 65031RN104777Bell, Kimberly Fogg 18483 740 Ferst Dr., NW Altanta, GA 30332

9/30/2018Lina Harper, MD 55237RN204484Bell, Lindsey Hodges 17795 303 Darling Ave. Waycross, GA 31501

7/1/2021Michael Press, DO 57909RN076464Bell, Gilbert Lawrence 19850 595 Hurrican Shoals Rd NW, Ste 100 Lawrenceville, GA 3004

11/30/2016Matthew Wheatley, MS 57702RN211911Bell, Kristen Elizabeth 16372 80 Jesse Hill Jr Dr. SE Atlanta, GA 30303

10/1/2012Arlauskas, Vincent MD 48408RN222369Bell, Shannon 10917 2500 Starling Street, Ste 201 Brunswick, GA 31520

11/30/2015Ronnie Hendrix, MD 24690RN076464Bell, Gilbert Lawrence 14271 4835 Sugarloaf Pkwy Lawrenceville, GA 30045

7/12/2011Obinnaya Emerole, MD 41550RN162894Bell, LaCheisa Sherell 9424 654 First St Macon, GA 31201

6/24/2014Kevin Lokkesmoe, MD 32941RN169682Bell, Melissa Bradley 12208 4328 Armour Rd Columbus, GA 31904

5/18/2017Steven Durocher, MD 56051RN076464Bell, Gilbert 15784 4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 30044

10/1/2020Cynthia Brown 49876RN039694Bell, Joann 45612 1212 Broadrick Dr. Dalton, Ga 30720

11/25/2020Solomon Teckle 64976RN241921Bell, Megan Turpin 44461 4400 Peachtree Rd NE Brookhaven, GA 30319

4/29/2020Elliot Raizes, MD 24478RN106630Bell, Hermeyone Theodora 20683 523 Church Street Decatur, GA 30030

8/30/2018JON GIBBS MD 38493RN257694BELL, COSETTE ODOM 39977 342 TIFTON WORTH COUNTY LINE RD TIFTON, GA 31793

10/30/2019Patrick Fernicola MD 43367RN216120Bell, Maegan Ashley 38757 6262 Veterans Parkway Columbus, GA 31908

10/30/2019Jack Sherrer, MD 28079RN216120Bell, Maegan Ashley 40829 7301 Northlake Dr Columbus, GA 31909

12/10/2020Donald Griffin 27820RN187097Bell, Dawn Gwen 42920 772 Greison Trail (Suite H) Newnan, GA 30263

7/10/2017John Richmond, MD 26018RN039694Bell, Joann Hunt 20087 2709 Airport Rd. ste. 101 Dalton, GA 30701

Monday, August 1, 2022 Page 32 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/16/2016Edward Meier, MD 43426RN039694Bell, Joann H 245 2112 Shorter Avenue, Suite 200 Rome, GA 30165

1/3/2022Richard Sola, Jr. 81959RN292059Bell, Lashonda 59583 80 Jesse Hill Jr. Dr. Atlanta, GA 30303

12/31/2017Padmashree Woodham 63306Rn164351Bell, Katrina L. 5047 840 Pine Street (Suite990) Macon, GA 31201

6/27/2014George L. Smith III, MD 21816RN127670Bellamy, Virginia Elizabeth 13068 4166 A Newton Drive Covington, GA 30014

2/27/2019Elliot Raizes, MD 24478RN127670Bellamy, Virginia Elizabeth 18296 3350 Breckinridge Blvd. (Suite 200) Duluth, GA 30096

6/10/2016Delquis Mendoza, MD 40486RN119661Bellamy, Dene Ruth 13563 3073 Panthersville Rd Decatur, GA 30034

2/22/2021Tosha Rogers 64644RN118734Bell-Blanding, Joi 54756 5835 Campbellton Road SW, Suite 105 Atlanta, GA 30331

12/1/2021Martin Johnson 49301GAA-NP000437

Bellfield, Shkeya 59235 245 Country Club Drive, Suite 300 B Stockbridge, GA 30281

7/1/2014Richard Ambrozic, MD 43851RN201410Bellinger, Susan Elise 12769 3321-B N Valdosta Rd Valdosta, GA 31602

9/11/2016Kathryn Elmore, MD 55942RN204236Bello, Nicole Sade 16679 497 Winn Way, Ste A-210 Decatur, GA 30030

10/8/2020Azmi Kabbani, MD 31171RN204236Bello, Nicole Sade 19083 640 Martin Luther King Jr. Blvd, Ste 200 Macon, GA 31201

3/15/2021Moyosore Suleiman, MD 63204RN168794Belocura, Edgardo Pableo 41287 427 Third Ave Suite 100 Albany, Ga 31701

4/28/2016Maria Walker, MD 25306RN250155Belouche-Clavo, Renato Miguel 17349 2521 Piedmont Rd NE Atlanta, GA 30324

3/21/2022Dingane Baruti 55411RN217775Belton, Ronnette 43741 6842 Douglas Blvd (Suite K) Douglasville, GA 30135

10/8/2019Omar Ahmed, MD 70514RN246215Beltran, Keren Elizabeth 42317 55 Whitcher St Marietta, GA 30060

9/9/2020Janki Patel 73350RN124223Beltran, Beverly 51336 77 12th Street NE, Unit 2317 Atlanta, GA 30309

7/26/2019Maki Rheaume 56473RN129224Beltran, April 45778 1640 Powers Ferry Rd., Bldg 30-#100 Marietta, Ga 30067

8/8/2015Amber Zafar, MD 47384RN124223Beltran, Beverly 15844 1735 S Hwy 27 Carrollton, GA 30117-8941

5/21/2020Darrell Surratt 55984RN129224Beltran, April 48652 2807 Hwy 84 East Cairo, GA 39828

1/1/2010Ronald Forehand, MD 22760RN124223Beltran, Beverly E. 433 370 River Road, Univ Health Center Athens, GA 30602

7/23/2011Christopher Doerr, DO 34578RN124223Beltran, Beverly E. 9905 108 Park Ave Athens, GA 30601

7/1/2014Raymond McKoy, DO 44536RN124223Beltran, Beverly 9926 18 Riverbend Dr Rome, GA 30161

4/25/2011Shameka McElhaney, MD 54854RN124223Beltran, Beverly E. 8906 7530 Roswell Road Atlanta, GA 30350

9/1/2011Andre McShan, MD 54869RN149999Bembry, Earl Dan 9758 7828 River Rd Waynesboro, GA 30830

1/31/2017Ravindra Agarwal, MD 48134RN158807Ben, Amina 18727 1110 13th Street Columbus, GA 31901

Monday, August 1, 2022 Page 33 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/18/2020Luther Wolff, MD 16302RN148401Bence, Paige 40693 2122 Manchester Exp Wound Care Columbus, GA 31904

9/24/2020Tsung Hsu, MD 62220RN172939Bender, NaToya Nicola 40848 1199 Prince Ave Athens, GA 30606

10/7/2015John Ogundipe, MD 39193RN172939Bender, NaToya 15649 2130 Anderson Mill Rd Austell, GA 30106

9/24/2020Tsung Hsu, MD 62220RN172939Bender, NaToya Nicola 12728 677 Church St, 310 Bldg Marietta, GA 30060

11/1/2013Walisa Maynard, MD 50658RN172939Bender, NaToya Nicola 12048 677 Church St, Bldg 310 Marietta, GA 30060

5/16/2013Alison E. Krause, MD 40443RN172939Bender, Natoya N. 11622 404 Hospital W Dr. Austell, GA 30106

8/21/2020Meenakshi Hari 49026RN235040Benedit, Laura 51017 2520 Windy Hill Road, Suite 104 Marietta, GA 30067

12/17/2019Onwura Obiekwe 50236RN213533Benford, Andrea 44800 6781 Londonderry Way Ste. 5 Union City, Ga 30291

4/1/2020Patrick R. Lingo, MD 80471RN226350Benhase, Sarah D. 43274 4 E. Jackson Blvd. Savahhah, GA 31405

9/10/2020Terri McFadden, MD 32110RN116279Benjamin, Valerie Lynne 206 35 Jesse Hill Jr Dr Atlanta, GA 30303

3/30/2021David Pierce 29930RN228177Bennefield, Rachel 48982 2412 North Oak Street Valdosta, GA 31602

9/11/2019Terry W. Hansen, MD 47330RN195788Bennett, Lekembria M. 40281 584 Lanier Park Dr. Gainesville, GA 30501

1/13/2020Lalit Vadlamani 55458RN227925Bennett, Lila 45013 2409 N. Patterson St. , Suite 300 Valdosta, Ga 31605

10/18/2021Rita Livingston, MD 63494RN237110Bennett, Carrie Heather 20127 813 E 68th St., Ste 8 Savannah, GA 31405

7/22/2017Donald Gates, MD 53915RN165031Bennett, Sara Ruth 20146 6602 Abercorn St. Ste 102 Savannah, GA 31405

4/13/2018Jonathan Pewitt, MD 65413RN161797Bennett, Inga Elita 18818 550 Redmond Rd. Rome, GA 30165

1/8/2018Adrienne Fabrizio, MD 50365RN213094Bennett, Kimberly Ann 18785 300 Bull Street ste. 102 Savannah, GA 31401

1/31/2019Manisha V. Shroff, MD 54125RN227925Bennett, Lila Leanne 42742 5470 Meridian Marks Road Atlanta, GA 30342-1624

6/16/2020Andrew T. Mecca 36547RN183629Bennett, Kimbley 43812 5612 Whitesville Road Columbus, GA 31904

6/12/2019Douglas A Perry, MD 40753RN202172Bennett, Alisha Salo 42154 89 Interchange Dr Richmond Hill, GA 31324

8/28/2017Paul Allen, MD 28490RN146400Bennett, Tracy 20842 2795 Main St West, Suite 27 Snell ville, GA 30078

11/15/2016Darshana Sheth, MD 58642RN237110Bennett, Carrie 15950 3822 Roswell Rd, Ste 12 Marietta, GA 30062

8/1/2019Raymond Jarvis, MD 45505RN186285Bennett, Alison Nicole 13554 330 Turner McCall Blvd, Suite 3000 Rome, GA 30165

6/10/2016John Ogundipe, MD 39193RN252499Bennett, Shirene Mera 16889 2130 Anderson Mill Rd Austell, GA 30106

11/4/2016Bryan Sleigh, MD 50995RN237110Bennett, Carrie Heather 16723 200 Industrial Blvd Dublin, GA 31021

4/9/2014Marc Coan, MD 33295RN144863Bennett, Jennifer SuAnne 9374 58 Big A Rd Toccoa, GA 30577

Monday, August 1, 2022 Page 34 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/20/2021Jeffrey Lamp, MD 56736RN077666Bennett, Stephanie Leigh Stock 11699 2151 West Spring St Monroe, GA 30655

4/2/2022Renee L. Waters, MD 35782RN184042Bennett, Kristin L. 5161 75 Elliott Road (Suite 210) Dawsonville, GA 30534

1/1/2022Manishkumar Joshi 56628RN254887Bennett, Julie 59373 2336 Dawson Road, Suite 1600 Albany, GA 31707

1/8/2019Cherilyn Zellner 43153RN186686Benoit, Cornelia 39855 2251 West Elm Street Wrightsville, GA 31096

1/1/2021Katherina Ekeji 70373186686Benoit, Cornelia 44799 535 Telfair St. Bldg 5000 Augusta, Ga 30901

7/30/2020Muhammad Ahmed 61687RN110079Benson, Ellen 47356 500 Plantation Park Drive Loganville, GA 30052

9/19/2017Donald Gibson, MD 35881RN110079Benson, Ellen Mary 20671 3103 Clairmont Rd. ste. B Atlanta, GA 30329

3/31/2015Walter Hill, MD 9835RN110079Benson, Ellen Mary 13945 345 Blvd NE, Ste 100 Atlanta, GA 30312

2/10/2016Dennis O'Brien, MD 25893RN110079Benson, Ellen Mary 16779 4151 Memorial Dr, Ste 105 Decatur, GA 30032

5/18/2020Ahmed Damtew, MD 67552RN110079Benson, Ellen 16225 3201 Atlanta Industrial Parkway, Ste 303 Atlanta, GA 30331

1/17/2019Walter Hill, MD 9835RN110079Benson, Ellen M 961 3103 Clairmont Road (Suite B) Brookhaven, GA 30329

4/20/2013Dennis O'Brien, MD 25893RN110079Benson, Ellen Mary 9705 3877 Morris Court Norcross, GA 30092

7/20/2015Sandy Jun, MD 37005RN093585Benston, Janna Marie Langemo 212 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

10/10/2014Guilherme Cantuaria, MD 65227RN212018Bent, Octavia Lenora 12692 960 Johnson Ferry Rd, Suite 130 Atlanta, GA 30342

7/26/2021Chinedu Nweke 78384RN227597Benth, Kaissa 57782 4450 Calibre Xing, Suite 1126 Acworth, GA 30101

7/1/2016Clementine Solares, MD 62082RN198940Bentley, Heather 16511 1120 15th St., Ste BP-4109 Augusta, GA 30912

1/20/2020Todd Vermeer, MD 49505RN203453Bentley, Melissa Paige 13562 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

3/22/2018George Zoret, MD 24744RN199202Bentley, Roneseya 39088 124 Third Street Macon, GA 31201

4/24/2021Darren Dillard 82471RN225403Bentley, Brandy 52303 440 Peachtree Road NE Atlanta, GA 30319

12/7/2018Rowley, Lawrence MD 35992RN044253Benvenue, Pamela 10683 1700 Hospital South Drive, Ste 500 Austell, GA 30106

2/9/2015Thomas Comstock, MD 19151RN113194Berg, Shawna Marie Aukerman 12197 802 Dixie St Carrollton, GA 30117

6/1/2013Gaye Haynes, MD 49696RN113194Berg, Shawna 11114 2906 Franklin Parkway Franklin, GA 30217

1/1/2018Mendoza Aldrich, MD 62916RN113194Berg, Shawna 15306 1480 Hwy 27 South Carrollton, GA 30117

8/18/2018Sarita Prasad, MD 73372RN113194Berg, Shawna M 42249 1480 Hwy 27 S. Carrollton, GA 30117

9/29/2021Salman Siddiqui 69960RN113194Berg, Shawna 43700 1480 Highway 27 S. Carrollton, GA 30117

6/10/2013Ou, Mike MD 53301RN113194Berg, Shawna 10256 1125 East Highway 166 Bowdon, GA 30108

Monday, August 1, 2022 Page 35 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/15/2021Shirley Rigaud-Echols 58639RN295394Bergbower, Hannah 55708 2675 N. Decatur Road, Suite 607 Decatur, GA 30033

10/12/2015Derrell Anglyn Jr., MD 24198RN242003Berglin, Allison Kate 15444 55 Sims St McDonough, GA 30253

1/29/2015Zenobia Day, MD 61959RN175534Berglund, Molly Kathryn 12614 2600 Martin Luther King Jr Dr SW, Suite 100 Atlanta, GA 303

12/24/2015Charlene Wood, MD 66879RN175534Berglund, Molly 16348 2600 Martin Luther King Jr Dr SW, Ste 100 Atlanta, GA 3031

9/10/2021Lakshmanah Krishnamurti, MD

71385RN218479Berkenkamp, Lisa 16279 1405 Clifton Rd Atlanta, GA 30322

2/28/2020Theron Thompson 51772RN245426Berkner, Kelsey 47729 209 Cooley Drive, Suite 101 Villa Rica, GA 30180

3/1/2022Subhadra Shashdharan, MD 74362RN225497Berkowitz, Katie Ann 41698 1405 Clifton Road Atlanta, GA 30322

7/12/2018Shriprasad Deshpande, MD 64531RN225497Berkowitz, Katie Ann 12450 1405 Clifton Rd NE, Heart Transplant Dept Atlanta, GA 3032

12/21/2018Ganesha Perera 60964RN225954Berl, Lauren Ann 20511 1348 Wlaton Way Suite 5700 Augusta, GA 30901

3/18/2022Patrick Egbe 33571RN229739Berman, Natalia 45269 1133 Cleveland Ave. Ste. 205 East Point, Ga 30344

3/20/2020Meenakshi Hari 49026RN282284Bernardo da Silva Zardo, Julian 48902 2520 Windy Hill Road, Suite 104 Marietta, GA 30067

4/30/2021Melanie Pointer 68037RN205005Berry, Crystal 46226 977A Taylor St Conyers, Ga 30012

5/21/2019Bertram Prosser, MD 75651RN205005Berry, Crystal 43159 1430 N. Riverside Circle Sandy Springs, GA 30328

12/15/2018Izabella Verbitsky, MD 46509RN186422Berry, Katrice H. 43032 1459 Montreal Road (Suite 305) Tucker, GA 30084

10/25/2017Dolapo Babalola, MD 59119RN205005Berry, Crystal Lorraine 19331 794 S. Park Street Carrollton, GA 30117-3826

9/7/2017Michael Fortson, MD 35051RN205005Berry, Crystal 38675 794 South Park Street Carrollton, GA 30117

12/10/2020Michael F Powell, MD 23663RN174881Berry, Kelly Shavon 42349 4421 Carnes St Acworth, GA 30101

8/20/2016Warren, Brandi DO 61681RN164502Berry, Jennifer 10857 44 11th St SW Moultrie, GA 31768

8/30/2013Allen Jones, Jr, MD 32214RN158389Berry, Marian Adale 9458 6135 Roosevelt Hwy Warm Springs, GA 31830

3/15/2009Roy Jefferson, MD 41443RN158389Berry, Marian Adale 7909 6135 Roosevelt Hwy, PO Box 1000 Warm Springs, GA 31830

1/1/2017Hany Atallah, MD 52678RN186162Berry, Juila 16388 80 Jesse Hill Jr. Dr SE Atlanta, GA 30303

3/1/2020Anthony Howard, MD 34616RN174881Berry, Kelly Shavon 19693 131-A Victory Dr. Swainsboro, GA 30401

1/31/2015Cindy Freed, D.O. 45791RN158389Berry, Marian Adale 12066 6135 Roosevelt Highway Warm Springs, GA 31830

3/28/2017Ray Paris, MD 19855RN158389Berry, Marian Adale 15058 202 Croft St Carrollton, GA 30117

6/7/2018Benjamin Andrews, Jr, MD 31867RN164502Berry, Jennifer Peters 8887 126 Hwy 280 West Americus, GA 31719

Monday, August 1, 2022 Page 36 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/9/2010Cindy Freed, DO 45791RN158389Berry, Marian Adale 8592 6135 Roosevelt Hwy Warm Springs, GA 31830

6/23/2021Allen Lavender, Jr. 70833RN205005Berry, Crystal 57301 78 Hospital Road Newnan, GA 30263

7/1/2016Vincent Brawley, MD 33283RN042166Bertucci, Rosalee C 220 1350 Walton Way - 3rd Floor Augusta, GA 30901

12/1/2021Eloy Diaz 22596RN275340Beserra, Alana 58466 3369 Buford Highway NE, Suite 810 Brookhaven, GA 30329

8/23/2019Jessica Hutchins, MD 69833RN243146Besse, Jennifer Lee 21329 5445 Meridian Mark Rd, NE, Suite 420 Atlanta, GA 30342

4/27/2020Jose Rodriguez-Torres, MD 24622RN243146Besse, Jennifer Lee 17462 121 Marble Mill Rd, Ste 101 Marietta, GA 30060

10/19/2017Stephanie Kong, MD 39388RN219899Best, Callie Edge 19704 3031 Williams Rd. Clumbus, GA 31909

6/12/2021Ronald Watts 44862RN281107Bethea, Dominique 50692 550 Eagles Landing Pkwy, Suite 108 Stockbridge, GA 30281

10/18/2021Andrew Malinchak 44012RN221664Beveridge, Mia 59624 3201 Macon Road, Suite 109 Columbus, GA 31906

2/1/2020Beulette Hooks, MD 41313RN168372Bhakta, Mayuri Ashok 17057 11460 Johns Creek Pkwy Johns Creek, GA 30097

3/16/2015John Reed, MD 35506RN168372Bhakta, Mayuri Ashok 12285 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

1/6/2019Otis S. Powell Jr. 25814RN230108Bhatia, Neena Breja 43694 2840 NE Expy NE (Suite #116) Atlanta, GA 30345

6/30/2022Todd Maugans 84159RN200570Bhatia, Anah 48658 1120 15th Street Augusta, GA 30912

3/31/2016Alli, Renee MD 51424RN214759Bhimani, Anila 10065 11 Dunwoody Park, Ste 190 Dunwoody, GA 30338

12/31/2018Annette Hinchcliffe, MD 42607RN214759Bhimani, Anila Abdul 18485 6300 Hospital Pkwy, Ste 125 Johns Creek, GA 30097

8/24/2019Safia Pirani, MD 56624RN202217Bhimani, Samreen Lakhani 17958 3660 Market Street Clarkston, GA 30021

2/2/2020Shahzad Hashmi, MD 53239RN213616Bibayan, Shirin Farah 38758 311 Gwinnett Drive Lawrenceville, GA 30045

1/7/2019Christopher Edens, MD 42042RN219355Bibisi, Lucy Shepard 20840 6340 Sugarloaf Pkwy, Ste 200 Duluth, GA 30097

3/1/2019Christopher Edens, MD 42042RN219355Bibisi, Lucy Shepherd 39555 6340 Sugarloaf Parkway, Suite 200 Duluth, GA 30097

10/1/2018Anita Haynes, MD 57638RN219355Bibisi, Lucy Shepherd 19368 745 Poplar Rd. Newnan, GA 30265

10/1/2015Kevin Lokkesmoe, MD 32941RN219355Bibisi, Lucy 16206 4328 Armour Rd Columbus, GA 31904

11/29/2021Kevin Pharris 86112RN219355Bibisi, Lucy 57763 6000 Hillandale Drive, Suite 115 Lithonia, GA 30058

2/13/2020Steven Diamond, MD 36135RN186980Bice, Amanda Michelle 12415 100 Doctor's Dr, Suite 202 Douglas, GA 31533

7/14/2020Lisa Gillespie 41433RN240233Bickerton, Scott 51605 227 Sandy Springs Place, Suite 200 Sandy Springs, GA 30328

6/1/2021Rasik Parmar, MD 69417RN204145Biggers, Marie-Louis Kombe 39995 2518 Jimmy Lee Smith Parkway Hiram, GA 30141

5/3/2018James Gore, MD 36384RN160586Biggs, Leslie 15138 1657 North Expressway Griffin, GA 30223

Monday, August 1, 2022 Page 37 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/24/2019Catherine James-Peters 63671RN260894Billings, Jordan 44683 744 Noah Dr. Jasper, Ga 30143

6/15/2022Kendra Grubb 79606RN284187Bindrim, Steven 59613 550 Peachtree Street NE Atlanta, GA 30308

11/1/2010Noreen Andrews, MD 46861RN069002Bird, Patricia Anne Keesee 226 1910 Hwy 20 SE, Suite 270 Conyers, GA 30013

6/18/2013Lisa Miller, MD 38874RN102177Bishop, Joy Elaine Miller 228 4152 Baker Street NE Covington, GA 30014

4/26/2013Lasonya Roberts, MD 52818RN184335Bishop, Diana Rogers 9814 340 Kennestone Hosp Blvd, Suite 150 Marietta, GA 30060

5/24/2019Rhonda Wachsmuth, MD 56664RN184335Bishop, Diana 15362 780 Canton Rd, Ste 410 Marietta, GA 30060

9/4/2019James A. Butts 92831RN092831Bittel, Cheryl Lynn 44458 810 Pine Street Gainesville, GA 30501

5/11/2015Prakash Desai, MD 18482RN094302Bivins, Laurie Eileen 231 1664 Mulkey Road Austell, GA 30106

8/10/2015Charles Cowart, MD 29161RN191831Bixler, Linda 15382 1101 Ocilla Rd Douglas, GA 31533

8/26/2021Willie Landrum, MD 59265RN214831Black, Tekesa 17016 3379 Peachtree Rd NE, Ste 555 Atlanta, GA 30326

10/1/2015Neil Gladstone, MD 16917RN232904Black, Gidget 16213 295 Molly Lane Ste, 150 Woodstock, GA 30189

8/26/2021Willie Landrum, MD 59265RN214831Black, Tekesa 16414 1170 Cleveland Ave, 4th Floor East Point, GA 30344

1/22/2014Alexander Osawa, MD 57551RN175357Black, Erin Marie 12446 3331 Hamilton Mill Rd, Suite 1102 Buford, GA 30519

12/18/2020Joseph Smiddy 42728RN181783Black, Janet 47363 1700 Briarcliff Rd Atlanta, GA 30306

10/31/2021Jose Justiniano-Ayala 46773RN251510Black, Ashley 57099 205 Jenkins Road Rossville, GA 30741

10/4/2017Cynthia Murray, MD 58374RN173529Blackburn, Carol 14447 3686 Wheeler Rd Augusta, GA 30909

5/1/2015Bozeman K. Sherwood, MD 26379RN173529Blackburn, Carol A 11246 447 North Belair Road Evans, GA 30809

10/1/2017Kelly McCants, MD 72798RN184648Blackmon, Ashley 15693 95 Collier Rd NW, Ste 3000 Atlanta, GA 30309

5/1/2019Samuel Sencil, DO 55971RN190879Blackmon, Sonya Lynn 16631 206 E Church St Bowman, GA 30624

3/22/2013Kashif Ahmed, MD 61547RN184648Blackmon, Ashley 11355 Eagle's Landing Family Practice, 2200 Hwy 155 Nort McDono

7/31/2019Mitchell Wilson, MD 61188RN203869Blackstock, Terrilyn Lamb 17196 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

2/25/2020James Turner, MD 55349RN203869Blackstock, Terrilyn Lamb 15237 100 Willowbrook Way Calhoun, GA 30701

12/14/2020Hosam Saad-Naguib 39456RN203869Blackstock, Terrilyn 48975 100 Willowbrook Way, SE Calhoun, GA 30701

11/17/2021Mridula Vinjamuri 87101RN203869Blackstock, Terrilyn 54775 1035 Red Bud Road NE, Suite 101 Calhoun, GA 30701

6/4/2018Ted Pennel, MD 29068RN203869Blackstock, Terrilyn Lamb 17458 1035 Red Bud Rd NE Calhoun, GA 30701

11/20/2020Piotr Skowronski 65617RN249545Blackwelder, Robert 53281 3675 J. Dewey Gray Circle, Suite 300 Augusta, GA 30909

Monday, August 1, 2022 Page 38 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/15/2021Chetan Sharma 64272RN170641Blackwell, Brandy 48983 1631 Hwy 20 W McDonough, GA 30253

8/7/2015Wayne Bloodworth, MD 18124RN244330Blackwell, Christian 15724 6794 Bill Carruth Pkwy Hiram, GA 30141

12/15/2012Wyatt, David MD 42979RN164653Blaesser, Marian 10611 9925 Haynes Bridge Road Alpharetta, GA 30022

11/25/2014Carl Lindblad, MD 22163RN169896Blair, Timothy Robert 13806 4700 battlefield Pkwy Ste. 150 Ringgold, GA 30736

8/26/2016Lloyd Rimer, MD 30665RN169896Blair, Timothy 15556 3541Chattahooga Rd Tunnel Hill, GA 30755

2/1/2016Randy Robinson, MD 35987RN169896Blair, Timoth Robert 15284 1507 Broomtown Rd Lafayette, GA 30728

3/22/2021Jan Mayfield 51355RN119126Blair, Sibilla 46513 49 Hosiery Mill Rd., Suite 124 Dallas, Ga 30157

2/28/2020Theron Thompson 51772RN193648Blake-Raut, Marisa 47491 720 Transit Ave, Suite 101 Canton, GA 30114

3/20/2022Vaughn Tatum 75994RN193648Blake-Raut, Marisa 49472 1829 Lawrenceville Hwy Decatur, GA 30033

12/22/2015Amanda Cowan, MD 50793RN183563Blakey, Mary Jo Christrine 15317 5 Executive Circle Savannah, GA 31406

12/1/2018Sinan Haddad, MD 56455RN149435Blalock, Jamie Rivkin 13225 1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501

4/22/2015Debora Quigley, MD 36601RN149435Blalock, Jamie Rivkin 12901 2257 Hwy 515, Ste B Blairsville, GA 30512

8/29/2012Thomas Gary, MD 60264RN149435Blalock, Jamie 10911 123 Weaver Roaad, Ste A Blairsville, GA 30512

1/27/2021Jay Jones, MD 60389RN149435Blalock, Jamie Rivkin 18859 35 Hospital Rd. Blairsville, GA 30512

11/30/2018Victor Osisanya, MD 71689RN129711Blalock, Mary 39084 1544 Southlake Plwy Morrow, GA 30260

3/2/2022Patrina Lockette 48855RN265568Blalock, Ashley 58980 1390 US Hwy 19 Leesburg, GA 31763

9/9/2020Merlino, John MD 27868RN089049Blalock, Dedra 10254 550 Peachtree St, 6th Floor MOT Atlanta, GA 30308

1/3/2022Kelly Wilburn, MD 54698RN260522Bland, Kathryn Ann 41683 1428 Dunwoody Village Parkway Dunwoody, GA 30338

5/1/2011George Capo, DO 42539RN164599Bland, Loren Copeland 9201 1007 Memorial Dr Griffin, GA 30224

11/22/2013Hitson, Charles MD 26554RN164599Bland, Loren 10388 231 Graefe Street Griffin, GA 30223

2/14/2020Eugene Jackson 22793RN223070Blanden, Shekella 46468 1626 Jeurgens Court Norcross, Ga 30093

2/14/2020Howard McMahan 22824RN223070Blanden, Shekella 46469 1626 Jeurgens Couurt Norcross, GA 30093

7/23/2019Robert David Campbell, MD 22522RN223070Blanden, Shekella Demetrice 41242 4421 Carnes Street Acworth, Ga 30101

11/29/2011William Kriegel, DO 31962RN105484Blankenship, Kimberly Jo 5060 3405 SW Dallas Hwy, Suite 505 Marietta, GA 30064

12/3/2018Kevin Edmonds, MD 55205RN118524Blanks, Evelinn Suarez 20857 4990 Phillips Dr. Forest Park, GA 30297

Monday, August 1, 2022 Page 39 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/7/2017Tracey Greene-Johnson, MD 38785RN118524Blanks, Evelinn Suarez 16531 4990 Phillips Dr Forest Park, GA 30297

9/11/2017Lalla, Michael MD 66204RN093010Blanton, Carla 10557 2330 N. Ashley Street Valdosta, GA 31602

2/4/2011Arvind Gupta, MD 33344RN093010Blanton, Carla Arlene Gustin 9311 3207 Country Club Dr, Suite 2010 Valdosta, GA 31605

7/27/2010Guillermo Saurina, MD 48570RN093010Blanton, Carla Arlene Gustin 244 201 Pendleton Dr. Valdosta, GA 31605

2/16/2012Stephen Zeigler, MD 35174RN093010Blanton, Carla Arlene Gustin 9869 2330 North Ashley St Valdosta, GA 31603

3/1/2019Brian Kho 74040RN149466Blasche, Joel Gregory 20341 601 South 8th St Griffin, GA 30224

10/1/2017Jeff Reinhardt, MD 47250RN093785Blasingame, Kim P 5061 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

7/26/2019John Inman III, MD 26564RN213604Blease, Amber 19864 2701 Meredyth Dr. Albany, GA 31707

5/29/2018Charles F. Gebhardt 28778RN106795Bleshoy, Lee Lindsey 40926 2601 Stuart Avenue Albany, GA 31707

7/15/2021Waheed A. Bhatti, MD 60155RN106795Bleshoy, Lee Lindsey 41375 133 West Athens Street Winder, GA 30680

6/1/2020Lawrence Zottoli 36639RN213262Blige, Tiffany 45593 4704 Augusta Rd. Garden City, Ga 31406

11/19/2021Edward Docu, MD 56426RN213262Blige, Tiffany Jennifer 18116 1302 Drayton st. Savannah, GA 31401

10/20/2021Hunt Anderson 60036RN283680Bloomfield, Ingrid Lea 44414 4500 Hospital Blvd (Suite 230) Roswell, GA 30076

2/9/2015Mahmood Ahmed, MD 42008RN106260Blow, Catherine Ann 12225 231 Graefe St Griffin, GA 30224

11/10/2019Yashaswini Parikh 24864RN229690Boateng, Janet 44992 6010 Singletron Rd, Ste. 209 Norcross, Ga 30093

3/12/2021Neha Soni 60096RN229690Boateng, Janet 47686 6286 Oakwood Circle Norcross, GA 30093

10/22/2018Obigail I Kamishlian, MD 44580RN229690Boateng, Janet S. 162 4905 Courtney Drive Forest Park, GA 30297

2/13/2018Michele Mitchell, MD 71254RN209693Boatright, Amber Brooke 19056 621 East First St. Vidalia, GA 30474

5/20/2015Michael Deen, MD 58459RN169897Boatright, Amanda Lee 12790 143 Hwy 32 By-Pass Alma, GA 31510

10/1/2019Shannon Ellis, DO 73702RN209693Boatright Howard, Amber Broo 41548 111 Colonial Way Jesup, GA 31545

5/20/2020Christopher Matthews 49133RN209693Boatright Howard, Amber 47348 586 Brannen St. Statesboro, GA 30458

5/21/2021Michael Torkelson 68570RN209693Boatright Howard, Amber 54724 1096 Bermuda Run Road Statesboro, GA 30458

6/1/2019Heather Westmoreland, MD 63046RN230744Bobbitt, Charlotte 20737 1400 River Place Braselton, GA 30517

3/22/2017Allison Dupont, MD 63856RN230744Bobbitt, Charlotte 15116 200 S Enota Dr, Ste 200 Gainesville, GA 30501

11/9/2017Sean Delaney, MD 49001RN100238Bobon, Marguerite Horen 12995 631 Professional Dr, Suite 360 Lawrenceville, GA 30046

Monday, August 1, 2022 Page 40 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/30/2020Hodges, Sharon MD 40759RN053871Bogle, Regina 10471 1301 Sigman Rd NE, Ste 180 Conyers, GA 30012

11/30/2011Mohamad El-Attar, MD 41286RN053871Bogle, Regina Lynette Chupp 251 1311 Milstead Avenue Conyers, GA 30012

8/17/2013Kunz, David MD 29703RN063667Bohn, Joy Page 10004 1655 Lebanon Road, Suite A Lawrenceville, GA 30043

1/13/2017Niall Galloway, MD 31921RN208545Boisclair-Fahey, Anne 16274 1365 Clifton Rd NE B1400 Atlanta, GA 30322

5/26/2020Tsung Jonathan Hsu 62220RN191538Bolar, Erica 50376 1551 Jennings Mill Road Watkinsville, GA 30677

1/18/2021Roy Brownlow 42196RN233677Boles, Mitchell 45626 1665 Hwy 34 East, Suite 100 Newnan, Ga 30265

3/15/2020Miles Mason 15399RN200066Bolger, Angela 45481 3500 McClure Bridge Rd. Duluth, Ga 30096

1/14/2021Ranjan Paul 54087RN200066Bolger, Angela 49220 4355 Johns Creek Parkway, Suite 500 Suwanee, GA 30024

4/9/2020Raymond Easley, DO 20987RN200066Bolger, Angela Y 16771 555 Old Norcross Rd, Ste 100 Lawrenceville, GA 30046

12/31/2019Daniel Daugherty, MD 75441RN200066Bolger, Angela Y 18486 555 Old Norcross Rd, Ste 100 Lawrenceville, GA 30046

2/20/2018Song Na, MD 38059RN200066Bolger, Angela 15628 4995 Lanier Islands Pkwy, Ste A Buford, GA 30519

2/20/2018Daniel Henson, MD 25173RN200066Bolger, Angela Y 14058 1600 N. Brown Rd. Lawrenceville, GA 30043

5/1/2015Raymond Easley, DO 20987RN200066Bolger, Angela Y 12586 555 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046

11/12/2010Ceylon Rowland, MD 52202RN200066Bolger, Angela Y. 8821 3855 Pleasant Hill Rd, Suite 210 Duluth, GA 30096

3/31/2009Magdi Hanafi, MD 19269RN200066Bolger, Angela Y. 8442 5673 Peachtree Dunwoody Rd, #750 Atlanta, GA 30342

1/12/2015Donald Fordham, MD 44718RN134351Bolton, Kasey Lynn Armour 256 865 Austin Dr Demorest, GA 30535

6/8/2008Jonathan Ehrlich, MD 15580RN176585Bolton, Margaret Lynne 5063 993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

3/28/2019Harold Carlson, MD 27508RN135828Bolton-Harris, Elizabeth Kay 255 275 Collier Rd., NW Ste 300 Atlanta, GA 30309

10/20/2013Daniel Sims, MD 57323RN135828Bolton-Harris, Elizabeth 11062 1365 Clifton Rd., Ste A2115 Atlanta, GA 30322

11/30/2018Martha Presley, MD 77109RN274466Bomford, Deborah 41155 1200 Abernathy Rd Suite 1700 Atlanta, Ga 30328

3/5/2021Asim Kidwai, MD 64848RN175506Bond, Nicole Penland 19010 174 Highland Crossing Ellijay, GA 30540

4/1/2022David Shepard 66068RN145459Bond, Joel 55754 2675 N Decatur Road, Suite 200 Decatur, GA 30033

3/7/2021Lekshmi Kumar 64083RN145459Bond, Joel 53589 745 Memorial Drive Atlanta, GA 30316

7/6/2020Alex Kalapila 72043RN145459Bond, Joel 45608 341 Ponce de Leon Ave NE Atlanta, Ga 30308

3/12/2016Cynthia Jane Libert, MD 59457RN175506Bond, Nicole Penland 12927 48 Haralson Place, Ste. 1 Blairsville, GA 30512

7/1/2016Horace Sawyer, MD 10362RN175506Bond, Nicole Penland 17743 1362 South Main St Ellijay, GA 30540

Monday, August 1, 2022 Page 41 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/16/2016Haolat Babalakin, MD 62467RN243441Bonds, Kalisha 15052 3550 Old Milton Pkw Alpharetta, GA 30005

7/11/2016Gary Daniel, MD 46752RN192704Bongiovanni, Delana Alicia 17134 2064 Vineville Ave. Macon, GA 31204

5/21/2013Kidd, Mary MD 57092RN177260Bonhaus, Stephanie 10684 1700 Hospital South Dr, Ste 500 Austell, GA 30106

12/23/2009Renwick Hood, MD 24265RN177260Bonhaus, Stephanie R. 8478 761 Old Norcross Road Lawrenceville, GA 30045

1/3/2022Robert Burton, Jr. 33543RN181336Bonilla, Beverly 59550 3286 Buckeye Road, Suite 150 Atlanta, GA 30341

1/1/2019Wesley Chay, MD 19027RN181336Bonilla, Bevely Esmay 21156 2020 Peachtree Rd. NW Atlanta, GA 30309

10/8/2021Brock Bowman 45177RN181336Bonilla, Beverly E 44368 2020 Peachtree Road NW Atlanta, GA 30309

3/18/2019Raymond R. Jarvis, MD 45505RN174045Bonk, Donna M. 11225 330 Turner McCall Blvd, Ste 3000 Rome, GA 30165

3/1/2019Dingane Baruti 55411RN150033Bonner, Natalie 42014 6842 Douglas Blvd. (Suite K) Douglassville, GA 30135

8/31/2018Ginari G. Price, MD 56712RN150033Bonner, Natalie 40819 101 Devant Street (Suite 504) Fayetteville, GA 30214

7/25/2012Hamdi, Haleh MD 49022RN170150Bono, Laura 10279 1700 Tree Lane, Ste 290 Snellville, GA 30078

8/1/2018William Lyday, MD 49859RN221717Boodhoo, Jacqueline 20725 600 Celebrate Life Parkway Newman, GA 30265

2/11/2019William Norris, MD 76526RN221717Boodhoo, Jacqueline 43218 600 Celebrate Life Parkway Newnan, GA 30265

1/23/2017Field Willingham, MD 62634RN221717Boodhoo, Jaqueline 16547 1365 Clifton Rd NE Bldg B, Ste 1200 Atlanta, GA 30322

8/4/2020Leli Gail Matthews, MD 52182RN099067Boone, Karen 10919 2988 shallowford Road Marietta, GA 30066

8/24/2012Jacob Varghese, MD 56933RN099067Boone, Karen Y 7746 3003 Old Alabama Road Alpharetta, GA 30022

7/4/2020Courtney Weaver 78697RN153196Boone, Karene 51536 15 Reinhardt College Parkway, Suite 100 Canton, GA 30114

5/13/2020Brian Ross,MD 75660RN153196Boone, Karene 20763 5435 Five Forks Tricum Road Stone Mountain, GA 30087

12/10/2019Christopher Stevens, MD 54515RN153196Boone, Karene Gaile 17484 5435 Five Forks Trickum Rd Stone Mountain, GA 30087

4/5/2017James Harrell, MD 26782RN112063Booth, Carmen Diana 18819 3120 North Oak St Extension, Ste C Valdosta, GA 31602

12/9/2019Joshua Lang 73561RN202921Booth, Penny 20311 2735 Central Avenue South Tifton, GA 31794

2/24/2020Bhavesh Patel 56163RN112063Booth, Carmen Diana 43850 2209 Pineview Drive Valdosta, GA 31602

5/20/2016Wendy Vandemark, MD 57511RN112063Booth, Carmen Diana 12935 3116 N Oak Street Ext Valdosta, GA 31602

12/1/2011Anthony Ditaranto, MD 29865RN208838Booth, Kristin Ann 9375 1629 10th Ave, Suite B Columbus, GA 31901

7/3/2014Martha Millan-Sanchez, MD 66223RN112063Booth, Carmen Diana 12678 3015 Veternas Pkwy Moultrie, GA 31788

11/1/2013Wanda Gobin, DO 53912RN112063Booth, Carmen Diana 12233 3015 Veterans Pkwy Moultrie, GA 31788

Monday, August 1, 2022 Page 42 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/14/2016Bridgette Guthrie, MD 69122RN208838Booth, Kristin Ann 14449 710 Center St Columbus, GA 31901

8/1/2014Mark Allen Lee, MD 59451RN112063Booth, Carmen Diana 13280 3116 N. Oak St. Ext. Valdosta, GA 31602

4/5/2017Jaymal Patel, MD 50984RN112063Booth, Carmen Diana 18335 3120 North Oak St. Extention, Ste C Valdosta, GA 31602

5/31/2010Wendy Vandemark, MD 57511RN112063Booth, Carmen Diana 260 103 Wayne Avenue Valdosta, GA 31602

4/13/2009Bradley George, MD 46408RN168378Booth, Sara Elizabeth 261 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

7/1/2009Roy Harry, MD 28781RN112063Booth, Carmen Diana 8505 PO Box 326 Midville, GA 30441

3/31/2010James Eutzler, DO 49729RN112063Booth, Carmen Diana 8736 520 Griffin Ave Valdosta, GA 31601

5/30/2013Joel Morgan, MD 31295RN112063Booth, Carmen Diana 8596 3541 N. Crossing Cir Valdosta, GA 31602

11/1/2015Nathan Samras, MD 72113RN227783Bootle, Jennifer 15056 110 Medical Park Dr Pooler, GA 31322

9/1/2016David Nussbaum, DO 67697RN227783Bootle, Jennifer 16392 586 Brannen St Stateboro, GA 30458

10/1/2014Amanda Cowan, MD 50793RN227783Bootle, Jennifer Boyd 12477 14089 Abercorn St Savannah, GA 31419

1/20/2015Patrick McMahon, MD 25460RN227783Bootle, Jennifer 14494 110 Medical Parkway Pooler, GA 31322

4/1/2017Catherine Dickens, MD 35240RN227783Bootle, Jennifer Boyd 18776 110 Medical Park Dr. Pooler, GA 31322

2/1/2022Randy Durbin 64776RN252410Borchers, Carol 59540 3020 Holcomb Bridge Road, Suite C Norcross, GA 30071

6/22/2015Mike Dwyer, MD 50360RN157261Bordelon, III, Curry Joseph 8174 5901-C Peachtree-Dunwoody Rd, #C65 Atlanta, GA 30328

2/1/2020Annisha Ellis, MD 53829RN197237Borders, Amber McMillian 38885 1810 Mulkey Road, Suite 201 Austell, GA 201

1/9/2022Mark Griffiths, MD 67223RN 197237Borders, Amber MiMillian 38674 1645 Tullie Circle Atlanat, GA 30329

3/17/2020Julie Glasson, MD 51324RN197237Borders, Amber McMillian 19661 5455 Meridian Mark Rd NE(570 Gen Surg Clinic) Atlanata, G

10/17/2016Annisha Ellis, MD 53849RN197237Borders, Amber McMillian 15234 1810 Mulkey Rd, Ste 201 Austell, GA 30106

10/10/2021Arvind Chakravarthy, MD 68991RN218803Boring, Debra Leigh 14182 3950 Austell Road SW Austell, GA 30106

3/21/2019Crystal Bailey-Gary, MD 58943RN194520Boring, Tiffany Elizabeth 13113 123 Weaver Rd., Ste. A Blairsville, GA 30512

5/2/2013Rolf Meinhold, MD 29727RN156861Borkovich, Eileen Clare 7903 2700 Abbey Court Alpharetta, GA 30004

5/18/2021GERALD SLAGEL - MD 30893RN137089BORLAND, KELLI 39251 101 YORKTOWN DR SUITE 207 FAYETTEVILLE, GA 30214

9/7/2021Stuart Handelsman, MD 21512RN165608Boros, Barbara Judith 12176 980 Johnson Ferry Rd, Suite 410 Atlatna, GA 30342

10/25/2014Charles Sow, MD 55343RN173279Bosse, Adelyne 264 4398 Atlanta Hwy Loganville, GA 30052

6/19/2013Carlos Zayas-Montalvo, MD 36668RN112876Bossie, Andrea Elizabeth Logan 265 1968 Peachtree Rd. NW 5th Fl Bldg 77 Atlanta, GA 30309

Monday, August 1, 2022 Page 43 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/18/2018Chauncey Herrington, MD 22559RN181134Bostick, Ashley Lacey 11450 3131 South Main St Moultrie, GA 31768

7/18/2018Venu Madhipatla, MD 65559RN181134Bostick, Ashley Lacey 11451 3131 South Main St Moultrie, GA 31768

10/14/2021Edwin Montague 69481RN172155Bostrom, Katie 45179 304 Turner McCall Blvd Rome, Ga 30161

7/8/2011Joyce Drayton, MD 38737RN145040Botah-Odduro, Ophelia Anane 8775 1 Baltimore Place, Suite 360 Atlanta, GA 30308

3/19/2013Oladayo Osinuga, MD 51703RN145040Botah-Oduro, Ophelia Anane 8291 1203 Cleveland Avenue, Suite 2-D East Point, GA 30344

7/1/2011Mitzi Clayton, MD 61408RN145040Botah-Oduro, Ophelia Anane 9628 211 Fairview Rd Ellenwood, GA 30294

8/10/2009Chukwudi Amu, MD 26967RN145040Botah-Oduro, Ophelia Anane 2660 4150 Snapfinger Wds Dr, Suite 100 Decatur, GA 30035

12/1/2009Chukwudi Amu, MD 26967RN145040Botah-Oduro, Ophelia Anane 9223 5530-B Old National Hwy, Suite 100 College Park, GA 30349

3/19/2014Soyoola, Emmanuel MD 53032RN207415Botero, John 10734 1870 Atlanta Hwy Ste J Gainesville, GA 30504

5/15/2017Steven Durocher, MD 56051RN207415Botero, John David 15781 4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 207415

3/1/2021Wasiu Adisa, DO 67525RN207415Botero, John David 13517 1255 Hwy 54 W Fayetteville, GA 30214

5/1/2019Ronnie Hendrix, MD 24690RN207415Botero, John David 13256 4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville, GA 3004

2/18/2022Michael Lindsay, MD 27602RN237911Boucher, Andrea Marie 14320 2701 N Decatur Road Decatur, GA 30033

10/1/2018Marcus Sims, MD 60507RN172317Boulware, Angel Brown 12013 5 Dunwoody Park Place, Suite 118 Atlanta, GA 30338

1/25/2019Peter Ulbrich 28696RN184484Bourova-Brazier, Lioudmilla Yur 14188 2950 Buford Hwy, Ste 140 Cumming, GA 30041

5/25/2019Virna Simmons, MD 60614RN184484Bourova-Brazier, Lloudmila 16067 10945 State Bridge Rd Alpharetta, GA 30022

1/20/2009Hope McDaniel, MD 59287RN118574Bovee, Anna Marie 8416 11766 Hwy 27 Summerville, GA 30747

10/9/2020Garrett Post 61143RN253879Bowden, Carrie 48903 1035 Red Bud Road NE Calhoun, GA 30701

3/10/2021James Livingston, MD 20128RN155386Bowden, Allison Danielle 17798 2795 Finney Circle Macon, GA 31217

7/7/2013Powell, Lawrence MD 38915RN146042Bowen, Cindy 10810 1762 Mars Hill Road NW Acworth, GA 30101

1/31/2011Fidias DeLeon, MD 63891RN146042Bowen, Cindy Jo-Ann 9171 6935 S. Sweetwater Rd Lithia Springs, GA 30122

10/10/2013John Coleman, MD 48498RN146042Bowen, Cindy Jo-Ann 9239 1720 Peachtree Rd, Suite 200 Atlanta, GA 30309

7/31/2017Manjushree Ghose, MD 42827RN146042Bowen, Cindy Jo-Ann 12799 Walgreens Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

6/18/2021David Whitehead 50852RN173597Bowen, Nancy 51775 3217 Fourth Street Brunswick, GA 31520

4/29/2019Joshua McCarthy 71782RN230488Bowen, Marcus 44475 3919 Main St Folkston, GA 31537

10/26/2013Phillip Nowlin, MD 36588RN146042Bowen, Cindy Jo-Ann 8915 491 East Main St Cartersville, GA 30121

Monday, August 1, 2022 Page 44 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/25/2009Walter Smith, MD 37078RN146042Bowen, Cindy Jo-Ann 272 3498 Walnut Ridge Atlanta, GA 30349

6/1/2011Sidney Smith, III, MD 38615RN084864Bowen, Mark Timothy 273 900 Mohawk St, Suite E Savannah, GA 31419

6/24/2022Angel Brown 74482GAA-NP000258

Bowen, Taylor 58212 1200 Memorial Drive Dalton, GA 30720

4/24/2019Rana Munna, MD 52466RN119753Bower, Bonnie Gayle 277 330 Hospital Dr, Bldg C, Suite 302 Macon, GA 31217

3/25/2013Pinell, Michael MD 58102RN119753Bower, Bonnie 10245 4123 Forsyth Rd, Ste K Macon, GA 31210

3/4/2016House, Alice MD 43065RN119753Bower, Bonnie 10645 100 College Station Drived Macon, GA 31206

3/4/2022Ranjan Avasthi, MD 63164RN193962Bowers, Jessica Michael 20030 3338 Dogwood Dr. Hapeville, GA 30354

12/9/2020Roland Nash 58909RN219868Bowers, Dale 54770 125 Pavillion Parkway, Suite A Fayetteville, GA 30214

1/1/2018Vanderlyn Sewell, MD 51547RN193962Bowers, Jessica Michael 21299 934 Briarcliff Rd. NE Atlanta, GA 30306

1/15/2021Paresh K. Thanki, MD 55344RN101527Boweser, Karen Alene 41643 2209 Pineview Dr. Valdosta, GA 31602

12/28/2018Wanda Guy-Craft, MD 64224RN128899Bowie, Myra Annette 279 1315 Delaunay Ave, Suite 201 Columbus, GA 31901

8/31/2015Meena Shah, MD 21464RN128899Bowie, Myra Annette 9843 475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

11/21/2010Maurice Clifton, MD 61053RN112057Bowman, Monica Renee' 8847 MSC Health Clinic - 100 College Station Dr Macon, GA 31206

2/4/2022Scott Barbour 51908RN253839Bowman, Mollie 55136 3240 Ne Expressway, Suite 100 Atlanta, GA 30341

1/9/2015Mark Elam, MD 36147RN093282Bowman, Patricia Annette Tinn 13414 91 4th Street Trion, GA 30753

7/24/2014Eric Davis, MD 63648RN101527Bowser, Karen Alene 13322 3116 N. Oak St Ext Valdosta, GA 31602

11/17/2017Jaymal Patel, MD 50984RN101527Bowser, Karen Alene 18105 3120 North Oak St Extension, Ste C Valdosta, GA 31602

5/20/2016Wendy Vandemark, MD 57511RN101527Bowser, Karen Alene 9437 2310 W. Patterson St, Unit B Valdosta, GA 31602

10/29/2019Wendy Vandermark, MD 57511RN101527Bowser, Karen Alene 12936 2109 N. Patterson St. Suite B Valdosta, GA 31602

8/11/2014Edwin Hiatt, MD 12920RN101527Bowser, Karen Alene 9678 200 Georgia Ave Valdosta, GA 31698

10/27/2021James Drury 48891RN101527Bowser, Karen 55743 3015 Veterans Parkway Moultrie, GA 31788

11/11/2017James Harrell, MD 26782RN101527Bowser, Karen Alene 18820 3120 North Oak St Extension, Ste C Valdosta, GA 31602

3/20/2020Jameelah Gater, MD 51321RN252442Bowser, Maureen Tien 40533 114 Harmony Crossing (Suite 1) Eatonton, GA 31024

8/11/2014Bennett Hogan, MD 50024RN101527Bowser, Karen Alene 9978 117 W Northside Dr Valdosta, GA 31602

2/23/2022Johnathan Gaskins 56836RN168201Boyd, Jason 58411 2734 Ledo Road, Suite 15 Albany, GA 31707

Monday, August 1, 2022 Page 45 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/11/2019Daren K Wooten, MD 62177RN168201Boyd, Jason B. 42651 119 Massey Airport Rd. Sylvester, GA 31791

6/11/2019Sheila S. Southerland, MD 55894RN168201Boyd, Jason Brantley 41084 902 N. 7th Street Cordele, GA 31015

9/13/2013Michele Aguayo, MD 36490RN060082Boyd, Pamela Ameilia 11251 2594 Loganville Hwy, Suite 101 Grayson, GA 30017

12/12/2015Shanda Newsome, MD 73879RN168201Boyd, Jason 16285 1390 Hwy 19 South Leesburg, GA 31763

4/18/2017Joe Livingston IV, MD 73610RN200978Boyd, Jason Brantley 17768 35 Hospital Road Blairsville, Ga 30512

5/18/2016Robert Spruill, MD 59026RN168201Boyd, Jason Brantley 17029

5/29/2020Frank Davis Jones, MD 32924RN151248Boyett, Susan Darlene 18822 2402 Osler Court Albany, GA 31707

8/5/2020Amitabh Kumar 81907RN151248Boyett, Susan 53048 2740 Ray Knight Way, Suite 100 Albany, GA 31707

7/11/2019Robert Pumpelly, MD 22461RN207026Boyette, Kelly Michelle 17604 124 Memorial Dr. Jesup, GA 31545

7/1/2017James Greene, MD 29657RN207026Boyette, Kelly Michelle 19706 1111 Glynco Pkwy, Bldg 1, Ste 10 Brunswick, GA 31525

12/19/2008Jeffrey Lennox, MD 38844RN135750Boyette, Eric Lawrence 285 341 Ponce de Leon Avenue NE Atlanta, GA 30308

10/26/2011Alison Krause, MD 40443RN105979Boyle, Lynn Michele 9204 4040 Hospital West Dr Austell, GA 30106

7/15/2011Robert Strauss, MD 27307RN105979Boyle, Lynn Michele 7754 1700 Hospital South Drive, Suite 502 Austell, GA 30106

11/15/2016Sheth, Darshana MD 58642RN105979Boyle, Lynn 10686 3822 Roswell Road Marietta, GA 30062

9/1/2020Pradeep Sinha 44104RN285868Boyle, Erin 47303 5760 Peachtree Dunwoody Road, Suite 1280 Atlanta, GA 30

11/1/2018Sharon Fitzgerald-Soapes, MD

16509RN091497Boyles, Sandra Grace Paterson 286 3685 Lawrenceville Hwy, Suite 100 Lawrenceville, GA 30044

7/26/2014Juan Ayerdi, MD 57278RN184674Bozarth, Melissa E. 11431 575 First St. Macon, GA 31201

4/1/2017William Brooks, MD 63299RN184674Bozarth, Melissa Erin 13745 1600 Forsyth St. Macon, GA 31201

8/20/2015Nitasha Burney, MD 55931RN212484Braaten, Rachael 14466 3885 Princeton Lake Way, Ste 306 Atlanta, GA 30331

10/31/2014Kenneth Patric, MD 69243RN212484Braaten, Rachael Lynn 14089 3240 South Cobb Dr. Smyrna, GA 30082

8/5/2021Robert Burton 33543RN212484Braaten, Rachael 44749 3286 Buckeye Rd Atlanta, Ga 30341

1/2/2019Fitz Harper, MD 36773RN212484Braaten, Rachael-Lynn 38663 3286 Buckeye Road, Suite 130 Atlanta, GA 30341

12/28/2018Wiley Perry Ballard, MD 30265RN130261Braatz, Stephanie Stephens 8645 275 Collier Rd NW, Suite 400 Atlanta, GA 30309

1/1/2016Bailey, Marion MD 10467RN217510Bracewell, Joanne 10214 107 Industrial Drive, Ste B St. Mary's, GA 31558

8/20/2016Trent Schueneman, MD 51731RN217510Bracewell, Joanne 15926 2927 Demere Rd St. Simons, GA 31522

Monday, August 1, 2022 Page 46 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/8/2021Naima Cheema 62362RN283520Brack, Renee 46229 1250 Upper Hembree Rd., Suite B Roswell, Ga 30076

11/16/2018Rosman Shrestha, MD 56765RN101397Brackett, Robin 40355 1968 Peachtree Road, Bldg 77 Atlanta, GA 30309

8/18/2015Brandee Urrutia, MD 66661RN101397Brackett, Robin 15663 4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041

12/24/2014Richard Maxa, MD 42655RN101397Brackett, Robin Ann 9463 3505 Duluth Park Lane, Suite 400 Duluth, GA 30096

4/1/2017Philicia Andrews, MD 44621RN101397Brackett, Robin Ann 16316 3020 Paces Mill Rd Atlanta, GA 30309

3/5/2013Alexander Gluzman, MD 56452RN101397Brackett, Robin Ann 287 3820 Medical Park Dr Austell, GA 30106

7/30/2018Elizabeth Long, MD 69308RN213656Bradberry, Cara Ann 40910 11 Charlie Morris Rd Colbert, Ga 30628

7/5/2019Meredith Udell, MD 67451RN213656Bradberry, Cara 42913 11 Charlie Morris Road Colbert, GA 30628

11/14/2011F. Stephen Moore, MD 22254RN044266Braden, Robin 7696 2324 Limestone Overlook Gainesville, GA 30501

4/20/2012Elia, Hany MD 30055RN221074Bradford, Tammy 10600 3421 Mike Padgett Hwy Augusta, GA 30906

9/23/2021Charles Richart 38595RN231288Bradford, Kelsey 43579 1211 Sherwood Park Drive (Suite A) Gainesville, GA 30501

11/1/2021Lajide Lawoyin 83612RN239116Bradley, Tiara 50452 1499 Fair Road Statesboro, GA 30458

4/30/2015Stephen Szabo, MD 44850RN148400Bradley, Tajuana Belinda 9478 6335 Hospital Pkwy, Suite 107 Duluth, GA 30097

10/23/2014Steven Wolinsky, DO 47175RN164831Bradley, Jennifer Holloway 12891 425 W Third Ave, Suite 600 Albany, GA 31701

5/31/2022William Cantrell 85962RN239116Bradley, Tiara 59711 1499 Fair Road Statesboro, GA 30458

8/11/2014Joseph Hand, III, MD 49984RN205143Bradshaw, Jessica Lynn 12640 1000 B - North Veterans Blvd Glennville, GA 30427

12/21/2018Charity Wilson, MD 60895RN172617Bradshaw, Kari 40726 2701 Meredyth Dr Albany, GA 31707

4/12/2022Marina Demetrashvili, MD 51310RN141141Bradshaw-Small, Lisa Yvonne 14991 180 Martin Drive, Ste E030 Carrollton, GA 30117

11/6/2014Traceyan Mendez, MD 57831RN195811Brady, Mary Virginia 12743 215 North coleman St Swainsboro, GA 30401

1/23/2020Floyd Soriano, MD 54941RN195811Brady, Mary 14140 117 Memorial Dr. Reidsville, GA 30453

10/31/2011Mark Coker, MD 56276RN088662Brady, Linda L. 8353 212 Cherokee Road Thomaston, GA 30286

8/31/2011John Zora, MD 26420RN101050Braker, Susan Jean 297 1990 Riverside Parkway NW Lawrenceville, GA 30043

6/11/2015Robert Burkich, MD 46372RN193417Branam, Misty Michelle 14944 148 Cobb Pkwy Ringgold, GA 30736

12/11/2014Joseph Watlington, MD 25685RN193417Branam, Misty Michelle 13652 102 Erlanger South Dr. Ringgold, GA 30736

12/21/2021Hans Yehnert, MD 72516RN193417Branam, Misty Michelle 18739 102 Erlanger South Dr. Ringgold, GA 30736

9/6/2018Robert D. Moore, DO 45300RN231609Branch, Julia Caroline 42267 11975 Morris Road (Suite140) Alpharetta, GA 30005

Monday, August 1, 2022 Page 47 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/13/2016Edward Matthews, DO 34896RN209150Branch, Adam Michael 14301 2300 Manchester Expressway, Ste 2001 Columbus, GA 3190

9/22/2012Powell, Eric MD 49081RN160904Brandeberry, Thomas 10920 1111 Glynco Parkway, Bldg 1, Ste 10 Brunswick, GA 31525

8/19/2012Ruschak, Lisa MD 59956RN160904Brandeberry, Thomas 10366 1022 Miller Lane SW Darien, GA 31305

8/6/2018Mary Barfield, MD 50495RN105979Brandt, Lynn Michele 14604 970 Joe Fark Harris Pkwy S E, Ste 100 Cartersville, GA 30120

6/30/2021Barry Fioranelli 41793RN105979Brandt, Lynn M 43814 141 Piedmont Ave (Suite D) Atlanta, GA 30303

1/12/2021Randy Durbin 64776RN105979Brandt, Lynn Michele 50443 5677 Buford Hwy, #211 Doraville, GA 30340

6/30/2021Anthony Securo 51736RN105979Brandt, Lynn 44828 970 Cassville-White Rd Cartersville, Ga 30120

2/25/2021Negah Rassouli 58495RN092114Brannon, Elissa 45227 2525 cumberland Parkway SE Atlanta, Ga 30339

4/3/2009Ramie Tritt, MD 20005RN092114Brannon, Elissa Darlene 7738 5555 Peachtree Dunwoody Rd, Suite 235 Atlanta, GA 30342

10/15/2013Charles Wilmer, MD 29394RN152769Brantley, Nina Sheria 9365 275 Collier Rd, Suite 300 Atlanta, GA 30309

9/29/2014Nitasha Burney, MD 55931RN152769Brantley, Nina Sheria 7880 4120 Austell Road SW Austell, GA 30106

8/11/2020Brian Cross, MD 43190RN201303Brantley, Arian Marrel 15324 619 S. 8th St. ste. 200 Griffin, GA 30224-4260

2/6/2019Sylvanus K Fiakopornoo, MD 60453RN201303Brantley, Arian Marrel 42170 1700 Mulkey Road Austell, GA 30106

2/6/2019Sanjay Anand Nariani 49861RN201303Brantley, Arian Marrel 40758 2451 Peachtree Industrial Blvd. Buford, GA 30518

2/6/2019Kirpich Joseph, MD 54904RN201303Brantley, Arian Marrel 42514 2451 Peachtree Industrial Blvd Buford, GA 30518

2/6/2019Terence Frinks MD 51042RN201303Brantley, Arian Marrell 42837 7560 Butner Road Fairburn, GA 30213-1914

2/6/2019Baheeg Shadeed 24628RN201303Brantley, Arian Marrel 40982 50 Saine Drive. S.W. Marietta, GA 30008

2/6/2019Frank Curvin, MD 45058RN201303Brantley, Arian 42680 3535 Ashton Woods Drive Atlanta, GA 30319

2/6/2019Amma Abunyewa, MD 64774RN201303Brantley, Arian Marrell 42592 1700 Mulkey Road Austell, GA 30106

2/6/2019Marga Ngwang, MD 70328RN201303Brantley, Arian Marrell 42598 50 Saine Drive SW Marietta, GA 30008

5/1/2019Michael Hampton Groover 35059RN201303Brantley, Arian 42605 3535 Ashton Woods Drive Atlanta, GA 30319

2/6/2019Farzana Mumtaz 36419RN201303Brantley, Arian Marrel 39549 1700 Mulkey Road Austell, GA 30106

5/14/2021Devashish Ray 61753RN216220Branton, Rachel 45614 30 Chateau Dr. SE Rome, Ga 30161

5/1/2019Brian J. Kornblatt 38029RN215613Brauneis, Elizabeth C. 40959 5629 Hwy. 21 South Rincon, GA 31326

2/6/2020Paul Donnan, MD 47892RN143102Braxton, Charisswe Alene Gath 13251 477 Windsor St SW, Suite 309 Atlanta, GA 30312

Monday, August 1, 2022 Page 48 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2011Michelle Morgan, DO 51694RN143102Braxton, Charisse Alene Gather 307 2990 Five Forks Trickum Rd Lawrenceville, GA 30044

4/3/2014Parviz Brahman, MD 66576RN177281Bray, Onie Beatrice Diane 12764 1401 N Tift Ave, Suite B Tifton, GA 31794

4/22/2014Onkar Kaur, MD 47103RN177281Bray, Onie 13841 218 Hwy 49 North Ste A Byron, GA 31008

6/30/2017James L. Hiller, MD 40688RN216047Brazell, Karen E. 17673 1094 Bermuda Run Statesboro, GA 30458

4/1/2021Lucas Golub 74186RN206681Breeden, Christine 54000 1155 Perimeter West, 11th Floor Atlanta, GA 30338

10/21/2020Ramanpreet Dhindsa 68766RN181048Breen, Marisa 50909 743 Spring Street, NE Gainesville, GA 30501-3715

1/18/2021Gerald Feuer 36154RN205156Breland, Monique 54460 980 Johnson Ferry Road NE, Suite 900 Atlanta, GA 30342

7/31/2020Imran Iftikar, MD 75447RN224253Bremer, Erin Marie 38708 12 executive Park Drive, 4th Floor Atlanta, GA 30329

7/31/2019Lenka Novotna, MD 51698RN230228Brennan, Siobhan 39557 58 Big A Road Toccoa, GA 30577

8/13/2021Subhadra Shashidharan, MD 74362RN239981Brennan, Molly Grace 43086 1405 S. Clifton Road Atlanta, GA 30322

2/21/2020Alex Rikhter, MD 44070RN134323Brennen, Patricia Louise Gaima 18695 3150 Howell Mill Rd. NW Atlanta, GA 30327

6/15/2022Bradley Goldberg, MD 40079RN101667Brewer, Angela Evans 2809 2010 Ocilla Rd Douglas, GA 31533

11/13/2013Laura Beaty, MD 45168RN165564Brewster, Kimberly Enfield 9676 755 Mt Vernon Hwy, Suite 120 Atlanta, GA 30328

12/3/2015Joseph Korwin, MD 34878RN124332Brezial-Mincey, Yumeka Sherell 14749 One Freedom Way Augusta, GA 30904

2/2/2022Vicki Morgan, MD 25645RN149012Brickhouse, Tammie Vincent 12658 3815 Harrison Rd Loganville, GA 30052

7/29/2014Norman Todd, MD 13313RN149012Brickhouse, Tammie Vincent 12551 2015 Uppergate Dr Atlanga, GA 30322

7/20/2021Caroline Miller 54011RN149012Brickhouse, Tammie 54646 3911 Mary Eliza Trace, Suite 500 Marietta, GA 30064

2/14/2020Terence Frinks 51042RN183269Bridges, Stephanie 46358 1626 Jeurgens Court Norcross, GA 30093

3/14/2016Brian DeLoach, MD 51216RN076524Bridges, Kathleen Rose Dunha 316 PO Box 8043 Statesboro, GA 30460-8043

3/11/2022Annamarie Paulsen 29066RN164274Bridgman, Kelli 54202 1397 Manchester Drive Conyers, GA 30012

11/2/2017Muhammad Ahmed, MD 61687RN164274Bridgman, Kelli Nicole 14891 1637 Athens Hwy Grayson, GA 30017

1/6/2014Kathleen Gunchick, MD 28760RN107666Brier, Janie Clare Rishel 318 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

5/6/2020Robert Kelly, MD 67234RN191988Brigdon, Ashley Stewart 19197 4700 Waters Ave, Mem Univ Surg Bldg,1st Flr Savannah, GA

6/28/2018Rajeswari Natarajan, MD 55501RN161055Bright, Constance Ann 15534 1255 Hwy 54 West Fayetteville, GA 30214

11/18/2019Samuel Sencil 55971RN201324Bright, Rachel 47409 206 E. Church Street Bowman, GA 30624

Monday, August 1, 2022 Page 49 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/30/2020Lekshmi Kumar 64083RN241342Bright, April 47495 745 Memorial Drive Atlanta, GA 30316

1/31/2021Theresa Jacobs 46864RN241342Bright, April 50454 977 Taylor Street, Suite A Conyers, GA 30012

3/16/2019Joel Alfred Williams 46516RN274067Bright, Lindsay I. 40884 1506 Professional Court Dalton, GA 30720

11/12/2019Arthur Yancey 36909RN241342Bright, April Anita 44263 745 Memorial Drive Atlanta, GA 30316

9/30/2019Ayham Y. Haddad 50628RN201324Bright, Rachel Baker 43816 1250 Jesse Jewell Pkwy SE (Suite 300) Gainesville, GA 30501

1/31/2021Girum MeKonnen 72035RN146220Bright-Gomes, Yendi 45641 1301 Sigman Rd. NE, Bldg. A, Ste. 200 Conyers, Ga 30012

6/30/2021ROGER SIMON MD 64970RN218514BRILL, NATALIE 40061 49 JESSE HILL JR DR SE ATLANTA, GA 30303

3/24/2017Richard Antonio, MD 74176RN218514Brill, Natalie 16080 484 Irvin Court Decatur, GA 30030

12/15/2011Bradley George, MD 46408RN171528Brill, Pamela Beth 320 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

4/18/2019Glen Lew, MD 41457RN171528Brill, Pamela Beth 10363 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

5/11/2013Janss, Anna MD 52965RN171528Brill, Pamela 10364 1405 Clifton Road, 4th floor Atlanta, GA 30322

1/4/2022Jon Gibbs 38493RN208001Brinkley, Valena 51223 210 Oak Street Martinez, GA 30907

5/17/2019Daryl O Crenshaw, MD 56036RN203175Brinson, Kamila Renee 42350 334 Smith Ave Thomasville, GA 31792

1/1/2017Tarak Patel, MD 66394RN191142Brinson, Beverly Natashia 17973 1224 Augusta West Pkwy Augusta, GA 30909

6/3/2017Mohanned Ahmed, MD 74885RN192602Brisibe, Modupeola Olayinka 19525 4166 Snapfinger Woods Dr. Decatur, GA 30035

11/21/2018Abdulfatal Odemuyiwa 48451RN192602Brisibe, Modopeola 38676 4166 Snapfinger Woods Drive Decatur, GA 30035

8/22/2018Jason Hefner,MD 61444RN072541Britt, Sarah Eugenia 21009 120 Marietta Highway Canton, GA 30114

10/16/2020Terry Landford, DO 45867RN183113Britt, Calee Stephens 14964 1899 Lake Rd, Ste 212 Hiram, GA 30141

6/1/2020Olatunji Alese, MD 70026RN216589Britt, Latoya Denique 18489 49 Jesse Hill Jr. Dr., Box 26115 Atlanta, GA 30303

7/31/2017Yuan-Xiang Meng, MD 51257RN196237Britt, Sarah Eugenie 13944 120 Marietta Hwy Canton, GA 30014

11/1/2019Errol Graham, MD 32388RN115507Britt, Janey Butler 321 105 E. Tollison St. Baxley, GA 31513

12/23/2015Brion V. Randolph, MD 68281RN216589Britt, Latoya Denique 11585 600 Parkway North Newnan, GA 30265

2/15/2017John Crane, MD 48342RN150227Brocato, Christy Lewis 18032 654 South Main St. Baxley, GA 31513

12/31/2019Bruce Gioia, MD 38774RN150227Brocato, Christy Lewis 20431 163 E. Tollison St Baxley, GA 31513

5/4/2018Ayman M. Fareed, MD 58740RN114139Brock, Virginia Annette 40623 330 Mount Sinai Drive Dahlonega, GA 30533

12/21/2018Jonathan Guy 67579RN114139Brock, Virginia 43703 5582 Memorial Drive Stone Mountain, GA 31083

Monday, August 1, 2022 Page 50 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/23/2020Manishkumar Joshi 56628RN188225Brock, Amy 47889 2336 Dawson Road, Suite 1600 Albany, GA 31707

3/22/2018Lenora Ashley, MD 31698RN114139Brock, Virginia 21030 4685 Dorsett Shoals Road Douglasville, GA 30135

11/2/2015Ruth O'Regan, MD 53350RN167836Brock, La-Urshalar Beausheniqu 12070 1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

9/12/2019William Parrish, MD 47989RN177270Brock, Chasity Cowart 12494 204 Allen Memorial Dr, Suite 201 Bremen, GA 30110

6/28/2011Richard Robinson, MD 38936RN167836Brock, La-Urshalar Beausheniqu 8556 3240 Avalon Blvd Conyers, GA 30013

4/8/2021Ana Hernandez-Silen 76054RN228109Brock, Margaret 46629 1948 Old Ocilla Road Tifton, GA 31794

6/1/2014James Short, MD 23877RN184254Brockett, Camille Tisha 12976 882 Ponce de Leon Ave Atlanta, GA 30306

9/9/2021Dongjin Yoon 63054RN127589Brockington, Felecia 55703 750 S. Perry Street, Suite 200 Lawrenceville, GA 30046

10/29/2019James Harrell, MD. 26782RN127589Brockington, Felecia Walton 40131 3120 North Oak Street Extension Valdosta, GA 31602

12/31/2019Carlos Zayas, MD 36668RN207596Brockman, Hailey 16087 1120 15th St, Ste BA4236 Augusta, GA 30912

3/30/2021Rajan Kapoor 69299RN207596Brockman, Hailey 48136 1120 15th Street, Suite BA 9413 Augusta, GA 30912

3/21/2022Bridgette Dingle 64532RN258304Brodbeck, Amber 59367 304 Turner McCall Blvd Rome, GA 30165

12/13/2021Tuvia Breuer 72843GAA-NP000030

Brooks, Hannah 57745 2055 Sugarloaf Circle, Suite 575 Duluth, GA 30097

11/30/2021David Quang 67965RN215943Brooks, Ashley 57556 130 Byrd Way Warner Robins, GA 31088

5/29/2020Zaigham Butt 40338RN084986Brooks, Tuwanna 51220 775 Sunset Drive Athens, GA 30606

2/1/2014David Bosshardt, MD 26225RN129994Brooks, Lisa Mae Vickers 328 128 Battlefield Crossing Court Ringgold, GA 30736

12/15/2014Louis Mameli, MD 30648RN050475Brooks, Rhonda M 330 214 Cherokee Rd Thomaston, GA 30286

3/2/2012Jaza Marina, MD 55267RN129516Brooks, James Michael 8307 South Albany Med Ctr, 1300 Newton Road Albany, GA 3170

4/3/2020Paul L. Walker, DO 46272RN266674Brooks, Deborah Annette 20587 101 Tom Murphy Industrial Blvd. Bremen, GA 30110

5/6/2019Timothy Shelton, MD 59870RN218653Brooks, Alexandria Copeland 20614 716 East 71st. Street Savannah, GA 31406

9/30/2016Brittany Crenshaw, MD 69115RN227641Brooks, Sarah Cauthen 19068 250 Blanton St. Pelham, GA 31779

8/8/2018Mark Lee, MD 59451RN227641Brooks, Sarah Cauthen 19164 250 Blanton Street Pelham, GA 31730

8/1/2019Dan Ioanitesce 51476RN251372Brooks, Damion Lamonte Sr. 41260 1601 Watson Blvd, 1 West Warner Robins, GA 31088

1/10/2018Vincent Valencia, MD 68571RN260247Brooks, Jeannetta Ann 20435 103 James Street. Adel, GA 31620-1504

3/16/2021Reginal Strother, MD 44597RN223073Brooks, Emily 39405 601 Broad Street, SE, Suite B Gainesville, GA 30501

Monday, August 1, 2022 Page 51 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2018Russell Jones, MD 68177RN129516Brooks, James Michael 40638 425 W 3rd Ave Suite 600 Albany, GA 31701

7/2/2021Pradeep Sinha 44104RN220296Brooks, Jessica 53275 5670 Peachtree Dunwoody Road, Suite 1280 Atlanta, GA 30

8/1/2021Ammar Sharif 82785RN235531Brooks, Amanda 49227 777 Hemlock Street, Box 114 Macon, GA 31201

11/2/2020Gregory Smith 38370RN183382Brooks, Kristal 50634 1670 Scott Blvd, Suite 210 Decatur, GA 30033

12/1/2019Nicolas Psomiadis, MD 53022RN050475Brooks, Rhonda M 41871 917 West Gordon Street Thomaston, GA 30286

7/25/2014Morgan III, Joe Harris MD 53503RN129516Brooks, James 10746 2300 Dawson Road, Ste 101 Albany, GA 31707

1/23/2015Fred Tega, MD 56493RN190550Brooks, Chasidy Leigh 13114 15A Baynard Park Newnan, GA 30265

7/30/2016Stephen Souther, MD 44108RN129516Brooks, James Michael 14019 425 W-Third Ave., Ste 600 Albany, GA 31701

6/16/2017Praveen Reddy, MD 56471RN202650Brooks, Tressie Dawn Snipes 17228 201 Hospital Rd, Radiology Dept Canton, GA 30114

1/31/2017Daniel Eller, MD 39563RN102394Brooks, Jacquelyne Leigh Riggs 19250 699 Church St, Ste 320 Marietta, GA 30060

10/23/2018Michael Sumner, MD 63062RN205522Brooks, Christen Brown 17748 1120 15th St, AF-2037 Augusta, GA 30912

9/1/2017Perry Wells, MD 20498RN050475Brooks, Rhonda 14642 214 Cherokee Rd Thomaston, GA 30286

5/13/2016Frank Mott, MD 70674RN201527Brooks, Amy Danielle 14821 1120 15th St. Augusta, GA 30912

2/5/2019Kirpich Joseph 54904RN251372Brooks, Sr, Damion 20550 490 Kathwood Drive Athens, GA 30607

3/10/2021James Livingston 20128RN251372Brooks, Sr, Damion 20551 2795 Finney Circle Macon, GA 21217

10/5/2020Lee Battle 20858RN290853Broome, Jennifer 51499 218 Stonewall Cartersville, GA 30120

11/10/2020Sheryl Canady, MD 50999RN204586Broussard, Jennifer Alison 41757 774 Ga Hwy 96 Bonaire, GA 31005

5/29/2020Jason Gardiner 52725RN204586Broussard, Jennifer 46230 1861 Watson Blvd. Warner Robins, Ga 31093

1/24/2022Michael R. Nulph, MD 57735RN204586Broussard, Jennifer Allison 41320 222 Perry Hwy (Bldg A Ste. 102) Hawkinsville, GA 31005

6/1/2019Sreevalli Dega, MD 71063RN210597Brower, Henry Wade 17454 5629 Hwy 21 South Rincon, GA 31326

2/10/2017Lee Woodall, MD 22917RN133626Brown, Pamela Lynn 19007 4796 Hwy, 42 North Forsyth, GA 31029

9/5/2018Cary Rose 46232RN170184Brown, Rebecca Angeles Denise 41388 3507 B Country Club Drive Valdosta, GA 31605

6/30/2018Robert Mazur, MD 37864RN197317Brown, Sequoyah 41183 60 Exchange St Suite B 7 Richmond Hill, Ga 31324

7/16/2018Nicholas Beaulieu, MD 42176RN216310Brown, Elizabeth 39431 920 Ponce De Leon Ave., NE Atlanta, GA 30306

2/10/2017Terri Wilson, MD 34494RN133626Brown, Pamela Lynn 19165 4796 Hwy 42 North Forsyth, GA 31029

2/10/2017Florence Baralatei, MD 60040RN133626Brown, Pamela Lynn 19162 2255 Anthony Rd. Macon, GA 31204

Monday, August 1, 2022 Page 52 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/10/2017Dipesh Patel, MD 53512RN133626Brown, Pamela Lynn 19163 6190 Peake Rd. Macon, GA 31220

6/1/2019Eman Kaldas, MD 49579RN212391Brown, Tranika Charisse 17613 3121 Peach Orchard Rd, Ste 103 Augusta, GA 30906

11/13/2017Sara O'Heron, MD 41632RN216310Brown, Elizabeth Jane 17614 1201 Georgian Park Peachtree City, GA 30269

7/31/2020Peter Lee, MD 38545RN204127Brown, Carla 16061 34 Upper Riverdale Rd, Ste 100 Riverdale, GA 30274

3/31/2020Margaret White, MD 36482RN119715Brown, Andrea Elaine 38911 2000 Riverside Parkway ste. 107 Lawrenceville, GA 30043

3/4/2019Laura Guadiana Sanchez 78515RN170184Brown, Rebecca Angeles Denise 43715 520 Griffin Avenue Valdosta, GA 31601

8/7/2019James Sexson, MD 38362RN053925Brown, Susan P. 38827 865 South 1st Street Jesup, GA 31545

8/13/2018Ayman M Fareed, MD 58740RN213984Brown, Lorna 42172

8/31/2018Gary Billingsley, MD 29582RN220693Brown, Edlyn Shanise 18744 1215 West Wheeler Parkway Augusta, GA 30909

4/15/2018Zenobia Day, MD 61959RN177029Brown, Eric 39114 One CNN Center, 10 North Atlanta, GA 30303

9/15/2020Lumawig Munsayac, MD 15028RN133626Brown, Pamela Lynn 20083 820 Second Avenue Eastman, GA 31023

5/8/2020Abdul O. Odemuyima, MD 48451RN163972Brown, Joann Jones 42561 2000 Riverside Parkway (Suite 107) Lawrenceville, GA 30043

6/8/2020Lavit Vadlamani, MD 55458RN170184Brown, Rebecca Angeles Denise 43155 3207-B Country Club Drive Valdosta, GA 31605

11/19/2021Janis Coffin 56528RN212391Brown, Tranika 44673 987 St Sebastian Way EC-1500 Augusta, Ga 30912

3/20/2020Osama Hindash 35652RN213984Brown, Lorna 47644 1825 County Services Rd Marietta, GA 30008

8/31/2021Tan-Loc Nguyen 52213RN297839Brown, Ashlynne 54602 130 Byrd Way Warner Robins, GA 31088

5/18/2020William Shivers, MD 30214RN158257Brown, Darlene 41667 600 Costal Village Brunswick, GA 31525

2/22/2019Michael A. Burke, MD 54798RN149189Brown, Rena Ifeoma 41758 785 King George Blvd. (Suite 101) Savannah, GA 31419

6/15/2018Jeffrey Klopper, MD 26321RN213984Brown, Lorna 40252 3188 Atlanta Rd. SE Smyrna, GA 30080

5/28/2021David Nussbaum 67697RN053925Brown, Susan 45595 303 Fraser Dr. Hinesville, ga 31313

4/1/2021Jensil Daniel 80429RN204127Brown, Carla 51813 976 Killian Hill Road Lilburn, GA 30047

4/1/2021Srihari Malempati 52286RN271951Brown, Joshua 49031 1670 Scott Blvd Decatur, GA 30033

7/2/2021Daniel Broderick 74476RN165268Brown, Lisa 55257 1300 Ridenour Blvd., Suite 300 Kennesaw, GA 30152

4/16/2021Samantha Storey 60328RN163972Brown, Joann 52569 1230 Peachtree Street NE, 19th Floor Atlanta, GA 30309-28

3/28/2022Alan Brown 57782RN102162Brown, Starla 54337 110 E. 13th Avenue Cordele, GA 31015

8/12/2019Leon Meeks 39868RN170184Brown, Rebecca Angeles Denise 44416 520 Griffin Avenue Valdosta, GA 31601

Monday, August 1, 2022 Page 53 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/19/2020Marcella Cox 57945RN197433Brown, Brandy 49546 1575 Northeast Expressway, Suite B1 Atlanta, GA 30329

1/25/2022Timothy Beck 54546RN074964Brown, Mary 46072 189 Bo James St., Suite 105 Clayton, Ga 30525

6/12/2019Lauren Bauer, MD 55564RN064864Brown, Ludella 19565 1499 Fair Rd. Statesboro, GA 30458

10/1/2014Ahmad Jingo, MD 45842RN197433Brown, Brandy Rose 14605 4150 Snapfinger Kloods Dr, Ste 208 Decatur, GA 30035

8/15/2016Matthew Goldstein, MD 48115RN177029Brown, Eric Jay 14606 1700 Medical Way Snellville, GA 30070

4/27/2017Duane Moores, MD 46998RN223588Brown, Jordan Faith 19371 2500 Starling St., Ste 506 Brunswick, GA 31520

2/10/2017Jeremy Goodwin, MD 59416RN133626Brown, Pamela Lynn 17974 4796 Highway, 42 North Forsyth, GA 31029

3/1/2019Michael Powell, MD 23663RN212391Brown, Tranika Charisse 20019 4421 Carnes Street Acworth, GA 30101-5305

4/23/2019Pamela Weigandt, MD 51609RN165268Brown, Lisa 16246 1635 Old 14 Highway, Ste 112 Kennesaw, GA 30152

1/6/2014Kathleen Gunchick, MD 28760RN076533Brown, Brenda Rebecca McCun 11854 KSU - 1000 Chastain Rd NW, House 52 Kennesaw, GA 30144

2/10/2017James Livingston, MD 20128RN133626Brown, Pamela Lynn 18401 2795 Finney Circle Macon, GA 31217

2/10/2017Haley Manley, MD 42079RN133626Brown, Pamela Lynn 18216 4796 Hwy, 42 North Forsyth, GA 31029

7/23/2021Mohamed Mousse, MD 61304RN177029Brown, Eric Jay 18274 6325 Hospital Parkway Johns Creek, GA 30097

8/18/2015Rhonda Wachsmuth, MD 56664RN165268Brown, Lisa 15360 780 Canton Rd NE, Ste 410 Marietta, GA 30060

8/1/2019Cassandra Donnelly, DO 68144RN171398Brown, Yvonne 13667 3617 Roswell Rd NE, Suite A Atlanta, GA 30305

9/1/2021Saman Ghaffari, DO 56446RN182422Brown, Michelle Nicola 17178 2121 Fountain Dr., Ste D Snellville, GA 30078

6/13/2011George Brown, MD 30275RN171398Brown, Yvonne 9134 141 Piedmont Ave, Suite D Atlanta, GA 30303

7/12/2010Henry Lewis, MD 49052RN074964Brown, Mary Jane 9085 1990 Limestone Circle, Suite 100 Gainesville, GA 30501

8/26/2016Michel Pare, MD 45569RN174936Brown, Suzanne Elizabeth 14384 1107 Memorial Dr, Ste 100 Dalton, GA 30720

12/17/2018Victor Thomas, MD 40574RN166498Brown, Melinda Hope Cain-Mar 12449 1200 Memorial Dr Dalton, GA 30720

8/1/2015Omari Hodge, MD 70459RN163812Brown, Camille 14133 2154 Johson Ferry Rd NE Atlanta, GA 30319-2558

5/3/2017Himanshu Patel, MD 58116RN188943Brown, Esther 15501 504 Redmond Rd Rome, GA 30165

11/1/2016Faith Andrews, MD 44158RN197433Brown, Brandy 15593 525 Forest Pkwy, Ste 100 Forest Park, GA 30297

5/21/2013Kidd, Mary MD 57092RN051771Brown, Betsy 10685 1700 Hospital South Drive, Ste 500 Austell, GA 30106

10/1/2013Lawrence Powell, MD 38915RN076533Brown, Brenda Rebecca McCun 7722 4120 Austell Road SW Austell, GA 30106

3/18/2014Megan Bowles, MD 68486RN076533Brown, Brenda Rebecca McCun 13023 1000 Chastain Rd, House 53 Kennesaw, GA 30144

Monday, August 1, 2022 Page 54 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2020Costley, Chad MD 54263RN209213Brown, Kara 10763 402 W. Ponce de Leon Ave Decatur, GA 30030

3/24/2016Michael Powell, MD 23663RN212391Brown, Tranika Charisse 12612 464 Mt Pleasant Rd Thomson, GA 30824

6/1/2017S. Thomas Greenstone, MD 17812RN163094Brown, Lachanda Felice 9426 374 Coats Dr Toccoa, GA 30577

5/1/2010Russell Sliker, MD 46250RN064864Brown, Ludella 8308 1000 Town Center Blvd, Suite 701 Pooler, GA 31322

9/3/2016Miles Johnson, MD 38817RN119715Brown, Andrea Elaine 8277 4115 Glenwood Road Decatur, GA 30032

8/3/2008Gerald Brantley, MD 33535RN112057Brown, Monica Renee 2937 100 College Station Drive Macon, GA 31206

4/1/2009Nydia Bladuell, MD 38429RN177029Brown, Eric Jay 340 790 Church Street, Suite 470 Marietta, GA 30060

5/28/2008Richard Dent, MD 17RN064864Brown, Ludella 345 310 Eisenhower Dr, Suite 5A Savannah, GA 31406

2/25/2008Oladayo Osinuga, MD 51703RN171398Brown, Yvonne 356 1203 Cleveland Avenue, Suite 2-D East Point, GA 30344

3/31/2010Donald Fordham, MD 44718RN074964Brown, Mary Jane 8580 865 Austin Drive Demorest, GA 30535

8/9/2010Matthew Goldstein, MD 48115RN171398Brown, Yvonne 8853 PO Box 587 Snellville, GA 30078

4/13/2009Mina Jacob, MD 51477RN191333Brown, Andrea Celina 8386 1700 Hospital South Dr, Suite 302 Austell, GA 30106

7/9/2009Allen Garrison, MD 54017RN112057Brown, Monica Renee' 8334 100 College Station Dr Macon, GA 31206

9/1/2021Ioamis Parastatidis 67025RN171290Brown, Robin Suzanne 46961 743 Spring Street Gainesville, GA 30501

3/18/2021Michael Metry 71977RN216096Brown, Robert 50940 2122 Manchester Expressway Columbus, GA 31904

5/11/2020James Sinnott 35336RN245084Brown, Jessica 51109 112 Mimosa Drive Thomasville, GA 31792

1/1/2014Lawrence Rowley, MD 35992RN051771Brown, Betsy L 5074 1700 Hospital South Dr, Suite 500 Austell, GA 30106

4/30/2012R. Brian Raybon, MD 38339RN117303Brown, Sandra Hemphill 5076 79 Doyle Street Toccoa, GA 30577

4/1/2022David Pursalle 44312RN281860Brown, Patrick 48177 250 E Ponce de Leon Ave, Suite 800 Decatur, GA 30030

3/6/2022Jennifer McNear 76642RN184519Brown, Cassandra 48624 2258 Wrightsboro Road, Suite 400 Augusta, GA 30904

3/4/2016Alice House, MD 43065RN112057Brown, Monica Renee' 9572 100 College Station Dr Macon, GA 31206

8/31/2020Jai E. Min, MD 74190RN050915Browne, Vickie Susan 42650 34 Upper Riverdale Rd. (Suite 201) Riverdale, GA 30274

2/15/2018Robert Mazur, MD 37864RN241401Browning, Kelly Jean 38743 60 Exchange St. ste. B-7 Richmond Hill, GA 31324

9/29/2020Monica Hoffmeister-Becerra, MD

68209RN229413Browning, Harvey Dewayne 12060 2122 Manchester Pkwy Columbus, GA 31904

2/1/2013Dana Kumjian, MD 35673RN184377Brownlee, Amanda Lynn 9489 1115 Lexington Ave Savannah, GA 31404

Monday, August 1, 2022 Page 55 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/3/2019Navin Patel, MD 27103RN165181Broxton, Ivey Anderson 19334 485 Hwy. 29 North Athens, GA 30601

11/22/2020Kelley Mackey 47346RN165181Broxton, Ivey 46527 485 Hwy 29 North Athens, GA 30601

8/2/2021Beatrice Gee, MD 45468RN180036Broyard, Enid P. 361 35 Jesse Hill Jr Dr SE Atlanta, GA 30303

3/9/2020Charlene Blache, MD 45728RN086371Bruce, Anne Louise 362 1309 W. Screven St Quitman, GA 31643

6/1/2014Blache, Charlene MD 45728RN086371Bruce, Anne 10247 130 W. Screven Street Quitman, GA 31643

2/5/2020Tam Nguyen 75739RN117972Bruce, Myra 48266 2659 Abutment Road Dalton, GA 30721

12/31/2019Lisa Griggs 56715RN117972Bruce, Myra 45533 269 Abutement Rd. Dalton, Ga 30721

7/1/2017Thomas Locke, MD 36409RN226194Bruce, Molly P. 17634 4500 Northpoint Pkwy Alpharetta, GA 30022

5/2/2019Tam Nguyen 75739RN117972Bruce, Myra 44226 2659 Abutment Road Dalton, GA 30720

5/23/2017Sendil Subramanian, MD 49107RN226194Bruce, Molly Parrish 17976 1000 Johnson Ferry Rd. ste. B155 Marietta, GA 30068

10/1/2019Robert L. Mitchell 47491RN204034Brueshaber, John Henry 43843 70 Medical Center Drive Commerce, GA 30529

12/23/2008Joseph Biuso, MD 28726RN112048Brumbelow, Kelly Denea 364 330 Turner McCall Blvd, Suite 203 Rome, GA 30165

11/13/2020Sarita Mobley, MD 46872RN170053Brummitt, Tracesha Ann 18608 1787 Broad St. Lumpkin, GA 31815

6/30/2020Charles Campbell, MD 69772RN047850Bruner, Kim J 12555 86 South Cobb Dr, MZ 0454 Marietta, GA 30063

10/1/2013Pamella Thomas, MD 19277RN047850Bruner, Kim J. 11019 86 S. Cobb Dr., Suite M20454 Marietta, GA 30063

10/15/2010Ognjenka Brkic-Vukotic, MD 47576RN047850Bruner, Kim 5477 11050 Crabapple Rd. Roswell, GA 30075

2/1/2020Eric Goldkang 52729RN224987Bruner Jr., Lawrence 48332 1000 Medical Center Blvd Lawrenceville, GA 30046

7/24/2021Trushnaa Patel 69612RN224987Bruner Jr., Lawrence 47690 2151 W Spring Street Monroe, GA 30655

7/24/2021Eroll Duncan 39329RN224987Bruner, Jr, Lawrence 45879 500 Great Oaks Dr, #9 Monroe, Ga 30655

7/24/2021Martha Schuh 37488RN224987Bruner, Jr., Lawrence 57614 500 Great Oaks Drive, Suite 9 Monroe, GA 30655

4/11/2019Arthur A. Grigorian, MD 48632RN239990Brunson, Robert Ashley 42646 840 Pine Street (Suite 880) Macon, GA 31201

8/7/2018HARDIK PAREKH - MD 73237RN191600BRUNSON, KIMILLE 39254 1514 VERNON RD LAGRANGE, GA 30240

4/16/2020Jonathan L. Rosenfield, MD 74345RN223572Brusca, Mollie 41661 4321 Hartley Bridge Road Macon, GA 31216

5/9/2022Donald Culley 54434RN220871Brush, Tiffany 55266 1555 Doctors Drive, Suite 101 LaGrange, GA 30240

12/20/2020Mario Rossi 85722RN220871Brush, Tiffany 54129 1555 Doctor Drive, Suite 101 LaGrange, GA 30240

3/15/2019Monica H. Fortson 78034RN220871Brush, Tiffany C. 862 1538 13th Avenue (Suite C-200) Columbus, GA 31901

Monday, August 1, 2022 Page 56 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/9/2021Lee Jacobs 28283RN170199Bryan, Althea 55270 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

7/4/2022Stacey O'Brien 73828RN137015Bryan, Vicky 44486 14205 Highway 92 Suite 105 Woodstock, GA 30188

11/15/2019Ayman Fareed, MD 58740RN213727Bryan, Ashley Ruth 41754 330 Mt Sinai Road Dahlonega, GA 30533

1/21/2019James L Newlon, DO 26606RN137015Bryan, Vicky 42486 14205 Highway 92 Woodstock, GA 30188

7/4/2018Beth Simati, MD 70428RN137015Bryan, Vicky 39194 14205 Highway 92 Woodstock, GA 30188

11/15/2019Ayman M. Fareed, MD 58740RN213727Bryan, Ashley Ruth 40895 330 Mt. Sinai Rd. Dahlonega, GA 30533

1/2/2016Robert Kaufmann, MD 30115RN213727Bryan, Ashley Ruth 12992 2001 Professional Way, suite 220 Woodstock, GA 30188

12/16/2016Catherine Morris, MD 34777RN082835Bryan, Ashley 16124 5345 Crossroads Dr Acworth, GA 30102

4/1/2016Oliver Hasek, MD 71981RN183917Bryant, Kristen Nicole 17020 1110 Hillcrest Pkwy, Ste C Dublin, GA 31021

10/5/2016Anastasios Polimenakos, MD

71271RN061119Bryant, Beth Susan Cohen 17224 1120 15th St, BA 8300 Augusta, GA 30912

4/30/2021Christopher Sitler, MD 67794RN216403Bryant, Zanetta 16738 1255 Highway 54 West Fayetteville, GA 30214

2/1/2011Mufaddal Kheda, MD 59860RN152834Bryant, Natalie Gayle 9388 1200 N. Jefferson St Albany, GA 31701

6/27/2016Muhammad Khan, MD 63080RN128293Bryant, Charles W, Jr 11732 915 Gordon Ave Thomasville, GA 31792

7/1/2011William Kittle, MD 25197RN082727Bryant, Roxanne Rush 7728 1350 Walton Way, POB II, Suite 200 Augusta, GA 30901

6/1/2018Dwayne Watkins, MD 53054RN216403Bryant, Zanetta Renea 13853 327 S. 9th St. Griffin, GA 30224

8/29/2018Robert Spruill, MD 59026RN128293Bryant, Charles 40998 90 E. Stephens Street Camilla, GA 31730

5/1/2019Kelly J. Manahan, MD 72318RN165380Bryant, Allison Adcock 20257 600 Celebrate Life Parkway Newnan, GA 30265

3/2/2020Walter K Austin, MD 47049RN023073Bryant, Lois Elizabeth 42151 175 Samaritan Dr Jasper, GA 30143

2/27/2020Stephen Skidmore 80578RN217745Bryant, Jennifer Nichole 44279 1514 Vernon Road LaGrange, GA 30240

5/26/2020Sharad Ghamande, MD 49173RN061119Bryant, Beth Susan Cohen 19065 1120 15th St, BA7411 Augusta, GA 30912

7/10/2018Jonathan Williams, DO 59237RN128293Bryant, Charles 40085 90 E. Stephens Street Camilla, GA 31730

3/18/2022Glenn Fussell 26777RN216749Bryant, Kela 44351 2827 Warm Springs Road (Suite 3B) Columbus, GA 31904

7/14/2013Douglas Moss, MD 41178RN128293Bryant, Charles W. 8574 814 Northwood Park Dr Valdosta, GA 31602

8/13/2010Andrew Michas, MD 49065RN152834Bryant, Natalie Gayle 8529 1001 N. Monroe Street Albany, GA 31701

10/17/2016Stephen Salmieri, DO 49151RN061119Bryant, Beth Susan Cohen 368 759 Old Norcross Road Lawrenceville, GA 30045

Monday, August 1, 2022 Page 57 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/27/2009Richard Ambrozic, MD 43851RN128293Bryant, Charles W. 369 2501 N. Patterson Street Valdosta, GA 31602

12/31/2018James Butts, MD 9103RN082044Bryant, Jacquelyn Rose Evans 371 PO Box 2683 Gainesville, GA 30503

8/13/2010Michael Satchell, MD 49593RN152834Bryant, Natalie Gayle 374 806 14th Avenue, Suite C Albany, GA 31701

4/3/2017Roy Reardon, MD 42402RN128293Bryant Jr, Charles W 14576 209 N Cuthbert St Colquitt, GA 39837

1/10/2020Jonathan Wade, DO 66666RN128293Bryant Jr., Charles W. 13248 100 S. Madison St. Thomasville, GA 31792

4/10/2014Eric Davis, MD 63648RN128293Bryant, Jr, Charles W 11710 100 S. Madison Ave Thomasville, GA 31792

6/5/2020Muhammad Ahmed 61687RN227249Bryant-Sawyers, Chantae 47331 500 Plantation Park Drive Loganville, GA 30052

7/11/2018Angela Lynn Beninga, DO 68481RN241242Brzycky, Sara Jane 13852 2020 Peachtree Rd NW Atlanta, GA 30309

8/1/2014Ashley Davis, MD 58161RN221056Bubar, Kate Elizabeth 12693 5555 Whittlesey Blvd Columbus, GA 31909

5/27/2020Oliver Mark Custodio, MD 48557RN221056BuBar, Kate Elizabeth 41670 2416 Capstone Court Columbus, GA 31909

6/11/2011Heather Henry, MD 44231RN149616Buchanan, Theresa Kassack 9280 327 S. 9th Street Griffin, GA 30224

1/31/2019Una Scruggs, MD 69636RN160752Buchanan, Stacy Briana 13755 CHOA, 2660 Satellite Blvd Duluth, GA 30096

6/25/2014Kirti Kandalkar, MD 62877RN160752Buchanan, Stacy Briana 12129 CHOA, 2660 Satellite Blvd Duluth, GA 30096

7/8/2021David B. Quintero 61149RN219829Buchanan, Kristie 380 600 Celebrate Life Parkway Newnan, GA 30265

8/11/2020Ahmed, Mahmood MD 42008RN149616Buchanan, Theresa 10173 619 S. 8th Ste. 200 Griffin, GA 30224-4260

5/15/2022Stephanie LaFontaine 53475RN247908Buchanan, Kasey 58865 302 Point North Place Dalton, GA 30720

5/31/2021Ayman Fareed 58740RN141665Buchanan-Cummings, Ann Mari 55841 330 Mount Sinai Drive Dahlonega, GA 30533

9/1/2021Kimathi Blackwood 63834RN223258Buchhamer, Summer 47271 890 Second Street, Suite 201 Macon, GA 31201

8/7/2020Rani Reddy, MD 34450RN168266Buckles, Teresa Louise 20322 106 Briarwood Rd. Statesboro, GA 30458

6/30/2013Bhumiben S.Purohit, MD 58812RN123889Buckley, Sheri 11544 1890 Manor View Cumming, GA 30041

3/1/2018Dana Cason, MD 39302RN207420Buckner, Tanesh Lasharn 18823 5555 Whittlesey Blvd, Ste L-1 Columbus, GA 31909

9/27/2019Florida Basilio, MD 28720RN207420Buckner, Tanesh Lasharn 39529 1519 13th Avenue Columbus, GA 31901-1908

6/30/2016Arun Singh, MD 71879RN207420Buckner, Tanesh Lasharn 17017 1111 Bullsboro Dr, Ste 6/7 Newnan, GA 30265

10/5/2018John A. Pablo, MD 42102RN221955Buckovich, Veronica M. 11358 225 Candler Dr., Ste 100 Savannah, GA 31405

5/2/2018Abhishek Gaur, MD 52174RN102486Buffington, April L. 19266 200 S. Enota Dr., Ste 200 Gainesville, GA 30501

6/1/2019Pradyumma Tummala, MD 41016RN102486Buffington, April 42163 200 S Enota Drive NE Gainesville, GA 30501-3466

Monday, August 1, 2022 Page 58 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2019Thomas Hobby 48647RN26678Bugg, Kala 44646 2263 Pineview Dr. Valdosta, Ga 31602

2/18/2021Guido Ring 45325RN171085Buggs, Temeka 55741 106 West 4th Ave Cordele, GA 31015

9/30/2011Patrick Voswinkel, MD 42760RN127335Bui, Binh Quoc 386 10475 Medlock Bridge Rd, Suite 815 Duluth, GA 30097

9/19/2013Yolanda Hacker, MD 45811RN127335Bui-Oliver, Binh 10270 2990 Five Forks Trickum Rd Lawrenceville, GA 30044

3/1/2016Anu Murthy, MD 54867RN078274Buist, Nancy Naucke 8650 One CNN Ctr, NT1008D Atlanta, GA 30303

10/1/2020Suzanne Turner, MD 47772RN202943Bukshteyn, Irina 12569 1357 Hembree Rd, Suite 240 Roswell, GA 30076

2/1/2009Donovan Christie, MD 44432RN185242Bulfin, Susan Jean 7976 5985 Peachtree Pkwy NW Norcross, GA 30092

11/9/2019Frank D Curvin, MD 45058RN212576Bullet, Quenshanta R 42244 3535 Ashton Woods Drive Atlanta, GA 30319

3/9/2021Michael H. Grover, MD 35059RN212576Bullet, Quenshanta Rasheda 42725 535 Ashton Woods Drive Atlanta, GA 30319

5/16/2015John Roger Bennett, MD 53838RN192027Bumgardner, Heather Nicole 13851 7306 Hwy 21 Ste 105 Port Wentworth, GA 31407

9/6/2016William Kolhoff, MD 63706RN192027Bumgardner, Heather 15731 7306 Hwy 21, Ste 105 Port Wentworth, GA 31326

8/1/2017Angela Gerguis, MD 47261RN192027Bumgardner, Heather Nicole 19814 3 West Perry Street Savannah, GA 31401

8/1/2016Ravi Veeraswamy, MD 57698RN102018Bumgardner, Julie Marie 17195 1365A Clifton Rd, Ste 2200 Atlanta, GA 30322

8/6/2012L. Gail Matthews, MD 52182RN135809Bumgardner, Robert Louis 390 595 Piedmont Avenue, Suite 100 Atlanta, GA 30308

10/2/2013Hand III, Joseph MD 49984RN177195Bunch, Jana 10280 1000B N. Veterans Blvd Glennville, GA 30427

3/28/2010Frank Bixler, MD 45726RN177195Bunch, Jana Lamb 8635 15 Yarbrough St Hazlehurst, GA 31539

6/23/2014Cecilia Arango, MD 68354RN177195Bunch, Jana Lamb 12414 304 Westside Dr Douglas, GA 31533

3/31/2020Tracy Barefield 41717RN285818Bundotich, Sylvia 45791 4150 Washington Rd. #11 Evans, Ga 30809

3/25/2020Tracy Barefield #####RN285818Bundotich, Sylvia 45572 4150 Washington Rd. Evans, Ga 30809

12/30/2019JAMES WHITE MD 39510RN173575BUNKER, KIMBERLY LEANN 40128 705 DIXIE ST CARROLLTON, GA 30117

7/22/2020Lee Jacobs, MD 28283RN173575Bunker, Kimberly LeAnn 14085 107 Mountail Dr., Ste 100 Canton, GA 30115

8/17/2020Hyun Cho-Steinberg 35226RN227137Bunting, Hanheui 46449 1030 Delta Blvd, 1st floor Atlanta, GA 30354

8/10/2020Anupama S. Ravikanth 48297RN217757Burbank, Gina Marie 43855 140 Van St NE (Suite 350) Marietta, GA 30060

1/3/2020Gregory J Matechak 52992RN084921Burch, Mary Catherine 44155 1650 Chattahoochee Dr. Rockmart, GA 30153

12/13/2018Leia M. Dawson, DO 65818RN084921Burch, Mary Catherine 43132 1650 Chattahoochee Drive Roockmart, GA 30153

9/1/2018Danielle Epanchin, DO 68769RN084921Burch, Mary Catherine Cobb 13946 1650 chattahoochee Dr. Rockmart, GA 30153

Monday, August 1, 2022 Page 59 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/17/2015Eugene Jackson, MD 22793RN136571Burch, Erin Tapley 11695 151 South Houston Rd, Suite 190 Warner Robins, GA 31088

4/14/2014Gregory Matechak, MD 52992RN084921Burch, Mary Catherine Cobb 12611 1650 Chattahoochee Dr Rockmart, GA 30153

11/5/2015Stewart Grizzard, MD 43948RN136571Burch, Erin 15135 1365 D Sam Nunn Blvd Perry, GA 31069

12/17/2020Jennifer Evans, MD 69804RN136571Burch, Erin Tapley 16552 151 South Houston Lake Rd Warner Robins, GA 31088

11/1/2012James Douglas, MD 33569RN084921Burch, Mary Catherine Cobb 394 1013 North 5th Avenue, Suite 2 Rome, GA 30165

8/21/2013Thomas L. Garcia, DO 63420RN084921Burch, Mary C. 11541 1008 Piedmont Ave. Rockmart, GA 30153

7/1/2018Joshua Behlmann, DO 76432RN260445Burgamy-Stevens, Cindy Irene 20178 3330 Sugarloaf Pkwy. Ste. A Lawrenceville, GA 30044

1/1/2011William Mills, MD 50901RN126640Burger, Susan Elizabeth Reitting 399 58 Big A Road Toccoa, GA 30577

3/29/2019Fred K. Hood, MD 45071RN273079Burgess, Tashnie A. 41219 1050 Eagles Landing Parkway Stockbridge, GA 30281

1/8/2021Tangela Atkinson 77534RN195974Burgess-Graham, Levada Chant 43862 625 West Memorial Drive Dallas, GA 30132

2/2/2018Teresa Coleman, MD 37975RN220086Burke, Amber Tishara 20102 919 South Broad St. Thomasville, GA 31792

8/23/2019Josh Simmons, MD 64969RN220086Burke, Amber T. 41438 919 South Broad Street Thomasville, GA 31792

1/1/2020Eric Friedrich, MD 16344RN104336Burke, Judy Elaine 18087 315 Commercial Dr. ste. D1 Savannah, GA 31406

8/22/2018Jackson E. Hatfield, MD 76616RN248639Burke, Sadie 21231 2621 East Pinetree Blvd Thomasville, GA 31792

11/5/2019Randy Warner, MD 53905RN126100Burke, Julie 11035 690 Dallas Hwy, Ste 201 Villa Rick, GA 30180

2/12/2019Suzanne Molock, MD 26344RN177306Burke, Colleen E. 7957 601-A Professional Drive, Suite 370 Lawrenceville, GA 30045

8/1/2018John Cope, MD 40644RN144938Burke-Cody, Heather Louise 17218 590 Historic Hwy 441 North Demorest, GA 30523

8/31/2019David Cox, MD 70247RN225086Burkett, Angela 41669 1111 Griffin Avenue, Suite 1A Eastman, GA 31023

8/24/2018Rajeswari Natarajan, MD 55501RN093687Burks, Olivia 14950 1255 Hwy 54 Fayetteville, GA 30214

10/2/2020Alan Brown 57782RN219847Burleson, Valencia 46458 130 N. Lee Street Forsyth, GA 31029

8/22/2019Chester Lapeza III 44263RN219847Burleson, Valencia 43817 636 2nd Ave. SW Rochelle, GA 31079

8/28/2020Donald C. Jones, MD 66511RN193676Burling, Diann Elizabeth 43153 2100 Palmyra Road Albany, GA 31701

4/1/2018Stanton M. McKenna, MD 59100RN124541Burman, Holly E 41370 3167 Peachtree Rd. NE (Suite G) Atlanta, GA 30305

5/9/2015David Warren, MD 32492RN124541Burman, Holly Elizabeth 7796 150 Gentilly Blvd Cartersville, GA 30120

6/27/2018Lisa Ortenzi, MO 23395RN124541Burman, Holly 15639 880 Crestmark Dr, Ste 200 Lithia Springs, GA 30122

5/3/2017Al-Shroof, Mohammad MD 45158RN185246Burnett, Erica 10414 2054 Watson Blvd Warner Robins, A 31093

Monday, August 1, 2022 Page 60 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/1/2017Cliff Lin, MD 69346RN063097Burnett, Lillie Kathryn 20023 2540 Windy Hill Rd. ste. C Marietta, GA 30067

10/4/2018Toral Fadia, MD 61424RN063097Burnett, Lillie 20563 6105 Peatree Dunwoody Rd Bldg F Atlanta, GA 30342

3/15/2019Wendell Ellis 62202RN185246Burnett, Erica 40109 1062 Forsyth Street (16) Macon, GA 31201

12/9/2020James C. Thigpen, Jr., MD 30228RN155040Burnett, Tonya Mays 41016 821 N. Cobb Street Milledgeville, GA 31061

11/15/2020Stacey Heit 41307RN063097Burnett, Lillie K. 43587 450 Northside Cherokee Blvd. Canton, GA 30114

3/29/2019Kerry L. Nagel, DO 58108RN170312Burnette, Marjorie Haynes 42752 3827 Jimmy Lee Smith Parkway Hiram, GA 30141

1/26/2017Fredrick O'Neal Jr, MD 33419RN170312Burnette, Marjorie Haynes 16648 1825 Martha Berry Blvd Rome, GA 30165

4/17/2020Thomas Kevin Karisay, MD 50029RN222610Burnham, Maureen Kookogey 38874 202 Hospital Road Blairsville, GA 30512

2/9/2015Kabir Das, MD 62867RN157565Burns, Susannah 13811 231 Graefe St. Griffin, GA 30224

4/7/2014Richard Chewning, MD 20091RN157565Burns, Susannah 12254 231 Graefe St Griffin, GA 30224

6/1/2013Kandzari, David MD 64993RN157565Burns, Susannah 10858 275 Collier Rd, Ste 300 Atlanta, GA 30309

1/8/2021Tangela Atkinson 77534RN193421Burrell-Spence, Sandra 45348 625 West Memorial Dr. Dallas, Ga 30132

11/6/2020Vijay Thillainathan 67446RN199381Burris, Stephanie 46367 100 Jim Mason CT, Suite A Warner Robins, GA 31088

8/29/2014Olaitan Adeniji, MD 52670RN198894Burris, Ashley 10913 301 Philip Blv d, Ste A Lawrenceville, GA 30045

1/31/2022William Paxton, MD 46206RN198894Burris, Ashley Cornellson 14335 595 Hurricane Shoals Rd NW, Suite 100 Lawernceville, GA 3

9/13/2019Christopher Inhulsen, MD 20743RN199381Burris, Stephanie Lee 16781 6005 Watson Blvd. (Suite 100) Byron, GA 31008

7/25/2016Panyavee Khan, MD 54756RN133692Burris, Robin Asay 406 777 Franklin Rd Marietta, GA 30067

1/1/2016Alan Muster, MD 45305RN194654Burse, Julia LaToya 11004 55 Whitcher St, Suite 160 Marietta, GA 30060

1/1/2016Aseem Shrivastava, MD 70426RN194654Burse, Julia LaToya 12902 55 Whitcher St., Ste. 160 Marietta, GA 30060

6/1/2021LINDA MOORE MD 55849RN204468BURSEY, LAUREN GEETER 40196 3465 MACON RD SUITE D COLUMBUS, GA 31907

6/1/2019Joseph J. Kaplan, MD 44762RN204468Bursey, Lauren Geeter 41475 7901 Veterans Parkway Columbus, GA 31909

8/1/2012Michlene Broadney, MD 55207RN127607Burslem, Victoria Ann Henders 5080 11 Upper Riverdale Rd SW Riverdale, GA 30274

7/10/2019Arthur Chandler, MD 27513RN093515Burt, Victoria McShell 7739 1348 Walton Way, Suite 5100 Augusta, GA 30901

6/16/2019Alfred Brannen ll, MD 30584RN093515Burt, Victoria 15394 1350 Walton Way Augusta, GA 30901

9/25/2021Jeffrey Peretz 65780RN290673Burton, Adelaide 48532 5671 Peachtree Dunwoody Road, Suite 900 Atlanta, GA 303

1/15/2019Douglas Laipple 21410RN224288Burts, Ciera J 44280 2900 Chamblee Tucker Rd. Atlanta, GA 30341

Monday, August 1, 2022 Page 61 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/6/2019Timothy Lee Shelton, MD 59870RN217707Busey, Melanie A. 40854 716 East 71st Street Savannah, GA 31404

1/18/2022Collyn Steele, MD 66424RN256477Bush, Mikchelle 20115 3758 Hwy 42 Locust Grove, GA 30248

4/22/2019Eugene Charbonneau, DO 73481RN233049Bush, Michayala 41186 79 Holder Rd. Lumpkin, GA 31815

5/10/2021Bantwal Baliga, MD 56680RN060034Bush, Karon 16076 6440 West Hamilton Park Dr, (Ste A - 103) Columbus, GA 31

8/17/2020Jaqueline Owusu 55870RN233049Bush, Michayala 46075 146 CCA Road Lumpkin, GA 31815

2/3/2021Ifeoma Nnaji, MD 63931RN148840Bush, Kelly Otisha 13669 1300 Joseph E Boone Blvd Atlanta, GA 30314

11/30/2012Sethi, Kapil MD 27303RN069061Bush, Lisa 10487 1429 Harper St HF Augusta, GA 30912

8/1/2021Gerald Bohn 30957RN258283Bush, Kalie 46876 1520 Lucky Street Griffin, GA 30223

9/1/2015Michael Pinell, MD 58102RN060034Bush, Karon J Pearson 409 6440 W Hamilton Park Dr, Suite F Columbus, GA 31919

4/20/2016Brandi Weaver Warren, DO 61681RN160658Bussey, Schvon Yvette May 12244 809 11th Ave, Suite A East Cordele, GA 31015

6/1/2020Manisha Shroff 54125RN160658Bussey, Schvon 45694 198 Hampton St. McDonugh, Ga 30253

12/7/2020Ajitbh Pandey 60955RN160658Bussey, Schvon 45554 198 Hampton St. McDonough, Ga 30253

1/1/2020David Purselle 44312RN160658Bussey, Schvon 44479 4062 Peachtree Rd. NE Atlanta, GA 30319

9/10/2018Maria Juahar, MD. 62898RN217707Bussey, Melanie Ann 39887 100 Blue Fin Circle Savannah, Ga 31410

5/27/2020Eastlyn Harding-Marin 56841RN160658Bussey, Schvon 39004 15151 Alcovy Road Covington, GA 30014

5/20/2010James Drury, MD 48891RN178406Buswell, Catherine L. 8336 401 Old Albany Road Thomasville, GA 31799

1/1/2010Joan Harden, MD 48640RN156529Butler, Erin Brantley 8414 1862 Candler Road Decatur, GA 30032

4/5/2015Frank Cole, MD 28520RN156529Butler, Erin Brantley 419 101 Yorktown Drive Fayetteville, GA 30214

9/30/2009Muhammad Sheikh, MD 59195RN122940Butler, Jennifer Barnes 421 11973 Augusta Road Lavonia, GA 30553

5/7/2016Carlos Martinez, MD 31793RN096331Butler, Sheila Wilmore 9612 165 Emery Hwy, Suite 100 Macon, GA 31217

8/1/2014Edward Gotlieb, MD 14500RN184069Butler, Yentl C. 11608 5405 Memorial Dr., #D Stone Mtn., GA 30083

5/1/2019Faith Andrews, MD 44158RN155412Butler, Amanda Lynn 38861 455 Forest Parkway Forest Park, GA 30297

4/28/2021Piyosh Patel 53357RN129146Butler, Kathryn 20540 5965 Parkway North Blvd Suite C Cumming, GA 30040

4/29/2021Rodrigo Falcao 80719RN129146Butler, Kathryn 50630 5965 Parkway North Blvd, Suite C Cumming, GA 30040

3/13/2020Muhammad Abbasi 34834RN155412Butler, Amanda 46536 1775 Access Rd., #C Covington, Ga 30014

1/1/2020Amanda Cowan 50793RN093087Butler, Patricia 45527 5621 Hwy 21 South Rincon, Ga 31326

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2015Charles Campbell, MD 69772RN184069Butler, Yentl Camile 14098 86 South Cobb Dr, M20454 Marietta, GA 30063

12/11/2015Kashif Ahmed, MD 61547RN155412Butler, Amanda Lynn 14199 2200 Hwy 155 N McDonough, GA 30252

12/1/2019Barry Jones, MD 12495RN129146Butler, Kathryn Vargo 14219 5965 Parkway N Blvd Cummings, GA 30040

10/4/2012Eastlyn Harding-Marin, MD 56841RN184069Butler, Yentl 11095 3812 Salem Rd. Covington, GA 30016

1/1/2020Amanda Cowan, MD 50793RN093087Butler, Patricia 15318 5 Executive Circle Savannah, GA 31406

6/14/2019Laura Bleekrode, MD 34514RN106383Butler, Dionne Melaine 16654 102 Pilgram Village Dr, Ste 300 Cumming, GA 30040

3/1/2016Warren Henderson, MD 20734RN101454Butler, Deborah Lynn Duclos 18448 303 Smith St. LaGrange, GA 30240

3/1/2016Jonathan Gore, MD 36164RN101454Butler, Deborah 16550 6135 Roosevelt Hwy, PO Box 280 Warm Springs, GA 31830

5/19/2020Perry Hearn 28997RN227394Butts, Tara 45628 145 Peacock St. Cochran, Ga 31014

6/3/2019Mariha N. Feliciano, MD 74686RN227394Butts, Tara Leeann 42721 100 Frist Court Columbus, GA 31909

6/9/2015Roger Brooksbank, MD 68120RN149469Byars, Terri 11115 501 Redmond Rd. Rome, GA 30165

6/28/2013Styderek, Robert MD 41491RN149469Byars, Terri 10047 504 Redmond Road Rome, GA 30165

2/21/2014William Bohlke, MD 37490RN144570Byczkoski, Christy Natasha 425 128 Parker Ave Brooklet, GA 30415

2/28/2022Brian Deloach, MD 51216RN144570Byczkoski, Christy Natasha 13632 984 Plant Drive Statesboro, GA 30458

9/21/2020Debora Lamonica 79203RN257510Byerly, Kayla 47338 20 Hernell Road Villa Rica, GA 30180

4/19/2021Sherry Taylor Akers 38630RN257510Byerly, Kayla 55537 523 Dixie Street Carrollton, GA 30117

7/29/2020Tangela Atkinson 77534RN101464Byers, Dawn 47856 176 Charles Hardy Parkway, Unit C Hiram, GA 30141

6/23/2014LaRoy Penix, MD 49080RN221894Byers, Ann Marie 12331 743 Spring St Gainesville, GA 30501

2/11/2020Shelley A. Griffin, MD 16238RN149798Byrd, Jenifer J. 11166 305 Jones Ave. Waynesboro, GA 30830

2/17/2021Marga B. Ngwang, MD 70328RN228964Byrd, Deaudrey Stokes 40750 26 Tower Rd. Marietta, GA 30060

2/28/2019Jennifer P. Robinson 51369RN228964Byrd, Deaudrey Stokes 44256 156 Pine Knoll Drive Carrollton, GA 30117

1/1/2010Mahaveer C. Vakharia, MD 38390RN179366Byrd, Mary Elizabeth 428 4171 Marietta Street Powder Springs, GA 30127

11/5/2014Dawn Wilson, MD 47279RN198706Caballero, Lorena Maria 13079 197 14th St NW, Suite 100 Atlanta, GA 30318

5/24/2019Perez, Pablo MD 47502RN206214Caban, Mariana 10196 1102 West Waugh Street Dalton, GA 30720

1/4/2019Susanna Meredith, MD 62561RN212474Cabe, Carolyn Rose 14118 101 Harrison Industrial Blvd, Ste C Vidalia, GA 30474

1/30/2017Brian Kogon, MD 53322RN146346Cabrera, Maria Elena 10993 1405 Clifton Rd Atlanta, GA 30322

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/21/2018Emmett Mckenzie, MD 77274RN146346Cabrera, Maria 20531 1405 Clifton Road Atlanta, GA 30322

1/3/2022Kirk R. Kanter, MD 30631RN146346Cabrera, Maria 43085 1405 Clifton Road Atlanta, GA 30322

7/12/2012Paul Kirshbom, MD 51593RN146346Cabrera, Maria Elena 430 1405 Clifton Rd Atlanta, GA 30322

3/30/2022Jesus Vazques-Figueroa 77220RN200662Cabrera, Cintia 60051 7887 Roswell Road, Suite B, C Sandy Springs, GA 30350

9/1/2020Neil Khan 30489RN187257Cadet, Jean 46215 1000 Medical Center Blvd Lawrenceville, Ga 30046

12/31/2018Muhammad Ahmed 61687RN187257Cadet, Jean F. 41109 709 Breedlove Drive Monroe, GA 30655

5/7/2019Mehmood Mehdi 57725RN187257Cadet, Jean Fritznel 41334 367 Athens Hwy (Suite 1800) Loganville, GA 30052

6/1/2019Robert Norniella, MD 65289RN187257Cadet, Jean Fritznel 21281 1353 Jennings Mill Rd. Suite B Watkinsville, GA 30677

7/1/2016Valencia Burruss, MD 41745RN149820Cadle, Harriet 16276 1735 S Hwy 27 Carrollton, GA 30117

6/28/2015Yolanda Wade, MD 58345RN149820Cadle, Harriet Eyvonne 13873 1735 S. Hwy 27 Carrolton, GA 30117

6/15/2016Priya BayyaPureddy, MD 55177RN149820Cadle, Harriet Eyvonne 17467 3850 Wintermere Pkwy, Ste 105 Cumming, GA 30041

6/4/2019William Snell 24495RN149820Cadle, Harriet 20332 777 Franklin Gateway SE Marietta, GA 30067

11/30/2019Antonio V. Baute, MD 19142RN149820Cadle, Harriet E. 42642 40 Fox Chase Cartersville, GA 30120

11/1/2007Eduardo Montana, Jr., DO 35954RN149820Cadle, Harriet Eyvonne 432 3221 Unit 1810 S Cherokee Lane Woodstock, GA 30188

11/14/2019Donald Van Baker, MD 46667RN144793Caesar, Andrea 16504 745 Poplar Rd Newnan, GA 30265

4/1/2015Gregory Zakers, MD 49847RN083997Cahill, Mary E 435 4711 Peachtree Industrial Blvd. Suite B Norcross, GA 30092

8/9/2018Matthew E. Hardy, MD 77830RN278807Cahn, Dawn M 42624 1700 Mulkey Road Austell, GA 30106

7/1/2018Eseovhe A Egborge, MD 77128RN229307Caiafa, Lisa M 42183 1600 Kennesaw Due West Road NW Kennesaw, GA 30152

11/12/2019Arthur Yancey 36909RN229307Caiafa, Lisa 43740 745 Memorial Drive Atlanta, GA 30316

7/26/2021Lekshmi Kumar 64083RN229307Caiafa, Lisa 47497 745 Memorial Drive Atlanta, GA 30316

3/26/2021Michael Pinell 58102RN229307Caiafa, Lisa 50739 600 Celebrate Life Parkway Newnan, GA 30265

9/14/2009Larisa Bradford, MD 57050RN054027Cain, Trina Renee 437 706 South Wall Street Calhoun, GA 30701

1/1/2016Snell, William DO 24495RN054027Cain, Trina 10146 880 Canton Road, Ste 300 Marietta, GA 30152

1/4/2019Divina N. Dyer, MD 57161RN054027Cain, Trina Renee 42669 1020 Barrow Industrial Parkway Winderr, GA 30680

10/28/2016Terrence Frinks, MD 51042RN054027Cain, Trina Renee 19166 165 Winston Dr. Athens, GA 30607

11/28/2016Anon Westmoreland, MD 13534RN054027Cain, Trina Renee 19170 2560 Flintridge Rd. Gainesville, GA 30301

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/28/2016Robert Klassen, MD 34385RN054027Cain, Trina Renee 19178 2560 Flintridge Rd. Gainesville, GA 30301

2/5/2019Kirpich Joseph, MD 54904RN054027Cain, Trina Renee 19202 490 Kathwood dr. Athens, GA 30607

11/29/2016Edwin Hendricks, Jr., DO 22153RN054027Cain, Trina Renee 18217 205 Peach Orchard Rd. Baldwin, GA 30511

6/3/2019Dillon Miller 67508RN274327Calabro-Payne, Antonia Lyn 44417 101 Riverstone Vista (Suite 111) Blue Ridge, GA 30513

3/19/2019Albert Scott, MD 32293RN217904Calano, Diana 42253 2633 N Decatur Rd Decatur, GA 30033

6/6/2020Aziz Pirani, MD 61934RN205092Caldwell, Martha Elia Reyes 40479 4025 Lawrenceville Hwy, (Suite A) Lilburn, GA 30047

3/7/2018Kevin Smith, MD 57272RN115517Caldwell, Cindy M. 13526 2410 Sylvester Rd. Albany, GA 31750

2/1/2020Jorge Pisarello, MD 58914RN115517Caldwell, Cindy M. 16885 701 N. Slappey Blvd Albany, GA 31701

5/24/2021Wael Azer, MD 73935RN115517Caldwell, Cindy 16380 2000 Palmyra Rd Albany, GA 31701

3/7/2018Lisa Amodio, DO 67272RN115517Caldwell, Cindy 12303 417 Third Avenue Albany, GA 31701

3/7/2018Smith, Christopher MD 20820RN115517Caldwell, Cindy 10699 401 Fourth Avenue Albany, GA 31701

3/7/2018Joseph Stubbs, MD 24105RN115517Caldwell, Cindy M. 9696 2402 Osler Court Albany, GA 31707

11/18/2014Roy Reardon, MD 42402RN115517Caldwell, Cindy M. 438 210 W. Main Street, Suite 4 Colquitt, GA 39837

3/30/2014Lawson, Dale MD 54233RN115517Caldwell, Cindy 10009 2000 Palmyra Rd Albany, GA 31707

3/7/2018Vito Bagnato, MD 45711RN115517Caldwell, Cindy M. 9702 810 13th Ave Albany, GA 31701

3/7/2018Joseph Burnette, MD 33286RN115517Caldwell, Cindy M. 9704 401 Fourth Ave Albany, GA 31701

7/15/2019Chandresn Viradia, MD 53050RN221321Calhoon, Gwendolyn Spivey 16883 230 Sheraton Blvd Suite A Macon, GA 31210

9/1/2014Thompson, Jonathan MD 52646RN069645Calhoun, Sherry 10625 1012 Burleyson Road Dalton, GA 30720

4/5/2022Michael Banov, MD 37945RN072598Calhoun, Cathleen 8053 108 Margaret Avenue Marietta, GA 30060

12/1/2008Mark Elam, MD 36147RN069645Calhoun, Sherry Jo Manley 439 808 Professional Blvd Dalton, GA 30720

11/1/2019Glen Iannucci, MD 64569NCalkins, Caitlin Elora 20945 5461 Meridian Mark Rd. ste. 530 Atlanta, GA 30342

11/21/2017Santana Das, MD 42560RN150230Callahan, Kimberly 20977 1049 N. Houston Rd Warner Robins, GA 31093

11/1/2018Dennis Spencer Jr, DO 47663RN150230Callahan, Kimberly Anne 13427 1077 South Main St. Madison, GA 30650

2/15/2013Roshni Patel, MD 57141RN150230Callahan, Kimberly Anne 9528 1645 Tullie Cir Atlanta, GA 30329

10/30/2009Rayna Jobe, MD 60386RN150230Callahan, Kimberly Anne 8363 805 Sandy Plains Road Marietta, GA 30066

1/9/2016Patrick Spafford, MD 38971RN141273Callison, James Robert 440 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/11/2017Marc Harrigan, MD 56719RN141273Callison, James Robert 18824 455 Nathan Dean Blvd. Dallas, GA 30132

5/25/2018Obaid Rehman, MD 44990RN238936Calloway, Shelby Elizabeth 20586 11700 Mercy Blvd. Plaza D, Bldg. 5 Savannah, GA 31419

12/7/2017Niruopama Natarajan, MD 66723RN226129Calvert, Helen 14552 1640 Powers Ferry Rd Bldg 9, Ste 330 Marietta, GA 30067

3/1/2014Mehrdad Seilanian Toosi, MD

67089RN221721Calvert, Angela Mary 11889 200 South Enota Dr, Suite 200 Gainesville, GA 30501

2/13/2022Steve Garst 48047RN289646Calvert III, Robert 56571 3540 North Cobb Pkwy Acworth, GA 30101

5/12/2021Gabriel Obofre 56904RN218393Cameron, April 52423 424 Decatur Street Atlanta, GA 30312

5/17/2021Vahid Yeganeh 83609RN258034Cameron, Heather 53444 50 Kelly Road McDonough, GA 30253

4/6/2020Patricia Kelly, MD 48528RN218393Cameron, April Camille 17807 424 Decatur St. Atlanta, GA 30312

9/10/2021Lionel Meadows, MD 45550RN217901Camp, Nicole Jane 20120 2725 Mall of Georgia Blvd Buford, GA 30519

2/5/2021Daniel J. Green, MD 53230RN190551Campbell, Jimmy Rex Jr. 42897 865 South 1st Street Jesup, GA 31545

8/3/2019Michele Henson, MD 73306RN272845Campbell, Kathryn 43898 143 Canal St Suite 200 Pooler, Ga 31322

5/28/2021Moneer Sohail, MD. 45339RN190551Campbell, Jimmy Rex 39777 116 West Thigpen Ave. Lakeland, Ga 31635

9/28/2018Melissa A. Behm, MD 64764RN272845Campbell, Kathryn B. 41227 2 Wheeler Street Savannah, GA 31405

12/16/2016Timothy Cowthorne, DO 51031RN216071Campbell, April Nicole 16752 3240 Avalon Blvd Conyers, GA 30013

2/27/2016Robert Mullins, MD 49835RN077336Campbell, Lisa Owens 14059 3675 J. Dewey Gray Circle, Ste 300 Augusta, GA 30909

9/30/2013Jillella, Anand MD 33843RN077336Campbell, Lisa 10485 1120 15th Street, Ste BA=54-7 Augusta, GA 30912

9/2/2016Barbara Weissman, MD 32082RN135678Campbell, Jennifer Guerrero 12846 1605 Chantilly Dr. NE, Ste 300 Atlanta, GA 30324

6/30/2018Mark Lewis, MD 35932RN190551Campbell, Jimmy Rex 12818 865 South 1st St Jesup, GA 31545

6/17/2005E. Wynn Kallay, MD 27395RN145376Campbell, Jennifer M. Silas 445 550 Professional Drive Macon, GA 31201

10/15/2014Denise Workman, DO 50693RN149456Campbell, Joyce E 446 55 Cantrell Rd. Cleveland, GA 30528

11/9/2011Patricia Nevius, MD 25648RN088648Campbell, Karen Jo 447 2155 Post Oak Tritt Road, Suite 100 Marietta, GA 30062

10/25/2009David Hart, MD 40682RN179027Campbell, Kimberly Michael 448 2959 Sharpsburg McCollum Road Newnan, GA 30265

12/26/2018Smith, Jason MD 52635RN145376Campbell, Jennifer 10263 5300 Bowman Road Macon, GA 31210

8/28/2015Vicente Galan, MD 28685RN198068Campbell, Melissa Anne 8969 1365 Rock Quarry Rd, Suite 304 Stockbridge, GA 30281

3/29/2022Karen Kinsell 42630RN226960Campbell, Wahkitha 59156 1408 Tallahassee Highway, Suite 2 Bainbridge, GA 39819

Monday, August 1, 2022 Page 66 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/25/2010Andre Feria, MD 48513RN201888Campbell Dunlap, Jane Lynn 8551 142 Old Mill Road LaGrange, GA 30241

1/5/2021Jeffrey Dowis 68199RN264107Campbell III, James 49279 196 Ridgecrest Circle Clayton, GA 30525

1/5/2022Promise Chidi 78444RN190551Campbell Jr., Jimmy 54603 2122 Manchester Expy Columbus, GA 31904

9/8/2021David Samuels 49521RN264107Campbell, III, James 57775 19 Lester Road Statesboro, GA 30458

10/15/2021Gail Knight 71139RN190551Campbell, Jr., Jimmy 57645 1514 Vernon Road LaGrange, GA 30240

6/18/2020Charity Uhunmwangho 60332RN249642Campbell-Ellis, Sheryl Sarah-Ma 44154 1215 George C. Wilson Drive (Suite B3) Augusta, GA 30909

9/4/2021Brinkley Goodson 24680RN285882Candy, Marie 49029 4864 Jimmy Carter Blvd, Suite 203 Norcross, GA 30093

5/7/2021DARYL MCCARTNEY MD 68067RN221018CANNADY, KYLE 39573 215 N COLEMAN STREET SWAINSBORO, GA 30401

3/20/2017Vijitha Prasad, MD 40520RN221018Cannady, Kyle Ashton 17356 117 Kite Rd Swainsboro, GA 30401

10/16/2015Amy Clemons, MD 57058RN221018Cannady, Kyle 16059 380 Cedar St Metter, GA 30439

8/31/2017Loy D. Cowart III., MD 37979RN221018Cannady, Kyle Ashton 20031 380 Cedar St. ste. B Metler, GA 30439

8/26/2020Dennis Spencer, DO 47663RN216311Cannington, Sara Danielle 38680 1077 South Main Street Madison, GA 30650

10/26/2017Madhavi Devaraju, MD 58737RN263318Cannington, Michelle Lee 20496 2700 Abbey Court Alpharetta, GA 30004

12/31/2018Leo Noragbon, MD 60014RN051954Cannon, Robert D 13778 227 Mountain Dr. Dahlonega, GA 30533

11/2/2017Gina Maxey, MD 56136RN139742Cantrell, Jennifer Suzanne 13987 1862 Auburn Rd, Ste 107 Dacula, GA 30019

2/22/2013Robert David Thomson, MD 47166RN166999Cantrell, Jennifer Suzanne 2147 3619 Braselton Hwy, Suite 103 Dacula, GA 30019

8/1/2016Valencia Burruss, MD 41745RN253033Cantu, Jacquelyn Norah 18120 815 Shugart Rd Dalton, GA 30720

12/30/2020William Tidmore Jr. 41978RN186163Caoile, Michael 53443 2412 North Oak Street Valdosta, GA 31602

6/10/2022Saikiran Raghavapuram 85554RN186163Caoile, Michael 55137 2417 N. Patterson Street, Suite A110 Valdosta, GA 31602

5/1/2016R. Brian Raybon, MD 38339RN101692Cape, Wanda Ivy 5136 79 Doyle St Toccoa, GA 30577

5/14/2019Anuj Manocha, MD 45876RN202396Capps, Lindsay 21032 711 Canton Road, Suite 300 Marietta, GA 30060-8949

9/23/2019George Rafeedie, MD 67591RN176831Carasick, Terry Apt 19322 1395 S. Marietta Pkwy, Bldg 750, Ste 730 Marietta, GA 3006

9/3/2016Alan Wang, MD 48017RN176831Carasick, Terry A. 16700 601 Northolt Pkwy Suwanee, GA 30024

6/25/2015Glenn Heigerick, DO 24947RN176831RN176831

Carasick, Terry Apt 13965 615 B Beaver Ruin Rd. Lilburn, GA 30047

3/29/2019Margot B. Cseley, MD 20523RN176831Carasick, Terry A. 11347 78 Atlanta St. Marietta, GA 30060

Monday, August 1, 2022 Page 67 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2018David Turfler, MD 29255RN222316Carelock, Eric Wayne 39091 209 S. Tallahassee St. Hazelhurst, GA 31539

7/1/2019Azif Safarulla, MD 71629RN130455Carey, James 41556 1120 15th Street Augusta, GA 30912

12/31/2021Joy Smith, ND 38968RN168656Cargill, Martha Nadine 20524 35 Jessier Hill Jr. Drive Atlanta, GA 30303

10/15/2016Ann-Marie Brooks, MD 56806RN235965Cargill, Martha Nadine 18846 35 Jesse Hill Jr. Dr. Atlanta, GA 30303

7/30/2018Ifeoma Eke, MD 52350RN140886Cargill, Martha Nadine 14097 1510 Hudson Bridge Rd. Stockbridge, GA 30281

2/15/2013Roshni Patel, MD 57141RN168656Cargill, Martha Nadine 9320 1645 Tullie Circle Atlanta, GA 30329

7/2/2010Ann-Marie Brooks, MD 56806RN168656Cargill, Martha Nadine 7939 35 Jesse Hill Jr Dr Atlanta, GA 30303

10/6/2015John Cheng, MD 53117RN168656Cargill, Martha Nadine 11693 1645 Tullie Circle Atlanta, GA 30329

11/7/2018Santanu Das, MD 42560RN274433Caristi, Laura 39566 1049 N. Houston Rd. Warner Robins, GA 31093

10/23/2019Melissa Magill 57218RN274433Caristi, Laura 44276 297 Cooper Road Loganville, GA 30052

6/19/2020Thomas E. Hurd, MD 27070RN178335Carlile, Ashley D. 40251 15 Medical Drive (Suite 301) Cartersville, GA 30121

10/4/2011Noreen Andrews, MD 46861RN178335Carlile, Ashley Dawn 9610 3720 South Rockbridge Rd Stone Mountain, GA 30087

10/26/2018Arun Krishnamoorthy 75817RN169458Carlson-Wrammert, Kathryn An 859 1968 Peachtree Road, NW Atlanta, GA 30309

10/31/2019Nneka Unachukuu 61715RN202283Carlton, Amanda 44991 603 Old Norcross Rd., Ste. A Lawrenceville, Ga 30046

3/1/2020Anna B Tanner, MD 47669RN202283Carlton, Amanda Lee 42201 6600 Peachtree Dunwoody Rd Atlanta, GA 30328

5/4/2018Georga Stickney, MD 54128RN202283Carlton, Amanda 15951 601 A Professional Dr Lawrenceville, GA 30046

6/23/2015Ashley Stolle, MD 52097RN202283Carlton, Amanda 11066 601-A Professional Dr., Ste 370 Lawrenceville, GA 30046

5/27/2022Veronica Garrett, MD 39106RN220301Carmain, Kristina Nichole 17664 1415 Milstead Rd, Ste A Conyers, GA 30012

7/3/2012Alexander, Diane MD 34996RN171371Carman, Catherine 10464 5670 Peachtree Dunwody Road, Ste 820 Atlanta, GA 30342

8/10/2010George Raschbaum, MD 50252RN171371Carman, Catherine Michelle 460 5455 Meridian Mark Rd, Suite 570 Atlanta, GA 30342

5/19/2016Paula Nelson, MD 41913RN171898Carmon, Mary Jansson 17466 650 Henderson Dr, Ste 502 Cartersville, GA 30120

5/18/2018MARK CHASTAIN MD 48995RN171898CARMON, MARY 40536 835 COGBURN AVE SITE 100 MARIETTA, GA 30060

4/14/2016James Campagna, MD 33806RN117177Carnegie, Serenia Porter 9306 2418 North Oak St, Suite B-1 Valdosta, GA 31602

1/18/2008Terry B. Tri, MD 38991RN117177Carnegie, Serenia Porter 462 2301 North Ashley Street Valdosta, GA 31602

11/23/2016Sandy Jun, MD 37005RN084947Carnes, Betty Darlene 463 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

1/4/2021Ayman Fareed 58740RN168354Carney, Julie 48175 330 Mt. Sinai Drive Dahlonega, GA 30533

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/2/2015Sreekanth Reddy, MD 49476RN168354Carney, Julie Freeman 13136 1505 Northside Blvd, Ste 4600 Cumming, GA 30041

5/16/2018Joshua Garrett, MD 58866RN168354Carney, Julie Freeman 18491 541 Historic Hwy 441 Demorest, GA 30535

12/31/2020Abiodun Olatidoye 48556RN282977Carollo, Kim 44798 6507 Professioinal Place Riverdale, Ga 30274

7/1/2020Deborah Griffiths, MD 35888RN169432Caron, Jason 464 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

4/21/2011Bruce Gioia, MD 38774RN109260Carpenter, Barbie Jenine Hackle 465 247 S. Main St Reidsville, GA 30453

1/31/2020Jennifer McNear 76642RN148979Carpenter, Lisa Rene'e 43409 2260 Wrightsboro Road Augusta, GA 30904

4/19/2019Stephen A. Dawkins, MD 33066RN216572Carpenter, Cherise 40853 145 North Ave.NE Atlanta, GA 30308

7/24/2017Dominik Kissing, MD 64125RN095425Carpenter, Deborah 16218 1628 Market Place Blvd Cumming, GA 30041

1/30/2012Tressa Scineaux, MD 49499RN095425Carpenter, Deborah Elizabeth B 9439 1616 Market Place Blvd Cumming, GA 30041

7/1/2015Gerber, Alan MD 58672RN095425Carpenter, Deborah 10503 2069 Teron Trace Dacula, GA 30019

3/1/2017Davis, Mitchell MD 35030RN120116Carpinello, Jeniffer 10488 200 E.Enota Drive, Ste 200 Gainesville, GA 30501

1/1/2012Brenda Hott, MD 41441RN120116Carpinello, Jeniffer Carol Culber 469 200 S Enota Dr, Ste 200 Gainesville, GA 30501

6/6/2022Marc Harrigan 56719RN287062Carpio, Natasha 58198 101 Regency Park Drive, Suite 110 McDonough, GA 30253

3/31/2011Sharon Lynch-Miller, MD 42342RN121940Carr, Margery McMichael 5081 11 Upper Riverdale Rd SW Riverdale, GA 30274

4/30/2010Stewart Grizzard, MD 43948RN026518Carr, Gwendolyn Jane Conner 470 136 W. Dykes Street Cochran, GA 31014

5/20/2009Irandathy Rodrigo, MD 42715RN026518Carr, Gwendolyn Jane Conner 8474 2522 Cruse Road, Suite C-2 Lawrenceville, GA 30044

1/31/2013Raja Ram, MD 38922RN026518Carr, Gwendolyn Jane Conner 9818 475 Philip Blvd, Suite 100 lawrenceville, GA 30046

10/24/2020Richard Robinson, MD 38936RN121940Carr, Margery McMichael 14135 3240 Avalon Blvd Conyers, GA 30013

4/30/2011Meena Shah, MD 21464RN026518Carr, Gwendolyn Jane Conner 9145 475 Phillip Blvd, Suite 100 Lawrenceville, GA 30046

6/14/2016David Fieseler, MD 17756RN180724Carr, Brandy Elizabeth 17937 1401 South Main St. Moultrie, GA 31768

7/2/2018Parviz Brahman, MD 66576RN180724Carr, Brandy Elizabeth 19390 1401 South Main St. Moultrie, GA 31768

8/3/2016Scott Waguespack, MD 63014RN180724Carr, Brandy Elizabeth 17982 1401 South Main Street Moultrie, GA 31768

5/31/2013Nandana Reddy, MD 55641RN026518Carr, Gwendolyn Jane Conner 11892 6002 Hwy 53 East, Suite 100 Dawsonville, GA 30531

12/15/2019Brent A. Savelli, MD 44086RN180724Carr, Brandy 42557 39 Kent Road (Suite 1) Tifton, GA 31794

12/1/2016Paul Grimm, MD 59916RN180724Carr, Brandy Elizabeth 18774 1401 South Main Street Moultrie, GA 31768

4/17/2020Mark Smith 37908RN238860Carr, Bradley 47737 820 Saint Sebastian Way, Suite 8A Augusta, GA 30901

Monday, August 1, 2022 Page 69 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/16/2021Keith C. Buchanan 40625RN212240Carranza, Michelle D. 41459 1000 Medical Center Blvd. Lawrenceville, GA 30046

5/31/2020Candice Wallace, MD 30918RN151657Carrega, Timothy Norman 12282 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

4/21/2016Edward Minor, MD 45095RN179832Carringer, Shannon Selina 16357 2100 Comer Ave. Columbus, GA 31901

7/16/2020Lucas Golub 74186RN216330Carroll, Stephanie 52305 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

6/1/2021William T. Mahle, MD 50110RN198991Carroll, Mallory Erin 11625 1405 N. Clifton Rd. Atlanta, GA 30322

10/31/2021Jose Justiniano-Ayala, MD 46773RN091674Carson, Jasmine Denise 14882 11638 Hwy 27, Ste 8 Summerville, GA 30747

1/1/2017Douglas Laipple, MD 21410RN165081Carstarphen, Tracy Andrea 17174 2849 B Henderson Mill Rd Atlanta, GA 30341

3/30/2018Muhammad Ahmed, MD. 61687RN165081Carstarphen, Tracy Andrea 40361 709 Breedlove Drive Monroe, Ga 30655

4/29/2021Sanjay Singh 84142RN165081Carstarphen, Tracy 49261 15151 Alcovy Rd Covington, GA 30014

1/31/2019Alison B. Baker, MD 53490RN165081Carstarphen, Tracy Andrea 42743 1029 Peachtree Parkway N (Suite 341) Peachtree, GA 30269

5/24/2022Shahzad Hashmi, MD 53239RN175133Carswell, Chasity Jana' 18211 311 Gwinnett Dr. Lawrenceville, GA 30046

9/13/2016Timothy Graves, MD 26859RN145535Carswell, Tiffany 15768 770 Walnut St Macon, GA 31201

11/1/2015Salim Osta, MD 15631RN047967Carter, Michael A. 9401 1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524

1/23/2015Brendan Groarke, DO 50172RN172705Carter, Stephanie Ann 13043 1199 Prince Ave Athens, GA 30606

7/28/2018Charles Cowart, MD 29161RN176239Carter, Shanda DeLeice Harper 16456 205 Shirley Ave Douglas, GA 31533

12/31/2017Jarod Bailey, DO 65629RN187228Carter, Byron 16338 413 Pendleton Place Valdosta, GA 31602

7/27/2020Omari Hodge, MD 70459RN186538Carter, Kariba DeJuanshae 13344 2945 Panola Rd. Lithonia, GA 30038

3/30/2021Sheryl Canady, MD 50999RN196324Carter, Tara Lynette 19249 564 Crosstown Dr. Peachtree City, GA 30269

6/12/2019Eric Zarandy, DO 75419RN186538Carter, Kariba 21033 2945 Panola Road Lithonia, GA 30038

10/3/2019David Nussbaum, DO 67697RN233001Carter, Brittany 44059 303 Fraser Dr Hinesville, GA 31313

4/30/2018Rosalind Womack, MD 72171RN233001Carter, Brittany Loretta 38745 502 E. General Stewart Way ste. A Hinesville, GA 31313

11/19/2021Kevin Joseph Winders 42145RN235704Carter, Leah Jean 43671 635 Stephenson Avenue Savannah, GA 31405

7/12/2017Josephine Dunagan, MD 15553RN232150Carter, Amanda Jane 19058 1700 Tree Lane, ste 110 Snellville, GA 30078

4/3/2022William Barnes 26449RN198543Carter, Maria 48969 4660 Riverside Park Blvd Macon, GA 31210

12/6/2018Robert Morgan, MD 31639RN233001Carter, Brittany 40424 502 E. General Stewart Way (Suite A) Hinesville, GA 31313

3/30/2020Amanda Herin 50152RN186538Carter, Kariba 45438 1412 Milstead Ave. NE Conyers, Ga 30012

Monday, August 1, 2022 Page 70 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/16/2011Margret Thorhallsdottir, MD 64286RN155084Carter, Mary Kelly 9597 1825 Martha Berry Blvd Rome, GA 30165

9/30/2013Timothy Connor, MD 39549RN155084Carter, Mary Kelly 9727 1825 Martha Berry Blvd Rome, GA 30165

9/1/2010Lewis Litwack, MD 61981RN047967Carter, Michael A. 8659 1131 Chapel Crossing Rd, TRL 759 Glynco, GA 31524

6/19/2013Carlos Zayas-Montalvo, MD 36668RN135657Carter, Janis Kristine 478 1968 Peachtree Rd. NW Bldg 77 5th Flr Atlanta, GA 30309

4/15/2008Juanita Lott, MD 19847RN047967Carter, Michael A 479 418 E H Court Brunswick, GA 31520

9/2/2010Tom Willis, Jr., MD 10695RN047967Carter, Michael A. 8223 1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524

6/19/2012Theron Thompson, MD 51772RN155084Carter, Mary Kelly 9966 1825 Martha Berry Blvd Rome, GA 30165

9/22/2021Bih Tambi 82310RN235704Carter, Leah 57521 700 Commercial Court, Suite 201 Savannah, GA 31406

11/19/2021Athena Sotus-Nawar 31512RN271092Carter, Quinshunda 57486 160 Clairemont Ave., Suite 445 Decatur, GA 30030

5/29/2020Shaila Day 78186RN186538Carter, Kariba 48170 1412 Milstead Ave NE Conyers, GA 30012

9/15/2019Ronnie Blount 39735RN218440Carter-Sims, Linda 47339 125 1st Street, Suite A Macon, GA 31201

9/18/2018Donell D. Collins, II, MD 74241RN072622Cartledge, Tracy Ann 42684 1834 Clairmont Rd. Decatur, GA 30033

7/1/2020Woody Francis, MD 48325RN072622Cartledge, Tracy Ann 12997 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

3/1/2018Peter Steckl, MD 36296RN072622Cartledge, Tracy 13798 235 Peactree St. North Tower Ste.2100 Atlanta, GA 30303

3/21/2022Gordon Azar, MD 31380RN279969Cartmell, Stacy 43758 1285 Upper Harbon Rd Roswell, Ga 30076

1/9/2021William Lambert, MD 35926RN044369Carusi, Gloria Jean 482 110 Lloyd Ave Tyrone, GA 30290

6/3/2020Shannon B. Ellis 73702RN206651Carver, Kristen Dawn 1175 111 Colonial Way Jesup, GA 31545

9/29/2020Christopher Mathews 49133RN206651Carver, Kristin 52357 14089 Abercorn Street Savannah, GA 31419

5/15/2014Shyam Gupta, MD 63784RN114781Casaday, Julie Choe 12958 3807 Clairmont Rd, Suite 2008 Chamblee, GA 30341

3/21/2017Raushamah Hud-Aleem, DO 62999RN114781Casaday, Julie Choe 12783 3110 Clifton Springs Rd Dacatur, GA 30034

6/1/2020Joseph Bona, MD 43331RN114781Casaday, Julie Choe 13310 3807 Clairmont Rd, Suite 2008 Chamblee, GA 30341

11/27/2014Karla Shore, MD 51266RN114781Casaday, Julie Choe 13311 3807 Clairmont Rd, Suite 2008 Chamblee, GA 30341

9/1/2013D. S. Siddappa, MD 21810RN114781Casaday, Julie Choe 8266 3110 Clifton Springs Rd, Suite B Decatur, GA 30034

12/23/2020Athena H. Sotus-Nawar, MD 31512RN114781Casady, Julie Choe 38840 450 Winn Way Decatur, GA 30030

7/15/2020Joe W. Bateman, MD 51019RN139341Casbourne, Daniela J. 11317 1360 Upper Hembree Rd., Ste 100 Roswell, GA 30076

Monday, August 1, 2022 Page 71 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2012Verlia Gower, MD 38499RN196209Case, Kimberly Lynne 9409 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

2/14/2022Amitabh Kumar 81907RN206908Caserio, Lauren 57618 2740 Ray Knight Way, Suite 100 Albany, GA 31707

1/31/2020Lewis Earnest 62684RN210468Casey, Kellie Elizabeth 39195 1230 Baxter Street Athens, GA 30606

2/20/2017Ashok Kancharla, MD 48250RN210468Casey, Kellie 15944 1061 Dowdy Rd Athens, GA 30606

12/10/2018Richard Robinson, MD 38936RN159440Cash, Alecia 11134 3240 Avalon Blvd Conyers, GA 30013

11/26/2012Hinchcliffe, Annette 42607RN138794Casheba, Janet 10267 6300 Hospital Pkwy, Suite 125 Johns Creek, GA 30097

3/11/2016James Thomsen, MD 34485RN138794Casheba, Janet L. 11311 5455 Meridian Mark Rd., Ste 130 Atlanta, GA 30342

3/30/2021Stephen Skidmore 80578RN211173Cashen, Jana Lynn 44167 1514 Vernon Road LaGrange, GA 30240

3/25/2020James Sinnott 35336RN225887Cashwell, Jessica 47849 112 Mimosa Drive Thomasville, GA 31792

2/16/2016Walter Ingram, MD 31766RN130675Cason, Evelyn Maria 9378 80 Jesse Hill Dr, Suite 3B Atlanta, GA 30303

2/12/2022William Norris Little, MD 24288RN115513Cassara, Pamela Sue 11783 104 Moore St. Oxford, GA 30054

7/19/2012William Delp, DO 17791RN115513Cassara, Pamela Sue 487 4589 Lawrenceville Road Loganville, GA 30052

3/29/2021Madeline Santos Vega, MD 74351RN247812Cassell, Krista 38777 140 Merrell Street Cusseta, GA 31805

1/1/2022Marvin Nix, MD 60227RN216124Castano, Olga Lucia 15279 3950 Austell Rd Austell, GA 30106

2/1/2019Gulshan Harjee, MD 26865RN210714Castellano, Jocelyn Angeles 19078 2536 Lawrenceville Hwy Decatur, GA 30033

4/2/2013James Lantz, Jr, MD 28028RN150641Castle, Karen Reese 8555 8820 Hospital Drive Douglasville, GA 30134

1/1/2022Sheldon Brown 83417RN153122Castlin, Rena 51246 940 C GA Hwy 96 Warner Robins, GA 31088

4/14/2020Jaymal Patel 50984RN153122Castlin, Rena 45122 801 W. Gordon St. Thomaston, Ga 30286

4/14/2020Jaymal Patel 50984RN140474Castlin, Rena 49217 940 C GA Hwwy 96 Warner Robins, GA 31088

6/21/2020Druenell Linton 58271RN276663Cate, Victoria 49254 1301 Sigman Road, NE, Building A, Suite 200 Conyers, GA 30

7/12/2018J. David Waller, MD 37415RN276663Cate, Victoria 40163 115 31st Avenue Moultrie, GA 31768

1/24/2022Bruce Ramsdell 18722RN238585Cathey, Billie 54643 2941 Piedmont Road NE, Suite B Atlanta, GA 30305

8/20/2010Anthony Mark Landis, DO 21733RN172224Catlin, Theresa Lynn 490 600 Professional Drive, Ste 210 Lawrenceville, GA 30045

7/1/2011Virginia Sharron Jones, MD 45847RN041402Catrett, Judy Hallman 491 18 S. Broad St Butler, GA 31006

2/28/2013Alvarez, Ricardo MD 52876RN041402Catrett, Judy 10219 131 6th Avenue East Buena Vista, GA 31803

10/6/2011William Catrett, MD 14471RN041402Catrett, Judy Hallman 9924 365 Geneva Rd Buena Vista, GA 31803

Monday, August 1, 2022 Page 72 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/12/2021John Byers, MD 50076RN208966Catrett, Sara 41691 2300 Manchester Expressway, Suite 2001 Columbus, GA 319

8/1/2019Daniel Singleton, MD 68857RN041402Catrett, Judy Hallman 12755 131 East 6th Ave Buena Vista, GA 31803

3/31/2014Allison Turk, MD 63037RN159917Caudell, Jennifer Carol 12786 110 S Chestatee St Dahlonega, GA 30597

2/4/2015Robert Nelson, MD 65037RN159917Caudell, Jennifer Carol 13797 110 S. Chestatee St Ste. 100 Dahlonega, GA 30597

8/1/2021Haddad, Sinan MD 56455RN154971Caudell, Jason 10864 1250 Jesse Jewell Pkwy, Ste 400 Gainesville, GA 30501

8/1/2016Peter Wrobel, MD 40285RN154971Caudell, Jason Daniel 17611 1230 Marina Ridge Marina Rd, Ste 550 Cumming, GA 30041

6/4/2018Henry Lonnie Gardiner, MD 39346RN133307Caulley, Kelly Danette 493 11459 Johns Creek Pkwy, Suite 250 Johns Creek, GA 30097

9/30/2021Anilkumar Pillai 45914RN225990Causey, Catherine 55704 1282 S. Houston Lake Road Warner Robins, GA 31088

5/9/2019Megan Cloutier, MD 71057RN175879Cavazos, Sara Rachel 17764 550 Peachtree St. NW Atlanta, GA 30309

1/7/2013Lanier, John MD 28809RN192359Cave, Kimberly 10415 1600 Kennesaw Due West Rd, Ste 501 Kennesaw, GA 30152

4/8/2011Benjamin Smith, MD 44338RN192359Cave, Kimberly Lorraine 8526 17 Collins Drive Cartersville, GA 30120

12/16/2011Bruce Ramsdell, MD 18722RN192359Cave, Kimberly Lorraine 9795 3145 Peachtree Rd NE, Suite 165 Atlanta, GA 30305

6/29/2013Mary Evelyn McKinley, MD 51256RN184009Caves, Erin Faulkner 9411 360 Hospital Dr, Bldg D, #110 Macon, GA 31217

2/11/2019Brian Kornblatt, MD 38029RN251786Cavicchi, Laura Ann 38887 5629 Hwy 21 South Rincon, GA 31326

2/11/2019Amanda Cowan, MD 50793RN251786Cavicci, Laura Ann 18283 5629 Highway 21 South Rincon, GA 31326

6/8/2012C. Granville Simmons, MD 17301RN089149Cawley, Ramona M. 9283 907 E. 18th St, Suite 400 Tifton, GA 31794

1/16/2019Christopher W. Nicholson 57734RN221627Cawley, Matthew 43449 210 E. Derenne Ave Savannah, GA 31405

11/20/2012Dwayne L. Watkins, MD 53054RN155230Cecil, Hannah R. 11424 327 S. 9th St. Griffin, GA 30224-4111

10/1/2012Heather Henry, MD 44231RN155230Cecil, Hannah Rae 498 327 South 9th Street Griffin, GA 30224

7/27/2021David Roberts, MD 30199RN273572Cellai, Michele 41699 1365 Clifton Road,NE, Suite A1400 Atlanta, GA 30322

1/1/2019James Lah, MD 41863RN131301Cellar, Janet Cecilia Schilling 8595 1841 Clifton Road Atlanta, GA 30329

11/1/2020Allan Levey, MD 34885RN131301Cellar, Janet Cecilia Schilling 8358 1841 Clifton Road NE Atlanta, GA 30329

11/19/2013David Faulk, MD 39787RN232564Cenerizio, Michelle C 12375 87 Lindsey Lane, Suite B Kingsland, GA 31548

7/31/2017Ayman Fareed, MD 58740RN232564Cenerizio, Michelle 14797 1670 Clairmont Rd Decatur, GA 30033

9/7/2021Shannon Ellis 72568RN251996Center, Kemberly 55994 26 West Jackson Common Drive Hoschton, GA 30548

3/2/2018Hal Scherz 38357RN196917Center, Andrea 40540 5730 Glenridge Dr., (Suite 200) Atlanta, GA 30328

Monday, August 1, 2022 Page 73 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/30/2018Claudia Venable, MD 50455RN196917Center, Andrea 41019 1001 Johnson Ferry Rd. NE Atlanta, GA 30342

5/28/2015Lakshmi Gopireddy, MD 65244RN213895Cercone, Elizabeth Ann 14656 181 S Clayton St Lawrenceville, GA 30045-5716

11/27/2014Robert E. Springer, MD 37081RN213895Cercone, Elizabeth A. 11226 50 Executive Park, Ste. 5012 Atlanta, GA 30329

8/23/2019Robert K. Bond, MD 20408RN174812Cesar, Chantal 39968 1362 South Main Street Ellijay, GA 30540

12/8/2014OluJimi Oluwole, DO 69322RN132549Chabot, Judith Takem 499 3979 Buford Hwy Atlanta, GA 30345

6/8/2012Jyotir Mehta, MD 45887RN135836Chaffin, Timothy Barrett 500 1909 Aberdeen Road, Room 102 Albany, GA 31701

6/18/2010John Souza, MD 39475RN057027Chafin, Phyllis Amanda 502 PO Box 16100 Dublin, GA 31040

12/25/2019Ramzi Ghosn, MD 57974RN063135Chafin, Sonja Elaine Lingerfelt 503 1078 Lumpkin Campground Rd, #100 Dawsonville, GA 3053

1/7/2012Westmoreland, Anon MD 13534RN063135Chafin, Sonja 10089 479-B North Hall Road Dahlonega, GA 30533

1/7/2012Richard Wherry, MD 17341RN063135Chafin, Sonja Elaine Lingerfelt 9876 59 Tipton Drive Dahlonega, GA 30533

1/7/2012George Petro, MD 62155RN063135Chafin, Sonja Elaine Lingerfelt 9883 59 Tipton Drive Dahlonega, GA 30533

3/21/2022John Souza 39475RN057027Chafin, Phyllis 59637 1006 Hillcrest Parkway, Suite 1 Dublin, GA 31021

5/1/2015John W Souza 39475RN057027Chafin, Phyllis 10369 1110 Hillcrest Pkwy Dublin, GA 31021

1/31/2018Odell Still, DO 37085RN057027Chafin, Phyliss Amanda 19089 3193 East First Street Vidalia, GA 30474

1/5/2022Ghosn, Ramzi MD 57974RN063135Chafin, Sonja 10888 1078 Lumpkin Campground Rd, Ste 100 Dawsonville, GA 30

5/14/2014Wherry, Richard MD 17341RN063135Chafin, Sonja 10889 59 Tifton Drive Dahlonega, GA 30533

5/1/2018Aziz Pirani, MD 61934RN186103Chagani, Salimah 19520 4855 River Green Parkway ste. 700 Duluth, GA 30096

10/21/2016Safia Pirani, MD 56624RN186103Chagani, Salimah 18732 4855 River Green Pkwy ste. 700 Duluth, GA 30096

3/6/2017John Kludt, MD 34876RN058004Chalmers, Sharon Waits 12848 3700 Club Drive Lawrenceville, GA 30044

7/29/2019Margot Cseley, MD 20523RN198927Chambers, Brittany 15664 2655 Northwinds Parkway Alpharetta, GA 30009

3/30/2018Janet Memark, MD 64415RN059901Chambers, Donna Marie 13202 1790 Mulkey Rd., Ste 10 Austell, GA 30106

6/8/2018Emmett D. McKenzie, MD 77274RN255033Chambers, Stacey Beth 21362 1405 Clifton Rd. Atlanta, GA 30322

12/1/2017Lori Lynch, MD 68826RN198927Chambers, Brittany Nicole 20203 1365 Lower Creighton Cumming, GA 30028

3/3/2022Lee D Jacobs 28283RN059901Chambers, Donna Marie 44269 111 Mountain Brook Drive (Suite 100) Canton, GA 3.115

7/30/2013Cantrell, David MD 32883RN059901Chambers, Donna 10234 1407 Cobb Parkway North Marietta, GA 30062

3/12/2018Hina Hussain, MD 55063RN059901Chambers, Donna Marie 506 2440 Sandy Plains, Suite 100, Bldg 6 Marietta, GA 30066

Monday, August 1, 2022 Page 74 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2022Jason Nesmith, MD 66725RN251333Chambless, Anna 43774 1090 5th St SE Carro, GA 39828

2/19/2010Joyce Duquette, MD 48111RN145959Chamlee, Gina Satterfield 8522 150 Gentilly Blvd Cartersville, GA 30120

2/13/2022Darrius Guiden 73766RN135837Champion, Timothy 57395 304 Turner McCall Blvd. Rome, GA 30165

7/22/2021Candice Darville 80487RN216611Champion, Amanda 50890 815 Curtis Parkway, SE Calhoun, GA 30701

7/1/2020Anthony P. Carter, MD 72967RN135837Champion, Timothy Wayne 42672 304 Turner McCall Blvd. Rome, GA 30165

3/1/2019Dale Wing, MD 68022RN195224Champion, Heather Michelle 12012 2621 E Pinetree Blvd. Thomasville, GA 31792

4/8/2015Dennis Thomas, MD #####RN195224Champion, Heather Michelle 14076 1003 Holloway Dr. Quitman, GA 31643

8/4/2021NISREEN JALLAR - MD 73857RN212346CHANCELLOR, ASHLEY COOPER 39260 1707 WATSON BLVD WARNER ROBINS, GA 31093

2/22/2021Gary Olson 20465RN154680Chancey, Stevens 46213 1436 Broadrick Dr., Suite B Dalton, Ga 30720

7/15/2014John C. Knox, MD 22575RN061123Chandler, Barbara Jean 512 1100 Lake Hearn Dr NE, Ste 100 Atlanta, GA 30342

7/15/2014Philip Spandorfer, MD 55977RN061123Chandler, Barbara Jean 9928 1100 Lake Hearn Dr, Ste 100 Atlanta, GA 30342

7/15/2014Susan Harrell, MD 33100RN061123Chandler, Barbara 8046 1100 Lake Hearn Dr NE, Ste 100 Atlanta, GA 30342

7/15/2014Tama Fuller, MD 21981RN061123Chandler, Barbara 8047 1100 Lake Hearn Dr NE, Ste 100 Atlanta, GA 30342

2/28/2011Elizabeth LeDuc, MD 34754RN061123Chandler, Barbara 8048 1100 Lake Hearn Dr NE, Ste 100 Atlanta, GA 30342

7/15/2014Philip Weiss, MD 38398RN061123Chandler, Barbara 8049 1100 Lake Hearn Dr NE, Ste 100 Atlanta, GA 30342

4/11/2019Charles Francois Cowart, MD

29161RN212137Chaney, Dianna Nicole 41343 205 Shirley Ave. Douglas, Ga 31533

1/15/2018Jeffery Winge, MD 59530RN212137Chaney, Dianna 16146 1101 Ocilla Rd Douglas, ga 31533

2/1/2021Tracy Barefield 41717RN154719Chapel, Melissa 45888 4150 Washington Rd. #11 Evans, Ga 30809

6/1/2019Allison Dupont 63856RN240549Chaphe, Tina 44579 743 Spring St Gainesville, Ga 30501

5/2/2020Derek Klemm 80289RN073371Chapman, Patricia 46211 396 Historic Hwy 441N Demorest, Ga 30535

10/1/2019Leslie A. Pittman, MD. 76411RN073371Chapman, Patricia Luree 40323 17 White Street Cleveland, GA 30528

9/17/2018Jonathan Wade, DO 66666RN232566Chapman, Chandra Torry 38761 3030 Airport E. Parkway Macon, GA 31216

10/22/2021Polow, Sarah DO 24067RN066554Chapman, Vickie 10586 824 G I Maddox Pkwy Chatsworth, GA 30705

8/6/2020McIncrow, Richard DO 59099RN176461Chapman, Samuel 10416 5354 Reynolds St, Ste 424 Savannah, GA 31405

10/15/2009Thomas Abshire, MD 39990RN080752Chapman, Robin Lee 7727 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

Monday, August 1, 2022 Page 75 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/25/2020Chase, Richard DO 17784RN139882Chapman, Shelby Colquitt 10022 509 Sumter Street Montezuma, GA 31063-1733

6/1/2013Shawn Jobe, MD 60143RN080752Chapman, Robin Lee 8785 2015 Upper Gate Dr, Suite 400 Atlanta, GA 30322

6/26/2012Harold Holloway, DO 13327RN139882Chapman, Shelby Lynn Colquitt 8746 56 Ebenezer Rd Ellaville, GA 31806

3/21/2022Jonathan Snipes 66079RN221149Chapman-Bonilla, Sharon 57654 45 N Highland Ave Atlanta, GA 30307

11/4/2020Gregory Melnikoff 33645RN223515Chappell, Allie 46742 1001 Johnson Ferry Road Atlanta, GA 30342

3/15/2022Dorel Bidiuc 51296RN299826Charaniya, Selina 59555 6120 Alabama Hwy Ringgold, GA 30736

10/25/2021Sherri Barton, MD 48595RN192517Charles, Venyette A. 12309 6158 Hwy 92, Suite 101 Acworth, GA 30102

4/22/2016Roger Branch, MD 30272RN241333Charles, Jenny Lee 14541 10 Doctors St Metter, GA 30459

5/2/2019Yvonne Maduka, MD 64804RN147630Charles, Carol Elizabeth 16759 1170 Cleveland Ave, Ste 1004 East Point, GA 30344

2/5/2020Lawrence Reccoppa, MD 69940RN267473Charles, Janicia Korene 38912 2900 University Parkway (Suite Z) Lawrenceville, GA 30043

10/1/2020AMANDA HERIN - MD 50152RN147630CHARLES, CAROL 39261 1412 MILSTEAD AVE CONYERS, GA 30012

4/17/2019Victor Okeh, MD 71268RN193986Charles, Connie M. 20863 11 Upper Riverdale Rd. Riverdale, GA 30274

10/29/2020Michelle Huggins 34368RN219470Charlotin, Chandra 53906 207 Crestmont Way Canton, GA 30114

3/4/2013Thompson, Jonathan MD 52646RN217048Charrance, Penny 10628 1012 Burleyson Road Dalton, GA 30720

7/1/2016Dorel Bidiuc, MD 51296RN217048Charrance, Penny Lynn 11793 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

7/7/2017Andrew Green, MD 58961RN139247Chase, Kelly 12436 1498 Jesse Jewell Pkwy, Suite C Gainesville, GA 30501

4/1/2022Leonard Heffner, MD 15780RN228657Chase, Christina 16418 1365 Clifton Road NE Atlanta, GA 30288

12/31/2017Walter Hill, MD 9835RN050194Chase, Lana Marie 38685 4292 Memorial Dr.ste. C Decatur, GA 30032

8/30/2009Alan Weinberg, MD 35785RN050194Chase, Lana Marie 8264 450 Winn Way Decatur, GA 30030

6/30/2015Wendy Troyer, MD 33786RN044384Chastain, Janet Lynn 525 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/26/2017Olalekan Ajibowo, MD 59896RN165924Chastain, Mary Elizabeth 20708 413 Pottery Factory Dr. Commerce, GA 30529

8/15/2020Derek Klemm 80289RN165924Chastain, Mary 45465 396 Historic Hwy 441 N Demorest, Ga 30535

4/4/2019Ravin Talati, MD 67172RN165924Chastain, Mary Elizabeth 40167 1070 Historic Hwy 441, Suite DeE Demorest, GA 30535

9/15/2021Patsy Mitchell 64606RN231388Chasteen, Brittney 49085 118 Northpark Drive Brunswick, GA 31520

10/7/2021Lionel Meadows, MD 45550RN153918Chatman, Shannon Craig 16775 11 Business Center Dr, Ste 205 Eastanolle, GA 30538

2/1/2019Erin London, MD 45440RN153918Chatman, Shannon 15799 11 Business Center Dr, Ste 205 Eastanolle, GA 30538

Monday, August 1, 2022 Page 76 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/30/2013William A. Mills, MD 50901RN153918Chatman, Shannon Craig 526 800 East Doyle Street Toccoa, GA 30577

4/27/2018Mehmood Mehdi, MD 57725RN118304Chaudhari, Jagruti 20973 250 Scenic Hwy. Lawrenceville, GA 30046

9/28/2021Kambiz Aflatoon, DO #####RN118304Chaudhari, Jagruti 40952 885 Buford Drive Lawrenceville, GA 30043

6/6/2013Stephen Frohwein, MD 34834RN144252Chausmer, Jaimie Klein 7840 5669 P'tree Dunwoody Rd NE, Suite 315 Atlanta, GA 30342

10/5/2018Robert Guyton,MD 21240RN209851Chavez, Alexander Raymond 20440 550 Peachtree St. NE Atlanta, GA 30308

3/1/2018Charles Anderson, MD 67273RN209851Chavez, Alexander Raymond 18722 2300 Manchester Expressway ste. 1009 Columbus, GA 3190

9/8/2014Frank N. Cole, MD 28520RN127827Chavis, Melinda Elizabeth 13071 101 Yorktown Dr. Fayetteville, GA 30214

7/9/2018Betsy Horton, MD 40693RN127827Chavis, Melinda 16331 745 S Glynn St Fayetteville, GA 30214

10/31/2015Robert Rhoades, MD 13420RN134641Cheek, Bradford Kesler 16785 3940 Washington Rd Martinez, GA 30907

2/14/2020David H Paine, MD 28618RN134641Cheek, Bradford Kesler 42533 1305 North Street, East Vidalia, GA 30474-8624

2/14/2020Cedric E. Porter 29363RN134641Cheek, Bradford Kesler 43885 856 Highway 1 South Swinsboro, GA 30401

6/28/2019James L Ray, MD 16126RN134641Cheek, Bradford Kesler 42188 856 Highway 1 South Swainsboro, GA 30401

2/14/2020Richard R Hightower, MD 39367RN134641Cheek, Bradford Kesler 42189 12825 White Bluff Road Savannah, GA 31419

2/14/2020Prakul Chandra, MD 66006RN134641Cheek, Bradford Kesler 42190 466 South Gray Street Millen, GA 30442

2/14/2020Michael R Cohen, DO 65646RN134641Cheek, Bradford Kesler 42191 12825 White Bluff Rd Savannah, GA 31419

10/29/2019Heywood K Gay, MD 38768RN134641Cheek, Bradford Kesler 42192 466 South Gray Street Millen, GA 30442

2/14/2020Anthony L Howard, MD 34616RN134641Cheek, Brdford Kesler 42195 856 Highway 1 South Swainsboro, GA 30401

2/14/2020Karne Butler 53841RN134641Cheek, Brad 46078 1626 Jeurgens Court Norcross, Ga 30093

1/4/2022Robert B. Rhoades 13420RN134641Cheek, Bradford Kesler 40161 2541 Milledgeville Road Augusta, GA 30904

1/13/2020Dorothy Chambers 74480RN134641Cheek, Bradford 45610 12825 White Bluff Savannah, Ga 31419

6/11/2018DAWNETTA HOLLADAY - MD 37199RN230919CHEEKS, AMY NICOLE 39262 1620 PRINCE AVE ATHENS, GA CLARKE

11/27/2019Africa Alvarez-McLeod, MD 35733RN146277Cheeks, Miyesha A. 529 1605 Peachtree St., NE Atlanta, GA 30309

6/7/2019James Brown MD 21652RN230919Cheeks, Amy 10 1999 Price Avenue Athens, GA 30606

7/28/2022Gregory Lunceford 50584RN101507Cheeseman, Karen 46597 1199 Prince Ave Athens, Ga 30606

4/10/2019Eamon Dutta, MD 46593RN101507Cheeseman, Karen Ward 20251 2151 Peachford Road Atlanta, GA 30338

Monday, August 1, 2022 Page 77 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/3/2019Corey Greenwald 41130RN101507Cheeseman, Karen 44489 1199 Prince Ave Athens, GA 30606

8/26/2016Jose Cangiano, MD 44182RN101507Cheeseman, Karen Marion War 15225 1 Technology Pkwy South, Ste 1 Norcross, GA 30092

10/2/2017Asaf Aleem, MD 30260RN101507Cheeseman, Karen Marion War 13447 2150 Peachford Rd. Atlanta, GA 30338

10/9/2017David Nussbaum, DO 67697RN066069Cheney, Teresa 16390 586 Brannen St Statesboro, GA 30458

9/26/2014Angela Gerguis, MD 47261RN066069Cheney, Teresa Charlene Browe 13039 586 Brannen St Statesboro, GA 30458

10/23/2013Brian Deloach, MD 51216RN066069Cheney, Teresa Charlene Browe 9675 PO Box 8043 Statesboro, GA 30460

3/1/2014Charles Harden, MD 44930RN066069Cheney, Teresa Charlene Browe 12491 586 Brannen St Statesboro, GA 30458

10/2/2015Eric Powell, MD 49081RN066069Cheney, Teresa 14138 586 Brannen St Statesboro, GA 30458

6/22/2018SHANNON ELLIS - DO 73702RN66069CHENEY, TERESA 39264 586 BRANNEN ST STATESBORO, GA 30458

1/11/2019Catherine K Dickens, MD 35240RN066069Cheney, Teresa B 42340 586 Brannen Street Statesboro, GA 30458

9/10/2010Roger Branch, MD 30272RN066069Cheney, Teresa Charlene Browe 532 10 Doctor's Street Metter, GA 30439

9/19/2019Donna Fearing, MD 29447RN137932Chernik, Christine Ann 534 120 Stonebridge Pkwy Woodstock, GA 30189

1/20/2020Shital Patel 73776RN1899Chery, Yves Reginald 40695 705 Dixie Street Carrolton, GA 30117

9/29/2014John Gott, MD 28989RN189928Chery, Yves Reginald 12610 95 Collier Rd, Suite 5015 Atlanta, GA 30309

4/9/2018Lance Slade, MD 52488RN113092Cheshire, Laura Fitzerald 17984 550 Professional Dr. Macon, GA 31201

2/19/2021Victor Thomas, MD 40574RN046227Chesnutt, Judy Denise 15235 1200 Memorial Dr Dalton, GA 30720

2/1/2014Jason Hefner, MD 61444RN225780Chessor, Misty L. 11174 508 East Morris St. Dalton, GA 30731

8/3/2016Barbara S Nelson, MD 54628RN225780Chessor, Misty Lynn 12807 508 East Morris St Dalton, GA 30721

5/1/2020Phillip Gray, MD 33340RN225780Chessor, Misty Lynn 18987 508 East Morris St. Dalton, GA 30720

6/1/2020John Higgins 67463RN227260Chester, Pate 46219 101 Harris Ind. Blvd., Suite A Vidalia, Ga 30474

7/9/2021Lee Jacobs 28283RN218231Cheuvront, Joy 55405 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

9/7/2021Shannon Ellis 72568RN218231Cheuvront, Joy 55775 26 West Jackson Common Drive Hoschton, GA 30548

4/1/2020Okah Anyokwu 78701RN212407Chevalier, Dartiss 47733 1810 Mulrey Road, Suite 202 Austell, GA 30106

2/1/2022Holmes Marchman 37021RN208793Chewning, Gary 46373 655 Jesse Jewell Pwky SE, Ste B Gainsville, GA 30501

8/24/2019Kenneth Patric Jr., MD. 69243RN208793Chewning, Gary Lee 20121 1931 Jesse Jewell Pkwy Gainesville, GA 30501

1/10/2017Sylvia Morris, MD 57546RN208793Chewning, Gary Lee 18121 1931 Jesse Jewell Pkwy Gainesville, GA 30501

Monday, August 1, 2022 Page 78 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/11/2020Miles Johnson 38817RN216837Chiappetto, Christopher 49576 150 Fiddlers Ridge Fayetteville, GA 30214

9/25/2014Carlos Franco, MD 23733RN161771Chicoine, Jennifer Lynn 540 1100 Johnson Ferry Rd, Suite 600 Atlanta, GA 30342

7/21/2021Kathleen Lambert 70216RN143371Chigbu, Chinyere 44687 1501 Milstead Road, Ste. 110 Conyers, Ga 30012

1/6/2020Premila Malhotra, MD 55279RN143371Chigbu, Chinyere 42610 308 Coliseum Drive (Suite 120) Macon, GA 31217

3/31/2017Joseph Parks lll, MD 20586RN155127Child, Chris 14548 32 Jackson St Newnan, GA 30263

9/25/2009Jocelyn Holland, MD 40691RN155127Child, Chris Buchanan 8636 10 Market Square Way, Suite 100 Newnan, GA 30265

7/1/2022Ann Ward, MD 23242RN097177Childers, Dona Faye Earwood 542 97 Church Street Taylorville, GA 30178

4/1/2018Theltonia Howard, MD 66186RN175483Childers, Tabitha A. 11501 1170 Cleveland Ave. East Point, GA 30344

10/1/2012Richardson, Matthew MD 53023RN175483Childers, Tabitha 10813 5555 Peachtree Dunwoody Rd, Ste 201 Atlanta, GA 30342

3/31/2012Babalola, Cecilia MD 58389RN175483Childers, Tabitha 10491 3509 Braselton Hwy, Bldg F Dacula, GA 30019

1/10/2012Halleck, Sylvia MD 16356RN175483Childers, Tabitha 10492 1431 Riverside Parkway Lawrenceville, GA 30043

4/1/2018Avinash Bhavaraju, MD 61043RN175483Childers, Tabitha Ann 17964 55 Whitcher St, Ste 130 Marietta, GA 30060

3/4/2022Andrew B. Pandya 55323RN216525Childers, Shelly Stewart 43886 322 Stephenson Avenue (Suite A) Savannah, GA 31405

10/16/2018Amy K. Pearson, MD 47638RN216525Childers, Shelly Stewart 41213 2453 Highway 17 Ste.G Richmond Hill, Ga 31324

7/6/2021George Cabe 64194RN161833Childers, Brooke 56270 220 J L White Drive, Suite 120 Jasper, GA 30143

8/26/2020Ryan Monti 78999RN261505Childree, John 49232 277 Perry Parkway, Suite C Perry, GA 31069

6/1/2008William Williams, MD 11095RN043261Childree, Rene B 543 204 East 15th Street Alma, GA 31510

11/15/2019Paul Martin, MD 29034RN213662Childress, Kirsten Louise 19015 1960 Riverside Pkwy, Ste 101 Lawrenceville, GA 30043

12/1/2018Eugene Hurwitz, MD 24694RN141373Childress-Rodriquez, Robin Ren 9568 690 Dallas Hwy, Suite 101 Villa Rica, GA 30180

5/14/2021Cameron Nixon 55155RN214985Childs, Kristi 48500 2225 Highway 41 North Tifton, GA 31794

2/4/2020Dwayne Gard, MD 60731RN201655Childs, Jenny Lou Tomberlin 18088 4700 Waters Ave. Savannah, GA 31404

9/24/2016Damon Kimes, MD 50322RN039908Childs, Eileen 13764 695 Crossville Rd Roswell, GA 30075

4/30/2022Tiona Praylow 87903RN186194Chine, Gloria 58676 223 Medical Center Drive Riverdale, GA 30274

4/20/2021Shital Patel 73776RN232906Chintu, Charlotte 48370 705 Dixie Street Carrollton, GA 30117

2/4/2014Elia, Hany MD 30055RN174288Chismar, Ron 10901 3421 Mike Padgett Hwy Augusta, GA 30906

11/5/2018Kory Vaughn, MD 69457RN197564Chitoh, John Achibuem 13722 745 Poplar Rd. Newnan, GA 30265

Monday, August 1, 2022 Page 79 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2021Richard Chase 17784RN197564Chitoh, John 54789 300 Medical Court Oglethorpe, GA 31068

1/9/2018Francis Jenkins, MD 25988RN118797Chitwood, Connie 15823 3320 Old Jefferson Rd, Ste 200 A Athens, GA 30607

8/10/2021Lee Jacobs 28283RN258112Chmiel, Edyta 57188 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

5/24/2015Lee, Peter MD 38545RN195897Cho, Ki-hyun 10389 3840 Peachtree Industrial Blvd Duluth, GA 30096

1/1/2020Charles Roman, DO 43757RN195897Cho, Ki-hyun 15807 2737 Warm Springs Rd Columbus, GA 31904

5/19/2021Modele Ogunniyi, MD 59841RN134174Choate, Elizabeth Thompson 17771 80 Jesse Hill, Jr. Drive ste. G5015 Atlanta, GA 30303

4/30/2016Stephen Clements, MD 11305RN134174Choate, Elizabeth Thompson 548 1365 Clifton Rd NE, #A-2432 Atlanta, GA 30322

8/5/2016Vincent Galan, MD 28685RN217502Choe, Julia Miyoung 17858 1365 Rock Quarry Rd. Ste. 202 Stockbridge, GA 30281

7/2/2021William Tidmore Jr. 41978RN226142Choi, Mi Hyun 56688 2412 N. Oak Street Valdosta, GA 31602

5/9/2019Robert Burkich, MD 46372RN262287Chong, Christine 42257 5505 Peachtree Dunwoody Rd (Suite580) Atlanta, GA 30342

4/7/2020Kyoung Lee 80018RN208193Chong, Hannah 48122 7360 McGinnis Ferry Road Johns Creek, GA 30024

10/9/2015Ramesh Amin, MD 28242RN240115Chrena, Helen 16093 853 Battlecreek Rd Jonesboro, GA 30236

6/17/2016Reemon Bishara, MD 63759RN240115Chrena, Helen Rosella 17757 1915 Eisenhower Dr. Savannah, GA 31405

4/23/2015Ramesh Amin, MD 28242RN240115Chrena, Helen Rosella 15121 853 Battlecreek Rd Jonesboro, GA 30236

2/20/2015Sherri Simpson, MD 67942RN240115Chrena, Helen Rosella 13999 157 Smith St. Jonesboro, GA 30236

3/12/2020Abhay Trivedi 58625RN272638Christian, Nakisha 49032 2645 Lawrenceville Hwy Decatur, GA 30033

11/17/2020Kristopher K. Ford, MD 74283RN128856Christian, Dana Lorraine 43240 550 Peachtree Street Atlanta, GA 30308

6/8/2020Victor Okeh 71268RN272638Christian, Nakisha 46512 11 Upper Riverdale Rd. Riverdale, Ga 30274

1/17/2020Francisca MaBodile, MD 50662RN250300Christmas, Victoria Louise 16634 900 Shugart Rd. Dalton, GA 30720

10/18/2019Courtney K. Pettiford 64715RN119135Christmas, Marcy Ann Herringt 20025 416-A 4th Avenue. Cordele, GA 31015

2/4/2016Gaston Moran-Celayes, MD 64675RN119135Christmas, Marcy Ann Herringt 555 602 East 16th Ave, Suite B Cordele, GA 31015

11/5/2021Alan Brown 57782RN186306Christopher, Marjorie 46483 602 E. 16th Ave. Suite A&B Cordele, Ga 31015

1/29/2021Bryan Hooker 32586RN225633Christopher, Hannah 54056 14 Sammy McGhee Blvd., Suite 204 Jasper, GA 30143

2/19/2021Fredrick Makori 68239RN184678Christopher, Stefanie 53838 905 Dixie Street Carrollton, GA 30117

7/22/2019Chester Lapeza 44263RN186306Christopher, Marjorie D 44380 602 E. 16th Avenue Cordele, GA 31015

8/14/2013Anand Jillella, MD 33843RN217541Christopherson, Kala 10453 1120 15th Street, Ste BAA 5407 Augusta, GA 30912

Monday, August 1, 2022 Page 80 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2011William Mills, MD 50901RN099070Christos, Ruth Hirschberg 557 800 East Doyle Street Toccoa, GA 30577

10/27/2014Charlene Beard, MD 20513RN138578Chukoian, Lois Eleanor Skinner 9936 2201 Mt Zion Parkway Morrow, GA 30260

12/16/2017Dennis Wiles, MD 44865RN138578Chukoian, Lois 14710 410 Peachtree Parkway, Ste 300 Cumming, GA 30041

5/5/2020Vikash C. Modi 70226RN259992Chukwu, Okeoma Ogo 44311 5320 Memorial Drive Stone Mountain, GA 30083

10/15/2018Mehmood Mehdi, MD 57725RN259992Chukwu, Okeoma Ogo 42538 367 Athens Hwy (Suite 1800) Loganville, GA 30052

11/30/2021Wesley Ensley 46086RN085064Chumley, Angela 44418 241 Silverwood Commercial Drive Rincon, GA 31326

11/27/2018Frances Decker, MD 33953RN085064Chumley, Angela Deloach 559 241 Silverwood Comm Dr Rincon, GA 31326

4/30/2018James Butts, MD 9103RN127763Chung, Judith P Hart 560 PO Box 2683 Gainesville, GA 30503

6/30/2021Christa Springston 73837RN289883Chung, William 56864 3540 North Cobb Pkwy NW Acworth, GA 30101

12/2/2019James Butts 9103RN127763Chung, Judith 46634 810 Pine Street Gainsville, GA 30501

7/31/2019Simon Portee 33177RN255839Chunn, Domineque 45151 1836 2nd Ave. Decatur, Ga 30032

12/21/2021Matthew Astin, MD 66248RN098946Churbock, Cathleen Ann Provin 17608 11 Upper Riverdale Rd SW Riverdale, GA 30274

10/20/2018Richard Spurlock, MD 59207RN098946Churbock, Cathleen Ann Provin 17737 1275 Hwy 54 W, Ste 201 Fayetteville, GA 30214

9/1/2019Anurupa Damineni, MD 47419RN178720Cibi, Manju 20589 1670 Clairmont Rd. Decatur, GA 30033

9/24/2019Gil Vega 75782RN178720Cibi, Manju 46285 1670 Clairmont Rd. Decatur, Ga 30033

7/19/2021Dawn R Wilson, MD 47279RN214255Clack, Terri 42199 545 Old Norcross Rd Lawrenceville, GA 30046

1/31/2017Joseph Philippe, MD 44056RN171397Clairvil, Sherly 15283 5825 Glendridge Dr Atlanta, GA 30328

6/12/2020Kevin Napier, MD 40749RN154641Clanton, Lisa Berry 17465 601 S 8th St, Ste 200 Griffin, GA 30224

10/12/2021Benjamin Hess 68028RN154641Clanton, Lisa 55020 7657 North Expressway Griffin, GA 30223

4/1/2014Allison Turk, MD 63037RN123601Clapp, Allison Goggans 12592 110 S Chestatee St Dahlonega, GA 30597

7/1/2020Kailash Kulkarni, MD 64128RN051923Clardy, Nancy Lucille Ennis 17461 1035 Red Bud Rd, NE Calhoun, GA 30701

9/7/2016Raymond Howard, MD 51145RN173733Clark, Jennifer Lee Reed 17460 107 John Maddox Dr. Rome, GA 30165

12/31/2019Adams Anthony, MD 23255RN128161Clark, Barbara Renell 41515 2575 Jolly Rd College Park, GA 30319

11/10/2018Andrew Green, MD 58961RN128712Clark, Mark 38826 1498 Jesse Jewell Parkway, Suite C Gainesville, GA 30501

8/13/2018Stanley M Ireland, MD 29682RN170982Clark, Leila Thomas 42255 3257 Cattanooga Valley Rd Flintstone, GA 30725

12/31/2020Robert Gross, MD 50173RN275749Clark, Taylor 43792 1365 Clifton Rd NE Suite B2200 Atlanta, GA 30322

Monday, August 1, 2022 Page 81 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/11/2020Mohsin Hisamud-Din, MD 45498RN216838Clark, Ashleigh Megan 39266 2655 Dallas Highwy SW (Ste 340) Marietta, GA 30064

9/1/2019Sidney Morgan 75139RN209683Clark, Kendall Kent 20338 213 Mims Road Sylvania, GA 30467

4/13/2018Robert A. Burkich, MD 46372RN212999Clark, Doren Louise 40964 5505 Peachtree Dunwoody Rd. Atlanta, GA 30342

12/31/2020William Stuart 12645RN241302Clark, Kathleen 53827 3200 Downwood Circle NW, Suite 550 Atlanta, GA 30327

7/2/2021Damien Hansra 77829RN228546Clark, Shirelle 44357 600 Celebrate Life Parkway Newnan, GA 30265

3/22/2021Cherilyn Zellner 43153RN129251Clark, Cynthia 52315 2251 West Elm Street Wrightsville, GA 31096

1/15/2021Andrew T. Johnson, MD 78130RN128712Clark, Mark Douglas 43225 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

9/1/2019Sidney Morgan, MD 75139RN209683Clark, Kendall 41570 213 Mims Rd Sylvania, Ga 30467

3/30/2019Crystal Hood, MD 58813RN262326Clark, McKenzie E. 41645 1506 Klondike Road (Ste 205) Conyers, GA 30094

1/17/2014Barbara D'Orio, MD 33956RN030832Clark, Ann Marie 5512 PO Box 26238 Atlanta, GA 30303

5/5/2013Garry Siegel, MD 29784RN093663Clark, Michele Poole 11703 2500 Hospital Blvd, Suite 290 Roswell, GA 30076

5/4/2017Robert Marler, MD 35947RN128881Clark, Kara 15756 1314 West Ridge Rd Gainesville, GA 30501

4/7/2017Sherma Peter, MD 66306RN209683Clark, Kendall Kent 15246 213 Mims Rd Sylvania, GA 30467

1/1/2014Sowmya Reddy, MD 60596RN093663Clark, Michele Poole 12098 2500 Hospital Blvd, Suite 290 Roswell, GA 30076

7/10/2015Garland Martin, MD 47233RN238230Clark, Tiffany Guyton 13558 One Chemical Plant Rd Riceboro, GA 31323

3/9/2020Israel Bryson, MD 54797RN129251Clark, Cynthia 16441 2251 W Elm St Wrightsville, GA 31096

9/2/2016Jack Yu, MD 38656RN219964Clark, Robin Ann 17656 1467 Harper St, HB-5040 Augusta, GA 30912

3/18/2021Ramon Ramos, MD 33683RN194331Clark, Sommer 14570 460 Mall Blvd Savannah, GA 31406

7/1/2016Thomas Locke III 36409RN241302Clark, Kathleen 16499 4500 North Point Parkway Alpharetta, GA 30022

1/27/2014Forrest Cantrell, MD 28948RN060471Clark, Joanna Ruth 569 777 Franklin Rd Marietta, GA 30067

3/31/2009Benjamin Cheek, MD 25332RN193329Clark, Amy Taryn 8232 2000 Hamilton Road Columbus, GA 31904

9/23/2011Joseph Joyave, MD 43977RN173733Clark, Jennifer Lee Reed 8861 100 Market Place Blvd, Suite 201 Cartersville, GA 30121

1/4/2013Wilham M. McDonald, MD 37292RN030832Clark, Ann M. 11426 P.O. Box 26238 Atlanta, GA 303033801

1/28/2016Meier, Edward MD #####RN173733Clark, Jennifer 10349 2112 Shorter Ave NW, Ste 200 Rome, GA 30165

7/30/2021David Snipelisky 80897RN217411Clarke, Kathleen 57355 175 White Street, Suite 100 Marietta, GA 30060

9/23/2019Jeffrey Lamp, MD 56736RN208188Clarke, Sonji Shelly Ann 17988 2151 West Spring Street Monroe, GA 30655

Monday, August 1, 2022 Page 82 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/11/2021Earl E. Joyner, MD 33776RN244132Clarke, Sharee S. 14364 1950 Spectrum Circle (Suite 145) Marietta, GA 30067

2/26/2020Rita Beckford 73189RN122804Clarke, Rose 47838 1655 Tullie Circle, Suite E Atlanta, GA 30329

12/15/2021Chukwuemeka Nwabuebo, MD

48553RN174978Clarke, Claudia Alitia 43230 654 First Street Macon, GA 31201

1/18/2021Jordan Howard 76753RN233679Clarke, Brittany 44731 777 Underwood Dr Trion, Ga 30753

11/9/2020Paul Alphonse, MD 55079RN244132Clarke, Sharee, Simone 39222 2500 Hospital Blvd. (Suite 290) Roswell, GA 30076

10/20/2020Arun K Kantamneni, MD 70171RN221249Clarke, Merlyn Ann 42202 5454 Yorktowne Dr Atlanta, GA 30349

3/15/2021Philicia Andrews 44621RN122804Clarke, Rose Marie 39275 3999 Austell Rd. (Suite 901) Austell, GA 30106

9/1/2012Gwendolyn Delaney, MD 49380RN180285Clarke-Hall, Renee Marie 9459 410 Peachtree Pkwy, Suite 4260 Cumming, GA 30041

11/20/2020Mark Brown, MD 44686RN180285Clarke-Hall, Renee 16500 677 Church St Marietta, GA 30060

10/31/2021Lynette Wilson-Phillips 38132RN180285Clarke-Hall, Renee 57460 3065 S. Cobb Drive SE, Suite A Smyrna, GA 30080

10/1/2015Richard Young, MD 21218RN180285Clarke-Hall, Renee Marie 9901 958-A J F Harris Pkwy, Suite 105 Cartersville, GA 30120

5/13/2018Douglas Epps, MD 48349RN128161Clark-Jenkins, Barbara Renell 14988 1445 Old McDonough Hwy SE Conyers, GA 30094

6/23/2014Penix, Laroy MD 49080RN176382Classon, Rebecca 10922 743 Spring Street Gainesville, GA 30501

3/3/2020Shveta Raju 66052RN267756Clay, Ashlyn 44833 475 Philip Blvd #100 Lawrenceville, Ga 30046

6/4/2010Subodh Lal, MD 52771RN140016Clay, Kimberly George 577 1700 Hospital South Dr, Suite 502 Austell, GA 30106

3/30/2022Safia Pirani 56624RN305851Clay, Savannah 58935 3330 Peachtree Corners Circle, Suite H Peachtree Corners, G

11/1/2013Timothy Longaker, MD 25883RN160625Clay-Austin, Cherrice 11718 1339 Gray Hwy Macon, GA 31211

11/28/2013Susan Queen, MD 23496RN211336Clay-Keith, Sharon Denise 12765 3000 Schatulga Rd Columbus, GA 31907

12/19/2014Satishchandra Patel, MD 28058RN211336Clay-Keith, Sharon Denise 13928 3000 Schatulga Rd Columbus, GA 31907

6/15/2014Richard Baldwin, MD 23894RN217058Clayton, Brandi 11106 9280 Hwy 5, Ste A Douglasville, GA 30134

3/31/2021Matthew Whitley 66673RN236007Clayton, Anna 48659 5461 Meridan Mark Road, Suite 130 Atlanta, GA 30342

8/30/2018Kenneth Patric, MD 69243RN200233Claytor, Kathryn Head 17003 51 N Morningside Drive Cartersville, GA 30121

11/30/2015Sarvotham Kini, MD 34170RN200233Claytor, Kathryn 14557 108 Spear Rd Athens, GA 30602

1/1/2019Lillian Schapiro 40540RN163326Clement, Desiree 7961 3200 Downwood Circle Suite 220 Atlanta, GA 30327

9/18/2014Eric Powell, MD 49081RN174980Cleveland, Lauren Mary-Marie 12929 1375 East King Ave, GA State Rd 40, Suite A Kingsland, GA 31

Monday, August 1, 2022 Page 83 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/19/2016Albert Thompson, MD 22338RN174980Cleveland, Lauren Mary-Marie 14043 1375 E. King Ave. Hwy 40, Ste A Kingsland, GA 31548

11/1/2020Ihab Hajjar, MD 70835RN153941Clevenger, Carolyn 15119 1821 Clifton Rd NE Atlanta, GA 30329

9/30/2020Ankit Patel 61313RN153940Clevenger, Zachary 46025 1400 River Place Braselton, Ga 30517

10/11/2018Sylvia M. Washington, MD 63549RN120899Clevenger, Gina Price 42102 1501 Shorter Avenue Rome, GA 30165

8/30/2014Glenn C. Heigerick, DO 24947RN153941Clevenger, Carolyn Kay Satterfi 582 615-B Beaver Ruin Road Lilburn, GA 30047

5/31/2019Mark A. Matthews, MD 54861RN153940Clevenger, Zachary Allen 584 1400 River Place Braselton, GA 30501

11/1/2017Thomas Miller, MD 67685RN220714Clifton, Katelyn Douglas 20220 501 East Long Street Claxton, GA 30417

11/6/2020Thaddeus Riley Jr. 28637RN220714Clifton, Katelyn 53416 23702 Highway 80 East Statesboro, GA 30461

10/31/2018Herschel Kessler, DO 69501RN176214Clifton, Paige Michelle 18494 1514 Vernon Rd. LaGrange, GA 30240

1/10/2019Charles Semones, MD 51737RN149472Clifton, Betsy Daugharty 19222 380 N Church St. Homerville, GA 31634

7/31/2021Brian Krachman 45272RN188323Cline, Stacy 56073 3867 Roswell Road NE, Suite 100 Atlanta, GA 30342

2/15/2021Gevorg Sedrakyan 67991RN188323Cline, Stacy 46080 386 Roswell Rd. NE, Suite 100 Atlanta, Ga 30342

1/2/2009Charles Stevenson, Jr., MD 16288RN065545Cline, Nyla Faye Clifford 587 804 Dixie Street Carrollton, GA 30117

2/28/2019Thomas D. Weldon 27745RN050561Cline, Anna Marie 1649 2009 Old Lafayette Road Ft. Oglethorpe, GA 30742

4/1/2013Suzanne C. Manley, MD 46167RN065545Cline, Nyla F. 11283 148 Clinic Ave. Carrollton, GA 30117

4/20/2012Hiromi Maruyama, MD 60744RN040042Clinton, Mymie T. 9562 118 Alice Coleman Dr Vidalia, GA 30474

12/3/2010Muhammad Jamal, MD 58255RN040042Clinton, Mymie T. 588 118 Broad Street Mount Vernon, GA 30445

3/1/2021Daryl McCartney 68067RN040042Clinton, Mymie 44452 118 Alice Coleman Drive Vidalia, GA 30474

10/25/2013Ombogo, Anthony MD 66728RN040042Clinton, Mymie 10651 215 North Coleman Street Swainsboro, GA 30401

4/30/2015Crystal Bright, MD 67869RN040042Clinton, Mymie T. 12671 118 Alice Coleman Dr Vidalia, GA 30474

1/1/2022Jason Gardiner 52725RN239538Clopton, Jonathan 56913 203 Fisherman Cove Lizella, GA 31052

5/19/2021Anurita Dass 65649RN165558Close, Mary 55572 462 Elma G Miles Pkwy Hinesville, GA 31313

2/1/2021Atul M Devani, MD 66590RN165558Close, Mary J 42194 200 N River Street Claxton, GA 30417

6/24/2015Mary Bell Vaughn, MD 49552RN154974Clowers, Ayanna T. 11350 3448 Vineville Ave. Macon, GA 31204

4/30/2019Crystal L Brown, MD 36348RN185308Coar, Jaekea Teshea 42196 701 Blue Bird Blvd Fort Valley, GA 31030

9/24/2020Brent Davidson 29622RN246554Cobb, Tiffany 51533 110 S Main Street Hiawassee, GA 30546

Monday, August 1, 2022 Page 84 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2022Anthony Mitchell 57221RN246554Cobb, Tiffany 54130 1412 Milstead Ave NE Conyers, GA 30012

1/13/2020George Faile 27724RN217781Cobb, James Wesley 44381 73 Maxwell Lane Dahlonega, GA 30533

1/30/2020Robert Nelson 65037RN217781Cobb, James Wesley 44382 108 Prominence Court (Site 100) Dawsonville, GA 30534

9/23/2021Diana Maria Vallecilla Lukauskis

58590RN137113Cobb, Kristi 56773

9/1/2016Clifford Tumambing, MD 68326RN193814Cobb, Amy Beckman 12252 380 South Davis Rd, Suites E&F LaGrange, GA 30240

9/23/2013Benise Williams, MD 46924RN193814Cobb, Amy Beckman 8146 303 Smith Street LaGrange, GA 30240

5/30/2020Suzanne F. Turner, MD 47772RN207289Cobucci, Tessa Butler 40878 11660 Alpharetta Highway (Suite 290) Roswell, GA 30076

4/8/2019Oladimeji Akiode, MD 47876RN104775Cochran, Deborah Ann Kiernan 20441 314 N Broad Street Winder, GA 30680

7/31/2019Mitchell Wilson, MD 61188RN139566Cochran, Charma 38681 707 Old Dalton Ellijay RD Chatsworth, GA 30705

3/29/2021Byron Littlefield 28810RN231597Cochran, Zachary 49084 21 Commerce Parkway Adairsville, GA 30103

8/9/2021Paul Feldman 29640RN119943Cochran, Angela 53432 874 Lanier Ave West, Suite 220 Fayetteville, GA 30214

8/22/2014Andrea M. Dabney, MD 66274RN179932Cochran, Amy Denise Woodring 13074 274 Big A Rd. Toccoa, GA 30577

1/14/2016Hamid Syed, MD 69975RN104775Cochran, Deborah Ann Kiernan 16898 367 Clear Creek Pkwy Lavonia, GA 30553

4/3/2020Scott Kelly, MD 44256RN119943Cochran, Angela Elaine 13529 6635 Lake Dr Morrow, GA 30260

5/1/2013Louis Fernandez, MD 39790RN179932Cochran, Amy Denise Woodring 5094 121 N. Big A. Road Toccoa, GA 30577

2/15/2010Jonathan Hall, MD 59655RN042368Cochrane, Janice H. 8520 12192 Augusta Road Lavonia, Ga 30553

11/1/2008William A. Mills, MD 50901RN042368Cochrane, Janice H. 1363 12192 Augusta Road Lavonia, GA 30577

4/16/2015Jaykrishna Darji, MD 58862RN042368Cochrane, Janice H. 9226 196 Ridgecrest Circle Clayton, GA 30525

3/16/2018Ambrous Findley, DO 28267RN042368Cochrane, Janice 15613 1455 Hwy 441 S Clayton, GA 30525

6/22/2010Michael Caruso, MD 57558RN042368Cochrane, Janice H. 9124 7199 Hwy 441 North, Suite 109 Dillard, GA 30537

8/18/2011Jack Borders, MD 39054RN192162Cockfield, Christy Michelle 9053 1446 Harper St, Ped Surg, 3rd ACC Augusta, GA 30909

3/14/2017Vijitha Prasad, MD 40520RN117919Cody, Regina 16216 117 Kite Rd Swainsboro, GA 30401

9/1/2020David Samuels, DO 49521RN117919Cody, Regina G. 19338 204 S. Main Street Statesboro, GA 30458

10/23/2018David Samuels, DO 49521RN117919Cody, Regina 15975 117 Kile Rd Swainsboro, GA 30401

2/15/2020Robert Campbell, MD 22522RN149671Coffee, Shannon Dawn 19573 4421 Carnes Street Acworth, GA 30101-5305

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2021Alexander Ibezi-Enendu 75636RN149671Coffee, Shannon 50918 1005 Boulder Drive Gray, GA 31032

10/5/2021Samantha Manderson 65938RN189158Cofield, Rachel 46372 412 E. 4th Avenue Cordele, GA 31015

3/30/2021Rajan Kapoor 69299RN193985Cohan, Amy 52468 1120 15th Street, Suite BA9413 Augusta, GA 30912

5/5/2020Merchen, Todd MD 58986RN193985Cohan, Amy 10494 1120 15th St BA 4407 Augusta, GA 30912

3/1/2016Michele Henson, MD 73306RN204554Cohen, Herchelle 15881 5400 Waters Ave Savannah, GA 31404

4/25/2019Desha Secrest, MD 56479RN219795Coker, Sara Beth 18962 150 Gentilly Boulevard Cartersville, GA 30120

9/20/2018Jeffrey Haller, MD 55826RN185318Colac, Olga 41490 7530 Roswell Rd. Atlanta, GA 30350

10/7/2015Irandathy Rodrigo, MD 42715RN185318Colac, Olga 9257 2522 Cruse Rd, Suite C-2 Lawrenceville, GA 30044

7/31/2017Manjushree Ghose, MD 42827RN185318Colac, Olga 16788 7530 Roswell Rd Atlanta, GA 30350

6/4/2021Jose Cangiano 44182RN167054Colcord, Herbert 53494 240 Mitchell Bridge Road Athens, GA 30606

8/30/2021Stacy Seikel 74357RN167054Colcord, Herbert 57862 330 Mt. Sinai Drive Dahlonega, GA 30533

3/14/2018Peter Wrobel, MD. 40285RN248352Cole, Allyson Mae 39795 1230 Bald Ridge Marina Road Cumming, Ga 30041

4/3/2019G. Walden Garriss, III, MD 51134RN145608Cole, Valerie M 11984 3939 Roswell Rd, Suite 200 Marietta, GA 30062

3/26/2017Alexander Osowa, MD 57551RN215693Coleman, Angelica 16483 2805 Hamilton Mill Rd Buford, GA 30519

4/16/2013Sandra Ligneel, MD 32424RN094148Coleman, Glendell Bradley Wim 11670 1915 Eisenhower Dr Savannah, GA 31406

10/2/2020Maurice Solis, MD 30673RN144943Coleman, Dakshaben 15763 2409 N Patterson St, Ste 230 Valdosta, GA 31602

5/1/2017SYED RIZVI - MD 44073RN203602COLEMAN, DANIELLE 39270 5454 YORKTOWN DR ATLANTA, GA 30349

11/8/2018Vidyadhar Chital, MD 23819RN211932Coleman, Kristen D. 40748 211 Chicopee Drive Marietta, GA 30060

9/1/2020Eugene Y Sun, MD 62170RN094148Coleman, Glendell 42178 1102 Smith Ave Thomasville, GA 31792

9/15/2019Keshma Saujani, MD 58218RN176064Coleman, Elizabeth Bernice 39061 725 Jesse Jewell Pkwy Gainesville, GA 30501

12/31/2020Priyanka Raval 78222RN254966Coleman, Tamara 49340 1411 Laney Walker Blvd Augusta, GA 30912

7/2/2021Jonathan Guy 67579RN203602Coleman, Danielle 44736 5582 Memorial Dr. St. Mountain, Ga 30083

1/9/2022Nia Sipp 61347RN203602Coleman, Danielle 57822 5582 Memorial Drive Stone Mountain, GA 30083

7/29/2016Juliana Nahas, MD 44549RN184597Colley, April 15443 4181 Hospital Dr, Ste 202 Covington, GA 30014

8/9/2012Bowman, Robert MD 31387RN076675Collier, Pamela 10654 1430 Hwy 82, Ste 105 Tifton, GA 31794

Monday, August 1, 2022 Page 86 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/17/2020Clyde Granville Simmons, MD

17301RN076675Collier, Pamela Crownover 11715 5488 Alabama Ave Omega, GA 31775

4/22/2019Rolando Torres, MD 43138RN090997Collier, Pamela Lee 14858 1350 Walton Way Augusta, GA 30901

8/22/2019Chester Lapeza 44263RN192587Collier, Derrick DeAndre 41644 712 N. 7th Street Cordele, GA 31015

7/9/2020David Kocherla 45855RN282214Collier, Samuel 45207 1601 Watson Blvd. Warner Robins, Ga 31093

5/29/2020Jason Gardiner 52725RN282214Collier, Samuel 45211 1861 Watson Blvd Warner Robins, Ga 31093

5/15/2021Don Roberts 21582RN076675Collier, Pamela 51490 1111 East 20th Street Tifton, GA 31794

3/17/2021Nirav Patel 84322RN282214Collier, Samuel 52517 5665 New Northside Drive, Suite 320 Atlanta, GA 30328

4/2/2012Clyde Cranville Simmons, MD

17301RN076675Collier, Pamela Crownover 691 907 E. 18th Street Tifton, GA 31794

3/27/2013Carl D. Johnson, MD 28796RN076675Collier, Pamela C. 11488 1950 Old Ocilla Rd. Tifton, GA 31794

1/9/2019Vahan S. Kassabirn 35668RN253782Collin, Carrie A 43468 5730 Glenridge Drive (Suite 200) Atlanta, GA 30328

10/16/2018Mark A. Haber, MD 30080RN253782Collin, Carrie A 43220 5730 Glenridge Dr. (Suite 200) Atlanta, GA 30328

5/6/2020Charlotte Ebner, MD 69580RN081190Collins, Linda S. 42943 3685 Braselton Hwy Dacula, GA 30019

5/7/2021Tse-hwa Yin 76544RN245103Collins, Kenyatta 54778 2200 Hwy 155 North McDonough, GA 30252

10/27/2019Paula Boyle, MD 55928RN208019Collins, Jaclyn Camille 38739 1155 Main Street Young Harris, GA 30582

2/14/2020Temitope O. Olarewaju, MD #####RN162833Collins, Jessica Michelle 42726 425 3rd Avenue (Suite 105) Albany, GA 31701

5/25/2021Reginald Davis, MD 27720RN175975Collins, Delia 39117 5629 Hwy 21 South Ricon, GA 31326

1/27/2021Jay Jones, MD 60389RN130301Collins, Christy Michelle 41064 35 Hospital Rd Blairsville, GA 30512

9/29/2015George Gowder, MD 25163RN208019RN208019

Collins, Jaclyn Camille 14869 35 Hospital Rd Blairsville, GA 30512

2/4/2022Ha Tran, MD 61178RN251600Collins, Chelsea Blair 21044 1240 Eagles Landing Pkwy. Ste. 260 Stockbridge, Ga 30281

12/15/2017Mark F.Coffey, MD 51450RN175975Collins, Delia Webster 19926 5629 Hwy. 21 S Rincon, GA 31326

3/1/2017Debora Quigley, MD 36601RN208019Collins, Jaclyn 15311 2257 Hwy 515, Ste B Blairsville, GA 30512

12/4/2015William Grubb, MD 16606RN133916Collins, Mary Katherine 15604 3025 Shrine Rd, Ste 450 Brunswick, GA 31520

5/8/2015Antonio Moran, Jr, MD 34669RN133916Collins, Mary Katherine 12204 2500 Starling St, Suite 303 Brunswick, GA 31520

11/30/2019Kartik Reddy, MD 69700RN205192Collins, Jennifer 15903 2518 Jimmy lee Smith Pkwy Hiram, GA 30141

Monday, August 1, 2022 Page 87 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/1/2018Kevin Davis, MD 45765RN130301Collins, Christy Michelle 9064 77 Weaver Road Blairsville, GA 30512

12/1/2011George Galloway, MD 13275RN130301Collins, Christy Michelle 9018 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

6/18/2018Bergrab, Peggy MD 64330RN162833Collins, Jessica 10568 417 Third Avenue Albany, GA 31702

12/8/2015Nooka, Ajay MD 63380RN185288Collins, Hannah 10847 1365 Clifton Road NE, Bldg C, Plaza Level Atlanta, GA 30322

12/12/2013Haritha Arikatla, MD 55723RN081190Collins, Linda Savage 12380 3685 Braselton Hwy Dacula, GA 30019

3/30/2014Dale Lawson, MD 54233RN162833Collins, Jessica Michelle 9866 2000 Palmyra Road - Emer Dept Albany, GA 31701

8/14/2009A. S. Ghiathi, MD 40908RN162833Collins, Jessica Michelle 8301 106 E. Hartford Road Fort Gaines, GA 39851

3/22/2011Vito John Bagnato, MD 45711RN162833Collins, Jessica Michelle 8831 810 13th Ave, Suite 108 Albany, GA 31701

3/1/2012Brian DeLoach, MD 51216RN033411Collins, Penelope B 610 PO Box 8043 Statesboro, GA 30460-8043

11/3/2009Shannon Morgan, MD 60539RN130301Collins, Christy Michelle 8686 101 Riverstone Vista, Suite 106 Blue Ridge, GA 30540

7/31/2017Jeffery Dowis, MD 68199RN170435Colllins, Jennifer Wynne 17610 1205 Russell Pkwy Warner Robins, GA 31088

7/31/2011Sandra Bohnstengel, MD 38692RN057165Collum, Melanie Rose Durrence 611 391 South 1st Street Jesup, GA 31545

9/20/2011Garland Martin MD 47233RN057165Collum, Melanie Rose Durrence 9989 391 South lst Street Jesup, GA 31545

3/24/2020Miles Johnson 38817RN109030Colon, Magaly 44885 6131 S. Norcross Tucker Rd. #6 Norcross, Ga 30093

2/28/2014Lee Rippy, MD 33884RN149647Colson, Amy Leanne Morris 12318 7129 Floyd St Covington, GA 30014

4/9/2022William Robinson Jr. 75129RN138876Colston, Candace 54572 4441 Atlanta Road SE Smyrna, GA 30080

12/31/2020Kerry Nagel, DO 58108RN138876Colston, Candace Lynn 39921 3827 Jimmy Lee Smith Pkwy Hiram, Ga 30141

7/2/2016Michael Avidano, MD 39722RN113723Colton, Wendy Marley 613 1101 Hospital Dr, Suite100-A Stockbridge, GA 30281

3/1/2020Michael Metry, MD 71977RN220551Combs, Jenna 39788 2122 Manchester Express Way Columbus, GA 31904

5/1/2018James White, MD 39510RN220551Combs, Jenna 38881 705 Dixie Street Carrollton, GA 30117

5/17/2021James Hull 75154RN220551Combs, Jenna 50367 2122 Manchester Expressway Columbus, GA 31904

10/31/2021Hafsa Bhatti 78589RN220551Combs, Jenna 51446 2122 Manchester Expy Columbus, GA 31904

8/22/2019Srihan Malempati 52286RN166066Comer, Rosalynn 46239 1670 Scott Blvd, Suite 104 Decatur, Ga 30033

5/31/2021Bruce Salzberg 29775RN196609Comer, Lauren 45643 5775 P'tree Dunwoody Rd, Suite D-100B Atlanta, Ga 30342

3/31/2018Janet Memark, MD 64415RN166066Comer, Rosalynn Nadia 17605 1790 Mulkey Rd, Ste 10 Austell, GA 30106

12/1/2014Jeffrey Dowis, MD 68199RN073864Comer, Judith Lynn 13536 3193 East First St Vidalia, GA 30474

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/11/2017Morhtar Hacena, MD 55062RN242145Comer, Angelin 14689 2054 Watson Blvd Warner Robins, GA 31093

4/19/2019George Kallianos, MD 28420RN196609Comer, Lauren Love 19536 1000 Johnson Ferry Rd. ste. Radiology Dept Atlanta, GA 303

8/10/2021Karim Ali 67271RN219725Compaan, Kyle 45426 3950 Austell Rd. Austell, Ga 30106

1/5/2020Donna Sinclair 64733RN207040Conaway, Yvonne 45851 1046 Ridge Ave SW Atlanta, Ga 30315

7/20/2020Sara Sambandham, MD. 64964RN147213Cone, Jennifer Wood 39902 613 Roselane St. NW Marietta, Ga 30060

1/31/2020Jeffery Dowis, MD 68199RN103622Conforti, Elisabeth Ludwig Kieb 19049 1205 Russell Pkwy Warner Robins, GA 31088

10/18/2016Gururaj Nayak, MD 44033RN103622Conforti, Elisabeth Ludwig Kieb 13665 1909 N Columbia St, Suite D Milledgeville, GA 31061

10/20/2020Frederick Merrill III 34664RN262353Conger, Charlaine 53726 465 N. Belair Road Evans, GA 30809

9/20/2009Julian McLendon, Jr., MD 38557RN147542Conklin, Sarah Elizabeth 616 3758 Hwy 42 Locust Grove, GA 30248

9/1/2014Ramana P. Rao, MD 37052RN121290Conley, Gail D. 11284 801 13th Ave., Stuie A Albany, GA 31701

10/31/2021Cheryl Perkins, MD 36430RN274020Conley, Marla 41436 1499 Fair Rd (East Georgia Regional ) Statesboro, Ga 30458

8/7/2017Steven Yang, MD 65438RN121290Conley, Gail Dykhouse 14181 2740 Ray Knight Way, Ste 100 Albany, GA 31707

9/1/2020Timothy Osborne, MD 68085RN137050Conley-Tuckrr, Becky Ann 11071 One Meadows Pkwy - Emergency Dept Vidalia, GA 30475

11/8/2013Michael Rogers, MD 46482RN042170Conn, Laurie A. 12007 1941 Phinizy Rd Augusta, GA 30906

9/30/2019James O'Shea 74234RN252122Conn, Danielle Taryn 39552 49 Jesse Hill Jr., Drive SE Atlanta, GA 30303

1/1/2016Bill Smith, MD 59963RN042170Conn, Laurie Ann 19070 91 Fourth St. Trion, GA 30753

9/30/2019James O'Shea Timothy, MD. 74234RN252122Conn, Danielle Taryn 39712 49 Jesse Hill Jr. Drive SE. Atlanta, Ga 30303

8/16/2012James Whatley, MD 20622RN150768Connell, April Hellums 9264 1825 Martha Berry Blvd Rome, GA 30165

7/1/2010Billy George Chacko, MD 43900RN150768Connell, April Hellums 619 1825 Martha Berry Blvd. Rome, GA 30165

6/12/2020Timothy Brown 32100RN081932Connor, Lisa 48665 116 Upper Riverdale Road Riverdale, GA 30297

10/1/2019Lynette Steward, MD 39681RN081932Connor, Lisa Colette 39119 5185 Peachtree Parkway, Suite 300 Peachtree Corners, GA 3

1/12/2016Vikash Modi, MD 70226RN209853Connors, Christina Renee 15273 80 Vinings Dr McDonough, GA 30253

7/31/2017Yuan-Xiang Meng, MD 51257RN210195Connors, Julie Beth 21154 2464 Roswell Rd. Marietta, GA 30062-4954

6/5/2020Michael Obenshain 36839RN285826Conover, Katherine 45596 4000 Shakerag Hill, Ste. 301 Peachtree City, Ga 30269

6/2/2021Samantha Storey 60328RN234567Conrad, Malinda 52920 1230 Peachtree Street NE, 19th Floor Atlanta, GA 30309-35

10/20/2021Mazen Abdalla 38414RN234567Conrad, Malinda 57330 2386 Clower Street, Bldg C, Suite 105 Snellville, GA 30078

Monday, August 1, 2022 Page 89 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/25/2022Catherine Trippe 83367RN246215Contiero, Keren 57664 310 Kennestone Hospital Blvd. Marietta, GA 30060

9/16/2019Peter Lee, MD 38545RN236915Contiero, Rafael Alexandre 20633 34 Upper Riverdale Rd. ste. 100A Riverdale, GA 30274

8/31/2017Stephen Pohl, MD 27107RN072672Conway, Valerie Kim 20217 5629 Hwy. 21 South Rincon, GA 31326

6/1/2007Charles Dieas Ruis, MD 30206RN022461Conway, Marian Ann Lancaster 627 2858 Pine Street Unadilla, GA 31091

4/17/2020Robert Madden 22825RN163150Conyers, Barbara J. 47060 100 Peters Street (Suite 38) Calhoun, GA 30701

2/22/2021Vamsi Kota 60210RN225002Conyers, Shanika 44567 1120 15th St, BAA-5407 Augusta, Ga 30912

5/13/2016Micheal Sumner, MD 63062RN225002Conyers, Shanika 14835 1120 15 th, Ste B I Augusta, GA 30912

7/7/2016Carol Scott, MD 57322RN225002Conyers, Shanika Linette 18209 311 West 4th St. Waynesboro, GA 30830

8/4/2016Chad Slaughter, MD 62003RN225002Conyers, Shanika Linette Richar 18399 311 W. 4th Street Waynesboro, GA 30830

11/28/2014Lloyd Rimer, MD 30665RN163150Conyers, Barbara Jean 13024 3541 Chattanooga Rd Tunnel Hill, GA 30755

10/25/2019Joseph A. Bishop, MD 10372RN163150Conyers, Babara Jean 13137 100 Peters St., Ste. 38 Calhoun, GA 30701

3/28/2011Frank David Newby, MD 38314RN163150Conyers, Barbara Jean 9126 1506 Broadrick Dr Dalton, GA 30720

8/26/2013Bishop, Joseph MD 10372RN163150Conyers, Barbara 10643 100 Peters Street, Ste 38 Calhoun, GA 30701

7/1/2019Robert Nelson, MD 65037RN128463Cook, Jennifer Sue 13794 110 South Chestatee St. Ste. 100 Dahlonega, GA 30597

11/24/2021Paul Bradley, MD 30016RN218993Cook, Jennifer Michele 13729 340 Eisenhower Dr, Suite 1200 Savannah, GA 31405

9/30/2010A. E. Westmoreland, MD 13534RN128463Cook, Jennifer Sue 9061 280 West Main Street Dahlonega, GA 30597

11/23/2014Randy Robinson, MD 35987RN104354Cook, Camille Pleshette 13874 1507 Broomtown Rd Lafayette, GA 30728

4/1/2014Allison Turk, MD 63037RN128463Cook, Jennifer Sue 12609 95 Morrison Moore Pkwy Dahlonega, GA 30538

7/24/2009Sandra Brickman, MD 45043RN072673Cook, Joann G. 7979 1806 Lee Avenue Tifton, GA 31793

5/20/2016Suzanne Manley, MD 46167RN191725Cook, Erin Elizabeth Norton 12017 148 Clinic Ave Carrollton, GA 30117

1/24/2017Samuel Ogden, MD 30170RN191725Cook, Erin Elizabeth Norton 18497 109-B Allen Memorial Dr. Bremen, GA 30110

5/29/2019Robert Whipple, MD 46279RN191725Cook, Erin Elizabeth Norton 20042 775 Poplar Rd. ste. 150 Newnan, GA 30265

6/1/2017Willie Bowers, MD 42188RN063377Cook, Gaye Jeffries 20021 5629 Hwy. 21 S Rincon, GA 31326

1/1/2021Thomas Williamson 42144RN216267Cook, Kristen 54790 277 Perry Parkway, Suite C Perry, GA 31069

12/23/2021Sowmya Reddy 60596RN216233Cook, Katherine 46240 2905 Jordan Ct., Suite A Alpharetta, Ga 30004

7/10/2020Hernan Posas Jr. 32026RN180535Cook, Rita 50348 4274 North Valdosta Road Valdosta, GA 31602

Monday, August 1, 2022 Page 90 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2020Charles Gebhardt 28778RN216267Cook, Kristen 46466 2601 Stuart Ave Albany, Ga 31707

8/27/2018Jessie Bender, DO 71454RN219261Cook, Rhonda 41692 4181 Hospital Drive Covington, GA 30014

5/1/2018William Grow, MD 13752RN148517Cook, Michelle Lynn 39123 520 Griffin Avenue Valdosta, GA 31601

11/9/2021Adebowale O. Akintayo, MD 73945RN104354Cook, Camille P. 42683 1025 Veterans Memorial Hwy (Suite 720) Mableton, GA 301

8/20/2021Nicola Botley-Lee, MD 52106RN104354Cook, Camille Pleshette 629 5026 Snapfinger Woods Dr, Suite 112 Decatur, GA 30035

4/1/2009Mark Moers, MD 45555RN128463Cook, Jennifer Sue 632 95 Morrison Moore Pkwy, West Dahlonega, GA 30533

7/21/2020Nadia Cameron 53982RN182059Cook, Courtney 48322 2033 Buford Highway, Suite 109 Buford, GA 30518

4/8/2020Alan Stout 26664RN180535Cook, Rita 46917 3328 Bemiss Road Valdosta, GA 31605

12/1/2016Husham P. Mishu, MD 40740RN209855Cook, Calli Leighann 11607 285 Boulevard NE, #345 Atlanta, GA 30312

10/31/2021Delinda Pearson 83358RN072679Cooke, Erma 57818 3651 Wheeler Road Augusta, GA 30909

8/1/2021CHERYL PERKINS - MD 36430RN072679COOKE, ERMA 39271 1499 FAIR RD ( EAST FA REGIONAL MED CTR) STATESBORO,

8/16/2013Petro, Jr., George MD 62155RN128463Cook-McKnight, Jennifer 10569 59 Tipton Drive Dahlonega, GA 30533

10/13/2019Kenneth Ricci, DO 34932RN84993Cooksey, Karen Paula Rice 17773 10745 Westside Way, Ste.# 125 Alpharetta, GA 30009

1/29/2016Jasmine Park, DO 74162RN084993Cooksey, Karen 16304 10745 Westside Way, Ste 125 Alpharetta, GA 30009

6/16/2021Syed Rizvi 44073RN084993Cooksey, Karen 55273 3400 Old Milton Parkway, Bldg A, Suite 200 Alpharetta, GA 3

1/1/2021Alexander Voljavec 32684RN084993Cooksey, Karen 46878 11685 Alpharetta Hwy, Suite 270 Roswell, GA 30076

9/10/2015Carolyn Sigman, MD 37904RN084993Cooksey, Karen Paula Rice 636 10745 Westside Way, Suite 125 Alpharetta, GA 30009

6/12/2020William Mahle, MD 50110RN191595Coolidge, Nicole Marie 20536 1405 Clifton Rd. NE Atlanta, GA 30322

3/1/2020Ralph P. Warnock, MD 17337RN175935Cooper, N'Kema Jernee 41229 4421 Carnes Street Actworth, Ga 30101

2/7/2018Peggy Bergrab, MD 64330RN146658Cooper, Kathleen 16039 425 3rd Avenue, Ste 105 Albany, GA 31701

10/2/2019Temitope O. Olarewaju, MD 78091RN146658Cooper, Kathleen 42681 425 3rd Avenue (Suite 105) Albany, GA 31701

9/29/2021Appavuchetty Soundappan, MD

44107RN215936Cooper, Brittany Leigh 18741 1115 Morningside Dr. Perry, GA 31069

6/18/2018Clifford V. Dunn III, MD 71489RN146658Cooper, Kathleen 40513 425 3rd Avenue (Suite 105) Albany, GA 31701

9/1/2020Eugene Y Sun, MD 62170RN202887Cooper, Terrill Anthony 42176 1102 Smith Ave Thomasville, GA 31792

1/1/2020Swachitha Kothapally 77170RN231470Cooper, Elizabeth 47254 3850 Windermere Pkwy Cumming, GA 30041

Monday, August 1, 2022 Page 91 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2020Robert Campbell, MD 22522RN175935Cooper, N'Kema 16510 4421 Carnes St Acworth, GA 30101

6/10/2021Allyson Maske, MD 53334RN084801Cooper, Debra Denise 18637 2130 avalon Blvd Alpharetta, GA 30009

9/15/2015Paul Hawkins, MD 54741RN175935Cooper, N'Kema Jernee 15616 4421 Carnes St Acworth, GA 30101

7/31/2016Fernando Burstein, MD 32141RN084801Cooper, Debra Denise 8972 975 Johnson Ferry Rd NE, Suite 100 Atlanta, GA 30342

12/31/2009John Schilling, MD 30880RN084801Cooper, Debra Denise 8180 290 Country Club Drive, Suite 130 Stockbridge, GA 30281

1/11/2010Connie DuPre, MD 31675RN084801Cooper, Debra Denise 8706 1512 Hwy 19 West Thomaston, GA 30286

4/14/2022Vanderlyn Sewell 51547RN234545Cooper, Jere 59188 8800 Roswell road, Suite A135 Atlanta, GA 30350

8/13/2021Piyush Patel 53357RN234545Cooper, Jere 48664 10090 Medlock Bridge Road Johns Creek, GA 30097

6/24/2020Brittany Andry 81860RN285797Cooper, Mary 48535 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

2/1/2012Jonathan Ehrlich, MD 15580RN196254Cooper-McQueen, Paula Steph 8196 993-D Johnson Ferry Rd, #360 Atlanta, GA 30342

7/27/2018Frank Bixler, MD 34779RN066094Copeland, Sherry C. 9164 15 Yarbrough St Hazlehurst, GA 31539

3/5/2010Garland Martin, MD 47233RN066094Copeland, Sherry C. 5489 12 Tippins St. Baxley, GA 31510

8/1/2021Derek Heard, MD 49575RN215723Copeland, Miriam Layne 19868 901 North Madison St. Albany, GA 31701

6/10/2016Paul Martin, MD 29034RN199904Copeland, Christina Danielle 17774 1960 Riverside Pkwy ste.# 101 Lawrenceville, GA 30043

9/1/2021John Lloyd, MD 28434RN102110Copeland, Sandra 38847 5012 Bristol Industrial Highway, Suite 109 Buford, GA 30518

3/30/2018Stephen Orr, DO 30176RN199904Copeland, Christina Danielle 40985 340 Exchange Boulevard Bethlehem, GA 30620

8/24/2021You Sun Nam 64615RN191912Copper, Jennifer 56574 1270 Friendship Road Braselton, GA 30517-5608

11/1/2021Julian Nussbaum, MD 18936RN261681Corbin, Traci Elizabeth 20617 1120 15th St. ste BA2331 Augusta, GA 30912

5/19/2017Tasneem Bhatia, MD 49025RN216234Corbin, Kristin Marie 13653 1401 Dresden Dr. Atlanta, GA 30319

2/28/2021Brian Adams 70842RN261681Corbin, Traci 48482 3161 Howell Mill Road NW, Suite 400 Atlanta, GA 30327

8/1/2015Reginald Nesbitt, MD 58300RN093591Corcoran, Patricia Ann 9873 1350 Walton Way Augusta, GA 30910

7/1/2012William Kitchens, MD 13222RN093591Corcoran, Patricia 10255 1348 Walton Way Ste 5700 Augusta, GA 30910

7/19/2018Kevin Nash, MD 68078RN093591Corcoran, Patricia Ann 11760 1350 Walton Way, Medical Staff Office Augusta, GA 30910

10/1/2011M. Vinayak Kamath, MD 23371RN093591Corcoran, Patricia Ann 9170 1350 Walton Way Augusta, GA 30910

10/15/2015Bennie Brown, DO 65085RN093591Corcoran, Patricia Ann 14020 925 Branch Court, Ste 101 Grovetown, GA 30813

7/31/2015William Callaghan, MD 27974RN093591Corcoran, Patricia Ann 9030 818 St. Sebastian Way, POB II, Suite 200 Augusta, GA 30901

Monday, August 1, 2022 Page 92 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2020Musharaf Momin, MD. 55831RN219975Cordero, Gloria Denise 39715 1169 Hampton Rd. McDonugh, GA 30253

7/3/2019George R. Gottlieb, MD 20437RN232819Cordero, Leonardo 39919 2311 Henry Clower Blvd. (Suite B) Snellville, GA 30078

2/18/2022James Namnoum 41345RN255641Corey, Claudette 46241 371 E. Paces Ferry Rd. NE, Suite 150 Atlanta, Ga 30305

1/19/2021Stnley Bush 48846RN160643Corley, Caitlin 45103 1508 B Hardeman Ave Macon, Ga 31201

8/23/2018Lance Slade, MD 52488RN160643Corley, Caitlin 15477 550Professional Dr Macon, GA 31201

3/25/2015Vishwas Sakhalkar 66808RN160643Corley, Caitlin Michele 14223 770 Pine St, Ste 520 Macon, GA 31201

7/8/2013Romualda Klicius, MD 46305RN160643Corley, Caitlin Michele 1201 145 N. Medical Pkwy Woodstock, GA 30189

7/16/2020Nancy Lefever, MD 50205RN122788Correia, Wanda Denise Wall 648 PO Box 680 Tate, GA 30177

7/7/2019Stephanie Miles 57199RN222981Cosby, Pamela Marie 44383 5775 Peachtree Dunwoody Road (Bldg C - Suite 500) Atlanta,

2/9/2018Quyen Luu, MD 25216RN222981Cosby, Pamela Marie 17459 458 Hemlock St, Ste 200 Macon, GA 31201

11/26/2018Forrest Clark Cantrell, MD 28948RN105376Cosgrove, Julie Claire Thompso 649 5041 Dallas Hwy, Bldg 2, Suite 2 Powder Springs, GA 30127

5/2/2020Scott Barbour, MD 51908RN208111Costa, Fernanda 41247 5505 Roswell Road (Suite 100) Atlanta, GA 30342

12/18/2016Madhavi Jordan, MD 56725RN208111Costa, Fernanda 18932 55 Whitcher St, Ste 130 Marietta, GA 30060

7/18/2017Erik Bendiks, MD 51866RN208111Costa, Fernanda 20032 1350 Montreal Rd. East ste. 290 Tucker, GA 30084

9/27/2019Teresa Cezar, MD 48031RN073478Cote, Wilma Jean 16645 391 South First St Jesup, GA 31545

7/31/2011Sandra Bohnstengel, MD 38692RN073478Cote, Wilma Jean Rogers 652 391 South First St Jesup, GA 31545

11/1/2012Martin, Garland 47233RN073478Cote, Wilma 10126 391 South lst Street Jesup, GA 31545

10/23/2020Odell Still 37085RN073478Cote, Wilma 48163 391 South 1st Street Jesup, GA 31545

4/3/2019Lorett D. Duggan, MD. 78767RN197891Cothern, Stephanie 40024 118 Alice Coleman Dr. Vidalia, Ga 30474

3/1/2021Jeuslyn Chandler 69284RN197891Cothern, Stephanie 46532 118 Alice Coleman Drive Vidalia, GA 30474

7/9/2020Roy Deen 27799RN220361Couch, Jamie 46509 800 W Thomas St Milledgeville, Ga 31061

7/31/2020Peter Lee, MD 38545RN124073Couch, Mark Edward 657 34 Upper Riverdale Rd, #100A Riverdale, GA 30274

8/10/2017James Brennan, MD 19645RN051998Coulombe, Serena 5442 303 Smith Street LaGrange, GA 30240

5/1/2020Kenneth Horlander, MD 46128RN051998Coulombe, Serena M 18840 303 Smith St. LaGrange, GA 30240

8/10/2021James L. Hiller 40688RN152780Coulter, Jennifer R 44347 1094 Bermuda Run Statesboro, GA 30458

10/15/2019Michele M. Mitchell, MD 71254RN190877Courson, Jessica Lynne 41078 903 Ward Street West (Suite A) Douglas, GA 31533

Monday, August 1, 2022 Page 93 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/13/2018Robb Fulton, DO 73325RN190877Courson, Jessica Lynne 15938 903 West Ward St, Ste A Douglas, GA 31533

6/18/2015Marcus Roberts, MD 35986RN190877Courson, Jessica Lynne 13326 903 West Ward St, Suite A Douglas, GA 31533

7/11/2020Karen Baker 66251RN288797Courtney, Melissa 47296 1692 Chatham Parkway Savannah, GA 31405

7/13/2021Raymond Walkup, MD 66375RN191714Couse, Tracey Lynne 17944 1150E Hammond Dr, Ste 400, 600, 650 Atlanta, GA 30328

1/10/2021Robert Martin, MD 71595RN106393Cousins, Diane 18446 1610 East 10th St West Point, GA 31833

8/31/2015Luther Vance, Jr, MD 19354RN204335Cousins, Valerie Jean 12968 8470 Senoia Rd Fairburn, GA 30213

11/1/2013Allen W. Jones, Jr., MD 32214RN106393Cousins, Diane 5443 1610 East 10th Street West Point, GA 31833

5/5/2014Brian DeLoach, MD 51216RN135671Coussons-Dyches, Angela Vawn 662 PO Box 8043 Statesboro, GA 30460-8043

2/13/2019Angela Gerguis, MD 47261RN135671Coussons-Dyches, Angela Vawn 12690 586 Brannon St Statesboro, GA 30458

5/18/2015Eric Powell, MD 49081RN135671Coussons-Dyches, Angela 15467 586 Brannen St Statesboro, GA 30458

9/13/2016Noreen Andrews, MD 46861RN193407Covode, Jennifer Florence 18526 1180 McKendree Church Rd, Ste 202 Lawrenceville, GA 3004

12/8/2014Sanjay Nariani, MD 49861RN157695Cowart, Rebecca Leanne 13108 3457 Lawrenceville Suwanee Rd, Suite C Suwanee, GA 3002

11/10/2020Angela Dawson 40895RN267255Cowart, Harry 50384 306 Shorter Avenue Rome, GA 30165

6/1/2019Srinivas Kolipaka, MD 63677RN267255Cowart, Harry F. 41531 323 Roland Rd. Jasper, Ga 30143

2/2/2019Nizamuddin Khaja, MD 54915RN267255Cowart Jr., Harry Floyd 38946 323 Roland Rd. Jasper, GA 30143

12/3/2021Dawit Weldemichael 75710RN267255Cowart Jr., Harry 54755 304 Shorter Avenue, Suite 104 Rome, GA 30165

7/8/2019Obaid Rehman, MD 44990RN181784Cowgill, Bryce Simpson 12370 PO Box 14417 Savannah, GA 31416

8/15/2016Debra Lister, MD 38849RN101986Cox, Virginia 15594 1101 Ocilla Rd Douglas, GA 31533

4/26/2020Corrigan, Victor MD 26489RN145683Cox, Cynthia 10914 1301 Sigman Rd NE, Ste 200 Conyers, GA 30012

3/7/2015Edd Jones III, MD 33123RN101986Cox, Virginia Lee Brady 13349 110 Norman Dorminy Dr, Box 929 Fitzgerald, GA 31750

7/9/2018Robert Cook, MD 26087RN165142Cox, Cinthia Fabiola 19405 106 Hospital Dr., Ste 1 Chatsworth, GA 30705

12/7/2016James Zuppa, MD 30249RN165142Cox, Cinthia Fabiola 19444 102 North Oaks Dr. Dalton, GA 30721

4/24/2021Darren Dillard 82471RN250540Cox, Nycole 46341 46 Hwy 16W Griffin, Ga 30224

1/6/2020Michael Satchell 49593RN250540Cox, Nycole 44776 1120 C Indian Dr Eastman, Ga 31023

1/1/2020Jason Cox 42034RN066314Cox, Sheryl 44790 204 East 15th St. Alma, Ga 31510

3/13/2019Saurabh D. Desai 27530RN250540Cox, Nycole Ashley 43465 1 North Tennessee Street Cartersville, GA 30120

Monday, August 1, 2022 Page 94 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/13/2019Anthony G. Captin 39300RN250540Cox, Nycole Ashley 43466 1 North Tennessee Street Cartersville, GA 30120

3/13/2019Thomas J. DeMarco 32718RN250540Cox, Nycole Ashley 43467 1 North Tennessee Street Cartersville, GA 30120

3/31/2019Khadijatu E. Allen, MD 44669RN066314Cox, Sheryl T. 40437 204 E. 15th Street Alma, GA 31510

7/1/2018Harsh W Singh, MD 57844RN066314Cox, Sheryl L 42324 204 E 15th St Alma, GA 31510

5/1/2012William Hammond, MD 19166RN101986Cox, Virginia Lee Brady 667 200 Perry House Road Fitzgerald, GA 31750

1/23/2020Ian Furtado 83601RN066314Cox, Sheryl 48132 204 E 15th Street Alma, GA 31510

9/29/2021Dion David 66775RN250540Cox, Nycole 57401 5885 Glenridge Dr., Suite 100 Atlanta, GA 30328-5572

8/13/2021Christopher Arant 60698RN112575Crabb, Jolyn 58199 706 Dixie Street, Suite 320 Carrollton, GA 30117

2/7/2020Nalini Narayan, MD 44287RN112575Crabb, Jolyn 42741 705 Dixie Street Carrollton, GA 30117

7/31/2019Mitchell Wilson, MD 61188RN112575Crabb, Jolyn Blackwell 17205 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

2/18/2019Laura Conger, MD 42031RN112575Crabb, Jolyn Blackwell 13753 1200 Memorial Dr. Dalton, GA 30720

5/1/2015James Collins, MD 29833RN140243Crabbe, Karla 15777 304 Turner McCall Blvd Rome, GA 30165

5/1/2015James Collins, MD 29833RN140243Crabbe, Karla Blythe 12705 304 Turner McCall Blvd Rome, GA 30165

2/15/2013Dark, Jennifer MD 66016RN144337Craig, Jessica 10744 1012 Burleyson Road Dalton, GA 30710

4/20/2017Amanda Davis-Herin, MD 50152RN144337Craig, Jessica 15440 1200 Memonal Dr Dalton, GA 30720

3/12/2016Ramon Ramos, MD 33683RN242957Craig, Julie Ann 16787 460 Mall Blvd Savannah, GA 31406

5/2/2008Thomas Self, MD 21587RN107717Craig, Karen Jenell Abbott 673 1825 Martha Berry Blvd Rome, GA 30165

12/3/2012Wilma Briones-Mull, MD 64783RN107717Craig, Karen Abbott 9907 255 W. 5th St, Suite 300 Rome, GA 30165

8/22/2014Ambrozic, Richard MD 43851RN186759Crance, Jessica 10310 3321 B N. Valdosta Rd, Ste B Valdosta, GA 31602

3/28/2014David Wyatt, MD 42979RN173213Crandall, Lisa Marie 8428 3540 Duluth Park Lane, Suite 260 Duluth, GA 30096

1/1/2018Naresh Parikh, MD 28851RN173213Crandall, Lisa Marie 13222 6330 Primrose Hill Crt, Ste 208 Norcross, GA 30092

12/7/2021Suresh Shah, MD 793RN173213Crandall, Lisa Marie 19018 5245 Buford Hwy, Ste 106 Norcross, GA 30071

1/29/2020Garrett E. Post 61143RN147995Crane, Christina Reese 43959 1035 Red Bud Rd., NE Calhoun, GA 30701

12/7/2020Todd Hold, MD 46126RN147995Crane, Christina Reese 18286 1035 Red Blvd Rd. Calhoun, GA 30701

1/31/2006Richard Dukes, MD 51875RN210385Crane, Esther Joy 13791 11705 Jones Bridge Rd. Ste. A201 Johns Creek, GA 30005

7/25/2012Feaster, Joshua MD 62690RN210385Crane, Esther 10417 235 Peachtree St NE, North Tower, Ste 2100 Atlanta, GA 303

Monday, August 1, 2022 Page 95 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2009Thomas Self, MD 21587RN147995Crane, Christina Reese 675 1825 Martha Berry Blvd Rome, GA 30165

6/19/2012Theron Thompson, MD 51772RN147995RN147995

Crane, Christina Reese 8548 1825 Martha Berry Blvd Rome, GA 30165

12/18/2008Todd Robinson, MD 40773RN147995Crane, Christine Reese 8199 14 Cherokee Road Cedartown, GA 30125

7/19/2019Elizabeth Hawk, MD 55828RN222454Cranston, Catherine Barrett 17133 105 Collier Rd NW, Ste 5040 Atlanta, GA 30309

9/12/2020Jean Chin 70541RN222454Cranston, Catherine 46507 2990 Five Forks Trickum Road Lawrenceville, GA 30047

9/12/2020Jean Chin 70541RN222454Cranston, Catherine 51804 35 Collier Road NW, Suite 775 Atlanta, GA 30309

8/7/2020Alexander Ibezi-Enendu, DO 75636RN123659Cravey, Amy Elizabeth Harrell 19033 136 Dykes St. Cochran, GA 31014

2/24/2017Eugene Jackson, MD 22793RN123659Cravey, Amy Harrell 18499 136 West Dykes St. Cochran, GA 31014

7/11/2016Brandi Wynne, MD 60635RN123659Cravey, Amy 16095 150 E Peacock St Cochran, GA 31014

9/1/2010Blake Milner, MD 52789RN123659Cravey, Amy Elizabeth Harrell 9160 817 Griffin Ave, Suite B Eastman, GA 31023

2/5/2016Michele Pennington, MD 63003RN123659Cravey, Amy Elizabeth Harrell 9303 817 Griffin Ave Eastman, GA 31023

4/30/2012Souza, John MD 39475RN123659Cravey, Amy 10149 1110 Hillcrest Pkwy Dublin, GA 31021

12/10/2020Trista Marshall 68927RN166954Crawford, Angela 50924 1005 Boulder Drive Gray, GA 31032

4/13/2020Gerald Chai, DO 66464RN154895Crawford, Salaethia Martria 18394 4425 Paulsen Street Savannah, GA 31405

2/7/2014John Vender, MD 42475RN192423Crawford, Miranda Wallace 11809 1120 15th St, BI-3088 Augusta, GA 30912

2/9/2016James Carroll, MD 26236RN192423Crawford, Miranda Wallace 13389 1446 Harper St, BT2840 Augusta, GA 30912

2/9/2016Elizabeth Sekul, MD 39230RN192423Crawford, Miranda Wallace 13390 1446 Harper St., BT2840 Augusta, GA 30912

2/9/2016Suzanne Strickland, MD 60620RN192423Crawford, Miranda Wallace 13391 1446 Harper St. Augusta, GA 30912

3/1/2020Ralph P. Warnnock, MD 17337RN166954Crawford, Angela Nicole 41228 4421 Carnes Street Acworth, Ga 30101

6/11/2019Robert Weeks 46007RN222081Crawford, Jamie Lynn 39199 1326 Eisenhower Drive., Bldg. 2 Savannah, GA 31406

11/7/2019Jason Laney 69060RN239193Crawford, Preston 46491 9 Hester St Hazlehurst, Ga 31539

7/30/2021Tonya Fordham, DO 49292RN195783Crawford, Randall Terry Jr. 40379 18 Luckie St. (Suite F) Baxley, GA 31513

1/1/2016David Hatmaker, MD 26300RN168656Crawford Jr, Randall Terry 14756 One Meddows Pkwy Vidalia, GA 30474

5/12/2021Peter Wrobel, MD 40285RN196687Cray, Sharon Lakisha 42197 1718 Reynolds Street Waycross, GA 31501

11/4/2020Gregory Melnikoff, MD 33645RN200665Credille, Caroline Ann 18527 1001 Johnson Ferry Rd. Atlanta, GA 30342

Monday, August 1, 2022 Page 96 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/16/2018John Corbin, MD 34800RN184601Creed, Whitney Lauren 19221 2122 Manchester Expwy Columbus, GA 31904

5/5/2020Kevin King, MD 56310RN184601Creed, Whitney Lauren 11840 2122 Manchester Expway, Hosp Med Dept Columbus, GA 31

3/16/2015Sangha Sumandeep, MD 56222RN140894Creed, Tracy Christine 13513 1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214

7/5/2011George Powell, MD 37046RN140894Creed, Tracy Christine 9278 3207 Country Clun Drive Valdosta, GA 31605

9/9/2020Michael Coulthard 71060RN184601Creed, Whitney 52523 2122 Manchester Expy Columbus, GA 31904

8/25/2010Guillermo Saurina, MD 48570RN140894Creed, Tracy Christine 8297 201 Pendleton Drive, Suite 250 Valdosta, GA 31605

2/22/2019Davis L. Reames, IV 72096RN221254Creel, Stacy Lynn 43462 4 E. Jackson Blvd. Savannah, GA 31405

1/31/2019KIMBERLY HARBIN MD 50087RN167665CREEL, KIMBERLY DAWN 39789 1500 EAST STOTWELL ST BAINBRIDGE, GA 39819

10/21/2017Charles Holley, MD 41833RN221254Creel, Stacy Lynn Bohannon 16042 225 Candler Dr, Ste 301 Savannah, GA 31405

1/31/2019William Carter, MD 43896RN052883Crenshaw, Claudia Regan 17483 3926 Hwy 36 West Jackson, GA 30233

10/16/2014William Thorneloe, MD 23119RN052883Crenshaw, Claudia Regan 12439 2978 Hwy 36, West/PO Box 3088 Jackson, GA 30233

3/29/2021Byron Littlefield 28810RN249030Crew, Laura Clayton 49243 21 Commerce Parkway Adairsville, GA 30103

11/2/2020Calin Badea, MD 55918RN113544Crews, Lisa Terrell 19159 455 S Main St., Ste 104 Hinesville, GA 31313

8/20/2020Jean Philippe 44056RN141244Crisostomo-Delisfort, Dorothy 45609 4439 Austell Rd. Austell, Ga 30106

9/27/2018Jean Joseph Phillipe, MD 44056RN141244Crisostomo-Delisfort, Dorothy 19810 315 Boulevard Ne. ste. 528 Atlanta, GA 30312

12/21/2020Satyen Mehta 54809RN135490Crisp, Susan 47671 100 Market Place Blvd, Suite 200 Cartersville, GA 30121

10/12/2019David Warren, MD 32492RN135490Crisp, Susan Ashley 8075 150 Gentilly Blvd Cartersville, GA 30120

1/28/2020Shawn Fagan 73150RN194462Criswell, Jody 48329 3675 J. Dewey Gray Circle, Suite 300 Augusta, GA 30909

8/1/2010Renee Waters, MD 35782RN160548Crites, Julie Brooks 8932 285 Elm St, Suite 102 Cumming, GA 30040

8/15/2017Brandee Urrutia, MD 66661RN160548Crites, Julie Brooks 11814 4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

8/15/2017Kenneth Rice, MD 47251RN160548Crites, Julie Brooks 9371 1628 Market Place Blvd Cumming, GA 30041

8/15/2017Sinan Haddad, MD 56455RN160548Crites, Julie Brooks 7916 1250 Jesse Jewell Pkwy, #400 Gainesville, GA 30501

2/1/2018Paul Hanna, DO 59161RN106186Crittenden, Darlene Rene Seldo 12802 2122 Manchester Exprwy, Hosp Med Dept Columbus, GA 31

12/31/2020Christopher D Stewart, MD 68314RN106186Crittenden, Darlene 42325 2122 Manchester Expwy Columbus, GA 31904

4/24/2014Reden C. Delgado, MD 65957RN049428Croft, Sheilia H. 11186 12293 Rome Hwy Rockmart, GA 30153

12/1/2011George Galloway, MD 13275RN049428Croft, Sheila Darlene Hill 9291 526 Maddox Dr, Suite 101 Ellijay, GA 30530

Monday, August 1, 2022 Page 97 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2015Ram Reddy, MD 24178RN049428Croft, Sheila Darlene Hill 13338 1061 Dowdy Rd, Suite 100 Athens, GA 30606

6/26/2009William Raisig, MD 55290RN049428Croft, Shelia Darlene Hill 8456 64 Call-Wright Road Ellijay, GA 30540

5/2/2012Timothy Brown, MD 32100RN119083Crom, Kimberly Williams 8427 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale, GA 30274

8/1/2021Janis Coffin 56528RN067104Cromer, Pamela R. 44149 987 St. Sebastian Way (Suite EC-1500) Augusta, GA 30912

7/1/2021Toby Bond, MD 43880RN281158Cronia, Cara 43889 1181 Langford Dr Bldg 200 Suite 105 Watkinsville, GA 30677

12/31/2018William O Rankine, DO 55294RN143740Crook, Kimberly A 42179 1012 Highway 247 South Kathleen, GA 31047

10/1/2019Michael Nulph, MD 57735RN143740Crook, Kimberly 40277 1012 Hwy 247 South Kathleen, GA 31047

7/1/2020Guy Easterling 41283RN143740Crook, Kimberly 46680 1012 Highway 247 South Kathleen, GA 31047

11/23/2017Daxis Banit, MD 52884RN143740Crook, Kimberly Ann 13466 3051 Watson Blvd, Ste 400 Warner Robins, GA 31093

7/1/2020Kimberli Carpenter 54474RN143740Crook, Kimberly 48650 222 Perry Hwy, Bldg B Hawkinsville, GA 31036

12/1/2014Mohammad Al-Shroof, MD 45158RN143740Crook, Kimberly Ann 9717 2054 Watson Blvd Warner Robins, GA 31093

8/20/2011Jose Medina-Bairan, MD 41166RN132708Crosby, Melissa Greene 9467 PO Box 3550 Valdosta, GA 31604

12/4/2020Conrado J. Tojino, Jr. 72145RN192335Crosby, Melissa Allison 43416 3623 J. Dewey Gray Circle (Suite 210) Augusta, GA 30909

12/21/2017Alisha Benner, MD 78751RN196152Crosby-Myles, Fernanda Renee 39120 1200 Abernathy Rd. ste. 1700 Atlanta, GA 30328

3/1/2017William Snell, DO 24495RN208438Crosen, Kanina Diane 9580 880 Canton Rd, Suite 300 Marietta, GA 30060

9/2/2020Daniel Singleton 68857RN233345Cross, Sarah 38880 131 East 6th Avenue Buena Vista, GA 31803

9/10/2021Megan Durham, MD 44203RN263202Cross, Bridgette Marquita 19777 1400 Tullie Road Atlanta, GA 30329

3/27/2020Mehmood Mehdi, MD 57725RN162295Cross-Robinson, Anicia 43890 367 Athens Hwy Suite 1800 Loganville, Ga 30052

1/11/2021Carmen Echols 65398RN162295Cross-Robinson, Anicia 55015 4221 Atlanta Highway Loganville, GA 30052-7316

8/8/2013Raymond Jarvis, MD 45505RN214410Crow, Kimberly Kay Lindsey 9832 330 Turner McCall Blvd Rome, GA 30165

8/13/2021Dale Green 31926RN171418Crowe, Julia 54003 55 Carlton Street Athens, GA 30602

4/12/2018Dana Hogan, MD 44236RN171418Crowe, Julia Rosdeutscher 19235 1160 Capital Ave., Ste 105 Watkinsville, GA 30677

1/1/2017Patrick Eagleson, MD 65702RN171418Crowe, Julia 15389 1230 Baxter St Athens, GA 30606

1/1/2018Ronald Forehand, MD 22760RN171418Crowe, Julia Rosdeutscher 2567 370 River Rd, Univ Health Ctr Athens, GA 30602

10/2/2015Andrea Hill, MD 51332RN171418Crowe, Julia 15513 517 Great Oaks Dr, Ste 103 Monroe, GA 30655

1/1/2018Naresh Parikh, MD 28851RN177073Crowel, Catherine Grace 39101 #3 Corporate Square, Suite 130 Atlanta, GA 30329

Monday, August 1, 2022 Page 98 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2019Jorge O. Rodriguez, DO 63947RN177073Crowell, Catherine G. 41424 4441 Atlanta Road (Suite 107) Smyrna, GA 30080

4/9/2022William Robinson 75129RN177073Crowell, Catherine 49000 4441 Atlanta Hwy Smyrna, GA 30080

10/18/2021Afolabi Tiamiyu 63140RN076675Crownover Collier, Pamela 58187 618 E. Lamar Street Americus, GA 31709

9/10/2015Anthony Marchetti, MD 31471RN145300Cruel, Vernendia 15250 801 W Gordon St Thomaston, GA 30286

12/1/2018Alberto Garcia 54374RN230599Crum, Taylor Nicole 38688 209 E. Main Street Hahira, GA 31632

3/26/2021Theresa Jacobs 46864RN289836Crumbie, Donnett 51487 2295 Parklake Drive, Suite 500 Atlanta, GA 30345

12/10/2021Katherine Wiegman 67629RN289836Crumbie, Donnett 54535 48 Main Street #34 Senoia, GA 30276

10/22/2021Jaime Davis 54807RN221959Crumbley, Michelle 44934 130 Enterprise Pkwy McDonough, Ga 30253

6/26/2015Chandrasekhar Sankaran, MD

31549RN221959Crumbley, Michelle Renee 12960 101 Regency Park Dr, Suite 140 McDonough, GA 30253

5/8/2018Rajeshkumar Miniyar, MD 51597RN234960Crumby, Cora Sims 18501 140 Three Rivers Dr. Rome, GA 30161

7/11/2019Steven Garmon, MD 40070RN234960Crumby, Cora 40691 140 Three Rivers Dr. Rome, GA 30161

8/16/2019Robert Harriosn Hummer lll, MD.

44242RN155758Crump, Christie Ray 39717 541 Historic Hwy 441-N Demorst, Ga 30535

5/2/2018James Taylor, MD 65189RN155758Crump, Christie Rae 13025 541 Historic Hwy 441 North Demorest, GA 30535

1/3/2022Lisa Mandeville-Brown 46987RN225702Crump, Camille 59185 315 Winn Way Decatur, GA 30030

7/24/2014Safia Pirani, MD 56624RN221042Crumpler, Carolyn Dohme 12967 220 Oakside Lane Canton, GA 30114

5/7/2018Swapna Madhavan, MD 57098RN221042Crumpler, Carolyn Dohme 14622 260 Elm St. Cumming, GA 30040

12/30/2018Sookyong Koh, MD 63947RN218718Crutchfield, Brooke 21028 1605 Chantilly Drive Atlanta, GA 30324

3/4/2021Yaman Eksioglu 78857RN218718Crutchfield, Brooke 44061 1400 Tullie Rd NE (Suite 420) Atlanta, GA 30329

4/15/2018Hyunmi Kim, MD 56119RN218718Crutchfield, Brooke Burbridge 39175 1400 Tullie Rd. (Suite 420) Atlanta, GA 30329

10/11/2021Akash M Shah, DO 78972RN187790Cruz, Jaynald Caoile 42326 2122 Manchester Expwy Columbus, GA 31907

2/1/2018Bert Wall, MD 48003RN187790Cruz, Jaynald Caoile 19610 2122 Manchester Exprwy Columbus, GA 31904

4/18/2019Lawrence Zottoli, MD 36639RN169066Cruz, Yvette Nicole McLloyd 13008 4704 Augusta Rd Garden City, GA 31408

3/26/2021Shawn Kim, MD 60393RN226144Cruz, Do Hyeon 14021 3525 Gwinnett Place Dr. Duluth, GA 30096

9/1/2014Michael Pompey, MD 23097RN085019Cruz, Erwin Osiris 694 901 Rice St Atlanta, GA 30318

4/1/2012Timothy Graves, MD 26859RN126162Cruz, Cheunita Rae Tyler 693 770 Walnut St Macon, GA 31201

Monday, August 1, 2022 Page 99 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/14/2019Stephanie Keller, MD 64120RN188328Cruz-Harris, Jennifer Anne 11822 975 Johnson Ferry Rd, Suite 340 Atlanta, GA 30342

10/1/2016Jesse Jones, MD 35072RN219464Cruz-Morales, Esmerardo 12514 4300 Buford Hwy, Suite 216 Atlanta, GA 30345

4/18/2022Daniel Esteves 61881RN219464Cruz-Morales, Esmerardo 44496 2078 Beaver Ruin Road, Ste 500 Norcross, GA 30071

8/7/2019Lisa Ortenzi, MD 23395RN248574Csorna, Suzanne 16120 880 Crestmark Dr #200 Lithia Springs, GA 30122

9/1/2020Clarence Morgan, MD 33410RN220894Cuadrado-Barrera, Diana 14791 5944 Buford Hwy Norcross, GA 30071

7/11/2014Pablo Quintonilla, MD 17546RN220894Cuadrado-Barrera, Diana 13085 3369 Buford Hwy, ste. 800 Atlanta, GA 30329

2/3/2014Raymond Ramirez, MD 31310RN220894Cuadrado-Barrera, Diana 11797 5280 Buford Hwy, Suite H Doraville, GA 30340

12/31/2017Adolfo Molina, MD 24166RN220894Cuadrado-Barrera, Diana 13812 3182 Shallowford Rd. NE Chamblee, GA 30341

2/24/2013Gail Matthews, MD 52182RN220894Cuadrado-Barrera, Diana 11296 6158 Highway 92, Suite 101 Acworth, GA 30102

7/25/2013Sanjay Nariani, MD 49861RN203087Cueto, Johathan 11441 3795 Buford Dr., inside Walmart Buford, GA 30519

6/1/2013Ashok Kancharla, MD 48250RN203087Cueto, Jonathan 11009 132 Franklin Spring St. Royston, GA 30662

2/25/2020Rita Beckford, MD 73189RN203087Cueto, Jonathan 21163 1655 Tullie Circle NE ste. E Atlanta, GA 30329

6/10/2021Gary Bernstein 30269RN222752Culkin-Taylor, Lakietta 51397 600 Celebrate Life Parkway Newnan, GA 30265

5/2/2019Ankur Patel 70701RN222752Culkin-Taylor, Laketta 43962 600 Celebrate Life Parkway Newnan, GA 30265

3/4/2021Robert Bryan Jr. 22122RN109284Culpa-Bondal, Maria 55638 2927 Demere Road Saint Simons Island, GA 31522

2/16/2021Marci Manna 81273RN108284Culpa-Bondal, Maria 46343 2927 Demere Rd. St. Simons Island, Ga 31522

9/30/2016Dan Ioanitescu, MD 51476RN109284Culpa-Bondal, Maria Flordesol 13314 940 GA Hwy 96 Warner Ronins, GA 31088

1/1/2020Brett Cannon, MD 46053RN229417Culver, Amanda 40667 3950 Austell Rd. Austell, GA 30106

3/15/2020Aashish P. Patel, MD 62410RN229417Culver, Amanda 40785 1000 Medical Center Blvd. Lawrenceville, GA 30046

8/16/2019Bolanie Sogade, MD 47875RN213019Cummings, Qualivia Hawkins 41132 639 Hemlock Street (Suite 101) Macon, GA 31201

1/1/2014Beverly Hyacinth, MD 57003RN133042Cummings, Thelma B. 11224 2990 Five Forks Trickum Rd. Lawrencefille, GA 30044

5/4/2021Thomas Hurd, MD 27070RN149914Cummins, Emily Annette Sasser 8546 400 Tower Road, Suite 350 Marietta, GA 30060

5/22/2017Daniela Rojas Molina, MD 55331RN033755Cunningham, Deloris Hefner 702 526 Maddox Drive Ellijay, GA 30540

5/1/2013Plummer, Valens MD 49496RN084875Cunningham, Sylvia 10048 5230 Dallas Hwy Powder Springs, GA 30127

7/31/2015Robert Williams, MD 29263RN115548Cunningham, Thomas Keith 7771 111 S. Washington St Lincolnton, GA 30817

7/31/2016Lester Johnston, MD 55605RN115548Cunningham, Thomas 15888 116 Main St. Lincolnton, GA 30817

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/31/2016Robert Puckett, Jr. 50423RN247081Cunningham, Angela Aurora 18089 11766 Highway 27 ste. A Summerville, GA 30747

4/15/2016Kenneth Howard, MD 40412RN247081Cunningham, Anglea 16398 11766 Highway 27, Ste A Summerville, GA 30747

5/31/2016Thomas Self, MD 21587RN247081Cunningham, Angela Aurora 17662 11766 Hwy 27, Ste A Summerville, GA 30747

3/22/2018Rukhsana Ahmad, MD 55330RN239010Cunningham, Sydney Janai 38751 1902 Macy Drive Roswell, GA 30076

8/1/2020Stephen Fleming 63325RN170928Curl, Deborah 44985 745 S. illedge Ave. Ste. 1A Athens, Ga 30605

1/31/2013Albert Lintel, MD 58595RN093196Curl, Carla Sue McFarland 9353 775 West Ave, Suite A Cartersville, GA 30120

9/30/2021Cory Duncan 77610RN230550Currie, Mekinnah 56042 340 Village Way, Suite C Braselton, GA 30517

3/10/2021SRIINAND MANDYAM MD 70149RN230550CURRIE, MEKINNAH RAE 39833 1200 BALD RIDGE MARINA RD SUITE 150 CUMMING, GA 30

2/10/2020Gary Smith, MD 10666RN224058Curruth, Carly McGraw 39178 2968 Hwy 337 Menlo, GA 30731

11/19/2018Alford Brady, MD 40616RN244054Curry, Brittany 20318 2209 Pineview Dr. Valdosta, GA 31602

8/28/2017Roy Reardon, MD 42402RN209759Curry, David Allen 21269 103 R.E. Jennings Avenue SE Arlington, GA 39813

7/30/2020Afolarin R. Banjoko 49267RN218003Curtis, Marion D. 7971 8400 Abercorn Street Savannah, GA 31406

12/12/2021Pablo Balboa, MD 55409RN199165Curtis, Tommy Charles 13880 100 Hospital Ct. Calhoum, GA 30701

12/10/2019Aderemi Dosunmu 47893RN218003Curtis, Marion D 44153 2209 Pineview Drive Valdosta, GA 31602

10/26/2018Kerry Nagel, DO 58108RN240337Curtis, Ida Sarah 39277 3827 Jimmy Lee Smith Parkway Hiram, GA 30141

3/4/2021Robert Bryan Jr. 22122RN218003Curtis, Marion 55639 2927 Demere Road Saint Simons Island, GA 31522

2/16/2021Marci Manna 81273RN218003Curtis, Marion 44422 2927 Demere Road Saint Simons Island, GA 31522

4/29/2020Bih Tambi 82310RN218003Curtis, Marion 49268 2052 Watson Blvd Warner Robins, GA 31093

2/24/2022Karla Booker 33800RN240337Curtis, Ida 56876 3747 Roswell Road Marietta, GA 30062

11/21/2014Michael Hamm, DO 49021RN177851Cutia, James Robert 9970 410 Darling Ave Waycross, GA 31501

4/25/2019Michael Hamm, DO 49021RN177851Cutia, James Robert 15069 5248 Newjesup Hwy Brunswick, GA 31523

3/5/2022Akinkunmi Ogundipe, MD 50237RN186411Cutini, Ashley 40662 55 Whitcher Street Suite 460 Marietta, GA 30060

10/2/2020Toney Clark, MD 36943RN138083Cutter, Shibana 40289 320 Parkway Drive, NE 4th Floor Atlana, GA 30312

9/22/2021Christopher Valentine 72840RN138083Cutter, Shibana 58267 1128 E. Derenne Ave Savannah, GA 31406

1/1/2021Mave Harrigan MD 56719RN218918Cutting, Jennah Leigh 42842 3940 Cherokee Street Kenesaw, GA 30144

6/17/2020Mark Benak 48976RN211958Cuyugan, Leah Buenaventura 43964 4350 Towne Center Drive (Suite 2000) Evans, GA 30809

Monday, August 1, 2022 Page 101 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/6/2020Marion Bailey, MD 10467RN054326Cyphers, Beverly Ann 20466 130 North Gross Rd. ste. 201 Kingsland, GA 31548

1/14/2021George Rafeedie 67591RN199261Cyrius, Charmante 51010 1395 S. Marietta Pkwy, Bldg 300, Suite 216 Marietta, GA 30

12/16/2019Louis Spencer 61351RN185059Czarnecke, Heather 44864 650 Henderson Dr. Suite 504 Cartersville, Ga 30120

8/10/2020Louis Spencer 61351RN185059Czarnecke, Heather 47407 1414 Dug Gap Rd Dalton, GA 30720

1/31/2011John Y. Chung, MD 41532RN187417Czerkasij, Victor 5464 1107 Memorial Drive, Ste 201 Dalton, GA 30720

12/27/2018James G. Hamilton Jr., MD 29179RN215782Dadd, Haley Patton 41615 633 Falls Road (P O Box 1129) Toccoa, GA 30577

12/27/2018Nancy R. Watson, MD 42766RN215782Dadd, Haley Patton 41371 633 Falls Road (P O Box 1129) Toccoa, GA 30577

12/27/2018Jim R. Wade, MD 22664RN215782Dadd, Haley Patton 40057 633 Falls Road (P O Box 1129) Toccoa, GA 30577

12/27/2018Dave A Ringer, MD 30368RN215782Dadd, Haley Patton 42207 112 Hospital Drive Wshington, GA 30673

12/27/2018Mark L Daniel, MD 28759RN215782Dadd, Haley Patton 42208 490 Kathwood Drive Athens, GA 30607

12/27/2018Robert W Klassen, MD 34385RN215782Dadd, Haley Patton 42209 2560 Flintridge Road Gainesville, GA 30501

12/27/2018Robert J Williams, MD 29263RN215782Dadd, Haley Patton 42216 112 Hospital Drive Washington, GA 30673

12/27/2018James Hamilton 29179RN215782Dadd, Haley Patton 44282 676 Historic Hwy 441 N Demorest, GA 30535

12/27/2018Terence Frinks MD 51042Rn215782Dadd, Haley 42843 1000 Briarcliff road NE Atlanta, GA 30306

12/27/2018May Luz Bullecer MD 50947RN215782Dadd, Haley Patton 42844 490 Kathwood Drive Athens, GA 30607

10/31/2018Oladayo A Osinuga, MD 51703RN215782Dadd, Haley Patton 42534 1000 Briarcliff Road NE Atlanta, GA 30306

12/27/2018Anon E Westmoreland, MD 13534RN215782Dadd, Haley Patton 42530 2560 Flintridge Road Gainesville, GA 30501

5/14/2021Ebele Compean 85594RN204431Dade, Michelle 56650 1640 Powers Ferry Road SE, Bldg. #9, Suite 330 Marietta, GA

7/14/2015David Shore, MD 41671RN152830Dade, Rebecca Elaine 13420 758 Old Norcross Rd. #175 Lawrenceville, GA 30046

9/30/2015Andrew Magnet, MD 60215RN251580Daftarian, Zahra 16481 1 Aflac Parkway Columbus, GA 31907

8/23/2019Chantrapa Bunyapen, MD 19243RN137897Dahlmann, Alan Robert 17990 1120 15 St. Ste. BIW-6033 Augusta, GA 30912

11/11/2021Kenneth Grotz, MD 37820RN192271Dahlmann, Ashley Elizabeth 20856 4150 Washington Rd. Evans, GA 30809

6/30/2016Lathan Overstreet, MD 36659RN094340Dalcour, Lori Anita 711 340 Boulevard NE, Suite 103 Atlanta, GA 30312

6/1/2019Christopher Leach, MD 59267RN198451Dale, Crystal 20501 743 Spring Street Gainesville, GA 30501

11/1/2021Leo Noragbon 60014RN245277Dale, Amber 52435 1758 County Services Parkway Marietta, GA 30008

12/16/2020Wesley Seabolt 64266RN048295Daley, Lydia 54249 223 North Anderson Drive Swainsboro, GA 30401

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/30/2010John Swing, III, MD 46914RN048295Daley, Lydia Lee 8888 PO Box 1259 Swainsboro, GA 30401

9/30/2011Mona Hanna, MD 53824RN048295Daley, Lydia Lee 8375 223 N. Anderson Drive Swainsboro, GA 30401

7/29/2020David Bate, MD 34291RN048295Daley, Lydia Lee 8582 PO Box 1505 Sylvania, GA 30467

2/28/2009Mary Lynn Tyson, MD 30683RN048295Daley, Lydia Lee 8189 629 Shadrack Street Waynesboro, GA 30830

8/31/2007Roy Thomas Harry, MD 28781RN048295Daley, Lydia Lee 5422 408 Green Street, P.O. Box 737 Louisville, GA 30434

1/14/2009Ram Reddy, MD 24178RN143047Dalley, Patricia Ann 714 132 Franklin Springs Street Royston, GA 30662

6/3/2020Gayathri Kumar 77062RN259139Dalsania, Rucha 47655 3660 Market St. Clarkston, GA 30021

10/5/2021Natalie Britt 79073RN218021Daly, Michael 54453 100 S. Madison Street Thomasville, GA 31792

9/19/2016Loy Cowart, MD 37979RN218021Daly, Michael Edward 16652 127 North College St Statesboro, GA 30458

2/24/2021Jean-Paul Landry, MD 33777RN218021Daly, Michael 16720 200 N. River St. Claxton, GA 30417

4/23/2019Jay Goldstein, MD 45229RN218021Daly, Michael Edward 17078 4700 Waters Ave, Emer. Dept. Savannah, GA 31404

6/3/2019Jovan Shenelle Adams 72933RN218021Daly, Michael Edward 32 459 Highway 119 South Springfield, GA 31329

9/1/2012Norvin Ona, DO 37634RN169909Daniel, Julia Fabrycy 8881 885 Buford Drive Lawrenceville, GA 30043

2/24/2017Rita Livingston, MD 63494RN085223Daniel, Colette Ann Greer 18395 215 North Broad Street Monroe, GA 30655

8/29/2017Andrew Magnet, MD 60215RN085223Daniel, Colette Ann Greer 17991 1 Aflac Pkwy Columbus, Ga 31999

1/9/2020David Persaud, MD 70703RN169909Daniel, Julia Fabrycy 13156 772 Maddox Dr., Ste. 122 Ellijay, GA 30540

7/7/2021Susan Smith 30547RN169909Daniel, Julia 55855 772 Maddox Drive Ellijay, GA 30540

1/28/2021Daniela Rojas-Molina 55331RN169909Daniel, Julia 50351 772 Maddox Drive Ellijay, GA 30540

1/27/2021William Walters 46511RN235633Daniel, Timothy 46243 64 Jones Mill Rd., Suite A Woodbury, Ga 30293

2/27/2019Elliot Raizes, MD 24478RN262881Daniel, Mila Michele 39791 3350 Breckinridge Blvd. (Suite 200) Duluth, GA 30096

3/26/2018Brandon Kemp Hicks, MD. 46683RN236099Daniels, Rebecca Grace 39920 1230 Baxter Street Athens, Ga 30606

12/8/2019Samuel C. Obiorah 42379RN123024Daniels, Michael Dwayne 43730 821 N. Cobb Street Milledgeville, GA 31061

8/21/2019Kelly M Mackey, MD 47346RN236099Daniels, Rebecca 42215 485 Highway 29 North Athens, GA 30601

3/7/2020Vvonne Smith, MD 42443RN222075Daniels, Elyse Marie 40663 505 Dacula Rd Dacula, GA 30019

5/19/2022James Lawrence III 78990RN123024Daniels, Michael 47885 821 N. Cobb Street Milledgeville, GA 31061

5/1/2020Otis Powell 25814RN226360Daniels, E'Toyus 44898 125 Hwy 138 SE Riverdale, Ga 30274

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/12/2019Arthur Yancey 36909RN226360Daniels, E'Toyus 45478 745 Memorial Dr. Atlanta, Ga 30316

7/16/2021Dilini Daswatta 78010RN220457Daniels, Farida 54053 595 Hurricane Shoals Road, NW Suite 100 Lawrenceville, GA

2/22/2022Lekshmi Kumar 64083RN226360Daniels, E'Toyus 47498 745 Memorial Drive Atlanta, GA 30316

4/25/2011Crystal Comeau, MD 61224RN153645Daniels, Christina Dawn 9293 101 Riverstone Vists, Suite 111 Blue Ridge, GA 30513

9/22/2014Rene Romero, MD 37060RN198156Daniels, Mary Caroline Toher 9180 1405 Clifton Rd NE Atlanta, GA 30322

7/15/2010George Galloway, MD 13275RN153645Daniels, Christina Dawn 9052 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

7/31/2021Nadia Cameron, MD 53982RN153645Daniels, Christina Dawn 11919 3755 Sixes Road, Suite 100 Canton, GA 30114

5/13/2009Germaine Denise Cummings, MD

52340RN152695Daniels, Lakeysha Myrie 8392 5320 Memorial Drive Stone Mountain, GA 30083

10/11/2011Thomas Nguyen, DO 62579RN153645Daniels, Christina Dawn 9011 772 Maddox Dr, Suite 110 E. Ellijay, GA 30540

7/2/2009Yolanda Hacker, MD 45811RN152695Daniels, Lakeysha Myrie 8563 5320 Memorial Drive Stone Mountain, GA 30083

1/22/2010Eusebio Fernandez, MD 12038RN153645Daniels, Christina Dawn 8299 772 Maddox Drive, Suite 110 East Ellijay, GA 30540

4/11/2008Daniel Allan Williams, MD 114RN183020Daniels, LaDonia C. 5458 1128 Southpark street Carrollton, GA 30119

11/30/2019Simon Portee 33177RN226360Daniels, E'toyus 46932 135 Eagle Walk, Suite 100 Stockbridge, GA 30281

2/1/2008Thomas Karisny, MD 50029RN153645Daniels, Christina Dawn 8067 170 Hospital Circle, Suite A Blairsville, GA 30512

1/11/2016Heather Edwards, MD 57604RN152695Daniels-Williams, Lakeysha Myr 16791 2739 Felton Dr. East Point, GA 30344

9/21/2018Emmett McKenzie, MD 77274RN271056Danilczyk, Daniel 39201 1405 Clifton Road Atlanta, GA 30322

6/30/2021 Alan Yahanda, MD 71202RN238024Dankyi, Edward 38707 600 Celebrate Life Parkway Newman, GA 30265

6/30/2021Priscilla Igho-Pemu 51590RN238024Dankyi, Edward 56056 600 Celebrate Life Parkway Newnan, GA 30265

6/30/2021Rashid Faiyaz 75784RN238024Dankyi, Edward 45441 1170 Cleveland East Point, Ga 30344

6/30/2021Yoseph Tekleyes 80697RN238024Dankyi, Edward 45247 80 Jesse Hill Dr. Dr. SE Atlanta, Ga 30303

6/30/2021Jonathan Perkins, MD 69127RN238024Dankyi, Edward Osei 17206 2701 N Decatur Rd Decatur, GA 30033

6/30/2021Kevin Goodlow, MD 57977RN238024Dankyi, Edward Osei 14022 1133 Eagle's Landing Pkwy Stockbridge, GA 30281

12/15/2021Daniel Miller 51066RN238024Dankyi, Edward 57449 600 Celebrate Life Parkway Newnan, GA 30265

5/1/2020Fonda Mitchell 47490RN154520Dannenbaum, Jenna 46244 3650 Steve Reynolds Blvd Duluth, Ga 30058

4/16/2021Marty Sellers, MD 56925RN155782D'Annunzio, Shannan Hoyt 724 1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 3030

Monday, August 1, 2022 Page 104 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/5/2016Johnathan Henderson, MD 54898RN069143D'Antignac, Veronica 15019 7138 Hwy 212, Ste A Covington, GA 30016

9/6/2016Karuna Shah, MD 43773RN69143D'Antignac, Veronica 17992 5900 Hillandale Dr. ste. 230 Lithonia, GA 30058

11/11/2021Kenneth Grotz 37820RN241127Dao, Linh 45475 4150 Washington Rd, #11 Evans, Ga 30809

7/1/2021Tracy Barefield 41717RN241127Dao, Linh 45427 4150 Washington Rd. #11 Evans, Ga 30809

10/1/2020Fidias E. Deleon 63891RN241127Dao, Linh My 43727 976 Killian Hill Road Lilburn, GA 30047

4/1/2022John Bleacher 42182RN204891Daraei, Ashley Foster 39289 5461 MERIDIAN MARK RD SUITE 570 ATLANTA, GA 30342

2/14/2020Mark Wulkan, MD 45676RN204891Daraei, Ashley Foster 15163 1405 Clifton Rd NE Atlanta, GA 30322

9/22/2021Lauren Hearn 83333RN216844Darbyshire, Austin 56020 355 Clear Creek Pkwy, Suite 1003 Lavonia, GA 30553

12/31/2021Devin Stephens 75010RN216844Darbyshire, Austin 58765 355 Clear Creek Parkway, Suite 1003 Lavonia, GA 30553

2/22/2019Darrell . Surratt, MD 55984RN217654Darley, Breanna Lynn 42600 505 Amelia Avenue Bainbridge, GA 39819

5/1/2015Antony Labady, MD 63084RN164973Darsey, Holly Lannom 13047 200 Industrial Blvd. Dublin, GA 31021

10/31/2013Miller, Jeri MD 30835RN164973Darsey, Holly 10117 200 Industrial Blvd Dublin, GA 31021

7/31/2019Lethenia J Baker, MD 69370RN205657Darty, Monica Shyrell 42292 917 West Gordon St Thomaston, GA 30286

12/13/2019Nicolas Psomiadis 53022RN205657Darty, Monica 46196 917 West Gordon St., Suite A Thomaston, Ga 30286

1/4/2015James Southerland, MD 24632RN054103Darugar, Deborah Crutcher 14212 803 South Main St Greensboro, GA 30642

10/28/2014Ringer, Dave 30368RN054103Darugar, Deborah Crutcher 10025 803 South Main Street Greensboro, GA 30642

2/25/2016Mark McCracken, MD 55863RN138716Dasher, Jessica Rebecca 16899 1499 Fair Rd Statesboro, GA 30458

7/18/2014Scott Tarplee, DO 21057RN162729Daugherty, Lindsey 13237 2300 Parkwood Dr. Brunswick, GA 31520

6/27/2014Suh, Daniel MD 42125RN080817Daugherty, Susan 10869 4 Jackson Blvd Savannah, GA 31405

12/21/2010Bhumiben Purohit, MD 58812RN162729Daugherty, Lindsey 8923 1890 Manor View Cumming, GA 30041

4/3/2011R. Alexander Wynn, MD 56939RN080817Daugherty, Susan Kathleen 8125 7120 Hodgson Memorial Drive Savannah, GA 31406

1/1/2010Scott B. Parry, DO 39899RN170152Davage, Lindsay Marie 5497 730 Ponce de Leon Place, Ste B Atlanta, GA 30306

6/1/2017Sarah J Polow, DO 24067RN195801Davenport, Lottie Southern 17812 824 G.I. Maddox Pkwy Chatsworth, GA 30705

10/26/2019Darrell Murray 44797RN219619Davenport, Myrtle 45868 420 Dannon View, #3103 Atlanta, Ga 30331

12/29/2017Davin Mitchell, MD 63786RN149848Davenport, Lottie 21357 1075 Lafayette Pkwy, Suite 100 LaGrange, GA 30241

1/1/2016Crystal Comeau, MD 61224RN149848Davenport, Lottie S. 731 PO Box 306 East Ellijay, GA 30539

Monday, August 1, 2022 Page 105 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2020Rahil Kazi, MD 41593RN134353Davey, Julie Ann 733 1707 Watson Boulevard Warner Robins, GA 31093

3/31/2015Vicki Knight-Mathis, MD 47337RN222180David, Jennifer 14497 2920 Marietta Way, Ste 142 Canton, GA 30189

6/1/2021Simon Fensterscaub 83142RN135667Davies Hodge, Claudia 57298 4595 Cantrell Road Flowery Branch, GA 30542

4/12/2021Nimisha Trivedi 53715RN135667Davies-Hodge, Claudia 46416 3545 Cruse Road Lawrenceville, GA 30044

3/30/2021Michael Metry 71977RN172048Davila, Teresa 52930 2122 Manchester Expy Columbus, GA 31904

12/31/2019Andrew T. Mecca 36547RN172048Davila, Teresa M 43921 5612 Whitesville Road Columbus, GA 31904

12/3/2021Wael Alijishi 79559RN172048Davila, Teresa 57206 2122 Manchester Expy Columbus, GA 31904

12/29/2021Henry LeBoyd, III 78692RN232360Davis, Christina 57079 901 E. 18th Street Tifton, GA 31794

2/15/2022Randy Durbin 64776RN188113Davis, Jamil 59289 4300 Martha Berry Hwy Rome, GA 30165

3/21/2022Theltonia Gunn 66186RN244923Davis, Amber 59535 5767 Old Winder Hwy Braselton, GA 30517

2/28/2022Kevin Winders 42145RN211130Davis, Lakia 55854 3300 Old Milton Pkwy, Suite 175 Alpharetta, GA 30005

5/13/2021Allen Hord 27828RN281258Davis, Jamela 50642 3885 Princeton Lakes Way, Suite 400 Atlanta, GA 30331

12/15/2021Dylan Deatrich 77360RN244923Davis, Amber 51084 5767 Old Winder Hwy Braselton, GA 30517

5/19/2014Dean Karampelas,MD 26141RN158615Davis, Barbara Nicole 734 743 Spring St Gainesville, GA 30501

8/31/2011Felicia M. Carr, MD 28190RN143842Davis, Jaqueline Margaret 741 305 West Harris Street Savannah, GA 31401

8/17/2015Dennis Harper, MD 53749RN057110Davis, Jennifer Flanders 742 1400 N Peterson Ave, Suite C Douglas, GA 31533

4/27/2016Bridgett Asbury, MD 48752RN089222Davis, Shelly Denice 749 1806 Lee Avenue Tifton, GA 31793

12/9/2010Khaled Nass, MD 43717RN050862Davis, Sherry Annice Harwell 750 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

4/18/2011Edward Meier, MD 43426RN182147Davis, Nicole Elizabeth 8644 2112 Shorter Ave, Suite 200 Rome, GA 30165

1/1/2019Kestin, Sharon MD 34990RN143842Davis, Jaqueline 10252 1900 Abercorn Street, (Suite #100) Savannah, GA 31401

7/25/2012Grossman, Stephanie MD 41814RN215920RN215920

Davis, Debra 10195 1365-C Clifton Road Atlanta, GA 30322

9/28/2012Clyde Simmons, MD 17301RN128572Davis, Monica Rowe 8077 907 E. 18th Street, Suite 400 Tifton, GA 31794

1/8/2016Mark Kats, MD 61275RN050862Davis, Sherry Annice Harwell 9595 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

7/25/2012Love, Michael MD 64856RN129150Davis, Karrie 10372 979 E. 3rd Street, Ste C-520 Chattanooga, TN 37403

7/3/2019Corey Greenwald 41130RN188113Davis, Jamil 44140 1199 Prince Avenue Athens, GA 30606

Monday, August 1, 2022 Page 106 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/9/2022Michael Young 50120RN232264Davis, Cleste M 44275 297 Cooper Road Loganville, GA 30052

1/25/2019Lora F. Efaw, MD 36727RN200024Davis, Arthur Griffin 42685 39 Kent Road (Suite 2) Tifton, GA 31794

7/3/2019Obaid Rehman, MD 44990RN235646Davis, Katherine Nettie 42660 11700 Mercy Blvd (Plaza D, Bldg 5) Savannah, GA 31419

11/30/2018Martha Presley, MD 77109RN158615Davis, Barbara 40847 1200 Abernathy Rd Suite 1700 Atlanta, GA 30328

12/31/2019Carlos Zayas-Montalvo, MD 36668RN247225Davis, Sharonda S. 40821 1120 15th Street (BA 4231) Augusta, GA 30912

11/1/2019Paul Wentland, MD 74929RN218675Davis, Laurie Deanne 19016 14 Fort Town Dr. Ft. Oglethorpe, GA 30742

2/21/2020Jonathan Wade, MD 66666RN274303Davis, Tara 41190 3030 Airport E Dr Macon, Ga 31216-7984

11/12/2018Linda Katherine Hudson, MD.

47771RN198314Davis, Michelle M. 40092 417 W 3rd Avenue Albany, Ga 31701

11/28/2017Shailesh Patel, MD 61931RN188113Davis, Jamil Eman 18989 5454 Yorktowne Dr. Atlanta, GA 30349

10/5/2021Leo Noragbon 60014RN188113Davis, Jamil 48999 1758 County Services Parkway Marietta, GA 30008

8/28/2021Carol Williams 60631RN197160Davis, Larissa 52709 200 Doctors Drive, Suite P Douglas, GA 31533

3/7/2021Daniel Valancius 72151RN225946Davis, Hollie 46085 304 Turner McCall Blvd Rome, Ga 30165

12/15/2021Shyla Reddy 71622RN156624Davis, Regina 44789 480 N. Main St., Ste. 202 Alpharetta, Ga 30009

6/11/2020Timothy Longaker 25883RN245816Davis, Matthew 44499 822 South Hill Street Griffin, GA 30223

11/20/2018Aderemi S. Dosunmu 47893RN188113Davis, Jamil E. 43051 1435 North Expressway (Suite 301) Griffin, GA 30223

3/1/2019Dinakara Shetty, MD 42431RN245816Davis, Mathew Chad 43057 1719 Russell Parkway (Suite 700) Warner Robins, GA 31088

12/31/2020Jorge Pisarello 58914RN200024Davis, Arthur 45373 701 N. Slappy Blvd. Albany, Ga 31701

8/6/2021Darshak Karia, MD 75510RN247225Davis, Sharonda S. 40477 1350 Walton Way Augusta, GA 30901

5/31/2019Domenic Scalamogna, MD 69632RN191357Davis, Bradley Turner 42063 910 North 5th Street Cordele, GA 31015

9/3/2021Nizamuddin Khaja 54915RN254248Davis, Vethilla 45644 20 Hernell Rd. Villa Rica, Ga 30180

7/1/2016Jenkins II, John MD 62726RN144410Davis, Cassandra 10591 612 West Gordon Street, Ste C Thomaston, GA 30286

8/31/2012Chunduri, Ananda MD 64911RN128572Davis, Monica 10862 39 Kent Road, Ste 5 Tifton, GA 31794

8/28/2021Debra Lister, MD 38849RN197160Davis, Larissa Ann 14056 1101 Ocilla Rd. Douglas, GA 31533

4/4/2017Ifeoma Nnaji, MD 63931RN237100Davis, Larry Matthew 14081 1300 Joseph E Boone Blvd, NW Atlanta, GA 30314

5/19/2014Swati Gaur, MD 57624RN158615Davis, Barbara Nicole 12332 743 Spring Street Gainesville, GA 30501

Monday, August 1, 2022 Page 107 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/17/2015Phillip Potter, MD 34220RN177687Davis, Daisy Bisola 12256 699 Church St, Suite 320 Marietta, GA 30060

1/3/2022Sunil John, MD 50530RN155517Davis, R. Tim 12295 2122 Manchester Exprwy Columbus, GA 31904

8/28/2015Richard Gluckman, MD 13982RN217188Davis, Michelle 15682 3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064

5/6/2014Lloydstone Jacobs, II, MD 49179RN191859Davis, Sarah 10950 2900 University Pkwy Lawrenceville, GA 30043

3/13/2017Kevin Whitworth, MD 71910RN197160RN197160

Davis, Larissa Ann 14373 200 Doctors Dr, Ste P Douglas, GA 31533

12/19/2021Garland Martin, MD 47233RN120009Davis, Kimberly Ann Faulk 12617 23 Tippins St Baxley, GA 31513

9/13/2013Nirav Raval, MD 54496RN207840Davis, Lindsey Leigh 9432 275 Collier Rd, Suite 300 Atlanta, GA 30309

6/30/2009Sandy Jun, MD 37005RN148442Davis, Jennifer Cross 7856 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

10/31/2015Jennifer Meyer-Carper, MD 64604RN181221Davis, Sarah Louise 9679 315 Winn Way Decatur, GA 30030

12/31/2012Jennifer Lyman, MD 50039RN181221Davis, Sarah Louise 9680 315 Winn Way Decatur, GA 30030

9/30/2014Gary Glasser, MD 33583RN181221Davis, Sarah Louise 9684 315 Winn Way Decatur, GA 30030

12/6/2016Charles Cowart, MD 29161RN197160Davis, Larissa 16340 205 Shirley Ave Douglas, GA 31533

6/1/2019Sreevalli Dega, MD 71063RN229035Davis, Anastasia Chefon 19726 5629 Hwy 21 South Rincon, GA 31326

7/31/2020Joi Rogers, MD 75881RN197160Davis, Larissa Ann 21040 200 Doctors Drive ste. P Douglas, GA 31533

5/20/2017Muhammad Hashmi, MD 70303RN191859Davis, Sarah Kelley 14581 2900 University Parkway Lawrenceville, GA 30043

7/31/2019Jeremy Ackerman, MD 59584RN209698Davis, Philip Virgil 15191 1364 Clifton Rd. Atlanta, GA 30322

3/1/2019Neil Kahn, MD 30489RN188113Davis, Jamil Eman 16857 2711 Irvin Way, Ste 211 Decatur, GA 30030

7/20/2019Deepti Bhasin, MD 55979RN160065Davis, Audra Douthit 16778 402 Osigian Blvd, Ste 400 Warner Robins, GA 31088

7/27/2016Syed Naseeruddin, MD 67046RN244923Davis, Amber Danielle 16985 11680 Great Oaks Way, Ste 150 Alpharetta, GA 30022

9/29/2013Harden, Charles MD 44930RN120009Davis, Kimberly 10542 1811 Manning Drive Vidalia, GA 30475

4/5/2018Izabella Verbitsky, MD 46509RN255236Davis, Rebecca Caroline 18323 1459 Montreal Rd. ste. 305 Tucker, GA 30084

7/8/2019Kevin Ende, MD 75275RN244923Davis, Amber Danielle 18438 550 Peachtree St NE, Ste 1575 Atlanta, GA 30308

3/31/2017Richard Rickman, MD 49332RN206909Davis, Candis Saunders 17211 200 Georgia Avenue Valdosta, GA 31698

7/22/2015Noreen Andrews, MD 46861RN140088Davis, Amy Leigh Christian 11978 1180 McKendree Church Rd, Suite 202 Lawrenceville, GA 30

10/23/2018Eamon Dutta, MD 46593RN188113Davis, Jamil Eman 13462 2150 Peachford Rd. Atlanta, GA 30338

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2020Eric Lehman 32231RN200024Davis Jr., Arthur 47756 701 North Slappey Blvd. Albany, GA 31701

3/30/2020Jon E. Stahlman, MD 49207RN204248Davis Langley, Hannah Ruth 1017 1755 Parker Road (Suite A1ZO) Conyers, GA 30094

5/12/2020Melanie E Watkins, MD 64299RN175675Davis-Chance, Shana-Kae Josep 42203 761 Old Norcross Rd Lawrenceville, GA 30046

12/13/2021Dorel Bidiuc, MD 51296RN204404Davis-Evans, Chassidy Hope 17455 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

3/24/2016John Hardwell, MD 49177RN204404Davis-Evans, Chassidy 16319 304 Turner McCall Blvd Rome, GA 30165

11/15/2012Morohunfolu Akinnusi, MD 64741RN171108Dawe, Jennifer 9871 55 Whitcher St NE, Suite 160 Marietta, GA 30060

10/21/2013Eva Beaulieu, MD 66254RN162457Dawkins, Laneisha Ann 11003 3600 Dallas Hwy SW Marietta, GA 30064

4/17/2020Clyde Simmons, MD 17301RN168093Dawson, Rebecca 16334 330 Benjamin H Hill Dr Fitzgerald, GA 31750

2/19/2016Matthey Harris, MD 47761RN164139Day, Hannah Shope 16776 1240 Jesse Jewell Pkwy, Ste 500 Gainesville, GA 30501

2/8/2013Riesco, Ricardo MD 44069RN122559Day, Cynthia 10437 1933 Shields Road Dalton, GA 30720

2/19/2016Christopher Bussler, MD 55813RN164139Day, Hannah Shope 13849 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

7/1/2016Armene Vanoyan, MD 46508RN174953Day, Julie Marie 13884 275 Collier Rd Ste 100 C Atlanta, GA 30309

7/31/2011Andrew Pandya, MD 55323RN090084Day, Claudia Eileen Yarbrough 9047 210 E. DeRenne Ave Savannah, GA 31405

12/31/2020Carliss C. Graham, MD 63782RN150021Day, Jema Joette 41092 620 J L White Drive (Suite 140B) Jasper, GA 30143

4/19/2010Nedra Dodds, MD 39170RN064251Day, Elizabeth Jean 8745 9020 Peridot Pkwy Stockbridge, GA 30281

3/14/2016James Butts, MD 9103RN121449Day, Leigh Anne Smith 755 PO Box 2683 Gainesville, GA 30503

10/31/2011Hugo Ribot, MD 30196RN064251Day, Elizabeth Jean 5113 958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120

12/14/2021Dinesh Raju 65880RN260007Day, Esther 58488 475 Philip Boulevard, Suite 200 Lawrenceville, GA 30046

4/22/2022James French, Jr. 58959RN268849Day, Jessica 59955 460 Nothside Cherokee Blvd, Suite 410 Canton, GA 30115

9/11/2020Carol Wanna 43812RN174953Day, Julie 48289 720 E 71st Street Savannah, GA 31405

9/24/2021Cecil Bennett Jr. 48844RN238787Daya, Towauna 56029 51 Hospital Road Newnan, GA 30263

3/6/2019Hatem A. Asad, MD 49978RN210578De La Cruz, Kaleigh Sheree 40763 105 Briarcliff Rd. Warner Robins, GA 31088

12/30/2017Eva Beaulieu, MD 66254RN200121De Los Reyes, Erin 40666 564 Crosstown Dr Peachtree City, GA 30269

3/20/2017Sean Miles, MD 52084RN200121De Los Reyes, Erin 16495 1605 Hwy 34 E, Ste A2 Newnan, GA 30265

1/28/2021Joseph Zarge, MD 44150RN180824De Meglio, Naomi Ann 13228 5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342

7/25/2012Conley, Jason MD 54602RN187668Deal, Darron 10679 960 Joe Frank Harris Parkway, Emer Dept Cartersville, GA 30

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/15/2018David Hatmaker, MD 26300RN135390Deal, Karen Lynette 20073 1 Meadows Parkway Vidalia, GA 30474

1/19/2021Victor Corrigan, MD 26489RN080864Dean, Lynn Dixon 12985 275 Collier Rd, Suite 500 Atlanta, GA 30309

9/9/2016Shailesh Patel, MD 61931RN138138Dean, Shakaola Amaree 17994 5454 Yorktowne Dr. Atlanta, GA 30349

2/26/2020David Morton, MD 48279RN258602Dean, Katie Grounds 19244 3000 Schatulga Rd. Columbus, GA 31907

3/31/2014Gregory Zakers, MD 49847RN170709deArmas, Karla Vanessa 758 4711 Peachtree Ind Blvd, Ste B Norcross, GA 30092

9/1/2013Luther Vance, Jr, MD 19354RN170709deArmes, Karla Vanessa 12008 2171 Northlake Pkwy, Bldg 6, Suite 120 Tucker, GA 30084

3/19/2021Rebecca Staub 75158RN232360Deason, Christina 46375 901 East 18th Strret Tifton, GA 31794

1/14/2019Karl Schultz Jr 37676RN100964Deavers, Katherine 15735 1240 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

12/13/2019R. Bradley Bedgood, DO 52054RN137169deBey, Susan Meredith 9339 610 Third St, Ste 202 Macon, GA 31201

5/13/2009Germaine Denise Cummings, MD

52340RN089225Decamp, Cynthia Cherie 8380 5320 Memorial Drive Stone Mountain, GA 30083

12/10/2021Vamsi Kanagala 82102GAA-NP000063

Decastro, Maria 58190 704 Breedlove Drive, Suite A Monroe, GA 30655

4/22/2022Alison Wright 46017RN123457Decker, Laura 57445 130 Byrd Way Warner Robins, GA 31088

2/5/2016Jeffery Dowis, MD 68199RN123457Decker, Laura 15824 1205 Russell Parkway Warner Robins, GA 31088

12/1/2009Nichole LeBoyd, MD 54452RN138117Decker, Julie Ann 7828 649 Shallowford Rd Gainesville, GA 30504

10/30/2020Kenneth Ofohoa, MD 68463RN123457Decker, Laura Shirlene 17777 1960 247 Connector Byron, GA 31008

10/30/2020John McLaren, MD 21749RN123457Decker, Laura Shirlene 18124 821 North Cobb St Milledgeville, GA 31061

12/10/2020Thomas Williamson, MD 42144RN123457Decker, Laura Shirlene 39013 209 North Camellia Blvd Ft. Valley, GA 310320

10/20/2020Jeffrey Davenport MD 63574RN192159Deen, Amanda Nicole 42846 1900 Tebeau Street Waycross, GA 32501

4/21/2020Aristotle P. Cochon, MD 66344RN192159Deen, Amanda Nicole 42628 1101 Ocilla Rd. Douglas, GA 31533

4/1/2020Richard Wherry, MD 17341RN219300Dees, Stephanie Michelle 18803 35 Lumpkin Campground Rd. Dawsonville, GA 30534

2/11/2017Mitzi Rubin, MD 49592RN235188Dees, Latasha Roshelle 13532 3240 South Cobb Dr., SE Smyrna, GA 30082

1/5/2016Frank Bynes, MD 36932RN168565Dees, Kristi 16731 4395 Ogeechee Rd., Ste 298 Savannah, GA 31405

4/12/2019Kristina Johnson, MD 68198RN168565Dees, Kristi Deanna 17282 3776 Hwy 17 South Richmond Hill, GA 31324

10/4/2021Reuben Roberts, Jr. 17944RN209756Defenbau IV, Calvin Edward 43980 618 E. Lamar Street Americus, GA 31709

4/25/2020Ekei Tanifym 78358RN241507Degoh, Rosemary 45419 100 Timber Trail Rd., #104 Richmond Hill, Ga 31324

Monday, August 1, 2022 Page 110 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/3/2021William Keeling 60650RN276218DeGrandpre, Joshua 47055 80 Jesse Hill Drive Atlanta, GA 30303

7/19/2017Jayson Fields, MD 49794RN144344DeGuia, Susan Elaine 13199 150 Gentilly Blvd. Cartersville, GA 30120

5/3/2011Thomas Morrow, MD 39879RN144344Deguia, Susan Elaine 9338 5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

10/17/2015Andrew Waldman, MD 48001RN092845Dehner, Carissa Francine Buttru 13291 710 Center St, Emer Dept Columbus, GA 31901

1/1/2020Rizwan Khan, DO 63251RN138138Dehner, Michael Andrew 16624 2000 16th Ave. Columbus, GA 31901

11/2/2020Michael Coulthard 71060RN092845Dehner, Carissa 50639 2122 Manchester Expy Columbus, GA 31904

9/30/2016Jaymal Patel, MD 50984RN138138Dehner, Michael Andrew 17298 2100 Comer Ave Columbus, GA 31904

12/1/2017Keith A. Blanks, DO 52042RN092845Dehner, Carissa F. 11490 710 Center St., Emer Dept Columbus, GA 31901

12/31/2020Nathan Cleaver 76962RN189064Delerme, Grace 45215 105 Professional Park Dr. Cumming, Ga 30040

10/4/2021Harbin, Anthony MD 29665RN202030Delestowicz, Victoria 10218 1525 Chattanooga Road Dalton, GA 30720

4/1/2021Bryon Evans 53850RN136294Delk, Earl 54728 990 Hammond Drive, Suite 525 Atlanta, GA 30328

4/9/2021Syed Zaidi, MD 60489RN191912Delnoce, Jennifer Lyndsey 13635 528 Broad St. SE, Ste B Gainesville, GA 30501

4/1/2015Robert Raybon, MD 38339RN216236DeLoach, Shana Barker 12161 79 Doyle St Toccoa, GA 30577

4/1/2014Shaun Price, MD 57744RN225396Demarest, Lauren Whitney 12246 705 17th St Columbus, GA 31901

6/1/2021Linda Moore, MD 55849RN225396Demarest, Lauren Whitney 12242 610 19th St Columbus, GA 31901-1528

12/31/2015Dingane Baruti, MD 55411RN232647Demby, Taheerah Denise 14082 100 Yorktown Dr., Ste 110 Fayetteville, GA 30214

6/22/2016Kenneth Patric, MD 69243RN232647Demby, Taheerah Denise 17079 400 Peachtree Industrial Blvd. Suwanne, GA 30024

1/1/2017Ebony Gaffney, MD 68732RN096491Demott, Jennifer Marie Smith 13352 633 Stephenson Ave. Savannah, GA 31405

11/21/2019Kimball Johnson 73206RN096491DeMott, Jennifer 44503 609 E. 69th Street Savannah, GA 31405

9/1/2020Rhonda King 39609RN128736Deneus, Gracelyn 52795 207 Crestmont Way Canton, GA 30114

7/7/2021Crispin Barlatt 79934RN128736Deneus, Gracelyn 54248 207 Crestmont Way Canton, GA 30114

1/6/2017Willis McVay, MD 54833RN160261Denmark, Stephanie 15963 501 East Long St Claxton, GA 30417

11/1/2017Thomas Miller Jr., MD 67685RN160261Denmark, Stephanie Renee 19759 501 East Long Street Claxton, GA 30417

1/22/2020Christopher Robinson, MD 54335RN225712Dennin, Eric 43914 501 Redmond Rd Rome, Ga 30165

1/22/2020John Perry, MD 27421RN225712Dennin, Eric 43906 790 Church Street Ste 510 Marietta, Ga 25571

10/9/2018Andrew Kramer, MD 59795RN225712Dennin, Eric Andrew 43241 1700 Medical Way Snellville, GA 30078

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/22/2020Timothy P. Milner, MD 59562RN225712Dennin, Eric 43242 1700 Medical Way Snellville, GA 30078

1/22/2020Tisha Tipnis 58251RN225712Dennin, Eric 46645 2295 Ronald Regan Parkway Snellville, Ga 30078

2/1/2022Swapna Madhavan 57098RN205468Dennis, Rhonda 58979 5959 Hwy 53 East, Suite 100 Dawsonville, GA 30534

9/3/2021Crispin Barlatt 79934RN205468Dennis, Rhonda 56219 207 Crestmont Way Canton, GA 30114

5/1/2022Donovan Christie, MD 44432RN136934Dennis-Crooks, Hyacinth 41149 2227 Idlewood Road Tucker, GA 30084

2/13/2014William E. Richards, MD 67939RN221807Denny, Jean M. 11187 5353 Reynolds St., Ste 200 Savannah, GA 31405

11/2/2018Brian Barczak, MD 76418RN116008Denny-Smith, Tammy 19989 2900 Chamblee Tucker Rd. ste. 16 Atlanta, GA 30341

10/18/2019Srinivas Kolipaka, MD 63677RN116008Denny-Smith, Tammy Jane 41530 191 Lamar Haley Parkway Canton, Ga 30114

11/10/2008Bram Wieskopf, MD 45136RN116008Denny-Smith, Tammy Jane 772 1192 Buckhead Crossing, Suite E Woodstock, GA 30189

2/18/2022Rhett Bergeron 44683RN238714DeNova, Brittney 58616 5755 North Point Parkway, Suite 53 Alpharetta, GA 30022

3/1/2021Nakato Kibuyaga-Travis 66960RN169400Densmore, Jennifer 44504 6043 Prestley Mill Rd Douglasville, GA 30134

10/29/2015Akita Evans, MD 64372RN098506Denson, Freda Jeannine 16136 1227 Rockbridge Rd. Stone Mountain, GA 30087

2/27/2020Urna Simmons, MD 60614RN098506Denson, Freda Overholser 18529 10945 State Bridge Rd. Alpharetta, GA 30022

7/30/2015Trishanna Sookdeo, MD 72697RN098506Denson, Freda 15187 4751 Best Rd College Park, GA 30337

6/17/2016Nitasha Burney, MD 55931RN098506Denson, Freda 16697 1227 Rockbridge Rd. Stone Mtn, GA 30087

3/31/2010Andrew Mecca, MD 36574RN055775Dent Johnson, Lowanda 1538 5612 Whitesville Road Columbus, GA 31904

6/19/2015Melissa Rhodes, MD 47060RN106233Denton, Sherry Lynn 13099 21 Pointe North Dr Cartersville, GA 30120

1/15/2016Trent Schueneman, MD 51731RN138582Denton, Diane 15924 2927 Demere Rd St Simons Island, GA 31523

1/21/2019Warren Oberle, MD 62752RN106233Denton, Sherry 16051 790 Church St Ext, Ste 430 Marietta, GA 30060

12/1/2014Timothy Lin, MD 60401RN230271Derby, Ashley Nicole 12849 21 Pointe North Drive Cartersville, GA 30120

3/19/2014Swati Gaur, MD 57624RN218179Deringer, Ashley Cannon 12793 743 Spring St Gainesville, GA 30501

10/16/2015Emem Udo, MD 63142RN218179Deringer, Ashley Cannon 13307 743 Spring St Gainesville, GA 30501

6/26/2017Reemon Bishara, MD 63759RN245640Derosa, Caroline 15694 1915 Eisenhower St Savannah, GA 31406

9/30/2018Afolarin Banjoko, MD 49267RN245640DeRosa, Caroline 39121 508 N Main Street ste. A Hinesville, GA 31313

5/31/2019Kishore Thampy 46504RN245640DeRosa, Caroline 44595 1915 Eisenhower Dr. Savannah, Ga 31406

10/22/2021Brinkley Goodson 24680RN113863Desandre, Carolynn 56277 1175 Commercial Court Norcross, GA 30093

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/22/2017Christine Danforth, MD 42503RN113863Desandre, Carolynn Anne 13458 1008 N. 3rd Ave. Chatsworth, GA 30705

9/19/2015Saudiqa Hoossainy, MD 68179RN208973Desaulniers, Genevieve 15103 5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

11/26/2017Kyoung-Soon Kim, MD 39144RN208973Desaulniers, Genevieve Antoine 16595 1770 Dennis Kemp Ln Kennesaw, GA 30152

12/6/2019Joseph P. Johnson 65445RN228451Deslattes, Asia K 44385 109 Hospital Drive Calhoun, GA 30701

12/31/2010Cathy Larrimore, MD 38836RN166939Detzel, Patricia Ann 5117 4181 Hospital Dr., Ste #104 Covington, GA 30014

6/25/2021Louis G. Lee, MD 21540RN123631Deutsch, Kristin Elizabeth 781 112 Mimosa Dr. Thomasville, GA 31792

2/28/2022Kristie Dyson 66027RN306421Devereaux, Yolanda 58895 1279 Hwy 54 W, Suite 220 Fayetteville, GA 30214

12/10/2020J Edwyn Carter, MD 37971RN160287Devers, Stephanie 40922 189 Jefferson Parkway Newnan, Ga 30263

12/13/2021Asaf Aleem, MD 30260RN224129Devon, Brooke Anne 42731 2150 Peachford Road (Suite H) Dunwoody, GA 30338

2/28/2021Jefrey Trawick, DO 76508RN194703Dew, Patricia 43903 316 N Broad Winder, Ga 30680

9/24/2013Maria, Bernard MD 62741RN149567Dew, Brandy 10475 417 West 3rd Ave Albny, GA 31701

6/20/2014Tania Smith, MD 51602RN149567Dew, Brandy Pellicano 12540 2420 Westgate Dr, Suite 102 Albany, GA 31707

7/13/2010Anthony Wahbeh, MD 46003RN149567Dew, Brandy Pellicano 8748 2701 Meredyth Drive Albany, GA 31707

3/7/2022Sadiq Sohani 45010RN255807Dewani, Salima 55662 715 Queen City Pkwy, Suite 106 Gainesville, GA 30501

7/1/2021John Becker 61994RN145900Deweese, Vickie 20304 1107 Memorial Dr Dalton, GA 30720

5/5/2012Dennis Estep, MD 25429RN145900Deweese, Vicki Renee 787 2366 Battlefield Parkway Ft Oglethorpe, GA 30742

8/12/2011Hai Trinh, MD 55991RN148538Dexter, Susan Elizabeth Raglan 9763 2118 Scenic Hwy, Suites H & I Snellville, GA 30078

9/1/2019Naren Logendra, MD 42336RN148538Dexter, Susan Elizabeth Raglan 12149 2151 West Spring St, Emer Dept Monroe, GA 30655

2/25/2010Noreen Andrews, MD 46861RN148538Dexter, Susan Elizabeth Raglan 9020 1910 Hwy 20 SE, Suite 270 Conyers, GA 30013

6/5/2010Irandathy Rodrigo, MD 42715RN148538Dexter, Susan Elizabeth Raglan 9116 2522 Cruse Rd, Suite C-2 Lawrenceville, GA 30044

3/8/2022Safia Pirani 56624RN281430Dhamani, Hafiza 58644 3330 Peachtree Corners Circle, Suite H Peachtree Corners, G

1/19/2022Tracy Nailor 44659RN209234Diaby, Nassaratou 58870 934 Briarcliff Road Northeast Atlanta, GA 30306

1/1/2018Vanderlyn Sewell, MD 51547RN209234Diaby, Nassaratou 21142 934 Briarcliff Road, NE Atlanta, GA 30306

7/22/2021VANDERLYN SEWELL 51547RN209234DIABY, NASSARATOU 44925 934 BRIARCLIFF RD NE ATLANTA, GA 30306

7/2/2015Joseph Ricotta, MD 64452RN242399Diana, Fabrizio 14285 980 Johnson Ferry Rd, Ste 1040 Atlanta, GA 30342

4/24/2014Arvind Aggarwal, MD 56400RN234841Diaz, Scarlett Renee' 12806 206 Hospital Dr, Suite B Dublin, GA 31021

Monday, August 1, 2022 Page 113 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/6/2016Husham Mishu, MD 40740RN199729Diaz, Maria Teresa 9446 285 Boulevard NE, Suite 345 Atlanta, GA 30312

8/17/2021Thomas Hilsman 15591RN133959Diaz, Betsy 49055 67 W. Railroad Street Shellman, GA 39886

9/24/2019Meredith Koomson 76589RN133959Diaz, Betsy 44336 1390 US Highway 19 South Leesburg, GA 31763

3/30/2019Larry Smith, MD 37694RN250782Diaz, Anne 43915 410 Connell Rd Valdosta, GA 31602

1/24/2020Samrajya L Gogineni, MD 25160RN133959Diaz, Betsy 42213 1390 Hwy 19 South Leesburg, GA 31763

5/1/2018Derek J.Heard, MD 49575RN133959Diaz, Betsy Kay 38774 901 N. Madison Street Albany, GA 31701

3/22/2021Srihari R. Malempati, MD 52286RN217755Dickerson, Christy Lashae' 42749 1670 Scott Blvd (Suite 104) Decatur, GA 30033

9/12/2014Robert Cossio, MD 36357RN198332Dickerson, Haley Nicole 12607 322 Stephenson Ave Savannah, GA 31405

11/29/2020Nathan Polite, DO 72083RN184687Dickey, Jamie Goss 38868 55 Whitcher Street, Suite 130 Marietta, GA 30060

5/10/2019Cedric McCord, MD 39634RN177126Dickinson, Robert Bruce 19008 2215 Tobacco Rd, Ste F Augusta, GA 30906

12/24/2020Afolarin Banjoko 49267RN273785Didier, Patricia 52653 508 N Main Street, Suite A Hinesville, GA 31313

1/6/2022Jeffrey Dowis 68199RN269239Diehl, Melissa 53911 1205 Russell Parkway Warner Robins, GA 31088

10/30/2012Charles Okolo, MD 48686RN125161Dietz Lindo, Karan Antoinette 1766 1151 Cleveland Ave, Suite D East Point, GA 30344

3/3/2020Peter Wrobel 40285RN267260Dieu, Jennifer 48888 1718 Reynolds Street Waycross, GA 31501

2/4/2022Christopher Stewart 68314RN288472DiLeonardo, Lisa Ann 54441 2122 Manchester Expy Columbus, GA 31904

12/24/2016David A. Morton, MD 48279RN196911Dill, Winston E. 17552 3000 Schatulga Rd. Columbus, GA 31907

6/25/2010Reemon Bishara, MD 63759RN196911Dill, Winston Elmer 9200 1915 Eisenhower Dr Savannah, GA 31406

5/7/2012Johnson, Debora MD 43071RN196911Dill, Winston 10619 950 Dannon View, Ste 4101 Atlanta, GA 30331

4/1/2013Warren, Bryan MD 41237RN196911Dill, Winston 10571 605 Osborne Street St. Marys, GA 31558

3/22/2016Emile Risby, MD 30869RN196911Dill, Winston 15429 3000 Schatulga Rd Columbus, GA 31907

4/21/2017Brett Ryabik, MD 66635RN196911Dill, Winston Elmer 19644 3405 Mike Padgett Hwy. Augusta, GA 30906

1/20/2020Douglas Cooper, MD 37180RN196911Dill, Winston Elmer 11894 600 Coastal Village Dr Brunswick, GA 31520

1/9/2009Brett Murphy-Dawson, MD 54080RN196911Dill, Winston Elmer 8410 2100 Comer Avenue Columbus, GA 31904

2/1/2019Ronnie Smith, MD 45338RN149811Dillard, Kimberly Faith 16597 543 Jonesboro Rd McDonough, GA 30253

9/30/2019James O'Shea, MD 74234RN252075Dillard, Phillip 39605 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303

1/1/2022MARC AMAYA MD 47181RN163507DILLER, JEFFREY 39735 8954 HOSPITAL DR DOUGLASVILLE, GA 30134

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/21/2021Claus Brandigi, MD 43004RN163507Diller, Jeffrey Duane 20335 3675 J. Dewey Gray Circle ste. 300 Augusta, GA 30909

1/1/2022Sharon Amaya, MD 47182RN163507Diller, Jeffrey Duane 8991 5665 New Northside Dr, Suite 320 Atlanta, GA 30328

7/25/2008Jim Wade, MD 22664RN169332Dillon, Laura J. 800 800 East Doyle Street Toccoa, GA 30577

7/12/2021Gazelle Moharari 78466RN267340Dimeo, Kelly 50365 3872 Hwy 5 Douglasville, GA 30135

2/26/2021David Bryant 52394RN232569Dimmig-Russell, Joshua 53990 1365 Rock Quarry Road, Suite 302 Stockbridge, GA 30281

4/14/2016Collyn Steele, MD 66424RN218672Din, Erica Shozaki 11962 50 Kelly Rd McDonough, GA 30253

4/5/2021Mark Chastain 48995RN296668Dinallo, Avery 53530 835 Cogburn Ave Marietta, GA 30060

12/11/2020Stephen Dayan, MD 68888RN064892Dinkins-Learmont, Beverly Ann 18153 4425 Memorial Drive Decatur, GA 30032

8/22/2016Vickie James, MD 31032RN064892Dinkins-Learmont, Beverly Ann 12571 1897 Godby Rd College Park, GA 30349

11/20/2013Patricia Baines, MD 53092RN064892Dinkins-Learmont, Beverly Ann 1716 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

5/31/2015Lisa Wannamaker, DO 55462RN071559DiNonato, Caroline J. 11578 1120 15th St., Pavilion II AF-1040 Augusta, GA 30912

4/9/2018Nga Pham, MD 53313RN224557Dinser, Michelle Audrey 20653 1405 Clifton Rd. NE Atlanta, GA 30322

10/30/2009Timothy Ryan, MD 40220RN104267Dirico, Laura Anne 8362 84 Pine Gove Road Cartersville, GA 30120

10/14/2016Husham Mishu, MD 40740RN104267Dirico, Laura Anne 8268 285 Boulevard NE, Suite 345 Atlanta, GA 30312

9/1/2020Ganesha Perera 60964RN287474Dirven, Tamara 48126 1348 Walton Way, Suite 5700 Augusta, GA 30901

5/31/2021Houman Tamaddon 63032RN287474Dirven, Tamara 53632 1348 Walton Way, Suite 5700 Augusta, GA 30901

7/12/2019Justine E. Henao, DO 57725RN169381Dits-Rinta-Kosk, Janet Annikki 42728 1395 S Marietta Pkwy SE (Bldg 33 St 216) Marietta, GA 3006

3/3/2020Marc Yune 41395RN285530Ditta-Donahue, Gina 46246 1825 Old Alabama Rd., Suite 201 Atlanta, Ga 30350

1/4/2021Karen Miller 35952RN285530Ditta-Donahue, Gina 50738 250 Risen Star Lane Alpharetta, GA 30005

3/14/2013Mathews, Jr., Kenneth MD 64626RN194657Dittmar, Jennifer 10353 118 Howard Street Rossville, GA 30741

1/6/2016James Kauten, MD 24830RN246944Ditty, Clay 15552 1968 Peachtree Rd NW Atlanta, GA 30309

7/31/2016James Randleman, MD 47826RN224677Divinnie, Kaitlin Ann 16772 1365 Clifton Rd, Bldg B Atlanta, GA 30322

1/15/2014Leli Gail Matthews, MD 52182RN085072Dixey, Priscilla Ann 803 595 Piedmont Avenue, Suite 100 Atlanta, GA 30308

6/18/2021Larry Smith 37694RN216493Dixon, Krystle 57244 3328 Bemiss Road Valdosta, GA 31605

2/26/2020David Sauls, MD 72475RN165925Dixon, Monica Rena 16647 3000 Schatulga Rd Columbus, GA 31907

5/15/2015Anju Malla, MD 60471RN063195Dixon, Martha 14834 1826 Veterans Blvd Dublin, GA 31021

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/5/2016James D. Waller MD 37415RN109231Dixon, Lori A.L. 17643 1 Sweet Bay Court, Ste B Mouldtie, GA 31768

4/8/2021Jacqueline Owusu 55870RN55870Dixon, Lakeisha 44818 146 CCA Rd. Lumpkin, Ga 31815

4/21/2021Wendy Vandemark 57511RN109231Dixon, Lori 44894 2109 N. Patterson St. Valdosta, Ga 31602

5/7/2021Daryl McCartney 68067RN144945Dixon, Phyllis 46493 118 Alice Coleman Dr. Vidalia, Ga 30474

5/7/2021Daryl McCartney 68067RN144945Dixon, Phyllis 46473 118 Alice Coleman Drive Vidalia, GA 30474

12/5/2019Eric Lehman, DO 32231RN109231Dixon, Lori 40267 1102 Smith Avenue (Suite K) Thomasville, GA 31792

6/19/2020Robert Daniels, MD 51408RN203320Dixon, Lakeisha Monique 18806 619 19th St, Ste 300 Columbus, GA 31901

6/25/2020Paresh Thanki 55344RN109231Dixon, Lori 43988 2209 Pineview Drive Valdosta, GA 31602

8/20/2019James Drury, MD 48891RN109231Dixon, Lori Arlene Lott 18864 3015 Veterans Pkwy South Moultrie, GA 31788

9/8/2021James Drury, MD 48891RN109231RN109231

Dixon, Lori A. 18972 3015 Veterans Pkwy South Moultrie, GA 31788

12/7/2021Patricia F. Patterson, MD 31176RN216493Dixon, Krystle 41323 15 S.Railroad St. Lenox, Ga 31637

11/1/2018Kimberly Curseen, MD 72890RN217273Dixon-Sibley, Susan 41668 1200 Abernathy Road Atlanta, GA 30328

12/3/2021Garvin Chandler 80353RN215580Doan, Thuc 57397 1825 Martha Berry Blvd NW Rome, GA 30165

6/5/2019Suresh H. Shah 33193RN231544Dobani, Mehtaab Azad 16 5245 Buford HWY Peachtree Corners, GA 30004

9/11/2015Richard Baldwin, MD 23894RN173287Dobbs, Monica Kathryn 13411 9280 Hwy 5, Ste A Douglasville, GA 30134

5/11/2020Gerald Rodts, JR 38082RN230888Dobeck, Erin 44857 59 Executive Park S. NE #3000 Atlanta, Ga 30329

2/21/2011Jesenko Vukotic, MD 43300RN112293Dobson, Shannon Nunn 9087 2000 Professional Way, Bldg 200 Woodstock, GA 30188

11/12/2015Raymond Easley, DO 20987RN203965Doedens, Danielle Lane 14160 260 Elm St Cumming, GA 30040

8/8/2014Brinkley Goodson, DO 24680RN203965Doedens, Danielle Lane 12616 260 Elm St Cumming, GA 30040-2467

12/14/2010Elliot Raizes, MD 24478RN117159Doker, Robin Lucille Huff 812 135 Athens West Pkwy, Suite B Athens, GA 30606

3/23/2018Katherine Locker, MD 67344RN170828Dominquez, Christine 38709 1217 LaFayette Road Rossville, GA 30741

1/25/2013Lionel Meadows, MD 45550RN189322Domzal, Bethany Lyn 5478 121 North Big A Road Toccoa, GA 30577

9/30/2019Frederico B. Palacio, MD. 72915RN107530Donaldson, Thera Jean 40139 550 Peachtree St. Ne Atlanta, Ga 30308

6/13/2019Anthony A. Olofintuyi, MD 45309RN271576Donaldson, Cyndel Cora 40517 2009 Warm Springs Rd. Columbus, GA 31904

6/28/2017Rani Reddy 34450RN047984Donaldson, Yvonne Crosby 14846 106 Briarwood Rd Statesboro, GA 30458

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/18/2019Daniel Zapko, MD 70021RN197662Doneski, Christopher 15441 1200 Memonal Dr Dalton, GA 30720

7/12/2021Noah Jentzen 86559RN197662Doneski, Christopher 55282 1107 Memorial Drive, Suite 302 Dalton, GA 30720

6/1/2019Michele M. Mitchell, MD 71254RN064894Donnan, Judith Ferguson 40284 151 S. Houston Lake Rd. Warner Robins, GA 31088

9/30/2016Robert Spruill, MD 59026RN064894Donnan, Judith Ann Ferguson 9049 8 Laurel Court Moultrie, GA 31768

9/10/2021Elliot Raizes, MD 24478RN102940Donnelly, Rosemary Janecki 818 3350 Breckingridge Blvd. (Suite 200) Duluth, GA 30096

8/6/2015Elizabeth Furbish, MD 58472RN093203Donovan, Pamela Daniel Ratajc 9336 2450 Vinson Hwy Milledgeville, GA 31062

3/15/2011Hector Aviles, MD 57144RN085079Dooley, Patricia Dianne Cole 819 3509 Mabry Rd Gainesville, GA 30504

1/9/2012Heerain Shah, MD 59016RN085079Dooley, Patricia Dianne Cole 9742 3509 Mabry Rd Gainesville, GA 30504

2/23/2012Misra, Sudipta MD 59563RN162426Dorman, Joyce 10049 1446 Harper Street BG-1132 Augusta, GA 3-012

6/23/2020Parviz Brahman, MD 66576RN177603Dorsey, Rachel 15454 107 Main Street Plains, GA 31780

2/25/2020Richard Chase, DO 17784RN177603Dorsey, Rachel Gatian 40383 107 Main Street Plains, GA 31780

8/22/2019Paul Grimm, MD 59916RN177603Dorsey, Rachel Gatian 19057 107 Main St. Plains, GA 31780

2/17/2021Marga Ngwang, MD 70328RN256158Dorsey, Kwneshia Lawane 19062 777 Cleveland Ave. Atlanta, GA 30315

12/22/2008Lynley S. Durrett, MD 44912RN130308Dortch, Janet Rose 828 105 Collier Road, Ste 1080 Atlanta, GA 30309

12/31/2010Meera Garcia, MD 46101RN130308Dortch, Janet Rose 8476 5780 P'tree Dunwoody Rd, #295 Atlanta, GA 30342

8/24/2012Jacob Varghese, MD 56933RN072764Doughton-Johnson, Susan Rene 832 3003 Old Alabama Road Alpharetta, GA 30022

8/9/2014Raulnina Uzzle, MD 43499RN072764Doughton-Johnson, Renea 12373 770 Village Square Dr Stone Mountain, GA 30083

7/5/2013Riba Kelsey-Harris, MD 53833RN072764Doughton-Johnson, Renea 11097 595 Piedmont Ave., Ste 100 Atlanta, GA 30308

3/29/2019Sara O'Heron, MD 41632RN270965Douglas, Tiffany 40740 1201 Georgian Park, MD Peachtree City, GA 30269

9/26/2009Ehi Osehobo, MD 49075RN112304Douglas-Adams, Tresselyn Y. 8486 1007 Memorial Drive Griffin, GA 30224

6/10/2020Parviz Brahman, MD 66576RN218345Douthit, Melissa 21293 1909 US Hwy 82 West, Suite #5 Tifton, GA 31793

9/1/2016Kalpana Nayak, MD 26049RN218345Douthit, Melissa Anne 15745 1912 Memorial Dr, Ste E Waycross, GA 31501

6/16/2020Hitesh Chokshi, MD 42542RN174971Dover, Amanda Rae 14255 7402 Davidsons Pkwy Stockbridge, GA 30281

7/6/2020John Lu 40727RN209664Dover, Ashley 47433 1300 Ridenour Blvd, Suite 300 Kennesaw, GA 30152

4/29/2022William Knopf 23469RN240155Dowd, Morgan 46646 6070 Lakeside Commons Dr. Macon, GA 31210

4/29/2022Benoy Varghese 83755RN240155Dowd, Morgan 58687 321 South 9th Street Griffin, GA 30224

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2011Renee Corley, MD 33302RN188812Dowden, Margaret Phyllis 8575 653 Roberts Drive, Suite A Riverdale, GA 30274

6/8/2017Leigh Barrell, MD 40777RN175134Dowdy, Regina Marie 12090 1608 Martha Berry Blvd Rome, GA 30165

8/20/2018Jeong H. Paik, MD 61310RN216237Dowling, Dewayne Calvin 40816 200 Doctors Drive (Suite K) Douglas, GA 31533

1/3/2022Emily Feely, MD 60831RN221752Dowling, Donna Lee 40678 901 Rice Street NW Atlanta, GA 30318

10/12/2021Aristotle P Cochon, MD 66344RN216237Dowling, DeWayne Calvin 42227 1101 Ocilla Road Douglas, GA 31533

10/1/2020Joshua Behlmann 76432RN213607Downer, Charmaine 44506 976 Killian Hill Rd Lilburn, GA 30047

4/12/2017Alberto Santos, MD 67711RN099709Downey, Gloria Lynn Christoph 18164 3405 Mike Padgett Hwy. Augusta, GA 30906

2/4/2014Messulam, Elizabeth MD 44786RN099709Downey, Gloria 10898 3421 Mike Padgett Hwy Ste C Augusta, GA 30906

9/22/2020Jasmine Kearse 74490RN235664Doxie, LaDonna 51777 311 Gwinnett Drive Lawrenceville, GA 30046

6/30/2021Martha Murry 76736RN235664Doxie, LaDonna 48287 125 Govenor's Square Peachtree City, GA 30269

9/19/2016Rajeshkumar Miniyar, MD 51597RN1989474Doyal, Shannon 16308 140 Three Rivers Dr Rome, GA 30161

1/20/2019Ritu Khurana, MD 55858RN196909Doyle, Jessica Nichole 16664 19 Redmond Rd Rome, GA 30165

10/1/2013Baggett, Kevin DO 48410RN110538Doyle, Konnie 10700 500 Spillers Way Warner Robins, GA 31088

10/1/2013Campbell, Becky MD 48105RN110538Doyle, Konnie 10701 500 Spillers Way Warner Robins, GA 31088

4/14/2012Al-Shroof, Mohammad MD 45158RN110538Doyle, Konnie 10572 2054 Watson Blvd Warner Robins, GA 31093

2/11/2020Catherine Bomberger 48188RN110538Doyle, Konnie 45440 310 Hospital Dr. Bldg. B, Suite 315 Macon, Ga 31217

10/1/2020John Harris 59919RN196909Doyle, Jessica 50887 501 Redmond Road Rome, GA 30165

1/27/2015Richard Myung, MD 57902RN181191Dozier, James Bradford 12645 61 Whitcher St, Suite 4100 Marietta, GA 30060

10/1/2018Marcus Sims, MD 60507RN161881Dragoi, Diana Ioana 17359 1000 Medical Center Blvd Lawrenceville, GA 30046

9/10/2021Jim M. John, MD 64572RN161881Dragoi, Diana I. 41174 755 Walther Road Lawrenceville, GA 30046

7/20/2014Floyd, John MD 51041RN222121Drakeford, Torrence 10872 840 Pine Street Macon, GA 31201

7/6/2019Jennifer Evans, MD 69804RN222121Drakeford, Torrence Tremayne 16613 151 South Houston Lake Rd. Warner Robins, GA 31088

8/31/2015Steven Niergarth, DO 44553RN222121Drakeford, Torrence Tremayne 12132 1201North Columbia Dr Milledgeville, GA 31061

9/28/2021Kyong Moon 63374RN222121Drakeford, Torrence 57793 3515 Camp Creek Parkway East Point, GA 30344

2/11/2008Arnold Ray Christopher, MD 53119RN185715Drake-Hughes, Denise Kim 5473 3624 J Dewey Gray Circle, Ste 110 Augusta, GA 30909

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2008George Zoret, MD 24744RN185715Drake-Hughes, Denise Kim 8144 2215 Tobacco Road, Suite F Augusta, GA 30906

3/30/2020Meena Shah, MD 21464RN203207Draucek, Mary Jeanette 12291 475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

8/18/2020Mariel D. Hepburn 74668RN239309Drew, Lindsay Peavy 44388 2225 U. S. Highway 41 North Tifton, GA 31794

12/31/2019Donald R Lynch, MD 14927RN239617Driggers, Dawn Lynn 42339 1720 Reynolds Street Waycross, GA 31501

4/25/2019Ross Jacobson, MD 57204RN137545Driskell, Amanda Turner 5122 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

10/31/2018Scott Gordon, MD 79350RN263570Driver, Javina S. 41073 500 Morgan Dr. Tifton, GA 31793

5/24/2019Warlito Rollolazo, MD 17551RN112386Driver, Patsy Virgina Bell 15162 809 West Bankhead Hwy Villa Rica, GA 30180

4/15/2018Rashelle Tomlinson, MD 73410RN263570Driver, Javina Shenell 19729 500 Morgan Dr. Tifton, GA 31793

8/17/2020George Gottlieb 20437RN226788Drogoul, Anastasiya 49570 2675 N. Decatur Road, Suite 404 Decatur, GA 30033

5/31/2017Maiysha Clairborne, MD 55194RN192005Drucker, Kathryne 16122 1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068

2/8/2019Franckel Val, MD 45648RN129801Drumgoole, Reginald 42657 153 Lee Byrd Road Loganville, GA 30052

1/23/2019Alan Alvardo, MD 37463RN141047Drumheller, Kelly Wilson 42675 3440 North Valdosta Rd. Valdosta, GA 31602

4/27/2018Brian Griner, MD 46966RN141047Drumheller, Kelly Wilson 8760 117 West Northside Dr Valdosta, GA 31602

6/1/2018Edwin Hiatt, MD 12920RN141047Drumheller, Kelly Wilson 846 200 Georgia Ave Valdosta, GA 31698

1/18/2022Jonathon Allen, MD 56949RN243336Drumm, Jonathan Aaron 14256 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742

5/21/2022Sohel Momin 54858RN251944Drummond, Alixandria 57755 1400 Northside Forsyth Drive, Suite 240 Cumming, GA 3004

7/10/2013S. Nok Keomahathai, MD 51054RN137657Dryer, Sheba 11586 550 Redmond Rd. Rome, GA 30165

6/1/2017John Layher, MD 46692RN194227Duane, Danielle Sikes 11847 2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606

3/22/2021Reginald Robinson, MD 46638Rn117819Dubberly-Hubart, Michelle Ann 38950 5354 Reynolds Street (Suite 411) Savannah, GA 31405

1/1/2008Michael Gardner, MD 56710RN129528Dubin, Cynthia Ellen 5123 69 Jesse Hill Jr, Dr. SE Atlanta, GA 30303

5/15/2018Christopher Parham, MD 53803RN212024Dubois, Melissa Ann 19151 960 Woodstock Parkway ste. 300 Woodstock, GA 30188

10/22/2015Salvatore Mannino, DO 56133RN212024Dubois, Melissa 15531 55 Whitcher St, Ste 350 Marietta, GA 30060

7/25/2021Brian Chadwick 43575RN103532Dubose, Sandra 57820 1128 E. Derenne Ave Savannah, GA 31406

1/11/2018Barry Fioranelli 41793RN082835DuBose-Cooper, Sheila Antoine 41161 141 Piedmont Avenue (Suite D) Atlanta, GA 30303

10/29/2021Ijeoma C. Azonobi 62808RN082835Dubose-Cooper, Sheila Antoine 44386 141 Piedmont Avenue (Suite D) Atlanta, GA 30303

2/14/2020Edward Bass 49270RN069794Dubravcic, Cindia 44949 104 Monk St Sylvester, Ga 31791

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/16/2018Robert Arthur Ludwick 37277RN069794Dubravcic, Cindia Leigh 41237 185 Bowens Mill Highway Fitzgerald, GA 31750

2/14/2020Michael Todd Peacock 40752RN069794Dubravcic, Cindia Leigh 38940 185 Bowens Mill Highway Fitzgerald, GA 31750

1/2/2019Eugene H Jackson,MD 22793RN069794Dubravcic, Cindia Leigh 42224 185 Bowens Mill Highway Fitzgerald, GA 31750

2/14/2020Francis M Kundi, MD 45525RN069794Dubravcic, Cindia Leigh 42225 233 Sunset Circle Moultrie, GA 31768

2/28/2022Christopher N Bazal, MD 49562RN069794Dubravcic, Cindia 42226 233 Sunsey Circle Moultrie, GA 31768

8/1/2021Michael D Satchell, MD 49593RN069794Dubravcic, Cindia Leigh 42219 1904 Palmyra Road Albany, GA 31701

2/14/2020Howard McMahan, MD 22824RN069794Dubravcic, Cindia Leigh 42220 209 West Hudson Street Ocilla, GA 31774

2/14/2020Jarod F Bailey, DO 65929RN069794Dubravcic, Cindia Leigh 42221 233 Sunset Circle Moultrie, GA 31768

9/30/2010Vithal Kusuma, MD 21536RN069794Dubravcic, Cindia Leigh Poole 8627 1009 N. Monroe St Albany, GA 31701

12/7/2018W. Gregory Asbury, MD 52139RN182963Ducan, James 38994 251 GA. Highway 53 Calhoun, GA 30701

4/27/2020Andrew Waldman 48001RN209663Duckworth, Brennan 45509 710 Center St Columbus, Ga 31901

8/19/2021James Ragan, II 38337RN209663Duckworth, Brennan 52958 2122 Manchester Expy Columbus, GA 31904

6/30/2019Keith Blanks, DO 52042RN209663Duckworth, Brennan Oates 18631 2122 Manchester Expwy Columbus, GA 31904

7/3/2020Carly Ebanks, MD 35619RN147583Dudley, Michelle Grant 19626 610 Third Street ste#202 Macon, GA 31201

9/24/2016Merlin, Mark DO 31635RN121801Dudley, Susan 10596 1140 Hammond Drive, Ste 110 Atlanta, GA 30328

11/1/2010Loy Cowart, MD 37979RN121801Dudley, Susan Gail 7788 207 S. Duke Street Lafayette, GA 30728

9/16/2021Adaora Osa Kwe 63110RN298736Duerk, Shannon 57708 5825 Buford Hwy, Suite 300 Norcross, GA 30071

1/16/2014Yolanda Hacker, MD 45811RN094669Dugas, Princess Marie 8562 780 North Glynn Fayetteville, GA 30214

5/13/2009Germaine Denise Cummings, MD

52340RN094669Dugas, Princess Marie 851 780 North Glynn Fayetteville, GA 30214

3/17/2017Ann Groover, MD 36765RN184535Duggan, Meredith 15211 2945 Miller Ferry Rd, Ste D Calhoun, GA 30701

11/16/2018Mobolaji Oybanjo, MD 53509RN184535Duggan, Meredith Ann 20443 307 Old Stone Rd. Villa Ricca, GA 30180

8/21/2015Thomas Simpson, Jr., MD 34949RN130310Duggar, Gina Darlene 9793 255 West Fifth St Rome, GA 30165

3/2/2010Anne Todd, MD 51395RN177273Dukas, Brenda Cheryl 8716 1008 N. 3rd Avenue Chatsworth, GA 30705

2/28/2020Laena Karnstedt 41147RN127267Duke, Angela 46089 106 Pilgrim Village Dr., Ste. 400 Cumming, Ga 30040

10/31/2021David Kunz 29703RN127267Duke, Angela 49328 1655 Lebanon Road, Suite A Lawrenceville, GA 30043

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2022Jose Espinosa, MD 72537RN178779Dumas, Twanna J. 42941 1118 GA-96 Kathleen, GA 31047

10/1/2014Thomas Fariss, MD 55747RN132595Dumas, Nicole Yvette 11921 1400 Holcomb Bridge Rd Roswell, GA 30076

6/18/2011Charlie Rouse, MD 44076RN172907Dumas, Therese Williams 8705 100 Professional Park, Suite 303 Carrollton, GA 30117

1/23/2019Teresa Clark 20417RN169649Dumphy, Deborah 20260 5949 Buford Hwy Norcross, GA 30071

9/23/2021Reneka Dobbs-Jackson, MD 64770RN182963Duncan, James 44066 1328 Joe Frank Haris Pkwy Cartersville, GA 30120

7/3/2019Corey Greenwald 41130RN134435Duncan, Laura 44141 1199 Prince Ave Athens, GA 30606

2/25/2021Steven Nguyen 65154RN272405Duncan, Taylor 54012 1255 Friendship Road, Suite 150 Braselton, GA 30517

1/4/2016Richard Rickman, MD 49332RN163035Duncan, Kristen 16715 200 Georgia Ave. Valdosta, GA 31698

10/23/2018Eamon Dutta, MD 46593RN134435Duncan, Laura Murray 17903 2151 Peachford Rd. Medical Staff Office Dunwoody, GA 303

1/31/2008Craig Johnson, MD 29689RN134435Duncan, Laura Murray 5491 4460 Atlanta Hwy Loganville, GA 30052

11/1/2015Edwin Hiatt, MD 12920RN163035Duncan, Kristen Lee 9098 200 Georgia Ave, Student Hlth Ctr Valdosta, GA 31698

7/28/2022Gregory Lunceford 50584RN134435Duncan, Laura 46598 1199 Prince Ave Athens, Ga 30606

7/1/2014Shahzad Hashmi, MD 53239RN134435Duncan, Laura Murray 8219 250 North Avenue Athens, GA 30601

6/17/2020Thomas Williamson 42144RN129997Duncan-Singleton, Tammy 1494 56 McDowell Street Butler, GA 31006

6/17/2016Oscar Salvat, MD 49742RN129997Duncan-Singleton, Tammy Reb 14208 80 West Main St. Butler, GA 31006

6/6/2014Peter Jiang, MD 59981RN129997Duncan-Singleton, Tammy Reb 12148 1831 5th Ave Columbus, GA 31904

12/20/2020Erika Heard, MD 74689RN208603Dunkley, Tanya Camiela 42951 677 Church Street NE Marietta, GA 30060

8/17/2018Iffat Bhuiyan 73943RN208603Dunkley, Tanya Camiela 20313 2540 Windy Hill Rd Marietta, GA 30067

1/20/2020Shital Patel, MD 73776RN105176Dunn, Ida 40756 705 Dixie Street Carrollton, GA 30117

8/21/2020Mark W. El-Deiry 66483RN280377Dunn, Sarah Elizabeth 43450 550 Peachtree Street (Suite 1500) Atlanta, GA 30308

1/18/2022Collyn Steele, MD 66424RN181866Dunn, Tamaria Elizabeth 14573 50 Kelly Rd McDonough, GA 30253

3/31/2017Rita Claxton, MD 66584RN105176Dunn, Ida 15705 1133 Eagles Landing Pkwy Stockbridge, GA 30281

10/30/2012Crystal Slade, MD 53881RN190028Dunn, Alexis Brennae 9235 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

6/18/2014Mark Hancock, MD 67750RN105176Dunn, Ida Marie 860 163 Hospital Dr Toccoa, GA 30577

10/9/2019Jignesh Dholaria 61965RN209324Dunwiddie, Jessica 46736 9420 Willeo Rd., Suite 206 Roswell, GA 30075

4/1/2019Edward Meier, MD 43426RN209324Dunwiddie, Jessica Lauren 14226 2112 Shorter Ave, Ste 200 Rome, GA 30165

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/16/2019Anand Mehta, MD 71759RN209324Dunwiddie, Jessica 38877 9420 Willeo Rd, Suite 206 Roswell, GA 30075

8/19/2020Wayne D. Wells 36666RN153403Dupraw, Virginia Ann Pearson 43989 1020 Barrow Industrial Parkway Winder, GA 30680

6/30/2021Brian Chadwick 43575RN153403DuPraw, Virginia 54764 1128 East DeRenne Avenue Savannah, GA 31406

2/1/2020Dinakara Shetty 42431RN153403DuPraw, Virginia 49442 1719 Russell Pkwy Warner Robins, GA 31088

2/6/2015Eugene Jackson, MD 22793RN153403DuPraw, Virginia Ann Pearson 11837 151 South Houston Lake Rd, Suite 190 Warner Robins, GA 3

6/20/2017Jennifer Evans, MD 69804RN153403DuPraw, Virginia 16473 151 South Houston Lake Rd Warner Robins, GA 31088

10/2/2015Stewart Grizzard, MD 43948RN153403Dupraw, Virginia 14937 151 South Houstion Lake, Ste 190 Warner Robins, GA 31088

9/29/2019William Jacobsen, MD 72061RN193186Dupree, Susan Lee 20024 1133 Eagles Landing Pkwy. Stockbridge, GA 30281

12/7/2012Kenneth J. Howard, MD 40412RN193186Dupree, Susan Lee 11250 1825 Martha Berry Blvd Rome, GA 30165

6/15/2020Reuben Roberts, Jr 17944RN225677Dupree, Melissa 45634 602 E. 16th Ave., Suite A Cordele, Ga 31015

10/14/2013Thomas A. Self, MD 21587RN193186Dupree, Susan Lee 11628 1825 Marth Berry Blvd. Rome, GA 30165

10/5/2017Mitzi Rubin 49592RN216753Duran, Katie 20507 800 Glenwood Ave SE Atlanta, GA 30312

11/3/2016Justin Watson, MD 65655RN212880Duran, Maximo 16523 55 Whitcher St, Ste 250 Marietta, GA 30060

2/1/2021James E Owen, MD 35112RN210975Durbin, Ludwika Zenobia 42222 100 Frist Ct. Columbus, GA 31909

4/29/2019Bounthavy Homsombath, MD

68031RN220104Durden, Lauren Justice 20415 3675 J. Dewey Gray Circle ste. 300 Augusta, GA 30909

12/4/2015Paul J Jarrett, MD 23069RN213380Durden, Linda Tatman 13353 3051 Watson Blvd, ste525 Warner Robins, GA 31088

9/23/2016Layth Saymeh, MD 67436RN213380Durden, Linda Tatman 17006 203 Tommy Stalnaker Dr. Warner Robins, GA 31088

3/16/2022Ali Esmaili 78297RN115575Durden, Andrea 58883 2225 US Highway 41 N Tifton, GA 31794

3/5/2010David Lowance, MD 16095RN180719Durham, Angela Melissa 865 1903 North Druid Hills Rd Atlanta, GA 30319

9/12/2011Rebecca Loomis, MD 46984RN112059Durham, Rebecca Caroline Bro 867 1331 Helen Hwy Cleveland, GA 30528

9/26/2000Parker, Stacey MD 60022RN112059Durham, Rebecca 10150 2578 Helen Highway Cleveland, GA 30528

8/1/2017Dominik Kissing, MD 64125RN171334Durham, Tori Leigh 16661 1628 Market Place Blvd Cumming, GA 30041

3/2/2022Neale Freeman 40065RN171334Durham, Tori 45636 1628 Market Place Blvd Cumming, Ga 30041

9/2/2015Jennifer Duke, MD 50615RN116991Durkee, Kate Moore 14023 540 Charter Blvd, Ste 100 Macon, GA 31210

7/27/2020Tangela Atkinson 77534RN230429Duru, Trisha 47265 625 West Memorial Drive Dallas, GA 30132

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/11/2014Robert Byrne, MD 51443RN161843DuVall, Caroline 11087 1500 Oglethorpe Ave, Suite 200-C Athens, GA 30606

4/16/2014Ferree, Suzanne MD 47772RN109974Duxbury, Linda McIver 10448 1357 Hembree Rd, Ste 240 Roswell, GA 30076

6/21/2016Byron Murray, MD 7856RN225002Dyal, Shanika Linette Richardso 17077 311 W. 4th St Waynesboro, GA 30830

3/7/2022David Pitts 51415RN267383Dyches, Rachel 50352 4245 Johns Creek Pkwy, Suite A Suwanee, GA 30024

2/19/2020Hitendra Patel, MD 45312RN267383Dyches, Rachel Alexandria 38700 55 Witcher Street, Suite 160 Marietta, GA 30060

12/24/2021James Jackson 30485RN162233Dyer, Juli 43991 1285 Sims Street Gainesville, GA 30501

12/10/2018Lajos Toth, MD 47545RN162233Dyer, Juli Mickelle 15767 725 Jesse Jewell Pkwy SE Gainesville, GA 30501

5/20/2021Jeffrey Lamp, MD 56736RN204806Dykeman, Elizabeth Anne 19711 160 Hospital Dr. Toccoa, GA 30577

10/1/2018Shahriar Sedghi, MD 37678RN192090Dykes, Lauren Mathews 11876 610 Third St, Suite 204 Macon, GA 31201

6/8/2016Bounthavy Homsombath, MD

68031RN228108Dykes, Angela Renee 12408 3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909

12/22/2017George Zoret, MD 24744RN215843Dykes, Ashley Jordan 39087 124 Third Street Macon, GA 31201

10/1/2018Dean, R. Jonathan MD 31403RN192090Dykes, Lauren 10354 380 Hospital Drive, Bldg A, Ste 430 Macon, GA 31217

1/9/2010Andrew Doris, MD 49005RN108119Dysinger, June Neil 8479 761 Old Norcross Road Lawrenceville, GA 30045

10/11/2009Jan Mayfield, MD 51355RN066361Eades, Lee Ann Hunter 869 49 Hosiery Mill Road, Suite 124 Dallas, GA 30157

8/1/2020Janet Bivens 32410RN32410Earl, LaTonya 44975 5775 P'tree Dunwoody Rd.NE, Bldg. C, Ste. 500 Atlanta, Ga 3

8/23/2013Harrison Stetler, MD 41681RN217816Earnest, Nina Choi 11687 3957 Holcomb Bridge Rd, Suite 100 Norcross, GA 30092

9/3/2021George Katsitadze, MD 52456RN217816Earnest, Nina Choi 12699 4120 Five Forks Trickum Rd, Suite 102 Lilburn, GA 30047

12/6/2018Robert Morgan, MD 31639RN216108Eason, Holli 42523 213 N McDonald Street Ludowles, GA 31316

10/4/2021Wesley Stuckey 36620RN248691Easterwood, Rachel 56691 1525 Chattanooga Road Dalton, GA 30720

3/31/2022Ramana Puppala 70896RN248691Easterwood, Rachel 59712 220 W. Morris Street Dalton, GA 30720

4/19/2019Juan Lacayo, MD 65835RN205801Eaton, Stacy Marie 16908 3535 Hwy 81 S Loganville, GA 30052

5/25/2018Robert Neuman 64617RN180727Eberhart, Veronica C 15010 200 S Enota Dr, Ste 200 Gainesville, GA 30501

10/1/2020Nima Ghasemzadeh, MD 71503RN180727Eberhart, Veronica 42238 1404 River Place Braselton, GA 30517-5600

2/28/2018Baker, Roy MD 25096RN186569Echenique, Juliet Renee 10213 4 Jackson Blvd Savannah, GA 31405

3/1/2013David R. Wharton 25310RN225095Eckert, Cynthia J. 11471 100 Gross Crescent Cr. Ft. Oglethorpe, GA 30742

Monday, August 1, 2022 Page 123 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/2/2018Daisy Lim, MD 38847RN225095Eckert, Cynthia 21043 304 Brickyard Rd. Dalton, GA 30722

11/3/2014Lloyd Rimer, MD 30665RN225095Eckert, Cynthia Jean 12273 3541 Chattanooga Rd Tunnel Hill, GA 30755

7/31/2020Salman Ashfaq, MD 47878RN207743Eckler, Peggy Dawn 13355 1287 Sims St. Gainesville, GA 30501

10/23/2014Michael Rogers, MD 46482RN184707Edenfield, Monica Phillips 13514 1941 Phinizy Rd- Webster Det Ctr Augusta, GA 30906

12/31/2012Edsworth John, MD 65012RN184707Edenfield, Monica 10924 811 13th St, Ste 10 Augusta, GA 30901

4/1/2021Kenneth Ajabor 70846RN212284Edgar, Stacy 44229 1900 Tebeau Street Waycross, GA 31501

3/18/2009Daniel Messcher, MD 48443RN190120Edge-Knauff, Julia Kaye 8033 VSU Stud Health Ctr, North Oak St Valdosta, GA 31698

10/1/2009Edwin Hiatt, MD 12920RN190120Edge-Knauff, Julia Kaye 8633 200 Georgia Ave Valdosta, GA 31698

7/16/2011Anthony Harbin, MD 29665RN135120Edgeman, Michelle Blalock 8494 1525 Chattanooga Road Dalton, GA 30720

1/1/2022Fioias DeLeon, MD 63891RN158766Edmond, Donna Marie 39940 3330 Sugarloaf Parkway Lawrenceville, GA 30044

1/4/2018James Southerland, MD 24632RN112337Edmonds, Peggy 16026 803 South Main St Greensboro, GA 30642

3/9/2022Craig Byron Colby, MD 64350RN112337Edmonds, Peggy Dockery 41386 803 South Main Street Greensboro, GA 30642

7/13/2015Dave Ringer, MD 30368RN112337Edmonds, Peggy Dockery 12517 803 South Main St Greensboro, GA 30642

9/7/2012Rogers, Michael MD 46482RN112337Edmonds, Peggy 10743 1941 Phinizy Road Augusta, GA 30906

2/20/2012Eugene Jackson, MD 22793RN112337Edmonds, Peggy Dockery 9242 151 South Houston Lake Rd, Suite 190 Warner Robins, GA 3

7/15/2010Steven Johnson, MD 17836RN112337Edmonds, Peggy Dockery 879 1111 Glynco Pkwy, #100 Brunswick, GA 31525

2/26/2018Michael Hoffstetter, MD 50023RN115596Edmund, Michal Aimee 14069 200 Doctor's Drive, Ste L Douglas, GA 31533

12/26/2017Sandra Gibbs, MD 32192RN183206Edward, Patricia 16265 774 Ga Hwy 96 Bonaire, GA 31005

12/7/2017Sonjoy Laskar, MD 54772RN207801Edwards, Michele Lee 16498 1365 Clifton Rd NE Atlanta, GA 30322

12/10/2015Lynn Denny, MD 50155RN203106Edwards, Emily 16551 376 Rogers Ave Macon, GA 31204

5/3/2019Dennis Thomas, MD 22898RN113560Edwards, Michelle East 11895 3374 Greystone Way Valdosta, GA 31605

6/21/2014Allen Dollar, MD 35244RN207801Edwards, Michele Lee 9638 80 Jesse Hill Dr, Suite 2F Atlanta, GA 30303

12/7/2017SONJOY LASKAR MD 54772RN207801EDWARDS, MICHELE LEE 39669 1365 CILFTON RD NE ATLANTA, GA 30322

11/12/2021Gary Matthews 77862RN195797Edwards, Katina 44568 250 Corprate Center Ct. Stockbridge, Ga 30281

12/18/2020Syamala Erramilli 47896RN259622Edwards, Felicia 53441 1155 Perimeter Center West, 11th floor Atlanta, GA 30338

5/24/2021Arturo Torres 82632RN288766Edwards, Tracie 51817 1412 Milstead Ave NE Conyers, GA 30012-3877

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/19/2020Layth Saymeh 67436RN205449Edwards, Cassondra 45178 203 Tommy Stalnaker Dr. Warner Robins, Ga 31088

4/5/2015David Arnall, MD 36916RN183206Edwards, Patricia Ann 881 101 Yorktown Drive, Suite 100 Fayetteville, GA 30214

1/1/2015Friedman, Brenda MD 54709RN207801Edwards, Michele 10193 6325 Hospital Parkway ER Johns Creek, GA 30097

12/28/2018Wiley Perry Ballard, MD 30265RN211927Edwards, Annalee Skelton 9802 1800 Howell Mill Rd, Suite 800 Atlanta, GA 30318

9/23/2021Edward Gotlieb 14500RN221028Effinger, Portia 57762 5405-D Memorial Drive Stone Mountain, GA 30083

11/5/2020Edward Minor, MD. 45095RN142038Egbufoama, Jane 40026 2100 Comer Avenue Columbus, Ga 31904

12/31/2012Jennifer Lyman, MD 50039RN164522Eichenlaub, Gretchen Dean 8613 315 Winn Way Decatur, GA 30030

7/2/2010Jennifer Aqua, MD 44882RN164522Eichenlaub, Gretchen Dean 8602 315 Winn Way Decatur, GA 30030

11/30/2013Catherine Bonk, MD 30435RN164522Eichenlaub, Gretchen Dean 8608 315 Winn way Decatur, GA 30030

11/30/2013Kay Entrekin, MD 42817RN164522Eichenlaub, Gretchen Dean 8609 315 Winn Way Decatur, GA 30030

11/30/2013Gary Glasser, MD 33583RN164522Eichenlaub, Gretchen Dean 8610 315 Winn Way Decatur, GA 30030

10/25/2021Lisa Mandeville-Brown, MD 46987RN164522Eichenlaub, Gretchen Dean 8611 315 Winn Way Decatur, GA 30030

11/27/2019Jeffrey K. Kingsley, DO 52973RN193819Eikelberry, Leslie Wilkerson 40807 800 Talbotton Road Columbus, GA 31904

11/27/2019Zulfiquar A. Bhatti 48482RN193819Eikelberry, Leslie Wilkerson 44354 800 Talbotton Road Columbus, GA 31904

10/11/2021Josephine Tan, MD 19193RN119402Eiland, Carolyn A. 12703 106 East Broad St Savannah, GA 31401

2/3/2014Raymond Ramirez, MD 31310RN120872Ejifoma, Mary Iniovosa 11773 5180 Jimmy Carter Blvd Norcross, GA 30093

7/15/2019Onwura M. Obiekwe, MD 50236RN120872Ejifoma, Mary I. 40232 217 Medical Way Riverdale, GA 30274

2/18/2014Ahmad Jingo 45842RN120872Ejifoma, Mary Iniovosa 883 155 Medical Way (Suite B) Riverdale, GA 30274

8/20/2012Franklin Von Hack, MD 39501RN120872Ejifoma, Mary Iniovosa 9963 861 Holcomb Bridge Rd, Ste 200 Roswell, GA 30076

7/21/2021Yvonne Maduka 64804RN174229Ejimofor, Kelechi 45371 1170 Cleveland Ave East Point, Ga 30344

7/1/2019Daniel Valancius, MD 72151RN174229Ejimofor, Kelechi Cecilia 19048 304 Turner McCall Blvd Rome, GA 30165

9/30/2008Craig Johnson, MD 29689RN042548Ekard, Charlotte Ann Hodges 8171 4460 Atlanta Hwy, Suite B Loganville, GA 30052

5/31/2008Corliss Rupp, MD 49091RN042548Ekard, Charlotte Ann Hodges 8204 1711 Athens Hwy, Suite 500 Grayson, GA 30017

6/1/2022Shahzad Hashmi, MD 53239RN042548Ekard, Charlotte Ann Hodges 8961 PO Box 263 Lawrenceville, GA 30046

3/6/2020Sarita Prasad 73372RN221151Eke, Chibuzor 46904 1655 Tullie Cir, Suite E Atlanta, GA 30329

8/16/2018Antoine R Trammell, MD 59779RN221151Eke, Chibuzor Steve 42234 4646 N Shallowford Rd Dunwoody, GA 30338

Monday, August 1, 2022 Page 125 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/4/2021Reginald Jackson 51007RN221029Eke, Onyinyechi 44308 80 Jesse Hill Jr. Drive SE Atlanta, GA 30303

8/18/2021Rotimi Samuel 44082RN221029Eke, Onyinyechi 44566 367 Clear Creek Pkwy Lavonia, Ga 30553

10/31/2018Oladayo Osinuga, MD 51703RN221151Eke, Chibuzor Steve 19776 970 Cassville-White Rd. NE Cartersville, GA 30120

8/24/2020Dawit Weldemichael 75710RN226577Ekokobe, Simon 52038 4245 Johns Creek Pkwy, Suite E Suwanee, GA 30024

2/25/2019Hetal Thakore, MD 53556RN085698Elam, Sylvia Marie Pierson 20773 1227 W. Wheeler Pkwy. Augusta, GA 30909

4/29/2021Wesley Chay, MD 77574RN161701Elango, Theresa 20764 2020 Peachstree Road, NW Atlanta, GA 30309

5/17/2019Sara O'Heron, MD 41632Rn161701Elango, Theresa Elena 11801 1201 Georgian Park Peachtree City, GA 30269

6/27/2021Jaymal R Patel, MD 50984RN239452Elder, Shelby Lane 42230 3116 North Oak St. Extension Valdosta, GA 31602

10/29/2019James Harrell, MD 26782RN239452Elder, Shelby Lane 40796 3116 North Oak St. Extension Valdonsta, GA 31602

9/1/2019Jeffrey Dowis 68199RN223087Eldridge, Frank Schley 42892 196 Ridgecrest Circle Clayton, GA 30525

5/1/2022Russell B. Minor, MD 35479RN276769Eldridge, Cheryl 43020 1012 Burleyson Rd. Dalton, GA 30720

12/31/2019Aristotle Cochon 66344RN223087Eldridge, Frank 44509 2015 Alice Street Waycross, Ga 31501

12/13/2018Earl Martin 28602RN223087Eldridge IV, Frank Schley 44001 711 Charles Gillman Avenue (Suite B) Kingsland, GA 31548

5/12/2009Valens Plummer, MD 49496RN045263Eley, Cecelia Joyce 7698 780 North Glynn Fayetteville, GA 30214

8/18/2020Diahann Moore, MD 63458RN227176Elhalaby, Salim 43830 2900 University Pkwy Lawrenceville, GA 30043

12/22/2020Iqbal Hussain Dhanani, MD. 45767RN227176Elhalaby, Salim 40327 5454 Yorktowne Drive Atlanta, GA 30349

7/25/2019David Goldsmith, MD 75627RN227176Elhalaby, Salim 42911 10 Park Place South SE Atlanta, GA 30303

8/15/2014Shalandra Ross, MD 64457RN124957Elie, Joann 9430 770 Village Square Dr Stone Mountain, GA 30083

10/5/2012Robert Dourron, MD 48617RN124957Elie, Joann 9927 2675 N. Decatur Rd, Ste 301 Decatur, GA 30033

8/31/2010Shirley Rigaud-Echols, MD 58639RN124957Elie, Joann 887 770 Village Square Dr Stone Mountain, GA 30083

6/17/2011Derek Woessner, MD 51194RN175222Elkins, Amanda Layne 9778 1800 10th Ave Columbus, GA 31901

11/28/2012Gillett, Richard MD 34142RN175222Elkins, Amanda 10714 1800 10th Avenue Columbus, GA 31901

5/24/2019Jonathan L. Liss 39850RN175222Elkins, Amanda L 43702 7196 Northlake Drive Columbus, GA 31909

9/16/2019Peter K. Lee, MD 38545RN130092Elks, Levi 42852 83 Upper Riverdale Road (Suite 135) Riverale, GA 30296-181

12/5/2016Lee Padove, MD 29748RN138324Elledge, Laura Degler 17452 980 Johnson Ferry Rd, Ste 520 Atlanta, GA 30342

10/9/2020William H. Stuart, MD 12645RN138324Elledge, Laura Degler 43172 3200 Downwood Circle (Suite 550) Atlanta, GA 30327

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/9/2020William Stuart 12645RN138324Elledge, Laura 53826 3200 Downwood Circle NW, Suite 550 Atlanta, GA 30327

2/23/2021Allen Solomon 28465RN145700Ellers, Julie 48221 1425 McFarland Ave Rossville, GA 30741

9/30/2018Robinowitz, Michael MD 17274RN186595Ellington, Rosina 10875 1255 Hwy 54 West Fayetteville, GA 30214

1/30/2020Uchenna Kalu, MD 62127RN186595Ellington, Rosina 11138 157 Burke St. Stockbridge, GA 30281

2/5/2016Gaston Morah Celayes, MD 64675RN198479Elliot, Anita Simpson 14202 618 E Lamar St Americus, GA 31079

5/1/2016Seth Berl, MD 24390RN109322Elliott, Brian Allen 14374 9 Hospital Park Moultrie, GA 311768

1/8/2018John DeClue, DO 37522RN198479Elliott, Anita Simpson 16906 814 Radford Blvd, Bldg 7000 Albany, GA 31707

5/14/2017Omar Al Haddad, MD 65987RN133023Elliott, Karren Lynn 15365 505 Amelia Ave Baindridge, GA 39819

4/22/2021Nicolas Duchemin 82008RN225891Elliott, Stephanie 54005 1240 Eagles Landing Pkwy, Suite 110 Stockbridge, GA 30281

1/30/2013Frank David Newby, MD 38314RN115578Elliott, Kelly Ray 888 1506 Broadrick Drive Dalton, GA 30720

6/30/2014Pradeep Jolly, MD 22798RN150577Ellis, Laura Anne Green 890 975 Johnson Ferry Rd. Atlanta, GA 30342

11/19/2021David Banks 51620RN285481Ellis, Joye 46896 2227 US Hwy 41 N, Suite 100 Tifton, GA 31794

5/13/2021Shaun Hoenstine 82417RN178005Ellis, Christopher 51444 915 Gordon Ave Thomasville, GA 31792

2/9/2019Chinonye Nwoke 74825RN179861Ellis, Kameelah 44306 6131 S Norcross Tucker Road (Suite 6) Norcross, GA 30093

3/19/2019Miles Johnson 38817RN179861Ellis, Kameelah 44598 6131 S. Norcross Tucker Rd. #6 Norcross, Ga 30093

7/26/2019Maki Rheaume 56473RN179861Ellis, Kameelah 44510 1640 Powers Ferry Rd SE Marietta, GA 30067

8/13/2019Akita Evans 64372RN165019Ellis, Latese 46464 594 Carrollton Villa Rica Hwy, Suite A Villa Rica, Ga 30180

5/24/2019Sabin Tomus, MD 45994RN256687Ellis, Sarah Elizabeth 19029 455 South Main St, Ste 203 Hinesville, GA 31313

12/6/2018Robert Morgan, MD 31639RN256687Ellis, Sarah Elizabeth 40618 502 E. General Stewart Way (Suite A) Hinesville, GA 31313

9/10/2019David Nussbaum, DO 67697RN256687Ellis, Sarah 44060 502 E General Stewart Way (Suite A) Hinesville, GA 31313

4/30/2018Rosalind Womack, MD 72171RN256687Ellis, Sarah Elizabeth 21242 502 E. General Stewart Way ste. A Hinesville, GA 31313

6/14/2017Wendy Coto-Puckett, MD 59908RN154735Ellis, Kyndra Lenee 19402 743 Spring St. NE Gainesville, GA 30501

3/1/2019Thomas Whitesell, MD 52854RN184088Ellis, Robyn Nicole 12814 2060 Dan Proctor Dr, Suite 210 St Marys, GA 31558

3/26/2015Yolanda Hacker, MD 45811RN165019Ellis, Latrese A 13790 794 S Park St Carrolton, GA 30117

5/1/2017Jennifer Starnes, MD 66016RN197661Ellis Hasty, Angel Brooke 15615 1012 Burleyson, Rd. Dalton, GA 30720

12/14/2020Phillip Ouderkirk 49992RN184607Elmadolar, Elizabeth 51932 9925 HaynesBridge Road, Suite 320 Alpharetta, GA 30022

Monday, August 1, 2022 Page 127 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/10/2021Simon Fensterscaub 83142RN169582Elmore, William 53211 4595 Cantrell Road Flowery Branch, GA 30542

6/27/2019Raymond Easley 20987RN169582Elmore, William 44737 11040 Crabapple Rd. Roswell, Ga 30075

1/4/2017Robert Guerreso, DO 38787RN169582Elmore, William Ray 19035 1730 Lawrenceville-Suwanee Rd. Lawrenceville, GA 30043

8/9/2019AUDREY CRUMBUEY MD 53031RN169582ELMORE, WILLIAM 39281 213 O'CONNOR DR MILLEDGEVILLE, GA 31061

9/22/2015Kelvin White, MD 33753RN169582Elmore, William 14473 5505 Bells Ferry Rd Acworth, GA 30102-7527

1/22/2016Contresia Bailey, MD 57042RN169582Elmore, William 16164 555 Old Norcross Rd, Ste 100 Lawrenceville, GA 30046

1/1/2015Dorel Bidiuc, MD 51296RN164926Elrod, Leah Tracy 13288 707 Old Dalton - Ellijay Rd, Emer Dept Chatsworth, GA 3070

10/1/2014Wyatt Blake, MD 47702RN164926Elrod, Leah 14136 4421 Carnes St Acworth, GA 30101

1/1/2015Kerry Neises, MD 43720RN164926Elrod, Leah 11119 1107 Memorial Dr., Ste 300 Dalton, GA 30720

1/25/2020Theodore Schook 30882RN122789Elrod, Sonya Marie 47033 930 Franklin Springs Street, Suite A Royston, GA 30662

12/13/2012Ault, Kevin MD 56403RN204492Elsinga, Elysia 10655 69 Jessee Hill Jr., Dr, SE, GYN/OB Dept, 4th floor Atlanta, GA

7/1/2019Daniel T. Valancius 72151RN179574Emekwue, Chinelo Nkiruka 43456 304 Turner McCall Blvd. Rome, GA 30165

10/2/2010Mary East, MD 63187RN154628Emery, Tonya Leigh 9023 300 Cherokee Pl Cartersville, GA 30121

2/4/2010Timothy Ryan, MD 40220RN154628Emery, Tonya Leigh 7888 84 Pine Grove Road Cartersville, GA 30120

3/30/2022Raymond Jarvis 45505RN072797Emery, Melanie 47927 330 Turner McCall Blvd Rome, GA 30165

3/18/2011Lenka Novotna, MD 51698RN064364Emery, Marie Kerr 896 800 East Doyle Street Toccoa, GA 30577

12/31/2009Eric Powell, MD 49081RN064364Emery, Marie Kerr 8282 1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501

5/28/2019Patrick Antoine, MD 57143RN210331Emmanuel, Roselande 21202 901 Rice Street Atlanta, GA 30318

11/24/2021MICHAEL POMPEY MD 23097RN210331EMMANUEL, ROSELANDE 39283 901 RICE ST ATLANTA, GA 30318

5/28/2019Patrick Antoine, MD 57143RN210331Emmanuel, Roselande 21297 301 Rice St. Atlanta, GA 30318

2/5/2021Sonam Bhalla 83020RN235184Emory, Rebecca 48102 975 Johnson Ferry Road NE, Suite 340 Atlanta, GA 30342

3/1/2019James L. Chappuis, MD 29604RN229514Endsley, Lynelle Marie 39581 3161 Howell Mill Rd., NW (Suite 400) Atlanta, GA 30327

2/8/2019Bertram Prosser, MD 75651RN229514Endsley, Lynelle 41591 3451 Cobb Parkway (Suite 4) Acworth, GA 30101

2/26/2016James Malcolm, MD 44781RN229514Endsley, Lynelle 15586 300 Tower Rd, Ste 200 Marietta, GA 30060

1/7/2019Joe Harris Morgan, III, MD 53503RN130096Enfinger, Lesley Johnson 9063 2402 Osler Court, Suite 200 Albany, GA 31707

2/23/2022Edward Koomson 76035RN130096Enfinger, Lesley 54014 425 W 3rd Avenue, Suite 700 Albany, GA 31701

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/6/2009Abdollatif Ghiathi, DO 40908RN144558Enfinger, Casidy Davis 8320 208 McDonald Aveune Cuthbert, GA 39840

2/16/2020Luis Murrain, DO 57747RN144558Enfinger, Casidy Davis 8484 360 College Street Blakely, GA 39823

5/1/2009Michael Satchell, MD 49593RN130096Enfinger, Lesley Johnson 2696 806 14th Avenue, Suite C Albany, GA 31701

11/1/2015Brenda Hott, MD 41441RN183909Engel, Bryan Scott 12740 200 S Enota Dr, Suite 200 Gainesville, GA 30501

1/1/2016Bill Smith, MD 59963RN238324England, Megan 15405 101 McFarland Rd Lookout, GA 30750

12/1/2021Christopher Randolph 26628RN257510England, Kayla 57219 523 Dixie Street Carrollton, GA 30117

4/30/2022Adrienne Mims 33152RN123591English, Tracy 59746 289 Jonesboro Road, Unit 654 McDonough, GA 30253

2/24/2010Lawrence Powell, MD 38915RN123591English, Tracy C. 8770 3740 Cascade Road Atlanta, GA 30331

10/5/2021Thomas Demarco 32718RN123591English, Tracy 54132 3969 South Cobb Drive, Suite 202 Smyrna, GA 30080

7/1/2020Jay Jones 60389RN238946English, Anita 46376 35 Hospital Road Blairsville, GA 30512

8/8/2018Sylvanus K. Fiakpornoo, MD 60453RN123591English, Tracy Cain 39986 2000 Riverside Parkway (Suite 107) Lawrenceville, GA 30043

7/19/2019Musharaf Mamin 55831RN123591English, Tracy Cain 43693 200 business Cener Drive (Suite 204) Stockbridge, GA 30281

7/17/2019Abdul Odemuyiwa, MD 48451RN123591English, Tracy Cain 42910 2000 Riverid Parkway (Suite 107) Lawrenceville, GA 30043

6/1/2019Mehrdad Seilanian Toosi, MD

67089RN201532Ennis, Christopher Blake 19346 200 S Enota Drive, Ste 100 Gainesville, GA 30501

6/1/2020Mahmoud Abdou 73423RN201532Ennis, Blake 46318 200 S. Enota Dr., Suite 100 Gainesville, Ga 30501

10/1/2020Ioannis Parastatidis 67025RN201532Ennis, Christopher 48933 200 S Enota Drive NE, Suite 100 Gainesville, GA 30501

2/24/2021Diahann M. Moore 63458RN207426Enoch, Tansha 53167 2209 Pineview Drive Valdosta, GA 31602

5/18/2021Wendy Vandemark 57511RN207426Enoch, Tansha 53588 2209 Pineview Drive Valdosta, GA 31602

3/1/2011Dennis Estep, MD 25429RN077047Ensley, Deirdre Walker 904 2366 Battlefield Parkway FT Oglethorpe, GA 30742

1/26/2012Thomas Ho, MD 44748RN077047Ensley, Deirdre Walker 9754 7494 Battlefield Pkwy Ringgold, GA 30736

4/25/2014Okiki Louis, MD 47479RN180187Enworom, Chinyere D. 905 1490 Pleasant Hill Road Duluth, GA 30096

8/18/2019Stephanie H. Gordon, MD 49382RN164147Epling, Maria Goenaga 11433 2750 Owens Dr., Suite A Conyers, GA 30094

8/5/2013William Mahle, MD 50110RN138969Epstein, Robin Nadine Pollack 907 1405 Clifton Rd Atlanta, GA 30322

2/14/2020James Hamilton Jr. 29179RN175153Erawoc, Korpo 46381 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Robert Klassen 34385RN175153Erawoc, Korpo 46382 1626 Jeurgens Court Norcross, Ga 30093

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/14/2020Robert Williams 29263RN175153Erawoc, Korpo 46384 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Terence Frinks 51042RN175153Erawoc, Korpo 46385 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Dave Ringer 30368RN175153Erawoc, Korpo 46387 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Jim Wade 22664RN175153Erawoc, Korpo 46389 1626 Jeurgens Court Norcross, Ga 30093

2/14/2020Oladayo Osinuga 51703RN175153Erawoc, Korpo 46534 1626 Jeurgens Court Norcross, GA 30093

5/5/2021Michael DiCristina 22223RN284647Erick, Dobgima 46653 2850 Springdale Road SW Atlanta, GA 30315

6/20/2010Philip Henderson, MD 47601RN137469Erkenbrack, Susan Karen 910 289 Grayson Hwy Lawrenceville, GA 30045

1/23/2019Vinaya Puppala, MD 71014RN266940Ernest, Audra Elizabeth 21284 403 Permian Way ste. D Villa Rica, GA 30180

4/26/2019William Whitten, MD 42770RN162446Ernest, Michelle Kelly 12952 3934 Woodruff Rd Columbus, GA 31904

7/14/2020Ekei Tanifum 78358RN272236Errato, Jenika 51070 100 Timber trail Road, Unit 104 Richmond Hill, GA 31324

1/1/2013Raushanah Hud-Aleem, DO 62999RN049625Ervin, Nora 9543 3110 Clifton Springs Rd, Suite B Decatur, GA 30034

5/30/2012Barbara D'Orio, MD 33956RN049625Ervin, Nora 9192 PO Box 26238 Atlanta, GA 30303

1/1/2020David Purselle, MD 44312RN049625Ervin, Nora 19775 1 Technology Pkwy. S attn: Medical Staff Office Norcross, G

6/19/2020Thomas Williamson, MD 42144RN216754Eschmann, Lauren Brooke 40076 205 Rees Street Americus, GA 3109

8/22/2019SCOTT WAGUESPACK MD 63016RN216754ESCHMANN, LAUREN 39284 205 REES ST AMERICUS, GA 31709

5/18/2018Clarence Morgan, MD 33410RN225443Escobar, Carlos 39127 6460 Highway 92, Suite 200 Acworth, GA 30102

11/29/2021Antonio V. Baute, MD 19142RN225443Escobar, Carlos Alberto 38915 6460 Hwy 92 (Suite 200) Acworth, GA 30102

5/30/2018Adolfo Molina, MD 24166RN225443Escobarduque, Carlos Alberto 12749 3182 Shallowford Rd Chamblee, GA 30341

4/11/2016Lester Freeman, MD 47431RN128018Esezobor, Cherri Denise 12358 2600 MLK Jr Dr, Suite 206 Atlanta, GA 30311

8/1/2011Richard Schwartz, MD 42935RN040164Espitallier, Catherine V 911 1120 15th St, Suite AF-2044 Augusta, GA 30912

12/11/2019George Gottlieb 20437RN228565Esposito, Brittany 46533 2675 N. Decatur Rd., Suite 404 Decatur, GA 30033

4/9/2022Ambreen Mardhani 75722RN228565Esposito, Brittany 51645 15 Reinhardt College Pkwy, Suite 100 Canton, GA 30114

10/3/2010Richard Carter, MD 38439RN185062Estabrook, Christine M. 8871 1506 Klondike Rd, Suite 205 Conyers, GA 30094

10/18/2013John Kauh, MD 52970RN185062Estabrook, Christine M. 9853 1365 Clifton Rd, Bldg C Atlanta, GA 30222

9/15/2017Nishan Fernando, MD 56286RN203922Estep, Paige 16387 1100 Johnson Ferry Rd, Ste 600 Atlanta, GA 30342-1739

9/15/2017Sheetal Patel, MD 71522RN203922Estep, Paige Winzeler 16657 550 Peachtree St NE, Ste 1185 Atlanta, GA 30308

Monday, August 1, 2022 Page 130 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/15/2017Ruth Sarmiento, MD 37065RN203922Estep, Paige Winzeler 16637 1045 Southcrest Dr, Ste 200 Stockbridge, GA 30281

10/12/2021Rabahuddin Syed 81328RN210519Esterling, Jacquelyn 58414 1000 Johnson Ferry Road, Suite B155 Marietta, GA 30068

4/29/2014Ann Eggert, MD 28972RN142360Estes, Shaquita Nichole Lewis 8810 12 Eastbrook Bend Peachtree City, GA 30269

8/27/2019Joy Smith, MD 38968RN142360Estes, Shaquita Nichole Lewis 12353 35 Jesse Hill Jr Dr Atlanta, GA 303063

12/12/2016Najaz Woods-Bishop, MD 58350RN142360Estes, Shaquita Nichole Lewis 12385 1510 Hudson Bridge Rd Stockbridge, GA 30281

9/1/2017Ezad Ahmad, MD 38162RN263373Estes, Ashley Carrol 20076 1411 Chattoonooga Ave. Dalton, GA 30720

4/12/2015Frederick Burton, MD 38434RN189458Esteves, Ariel 15451 1735 S. Highway 27 Carrollton, GA 30117

7/21/2014Maurice Solis, MD 30673RN081198Etheridge, Christy Rebecca 12984 575 First St Macon, GA 31201

3/1/2019John H Lloyd, MD 28434RN223023Etheridge, Tory K 42520 5012 Bristol Industrial Hwy Buford, GA 30518

3/30/2021Yvonne P. McAllister 25218RN223023Etheridge, Tory Kirsten 44050 260 West Clinton Street Gray, Ga 31032

4/8/2018Laura Reed, MD 52393RN223023Etheridge, Tory Kirsten Nicole 41401 688 Walnut Street, Suite 200 Macon, GA 31201

6/18/2021James Dunne, MD 72206RN170986Etheridge, Blanche Lori 17488 4700 Waters Ave, Prov #212 Savannah, GA 31404

2/14/2020William Taylor 33213RN223023Etheridge, Tory 46391 1626 Jeurgens Court Norcross, Ga 30093

2/14/2020Craig Caldwell 21658RN223023Etheridge, Tory 46392 1626 Jeurgens Court Norcross, GA 30093

1/13/2020Javad Fazal 57457RN223023Etheridge, Tory 46393 2255 Anthony Road Macon, GA 31204

2/14/2020Jayesh Patel 65164RN223023Etheridge, Tory 46394 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Jeremy Goodwin 59416RN223023Etheridge, Tory 46396 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Terence Frinks 51042RN223023Etheridge, Tory 46495 490 Kathwood Dr. Athens, Ga 30607

4/23/2021Eric K Davis, MD 63648RN076629Ethridge, Susan Rachel 12809 235 E Washington Ave Ashburn, GA 31714

3/27/2014Roberts, Marcus MD 35986RN076629Ethridge, Rachel 10842 1909 Highway 82 West, Ste 5 Tifton, GA 31793

9/17/2021Cynthia Giles, DO 48778RN198355Ethridge, Shannon Slocumb 14034 555 Blue Bird Blvd. Fort Valley, GA 31030

4/12/2021Sophenia Gay, MD 67868RN173744Ethridge, Anna H. 18009 821 N. Cobb St. Milledgeville, GA 31061

4/23/2021Mark Lee, MD 59451RN076629Ethridge, Susan Rachel 18502 235 E. Washington Ave. Ashburn, GA 31714

1/1/2020Patrina Lockette-Smith, MD 48855RN076629Ethridge, Rachel Susan 8967 354 E. Washington Ave Ashburn, GA 31714

4/19/2010Arnold Gaskin, MD 36382RN076629Ethridge, Rachel Susan 914 9020 Peridot Pkwy Stockbridge, GA 30281

2/8/2019Darrell Murray, MD 44797RN167551Etienne, Josette 41508 403 Permian Way, Suite A Villa Rica, GA 30180

Monday, August 1, 2022 Page 131 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/31/2018Kelvin Burton, MD 32101RN167551Etienne, Josette 18852 2022 Fairburn Rd. Douglasville, GA 30135

8/26/2015Clarice Bell-Strayhorn, MD 39730RN185846Etienne-Marseille, Valencia 15833 505 Dacula Rd Dacula, GA 30019-2125

6/15/2016Meena Shah, MD 21464RN251834Etzkorn, Jessica A. 16753 475 Philip Blvd. Lawrenceville, GA 30046

9/24/2021Sujatha Reddy 20385RN248956Eubanks, Angela 51249 175 Emery Highway Macon, GA 31217

10/5/2021Rita Mezzatesta 58371RN202402Evans, Kimberly 50891 550 Redmond Road Rome, GA 30165

12/4/2015David Warren, MD 32492RN145456Evans, Rebecca Berrier 1796 150 Gentilly Blvd Cartersville, GA 30120

3/25/2017Munsayac, Lumawig MD 15028RN113548Evans, Kimberly 10206 111 North 3rd Street Glenwood, GA 30428

10/24/2008Esther Harbert, MD 32633RN033687Evans, Anne T. 8311 450 Winn Way Decatur, GA 30030

1/28/2013Souza, John MD 39475RN113548Evans, Kimberly 10300 1110 Hillcrest Pkwy Dublin, GA 31021

9/4/2014Alice House, MD 43065RN168361Evans, Natalie Fulford 9806 100 College Station DR Macon, GA 31206

4/8/2013Thomas A. Self, MD 21587RN145456Evans, Rebecca Berrier 11609 1825 Martha Berry Blvd Rome, GA 30165

10/19/2017Daniela Rojas Molina, MD 55331RN145456Evans, Rebecca Berrier 17267 165 Blue Ridge Overlook Blue Ridge, GA 30513

11/15/2019Linda Arnold, MD 40299RN168361Evans, Natalie Fulford 18386 260 West Clinton Street Gray, GA 31032

10/16/2020Terry Landford, DO 45867RN183099Evans, Amy 14963 1899 Lake Rd Ste 212 Hiram, GA 30141

2/20/2017Alan Justice, MD 32405RN170143Evans, Christina Nicole 17250 446 Poplar St Macon, GA 31201

4/1/2019Richard Oster, DO 50238RN113548Evans, Kimberly 18503 200 Industrial Blvd. Dublin, GA 31021

11/20/2020Mohamed Elbasha, MD 59714RN113548Evans, Kimberly 18504 350 Hospital Dr. Macon, GA 31217

6/18/2015Marcus Roberts, MD 35986RN113548Evans, Kimberly 13276 621 E. First, Ste B Vidalia, GA 30475

4/21/2016Stewart Grizzard, DO 43948RN113548Evans, Kimberly 15812 621 East First St, Ste B Vidalia, GA 30475

6/18/2016Frederick Burton, MD 38434RN168361Evans, Natalie Fulford 14066 6020 Harrison Rd. Macon, GA 31206

9/4/2014Alice R. House, MD 43065RN168361Evans, Natalie F. 11190 100 College Station Dr. Macon, GA 31206

4/30/2014Charles Harden, MD 44930RN113548Evans, Kimberly 12625 621 East First St, Suite B Vidalia, GA 30475

11/20/2020John Shivdat, DO 47527RN113548Evans, Kimberly 17491 350 Hospital Drive (Coliseum Medical Center) Macon, GA 31

4/24/2018Chris E. Malone 38295RN198578Evans, Gretchen Fennell 20756 1181 Langford Dr. (Bldg 300 Suite 104) Watkinsville, GA 306

8/1/2018William D Taylor, MD 33213RN113548Evans, Kimberly 42273 302 Smithville Church Road Warner Robin, GA 31088

2/14/2020Cedric Porter 29363RN113548Evans, Kimberly 46431 856 Hwy. 1 South Swainsboro, Ga 30401

Monday, August 1, 2022 Page 132 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/1/2020David Paine 28618RN113548Evans, Kimberly 46439 1305 North St East Vidalia, GA 30474

2/14/2020James Ray 16126RN113548Evans, Kimberly 46440 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Michael Cohen 65646RN113548Evans, Kimberly 46462 12825 White Bluff Road Savannah, GA 31419

10/29/2019Heywood Gay 38768RN113548Evans, Kimberly 46399 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Karen Butler 53841RN113548Evans, Kimberly 46400 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Prakul Chandra 66006RN113548Evans, Kimberly 46377 1626 Jeurgens Court Norcross, Ga 30093

5/31/2022Marisa Lawrence 38839RN137531Evans, Angela 47848 980 Johnson Ferry Road, Suite 110 Atlanta, GA 30342

4/7/2022Morgan C. Wood, MD 32681RN198042Evans, Amy Nicole 40264 367 Clear Creek Pkwy Lavonia, GA 30553

1/19/2021Paul Raber, MD 42704RN198042Evans, Amy Nicole 41778

8/13/2021Dale Green 31926RN138783Evans, Ann 53642 55 Carlton Street Athens, GA 30602

9/22/2021Lauren Hearn 83333RN198042Evans, Amy 56004 355 Clear Creek Parkway, Suite 1003 Lavonia, GA 30553

12/16/2020Pamela Hearn 60169RN183099Evans, Amy 54349 222 Gordon Street Breman, GA 30110

11/20/2020Shameka McElhaney 54854RN202402Evans, Kimberly 47377 3451 Cobb Pkwy Acworth, GA 30101

12/1/2020Anthony Howard 34616RN113548Evans, Kimberly 46094 856 Hwy. 1 South Swainsboro, Ga 30401

3/1/2020Anna B. Tanner, MD 47669RN120377Evavold, Kristine Marie 39711 6600 Peachtree Dunwoody Rd. (Bldg 400/Ste. 150) Atlanta,

4/6/2018Hal Herd, MD 13140RN120377Evavold, Kristine Marie Kenney 920 601-A Professional Dr, Ste 370 Lawrenceville, GA 30045

1/29/2020Caroline Miller 54011RN267873Everden, Kelly 44312 3911 Mary Eliza Trail (Suite 200) Marietta, GA 30064

10/18/2011Tommy Morgan, MD 57755RN087281Evers, Sharon Lee Sterner 9760 120-A Gordon Commercial Dr LaGrange, GA 30240

9/24/2009William Jackson, MD 35913RN129054Ewart-Madhere, Arlene Elaine 922 2945 Panola Road Lithonia, GA 30038

9/6/2012Bruce Ribner, MD 49086RN129054Ewart-Madhere, Arlene Elaine 9498 1364 Clifton Rd NE Atlanta, GA 30322

3/24/2022Madelaine Vega 74351RN157750Exum, Sarah 47656 358 Veterans Parkway N. Moultrie, GA 31788

6/23/2018GRADY THOMPSON MD 32315RN157750Exum, SARAH TOMPKINS 39507 2336 DAWSON RD ALBANY, GA 31707

9/30/2016Maria Walker, MD 25306RN246171Eyefia, Emmanuel Eseroghene 18028 5040 Snapfinger Woods Dr. ste. 108 Decatur, GA 30035

10/10/2018Luther Vance Jr., MD 19354RN217336Eze, Julia 38925 9434 S. Main Street (Suite 1100) Jonesboro, GA 30236

2/6/2020Carroll G. Odem, MD 51171RN217336Eze, Julia Monet 43179 2050 Cumming Hwy (Suite 100) Canton, GA 30115

12/20/2021Ugochukwu Egolum, MD 78295RN207232Ezell Lebolo, Rachel 43803 200 South Enota Dr NE Suite 100 Gainesville, Ga 30501-346

Monday, August 1, 2022 Page 133 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/18/2015Mark Dorogy, MD 41105RN207232Ezell Lebolo, Rachel 16284 1062 Forsyth St, Ste 1 B Macon, GA 31201

11/20/2018Mitchell Davis, MD 35030RN207232Ezell Lebolo, Rachel Avery 21279 200 S. Enota Drive ste. 200 Gainesville, GA 30501-3466

9/15/2017Robert Tuck, MD 33217RN207232Ezell Lebolo, Rachel 15310 777 Hemlock St Macon, GA 31201

9/15/2017Wendell Ellis, MD 62202RN207232Ezell Lebolo, Rachel Avery 17046 1062 Forsyth St, Ste 1B Macon, GA 31201

4/2/2017Olufemi Taiwo, MD 51606RN189319Eziakor, Chiazor Irene 19059 222 Arrowhead Blvd. Jonesboro, GA 30236

4/17/2020Walter Austin Jr. 47049RN189319Eziakor, Chiazor 49225 175 Samaritan Drive Jasper, GA 30143

10/10/2019Harry Ferrran Jr. 26111RN152048Ezzell, Trevor 16023 655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501

12/11/2020James Short, MD 23877RN210303Fagan, Melissa Necole 17451 3999 Austell Rd, Ste 901 Austell, GA 30106

12/31/2018Patricia Kelly, MD 48528RN210303Fagan, Melissa 42174 424 Decatur Street Atlanta, GA 30312

1/1/2018William Delp, DO 70084RN210303Fagan, Melissa Necole 15325 2215 Exchange Place Conyers, GA 30013

1/25/2019Patricia Kelly, MD 48528RN210303Fagan, Melissa Necole 21139 424 Decatur St. SE Atlanta, GA 30312

6/9/2010Mark Stovroff, MD 37088RN167366Fahien, Erin Mary 9091 960 Johnson Ferry Rd, Suite 315 Atlanta, GA 30342

3/1/2022Michael Peacock 40752RN213761Fail, Krystal 57607 706 W Barnard Street Glennville, GA 30427

1/1/2021Vinaya Puppala 71014RN282756Faine, Kristin 46930 403 Permian Way, Suite D Villa Rica, GA 30180

8/15/2019Erik Bendiks 51866RN282756Faine, Kristin Lee 44253 11650 Alpharetta Hwy (Suite 100) Roswell, GA 30076

9/29/2021Sylvanus Fiakpornoo 60453RN282756Faine, Kristin 56216 848 Hiram Acworth Hwy Bldg 200, Suite A Hiram, GA 30141

10/31/2017Kathrine Gibbons, MD 46104RN204256Faircloth, Brandy Jean 17239 2735 Central Ave South Tifton, GA 31794

12/31/2019James Sipp, MD 53880RN062189Fairlamb, Catherine Lois Visha 3083 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

3/17/2020Michael Pinell, MD 58102RN153816Faison, Yulanda 15769 227 Merchants Way Brunswick, GA 31525

4/30/2015Roy Johnston, MD 40428RN245428Falkner, Myron Javon 15286 9157 Tara Boulevard MD Jonesboro, GA 30236

9/30/2019Shelly Yusuff 49482RN245428Falkner, Myron 43181 709 Breedlove Drive Monroe, GA 30655

9/30/2019Shelly Yusuff 49482RN245428Falkner, Myron 44055 709 Breedlove Drive Monroe, GA 30655

10/19/2019Jessie Bender, DO 71454RN276232Fanakos, Cherish 42297 4181 Hospital Drive Covington, GA 30014

12/1/2019David Weinkle, MD 38645RN048537Fannon, Marjorie Ann Pryor 929 PO Box 422002 Atlanta, GA 30342

4/23/2019Lynette Stewart, MD 39681RN092866Fareed, Surayyah 15385 2855 Candler Rd, Ste 14A Decatur, GA 30034

3/28/2020Justine Henao 52580RN094721Farr, Kimberly 46248 1395 S. Marietta Pkwy, Bldg. 300, Suite 216 Marietta, Ga 30

Monday, August 1, 2022 Page 134 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/19/2020William W. Turton, MD 33729RN222685Farr, Julie Anne Nix 41700 300 Medical Drive, Suite 707 LaGrange, GA 30240

2/25/2022Tsung Hsu 62220RN094721Farr, Kim 52576 1551 Jennings Mill Road, Suite 2400-B Watkinsville, GA 3067

10/24/2015Raymond McKoy, DO 44536RN244839Farrell, Vincent 15084 815 Shugart Rd Dalton, GA 30720

8/4/2020Leli, Matthews 52182RN244839Farrell, Vincent Bernard 14831 2701 North Decatur Rd Decatur, GA 30030

3/14/2008Houston H. Pittman, MD 18065RN186074Farrington, Sherry Lynn 5462 20 Riverbend Drive, SW Rome, GA 30161

2/24/2017Cliff Lin, MD 69346RN136220Farris, Scott Penn 19699 2540 Windy Hill Rd, Entrance C Marietta, GA 30067

3/16/2021John Layher 46692RN164236Fass, Alexandra 39930 2470 Daniells Bridge Road, (Bldg 200, Suite 251) Athens, GA

1/17/2020Vijia George, MD 68161RN118892Faudree, Cyndi Bletzacker 20780 462 E.G. Miles Parkway Hinesville, GA 31313

7/29/2018Michele M Mitchell, MD 71254RN118892Faudree, Cyndi B 42298 1111 Glynco Parkway Brunswick, GA 31525-7930

9/11/2019Joseph Hand, MD 49984RN118892Faudree, Cyndi Bletzacker 17950 247 South Main St Reidsville, GA 30453

6/1/2019Marion Bailey, Jr, MD 10467RN212187Faudree, Ronald E 13688 210 E Derenne Ave Savannah, GA 31405

6/1/2019Marion Bailey Jr., MD 10467RN118892Faudree, Cyndi Bletzacker 934 1101 North Way Darien, GA 31305

6/12/2022Bruce Easterling 90393RN212187Faudree, Ronald 60905 138 Canal Street, Unit 308 Pooler, GA 31322

9/11/2015John Vu, MD 40813RN069262Faulkner, Linda Leigh 9715 4861 Bill Gardner Pkwy Locust Grove, GA 30248

9/1/2014William Watkins, MD 32076RN069262Faulkner, Linda Leigh 935 235 P'tree St NE, North Tower, #2100 Atlanta, GA 30303

7/1/2021Martha Schuh, MD 37488RN069262Faulkner, Linda Leigh 8600 1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

4/15/2010Arnold Gaskin, MD 36382RN069262Faulkner, Linda Leigh 8743 9020 Peridot Pkwy Stockbridge, GA 30281

12/7/2020Todd Hold, MD 46126RN217024Faulkner, Jacob Wayne 17685 1035 Red Bud Rd, NE (ER) Calhoun, GA 30701

10/8/2020Christopher Morgan, MD 66151RN198975Faulkner, Emily 16584 1825 Old State Hwy, Ste 1300 Newnan, GA 30265

1/1/2018Donald V Baker, DO 46667RN069262Faulkner, Linda Leigh 12810 745 Poplar Rd.- Emergency Dept Newnan, GA 30265

10/9/2020Garrett E. Post 61143RN217024Faulkner, Jacob Wayne 44051 1035 Red Bud Rd. NE Calhoun, GA 30701

2/3/2014Neelima Kothari, MD 51494RN195879Favis, Tara Lynn 11067 55 Whitcher St, Suite 160 Marietta, GA 30060

11/18/2016John Ouderkirk, MD 49992RN195879Favis, Tara Lynn 13703 9925 Haynes Bridge Rd, Suite 320 Alpharetta, GA 30022

7/3/2017Charles Sow, MD 55343RN169089Favis, Tara Lynn 18045 950 Towne Lake Pkwy Woodstock, GA 30189

9/24/2016Damon Kimes, MD 50322RN173878Fears, Stacey Lorriane 14324 5985 Peachree Pkwy Norcross, GA 30092-2818

9/26/2014Derrell Anglyn, Jr, MD 24198RN173878Fears, Stacey Lorraine 11696 55 Sims St McDonough, GA 30253

Monday, August 1, 2022 Page 135 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2018Tina-Ann Thompson, MD 53622RN173878Fears, Stacey L. 17555 3790 Pleasant Hill Rd, Ste 260 Duluth, GA 30096

9/29/2011Carla Bedford-Dixon, MD 60239RN154172Fegely, Karen Joy Krasley 9333 143 Hickory Flat Hwy Canton, GA 30114

10/14/2012Donna Gregory, MD 51227RN154172Fegely, Karen 10175 107 Mountain Brook Dr, Ste 100 Canton, GA 30115

2/18/2020Priya Rudolph, MD 68852RN226586Fekadu, Aynaddis 18145 125 King Avenue ste. 200 Athens, GA 30606-6710

12/31/2015Ram Reddy, MD 24178RN226586Fekadu, Aynaddis 12058 132 Franklin Springs St Royston, GA 30662

4/5/2021Stephen Szabo, MD 44850RN200954Felder, Wanda Horne 19209 5665 Peachtree Dunwoody Rd, Ste 150 Atlanta, GA 30342

4/5/2021Stephan Szabo, MD 44850RN200954Felder, Wanda Horne 38737 5665 Peachtree Dunwoody Rd. ste. 150 Atlanta, GA 30342

5/31/2015Talboy, Amy MD 37317RN080116Fell, Jeanne 10480 1920 Briarcliff Rd NE Atlanta, GA 30329

5/15/2015Beard, Charlene MD 20513RN080116Fell, Jeanne 10100 1510 Hudson Bridge Rd Stockbridge, GA 30281

7/1/2011Hansa Bhargava, MD 52423RN080116Fell, Jeanne Ingraham 938 2201 Mt Zion Pkwy Morrow, GA 30260

6/28/2007Nydia Maria Bladuell, MD 38429RN153328Felser, Felice 939 790 Church Street, Ste 470 Marietta, GA 30060

11/7/2013Ademola Opanuga, MD 66352RN207428Fenceroy, Megan Louise 12386 2636 MLK Jr Dr, Suite 12 Atlanta, GA 30311

3/19/2014Raymond Easley, DO 20987RN207428Fenceroy, Megan Louise 12724 1675 Cumberland Pkwy, Suite 205 Smyrna, GA 30080

11/9/2015Eyal Meiri, MD 70324RN207428Fenceroy, Megan Louise 13197 600 Parkway North Newnan, GA 30265

1/22/2020Dennis Conrad Harper, MD 53749RN194077Fender, Justin Marcus 11820 102 NW Bowens Mill Rd. Douglas, GA 31533

10/19/2016Jeffery Winge, MD 59530RN194077Fender, Justin 11107 1101 Ocilla Rd. Douglas, GA 31533

11/30/2015Justin F. Harrell, MD 59162RN194077Fender, Justin M. 11385 Coffee Family Medicine, 200 Doctors Dr., Ste 224 Douglas, G

4/1/2018Stephanie Kong, MD 39388RN172790Fenelon, Snavly 19703 3031 Williams Rd. Columbus, GA 31909

1/5/2019Avril Beckford, MD 35814Rn195415Ferguson, Erin 38829 4581 South Cobb Drive, Suite Smyma, GA 30080

11/1/2021James Varnell, MD 15204RN272332Ferguson, Michelle 39870 346 Deep South Farm Road (Ste B) Blairsville, GA 30512-313

1/1/2012Andrew Mecca, MD 36574RN126877Fernandes, Glenn Raymond 944 5612 Whitesville Road Columbus, GA 31904

3/19/2021Ramon Ramas, MD 33683RN257563Fernandez, Patricia LeAnn 42116 460 Mall Blvd Savannah, GA 31406

4/30/2018Peter Wrobel, MD 40285RN040735Ferra, Mary Gail Little 38684 1718 Reynolds Street Waycross, GA 31501

5/2/2014Oscar H. Salvat, MD 49742RN040735Ferra, Mary Gail Little 13089 1111 Griffin Ave., Ste. 1A Eastman, GA 31023

7/31/2014Brian Herrmann, MD 54219RN063288Ferrand, Mary Ellen 8930 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

4/17/2017Staton Mark McKenna, MD 59100RN231521Ferrell, Courtney Megan 41520 3167 Peachtree Rd NE, Suite G Atlanta, GA 30305

Monday, August 1, 2022 Page 136 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/29/2011L. Kyrin Dunston, MD 41781RN170784Ferrelli, Dorothy Lynn 9673 800 East 70th St Savannah, GA 31405

8/11/2016John Demicco, MD 16855RN212021Ferry, Erin Michelle 17744 11702 Mercy Blvd Plaza B, 2G Savannah, GA 31419

9/30/2015William Webb, MD 58238RN212021Ferry, Erin Michelle 15332 10055 Ford Ave, Ste 4 A Richmond Hill, GA 31324

8/30/2016John Northup, MD 16651RN212021Ferry, Erin 15312 12345 Mercy Blvd Savannah, GA 31419

6/1/2018Marion Bailey, MD 10467RN212021Ferry-Redmond, Erin 20758 1135 North Way, Suite E Darien, GA 31305

7/13/2017Marisa Gadea, MD 41802RN136405Fetsch, Deanna Marlene 948 1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

5/30/2021Tarsem Lal Gupta, MD. 28410RN117607Fields, Denise Michele 39731 245 Village Center Parkway Stockbridge, Ga 30281

6/9/2021Sung Lee 60921RN184906Fields, Thomas 55920 1315 Jesse Jewell Parkway, Suite 300 Gainesville, GA 30501-

2/21/2020Christopher A. Edens, MD 42042RN190611Fields, Virginia Leigh 43035 2011 Commerce Drive Peachtree City, GA 30269

10/1/2018Anita Haynes, MD 57638RN190611Fields, Virgina Leigh 18462 745 Poplar Rd. Newnan, GA 30265

3/1/2022Casey Turner 40805RN144625Figueroa, Virgil 56218 320 Hospital Road Canton, GA 30114

1/8/2021William Early, MD 20694RN144625Figueroa, Virgil 952 320 Hospital Road Canton, GA 30114

10/22/2010Shazib Khawaja, MD 58888RN126896Fikes, Debra Kay Cofield 8246 705 Dixie Street Carrollton, GA 30117

3/16/2018Malini Reddy 76926RN191137Filkins, Timothy 40183 283 E Broad Street Athens, GA 30601

4/20/2021Catherine Dickens 35240RN230490Fincher, Miranda 53049 14089 Abercorn Street Savannah, GA 31419

8/19/2020Wayne D. Wells 36666RN230490Fincher, Miranda Dawn 44075 813 E 68th Street (Suite 8) Savannah, GA 31405

1/6/2020Micheal Satchell, MD. 49593RN230490Fincher, Miranda 39827 11220 C. Indian Drive Eastman, Ga 31023

3/7/2019Allison Scheetz, MD 38356RN106343Findlay, Janet Lindsey 39216 6261 Peake Rd. Macon, GA 31210

5/1/2020Simon Fensterscaub 83142RN218135Fine, Debra 48972 22 Maple Ridge Drive, SE Cartersville, GA 30121

4/16/2015Sendhil Subramanian, MD 49107RN183720Fingerman, Olga 11771 1000 Johnson Ferry Rd, Suite B-155 Marietta, GA 30068

4/16/2015Maiysha Clairborne, MD 55194RN183720Fingerman, Olga 7967 2801 Buford Hwy, Suite T-30 Atlanta, GA 30324

2/15/2018Tan-Loc Nguyen, MD 52213RN159627Fingles, Debra 955 1025 N. Houston Road Warner Robins, GA 31093

2/2/2022Vicki Morgan, MD 25645RN071833Finkenhoefer, Patricia S 12714 3815 Harrison Rd Loganville, GA 30052

6/15/2018Darren Shoyer, MD 52831RN175088Finley, Beth Anne 16824 3000 Shakerag Hill Peachtree City, GA 30269

4/29/2016Jin Park, MD 60547RN178980Finley-Bruno, Joyletta Robeann 17105 1200 Northside Forsyth Dr Cumming, GA 30041

4/16/2020Tasneem Bhatia MD 49025RN180071Finn, Stephanie Marlene 14187 1401 Dresden Dr, Ste 200 Atlanta, GA 30319

Monday, August 1, 2022 Page 137 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/13/2014Mark Coker, MD 56276RN180071Finn, Stephanie Marlene 12275 14557 Hwy 19, Suite A Griffin, GA 30224

9/19/2014Robert P. Dourron, MD 48617RN112386Finnegan, Kimberly L. 11309 2675 N. Decatur Rd., Ste. 301 Decatur, GA 30033

1/25/2021Teresa Clark, MD 20417RN213929Finney, Charlene Acosta Santos 20029 5949 Buford Hwy. Norcross, GA 30071

3/6/2017John Kludt, MD 34876RN213929Finney, Charlene Acostas Santo 19580 5949 Buford Hwy. Norcross, GA 30071

10/31/2020Britton Crigler 70075TEMPAPRN0105

Fischels, Susan 53590 227 Riverstone Drive Canton, GA 30114

4/1/2016Jeffrey Klick, MD 65581RN251258Fisher, Deborah 16793 1001 Johnson Ferry Rd, NE Atlanta, GA 30342

11/30/2015Everett Walker, MD 31682RN089376Fisher, Dorothy 14918 1826 Veterans Blvd Dublin, GA 31021

7/1/2016George Brown, MD 30275RN129326Fisher, Mary Grace 959 141 Piedmont Ave, Suite D Atlanta, GA 30303

1/5/2009Edward Ira Galaid, MD 37544RN062903Fisher, Nancy Elizabeth Morse 960 678 Lanier Park Drive Gainesville, GA 30506

10/24/2008Esther Harbert, MD 32633RN055758Fisher, Melanie Crittenden 8260 450 Winn Way Decatur, GA 30030

12/31/2019Robert Taylor, DO 31338RN062903Fisher, Nancy Elizabeth Morse 8468 5281 Cleveland Hwy Clermont, GA 30527

2/1/2015Reneka Dobbs, MD 64770RN225772Fisler, Charmaine Betty 12099 1328 Joe Frank Harris Pkwy Cartersville, GA 30120

11/4/2020Rafael Mora 86818RN216494Fitzgerald, Cynthia 53996 1707 Meadows Lane, Suite F Vidalia, GA 30474

2/8/2021Noel Weigel 41385RN216494Fitzgerald, Cynthia 55234 200 Fairview Park Drive Dublin, GA 31021

4/26/2021Michael Peacock 40752RN216494Fitzgerald, Cynthia 54767 911 Plaza Avenue, Suite C Eastman, GA 31023

1/1/2021Andrew Horowitz 86838RN216494Fitzgerald, Cynthia 54769 1707 Meadows Lane, Suite F Vidalia, GA 30474

7/1/2020Pablo Santamaria 41661RN216494Fitzgerald, Cynthia 47887 1707 Meadows Lane, Suite F Vidalia, GA 30474

3/1/2019Timothy J. Osborne 68085RN216494Fitzgerald, Cynthia Allysha Leig 44054 1 Meadows Pkwy Vidalia, GA 30474

4/5/2015Frederick Burton, MD 38434RN096592Fitzpatrick, Kathleen 14828 6020 Harrison Rd Macon, GA 31206

4/1/2019Yolanda Wade, MD 58345RN096592Fitzpatrick, Kathleen 14068 1735 S Hwy 27 Carrollton, GA 30117

5/13/2013Peter Wrobel, MD 40285RN096592Fitzpatrick, Kathleen 9974 409 Uvalda Street Waycross, GA 31501

9/16/2016William Reisman, MD 61510RN160118Flachbarth, Lisa Cody 12954 80 Jesse Hill Jr Dr Atlanta, GA 30303

10/10/2017Alan Wang, MD 48017RN160118Flachbarth, Lisa 39131 601 Northolt Parkway Sueanee, GA 30024

1/22/2019Justine E. Henao, DO 52580RN160118Flachbarth, Lisa C 43178 1395 S. Marietta Pkwy (Bldg 300 - Suite 216) Marietta, GA 3

8/10/2018Monisha Pujari, MD 60310RN160118Flachbarth, Lisa 42068 1395 South Marietta Pkwy (Bldg 700 Ste 730) Marietta, GA

Monday, August 1, 2022 Page 138 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/26/2021Joseph Hormes Sr. 29674RN285786Flaherty, Kathleen 47004 780 Canton Rd NE Marietta, GA 30060

6/30/2020Jeremy C. Wells, MD 64230RN203656Flake, Caroline Marie 42839 1348 Walton Way (Suite 6700) Augusta, G 30901

9/29/2009Margaret Boudreaux, MD 44172RN095260Flax, Debra S. 8173 763 Peachtree Parkway, Suite 2 Cumming, GA 30041

4/30/2021Carlos Giron 41564RN176796Fleenor, Meredith 44514 3356 Vineville Ave Macon, Ga 31204

11/16/2020Daniel Riley 44323RN145614Fleming, Carrie 44807 5126 Hospital Dr. NE Covington, Ga 30014

1/1/2022Morris Pulliam 34223RN057211Fleming, Janice 56337 108 Prominence Court Dawsonville, GA 30534

9/14/2020Robin Armenia 35807RN057211Fleming, Janice 49329 3931 Mundy Mill Road, Suite C Oakwood, GA 30566

10/14/2019Alfred Martin 26592RN057211Fleming, Janice 44392 108 Prominence Court (Suite 100) Dawsonville, GA 30534

9/14/2020Amanda Cain, MD 37770RN057211Fleming, Janice 41074 950 South Enota Dr Gainesville, Ga 30501

6/24/2016Kimberly Bates, MD 71466RN097357Fleming, Susan 16267 665 Duluth Hwy, Ste 401 Lawrenceville, GA 30046

9/6/2020Paul Behrmann, MD 19638RN057211Fleming, Janice Hardin 969 224 Reagan Circle Dawsonville, GA 30534

5/31/2019Sara A O'Heron, MD 41632RN228789Fletcher, Tal'Ja Sharra 42481 1201 Georgian Park Peachtree City, GA 30269

11/5/2018Mohammad N. Al-Shroof, MD

45158RN119019Fletcher, Joy Carolyn 40961 2054 Watson Blvd. Warner Robins, GA 31093

3/29/2021Alan Brown 57782RN119019Fletcher, Carolyn 55536 110 E. 13th Avenue Cordele, GA 31015

8/14/2021Lisa Gillespie 41433RN228789Fletcher, TaI'Ja 56221 227 Sandy Springs Place Sandy Springs, GA 30328

3/19/2021Garrett Bennett 51784RN178608Fletcher, Samuel 44964 206 Grace St. PO Box 7 Colquitt, Ga 39837

10/3/2021Christian Jansen 59980RN218291Flexer, Caroline 53834 14089 Abercorn Street Savannah, GA 31419

9/29/2020Christopher Matthews 49133RN218291Flexer, Caroline 52354 14089 Abercorn Street Savannah, GA 31419

6/3/2020Shannon Ellis 73702RN218291Flexer, Caroline 47362 1111 Glynco Parkway Bldg 1, Suite 10 Brunswick, GA 31525

7/23/2020Donna Groover, MD 40676RN046271Flicek, Barbara Lynn 39092 7143 Turner Lake Road Covington, GA 30014

7/23/2020Muthu Kuttappan, MD 37851RN046271Flicek, Barbara 42345 14779 Brown Bridge Road Covington, GA 30016

1/7/2021James Robertson, MD 16544RN212669Flint, Lisa 42883 35 Hospital Rd. Blairsville, GA 30512

3/1/2021Nancy Lefever 50205RN212669Flint, Lisa 55751 89 Clinic Road Tate, GA 30177

1/2/2013Gary Billingsley, MD 29582RN114986Flippo, Sharyn Renee 7769 1215 West Wheeler Pkwy Augusta, GA 30909

12/5/2021Martha Schuh 37488RN231502Flo, Ashley 57528 4072 Atlanta Hwy Loganville, GA 30052

Monday, August 1, 2022 Page 139 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2017Mehmood Mehsi, MD 57725RN112394Flood, Vernell Rene 18507 367 Athens Hwy, Ste 1050 Loganville, GA 30052

7/4/2017James E. Splichal, MD 57021RN181497Flores, Teresa De Jesus 41113 3320 Old Jefferson Road, (Bldg 700) Athens, GA 30607

8/14/2017Kenneth Genova, MD 36977RN134967Flory, Tracy A. 39006 104 Howell Avenue LaGrange, GA 30240

10/27/2015Lister, Debra MD 38849RN175893Flory, Michael 10463 1101 Ocilla Road Douglas, GA 31533

10/29/2015Romulo Navarro, MD 23646RN175893Flory, Michael 13742 100 Doctor's Dr. Ste. C Douglas, GA 31533

11/4/2016Warren Henderson, MD 20734RN134967Flory, Tracy 5444 303 Smith Street LaGrange, GA 30240

7/11/2014Cecilia D. Arango, MD 68354RN175893Flory, Michael 11331 CRH Family Med., 304 Weside Dr. Douglas, GA 31533

1/12/2012Johnathan Gaskins, MDRN175893Flory, Michael S. 9730 PO Box 1287 Douglas, GA 31533

1/1/2018Steven Durocher, MD 56051RN268084Flowers, Nikole Shalander 38871 4835 Sugarloaf Pkwy, Suite 300 Lawrenceville, GA 30044

1/1/2021Kristi Kinsey-Gotier 61108RN268084Flowers, Nikole 41748 4475 West Village Parkway Ellenwood, GA 30294

10/4/2019Navin Taneja 52234RN240850Floyd, Natalie Frances 43691 130 Hospital Drive Warner Robins, GA 31088

9/30/2021Naresh Parikh, MD 28851RN123475Floyd, Tommie 15853 845 Scenic Hwy, Ste 100 Lawrenceville, GA 30046

12/20/2013Gayoung Hong, MD 67467RN200664Floyd, Kaci J 12034 13570 N Main St Trenton, GA 30752

6/28/2021Jaymal Patel, MD 50984RN060566Floyd, Linda Gayle 13630 3120 North Oak St Ext, C Valdosta, GA 31602

5/30/2014Rajeshkumar Miniyar, MD 51597RN181122Floyd, Kortney Melissa 11879 140 Three Rivers Dr Rome, GA 30161

3/31/2021Eugene Sun, MD 62170RN060566Floyd, Linda Gayle 14847 1120 W Broad Ave, Ste 13-4 Albany, GA 31707

7/25/2015Gayoung Hong, MD 67467RN200664Floyd, Kaci 14679 13570 N Main St Trenton, GA 30752

9/24/2018Muhammad Alam, MD 69197RN060566Floyd, Linda Gayle 17680 3015 Veterans Pkwy South Moultrie, GA 31788

10/23/2015Jose Justiniano-Ayala, MD 46773RN200664Floyd, Kaci 16191 13570 N Main St Trenton, GA 30752

2/20/2013Roger Venable, MD 21437RN169929Floyd, Dawn Marie 9738 901 E. 18th St, Emer Dept Tifton, GA 31794

5/10/2013Donna Schuyver, DO 42754RN200664Floyd, Kaci J. 9825 13570 N. Main St Trenton, GA 30752

4/1/2021Lawrence Zottoli 36639RN093508Flynn, Kathleen 45638 1900 Abercorn St., #100 Savannah, Ga 31401

11/30/2020Lindsay Dowis 67016RN259221Flynn-Kissel, Monica 52919 400 Walmart Way, Suite F Dahlonega, GA 30533

4/18/2019Jeremy Ackerman, MD 59584RN209243Fodor, Whitney Anne 15067 1364 Clifton Rd NE Atlanta, GA 30322

6/29/2020Emmanel O. Soyoola, MD 53032RN214997Folarinde, Bunmi Yemisi 43164 2179 Lawrenceville Hwy (Suite 109) Lawrenceville, GA 3004

7/1/2020Woody Francis, MD 48325RN183076Folds, Hannah Carline 13579 235 Peachtree St, NE North Tower Atlanta, GA 30303

Monday, August 1, 2022 Page 140 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/31/2017Freeman Montague, Jr, MD 28123RN049093Foley, Kathryn Liedtke 13336 5320 Memorial Dr Stone Mountain, GA 30083

5/23/2014Sharon Rabinovitz, MD 46806RN049093Foley, Kathryn Liedtke 9462 141 Piedmont Ave, Suite D Atlanta, GA 30303

1/19/2020Donna Groover, MD 40676RN049093Foley, Kathryn 41464 5320 Memorial Drive Stone Mountain, GA 30083

5/16/2009Michael Allan, MD 33511RN049093Foley, Kathryn Liedtke 8152 1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

5/16/2009Lisa Lefkovits, MD 50117RN049093Foley, Kathryn Liedtke 8153 1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

5/16/2009Dawn Mielke, MD 37752RN049093Foley, Kathryn Liedtke 8154 1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

8/16/2008Catherine Dekle, MD 53130RN049093Foley, Kathryn Liedtke 8155 1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

5/16/2009Michael Huey, MD 50962RN049093Foley, Kathryn Liedtke 8156 1525 Clifton Road NE, 2nd Floor Atlatna, GA 30322

5/16/2009Carol Rappaport, MD 31435RN049093Foley, Kathryn Liedtke 981 1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

5/16/2009Theresa Berry, MD 49355RN049093Foley, Kathryn Liedtke 8433 1525 Clifton Road NE Atlanta, GA 30047

3/12/2017Lori Corley, MD 34251RN088862Follmer, Diane Marie Schaefer 982 3707 Largent Way Marietta, GA 30064

6/26/2021Casey Sommerfeld 77789RN280517Fontaine, Jessica 46933 3795 Mansell Road Alpharetta, GA 30022

7/1/2021Muhammad Hashmi, MD 70303RN117893Fontaine, Mona Clairvil 39130 2900 University Parkway Lawrenceville, GA 30043

10/10/2019Makia Powers 64445RN280517Fontaine, Jessica 43469 3795 Mansell Road Alpharetta, GA 30022

2/21/2018Candice Wallace, MD 30918RN162306Foote, Regina Marie 12296 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

2/10/2021Imoigele Aisiku 46023RN202717Forbes, Jerian 54007 1968 Peachtree Road NW Atlanta, GA 30309

5/3/2019Fitz N. Harper 36773RN212023Forbrick, Jeffrey 43383 1500 Oglethorpe Avenue (Suite 2400) Athens, GA 30606

12/8/2021Robert Burton, MD 33543RN212023Forbrick, Jeffery Andrew 12868 545 old Norcross Rd, Ste 300 Lawernceville, GA 30045

7/4/2014Cornwell, James MD 50608RN057176Ford, Janice 10843 800 Towne Park Drive, Ste 100 Springfield, GA 31329

12/31/2013Mitzi Rubin, MD 49592RN111299Ford, Deborah Patrice 12366 3939 Roswell Rd, Suite 200 Marietta, GA 30062

9/22/2011Wesley Smith, MD 45971RN144697Ford, William Chester 9133 11973 Augusta Road Lavonia, GA 30553

10/27/2016John Vance Jr., MD 53383RN132706Ford, Patricia Carol 13947 P.O. Box 542 Leesburg, GA 31763

3/7/2017James Brown, Jr, MD 21652RN139406Ford, Nicole Ruff 17820 11973 Augusta Rd Lavonia, GA 30553

4/3/2020Mark McElhannon, MD 40154RN183571Ford, Jina Lynn 17683 501 Redmond Rd Rome, GA 30165

6/14/2017Randolph Summer, MD 28323RN183571Ford, Jina Lynn 15268 1825 Martha Berry Blvd Rome, GA 30165

5/1/2017Darrell Muray, MD 44797RN111299Ford, Deborah Patrice 14896 2795 Mainstreet West, Ste 26 Snellville, GA 30078

Monday, August 1, 2022 Page 141 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/9/2020Derek A. Klemm 80289RN089263Ford, Marcella Edwards 43582 396 Historic Hwy 441 N Demorest, GA 30535

12/5/2021Rajeshkumar Miniyar 51597RN232227Ford, Lindsay 46448 140 Three Rivers Drive Rome, GA 30161

8/1/2018Afaq Gul, MD 64944RN139406Ford, Nicole Ruff 20349 11 Charlie Morris Rd. Colbert, GA 30628

1/1/2021Jagdeep Singh, MD 59761RN183571Ford, Jina Lynn 40913 1168 North Main Street (Suite 110) Cedartown, GA 30125

5/9/2020Theodore K. Schock, DO 30882RN139406Ford, Nicole 42905 930 Franklin Springs Street (Suite A) Rayston, GA 30662

11/10/2018Edwin P. Hendricks Jr. 22153RN089263Ford, Marcella Edwards 41477 396 Historic Hwy 441 North Demorest, GA 30535

6/30/2016Ganiat Ajayi, MD 47776RN111299Ford, Deborah 15928 311 Gwinnett Dr Lawrenceville, GA 30046

11/13/2020Prakash Merai, MD 32248RN227421Ford, Latasha Raniece 5018 3405 Mike Padgett Hwy Augusta, GA 30906

5/1/2010Muhammad Sheikh, MD 59195RN139406Ford, Nicole Ruff 8712 11973 Augusta Road Lavonia, GA 30553

2/7/2011Tracey Lemon, MD 50723RN066207Ford, Marsha Denise 5139 315 Boulevard NE, Suite 328 Atlanta, GA 30312

12/31/2021David Kiefer 74225RN249314Ford, Brittany 57957 4700 Waters Avenue Savannah, GA 31404

4/16/2020Jose Cangiano 44182RN227421Ford, Latasha 48152 241 Mitchell Bridge Road Athens, GA 30606

7/10/2008James Cornwell, Jr., MD 50608RN057176Ford, Janice E 984 459 Hwy 119 South, Suite A Springfield, GA 31329

8/31/2014Sharpton, Julian MD 17084RN139406Ford, Nicole 10176 891 church Street Royston, GA 30662

8/31/2014Sharpton, Julian MD 17084RN144697Ford, William 10177 891 Church Street Royston, GA 30662

8/1/2020Christopher Mathews, MD 49133RN057176Ford, Janice E. 8245 1451 Hwy 21 South, Suite H Springfield, GA 31329

5/1/2010Muhammad Sheikh, MD 59195RN144697Ford, William Chester 8755 11973 Augusta Road Lavonia, GA 30553

9/8/2010Joseph Ratchford, MD 32848RN057176Ford, Janice E. 8779 499 Hwy 119 South Springfield, GA 31329

9/8/2010Prakash Patel, MD 45909RN057176Ford, Janice E. 8780 499 Hwy 119 South Springfield, GA 31329

3/26/2009Wesley Smith, MD 45971RN144697Ford, William Chester 8086 11973 Augusta Road Lavonia, GA 30553

3/26/2009Wesley Smith, MD 45971RN139406Ford, Nicole Ruff 8087 11973 Augusta Road Lavonia, GA 30553

7/4/2014Laygo, Romualdo MD 17843RN057176Ford, Janice 10355 1451 Hwy 21 South, Ste H Springfield, GA 31320

10/31/2016John Kludt, MD 34876RN144697Ford, Jr., William Chester 11922 3700 Club Dr Lawrenceville, GA 30044

3/4/2015Mecca, Andrew MD 36574RN144697Ford, Jr., William 10902 5612 Whitesville Road Columbus, GA 31904

3/23/2016Chandresh Viradia, MD 53050RN209646Forehand, Brett 15818 100 Jim Mason Court, Ste A Warner Robins, GA 31088

7/6/2021MARK GAY MD 46852RN214205FOREHAND, MICHAEL 39287 1500 E. SHOTWELL ST BAINBRIDGE, GA 39819

Monday, August 1, 2022 Page 142 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/18/2021Wendy Vandemark 57511RN222390Forehand, Randall 44841 4054 Brushy Creek Sparks, Ga 31647

7/12/2011William Cross, DO 62831RN214205Forehand, Michael Anthony 9784 2501 N. Patterson St Valdosta, GA 31602

1/1/2013Jonathan R. Parrott, MD 36246RN214205Forehand, Michael A. 11478 804 Northwood Park Valdosta, GA 31602

1/31/2019William Carter, MD 43896RN022696Foreman, Jerrye A 17480 3926 Hwy 36 W Jackson, GA 30233

2/14/2022William Paxton, MD 46206RN174285Foreman, Shataundia Nyrae 38914 595 Hurrican Shoals Rd. NW ste. 100 Lawrenceville, GA 3004

10/16/2014William Thorneloe, MD 23119RN022696Foreman, Jerrye A 12438 2978 Hwy 36 West Jackson, GA 30233

9/2/2015Irandathy Rodrigo, MD 42715RN174285Foreman, Shataundia 14775 2522 Cruse Rd, Ste C-2 Lawrenceville, GA 30044

2/1/2020CHRISTOPHER MEDURI MD 72060RN225193FORMAN, ANNA 39729 95 COLLIER RD NW SUITE 5015 ATLANTA, GA 30309

5/1/2018James Braswell White, MD. 39510RN209834Forrest, Kelly Antion 39732 705 Dixie St. Carrolton, GA 30117

5/1/2018James White, MD 39510RN209834Forrest, Kelly Antion 38785 705 Dixie Street Carrollton, GA 30117

3/6/2020Marvin Reid III, MD 39663RN209834Forrest, Kelly Antion 17682 705 Dixie St Carrollton, GA 30117

12/21/2019Lillian Schapiro 40540RN243017Forrester, Ashlee 42586 3200 Downwood Circle (Suite 220) Atlanta, GA 30327

12/19/2016Candi Nobles-James, MD 47985RN204328Forte, Briana E 14050 777 Hemlock St. Macon, GA 31201

3/19/2021James Chappuis 29604RN261865Forte, Sharonda 46657 3161 Howell Mill Road NW, Suite 400 Atlanta, GA 30327

4/19/2021Sherry Taylor Akers 38630RN106665Fortenberry, April 56825 20 Herrell Road Villa Rica, GA 30180

10/14/2021Ramzi Ghosn, MD 57974RN164301Fortenberry, Melanie Renea 9003 278 Hwy 400 North, Suite 1160 Dawsonville, GA 30533

12/19/2014George Petro, MD 62511RN164301Fortenberry, Melanie 9877 59 Tipton Drive Dahlonega, GA 30533

12/19/2013Richard Wherry, MD 17341RN164301Fortenberry, Melanie Renea 9860 59 Tipton Dr Dahlonega, GA 30533

6/16/2010Debora Quigley, MD 36601RN164301Fortenberry, Melanie Renea 9041 178 Hospital Circle Blairsville, GA 30512

2/29/2016Daniel Torrez, MD 61177RN106665Fortenberry, April Lynn 14481 1605 Chantilly Dr, Ste 305 Atlanta, GA 30324

10/14/2021Ramzi Ghosn, MD 57974RN164301Fortenberry, Melanie 16130 6002 Highway 53 East, Ste 100 Dawsonville, GA 30534

8/4/2016Dawn Simon, MD 58644RN106665Fortenberry, April Lynn 18532 1605 Chantilly Dr. Atlanta, GA 30324

9/12/2021Karen Kinsell, MD 42630RN131505Fortson, Nedra Speight 14358 305 Washington St South Fort Gaines, GA 39851

12/3/2015Joseph Korwin, MD 34878RN131812Foss, Tammy 14755 1 Freedom Way Augusta, GA 30904

3/31/2011Michael Nulph, MD 57735RN115596Foster, Michal Aimee Lockaby 9296 203 S. Wayne St Alma, GA 31510

3/1/2015Joshua King, MD 52116RN173330Foster, Amber Brooke 11794 5126 Hospital Dr Covington, GA 30014

Monday, August 1, 2022 Page 143 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/31/2012Stan Bravy, MD 28145RN206637Foster, Carole Ann 9037 153 Independence Drive Carrollton, GA 30116

1/1/2015Lister, Debra MD 38849RN115596Foster, Michal 10811 1101 Ocilla Road Douglas, GA 31533

10/29/2015Romulo Navarro, MD 23646RN115596Foster, Michal Aimee 13743 100 Doctor's Dr., Ste C Douglas, GA 31533

7/11/2014Cecilia D. Arango, MD 68354RN115596Foster, Michal A. 11301 304 Westside Dr. Douglas, GA 31533

6/15/2012Mark Brulte, MD 48490RN115596Foster, Michal Aimee Lockaby 9611 200 Doctors Dr, Suite 106 Douglas, GA 31533

9/30/2019James Spivey, MD 51848RN119706Foston, Tenita Phillips 998 1365-B Clifton Rd Atlanta, GA 30322

9/30/2019John Vu, MD 40813RN119706Foston, Tenita Phillips 12606 3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

7/31/2016Jacalyn Gilbert-Green, DO 74801RN119706Foston, Tenita Phillips 18511 4861 Bill Gardner Pkwy Locust Grove, GA 30248

10/14/2016Kristy Levarity-Conley, MD 63709RN119706Foston, Tenita Phillips 18720 1418 Scott Boulevard Decatur, GA 30030

6/1/2021Fidias De Leon 63891RN119706Foston, Tenita 47318 976 Killian Hill Rd Lilburn, GA 30047

7/1/2021Allen Lavender 70833RN232791Fountain, Tara 47738 52 Perry Street Newnan, GA 30263

2/28/2018Fred Tega, MD 56493RN250573Fountain, Laura Jean 20888 15 Baynard Park Newnan, GA 30265

1/29/2014Amelia Mathews, MD 58285RN201885Fountain, Amber L. 11026 200 Wisteria Dr. Gaineville, GA 30501

3/27/2012Black, Jeff MD 37486RN201885Fountain, Amber 10027 200 Wisteria Drive Gainesville, GA 30501

6/1/2010Elizabeth Furbish, MD 58472RN201885Fountain, Amber Linnet 8830 2450 Vinson Hwy, Cook Bldg Milledgeville, GA 31062

9/28/2011Catherine James-Peters, MD 63671RN214962Foutch, Brandon 9899 454 Smith Avenue Thomasville, GA 31792

2/1/2017Nga Pham, MD 53313RN188852Fouts, Noah 16564 1405 Clifton Rd NE Atlanta, GA 30322

12/24/2015Anthony Howard, MD 34616RN218432Fowler, Lauren 16406 3075 Ronald Reagan Blvd, Ste 501 Cumming, GA 30041

10/25/2016Woodwin Weeks, DO 68866RN170964Fowler, Carolyn 14722 139 E Broad St Norman Park, GA 31771

9/18/2015Emile Risby, MD 30869RN050746Fowler, David H. 13511 3000 Schatulga Rd Columbus, GA 31907

6/25/2013Nicolas Sanchez, MD 37356RN050746Fowler, David 10915 3000 Schatulga Road Columbus, GA 31907

7/14/2011Salman Baseer, MD 59121RN050746Fowler, David H. 9493 705 North Division St Rome, GA 30165

6/30/2014Susan Queen, MD 23496RN050746Fowler, David H 12715 3000 Schatulga Rd Columbus, GA 31907

10/7/2014Noemi Carcar, MD 41526RN206545Fowler, Elizabeth Ashley 12461 303 Fraser Dr Hinesville, GA 31313

2/26/2020David Fowler, MD 72475RN050746Fowler, David Hunt 19340 3000 Schatulga Rd. Columbus, GA 31907

Monday, August 1, 2022 Page 144 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/8/2021Richard Pearson Jr. 76775RN196551Fowler, Beverly 54795 915 Gordon Avenue Thomasville, GA 31792

6/29/2012Joseph LeRoy, MD 33623RN050746Fowler, David Hunt 9968 400 S Pinetree Blvd Thomasville, GA 31799

2/1/2010Smita Varshney, MD 45997RN050746Fowler, David H. 8865 306 Shorter Ave Rome, GA 30165

1/10/2014John Chung, MD 41532RN210612Fowlkes, Rebecca J. 10996 1107 Memorial Dr., Ste 201 Dalton, GA 30720

6/30/2016Andrea Dabney, MD 66274RN076847Fox, Jennifer Ann 14122 274 Big A Rd Toccoa, GA 30577

11/1/2016Louis Fernandez, MD 39790RN076847Fox, Jennifer Ann 18336 274 Big A Rd. Toccoa, GA 30577

6/19/2014John Ouderkirk, MD 49992RN138434Fox, Rodney Paul 13358 735 Piedmont Ave., NE Atlanta, GA 30308

11/4/2020Daniel Hirsh, MD 51948RN183389Fox, Emily Suzanne 40497 1001 Johnson Ferry Road Atlanta, GA 3342

12/2/2015Barbara D'Orio, MD 33956RN038536Fox, Stephanie Elaine 1003 PO Box 26238 Atlanta, GA 30303

8/16/2008Catherine Dekle, MD 53130RN103393Fraher, Margaret Mary Mccarth 1005 1525 Clifton Road NE,2nd Floor Atlanta, GA 30322

7/17/2010LaJune Oliver, MD 47986RN103393Fraher, Margaret Mary McCart 8965 1525 Clifton Rd Atlanta, GA 30322

8/1/2009Lisa Lefkovits, MD 50117RN103393Fraher, Margaret McCarthy 8159 1525 Clifton Road NE,2nd Floor Atlanta, GA 30322

5/31/2019Michael Allan, MD 33511RN103393Fraher, Margaret McCarthy 8160 1525 Clifton Road NE,2nd Floor Atlanta, GA 30322

12/31/2009Carol Rappaport, MD 31435RN103393Fraher, Margaret McCarthy 8161 1525 Clifton Road NE,2nd Floor Atlanta, GA 30322

12/10/2021Asaf Aleem 30260RN212626Francis-Agalaba, Constance 57744 2301 Henry Clower Blvd, Suite A Snellville, GA 30078

12/30/2020Alan Korbett 45522RN212626Francis-Agalaba, Constance 46963 2301 Henry Clower Clvd, Suite A Snellville, GA 30078

4/30/2021Gregory Melieste 40961RN212626Francis-Agalaba, Constance 55400 2301 Henry Clower Blvd., Suite A Snellville, GA 30078

3/15/2021Yahya Siddiq, MD 18954RN195296Francisco, Geraldine Ann Del Ca 9902 1700 Hospital South Dr, Suite 200 Austell, GA 30106

11/30/2009William Jackson, MD 35913RN114539Francis-Liburd, Julyn Clair 1006 2945 Panola Road Lithonia, GA 30038

1/16/2014Christopher Stevens, MD 54515RN114539Francis-Liburd, Julyn Clair 8907 2945 Panola Road Lithonia, GA 30038

2/14/2018Nadia D. Taylor, MD. 56229RN189849Francois, Lise-Stephana 39917 6158 Hwy 92 Acworth, Ga 30102

5/25/2019David Alvarez, MD 45695RN273488Frank, Carla Paola 41544 313 Boynton Dr Ringgold, GA 30736

10/17/2019Shannon Ellis, Do 73702RN265788Frank, Casey Marie 41191 111 Cololnial Way Jesup, GA 31545

10/9/2019Wael Azer, DO 73935RN265788Frank, Casey 42301 1900 Tebeau St Waycross, GA 31501

6/30/2010Marisa Gadea, MD 41802RN114621Frankhouser, Kimberly Elizabet 1007 1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

2/1/2019Ed Lin, DO 49858RN230461Franklin, Lynette Elice 1351 1365 Clifton Road NE (Bldg A - 4th Floor) Atlanta, GA 30322

Monday, August 1, 2022 Page 145 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/13/2021Andrew Clementz 83828RN248946Franklin, Timothy 57826 2606 Manchester Expy Columbus, GA 31907

3/21/2022Thomas Zickgraf, DO 61383RN083481Franklin, Lori Anne 39209 3651 Wheeler Rd. Augusta, GA 30909

10/25/2021Omari Hodge 70459RN209450Franklin, Russell 55911 5852 Allee Way Braselton, GA 30517

2/24/2021Bertram Prosser 75651RN209450Franklin, Russell 54881 1430 N. Riverside Sandy Springs, GA 30328

7/12/2015Edwin Bello, MD 36099RN229900Franklin, Sherri DeAnne 12064 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

8/6/2020Naima Cheema 62362RN139647Franz, Jenna 48323 1250 Upper Hembree Road, Suite B Roswell, GA 30076

4/30/2020Glen Bunn Jr. 82620RN139647Franz, Jenna 51252 1 Meadows Pkwy Vidalia, GA 30474

1/17/2013Claudia Venable, MD 50455RN112888Fraser, Laura Ann Lucas 1009 5455 Meridian Mark Rd, Suite 200 Atlanta, GA 30342

4/14/2022Jill Olek 64646RN209481Frasier, Lauren 51219 126 Highway 280 W Americus, GA 31719

2/10/2019ArthurHenry Yancey II 36909RN209481Frasier, Lauren Swain 57 745 Memorial Drive Atlanta, GA 30316

4/21/2022Derek Heard 49575RN209481Frasier, Lauren 59246 901 North Madison Street Albany, GA 31701

3/12/2020Sheldon Brown 83417RN209481Frasier, Lauren 49260 940 GA Hwy 96 Warner Robins, GA 31088

5/7/2021Kenneth Benjamin 42527RN209481Frasier, Lauren 49512 902 North 7th Street Cordele, GA 31015

3/18/2022Robert Hall 64818RN245087Frattino, Kathleen 55631 30458 Hwy 67 Statesboro, GA 30458

3/18/2022Deborah Chambers 74480RN245087Frattino, Kathleen 46444 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Cedric Porter 29363RN245085Frattino, Kathleen 46401 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Richard Hightower Jr. 39367RN245087Frattino, Kathleen 46403 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Michael Cohen 65646RN245087Frattino, Kathleen 46404 1626 Jeurgens Court Norcross, GA 30093

2/14/2020James Ray 16126RN245087Frattino, Kathleen 46406 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Prakul Chandra 66006RN245087Frattino, Kathleen 46407 1626 Jeurgens Court Norcross, GA 30093

2/14/2020David Paine 28618RN245087Frattino, Kathleen 46408 1626 Jeurgens Court Norcross, GA 30093

10/29/2019Heywood Gay 38768RN245087Frattino, Kathleen 46410 1626 Jeurgens Court Norcross, Ga 30093

2/14/2020Karen Butler 53841RN245087Frattino, Kathleen 46353 1626 Jeurgens Court Norcross, Ga 30093

11/10/2018Garland Martin, MD 47233RN245087Frattino, Kathleen Denise 40263 1 Chemical Plant Road Riceboro, GA 21323

2/14/2020Anthony Howard 34616RN245087Frattino 46405 1626 Jeurgens Court Norcross, GA 30093

3/6/2020Walt Reid, MD 39663RN164239Frawley, Stacy Lyn 11652 601 Dallas Hwy Villa Rica, GA 30180

Monday, August 1, 2022 Page 146 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/9/2021Zaidi, Syed MD 60489RN208616Frazier, Rhonda 10425 1211 Sherwood Park Drive NE Gainesville, GA 30501

11/9/2021Kerry Nagel 58108RN155760Frazier, Karen 56268 3827 Jimmy Lee Smith Pkwy Hiram, GA 30141

8/1/2019Azif Safarulla, MD 71629RN274157Frazier, Ramona 40626 1120 15th Street Augusta, GA 30912

11/2/2018Brian Barczak, MD 76418RN151066Frazier, Jeannine 40633 2900 Chamblee Tucker Rd Bldg 16 Atlanta, GA 30341

2/1/2018Brian Barczak 76418RN231761Frazier, Joanne 40543 2900 Chamblee Tucker Rd. (Bldg 16) Atlanta, GA 30341

9/8/2015Charlene Robinson, MD 34233RN183877Freckleton, Annie Rose 14560 1220 Caroline St, Ste A 230 Atlanta, GA 30307-2749

8/25/2021William Keeling, MD 60650RN178750Frederick, Alexis Taylor 13586 80 Jesse Hill Jr. Drive Atlanta, GA 30303

12/10/2019Emile Risby, MD 30869RN095043Frederick, Carlie Ann 13509 3000 Schatulga Rd. Columbus, GA 31907

6/30/2014Susan Queen, MD 23496RN095043Frederick, Carlie Ann 12418 3000 Schatulga Rd Columbus, GA 31907

3/9/2015Mark Winokur, MD 36317RN178750Frederick, Alexis Taylor 10989 1401 Johnson Ferry Rd., #390 Marietta, GA 30062

6/2/2014Ed Childs, MD 67203RN178750Frederick, Alexis Taylor 10990 75 Piedmont Ave. Atlanta, GA 30302

1/5/2022Gena Volas-Redd 45356RN203567Frederick, Samantha 56351 790 Church Street Suite 335 Marietta, GA 30060

4/27/2012James Morris, MD 57898RN095043Frederick, Carlie Ann 8819 2000 16th Ave, Suite 101 Columbus, GA 31901

1/10/2022Maribel Rivera-Mulero 68236RN290699Fredrick, Kaitlyn 58890 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

8/28/2021Robert Elliott 56551RN290699Fredrick, Kaitlyn 54121 1525 Clifton Road, Suite 124 B Atlanta, GA 30322

10/3/2020Jonathan Levy 62386RN290699Fredrick, Kaitlyn 47697 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

10/11/2018Niraj Sharma, MD 54276RN218331Freeberg, Casey Rhea 14817 755 Walther Rd Lawrenceville, GA 30046

5/17/2016Thomas Self, MD 21587RN134889Freeman, Christi Renee 14829 1825 Martha Berry Blvd Rome, GA 30165

7/10/2016Saurabh Desai, MD 27530RN184104Freeman, Charisma Lorraine 17780 6025 Professional Parkway ste. 200 Douglasville, GA 30134

8/31/2019Michael Gottsman, MD 50102RN181566Freeman, Karen Jeanette Buice 19234 655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501

10/3/2014Lawrence Weiss, MD 44863RN134889Freeman, Christi Renee 13524 3901 Roswell Rd, Ste 225 Marietta, GA 30062

4/30/2016Barry Munn, MD 54167RN181566Freeman, Karen Jeanette Buice 11943 655 Jesse Jewell Pkwy, Suite B Gainesville, GA 30501

12/1/2013Thomas Self, MD 21587RN134889Freeman, Christi Renee 11873 1825 Martha Berry Blvd Rome, GA 30165

2/1/2020Beulette Hooks, MD 41313RN115166Freeman, Martha Carol 17056 11460 Johns Creek Pkwy Johns Creek, GA 30097

10/17/2014Allen Beecham, DO 25102RN168338Freeman, Rasheeda Japaka 12512 2000 Village Professional Dr, Suite 200 Canton, GA 30114

1/27/2021Carlo Oller, MD 65719RN134889Freeman, Christi Renee 14317 960 Joe Frank Harris Pkwy Cartersville, GA 30120

Monday, August 1, 2022 Page 147 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/26/2013Christopher Recknor, MD 40982RN181566Freeman, Karen 11143 2350 Limestone Pkwy Gainesville, GA 30501

5/10/2014Randolph Sumner, MD 28323RN134889Freeman, Christi Renee 12739 1825 Martha Berry Blvd Rome, GA 30165

6/24/2016Russell Jones, MD 68177RN104531Freeman, Pamela Phillips 12978 425 Third Ave, Suite 600 Albany, GA 31701

7/14/2021Ibrahim Opaleye 72878RN201444Freeman, Pamela 45458 4225 S. Lee St. Buford, Ga 30518

9/1/2021Sudha Reddy 53871RN194884Freeman, Troy 51771 7810 Hwy 85 Riverdale, GA 30274

1/1/2022Alfred Martin 26592RN115166Freeman, Martha 54776 520 Telford Place Atlanta, GA 30342

7/14/2021Ibrahim Opaleye 72878RN201444Freeman, Pamela 54452 6035 Peachtree Road, C-214 Doraville, GA 30360

11/12/2019Arthur Yancey 36909RN217086Freeman, Stacie 43677 745 Memorial Drive Atlanta, GA 30316

5/1/2020Roger Hiser, MD 48899RN134889Freeman, Christi Renee 38870 962 Joe Frank Harris Pkwy, Suite 104 Cartersville, GA 30120

10/26/2020George E. Aristide 44676RN134889Freeman, Christi Renee 44254 609 Shorter Avenue Rome, GA 30165

1/4/2022Ibrahim Opaleye 72878RN201444Freeman, Pamela 58489 2810 Peachtree Industrial Blvd, Unit D Duluth, GA 30097

8/1/2021Ritesh Mehta 85947RN134889Freeman, Christi 55912 11 Charley Harper Drive, Suite 100 Cartersville, GA 30120

10/24/2020Beulette Hooks 41313RN115166Freeman, Martha 51228 6600 Van Aalst Blvd. Fort Benning, GA 31905

11/24/2007Lawrence Steigelman, MD 31135RN146535Freeman, Melanie Lynn Leather 5145 59 Hospital Road Newnan, GA 30263

6/15/2012Tamer Middleton, MD 51987RN029221Freeman, Sarah Benton 1018 1924 Cliff Valley Way NE Atlanta, GA 30329

7/25/2012Campbell, Mary MD 32526RN128290Freeman, Dorian 10301 1700 Tree Lane, Ste 290 Snellville, GA 30078

6/17/2020Neeraja Chandrasekaran 78610RN223273Freer, Sarah 49017 3121 Peach Orchard Road, Suite 201 Augusta, GA 30906

8/2/2013Rhodes, Melissa MD 47060RN113806Frena, Colette 10010 21 Pointe North Drive Cartersville, GA 30120

5/14/2020Chun Ng 41631RN280540French, Demechiko 45135 901 Rice St. NW Atlanta, Ga 30318

6/3/2020Patrick M McGann, MD 61132RN185014French, Heather West 42302 55 Whitcher Street Marietta, GA 30060

7/15/2014Cheryl Perkins, MD 36430RN232398French, Jessica Adrienne 12550 1044 Bermuda Run Statesboro, GA 30458

1/23/2014Sekhar Sankaran, MD 31549RN167990Frey, Janet Marie 9923 101 Regency Park Dr, Ste 140 McDonough, GA 30253

9/30/2011Patrick Voswinkel, MD 42760RN167990Frey, Janet Marie 8326 4305 State Bridge Road Alpharetta, GA 30022

1/8/2011Eric Paulk, MD 62271RN211812Fricke, Susan Lynn Gordon 9451 410 Darling Ave, Emer Dept Waycross, GA 31501

1/1/2018Matricia, Daniel DO 31289RN211812Fricke, Susan 10640 214 Professional Circle, Ste A St. Marys, GA 31558

7/13/2020Jimmy A. Malaver 65138RN211812Fricke, Susan Lynn Gordon 42800 214 A Professional Circle St. Marys, GA 31558

Monday, August 1, 2022 Page 148 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/15/2020Ernest Howard 29003RN203757Friedl, Martha 48973 315 Boulevard NE, Suite 432 Atlanta, GA 30312

1/10/2020Dayna London, MD 66208RN203757Friedl, Martha Lorena 17782 125 Commons Way ste. 203 Villa Rica, GA 30180

6/28/2018Neil Gladstone, MD 16917RN218717Frierson, Alisa 40447 3115 Piedmont Rd. (A-102) Atlanta, GA 30305

12/1/2017Musibu Ibraheem, MD 52963RN210209Frimpong, Doris 17681 5322 Snapfinger Park Dr. Decatur, GA 30035

8/6/2021Darshak Karia, MD 75510RN201507Frischmann, Danielle Nicole 39292 1350 Walton Way Augusta, GA 30912

7/3/2021Leli Matthews 52182RN289526Fritz, Taylor 53429 12220 Birmingham Highway, Bldg 10, Suite A Milton, GA 30

2/8/2020Brandon Roberts, MD 75127RN248148Frolo, Hayden 43454 400 Peachree Indusrial Blvd. Suwanee, GA 30024

10/9/2019Harvinder S. Bhatti 65733RN248148Frolo, Hayden 44145 1288 Wellbrook Circle (Suite A) Conyers, GA 30012

3/24/2020Paul Guichard, DO 54386RN165016Frost-Johnson, Genieve 18768 55 Whitcher St, Ste 350 Marietta, GA 30067

3/23/2020Russell Dustin, MD 66541RN243206Fry, Heather 39132 4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

2/1/2021Brandee Urrutia 66661RN243206Fry, Heather 53584 4355 Browns Ridge Road, Suite 1 Cumming, GA 30041

1/1/2022WILLIAM M.HARPER IV MD 20726RN205535FUENTES, JESSICA 39285 1021 TALBOTTON RD COLUMBUS, GA 31904

1/1/2022WILLIAM HARPER IV MD 20726RN205535FUENTES, JESSICA 39437 1021 TALBOTTON RD COLUMBUS, GA 31904

5/4/2021Christopher Borrego, DO 52259RN158316Fukuda, Cristiane Lemos 9247 4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

3/14/2016William Mills, MD 50901RN248833Fulaytar, Sarah 16102 58 Big A Rd Toccoa, GA 30577

4/10/2021Catherine Dickens 35240RN231483Fullard, Nicole 49461 14089 Abercorn Street Savannah, GA 31419

11/3/2021James Lawrence III 78990RN093416Fuller, Wendy 49523 821 N. Cobb Street Milledgeville, GA 31061

1/10/2021Jennifer Evans 69804RN162031Fuller, Chevita 45893 151 S Houston Lake Rd., Suite 190 Warner Robins, Ga 31088

5/7/2019Michele Mitchell 71254RN162031Fuller, Chevita 45599 151 S. Houston Lake Rd. #190 Warner Robins, Ga 31088

3/23/2018Trushnaa, Patel, DO 69612RN147639Fuller, Jana Allen 41701 2151 West Spring Street Monroe, GA 30655

5/7/2019Shamita M Williams, MD 70793RN162031Fuller, Chevita Edwards 42303 4795 Riverside Dr Macon, GA 31210

2/1/2017Debora Quigley, MD 36601RN227177Fuller, Jaynee Lee 19441 56 Firewater Lane Suches, GA 30572

3/15/2019Mihaela Ille, MD 62895RN172405Fuller, Selena 16260 4397 Sudderth Rd Suger Hill, GA 30518

8/3/2021Michael Duke, MD 42041RN093416Fuller, Wendy Brannan 13189 120 Barnet Dr Milledgeville, GA 31061

3/11/2016Stewart Grizzard, MD 43948RN162031Fuller, Chevita Edwards 16794 4795 Riverside Dr. Macon, GA 31210

11/14/2016Cynthia Libert, MD 59457RN227177Fuller, Jaynee Lee 11862 48 Haralson Place, Suite 1 Blairsville, GA 30512

Monday, August 1, 2022 Page 149 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2018Michele Mitchell, MD 71254RN162031Fuller, Chevita Edwards 17235 4795 Riverside Dr. Macon, GA 31210

1/3/2014Andrea Hill, MD 51332RN147639Fuller, Jana Allen 12463 517 Great Oaks Dr, Suite 103 Monroe, GA 30655

9/30/2009Thomas Hatchett, MD 36984RN098416Fuller, Andrea Johnson 1029 870 Austin Drive Demorest, GA 30535

1/25/2021Kevin Lanclos, MD 47109RN082682Fuller, Wendy Susan Damcott 1031 6175 Newton Drive Covington, GA 30014

2/25/2022Pauline Bellecci 32345RN176193Fullmore, Teawka 58146 3424 Hwy 252 East Folkston, GA 31537

2/28/2019Rhonda Williams, MD 44647RN176193Fullmore, Teawka 15053 711 Knight Ave Waycross, GA 31503

8/23/2012Steven Leichter, MD 40452RN113877Funston, Lisa Michelle 8200 2425 Brookstone Centre Pkwy Columbus, GA 31904

12/27/2021Cheryl Trowell 63035RN221058Fur, Kara 46908 285 Commerce St. Alpharetta, GA 30009

3/1/2017James Chappuis, MD 29604RN221058Fur, Kara 16307 3161 Howell Mill Rd NW, Ste 400 Atlanta, GA 30327

6/30/2015Hurd, Thomas MD 27070RN221058Fur, Kara 10656 400 Tower Road, Ste 350 Marietta, GA 30060

12/27/2021Elbridge Bills 37139RN221058Fur, Kara 44652 3365 Piedmont Rd. #1250 Atlanta, Ga 30305

7/15/2015Ae Seon Cha, MD 66463RN209383Furlong, Sarah C. 11353 1942 Atkinson Rd., Ste 100 Lawrenceville, GA 30043

1/1/2014Richard Stewart, MD 9270RN077664Furnier, Karen 10916 4164 Riggins Mill Road Macon, GA 31217

12/1/2015Riba Kelsey-Harris, MD 53833RN167745Furtah, Anne Davidson 1033 1762 Mars Hill Road NW Acworth, GA 30101

3/28/2020Robert Prudent 37340RN262280Fuson, Lindsay 48595 2295 Parklake Drive, NE, Suite 426 Atlanta, GA 30345

5/21/2019Roy Sanders, MD 50837RN262280Fuson, Lindsay Blair 42484 160 Clairemont Ave Decatur, GA 30030

8/10/2020Keith Blanks 52042RN106397Futrell, Lisa 46888 100 Frist Street Court Columbus, GA 31909

12/23/2015Rembert Williams, MD 28105RN106397Futrell, Lisa Marie Rowe 1037 2122 Manchester Exprwy Columbus, GA 31904

3/14/2016James Butts, MD 9103RN143523Gabrels, Dorothy A. 9079 PO Box 2683 Gainesville, GA 30503

2/28/2018MADHAVI RAYAPUDI MD 50861RN151283GACUSAN, MYRNA 39792 1400 NORTHSIDE FORSYTH DR. SUITE 310 CUMMING, GA 30

9/18/2019Anne M. McKenzie-Brown, MD

31979RN186624Gaddis, Funlola 42686 550 Peachtree Street Atlanta, GA 30308

11/1/2016Cathy Harper-Hogan, MD 44228RN198713Gaddis, Stephanie Marie 18570 124 3rd St. Macon, GA 31201

7/4/2017James Splichal, MD 57021RN076804Gaddy, Maria Sarantis 16529 3320 Old Jefferson Rd, Bldg 700 Athens, GA 30607

12/1/2021Cheryl Perkins 36430RN284993Gaddy, Alicia 45206 1499 Fair Rd. Statesboro, Ga 30458

4/25/2021Jason Stillwagon, MD 53181RN215613Gagne', Elizabeth Celine 20055 4700 Waters Ave. ste. ER Savannah, GA 31404

Monday, August 1, 2022 Page 150 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/1/2018Tania Edwards,DO 53462RN060447Gaillard, Denotra Hicks 12352 1110 Farr Rd, Suite C Columbus, GA 31906

6/1/2013Warren, Brandi DO 61681RN060447Gaillard, Denotra Hicks 10015 1110 Farr Road Columbus, GA 31906

1/13/2020Javed H. Fazal, MD 57457RN091787Gainer, Judy R. 11359 1860 Watson Blvd. Warner Robins, GA 31093

9/19/2016Donald Manning, MD 23635RN175270Gainey, Tyronjala 14948 1968 Peachtree Rd NW Atlanta, GA 30309

9/19/2016Linda Neale, DO 49070RN175270Gainey, Tyronjala 15406 1255 Hwy 54 West Fayetteville, GA 30214

3/16/2016Jasmine Kearse, MD 74490RN175270Gainey, Tyronjala Shontel 17618 5454 Yorktowne Dr. atlanta, GA 30349

12/27/2017Ayman Fareed, MD 58740RN142027Gale, Robin 40991 330 Mt Sinai Dr Dahlonega, GA 30533

4/1/2019William Meadows, MD 30513RN114111Gallagher, Joanne Marie 9261 1507 Broomtown Rd LaFayette, GA 30728

7/1/2010Lloyd James Rimer, MD 30665RN114111Gallagher, Joanne Marie 1042 1507 Broomtown Rd LaFayette, GA 30728

9/1/2015Randolph Sumner, MD 28323RN200274Galland, Elizabeth Hamrick 12737 1825 Martha Berry Blvd Rome, GA 30165

12/1/2013Thomas Self, MD 21587RN200274Galland, Elizabeth Hamrick 12376 1825 Martha Berry Blvd Rome, GA 30165

10/28/2016Pablo Perez, MD 47502RN229452Gallardo, Eduardo 16364 1102 W. Waugh St. Dalton, GA 30720

9/10/2018Robert T. Cook, MD 26087RN229452Gallardo, Eduardo 40945 824 GI Maddox Parkway Chatsworth, GA 30705

2/18/2022Michael Duke 42041RN250476Gallemore, Tekeria 59223 134 West Campus Drive Milledgeville, GA 31061

1/27/2020Channing Hampton, MD 72028RN084817Galliano, Donna Michelle 14863 2225 US Hwy 41 North Tifton, GA 31794

12/21/2021Shonna McGee 64870RN255199Gallo, Toni 58669 4700 Waters Avenue Savannah, GA 31403

1/19/2016James Meadows, MD 25641RN112436Gamble, Kathy Cooper 1046 PO Box14417 Savannah, GA 31416

8/31/2021Jonathan S Williams 59237RN244680Gamble, Taylor 43650 1120 W. Broad Ave (Suite B) Albany, GA 31707

7/27/2021Phillip Gray 33340RN176644Gamble, Marissa 45894 105 Willowbrook Way, Se Calhoun, Ga 30701

6/1/2010Wesley Bray, MD 27035RN050877Gambrell, Patricia Healy 1047 55 Whitcher St, Suite 420 Marietta, GA 30060

7/1/2019Donna Haney 48638RN139591Gamel, Mary 45600 1512 Hwy 19N Thomaston, Ga 30286

6/1/2019Bert P. Wall, MD 48003RN139591Gamel, Mary Suzanne 41955 1512 Hwy 19N Thomaston, GA 30286

3/30/2018George Capo, DO 42539RN139591Gamel, Mary Suzanne 19442 1512 Highway 19 North Thomaston, GA 30286

10/3/2016Gore, James MD 36384RN139591Gamel, Mary Suzanne 10742 1657 North Expressway Griffin, GA 30223

8/3/2018Gretchen Collins, MD 32712RN190223Garcia, Cheryl Anita 11030 8201 Hazelbrand Rd. Covington, GA 30014

5/6/2011Gretchen Collins, MD 32712RN190223Garcia, Cheryl 9165 8201 Hazelbrand Rd Covington, GA 30014

Monday, August 1, 2022 Page 151 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/5/2022Armando Castillo, Jr, MD 54989RN106401Garcia, Kristen Rose 17181 743 Spring Sr NE Gainesville, GA 30501

6/15/2021Daniel L. Schoenborn, DO 65611RN185252Garcia, Katherine Melisa 43028

5/13/2019Shveta Raju, MD 66052RN213225Garcia, Rosa Iris 20612 475 Philip Blvd. Lawrenceville, GA 30046

9/18/2021Daniel Esteves 61881RN231858Garcia-Diaz, Lorena 51498 2169 Lawrenceville Hwy Lawrenceville, GA 30044

10/12/2018Kristine Briones-Mull, MD 64783RN163974Gardner, Farrah Elaine 17658 6000 Joe Frank Harris Pkwy, NW Adairsville, GA 30103

10/1/2018Wilson Tucker, MD 31142RN163974Gardner, Farrah Elaine 19769 304 Turner McCall Blvd. Rome, GA 30165

4/22/2019Joon Ahn, MD 48750RN225359Gardner, Alana M. 11399 200 S. Enota Dr., Ste. 200 Gainesville, GA 30501

1/13/2015Kyoung-Soon Kim, MD 39144RN170685Garfield, Jennifer Juliana Wick 9582 5150 Stilesboro Rd, Suite 220 Kennesaw, GA 30152

1/1/2011Richard Young, MD 21218RN170685Garfield, Jennifer Juliana Wick 3209 958-A Joe F Harris Pkwy, Suites 101 & 105 Cartersville, GA 3

7/1/2019Saudiqa Hoossainy, MD 68179RN170685Garfield, Jennifer 15104 5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

12/19/2020Robert Collins 48034RN261926Garfunkel, Catherine 52389 2409 N. Patterson Street, Suite 310 Valdosta, GA 31602

12/4/2021Daryoosh Derakhshan 86942RN261926Garfunkel, Catherine 55560 2409 N. Patterson Street, Suite 310 Valdosta, GA 31605

12/31/2019Mark W. Floyd, MD 71070RN203458Garmon, Lindsey Blocker 40468 1825 Martha Berry Blvd Rome, GA 30165

3/14/2018Lisa Roberts, MD 52626RN192244Garmon, Lauren 16726 595 Hurricane Shoals Rd. N.W. ste. 300 Lawrenceville, GA 30

7/16/2019Darshak Pandya, MD 58995RN203458Garmon, Lindsey Blocker 17784 501 Redmond Road Rome, GA 30165

1/31/2018Jagdeep Singh, MD 59761RN203458Garmon, Lindsey 14139 1168 North Main St, Ste 110 Cedartown, GA 30125

4/28/2017Michael Hahowell, MD 61846RN215633Garner, Kaylin 15530 5126 Hospial Dr Covington, GA 30014

5/2/2019Andrew Kirsch, MD 45518RN148608Garner, Jennifer Rebecca 17946 5730 Glenridge Dr, Ste 200 Atlanta, GA 30328

11/27/2019Sung K. Chang, MD 52693RN173546Garner, Christopher Nathan 43030 7351 Old Moon Road Columbus, GA 31909

2/6/2014Ross Jacobson, MD 57204RN040072Garner, Julia M 5151 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

6/17/2010Mathew Ciechan, II, MD 24217RN100396Garnett, Laura Marie Nofziger 8994 400 Town Park Blvd, Suite 300 Evans, GA 30809

2/6/2010Lamar Peacock, MD 34920RN100396Garnett, Laura Marie Nofziger 1055 465 N. Belair Rd, Suite 3-A Evans, GA 30809

4/1/2021Sanjeev Bhavnani 77555RN220604Garofano, Philip 54800 1155 Perimeter Ctr West, 11th Floor Atlanta, GA 30338

11/6/2020Frank Curvin 45058RN220604Garofano, Philip 53576 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

7/8/2020Sylvanus Fiakpornoo, MD 60453RN220604Garofano, Philip Peter 20186 2000 Riverside Parkway ste. 107 Lawrenceville, GA 30043

2/14/2017Anuradha Thopu, MD 41377RN220604Garofano, Philip Peter 19694 8901 Stonebridge Blvd, Ste 100 Douglasville, GA 30134

Monday, August 1, 2022 Page 152 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/25/2016Jeffrey Dowis, MD 68199RN188785Garrard, Jeremy Erwin 17426 211 Bobby Jones Expy, Ste C Martinez, GA 30907

5/1/2018David D. Brosnahan, MD 59132RN188785Garrard, Jeremy 40390 3651 Wheeler Street Augusta, GA 30909

8/31/2019James Chappuis 29604RN188785Garrard, Jeremy 45267 3161 Howell Mill Rd. NW #400 Atlanta, Ga 30327

2/12/2020Tania Smith 51602RN218326Garrett, Constance 46411 600 Pointe North Blvd Albany, GA 31721

4/29/2021Sheri Swader 80244RN242896Garrett, James 53492 3790 Old US Hwy 41 N, Suite B Valdosta, GA 31602

6/29/2020Oliver Glass 77745RN239746Garrett, William 47306 200 Wisteria Drive Gainesville, GA 30501

6/4/2021Zoe Jones, MD 26314RN123276Garrett, Kerry Gene 39011 1062 Forsyth Street, Suite 1B Macon, GA 31201

7/8/2020Jonathon Sule, MD 60329RN242896Garrett, James 43951 3790 Old US 41 N Valdosta, GA 31602

6/19/2019Christopher Inhulsen, MD. 20743RN207758Garrett Jr., Robert Carlton 39863 618 East Lamar Street Americus, Ga 31709

9/11/2018Michael Fortson 35051RN207237Garrison, Margarita 21303 120 Marietta Highway Canton, GA 30114

11/27/2017Manjushree Ghose, MD 42827RN207237Garrison, Margarita 13359 2988 Shallowford Rd. Marietta, GA 30066

3/31/2021Jose Artadi 50703RN224869Garritson, Natasha 48293 180 Epps Bridge Road Athens, GA 30606

2/28/2019Earl Martin, MD 28602RN244297Garvey, Janet Ellen 15147 701 Charles Gllman Jr. Ave, Ste B Kingsland, GA 31548

1/26/2018Andrew Wickliffe 47868RN159613Gaskill, Catherine 11140 275 Collier Rd., Ste 500 Atlanta, GA 30309

11/1/2019Sexson, James MD 38362RN138448Gaskin, Kara 10606 1810 Mulkey Rd, Ste 200 Austell, GA 30106

1/27/2020Channing Hampton, MD 72028RN201181Gaskin, Allison Lynn 14616 2225 US Hwy N Tifton, GA 31794

7/11/2014Thomas H. Chun, MD 47580RN138448Gaskin, Kara L. 11517 55 Whitcher St., #250 Marietta, GA 30060

5/6/2020Walter Rios-Corujo, MD 75099RN183351Gaskins, Margo 20195 512 Sumter Street ste. B Montezuma, GA 31063

3/3/2017Timothy Graves, MD 26859RN183351Gaskins, Margo Renee 18775 855 Anthony Rd. ste. 100 Macon, GA 31204

6/21/2017Michele Shumpert, MD 66322RN186817Gass, Deborah 20561 4356 Communications Drive Norcross, GA 30093

2/28/2017John Gerguis, MD 47085RN186817Gass, Deborah K 18513 4356 Communications Dr. Norcross, GA 30093

9/30/2012Divina Dyer, MD 57161RN186817Gass, Deborah 10946 6158 Hwy 92, Ste 101 Acworth, GA 30102

10/21/2013Eva Beaulieu, MD 66254RN186817Gass, Deborah K 12552 3600 Dallas Hwy SW Marietta, GA 30064

6/30/2015Yvonne Smith, MD 42443RN186817Gass, Deborah K 12599 145 Standing Oak Place Fayetteville, GA 30214

8/3/2021Brendee N. Urrutia, MD 66661RN186817Gass, Deborah K. 11469 4355 Browns Bridge Rd., #1 Cumming, GA 30041

8/31/2011Jamie Rich, MD 53547RN154209Gastley, Joshua Farris 8820 58 Big A Road Toccoa, GA 30577

Monday, August 1, 2022 Page 153 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/14/2014Angela B. Reese, MD 47514RN154209Gastley, Joshva F. 11230 154 W. Tugalo St. Toccoa, GA 30577

5/31/2015Jack E. Dawson, MD 11945RN063960Gaston, Jeanette Wimbish 1066 275 Collier Road, NW Ste 300 Atlanta, GA 30309

3/1/2022Matthew Gillen 85891RN257297Gatens, Anthony 58468 1514 Vernon Road LaGrange, GA 30240

2/15/2022Paola Suarez 67096RN289953Gatins, Hailey 57463 220 Oakside Lane Canton, GA 30114-6413

8/21/2019John Mynatt, MD 41469RN197686Gattie, Amanda Danielle 18879 5040 Bill Gardner Pkwy, Ste 100 Locust Grove, GA 30248

2/27/2020Paul Murray 29046RN213264Gautney, Laurie 46889 2225 HWY 41 N. Tifton, GA 31794

8/1/2019Edward Clark, MD 36700RN039869Gay, Judith Ann 1068 744 First Street Macon, GA 31201

9/1/2012Rayna Jobe, MD 60386RN071597Gay, Linda L. 9770 300 Cherokee Place Cartersville, GA 30121

12/20/2021Walter Rios-Corujo, MD 75099RN221728Gay, Crystal Leigh 42673 1007 East 16th Avenue (Suite A) Cordele, GA 31015

2/8/2019J Christian Higgins, MD 67463RN230655Gay, Carla Clark 42280 101 Harris Industrial Blvd Vidalia, GA 30474

8/9/2016Rita Beckford, MD 73189RN071597Gay, Linda L. 18514 2101 Womack Rd. Dunwoody, GA 30338

7/1/2016Donald Siegel, MD 11475RN071597Gay, Linda L 17212 2101 Womack Rd, Ste NT Dunwoody, GA 30338q

4/1/2022Aerica Summers 65902RN208594Gayden, Andrea 55077 80 Jesse Hill Jr. Drive Atlanta, GA 30303

10/31/2019Toukam C. Fotzeu, MD 63329RN208594Gayden, Andrea Roche' 40392 80 Jesse Hill Jr. Drive SE Atlanta, GA 30303

12/1/2020Judith Volcy 49217RN208594Gayden, Andrea 48192 720 Westview Drive SW Atlanta, GA 30310

8/5/2020Gabriela Pena, MD 72408RN243323Gaydos, Bradley Jonathan 18770 643 Main St. Palmetto, GA 30268

11/23/2018Robert Burnham, MD 31886RN108005Gaynor, Deborah 15973 3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005

10/1/2021Anna Tanner 47669RN108005Gaynor, Deborah 45651 41 Perimeter Center East, Ste. 250 Dunwoody, Ga 30346

7/1/2021Carter Co, MD 61054RN194592Gebreyonas, Samuel Berhe 19588 600 Celebrate Life Pkwy Newnan, GA 30265

12/24/2021James Jackson 30485RN216665Gee, Kayla 53828 1285 Sims Street Gainesville, GA 30501

4/2/2020Michele Perez 48326RN231042Geiger, Michaela 46207 270Chastain Rd. NW Kennesaw, Ga 30144

9/16/2014Keith Huckaby, MD 27573RN122957Geiger, Roberta Lynn 12647 519 West Main St Thomaston, GA 30286

11/9/2013Jenkins, John MD 62726RN122957Geiger, Roberta 10445 612 W. Gordon Street, Ste C Thomaston, GA 30286

9/22/2021Michael Gonsalves 63337RN178373Geimer, Connie 55575 4159 Martha Berry Hwy NW Rome, GA 30165

5/24/2012Gary Voccio, MD 29550RN178373Geimer, Connie L. 9931 1825 Martha Berry Blvd Rome, GA 30165

12/31/2013Adrienne Mims, MD 33152RN183088Geller, Daniel Edward 12591 477 Windsor St SW, Suite 309 Atlanta, GA 30312

Monday, August 1, 2022 Page 154 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2019Lillian Schapiro, MD 40540RN183088Geller, Daniel Edward 19473 3200 Downwood Circle ste. 220 Atlanta, GA 30327

9/29/2021Appavuchetty Soundappan, MD

44107RN272603Gennie, Amber Brionna 42546 1115 Morningside Drive Perry, GA 31069

8/27/2021Srijana Ranjit 69697RN272603Gennie, Amber 58109 201 Avera Drive Fort Valley, GA 31030

2/8/2022Lynn Denny 50155RN272603Gennie, Amber 57984 201 Avera Drive Fort Valley, GA 31030

5/7/2021Edward Espinosa 59636RN179809Gentile, Erica 51321 91 W. Wievca Road NE Building A, Suite 1000 Atlanta, GA 30

11/1/2018Saied T. Murphy, MD 39187RN179809Gentile, Erica 40644 2260 Northlake Parkway (Suite 211) Tucker, GA 30084

5/26/2020John Ouderkirk 49992RN179809Gentile, Erica 44635 9925 Haynes Bridge Road Alpharetta, Ga 30022

8/15/2013Hahm, Hillary MD 48051RN135253Gentles, Carolyn 10741 340 Kennestone Hospital Blvd, Ste 200 Marietta, GA 30060

10/17/2014Charles Sow, MD 55343RN135253Gentles, Carolyn Ann 12524 Take Care, 5230 Dallas Hwy Powder Springs, GA 30127

5/7/2012Hitendra Patel, MD 45312RN135253Gentles, Carolyn Ann 8471 55 Whitcher Street, Suite 420 Marietta, GA 30060

12/2/2008Steven Schuster, DO 31661RN135253Gentles, Carolyn Ann 1075 5800 Windward Pkwy, Suite MSA211 Alpharetta, GA 30005

7/1/2016George Brown, MD 30275RN089319Gentry, John Mitchell 1077 141 Piedmont Ave, Suite D Atlanta, GA 30303

5/1/2015Maya Carter, MD 59904RN089319Gentry, John Mitchell 11944 3355 Cascade Rd SW, Suite 100 Atlanta, GA 30311

5/1/2015Aerica Summers, MD 65902RN089319Gentry, John Mitchell 11945 240 Highland Ave, Bldg 3, Suite E Atlanta, GA 30307

5/9/2014Timothy Ward, MD 23125RN185389George, Crystal Dawn 12103 500 Gordon Ave Thomasville, GA 31792

6/6/2012Sightler, William DO 34715RN102350George, Deborah 10456 195 n. Broad Street Alamo, GA 30411

9/15/2014Guy Augustin, MD 70852RN102350George, Deborah Lee 13814 1153 North Libety St Nicholls, GA 31554

9/15/2021Fontaine, Pierre MD 62686RN102350George, Deborah 10815 1153 North Liberty St,. PO Box 650 Nicholls, GA 31554

12/14/2011Nurallah Esmail, MD 35623RN102350George, Deborah Lee Price 9531 1153 North Liberty St Nichols, GA 31554

2/2/2010Abdollatif Ghiathi, DO 40908RN102350George, Deborah Lee Price 8823 7 Taylor St Cuthbert, GA 39840

3/20/2012Ross, Mary MD 55437RN215413George, Jennifer 9995 337 Commercial Drive, Ste 100 Savannah, GA 31406

10/25/2021Sherri Barton, MD 48595RN149930George Dalmida, Safiya A 14228 6158 Hwy 92, Ste 101 Acworth, GA 30102

5/11/2022Jose Cangiano 44182RN169166Georges, Frantz Augustin 44401 240 Mitchell Bridge Road Athens, GA 30606

12/28/2018Douglas Laipple, MD 21410RN169166Georges, Frantz 43956 2900 Chamblee Tucker Rd Bldg 16 Atlanta, GA 30341

6/23/2020Vera Tate 72934RN166169Georges, Frantz 48146 2900 University Parkway Lawrenceville, GA 30046

Monday, August 1, 2022 Page 155 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/21/2020David Alvarez 45695RN197890Gephart, Rebecca 45897 313 Boynton Dr. Ringgold, Ga 30736

7/25/2012Sandra Carmichael, MD 36116RN197890Gephart, Rebecca Young 12587 100 Gross Crescent, Emer Dept Ft Oglethorpe, GA 30742

5/15/2015Coleman, Angela MD 61717RN197890Gephart, Rebecca 10841 501 Redmond Road Rome, GA 30165

11/25/2014Carl Lindblad, MD 22163RN197890Gephart, Rebecca Young 13816 100 Gross Crescent, Emer Dept Fort Oglethorpe, GA 30742

11/2/2016Lloyd Rimer, MD 30665RN197890Gephart, Rebecca 15422 3541 Chattanooga Rd Tunnel Hill, GA 30755

4/18/2019Randy Robinson, MD 35987RN197890Gephart, Rebecca 15220 1507 Broomtown Rd Lafayette, GA 30728

3/1/2016Pablo Perez, MD 47502RN197890Gephart, Rebecca 14608 815 Shugart Rd Dalton, GA 30720

11/1/2019Gordon Walters, MD 30919RN253543Gerardot, Michelle Marie 17269 818 St. Sebastian Way, Ste 311 Augusta, GA 30901

1/20/2015Raymond McKoy, DO 44536RN053785Gerhard, Laurie Ansley 14602 2510 Redmond Cir N W Rome, GA 30165

2/27/2009Robert Pyle, MD 42702RN053785Gerhard, Laurie Turner Ansley 1080 14 Cherokee Road Cedartown, GA 30701

11/4/2014Groover, Ann MD 36765RN118577Gerrin, Rebecca 10309 2945 Miller Ferry Rd SW, Ste D Calhoun, GA 30701

2/23/2016Joseph Joyave, MD 43977RN118577Gerrin, Rebecca 15181 100 Market Place Blvd, Ste 302 Cartersville, GA 30121

1/17/2020Francisca MgBodile, MD 50662RN118577Gerrin, Rebecca Jane White 19063 6 Mathis Dr. Rome, GA 30165

4/26/2014Jeffrey Bell, MD 34539RN197685Gervin-Clark, Cheryl 12364 1200 N Jefferson St Albany, GA 31701

7/24/2020Tamara New, MD 58712RN106417Geter, Jacqueline Jones 12280 1405 Clifton Rd NE, AFLAC Cancer Center Atlanta, GA 30322

8/31/2013Ifeyinwa Osunkwo, MD 55681RN106417Geter, Jacqueline Jones 1082 1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

8/20/2018John Frederick, MD 62983RN154476Getsinger, Patricia Bennett 19728 630 13th St. Augusta, GA 30901

6/30/2018Arun K Kantamneni, MD 70171RN229626Ghansah, Lordina Irene 42476 5454 Yorktowne Dr Atlanta, GA 30349

2/29/2016Cynthia Brown, MD 49876RN114596Giammarella, Nancy Drown 1085 815 Curtis Pkway Calhoun, GA 30701

7/14/2021Ibrahim A. Opaleye 72878RN271463Gianneth, Cynthia Elizabeth 44402 5955 Jimmy Carter Blvd (Suite 100) Norcross, GA 30071

9/10/2018Alex Rikhter, MD 44070RN271463Giannetti, Cynthia 39953 3150 Howell Mill Rd., NW Atlanta, GA 30327

7/9/2021Muhammad Usman 86612RN271463Giannetti, Cynthia 57144 4225 South Lee Street, Suite B Buford, GA 30518

3/12/2022Sudha Challa 63641RN271463Giannetti, Cynthia 58080 2880 Old Alabama Road, Suite 300 Johns Creek, GA 30022

7/19/2021Glen Dasher, MD 43354RN251526Giardina, Julie 21306 7251 Zell Miller Parkway Statesboro, GA 30458

11/1/2021Heather Horton 81444RN288761Giarla, Kathleen 57554 1968 Peachtree Road NW Atlanta, GA 30309

5/6/2021Sonja Doughlin 78289RN288761Giarla, Kathleen 46601 1968 Peachtree Rd. NW Atlanta, Ga 30309

Monday, August 1, 2022 Page 156 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/23/2014Jude Emokpare, MD 63416RN204133Gibble, Anne Crane 12344 710 Center St Columbus, GA 31901

2/25/2019Hetal Thakore 53556RN093348Gibbons-Berry, Karen 11101 3651 Wheeler Rd Augusta, GA 30909

6/18/2010Steven Vaughn, MD 48095RN093348Gibbons-Berry, Karen Leigh 1088 818 St. Sebastian Way, Suite 307 Augusta, GA 30901

8/31/2012William Callaghan, MD 27974RN093348Gibbons-Berry, Karen Leigh 9565 1350 Walton Way Augusta, GA 30901

2/28/2008Leslie Cottrell, MD 45194RN050776Gibbs, Martha K 1090 1600 Maple St Carrollton, GA 30118

11/15/2019Thomas Ho, MD 44748RN233060Gibbs, Jennifer Dokupil 12442 7494 Battlefield Pkwy Ringgold, GA 30736-7306

1/4/2013Haller, Jeffrey MD 55826RN181151Gibson, Patricia 10894 5081 Hwy 14 Lyerly, GA 30730

5/31/2011Richard Smith, MD 19603RN181151Gibson, Patricia Louise Carter 9067 5081 Hwy 114 Lyerly, GA 30730

7/7/2020Robert Brown, MD 32136RN173450Gibson, Tiffanie 15589 3004 2nd St SE Moultrie, GA 31768

6/13/2012Cameron, Nadia MD 53982RN039884Gibson, Belinda 10715 3760 Sixes Road, Ste 120 Canton, GA 30114

2/14/2014Jose Justiniano-Ayala, MD 46773RN181151Gibson, Patricia Louise Carter 12726 1430 Suggs St Rossville, GA 30741

1/22/2013Sved, Isaac MD 38981RN039884Gibson, Belinda 10740 236 Johnson Ferry Rd, NE, #200 Sandy Springs, GA 30328

9/7/2018Mark Bradshaw, MD 66574RN162475Gibson, Christy Howard 18013 1100 Peachtree Street. Ste. 200 Atlanta, GA 30309

9/29/2020Ajitabh Pandey, MD 60955RN173450Gibson, Tiffanie Ann 19980 515 North Poolin Dr. Roswell, GA 30076

9/7/2018Travan Jasper, MD 45506RN162475Gibson, Christy Howard 13682 3116 Hwy 34 East Newnan, GA 30265

7/7/2020Seth Berl, MD 24390RN173450Gibson, Tiffanie Ann 17007 9 Hospital Park Moultrie, GA 31768

9/23/2021Charles Richart, MD 38595RN226432Gibson, Kyle 20744 743 Spring Steet Gainesville, GA 30501

8/13/2021Dale Green 31926RN127374Gibson, James 53352 55 Carlton Street Athens, GA 30602

7/31/2011John Pittman, MD 37045RN073501Gibson, Barbara Lillian Dew 1094 715 E. 2nd St Rome, GA 30161

7/1/2010Rudolph Tacoronti, MD 45347RN039884Gibson, Belinda Joyce Heard 1095 5019 LaVista Road Tucker, GA 30084

7/23/2012John Price, MD 55274RN181151Gibson, Patricia Louise Carter 9939 611 E Villanow St LaFayette, GA 30728

5/29/2009Chadalavada Kishore, MD 27846RN151248Giddens, Ashley Gay 8381 425 Third Avenue, Suite 340 Albany, GA 31701

12/4/2019Edward Bass 49270RN159726Giddens, Ashley 44947 104 Monk St Sylvster, Ga 31791

2/28/2022Christopher N Bazal, MD 49562RN159726Giddens, Ashley Gay 42473 233 Sunset Circle Moultrie, GA 31768

12/4/2019Michael Todd Peacock 40752RN159726Giddens, Ashley Gay 41486 185 Bowens Mill Highway Fitzgerald, GA 31750

10/16/2018Robert A. Ludwick, MD 37277RN159726Giddens, Ashley Gay 40801 185 Bowens Mill Highway Fitzgerald, GA 31750

Monday, August 1, 2022 Page 157 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/4/2019Jarod F Bailey, DO 65929RN159726Giddens, Ashley Gay 42466 233 Sunset Circle Moultrie, GA 31768

12/4/2019Francis M Kundi, MD 45525RN159726Giddens, Ashley Gay 42467 233 Sunset Circle Moultrie, GA 31768

1/2/2019Eugene H Jackson, MD 22793RN159726Giddens, Ashley Gay 42469 185 Bowens Mill Highway Fitzgerald, GA 31750

7/1/2019Howard McMahan, MD 22824RN159726Giddens, Ashley Gay 42461 209 West Hudson Street Ocilla, GA 31774

6/1/2019Michael D Satchell, MD 49593RN159726Giddens, Ashley Gay 42462 1904 Palmyra Road Albany, GA 31701

2/14/2020Guido H Ring, MD 45325RN159726Giddens, Ashley Gay 42463 1904 Palmyra Road Albany, GA 31701

7/9/2021Priscilla Igho-Pemu 51590RN227857Gifford, Cara 57100 600 Celebrate Life Parkway Newnan, GA 30265

8/31/2020Jeffrey Rubin, MD 30873RN134000Giglio, Wennifer Carroll Shelde 17251 240 Heritage Walk Woodstock, GA 30188

10/7/2019William Edwards, MD 47079RN051556Gilbert, Cindy Gail Tarrer 12811 800 Professional Blvd Dalton, GA 30720

12/6/2021Wanda E. Guy-Craft 64224RN170397Gilbert, Heather R. 43716 2011 Commerce Dr. Peachtree City, GA 30269

3/7/2011Frank Newby, MD 38314RN051556Gilbert, Cindy Gail Tarrer 1099 1506 Broadrick Drive Dalton, GA 30720

3/28/2013Mahoney, William MD 59274RN134977Giles, Alexander 10204 1000 Chastain Road Kennesaw, GA 30144

12/20/2014Megan Bowles, MD 68486RN134977Giles, Alexander Lance 13026 1000 Chastain Rd, House 52 Kennesaw, GA 30144

1/1/2017Olufemi Taiwo, MD 51606RN150994Gilfillan, Kelly West 11757 222 Arrowhead Blvd Jonesboro, GA 30236

6/26/2015Dauda Griffin, MD 57468RN150994Gilfillan, Kelly West 14103 934 Briarcliff Rd NE Atlanta, GA 30306

5/22/2019Vanderlyn Sewell, MD 51547RN150994Gilfillan, Kelly West 21079 934 Briarcliff Rd. NE Atlanta, GA 30306

1/19/2017Rana Sibai-Drake, MD 67994RN150994Gilfillan, Kelly 16408 934 Briarcliff Rd NE Atlanta, GA 30306

8/26/2016Mishanta Reyes, DO 74566RN238038Gilkey, Corinna Marie 17238 401 S Madison St Albany, GA 31707

4/28/2021Donald Jones 66511RN238038Gilkey, Corinna 45194 810 13th Ave, Ste. 107 Albany, Ga 31701

3/12/2016Edwin Bello, MD 36099RN233119Gillette, Tiffany Celeste 12536 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

12/13/2021Dorel Bidiuc, MD 51296RN215446Gilley, Ashley Heather 18801 707 Old Dalton Ellijay Rd. Chatsworth, GA 30705

4/16/2021Jonathan Bender, MD 50002RN256069Gilliam, Nakia Charrone 42454 1267 Hwy 54W Fayetteville, GA 30214

6/1/2016David Moore, MD 23639RN200090Gilliard, Latasha Nicole 17494

8/1/2020Douglas Joyner, MD 31039RN149543Gilliard, Candace Usry 8973 151 E. Mayo St Americus, GA 31709

10/28/2016Janet McBarron, MD 28300RN143502Gilliland, Tammy 16497 2904 Macon Rd Columbus, G 31902

2/18/2016Thomas Self, MD 21587RN089950Gillis, Hollie Thacker 16601 1825 Martha Berry Blvd Rome, GA 30165

Monday, August 1, 2022 Page 158 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2012Victoria Green, MD 38240RN043355Gillmor-Kahn, Mary 5156 69 Jesse Hill Jr. Dr. SE 4th Fl Atlanta, GA 30303

4/25/2018Charles Gebhardt, MD 28778RN216778Gilmer, Deanna Lee 20776 2601 Stuart Avenue Albany, GA 31707

11/15/2013Eduard Docu, MD 56426RN144662Gilreath, Kathryn Mae 12156 St. Marys Hlth Center, 1302 Drayton St Savannah, GA 31401

7/23/2009William Garrett, MD 43373RN144662Gilreath, Kathryn Mae 1105 6602 Waters Ave. Bldg. C Savannah, GA 31406

11/15/2013Carter, Cynthia MD 56534RN144662Gilreath, Kathryn 10382 1000 Towne Center Blvd, Ste 705 Pooler, GA 31322

10/24/2014Suzanne Turner, MD 47772RN054192Gilson Agnew, Greta 13844 11660 Alpharetta Hwy Ste 290 Roswell, GA 30076

4/25/2013Laungani, Rajesh MD 62544RN071039Ginn, Alice 10721 1800 Howell Mill Road Ste 500 Atlanta, GA 30318

12/20/2013Elbridge Bills, MD 37139RN071039Ginn, Alice Kay 12033 3365 Piedmont Rd, Suite 1250 Atlanta, GA 30305

6/30/2015Brenda Garland, MD 22813RN225872Gipson, Tonya Angela 13515 201 Hospital Rd. Canton, GA 30114

2/1/2012William Gist, MD 62849RN203818Gist, Beth Ann Caldwell 9281 112 Hedekin Circle Ft. Oglethorpe, GA 30742

12/30/2021Matthew Levin 81670RN209248Githaite, Veronica 59296 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

2/22/2015Michelle Morgan, DO 51694RN178900Gittens, Clavel Alexia 8469 4398 Atlanta Hwy Loganville, GA 30052

7/11/2008Shyam Khanwani, MD 51672RN178900Gittens, Clavel Alexia 1109 1250 Highway 54 West, Suite 102 Fayetteville, GA 30214

4/5/2021GENA VOLAS-REDD MD 45356RN159908Giuliano, Kerri 39747 790 CHURCH ST SUITE 335 MARIETTA, GA 30060

5/24/2012Franklin Geoffery Connor, MD

33555RN137168Gjone, Mandy Sellars 9220 300 Arlington Dr Vidalia, GA 30474

6/17/2010Thomas Ferrari, MD 34829RN137168Gjone, Mandy Sellars 1110 704 Maple Dr, Suite 1 Vidalia, GA 30474

10/1/2015Adithya Reddy, MD 61509RN229466Gladden, Brandi Nichole 13955 2550 Windy Hill Rd., Ste 206 Marietta, GA 30067

5/29/2018Michael Schmidt, MD 58500RN123829Gladden, Denise F 19848 454 Smith Ave. Thomasville, GA 31792

3/2/2018Damon Christian Kimes, MD. 50322RN229466Gladden, Brandi Nichole 39925 1300 Upper Hembre Rd. Bldg 100 Roswell, Ga 30076

8/7/2008Frederick Merrill, III, MD 34664RN145311Gladue, Clara Ann 5542 465 North Belair Rd. Suite 1-C Evans, GA 30809

5/31/2019Joseph McEvoy, MD 69837RN105187Glaser, Judy K. 41217 3421 Mike Padgett Hwy. Augusta, Ga 30906

5/20/2019Phillip Gray, MD 33340RN149595Glaze, Rachel Toi 12836 450 Clarence King Pkwy Calhoun, GA 30701

2/1/2014Eden F English, MD 52432RN149595Glaze, Rachel Toi 11561 470 Valley St., #200 Ball Ground, GA 30107

6/8/2012Soyoola, Emmanuel MD 53032RN135128Glebikowska, Iwona 10232 1870 Atlanta Hwy Ste J-K Gainesville, GA 3004

9/30/2011Ann Drayton, MD 49512RN135128Glebikowska, Iwona Violetta 9229 1870 Atlanta Hwy, Suite J Gainesville, GA 30504

Monday, August 1, 2022 Page 159 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2020Richard Rickman, MD 49332RN196945Gloster, Charles 42341 200 GA Ave Valdosta, GA 31698

8/25/2018Garrick K Bailey, MD 41507RN199161Glover, Cheryl Renee 42281 155 Professional Dr Baldwin, GA 30511-4000

12/31/2019Sebastian Hubbuch, MD 23990RN150430Glover, Petra Sabine 20745 2300 Manchester Expwy Ste. 1003 Columbus, GA 31904

8/3/2020Christopher A. Brown, MD 50705RN155519Glover, Shontreka A. 43185 150 North Park Trail (Suite B) Stockbridge, GA 30281

8/3/2020David Rabin 72088RN155519Glover, Shontreka 47447 34 Upper Riverdale Road, Suite 201 Riverdale, GA 30274

12/1/2012David Asrael, MD 51291RN130753Gluzman, Julia 7812 2464 Roswell Road NE Marietta, GA 30062

12/1/2012Wallace Duncan, MD 41109RN130753Gluzman, Julia 8408 2464 Roswell Road NE Marietta, GA 30062

1/13/2019Diahann Moore, MD 63458RN272804Goad, Jordan 43967 2900 University Pkwy Lawrenceville, Ga 30043

3/25/2013Searle Videlefsky, MD 42477RN178818Gobeille-Dormio, Rose 11135 631 Professional Dr., Ste 360 Lawrenceville, GA 30046

11/4/2021Sean Delaney, MD 49001RN178818Gobeille-Dormio, Rosalee 12259 755 Walther Rd Lawrenceville, GA 30046

8/15/2011Joseph Joyave, MD 43977RN145415Goble, Anne-Marie 7846 201 Professional Court Calhoun, GA 30701

11/19/2019Joel Garrison, DO 76549RN210213Gobre, Gisele Natacha 19830 106 Broad St. Loganville, GA 30052

5/13/2021Simon Fensterscaub 83142RN210213Gobre, Gisele 53634 5160 Springview Ave Stone Mountain, GA 30083

9/27/2019Bryan Kirkland 57712RN210213Gobre, Gisele 45602 1016 E. Spring St Monroe, Ga 30655

12/1/2014Mohammad N. Al-shroof, MD

45158RN165613Goddard, Tami M. 11344 2054 Watson Blvd Warner Robins, GA 31093

6/20/2013Howard Silk, MD 29785RN155713Godfrey, Chandra T. 9258 1240 Hwy 54 West, Suite 310 Fayetteville, GA 30214

8/31/2015Catherine Andrews, MD 23560RN059374Godwin, Debra Lyn 13733 4791 S. Main St. Ste 100 Acworth, GA 30101

11/28/2018Jonathan Williams, DO 59237RN130256Godwin, Cristi Leigh 9571 1733 Gornto Rd, Suite 101-C Valdosta, GA 31601

4/21/2009Howard Jones, DO 25774RN130256Godwin, Cristi Leigh 2621 2501 N. Patterson Street Valdosta, GA 31602

12/20/2010Douglas Moss, MD 41178RN130256Godwin, Cristi Leigh 8553 814 Northwood Park Drive Valdosta, GA 31602

7/20/2021Stephan Meadors 83959RN069333Godwin, Gail 48533 2927 Demere Road Saint Simons Island, GA 31522

10/2/2010Sarah Hosford, MD 32209RN164147Goenaga, Maria Elena 8492 320 Parkway Drive NE, #244 Atlanta, GA 30312

3/31/2017David Quintero Bustos, MD 61149RN226582Goergen, Jacob 15592 600 Celebrate Life Parkway Newnan, GA 30265

11/26/2013Ezad Ahmad, MD 38162RN188799Goff, Laura Rene 9764 1411 Chattanooga Ave Dalton, GA 30720

1/23/2019Teresa Clark, MD 20417RN059280Gogatz, Debra Tolley 20027 5949 Buford Hwy. Norcross, GA 30071

Monday, August 1, 2022 Page 160 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/14/2014Sharad Ghamande, MD 49173RN208644Gokal, Payal Vasantrai 13295 1120 15th St, BA-7511 Augusta, GA 30912

4/1/2016Maiysha Clairborne, MD 55194RN230566Golan, Tail 15578 1000 Johnson Ferry Rd, Ste B155 Barietta, GA 30068

4/29/2011Warren Weber, MD 26677RN113630Gold, Kara Waldrop 1122 3875 Austell Road South, Suite 203 Austell, GA 30106

10/1/2020Alex Rikhter, MD 44070RN113630Gold, Kara Waldrop 9961 1140 Hammond Drive, Ste G7105 Atlanta, GA 30328

3/31/2017Harriette Perlstein, MD 31098RN161827Goldklang, Michelle Marie 9482 4395 Johns Creek Pkwy, Suite 150 Suwanee, GA 30024

6/13/2011Jaykrishna Darji, MD 58862RN159730Goldman, Karen Renee 9240 196 Ridgecrest Circle Clayton, GA 30525

5/9/2012Bridgett Bailey, DO 58390RN159730Goldman, Karen Renee 9967 116 Smith St Tennille, GA 31089

3/10/2021Duke, Michael MD 42041RN129746Goldsberry, Jennifer 10391 134 W. Campus Dr, CBX 091 Milledgeville, GA 31061

6/21/2019Zahid Afridi, MD 68875RN261301Goldstone, Elaine Brown 21237 424 Decatur St. Atlanta, GA 30312

6/17/2013Michael Schechter, MD 58776RN127360Golubic, Sharon Louise 1125 1547 Clifton Road NE Atlanta, GA 30322

6/15/2019Satish Rao, MD 66739RN261511Gomez, Mayelin 19232 1120 15th St., Ad 2226 Augusta, GA 30912-004

9/4/2019Bolaji Odusina 42380RN236233Gomez-Nova, Ana 44786 1155 Lawrenceville-Suwanee Rd. Lawrenceville, Ga 30043

10/5/2017Michael Metry, MD 71977RN271945Gong, Junyang 39137 2122 Manchester Expressway Columbus, GA 31904

9/17/2020Christopher Delashmitt 64023RN191192Goniea, Ashley 48644 1200 Memorial Drive Dalton, GA 30720

1/1/2022Lewis Earnest 62684RN185283Gonzales, Andrew 58798 1230 Baxter Street Athens, GA 30606

11/1/2018Karan Julka 56846RN249592Gonzales, Kamla N 42648 3320 Old Jefferson Rd. (Suite 200A) Athens, GA 30607

6/8/2020Victor Okeh 71268RN249592Gonzales, Kamla 44746 11 Upper Riverdale Rd. Riverdale, Ga 30274

4/1/2021OLENA KLINDUKHOVA 66515RN205616GONZALEZ, CHRISTY 46253 233 N. HOUSTON RD., SUITE 101 WARNER ROBINS, GA 3109

8/28/2019Jim John 64572RN226051Gonzalez, Laura 45510 755 Walther Rd. Lawrenceville, Ga 30046

6/19/2021Amir Agha 37741RN294301Gonzalez, Janet 56003 4904 Timber Ridge Drive, Suite 101 Douglasville, GA 30135

9/1/2016Jeff Dowis, MD 68199RN205616Gonzalez, Christy 21313 1205 Russen Parkway Warner Robins, GA 31088

4/6/2018Davin Mitchell, MD 63786RN265102RN265102

Gonzalez, Allison Porter 19973 1075 Lafayette Pkwy. Ste. 100 Lagrange, GA 30241

2/11/2022Shaveanda Queen 40764RN246497Gonzalez, Sheena 59774 1706 Candler Road Decatur, GA 30032

3/1/2021Safia Pirani 56624RN281132Gonzalez-Reinemer, Paula 52594 3330 Peachtree Corners Circle Suite H Norcross, GA 30092

5/25/2016John Pittman, MD 37045RN069392Gooch, Carole 14555 715 E 2nd Ave Rome, GA 30161

Monday, August 1, 2022 Page 161 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/15/2013Kevin Brown, MD 36109RN069392Gooch, Carole Elaine Marshall 9632 20 Riverbend Dr SW Rome, GA 30161

1/19/2011Anne White, MD 30240RN069392Gooch, Carole Elaine Marshall 8552 909 N Fifth Avenue Rome, GA 30165

4/1/2009Eric Taylor, MD 50564RN069392Gooch, Carole Elaine Marshall 1128 315 W. 10th Street, Suite 110 Rome, GA 30165

8/1/2016Pablo Quintanilla, MD 17546RN217564Good, Kayla Marie 17654 5139 Jimmy Carter Blvd, Ste 203 Norcross, GA 30093

11/23/2016Nicole Sroka, MD 57191RN174056Gooding, Karen Elaine 15091 1267 Hwy 54 West, Ste 210 Fayetteville, GA 30214

9/18/2014Sangha Sumandeep, MD 56222RN174056Gooding, Karen Elaine 1130 1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214

5/30/2011Rayna Jobe, MD 60386RN152359Goodman, Theresa G. 8576 805 Sandy Plains Road Meriatta, GA 30066

6/1/2022Van Millin 66530RN251270Goodman, Jana 58866 303 Smith Street LaGrange, GA 30240

12/11/2015Charles Myers, MD 69314RN157565Goodman, Susannah 14979 100 Duplainville Rd The Rock, GA 30285

6/27/2016Divina Dyer, MD 57161RN157565Goodman, Susannah Burns 17299 100 Duplainville Rd The Rock, GA 30285

7/1/2019Sarah Polow, DO #####RN241476Goodness, Guy 38828 824 GI Maddox Parkway Chatsworth, GA 30705

9/1/2011Richard Pierzchajlo, MD 22620RN164651Goodno, Shana Leigh 9385 1489 Kennedy Rd Tifton, GA 31794

9/15/2020John Schuler, MD 37364RN124143Goodson, Jennifer Moore 12972 600 Parkway North Newnan, GA 30265

8/1/2010Tania Edwards, DO 53465RN124143Goodson, Jennifer Moore 1131 7777 Kia Pkwy West Point, GA 31833

10/15/2018Pradeep Jolly, MD 22798RN171233Goodson-Redmond, Rosetta 18127 1100 Johnson Ferry Rd, Ste 600 Atlanta, GA 30342

7/23/2019Gary Smith 10666RN224028Goodwin, Douglas Scott 44409 P O Box 729 Ringgold, GA 30736

10/31/2019Lora Efaw 36727RN118359Goodwin, Tessamy 45574 39 Kent Rd., #2 Tifton, Ga 31794

10/24/2019Gary Lee Smith, MD 10666RN163811Goodwin, Denise R. 41879 6120 Alabama Hwy (P O Box 729) Ringgold, GA 30736

5/22/2021Jose Justiniano-Ayala 46773RN224028Goodwin, Douglas 44520 205 Jenkins Rd Rossville, Ga 30741

8/24/2016Leslie Cotrell, MD 45194RN118448Goodwin, Amy Catherine 1132 1600 Maple St. Carrollton, GA 30118

9/8/2009Benjamin Lam, MD 59544RN154592Goodwin, Willie James 8519 550 Peachtree St NE Atlanta, GA 30016

2/1/2019Smith, Ronnie MD 45338RN180693Goodwin, Dara 10303 543 Jonesboro Rd McDonough, GA 30253

6/29/2010Ronald C. Pirtle, MD 13784RN069257Gordon, Karen Fancher 928 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

12/1/2020David Bryant 52394RN219044Gordon, Sabina 48218 1365 Rock Quarry Road, Suite 302 Stockbridge, GA 30253

9/26/2008Luis Murrain, DO 57747RN188412Gordon, Jane Louise 8085 360 College Street Blakely, GA 39823

9/18/2020Amy Kolarova 81476RN181470Gordon, Tanya Lynn 44343 2020 Peachtree Road NW Atlanta, GA 30309

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2019Gerald Bilsky, MD 31701RN181470Gordon, Tanya Lynn 17431 2020 Peachtree Rd, NW Atlanta, GA 30309

8/15/2016Goldstein, Matthew MD 48115RN158213Gordon, Bridgette 10739 1700 Medical Way, Emer Dept Snellville, GA 30078

5/9/2017Mark Elam, MD 36147RN158213Gordon, Bridgette 15717 1000 Medical Center Blvd 100, Ste 290 Lawrenceville, GA 30

1/24/2014Eyal Meiri, MD 70324RN231607Gordy, Bridget Nicole 12704 600 Parkway North Newnan, GA 30265

2/9/2015Thomas Comstock, MD 19151RN231607Gordy, Bridget Nicole 13255 802 Dixie St Carrollton, GA 30117

1/1/2018Aldrich Mendoza, MD 62916RN231607Gordy, Bridget Nicole 15307 1480 Hwy 27 South Carrollton, GA 30117

5/31/2013William Dasher, MD 51453RN118105Gore, Holly 11120 3708 Northside Dr. Macon, GA 31210

11/30/2008Jacob Varghese, MD 56933RN121027Gore, Victoria Ferlita 7785 3700 Club Drive Lawrenceville, GA 30044

7/2/2012Wood Pope, MD 57741RN118105Gore, Holly Paige 1136 1600 Forsyth Street Macon, GA 31201

5/14/2012Julian Hutchins, Sr., MD 18677RN121027Gore, Victoria Ferlita 9740 4150 Washington Rd, Suite 11 Evans, GA 30809

12/31/2011Thomas Deering, MD 32170RN149725Gore, Ashley Heath 8825 275 Collier Rd, Suite 300 Atlanta, GA 30309

2/6/2010Lamar Peacock, MD 34920RN121027Gore, Victoria Ferlita 8720 465 N. Belair Rd, Suite 3-A Evans, GA 30809

4/24/2017Kevin Osgood, MD 35719RN252828Gorgoglione, Caroline Nicole 16911 1968 Peachtree Rd, NW Atlanta, GA 30309

6/23/2018Andy Jaffall, MD 43394RN252828Gorgoglione, Caroline Nicole 20779 1968 Peachtree Rd. NW Atlanta, GA 30309

2/3/2010Walter Smith, MD 37078RN105044Gorgor, Saye Zunpudolo 1137 9020 Peridot Pkwy Stockbridge, GA 30281

7/24/2015Milele Francis, MD 55218RN182301Gorham, Sara E. 11859 1700 Hospital South Dr, Suite 500 Austell, GA 30106

10/29/2019James A Harrell, MD 26782RN222604Gorley, Larrice Tela 42374 3116 North Oak St. Extension Valdosta, GA 31602

12/18/2019Benjamin B Bailon, MD 27025RN222688Gosier, Endia Noel 42458 116 Rosedale Ave Thomasville, GA 31792

1/31/2019Karen S Kinsell, MD 42630RN222688Gosier, Endia Noel 40779 3200-C North Ashley Street Valdosta, GA 31602

4/25/2019CLAY LEE DO 46610RN222688GOSIER, ENDIA 39716 207 31ST AVE SE MOULTRIE, GA 31768

4/17/2018Michele Mitchell, MD 71254RN222688Gosier, Endia Noel 41193 3200-C North Ashley St Valdosta, GA 31602

7/28/2021Young Chai 79584RN216690Gosnell, Kristen 44521 2151 Spring St Monroe, Ga 30655

7/24/2015Tamara Huff, MD 71999RN230020Gosselin, David N 15046 305 Pineview Dr Waycross, GA 31501

12/31/2014Mark Brodersen, MD 68883RN230020Gosselin, David N 12445 305 Pineview Dr Waycross, GA 31501

2/25/2019Maria F. Acosta, MD 52332RN201903Gould, Mary Anne 16912 110 RT Stanley Sr Place Lyons, GA 30436

9/8/2017Stephen Tiley, DO 69988RN201903Gould, Mary Anne 17435 One Meadows Pkwy Vidalia, GA 30474

Monday, August 1, 2022 Page 163 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/14/2019Armando Castillo Jr, MD 54989RN103886Gouveia, Mary Ann 16913 743 Spring St Gainesville, GA 30501

10/24/2020Layth Saymeh 67436RN181186Govner, Nikki 51245 203 Tommy Stalnaker Drive Warner Robins, GA 31088

2/15/2022Christa Springston 73837RN181186Govner, Nikki 59029 1275 Highway 54 W, Suite 201 Fayetteville, GA 30214

12/5/2018Beena Patel, MD 37322RN225920Goyal, Geetika 15452 8095 Roswell Rd, Ste A Sandy Springs, GA 30004

3/3/2018Travis Bowles, MD 68374RN68374Grabowski, Corie Johnson 40995 400 Peachtree Industrial Blvd Suwanee, GA 30024

2/20/2015Josephine Dunagan, MD 15553RN217972Graciaa, Sara H 13732 1700 Tree Ln Ste 110 Snellville, GA 30078

1/28/2019Jehangir T. Pirzada 72082RN175322Graddick, Felicia Deshan 43535 601 South 8th Street Griffin, GA 30224

12/21/2019Parviz Brahman 66576RN130303Graham, Beverly 44523 1805 N. Tift Ave Tifton, Ga 31794

4/23/2020Joel Judah 64233RN113211Graham, Margarett 49223 240 Sheraton Blvd Macon, GA 31210

3/7/2020Layth Saymeh, MD 67436RN113211Graham, Margarett Ann 20254 203 Tommy Stalnaker Dr. Warner Robins, GA 31088

4/21/2020Aristotle P Cochon, MD 66344RN130303Graham, Beverly Denise 42629 1101 Ocilla Road Douglas, GA 31533

11/1/2018Howard A McMahan, MD 22824RN130303Graham, Beverly Denise 42464 209 West Hudson Street Ocilla, GA 31774

1/2/2019Eugene H Jackson, MD 22793RN130303Graham, Beverly Denise 42470 185 Bowens Mill Highway Fitzgerald, GA 31750

2/14/2020Guido H. Ring, MD 45325RN130303Graham, Beverly Denise 42884 1904 Palmyra Road Albany, GA 31701

10/9/2018Michael Todd Peacock 40752RN 130303Graham, Beverly Denise 38976 185 Bowens Mill Highway Fitzgerald, GA 31750

12/21/2019Reuben Roberts Jr. 17944RN130303Graham, Beverly Denise 44083 1909 US High 82 West (Suites 3 & 4) Tifton, GA 31793

2/5/2020Lawrence Reccoppa 69940RN212577Graham, Latisha 38855 2900 University Pkwy Lawrenceville, GA 30043

10/16/2018Robert A. Ludwick, MD 37277RN130303Graham, Beverly Denise 41135 185 Bowens Mill Highway Fitzgerald, GA 31750

10/9/2018Michael D. Satchell, MD 49593RN130303Graham, Beverly Denise 41103 1904 Palmyra Road Albany, GA 31701

2/28/2022Christopher N Bazal, MD 49562RN130303Graham, Beverly Denise 42474 233 Sunset Circle Moultrie, GA 31768

4/24/2020Trevor Feinstein, MD 65768RN192837Graham, Sherome 38659 1267 Highway 54 West Fayetteville, GA 30214

10/28/2014Matthew Shannon, MD 67439RN165086Graham, Vickie L. 11654 2501 N Patterson St, Emer Dept Valdosta, GA 31602

9/21/2016Karen Baker, MD 66251RN226146Graham, Erin Elizabeth 16863 1692 Chatham Pkwy Savannah, GA 31405

3/30/2021Nalini Ramaiya, MD 24241RN165086Graham, Vickie L. 19802 350 Hospital Drive Macon, GA 31217

6/16/2016Peter Lee, MD 38545RN212577Graham, Latisha Lashaun 17786 34 Upper Riverdale Rd. ste. 100 Riverdale, GA 30274

12/16/2019David Cox, MD 70247RN134816Graham, Sherri 16214 148 East Peacock St Cochran, GA 31014

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/9/2021Don Roberts 21582RN113211Graham, Margarett Ann 57566 1111 East 20th Street Tifton, GA 31794

4/21/2022Hilaire Shongo-Hiango 65058RN212577Graham, Latisha 46660 901 Rice street NW Atlanta, GA 30318

12/11/2021Robertson, Gregory MD 52203RN176480Graham, Jennifer 10202 6325 Hospital Parkway Johns Creek, GA 30097

5/4/2017Thomas David Yates, MD 26417RN136905Grahn, Jody J. 1150 58 Big A Rd Toccoa, GA 30577

12/31/2018Kamal Ummed, MD 71578RN060199Grall, Tina Marie 20215 1100 Johnson Ferry Road Suite 600 Atlanta, GA 30342

1/1/2019Jorge Spinolo, MD 36016RN060199Grall, Tina Marie 20256 1045 Southcrest Drive ste. 200 Stockbridge, GA 30281

11/23/2020Mark Bradshaw, MD 66574RN222336Grane, Brett N. 39294 1255 Highway 54 West Fayetteville, GA 30214

9/15/2021Gillespie, Lisa MD 41433RN116530Granger, Elaine 10561 1412 Milstead Avenue Conyers, GA 30012

3/16/2020Jonathan Busbee, MD 40336RN117085Grant, Shayni L. 18092 801 W. Gordon Street Thomaston, GA 30286-3426

1/29/2018Dave Tomey, MD 50276RN117085Grant, Shayni L. 17102 501 Redmond Rd Rome, GA 30165

1/15/2022Jason Nicely, MD 67693RN117085Grant, Shayni 15291 1200 Memorial Dr Dalton, GA 30720-2529

4/6/2020Jatinder Bhatia, MD 18784RN152353Grant, April R. 15013 1120 15th St., BIW 633 Augusta, GA 30912

2/28/2020Theron Thompson 51772RN251649Grant, Charmaine 47313 540 E. Crossville Rd., Suite 210 Roswell, GA 30075

6/21/2021Daniel Ralston 84078RN251649Grant, Charmaine 49470 1829 Lawrenceville Hwy Decatur, GA 30033

10/20/2020Stephan Meadors 83959RN260961Grant, Tshaun 52441 2927 Demere Road Saint Simons Island, GA 31522

10/19/2020Wayne Denton 86268RN260961Grant, Tshaun 53646 633 Stephenson Ave Savannah, GA 30405

7/14/2020Aderemi Dosunmu 47893RN260961Grant, Tshaun 51701 633 Stephenson Ave. Savannah, GA 30405

2/15/2021Briccio Valdez 19353RN260961Grant, Tshaun 52299 633 Stephenson Ave. Savannah, GA 30405

3/19/2015William Pullen, MD 17270RN117085Grant, Shayni L. 1154 1200 Memorial Dr. Dalton, GA 30720

3/30/2014Lawson, Dale MD 54233RN139828Grasman, Amy 10008 2000 Palmyra Road Albany, GA 31701

4/29/2016Samrajya Gogineni, MD 25160RN139828Grasman, Amy Joyce 14941 1390 Hwy 19 South Leesburg, GA 31763

3/1/2015Barnwell Calhoun, MD 66934RN139828Grasman, Amy Joyce 13654 1390 US Hwy 19 S Leesburg, GA 31763

10/11/2011Joseph Stubbs, MD 24105RN139828Grasman, Amy Joyce 9697 2402 Osler Court Albany, GA 31707

9/20/2018Frank Saucier, MD 28880RN210406Gravel, Sarah Elizabeth 13001 2122 Manchester Exprwy, Emer Dept Columbus, GA 31904

7/15/2020James E. Ragan 38337RN210406Gravel, Sarah Elizabeth 44084 2122 Manchester Expressway Columbus, GA 31904

3/24/2020Ram Reddy, MD 24178RN218085Graves, Dellinia 40741 1061 Dowdy Rd Suite 101 Athens, GA 30606

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/5/2019Ram Reddy, MD 24178RN218085Graves, Dellinia 40182 1061 Dowdy Road, Suite 100 Athens, GA 30606

2/25/2022Edward Middlebrooks 47624RN209451Graves, Kacie 54444 758 Old Norcross Road, Suite 100 Lawrenceville, GA 30076

9/22/2015Saudiqa Hoossainy, MD 68179RN191607Graves, Mary 15105 5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

1/12/2015Kyoung-Soon Kim, MD 39144RN191607Graves, Mary Elizabeth 8558 5150 Stilesboro Road, Suite 220 Kennesaw, GA 30152

2/18/2019Laura Conger, MD 42031RN097443Gravitt, Pamela Mae Wooten 13670 1200 Memorial Dr Dalton, GA 30720

1/19/2022Robert Anderson 32121RN296790Gravitt, Christopher 55776 1815 Old Ocilla Road Tifton, GA 31794

1/21/2021Melinda Knight 83903RN296790Gravitt, Christopher 52846 1815 Old Ocilla Road Tifton, GA 31794

9/1/2020Muhammad S. Ahmed, MD 61687RN257772Gray, Melissa Marie 42633 2160 Fountain Drive Snellville, GA 30078

2/1/2016Thomas Bloodworth, MD 18124RN167348Gray, Rebecca 16112 6794 Bill Carruth Pkwy Hiram, GA 30141

2/28/2015Christopher Morgan, MD 66151RN229260Gray, Wendy Leigh 12850 West GA Health-1514 Vernon Road LaGrange, GA 30240

6/4/2020Randall Berinhout, MD 34777RN121625Gray, Eleasha R. 8302 210 Medical Blvd Stockbridge, GA 30281

8/15/2016Stephen Pastan, MD 39196RN143701Gray, Carol Ann Ferguson 1157 35 Collier Road NW, Suite 610 Atlanta, GA 30309

9/1/2015Michael Powell, MD 23663RN094164Gray, Pamela Ann Ansley 1159 PO Box 840 Thomson, GA 30824

6/10/2010Michael Katz, MD 40116RN143701Gray, Carol Ann Ferguson 8092 35 Collier Road NW, Suite 610 Atlanta, GA 30309

6/10/2010Edward Frederickson, MD 32384RN143701Gray, Carol Ann Ferguson 8093 35 Collier Road NW, Suite 610 Atlanta, GA 30309

1/1/2018Naresh Parikh, MD 28851RN167539Gray-Smith, Patricia Theresa 1160 6330 Primrose Hill Court Norcross, GA 30092

10/27/2020Venkatappa R. Rangaraj, MD

58633RN167539Gray-Smith, Patricia 11480 2795 Main St. W, #27 Snellville, GA 30078

5/1/2020Jae Pak, MD 40185RN167539Gray-Smith, Patricia Theresa 9399 2160 Fountain Dr, Suite 200 Snellville, GA 30078

3/6/2012Ashley Davis, MD 58161RN168546Grealy, Charlotte Marie 9614 5555 Whittlesey Rd, Suite L-1 Columbus, GA 31909

6/15/2015Laura Bleekrode 34514RN171399Greco, Kimberly Anne 13815 1100 Noahmeadow Pkwy Ste 108 Roswell, GA 30076

10/25/2021Afolabi Tiamiyu 63140RN203251Greco, Jennifer 51324 822 South Hill Street Griffin, GA 30223

7/12/2019Ludy Lukose, MD 70217RN228576Greear, Ellen 21304 407 W. Maple St. Suite 101 Cumming, GA 30040

4/17/2019Miles Johnson, MD 38817RN205829Green, Nathalie 20712 2600 Martin Luther King Jr, SW Ste. 100 Atlanta, GA 30311

3/17/2017Christian Williams, MD 72168RN069351Green, Linda Sue 17437 7311 Fairmount Hwy Calhoun, GA 30701

5/3/2021Wael Azer, DO 73935RN264782Green, Crista M. 38846 1900 Tebeau Street Waycross, GA 31501

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/26/2018Darrell Murray, MD 44797RN186231Green, Angella Dinina 38789 920 Dannon View, SW, Suite 3103 Atlanta, GA 30331

7/2/2020Aderemi Dosunmu 47893RN209710Green, Faqueta 51481 633 Stephenson Ave. Savannah, GA 30405

7/9/2021Karl Mihalovits 11776RN113823Green, Mary Ann 55621 400 Technology Court, Suite J Smyrna, GA 30082

12/31/2021Alfred Martin 26592RN158378Green, Natalie 54772 520 Telford Place Atlanta, GA 30342

2/23/2021Allen Solomon 28465RN280575Green, Shelia 53987 5870 North Hiatus Road, Suite 200 Tamarac, FL 33321

9/30/2020David Bate 34291RN113823Green, Mary Ann 44318 223 N. Anderson Drive Swainsboro, GA 30401

9/30/2020Robert Shervette 30423RN113823Green, Mary 44592

5/13/2021Briccio Valdez 19353RN209710Green, Faqueta 52297 633 Stephenson Ave Savannah, GA 30405

1/22/2015Joy Nwadike, MD 56863RN069351Green, Linda 15729 110 Hospital Dr Calhoun, GA 30701

8/18/2014Warren, Brandi DO 61681RN199692Green, Laura 10659 6203 Alabama Highway Ringold, GA 30736

12/20/2016Pradeep Jolly, MD 22798RN196523Green, Marla Carolyn 14063 1100 Johnson Ferry Rd., Ste 600 Atlanta, GA 30342

10/29/2015James Mossell, MD 44028RN215381Green, GerLana Shanea 14157 901 East 18 th St, Ste 490 Tifton, GA 31794

10/31/2014Ann Stokes, MD 63963RN199692Green, Laura Ann 14134 4356 Communications Dr Norcross, GA 30093

4/10/2012Loy Cowart, MD 37979RN199692Green, Laura Ann 9526 207 S. Duke St Lafayette, GA 30728

7/18/2016Rao Moravineni, MD 51360RN196523Green, Marla Carolyn 13621 747 S. 8th St., Ste C Griffin, GA 30224

7/18/2016Ethan Tolbert, MD 46265RN196523Green, Marla Carolyn 13622 550 Peachtree St, NE, Ste 1185 Atlanta, GA 30308

8/16/2016Dawn Wilson, MD 47279RN186231Green, Angella Dinina 16876 545 Old Norcross Rd, Ste 300 Lawrenceville, GA 30046

3/10/2017John Mynatt, Jr, MD 41469RN199156Green, Tammy Lemaster 17230 5040 Bill Gardner Pkwy, Ste 100 Locust Grove, GA 30248

7/16/2019Darshak Pandya, DO 58995RN175761Green, Alisha Moses 17210 501 Redmod Rd Rome, GA 30165

12/29/2017Jagdeep Singh, MD 59761RN175761Green, Alisha Moses 13360 501 Redmond Rd. Rome, GA 30165

7/7/2021Hans Yehnert 72516RN159821Green, Rachael 57669 102 Erlanger South Drive Ringgold, GA 30736

6/1/2022Henry Sakow 23870RN246976Green, Richard 58792 500 w. Third Avenue, Suite 105 Albany, GA 31701

1/22/2020Robert Miller 19081RN231333Green, Stephanie 48158 3400 Parkwood Drive Brunswick, GA 31520

8/13/2021Dale Green 31926RN080567Greene, Angela 56832 55 Carlton Street Athens, GA 30602

4/18/2019Lawrence Zottoli, MD 36639RN100349Greene, Elissa Jo Dreyfuss 1163 4704 Augusta Rd Garden City, GA 31408

2/28/2022Brian DeLoach, MD 51216RN190789Greene, Alania Sue 18205 984 Plant Dr. Statesboro, GA 30460

Monday, August 1, 2022 Page 167 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/28/2016Jennifer Bracey, MD 67894RN171320Greene, Maloma Abidemi 17136 80 Jesse Hill Jr Dr Atlanta, GA 30303

8/12/2016Kevin Johnson, MD 70497RN196671Greene, Margaret Elizabeth 14260 1000 University Center Lane, Ste 3106 Lawrenceville, GA 30

7/1/2021Debra Selby 83723RN232342Greene, Elizabeth 52957 760 26th Avenue SE Moultrie, GA 31768

5/2/2022Kevin Winders 42145RN235245Greene, Julie 55302 10090 Medlock Bridge Road, Suite 110 Johns Creek, GA 300

1/1/2020Eric Freidrich, MD 16344RN176432Greene, Lawanda Renee 18848 506 Osigian Blvd ste. 4 Warner Robbins, GA 31088

1/1/2022Michael Banov, MD 37945RN046959Greenhood, Karen E. Richards 8212 108 Margaret Avenue Marietta, GA 30060

11/20/2015David Goo, MD 31924RN208848Greenwald, Codi Lynn 13894 100 Medical Center Blvd. Lawrenceville, GA 30046

8/24/2017Nga Pham, MD 53313RN208848Greenwald, Codi 16553 1405 Clifton Rd NE Atlanta, GA 30322

5/8/2020Ogbonna Ogbu 68084RN230432Greenway, Wendy 46943 745 Popular Road Newnan, GA 30265

12/1/2015Darshana Sheth, MD 58642RN145206Greer, Jean Smith 14845 2476 Canton Rd Marietta, GA 30066-5377

7/21/2021Rose Briglevich, MD 17042RN145206Greer, Jean 21076 3969 South Cobb Drive Ste. 107 Smyrna, GA 30080

10/7/2019Erinn R. Harris, MD. 47760RN085223Greer Daniel, Colette A. 40332 2000 10TH Ave. Columbus, GA 31901

12/19/2016Candi Nobles-James, MD 47985RN217912gregg, Marita Ann 12160 777 Hemlock St, Suite 118 Macon, GA 31201

4/9/2017Jayanthi Srinivasiah,MD 33204RN201437Gregory, Shalia Shani 19772 2712 Lawrenceville Highway Decatur, GA 30033

1/1/2018Allan Levey, MD 34885RN201437Gregory, Shalia Shani 13448 1821 Clifton Rd. Atlanta, GA 30329

1/1/2018Ihab Hajjar, MD 70835RN201437Gregory, Shalia Shani 13449 1821 Clifton Rd, NE Atlanta, GA 30329

1/1/2018James Lah, MD 41863RN201437Gregory, Shalia Shani 13451 1821 Clifton Rd, NE Atlanta, GA 30329

10/31/2019Syed Agha 59357273508Gregory, Sarah 41563 1436 Broadrick Drive, Suite B Dalton, GA 30720

8/6/2021Meredith Koomson 76589RN219164Gregory, Anthony 51763 1390 US-19 S Leesburg, GA 31763

12/30/2020JiHyun Lee 83097RN273508Gregory, Sarah 51957 1436 Broadrick Drive Dalton, GA 30720

6/13/2011Jatinder Bhatia, MD 18784RN160240Gregory, Ashley Hardy 1244 1120 15th Street, BIW-6033 Augusta, GA 30912

12/4/2021Ellen Basile 79049RN246874Grenald, Valerie 54419 1120 15th Street, Suite BT 2654 Augusta, GA 30912

9/23/2015Trent Schueneman, MD 51731RN131706Griffeth, Susan 15681 2927 Demere Rd St. Simons Island, GA 31522

3/5/2019Paul Wentland, MD 74929RN130524Griffey, Cynthia Diane 20409 14 Fort Town Dr. Ft. Oglethorpe, GA 30742

7/1/2019Robert Dollinger 79042RN164758Griffin, Kimberly Sapp 44300 1465 Laney Walker Blvd. (Pavilion 2, AF - 1040) Augusta, GA

10/15/2021David Quang 67965RN245449Griffin, Allison 52361 130 Byrd Way Warner Robins, GA 31088

Monday, August 1, 2022 Page 168 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/12/2022Renee Haynes 76287RN097029Griffin, Kimberly 46251 953 Barrows Ferry Rd. NE Milledgeville, Ga 31061

2/12/2021Gweneth Francis 68157RN232663Griffin, Alexis 54717 1265 Highway 54 Fayetteville, GA 30214

6/1/2015Jim Barlow, MD 30717RN193727Griffin, Shuvory Chyann 13116 235 Peachtree St., N Tower, Ste2100 Atlanta, GA 30303

3/9/2022Wendy Russell, MD 45442RN181160Griffin, Sashana 16401 3999 Austell Rd, Ste 901 Austell, GA 30106

3/15/2018Sophenia Gay, MD 67868RN097029Griffin, Kimberly Lynn 18022 821 N. Cobb Street Milledgeville Ga, Ga 31061

10/15/2013Edwin W. Allen III, MD 21472RN193727Griffin, Shuvory C. 11252 2000 Palmyra Road Albany, GA 31705

3/15/2022Kenneth Ajabor 70846RN203059Griffis Jr., Donald 47674 1900 Tebeau Street Waycross, GA 31501

12/6/2019Aristotle Cochon 66344RN203059Griffis Jr., Donald Neal 44345 2015 Alice Street Waycross, GA 31501

10/8/2015John House, MD 11959RN203059Griffis, Jr., Donald Neal 13269 218 Quarterman St Waycross, GA 31501

8/1/2020Lindsay Fowler 67016RN231027Griffith, E. Grace 45898 400 Walmart Way, Suite F Dahlonega, Ga 30533

6/13/2021Matthew Davis 69571RN231027Griffith, Elizabeth 57115 162 Legacy Point Clayton, GA 30525

5/27/2022Kathryn Blocker 50497RN228928Griffiths, Sarah 53992 11 Hospital Way, Suite A Blairsville, GA 30512

9/15/2018Neil Sinh, MD 65183RN135252Griffiths, Karen Arlene 41098 460 Northside Cherokee Blvd. (Suite 370) Canton, GA 30114

4/2/2018Carter G. Co, MD 61054RN106463Grigg, Carolyn W. 18093 600 Celebrate Life Parkway Newnan, GA 30265

3/1/2016David Quintero-Bustos, MD 61149RN106463Grigg, Carolyn W. 13555 600 Parkway North Newnan, GA 30265

10/29/2015Akita Evans, MD 64372RN186490Grigsby, John 15294 700 US Hwy 29 North Athens, GA 30601

10/17/2017Sofia Munir, MD 68250RN186490Grigsby, John Michael 18533 700 US Hwy 29 N Athens, GA 30601

3/25/2019George Garriss, MD 51134RN186490Grigsby, John 39643 700 US Highway 29 N Athens, GA 30601

7/30/2020Tara Howell 61839RN226645Grimaldo, Monica 46412 25 W Lyon Street Tallapoosa, GA 30176

9/27/2021Haritha Pabbathi 64236RN112041Griner, Dell 56075 600 Celebrate Life Parkway Newnan, GA 30265

9/27/2021Mahdi Taha 72488RN112041Griner, Dell 46720 600 Celebrate Life Parkway Newnan, GA 30265

6/17/2016Nitasha Burney, MD 55931RN186490Grisby, John Michael 16795 700 US Hwy 29N Athens, GA 30601

12/10/2021Charles Hitson 26554RN183551Grogan, Lori 52798 619 S. 8th Street, Suite 200 Griffin, GA 30224

10/1/2017Kelly McCants, MD 72798RN203227Grone, Meghan Ann 18571 95 Colliet Rd, NW, Ste 3000 Atlanta, GA 30309

11/13/2009Darwin Brown, MD 46531RN127220Groover, Teresa Cook 1962 2665 North Decatur Road, Suite 520 Decatur, GA 30033

8/14/2020Frank Curvin, MD 45058RN223393Groseclose, Liam 40994 3535 Ashton Woods Drive Atlanta, GA 30319

Monday, August 1, 2022 Page 169 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/14/2020Michael H. Groover, MD 35059RN223393Groseclose, Liam 42583 3535 Asnton Woods Drive Atlanta, GA 30319

11/18/2020April Grant 81147RN206831Grossman, Michael 47844 80 Jesse Hill Jr. Drive Atlanta, GA 30303

3/24/2021James Hull 75154RN170056Grove, Misty 49574 2122 Manchester Expressway Columbus, GA 31904

7/3/2021REGINALD DAVIS MD 27720RN53441GROVE, LINDSAY 39725 5629 HWY 21 SOUTH RINCON, GA 31326

9/24/2020Monica Hoffmeister-Becerra, MD

68209RN170056Grove, Misty Leigh 16349 2122 Manchester Expwy Columbus, GA 31908

3/1/2020Michael Metry, MD 71977RN170056Grove, Misty Leigh 19831 2122 Manchester Expressway, Critical Care Columbus, GA 3

12/7/2017Amanda Cowan, MD 50793RN053441Grove, Lindsay Ann 15320 5 Executive Circle Savannah, GA 31406

8/31/2018William Jacobsen, MD 72061RN216441Groves, Theresa Ann 18518 1133 Eagles Landin Pkwy Stockbridge, GA 30281

4/5/2021Mushtag Ahmed 76391RN241071Grovestein, Evan 46663 11 Charlie Morris Rd Colbert, GA 30628

5/31/2019Alison Wright, MD 46017RN039862Grube, Kathy Dimeler 8091 1025 North Houston Road Warner Robins, GA 31093

11/30/2007Leslie Tidwell, MD 44359RN039862Grube, Kathy Dimeler 1183 1025 N. Houston Road Warner Robins, GA 31093

5/1/2020Dixie D. Griffin 63661RN180155Grummer-Smith, Kelly Renae 339 39 Kent Road Tifton, GA 31794

8/31/2018Teresa Stewart, MD 57022RN180155Grummer-Smith, Kelly 15473 39 Kent Rd Tifton, GA 31794

12/9/2021Ana Dinulescu 75444RN120657Guastella, Kim 57495 475 Tribble Gap Road Cumming, GA 30040

11/1/2021Thomas Williamson 42144RN267753Guderian, Lauren 57647 822 South Hill Street Griffin, GA 30223

1/18/2022Steven Currier 65231RN258791Guderian, Kyle 51334 5665 New Northside Drive, Suite 300 Atlanta, GA 30328

5/8/2009Jeffrey Kim, MD 56117RN109750Guenther, Paula Mechele 1184 1700 Hospital South Drive, Suite 502 Austell, GA 30106

6/30/2016Lathan Overstreet, MD 36659RN197647Guercio, Cynthia Vaughn 8731 340 Boulevard, Suite 103 Atlanta, GA 30312

1/8/2010Jeffrey Nicholas, MD 48377RN151078Guerrero, Robin Montgomery 8313 69 Jesse Hill Jr Dr, #308 Atlanta, GA 30303

4/17/2020James Sinclair 36457RN222767Guess, Jr, Bobby 46604 1101 Ocilla Rd. Douglas, Ga 31533

2/19/2019Navin Patel, MD 27103RN123486Guest, Sara 14454 340 Exchange Blvd Bethlehem, GA 30620

5/24/2013Luther Vance, MD 19354RN195137Guevarra, Natividad Jesusa Bal 11770 3065 South Cobb Dr, Suite B Smyrna, GA 30080

4/30/2015Michael O'Grady, MD 41189RN195137Guevarra, Natividad 15349 1431 Riverside Parkway Lawrenceville, GA 30043

8/28/2020Megan Bowles, MD 68486RN095654Guice, Emma Mae 13028 3215 Campus Loop Rd NW, House 52 Kennesaw, GA 30144

5/4/2021Duska Dyer 58168RN095654Guice, Emma Mae 54312 3215 Campus Loop Road Kennesaw, GA 30144

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/6/2014Kathleen Gunchick, MD 28760RN095654Guice, Emma Mae 8941 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

9/30/2009Kevin F. Smith, MD 41761RN095654Guice, Emma Mae 1187 1000 Chastain Rd., Hse 52 #5200 Kennesaw, GA 30144

9/1/2016Jamie L. Walraven, MD 45023RN091759Guidry, Angela Marie 11482 1418 Scott Blvd Decatur, GA 30030

10/3/2012David Goo, MD 31924RN091759Guidry, Angela 10419 1418 Scott Blvd Decatur, GA 30030

11/30/2013Romeo Moriles, MD 39639RN091759Guidry, Angela Marie 11988 236 Arrowhead Blvd Jonesboro, GA 30236

11/2/2021Pena, Gullermo MD 59493RN078829Guild, Rene 10829 75 Bypass Road Morganton, GA 30560

5/22/2012Anne Todd, MD 51395RN078829Guild, Rene Ronda 1189 526 Maddox Dr, Suite 101 Ellijay, GA 30540

1/16/2018Kambiz Aflatoon, DO 66238RN180218Guillaume, Charles Peguy 14813 885 Buford Dr Lawrenceville, GA 30043

3/18/2013Trivedi, Nimisha MD 53715RN210215Guinoo, Gregory 10302 3778 Hwy 42 Locust Grove, GA 30248

2/27/2014Rami Arfoosh, MD 63559RN209319Gulsby, Tara Phelps 12646 30 Satellite Dr, Suite 200 Winder, GA 30680

3/31/2022John West 20621RN209319Gulsby, Tara 55392 340 N. Milledge Ave., Suite B Athens, GA 30601

10/27/2021Michael Dicristina 22223RN264580Gunawan, Alyssa 56694 696 Windy Hill Road Smyrna, GA 30080

10/27/2021Nilsa Nazario 30356RN264580Gunawan, Alyssa 57176 3369 Buford Hwy, Suite 810 Brookhaven, GA 30329

4/13/2012Leach, Andrew MD 49051RN203047Gunby, Julie 10604 1000 Hawthorne Ave, Ste G Athens, GA 30606

1/1/2015Randy Robinson, MD 35987RN164900Gunter, Amanda Jo 13991 1507 Broomtown Rd. Lafayette, GA 30728

2/1/2016Andrew Magnet, MD 60215RN164900Gunter, Amanda 15822 813 E 68th St, Ste 8 Savannah, ga 31405

10/25/2021Daniel Valancius, MD 72151RN198661Gunter, Steven Del 19274 330 Turner McCall Blvd, Ste 201 Rome, GA 30165

6/4/2015Amber Zafar, MD 47384RN164900Gunter, Amanda Jo 15251 2443 Brookstone Ceatre Parkway, Ste A Columbus, GA 3190

8/18/2016Kimberly Curseen, MD 72890RN052101Gunter, Debbie 14928 1462 Clifton Rd Atllanta, GA 30322

5/15/2021Jada Rhymes 80981RN198661Gunter, Steven 51325 2122 Manchester Expy Columbus, GA 31904

5/31/2022Kailash Kulkarni 64128RN198661Gunter, Steven 52324 707 Old Dalton Ellijay Road Chatsworth, GA 30705

5/31/2022Kailash Kulkarni 64128RN198661Gunter, Steven 52325 1035 Red Bud Road NE Calhoun, GA 30701

3/5/2020Farhad Yazdi 47381RN283826Gupta, Rachna 47652 5001 Peachtree Blvd, Suite 115 Chamblee, GA 30341

5/17/2021Alina Barrett 65109RN283826Gupta, Rachna 52759 2700 Clairmont Road Atlanta, GA 30327-2713

11/22/2018Andrew H.Leach, MD 49051RN221128Gutermuth, Amy 40834 355 Hawthorne Lane Athens, GA 30606

3/7/2017Randy Durbin, DO 64776RN202617Gutknecht, Adrienne Nicole 11931 4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004

Monday, August 1, 2022 Page 171 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/9/2013Christopher Crooker, MD 39315RN202617Gutknecht, Adrienne 10558 748 Old Norcross Road Lawrenceville, GA 30046

1/1/2018Loida Bonney, MD 59375RN212085Guzi, Toni R 16854 1260 Hwy 54W, Ste 101 Fayeteville, GA 30214

8/1/2018Jeffrey Sherman, MD 40785RN212085Guzi, Toni 40733 1260 Highway 54 W Suite 101 Fayetteville, GA 30214

7/3/2019Franklyn Geary Jr, MD 30306RN196247Guzman-King, Rocio 16278 80 Jesse Hill Jr. Dr, Box# 26134 Atlanta, GA 30303

2/13/2016Nasser Tehrani, MD 53044RN203390H Hughes, Tammy 13421 1117 Morningside Dr. Perry, GA 31069

11/17/2020Marvin Tark 18257RN288359Ha, Quy Hai 48667 6667 Vernon Woods Drive, Suite B40 Atlanta, GA 30328

9/8/2020Merlino, John MD 27868RN075216Haack, Martha 10289 550 Peachtree St NE, MOT 6th Floo Atlanta, GA 30308

1/31/2021Tayari Mchezaji, MD 50409RN210027Hache, Kiley L 16827 8954 Hospital Dr. Douglasville, GA 30134

3/24/2022Audrey Crumbley 53031RN127223Haefner-Birdsong, April 56016 946 Harmony Road Eatonton, GA 31024

8/30/2019ALAN BROWN 57782RN152867HAGGERTY, SHARON 44928 602 E 16TH AVE, SITE A& B CORDELE, GA 31015

8/30/2019Reuben Roberts, MD 17944RN152867Haggerty, Sharon Gafford 42438 602 East 16th Ave Cordele, GA 31015

1/7/2019Morgan III, Joe Harris MD 53503RN152867Haggerty, Sharon 10050 2300 Dawson Rd, Suite 101 Albany, GA 31707

12/31/2011Nelson Madrazo, MD 49862RN118093Hagins, Linda Banks 1200 103 GA Hwy 27 East Americus, GA 31709

3/19/2015Quinton Weldon, MD 56786RN118093Hagins, Linda Banks 11060 906 Elmo Street Americus, GA 31709

11/1/2012Serena Tidwell, MD 51192RN136073Hahn, Kaye Herring 1202 1538 13th Avenue, Suite B200 Columbus, GA 31901

10/31/2020Leli Gail Matthews 52182RN288359Hai Ha, Quy 52826 6667 Vernon Woods Drive, Suite B40 Sandy Springs, GA 303

3/31/2016Tarak Patel, MD 66394RN097428Haid, Jeanne 14685 1224 Augusta West Parkway Augusta, GA 30909

7/29/2020Jon Risley 38933RN202073Haire, Terriest 49011 1209 W. Walnut Ave, Suite 1 Dalton, GA 30720-3961

5/4/2022Derek Heldzinger 65259RN202073Haire, Terriest 56207 1209 W Walnut Ave, Suite 1 Dalton, GA 30720-3572

7/1/2020Caroline Yaphockun, MD 53213RN094798Hairel, Tammy Michelle Beason 1205 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

2/8/2022Dawn Wilson 47279RN230695Haisley-Muhammad, Alicia 54124 545 Old Norcross Road, Suite 300-B Lawrenceville, GA 3004

2/28/2022Debra Johnson-Jordan, DO 32592RN162753Hajjaji, Sarah Najjar 14102 2739 Felton Dr. East Point, GA 30344

11/2/2012Abdulla, Maher MD 42151RN175434Hale, Ashley 10944 301 Osigian Blvd Warner Robins, GA 31088

3/31/2021Carlos Martinez 31793RN175434Hale, Ashley 45901 165 Emery Hwy, Suite 100 Macon, Ga 31217

11/9/2020Richard Robinson 38936RN273633Haley, Keianna 45523 3240 Avalon Blvd Conyers, Ga 30013

6/8/2018Alison H. Wright, MD 46017RN217338Haley, Heather Blayne 40480 1025 N. Houston Road Warner Robbins, GA 31093

Monday, August 1, 2022 Page 172 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/5/2019Timothy Longaker 25883RN217338Haley, Heather 44092 277 Perry Parkway Perry, GA 31069

11/1/2021Rodney M. Dourron, MD 36143RN273633Haley, Keianna Stephanie 38972 2675 North Decatur Road (Suite 301) Decatur, GA 30033

3/10/2021Michael Duke, MD 42041RN115633Haley, Glynnis 16455 134 W Campus Dr, CBX 091 Milledgeville, GA 31061

9/17/2016Richard Shelton Jr, MD 43775RN139047Haley, Judith Marie Best 1207 4095 S Lee St. Buford, GA 30518

6/15/2020Ryan Monti 78999RN217338Haley, Heather 51024 277 Perry Parkway, Suite C Perry, GA 31069

7/9/2021David Warren 32492RN216876Hall, Monica 48597 200 Gentilly Blvd Cartersville, GA 30120

3/25/2022Earl Stewart, Jr. 76965RN252709Hall, Mary 59573 3115 Piedmont Road, Suite A102 Atlanta, GA 30305

9/16/2021Peter Rosenquist 68296RN112529Hall, Catherine 57713 1425 McFarland Ave. Rossville, GA 30741

5/23/2014Surber, Joseph DO 52232RN197605Hall, Haley 10001 2122 Manchester Expresway Columbus, GA 31904

8/1/2012Linwood Zoller, MD 28339RN118934Hall, Debra Lee 9872 675 White Sulphur Road, Suite 170 Gainesville, GA 30501

2/5/2019Kirpich Joseph, MD 54904RN088093Hall, Marylin Doreen 1213 969 Windy Hill Road, Suite E Smyrna, GA 30080

12/16/2010Bhagya Papudesu, MD 52613RN086005Hall, Nora Marie 1214 616 Ferncrest Drive Sandersville, GA 31082

1/18/2013Crystal Owens, MD 48854RN086005Hall, Nora Marie 9608 144 East Main St Irwinton, GA 31042

6/26/2015Clive Albert, MD 35800RN180217Hall, Anna Mirinda 11948 1100 Northside Forsyth Dr, Suite 330 Cumming, GA 30041

7/25/2017Michael Raines, MD 35979RN051703Hall, Sharon Lee 12059 122 Hwy 280 West, Suite A Americus, GA 31719

10/25/2013Bantwal Baliga, MD 56680RN197605Hall, Haley Patterson 12085 1400 Bradley Lake Blvd Columbus, GA 31904

12/29/2013Linwood Zoller, MD 28339RN118934Hall, Debra Lee 12087 675 White Sulphur Rd, Susite 170 Gainesville, GA 30501

3/21/2019William Keating, MD 52971RN180217Hall, Anna Mirinda 17085 57 Executive Park South, Ste 100 Atlanta, GA 30329

7/9/2018Robert Cook, MD 26087RN090459Hall, Cynthia June Thompson 19424 106 Hospital Dr., Ste 1 Chatsworth, GA 30705

3/23/2018Thomas W. Price, MD 30662RN223185Hall, Kimberly A. 17676 458 Hemlock St., Ste 200 Macon, GA 31201

12/18/2020Lester R. Johnson 69015RN227503Hall, Brandon T. 5500 1912 Memorial Drive Suite E. Waycross, GA 31501

5/3/2017Kent Ford, DO 40063RN086005Hall, Nora Marie 11713 616 Ferncrest Dr Sandersville, GA 31082

4/30/2014Charles Harden, MD 44930RN123491Hall, Linda M 12945 948 South Main St Baxley, GA 31513

2/1/2017Thompson, Jonathan MD 52646RN090459Hall, Cynthia 10626 1012 Burleyson Road Dalton, GA 30720

12/15/2021Yvonne Neau, MD 60947RN118934Hall, Debra Lee 13896 1950 N. Broad St Alamo, GA 30411

1/29/2016Thenmozhi Singaram, MD 65060RN180217Hall, Anna 15522 3850 Windermer Pkwy, Ste 105 Cumming, GA 30041

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/3/2021David P. Samuels 49521RN112529Hall, Catherine D 43726 19 Lester Road Statesboro, GA 30458

5/17/2019James Rogan, MD 31662RN204856Hall, Talonda 43755 5337 Old National HWY Suite 100 Atlanta, GA 30349

9/1/2019Dharmeshkumar Patel, MD 55264RN151300Hall, Charlotte Pongonis 38796 2491 Panola Rd. Lithonia, GA 30058

3/5/2021Frederick Flandry, MD 27054RN180217Hall, Anna Mirinda 42446 6262 Veterans Pkwy Columbus, GA 31909

8/29/2019Karen Baker, MD 66251RN263487Hall, Kristen Noelle 20074 1692 Chatham Parway Savannah, GA 31405

11/11/2016David Morton, MD 48279RN112529Hall, Catherine Denise 18808 3000 Schatulga Rd. Columbus, GA 31907

10/1/2017Wendy Coto-Puckett, MD 59908RN189087Hall, Jaclyn Nicole 18810 743 Spring St. NE Gainesville, GA 30501

10/15/2016Patrick Antoine, MD 57143RN151300Hall, Charlotte Pongonis 17479 901 Rice St NW Atlanta, GA 30318

10/27/2020Vankatappa Rangaraj, MD 58633RN088093Hall, Marylin Doreen 17487 2795 Main St W, Bldg 21 Snellville, GA 30078

4/26/2019Tanya Jones, MD 28017RN083533Hall, Nora 39530 116 Smith Street Tennille, GA 31089

4/17/2020James Sinclair 36457RN227503Hall, Brandon 45195 1101 Ocilla Rd. Douglas, Ga 31533

3/19/2021Randy Warner 53905RN200530Hall, Anthony 47687 690 Dallas Hwy, Suite 201 Villa Rica, GA 30180

1/27/2020William Knopf 23469RN215477Hall, Heather 46017 6070 Lakeside Commons Dr. Macon, Ga 31210

3/18/2020Jeffery Dowis 68199RN230267Hallett, Kristen 44656 1205 Russell Parkway Warner Robins, Ga 31088

5/29/2018Simon Portee, MD 33177RN204856Hall-Faison, Talonda N 18992 4229 Snapfinger Woods Dr. Decatur, GA 30035

3/4/2016Douglas Epps, MD 48348RN204856Hall-Faison, Talonda N 17086 10447 Tara Blvd, Ste E Jonesboro, GA 30238

12/1/2020Brenda Hott, MD 41441RN189107Halvey, Kathleen Ann 13441 1200 Northside Forsyth Dr, Heart Failure Clinic Cumming, G

4/11/2013Hott, Brenda MD 41441RN189107Halvey, Kathleen 10446 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta, GA 30342

1/10/2012John O'Connell, MD 62266RN189107Halvey, Kathleen Ann 8018 5671 P'tree-Dunwoody Rd NE, #110 Atlanta, GA 30342

8/26/2009Daniel Mark Henson, MD 25173RN099535Hamilton, Cherille Elizabeth 1218 1600 North Brown Road Lawrenceville, GA 30043

6/25/2014Andrew Pandya, MD 55323RN089362Hamilton, Mariangeli Marrero 1220 210 E. Derenne Ave. Savannah, GA 31405

9/22/2021Christopher Valentine 72840RN165844Hamilton, Janie 58138 6300 Jimmy Carter Blvd Norcross, GA 30071

5/1/2014Ahmad Jingo, MD 45842RN210732Hamilton, Heather Brown 12980 3424 Flat Shoals Rd Decatur, GA 30035

6/30/2016Ortelio Bosch, MD 51119RN057457Hamilton, Mariangeli Marrero 16670 7450 Skidaway Rd Savannah, GA 31406

8/8/2016Diane Payne, MD 70402RN244205Hamilton, Jonathan Wesley 18243 49 Jesse Hill Jr. Dr., 3rd Flr Atlanta, GA 30303

1/24/2022Robert Klassen, MD 34385RN165927Hamilton, Katrina Florence 20459 2560 Flintridge Rd. Gaineville, GA 30301

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/10/2021James Livingston, MD 20128RN165927Hamilton, Katrina Florence 20461 2795 Finney Circle Macon, GA 31217

10/19/2018Jarod F. Bailey, DO 65929RN165927Hamilton, Katrina Florence 42885 233 Sunset Circle Moultrie, GA 31768

10/16/2018Robert A Ludwick, MD 37277RN165927Hamilton, Katrina Florence 42505 185 Bowens Mill Highway Fitzgerald, GA 31750

10/19/2018Guido H Ring, MD 45325RN165927Hamilton, Katrina Florence 42506 1904 Palmyra Road Albany, GA 31701

10/19/2018Howard A McMahan, MD 24027Rn165927Hamilton, Katrina Florence 42507 209 West Hudson Street Ocilla, GA 31774

10/19/2018Michael D Satchell, MD 49593RN165927Hamilton, Katrina Florence 42508 1904 Palmyra Road Albany, GA 31701

10/19/2018Francis M Kundi, MD 45525RN165927Hamilton, Katrina Florence 42517 233 Sunset Circle Moultrie, GA 31768

1/2/2019Eugene H Jackson, MD 22793RN165927Hamilton, Katrina Florence 42512 185 Bowens Mill Highway Fitzgerald, GA 31750

10/19/2018Christopher N Bazal, MD 49562RN165927Hamilton, Katrina Florence 42510 233 Sunset Circle Moultrie, GA 31768

10/19/2018Michale T. Peacock, MD 40752RN165927Hamilton, Katrina Florence 42551 185 Bowens Mill Highway Fitzgerald, GA 3175

10/30/2017Andrew Magnet 60215RN089362Hamilton, Mariangeli Marrero 39085 813 E. 68th Street, Suite 8 Savannah, GA 31405

10/29/2021Robert Collier, MD 40643RN235848Hamilton, Doreen 41565 1 Freedom Way Augusta, GA 30904

7/14/2021Samantha Wagner 75943RN165930Hamilton, Tiffany 51443 3896 Princeton Lakes Way Atlanta, GA 30331

12/18/2018John Gerguis 47085RN122055Hamilton-Anderson, Brenda G 44093 809 11th Avenue Cordele, GA 31015

1/15/2019Robert Bowman, MD 31387RN122055Hamilton-Anderson, Brenda Gai 19003 1430 Hwy 82 West, Ste 105 Tifton, GA 31793

3/31/2016Jeffry Peters, MD 40514RN122055Hamilton-Anderson, Brenda 15388 1815 Old Ocilla Rd Tifton, GA 31794

3/27/2014Olakunle Aina, MD 48968RN122055Hamilton-Anderson, Brenda Gai 9440 2000 Palmyra Rd, Emer Dept Albany, GA 31701

9/1/2008Sandra Brickman, MD 45043RN122055Hamilton-Anderson, Brenda Gai 1221 1806 Lee Avenue Tifton, GA 31794

12/31/2011Richard Lepanto, MD 58694RN122055Hamilton-Anderson, Brenda Gai 8547 901 E. 18th St, Emergency Med Svcs Tifton, GA 31794

5/31/2010Raymond Gutierrez, MD 57983RN122055Hamilton-Anderson, Brenda Gai 8533 701 N. Slappey Blvd Albany, GA 31701

7/10/2020Johnathan Gaskins, MD 56836RN122055Hamilton-Anderson, Brenda Gai 9592 1101 Ocilla Rd, Emer Dept Douglas, GA 31533

11/1/2015Howard McMahan, MD 22824RN122055Hamilton-Anderson, Brenda Gai 9851 361 Cargile Rd Ocilla, GA 31774

11/23/2020Natalie Bessom 80343RN132742Hamlin, Amy 48485 1107 Memorial Drive, Suite 200 Dalton, GA 30720

9/1/2017Phillip Jansen, DO 66956RN132742Hamlin, Amy Laurel 21155 1012 Burleyson Rd. Dalton, GA 30720

12/31/2019Christina Oskins, MD. 74153RN132742Hamlin, Amy L. 39741 1012 Burleyson Rd. Dalton, Ga 30720

6/30/2018Chandra Armstrong, MD 43562RN267461Hamm, Angela Nicole 40845 1862 Candler Rd Decatur, GA 30034

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2016William Paxton, MD 46206RN168664Hamm, Quanisha Nayima 17229 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville, GA 300

11/30/2018Alan Brown, MD 57782RN132831Hammack, Rebecca Murphy 12905 425 Third Ave., Ste. 500 Albany, GA 31701

4/25/2020Dwayne Gard, MD 60731RN166815Hammack, Mary Jane 14231 4700 Water Ave Savannah, GA 31403

7/12/2021Stephanie Miles 57199RN166815Hammack, Mary 44319 5775 Peachtree Dunwoody Road NE (Bldg C - Ste 500) Atlant

12/1/2013Anthony Hoots, MD 33114RN132831Hammack, Rebecca Murphy 1224 425 Third Ave, Suite 510 Albany, GA 31701

5/15/2013Daniel Lopez, MD 64597RN226179Hammaker, Teresa Suzette 11765 643 Main St Palmetto, GA 30268

6/9/2020Briccio Valdez, MD 19353RN226179Hammaker, Teresa Suzette 21104 2209 Pineview Dr. Valdosta, GA 31602

4/9/2013Robersteen Howard, MD 40103RN161874Hammett, Rebecca Pearl 9119 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

6/6/2011Forrest Clark Cantrell, MD 28948RN138345Hammock, Mary Frances 9687 3911 Mary Eliza Trace, Suite 200 Marietta, GA 30064

7/1/2019Donna Haney 48638RN212953Hammock, Lisa 45625 1512 Hwy. 19 N Thomaston, Ga 30286

5/1/2019Stewart Grizzard, MD 43948RN212953Hammock, Lisa 16073 1512 Hwy 19 N Thomaston, GA 30286

2/1/2011Dara Hosch, MD 47770RN138345Hammock, Mary Frances 1225 410 Villa Rica Way Marietta, GA 30064

6/2/2011Wallace Duncan, MD 41109RN127086Hammock, Jodi Renee Taylor 8939 4398 Atlanta Hwy Loganville, GA 30052

6/2/2011David Asrael, MD 51291RN127086Hammock, Jodi Renee Taylor 8910 4398 Atlanta Hwy Loganville, GA 30052

9/14/2007Richard M. Schlossberg, MD 44330RN127086Hammock, Jodi Renee Taylor 2231 12 7th Street Auburn, GA 30011

6/12/2015Jeffrey Cooper, MD 32895RN138345Hammock, Mary Frances 9849 3645-A Howell Ferry Rd Duluth, GA 30096

6/14/2011Brenda Marino, MD 16392RN138345Hammock, Mary Frances 9850 677 Church St Marietta, GA 30066

2/21/2011Susan Staviss, MD 38652RN138345Hammock, Mary Frances 9630 1523 Johnson Ferry Rd, Suite 150 Marietta, GA 30062

5/1/2022Loren Hudspeth 82947RN199032Hammond, Jessi 48684 4660 Riverside Park Blvd Macon, GA 31210

3/3/2022Donald Menya 84635RN207434Hammond, Brandi 58593 1948 Old Ocilla Road Tifton, GA 31794

7/31/2011Charlene Blache, MD 45728RN051972Hammond, Elizabeth Jane Broo 1226 406-M Northside Dr Valdosta, GA 31602

6/15/2020James Beiter, MD 40003RN079839Hammond, Myrna B 378 PO Box 422002 Atlanta, GA 30342

6/30/2020Kelli Carter 41529RN210511Hammond, Heather 46386 1113 Washington Rd. Thomson, GA 30824

2/18/2020WILLIAM BARNES 26449RN199032HAMMOND, JESSI 46255 4660 RIVERSIDE PARK BLVD MACON, GA 31210

7/29/2019Stephanie Miles 57199RN232621Hammond, Leigh 44294 5775 Peachtree Dunwoody Road (Bldg C - Suite 500) Atlanta,

12/20/2020Stephen James 50385RN273885Hammond, Elizabeth Woods 54497 130 Tibet Avenue, Suite 202 Savannah, GA 31406

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/30/2021Harsh Dangaria 72551RN273885Hammond, Elizabeth 56208 130 Tibet Ave, Suite 202 Savannah, GA 31406

9/1/2021Hugh Hall 40088RN210511Hammond, Heather 53586 3686 Wheeler Road Augusta, GA 30909

10/10/2012Cuddapah, Satish MD 48997RN203463Hammond, Steven 10772 551 Riverstone Pkwy Ste 100 Canton, GA 30114

8/19/2016Rodger Chapman, MD 16769RN048900Hammond, Rebecca M Westbro 7700 2890 Delk Road Marietta, GA 30067

9/26/2017Deganian, Javad MD 16053RN0519721Hammond, Elizabeth 10876 1700 Tree Lane Rd, Ste 110A Snellville, GA 30078

2/16/2021Michael Simpson, MD 55647RN048900Hammond, Rebecca M. Westbr 18557 44800 N. Cooper Lake Rd. Smyrna, GA 30082

12/17/2010Fadi Nahab, MD 59883RN205130Hammonds, Lisa Paige 8957 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

9/25/2009Darshan Shah, MD 44096RN116013Hampton, Brigitte 1227 125 B Victory Dr. Swainsboro, GA 30401

2/23/2012James Eutzler, DO 49729RN116013Hampton, Brigitte 8876 1550 Commerce Drive Valdosta, GA 31502

8/20/2012Addington, Tony MD 52526RN116013Hampton, Brigitte 10793 39 Kent Road, Ste 5 Tifton, GA 31794

12/31/2012Clyde Simmons, MD 17301RN116013Hampton, Brigitte 11077 39 Kent Rd., Ste 5 Tifton, GA 31794

4/1/2012Richard Chase, DO 17784RN113167Hamsley, Linda Peterson 9502 509 Sumter St, Emer Room Montezuma, GA 31063

8/3/2016Richard Chase, DO 17784RN113167Hamsley, Linda 16075 93 South Broad St Ellaville, GA 31806

1/1/2018Naresh Parikh, MD 28851RN210849Han, Stephanie Bonglae 14201 6330 Primrose Hill Ct Norcross, GA 30092

10/5/2015Aloysius Mangan, MD 15023RN213708Hancock, Crystal 14484 12978 N Main St. Trenton, GA 30752

10/1/2014Gary L. Smith Sr., MD 10666RN213708Hancock, Crystal LeeAnn 13138 12978 N. Main St. Trenton, GA 30752

11/1/2016Richard Smith, MD 19603RN213708Hancock, Crystal LeeAnn 17227 12978 N Main St Trenton, GA 30752

12/4/2021Ted Scoggin, MD 29089RN213708Hancock, Crystal 39705 12978 N. Main Street Trenton, GA 30752

12/7/2015Shalini Patel, MD 52804RN177312Hand, Kristi 16184 677 Greison Trail, Ste H Newnan, GA 30263

11/15/2015Eugene Paul, MD 60305RN177312Hand, Kristi L. 17674 770 Greison Tr., Ste H Newnan, GA 30263

6/12/2015M. Mohabubur Rahman, MD

44065RN072945Hand, Charlotte 14337 505 Coliseum Dr Macon, GA 31217

6/15/2015Clyde Green, MD 30072RN072945Hand, Charlotte 14338 505 Coliseum Dr Macon, GA 31217

7/24/2015Noel Battle, MD 54549RN177312Hand, Kristi Lashun 12226 176 Charles Hardy Pkwy, Unit C Hiram, GA 30141

7/16/2014Guy Easterling, DO 41283RN072945Hand, Charlotte Mock 1231 277 Commerce St Hawkinsville, GA 31036

10/2/2019Jacquelin Miller, MD 43098RN152732Handley, Jeana 15754 1035 Red Bud Rd Calhoun, GA 30701

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/26/2022Joel Box, MD 37763RN152732Handley, Jeana Lea Wright 19843 1035 Red Bud Rd. NE, Ste 200 Calhoun, GA 30701

2/24/2020Bhavesh Patel, MD 56163RN195429Haney, Daniel Christopher 19533 2209 Pineview Dr. Valdosta, GA 31602

9/1/2018Michelle Huggins, MD 34368RN135542Haney, James Beaumont 14105 870 Crestmark Dr., Ste 202 Lithia Springs, GA 30122

1/23/2020Jaymal Patel, MD 50984RN195429Haney, Daniel 39736 3120 North Oak St. Extension (Suite C) Valdosta, GA 31602

2/24/2020Nitin Patel, MD 37324RN195429Haney, Daniel Christopher 19004 2704 North Oak St, Ste B-3 Valdosta, GA 31605

6/1/2019Marc E. Yune, MD 41395RN135542Haney, James Beaumont 42744 2230 Towne Lake Pkwy (Bldg 1000) (Ste 140) Woodstock, G

2/5/2020Lawrence Reccoppa 69940RN195429Haney, Daniel 43685 3120 North Oak Street Extension (Suite C) Valdosta, GA 316

11/30/2009Melvin Moore, MD 16647RN098649Hanik, Maria Muchortow 1233 2675 N. Decatur Rd. Decatur, GA 30033

10/18/2021Andrew Malinchak 44012RN216255Hanley, Lauren 59623 1245 Noah Drive Jasper, GA 30143

9/7/2021Shannon Ellis 72568RN216255Hanley, Lauren 55773 26 West Jackson Common Drive Hoschton, GA 30548

10/31/2018Scott Gordon, MD 79350RN274270Hanlon, Natalie 41671 500 Morgan Drive Tifton, GA 31793

1/13/2022Rashelle Tomlinson, MD 73410RN274270Hanlon, Natalie 40753 500 Morgan Dr Tift, GA 31793

5/27/2016Jason Smith, MD 57188RN082087Hanna, Martha 15241 259 US Hwy 19 N Camilla, GA 31730

8/1/2015Amy Talboy, MD 37317RN217488Hannah, Monica McKeon 13551 1920 Briarcliff Rd NE Atlanta, GA 30329

1/30/2015Gordon Peltier, MD 15808RN147193Hannah, Julie Anne 13506 5610 Bethelview Rd, Ste 500 Cumming, GA 30040

1/31/2016Felissa Goldstein, MD 57467RN217488Hannah, Monica McKeon 15939 1920 Briarcliff Rd. Atlanta, GA 30329

10/13/2021Barbara McElhanon, MD 69354RN217488Hannah, Monica McKeon 21107 1920 Briarcliff Rd. Atlanta, GA 30329

6/27/2014Maria, Bernard MD 62741RN217488Hannah, Monica 10250 1446 Harper Street Augusta, GA 30912

9/1/2021Gary Minkiewicz, MD 39182RN150842Hannon, Shelley Kristina 9824 200 S. Enota Dr, Suite 200 Gainesville, GA 30501

5/29/2015Divina Dyer, MD 57161RN167622Hannor, Tahisha Batrice 14210 4120 Austell Rd Austell GA, GA 30106-1841

1/1/2008Michael Gardner, MD 56710RN096362Hanrahan, Caryn Schloss 5524 69 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

10/31/2014Michael Lindsay, MD 27602RN096362Hanrahan, Caryn S. 8139 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303

11/17/2017Altee Johnson, MD 60387RN198740Hanse, Megan Michelle 19381 101 Yorktown Dr. Fayetteville, GA 30214

7/31/2018Erin Davis London 45440RN198740Hanse, Megan Michelle 39560 101 Yorktown Drive (Suite 110) Fayetteville, GA 30214

11/10/2021Manishkumar R. Joshi, MD 56628RN186180Hanson, Katherine 42444 2336 Dawson Road (Suite 1600) Albany, GA 31707

8/26/2020Melissa Sanchez, MD 64056RN249949Hanson, Alexandra Rose 39173 1015 Donald Lee Hollowell Parkway Atlanta, GA 30318

Monday, August 1, 2022 Page 178 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/15/2019Lee Clay 46610RN186180Hanson, Katherine 570 207 31st Avenue SE Moultrie, GA 31768

9/25/2014Victoria Afshani, MD 55214RN121522Happe, Anne Marie 1237 1501 Milstead Rd, #110 Conyers, GA 30012

10/15/2018Kristina Bowen, MD 48981RN121522Happe, Anne Marie 14093 3330 Preston Ridge, Ste 110 Alpharetta, GA 30005

3/8/2022Rao Moravinei, MD 51360RN121522Happe, Anne Marie 13765 747 South 8th St, Suite C Griffin, GA 30224

3/8/2022Laura Weakland, MD 39505RN121522Happe, Anne Marie 13767 550 Peachtree St NE, Suite 1185 Atlanta, GA 30308

4/9/2009Sekhar Sankaran, MD 31549RN125164Harbaugh, Christine M 1239 101 Regency Park Dr, Ste 140 McDonough, GA 30253

6/30/2017Fredrick O'Neal, Jr, MD 33419RN155084Harbin, Mary Kelly Carter 12532 1825 Martha Berry Blvd Rome, GA 30165

8/23/2017Randolph Sumner, MD 28323RN155084Harbin, Mary Kelly 20980 1825 Martha Berry Blvd. Rome, GA 30165

4/30/2018Odell Still, DO 37085RN169559Hardeman, Terra 40881 3193 East First Street Vidalla, GA 30474

2/26/2015Jan Mayfield, MD 51355RN029160Harden, Patricia Faye 14443 49 Hosiery Mill Rd, Str 124 Dallas, GA 30157

5/12/2017Yolanda Wade, MD 58345RN029160Harden, Patricia Faye 13897 1735 S. Hwy 27 Carrollton, GA 30117

11/1/2018Dave Ringer, MD 30368RN215346Hardigree, Morgan Merritt 19712 803 South Main St. Greensboro, GA 30642

11/4/2020Daniel Hirsh, MD 51948RN197567Hardin, Jo Lynn 19239 1001 Johnson Ferry Rd, NE (ER) Atlanta, GA 30342

8/31/2021Scott Fantz, MD 12034RN220318Hardin, Kelli 15672 175 Samaritan Dr Jasper, GA 30143

6/29/2021Christopher Inhulsen 20743RN248819Hardin, Gloria 47293 6005 Watson Blvd., Suite 100 Byron, GA 31008

12/1/2021David Oh 64167RN220318Hardin, Kelli 59232 684 Sixes Road, Suite 125 Holly Springs, GA 30115

12/15/2019Melissa D. Davis 59141RN169970Hardison, Melissa Karn 568 1013 N 5th Avenue Rome, GA 30165

5/6/2012Douglas Lundy, MD 44778RN157897Hardison, Heather Smith 9578 61 Whitcher St, Suite 1100 Marietta, GA 30060

1/2/2011Bhumiben Purohit, MD 58812RN157897Hardison, Heather Smith 5538 5075 P'tree Pkwy, Suite 106 Norcross, GA 30092

7/31/2017Johnny Peeples, MD 33427RN169970Hardison, Melissa Anne 12596 1223 Plaza Ave Eastman, GA 31023

12/27/2019Alexander Kessler, MD 50647RN157897Hardison, Heather Smith 12076 50 Medical Lane Canton, GA 30114

6/30/2016Lathan Overstreet, MD 36659RN188351Hardtman, Pandora Tamara 8693 340 Boulevard NE, Suite 103 Atlanta, GA 30312

11/21/2011Patricia Baines, MD 53092RN118464Hardy, Paula K 8198 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

3/25/2019Michael Pompey, MD 23097RN083197Hardy, Jennie M Johnson 1246 901 Rice Street Atlanta, GA 30318

7/10/2008Leslie Cottrell, MD 45194RN118464Hardy, Paula Kelly Tullis 1247 1600 Maple St. Carrollton, GA 30118

11/28/2018Ram Reddy, MD 24178RN118464Hardy, Paula K. 43334 1061 Dowdy Rd. (Suite 100) Athens, GA 30606

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/26/2018Nadine Halliburton-Foster, MD

60079RN118464Hardy, Paula 39301 3425 Buford Dr. (Suite 200) Buford, GA 30519

4/1/2022Asit Jha 55248RN245988Harkleroad, Tiffany 51322 1706 Alice Street Waycross, GA 31501

5/20/2019Jonathan Rosenfield 74345RN207154Harmon, Ericka Paige 43690 3240 South Cobb Drive Smyrna, GA 30082

5/15/2020Carter Tharpe, MD 56929RN165107Harmon, Tracy Jeanne 17274 1062 Forsyth St, Ste 1B Macon, GA 31201

9/18/2014Ellenoff, Bonnie DO 51644RN075610Harmon, Jacqueline 10724 3834-C Austell Road, Ste C Marietta, GA 30008

1/21/2016Stephanie Gordon, MD 49382RN079076Harmon, Marcia Roberts 9066 2750 Owens Dr, Suite A Conyers, GA 30094

6/15/2015Wyatt Blake, MD 47702RN075610Harmon, Jacqueline 14383 4421 Carnes St Acworth, GA 30101

9/1/2014Stephen Odom, MD 38895RN075610Harmon, Jacqueline C. 9880 1810 Mulkey Rd, Suite 105 Austell, GA 30106

5/2/2008Shobha Rao, MD 32893RN079076Harmon, Marcia Roberts 5177 2750 Owens Drive, Suite A Conyers, GA 30094

1/10/2019Penelope D. Duvall 79470RN165046Harpe, Karisa T 43728 1875 Fant Drive Ft. Ogelthorpe, GA 30742

10/10/2019Gary Matthews, MD 77862RN165046Harpe, Karisa Tiana 38873 250 Corporate Center Court Stockbridge, GA 30281

2/25/2018Anuradha Thopu, MD 41377RN153288Harper, Sherry Lee 38792 8901 Stonebridge Boulevard, Suite 100 Douglasville, GA 301

1/31/2021John Houser, MD. 19056RN266265Harper, Amber Rose 39865 176 Lyons Street Jackson, Ga 30233

11/1/2021Richard Rubio 58637RN280363Harper, Corshonta 54048 1300 Ridenour Blvd, Suite 300 Kennesaw, GA 30152

8/28/2020Hari Madichetty 54405RN202525Harper, Shelly 47648 604 A South 8th Street Griffin, GA 30224

2/1/2016John Arnett, MD 38423RN176239Harper, Shanda DeLeice 16686 208 Grady Ave. South Douglas, GA 31533

2/7/2021Palmer Johnston, MD 67656RN151201Harper, Amanda Kay 15007 4700 Waters Ave. Savannah, GA 31404

4/8/2022Priya Arcot-Joshi 86133RN202525Harper, Shelly 59305 1786 Oak Road SW, Suite B Snellville, GA 30078

12/12/2014Linda Sacks, MD 24724RN151201Harper, Amanda Kay 1250 4750 Waters Ave, Suite 206 Savannah, GA 31404

7/1/2016Vincent Brawley, MD 33283RN042192Harper, Joan Daniel 1251 1350 Walton Way - 3rd floor Augusta, GA 30901

9/30/2015Jeffrey Klopper, MD 26321RN024557Harper, Mary C. 8472 3188 Atlanta Road SE Smyrna, GA 30080

9/3/2009Frederick Merrill, III, MD 34664RN071579Harrell, Lori Ann Miller 1253 465 North Belair Rd, Suite 1-C Evans, GA 30809

7/13/2011Douglas Cardillo, MD 53432RN071579Harrell, Lori Ann Miller 8933 3623 J. Dewey Gray Cir, Suite 113 Augusta, GA 30909

12/13/2009Lamar Peacock, MD 34920RN071579Harrell, Lori Ann Miller 8721 465 N. Belair Rd, Suite 3-A Evans, GA 30809

8/15/2012Jon Gibbs, MD 38493RN071579Harrell, Lori Ann Miller 9969 3651 Wheeler Rd Augusta, GA 30909

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/13/2012Johnathan Gaskins, MD 56836RN056220Harrell, Shirley Lavon Knowles 9728 PO Box 1287 Douglas, GA 31534

8/28/2015Cowart, Charles MD 29161RN056220Harrell, Shirley 10427 1101 Ocilla Road Douglas, GA 31533

10/19/2015Erik Prasatik, MD 61456RN071579Harrell, Lori 15912 2260 Wrightsboro Augusta, GA 30904

4/1/2013Divikar Jammalamadaka, MD

66378RN071579Harrell, Lori 10925 811 13th St, Ste 10 Augusta, GA 30901

7/1/2015Ian Davis, DO 64203RN071579Harrell, Lori Ann Miller 11753 1120 15th Street, AF-2030 Augusta, GA 30912

9/22/2020Jonathan S. Williams, DO 59237RN174455Harrell, Roy Lee 43062 1435 N. Expressway (Suite 301) Griffin, GA 30223

1/1/2021Richard Maxa, MD 42655RN263453Harrell, Cori Folkes 20611 3505 Duluth Park Lane NW ste. 400 Duluth, GA 30096

8/16/2019Ian Davis, DO 64203RN170895Harrell, Heather 16022 1120 15th St Augusta, GA 30912

4/10/2019Eamon Dutta, MD 46593RN174455Harrell Jr, Roy 16404 2151 Peachford Rd Atlanta, GA 30338

2/20/2018Svathi Reddy, MD 56352RN174455Harrell, Jr., Roy Lee 20111 1640 Powers Ferry Rd., Bldg 17, Ste 100 Marietta, GA 30067

2/23/2015Douglas Lowery-North, MD 39854RN130649Harrell-Ward, Antionette Felicia 1255 1364 Clifton Road Atlanta, GA 30322

3/1/2015Eric Goldklang, MD 52729RN171135Harrelson, Christina Alison 12286 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

8/14/2019Ermina Mujadzic, MD 64868RN228995Harris, Jessica 15800 447 N Belair Rd, Ste 101 Evans, GA 30809

6/24/2021Bennie Brown 65085RN228995Harris, Jessica Mary 14205 925 Branch Ct, Ste 101 Grovetown, GA 30813

1/5/2016John Eanes, MD 56433RN113723Harris, Wendy 14499 1510 Hudson Bridge Rd Stockbridge, GA 30281

7/25/2012Heller, Louis MD 45238RN149407Harris, Mandy 10589 755 Walther Road Lawrenceville, GA 30046

5/10/2013Donna Van Schuyver, DO 42754RN200398Harris, Jaime Cherie 9442 13570 N. Main St Trenton, GA 30752

4/11/2016Stephen Frohwein, MD 34834RN096458Harris, Kim Sheree Sturdivant 12687 5669 Peachtree Dunwoody Rd, Suite 315 Atlanta, GA 30322

1/20/2017Erik Shaw, DO 58012RN165597Harris, Delecia Monique 12509 2020 Peachtree Rd NW Atlanta, GA 30309

8/6/2012Suzanne Storey, MD 49845RN189150Harris, Leah B 5503 611 E. Villanow St, Bldg 3 Lafayette, GA 30728

3/21/2014Anthony Clavo, MD 45425RN153892Harris, Kyle Lazett Henderson 12575 1975 Hwy 54 West, Suite 100 Peachtree City, GA 30214

3/23/2017Matthew Richardson, MD 53023RN147136Harris, Betti Raydeen Wilburn 19680 160 Clairemont Ave, Ste 150 Decatur, GA 30030

6/30/2018Tracy Wimbush, MD 68869RN165597Harris, Delecia Monique 19856 1240 Eagles Landing Pkwy, ste 300 Stockbridge, GA 30281

4/19/2019Melanie Pointer, MD 68037RN084164Harris, Patricia Renee 18023 270 Carpenter Drive ste. 400 Sandy Springs, GA 30328

11/4/2020Ricardo Jimenez, MD 54901RN209153Harris, Anora Patrice 19242 1001 Johnson Ferry Rd, NE Atlanta, GA 30342

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/19/2017Vijay Thillainathan, MD 67446RN113723Harris, Wendy Marley 19423 100 Jim Mason Ct., Ste A Warner Robins, GA 31088

10/30/2017Louis Heller, MD 45238RN149407Harris, Mandy 14667 755 Walther Rd Lawrenceville, GA 30046

2/19/2021Palmer Johnston, MD 67656RN081306Harris, Lydia J Boston 15008 4700 Waters Ave. Savannah, GA 31404

4/7/2019Melanie Pointer, MD 68037RN084164Harris, Patricia Renee 18403 215 Lakewood Way SW Atlanta, GA 30315

2/10/2020Mac Bowman, MD 21647RN228995Harris, Jessica Mary 12134 818 St Sebastian Way, #308 Augusta, GA 30901

11/20/2015Jose Justiniano-Ayala, MD 46773RN200398Harris, Jaime Cherie 15215 1430 Suggs St. Rossville, GA 30741

6/1/2018Jennifer M. Rodriguez, MD 60365RN084164Harris, Patricia Renee 40714 1100 Lake Hearn (Suite 250) Atlanta, GA 30342

11/1/2020Alok Gambhir, MD 72669RN149407Harris, Mandy R. 40983 200 S. Enota Drive Gainesville, GA 30501-3466

9/1/2019Nancy Doelling 52347RN171399Harris, Kimberly 44251 900 Towne Lake Parkway Woodstock, GA 30189

8/16/2021Gary Smith 10666RN235405Harris, Sarah 44097 7566 Nashville Street Ringold, GA 30736

4/27/2020Sekhar Sanharan, MD 31549RN113723Harris, Wendy Marley 40647 101 Regency Park Drive Suite 140 McDonough, GA 30253

6/27/2019Rajeshkumar Miniyar, MD 51597RN237690Harris, Sophia Robinson 39062 140 Three Rivers Dr, NE Rome, GA 30161

12/6/2018Robert Morgan, MD 31639RN271274Harris, Marilyn 42336 502 E General Stewart Way Hinesville, GA 31313

10/30/2017Niraj Sharma, MD 54276RN149407Harris, Mandy Russell 19344 755 Walther Rd. Lawrenceville, Ga 30046

10/1/2018PAUL MIRANDA MD 70270RN235405Harris, Sarah 39302 7566 NASHVILLE ST RINGGOLD, GA 30736

9/29/2020Anna Tanner 47669RN188328Harris, Jennifer 44659 6600 Peachtree Dunwoody Rd. Atlanta, Ga 30328

2/11/2021Joseph Saulsbury II 51727RN221502Harris, Chivas 54560 1230 Peachtree Street NE, 19th Floor Atlanta, GA 30309-35

3/15/2019Dawn R. Wilson 47279RN161531Harris, Denise 43358 545 Old Norcross Road (Suite 300-B) Lawrenceville, GA 3054

7/12/2018Tammie Quest, MD 45590RN96458Harris, Kim 40212 550 Peachtree St. NE Atlanta, GA 30308

10/30/2020Geetha Manchireddy 50585RN165597Harris, Delecia 53297 2950 Stone Hogan Connector Road, SW, Building A Atlanta,

6/24/2021Benjamin Renelus 76667RN161968Harris, Caryl 52981 80 Jesse Hill Jr. Drive Atlanta, GA 30303

3/9/2021Tameka Byrd 77354RN232203Harris, Brittney 55838 701 Blue Bird Blvd Fort Valley, GA 31030

5/14/2021Benjamin Williams 31686RN113723Harris, Wendy 54976 801 W. Gordon Street Thomaston, GA 30286

7/29/2020Micheal Flood 47901RN161968Harris, Caryl 47365 80 Jessie Hill Jr. Drive Atlanta, GA 30303

8/4/2021Laura Farless 67414RN221502Harris, Chivas 47391 5353 Reynolds St. Savannah, GA 31405

4/2/2020Yung Lee, MD 37597RN165597Harris, Delecia 1256 148 Bill Carruth Pkwy (Suite 120) Hiram, GA 30141

Monday, August 1, 2022 Page 182 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/9/2010W. Morris Brown, MD 29309RN146291Harris, Elizabeth Marie 1257 95 Collier Rd, Suite 2055 Atlanta, GA 30309

12/12/2014Linda Sacks, MD 24724RN081306Harris, Lydia J Boston 1261 4750 Waters Avenue, Suite 206 Savannah, GA 31404

8/28/2009Nichole LeBoyd, MD 54452RN049658Harris, Yvonne D 1263 7530 Roswell Road Atlanta, GA 30350

9/30/2010Gregory Teel, MD 39961RN200398Harris, Jaime Cherie 8867 13570 North Main St Trenton, GA 30752

2/10/2022Paula Adamson 78745RN161968Harris, Caryl 58455 80 Jesse Hill Jr. Drive Atlanta, GA 30303

12/9/2021Michael Boggs 88345RN198333Harrison, Jessica 57190 45 N Highland Ave Atlanta, GA 30307

2/21/2022Marc Wall 27939RN209157Harrison, William 48641 230 East Avenue Cedartown, GA 30125

3/26/2021Frank Brown 42195RN198333Harrison, Jessica 51248 600 Celebrate Life Parkway Newnan, GA 30265

3/7/2014Willert Lynn, III, MD 47979RN113434Harrison, Susan Neidlinger 1266 802 Towne Park Drive Rincon, GA 31326

8/31/2014Julian D. Sharpton, MD 17084RN159235Harrison, Jennifer Leigh 11612 11973 Augusta Rd. Lavonia, GA 30553

4/26/2019James Yost, MD 63155RN233407Harrison, Tanya Renee 40268 2575 Peachtree Parkway (Suite 100) Cumming, GA 30041

3/19/2020Cherilyn Zellner, MD 43153RN083533Harrison, Shirley Dianne 39208 2251 West Elm Street Wrightsville, GA 31096

4/4/2016Joseph Ratchford, MD 32848RN113434Harrison, Susan Neidlinger 17170 1451 Hwy 21 South, Ste H Springfield, GA 31329

6/6/2016Paul Schriever, MD 40781RN209157Harrison, William Cory 15263 304 Turner McCall Rome, GA 30161

2/27/2019Richard Warren, MD 54956RN209157Harrison, William Cory 18242 705 Dixie St. Carrollton, GA 30117

1/16/2019Johhny Sy, DO 58826RN113434Harrison, Susan Neidlinger 17257 1451 Hwy 21 South, Ste H Springfield, GA 31329

7/31/2019Gordon Waters, MD 52849RN135444Harrison, Christina Marie 14637 120 E Carter Ave Blackshear, GA 31516

9/10/2020Charles Jackson, MD 14513RN141960Harrison, Shirley Dianne 19873 107 Fairview Park Dr. Dublin, GA 31032

12/23/2014John Bennett, MD 53838RN113434Harrison, Susan Neidlinger 13312 7306 Hwy 21, Suite 105 Pt Wentworth, GA 31407

8/14/2014Gary Solt, MD 24497RN198333Harrison, Jessica Marie 11650 309 Vernon St LaGrange, GA 30240

12/3/2015James Cornwell, MD 50608RN113434Harrison, Susan Neidlinger 13996 3 Hidden Creek Dr Guyton, GA 31312

4/10/2015Zia Khan, MD 62533RN198333Harrison, Jessica Marie 14401 151 Wisdom Rd Peachtree City, GA 30269

9/5/2014Mark Dorogy, MD 41105RN081204Harrison-Smith, Kemberly Jean 12608 682 Hemlock St, Suite 490 Macon, GA 31201

5/5/2016Julian Hutchins, MD 18677RN081204Harrison-Smith, Kemberly Jean 15934 675 Hamilton St. Sparta, GA 31087

1/17/2014Gary Olson, MD 20465RN229745Harriss, Dorinda Kay 12754 1436 Broadrick Dr Dalton, GA 30720

10/1/2020Maurice Solis, MD 30673RN195263Harrod, Jana Dotson 18106 2409 North Patterson St, Ste 230 Valdosta, GA 31602

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/25/2012Taylor, Michelle MD 60104RN133852Harry, Cheryl 10662 3073 Panthersville Rd Decatur, GA 30034

9/30/2010Deronda Person, MD 50079RN133852Harry, Cheryl Rosanne 8926 3208 Alcovy Club Court Dacula, GA 30019

2/15/2013Roshni Patel, MD 57141RN179734Hart, Ivan Pershing 9350 1645 Tullie Circle Atlanta, GA 30329

1/1/2020Anthony Costrini, MD 14476RN198296Hart, Rebecca 11040 116 Savannah Ave Statesboro, GA 30458

6/15/2017Rani Reddy, MD 34450RN198296Hart, Rebecca Marie 17856 106 Briarwood Rd. Statesboro, GA 30458

9/11/2015Richard Baldwin, MD 23894RN119459Hart, Kimberly Womack 13483 9280 Hwy 5, Ste A Douglasville, GA 30134

5/28/2016Edgar Melendez, MD 41167RN119459Hart, Kimberly 16443 9280 Hwy, Ste A Douglasville, GA 30134

2/22/2019Glen Dasher, MD 43354RN198296Hart, Rebecca 39083 721 N. Verterans Blvd Glennville, GA 30427

9/20/2018Laura Guadiana 78515RN214796Hart, Thomas Wayne 41866 520 Griffin Avenue Valdosta, GA 31601

4/24/2022Joshua Lang 73561RN198296Hart, Rebecca 55566 1110 Commerce Drive, Suite 108 Greensboro, GA 30642

5/17/2016Hailu Demissachew, MD 54072RN234345Hartfield, Satoya Loreen 12580 19 Redmond Rd. Rome, GA 30165

3/19/2011Julia Wilson, MD 56787RN174554Hartley, Shanda Thompson 9109 7530 Roswell Rd Atlanta, GA 30350

6/30/2016Lester Benn, MD 31205RN174554Hartley, Shanda Thompson 16653 207 Crestmont Way Canton, GA 30114

12/31/2019Bernard Oddi, MD 48450RN216852Hartley, Daniel Rocker 19518 One Meadow's Parkway Vidalia, GA 30474

10/31/2011Babalola, Cecilia MD 58389RN174554Hartley, Shanda Thompson 10051 3970 Five Forks Trickum Rd, Suite A Lilburn, GA 30047

2/21/2022Loy Cowart, III 37979RN216852Hartley, Daniel 59943 10 Doctors Street Metter, GA 30439

2/4/2022John Schuler 37364RN301380Hartley, Michelle 58796 600 Celebrate Life Parkway Newnan, GA 30265

9/27/2021Shahin Chowdhury 70866RN301380Hartley, Michelle 57667 600 Celebrate Life Parkway Newnan, GA 30265

7/17/2012Luther Vance, Jr., MD 19354RN174554Hartley, Shanda Thompson 9737 4595 Towne Lake Pkwy, Bldg 300, #140 Woodstock, GA 301

4/22/2022Thomas Jhee 20447RN218459Hartline, Amy 57300 309 E. Main Street Cartersville, GA 30120

4/22/2022Sandarsh Surya 75535RN218459Hartline, Amy 58316 1425 McFarland Ave Rossville, GA 30741

11/16/2020Paul Mefferd, DO 54617RN218459Hartline, Amy Kathryn 19859 790 Church St, Ste 550 Marietta, GA 30060

9/13/2019EMERSON COCHRAN MD 8738RN218459HARTLINE, AMY KATHRYN 40285 309 E MAIN STREET CARTERSVILLE, GA 30120

9/13/2019Emerson Cochran, MD 8738RN218459Hartline, Amy Kathryn 40649 309 E Main Street Cartersville, GA 30120

12/31/2007Wendy Hawke Lenz, MD 27563RN134198Hartman, Lisa Lou 1272 2712 Lawrenceville Hwy Decatur, GA 30033

6/8/2022James Thigpen 30228RN149632Hartman-Willard, Brandi 59464 821 N Cobb St Milledgeville, GA 31061

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/8/2022James Thigpen Jr. 30228RN149632Hartman-Willard, Brandi 59741 821 N. Cobb Street Milledgeville, GA 31061

6/30/2012Brian Griner, MD 46966RN170256Harvell, Katherine Ganas 8862 117 West Northside Drive Valdosta, GA 31602

7/30/2019Muhammad Akram, MD 48476RN170256Harvell, Katherine Ganas 14026 1921 Alice St, Ste 4A Waycross, GA 31501

8/29/2014Charles Galea, MD 55229RN170256Harvell, Katherine Ganas 11638 615-A Pendleton St. Waycross, GA 31501

3/31/2018Ram Reddy, MD 24178RN205932Harvey, Heather Nicole 17678 500 Great Oaks Dr, Ste 9 Monroe, GA 30655

7/31/2015David Dean, MD 64808RN197955Harvey, Angela 15397 95 Collier Rd NW Atlanta, GA 30309

4/28/2021Robyn Johnson, MD 50973RN103643Harvey, Kathleen Claire 20080 1712 East Broad Ave. ste. A Albany, GA 31705

8/30/2019Belise Livingston-Burns, MD 54588RN103643Harvey, Kathleen Claire 20048 1425 W. Oakridge Drive Albany, GA 31707

6/2/2017Joseph Roarty, MD 61648RN261421Harvey, Janelle Kathleen 19027 5730 Ogeechee Rd, Ste 192 Savannah, GA 31405

4/28/2021Iidiko Babka 51618RN103643Harvey, Kathleen 46684 1305 E. 2nd Ave Albany, GA 31015

10/12/2019Dolapo Babalola, MD 59119RN160142Harvill, Starr 41318 774 Ga Hwy 96 Bonaire, Ga Houston

9/1/2017Eva Beaulieu, MD 66254RN160142Harvill, Starr 16494 564 Cross Town Dr Peachtree, GA 30269

8/27/2015Kevin Baggett, DO 48410RN160142Harvill, Starr Annette 13260 500 Spillers Way Warner Robins, GA 31088

8/27/2015Becky Campbell, MD 48105RN160142Harvill, Star Annette 13261 500 Spillers Way Warner Robins, GA 31088

7/29/2016Scott Reynolds, MD 59009RN218149Harwell, Christina Louise 12620 1700 Hospital Dr, Suite 500 Austell, GA 30106

3/21/2018Lavon Thurman, MD 19791RN178427Hasbach, Kimberly 40692 5448 Whittlesey Blvd Suite B Columbus, GA 31909

1/1/2013Williams, Rembert Andrew MD

28105RN178427Hasbach, Kimberly 10102 710 Center Street Columbus, GA 31902

1/30/2019Safia Pirani, MD 56624RN175520Hashmi, Saima 41128 3660 Market Street Clarkston, GA 30021

11/30/2019Benjamin Hess, MD 68028RN142510Haskew, Barbara Loraine Roden 19279 1657 North Expwy Griffin, GA 30223

3/17/2017Susan Jordan, MD 66169RN174455Haskew, Barbara 15093 354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265

7/8/2020Jonathan Sule, MD 60329RN224035Haskin, Justin Kyle 18814 3790 Old US 41 N, Ste B Valdosta, GA 31602

4/16/2021Sheri Swader 80244RN224035Haskin, Justin 53493 3790 Old US Hwy 41 N, Suite B Valdosta, GA 31602

5/11/2010John Coleman, MD 48498RN151842Haskin, Hope Minyette 1274 1720 Peachtree St, Suite 200 Atlaanta, GA 30309

9/21/2021Dominic Nkwocha 55280RN214143Haslem, Natalie 46919 3995 South Cobb Drive Smyrna, GA 30080

5/31/2020Mahaveer C. Vakharia, MD 38390RN214143Haslem, Natalie Dionne 42797 3995 South Cobb Drive Smyrna, GA 30080

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2019SOOKYONG KOH MD 75210RN229345HASS, KRISTEN 40124 1605 CHANTIUY DR NE SUITE 300 ATLANTA, GA 30324

3/23/2020George Katsitadze, MD 52456RN229345Hass, Kristen B 15101 1235 Indian Trail Rd, Ste A 100 Norcross, GA 30093

4/2/2018Ton deGrauw, MD 66687RN229345Hass, Kristen 15889 1400 Tullie Rd. (Suite4 420) Atlanta, GA 30329

12/31/2020Alexander Osowa, MD 57551RN216903Hassan, Amelia 42568 2805 Hamilton Mill Road Buford, GA 30519

4/30/2018Shveta S Raju, MD 66052RN216903Hassan, Amelia 42308 475 Philip Boulevard Lawrenceville, GA 30046

7/1/2019John Lloyd, MD 28434RN125871Hastings, Judy 40830 5012 Bristol Industrial Hwy Suite 109 Buford, GA 30518

1/8/2016Quyen Luu, MD 25216RN125871Hastings, Judy Lynn 12387 639 Hemlock St, Suite 200 Macon, GA 31201

2/13/2013Jackson, Eugene MD 22793RN125871Hastings, Judy 10766 151 South Houston Lake Rd, Ste 190 Warner Robins, GA 310

6/6/2019Jennifer Evans, MD 69804RN125871Hastings, Judy N 16842 4795 Riverside Dr Macon, GA 31210

1/8/2016Edward Young, MD 36325RN125871Hastings, Judy Lynn 8624 777 Hemlock St, MSC 117 Macon, GA 31201

4/30/2009Shahriar Sedghi, MD 37678RN125871Hastings, Judy Lynn 8279 610 Third Street, Suite 204 Macon, GA 31201

5/1/2012Eric Powell, MD 49081RN125871Hastings, Judy Lynn 9836 1111 Glynco Pkwy, Bldg A, #10 Brunswick, GA 31525

8/31/2021Natalie Bessom 80343RN197661Hasty, Angel 48483 1107 Memorial Drive, Suite 200 Dalton, GA 30720

1/1/2020Alicia Weksler 37924RN197661Hasty, Angel Brooke 39743 1012 Burleyson Rd. Dalton, Ga 30720

9/1/2017Phillip Jansen, MD 66956RN197661Hasty, Angel Brooke 20774 1012 Burleyson Rd. Dalton, GA 30720

6/6/2016David A. Morton, MD 48279RN154558Hatcher, Kimberly D. 17668 3000 Schatulga Rd. Columbus, GA 31907

1/23/2019Dale Lawson, MD 54233RN130534Hatcher, Jenny Marie 14286 126 HWY 280 West Americus, GA 31709

6/1/2011David Kent, MD 25625RN138819Hatcher, Katherine Walker 9644 308 Coliseum Dr, Suite 200 Macon, GA 31217

3/22/2016Emile Risby, MD 30869RN154558Hatcher, Kimberly 15920 3000 Schatulga Rd Columbus, GA 31907

5/8/2015Kaizad Shroff, MD 62002RN154558Hatcher, Kimberly Denise 12313 705 17th St, Suite 410 Columbus, GA 31901

8/26/2010Mark Hendricks, MD 43061RN138819Hatcher, Katherine Walker 1276 380 Hospital Dr, Bldg A, #430 Macon, GA 31217

3/1/2010Elisabeth Barclay, MD 56406RN118661Hatcher, Laurie Denise 1277 5300 Memorial Dr, Suite 112 Stone Mountain, GA 30083

5/6/2021Douglas Laipple, MD 21410RN257139Hatcher-Mullins, Joshua Micha 40106 2900 Chamblee Tucker Road (Bldg 16) Atlanta, GA 30341

10/20/2021Michael Mendoza 73365RN225323Hatfield, Kari Suzanne 44425 303 Parkway Dr., NE Atlanta, GA 30312

2/15/2016Arnold Gaskin, MD 36382RN073560Hatfield, Susan Lynn 11998 3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

4/15/2010Arnold Gaskin, MD 36382RN073560Hatfield, Susan Lynn 1278 9020 Peridot Pkwy Stockbridge, GA 30281

Monday, August 1, 2022 Page 186 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/7/2014Christopher Richards, MD 58316RN079347Hatten, Karen Patricia Dumprof 11742 300 Medical Court Oglethorpe, GA 31068

2/26/2020Richard Chase, DO 17784RN079347Hatten, Karen Patricia Dumprof 9323 300 Medical Court Oglethorpe, GA 31063

2/17/2016Annette Hinchcliffe, MD 42607RN225760Haupt, Vivien G 11731 6300 Hospital Pkwy, Suite 125 Johns Creek, GA 30097

3/27/2015Michelle Plaster, MD 61639RN072965Haupt, Sandra 13207 1016 E. Spring St. Monroe, GA 30655

3/27/2019Jay Morgan 75398RN072965Haupt, Sandra 44529 1707 N. Blairs Bridge Rd. Austell, Ga 30168

1/3/2022Kirk R. Kanter, MD 30631RN192437Hauserman, Sarah Ashley 42825 1405 Clifton Road Atlanta, GA 30322

7/2/2018Bahaaldin Alsoufi, MD 69085RN192437Hauserman, Sarah Ashley 14279 1405 Clifton Rd Atlanta, GA 30322

2/5/2011Kay Lynn, MD 13182RN048204Hawk, Virginia Margaret 5179 2398 Mt Vernon Rd, Suite 150 Dunwoody, GA 30338

6/1/2017Niels Engberding, MD 64535RN179243Hawkins, Kathy Marie 16998 80 Jesse Hill Jr. Dr. Atlanta, GA 30303

4/19/2019Vinna Simmons 60614RN216119Hawkins, Rebekah 44295 5582 Memorial Drive Stone Mountain, GA 30083

11/29/2019Nirag Nagada 69033RN216119Hawkins, Rebekah 45139 5582 Memorial Dr. #7 Stone Mountain, Ga 30083

3/18/2021Theresa Jacobs 46864RN216119Hawkins, Rebekah 47700 977 Taylor Street, Suite A Conyers, GA 30012

10/27/2017Jeffrey Winter, MD 36044RN186040Hawkland, Robin Ann 17789 1700 Hospital South Dr, Ste.502 Austell, GA 30106

3/12/2016Yuan-Xiang Meng, MD 51257RN110160Hawthorne, Valencia Karen 17352 5320 Memorial Dr. Stone Mountain, GA 30083

9/21/2012Brickman, Sandra MD 45043RN218887Hawthorne, Dolores 10376 1806 Lee Avenue Tifton, GA 31794

12/31/2018Gertrude B Arrington, MD 27036RN174596Hayek, Brenda Carole 42288 1720 Phoenix Blvd College Park, GA 30349

6/30/2016Arun Singh, MD 71879RN174596Hayek, Brenda Carole 17089 1111 Bullsboro Dr., Ste 6 and 7 Newnan, GA 30265

10/20/2015Ifeoma Eke, MD 52350RN174596Hayek, Brenda Carole 12238 1510 Hudson Bridge Rd Stockbridge, GA 30281

2/2/2017Douglas Josephson, MD 46603RN216264Hayes, Traci 15449 3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005

11/30/2015Dexter Page, MD 40974RN072974Hayes, Carol Elizabeth 14346 238 Professional Ct, Ste A Riverdale, GA 30274

1/2/2019Michael Connor, MD 31581RN134201Hayes, Heather 16492 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

7/27/2020Nicole Davidson, MD 76327RN216264Hayes, Traci Marie 19723 1180 Ernest Barrett Pkwy, Ste 102 Kennesaw, GA 30144

1/1/2021Jeffry Bizon 43169RN134201Hayes, Heather Jane 44100 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

4/29/2021David Nussbaum 67697RN231529Hayes, Courtney 45433 213 N. McDonald St. #A1B Ludowici, Ga 31316

9/1/2020Claudia Venable, MD 50455RN220914Hayes, Hannah Anders 18815 1001 Johnson Ferry Rd. Atlanta, GA 30342

9/10/2016Tracy Barr, MD 58030RN216264Hayes, Traci Marie 18780 1180 Barrett Pkwy. Ste. 102 Kennesaw, GA 30144

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2019Gerald Filmore, MD 50228RN154003Hayes, Laura 20728 865 South 1st Street Jesup, GA 31545

6/1/2021James Mooney 80475RN220914Hayes, Hannah 53262 1405 Clifton Road NE Atlanta, GA 30322

10/8/2021Michael Moss 66543RN231529Hayes, Courtney 51764 105 East Tollison Street, Suite C Baxley, GA 31513

3/9/2015Janet Fason, DO 48773RN062405Hayes, Vivian Anne Smith 1288 2990 Five Forks Trickum Rd Lawrenceville, GA 30044

8/18/2012William Richardson, MD 26631RN101149Haynes, Kathleen Norris Colden 1292 4791-B Jonesboro Rd Union City, GA 30291

1/1/2021Leslie Cottrell, MD 45194RN045227Haynes, Mackie Lee Teate 1293 1600 Maple St. Carrollton, GA 30118

6/19/2017Mae Morgan, MD 22902RN208594Haynes, Andrea Roche Gayden 18827 424 Decatur St. Atlanta, GA 30312

6/30/2016Patrice A. Shongo, MD 43028RN026165Haynes, Twilla Locklear 17791 659 Athens St. Jefferson, GA 30549

8/8/2018Simon Portee, MD 33177RN101149Haynes, Kathleen Norris Colden 19438 2293 Candler Rd. Decatur, GA 30032

5/31/2015Mark Elam, MD 36147RN101149Haynes, Kathleen Norris Colden 14051 1000 Medical Center Blvd, Ste 290 Lawrenceville, GA 30046

9/15/2021Janis Coffin 56528RN247670Haynia, Daniel 44802 987 St Sebastian Way EC-1500 Augusta, Ga 30912

12/13/2019Heather MacNew, MD 54411RN152773Hazel, Gina 16430 4750 Waters Ave, Ste 202 Savannah, GA 31404

2/1/2014Dwayne Gard, MD 60731RN152773Hazel, Gina O. 11409 Memorial Univeristy Medical Center, 4700 Waters Av Savann

10/26/2017John Ouderkirk, MD 49992RN210680Hazelwood, Daniela Marie 19432 9925 Haynes Bridge Rd, Ste 320 Alpharetta, GA 30022

4/18/2019Vivian S. Lennon, MD 43121RN210680Hazelwood, Daniela Maria 38712 4166 Buford Highway NE (Suite 1102) Chamblee, GA 30345

10/20/2021Michael Mendoza 73365RN217665Hazward, Sidneca Eyangella 44101 303 Parkway Dr. NE Atlanta, GA 30312

6/30/2019Robert Nelson, MD 65037RN057603Head, Stella Jeaneva Tow 16756 110 S Chestatee St. Dahlonega, GA 30533

3/22/2017Vevera, Elizabeth MD 41990RN149423Head, Leslie 10385 3400A Old Milton Pkwy, Ste 130 Alpharetta, GA 30005

10/3/2016James Gore, MD 36384RN144931Head, Amy Marie 11725 1657 North Expressway Griffin, GA 30223

9/21/2021Kambiz Aflatoon 66238RN267629Headley, Craig 44091 709 Breedlove Drive Monrue, GA 30655

1/17/2021Robert Del Pozo, MD 35853RN267629Headley, Craig 39935 3950 Austell Road Behavioral Health Unit Austell, GA 30106

9/21/2021Kambiz Aflatoon, DO 66238RN267629Headley, Craig 43180 709 Breedlove Drive Monroe, GA 30655

2/1/2020Okah Anyokwu 78701RN267629Headley, Craig 47732 1810 Mulrey Rd., Suite 202 Austell, GA 30106

5/2/2020Rani Chebrolu 41754RN254902Heard, Felicia LaShawn 44426 137 Commerce Avenue (Suite B #224) LaGrange, GA 30241

10/15/2021Bobby Gearing III 86130RN254902Heard, Felicia 54244 5749 Harrier Lane Atlanta, GA 30349

8/1/2018Marielena Vasquez, MD 62790RN254902Heard, Felicia 41759 5555 Whittlesey Blvd. (Suite L-1) Columbus, GA 31909

Monday, August 1, 2022 Page 188 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2019Albert D. Copeland 31400RN254902Heard, Felicia L. 44272 1111 Bullsboro Drive (Suite 6 & 7) Newnan, GA 30265

2/23/2018Samar Shah, MD 75245RN254902Heard, Felicia Lashawn 18276 1111 Bullsboro Dr, Ste 6&7 Newnam, GA 30265

6/19/2019Jorge Pisarello, MD 58914RN129224Heard, April Danene Goodwin 19841 406 S. West St. Bainbridge, GA 39819

9/21/2012Darrell Carpenter, MD 40023RN129224Heard, April Danene Goodwin 1300 603 South Wheat Ave, Suite 400 Bainbridge, GA 39819

6/2/2016Frederick Burton, MD 38434RN168023Hearn, Sherryl Amanda 14065 6020 Harrison Rd. Macon, GA 31206

4/14/2021Milanieva Latorre, MD 38032RN234314Heath, Ashieigh 15304 16201 Barnesville St Zebulon, GA 30295-3250

8/24/2016Leslie Cottrell, MD 45194RN144729Heath, Thomas Gregory 1303 1600 Maple St. Carrollton, GA 30118

12/18/2013Whipple, Robert MD 46279RN180320Heavin, Jennifer 10052 37 Calumet Pkwy Bldg G, Ste 101 Newnan, GA 30263

1/10/2022Darin Brummett, MD 45045RN112593Heck, Maria Luisa Dodson 18535 705 Dixie St. Carrollton, GA 30117

5/1/2016Nulph, Michael MD 57735RN129700Hedden, Danielle 10638 222 Perry Hwy Hawkinsville, GA 31036

7/1/2011Donna Schuyver, DO 42754RN168020Hedden, Sandra Lynn 9443 13570 N. Main St Trenton, GA 30752

9/30/2010Gregory Teel, MD 39961RN168020Hedden, Sandra Lynn 8421 13570 N. Main Street Trenton, GA 30752

8/28/2020Stewart Shevitz 36002RN182772Hedman, Jacquelyn 48288 4039 Gateway Blvd, Suite 201 Grovetown, GA 30813

10/31/2019Stephen Fleming 63325RN182772Hedman, Jacquelyn 46681 4039 Gateway Blvd, Suite 201 Grovetown, GA 30813

4/1/2015Nelson Oyesiku, MD 31484RN054432Heeke, Sheila Hope Little 9167 1364 Clifton Rd NE, Suite B-2200 Atlanta, GA 30322

12/1/2019David Brcka 75264RN281462Heidgerd, Rachel 43580 354 Newnan Crossing Bypass (Suite 200) Newnan, GA 30265

12/31/2010Richard Dent, MD 17RN141187Height, Crystal Michelle 1309 310 Eisenhower Drive, Suite 5 Savannah, GA 31406

6/23/2021William Boydston 34112RN282014Heitkamp, Brittany 51704 5461 Meridian Mark Road NE Suite 540 Atlanta, GA 30342

10/25/2021Daniel Valancius, MD 72151RN178507Helbing, Erin Leigh 20969 304 Turner McCall Blvd. Rome, GA 30165

10/21/2020Emmanuel Ozimba 42910RN206403Heleski, Stephanie 46868 125McDonald Ave Cuthbert, GA 39840

5/14/2015John Mynatt, Jr., MD 41469RN132478Hellam, Patricia Lynn Stauffer 1310 5040 Bill Gardner Pkwy, Ste 100 Locust Grove, GA 30248

11/11/2016Juliana Nahas, MD 44549RN132478Hellam, Patricia 15895 4181 Hospital Dr, Ste 202 Covington, GA 30014

7/25/2015Chandra Armstrong, MD 43562RN135983Hellmer, Carol 15899 1862 Candler Rd Decatur, G 30032

5/22/2014David Van, MD 29545RN135983Hellmer, Carol Ann 12501 290 Country Club Dr, Suite 200 Stockbridge, GA 30281

4/1/2019Edward Meier, MD 43426RN106534Hellriegel, Karen 10943 2112 Shorter Ave, Ste 200 Rome, GA 30165

5/31/2014Jose Justiniano-Ayala, MD 46773RN106534Hellriegel, Karen Marie 12998 1430 Suggs St Rossville, GA 30741

Monday, August 1, 2022 Page 189 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2022Francisco Averhoff 36336RN142576Helm, Jansen 55310 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

9/18/2016Jon Gibbs, MD 38493RN203177Helmly, Crystal 14554 3651 Wheeler Rd Augusta, GA 30909

10/25/2015Tarak Patel, MD 66394RN203177Helmly, Crystal Whitaker 14044 1224 Augusta West Pkwy Augusta, GA 30909

3/1/2022James Collins, MD 73273RN203177Helmly, Crystal Whitaker 18640 3675 J. Dewey Gray Circle, Ste 300 Augusta, GA 30909

3/31/2019Jagdeep Singh, MD 59761RN081220Helms, Pamela Beth 13608 1168 North Main St., Ste 110 Cedartown, GA 30125

11/16/2016Brandon Mednick, MD 56138RN204741Helms, Rachel Ann 13979 1255 Hwy 54 W, Emer. Dept. Fayetteville, GA 30214

1/19/2016Albert Thompson, MD 22338RN227468Helton, Sara Renee 14027 1375 East King Ave. Hwy 40 Kingsland, GA 31548

8/1/2013Clark, Jr., Curtis DO 47068RN170748Helton, Tamika 10631 610 19th Street Columbus, GA 31901

8/27/2014Eric Powell, MD 49081RN227468Helton, Sara Renee 12322 1111 Glynco Pkwy, Bldg 1, #10 Brunswick, GA 31525

3/25/2021Michael Hagues, DO 23977RN170748Helton, Tamika LaShun 11782 2300 Manchester Expwy, Emer Dept Columbus, GA 31904

5/17/2021Herschel Kessler 69501RN259683Helton, Rebecca 47658 822 South Hill Street Griffin, GA 30223

4/1/2019Afaq A. Gul, MD 64944RN259683Helton, Rebecca 40353 247 Union Point Street Lexington, GA 30648

4/18/2018Stewart V Grizzard, MD 43948RN227468Helton, Sara Renee 42289 1481 Hwy 40 E Kingsland, GA 31548

10/6/2018James W Greene, MD 29657RN227468Helton, Sara Renee 42328 1481 Hwy 40 E Kingsland, GA 31548

4/27/2018Jeuslyn Chandler, MD. 69284RN259683Helton, Rebecca 39744 247 Union Point st. Lexington, Ga 30648

4/27/2018JEUSLYN CHANDLER MD 69284RN259683HELTON, REBECCA 39760 247 UNION POINT STREET LEXINGTON, GA 30648

6/1/2022Alan Brown 57782RN261763Hembree, Joanne 59502 510 Alston Street, Suite A Richland, GA 31825

10/14/2021Willie Adams, Jr. 13004RN261763Hembree, Joanne 57271 195 Martin Luther King, Jr. Ave Cairo, GA 39828

1/1/2021Martha Murry 76736RN221486Hemingway, Tacara 53989 125 Suite B Governors Square Peachtree City, GA 30269

1/23/2020Lekshmi Kumar 64083RN115842Hemmings, Colette 47494 745 Memorial Drive Atlanta, GA 30316

2/15/2021Venkatappa Rangaraj 58633RN115842Hemmings, Colette 54420 3000 Lenora Church Road Snellville, GA 30078

3/31/2019Osinuya, Oladayo MD 51703RN115842Hemmings, Colette 20068 480 John Wesley Dobbs, 403 Atlanta, GA 30312

7/16/2021Marc Harrigan 56719RN115842Hemmings, Colette 57359 2920 Pharr Court S Northwest Atlanta, GA 30305

6/4/2010Veronica Garrett, MD 39106RN098527Henderson, Ruby Larna 5181 1567 Milstead Road NE, Suite B Conyers, GA 30012

8/1/2011Andres Ruiz-Arango, MD 58770RN078420Henderson, Margo 1315 1120 15th St Augusta, GA 30912

8/1/2011Matthew Lyon, MD 50972RN078420Henderson, Margo 8934 4471 Washington Road Evans, GA 30809

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/22/2021Vanderlyn A. Sewell, MD. 51547RN200252Henderson, Susan 39748 934 Briarcliff Rd. Atlanta, Ga 30306

3/31/2017Vanderlyn Sewell, MD 51547RN200252Henderson, Susan 15986 934 Briarcliff Rd NE Atlanta, GA 30306

7/22/2021VANDERLYN SEWELL 51547RN200252HENDERSON, SUSAN 44926 934 BRIARCLIFF RD. NE ATLANTA, GA 30306

6/26/2015Dauda Griffin, MD 57468RN200252Henderson, Susan Elizabeth 14307 934 Briarcliff Rd NE Atlanta, GA 30306

2/1/2021Ramon Caballero 77050RN252065Henderson III, Governor Henry 47653 1950 Palmyra Road Albany, GA 31701

9/5/2017William Tidmore Jr, MD 41978RN203841Hendley, Caroline Perry 14915 2412 North Oak St Valdosta, GA 31602-7567

11/1/2018William McPeters, MD 28835RN165253Hendrickson, Melissa Hunt 16620 327 Sunset Ave. SW, Ste 3 Newton, GA 39870

1/1/2018James Short, MD 23877RN247022Hendrix, Rebecca Alice 16668 882 Ponce DeLeon Ave Atlanta, GA 30306

4/3/2020Paul Walker, DO 46272RN247022Hendrix, Rebecca 16383 1150 Powder Springs Rd, nSte 5 D Marietta, GA 30064

10/31/2021Jose Justiniano-Ayala, MD 46773RN190785Hendrix, Stacy Michelle 43323 118 E. Girard Avenue Cedartown, GA 30125

2/10/2016Paul Spiegl, MD 25045RN206677Henke, Stephanie Jayne 16784 5673 Peachtree Dunwoody Rd, Ste 825 Atlanta, GA 30342

4/1/2020Kathryn A Knodel 59988RN205120Henley, Deidra Diane 44259 2806 Hillcreek Drive Augusta, GA 30909

1/16/2010Rami Azzouz, MD 50126RN159161Henon, Robbin Renee 8343 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

9/26/2008Karin Alcantara, MD 43996RN159161Henon, Robbin Renee 1320 2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

8/14/2020Janet Bivens 32410RN203314Henry, Sherre 46969 5775 Peachtree Dunwoody Road NE, Bld C, Suite 500 Atlanta

8/4/2020William Meadows III 30513RN282246Henry, Patrice 48364 400 Battlefield Parkway Fort Oglethorpe, GA 30742

7/1/2022Aderajew Taddesse 83410RN203314Henry, Sherre 57246 1412 Milstead Ave Conyers, GA 30012

5/1/2018ADAM WEBB MD 59348RN210744HENRY, SOUMMALA 39931 80 JESSE HILL JR DR SUITE 8C ATLANTA, GA 30303

11/16/2018Andy Jaffal, MD 43394RN107270Henry, Sheridan Sims 20676 1968 Peachtree Rd. NW Atlanta, GA 30309

6/17/2018Michael A. Burke 54798RN178172Henry, Millicent 40123 2900 Chamblee Tucker Rd. (Bldg 16) Atlanta, GA 30341

11/6/2020Frank Curvin 45058RN203314Henry, Sherre 53917 1155 Perimeter West Atlanta, GA 30338

7/1/2013Mark Coker, MD 56276RN141558Henslee, Mary Roseann Branne 1323 14557 Highway 19, Suite A Griffin, GA 30224

11/1/2019Paul Wentland 74929RN155253Hensley, Pamela Evette 44427 14 Fort Town Drive Ft. Oglethorpe, GA 30742

12/13/2019Randy Heisser 82254RN155253Hensley, Pamela 47315 14 Fort Town Drive Ft. Oglethorpe, GA 30742

9/9/2020Janki Patel 73350RN155253Hensley, Pamela 50631 77 12th Street NE, Unit 2317 Atlanta, GA 30309

7/28/2021Crystal Bright 67869RN155253Hensley, Pamela 54608 448 W. Belmont Drive Calhoun, GA 30701

Monday, August 1, 2022 Page 191 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2017Tom Bledsoe, MD 41730RN155253Hensley, Pamela 19779 800 GI Maddox Pkwy Chatworth, GA 30705-4008

12/5/2018Russell Minor, MD 35479RN155253Hensley, Pamela 21058 800 GI Maddox Parkway Chatsworth, GA 30705-4008

4/6/2018Catherine Yeagley, MD 46018RN122848Henson, Chelsea Skye 1325 2665 N Decatur Rd, Suite 750 Decatur, GA 30033

5/28/2010Janene Holladay, MD 37199RN062999Henson, Eva Lee 1326 1620 Prince Avenue Athens, GA 30606

3/1/2012Allen Woodrow Jones, MD 32214RN170417Herczeg, Katherine Ilene 8955 1610 East 10th Street West Point, GA 31833

7/17/2016Michael D. Hagues, DO 23977RN170417Herczeg, Katherine I. 11506 2122 Manchester Expwy, PO Box 7000, ER Columbus, GA 31

10/26/2021Venkateshwar Polsani 69424RN245382Heriot, Julie 53633 1968 Peachtree Road NW Atlanta, GA 30309

10/20/2021Ashraf Attalla 54960RN215947Herman, Gila 56686 696 Concord Road Smyrna, GA 30082

8/1/2021Cheryl Perkins, MD 36430RN278627Herman, Vicki L 1329 1499 Fair Road Statesboro, GA 30458

1/3/2014Susan Alfonso, MD 46026RN160044Hern, Cynthia 11258 1030 Delta Blvd Atlanta, GA 30354

3/15/2022Jimson Smith 62289RN297751Hernandez, Susan 58157 5885 Glenridge Drive, Suite 100 Atlanta, GA 30328-5572

11/4/2020James Beiter, MD 40003RN071356Hernandez, Erin 3328 PO Box 422002 Atlanta, GA 30342

8/26/2020William Warren, MD 23126RN248207Hernandez, Emily Tirado 17963 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

10/1/2018Sophenia Gay, MD 67868RN233982Hernandez, Odessa Sue 18033 821 N. Cobb Street Milledgeville, GA 31261

9/22/2016Nikita Gupta, MD 61886RN248207Hernandez, Emily Tirado 16659 1405 Clifton Rd NE Atlanta, GA 30322

5/1/2019Adolfo Molina, MD 24166RN220723Hernandez, Patricia 15786 3182 Shallowford Rd Chamblee, GA 30341

4/16/2015Sendhil Subramanian, MD 49107RN220723Hernandez, Patricia 14471 1000 Johson Ferry Rd, Ste B 155 Marietta, GA 30068

8/24/2018Earl T. Martin, MD 28602RN197793Herndon, Courtney 16728 218 Quarterman St. Waycross, GA 31501

10/8/2015John House, MD 11959RN197793Herndon, Courtney 16091 711 Charles Gilman Jr Ave, Ste B Kingsland, GA 31548

8/1/2020Savitri Ramdial 77512RN193500Herndon, Deborah 51861 259 US Hwy 19 N Camilla, GA 31773

8/1/2020Steohen Rubendall 57320RN193500Herndon, Deborah 20543 259 US 19 N Camilla, GA 31730

12/19/2016Candi Nobles-Jones, MD 47985RN191445Herren, Alexandra Mary 14327 777 Hemlock St Macon, GA 31201

8/2/2014Samuel Bleuez, MD 60241RN164161Herrick, Amy Lynn Hinton 11711 1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214

8/31/2017Atulkumar Patel, MD 30179RN164161Herrick, Amy Lynn Hinton 13210 600 Parkway North Newnan, GA 30265

1/28/2021John White Jr. 28233RN230963Herrick, Aleena 48110 220 J L White Drive, Suite 150 Jasper, GA 30143

9/23/2021Herbert Duvivier 87412RN212889Herrin, Sara 55249 600 Celebrate Life Parkway Newnan, GA 30265

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9/11/2020Bruce Kalmin 54441RN168654Herring, Tracy 47446 2020 Cumming Hwy, Suite 102 Canton, GA 30115

7/31/2019Mitchell Wilson, MD 61188RN115942Herring, Meredith 41056 1035 Red Bud Rd NE Calhoun, Ga 30701

8/20/2019Thomas Hilsman, MD 15591RN135456Herring, Heather 39985 1909 N. Columbia Street Milledgeville, GA 31061

9/11/2020Michael Frist, MD 67567RN168654Herring, Tracy 43996 550 Peachtree St NE Suite 1600 Atlanta, GA 30308

7/31/2019Mitchell Wilson, MD 61188RN115942Herring, Meredith 39086 707 Old Dalton Elijay Road Chatsworth, GA 30705

12/27/2018Mohamad Moussa, MD 61304RN168654Herring, Tracy Joy 18034 6325 Hospital Parkway Johns Creek, GA 30097

11/29/2020Tommy Thomas, MD 66829RN177143Herring, Tenisha 16433 80 Jesse Hill Jr. Dr, Ste 11 C Atlanta, GA 30303

9/11/2020Girish Anand 66243RN168654Herring, Tracy 46881 5671 Peachtree Dunwoody RD, Suite 600 Atlanta, GA 30342

9/11/2020Mahmoud Barrie 46829RN168654Herring, Tracy 46906 2665 North Decatur Rd, Suite 350 Decatur, GA 30033

9/11/2020Girish Pore 56868RN168654Herring, Tracy 51023 4275 Johns Creek Pkwy, Suite A Suwanee, GA 30024

9/11/2020Adam Weinberg 75026RN168654Herring, Tracy 51068 301 Philip Blvd NW, Suite A Lawrenceville, GA 30046-8746

9/11/2020Charles Nesmith 54629RN168654Herring, Tracy 46666 488 Kennesaw Ave NW Marietta, GA 30060

4/30/2016Mahaveer Vakharia, MD 38390RN095672Herring, Belinda King 8172 4171 Marietta Street, Suite 300A Powder Springs, GA 30127

4/15/2017Chadwick Souffer, MD 74786RN188500Herring, III, James Doyle 18104 4750 Water Ave, Ste 500 Savannah, GA 31404

5/1/2018Lisa Ortenzi, MD 23395RN125069Herrington, Angela 16239 3405 Dallas Hwy, Ste 505 Marietta, GA 30064

2/21/2021Bradley Goldberg, MD 40079RN154900Herrington, Cathy Lee 16757 1101 Ocilla Road Douglas, GA 31533

5/31/2014 Gail Leli Matthews, MD 52182RN125069Herrington, Angela Cornelia 13900 2154 Johnson Ferry Rd. NE Atlanta, GA 30319

1/18/2021Divya Narayanaswamy, MD 76913RN115103Herron, Lesia 41440 101 Regency Park Dr. McDonough, Ga 30253

8/20/2018Kelley Carroll, MD 78264RN115103Herron, Lesia 40059 80 Jessie Hill Drive Atlanta, GA 30303

11/7/2018Claudia Vellozzi, MD 36474RN115103Herron, Lesia L. 43033 80 Jessie Hill Jr. Drive Atlanta, GA 30303

3/1/2014Thompson, Sonya MD 37402RN029101Hersey, Lois 10725 1700 Hospital South Drive Austell, GA 30106

8/25/2021Brinkley Goodson 24680RN249265Hesidence, Mary 54326 4864 Jimmy Carter Blvd, Suite 203 Norcross, GA 30093

1/27/2016Felissa Goldstein, MD 57467RN247655Hesney, Sarah 16277 1920 Briarcliff Rd Atlanta, GA 30329

1/31/2022Randy Robinson 35987RN230964Hess, Heather 52801 1507 Broomtown Road Lafayette, GA 30728

7/24/2008Hugo Ribot, MD 30196RN090517Hess, Tammy Jeanette Hamilto 5186 958A J F Harris Pkwy, Bldg 2, Suite 102 Cartersville, GA 3012

9/16/2016Steven Bradley, DO 35359RN216918Hester, Lindsay Caroline 18146 P.O. Box 729 Ringgold, GA 30736

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/20/2021Manan Shah 79019GAA-NP000008

Hett, Carlyn 56265 1120 15th Street, BB-3514A Augusta, GA 30912

10/1/2018Benjamin Cheek, MD 25332RN160603Heynen, Courtney-Maree 5187 2300 Manchester Expwy, Ste B001 Columbus, GA 31904

9/14/2012Andrews, Noreen MD 46861RN066302Hibbitts, Marian 10159 1860 Duluth Hwy Ste 103 Lawrenceville, GA 30043

9/30/2010Deronda Person, MD 50079RN066302Hibbitts, Marian E. Hayes 8919 3208 Alcovy Club Ct Dacula, GA 30019

9/1/2012Kirk-Conrod Hewling, MD 57559RN066302Hibbitts, Marian E. Hayes 9327 4250 Brownsville Rd Powder Springs, GA 30127

12/10/2021Kaizad Shroff, MD 62002RN241773Hickerson-Jones, Stephanie Nic 14028 705 17th St, Ste 410 Columbus, GA 31901

9/1/2016Ann Marie Stokes, MD 63963RN193160Hickman, Dana Hull 13782 2000 Building 10th Ave. Ste 410 Columbus, GA 31901

1/14/2013Azar, Kenneth MD 13721RN078036Hickman, Karen 10897 306 Greenway Street Thomson, GA 30824

2/18/2016Thomas Self, MD 21587RN194193Hickman, Heather Renee 16602 1825 Martha Berry Blvd Rome, GA 30165

12/31/2018Priya Bayyapureddy, MD 55177RN193160Hickman, Dana Hull 19264 3850 Windermere Pkwy, Ste 105 Cumming, GA 30041

12/31/2018Swachitha Kothanpally, MD. 77170RN193160Hickman, Dana H. 39752 3850 Windermere Pkwy. Cumming, Ga 30041

9/18/2012Melvin Williams, MD 49260RN193160Hickman, Dana Hull 9965 10 Glenlake Parkway, Ste 40 Atlanta, GA 30328

10/1/2020Todd Kelley, MD 47781RN194193Hickman, Heather Renee 9830 85 John Maddox Conn NW Rome, GA 30165

4/30/2021James Smith Jr. 59763RN158733Hicks, Robert 56924 4995 Lanier Islands Parkway, Suite K Buford, GA 30518

12/14/2018Theresa Jacobs, MD 46864RN269008Hicks, Lature Elease 39444 977 Taylor St. (Suite A) Conyers, GA 30012

1/1/2018Kent Cohen, MD 30981RN158733Hicks, Robert Francis 39308 175 Langle Dr. ( Suite 4) Lawrenceville, GA 30046

12/22/2018Song NA, MD 38059RN158733Hicks, Robert F. 40507 4995 Lanier Islands Parkway (Suite A) Buford, GA 30518

5/12/2021Brent Harris, MD 67226RN216515Hicks, Amy Morgan 20057 714 Cedar Street Carrollton, GA 30117

3/2/2021Eugene Harris, MD 59658RN158733Hicks, Robert F 42524 4995 Lanies Islands Pkwy Buford, GA 30518

3/4/2018Asad Naqvi, MD 39885RN205476Hicks, Camelia LaShon 40738 5454 Yorktowne Dr Atlanta, GA 30349

6/23/2021Amy Gonzalez 54213RN240178Hicks, Tennille 55239 3720 Holcomb Bridge Road Norcross, GA 30092

3/2/2021Song Na 38059RN158733Hicks, Robert 45549 4995 Lanier Islands Pkwy, Ste. K Buford, Ga 30518

11/16/2020Bruce Ramsdell, MD 18722RN158733Hicks, Robert Francis 17961 2941 Piedmont Rd, NE, Ste B Atlanta, GA 30305

3/8/2016William Rankine, DO 55294RN097435Hicks, Violeta Elizabeth 16782 1960 247 Connector, Emer Dept Byron, GA 31008

2/9/2015Christopher Crooker, MD 39315RN158733Hicks, Robert Francis 15142 748 Old Norcross Rd, Ste 185 Lawrenceville, GA 30046

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/5/2021John Oliga 39890RN223104Higdon, Stephanie 54680 2799 Lawrenceville Hwy, Suite 106 Decatur, GA 30033

4/30/2020Michael McDaniel, MD 54841RN119881Higgins, Lisbeth 12000 1364 Clifton Rd, Suite F-606 Atlanta, GA 30322

5/19/2010Cullen Morris, MD 44285RN119881Higgins, Lisbeth 9125 1270 Prince Ave, Suite 303 Athens, GA 30606

4/1/2018Richardson, Eddie MD 52047RN149476Higgs, Angela 10660 105 Harmony Crossing, Ste 3 Eatonton, GA 31024

7/30/2014Ajay Kumar, MD 42326RN149476Higgs, Angela Odom 11012 132 Sparta Hwy Eatonton, GA 31024

9/30/2021Thomas Danello, MD 20093RN149476Higgs, Angela Odom 18574 5629 Hwy 21 South Rincon, GA 31326

8/30/2019Nelson Bennett, MD 32873RN196899Highsmith, Wykeisha Latrice 18536 5901-C Peachtree Dunwoody Rd, NE-Ste 65 Sandy Springs, G

8/30/2019Kenneth Goolsby, MD 25162RN196899Highsmith, Wykeisha Latrice 12272 1990 Limestone Cir, Suite 110 Gainesville, GA 30501

4/7/2020Ernest Fletcher 64538RN196899Highsmith, Wykeisha 47399 140 Carnegie Place, Suite 106 Fayettevile, GA 30214

8/7/2015Sekhar Sankaran, MD 31549RN149811Hightower, Kimberly Faith 7865 101 Regency Park Dr, Suite 140 McDonough, GA 30253

1/1/2022Sharon Amaya, MD 47182RN149802Hightower, Kimberly Copeland 12673 146 Bill Carruth Parkway, Emer Dept Hiram, GA 30141

2/28/2022Brian DeLoach, MD 51216RN142352Hilde, Karen Renea 8298 984 Plant Drive Statesboro, GA 30460-8043

8/25/2021Brian DeLoach, MD 51216RN040814Hilde, Eldonna Marie Chase 1342 PO Box 8043 Statesboro, GA 30460-8043

5/1/2010Glen Dasher, MD 43354RN152808Hildebrandt, Rana Hadden 8938 1044 Bermuda Run Rd Statesboro, GA 30458

8/1/2018Tom Bledsoe, MD 41730RN168131Hill, Calita Suzanne 414 1012 Burleyson Rd. Dalton, GA 30720

6/1/2013Thomas Joiner, MD 22797RN159234Hill, Cara C. 9949 425 W Third Ave, Ste 600 Albany, GA 31701

11/19/2021Deronda Brown 50079RN277117Hill, Theresa 58133 1915 Eisenhower Drive Savannah, GA 31406

4/20/2022Omorogiuwa Iguobadia 74772RN256160Hill, Hannah 59668 107 Peacock Drive Warner Robins, GA 31088

6/1/2011Jeremy Goodwin, MD 59416RN060452Hill, Patricia Cannington 8714 235 Medical Court Forsyth, GA 31029

1/18/2010Anne Todd, MD 51395RN168131Hill, Calita Suzanne Allen 8717 1008 N. 3rd Avenue Chatsworth, GA 30705

7/31/2010James Palazzolo, MD 37637RN159234Hill, Cara C. 8123 804 13th Avenue Alabany, GA 31701

4/10/2011Troy Kimsey, MD 46876RN159234Hill, Cara C. 9290 425 W. Third Ave, Suite 105 Albany, GA 31701

5/27/2011John Price, DO 55274RN168131Hill, Calita Suzanne Allen 9100 611 Villanow St Lafayette, GA 30728

6/1/2011William Taunton, Jr., MD 63543RN060452Hill, Patricia Cannington 9073 235 Medical Court Forsyth, GA 31029

5/1/2017Alicia Weksler, MD 37924RN168131Hill, Calita Suzanne 13927 1012 Burleyson Rd Dalton, GA 30720

3/20/2019Pablo Rengifo-Moreno, MD 76669RN159234Hill, Cara C. 21150 425 West 3rd Ave. ste. 600 Albany, GA 31701

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1/29/2021Rodrigo Morales, MD 52467RN217095Hill, Jessica Danielle 21151 92 Tommy Stalnaker Dr. Warner Robins, GA 31088

8/28/2017Reemon Bishara, MD 63759RN089816Hill, Patricia D. 21241 1915 Eisenhower Savannah, GA 31406

1/15/2018Justin Harrell, MD 59162RN203144Hill, Erin Askew 17092 1101 Ocilla Td Douglas, GA 31533

6/18/2020Linda Hudson 47771RN159234Hill, Cara 46104 417 3rd Ave Albany, Ga 31701

7/15/2020Avantiha Varma 82481RN285016Hill, Dana 46105 3540 N. Cobb Pkwy. NW Acworth, Ga 3101

3/13/2019Jennifer Robinson 51369RN189379Hill, Shumeka 44530 125 Samaritan Dr. Cumming, Ga 30040

6/22/2020Christopher Mathews 49133RN248756Hill, Summer 49448 110 Medical Park Drive Pooler, GA 31322

12/10/2021Katherina Ekeji 70373RN215948Hill, Brandi 55622 1150 Powder Springs Street, Suite 50 Marietta, GA 30064

12/18/2020Lester Johnson 69015RN248756Hill, Summer 52355 3200-C North Ashley Street Valdosta, GA 31602

2/1/2021Harold Minerve 44544RN285016Hill, Dana 46528 3579 Hwy 138 SE, Suite 103 Stockbridge, Ga 30281

5/22/2021Michael Torkelson 68570RN277117Hill, Theresa 47826 780 East Oglethorpe Highway Hinesville, GA 31313

7/31/2020Ajay Jain 58253RN235652Hill, Kristin 47874 1497 Fair Road, Suite 305 Statesboro, GA 30458

9/9/2019JENNIFER JONES 55166RN216320HILL, JESSICA 46261 101 RIVERSTONE VISTA, SUITE 102 BLUE RIDGE, GA 30513

7/9/2020Erin London 45440RN247853Hill, Heather 45604 415 Pottery Factory Dr. Commerce, Ga 30529

7/1/2021Victor Okeh 71268RN285016Hill, Dana 46687 11 Upper Riverdale Road Riverdale, GA 30274

1/7/2020Catherine K. Dickens, MD 35240RN277117Hill, Theresa H. 43314 14089 Abercorn Street Savannah, GA 31419

5/31/2018James Brown, MD 21652RN247853Hill, Heather 41750 1999 Prince Avenue Athens, GA 30606

10/31/2019Russell Jones 68177RN159234Hill, Cara 44997 425 W. Third Ave., Ste. 600 Albany, Ga 31701

5/1/2022Russell B. Minor, MD 35479RN168131Hill, Calita Suzanne 42886 1012 Burleyson Rd. Dalton, GA 30720

11/1/2019Michelle Plaster 61639RN281988Hill, Amy Elizabeth 44162 1016 E. Spring Street Monroe, GA 30655

1/7/2019Afaq A. Gul, MD 64944RN247853Hill, Heather D. 41051 11 Charlie Morris Rd. Colbert, GA 30628

2/17/2021Marga Ngwang, MD 70328RN158433Hill, Sylena Hendrix 19318 1810 Mulkey Rd., Ste 105 Austell, GA 30106

4/5/2018Davin Mitchell, MD 63786RN236319Hill, Callie Katherine 21358 1075 Lafayette Pkwy, Suite 100 Lagrange, GA 30241

4/1/2019Abraham Cheong, MD 50141RN195040Hiller, Nicole Ann 18537 2500 Starling St, Suite 506 Brunswick, GA 31520

6/30/2016Duane Moores, MD 46998RN195040Hiller, Nicole Ann 12649 2500 Starling St, Suite 506 Brunswick, GA 31520

1/1/2021Marc Harrigan 56719RN287809Hill-Junious, Norvella 52034 2920 Pharr Court South NW Atlanta, GA 30305

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/17/2021Ugo Ireh 55851RN243862Hill-Patterson, Daneisha 56795 209 N Cuthbert Street Colquitt, GA 39837

1/1/2017William Watkins, MD 32076RN183072Hill-Smith, Qumara 16098 5655 New Northside Dr., #320 Atlanta, GA 30328

3/3/2022Lee Jacobs 28283RN204507Hilton, Victoria Arcus 58332 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

9/10/2013Walter Metcalfe, MD 58544RN143868Hinds-Carden, Pamela Kay 12082 Take Care Clinic, 794 S Park St Carrollton, GA 30117

8/3/2019Randolph Bishop, MD 41516RN218397Hinely, Elizabeth Diane 16971 4 E Jackson Blvd Savannah, GA 31405

9/30/2021Louis Horn 45502RN218397Hinely, Elizabeth 46721 4 E. Jackson Blvd Savannah, GA 31405

6/3/2021Amy Geer 45799RN240315Hines, Davelyne 46884 951 S Broad Street Thomasville, GA 31792

9/9/2021Vanderlyn Sewell, MD 51547RN234689Hinton, Cindy 17182 934 Briarcliff Rd, NE Atlanta, GA 30306

4/12/2019Ranjan Avasthi, MD 63164RN234689Hinton, Cindy 19233 120 E. Trinity Place Decatur, GA 30030

3/23/2016Virna Simmons, MD 60614RN234689Hinton, Cindy 16399 1227 Rock Bridge Rd Stone, GA 30087

5/30/2019Nimish Dhruva, MD 45200RN154394Hinton, Denise 40722 1267 West Highway 54 Suite 2100 Fayetteville, GA 30212

2/11/2022Ramya Rangaraj 64680RN255807Hirjee, Salima 45255 715 Queen City Pkwy, #106 Gainesville, Ga 30501

3/29/2013Elizabeth Killebrew, MD 29898RN214271Hirsch, Lana Christian New 9882 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

7/28/2009Matthew Keadey, MD 49143RN076949Hitchcock, Robin Annette 1354 1364 Clifton Road Atlanta, GA 30022

8/31/2020Monica Hum 53247RN233068Hixon, Lindsey 46882 95 Collier RD NW, Suite 4025 Atlanta, GA 30309

3/30/2022Dharmeshkumar Patel 55264RN211699Hobbs, Latosha 47802 2491 Panola Road Lithonia, GA 30058

7/1/2019David H Paine, MD 28618RN205035Hobbs, Amanda Shai 42532 1305 North Street, East Vidalia, GA 30474-8624

4/17/2019Heywood K Gay, MD 38768RN205035Hobbs, Amanda Shai 42518 466 South Gray Street Millen, GA 30442

4/17/2019James L Ray, MD 16126RN205035Hobbs, Amanda Shai 42528 856 Highway 1 South Swainsboro, GA 30401

4/17/2019Cedric E Porter, MD 29363RN205035Hobbs, Amanda Shai 42529 856 Highway 1 South Swainsboro, GA 30401

4/17/2019Karen L Butler, MD 53841RN205035Hobbs, Amanda Shai 42513 856 Highway 1 South Swainsboro, GA 30401

4/17/2019Anthony Howard, MD 34616RN205035Hobbs, Amanda Shai 42516 856 Highway 1 South Swainsboro, GA 30401

7/27/2019Prakul Chandra, MD 66006RN205035Hobbs, Amanda Shai 42509 466 South Gray Street Millen, GA 30442

8/30/2019Belise Livingston-Burns, MD 54588RN124507Hobbs, Lori Cobb 20078 1425 w. Oakridge Drive Albany, GA 31707

12/13/2015David Goo, MD 31924RN225115Hobbs, Laura Elizabeth 13362 1000 Medical Ctr Blvd. Lawrenceville, GA 30046

8/23/2013Harrison Stetler, MD 41681Rn225115Hobbs, Laura Elizabeth 11706 3957 Holcomb Bridge Rd, Suite 100 Norcross, GA 30092

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/29/2019Harriette Perlstein, MD 31098RN225115Hobbs, Laura Elizabeth 13771 4395 Johns Creek Pkwy, Ste 150 Suwanee, GA 30024

6/15/2021Edward Gotlieb, MD 14500RN242574Hochstetler, Trinity Joy 14510 5405 D Memorial Dr, Ste D Stone Mountain, GA 30083

1/5/2018Andrew Waldman, MD 48001RN151941Hocking, Timothy Kevin 12381 710 Center St, Emer Dept Columbus, GA 31901

6/23/2013Richard Harvey, MD 37827RN217912Hockstedler, Marita Ann 10773 575 First Street Macon, GA 31201

5/28/2021Candi Nobles-James 47985RN217912Hockstedler, Marita 20277 265 Sheraton Blvd Macon, GA 31210

7/3/2019Kencliffe Palmer, MD 72065RN135667Hodge, Claudia A. Davies 43015 3545 Cruse Road (Suite 103) Lawrenceville, GA 30044

10/1/2018Darrell Murray, Sr., MD 44797RN135667Hodge, Claudia Ayodele Davies 21062 920 Dannon View SW, ste. 3103 Atlanta, GA 30331

3/19/2015Quinton Weldon, MD 56786RN210361Hodges, Jami Nicole 13569 1035 E. Forsyth St Americus, GA 31709

3/14/2016Michael Raines, MD 35979RN210361Hodges, Jami Nicole 15357 1035 East Forsyth St. Americus, GA 31709

12/11/2019Crystal Bright 67869RN206932RN206932

Hodges, Matthew 46106 105 E. Tollison St, Suite C Baxley, Ga 31513

8/22/2019Chester Lapeza, MD 44263RN210361Hodges, Jami Nicole 42442 609 East Lamar Street Americus, GA 31709

12/16/2019David Cox, MD 70247RN210361Hodges, Jami 17636 618 East Lamar Street Americus, GA 31709

6/15/2020MADELAINE SANTOS VEGA MD

74351RN210361HODGES, JAMI NICOLE 39310 609 EAST LAMAR ST AMERICUS, GA 31709

1/23/2020Floyd Soriano 54941RN204721Hodges, Erin 20422 117 Memorial Drive Reidsville, GA 30453

5/17/2013Cheryl Perkins, MD 36430RN104429Hodnicki, Deanna Renee O'Don 9056 1497 Fair Rd, Suite 200 Statesboro, GA 30458

4/10/2017Sandeep Khurana, MD 70813RN175854Hodo, Michael Paul 13901 1120 Fifteen St BBR2538 Augusta, GA 30912

3/23/2019Alison Buchanan-Enter 71699RN175854Hodo, Michael Paul 20017 3675 J. Dewey Gray Circle (Suite (300) Augusta, GA 30909

7/1/2017Erik Prasatik, MD 61456RN175854Hodo, Michael Paul 20474 2260 Wrightsboro Rd. Augusta, GA 30904

7/1/2017Erik Prasatik, MD 61456RN175854Hodo, Michael Paul 20390 2260 Wrightsboro Rd. Augusta, GA 30904

5/2/2021Naima Cheema 62362RN282527Hodoval, Haley 54474 1250 Upper Hembree Road, Suite B Roswell, GA 30076

10/1/2018Robert Norniella, MD 65289RN220607Hoefs, Jamie Elizabeth 21305 1353 Jennings Mill Rd. ste. C Watkinsville, GA 30677

12/16/2020Wesley Seabolt, MD 64266RN220607Hoefs, Jamie Elizabeth 19861 76 Hunt Martin St., Ste A Blairsville, GA 30512

10/12/2018Hemachandra Gunawardhana, MD

63341RN220607Hoefs, Jamie Elizabeth 16984 250 Scenic Hwy. Lawrenceville, GA 30046

3/1/2017Mehmood Mehdi, MD 57725RN220607Hoefs, Jamie Elizabeth 17025 367 Athens Hwy, Ste 1050 Loganville, GA 30052

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2012Thomas R. Rumble, MD 13078RN067755Hoffa, Evelyn Marie Head 1361 2121-A Bellevue Rd Dublin, GA 31021

11/1/2009Louis Spencer, MD 61351RN060455Hoffman, Linda Ann Hilpp 8309 4159 Martha Berry Hwy, NW Rome, GA 30165

10/25/2021Catherine Strickland, MD 65819RN060455Hoffman, Linda Ann 16639 304 Shorter Ave, Ste 103 Rome, GA 30165

8/1/2015Jameson Estes, MD 48852RN169860Hoffman, Judy Lynn 13978 5454 Venture Ct. Monticello, GA 31064

1/19/2016Altee Johnson, MD 60387RN169860Hoffman, Judy 15909 101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

8/14/2011James Gore, MD 36384RN169860Hoffman, Judy Lynn 9497 1657 N. Expressway Griffin, GA 30223

9/2/2020Alexander Stephen Maybury, MD

73621RN169860Hoffman, Judy Lynn 41335 550 Peachtree St. NW. Atlanta, GA 30308

2/10/2021Chhavi Nohani 66974RN276434Hoffman-Goodson, Kimberly 46417 1360 Upper Hembree Road, Suite 100 Roswell, Ga 30076

9/28/2019John S Lammert 33619RN276434Hoffman-Goodson, Kimberly Da 43584 720 Transit Ave (Suite 101) Canton, GA 30114

10/1/2008Hope McDaniel, MD 59287RN060455Hoffmann, Linda Ann Hilpp 1364 4159 Martha Berry Hwy NW Rome, GA 30165

11/30/2011Joseph Biuso, MD 28726RN060455Hoffmann, Linda Ann Hilpp 8759 330 Turner McCall Blvd, Suite 203 Rome, GA 30165

6/5/2018Krista J. Childress, MD 78271RN200557Hogan, Kara 39639 1001 Johnson Ferry Rd. NE Atlanta, GA 30342

2/10/2021Marc Harrigan 56719RN087295Hogue-Kinahan, Janice 54610 2920 Pharr Court S Northwest Atlanta, GA 30305

8/4/2021Brij Singh 43777RN087295Hogue-Kinahan, Janice 51335 321 Hospital Road Canton, GA 30114

8/17/2009Lisa Rosa-Re, MD 29768RN087295Hogue-Kinahan, Janice Kaye 7764 11660 Alpharetta Hwy, Suite 600 Roswell, GA 30076

3/22/2021Deliana Peykova 76783RN229964Holbrook, Emily 56021 2150 Limestone Pkwy, Suite 222 Gainesville, GA 30501

7/28/2015Darryl Harris, MD 32920RN118690Holbrook, Alisha Jill 1001 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

2/6/2020Kimberly Curseen, MD 72890RN099217Holcolmb, Carole Strohm 18443 550 Peachtree St NE, Ste 1950 Atlanta, GA 30308

6/25/2011Kenneth Howard, MD 40412RN101888Holcomb, LaDonna Leigh 8318 1060 Redbud Road Calhoun, GA 30701

12/3/2012Wilma Briones-Mull, MD 64783RN101888Holcomb, LaDonna 10006 255 West 5th Street Rome, GA 30165

8/12/2021Kelly McCants 72798RN223280Holder, Maria 48143 501 Main Street, Suite 202 Alpharetta, GA 30009

8/1/2018 Scott Parry, DO 39899RN223280Holder, Maria Jane 18572 2215 Cheshire Bridge Rd, NE Atlanta, GA 30324

8/12/2021Ana-Zully Teran 55800RN223280Holder, Maria 47489 4343 Shallowford Road, Suite B7B Marietta, GA 30062

8/12/2021Ana-Zully Teran, MD 55800RN223280Holder, Maria Jane 42445 1301 Shiloh Rd Kennesaw, GA 30144

6/1/2021Roy Smith 85368RN184767Holdsworth, Noel 52715 301 Black Bear Ridge Sautee Nacoochee, GA 30571

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/14/2020Melissa Warner, MD 33480RN184767Holdsworth, Noel 15073 310 Black Bear Ridge Sautee Nacoochee, GA 30571

6/4/2020Denise Workman 50693RN184767Holdsworth, Noel 51230 301 Black Bear Ridge Sautee Nacoochee, GA 30571

3/20/2019Annmarie Books, MD 56806RN146949Holiday, Demetrius Denise 13744 35 Jessie Hill Jr. Dr Atlanta, GA 30303

11/11/2021Holly Gooding 82199RN146949Holiday, Demetrius 49332 35 Jesse Hill Jr. Drive Atlanta, GA 30303

10/31/2019Nicole Davidson 76327RN146949Holiday, Demetrius 46360 1180 Barrett Pkwy SW, Suite 102B Kennesaw, Ga 30144

5/31/2019Stephanie Addison-Holt, MD

70024RN146949Holiday, Demetrius Denise 20352 35 Jessie Hill Jr. Atlanta, GA 30303

10/23/2021Alfred Lua 71722RN212538Holifield, Michele 57830 13570 N Main Street Trenton, GA 30752

10/28/2009Anthony Costrini, MD 14476RN102280Holland, Wendy Jean Olmstead 1374 11700 Mercy Blvd Suite 5 Savannah, GA 31419

4/30/2015William Garrett, MD 43373RN102280Holland, Wendy Jean Olmstead 8860 6602 Waters Ave, Bldg C Savannah, GA 31406

1/31/2018Deepti Bhasin, MD 59979RN220207Holland, Jennifer Erin Rae 18832 402 Osigian Blvd, Ste 400 Warner Robins, GA 31088

1/26/2022Robert J. Burton 33543RN102280Holland, Wendy Jean 44157 722 Collins Hill Road (Suite H-323) Lawrenceville, GA 30046

11/9/2015Rene Mackay, MD 51680RN196061Holland, Jennfier 16056 1360 Caduceus Way Building 400, Ste 104 Athens, GA 30606

12/28/2018Joel Greenberg, MD 28560RN102280Holland, Wendy Jean Olmstead 17583 6602 Waters Ave, Bldg C Savannah, GA 31406

6/19/2015Benjamin Holland, MD 67710RN196061Holland, Jennifer Rachel 12553 1199 Prince Ave, MSB Bldg, 2nd floor Athens, GA 30606

6/30/2021Aida Ordoubadi, DO 59575RN230895Hollar, Mattie Elizabeth 41518 410 Peachtree Parkway Cumming, GA 30041

1/31/2022Nisreen Jallad 73857RN243837Hollar, Louwana 46520 1707 Watson Blvd Warner Robins, Ga 31093

2/1/2018Narendra Logendra, MD 42336RN153969Holley, Nelda 21319 2151 West Spring St Monroe, GA 30655

4/16/2019Khuder Burjak, MD 61709RN153969Holley, Nelda Darlene 18567 316 N. Broad St. Winder, GA 30680

4/30/2019Joel Garrison, DO 76549RN153969Holley, Nelda Darlene 19594 106 Broad St. Loganville, GA 30052

10/20/2021Hunt Anderson 60036RN281868Hollings, Dezmond 55851 4500 Hospital Blvd, Suite 320 Roswell, GA 30076

5/7/2018Norvin Ona, DO 37634RN171362Hollingsworth, Crichton Anne 12307 1925 Old Peachtree Rd Lawrenceville, GA 30043

3/11/2017Peter Allotey, MD 45693RN179039Hollins, Joyce Sherece 17690 2660 Montpelie Ave Macon, GA 31204

2/5/2020Chukwuemeka Nwabuebo, MD

48553RN179039Hollins, Joyce 43231 654 First Street Macon, GA 31201

5/5/2020Stephan Meadows 83959RN169906Hollis, Holly 47251 2927 Demere Road St. Simons, GA 31522

7/20/2020Afolarin R. Banjoko 49267RN169906Hollis, Holly N 44111 8400 Abercorn Street Savannah, GA 31406

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/8/2018Jonathan Wade, Do 66666RN138048Hollis, Elizabeth Maria 40754 406 S. West St Bainbridge, GA 39819

8/20/2016Raulnina Uzzle, MD 43499RN186422Hollis, Katrice Dionne 16918 5582 Memorial Drive Stone Mountain, GA 30083

5/1/2020D. Shawn Surratt, MD 55984RN138048Hollis, Elizabeth Maria 13712 505 Amelia Ave. Bainbridge, GA 39819

3/7/2014D. Shawn Surratt, MD 55984RN138048Hollis, Elizabeth Maria 9534 603 S. Wheat Ave, Suite 700 Bainbridge, GA 39819

3/7/2014Linda Jones, MD 30111RN138048Hollis, Elizabeth Maria 9535 1500 E. Shotwell St Bainbridge, GA 39819

4/30/2014Mark Elam, MD 36147RN175341Holloway, Amy E. 11349 1102 Burleyson Rd. Dalton, GA 30720

9/20/2012Joseph Sentef, MD 32816RN175341Holloway, Amy Elizabeth 11002 513 Benjamin Way, Suite 200 Dalton, GA 30721

3/17/2016Smith, Jason MD 52635RN170114Holloway, Hollie 10553 550 Professional Drive Macon, GA 31201

9/6/2014Wyatt Blake, MD 47702RN175341Holloway, Amy Elzabeth 13363 4421 Carnes St. Acworth, GA 30101

3/25/2020Dixie Griffin 63661RN201312Holloway, Alisha Davis 44113 39 Kent Road Tifton, GA 31794

10/11/2021Ogechi Mbakwe 69221RN184049Holloway-Freeman, Octavia 54360 6 Lester Road Statesboro, GA 30458

3/1/2019DAVID CLARK MD 43579RN271946HOLMES, CARLA ELLEN 39319 818 ST.SEBASTIAN WAY SUITE 311 AUGUSTA, GA 30901

10/9/2017Jaymal Patel, MD 50984RN047369Holmes, Jennifer Cassiel Spires 13627 3120 North Oak St Ext, C Valdosta, GA 31602

3/2/2017Ene Saint-Preux, MD 68551RN146528Holmes, Kimberly Renee 19186 135 Monarch Dr. Union City, GA 30291

4/6/2015Jackie Cox Thompson, MD 12446RN047369Holmes, Jennifer 11079 2927 Demere Dr. St. Simons Island, GA 31522

7/6/2015Ryan Wagoner, MD 71582RN047369Holmes, Jennifer 15528 2927 Demere Rd. St. Simons Island, GA 31522

3/24/2021Patrick Dorvilus, MD 60450RN152873Holsey, Angela 10947 380 Sconyers Street Metter, GA 30439

6/22/2021Inder S. Tandon 78477RN152873Holsey, Angela 53062 3758 Hwy 42, Suite 301 Locust Grove, GA 30248-3653

11/17/2017STEPHEN FLEMING MD 63325RN239297HOLT, TIMOTHY LOUIS 39321 55 CARLTON STREET ATHENS, GA 30602

4/24/2014Delgado, Reden MD 65957RN060670Holt, Tina 10663 2293 Rome Hwy Rockmart, GA 30153

1/31/2014Dark, Jennifer MD 66016rn060670Holt, Tina 10693 1012 Burleyson Road Dalton, GA 30710

9/12/2014Kenneth J. Howard, MD 40412RN060670Holt, Tina M. 11332 1060 Redbud Rd. Calhoun, GA 30701

2/14/2020Guido Ring 45325RN130090Holton, Laverne 46605 1626 Jeurgens Court Norcross, Ga 30093

12/15/2016F Geoffery Conner, MD 33555RN164616Holton, Cynthia Kaye 11989 1608 Meadows Lane, Suite 1 Vidalia, GA 30474

10/8/2021Joseph Foust 52930RN164616Holton, Cynthia 55702 1805 Manning Drive Vidalia, GA 30474

10/8/2021Michael Moss 66543RN164616Holton, Cynthia 56678 105 East Tollison Street, Suite C Baxley, GA 31513

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/1/2020John Higgins 67463RN164616Holton, Cynthia 46418 101 Harris Industrial Blvd, Suite A Vidalia, Georgia 30474

3/31/2020Michael Peacock 40752RN130090Holton, Laverne 46419 1626 Jeurgens Court Norcross, GA 30093

6/1/2019Michael Satchell 49593RN130090Holton, Laverne 46421 1626 Jeurgens Court Norcross, GA 30093

6/15/2016Felix Amoa-Bonsu, MD 55916RN151100Holts, Kalato Lehue 17821 5185 Old National Hwy College Park, GA 30349

6/1/2019Justine Henao 52580RN196832Holyfield, Candi 44297 1395 South Marietta Pkwy (Bldg #300 Ste #216) Marietta, G

2/28/2022Donald Jones 66511RN282449Holzman, Michelle 53290 2100 Palmyra Road Albany, GA 31701

11/8/2019John M. Harris, MD 59919RN276834Honaker, Sarah 73 501 Redmond Rd. Rome, GA 30165

1/3/2022Kirk Kanter, MD 30631RN159919Honeycutt, Stephanie W. 8977 1405 Clifton Rd Atlanta, GA 30322

2/15/2018Ramanpreet Dhindsa 68766RN159919Honeycutt, Stephanie 20426

7/1/2017Jocelyne Tadros, MD 61652RN159919Honeycutt, Stephanie 16099 743 Spring St NE Gainesville, GA 30501-3715

5/4/2018Robert Herrara, MD 41440RN231758Hong, Michelle Soojung 21309 5673 Peachtree Rd. ste. 775 Atlanta, GA 30338

6/30/2019Lata Parvathaneni, MDRN231758Hong, Michelle Soojung 42437 5673 Peachtree Dunwoody Road (Suite 775) Atlanta, GA 303

8/23/2019Velair Walton 67333RN231758Hong, Michelle 46107 5673 Peachtree-D'woody Rd. , Suite 775 Atlanta, Ga 30342

2/2/2021Adelaide Francois, MD 79649RN145867Hood, Marian May-Mi 42329 2122 Manchester Expy Columbus, GA 31904

2/1/2018Kemisha Key, MD 70663RN145867Hood, Marian 15436 2122 Manchester Expressway Columbus, GA 31908

11/3/2012Skiwski, Jason MD 64973RN144360Hood, Terry 10164 2366 Battlefield Parkway Ft. Oglethorpe, GA 30742

7/1/2021Carter Co 61054RN195087Hood, Baron 51014 600 Celebrate Life Parkway Newnan, GA 30265

5/10/2021Tommy Bledsoe Jr. 41730RN117832Hooks, Joanne 56925 800 GI Maddox Pkwy Chatsworth, GA 30705

12/9/2020Roland Nash 58909RN217030Hooks, Precious 54773 125 Pavillion Parkway, Suite A Fayetteville, GA 30214

12/31/2015David Morris, MD 28828RN097494Hooks Jr., Jerry Dwayne 15464 3280 Howell Mill Rd, Ste 326 Atlanta, GA 30327

10/26/2017Anuradha Thopu, MD 41377RN097494Hooks, Jr., Jerry Dwayne 16865 340 Boulevard NE, Ste 210 Atlanta, GA 30312

10/19/2018Alicia Weksler, MD 37924RN095695Hooper, Tracy 15256 1012 Burleyson Dalton, GA 30720

7/1/2018OPEOLUWA AKINNUSI MD 64802RN271087HOOPER, GANIELLE 40458 3750 PALLADIAN VILLAGE DR MARIETTA, GA 30066

2/1/2011Teresa Baysden, DO 57348RN095695Hooper, Tracy Lynn Martin 1395 2001 Antioch Road Dalton, GA 30721

7/1/2015Norvell, Mark MD 23393RN155541Hoover, Abigail 10119 3300 Fourth Street Brunswick, GA 31520

7/1/2015Samuel Sencil, DO 55971RN048111Hopkins, Debra D 1396 206 East Church St Bowman, GA 30624

Monday, August 1, 2022 Page 202 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/21/2011Thomas Simpson, MD 34949RN060470Hopkins, Janice Marie Gribble 1397 315 W. 5th St Rome, GA 30161

5/12/2012Denise Pecht, MD 34436RN205006Hopkins, Casey Leigh 9674 771 Old Norcross Rd, Suite 305 Lawrenceville, GA 30046

3/20/2020Crystal Hoold 58813RN242300Hopson, Tiffany 45557 1506 Klondike Rd. SW, #205 Conyers, Ga 30094

2/8/2022Lynn Denny 50155RN301978Hord, Cheryl 57525 3001 Mercer University Drive Atlanta, GA 30341

2/3/2015Bradley Ward, MD 21115RN188946Horn, Lauren Bramlett 9781 97 Church St Taylorsville, GA 30178

11/8/2019Jessica Stepp, DO 69261RN188946Horn, Lauren Bramlett 15338 48 Hills Creek Rd. Taylorsville, GA 30178

5/14/2019Anuj Manocha, MD 45876RN200954Horne, Wanda Yejide 8704 1700 Hospital South Dr, Suite 502 Austell, GA 30100

2/1/2016Larry A. Fritchman, MD 57970RN159649Horner, Rose Marie I. 11610 843 Falls Rd. Toccoa, GA 30577

5/6/2016Shrinath Nadig, MD 61302RN175950Horner, Dennis Duane 14644 274 Big A Road Toccoa, GA 30577

11/1/2014Larry Fritchman, MD 57970RN175950Horner, Dennis Duane 9122 843 Falls Rd Toccoa, GA 30577

8/25/2016Jennifer Beckman, MD 66453RN176163RN176163

Hornsby, Lauren Elane 14795 523 Dixie St, Ste 3 Carrollton, GA 30117

6/19/2018John Souza, MD 39475215454Horton, Kristin Megan Dixon 19847 1006-1 Hillcrest Pkwy, Ste 1 Dublin, GA 31021

3/31/2018John McLaren, MD 21749RN215454Horton, Kristin Megan Dixon 18002 821 N. Cobb Street Milledgeville, GA 31061

1/1/2020Brett Cannon, MD 46053RN154335Horton, Brian Andrew 40928 3950 Austell Road Austell, GA 30106

2/1/2019Allan Lee Solomon, MD 28465RN231262Horton, Julie A. 18728 3000 Lenora Church Rd. Snellville, GA 30078

6/17/2021Thomas Federico 65543RN222652Hosea, Melissa 57574 13190 Highway 92, Suite 70-90 Woodstock, GA 30188

3/12/2012Terry Wood, MD 36636RN116039Hostetler, Joy Lynn 1406 1340 Boulevard SE Atlanta, GA 30315

3/12/2012William Cook, MD 32461RN116039Hostetler, Joy 8051 1267 Hwy 54 West, Suite 3200 Fayetteville, GA 30214

4/30/2021James Smith, Jr. 59763RN240361Houston, Kathryn 56819 4995 Lanier Islands Okwy, Suite K Buford, GA 30518

10/1/2021Anna Tanner 47669RN239767Howard, Lindsey 57121 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

11/4/2020John Cheng 53117RN239767Howard, Lindsey 46877 1001 Johnson Ferry Road NE Atlanta, GA 30342

5/15/2019Asit K. Jha 55248RN203147Howard, Traci Bowers 39332 1706 Alice Street Waycross, GA 31501

7/30/2020MARK GRIFFITHS MD 67223RN239767HOWARD, LINDSEY 39726 1645 TULLIE CIRCLE ATLANTA, GA 30329

11/1/2020Michael Torkelson, MD 68570RN140328Howard, Melanie Lee Morgan 19072 5629 Hwy 21 South Rincon, GA 31326

8/10/2021Lee Jacobs 28283RN174263Howard, Michelle 55226 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

Monday, August 1, 2022 Page 203 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/29/2021Nancy Fajman 36732RN239767Howard, Lindsey 54902 35 Jesse Hill Jr. Drive Atlanta, GA 30303

7/1/2019Sofia Munir 68250RN259799Howard, Lorri 45910 One CNN Center 10th Floor Atlanta, Ga 30303

7/9/2021Jonathan Williams, DO 59237RN213051Howard, Kemaya Lekeece 16920 2121-A Bellevue Rd Dublin, GA 31021

3/6/2015Joseph Watlington, MD 25685RN226783Howard, Patricia Lauren 13365

2/6/2015Blake Milner, MD 52789RN149577Howard, Erika D 13903 1111 Griffin Ave Ste 1B Eastman, GA 31023

2/20/2014Brant Holt, MD 54393RN203147Howard, Patricia Lauren 11779 102 Erlanger South Drive Ringgold, GA 30736

8/23/2014Cheryl Tolliver, MD 53040RN168272Howard, Heather Hendon 12657 417 Third Ave Albany, GA 31701

5/13/2011John Hubbard, MD 30787RN055858Howell, Scott Nelson 9343 228 N. College Ave Hartwell, GA 30643

5/4/2016Berl, Seth MD 24390RN206614Howell, Jennifer 10554 #9 Hospital Park Moultrie, GA 31768

2/16/2016Craig Fredericks, MD 32907RN198780Howell, Rachel Hearon 12305 704 South Broad St. Thomasville, GA 31792

11/4/2015Lee, Clay DO 46610RN206614Howell, Jennifer 10664 207 31st Avenue SE Moultrie, GA 31768

7/27/2020Omari Hodge, MD 70459RN073038Howell, Charlotte 15757 120 Marietta Hwy Canton, GA 30014

12/31/2017George Powell, MD 37046RN201410Howell, Susan Bellinger 13664 3207 Country Club Dr. Valdosta, GA 31605

4/30/2018Odell Still, DO 37085RN228123Howell, Dewey Dustin 18044 3193 East First Street Vidalia, GA 30475

7/24/2016Gary Swartzentruber, MD 63965RN206614Howell, Jennifer Lindsey 18099 1335 4th Street Sw. Moultrie, GA 31768

6/1/2017Cynthia Brown, MD 49876RN197683Howell, Ashley Gowens 19911 815 Curtis Parkway SE Calhoun, GA 30701

11/30/2021Sharifa Abou-Medinene 78683RN228123Howell, Dewey 44536 3193 East First St Vidalia, Ga 30474

11/14/2017Zahidul Chowdhury, MD 74712RN073038Howell, Charlotte 21338 120 Marietta Hwy Canton, GA 30114

5/1/2018Pablo Balboa-Marciack 55409RN197683Howell, Ashley 20533 815 Curtis Parkway SE Calhoun, GA 30701

7/26/2019Raymond Easley, DO 20987RN142462Howell, Vanessa 40099 1675 Cumberland Parkway, SE (Ste 205) Smyrna, GA 30080

7/22/2021Candice Darville, MD 80487RN197683Howell, Ashley G 42798 815 Curtis Parkway SE Calhoun, GA 30701

8/31/2018Devin L Handley, MD 48356RN197683Howell, Ashley G 42330 815 Curtis Parkway SE Calhoun, GA 30701

1/24/2022Michael Nulph 57735RN112484Howell, Holly 56907 222 Perry Highway, Building A, Suite 104 Hawkinsville, GA 3

10/2/2007David Arkin, MD 28136RN159191Howell, Frances Wilson 1419 758 Old Norcross Rd, Ste 175 Lawrenceville, GA 30045

2/9/2015Dolapo Babalola, MD 59119RN073038Howell, Charlotte Adrienne 1417 Take Care Clinic, 2464 Roswell Rd Marietta, GA 30062

5/1/2013Plummer, Valens MD 49496RN073038Howell, Charlotte 10057 1762 Mars Hilol Rd NW Acworth, GA 30101-8091

Monday, August 1, 2022 Page 204 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/19/2015Quinton Weldon, MD 56786RN186042Howell, Allen Blaine 10003 100 Plantation Ridge Drive Americus, GA 31709

5/1/2019Naresh Parikh, MD 28851RN183877Howell-Freckleton, Annie Rose 40739 1462 Montreal Rd Suite 201 Tucker, GA 30084

6/26/2015Miriam Gwathney, DO 63343RN142462Howell-Philip, Vanessa 11982 931 Lower Fayetteville Rd, Suite J Newnan, GA 30263

12/31/2012Oliviere, James Jr. MD 60017RN142462Howell-Philip, Vanessa 10527 931 Lower Fayetteville Road Newnan, GA 30263

7/31/2017Michelle Morgan, DO 51694RN053615Howell-Philip, Vanessa 12528 Take Care, 9465 Hwy 5 Douglasville, GA 30135

5/24/2016Shalini Reddy, MD 45935RN205032Hoyt, Heather Smith 13057 1825 Martha Berry Blvd Rome, GA 30165

6/11/2021Thomas Miller 67685RN261899Hruby, Sarah 46109 308 East Long St. Claxton, Ga 30417

5/28/2015Markus Porkert, MD 51716RN206671Hu, Yuan 13151 1700 Tree Ln., Ste. 190 Snellville, GA 30078

12/2/2019Morgan McLemore 59290RN121854Hu, Qiuping 9759 1365-C Clifton Rd, Suite 3078 Atlanta, GA 30322

8/31/2010Heather Svenson, MD 50841RN169681Hubbard, Mandy D. Brinson 8453 47 Professional Drive Brunswick, GA 31520

6/28/2016Eddie Thomas, MD 53192RN169681Hubbard, Mandy D. Brinson 9272 391 Peachtree St Jesup, GA 31545

6/28/2016Stanley Jones, MD 47607RN169681Hubbard, Mandy D. Brinson 9654 391 Peacdhtree St Jesup, GA 31545

8/31/2010Eric Hall, MD 45814RN169681Hubbard, Mandy D. Brinson 9016 512-B South Main Street Hinesville, GA 31313

2/28/2022James Zubernis 62302RN143129Huber, Angela 51386 917 West Gordon Street, Suite A Thomaston, GA 30286

12/12/2012Madhu Vishwanath, MD 56499RN097896Huckabay, Paige Adams Murph 1426 3003 Old Alabama Road Alpharetta, GA 30022

2/26/2010Mohamad El-Attar, MD 41286RN069461Huckaby, Lisa Carole Potts 5195 1311 Milstead Avenue Conyers, GA 30012

9/22/2011Bruce Williams, DO 62794RN069461Huckaby, Lisa Carole Potts 9276 1301 Sigman Rd NE, Suite 230 Conyers, GA 30012

3/4/2015David Derrer, MD 54181RN093576Hudson, Kelly Kruegler 14344 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

6/10/2015Ronald Pirtle, MD 13784RN093576Hudson, Kelly Kruegler 15540 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

12/6/2019Marisol Sanlnocencio, MD 47654RN157685Hudson, Jessica 15894 1001 Fernwood Dr Milledgevilole, GA 31061

9/1/2020Bret Lewis, MD 33384RN093576Hudson, Kelly Kruegler 17258 2750 Old Alabama Rd, Ste 100 Johns Creek, GA 30022

12/31/2015Tom Bledsoe, MD 41730RN101917Hudson, Lori Ann 14688 509 Alabama Ave Bremen, GA 30110

7/31/2019John Lloyd, MD 28434RN101917Hudson, Lori Ann Caldwell 17794 431 Sage Street Temple, GA 30179

1/31/2021Frank Lee 81086RN160448Hudson, Pertinna 53742 4475 West Village Parkway Ellenwood, GA 30294

5/1/2021Stephen Broomes 43335RN101917Hudson, Lori 45421 503 Main St. Villa Rica, Ga 30180

7/1/2019Sofia R. Munir, MD. 68250RN093576Hudson, Kelly Krueglet 40299 1050 Techwood Drive Atlanta, Ga 30318

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2021Sharon Haynes 28818RN101917Hudson, Lori 46730 503 Main Street Villa Rica, GA 30180

4/1/2014Enrique Isidro, MD 49617RN064157Hudson, Virginia N. 8473 PO Box 1000 Warm Springs, GA 31830

4/30/2021Lavon Thurman Jr. 19791RN219876Hudson-Neeley, Lucinda 54712 94 McCrary Road Fortson, GA 31808

10/4/2016Tamer Middleton, MD 24856RN168244Huenink, Laura 15189 1762 Mars Hill Rd. NW Acworth, GA 30101

12/30/2021Marvin Jones 29692RN145506Huff, Joanna 56306 1854 Union Carbide Road Woodbine, GA 31569

5/11/2021Earl Joyner 33776RN262881Huffman, Mila 49222 1950 Spectrum Circle, Suite 200 Marietta, GA 30067

9/10/2019Alvin Wilson 33494RN262881Huffman, Mila 46112 700 Sunset Dr., Suite 101 Athens, Ga 30606

4/3/2018Margaret Davis, MD 39033RN170009Huffman, Emily Denise 20405 725 Jesse Jewell Pkwy. SE Gainesville, GA 30501-3834

5/22/2019Fatimah Manzoor, MD 64600RN170009Huffman, Emily Denise 40003 725 Jesse Jewell Parkway SE Gainesville, GA 30501-3834

5/22/2019Robert Richard, MD 50992RN170009Huffman, Emily Denise 16921 725 Jesse Jewell Pkwy, SE Gainesville, GA 30501

8/28/2019Michael McHenry, MD 65285RN201640Huggins, Kharisma 19660 354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265

1/29/2016Cynthia Libert, MD 59457RN213917Hughes, Michael 14794 48 Haralson Place, Ste One Blairsville, GA 30512

6/13/2016Richard Rickman, MD 49332RN194267Hughes, Joshua Emmett 17094 200 Georgia Ave. Valdosta, GA 31698

1/31/2018Dorothy Stewart, MD 46565RN119281Hughes, Wendy Lynn 17271 5398 Thomaston Rd, Ste B Macon, GA 31120

11/25/2015Mohamed Elhassan, MD 72970RN119281Hughes, Wendy Lynn 14904 5398 Thomaston Rd, Ste B Macon, GA 31220

9/21/2016Mark Coker, MD 56276RN215455Hughes, Jolee 15877 14557 Griffin Highway 19 Ste A Griffin, GA 30224-9582

2/28/2014Victoria Shirley, MD 50921RN203390Hughes, Tammy H. 9093 109 Osigian Blvd, Suite 400 Warner Robins, GA 31088

10/27/2019Debora Quigley, MD 36601RN123670Hughes, Leslie Lynn 7792 130 Hospital Circle Blairsville, GA 30512

11/1/2015Edwin Hiatt, MD 12920RN194267Hughes, Joshua Emmett 11792 VSU Student Health, 200 Georgia Ave Valdosta, GA 31698

4/20/2022Lakshman Dinavahi 70088RN231031Hughes, Frances 54919 960 Joe Frank Harris Pkwy Cartersville, GA 30120

9/18/2020Jaideep Patel 51708RN231031Hughes, Frances 52703 1230 Baxter Street Athens, GA 30606

12/31/2008William Bilek, MD 41514RN056826Hughes, Linda Lee 5197 993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

6/30/2020Alexander Osowa 57551RN149583Hughey, Danielle 41364 2805 Hamilton Mill Road Buford, GA 30519

11/30/2019Frank D Curvin, MD 45058RN191292Hughley, Rhonda 42511 3535 Ashton Woods Drive Atlanta, GA 30319

5/11/2018Alisha Benner, MD 78751RN191292Hughley, Rhonda 39141 1200 Abernathy Road, Suite 1700 Atlanta, GA 30328

11/30/2019Michael H. Groover 35059RN191292Hughley, Rhonda Renea 44120 3535 Ashton Woods Drive Atlanta, GA 30319

Monday, August 1, 2022 Page 206 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/7/2021Serena Miller 83619RN191292Hughley-Hall, Rhonda 49258 1355 Southpark Street Carrollton, GA 30117

3/29/2018Haolat Babalakin, MD 62467RN146393Hughson-Chitolie, Charisse 40642 2089 Teron Trace St Suite 225 Dacula, GA 30019

5/18/2021Alina Barrett 65109RN267343Huh, Jin Young 52521 2700 Clairmont Road NE Atlanta, GA 30327-2713

9/1/2021Hugh Hall 40088RN184622Hulgan, Misty 53490 3686 Wheeler Road Augusta, GA 30909

6/30/2020Kelli Carter, MD 41529RN184622Hulgan, Misty Dawn 39112 1113 Washington Road Thomson, GA 30824

3/23/2020Steven Currier, MD 65231RN184622Hulgan, Misty Dawn 21366 1350 Walton Way Augusta, GA 30901

7/1/2018Kamath Vinayak, MD 23371RN154582Hulse, Jeanne 16561 1120 15th St, Ste BA 4300 Augusta, GA 30912

6/28/2016Sarita Prasad, MD 73372RN195261Hume, Kimberly Renee 17097 1480 Hwy 27 S. Carrolton, GA 30117

12/7/2018Richard Warren, MD 54956RN195261Hume, Kimberly Renee 12130 705 Dixie St Carrollton, GA 30117

6/23/2013Sara O'Heron, MD 41632RN195261Hume, Kimberly Renee 11802 1201 Georgian Park Peachtree City, GA 30269

11/15/2018Yolanda C. Wade, MD 58345RN195261Hume, Kimberly Renee 40648 1735 South Highway 27 Carrollton, GA 30117

1/9/2020David Persaud, MD 70703RN053488Hummel, Elaine Dubel 42052 134 Ansley Drive Dahlonega, GA 30533

7/30/2021Bertram Prosser 75651GAA-NP000123

Humphreys, Hailey 57415 2914 Cherokee Street, Suite 1A Kennesaw, GA 30144

6/13/2013Stepehn Jarrard, MD 62897RN089263Humphries, Marcella J.E. 11017 196 Ridgecrest Circle Clayton, GA 30525

10/22/2018Michael Sumner, MD 63062RN199404Hunt, Valencia Ciara 14042 1120 15th St. BI5092 Augusta, GA 30912

4/12/2016Tracey Lemon, MD 50723RN224876Hunt, Hope 15140 315 Boulevard NE, Ste 224 Atlanta, GA 30312

10/12/2021Jack Hunt, MD 24951RN107436Hunt, Angela Gail 17255 105 Enterprise Court Columbus, GA 31904

9/2/2020Johnathan R. Gore #####RN199404Hunt, Valencia Ciara 43500 1120 15th Street (Suite BI - 5092) Augusta, GA 30912

8/2/2020Brooke Gedrick 75170RN199404Hunt, Valencia 51326 5665 New Northside Drive, Suite 320 Atlanta, GA 30328

9/2/2020Abdullah Kutlar 34751RN199404Hunt, Valencia 46667 989 St. Sebastian Way, Suite EF-100 Augusta, GA 30912

10/19/2011John Coleman, MD 48498RN156325Hunte, Janell Lynn 9943 1720 Peachtree St, Ste 200 Atlanta, GA 30309

5/28/2014Sinyard, Robert MD 25829RN112687Hunter, Tamara Stewart 10023 PO Box 5860 Athens, GA 30604

7/30/2019Chatherine James-Peters 63671RN231688Hunter, Kristin 45144 744 Noah Dr. #108 Jasper, Ga 30143

2/27/2020Winston Gandy Jr. 30065RN231688Hunter, Kristin 46442 744 Noah Drive, Suite 108 Jasper, GA 30143

2/7/2019John Aicher 26432RN231688Hunter, Kristin C 44121 744 Noah Dr., (Suite 108) Jasper, GA 30143

Monday, August 1, 2022 Page 207 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/15/2021Sofia Munir, MD 68250RN198375Hunter, Genner A 17002 564 Crosstown Dr. Peachtree City, GA 30269

11/30/2015Dingane Baruti, MD 55411RN198375Hunter, Genner 16254 774 Ga Hwy 96 Bongire, GA 31005

10/30/2020Allan Purdie, MD 40763RN139521Hurd, Deborah Luann Aldridge 18094 1605 Roberta Dr. Marietta, GA 30008

6/1/2011Bhumiben Purohit, MD 58812RN186637Hurd, Rebecca S. 9653 1425 Market Blvd Roswell, GA 30076

3/20/2019Lee Jacobs, MD 28283RN186637Hurd, Rebecca S 19044 107 Mountain Brook Lane, Ste 100 Canton, GA 30115

9/16/2021Meredith Lassiter 64667RN186637Hurd, Rebecca 39325 755 Mount Vernon Hwy, (Suite #110) Sandy Springs, GA 303

6/30/2021Joel Carpenter, MD 77437RN139521Hurd, Deborah 41402 1605 Roberta Drive Mariette, GA 30008

1/3/2011Young An, MD 52050RN186637Hurd, Rebecca S. 8912 1260 Hwy 54 West, Suite 202 Fayetteville, GA 30214

11/1/2021Sotheavy Vann 87163RN139521Hurd, Deborah 58503 1605 Roberta Drive SW Marietta, GA 30008

10/1/2017Jeff Reinhardt, MD 47250RN113074Hurdelbrink, Tappie Faye 5200 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

2/26/2020Keshma Saujani, MD 58218RN113074Hurdelbrink, Tappie Faye 39060 725 Jesse Jewell Pkwy SE Gainesville, GA 30501

1/1/2020Jose Cangiano, MD 44182RN81291Hurlebaus, Anna Elizabeth 19433 311 Gwinnett Dr. Lawrenceville, GA 30046

4/1/2014Richard Dukes, MD 51875RN149720Hurman, Wendy Kay 7863 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

2/18/2015Joseph D. DeVeau, MD 52706RN182617Hurst, Sabine C. 11175 101 Yorktown Dr., Ste. 110 Fayetteville, GA 30215

7/16/2021Joe Huong, DO 65568RN182617Hurst, Sabine Cary 19345 3617 Roswell Rd. NE ste. A Atlanta, GA 30305

6/20/2019Samuel Lorenzo, MD 32235RN182617Hurst, Sabine Cary 17580 1360 Upper Hembree Rd, Ste 100 Roswell, GA 30076

8/28/2012Ahmed, Kashif MD 61547RN182617Hurst, Sabine 10139 2200 Hwy 155 North McDonough, GA 30252

1/29/2009Ram Reddy, MD 24178RN134515Hurt, Jason B. 8439 132 Franklin Springs Street Royston, GA 30662

11/25/2007William A. Mills, MD 50901RN134515Hurt, Jason B. 1454 800 East Doyle Street Toccoa, GA 30577

6/10/2009Michael Caruso, MD 57558RN134515Hurt, Jason B. 8511 7199 Hwy 441 North, Suite 109 Dillard, GA 30537

4/12/2022Jonathon Allen 56949RN307349Hurt, Staci 59745 3465 Peachtree Industrial Blvd, Suite 910 Duluth, GA 30096

4/30/2011Ali Fakhri, MD 39567RN044704Huskey, Betty L 1457 705 North Division St Rome, GA 30165

9/24/2018William Douglas Knopf, MD 23469RN138231Huskey, Cicily Montena 5519 5665 Peachtree Dunwoody Rd. Atlanta, GA 30342

1/21/2020John Harris, MD 53236RN092861Hustad, Catherine Crawford 19652 60 Erlanger South Dr., Ste A Ringgold, GA 30736

4/1/2015Roger Hiser, MD 48899RN061331Huston, Treasa Diane 12720 962 Joe Frank Harris Pkwy, #104 Cartersville, GA 30120

10/23/2020Reden Delgado, MD 65957RN061331Huston, Treasa 16062 80 Redmond Rd Rome, GA 30165

Monday, August 1, 2022 Page 208 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/23/2022Manishkumar Joshi 56628RN271922Huston, Paige 60119 2336 Dawson Road Albany, GA 31707

2/5/2019Joseph Foust, MD 52930RN154042Hutcheson, Ladonna 43797 9193 East Frist St Vidalia, GA 30474

3/12/2020Sharifa Abou-Mediene 78683RN154042Hutcheson, Ladonna 44657 3193 E First St Vidalia, Ga 30474

4/1/2022Franklin Geoffery Conner, MD

33555RN154042Hutcheson, Ladonna Marie 13171 1608 Meadows Lane, Suite 1 Vidalia, GA 30474

7/31/2015Christopher Clare, MD 34318RN181652Hutchison, Anthony Lauren 8849 2001 Peachtree Rd NE, Suite 550 Atlanta, GA 30309

1/18/2022Allen Jonathon, MD. 56949RN057577Hutto, LyndseyT. 40010 1900 Tebeau St. Waycross, Ga 31501

7/29/2020Ajay Jain, MD 58253RN170590Hutto, Shana Danielle 42526 1497 Fair Road, Suite 305 Statesboro, GA 30458

1/18/2022Jonothan Allen, MD 56949RN188938Hutto, Lyndsey 39969 1900 Tebeau Street Waycross, GA 31501

12/31/2010Gary W. Hunt, MD 33359RN125716Hyde, Douglas Anderson 1462 2855 Old Hwy 5, Ste 104 Blue Ridge, GA 30513

6/5/2013Mullen, Thomas MD 39882RN131917Hyde, Sylvia Helen Dunn 1463 126 Sequoyah Trail Ringgold, GA 30736

9/1/2015Dillon D. Miller, MD 67508RN125716Hyde, Douglas A. 11454 4799 Blue Ridge Dr., Ste 104 Blue Ridge, GA 30513

1/1/2016Crystal Comeau, MD 61224RN125716Hyde, Douglas Anderson 9579 4799 Blue Ridge Hwy, Suite 104 Blue Ridge, GA 30513

4/1/2019Eric Scheinbart, MD 23791RN262052Hydes, Samantha 20871 3182 Shallowford Rd., NE Chamblee, GA 30341

9/8/2014Mitzi Rubin, MD 49592RN232024Hyman, Rhona Alesia 13048 3939 Roswell Rd, Suite 200 Marietta, GA 30062

5/31/2018James Clabby, MD 16042RN232024Hyman, Rhona Alesia 14010 9280 Hwy 5, Ste H Douglasville, GA 30134

6/14/2016Edgar Melendez, MD 41167RN173287Ibanez, Monica 16442 9280 Hwy 5, Ste A Douglasville, GA 30134

10/30/2017Rita Livingston 63494RN118753Ibeanusi, Grace Nwachukwu 20518 1 Aflack Parkway Columbus, GA 31907

3/9/2022Carol Odegaard 40495RN118753Ibeanusi, Grace 55996 896 Highway 81 East McDonough, GA 30252

3/1/2022Yogesh Goswami 58597RN210846Ibeh, Joy 46685 240 Mitchell Bridge Road Athens, GA 30606

12/31/2021David Purselle 44312RN222464Ibemere, Juliet 45011 4062 Peachtree Rd. NE, Ste. C Atlanta, Ga 30319

2/1/2020Kambiz Aflatoon, DO 66238RN222464Ibemere, Juliet 42357 709 Breedlove Drive Monroe, GA 30655

5/1/2020Simon Fensterscaub 83142RN184698Ibenyenwa, Irene 47385 5160 Springview Avenue Stone Mountain, GA 30083

12/3/2020Bertram Prosser 75651RN251887Ibrahim, Rasheedat 54239 1430 N. Riverside Sandy Springs, GA 30328

7/31/2017Shameka McElhaney, MD 54854RN244409Idowu, Frances Offiah 18308 794 S. Park Street Carrollton, GA 30117-3826

6/4/2016Sandra Gibbs, MD 32192RN140155Idowu, Frances 15455 3240 South Cobb Dr Smyrna, GA 30082

Monday, August 1, 2022 Page 209 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/18/2019Kristamarie Collman, MD 46490RN144525Idusuyi, Esohe 21340 2464 Rosewell Rd., NE Marietta, GA 30062

1/17/2017Hany Atallah, MD 52678RN144525Idusuyi, Esohe 1466 49 Jesse Hill Jr. Dr., Box 26178 Atlanta, GA 30303

4/17/2019Miles Johnson, MD. 38817RN249443Igbinoba, Shanna-kaye Adesuw 39756 2600 Martin Luther King Jr. Drive. SW Atlanta, Ga 30311

4/20/2018Lori Schaen, MD 50434RN264056Igboko, Ngozi Ugochi 39034 4360 Chamblee Dunwoody Rd. ste. 260 Atlanta, GA 30341

12/21/2021Bamidele Adeyemo, MD 69744RN201775Igunbor, Oluwadamilola 16050 303 Parkway Dr NE Atlanta, GA 30312

10/30/2020Allan Purdie, MD 40763RN197583Ikonne, Blessing Ada 20585 1405 Roberta Dr. Marietta, GA 30008

3/9/2017Jonathan Rosenfield, MD 74345RN197583Ikonne, Blessing Ada 18860 3240 South Cobb Dr. Smyrna, GA 30082

11/24/2017Angela Evans, DO 66597RN197583Ikonne, Blessing Ada 13904 871 Forest Pkwy Forest Park, GA 30297

4/12/2021Nimisha Trivedi 53715RN171431Ikpe, Charity 46427 3545 Cruse Road, Suite 103 Lawrenceville, GA 30044

2/16/2021Syamala Erramilli, MD 47896RN171553Ikwueme, Seraphine 8976 4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084

2/18/2010Jonathan Winner, MD 13706RN047165Ilgenfritz, Nancy Gail Armstrong 1467 1140 Hammond Dr, #E-5250 Atlanta, GA 30328

5/21/2015Richard Rickman, MD 49332RN063917Ingram, Cynthia Belle Walker 1471 3200-C North Ashley St. Valdosta, GA 31602

3/9/2022Chukwuemeka Nwabuebo 48553RN266250Ingram, Kourtney 58929 654 First Street Macon, GA 31201

10/4/2016Robb Fulton, DO 73325RN063917Ingram, Cynthia 16064 1365-D Sam Nunn Blvd Perry, GA 31069

2/28/2020David L. Childs, MD 29156RN216149Ingram, Amanda Chambers 20739 304 Shorter Avenue (Suite 105) Rome, GA 30165

8/30/2017Jennifer Rodriguez, MD 60365RN049398Ingram, Charlotte L. 39070 1100 Lake Hearn Drive ste. 250 Atlanta, GA 30342

7/10/2016Schmidt, Michael MD 58500RN063917Ingram, Cynthia 10814 633 Veterans Pkwy, Ste 6 Moultrie, GA 31768

2/15/2016Rosalind Womack, MD 72171RN163089Ingram-Jones, Trinity Lynn 15231 303 Fraser Dr Hinesville, GA 31313

3/1/2013Bruce Ribner, MD 49086RN123672Intili, Henry 9094 1364 Clifton Rd NE Atlanta, GA 30322

3/5/2019John Kelley, MD 16253RN064849Irick, Susan A 17473 191 Deep South Farm Rd Blarisville, GA 30512

7/18/2012David Johnson, MD 32757RN064849Irick, Susan A. 1473 705 Jesse Jewell Pkwy SE Ste 200 Gainesville, GA 30501

6/28/2021Michael Gonsalves 63337RN283184Irizar, Lourdes 49338 4159 Martha Berry Hwy Rome, GA 30165

10/25/2018Barry Jones, MD 12495RN120987Irwin, Christine 21344 5965 Parkway N. Blvd, Suite C Cumming, GA 30040

10/25/2018Barry Jones, MD 12495RN120987Irwin, Christine Lynn Miller 9026 5965 Parkway North Blvd, Suite C Cumming, GA 30040

6/30/2017Piyush Patel, MD 53357RN120987Irwin, Christine Lynn Miller 19889 5965 Parkway North Blvd ste. C Cumming, GA 30040

10/24/2008Esther Harbert, MD 32633RN120987Irwin, Christine Lynn Miller 8261 450 Winn Way Decatur, GA 30030

Monday, August 1, 2022 Page 210 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2020Kim Johnston 24443RN145963Irwin, AE Mary 46982 840 Pine Street, Suite 880 Macon, GA 31201

5/14/2018Obiorah, Samuel MD 42379RN136301Isaac, David 10016 350 Hospital Drive Macon, GA 31217

6/30/2018Brion Randolph, MD 68281RN185361Isaac, Jessica Joy 13211 600 Parkway North Newnan, GA 30265

9/23/2021Eyal Meiri 70324RN185361Isaac, Jessica J 44123 600 Celebrate Lift Parkway Newnan, GA 30265

1/16/2009Louis Fernandez, MD 39790RN159202Ivester, Alexandra Fleming 1480 121 North Big A Road Toccoa, GA 30577

6/3/2014Eric Zanghi, MD 30248RN106643Ivey, Karen Belinda 1481 1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088

12/28/2018David Bryant 52394RN215166Ivey, Tondra Marie 39030 1215 Eagles Landing Pkwy. Stockbridge, GA 30281

10/25/2021DIVYA NARAYANASWAMY MD

76913RN106643IVEY, KAREN BELINDA 39782 101 REGENCY PARK DR SUITE 110 MCDONOUGH, GA 30253

9/24/2019Vijay Thillainathan, MD 67446RN207536Ivey, Sharonda Lasha 19167 100 Jim Mason Ct. ste. A Warner Robins, GA 31088

10/25/2021Divya Narayanaswamy, MD. 76913RN106643Ivey, Karen Belinda 39835 101 Regency Park Dr. McDonough, Ga 30253

10/25/2021Divya Narayanaswamy, MD 76913RN106643Ivey, Karen B 39551 101 Regency Park DR. Suite 110 McDonough, GA 30253

10/18/2013John Souza 39475RN106643Ivey, Karen 10878 1110 Hillcrest Pkwy Dublin, GA 31021

9/1/2015Jim Barlow, MD 30717RN106643Ivey, Karen Belinda 13779 235 Peachtree St. NE, N Tower, Ste 2100 Atlanta, GA 30303

7/7/2016Erik Bauer, MD 57425RN188532Ivie, Abigail Dahl 9241 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

8/29/2018Wassim Mchayleh, MD 62121RN260862Iwelunmor, Amanda Lee 20240 1514 Vernon Rd. Lagrange, GA 30240

7/6/2019Vikash Modi, MD 70226RN108038Iwhere, Lovinda 38998 2990 Five Forks Tricum Road Lawrenceville, GA 30044

9/10/2013Walter Metcalfe, MD 58544RN108038Iwhere, Lovinda Ihuoma 12067 Take Care Clinic, 2464 RoswellRd Marietta, GA 30062

5/1/2013Valens M. Plummer, MD 49496RN108038Iwhere, Lovinda 11462 Take Care Clinic, 2464 Roswell Rd. Marietta, GA 30062

12/1/2021Kelley Carroll 78264RN109484Iwotor, Esther 58456 1595 West Cleveland Avenue East Point, GA 30344

12/21/2013Christopher Stevens, MD 54515RN109484Iwotor, Esther Ijeoma 12558 5230 Dallas Hwy Powder Springs, GA 30127

10/25/2017Dolapa Babalola, MD 59119RN109484Iwotor, Esther Ijeoma 9496 1595 West Cleveland Ave East Point, GA 30344

5/29/2021Ashley McCann 76339RN109484Iwotor, Esther 51782 1595 West Cleveland Avenue East Point, GA 30344

9/10/2010Gulshan Harjee, MD 26865RN079353Izadi, Mona 1482 2536 Lawrenceville Hwy Decatur, GA 30033

4/8/2021Sofia Zaman 65324RN142499Jacek, Wendy 54001 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

8/13/2021Dale Green 31926RN139599Jackson, Missy 53644 55 Carlton Street Athens, GA 30602

Monday, August 1, 2022 Page 211 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/8/2021Sanjeev Tendolkar 63066RN298929Jackson, Michelle 55628 4593 Lawrenceville Road Loganville, GA 30052

10/9/2020Wayne Hodges 29887RN149316Jackson, Carmen 52356 14089 Abercorn Street Savannah, GA 31419

11/1/2021Cecil Bennett 48844RN209629Jackson, Sharon 46043 440 Prime Pt Peachtree City, Ga 30269

5/29/2019Kimberly Harbin, MD 50087RN218070Jackson, Harold Eugene 41567 1500 E. Shotwell Street Bainbridge, GA 39819

6/25/2020Thomas Smith 77554RN129205Jackson, Christy 47779 501 Sparta Road Suite D Sandersville, GA 31082

8/27/2020Eugene Sun 62170RN228481Jackson, Tremeze 47772 1102 Smith Ave., Suite K Thomasville, GA 31792

8/1/2020Gary Matthews, MD 77862RN216723Jackson, Latoyia 42331 250 Corporate Center Ct Stockbridge, GA 30281

10/20/2020Jeffrey Davenport 63574RN149316Jackson, Carmen Yolanda 44124 1900 Tebeau Street Waycross, GA 31501

1/1/2021Jeffry J. Bizon 43169RN136000Jackson, Rebecca Suzanne 44125 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

1/18/2022Jonathon Allen, MD 56949RN149316Jackson, Carmen Y. 38831 1900 Tebeau Street Waycross, GA 31501

6/25/2020Lester R. Johnson, MD 69015RN149316Jackson, Carmen Yolanda 42772 1912 Memorial Drive Waycross, GA 31501

5/4/2019James M. Hunt, DO 67131RN238765Jackson, Morgan Charlotte 41408 119 W. Hill St. Thomasville, GA 31792

7/1/2020KATHRYN BAIN MD 61037RN216051JACKSON, HOLLY 39327 905 DIXIE STREET CARROLLTON, GA 30117

2/7/2018Alison Baker, MD 53490RN117221Jackson, Sophia Yvette 39330 2011 Commerce Dr. Peachtree City, GA 30269

1/1/2018Ronald Forehand, MD 22760RN139599Jackson, Missy Leigh 18733 55 Carlton Street Athens, GA 30606

12/10/2019Aderemi Dosunmu, MD 47893RN228481Jackson, Tremeze Scott 41469 1435 N. Expressway (Suite 301) Griffin, GA 30223

6/30/2021Neha Shah, MD 76684RN146361Jackson, Elizabeth 20760 745 Poplar Road Newman, GA 30265

3/26/2015Ryan Johnson, DO 56876RN049375Jackson, William Neal 9210 1350 Walton Way Augusta, GA 30813

8/1/2016Dave Ringer, MD 30368RN139599Jackson, Missy Leigh 14442 803 South Main St Greensboro, GA 30642

7/29/2019Javed Fazal, MD 57457RN190639Jackson, Teri Holloway 15092 1860 Watson Blvd. Warner Robins, GA 31093

8/29/2016Carlos Zayas, MD 36668RN201130Jackson, Naundria Jarlego 18577 1120 15th St, BA4236 Augusta, GA 30912

7/15/2017Chandresh Viradia, MD 53050RN147416Jackson, Yiencia Dysonne 18038 100 Jim Mason Court ste. A Warner Robins, GA 31088

6/30/2016Melissa Primrose, MD 53516RN198259Jackson, AnJanean T 17822 774 GA Hwy 96 Bonaire, GA 31005

5/7/2009John DuPre, MD 31590RN071218Jackson, Stephanie B 1497 327 South 9th Street Griffin, GA 30224

9/1/2016Jamie Walraven, MD 45023RN071218Jackson, Stephanie B. 8588 7285 Hwy 16, Suites C & D Senoia, GA 30276

12/21/2009Martha Schuh, MD 37488RN071218Jackson, Stephanie B. 8550 1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

Monday, August 1, 2022 Page 212 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/26/2015John Polak, DO 31100RN049375Jackson, William Neal 8998 447 North Belair Rd, Suite 101 Evans, GA 30809

2/16/2022Jonathan Wade 66666RN245673Jackson, Courtney 57882 407 Cowart Ave Valdosta, GA 31602

6/22/2020Eugene Sun 62170RN238765Jackson, Morgan 48295 401 Old Albany Road Thomasville, GA 31792

1/2/2019Michael Connor, MD 31581RN136000Jackson, Rebecca Suzanne Brig 5203 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

2/9/2018David Roberts, MD 30199RN126358Jacob, Christine Mary 19813 1365 Clifton Rd. NE Atlanta, GA 30322

5/20/2015Richard Kim, MD 62129RN126358Jacob, Christine Mary 11870 1 Coca Cola Place Atlanta, GA 30301

4/22/2013Micah Fisher, MD 56546RN126358Jacob, Christine Mary 9372 1365 Clifton Rd NE, Bldg A, # A-4322 Atlanta, GA 30322

7/5/2021Eric Davis, MD 63648RN121991Jacobs, Robert Scott 12949 13202 Cleveland St West, Suite 200 Nahunta, GA 31553

5/7/2020Robert Brown, MD 56269RN229616Jacobs, Lindsey Elyse 18543 5455 Meridian Mark Rd, Ste 400 Atlanta, GA 30342

10/6/2014Eloy Diaz, MD 22596RN121991Jacobs, Robert Scott 9552 6572 River Park Dr, Suite 102 Riverdale, GA 30274

11/30/2015Devin Handley, MD 48356RN230675Jacobs-Kalick, Maria Anz 12474 2659 Abutment Rd Dalton, GA 30720

2/25/2019Cheryl Reinhardt, MD 60316RN230675Jacobs-Kalick, Maria Anz 17098 2659 Abutment Rd Dalton, GA 30720

7/23/2018Munjal Shroff, DO 60193RN172395James, Melody Jane 21065 4015 South Cobb Dr. Ste. 220 Smyrna, GA 30080-3008

8/3/2015Charles Roman, DO 43757RN246514James, Tiffany 15697 2737 Warm Springs Rd Columbus, GA 31904

5/16/2013Jeffrey Bell, MD 34539RN102411James, Rita Robinson 9491 1200 N Jefferson St Albany, GA 31701

11/2/2020Kimberl Brown-Gullatt 55549RN246514James, Tiffany 39802 1600 Ft. Benning Rd. Columbus, GA 31903

6/29/2019Clinton Branch, MD 16878RN169735James, Kristina Stefanova 18994 1240 Jesse Jewell Pkwy Gainesville, GA 30501

4/30/2021Rita Claxton, MD 66584RN243022James, Alexcia N. 42912 1133 Eagles Landing Parkway Stockbridge, GA 30281

9/27/2019John D. Arnett, MD 38423RN166472James, Cindy Renee 42448 208 Grady Avenue South Douglas, GA 31533

12/1/2017Jose Cangiano, MD 44182RN172395James, Melody Jane 20310 1758 county Services Parkway SE Marietta, GA 30008

10/1/2019Richard E. Wheeler, MD 46277RN166472James, Cindy Renee 40948 2517 Bemiss Road (Sute F) Valdosta, GA 31602

11/12/2019Arthur Yancey 36909RN227959James, Ajoke 43678 745 Memorial Drive Atlanta, GA 30316

3/13/2019Darlene McNulty 66551RN236509James, Lequawn Montrell 40613 5775 Peachtree Dunwoody Rd., NE (C-200) Atlanta, GA 3034

10/1/2021Gary Daniel 46752RN243022James, Alexcia 46264 2064 Vineville Ave Macon, Ga 31204

5/20/2021Kimberly Curseen, MD 72890RN208604James, Ebony Tamica 43054 1200 Abernathy Road (Suite 1700) Atlanta, GA 30328

2/22/2022Lekshmi Kumar 64083RN227959James, Ajoke 47493 745 Memorial Drive Atlanta, GA 30316

Monday, August 1, 2022 Page 213 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/10/2022William Jones 17758RN236509James, Lequawn 52033 600 Peachtree Parkway, Suite 104 Cumming, GA 30041

6/6/2022Garrett Post III 61143RN209072James, Tara 55860 1035 Red Bud Road NE Calhoun, GA 30701

9/22/2020Jasmine Kearse 74490RN236509James, Lequawn 51776 311 Gwinnett Drive Lawrenceville, GA 30046

6/30/2015Matthew Grundfast, DO 52944RN169998James, Chandra Marie Robinso 9736 1009 N. Monroe St, Suite 102 Albany, GA 31701

7/30/2021Daren Wooten 62177RN166472James, Cindy 48116 2517 Bemiss Road, Suite F Valdosta, GA 31602

3/12/2010Claus Brandigi, MD 43004RN194375James, Heather Koren 8637 1220 George C. Wilson Drive Augusta, GA 30909

3/28/2013Bonnie Ellenoff, DO 51644RN057405James, Michael Thomas 1504 2010 Beaver Ruin Rd Norcross, GA 30071

8/10/2020John C. Strunk, MD 77238RN209490Jamison, Dallarie Charme 20660 102 Hospital Circle Donaldsonville, GA 39845

1/30/2017Joseph Kirpich, MD 54904RN216505Jani, Drashti Mukesh 19263 3575 Kofer Blvd , Ste 116 Duluth, GA 30096

10/1/2016Aziz Pirani, MD 61934RN247673Jani, Namrata 16142 4025 Lawrenceville Hwy, Ste A Lilburn, GA 30047

10/17/2018Shyla Reddy, MD 71622RN216253Jankiewicz, Kathron 18726 480 N Main Street ste. 202 Alpharetta, GA 30009

4/1/2021Lucas Golub 74186RN216253Jankiewicz, Kathron 54874 1155 Perimeter West Atlanta, GA 30338

8/11/2010Deepali Agarwal, MD 54783RN078803Janney, Magenia Walker 9471 1110 13th St Columbus, GA 31901

11/15/2019Sung Chang, MD 52693RN078803Janney, Magenia Walker 9982 7351 Old Moon Rd Columbus, GA 31909

1/24/2022Bruce Ramsdell 18722RN301364Jansen, Nicole 58340 2941 Piedmont Road NE, Suite B Atlanta, GA 30305

8/2/2019Husham Mishu, MD 40740RN240182Jaragoski, Jena 42799 285 Boulevard NE (Suite 345) Atlnta, GA 30312

4/12/2010Gerald Feuer, MD 36154RN130879Jaramillo, Martha Cecilia 1505 980 Johnson Ferry Rd, Suite 900 Atlanta, GA 30342

1/28/2010Thomas Morrow, MD 39879RN130879Jaramillo, Martha Cecilia 8882 5530 Windward Pkwy, Bldg 1 #1210 Alpharetta, GA 30004

5/21/2015Barbara D'Orio, MD 33956RN088693Jarboe, Kathleen Sue Mitchell 12914 PO Box 26238 Atlanta, GA 30303

6/30/2016Mary Huber, MD 36399RN088693Jarboe, Kathleen 15847 3520 Piedmont Rd, Ste 330 Atlanta, GA 30305

10/30/2019Anthony Hoots, MD 33114RN198077Jarrett, Jared Lewis 12486 425 W 3rd Ave, Suite 510 Albany, GA 31707

10/30/2019Dennis Holder, MD 55758RN198077Jarrett, Jared Lewis 19480 777 Hemlock Street Macon, GA 31201

10/30/2019Michael Nulph, MD 57735RN198077Jarrett, Jared Lewis 20610 1012 Hwy. 247 South Kathleen, GA 31047

4/9/2022Tommy Thomas 66829RN181088Jarrett, Warren 55371 80 Jesse Hill Jr. Drive Atlanta, GA 30303

10/30/2019Mufid Othman 20786RN198077Jarrett, Jared Lewis 40158 777 Hemlock Street Macon, GA 31201

7/9/2021Lee Jacobs 28283RN232312Jarrette, Janet 55271 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

Monday, August 1, 2022 Page 214 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/2/2018Michelle Huggins 34368RN215814Jarvis, Anda 40569 207 Crestmont Way Canton, GA 30114

10/10/2019Murtaza Cassoobhoy, MD 43014RN158040Jason, Glory Mathews 40366 1000 Medical Center Blvd. Lawrenceville, Ga 30046

8/4/2020Gail Matthews, MD 52182RN140219Jasper, Lisa 11201 1855 Hudson Bridge Rd. Stockbridge, GA 30281-5000

6/7/2010Frederick Sengstacke, II, MD 42937RN140219Jasper, Lisa Lanee 1510 861 Holcomb Bridge Rd, Suite 200 Roswell, GA 30076

10/1/2018Miranda Paul, MD 70270RN267600Jaster, Laurel Mae 39164 100 Gross Crescent Circle Ft. Oglrthorpe, GA 30742

7/31/2019Paul A. Edjua, MD 62972RN248239Jawad, Ioulia 40293 4898 Austell Rd. Austell, GA 30106

7/1/2021Joshua Behlmann 76432RN219822Jay, Racheal 55848 976 Killian Hill Road, Suite A Lilburn, GA 30047

10/27/2021Bryan Harrell 65003RN219822Jay, Racheal Gilchrist 58680 905 North Jackson Street Americus, GA 31719

2/3/2021Solomon Tafari, MD 42956RN192215Jayakumar, Bhanu 11938 2701 N Decatur Rd Decatur, GA 30033

10/9/2019Clinton Carter, MD 36695RN179648Jean, Jeff Richardson 41747 2896 Chamblee Tucker Road, Suite 4 Atlanta, GA 30341

1/1/2019Syed W. Rizvi 44073RN179648Jean, Jeff R 43607 1025 Old Roswell Road (Suite 205) Roswell, GA 30076

4/30/2018Mobolayi Oyebanjo, MD 53509RN262790Jean, Gerryanne 20476 307 Old Stone Rd. Villa Rica, GA 30180

8/31/2019Joshua Behlmann, DO 76432RN176693Jean Lewis, Dora 38795 3330 Sugarloaf Parkway Lawrenceville, GA 30044

12/1/2021Laura Bleekrode 35415RN253205Jean-Louis, Faith 47346 102 Pilgrim Village Dr. Suite 300 Cumming, GA 30040

12/1/2021Laura Bleekrode 35415RN253205Jean-Louis, Faith 47087 102 Pilgrim Village Dr. Suite 300 Cumming, GA 30040

11/30/2019Ellen Courson 34089RN220323Jefferson, Rachael 45417 604 E. Park Ave. Valdosta, Ga 31602

7/16/2021Rashante Harris 62706RN260925Jefferson, Khari' Alecia 21347 882 Ponce De Leon Ave Atlanta, GA 30306

7/16/2021Rashante Harris, MD 62706RN260925Jefferson, Khari Alecia 21359 882 Ponce De Leon Ave. Atlanta, GA 30306

8/12/2020Herschel Kessler 69501RN220323Jefferson, Rachael 51240 822 South Hill Street Griffin, GA 30223

7/17/2014Joel Rosenstock, MD 32036RN103467Jefferson-Saboor, Andrea Rene 1516 2140 Peachtree Rd, Suite 232 Atlanta, GA 30309

5/29/2020Earl C. Joyner 33776RN103467Jefferson-Saboor, Andrea Rene 44126 1950 Spectrum Circle (Suite 145) Atlanta, GA 30064

1/27/2022Zandraetta Tims-Cook, MD 63616RN103467Jefferson-Saboor, Andrea Rene 15254 285 Boulevard NE, Ste 145 Atlanta, GA 30312

2/12/2021James Short, MD 23877RN103467Jefferson-Saboor, Andrea Rene 14708 882 Ponce De Leon Atlanta, GA 30306

5/16/2018Yvonne Carter, MD 73208RN139560Jeffers-Smith, Jennifer Ann 14938 1650 County Services Pkw Marietta, GA 30008

6/14/2019Janet P. Memark 64415RN139560Jeffers-Smith, Jennifer Ann 40482 1650 County Svcs. Pkwy SW Marietta, GA 30008

Monday, August 1, 2022 Page 215 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/13/2018Pradyumma Tummala, MD 41016RN179654Jeffries, David Lee 21355 200 S. Enota Drive ste. 200 Gainesville, GA 30501-3466

12/1/2021Raja Veeramachaneni Rao 70758RN249968Jendayi-Robinson, Krishmaa 59191 125 Govenors Square, Suite B Peachtree City, GA 30269

5/8/2018Joseph R. Shaver, MD 42430RN117622Jenkins, Dana Michelle Ramer 1518 3630 J. Dewey Gray Circle Augusta, GA 30909

8/14/2014John Layher, MD 46692RN091095Jenkins, Melinda Sue Hunter 1521 2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606

7/31/2017Foloshade Omole, MD 49074RN143541Jenkins, Brandy G. 11461 Take Care Clinic, 794 S. Park St. Carrollton, GA 30117

3/14/2019Mark A. Anders, MD. 35363RN183344Jenkins, Ctherine Alysia 39798 2122 Manchester Expressway Columbus, Ga 31904

5/30/2021Benjamin Holland, MD 67710RN091095Jenkins, Melinda Sue Hunter 18842 1199 Prince Ave., MSB, 2nd Flr Athens, GA 30606

10/12/2021Jack Hunt, MD 24951RN183344Jenkins, Catherine Alysia 39067 105 Enterprise Court Columbus, GA 31904

8/20/2019Thomas Hilsman, MD 15591RN097928Jenkins, D'Etta 40947 1110 Hillcrest Parkway (Suite C) Dublin, GA 31021

3/23/2020Richard Spurlock 59207RN183344Jenkins, Catherine 46490 2122 Manchester Expressway Columbus, Ga 31909

3/22/2021Deliana Peykova 76783RN186920Jenkins, Laura 54990 2150 Limestone Pkwy Suite 222 Gainesville, GA 30501

3/22/2021Deliana Peykova 76783RN186920Jenkins, Laura 55231 2150 Limestone Pkwy, Suite 222 Gainesville, GA 30501

4/14/2017Oliver Hasek, MD 71981RN097928Jenkins, D'Etta Maria 17214 1110 Hillcrest Pkwy, Ste C Dublin, GA 31021

10/28/2012Benita Bonser, MD 53980RN166060Jenkins, Brandy Gaddy 9211 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

12/1/2009Chukwudi Amu, MD 26967RN143268Jenkins, Charles 9222 5530-B Old National Hwy, Suite 100 College Park, GA 30349

5/5/2017Julie Braddy-Roberts, MD 68759RN183344Jenkins, Catherine Alysia 14048 7830 Veterans Pkwy, Ste H Columbus, GA 31909

5/30/2016Rami Arfoosh, MD 63559RN091095Jenkins, Melinda 15734 30 Satellite Dr, Ste 200 Winder, GA 30680

5/1/2015Matthew Wheatley, MD 57702RN143268Jenkins, III, Charles 11941 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

2/25/2022Jeffrey Metts, MD 68070RN104442Jenkins-Jacobs, Angela 43778 600 Celebrate Life Pkwy Newnan, GA 30265

3/17/2016David Arnall, MD 36916RN099810Jennings, Melinda 11122 101 Yorktown Dr., Ste 100 Rayetteville, GA 30214

4/19/2014Ammons, Katharine MD 37744RN180153Jennings, Sunshine 10085 1825 Martha Berry Blvd Rome, GA 30165

6/30/2022Angela Hayes-Boucher 50762RN265248Jennings, Wenqiu 59511 3120 Johnson Ferry Road Marietta, GA 30062

5/31/2014Jin Kim, MD 54442RN205660Jeon, Jenny H 12624 1325 Satellite Blvd, Suite 701-A Suwanee, GA 30024

12/31/2014Bruce Gioia, MD 38774RN149163Jernander, Brandi Smith 13052 1120-C Indian Drive Eastman, GA 31023

7/10/2016Mark Senger, DO 58006RN149163Jernander, Brandi 14184 222 Perry Hwy, Building A Hawkinsville, GA 31036

8/22/2019Alexander Ibezi-Enendu, DO 75636RN149163Jernander, Brandi Smith 19470 136 West Dukes Street Cockran, GA 31014

Monday, August 1, 2022 Page 216 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/2/2019Eugene Jackson, MD 22793RN149163Jernander, Brandi Smith 18578 136 West Dykes St. Cochran, GA 31014

10/18/2019Kimberli H Carpenter, MD 54474RN149163Jernander, Brandi Smith 39891 222 Perry Hwy Hawkinsville, GA 31036

11/30/2021Eddie Turner, Jr. 65910RN149163Jernander, Brandi 59189 470 S. Broad Street Abbeville, GA 31001

3/4/2019Michael A. Poss, MD 33881RN152283Jewell, Christy C. 40500 1601 Maple Street Carrollton, GA 30118

10/3/2014Collyn Steele, MD 66424RN221418Jewell, Lisa Kristine 13486 50 Kelly Rd. McDonough, GA 30253

9/11/2021Winston Jeshuran 59432RN289692Jewett, Kelley 47499 310 Hospital Drive, Suite 210 Macon, GA 31217

11/1/2017Augusto Soltero-Diaz, MD 61350RN214076Jha, Shashank Kumar 20089 3600 Dallas Hwy SW Marietta, GA 30064

7/1/2019Nurul Hoque, MD 70838RN214076Jha, Shashank 15927 311 Gwinnett Dr. Waycross, GA 30043

6/30/2013Fidias DeLeon, MD 63891RN214076Jha, Shashank Kumar 11896 2484 Briarcliff Rd, Suite 24 Atlanta, GA 30329

4/2/2015Douglas Laipple, MD 21410RN214076Jha, Shashank 15313 2849 B Henderson Mill Rd Atlanta, GA 30341

6/17/2016Guilda Saint-Fleur, MD 69627RN214076Jha, Shashank 15288 10945 State Bridge Rd Alpharetta, GA 30022

2/26/2012Hussain, Hina MD 55063RN214076Jha, Shashank 10452 4526 Clubhouse Drive Marietta, GA 30066

12/31/2014Bhumiben Purohit, MD 58812RN214076Jha, Shashank Kumar 13768 5075 Peachtree Pkwy Ste.106 Norcross, GA 30092

3/21/2014Peter Jungblut, MD 69056RN214076Jha, Shashank Kumar 13031 1000 Chastain Rd, House 52 Kennesaw, GA 30144

1/6/2014Kathleen Gunchick, MD 28760RN214076Jha, Shashank K. 11601 KSU, 1000 Chastain Rd, House 52 #5200 Kennesaw, GA 3014

4/9/2021Jacqueline A. Owusu 55870RN254046Jiles, Sierra Nicole 43745 146 CCA Road Lumpkin, GA 31815

6/1/2022Vinay Nagaraj 58297RN230014Jividen, Elaine 46892 1490 Distribution Drive, Suite 150 Suwanee, GA 30024

2/25/2020Girum Mekonnen 72035RN139623Jiwani, Rehana 46500 1412 Milstead Avenue Conyers, GA 30012

1/1/2016Aziz Pirani, MD 61934RN139623Jiwani, Rehana Jamaluddin 14942 4025 Lawrenceville Hwy NW, Ste A Lilburn, GA 30047

6/4/2019David Cox, MD 70247RN180944Jobe, Susan Leanne Buckner 16676 101 Deluxe Circle, Ste B Thomaston, GA 30286

10/1/2015Onkar Kaur, MD 47103RN204511Jobe, Susan 16294 80 West Main St Butler, GA 31006

4/14/2016Collyn Steele, MD 66424RN204511Jobe, Susan Leanne 14574 50 Kelly Rd McDonough, GA 30253

4/13/2020Paul Harvey, MD 48960RN204511Jobe, Susan 15804 2650 GA-138 Jonesboro, GA 30236

3/14/2022Divya Narayanaswamy, MD. 76913RN204511Jobe, Susan Leanne 39758 101 Regency Park Dr. McDonough, Ga 30253

9/1/2015George Pursley, MD 31308RN218349Jock, Kirkley 15419 511 Pleasant Home Rd Augusta, GA 30907

4/4/2015Sean Lynch, DO 49186RN218349Jock, Kirkley G. 12595 3736 Mike Padgett Hwy, Suite A Augusta, GA 30906

Monday, August 1, 2022 Page 217 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2017Michael Powell, MD 23663RN218349Jock, Kirkley G. 16369 464 Mt. Pleasant Rd. Thomson, GA 30824

6/8/2009Adebukola Akintoye, MD 38164RN158619Jockers, Barbara Scott 8207 922 Gainesville Hwy, Suites 101-102 Buford, GA 30518

12/21/2020Aziz Pirani 61934RN188688John, Joslin 48719 4025 Lawrenceville Hwy NW, Suite A Lilburn, GA 30047

6/5/2019Madhuri Viswanadham 60103RN244660John-Baptiste, Melisha 44542 11125 Jones Bridge Rd Alpharetta, Ga 30022

3/1/2022Aigul Guilmanova 80922RN209553Johnnicans, Tamika 45980 65 Old Jackson Rd. McDonough, Ga 30252

7/29/2013Robert Byrne, MD 51443RN201265Johns, Traci 10838 120 Trinity Place Athens, GA 30607

12/17/2012Jones, Cheryl MD 34865RN101726Johnson, Laurie 10879 308 Coliseum Drive, Ste 120 Macon, GA 31217

6/30/2015Celayes Moran, MD 64675RN124320Johnson, Cody 14474 618 East Lamar St Americus, GA 31709

3/16/2015Kelly Manahan, MD 72318RN242242Johnson, Pamela 14468 1500 Oglethorpe Ave, Ste 600 E/F Athens, GA 30606

8/26/2015Catherine Apaloo, MD 71964RN242242Johnson, Pamela 14469 1500 Oglethorpe Ave, Ste 600 E/F Athens, GA 30606

4/30/2012Evelyn Johnson, MD 56182RN106778Johnson, Beverly Kay 9172 510 South Main St, Suite B Baxley, GA 31513

11/30/2018Tamika Bryant, MD 65940RN185555Johnson, Qiana 15416 975 Johnson Ferry Rd, Ste 350 Atlanta, GA 30342

9/1/2014Zada Weston-Hill,MD 39009RN155651Johnson, Jessica Lynn 12304 1810 GA Hwy 20 SE, Suite 172 Conyers, GA 30013

8/27/2013Hehn, Rudy MD 26302RN177719Johnson, Lakesha 10697 915 Gordon Avenue Thomasville, GA 31792

8/31/2016Andrew Magnet, MD 60215RN055775Johnson, Lowanda 15771 1 Aflac Parkway Columbus, GA 31907

3/16/2015Tim Ashburn, MD 68698RN193587Johnson, Erin M 13799 4700 Battlefield Pkwy Ste.310 Ringgold, GA 30736

1/17/2019Dorothy Stewart, MD 46565RN185555Johnson, Qiana Aidah 13857 5820 Old National Hwy College Park, GA 30349

9/1/2015Bennie Brown, DO 65085RN190791Johnson, Jennifer Lynn 13750 151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088

9/1/2015Aloysius Mangan, MD 15023RN109410Johnson, Stephanie 15575 615 E Villanow St Lafayette, GA 30728

6/5/2019Toosi Seilanian, MD 67089RN074598Johnson, Eva 15862 200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

7/22/2014Marcus Roberts, MD 35986RN195771Johnson, Whitney Brooks 12626 903 West Ward St, Suite A Douglas, GA 31533

12/18/2012Reginald Strother, MD 44597RN123212Johnson, Denise 9198 1620 Prince Ave Athens, GA 30606

7/10/2016Senger, Mark DO 58006RN093193Johnson, Kimberly 10768 2809 Pine Street Unadilla, GA 31091

9/5/2021Maged Abdelmalik, MD 55077RN113824Johnson, Angela Dawn 9298 36261 Okefenokee Dr Folkston, GA 31537

9/29/2013Marcus Roberts, MD 35986RN195771Johnson, Whitney Brooks 10964 1909 Hwy 82 West, Suite 5 Tifton, GA 31793

7/8/2016Ashfaq Saiyed, MD 44833RN195771Johnson, Whitney Brooks 13078 202 S Cherry St Ocilla, GA 31774

Monday, August 1, 2022 Page 218 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/26/2015Subhod Rao, MD 64251RN139652Johnson, Kristie Michelle 13095 1514 Vernon Rd., ER Lagrange, GA 30240

9/30/2008Richard Eaton, MD 40370RN113824Johnson, Angela Dawn 7767 1001 N. Third Street Folkston, GA 31537

3/31/2014Dean Karampelas, MD 26141RN074598Johnson, Eva 11124 743 Spring St. Gainesville, GA 30501

1/31/2011Orlando Fernando, MD 43934RN106778Johnson, Beverly Kay 2512 510 South Main St, Suite B Baxley, GA 31513

12/31/2011Daxes Banit, MD 52884RN093193Johnson, Kimberly Crump 9410 3051 Watson Blvd, Suite 400 Warner Robins, GA 31093

7/15/2011A. S. Ghiathi, MD 40908RN211354Johnson, Vickie Michelle 9429 7 Taylor St Cuthbert, GA 39840

1/30/2017Eugene Jackson, MD 22793RN093193Johnson, Kimberly Crump 18581 2809 Pine St. Unadilla, GA 31091

10/1/2021Christopher Greene, MD 39114RN109410Johnson, Stephanie 16519 4700 Battlefield Parkway, Ste 200 Ringold, GA 30736

6/22/2017Ezad Ahmad, MD 38162RN193587Johnson, Erin Miller 16592 1411 Chattanooga Ave Dalton, GA 30720

12/30/2017Virna Simmons, MD 60614RN217188Johnson, Michelle Davis 18122 505 Dacula Rd Dacula, GA 30019

5/23/2019Yashaswini Parikh, MD 24864RN139381Johnson, Kirsten Nations 20009 6010 Singleton Rd. ste.209 Norcross, GA 30093

2/7/2019Sheryl Canady, MD 50999RN176628Johnson, Vicky Lenette 19874 1765 Parker Rd, B240 Conyers, GA 30094

4/19/2019Alexander Ibezi-Enendu, DO 75636RN093193Johnson, Kimberly Crump 19471 2809 Pine Street Unadilla, GA 31091

7/31/2018Madhavi Jordan, MD 56725RN175391Johnson, Anita Joyce 21148 55 Whitcher Street ste. 130 Marietta, GA 30060

7/31/2017Fidias De Leon, MD 63891RN161105Johnson, Denetra Lynetta 21068 3576 Highway 138 ste. A Stockbridge, GA 30281

12/22/2019Ifeoma Nnaj, MD 63931RN217099Johnson, Kelsey 21025 3240 South Cobb Drive Smyrna, GA 30082

4/1/2016Dharmeshkumar Patel, MD 55264RN201739Johnson, Vicky 16739 2491 Panola Rd. Lithonia, GA 30058

5/1/2017Paul Miranda, MD 70270RN109410Johnson, Stephanie Ellen 17279 100 Gross Crescent Circle Ft. Oglethorpe, GA 30742

9/11/2014Anthony Ditaranto, MD 29865RN190791Johnson, Jennifer Lynn 11823 915 Elmo St Americus, GA 31709

10/10/2021Arvind Chakravarthy, MD 68991RN181532Johnson, Courtney Kate 14943 1514 Vernon Rd LaGrange, GA 30240

1/20/2017Linda Arnold, MD 40299RN190791Johnson, Jennifer Lynn 18396 260 W. Clinton St. Gray, GA 31032

10/22/2018George Wheeler, MD 33751RN197323Johnson, Kacie Charlene 18393 1218 Alice Street Waycross, GA 31501

4/30/2012Fordham, Donald MD 44718RN074598Johnson, Eva 10539 865 Austin Drive, PO Box 1899 Demorest, GA 30535

4/7/2018Jeremiah McClure, MD 66228RN106735Johnson, Kimberly Kinard 17100 260 West Clinton Gray, GA 31032

3/10/2016George Garriss, MD 51134RN216891Johnson, Tierra Simone 17027 3094 Watson Blvd Warner Robins, GA 31093

4/27/2016William Davis, MD 29320RN197323Johnson, Kacie Charlene 16916 326 Shirley Ave Douglas, GA 31533

Monday, August 1, 2022 Page 219 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/30/2020Tammy McLean, MD 53496RN162979Johnson, Brandilyn Kay 13689 6600 Whittlesey Blvd, Bldg A Columbus, GA 31909

2/6/2020Mahmoud Abdou 73423RN074598Johnson, Eva 46022 743 Spring St. NE Gainesville, Ga 30501

9/10/2021Shama Patel 85053RN161105Johnson, Denetra 56280 1412 Milstead Ave NE Conyers, GA 30012-3877

7/1/2019William Delp 70084RN201739Johnson, Vicky 44549 2215 Exchange Place Conyers, Ga 30013

3/17/2020Jonathan Levy 62386RN116219Johnson, Angeletta 46111 41 Perimeter Center East, Suite 250 Dunwoody, Ga 30346

1/6/2021Lester Johnson 69015RN197323Johnson, Kacie 49477 3200-C North Ashley Street Valdosta, GA 31602

4/6/2022Michael Miller 27869RN193924Johnson, Joi Angela 44358 327 Wallace Road Marietta, GA 30062

5/31/2021Bruce Salzberg 29775RN217099Johnson, Kelsey 55733 4395 Johns Creek Pkwy, Suite 130 Johns Creek, GA 30024

8/10/2021Lee Jacobs 28283RN076737Johnson, Lari 55557 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

6/4/2021Edward Docu 56426RN209073Johnson, Julie 51473 4849 Paulsen Street, Suite 314 Savannah, GA 31405

7/19/2020Michael Salvia 38945RN190791Johnson, Jennifer 51766 1117 Morningside Drive Perry, GA 31069

8/14/2020Frank Curvin 45058RN203788Johnson, Kay 49083 1626 Jeurgens Court Norcross, GA 30093

10/1/2020Lalitha Medepalli 49517RN074598Johnson, Eva 48995 200 S Enota Dr NE, Suite 100 Gainesville, GA 30501

2/28/2021Spencer Paterson 33669RN191181Johnson, Audra 51542 195 East Tollison Street Baxley, GA 31513

5/15/2020John Gerguis 47085RN209073Johnson, Julie 46467 1203 Brampton Ave Statesboro, GA 30458

2/1/2021Tameka Walker-Blake 62448RN161105Johnson, Denetra 46455 5126 Hospital Dr NE Covington, GA 30014

1/1/2021Katherina Ekeji, MD 70373RN178621Johnson, Tamika Tamara 41592 2400 A Sullivan Road College Park, GA 30337

8/1/2019Neil Kahn, MD 30489RN116219Johnson, Angeletta 41585 2711 Irvin Way (Suite 211) Decature, GA 30030

6/28/2021Robert Nelson, MD 22951RN181532Johnson, Courtney Kate 41666 1960 247 Connector Byron, GA 31008

3/13/2020John R. Destito, DO 52346RN253424Johnson, Kelley Leigh 42940 5610 Roswell Rd. NE (Suite 100) Sandy Springs, GA 30342

10/1/2021James Thigpen 30228RN093193Johnson, Kimberly 45210 3448 Vineville Ave Macon, GA 31204

5/13/2022William Lambert 35926RN203517Johnson, Leslie 54649 110 Lloyd Ave Tyrone, GA 30290

1/1/2021Kristi N. Gotier, MD 61108RN161105Johnson, Denetra Lynetta 43317 4475 W. Village Parkway Ellenwood, GA 30294

5/25/2020Nasser Tehrani 53044RN190791Johnson, Jennifer 45020 1117 Morningside Dr. Perry, Ga 31069

3/30/2021Yvonne P McAllister, MD 25218RN106735Johnson, Kimberly Kinard 39996 2410 Ingleside Ave Macon, GA 31204

7/22/2020Lee David Jacobs, MD. 28283RN076737Johnson, Lari Eckert 39901 111 Mountain Brook Drive Canton, Ga 30115

Monday, August 1, 2022 Page 220 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/2/2016Andrea Hill, MD 51332RN139381Johnson, Kirsten Nations 17573 517 Great Oaks Dr, Ste 103 Monroe, GA 30655

8/11/2021Nadine Regis, MD 73138RN139652Johnson, Kristie Michelle 17440 710 Center St. Columbus, GA 31901

12/20/2016Carisa Hines, MD 50637RN217099Johnson, Kelsey Michelle 17441 1751 Newnan Crossings Blvd, E Newnan, GA 30265

10/18/2021Rita Livingston 63494RN055775Johnson, Lowanda 20425 1 Aflac Parkway Columbus, GA 31907

10/10/2019Terrance L. Hughes, MD 56454RN217661Johnson, Amber Michele 41124 1500 Langford Drive (Bldg 200) Watkinsville, GA 30677

3/28/2021Maxwell Parrott, MD 45574RN160699Johnson, Emily 39335 400 Timms Rd. NE Calhoun, GA 30701

11/15/2018Leslie David, MD 60363RN253424Johnson, Kelley 39341 1515 River Place (Suite 100) Braselton, GA 30517

3/23/2020George Katsitadze, MD 52456RN217188Johnson, Michelle D. 42229 4120 Five Forks Trickum Rd, (Suite 102) Liburn, GA 30047-30

10/26/2020Anne M. McKenzie-Brown 31979RN281165Johnson, Tamicky 44166 550 Peachtree Stree NE (Emory Midtown) Atlanta, GA 3030

8/11/2020Anthony Ditaranto, MD 29865RN155651Johnson, Jessica Lynn 20176 3361 Grant Rd. Conley, GA 30288

3/26/2021Damon Kimes 50322RN231831Johnson, Linda 42922 5977 Stewart Pkwy Douglasville, GA 30135

7/13/2020Jimmy A. Malaver, MD 65138RN113824Johnson, Angela S. 42803 214 A Professional Circle St. Marys, GA 31558

1/1/2022Jose Espinosa, MD 72537RN277351Johnson, Shamika 42795 1118 Highway 96 West Kathleen, GA 31407

5/31/2020Joshua Samraj, MD 46322RN193416Johnson, LaKesha 40711 2737 Warm Springs Road (Bldg B & C) Columbus, GA 31904

10/1/2019Michael Nulph, MD 57735RN190791Johnson, Jennifer Lynn 18772 222 Perry Hwy, Bldg A, Ste 102 Hawkinsville, GA 31036

11/30/2019James R. Gore Jr. 36384RN139146Johnson, Cynthia Thomas 42727 1657 Highway North Epressway Griffin, GA 30223

5/9/2022Richard Pearson, Jr. 76775RN302027Johnson, Caspertine 59770 14336 US Highway 19 South Thomasville, GA 31757

8/9/2021Lisa Gillespie 41433RN258005Johnson, Jan 57404 227 Sandy Springs Place, Suite 220 Sandy Springs, GA 30328

10/2/2021Guy Easterling 41283RN093193Johnson, Kimberly 51215 222 Perry Highway Hawkinsville, GA 31036

10/23/2020Zia Khan 62533RN203517Johnson, Leslie 51026 190 Greencastle Road Tyrone, GA 30290

9/6/2012Vundyala Reddy, MD 25022RN101726Johnson, Laurie Faye Garfield 8294 308 Coliseum Drive, Suite 120 Macon, GA 31217

4/22/2017David Elwood, MD 57963RN175391Johnson, Anita Joyce 1526 55 Whitcher Street, Ste 130 Marietta, GA 30060

10/20/2008Al Soltan, MD 45011RN101726Johnson, Laurie Faye Garfield 1535 308 Coliseum Dr. Macon, GA 31217

7/13/2015Michael Dwyer, MD 50360RN057678Johnson, Mary Neel Parish 1541 5901-B Peachtree Dunwoody Rd, Ste B-420 Atlanta, GA 303

12/18/2019Catherine Schwender, MD 59189RN083477Johnson, Stephanie Michelle Fi 1544 1500 Oglethorpe Ave, Suite 2000 Athens, GA 30606

10/3/2018Edwin Hiatt, MD 12920RN078675Johnson, Teresa W. 1545 200 Georgia Avenue Valdosta, GA 31698

Monday, August 1, 2022 Page 221 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2014James Blackwell, MD 17132RN207354Johnson, Mae D 1539 1107 Memorial Drive, Suite 300 Dalton, GA 30720

6/12/2020Robert Hudec, MD 40104RN040414Johnson, Margaret Jeanne Hails 1540 145 N. Medical Pkwy Woodstock, GA 30189

4/15/2011Matthew Grundfast, DO 52944RN164766Johnson, Heather Constance 8347 1009 N. Monroe Street, Suite 102 Albany, GA 31701

6/17/2013Devica Alappan, MD 49526RN181532Johnson, Courtney K. 11382 1900 11th Ave., Ste. A Columbus, GA 31901

11/1/2019Errol Graham, MD 32388RN106778Johnson, Beverly Kay 9699 105 E. Tollison St, Suite B Baxley, GA 31513

5/1/2012Blache, Charlene MD 45728RN139381Johnson, Kirsten 10307 406 M Northside Drive Valdosta, GA 31602

10/1/2020Chinenye, Iheme, MD 76465RN234027Johnson Wade, Milan 41677 2000 Professional Way, Suite 200 Woodstock, GA 30188

12/31/2019Bruce Gioia, MD 38774RN081322Johnson, Jr., Robert Howard 13042 1110 Hillcrest Pkwy Dublin, GA 31021

3/15/2019Fredrick Burton, MD 38434RN128437Johnson-Cartagena, Rhonda Te 19267 6020 Harrison Road, B Macon, GA 31206

4/26/2018Dawn Wilson, MD 47279RN183331Johnson-Ruise, Kimberlyn Nicol 19238 545 Old Norcross Rd., Ste 300-B Lawrenceville, GA 30046

2/26/2020Virna Simmons, MD 60614RN183331Johnson-Ruise, Kimberlyn 15642 1355 S Park St. Carrollton, GA 30117

4/27/2015Robert Van Gallera, MD 37717RN123293Johnson-Young, La Tonja 14903 2249 Vinson Hwy Milledgeville, GA 31061

7/25/2008Raj Gupta, MD 33345RN123293Johnson-Young, La Tonja Queve 1548 308 Coliseum Dr. Macon, GA 31217

7/1/2015Bradford Lipman, MD 28596RN117517Johnston, Susan Mary Sadlowsk 13268 275 Collier Rd, Suite 500 Atlanta, GA 30309

11/30/2015Sarvotham Kini, MD 34170RN176049Johnston, Amanda 14462 108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602

1/10/2020John D. Engel, MD 51217RN273487Johnston, Daniel 40709 705 Dixie Street Carrollton, GA 30117

11/1/2021Deganian, Javad MD 16053RN155547Joiner, Juanita 10877 1700 Tree Lane, Ste 110A/B & 360 Snellville, GA 30078

9/15/2014Cathy Larrimore, MD 38836RN084667Joiner, Janice Dorsey 12021 4181 Hospital Dr, Suite 104 Covington, GA 30014

11/14/2012Crystal Slade MD 53881RN084667Joiner, Janice Dorsey 9992 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

4/30/2016Arthur Chandler Jr., MD 27513RN144235Jolly, Erin Ann Halford 1549 1238 D'Atignac St Augusta, GA 30901

8/1/2021Javeria Bhawal 74143RN229627Jolly, Sherita 57760 3451 Cobb Pkwy NW, Suite 4 Acworth, GA 30101

10/31/2020Darshak Karia, MD 75510RN144235Jolly, Erin Ann 19526 1350 Walton Way Augusta, GA 30901

7/5/2019Mark Wilson, MD 69737RN101962Jolly, Tammy Michelle 42888 1401 N. Tift Avenue (Suite B) Tifton, GA 31794

7/5/2019Madelaine Santo Vega, MD 74351RN101962Jolly, Tammy Michelle 41573 609 East Lamar Street Americus, GA 31709

11/29/2019Nikkia Johnson 61012RN101962Jolly, Tammy 47358 408 E third Ave Cordele, GA 31015

12/30/2021Alford Brady 40616RN197722Jones, Brad 51922 3207 Country Club Drive Valdosta, GA 31605

Monday, August 1, 2022 Page 222 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/26/2020Susan Reinheimer 31493RN161532Jones, Oretha 48985 836 E 65th Street, Suite 22 Savannah, GA 31405

1/1/2022Jose Espinosa 72537RN201961Jones, Kristi 47255 118 GA Hwy 96 Kathleen, GA 31047

6/9/2021Lionel Meadows 45550RN253184Jones, Synthia 54502 30931 Hwy 441 S. Commerce, GA 30529

11/5/2020Lina Millan 69898RN246137Jones, Janna 46028 355 Hawthorne Lane Athens, Ga 30606

1/1/2021Lawrence Perin 77146RN192490Jones, Joy 44551 5775 Peachtree Dunwoody Rd. Bldg C Atlanta, Ga 30342

2/1/2020Chad Sisk 59201RN223056Jones, Kayla 44552 1200 Lower Fayetteville Rd. Newnan, Ga 30265

6/17/2020Davin Mitchell 63786RN139764Jones, Retina 44553 1075 Lafayette Parkway LaGrange, Ga 30241

7/21/2020Mubashar Munir 65666RN223056Jones, Kayla 49056 1200 Lower Fayetteville Road, Suite B Newnan, GA 30265-1

9/9/2021Asma Khan 76237RN144950Jones, Yolanda 53912 5354 Reynolds Street, Suite 424 Savannah, GA 31405

9/1/2021Kashif Naseem 58109RN236322Jones, Kelsey 52719 3642 Wheeler Road Augusta, GA 30909

9/30/2021Christopher Robinson 54335RN176230Jones, Dustin 55636 501 Redmond Road Rome, GA 30165

2/12/2019Toni Sylvester, MD 58933RN073104Jones, Rhonda Dee 41576 110 Goshen Road Rincon, GA 31326

12/19/2019John Perry 27421RN176230Jones, Dustin 46428 960 Joe Frank Harris Pkwy SE Cartersville, GA 30120

6/19/2020Nitisha Mahajan 80250RN233374Jones, Abigail 50638 2660 Satellite Blvd Duluth, GA 30096

7/6/2020Michelle Huggins 34368RN217979Jones, Takiyah 44847 207 Crestmont Way Canton, Ga 30114

2/1/2020William Norris 76526RN223056Jones, Kayla 44855 1200 Lower Fayetteville Rd. Ste. B Newnan, Ga 30265

9/10/2019Vineya Puppala 71014RN239182Jones, Tamika 44952 403 Permian Way, Ste. D Villa Rica, Ga 30180

9/19/2019Lesley J. Cown, MD 36129RN190627Jones, Desha Helen 43245 406 Central Drive E. Dubblin, GA 31027

3/16/2019Diahann M. Moore 63458RN231942Jones, Chandria I. 43361 2900 University Pkwy Lawrenceville, GA 30043

2/5/2020Lawrence Reccoppa 69940RN231942Jones, Chandria 45204 2900 University Pkwy Lawrenceville, Ga 30043

5/19/2017Gaye Haynes, MD 49696RN093051Jones, Kelly Leighann Dudley 20154 1601 Maple Street Carrollton, GA 30118

6/20/2019Andrea M. Lambert, MD 75490RN161532Jones, Oretha Diane 40721 1826 Veterans Blvd. Dublin, GA 31021

2/28/2019Manishkumar Joshi 56628RN193503Jones, LaShonda 42607 2336 Dawson Rd. Albany, GA 31707

8/6/2020Colleen Taylor, MD 63967RN144950Jones, Yolanda Latrice 20171 5354 Reynolds Street ste. 424 Savannah, GA 31405

11/7/2018James Collins, MD 29833RN176230Jones, Dustin T. 39066 330 Turner McCall Blvd, Suite 101 Rome, GA 30165

2/17/2021Jacqueline Harris 63934RN217979Jones, Takiyah Sharell 44134 1260 Highway 54 W. (Suite 101) Fayetteville, GA 30214

Monday, August 1, 2022 Page 223 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/7/2020Michael J. Swaney 78577RN273857Jones, Tenishia K 44135 2927 Demere Road Saint Simons Island, GA 31522

6/14/2019Latasha Burgess 49877RN255890Jones, Juanita 43724 277 NE Broad Street Fairburn, GA 30231

6/23/2018Grady Thompson, MD 32315RN193503Jones, LaShonda Reenee 39345 2336 Dawson Rd. Albany, GA 31707

3/29/2019Beatrice Clodomir, DO 65531RN066948Jones, Anita Carole 41410 5582 Memorial Drive Stone Mountain, GA 30083

12/31/2020Hal Motlow Herd, MD 13140RN159887Jones, Stephanie 41439 4700 Nelson Brogdon Blvd. Sugar Hill, Ga 30518

12/4/2018Richard J. Dowling, MD 54605RN176230Jones, Dustin T. 41338 1025 N. Main St. Cedartown, Ga 30125

8/1/2017Devin Handley, MD 48356RN151386Jones, Anna Christine 17432 2659 Abutment Rd Dalton, GA 30721

5/9/2019Debora Lamonica, MD 79203RN209586Jones, Flora 40115 1520 22nd Street Columbus, GA 31901

1/26/2018Mopeloia Isola, MD 74862RN112762Jones, Tracy 15948 600 West Memorial Dr. Dallas, GA 30132

12/31/2015Josephine Dunagan, MD 15553RN232161Jones, Charlotte Benton 16034 1700 Tree Lane, Ste 110 Snellville, GA 30078

9/22/2018Frank Saucier, MD 28880RN201730Jones, Cynthia 16016 2122 Manchester Expressway Columbus, GA 31904

1/5/2020Spencer Kozinn, MD 71836RN198251Jones, Kyle Torbett 21312 275 Collier Rd. NW ste. 400 Atlanta, GA 30309

6/16/2020Chevon Brooks, MD 61559267406Jones, Amanda S 39988 35 Jesse Hill Jr Drive SE Atlanta, GA 30303

10/12/2018Mihai Lascar, MD 62382RN224044Jones, Shangrila Joshi 20623 1968 Peachtree Road, NW Atlanta, GA 30309

3/10/2022Augusto Soltero-Diaz, MD 61350RN215190Jones, Casey Lyne 19527 378 Market Place Pkwy. Dawsonville, GA 30534

8/11/2017Catherine James-Peters, MD 63671RN146779Jones, Carolyn 16411 1636 Hatch Pkwy South Baxley, GA 31513

11/5/2015Matthew Wheatley, MD 57702RN165239Jones, Tarvorshae Rodgers 16371 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

3/1/2017Darrell Murray, MD 44797RN230775Jones, Victoria Ariel 19741 4760 Austell Rd. ste. 1 Austell, GA 30106

10/10/2016Joel Stewart Jr., MD 67338RN93051Jones, Kelly Leighann Dudley 18039 1470 Lafayette Parkway ste. 230 LaGrange, GA 30241

10/12/2018Mihai Lascar, MD 62382RN224044Jones, Shangrila Joshi 21069 1968 Peachtree Road, NW Atlanta, GA 30309

2/15/2020Philip Weiss, MD 38398RN217169Jones, Sydney Catherine Mae N 21071 1100 Lake Hearn Dr. ste. 100 Atlanta, Ga 30342

10/26/2020Lionel Meadows 45550RN215190Jones, Casey L. 17072 2725 Mall of GA Blvd Buford, GA 30519

12/1/2015Eduardo Rojas, MD 30370RN151386Jones, Anna Christine 13680 1035 Red Bud Rd, Ste 201 Calhoun, GA 30701

2/21/2017Vanderlyn Sewell, MD 51547RN180743Jones, Shauna 16458 934 Briarcliff Rd NE Atlanta, GA 30306

3/23/2020George Katsitadze, MD 52456RN217169Jones, Sydney Catherine 14052 6450 Spalding Dr., Ste A Norcross, GA 30092

Monday, August 1, 2022 Page 224 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/14/2011Aldrich Mendoza, MD 62916RN151386Jones, Anna Christine 9183 251 Hwy 53 Calhoun, GA 30701

5/8/2014Delgado, Reden MD 65957RN151386Jones, Anna Christine 10711 2293 Rome Hwy Rockmart, GA 30153

11/24/2020Bryan Blake, MD 40613RN128455Jones, LaQuay 11029 1650 Honey Creek Commons, Ste F Conyers, GA 30013

6/15/2014Andrew Waldman, MD 48001RN196623Jones, Michelle Lea 12513 710 Center St, Emer Dept Columbus, GA 31801

8/30/2008James M. Crane, MD 36519RN151386Jones, Anna Christine 5525 1825 Martha Berry Blvd. Rome, GA 30165

1/31/2022Rahil Kazi, MD 41593RN167974Jones, April Gretchen Gaddy 9326 1707 Watson Blvd Warner Robins, GA 31093

4/22/2011Melissa Rhodes, MD 47060RN151386Jones, Anna Christine 9203 100 Market Place Blvd, Suite 301 Cartersville, GA 30121

11/1/2011Andre Feria, MD 48513RN093051Jones, Kelly Leighann Dudley 9252 142 Old Mill Rd LaGrange, GA 30241

12/31/2013Adrienne Mims, MD 33152RN189118Jones, Sherri Lynn 12590 477 Windsor St SW, Suite 309 Atlanta, GA 30312

1/1/2014David Bosshardt, MD 26225RN229904Jones, Robin Tidwell 2507 110 Battlefield Crossing Ct Ringgold, GA 30736

12/17/2021Crystal Slade 53881GAA-CNM000490

Jones, Sarah 59556 1279 Hwy 54 W, Suite 220 Fayetteville, GA 30214

7/1/2021Shonna McGee 64870RN215590Jones, Whitney 50911 4700 Waters Avenue Savannah, GA 31403

5/14/2019Anuj Manocha, MD 45876RN112762Jones, Tracy Kathleen 1567 1700 Hospital South Drive, Suite 502 Austell, GA 30106

9/4/2009Gregory Fountain, MD 34593RN093541Jones, Janine Roxanne Coleman 5209 766 Walther Road, Suite 100 Lawrenceville, GA 30045

3/3/2021William Shilling, III, MD 47841RN066948Jones, Anita Carole Waller 1553 426 Hwy 26 East Cochran, GA 31014

8/1/2010John Zipperer, MD 50750RN028735Jones, Marie E 1556 PO Box 496 Arlington, GA 39813

4/22/2020Shreedhar Nagnur, MD 49192RN112762Jones, Tracy Kathleen 8835 600 West Memorial Dr Dallas, GA 30132

6/1/2010Prasad Rao, MD 55640RN151386Jones, Anna Christine 8790 960 J F Harris Pkwy Cartersville, GA 30120

4/19/2010Richard Robinson, MD 38936RN093541Jones, Janine Roxanne Coleman 8997 3240 Avalon Blvd Conyers, GA 30013

2/1/2009Sadiq Sohani, MD 45010RN151386Jones, Anna Christine 8411 1413 Chattanooga Avenue Dalton, GA 30720

8/30/2008Thomas Self, MD 21587RN151386Jones, Anna Christine 8166 1825 Martha Berry Blvd Rome, GA 30165

3/15/2012Elam, Mark MD 36147RN151386Jones, Anna 10072 1507 Professional Court Dalton, GA 30720

3/3/2021Bush, Stanley MD 48846RN066948Jones, Anita 10313 1508-B Hardeman Ave Macon, GA 31201

11/26/2013Biggs, Barbara MD 25105RN112762Jones, Tracy 10316 1810 White Circle, Ste 110 Marietta, GA 30066

4/14/2020Ahmad Jingo 45842RN161294Jones-Asqill, Ceclilia 46201 4150 Snapfinger Woods Dr., Suite 120 Decatur, GA 30030

Monday, August 1, 2022 Page 225 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/4/2019Timothy M. Longaker, MD 25883RN198431Jordan, Tina Kiran 43052 101 Deluxe Circle (Suite B) Thomaston, GA 30286

8/1/2021Cheryl Perkins, MD 36430RN273799Jordan, Keri 40472 1499 Fair Road Statesboro, GA 30458

8/11/2021Krystal Garcia 82398RN094008Jordan, Sarah 47490 865 South 1st Street Jesup, GA 31545

11/20/2020Alexander Osowa, MD 57551RN206974Jordan, Angeline 41409 2805 Hamilton Mill Road Buford, GA 30519

1/31/2014Raymond E. Gutierrez, MD 57983RN094008Jordan, Sarah J.L. 11223 2000 Palmyra Rd. Albany, GA 31701

9/4/2020Bryan Philbrook, MD 47009RN044779Jordan, Mary Catherine 11754 975 Johnson Ferry Rd Atlanta, GA 30342

3/4/2015Dale Lawson, MD 54233RN094008Jordan, Sarah Lee 13787 1048 E. Forsyth St Americus, GA 31709

3/21/2014Ricardo Riesco, MD 44069RN227156Jordan, Susan Maria 12341 1933 Shield Rd Dalton, GA 30720

1/6/2016David Cox, MD 70247RN198431Jordan, Tina Kiran 16868 101 Deluxe Circle, Ste B Thomaston, GA 30286

6/14/2016David Fieseler, MD 17756RN198431Jordan, Tina K. 17074 101 Deluxe Cr., Ste B Thomaston, GA 30286

8/3/2016Scott Waguespack, MD 63014RN198431Jordan, Tina Karan 18040 101 Deluxe Circle ste. B Thomaston, GA 30286

11/15/2019Gerald Filmore, MD 50288RN094008Jordan, Sarah Jean Lee 19867 865 South 1st St. Jesup, GA 31545

9/20/2018Roy Sanders, MD 50837RN061785Jordan, Dorothy Henry 8889 160 Clairemont Ave, Ste 445 Decatur, GA 30030

10/26/2007Nydia M. Bladuell, MD 38429RN165700Jordan, Lucynda Reaves 1571 790 Church Street Marietta, GA 30060

11/30/2012Claire Mazewski, MD 46619RN044779Jordan, Mary Catherine 1572 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

4/14/2022Jameson Estes 48852RN170750Joseph, Monique 48727 3334 Hwy 155 South Locust Grove, GA 30248

2/1/2022William Parrish, MD 47989RN204912Joseph, Elsie F. 8946 200 Allen Memorial Drive Bremen, GA 30110

11/1/2021Donald C. Jones, MD 66511RN274199Joseph, Lodz Samantha 43247 2100 Palmyra Road Albany, GA 31701

12/8/2021Richard Pearson Jr. 76775RN212955Josey, Allison 53837 915 Gordon Avenue Thomasville, GA 31792

1/12/2021William Benedict 59122RN181695Joyce, Katrina 20542 61 Whitcher Street Suite 3110 Marietta, GA 30060

4/1/2019Kenneth Grotz, MD 37820RN207064Joyner, Tracy 38963 4150 Washington Road Ste. 11 Evans, GA 30809

4/27/2018Gary M. Billingsley, MD 29582RN207064Joyner, Tracy Lee 19983 1215 West Wheeler Parkway Augusta, GA 30909

5/2/2021Ronald Wayne Williams, MD 60338RN155568Joyner, Amber Nobles 8643 1707 Meadows Lane, Suite C Vidalia, GA 30474

7/3/2015Flexon, Phillip MD 31737RN155568Joyner, Amber 10005 1707 Meadows Lane, Suite C Vialia, GA 30474

6/14/2019Janet P. Memark, MD 64415RN175271Jules-Vilefranche, Myrlande 42123 1650 County Services Pkwy SW Marietta, GA 30008

Monday, August 1, 2022 Page 226 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/16/2018Yvonne Carter, MD 73208RN175271Jules-Villefranche, Myrlande 16266 1650 County Services Pkwy Marietta, GA 30008

6/5/2015Igho Ofotokun, MD 53346RN175271Jules-Villefranche, Myrlande 12623 341 Ponce de Leon Ave Atlanta, GA 30308

3/12/2018Stephen Rohn, MD 40212RN213303RN213303

Jumper, Hannah Rebeccah 14639 1436 Broadrick Dr, Ste B Dalton, GA 30720

7/8/2018Peter W.Barrett, MD. 69372RN213303Jumper, Hannah Rebeccah 40256 1968 Peachtree Road, NW. Atlanta, Ga 30309

12/1/2019Joshua Behlmann 76432RN275508Jupiter, Gaboy 46115 2594 Loganville Hwy, Suite 101 Grayson, Ga 30017

11/14/2018John S. Lammert 33619RN275508Jupiter, Gaboy 43725 9390 The Landing Drive Douglasville, GA 30135

3/18/2022Sophenia Gay 67868RN275508Jupiter, Gaboy 60291 821 N Cobb Street Milledgeville, GA 31061

4/28/2018Elia Abboud, MD 62799RN205599Jurgensen, Katharine Leigh 20674 200 S. Enota Dr. ste. 200 Gainesville, GA 30501

10/31/2017James Haymore, MD 9721RN205599Jurgensen, Katharine 14451 11973 Augusta Rd Lavonia, GA 30553

3/31/2020Judith Anderson 74892RN249759Kadakia, Radhika 43665 140 Three Rivers Drive Rome, GA 31030

7/31/2017Gail Matthews, MD 52182RN091649Kaimachiande, Finda-Mani Mar 17428 794 S Park St Carrolton, GA 30117

10/25/2017Dolapo Babalola, MD 59119RN143541Kaimachiande, Finda 15817 595 Piedmont Ave, Ste 100 Atlanta, GA 30308-2480

8/11/2014Tosha Rogers, DO 64644RN143541Kaimachiande, Finda-Mani Mar 13279 2457 Martin Luther King Jr Dr SW, Suite A Atlanta, GA 30311

2/1/2014Donovan Christie, MD 44432RN143541Kaimachiande, Finda-Mani Mar 11990 Take Care Clinic, 4398 Atlanta Hwy Loganville, GA 30052

11/27/2017Randall Berinhout, MD 34777RN233158Kairu, Linet 39036 165 North Park Trail Stockbridge, GA 30281

12/24/2021Michael Ellis 62835RN245460Kaiser, Larisa 46510 2000 16th Ave Columbus, Ga 31901

7/31/2017Sheryl Canady 50999RN131694Kalch, Stacy 20424 3094 Watson Blvd Warner Robins, GA 31093

1/29/2020Jaymal Patel 50984RN131694Kalch, Stacy 39841 940 GA Hwy 96 Warner Robins, GA 31088

4/26/2019Deann E. Bing 67534RN189926Kalen, Jennifer Michelle 43746 1201 Peachtree Street (Suite 200) Atlanta, GA 30361

6/28/2019Timothy Ghattas 68163RN189926Kalen, Jennifer 44623 1240 Eagles Landing Pkwy Stockbridge, Ga 30281

4/26/2019Rajeswari Natarajan, MD 55501RN189926Kalen, Jennifer 14734 1255 Hwy 54 West Fayetteville, GA 30214

11/14/2016Manish Vig, MD 67829RN189926Kalen, Jennifer Michelle 11683 745 Poplar Rd, Emer Dept Newnan, GA 30265

11/14/2016Stephen Prater, MD 41929RN189926Kalen, Jennifer Michelle 8030 95 Collier Road, Suite 5015 Atlanta, GA 30319

5/2/2019Tam Nguyen 75739RN230675Kalick, Maria 45003 2659 Abutment Rd. Dalton, Ga 30720

12/31/2019Lisa Griggs 56715RN230675Kalick, Maria 45540 2659 Abutment Rd. Dalton, Ga 30721

Monday, August 1, 2022 Page 227 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2015Matthew A. Wheatley, MD 57702RN152416Kalm, Heather 11154 80 Jesse Hill Jr. Dr. Atlanta, GA 30303

12/14/2017Ahmad Jingo, MD 45842RN169167Kamara, Asata 15684 3424 Flat Shoals Rd Decatur, GA 30034

1/9/2016Evan Gedzelman, MD 64544RN196611Kamel, Nada 15489 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

1/9/2016Charles Epstein, MD 16228RN196611Kamel, Nada 15490 1365 Clifton Rd NE, Ste 2200 Bldg B Altanta, GA 30322

1/6/2016Sandra Helmers, Md 48784RN196611Kamel, Nada 15491 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

1/9/2016Suzette LaRoche, MD 46149RN196611Kamel, Nada 15492 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

1/9/2016Maria Silva, MD 65059RN196611Kamel, Nada 15493 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

1/9/2016Andres Rodriguez-Ruez, MD 72103RN196611Kamel, Nada 15494 1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322

1/9/2016Naymee Velez-Ruz, MD 66733RN196611Kamel, Nada 15495 1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322

1/9/2016Raymond Faught, MD 63347RN196611Kamel, Nada 15497 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

1/9/2016Rebecca Fasano, MD 72541RN196611Kamel, Nada 15498 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

8/19/2019Matthew Whitley, MD 66673RN208973Kandler, Genevieve 41254 5461 Meridian Mark Rd (Suite 130) Atlanta, GA 30342

8/31/2018Duriel D. Gray, MD 71075RN183709Kang, Erika Coley 20852 3895 Stone Lake Dr. Kennesaw, GA 30152

5/24/2021Kang, Christopher 39141RN210035Kang, Mindy 20117 10710 Medlock Bridge Rd., #150 Johns Creek, GA 30097

1/4/2022Jon Gibbs 38493RN221932Kang, Yuri 44787 1537 Walton Way Augusta, Ga 30904

5/30/2016Dustin Russell, MD 66541RN183709Kang, Erika 16570 4355 Browns Bridge Rd Cumming, GA 30041

4/9/2016David Fields, MD 48232RN210035Kang, Mindy Lee 16600 96 Tara Commons Dr. Loganville, GA 30052

3/30/2019Jayanthi Srinivasiah, MD 33204RN174887Kanneh, Hawa Jehjeh 38985 2712 Lawrenceville Hwy. Decatur, GA 30033

4/23/2021Kunal Gupta 85075RN147934Kanneh-Waritay, Saphie 55225 210 Cobb Parkway SE, Suite 100 Marietta, GA 30060

7/4/2019Ashok Kancharla, MD 48250RN223738Kansal, Iti 17310 138 West Gibson St. Hartwell, GA 30643

10/3/2019John Pablo 42102RN0272910Kanters, Kelsey 45012 225 Candler Dr., Ste. 100 Savannah, Ga 31405

1/30/2021Aziz Pirani 61934RN261659Kapatkin, Maureen 51814 4025 Lawrenceville Highway, Suite A Lilburn, GA 30047

1/31/2019Alison Baker, MD 53490RN261659Kapatkin, Maureen Danielle 19727 2011 Commerce Dr. Peachtree City, GA 30269

1/29/2013Mirza, Wajahat MD 62563RN096231Kaplan, Phyllis 10071 1915 Eisenhower Drive Savannah, GA 31416

11/28/2014Alexander Osowa, MD 57551RN226485Kapoor, Ritu 13229 2805 Hamilton Mill Rd Buford, GA 30519

Monday, August 1, 2022 Page 228 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/15/2016Safia Pirani, MD 56624RN226485Kapoor, Ritu 14921 3330 Peachtree Corners Cir, Ste H Norcross, GA 30092

5/20/2020Jose Cangiano, MD 44182RN132103Karaga, Joann 17758 311 Gwinnett Dr. Lawrenceville, GA 30046

7/25/2017Shirley Rigaud-Echols, MD 58639RN247297Kargbo, Isatu Aliya 19683 2665 N. Decatur Rd. ste.255 Decatur, GA 30033

12/1/2019Neale Freeman, MD 40065RN247297Kargbo, Isatu Aliya 21360 5395 Jimmy Carter Blvd. Ste. 500 Norcross, GA 30093

10/1/2018Bryan Hooker, MD 32586RN090147Karr, Nance Carol 12750 220 J L White Dr, Suite 110 Jasper, GA 30143

6/27/2013Sheryl Vickery, MD 26446RN090147Karr, Nance 10927 7820 Hickory Flat Hwy Woodstock, GA 30188

4/2/2015Ronald Steis, MP 34479RN135364Karraker, Barbara 14116 3400-C Old Milton Pkwy, Ste 400 Alpharetta, GA 30094

12/3/2020Maiysha Clairborne, MD 55194RN135364Karraker, Barbara 16123 1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068

4/18/2015Muhammad Ishaque, MD 60641RN226057Kasper, Lauren Elizabeth 14030 150 Gentilly Blvd Cartersville, GA 30120

8/26/2020Melissa Sanchez-Quiros, MD 64056RN226057Kasper, Lauren Elizabeth 39159 1015 Donald Lee Hollowell Parkway Atlanta, GA 30318

7/31/2019Jeffrey Klopper 26321RN259172Kato, Violet Nakalanzi 43697 1 Technology Pkwy South Norcross, GA 30092

4/22/2020AHMAD JINGO MD 45842RN193652KATONGOLE, CAROLYNE 40466 3424 FLAT SHOALS RD DECATUR, GA 30034

4/25/2022Dave Ringer, MD 30368RN098045Kauffman, Donna Amanda Ridl 1586 803 South Main St Greensboro, GA 30642

11/22/2019Yvonne Smith, MD 42443RN204060Kaufman, Kyle D 43227 4910 Jonesboro Road (Suite 701) Union City, GA 30291

1/24/2022Michael Nulph 57735RN204060Kaufman, Kyle 49490 222 Perry Hwy Hawkinsville, GA 31036

7/7/2018Jonathan Rosenfield, MD 74345RN141621Kaur, Balwinder 21113 1277 Rockbridge Rd. Stone, GA 30087

9/17/2018Asha Parikh, MD 28850RN141621Kaur, Balwinder 16322 3280 Old Alabama John Creek, GA 30022

3/4/2016Thenmozhi Singram, MD 65060RN141621Kaur, Balwinder 16925 3850 Windermere Pkwy, Ste 105 Cumming, GA 30041

2/1/2014Donovan Christie, MD 44432RN141621Kaur, Balwinder 1588 5985 Peachtree Pkwy NW Norcross, GA 30092

5/25/2022Shawn Williams 66841RN113826Kay, Harriet 47710 963 Bennock Mill road Augusta, GA 30906

7/2/2010Benjamin Smith, MD 44338RN112764Kaye, Leslie Ann 7763 17 Collins Drive Cartersville, GA 30120

6/24/2021Gazelle Moharari 78466RN170214Kearney, Jessica 46675 3872 Hwy 5 Douglasville, GA 30135

12/31/2015John Manfredi, MD 16101RN107500Keaton, Tina Shelleen West 13576 308 Deep South Farm Rd, Suite 200 Blairsville, GA 30512

4/28/2022Jimson Smith, MD 73873RN149754Kededa, Berhanu 11125 2201 North Decatur Rd. Decatur, GA 30033

9/24/2021Khalid J. Hayat 56555RN152429Kededa, Berhanu E. 40142 755 Walter Road Lawrenceville, Ga 30046

Monday, August 1, 2022 Page 229 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/15/2018Anthony M. Nazione 73511RN267602Keel, Kimberly 40201 6000 Joe Frank Harris Pkwy., NW Adairsville, GA 30103

3/1/2022Muhammed Ishaque 60641RN267602Keel, Kimberley 46206 150 Gentilly Blvd Cartersville, Ga 30120

3/27/2019Anthony Nazione, DO 73511RN267602Keel, Kimberly Leigh Ann 41694 330 Turner McCall Blvd, Suite 104 Rome, GA 30165

7/22/2020Lee Jacobs, MD 28283RN189072Keeley, Sara 15921 107 Mountain Brook Dr, Ste 100 Canton, GA 30115

6/21/2019Rashi Patel, MD 74059RN189072Keeley, Sara B. 20824 950 Towne Lake Parkway Woodstock, GA 30189

7/31/2017Freeman Montaque Jr., MD 28123RN218740Keeley, Sara B 13625 695 Crossville Rd. Roswell, GA 30075

4/30/2014Allen Hoffman, MD 24822RN189072Keeley, Sara B. 9908 52 Tower Rd Marietta, GA 30060

3/20/2013Oladayo Osinuga, MD 51703RN087305Keels, Barbara J 1590 3290 Memorial Dr, Suite 1-A Decatur, GA 30032

6/4/2021James Campagna 33806RN105604Keen, Robert 53355 2804 N. Oak Street, Suite C Valdosta, GA 31602

4/1/2022Rhonda Moorman 60127RN191440Keene, Richard 54792 1153 N. Liberty Street Nicholls, GA 31554

1/27/2020Hampton Channing 72028RN191440Keene, Richard Steven 44359 2735 South Central Avenue Tifton, GA 31794

1/1/2020James Sinclair 36457RN191440Keene, Richard 44689 1101 Ocilla rd. Douglas, Ga 31533

4/1/2022Afaq Alam Gul 64944RN191440Keene, Richard 51111 1153 N. Liberty Street Nicholls, GA 31554

7/11/2017Pablo Perez, MD 47502RN222731Keener, Panda Mechelle 18611 815 Shugart Rd. Dalton, GA 30720

5/21/2016Yara Fattouh, MD 53522RN222731Keener, Panda Mechelle 15587 1111 U.S. 76 Chatsworth, GA 30705

5/1/2012Paul Bradley, MD 30016RN206799Kehoe, Doreen R. 9129 315 Eisenhower Dr Savannah, GA 31406

6/30/2012Dana Kumjian, MD 35673RN206799Kehoe, Doreen R. 9511 1115 Lexington Ave Savannah, GA 31404

10/18/2021Rita Livingston, MD 63494RN206799Kehoe, Doreen R 18402 813 E 68th, Ste 8 Savannah, GA 31405

9/1/2018Richard R Hightower, MD 39367RN206799Kehoe, Doreen R 42263 12825 White Bluff Rd Savannah, GA 31419

2/5/2019John J. DiBlasi, DO 75206RN187630Kehrli, Jackie M. 43267 6342 Grand Hickory Dr. (Suite 202) Braselton, GA 30517

3/22/2022Edward Kruse, DO 58055RN184401Keip, Shelly Renee 13233 1120 15th St Augusta, GA 30912

8/31/2020Hetal Thakore 53556RN265684Keisling, Tracy 48249 3651 Wheeler Road Augusta, GA 30909

6/15/2015Peters, Howard MD 51530RN124581Keith, Coretta 10000 2501 N. Patterson Street Valdosta, GA 31602

12/6/2018Benjamin Andrews, MD 31867RN124581Keith, Coretta Delia 8531 1048 E. Forsyth Street Americus, GA 31709

11/8/2018Emile Risby, MD 30869RN211336Keith, Sharon Denise Clay 17772 2450 Vinson Highway-Cook Building Milledgeville, GA 31062

3/2/2015Wallace Duncan, MD 41109RN116927Kelker, Cassandra Yvonne 11173 794 S Park St Carrollton, GA 30117

Monday, August 1, 2022 Page 230 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/2/2015David Asrael, MD 51291RN116927Kelker, Cassandra Yvonne 7774 794 S Park St Carrollton, GA 30117

9/9/2015Frederick Burton, MD 38434RN116927Kelker, Cassandra 15793 5448 Whittlesey Blvd, Ste B Columbus, GA 31909

9/1/2020Athanasios Verras, MD 22908RN178949Keller, Jennifer Ardell 42334 2007 Montreal Road Tucker, GA 30084

12/18/2011Martin Michaels, MD 26157RN205011Keller, Hayley Lauren 8900 711 Shields Road Dalton, GA 30720

2/14/2014David Arkin, MD 28136RN153888Kelley, Julia Elizabeth Brown 8808 758 Old Norcross Rd, Suite 175 Lawrenceville, GA 30046

10/19/2012Thippeswamy Murthy, MD 52470RN145032Kelley, Gena Smith 1598 20 Francis Way, Suite 101 Sharpsburg, GA 30277

10/4/2011Noreen Andrews, MD 46861RN212611Kelley, Michelle LaDonna 9771 4480 South Cobb Dr SE Smyrna, GA 30080

5/31/2019Darrell Surratt, MD 55984RN230209Kelley, Wesley Kyle 39007 505 Amelia Avenue Bainbridge, GA 39819

7/20/2019John Layher, MD 46692RN203667Kelley, Kimberly 15965 2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606

10/10/2020Julia Rittenhouse 80372RN191521Kelley, Tiffany 46303 109 Hospital Drive Calhoun, G 30701

9/13/2019Grupreet Ahluwalia 40295RN178702Kelley, Brandy 46365 1414 Dug Gap Rd. Duluth, Ga 30720

4/3/2020Ashok K. Kancharla, MD 48250RN188654Kelley, Allison Sellers 40303 132 Franklin Springs Street Royston, GA 30662

12/16/2019Louis Spencer 61351RN178702Kelley, Brandy 47500 1414 Dug Gap road Dalton, GA 30720

11/18/2021Charlotte Mathis 57811RN201742Kelley, Pamela 54327 101 Yorktown Drive, Suite 100 Fayetteville, GA 30214

12/18/2015Michael Burke, MD 54798RN178702Kelley, Brandy 15505 1414 Dug Gap Rd Dalton, GA 30720

11/1/2013Walisa Maynard, MD 50658RN085412Kelley, Angela Denise Kitchens 12191 677 Church St, Bldg 310 Marietta, GA 30060

5/24/2013Alison Krause, MD 40443RN085412Kelley, Angela Denise Kitchens 7731 4040 Hospital West Drive Austell, GA 30106

6/1/2016Terry Melvin, MD 35951RN085412Kelley, Angela Denise Kitchens 13185 1217 Lafayette Rd Rossville, GA 30741

7/25/2019Galina Rader, MD 52623RN085412Kelley, Angela Kitchens 18273 121 Battlefield Crossing Fort Oglethorpe, GA 30741

4/30/2019Kimberly Venable, MD 70977RN178702Kelley, Brandy A. 17034 1414 Dug Gap Rd Dalton, GA 30720

1/8/2016Sarita Mobley, MD 46872RN050989Kelly, Elizabeth Ann 15276 1787 Broad St Pumpkin, GA 31815

2/23/2016Sandeep Vaid, MD 66095RN191024Kelly, Beverly Shelley 16926 1801 Peachtree St, Ste 250 Atlanta, GA 30309

11/17/2015Robert Jones, MD 30629RN191024Kelly, Beverly 16283 1801 Peachtree St, Ste 250 Atlanata, GA 30309

10/17/2018Timothy Shelton, MD 59870RN191024Kelly, Beverly 20956 1801 Peachtree St. ste. 250 Atlanta, GA 30309

8/20/2018Lorinda Cruz, MD 75774RN260150Kelly, Paul Thomas 19369 743 Spring St. NE Gainesville, GA 30501

11/10/2013Scott Bell, MD 69174RN077047Kelly, Sean Patrick 12505 1538 13th Ave, Suite B-300 Columbus, GA 31901

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/19/2014Brooks Moore, MD 53336RN218214Kelly, Susan Elizabeth 12909 49 Jesse Hill Dr. SE, ER Dept. Atlanta, GA 30303

2/17/2016Anekwe Onwuanyi, MD 58088RN218214Kelly, Susan Elizabeth 13751 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

8/18/2015Chad Asplunp, MD 58438RN087400Kelly, Karyn 15905 1120 15th St. Pavilion AF-1040 Augusta, GA 30912

5/1/2022Hott, Brenda MD 41441RN205972Kelly, Linda 10459 1200 Northside Forsyth Dr Cumming, GA 30041

6/1/2022Davin Mitchell 63786RN222812Kelly, Cassie Jo 52042 1075 Lafayette Pkwy, Suite 100 LaGrange, GA 30241

3/1/2020Robert Campbell 22522RN244571Kelly, Michael 46683 1005 Boulder street Gray, GA 31032

6/15/2021Dawn Wilson 47279RN191024Kelly, Beverly 45472 545 Old Norcross Rd. #300-B Lawrenceville, Ga 30046

9/9/2020Richard Spurlock 59207RN191024Kelly, Beverly 44788 931 Lower Fayetteville Rd,. Ste F Newnan, Ga 30263

3/1/2018DAMON KIMES MD 50322RN191024KELLY, BEVERLY SHELLEY 39952 2996 GRANDVIEW AVE NE SUITE 224 ATLANTA, GA 30305

2/26/2019Brandon L. Dawkins, MD 76002RN191024Kelly, Beverly Shelley 40084 535 N. Central Avenue Hapeville, GA 30354

1/1/2018DOUGLAS EPPS MD 48349RN191024KELLY, BEVERLY 39349 4930 GOVENORS DR SUITE 401 FOREST PARK, GA 30297

1/12/2018Kelli Carter, MD 41529RN201485Kelly, David Matthew 18677 101 Fornum Drive Grovetown, GA 30813

8/16/2021Izzeldin Abdalla, MD 74880RN260150Kelly, Paul 44045 743 Spring St Gainesville, Ga 305001

9/3/2009Ralph Marionneaux, MD 47621RN087400Kelly, Karyn Elayne 1604 465 North Belair Road Evans, GA 30809

11/1/2010Julian McLendon, Jr, MD 38557RN077027Kelly, Kathy Jean Hyder 1606 1502 West 3rd Street Jackson, GA 30233

4/1/2021Alexander Ibezi-Enendu 75636RN244571Kelly, Michael 50921 1005 Boulder Drive Gray, GA 31032

1/3/2022Keneeshia Williams 77597RN224569Kelly, Andrienne 48656 80 Jesse Hill Jr. Drive Atlanta, GA 30303

8/1/2010John Zipperer, MD 50750RN050989Kelly, Elizabeth Ann S. 8772 PO Box 496 Arlington, GA 39813

2/6/2010Lamar Peacock, MD 34920RN087400Kelly, Karyn Elayne 8719 465 N. Belair Rd, Suite 3-A Evans, GA 30809

1/10/2012John O'Connell, MD 62266RN205972Kelly, Linda Jeanne 8868 5671 P'tree Dunwoody Rd NE, #110 Atlanta, GA 30342

8/1/2011Matthew Lyon, MD 50972RN087400Kelly, Karyn Elayne 8935 4471 Washington Road Evans, GA 30809

9/2/2009Lisa Wannamaker, DO 55462RN087400Kelly, Karyn Elayne 8460 1384 Greene Street Augusta, GA 30901

8/3/2009David Arkin, MD 28136RN065283Kemmerer, Terri Penna 1608 758 Old Norcross Rd, Suite 175 Lawrenceville, GA 30045

6/24/2020Thomas Williamson, MD 42144RN42144Kemp, Heather 42620 205 Rees Street Americus, GA 31709

3/16/2022Brian Barczak, MD 76418RN206262Kemp, Haley Blair 21314 2900 Chamblee Tucker Rd bldg. 16 Atlanta, GA 30341

7/22/2019Titus Duncan 20692RN239472Kemp, Savannah 46270 4200 Northside Pkwy, Bldg. 8, Suite 200 Atlanta, Ga 30327

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/19/2021David Asrael 51291RN248035Kemp, Melissa 54496 2620 Old Winder Hwy, Suite 300 Braselton, GA 30517

10/15/2020Erin London 45440RN248035Kemp, Melissa 52433 2620 Old Winder Hwy, Suite 300 Braselton, GA 30517

12/31/2021Alfred Martin 26592RN152378Kendrick, Patricia 54771 520 Telford Place Atlanta, GA 30342

3/2/2020Walter K Austin, MD 47049RN063484Kendrick, Chastaine Post 38923 175 Samaritan Dr. Jasper, GA 30143

5/1/2019Darla Morgan, MD 39878RN144327Kendrick, Tara Darlene 13910 170 Curtis Pkwy Ste 1 Calhoun, GA 30701

12/17/2009Wallace Duncan, MD 41109RN152378Kendrick, Patricia Rose 7878 649 Shallowford Rd Gainesville, GA 30504

1/1/2020Beulette Hooks, MD 41313RN152378Kendrick, Patricia Rose 19686 11460 Johns Creek Parway Johns Creek, GA 30097

8/3/2021Brandee Urrutia, MD 66661RN152378Kendrick, Patricia Rose 11975 4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

8/1/2021Sinan Haddad, MD 56455RN152378Kendrick, Patricia Rose 8864 1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501

7/17/2015Larry Vogler, MD 30557RN048660Kennedy, Christine L 1610 2015 Uppergate Drive Atlanta, GA 30322

8/25/2008Girish Shroff, MD 19103RN070145Kennedy, Sheryl Ann Wright 1613 6025 Professional Pkwy, Suite 200 Douglasville, GA 30135

12/1/2021Irene Olabode 68690RN070145Kennedy, Sheryl 57937 2882 N. Druid Hills Road NE, Suite B Atlanta, GA 30329

10/20/2018Richard Spurlock, MD 59207RN176824Kennedy, Erica 17075 931 Lower Fayetteville Rd., Ste F Newnan, GA 30263

3/1/2018Dana Cason, MD 39302RN175892Kennedy, Debra Leigh Evans 19807 2122 Manchester Expressway Columbus, GA 31904

8/22/2018Saurabh Desai, MD 27530RN070145Kennedy, Sheryl Ann 12910 6025 Professional Pkwy., Ste. 200 Douglasville, GA 30134

5/5/2012Meena Shah, MD 21464RN070145Kennedy, Sheryl Ann 9391 475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

4/23/2021Andrew Van Horn 54522RN 070145Kennedy, Sheryl Ann 20207 2700 Clairmont Rd Atlanta, GA 30329

7/31/2019Paul Edjua 62972RN188241Kennedy, Ronalda B. 42604 4898 Austell Rd. Austell, GA 30106

7/8/2021Eilene Weibley 84537RN070145Kennedy, Sheryl 51406 2882 North Druid Hills Road, Suite B Atlanta, GA 30329

1/11/2021Brij Singh 43777RN260949Kennedy, Johanna 51540 809 S. Broad Street Rome, GA 30161

4/27/2021Seth Garrett 81258RN188241Kennedy, Ronalda 54442 3540 North Cobb Pkwy NW Acworth, GA 301014178

6/18/2019Melissa B. Rhodes 47060RN260949Kennedy, Johanna L. 44360 21 Pointe North Drive Cartersville, GA 30120

5/4/2020Angela Crowell 46841RN202893Kennedy, Sophia 44774 5610 Roswell Rd, Ste. 100 Sandy Springs, Ga 30342

2/8/2020Theresa Jacobs 46864RN188241Kennedy, Ronalda 44970 2295 Parklake Dr., Ste. 500 Atlanta, Ga 30345

1/8/2022Mitzi Clayton 61408RN270729Kenser, Martin 46435 211 Fairview Rd. Ellenwood, Ga 30294

1/8/2022Ashley Poullard 85066RN270729Kenser, Martin 54896 211 Fairview Road Ellenwood, GA 30294

Monday, August 1, 2022 Page 233 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/31/2014Anthony Ditaranto, MD 29865RN106726Kent, Yolanda Michelle 12347 118 Enterprise Ct, Suite A Columbus, GA 31904

9/25/2021Richard Dukes 51875RN249758Kent, Anna Marie 57608 1780 Peachtree Parkway, Suite 302 Cumming, GA 30041

6/10/2022Gerald Goldklang 20714RN222344Kenway, Paige 44901 1045 Southcrest Dr. #200 Stockbrodge, Ga 30281

6/10/2022Shyam Khanwani 51672RN222344Kenway, Paige 45368 132 Old Norton Rd. #200 Fayetteville, Ga 30215

1/1/2022Sheldon Brown 83417RN236684Kepler, Glenda 55630 109 Osigian Blvd, Suite 400 Warner Robins, GA 31088

10/31/2017Hicham Churbaji, MD 56986RN177718Kerr, Lakisha Jones 17427 316 N Broad St. Winder, GA 30680

2/12/2016Howard Stirne, MD 25050RN177718Kerr, Lakisha J. 11204 316 N. Broad St. Winder, GA 30680

6/6/2017Christopher Edens, MD 42042RN177718Kerr, Lakisha Jones 19268 6340 Sugarloaf Pkwy, Ste 200 Duluth, GA 30097

1/12/2013Romualda S. Klicius, MD 46305RN191560Kerr, Joanna H 11260 145 N.Medical Parkway Woodstock, GA 30189

12/31/2021Romualda Klicius, MD 46305RN201497Kesselman, Alyssa Lauren 11893 145 North Medical Pkwy Woodstock, GA 30189

2/7/2020Nalini Narayan, MD 44287RN187457Kessler, Cathleen Ellen 9082 705 Dixie Street Carrollton, GA 30117

6/15/2009Gregory Gibson, MD 40388RN187457Kessler, Cathleen Ellen 8002 6555 Professional Place, Suite C Riverdale, GA 30274

1/5/2013Mac Bowman, MD 21647RN084616Key, Jennifer Leigh Bryan 8781 818 St. Sebastian Way, Suite 308 Augusta, GA 30901

2/29/2016Franc Wallace, MD 48582RN107136Key, Dawn Waddell 7756 624 Martin Luther King, Jr Drive Milledgeville, GA 31061

7/18/2018DANIELA ROJAS-MOLINA MD

55331RN100097KEY, PAMELA 39353 500 GREEN RD CHATSWORTH, GA 30705

3/26/2021Allison Scheetz 38356RN107136Key, Dawn W. 41087 3357 Northside Drive Macon, GA 31210

4/1/2020Alania Kent, MD 51241RN100097Key, Pam 44047 14244 Hwy 515 N Suite 100 Ellijay, GA 30536

9/2/2021Christopher Hogan, MD 67229RN84616Key, Jennifer 40652 3675 J Dewey Gray Circle Suite 300 Augusta, GA 30909

12/14/2018Kyle L. Jones, MD 74021RN215846Keys, Hunter Mosengill 40973 801 W. Gordon Street Thomaston, GA 30286

10/21/2020Richisa Hamilton 67775RN215846Keys, Hunter M. 44314 801 W. Gordon Street Thomaston, GA 30286

12/7/2021Abayomi Oshinowo 43447RN215846Keys, Hunter 46502 1514 Vernon Rd LaGrange, GA 30240

1/1/2021Ateeqahmed Patel 39433RN174879Keys-Cleveland, Ivy 54897 6000 Stewart Parkway, Unit 7016 Douglasville, GA 30154

1/25/2021Teresa Clark 20417RN197582Khalil, Karen 44738 5949 Buford Hwy Norcross, Ga 30071

11/9/2018David M. Weitzman 71752RN197582Khalil, Karen D 44137 1075 South Main Street (Suite 100) Madison, GA 30650

10/31/2016John Kludt, MD 34876RN197582Khalil, Karen D. 13662 3700 Club Dr Lawrenceville, GA 30044

Monday, August 1, 2022 Page 234 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/19/2018 Craig Benson, DO 58850RN197582Khalil, Karen D. 19803 1075 South Main Street ste. 100 Madison, GA 30650

8/7/2020Stanton McKenna 59100RN291059Khan, Rabia 48878 3167 Peachtree Road, NE, Suite G Atlanta, GA 30305

9/10/2021Angela Wright, MD 45103RN243278Khera, Ma. Victoria Aquino 20921 2467 Golden Camp Rd. Augusta, GA 30906

2/15/2015Randolph Sumner, MD 28323RN174019Kiarie, Catherine Njeri 12533 1825 Martha Berry Blvd Rome, GA 30165

11/11/2020Bhavika Patel 76120RN174019Kiarie, Catherine 54127 3615 Marietta Highway Dallas, GA 30157

10/20/2020Bruce Bode, MD 23909RN081638Kiblinger, Lisa R 18290 1800 Howell Mill Rd. NW ste. 450 Atlanta, GA 30318-2508

4/1/2008Timothy Thomson, MD 46526RN032598Kicklighter, Cheryl Ann 1619 951 South Broad Street Thonasville, GA 31792

10/11/2018Niraj Sharma, MD 54276RN212851Kidane, Layla 17096 755 Walther Rd. Lawrenceville, GA 30046

6/1/2019Andrew Yen, MD 63554RN208948Kidwell, Natisha 15863 200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

10/1/2020Lalitha Medepalli 49517RN208948Kidwell, Natisha 46369 200 S. Enota Dr. NE, Suite 200 Gainesville, GA 30501

10/13/2021Kit Melton 71768RN218774Kiene, Rachel 54049 5354 Reynolds Street, Suite 424 Savannah, GA 31405

7/28/2021Gillian Greer 77748RN215955Kies, Joshua 44834 107B Fahn St Savannah, Ga 31401

5/20/2021Neetu Reddy 79010RN227529Kiewit, Devra 47662 220 JL White Drive, Suite 110 Jasper, GA 30143

1/22/2019Richard VanDam, MD 71296RN227529Kiewit, Devra 15482 1266 Highway 515 South Jasper, GA 30143

4/6/2015Maxcene Oreus, MD 55486RN227529Kiewit, Devra Ellen 13492 1266 Hwy 515 South Jasper, GA 30143

4/17/2019Victor Okeh, MD 71268RN218467Kiflay, Hassett Guesh 20862 11 Upper Riverdale Rd. Riverdale, GA 30274

5/26/2022Robert B. Rhoades 13420RN 112793Kilgore, Melissa Cheryl 39984 2541 Milledgeville Road Augusta, GA 30904

5/11/2019Margaret White, MD 36482RN089707Kilgore, Catherine Martin 20477 500 Springhouse Circle Stone Mountain, GA 30087

2/4/2020Cedric E. Porter 29363RN112793Kilgore, Melissa Cheryl 44138 124 Victory Drive Swainsboro, GA 30401

10/29/2019Heywood K Gay,MD 38768RN112793Kilgore, Melissa Cheryl 38837 466 South Gray Street Millen, GA 30442

3/6/2020Prakul Chandra, MD 66006RN112793Kilgore, Melissa Cheryl 38838 466 South Gray Street Millen, GA 30442

3/6/2020George Clark Pursley 31308RN112793Kilgore, Melissa Cheryl 40522 2541 Milledgeville Road Augusta, GA 30904

6/28/2019James L Ray, MD 16126RN112793Kilgore, Melissa Cheryl 38917 401 West Main St. Swainsboro, GA 30401

2/14/2020Karen L. Butler, MD 53841RN112793Kilgore, Melissa Cheryl 42889 856 Highway 1 South Swainsboro, GA 30401

3/6/2020Michael Robert Cohen 65646RN 112793Kilgore, Melissa Cheryl 42579 12825 White Bluff Rd. Savannah, GA 31419

2/14/2020Richard Hightower Jr. 39367RN112793Kilgore, Melissa 46460 1626 Jeurgens Court Norcross, GA 30093

Monday, August 1, 2022 Page 235 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/13/2020Deborah Chambers 74480RN112793Kilgore, Melissa 45460 12825 White Bluff Savannah, Ga 31419

12/17/2021Khurram Khan 67490RN089707Kilgore, Catherine 46117 500 Springhouse Circle Stone Mtn, Ga 30087

7/26/2013Germaine Cummings, MD 52340RN089707Kilgore, Catherine Martin 12053 4480 Atlanta Hwy Loganville, GA 30052

6/3/2016Anthony Howard, MD 34616RN112793Kilgore, Melissa 17655 119 Victory Dr., Ste A Swainsboro, GA 30401

2/10/2011Mark Beaty, MD 45169RN185537Killeen, Jessica Guilfoil 8373 2365 Old Milton Pkwy, Suite 200 Alpharetta, GA 30004

6/24/2021Chad Mao, MD 65479RN207183Killian, Nicole 39675 1405 Clifton Rd., NE Atlanta, GA 30322

4/6/2018Peter K. Lee, MD 38545RN213977Kim, Jae Youn 39761 34 Upper Riverdale Rd. Riverdale, Ga 30274

2/25/2019Derron A. Jones, MD 59983RN204356Kim, Gina 20851 1770 Indian Trail Lilburn Rd. ste. 160 Norcross, GA 30093

7/9/2018Bestsy S. Horton, MD 40693RN213977Kim, Jae Youn 41114 745 South Glynn Street Fayetteville, GA 30214

4/6/2018Peter Lee, MD 38545RN213977Kim, Jae Youn 40047 34 Upper Riverdale Road, Suite 100A Riverdale, GA 30274i

4/6/2018Peter Lee, MD 38545RN213977Kim, Jae Youn 39614 34 Upper Riverdale Road, Suite 100A Riverdale, GA 30274

2/25/2019Matthew Richardson, MD 53023RN204356Kim, Gina 20132 4255 Johns Creek Pkwy, Ste C Suwanee, GA 30024

5/16/2020James Lee 56583RN240927Kim, Jennifer 46430 310 Gold Creek Trail Woodstock, GA 30188

7/31/2017Lawrence Powell, MD 38915RN211735Kim, Patricia 16538 2444 Dallas Hwy SW Marietta, GA 30064-2529

7/6/2015Melvin Williams, MD 49260RN211735Kim, Patricia soon 13618 10 Glenlake Pkwy, Ste 40 Atlanta, GA 30328

3/27/2010Dennis Estep, MD 25429RN133306Kimball, Michelle Sharon 1630 2366 Battlefield Parkway Ft Oglethorpe, GA 30742

7/28/2018Jonathan Rosenfield, MD 74345RN250911Kimble, Guatemala DeDario 20110 3240 South Cobb Drive Smyrna, GA 30082

7/31/2012Kenneth Jones, MD 31037RN123684Kimbrell, Holly Devonda 9586 501 Redmond Rd, Emer Dept Rome, GA 30165

5/5/2021Michael D. Cristina 22223RN284944Kinard, Benita 46886 2850 Springdale RD, SW Atlanta, GA 30315

9/19/2016Anu Murthy, MD 54867RN198554Kinard, Amy Cupples 13757 Turner Health/Wellness (CNS), One CNN Ctr, NT100BD Atlant

6/17/2020Sherine Thomas, MD 64734RN125593Kinard-Moon, Dana Maria 38987 1501 Milstead Rd. ste. 110 Conyers, GA 30012

1/31/2020Ortelio Bosch 51119272146Kinder, Kimberly L. 41870 7450 Skidaway Rd. Savannah, GA 31406

3/31/2020Scott Beach 63832RN219155King, Katie 46480 3970 Deputy Bill Cantrell Mem Rd., Suite 100 Cumming, Ga

6/1/2021Afolarin R. Banjoko 49267RN280313King, Kellie J. 43429 8400 Abercorn Street Savannah, GA 31406

2/15/2021Marie J. Cauvin, MD 59135RN115077King, Renee S. 43056 1260 Hwy 54W (Suite 101) Fayetteville, GA 30269

8/10/2021Lee Jacobs 28283RN162789King, Jillian 52696 111 Mountain Brook Drive, Suite 100 Canton, GA 30115

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/12/2018Anthony Nazione, DO 73511RN219155King, Katie 39828 6000 Joe Frank Harris Pkwy NW (Suite C) Adairsville, GA 301

4/28/2018Dolapo Babalola, MD 59119RN157567King, Jamie 39962 10945 State Bridge Rd. Alpharetta, GA 30022

12/18/2015Vijith Prasad, MD 40520RN142732King, Angela Bridget 13096 131- B Victory Drive Swainsboro, GA 30401

1/11/2013Peter Jungblut, MD 69056RN160699King, Emily Laura 13064 1000 Chastain Road, House 53 Kennesaw, GA 30144

6/3/2012Himanshu Patel, MD 58116RN162789King, Jillian M. 9188 504 Redmond Rd Rome, GA 30165

1/6/2014Kathleen Gunchick, MD 28760RN160699King, Emily Laura 11707 KSU,1000 Chastain Rd, House 53 Kennesaw, GA 30327

12/11/2010Kirk-Conrod Hewling, MD 57559RN160699King, Emily Laura 9384 4250 Brownsville Rd Powder Springs, GA 30127

7/24/2019Bridgette Dingle, MD 64532RN120898King, Jeannie Paige 14954 304 Turner McCall Blvd, NICU Rome, GA 30165

11/9/2015Omari Hodge, MD 70459RN160699King, Emily 16435 3215 Campus Loop Rd House 3215 Kennesaw, GA 30144

11/30/2016Lynette Wilson-Phillips, MD 38132RN200247King, Tia Denae 19524 4112 E. Ponce De Leon Ave. Clarkston, GA 30021

9/19/2019Donna Fearing, MD 29447RN123523King, Deborah Ann 1633 120 Stone Bridge Pkwy, Ste 410 Woodstock, GA 30189

6/1/2010Vincent Pearson, MD 32970RN162789King, Jillian M. 8312 504 Redmond Road Rome, GA 30165

6/2/2012Pittman, John MD 37045RN160699King, Emily 10074 715 E. 2nd Avenue SW Rome, GA 30161

6/10/2021Eddie Richardson Jr. 52047RN101561King Cox, Helen 55075 114 Harmony Crossing, Suite 1 Eatonton, GA 31024

8/6/2021Anjali Grandhige 68174RN133688King-Byrne, Ava 45118 310 Kennestone Hospital Blvd. Marietta, Ga 30060

8/31/2018Craig Caldwell, MD 21658RN133688King-Byrne, Ava Dawn 17825 521 Cabiness Rd Forsyth, GA 31029

8/31/2018Terrence Frinks, MD 51042RN133688King-Byrne, Ava Dawn 17826 165 Winston Dr. Athens, GA 30607

8/31/2018Jeremy Goodwin, MD 59416RN133688King-Byrne, Ava Dawn 17828 4796 Hwy, 42 North Forsyth, GA 31029

8/31/2018Edwin Hendricks, Jr, DO 22153RN133688King-Byrne, Ava Dawn 17829 205 Peach Orchard Rd Baldwin, GA 30511

8/31/2018Robert Klassen, MD 34385RN133688King-Byrne, Ava Dawn 17830 2560 Flintridge Rd. Gainesville, GA 30301

8/31/2018Florence Baralatei, MD 60040RN133688King-Byrne, Ava Dawn 17835 2255 Anthony Rd Macon, GA 31204

8/31/2018May Bullecer, MD 50947RN133688King-Byrne, Ava Dawn 17836 960 Hawthorne Ave. Athens, GA 30606

8/31/2018James Livingston, MD 20128RN133688King-Byrne, Ava Dawn 17837 2795 Finney Circle Macon, GA 31217

8/31/2018Haley Manley, MD 42079RN133688King-Byrne, Ava Dawn 17838 4796 Hwy, 42 North Forsyth, GA 31029

8/31/2018Wayne Morris, MD 19733RN133688King-Byrne, Ava Dawn 17839 490 Kathwood Dr. Athens, GA 30607

8/31/2018Dipesh Patel, MD 53512RN133688King-Byrne, Ava Dawn 17840 6190 Peake Rd Macon, GA 31220

Monday, August 1, 2022 Page 237 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/31/2018Nancy Watson, MD 42766RN133688King-Byrne, Ava Dawn 17841 205 Peach Orchard Rd Baldwin, GA 30511

8/31/2018Anon Westmoreland, MD 13534RN133688King-Byrne, Ava Dawn 17842 2560 Flintridge Rd Gaineville, GA 30301

8/31/2018Terri Wilson, MD 34494RN133688King-Byrne, Ava Dawn 17843 4796 Hwy, 42 North Forsyth, GA 31029

5/31/2018Lee Woodall, MD 22917RN133688King-Byrne, Ava Dawn 17844 4796 Hwy, 42 North Forsyth, GA 31029

2/5/2019Kirpich Joseph, MD 54904RN133688King-Byrne, Ava Dawn 18373 960 Hawthorne Ave Athens, GA 30606

11/30/2018Martha K. Presley 77109RN133688King-Byrne, Ava Dawn 5089

5/5/2017Gabriel Onofre, MD 56904RN160719King-Marshall, Damali Morenik 17891 3367 Buford Hwy, Ste 910 Atlanta, GA 30319

2/12/2016Mae Morgan, MD 22902RN160719King-Marshall, Damali 15688 275 Pryor St SW Atlanta, GA 30303

1/5/2018Renee Waters, MD 35782RN242379Kinley, Anna Katherine 19888 75 Elliot Rd. ste. 210 Dawsonville, GA 30534

2/28/2016Lisa Rudolph-Watson, MD 42414RN054127Kinnett, Marsha 20033 1120 W. Broad Ave. B-4 Albany, GA 31701

9/8/2021James Drury, MD 48891RN054127Kinnett, Marsha 41579 525 Cassidy Road Thomasville, GA 31792

11/18/2011William Coleman, MD 31577RN054127Kinnett, Marsha 1638 1211 Palmyra Rd Albany, GA 31701

10/8/2021Alan Brown 57782RN207403Kinnett, William 57117 110 E. 13th Avenue Cordele, GA 31015

8/30/2021Joseph Poku 52807RN227745Kinsey, Courtney 57784 639 Hemlock Street, Suite 100 Macon, GA 31201

12/13/2016Teresa Coleman, MD 37975RN239541Kinsinger, Tonya Jo 13912 919 South Broad ST Thomasville, GA 31792

7/24/2013Ali Mortazavi, DO 54865RN157966Kirby, Susan Howes 7907 2041 Mesa Valley Way, Suite 100 Austell, GA 30106

5/4/2019Ahmed E. Elsharkawi, MD 55128RN165137Kirk, Kimberly A 43268 3025 Shrine Rd. (Suite 270) Brunswick, GA 31520

7/1/2021William Headley 51471RN165137Kirk, Kimberly 45606 825 S. 1st St. Jesup, Ga 31545

1/13/2014Criner, James MD 54179RN090840Kirkby, Dawn 10690 1510 Milstead Ave NE Conyers, GA 30012

3/30/2015Damon Kimes, MD 50322RN090840Kirkby, Dawn 13756 2075 Grayson Hwy Grayson, GA 30017

5/13/2009Germaine Denise Cummings, MD

52340RN090840Kirkby, Dawn Anne Marie 1641 5320 Memorial Drive Stone Mountain, GA 30083

12/10/2011Yolanda Hacker, MD 45811RN090840Kirkby, Dawn Anne Marie 8560 5320 Memorial Drive Stone Mountain, GA 30083

1/10/2020Rani Reddy, MD 34450RN188956Kirkland, Sibyl Lolita 21110 106 Briarwood Rd. Statesboro, GA 30458

1/11/2016Bryan Cheever, MD 34120RN203897Kirkpatrick, Justin L. 13713 1107 Memorial Dr., Ste 200 Dalton, GA 30720

5/22/2021Robert Thompson 74608RN222502Kirkpatrick, Brittney 52704 200 S. Enota Drive, Suite 380 Gainesville, GA 30501

Monday, August 1, 2022 Page 238 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2020John Harris 59919RN160060Kirkpatrick, Brandy 47361 501 Redmond Road Rome, GA 30165

9/25/2019DANIEL ROBITSHEK MD 63804RN160060KIRKPATRICK, BRANDY 39355 501 REDMOND RD NW ROME, GA 30164-7002

7/6/2015Dingane Baruti, MD 55411RN157276Kirschner, Caroline 14079 100 Yorktown Dr., Ste 110 Fayetteville, GA 30214

10/3/2018Holly Coleman,MD 46837RN157276Kirschner, Caroline 19481 440 Washington Street SE Gainesville, GA 30501

12/8/2016Rachel Velez, DO 39500RN066436Kiser, Kenneth Lindsey 16799 2209 Pineview Valdosta, GA 31602

9/17/2018Jonathan D. Wade, DO 66666RN066436Kiser, Kenneth L. 17582 2501 N. Ashley St. Valdosta, GA 30431 6022

3/5/2019Clifton B Thomas, MD 74921RN066436Kiser, Kenneth Lindsey 38954 520 Griffen Arc Valdosta, GA 31601

7/17/2020Leon Meeks 39868RN066436Kiser, Kenneth 44559 520 Griffin Ave Valdosta, Ga 31601

9/17/2018Asha Parikh, MD 28850RN198963Kissinger, Chelsea Lauren 16798 3 Corporate Square, Ste 130 Atlanta, GA 30329

9/13/2015Paul King, MD 36198RN203522Kitchens, Charles Earl 13613 285 Boulevard NE, Suite 415 Atlanta, ga 30312

12/31/2015Jean Sumner, MD 30225RN076916Kitchens, Layne Harvey 11000 2257 West Elm St., Ste C Wrightsville, GA 31096

10/20/2020Earle Taylor 25298RN251574Kitchens, Jamekia 53430 510 Sparta Road, Suite A Sandersville, GA 31082

12/14/2021Adam Silberman, MD 69641RN221194Kitchens, Justin Stewart 38808 690 Courtenay Drive Atlanta, GA 30306

8/1/2017Nadine Halliburton-Foster, MD

60079RN221194Kitchens, Justin Stewart 20223 2575 Peachtree Parkway Cumming, GA 30041

9/16/2015James Barlow, MD 30717RN203522Kitchens, Charles 15962 235 Peachtree St NE North Tower, Ste 2100 Atlanta, GA 303

4/1/2021Tracy Barefield 41717RN216142Kitchens, Kyla 50653 105 E Hugh Street, Suite B N Augusta, SC 29841

1/1/2022Olugbenga A. Awe, MD 48329RN022690Kitchings, Martha Helen Branne 1647 PO Box 52 Hinesville, GA 31310

9/21/2012Badea, Calin MD 55918RN022690Kitchings, Martha 10059 303 Fraser Drive Hinesville, GA 31313

8/26/2011Lewis Litwack, MD 61981RN022690Kitchings, Martha Helen Branne 9370 PO Box 554 Ludowici, GA 31316

3/11/2009Joseph Bishop, MD 10372RN120499Kitson, Judy Diane 8504 100 Peters Street, Suite 38 Calhoun, GA 30701

2/3/2010Christopher Stevens, MD 54515RN133502Kiwanuka, Sarah Cissy 7816 181 South Clayton St SW Lawrenceville, GA 30045

4/29/2019Joshua McCarthy, MD 71782RN207051Klein, Heather Aileen 39046 3919 Main St. Folkston, GA 31537

1/8/2021Jonathan Levy 62386RN222955Kless, Laura 49489 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

3/6/2020Vincent Ho 44488RN222955Kless, Laura 47360 3225 Shallow Ford Rd., Suite 1300 Marietta, GA 30062

6/9/2015Opeoluwa Akinnusi, MD 64802RN222955Kless, Laura Elizabeth 13443 2617 Sandy Plains Rd, Ste C Marietta, GA 30066

Monday, August 1, 2022 Page 239 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2022Sonali Bora 63174RN222955Kless, Laura 57304 3333 Old Milton Parkway, Suite 160 Alpharetta, GA 30005

12/21/2012Winston R. Jeshuian, MD 59432RN110772Kline, Gail 11261 3708 Northside Drive Macon, GA 31210

6/17/2016Eric Lincoln, DO 67343RN110772Kline, Gail Ann Mullin 12018 840 Pine St, Suite 500 Macon, GA 31201

8/28/2020John W.Mix, MD 55271RN110772Kline, Gail Ann Mullin 18773 575 First St. Macon, GA 31201

12/20/2021Peter Strauss 60999RN257528Klingman, Emily 53212 3745 Cherokee Street, Suite 401 Kennesaw, GA 30144

9/10/2020Melinda Williams-Willingham

45669RN257528Klingman, Emily 51021 4112 E. Ponce De Leon Avenue Clarkston, GA 30021

7/1/2019Daniel Valancius 72151RN252641Klinkhammer, Angela Payne 39357 304 Turner McCall Blvd Rome, GA 30165

4/21/2016Edward A. Minor, MD 45095RN252641Klinkhammer, Angela Payne 17053 2100 Comer Ave. Columbus, GA 31904

12/5/2015Teresa Cone, MD 68134RN252641Klinkhammer, Angela 16727 2100 Comer Ave. Columbus, GA 31904

1/21/2013Valens Plummer, MD 49496RN094587Klug, Cheryl Ann 1650 2945 Panola Rd Lithonia, GA 30038

5/25/2020Raymond Easley 20987RN223941Knapp, Meghan 50668 1550 Janmar Road, Suite B Snellville, GA 30078

12/31/2019Daniel Daugherty 75441RN223941Knapp, Meghan 44973 1550 Janmar Rd., Ste. B Snellville, Ga 30078

3/12/2016Kevin Washington, MD 62629RN166274Knee, Laura Kay 17247 1170 Cleveland Ave East Point, GA 30344

5/7/2018Raymond Easley, DO 20987RN166274Knee, Laura Kay 17824 11040 Crabapple Rd. ste. A Roswell, GA 30175

3/12/2016Todd Albinger, MD 33509RN166274Knee, Laura Kay 12541 5665 Peachtree Dunwoody Rd NE, Emer Dept Atlanta, GA 3

8/23/2014Kenneth M Rice, MD 47251RN166274Knee, Laura Kay 12812 2021 Marketplace Blvd Cumming, GA 30041

3/12/2016Snehal Dalal, MD 57297RN166274Knee, Laura Kay 9132 5955 State Bridge Rd, Suite 200 Johns Creek, GA 30097

11/20/2013Atallah, Hany MD 52678RN166274Knee, Laura 10070 49 Jesse Hill Jr Drive SE Atlanta, GA 30303

10/10/2013Coleman, John MD 48498RN214988Knight, Jacquelyn 10131 1720 Peachtree Rd, Ste 200 Atlanta, GA 30309

12/6/2021Laura Moore 43094RN197895Knight, Nicole 58889 100 Line Creek Parkway Peachtree City, GA 30269

10/1/2021Debora Johnson 43071RN197895Knight, Nicole 48310 52 Perry Street Newnan, GA 30263

3/9/2015Praneen Reddy, MD 56471RN214988Knight, Jacquelyne M. 11338 1000 Johnson Ferry Rd., Main Radiology Atlanta, GA 30342

9/1/2012Nowlin, Phillip MD 36588RN214988Knight, Jacquelyn 10531 491 E. Main Street Cartersville, GA 30121

5/26/2021Mark McCracken, MD 55863RN141779Knight, Trisia N. 17827 1499 Fair Rd. Statesboro, GA 30458

5/16/2016Rani Reddy, MD 34450RN141779Knight, Tristia 14849 106 Briarwood Rd Statesboro, GA 30458

Monday, August 1, 2022 Page 240 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/31/2018Lawton Davis, MD 21669RN148737Knight, Kelly 16578 654 County Farm Rd Dublin, GA 31021

1/11/2020Craig Wolff, MD 34272RN197895Knight, Nicole Denise 21112 4 Bradley Park Court ste.3A Columbus, GA 31904

4/1/2020Dana Cason, MD 39302RN238878Knight, Kristan Baker 15372 2122 Manchester Expressway Columbus, GA 31904

9/15/2020Bradford Burgess 65223RN185128Knight, Leigh 47317 1230 Baxter Street Athens, GA 30606

7/11/2020Andre Feria, MD 48513RN150292Knight, Amanda Caldwell 39409 142 Old Mill Road LaGrange, GA 30241

7/11/2020Andre Disodado Feria, MD. 48513RN150292Knight, Amanda Caldwell 40031 142 Old Mill Road LaGrange, Ga 30274

3/29/2020Malini Reddy, MD 76926RN185128Knight, Leigh W. 39926 1061 Dowdy Rd. (Suite 101) Athens, GA 30606

7/20/2021Monique Merritt-Atkins 83772RN277201Knisely, Julie 57656 5582 Memorial Drive Stone Mountain, GA 30083

6/14/2016Samier Belagaje 64896RN101384Knott, Allison 14427 80 Jesse Hill Jr Dr S E Atlanta, GA 30303

2/15/2020Stephen Jo, MD 72039RN111915Knowles, Constance Bailey 16894 1200 Memorial Dr. Dalton, GA 30721

5/16/2014Thomas Mullen, MD 39882RN111915Knowles, Constance Bailey 11832 126 Sequoyah Trail Ringgold, GA 30736

2/15/2020Carliss Graham, MD 63782RN111915Knowles, Constance Bailey 18997 620 JL White Dr, Ste 140 Jasper, GA 30143

7/23/2019Denise A. Crawley, MD 41766RN111915Knowles, Constance Bailey 40694 4421 Carnes Street Acworth, GA 30101

11/12/2019Arthur Yancey 36909RN247159Knowles, Amanda 45916 745 Memorial Dr. Atlanta, Ga 30316

2/23/2021Chekesha Jordan 57746RN212254Knowles, Tonya 54580 1825 County Services Parkway Marietta, GA 30008

7/23/2019Eva Beaulieu, MD 66254RN212254Knowles, Tonya J. 41954 455 Nathan Dean Blvd. Dallas, GA 30132

3/30/2021Sheryl Canady, MD 50999RN247159Knowles, Amanda P 40475 3600 Dallas, Hwy SW Marietta, GA 30064

12/31/2018Altee S.Johnson, MD. 60387RN212254Knowles, Tonya J 40143 455 Nathan Dean Blvd. Dallas, Ga 30132

2/20/2013Elam, Mark MD 36147RN111915Knowles, Constance 10291 800 Professional Blvd Dalton, GA 30710

10/1/2010Victoria Green, MD 38240RN082189Knowlson, Beth Frances 5226 69 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

1/29/2010Nedra Dodds, MD 39170RN060943Knox, Sharon Paulette 1657 9020 Peridot Pkwy Stockbridge, GA 30281

2/26/2015Jan Mayfield, MD 51355RN060943Knox, Sharon Paulette 9015 49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157

8/31/2016Christopher Atkins, MD 45708RN060943Knox, Sharon Paulette 13583 1266 Hwy 15 South, Emer Dept Jasper, GA 30143

4/1/2019Hampton Groover, MD 35059RN185605Ko, Jung Yung 12105 1626 Jeurgens Court Norcross, GA 30093

4/24/2017Kevin Osgood, MD 35719RN185605Ko, Jung Yung 17232 1968 Peachtree Rd NW Atlanta, GA 30309

10/31/2014Ann Marie Stokes, MD 63963RN185605Ko, Jung Yung 14072 4356 Communications Dr. Norcross, GA 30093

Monday, August 1, 2022 Page 241 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/24/2016John Sabri Gerguis, MD 47085RN185605Ko, Jung Yung 14365 1203 Brampton Avenue Statesboro, GA 30458

9/8/2018Andy Jaffal, MD 43394RN185605Ko, Jung Yung 20677 1968 Peachtree Rd. NW Atlanta, GA 30309

5/5/2021Neil Gladstone, MD 16917RN192552Kobetich, Kimberly 16057 295 Molly Land, Ste 150 Woodstock, GA 30189

4/8/2021Crystal A Young-Wilson 49824RN195430Kobia, Sonya Hart 44273 3885 Princeton Lakes Way (Suite 306) Atlanta, GA 30331

4/6/2015Mitzi Rubin, MD 49592RN195430Kobia, Sonya Hart 12735 3939 Roswell Rd, Suite 200 Marietta, GA 30062

12/19/2018Nitasha L. Burney, MD 55931RN195430Kobia, Sonya Hart 21204 3885 Princeton Lakes Way, Ste 306 Atlanta, GA 30331

6/10/2010Barbara D'Orio, MD 33956RN055134Koblasz, Mary Bassett 8489 PO Box 26238 Atlanta, GA 30303

8/30/2021Elliot Raizes, MD 24478RN207747Kohler, Patricia Lynn 9495 3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

12/17/2021Elizabeth Killebrew, MD 29898RN233062Kohring, Kasey Elizabeth 12535 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

8/23/2021Kendall Griffith 68903RN220878Koidima, Lassina 46670 1497 Fair Rd, Suite 311 statesboro, GA 30458

5/1/2019George Myers, MD 35706RN218765Koller, Mary Jo Hermann 18102 504 Redmond Rd Rome, GA 30165

7/8/2019Michael Mullins, MD 50226RN240475Kolovich, Martina Minneci 18029 225 Candler Dr. ste. 301 Savannah, GA 31405

4/30/2018Prashant V. Mishra, MD 55281RN204145Kombe, Marie- Louise Njonjo 13139 2518 Jimmy Lee Smith Pkwy. Hiram, GA 30141

7/1/2021Raza Abbas 83818RN230966Komoto, Anna 54367 743 Spring Street Gainesville, GA 30501

7/10/2018Ahmed Elsharkawi, MD 55128RN164938Koncul, Lauren 40093 3025 Shrine Road (Suite270) Brunswick, GA 31520

1/25/2022VERA LAFOSSE DO 75308RN207256KONG, LOKHANA 39759 50 KELLY RD MCDONOUGH, GA 30253

12/31/2019Patrick Eagleson 65102RN210228Konieczka, Carl Heinz 20353 1230 Baxter St Athens, GA 30606

12/14/2020Michael Pinell 58102RN187693Konieczka, Carl 44557 600 Celebrate Life Parkway Newnan, Ga 30265

2/28/2011Elizabeth Le Duc, MD 34754RN121158Konter, Roslyn Pollard 5532 1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

2/28/2020Philip S. Weiss, MD 38398RN121158Konter, Roslyn Pollard 5534 1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

3/2/2022Hunter A. Faircloth 78030RN199709Konzelman, Travis C 43660 3651 Wheeler Road Augusta, GA 30909

5/9/2020Paul Walker, DO 46272RN218400Koo, Grace Kim 20414 1620 Bass Rd. Macon, GA 31210

3/7/2018Robert Daniels, MD 51408RN270748Kopp, Terri Lynn 40680 775 Sunset Dr Athens, GA 30606

1/15/2021Christopher Richards 58316RN222346Kopsick, Christina 52427 774 GA Hwy 96 Bonaire, GA 31005

12/26/2008Gena Volas-Redd, MD 45356RN084872Koran, Ola Beth 7729 340 Kennestone Hosp Blvd, Ste 100 Marietta, GA 30060

7/1/2020Brian Adams 70842RN223834Korf, Ali 49453 3161 Howell Mill Road, NW, Suite 400 Atlanta, GA 30327

Monday, August 1, 2022 Page 242 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/1/2013Ashok Kancharla, MD 48250RN218154Kotal-Lee, Randi Bliss 12011 138 West Gibson St Hartwell, GA 30643

6/17/2016Richard Hansen, MD 24152RN243166Kotti, Michelle Marie 15110 1100 Johnson Ferry Rd, Ste 460 Bld. 2 Atlanta, GA 30342

4/30/2018Timothy L. Shelton, MD 59870RN263753Kourehpazan, Hengameh 39885 557 Riverstone Pkwy Canton, Ga 30114

7/3/2017Rukhsana Ahmad, MD 55330RN115590Kovachi, Sandra Ponkey 17751 1902 Macy Dr. Roswell, GA 30076

5/5/2008Donna Fearing, MD 29447RN144368Koval, Barbara Kay 8150 120 Stonebridge Pkwy, Suite 410 Woodstock, GA 30189

6/21/2015David Weinkle, MD 38645RN144368Koval, Barbara Kay 1093 PO Box 422002 Atlanta, GA 30342

5/17/2017Hyunmi Kim, MD 56119RN228524Kovitch, Eliana 15447 1605 Chantilly Dr NE, Ste 300 Atlanta, GA 30324

8/1/2021Anna Tanner 47669RN228524Kovitch, Eliana 55394 41 Perimeter Center East, Suite 250 Dunwoody, GA 30346

10/8/2021Lucas Golub 74186RN262125Kpannah, Paulette 57309 1155 Perimeter Ctr West Atlanta, GA 30338

12/16/2019Peter Rosenquist 68296RN228308Krawczyk, Whitney 44856 5470 Meridian Mark Rd. Bldg E Atlanta, Ga 30342

11/4/2020John Cheng 53117RN228297Kress, Leah Nicole McCullough 44310 1001 Johnson Ferry Road Atlanta, GA 30342

5/11/2012Kimford Meador, MD 18705RN125419Kress, Karen Myers 9354 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

9/2/2010Frank Brown, MD 31212RN125419Kress, Karen Myers 8480 1821 Clifton Rd NE Atlanta, GA 30329

8/30/2012Meena Shah, MD 21464RN155956Kripalani, Dimple Lilian 9594 475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

2/6/2020Carroll G. Odem, MD 51171RN188955Krndzija, Dzeneta 42891 2050 Cumming Hwy, (Suite 100) Canton, GA 30115

5/18/2020Marlene Zetzer, MD 33236RN106135Kroll, Sherri Cofield 12659 121 Burgess Rd Brunswick, GA 31520

9/23/2021William Shivers, MD 30214RN106135Kroll, Sherri 16247 121 Burgess Rd Brunswick, GA 31523

7/12/2015David Faulk, MD 39787RN106135Kroll, Sherri Cofield 1671 121 Burgess St Brunswick, GA 31525

10/18/2021Andrew Malinchak 44012RN289987Krop, Jessica 59625 3201 Macon Road, Suite 109 Columbus, GA 31906

7/2/2019Stephen Fleming, MD 63325RN232335Krummel, Nicole 43767 745 South Milletge Ave Suite 1A Athens, GA 30605

7/1/2019 Piyush Patel, MD 53357RN232335Krummel, Nicole 21363 5965 Parkway N Blvd Cumming, GA 30040

12/24/2021Ezad Ahmad 38162RN293153Krumrie, Rachel 51081 1411 Chattanooga Avenue, Suite 101 Dalton, GA 30720

7/18/2013Cantrell, David MD 32883RN134121Kruszka, Kathryn 10235 1407 Cobb Parkway North Marietta, GA 30062

2/3/2018Mary Wiles, MD 19625RN272532Krutke, Amanda 39361 374 Pat Haralson Dr. Blairsville, GA 30512

11/15/2015Eugene Paul, MD 60305RN232921Kubay, Jacquelynn Marie 14418 176 Lyons St Jackson, GA 30233

3/6/2017James Greene, MD 29657RN198383Kuchta, Kelly Marie 18957 1111 Glynco Parkway Bldg.1 ste. 10 Brunswick, GA 31525

Monday, August 1, 2022 Page 243 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/24/2015Dawn Wilson, MD 47279RN107885Kuebler, Kim Kathleen 14593 245 Peachtree Industrial Blvd, Ste 100 Sugar Hill, GA 30518

3/1/2018Marti Gibbs, MD 49294RN127164Kuhn, Jessica Nicole DeMarco 16927 4222 Fairbanks Dr, Oakwood, GA 30566

9/10/2013Walter Metcalfe, MD 58544RN127164Kuhn, Jessica Nicole De Marco 12093 Take Care Clinic, 2779 N Cobb Pkwy Kennesaw, GA 30152

3/4/2015Pamella Charles-Pryce, MD 58155RN127164Kuhn, Jessica Nicole DeMarco 12502 2779 N Cobb Pkwy Kennesaw, GA 30152

4/23/2018Micheal J. Mullberry, MD 50725RN127164Kuhn, Jessica Nicole 39889 2435 Old Cornelia Highway Gainesville, Ga 30507

3/27/2018EILEEN JAVELLANA MD 45841RN127164KUHN, JESSICA NICOLE 39799 725 JESSE JEWELL PKWY SE GAINESVILLE, GA 30501-3834

7/18/2019Douglas R. White, MD 29557RN239476Kukharchuk, Olga 43235 6000 Hillandale Dr., (Suite #115) Lithonia, GA 30058

3/1/2016Anu Murthy, MD 54867RN125915Kulkin, Charlotte Virginia Conan 10976 2255 Cumberland Pkwy, Suite 1400 Atlanta, GA 30339

8/5/2009Madhu Vishwanath, MD 56499RN125915Kulkin, Charlotte Virginia Conan 8690 7530 Roswell Rd Atlanta, GA 30350

10/31/2018Barry Jones, MD 12495RN232335Kummel, Nicole J 39359 5965 Parkway North Blvd (Suite C) Cumming, GA 30040

3/6/2019Dillon Miller, MD 67508RN206803Kunkel, Judith Ann 11851 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

4/12/2022Allison Ventura 49953RN210894Kurian, Jeena 60408 696 Grayson Hwy Lawrenceville, GA 30046

8/1/2007Ricardo R. Riesco, MD 44069RN075453Kurtz, Laura Leigh Alsbury 1680 711 Shields Road Dalton, GA 30720

10/30/2009Rayna Jobe, MD 60386RN075453Kurtz, Laura Leigh Alsbury 8360 805 Sandy Plains Road Marietta, GA 30066

5/2/2008Miles Graivier, MD 34602RN075453Kurtz, Laura Leigh 8074 1295 Hembree Road, Bldg B Suite 100 Roswell, GA 30076

2/25/2012Dourron, Robert MD 48617RN131245Kushner, Lauren 10073 2675 N. Decatur Rd, Ste 301 Decatur, GA 30033

5/31/2011Neale Freeman, MD 40065RN131245Kushner, Lauren M 1681 1046 Ridge Avenue SW Atlanta, GA 30315

12/10/2020Christopher Haberman, MD 59653RN215848Kvalheim, Krystle Danille 38801 4700 Waters Avenue, Suite A Savannah, GA 31404

5/5/2020John Richmond, MD 26018RN205729Kwee, Mary Analeigh 17425 2705 Airport Rd. Dalton, GA 30721

2/25/2019Cheryl L. Reinhardt, MD 60316RN205729Kwee, Mary A. 17585 2659 Abutment Rd. Dalton, GA 30720

12/31/2019Lisa Griggs 56715RN205729Kwee, Mary 45539 2659 Abutement Rd. Dalton, Ga 30721

2/5/2020Tam Nguyen 75739RN205729Kwee, Mary 48127 2659 Abutment Road Dalton, GA 30721

7/1/2021MARK LAFFERY MD 35676RN215187KYTE, LINDSEY 39363 225 SMITHVILLE CHURCH RD SUITE 1100 WARNER ROBIN, G

6/29/2018Robert Price, MD 31307RN272205Kyzar, Hannah King 40496 3624 J Dewey Gray Circle (Suite 301) Augusta, GA 30909

9/27/2019Sheng Y Wang, MD 59974RN272205Kyzar, Hannah K 42352 3121 Peach Orchard Rd Augusta, GA 30906

6/1/2018Micheal Roberts, MD 26367RN211085Kyzer, Fraulein 21364 2249 Vinson Hwy 68, Suite D-124 Milldlegeville, GA 31061

Monday, August 1, 2022 Page 244 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2011Ram Reddy, MD 24178RN106756La Count, Sharon Lynn Ragsdale 1683 132 Franklin Springs Street Royston, GA 30662

5/1/2017William Jacobsen, MD 72061RN101462LaBella, Virginia Calhoun 18331 1412 Milstead Ave. Conyers, GA 30012

1/31/2021Girum Mekonnen 72035RN123691Labrador, Babs 45653 1301 Sigman Road NE Building A Suite 200 Conyers, GA 300

5/21/2015Walter Mashman, MD 32956RN123691Labrador, Babs Rene 8134 275 Collier Road NW, Suite 300 Atlatna, GA 30309

8/7/2020Calvin Jackson 31265RN148963Labrew, Blondenia 43379 2123 Wrightsboro Road Augusta, GA 30904

8/7/2020Willie Mae Deas 34328RN148963Labrew, Blondenia 43380 2123 Wrightsboro Road Augusta, GA 30904

10/25/2021Kent Cohen 30981RN162306Lacey, Regina 46690 4305 South Lee Street Buford, GA 30518

2/24/2019Romeo Massoud, MD 49990RN162306Lacey, Regina 20189 1000 Medical Center Blvd. Lawrenceville, GA 30046

1/4/2012Jatinder Bhatia, MD 18784RN182787Lacey, Mary Esther 1685 1120 15th Street, BIW-6033 Augusta, GA 30912

11/1/2019SREEROOP SEN MD 41667RN162689LACK, AMANDA 40200 77 W GIBSON STREET HARTWELL, GA 30643

5/22/2017Johnson, Miles MD 38817RN114591LaCoste, Kathalina 10817 3001 S. Cobb Drive, Ste 103 Smyrna, GA 30080

12/7/2021Mark Griffiths, MD 67223RN191439Lacy, Melanie 21073 1645 Tullie Circle Atlanta, GA 30329

5/1/2016Joshua Vova, MD 60484RN191439Lacy, Melanie Ann 16594 1001 Johnson Ferry Rd Atlanta, GA 30342

12/31/2019Van Millin, MD 66530RN230464Ladd, Benjamin Thomas 19919 303 Smith Street Lagrange, GA 30240

8/20/2020Tamara Lewis 63710RN230464Ladd, Benjamin 43501 3000 Shakerag Hill Peachtree Hill, GA 30269

5/30/2022Kenneth Horlander 46128RN230464Ladd, Benjamin 43144 303 Smith Street LaGrange, GA 30240

4/28/2021Darren Shoyer 52831RN230464Ladd, Benjamin 53554 3000 Shakerag Hill Peachtree, ST 30269

12/31/2018Ronald Beebe, MD 30006RN170012Ladewig, Michelle Marie 18588 725 Jesse Jewell Pkwy SE Gainesville, GA 30501

3/6/2015Angela Gerguis, MD 52922RN192197Ladson, Catherine Dorsey 13285 621 East First St, Suite B Vidalia, GA 30475

4/30/2014Harden, Charles MD 44930RN192197Ladson, Catherine 10468 621 East First St, Suite B Vidalia, GA 30474

9/15/2011Laurie Tharpe, MD 36303RN192197Ladson, Catherine Dorsey 8765 330 Hospital Dr, Suite 304 Macon, GA 31217

11/17/2017Altee Johnson, MD 60387RN152769Lagarde, Nina 15562 101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

11/22/2020Marc Harrigan 56719RN157269Lagarde, Nina 55191 2920 Pharr Ct South NW Atlanta, GA 30305

7/31/2018Erin D. London, MD 45440RN152769Lagarde, Nina Sheria 40027 101 Yorktown Drive (Suite 110) Fayetteville, GA 30214

7/9/2020Erin Davis London, MD 45440RN152769Lagarde, Nina Sheria 40055 101 Yorktown Drive (Suite110) Fayetteville, GA 30214

5/29/2021Chrisotpher C Smith 20820RN233625Laing, Erica 47776 605 N. Westover Blvd Albany, GA 31707

Monday, August 1, 2022 Page 245 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/21/2017Roy Reardon, MD 42402RN127193Laing, Denise Cloud 9221 208 North Cuthbert Street Colquitt, GA 39837

2/17/2020Garrett Bennett, MD 51784RN127193Laing, Denise Cloud 19207 103 R.E. Jennings Ave., SE Arlington, GA 39813

7/31/2010Quinton Weldon, MD 56786RN127193Laing, Denise Cloud 8300 PO Box 544 Americus, GA 31709

7/25/2008Timothy Thomson, MD 46526RN127193Laing, Denise Cloud 1686 951 South Broad Street Thomasville, GA 31792

4/1/2013Durocher, Steven MD 56051RN127193Laing, Denise 10323 2000 Palmyra Road Albany, GA 31707

4/1/2015Brett Murphy-Dawson 54080RN207007Lajiness-Polosky, Danine 11089 2100 Comer Ave. Columbus, GA 31904

11/15/2020Paul Johnson, MD 46132RN213402Lake, Dorothy Nicole 19260 1001 Johnson ferry Rd. NE Atlanta, GA 30342

11/10/2016Abigail Kamishlian, MD 44580RN213402Lake, Dorothy Nicole 17177 1561 S Hwy 27, Ste B6 and B7 Carrollton, GA 30117

1/20/2012Nimisha Trivedi, MD 53715RN117444Lake-Thomas, Jacinta 1687 3778 Hwy 42 Locust Grove, GA 30248

11/3/2020Eric Mininberg 52790RN284256Lalani, Benish 45014 1800 Howell Mill RD Suite 800 Atlanta, GA 30318

8/28/2020Megan Bowles 68486RN215993Lam, Jade 44172 3215 Campus Loop Road Kennesaw, GA 30144

6/3/2018Omari Hodge, MD 70459RN215993Lam, Jade Tiffany 18390 3215 Campus Loop Rd. Kennesaw, GA 30144

5/1/2016Tong Huynh, MD 20172RN215993Lam, Jade Tiffany 15758 4775 Jimmy Carter Blvd, Ste 201 Norcross, GA 30093

1/15/2022Jose Justiniano-Ayala 46773RN209506Lamb, Shalane 53042 205 Jenkins Road Rossville, GA 30741

2/26/2021Sofia Zaman 65324RN125187Lamb, Sheryl 53526 1155 Perimeter Ctr West 11th floor Atlanta, GA 30338

6/19/2020Drisde Cruz Martinez 75044RN248065Lamb, Emily 47209 506-C Spaulding Rd SuiteB Montezuma, GA 31063

10/24/2019Edward Chen, MD 48884RN173739Lambeth, Shannon Tomlinson 9197 1365 Clifton Rd, A-2232 Atlanta, GA 30322

9/18/2020Paul Johnson 75306RN253543Lamm, Michelle 47151 242 King Avenue Suite 210 Athens, `GA 30606

12/5/2019Alan Miller 44022RN198232Lampkin, Anndrea 46118 801 W. Gordon St Thomaston, GA 30286

9/10/2018Michele Mitchell, MD 71254RN198232Lampkin, Anndrea Marie 20819 4795 Riverside Dr. Macon, GA 31210

7/1/2016Arun Singh, MD 71879RN198232Lampkin, Anndrea Marie 17032 5555 Whittlesey Blvd, Ste L-1 Columbus, GA 31909

6/1/2015Christopher Scott, MD 57015RN131631Lancaster, Michael T 12639 1707 Meadows Lane Vidalia, GA 30474

5/31/2018Georgia Theriot, MD 42539RN119030Lancaster, Sabrina M 13818 503 West Gordon St. Thomaston, GA 30286

8/14/2019Fred Fritzsche 48045RN274746Lancaster, Kaylan 42874 14949 U.S. Hwy 19 South Suite B Thomasville, GA 31792

5/29/2020Renee Renfus 44650RN281709Lancaster, Frances 43560 3685 Lawrenceville Highway Suite 100 Lawrenceville, GA 30

10/28/2021Jonathan Williams 59237RN281899Lancaster, Robert 43608 116 W Thigpen Ave Lakeland, GA 31635

Monday, August 1, 2022 Page 246 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/2/2016Michael Obenshain, MD 36839RN234409Lance, Jeffrey Lynwood 16533 4000 Shakerag Hill, Suite 301 Peachtree City, GA 30269

5/13/2016Ortelio Bosch, MD 51119RN170492Landing, Stephanie Rachel 13194 7450 Skidaway Rd Savannah, GA 31406

6/18/2012Carter, Cynthia MD 56534RN170492Landing, Stephanie 10450 1050 Carl Griffin Drive Savannah, GA 31405

10/18/2013Charles M. Pugh, Jr., MD 19089RN170492Landing, Stephanie R. 11520 1050 Carl Griffin Dr. Savannah, GA 31405

7/15/2013Joe Bruce Carr, MD 16889RN109950Landrum, Bobby Gene 8088 2122 Manchester Expressway Columbus, GA 31904

1/29/2016Saeed Zafar, Md 45370RN109950Landrum, Bobby Gene 14041 2032 Wynnton Rd., SteA Columbus, GA 31906

5/3/2014Billy Greening, MD 42585RN164310Landrum, Frances Marie 9521 7285 Hwy 16, Suite C Senoia, GA 30276

8/5/2015John Corbin, MD 34800RN109950Landrum, Bobby Gene 12136 2122 Manchester Expy, Emer Dept Columbus, GA 31904

6/24/2016Charles Hitson, MD 26554RN164310Landrum, Frances Marie 13593 231 Graefe St Griffin, GA 30223

8/5/2015Kevin King, MD 56310RN109950Landrum, Bobby Gene 11839 2122 Manchester Expressway Columbus, GA 31904

8/19/2021Lakshmanan Krishnamurti, MD

71385RN195729RN195729

Landry, Kelly Anne 15185 1405 Clifton Rd NE, Ste 4th floor Atlanta, GA 30322

9/22/2009Patrick Railey, MD 43114RN163766Lane, Teresa Kay 7926 3345 E. Hwy 34, Suite 101 Sharpsburg, GA 30277

6/11/2014Mark Ellison, MD 26107RN194082Lane, Kristen Goodin 13013 1500 Oglethorpe Ave, Suite 200-C Athens, GA 30606

2/10/2020Lawrence Raccoppa 69940RN164918Lane, Brandi 43609 3120 North Oak St Extension Suite C Valdosta, GA 31602

1/23/2020Jaymal Patel, MD 50984RN164918Lane, Brandi 40771 3120 North Oak Street Extension Suite C Valdosta, GA 31602

5/15/2017Reemon Bishara, MD 63759RN074324Lane, Teresa Parham 18844 1915 Eisenhower Dr. Savannah, GA 31406

1/24/2020James Harrell, MD 26782RN164918Lane, Brandi Cecile Joiner 41102 3120 North Oak Street Extension (Suite C) Valdosta, GA 316

4/14/2015Todd Antin, MD 36495RN074324Lane, Teresa Elaine 11325 465 Winn Way, #221 Decatur, GA 30030

4/15/2022Margaret White 36482RN145860Lane, Karen 58632 1626 Jeurgens Court Norcross, GA 30093

12/12/2008Nitasha Burney, MD 55931RN141537Lane, Felecia Charelle 8396 9465 Hwy 5 Douglasville, GA 30135

10/2/2014Ann Eggert, MD 28972RN163766Lane, Teresa Kay 8986 12 Eastbrook Bend Peachtree City, GA 30269

8/27/2013Lutz, Jerre MD 15711RN170212Langdon, Kristan 10818 1365 Clifton Rd NE, Ste A2208 Atlanta, GA 30322

7/22/2016Leigh Barrell, MD #####RN196057Lange, Christie 16134 1608 Martha Berry Blvd Rome, GA 30165

11/1/2018Douglas K Laipple, MD 21410RN214390Langira, Germaine M 40916 2900 Chamblee Tucker Rd Atlanta, GA 30341

2/23/2021Dongtin Yoon 63054RN214390Langira, Germaine 52284 4608 Jimmy Carter Blvd Suite 7 Norcross, GA 30039

Monday, August 1, 2022 Page 247 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/10/2019John Range 21274RN222546Langley, Alicia 44718 4222 Fairbanks Oakwood, GA 30566

8/1/2018William McGarity, MD 21747RN204248Langley, Hannah Ruth Davis 19363 5243 snapfinger Woods Dr, Ste 103 Decatur, GA 30035

6/30/2019Bola Sogade, MD 47875RN229672Langston, Lydia Michelle 12180 639 Hemlock St, Suite 101 Macon, GA 31201

10/2/2015Eric Powell, MD 49081RN159370Lanier, Courtenay Renae 14152 586 Brannen St Stateboro, GA 30458

9/26/2014Angela Gerguis, MD 47261RN159370Lanier, Courtenay Renae 12756 586 Brannen St Statesboro, GA 30458

4/1/2016David Nussbaum, MD 67697RN159370Lanier, Courtenay 16568 586 Brannen St Statesboro, GA 30458

7/13/2021Bruce Ramsdell 18722RN280117Lanier, Sarah 44322 2941 Piedmont Rd NE Ste B Atlanta, GA 30305

10/24/2020Floyd Soriano, MD 54941RN231860Lanier, Adrienne 41000 34 NW Broad Street Metter, GA 30439

2/14/2019Geetha Manchereddy 50585RN280117Lanier, Sarah 42692 2950 Stone Hogan Zonn Rd Atlanta, GA 30331

10/7/2021RN098343Lanier, Wendy 58983

9/1/2009Frank Steele, Jr., MD 29378RN159370Lanier, Courtenay Renae 1700 50 Kelly Rd McDonough, GA 30253

5/2/2020Gustavo Pradilla 70411RN249825Lanier, Katherine 46716 80 Jesse Hill Jr. Drive, SE Atlanta, GA 30303

2/15/2021Donald Maddox 41458RN176566Lantaff, Tracy 47947 1412 Milstead Avenue NE Conyers, GA 30012

10/18/2021Arvind Chakravarthy 68991RN176566Lantaff, Tracy 57591 45 N Highland Ave Atlanta, GA 30307

1/1/2020Marc G. Amaya, MD 47181RN176566Lantaff, Tracy M. 41130 8954 Hospital Drive Douglasville, GA 30134

12/21/2021Matthew R. Astin, MD 66248RN176566Lantaff, Tracy M. 17587 11 Upper Riverdale Rd. SW Riverdale, GA 30274

4/30/2021Peter Wrobel 40285RN176566Lantaff, Tracy 45920 1718 Reynolds St Waycross, Ga 31501

11/19/2007Vicki Morgan, MD 25645RN156557Lao, Cindy Wei-Hsin 1703 980 Hwy 29 South Lawrenceville, GA 30045

8/20/2019Irandathy Rodrigo 42715RN273859LaPlace, Lorraine Laura 40120 2522 Cruse Road (Suite C-2) Lawrenceville, GA 30044

11/2/2020Maa-Ohui Quarmyne, MD 67730RN194084LaPorte, Kelci Jane 42393 5461 Meridian Mark Road Atlanta, GA 30342

11/2/2020Ann Drayton 49512RN234910Largo, Heather 45374 1670 Scott Blvd Decatur, GA 30033

8/5/2020Thuy Bul 49276RN155491Larisch, Sandra 49074 1001 Johnson Ferry Rd Atlanta, GA 30342

9/3/2021Heywood Gay 38768RN204643Lascuna, Paul 48754 215 Mims Road Sylvania, GA 30467

9/23/2020Deborah L. Flack, MD. 37804RN204643Lascuna, Paul Jon 40317 215 Mims Road Sylvania, GA 30467

7/29/2016Thinh Nguyen, MD 62402RN204643Lascuna, Paul J. 17588 1891 Howell Mill Rd., NW, #A Atlanta, GA 30318

12/9/2019James Dunne, MD 72206RN204643Lascuna, Paul Jon 21074 4700 Waters Avenue Savannah, GA 31404

Monday, August 1, 2022 Page 248 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/13/2013Cynthia Giles, DO 48778RN173610Lashley, Glenna Willis 9346 555 Bluebird Blvd Ft Valley, GA 31030

3/30/2015Anuj Chandra, MD 41753RN173610Lashley, Glenna Willis 13707 111 Pine St Trenton, GA 30752

4/6/2021Kyle Jones 74021RN203020Lashley, Steven 45921 One Meadows Parkway Vidalia, Ga 30474

3/9/2021Hoyt Gazaway Jr. 35421RN289413Lassiter, Shannon 53886 11705 Jones Bridle Rd Suite D101 Johns Creek, GA 30005

11/12/2018Davin Mitchell 63786RN180512Lassiter-Stephens, Michelle 41776 1075 Lafayette Pkwy Suite 100 Lagrange, GA 30241

5/29/2015Cecil Bennett, MD 48844RN180512Lassiter-Stephens, Michelle 15114 440 Prime Point Peachtree City, GA 30269

12/1/2017Christopher Sitler, DO 67794RN180512Lassiter-Stephens, Michelle 16616 1255 Hwy 54 West Fayetteville, GA 30214

8/2/2019Paul D. Wentland, MD 74929RN207710Latham, Amy Dawn 19642 14 Fort Town Drive Ft. Oglethorpe, GA 30742

6/10/2015Ronald Pirtle, MD 13784RN184089Lathrop, Breanna 15366 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/21/2014Ronald Pirtle, MD 13784RN184089Lathrop, Breanna Lynn 9174 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

3/4/2015David Derrer, MD 54181RN184089Lathrop, Breanna Lynn 14008 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/31/2020Shahriar Sedghi 37678RN112839Lathrop, Barbara 46695 610 3rd Street Suite 101 Macon, GA 31201

10/2/2021Joshua Perkel, MD 56343RN112839Lathrop, Barbara Lynn Wells 8412 1062 Forsyth Street, Suite 2A Macon, GA 31201-8639

6/15/2018Jay Floyd, MD 73914RN203218Lattany, Tiffany Mashalle 20197 2211 Bartow Street Brunswick, GA 31520

10/20/2020Jeffrey Davenport 63574RN102042Lattimore, Willie 42653 1900 Tebeau St. Waycross, GA 31501

1/31/2014Raymond Gutierrez, MD 57983RN102042Lattimore, Willie Lee 9284 417 W. 3rd Avenue Albany, GA 31701

7/31/2013Matthews, Barbara MD 46169RN102042Lattimore, Willie 10325 2000 North Monroe Street Albany, GA 31701

5/1/2022Victor Alvarez 53971RN291455Lavache, Kateline 53396 1230 Peachtree St NE, 19TH Floor Atlanta, GA 30309

8/1/2014Xavier Moore, MD 55619RN214862Lavallo, Joseph 12027 1133 Eagles Landing Pkwy Stockbridge, GA 30281

4/1/2017Ganiat Ajayi, MD 47776RN224963Law, Latonya Patrice 17833 311 Gwinett Drive Lawrenceville, GA 30046

5/17/2013Saraju Dalsania, MD 45196RN073174Law, Patricia Velda Lee 1710 1601 Fair Road, Suite 700 Statesboro, GA 30458

10/18/2021Arvin Chakravarthy 68991RN224963Law, Latonya 57904 45 N Highland Ave Atlanta, GA 30307

7/22/2020Marc Harrigan 56719RN134018Lawerence, James 48740 2920 Pharr Ct S Northwest Atlanta, GA 30305

12/31/2009Dipesh Patel, MD 53512RN134018Lawrence, James Fletcher 1712 3780 Eisenhower Pkwy Macon, GA 31206

6/13/2019John Gerguis, MD 47085RN161643Lawrence, Jerlene 21075 173 West Savannah Street Clayton, GA 30525

12/28/2016Stephen Lasher Jr., MD 75698RN134018Lawrence, James Fletcher 19204 925B Peachtree St. NE, Ste 830 Atlanta, GA 30309

Monday, August 1, 2022 Page 249 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2014John Ogundipe, MD 39193RN134018Lawrence, James Fletcher 11891 1500 S Johnson Ferry Rd NE Atlanta, GA 30319

4/7/2017Donald Fordham, MD 44718RN161643Lawrence, Jerlene 14952 865 Austin Dr Demorest, GA 30535

9/28/2018Usama Kanaan, MD 60648RN216297Lawrence, Patricia R 15033 1405 Clifton Rd NE Atlanta, GA 30322

12/1/2014James Peterzell, DO 53868RN134018Lawrence, James Fletcher 13914 200 Galleria Pkwy ste100 Atlanta, GA 30339

3/16/2011James Sexson, MD 38362RN134018Lawrence, James Fletcher 9040 1810 Mulkey Rd, Suite 200 Austell, GA 30106

5/27/2020Ram Puri 21573RN231729Lawrence, Nichole 43007 1209 Columbia Dr Milledgeville, GA 31061

4/1/2018Eddie Richardson, MD 52047RN134018Lawrence, James Fletcher 20276 114 Harmony Crossing ste. 1 Eatonton, GA 31024

1/5/2017Syed Rizvi, MD 44073RN181936Lawrence-Aris, Alisha Charisse 18271 5454 Yorktown Dr. Atlanta, GA 30349

5/24/2019Sabin Tomus, MD 45994RN192522Lawson, Leslie E. 16721 455 S. Mailn St. Hinesville, GA 31313-4354

9/17/2015Bobbie Kumar, MD 68197RN192522Lawson, Leslie Elizabeth Johnso 13655 11935 Abercorn St Savannah, GA 31419

9/17/2015Adrienne Fabrizio, MD 50365RN192522Lawson, Leslie Elizabeth Johnso 13657 300 Bull St, Ste 102 Savannah, GA 31401

9/17/2015Marilyn Lavallee, MD 53263RN192522Lawson, Leslie Elizabeth Johnso 13658 1001 Memorial Lane Savannah, GA 31410

7/11/2016Erick Bournigal, MD 33280RN146311Lawson, Donna 15646 3025 Shrine Rd, Ste 280 Brunswick, GA 31520

10/18/2021Rita Livingston, MD 63494RN192522Lawson, Leslie Elizabeth Johnso 12675 109 Minus Ave, Suite C-10 Garden City, GA 31408

12/12/2020William Lahouse 35283RN241654Lawson, Tiara 47079 1942 North Ave Columbus, GA 31901

7/7/2020Marti Gibbs 49294RN194562Lawson, Neda 47178 4222 Fairbanks Drive Oakwood, GA 30566-2811

9/13/2014Walter Scott, Jr, MD 59190RN146311Lawson, Donna Naomi 8202 2500 Starling Street, Suite 306 Brunswick, GA 31520

11/13/2008William Hammond, MD 19166RN141266Lawson, Kristie LaShawn 8078 200 Perry House Road Fitzgerald, GA 31750

7/1/2016Cecil Sharp, MD 27662RN141032Layfield, Nicole K. 9726 1350 Walton Way, NICU Augusta, GA 30901

9/1/2021John Lloyd 28434RN203400Layson, Rachel 54184 2331 Weaver Road Macon, GA 31217

6/29/2020Alan Brown 57782RN203400Layson, Rachel 46696 817 Griffin Ave Eastman, GA 31023

7/1/2019John Henry Lloyd, MD. 28434RN203400Layson, Rachel Ann 39779 5012 Bristol Hwy. Buford, GA 30518

7/25/2014Hemachandra Gunawardhana, MD

63341RN124271Lazzari, Taren S. 11352 250 Constitution Blvd, Ste 203 Lawrenceville, GA 30046

6/20/2021Christa Springston 73837RN259830Le, Glenda 56929 3540 North Cobb Pkwy Acworth, GA 30101

2/6/2020Harell Lightfoot 76489RN212448Le, Stacy 47564 61 Whitcher St Suite 4100 Marietta, GA 30060

Monday, August 1, 2022 Page 250 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/29/2015Jason Beland, MD 55920RN195450Leak, Xaviera Jonee 12974 600 Parkway North Newnan, GA 30265

8/10/2019Navreet Sidhu, MD 75142RN278079Lear, Margaret Elizabeth 40528 1400 Tullie Rd. (Suite 420) Atlanta, GA 30329

10/17/2020William Little 24288RN064892Learmont, Beaverly 54026 104 Moore Street Oxford, GA 30054

8/8/2018Sarita Prasad, MD 73372RN064892Learmont, Beverly Ann Dinkins 20035 1480 Hwy. 27 S. Carrollton, GA 30117

8/29/2020Wendy Wright, MD 52658RN064892Learmont, Beverly Ann Dinkins 8827 6550 Roswell Road Sandy Springs, GA 30328

8/29/2020Alvin Cheatham, MD 22732RN064892Learmont, Beverly Ann Dinkins 8597 6000 N. Termonal Pkwy, Suite 315 Atlanta, GA 30320

1/1/2017Felix Sogade, MD 42444RN176398Leary, Bridget Josephine 1717 639 Hemlock St, Suite 100 Macon, GA 31201

9/1/2015Laura Bleekrode, MD 34514RN211057211057

Leathers, Breanne Nunnally 9542 1100 Northmeadow Pkwy, Suite 108 Roswell, GA 30076

6/12/2012Messner, Stephen MD 59282RN117190Lebiecki, Cindy 10358 1001 Johnson Ferry Road, Ste 500 Atlanta, GA 30342

10/25/2021Omari Hodge 70459RN225127Leblanc, Dzintra 57380 583 Highland Crossing Suite 100 Elijay, Georgia 30540

9/1/2021Javeria Bhawal 74143RN225127Leblanc, Dzintra 57381 51 Market Square Rd Suite G Newnan, GA 30265

10/17/2016Peter Lee, MD 38545RN223293LeBlanc, Marie Josette 18777 34 Upper Riverdale Rd. ste. 101 Riverdale, GA 30274

8/29/2018Bradford Lipman, MD 28596RN109435Lebon, Linda 15787 6392 Murphy Dr Morrow, GA 30260

4/15/2012William Kriegel, DO 31962RN123214LeCroy, Tiffany Reichert 9664 3405 SW Dallas Hwy Marietta, GA 30064

2/4/2010Timothy Ryan, MD 40220RN123214Lecroy, Tiffany Reichert 8361 84 Pine Grove Road Cartersville, GA 30120

1/1/2010Joan Harden, MD 48640RN038288Ledbetter, Sharon E. 1720 1862 Candler Road Decatur, GA 30032

9/1/2012Hewling, Kirk-Conrod MD 57559RN038288Ledbetter, Sharon 10326 4250 Brownsville Road Powder Springs, GA 30127

11/4/2012Buhmiben Samir Purohit, MD

58812RN38288Ledbetter, Sharon 11051 3240 South Cobb Dr. Smyrna, GA 30080

7/25/2018Reddy Malini 76926RN230690Ledbetter, Samantha 41956 1061 Dowdy Rd Ste 101 Athens, GA 30606

1/15/2021Chetah Sharma 64272RN227283Ledford, Alicia 51682 1631 Highway 20 W McDonough, GA 30253

8/11/2020Kabir K Das 62867RN227283Ledford, Alicia Skye 41122 601 S 8th St. Suite 200 Griffen, GA 30224

3/3/2020Scott Hopkins, MD 72831RN202959Ledford, Anna 15614 196 Ridgecrest Circle Clayton, GA 30525

5/10/2019Jennifer Jones, MD 55166RN154445Ledford, Camille York 16895 101 Riverstone Vista, Ste 102 Blue Ridge, GA 30513

3/3/2020Barbara Camp, MD 41747RN202959Ledford, Anna Michelle 12140 33 Nacoochee Way Sautee, GA 30571

3/31/2015Ronald Hudson, MD 15384RN131920Ledford, Ladonna Kay Ellis 1721 610 19th Street Columbus, GA 31901

Monday, August 1, 2022 Page 251 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/6/2014Jack Roof, MD 17278RN154445Ledford, Camille York 8270 101 RiverStone Vista, Susite 207 Blue Ridge, GA 30513

11/13/2014Ward, Martha MD 20360RN198797Ledger, Kelly 10574 916 S Broad St, Thomasville, GA 31792

2/4/2015Brian Griner, MD 46966RN196360Ledwitch, John William 8377 101-G W. Northside Drive Valdosta, GA 31602

7/20/2018Jennifer Collier-Madon 57592RN196360Ledwitch lll, John William 15088 101 W Northside Dr, Ste F Valdosta, GA 31602

5/10/2013Gerber, Alan MD 58672RN159890Ledwith, Crystal 10434 2069 Teron Trace, Ste 300 Dacula, GA 30019

12/31/2012Baker, Norman DO 53665RN153452Lee, Youn 10477 330 Alcovy Street Monroe, GA 30655

3/19/2017Ferrari, Thomas MD 34829RN116307Lee, Knicole Ann 10607 110 R.T. Stanley Sr. Place Lyons, GA 30436

3/1/2016John Affronti, MD` 45686RN203487Lee, Amanda Treston 14206 1120 15th St Augusta, GA 30912

4/9/2014Leilani Shivers, MD 57507RN203487Lee, Amanda Treston 13080 900 Dallis St, Suite D LaGrange, GA 30240

11/16/2020Bruce Ramsdell, MD 18722RN221512Lee, Erin 11108 2941 Piedmont Rd, Unit B Atlanta, GA 30305

5/31/2013Jonathan Wade, DO 66666RN034673Lee, Pamela C. 11136 204 E. 15th St. Alma, GA 31510

9/18/2015Patrick Amar, MD 49403RN124583Lee, Jamie 15079 80 Jesse Hill Jr.,Ste 13th floor Atlanta, GA 30303

8/26/2013Sung Chang, MD 52693RN178001Lee, Felisa Ann 12137 7351 Old Moon Rd Columbus, GA 31909

8/22/2015Jinahn Kim, MD 54442RN244828Lee, Jaesuk 14940 1325 Satellite Blvd, Bldg 700, Ste 701 A Suwanee, GA 30024

6/12/2015Blake Milner, MD 52789RN211429Lee, Kyung Woon 14901 148 East Peacock St. Cochran, GA 31014

7/1/2018Harsh Singh, MD 57844RN034673Lee, Pamela Sue Clay 19794 204 East 15th Street Alma, GA 31510

6/4/2019David Cox, MD 70247RN211429Lee, Kyung 16496 148 East Peacock St Cochran, GA 31014

4/15/2021STEVEN GARST MD 48047RN155009LEE, DANA 39374 720 TRANSIT AVE SUITE 101 CANTON, GA 30114

2/18/2022Chang Soo Kim, MD 59806RN229906Lee, Sook Hyun 17569 3590 Peachtree Industrial Blvd. Duluth, GA 30096

8/30/2019Carmen Echols, MD 65398RN089515Lee, Susan Lee Kim 17474 5900 Hillandale Dr, Ste 300 Lithonia, GA 30058

10/1/2015Chester Lapeza, MD 44263RN211429Lee, Kyung Woon 15932 148 East Peacock St. Cochran, GA 31014

5/14/2020Rodovaldo Rodriguez, MD 42927RN080547Lee, Brown Ann 40893 1200 Memorial Dr. Dalton, GA 30720

5/25/2020Munjal Shroff 60193RN124583Lee, Jamie 43848 1314 Concord Road SE Smyrna, GA 30080

11/11/2017Robert Hanowell 65441RN124583Lee, Jamie 38764 2023 Gainesville Hwy (Lee Arrendal State Prision) Atlanta, G

3/27/2018Mohammed Pathan, MD 71152RN216190Lee, Brittany Nicole 38859 2101 North Avenue Columbus, GA 31904

10/6/2020Yomi Fashola 82034RN216190Lee, Brittany 49041 2122 Manchester Expresway Columbus, GA 31904

Monday, August 1, 2022 Page 252 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/15/2021Michael Stiefel 84122RN137864Lee, Jessica 54412 2001 Peachtree Road NE Suite 575 Atlanta, GA 30309

6/22/2020Mark Wilson 69737RN242807Lee, Jessica 46186 1909 US Hwy 82 West, Suite 3 & 4 Tifton, Ga 31793

8/30/2019John Corbin 34800RN216190Lee, Brittany 43353 2122 Manchester Expressway Columbus, GA 31904

3/31/2019Khadijatu E. Allen MD 44669RN034673Lee, Pamela C. 40270 1205 Van Streat Hwy Nicholls, GA 31554

12/31/2019Jason Cox 42034RN034673Lee, Pamela 45016 1205 Van Streat Hwy Nicholls, GA 31554

3/10/2021Michael Duke 42041RN289912Lee, Lindzi 47791 134 West Camps Drive Milledgeville, GA 31061

9/21/2018Norbert Elsner 79043RN216190Lee, Brittany Nicole 41736 2122 Manchester Expressway Columbus, GA 31904

5/30/2019Thomas Merritt, MD 10615RN039505Lee, Cindy 41626 763 Jesse Johnson St Blakely, Ga 39823

12/31/2014William Coleman, MD 31577RN039505Lee, Cindy Fain 1724 601 West Eleventh Ave Albany, GA 31701

12/17/2010Eric Hall, MD 45814RN079062Lee, Elizabeth Boatright 1725 512-B South Main Street Hinesville, GA 31313

3/2/2009Alvin Streat, MD 34279RN034673Lee, Pamela S 1728 204 E. 15th Street Alma, GA 31510

4/1/2011Michael Nulph, MD 57735RN034673Lee, Pamela S. 5484 204 E. 15th Street Alma, GA 31510

9/9/2012Michael Deen, MD 58459RN034673Lee, Pamela S. 9765 143 Hwy 32 Bypass Alma, GA 31510

6/16/2022Davin Mitchell 63786RN136956Lee-Adams, Sandra 46169 1075 Lafayette Pkwy, Suite 100 LaGrange, GA 30241

6/29/2021Kashyap Patel, MD 57230RN171688Leech, Christopher L 9976 743 Spring Street Gainesville, GA 30501

1/1/2020Lockete Patrina 48855RN277105Leeder, Gillian 42714 1390 US-19 Leesburg, GA 31763

7/31/2017Folashade Omole, MD 49074RN166060Leffall, Para Ramon 16675 9465 Hwy 5 Douglasville, GA 30135

8/24/2012Jacob Varghese, MD 56933RN141240Leffall, Para Ramon 7833 3740 Cascade Road Atlanta, GA 30331

9/10/2010John Coleman, MD 48498RN155393Leger, Keela Weeks 7898 1720 Peachtree St, Suite 200 Atlanta, GA 30309

2/12/2021John P.Byers, MD 50076RN190636Legg, Julie Ann 19215 2300 Manchester Expwy, Ste 2001 Columbus, GA 31904

7/1/2020Denise M Workman 50693RN117118Legg III, Fred Vaughan 41283 55 Cantrell RD, Suite #100 Cleveland, GA 30528

12/1/2010Roshni Patel, MD 57141RN139769Leidel, Laura Beth 1735 1645 Tullie Circle Atlanta, GA 30329

7/1/2015Dennis Dean Wiles, MD 44865RN129499Leigh, Stacy Diann 11262 410 Peachtree Parkway Cumming, GA 30041

5/21/2019Bradford W Burgess, DO 65223RN117120Leighty, Susan Hardy 40091 5401 Lake Oconee Parkway Greensboro, GA 30642

3/26/2018Brandon Hicks, MD 46683RN117120Leighty, Susan Hardy 13916 5401 Lake Oconee Pkwy (ER Dept.) Greensboro, GA 30642

8/19/2019STEVEN PRIOR MD 59495RN76013LEIPOLD, CYNTHIA 39378 3650 STEVE REYNOLDS BLVD DULUTH, GA 30096

Monday, August 1, 2022 Page 253 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2020Steven Garst 48047RN216502Leiser, Linda 46698 13091 Brown Bridge Rd Covington, GA 30016

5/21/2016Anant Dalvi, MD 63849RN205388Lemberg, Robert Seth 13500 55 Witcher St, Ste 160 Marietta, GA 30060

9/23/2021Raulnina Uzzle, MD 43499RN164788Lemons, Maria Linda 19717 5582 Memorial Dr. Stone Mountain, GA 30083

5/1/2013Lloydstone Jacobs II, MD 49179RN164788Lemons, Maria 10806 2900 University Pkwy Lawrenceville, GA 30043

5/22/2012Akintoye, Adebukola MD 38164RN164788Lemons, Maria 10668 3780 Holcomb Bridge Road, Ste E Norcross, GA 30092

8/6/2010Divina Dyer, MD 57161RN164788Lemons, Maria Linda 8647 181 S. Clayton Street Lawrenceville, GA 30045

11/30/2011L. Crain Garrot, MD 59157RN193714Lenaz, Leona Rausch 8236 340 Kennestone Hosp Blvd, Suite 100 Marietta, GA 30060

4/19/2021Vola-Redd, Gena MD 45356RN193714Lenaz, Leona 10240 790 Church St, Suite 335 Marietta, GA 30060

2/25/2015Amar K. Singh, MD 52227RN160156Leonard, Valerie Sanchez 13097 550 Redmond Rd. Rome, GA 30165

9/18/2020Russel Brown, MD 39743RN044413Leonard, Nina Julia Coleman 19241 101 Marietta St., Ste 350 Atlanta, GA 30303

12/4/2015David Faulk, MD 39787RN044413Leonard, Nina Julia Coleman 13640 2060 Dan Proctor Dr, Ste 3300 St Marys, GA 31558

2/8/2020Clarice Bell-Strayhorn 39730RN285494Leonard, Michael 47829 505 Dacula Rd Dacula, GA 30019

7/1/2016Marlene Zetzer, MD 33236RN044413Leonard, Nina Julia Coleman 17308 2060 Dan Proctor Dr, Ste 3300 St Mary, GA 31558

12/31/2017Audrey Brown, MD 48104RN081415Leonard, Wendy R. 18913 2100 Comer Avenue Columbus, GA 31904

8/30/2020Edward Minor, MD 45095RN081415Leonard, Wendy 40669 2100 Comer Ave Columbus, GA 31904

3/18/2019Lauera Hartmann 41133RN231767Leopard, Carlee Nicole 42554 4106 Columbia Rd Ste 103 Martinez, GA 30907

2/12/2019Janet Bivens, MD 32410RN204063Leppke, Allison 42373 705 Town Bolevard Atlanta, GA 30319

6/1/2018Harenda Nirmal Fernando, MD.

76714RN204063Leppke, Allison Marie 39781 2100 Roswell Rd. Marietta, Ga 30062

4/1/2019Hogai Nassery, MD 43718RN204063Leppke, Allison Marie 16930 1850 East West Connector Austell, GA 30106

4/14/2014Raulnina T. Uzzle, MD 43499RN207063Leppke, Allison M. 11413 770 Village Square Dr Stone Mountain, GA 30083

10/15/2012Metra Wright, MD 60634RN204063Leppke, Allison Marie 9788 770 Village Square Dr Stone Mountain, GA 30083

3/1/2019Thomas Hobby, DO 48647RN155655Lerstang, MaryAlyson 11267 3207 Country Club Valdosta, GA 31605

6/29/2020Sanjay Mehta 82129RN235641Lesnick, Taylor 48379 1498 Jesse Jewell Pkwy Suite A Gainesville, GA 30501

2/2/2010Michael Jackson, MD 55376RN039939Lester, Dana C. 305 715 E. 2nd Avenue Rome, GA 30161

6/28/2019Buffi Boyd #####RN203541Letcher, Jessica 43594 230 Derenne Avenue Savannah, GA 31405

Monday, August 1, 2022 Page 254 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/10/2019Asad M Naqvi, MD 39885RN179310Letisha, Preethy 40532 5454 Yorktowne Dr Atlanta, GA 30349

11/1/2016Thomas Varughese, MD 45998RN179310Letisha, Preethy 18620 6130 Presley Mill Rd. ste. B Douglasville, GA 30314

2/27/2019Zaid Al-Kadhimi, MD 70464RN060581Lett, Celia Elizabeth 19353 1365 C Clifton Rd. Atlanta, GA 30322

7/31/2017Shameka McElhaney, MD 54854RN057688Lettley, Thea Blunt 17489 896 Hwy 81 East McDonough, GA 30252

3/15/2019Mihaela Ille, MD 62895RN244409Lettley, Thea 15054 896 Hwy 81 East McDonough, GA 30252

10/1/2014Jose Cangiano, MD 44182RN140100Leverett, Kim Rebecca 13402 615 Lawrenceville-Suwanee Rd Lawrenceville, GA 30046

10/20/2020Jeffrey Davenport, MD 63574RN210815Leverett, MeSheal LaVerne 17286 1900 Tebeau St Waycross, GA 31501

5/1/2018Richard Rickman, MD 49332RN210815Leverett, MeSheal LaVerne 14039 315 Sereven St. Quitman, GA 31643

3/1/2016Shahzad Hashmi, MD 53239RN140100Leverett, Kim Rebecca 8348 301 Gwinnett Dr, Suite 150 Lawrenceville, GA 30046

2/12/2016Abiodun Olatidoye, MD 48556RN225854Levine, Lori Ann 14109 6507 Professional Place Riverdale, GA 30274

6/14/2016David Fiesler, MD 17756RN122239Lew, Sybil Jane 17312 101 Deluxe Circle, Ste B Thomaston, GA 30286

12/6/2018LINDA CANNON MD 30972RN252053LEW, VALERIE 39381 2600 MARTIN LUTHER KING JR. DR SW SUITE 100 ATLANTA,

8/1/2019Belise Livingston-Burns 54588RN252053Lew, Valerie 43949 2600 Martin Luther King Jr Drive SW Suite 100 Atlanta, GA 3

8/20/2021Michael Pompey 23097RN195801Lewis, Tashaneca 43654 901 Rice St NW Atlanta, GA 30318

12/1/2017PETER WROBEL MD 40285RN195801LEWIS, TASHANECA SHONTE 39384 1718 REYNOLDS ST WAYCROSS, GA 31501

1/21/2019Kevin Coyle 60819RN161641Lewis, Leanna Jaye 41355 3221 Glynn Ave. Branswick, GA 31520

4/19/2021Rafael Alba Yunen 74979RN266565Lewis, Kimberly V 41944 2500 Starling Street Suite 504 Brunswick, GA 31520

6/1/2020Lina Harper 55237RN161641Lewis, Leanna 43359 303 Darling Ave Waycross, GA 31501

7/27/2021Bruce Gioia 38774RN203961Lewis, Beth 51996 865 1st Jesup, GA 31545

6/19/2018Michael J.Lupi, DO 38152RN161641Lewis, Leanna Jaye 10629 3221 Glynn Ave. Brunswick, GA 31520

10/15/2013John Kauh, MD 52970RN177160Lewis, Colleen Margaret 9097 1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

6/10/2020Parviz Brahman, MD 66576RN180944Lewis, Karen Lynn 12211 1401 N Tift Ave, Suite B Tifton, GA 31794

7/9/2021Oldham, Benjamin MD 56210RN184063Lewis, Nikiya 10451 1497 Fair Road, Ste 300 Statesboro, GA 30458

5/1/2022Bryan Cheever, MD 34120RN068366Lewis, Rod Lee 9310 1107 Memorial Dr, Suite 200 Dalton, GA 30720

9/14/2017George Waldon Garriss, III, MD

51134RN148871Lewis, Robert Lewis 12557 3939 Roswell Rd, Suite 200 Marietta, GA 30062

Monday, August 1, 2022 Page 255 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/20/2014Mark Elam, MD 36147RN148871Lewis, Robert Michael 9230 800 Professional Blvd Dalton, GA 30720

9/5/2016Samantha Benson, MD 47699RN197350Lewis, Samantha McWilliams 11658 3340 Paddocks Pkwy Suwanee, GA 30024

8/11/2014Charles-Pryce, Pamella MD 58155RN148871Lewis, Robert 10550 220 North Cobb Pkwy, Ste 400 Marietta, GA 30062

7/16/2015Christopher Inhulsen, MD 20743RN180944Lewis, Karen 15257

12/15/2021Josephine R. Dunagan, MD 15553RN225064Lewis, Samantha E. 17707 1700 Tree Lane, Ste. 110 Snellville, GA 30078

1/31/2016Tammie Quest, MD 45590RN143524Lewis, Donna 14678 1670 Clairmont Rd Decatur, GA 30033

8/12/2013Richard Dukes, MD 51875RN148871Lewis, Robert Michael 8423 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

2/23/2013Michelle Morgan, MD 51694RN152186Lewis, Mechelle Louise 1418 9465 Hwy 5 Douglasville, GA 30135

5/10/2021Tuvia Breur 72843RN299890Lewis, Kiara 57113 2801 Burford Hwy Suite 100 Atlanta, GA 30324

1/28/2022Ebele Compean 85594RN299890Lewis, Kiara 57816 2801 Buford Hwy Suite 100 Atlanta, GA 30324

4/29/2022Eddie Richardson 52047RN258710Lewis, Chelsea 57931 114 Harmony Crossing Suite 1 Eatonton, GA 31024

4/29/2022Jameelah Gater 51321RN258710Lewis, Chelsea 58977 114 Harmony Crossing Suite 1 Eatonton, GA 31024

5/18/2012Theodore Johnson, MD 49656RN143524Lewis, Donna Rose Laroy 1751 1831 Clifton Rd, Pod A Atlanta, GA 30329

8/5/2010Thomas Morrow, MD 39879RN149478Lewis, Kimberly Knapp 1755 5530 Windward Pkwy, Bldg 1, #1210 Alpharetta, GA 30004

8/20/2021Michael Pompey 23097RN195801Lewis, Tashaneca 46971 901 Rice Street Atlanta, GA 30331

1/22/2020Robert Miller 19081RN266565Lewis, Kimberly 46569 3400 Parkwood Dr Brunswick, GA 31520

8/31/2013Shelly D. Samuel, MD 57248RN180944Lewis, Karen L. 11617 148 Peacock St. Cochran, GA 31014

5/1/2022Samantha Storey 60328RN296735Lewis Houston, Adreonne 57581 1230 Peachtree St, NE 19TH FLOOR Atlanta, GA 30309

3/23/2016Jeffrey Winter, MD 36044RN155957Lewis-Austin, Michelle Abigal 12613 1700 Hospital South Dr, Suite 502 Austell, GA 30106

7/10/2020John Bradberry 68118RN084713Lexo-Hudson, Bonnie 49006 1786 Oak Road Suite B Snellville, GA 30078

5/18/2015Brendan Groakke, DO 50172RN201110Ley, Kristin Carter 13480 1199 Prince Ave Athens, GA 30606

4/1/2013Salim Osta, MD 15631RN145239LeZotte, Ashley Willis 9402 1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524

9/2/2010Tom Vann Willis, Jr., MD 10695RN145239LeZotte, Ashley Willis 1760 1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524

9/1/2010Lewis Litwack, MD 61981RN145239LeZotte, Ashley Willis 8660 1131 Chapel Crossing Rd, TRL 759 Glynco, GA 31524

5/6/2017Kalpesh Patel, MD 59106RN191159Li, Dan 12654 810 13th Ave, Suite 106 Albany, GA 31701

10/20/2017Elliot Raizes, MD 24478RN210470Liang, Katherine Fennell 19410 3075 Breckingridge Blvd, Ste 415 Duluth, GA 30096

Monday, August 1, 2022 Page 256 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/25/2021Donell Collins 74241RN290789Liberal, Cindy 52014 2005 Mount Zion Road Morrow, GA 30260

1/29/2020Jaymal Patel 50984RN290789Liberal, Cindy 47582 2005 Mt Zion Road Morrow, GA 30260

10/26/2021Ramin Saghafi 67085RN206975Liddell, JacQuiece 43284

1/1/2021Kristi Kinsey Gotier, MD 61108RN206975Liddell, Jacquiece 41262 8225 Mall Parkway Suite 100 Ellenwood, Ga 30294

12/21/2017Tanvir M. Dara, MD 33816RN206975Liddell, Jacquiece Edwana 20936 4475 East Village Parkway Ellenwood, GA 30294

12/16/2015Allotey, Peter MD 45643RN097756Liggins-Spikes, Irona 10794 2660 Montpelier Avenue Macon, GA 31204

2/1/2017Valencia Burruss, MD 41745RN246513Light, Mary Ann 16608 1735 S. Highway 27 Carrollton, GA 30117

9/15/2020Mark Elam, MD 36147RN246513Light, Mary Ann 15358 800 Professional Blvd Dalton, GA 30720

10/14/2019RAYMOND MCKOY MD 44536RN246513LIGHT, MARY 39386 2510 REDMOND CIRCLE NW ROME, GA 30165

1/1/2016Bill Smith, MD 59963RN246513Light, Mary Ann 16036 91 Fourth St Trion, GA 30753

5/26/2021Mark McCracken 55863RN164985Lindamood, Stephanie Sainz 38697 1499 Fair Road Statesboro, GA 30458

5/26/2021Mark McCracken, MD 55863RN164985Lindamood, Stephanie Sainz 38824 1499 Fair Road Statesboro, GA 30458

1/22/2021Dave A Ringer, MD 30368RN182850Lindsay, Gema Govania 42368 112 Hospital Drive Washington, GA 30673

10/31/2018Oladayo A Osinuga, MD 51703RN182850Lindsay, Gema Govania 42498 1000 Briarcliff Road NE Atlanta, GA 30306

2/1/2020Anon E Westmoreland, MD 13534RN182850Lindsay, Gema Govania 42495 2560 Flintridge Road Gainesville, GA 30501

10/21/2021James G. Hamilton Jr. 29179RN182850Lindsay, Gema Govania 40962 633 Falls Road (P O Box1129) Toccoa, GA 30577

11/12/2019Arthur Yancey 36909RN189359Lindsay, Shannon 46119 745 Memorial Dr Atlanta, Ga 30316

1/31/2015Eric Powell, MD 49081RN178709Lindsay, Lorie Ann 12168 1111 Glynco Pkwy, Bldg 1, Suite 10 Brunswick, GA 31525

6/16/2008Kenneth W. Healey, MD 24689RN187037Lindsay, Angela Schmidt 5460 12389 Crabapple Road Alpharetta, GA 30004

6/25/2019Eva Beauliea 66254RN171642Lindsey, JoAnn 46541 1931 Jesse Jewel Pkwy Gainesville, GA 30501

6/9/2009Sandra Brickman, MD 45043RN061439Lindsey, Melanie E. 8542 1806 Lee Avenue Tifton, GA 31794

1/18/2019Alberto Garcia, MD 54374RN061439Lindsey, Melanie E. 8729 209 East Main St Hahira, GA 31632

7/30/2015Trishanna Sookdeo, MD 72697RN171642Lindsey, JoAnn D. Flot 14998 4751 Best Rd. College Park, GA 30337

3/15/2018Jason Levy, MD 49802RN185072Lindsey, Towanda 16128 1000 Johnson Ferry Rd Atlanta, GA 30342

1/8/2018Onkar Kaur, MD 47103RN106795Lindsey, Lee 14789 636 2nd Avenue, S W Rochelle, GA 31079

5/19/2022James Lawerence 78990RN183333Lindsey, Pamela 56250 1006 Hillvrest Parkway Suite 1 Dublin, GA 31021

Monday, August 1, 2022 Page 257 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/15/2019Thomas Buice, MD 51758RN215593Lindsey, Jessie Leigh 18783 522 Greenwood St. ste. A Barnesville, GA 30204

5/5/2018Jonathan Rosenfiled, MD 74345RN130014Lindsey, Charlotte Browdy 18861 3240 South Cobb Dr. Smyrna, GA 30082

6/27/2022William Raisig 55290RN239565Lineberry, Chelsea 60657 60 Highland Court Ellijay, Ga 30540

1/7/2020Keith Lenchner MD 54234RN161642Lingenfelter, Amy Elizabeth 9990 2045 Peachtree Rd, Ste 800 Atlanta, GA 30309

7/27/2021Kimberley Wilson, MD 31363RN150295Lingle, Kristen Anne 1768 2001 Peachtree Rd NE, #205 Atlanta, GA 30309

6/22/2010Bradley Ward, MD 21115RN160699lingner, michelle 1634 97 Church Street Taylorsville, GA 30178

3/14/2022Joseph R. Shaver, MD 42430RN172995Linticum, Kimberly M. 5471 3630 J. Dewey Gray Circle Augusta, GA 30909

9/21/2021Muhammad Akram, MD 48476RN209537Linton, Lindsay 15139 1921 Aliu St, 3A Waycross, GA 31501

6/30/2016Stephanie Reese, DO 71743RN209537RN71743

Linton, Lindsay 12875 1421 Alice St, Ste 4B Waycross, GA 31501

4/1/2010Jordan Greenbaum, MD 57172RN176752Linville, Melissa Anne 7955 1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

5/8/2017Arthur Kendig, MD 70682RN245057Lippert, Beverly Jane 18961 11705 Mercy Boulevard Savannah, GA 31419

5/8/2017Arthur Carlson Kendig 70682RN245057Lippert, Beverly Jane 39785 11705 Mercy Boulevard, Md. Savannah, Ga 31419

7/3/2017Charles Sow, MD 55343RN195879Lipscomb, Cheri Leblanc 18047 4397 Sudderth Rd Sugar Hill, GA 30518

2/5/2019Getachew Iyasu, MD 74871RN085783Lisle, Sallie Jayne 19210 743 Spring St, NE Gainesville, GA 30501

2/5/2019Oladimeji Akiode, MD 47876RN085783Lisle, Sallie Jayne 20478 743 Spring Street NE Gainesville, GA 30501

1/7/2019Maribelle Verdiales, MD 61871RN147281Lissade, Marianne Jean-Francoi 18615 133 West Athens St. Winder, GA 30680

10/1/2021Jan Mayfield, MD 51355RN087156Litchfield, Mary Ann 15198 49 Hosiery Mill Rd, Ste 124 Dallas, GA 30157

8/4/2014Dinakara Shetty, MD 42431RN138016Little, Deborah Jean Bailey 12055 1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088

8/20/2016Sohail Ejaz, MD 60065RN234444Little, Mishell Carmela 12772 663 Lanier Park Dr Gainesville, GA 30501

12/14/2012Hatem Asad, MD 49978RN138016Little, Deborah J. 11183 105 Briarcliff, Ste B Warner Robins, GA 31088

7/1/2017Thomas Locke, MD 36409RN196707Little, Patrice 15866 4500 North Point Pkwy Alpharetta, GA 30022

6/4/2019Terrell Bond, MD 68701RN196707Little, Patrice Faye 17434 901 Rice St, 3rd Flr. Atlanta, GA 30318

12/30/2021Peter Lee 38545RN167846Little, Shelia 47862 3382 Knighten Ridge Powder Springs, GA 30127

6/30/2021Kevin Lokkesmoe 32941RN131473Little, Valerie 51276 4328 Armour Rf Columbus, GA 31904

6/6/2020Naima Cheema 62362RN196707Little, Patrice 48201 5405 Spalding Drive Peachtree Corners, GA 30032

Monday, August 1, 2022 Page 258 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2021Johnathan Gaskins 56836RN239397Little, Lori 58168 2734 Ledo Road Suite 15 Albany, GA 31707

1/30/2022Joseph Hannan 25759RN167846Littles, Sheila 43023 1227 North Peachtree Pkwy Suite 157 Peachtree City, GA 30

9/30/2021Woodwin Weeks, DO 68866RN128152Littleton, Hope Cherisse 20602 9 Hosptial Park Moultrie, GA 31768

2/28/2022Christopher Bazal 49562RN128152Littleton, Hope 58517 8 Laurel Court Moultrie, GA 31768

6/14/2013Joe Harris Morgan, III MD 53503RN128152Littleton, Hope Cherisse 9986 2300 Dawson Road Albany, GA 31707

1/6/2013Michael Satchell, MD 49593RN128152Littleton, Hope Cherisse 1490 806 14th Ave, Suite C Albany, GA 31701

11/1/2009Craig Johnson, MD 29689RN060422Littrell, Kimberly Harrell 5490 4460 Atlanta Hwy Loganville, GA 30052

7/28/2012James Lamar, MD 32226RN180283Livengood, Lindsay Ann 9921 9280 Hwy 5, Ste A Douglasville, GA 30134

1/1/2022Herschel Kessler 69501RN233528Livingston, Carri 58072 6005 Watson Blvd Suite 100 Bryon, GA 31008

10/22/2021Benoy Varghese 83755RN170168Livingston, Christian 58124 321 South 9th Street Griffin, GA 30224

10/30/2014Craig Bishop, DO 45725RN130337Livingston, Tracey Quinnell 9835 2412 N. Oak St Valdosta, GA 31602

5/23/2017Benjamin Bailon, MD 27025RN130337Livingston, Tracey 14457 3328 Bemiss Rd Valdosta, GA 31602

3/10/2021James Livingston, MD 20128RN052724Livingston, Christy R. 18591 2795 Finney Circle Macon, GA 31217

2/14/2020Craig Caldwell, MD 21658RN052724Livingston, Christy R. 18594 521 Cabiness Rd. Forsyth, GA 31029

2/14/2020Jayesh Patel, MD 65164RN052724Livingston, Christy R. 39629 2795 Finney Circle Macon, GA 31217

4/8/2020Alan Stout, MD 26664RN130337Livingston, Tracey Quinneil 20651 3328 Bemiss Rd. Valdosta, GA 31605

2/14/2020William D. Taylor 33213RN052724Livingston, Christy Rodeheaver 40088 210 Main Street Toomsboro, GA 31090

2/14/2020Chekukala B Reddy, MD 27431RN052724Livingston, Christy Rodeheaver 42501 619 Northside Drive Griffin, GA 30223

2/14/2020Terence Frinks 51042RN052724Livingston, Christy 42775 1050 Hospital Drive Stockbridge, GA 30281

2/14/2020Alpesh Patel, MD 67948RN052724Livingston, Christy R 42394 1050 Hospital Drive Stockbridge, GA 30281

8/21/2020Hernan Posas Jr 32026RN130337Livingston, Tracey 50459 3328 Bemiss Rd Valdosta, GA 31605

2/14/2020Jeremy Goodwin 59416RN052724Livingston, Christy R 41873 521 Cabiness Road Forsyth, GA 31029

1/13/2020Javad Fazal 57457RN052724Livingston, Christy R 41874 2255 Anthony Road Macon, GA 31204

6/1/2019Florence Baralatei 60040RN052724Livingston, Christy R 41875 2255 Anthony Road Macon, GA 31204

2/14/2020Craig Caldwell 21658RN052724Livingston, Christy 41958 521 Cabiness Road Forsyth, GA 31029

12/9/2021Ricahrd Rickman 49332RN130337Livingston, Tracey 52904 3328 Bemiss Rd Valdosta, GA 31605

Monday, August 1, 2022 Page 259 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/14/2020Amar Mohan 66531RN052724Livinston, Christy 42632 4148 Carroll Street SW Covington, GA 30014

10/30/2011Ifeoma Nnaji, MD 63931RN056238Lloyd, Kathleen Ann Mary 9473 123 Gordon St Washington, GA 30673

12/3/2009William Martin, MD 12937RN056238Lloyd, Kathleen Ann Mary 1772 318 West Pike St. Lawrenceville, GA 30045

9/23/2015Abdulbaaqee, Nailah MD 63829RN056238Lloyd, Kathleen 10144 122 West Athens Street Winder, GA 30680

1/31/2010Cathleen Quillian, DO 45924RN056238Lloyd, Kathleen Ann Mary 8874 1351 Stonebridge Pkwy, Bldg 104 Watkinsville, GA 30677

11/16/2014Jonathan Chen, DO 60811RN209184Locher, Kim Elizabeth 11457 55 Whitcher St, Suite 160 Marietta, GA 30060

8/7/2017Dinesh Patel, MD 46798RN125749Lockhart, Christine Marie Strike 8895 34 S. Ellis St Camilla, GA 31730

8/8/2017Stephen Rubendall, MD 57320RN125749Lockhart, Christine Marie Strike 1774 259 US Hwy 19 North Camilla, GA 31730

3/18/2017Alan Brown, MD 57782RN118308Lockhart, Amie 16337 417 Thrid Ave Albany, GA 31701

7/15/2020Peter G Strauss 60999RN199073Lockier, Erica C 41285 3745 Cherokee St Suite 401 Kennesaw, GA 30144

6/10/2020James Ware 29967RN199073Lockliear, Erica 43382 855 Curtis Pkwy Calhoun, GA 30701

9/11/2018Kambiz Aflatoon, DO 66238RN046937Lockman, Carol Ann Noren 18757 885 Buford Dr. Lawrenceville, GA 30043

6/25/2021Stephanie Keller, MD 64120RN149644Loeffel, Laura Jean 12813 975 Johnson Ferry Rd NE Atlanta, GA 30342

9/9/2012Frazier, Cherise MD 61512RN149644Loeffel, Laura 10533 2015 Uppergate Drive NE Atlanta, GA 30322

12/11/2019Ali Araghi, MD 66809RN220509Loepker, Sarah Nicole 41586 901 East 18th Street Tifton, GA 31794

1/20/2020Kanta Pal 83466RN220506Loepker, Sarah 48349 1000 Johnson Ferry Rd NE Atlanta, GA 30342

8/5/2020Omar Jalil 68254RN157417Loftus, Nina 46972 1968 Peachtree Road Atlanta, GA 30309

12/9/2009Subodh Lal, MD 52771RN157417Loftus, Nina Derieta 8440 1700 Hospital South Drive, Suite 502 Austell, GA 30106

12/30/2021Mary Humphries 71988RN075647Logan, Jamay 53147 2600 Martin L King Jr. Dr SW Suite 100 Atlanta, GA 30311

5/31/2020Cindy Parker 45571RN214743Logan, Marshall 49048 3465 D Macon Rd Columbus, GA 31907

1/12/2021Atul Devani 66590RN259407Logue, Taylor 54676 3100 Perimeter Pkwy Augusta, GA 30909

5/31/2013Thomas Samuel, MD 57014RN196130Logue, Laura J. 9123 1120 15th St, Suite BA-5407 Augusta, GA 30912

8/27/2021Charles Nash, MD 48068RN049489Logue, Lisa Clair Parker 12548 725 Jesse Jewell Pkwy, Suite 390 Gainesville, GA 30501

4/12/2010Anand Jillella, MD 33843RN196130Logue, Laura J. 8708 1120 15th St, #BA-5407 Augusta, GA 30912

1/1/2018STANTON MCKENNA MD 59100RN124541lolley, HOLLY 40453 3167 PEACHTREE RD NE STE G ATLANTA, GA 30305

3/8/2022Allan Purdie 40763RN169781Lolley, Karen 51852 2659 Abutment Rd Dalton, GA 30721

Monday, August 1, 2022 Page 260 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/3/2018Ian Munger, DO 70661RN166752Lomami, Mwingi Ida 15555 One Meadows Parkway Vidalia, GA 30474

3/31/2017F. Clark Cantrell, MD 28948RN117846Lomax, Susan Elizabeth 11884 777 Franklin Rd Marietta, GA 30067

8/31/2021Blake Willis 79180RN223847Lomax, Jennifer 55358 128 Cedar Creek Dr Dublin, GA 31021

8/2/2015James Brown Jr. MD 51025RN210080London, Brittney 15173 454 Smith Ave Thomasville, GA 31792

3/17/2016Omar Al Haddad, MD 65987RN210080London, Brittney 16105 509 Wheat Ave Bainbridge, GA 39818

1/5/2017Dillon D. Miller, MD 64508RN093574Long, Marsha N. 17711 101 Riverstone Vista, Ste 111 Blue Ridge, GA 30513

3/6/2016Paula Boyle, MD 55928RN093574Long, Marsha Nadine 16931 101 Riverstone Vista, Ste 114 Blue Ridge, GA 30513

10/12/2018Melissa Davis, MD 59141RN175517Long, Mary Ann 12002 1013 North 5th Ave Rome, GA 30165

7/2/2020Amita Dave, MD 23724RN077139Long, Mary 15561 3825 Medical Park Dr, Ste 201 Austell, GA 30106-1337

7/15/2010George Galloway, MD 13275RN093574Long, Marsha Nadine 9088 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

10/24/2016Moss, Kelvin MD 54634RN093574Long, Marsha 10576 60 Old Highway 5 South Ellijay, GA 30540

1/1/2016Crystal Comeau, MD 61224RN093574Long, Marsha Nadine 9292 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

8/7/2021Margaret White 36482RN063853Long, Carol 55867 1626 Jeurgens Court Norcross, GA 30093

8/7/2021Michael Groover 35059RN063853Long, Carol 46121 1626 Jeurgens Court Norcross, Ga 30093

8/14/2020Frank Curvin 45058RN63853Long, Carol 46701 1626 Jeurgens Court Norcross, GA 30093

12/1/2019Maged Abdeimalik, MD 55077RN274415Long, Ashley 41587 2383 Third Street Folkston, GA 31537

7/28/2019Mitzi Rubin 49592RN165297Long, Brandy 42975 1227 Rockbridge Rd Stone Mountain, GA 30087

11/1/2019Valencia Burruss, MD 41745RN208639Long, Angel 39135 6126 Prestley Mill Road, Suite H Douglasville, GA 30134

10/10/2018Aponte Alexandria Feliciano, MD

76989RN274399Long, Brandy A. 41523 1012 Burley Rd. Dalton, Ga 30720

3/29/2013Richard Loyd, DO 37446RN135873Long, Christine Louise Nugent 1780 1000 Hawthorne Avenue, Suite J Athens, GA 30606

5/15/2015Louis Cohen, MD 22496RN077139Long, Mary Lavonne Stewart 1784 1230 Johnson Ferry Rd, Suite A-10 Marietta, GA 30068

8/25/2020Jennifer Jones 55166RN093574Long, Marsha 48745 101 Riverstone Vista Suite 102 Blue Ridge, GA 30513

10/11/2011Thomas Nguyen, DO 62579RN093574Long, Marsha Nadine 9010 772 Maddox Dr, Suite 110 East Ellijay, GA 30540

2/24/2012Fernandez, Eusebio MD 12038RN093574Long, Marsha 10251 772 Maddox Drive, Ste 110 East Elijay, GA 30540

4/13/2009Miriam Gentry, MD 10925RN093574Long-Kimsey, Marsha 8322 190 Hospital Circle Ellijay, GA 30540

Monday, August 1, 2022 Page 261 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/19/2007Jack Roof, MD 17278RN093574Long-Kimsey, Marsha 1786 101 Riverston Vista, Ste 207 Blue Ridge, GA 30513

7/10/2008William Raisig, MD 55290RN093574Long-Kimsey, Marsha 8114 449 Industrial Blvd, Suite 105 Ellijay, GA 30540

4/4/2020Van Millin, DO 66530RN233967Longshore, Emmie Elyce Norrell 18966 303 Smith Street Lagrange, GA 30240

6/14/2019James Brown 21652RN157000Looney, Gina 43561 479 Hwy 98 East Danielsville, GA 30633

3/10/2021Duke, Michael MD 42041RN070694Loper, Alice 10392 134 W. Campus Dr, CBX 091 Milledgeville, GA 31061

8/13/2016Barry Warshaw, MD 15435RN134913Lopez, Leidys 12798 1405 Clifton Rd NE Atlanta, GA 30329

5/28/2015Paul A. Martin, MD 29034RN056928Lopez, Melanie B. 11234 1960 Riverside Pkwy, Ste 101 Lawrenceville, GA 30043

8/13/2016Dellys Soler Rodriquez, MD 72132RN134913Lopez, Leidys 15204 2015 Uppergak Dr NE Atlanta, GA 30322

5/21/2020Samantha Storey, MD 60328RN056928Lopez, Melanie Becker 17222 1968 Peachtree Rd Atlanta, GA 30309

4/27/2018Tyra Harris, MD 61249RN220963Lopez, Luis Felipe 18142 6131 S Norcross Tucker Rd, Ste 700 Norcross, GA 30093

2/28/2021Ibrahim Opaleye 72878RN220963Lopez, Luis 43417

5/21/2020Rahwa Ghermay, MD. 61586RN056928Lopez, Melanie B. 39787 1968 Peachtree Road Atlanta, GA 30309

2/24/2017Sadiq Sohani, MD 45010RN227764Lopez, Amber T. 17505 1413 Chattanooga Ave Dalton, GA 30720

3/1/2018Gregory Phelps, MD 34042RN227764Lopez, Amber Tiana 20837 1217 LaFayette Rd. Rossville, GA 30741

3/30/2020Dana Cason 39302RN087816Lord, Resa 44173 7901 Veterans Parkway Suite B Columbus, GA 31909

12/16/2015Ashley Davis, MD 58161RN087816Lord, Resa Anne Wilson 1789 5555 Whittlesey Blvd, Suite L-1 Columbus, GA 31909

1/29/2020Jaymal R Patel, MD 50984RN203572Lott, Jodi Evans 42372 3116 North Oak St. Extension Valdosta, GA 31602

5/1/2021Lawerence Reccoppa 69940RN203572Lott, Jodi 46424 3120 North Oak St Valdosta, GA 31602

10/7/2021Alan Brown 57782RN203572Lott, Jodi 55869 215 E. 13th Street Avenue Cordele, GA 31015

9/12/2012Griffis, Mark MD 38140RN057626Lott, Patsy 10587 380 East Willow Creek Lane McRae, GA 31055

1/11/2012Harrison Clay Carter, MD 50575RN057626Lott, Patsy L. 9095 1126 West 12th Street Alma, GA 31510

4/20/2015Deen, Michael MD 58459RN057626Lott, Patsy 10868 143 Hwy 32 Bypass Alma, GA 31510

5/11/2017Clarice Bell, MD 39730RN142821Louis, LaTalya 16133 774 GA Hwy 96 Banaire, GA 31005

7/22/2015Vincent Galan, MD 28685RN142821Louis, LaTalya 15086 1365 Rock Quarry Rd, Ste 202 Stockbridge, GA 30263

11/18/2021Derek Kleman 80289RN250305Louis, Dallas 52676 396 Historic Highway 441 N Demorest, GA 30535

1/1/2021Laxman Ramani 42399RN219024Louissaint, Kristina 45661 350 Country Club Dr Suite D Stockridge, GA 30281

Monday, August 1, 2022 Page 262 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/13/2020Ioannis Parastatidis 67025RN183882Love, Elizabeth 45927 1400 River Place Braselton, Ga 30517

9/25/2014Rao Moravineni, MD 51360RN160167Love, Tamara Rose 8352 246 O'Dell Road Griffin, GA 30224

2/1/2021Kaizad Shroff 62002RN185752Lovell, Jennifer 42688 1520 22nd Street Columbus, GA 31901

3/25/2021James E. Ragan, MD 38337RN185752Lovell, Jennifer Nichole 21116 2122 Manchester Expressway Columbus, GA 31904

1/27/2017Davin Mitchell, MD 63786RN185752Lovell, Jennifer Nichole 18589 1075 Lafayette Pkwy, Ste 100 Lagrange, GA 30241

6/4/2020Ryan P. Carrick, MD 65941RN225897Lovering, Carole J. 11211 3820 Medical Park Dr. Austell, GA 30106

11/1/2019Christopher Mathews 49133RN241135Lovett, Darnae 43849 110 Medical Park Dr Pooler, GA 31322

1/6/2020Bernard Oddi 48450RN241135Lovett, Darnae 45792 303 Harris Industrial Bllvd Suite 5 Vidalia, GA 30474

10/10/2021Amanda Cowan 50793RN241135Lovett, Darnae 53387 107 Canal Street Pooler, GA 31322

1/24/2022Stephan Meadors 83959RN241135Lovett, Darnae 58848 2927 Demere Road Saint Simon Island, GA 31522

1/19/2015Javad Deganian, MD 16053RN192194Lovvorn, Mackenzie Lyn 13162 1700 Tree Lane Rd, Suite 110-A Snellville, GA 30078

1/1/2020Beulette Hooks, MD 41313RN230297Lowe, Ayishia Keveta 18598 11460 Johns Creek Pkwy Johns Creek, GA 30097

4/14/2021Stephen Dawkins 33066RN181023Lowe, Tiffany 50548 535 North Central Ave Hapeville, GA 30354

4/1/2019Zenobia Day, MD 61959RN171911Lowe, Jennifer Lynn 41704 255 Prosperity Way Adairsville, Ga 30103

1/31/2020Jeffery Q. Dowis, MD 68199RN164261Lowe, Jennifer Lynn 40516 3193 East First Street Vidalia, GA 30474

11/1/2018Jason Laney, MD 69060RN164261Lowe, Jennifer Lynn 40930 9 Hester Street Hazlehurst, GA 31559

9/1/2020Archibald McNeill, MD 19070RN143067Lowe, Lisa Dawn 21348 915 Gorden Avenue Thomasville, GA 31792

1/4/2018Suzette Chin, MD 58955RN171911Lowe, Jennifer Lynn 19354 21 Pointe North Drive Cartersville, GA 30120

5/7/2018Tod Bethea, MD 42016RN024085Lowe, Peggy Joyce Yarbrough 1795 536 Hwy 441 South Clayton, GA 30525

12/27/2013Brenda Hott, MD 41441RN168434Lowman-Kedzierski, Denise 12377 1200 Northside-Forsyth Dr Cumming, GA 30041

9/2/2012Sonjoy Laskar, MD 54772RN168434Lowman-Kedzierski, Denise 9065 550 Peachtree St, Med Off Tower, 4th Floor Atlanta, GA 303

7/27/2020Omari Hodge, MD 70459RN168434Lowman-Kedzierski, Denise 13786 1762 Mars Hill Rd. NW Acworth, GA 30101

5/29/2020Anuradha Thopu 41377RN224640Lu, Phung Ngoc 81 8901 Stonebridge Boulevard, Suite 100 Douglasville, GA 301

6/15/2015Jeffery Dowis, MD 68199RN117999Lucas, Bobby 15633 1205 Russel Parkway Warne Robins, GA 31088

1/1/2015Urviben Patel, MD 63937RN140641Lucas, Amanda Hudson 13919 777 Hemloch St Msc 143 Macon, GA 31201

12/21/2021Matthew Astin, MD 66248RN117999Lucas, Bobby Gene 15057 5665 New Northside Dr. Suite 320 Atlanta, GA 30328

Monday, August 1, 2022 Page 263 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/14/2018Samuel Obiorah, MD 42379RN117999Lucas, Bobby Gene 17433 350 Hospital Drive Macon, GA 31217

11/20/2018Chuc Pham, MD 26916RN117999Lucas, Bobby Gene 17436 400 Charter Blvd, ER Macon, GA 31210

4/4/2018Cathy Harper-Hogan, MD 44228RN190806Lucas, Autumn Anderson 18738 100 University Pkwy Macon, GA 31206

7/3/2015Fredric Flax, MD 17452RN067905Ludwick, Faith Ann 1801 12385 Crabapple Road, Suite 100 Alpharetta, GA 30004

1/26/2021Daniel Eller, MD 39563RN149205Luedecke, Eleanor Rogers 2554 980 Johnson Ferry Rd, #620 Atlanta, GA 30342

11/20/2019Naima W. Cheema, MD 62362RN196115Luedke, Daphne Michelle 41527 5405 Spalding Drive Peachtree Cornes, Ga 30092

2/15/2018ZENOBIA DAY MD 61959RN196115LUEDKE, DAPHNE MICHELE 39395 5405 SPALDING DR PEACHTREE CORNERS, GA 30092

3/13/2017Zia Khan, MD 62533RN206976Lukano, Caroline Sheila 17847 190 Greencastle Rd. Tyrone, GA 30290

7/9/2021Edward Minor, MD 45095RN206976Lukano, Caroline 16177 2100 Comer Ave Columbus, GA 31904

8/20/2015Emmanuel Soyoola, MD 53032RN188378Luke, Cynthia Dee Anne 13724 1870 Atlanta Hwy Ste J-K Gainesville, GA 30504

10/24/2016John Kludt, MD 34876RN188378Luke, Cynthia Dee Anne 13802 3700 Club Dr Lawrenceville, GA 30044

7/20/2013Dan Ioanitescu, MD 51476RN109444Lumansoc, Rita 11498 940 Ga Hwy 96 Warner Robins, GA 31088

11/30/2021Sarah Polow 24067RN204051Lumpkin, Ashley 54296 824 GI Maddox Parkway Chatsworth, GA 30705

12/15/2014Perkins, Cheryl MD 36430RN218596Lund, Christine 10633 1497 Fair Road, Ste 200 Statesboro, GA 30458

12/31/2018Jeremiah Bivins, MD 69545RN201612Lundi, Camille 15626 304 Margie Dr Warner Robins, GA 31088

9/14/2020Peter Allotey 45693RN201612Lundi, Camille 44498 5398 Thomaston Road Macon, GA 31220

3/17/2021James Hull 75154RN293907Lundry, Stella 52069 2122 Manchester Expressway Columbus, GA 31904

2/19/2020Aziz Pirani 61934RN235766Lunn, Kayla 43950 4025 Lawrenceville Hwy Suite A Lilburn, GA 30047

8/7/2019Heywood Gay, MD 38768RN108957Lunsford, Jennifer Anne 19019 961 East Winthrope Ave. Millen, GA 30442

10/16/2020Lajide Lawoyin 83612RN108957Lunsford, Jennifer 47716 1499 Fair Road Statesboro, GA 30458

10/16/2020Wayne Bryan 77972RN108957Lunsford, Jennifer 46703 1499 Fair Road Statesboro, GA 30458

4/4/2017Eva Beaulieu, MD 66254RN038269Lunsford, Jeanne Rankine 1805 3600 Dallas Hwy Marietta, GA 30064

5/22/2011Mian, Haroon MD 66222RN038269Lunsford, Jeanne 10127 970 Joe Frank Harris Pkwy SE Cartersville, GA 30120

8/1/2013Byron Dickerson, MD 36714RN072457Lupa, Julia Suzanne Ball 1807 500 Medical Center Blvd, #290 Lawrenceville, GA 30045

12/12/2013Felecia Dawson, MD 30292RN072457Lupa, Julia Suzanne Ball 12495 One Baltimore Place, NW, Suite 350 Atlanta, GA 30308

2/14/2014Paul LoDuca, MD 64595RN217917Lutin, Amanda Melanie 11926 710 Center St, 5 East Columbus, GA 31901

Monday, August 1, 2022 Page 264 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/28/2021Ibrahim Opaleye 72878RN155534Lutumba, Judith 54750 5955 Jimmy Carter Blvd Suite 100 Norcross, GA 30071

3/29/2013Harold D. Carlson, MD 27508RN124797Lyda, Kenneth E 1809 275 Collier Road, NW Ste 300 Atlanta, GA 30309

7/25/2012Heller, Louis MD 45238RN057538Lyden, Margaret 10588 755 Walther Road Lawrenceville, GA 30046

1/7/2013Ram, Raja MD 38922RN116155Lyerly, Linda 10121 475 Phillip Blvd, Ste 100 Lawrenceville, GA 30045

5/2/2012Soyoola, Emmanuel MD 53032RN116155Lyerly, Carol 10231 1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

9/30/2011Ann Drayton, MD 49512RN116155Lyerly, Linda Carol Phillips 9980 1870 Atlanta Hwy, Ste J Gainesville, GA 30504

8/4/2016Martha Millan-Sanchez, MD 66223RN180751Lyles, Linda Michelle 13981 3015 Veterans Pkwy Moultrie, GA 31788

12/21/2018Ella Amador, MD 70033RN097779Lynch, Gail L 12510 7301 Blackmon Rd. Columbus, GA 31909

4/1/2022Nurul Hoque 70838RN239727Lynch, Tara 52162 311 Gwinnett Drive Lawerenceville, GA 30046

9/24/2021Aamer Shabbir 58504RN228197Lynch, Allison 58172 2024 Watson Blvd Bldg #1 Warner Robins, GA 31093

9/12/2013Lisa W. Gantner, MD 27690RN097779Lynch, Gail L. 11299 Acute Care Express, 7901 Veterans Pkwy Columbus, GA 319

8/1/2016Michael Hagues, DO 23977RN097779Lynch, Gail L. 11613 2122 Manchester Exprway Columbus, GA 31904

5/22/2012Wannamaker, Lisa DO 55462RN053247Lynch-Hayes, Patricia 10327 1120 15th St, AF-1040 Augusta, GA 30912-7468

9/2/2009Lisa Wannamaker, DO 55462RN053247Lynch-Hayes, Patricia A 1813 1384 Greene Street Augusta, GA 30901

8/1/2011Richard Schwartz, MD 42935RN053247Lynch-Hayes, Patricia A. 8936 4471 Washington Road Evans, GA 30809

12/10/2020Randy Durbin 64776RN205428Lynn, Shakira 51997 4448 N. Shallowford Rd Suite 100 Dunwoody, GA 30338

8/13/2021Dale Green 31926RN205428Lynn, Shakira 53752 55 Carlton Street Athens, GA 30602

8/29/2016Derrell Leggett, MD 66346RN219928Lynn, Jessica Nicole 18540 794 McDonough Rd, Ste 111 Jackson, GA 30233

7/10/2018KELLY MCCARTER DO 76915RN189823LYON, LORA 39399 4400 PEACHTREE RD NE ATLANTA, GA 30319

5/15/2020Ashfaq Saiyed 44833RN169668Lyons, Jessica 49517 202 South Cherry St Ocilla, GA 31776

5/11/2016Matthew Astin, MD 66248RN250529lyons, Wanda Colleen 16797 100 Gross Crescent Circle Fort Oglethorpe, GA 30742

2/1/2020Odetoyinbo Adedapo 55829RN173972Ma, Lixuan 44324

12/31/2019Mark Elam, MD 36147RN077192Mabry, Sonya 15949 755 S Perry St 2nd floor Lawrenceville, GA 30046

8/18/2010Thomas Karisny, MD 50029RN077192Mabry, Sonya M. 7724 170 Hospital Circle, Suite A Blairsville, GA 30512

4/17/2015Song Na, MD 38059RN077192Mabry, Sonya 11761 4995 Lanier Islands Pkwy, Suite A Buford, GA 30518

5/10/2013Meena J. Shah, MD 21464RN077192Mabry, Sonya 11499 475 Philip Blvd, Ste 100 Lawrenceville, GA 30045

Monday, August 1, 2022 Page 265 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/1/2012Raja Ram, MD 39822RN077192Mabry, Sonya 9865 475 Phillip Blvd. Lawrenceville, GA 30045

6/1/2017Niels Engberding, MD 64534RN159185MacCallum, Elleen Mary 15240 80 Jesse Hill Dr Atlanta, GA 30303

12/31/2014Todd Cooper, DO 61411RN204149MacDonald, Kelly Lynne 8971 1405 Clifton Road NE Atlanta, GA 30322

6/14/2018Robert Weeks, MD 46007RN193171Mace, Dawn Anne 18391 1326 Eisenhower Dr. Savannah, GA 31406

9/13/2012James Sinnott 35336RN127219Macera, Tana M. 1818 3207 Country Club Dr. Valdosta, GA 31606

11/1/2018Dennis Spencer, DO 47663RN077194Mackel, George Scott 12319 1077 South Main St, Emer Dept Madison, GA 30650

4/10/2011Timothy Helton, MD 29669RN064087Mackenzie, Christine Mary Scan 1820 1010 Johnson Ferry Rd Marietta, GA 30068

8/30/2013Laurae Carpenetti, MD 50606RN064087Mackenzie, Christine Mary Scan 8879 3921 Shallowford Rd Marietta, GA 30062

3/20/2014Roberts, Jerry MD 25657RN134284Macoy, Lisa 10670 4000 Shakerag Hill, Ste 201 Peachtree City, GA 30269

5/17/2019Regina Justice, MD 47777RN134284Macoy, Lisa S. 14006 2462 Hwy 34 East, Ste A Newnan, GA 30265

4/15/2019Charles Galea, MD 55229RN205935Macy ll, Ronald Tilton 15233 615-A Pedleton Waycross, GA 31501

4/12/2017Alberto Santos, MD 67711RN240101Madden, Joann L. 18163 3405 Mike Padgett Hwy. Augusta, GA 30906

3/8/2019Sarita Sharma, MD 32294RN240101Madden, Joann Latimore 20664 3405 Mike Padgett Hwy. Augusta, GA 30906

3/1/2021Lawrence Perin 77146RN166580Maddox, Jimmy 45022 5775 Pachtree Dunwoody Road NE Building C Atlanta, GA 30

4/5/2014Travis Bowles, MD 68374RN168142Maddox, Leigh Catherine 11986 3939 Roswell Rd, Suite 200 Marietta, GA 30062

6/17/2010Odell Paul Still, DO 37085RN166580Maddox, Jimmy 9106 104 Maple Dr Vidalia, GA 30474

3/3/2022Daniel Gold III 90573RN168142Maddox, Leigh C. 60318 139 Etowah Industrial Court Canton, GA 30114

5/18/2022Rftesh Mehta 85947RN190286Maddox, Melanie 59415 11 Charley Harper Drive Suite 100 Cartersville, GA 30120

7/22/2020Okah Anyokwu 7871RN208494Madlock, Danielle 48747 1810 Mulkey Rd Suite 202 Austell, GA 30106

1/9/2020Lawrence Powell 38915RN208494Madlock, Danielle 43612 3311 Highway 5 Suite C Douglasville, GA 30135

5/29/2020Jason Gardiner 52725RN223097Magallano, Allie 45109 1861 Watson Blvd Warner Robins, GA 31093

2/3/2012Leroy Hubbert, MD 35659RN121320MaGill-Dunlap, Marlis 5445 303 Smith Street LaGrange, GA 30240

7/9/2021Paul Donnan 47892RN210284Magistro, Caleb 57590 230 Peachtree Street, NW Suite 1800 Atlanta, GA 30303

4/2/2021Jonathan Colasanti 70867RN210284Magistro, Caleb 45662 341 Ponce De Leon Atlanta, GA 30308

11/1/2007Donald Keith West, MD 32323RN116763Magner, Rosemary 1829 823 Campbell Hill Street Marietta, GA 30060

3/30/2009Madhu Vishwanath, MD 56499RN116763Magner, Rosemary 8395 2779 Cobb Pkwy NW Kennesaw, GA 30152

Monday, August 1, 2022 Page 266 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2017Ella Amador, MD 70033RN167017Magoiga, Geralda Andrea Jame 18069 101 13th St. ste. 200 Columbus, GA 31901

9/27/2017Onika Popo-James, MD 62759RN222296Maguire, Margaret Strickland 19930 1631 Hwy. 20 West McDonough, GA 30253

5/13/2022Woody Francis 48325RN222296Maguire, Margaret 54931 801 W Gordon Street Thomaston, GA 30286

11/18/2020Jonathan Busbee, MD 40336RN222296Maguire, Margaret Strickland 20479 801 W. Gordon St. Thomaston, GA 30286

1/1/2022Jayaprakash R. Desai, MD 19511RN169605Mahaley, Amy B 17703 601 Old Norcross Rd., Ste A Lawrenceville, GA 30046

10/5/2019James Barlow, MD 30717RN118599Maharaj, Rajendra Kuldeep 17485 113 Eagles Landing Pkwy Stockbridge, GA 30281

8/1/2021Tayari Mchezaji, MD 50409RN118599Maharaj, Rajendra 40682 8954 Hospital Drive Douglasville, GA 30134

9/1/2009David Asrael, MD 51291RN118599Maharaj, Rajendra Kuldeep 1832 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

8/25/2021Jeffrey Miller 49145RN133358Mahek, Amber 55341 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

2/9/2011William Knapp, MD 17225RN133358Mahek, Amber Daley 7815 95 Collier Rd, Suite 5015 Atlanta, GA 30309

9/1/2016Thuy Bui, MD 49276RN174074Maher, Anne R. 11635 PO Box 422002 Atlanta, GA 30342

4/20/2017Robert Del Pozo, MD 35853RN109444Mahmoud, Rita Marie Tactay W 19935 3950 Austell Rd. Austell, GA 30106

5/18/2018Iffat Bhuiyan, MD 73943RN109444Mahmoud, Rita Marie Tactay W 20684 3940 Austell Rd. Austell, GA 30106

9/2/2020Alexander S Maybury, MD 73621RN178987Mahmoud-Deen, Zarinah Yasmi 40097 550 Peachtree St. Atlanta, GA 30308

11/30/2017Jingo Ahmad, MD 45842RN220209Mahou, Vera 39225 4150 Snapfinger Wood Drive, suite 120 Decatur, GA 30035

7/20/2021Santanu Das 42560RN249087Maiava, Bentley 51604 1049 N. Houston Rd Warner Robins, GA 31093

3/4/2019Marion Howard, MD 66507RN257389Maier, Steffani Tess 18619 200 Crescent Centre Pkwy Tucker, GA 30084

2/17/2021Frances Acosta 52332RN239786Maimo, Elizabeth 48743 110 RT Stanley SR Place Lyons, GA 30436

2/17/2021Frances Acosta 52332RN239786Maimo, Elizabeth 48600 110 RT Stanley Sr. Place Lyons, GA 30436

8/2/2012Debbie West, MD 41028RN131694Maine, Stacy Bankston 8890 116 S. Houston Road Warner Robins, GA 31088

7/12/2013Hatem Asad, MD 49978RN131694Maine, Stacy Bankston 11756 105 Briarcliff Rd Warner Robins, GA 31088

1/5/2015Deepti Bhasin, MD 59979RN131694Maine, Stecy Bankston 12621 402 Osigian Blvd, Suite 400 Warner Robins, GA 31088

4/5/2019Zia Khan, MD 62533RN196442Mainer, Valerie Lynette 19922 190 Greencastle Rd. Tyrone, GA 30290

2/1/2022Mark Coffey, MD 51450RN209207Mainer, Marianne Anderson 19925 5629 Hwy. 21 S Rincon, GA 31326

4/10/2019Todd Vermeer, MD 49505RN178988Major, Jennifer Anne 18763 1000 Medical Center Blvd. Lawrenceville, GA 30046

10/27/2018Pablo Perez, MD 47502RN235792Majors, Robert Anthony 40656 815 Shugart Rd Dalton, GA 30720

Monday, August 1, 2022 Page 267 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/13/2015Stephen F. Finn, MD 46961RN234796Malave, Mirei 13119 1825 Martha Berry Blvd. Rome, GA 30165

9/1/2020Pradeep Sinha 44104RN224571Malerba, Alaina 41880 5670 Peachtree Dunwoody Rd NE Atlanta, GA 30342

10/1/2020John Harris 59919RN247722Malinowski, Palmer 47727 501 Redmond Rd NW Rome, GA 30165

1/10/2022Stephen Broomes 43335RN224384Maliwa, Branderly 45929 503 Main St Villa Rica, Ga 30180

10/31/2018Lawrence Powell, MD 38915RN224384Maliwa, Branderly Ngono 38941 3311 Highway 5 ste. C Douglasville, GA 30135

1/5/2022Kenneth Patric Jr., MD 69243RN246122Mallett, Nina Diane 20965 125 W. Main Street Cartersville, GA 30120

11/30/2015Guilda Saint-Fleur, MD 69627RN246122Mallett, Nina Diane 15289 1227 Rockbridge Rd Stone Mountain, GA 30087

4/4/2015Charles Roman, DO 43757RN185828Mallory, Edna Elaine 13505 2737 Warm Springs Rd, Ste B Columbus, GA 31904

11/1/2016James Anthony Yost, MD 63155RN185828Mallory, Edna Elaine 18429 2575 Peachtree Pkwy. Ste. 100 Cumming, GA 30041

1/4/2016Rod Duraski, MD 30296RN185828Mallory, Edna 16172 301 Medical Dr, Ste 501 LaGrange, GA 30240

2/19/2014Benise Williams, MD 46924RN185828Mallory, Edna Elaine 12356 303 Smith St LaGrange, GA 30240

4/13/2018Eddie Turner, MD 65910RN185828Mallory, Edna Elaine 40629 2511 Hwy 34 E Suite C Newnan, GA 30265

6/30/2017Kenneth Genova, MD 36977RN185828Mallory, Edna Elaine 20079 104 Harwell Avenue Lagrange, GA 30240

10/24/2017Divina Dyer, MD 57161RN185828Mallory, Edna Elaine 18900 2800 Overlook Pkwy Atlanta, GA 30339

7/30/2020Wayne Wells 36666RN185828Mallory, Edna 47041 2000 10th Ave Suite 410 Columbus, GA 31904

6/1/2018Jonathan Levy, MD 62386RN270840Malloy, Amity Jill 39809 2801 Buford Hwy, (Suite T-60) Atlanta, GA 30329

12/3/2020Jonathan Thompson, MD 52646RN103102Malloy, Jacqueline 15983 1266 Highway 515 South Japer, GA 30143

7/2/2012Hornetty, Paul MD 52951RN215209Malmquist, Lisa 10620 308 N. Parrish Avenue Adel, GA 31620

10/21/2020Crispin Barlett 79934RN120046Maloney, Donna 53887 207 Crestmont Way Canton, GA 30114

9/1/2020Rhonda King 39609RN120046Maloney, Donna 53220 207 Crestmont Way Canton, GA 30114

6/26/2016Maxwell Prempeh, MD 64054RN177773Malstrom, Stacey Glass 13685 150 Gentilly Blvd. Cartersville, GA 30120

6/24/2016Suh, David MD 57848RN117790Mancao, Caroline 10083 1468 Montreal Road Tucker, GA 30084

8/7/2021Gayathri Kumar 77062RN272472Mandhai, Jennifer 45164 3660 Market Street Clarkston, GA 30021

4/6/2013Cleveland, William MD 17375RN184067Maness, Edina 10642 3620 MLK Jr., Drive SW Atlanta, GA 30331

2/27/2015Audrey Ludwig-Arona, MD 48267RN100057Manga, Mercy Boh 12943 500 Medical Center Blvd, Suite 290 Lawrenceville, GA 30046

10/23/2013Byron Dickerson, MD 36714RN100057Manga, Mercy Boh 1839 500 Medical Center Blvd, #290 Lawrenceville, GA 30045

Monday, August 1, 2022 Page 268 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/18/2019Lawrence Zottoli, MD 36639RN230812Mangaza, Veronica 18070 4707 Augusta Rd. Garden City, GA 31408

6/1/2020William Kittle, MD 25197RN230812Mangaza, Veronica 40843 1 Freedom Way Augusta, GA 30904

11/23/2017Mark Leimbach, MD 40137RN081484Mangum, April Elaine Taffar 20700 200 S. Enota Drive ste. 200 Gainesville, GA 30501-3466

7/31/2017Michelle Morgan, DO 51694RN130480Mann, Linda J. 11200 5320 Memorial Dr. Stone Mountain, GA 30083

3/1/2016Charles Sow, MD 55343RN181831Manning, Tiffany Renee 14387 9465 Hwy 5 Douglasville, GA 30135-1509

1/1/2017William Watkins, MD 32076RN181831Manning, Tiffany Renee 16869 5655 New Northside Dr., #320 Atlanta, GA 30328

7/31/2017Fidias DeLeon', MD 63891RN181831Manning, Tiffany Renee 20818 3576 Hwy. 138 Stockbridge, GA 30281

1/31/2022Lindsay Dowis 67016RN223481Manolakis, Vianna 55209 400 Walmart Way Unit F Dahlonega, GA 30533

3/15/2019James Morrow Jr., MD 37628RN233481Manolakis, Yianna Gabrielle 19748 1400 Northside Forsyth Drive. Ste. 200 Cumming, GA 30041

10/31/2014Garrett Bennett, MD 51784RN183513Mansfield, Elizabeth Singletary 13501 11045 Columbia St. Blakely, GA 39823

7/21/2021Luis Murrain 57747RN183513Mansfield, Elizabeth 45023 360 College St Blakeli, GA 39823

8/4/2018Altee Johnson S.MD 60387RN202822Mansfield, Crystal A. 41316 505 Dacula Rd. Dacula, Ga 30019

2/17/2021Marga Ngwang, MD 70328RN212312Manuel, Amanda 20103 1810 Mulkey Rd. ste. 105 Austell, GA 30106

12/31/2012Melissa Davis, MD 59141RN132924Maples, Melissa Lynn 9118 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

8/3/2018Michele Shumpert, DO 66322RN222470Mapp, Shanae 41005 101 Watson Street Rome, GA 30165

5/1/2019Darrell Murray 44797RN123261Maraman, Sharon 43006 233 Brookstone Drive McDonough, GA 30252

12/30/2021Mark Coker 56276RN123261Maraman, Sharon 44333 14557 Highway 19 Suite A Griffin, GA 30224

6/30/2022Earle Taylor, MD 25298RN129055Marat, Patti Lorri 20239 510 Sparta Rd Sandersville, GA 31082

4/12/2019James Greene, MD 29657RN129055Marat, Patti Lorri 18467 815 Chapel Crossing Rd. Brunswick, GA 31525

10/4/2009Heather Svenson, MD 50841RN129055Marat, Patti Lorri 8368 47 Professional Drive Brunswick, GA 31520

2/8/2011Robert Reese, Jr., DO 31312RN129055Marat, Patti Lorri 8992 1111 Glynco Pkwy Brunswick, GA 31525

9/14/2010Lewis Litwack, MD 61981RN129055Marat, Patti Lorri 8665 1131 Chapel Crossing Rd, Suite T-759 Glynco, GA 31524

6/8/2010Herman Levy, MD 34010RN129055Marat, Patti Lorri 8771 815 Chapel Crossing Road Brunswick, GA 31525

1/11/2016Donald Fordham, MD 44718RN214493Marbut, Holly 14947 865 Austin Dr Demorest, GA 30535

12/30/2014Yvonne Smith, MD 42443RN214493Marbut, Holly Thornton 14080 4910 Jonesboro Rd, Ste 701 Union City, GA 30291

6/21/2019Afaq Gul 64944RN214493Marbut, Holly 42718 243 Union Point St Lexington, GA 30648

Monday, August 1, 2022 Page 269 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2017Luis Rodriguez, MD 14316RN256861Marcano-Manzanero, Krisola D 41006 5836 Buford Hwy Suite C Norcross, GA 30071

8/31/2020Tyra Harris 61249RN256861Marcano-Manzanero, Krisola 41784 2836 Buford Hwy Suite C Norcross, GA 30071

9/1/2015William Hudson, MD 30484RN155003Marcel, Solange 15509 2000 16th Avenue Columbus, GA 31901

11/8/2013Jose H. Acevedo 25499RN204200Marchant, Whitney M. 11208 1299 Interstate Pkwy Augusta, GA 30909

12/31/2017Gary Billingsley, MD 29582RN204200Marchant, Whitney Mimbs 11785 1215 West Wheeler Pkwy Augusta, GA 30909

9/1/2014Jennifer Dark, MD 66016RN186421Marcius, Marva Montrose 7989 1012 Burleyson Rd Dalton, GA 30720

2/1/2017Alicia Weksler, MD 37924RN186421Marcius, Marva Monrose 13926 1012 Burleyson Rd Dalton, GA 30720

7/22/2021Candice Darville 80487RN186421Marcius, Marva 47758 101 Yellow Jacket Drive Clhoun, GA 30701

2/10/2018Amr Agha, MD 37741RN186421Marcius, Marva Monroe 41434 962 Joe Frank Harris Pkway Suite 102 Cartersville, Ga 30120

2/20/2020David M.Alvarez, MD 45695RN186421Marcius, Marva Monroe 41435 313 Boynton Dr. Ringgold, Ga 30736

11/12/2021Andrea Kovack 55833RN186421Marcius, Marva 57736 101 Yellow Jacket Drive Calhoun, GA 30101

10/28/2021Naima Cheema 62362RN161635Marcum, Christian 58174 1250 Upper Hambree Suite B Roswell, GA 30076

5/4/2011John Coleman, MD 48498RN161635Marcum, Christian Leigh 1845 3193 Howell Mill Rd, Suite 215 Atlanta, GA 30327

10/27/2021Lasonya Roberts-Lopez, MD 52818RN161635Marcum, Christian Leigh 40719 699 Church St Suite 235 Marietta, GA 30060

10/27/2021Thomas Morrow, MD 39879RN161635Marcum, Christian Leigh 11940 5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

1/17/2019Marti Gibbs, MD 49294RN201550Marder, Judith Lauren 19541 4222 Fairbanks Dr. Oakwood, GA 30566-2811

1/17/2019Jack Copeland, MD 30289RN201550Marder, Judith Lauren 19359 725 Jesse Jewell Pkwy. SE Gainesville, GA 30501-3834

1/31/2021Shravan Kethireddy 79750RN201550Marder, Judith 45024 743 Springs Street Gainesville, GA 30501

9/24/2020Pinkesh Bhuta 62656RN195223Maresca, Amy 46706 1700 Medical Way Snelleville, GA 30078

9/30/2020Michele Shumpert, MD 66322RN195223Maresca, Amy Carmichael 19397 4356 Communications Dr. Norcross, GA 30093

2/13/2016Roger Hill, DO 28277RN197666Margrave, Amy Rebecca Danfor 12511 1810 White Circle Marietta, GA 30060

9/27/2021Gerald Filmore 50288RN192941Markham, Eric 53206 5885 Glenridge Dr. Suite 100 Atlanta, GA 30328

8/10/2021Lee Jacobs 28283RN247910Markham, Meghan 52876 111 Mountian Brook Dr. Suite 100 Canton, GA 30115

9/23/2020Piotr Skowronski 65617RN129040Markwalter, Gena 47795 3675 J. Dewey Grey Circle Ste. 300 Augusta, GA 30909

9/23/2020Christopher Hogan, MD 67229RN129040Markwalter, Gena 20164 3675 J. Dewey Gray Circle ste. 300 Augusta, GA 30909

9/23/2020Ellen Shaver, MD 41670RN129040Markwalter, Gena Lynn Johnso 14078 840 Stevens Creek Rd. Augusta, GA 30907

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/23/2020Connie Trello, MD 43495RN129040Markwalter, Gena 15867 1350 Walton Way 3rd Floor Critical Care Augusta, GA 30901

2/17/2009Claire Mazewski, MD 46619RN069888Marlow, Louise Ann 1853 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

1/4/2015Messner, Stephen MD 59282RN069888Marlow, Louise 10359 1001 Johnson Ferry Road, Ste 500 Atlanta, GA 30342

7/18/2020Lawerence Zottoli 36639RN264906Marmolejo, Margarita 46893 4704 Augusta Rd Savannah, GA 31401

12/5/2015Mark Wulkan, Md 45676RN209008Marquez, Orlin Yared 15157 1405 Clifton Rd. NE Atlanta, GA 30322

2/8/2017Terry Hansen, MD 47330RN209008Marquez, Orlin Yared 16802 184A Professional Dr. Baldwin, GA 30511

11/20/2019Adolfo Molina, MD 24166RN209008Marquez, Orlin Yared 38797 3182 Shallowford Rd. NE Chamblee, GA 30341

10/1/2021Sarita Prasad 73372RN209008Marquez, Orlin 43011 1655 Tullie Cir NE Suite E Atlanta, GA 30329

12/10/2015Lawrence Powell, MD 38915RN171405Marrero, Isla Starr 12526 Take Care, 1490 Pleasant Hill Rd Duluth, GA 30096

1/25/2021Bhavika Patel 76120RN267705Marri, Aruna 55327 6435 Bells Ferry Road Suite 110 Woodstock, GA 30189

12/5/2020Safia Pirani 56624RN267705Marri, Aruna 52790 3660 Market Street Clarkston, GA 30021

8/17/2019Aziz Pirani, MD 61934RN267705Marri, Aruna 40802 3660 Market Street Clarkston, GA 30021

5/20/2022Sylvia Akenji 88231RN267705Marri, Aruna 58913 696 Grayson Hwy Lawerenceville, GA 30046

11/15/2018John Chung, MD 41532RN233824Marrs, Carol Beth 13691 1107 Memorial Dr, Suite 201 Dalton, GA 30720

9/15/2015Paul Hawkins, MD 54741RN140924Marsh, Helen Marie 15302 4421 Carnes St Acworth, GA 30101

5/6/2019Jaymal R Patel, MD 50984RN140924Marsh, Helen Marie 40676 940 C GA Hwy 96 Warner Robins, GA 31088

5/6/2019Stewart Van Grizzard 43948RN140924Marsh, Helen Marie 41085 940-C GA HWY 96 Warner Robins, GA 31088

11/20/2020Derek Culhan 77246RN164538Marshall, Cynthia 48901 3675 J Dewey Gray Circle Suite 300 Augusta, GA 30909

2/23/2021Allen Solomon 28465RN288791Marshall, Sarah 54489 110 Park City Rd Rossville, GA 30741

3/25/2016Matthew Whitley, MD 66673RN166850Marshall, Emily L 16370 5455 Meridian Mark Rd. #130 Atlanta, GA 30342

11/25/2016Raymond Jarvis, MD 45505RN199472Marshall, Shawanda Latrece 12996 330 Turner McCall Blvd, Suite 300 Rome, GA 30165

5/1/2022Donovan Christie, MD 44432RN155764Marshall, Tracey Tamar 1855 725 N. Central Ave Hapeville, GA 30354

11/1/2010Kathleen Long, MD 38549RN116159Martin, Cynthia Louise Walls 1862 2230 Towne Lake Pkwy, Bldg 1100, Ste 140 Woodstock, GA

7/25/2011Valens Plummer, MD 49496RN052052Martin, Jacquelyn Denise 1867 3800 Princeton Lake Pkwy SW Atlanta, GA 30331

8/24/2016Leslie Cottrell, MD 45194RN112921Martin, Jim Glen 1868 1600 Maple Street, UWG Health Svcs Carrollton, GA 30118

12/31/2021Bradley George, MD 46408RN167333Martin, Melissa Anne 1872 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/9/2010Joseph Hormes, MD 29674RN141514Martin, Rebecca Jeanne 1873 780 Canton Road, Suite 400 Marietta, GA 30060

9/20/2021Dwayne Gard 60731RN173525Martin, Dawn 58386 107 Southern Blvd Suite 203 Savannah, ga 31405

7/31/2017Michelle Morgan, DO 51694RN052052Martin, Jacquelyn Denise 9563 3800 Princeton Lake Pkwy Sw Atlanta, GA 30331

9/30/2016Kirpich Joseph, MD 54904RN133278Martin, Sharalyn Marrion 14393 990 Peachtree Ind Blvd Suwanee, GA 30024

12/31/2018Bobby Crocker, MD 48343RN147388Martin, Cecile 21222 424 Decatur St. Atlanta, GA 30312

9/17/2019Amy Hardin, MD 35307RN160199Martin, Jennifer Susanne 15272 250 Parkbrooke Place, Ste 200 Woodstock, GA 30189

8/23/2013Mark Albritton, MD 55912RN147969Martin, Ashley Elaine 12088 105 Regency Park Dr McDonough, GA 30253

6/19/2017Mae Morgan, MD 22902RN147388Martin, Cecile Ann 18369 424 Decatur St. Atlanta, GA 30312

12/1/2021Mark Wilson 69737RN199617Martin, Sandra 44502 760 26th Avenue SE Moultrie, GA 31768

1/31/2021Neil Kahn 30489RN159956Martin, Jackie 46292 1000 Medical Center Blvd Lawerenceville, GA 30046

3/4/2019Michael Poss, MD 33881RN112921Martin, James Glen 41580 1601 Maple Street Carrollton, Ga 30118

8/21/2017Patrick S. Spafford, MD 38971RN248775Martin, Lindsey 17590 1001 Johnson Ferry Rd., NE Atlanta, GA 30342

8/1/2019Cassandra B. Donnelly, MD. 68144RN241922Martin, Babayev 39768 6063 Peachtree Corners Peachtree Corners, Ga 30092

6/15/2020Madeline Santos Vega 74351RN199617Martin, Sandra 43782 760 26th Avenue SE Moultrie, GA 31768

10/19/2019Mitzi Rubin 49591RN204463Martin, Stephanie 42907 1227 Rockbridge Rd Stone, GA 30087

5/16/2018Stephen Lasher Jr., MD 75698RN210716Martindale, LaWanda Lynn 18872 925B Peachtree St. NE ste.830 Atlanta, GA 30309

7/19/2020Jonathan M. Flacker, MD 48148RN210716Martindale, Lawanda Lynn 40043 2084 Headland Dr. East Point, GA 30344

5/1/2018Matthew Hogan 61895RN210716Martindale, Lawanda 41639 2701 N. Decatur RD Decatur, GA 30033

9/21/2018Anthony M. Nazione, DO 73511RN216925Martinez, Nancy Kool 39896 6000 Joe Frank Harris Parkway NW Adairsville, GA 30153

6/24/2015Gordana Lovrekovic Zakula, MD

50404RN211995Martinez, Valerie Candice 13629 4750 Waters Ave. Ste 301 Savannah, GA 31404

11/9/2021Sherri Barton 48595RN218612Martinez, Angelisse 48241 6158 Highway 92 Suite 101 Acworth, GA 30102

11/6/2020Victor Alvarez 53971RN154263Martin-Jackson, Bessie 54630 1230 Peachtree Street NE, 19th Floor Atlanta, GA 30309

1/25/2021Teresa Clark 20417RN209720Martino, Laura 20262 5949 Buford Hwy Norcross, GA 30071

5/11/2015William Parrish, MD 9905RN209720Martino, Laura Catherine 12993 3001 Mercer Univ Dr, Suite 206/Sheffield Atlanta, GA 30341

3/6/2017John R. Kludt, MD 34876RN209720Martino, Laura Catherine 13128 3700 Club Drive Lawrenceville, GA 30044

Monday, August 1, 2022 Page 272 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/4/2014Guy Augustin, MD 70852RN197990Martyn, Elizabeth A 13995 1153 North Liberty St. Nicholls, GA 31554

6/23/2014Hamza Gorsi, MD 66495RN216845Marucco, Kathryn Mary 12041 East GA Healthcare Ctr, 404 Savannah Ave Statesboro, GA 3

4/15/2016Cheryl Perkins, MD 36430RN216845Marucco, Kathryn Mary 14643 1497 Fair Rd, Ste 200 Statesboro, GA 30458

11/30/2018Judith Bennett, MD 33026RN135286Marvets, Patricia Diane 14369 1600 Fort Benning Rd Columbus, GA 31903-2834

11/30/2018Kimberly Brown-Gullatt, MD 55549RN135286Marvets, Patricia 40603 1600 Fort Benning Rd Columbus, GA 31903

12/31/2016Jada Moore-Ruffin, MD 57395RN085001Maschinot, Eve Marie 19104 30 Warren St. Atlanta, GA 30317

3/14/2019Ella Gillespie, MD 69598RN085001Maschinot, Eve Marie 40116 30 Warren Street Atlanta, GA 30317

4/26/2021Melissa Rampal, MD 69129RN223522Mason, James C 39554 2225 US Hwy 41N Tifton, GA 31794

12/21/2021Sheila Southerland 55894RN164742Mason, Patricia 39312 902 N. 7th Street Cordele, GA 31015

8/25/2021Wallace Ajakaiye, MD 72271RN164742Mason, Patricia 20086 1014 West Franklin Steet Sylvester, GA 31791

10/1/2018Michele M. Mitchell, MD 71254RN164742Mason, Patricia 40870 1111 Glynco Parkway (Bldg 1 Suite 10) Brunswick, GA 31525

6/27/2022Barbara Weissman 32082RN159933Mason, Angela 41882 1400 Tullie Rd. (Suite 420) Atlanta, GA 30329

8/31/2021Stephen Fleming 63325RN225855Mason, Alexandria 54298 745 South Milledge Ave Suite 1A Athens, GA 30605

2/12/2016Johnson, Paul MD 46132RN193287Mason, Emily 10771 1001 Johnson Ferry Rd Atlanta, GA 30342

11/1/2018John Day, MD 38464RN215647Massaud, Kadesha Saghier 18136 300 Tower Rd., Ste 200 Marietta, GA 30060

1/31/2018Robert Kelly, MD 34384RN115838Massey, Doreen 16306 1515 River Place, Ste 100 Braselton, GA 30517

7/1/2015Shannon Cole, MD 51761RN133970Massey, Liza Nicole 14822 106 A Professional Dr, Ste 370 Lawrenceville, GA 30303

9/18/2015John DeSimone, MD 19930RN144412Massey, Kimberly 14951 611 E Washington Ave Ashburn, GA 31714

6/17/2020Mariel Hepburn, MD 74668RN144412Massey, Kimberly D 16486 611 East Washington Av Ashburn, GA 31714

12/22/2014James Graham, MD 30071RN144412Massey, Kimberly D. 12674 2225 Hwy 41 North Tifton, GA 31794

10/19/2015Dixie Griffin, MD 63661RN144412Massey, Kimberly D 14091 39 Kent Rd, Ste 5 Tifton, GA 31794

8/27/2021Brian Griner 46966RN220304Massey, Ashley 45794 3301 N Oak Street Ext Valdosta, GA 31605

9/30/2017Melinda Williams-Willingham, MD

45669RN133970Massey, Liza Nicole Gilford 20046 4112 E. Ponce de Leon Ave. Clarkston, GA 30021

5/1/2020Mitzie-Ann Davis, MD 75326RN265852Massey, Megan Naylor 42397 1279 Hwy 54 W Fayetteville, GA 30214

5/31/2014George Katsitadze, MD 52456RN133970Massey, Liza Nicole 9937 976 Killian Hill Rd, Bldg A, Ste B Lilburn, GA 30047

Monday, August 1, 2022 Page 273 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2018STEVEN DUROCHER MD 56051RN262737MASSOUD, JESSICA HENRIETTA 40126 4835 SUGARLOAF PKWY SUITE 200 LAWRENCEVILLE, GA 30

4/13/2020Carter Co., MD 61054RN217253Matey, Andrew S. 20167 600 Celebrate Life Parkway Newnan, GA 30265

5/18/2018Peter Barrett, MD 69372RN217253Matey, Andrew Simon 15278 95 Collier Rd NW, Ste 5015 Atlanta, GA 30309

11/20/2020Alexander Osowa, MD 57551RN181680Mathador, Andrea 40842 2805 Hamilton Mill Rd Buford, GA 30519

4/19/2021Sherry Tayler Akers 38630RN251923Matheka, Sarah 55127 20 Herrell Rd Villa Rica, GA 30180

12/1/2021Heather Ford 85921RN251923Matheka, Sarah 52186 20 Herrell Road Villa Rica, GA 30117

10/21/2020Kenneth Genova 36977RN251923Matheka, Sarah 44726 20 Herrell Road Villa Rica, GA 30180

11/29/2021Catherine Dickens 35240RN248214Matheny, Jessica 58731 14089 Abercorn Street Savannah, GA 31419

2/18/2020Paxton, William MD 46206RN188635Mathes, Sherry Lynn Gill 10268 595 Hurricane Shoals Rd NW, Suite 100 Lawrenceville, GA 3

5/19/2018STEVEN SIGMAN MD 36612RN161615MATHEW, PREETHY KOOTHUR 39811 1968 PEACHTREE RD NW ATLANTA, GA 30309

5/19/2018Thomas F. Deering, MD 32170RN161615Mathew, Preethy K. 17712 275 Collier Rd. NW, Ste 500 Atlanta, GA `30309

2/1/2021Shyam Khanwani, MD 51672RN164716Mathis, Jessica Nicole 19658 132 Old Norton Rd. Fayetteville, GA 30215

1/1/2019Jorge Spinolo, MD 36016RN164716Mathis, Jessica Nicole 19659 1045 Southcrest Dr. ste. 200 Stockbridge, GA 30281

3/17/2016Samuel Edelman, DO 70804RN160912Mathis, Elizabeth Ruth McKnigh 13546 710 Center St. Columbus, GA 31901

6/5/2017Kenneth Patric, MD 69243RN115936Mathis, Stephanie 14924 3600 Dallas Hwy SW Marietta, GA 30064

6/1/2016Kalpana Nayak, MD 26049RN138004Mathis, Scott Eugene 11841 1912 Memorial Dr Waycross, GA 31501

12/31/2014Bhumiben Purohit, MD 58812RN115936Mathis, Stephanie Latrell 12736 1890 Manor View Cumming, GA 30041

10/20/2014Susan Thomas, MD 67173RN115936Mathis, Stephanie Latrell 12913 5985 Peachtree Pkwy Norcross, GA 30092

9/30/2011Patrick Voswinkel, MD 42760RN115936Mathis, Stephanie Latrell 7772 10475 Medlock Bridge Rd, Suite 815 Duluth, GA 30097

1/1/2020India K. Robinson, MD 76451RN149754Mathis, Heather Marie 39738 1010 Hospital Drive (Bldg B) Stockbridge, GA 30281

4/19/2019Stephanie Gordon, MD 49382RN197036Mathis, Kimberly Brooke 20594 140 Eagle Spring Ct. Stockbridge, GA 30281

9/23/2021Kristine Briones Mull 64783RN199053Mathis, Brandi Spikes 40963 302 Shorter Avenue Rome, GA 30165

11/1/2021Anastasios Polimenakos, MD

71271RN214012Mathis, Lauren Jean 20174 1120 15th St. ste. BA-8300 Augusta, GA 30912

10/30/2021Sheetal Patel 71522RN164716Mathis, Jessica 55348 3886 Princton Lakes Way, SW Suite 200 Atlanta, GA 30331

10/1/2011Wu, Changchun MD 61537RN125771Mathis, Heather 10081 65 Old Jackson Road McDonough, GA 30252

Monday, August 1, 2022 Page 274 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/26/2013Nowlin, Phillip MD 36588RN115936Mathis, Stephanie 10198 491 East Main Street Cartersville, GA 30121

10/31/2020Shannon Vaughn 46000RN199053Mathis, Brandi 48424 330 Turner McCall Blvd Suite 103 Rome, GA 30165

12/28/2016Forte David McEachin, MD 44017RN142973Mathis, Jessica Hunter 1889 PO Box 929 Tifton, GA 31793

10/1/2011Julian McLendon, Jr., MD 38557RN149754Mathis, Heather Marie 9746 1502 West 3rd St Jackson, GA 30233

3/31/2022Shaun Conlon 62828RN195570Mathurin, Kettia 54843 5667 Peachtree Dunwoody Rd Suite 260 Atlanta, GA 30342

8/22/2014Valens Plummer, MD 49496RN145196Matson, Sharon Templeton 12537 5320 Memorial Dr Stone Mountain, GA 30083

1/1/2020Dan O Ioanitescu 51476RN118570Matthews, Cheryl Mitzi 41366 1601 Watson BLVD Warner Robins, GA 31093

5/31/2011Mohammad Sl-Shroof, MD 45158RN118570Matthews, Mitzi Little 1894 2054 Watson Blvd Warner Robins, GA 31093

3/15/2012Hamm, Michael DO 49021RN211306Mattox, Julie 10181 410 Darling Avenue - Emer Dept Waycross, GA 31501

9/21/2011Ahmad Irfan, MD 41584RN211306Mattox, Julie Griner 9449 2003 Pioneer St, Suite A Waycross, GA 31501

5/9/2012Deen, Michael MD 58459RN211306Mattox, Julie 10495 204 E. 15th Street Alma, GA 31510

2/5/2022James French 58959RN271830Mauldin, Tayler 45669 460 Northside Chrokee Blvd Suite 410 Canton, GA 30115

1/29/2018David Troy Fletcher 59718RN213689Mauney, Jamie Nicole 41348 1550 Eatonton RD Madison, GA 30650

2/1/2018Brian Adams, MD 70842RN213689Mauney, Jamie Nicole 20991 1620 Prince Avenue Athens, GA 30606

11/17/2021Beverly Love 60762RN264469Maxwell, Cynthia 59056 1757 Rock Quarry Rd Stockbridge, GA 30381

7/20/2016Ram Reddy, MD 24178RN201747May, Amie Patricia 13289 1061 Dowdy Rd, Suite 100 Athens, GA 30606

1/17/2020Andrew Dean Magnet 60215RN261092May, Connie Marie 39313 1932 Wynnton Road Columbus, GA 31999

12/7/2017William Tidmore Jr., MD 41978RN223782May, Megan Marie 18898 2412 N. Oak Street Valdosta, GA 31602-2567

11/16/2009Nimisha Trivedi, MD 53715RN175909Mayaki, Oluwatoke Abidemi 8350 3778 Hwy 42 Locust Grove, GA 30248

11/12/2019Arthur Yancey 36909RN238350Mayberry, Shara 43538 745 Memorial Drive Atlanta, GA 30316

12/1/2016Sheree Walker, MD 66435RN238350Mayberry, Shara 16165 484 Irvin Ct Decatur, GA 30030

10/1/2018Lucas Golub, MD 74186RN238350Mayberry, Shara Denise 19454 484 Irvin Ct. ste. 240 Lilburn, GA 30030

9/2/2014Janet Memark, MD 64415RN238350Mayberry, Shara Denise 13694 1790 Mulkey Rd, Ste 10 Austell, GA 30106

8/6/2015Richard Gitomer, MD 25754RN238350Mayberry, Shara Denise 14170 550 Peachtree St N E Atlanta, GA 30308

9/3/2021Veronica Garrett, MD 39106RN159998Mayfield, Shannon Marie 13249 1415 Milstead Rd, Ste A Conyers, GA 30012

12/13/2021Dorel Bidiuc, MD 51296RN169618Mayo, Jesse Ray 12543 707 Old Dalton Ellijay Rd, Emer Dept Chatsworth, GA 30705

Monday, August 1, 2022 Page 275 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/15/2013Dillon D. Miller, MD 67508RN169618Mayo, Jesse R. 11453 101 Riverstone Vista Blue Ridge, GA 30513

12/25/2015Thuy T. Bui, MD 49276RN085532Mayton, Melinda 11510 P.O. Box 422022 Atlanta, GA 30542

1/4/2019Glenn Fussell 26777RN237573Mayzik, Kalyne 43065 2827 Warm Springs Rd Columbus, GA 31904

5/31/2020Cindy Parker 45571RN237573Mayzik, Kalyne 49047 3465 D Macon Rd Columbus, GA 31907

5/15/2019Maiysha Clairborne, MD 55194RN181352Mazzolini, Olivia Ann 19181 1000 Johnson Ferry Rd. ste. B155 Marietta, GA 30068

3/10/2020Pablo Quintanilla, MD 17546RN181352Mazzolini, Olivia Ann 18666 3369 Buford Highway ste. 810 Atlanta, GA 30329

5/30/2015Frederick Burton, MD 38434RN155427Mbah, Linda 15453 1735 S Hwy 27 Carrollton, GA 30117

3/26/2019Richard Antonio, MD 74176RN155427Mbah, Linda 16079 484 Irvin Court Decatur, GA 30030

9/1/2012Michelle Evans, MD 52171RN155427Mbah, Linda Angela 8768 105 Collier Rd NW, Suite 4050 Atlanta, GA 30309

8/1/2009David Blake, MD 40613RN155427Mbah, Linda Angela 1903 54 Peachtree Park Drive Atlanta, GA 30309

12/10/2020Bryan Kirkland 57712RN212285Mbapeh, Anke 47094 1016 East Spring Street Monroe, GA 30655

2/22/2022Elijah Robinson 81173RN212285Mbapeh, Anke 47612 745 Memorial Drive Alanta, GA 30316

5/13/2020Elijah Robinson 81173RN212285Mbapeh, Anke 47817 745 Memorial Drive Atlanta, GA 30316

11/12/2019Arthur Yancey 36909RN212285Mbapeh, Anke 43539 745 Memorial Drice Atlanta, GA 30316

8/27/2021MARK CHASTAIN MD 48995RN234137MCALLISTER, ALLIE 40221 835 COGBURN AVE SUITE 100 MARIETTA, GA 30060

8/3/2020Garrett Bennett 51784RN167880McAllister, Kelli 51870 208 N Cuthbert Street, PO Box 7 Colquitt, GA 39837

9/1/2020Jessica Stepp 69261RN270673McArthur, Katherine 51164 48 Hills Creek Rd Taylorsville, GA 30178

7/12/2012Paul Kirshbom, MD 51593RN160103McBrayer, Melanie Higgins 1908 1405 Clifton Rd Atlanta, GA 30322

7/22/2020Lawrence Reccoppa 69940RN188250McBrayer, Sherri 46127 3120 N. Oak St. Extension, Suite C Valdosta, Ga 31602

9/21/2018Tobi Okafo 57411RN188250McBrayer, Sherri 41790 119 Norman Dorminy Dr Suite B Fitzgerald, GA 31750

1/30/2017 Brian Kogon, MD 53322RN160103McBrayer, Melanie Higgins 10930 1405 Clifton Road Atlanta, GA 30322

12/28/2016Theresa Hudson, MD 39594RN095698McBride, Veronica Elaine 17265 5448 Whittlesey Blvd, Ste B Columbus, GA 31909

6/1/2012Pablo Balboa-Marciack, MD 55409RN112936McBryar, Lisa Paige 1911 100 Hospital Court Calhoun, GA 30701

10/2/2009Ramie Tritt, MD 20005RN112936McBryar, Lisa Paige 8567 5555 P'tree Dunewoody Rd, #125 Atlanta, GA 30342

10/1/2021Eugene Sun 62170RN188250McBryer, Sherri 52612 1102 Smith Ave Suite K Thomasville, GA 31793

11/26/2021Lashaunda Williams 76992RN244738McCall, Hannah 54851 1058 Bear Ceek Blvd Hampton, GA 30228

Monday, August 1, 2022 Page 276 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2020Donell Collins 74241RN199505McCall, Dwidgelyne 45673 1829 Lawrenceville Highway Decatur, GA 30033

1/3/2011Catherine James-Peters, MD 63671RN093653McCall, Laurie A. McLeod 9077 454 Smith Ave Thomasville, GA 31792

4/10/2019Brandi Warren, DO 61681RN093653McCall, Laurie 10207 809A 11th Avenue East Cordele, GA 31015

10/22/2009Calvin Reams, MD 19585RN093653McCall, Laurie A. McLeod 8276 951 South Broad Street Thomasville, GA 31792

8/25/2011Ganiat Ajayi, MD 47776RN050734McCall, Nancy Fletcher 1912 4330 South Lee St, Bldg 600 Buford, GA 30518

11/1/2014Abiola Babalakin, MD 62467RN050734McCall, Nancy F. 11388 2089 Teron Trace, Ste 225 Dacula, GA 30019

6/26/2013Maria Walker, MD 25306RN139162McCall-Gaston, Natalie Yvonne 11934 5040 Snapfinger Woods Dr, Suite 108 Decatur, GA 30035

7/5/2016Deslyn Olunuga, MD 73906RN139162McCall-Gaston, Natalie Yvonne 16860 1670 Clairmont Rd Decatur, GA 30033

9/6/2015Harris Tyra, MD 61249RN139162McCall-Gaston, Natalie 15188 794 S Park St Carrollton, GA 30117-3826

2/15/2022Sylvia Akenji 88231RN234375McCallister, Sonia 59219 1850 East-West Connector Augusta, GA 30106

11/17/2019Malik, Saleem MD 44523RN065692McCann, Michael 10707 1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/29/2020Michael Salvia 38945RN089320McCard, Susan 51679 1117 Morningside Drive Perry, GA 31069

4/12/2020Khaja Mohammed 70487RN219753McCarley, Kelly 44669 425 W 3rd Avenue Suite 600 Albany, GA 31701

5/31/2019David Green 81445RN281596McCarthy, Keira 43336 1200 Memorial Drive Dalton, GA 30720

4/22/2019Stephanie Eaton, MD 44204RN192261McCarthy, Melissa Smith 12742 5505 Peachtree-Dunwoody Rd, Suite 370 Atlanta, GA 30342

7/1/2020Patrick McDougal 57110RN224258McCaw, Colleen 45675 1000 Medical Center Blvd Lawrenceville, GA 30046

4/22/2019Vivian Lennon, MD 43121RN210408McCier, Khelsea 18173 4166 Buford Hwy. Atlanta, GA 30345

11/1/2017Griner, Brian MD 46966RN173621McClain, Lindsey 10822 117 West Northside Drive Valdosta, GA 31602

4/26/2019Melanie Johnson-Pointer 68037RN184416McClain, Enika 41791 1640 Powers Ferry Rd SE Building 9 suite 330 Marietta, GA 3

4/27/2020Kenneth E. Jones 24000RN184416McClain, Enika LaTara 39998 6325 Shannon Parkway Union City, Ga 30291

1/31/2022Susan Mahany 39860RN222787McClellan, Margaret 53799 5353 Reynolds Street Suite 107 Savannah, GA 31405

3/24/2021Patrick Dorvilus, MD 60450RN222787McClellan, Margaret Fitch 18635 124 Savannah Ave, Ste 1C Statesboro, GA 30458

12/31/2021Thomas Campen 32147RN239063McClelland, Misty 53423 541 Historic Hwy 441-N Demorest, GA 30535

4/22/2022Guido Ring 45325RN208599McCluster, April 57315 2002 Tift Avnue N Tifton, GA 31794

5/7/2013Lionel Meadows, MD 45550RN054949McCollum, Joyce Ann Wilkinson 1920 121 North Big A Road Toccoa, GA 30577

Monday, August 1, 2022 Page 277 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2008Laura Weakland, MD 39505RN102128McCollum, Kennon Howard 1921 550 Peachtree St, Suite 1185 Atlanta, GA 30308

11/30/2010Shyam Khanwani, MD 51672RN120356McCollum, Kennon Howard 8269 1250 Hwy 54 West, Suite 102 Fayetteville, GA 30214

7/1/2020Stephen L. Little, MD 35933RN054949McCollum, Joyce Ann Wilkinson 19503 274 Big A Rd. Toccoa, GA 30577

10/31/2016Louis Fernandez, MD 39790RN054949McCollum, Joyce Ann Wilkinson 12707 274 Big A Rd Toccoa, GA 30577

5/30/2020Mohan Papudesu 29063RN233349McConnell, Kimberly 43090 603 E. Lamar Street Amricus, GA 31709

10/3/2018Holly G. Coleman, MD 46837RN234155McConnell, Derick Stephen 20800 440 Washingston Street Gainesville, GA 30501

11/20/2018Aderemi S Dosunmu, MD 47893RN109526McCook, Joyce Michele 40685 1435 North Expressway Griffin, GA 30223

3/1/2020James Lemley, MD 29023RN149422McCord, Frances Amy 17849 505 Mt. Pleasant Rd. Thomson, GA 30824

3/31/2016M. Frank Powell, MD 23663RN149422McCord, Frances A. 11579 464 Mt. Plesant Rd. homson, GA 30824

5/15/2019Jha, Asit MD 55248RN214963McCormick, Marie 10305 1451 Church Street Waycross, GA 31501

6/4/2019Thomas Williamson, MD 42144RN140719McCormick, Janet Ann 20955 80 West Main Street Butler, GA 31006

5/23/2018Parkaj Agrawal, MD 77347RN274721McCormick, Cory 41710 2501 Patterson Street Valdosta, Ga 31602

2/9/2021Charles Alexis 64716RN096899Mccoy, Sherry 44340 2209 Pineview Drive Valdosta, GA 31602

11/23/2020Lisa Rudolph Watson 42414RN096899McCoy, Sherry 42687 1102 Smth Ave Thomasville, GA 31792

6/7/2021Karen Frank, DO 69193RN179017McCoy, Nancy Sue 17321 1244 Historic Homer Hwy Homer, GA 30547

4/27/2018Joseph Verdun, MD 61675RN249407McCoy, LaBraile Unique 21196 868 York Ave. SW Atlanta, GA 30310-2750

1/1/2017Rober Schultz, MD 18949RN181259McCoy, Tami Star Trinkle 18292 5445 Meridian Mark Rd. ste. 420 Atlanta, GA 30342

9/3/2015Jason Berner, MD 48322RN181259McCoy, Tami Star Trinkle 13676 120 Oakside Crt, Ste H Canton, GA 30114

11/17/2015Muhammad Alam, MD 69167RN096899McCoy, Sherry Marie Hay 12679 3015 Veternas Pkwy Moultrie, GA 31788

7/1/2014Wanda Gobin, DO 53912RN096899McCoy, Sherry Marie Hay 11668 3015 Veterans Pkwy Moultrie, GA 31788

3/4/2016Morris Pulliam, MD 34223RN179017McCoy, Nancy Sue 13838 1244 Historic Homer Hwy Homer, GA 30547

7/31/2014Melissa Sanchez Quiros, MD 64056RN179017McCoy, Nancy Sue 1932 1244 Historic Homer Hwy Homer, GA 30547

3/26/2022Edward Whelen 24373RN171696McCoy, Ksena 59359 4700 Waters Ave Savannah, GA 31404

5/12/2021Jason Jian 67335RN246456McCracken, Jamie 57318 833 Campbell Hill Street Suite 350 Marietta, GA 30060

5/28/2021Randy Warner 53905RN246456McCracken, Jamie 54593 690 Dallas Hwy Suite 201 Villa Rica, GA 30180

Monday, August 1, 2022 Page 278 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/25/2012Fisher, Neil MD 61733RN054448McCrary, Linda 10331 3262 Highway 252 Folkston, GA 31537

9/18/2019Milan Mehta 60221RN256978McCrea, Sarah Lindsey 39352 450 Northside Cherokee Blvd. Canton, GA 30115

12/1/2019Maged Abdelmalik, MD 55077RN267626McCreadie, Victoria Ann 38729 2383 3rd Street Folkston, GA 31537

1/10/2020Jonathan Williams 59237RN127394McDade, Sharon 45027 201 Woodrow Wilson Drive Valdosta, GA 31602

6/17/2019Thomas Warren Hobby 48647RN127394McDade, Sharon 42020 2209 Pineview Drive Valdosta, GA 31602

1/1/2014Guillermo Saurina, MD 48570RN127394McDade, Sharon Renee 9685 2301 N. Ashley St Valdosta, GA 31602

10/12/2018Jonathan Wade, DO 66666RN127394McDade, Sharon Renee 20036 201 W. McPherson Ave. Nashville, GA 31639

10/3/2016James Gore, MD 36384RN122985McDaniel, Rebecca Lea Palmer 13610 1657 North Expressway Griffin, GA 30223

9/1/2019Abhhinav Saxena 73257RN207602McDaniel, Karen 45168 2225 US HW 41 Tifton, GA 31794

1/19/2019Reuben Roberts, Jr 17944RN207602McDaniel, Karen 43400 215 E. 13th Avenue Cordele, GA 31015

5/10/2019Robert Daniels 51408RN201840McDaniel, Erica 42981 775 Sunset Dr Athens, GA 30606

4/29/2021Darren Dillard 82471RN284318McDaniel, Jasmine 49474 9390 The Landing Drive Douglasville, GA 30135

1/18/2020Daniel Williams 37926RN201840McDaniel, Erica 45934 107 Star St. Bethlehem, Ga 30620

1/31/2021Amanda Cowan 50793RN201840McDaniel, Erica 48767 1096 Bermuda Run Rd Statesboro, GA 30458

6/1/2021Rani Reddy 34450RN201840McDaniel, Erica 55591 106 Briarwood Rd Statesboro, GA 30458

10/7/2019KEVIN NAPIER MD 40749RN122985MCDANIEL, REBECCA 39814 619 S 8TH ST SUITE 200 GRIFFIN, GA 30224-4260

7/17/2018Laura Towater 65802RN234318McDaniel, Jasmine 39316 235 Peachtree Street, N.E.North Tower, #2100 Atlanta, GA 3

2/25/2020Richard Chase, DO 17784RN207602McDaniel, Karen Ashley 18880 1401 South Main St. Moultrie, GA 31768

5/10/2019Ricardo Duran 69124RN201840McDaniel, Erica 43954 775 Sunset Dr Athens, GA 30606

11/19/2021Alexandra Feliciano Aponte

76989RN201840McDaniel, Erica 58116 3010 Powell Place Statesboro, GA 30458

10/31/2021Kris Manlove-Simmons 57748RN234318McDaniel, Jasmine 57256 9390 The Landing Drive Douglasville, GA 30135

7/1/2012Madhavi Rayapudi, MD 50861RN171593McDaniels, Deborah Tracy 8106 1400 Northside Forsyth Drive, Suite 340 Cumming, GA 3004

9/11/2015Richard L. Baldwin, MD 23894RN226556McDonald, Jenna N. 11436 9280 Hwy 5, Suite A Douglasville, GA 30134

10/18/2021Arvin Chakravarthy 68991RN220727McDonald, Alvin 57948 45 N Highland Ave Atlanta, GA 30307

8/22/2014Karuna Shah, DO 43773RN120924McDonald, Jennifer 5452 5211 Highway 278 Covington, GA 30014

Monday, August 1, 2022 Page 279 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/3/2020Thuy Doan 79177RN256746McDonald, Brandee 43617 1834 Clairmont Rd Suite 100 Decatur, GA 30033

2/1/2020Beulette Hooks, MD 41313RN215083McDonald, Marsha-Gail Moniq 38810 11460 Johns Creek Parkway Johns Creek, GA 30097

3/4/2019Michael Poss, MD 33881RN165060McDonald, Jennifer Ward 41578 1601 Maple Street Carrollton, Ga 30118

6/28/2018David Bryant 52394RN275973McDonald, Paul 41793 1215 Eagles Lsnding Parkway Suite 205 Stockbridge, GA 302

4/2/2016Edgar Melendez, MD 41167RN226556McDonald, Jenna 16446 9280 Hwy 5, Ste A Douglasville, GA 30134

6/15/2016Lily Henson, MD 74836RN120924McDonald, Jennifer 16626 5211 Hwy 878 NE Covington, GA 30014

8/12/2020David Hale, MD 62114RN120924McDonald, Jennifer 18643 550 Redmond Rd. Rome, GA 30165

11/2/2015Sonal Hazariwala, MD 54151RN120924McDonald, Jennifer 14000 5211 Hwy 278 NE Covington, GA 30014

11/1/2020Robin Fowler, MD 52931RN154424McDowell, Kelly Marie 11705 1388-A Wellbrook Circle Conyers, GA 30012

2/26/2020Christopher Edens, MD 42042RN236688McDowell, Jason Barret 19273 2011 Commerce Dr., Ste 25 Peachtree City, GA 30269

6/1/2019Sofia Zaman 65324RN174349McDowell, Melissa 43420 210 Collins Industrial Way Lawrenceville, GA 30044

3/7/2022Shama Patel 85053RN236688McDowell, Jason 54595 1412 Milstead Ave NE Conyers, GA 30012

1/25/2021Teresa Clark 20417RN251199McDowell, Lorraine 43022 5949 Buford Hwy Norcross, GA 30071

9/12/2019Adebonale Akintayo 73945RN174349McDowell, Melissa 44191 370 Holcomb Bridge Rd Peachtree Corners, GA 30092

8/22/2018Robert K. Daniels, MD 51408RN174349McDowell, Melissa Ann 41038 775 Sunset Dr. Columbus, GA 30606

1/15/2018Petra Ketterl, MD 69337RN208108McDuffie, DeAndra Darcel 20699 4646 N. Shallowford Rd. Atlanta, GA 30338

11/28/2011Anna Janss, MD 52965RN096562McElfresh, Patricia Barry 1943 1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/19/2020Nathan Polite 72083RN198710McElroy, Collen 46709 55 Whitcher Street Suite 130 Marietta, GA 30060

5/9/2022Lester Robertson Jr. 39666RN206925McElroy, Erica 55829 5400 Sutlive Street Savannah, GA 31405

8/15/2020Drisde Cruz-Martinez 75044RN247893McElveen, Charles 49314 636 2nd Ave. SW Rochelle, GA 31079

8/15/2020Afolabi Tiamiyu 63140RN247893McElveen, Charles 49315 636 2nd Ave.SW Rochelle, GA 31079

12/31/2019Lumawig Munsayac 15028RN247893McElveen, Charles 43288 820 2nd Avenue Eastman, GA 31023

12/18/2018Jose Justiniano-Ayala, MD 46773RN093196McFarland, Carla Sue 13620 118 East Girard St. Cedartown, GA 30125

1/31/2017Dale McGregor, DO 25220RN181453McFarland, Jade Griffin 11680 3131 South Main St Moultrie, GA 31768

1/14/2013Jeffrey Esslinger, MD 45455RN093196McFarland, Carla 11075 300 Courtyard Dr., Ste A Cartersville, GA 30120

1/18/2013Mukul Khurana, MD 58975RN181453McFarland, Jade Griffin 9973 780 26th Ave Moultrie, GA 31768

Monday, August 1, 2022 Page 280 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/14/2021Simon Fensterseaub 83142RN254560McFarlin, Myeisha 53394 101 Stockyard Rd Statesboro, GA 30458

11/24/2014David Roth, MD 54051RN057561McGaha, Delaine 12437 300 First Ave South Reidsville, GA 30453

1/31/2017David Dobson, MD 57160RN057561McGaha, Delaine 14852 300 First Ave South Reidsville, GA 30453

8/28/2021Thoma Buice 51758RN160137McGaha, Charla 47044 801 West Gordon Street Thomaston, GA 30286

10/13/2021David Bray, MD 26464RN213100McGahee, Emily Louanne 20607 870 Austin Dr. ste. C Demorest, GA 30535-4508

5/13/2016Misty Poole, MD 66797RN176173McGee, Amara A 17323 210 Mose Coleman Dr. Vidalia, GA 30474

3/1/2018William Tidmore, Jr., MD 41978RN149417McGhin, Jadan Pinckney 38986 2412 N. Oak Street Valdosta, GA 31602-2567

12/30/2013Dennis Thomas, MD 22898RN054469McGhin, Janie 10931 3374 Greystone Way Valdosta, GA 31605

11/15/2016Julia Ballard, MD 21637RN066539McGill, Wanda Lee Broome 13103 130 Sam Walker Dr, Medical Unit LaGrange, GA 30240

6/20/2013Reginald Orr, MD 54091RN066539McGill, Wanda Lee Broome 1950 1514 Vernon Rd LaGrange, GA 30240

6/1/2012Olabisi Pearse, MD 49717RN139815McGovern, Maureen Patrice 9625 2660 Satellite Blvd Duluth, GA 30096

10/26/2013Kirk-Conrod P. Hewling, MD 57559RN149268McGowan, Monica T. 11548 4250 Brownsville Rd. Powder Springs, GA 30127

4/15/2010Karla Dunbar, MD 47589RN149268McGowan, Monica Trechele Sp 1953 9020 Peridot Pkwy Stockbridge, GA 30281

3/9/2017Frank Bynes, MD 36932RN059933McGowan, Valerie Elaine James 1954 106 Wast Broad St Savannah, GA 31401

2/22/2022Scott Masson 86021RN149268McGowan, Monica 57913 3400 Chapel Hill Rd Douglasville, GA 30135

5/22/2017Miles Johnson, MD 38817RN201165McGowan, Maxine Alberta Eure 8804 3001 South Cobb Dr, Susite 103 Smyrna, GA 30080

8/1/2016Robert Earl Windsor, MD 31857RN149268McGowan, Monica Trechele Sp 10977 2550 Windy Hill Road, Suite 215 Marietta, GA 30067

10/1/2015Adithya Reddy, MD 61509RN149268McGowan, Monica Trechele Sp 13950 2550 Windy Hill Rd., Ste 206 Marietta, GA 30067

11/28/2018Crystal Young, MD 49824RN149268McGowan, Monica 20989 3800 Princeton Lake Parkway Atlanta, GA 30331

12/10/2019Christopher Stevens, MD 54515RN149268McGowan, Monica Trachele Sp 13647 3800 Princeton Lake Pkwy SW Atlanta, GA 30331

5/21/2021Beata Grochowska, MD 50085RN149268McGowan, Monica Trechele Sp 18895 812 S. Park St. Carrollton, GA 30117

11/23/2020John Engel 51217RN201165McGowan, Maxine 49180 156 Pine Knoll Dr Carrollton, GA 30117

7/15/2021Gregory Floyd 51317RN201165McGowan, Maxine 49550 156 Pine Knoll Drive Carrollton, GA 30117

9/23/2019Jennifer Robinson 51369RN201165McGowan, Maxine 44316 156 Pine Knoll Drive Carrolton, GA 30117

2/25/2021Leticia Lindsey 67858RN263628McGowan, Ghana 54671 362 Industrial Park, Dr. NE Lawerenceville, GA 30046

4/25/2019Ross Jacobson, MD 57204RN053124McGuire, John F. 5259 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

Monday, August 1, 2022 Page 281 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/20/2012Robert Mullins, MD 49835RN097828McHatton, Gina Rabun 9833 3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909

7/14/2011Hemant Yagnick, MD 55321RN097828McHatton, Gina Rabun 9381 404 Town Park Blvd, Suite 101 Evans, GA 30809

4/12/2019Stephanie LaFontaine 53475RN280678McHenry-Smith, Jennifer 44674 302 Point North Place Dalton, GA 30720

2/15/2019Ganesh Aswath 79859RN280678McHenry-Smith, Jennifer 43393 302 Pint North Place Dalton, GA 30720-2644

6/1/2021Gerald Bohn, MD 30957RN123403McIlwain, Margaret Ann Linkou 14934 1857 West McIntosh Rd. Griffin, GA 30223

9/4/2019Sofia Munir 68250RN223627McIntire, Shalundrah 45982 1050 Techwood Dr. NW, Mansion 2nd floor Atlanta, Ga 303

2/7/2020Gwendolyn Delaney, MD 49380RN198695McIntosh, Ginger Douglas 19032 410 Peachtree Pkwy. Ste. 4260 Cumming, GA 30041

9/30/2016Kirpich Joseph, MD 54904RN189290McIntosh, Marcia 15680 3575 Koger Blvd, Ste 116 Duluth, GA 30096

6/15/2019Monica Hoffmeister-Becerra, MD

68209RN112961McIntosh, Marie Kathlyn 12292 2122 Mnchester Exprwy, Hosp Med Dept Columbus, GA 319

1/10/2022Gopi Vora 70601RN112961McIntosh, Marie 46914 2122 Manchester Expressway Columbus, GA 31904

10/24/2021Cassandra White 68339GAA-NP000029

McIntosh, Chasitie 57838 1120 15th Street (Surgical Trauma) 1W Augusta, GA 30912

4/13/2012Babalola, Cecilia MD 58389RN217449McIntosh, Brenda 10370 1720 Powers Ferry Road, Ste 100 Marietta, GA 30067

9/1/2017Joseph DeVeau, MD 52706RN211545McIntyre, Jennifer Gregg 9909 101 Yorktown Dr, Suite 100 Fayetteville, GA 30214

12/28/2018Michael Metry 71977RN189636McIntyre, Marcia Elesea 41601 2122 Manchester ExpresWay Columbus, GA 31904

3/24/2021Thomas Steimer, MD 48725RN180990McIntyre-McKay, Florence Ang 19307 3560 Steve Reynolds Blvd. Duluth, GA 30096

11/8/2016Omari Hodge, MD 70459RN180990McIntyre-McKay, Florence Ang 13250 2988 Shallowford Rd Marietta, GA 30066

12/31/2018Robert Kaufmann, MD 30115RN109974McIver, Linda 13277 6085 Lake Forrest Drive Atlanta, GA 30328

5/30/2021Josefina Tan 19193RN093155McKay, Laura 41885 106 East Broad Street Savanna, GA 31401

4/26/2014Anthony Royek, MD 50914RN093155McKay, Laura Marie 5357 4750 Waters Ave, Suite 202 Savannah, GA 31404

1/23/2018Louis Dinatti, MD 49774RN231236McKenna, Sara Beth 19913 707 Old Dalton Ellijay Rd. Chatsworth, GA 30705

5/20/2014Boris Shklyar, DO 65180RN113883McKenna, Candace Habian Cole 12336 10 Whitaker St, Suite A Savannah, GA 31401

5/20/2014Robert A. Mazur, MD 37864RN113883McKenna, Candace Habian Cole 13122 60 Exchange Street, Ste. B-7 Richmond Hill, GA 31324

1/14/2017Theresa Jacobs, MD 46864RN243031McKenzie, Shariah Symone' 18418 5582 Memoria Drive Stone Mountain, GA 30083

1/14/2017Joan James, MD 65263RN243031McKenzie, Shariah Symone' 18889 5582 Memorial Drive Stone Mountain, GA 30083

11/19/202069780RN177936McKenzie-Brown, Camille 54632

Monday, August 1, 2022 Page 282 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/28/2018Michelle Huggins, MD 34368RN182623McKenzie-Ming, Tania Cherese 19393 207 Crestmont Way Canton, GA 30114

5/9/2022Richard Mersberger 55140RN238623Mckinish, Arthur 58657 1245 Noah Drive Jasper, GA 30143

9/28/2017Corazan Tan, MD 36662RN213045McKinney, Leila Nell Manry 19496 6660 Roswell Rd. NE Sandy Springs, GA 30328

6/25/2018Anne Zimmerman, DO 70612RN244776McKinney, Kearra Taushay-Tho 38834 1050 Carl Griffin Drive Savannah, GA 31405

4/17/2020James Stanley Sinclair 36457RN204966McKinnon, Jesse Clayton 38821 1101 Ocilla Road Douglas, GA 31533

8/16/2021Igor Ancor 83426RN204966Mckinnon, Jesse 47790 1050 Valdosta Hwy Homerville, GA 31634

10/4/2019Francis Coleman 11940RN204966McKinnon, Jesse Clayton 43031 1050 Valdosta Hwy. Homerville, GA 31634

9/18/2020Douglas Williams 26411RN223686McKinnon, Lisa 45287 416 Pirkle Ferry Road Suite J300 Cumming, GA 30040

5/15/2016Charles Cowart, MD 29161RN216659McKinnon, Edyn Butts 17708 205 Shirley ave. Douglas, GA 31533

2/26/2020David Sauls, MD 72475RN266066Mckissic, Patricia Ann 38984 3000 Schatulga Rd. Columbus, GA 31907

8/27/2019Ian Davis 64203RN240378McLaughlin, Gina 43187 1120 15th Street BI-5092 Augusta, GA 30912

6/27/2008Gena Volas-Redd, MD 45356RN186495McLaughlin, Patricia Carol 5488 340 Kennestone Hospital Blvd, Suite 100 Marietta, GA 3006

7/21/2014Johnson, Joseph MD 25621RN117468McLaurin, Nancy 10180 575 First Streeet Macon, GA 31201

3/3/2022Daniel Gold III 90573RN098801McLear, Barbara S. 60315 1750 Jesse Jewell Pkwy SE Gainesville, GA 30501

4/28/2012Mark Coker, MD 56276RN192244McLees, Lauren Ashley 9779 7171 Hwy 19 South Zebulon, GA 30295

5/16/2014Donohoe, Jeffrey MD 56280RN192244McLees, Lauren 10820 1446 Harper St, Ste BP-3104 Augusta, GA 30912

7/17/2015Ronald Lewis, MD 39393RN192244McLees, Lauren Ashley 13723 1120 15th St., BA-8412 Augusta, GA 30912

8/11/2020Aja McCutchen, MD 58645RN151929McLeish, Elizabeth 15559 299 North Broad St Winder, GA 30680

8/11/2020William Lytollis, MD 57392RN151929McLeish, Elizabeth R. 12852 316 N. Broad Street Winder, GA 30680

5/7/2020Jan C. Brandys, MD 53639RN151929McLeish, Elizabeth R. 19932 1404 River Place ste. 201 Braselton, GA 30517

12/1/2015Odell Still, DO 37085RN060662McLendon, Susan Florence 16353 110 RT Stanley Sr. Place Lyons, GA 30436

10/6/2016Margaret Anne White, MD 36482RN126278Mclendon, Bridget R. 18365 500 Springhouse Circle Stone Mountain, GA 30087

9/15/2015Thomas Ferrari, MD 34829RN060662McLendon, Susan 10910 110 RT Stanley Senior Place Lyons, GA 3-436

9/27/2019Thomas Buice, MD 51758RN102736McLendon, Angela L. 3255 URMC Wound Healing Center, P.O. Box 1059 Thomaston, G

8/7/2015Guy Augustin, MD 70852RN198320McLeod, Melissa Danielle 14276 1153 North Liberty St Nicholls, GA 31554

1/9/2017James Sinclair, MD 36457RN198320McLeod, Melissa Danielle 13535 306 Westside Dr. Douglas, GA 31533

Monday, August 1, 2022 Page 283 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/10/2020Scott Kennedy, MD 67339RN198320McLeod, Melissa Danielle 18111 1153 North Liberty Street Nikcholls, GA 31554

6/1/2019James Waller, MD 37415RN218215McLeod, Benjamin Lee 18841 1 Sweet Bay Court Moultrie, GA 31768

2/10/2020David Moore, MD 23639RN198320McLeod, Melissa Danielle 17481 1153 North Liberty St Nicholls, GA 31554

12/1/2018Tracey St. Julian, MD 54127RN117155McLester, Kendra 9163 155 Medical Way, Suite B Riverdale, GA 30274

2/26/2010Mohamad El-Attar, MD 41286RN117155McLester, Kendra Linette 5261 1311 Milstead Avenue Conyers, GA 30012

1/19/2022Rebecca Loomis, MD 46984RN117269McMahon, Angela 15714 1515 River Place, Ste 100 Braselton, GA 30517

2/18/2019Laura Conger-Moore, MD 42031RN181173McMahon, James Adam 13102 1200 Memorial Drive, Hospitalist Dept Dalton, GA 30720

11/1/2018Glendon Rougeou, MD 70764RN117269McMahon, Angela Anderson 19491 73 Maxwell Lane Dahlonega, GA 30533

4/1/2017Loy Cowart III, MD 37979RN184339McMillan, Lauren Shaw 18886 115 Gillikin St. Twin City, GA 30471

12/23/2020Chad Slaughter, MD 62003RN184339McMillan, Lauren Shaw 20094 311 West 4th Street Waynesboro, GA 30830

11/14/2018Walter G. Irwin, DO 13566RN263034McMillan, Shadae Lleweln 40766 367 Clear Creek Pkwy Lavonia, GA 30553

8/18/2021Rotimi Samuel 44082RN263034McMillan, Shadae 43595 367 Clear Creek Pkwy Lavonia, GA 30553

5/25/2018Richard Schlossberg, MD 44330RN102265McMillan, Trina Louise Nobles 1974 12 Seventh Street Auburn, GA 30011

3/27/2013Scott Pennington, MD 57555RN176496McMillan, Salia LaToria 9713 5505 Peachtree Dunwoody Rd, # 600 Atlanta, GA 30342

1/1/2021Johnny Christian 35026RN184339McMillian, Lauren 49460 301 Jones Ave Waynesboro, GA 30830

2/4/2011Rayna Jobe, MD 60386RN127929McMunn, Michael David 1979 1425 Market Blvd Roswell, GA 30076

7/1/2020Woody Francis, MD 48325RN189661McNair, Deborah Ruth 8025 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

2/2/2022Melody Bray-Ross 57147RN189661McNair, Deborah 55821 101 Regency Park Dr McDonough, GA 30253

3/5/2020Sarita Prasad 73372RN189661McNair, Deborah 43507 1655 Tullie Cir NE Suite E Atlanta, GA 30329

9/3/2021Robert Bennett 74720RN268275McNeal, Shelby 57082 2412 N. Oak Street Valdosta, GA 31602

5/10/2016Joseph Hathaway, MD 49797RN089620McNeely, Pamela Karen 14927 114 Hill Pond Lane Statesboro, GA 30458

8/27/2021James B White, MD 39510RN165033McNeese, Haley Bree 12391 705 Dixie St Carrollton, GA 30117

11/12/2019Arthur Yancey 36909RN233487McNeil, Cynthia 43472 745 Memorial Drive Atlanta, GA 30316

12/4/2014S. M. Abu Zaheed Hassan, MD

48783RN053788McNeil, Francine Jacqueline 1983 1220 George C. Wilson Drive Augusta, GA 30909

2/22/2022Elijah Robinson 81173RN233487McNeill, Cynthia 47819 745 Memorial Drive Atlanta, GA 30316

Monday, August 1, 2022 Page 284 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/17/2015Robert Wilson, MD 38133RN218786McNulty, Amanda Rebecca 13537 308 Bedell Ave. Woodbine, GA 31569

8/25/2016Michael Serotoff, MD 68789RN235357McPeak, Justin Clint 18639 11 Upper Riverdale Rd. Riverdale, GA 30274

6/20/2016John Ouderkirk, MD 49992RN235357McPeak, Justin 15809 735 Piedmont Rd Atlanta, GA 30808

7/21/2014Juan Ayerdi, MD 57278RN135666McPhail, Melissa Cummings 13124 575 First Street Macon, GA 31201

10/8/2012Anurag Kumbham, MD 58690RN135666McPhail, Melissa Cummings 9321 215 McNaughton St Cusseta, GA 31805

5/4/2015James Stevick, MD 34481RN135666McPhail, Melissa 14802 575 First St Macon, GA 31201

1/15/2014Shelley D. Samuel, MD 57248RN135666McPhail, Melissa 11369 218 Hwy 49 North, Suite A Byron, GA 31008

4/30/2021Robert Bowman, MD 31387RN112980McPherson, Fran Annette Hann 9551 1430 Hwy 82 West, Suite 105 Tifton, GA 31793

8/12/2021Kate Paylo 83339RN112980McPherson, Fran 58255 2804 N Oak St Valdosta, GA 31602

11/27/2015Chandresh Viradia, MD 53050RN131500McPherson, Christi Ambrose 12576 100 Jim Mason Ct, Suite A Warner Robins, GA 31088

10/21/2010Eugene Jackson, MD 22793RN112980McPherson, Fran Annette Hann 9084 1111 Glynco Pkwy, Bldg A, #10 Brunswick, GA 31525

4/30/2021Paul Macik 37604RN138410McQuitty, Wanda 54088 211 Mathis Avenue Twin City, GA 30471

9/28/2020Quynhanh Pham 66884RN138410McQuitty, Wanda 52015 604 Blue Bird Blvd Ft. Valley, GA 31030

9/28/2018Helen Elaine Carrington, MD 35221RN138410McQuitty, Wanda Nell 40333 117 Kite Road Swainsboro, GA 30401

9/11/2021Dana Pierce 29930RN138410McQuitty, Wanda 58034 2412 N Oak St Valdosta, GA 31602

3/10/2021Duke, Michael MD 42041RN123207McRae, Britt 10393 134 W. Campus Dr CBX 091 Milledgeville, GA 31061

4/13/2018Jeremiah McClure, MD 66228RN123207McRae, Britt S. 17031 260 West Clinton Gray, GA 31032

8/2/2016Michael Lee Miles, MD 52082RN168031McRae-Spencer, Aribell 15798 7863 Villa Rica Hwy Dallas, GA 30157

11/19/2019Jacobs, Theresa MD 46864RN168031McRae-Spencer, Aribell 10733 868 York Avenue Atlanta, GA 30310

7/4/2010Charles Burke, MD 58876RN168031McRae-Spencer, Aribell A. 8851 1008 North 3rd Avenue Chatsworth, GA 30705

6/10/2020Thomas Williamson 42144RN177603McSwain, Rachel 43401 300 Medical Court Oglethorpe, GA 31068

11/30/2019Jeffery Joe Dockery 37987RN029227Mead, Hazel 42556 714 Northwest Broad Street Lyons, GA 30436

3/4/2022Jay Floyd, MD 73914RN219621Meadows, Windy Diane 18350 106 Shoppers Way ste. 1 Brunswick, GA 31525

7/11/2016Scott Tarplee, DO 21057RN219621Meadows, Windy Diane 16537 2300 Parkwood Dr Brunswick, GA 31520

12/10/2018Richard Robinson, MD 38936RN112536Meadows, Elizabaeth Hall 5262 3240 Avalon Blvd Conyers, GA 30013

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/5/2019Charles Brown, III, MD 28383RN166826Mealing, Tatum Sherrell 1996 275 Collier Road, Suite 500 Atlanta, GA 30309

4/13/2020Carter Co, MD 61054RN166826Mealing, Tatum Sherrell 19672 600 Celebrate Life Parkway Newnan, GA 30265

10/17/2018James Kauten, MD 24830RN166826Mealing, Tatum 16196 95 Collier Rd NW, Ste 5015 Atlanta, GA 30309

6/1/2018Brian Adams, MD 70842RN209080Mealor, Andrea 14736 1620 Prince Ave Athens, GA 30606

5/4/2017D. Janene Holladay, MD 37199RN209080Mealor, Andrea Maclin 13544 601 Broad St, Suite B Gainesville, GA 30501

6/1/2018Anthony Clavo 45425RN209080Mealor, Andrea Maclin 39358 1309 Wellbrook Circle, NE, Suite H Conyers, GA 30012

9/8/2020Mark Stewart, MD 32058RN192466Mears, Lindsey Marie 19945 840 Stevens Creek Rd. Augusta, GA 30907

11/1/2019Shahin Chowdhury 70866RN164161Meason, Amy 40244 600 Celebrate Life Parkway Newman, GA 30265

7/23/2020Jimmy Malaver 65138RN267559Medders, Lesly 45306 214 A Professional Circle St Marys, GA 31558

7/3/2017Safia Pirania, MD 56624RN181307Medina, Johana Paola 19108 3330 Peachtree Corner Circle ste. H Peachtree Corners, GA

7/31/2019Paul Edjua, MD 62972RN070135Medlin, Helen Clair 39042 4898 Austell Rd. Austell, GA 30106

10/27/2018Lisa Ortenzi, MD 23395RN070135Medlin, Helen Clair 40619 3405 Dallas Hwy SW Marietta, GA 30064

11/8/2019Kristina Bogar 61943RN070135Medlin, Helen 43278 3999 Austell RD Suite 901 Austell, GA 30106

8/4/2021Mark Albritton 36082RN070135Medlin, Helen 51742 101 Watson St Rome, GA 30165

5/19/2017Curtis Cheeks,Jr. MD 51126RN070135Medlin, Helen Clair 19407 51 Seven Hills Blvd ste. 102 Dallas, GA 30132

11/16/2016Elena Pimanova, MD 71614RN112985Medlin, Tammy Lynn H. 17095 Mem. Med Assoc.Pooler, 101 West Mulberry Savannah, GA

5/22/2013Mitzi Rubin, MD 49592RN070135Medlin, Helen Clair 12094 3939 Roswell Rd, Suite 200 Marietta, GA 30062

12/1/2016Zenobia Day, MD 61959RN070135Medlin, Helen Clair 13482 255 Prosperity Way Adairsville, GA 30103

1/18/2016Bobbie Kumar, MD 68197RN112985Medlin, Tammy Lynn Hostetler 13038 11935 Abercorn St, Suite 7106 Savannah, GA 31419

11/7/2019James Sipp, MD 53880RN218652Medlin, Danelle Leigh 12433 54556 Meridian mark Rd, Suite 130 Atlanta, GA 30342

9/4/2009Michael Conlin, MD 36054RN070135Medlin, Helen Clair 8616 2001 Professional Way, Suite 220 Woodstock, GA 30188

12/10/2010Michael Katopes, MD 25449RN070135Medlin, Helen Clair 8931 203 Woodpark Place, Bldg C Woodstock, GA 30188

8/3/2011Mark Grimsley, MD 45172RN070135Medlin, Helen Clair 9956 2260 Holly Springs Parkway, Ste 170 Canton, GA 30115

8/23/2013Sharon Kestin, MD 34990RN112985Medlin, Tammy Lynn Hostetler 9979 11700 Mercy Blvd, Ste 1B Savannah, GA 31419

4/15/2013Allen R. Beecham, DO 25102RN070135Medlin, Helen Clair 11444 2000 Village Professional, Suite 200 Canton, GA 30114

6/12/2011Melissa Rhodes, MD 47060RN070135Medlin, Helen Clair 9755 100 Market Place Blvd, Suite 301 Cartersville, GA 30121

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/6/2019Huggins, Michelle MD 34368RN070135Medlin, Helen 10329 870 Crest Mark Drive, Ste 202 Lithia Springs, GA 30122

6/10/2016Lisa Ruschak, MD 59956RN235429Meeks, Samantha Rae Slagle 13720 3300 Fourth St. Brunswick, GA 31520

6/24/2019John Limburg, MD 56735RN235429Meeks, Samantha Rae Slagle 18155 3300 Fourth Street Brunswick, GA 31520

8/23/2021Nicholas Agresti 68471RN270340Meeks, Elise 54408 3217 Fourth Street Brunswick, GA 31520

3/31/2021Ahmed Elsharkawi 55128RN235429Meeks, Samantha 50466 17 Professional Dr Suite 100 Brunswick, GA 31520

5/6/2016Scott Quisling, MD 40765RN157541Mehta, Rovi-Jane 17419 758 Old Norcross Rd, Ste 100 Lawrenceville, GA 30046

8/31/2015Yuan-Xiang Meng, MD 51257RN157541Mehta, Rovi-Jane Ranada 13147 4398 Atlanta Hwy Loganville, GA 30052

7/1/2018Daryl Rampersad, MD 74327RN224519Meinken, Constance 41637 4500 Northpoint Pkwy Alpharetta, Ga 33002

11/1/2019Neil Jariwala 76851RN224519Meinken, Constance 45679 5775 Peachtree Duwoody Rd Suite C-200 Atlanta, GA 30342

8/10/2015Jianhua Cheng, MD 46063RN112988Meister, Lisa 14809 1 Freedom Way Augusta, GA 30904

5/24/2018Tassew Tesfaye, MD 47542RN228653Mekonnen, Mahlet 39406 4958 Memorial Drive Stone Mountain, GA 30083

4/8/2019Lekha Mathew 61290RN091317Melde, Karen 44201 3525 Sugarlloaf Pkwy Lwrenceville, GA 30044

12/12/2018Gwendolyn Delaney 49380RN091317Melde, Karen 43092 410 Peachtree Pkwy Cumming, GA 30041

3/16/2010Kathleen Gunchick, MD 28760RN067035Melnick, Lisa Vivienne Taylor 8981 1000 Chastain Rd, Hse 52, #5200 Kennesaw, GA 30144

4/2/2012Singaram, Thenmozhi MD 65060RN213069Melson, Grace 10504 3850 Windermere Pkwy, Ste 105 Cumming, GA 30041

6/30/2021Robert Reese, DO 31312RN155243Melton-Smith, Melvanie 16289 201 West Pine St Fitzgerald, GA 31750

10/25/2019Joseph Bishop, MD 10372RN068992Meltzer, Liza Blevins 9115 100 Peters St, Suite 38 Calhoun, GA 30701

7/31/2011John Pittman, MD 37045RN068992Meltzer, Liza Blevins 9104 18 Riverbend Dr, Suite 230 Rome, GA 30161

7/1/2014Raymond McKoy, DO 44536RN068992Meltzer, Liza Blevins 9940 18 Riverbend Drive, Ste 230 Rome, GA 30161

10/13/2009Raj Miniyar, MD 51597RN068992Meltzer, Liza Blevins 8280 330 Turner McCall Blvd, Suite 1050 Rome, GA 30165

5/16/2016Joseph Slappey, MD 34473RN164346Melvin, Heather Woodward 10998 1610 Forsyth St Macon, GA 31201

12/3/2015Joseph Korwin, MD 34878RN235296Melvin, Tonisha Jeane 14746 1 Freedom Way Augusta, GA 30907

5/8/2015Kashif Naseem, MD 58109RN235296Melvin, Tonisha Jeane 13193 3642 Wheeler Rd Augusta, GA 30909

8/3/2019Carlos Franco, MD 23733RN238768Mena, Jorge Luis 21195 1100 Johnson Ferry Rd. ste. 600 Atlanta, GA 30342

12/11/2020Stephen Dayan, MD 68888RN204701Menelas, Lynda Nadia 18461 4415 Memorial Dr. Decatur, GA 30032

2/16/2022Lloydstone Jacobs II 49179RN204394Menjivar, Jorge 43093 911 Chambers Drive Conyers, GA 30012

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2017Antony Labady, MD 63084RN204394Menjivar, Jorge Roberto 21321 1467 John Robert Dr. ste. B,C,D Morrow, GA 30260

6/2/2021Patrina Lockette 48855RN291981Menke, Belinda 52291 1390 US Hwy 19 Lessburg, GA 31763

6/14/2011Peter Wrobel, MD 40285RN133916Mercado, Mary Katherine 9035 1218 Alice Street Waycross, GA 31501

2/8/2013Martin, Garland MD 47233RN133916Mercado, Mary Katherine 10243 391 S. 1st Street Jesup, GA 31545

5/29/2012Daniela Rojas Molina, MD 55331RN105216Mercer, Gayle Lockridge 8761 526 Maddox Dr, Suite 101 Ellijay, GA 30540

11/4/2007Michael Gervasi, DO 44923RN105216Mercer, Gayle Lockridge 2010 75 Bypass Roadm Box 540 Morganton, GA 30560

9/1/2009Gregg McHan, MD 34654RN105216Mercer, Gayle Lockridge 8131 785 E. Main Street Blue Ridge, GA 30513

4/30/2018Rosalind Womack, MD 72171RN219495Mercer, Paige Mincey 17054 303 Fraser Dr. Hinesville, GA 31313

12/6/2018Robert Morgan 31639RN219495Mercer, Paige 41797 303 Fraser Drive Hinesville, GA 31313

4/29/2021David Nussbaum 67697RN219495Mercer, Paige 44107 3033 Fraser Drive Hinesville, GA 31313

2/4/2019Jose F. Lizcano-Perez,MD. 66207RN151762Merchant, Mehwish Mehboob 40316 1968 Peachtree Road, NW. Atlanta, GA 30309

11/30/2017Safia Pirani, MD 56624RN151762Merchant, Mehwish 16695 3660 Market St. Clarkston, GA 30021

12/4/2018Ayham Haddad, MD 50628RN230236Merck, Linne' Marie 21323 1250 Jesse Jewell Pkwy. SE ste. 300 Gainesville, GA 30501

2/10/2021Adaora Osakwe 63110RN230236Merck, Linne 45033 1700 Medical Way Snellville, GA 33760

4/16/2019Michael Briones, DO 42192RN113523Merck, Tara Taneski 2012 1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

7/22/2016Vijitha Prasad, MD 40520RN156565Meritt, Lisa Michele 1478 117 Kite Road Swainsboro, GA 30401

8/24/2016Leslie Cottrell. MD 45194RN152283Merrill, Christy Erin Cotney 14362 1601 Maple St Carrollton, GA 30118

8/30/2020Issac Sved 38981RN224100Merriman, Laura 48210 236 Johnsonferry Rd, NE Suite 200 Sandy Springs, GA 30328

11/30/2018Kyle Lendl Jones 74021RN176738Merritt, Marcie LeAnn 5029 801 W. Gordon Street Thomaston, GA 30286

6/1/2012William Rankine, Jr, DO 55294RN155336Merritt, Shannon Elizabeth 8833 116 Tommy Stalnaker Dr, Bldg A Warner Robins, GA 31088

5/20/2021Joel Greenberg, MD 28560RN184377Merritt, Amanda Lynn 11759 6602 Waters Ave, Bldg C Savannah, GA 31406

1/19/2014Brady, Michael MD 33534RN155336Merritt, Shannon 10851 320 Margie Drive Warner Robins, GA 31088

3/21/2016Dingane Baruti, MD 55411RN201661Merritt, Amanda 15855 664 N Main St Pearson, GA 31642

8/3/2018Mark Brulte, MD 48490RN176738Merritt, Marcle 15573 200 Perry House Rd Fitzgerald, GA 31750

3/1/2017Fredrick Koehler, MD 55535RN201661Merritt, Amanda 16716 664 N. Main St. Pearson, GA 31642

8/1/2017Thomas Mann, MD 37607RN176738Merritt, Marcie LeAnn 13516 200 Perry House Rd. Fitzgerald, GA 31750

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/4/2018Ashfaq Saiyed, MD 44833RN160620Merritt, Maci 19304 202 South Cherry Street Ocilla, GA 31774

10/20/2020Jeffrey P. Davenport, MD. 63574RN176738Merritt, Marcie 40305 1900 Tebeau St. Waycross, Ga 31501

2/15/2019Justin Flynn Harrell, MD. 59162RN176738Merritt, Marcie L. 40144 1101 Ocilla Road Douglas, Ga 31533

8/4/2019Albert Copeland 31400RN198728Merritt, Launa 45156 5555 Whittlesey Blvd Columbus, GA 31909

3/1/2019Timothy Osborne 68085RN176738Merritt, Marcie 43397 1 Meadows Pkwy Vidalia, GA 30474

3/6/2020Anthony Marchetti 31471RN176738Merritt, Marcie 43343 801 W. Gordon Street Thomaston, GA 30286

12/31/2019Bernard Oddi 48450RN176738Merritt, Marcie 45307 1 Meadows Pkwy Vidalia, GA 30474

1/13/2020Javad Fazal 57457rn172732Merritt, Cathy a 41965 2255 Anthony Road Macon, GA 31204

2/14/2020Jeremy Goodwin 59416RN172732Merritt, Cathy A 41966 521 Cabiness Road Forsyth, GA 31029

1/13/2020Javad Fazal 57457RN172732Merritt, Cathy A 41950 522 Flint Trail Suite A Jonesboro, GA 30236

7/7/2020Jay J. Jones 60389RN176738Merritt, Marcie G. 39815 35 Hospital Rd. Blairsville, Ga 30512

2/14/2020Dipesh Ratilal Patel, MD 53512RN172732Merritt, Cathy Anne 41447 6190 Peake Road Macon, GA 31220

2/14/2020Jayesh Patel, MD 65164RN172732Merritt, Cathy Anne 41091 2795 Finney Circle Macon, GA 31217

10/16/2018Robert Ludwick, MD 37277RN176738Merritt, Marcie LeAnn 18951 613 South Grant St. Fitzgerald, GA 31750

2/7/2020Nalini Narayan 44287RN176738Merritt, Marcie 38804 705 Dixie St. Carrollton, GA 30117

2/14/2020Chekukala B Reddy, MD 27431RN172732Merritt, Cathy Anne 42502 619 Northside Drive Griffin, GA 30223

11/7/2019Charles Cowart 29161RN176738Merritt, Marcie 42763 205 Shirley Ave Douglas, GA 31533

2/14/2020Terence Frinks 51042RN172732Merritt, Cathy 42776 1050 Hospital Drive Stockbridge, GA 30281

2/14/2020William Dennis Taylor, MD 33213RN172732Merritt, Cathy Anne 41033 210 Main Street Toomsboro, GA 31090

5/10/2018Mehmood Mehdi, MD 57725RN224477Merriweather, Kenyatta 16330 367 Athens Hwy, Ste 1050 Loganville, GA 30052

9/1/2015Russell Brown, MD 39743RN224477Merriweather, Kenyatta Chevell 11973 2001 Martin Luther King Jr Dr, # 418-430 Atlanta, GA 30310

6/5/2019Michael B. Hocker, MD 76093RN245636Merryman, Christina 41215 1120 15th Street Augusta, Ga 30912

5/28/2021Wendy Coto-Puckett 59908RN282745Messamer, Ara 44202 743 Spring St NE Gainesville, GA 30501

9/22/2020Jonathan Williams 59237RN112998Metheny, David 48989 1120 W. Broad Ave. Suite B-4 Albany, GA 31707

9/1/2015Milagros Keh, MD 18509RN112998Metheny, David Roy 14905 601 W 11th Ave Albany, GA 31701

7/11/2018Jonathan Williams, DO 59237RN112998Metheny, David Roy 13762 1120 W. Broad Ave. Ste. B-4 Albany, GA 31705

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/16/2015Gobin, Wanda DO 53912RN112998Metheny, David 10197 601 West 11th Ave Albany, GA 31763

9/15/2014Jaymal R. Patel, MD 50984RN112998Metheny, David R. 11479 601 West 11th Ave., PO Box 1988 Albany, GA 31702

9/28/2008William Kittle, MD 25197RN045066Metz, Linda 5437 820 St. Sebastian Way, Ste 4-C Augusta, GA 30901

8/31/2016David Parler, MD 34216RN045066Metz, Linda Boone 16872 One Freedon Way Augusta, GA 30904

12/10/2015Joseph Korwin, MD 34878RN045066Metz, Linda 14748 One Freedom Way Augusta, GA 30904

8/21/2020Robert Lucas 55860RN198321Metz, Hilary 41799 2340 Prince Ave Ste A Athens, GA 30606

1/11/2016Shaena Blevins, MD 60242RN176382Meyer, Rebecca E. 13565 743 Spring St. Gainsville, GA 30501

5/14/2015Daniel Cobb, MD 60163RN176382Meyer, Rebecca E. 13609 1240 Jesse Jewell Pkwy, Ste 400 Gainesville, GA 30501

10/16/2017David Villasana, MD 34973RN116908Meyer, Heidi Rae 2021 790 Church Street, Ste #400 Marietta, GA 30060

1/16/2013Anuj Chandra, MD 41753RN218891Meyers, Michelle 10959 111 North Pine Street Trenton, GA 30752

11/1/2019Joseph Kaplan 44762RN284753Meyers, Steven 45391 7901 Veterans Pkwy Suite A Columbus, GA 31909

4/27/2018Joseph Verdun, MD 61675RN191561Mfortow, Emilea Emade 18717 868 York Avenue, SW Atlanta, GA 30310

8/10/2021Lee Jacobs 28283RN293823Michel, Olivia 56953 111 Mountian Brook Drive Canton, GA 30115

7/15/2009Susan Nowak, MD 58713RN135637Miclat, Cristine Palacios 8222 1050 Carl Griffin Drive Savannah, GA 31405

5/24/2019Sabin Tomus, MD 45994RN135637Miclat, Cristine Palacios 8710 455 South Main St, Suite 203 Hinesville, GA 31313

9/29/2014Naghma Khan, MD 37252RN097848Middlebrooks, Brenda Denese 2026 1645 Tullie Cir Atlanta, GA 30329

8/2/2021Steven Currier, MD 65231RN199709Middleton, Travis Carl 20578 1350 Walton Way Augusta, GA 30901

11/1/2020Leah Lowman, MD 41878RN267314Midler, Hillary 41501 355 Hawthorne Lane Athens, Ga 30606

3/27/2020Mehmood Mehdi 57725RN230157Mikie, Ebunoluwa 46999 367 Athens Hwy Suite 1800 Loganville, GA 30052

2/21/2014Musaddiz Waheed, MD 61368RN162466Milam, Lindsay S. 11546 915 Gordon Ave. Thomasville, GA 31792

8/15/2016Goldstein, Matthew MD 48115RN209012Milburn, Terri 10749 1700 Medical Way Snellville, GA 30078

3/16/2022Vadelund, Karin MD 58934rn209012Milburn, Terri 10618 235 Peachtree St NE, North Tower, Ste 2100 Atlanta, G 3030

3/1/2019Swetang Desai, MD 55121RN209012Milburn, Terri Lynn 19761 601 South 8th Street Griffin, GA 30224

10/3/2018Holly Coleman, MD 46837RN159744Mildenhall, Rebekah Marie 18642 440 Washington St. SE Gainesville, GA 30501

12/9/2019James Dunne, MD 72206RN209964Miles, Lindsey 16490 4750 Waters Ave, Ste 202 Savannah, GA 31404

12/21/2021Matthew R Astin 66248RN 118118Miles, Kia Delease 41289 3001 Mercer University Dr Shefield #206 Atlanta, GA 30341

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/12/2019Julian Hutchins 61788RN188118Miles, Kia 43562 3001 Mercer University Dr Atlanta, GA 30341

9/30/2014Andrew Cichelli, MD 44433RN135390Miles, Karen L. 2029 1601 Fair Rd, Suite 600 Statesboro, GA 30458

7/1/2016Matthew Hazen, mD 69324RN208578Miley, Camella 16646 5455 Meridian Mark Rd, Ste 200 Atlanta, GA 30342

1/4/2021Julian Hutchins, Jr 61788RN181471Milholen, Kacie 43422 1550 College Street Macon, GA 31207

1/10/2018Warren Hutchings, MD 34857RN181471Milholen, Kacie Lynn 20234 1550 College Street Macon, GA 31207

9/29/2018Matthew R. Astin, MD 66248RN181471Milholen, Kacie Giles 40844 1550 College Street Macon, GA 31207

3/1/2020Shad Storment 79703RN183525Miller, Tanya 43789 1724 A Reynolds Street Waycross, GA 31501

1/13/2021Roy C.Brownlow , MD 42196RN207905Miller, Ashley Delene 41220 1665 Hwy 34 East Newnan, Ga 30265

6/27/2020Ranjana Bhargava, MD 68482RN111545Miller, Jenifer Susan 39579 125 King Avenue, Suite 200 Athens, GA 30606

12/8/2017Alan Yahanda, MD 71202RN207905Miller, Ashley Delene 17398 600 Celebrate Life Pkwy Newnan, GA 30265

5/3/2018Suzanne Storey, MD 49845RN189150Miller, Leah Harris 19127 611 East Villanow Lafayette, GA 30728

11/5/2020Paul Johnson, MD 46132RN159327Miller, Brandi Nicole 15936 677 Church St. NE Marietta, GA 30060

9/16/2019Lawrence Perin 77146RN172668Miller, Stephanie 45034 5775 Peachtree Dunwoody Road NE Bldg C Suite 500 Atlanta

2/25/2020Richard Chase 17784RN159335Miller, Diana 43541 602 E. 16th Avenue Suite A&B Codele, GA 31015

9/2/2021Susan Wheatley 31357RN191812Miller, Allison 48757 57 Executive Parks Ste 100 Atlanta, GA 30329

5/31/2016James Polhill, MD 18066RN175982Miller, Kelley 16703 1067 Peachtree St. Louisville, GA 30434

3/1/2020Rober Campbell, MD 22522RN176756Miller, Leslie Busbee 16673 4421 Carnes St. Acworth, GA 30101

2/22/2019Wilson Larry Tucker, MD 31142RN146822Miller, Sheila Ann Moore 18322 304 Turner McCall Blvd. Rome, GA 30165

5/27/2016Terry Melvin, MD 35951RN189150Miller, Leah Harris 13187 4411 Oakwood Drive Chattanooga, TN 37416

12/7/2015Saudiqa Hoossainy, MD 68179RN089642Miller, Nancy Elizabeth 16598 5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

9/15/2015Samuel Williams III, MD 72749RN176756Miller, Leslie 16154 4421 Carnes St. Acworth, GA 30101

8/1/2015Louellen Gurley, MD 42263RN182120Miller, Laura Southern 12169 303 Smith St LaGrange, GA 30240

4/30/2015Stephen Szabo, MD 44850RN111545Miller, Jenifer Susan Van Bracke 13769 6300 Hospital Pkwy, Suite 300 Johns Creek, GA 30097

5/13/2011A. Patrick Brooks, MD 22724RN111545Miller, Jenifer Susan Van Bracke 2040 1500 Oglethorpe Ave, Suite 400-A Athens, GA 30606

3/28/2019Lance Wiist, MD 33754RN064231Miller, Kristine Elizabeth Atkins 2043 761 Old Norcross Road Lawrenceville, GA 30045

12/4/2015Richard Young, MD 21218RN089642Miller, Nancy Elizabeth 2045 958-A Joe F Harris Pkwy, Suites 101 & 105 Cartersville, GA 3

Monday, August 1, 2022 Page 291 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2021Alexander Ibezi-Enendu 75636RN176756Miller, Leslie 51155 1005 Boulder Drive Gray, GA 31032

7/20/2021Santana Das 42560RN235412Miller, Kelsey 46561 1049 N Houston Rd Warner Robins, GA 31093

7/20/2021Santanu Das 42560RN235412Miller, Kelsey 46562 1049 N.Houston Rd Warner Robins, GA 31093

2/14/2020Santana Das 42560RN235412Miller, Kelsey 46563 1049 N.Houston Warner Robins, GA 31093

3/18/2022Daniel Sandlin 82602RN207905Miller, Ashley 57062 1665 Hwy 34 East Suite 100 Newnan, GA 30265

8/17/2012Masih Uddin, MD 42751RN111545Miller, Jenifer S. 9891 385 Hawthorne Lane, #300 Athens, GA 30606

12/6/2012Boss-Cole, Etta MD 55541RN217874Miller, Macy 10122 414 Lugenia Blvd Vidalia, GA 30474

5/20/2014Andrew A. Waldman, MD 48001RN183390Miller, Gwendolyn G. 11411 710 Center St, Emer Dept Columbus, GA 31901

12/17/2012H. Philip Morris, Jr., MD 30353RN111545Miller, Jenifer S. 9545 1010 Prince Ave, Suite 117 Athens, GA 30606

9/8/2021Jonathan Allen 56949RN150727Miller-Tso, Denise 57902 3455 Peachtree Industrial Blvd Suite 910 Duluth, GA 30096

5/5/2021Edward Minor, MD 45095RN261444Miller-Williams, Crystal Denise 19152 2100 Comer Ave. Columbus, GA 31904

1/27/2021Raymond Tidman 32826RN129911Millhouse, Paula 45684 11 Riverstone Vista Blue Ridge, GA 30513

1/27/2021Frank Trigg, MD 30556RN129911Millhouse, Paula W. 2051 101 RiverStone Vista, Suite 203 Blue Ridge, GA 30513

12/31/2013Narasimhulu Neelagaru, MD 31081RN111545Millier, Jenifer S. 11265 170 Cardiology Place Commerce, GA 30529

9/15/2017Hailu Demissachew, MD 54072RN203833Millikan, Lara Lynn 19361 19 Redmond Rd. Rome, GA 30165

9/13/2021Dominic Nkwocha, MD 55280RN081528Millington-Upshaw, Venus 11043 4015 South Cobb Dr., Suite 110B Smyrna, GA 30080

8/30/2012Candice Tate, MD 59967RN081528Millington-Upshaw, Venus D. 9407 400 Galleria Pkwy, Suite 1500 Atlanta, GA 30339

8/19/2010Randy Warner, MD 53905RN081528Millington-Upshaw, Venus D 8902 690 Dallas Hwy, Suite 201 Villa Rica, GA 30180

7/22/2011Jose Acevedo, MD 25499RN077228Mills, Leslie Carol Medford 2052 1299 Interstate Pkwy Augusta, GA 30909

1/1/2010Wesley Smith, MD 45971RN145096Mills, Valerie Anne 2049 11973 Augusta Road Lavonia, GA 30553

2/17/2021Marga Ngwang #####RN235396Mills, Jerakhine 48462 1810 Mulkey Rd Ste. 105 Austell, GA 30106

5/30/2018Frederick Burton, JR 38434RN273600Mills, Donna 41763 5448 Whittlesey BLVD STE B Columbus, GA 31909

10/19/2009Brent Beaird, MD 45720RN102683Millsap, Lori Ann Waters 2053 775 West Avenue, Suite A Cartersville, GA 30120

1/31/2013Albert Lintel, MD 28595RN102683Millsap, Lori Ann Waters 8845 775 west Ave, Suite A Cartersville, GA 30120

3/3/2015Safia Pirani, MD 56624RN102683Millsap, Lori W. 11266 220 Oakside Lane Canton, GA 30114

Monday, August 1, 2022 Page 292 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/23/2010Helen-Louise Moore, MD 45098RN134487Milner, Joni Reba Dixon 804 116 South Houston Rd Warner Robins, GA 31088

6/1/2021Jason Levy 49802RN229466Milton, Brandi 41800 1000 Johnson Ferry Rd Radiology Dept Atlanta GA, GA 3034

10/13/2017Arvind Aggarwal, MD 56400RN135482Mimbs, Andriea 14865 206 Hospital Dr Dublin, GA 31021

4/30/2021Laura Hartmann 41133RN154277Mims, Tanya 45035 4106 Columbia Road Suite 103 Martinez, GA 30907

11/13/2021Antonio Remollino 57994RN248941Minich, Joshua 59334 105 Walnut St. Montezuma, GA 31063

1/15/2018Chinedum Clark, MD 66121RN188941Minkoff, Alice Okon 20984 745 Poplar Rd. Newnan, GA 30265

3/18/2019William Jacobsen, MD 72061RN188941Minkoff, Alice Okon 18377 1412 Milstead Ave. Conyers, GA 30012

8/23/2021Marisa Rogers 88073RN301375Minnon-Klyce, Erica 57908 1825 Rockbridge Rd Suite 15B Stone Mountian, GA 30087

2/10/2020Valarie Manley 37283RN216867Minter, Mary 48066 101 Beckett Lane Suite 502 Fayetteville, GA 30214

12/24/2009Sheryl Henderson, MD 39818RN081530Minter, Bonnie Leigh 8119 341 Ponce de Leon Avenue NE Atlanta, GA 30308

10/8/2019Etta W. Boss-Cole, MD 55541RN216867Minter, Mary Elizabeth 18339 414 Lugenia Drive Vidalia, GA 30474-7210

1/31/2016Felissa Goldstein, MD 57467RN081530Minter, Bonnie 15882 1920 Briarcliff Rd NE Atlanta, GA 30329

8/1/2015Talboy, Amy MD 37317RN081530Minter, Bonnie 10481 1920 Briarcliff Rd NE Atlanta, GA 30329

5/26/2021Thomas Buice 51758RN216867Minter, Mary 56173 419 College Drive Barnesville, GA 30204

2/15/2022Christa Springston 73837RN220139Mirenda, Ronald 58125 3425 Buford Dr Suite 200 Buford, GA 30519

1/7/2011Sushila Mathew, MD 22250RN052474Mishra, Margaret Martini 2058 193 North Park Trail, Suite 100 Stockbridge, GA 30281

9/22/2020Connie Trello 43495RN244634Mishra, Sarika 52154 1350 Walton Way Augusta, GA 30901

7/3/2019Corey Greenwald 41130RN212250Mison, Mia 45037 1199 Prince Ave Athens, GA 30606

10/23/2018Suneel Katragadda, MD 59255RN212250Mison, Mia Eloisa 39124 2151 Peachford Rd. Atlanta, GA 30338

7/28/2022GREGORY LUNCEFORD 50584RN212250Mison, Mia 46740 1199 Prince Ave Athens, GA 30606

1/31/2021Neil Kahn 30489RN212250Mison, Mia 51168 1000 Medical Center Blvd Lawerenceville, GA 30046

7/31/2020Todd Vermeer, MD 49505RN198512Mistry, Hunaiza 19389 1000 Medical Center Blvd. Lawrenceville, GA 30046

10/4/2014Mai Ho, MD 61255RN104197Mitcham, Betsy Sue 14516 4835 Sugarloaf Parkway # 200-300 Lawrenceville, GA 30044

10/7/2014Ronnie Hendrix, MD 24690RN104197Mitcham, Betsy Sue Kirkpatrick 12842 4835 Sugarloaf Pkwy Suite 200-300 Lawrenceville, GA 30044

10/8/2021Santhi Chennareddy 82141RN104197Mitcham, Betsy 58165 3500 McClure Bridge Road Duluth, GA 30096

4/30/2021Barry Luskey 48537RN213509Mitchell, Nicole 51105 5400 Sutlive Street Savannah, GA 31405

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/6/2008Ricardo Raul Riesco, MD 44069RN143794Mitchell, Cynthia Lorraine 2059 711 Shields Road Dalton, GA 30720

2/28/2017Jordan Greenbaum, MD 57172RN114580Mitchell, Roberta Ann Leinweb 2062 1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

5/1/2009Madhu Vishwanath, MD 56499RN151092Mitchell, Bridgette Anne 8444 2779 Cobb Pkwy NW Kennesaw, GA 30152

7/7/2012Kathleen Gunchick, MD 28760RN151092Mitchell, Bridgette Anne 8944 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

9/30/2016Dan Ioanitescu, MD 51476RN063812Mitchell, Joan 11354 Phoenix Center, 940 Georgia Highway 96 Warner Robins, GA

6/2/2014Yvonne L. Smith, MD 42443RN206296Mitchell, Aundre R. 11552 1685 Old Pendergrass Rd. Jefferson, GA 30549

7/3/2012Gloria Castillo, MD 24912RN063812Mitchell, Joan Sapp 9363 Blandy Way Office Pk 60, Hwy 22 W Milledgeville, GA 31061

5/17/2013Wiley Smith, MD 63133RN208361Mitchell, Patricia Gayle 11804 218 North Fredrick St Dalton, GA 30721

9/30/2009Kevin Smith, MD 41961RN151092Mitchell, Bridgette Anne 5527 1000 Chastain Rd., Hse 52 #5200 Kennesaw, GA 30144

2/6/2014Debra Osborne, MD 44297RN063812Mitchell, Joan Sapp 9112 175 Emery Hwy Macon, GA 31217

12/11/2020Onkar Kaur, MD 47103RN206296Mitchell, Aundre Roucha 14203 602 East 16th Ave, Ste B Cordele, GA 31015

12/13/2016Jose Justiniano-Ayala, MD 46773RN208361Mitchell, Patricia 16192 13570 N Main St Trenton, GA 30752

7/1/2017Michele Shumpert, DO 66322RN208361Mitchell, Patricia Gayle 19738 304 Brickyard Rd. Dalton, GA 30722

5/15/2017Darrell Murray, MD 44797RN185613Mitchell, Chiketta Tawana 18060 920 Dannon View ste. 3103SW Atlanta, GA 30331

7/25/2015Gayoung Hong, MD 67467RN208361Mitchell, Patricia Gayle 12050 13570 N Main St Trenton, GA 30752

11/30/2016Geetha Manchireddy, MD 50585RN185613Mitchell, Chiketta Tawana 18821 2950 Stone Hogan Conn Rd. Bldg. A Atlanta, GA 30331

12/11/2020Eric Deal, DO 24226RN206296Mitchell, Aundre Roucha 20097 2161 W. Spring St. ste. C Monroe, GA 30655

1/7/2022Sandra Gibbs, MD 32192RN206296Mitchell, Aundre Roucha 15930 774 GA Hwy 96 Bonaire, GA 31005

8/26/2020William Warren, MD 23126RN037504Mitchell, Sara 16083 1015 Hollowell Parkway Atlanta, GA 30318

6/4/2019Timothy Longaker, MD 25883RN206296Mitchell, Aundre 41172 822 South Hill Street, MD Giffin, Ga 30223

2/7/2019Gregory V. Miller, MD. 33151RN085591Mitchell, Laura Anne Gilbert 40313 1000 Medical Center Blvd. Lawrenceville, GA 30046

12/31/2019Alicia D Shelly, MD 69712RN246516Mitchell, Maxine 42050 189 Medical Way Riverdale, GA 30274

1/15/2020Dwight Owens 43105RN203475Mitchell, Stacey 44361 3649 Lawrenceville Hwy Suite 301 Tucker, GA 30084

7/1/2019Zenobia Day 61959RN209617Mitchell, Jessica 44619 One CNN Center 10th Floor Atlanta, GA 30303

12/1/2021Marytin Johnson 49301RN203475Mitchell, Stacey 47166 245 Country Club Drive Stockbridge, GA 30281

12/1/2021Martin Johnson 49301RN203475Mitchell, Stacey 47167 245 Country Club Lane Stockbridge, GA 30281

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/9/2021DAVE RINGER MD 30368RN89650MITCHELL-POWELL, SALLYANN 39455 803 S MAIN STREET GREENSBORO, GA 30642

10/21/2008Dave Ringer, MD 30368RN089650Mitchell-Powell, Sally-Ann Mar 2064 1041 Park Drive Greensboro, GA 30642

5/20/2022Randy Yanda 36638RN228377Mitzel, Katherine 48255 95 Collier Rd Apt 4055 Atlanta, GA 30309

7/1/2021Shonna McGee, MD 64870RN115484Mixon, Angela Barton 173 1001 Memorial Lane Savannah, GA 31410

11/12/2021Jeanne Hungerpillar 31985RN115484Mixon, Angela 57118 310 Eisenhower Dr Suite 12A Savannah, GA 31406

8/23/2021Garrett Bennett 51784RN254729Mixon, Kelly 57558 209 N Cuthbert Street Colquitt, GA 39837

2/28/2012John Quigley, MD 34925RN077261Mixon, Carol Renee Hagins 2065 2257 GA Hwy 515 Blairsville, GA 30512

8/17/2018Shonna McGee, MD 64870RN115484Mixon, Angela Barton 39372 1001 Memorial Lane Savannah, GA 31410

5/6/2021Adrienne Victoria Fabrizio 50365RN115484Mixon, Angela 55814 1001 Memorial Lane Savannah, GA 31410

5/6/2021Adrienne Fabrizio 50365RN115484Mixon, Angela 42999 1001 Memorial Lane Savannah, GA 31410

8/22/2017Robert Mazur, MD 37864RN115484Mixon, Angela Jane 15071 60 Exchange St, Ste B-7 Richmond Hill, GA 31324

5/20/2022Joseph Lomboy, MD 47921RN190811Mize, Candace Cherie 14878 1018 Keith Dr, Ste A Perry, GA 31069

3/8/2014Yejin Kim, MD 57711RN170835Mobbs, Mary C. 11473 2600 Satelite Blvd. Duluth, GA 30096

7/1/2019Deepa Narang, MD 49246RN170835Mobbs, Mary 16255 2660 Satellite Blvd Duluth, GA 30096

3/10/2020Alan Brown 57782RN224635Mobbs, Sarah 45837 2415 Parkwood Drive Brunswick, GA 31520

3/29/2019Stanton McKenna, MD 59100RN206359Mobley, Mary Montgomery 39373 3671 Eleanors Trace Gainesville, GA 30506

1/4/2022Robert Rhoades, MD 13420RN154040Mobley, Jennifer 16385 1219 A West Wheeler Pkwy Augusta, GA 30909

11/28/2019Zia Khan, MD 62533RN206359Mobley, Mary Montgomery 19586 5470 Meridian Mark Rd. Atlanta, GA 30342

3/8/2012Cameron, Nadia MD 53982RN185316Mobley, Kathleen 10804 961 Green Street NE Gainesville, GA 30501

4/5/2011James Pilcher, MD 14541RN154040Mobley, Jennifer Bailie 9135 1067 Peachtree Street Louisville, GA 30431

6/11/2015Cathy Lipton, MD 29028RN185316Mobley, Kathleen 13932 3720 DaVinci Ct. Ste 400 Norcross, Ga 30092

11/23/2015Charles Lodge, DO 24019RN192380Mobley, Rebecca 15904 6 Hospital Park Moultrie, GA 31768

9/8/2013Narasimhulu Neelagaru, MD 31081RN185316Mobley, Kathleen Johanna 11752 170 Cardiology Place Commerce, GA 30529

2/3/2014Huffman III, William MD 65007RN192380Mobley, Rebecca 10084 9 Hospital Park Moultrie, GA 31768

1/1/2010James Sheppard, MD 47993RN154040Mobley, Jennifer Bailie 2066 400 Canterbury Dr. Wrens, GA 30833

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2010David Arkin, MD 28136RN051796Mobley, Letetia Sue Howard 2067 758 Old Norcross Road, Suite 175 Lawrenceville, GA 30045

9/3/2021Vlastimil Smetka 85033RN154040Mobley, Jennifer 57369 4275 Owens Rf Evans, GA 30809

9/20/2018Hugh W Hall 40088RN203476Mock, Desiree Ann 20 3686 Wheeler Rd Augusta, GA 30909

6/16/2015Carl Faulks, MD 73121RN204201Mock, Kayla 14262 1050 Carl Griffin Dr Savannah, GA 31405

7/1/2020Donald Jones 66511RN083558Mock, Maria 45305 810 13th Avenue Ste 107 Albany, GA 31701

9/2/2021Christopher Mathews 49133RN240089Moder, Jacqueline 53151 1912 Memorial Drive Suite E Waycross, GA 31501

2/7/2017Jocelyne Tadros, MD 61652RN201247Modly, Lori Angeleene 16053 743 Spring St NE Gainesville, GA 30501-3715

11/12/2019Arthur Yancey 36909RN241610Modo, Anastacia 43543 745 Memorial Drive Atlanta, GA 30316

2/22/2022Elijah Robinson 81173RN241610Modo, Anastacia 47812 745 Memorial Drive Atlanta, GA 30316

3/24/2018James Lee, DO 56583RN256438Mody, Bela Gandhi 21278 310 Gold Creek Trail ste. 200 Woodstock, GA 30188

2/1/2016Andrew Magnet, MD 60215RN200088Molet, Tamiko 16117 1932 Wynnton Rd Columbus, GA 31999

11/8/2016Mahanned Ahmed, MD 74885RN200088Molet, Tamiko 18392 4166 Snapfinger Wood Dr. Decatur, GA 30035

12/23/2014Charles Roman, DO 43757RN200088Molet, Tamiko 14270 2737 Warm Springs Rd Columbus, GA 31904

10/5/2017Mac Bowman, MD 21647RN200088Molet, Tamiko 39134 818 St. Sebastian Way ste. 308 Augusta, GA 30901

2/18/2014Ahmad Jingo, MD 45842RN200088Molet, Tamiko 8383 3424 Flat Shoals Road Decatur, GA 30034-6536

4/20/2022David Warren 32492RN206154Molineaux, Mary 58732 200 Gentilly Blvd Catersville, GA 30120

5/23/2019Walter K Austin, MD 47049RN207584Momeh, Eunice 40731 175 Samaritan Dr Jasper, GA 30143

4/23/2020Safia Pirani, MD 56624RN203131Momin, Almas Soyal 14236 3330 Peachtree Corner Cir, Ste H Peachtree Corners, GA 300

11/5/2021Melvin Williams Jr. 49260RN258862Momin, Arshiya 57835 1240 Eagles Landing Pkwy, Suite 110 Stockbridge, GA 30281

3/15/2013Shameka McElhaney, MD 54854RN136010Momoh, Isata Celia 7824 5230 Dallas Hwy SW Powder Springs, GA 30127

8/30/2019Justin Baker, MD 60434RN220026Money, Anna DeMott 19676 8 Laurel Court Moultrie, GA 31768

6/24/2022Brian Russell 76453GAA-NP000539

Moninger, Shannon 60890 915 Gordon Avenue Thomasville, Ga 31792

4/30/2020Syed Rizvi 44073RN175772Monroe, Cecily 48076 5775 Peachtree Dunwoody Rd NE, BldgC Suite500 Atlanta, G

4/30/2020Syed Rizvi 44073RN175772Monroe, Cecily 48077 5775 Peachtree Dunwoody Rd NE, Bldgc Suite 500 Atlanta,

4/25/2019Ross Jacobson, MD 57204RN086301Monroe, Sally A. Scott 5270 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

Monday, August 1, 2022 Page 296 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/13/2020Philip Ploska 36848RN220568Monsrud, Jennifer 46046 135 N. Park Place Stockbridge, Ga 30281

2/25/2020Onika A. Popo-James, DO 62759RN154006Monteilh, Caridad Mercedes 39859 1631 Hwy 20 West McDonough, GA 30253

6/20/2013Charles Sow, MD 55343RN154006Monteilh, Caridad Mercedes 2072 1855 Hudson Bridge Road Stockbridge, GA 30281

12/1/2016Nimisha Trivedi, MD 53715RN154006Monteilh, Caridad Mercedes 8873 3778 Hwy 42 Locust Grove, GA 30248

11/2/2009Timothy Brown, MD 32100RN154006Monteilh, Caridad Mercedes 8730 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale, GA 30274

5/9/2019Debora Lamonica 79203RN203323Montescelis, Brittany 41959 1520 22nd Street Columbus, GA 31901

4/7/2022Michael O'neill 30175RN208251Montgomery, Ginger 45041 475 Dickson Ave NW Marietta, GA 30064

5/30/2021Oladayo Osinuga 51703RN176860Montgomery, Gwendolyn 49464 480 John Wesley Dobbs Ave NE Suite 403 Atlanta, GA 30312

6/1/2016Terry Melvin, MD 35951RN207357Montgomery, Jennifer Anne 13186 1217 Lafayette Rd. Rossville, GA 30741

2/16/2016Andrea Dabney, MD 66274RN243094Montgomery, Kristen Sue 14600 274 Big A Rd Toccoa, GA 30577

2/22/2017Galina Rader, MD 52623RN207357Montgomery, Jennifer Anne 18268 1217 LaFayette Rd. Rossville, GA 30741

11/15/2015Paul Eugene, MD 60305RN213939Montgomery, Janika Shana 16942 1046 Ridge Ave SW Atlanta, GA 30233

9/15/2018Michael Raines, MD 35979RN160145Montgomery, Samantha Helton 9984 122 Highway 280 West, Ste A Americus, GA 31719

3/10/2020John Henderson 78835RN173595Monticino, Joyce 44348 6381 Hamilton Se Preston, GA 31824

3/10/2020Andrew Carlson 34554RN173595Monticino, Joyce 44515 6381 Hamilton St Preston, GA 31824

9/28/2018Charity Wilson, MD 60895RN173595Monticino, Joyce Marie 39376 2701 Meredyth Drive Albany, GA 31707

10/5/2018Shabbir Suleman Motiwala 36581RN173595Monticino, Joyce 42274 572 Washington St. Preston, GA 31824

1/26/2021Guido Ring 45325RN205498Montique, Monifa 45687 1904 Palmyra Road Albany, GA 31701

2/14/2020Michael Satchell 49593RN205498Montique, Monifa 45688 1904 Palmyra Road Albany, GA 31701

2/14/2020Michael Peacock 40752RN205498Montique, Monifa 45689 185 Bowens Mill Highway Fitzgerald, GA 31750

2/14/2020Edward Bass 49270RN205498Montique, Monifa 46734 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Francis Kundi 45525RN205498Montique, Monifa 46735 1626 Jeurgens Court Norcross, GA 30093

2/19/2022Amita Shroff, MD 60613RN159452Moody, Sherri Toney 16944 1000 Medical Center Blvd Lawrenceville, GA 30046

5/12/2021Gabriel E.Onofre, MD. 56904RN252680Moon, Yeo Jin 40145 5134 Peachtree Rd. Atlanta, Ga 30341

9/30/2016Jeffrey Watson, MD 71907RN046402Moon, Charlene H 17302 510 Oglethorpe Hwy Hinesville, GA 31313

2/16/2010Mohammad Masroor, MD 17705RN046402Moon, Charlene H 2077 6602 Waters Avenue, Bldg A Savannah, GA 31406

Monday, August 1, 2022 Page 297 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/20/2007Derralyn Harris, MD 52739RN138492Moore, Chaquita Martin 2081 1440 Benning Drive Columbus, GA 31903

2/23/2016Joseph Joyave, MD 43977RN137979Moore, Rebecca Mcwhorter 2086 204 Professional Court Calhoun, Ga 30701

5/19/2021Temitope Oluwatosin Olarewaju

78091RN180939Moore, Laura 45 425 3rd Avenue Albany, GA 31701

9/1/2021Javeria Bhawal 74143RN229030Moore, Jessica 57084 3451 Cobb Pkwy Suite 4 Acworth, GA 30101

4/2/2022Andrea Huntley 85103RN134600Moore, Cecilia 60171 274 Big A Road Toccoa, GA 30577

10/26/2021Chad Case 60709RN171792Moore, Kathryn 57253 1412 Milstead Ave, NE Conyers, GA 30012

10/25/2021Omari Hodge 70459RN229030Moore, Jessica 56938 3451 Cobb Parkway Suite 4 Acworth, GA 30101

3/29/2022MOSES LAFFITTE, IV 72288RN230252Moore, Kathleen 58175 5629 Hwy 21 South Rincon, GA 31326

6/11/2013Caroline Yaphockun, MD 53213RN189608Moore, Megan Elizabeth 9977 330 Turner McCall Blvd, Ste 400 Rome, GA 30165

6/19/2012Thompson, Theron MD 51772RN189608Moore, Megan 10248 1825 Martha Berry Blvd Rome, GA 30165

3/17/2017Christian Williams, MD 72168RN137979Moore, Rebecca Mcwhorter 17406 100 Market Place Blvd, Ste 201 Cartersville, GA 30121

7/4/2020Heather B. Gunn, MD 66791RN222920Moore, Martha Michelle 41483 1412 Milstead Ave NE Conyers, GA 30012

2/7/2018Peggy Bergrab, MD 64330RN180939Moore, Laura 41072 425 3rd Ave Suite 105 Albany, Ga 31701

1/21/2021MICHELLE PLASTER MD 61639RN144360moore, PATRICIA ANN 39963 1016 E SPRING ST MONROE, GA 30655

1/20/2020Douglas Cooper, MD 37180RN207446Moore, Ayjanah Rasheeda Sher 20845 6809 Red Maple Drive Rex, GA 30273

2/1/2021James E Owen, MD 35112RN250415Moore, Sarah Leigh Ann 40605 100 Frist Ct. Columbus, GA 31909

6/8/2018Clifford Dunn 71489RN180939Moore, Laura 41765 425 3rd Avenue Suite 105 Albany, GA 31701

9/3/2019Samuel Lorenzo 32235RN222920Moore, Martha M 41968 1133 Eagles Landing Pkwy Stockbridge, GA 30281

1/20/2020Douglas Cooper, MD. 37180RN207446Moore, Ayjanah Rasheeda 40368 3900 Crown Road Sw. Atlanta, Ga 30321

10/1/2021Tiona Praylon 87903RN300940Moore, Shakila 57623 223 Medical Center Drive Riverdale, GA 30274

4/16/2018Marc Neeland, MD 75334RN227918Moore, Leslie 41647 1133 Eagles Landing Pkwy Stockbridge, Ga 30281

8/14/2020Frank David 45058RN171792Moore, Kathryn 47237 1626 Jeurgens Court Norcross, GA 30093

2/21/2021Michael Groover 35059RN171792Moore, Kathryn 47238 1626 Jeurgens Court Norcross, GA 30093

8/4/2019Albert Copeland 31400RN249446Moore, Lashanda 44625 1111 Bullsboro Dr Suite 6 & 7 Newnan, GA 30265

10/24/2020Beulette Hooks 41313RN132595Moore, Nicole 54211 11460 Johns Creek Parkway Johns Creek, GA 30097

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2022Anthony Mitchell 57221RN171792Moore, Kathryn 54091 1412 Milstead Ave NE Conyers, GA 30012

1/1/2022Alfred Martin 26592RN132595Moore, Nicole 54747 11460 Johns Creek Pkwy Johns Creek, GA 30097

1/20/2021Raul Lopez 75278RN250415Moore, Sarah 53722 801 W. Gordon Street Thomaston, GA 30286

9/1/2015Michael Streleckis, MD 41490RN173142Moore, Alisha Denise 15218 4175 Tanners Creek Dr Flowery Branch, GA 30542

4/4/2016Joseph L. Ratchford, MD 32848RN191998Moore, Kristie Gail 17120 499 Highway 119 S. Springfield, GA 31329

6/8/2016Michael Lee Miles 52082RN167524Moore, Kristy Strickland 17061 7869 Villa Rica Hwy Dallas, GA 30157

12/23/2017Ifeoma Nnaji, MD 63931RN173142Moore, Alisha Denise 16672 1685 Old Pendergrass Rd. Jefferson, GA 30549

1/16/2019Johnny Sy, DO 58826RN191998Moore, Kristie Gail 17254 3 Hidden Creek Dr. Guyton, GA 31312

4/3/2020Paul Walker, DO 46272RN181455Moore, Kelsey Elizabeth 11827 1810 White Circle, Suite 155 Marietta, GA 30066

8/1/2018Byron Evans, MD 53850RN207446Moore, Ayjanah 16109 81 Upper Riverdale Rd, Ste 100 Riverdale, GA 30274

1/17/2020Francisca MgBodile, MD 50662RN200447Moore, Verretta Cetrice 17894 126 Enterprise Path, Ste 201 Hiram, GA 30141

4/15/2016Christina Chen, MD 71928RN200447Moore, Verretta Cetrice 16227 677 Church St Marietta, GA 30060

12/1/2020Lloydstone Jacobs, MD 49179RN086734Moore, Geraldine Laverne Duns 20952 4415 Memorial Dr. Decatur, GA 30032

8/20/2018Angela Swayne, MD 53421RN227918Moore, Leslie Michelle 16605 1255 Hwy 54 West Fayetteville, GA 30214

1/13/2016Kenneth Taylor, MD 38985RN170740Moore, C. Meredith 11228 275 Collier Rd., Ste 500 Atlanta, GA 30309

12/20/2011John O'Connell, MD 62266RN170740Moore, Carolyn Meredith Camp 9377 5671 P'tree Dunwoody Rd NE, Suite 110 Atlanta, GA 30342

12/3/2015James Cornwell, MD 50608RN 191998Moore, Kristie Gail 12879 3 Hidden Creek Dr Guyton, GA 31312

2/21/2013Julian Hutchins, MD 18677RN206234Moore, Bonnie Jo 9271 4150 Washington Rd, Suite 11 Evans, GA 30809

7/1/2019Robert Hummer, MD 44242RN191172Moore, Shawn William 13032 541 Historic Hwy 441 North Demorest, GA 30535

12/6/2012Kenneth Howard, MD 40412RN189608Moore, Megan Elizabeth 10988 1825 Martha Berry Blvd Rome, GA 30165

1/14/2014Harbin, Anthony MD 29665RN169917RN1699417

Moore, Heather 10410 1525 Chattanooga Road Dalton, GA 30720

2/1/2013Hott, Brenda MD 41441RN170740Moore, Carolyn 10505 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta, GA 30342

6/22/2016Nancy Cox, MD 66364RN203996Moore, Joyce Marie 13726 400 Canterbury Dr. Wrens, GA 30833

5/1/2016James Greene, MD 29657RN247244Moore, Kerry 15770 1111 Glynco Parkway Bldg1, Ste 10 Brunswick, GA 31525

7/12/2016David Carlton, MD 41749RN189608Moore, Megan Elizabeth 12221 15 Riverbend Dr SW, Suite 120 Rome, GA 30161

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/20/2015Dean Karampelas, MD 26141RN171792Moore, Kathryn 15608 743 Spring St NE Gainesville, GA 30501

3/29/2019Lavon Thurmon Jr., MD 19791RN093755Moore, Cheryl Lynn Andrews 13973 94 McCrary Rd. Fortson, GA 31808

5/20/2015James Richardson, MD 53601RN171792Moore, Kathryn Marie 14053 743 Spring St. NE Gainesville, GA 30501

4/10/2015Lee Collier, MD 48033RN123301Moore, Dana Lewis 14144 104 Fairview Park Dr Dublin, GA 31021

4/5/2019Zia Khan, MD 62533RN146822Moore Miller, Sheila Ann 16045 5470 Meridian Marks Rd NE Atlanta, GA 30342

12/1/2021Mark Wilson 69737RN236253Moorman, Brandi 47809 1909 U S Hwy 82 West Suite 3&4 Tifton, GA 31793

12/17/2014Rodney M. Dourron, MD 36143RN087831Morales, Evelyn Rosa 2092 2675 N. Decatur Rd, Suite 301 Decatur, GA 30033

3/1/2020Docile Saguan Burton 64459RN087831Morales, Evelyn 46580 20 Glenlake Parkway Atlanta, GA 30328

9/30/2008Derick Vergne, MD 57263RN030220Moree, June Powell 8265 3807 Clairmont Rd NE, 2nd Floor Chamblee, GA 30341

10/6/2010Manjula Kallur, MD 57126RN030220Moree, June Powell 8370 3807 Clairmont Road NE, 2nd Floor Chamblee, Ga 30341

1/17/2014Shyam Kelly Gupta, MD 63784RN030220Moree, June Powell 9427 3807 Clairmont Rd NE, 2nd Floor Chamblee, GA 30341

9/1/2016Shahina Mirza, MD 27297RN030220Moree, June Powell 15059 3807 Clairmont Rd. NE, 2nd Flr. Chamblee, GA 30341

12/16/2015Felix Amoa-Bonsu, MD 55916RN192449Moreland, Kayona Lynn Jones 18368 5185 Old National Hwy Atlanta, GA 30349

3/1/2018William Watkins, MD 32076RN192449Moreland, Kayona Lynn Jones 19562 1133 Eagles Landing Pkwy. Stockbridge, GA 30281

12/31/2019Joe Huong, DO 65568RN192449Moreland, Kayona Lynn Jones 19255 3617 Roswell Rd. ste. A Atlanta, GA 30305

10/19/2021Thippeswamy Murthy, MD 52470RN192449Moreland, Kayona Lynn 39385 1267 Highway 54 West, Suite 2200 Fayetteville, GA 30214

6/30/2017Maria Jauhar, MD 62898RN251281Moretti, Meghan Elizabeth 16801 100 Blue Fin Circle, Ste 7 Savannah, GA 31410

8/13/2016Eric Friedrich, MD 16344RN187630Morgan, Jackie Lynn 17009 10500 Abercorn St., Ste N Savannah, GA 31409

3/1/2019Mae Morgan, MD 22902RN196356Morgan, Traci Lynn 18266 424 Decatur St. Atlanta, GA 30312

5/4/2017Thomas Jones, MD 49630RN106080Morgan, Dawn Nicole Carlton 18048 12192 Augusta Rd Lavonia, GA 30557

6/1/2020Lawrence Zottoli, MD 36639RN187630Morgan, Jackie Lynn 14040 4704 Augusta Rd. Garden City, GA 31408

4/6/2020Michael Pinell, MD 58102RN187630Morgan, Jackie Lynn 14434 114 Canal St, Ste 302 Pooler, GA 31322

2/23/2016Joseph Joyave, MD 43977RN211260Morgan, Stephanie Cordell 13984 100 Market Place Blvd, Ste 201 Cartersville, GA 30121

5/6/2016Mary Moore, MD 41902RN196356Morgan, Traci 15689 424 Decatur St SE Atlanta, GA 30312

3/17/2017Christian Williams, MD 72168RN211260Morgan, Stephanie Cordell 17407 100 Market Place Blvd, Ste 201 Cartersville, GA 30121

4/26/2021Donald Maddox 41458RN164598Morgan, Denise 47714 1412 Milstead Avenue NE Conyers, GA 30012

Monday, August 1, 2022 Page 300 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/25/2021Brian DeLoach, MD 51216RN052821Morgan, Constance Elaine 2095 984 Plant Drive Statesboro, GA 30460-8043

4/4/2016Paresh Patel, MD 37325RN106080Morgan, Dawn Nicole Carlton 2096 58 Big A Rd Toccoa, GA 30577

1/8/2010Derrick Phillips, MD 29514RN097019Morgan, Regina Laffonne 2098 3051 Watson Blvd Warner Robins, GA 31093

11/14/2010Gary Glasser, MD 33583RN178238Morgan, Sarah Abigail 2099 315 Winn Way Decatur, GA 30030

11/16/2010Kay Entrekin, MD 42817RN178238Morgan, Sarah Abigail 8059 315 Winn Way Decatur, GA 30030

6/25/2010Jennifer Aqua, MD 44882RN178238Morgan, Sarah Abigail 8060 315 Winn Way Decatur, GA 30030

12/28/2010Jennifer Lyman, MD 50039RN178238Morgan, Sarah Abigail 8061 315 Winn Way Decatur, GA 30030

11/16/2010Lisa Mandeville-Brown, MD 46987RN178238Morgan, Sarah Abigail 8062 315 Winn Way Decatur, GA 30030

4/1/2017Catherine Bonk, MD 30435RN178238Morgan, Sarah Abigail 8063 315 Winn Way Decatur, GA 30030

11/14/2016Thomas Karisny, MD 50029RN093714Morgan, Jr, James Horace 9517 202 Hospital Rd Blairsville, GA 30512

2/27/2009Christina Nguyen, MD 59083RN093714Morgan, Jr., James Horace 8293 1331 Helen Hwy Cleveland, GA 30528

12/27/2019Michael Litrel 39623RN183526Morin, Julie 41969 3405 Dallas Highway Suite 200 Marietta, GA 30064

5/20/2020Petrenia Davis-Jenkins 76812RN167793Moroz, Denise 45939 1481 Hwy 40 E Kingsland, Ga 31548

11/10/2020Ganiat Ajayi 47776RN263950Morris, Tresa 51941 2591 Candler Drive Decatur, GA 30032

1/15/2020Ujwal Siddamreddy 53156RN165649Morris, Octavia 43563 146 CCA Rd Lumpkin, GA 31815

9/24/2018Howard McMahan, MD 22824RN165649Morris, Octavia 41198 132 Cotton Dr Ocilla, Ga 31774

11/1/2015Howard McMahan, MD 22824RN165649Morris, Octavia DeChandra 13837 361 Cargile Rd Ocilla, GA 31774

11/22/2021Dennis Estep, MD 25429RN123310Morris, Linda Pam 12340 2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

10/24/2014Richard R. Whitlock, Jr., MD 20623RN153095Morris, Laura 5438 1348 Walton Way, Ste 5100 Augusta, GA 30901

11/26/2021Suzzane Turner 47772RN192912Morris, Cherelle 58429 11660 Alpharetta Hwy Ste 290 Roswell, GA 30076

3/16/2021Mashanda Campbell 70864RN240808Morris, Sara 48698 424 Decatur Street Atlanta, GA 30312

3/25/2011Craig Kubik, DO 47914RN178709Morris, Lorie Ann 9588 1501 Alice St Waycross, GA 31501

3/25/2011Sohail Choudhri, MD 36514RN178709Morris, Lorie Ann 9589 1501 Alice St Waycross, GA 31501

2/23/2012Dougherty, Anthony MD 30452RN165649Morris, Octavia 10330 3000 Schatulga Road Columbus, GA 31917-2435

4/5/2022Julia Wilson, MD 56787RN225860Morris-Heckstall, Rosemary Osa 18700 901 Rice Street. Atlanta, GA 30318

3/26/2019MICHAEL POMPEY MD 23097RN225860MORRIS-HECKSTALL, ROSEMAR 39739 901 RICE ST ATLANTA, GA 30318

Monday, August 1, 2022 Page 301 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/1/2013Ellison, Margarett MD 62837RN178192Morrison, Melissa 10506 960 Johnson Ferry Rd, Ste 130 Atlanta, GA 30342

6/1/2008Heide Moeling, MD 48918RN187113Morrison, Karen L 8071 59 Hospital Road Newnan, GA 30263

9/29/2014Nitasha Burney, MD 55931RN143857Morrow, Maria Michelle 2110 9465 Hwy 5 Douglasville, GA 30135

7/1/2016Edward Matthews, DO 34896RN117861Morse, Teresa Renee 2398 2525 Williams Rd Columbus, GA 31909

9/13/2018Ayham Y Haddad, MD 50628RN230288Mortez, Tonya Michelle Smith 42390 1250 Jesse Jewell Pkwy SE Gainesville, GA 30501

8/14/2014Ricardo Zarzuela, MD 22292RN113050Moseley, Vanessa Vershel Crew 12567 2015 Alice St Waycross, GA 31501

4/25/2017Frances Ferguson, MD 35625RN143350Moseley, Monique Lynn 16683 1300 Newton Rd Albany, GA 31707

2/6/2022Bruce Easterling 90393RN217674Moseley, Tina 59358 138 Canal Street Unit 308 Pooler, GA 31322

8/16/2014Ghamande, Sharad MD 49173RN192019Moser, Carissa 10099 1120 15th Street, BA7411 Augusta, GA 30912

8/19/2011Daniel Lopez, MD 64597RN192019Moser, Carissa Anne 9312 507 Park Street Palmetto, GA 30268

12/11/2014Robert Burkich, MD 46372RN190965Moses, Charity Ann 9083 148 Scruggs Rd Ringgold, GA 30736

12/19/2021Alison Spellman, MD 70092RN173580Moses, Karen McComb 20175 4700 Waters Ave. 2nd FL ste. A Savannah, GA 31404

6/15/2016Dawn Wilson, MD 47279RN173580Moses, Karen 16071 545 Old Norcorss, Ste 300 Lawrenceville, GA 30046

7/30/2021David Snipelisky 80897RN124145Moshksaran, Mitra 45692 175 White Street Suite 100 Marietta, GA 30060

7/25/2012Battey, Louis MD 21141RN124145Moshksaran, Mitra 10578 275 Collier Road, Ste 500 Atlanta, GA 30309

4/17/2020Roy Reardon 42402RN203847Mosley, Vashawn 45798 208 N. Cuthbert Street P.O. Box 7 Colquitt, GA 39837

10/20/2021Tiffany Delice 54448RN203847Mosley, Vashawn 56233 2209 Pineview Drive Valdosta, GA 31602

3/1/2021Diahann M. Moore 63458RN203847Mosley, Vashawn 53056 2209 Pineview Drive Valdosta, GA 31602

3/18/2020Michael Clifford 37508RN203847Mosley, Vashawn 43974 209 N. Cuthbert Street POB 7 Colquitt, GA 39837

11/12/2021Abrar Chaudhry 74810RN303631Mosley, Jacqueline 58727 6325 Hospital Parkway JohnsCreek, GA 30097

1/20/2022Robert Burton 33543RN299249Mosley, Jonathan 58263 545 Old Norcross Rd, STE 300-B Lawerenceville, GA 30046

2/8/2022Muhammad Alam 69167RN203847Mosley, Vashawn 60248 3015 Veterans Parkway South Moultrie, GA 31788

8/3/2015Darryl Harris, MD 32920RN138834Moss, Debra Carol Taylor 2113 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

5/3/2020Philip Cannon, MD 29853RN138834Moss, Debra 16197 1000 Medical Center Blvd Lawrenceville, GA 30046

3/1/2022Aigul Guilmanova 80922RN191759Moss-Traore, Gilda 46037 65 Old Jackson rd. McDonough, Ga 30252

1/6/2021Anthony Captain, MD 39300RN170080Mosteller, Buffy Saxon 11983 3957 Cleveland Hwy Dalton, GA 30721

Monday, August 1, 2022 Page 302 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2011Tavares Williams, MD 64990RN205058Moughrabi, Nancy Lynn 9361 2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

4/1/2019William Meadows, MD 30513RN091202Moughrabi, Marwan Mohamm 8884 14 Fort Town Dr Ft. Oglethorpe, GA 30742

7/31/2010Rami Azzouz, MD 50126RN205058Moughrabi, Nancy Lynn 8788 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

3/14/2016John Adamski, MD 68873RN203629Moulder, Nicole Taylor 14001 200 South Enota Dr., Ste 150 Gainesville, GA 30501

1/13/2015Joe Clements, MD 43580RN203629Moulder, Nicole Taylor 12334 743 Spring St Gainesville, GA 30501

6/2/2020Gregory Strauther, MD 70594RN203629Moulder, Nicole Taylor 17745 200 South Enota Dr, Ste 150 Gainesville, GA 30501

1/22/2019Joel T. Isom 68926RN182368Mowery, Shanna Binlon 41099 770 Greisan Trail Newman, GA 30263

11/1/2014Aziz Pirani, MD 61934RN177036Moya, Verushcka G 13752 4025 Lawrenceville Hwy., Ste A Lilburn, GA 30047

5/20/2021Joel Greenburg, MD 28560RN164257Moye, Angie E. 8247 6602 Water Avenue, Bldg. C Savannah, GA 31406

2/13/2012Riesco, Ricaardo MD 44069RN190663Moyer, Rachel 10435 1933 Shields Road Dalton, GA 30720

10/26/2013Rayna Jobe, MD 60386RN190663Moyer, Rachel Lauren 11069 172 Carriage Trace Marietta, GA 30068

3/25/2020Meena Shah, MD 21464RN229005Moyo, Takatso 41529 475 Philip Blvd Lawrenceville, Ga 30046

4/6/2021David Ecklund, MD 57067RN209017Muchiri, Elizabeth Nyambura 19964 2525 Cumberland Parkway Atlanta, GA 30339

2/4/2019Maxwell Parrott 45574RN228401Mudrich, Laura 40408 400 Timms Rd, NE Calhoun, GA 30701

2/4/2019Joseph Johnson 65445RN228401Mudrich, Laura 43066 109 Hospital Drive Calhoun, GA 30701

12/30/2019Gregory Phelps 34042RN228401Mudrich, Laura 46290 121 Batterfield Crossing Fort Oglethrope, GA 30742

7/23/2020Kathleen Locker 67344RN228401Mudrich, Laura 51278 121 Battlefield Crossing Fort Oglethrope, GA 30742

1/9/2015Carl Herring, MD 31941RN136093Mueller, Katherine Michelle 1327 550 Redmond Road Rome, GA 30165

1/4/2020Rani Kumaran 61278RN215546Mugambi, Catherine 46319 1400 Northside Forsyth Dr. (Suite 210) Cumming, GA 30041

8/27/2018Iris Buchanan 26834RN203354Muhammad, Britney 43347 35 Jessehill Jr Dr Atlanta, GA 30303

12/6/2019Terri McFadden 32110RN203354Muhammad, Britney 47095 35 Jessie Hill Jr Dr. Atlanta, GA 30303

7/10/2011Harry D Watkins, MD 25308RN160397Muhia, Naomi Wairimu 8840 924 Old Philadelphia Rd, Suite 102 Jasper, GA 30143

11/1/2021Jason Gardiner 52725RN282618Mukati, Mustafa 46138 777 Hemlock St. Macon, Ga 31201

10/15/2020George Frederick 61736RN104575Muliford, Julie 45042 2336 Dawson Rd Suite 1500 Albany, GA 31707

10/26/2021Alana Williams 61376RN199201Mulkey, Emily 50537 1585 Old Norcross Rd Lawerenceville, GA 30046

7/27/2021Tangela Atkinson 77534RN042463Mulkey, Marie 55977 625 West Memorial Drive Dallas, GA 30132

Monday, August 1, 2022 Page 303 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/16/2014Yolanda Hacker, MD 45811RN199201Mulkey, Emily Beteag 12410 2990 Five Forks Trickum Rd Lawrenceville, GA 30044-5872

8/31/2013Osowa, Alexander MD 57551RN199201Mulkey, Emily 10836 3331 Hamilton Mill Rd, Ste 1102 Buford, GA 30519

6/30/2012Benjamin Roy Smith, MD 44338RN042463Mulkey, Marie Hagood 9867 17 Collins Drive Cartersville, GA 30120

1/4/2021Andrew Mecca 36574RN153715Mulleins-Foreman, Ramona 43348 5612 Whitesville RD, Suite A Columbus, GA 31904

1/17/2020Andrew Magnet 60215RN153715Mulleins-Foreman, Ramona 44204 1932 Wynnton Road Columbus, GA 31999

2/19/2016Mae Morgan, MD 22902RN146011Mullen, Bridget Yvette 15654 424 Decatur St SE Atlanta, GA 30312

5/19/2017Tatyana Hofmekler, MD 68030RN183915Mullen, Lauren 17064 1405 Clifton Rd, NE, 6th Flr Atlanta, GA 30322

1/1/2016Dellys Soler Rodriguez, MD 72132RN183915Mullen, Lauren Alyse 15074 1405 Clifton Rd NE, 6th floor Atlanta, GA 30322

10/13/2009William Lynds, MD 33140RN146011Mullen, Bridget Yvette Stevens 2118 780 North Glynn Fayetteville, GA 30214

9/23/2019Randy Warner 53905RN287827Mullings, Natalee 46139 690 Dallas Hwy, Suite 201 Villa Rica, Ga 30180

5/18/2021Solomon Teckle 64976RN188123Mulliniks, Johnny 56753 371 Newnan Crossing Bypass Suite 103 Newnan, GA 30263

2/10/2020Mac Bowman, MD 21647RN065042Mullins, Debora 16395 818 St. Sebastian Way, Ste 308 Augusta, GA 30901

5/20/2016Hewatt M. Sims, MD 48965RN196567Mullins, Rodney Amos 13140 1622 Madison Avenue Tifton, GA 31794

7/1/2022Debora Johnson 43071RN212148Mullins, Jennifer 59412 153 Independence Drive Carrolton, GA 30116

1/25/2021Manuel Vega 28227RN167847Mullis, Tabitha 48628 206 A Hospital Dr Dublin, GA 31021

1/31/2010Steven House, MD 43066RN123086Mullis, Laura Dubois 2120 3780 Eisenhower Pkwy Macon, GA 31206

8/11/2011Billy Greening, MD 42585RN155767Mullis, Lisa Renee 8701 7285 Hwy 16, Suite B & C Senoia, GA 30276

2/7/2015Gerald Bohn, MD 30957RN155767Mullis, Lisa Renee 8948 231 Graeffe Street Griffin, GA 30224

9/1/2009Martha Schuh, MD 37488RN155767Mullis, Lisa Renee 8451 1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

2/7/2015Gerald J. Bohn, MD 30957RN155767Mullis, Lisa R. 11581 1520 Lucky Street Griffin, GA 30223

11/9/2009Kevin Napier, MD 40749RN155767Mullis, Lisa Renee 7901 231 Graefe Street Griffin, GA 30224

5/1/2015Gururaj Nayak, MD 44033RN167847Mullis, Tabitha Hendrix 13828 1909 North Columbia St Ste D Milledgeville, GA 31061

11/1/2013Richard Ackerman, MD 34759RN123086Mullis, Laura Denise Dubois 9151 3780 Eisenhower Pkwy Macon, GA 31206

10/1/2017Ralph Warnock, MD 17337RN081029Mullis, Lori Beecher 21181 4421 Carnes Street. Acworth, GA 30101

8/11/2020Brian Cross, MD 43190RN155767Mullis, Lisa Renee 15296 231 Graefe St Griffin, GA 30224

3/1/2020John W. Souza, MD 39475RN167847Mullis, Tabitha Hendrix 20828 1006 Hillcrest Parkway Dublin, GA 31021

Monday, August 1, 2022 Page 304 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2019Barry Warshaw, MD 15435RN246371Mullis, Rachael 16054 1405 Clifton Rd NE Atlanta, GA 30322

8/31/2016Jeffery Wadsworth, MD 62088RN214873Mundy, Martha J 9919 1365A Clifton Rd NE Atlanta, GA 30322

4/22/2020Jatinder Bhatia, MD 18784RN139537Mundy, Cynthia Allyson 2122 1120 15th Street, BIW-6033 Augusta, GA 30912

8/13/2020Thomas Guest 40393RN244284Muniz, Katherine 45043 5671 Peachtree Dunwoody Rd Suite 300 B Atlanta, GA 3034

5/2/2018Michelle Evans, MD 52171RN260556Munna, Rita Christine Hernand 20473 54 Peachtree Park Dr. Atlanta, GA 30309

9/30/2018Carol Hector, MD 43640RN170513Munna, Melissa Ann 19645 3180 Northpoint Pkwy ste. 303 Alpharetta, GA 30005

12/31/2016Ryan Bozof, MD 61213RN170513Munna, Melissa Ann 13738 11975 Morris Rd. Ste. 140 Alpharetta, GA 30005

12/12/2014Linda Sacks, MD 24724RN182123Munoz, Recia 8447 4750 Waters Avenue, Suite 206 Savannah, GA 31404

5/7/2019Mehmood Mehdi, MD 57725RN237595Munroe, Jasmine Nicole 20827 367 Athens Hwy. ste. 1800 Loganville, GA 30052

5/18/2020Dominic Nkwocha 55280RN209085Muranja, Mary 42972 3832 Highlands Parkway Smyrna, GA 30082

5/31/2020Mahaveer Vakharia, MD 38390RN209085Muranja, Mary Wagithi 17896 4171 Marietta St., Ste 200 Powder Springs, GA 30127

7/4/2015Charles Myers, MD 69314RN183145Murff, Char 15504 1735 S Highway 27 Carrollton, GA 30117

6/2/2017Phillip Nowlin 36588RN183145Murff, Char 20512 1677 Scenic Drive Toccoa, GA 30577

11/21/2019PAUL EDJUA 62972RN204144MURIGU, JOYCE 46741 4898 AUSTELL RD AUSTELL, GA 30106

3/14/2022Kevin Pharris 86112RN204144Murigu, Joyce 58390 209 Cooley Dr Suite 101 Villa Rica, GA 30180

10/1/2018Alexis Gage, MD 68411RN211126Murphree, Megan Pelican 17879 4750 Waters Ave. ste. 202 Savannah, GA 31404

7/30/2015Trishanna Sookdeo, MD 72697RN244491Murphy, Jason 14969 4751 Best Rd College Park, GA 30337

12/31/2018James Gore, MD 36384RN210530Murphy, Kathryn A. 17525 1657 N. Expressway Griffin, GA 30223

8/1/2021Todd Deavens, MD 71189RN210530Murphy, Kathryn 38903 1101 Nor Tec Drive Conyers, GA 30013

3/31/2020Amana Andrews 75679RN191449Murphy, Evelyn 45696 10 Main Street Market Place Cartersvukke, GA 30121

6/6/2022Garrett Post III 61143RN265268Murphy, Noelle 56232 1035 Red Bud Road NE Calhoun, GA 30701

10/31/2020Henry Gruthery III 83229RN191449Murphy, Evelyn 51527 10 Main Street Marketplace Cartersville, GA 30121

11/17/2021Michael Stiefel 84122RN265268Murphy, Noelle 57603 1968 Peachtree Road NW Atlanta, GA 30309`

6/20/2022Michael Sobel 84380RN263692Murphy, Lorena Marie 60011 1000 Towne Center Blvd, Suite 703 Pooler, Ga 31322

7/30/2021Johana Polanco 77397RN210530Murphy, Kathryn 46559 1101 Nor Tec Drive Conyers, GA 30013

4/26/2013Schrum, Forest MD 41946RN191449Murphy, Evelyn 10161 1825 Martha Berry Blvd Rome, GA 30165

Monday, August 1, 2022 Page 305 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/30/2009David Atefi, MD 19029RN160381Murray, Tina Marie 8369 1100 Northside Forsyth Dr, #200 Cumming, GA 30041

11/11/2015Gregory McHan, MD 34654RN062691Murray, Patricia Ann Stranahan 2126 787 Main Street Blue Ridge, GA 30513

4/15/2021Asha Parikh 28850RN174211Murray, Tamara 42949 3280 Old Alabama Rd Alpharetta, GA 30022

1/7/2020Laura Reed 52393RN160381Murray, Tina 42016 6880Walnut Street Macon, GA 31201

5/5/2017Garland Martin, MD 47233RN188600Murray, Jessica Ann 17718 311 East Lee St. Brunswick, GA 31520

12/17/2019William Fackler, MD 40830RN160381Murray, Tina Marie 9055 1014 Forsyth St, Suite 300 Macon, GA 31201

8/21/2009Lourdes DeArmas-Benitez, MD

43917RN097900Musselman, Margaret E 2129 1606 Norwich Street Brunswick, GA 31520

1/25/2012David Faulk, MD 39787RN097900Musselman, Margaret E. 9013 600 Coastal Village Brunswick, GA 31520

12/1/2018Kancharla, Ashok MD 48250RN184372Musser, Alexis 10904 132 Franklin Spring Street Royston, GA 30662

2/20/2017Julian Sharpton, MD 17084RN184372Musser, Alexis 17714 1061 Dowdy Rd., Ste 100 Athens, GA 30606

12/22/2008Ighovwerha Ofotokun, MD 53346RN153996Muther, Kristina Doris 2130 341 Ponce de Leon Avenue NE Atlanta, GA 30308

10/8/2020Afu Abdul 70329RN198800Muthoni, Bernard 51556 150 Gentilly Blvd Cartersville, GA 30120

12/13/2021Asaf Aleem 30260RN286020Mutiu, Omoniyi 47828 2150 Peachford Rd Apt H Dunwoody, GA 30338

2/17/2021Yogesh Goswami 58597RN192572Mwangi, Rose 47422 328 Stan Evans Dr Jefferson, GA 30549

3/20/2018Kirpich Joseph, MD 54904RN162748Mwangi, Dorcas Wangari 7924 969 Windy Hill Road, Suite E Smyrna, GA 30080

5/18/2022Aymah Fareed 58740209788Mwangi, Carolyn 46540 330 Mt. Sinai Drive Dahlonega, GA 30533

1/22/2015Oladayo Osinuga, MD 51703RN162748Mwangi, Dorcas Wangari 8651 1203 Cleveland Ave, Suite 2-D East Point, GA 30344

7/31/2017Lawrence Powell, MD 38915RN150943Mwaniki, Helen Wambui 2131 4120 Austell Road SW Austell, GA 30106

8/11/2020Luther Vance, Jr., MD 19354RN135298Mwansa, Kym 11169 1150 Grimes Bridge Rd, Suite 400 Roswell, GA 30075

9/30/2014George Waldon Garriss, III, MD

51134RN135298Mwansa, Kym L 12554 3939 Roswell Rd, Suite 200 Marietta, GA 30062

9/30/2015Kambiz Aflatoon, DO 66238RN135298Mwansa, Kym 14742 885 Buford Dr Lawrenceville, GA 30043

1/20/2020Douglas Cooper, MD 37180RN135298Mwansa, Kym L. 39391 2636 MLK Jr. Drive SW, Suite 22 Atlanta, GA 30311

1/20/2020Adrienne Polite 72417RN221273Mwengella, Venetta 42652 1605 Roberta Drive, SW Marietta, GA 30008

5/1/2019James Armstrong 67386RN217617Mwenya, Pule 41889 677 Church Street Marietta, GA 30060

9/23/2020Delores Ibetoh 66187RN217617Mwenya, Pule 41970 96 Joe Frank Harris Parkway Cartersville, GA 30120

Monday, August 1, 2022 Page 306 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/23/2020Jaymal Patel 50984RN164962Myers, Chasity M 42038 334 Tifton ElDorado Road Tifton, GA 31793

12/2/2021Joy Zarandy 75567RN239189Myers, Audra 47311 1078 Lumpkin Campground Road suite 100 Dawsonville, GA

2/23/2021Allen Solomon, MD 28465RN164962Myers, Chasity M. 18701 3000 Lenora Church Rd. Snellville, GA 30078

4/17/2020James Sinclair, MD 36457RN178602Myers, Linsey Brooke 19944 306 Westside Drive Douglas, GA 31533

2/29/2016Thomas Byars, MD 59689RN205664Myers, Joshua Anthony 16623 6 Executive Park Dr, Ste 10 Atlanta, GA 30329

3/1/2022Claus Brandigi, MD 43004RN103949Myers, Trisha Ann 7751 1220 George C. Wilson Drive Augusta, GA 30909

10/11/2010Richard Wherry, MD 17341RN086957Myers, Debra Ann 7733 59 Tipton Drive Dahlonega, GA 30533

3/1/2022Haaris Mir, MD 70812RN103949Myers, Trisha 13924 3675 J. Dewey Gray Circle Ste 300 Augusta, GA 30909

10/11/2019Daniel Henson 25173RN239189Myers, Audra 47039 810 Pine Street Gainesville, GA 30501

3/20/2020Megan Bowles 68486RN229108Myers, Dana 48366 3215 Campus Loop Rd Kennesaw, GA 30144

2/5/2012Nowlin, Phillip MD 36588RN086957Myers, Debra 10199 491 East Main Street Cartersville, GA 30121

9/30/2011Patrick Voswinkel, MD 42760RN086957Myers, Debra Ann 8273 10475 Medlock Bridge Road Duluth, GA 30097

11/1/2009David Weinkle, MD 38645RN127464Mynatt, Candace Leigh 8186 PO Box 422002 Atlanta, GA 30342

2/10/2021Chhavi Noohani 66974RN143014Naab, Kimberly 51273 1260 Upper Hembree Rd Suite 100 Roswell, GA 30076

1/30/2013Aneesh Gupta, MD 53231RN143014Naab, Kimberly 11150 455 Nathan Deal Blvd Dallas, GA 30132

6/11/2013George Waldon Garriss, III, MD

51134RN143014Naab, Kimberly Michelle Willia 11928 3939 Roswell Rd, Suite 200 Marietta, GA 30062

3/13/2019Samina Choudhry, MD 72239RN192461Nace, Shana Elizabeth 18031 677 Church Street Marietta, GA 30060

2/3/2021Kira Colbert 79075RN249763Nading, Catherine 54835 3664 Old Milton Pkwy, STE 30 Alpharetta, GA 30005

9/21/2020Charles Schramm 29944RN249763Nading, Catherine 51181 993 Johnson Ferry Rd NE Atlanta, GA 30342

2/28/2010Henry Watson, MD 25399RN143664Nagaddya, Lillian M 2138 3146 Chamblee-Dunwoody Rd, Suite 103 Chamblee, GA 303

3/1/2012Kirpich Joseph, MD 54904RN143664Nagaddya, Lillian M 9964 969 Windy Hill Rd, Ste E Smyrna, GA 30008

2/18/2014Ahmad Jingo, MD 45842RN143664Nagaddya, Lillian M. 9791 3424 Flat Shoal Rd, Suite A Decatur, GA 30034

7/31/2017Janet Fason, DO 48773RN143664Nagaddya, Lillian 16017 1762 Mars Hill Rd NW Acworth, GA 30101-8091

11/8/2014Okiki Louis, MD 47479RN143664Nagaddya, Lillian M 12096 Take Care Clinic, 9465 Hwy 5 Douglasville, GA 30135

6/19/2013Julia Wilson, MD 56787RN143664Nagaddya, Lillian M. 9110 9465 Hwy 5 Douglasville, GA 30135

Monday, August 1, 2022 Page 307 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/15/2022Vaughn Tatum 75994RN228794Nagel, Jodene 48816 13093 Brown Bridge Rd Covington, GA 30016

12/10/2019Christopher Stevens, MD 54515RN214578Naidu, Gopika 16539 2988 Shallowford Rd Marietta, GA 30066-3033

3/10/2022Gayathri Kumar 77062RN259744Naik, Shivani 55968 3660 Market St Clarkston, GA 30021

12/5/2020Etta Boss-Cole 55541RN259744Naik, Shivani 47666 303 Harris Industrial Blvd Ste 3 Vidalia, GA 30474

9/1/2016Vivian Lennon, MD 43121RN192816Nakasone, Alma 15605 4166 Buford Highway, Ste 1102 Atlanta, GA 30345

6/3/2020Ahmad Jingo 45842RN252811Nakibuuka, Ashar 47765 3424 Flat Shoals Rd Decatur, GA 30034

4/25/2018Savitha Shama 46324RN223000Nakigudde, Jacent 41801 735 N Main St Suite 1100 Alpharetta, GA 30009

2/15/2019Roht M Desai, MD 30594RN223000Nakiqudde, Jacent Barbara 42402 1183-A S. Hairston Rd Stone Mountain, GA 30088

6/1/2014Jingo, Ahmad MD 45842RN196422Namakula, Judith 10860 3424 Flat Shoals Road Decatur, GA 30034

6/20/2016Nelson Yuen, MD 63984RN196422Namakula, Judith 16403 2292 Peachtree Rd NW Atlanta, GA 30309

7/31/2017Janet Fason, DO 48773RN196422Namakula, Judith 11872 Take Care Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

6/12/2021Eddie Richardson Jr. 52047RN269245Nappo, Caroline 55187 114 Harmony Crossing suite 1 Eatonton, GA 31024

11/22/2020John Oliga 39890RN269245Nappo, Caroline 54515 2799 Lawerenceville Hwy Suite 106 Decatur, GA 30033

12/4/2018Brett Sandifer, MD 51381RN222350Narain, Leslie 39078 1968 Peachtree Rd. NW Atlanta, GA 30309

8/13/2018Laena Karnstedt, MD 41147RN245371Narey, Megan Jean 39077 106 Pilgrim Village Dr. ste. 400 Cumming, GA 30040

10/31/2020Leli Matthews 52182RN245371Narey, Megan 54172 6667 Vernon Woods Drive Suite B40 Sandy Springs, GA 3032

2/5/2019Shveta Raju 66052RN245371Narey, Megan 43337 475 Philip Boulevard Suite 100 Lawrenceville, GA 30046

10/1/2015Sanjay Nariani, MD 49861RN245371Narey, Megan Jean Dell 15174 3457 Lawrenceville Suwanee Rd, Ste C Suwanee, GA 30024

6/1/2017Glenn Parris, MD 31646RN245371Narey, Megan Jean Dell 19871 989 Lawrenceville Hwy Lawrenceville, GA 30046

12/5/2020Marvin Tark 18257RN245371Narey, Megan 46587 6667 Vernon Woods Dr Suite B40 Sandy Springs, GA 30328

10/31/2016Ralph Jackson, MD 22794RN245371Narley, Megan Dell 16729 771 Old Norcross Rd, Ste 110 Lawrenceville, GA 30046

11/1/2018James Yost, MD 63155RN216463Narmani-Mohammadi, Foroogh 18463 2575 Peachtree Parkway ste. 100 Cumming, GA 30041

1/20/2022James Yost 63155RN216463Narmani-Mohammadi, Foroogh 47814 10905 Haynes Bridge Rd Alpharetta, GA 30022

2/26/2017John Ouderkirk, MD 49992RN262362Nash, Kathleen Patricia 19315 9925 Haynes Bridge Rd. ste. 320 Alpharetta, GA 30022

11/3/2017Eva Beaulieu, MD 66254RN216827Natale, Sarah Babione 39079 3600 Dallas Hwy. SW Marietta, GA 30064

9/28/2018Denise Crawley, MD 41766RN053884Nation, Lola Bowen 19051 420 E. 2nd Avenue ste. 105 Rome, GA 30161

Monday, August 1, 2022 Page 308 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/21/2020Richard Spurlock 59207RN197695Nation, Kristin 44725 931 Lower Fayetteville Road Ste F Newnan, GA 30263

4/1/2021Denise Crawley 41766RN166755Nation, Sherri E 41890 4421 Carnes St Acworth, GA 30101

2/15/2020Charles Idom, MD 50482RN166755Nation, Sherri Elizabeth Seagro 17720 1434 Broadrick Dr. Dalton, GA 30720

9/21/2017Naseer Humayun, MD 52583RN183337Nation, Jody Christian 11858 1420 Mineral Springs Rd Dalton, GA 30720

1/15/2016Mohammad Khan, MD 42315RN166755Nation, Sherri 15321 1407Chattanooga Ave, Ste A Dalton, GA 30720

12/20/2020Wyatt Blake 47702RN166755Nation, Sherri 46588 1005 Boulder Drive Gray, GA 31032

2/1/2011Valarie Manley, MD 32783RN102308Nation, Dawnmarie E. Pearson 2144 101 Beckett Lane, Suite 502 Fayetteville, GA 30214

8/13/2011Fred Tega, MD 56493RN102308Nation, Dawnmarie E. Pearson 9789 15-A Baynard Park Newnan, GA 30265

12/2/2015Oyebanjo, Mobolaji MD 53509RN197721Nation, Rebekah 10334 307 Old Stone Road Villa Rica, GA 30180

5/15/2019Piyush Patel, MD 53357RN234199Natta, Mackenzie Mancini 19211 250 Corporate Center Ct. Stockbridge, GA 30281

11/13/2019Tracy O Das, MD 73422RN234199Natta, Mackenzie Mancini 42403 10090 Medlock Bridge Rd Johns Creek, GA 30097

6/27/2011Eman Kaldas, MD 49579RN182324Nattier, Natasha L. 9128 3121 Peach Orchard Rd, Suite 103 Augusta, GA 30906

12/23/2019Afolorin Banjoko 49267RN223253Naude, Hannah 43976 508 N Main Street STE A Hinesville, GA 31313

1/7/2019David Faulk 39787RN223253Naude, Hannah 41891 1606 Gloucester St Brunswick, GA 31520

7/1/2016Elizabeth May, MD 70279RN195468Navalah, Chantal 17400 80 Jesse Hill Jr. Dr., SE Atlanta, GA 30303

1/26/2016Sandra Gibbs, MD #####RN195468Navalah, Chantal 16249 774 GA Hwy 96 Bonaire, GA 31005

11/15/2020Bryon Evans 53850RN241139Nduwimana, Beatrice 53875 990 Hammond Drive Suite 525 Atlanta, GA 30328

11/11/2013Erskine James, MD 47980RN202198Neal, Olivia Rambo 12120 777 Hemlock St Macon, GA 31201

7/1/2019James Heery, MD 40094RN202198Neal, Olivia Rambo 12655 3226-A Hampton Ave Brunswick, GA 31520

1/4/2017Robert Guerreso, DO 38787RN062577Neal, Paul Sue Eskridge 2148 1730 Lawrenceville - Suwanee Rd Lawrenceville, GA 30043

4/29/2019Angampally Rajeev 57240RN154447Neely, Kristin 41972 505 Jenkins Street LaGrange, GA 30240

12/2/2014Imran Syed, MD 44117RN207580Nejem, Rachel Elizabeth 11659 11820 Northfall Lane, Suite 1101 Alpharetta, GA 30009

2/1/2015Laurence Sperling, MD 34250RN127904Nell-Dybdahl, Christine L. 13129 1365 Clifton Rd., Ste. 2240 Atlanta, GA 30322

11/1/2019Shelly Yusuff 49482RN191868Nelome, Pamela 47229 709 Breedlove Drive Monroe, GA 30655

11/16/2021Roy Sanders 50837RN191868Nelome, Pamela 48610 6055 Lakeside Commons Ste 320 Macon, GA 31210

11/19/2021Roy Sanders 50837RN191868Nelome, Pamela 58744 6055 Lakeside Commons Drive Suite 320 Macon, GA 31210

Monday, August 1, 2022 Page 309 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/6/2012Stephen Pastan MD 39196RN212157Nelson, Melissa Marie 9985 Emory Transplant Center, 1365 Clifton Rd #B Atlanta, GA 30

8/15/2016Stephen Pastan MD 39196RN212157Nelson, Melissa Marie 9987 Emory Transplant Ctr, 1365 Clifton Rd, Clinic B Atlanta, GA 3

7/9/2015Scott Cooper, MD 27696RN112198Nelson, Tarra Lea Mccullar 641 1400 Northside Forsyth Dr, Suite 250 Cumming, GA 30041

7/20/2010Bryan Cheever, MD 34120RN187338Nelson, Kristina Lynn 8000 1107 Memorial Drive, Suite 200 Dalton, GA 30720

1/29/2021Charles Alexis 64716RN190528Nelson, Stephanie 45700 2209 Pineview Drive Valdosta, GA 31602

7/23/2021John Beaty 3559RN248861Nelson, Randall 51341 5131 Warm Springs Rd Columbus, GA 31909

8/10/2018Ezad Ahmad, MD 38162RN175888Nelson, Tricia 41297 1411 Chattanooga Ave Suite 101 Dalton, Ga 30720

12/10/2021PAUL BRADLEY MD 30016RN215598NELSON, DOUNGPHON 39757 240 EISENHOWER DR SUITE 1200 SAVANNAH, GA 31406-26

7/1/2017Thinh Nguyen, MD 62402RN215598Nelson, Doungphon 17515 1891 Howell Mill Rd., NW, #A Atlanta, GA 30318

3/1/2018William Jacobsen, MD 72061RN142670Nelson, Leslie 20855 235 Peachtree St. NE North Tower ste. 2100 Atlanta, GA 303

8/7/2020Jack Heneisen 22780RN215598Nelson, Doungphon 42696 1214 North Columbia Ave Suite D Rincon, GA 31326

5/1/2019Joel Morgan, MD 31295RN190528Nelson, Stephanie Lynn 12602 3541 North Crossing Cir Valdosta, GA 31602

2/1/2013Richard Ambrozic, MD 43851RN190528Nelson, Stephanie 11126 3321 B N. Valdosta Rd. Valdosta, GA 31602

8/17/2012Garcia, Alberto MD 54374RN190528Nelson, Stephanie 10474 4370 Kingsway, Ste E Valdosta, GA 31602

1/1/2018Steven Durocher, MD 56051RN206663Nelson, Brandon 17234 4835 SUGARLOAF PKWY, #300 LAWRENCEVILLE, GA 30044

2/8/2017Lavon Thurman, MD 19791RN077713Nelson, Karen Thomaston 18199 5448 Whittlesey Blvd. ste. B Columbus, GA 31909-7296

4/1/2015Andrew Mecca, MD 36574RN206663Nelson, Brandon Scott 13215 5612 Whitesville Rd Columbus, GA 31904

10/30/2012Jobe, Rayna MD 60386RN157237Nerestil, Sandra 10507 1615 Ridenour Blvd, Ste 202 Kennesaw, GA 30152

2/4/2010Timothy Ryan, MD 40220RN157237Nerestil, Sandra 8917 84 Pine Grove Road Cartersville, GA 30120

6/21/2012Eyal Ben-Aire, MD 56520RN189528Nesbitt, Charkes Chaketha 9604 95 Collier Rd, Suite 5015 Atlanta, GA 30309

5/20/2013Robert A. Miller, MD 38295RN189528Nesbitt, Charkes C. 11348 35 Collier Rd, Wound/Hyperbaric Ctr Atlanta, GA 30309

1/1/2021Joseph Miller, MD 45892RN189528Nesbitt, Charkes Chaketha 9027 275 Collier Rd NW, Suite 300 Atlanta, GA 30309

12/22/2010William Michael Brown, MD 21653RN189528Nesbitt, Charkes Chaketha 5537 355 Tower Road, Suite 300 Marietta, GA 30060

11/9/2016Glen Dasher, MD 43354RN173353NeSmith, Kacy Lee Hickman 15788 1044 Bermuda Run Stateboro, GA 30458

4/1/2019Loy Cowart, III, MD 37979RN159829Nesmith, Nikki Renee 18618 127 N College Street Statesboro, GA 30458

7/16/2021James Hiller, MD 40688RN173353NeSmith, Kacy Lee Hickman 19303 1098 Bermuda Run ste. 7 Statesboro, GA 30458

Monday, August 1, 2022 Page 310 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/22/2015Daryl McCartney, MD 68067RN173353NeSmith, Kacy Lee Hickman 15027 215 North Coleman St. Swainsboro, GA 30401

4/23/2022Herman Levy 34010RN276484Nesset, Jusine 57014 2040 Dan Proctor Drive Suite 120 St. Mary's, GA 31558

1/15/2020Richisa Lessica Hamilton 67715RN057577Nessing, Cynthia McQuaig 11300 801 W. Gordon Street Thomaston, GA 30286

6/25/2021John Souza, MD 39475RN057577Nessing, Cynthia McQuaig 19458 821 N. Cobb Street Milledgeville, GA 31061

8/1/2018Tian Xia, MD 64310RN057577Nessing, Cynthia McQuaig 40157 801 W Gordon Street Thomaston, GA 30286

2/6/2020Timothy Meldon Longaker 25883RN177070Netrow, Mary Heather 82 298 Hwy 520 Cusseta, GA 31805

6/13/2016Yong Lee, MD 37597RN215180Neu, Lovie Doucette 17309 6002 Professional Pkwy, Ste 140 Douglasville, GA 30134

12/5/2017Steven Morganstern, MD 20582RN215180Neu, Lovie Doucette 19302 3193 Howell Mill Rd. ste. 323 Atlanta, GA 30327

9/6/2016Kimberly D. Gilbert, MD 62848RN215180Neu, Lovie Doucette 18351 5100 West. St. Covington, Ga 30014

2/8/2016Mary Dailey-Smith, MD 50472RN215180Neu, Lovie 15826 5610 Wendy Bagwell Pkwy, Ste 103 Hiram, GA 30141

9/28/2021Christopher Meduri 72060RN207160Neville, Merry 47486 95 Collier Road NW Suite 5015 Atlanta, GA 30309

3/1/2015Dunagan, Josephine MD 15553RN117902Neville, Anita Marlene 294 1700 Tree Lane, Ste 110A/B and 360 Snellville, GA 30078

12/1/2021Cheryl Perkins 36430RN176225Nevils, Stefani 45159 1499 Fair Rd Statesboro, GA 30458

7/25/2012Taylor, Michelle MD 60104RN132208New, Katina 10677 3073 Panthersville Road Decatur, GA 30034

7/1/2016Dorel Bidiuc, MD 51296RN155378Newberry, Brittany Marie 13017 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

8/22/2021Christopher Atkins, MD 45708RN155378Newberry, Brtittany Marie 12853 1266 HWY 515 South Jasper, GA 30143

9/1/2020Claudia Venable, MD 54044RN241679Newell, Jodee 15409 1001 Johnson Ferry Rd NE Atlanta, GA 30342

6/1/2021Nirav Patel 84322RN140369Newman, Brandi 52278 1601 Watson Blvd Warner Robbins, GA 31093

6/10/2020David Kocherla 45855RN140369Newman, Brandi 45701 1601 Watson Blvd Warner Robins, GA 31093

5/30/2015Nelson Madrazo, MD 49862RN190752Newsome, Brittiany Michelle 11740 103 GA Hwy 27 East Americus, GA 31709

4/22/2010Charles Hitson, MD 26554RN146013Newton, Maureen Edythe 7849 125 North Tenth Street Griffin, GA 30223

12/19/2014Terry Golden, MD 14050RN146013Newton, Maureen Edythe 13294 1961 N Druid Hills Rd Atlanta, GA 30329

2/6/2020Paul Donnan, MD 47892RN146013Newton, Maureen Edythe 13252 477 Windsor St SW, Suite 309 Atlanta, GA 30312

12/29/2020David Nussbaum 67697RN197668Newton, Keshala 45335 303 Fraser Drive Hinesville, GA 31313

7/22/2020Lee Jacobs, MD 28283RN146013Newton, Maureen Edythe 18885 107 Mountain Brook Lane ste. 100 Canton, GA 30115

7/10/2018Alison Baker, MD 53490RN212748Ngalame, Jackline Bessem 18715 2011 Commerce Dr. Peachtree City, GA 30269

Monday, August 1, 2022 Page 311 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/15/2018Ronnie Blount 39735RN212748Ngalame, Jackline Bessem 42564 112 Rowe Street Dublin, GA 31021

4/10/2018Nawar Sotus 31512RN204864Ngozi, Orabueze 41808 2049 Metropolitan Pkwy, SW Atlanta, GA 30315

9/11/2020Pablo Quintanilla 17546RN252377Nguyen, Thao 47777 5151 Brock Hollow Pkwy Ste145 Norcross, GA 30071

7/1/2018James Chappuis, MD 29604RN223312Nguyen, Tan Thanh 39111 3161 Howell Mill Rd. NW ste. 400 Atlanta, GA 30327

11/18/2019Francisca MgBodile, MD 50662RN228970Nguyen, Hong Diem 19425 191 Lamar Haley Pkwy. Canton, GA 30114

9/2/2016Rose Briglevich, MD 17042RN184991Nguyen, Sophie 17065 3969 S. Cobb Dr., #107 Smyrna, GA 30080

12/12/2015James Lee, DO 56583RN184991Nguyen, Sophie Tranh 11675 310 Gold Creek Trail, Suite 200 Woodstock, GA 30188

12/31/2019Patrick Eagleson, MD 65102RN161976Nguyen, Nga 15485 1230 Baxter St Athens, GA 30606

8/20/2013Dinakara B. Shetty, MD 42431RN188608Nguyen, Mariana T. 11361 1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088

3/15/2014Guido H. Ring, MD 45325RN216874Niazi, Abdul H. 11636 3955 Harrison Rd Loganville, GA 30052

3/15/2014Guido H. Ring, MD 45325RN216874Niazi, Abdul Hai 11235 1431 Riverside Pkwy Lawrenceville, GA 30043

8/20/2015Emmanuel Soyoola, MD 53032RN216874Niazi, Abdul 11161 1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

4/4/2016Virginia Wight, MD 32839RN216874Niazi, Abdul Hai 15165 250 North Ave Athens, GA 30605

2/1/2018Kambiz Aflatoon, MD 66238RN216874Niazi, Abdul Hai 18454 885 Buford Dr. Lawrenceville, GA 30043

3/22/2021Theodore M. Morgan 65711RN216874Niazi, Abdul Hai 40231 3200 Highlands Pkwy Suite 400 Smyrna, GA 30082

4/25/2022Leslie Cottrell 45194RN241696Nichols, Amy 56635 41 Wellington Mill Rd Whiteburg, GA 30116

6/20/2016Nelson Yuen, MD 63984RN168367Nichols, Lindsey Ann 13671 3617 Roswell Rd NE, Suite A Atlanta, GA 30305

10/10/2016Tracy Barr, MD 58030RN198801Nichols, Amy 16291 1180 Barrett Pkwy NW 102 B Kennesaw, GA 30144

6/23/2014Quinton Weldon, MD 56786RN184239Nichols, Sandra Walker 9694 116 W. Thigpen Ave Lakeland, GA 31635

5/1/2013Stetler, Harrison MD 41681RN198801Nichols, Amy 10789 3957 Holcomb Bridge Rd, Ste 100 Norcross, GA 30092

10/24/2013Williams, Jonathan DO 59237RN184239Nichols, Sandra Walker 10407 1221 E McPherson St Nashville, GA 31639

11/21/2019Durrett, Lynley MD 44912RN168367Nichols, Lindsey 10562 105 Collier Road, Ste 1080 Atlanta, GA 30309

6/1/2020Winston C. Connell, Jr, MD 58733RN184239Nichols, Sandra Walker 11429 915 Gordon Ave Thomasville, GA 31792

12/15/2009James Capo, MD 22363RN168367Nichols, Lindsey Ann 8290 1100 Johnson Ferry Rd, #460, Bldg II Atlanta, GA 30342

6/29/2012Kathleen Gunchick, MD 28760RN162196Nichols, Anne Yost 8942 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

9/30/2009Kevin Smith, MD 41961RN162196Nichols, Anne Yost 2164 KSU Hlth Clinic, 1000 Chastain Rd, Hse 52, #5200 Kennesaw,

Monday, August 1, 2022 Page 312 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/15/2013Garry Siegel, MD 29784RN103935Nicholson, Teresa Lynn Gifford 11702 2500 Hospital Blvd, Suite 290 Roswell, GA 30076

7/18/2020Robert Mixson, MD 39415RN103935Nicholson, Teresa Lynn Gifford 17897 104 Lakeshore Dr, ste A St. Marys, GA 31558

3/29/2018Alana Kent, MD 51241RN209728Nicholson, Justin Doyle 18795 14244 Hwy. 515 N. ste 100 Elijay, GA 30536

12/30/2019Maiysha Clairborne, MD 55194RN262699Nickelson, Regina McIntosh 42367 2801 Buford Highway NE Atlanta, GA 30329

9/28/2021Kenneth O'Neal 60951RN178507Nicolas, Darc-Pucelle 52453 1412 Milstead AVE NE Conyers, GA 30012

10/1/2019Robert Mitchell 47491RN178507Nicolas, Dar-Pucelle 43095 70 Medical Center Drive Commerce, GA 30529

10/25/2021Daniel Valancius, MD 72151RN178507Nicolas, Darc-Pucelle 18647 304 Turner McCall Blvd. Rome, GA 30165

10/14/2020Dokun Dairo 74343RN178507Nicolas, Darc-Pucelle 48524 1412 Milstead Ave NE Conyers, GA 30012

9/15/2020Gill, Jasbir MD 31429RN143057Niehanke, Kristina 10137 105 W. Crawford Avenue Valdosta, GA 31602

7/30/2010Sheryl Henderson, MD 39818RN175052Nijem, Summer Starr 2168 341 Ponce de Leon Avenue NE Atlatna, GA 30308

5/14/2013Rana Chakraborty, MD 41752RN175052Nijem, Summer Starr 9366 341 Ponce de Leon Ave NE Atlanta, GA 30308

4/30/2010Elizabeth Killebrew, MD 29898RN103666Nipper, Wanda Vining 2169 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

12/14/2007John Harris, MD 26RN077978Nivens, Alice Anita Stokes 2170 1820 Florence Street Savannah, GA 31415

5/17/2016Eduard Docu, MD 56426RN077978Nivens, Alice Anita Stokes 8185 102 Bryan Woods Road Savannah, GA 31410

4/14/2021Scott Michell 56212RN224064Nix, Laura 54223 1008 North 3rd Avenue Chatsworth, GA 30705

6/11/2021Rami Arfoosh, MD 63559RN150406Nix-Beddingfield, Billie 15785 30 Satellite Dr, Ste 200 Winder, GA 30680

11/16/2011Cuomo, Michael MD 59397RN150406Nix-Beddingfield, Billie 10134 85 Auburn Park Drive Auburn, GA 30011

9/2/2019Arun K Kantamneni, MD 70171RN122582Njoku, Maureen Nkechi 40159 5454 Yorktowne Dr Atlanta, GA 30349

3/15/2021Philicia Andrews 44621RN215361Njungwe, Eric Ngonji 40243 3999 Austell Rd. Ste. 901 Austell, GA 30106

5/17/2021Mark Goldberg 68736RN215361Njungwe, Eric 56769 3999 Austell Road Suite 901 Austell, GA 30106

1/29/2021Kirby Peden, MD 46208RN215361Njungwe, Eric Ngonji 19328 1035 Red Bud Rd. Calhoun, GA 30703

6/1/2022Krupa Desai 63413RN231843Nkoi-Mimba, Elsie-Solange 51897 1515 River Place Braselton, GA 30517

2/25/2022Stephanie LaFontaine 53475RN292239Noble, Kelli 49186 302 Point N Place Dalton, GA 30720

4/16/2021Abiodun G. Olatidoye, MD 48556RN254826Noble, Kellie M. 17715 6507 Professional Pl. Riverdale, GA 30274

3/2/2022Emily Tatum 64180RN292239Noble, Kelli 58700 708 S. Glenwood Ave Suite 312 Dalton, GA 30721

4/12/2021Lisa Counsell, MD 44314RN185511Nobles, Erin Grace 19205 1067 Peachtree Street Louisville, GA 30434

Monday, August 1, 2022 Page 313 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/25/2020Earle Taylor, MD 25298RN185511Nobles, Erin Grace 16849 620 Sparta Rd Sandersville, GA 31082

11/1/2019EMILE RISBY MD 30869RN273808NOBLES, DIANE 39817 2450 VINSON HWY COOK BUILDING MILLEDGEVILLE GA, GA

8/1/2018Stephen Fleming 63325RN140654Nodine, Jan 41804 550 Carlton Street Athens, GA 30602

10/31/2014Duffey, Jr., Franklin MD 16856RN140654Nodine, Jan 10221 231 West Hancock Street, Box 061 Milledgeville, GA 31061

3/23/2022Thuy Doan 79177RN154626Noe, Amanda 49300 720 Transist Ave Suite 101 Canton, GA 30114

11/10/2016Robert Burkich, MD 46372RN192187Nofziger, Angel Elizabeth 17957 5505 Peachtree Dunwoody Rd, Ste 580 Atlanta, GA 30342

9/10/2014Burkich, Robert MD 46372RN192187Nofziger, Angel 10609 171 Mt. Paran Rd Atlanta, GA 30342

9/19/2013Parrish, William MD 9905RN192187Nofziger, Angel 10610 3001 Mercer University Drive Atlanta, GA 30341

5/29/2014Robert Burkich, MD 46372RN192187Nofziger, Angel Elizabeth 12570 11300 Atlantis Place, Suite A Alpharetta, GA 30022

2/26/2021Marcus Simmons #####RN258068Nolan, Hannah 53026 5569 Houston Road Macon, GA 31216

2/6/2021Donell Collins 74241RN217001Noland, Elizabeth 42902 34245 Buford Drive Buford, GA 30519

3/14/2011Brian DeLoach, MD 51216RN154825Noland, Sharon Sue Stockard 2174 PO Box 8043 Statesboro, GA 30460-8043

10/4/2021Alan Brown 57782RN220293Norman, Kayla 53930 130 N Lee Street Forsyth, GA 31029

2/19/2022Olabisi Pearse, MD 49717RN205009Noronha, Preeti 11137 CHOA 2660 Satellite Blvd Duluth, GA 30096

2/13/2020Derrell Leggett, MD 66346RN154709Norrell, Jaimi Marie 19329 794 Mcdonough Rd. ste. 111 Jackson, GA 30233

10/13/2016Becky Campbell, MD 48105RN154709Norrell, Jaimi Marie 17832 500 Spillers Way Warner Robins, GA 31088

10/13/2016Kevin Baggett, DO 48410RN154709Norrell, Jaimi Marie 18220 500 Spillers Ways warner Robins, GA 31088

3/18/2021Robert Roddenberry 43756RN154709Norrell, Jami 49156 380 Hospital Drive Building A Ste.100 Macon, GA 31217

5/21/2018CATHY HARPER-HOGAN MD 44228RN154709NORRELL, JAIMI 39820 1861 WATSON BLVD WARNER ROBINS, GA 31093

9/30/2021Curtis Sorensen, MD 39947RN236963Norris, Wendy 14421 100 Brookstone Center Pkwy Columbus, GA 31904

1/2/2021Michael Maley, MD 34410RN075091Norris, Juanita Pitts 1413 58 Big A Rd Toccoa, GA 30577

2/28/2014Chukwuemeka Nwabuebo, MD

48553RN195079Northcutt, Torre S. 11298 654 First St. Macon, GA 31201

5/14/2021Dinakara Shetty, MD 42431RN203938Northcutt, Conswalis Legail 18158 1719 Russell Pkwy ste. 700 Warner Robins, GA 31088

5/25/2018Angela Gerguis, MD 47261RN195079Northcutt, Torre Shaunte 21325 360 Hospital Dr. Bldg. D ste. 130 Macon, GA 31217

11/22/2013Ui Ho Park, MD 18938RN107851Northover, Jill Marie Ernst 12430 3889 Cobb Pkwy NW Acworth, GA 30101

Monday, August 1, 2022 Page 314 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/19/2020Nancy Lefever, MD 50205RN107851Northover, Jill Marie Ernst 12942 PO Box 680 Tate, GA 30177

8/24/2012Nadia Cameron, MD 53982RN107851Northover, Jill Marie Ernst 10933 3760 Sixes Rd, Ste 120 Canton, GA 30115

5/29/2015Divina Dyer, MD 57161RN098033Norton, Carol B 12629 4398 Atlanta Hwy Locanville, GA 30052-7314

7/23/2012David Kunz, MD 29703RN098033Norton, Carol B. 9390 1655-A Lebanon Rd, Suite A Lawrenceville, GA 30043

7/21/2010Meena Shah, MD 21464RN098033Norton, Carol B. 9161 475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

1/29/2016Susan Blank, MD 33782RN098033Norton, Carol B. 16949 3985 Steve Reynolds Blvd, Bldg P Norcross, GA 30093

5/19/2021Modele O. Ogunniyi, MD 59841RN273787Norton, Kathryn W. 40018 80 Jesse Hill Jr. Drive Atlanta, GA 30303

6/19/2013Julia Wilson, MD 56787RN098033Norton, Carol 11529 4398 Atlanta Hwy Loganville, GA 30052

1/31/2010Noreen Andrews, MD 46861RN098033Norton, Carol B. 2180 2380 Buford Drive Lawrenceville, GA 30043

7/31/2017Shameka McElhaney, MD 54854RN124521Norvell, Barbara Lynn 2182 2464 Roswell Road Marietta, GA 30062

7/15/2013Edward Espinosa, DO 59636RN057688Norvell, Barbara 11023 577 Glenridge Dr. NE, Ste E200 Atlanta, GA 30328

3/1/2019Jack Copeland, MD 30289RN204069Norwood, Bethany Rennaye 20366 725 Jesse Jewell Pkwy. SE Gainesville, GA 30501-3834

10/1/2021Julie Dahl-Smith 49287RN120275Noto, Penny 54830 987 St. Sebastian's Way EC-1500 Augusta, GA 30912

4/5/2019Luis Ortiz, MD 51260RN120275Noto, Penny Fay 19543 1120 15th St. ste. BG-2071 Augusta, GA 30912

4/7/2015James Vick lll, MD 37720RN147143Nowland, Tammy Carol 14597 15 Pliverbend Dr S W, Ste 200 Rome, GA 30161

8/31/2013Ifeyinwa Osunkwo, MD 55681RN174175Nowlin, Andrea Nicole 5496 1405 Clifton Rd, Tower 1, 4th Floor Atlanta, GA 30322

7/18/2014Tamara New, MD 58712RN174175Nowlin, Andrea Nicole 12288 1405 Clifton Rd NE, AFLAC Cancer Ctr Atlanta, GA 30322

5/30/2022James Chambers 73718RN277127Nowlin, Jessica R. 60353 316 N. Broad Street Winder, GA 30680

1/17/2020Francisca Mgbodile 50662RN217223Nsangi, Tina 41805 650 Jose Frank Harris Cartersville, GA 30120

7/8/2019Ann Groover 36765RN216685Ntiwa, Afua 45704 2945 Miller Ferry SW Suite D Calhoun, GA 30701

8/27/2021Syamala Erramilli 47896RN158187Nuega, Mary Grace 54086 1155 Perimeter Center West 11th Floor Atlanta, GA 30338

8/27/2021James While 39510RN157187Nuega, Mary Grace 44522 705 Dixie Street Carrollton, GA 30117

3/6/2019Deepti Munjal 46627RN157187Nuega, Mary Grace 43994 4586 Timber Ridge Drive Douglasville, GA 30135

10/1/2019Nipun B Patel, MD 46800RN198340Nuetzel, Jennifer Nicole 42365 3646 Chamblee Tucker Road Chamblee, GA 30341

6/30/2020Joseph Hobbs #####RN209016Nunnally, Ashley 48181 1120 15th Street Augusta, GA 30912

7/26/2019Safia Pirani 56624RN243611Nurani, Laila 45705 4025 Lawrenceville Hwy Lilburn, GA 30047

Monday, August 1, 2022 Page 315 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2019Benjamin Spitalnick 46910RN222173Nussbaum, Elaine 44526 4600 Waters Ave Ste 100 Savannah, GA 31404

8/21/2015Tania Smith, MD 51602RN222173Nussbaum, Elaine F 13949 2420 Westgate Dr., Ste 102 Albany, GA 31707

8/2/2014Kolade K. Obajuluwa, MD 67147RN222173Nussbaum, Elaine 11616 609 E. Lamar St. Americus, GA 31709

7/1/2019Daniel Valancius, MD 72151RN157496Nwadike, Linda Adaeze 19100 304 Turner McCall Blvd. Rome, GA 30165

1/7/2020Igwebuike Onyekaba 39650RN204569Nwakanma, Sylvia Udokoro 41405 3375 Memorial Dr. Decatur, GA 30032

6/9/2021Dylan Deatrich 77360RN204569Nwakanma, Sylvia 51528 4155 Integrity Way Powder Springs, GA 30127

12/2/2020Bryan Harrell 65003RN204569Nwakanma, Sylvia 50707 2457 Martin Luther King Jr. Dr. SW Suite A Atlanta, GA 3031

10/1/2018Darsham A. Patel 72070RN216945Nwaokolo, Onyebuchi Nwamak 167 5454 Yorktowne Dr. Atlanta, GA 30349

1/1/2019Syed Rizvi 44073RN216945Nwaokolo, Onyebuchi 42987 5454 Yorktowne Dr Atlanta, GA 30349

6/15/2019Onwura Obiekwe 50236RN216945Nwaokolo, Onyebuctti 41806 217 Medical Way Riverdale, GA 30274

6/20/2022Kingsley Tyamu 44493RN113098Nwogu, Cecilia 42017 9434 South Main Street Ste 400/500 Jonesboro, GA 30236

12/1/2009Chukwudi Amu, MD 26967RN113098Nwogu, Cecilia Adamma 8233 5526 Old National Hwy, Bldg J Suite B Atlanta, GA 30349

6/21/2017Eva Beauieu, MD 66254RN188468O' Connor, Diane Marie 20918 1751 Newnan Crossings Blvd. ste. E Newnan, GA 30265

8/31/2021Amanda Cowan 50793RN095296O' Hara, Janet 45800 5621 HWY 21S Rincon, GA 31326

2/2/2019Bruce Pendley 31306RN214811Oakley, Meghan 42783 14 FortTown Drive Ft. Oglethorpe, GA 30742

12/14/2021Afolarin Banjoko, MD 49267RN172573Oates, Christi 15692 836 E 65th St, Ste 10 Savannah, GA 31405

1/19/2015Donald Mackler, MD 21021RN241445Obear, Paula Hanshaw 14168 102 Gross Crescent Cir, Ste 300 Fort Oglethorpe, GA 30742

11/10/2018Eric Scheinbart, MD 23791RN205546Oberg, Lauren Sillery 40064 1942 Beaver Ruin Road Norcross, GA 30071

5/12/2020Joshua Vickers 77804RN231197O'Berry, Gabrielle 42863 100 Doctors Drive Suite I Douglas, GA 31533

8/1/2018Shannon Ellis, MD 73702RN231197O'Berry, Gabrielle Alyse 21283 903 West Ward St. ste. A Douglas, GA 31533

9/1/2018Lester R. Johnson 69015RN231197O'Berry, Gabrielle A. 5023 1912 Memorial Drive Waycross, GA 31501

7/1/2017William Kriegel, MD 31962RN206149Obialor, Naomi Tessy 20993 35 Collier Rd. (Suite 500) Atlanta, GA 30309

7/31/2017Lawrence D. Powell, MD 38915RN206149Obialor, Naomi 40997 5378 Lawrenceville Hwy (Suite B) Liburn, GA 30047

10/14/2021Stanley Himes 33839RN265211Obijiofer, Chukwunonso 57248 1605 Peachtree Street NE Atlanta, GA 30309

8/2/2017Kelvin Burton, MD 32101RN228348Obuba, Joseph Kalu 13530 2022 Fairburn Rd, Suite D Douglasville, GA 301135

3/31/2017Eugene Hurwitz, MD 24694RN188468O'Connor, Diane Marie 15282 37 Calumet Pkwy Bldg F, Ste 201 Newnan, GA 30263

Monday, August 1, 2022 Page 316 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/1/2019Richard Dukes, MD 51875RN227771O'Connor, Reagan Suzanne 19412 1780 Peachtree Parkway ste. 302 Cumming, GA 30041

2/2/2015Rajiv Tejura, MD 68804RN188468O'Connor, Diane Marie 13011 PO Box 649 Marietta, GA 30090

9/4/2020Patrick Railey, MD 43114RN188468O'Connor, Diane Marie 39414 794 South Park Street Carrollton, GA 30117

4/27/2020Neel Patel 66391RN277073O'Connor, Tanisha 43396 600 Celebrate Life Parkway Newnan, GA 30265

9/13/2021Sarita Prasad 73372RN188468O'Connor, Diane 57985 1575 NE Expressway (Employee Health Suite) Atlanta, GA 30

1/31/2014Elam, Mark MD 36147RN188468O'Connor, Diane 10212 800 Professional Blvd. Dalton, GA 30720

10/27/2011Baysden, Teresa DO 57348RN188468O'Connor, Diane 10079 243 Huffaker Road Rome, GA 30161

4/24/2011Teresa Baysden, DO 57348RN188468O'Connor, Diane Marie 8012 2001 Antioch Rd Dalton, GA 30721

7/18/2013Paul Kirschbaum, MD 21728RN182395O'Connor, Whitney Renee 9576 2665 N. Decatur Rd, Suite 260 Decatur, GA 30033

8/5/2021Robert Burton 33543RN209789Oden, Cindy 45707

4/20/2020Roy Reardon 42402RN223015Odom, Megan Alexandria 41350 208 N. Cuthbert Street P.O. Box 7 Colquitt, GA 39837

6/10/2016Whitesell, Thomas MD 52854RN062128O'Donoghue, Cheryl 10774 2060 Dan Proctor Dr, Suite 2100 St. Marys, GA 31558

7/15/2013William A. Zorn, MD 27746RN122151Oess, Barbara 11041 2950 Buford Hwy, Ste 140 Cumming, GA 30041

6/10/2015Michael Litrel, MD 39623RN122151Oess, Barbara Ellen Ohlman 12820 227 Riverstone Dr Canton, GA 30114

7/15/2013Phillip Bannister, MD 16503RN122151Oess, Barbara Ellen Ohlman 2202 401 West Pike St, Suite A Lawrenceville, GA 30127

12/4/2015David Faulk, MD 39787RN238103O'Flynn, Tamsyn Catherine 13578 2712 Parkwood Dr. Brunswick, GA 31520

5/22/2009Christopher Stevens, MD 54515RN107027Ofodile, Ije E. 2203 181 South Clayton St SW Lawrenceville, GA 30045

2/28/2017Sylvanus K. Flakpornoo 60453RN183911Ofori, Isabelle M. 17067 2713 Charles Hardy Pkwy, Ste 223 Dallas, GA 30157

9/22/2021Christopher Valentine 72840RN181941Ogas-Todd, Grace 58220 6300 Jimmy Carter Blvd Norcross, GA 30071

10/20/2021Shailesh Patel 61931RN161714Ogbonna, Francisa 58783 5454 Yorktowne Dr Atlanta, GA 30349

12/12/2016Antony Labady, MD 63084RN161714Ogbonna, Francisca E. 17725 1467 John Robert Dr, Ste B, C, D Morrow, GA 30260

2/5/2020Lawrence Reccoppa 69940RN161714Ogbonna, Francisca 43425 911 Chambers Drive Conyers, GA 30012

9/15/2021James Stewart, MD 62780RN215355Ogburn, Leslie 16203 5671 Peachtree Dunwoody Rd, Ste 300 Atlanta, GA 30342

9/5/2018Sanjeev S. Tendolkar 63066RN215725Ogilvie, Heather Anne 38658 4589 Lawrenceville Road Loganville, GA 30052

10/31/2018Herschel Kessler, DO 69501RN195091Oglesby, Amber Dell 15334 1514 Vernon Rd LaGrange, GA 30240

1/12/2016Altee Johnson, MD 60387RN242902Oglesby, Virginia 15045 101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

Monday, August 1, 2022 Page 317 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/11/2012Radian Florea, MD 49171RN173168Oglesby, Brenda T. 8989 100 Gross Crescent Cir Ft. Oglethorpe, GA 30742

7/22/2020Lee David Jacobs, MD. 28283RN232323Ograbisz, Pamela 39866 111 Mountain Brook Dr. Canton, Ga 30115

7/30/2018Iqbal H Dhanani, MD 45767RN182005Ogun-Semore, Olawunmi J 40173 5454 Torkowne Dr Atlanta, GA 30349

3/31/2021Asaf Aleem 30260RN182005Ogun-Semore, Olawunmi 48164 2150 Peachford Rd Suite H Dunwoody, GA 30338

2/1/2021Gary Matthews 77862RN233148Ogwotu, Ralph 56982 250 Coporate Center Ct Stockbridge, GA 30281

3/22/2021Theodore Morgan 65711RN233148Ogwotu, Ralph 54745 3200 Highlands Pkwy SE Suite 400 Smyrna, GA 30082

6/30/2021Amanda Cowan, MD 50793RN095296O'Hara, Janet D 15316 5 Executive Circle Savannah, GA 31406

8/10/2015Darryl Harris, MD 32920RN079770O'Hara-West, Patricia Shannon 12127 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

12/31/2010Matthew Goldstein, MD 48115RN079770O'Hara-West, Patricia Shannon 2206 PO Box 587 Snellville, GA 30078

11/8/2018Miguel Stubbs, MD 37708RN210195Ohawa, Joan Akinyi 21090 605 Ceremony Way Acworth, GA 30102

7/31/2017Yuan-Xiang Meng, MD 51257RN210195Ohawa, Joan Akinyi 13149 2779 N Cobb Pkwy Kennesaw, GA 30152

2/21/2020Moutir Darradji 48998RN250013Oison, Christina 44206 3150 Howell Mill Rd NW Atlanta, GA 30327

10/2/2019Nicholas Jean Beaulieu 42176RN216234Oja, Kristen Corbin 41044 920 Ponce de Leon Ave NE Atlanta, GA 30306

6/26/2018John H. Lloyd, MD 28434RN216234Oja, Kristin Corbin 21169 6085 Lake Forrest Dr. NE ste. 300B Atlanta, GA 30328

5/8/2018Michele Sewell, MD 36281RN216056Ojiaku, Ogochukwu Nonyelum 19212 4153 Flat Shoals Parkway ste. 300 B Decatur, GA 30034

5/4/2022Donovan Christie, MD 44432RN168097Ojumu, Adejoke 40914 2227 Idlewood Rd Tucker, GA 30084

9/26/2019Belinda Brown-Saddler, MD 54555RN124521Okeani, Ngozi 20924 5230 Dallas Highway SW Powder Springs, GA 30127

7/31/2017Shameka McElhaney, MD 54854RN072541Okeani, Ngozi 2208 5230 Dallas Hwy SW Powder Springs, GA 30127

2/14/2020Robert Williams 29263RN224895Okeke, Adaora 46583 1626 Jeurgens Court Norcross, GA 30093

6/30/2021Oladayo Osinuga 51703RN224895Okeke, Adaora 46584 1000 Briarcliff Road NE Atlanta, GA 30306

2/14/2020TERENCE FRINKS 51042RN224895OKEKE, ADAORA 46762 1626 JEURGENS COURT NORCROSS, GA 30093

2/14/2020DAVE RINGER 30368RN224895Okeke, Adaora 46726 1626 Jeurgens Court Norcross, GA 30093

2/14/2020ROBERT KLASSEN 34385RN224895OKEKE, ADAORA 46753 1626 JEURGENS COURT NORCROSS, GA 30093

10/21/2021JAMES HAMILTON JR 29179RN224895OKEKE, ADAORA 46756 1626 JEURGENS COURT NORCROSS, GA 30093

2/14/2020May Bullecer 50947RN224895Okeke, Adaora 46146 1626 Jeurgens Ct. Norcross, Ga 30093

12/9/2016Adam Meadow, MD 67504RN234013Okibedi-Ahanotu, Alphonsa 14680 2540 Windy Hill Rd Marietta, GA 30067

Monday, August 1, 2022 Page 318 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/15/2019Alexander Mason, MD 59555RN197346Okonkwo, Obiageli 18424 5673 Peachtree Dunwoody Atlanta, GA 30342

4/1/2015Jan Mayfield, MD 51355RN149536Okoro, Ngozi Gloria 13545 49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157

6/15/2018Theodore Morgan, MD 65711RN149536Okoro, Ngozi Gloria 20039 3200 Highlands Pkwy. SE ste. 400 Smyrna, GA 30082

1/1/2011Jae Pak, MD 40185RN144712Okoro, Roseline 9394 2795 Main St West, Bldg # 27 Snellville, GA 30078

3/6/2020Chinedu Nweke 18384RN248883Okoro, Paul 43349 4900 Wey Road Suite 1326 Acworth, GA 30101

5/14/2010Afroz Rahman, MD 17940RN144712Okoro, Roseline 8875 5211 Adams Street Covington, GA 30014

6/18/2018ROBERT BURTON MD 33543RN240234OKPARA, JESSICA 40469 545 OLD NORCROSS RD SUITE 300 LAWRENCEVILLE, GA 300

6/18/2018DAWN WILSON MD 47279RN240234OKPARA, JESSICA 40465 545 OLD NORCROSS RD SUITE 300-B LAWERNCEVILLE, GA 3

10/31/2021John Lammert 33619RN230615Okpara, Nneka 52404 3540 North Cobb Pkwy Acworth, GA 30101

12/31/2019Thuy Doan 79177RN230615Okpara, Nneka 44176 1275 Highway 54W Suite 201 Fayetteville, GA 30214

6/11/2021Glen Dasher, MD 43354RN230615Okpara, Nneka Linda 19597 1044 Bermuda Run Statesboro, GA 30458

1/11/2021Carmen Echols 65398RN210273Okuwa, Abiodun 51992 4221 Atlanta Highway Loganville, GA 30052

5/20/2013Melanie Cooper, MD 45753RN150491Oladokun, Frederica Modupe 7870 181 South Clayton St SW Lawrenceville, GA 30045

5/29/2015Dolapo Babalola, MD 59119RN150491Oladokun, Frederica Modupe 12157 Take Care Clinic, 181 S Clayton St Lawrenceville, GA 30045

2/27/2019Chun NG, MD 41631RN201190Olatoto, Olubukola 40808 901 Rice St NW Atlanta, GA 30318

12/2/2021Jonathan Snipes 66079RN201190Olatoto, Olubukola 57813 45 N Highland Ave Atlanta, GA 30307

3/27/2022YUAN-XIANG MENG 51257RN216620OLATUNJI, OLATUNDE 46757 2800 SPRINGDALE RD ATLANTA, GA 30315

11/8/2018Jean J. Philippe, MD 44056RN201539Olawale, Olusola Carlton 42120 315 Boulevard, NE (Suite 332) Atlanta, GA 30312

5/30/2018Michelle Evans, MD. 52171RN193864Olawuyi, Tiwalade 40372 811 Kennesaw Avenue Marietta, Ga 30060

10/30/2017Donald Evans, MD 9810RN193864Olawuyi, Tiwalade Aderayo 15537 811 Kennesaw Avenue Marietta, GA 30060

2/2/2021IRANDATHY RODRIGO 42715RN122840OLDS, GRETCHEN 46763 2522 CRUSE RD SUITE C2 LAWERENCEVILLE, GA 30044

2/14/2009Divina Dyer, MD 57161RN122840Olds, Gretchen Elene 2212 4398 Atlanta Hwy Loganville, GA 30052

5/22/2013Ram K. Reddy, MD 24178RN122840Olds, Gretchen E. 11571 1061 Dowdy Rd., #100 & 101 Athens, GA 30606

12/29/2011Ravikanth, Anupana MD 48297RN073151Oliver, Kathryn 10321 335 Roselane Street Marietta, GA 30060

4/30/2019Victor Chin, MD 63179RN214105Oliver, Kristin Nicole Duncan 17898 18 Riverbend Dr, Ste 100 Rome, GA 30161

5/31/2018Julie Glasson, MD 51324RN170003Oliver, Corinne Braender 19365 5455 Meridian Mark, Ste 570 Atlanta, GA 30342

Monday, August 1, 2022 Page 319 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/17/2015Joshua Chern, MD 66010RN170003Oliver, Corinne W 15049 5455 Meridian Mar, Ste 540 Atlanta, GA 30342

10/25/2019Sookyong Kon 75210RN170003Oliver, Corinne 41974 1605 Chantilly Dr NE suite 300 Atlanta, GA 30324

12/31/2018Eugene Hurwitz 24694RN073151Oliver, Kathryn 43596 4000 NorthPoint Pkwy Suite 900 Alpharetta, GA 30022

7/8/2020Candace Vaughn 40809RN258400Oliver, Natasha 43258 750 Townpark Lane Kennessaw, GA 30144

5/31/2018Kim Hyunmi, MD 56119RN17003Oliver, Corinne Braender 39536 1605 Chantilly Dr. (Suite 300) Atlanta, GA 30324

4/2/2011Okiki Louis, MD 47479RN117221Olofintuyi, Sophia Evette Yelder 2214 5985 Peachtree Pkwy Norcross, GA 30092

6/17/2015Phillip Potter, MD 34220RN063656Olsen, Susan Kimberly 5284 1700 Hospital South Dr, Suite 504 Austell, GA 30106

10/16/2015Daniel Eller, MD 89563RN063656Olsen, Susan 16482 1700 Hospital South Dr, Ste 504 Austell, gA 30106

12/31/2018Frank Demarco Jr., MD 44442RN143016Olson, Sheryl A. 19836 1505 Northside Blvd. ste. 3000 Cumming, GA 30041

2/17/2017Jeffrey Terry, MD 47165RN143016Olson, Sheryl A. 18072 500 Washington St. SE Gainesville, GA 30501

10/1/2012Ditaranto, Anthony MD 29865RN143016Olson, Sheryl 10462 43 Hilltop Drive Jefferson, GA 30549

5/26/2011Christopher Stevens, MD 54515RN143016Olson, Sheryl A. 9117 3003 Old Alabama Rd Alpharetta, GA 30022

6/15/2012Douglas Ash, MD 49138RN143016Olson, Sheryl A. 9665 415-B Pottery Factory Dr Commerce, GA 30529

11/15/2018Sydney Hendrx 56459RN206693Olson, Dacia 41893 351 Peachtree Street Jesup, GA 31545

10/1/2020Alex Rikhter 4470RN250013Olson, Christina 51073 1140 Hammon Dr Atlanta, GA `30328

10/31/2011Raymond McKoy, DO 44536RN143016Olson, Sheryl A 9952 18 Riverbend Drive Rome, GA 30161

7/27/2011Christopher Doerr, DO 34578RN143016Olson, Sheryl A. 9904 108 Park Ave Athens, GA 30601

6/22/2014Eric A. Deal, DO 24226RN143016Olson, Sheryl A. 11474 2151 W. Spring St. Monroe, GA 30655

12/31/2018Altee Johnson 60387RN203788Olurinde, Kay 42025 455 Nathan Dean Blvd Dallas, GA 30132

6/7/2018Saurabh Desai, MD 27530RN203788Olurinde, Kafayat Yetunde 17334 6025 Professional Pkwy, Ste 200 Douglasville, GA 30134

4/11/2018ISIOMA OKWUMABUS MD 70256RN203788OLURINDE, KAY 39948 455 NATHAN DEAN DALLAS, GA 30132

12/31/2015Sandra Helmers, MD 48784RN238690Olvera, Victoria Dawn 14238 12 Executive Park Dr. Atlanta, GA 30329

12/31/2015Andres Rodriguez-Ruiz, MD 72103RN238690Olvera, Victoria Dawn 14239 12 Executive Park Dr Atlanta, GA 30329

12/31/2015Evan Gedzelman, MD 64544RN238690Olvera, Victoria Dawn 14224 12 Executive Park Dr. Atlanta, GA 30329

12/31/2015Naymee Velez-Ruiz, MD 66733RN238690Olvera, Victoria Dawn 14189 12 Executive Park Dr. Atlanta, GA 30329

11/5/2015Suzette LaRoche, MD 46149RN238690Olvera, Victoria Dawn 14198 12 Executive Park Dr. Atlanta, GA 30329

Monday, August 1, 2022 Page 320 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/25/2021Bethany Davis 51782RN182004Omodele, Sarah 45917 6065 Roswell Rd. NE, Suite 820 Atlanta, Ga 30328

2/21/2020Jennifer Frangos 80960RN181950Omoluabi, Adebimpe 48725 11460 Johns Creek Pkwy Johns Creek, GA 30097

11/5/2018Steven D Garmon, MD 40070RN242864Omondi, Erica 42408 140 Three Rivers Dr Rome, GA 30161

5/8/2018Rejeshkumar Miniyar, MD 51597RN242864Omondi, Erica Leigh 15001 140 Three Rivers Dr., Ste 140 Rome, GA 30161

2/27/2020Obinnya Emerole 41550RN247719Ondieki, Damaris 44640 654 Forst Street Macon, GA 31201

6/12/2019Douglas A Perry, MD 40753RN262722Onischuck, Jeanine 40179 89 Interchange Drive Richmond Hill, GA 31324

3/31/2018Robert Mazur, MD 37864RN262722Onischuck, Jeanine 19326 60 Exchange Street ste. B-7 Richmond Hill, GA 31324

4/22/2020Ahmad Jingo, MD 45842RN094938Onunka, Evelyn Ihuoma Enyinn 2218 5898 Jonesboro Rd Morrow, GA 30260

3/10/2020Phillip Nowlin 36588RN161369Onyeuku, Felicia 49529 9157 Tara Blvd Jonesboro, GA 30236

12/10/2020Muhammad Hashmi 70303RN175046Onyeukwu, Nnenna 42993 2900 University Pkwy Lawrenceville, GA 30046

6/30/2020Vera Tate 72934RN175046Onyeukwu, Nnenna 46856 2900 University Pkwy Lawerenceville, GA 30046

2/5/2016Courtney Shelton, MD 50559RN205364Onyirimba, Esther 16027 870 Crestmark Dr, Ste 200 Lithia Springs, GA 30122

4/30/2016Joel Isom, MD 68926RN205364Onyirimba, Esther 17410 870 Crestmark Dr, Ste 202 Lithia Springs, GA 30122

4/1/2017Bobby Khan, MD 37251RN205364Onyirimba, Esther S. 18297 4760 Austell Rd. ste. 7 Austell, GA 30106

11/1/2019Neil Jariwala, MD 76851RN145961Opara, Mary S. 21147 10090 Medlock Bridge Rd. ste. 110 Johns Creek, GA 30097

1/1/2019Karl Mihalovits,MD 11776RN145961Opara, Mary S. 17861 4015 South Cobb Drive ste. 115 Smyrna, GA 30080

8/17/2020Yakov Rubinchik 82441RN145961Opara, Mary 48417 10090 Medlock Bridge Rd Suite 110 Johns Creek, GA 30097

7/25/2011Valens Plummer, MD 49496RN084496Oparah, Theresa 2219 780 North Glynn Fayetteville, GA 30214

7/31/2017Folashade Omole, MD 49074RN141240Oparah, Theresa 9566 780 North Glynn Fayetteville, GA 30214

3/28/2014Vicki Morgan, MD 25645RN154025Opeka, Julie Ann 8238 980 Hwy 29 South Lawrenceville, GA 30045

2/1/2015Johnson, Paul MD 46132RN154025Opeka, Julie 10612 PO Box 422022 Atlanta, GA 30542

1/31/2014Fleming, Alesia MD 34841RN154025Opeka, Julie 10579 1645 Tullie Circle Atlanta, GA 30329

5/31/2021Maxwell Prempeh, MD 64054RN177431Opoku-Mensah, Mina Akyeamo 18953 150 Gentilly Blvd. Cartersville, GA 30120

3/4/2019Raushanah Hud-Aleem, DO 62999RN204864Orabueze, Ngozi Nkechi Ezeobi 21186 6624 Jimmy Carter Blvd. Norcross, GA 30071

8/1/2016Roy Sanders, MD 50837RN204864Orabueze, Ngozi 16506 160 Clairmont Ave, Ste 445 Decatur, GA 30030

11/14/2009Riba Kelsey-Harris, MD 53833RN129064Oraka, Chika Cordelia 2220 1050 Delta Blvd SW Atlanta, GA 30354

Monday, August 1, 2022 Page 321 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2020David Cox, MD 70247RN223551Orange, Barbara Patricia 20219 209 N. Camellia Blvd Fort Valley, GA 31030

10/26/2021Ryan Monti 78999RN223551Orange, Barbara 48927 109 S. 3rd Street Cochran, GA 31014

4/28/2018Stephen Todd Bashuk, MD 46040RN155657O'Reilly, Christy 17066 3869 Hwy 81 Loganville, GA 30052

9/26/2018George Rafeedie 67591RN207080Oren, Hila 41868 1395 South Marietta Pkway Bldg 750 Marietta, GA 30067

5/20/2011Andrew Helfgott, MD 55953RN181678Orfield, Christeen M. 2221 1120 15th Street, Suite BA-7410 Augusta, GA 30912

4/24/2015Charles Semones, MD 51737RN204986Origer, Andre Jean 13687 1050 Valdosta Hwy Homerville, GA 31634

12/15/2013Eric Davis, MD 63648RN204986Origer, Andre Jean 11689 1221 E McPherson Ave Nashville, GA 31639

10/31/2018Scott Gordon 79350RN274252Orin, Jacobs 41810 500 Morgan Dr Tifton, GA 31793

1/13/2022Rashelle Tomlinson, MD 73410RN274252Orin, Jacob 40634 500 Morgan Dr Tift, GA 31793

1/1/2020Charles Roman, DO 43757RN246152Orji, Clara Chinyere 16777 2737 Warm Springs Rd. Columbus, GA 31904

2/15/2022Christa Springston 73837RN289876Oropallo, Zoey 56333 3540 N Cobb Pkwy Acworth, GA 30101

10/20/2021Christa Springston 73837RN289876Oropallo, Zoey 58120 450 14th Street NW Atlanta, GA 30318

7/24/2018Jayanthi Srinivasiah, MD 33204RN147222Oropo, Sikirat Yetunde 2223 2675 North Decatur Rd. Decatur, GA 30033

1/21/2019Annette M. Hinchcliffe, MD 42607RN203398O'Rourke, Caroline D. 17540 11 Dunwoody Park, Ste 190 Dunwoody, GA 30338

1/21/2021Michelle Plaster, MD. 61639RN144360O'Rourke, Patricia Ann 40012 1016 E.Spring St. Monroe, GA 30655

4/1/2015Jerry Roberts, MD 25657RN203398O'Rourke, Caroline Darnell 13967 4000 Shakerag Hill, ste 201 Peachtree City, GA 30269

3/25/2014Albert Vernon Dixon, MD 17570RN060259Orr, Carol Davis 9341 76 Hunt Martin Rd, Suite A Blairsville, GA 30512

11/9/2020Buford Edwards, Jr. 28160RN233868Orr, Morgan 47100 760 26th Avenue SE Moultrie, GA 31768

9/12/2012Shah, Heerian MD 59016RN060259Orr, Carol 10153 196 Scoggins Drive Demorest, GA 30535

8/17/2021Shahzad Hashmi 53239RN244631Osayi, Monica 45586 8201 HazelBrand Rd Covington, GA 30014

4/5/2021Gregory Bennett 80265RN213637Osborne, Brittany 47613 821 N. Cobb St Milledgeville, GA 31061

8/31/2020Shameka McElhaney 54854RN209039Osborne, Lauren 45710 3451 Cobb Pkwy Suite 4 Acoworth, GA 30101

5/21/2019Bertram Prosser, MD 75651RN209039Osborne, Lauren 42406 3000 Hospital Blvd Roswell, GA 30076

10/14/2016Jack Copeland, MD 30289RN209039Osborne, Lauren Taylor 16952 725 Jesse Jewell Pkwy SE Gainsville, GA 30501

6/21/2018John Souza, MD 39475RN213637Osborne, Brittany Maddox 18371 821 N. Cobb Street Millegeville, GA 31061

9/30/2017Stephen Orr, DO 30176RN209039Osborne, Lauren 19499 340 Exchange Blvd. Bethlehem, GA 30620

Monday, August 1, 2022 Page 322 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/30/2021Bertram Prosser 7565175651Osborne, Lauren 46586 3451 Cobb Pkwy Suite 4 Acworth, GA 30101

4/28/2022Eddie Richardson 52047RN244847Osborne, Sherlonna 57926 114 Harmony Crossing Suite 1 Eatonton, GA 31024

12/15/2018Christopher Edens, MD 42042RN193010Osei-Cheremeh, Maafia A. 39417 745 Poplar Road Newnan, GA 30265

4/5/2011Elizabeth Killebrew, MD 29898RN167767Oskey, Rebecca Jo 2228 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

6/12/2020Martha Clabby, MD 50095RN205412Osuri, Adriane Marie 15340 1405 Clifton Rd, NE Atlanta, GA 30322

2/1/2019Nicholas Ihenacho, MD 38149RN152070Otaluka, Nnenna Beatrice 38983 1700 Medical Way Snellville, GA 30078

6/1/2019Lakshmanan Krishnamurti, MD

71385RN125760Ott, Karman Michelle 14750 1405 Clifton Rd Atlanta, GA 30322

12/1/2012Hernan Posas, Jr., MD 32026RN153118Ott, Lynda Dee Davis 2233 4274 North Valdosta Road Valdosta, GA 31602

5/19/2022Alan Brown 57782RN198802Ott, Julie Faircloth 59881 80 W. Main Street Butler, GA 31006

11/30/2015Devon Briggs, MD 56972RN207871Otubaga, Omolola Adeyinka 16566 831 Fairways Court, Ste A Stockbridge, GA 30281

7/3/2018Shailesh Patel, MD 61931RN207871Otubaga, Omolola Adeyinka 20004 5454 Yorktowne Drive Atlanta, GA 30349

9/12/2016Shailesh Patel, MD 61931RN207871Otubaga, Omolola Adeyinka 18427 5454 Yorktown Drive Atlanta, GA 30349

1/9/2017Walter Hill, MD 9835RN207871Otubaga, Omolola Adeyinka 17341 831 Fairways Crt Stockbridge, GA 30281

9/25/2018Douglas T. Cooper, MD 37180RN207871Otubaga, Omolola Adeyinka 40371 3900 Crown Rd. SW. Atlanta, Ga 30321

2/21/2020Jonathan Wade 66666RN122116Outlaw, Melanie 43128 116 W Thigpen Ave Lakeland, GA Lanier

3/31/2019Joel Morgan 31295RN112116Outlaw, Melanie 42860 1221 E McPherson Ave Nashville, GA 31639

10/12/2018Eugene Sun, MD 62170RN112116Outlaw, Melanie Jeannette 19907 3120 North Oak Street Ext. ste. C Valdosta, GA 31602

6/18/2015Marcus Roberts, MD 35986RN112116Outlaw, Melanie Jeannette 14031 903 Westward St., Ste A Douglas, GA 31533

10/4/2016Robb Fulton, DO 73325RN112116Outlaw, Melanie 15813 903 West Ward St, Ste A Douglas, GA 31533

11/11/2016Ashok Kancharla, MD 48250RN191947Outz, Mary Allison 10906 132 Frnklin Spring Street Royston, GA 30662

5/13/2016George Myers, MD 35706Rn200411Owen, Audrey 16232 504 Redomond Rd Rome, GA 30165

5/7/2020Brij Singh, MD 43777RN200411Owen, Audrey Griffin 18673 304 Turner McCall Blvd Rome, GA 30165

8/20/2021Stanley Ireland 29682RN600880Owens, Cheryl 20544 650 Colllege Drive Suite HP-266 Dalton, GA 30720

3/19/2017Lisa Griggs, MD 56715RN066880Owens, Cheryl Ann Wilson 19698 650 College Dr. Dalton, GA 30720

1/16/2018Rajeswari Natarajan, MD 55501RN164879Owens, Javacia 15305 1255 Highway 54 West Fayetteville, GA 30214

Monday, August 1, 2022 Page 323 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/22/2020Shahzad Hashmi, MD 53239RN115796Owens, Jacquelyn Denise 13674 175 Gwinnett Dr. Lawrenceville, GA 30046

4/16/2020Jose Cangiano, MD 44182RN115796Owens, Jacquelyn Denise 15224 1 Technology Pkwy South, Ste 1 Norcross, GA 30092

10/7/2011Franklin Brown, MD 62315RN115796Owens, Jacquelyn Denise 9414 445 Winn Way Decatur, GA 30030

6/1/2014Evans, Bryon MD 53850RN115796Owens, Jacquelyn 10880 1835 Savoy Drive, Ste 101 Atlanta, GA 30341

11/8/2021Andrew Clementz 83828RN296731Owens, Myoshi 57896 3551 Satellite Blvd Duluth, GA 30096

11/8/2021Andrew Clementz 83828RN296731Owens, Myoshi 57964 3551 Satelitte Blvd Duluth, GA 30096

3/21/2008Michael Litrel, MD 39623RN131956Owens, Kay Marie Williams 2235 15 Reinhardt College Pkwy, Bldg 100, Suite 110 Canton, GA

12/19/2008James Harbin, MD 38507RN066880Owens, Cheryl Ann Wilson 5288 1525 Chattanooga Road Dalton, GA 30720

1/1/2011Anthony Harbin, MD 29665RN066880Owens, Cheryl Ann Wilson 8495 1525 Chattanooga Road Dalton, GA 30720

7/31/2013Klopper, Jeffrey MD 26321RN115796Owens, Jacquelyn 10322 3188 Atlanta Rd SE Smyrna, GA 30080

1/19/2022Shawn Holsonback, MD 45242RN198367Ownbey, Zachary David 39032 1200 Memorial Drive Dalton, GA 30722

8/13/2021Simon Fensterszaub 83142RN198367Ownbey, Zachary 57010 139 Morah Lake Rd NE Rome, Georgia 30161

8/13/2021Jonathan Morris 29043RN198367Ownbey, Zachary 55790 1035 Red Blue Road NE Calhoun, GA 30701

7/29/2021Louis Dinatti 49774RN198367Ownbey, Zachary 55791 7017 Old Dalton Ellijay Road Chatsworth, GA 30705

2/17/2021Marga Ngwang, MD 70328RN201978Owusu-Edusei, Angela Yvonne 42086 50 Saine Drive SW Mrietta, GA 30008

8/10/2019Frank Curvin 45058RN201978Owusu-Edusei, Angela Yvonne 40494 3535 Ashton Woods Drive Atlanta, GA 30319

2/5/2019Kirpich Joseph, MD 54904RN201978Owusu-Edusei, Angela Yvonne 40767 2451 Peachtree Industrial Blvd Buford, GA 30518

11/10/2020Sylvanus K Fiakopornoo, MD 60453RN201978Owusu-Edusei, Angela 40762 1700 Mulkey Road Austell, GA 30106

8/14/2020Michael Hampton Groover 35059RN201978Owusu-Edusei, Angela Yvonne 1601 3535 Ashton Woods Drive Atlanta, GA 30319

2/16/2018JAMES BROWN JR 21652RN146422OWUSU-YAW, INZA 40081 1999 PRINCE AVE ATHENS, GA 30606

10/17/2018Amy Kathryn Pearson, MD 47638RN194685Oxley, Kristi Ann 39915 2453 US-17 Richmond Hill, Ga 31324

4/1/2021Sofia Zaman 65324RN191175Oyakhire, Onome 53525 1155 Perimeter Center West 11th Floor Atlanta, GA 30338

7/31/2019Chukwuemeka Nwabuebo 48553RN223687Oyeniya, Adejoke 43099 654 First Street Macon, GA 31201

5/13/2022Nimisha Trivedi, MD 53715RN228627Oyewo, Agnes Pukande 13617 3778 Hwy 42 Locust Grove, GA 30248

4/14/2020Ahmad Jingo, MD 45842RN177694Ozim, Maureen Nnenna 21326 4150 Snapfinger Woods Dr. ste. 120 Decatur, GA 30035

Monday, August 1, 2022 Page 324 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/15/2010Walter Smith, MD 37078RN050884Pacitti, Tryphena M Hendricks 2237 9020 Peridot Pkwy Stockbridge, GA 30281

1/7/2014Steven Lenhard, MD 39153RN099451Pacitti, Elise Hurley 8306 790 Church Street, Suite 250 Marietta, GA 30060

8/1/2021Tayari Mchezaji, MD 50409RN104525Pafford, Robert Lamar 2238 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

7/1/2020Woody Francis, MD 48325RN104525Pafford, Robert Lamar 9503 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

7/22/2016Bridgette Guthrie, MD 69122RN172490Pagano, Linda Lane 14032 710 Center St Columbus, GA 31901

3/7/2015Travan Jasper, MD 45506RN063667Page, Joy Michele 14385 6410 W John Xing Duluth, GA 30097-1507

2/5/2016Raymond McKoy, DO 44536RN212022Page Jr, Douglas Lamar 14603 2510 Redmond Cir N W Rome, GA 30165

5/1/2015John Souza, MD 39475RN212022Page, Jr, Douglas Lamar 11838 1110 Hillcrest Pkwy Dublin, GA 31021

2/23/2016Kenneth Howard, Md 40412RN212022Page, Jr, Douglas Lamar 13717 11766 Hwy 27, Ste A Summerville, GA 30747

12/1/2013Thomas Self, MD 21587RN212022Page, Jr., Douglas Lamar 11874 1825 Martha Berry Blvd Rome, GA 30165

12/31/2020William Early 20694RN221396Paine, Michael 45318 320 Hospital Rd Canton, GA 30114

1/31/2021Neil Kahn 30489RN073954Painter, Susan G 42555 2711 Irvin Way Suite 211 Decatur, GA 30030

2/1/2022Asaf Aleem, MD 30260RN073954Painter, Susan Gail 13464 2150 Peachford Rd. Atlanta, GA 30338

8/26/2016Jose Cangiano, MD 44182RN073954Painter, Susan Gail 15226 1 Technology Pkwy South, Ste 1 Norcross, GA 30092

4/4/2013Dawn Simon, MD 58644RN194830Painter, Amy Ruth Elizabeth 11787 1605 Chantilly Dr, Suite 405 Atlanta, GA 30324

4/1/2018Roy Rajan, MD 66553RN194830Painter, Amy Ruth Elizabeth 13132 2015 Uppergate Dr Atlanta, GA 30322

8/1/2018Cary Sauer, MD 61159RN194830Painter, Amy Ruth Elizabeth 13133 2015 Uppergate Dr, Suite 250 Atlanta, GA 30322

12/20/2014Clarice Bell-Strayhorn, MD 39730RN237096Palakodeti, Connie 14502 6001 Cumming Hwy Sugar Hill, GA 30518

3/6/2015Kenneth Patric Jr, MD 69243RN237096Palakodeti, Connie Marie 14824 1931 Jesse Jewell Pkwy Gainesville, GA 30501

1/22/2018Thomas Williamson, MD 42144RN219496Palmer, William Cody 20994 277 Perry Parkway ste. C Perry, GA 31069

8/6/2019Timothy Meldon Longaker, MD.

25883RN219496Palmer, William Cody 39871 277 Perry Parkway Perry, Ga 31069

3/25/2013Benjamin Abraham, DO 34757RN089707Palnau, Catherine Martin 2245 3020 Hwy 124 Snellville, GA 30039

11/1/2018James Yost 63155RN202063Palomino, Antoinette 43350 3720 Holcomb Bridge Rd Norcross, GA 30092

8/31/2020Elaine Wenstrom 74617RN202063Palomino, Antionette 44528 1100 Peachtree St. NE Suite 200 Atlanta, GA 30309

8/31/2020Abigail Kamishlian, MD 44580RN202063Palomino, Antoinette 15383 4905 Courtney Dr Forest Park, GA 30297

Monday, August 1, 2022 Page 325 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2018Ashok Kancharla, MD 48250RN216011Panda, Pusparani 16549 132 Franklin Spring St. Royston, GA 30662

12/18/2011Martin Michaels, MD 26157RN135303Paniagua, Kelli Michelle 2248 711 Shields Rd Dalton, GA 30720

9/16/2019Hernandez-Aviles, Milca MD

61749RN135303Panigua, Kelli 10439 1933 Shields Road Dalton, GA 30720

3/4/2014Schock, Theodore DO 30882RN204629Panjwani, Ashraf 10807 3509 Braselton Hwy, Bldg F Dacula, GA 30019

3/4/2014Blake, Bryan MD 40613RN204629Panjwani, Ashraf 10809 3509 Braselton Hwy, Bldg F Dacula, GA 30019

8/7/2015Utpal Pandya, MD 64696RN204629Panjwani, Ashraf 13372 2400 Mt Zion Pkwy Jonesboro, GA 30236

7/15/2019Ioannis Parastatidis 67025RN204629Panjwani, Ashraf 43479 743 Spring Street Gainesvilleng, GA 30501-3715

4/27/2022Larry Payne, MD 34217RN070748Panter, Theresa Marie 8509 535 Jessie Jewel Pkwy, Suite C Gainesville, GA 30501

10/1/2018Duriel Gray, MD 71075RN252989Papesh, Heidi Denise 20890 3895 Stone Lakes Dr. Kennesaw, GA 30152

7/31/2018Anupama Ravikanth, MD 48297RN252989Papesh, Heidi Denise 38952 140 Vann Street ste. 350 Marietta, GA 30060

4/4/2022Steven Spivey 50737RN290469Papszycki, Amy 48377 200 Gentilly Blvd Cartersville`, GA 30120

5/12/2021Jason Jian 67335RN186804Parent, Marie 52114 833 Campbell Hill ST Marietta, GA 30060

11/8/2018Jean Joseph Philippe, MD 44056RN186804Parent, Marie Andree 18349 315 Boulevard ste. 528 Atlanta, GA 30312

11/1/2019Jayesh Naik, MD 33253RN186804Parent, Marie-Andree 19379 11111 Houze Rd. ste. 225 Roswell, GA 30076

3/4/2019Michael Poss, MD 33881RN044185Parham, Denise Yvette 19996 1601 Maple Street Carrollton, GA 30116

1/1/2015Leslie Cottrell, MD 45194RN044185Parham, Denise Y 2254 1600 Maple St. Carrollton, GA 30118

1/7/2022John Cooper 87237RN214062Parillo, Traci 58382 208 Grady Ave South Douglas, GA 31533

1/12/2018Horace Sawyer, MD 10362RN152259Paris, Kimberly Dawn 20160 2700 US 41 Calhoun, GA 30701

3/2/2020James Graham 30071RN152259Paris, Kimberly Dawn 41604 2700 US Highway 41 NE Calhoun, GA 30701

4/3/2020Song NA 38059RN271767Park, Michelle 45802 4995 Lanier Island Pkwy Suite A Buford, GA 30518

7/31/2020Peter Lee, MD 38545RN240365Park, Cecilia 19953 3840 Peachtree Industrial Blvd. ste. 100 Duluth, GA 30096

4/30/2020Jinahn Kim, MD 54442RN237528Park, Hyeon Hui 13736 1325 Satellite Blvd. Bldg.700 Ste, 701A Suwanee, GA 30024

9/23/2021Raulnina Uzzle, MD 43499RN219551Park, Song 15456 1760 Candler Rd Decatur, GA 30032

2/1/2015Chang Soo Kim, MD 59806RN190483Park, Nanyoung 12648 3590 Peachtree Industrial Blvd Duluth, GA 30096

5/19/2015Charles Campbell, MD 69772RN064159Parker, Gail Lynne 12556 86 South Cobb Dr, MZ 0454 Marietta, GA 30063

Monday, August 1, 2022 Page 326 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/1/2013Rodothea Milatou, MD 43713RN064159Parker, Gail Lynne 9524 86 S. Cobb Dr Marietta, GA 30063

8/19/2020Judith Dennis, MD 33068RN064159Parker, Gail Lynne 15064 660 W Crossville Rd, Ste 110 Roswell, GA 30075

3/9/2022Wendy Russell, MD 45442RN064159Parker, Gail Lynne 18177 3999 Austell Rd, Ste 901 Austell, GA 30106

10/1/2019Rukhsana Ahmad 55330RN247175Parker, Reglindis 45943 1902 Macy Dr. Roswell, Ga 30076

7/6/2020Richard Epter 48228RN201619Parker, Lisa 52031 1321 A Interstate Pkwy Augusta, GA 30909

2/13/2020Walker Austin 47049RN184483Parker, Lesa 44636 175 Samaritan Dr Jasper, GA 30143

9/24/2021Karen Kinsell 42630RN242225Parker, Rachel 53108 1408 Tallahassee Highway Suite 2 Bainbridge, GA 39819

11/2/2021Guillermo Pena 59493RN184483Parker, Lesa 51568 772 Maddox Drive Ellijay, GA 30540

3/26/2021Michael Pinell 58102RN241015Parker, Angela 48882 600 Celebrate Life Parkway Newnan, GA 30265

7/22/2020Lee Jacobs 28283RN184483Parker, Lesa 43169 111 Mountain Brook Dr Canton, GA 30115

5/15/2019Jonathan Rosenfield 74345RN170270Parker, Angela 44179 564 Crosstown Dr Peachtree City, GA 30269

6/4/2019William Snell, MD 24495RN064159Parker, Gail Lynne 20370 880 Canton Rd. ste. 300 Marietta, GA 30060

6/1/2017Sidney T. Greenstone, DO 17812RN097957Parker, Sharon Z. 17514 711 Fourth St. Augusta, GA 30901

1/1/2020Brett Cannon, MD 46053RN241015Parker, Angela 40069 3950 Austell Road Austell, GA 30106

2/1/2019Gulshan Harjee 26865RN106776Parker, Dawn Michelle Ledford 2257 3700 Market Street Suite E-1 Clarkston, GA 30021

8/10/2019Peter Rossi, MD 57833RN173169Parker, Sandra Salcedo 2265 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

12/11/2011Lynn Flowers, MD 56708RN064159Parker, Gail Lynne 9971 601 South 8th Street Griffin, GA 30224

2/6/2014Elliot Raizes, MD 24478RN151818Parker, Curtisia Denise 9616 345 N. Harris St, Suite 100 Athens, GA 30606

6/6/2013Yagnick, Hemant MD 55321RN176156Parkinson, Samantha 10154 404 Town Park Blvd, Ste 101 Evans, GA 30809

12/14/2021Rana Sibai-Drake 67994RN231761Parks, Joanne 58427 690 Courtenay Drive Atlanta, GA 30306

11/15/2018Chun Y. NG, MD 41631RN214094Parks, Eric Norman 39438 901 Rice Street NW Atlanta, GA 30318

1/7/2019William Mahoney 59274RN231761Parks, Joanne 42878 1775 Parker Road Conyers, GA 30094

8/12/2020Jay A. Schecter, MD 30879RN137055Parks, Melissa D. 11185 550 Redmond Rd. Rome, GA 30165

4/7/2020Mary Hunter 25985RN253366Parnell-Ivery, Marissa 43367 80 Jesse Hill Jr.Dr SE Atlanta, GA 30303

9/1/2019Emile Risbyh 30869RN197092Parquet, Shawn Cawain 41729 2450 Vinson Hwy cook Building Milledgeville, GA 31062

7/31/2017Cynthia Cabrera, MD 50605RN155158Parra, Eva M 16953 743 Spring St NE Gainesville, GA 30501

Monday, August 1, 2022 Page 327 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/22/2016Jeffery Winge, MD 59530RN176061Parrish, Heath 16453 1101 Ocilla Rd Douglas, GA 31533

1/15/2020Rodney Tyson, MD 38994RN204103Parrish, Jessica Ashley 18337 901 East 18th Street Tifton, GA 31794

8/30/2019Belise Livingston-Burns, MD 54588RN187697Parrish, Frances Heard 19951 1425 W. Oakridge Drive Albany, GA 31707

8/3/2016Scott Waguespack, MD 63014RN204103Parrish, Jessica Ashley 17865 1401 South Main St. Moultrie, GA 31768

2/8/2016Thomas Mann, MD 37607RN176061Parrish, Heath Jackson 11798 Phoebe Dorminy Med Ctr, 200 Perry House Rd Fitzgerald, G

5/31/2013Patrina Lockette 48855RN176061Parrish, Heath 10979 110 Norman Dorminy Drive Fitzgerald, GA 31750

9/2/2015Charles Cowart, MD 29161RN176061Parrish, Heath 15426 1101 Ocilla Rd Douglas, GA 31533

2/2/2017Donna Edmond-King, MD 44711RN187697Parrish, Frances Heard 12231 PO Box 50098 Albany, GA 31703

12/1/2021Mark Wilson 69737RN166663Parrish, Jennifer 43260 1806 N. Tift Ave., Suite D Tifton, GA 31794

1/19/2022Flavia Rossi 69623RN106229Parson, Carrie 42919 39 Kent Road Suite 5 Tifton, GA 31794

7/13/2018Stewart, Teresa MD 57022RN106229Parson, Carrie "lynn" 10760 2225 US Hwy 41 N. Tifton, GA 31794

4/13/2012Tony Addington, MD 52526RN106229Parson, Carrie Lyn Denby 2274 39 Kent Rd, Suite 5 Tifton, GA 31794

12/1/2015Riba Kelsey-Harris, MD 53833RN062697Parsons, Lisa Kay Douthitt 2275 3740 Cascade Road Atlanta, GA 30331

8/20/2019Alicia Weksler, MD 37924RN184344Parton, Kyle Walter 18160 1012 Burleyson Rd. Dalton, GA 30720

2/25/2020Theodore Schock 30882RN160370Partridge, Heather 48958 930 Franklin Springs St Suite A Royston, GA 30662

1/27/2020Linda Arnold, MD 40299RN060102Paschal, Debra Ann Brooks 14355 260 West Clinton St Gray, GA 31032

7/13/2009Vickie Mixon Brown, MD 25115RN060102Paschal, Debra Ann Brooks 2278 840 West Thomas Street Milledgeville, GA 31061

6/21/2015David Weinkle, MD 38645RN129904Pasley, Jennifer Mason 2279 PO Box 422002 Atlanta, GA 30342

9/9/2020Janki Patel 73350RN069645Pass, Sherry 51275 450 W. Belmont Drive Calhoun, GA 30701

5/1/2017Jennifer Starnes, MD 66016RN069645Pass, Sherry Jo Manley 15223 1012 Burleyson Rd. Dalton, GA 30720

12/8/2020Kenneth Akalonu 81679RN069645Pass, Sherry 54425 450 W. Belmont Drive Calhoun, GA 30701

4/19/2021Crystal Bright 67869RN069645Pass, Sherry 54821 448 W. Belmont Drive Calhoun, GA 30701

9/1/2017Alicia Weksler, MD 37924RN069645Pass, Sherry Jo Manley 20791 1012 Burleyson Rd. Dalton, GA 30720

2/10/2020Stephanie LaFontaine, MD 53475RN069645Pass, Sherry Jo Manley 21332 302 Point North Place Dalton, GA 30720-2644

1/31/2017Ahmed Jingo, MD 45842RN210698Passmore, Tewana Isola 18547 4150 Snapfinger Woods Dr, Ste 2 Decatur, GA 30035

10/22/2015Anthony Howard, MD 34616RN210698Passmore, Tewana 16407 3075 Ronald Reagan Blvd, Ste 501 Cumming, GA 30041

Monday, August 1, 2022 Page 328 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/10/2009Warren Weber, MD 26677RN153266Pastorino, Cynthia Ann Mance 2280 3875 Austell Road, Suite 203 Austell, GA 30106

4/30/2012Darshana Sheth, MD 58642RN153266Pastorino, Cynthia Ann Mance 8281 2550 Windy Hill Road, Suite 309 Marietta, GA 30067

5/6/2020Kelly, Robert MD 34384RN164623Pastrick, Kelli 10443 5875 Thompson Mill Road, Ste 100 Hoschton, GA 30548

12/16/2021Samir Parekh 53305RN180369Patak, Melanie Olimpia 17004 1364 Clifton Rd Atlanta, GA 30322

6/15/2020Richard Chase, DO 17784RN216671Pate, Erin Nicole 39422 185 Pecan Street Shellman, GA 39886

10/18/2021Reuben Roberts, Jr 17944RN216671Pate, Erin 42715 510 Alston Street, Suite A Richland, GA 39886

6/5/2019Walter Rios Corujo, MD 75099RN216671Pate, Erin Nicole 39027 185 Pecan Street Shellman, GA 39886

1/16/2018Amit Patel, MD 62929RN260993Patel, Dina Ashok 20224 455 Philip Blvd. Bldg. 100 ste. 140 Lawrenceville, GA 30046

3/20/2019Alan Hanley, MD 52573RN222206Patel, Sejal Jayantilal 18753 150 Gentilly Blvd Cartersville, GA 30120

1/1/2020David Cox, MD 70247RN240157Patel, Jagrutiben 41049 618 E Lamar Street Americus, GA 31709

8/1/2019Dharmesh Patel 55264RN262968Patel, Pinnakin Arvind 40044 2491 Panola Rd. Lithonia, GA 30058

4/8/2019Brian Howard, MD 70275RN255988Patel, Pamela 21370 175 White Street Marietta, GA 30060

3/9/2022Herscel Kessler 69501RN240157Patel, Jagrutiben 48911 618 E. Lamar Street Americus, GA 31709

2/5/2021Herschel Kessler 69501RN240157Patel, Jagrutiben 48850 618 E. Lamar Street Americus, GA 31709

3/20/2019Christopher Sward 45638RN222206Patel, Sejal 44372 150 Gentilly Blvd Cartersville, GA 30120

10/15/2019Scheri-Lyn Makombe 77154RN223129Patel, Roshni 44532 1100 Peachtree Street NE Atlanta, GA 30309

10/8/2021Dhanray Padhiar 22615RN243252Patel, Bhumiben 47171 207 Northside Dr Valdosta, GA 31602

5/8/2019Simon Portee 33177RN220515Patel, Sajani Paresh 41605 3330 South Cobb Dr Ste B Smyrna, GA 30080

11/1/2021Michelle Fischer 54878RN214614Patel, Chaitali 47786 1240 Upper Hembree Ste E Roswell, GA 30076

5/1/2021Dinesh Ganoni 74119RN273895Patel, Bijalben 47771 2594 Loganville Hwy Dte 100 Grayson, GA 30017

2/4/2020Dwayne Gard 60731RN267846Patel, Mira 41811 4700 Waters Avenue GA, GA 31404

3/16/2022Divya Narayanaswamy, MD 76913RN214875Patel, Hetal D 40247 3999 Austell Rd Austell, GA 30106

8/28/2019Angelina Cain 71103RN222206Patel, Sejal 45052 55 Whitacher Street Ste 400 Marietta, GA 30060

6/1/2017Cliff Lin, MD 69346RN145957Patel, Namita 19991 2540 Windy Hill Rd. Marietta, GA 30067

1/31/2017Khanh Ha, MD 69228RN145957Patel, Namita G. 19327 2540 Windy Hill Rd. Marietta, GA 30067

12/27/2016Nipun Patel, MD 46800RN260993Patel, Dina Ashok 19283 3646-B Chamblee Tucker Rd. ste B Chamblee, GA 30341

Monday, August 1, 2022 Page 329 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/1/2015Dharmeshkumar Patel, MD 55264RN218169Patel, Roshni 15516 2491 Panola Rd Lithonia, GA 30058

9/20/2016Chester Lapeza, MD 44263RN221100Patel, Falguni 14101 602 East 16th Ave, Ste B Cordele, GA 31015

8/2/2014David Nussbaum, DO 67697RN221100Patel, Falguni 12384 712 North 7th St Cordele, GA 31015

10/6/2010Lawrence Weiss, MD 44863RN174392Patel, Purvi Mukesh 9113 1121 Johnson Ferry Rd, Suite 340 Marietta, GA 30068

11/30/2012Tong Huynh 20172RN220515Patel, Sajni Paresh 10956 4775 Jimmy Carter Blvd. Norcross, GA 30093-3760

2/1/2012Darshana Sheth, MD 58642RN174392Patel, Purvi Mukesh 9468 2476 Canton Rd NE Marietta, GA 30066

12/8/2016Christopher Riddell, MD 21796RN145957Patel, Namita G. 8894 2540 Windy Hill Rd Marietta, GA 30067

5/6/2020Stratton Kearns, MD 32218RN102301Patel, Davdatt Vinod 2281 597 South Enota Drive Gainesville, GA 30501

8/27/2020Frederick Work 40593RN227036Patel, Varsha 48029 1 Baltimore Place NW Suite #400 Atlanta, GA 30308

12/22/2021Arvind Chakravarthy 68991RN290079Patel, Hinal 57857 45 N Highland Ave Atlanta, GA 30307

10/27/2020Ramprasad Subramaniam, MD

56489RN228425Patil, Porsche Prashant 12518 677 Church St, Box 111 Marietta, GA 30060

5/3/2021Jorge Rodriguez 63947RN228425Patil, Porsche 54387 3215 Campus Loop Rd Kennesaw, GA 30144

6/3/2018Omari Hodge 70459RN228425Patil, Porsche Prashant 41274 3215 Campus Loop Road Kennesaw, GA 30144

9/1/2020Megan Bowles, MD 68486RN228425Patil, Porsche P 40874 3215 Campus Loop Rd Kennesaw, GA 30144

1/1/2022Jason Nicely, MD 67693RN209632Patrick, Jessica Evans 18791 1200 Memorial Dr. Dalton, GA 30720

1/20/2020SHITAL PATEL MD 73776RN170614PATRICK, SELISHA 39710 705 DIXIE ST CARROLLTON, GA 30117

3/25/2020Tracy Barefield 41717RN209751Patrick, Aubrie 45944 4150 Washington Rd., #11 Evans, Ga 30809

9/1/2021Lewis Earnest, MD 62684RN227933Patrick, Brighton Marie 20997 1230 Baxter Street Athens, GA 30606

6/15/2019Kenneth Grotz, MD 37820RN209751Patrick, Aubrie Michelle 13298 4150 Washington Rd, Suite 11 Evans, GA 30809

5/20/2021Jeffrey Lamp, MD 56736RN170614Patrick, Selisha Michelle 13582 2151 West Spring St Monroe, GA 30655

2/10/2017James Mossell, DO 44028RN205538Patrick, Jessica L 11918 907 E 18th St, Suite 490-A Tifton, GA 31794

2/29/2020Antoine R. Trammell, MD. 59779RN207872Patron, Tane Marie 40146 4646 N.Shallowford Rd. Dunwoody, Ga 30338

9/7/2018Benjamin Johnston, MD 18579RN207872Patrono, Tane Marie 18469 4646 North Shallowford Rd. Atlanta, GA 30338

12/17/2019Millard Collier, MD 28114RN28114Patrono, Tane Marie 17866 200 Galleria Pkwy ste. 100 Atlanta, GA 30339

3/29/2017Eric Andrist, MD 56087RN207872Patrono, Tane Marie 17870 200 Galleria Pkwy SE. Ste. 100 Atlanta, GA 30339

Monday, August 1, 2022 Page 330 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/30/2011Claire Willie, MD 39177RN165491Patterson, Daphne Maria 9650 1324 Hwy 138 S.W. Riverdale, GA 30296

10/1/2013Raymond Easley, DO 20987RN165491Patterson, Daphne Maria 12247 555 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046

3/13/2019Ella Gillespie 69598RN184640Patterson, Lanika 43402 30 Warren St Atlanta, GA 30317

9/24/2020Roger Branch 30272RN269126Patterson, Moneka 45316 235B Central Ave SW Atlanta, GA 30303

8/29/2021Bruce Mitchell 31292RN184640Patterson, Lanika 45839 30 Warren St Atlanta, GA 30317

11/12/2019Arthur H. Yancey ll, MD 36909RN184640Patterson, LaNika Ricole 41212 2284 Marietta Blvd NW Atlanta, Ga 30318

8/20/2018Kelley Carroll, MD 78269RN136925Patterson, Bridgette Smith 41036 80 Jesse Hill Jr. Drive SE Atlanta, GA 30303

3/3/2020Colette Curtis 55553RN191854Patterson, Anitra 44208 1364 Clifton Rd NE Atlanta, GA 30322

2/27/2017Darshana Sheth, MD 58642RN119706Patti, Farrah 19488 3822 Roswell Road Marietta, GA 30062

8/25/2018Charles Gebhardt, MD 28778RN36987Patton, Deanna Joyce Johnson 17873 101 Oakland Crossing Dr. Leesburg, GA 31763

4/25/2015John Ogundipe, MD 39193RN215782Patton, Haley Ann 14126 2130 Anderson Mill Rd Austell, GA 30106

11/30/2020David G. Patton 51241RN164071Patton, David Garrett 40393 14244 Hwy 515 N. (Suite 100) Ellijay, GA 30536

2/5/2020Gary Allen 76935RN241359Patton, Nichola 47627 2310 Parklake Dr. NE Suite 325 Atlanta, GA 30345

6/27/2011Bhumiben Purohit, MD 58812RN164071Patton, David Garrett 5206 5075 P'tree Pkwy, Suite 106 Norcross, GA 30092

7/13/2012Mian, Haroon MD 66222RN164071Patton, David 10128 3600 Dallas Hwy SW Marietta, GA 30064

4/1/2018Mitzi Rubun, MD 49592RN164071Patton, David Garrett 15232 3747 Roswell Rd, Ste 216 Marietta, GA 30062

10/23/2020Steven Scott 34241RN176139Pauline, Melissa 52272 1199 Prince Avenue Athens, GA 30606

7/14/2021Ibrahim Opaleye 72878RN176139Pauline, Melissa 54564 2810 Peachtree Industrial Blvd Ste D Duluth, GA 30097

12/16/2020Radcliff Allen, MD 55169RN176139Pauline, Melissa Romulus 18356 1412 Milstead Avenue Conyers, GA 30012

11/30/2019F. Kennard Hood, MD 45071RN150120Paulk, Tina Baker 18341 1050 Eagles Landing Pkwy. Stockbridge, GA 30281

3/1/2017Fredrick Koehler, MD 55535RN052908Paulk, Jane 16717 607 C Irwin Ave Ocilla, GA 31774

9/10/2020John Souza, MD 39475RN167096Paulk, Rhonda Venea Swayne 19375 821 N. Cobb Street Milledgeville, GA 31061

9/30/2019James O'Shea, MD 74234RN150120Paulk, Tina Baker 39599 49 Jesse Hill Jr., Drive, SE Atlanta, GA 30303

10/15/2013David Turfler, MD 29255RN052908Paulk, Jane 2289 PO Box 770 Hazlehurst, GA 31539

12/15/2015Walter Smith, MD 37078RN150120Paulk, Tina Baker 9583 4861 Bill Gardner Pkwy Locust Grove, GA 30248

8/22/2017Cheek, Kathryn MD 26080RN164177Paulson, Tabatha 10292 2416 Capstone Court Columbus, GA 31909-0795

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6/23/2011Marc Goldman, MD 39579RN164177Paulson, Tabatha D. 9007 1538 13th Ave, Suite B-300 Columbus, GA 31901

1/1/2016Mitzi Rubin, MD 49592RN129689Pause, Donna Jenkins 16485 564 Crosstown Dr Peachtree City, GA 30269

10/23/2017Harsha Vyas, MD 64088RN164363Pavesich, Jill Jackson 19955 2400 Bellevue Rd. ste 26 Dublin, GA 31021

2/4/2015Lloyd Rimer, MD 30665RN191676Payne, Andrea 14840 3541 Chattanooga Rd Tunnel Hill, GA 30755

3/14/2015Stewart Deirdre 39022RN068135Payne, Margaret 10548 410 Peachtree Parkway, Ste 300 Cumming, GA 30041

9/18/2008Mulberry, Michael MD 50725RN122561Payne, Teresa 10563 24 Alicia Lane, Ste 7 Dahlonega, GA 30533

9/26/2015Gary Smith, MD 10666RN191676Payne, Andrea 15541 P.O Box 729 Ringgold, GA 30736

11/1/2014Jonathan Allen, MD 56949RN191676Payne, Andrea Bush 12757 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742

4/8/2020Vikash Modi, MD 70226RN195334Payne, Erica Quiterra 17412 80 Vinings Dr. McDounough, GA 30253

8/17/2020Frank Lockwood 43412RN195334Payne, Erica 46147 80 Vinings Dr. McDonough, Ga 30253

5/20/2016Ralph Warnock, MD 17337RN137097Payne, Melissa Kirkland 2295 4421 Carnes St Acworth, GA 30101

3/12/2009Barbara McMillan-Persaud, MD

46887RN183181Payne, Jennifer 95 5127 Jimmy Carter Blvd Norcross, GA 30093

5/29/2018Lawton C. Davis, MD 21669RN077594Payne, Shelia E. 11434 2121-B Bellevue Rd. Dublin, GA 31021

10/5/2021Randy Cronic, MD 38721RN108169Peabody, Linda 16219 3660 Howell Ferry Rd Duluth, GA 30096-3178

7/10/2018George Palmer, MD 30658RN085963Peacock, Barbara 19281 1012 Bermuda Run Rd Statesboro, GA 30458

4/3/2020Christopher Wommack 48583RN230391Peacock, Kimberly 47762 106 Enterprise Court Ste A Columbus, GA 31904

12/19/2017Davin G. Mitchell, MD 63786RN230391Peacock, Kimberly Hinson 39997 1075 LaFayette Pkwy LaGrange, GA 30241

8/31/2016Stanley Morgan, MD 35106RN085963Peacock, Barbara Tucker 2299 101 Harris Industrial Blvd, Suite C Vidalia, GA 30474

11/13/2021Antonio Remollino, MD 57994RN203173Peak, Aldrany Nicole 20919 103 GA Hwy. 27 E Americu, GA 31709

10/16/2018Richard Rickman, MD 49332RN054555Pearce, Barbara 17071 200 Georgia Ave Valdosta, GA 31698

7/28/2013John Gott, MD 28989RN159135Pearce, Robin 11027 95 Collier Rd., Ste 5015 Atlanta, GA 30309

9/28/2015Eutzler, James DO 49729RN054555Pearce, Barbara 10881 520 Griffin Avenue Valdosta, GA 31601

9/26/2019Douglas Moss, MD 41178RN054555Pearce, Barbara 41717 814 Northwood Park Dr Valdosta, Ga 31602

9/1/2009William R. Grow, MD 13752RN054555Pearce, Barbara Ann Patterson 2302 3207 Country Club Drive Valdosta, GA 31605

8/7/2012Anna Kalynych, MD 38527RN159135Pearce, Robin Wise 2303 275 Collier Rd, Suite 300 Atlanta, GA 30309

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6/1/2012K. G. Kumar, MD 20562RN054555Pearce, Barbara Ann Patterson 8677 3207 Country Club Drive Valdosta, GA 31605

11/1/2015Edwin Hiatt, MD 12920RN054555Pearce, Barbara Ann Patterson 9631 200 Georgia Ave Valdosta, GA 31698

12/31/2020Leo Noragbon 60014RN211760Pearl, Lauren 54709 200 N River Street Claxton, GA 30417

1/30/2015Brian Coleman, MD 60360RN166226Pearlman, Brett Parsons 14347 4700 Walers Ave (ER) Savannah, GA 31404

2/29/2020Eugene Paul, MD 60305RN071972Pearson, Myrtle Mai 18658 1605 Peachtree St. NE Atlanta, GA 30309

8/30/2018Jon Christopher Gibbs, MD. 38493RN244149Pearson, Wendy Caves 40307 342 Tifton Worth County Line Road Tifton, Ga 31793

3/9/2020Robert S.Cowles , MD 27788RN244149Pearson, Wendy C. 41381 1000 Cowles Clinic Way, Suite 300 Greensboro, Ga 30642

12/31/2016Marga Ngwang, MD 70328RN137049Peart, Adrienne Collins 18492 2920 Pharr Court South NW Atlanta, GA 30305

6/17/2016Teresa Clark, MD 20417RN137049Peart, Adrienne Collins 14169 2920 Pharr Ct South, NW Atlanta, GA 30305

7/5/2010Poornima Chintalapalli, MD 61405RN074675Pease, Margaret Ann 9080 1610-D E. Forsyth St Americus, GA 31709

11/16/2016Nelson Madrazo, MD 49862RN074675Pease, Margaret Ann 9275 105 Walnut St Montezuma, GA 31063

8/4/2010John Pittman, MD 37045RN113917Pease, Diane Susan Schroeder 2305 18 Riverbend Dr, Suite 230 Rome, GA 30161

9/1/2009James Beiter, MD 40003RN074675Pease, Margaret Ann 2306 PO Box 422002 Atlanta, GA 30342

1/31/2011Thomas Hurd, MD 27070RN143241Peavey, Alica Ann Giljam 2307 400 Tower Road, Suite 350 Marietta, GA 30060

9/1/2018Olabisi Pearse, MD 49717RN113720Peay, Jennifer Williamson 8385 2660 Satellite Blvd Duluth, GA 30096

3/17/2021Daniel Ralston 84078RN234320Peay, Priscilla 50286 540 E.l Crossville Rd Roswell, GA 30075

2/28/2020Theron Thompson 51772RN234320Peay, Priscilla 49181 540 E. Crossville Rd Roswell, GA 30075

5/18/2022Ayman Fareed 58740RN134282Peck, Ann 52895 330 Mount Sinai Drive Dahlonega, GA 30533

2/15/2020Melissa Warner 33480RN134282Peck, Ann 45398 310 Black Bear Ridge Sautee Nacoochee, GA 30571

5/11/2015Thomas Hatchett, MD 36984RN134282Peck, Ann Marie 2310 870-A Austin Dr Demorest, GA 30535

5/1/2020Charles White 26682RN134282Peck, Ann 51186 310 Black Bear Ridge Sautee Nacooche, GA 30571

8/6/2010Brian Herrmann, MD 54219RN168014Pecot, Jennifer Young 3333 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

1/27/2020Sivasanker Bakthavachalam, MD

62182RN168014Pecot, Jennifer Young 12023 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

5/1/2022Tom Bledsoe, MD 41730RN181612Peden, Alison Cardell 17876 79 Hwy. 286 unit B Eton, GA 30724

9/1/2014Thompson, Jonathan MD 52646RN181612Peden, Alison 10627 1012 Burleyson Road Dalton, GA 30720

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/1/2016Alicia Weksler, MD 37924RN181612Peden, Alison Cardell 13909 1012 Burleyson Rd Dalton, GA 30720

7/7/2021Nick Vlachos 62624RN296590Pedersen, Jessica 52656 100 Glen Bass Rd LaGrange, GA 30240

5/1/2020Charles Gebhardt 28778RN206978Peek, Sarah 44719 2601 Stuart Ave Alany, GA 31707

5/14/2015Vera Garcia, MD 54375RN206978Peek, Sarah 15427 209 E Main St Hahira, GA 31632

5/14/2019Fred Fritzsche, MD 48045RN206978Peek, Sarah Merree 15060 14949 U.S. Hwy 19 South, Ste B Thomasville, GA 31792

1/28/2019Edgar N. Jackson, MD 15563RN195851Peeler, Jessica Marie 40242 883 N Hairston Rd. Stone Mountain, GA 30083

6/24/2021Richard Spurlock 59207RN195851Peeler, Jessica 49525 931 Lower Fayetteville Rd Ste F Newnan, GA 30263

1/28/2019Richard Gorman, MD 31008RN195851Peeler, Jessica Marie 19081 1401 Georgian Park ste. 200 Peachtree City, GA 30269

10/4/2021Ashraf Ahalla 54960RN129552Pefanis, Julie 45803 11138 State Bridge Rd Suite 100B Johns Creek, GA 30022

4/19/2021Christopher Shaw 28649RN127796Pegues, Kimberly 51422 3869 Highway 81 South Loganville, GA 30052

10/16/2014Scott Clark, MD 52157RN127796Pegues, Kimberly Denise Jones 2313 2324 Limestone Overlook Gainesville, GA 30501

8/17/2016Sonjoy Laskar, MD 54772RN196014Pekarek, Ann 16321 1365 Clifton Rd NE Atlanta, GA 30322

3/5/2019John Carter 37971RN236326Peledge, Kelly 43068 189 Jefferson Parkway Newnan, GA 30263

2/4/2022Susan McWhirter 41465RN236326Peledge, Kelly 50469 2416 Capstone Court Columbus, GA 31909

3/31/2013Norman Decker, DO 37984RN206475Pena, Erica Denise 9176 1915 Eisenhower Dr Savannah, GA 31406

1/14/2020Randy Robinson, MD 35987RN164838Pence, Wendy Lachel 17881 1507 Broomtown Rd. Lafayette, GA 30728

2/18/2013Michael Schechter, MD 58776RN139571Pendley, Stephanie 9852 1547 Clifton Road NE Atlana, GA 30322

4/4/2022Harold Gage 88722RN213325Penix, Angela G. 60476 821 N. Cobb Street Milledgeville, Ga 31061

3/30/2021Nalini Ramaiya, MD 27241RN213325Penix, Angela Gail 18042 350 Hospital Drive Macon, GA 31217

3/20/2021Clifford Becker 26453RN213325Penix, Angela 44541 1960 247 Connector Byron, GA 31008

5/23/2012Charles Burke, MD 58876RN175506Penland, Erin Nicole 9159 1008 North 3rd Ave Chatsworth, GA 30705

6/14/2013Todd, Anne MD 51395RN175506Penland, Erin 10827 772 Maddox Drive, Ste 122 Ellijay, GA 30540

11/13/2013Daniela Rojas-Molina, MD 55331RN175506Penland, Erin Nicole 12361 772 Maddox Dr, Suite 122 Ellijay, GA 30540

2/10/2022Rhett Bergeran 44683RN205443Penney, Ashley 46950 5755 North Point Parkway Alpharetta, GA 30022

12/16/2020Jordan Smith 84433RN294027Peoples, Sabrina 54739 1000 Abernathy Rd NE Suite L3-A Atlanta, GA 30328

12/9/2020Roland Nash 58909RN222479Perdomo, Kelly 54744 125 Ravillion Pkwy Suite A Fayetteville, GA 30214

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/20/2019Karen Hacker, MD 54738RN222479Perdomo, Kelly Vanessa 39019 9465 Highway 5 Douglasville, GA 30135

6/7/2019Roy C. Brownlow, MD 42196RN222479Perdomo, Kelly Vanessa 19528 1665 Hwy. 34 E, ste. 100 Newnan, GA 30265

4/18/2020Fred Tega 56493RN238729Perez, Abby 43412 15 Baynard Park Newnan, GA 330265

4/28/2021Adebowale Akintayo 73945RN211737Perez, Laura 57347 3540 N. Cobb Pkwy NW Acworth, GA 30101

2/1/2022Todd Lucas 73022RN278288Perez-Romero, Norka 56378 664 Scranton Rf Suite 101 Brunswick, GA 31520

5/26/2021Jimi Malik 70276RN280870Perkins, Ethan 52859 1821 Clifton Road NE Apt 1017 Atlanta, GA 30322

4/20/2022Raymond R. Jarvis, MD 45505RN188625Perkins, Natalie Ann 20905 330 Turner McCall Blvd Rome, GA 30165

5/20/2019Licheng Tian, MD 47853RN235822Perkins, Nekey Chiffon 41455 3405 Mike Padgett Hwy. Augusta, Ga 30906

4/11/2018Alan C. Scott, MD 54052RN235822Perkins, Nekey Chiffon 21223 5629 Hwy. 21 S Rincon, GA 31326

5/1/2018Adam C. Webb, MD 59348RN199128Peronti, Kelly 40147 80 Jesse Hill Jr. Drive Atlanta, Ga 30303

3/17/2015Hernandez-Aviles, Milca MD

61749RN202321Perrel, Diana 10440 1933 Shields Road Dalton, GA 30720

12/18/2011Martin Michaels, MD 26157RN202321Perrel, Diana Marie 8586 711 Shields Road Dalton, GA 30720

7/30/2021ROGER SIMON MD 64970RN143271PERREZ, AMY 40218 80 JESSE HILL DR SE ATLANTA, GA 30303

6/1/2017Afolarin Banjoko, MD 49267RN197528Perrier, Tyquitta Janell 20006 508 N. Main Street ste. A Hinesville, GA 31313

7/10/2020Mark Long, MD 48265RN216264Perry, Traci Marie 21088 3745 Cherokee St. ste. 401 Kennesaw, GA 30144

6/2/2017Zahid Amin, MD #####RN232143Perry, Whitney 16335 1120 15th St, Ste BA 8300 Augusta, GA 30912

10/10/2016Andrew Carlson, MD 34554RN153051Perry, Lori Ann 18056 116 W. Church St. Americus, GA 31709

7/7/2016Ronald Watts, MD 44862RN201965Perry, Tracy 15836 1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281

2/28/2020Josephine Tan, MD 19193RN121310Perry, Merry Lynn 7787 106 East Broad St Savannah, GA 31401

1/29/2015John Cheng, MD 53117RN166520Perry, Venester A 11700 1645 Tullie Circle Atlanta, GA 30329

7/23/2018Franklin Smisson, MD 35524RN168812Perry, Chance 40238 840 Pine Street, suite 880 Macon, GA 31201

2/17/2021Jacqueline Harris 63934RN170891Perry, Felicia 43511 1260 Highway 54 W Suite 101 Fayetteville, GA 302114

7/10/2020Charles M Richart, MD 38595RN168812Perry, Chance Frederick 40877 1211 Sherwood Park Drive Gainesville, GA 30501

9/1/2021Stephen Messner, MD 59282RN166520Perry, Venester A. 8769 1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

3/3/2012Skiwski, Jason MD 64973RN134054Perry, Mitzie 10165 2366 Battlefield Parkway Ft. Oglethorpe, GA 30742

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/22/2021Wedad Rahman 83434RN201965Perry, Tracy 57676 1301 Sigma Road Conyers, GA 30012

9/30/2014Gary Glasser, MD 33583RN107663Persky, Lizette 8055 315 Winn Way Decatur, GA 30030

10/18/2021Lisa Mandeville-Brown, MD 46987RN107663Persky, Lizette 8056 315 Winn Way Decatur, GA 30030

7/2/2010Jennifer Aqua, MD 44882RN107663Persky, Lizette 8057 315 Winn Way Decatur, GA 30030

12/31/2012Jennifer Lyman, MD 50039RN107663Persky, Lizette 8058 315 Winn Way Decatur, GA 30030

3/1/2020William van Laar, DO 33733RN097976Pesce, Jodi 15805 68 Hampton ST McDonough, GA 30253

3/28/2022Shazib Khawaja, MD 58888RN115803Peshel, Tabatha Michele 13034 705 Dixie St, Suite 401 Carrollton, GA 30117

6/24/2011Harvey N. Sacks, MD 17880RN115803Peshel, Tabatha Michele 5440 148 Bill Carruth Pkwy, Suite 100 Hiram, GA 30141

7/1/2020Melisaa S Dillmon, MD 54073RN222619Pesl, Jaime Elaine 42412 255 W 5th Street Rome, GA 30165

5/27/2011Brett Murphy-Dawson, MD 54080RN200864Pestrak, Mary Ann 8065 2100 Comer Avenue Columbus, GA 31904

2/17/2012William Mills, MD 50901RN199089Petca, Persida 10208 58 Big A Road Toccoa, GA 30577

11/6/2020Steven Lammert 33619RN273131Peterkin, Shawna-Kay 43386 3540 Cobb Pkwy NW Acworth, GA 30101

9/1/2018Mohammad Al-Shroof, MD 45158RN122988Peterman, Gerald Clifford 2332 2054 Watson Blvd Warner Robins, GA 31088

8/12/2011Ighouwerha Ofotokun, MD 53346RN139529Peters, Marcia Jean 2333 341 Ponce de Leon Avenue NE Atlanta, GA 30308

9/20/2021Marilyn Washburn 19435RN170346Peters, Edwina 50816 4215 Bakers Ferry Rd Atlanta, GA 30331

7/31/2010Rami Azzouz, MD 50126RN189815Peters, Erin Michelle 8787 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

9/20/2021Allen Maxwell Hoffman, MD 24822RN170346Peters, Edwina Antoinette 11272 1150 Powder Springs Road Mariettia, GA 30008

10/31/2013Rowland Chigbu, MD 63642RN124526Peters, Zelda Regina 12232 2202 E Oglethorpe Blvd Albany, GA 31705

3/23/2018Arun Chervu, mD 39753RN208946Peters, Katherine Anne 17975 61 Whitcher Street Marietta, GA 30060

9/20/2021Kalpit Patel, MD 70398RN170346Peters, Edwina Antoinnette 13375 7530 Roswell Rd. Atlanta, GA 30350

7/23/2010Jennifer Aqua, MD 44882RN117123Petersen, Melissa Tucker 8606 315 Winn Way Decatur, GA 30030

7/23/2010Kay Entrekin, MD 42817RN117123Petersen, Melissa Tucker 8603 315 Winn Way Decatur, GA 30030

7/23/2010Gary Glasser, MD 33583RN117123Petersen, Melissa Tucker 8604 315 Winn Way Decatur, GA 30030

7/23/2010Lisa Mandeville-Brown, MD 46987RN117123Petersen, Melissa Tucker 8605 315 Winn Way Decatur, GA 30030

7/23/2010Jennifer Lyman, MD 50039RN117123Petersen, Melissa Tucker 8607 315 Winn Way Decatur, GA 30030

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/23/2010Catherine Bonk, MD 30435RN117123Petersen, Melissa Tucker 2336 315 Winn Way Decatur, GA 30030

12/15/2021Aleema Zakers 75858RN105507Peterson, Sandra 58218 3305 Breckinridge Blvd Suite 116 Duluth, GA 30096

8/10/2019Najaz Woods-Bishop, MD 58350RN234033Peterson, Elizabeth Olsen 21010 1510 Hudson Bridge Rd. Stockbridge, GA 30281

5/18/2018Morgan Wood, MD 32681RN164175Peterson, Anetha 17726 367 Clear Creek Pkwy Lavonia, GA 30553

7/1/2019Daniel Valancius, MD 72151RN205837Peterson, Rachel 15679 330 Turner McCall, Ste 201 Rome, GA 30165

10/14/2021Stanley Himes 33839RN072178Peterson, Dixie 41895 100 Frist Court Columbus, GA 31909

2/18/2020Yogesh Goswami 58597RN105507Peterson, Sandra 47470 311 Gwinnett Drive Lawerenceville, GA 30046

11/20/2018Jared M Kiddoe, MD 78485RN202524Peterson, Alex Whitman 42379 1225 Johnson Ferry Rd Marietta, GA 30068

4/8/2017Sandra Kopacz, MD 32179RN214257Peterson, Casey Crump 18714 222 Perry Highway Hawkinsville, GA 31036

4/8/2017Sandra Gibbs, MD 32192RN214257Peterson, Casey Crump 18947

12/2/2012Kirk Kanter, MD 30631RN113166Peterson Jr., Berry Lawrence 2337 1405 Clifton Rd Atlanta, GA 30322

1/25/2021Manuel Vega 28227RN249240Petrey, Tiffany 53088 206 A Hospital Drive Dublin, GA 31021

7/11/2016Eugene Jackson, MD 22793RN203692Petrie, Kathryn 15178 118 NomanDorminy Dr Fitzgerald, GA 31750

7/1/2014Stephen Jarrard, MD 62897RN184994Petteys, Monique Diane 13368 331 Ridgecrest Cr Clayton, GA 30525

3/14/2018Ambrous Findley, DO 28267RN184994Petteys, Monique Diane 14996 563 Mountain City Rd Clayton, GA 30525

2/11/2015William Mills, MD 50901RN184994Petteys, Monique 14774 58 Big A Road Toccoa, GA 30577

6/7/2019Brian Pratt 78359RN184994Petteys, Monique 41813 563 Mtn City Rd Clayton, GA 30525

6/1/2020Lindsay Fowler 67016RN814994Pettey's, Monique 48361 563 Mountian City Road Clayton, GA 30525

1/27/2020Channing Hampton 72028RN223317Pettiford, Latoya 20312 2735 Central Avenue South Tifton, GA 31794

6/15/2021Pelumi Adedayo 84018RN186285Petty, Alison 54858 170 Curtis Parkway, NE Suite 1 Calhoun, GA 30701

12/3/2021Joy Nwakike 56863RN186285Petty, Alison 45699 170 Curtis Pkwy, #1 Calhoun, Ga 30101

9/1/2011Mitzi Clayton, MD 61408RN175210Petty, Jeremy A. 9629 211 Fairview Rd Ellenwood, GA 30294

8/10/2021Nadine Regis 73138RN249546Pfeiffer, Brandy 47247 503 W Gordon St Thomaston, GA 30286

7/1/2019Daniel Valancius, MD 72151RN186333Pflugrad, Aimee 15390 304 Turner McCall Boulevard Rome, GA 30165

3/25/2021Ramon Ramos, MD 33683RN203691Pham, Charmaine Quirimit 14242 460 Mall Blvd Savannah, GA 31406

8/1/2019Richard Dukes 51875RN240244Pham, Vy 41896 1780 Peachtree Parkway Suite 302 Cumming, GA 30041

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/5/2021Melvin Williams 49260RN247909Phan, Lily 54847 1240 Eagles Landing Pkwy Suite 110 Stockbridge, GA 30201

3/21/2019William Keeting, MD 52971RN268906Phelphs, Ashley Lynn 39081 57 Executive Park S. ste. 100 Atlanta, GA 30329

9/12/2019Jamika Hallman-Cooper, MD 65120RN198199Philip, Sandra Milena 11967 2015 Uppergate Dr Atlanta, GA 30322

6/1/2016Terry Melvin, MD 35951RN248581Philipose, Minu 15970 1217 Lafayette Rd Rossville, GA 30741

12/10/2021Laura Bleekrode 28818RN158329Phillip, Sophia 49188 100 Northmeadow Pkwy Suite108 Roswell, Rd 30076

9/1/2020Timothy Longaker 25883RN227968Phillips, Bobbi 47081 215 E 13TH Ave Cordele, GA 31015

12/12/2020Alan Brown 5778RN227968Phillips, Bobbi 53944 215 E. 13th Avnue Cordele, GA 31015

7/6/2021Feoderis Basilio, MD 50092RN222800Phillips, Maegan Rikki 17414 104 14th St Columbus, GA 31901

6/30/2020Karan Julka 56846RN230921Phillips, Rachel Kate 41412 3320 Old Jefferson RD 20 Suite 200A Athens, GA 30607

2/29/2016Robert Burkich, MD 46372RN215472Phillips, Roxanne 16452 148 Cobb Parkway Ringgold, GA 30736

1/2/2018Michael Clifford, MD 37508RN183566Phillips, Stephanie 14926 208 N Cuthbert Rd Colguitt, GA 39837

4/27/2015David Van, MD 29545RN116540Phillips, Karen Curtis 13478 290 Country Club Dr, Ste 200 Stockbridge, GA 30281

9/10/2015Kenneth Howard, MD 40412RN215472RN215472

Phillips, Roxanne 15266 1060 Redbud Rd Calhoun, GA 30701

4/29/2022Donald Griffin, MD 27820RN116540Phillips, Karen Curtis 17998 3345 E. Highway 34 Sharpsburg, GA 30277

3/31/2020Margaret White, MD 36482RN218061Phillips, Kristin Maureen 19762 1731 Meriweather Dr. ste. 101 Watkinsville, GA 30677

4/9/2021Troy Bond, MD 43880RN218061Phillips, Kristin Maureen 14312 1181 Langford Dr Bldg 200 Ste 105 Bogart, GA 30622

12/31/2014John Arnett, MD 38423RN133630Phillips, Jana 11058 200 Doctor's Dr., #106 Douglas, GA 31533

9/27/2014Andrew Leach, MD 49051RN209679Phillips, Anika Schulte 9403 1000 Hawthorne Ave, Suite G Athens, GA 30606

7/12/2016Holly Clemons, MD 71921RN116540Phillips, Karen 15622 1050 Eagles Landing Parkway, Ste 200 Stockbridge, GA 3028

11/27/2013Lisa Miller, MD 38874RN169956Phillips, Shanon Renee 12315 4152 Baker St Covington, GA 30014-1404

3/17/2014Narayan, Nalini MD 44287RN130803Phillips, Ronda 10319 119 Ambulance Drive Carrollton, GA 30116

1/22/2021Stephen Robin 40212RN247137Phillips, Lisa 48726 1436 Broadrick Drive Dalton, GA 30720

3/27/2015Michael Rallo, MD 54655RN141185Phillips, China Henry 2340 7020 Moon Road Columbus, GA 31909

8/1/2013John Mynatt, Jr, MD 41469RN169956Phillips, Shanon Renee 8516 5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248

12/1/2012Patrick Bowen, MD 48982RN116540Phillips, Karen Curtis 706 1365 Clifton Rd NE, #A-4 Atlanta, GA 30322

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/3/2012Burton, Norris Kent MD 31888RN133630Phillips, Janna 10106 39 Kent Road, Suite 1 Tifton, GA 31794

6/13/2014Roger Branch, MD 30272RN184707Phillips, Monica Rae 9972 10 Doctors St Metter, GA 30439

6/19/2009Sara Carolyn Acker, MD 58383RN088054Philson, Beverly Lynn 8525 PO Box 26238 Atlanta, GA 30303

7/31/2014Ruth Shim, MD 55889RN088054Philson, Beverly Lynn 8678 PO Box 26238 Atlanta, GA 30303

6/1/2010Svathi Reddy, MD 56352RN088054Philson, Beverly Lynn 8679 PO Box 26238 Atlanta, GA 30303

2/28/2022Cecil F. Bennett, Jr. 4884RN137164Pickens, Herretta 59208 51 Hospital Rd Newnan, GA 30263

9/3/2018Otis Powell Jr., MD 25814RN137164Pickens, Herretta LaChell 9920 2391 Benjamin E Mays Dr SW, Second Fl, Ste A Atlanta, GA 3

10/21/2015Shahram Rezaiamin, MD 49939RN137164Pickens, Herretta 15596 900 Eagles Landing Pkwy Stockbridge, GA 30281

5/25/2018Syed Rizvi, MD 44073RN137164Pickens, Herretta La'Chell 12940 4343 Shallowford Rd, Suite B4-A Marietta, GA 30062

10/28/2014Adrian Douglass, MD 36522RN137164Pickens, Herretta La'Chell 11660 35 Collier Rd, Suite 500 Atlanta, GA 30309

12/13/2012Moore, Daniel MD 38562RN137164Pickens, Herretta LaChell 10730 790 Church Street, Ste 330 Marietta, GA 30060

3/6/2015Anthany Claro, MD 45425RN137164Pickens, Herretta La'Chell 14254 1975 Hwy 54 West, Ste 100 Peachtree City, GA 30269

3/10/2018Peter Wrobel, MD 40285RN137164Pickens, Herretta 19196 1718 Reynolds Street Waycross, GA 31501

5/19/2016Tracy E. Wimbush, MD 68869RN137164Pickens, Herretta L. 17187 1240 Eagles Landing Pkwy, Ste 300 Stockbridge, GA 30281

7/3/2019Abdul Odemuyiwa 48451RN137164Pickens, Herretta 43908 235 Medical Blvd Stockbridge, GA 30281

11/2/2020Gregory Smith 38370RN137164Pickens, Herretta La'Chell 46059 1670 Scott Blvd (Suite 104) Decatur, GA 30033

9/5/2014Bradley Ward, MD 21115RN186812Pickett, Angelique Laurelyn Sch 13496 48 Hills Creek Rd. Taylorsville, GA 30178

7/7/2017Anthony Securo, MD 51736RN243778Pickett, Halima Ama 18261 970 Cassville-White Rd. Cartersville, GA 30120

1/25/2017Kenneth Patric, MD 69243RN186812Pickett, Angelique Laurelyn Sch 16893 455 Nathan Dean Blvd Dallas, GA 30132

2/1/2016Reden Delgado, MD 65957RN243778Pickett, Halima Ama 14857 1168 North Main St, Ste 120 Cedatown, GA 30125

11/30/2015Dingane Baruti, MD 55411RN186812Pickett, Angelique Schultz 14274 100 Yorktown Dr, Ste 110 Fayetteville, GA 30214

10/3/2013Robinson, Todd MD 40773RN186812Pickett, Angelique 10086 14 Cherokee Road Cedartown, GA 30125

10/29/2014Jan Mayfield, MD 51355RN186812Pickett, Angelique Laurelyn Sch 9762 49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157

6/15/2020Medelaine Santos-Vega 74351RN230659Pickle, Heather 45326 609 E. Lamar Street Americus, GA 31709

7/30/2019Grayson Norquist 73217RN253774Pier, Ashley 44650 10 Park Place South SE Atlanta, GA 30303

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/15/2019Thomas Michael Whiteneck, DO.

34077RN231921Pierannunzi, Kelly Lynn 41497 1730 Lawrenceville Suwanee Road Lawrenceville, Ga 30043

2/23/2021Allen Solomon 28465RN210418Pierce, Pamela 54706 804 S Broad Street Thomasville, GA 31792

6/9/2014Das, Santanu MD 42560RN106291Pierce, April 10694 1049 N. Houston Road Warner Robins, GA 31093

11/15/2015Kelly McCants, MD 72798RN244034Pierce, Caroline Elizabeth 14945 95 Collier Rd, Ste 3000 Atlanta, GA 30309

11/3/2020Samntha Boreland 65938RN113359Pierce, Sharon 46980 116 E 4th Ave Cordele, GA 31015

8/1/2011Kelli Carter, MD 41529RN085698Pierson 885 PO Box 1197 Thompson, GA 30824

9/30/2014Jack L. Miller, MD 24987RN085698Pierson-Elam, Sylvia Marie 11304 Concentra, Plant Vogtle, 7825 River Rd Waynesboro, GA 308

6/24/2013Seymour Solodar, MD 14956RN167855Pihera, Rebecca Anne Pride 9557 4015 S. Cobb Dr, Suite 10 Smyrna, GA 30080

6/1/2013Bryon Evans, MD 53850RN167855Pihera, Rebecca Anne Pride 11883 1835 Savoy Dr, Suite 101 Atlanta, GA 30341

3/11/2019Darlene McNulty, MD 66551RN167855Pihera, Rebecca Anne Pride 20038 5775 Peachtree Dunwoody Rd. NE ste. 200 Atlanta, GA 3034

2/5/2015Wheeler, George MD 33751RN123572Pike, Dawn 10123 1218 Alice Streeet Waycross, GA 31501

2/16/2021Syamala Erramilli, MD 47896RN072278Pilcher, Linnea Marie Haas 8188 4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084

1/1/2018Naresh Parikh, MD 28851RN072278Pilcher, Linnea Marie Haas 8465 6330 Primrose Hill Court Norcross, GA 30092

4/1/2021Roger Brown 27003RN076506Pilcher, Pamela 46994 1219 West Wheeler Parkway Augusta, GA 30909

3/14/2008Russell Wagner, MD 33740RN072278Pilcher, Linnea Marie Haas 2347 2160 Fountain Drive, Suite D Snellville, GA 30078

1/6/2011Jae Pak, MD 40185RN072278Pilcher, Linnea Marie Haas 9392 2160 Fountain Dr, Suite 200 Snellville, GA 30078

7/9/2020Terri McFadden, MD 32110RN051329Pilgrim, Teresa K 2348 35 Jesse Hill Jr Dr Atlanta, GA 30303

9/16/2021Golden Barnett III 55090RN149651Pilgrim Boyd, Amber Hope 100 20 Hernell Road Villa Rica, GA 30180

5/13/2014Yolanda Graham, MD 38001RN149651Pilgrim-Boyd, Amber Hope 9884 1291 Stanley Rd NW Kennesaw, GA 30152

12/20/2021Reginald Davis Jr. 27720RN211274Pimentel, Jessica 57684 107 Canal Street Pooler, GA 31322

7/18/2017Rosalind Womack, MD 72171RN211274Pimentel, Jessica L Lovering 17110 303 Fraser Dr. Hinesville, GA 31313

6/22/2021Michael Torkelson 68570RN211274Pimentel, Jessica 53300 107 Canal Street Pooler, GA 31322

8/15/2020Stephen Pohl, MD 27107RN211274Pimentel, Jessica L. Lovering 21380 5629 Hwy. 21 South Rincon, GA 31326

12/1/2021Piyush Patel 53357RN200869Pinero, Shakola 46712 10090 Medlock Bridge Rf Suite 110 Johns Creek, GA 30097

5/19/2021Temitope Oluwatosin Olarewaju

78091RN222386Pines, Brittany 43 425 3rd Ave. Albany, GA 31701

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/7/2018Peggy Bergrab, MD 64330RN222386Pines, Brittney 20266 425 3rd Ave ste. 105 Albany, GA 31710

6/8/2018Clifford Dunn 71489RN222386Pines, Brittany 41767 425 3rd Ave Suite 105 Albany, GA 31701

10/25/2018George Rafeedie, MD 67591RN114408Pingeton, Robin 40237 1395 South Marietta Parkwy, Suite 730 Marietta, GA 30062

1/3/2020George Rafeedie, MD 67591RN114408Pingeton, Robin Ann 40193 1395 South Marietta Parkway, Suite 730 Marietta,, GA 3006

7/24/2017Amar Mohan, MD 66531RN114408Pingeton, Robin Ann 19766 307 Prospect St. NE Atlanta, GA 30312

2/10/2016Alan Wang, MD 48017RN114408Pingeton, Robin 15755 601 Notholt Pkwy Suwannee, GA 30024

1/1/2020Uchenna Kalu, MD 62127RN114408Pingeton, Robin Ann 13832 1117 Perimeter Center West Ste 500N Atlanta, GA 30338

3/6/2020Chinedu Nweke 78384RN114408Pingeton, Robin 48061 4450 Calibre Xing NW Ste 1126 Acworth, GA 30040

8/10/2020Fredrick Merrill 34664RN253292Pinilla, Dominique 49 465 N. Belair Rd. Evans, GA 30809

9/10/2021Vlastimil Smetka 85033RN253292Pinilla, Dominique 53382 2122 Cumming Rf Augusta, GA 30904

1/22/2020Richard Wright, MD 46927RN222556Pinkney, Laura 39211 1810 Hwy 20 E, Suite 172 Conyers, GA 30013

1/22/2020Richard Isiah Wright, MD 46927RN222556Pinkney, Laura Renee 40850 6572 River Park Drive Riverdale, GA 30274

12/24/2014David Martin, MD 21757RN140882Pinkston, Latoya N. 9506 1136 Cleveland Ave, Suite 608 East Point, GA 30344

10/29/2014Kenneth Grotz, MD 37820RN235487Pinkston, Shannon Lea 13297 4150 Washington Rd, Suite 11 Evans, GA 30809

9/4/2015George Pursley, MD 31308RN194511Pinner, Andrea Elizabeth 15295 1219 West Wheeler Pkwy, Ste A Augusta, GA 30909

11/4/2014Amar Singh, MD 52227RN235091Pinyerd, Abby Rene 13528 550 Redminsd Rd. Rome, GA 30165

1/1/2017Michael Burke, MD 54798RN135264Pipkin, Lisa Hocker 15107 2849 B Henderson Mill Rd Atlanta, GA 30341

5/19/2008Veronica Garrett, MD 39106RN135264Pipkin, Lisa Hocker 8143 1567 Milstead Road, Suite B Conyers, GA 30012

10/25/2014Divina Dyer, MD 57161RN154748Piri, Manuel 8432 1762 Mars Hill Road NW Acworth, GA 30101

12/7/2007Miguel Jimenez, MD 52966RN154748Piri, Manuel 7889 1676 Mulkey Road, Suite A Austell, GA 30106

8/1/2021Lajos Toth, MD 47545RN160182Pirkle, Jeanette Susan 15796 725 Jesse Jewell Pkwy SE Gainesville, GA 30501

12/20/2014Donald Fordham, MD 44718RN160182Pirkle, Jeanette Susan 13373 865 Austin Dr Demorest, GA 30535

6/16/2017Kirk Munsayac, DO 68251RN117135Pittman, Bonnie Page 16804 9 Hester St. Hazlehurst, GA 31539

1/14/2018Kalpana Nayak, MD 26049RN209994Pittman, Amber Carter 18938 1912 Memorial Drive ste. E Waycross, GA 31501

12/31/2020Lester Johnson 69015RN209994Pittman, Amber 52636 1912 Memorial Drive Waycross, GA 31501

12/31/2019Jason Cox 42034RN209994Pittman, Amber 45058 204 East 15th Street Alma, GA 31510

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/15/2019Michele Mitchell 71254RN209994Pittman, Amber 42984 1912 Memorial Drive Suite E Waycross, GA 31501

6/3/2020Shannon Ellis 73702RN209994Pittman, Amber 47577 1912 Memorial Drve Suite E Waycross, GA 31501

5/16/2022Ian Furtado 83601RN209994Pittman, Amber 48083 204 E15th Street Alma, GA 31510

6/30/2016Mark Vrana, MD 22663RN161741Pittman 2341 3320 Old Jefferson Road, Bldg 700 Athens, GA 30607

7/31/2013New, Tamara, MD 58712RN081207Pitts, Robin Diane Harshman 2355 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

11/1/2018Thomas Hobby 48647RN177979Pitts, Billy Joe 41 2209 Pineview Drive Valdosta, GA 31602

1/28/2022Catherine Dickens 35240RN177979Pitts, Billy 59406 145 E Peacock St Cochran, GA 31014

1/3/2015John Cowan, Jr, MD 60167RN124333Pitts, Andrea Briscoe 8356 550 Redmond Road Rome, GA 30165

12/10/2018Joshua Lang 73561RN177979Pitts, Billy 41815 116 W Thigpen St Lakeland, GA 31635

1/11/2022Sandra Gibbs 32192RN164968Pitts, Amy 47248 1931 Jesse Jewel Pkwy Gainesville, GA 30501

6/23/2016Ortelio Bosch, MD 51119RN124333Pitts, Andrea 15577 7450 Skidaway Rd Savannah, GA 31406

5/17/2018Arunas Urbonas, MD 54135RN177979Pitts, Jr., Billy Joe 20590 2922 North Oak Street ste. A Valdosta, GA 31602

1/31/2016Felissa Goldstein, MD 57467RN178205Planeaux, Michelle 15967 1920 Briarcliff Rd NE Atlanta, GA 30329

5/13/2016Navreet Sidhu, MD 75142RN178205Planeaux, Michelle Barbara 17325 1920 Briarcliff Rd. Atlanta, GA 30329

8/1/2015Talboy, Amy MD 37317RN178205Planeaux, Michelle 10482 1920 Briarcliff Rd NE Atlanta, GA 30329

1/1/2012Tamara New, MD 58712RN178205Planeaux, Michelle B. 2356 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

10/31/2011Muhammad Jamal, MD 58255RN171306Plaxico, Elisha Amy 8767 452 Second Street Sopeton, GA 30457

4/6/2012Mendez, Traceyan MD 57831RN171306Plaxico, Elisha 10288 215 N. Coleman Street Swainsboro, GA 30401

10/31/2013Miller, Jeri MD 30835RN171306Plaxico, Elisha 10069 200 Industrial Blvd ER Dublin, GA 31-21

3/7/2019James Thigpen Jr 30228RN171306Plaxico, Elisha 41978 821 N. Cobb Street Milledgeville, GA 31061

11/2/2017Piyush Patel, MD 53357RN190060Player, Susan Elizabeth 19886 5965 Parkway North Blvd. ste. C Cumming, GA 30040

10/25/2018Barry Jones, MD 12495RN190060Player, Susan Elizabeth 8838 5965 Parkway North Blvd, Suite C Cumming, GA 30040

5/15/2020RANDOLPH SUMNER 28323RN223971PLEDGER, ALLISON 45564 1825 MARTHA BERRY BLVD ROME, GA 30165

2/4/2021Jon Risley 38933RN223971Pledger, Allison 49422 1209 W. Walnut Ave, Suite 1 Dalton, GA 30720

5/5/2021Paul Weiner 79401RN217363Pleming, Brandi 45806 447 North Belair RD Evans, GA 30909

4/30/2019Maia Walton 68961RN268780Poage, Rachel 43604 555 Sun Valley Dr Suite C2 Roswell, GA 30076

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/31/2022Joshua Hare, DO 71791RN184431Poarch, William Zachariah 16861 1107 Memorial Drive, Ste 100 Dalton, GA 30720

5/7/2019Opeoluwa Akinnusi 64802RN234214Pocock, Kelsey 44374 3750 Palladian Village Drive Suite 110 Marietta, GA 30066

9/16/2021Bennie Brown 65085RN298703Pocock, Kerith 58021 101 Regency Park Drive Suite 110 McDonough, GA 30253

12/31/2013Dawn Swaby-Ellis, MD 29112RN074932Poirier-Elliott, Elaine Marie 2361 3807 Clairmont Road Chamblee, GA 30341

8/7/2015Adebayo Akinsola, MD 67381RN074932Poirier-Elliott, Elaine Marie 12956 3807 Clairmont Rd Chamblee, GA 30341

5/7/2018Swapna Madhavan, MD 57098RN183800Polatty, Esther J. 17727 260 Elm St. Cumming, GA 30040

4/6/2022Michael Miller 27869RN067035Poling, Lisa 45716 327 Wallace Road Marietta, GA 30062

2/8/2022Bryan Hooker 32586RN204295Polk, Stephanie 53218 14 Sammy McGhee Blv Suite 204 Jasper, GA 30143

7/4/2018Mufid Othman, MD 20786RN080331Polk, Angela Marie 39075 777 Hemlock St. Macon, GA 31201

8/7/2018Erik Shaw, DO 58012RN204295Polk, Stephanie Durham 20172 2020 Peachtree Rd. Atlanta, GA 30309

2/1/2018Kevin King, MD 56310RN154808Polk-Seldon, Gabriele 16116 2122 Manchester Expressway Columbus, GA 31908

12/1/2020Erica Heiman, MD 76645RN204831Pollard, Tiffanie Nikole 38731 80 Jessie Hill Jr. Drive Atlanta, GA 30303

10/8/2021Aerica Summers 65902RN204831Pollard, Tiffanie 57724 80 Jesse Hill Jr. Drive Atlanta, GA 30303

9/29/2020Anna Tanner 47669RN234981Pollard-Manigault, Denise 43567 6600 Peachtree Dunwoody Rd Bldg 400 Suite 150 Atlanta, G

7/3/2018Bess Schoen, MD 31120RN234981Pollard-Manigault, M. Denise 12987 2015 Uppergate Dr, Suite 252 Atlanta, GA 30322

11/27/2013Talboy, Amy MD 37317RN054213Pomar, Pamela 10483 1920 Briaracliff Rd NE Atlanta, GA 30329

6/11/2009Muhammad Akmal, MD 44665RN196129Ponniah, Shivanthi 8549 200 Industrial Blvd, Suite 114 Ellijay, GA 30540

7/1/2015Jonathan Chen, DO 60811RN125435Pool, Suzanne Laurel 12581 55 Whitcher St, Suite 160 Marietta, GA 30060

1/22/2018Thomas Garcia, DO 63420RN123321Poole, Leslie Aycock 18797 501 Redmond Rd. Rome, GA 30164

9/1/2020John Polak, DO 31100RN045012Poole, Sally Wright 8824 3121 Peach Orchard Rd, Suite 201 Augusta, GA 30906

12/14/2020Brady Alford 40616RN219188Poore, Margaret 50629 2209 Pineview Dr Valdosta, GA 31602

10/15/2020Mark Feeman 28767RN203790Pope, Rebecca 49036 125 Commons Way Suite 203 Villa Rica, GA 30180

10/3/2018Sarita Prasad, MD 73372RN135403Pope, Lori Smith 20099 1480 Hwy. 27 S Carrollton, GA 30117

9/20/2021William Parrish, MD 47989RN135403Pope, Lori S. 39451 204 Allen Memorial Drive, Suite 201 Bremen, GA 30110

12/6/2019Patsy Mitchell, DO 64606RN203157Pope, Bianca Rae Germano 12413 118 Northpark Dr Brunswick, GA 31520

8/31/2017Richard Warren, MD 54956RN203790Pope, Rebecca Jill 13265 705 Dixie St, Emer Dept Carrollton, GA 30117

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2018Amy Eubanks, MD 52922RN135403Pope, Lori Smith 19834 204 Allen Memorial Dr. ste. 201 Bremen, GA 30110

8/18/2018Sarita Prasad, MD 73372RN203790Pope, Rebecca Jill 17113 1480 Hwy 27 S Carrollton, GA 30117

12/31/2021Michael S Schmidt, MD 58500RN195433Poppell, Jenna 40347 454 Smith Ave Thomasville, GA 31792

1/1/2020India Robinson, MD 76451RN181538Porter, Surrell Nicole 38979 896 Highway 81 East McDonough, GA 30252

2/6/2020Yolanda Wade, MD 58345RN144810Porter, Laura 16030 815 shugart Rd. Dalton, GA 30720

8/1/2019Cassandra B. Donnelly 68144RN241922Porter, Martin 39832 6063 Peachtree Corners Peachtree Corners, Ga 30092

2/26/2021Iyad Houston 84611RN170616Porter, Erin 52403 1155 Perimeter Center West 11th Atlanta, GA 30338

9/5/2014Yvonne Smith, MD 42443RN170616Porter, Erin James 12779 145 Standing Oak Place Fayetteville, GA 30214

1/19/2019Bozeman Sherwood, MD 26379RN227622Posada, Michael Anthony 19962 447 N. Belair Rd. ste. 101 Evans, GA 30809

4/22/2019Rolando Torres, MD 43138RN227622Posada, Michael Anthony 20165 2460 Washington Rd. Thomson, GA 30824

9/8/2021James Drury, MD 48891RN201646Posey, Julie Marie 18877 3015 Veteran's Pkwy South Moultrie, GA 31788

1/12/2019NICOLE SROKA MD 57191RN129442POSEY, AMY CHRISTINA 40398 1279 HIGHWAY 54 WEST SUIT 100 FAYETTEVILLE, GA 30214

1/1/2018Loida Bonney, MD 59375RN129442Posey, Amy Christina 19915 1260 Highway 54 West ste. 101 Fayetteville, GA 30214

12/19/2010Albert Copeland, MD 31400RN210395Posey, Tammy Lynn 9330 772 Maddox Dr, Suite 122 Ellijay, GA 30540

5/15/2012Daniela Rojas-Molina, MD 55331RN210395Posey, Tammy Lynn 9623 772 Maddox Dr, Suite 122 Ellijay, GA 30540

8/1/2021Cheryl Perkins, MD 36430RN228494Poston, Christina M. 39698 1499 Fair Road Statesboro, GA 30458

3/2/2021Vlastimil Smetka 85033RN297123Potter, Ashleigh 53380 2122 Cumming Rd Augusta, GA 30904

8/10/2012Charles Hitson, MD 26554RN192280Potter, Betty Jean 9454 231 Graefe St Griffin, GA 30223

9/1/2015Dorothy Stewert, MD 46565RN192280Potter, Betty Jean 15514 5398 Thomaston Rd, Ste B Macon, GA 31220

10/24/2014Vivian Lennon, MD 43121RN192200Pottinger, Aikaterine Sofia 11721 4166 Buford Hwy, Suite 1102 Chamblee, GA 30345

11/17/2020David Weinkle 38645RN192200Pottinger, Aikaterine 41768 1001 Johnson Ferry Road Atlanta, GA 30342

1/15/2020David Cox, MD 70247RN226487Pouliot, Leo Frank 17328 101 Mayo St, Ste B Americus, GA 31709

4/18/2017Edward McDonald Jr., MD 41890RN117011Povolny, Angela Michelle 18945 655 Jesse Jewell Pkwy SE ste. C Gainesville, GA 30501-3854

9/1/2019Niraj Sharma 54276RN117011Povolny, Angela 43104 766 Walther Road Suite 100 Lawrenceville, GA 30046

6/21/2013Bernerdine M. King, MD 42071RN117011Povolny, Angela M. 11214 705 Jesse Jewell Pkwy, Ste 200 Gainesville, GA 30501

2/28/2014Scott Clark, MD 52157RN117011Povolny, Angela Michelle 12095 2324 Limestone Overlook Gainesville, GA 30501

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/20/2021Marilyn Washburn 19435RN191787Powe, Nashana 53884 2600 Martin Luther King Jr. Dr. SW Suite 100 Atlanta, GA 30

7/31/2020Miles Johnson 38817RN191787Powe, Nashana 45718 2600 Martin Luther King Jr Sr SW Suite 100 Atlanta, GA 3031

8/21/2021Dominic Seymore 63530RN264414Powell, Haylee 53901 616 South 8th Street Suite A Griffin, GA 30224

8/9/2021Heather Gunn 66791RN191684Powell, Silona 45294 1412 Milstead Avenue NE Conyers, GA 30012

5/18/2020Marlene Zetzer Shivers, MD 33236RN136228Powell, Cynthia Leigh 41431 700 Coastal Village Brunswick, ga 31520

7/16/2021Rashante Harris, MD 62706RN191684Powell, Silona 21335 882 Ponce De Leon Ave. Atlanta, GA 30306

4/8/2019Darrell Surratt 55984RN222419Powell, Zacharey 42785 1500 E. Shotwell Street Bainbridge, GA 39819

5/15/2021Michael Butler, MD 35833RN256397Powell, Rebecca Nicole 38905 3226-A Hampton Avenue Brunswick, GA 31520

1/9/2019Kevin Trapnell, MD 46920RN150666Powell, Alison Blount 16957 447 N Belair Rd, Ste 101 Evans, GA 30809

7/31/2018Cynthia Murray, MD 58374RN106617Powell, Laura Angela Huff 16769 3686 Wheeler Rd. Augusta, GA 30909

9/9/2013Michael C. Pinell, MD 58102RN063932Powell, Pamela W. 11184 701 Baytree Rd., Ste A Valdosta, GA 31602

8/26/2014Jerry Purvis, Sr, MD 9235RN063932Powell, Pamela Westberry 9858 520 Griffin Avenue Valdosta, GA 31601

10/1/2021Monique Merritt-Atkins 83772RN242230Powell, Jessica 57998 5582 Memorial Drive Stone Mountian, GA 30083

6/1/2022Jeffrey Dowis 68199RN227891Powell, Chelsea E. 60473 3193 East First Street Vidalia, Ga 30474

8/1/2011Matthew Lyon, MD 50972RN106617Powell, Laura A Huff 2377 4471 Washington Road Evans, GA 30809

2/16/2011Eric Stout, MD 56629RN063932Powell, Pamela Westberry 2382 1525 Baytree Rd, Suite F Valdosta, GA 31602

2/14/2011Niall Galloway, MD 31921RN092714Powell, Tracy Elaine Carr 2384 1365-B Clifton Rd, Suite 1400 Atlanta, GA 30322

2/18/2011Katharine Ammons, MD 37744RN208590Powers, Lisa LuAnne 9227 1825 Martha Berry Blvd Rome, GA 30165

5/20/2020Albert Scott, MD 32293RN222284Powers, Lori M. 39447 2633 N. Decatur Road Decatur, GA 30033

5/30/2014Veronica Garrett, MD 39106RN206880Prade, Kenya Monique 9274 1567 Milstead Rd NE, Suite B Conyers, GA 30012

8/1/2016John Vu, MD 40813RN123825Prather, Deborah Kay 14290 4861 Bill Gardner Pkwy Locust Grove, GA 30248

7/31/2016Jacalyn Gilbert-Green, MD 74801RN123825Prather, Deborah Kay 18077 4861 Bill Gardner Parkway Locust Grove, GA 30248

4/18/2019Bryan L. Woods, MD 34273RN213628Prather, Kaley M. 41267 1265 Hwy 54 West Fayetteville, Ga 30214

8/11/2020Kabir Das, MD 62867RN213628Prather, Kaley Michelle 17416 619 S 8th St, Ste 200 Griffin, GA 30224

2/24/2012Julian McLendon, Jr., MD 38557RN123825Prather, Deborah Kay 2386 3758 Hwy 42 Locust Grove, GA 30248

9/1/2014William Watkins, MD 32076RN123825Prather, Deborah Kay 8658 235 P'tree St NE, North Tower, #2100 Atlanta, GA 30303

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/24/2012Jackson, Robert MD 49698RN123825Prather, Deborah 10115 50 Kelly Road McDonough, GA 30253

12/16/2010Linda Moore, MD 55849RN162398Prator, Amanda Marie 8854 610 19th Street Columbus, GA 31901

9/20/2013Thomas Isenovski, DO 55602RN162398Prator, Amanda Marie 8789 2122 Manchester Expressway Columbus, GA 31904

11/3/2020Keith Blanks, DO 52042RN162398Prator, Amanda Marie 18548 2122 Manchester Expwy Columbus, GA 31908

9/30/2021Curtis Sorensen, MD 39947RN162398Prator, Amanda Marie 12684 100 Frist Ct Columbus, GA 31909

2/28/2015Emile Risby, MD 30869RN240957Pratt, Karen Ann 13864 3000 Schatulga Rd Columbus, GA 31907

1/13/2014Criner, James MD 54179RN094003Prayter, Susan 10882 17612 Mars Hill Road NW Acworth, GA 30101

12/10/2019Christopher Stevens, MD 54515RN094003Prayter, Susan Marie 13035 1762 MarsHill Rd NW Acworth, GA 30101

4/6/2019Brandon Paritz, DO 70695RN094003Prayter, Susan Marie 20690 2444 Dallas Hwy. Marietta, GA 30064

9/29/2014Nitasha Burney, MD 55931RN094003Prayter, Susan Marie 2388 5230 Dallas Hwy Powder Springs, GA 30127

2/25/2019Hetal Thakore, MD 53556RN202093Predergast, Elena C. 38762 3651 Wheeler Rd. Augusta, GA 303909

3/14/2016James Butts, MD 9103RN147000Preissler, Dianne Lynne Woods 2389 PO Box 2683 Gainesville, GA 30503

7/2/2019Jon Gibbs, MD 38493RN202093Prendergast, Elena C. 39448 3651 Wheeler Road Augusta, GA 30909

8/1/2021Janis Coffin 56528RN202093Prendergast, Elena 54167 987 St. Sebastian Way EC1500 Augusta, GA 30912

3/19/2021Rebecca Staub 75158RN201181Presley, Allison 44181 901 E 18th Street Tifton, GA 31794

2/19/2019Ravi Rajani 59746RN215034Pressley, Jacquelyn 43138 80 Jesse Hill Jr Dr Atlanta, GA 30303

3/15/2021Yahya Siddiq, MD 18954RN089679Presswood, Margaret 16170 3825 Medical Park Dr, Ste 100 Austell, GA 30106

7/7/2011Patrick Haggard, MD 49403RN071143Prest, Lois Marie 9348 80 Jesse Hill Jr Dr Atlanta, GA 30303

8/26/2010Bandupriya Vidanagama, MD

18758RN071143Prest, Lois Marie 2393 80 Butler Street Atlanta, GA 30303

3/29/2013Barnett III, Golden MD 55090RN071143Prest, Lois 10107 80 Jesse Hill Jr Drive, 13th floor, Emer Dept Atlanta, GA 303

8/11/2020Kevin Napier, MD 40749RN183505Prestidge, Taryn 11156 231 Graefe St. Griffin, GA 30224

5/29/2017Angela Swayne, MD 53421RN183505Prestidge, Taryn Marie 17884 1133 Eagles Landing Parkway Stockbridge, GA 30281

10/18/2018Onika Popo-James,MD 62759RN126112Preston-Lloyd, Crystal Ann 19647 1631 Hwy. 20 West McDonough, GA 30253

10/1/2016David Van, MD 29545RN126112Preston-Lloyd, Crystal Ann 18278 747 South Hill St. Griffin, GA 30224

6/4/2019David Cox, MD 70247RN126112Preston-Lloyd, Crystal 16451 101 Deluxe Circle, Ste B Thomaston, GA 30286

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/18/2019Tamaurus Sutton, MD 61172RN126112Preston-Lloyd, Crystal Ann 17116 235 Peachtree St NE, N Tower, Ste2100 Atlanta, GA 30303

9/1/2016Tasha Feaster, MD 62690RN126112Preston-Lloyd, Crystal Ann 17059 1133 Eagle's Landing Pkwy Stockbridge, GA 30281

4/15/2021Onika Popo-James 62759RN126112Preston-Lloyd, Crystal 49008 1631 Hwy 20 W McDonough, GA 30253

8/12/2013Richard G. Dukes, MD 51875RN109974Prevosti, Linda M. 11152 11705 Jones Bridge Rd. Johns Creek, GA 30005

3/1/2017Nadia Cameron, MD 53982RN244445Price, Tasha 15648 3760 Sixes Rd, Ste 120 Canton, GA 30114

1/2/2020Victor Rosenfeld, MD 64752RN161346Price, Jennifer 15674 1326 Eisenhower Dr Savannah, GA 31406

11/1/2017William Barnes, MD 26449RN200058Price, Lauren Ann 15080 4660 Riverside Pk Blvd Macon, GA 31210

6/22/2017Aaron Thomas, Jr. 72834RN141037Price, Paula Susanne 18310 396 Historic Hwy. 441 North Demorest, GA 30535

3/13/2015James Routon, MD 12231RN161346Price, Jennifer Dykes 11871 1497 Fair Rd, Suite 206 Statesboro, GA 30458

4/2/2016William Shivers, MD 30214RN242170Price, Deborah 16545 3455 Harris Rd Waycross, GA 31503

10/31/2018Joshua Garret, MD 58866RN218977Price, Sarah Peak 17885 541 Historic Hwy. 441 Demorest, GA 30535

3/4/2021Diahann Moore 63458RN209933Price, Keywanna 54854 2209 Pineview Drive Valdosta, GA 31602

6/2/2021Charles Alexis 64716RN209933Price, Keywanna 56715 2209 Pineview Drive Valdosta, GA 31602

10/13/2021Jennifer Kapella 56112RN071462Price, Wendell 47206 303 Peachtree St NE Suite LL-140 Atlanta, GA 30308

4/5/2021Mushtag Ahmed 76391RN141037Price, Paula 43145 11 Charlie Morris Rd Colbert, GA 30628

9/22/2020Vijia George 68161RN209933Price, Keywanna 45214 633 Stephenson Ave Savannah, GA 30405

10/29/2019James A Harrell, MD 26782RN115814Price, Catherine Ann 42369 3116 North Oak St. Extension Valdosta, GA 31602

8/14/2019Abdollatif Ghiathi, DO 40908RN209933Price, Keywanna Nichole 17330 361 Randolph St. Cuthbert, GA 39840

11/15/2018Edwin Hendricks, Jr. 22153RN141037Price, Paula Susanne 21339 396 Historic Hwy. 441 N. Demorest, GA 30535

12/20/2021Gyula Soos, MD 49093RN107117Price, Amber Grace 8534 102 Bowling Lane Dublin, GA 31021

1/3/2015Donald Fordham, MD 44718RN141037Price, Paula Susanne 8579 865 Austin Drive Demorest, GA 30535

5/10/2010John Souza, MD 39475RN107117Price, Amber Grace 2396 PO Box 16100 Dublin, GA 31040

9/30/2021Abby Abisogun 80802RN161346Price, Jennifer 48064 1326 Eisenhower Drive Bldg1 Savannah, GA 31406

12/31/2021Bruce Houston 33116RN219933Price, William 58070 101 Oakland Crossing Dr. Lessburg, GA 31763

6/30/2015Wendy Troyer, MD 33786RN077983Priester, Karen Joan Lagerberg 2399 5901-C P'tree Dunwoody Rd, Suite C-65 Atlanta, GA 30328

6/1/2019Bert Wall 48003RN210311Priester, Jonniece S 41898 1512 Hwy 19N Thomaston, GA 30286

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/21/2021James Namnoum 41345RN171232Prieto, Dana 53781 145 15th Street NE Suite 103 Atlanta, GA 30309

2/5/2020Dwight Owens 43105RN255982Prince, Odette Amanda 47023 1720 Peachtree Street Suite 640 Atlanta, GA 30309

7/25/2011Valens Plummer, MD 49496RN155811Pringle, Tawnya Lynette 8406 3800 Princeton Lake Pkwy SW Atlanta, GA 30331

7/31/2017Lawrence Powell, MD 38915RN155811Pringle, Tawnya Lynette 9635 3800 Princeton Lake Pkwy SW Atlanta, GA 30331

7/29/2019Sung Chang, MD 52693RN200680Prinsell, Jenny Steigele 17117 7351 Old Moon Rd Columbus, GA 31909

10/24/2016Kelvin Moss, MD 54634RN077411Pritchett, Jana Susan 18179 1200 Memorial Dr. Dalton, GA 30720

5/10/2016George Palmer, MD 30658RN217055Pritham, Ursula Anna 12947 1012 Bermuda Run Rd Statesboro, GA 30458

8/25/2021Brian DeLoach, MD 51216RN217055Pritham, Ursula Anna 12456 250 Forest Dr, Room #1004 Statesboro, GA 30460-0001

9/13/2021NAIMA CHEEMA MD 62362RN225300PROBST, MELISSA JOY 40487 12453 GA HWY 92 WOODSTOCK, GA 30188

10/25/2021Daniel Valancius, MD 72151RN230749Proctor, Kacie Miranda 19884 304 Turner McCall Blvd. Rome, GA 30165

7/7/2021Susanna Meredith 62561RN156767Proenza, Elizabeth 52915 1804 Seminole Drive Vidalia, GA 30474

1/13/2015Meenakshi Hari, MD 49026RN225300Prohst, Melissa Joy 14922 2520 Windy Hill Rd. Ste. 104 Marietta, GA 30067

3/15/2021PAUL OWNESBY 70816RN247555PROUSALIS, TINA 46770 100 CROSS CRESENT CIRCLE FORT OGELTHRORPE, GA 30742

1/3/2022Kirk Kanter 30631RN222052Prozillo, Lindsey 43170 1405 Clifton Road Atlanta, GA 30322

9/21/2018Emmett McKenzie, MD 77274RN222052Prozzillo, Lindsey Marie 39449 1405 Clifton Road Atlanta, GA 303233

2/6/2020Carroll Odem 51171RN273932PrudHomme, Anslie 43860 2050 Cumming Hwy Suite 100 Canton, GA 30115

12/1/2019Tsung Ming Hsu, MD 62220RN151379Pruitt, Barbara Lynn Senterfitt 40835 1199 Prince Avenue Athens, GA 30606

2/10/2021Imoigele Aisiku 46023RN188495Pruitt, Kelley 54844 2001 Peachtree Rd Ste. 575 Atlanta, GA 30309

4/7/2022Ashley Srcrest Sutherland 63225RN266143Pruitt, Megan 45848 133 Arch Street Suite 7 Redwood City, GA 94062

11/1/2013Walisa Maynard, MD 50658RN151379Pruitt, Barbara Lynn Senterfitt 12026 4040 Hospital West Dr Austell, GA 30106

8/18/2016John Ogundipe, MD 39193RN151379Pruitt, Barbara 15650 2130 Anderson Mill Rd Austell, GA 30106

11/1/2021Jaideep Patel 51708RN151379Pruitt, Barbara 47002 1230 Baxter St Athens, GA 30606

10/8/2010Todd Kelley, MD 47781RN132591Pruitt, Shannon Daneal Ardees 2404 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

12/6/2021William Swofford Jr. 46262RN266193Pruitt, Megan 58734 209 N. Cuthbeth St Colquitt, GA 39637

1/31/2009Christopher Edens, MD 42042RN102357Pryor, Anita Lynn Rigsby 2407 PO Drawer 5 Griffin, GA 30224

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/17/2014Thomas W. Bloodworth, MD 18124RN073134Pryor, Julie K. 11497 101 Cleburne Pkwy Hiram, GA 30141

12/15/2019Bill Greening, MD 42585RN102357Pryor, Anita Lynn Rigsby 9732 7285 Hwy 16, Suites B & C Senoia, GA 30276

3/11/2015Nitasha Burney, MD #####RN073134Pryor, Juile 14460 3885 Princeton Lake Way, Ste 306 Atlanta, GA 30331

9/1/2016Jamie Walraven, MD 45023RN102357Pryor, Anita Lynn Rigsby 7843 601 South 8th St, Emergency Dept Griffin, GA 30224

3/11/2015Vitaliy Gavrikov, MD 61430RN073134Pryor, Julie King 13488 3955 Harrison Rd, Ste 400 Loganville, GA 30052

3/11/2015Vitaliy Gavrikov, MD 61430RN073134Pryor, Julie King 13489 1431 Riverside Pkwy, Ste B Lawrencville, GA 30043

3/11/2015Carroll Cooper, MD 63309RN073134Pryor, Julie King 13490 1431 Riverside Pkwy, Ste B Lawrenceville, GA 30043

3/11/2015Carroll Cooper, MD 63309RN073134Pryor, Julie King 13491 3955 Harrison Rd, Ste 400 Loganville, GA 30052

10/5/2016Tracy Barr, MD 58030RN235162Puckett, Jennifer 16448 1180 Barrett Parkway Kennesaw, GA 30144

7/25/2015Forrest Clark Cantrell, MD 28948RN235162Puckett, Jennifer Hazel 13601 777 Franklin Rd Marietta, GA 30067

11/15/2018Olufemi A. Ogunyemi 45566RN077416Puckett, Rhonda Kim 40489 18 Riverbend Dr. Suite 120 Rome, GA 30161

10/28/2021Kent I.Cohen, MD. 30981RN160924Puckett, Catherine Z. 40041 2695 Vista Ridge Dr. Suwanee, Ga 30024

12/8/2017James Smith, MD 59763RN160924Puckett, Catherine Zuber 2409 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

3/31/2011Sharon Lynch-Miller, MD 42342RN089764Puett, Pamela T. 5300 11 Upper Riverdale Rd SW Riverdale, GA 30274

7/5/2013Sarah Hosford, MD 32209RN208906Pugh, Jena Daneen 9769 320 Parkway Dr NE, Suite 244 Atlanta, GA 30312

11/18/2016John Ouderkirk, MD 49992RN204378Pugh, Ashley Williams 18434 9925 Haynes Bridge Rd. ste. 320 Alphareta, GA 30022

12/31/2016Vernon Henderson, MD 44746RN097978Pugmire, Karen Yarborough 2335 285 Boulevard NE, Suite 535 Atlanta, GA 30312

6/5/2010Kristi Mulchahey, MD 34209RN137019Pulaski, Sandra Brubaker 2411 2550 Windy Hill road, Suite 115 Marietta, GA 30067

6/15/2012Yap, O.W. Stephanie MD 55044RN137019Pulaski, Sandra 10108 1462 Montreal Road, Ste 403 Tucker, GA 30084

10/20/2011Matthew Burrell, MD 17998RN137019Pulaski, Sandra Brubaker 9514 980 Johnson Ferry Rd, Suite 900 Atlanta, GA 30342

4/1/2019Maria V Gonzaga 70627RN167590Pulliam, Kira Lassiter 41298 1900 10th Ave Suite 300 Columbus, GA 31901

5/15/2021Michael Stiefel 84122RN250206Pulliam, Kathelln 54215 2001 Peachtree Street Rd NE Suite 575 Atlanta, GA 30309

12/11/2015Sankaran, Sekhar MD 31549RN160206Purcell, Kimberly 10534 101 Regency Park Drive, Ste 140 McDonough, GA 30253

8/22/2021Mark Elam 36147RN227523Purdy, Ellie 43629 130 Riverstone Terrace suite 102 Carton, GA 30114

1/6/2014Jack Miller, MD 24987RN225420Purrman, Kathryn Christine 12822 220 Cobb Parkway Suite 400 Marietta, GA 30062

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2020Gifford Lorenz, MD 30816RN117924Purvis, Stacey 15168 5354 Reynolds St, Ste 318 Savannah, GA 31405

1/7/2010Paul Cox, MD 49762RN124737Purvis, Juliet Elizabeth Waugh 8897 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

5/4/2022Derek Heldzinger 65259RN227459Putman, Lashanda 59201 400 Batterfield Pkwy Fort Oglethrope, GA 30742

4/21/2018John Coleman, MD 48498RN205443Putman, Ashley 16562 3050 Peachtree Rd NE, Ste PS Atlanta, GA 30305

4/27/2018Joseph Verdun, MD 61675RN227459Putman, Lashanda Gabrielle 41618 868 York Ave SW Atlanta, Ga 30310

12/4/2020Nadine Rouphael 56635RN243491Quach, Julie 53293 5665 Peachtree Dunwoody Atlanta, GA 30342

12/27/2019Michael Litrel 39623RN234874Quaile, Heather 41979 3405 Dallas Highway Suite 200 Marieta, GA 30064

4/20/2020Monica Best 64097RN234874Quaile, Heather Calhoun 42098 3405 Dallas Highway Suite 200 Marietta, GA 30064

4/20/2020William Burak, MD 68527RN234874Quaile, Heather C 13418 790 Church St., Ste 410 Marietta, GA 30060

5/1/2019Steven Durocher, MD 56051RN192483Qualls, Sarah 20904 2161 W. Spring Street Monroe, GA 30655

1/14/2022Kristin Boren, MD 69552RN209685Quandt, Jessica Rose 40351 4441 Atlanta Rd SE Smyrna, GA 30080

1/3/2022Keneeshia Williams 77597RN293552Quarles, Wesley 59413 80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

7/21/2021Victor Okeh 71268RN235301Quarshie, Hannah 44544 2457 Martin Luther King Jr Suite A Atlanta, GA 30311

8/28/2009Andrew Cichelli, MD 44433RN167566Quattlebaum, Adrian Menapac 8365 1601 Fair Road, Suite 600 Statesboro, GA 30458

5/31/2013Courage Atekha, MD 49266RN167566Quattlebawn, Adrian M 11271 1030 Bermuda Run Road Statesboro, GA 30458

2/1/2021Cynthia Murray 58374RN208769Queen, Kimberly 53663 3686 Wheeler Rd Augusta, GA 30909

9/30/2020Hugh Hall 40088RN208769Queen, Kimberly 41294 101 Fornum Dr Grovetown, GA 30813

1/23/2019John Harris 59919RN211046Queen, Amy 42816 501 Redmond Road NW Rome, GA 30164

1/1/2020Eric Friedrich, MD 16344RN256617Quick, Ashlee Janel 39165 114 Canal St. ste. A Pooler, GA 31322

7/1/2020Ahmed Elsharkawi 55128RN256617Quick, Ashlee 46150 3025 Shrine Rd., Suite 270 Brunswick, Ga 31520

9/24/2020Mushtag Ahmed 76391RN224327Quijada, Flor 45061 137 W Athens St Suite 103 Winder, GA 30680

8/4/2021Laura Farless 67414RN223163Quinette, Mallory 47580 5353 Reynolds Street Savannah, GA 31405

5/19/2021Anekwe Onwuanyi, MD 58088RN212300Quinn, Brandi Nicole Webber 20637 80 Jessie Hill Jr. Dr. SE Atlanta, GA 30303

10/31/2021Jose Justiniano-Ayala, MD 46773RN240724Quinn, Amanda 16193 1430 Suggs St Rossville, GA 30741

6/1/2017Niels Engberding, MD 64535RN212300Quinn, Brandi Nicole Webber 17030 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

10/31/2014Cassandra Wanzo, MD 35165RN212300Quinn, Brandi Nicole Webber 12748 601 Bombay Lane Roswell, GA 30076

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/9/2012Roman, Charles DO 43757RN186321Quinn-Freeman, Lasagna 10125 2757 Warm Springs Road Columbus, GA 31904

8/1/2018Marielena C. Vasquez, MD 62790RN190693Quinones, Tamara R. 41362 5555 Whittlesey Blvd. (Suite L-1) Columbus, GA 31909

6/30/2020Karen Julka, MD 56846RN220946Quinton, Tiffany Bass 39454 3320 Old Jefferson Road, Bldg. 200, Suite A Athens, GA 3060

11/30/2019Ranjan Paul 54087RN168805Rabayeva, Irina 43194 4355 Johns Creek Suwanee, GA 30024

9/17/2018Asha Parikh, MD 28850RN168805Rabayeva, Irina 16707 6330 Primrose Hill Ct. Norcross, GA 30092

4/21/2020Richard Whitlock 20623RN203407Raborn, Heather 41818 1348 Walton Way Ste 5100 Augusta, GA 30901

3/30/2018Gena Bonitatibus, MD 45041RN203407Raborn, Heather Pope 18719 4350 Towne Centre Dr. ste. 1500 Evans, GA 30809

7/3/2017Charles Sow, MD 55343RN166360Rachide, Marjorie Anne 14213 7530 Roswell Rd Atlanta, GA 30350-4837

9/25/2015George Hall, MD 55669RN219574Rackley, Emmeril 14155 1050 Carl Griffin Dr Savannah, GA 31405

2/28/2013Mubbashir Khan, MD 54327RN219574Rackley, Emmerll 11472 Unison Behavior Hlth, 1005 Shirley Ave. Douglas, GA 31533

11/25/2019David Clark, MD 43579RN260019Radice, Jennifer Rachelle 21013 818 St. Sebastian Way ste. 311 Augusta, GA 30901

7/12/2021Kimberly Champney 53115RN116771Radke, Rebecca Linton 18330 1000 Johnson Ferry Rd. NE, bld. 980 ste. 520 Atlanta, Ga 303

5/28/2016Kenneth Taylor, MD 38985RN116771Radke, Rebecca Linton 12301 95 Collier Rd, Suite 3000 Atlanta, GA 30309

5/1/2022Brenda Hott 41441RN116771Radke, Rebecca 58482 665 Duluth Hey Suite 801 Lawerenceville, GA 30046

3/16/2013Nassar Tehrani, MD 53044RN104540Raduszewski, Thomas Chester 9469 292 Industrial Blvd, Suite 101 Hawkinsville, GA 31036

9/28/2019AFOLABI TIAMIYU 63140RN211585RAFFORD, AUTUMN 46769 6005 WATSON BLVE STE 100 BYRON, GA 31008

6/29/2016Stephanie Reese, DO 71743RN235259Rafus, Jennifer 15742 1921 Alice St, Ste B4 Waycross, GA 31501

8/3/2021Robert Packer 18716RN235259Rafus, Jennifer 45339 615A Pendleton Street Waycross, GA 31501

2/3/2022Daniel Gold III 90573RN048215Ragains, Susan S. 60099 1351 Scarboro Hwy Sylvania, GA 30467

3/1/2017Stewart Grizzard, MD 49348RN118570ragan, Cherlyn Mitzi 19149 151 South Houston Lake Rd. ste. 190 Warner Robins, GA 31

4/15/2010Walter Smith, MD 37078RN061422Rager, Mary Jane Boll 2424 9020 Peridot Pkwy Stockbridge, GA 30281

12/1/2012Eugene Harris, MD 59658RN160356Ragland, Kenya Monee 9823 60 Hospital Rd Newnan, GA 30263

12/31/2016Paige Gilbert-Green, MD 74801RN160356Ragland, Kenya Monee 17418 1418 Scott Blvd Decatur, GA 30030

12/1/2016Ruth Adene-Peter, MD 63282RN160356Ragland, Kenya Monee 18963 1418 Scott Blvd. Decatur, GA 30030

9/5/2018Ian Beckford 73188RN160356Ragland, Kenya 42787 303 Peachtree Street NE Suite LL-140 Atlanta, GA 30308

7/15/2020Joe Bateman, MD 51019RN160356Ragland, Kenya Monee 20142 1360 Upper Hembree Rd. ste 100 Roswell, GA 30076

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/18/2016Kavita Kongara, MD 63678RN160356Ragland, Kenya Monee 15733 980 Johnson Ferry Rd NE, Ste 820 Atlanta, GA 30342

2/6/2018Jeffrey Oyler, MD 41191RN160356Ragland, Kenya 11242 1968 Peachtree Rd., NW Atlanta, GA 30309

4/1/2017Saida Omarova, MD 73853RN160356Ragland, Kenya Monee 18641 2292 Peachtree Rd. NW Atlanta, GA 30309

3/1/2016Onkar Kaur, MD 47103RN157693Ragsdale, Cynthia 15887 101 Mayo St, Ste B Americus, GA 31709

12/15/2020Shahzad Hashmi 53239RN232246Rahim, Farah 50464 25 East Broad Street Newnan, GA 30263

10/26/2021Stephanie Gordon 49382RN184608Raines, Joi 45721 140 Eagle Spring CT Stockbridge, GA 30281

7/25/2015Anthony Martin, MD 72873RN105806Raines, Terri Lynn 14754 1 Freedom Way Augusta, GA 309904

7/31/2019Dwayne Gard, MD 60731RN222256Raines, Shayla Alecia 18184 4700 Waters Avenue Savannah, GA 31404

2/18/2013Mark Hancock, MD 67750RN176596Rainey, Tiffany 11018 163 Hospital Dr. Toccoa, GA 30577

5/20/2021Jeffrey Lamp, MD 56736RN176596Rainey, Tiffany 11565 2151 West Spring St. Monroe, GA 30655

10/2/2020John Chung 41532RN145004Raison, Jamie 45062 101 Riverstone Vista Suite 215 Blue Ridge, GA 30513

4/27/2022Kerry Nagel 58108RN297207Rajaee, Lida 60096 3991 Stone Mountain Hwy Snellville, GA 30039

2/1/2020Adedapo Odetoyinbo, MD. 55829RN207457Rakhmanova, Rano 40042 6325 Hospital Parkway Johms Creek, Ga 30097

1/5/2017Thomas Runyan, MD 41205RN229934Ralph, Amanda Jo 13580 3221 Glynn Ave. Brunswick, GA 31520

12/10/2010Allen Dollar, MD 35244RN140212Ramasamy, Kanniammal 9262 49 Jessie Hill Jr Dr SE Atlanta, GA 30303

7/14/2010Nanette Wenger, MD 8924RN140212Ramasamy, Kanniammal 2432 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

12/19/2013Shahriar Sedghi, MD 37678RN149163Rambo, Brandi 10209 610 Third Street, Ste 204 Macon, GA 31201

1/29/2014Linda Jones, MD 30111RN085730Ramer, Shelia Clyde Barbree 2435 1500 E. Shotwell St Bainbridge, GA 39819

4/30/2014Thomas Whitesell, MD 52854RN183690Ramirez, Janice 11147 2040 Dan Proctor Drive, Suite #170 St. Marys, GA 31558

9/21/2017Matthew C. Rill, MD 51376RN183690Ramirez, Janice Paulino 19557 2415 Parkwood Drive Brunswick, GA 31520

3/12/2020Damon Dell'Aglio, MD 55940RN217770Ramirez, Chelsea Lauren 39922 8954 Hospital Dr. Douglasville, Ga 30134

5/4/2018Steven Kailes 77284RN183690Ramirez, Janice 41819 2415 Parkwood Drive Brunswick, GA 31520

3/12/2020Adam Kalwerisky 73354RN217770Ramirez, Chelsea 43176 8954 Hospital Drive Douglasville, GA 30134

7/1/2014Gaston Moran-Celayes, MD 64675RN104542Ramseur, Meleia Sue Green 12664 618 East Lamar St Americus, GA 31709

7/1/2014Parviz Brahman, MD 66576RN104542Ramseur, Meleia Sue Green 12395 1401 N Tift Ave, Suite B Tifton, GA 31794

1/31/2021James Hiller 40688RN232595Ramsey, Ashlyne Elise 46038 628 Mallins Colony Drive Evans, GA 30809

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2021Kenneth E Jones, MD 24000RN215968Ramsue, Sonya Dubose 41127 6325 Shannon Parkway Union, GA 30291

2/5/2020Lawrence Reccoppa, MD 69940RN178428Randall, Marjay Gladys 41446 2900 University Parkway Lawrenceville, Ga 30043

6/11/2021Peter Allotey 45693RN215483Randall, Courtney 54410 5398 Thomaston Road Macon, GA 31220

7/22/2020Lee Jacobs 28283RN173622Randall, Tara 41820 111 Mountain Brook Drive Suite 100 Canton, GA 30115

7/3/2019Corey Greenwald 41130RN178428Randall, Marjay 45064 1199 Prince Ave Athens, GA 30606

10/23/2018Suneel Katragadda, MD 59255RN178428Randall, Marjay Gladys 19688 2151 Peachford Rd. Atlanta, GA 30338

1/1/2020David Purselle, MD 44312RN178428Randall, Marjay Gladys 19620 1 Technology Pkwy. S. ste. Medical Staff Office Norcross, GA

1/6/2021Anthony Captain, MD 39300RN088363Randall, Rhonda T. 13422 1 Tennessee St. Cartersville, GA 30120

2/6/2014Murtaza Cassoobhoy, MD 43014RN088363Randall, Rhonda T. 146 5 Dunwoody Park, Suite 118 Dunwoody, GA 30338

7/28/2022GREGORY LUNCEFORD 50584RN178428RANDALL, MARJAY 46771 1199 PRINCE AVE ATHENS, GA 30606

10/3/2018Holly Coleman, MD 46837RN192210Randels, Camden 16696 440 Washington St., SE Gainesville, GA 30501

6/21/2013Louis Fernandez, MD 39790RN192210Randels, Camden Lorraine 11811 274 Big A Road Toccoa, GA 30577

11/1/2019Paul Edjua 62972RN199251Randle, Victoria 44545 4898 Austell Rd Austell, GA 30106

3/15/2021Philicia Andrews 44621RN199251Randle, Victoria 52400 2118 Scenic Highway Suite H Snelleville, GA 30078

2/9/2019Rita D. Beckford, MD 73189RN199251Randle, Victoria L. 20319 1655 Tullie Circle NE Atlanta, GA 30329

6/30/2019Paul Browne, MD 30967RN164339Randolph, Linda Kathryn 16963 1120 15th St, Room BA7300 Augusta, GA 30912

2/1/2016Eva Beaulieu, MD 66254RN230003Randolph, Bridget N 12297 5185 Old National Hwy Atlanta, GA 30349

7/12/2018Jeffrey Metts, MD 68070RN226334Randolph, Kimberly Michele 11709 600 Parkway North Newnan, GA 30265

1/12/2012Robin Lowman, MD 62392RN185110Rangnow, Katie Elizabeth 9453 1255 Hwy 54 West, Emer Dept Fayetteville, GA 30214

9/25/2018David Eric Jones, MD 45257RN185110Rangnow, Katie Elizabeth 9268 8 Eastbrook Bend, Suite B Peachtree City, GA 30269

6/9/2014John Holmes, MD 44749RN185110Rangnow, Katie Elizabeth 9305 601 South 8th Street Griffin, GA 30233

9/25/2018Cleary, Kevin MD 52263RN185110Rangnow, Katie 10509 1255 Highway 54 West Emer Room Fayetteville, GA 30214

11/1/2019Daniel Faith, MD 51798RN185110Rangnow, Katie Elizabeth 13498 745 Poplar Rd Newnan, GA 30265

6/23/2010Damon Kimes, MD 50322RN185110Rangnow, Katie Elizabeth 8777 601 South 8th St, Emergency Dept Griffin, GA 30224

2/1/2022John Hardwell 49177RN203833Ranic, Lara 55193 2360 Rockmart Highway Cedartown, GA 30215

6/8/2022Jonathan Busbee 40336RN128950Rankin, Lisa 49053 6155 Center Street Thomaston, GA 30286

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/30/2018Vinod Mehta, MD 29913RN128950Rankin, Lisa Renee 2440 546 South 8th Street, Suite B Griffin, GA 30224

9/11/2018Patricia Kelly, MD. 48528RN151163Ranna, Diane E. 40148 424 Decatur St. Atlanta, Ga 30312

6/3/2021Shahzad Hashmi 53239RN247947Ransome, Michelle 57602 311 Gwinnett Drive Lawerenceville, GA 30046

7/18/2018Mark Bradshaw, MD 66574RN261662Raparla, Amor 21096 1100 Peachtree Street, NE ste. 200 Atlanta, GA 30309

4/3/2015Jordan Greenbaum, MD 57172RN158967Rapkin, Karen Ruth 2443 1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

5/22/2017Helen Panarites, MD 35493RN158967Rapkin, Karen 16085 1920 Briarcliff Rd Atlanta, GA 30329

6/1/2017David Wright, MD 44148RN230273Raptopoulos, Sophia 16409 49 Jesse Hill Jr. Dr SE Atlanta, GA 30303

8/31/2020Nicholas Hempeck 77678RN148874Rardin, Jerad 41450 1538 13TH Avenue Columbus, GA 31901

4/13/2022Scheri-Lyn Makombe 77154RN208077Rashiyd-Williams, Imani 42985 1100 Peachtree Street NE Suite 200 Atlanta, GA 30309

9/21/2018Richard Ambrozic, MD 43851RN115567Rasmussen, Kim Gay 17332 1550 Commerce Dr. Valdosta, GA 31601

9/21/2018Richard Ambrozic, MD 43851RN115567Rasmussen, Kim Gay 14480 3321 N Valdosta Rd, Ste B Valdosta, GA 31602

8/12/2013 Richard Dukes MD 51875RN102372Rast, Jean 10007 235 Peachtree St Ne, North Tower #3200 Atlanta, GA 30303

12/31/2008Albert Lintel, III, MD 28595RN102372Rast, Jean Louise 8315 824 West Avenue Cartersville, GA 30120

8/13/2010Louis Barton, MD 33024RN093203Ratajczak, Pamela Camille Dani 9032 2450 Vinson Hwy Milledgeville, GA 31062

7/16/2021Anita Mikita, MD 58288RN093203Ratajczak Donovan, Pamela Da 16195 2450 Vinson Hwy, Cook Bldg Milledgeville, GA 31062

11/16/2020Eugene Jackson, MD 22793RN118146Rathbun, Debra Diane 19791 118 Benjamin Hill Drive Fitzgerald, GA 31750

5/5/2020William Rankine, DO 55294RN118146Rathbun, Debra Diane 17333 1960 247 Connector, Emer Dept Byron, GA 31008

7/11/2016Eugene Jackson, MD 22793RN118146Rathbun, Debra Diane 17421 118 Norman Dorminy Dr. Fitzgerald, GA 31750

1/14/2022Thomas R. Mann, MD 37607RN118146Rathbun, Debra D. 17500 118 Norman Dorminy Dr. Fitzgerald, GA 31750

12/7/2020Charles Francis Cowart, MD. 29161RN118146Rathbun, Debra Diane 39844 1101 Ocilla Road Douglas, Ga 31533

10/1/2021Brittany Andry 81860RN245291Rattery, Tiffany 47482 41 Perimeter Center East Suite 250 Dunwoody, GA 30346

9/24/2020William Godfrey, MD 28552RN120774Rawlings, Jane Paige 16622 3525 Busbee Dr, Ste 100 Kennesaw, GA 30144

8/26/2015Kenneth Sobel, MD 24099RN120774Rawlings, Jane Paige 2447 575 Professional Dr, Suite 510 Lawrenceville, GA 30046

4/15/2019John Destito 52346RN185364Rawls, Wilnadia Antanita 42536 5610 Roswell Rd Suite 100 Sandy Springs, GA 30342

12/31/2020Afolabi Tiamiiyu, MD 63140RN253551Rawson, Carrie Lynn 17553 350 Hospital Dr. Macon, GA 31217

Monday, August 1, 2022 Page 354 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/30/2021Nalini Kumar Ramaiya, MD. 27241RN271525Ray, Jacqueline Marie 39840 350 Hospital Dr. Macon, Ga 31217

6/5/2019Jeffrey Sarata, MD 76457RN271525Ray, Jacqueline M. 41239 200 Industrial Blvd. Dublin, Ga 31021

3/30/2021Nalini Ramaiya 27241RN271525Ray, Jacqueline Marie 39401 350 Hoptial Drive Macon, GA 31217

8/19/2019Yoalnda Wade 58345RN222420Ray, Amanda 45843 1735 S. Highway 27 Carrollton, GA 30117

7/23/2021Bhavika Patel 76120RN222420Ray, Amanda 53721 3615 Marietta Highway Dallas, GA 30157

9/4/2010Charles Hitson, MD 26554RN085734Ray, Jeanette Wyatt 2449 125 North Tenth Street Griffin, GA 30223

10/5/2010Brenda Budlong, MD 34749RN134959Ray, Trena Dawn 2451 304 Shorter Avenue, Suite 102 Rome, GA 30165

10/5/2010John-Mark Miller, DO 56857RN134959Ray, Trena Dawn 9184 1008 Piedmont Ave Rockmart, GA 30153

9/15/2013Gregory, Donna MD 51227RN134959Ray, Trena 10510 321 N. Main Street, Ste A Adairsville, GA 30103

7/1/2010Heather Henry, MD 44231RN085734Ray, Jeanette Wyatt 8726 327 S. 9th Street Griffin, GA 30224

11/30/2010Joseph Biuso, MD 28726RN134959Ray, Trena Dawn 8903 330 Turner McCall Blvd, Suite 203 Rome, GA 30165

3/3/2022Daniel Gold III 90573RN136375Ray, Sherry W. 60320 91 Fourth St Trion, GA 30753

8/31/2019Melissa Bruhn, MD 43565RN043729Ray, Rita Marie Birgen 5305 916 South Broad St Thomasville, GA 31792

5/9/2018Michael Connor, MD 31581RN124867Ray, Shelley L. 5306 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

2/1/2016Andrew Magnet, MD 60215RN108050Raynes, Rebecca Ann 2453 813 E 68th St, Ste B Savannah, GA 31401

1/21/2015Raymond Easley, DO 20987RN213784Raytchev, Vesselin Stoyanov 12650 7100 Peachtree Dunwoody Rd, Suite 100 Atlanta, GA 30328

11/1/2014Sonny Dosanjh, MD 66686RN213784Raytchev, Vesselin Stoyanov 12651 7100 Peachtree Dunwoody Rd, Suite 100 Atlanta, GA 30328

2/24/2020Bhavesh Patel, MD 56163RN093831Reagan, Deborah McDonald 14244 2209 Pineview Dr Valdosta, GA 31602

3/21/2009Daniel Messcher, MD 48443RN093831Reagan, Deborah McDonald 2454 4721 Hummingbird Lane Valdosta, GA 31602

12/10/2013Wendy Vandemark, MD 57511RN093831Reagan, Deborah McDonald 9479 2310 N. Patterson St, Bldg G Valdosta, GA 31602

2/24/2020Nitin Patel, MD 37324RN093831Reagan, Deborah 14397 2209 Pineview Dr Valdosta, GA 31602

5/1/2020Thomas Campen 32147RN232191Reagan, Mitzie 49054 163 Hospital Drive Toccoa, GA 30577

7/9/2020AARON THOMAS 72834RN232191REAGAN, MITZIE 46773 163 HOSPITAL DR. TOCCOA, GA 30577

10/3/2018Edwin Hiatt, MD 12920RN093831Reagan, Deborah McDonald 8630 200 Georgia Avenue Valdosta, GA 31698

8/15/2012Dyer, Divina MD 57161RN205000Reagin, Hilari 10395 1510 Milstead Avee NE Conyers, GA 30012

1/1/2018Ronald Forehand, MD 22760RN205000Reagin, Hilari Alysia 12866 UGA Health Center 95 Carlton St Athens, GA 30602

Monday, August 1, 2022 Page 355 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2012Bryan Blake, MD 40613RN205000Reagin, Hilari 11128 3509 Braselton Hwy, Bldg F Dacula, GA 30019

7/1/2017Tyra Harris, MD 61249RN089784Reardon, Thomas 16019 1490 Pleasant Hill Rd Duluth, GA 30096-4674

12/20/2019Tamaurus Sutton 61172RN171259Rease, Lashandra 45297 1412 Milstead Avenue NE Conyers, GA 30012

2/1/2018Matthew Rill, MD 51376RN262402Reaves, Robyn Ashley 19648 2415 Parkwod Dr. Brunswick, GA 301520

5/12/2010Anthony Salvo, MD 56359RN155029Reavis, Catherine Whittenburg 2455 110 R T Stanley, Sr. Place Lyons, GA 30436

6/1/2010Thad Riley, MD 28637RN155029Reavis, Catherine 8344 PO Box 957 Statesboro, GA 30459

4/4/2012Tamara New, MD 58712RN083762Record, Elizabeth Odenthal 2456 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

6/30/2014Mohan Papudesu, MD 29063RN195027Redden, Laura Leigh 9637 610 Ferncrest Dr Sandersville, GA 31082

1/29/2016Charles McCord, MD 39409RN195027Redden, Laura Leigh 14801 3345 E Hwy 34, Ste 102 Sharpsburg, GA 30277

8/3/2016Barry Iguobadia, MD 71240RN195027Redden, Laura Leigh 17420 222 Perry Hwy, Ste 206, Prof Bldg B Hawkinsville, GA 31036

10/15/2010Mohan Papudesu, MD 29063RN195027Redden, Laura Leigh 8267 610 Ferncrest Drive Sandersville, GA 31082

12/19/2014Christopher Crooker, MD 39315RN208711Reddick, Rachel Nicole 11835 748 Old Norcross RD, Suite 185 Lawrenceville, GA 30046

7/31/2019Fred Hood, MD 45071RN054604Redding, Evelyn Patricia O'Lear 2457 65 Old Jackson Road McDonough, GA 30252

4/15/2010Chuck Clopton, MD 43019RN054604Redding, Evelyn Patricia O'Lear 8695 9020 Peridot Pkwy Stockbridge, GA 30281

5/19/2021Jeffrey Kim, MD 56117RN160834Redjamand, Mojgan 21190 711 Canton Rd. ste. 300 Marietta, GA 30060-8949

2/28/2022Sakina Peregrino-Brimah 82419RN232315Redman-McLean, Cerinena 52146 2195 Pace Street Suite E Covington, GA 30014

12/27/2019Ahmed Elsharkawi, Md. 55128RN212021Redmond, Erin M. 39872 1135 North Way Darien, Ga 31305

9/22/2016Patricia Thompson, MD 69987RN231240Redmond, Terri Lynn 12328 600 Celebrate Life Pkwy Newnan, GA 30265

1/31/2010Patrick Voswinkel, MD 42760RN170766Reece, J. Shannon 8918 10475 Medlock Bridge Rd, Suite 815 Duluth, GA 30097

9/9/2013Steven Disch, MD 30989RN129274Reed, Janice Denise 8738 2500 Hospital Blvd, Suite 310 Roswell, GA 30076

2/10/2022Michael Duke 42041RN216053Reed, Cheryl 58569 134 West Campus Dr Milledgeville, GA 31061

9/10/2012Winston, Jeffrey MD 28337RN102945Reed, Deborah 10433 800 Kennesaw Ave, Ste 130 Marietta, GA 30060

6/5/2015Syed Rizvi, MD 43754RN175387Reed, Melissa Nichole 12314 1200 N Jefferson St Albany, GA 31701

11/28/2017Adrienne Fabrizio, MD 50365RN085648Reed, Karen Lynn Pope 2462 300 Bull St., Ste 102 Savannah, GA 31401

9/19/2019Donna Fearing, MD 29447RN069681Reed, Kelly Jean 2463 120 Stonebridge Pkwy, Suite 410 Woodstock, GA 30189

12/14/2012Syed Rizvi, MD 43754RN175387Reed, Melissa Nichole 9501 1200 N. Jefferson St Albany, GA 31701

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/13/2021Dorel Bidiuc, MD 51296RN140837Reed, Mitzi 15290 707 Old Dalton Ellijay Rd Chatsworth, GA 30705

10/5/2021Steven Currier, MD 65231RN216482Reed, Tracy Arnett 39461 1350 Walton Way Augusta, GA 30901

9/7/2021Tamara E.Sealy, MD 74991RN215475Reed, Melinda P. 41270 1014 W.Franklin Street Sylvester, Ga 31791

3/1/2020Nick Colovos, MD 72520RN140837Reed, Mitzi 39604 49 Jwaaw Hill Jr. Drive SE Atlanta, GA 30303

7/23/2021Marc Harrigan 56719RN230008Reed, Nikki 56286 2920 Pharr Court S Northwest Atlanta, GA 30305

4/23/2021Ramzi Ghosh 57974RN250429Reed, Leah 53902 6002 Hwy 53 East Suite 100 Dawsonville, GA 30534

7/23/2021Marga Ngwang 70328RN230008Reed, Nikki 54702 560 Saint Charles Ave, NE Atlanta, GA 30308

11/23/2021Rashante Harris 62706RN211396Reeder, Melissa 58066 882 Ponce DeLeon Ave NE Atlanta, GA 30306

8/19/2019Sharon Lehman 25211RN184977Reese, Malita 42590 200 Crescent Center Parkway Tucker, GA 30084

6/27/2008James Gore, Jr., MD 36384RN045410Reeves, Merrilea Ward 2467 1657 N. Expressway Griffin, GA 30223

1/1/2022Ebony Gaffney 68732RN237273Regan, Kiara 47867 125 Fanm Street Savannah, GA 31401

4/1/2019Reemon Bishara 63759RN237273Regan, Kiara Marie 83 125 Fahm Street Savannah, GA 31401

5/30/2018Shirley Rigaud-Echols, MD 58639RN168464Regis, Sonja Allison 18702 2665 N. Decatur Rd. ste 255 Decatur, GA 30033

1/24/2019Kevin Don Coyle, MD. 60819RN199372Register, Wendy Brady 39873 186 South Macon Street Jesup, GA 31545

1/24/2019Michael Wheelis 37419RN199372Register, Wendy 42693 10 Doctors Street Metter, GA 30439

9/3/2021Paul Lane 71826RN237721Register, Caitlyn 50818 3527 N Valdosta Rd Valdosta, GA 31602

7/9/2018Michael Puchynski, MD 71336RN225678Reichard, Jared Allen 39465 1825 Hwy 34 East, Suite 1200 Newnan, GA 30265

8/23/2021FRANK ALENA 39523RN225678REICHARD, JARED 46413 3800 PRINCTON LAKES PKWY SW ATLANTA, GA 30331

6/30/2019Palchat Mohan 18110RN192897Reid, Andrea 43195 1510 Renaissance Dr Conyers, GA 30012

3/30/2019Stephanie Keller 64120RN233880Reid, Shade 41915 1400 Tullie Rd. (Suite 420) Atlanta, GA 30329

11/10/2021Jay U.Howington, MD. 52445RN190399Reid, Leigh W. 40311 4 E.Jackson Blvd. Savannah, Ga 31405

4/16/2021Afolabi Tiamiyu 63140RN181773Reid, Shannon 54818 817 Griffin Avenue Eastman, GA 31023

11/20/2013Daniel Wu, MD 51572RN143210Reid, Julianne Marie Bissett 2470 49 Jesse Hill Jr Dr, Emergency Dept Atlanta, GA 30303

9/23/2015Xavier Moore, MD 55619RN192897Reid, Andrea Nicole 12815 1133 Eagles Landing Pkwy Stockbridge, GA 30281

10/14/2021Michael Burke, MD 54798RN222007Reid, Maria Ayesha 14074 2849-B Henderson Mill Rd Atlanta, GA 30341

1/1/2017William Watkins, MD 32076RN128880Reid, Verona A. 14479 5655 New Northside Dr., #320 Atlanta, GA 30328

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2014Glenn Bloom, MD 64512RN128880Reid, Verona Andrea 11853 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

6/28/2021Bhavesh Patel 56163RN128376Reid, Jenny 50819 3120 North Oak Street Extension Suite B Valdosta, GA 3160

2/1/2020ADEDAPO ODETOYINBO 55829RN192897REID, ANDREA 46775 6325 HOSPITAL PKWY JOHNS CREEK, GA 30097

3/16/2022Sandra Hollander 72000RN181773Reid, Shannon 57794 207 Fairview Park Dr Dublin, GA 31021

10/3/2018Edwin Hiatt, MD 12920RN165481Reid, Stacy Cason 8805 200 Georgia Ave Valdosta, GA 31698

12/1/2010Phillip Nowlin, MD 36588RN128880Reid, Verona Andrea 8913 4480 South Cobb Dr SE Smyrna, GA 30080

1/23/2012Okiki Louis, MD 47479RN128880Reid, Verona Andrea 8951 794 S. Park Street Carrollton, GA 30117

8/31/2009Walter Smith, MD 37078RN128880Reid, Verona Andrea 8413 3498 Walnut Ridge Atlanta, GA 30349

4/1/2022Syamala Erramilli 47896RN298787Reinertsen-Rubin, Katherine 57560 1155 Perimeter Center West 11th floor Atlanta, GA 30338

2/28/2018Loy Cowart III, MD 37979RN205143Reinhardt, Jessica Bradshaw 19487 380 B Cedar Street Metter, GA 30439

5/1/2019Michael Wheelis, MD 37419RN205143Reinhardt, Jessica 41654 10 Doctors Street Metter, Ga 30439

11/29/2016Cedric Porter, MD 29363RN205143Reinhardt, Jessica Bradshaw 17336 380 B Cedar St Metter, GA 30439

1/31/2011Charles L. Brown, MD 28383RN149081Reis, Maureen Jacqueline 2471 275 Collier Road, Suite 500 Atlanta, GA 30309

11/18/2021Charlotte Grayson, MD 57811RN274136Reisen, Amy 41414 101 Yorktown Dr. Fayetteville, Ga 30214

9/27/2014Leli Gail Matthews, MD 52182RN070451Reiss, Eleanore 2473 595 Piedmont Avenue, Suite 100 Atlanta, GA 30308

6/3/2019Michael Allan, MD 33511RN070451Reiss, Eleanore 8817 1525 Clifton Road Atlanta, GA 30322

4/11/2018Chionesu Sonyika, MD 63817RN134673Releford, Steven 15953 601 South 8th St Griffin, GA 30224

10/15/2019Laura Towater, MD 65802RN134673Releford, Steven Terrell 39014 235 Peachtree St. NE North Tower ste. 2100 Atlanta, GA 303

1/14/2021Michael Ofori 78145RN134673Releford, Steven 45298 1412 Milstead Avenue NE Conyers, GA 30012

6/1/2012Coker, Mark MD 56276RN196290Rella, Karla 10784 14557 Highway 19, Suite A Griffin, GA 30224

9/24/2021Scott Cooper 27696RN231237Remoe-Doherty, Daphne 50340 1400 Northside Forsyth Drive Suite 250 Cumming, GA 30041

4/30/2018Bruce Pendley, MD 31306RN140236Renfro, Rhonda L. Peters 18865 14 Fort Town Dr. Ft. Oglethorpe, GA 30742

6/15/2021Afolabi Tiamiyu 63140RN272177Rentz, Jordan 56375 358 Veterns Parkway N Moultrie, GA 31788

7/31/2020Francis Herrbold, MD 55825RN113439Rentz, Anna Victoria Westerma 13397 425 3rd Ave, Suite 510 Albany, GA 31701

12/22/2008Amit Sharma, MD 59514RN127665Revell, Cherial Lashawn 7805 6400 Bradley Park Dr, Bldg A, #A Columbus, GA 31904

6/11/2020Timothy Longaker, MD 25883RN231047Revell, Hannah Marie 39482 6005 Watson Blvd., Suite 100 Byron, GA 31008

Monday, August 1, 2022 Page 358 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/12/2011Errol Graham, MD 32388RN073465Revels, Selina Elizabeth Altman 2478 105 E. Tollison St. Baxley, GA 31513

9/25/2013Martin, Garland MD 47233RN073465Revels, Selina 10502 23 Tippins Street Baxley, GA 31513

7/26/2018Laura Towater, MD 65802RN234882Revely, Arleen 21014 235 Peachtree St. NE North Tower ste. 2100 Atlanta, GA 303

3/5/2020Louis Rolston-Cregler 75883RN234882Revely, Arleen 43598 1412 Milstead Avenue Stockbridge, GA 30281

10/8/2021Michael Duke 42041RN232831Reyes, Sara 56360 134 West Campus Drive Milledgeville, GA 31061

8/16/2021Gustavo Pradilla, MD 70411RN220674Reyes, Levi-Rose Jane 18661 80 Jessie Hill Jr. Dr. SE. Atlanta, GA 30303

4/22/2016Garrett Barnes, MD 44163RN208910Reyes, Nancy 15260 420 East 2nd Ave Rome, GA 30161

4/17/2019Vivian Lennon, MD 43121RN192592Reyes, Imelda 8741 4166 Buford Hwy NE Atlanta, GA 30345

8/31/2014Dillon D. Miller, MD 67508RN103757Reynolds, Deborah A. 11509 101 Riverstone Vista, Ste. 111 Blkue Ridge, GA 30513

11/1/2021James Vernell, MD 15204RN187854Reynolds, Sharon DeHart 8006 346 Deep South Farm Road (Suite B) Blairsville, GA 30512

1/21/2017Dawn Wilson, MD 47279RN217693Reynolds, Elysia 15434 545 Old Norcross Rd, Ste 300 Lawrenceville, GA 30046

3/15/2018Priscilla Ross, MD 58635RN140169Reynolds, Shali Michelle 14194 8880 Abercorn St Savannah, GA 31406

5/8/2020Arachelvi Dhandayuthapani 52166RN203695Reynolds, Tameka Michelle 41730 713 20th Street Columbus, GA 31904

9/15/2019Harry Collins, DO 38449RN140169Reynolds, Shali Michelle 39488 125 Southern Junction Blvd., Suite 2 Pooler, GA 31322

3/15/2018Angela Gerguis, MD 47261RN140169Reynolds, Shali Michelle 20290 3 West Perry Street Savannah, GA 31401

12/27/2019Aziz Pirani 61934RN254953Reznick, Alicia 42550 4025 Lawrenceville HWY Lilburn, GA 30047

3/29/2022William M. McDonald, MD 37292RN098042Rhiver, Debra 11129 P.O. Box 26238, 80 Jesse Hill Fr. Dr., SE Atlanta, GA 30303

3/29/2022Patrick Amar, MD 49403RN098042Rhiver, Debra Elizabeth 15120 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

7/31/2019Jennifer Wooten, MD 35791RN098042Rhiver, Debra Elizabeth 19918 10 Park Place Atlanta, GA 30303

7/30/2012Deirdre Cosby, MD 55397RN098042Rhiver, Debra Elizabeth 9785 PO Box 26238 Atlanta, GA 30303

10/3/2014George Myers, MF 35706RN047639Rhodes, Lila Kay Libbey 2486 504 Redmond Rd. Rome, GA 30165

5/30/2017Mark Matthews, MD 54861RN170221Rhodes, Kristen Hollis 11001 200 S. Enota Dr., Ste. 200 Gainesville, GA 30501

10/1/2019Marion Horton, MD 28788RN107764Rhodes, Alison 15667 125 Church St Vidalla, GA 30474

9/1/2021Jagdeep Singh 59761RN047639Rhodes, Lila Kay 41731 501 Redmond Rd Rome, GA 30165

3/31/2020Neelima Turlapathy 54684RN228588Rhodes, Richard 47170 2155 Post Oak Tritt Rd Suite 100 Marietta, GA 30062

10/14/2019Frederick Burton, MD 38434RN197319Rhymes, Monica Vanessa 19507 6020 Harrison Rd. Macon, GA 31206

Monday, August 1, 2022 Page 359 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/31/2008Vijay Patel, MD 35723RN16998Rhynes, Sharon C. 8073 15 Cavender Street Newnan, GA 30263

3/6/2020Marvin Reid, MD 39663RN169986Rhynes, Sharon Chatham 5457 705 Dixie Street Carrollton, GA 30117

12/31/2017Rajwinder Manhiani, MD 56604RN133053Rice, Rebecca Michele Yates 13376 1355 Independence Dr. Augusta, GA 30901

8/19/2016Sperling, Laurence MD 34250RN062144Rice, Claire 10511 1365 Clifton Rd,Bldg A, Ste 2200 Emory Clinic Atlanta, GA 3

12/31/2019Thirston Phillips 79001RN133053Rice, Rebecca Michele 41732 1355 Independence Drive Augusta, GA 30901

6/16/2018John William Thornton III 29542RN176345Richards, Catherine crenshaw 41607 1120 15th Street Suite BBR 6518 Augusta, GA 30912

2/19/2021Andrew Magnet 60215RN264174Richards, Catherine 51687 633 Stephenson Ave Savannah, GA 30405

12/15/2017Padmushree Woodham, MD 63306RN176345Richards, Catherine Crenshaw 14321 840 Pine St Ste 990 Macon, GA 31201

1/15/2022Steven Garst 48047RN182376Richards, Junienne 56951 3540 N Cobb Parkway Acworth, GA 30101

10/8/2019Harold Minerve 44544RN220240Richardson, Renita 46592 3579 Hwy 138 Suite 103 Stockbridge, GA 30281

4/5/2010Todd Kelley, MD 47781RN161874Richardson, Rebecca Pearl 8108 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

11/10/2015Folashade Omole, MD 49074RN084496Richardson, Deanna O 2496 2988 Shallowford Road Marietta, GA 30066

2/12/2016Elliot Raizes, MD 24478RN073504Richardson, Susan Alden 2499 135 Athens West Pkwy, Suite B Athens, GA 30606

8/31/2021Elliot Raizes, MD 24478RN073504Richardson, Susan Alden 9415 3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

2/4/2016Pablo Quintanilla, MD 17546RN240818Richardson, Anna 15618 5151 Brook Hollow Pkwy, Ste 145 Norcross, GA 30071

6/21/2016Michael Busman, MD 40628RN141220Richardson, Paul Andrew 17119 922 East Jefferson St, Ste B Americus, GA 31709

2/15/2017Mark Albritton, MD 36082RN240818Richardson, Anna Louise 16965 3780 Old Norcross Rd, Ste 108 Duluth, GA 30096

10/28/2017Valencia Burruss, MD 41745RN097935Richardson, Deanna 16207 1735 S Highway 27 Carrollton, GA 30117

7/7/2021Chukwuemeka Nwabuebo 48553RN220240Richardson, Renita 53078 654 First Street Macon, GA 31201

11/9/2020Nadia Cameron 53982RN251169Richardson, Theresia 53336 1846 Old Norcross Rd Suite 100 Lawerenceville, GA 30044

8/17/2018Pritesh Patel, MD 72312RN097935Richardson, Deanna 16069 35 Collier Rd, Ste 635 Atlanta, GA 30309

8/13/2014Freeman Montague, MD 28123RN154504Richards-Reynolds, Karen Ingrid 13377 896 Hwy 81 East McDonough, GA 30252

10/21/2014David Asrael, MD 51291RN151213Richey, Tiffany Boleman 12158 Take Care Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

10/21/2014Wallace Duncan, MD 41109RN151213Richey, Tiffany Boleman 12159 Take Care Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

5/31/2013Melanie Cooper, MD 45753RN151213Richey, Tiffany Boleman 7875 4398 Atlanta Hwy Loganville, GA 30052

Monday, August 1, 2022 Page 360 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/30/2016Dustin Russell, MD 66541RN139349Richins, Robin Rene Taylor 13661 4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041

12/4/2020Adelaide Francois 79649RN223500Richmond, Scharri 48357 2122 Manchester Expy Columbus, GA 31904

11/21/2021Nelson Madrazo, MD 49862RN157942Ricker, Gail Miranda 20675 103 Ga Hwy. 27 E Americus, GA 31709

4/1/2021Sofia Zaman 65324RN119715Ricketts, Andrea 53457 1155 Perimeter Center West 11th floor Atlanta, GA 30338

11/12/2019James Hiller 40688RN237890Ricks, Aubrey 44396 3600 Dallas Hwy Suite 210 Marietta, GA 30064

9/28/2007Bruce Goldweig, MD 48516RN154853Riddle, Sara Pauline 5487 1700 Hospital South Dr. Suite 102 Austell, GA 30106

10/1/2021Christopher Crooker 39315RN239315Rider, Lauren 47172 748 Old Norcross Rd Suite 185 Lawerenceville, GA 30046

5/31/2016Robyn Wirsing -Black, MD 71747RN156030Ridgeway, Sarah Suzanne 14292 5 Church St, Ste 300 Nahunta, GA 31553

9/30/2008Richard Eaton, MD 40370RN156030Ridgeway, Sarah Suzanne 2501 1001 N. Third St Folkston, GA 31537

9/30/2013Albert Thompson, MD 22338RN156030Ridgeway, Sarah Suzanne 8355 1001 N. Third Street Folkston, GA 31537

1/10/2020Bruce Pendley, MD 31306RN151634Ridolfo, Ardyce Jane 18867 14 Fort Town Dr. Ft. Oglethorpe, GA 30742

4/1/2021Mohammad N. Al-Shroof, MD

45158RN223623Rieker, Aimee H. 42097 2054 Watson Blvd. Warner Robins, GA 31093

3/17/2021Marga Ngwang, MD 70328RN187269Rigby-Britton, Oneika Natasha 42087 50 Saine Drive SW Marietta, GA 30008

2/4/2019Frank Curvin 45058RN187269Rigby-Britton, Oneika 42754 3535 Ashton Woods Drive Atlanta, GA 30319

6/1/2019Michael Groover 35059RN187269Rigby-Britton, Oneika 42755 3535 Ashton Woods Drive Atlanta, GA 30319

2/5/2019Kirpich Joseph, MD 54904RN187269Rigby-Britton, Oneika Natasha 41094 2451 Peachtree Industrial Blvd Buford, GA 30518

11/10/2020Sylvanus K Fiakopornoo, MD 60453RN187269Rigby-Britton, Oneika Natasha 41095 1700 Milkey Road Austell, GA 30106

11/28/2011Charles Jackson, MD 14513RN049330Riggins, Gwendolyn H 2503 1506 Telfair St Dublin, GA 31021

6/6/2014Richard Bunt, MD 46834RN163734Riley, Cynthia W 10967 345 Blvd NE Atlanta, GA 30312

2/5/2016Gaston Moran Celayes, MD 64675RN164620Riley, Amanda Jenkins 13792 618 East Lamar St. Americus, GA 31709

2/14/2020Onkar Kaur, MD 47103RN164620Riley, Amanda 14398 80 West Main St. Butler, GA 31006

6/11/2021Tammie Quest, MD 45590RN070706Riley, Margaret 14671 1670 Clairmont Rd, Ste 11 B Decatur, GA 30033

8/31/2018John Sabri Gerguis 47085RN189160Riley, Marla Jean 41303 1203 Brampton Avenue Statesboro, GA 30458

7/26/2021Thomas Williamson 42144RN164620Riley, Amanda 44015 80 West Main Street Butler, GA 31006

12/1/2021Rhee Miller 41058RN184281Riley, Desiree 45725 1388 Wellbrook Circle Suite A Conyers, GA 30012

Monday, August 1, 2022 Page 361 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/15/2020David Cox 70247RN164620Riley, Amanda 43484 80 W Main Street Butler, GA 31006

4/9/2012Dennis O'Brien, MD 25893RN163734Riley, Cynthia Darlene 9700 3877 Morris Ct Norcross, GA 30092

10/21/2021Brinkley F. Goodson, DO 24680RN157240Rinehart, Cynthia 11598 260 Elm St. Cumming, GA 30040-2467

3/2/2014Safia Pirani, MD 56624RN157240Rinehart, Cynthia Jean N. 13550 260 Elm St Cumming, GA 30040

6/20/2015Swapna Madhavan, MD 57098RN157240Rinehart, Cynthia Jean N 14994 260 Elm Street Cumming, GA 30040

3/1/2019Paul Hawkins, MD 54741RN144955Riner, Betty Louyul 14127 4421 Carnes St Acworth, GA 30101

10/10/2013Nicholas Costrini, MD 22534RN144955Riner, Betty Louyul 12210 501 Eisenhower Dr Savannah, GA 31406

9/15/2014Charles Pugh, MD 19089RN144955Riner, Betty Louyul 13037 1050 Carl Griffin Dr Savannah, GA 31409

2/14/2014John Northup, MD 16651RN144955Riner, Betty Louyul 12670 12345 Mercy Blvd Savannah, GA 31419

12/7/2021Christen Weber 78519RN144955Riner, Betty 46155 1005 Boulder Dr. Gray, Ga 31032

3/4/2011Charles Pettus, MD 33675RN098573Ring, Cheri A. 9721 1267 W. Hwy 54, Suite 2200 Fayetteville, GA 30214

11/4/2021Ann Drayton, MD 49512RN084634Ringstaff, Marilyn Teresa 9550 1870 Atlanta Hwy, Suite J Gainesville, GA 30504

7/1/2021Muhammad Hashmi, MD 70303RN175655Risikat, Alaba Adeshigbin 39103 2900 University Parkway Lawereneville, GA 30043

5/10/2019Craig Caldwell, MD 21658RN116666Rittenhouse, Sharri Khay 20491 521 Cabiness Rd. Forsyth, GA 31029

5/4/2017Nancy Watson, MD 42766RN116666Rittenhouse, Sharri Khay 20493 205 Peach Orchard Rd. Baldwin, GA 30511

5/10/2019Lee Woodall, MD 22917RN116666Rittenhouse, Sharri Khay 20494 4796 Highway 42 North Forsyth, GA 31029

5/10/2019Jeremy Goodwin, MD 59416RN116666Rittenhouse, Sharri Khay 20572 4796 Highway 42 North Forsyth, GA 31029

5/10/2019May Bullecer, MD 50947RN116666Rittenhouse, Sharri Khay 20573 960 Hawthorne Avenue Athens, GA 30606

5/10/2019Florence Baralatei, MD 60040RN116666Rittenhouse, Sharri Khay 20574 2255 Anthony Rd. Macon, GA 31204

5/10/2019Terrance Frinks, MD 51042RN116666Rittenhouse, Sharri Khay 20575 165 Winston Drive Athens, GA 30607

5/10/2019Terri Wilson, MD 34494RN116666Rittenhouse, Sharri Khay 20565 4796 Highway 42 North Forsyth, GA 31029

5/10/2019Dipesh Patel, MD 53512RN116666Rittenhouse, Sharri Khay 20566 6190 Peake Rd. Macon, GA 31220

5/10/2019Haley Manley, MD 42079RN116666Rittenhouse, Sharri Khay 20567 4796 Hwy. 42 North Forsyth, GA 31029

5/10/2019James Livingston, MD 20128RN116666Rittenhouse, Sharri Khay 20568 2795 Finney Circle Macon, GA 31217

5/10/2019Robert Klassen, MD 34385RN116666Rittenhouse, Sharri Khay 20569 2560 Flintridge Rd. Gaineville, GA 30301

5/10/2019Edwin Hendricks Jr. MD 22153RN235965Rittenhouse, Sharri Khay 20571 205 Peach Orchard Rd. Baldwin, GA 30511

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/18/2013Jan Bennett, MD 30580RN116666Rittenhouse, Sharri Khay 11730 2346 Wisteria Dr, Suite 120 Snellville, GA 30078

2/4/2011Edward Espinosa, DO 59636RN116666Rittenhouse, Sharri Khay 2509 5775 Glenridge Dr NE, Suite E-200 Atlanta, GA 30328

1/2/2015Carroll Cooper, MD 63309RN116666Rittenhouse, Sharri Khay 14359 1938 Peachtree Rd, Ste 610 Atlanta, GA 30309

1/2/2015Carroll Cooper, MD 63309RN116666Rittenhouse, Sharri Khay 14179 1431 Riverside Pkwy Lawrenceville, GA 30043

1/2/2021Brian Howard, MD 70275RN220801Rivas, Marie Scarlette Mupada 20361 175 White Street ste. 100 Marietta, GA 30060

8/1/2019Neelima Dachuri 58159RN235057Rivera, Mildred 42865 3215 Mcclure Bridge Road Duluth, GA 30096

8/1/2019Hira Kohli 60290RN235057Rivera, Mildred 42866 1120 Peachtree Industrial Blvd Suite 208 Suwanee, GA 3002

3/31/2021JANNET SCRUGGS MD 49433RN150700RIVERA, DAIVD 39595 3650 STEVE REYNOLDS BLVD DULUTH, GA 30096

1/1/2019Barbara Jones 77155RN235057Rivera, Mildred 43518 2835 Cernterville Highway Blds #1 Snellville, GA 30078

6/30/2021Jack Ross, MD 27302RN088485Rivera, Jose Fernando 2510 610 19th st Columbus, GA 31901

5/4/2018Henry Moon, MD 38311RN235057Rivera, Mildred 17933 2069 Teron Trace, Ste 100 Dacula, GA 30019

4/11/2022Timothy Osborne 68085RN253001Rivera-O'Rourke, Megan 44621 1 Meadows Pkwy Vidalia, GA 30474

12/12/2020Michael Stechison 40561RN185080Rivers, Tammy 52886 1700 Tree Lane Suite 470 Snellville, GA 30078

11/17/2021Raddhi Merchant 56624RN185080Rivers, Tammy 58988 2129 Frendship Rd Buford, GA 30519

8/13/2021Mozhagan Zafar, MD 66844RN185080Rivers, Tammy L. 20797 1800 Tree lane Suite 320 Snellville, GA 30078

12/31/2018Mark Elam, MD 36147RN185080Rivers, Tammy Lynn 17561 1000 Medical Center Blvd, Ste 290 Lawrenceville, GA 30046

8/25/2014Gulshan Harjee, MD 26865RN185080Rivers, Tammy Lynn 13471 2536 Lawrencville Hwy Decatur, GA 30033

2/15/2016Ann Drayton, MD 49512RN185080Rivers, Tammy 15897 1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

7/2/2020MARTHA AQUILERIA 55719RN239384RIVERS-FLEMING, QUATINA 46776 55 WHITCHER STREET MARIETTA, GA 30060

7/10/2020SAGAR PANSE MD 65864RN222342RIZKALLA, CHELSEA JAMES 40537 890 SECOND ST STE 201 MACON, GA 31201

5/1/2014Carol Hector, MD 43640RN097864Roark, Jennifer Anne Mims 2513 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

11/1/2013Miles Mason, MD #####RN172358Robbins, Christine 11818 3500 McClure Bridge Rd Duluth, GA 30096

12/31/2015Bryan Blake, MD 40613RN172358Robbins, Christine 13953 939 Thornton Rd. Lithia Springs, GA 30122

2/1/2018Darrell Murray, MD 44797RN212892Robbins, Jimmy 20942 920 Dannon View SW ste. 3103 Atlanta, GA 30331

6/14/2018Geri Justice, MD 68649RN159356Robbins, Megan Brooke 19663 1006 Greenfield Dr. Tifton, GA 31794

1/20/2020Misao George Kawamura 45850RN212892Robbins, Jimmy 40657 3650 Steve Reynolds Blvd Duluth, GA 45850

Monday, August 1, 2022 Page 363 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/20/2020Thomas John Steimer II 48725RN212892Robbins, Jimmy 38812 3650 Steve Reynolds Blvd Duluth, GA 30096

5/17/2019Esteban Lim 39394RN172358Robbins, Christine 45334 1875 Fart Drive Ft. Oglethorpe, GA 30742

7/16/2021Kate Paylo 83339RN214086Roberson, Nathan 51339 2804 N.Oak Street SteC Valdosta, GA 31602

12/3/2019Eric Ward, MD 53201RN214086Roberson, Nathan Kelly 38843 410 Connell Road Valdosta, GA 31602

12/11/2019Mary Mckinley 51256RN235687Roberson, Nicole 43630 360 Hospital Drive Suite 110 Macon, GA 31217

5/13/2014Barbara D'Orio, MD 33956RN073844Roberson, Pamela 9162 PO Box 26238 Atlanta, GA 30303

4/1/2015Jeremy Pantin, MD 66390RN128926Roberson, Shawn Marie 12563 1120 15th St, BA-5407 Augusta, GA 30912

10/14/2021Eddie Richardson Jr. 52047RN235687Roberson, Nicole 48504 114 Harmony Crossing Eatonton, GA 31024

4/17/2022Christopher Morgan 66151RN219881Roberson, Morgan 58695 1825 Hwy 34 E Newnan, GA 30256

1/3/2017Svathi Reddy, MD 56352RN073844Roberson, Pamela Buckley 8501 PO Box 26238 Atlanta, GA 30303

9/30/2013Anand P. Jillella, MD 33843RN128926Roberson, Shawn M. 11364 1120 15th Street, Suite BA-5407 Augusta, GA 30912

7/2/2022Leslie Cottrell 45194RN278135Roberts, Ashley 60870 1480 Hwy 27 S. Carrollton, Ga 30117

9/30/2010Gregory Teel, MD 39961RN188172Roberts, Terry Lee 8420 1430 Suggs Street Rossville, GA 30741

8/1/2019Richard Dukes, MD 51875RN178157Roberts, Jessica E 9947 235 Peachtree St NE, North Tower Ste 2100 Atlanta, GA 303

3/1/2013Jose Justiniano-Ayala, MD 46773RN188172Roberts, Terry Lee 9934 1430 Suggs Street Rossville, GA 30741

6/21/2022Derek Heldzinger 64259RN259668Roberts, Taylor 57807 400 Battlefield Pkwy Fort Olgethrope, GA 30742

7/2/2021Oliver Horne 81838RN238979Roberts, Rebecca 46960 1062 Forsyth Street Suite 1B Macon, GA 31201

10/31/2017Anupama Ravikanth, MD 48297RN099303Roberts, Jo Persis 12823 140 Vann St. Marietta, GA 30060

6/14/2011Donna Van Schuyver, DO 42754RN188172Roberts, Terry Lee 9441 1430 Suggs St Rossville, GA 30752

8/31/2018Reema Dbouk, MD 68139RN099303Roberts, Jodi P. 20917 1525 Clifton Rd. NE Atlanta, GA 30322

1/1/2019Margot Cseley, MD 20523RN099303Roberts, Jo Persis 19106 268 Lawrence Street Marietta, GA 30066

1/31/2020Anita Mikita 58288RN232719Roberts, Loukisha 45726 2450 Vinson Highway Green 1 Milledgeville, GA 31062

7/30/2020 Allan Freedman 21690RN180140Roberts, Jessica 45727 1700 Tree Lane Suite 490 Snellville, GA 30078

2/10/2020Stephanie Garrett 60837RN075809Robertshaw, Jean 47354 1525 Clifton Rd NE Suite 200 Atlanta, GA 30322

4/1/2021Lucas Golub 74186RN075809Robertshaw, Jean 52757 1155 Perimeter Center West, 11th Floor Atlanta, GA 30338

12/1/2020Mitchell Davis 35030RN233535Robertson, Shelley 48815 200 South Enota Drive NE Ste100 Gainesville, GA 30501

Monday, August 1, 2022 Page 364 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/6/2020Richard Epter 48228RN201619Robertson, Lisa 52382 1321 A Interstate PKWY Augusta, GA 30909

5/11/2020George Faile 27724RN199543Robertson, Trinell 45728 73 Maxwell Lane Dahlonega, GA 30533

6/1/2020Mahmoud Abdou 73423RN233535Robertson, Shelley 45957 200 S. Enota Dr. NE, Suite 100 Gainesville, Ga 30501

10/10/2019Minkailu Sesay 55700RN199543Robertson, Trinell 45071 852 Dacula Rd Dacula, GA 30019

4/30/2019Malini Reddy 76926RN199543Robertson, Trinell 41899 1061 Dowdy Rd Suite 101 Athens, GA 30606

4/2/2018Jonathan Rosenfield, MD 74345RN199543Robertson, Trinell Nacole 18764 3094 Watson Blvd. Warner Robins, GA 31093

11/30/2020Ramon Ramos, MD 33683RN235869Robertson, Jane A 40889 460 Mall Blvd. Savannah, GA 31406

2/24/2021Karen Turner, DO 25681RN199164Robertson, Emily Grace 21212 11133 Abercorn St. ste. 10 Savannah, GA 31419

9/30/2009Kevin Smith, MD 41961RN146420Robertson, Suzanne Patricia 7851 1000 Chastain Rd, Hse 52, #5200 Kennesaw, GA 30144

6/1/2020Toosi Seilanian, MD 67089RN233535Robertson, Shelley 15864 200 S Enota Dr, Ste 100 Gainesville, GA 30501-3466

3/21/2011Kathleen Gunchick, MD 28760RN146420Robertson, Suzanne Patricia 8943 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

3/19/2012Burton, Kelvin MD 32101RN152308Robinson, Jennifer 10029 8464 Adair Street Douglasville, GA 30134

9/30/2015Boyle, Paula MD 55928RN213047Robinson, Marianne 10061 4799 Blue Ridge Drive, Suite 10 Blue Ridge, GA 30513

9/10/2021Chandar Bhimani 43875GAA-NP000181

Robinson, Billsha 58084 1412 Milstead Ave NE Suite 300 Conyers, GA 30012

3/3/2022Daniel Gold III 90573RN204599Robinson, Shauna L. 60325 362 Industrial Park Dr. NE Lawrenceville, GA 30046

5/8/2020Morris Clayton Pulliam, MD 34223RN154343Robinson, Shannon Latrelle 11273 896 Highway 441 South Clayton, GA 30525

6/24/2013Swapna Madhavan, MD 57098RN195029Robinson, Deena M. 11564 260 Elm St. Cumming, GA 30040-2467

12/25/2014Purvis Sr, Jerry MD 9235RN081735Robinson, Annette 10513 520 Griffin Avenue Valdosta, GA 31601

2/24/2016Oller, Carlo MD 65719RN083852Robinson, Lisa 10405 960 Joe Frank Harris Parkway Cartersville, GA 30120

12/3/2014Benita Bonser, MD 53980RN208654Robinson, Jakki Nicole 12155 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

4/1/2022John Bleacher, MD 42182RN191143Robinson, Jennifer 14509 5461 Medridan Mark Rd NE, Ste. 570 Atlanta, GA 30342

3/11/2010Samuel Erinne, MD 35622RN036342Robinson, Aileen G 2530 1136 Cleveland Avenue, Suite 308 East Point, GA 30344

3/22/2013Charles Sow, MD 55343RN110950Robinson, Andrea Jo Smock 2531 1855 Hudson Bridge Road Stockbridge, GA 30281

5/11/2015Karen Frank, DO 69193RN154343Robinson, Shannon Latrelle 2540 896 Hwy 441 South Clayton, GA 30525

11/15/2008Daniel Bergsagel, MD 29407RN158355Robinson, Teresa Jane 2541 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

Monday, August 1, 2022 Page 365 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/27/2013Edward A. Espinosa DO 59636RN158648Robinson, Elizabeth 11022 5775 Glenridge Dr., NE, Ste. E200 Atlanta, GA 30328

1/1/2013Clyde Watkins, Jr., MD 36033RN036342Robinson, Aileen G. 9248 5900 Hillandale Dr, Annex E Lithonia, GA 30058

1/1/2018Karl Mihalovits, MD 11776RN165656Robinson, Antwala Renae 19484 4015 S Cobb Dr. SE Smyrna, GA 30080

4/16/2019Kimberly Venable, MD 70977RN158648Robinson, Elizabeth Lauren Scu 18080 311 Gwinett Dr. Lawrenceville, GA 30046

9/17/2020Monica Hoffmeister-Becerra, MD

68209RN236695Robinson, Karen Lynn 13273 2122 Manchester Expwy, Hospital Med Columbus, GA 3190

12/31/2018Fred Hood, MD 45071RN110950Robinson, Andrea Jo Smock 11881 830 Eagles Landing Pkwy, Suite 203 Stockbridge, GA 30281

5/10/2018Carlos Zevallos, MD 11252RN204599Robinson, Shauna Lee 18219 5836 Buford Highway ste. C Norcross, GA 30071

6/1/2019Dillon Miller, MD 67508RN213047Robinson, Marianne Cecelia Bu 17122 101 Riverstone Vista, Ste 111 Blue Ridge, GA 30513

3/9/2015Elizabeth LeDuc, MD 34754RN191143Robinson, Jennifer Nickole 12119 960 Johnson Ferry Rd, Suite 315 Atlanta, GA 30342

10/1/2014Arif Patni, DO 42916RN195029Robinson, Deena Maria 12106 260 Elm St Cumming, GA 30040

2/9/2021Courtney Shelton, MD 50559RN172878Robinson, Traci Ann 40892 315 Boulevard NE Suite 310 Atlanta, Ga 30312

5/28/2019Julia Wilson, MD 56787RN265548Robinson, LaToya 39489 901 Rice Street Atlanta, GA 30318

5/20/2020Ambrous O. Findley, Jr. D.O 28267RN154343Robinson, Shannon Latrelle 41478 896 Highway 441 South Clayton, Ga 30525

2/1/2022Susan McWhirter 41465RN282863Robinson, Ashley 44723 2416 Capstone Court Columbus, GA 31909

12/9/2021Ana Dinulescu 75444RN195029Robinson, Deena 45729 260 Elm Street Cumming, GA 30040

10/8/2020Ifeoma Nnji 63931RN173807Robinson, Tanielle 45825 2900 Westside Pkwy Alpharetta, GA 30004

10/31/2021Brandon Mednick, MD 56138RN197268Robinson-Parker, Jewell Denise 39495 745 Poplar Road Newnan, GA 30265

11/19/2018Verena W Brown, MD 75025RN104552Robledo, Luz M 40880 975 Johnson Ferry Road Atlanta, GA 30342

6/30/2021Nancy Fajman 36732RN104552Robledo, Luz 43075 35 Jesse Hill Jr Drive Atlanta, GA 30303

9/10/2020Terri McFadden, MD 32110RN104552Robledo, Luz Marina 2543 35 Jesse Hill Jr Dr Atlanta, GA 30303

4/7/2022Julia Wilson, MD 56787RN191053Rockhead, Maxine Elaine 20870 901 Rice Street Atlanta, GA 30318

11/1/2018Annmarie Brooks, MD 56806RN118621Rodriguez, Jodie Ann Blons 9422 35 Jesse Hill Jr Dr SE Atlanta, GA 30303

3/19/2017Lisa Griggs, MD 56715RN097481Roe, Robin 19696 650 College Dr. Dalton, GA 30720

5/27/2021Valencia R Burruss, MD 41745RN097481Roe, Robin Leann 42389 815 Shugart Road Dalton, GA 30720

6/24/2021Channing Hampton 72028RN235374Roe, Nancy 47173 2735 South Central Avenue Tifton, GA 31794

Monday, August 1, 2022 Page 366 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2021Musharaf Momin 55831RN248182Roebuck, Janise 47532 130 Eagle Spring Ct Suite A Stockbridge, GA 30281

12/11/2018Edmund Kim, MD 38273RN074697Roebuck, Victoria Anne Holland 2550 761 Old Norcross Road Lawrenceville, GA 30045

7/12/2013Portee, Simone MD 33177RN125593Rogers, Dana Maria Kinard 2553 4791 Jonesboro Road Union City, GA 30291

6/22/2018Stewart Grizzard, MD 43948RN168119Rogers, Candice 15783 621 East First St Vidalia, GA 30475

7/7/2017Christian Hyde, MD 67765RN125593Rogers, Dana Maris 14830 600 Celebrate Life Parkway Newnan, GA 30265

5/2/2016Ioana Bonta, MD 63295RN159456Rogers, Locianna 14786 600 Celebrate Life Pkwy Newnan, GA 30265

1/1/2015T Wayne Bloodworth, MD 18124RN125593Rogers, Dana Marie 11927 101 Cleburn Pkwy Hiram, GA 30141

11/20/2015Glen Dasher, MD 43354RN168119Rogers, Candice Tillman 13485 1044 Bermuda Run Rd. Stateboro, GA 30458

9/14/2019Sanjay Shama 56646RN227751Rogers, Felice 45731 250 Village Center Pkwy Suite 100 Stockbridge, GA 30281

8/19/2020Simon Fensterscaub 83142RN227751Rogers, Felice 51976 22 MapleRidge Dr Cartersville, GA 30121

9/13/2020Michael Torkelson 68570RN168119Rogers, Candice 52005 1096 Bermuda Run Rd Statesboro, GA 30458

5/15/2020Jeffrey Ward 42136RN257176Rogers, Kortney 51436 1404 River St Suite 303 Braselton, GA 30517

11/15/2021Osama Hindash 35652RN239253Rogers, Jennifer 53517 1825 County Serives Pkwy Marietta, GA 30008

11/4/2020William Knonf 23469RN119075Rogers, Sherri 53194 6070 Lakeside Commons Dr Macon, GA 31210

11/23/2020Angela Dawson 40895RN239253Rogers, Jennifer 43352 306 Shorter Avenie Rome, GA 30165

2/16/2019MICHAEL SALVIA MD 38945RN119075ROGERS, SHERRI 40230 1117 MORNINGSIDE DR PERRY, GA 31069

11/22/2019Catherine K Dickens, MD 35240RN168119Rogers, Candice 42415 586 Brannen Street Statesboro, GA 30458

12/10/2020Louis A. Dinatti, MD 49774RN266135Rogers, John 20655 707 Old Dalton Ellijay Rd. Chatsworth, GA 30705

5/16/2022Ahmed Moussa 67263RN273594Rogers, Savannah 58648 1522 Bull Street Savannah, GA 31401

9/1/2010Mohamad El-Attar, MD 41286RN159456Rogers, Locianna Cheree 8880 1372 Wellbrook Circle Conyers, GA 30012

5/15/2019Asit Jha, MD 55248RN160902Rogers, Augusta Danielle 8863 1400 N. Peterson Ave, Suite 3 Douglas, GA 31533

8/9/2021Nitya Reddy 61151RN118507Roland, Pamela 45415 725 Jesse Jewell Pkwy Se Gainesville, GA 30501

7/1/2019Robert Hummer IIII 44242RN118507Roland, Pamela 43076 541 Historic Hwy 441-N Demorest, GA 30535

5/18/2020Paul Walker 46272RN118507Roland, Pamela 48992 2850 Gainesville Hwy Alto, GA 30510

3/24/2022Monica Patel 87904RN268597Rolfes, Karlee W. 60133 1007 E. 16th Avenue, Suite A Cordele, GA 31015

7/15/2018Jodi Vann, MD 41988RN229728Rolle, Rashawn 39045 696 Grayson Highway Lawrenceville, GA 30046-6372

Monday, August 1, 2022 Page 367 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/11/2019Kenneth Horlander, MD 46128RN139259Rollins, Amy Lynn 20085 303 Smith Street Lagrange, GA 30240

4/30/2021Van Millin 66530RN139259Rollins, Amy 46288 380 South Davis Rd Lagrange, GA 30240

6/1/2017Patricia Thompson, MD 69987RN139259Rollins, Amy Lynn Trotti 18186 600 Celebrate Life Pkwy Newnan, GA 30265

6/1/2019Darshak Karia, MD 75510RN086235Rollins, Margaret Rose Bowers 20946 1350 Walton Way Augusta, GA 30912

8/29/2014Nichole LeBoyd, MD 54752RN191958Rollins, Kalita Higginbotham 13830 6410 W Johns Xing Fuluth, GA 30097

12/31/2015Mark Elam, MD 36147RN191958Rollins, Kalita 15718 1000 Medical Ctr Blvd Bldg 100, Ste 290 Lawrenceville, GA 3

6/9/2017Deepak Kapoor, MD 51957RN086235Rollins, Margaret Rose Bowers 2562 1120 15th St, Suite BBR-6518 Augusta, GA 30912

8/1/2019Richard Dukes 51875RN239942Rolwood, Kelsey 42695 1780 Peachtree Parkway Suite 302 Cumming, GA 30041

6/27/2016Jeffrey Klopper, MD 26321RN183825Romulus, Rose Laure 18225 3465 North Desert Drive ste. 104, Bldg 4 East Point, GA 303

9/30/2016Ahmed Damtew, MD 67552RN183825Romulus, Rose 16687 3201 Atlanta Industrial Pkwy, Ste 303 Atlanta, GA 30331

7/27/2021Jon Risley 38933RN258995Ronin, Alex 53296 400 Battlefield Pkwy Fort Oglethrope, GA 30742

6/29/2018Ricardo Bradshaw, MD 66574RN241280Rony, Daphney 40897 1100 Peachtree Street NE Suite 200 Atlanta, Ga 30309

5/31/2016John Reed, MD 24719RN204746Rooney, Melissa 15346 1475 Holcomb Bridge Rd. Roswell, GA 30076

7/31/2014Edward Himot, MD 18388RN204746Rooney, Melissa Bucalan 12694 55 Whitcher St, Suite 460 Marietta, GA 30060

7/6/2021Shital Patel, MD 73776RN235981Root, Michelle 39231 705 Dixie Street Carrollton, GA 30117

1/30/2017Brian Kogon, MD 53322RN139930Rootare, Margrethe Ann 2566 1405 Clifton Rd Atlanta, GA 30322

7/30/2015Trishanna Sookdeo, MD 72697RN184167Roper, Christine Thomas 14999 4751 Best Rd College Park, GA 30337

8/31/2015Nitasha Burney, MD 55931RN184167Roper, Christine Thomas 16140 1685 Old Pendergrass Rd. Jefferson, GA 30549

2/16/2022Lloydstone Jacobs II, MD 49179RN179490Roscoe, Lori E 14252 9157 Tara Blvd Jonesboro, GA 30236

11/13/2015Willian Kriegel, DO 31962RN 134082Rose, Karen R 14119 3707 Largent Way Marietta, GA 30064

10/14/2021James Lee, MD 56583RN134082Rose, Karen R. 21267 310 Gold Creek Trail ste. 200 Woodstock, GA 30188

3/30/2020Amanda Herin 50152RN221014Rose, Andrea A. 40970 1412 Milstead Ave Conyers, GA 30012

10/5/2018Gary L Smith, MD 10666RN134082Rose, Karen R 42376 6120 Alabama Hwy Ringgold, GA 30736

5/23/2017Melissa Rhodes, MD 47060RN134082Rose, Karen R. 20495 21 Pointe North Drive Cartersville, GA 30120

10/25/2021Alana Williams 61376RN134082Rose, Karen 41608 500 Nathan Dean Blvd Dallas, GA 30157

1/10/2020Jon Risley 38933RN134082Rose, Karen 48391 1209 W Walnut Ave Ste 1 Dalton, GA 30720

Monday, August 1, 2022 Page 368 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2022Fiaias De Leon 63891RN075080Roseberry, Lisa H. 41524 3340 Miller Bottom Road Loganville, GA 30052

9/22/2021Brent Harris, MD 67226RN75080Roseberry, Lisa Yvette Harris 17895 4905 Courtney Dr. Forest Park, GA 30297

2/15/2020Philip Weiss, MD 38398RN135881Rosen, Jill 19906 1100 Lake Hearn Drive ste. 100 Atlanta, GA 30342

1/31/2017John Knox, MD 22575RN135881Rosen, Jill Margulies 11723 1100 Lake Hearn Dr, Suite 100 Atlanta, GA 30342

7/31/2016Ronald Forehand, MD 22760RN053910Rosenberger, Chandler Brooks 2569 Univ Hlth Ctr, 370 River Rd Athens, GA 30602

7/31/2010Hugo Ribot, MD 30196RN092041Roser, Ruth Miriam 8333 958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120

3/23/2011Andrew Dott, MD 33314RN092041Roser, Ruth Miriam 9729 993-D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342

3/22/2017Roy Brownlow, MD 42196RN167249Roshak, April Davis 19667 1665 Hwy. 34 E. ste.100 Newnan, GA 30265

8/1/2018Jeffrey Sherman, MD 40785RN167249RN167249

Roshak, April Davis 40736 1260 Hwy 54 W Suite 101 Fayetteville, GA Fayette

3/15/2019Simeon Kwan 78780RN129498Ross, Susan 44183 1200 Abernathy Rd Suite 700 Atlanta, GA 37201

11/1/2019Paul Wentland 74929RN129498Ross, Susan 45359 14 Fort Town Drive Ft. Oglethorpe, GA 30742

12/28/2018Wanda Guy-Craft, MD 64224RN186831Ross, Shannon Christie 13587 725 N. Central Avenue Hapeville, GA 30354

11/2/2011Thomas Mann, MD 37607RN102271Ross, Anita Michelle Nugent 2572 118 Norman Dorminy Dr Fitzgerald, GA 31750

4/1/2015Fredric Flax, MD 17452RN074416Ross, Susan Horion 2575 12385 Crabapple Road, suite 100 Alpharetta, GA 30004

6/10/2010Anedi Eme-Akwari, MD 55671RN070037Ross, Janet Lorene 8100 2293 Rome Hwy Rockmart, GA 30153

5/12/2007Thopu, Anuradha 41377RN070037Ross, Janet L. 5450 8954 Hospital Drive, Ste 100-C Douglasville, GA 30134

6/14/2022Kira Colbert 79075RN216201Rosser, Monique 59338 3665 Old Milton Pkwy, Ste 50 Alpharetta, GA 30005

11/18/2021Shubham Garg 84298RN216469Rosser, Teresa 54085 5126 Hospital Dr NE Covington, GA 30014

3/22/2010Sylvia Halleck, MD 16356RN078917Rossman, Sandy Davina 2576 3955 Harrison Rd, Suite 400 Loganville, GA 30052

2/5/2016Heywood Gay, MD 38768RN214821Ross-Moore, Joyce K 17342 961 East Winthrope Ave Millen, GA 30442

8/20/2020Uthan Vivek, MD 58235RN233953Rosson, Jennifer G 42375 63 Hospital Parkway Suite 375 Johns Creek, GA 30097

6/20/2016Wendy Davis-Mitchell, MD 45442RN154553Rotella, Melissa Rayburn 15536 3999 Austll Rd, Ste 901 Austell, GA 30106

5/26/2021Sarah Wise, MD 53208RN154553Rotella, Melissa Rayburn 8683 550 P'tree St NE, 9th Floor MOT, #4400 Atlanta, GA 30308

4/20/2017Oliver Hasek, MD 71981RN164336Rotramel, Elise Shawnelle 17073 1110 Hillcrest Pkwy, Ste C Dublin, GA 31021

10/28/2019Robert Graham, MD 26858RN164336Rotramel, Elise 16524 1110 Hillcrest Parkway, MD Dublin, GA 31021

Monday, August 1, 2022 Page 369 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2018Arunasree Pothuraju, MD 62859RN164336Rotramel, Elise Shawnelle 19133 104 Fairview Park Dr. Dublin, GA 31021

1/13/2020Jared Fazal, MD 57457RN169765Round, Sally Arnold 13473 1860 Watson Blvd Warner Robins, GA 31093

9/1/2016Jeffery Dowis, MD 68199RN169765Round, Sally Arnold 14356 1205 Russell Pkwy Warner Robins, GA 31088

2/16/2021Jules Nehmetallah 55262RN140401Rouse, William 44184 1900 Tebeau St Waycross, GA 31501

8/5/2017Stephen Rubendall Jr.,MD 57320RN147117Rowe, Sherry A. 19767 259 US 19 N Camilla, GA 31773

5/3/2013Chandresh Viradia, MD 53050RN113302Rowell, Michelle Frances 2584 100 Jim Mason Court Warner Robins, GA 31088

9/3/2019Shazib Khawaja 58888RN170887Rowell, Emily 44724 705 Dixie Street Suite 401 Carrolton, GA 30117

7/25/2012Braverman, Juana MD 31536RN170185Rowell, Elizabeth 10336 2625 Beaver run Rd, Ste B Norcross, GA 30071

9/1/2014William Watkins, MD 32076RN085782Rowell-Crane, Nancy Gay 8583 235 P'tree St NE North Tower, #2100 Atlanta, GA 30303

3/5/2014John Vu, MD 40813RN085782Rowell-Crane, Nancy Gay 9915 4861 Bill Gardner Pkwy Locust Grove, GA 30248

3/1/2012Michael Manning, MD 33397RN085782Rowell-Crane, Nancy Gay 2585 2215 Exchange Place SE Conyers, GA 30013

5/1/2016Jameson Estes 48852RN085782Rowell-Crane, Nancy 14390 3334 Hwy 155 S, Ste A/B Locust Grove, GA 30248

2/1/2014Kidwai, Asim MD 64848RN213704Rowland, Myriam 10840 531 Duvall Road Chatsworth, GA 30705

3/1/2013Okiki Louis, MD 47479RN186906Rowland, Lisa 10823 794 S. Park Street Carrollton, GA 30117

2/4/2011John Pittman, MD 37045RN186906Rowland, Lisa E. 9086 18 Riverbend Dr, Suite 230 Rome, GA 30161

7/18/2014Rajiv Tejura, MD 68804RN186906Rowland, Lisa E 13009 PO Box 649 Marietta, GA 30090

5/1/2020Phillip Gray, MD 33340RN213704Rowland, Myriam 12834 2001 Antioch Rd Dalton, GA 30720

5/20/2019Carl Orquia, MD 51074RN213704Rowland, Myriam 19946 2001 Antioch Rd. Dalton, GA 30720

1/28/2022Melissa Schepp 50221RN186906Rowland, Lisa 43196 30 Kennestone Hospital Blvd Marietta, GA 30060

7/20/2012Teresa Baysden, DO 57348RN213704Rowland, Myriam Hernandez 9957 531 Duvall Rd Chatsworth, GA 30705

11/20/2009William Parrish, MD 47989RN186906Rowland, Lisa E. 8740 204 Allen Memorial Dr, Suite 201 Bremen, GA 30110

9/29/2014Nitasha Burney, MD 55931RN186906Rowland, Lisa E. 9782 794 S. Park St Carrollton, GA 30117

6/4/2021Shervin Oskouei 47816RN140214Roy, Andre 46968 59 Executive Park South Suite 2000 Atlanta, GA 30329

4/28/2020Eric Powell 49081210540Roy, Issac 46325 2578 Helen Hwy Cleveland, GA 30528

9/30/2019David Monson, MD 31074RN140214Roy, Andre' J. 2587 59 Executive Park South, Suite 2000 Atlanta, GA 30329

3/26/2012Charles Ruis, MD 30206RN077506Royal, Shirlene Daniel 9425 609 1/2 N. Irwin Ave Ocilla, GA 31774

Monday, August 1, 2022 Page 370 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/24/2016Molly Vicchrilli, MD 58364RN207612Royal, Kyung 15554 304 Turner McCall Blvd Rome, GA 30165

11/23/2012Hammond, William MD 19166RN077506Royal, Shirlene 10680 357 Cargile Road Ocilla, GA 31774

4/1/2020Marshall Tanner, MD 56658RN077506Royal, Shirlene Daniel 12279 357 Cargile Rd Ocilla, GA 31774

3/1/2017Fredrick Koehler, MD 55535RN077506Royal, Shirlene Daniel 17125 607 CN Irwin Ave Ocilla, GA 31774

4/10/2013Oscar H. Salvat, MD 49742RN077506Royal, Shirlene D. 11533 357 Cargile Rd. Ocilla, GA 31774

10/15/2014Africa Alvarez-McLeod, MD 35733RN160500Royster, Merissa Neshun 13951 1650 County Services Pkwy Marietta, GA 30008

11/6/2020Frank Curvin 45058RN290871Rozeman, Audrey 54083 1155 Permieter Center West 11th Floor Atlanta, GA 30338

1/26/2021 Sanjeev k Bhavnani 77555RN290871Rozeman, Audrey 55293 1155 Perimeter Ctr West, 11th floor Atlanta, GA 30338

9/3/2021Marisa Gadea 41802RN278534Rozman, Aleska 54231 1121 Johnson Ferry Rd Suite 220 Marietta, GA 30068

5/5/2016Mary Moore, MD 41902RN210856Rozo-Rivera, Astrid 15655 424 Decatur St SE Atlanta, GA 30312

12/23/2020Gabriel Onofre, MD 56904RN210856Rozo-Rivera, Astrid 18259 3367 Buford Hwy Atlanta, GA 30319

11/25/2019Benjamin Holland, MD 67710RN142064Ruark, Melissa Marie 18437 1199 Prince Avenue, MSB. 2nd Floor Athens, GA 30606

6/9/2014A. Kenneth Fuller, MD 28165RN061915Rubin, Howard 8346 400 S. Pinetree Blvd Thomasville, GA 31792

3/17/2021Kris Manlove-Simmons 57748RN175961Rubio, Pamela 42818 1480 Bacter Street Suite A Athens, GA 30605

3/13/2020John Destito, DO 52356RN175961Rubio, Pamela Robyn 21376 1480 Baxter Street, Suite A Athens, GA 30606

6/1/2015Salim Osta, MD 15631RN098072Rubke, Patricia 13731 106 Shoppers Way, Suite 1 Brunswick, GA 31525

8/26/2011Lewis Litwack, MD 61981RN098072Rubke, Patricia 9369 PO Box 554 Ludowici, GA 31316

1/1/2022Olugbenga Awe, MD 48329RN098072Rubke, Patricia 2593 PO Box 554 Ludowici, GA 31316

11/1/2011Badea, Calin MD 55918RN098072Rubke, Patricia 10060 213 N. McDonald Street, Ste A & B Lucowici, GA 31316

8/28/2015Diane Dunston, MD 29631RN181893Rubner, Jennifer Kay 14495 675 College Ave Athens, GA 30603

12/31/2011Julia Johnson, MD 56721RN080409Rudolph, Barbara Baether Reed 9744 310 Eisenhower Dr, Suite 5 Savannah, GA 31406

9/1/2016Haiba Sonjika, MD 33713RN206754Ruffin, Angelina 14264 2719 Felton Dr East Point, GA 30344

4/14/2014Manuel Martinez, MD 24757RN223241Ruis-Thompson, Margaret 11162 1915 Eisenhower Dr. Savannah, GA 31406

4/14/2014Chrissie Clure, MD 49281RN223241Ruis-Thompson, Margaret E 12760 800 E 70th St Savannah, GA 31405

8/25/2017Reemon Bishara, MD 63759RN223241Ruis-Thompson, Margaret E 14409 1915 Eisenhower Dr Savannah, GA 31406

4/3/2019Robert Guerreso, DO 38787RN216273Ruiz, Alexandra Leigh 15004 1730 Lawrenceville-Suwaner Rd Lawrenceville, GA 30043

Monday, August 1, 2022 Page 371 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/27/2020Winifred Soufi 41966RN216273Ruiz, Alexandra 53939 980 Johnson Ferry Rd NE STE 720 Atlanta, GA 30342

11/1/2019Daniel Van Riper 76518RN216273Ruiz, Alexandra 45299 1730 Lawrenceville Suwance Rd Lawrenceville, GA 30043

1/1/2018Eric Hoffler, MD 32752RN142052Ruiz Stogner, Clara 7835 735 Glynn St. South Fayetteville, GA 30214

6/1/2019Florence Baralatei 60040RN170589Runshe, SuAnn Daphna 41904 2255 Anthony Road Macon, GA 31204

1/13/2020Javad Fazal 57457RN170589Runshe, SuAnn 41905 2255 Anthony Road Macon, GA 31204

2/14/2020William D. Taylor, MD 33213RN170589Runshe, SuAnn Daphna 40871 210 Main Street Toomsboro, GA 31090

2/14/2020Jayesh Patel, MD 65164RN170589Runshe, SuAnn Daphna 41008 2795 Finney Circle Macon, GA 31217

2/14/2020Alpesh Patel 67948RN170589Runshe, SuAnn 42631 1050 Hospital Drive Stockbridge, GA 30281

4/15/2018Gayathri Kumar, MD 77062RN226935Rupani, Nida 20348 3660 Market Street Clarkston, GA 30021

7/25/2012Love, Michael MD 64856RN060846Russe, Deborah 10365 979 E. 3rd Street, Ste C-520 Chattanooga, TN 37403

7/24/2008Sumandeep Sangha, MD 56222RN172311Russell, Valerie Marie 8110 20 Francis way, Suite 101 Sharpsburg, GA 30277

2/15/2022Nazia Moiz, MD 76611RN183800Russell, Esther Jackson 20107 260 Elm Street Cumming, GA 30040

7/1/2022Ann Ward 23242RN240942Russell, Rhonda 47488 1387 US 41 Calhoun, GA 30701

2/27/2015Sharon Rabinovitz, MD 46806RN241941Rustin, Corey Dwayne 14294 141 Piedmont Ave, Ste D Atlanta, GA 30303

5/1/2014Cabeca, Anna DO 42537RN113495Ruth Hayes, Olivia 10737 2712 Parkwood Drive Brunswick, GA 31520

8/2/2011Zottoli, Lawrence MD 36639RN217610Rutkowski, Patricia 10109 #4 Medical Arts Savannah, GA 31405

3/31/2020Margaret White, MD 36482RN247100Rutledge, Jaami Lynn McClellan 20133 2000 Riverside Pkwy, Ste 107 Lawrenceville, GA 30043

4/1/2017Edward Lloyd, MD 44269RN188323Ryan, Stacy L 13734 4791 S. Main St. Ste. 100 Acworth, GA 30101

5/24/2017Richard Mansfield, DO 44526RN103741Ryan, Nancy Josephine 14936 2001 Brookstone Centre Pkwy Columbus, GA 31909

7/17/2011Stephen Carter, II, MD 24659RN103741Ryan, Nancy Josephine 2603 915 Thornton Road Lithia Springs, GA 30122

1/29/2021Henry Eugenio 32379RN183839Rychener, Kelly 42719 3015 Veterans Pkwy South Moultrie, GA 31788

3/26/2020Ayham Haddad 50628RN240377Rylee, Alexis 20295 1250 Jesse Jewell Pkwy SE Suite 300 Gainsville, GA 30501

5/1/2021Salem Sayar, MD 47834RN209699Rylee, Kayla 15243 200 S Enota Dr, Ste 480 Gainesville, GA 30501

12/1/2017Neale Freeman 40065RN271115Saavedra, Ebony 42558 2000 Clearview Ave Suite 111 Doraville, GA 30343

11/28/2017Eileen Javallana, MD 45841RN204940Sachau, Nicole Marie 19275 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

10/24/2016Andrea Hill, MD 51332RN186975Sadler, Lori Allen 17495 517 Great Oaks Dr, Ste 103 Monroe, GA 30655

Monday, August 1, 2022 Page 372 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/14/2021Sujatha Reddy 20385RN248379Safo, Joy 54808 3575 Fulton Mill Road Macon, GA 31216

4/1/2019William Meadows, MD 30513RN092473Sager, Elmira Nora Faller 2605 80 Oakwood Ave Trenton, GA 30752

2/1/2020Neil Kahn, MD 30489RN176776Sahatevasukont, Chitchawal 38906 2711 Irvin Way ste. 211 Decatur, GA 30030

8/15/2015Jose Cangiano, MD 44182RN176776Sahatevasukont, Chitchawal 15227 1 Technology Pkwy South, Ste 1 Norcross, GA 30092

10/2/2017Asaf Aleem, MD 30260RN176776Sahatevasukont, Chitchawal 13461 2150 Peachford Rd Atlanta, GA 30338

12/31/2017Adolfo Molina, MD 24166RN207460Sahni, Dilpreet Singh 19943 3182 Shallowford Rd. Chamblee, GA 30341

12/31/2017Adolfo Molina, MD 24166RN220493Sahni, Mallory Savannah 19400 3182 Shallowford Rd. Chamblee, GA 30341

1/31/2011David Asrael, MD 51291RN114039Sahota, Kavinder Kaur 2606 2464 Roswell Road NE Marietta, GA 30062

1/31/2011Wallace Duncan, MD 41109RN114039Sahota, Kavinder Kaur 8409 2464 Roswell Road NE Marietta, GA 30062

8/3/2021Cindy Freed 45791RN242719Saint-Amand, Beverly 48074 880 Ward Road Warm Springs, GA 31830

4/16/2018William Cunningham, MD 62325RN242719Saint-Amand, Beverly Kay 19615 202 Croft St. Carrollton, GA 30117

2/1/2020John Henderson 25765RN242719Saint-Amand, Beverly 44624 5131 Warm Springs Road Columbus, GA 31909

6/8/2020Victor Ezinna Okeh 71268RN206878Saint-Fleur, Hurline 40462 11 Upper Riverdale Road Riverdale, GA 30274

2/9/2021Courtney Shelton, MD 50559RN188920Sairo, Titus Koipaton 41517 315 Blvd NE Suite 310 Atlanta, Ga 30312

1/31/2011Fidias DeLeon, MD 63891RN159225Sakor, Uvienome Linda 9148 6935 S. Sweetwater Rd Lithia Springs, GA 30122

2/8/2013Locke III, Thomas MD 36409RN159225Sakor, Uvienome Linda 10593 3311 Highway 5, Ste C Douglasville, GA 30135

10/30/2018Maiysha Clairborne, MD 55194RN159225Sakor, Uvienome 11155 3311 Highway 5 Douglasville, GA 30135

5/9/2011Phillip Nowlin, MD 36588RN159225Sakor, Uvienome Linda 8914 4480 South Cobb Drive SE Smyrna, GA 30080

8/28/2009Walter Smith, MD 37078RN159225Sakor, Uvienome Linda 2607 3498 Walnut Ridge Atlanta, GA 30349

2/20/2012Taylor, Michelle MD 60104RN152612Salami, Modupe 10347 3073 Panthersville Road Decatur, GA 30034

7/4/2022Nishan Fernando, MD 56286RN210374Salawu, Kafilat Olajumoke 13776 1505 Northside Forsyth Dr, Suite 4300 Cumming, GA 30041

2/21/2020Pablo Perez, MD 47502RN241516Salcedo, Clarena L. 19643 1102 W. Waugh St. Dalton, GA 30720

8/1/2019Shelly Yusuff 49482RN107213Salimonu, Janet 43134 709 Breedlove drive Monroe, GA 30655

1/21/2021Michelle Plaster 61639RN215319Salley, Audrey E 41906 1016 E Spring St Monroe, GA 30655

12/31/2021Thomas Campen 32147RN222296Salmeron, Teresa 55468 462 Elma G Miles Pkwy Hinesville, GA 31313

3/4/2021Vijia George, MD 68161RN222926Salmeron, Teresa Thuy Duyen 38782 462 E.G. Miles Parkway Hinesville, GA 31313

Monday, August 1, 2022 Page 373 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/18/2022Peter Litchfield, MD 65367RN141751Salter, Robert Christopher 12342 117 Kite Rd, Emer Dept Swainsboro, GA 30401

2/20/2009Mike Ou, MD 53301RN141751Salter, Robert Christopher 2609 1125 East Hwy 166 Bowden, GA 30108

7/1/2021Martha Schuh, MD 37488RN116950Salter, Sandra Nicole 2610 1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

9/11/2020Daniel Gordon 74827RN223326Sammons, Sarah 52677 11 Charlie Morris Rd Colbert, GA 30628

12/14/2021Leonard Sacks, MD 22468RN224696Samples, Lisa Ashley 41549 3950 Austell Rd SW Suite 100 P Austell, Ga 30106

5/17/2022MAXWELL PREMPEH MD 64054RN168800SAMPSON, JENNIFER RENEE 39462 150 GENTILLY BLVD CARTERSVILLE, GA 30120

2/14/2022Kevin Windess 42145RN273587Samuel, Sheeba 55975 2055 Sugarloaf Cir Suite 575 Duluth, GA 30097

12/13/2013Marie Lightbourne, MD 63059RN133706Samuels, Angella V. 11500 2356 Lenora Church Rd. Snellville, GA 30078

1/31/2009William Lynds, MD 33140RN133706Samuels, Angella Veronica 8397 5320 Memorial Drive Stone Mountain, GA 30083

9/13/2012Naresh Parikh, MD 28851RN133706Samuels, Angella Veronica 8329 1861 Peeler Road Dunwoody, GA 30097

8/13/2020Michael Briones, DO 42192RN269580Sanborn, Chelse 39005 5461 Meridian Mark Road, Suite 400 Atlanta, GA 30342

7/28/2022Gregory Lunceford 50584RN207828Sanchez, Anna 46280 1199 Prince Ave Athens, GA 30606

6/4/2016Shameka McElhaney, MD 54854RN084728Sanchez, Victoria 11205 7530 Roswell Rd. Atlanta, GA 30350-4837

2/16/2013John Coleman, MD 48498RN084728Sanchez, Victoria Lawrence 9520 1720 Peachtree St, Suite 200 Atlanta, GA 30309

1/25/2013Kirk-Conrod Hewling, MD 57559RN084728Sanchez, Victoria Lawrence 9383 4250 Brownville Rd Powder Springs, GA 30127

11/20/2020Jose Cangiano, MD 44182RN207828Sanchez, Anna Mercado 19191 311 Gwinnett Dr. Lawrenceville, GA 30046

9/30/2010Deronda Person, MD 50079RN084728Sanchez, Victoria Lawrence 8920 3208 Alcovy Club Ct. Dacula, GA 30019

3/23/2022Arvind Chakravarthy 68991RN084728Sanchez, Victoria Lawrence 59852 5885 Glenridge Dr. Atlanta, GA 30328

11/18/2021Raul Lopez 75278RN084728Sanchez, Victoria 59264 5885 Glenriddge Dr. Suite 100 Atlanta, GA 30328

11/4/2010Mark Oliver, MD 48557RN084392Sandak, Patricia Daly 2614 2416 Capstone Court Columbus, GA 31904

11/18/2011Charles R. Sanders, MD 29087RN124327Sanders, Rebecca Bailey 2617 951 South Broad Street Thomasville, GA 31792

5/1/2022Tom Bledsoe 41730RN211420Sanders, Jessica 48750 800 GI Maddox Pkwy Chatsworth, GA 3075

7/7/2020Stephan Meadors 83959RN228395Sanders, Trina 47972 2927 Demere Road Saint Simon Island, GA 31522

3/1/2021Srihari Malempati, MD 52286RN223962Sanders, Alisha Virani 17220 5335 Roswell Rd Atlanta, GA 30342

5/14/2018Sendhil Subramanian, MD 49107RN199445Sanders, Caroline Michelle 18228 1000 Johnson Ferry Rd. ste B155 Marietta, GA 30068

9/22/2014David Derrer, MD 54181RN185902Sanders, Amanda Arrants 13585 1015 Donald Lee Hollowell Atlanta, GA 30318

Monday, August 1, 2022 Page 374 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/17/2016Oscar Salvat, MD 49742RN159335Sanders, Diana Rozier 13557 602 East 16th Ave, Ste B Cordele, GA 31015

5/1/2016Martha Ward, MD 20360RN124327Sanders, Rebecca Bailey 11993 915 Gordon Ave Thomasville, GA 31792

10/13/2013William Parrish, MD 9905RN185902Sanders, Amanda Arrants 11733 3001 Mercer Univ Dr, #206 Sheffield Atlanta, GA 30341

7/22/2020Lee Jacobs, MD 28283RN185902Sanders, Amanda Arrants 14121 107 Mountain Brook Dr, Ste 100 Canton, GA 30115

5/1/2016Ward, Martha MD 20360RN124327Sanders, Rebecca 10397 916 South Broad Street Thomasville, GA 31792

7/23/2020Aderemi Dosunmu 47893RN228395Sanders, Trina 51454 633 Stephenson Ave Savannah, GA 30405

3/4/2021Diahann Moore 63458RN228395Sanders, Trina 52878 2209 Pineview Drive Valdosta, GA 31602

4/12/2021Reeman Bishara 63759RN228395Sanders, Trina 46158 633 Stephenson Ave. Savannah, Ga 30405

6/14/2016David P Fieseler 17756RN159335Sanders, Diana 41389 602 East 16th Ave Suite B Cordele, GA 31015

12/31/2019Christina Oskins, MD 74153RN211420Sanders, Jessica 20799 800 GI Maddox Pkwy. Chatsworth, GA 30705

3/1/2019William Swofford Jr 46262RN174948Sanderson, Amy 43520 209 N Cuthbert Street Colquitt, GA 39837

5/5/2016Dana Woodhall, MD 66843RN174948Sanderson, Amy Askew 16969 710 Center St. Columbus, GA 31901

3/6/2020Todd Merchen, MD 58986RN063813Sanderson, Catherine S 14995 1120 15th St. Augusta, GA 30912

11/10/2015Clement Anthony, MD 27752RN174948Sanderson, Amy Askew 13446 710 Center St, Emer Dept Columbus, GA 31901

3/11/2011Julian Hutchins, MD 18677RN063813Sanderson, Catherine S 2618 4150 Washington Rd, Suite 11 Evans, GA 30809

8/1/2015Michael Carter, MD 34119RN209939Sandford, Monica Ann 15171 1075 Cooper Rd, Ste. 101 Grayson, GA 30017

4/30/2015Stephen Szabo, MD 44850RN120356Sandiford, Janice Elizabeth 13775 6300 Hospital Way, Suite 300 Johns Creek, GA 30097

1/11/2013P. Ravi Sarma, MD 18073RN120356Sandiford, Janice Elizabeth 9485 1700 Tree Lane, Suite 490 Snellville, GA 30078

7/1/2021Robert Marriott 87711RN284596Sandoz, Catherine 57961 4608 Lawerenceville Hwy Tucker, GA 30084

3/31/2017Pablo E. Balboa-Marciack, MD

55409RN170471Sane, Tara A. 11181 100 Hospital Ct. Calhoun, GA 30701

10/29/2019Naseer Humayun 52583RN170471Sane, Tara 41981 1420 Mineral Springs RD Dalton, GA 30720

7/28/2021Crystal Bright 67869RN170471Sane, Tara 54521 448 W.Belmont Drive Calhoun, GA 30701

3/8/2018Daniela Rojas-Molina, MD 55331RN170471Sane, Tara Amos 38863 500 Green Rd. Chatsworth, GA 30705

8/11/2015Eduardo Rojas, MD 30370RN072580Sanford, Sally Jo 12873 1035 Redbud Road Suite 201 Calhoun, GA 30701

9/15/2013Donna Gregory, MD 51227RN072580Sanford, Sally 5493 321a North Main Street Adairsville, GA 30106

Monday, August 1, 2022 Page 375 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/6/2020Mark Coffey, MD 51450RN164749Sangiorge, Michael S. 19992 5629 Hwy. 21 S Rincon, GA 31326

12/1/2021Trent Schueneman 51731RN164749Sangiorge, Michael 51347 2927 Demere Rd St. Simons Island, GA 31522

4/16/2019Kimberly Venable, MD 70977RN218926Sanni, Oyenike Rashidat 18551 311 Gwinnett Dr. Lawrenceville, GA 30046

5/14/2010Roshan Shrestha, MD 56765RN173666Sans, Kathryn Olivia 8656 1968 Peachtree Rd NW, Bldg 77, 6th floor Atlanta, GA 30309

10/18/2010William Boydston, MD 34112RN208370Sant' Elia, Nicole R. 9358 5455 Meridian Mark Rd, Suite 540 Atlanta, GA 30342

8/17/2020Asha Nayak-Kapoor 52363RN240972Santana, Catrena 43299 1411 Laney Walker Blvd Augusta, GA 30912

9/17/2018Olasimbo M Babatope, MD 53089RN240972Santana, Catrena Lavonye 40957 1223 Augusta West Parkway Augusta, GA 30909

3/4/2017Sekhar Sankaran, MD 31549RN170673Santee, Tara 15990 101 Regency Pkwy Dr, Ste 140 McDonough, GA 30253

9/1/2021Sofia Zaman 65324RN206701Santizo, Allison 58022 1165 Sanders Road Cumming, GA 30061

7/19/2021Christopher Borrego 52259RN206701Santizo, Allison 57846 105 Weatherstone Drive #620 Woodstock, GA 30188

5/1/2022Stephen Crabtree 52548RN206701Santizo, Allsion 57847 5971 Parkway North Blvd Cumming, GA 30040

7/19/2021George Rafeedie 67591RN206701Santizo, Allison 57848 105 Weatherstone Drive, Suite 620 Woodstock, GA 30188

6/13/2017Vinod Thourani, MD 41494RN214440Sapoznick, Scott Alan 16650 1364 Clifton Rd, NE Atlanta, GA 30322

12/22/2017Susan McWhirter, MD 41465RN217213Sapp, Aliah Duke 18583 2416 Capstone Court Columbus, GA 31909

4/24/2014Faheem Nusrat, MD 44043RN229391Sapp, Jennifer Albritton 12669 1008 Atlanta Hwy warrenton, GA 30825

11/30/2018Paul Giles 25159RN200546Sapp, Laurel 42873 1006 Mt Vernon Highway Vidalia, GA 30474

5/9/2019Herbertta Pearson Boone 38329RN200546Sapp, Laurel 44018 120 Jackson Street Swainsboro, GA 30401

10/31/2021Sandra Kopacz, MD 32179RN085794Sapp, Julie Joiner 2622 Hwy 341 S, Pulaski Prof Bldg A Hawkinsville, GA 31036

5/14/2008Barbara C. Biggs, MD 25105RN155923Saranthus, Jill Ann Landry 2623 1431 White Circle Marietta, GA 30066

9/25/2020Abhishek Gaur, MD 52174RN203368Sargent, Jennifer Johanna 14399 743 Spring Street Gainesville, GA 30501

2/1/2018Jeffrey Lamp, MD 56736RN164488Sargent, Amy 15242 2151 West Spring St Monroe, GA 30655

1/31/2019Chad Costley, MD 54263RN185009Sariev, Michelle Thomason 20793 402 West Ponce De Leon Ave. Decatur, GA 30030

5/15/2015Lionel Bryan, MD 22725RN243632Sather, Jaime Lynn 15016 1007 Mary St. Waycross, GA 31501

4/25/2020Randy Heisser 82254RN155152Sattefield, Aimee 47893 14 Fort Town Drive Ft Olgethrope, GA 30742

8/6/2016Jose Justiniano-Ayala, MD 46773RN228612Satterfeild, Lena M 13935 1430 Suggs St Rossville, GA 30741

7/31/2014Andrew Combs, MD 69569RN228612Satterfield, Lena Marie 12051 1430 Suggs St Rossville, GA 30741

Monday, August 1, 2022 Page 376 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/18/2020Robert Collins 48034RN270795Satterfield, Erin 52788 2409 N. Patterson St Suite 310 Valdosta, GA 31605

1/28/2021Scott Mitchell 56212RN155152Satterfield, Aimee 52937 1008 North 3rd Avenue Chatsworth, GA 30705

5/21/2020Wiley Smith 63133RN155152Satterfield, Aimee 51862 1008 North 3rd Avenue Chatsworth, GA 30705

11/14/2019Michael Dykes 59148RN155152Satterfield, Aimee 47176 1503 Professional Court Suite 100 Dalton, GA 30720

11/1/2014John C. Allen, MD 56949RN155152Satterfield, Aimee B. 11559 100 Gross Crescent Cr. Fort Oglethorpe, GA 30742

9/14/2021Daryoosh Derakshshan 86942RN270795Satterfield, Erin 56972 2409 N Patterson Street Suite 310 Valdosta, GA 31632

10/30/2021Sudha Reddy 53871RN254459Sattler, Timothy 57264 7810 Hwy 85 Riverdalle, GA 30274

1/8/2021Langston Cleveland 46584RN184546Sattler, Leshia Wood 40403 4468 Union Road Tifton, GA 31794

2/13/2018Daryl Crenshaw, MD 56036RN184546Sattler, Leshia Wood 18364 334 Smith Avenue Thomasville, GA 31792

7/7/2016Bernard Scoggins, MD 20605RN184546Sattler, Leshia 16585 235 Walnut Ave S. Leesburg, GA 31763

4/1/2019Maribelld Verdiales, MD 61871RN224327Sauceda, Flor Estela 18927 924 West Spring St. ste. A Monroe, GA 30655

12/1/2021Mark Wilson 69737RN170526Saucedo, Israel 42638 1805 N. Tift Ave., Suite D, Tifton, GA 31794

5/19/2020Jung Suh, MD 61171RN242834Sauer, Aviva 17270 550 Peachtree St, Ste 1600 Atlanta, GA 30308

9/12/2016Shailesh Patel, MD 61931RN180176Saulsby-Smith, Amy Renee 17996 5454 Yorktowne Dr. Atlanta, GA 30349

1/9/2017Athena Sotus-Nawar, MD 31512RN180176Saulsby-Smith, Amy Renee 19459 5454 Yorktowne Dr. Atlanta, GA 30349

7/3/2018Shailesh Patel, MD 61931RN180176Saulsby-Smith, Amy Renee 20168 5454 Yorktowne Drive Atlanta, GA 30349

1/18/2019Zuhair Ahmed 70515RN180176Saulsby-Smith, Amy 41908 1133 Eagles Landing Parkway Stockbridge, GA 30281

10/4/2021Reginald Jackosn 51007RN209600Saunders, Tamika 45300 80 Jesse Hill Jr Drive SE Atlanta, GA 30303

8/20/2019Marcus Sims 60507RN209600Saunders, Tamika 44406 766 Walther RD Suite 100 Lawrenceville, GA 30046

3/30/2020Amanda Herin, MD 50152RN209600Saunders, Tamika 40509 1412 Milstead Avenue Conyers, GA 30012-3877

1/9/2012Sightler, William DO 34715RN135001Saunders, Rosalyn 10293 195 N. Broad Street Alamo, GA 31055

10/9/2020Craig Colby, MD 64350RN150495Savage, Lisa Stewart 39228 803 Main Street GreensborO, GA 30642

2/9/2021CRAIG COLBY MD 64350RN150495SAVAGE, LISA STEWART 39466 803 S MAIN STREET GREENSBORO, GA 30642

7/1/2021Ahmad Moussa 67263RN169791Savage, Laura 47561 1514 Venon Rd Lagrange, GA 30241

7/31/2017Anthony Miranda, MD 70199RN150495Savage, Lisa Stewart 21015 806 South Main St. Greensboro, GA 30642

1/1/2014Amanda Davis, MD 50152RN139517Savage, Kimberly Ann 12054 1133 Eagles Landing Pkwy Stockbridge, GA 30281

Monday, August 1, 2022 Page 377 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/23/2015Xavier Moore, MD 55619RN139517Savage, Kimberly Anne 13659 1133 Eagles Landing Pkwy Stockbridge, GA 30281

10/9/2020Dave Ringer, MD 30368RN150495Savage, Lisa Stewart 14211 803 South Main St Greensboro, GA 30642

1/7/2019Kevin Kirchner, MD 40439RN123147Sawyer, Kathryn 16559 5455 Meridian Mark Rd, Ste 200 Atlanta, GA 30342

10/6/2016Jonathan Popler, MD 64052RN123147Sawyer, Kathryn Lee 19043 5461 Meridian Mark Rd. ste. 200 Atlanta, GA 30342

5/12/2021Donald D Miller, MD 58291RN220835Saxon, Amanda Meredith 42417 1120 15th Street Augusta, GA 30912

6/30/2021AnilKumar Pillai, MD 45914RN113335Saxon, Jo Ann Harris 15535 707 N. Houston Rd Warner Robins, GA 31093

3/25/2020Gayathri Kumar 77062RN227700Sayani, Kiran 45073 4025 Lawrenceville Hwy Suite A Lilburn, GA 30047

11/4/2020Paul Johnson, MD 46132RN182668Sayewich, Laura Handley 8251 PO Box 422002 Atlanta, GA 30342

6/30/2015John C. Bleacher, MD 42182RN182668Sayewich, Laura Handley 11277 5455 Meridian Mark Road, Ste 570 Atlanta, GA 30342

7/25/2020Mark Long 48265RN290165Scanlan, Abigail 48952 3745 Cherokee Street NW Suite 401 Kennesaw, GA 30144

1/10/2017Dinakara Shetty, MD 42431RN154220Scarborough, Michele 15465 1719 Russell Pkwy, Ste 700 Warner Robins, GA 31088

9/30/2020Lucretia Barker, MD 42013RN134148Scarborough, Joy 15856 1112 Plaza Ave, Ste B Eastman, GA 31023

9/28/2016Timothy Graves, MD 26859RN154220Scarborough, Michele Susanne 13175 770 Walnut St Macon, GA 31201

6/12/2015Habigaile Cribe, MD 50874RN134148Scarborough, Joy Renew 12919 911 Plaza Ave, Suite B Eastman, GA 31023

10/1/2019Michael Nulph, MD 57735RN154220Scarborough, Michele Susanne 19564 1012 Highway 247 South Kathleen, GA 31047

4/1/2008Habigaile Cribe, MD 50874RN134148Scarborough, Joy Renew 2633 903 East Willow Creek Lane McRae, GA 31055

1/1/2011Johnny Peeples, MD 33427RN134148Scarborough, Joy Renew 8221 PO Box 698 Eastman, GA 31023

9/20/2021Alan Brown 57782RN154220Scarborough, Michele 58359 254 Wright Ave Roberta, GA 31078

5/11/2018Earl Martin, MD 28602RN196491Scarlett, Christina Monica 16823 701 Gilman Ave, Ste B Kingsland, GA 31548

5/4/2020Nirupama Natarajan 66723RN226673Schaaf, Kathleen 48503 2150 Peachford Rd Suite H Dunwoody, GA 30338

9/27/2008James Lantz, MD 28028RN143233Schafer, Frances Georgina 8230 8820 Hospital Drive Douglasville, GA 30134

1/11/2019Barry Fioranelli 41793RN275883Schaitel, Melinda 43199 141 Piedmont Ave Ste D Atlanta, GA 30303

1/31/2013Ram Reddy, MD 24178RN211196Schalnat, Kimberly Mohr 9944 1061 Dowdy Rd, Suite 100 Athens, GA 30606

1/28/2014David Kandzari, MD 64993RN185001Scharff, Leah Alford 12825 275 Collier Rd. Suite 500 Atlanta, GA 30309

6/29/2008Ralph Marionneaux, MD 47621RN074058Schear, Nancy Shelley 2638 465 North Belair Road, Suite 1-C Evans, GA 30809

7/15/2008Robert Williams, MD 58488RN074058Schear, Nancy Kappus 8080 1127 Druid Park Avenue Augusta, GA 30904

Monday, August 1, 2022 Page 378 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/1/2013Thomas, Pamella MD 19277RN206788Scheffer, Steven 10981 86 South Cobb Drive Marietta, GA 30063

3/31/2020Charles Campbell, MD 69772RN206788Scheffer, Steven Rudolf 12584 86 South Cobb Dr, MZ-0454 Marietta, GA 30063

11/9/2012Levy, Robyn MD 33625RN184398Schempp, Catherine 10555 5555 Peachtree Dunwood Road, Ste 340 Atlanta, GA 30342

8/14/2015Janet T. Fason, DO 48773RN184398Schempp, Catherine 11577 Take Care Clinic, 2988 Shallowford Rd. Marietta, GA 30066-

2/9/2022Hunter Faircloth 78030RN178149Schiffbauer, Christopher 58663 3651 Wheeler Road Augusta, GA 30909

8/8/2016Alan Sanders, MD 31223RN167495Schlienger, Rhonda Sue Reffett 17901 97 Deep South Farm Rd. ste. #2 Blairsville, GA 30512

8/5/2011Erik Shaw, DO 58012RN102451Schmeier, Laura Jean Blanchard 8794 2020 Peachtree Rd NW Atlanta, GA 30309

6/1/2011Darryl Kaelin, MD 56729RN102451Schmeier, Laura Jean Blanchard 8796 2020 Peachtree Rd NW Atlanta, GA 30309

5/8/2012Wallace Duncan, MD 41109RN102451Schmeier, Laura Jean Blanchard 8407 2464 Roswell Road NE Marietta, GA 30062

5/18/2012David Asrael, MD 51291RN102451Schmeier, Laura Jean Blanchard 2642 2464 Roswell Road NE Marietta, GA 30062

3/6/2017John Kludt, MD 34876RN184832Schmidt, Mirel Aline 11924 3700 Club Dr Lawrenceville, GA 30044

10/24/2013Alexander Osowa, MD 57551RN184832Schmidt, Mirel Aline 9509 3331 Hamilton Mill Rd, Suite 1102 Buford, GA 30519

8/1/2015Christopher Ludlow, MD 30501RN064088Schmitz, Catherine Low 14997 325 W Montgomery Crossroads Savannah, GA 31406

1/1/2008Michael Gardner, MD 56710RN133708Schnedl, Anne Marie 5515 63 Jesse Hill Jr, Dr. SE 4th Fl Atlanta, GA 30303

6/15/2016Gregory, Donna MD 51227RN129282Schneider, Kathy 10783 906 South Wall Street Calhoun, GA 30701

2/1/2016Reden Delgado, MD 65957RN129282Schneider, Kathy Ann 14283 1168 North Main St, Ste 120 Polk, GA 30125

10/8/2014Etienne Rodriguez, MD 67979RN129282Schneider, Kathy Ann 12218 1168 North Main St, Suite 120 Cedartown, GA 30125

12/20/2013Sreekanth Reddy, MD 49476RN176656Schnitzeler, Erica Ann 8870 5670 P'tree Dunwoody Rd, Suite 1100 Atlanta, GA 30342

11/9/2018Joseph Weissman, MD 32083RN204101Schoen, Eleanor Kirby 18712 2665 North Decatur Rd. ste#450 Decatur, GA 30033

11/29/2021Iris Castro-Revoredo 56984RN300300Schoeni, Diane 52060 600 Celebrate Life Parkway Newnan, GA 30265

3/8/2016Marat Plotkin, MD 46473RN136627Schornack, Theresa 15760 105 Greencastle Rd, Ste A Tyrone, GA 30290

4/4/2015Stephanie Kong, MD 39388RN136627Schornack, Theresa Ann 12460 210 Hannah's Mill Rd Thomaston, GA 30286

6/30/2019Patrick Pulliam, MD 50246RN136627Schornack, Theresa Ann 17904 130 Medical Way ste. B Stockbridge, GA 30281

4/30/2020Kathy Mansfield, MD 38299RN251187Schubert, Eric James 20864 503 West Gordon Street Thomaston, GA 30286

7/17/2019Donald Evans, MD 9810RN210131Schuh, Pennie Honora 18716 321 N. Main Street ste. A Adairsville, GA 30103

5/13/2017John Gott, MD 28989RN251192Schultz, Diana 16186 95 Collier Rd NW, Ste 5015 Atlanta, GA 30309

Monday, August 1, 2022 Page 379 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2017Reginald Strother, MD 44597RN204214Schultz, Lindsay Chesley 12139 1620 Prince Ave Athens, GA 30606

6/7/2013Ashok Kancharla, MD 48250RN204214Schultz, Lindsay 10905 132 Franklin Spring Street Royston, GA 30662

7/24/2009Kenneth Jones, MD 24000RN199188Schultz, Alicia McCasland 8316 6325 Shannon Pkwy, Suite D Union City, GA 30291

2/6/2020Paul Donnan, MD 47892RN145916Schulz, Judy Faye Rylee 20137 477 Windsor Street, NW Atlanta, GA 30312

7/22/2020Lee Jacobs 28283RN145916Schulz, Judy 42819 111 Mountain Brook Drive Suite 100 Canton, GA 30115

10/23/2009Kristi Mulchahey, MD 34209RN046697Schuyler, Clarice Marie Jones 2650 2550 Windy Hill Road, Suite 115 Marietta, GA 30067

4/15/2008Dewey Hammond, MD 21367RN106672Schwartz, Donna Ruth Minton 2651 906 South Wall ST Calhoun, GA 30701

3/9/2010Byron Dickerson, MD 36714RN123081Schwartz, Karen Ann Crooke 2652 500 Medical Ctr Blvd, Suite 290 Lawrenceville, GA 30045

4/23/2019Lynette Stewart, MD 39681RN123081Schwartz, Karen Ann Crooke 9569 4775 Jimmy Carter Blvd, Suite 300 Norcross, GA 30093

5/1/2022S.M. Abu Zaheed Hassan 48783RN194375Schwartz, Heather 52857 3675 J Dewey Gray Cir. Augusta, GA 30909

1/15/2019George Rafeedie 67591RN137918Schwartz, Tamara 43368 1395 S. Marietta Pkwy Bldg 309 Suite 216 Marietta, GA 300

9/1/2015John Lentz, MD 17573RN137918Schwartz, Tamara Lee 15197 2121 Fountain Drive, Ste A Snellville, GA 30078

7/26/2017Rita Beckford, MD 73189RN134791Schwarze, Elizabeth Ann Smith 18215 141 Piedmont Ave. ste. D Atlanta, GA 30303

7/1/2016Sharon R. Rabinovitz, MD 46806RN134791Schwarze, Elizabeth A. 11199 141 Piedmont Ave., Ste D Atlanta, GA 30303

11/20/2012Yolanda Hacker, MD 45811RN149696Schwarze, Lois Anne 7862 5320 Memorial Drive Stone Mountain, GA 30083

6/30/2018Smita Varshney 45997RN149696Schwarze, Lois Anne 41770 304 5th Avenue Decatur, GA 30030

6/27/2014Michael Pinell, MD 58102RN168251Schwerin, Kay sandra Stevens 12182 10500 Abercorn St, Unit N Savannah, GA 31419

7/8/2013Christopher L. Wixon, MD 49122RN168251Schwerin, Kay S. 11518 4750 Waters Ave., #500 Savannah, GA 31404

12/10/2019Joshua Vova 60484RN231874Sciortino, Anna 41909 1001 Johnson Ferry Road Atlanta, GA 30346

12/15/2021Yvonne Neau, MD 60947RN250792Scobee, Rachel L. 41458 Wheeler Correctional Facilty Alamo, Ga 30411

6/1/2016Greg Schlegel, MD 23222RN112607Scoggins, Kelly W. 11239 100 Medical Center Blvd, Ste 165 Lawrenceville, GA 30046

10/26/2016Kevin Jensen, MD 28794RN112607Scoggins, Kelly Wynette 18248 100 Medical Cener Blvd, Ste 165 Lawrenceville, GA 30046

2/19/2021Hanjoon Song, MD 57679RN112607Scoggins, Kelly Wynette 19291 100 Medical Center Blvd. ste. 165 Lawrenceville, GA 30046

4/1/2020Dana L. Cason, MD 39302RN222810Scogin, Kristen Patterson 41032 2122 Manchester Expressway Columbus, GA 31904

9/23/2021Charles Richart 38595RN198418Scott, Tonya 40923 1211 Sherwood Park Drive, Suite A Gainsville, GA 30501

8/3/2019 Jose Justiniano-Ayala, MD 46773RN255627Scott, Amy Nicole 20163 13570 N. Main Street Trenton, GA 30752

Monday, August 1, 2022 Page 380 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/4/2020Krupa Desai, MD 63413RN210416Scott, Amanda 42419 743 Spring Street Gainesville, GA 30501

3/21/2019Davin Mitchell 63786RN195165Scott, Notoya 44019 1075 LaFayette Pkwy Suite 100 LaGrange, GA 30241

6/19/2020TIMOTHY LONGAKER MD 25883RN118513SCOTT, NATALIE 39468 101 DELUXE CIRCLE SUITE B THOMASTON, GA 30286

8/1/2021CHERYL PERKINS MD 36430RN270016SCOTT, PATRICIA 39469 1499 FAIR RD (EAST GA REGIONAL MED CTR STATESBORO, G

1/1/2020Larry Fritchman, MD 57970RN184467Scott, Linda Mary 17596 843 Falls Rd Toccoa, GA 30577

4/7/2017Sekhar Sankaran, MD 31549RN234129Scott, Christina Winters 15989 101 Regency Pkwy Rd, Ste 140 McDonough, GA 30253

12/10/2020Ganiat J Ajayi, MD 47776RN242110Scott, Melisa Danyel 42041 977-4 Taylor Street Conyers, GA 30012

12/13/2018Davin Mitchell 63786RN164373Scott, Jewell 41777 1075 Lafayette Pkwy Suite 100 LaGrange, GA 30241

4/3/2020Ashuk Kencharla, MD 43250RN220215Scott, Harpold 40300 1061 Dowdy RD. Athens, Ga 30606

8/4/2019Albert Copeland 31400RN255793Scott, Jill 44408 1111 Bellsboro Dr Ste 6&7 Newnan, GA 30265

12/2/2021Bert Wall 48003RN118513Scott, Natalie 49196 801 W Gordon Street Thomaston, GA 30286

2/22/2021Vamsi Kota 60210RN107176Scott, Donna 45960 1120 15th St. Augusta, Ga 30912

3/1/2020Natalia Benza 77945RN234129Scott, Christina 45827 4166 Buford Hwy Suite 1102 Atlanta, GA 30345

11/1/2020Billy Greening, MD 42585RN155248Scott, Deborah M. 21086 7285 Highway 16 ste. C Senoia, GA 30276

1/15/2022Jose Justiniano-Ayala, MD 46773RN253824Scott, Jenny Renay 17127 13570 N Main St. Trenton, GA 30752

8/1/2014Andrea Hill, MD 51332RN179096Scott, Suzette Sharlette 13594 517 Great Oaks Dr, Ste 103 Monroe, GA 30655

4/11/2013Wallace Duncan, MD 41109RN140254Scott, Denise 10951 5230 Dallas Hwy Powder Springs, Ga 30127

4/11/2013David Asrael, MD 51291RN140254Scott, Denise 10952 5230 Dallas Hwy Powder Springs, GA 30127

4/1/2015Melissa Schepp, MD 50221RN197872Scott, Jessica Elisabeth 13053 677 Church St, 310 Bldg Marietta, GA 30060

5/29/2019Hansen, Terry MD 47330RN184467Scott, Linda 10449 184-A Professional Drive Baldwin, GA 30511

5/1/2018Mukesh Kumar, MD 68447RN210416Scott, Amanda Sara Riley 12335 743 Spring St Gainesville, GA 30501

10/1/2008Karin Alcantara, MD 43996RN167868Scott, Holly Anna 2658 2366 Battlefield Parkway Ft Oglethorpe, GA 30742

7/3/2009Rami Azzouz, MD 50126RN167868Scott, Holly Anna 8341 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

8/6/2010Stanley Smith, MD 37696RN113833Scott, Kay Suzanne 8422 15 Cavender Street Newnan, GA 30263

4/18/2022Kevin DiBenedetto 90067RN118513Scott, Natalie 59096 780 East Olgethrope Highway Hinesville, GA 31313

3/3/2022Jazzmine Basham 90864RN253824Scott, Jenny R 60355 29 Tiger Trail Ringgold, GA 30736

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/23/2008Sadiq Sohani, MD 45010RN172672Scott, Zoe Marie 5479 1413 Chattanooga Ave. Dalton, GA 30720

10/1/2009Kay Crosby, MD 30593RN113833Scott, Kay S. 5434 15 Cavender Street Newnan, GA 30263

6/19/2018Carlos Zayas-Montalvo, MD 36668RN161095Scouller, Thomas Harmon 2663 1968 P'tree Rd NW,5th Fl,Bldg 77 Atlanta, GA 30309

5/1/2017Jonathan Thompson, MD 52646RN112456Scroggins, Sherri L. 13908 1012 Burleyson Rd Dalton, GA 30720

8/20/2019Alicia Weksler, MD 37924RN112456Scroggins, Sherri L. 20640 1012 Burleyson Rd. Dalton, GA 30720

3/8/2019William Veale Jr., MD 59786RN227515Scruggs, Haley Anderson 20714 575 First St. Macon, GA 31201

12/20/2020Wyatt Blake, MD 47702RN176812Scruggs, Rebecca Melissa 20222 4421 Carnes Street Acworth, GA 30101-5305

5/21/2020Sandra Gibbs 32192RN227515Scruggs, Haley 52597 4321 Hartley Bridge Rd Macon, GA 31206

2/19/2021James Howard 43390RN222934Scruggs, Ashley 46593 3316 Greystone Way Valdosta, GA 31602

4/23/2021Simon Fensterscaub 83142RN176816Scruggs, Rebecca 57085 1387 US -41 Calhoun, GA 30701

6/15/2014William Kriegel, DO 31962RN151311Scully, Carol Joy Wesley 2665 3707 Largent Way Marietta, GA 30064

7/15/2020Avantika Varma 82481RN151311Scully, Carol 46160 3827 Jimmy Lee Smith Pkwy Hiram, Ga 30141

10/9/2015Walid Nassaif, MD 57904RN152213Scully, Cathleen 14448 1670 Clairmont Rd Decatur, GA 30033

5/11/2018Demaree Trammel, MD 62294RN197620Scully, Rosemarie 19463 445 Winn Way 2nd floor Decatur, GA 30030

5/23/2013Saeid Khansarinia, MD 50649RN192373Seaborn, Chelsea Louise McVic 11994 95 Collier Rd, Suite 5015 Atlanta, GA 30309

7/1/2020John Wood, MD 59239RN165136Seabrooks, Kimberly Frazier 14322 777 Hemlock St MSC 142 Macon, GA 31201

5/14/2018Samuel Obiorah, MD 42379RN165136Seabrooks, Kimberly Frazier 17594 350 Hospital Dr. Macon, GA 31217

6/25/2018Mohamed Elbasha, MD 59714RN165136Seabrooks, Kimberly Frazier 18890 350 Hospital Drive Macon, GA 31217

5/22/2021Christopher Kuettner, MD 24008RN176789Seagraves, Kendra Keenan 19124 9976 Ford Avenue Richmond Hill, GA 31324

9/6/2016Firas Bannout, MD 55176RN176789Seagraves, Kendra 15407 455 South Main St, Ste 201 Hinesville, GA 31313-4354

3/24/2015William Richards, MD 67939RN176789Seagraves, Kendra Keenan 14620 5353 Reynolds St, Ste 200 Savannah, GA 31405

5/15/2020David McEachin, MD 44017RN202578Seagraves, Lindsey Shea 18055 1007 Greenfield Drive Tifton, GA 31794

8/3/2016Scott Waguespack,MD 63014RN193158Seagraves, Jr., Joseph Thomas 17905 602 East 16th Ave. Ste. B Cordele, GA 31015

2/10/2018Robert Yarbrough, MD 58242RN179255Searcy, Danny Frank 12468 1100 Northside Forsyth Dr, Suite 340 Cumming, GA 30041

2/12/2019Alan M. Sanders, MD 39223RN153721Searcy, Ann-Maxwell 2668 231 Hwy 515, Ste. 5 Blairsville, GA 30512

9/28/2013Charles Cha, MD 49531RN179255Searcy, Danny Frank 2669 15 Medical Drive Cartersville, GA 30121

Monday, August 1, 2022 Page 382 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2013Dillon D. Miller, MD 67508RN153721Searcy, Ann-Maxwell 11508 101 Riverstone Vista, Ste 111 Blue Ridge, GA 30513

9/14/2018John Schuler, MD. 37364RN187693Sears, Krystal 40149 600 Celebrate Parkway, MD. Newnan, Ga 30265

10/11/2017Isioma Okwumabua, MD 70256RN187693Sears-Truss, Krystal 13930 1855 Hudson Bridge Rd Stockbridge, GA 30281

2/19/2019David Leon Hocker, MD. 41138RN208911Seaward, Susan D. 39848 101 Tom Murphy Industrial Blvd. MD. Bremen, Ga 30110

3/6/2015Kenneth Patric Jr. MD 69243RN186436Sebastian, Vini 14783 400 Peachtree Industrial Blvd Suwanee, GA 30024-6989

8/16/2021Marc Yune 41395RN27226Seeger, Kathryn 45323 1825 Old Alabama Rd Suite 201 Roswell, GA 30076

6/12/2015Anandamadhuri Chunduri, MD

64911RN185083Segovia Ruiz, Oscar 15683 1650 County Services Parkway SW Marietta, GA 30008-4010

11/1/2021Jason Gardiner 52725RN232828Self, Heather 51400 777 Hemlock St Macon, GA 31201

11/1/2021Jason Gardiner 52725RN232828Self, Heather 51753 777 Hemlock St Macon, GA 31201

1/6/2020David Hart 40682RN112220Sellers, Dana 41952 2959 Sharpburg McCollum Rd. (Suite A-6) Newnan, GA 3026

6/15/2021Edward Gotlieb, MD 14500RN204724Sellers, Lucinda Johnson 9547 5405-D Memorial Dr, Suite D Stone Mountain, GA 30083

7/25/2012Johnson, Traci MD 47723RN172738Sells, Katie 10337 1700 Tree Lane, Ste 290 Snellville, GA 30078

6/14/2021Navin Taneja 52234RN209034Selph, Kristen 50813 130 Hospital Drive Warner Robbins, GA 31088

9/13/2018Jennifer Lynn Headrick 78716RN119115Seltenright, Joan L 8612 1790 Mulkey Road Austell, GA 30060

7/12/2018Michael G Katopes, MD 25449RN119115Seltenright, Joan L Oliver 41359 294 Ropemill Road Woodstock, GA 30188

12/31/2014Glenn Bloom, MD 64512RN119115Seltenright, Joan Lee Oliver 13985 235 Peachtree St NE, North Tower, Suite 2100 Atlanta, GA 3

8/6/2012George Galloway, MD 13275RN119115Seltenright, Joan Lee Oliver 9199 101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

12/1/2011Christopher Wizner, MD 37734RN119115Seltenright, Joan Lee Oliver 7780 4250 Brownsville Rd Powder Springs, GA 30127

8/9/2013Michael Christa, MD 40637RN119115Seltenright, Joan Lee Oliver 12063 4250 Brownsville Rd Powder Springs, GA 30127

2/5/2015Jay Erdman, MD 32177RN119115Seltenright, Joan Lee Oliver 14930 235 Peachtree St NE, N Tower #2100 Atlanta, GA 30303

1/1/2015Thomas Wayne Bloodworth, MD

18124RN155684Senior-Crosby, Diana R. 7900 101 Cleburne Pkwy Hiram, GA 30141

8/1/2020John P. Gott, MD 28989RN175608Seok, Rebecca 11556 95 Collier Rd., #5015 Atlanta, GA 30309

11/2/2015Kenneth Healey, MD 24689RN184152Settle, Crystal Nicole 14709 205 Rees St Americus, GA 31709

9/22/2021Raymond Easley, DO 20987RN218012Settle, Xanthia Monquett 19287 1675 Cumberland Pkwy. SE ste. 205 Smyrna, GA 30080

7/9/2021Renee E Corley, MD 33302RN222935Settle, Lauren B 42421 1863 Memorial Dr SE Atlanta, GA 30317

Monday, August 1, 2022 Page 383 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/21/2019Bertram Prosser, MD 75651RN213043Settle, Xanthia 39017 3451 Cobb Parkway, Suite 4 Acworth, GA 30101

6/2/2018Mitzi Rubin 49592RN222935Settle, Lauren 41771 1227 Rockbridge Rd Stone, GA 30087

9/1/2020Michelle Huggins 34368RN218012Settle, Xanthia 45826 207 Cristmont Way Canton, GA 30114

9/30/2020Patel Ankit 61313RN164844Setzer, Ansleigh 45961 200 S. Enota Dr. NE, #100 Gainesville, Ga 30501

6/1/2019Pradyumna Tummala 41016RN164844Setzer, Ansleigh 45074 200 South Enota Drive NE Suite 200 Gainesville, GA 30501

2/21/2019Mitchell Davis, MD 35030RN164844Setzer, Ansleigh Nikole 5459 200 S. Enota Drive, NE Ste 200 Gainesville, GA 30501

11/8/2021Melhim BouAlwan 68984RN158900Seward, Christie 41827 1510 Vermon RD LaGrange, GA 30240

11/8/2021Michael O'Neil 30175RN158900Seward, Christie 49195 475 Dickerson Ave NW Marietta, GA 30064

4/19/2018Anil R. Modi, MD 48066RN158900Seward, Christie Marlene 39143 300 Medical Dr. ste. 701 LaGrange, GA 30240

2/1/2017Antonio Rios, MD 45114RN218749Sewell, Catherine 16558 1315 Jesse Jewell Pkwy, Ste 110 Gainesville, GA 30501

6/30/2019Loren Norris, MD 69491RN218749Sewell, Catherine Elizabeth 17128 597 South Enota Dr. Gainesville, GA 30501

5/23/2022Monique Merritt-Atkins 83772RN241342Sewell, Julie B. 59819 5582 Memorial Drive Stone Mountain, GA 30083

11/9/2021Pranav Kansara 84532RN244034Sewell, Caroline 58871 200 South Enota Dr NE Suite 200 Gainesville, GA 30501

12/9/2016Douglas Moss, MD 41178RN134946Seyfried, Lavenia Juanita 9959 814 Northwood Park Drive Valdosta, GA 31602

7/7/2020Joseph Gunn, MD 21003RN051454Shadburn, Deborah A 16604 725 Jesse Jewell Pkwy, SE Gainesville, GA 30501

7/7/2021DeAnn Bing 67534RN262529Shadwick, Natally 44257 1201 Peachtree St 400 Colony Sq Suite 300 Atlanta, GA 3036

6/30/2015Michael Baron, DO 33273RN229663Shaeri, Anahita 15156 1505 Lilburn Stone Mountain Rd., Ste 100 Stone Mountail, G

9/15/2020Pamela Weigandt 51609RN225303Shafer, Amanda 44186 1300 Ridenour Blvd Suite 300 Kennesaw, GA 30152

7/2/2021Daniel Broderick 74476RN225303Shafer, Amanda 54302 1300 Ridenour Blvd Suite 300 Kennesaw, GA 30152

12/21/2018Duriel Gray 71075RN225303Shafer, Amanda 43113 3236 Greenfield Drive Marietta, GA 30068

8/30/2014Devesh Patel, MD 54171RN202000Shaffer, Nicole Michelle 12561 820 St Sebastian Way, Suite 8-A Augusta, GA 30901

9/16/2018Satish Rao, MD 66739RN202000Shaffer, Nicole Michelle 14207 1120 15th St Augusta, GA 30912

1/1/2008Mohan Papudesu, MD 29063RN069901Shaffer, Barbara J Reeves 2681 610 Ferncrest Drive Sandersville, GA 31082

3/27/2014David Stahura, DO 60615RN105323Shah, Tracy Elaine 12443 2140 Peachtree Rd NW, Suite 232 Atlanta, GA 30309

4/1/2016Dharmeshkumar Patel, MD 55264RN181347Shah, Payal N. 13470 2491 Panola Rd. Lithonia, GA 30058

5/14/2018Mark El-Deiry, MD 66483RN240719Shah, Emily Mason 17311 550 Peachtree St, 9th Flr Atlanta, GA 30308

Monday, August 1, 2022 Page 384 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/23/2022Baljinder Mudahar, MD 54321RN208844Shahpar, Jessica Lynn 13188 303 Parkway Dr NE, Emer Dept Atlanta, GA 30312

7/16/2018Nicholas Beaulieu, MD 42176RN208844Shahpar, Jessica Lynn 18064 920 Ponce De Leon Ave.NE Atlanta, GA 30306

6/10/2016Karen Dewling, MD 44445RN235660Shanahan, Sara Ratchford 13772 4395 Johns Creek Pkwy, Ste150 Suwanee, GA 30024

2/6/2021Song Lee, MD 46690RN235660Shanahan, Sara Ratchford 19128 3795 Mansell Rd. Alpharetta, Ga 30022

4/15/2019John Ouderkirk, MD 49992RN204467Shanahan, Chastity 40921 9925 Haynes Bridge Rd # 320 Alpharetta, Ga 30028

9/1/2013Curtis Clark, DO 47068RN160537Shanaman, Rachel Anne 8674 610 19th Street Columbus, GA 31901

6/8/2018Subhadra Shashidharan, MD 74362RN197727Shapin, Melanie Hull 20003 1405 Clifton Rd. Atlanta, GA 30322

5/17/2021Solomon Teckle 64976RN265853Sharma, Upasna 45284 1834 Clairmont RD Suite 100 Decatur, GA 30033

10/4/2011Noreen Andrews, MD 46861RN204969Sharova, Yelena 9634 3720 South Rockbridge Rd Stone Mountain, GA 30087

1/28/2016Kola Ologunja, MD 50548RN192158Sharp, Jennie Babara 13725 3104 Creekside Village Dr., Ste 504 Kennesaw, GA 30144

4/12/2019Nimisha Trivedi 53715RN242798Sharp, Taronda 43917 4060 O Henry CT McDonough, GA 30252

11/1/2019Prasanna Srinagesh, MD 66648RN246159Sharpe, Jenny Fritcher 41011 208 Scranton Connector Suite 120 Brunswick, GA 31525

11/19/2020Thuy Bui, MD 49276RN195511Sharpless, Sarah A 12345 1001 Johnson Ferry Rd NE Atlanta, GA 30342

2/20/2014Brant Holt, MD 54393RN185137Shaver, Eugenia Faith 11778 102 Erlanger South Dr Ringgold, GA 30736

4/1/2014Joseph Watlington, MD 25685RN185137Shaver, Eugenia Faith 13036 102 Erlanger South Dr Ringgold, GA 30736

5/4/2021Kunal Gupta 85075RN259108Shaw, Marissa 55324 210 Cobb Parkway SE, Suite 100 Marietta, GA 30060

9/4/2020Papciak, Michael MD 16823RN171700Shaw, Kelley 10110 3400A Old Milton Parkway Ste 330 Alpharetta, GA 30005

6/27/2012Anthony Dougherty, MD 30452RN070808Shaw, Pamela G 692 3000 Schatulga Road Columbus, GA 31907

3/5/2015Brett N. Murphy-Dawson, MD

54080RN070808Shaw, Pamela G. 11410 2100 Comer Ave. Columbus, GA 31914

8/2/2011Appel, Larry MD 58568RN184339Shaw McMillan, Lauren 9998 4700 Waters Ave Savannah, ga 31404

11/2/2012John Gerguis, MD 47085RN184339Shaw McMillan, Lauren 11055 115 Gillikin St. Twin City, GA 30471

9/1/2016Cedric Porter, MD 29363RN184339Shaw McMillan, Lauren 11240 124 Victory Dr. Swainsboro, GA 30401

9/1/2012Gard, Dwayne MD 60731RN184339Shaw McMillan, Lauren 10634 4700 Waters Avenue Savannah, GA 31404

11/18/2019Michael DiCristina 22223RN281762Shea, Kristen 45075 2850 Springdale Road Atlanta, GA 30315

3/1/2021Willie Landrum 59265RN281762Shea, Kristen 47865 2850 Springdale Rd Atlanta, GA 30315

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/16/2022LeAnthony Hardy 52184RN231762Shea, Kristen 56975 2850 Springdale Rd Atlanta, GA 30315

8/13/2021Dale Green 31926RN117525Shedd, Glenn 57373 55 Carlon Street Athens, GA 30602

8/13/2012Flynn,Timothy MD 41795RN037691Shedd, Cheryl 10259 3931 Mundy Mill Road, Ste A Oakwood, GA 30566

12/30/2010Meena Shah, MD 21464RN037691Shedd, Cheryl Evans 8828 475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

12/2/2014Timothy Flynn, MD 41795RN037691Shedd, Cheryl Evans 2688 3931 Mundy Mill Road Oakwood, GA 30566

4/10/2015Gary Smith, MD 10666RN214409Sheehan-Lowery, Eileen Mary 14092 6120 Alabama Hwy Ringgold, GA 30736

8/26/2021Saeed Zafar, MD 45370RN216735Sheets, Sabrina Noah 20486 2032 Wynnton Rd. ste. A Columbus, GA 31906

6/15/2016Rama Gangaiah, MD 41805RN055630Sheffield, Dian 15629 3073 Panthersville Rd Decatur, GA 30034

2/3/2016Vanderlyn Sewell, MD 51547RN055630Sheffield, Dian Thornton 12290 2591 Candler Rd Decatur, GA 30032

2/28/2015Lalita Swaminathan, MD 55709RN055630Sheffield, Dian 14645 3073 Panthersville Rd Decatur, GA 30034

9/7/2016Pamela Shannon, MD 46488RN055630Sheffield, Dian Thornton 18550 3073 Panthersville Rd. Decatur, GA 30034

4/30/2013Raulnina Uzzle, MD 43499RN055630Sheffield, Dian Thornton 2690 2140 Peachtree Rd, Suite 232 Atlanta, GA 30309

8/12/2019Candi Nobles-James, MD 47985RN180629Sheldon, Jennifer Jean 19999 265 Sheraton Blvd. Macon, GA 31210

1/27/2017Alan Justice, MD 32405RN180629Sheldon, Jennifer Jean 12187 446 Poplar St, Suite B Macon, GA 31201

11/26/2019Emile Risby, MD 30869RN095879Shelton, Marvin Mitchell 18046 2450 Vinson Highway, Cook bldg. Milledgeville, GA 31062

10/31/2011Eddie R. Cheeks, MD 21661RN097650Shelton, Amanda J. Barton 5334 2803 Wrightsboro Road, Ste 45 Augusta, GA 30909

7/1/2022David Dion 66775GAA-NP000371

Shepard, Diedre L. 60503 5885 Glenridge Dr., Suite 100 Atlanta, Ga 30328

4/15/2010Arnold Gaskin, MD 36382RN149693Shepherd, Shannon Elizabeth 8744 9020 Peridot Pkwy Stockbridge, GA 30281

1/15/2020David Cox, MD 70247RN205669Shepherd, Rebecca Elizabeth 39043 618 East Lamar Street Americus, GA 31709

5/3/2019Paul Martin, MD 29034RN184901Sheridian, Marissa Cook 9941 1950 Riverside Parkway, Ste 100 Lawrenceville, GA 30043

7/22/2022Mujeeb Jan 54226RN224195Sheriff, Richard 48510 705 Dixie Street Suite 401 Carrollton, GA 30117

4/2/2020Ojoru Osunkoya, MD 59578RN252408Sherman, Marlena Leigh 20047 4112 E. Ponce de Leon Ave. Clarkston, GA 30021

2/25/2020Rita Deattrea Beckford, MD 73189RN113226Sherman, Carmen Judy 41500 1655 Tullie Cir, Atlanta, Ga 30329

3/14/2017David Dillard, MD 40364RN113226Sherman, Carmen Judith Ramir 14732 771 Old Norcross Rd, Ste 135 Lawrenceville, GA 30046

2/10/2018Isioma Okwumabua, MD 70256RN113226Sherman, Carmen Judith Ramir 21165 6001 Cumming Hwy. ste. 1 Sugar Hill, GA 30518

Monday, August 1, 2022 Page 386 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/3/2021Duke, Michael MD 42041RN140155Sherman, Penny 10545 800 West Thomas Street Milledgeville, GA 31061

2/1/2014English, Eden MD 52432RN140155Sherman, Penny 10839 120 Barnet Drive Milledgeville, GA 31061

10/30/2015Lew, Glen MD 41457RN172913Sherrod, Amy 10514 5455 Meridian Mark Rd, Ste 400 AFLAC Center Atlanta, GA 3

1/20/2012Karen Wasilewski, MD 53203RN172913Sherrod, Amy Elizabeth 8929 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

4/25/2019Ross Jacobson, MD 57204RN064092Sherry, Ruth 5337 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

8/2/2021Crystal Terrill 71169RN064092Sherry, Ruth 45076 725 Jesse Jewell Pkwy SE Gainesville, GA 30501-3834

2/1/2021Lewis Earnest 62684RN230217Shields, Casey 47796 1230 Baxter St Athens, GA 30606

10/22/2020Michael Mulberry 50725RN230217Shields, Casey 48253 2435 Old Cornelia Hwy Gainesville, GA 30501-7854

3/3/2014Harold Carlson, MD 27508RN156421Shields, Allison Baker Thomas 8384 275 Collier Road, Suite 300 Atlanta, GA 30309

12/29/2019Hardin, Amy MD 35307RN139815Shifflett, Maureen 10339 1140 Hammond Drive, Ste E5250 Atlanta, GA 30328

11/4/2011William F. Kent, MD 10585RN069911Shilling, Dellarie Lane 2701 1497 Fair Road, Ste 300 Statesboro, GA 30458

2/14/2019Benjamin Oldham, MD 56210RN069911Shilling, Dellarie Lane 8098 1497 Fair Road, Suite 300 Statesboro, GA 30458

8/25/2021Brian Deloach 51216RN069911Shilling, Dellarie 48246 984 Plant Drive Statesboro, GA 30460

9/5/2009Marsha Pierdinock, MD 36846RN145300Shingles, Vernendia Anne 2702 1009 N. Monroe St., Ste 102 Albany, GA 31701

5/20/2018Miguel Martelli, MD 32428RN140338Shinhoster, Sonya Lafaye 18083 2927 Demere Rd. St. Simons Island, GA 31522

9/23/2017David Samuels, DO 49521RN140338Shinhoster, Sonya Lafaye 19625 117 Kite Road Swainsboro, GA 30401

4/25/2019Clay Lee, DO 46610RN127868Shipp, Vernita Jena 11947 207 31st Ave SE Moultrie, GA 31768

6/30/2015Charles Hughes, MD 63471RN137551Shirley, Brian Bates 11905 1120 15th St, BP-4109 Augusta, GA 30912

4/1/2013S. M. Abu Zaheed Hassan, MD

48783RN137551Shirley, Brian B. 8638 1220 George C. Wilson Drive Augusta, GA 30909

1/1/2011Robert Warner, MD 28099RN177287Shiver, Kristi Renee 8801 1700 Hospital South Dr, Suite 302 Austell, GA 30106

3/23/2013Eduard Docu, MD 56426RN089259Shiver, Janice E 2703 1302 Drayton St Savannah, GA 31401

12/28/2011Micah Tepper, MD 57687RN177287Shiver, Kristi Renee 9741 1700 Hospital South Dr, Suite 302 Austell, GA 30106

9/15/2014Athena Sotus-Nawar, MD 31512RN089259Shiver, Janice E 12084 1915 Eisenhower Dr Savannah, GA 31406

4/1/2015Harvey Danits, MD 15242RN159492Shockley, Naiomi Michelle 3348 1000 Corporate Center Drive, Suite 220 Morrow, GA 30260

8/12/2009Henry Watson, MD 25399RN075946Shoemaker, Kathryn Goles 8493 3146 Chamblee Dunwoody Rd, #103 Chamblee, GA 30341

Monday, August 1, 2022 Page 387 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2021John McKnight, MD 69894RN209439Shoemaker, Savannah 14782 600 Celebrate Life Parkway Newnan, GA 30265

7/20/2016Bridgette Guthrie, MD 69122RN229830Shoemaker, Ashlee Quick 14117 710 Center St Columbus, GA 31901

12/10/2018Kashyap Patel, MD 57230RN113383Shook, Michele D. 19896 200 S Enota Drive Gainesville, GA 30501-3466

3/2/2017Muhammad Hashmi, MD 70303RN148855Shore, Karen Elizabeth 14582 2900 University Parkway Lawrenceville, GA 30043

8/3/2013Nadia Cameron, MD 53982RN148855Shore, Karen Elizabeth 11852 961 Green St NE Gainesville, GA 30501

5/27/2019Ranya Rangaraj 64680RN148855Shore, Karen 41828 715 Queen City Pkwy Suite 106 Gainesville, GA 30501

6/13/2014James Foster, MD 41556RN143928Shouse, Karen Lee 9058 1515 Pope Ave Augusta, GA 30912

9/30/2015Venkateswara Dikkala, MD 48226RN246981Shrader, Shanda 15942 2775 Cruse Rd, Ste 1801 Lawrenceville, GA 30044

10/25/2019Joseph Bishop 10372RN231078Shrewsbury, Julie 45964 100 Peters St., Suite 38 Calhoun, Ga 30701

4/16/2014Bohlke, William MD 37490RN196656Shropshire, Ali 10429 9945 US Hwy 301 S Statesboro, GA 30458

7/30/2011Cheryl Perkins, MD 36430RN196656Shropshire, Ali Michelle 9483 1497 Fair Rd, Suite 200 Statesboro, GA 30458

7/15/2014Brian DeLoach, MD 51216RN196656Shropshire, Ali Michelle 9856 Bldg 0404, Forest Dr Statesboro, GA 30460-8043

8/7/2012Captain, Anthony MD 39300RN161177Shroth, Michael 10661 775 West Avenue, Ste B Cartersville, GA 30120

7/13/2015Marc Berger, MD 66567RN161177Shroth, Jr., Michael Gene 13980 10152 Blue Ridge Dr. Blue Ridge, GA 30513

1/29/2018PARVIZ BRAHMAN MD 66576RN271940SHTJEFNI, ANGJELIN 39472 1909 US HWY 82 WEST SUITE 5 TIFTON, GA 31793

1/20/2022Anjali Grandhige 68174RN242414Shuffield, Christine 58434 310 Kennestone Hospital Blvd Marietta, GA 30060

2/3/2020Jon Risley 38933RN113834Shuler, Shannon 48369 400 Batterfield Pkwy Fort Olgethrope, GA 30742

6/22/2020William Meadows III 30513RN113834Shuler, Shannon 48487 400 Battefield Pkwy Forth Olgethrope, GA 30742

6/1/2011John Price, DO 55274RN111878Shuler, Linda J. 8886 462 Lavender Dr NW Rome, GA 30165

2/3/2014Ian Hamilton, Jr, MD 47329RN123324Shuler, Cynthia Ann 2708 1109 Burleyson Road, Suite 202 Dalton, GA 30720

5/7/2020Singh, Brij MD 43777RN111878Shuler, Linda 10341 1181 Old Summerville Road Rome, GA 30165

8/13/2008Christopher Abbot, MD 58127RN123324Shuler, Cynthia Ann 8107 1109 Burleyson Rd, Suite 202 Dalton, GA 30720

7/23/2012Chastain, William MD 65091RN111878Shuler, Linda 10515 400 Timms Rd NE Calhoun, GA 30701

5/28/2013Hefner, Jason MD 61444RN111878Shuler, Linda 10896 420 Lavender Drive Rome, GA 30161

3/10/2016Reden Delgado, MD 65957RN111878Shuler, Linda J 13382 2293 Rome Hwy Rockmart, GA 30153

1/3/2014Amar Singh, MD 52227RN111878Shuler, Linda J 12112 550 Redmond Rd Rome, GA 30165

Monday, August 1, 2022 Page 388 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/8/2017Michele Shumpert, DO 66322RN111878Shuler, Linda J. 18082 101 Watson Street Rome, GA 30165

4/9/2015Raymond McKoy, DO 44536RN111878Shuler, Linda 14842 2510 Redmond Circle Rome, GA 30165

5/19/2021Scott Shelfo 43479RN193221Shumaker, Charvette 43549 600 Celebrate Life Parkway Newman, GA 30265

5/20/2021Dinesh Gandhi 38557RN107256Shuman, Sherry 47519 2594 Loganville Hwy Grayson, GA 30017

12/1/2011George Galloway, MD 13275RN107256Shuman, Sherry Gilleland 9294 526 Maddox Dr, Suite 101 Ellijay, GA 30540

3/1/2017Teresa Thompson, MD 58650RN107256Shuman, Sherry 10516 63 Pleasant Hill Road Blairsville, GA 30512

2/9/2012Cynthia Libert, MD 59457RN107256Shuman, Sherry Gilleland 9624 63 Pleasant Hill Rd Blairsville, GA 30512

4/20/2009William G. Raisig, MD 55290RN107256Shuman, Sherry Gilleland 2711 64 Call Wright Road Ellijay, GA 30540

2/1/2015Hope McDaniel-Desarmes, MD

59287RN175443Shumate, Jr, Donald H 12036 1328 Joe Frank Harris Pkwy Cartersville, GA 30120

12/7/2012Kenneth Howard, MD 40412RN175443Shumate, Jr., Donald 10938 1825 Martha Berry Blvd Rome, GA 30165

4/23/2013Thomas A. Self, MD 21587RN175443Shumate, Jr., Donald H. 11570 1825 Martha Berry Bl Rome, GA 30165

6/19/2012Theron Thompson, MD 51772RN175443Shumate, Jr., Donald 10095 1825 Martha Berry Blvd Rome, GA 30165

12/11/2015Pablo Perez, MD 47502RN207614Shumway, Gina Hiatt 12622 1102 W Waugh St Dalton, GA 30720

7/28/2015George Fallieras, MD 72531RN214000Shupe, Leah Clark 14163 3193 Howell Mill Rd Atlanta, GA 30327

1/15/2020David Cox, MD 70247RN122909Shuttlesworth, Tanya Rozier 19653 6005 Watson Blvd. ste. 100 Byron, GA 31008

11/22/2019Timothy M Longbaker, MD 25883RN122909Shuttlesworth, Tanya Rozier 41482 277 Perry Parkway Perry, GA 31069

7/14/2017Aldemar Montero, MD 57536RN178422Siddle, Jennifer Elizabeth 17965 631 Professional dr., Ste 450 Lawrenceville, GA 30046

12/6/2013Philip Henderson, MD 47601RN178422Siddle, Jennifer Elizabeth 12217 2696 Lawrenceville-Suwanee Rd Suwanee, GA 30024

1/8/2016Meena Shah, MD 21464RN178422Siddle, Jennifer Elizabeth 13076 475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

2/9/2014Shveta Raju, MD 66052RN178422Siddle, Jennifer Elizabeth 12796 475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

2/19/2021Victor Thomas, MD 40574RN215026Sides, Scott Anthony 15255 1200 Memorial Dr Dalton, GA 30720

4/1/2019Yolanda Wade, MD 58345RN027377Siefferman, Patricia Anne Thom 14005 1735 S. Hwy 27 Carrollton, GA 30117

5/18/2007William A. Mills, MD 50901RN027377Siefferman, Patricia Anne Thom 2714 12192 Augusta Road Lavonia, GA 30553

1/11/2018Joseph Poku, MD 52807RN205797sieja, Kristin 40974 639 Hemlock St Suite 100 Macon, GA 31201

9/19/2020Donna Fearing 29447RN207445Sierra, Kelly 43017 100 Stone Forest Drive Suite 300 Woodstock, GA 30189

Monday, August 1, 2022 Page 389 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/29/2019Sandra Gibbs, MD 32192RN205802Sikes, Devan 41317 455 Nathan Dean Blvd. Dallas, Ga 30132

6/9/2017Angela Gerguis, MD 47261RN222814Sillah, Mariama Jalloh 20226 360 Hospital Dr. Bldg. D ste. 130 Macon, GA 31217

4/12/2019Mark R. Bradshaw, MD 66574RN224476Silva, Wilantha Roell 18233 1100 Peachtree Street NE ste. 200 Atlanta, GA 30309

10/30/2020Allan Purdie, MD 40763RN177691Simcox, Jordan Bell 18218 1605 Roberta Drive Marietta, GA 30008

12/22/2015Shameka McElhaney, MD 54854RN177691Simcox, Jordan 15893 1605 Roberta Dr Marietta, GA 30008

7/28/2018Constance Y. Baldwin, MD 59597RN132878Simmonds, Ann Marie 40940 5445 Meridian Mark Road ( Suite 420) Atlanta, GA 30342

12/31/2018Leo O. Noragbon, MD 60014RN077582Simmons, Vickie Lynn Miller 20808 227 Mountain Drive Dahlonega, GA 30533

3/1/2021Floyd Soriano, MD 54941RN069115Simmons, Carol Collins 19074 452 Second St. Soperton, GA 30457

8/14/2020Jeremy R. Anthony, MD. 67529RN150477Simmons, Rebecca Johnson 40015 2470 Daniels Bridge Rd. Athens, Ga 30606

10/21/2014Lavon Thurman, Jr, MD 19791RN235628Simmons, Jennilyn Alexis 13018 1200 Og Skinner Dr. West Point, GA 31833

2/1/2014Jeffrey Haller 55826RN188913Simmons, Pamela 11070 104 Prominence Point Pkwy, Ste 104 Canton, GA 30114

4/1/2016Barbara Nelson, MD 54628RN188913Simmons, Pamela Jean 12838 531 Duvall Rd Chatsworth, GA 30705

4/25/2016Gail Hurley, MD 18990RN150477Simmons, Rebecca Louise 16981 402 McKinley Drive Athens, GA 30601

1/13/2015Deborah Honeycutt, MD 38633RN235628Simmons, Jennilyn Alexis 13683 2000 Clayton State Blvd., Bldg 1000 Morrow, GA 30260

6/10/2019Vanderlyn Sewell, MD 51547RN192990Simmons, Trevino Chavez 21050 934 Briarcliff Rd. NE Atlanta, GA 30306

8/31/2016Crystal Bright, MD 67869RN069115Simmons, Carol 14796 452 Second St Soperton, GA 30457

6/1/2019Randy Robinson, MD 35987RN188913Simmons, Pamela Jean 18100 531 Duvall Rd. Chatsworth, GA 30705

10/31/2011Muhammad Jamal, MD 58255RN069115Simmons, Carol Collins 2719 452 Second Street Soperton, GA 30457

5/1/2012Paul Bradley, MD 30016RN077580Simmons, Eleanor Dodd Kilroy 2720 340 Eisenhower Drive, Suite 1200 Savannah, GA 31406

4/1/2020Richard Wherry, MD 17341RN077582Simmons, Vickie Lynn Miller 2722 59 Tipton Drive Dahlonega, GA 30533

12/30/2019Ramzi Ghosn, MD 57974RN077582Simmons, Vickie Lynn Miller 9862 1078 Lumpkin Campgrd Rd, Suite 100 Dawsonville, GA 3053

10/31/2014Mendez, Traceyan MD 57831RN069115Simmons, Carol 10287 215 N. Coleman Street Swainsboro, GA 30401

11/19/2021CHINEDU NWEKE 78384RN190927Simon, Latoya 58480 4450 Calibre Xing Suite 1126 Acworth, GA 30101

2/15/2013William Sightler, DO 34715RN115640Simon, Patricia Ann 11094 Riverbend Corr Fac - 196 Laying Farm Rd Milledgeville, GA 3

9/28/2018SACKDINANH KEOMAHATHAI MD

51054RN190977SIMON, LATOYA 39473 150 GENTILLY BLVD CARTERSVILLE, GA 30120

Monday, August 1, 2022 Page 390 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/4/2016Marcel Lacoste, MD 65836RN093496Simonds, Jennifer Huls 14815 1 Freedom Way Augusta, GA 30904

4/15/2019John Ouderkirk, MD 49992RN222747Simonds, Kadie Burpee 17960 9925 Haynes Bridge Rd, #320 Alpharetta, GA 30022

2/20/2018Sandra Wordlaw-Watkins, MD

49224RN222747Simonds, Kadie Burpee 18358 1720 Phoenix Blvd. ste. 450 College Park, GA 30349

2/1/2015John Gerguis, MD 47085RN140232Simone, Katherine Elizabeth L' 14713 4356 Communications Dr Norcross, GA 30093

11/30/2014AnnMarie Stokes, MD 63963RN140232Simone, Katherine Elizabeth L'E 12828 4356 Communications Dr Norcross, GA 30093

10/1/2008Ann Ward, MD 23242RN085039Simpson, Connie Lynn 7730 304 Turner McCall Blvd Rome, GA 30165

3/1/2013Vitaliy Gavrikov, MD 61430RN141041Simpson, Utopia Teresa 11198 5422 Hwy 20 Sugar Hill, GA 30518

1/15/2022Jose Justiniano-Ayala, MD 46773RN203796Simpson, William 16190 1430 Suggs St Rossville, GA 30741

7/25/2015Gayoung Hong, MD 67467RN203796Simpson, William Andrew 13196 13570 N. Main St Trenton, GA 30752

6/30/2021Robert Campbell, MD 30029RN154481Simpson, Patricia Jean 17050 5455 Meridian Mark Rd, Ste 530 Atlanta, GA 30342

6/21/2021Craig Byron Colby 64350RN240077Simpson, Jessica Elizabeth Ann 40210 8033 Main St. Greensboro, GA 30642

7/27/2020Ankit Patel 61313RN176728Simpson, Ashley 45965 200 S. Enota Dr. NE, #100 Gainesville, Ga 30501

4/8/2021Ana Hernandez-Silen 76054RN113398Simpson, Bonnie 46612 1948 Old Ocillia Rd Tifton, GA 31794

2/12/2009Joseph Biuso, MD 28726RN085039Simpson, Connie Lynn 8457 330 Turner McCall Blvd, Suite 203 Rome, GA 30165

2/21/2013Jon Stauffer, MD 47950RN172839Simpson, Melissa Ann 8568 301 W. Hansell St Thomasville, GA 31792

4/15/2010Chuck Clopton, MD 43019RN153608Sims, John Winfield 8681 9020 Peridot Pkwy Stockbridge, GA 30281

3/26/2013Harold Katner, MD 28021RN057867Sims, Christy Little 2727 135 Macon West Drive Macon, GA 31201

11/25/2019Joshua Lang 73561RN281523Sims, Mary 45743 1110 Commerce Dr Suite 108 Greensboro, GA 30642

8/13/2015James L Brown Jr 21652RN239933Sims, Shaniqua 41304 11973 Augusta Road Lavonia, GA 30553

1/4/2022Claire Douglas, MD 69575RN117527Sims, Shalandria Nicole 18903 1100 Peachtree St. NE ste. 200 Atlanta, GA 30309

3/31/2020Margaret A. White 36482RN145684Sims, Crystal 41372 500 Springhouse Circle St. Mtn Watkinsville, GA 30087

5/1/2018James White, MD 39510RN176715Sims, Melanie 39015 705 Dixie Street Carrollton, GA 30117

1/21/2021David Quintero Bustos, MD 61149RN242663Sims, Tiearea T 16359 600 Celebrate Life Pkwy Newnan, GA 30265

5/1/2009Martha Schuh, MD 37488RN153608Sims, John Winfield 7885 1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

3/2/2014Charles Hitson, MD 26554RN155250Sims, Lisa Nicole 9455 231 Graefe St Griffin, GA 30223

Monday, August 1, 2022 Page 391 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/10/2010Bhat Mohan, MD 19407RN155250Sims, Lisa Nicole 7897 6507 Professional Place Riverdale, GA 30274

3/26/2015Sandhya Ramayya, MD 56469RN075214Sinclair, Joann Sams 2729 5398 Thomaston Road Macon, GA 31220

3/5/2008Sandra Kae Bohnstengel, MD

38692RN177668Sineath, Dana Thorneburg 2730 391 South 1st Street Jesup, GA 31545

6/30/2008Loy Cowart, III, MD 37979RN177668Sineath, Dana Thorneburg 8099 601 South Main Street Glennville, GA 30427

9/23/2011Tod Bethea, MD 42016RN139651Singer, Margaret Leigh 8162 536 Hwy 441 South Clayton, GA 30525

8/31/2015James A. Sirleaf, MD 67036RN226825Singer, Lamarquis D. 11594 417 Third Ave. Albany, GA 31701

10/13/2011Randy Warner, MD 53905RN149692Singer, Virginia Mae 9757 690 Dallas Hwy, Suite 201 Villa Rica, GA 30180

12/22/2021Brij Singh, MD 43777RN134406Singh, Kelli Leigh 8985 1181 Old Summerville Rd Rome, GA 30165

9/15/2009H. Paul LeBlanc, MD 24012RN134406Singh, Kelli Leigh 8235 109 Hospital Drive Calhoun, GA 30701

8/3/2021Charles Galea, MD 55229RN218017Singh, Pushpa 20604 615 Pendleton Street ste. A Waycross, GA 30501

9/21/2019Reuben Roberts, MD 17944RN117649Singletary, Leigh Rhodes 42423 705 Hudson Ave Ashburn, GA 31714

6/19/2015Tarak Patel, MD 66394RN241413Singletary, Decca 14925 1224 Augusta West Parkway Augusta, GA 30909

10/16/2016Pratik Mehta, MD 67684RN152508Singleton, Kimberly 16468 1000 Medical Center Blvd Lawrenceville, GA 30046

6/6/2016Shannon Pitman, MD 60550RN123413Singleton, Sandy Lynn Anderso 16982 822 Industrial Blvd Ellijay, GA 30540

2/21/2009William Asbury, MD 52139RN109487Singleton, Cynthia Lynn 7758 775 West Avenue, Suite A Cartersville, GA 30120

7/30/2015Anil Yadav, MD 53898RN123413Singleton, Sandy Lynn Anderso 13850 51 Gordon Rd, Suite 201 Jasper, GA 30143

10/15/2015John Reed, MD 35506RN152508Singleton, Kimberly Lynn 12284 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

4/1/2018Bryant Wilson 29824RN152508Singleton, Kimberly 41829 1968 Peachtree Road NW Atlanta, GA 30309

7/1/2018William Liday II 49859RN126938Singleton, Natalie 41985 5669 Peachtree Dunwoody Rd Suite 240 Atlanta, GA 30342

2/28/2020James Brown 21652RN152508Singleton, Kimberly 43001 11973 Augusta Road Lavonia, GA 30553

3/11/2020Holly Coleman 46837RN126938Singleton, Natalie 43114 440 Washington St SE Gainesville, GA 30501

11/30/2010Joseph Biuso, MD 28726RN091620Singleton, Judy Fay Keener 8904 330 Turner McCall Blvd Rome, GA 30165

1/31/2013Albert Lintel, MD 28595RN109487Singleton, Cynthia Lynn 8844 775 West Ave, Suite A Cartersville, GA 30120

7/1/2011Dmitriy Pelishev, DO 62154RN169712Singleton, Leslie Anne 8791 65 Old Jackson Rd McDonough, GA 30252

6/8/2020James Collins, Jr, MD 29833RN091620Singleton, Judy Fay Keener 2731 330 Turner McCall Blvd, Ste 101 Rome, GA 30165

Monday, August 1, 2022 Page 392 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2010Jay Thomas, MD 47997RN091620Singleton, Judy Fay Keener 9575 5764 New Calhoun Hwy NE Shannon, GA 30172

1/17/2020Shayla Curtis 80185RN216086Singley, Brittany 46636 613 S. Grant Street Fitzgerald, GA 31750

12/31/2021Richard Stevens 56227RN216086Singley, Brittany 55781 902 N. 7th Street Cordele, GA 31015

12/30/2021Alford Brady 40616RN098278Sinnott, Anita 51914 2209 Pineview Drive Valdosta, G 31602

10/29/2020James Harrell 26782RN098278Sinnott, Anita 44940 3120 North Oak Street Extension Suite C Valdosta, GA 31602

5/1/2020Alford Brady, MD 40616RN098278Sinnott, Anita D. 20803 2209 Pineview Dr. Valdosta, GA 31602

12/8/2016Rachel Velez, DO 39500RN098278Sinnott, Anita D. 16763 2209 Pineview Dr. Valdosta, GA 31602

9/23/2021Raulnina Uzzle, MD 43499RN252571Sipe, Martha 17423 5582 memorial Dr. Stone Mountain, GA 30083

11/28/2021Kris Simmons 57248RN230875Sipple, Elizabeth McKenzie 40679 3885 Mundy Mill Rd. Oakwood, GA 30566

5/23/2020Evelyn Johnson 56182RN219626Sirmans, Whitney 45808 23 W Martin Luther King Blvd McRae, GA 30155

8/1/2018Stephen Fleming 63325RN274159Sisco, Jennifer 41830 55 Carlton Street Athens, GA 30602

2/22/2015Murphey, James MD 64161RN144549Sisk, Carrie 10342 2578 Helen Hwy Cleveland, GA 30528

5/9/2014Thomas Mullin, MD 39882RN185647Sissom, Kasey Nicole 12062 126 Sequoyan Trail Ringgold, GA 30736

9/1/2018John Gerguis, MD 47085RN185647Sissom, Kasey Nicole 19382 6203 Alabama Highway Ringgold, GA 30736

9/16/2016Thomas Murray, MD 23194RN102486Sisson, April Buffington 2734 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

2/28/2019Igwebuike Onyekaba 39650RN225930Sith, Somaly 42840 3375 Memorial Dr Decatur, GA 30032

7/7/2020Christopher Bovinet 71471RN232844Sizemore, Robert 49463 1111 Glynco Pkwy Suite 300 Brunswick, GA 31525

9/30/2021Thomas Danello 20093RN232844Sizemore III, Robert 54665 780 East Olgethrope Highway Hinesville, GA 31313

11/15/2019Ilene Grossman 51089RN216471Skelley, Megan 43200 487 Winn Way Suiye 202 Decatur, GA 30030

2/1/2022Todo Lucas 73022RN253791Skinner, Serena 41831 664 Scranter Rd Suite 101 Brunswick, GA 31525

10/25/2021Omari Hodge 70459RN203301Skinner, Jennifer 49415 51 Market Square Rd Suite G Newnan, GA 30265

4/12/2019James Greene, MD 29657RN253791Skinner, Serena 39562 1015 Arthur J Moore Dr. St. Simons Island, GA 31522

8/24/2018Himanshu Mukesh Patel, MD

58116RN132746Skinner, Robbie Leah 41419 504 Redmond Road Rome, Ga 30165

5/18/2020Gregory Phelps 34042RN132746Skinner, Robbie 48722 121 Battlefield Crossing Fort Olgethrope, GA 30742

10/5/2020James Rogan, MD 37662RN207615Skipper, Dalton James 41454 415 Airport Rd. Griffin, Ga 30224

Monday, August 1, 2022 Page 393 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/30/2020Kenneth Genova 36977RN280908Sky, Stephanie 44602 20 Hernell Road Villa Rica, GA 30180

4/17/2019Joseph Foust 52930RN227754Slack, Kailyn 43115 1205 Russell Parkway Warner Robins, GA 31088

7/1/2014Bernard Maria, MD 62741RN149527Slagle, Kathleen 10518 1440 Harpo Street Augusta, GA 30912

3/3/2020Terence Frinks 51042RN279101Slatton, James 45579 1626 Jeurgens Court Norcross, GA 30093

3/3/2020Bradley Ward 21115RN279101Slatton, James 46163 1626 Jeurgens Court Norcross, Ga 30093

3/3/2020Sylvanus Fiakpornoo 60453RN279101Slatton, James 46048 1626 Jeurgens Court Norcross, GA 30093

3/3/2020Mark Lipham 19173RN219055Slatton, Kimberly 42782 921 Old Newnan Rd Carrollton, GA 30166

3/3/2020Terence Frinks 51042RN219055Slatton, Kimberly 42780 7290 Lester Rd Building P Union City, GA 30291

3/3/2020Zia Khan 62533RN219055Slatton, Kimberly 42770 99 Hill Haven Road Greenville, GA 30222

4/19/2019Lloyd J Rimer, MD 30665RN219055Slatton, Kimberly Dawn 42492 1067 Battlefield Pkwy Fort Ogelthorpe, GA 30742

3/3/2020Bradley L Ward, MD 21115RN219055Slatton, Kimberly Dawn 42493 2 Three Miles Road Rome, GA 30165

3/3/2020Ramesh Reddy 35982RN219055Slatton, Kimberly 44022 7300 Lester Road Union City, GA 30291

3/3/2020Mark Lipham 19173RN279101Slatton, James 46790 1626 Jeurgens Court Norcross, GA 30093

3/3/2020Zia Khan 62533RN279101Slatton, James 46791 1626 Jeurgens Court Norcross, GA 30093

3/16/2020Jonathan Busbee 40336RN 279101Slatton, James 46792 1626 Jeurgens Court Norcross, GA 30093

3/3/2020Ramesh Reddy 35982RN279101Slatton, James 46793 1626 Jeurgens Court Norcross, GA 30093

10/21/2021James Hamilton Jr 29179RN29179Slatton, Kimberly 46794 1626 Jeurgens Court Norcross, GA 30093

7/1/2022Ann Ward 23242RN279101Slatton, James 51166 1626 Jeurgens Court Norcross, GA 30093

7/1/2022Ann Ward 23242RN279101Slatton, James 51169 1626 Jeurgens Court Norcross, GA 30093

3/16/2020Jonathan Busbee 40336RN219055Slatton 42788 99 Hill Haven Road Greenville, GA 30222

2/26/2022Wanda Guy-Craft, MD 64224RN107276Slaughter, Traci Lynn 20654 378 Market Place Pkwy. Dawsonville, GA 30534

4/6/2017Jay Floyd, MD 73914RN051489Slay Chipp, Cathy 17424 2211 Bartow St. Brunswick, GA 31520

1/1/2022Olugbenga Awe, MD 48329RN051489Slay-Chipp, Cathy Elizabeth 546 242 South Coastal Hwy 17 Brunswick, GA 31320

10/29/2021Ludy Lukose 70217RN224391Small, Jacqueline 46795 407 Maple St Suite 101 Cumming, GA 30040

4/8/2020Mark Wood 22668RN22668Small, Charlene 46164 701 N. Slappy Blvd Albany, Ga 31701

10/1/2014Kim Jelks, MD 29123RN199065Small, Amanda Leigh 12237 51 Gay Connector Greenville, GA 30222

Monday, August 1, 2022 Page 394 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/6/2014Milaniera Latorre, MD 38032RN199065Small, Amanda Leigh 14106 643 Main Street Palmetto, GA 30268

1/21/2013Burke, Charles MD 58876RN199065Small, Amanda 10826 1008 North 3rd Avenue Chatswworth, GA 30705

12/1/2014Joseph DeVeau, MD 52706RN199065Small, Amanda 11111 101 Yorktown Dr., Ste 110 Fayetteville, GA 30214

9/10/2020Terri McFadden, MD 32110RN060906Smikle, Gloria V 2744 35 Jesse Hill Jr Dr Atlanta, GA 30303

10/31/2014Michael Lindsay, MD 27602RN103800Smillie, Anna Katharine 8141 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303

1/1/2008Micheal Gardner, MD 56710RN103800Smillie, Anna Katharine 5516 69 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

11/15/2013Marvyn Cohen, MD 11213RN128471Smith, Tara Newman 7807 500 18th St, Suite B-20 Columbus, GA 31901

12/25/2012Meena Shah, MD 21464RN192533Smith, Marjorie Jordan 9217 475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

7/31/2017Freeman Montaque, MD 28123RN142462Smith, Lorna Murrine 14259 1510 Milstead Ave NE Conyers, GA 30012-8030

4/29/2013Farid Qazi, MD 35737RN195210Smith, Cassie H. 11142 207 Fairview Park Dr. Dublin, GA 31021

5/31/2020Candice Wallace, MD 30918RN135643Smith, Kimberly Marie Montroy 7823 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

12/31/2016Anthony J. Marchetti, MD 31471RN113417Smith, Daniel J. 11196 801 W. Goram St. Thomaston, GA 30286

4/20/2012Peter Allotey, MD 45693RN157400Smith, Kristine Marie 9693 2660 Montpelier Ave Macon, GA 31204

5/15/2021Donald Nelson, MD 24847RN195210Smith, Cassie Harris 12881 200 Industrial Blvd Dublin, GA 31021

8/1/2013Vicki Morgan, MD 25645RN178265Smith, Mary Elizabeth 9420 980 Hwy 29 South Lawrenceville, GA 30045

9/15/2012Dave Ringer, MD 30368RN059221Smith, Susan Rice 9373 803 South Main St Greensboro, GA 30642

1/6/2013Pablo Balboa-Marciack, MD 55409RN102046Smith, Jennifer Martinez 9481 100 Hospital Court Calhoun, GA 30701

7/13/2015Jeffrey Haller, MD 55826RN051699Smith, Nancy Willis 12744 104 Prominence Point Pkwy, Suite 104 Canton, GA 30114

2/5/2016Chloe Armstead, DO 70699RN128471Smith, Tara Newman 12733 500 18th St, Suite B-20 Columbus, GA 31901

8/3/2012Addington, Tony MD 52526RN060915Smith, Lynne 10863 39 Kent Road, Ste 5 Tifton, GA 31794

4/29/2016Frank Mott, MD 70674RN208981Smith, Brittany Frankhouser 14104 1411 Laney Walker Blvd, AN-2206 Augusta, GA 30912

4/1/2018Eddie Richardson, MD 52047RN113417Smith, Daniel Joe 12326 105 Harmony Crossing, Suite 3 Eatonton, GA 31024

12/31/2014Salvador Ramos-Camacho, MD

69937RN045397Smith, Rebecca 12383 298 US Hwy 520 Cusseta, GA 31805

7/11/2020Whitney Feinberg, MD 42100RN089788Smith, Allison 14422 3795 Mansell Rd Alpharelta, GA 30022

6/26/2015Dauda Griffin, MD 57468RN057008Smith, Janet Lynn Campbell 13968 934 Briarcliff Rd, NE Atlanta, GA 30306

Monday, August 1, 2022 Page 395 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/16/2010Gloria Kayfan, DO 48431RN113417Smith, Daniel Joe 9059 PO Box 1908 Albany, GA 31701

3/1/2016Andrea Hill, MD 51332RN145936Smith, Melissa Ann 14546 517 Great Oaks Dr, Ste 103 Monroe, GA 30655

2/28/2022Debra Johnson-Jordan, MD 32592RN233567Smith, Fitima 14538 2739 Felton Dr East Point, GA 30344

6/1/2011William Early, MD 20694RN051699Smith, Nancy Willis 9141 320 Hospital Road Canton, GA 30114

9/6/2011John Souza, MD 39475RN124380Smith, James Craig 9153 PO Box 16100 Dublin, GA 31040

6/11/2012Paul Bradley, MD 30016RN160488Smith, Kristina Marie 9089 315 Eisenhower Drive Savannah, GA 31406

9/1/2011Douglas LaSuer, MD 61474RN038139Smith, Wanda Gail Hollis 9069 105 E. Tollison St Baxley, GA 31513

2/4/2014Johnson, Miles MD 38817RN172144Smith, Chrystal Dawn 10637 3001 S. Cobb Dr #103 Smyrna, GA 30080

5/10/2012Martin, Garland MD 47233RN038139Smith, Wanda 10657 23 Tippins Street Baxley, GA 31513

10/31/2014Mendez, Traceyan MD 57831RN081837Smith, Kathryn 10652 215 North Coleman Street Swainsboro, GA 30401

9/30/2013Palmer, George MD 30658RN188916Smith, Jessica 10712 1012 Bermuda Run Road Statesboro, GA 30458

2/28/2022Brian DeLoach, MD 51216RN118154Smith, Beverly Blige 12153 984 Plant Drive Statesboro, GA 30460

6/15/2013Charles-Pryce, Pamella MD 58155RN057008Smith, Janet 10469 2800 Overlook Pkwy Atlanta, GA 30339

6/1/2017Jennifer Gould, MD 33974RN057008Smith, Janet Lynn 14677 690 Courtenay Dr N E Atlanta, GA 30306

10/12/2017Ann Eggert, MD 28972RN234034Smith, Holly 16104 12 Eastbrook Bend Peachtree City, GA 30269

9/14/2015Micheal Nulph, MD 57735RN156452Smith, Nicole 16096 1027 Highway 247 South Kathleen, GA 31047

10/27/2020Debora Quigley, MD 36601RN181932Smith, Deborah Jean 19995 The Clinic at Walmart 2257 Hwy 515 Blairsville, GA 30512

2/22/2018Wyatt Blake, MD 47702RN162121Smith, David Andrew 21182 4421 Carnes Street Acworth, GA 30101

3/29/2021Drisde Cruz Martinez, MD 75044RN157950Smith, Leslie Tuttle 21255 220 Alston Street Richland, GA 31825

4/1/2019Sudhakar Jonnalagadda, MD 41589RN136145Smith, Farah Melissa Leverette 17746 300 Shirley Ave. Douglas, GA 31533

2/26/2020Apurva Shah, MD 64742RN188644Smith, Elizabeth E. 21016 1623 Madison Ave. Tifton, GA 31794

8/11/2021Adam Silberman, MD 57008RN057008Smith, Janet Lynn Campbell 20916 690 Courtenay Dr. NE Atlanta, GA 30306

3/1/2017Mohammad Al-Shroof, MD 45158RN222560Smith, Rachel Elizabeth 16363 2054 watson Blvd. Warner Robins, GA 31093

3/1/2021Daryl McCartney, MD 68067RN081837Smith, Kathryn Anne 14866 215 North Coleman St Swainsboro, GA 30401

4/7/2017Santanu Das, MD 42560RN204007Smith, Stephanie Ray 18649 1049 N Houston Rd. Warner Robins, GA 31093

Monday, August 1, 2022 Page 396 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/30/2016Ronald Lewis, MD 39393RN244129Smith, Natalie Nicole 18539 1521 Pope Ave. Augusta, GA 30912

1/27/2020Cameron Nixon, MD 55155RN188644Smith, Elizabeth E 12115 907 E 18th St, Suite 209 Tifton, GA 31794

10/31/2016John Gerguis, MD 47085RN144996Smith, Jennifer Lynn 13615 1203 Brampton Ave Statesboro, GA 30458

5/20/2016Sharad Ghamande, MD 49173RN244129Smith, Natalie Nicole 15068 1120 15th St. Augusta, GA 30912

12/8/2016Rachel Velez, DO 39500RN188644Smith, Elizabeth E. 16764 2209 Pineview Dr. Valdosta, GA 31602

6/30/2014Susan Queen, MD 23496RN237608Smith, Melissa Faye 13417 3000 Schatulga Rd Columbus, GA 31907

8/4/2016Jennifer Evans, MD 69804RN124380Smith, James 16474 151 South Houston Lake Rd, Ste 190 Warner Robins, GA 310

11/20/2020Charles Edenfield, MD 30052RN157256Smith, Jennifer Lynn 14990 623 South Houston Lake Rd, Ste 200 Warner Robins, GA 310

11/13/2015Richard Rickman, MD 49332RN124380Smith, James Craig 15055 151 South Houston Lake Rd Warner Robins, GA 31088

5/26/2020Sharad Ghamande, MD 49173RN082793Smith, Anne Leslie 14897 1120 15th St Augusta, GA 30912

7/1/2020Michele Mitchell, MD 72154RN124380Smith, James Craig 18357 151 South Houston Lake Rd. ste. 190 Warner Robins, GA 31

3/22/2016Emile Risby, MD 30869RN237608Smith, Melissa Faye 13510 3000 Schatulga Rd Columbus, GA 31907

3/29/2021Reuben Roberts Jr. 17944RN157950Smith, Leslie 46054 360 GA Highway 26 Cusseta, GA 31805

4/17/2020Christiaan Webb 82853RN285420Smith, Valerie 46047 1948 Old Ocilla Road Tifton, GA 31794

10/29/2021Chinmay Patel 78739RN170070Smith, Terri 49537 607 C N Irwin Ave Ocilla, GA 31774

11/20/2020Olugbenga Awe 48329RN248645Smith, Chantalette 49539 514 S. Main Street Suite A Hinesville, GA 31313

2/2/2022Nazia Moiz Younus 76611RN129289Smith, Christa 49551 260 Elm Street Cumming, GA 30040

3/19/2021Thomas Ellington 83379RN293780Smith, Raymond 54390 541 Historic Hwy #441-N Demorest, GA 30535

1/15/2021Onika Popo-James 62759RN162256Smith, Rachel 49302 1631 Hwy 20 W McDonough, GA 30253

7/1/2020William Brooks 63299RN124380Smith, James 49339 3708 Northside Dr Macon, GA 31210

6/1/2021Thomas Hobby 48647RN113417Smith, Daniel 51867 2209 Pineview Drive Valdosta, GA 31602

8/31/2021Jennifer Reeves 77518RN285857Smith, LaSassha 49151 1800 Peachtree St NW Suite 800 Atlanta, GA 30309

7/1/2021Afolabi Tiamiyu 63140RN222560Smith, Rachel 52411 6005 Watson Blvd Suite 100 Byron, GA 31008

11/1/2021Lajide Lawoyin 83612RN239737Smith, Mona 55204 1499 Fair Rd Statesboro, GA 30458

4/1/2021Thomas Williamson 42144RN157256Smith, Jennifer 55305 277 Perry Pkwy Suite C Perry, GA 31069

2/12/2021Nicolas Psomiadis 53022RN285420Smith, Valerie 51597 1948 Old Ocilla Road Tifton, GA 31794

Monday, August 1, 2022 Page 397 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/30/2021David Robertson 27244RN296323Smith, Adam 56239 1800 Howell Mill Road Suite 450 Atlanta, GA 30084

8/1/2021Miles Sharpe 37374RN298954Smith, Russell 56157 976 Killian Hill Rd Suite B Lilburn, GA 30047

10/1/2021Brittany Andry 81860RN192262Smith, Alicia 52863 41 Perimeter Center East Suite 250 Dunwoody, GA 30346

2/19/2021Andrew Magnet 60215RN188644Smith, Elizabeth 53043 633 Stephenson Ave Savannah, GA 30405

4/16/2021David Hollard 42061RN207022Smith, Veronica 43441 10 Park Place South SE 5th Floor Atlanta, GA 30303

11/6/2018Derek Klemm 80289RN129289Smith, Christa 43486 396 Historic Kwy 441 N Demorest, GA 30535

1/28/2022Pablo Balboa-Marciack 55409RN213331Smith, Jason W 41914 100 Hospital Court Calhoun, GA 30701

7/1/2019Kyoung-Soon Kim 39144RN234034Smith, Holly 41834 1770 Dennis Kemp Lane Kennessaw, GA 30152

12/10/2019Chinmay Patel 78739RN089891Smith, Betty 43116 201 N Bartow St Nashville, GA 31639

11/1/2018Ravi Rajavi 59746RN182748Smith, Meghan 43137 80 Jesse Hill Jr Dr Atalnta, GA 30303

3/1/2020Lawrence Reccoppa 69940RN226925Smith, Tyrone 47808 911 Chamber Drive Conyers, GA 30012

7/28/2021Young Chai 79584RN191223Smith, Tamiko 47767 2151 W. Spring St Monroe, GA 30655

8/27/2020Ezad Ahmad 38162RN291922Smith, Victoria 50622 1411 Chattanooga Avenue Suite 101 Dalton, GA 30720

9/11/2020Murdoc Henderson, MD 49616RN128384Smith, Tracy 17409 900 N Wiley Ave Donalsonville, GA 39845

3/30/2020Sylvanus Fiakpornoo, MD 60453RN189368Smith, Latanya 39474 2000 Riverside Pkwy (Suite 107) Lawrenceville, GA 30043

7/30/2019PARVIZ BRAHMAN MD 66576RN170070SMITH, TERRI 39476 1909 US HWY 82 WEST SUITE 5 TIFTON, GA 31793

2/24/2020Nitin Patel, MD 37324RN121421Smith, Julene Dorothy 17316 2209 Pineview Dr. Valdosta, GA 31602

6/2/2020Gregorgy Strauther, MD 70594RN222625Smith, Adam Dee 18965 200 South Enota Drive ste. 150 Gainesville, GA 30501

10/13/2016Angela Gerguis, MD 47261RN156452Smith, Nicole Michelle 18946 360 Hospital Drive bldg. D ste. 130 Macon, GA 31217

9/11/2020Dion Martin, MD 63095RN128384Smith, Tracy 41551 205 Bresee St Donalsonville, Ga 39845

9/11/2020Ryan Shingler, DO 74780RN128384Smith, Tracy 41555 205 Bresee Street Donalsonville, Ga 39845

4/18/2019Erik Pauk, MD 62271RN113417Smith, Daniel Joe 20503 901 E 18th St. Tifton, GA 31794

12/31/2019Tom Bledsoe, MD 41730RN102046Smith, Jennifer Martinez 20504 407 2nd Ave. Calhoun, GA 30701

7/1/2020Jennifer Evans, MD 69804RN124380Smith, James Craig 41194 151 S Houston Lake Rd Suite 190 Warner Robina, Ga 31088

9/5/2019STEVEN SPIVEY MD 50737RN230943SMITH, VALERIE BRADEN 39762 150 GENTILLY BLVD CARTERSVILLE, GA 30120

12/31/2019Carlos Zayas-Montalvo, MD 36668RN244129Smith, Natalie Nicole 19022 1120 15th St. Augusta, GA 30912

Monday, August 1, 2022 Page 398 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2017Tyra Harris, MD 61249RN189368Smith, LaTanya R 19097 9465 Hwy 5 Douglasville, GA 30135

5/27/2020Ambreen Mardhani, MD 75722RN051699Smith, Nancy Willis 19147 104 Prominence Point Pkwy. Ste. 104 Canton, GA 30114

3/26/2019Richard Antonio, MD 74176RN183730Smith, Margena 16081 484 Irvin Court Decatur, GA 30030

9/29/2021Leonidas Panagiotakopoulos, MD

67712RN240187Smith, Erica Marie 17570 2015 Uppergate Dr Atlanta, GA 30322

10/4/2017Joshua Hare, DO 71791RN102046Smith, Jennifer Martinez 17598 1107 Memorial Dr, Ste Dalton, GA 30720

5/31/2018Ram Reddy, MD 24178RN206927Smith, Jesse Andrew 17599 1061 Dowdy Rd, Ste 101 Athens, GA 30606

6/30/2016David A. Morton, MD 48279RN237608Smith, Melissa Faye 17600 3000 Schatulga Rd. Columbus, GA 31907

10/1/2016Eden English, MD 52432RN051699Smith, Nancy 16058 104 Prominence Point Pkwy, Ste 104 Canton, GA 30114

7/30/2019Mark Wilson 69737RN170070Smith, Terri 42784 1401 N. Tift Ave. Suite B Tifton, GA 31794

12/27/2021Dawn Wilson, MD 47279RN199374Smith, Miriam D. 40976 3286 Buckeye Road (Suite 130) Lennox Specialty Atlanta, GA

1/24/2020Jill G. Pottinger, MD 42601RN213331Smith, Jason Wayne 41009 1035 Red Bud Rd. NE Calhoun, GA 30701

5/31/2018Asha Nayak, MD 52363RN208981Smith, Brittany Frankhouser 39148 1411 Laney Walker Blvd Augusta, GA 30912

12/11/2019SHANNON BARTON MD 48843RN162256SMITH, RACHEL 40501 545 VENTURE COURT MONTICELLO, GA 48843

7/8/2008Sambasivam Suthan, MD 59773RN113417Smith, Daniel Joe 8122 502-G South Lee Street Americus, GA 31709

7/1/2020Jeffrey Easom, DO 54269RN124380Smith, James Craig 8115 3051 Watson Blvd Warner Robins, GA 31093

7/1/2020Paul Jarrett, MD 23069RN124380Smith, James Craig 8116 3051 Watson Blvd Warner Robins, GA 31093

11/30/2011Andre McShan, MD 54869RN057008Smith, Janet Lynn Campbell 9627 5 Barber Industrial Court Villa Rica, GA 30180

9/30/2016Dan Ioanitescu, MD 51476RN184094Smith, Jamie A. 11442 940 GA Hwy 96 Warner Robins, GA 31088

1/20/2015Rhonda E. Colombo, MD 54985RN082793Smith, Anne L. 11448 1120 15th St. Augusta, GA 30912

4/29/2021Jeffrey Grossman, MD 46109RN150223Smith, Allison Leigh 2746 5555 Peachtree Dunwoody Rd, Suite G99 Atlanta, GA 30342

3/20/2013Hubert Smith, MD 18745RN118154Smith, Beverly Blige 2750 412 Northside Dr East, Suite 200 Statesboro, GA 30458

11/28/2007Wayne Williams, MD 25070RN113417Smith, Daniel Joe 2756 616 19th Street Columbus, GA 31901

8/1/2016Debora Quigley, MD 36601RN181932Smith, Deborah Jean 2757 178 Hospital Cir Blairsville, GA 30512

9/24/2015Umbreen Lodi, MD 45284RN115453Smith, Ellen Gray 2759 82 Jesse Hill Drive Atlanta, GA 30303

2/25/2011Derrick Phillips, DO 29514RN124380Smith, James Craig 2763 3051 Watson Blvd Warner Robins, GA 31093

Monday, August 1, 2022 Page 399 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/17/2009Shameka McElhaney, MD 54854RN057008Smith, Janet Lynn Campbell 2764 5230 Dallas Hwy SW Powder Springs, GA 30127

10/31/2011Muhammad Jamal, MD 58255RN081837Smith, Kathryn Anne Edenfield 2769 154 S. Leroy Street Metter, GA 30439

4/28/2008Clyde Cranville Simmons, MD

17301RN060915Smith, Lynne D. 2771 907 E. 18th Street Tifton, GA 31794

1/16/2010Asit Jha, MD 55248RN133916Smith, Mary Katherine 2773 1706 Alice Street Waycross, GA 31501

1/24/2014Nandara R. Reddy, MD 55641RN192533Smith, Marjorie Jordan 11560 4415 Front Nine Dr., #700 Cumming, GA 30041

8/15/2014Curtis Sorensen, MD 39947RN154964Smith, Julie Ann 9839 100 Brookstone Center Pkwy Columbus, GA 31904

2/6/2015Eugene Jackson, MD 22793RN124380Smith, James Craig 9714 151 S. Houston Lake Rd, Suite 190 Warner Robins, GA 31088

7/31/2019Alison Wright 4607RN219331Smith, Jessica 46797 1025 N. Houston Rd Warner Robins, GA 31093

4/17/2020Christiann Webb 82853RN093803Smith, Eva 46614 221 Shirley Ave Douglas, GA 31533

10/8/2020Ogechi Mbakwe 8922RN239737Smith, Mona 46616 6 Lester Rd Statesboro, GA 30458

6/8/2012Clyde Granville Simmons, MD

17301RN060915Smith, Lynne D. 8676 907 East 18th St, Suite 400 Tifton, GA 31794

11/1/2021Martin Johnson 49301RN210805Smith, Natacha 48188 245 Country Club Drive Suite 300 B Stockbridge, GA 30281

3/30/2021Rajan Kapoor 69299RN244129Smith, Natalie 48502 1120 15th Street Suite BA9413 Augusta, GA 30912

4/1/2022Iyad Houshan 84611RN248645Smith, Chantalette 60153 1155 Perimeter center West, 11th floor Atlanta, GA 30338

2/21/2022Ravi Mallavarapu 61484RN244129Smith, Natlie 58401 1120 15th Street Suite AD3401 Augusta, GA 30912

6/27/2022Marly Dows-Martinez 71956RN057008Smith, Janet 58921 2041 Mesa Valley Way Suite 100 Austell, GA 30106

11/27/2015Quyen Luu, MD 25216RN154107Smith, Amanda Kelley 8782 639 Hemlock St, Suite 200 Macon, GA 31201

1/31/2011Jan Mayfield, MD 51355RN057008Smith, Janet Lynn Campbell 8757 49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157

4/8/2010John Demicco, MD 16855RN160488Smith, Kristina Marie 8512 11700 Mercy Blvd, Plaza D, #1-A Savannah, GA 31419

9/16/2014T. Dennis Sullivan, MD 15512RN089788Smith, Allison Bernice Reeves 8571 3795 Mansell Road Alpharetta, GA 30022

7/31/2013Rajeshkumar Miniyar, MD 51597RN192262Smith, Alicia Louise 8639 140 Three Rivers Drive Rome, GA 30161

9/14/2009Larisa Bradford, MD 57050RN102046Smith, Jennifer Martinez 8242 906 South Wall Street Calhoun, GA 30701

3/28/2009Fred Hood, MD 45071RN192533Smith, Marjorie Jordan 8256 65 Old Jackson Rd McDonough, GA 30252

6/15/2009Shawn West, MD 52495RN060915Smith, Lynne Elise DeBelly 8218 907 E. 18th Street, Ssuite 400 Tifton, GA 31794

4/20/2012Maruyama, Hiromi MD 60744RN081837Smith, Kathryn 10286 222 S. Main Street Reidsville, GA 30453

Monday, August 1, 2022 Page 400 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/22/2015Grizzard, Stewart MD 43947RN156452Smith, Nicole 10269 136 w. Dykes Street Cochran, GA 31014

11/5/2015Benjamin Andrews, MD 31867RN113417Smith, Daniel Joe 8191 100 Wheatley Drive Americus, GA 31709

8/15/2008Michael Fortson, MD 35051RN192533Smith, Marjorie Jordan 8192 1058 Bear Creek Blvd Hampton, GA 30228

9/10/2013Rhodes, Melissa MD 47060RN051699Smith, Nancy 10096 21 Pointe North Drive Cartersville, GA 30120

1/24/2012Martin, Garland MD 47233RN188916Smith, Jessica 10044 23 Tippins Street Baxley, GA 31513

1/12/2011Beverly Hyacinth, MD 57003RN156014Smith, Amy Denise Ellsworth 892 2670 Cobb Pkwy SE Smyrna, GA 30080

4/21/2015Ambrous Findley, Jr., DO 28267RN117533Smith, Patricia Lynn 2777 331 Ridgecrest Cr. Clayton, GA 30525

11/30/2017Kevin Kurey, MD 45862RN162256Smith, Rachel Stallings 2778 101 Regency Park Dr, Suite 130 McDonough, GA 30253

11/21/2018Terry Hansen, MD 47330RN063641Smith, Tina Carita 2787 184-A Professional Dr Baldwin, GA 30511

6/30/2008Evelyn Johnson, MD 56182RN038139Smith, Wanda Gail Hollis 2788 105 E. Tollison St. Baxley, GA 31513

6/11/2021Jerry McLane 81123RN262316Smith, Jr., William 53196 15151 Alcovy Rd Covington, GA 30014

1/13/2021Gary Bernstein 30269RN193197Smith-Bowles, Marilynn 47866 600 Celebrate Life Parkway Newnan, GA 30265

5/17/2021Tawanna Strauther 74106RN230288Smith-Mortez, Tonya 49059 3820 Mundy Mill Rd Bldg23 Oakwood, GA 30566

4/10/2021Todd Hold 46126RN206506Smith-Vaughn, Melissa 54383 2510 Redmond Cir NW Rome, GA 30165

10/31/2012Marshall, John MD 45877RN206506Smith-Vaughn, Melissa 10517 1200 Memorial Drive Emer Dept Dalton, GA 30720

8/18/2012Perlaky, Steven MD 41639RN206506Smith-Vaughn, Melissa 10169 100 Gross Crescent Circle Ft. Oglethorpe, GA 30742

10/31/2012Roger Brooksbank, MD 68120RN206506Smith-Vaughn, Melissa 11275 501 Redmond Road Rome, GA 30165

11/12/2021Ronald Goldberg 20433RN060923Smoak, Diane 55828 225 Candler Drive Suite 300 Savannah, GA 31405

11/14/2020Reuben Roberts Jr. 17944RN169989Smock, Mary 42639 148 E. Peacock Street Cochran, GA 31014

5/3/2017Tanya Jones, MD 28017RN155696Snead, Keshana 17413 116 S Smith St Tennille, GA 31089

11/8/2015Boyd, Ronald MD 9438RN155696Snead, Keshana 10215 Blandy Way Office Park 60, Hwy 22 W Milledgeville, GA 310

3/11/2015Kavtaradze, David MD 51148RN169913Sneed, Holly 10955 1008 7th Street North Cordele, GA 31015

8/22/2019Chester Lapeza, MD 44263RN169913Sneed, Holly 18663 712 North 7th Street Cordele, GA 31015

6/19/2013Julia Wilson, MD 56787RN073598Snider, Teresa Gale Oldham 9046 3740 Cascade Rd Atlanta, GA 30331

7/31/2017Gail Matthews, MD 52182RN145774Snider, Teresa Gale Oldham 17366 1855 Hudson Bridge Rd Stockbridge, GA 30281

1/28/2022Thomas Gary 60264RN290068Snider, Rebecca 46984 346 Deep South Farm Rd Suite A Blairsville, GA 30512

Monday, August 1, 2022 Page 401 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/26/2009Jonathan Parrott, MD 36246RN133811Snow, Kimberly Sheree Tucker 8285 2501 N Patterson Street Valdosta, GA 31602

3/21/2009Daniel J. Messcher, MD 48443RN133811Snow, Kimberly Sheree Tucker 2797 Fairburn Stud Hlth Ctr/North Oak Street Valdosta, GA 31698

11/1/2015Edwin Hiatt, MD 12920RN133811Snow, Kimberly Sheree Tucker 8629 200 Georgia Ave Valdosta, GA 31698

7/2/2021Daniel Broderick 74476RN223958Snow, Whitney 54112 1300 Ridenour Blvd Suite 300 Kennesaw, GA 30152

5/31/2018RICHARD RICKMAN MD 49332RN133811SNOW, KIMBERLY SHEREE 40460 200 GEORGIA AVE VALDOSTA, GA 31698

5/18/2018Richard Rickman, MD 49332RN133811Snow, Kimberly Sheree Tucker 16807 200 Georgia Ave Valdosta, GA 31698

2/3/2017Sheryl Canady, MD 50999RN123873Snowden, Viva LaShawn 19325 564 Crosstown Dr. Peachtree City, GA 30269

11/12/2010David Warren, MD 32492RN124381Snuggs, Barbora Cerny 5350 150 Gentilly Blvd Cartersville, GA 30120

6/28/2015Paul Johnson, MD 46132RN127019Snyder, Ann Marie McGuire 2798 PO Box 422002 Atlanta, GA 30342

8/30/2010Andre Lewis, MD 40457RN191842Snyder, Tomoko 9146 511 Masters Circle Dublin, GA 31021

9/10/2021Christopher Hagenstad, MD 52738RN069952Snyder, Cynthia Tucker 12372 631 Professional Dr, Suite 450 Lawrenceville, GA 30046

1/13/2012Michael Duke, MD 42041RN191842Snyder, Tomoko 9476 120 Barnet Dr Milledgeville, GA 31061

9/25/2014Janice Galleshaw, MD 33906RN138753Sobolik, Kim Elise Wakely 2801 3330 Preston Ridge Rd, Suite 110 Alpharetta, GA 30005

7/25/2011Valens Plummer, MD 49496RN111832Soehnlein, Regina Louise 7761 7530 Roswell Rd Atlanta, GA 30350

5/9/2019Eduard Docu, MD 56426RN245496Solana, Nancy Nelson 40954 1302 Drayton Street Savannah, GA 31401

5/9/2019Lawrence Zottoli, MD 36639RN245496Solana, Nancy Nelson 40769 4704 Augusta Road Garden City, GA 31408

5/22/2019Peter Wrobel 40285RN186048Solen, James 43201 632 FernCrest Drive Sandersville, GA 31082

11/18/2016Jorge Pisarello, MD 58914RN115875Soles, Stanley Ferrell 13699 1120 W. Broad Ave, Suite B-4 Albany, GA 31705

5/31/2017Paresh Thanki, MD 55344RN115873Soles, Stanley Ferrell 19929 706 North Parrish Ave. Adel, GA 31620

1/11/2018Charles Cowart, MD 29161RN089481Solomon, Cheryl 16542 205 Shirley Ave Douglas, GA 31533

9/1/2019Manishkumar R Joshi 56628RN206813Solomon, Christopher 40427 2336 Dawson Rd Albany, GA 31707

5/19/2021Temitope Oluwatosin Olarewaju

78091RN160371Solomon, Keneyana 40382 425 3es Ave Suite 105 Albany, GA 31701

12/16/2020Chadburn Ray 54927RN243031Solomon, Shariah 47161 950 Laney Walker Blvd Augusta, GA 30901

5/28/2021Chinmay Patel 78739RN089481Solomon, Cheryl 44431 15 S Railroad St Lenox, GA 31637

2/7/2018Peggy Bergrab 64330RN160371Solomon, Keneyana 40751 425 3rd AVE Suite 105 Albany, GA 31701

Monday, August 1, 2022 Page 402 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/23/2018Grady Thompson, MD 32315RN206813Solomon, Christopher George 38939 2336 Dawson Rd. Albany, GA 31707

3/1/2018JAMES SINCLAIR MD 36457RN089481SOLOMON, CHERYL 39477 306 WESTSIDE DR DOUGLAS, GA 31533

1/31/2012Mecca, Andrew MD 36574RN215505Soltwisch, Meagan 10097 5612 Whitesville Road Columbus, GA 31904

3/15/2019Thomas M. Pantino, MD 38904RN080808Sommers, Tanya C. 11294 3795 Mnsell Rd. Alpharetta, GA 30022

2/1/2013Stetler, Harrison MD 41681RN080808Sommers, Tanya 10790 3957 Holcomb Bridge Rd Ste 100 Norcross, GA 30092

5/19/2015Donald Evans, MD 9810RN176209Sone, Gladys Epote 13135 78 Opal St Cartersville, GA 30120

9/6/2013Gaston Moran-Celayes, MD 64675RN063963Songer, Betty Jo 11937 618 East Lamar St Americus, GA 31709

6/1/2021Michael Raines 35979RN063963Songer, Betty 43202 107 Main Street Plain, GA 31780

7/31/2011B. Bret Law, MD 46879RN063963Songer, Betty Jo 2804 131 E. 6th Ave Buena Vista, GA 31803

9/26/2018Joseph Poku, MD 52807RN169032Sonia, Evans 40990 639 Hemlock St Suite 100 Macon, GA 31201

5/1/2022Bounthavy Homsombath 68031RN189254Sonnenberg, Shelia 46985 3675 J Dewey Gray Circle Augusta, GA 30909

7/1/2022Joshua Wilburn 77594RN198316Sons, Kristi 53234 25 West Lyon St Tallapoosa, GA 30176

6/29/2015Christopher Atkins, MD 45708RN183659Sorace, Breanna Leigh 12635 1266 Hwy 515 South, Emer Dept Jasper, GA 30143

4/5/2016David L. Dickensheets, MD 45769RN183659Sorace, Breanna L. 11367 1100 Northside Forsyth Dr., Ste 250 Cumming, GA 30041

9/20/2014Sendhil Subramanian, MD 49107RN218352Sorapuru, Anjenette 13827 1000 Johnson Ferry Rd Ste B155 Marietta, GA 30068

4/26/2018Dawn Wilson 47279RN218352Sorapuru, Anjenette 41734 545 Old Norcross Rd Suite 300B Lawrenceville, GA 30046

4/26/2018Fitzclarence Harper 36773RN218352Sorapuru, Anjenette 41833 2133 Hwy 317 Suite 12-345 Suwanee, GA 30024

6/30/2021Brian Chadwick 43575RN218133Soriano Sr., Dino Vincent 14 1123 E Derenne Ave. Savannah, GA 31406

3/11/2021Chadwick Gaddis 71233RN225994Sorto, Lucy 54555 563 Mountian City Road Clayton, GA 30525

1/21/2019John Hoyt 80523RN185664Sostre, Angel 44026 1200 Memorial Drive Dalton, GA 30720

2/17/2022Baljinder Kaur Mudahar 54321RN124958Sostre, Maria 57064 5885 Glenridge Dr. Suite 100 Atlanta, GA 30328

8/24/2012Jacob Varghese, MD 56933RN124958Sostre, Maria Rosa 8391 3003 Old Alabama Road Alpharetta, GA 30022

12/31/2015Henry Lewis, MD 49052RN203226Southerland, Shanita 15645 774 GA Hwy 96 Bonaire, GA 31005

6/3/2016Guilda Saint Fleur, MD 69627RN203226Southerland, Shanita Lahoma 17044 774 GA Hwy 96 Bonaire, GA 31005

2/28/2022Bamidele Adeyemo 69744RN232187Sowole, Racheal 45970 303 Parkway Dr. NE Atlanta, Ga 30312

8/19/2021Gariett Bennett 51784RN264717Spargo, Jennifer 58178 209 N Cuthert Street Colquitt, GA 39837

Monday, August 1, 2022 Page 403 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/12/2021Timothy Osborne 68085RN107315Sparks, Tony 45360 1 Meadows Pkwy Vidalia, GA 30474

2/16/2021Ray Bennett, MD 56526RN151090Sparks, Jeannie Lynn 16986 215 Willowbend Rd Peachtree City, GA 30269

4/30/2019David Hatmaker, MD 26300RN107315Sparks, Tony Lewis 13543 One Meadows Parkwy, Emer Dept Vidalia, GA 30474

8/24/2014Oller, Carlo MD 65719RN107305Sparks, Tony 10465 960 Joe Frank Harris Pkwy Cartersville, GA 30120

10/4/2007Michael Gervasi, DO 44923RN065096Sparti, Frances Lillian 2811 75 Bypass Road, Box 540 Morganton, GA 30560

12/7/2020Todd Hold, MD 46126RN096054Spaulding, Micah 15524 1035 Redbud Rd Calhoun, GA 30701

2/12/2016Mae Morgan, MD 22902RN088491Spearman, Pamela 15656 424 Decatur St SE Atlanta, GA 30312

12/12/2015G W Garriss, III, MD 51134RN154322Spearman, Amy Louise 12368 3939 Roswell Rd, Suite 200 Marietta, GA 30062

9/30/2009Kevin F. Smith, MD 41961RN154322Spearman, Amy Louise Erickson 2814 1000 Chastain Rd., Hse 52, #5200 Kennesaw, GA 30144

7/31/2012Kathleen Gunchick, MD 28760RN154322Spearman, Amy Louise Erickson 8945 1000 Chastain Rd, House 52, #5200 Kennesaw, GA 30144

4/30/2021Jeffrey Alvarez 84020RN283274Spears, Andrew 51074 901 Rice Street NW Atlanta, GA 30318

7/22/2020Lee D Jacobs, MD 28283RN149635Spector, Dara Leigh 42427 111 Mountain Brook Drive Canton, GA 30115

9/2/2015Randolph Sumner, MD 28323RN243415Speights, Charlanna 14780 1825 Martha Berry Blvd Rome, GA 30165

9/18/2019Demir Baykal 36643RN145966Spell, Samantha S. 87 766 Waether Rd. Lawrenceville, GA 30046

3/1/2013Gary Minkiewicz, MD 39182RN145966Spell, Samantha Suzanne 2818 200 S. Enota Dr, Suite 200 Gainesville, GA 30501

6/15/2012Patrick Spafford, MD 38971RN139992Spencer, Leigh Winter 2821 5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

11/10/2021Manishkumar Joshi 56628RN159916Spencer, Donica 48696 2336 Dawson Rd Ste 1600 Albany, GA 31707

8/20/2017Janet Memark, MD 64415RN123614Spencer, Ivy 15072 52 Tower Rd Marietta, GA 30060

11/25/2015Mohamed Elhassan, MD 72970RN210299Spencer, Valerie Shani 14912 5398 Thomaston Rd, Ste B Macon, GA 31220

3/15/2021Yogesh Goswami 58597RN234114Spencer, Vincent 42765 311 Gwinnett Drive Lawrenceville, GA 30046

8/1/2018Malini Reddy 76926RN234114Spencer, Vincent 41832 1061 Dowdy Rd Athens, GA 30606

11/27/2018Reuben Roberts Jr 17944RN159916Spencer, Donica 43405 317 East Washington Ave Ashburn, GA 31714

5/31/2014Jonathan Wade, DO 66666RN149993Spikes, Ladonna Lorraine 13243 204 East 15th St Alma, GA 31510

1/15/2017Margaret White, MD 36482RN206076Spince, LaQuanda Tanika 19118 500 Springhouse Circle Stone Mountain, GA 30087

9/30/2008P. Ravi Sarma, MD 18073RN157974Spinks, Katherine Renee 3265 1700 Tree Lane Ste 490 Snellville, GA 30078

8/30/2019James Logan, MD 40465RN131673Spinks, Victoria Sanvidge 2824 1062 Forsyth St, Suite 2C Macon, GA 31201

Monday, August 1, 2022 Page 404 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/5/2014Carmine Oddis, MD 51072RN145338Spires, Kimberly Warren 9267 682 Hemlock St, Suite 490 Macon, GA 31201

4/3/2020Vahan Kassabian 35668RN278076Spiva, Diane 45081 10730 Medlock Bridge Rd Johns Creek, GA 30097

7/10/2018Sung Chang, MD 52693RN163543Spivey, Kristie Michelle 10948 7351 Old Moon Road Columbus, GA 31909

3/9/2017James Sinclair, MD 36457RN138202Spivey, Jennifer Wildes 15275 306 Westside Dr Douglas, GA 31533

4/8/2016Robert Clark Brown, MD 56269RN167104Springman, Courtney Louise 12024 5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

7/31/2013Tamara New, MD 58712RN167104Springman, Courtney 10780 5455 Meridian Mark Road, Ste 400 Atlanta, GA 30342

7/12/2012Paul Kirshbom, MD 51593RN167104Springman, Courtney Louise 8978 1405 Clifton rd Atlanta, GA 30322

8/1/2013Rembert Andrew Williams, MD

28105RN162398Sprout, Amanda Marie 9590 710 Center St, Emer Dept Columbus, GA 31901

8/1/2019Kenneth W Harper, MD 35182RN197686RN182223

Spruill Barton, Tamu Anne 41471 1021 Rosser Street NW Conyers, GA 30012

3/1/2021Tameka Walker-Blake 62448RN182223Spruill-Barton, Tamu 45494 5126 Hospital Dr. NE Covington, Ga 30014

1/1/2018Frini Shah, MD 57489RN106133Sprung, Melanie 14675 2000 Professional Way, Ste 200 Woodstock, GA 30188

9/20/2012Alfred Brannen, MD 30584RN070342Spurr, Melissa Marie 2829 818 St. Sebastian Way Augusta, GA 30901

10/26/2019Peter E Allotey, MD 45693RN231956Ssenjakko, Juliet E 42366 5398 Thomaston Road Macon, GA 31220

9/21/2018Emmett McKenzie 77274RN207751St. John, Amelia 20527 1405 Clifton Road Atlanta, GA 30322

1/30/2017Brian Kogon, MD 53322RN207751St. John, Amelia Anne Marie 18950 1405 Clifton Rd. NE Atlanta, GA 30322

1/3/2022Kirk Kanter 30631RN207751St. John, Amelia 43264 1405 Clifton Road Atlanta, GA 30322

4/14/2021Thomas Williamson 42144RN245234St. John, Brandi 42956 80 West Main Street Butler, GA 31006

10/11/2017Isioma Okwumabua, MD 70256RN241694St. Vil-Joseph, Carline 14099 7530 Roswell Rd Atlanta, GA 30350

4/14/2022Jessica Roberts 63945RN237262Stabler, Suzanne 46801 80 Jesse Hill Dr SE Atlanta, GA 30

4/14/2022David Carlton, MD 28738RN237262Staebler, Suzanne Lynn 14580 80 Jesse Hill Jr Dr Atlanta, GA 30303

10/1/2018Laura Schaefer, MD 55642RN267519Stafford, Andrew Robert 38926 1601 Watson Blvd. Warner Robbins, GA 31093

8/20/2012Timothy Whitaker, MD 54697RN169872Stafford, John David 8482 2855 Old Hwy 5, Suite 109 Blue Ridge, GA 30513

6/6/2022Marga Ngwang 70328RN266890Stage, Monique 60360 2920 Pharr Court S Northwest Atlanta, GA 30305

11/1/2021Sherri Barton 48595RN157147Staines, Lesteena 57255 4425 Memorial Drive Decatur, GA 30032

1/31/2012Cynthia Brown, MD 49876RN117738Staines, Kelly Lochridge 2832 400 Timms Road Calhoun, GA 30701

Monday, August 1, 2022 Page 405 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/1/2020Stephen Dayan, MD 68888RN157147Staines, Lesteena Johana 39041 4425 Memorial Dr. Decatur, GA 30032

1/17/2020Wayne Richey 50910RN117738Staines, Kelly 46524 160 Central Avenue Trion, GA 30753

10/26/2013Phillip Nowlin, MD 36588RN117738Staines, Kelly Lochridge 12339 3384 Peachtree St NE, Suite 700 Atlanta, GA 30326

3/22/2015Allen Beecham, DO 25102RN117738Staines, Kelly Lochridge 14391 2000 Village Professional Dr, Ste 200 Canton, GA 30114

2/12/2015Federico Milla, MD 69356RN146014Stallings, Judith Anna 12829 95 Collier Road Suite 5015 Atlanta, GA 30309

9/18/2015Daniel Holtz, MD 62891RN146014Stallings, Judith 15087 4550 Cobb Parkway N W, Ste 309 B Acworth, GA 30101

11/30/2021Nadia Cameron 53982RN252172Stallings, Sheraon 58805 2033 Buford Hwy Suite 109 Buford, GA 30518

2/27/2022Shereef Girgis 45476RN147939Stallings, Kim 65 550 Redmond Rd. Rome, GA 30165

8/27/2020Jonathan Chen 60811RN223742Stallworth, Shanea 52407 55 Whitcher Street Suite 160 Marietta, GA 30060

6/1/2018Toral Fadia, MD 61424RN127250Stamegna, Lynn Mary 20802 6105 Peachtree Dunwoody Rd. Bldg. F Atlanta, GA 30342

6/2/2017Catharine Wolfe, MD 73672RN127250Stamegna, Lynn Mary 19312 2540 Windy Hill Rd. ste. C Marietta, GA 30067

12/9/2016Christopher Riddell, MD 21796RN127250Stamegna, Lynn Mary 8892 2540 Windy Hill Rd Marietta, GA 30067

2/6/2010James Millen, MD 30834RN113457Stamper, Michael Scott 8718 465 N. Belair Rd, Suite 3-A Evans, GA 30809

9/3/2009Ralph Marionneaux, MD 47621RN113457Stamper, Michael Scott 8082 465 North Belair Road, Suite 1-C Evans, GA 30809

4/5/2010Divina Dyer, MD 57161RN105323Stamps, Tracy Elaine 2835 3740 Cascade Road Atlanta, GA 30331

2/1/2018Parviz Brahman, MD 66576RN228457Stamps, Tonya Denise 21019 1401 South Main Street Moultrie, GA 31768

4/12/2022Muhammad Alam, MD 69167RN228457Stamps, Tonya Denise 18789 3015 Veteran's Parkway South Moultrie, GA 31788

1/13/2021Johnny Bonner 67277RN219738Standard, Brantley 44433 801 W. Gordon Street Thomaston, GA 30286

1/1/2020Alicia Weksler 37924RN229640Standefer, Kimberly 47621 1012 Burleyson Rd Dalton, GA 30720

5/1/2017Jonathan Thompson, MD 52646RN229640Standefer, Kimberly Deneise 20205 1012 Burleyson Rd. Dalton, GA 30720

8/20/2019Bryan Cheever, MD. 34120RN229640Standefer, Kimberly D. 39900 1012 Burleyson Rd. Dlaton, Ga 30720

9/1/2021Phillip Jansen, DO 66956RN229640Standefer, Kimberly Deneise 20723 1012 Burleyson Rd. Dalton, GA 30720

7/28/2021Alejandra Staubs 80399RN229640Standefer, Kimberly 48618 1012 Burleyson Rd Dalton, GA 30720

2/20/2012Larry Appel, MD 58568RN175956Standiford, Christen Faith 9541 4700 Waters Ave Savannah, GA 31404

4/29/2021Ansley Tharpe, MD 66089RN175956Standiford, Christen Faith 38747 519 Stephenson Avenue Savannah, GA 31405

10/31/2015Lawrence Zottoli, MD 36639RN175956Standiford, Christen Faith 13020 4704 Augusta Rd Garden City, GA 31408

Monday, August 1, 2022 Page 406 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/31/2015Eduard Docu, MD 56426RN175956Standiford, Christen Faith 13021 1302 Drayton St Savannah, GA 31410

5/11/2021Dwayne Gard, DO 60731RN175956Standiford, Christen Faith 16959 4700 Waters Ave Savannah, GA 31404

11/5/2013Gard, Dwayne MD 60731RN175956Standiford, Christen 10614 4700 Waters Avenue Savannah, GA 31404

1/1/2019Michael Satchell 49593RN196763Standley, Yavarious 42771 1904 Palmyra Road Albany, GA 31701

2/14/2020Guido Ring 45325RN196763Standley, Yavarious 42761 1904 Palmyra Road Albany, GA 31701

6/18/2020Clay Thomas 61362RN196763Standley, Yarvarious 46170 417 3rd Ave Albany, Ga 31701

6/6/2022Henry Sakow 23870RN196763Standley, Yarvarious 55312 500 W. Third Ave, Suite 105 Albany, GA 31707

1/21/2018Edwin Bello, MD 36099RN194197Standridge, Stephanie C. 18718 1279 Highway 54 West ste. 220 Fayetteville, GA 30214

3/31/2016Nellie Crawford, MD 66471RN194197Standridge, Stephanie 16698 107-B Upper Riverdale Rd. Riverdale, GA 30344

2/28/2020Reynaldo Polk 48928RN267519Stanfford, Andrew 43301 1601 Watson Blvd Warner Robins, GA 31093

2/10/2022Candi Nobles-James 47985RN135249Stanfield, Jennifer 54369 250 Martin Luther King Jr. Blvd Macon, GA 31201

5/22/2020Lloyd James Rimer, MD 30665RN249921Stanfield, Heather Leigh 17593 2402 Battlefield Pkwy Fort Oglethorpe, GA 30742

8/26/2016Divina Dyer, MD 57161RN209521Staples, Mieshia 18430 2800 Overlook Pkwy. Atlanta, GA 30339

7/15/2016Nicole Ash-Mapp, MD 42993RN209521Staples, Mieshia 15831 275-D Upper Riverdale Rd Riverdale, GA 30274

8/1/2020Lindsay Fowler 67016RN272683Stapleton, Haley 43823 400 Walmart Way Suite F Dahlonega, GA 30533

5/21/2019Brian Pratt 78359RN272683Stapleton, Haley 41835 563 Mtn City Rd Clayton, GA 30525

3/12/2011Franklin Von Hack, MD 39501RN117053 9286 861 Holcomb Bridge Rd Roswell, GA 30076

6/7/2010Frederick Sengstacke, II, MD 42937RN117053 2840 861 Holcomb Bridge Rd, Suite 200 Roswell, GA 30076

5/1/2018James Brad White, MD 39510RN160119Stargell, Elizabeth Ann 13519 119 Ambulance Dr, Suite 202 Carrollton, GA 30117

7/15/2020Hina Abid 82574RN160119Stargell, Elizabeth 51340 3615 Marietta Highway Dallas, GA 30157

8/1/2016David Feiseler, MD 17756RN066998Stark, Suzanne 18237 220 Alston St. Richland, GA 31825

10/1/2013Shelley Samuel, MD 57248RN066998Stark, Suzanne 11935 148 East Peacock St Cochran, GA 31014

6/17/2016Oscar Salvat, MD 49742RN066998Stark, Suzanne 13208 220 Alston St. Richland, GA 31825

1/1/2014Gaston Moran-Celayes, MD 64675RN066998Stark, Suzanne 12986 618 Est Lamar St Americus, GA 31709

11/30/2014Nagma Lott, MD 60504RN066998Stark, Suzanne 12382 107 Main St Plains, GA 31780

Monday, August 1, 2022 Page 407 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/8/2013Alluri Raju, MD 22626RN066998Stark, Suzanne 2843 650 Alston Street Richland, GA 31825

8/21/2009Nicolas Krawiecki, MD 22804RN159717Starnes, Maureen E. 2844 2015 Uppergate Drive Atlanta, GA 30322

4/17/2019John Shoffner, MD 32655RN159717Starnes, Maureen E. 8776 1 Dunwoody Park South, Suite 250 Atlanta, GA 30338

8/31/2014Julian Sharpton, MD 17084RN093153Starrett, Laura Lynn Collins 2846 1850 Hwy 145 Carnesville, GA 30521

12/2/2021Jonthan Snipes 66079RN219937Staten, Ashley 57350 45 N Highland Ave Atlanta, GA 30307

2/29/2020Randy B Cronic, MD 38721RN129155Staten, Lee Pennington 41470 3660 Howell Ferry Rd Duluth, GA 30096

7/1/2015Michael Busman, MD 40628RN111226Statham, Annie Denise 12981 800 GA SW State Univ Dr Americus, GA 31709

7/15/2020Joe Bateman, MD 51019RN232705Stauch, Meredith Ashooh 17969 1000 Johnson Ferry Rd, ER Atlanta, GA 30342

3/28/2019John David Carson, MD 16321RN251778Stauffer, Joshua Paul 19798 60 Exchange St. ste. B-7 Richmond Hill, GA 31324

11/15/2019Gerald Filmore, MD 62289RN251778Stauffer, Joshua Paul 16662 865 South 1st St Jesup, GA 31545

9/23/2020Deborah Flack, MD 37804RN251778Stauffer, Joshua Paul 16864 931 East Winthrope Ave. Millen, GA 30442

4/23/2021Catherine Dickens 35240RN251778Stauffer, Joshua 53150 586 Brannen Street Statesboro, GA 30458

8/9/2021Krystal Garcia 82398RN251778Stauffer, Joshua 54173 865 South 1st Street Jesup, GA 31545

6/15/2021Ajay Jain 58253RN251778Stauffer, Joshua 48737 462 E.G. MILES PARKWAY Hinesville, GA 31313

1/28/2013John Coleman, MD 48498RN187046Steding, Dawnelle Shaw 8987 1720 Peachtree St, Suite 200 Atlanta, GA 30309

12/13/2013Susan Wheatley, MD 31357RN187046Steding, Dawnelle S. 11632 6385 McGinnis Ferry Rd., #202 Johns Creek, GA 30005

2/10/2014Eric Gibney, MD 61884RN064448Steele, Katherine Long 11755 1968 Peachtree Rd N,W Bldg 77, 5th Floor Atlanta, GA 3030

4/1/2018James Gore, MD 36384RN216054Steele, Katie Leigh 19387 1657 North Expressway Griffin, GA 30223

5/17/2019Stewart Grizzard 43948RN216054Steele, Katie 41916 1512 Hwy 19N Thomaston, GA 30286

7/30/2019Muhammad S. Ahmed, MD 61687RN242041Steele, Syreeta 41131 1637 Athens Highway (Suite A) Grayson, GA 30017

6/1/2022Gretchon Collins 32712RN242041Steele, Syreeta 46802 8201 Hazelbrard Covington, GA 30014

1/31/2012Theresa Courtney, MD 27043RN147012Steelman, Brittany Carnley 3056 2283 Vinson Hwy Milledgeville, GA 31062

5/1/2013Theresa M. Courtney, MD 27043RN147012Steelman, Brittany C. 11414 Park 60, Georgia 22 Milledgeville, GA 31061

9/1/2013Caplan, Howard MD 15916RN147012Steelman, Brittany 10583 620 Broad Street Milledgeville, GA 31062

5/18/2021Crystal Hood 58813RN281025Steffensen, Madeline 51822 1506 Klondike Rd SW Suite 205 Conyers, GA 30094

10/1/2017Darrell Cheek, MD 56033RN230998Stegall, Carolyn Lovejoy 17365 575 Professional Dr, Ste 510 Lawrenceville, GA 30046

Monday, August 1, 2022 Page 408 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/17/2016Bruce Ramsdell, MD 18722RN230998Stegall, Carolyn Lovejoy 12633 2941 Piedmont Rd, Unit B Atlanta, GA 30305

11/30/2021Anthony Phillip Carter, MD 72967RN197545Stein, Charles William 39850 304 Turner Mccall Blvd. Rome, Ga 30165

12/23/2013Jon Stahlman, MD 49207RN076478Stein, Christina Lynn Bisca 2851 2390 Wall St Conyers, GA 30013

11/23/2021Crystal Hood 58813RN076478Stein, Christina 59168 1506 Klondike Rd SW Suite 205 Conyers, GA 30094

7/25/2018Brian Herrmann, MD 54219RN245855Steinberg, Kimberly 15774 5455 Meridian Mark Rd, Ste 130 Atlanta, GA 30342

8/23/2013Olabisi Pearse, MD 49717RN124632Steinmetz, Jami Dearmon 2853 2660 Satellite Blvd Duluth, GA 30096

9/30/2014Larry Mellick, MD 42892RN203151Steinmeyer, Ashleigh Lauren 13244 423 Crawford Ave Augusta, GA 30904

7/25/2012Ahmed, Emad MD 45157RN191455Stell, Flora 10781 385 Hawthorne Lane, Ste 200 Athens, GA 30606

12/5/2015Chandresh Viradia, MD 53050RN207096Stembridge, Fredicia LaSandra 11641 100 Jim Mason Ct, Suite A Warner Robins, GA 31088

8/15/2018Andy Jaffal, MD 43394RN198359Stembridge, Theresa Denise 18138 1133 Eagles Landing Pkwy Stockbridge, GA 30281

1/18/2018Hatem Asad, MD 49978RN207096Stembridge, Fredicia LaSandra 16983 105 Briarcliff Rd Warner Robins, GA 31088

6/30/2004William Stinnette, MD 46499RN170552Stemp, Linda Denise 10971 1650 Honey Creek Commons Conyers, GA 30013

12/11/2012Richard Pike, MD 47640RN170552Stemp, Linda Denise 9140 2001 Peachtree Rd, Suite 705 Atlanta, GA 30309

12/1/2021George Rafeedie, MD 67591RN170552Stemp, Linda Denise 12397 2878 Five Forks-Trickum Rd, Suite 2A Lawrenceville, GA 300

12/31/2012Vance, Luther MD 19354RN170552Stemp, Linda 10831 3065 South Cobb Dr, Ste B Smyrna, GA 30080

12/11/2012Paul Spiegl, MD 25045RN170552Stemp, Linda Denise 2951 5673 Peachtree Dunwoody Road, Suite 825 Atlanta, GA 303

6/5/2009Nichole LeBoyd, MD 54452RN170552Stemp, Linda Denise 8405 7530 Roswell Road Atlanta, GA 30350

12/31/2012Bryan D. Blake, MD 40613RN170552Stemp, Linda D. 11293 1650 Honey Creek Commons, Ste F Conyers, GA 30013

7/12/2012Paul Kirshbom, MD 51593RN160130Stephan, Karen Marie 2856 1405 Clifton Rd Atlanta, GA 30322

1/30/2017Brian Kogon, MD 53322RN160130Stephan, Karen Marie 10972 1405 Clifton Rd Atlanta, GA 30322

3/16/2020Glenis Craig Heigerick 24947RN274593Stephanopoulos, Irene 41428 615 Beaver Ruin RD Lilburn, GA 30042

1/19/2020Jaymal R Patel, MD 50984RN101834Stephens, Tammy 41427 940 GA Hwy 96 Warner Robins, GA 31088

1/26/2021Lisa Ortenzi 23395RN177122Stephens, Lara Ishoy 41100 3405 Dallas Highway Marietta, GA 30064

11/22/2019Mark Bardshaw, MD 66574RN120594Stephens, Melisa 41057 1100 Peachtree St NE Suite 200 Atlanta, Ga 30309

5/6/2016Frederick Burton, MD 38434RN101834Stephens, Tammy Lynn 17443 6020 Harrison Rd, Ste B Macon, GA 31206

12/1/2021Cheryl Perkins, MD 36430RN273908Stephens, Karen 41249 1499 Fair Rd (East Georgia Regional) Statesboro, Ga 30458

Monday, August 1, 2022 Page 409 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/1/2022Stewart Van Grizzard 43948RN101834Stephens, Tammy L. 42128 940-C GA HWY 96 Warner Robbins, GA 31088

12/1/2009Chukwudi Amu, MD 26967RN129457Stephens, Latonya 9224 5530-B Old National Hwy, Suite 100 College Park, GA 30349

4/8/2015Ralph Warnock, MD 17337RN101834Stephens, Tammy Lynn 13976 4421 Carnes St. Acworth, GA 30101

9/22/2014Keyana Washington, MD 63749RN167716Stephens, Melia Ann 13719 601A Professional Dr, Ste 370 Lawrenceville, GA 30046

9/28/2021Kenneth O'Neal, MD 60951RN175504Stephens, Amanda Meeler 16809 70 Medical Center Dr. Commerce, GA 30529

6/6/2013Timothy Graves, MD 26859RN101834Stephens, Tammy Lynn 11903 770 Walnut St Macon, GA 31201

3/10/2016Tarak Patel, MD 66394RN182818Stephens, Jason Edward 16612 1224 Augusta West Pkwy Augusta, GA 30909

12/30/2014Angelica James-Herry, MD 48362RN167716Stephens, Melia Ann 11900 1405 Clifton Rd, 4th Floor, AFLAC Atlanta, GA 30322

7/22/2016Angela Wright, MD 45103RN182818Stephens, Jason Edward 18315 2467 Golden Camp Rd Augusta, GA 30906

4/8/2017Carisa Hines, MD 50637RN101834Stephens, Tammy Lynn 18327 4321 Hartley Bridge Rd. Macon, GA 31216

12/17/2015Stepen Finn, MD 46961RN238076Stephens, Andrea 14781 1825 Martha Berry Blvd Rome, GA 30165

8/14/2014Cesar Figueroa, MD 32105RN101834Stephens, Tammy Lynn 13245 340 Hospital Dr Macon, GA 31217

10/10/2016David Samuels, DO 49521RN077347Stephens, Michele 16554 204 South Main St Stateboro, GA 30458

10/1/2015Hetal Thakore, MD 53556RN182818Stephens, Jason Edward 16508 3651 Wheeler RD Augusta, GA 30909

6/30/2016Melissa Primrose, MD 53516RN101834Stephens, Tammy Lynn 17909 774 GA Hwy 96 Bonaire, GA 31005

9/4/2010Kyoung-Soon Kim, MD 39144RN167716Stephens, Melia Ann 9002 5150 Stilesboro Rd, Suite 220 Kennesaw, GA 30152

4/1/2018Akita Evans, MD 64372RN151183Stepney, Sherese Monee 19931 455 Nathan Dean Blvd. Dallas, GA 30132

1/27/2017Sheryl Canady, MD 50999RN151183Stepney, Sherese Monee 19702 800 Glenwood Ave. SE Atlanta, GA 30312

9/30/2013Anand Jillella, MD 33843RN167843Sterling, Kristen Heather 9121 1120 15th St, Suite BA-5407 Augusta, GA 30912

11/12/2013Hutchins Sr., Julian MD 18677RN167843Sterling, Kristen 10802 4150 Washington Rd, Ste 11 Evans, GA 30809

2/22/2015Kenneth Grotz, MD 37820RN167843Sterling, Kristen 14456 4150 Washington Rd Evans, GA 30809

9/8/2018Alan Herline, MD 74669RN167843Sterling, Kristen Heather 20242 1120 5th Street ste. BI 4076 Augusta, GA 30912

4/28/2010Celalettin Ustun, MD 55993RN167843Sterling, Kristen Heather 8709 1120 15th Street, #BA-5407 Augusta, GA 30912

5/22/2015Bhagat Reddy, MD 55012RN185213Stern, Christina Myers 5426 275 Collier Road, NW Ste 300 Atlanta, GA 30309

10/25/2018Jyoti Sharma, MD 69709RN185213Stern, Christina 16118 275 Collier Rd, Ste 300 Atlanta, GA 30309

9/30/2015Patrice Harris, MD 38794RN135932Stevens, Debbie 16245 99 jesse Hill Jr Dr SE Atlanta, GA 30303

Monday, August 1, 2022 Page 410 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/13/2021Antonio Garcia Remollino 57994RN178815Stevens, Angela Anglin 41308 103 GA Highway 27 E Americus, GA 31709

6/28/2017Curtis Cheeks Jr., MD 51126RN222225Stevens, Nicole Antoinova 18941 51 Seven Hills Blvd Dallas, GA 30132

12/13/2020Juntira Laothavorn 76279RN135932Stevens, Debbie 42977 424 Decatur ST Atlanta, GA 30312

8/15/2007William W. Crone, MD 41540RN108425Stevens, Joy Manry 5355 3169 Holcomb Bridge Rd, Ste 760 Norcross, GA 30071

9/20/2021Adaora Osakwe 63110RN256527Stevenson, Alicia 57678 345 Huntington Place Court McDonough, GA 30253

1/31/2022Stephanie Brown-Johnson 24210RN291260Stevenson, Valarie 52912 1670 Clairmont Rd Decatur, GA 30033

10/25/2021Jacqueline Nguyen 80164RN291260Stevenson, Valarie 55328 2292 Peachtree Road, NW Atlanta, GA 30309

2/1/2022Saima Syed 55899RN291260Stevenson, Valarie 48945 3891 Highway 78 Snellville, GA 30039

4/11/2019Charles F. Cowart, MD. 29161RN169623Steverson, Laura Melissa 40375 1101 Ocilla Road Douglas, Ga 31533

3/1/2021Leon Meeks 39868RN115879Stevick, Jennifer 44434 520 Griffin Ave Valdosta, GA 31601

3/4/2019Laura Sanchez 78515RN115879Stevick, Jennifer 42786 520 Griffin Ave Valdosta, GA 31601

9/11/2017Eric Anderson, MD 51577RN115879Stevick, Jennifer Ann 14806 209 Pendleton Dr Valdosta, GA 31602

3/9/2017Kenneth Grotz 37820RN189558Stewart, Shalonna Nonique 14888 4150 Washington Rd, Ste 11 Evan, GA 30809

4/21/2021Paul Weinberg, MD 23244RN218645Stewart, Martha Lynn 13538 631 Professional Dr, Ste 350 Lawrenceville, GA 30046

6/1/2017Cynthia Brown, MD 49876RN145278Stewart, Dana Michelle 12143 815 Curtis Pkwy SE Calhoun, GA 30701

12/9/2016Peter Wrobel, MD 40285RN124133Stewart, Deborah Margaret 15252 1406 Alice St Wycross, GA 31501

12/31/2011Betsy Horton, MD 40693RN111294Stewart, Jacquelyn M. 9154 745 South Glynn St Fayetteville, GA 30214

7/23/2019Sendhil Subramanian, MD 49107RN170667Stewart, Yancey 14470 1000 Johnson Ferry Rd, Ste B 155 Marietta, GA 30068

7/14/2017Peter Hinds, MD 71130RN170295Stewart, Cassandra 15922 1950 Palmyra Albony, GA 31707

1/30/2015Jones, Tommy MD 48365RN124133Stewart, Deborah 10616 PO Box 1726 Highway 301 Glennville, GA 30427

1/9/2014Sward, Lisa Ann MD 45639RN170096Stewart, Natalie 10982 150 Gentilly Blvd Cartersville, GA 30120

5/16/2013Lee Ann Merchen MD 60009RN205580Stewart, Merry Ann 11007 1447 Harper St. Augusta, GA 30912

7/22/2021Candice Darville 80487RN145278Stewart, Dana 42876 815 Curtis Parkway SE Calhoun, GA 30701

2/2/2019Lisa McMath, MD 53332RN253047Stewart, Sandra Lee 41151 4000 Shakerag Hill Suite 201 Peachtree City, Ga 30269

5/1/2018Pablo Balboa-Marciack 55409RN145278Stewart, Dana 20537 815 Curtis Parkway Calhoun, GA 30701

7/28/2020Donald Jansen 29478RN104341Stewart, Maria 45810 5671 Peachtree Dunwoody Rd Suite 520 Atlanta, GA 30342

Monday, August 1, 2022 Page 411 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/3/2020Martha Clabby 50095RN253047Stewart, Sandra 45750 1405 Clifton Road Atlanta, GA 30322

8/31/2018Devin Handley 48356RN145278Stewart, Dana 41918 815 Curtis Parkway SE Calhoun, GA 30701

5/26/2020Sharad Ghamande, MD 49173RN175513Stewart, Katherine Anna 9004 1120 15th Street, Suite BA-7411 Augusta, GA 30912

12/31/2016Lisa Miller, MD 38874RN112736Stewart, Daphnee Leigh Johnso 2868 4152 Baker St., NE Covington, GA 30014

12/5/2014Justin R. Kunes, MD 66201RN226921Stewart, Fallon K. 11584 6 Executive Park Dr., #10 Atlanta, GA 30329

5/24/2013Amar Singh, MD 52227RN145278Stewart, Dana Michelle 9720 550 Redmond Rd Rome, GA 30165

2/26/2020Jaymal Patel 50984RN139536Stidham, David 48234 3116 North Oak St. Extensiom Suite C Valosta, GA 31602

2/26/2020Jaymal R. Patel 50984RN139536Stidham, David Eugene 39618 3116 North Oak St. Extension Valdosta, GA 31602

3/25/2013Kaveh Ehsanipoor, MD 20309RN140664Stier, Ingrid 11182 4750 Waters Ave., Ste 452 Savannah, GA 31404

5/1/2019Tom Bledsoe 41730RN247620Stiles, Karlene P 42095 1200 Memorial Dr Dalton, GA 30720

10/1/2017Jeff Reinhardt, MD 47250RN176064Stillman, Elizabeth Bernice 12276 725 Jesse Jewell Pkwy SE, Suite 200 Gainesville, GA 30501-3

5/8/2020Gregory Moore, MD 65031RN106344Stinson, Cynthia Finney 18600 740 Ferst Dr., NW Atlanta, GA 30332

9/13/2021Emily Richardson 60066RN106344Stinson, Cynthia 53617 740 Ferst Drive NW Atlanta, GA 30332

9/21/2021John Madonna 31981RN119496Stively, Deborah 43014 615 Pendleton St Waycross, GA 31501

3/31/2016Sydney Hendrix, MD 56459RN119496Stively, Deborah 11144 351 Peachtree St. Jesup, GA 31545

9/1/2021Saman Ghaffari, DO 56446RN169713Stivers, Amy Louise 13969 2121 Fountain Dr., Ste D Snellville, GA 30078

1/17/2013Benita Bonser, MD 53980RN202416Stock, Lynn Marie 9236 1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

11/21/2014Cathy Larrimore, MD 38836RN202416Stock, Lynn Marie 12022 4181 Hospital Dr, Suite 104 Covington, GA 30014

12/31/2009Charles McCord, MD 39409RN202416Stock, Lynn Marie 8566 3345 Hwy 34 East, Suite 102 Sharpsburg, GA 30277

5/3/2018Akintoye, Adebukola MD 38164RN184595Stocker, Melody Love 10812 3420 Buford Dr, Ste E-780 Buford, GA 30519

2/21/2019Dingane Baruti, MD 55411RN236119Stockham, Jessica 42075 6842 Douglas Blvd Douglasville, GA 30135

7/6/2012Deepti Manjal, MD 46627RN113476Stockwell, Helen Rosemary Jack 2874 6002 Professional Pkwy Douglasville, GA 30134

4/15/2021Mani Daneshmnd 82308RN290286Stoddard, Amy 47835 1364 Clifton Rd Ne Ste F520 Atlanta, GA 30322

11/30/2020Nancy Fajmon 36732RN268885Stokes, Crystal 50457 35 Jessie Hill Jr Drive Atlanta, GA 30303

7/21/2020Mark Griffiths, MD. 67223RN268885Stokes, Crystal B. 39909 1645 Tullie Circle Atlanta, Ga 30329

12/14/2015Anurupa Damineni, MD 47419RN103931Stokes, Marcia Lynette 7750 1670 Clairmont Rd Decatur, GA 30033

Monday, August 1, 2022 Page 412 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/27/2016Altee Johnson, MD 60387RN220700Stokes, Kelly Christina 15208 101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

5/20/2017Rafael Jurado, MD 25877RN103931Stokes, Marcia Lynette 17922 1670 Clairmont Rd. Decatur, GA 30033

6/28/2021Chen, Jonathen DO 60811RN183437Stoll, Sarah 10205 55 Whitcher Street, Ste 160 Marietta, GA 30066

4/22/2011John McCravey, MD 29048RN042582Stone, Ellen H 2878 4750 Battlefield Pkwy Ringgold, GA 30736

4/29/2019Joshua Wade McCarthy 71782RN199952Stone, LaShanda Nicole 66 218 Quarterman St. Waycross, GA 31501

8/3/2018Yolanda Borders, MD 66547RN199952Stone, LaShunda 16107 505 City Blvd Waycross, GA 31501

11/9/2017Patricia Patterson, MD 31176RN113482Stone, Regina Ann 21369 1309 Ocilla Rd. ste. A Douglas, GA 31533

9/3/2018Eugene Jackson, MD 22793RN188139Stone, Walter Clayton 20505 118 Benjamin Hill Drive ste. 12 Fitzgerald, GA 31750

5/27/2020Paul Feldman 29640RN240079Stone, Dawn 43437 775 Poplar ED Suite 210A Newnan, GA 30263

7/1/2019Richard Wheeler 46277RN188139Stone, Walter 43522 416A E McPherson Ave Nashville, GA 31639

6/17/2020Timothy Longaker 25883RN248678Storey, William 44435 618 E. Lamar Street Americus, GA 31709

12/31/2015Craig Bishop, DO 45725RN213604Storey, Amber Brooke 14618 2412 N Oak St Valdosta, GA 31602

3/14/2011Richard Dent, MD 17RN060668Storey, Susan Carol 8345 310 Eisenhower Drive, Suite 5 Savannah, GA 31406

12/31/2011Julia Johnson, MD 56721RN060668Storey, Susan Carol 9708 310 Eisenhower Dr, Suite 5 Savannah, GA 31406

7/31/2018Shri Deshpande, MD 64531RN274297Storie, Diane Elizabeth 40704 1405 Clifton Rd NE Atlanta, GA 30322

12/18/2020Latoya Jackson 61972RN149564Story, Heather 47090 233 N.Houston Rd Suite 140 E Warner Robins, GA 31093

10/3/2019Juan Velasquez 72467RN149564Story, Heather 43174 233 N Houston RD Suite 140E Warner Robins, GA 31093

8/31/2018Fabian Franco, MD 47430RN149564Story, Heather Lynne 13574 1743 Watson Blvd, Suite A Warner Robins, GA 31093

11/27/2016Richard G. Dukes, MD 51875RN182841Stough, Ashley H. 17189 11705 Jones Bridge Rd., A201 Johns Creek, GA 30005

5/19/2016Cheryl McGowan, MD 70484RN182841Stough, Ashley 15460 11705 Jones Bridge Rd, Ste A 201 Johns Creek, GA 30005

3/19/2013Lah, James MD 41863RN070640Stout, Deborah 10732 1821 Clifton Rd NE, POD A Atlanta, GA 30329

2/28/2017Alan Moy, DO 58990RN206377Stout, Mandy Rees 13556 501 Redmond Rd Rome, GA 30165

3/1/2021Daryl McCartney, MD 68067RN155792Stout, Billie Salina 38811 1075 E. Winthrop Ave. Millen, GA 30442

2/19/2019Brian Kornblatt, MD 38029RN197895Stout, Billie Salina 20506 5629 Hwy. 21 South Rincon, GA 31326

3/8/2018Loretta D. Duggan, MD. 78767RN155792Stout, Billie S. 39914 1075 E.Winthrop Ave. Millen, Ga 30442

5/7/2020Brij Singh, MD 43777RN063851Stovall, Susan Melinda McPhers 8822 1181 Old Summerville Rd Rome, GA 30165

Monday, August 1, 2022 Page 413 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/3/2022Ernest Jones, DO 41851RN022471Stowe, Patricia A 2881 135 Dogwood Street Warwick, GA 31796

2/20/2019CHARLES GEBHARDI MD 28778RN104589STOYLE, SHERYL 39492 2601 STUART AVE ALBANY, GA 31707

5/1/2015Christopher Inhulsen, MD 20743RN104589Stoyle, Sheryl Angel 15047 300 Medical Court Oglethorpe, GA 31068

2/1/2015Andrea Bretal, MD 64777RN104589Stoyle, Sheryl Angel 14631 618 East Lamar St Americus, GA 31709

8/10/2015Oscar Salvat, MD 49742RN104589Stoyle, Sheryl 15636 618 East Lamar St Americus, GA 31709

5/8/2020Greorgy Moore 65031RN286625Strachan, Ashton 47401 740 Ferst Drive, NW Atlanta, GA 30332

9/13/2021Emily Richardson 60066RN286625Strachan, Ashton 52784 740 First Drive NW Atlanta, GA 30332

1/30/2016Michaele Brown, MD 57052RN077156Straub, Sharnee Elizabeth 14569 2487 Cedarcrest RD, Ste 714 Acworth, GA 30101

10/18/2019Donna Haley, MD 40916RN077156Straub, Sharnee Elizabeth 17268 687 Marietta Hwy Canton, GA 30114

11/23/2014Seymour Rosenbloom, MD 15849RN077156Straub, Sharnee Elizabeth 2882 55 Whitcher St, Suite 400 Marietta, GA 30060

4/22/2013Brett Murphy-Dawson, MD 54080RN140175Street, Wanda Lisa Monroig 8195 PO Box 5328 Colubus, GA 31906

9/10/2008Velda Givens, DO 46763RN140175Street, Wanda Lisa 5492 2100 Comer Ave Columbus, GA 31906

2/2/2010Michelle Morgan, DO 51694RN146690Strickland, Kelleigh Jean 7852 5895 Peachtree Pkwy Norcross, GA 30092

12/1/2011Thomas Carswell, MD 26238RN146690Strickland, Kelleigh Jean 9522 2830 Clearview Place, Suite 500 Doraville, GA 30340

11/23/2015Jay Thomas, MD 47997RN064327Strickland, Thomas 9185 5764New Calhoun Hwy NE Shannon, GA 30172

8/1/2014Almon, William MD 30938RN146690Strickland, Kelleigh 10602 5755 North Point Pkwy Ste 72 Alpharetta, GA 30022

12/7/2015Devin Handley, MD 48356RN064327Strickland, Thomas 12475 2659 Abutment Rd Dalton, GA 30720

5/7/2018Daniel Daugherty, MD #####RN146690Strickland, Kelleigh Jean 18420 555 Old Norcross Rd. ste. 100 Lawrenceville, GA 30046

11/15/2016Richard Mersberger, DO 55140RN064327Strickland, Thomas Earl 16960 3931 Mundy Mill Rd, Ste A Oakwood, GA 30566

10/15/2017Williams Tankersley, MD 34484RN141776Strickland, Summer McNeely 19542 16915 US Hwy 67 South Statesboro, GA 30458

7/16/2020Tiffany Parks 68594RN281783Strickland, Renita 52111 498 Chattin Drive Canton, GA 30115

8/1/2020George Capo 42539RN239858Strickland, Jessica 46171 1512 Hwy 19N Thomaston, Ga 30286

5/20/2020Jaime Recasens 50055RN281783Strickland, Renita 49518 498 Chattin Dr Canton, GA 30115

1/1/2021Shannon Ellis 72568RN107489Strickland, Allison 49155 1408 Tallahassee Hwy Suite Z Bainbridge, GA 39819

6/29/2020Mauricio Carballo 75967RN202264Strickland, Amanda 43079 4 Live Oak Ct Moultrie, GA 31768

12/29/2021David Gowdy 34601RN281783Strickland, Renita 54596 498 Chattin Drive Canton, GA 30115

Monday, August 1, 2022 Page 414 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/10/2020Ulric Gilkes 52131RN239858Strickland, Jessica 47861 801 W. Gordon Street Thomastom, GA 30286

12/31/2019Earnest Lewis 62684RN102064Strickland, Rebecca 43371 1230 Baxter St Athens, GA 30606

12/31/2018Michelle Angela Sewell 36281RN146690Strickland, Kelleigh Jean 41379 4153 C Flat Schoals Parkway Suite 300B Decatur, GA 30034

10/26/2020Linel Meadows, MD 45550RN213575Strickland, Caitlin Royster 38862 30931 Hwy 441 S Commerce, GA 30529

11/23/2015Eric Jensen, MD 50304RN064327Strickland, Thomas E. 8237 1107 Memorial Dr, Suite 300 Dalton, GA 30720

7/11/2008Suzanne Anderson, MD 57922RN111997Strickland, Carol Lynn Bland 2884 340 Eisenhowser Drive, Bldg 1500 Savannah, GA 31406

11/23/2015Michael Witt, MD 26045RN064327Strickland, Thomas 2887 1289 Gi Maddox Pkwy Chatsworth, GA 30705

2/28/2022Glenn Fussell 26777RN142918Strickland, Shelia 58409 2827 WARM Springs Rd Suite 3B Columbus, GA 31904

2/14/2020Muhammad Hashmi 70303RN281783Strickland, Renita 46913 2900 University Pkwy Lawerenceville, GA 30043

1/1/2012Brenda Hott, MD 41441RN134286Stringer, Marsha Ann 9975 200 S Enota Dr, Ste. 200 gainesville, GA 30501

7/1/2019Robert Hummer III 44242RN134286Stringer, Marsha 44605 541 Historic Hwy 441-N Demorest, GA 30535-4528

5/4/2017Robert Marler, MD 35947RN134286Stringer, Marsha 15797 2435 Old Cornelia Hwy Gainesville, GA 30507

8/30/2013Davis, Mitchell MD 35030RN134286Stringer, Marsha 10489 200 S. Enota Drive, Ste 200 Gainesville, GA 30501

2/15/2021Margaret Fox 53590RN227994Stripland, Bethany 43406 3550 Preston Ridge Road Apharetta, GA 30005

8/20/2014James Greene, MD 29657RN173597Strother, Nancy Hodges 9019 114 Northpark Drive Brunswick, GA 31520

10/1/2016Ui Ho Park, MD 18938RN145301Stroud, Melissa F. 9379 3889 Cobb Pkwy NW Acworth, GA 30101

10/29/2018Eugene Long, MD 20050RN145301Stroud, Melissa F. 19288 3889 Cobb Parkway Acworth, GA 30101

7/6/2020Gifford Lorenz, MD 30816RN112208Stubbs, Rachel Cowan 12752 310 Eisenhower Dr, Suite 5 Savannah, GA 31406

8/12/2016Owen, Frances MD 40973RN135494Stubbs, Allison 10386 7000 Wellnes Way, Ste 7230 St. Simon's Island, GA 31522

6/30/2021Jaime Rodriguez 58621RN135494Stubbs, Allison 45470 625 Big Shanty Rd NW Kennesaw, GA 30144

3/30/2020Amanda Herin 50152RN145754Stubbs, Nicole 45915 1412 Milstead Ave NE Conyers, GA 30012

10/1/2019Abena Koram 78530RN135494Stubbs, Allison 44187 625 Big Shanty Road NW Kennesaw, GA 30144

12/30/2018Karen Dewling, MD 44445RN135494Stubbs, Allison Leigh 18740 4395 Johns Creek Parkway ste. 150 Suwanee, GA 30024

6/15/2013Pinell, Michael MD 58102RN112208Stubbs, Rachel 10020 340 Eisenhower Drive, Suite 910 Savannah, GA 31406

5/31/2011George Katsitadze, MD 52456RN135494Stubbs, Allison Leigh 2895 976 Killian Hill Road, Bldg A, Suite B Lilburn, GA 30047

12/1/2021Melissa Smith 66644RN280533Stuckey, Thomas 55801 20 Herrell Rd Villa Rica, GA 30180

Monday, August 1, 2022 Page 415 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/23/2012Lawrence Gynther, MD 26863RN067248Stuckwisch, Frances A Leyba 9686 1514 Vernon Rd LaGrange, GA 30240

1/21/2011Lawrence Gynther, MD 26863RN067248Stuckwisch, Frances A Leyba 2896 303 Smith Street LaGrange, GA 30240

9/11/2014Lyndall C. Van Vicki, MD 29811RN043103Stull, Mildred Potter 2897 747 South Hill Street Griffin, GA 30224

5/1/2011George Capo, DO 42539RN043103Stull, Mildred Potter 9202 1007 Memorial Dr Griffin, GA 30224

3/4/2015David Derrer, MD 54181RN192344Stump, Catherine Elizabeth 13934 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

12/1/2021CHERYL PERKINS 36430RN272159STUMP, ELISA 39496 1499 FAIR RD STATESBORO, GA 30458

8/15/2014Ronald Pirtle, MD 13784RN192344Stump, Catherine Elizabeth 9750 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

1/1/2019Eamon Dutta 46593RN073954Sturdivant, Shuconda Kanta 20272 2151 Peachford Rd Atlanta, GA 30338

7/3/2019Corey Greenwald 41130RN194195Sturdivant, Shuconda 45167 1199 Prince Ave Athens, GA 30606

7/28/2022Gregory Lunceford 50584RN194195Sturdivant, Shuconda 46294 1199 Prince Ave Athens, GA 30606

9/1/2015Ifeoma Nnaji, MD 63931RN194195Sturdivant, Shuconda Kanta 14090 1300 Joseph E. Boone Blvd, NW Atlanta, GA 30314

2/17/2016Kambiz Aflatoon, DO 66238RN194195Sturdivant, Shuconda 16263 885 Buford Dr Lawrenceville, GA 30043

5/30/2020Opeoluwa Akinnusi 64802RN289394Sturkie, Anna 51143 3750 Palladian Village Drive Suite 110 Marietta, GA 30066

6/23/2021David Smith, DO 33707RN102569Suao-Castleberry, Tania 9661 13081 Hwy 9 Alpharetta, GA 30004

11/4/2020Weinkle, David MD 38645RN205834Suchanek, Brittany 10671 PO Box 422002 Atlanta, GA 30342=9002

2/21/2019Kristopher Palmer 75974RN222465Suddarth, Caitlin 43977 915 Gordon Ave Thomasville, GA 31792

5/10/2013Witt, Michael MD 26045RN113269Suddeth, Misty 10837 1289 G.T. Maddox Pkwy chatsworth, GA 30705

2/1/2014Jason Hefner, MD 61444RN113269Suddeth, Misty Meshell 12399 104 Prominence Point Pkwy, Suite 104 Canton, GA 30114

5/1/2015Reden Delgado, MD 65957RN113269Suddeth, Misty Meshell 12832 508 East Morris St Dalton, GA 30721

1/13/2020Lalit Vadlamani 55458RN267866Sukalski, Brooke 43442 2409 N Patterson Street Valdosta, GA 31605

10/29/2018Georges LaFleur 53260RN209800Sullens, Amy Melissa 40387 30 Cottonwood Street Clayton, GA 30525

11/1/2017Grova Satterfield, MD 31822RN209800Sullens, Amy Melissa 21180 4421 Carnes Street Acworth, GA 30101

9/16/2015James Rogan, MD 37662RN112143Sullins, Lisia 15507 700 Park Regency Place, Ste 2502 Atlanta, GA 30326

9/22/2015Scott Tarplee, DO 21057RN112143Sullins, Lisia Ann 2902 2300 Parkwood Drive Brunswick, GA 31520

7/15/2014Philip Spandorfer, MD 55977RN073627Sullivan, Eleanor C 9950 1100 Lake Hearn Dr, Ste 100 Atlanta, GA 30342

2/28/2011Elizabeth Le Duc, MD 34754RN073627Sullivan, Eleanor C. Cochrane 2904 1100 Lake Hearn Dr., Ste 100 Atlanta, GA 30342

Monday, August 1, 2022 Page 416 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/15/2014Philip Weiss, MD 38398RN073627Sullivan, Eleanor 8050 1100 Lake Hearn Drive Suite 100 Atlanta, GA 30342

7/15/2014Susan W. Harrell, MD 33100RN073627Sullivan, Eleanor C. Cochrane 5529 1100 Lake Hearn Dr., Ste 100 Atlanta, GA 30342

7/15/2014Tama Y. Fuller, MD 21981RN073627Sullivan, Eleanor C .Cochrane 5530 1100 Lake Hearn Dr., Ste 100 Atlanta, GA 30342

7/15/2014John C. Knox, MD 22575RN073627Sullivan, Eleanor C. Cochrane 5531 1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

5/13/2021Francisco Fantauzzi 29274RN106514Sullivan, Heidi 45833 11700 Mercy Blvd Suite 1B Savannah, GA 30419

5/13/2021Lawerence Zottoli 36639RN106514Sullivan, Heidi 52013 1900 Abercorn Street Savannah, GA 31401

4/15/2019Sharon Kestin, MD 34990RN106514Sullivan, Heidi Hasbrouck 18746 1900 Abercorn Street (Suite #100) Savannah, GA 31401

6/15/2020Richard John Barrett 45716RN106514Sullivan, Heidi Hasbrouck 39707 102 Bryan Woods Rd. Savannah, GA 31410

12/9/2016Douglas Moss, MD 41178RN127085Sumler, Todd 10908 814 Northwood Park Valdosta, GA 31602

8/5/2020Wilson DuMornay, MD 68723RN127085Sumler, Todd Alan 13331 312 Westside Dr Douglas, GA 31533

4/5/2013Johathan R. Parrott, MD 36246RN127085Sumler, Todd 11314 804 Northwood Park Valdosta, GA 31602

8/4/2017Martha Presley, MD 77109RN165199Summer, Georgianne Ashley 19605 925B Peachtree St. NE Atlanta, GA 30309

12/25/2019Nadia Cameron 53982RN165199Summer, Georgianne 43431 2033 Buford Hwy Suite 109 Buford, GA 30518

11/30/2018Brion Randolph, MD 68281RN186148Summerlin, Aurelia K. 17186 600 Celebrate Life Pkwy Newnan, GA 30265

1/19/2022Flavia Rossi, MD 69623RN174048Summerlin, Jill Marie 15143 2225 US Hwy 41 North Tifton, GA 31794

3/21/2018James Graham, MD 30071RN174048Summerlin, Jill 15829 2225 U.S HWY 41 N Tifton, GA 31794

11/10/2016Frank Lake, III, MD 11972RN174484Summerlin, Melissa Davis 9761 743 Spring St Gainesville, GA 30501

3/11/2014Bennett, Jan DO 30580RN130632Summerour, Lanissa 10223 761 North Cherokee Road Social Circle, GA 30025

8/9/2013James Douglas, MD 33569RN162508Summey, Kristin Bryson 8292 15 Riverbend Drive, Suite 100 Rome, GA 30161

7/25/2020Caroline Yaphockun, MD 53213RN162508Summey, Kristin Bryson 12534 85 John Maddox Conn NW Rome, Ga 30165

9/3/2009Frederick Merrill, III, MD 34664RN146794Sumner, Melissa L 5543 465 North Belair Rd. Evans, GA 30809

3/9/2020Israel B.D. Bryson, MD 54797RN177081Sumner, Erin 11215 2251 W. Elm St.; P.O. Box 371 Wrightsville, GA 31096

10/1/2020Tracy L. Nolan, MD 74036RN183455Sumner, Laura Kristen 18662 1007 Greenfield Drive Tifton, GA 31794

3/22/2021Cherilyn Zellner 43153RN177081Sumner, Erin 53720 2251 West Elm St Wrightsville, GA 31096

11/23/2011Hutchins Sr., Julian MD 18677RN146794Sumner, Melissa 10147 4150 Washington Road, Ste 11 Evans, GA 30809

2/6/2010James Millen, MD 30834RN146794Sumner, Melissa Lampp 8723 465 N. Belair Rd, Suite 3-A Evans, GA 30809

Monday, August 1, 2022 Page 417 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/15/2014Guido Ring, MD 45325RN218916Sunara-Waters, Adriana 11102 106 West 4th Ave. Cordele, GA 31015

7/17/2012Halleck, Sylvia MD 16356RN218916Sunara-Waters, Adriana 10832 1431 Riverside Parkway Lawrenceville, GA 30043

1/28/2022Rubal Patel 64707RN162472Surrency, Garrett 48395 1499 Kennedy Rd Ste A Tifton, GA 31794

9/10/2015James Harbin, MD 38507RN116490Susin, Barbara Leeanne Weitzel 5365 10155 Eagle Dr Covington, GA 30014

8/16/2019Cathy Larrimore, MD 38836RN116490Susin, Barbara Leeanne 16856 4181 Hospital Drive, Ste 104 Covington, GA 30014

12/11/2017Martha Presley, MD 77109RN110992Sutherland, Joanna Wilson 21020 1200 Abernathy Rd. ste. 1700 Atlanta, GA 30328

6/28/2012Hurd, Thomas MD 27070RN110992Sutherland, Joanna 10457 400 Taver Road, Ste 350 Marietta, GA 30060

1/31/2011Anita Rao, MD 60315RN110992Sutherland, Joanna Wilson 2911 400 Tower Rd, Suite 350 Marietta, GA 30060

5/30/2013Anne Todd, MD 51395RN035712Sutton, Beverly Lorraine Head 2913 526 Maddox Dr, Suite 101 Ellijay, GA 30540

1/1/2017Gary Smith, MD 10666RN171885Sutton, Stephanie Le Ann 13004 615 East Villanow St Lafayette, GA 30728

12/31/2020Simon Fensterscaub 83142RN220328Sutton, Autumn 52941 1387 North Hwy 41 Calhoun, GA 30701

3/9/2020JOSEPH GIOVINCO DPM+ #####RN220328Sutton, AUTUMN NICOLE 39583 1975 HIGHWAY 54 WEST SUITE 200 PEACHTREE CITY, GA 30

11/11/2015Haritha Pabbathi, MD 64236RN152000Sutton-Aransevia, Joylene Winif 11861 600 Parkway North, 1st Floor Newnan, GA 30265

5/23/2019John Ogundipe, MD 39193RN216279Svensson, Brette Cha 19736 900 Wylie Rd. SE Marietta, GA 30067

1/12/2017Shreedhar Nagnur, MD 49192RN216279Svensson, Brette Cha 11790 900 Wylie Rd SE Marietta, GA 30067

9/3/2015Renwick Hood, MD 24265RN091126Sveum, Jonne 5366 761 Old Norcross Road Lawrenceville, GA 30045

2/13/2015Thomas Varughese, MD 45998RN195459Swafford, Jodi Leigh 9913 6130 Prestley Mill Rd, Suite B Douglasville, GA 30135

4/4/2022Carol Gruver 44926GAA-NP000189

Swagner, Teresa 58352 1436 Broadrick Drive Dalton, GA 30720

7/1/2016John Jenkins, II, MD 62726RN190818Swatts, Brandi Jackson 12214 100 Hwy 18 W, Ste 106 Barnesville, GA 30204

10/25/2019Yogesh Goswami 58597RN246180Sweatman, Cinandra 42766 311 Gwinnett Drive Lawrenceville, GA 30046

3/16/2020Jonathan Busbee 40336RN199221Sweeney, Rachael L 41919 801 W Gordon Street Thomaston, GA 30286

4/16/2018Jin Yang, MD 49599RN199221Sweeney, Rachel Lucinda 18667 801 W. Gordon Street Thomaston, GA 30286-3426

8/11/2021Nadine Regis, MD 73138RN199221Sweeney, Rachael Lucinda 18495 710 Center Street Columbus, GA 31901

3/16/2020John Richmond 26018RN234736Sweklo, Stacey 46172 2709 Airport Rd., Suite 101 Dalton, ga 30721

9/19/2020Jon Risley 38933RN234736Sweklo, Stacey 49407 1209 W. Walnut Avenue, Suite 1 Dalton, GA 30720

Monday, August 1, 2022 Page 418 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/18/2017Kavita Patel, MD 68850RN175610Swerdlin, Rachel Felice 11901 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta, GA 30322

2/5/2019Kirpich Joseph, MD 54904RN130193Swift, Lisa Anne 18374 490 Kathwood Dr. Athens, GA 30607

8/6/2010Hope McDaniel, MD 59287RN116714Swiger, Nicole Belcher 9051 6000 Joe Frank Harris Pkwy, Suite C Adairsville, GA 30103

3/15/2019William Asbury, MD 52139RN116714Swiger, Nicole Belcher 20703 251 Hwy. 53 Calhoun, GA 30701

11/30/2014Chu, Ha MD 61952RN116714Swiger, Nicole 10227 6000 Joe Fran k Harris Pkwy NW Adairsville, GA 30103

7/1/2010Marcia Williams, MD 34985RN116714Swiger, Nicole Belcher 2921 6000 J F Harris Pkwy, Ste C Adairsville, GA 30103

4/19/2019Heather Henry, MD 44231RN140778Swilling-Nobles, Ericka Denise 9603 327 S. 9th St Griffin, GA 30224

4/19/2019Heather Henry, MD 44231RN140778Swilling-Nobles, Ericka 14820 1255 Hwy 54 West Fayetteville, GA 30214

5/26/2009John Sladky, MD 41219RN147478Swint, Charlotte Elizabeth 2922 2015 Uppergate Drive Atlanta, GA 30322

2/21/2013Nicolas Krawiecki, MD 22804RN147478Swint, Charlotte Elizabeth 8585 2015 Uppergate Drive Atlanta, GA 30322

8/9/2019Mark El-Deiry, MD 66483RN108709Switzer, Traci Larue Warner 13123 550 Peachtree Rd, 9th Floor, MOT Atlanta, GA 30308

11/11/2011Edgar Kenton, MD 58531RN175586Sybert, Jules C. 9490 550 Peachtree St, Suite 3343 Atlanta, GA 30308

4/17/2012Lanier, John MD 28809RN175586Sybert, Jules 10615 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta, GA 30328

9/4/2012Gavrikov, Vitaliy MD 61430RN175586Sybert, Jules 10803 7100 Peachtree Dunwoody Road, ste 100 Atlanta, GA 30328

9/4/2012O'Grady, Michael MD 41189RN175586Sybert, Jules 10486 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta, GA 30328

1/6/2016Michael Satchell, MD 49593RN081905Sykes, Mary Elizabeth 15713 2822 Nottingham Way, Ste 4 Albany, GA 31707

8/1/2010Gloria Kayfan, DO 48431RN081905Sykes, Mary Elizabeth Werne 9142 PO Box 1908 Albany, GA 31707

5/1/2014Richard Dukes, MD 51875RN184836Sykes, Brandy M. 9518 235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303

3/11/2013Linda Hudson, MD 47771RN081905Sykes, Mary Elizabeth Werne 9416 2734 Ledo Rd, #15 Albany, GA 31707

12/31/2016Angela Dawson, MD 40895RN081905Sykes, Mary 15347 2734 Ledo Rd., Ste 15 Albany, GA 31707

3/1/2008David L. Brand, MD 46045RN081905Sykes, Mary Elizabeth Werne 2923 208 North Cuthbert St. Colquitt, GA 39837

6/2/2022Jimmy Malaver 65138RN265267Sylvester, Rachel 52921 214 A Professional Circle Saint Marys, GA 31558

11/1/2018Diane V. Duvall, MD 33739RN211468Symbas, Anne Compton 11630 1800 Howell Mill Rd., #680 Atlanta, GA 30318

9/12/2014Sullivan, Thomas Dennis MD

15512RN200358Symes-Gilbert, Sandra 10398 3795 Mansell Road Alpharetta, GA 30022

12/30/2019Ramzi N Ghosn, MD 57974RN098614Symonette, Mary Magdalena 42428 6002 Hwy 53 East Dawsonville, GA 30534

Monday, August 1, 2022 Page 419 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/19/2017Melissa Davis, MD 59141RN233644Szabo, Christa Lauren 12560 1013 N 5th Ave Rome, GA 30165

9/1/2015Jeffrey Nicholas, MD 48377RN176079Szczepanski, Crystal Renee 7953 69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Rm 308 Atlanta, GA 30

9/24/2016Damon Kimes, MD 50322RN176079Szczepanski, Crystal Renee 9450 60 Hospital Rd, Emer Dept Newnan, GA 30263

8/1/2019Bryan Morse, MD 62396RN176079Szczepanski, Crystal 15908 80 Jesse Hill Jr Dr SE Atlanta, GA 30303

12/2/2009Martha Schuh, MD 37488RN176079Szczepanski, Crystal Renee 8436 1275 Hwy 54 West, Suite 200 Fayettevill, GA 30214

8/26/2021Jill Euteneuer, MD 74744RN204462Tackett, Emily Jane 17628 3950 Austell Rd. Austell, GA 30106

8/24/2020Kingsley Iyamu, MD 44493RN024079Taff, Audie Jean 9209 1850 Lake Park Dr, Suite 218 Smyrna, GA 30080

12/31/2018Una Scruggs, MD 69636RN183964Tai, Eva Chen 13956 2660 Satellite Blvd Duluth, GA 30096

9/20/2021Martha Bailey 53091RN183964Tai, Eva 43204 2660 Stellite Boulevard Duluth, GA 30096

2/15/2013Roshni Patel, MD 57141RN183964Tai, Eva Chen 8649 1645 Tullie Circle Atlanta, GA 30329

3/31/2022Nitisha Mahajan 80250RN183964Tai, Eva 58628 2660 Satellite Boulevard Duluth, GA 30096

11/8/2018Aazrum Syed 61759RN179425Tal, Shirel 42828 11820 Northfall Lane Ste 1103 Alpharetta, GA 30009

4/20/2018Alex Rikhter, MD 44070RN179425Tal, Shirel Zaltsman 19301 1140 Hammond Dr. Atlanta, GA 30328

1/21/2021Angela McDowell 69429RN156813Talley, Lynette 52387 603 E. Lamar Street Americus, GA 31709

7/25/2012Beverly Hyacinth, MD 57003RN171089Talley, Jamila A. 8394 2670 Cobb Pkwy SE Smyrna, GA 30080

7/10/2021Adaora Osakwe 63110RN170855Tallman, Jodi 55619 345 Huntington Place Ct Suite 200 McDonough, GA 30253

6/15/2020Timothy Longaker 25883RN170855Tallman, Jodi 43438 822 South Hill Street Griffin, GA 30223

11/1/2019Syed W Rizvi, MD 44073RN205887Tamene, Yonas 42044 4600 E. Ponce De Leon Ave Clarkston, GA 30021

1/2/2019Shailesh M Patel, MD 61931RN205887Tamene, Yonas Teferra 40430 5454 Yorktowne Dr Atlanta, GA 30349

9/23/2019Golden Barnett III 55090RN205887Tamene, Yonas 44224 20 Hernell Road Villa Rica, GA 30180

5/4/2018Asad M. Naqvi, MD. 39885RN205887Tamene, Yonas 40325 5454 Yorktowne Drive Atlanta, GA 30349

6/7/2021Jean Philippe-Damberville 44056RN205887Tamene, Yonas 48419 4600 E. Ponce De Leon Ave Suite A Clarkston, GA 30021

3/15/2012Rayna Jobe, MD 60386RN163540Tanner, Brianne S. Mason 1880 1425 Market Blvd Roswell, GA 30076

6/30/2019Lindsay Fowler 67016RN217872Tanner, Virginia 44029 400 Wal-Mart Way Suite F Dahlonega, GA 30533

6/15/2020Earle Gunn, MD 26538RN157317Tanner, Kristina Carol Schultz 19030 1199 Prince Ave Athens, GA 30606

3/18/2020Eduard Docu, MD 56426RN262090Tanner, Andrea Thomas 41627 1302 Drayton St Savannah, Ga 31401

Monday, August 1, 2022 Page 420 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/10/2021Mandy Lucas 72347RN227397Tanner, Betsy 47280 116 W. Thigpen Avenue Lakeland, GA 31635

11/20/2018Tania Smith, MD 51602RN217872Tanner, Virginia Allison 17912 2420 Westgate Dr, Ste 102 Albany, GA 31707

10/20/2021Michael Mendoza 73365RN125968Tanner-Torres, Barbara Dawn 41737 303 Parkway Dr NE Atlanta, GA 30312

1/4/2013Laura Bleekrode, MD 34514RN148036Tarabicos, Anna-Lisa 10648 1100 Northmeadow Pkwy, Ste 108 Roswell, GA 30076

11/30/2013Maurice Sholas, MD 60314RN148036Tarabicos, Anna-Lisa Marie Dec 11807 1001 Johnson Ferry Rd Atlanta, GA 30342

5/26/2020Jonathan Wu, MD 53967RN164778Tarver, Pamela Gordon 13823 2665 North Decatur Rd. Ste 430 Decatur, GA 30033

5/31/2020Woody Francis 48325RN271050Tarver, Kimberly 47396 1412 Milstead Avenue Conyers, GA 30012

1/2/2014Christopher Kang, MD 39141RN164778Tarver, Pamela G. 11282 2801 DeKalb Medical Parkway Lithonia, GA 30058

5/11/2015Francis Gonzalez, MD 57810RN102375Tate, Lorrie Suzanne Ray 12525 677 Church St, Box 111 Marietta, GA 30060

3/13/2017Kalpana Nayak, MD 26049RN190678Tatum, Lindsey Rene 19452 1912 Memorial Dr. Ste. E Waycross, GA 31501

8/10/2018Sohail Choudhri, MD 36514RN190678Tatum, Lindsey Rene 16816 1501 Alice St Waycross, GA 31501

8/7/2020Stephan Meadors 83959RN239751Tatum, Lauren 51453 2927 Demere Road Saint Simons Island, GA 31522

7/9/2020Aderemi Dosunmu 47893RN239751Tatum, Lauren 51756 633 Stephenson Ave Savannah, GA 30405

8/18/2017John Schuler, MD 37364RN215191Taunton, Jennifer Cline 18948 600 Celebrate Life Parkway Newnan, GA 30265

11/19/2021Nithi Anand, MD 58135RN127086Taylor, Jodi Renee 39497 780 Canton Road, Suite 400 Marietta, GA 30060

12/31/2019DONALD LYNCH MD 14927RN159262TAYLOR, LESLIE 39499 1720 REYNOLDS STREET WAYCROSS, GA 31501

1/20/2021William Rankine, DO 55294RN135541Taylor, Cynthia R 17368 1960 247 Connector Byron, GA 31008

6/25/2022David Pierce, MD 29930RN245136Taylor, Jessica Naranjo 41165 2412 N Oak St Valdosta, Ga 31602-2567

7/3/2020Dale Tucker 48092RN276305Taylor, Bradley Neal 41181 1375 East King Avenue Suite A Kingslaud, GA 31548

11/5/2018Harvinder S Bhatti, MD 65733RN262210Taylor, Jennifer Aran 41090 1288 Wellbrook Circle Conyers, GA 30012

2/27/2019Robert Bashuk, MD 26451RN127086Taylor, Jodi Renee 19113 4460 Austell Rd. Austell, GA 30106

1/13/2017Swapna Madhavan, MD 57098RN246170Taylor, Shannon Ashley 17626 220 Oakside Lane Canton, Ga 30040

10/16/2016John David Arnett, MD 38423RN115782Taylor, Sebrina Renee King 17627 208 Grady Avenue South Douglas, GA 31533

6/24/2020Whitney Denton, MD 52266RN224227Taylor, Lauren Ashley 20715 3747 Roswell Rd. ste. 216 Marietta, GA 30062

11/30/2016Joan Ifarinde, MD 62122RN145142Taylor, Delisha 15972 125 Victory Dr, Ste B Swainsboro, GA 30401

3/13/2019Tanya Jones, MD 28017RN174968Taylor, Shalu Renee 20815 116 Smith St. Tennille, GA 31089

Monday, August 1, 2022 Page 421 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/28/2021Maged Edward Abdelmalik 55077RN240423Taylor, Morgan 40492 2383 Third Street Folkston, GA 31537

1/18/2021Vlastimil Smetka 85033RN232448Taylor, Troy 53381 2122 Cumming Rd Augusta, GA 30904

9/23/2021Maged Abdelmalik 55077RN159262Taylor, Leslie 53044 1506 Alice Street Waycross, GA 31501

2/28/2022Maged Abdelmalk 55077RN159262Taylor, Leslie 52635 1506 Alice St Waycross, GA 31501

5/18/2020Afolabi Tiamiyu 63140RN198162Taylor, Lori 47416 277 Perry Parkway Suite C Perry, GA 31069

6/10/2019Eric Wagner 81317RN262210Taylor, Jennifer 44437 59 Executive Park South Suite 2000 Atlanta, GA 30329

6/28/2021Donald Menya 84635RN227762Taylor, Amy 56775 1948 Old Ocilla Road Tifton, GA 31794

12/2/2020Timothy Longaker 25883RN248424Taylor, Alyssa 45846 817 Griffin Ave Eastman, GA 31033

6/22/2020Jewel Grant 66496RN241382Taylor, Christine 45755 130 Howell Road Suite D Tyrone, GA 30290

11/19/2021David Villasana 34973RN127086Taylor, Jodi 45756 148 Bill Carruth Parkway Horam, GA 30141

8/27/2020Cathy Harper-Hogan, MD 44228RN248424Taylor, Alyssa M 41679 781 Spring Street (Ste. 230) Macon, GA 31201

4/22/2019Bolanle Sogade 47875RN241382Taylor, Christine 45363 167 Martin Luther King Jr.,Drive Forsyth, GA 30129

10/19/2021Robert Kaufmann 30115RN135284Taylor, Anne E 41920 550 Peachtree St NE Suite 1700 Atlanta, GA 30308

9/2/2020Alexnader Maybury 73621RN227703Taylor, Yuri A 41922 550 Peachtree St Atlanta, GA 30308

9/1/2021KASHIF NASEEM MD 58109RN231489TAYLOR, TANIA ALICIA 40274 3642 WHEELER RD AUGUSTA, GA 30909

3/7/2016Kalpana Nayak, MD 26049RN169794Taylor, Crystal Leigh 16813 1912 Memorial Dr, Ste E Waycross, GA 31501

6/1/2016Cath Harper-Hogan, MD 44228RN154709Taylor, Jaimi Marie 17144 124 Third St Macon, GA 31201

5/3/2017Kent Ford, DO 40063RN174968Taylor, Shalu Renee 17131 616 Ferncrest Dr. Sandersville, GA 31082

6/26/2017Olufemi Ogunyemi, MD 45566RN201624Taylor, Dwayne Keith 17142 111 Fieldstone Dr. ste. 104 Milledgeville, GA 31061

9/17/2019Benjamin Cheek, MD 25332RN176264Taylor, Nicole DeWeese 12146 2300 Manchester Expwy, Ste B001 Columbus, GA 31904

2/20/2017Alison Wright, MD 46017RN135541Taylor, Cynthia R. 18342 1025 North Houston Rd Warner Robins, GA 31093

8/24/2015Jeremiah McClure, MD 66228RN154709Taylor, Jaimi Marie 14900 6501 Peake Rd Macon, GA 31210

6/30/2017Cindy Gartmond, MD 37545RN145142Taylor, Delisha Brantley 19483 215 North Coleman st. Swainsboro, GA 30401

4/7/2022Claudio Machado, MD 47482RN145142Taylor, Delisha Brantley 21229 215 N. Coleman St. Swainsboro, GA 30401

9/9/2016Robert Marler, MD 35947RN184594Taylor, Kelly Elizabeth 13323 725 Jesse Jewell Pkwy, Suite 300 Gainesville, GA 30501

7/24/2015Mef Galle, MD 59722RN178955Taylor, Gaynell 14771 6300 Jimmy Carter Blvd, Ste 110 Norcross, ga 30071

Monday, August 1, 2022 Page 422 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/17/2012Roberts, Marcus MD 35986RN169794Taylor, Crystal 10758 1909 Highway 82 West, Ste 5 Tifton, GA 31793

4/22/2013Hewling, Kirk-Conrod MD 57559RN219174Taylor, Gina 10788 4250 Brownsville Road Powder Springs, GA 30127

1/25/2013Krishna Eechampati, MD 43994RN145142Taylor, Delisha B. 11203 2985 George Busbee Pkwy, NW Kennesaw, GA 30144

11/4/2016Warren J. Henderson, MD 20734RN154560Taylor, Wendy L. 11192 303 Smith St. LaGrange, GA 30240

11/6/2016Olabisi Pearse, MD 49717RN074994Taylor, Tina Armstrong 9672 2660 Satellite Blvd Duluth, GA 30097

10/1/2015Jameson Estes, MD 48852RN154709Taylor, Jaimi 15883 545 Venture Ct Monticello, GA 31064

2/27/2019Dana Hogan, MD 44236RN127086Taylor, Jodi Renee 8089 146 W. Athens Street Winder, GA 30680

11/4/2016Louellen Gurley, MD 42263RN154560Taylor, Wendy Lee 11339 303 Smith St, Emory Clark-Holder Clinic LaGrange, GA 30240

11/11/2014Eugene H. Jackson, MD 22793RN154709Taylor, Jaimi M. 11495 151 S. Houston Lake Rd., Ste 190 Warner Robins, GA 31088

4/30/2020Shad Stormant 79703RN159262Taylor, Leslie 48065 1720 Reynolds Street Waycross, GA 31501

8/20/2020Duriel Gray 71075RN224227Taylor, Lauren 47047 3236 Greenfield Dr Marietta, GA 30068

2/27/2019William Jackson, MD 35913RN127086Taylor, Jodi Renee 8437 2990 Five Forks Trickum Rd SW Lawrenceville, GA 30044

11/17/2020Wallace Anderson, DO 28708RN126365Taylor, Stephanie Purvis 2929 1311 Ocilla Road Douglas, GA 31533

11/1/2010Prakash Desai, MD 18482RN145142Taylor, Delisha Brantley 2931 1664 Mulkey Road Austell, GA 30106

11/16/2018Rogers, John MD 21040RN154709Taylor, Jaimi 10132 400 Charter Blvd, Emer Dept Macon, GA 31210

4/12/2018Wrobel, Peter MD 40285RN159262Taylor, Leslie 10168 1720 Reynolds St. Waycross, GA 31501

10/31/2015Mohan Papudesu, MD 29063RN174968Taylor, Shalu Renee 2940 610 Ferncrest Drive Sandersville, GA 31082

11/19/2021Reinaldo Verson, MD 38120RN127086Taylor, Jodi Renee 9955 610 19th Street Columbus, GA 31901

12/23/2011Sandra Diehl, MD 31237RN155989Taylor, Jean Osowiecki 8163 709 Canton Road, Suite 200 Marietta, GA 30060

10/27/2015Elia, Hany MD 30055RN157407Taylor-Jones, Antoinette 10900 3421 Mike Padgett Hwy Augusta, GA 30906

7/31/2020Marcel LaCoste, MD 65836RN157407Taylor-Jones, Antoinette E. 16814 1 Freedom Way Augusta, GA 30904

1/8/2021Fazal Khan 76623RN157407Taylor-Jones, Antoinette 53124 1 Freedom Way Augusta, GA 30904

9/10/2013Walter Metcalfe, MD 58544RN172042Tchaya, Sylvie V 12068 Take Care Clinic, 7530 Roswell Rd Atlanta, GA 30350

5/1/2013Plummer, Valens MD 49496RN172042Tchaya, Sylvie 10098 7530 Roswell Road Atlanta, GA 30350

9/4/2015Suzette LaRoche, MD 46149RN105822Teagarden, Diane Leigh Agosti 8497 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

9/21/2013Kimford Meador, MD 18705RN105822Teagarden, Diane Leigh Agosti 8498 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

Monday, August 1, 2022 Page 423 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/8/2011Susan Palac, MD 60954RN105822Teagarden, Diane Leigh Agosti 8499 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

6/21/2009Page Pennell, MD 40513RN105822Teagarden, Diane Leigh Agosti 8500 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

3/22/2016Sandra Helmers, MD 48784RN105822Teagarden, Diane Leigh Agosti 2947 1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

3/1/2017Steven Wolinsky, DO 47175RN215607Teal, Oscar Shawn 18657 425 W. 3rd Ave. ste. 600 Albany, GA 31701

4/12/2020Khaja Mohammed 70487RN215607Teal, Oscar 45757 425 W. e-3rd Ave Suite 600 Albany, GA 31701

3/20/2019Pablo Rengifo-Moreno, MD 76669RN215607Teal, Oscar Shawn 20809 425 W. 3rd Ave. ste. 600 Albany, GA 31701

9/6/2013Ronald Forehand, MD 22760RN117547Teasley, Christa Clare Tumblest 2948 University Health Ctr, 370 River Road Athens, GA 30602

8/31/2018David Samuels 49521RN119908Tebo, Terri 41923 117 Kite Rd Swainsboro, GA 30140

4/1/2016Dharmeshkumar Patel MD 55264RN204954Techapatikul, Kallayanee 16736 2491 Panola Rd. Lithonia, GA 30058

12/31/2019Larry Stewart, Jr., MD 27123RN045228Tedder, Cathy M. 9507 1024 Keith Dr Perry, GA 31069

10/8/2010Sandra Kopacz, MD 32179RN045228Tedder, Cathy M 2949 1303 Hwy 215 Vienna, GA 31092

10/9/2019Errol Graham 32388RN227482Teegardin, Jon 45086 105 E Tollison St Suite C Baxley, GA 31513

10/9/2019Akinlolu Omitowoju 19313RN227482Teegardin, Jon 43372 163 E Tollison St Baxley, GA 31513

4/1/2020Marshall Tanner 56658RN227482Teegaron, Jon 48421 710 N.Irwin Ave Ocilla, GA 31778

9/17/2020Michael Coulthard 71060RN175477Teel, Lesley 51180 2122 Manchester EXPY Columbus, GA 31904

3/23/2020Richard Spurlock 59207RN175477Teel, Lesley 45345 2122 Manchester Expy Columbus, GA 31904

7/2/2016Clement Anthony, MD 27752RN175477Teel, Lesley Dale 14544 710 Center St Columbus, GA 31901

7/24/2011Lionel Meadows, MD 45550RN128774Teffault, April Lynn 2950 121 N. Big A Road Toccoa, GA 30577

10/11/2017Isioma Okwumabua, MD 70256RN184550Telemaque, Coyette Annisee 14087 4397 Sudderth Rd Sugar Hill, GA 30518

10/30/2015Thenmozhi Sinjaram, MD 65060RN184550Telemaque, Coyette 15523 3850 Windermere Pkwy, Ste 105 Cumming, GA 30041

4/14/2021Thomas DeMarco 32718RN192867Telesford, Jeysirine 43571 3969 S. Cobb Dr Suite 202 Smyrna, GA 30080

3/1/2019Mark Anders 35363RN175477Tell, Lesley 41839 2122 Manchester Expressway Columbus, GA 31904

4/17/2019MILES JOHNSON MD 38817RN202640TELLA, ESTHER 39978 225 JAMES BRAWLEY DR NW ATLANTA, GA 30314

12/31/2020Frank Jones 47462RN259555Tendoh, Mah Clavia 43555 1255 Highway 54 West Fayetteville, GA 30214

12/25/2020Michael Robbinowitz 17274RN259555Tendoh 41840 1968 Peachtree Road NW Atlanta, GA 30309

5/25/2013Nagma Lott, MD 60504RN223698Tenebruso, Lillian E 11691 107 Main St Plains, GA 31780

Monday, August 1, 2022 Page 424 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/4/2013Anurag K. Kumbham, MD 58690RN223698Tenebruso, Lillian E. 11281 298 US Highway 520 Cusseta, GA 31825

12/2/2020Jane Gilmore 40077RN236171Teplis, Michelle 46321 80 Jesse Hill Jr. Drive Atlanta, GA 30303

12/14/2011Nurrallah Esmail, MD 35623RN171345Terrell, Karen Jean 9669 PO Box 650, Medical Dept Nicholls, GA 31554

5/4/2012Sightler, William DO 34715RN171345Terrell, Karen 10455 195 N. Broad Street Alamo, GA 30411

2/16/2022Keisha Callins, MD 65643RN098219Terry, Clare Soileau 13728 401 S. Madison St. Albany, GA 31701

5/17/2020Shannon Trowell, MD 63036RN223960Terry, Amy Marie 38928 1200 Memorial Drive Dalton, GA 30720

7/26/2016F. Clark Cantrell, MD 28948RN140783Tesh, Ana Lynn 11885 777 Franklin Rd Marietta, GA 30067

4/11/2019Jennifer Robinson 51369RN214499Teter, Clara 45087 315 S Field St Bremen, GA 30110

11/13/2020John Oliga 39890RN214499Teter, Clara 54484 2799 Lawerenceville Hwy Suite 106 Decatur, GA 30033

10/27/2020Sylvanus Fiakpornoo, MD 60453RN174444Tettey-Enyo, Phyllis 40213 2000 Riverside Pkwy (Suite 107) Lawrenceville, GA 30043

8/3/2021Piyush B. Patel, MD 56625RN227902Tew, Cynthia A. 18332 5363 Veterans Pkwy. Columbus, GA 31904

9/4/2020Alex Rhikhter 44070RN236121Teytel, Rasa 46173 6105 P'tree Dunwoody Rd., Suite C125 Atlanta, Ga 30328

1/19/2022Rebecca Loomis 46984RN282577Thach, Julie 51851 1515 River Place Suite 100 Braselton, GA 30517

10/1/2019Minkailu Sessay 55700RN282577Thach, Julie 46652 822 Dacula Rd Dacula, GA 30019

3/14/2017Janet Fason, MD 48773RN154255Thackston, Tricia 16018 1762 Mars Hill Rd NW Acworth, GA 30101-8091

2/28/2014Fremont P. Wirth, MD 16449RN122730Thames, Linda A. 11197 4 East Jackson Blvd. Savannah, GA 31405

3/17/2014Murray Robinson, MD 52518RN122730Thames, Linda Ann 13062 2675 N Decatur Rd, Suite 110 Decatur, GA 30033

9/15/2012Keith Kirby, MD 40438RN122730Thames, Linda Ann 8072 8 Wheeler Street Savannah, GA 31405

12/31/2020Robersteen Howard, MD 40103RN104841Tharp, Mary Beth Bruner 2955 85 John Maddox Conn NW Rome, GA 30165

1/24/2020Mitchell Wilson 61188RN151127Theobald, David 46809 100 First Court Columbus, GA 31909

5/27/2020Mark Oliver, MD 48557RN149771Theobald, Kamie Dawn 9484 2416 Capstone Court Columbus, GA 30919

5/27/2020Erik Heiss, MD 67737RN151127Theobald, David Alan 17372 705 17th St, Ste 107 Columbus, GA 31901

3/1/2018Dana Cason, MD 39302RN149771Theobald, Kamie 40660 5555 Whittlesley Blvd Suite L1 Columbus, GA 31909

8/1/2018Marielena Vasquez 62790RN149771Theobald, Kamie 41926 5555 Whittlesey BlvdSuite L-1 Columbus, GA 31909

3/1/2017Mehrdad Seilanian Toosi, MD

67089RN206952Theus, Heather Michelle 12938 200 S Enota Dr, Suite 200 Gainesville, GA 30501

Monday, August 1, 2022 Page 425 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/26/2012Haley, Donna MD 40916RN174649Thibault, Paula 10630 100 Medical Lane, Ste 1 Canton, GA 30114

5/25/2014Allen Randle Beecham, DO 25102RN174649Thibault, Paula S. 11381 2000 Village Professional Dr., #200 Canton, GA 30114

5/10/2021Mark Goldberg 68736RN297414Thiry, Zechariah 57138 1155 Concord Road SE Smyrna, GA 30080

3/2/2021Christa Springston 73837RN297414Thiry, Zechariah 56826 1275 Highway 54 W Fayetteville, GA 30215

10/16/2009Kenneth Azar, MD 13721RN082980Thisell, Susan K. 8197 306 Greenway Street Thomson, GA 30824

1/21/2021Paul Allen 28490RN198411Thobani, Rozina 51869 2795 Main Street, W #27 Snellville, GA 30078

10/5/2020James Rogan 37662RN198411Thobani, Rozina 52414 1080 Holcolmb Bridge Rd Bldg 200 Suite 100 Roswell, GA 30

10/28/2018Angela Wright, MD 45103RN135792Thomae, Maria Carmen 21371 2467 Golden Camp Rd. Augusta, GA 30906

3/11/2011Julian Hutchins, MD 18677RN135792Thomae, Maria Carmen 9499 4150 Washington Rd, Suite 11 Evans, GA 30809

1/31/2011Cacia Soares-Welch, MD 55704RN192999Thomas, Hyacinth 9421 1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

5/16/2014Mona Massoud, MD 70479RN149165Thomas, Tawenna Tajuanda 13006 526 West Broad Ave Albany, GA 31705

5/30/2011Kirk-Conrod Hewling, MD 57559RN133666Thomas, Barbara Ann 9328 4250 Brownsville Rd Powder Springs, GA 30127

6/25/2014Gabram, Sheryl MD 56834RN053639Thomas, Carol 10399 69 Jesse Hill Jr Dr SE, Ste 303 Atlanta, GA 30303

5/31/2020Candice Wallace, MD 30918RN076259Thomas, Patricia Ann 12124 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

6/30/2021William Morton, MD 43715RN169551Thomas, Rosalyn Anderson 16995 1218 Alice St Waycross, GA 31501

1/3/2022Opeoluwa Akkinusi, MD 64802RN252769Thomas, Lindsay Porter 16836 3750 Palladian Village Dr, Ste 110 & 120 Marietta, GA 30060

6/15/2019Kenneth Grotz, MD 37820RN156631Thomas, Genver 15217 4150 Washington Rd, Ste 11 Evans, GA 30809

9/29/2015Gertrude Arrington, MD 27036RN219545Thomas, Robin 14764 1720 Phoenix Blvd, Ste 900,600 College Park, GA 30349

2/28/2020David Child, MD 29156RN163447Thomas, Charmaine Betty 21170 304 Shorter Avenue Rome, GA 30165

7/27/2018Steven Garst, MD 48047RN210259Thomas, Megan McCullough 21146 3540 North Cobb Pkwy. NW Acworth, GA 30101

11/13/2017Joel Ransom, MD 71749RN177598Thomas, Tanya 16110 745 Poplar Rd Newnan, GA 30265

8/10/2017Rosiland Womack, MD 72171RN140886Thomas, Melissa Diane 17932 213 North McDonald St. Ludowici, GA 31316

2/16/2021Ray Bennett, MD 56526RN215166Thomas, Keldreca Shuntae 20010 1325 Commerce Dr. ste. 200 Peachtree City, GA 30269

5/21/2019Dr. Stephanie Addison-Holt, MD

70024RN219545Thomas, Robin 39661 35 Jesse Hill Dr Se Atlanta, Ga 30031

5/15/2018ROBERT MORGAN MD 31639RN140886THOMAS, MELISSA DIANE 39503 213 N MCDONALD ST SUITE A&B LUDOWICI, GA 31316

Monday, August 1, 2022 Page 426 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/4/2019DAISY AZANA MD 74542RN177598THOMAS, TANYA ANITA 39504 745 POPLAR RD NEWNAN, GA 30264

8/28/2018BRINKLEY GOODSON DO 24680RN226708THOMAS, TOYA 39506 4864 JIMMY CARTER BLVD NORCROSS, GA 30093

2/1/2016Theresa Hudson, MD 39594RN156089Thomas, Tawya Scherri 17322 5448 Whittlesey Blvd, Ste B Columbus, GA 31909

2/1/2022LISA ORTENZI MD 23395RN154661THOMAS, MAQUISSA 40133 880 CRESTMARK DR SUITE 200 LITIA SPRINGS, GA 30122-26

3/19/2019Albert Scott 32293RN206683Thomas, Jessica Je'Nae 41319 2633 N. Decatur Rd Decatur, GA 30033

10/1/2021David Nussbaum 67697RN140886Thomas, Melissa 44115 213 N. cDonald Street Suite A&B Ludowik, GA 31316

7/12/2019Kenneth Healey, MD 24689RN170732Thomas, Amanda Banks 38945 603 East Lamar Street Americus, GA 31709

7/19/2019Scheri-Lyn Makombe 77154RN277299Thomas, Carla 44232 1100 Peachtree Street NE Atlanta, GA 30309

5/15/2018Robert Morgan, MD 31639RN140866Thomas, Melissa Diane 40723 213 N. Mcdonald St Suite A & B Ludowici, GA 31316

5/15/2018Robert Morgan, MD 31639RN140886Thomas, Melissa Diane 39226 213 N. McDonald Street Suites, A&B Ludowici GA, GA 31316

12/6/2018Robert Morgan, MD 31639RN140886Thomas, Melissa Diane 39223 213 N McDonald Street, Suites A&B Ludowici, GA 31316

11/1/2020Lori Lynch 68826RN288652Thomas, Theressa 51425 117 Perimeter Center West N316 Atlanta, GA 30338

2/14/2021Clayton Ramsue 49938RN225738Thomas, Stella 55600 3579 Highway 138 SE Suite 103 Stockbridge, GA 30281

11/1/2020Eric Brown 37150RN206683Thomas, Jessica 51680 2635 S. Cobb Dr Smyrna, GA 30080

2/12/2020James Lee 64407RN239090Thomas, Kyndra 44438 118 Nothpark Drive Brunswick, GA 31520

7/30/2021Catherine Burley 26230RN230389Thomas, Keldreca 47821 868 York Ave. SW Atlanta, GA 30310

12/14/2012Budell, John MD 17369RN222506Thomas, Jency 10028 2175 Northlake Pkwy, Ste 142 Tucker, GA 30084

7/21/2010Veronica Garrett, MD 39106RN171973Thomas, Heather Renae 8243 1567 Milstead Road, Suite B Conyers, GA 30012

7/13/2012Mian, Haroon MD 66222RN133666Thomas, Barbara 10130 3600 Dallas Hwy SW Marietta, GA 36004

1/31/2011David Feliciano, MD 34827RN053639Thomas, Carol Ann 2963 80Jesse Hill Jr Dr SE, Suite 304 Atlanta, GA 30303

5/20/2010Adam Leaderman, MD 29709RN093201Thomas, Elizabeth Ann D'Amico 2966 5673 P'tree Dunwoody Rd, #775 Atlatna, GA 30342

2/24/2011Deepali Agarwal, MD 54783RN156089Thomas, Tawya Scherri 8502 1110 13th Street Columbus, GA 31901

9/30/2010Deronda Person, MD 50079RN133666Thomas, Barbara Ann 8921 3208 Alcovy Club Ct. Dacula, GA 30019

7/23/2020Sofia Zaman 65324RN190105Thomas, Jolly 46810 210 Collins Ind Way Lawerenceville, GA 30043

10/29/2019James Harrell 26782RN230389Thomas, Keldrea 46573 3116 n. Oak St. EXT Valdosta, GA 31602

5/31/2021Rajesh Sachdera 47653RN285678Thomas, Jolly 50811 80 Jesse Hill Jr. Dr Atlanta, GA 30303

Monday, August 1, 2022 Page 427 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/30/2012Miriam Gwathney, DO 63343RN211903Thomas, Ceretha Mae 9605 300 W. Perry St Manchester, GA 31816

12/31/2020David Arkin, MD 28136RN192999Thomas, Hyacinth 9621 758 Old Norcross Rd, Suite 175 Lawrenceville, GA 30046

3/14/2014Mary Jo Lechowicz, MD 53339RN185361Thomas, Jessica Joy 9718 1365 Clifton Rd NE, Bldg C, Plaza floor Atlanta, GA 30322

6/8/2019Tanvir M. Dara, MD 33816RN150780Thomas -Cloud, Rosemary 20539 4475 West Village Parkway Ellenwood, GA 30294

2/9/2019Samuel Bleuez, MD 60241RN150780Thomas-Cloud, Rosemary 15978 745 Poplar Rd Newnan, GA 30265

1/22/2020Richard Wright, MD 46927RN150780Thomas-Cloud, Rosemary 10985 1103 Forest Parkway Forest Park, GA 30297

8/13/2015Shameka McElhaney, MD 54854RN170568Thompson, Natalie Nicole 12527 2670 Cobb Pkwy SE Smyrna, GA 30080

10/14/2013Appavuchetty Soundappan, MD

44107RN139742Thompson, Andrea Lucckino 9452 1115 Morningside Dr Perry, GA 31069

7/10/2015Jesse Grant, MD 21510RN139742Thompson, Andrea Lucckino 12741 124 Third St Macon, GA 31201

1/1/2010Joan Harden, MD 48640RN153018Thompson, Johnetta 7883 1862 Candler Road Decatur, GA 30032

7/29/2011Poornima Chintalapalli, MD 61405RN170568Thompson, Natalie Nicole 9660 1610-D East Forsyth St Americus, GA 31709

4/1/2022Franklin Conner, MD 33555RN070005Thompson, Brenda 15568 1608 Meadows Lane, Ste 1 Vidalia, GA 30474

12/2/2016Steven Leichter, MD 40452RN237918Thompson, Leslie 15553 2425 Brookstone Centre Pkwy Columbus, GA 31904

6/1/2018Lisa Rudolph-Watson, MD 42414RN077718Thompson, James Arthur 14524 401 Old Albany Rd Thomasville, GA 31792

12/18/2015Vijitha Prasad, MD 40520RN070005Thompson, Brenda Meadows 9139 544 W. Church Street Swainsboro, GA 30401

5/21/2018Cathy Harper-Hogan, MD 44228RN139742Thompson, Andrea 14648 124 Third St Macon, GA 31201

12/5/2017Shirley Rigaud-Echols, MD 58639RN228375Thompson, Nijah Alish 20968 2665 N. Decatur Rd. ste. 255 Decatur, GA 30033

3/1/2015Katrina Parker, MD 40510RN237918Thompson, Leslie 14728 2425 Brookstone Ctr Pkwy Columbus, GA 31904

11/9/2021Craig Caldwell, MD 21658RN139789Thompson, Tessa Valene Smith 17853 521 Cabiness Rd Forsyth, GA 31029

2/14/2020Melissa Warner, MD 33480RN219413Thompson, Kimberly Deann 19546 310 Black Bear Ridge Sautee, GA 30571

4/9/2018Jeremiah McClure, MD 66228RN120888Thompson, Darrel Winifred 17147 260 West Clinton Gray, GA 31032

10/31/2014Ashley Davis, MD 58161RN237918Thompson, Leslie 13684 5555 Whittlesey Blvd, Suite L-1 Columbus, GA 31909

4/6/2022Michael Miller, DO 27869RN049631Thompson, Joyce S 13642 1670 Clairmont Rd, Ste 508 (MC170) Decatur, GA 30033

1/11/2018Eva Beaulieu, MD 66254RN247103Thompson, Julia 16493 564 Cross Town Dr Peachtree, GA 30269

5/13/2018Yvonne Smith, MD 42443RN153018Thompson, Johnetta 11907 3600 Dallas Hwy SW Marietta, GA 30064

Monday, August 1, 2022 Page 428 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/1/2013Randal Sugerman, MD 36465RN139742Thompson, Andrea Lucckino 11971 1339 Gray Hwy Macon, GA 31211

8/30/2017Ray Bennett, MD 56526RN170568Thompson, Natalie Nicole 13426 1325 Commerce Dr, Ste 200 Peachtree, GA 30269

8/24/2017Augusto Soltero-Diaz, MD 61350RN116666Thompson, Andrea Lucckino 19355 774 GA Hwy. 96 Bonaire, GA 31005

10/24/2019Shean Phelps, MD 45109RN139742Thompson, Andrea Lucckino 19154 124 Third St. Macon, GA 31201

3/18/2019William Jacobsen, MD 72061RN201270Thompson, Stephanie Nicole 19031 1133 Eagles Landing Pkwy. Stockbridge, GA 30281

12/31/2021Yvonne P McAllister, MD 25218RN120888Thompson, Darell W 41047 2410 Ingleside Ave Macon, GA 31204

6/23/2018George Zoret, MD 24744RN139742Thompson, Andrea Lucckino 39149 124 Third Street Macon, GA 31201

4/9/2019Denise Workman, MD 50693RN219413Thompson, Kimberly Deann 39029 55 Cantrell Rd. ste. 100 Cleveland, GA 30528

7/1/2020Janis Coffin 56528RN120888Thompson, Darrell 44117 987 St. Sebastian Way Augusta, GA 30912

9/30/2021Cathy Harper-Hogan, MD 44228RN247103Thompson, Julia 40673 781 Spring Street Macon, GA 31201

6/19/2019Michael Wheelis, MD 37419RN070005Thompson, Brenda 41655 10 Doctors Street Metter, Ga 30439

9/20/2021Ayman Fareed 58740RN219413Thompson, Kimberly 54668 330 Mount Sinai Drive Dahlonega, GA 30533

2/14/2020Darrell Dean 14118RN139789Thompson, Tessa Valene Smith 46324 1626 Jeurgens Court Norcross, GA 30093

7/31/2019Pallhat Mohan 18110RN215979Thompson, Tamika 43206 1510 Renaissance Sr Conyers, GA 30012

11/12/2021Kenneth Taylor 38985RN227890Thompson, Katherine 52266 95 Collier Rd NW Suite 3000 Atlanta, GA 30309

2/14/2020Jonathan F Busbee, MD 40336RN139789Thompson, Tessa 42043 99 Hill Haven Road Greenville, GA 30222

5/1/2019James Rimer 30665RN139789Thompson, Tessa 41990 1067 Battlefield Pkwy Fort Oglethorpe, GA 30742

1/24/2019Jeffrey Dowis 68199RN213563THOMPSON, LINDSEY OLUWAT 40444 1720 PEACHTREE ST NW SUITE 140 ATLANTA, GA 30309

2/14/2020Mark Lawrence Lipham 19173RN139789Thompson, Tessa 40386 921 Old Newman Rd. Carrollton, GA 30116

2/17/2020Wiley Smith 63133RN225028Thompson, Alizabeth 43606 1008 N 3rd Avenue Chatsworth, GA 30705

2/14/2020Sylvanus Kwame Fiakpornoo 60453RN139789Thompson, Tessa Valene Smith 45647 1626 Jeurgens Court Norcross, GA 30093

2/28/2018Loy Cowart 37979RN070005Thompson, Brenda 41842 38 B Cedar St Meter, GA 30439

2/1/2021Jose Espinosa 72537RN139742Thompson, Andrea 47102 1118 Highway 96 West Kathleen, GA 31047

5/15/2021Ochuko Odjegba 78954RN297987Thompson, Drew 54845 1240 Eagles Landing Pkwy Suite 110 Stockbridge, GA 30281

7/31/2017Narayan, Nalini MD 44287RN134604Thompson, Kelly 10318 705 Dixie Street Carrollton, GA 30117

Monday, August 1, 2022 Page 429 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/4/2016Alice House, MD 43065RN120888Thompson, Darrel Winifred 9596 100 College Station Dr Macon, GA 31206

2/14/2020Keith Parmer 15200RN139789Thompson, Tessa Valene Smith 46553 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Mark Lipham 19173RN139789Thompson, Tessa 46812 1626 Jeurgens Court Norcross, GA 30093

2/14/2020Ann Ward 23242RN139789Thompson, Tessa Valene Smith 46848 1626 Jeurgens Court Norcross, GA 30093

3/31/2011Michlene Broadney, MD 55207RN067048Thompson, Charlotte Allen 5373 11 Upper Riverdale Rd SW Riverdale, GA 30274

11/5/2009Lance Wiist, MD 33754RN164801Thompson, Jill Marie Antisell 5374 761 Old Norcross Road Lawrenceville, GA 30045

7/31/2021Brian Chadwick 43575RN070005Thompson, Brenda 57378 1128 East Derenne Avnue Savannah, GA 31406

4/13/2022Donald Baracskay 56006RN237018Thompson, Candace A. 60383 124 Hospital Drive Warner Robins, GA 31088

9/24/2021James Dunne 72206RN254865Thompson, Amy 48363 4750 Waters Avenue Suite 202 Savannah, GA 31404

7/24/2018Suzana Montana, MD 45097RN147104Thompson, Alexa Denise 2973 3780 Holcomb Bridge Rd, Suite C Norcross, GA 30092

2/4/2010Teresa Baysden, DO 57348RN070005Thompson, Brenda Meadows 2975 2001 Antioch Rd Dalton, GA 30721

10/20/2011Ifeoma Nnaji, MD 63931RN067355Thompson, Colette A Kowalski 2976 247 Union Point St Lexington, GA 30648

11/21/2010Maurice Clifton, MD 61053RN120888Thompson, Darrel Winifred 2977 MSC Health Clinic - 100 College Station Dr Macon, GA 31206

4/16/2014James Drury, MD 48891RN077718Thompson, James Arthur 2980 401 Old Albany Road Thomasville, GA 31792

3/10/2021James Livingston, MD 20128RN139789Thompson, Tessa Valene Smith 2986 2795 Finney Circle Macon, GA 31217

11/9/2009Richard Dent, MD 17RN159396Thompson, Kristan Anne 8540 310 Eisenhower Dr, Bldg #5 savannah, GA 31406

7/13/2012Mian, Haroon MD 66222RN153018Thompson, Johnetta 10129 970 Joe Frank Harris Pkwy SE Cartersville, GA 30120

12/22/2015Hart, Ronald MD 46115RN067355Thompson, Colette 10145 247 Union Point Street Lexington, GA 30648

4/1/2010David Van, MD 29545RN142971Thompson, Jennifer Smith 8271 747 South Hill Street Griffin, GA 30224

2/25/2014Nam, Nakyoung Judy MD 59292RN161642Thompson, Amy 10031 2089 Teron Trace Dacula, GA 30019

1/5/2018Richard McCullough, MD 15483RN170184Thompson Brown, Rebecca Ang 16174 2225 US Hwy 41 North Tifton, GA 31794

11/28/2017Clyde Watkins, MD 36033RN078351Thomson, Susan Jane Borich 19516 2745 Dekalb Medical Parkway ste. 200 Lithonia, GA 30058

8/4/2016Rita Beckford, MD 73189RN078351Thomson, Susan Jane Borich 18213 555 North Indian Creek Dr. Clarkston, GA 30021

7/1/2016Donald Siegel, MD 11475RN078351Thomson, Susan 15723 555 N Indian Creek Dr Clarkston, GA 30021

7/11/2016Jeffrey Brewster, MD 52896RN235312Thornbury, Sarah 15707

7/25/2012Lanier, John MD 28809RN207895Thorne, Julia 10400 2050 Cumming Hwy Canton, GA 30114

Monday, August 1, 2022 Page 430 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/13/2018John Mersereau, MD 14936RN207895Thorne, Julia 14542 2050 Cumming Hwy, Ste 100 Canton, GA 30115

5/29/2016Craig Banta, MD 48873RN207895Thorne, Julia 11112 2050 Cumming Hwy, Ste 100 Canton, GA 30115

9/6/2011Donna Haley, MD 40916RN207895Thorne, Julia McClellan 9515 100 Medical Lane, #1-3 Canton, GA 30114

12/1/2017Deitrick Cox, MD 65394RN207895Thorne, Julia McClellan 18979 7100 Peachtree Dunwoody Rd. ste. 100 Sandy Springs, GA 3

9/13/2018John Mersereau, MD 14936RN207895Thorne, Julia McClellan 17373 1469 Roswell Rd Marietta, GA 30068

1/1/2022Jian Li 61794RN238799Thornhill, Preston 54210 2225 US Hwy 41 N Tifton, GA 31794

2/22/2022Elijah Robinson 81173RN177248Thornhill, Timiko 52914 745 Memorial Drive Atlanta, GA 30316

7/22/2016Alexander Osowa, MD 57551RN214508Thornton, Angela Autumn 17370 2805 Hamilton Mill Rd Buford, GA 30519

8/11/2020Luther Vance, MD 19354RN145384Thornton, Lisa Kathryn 12892 3065 South Cobb Drive Suite B Smyrna, GA 30080

1/20/2021Nehmetallah, Jules MD 55262RN104839Thornton, Lois 10536 410 Darling Avenue Waycross, GA 31501

1/1/2019Ram Reddy, MD 24178RN214508Thornton, Angela Autumn 18648 1061 Dowdy Rd. Ste. 101 Athens, GA 30606

8/9/2013Ronald Forehand, MD 22760RN081936Thornton, Anita Lyn 2988 370 River Road Athens, GA 30602

8/10/2021Erin London 45440RN081936Thornton, Anita 58304 415 Pottery Factory Drive Commerce, GA 30529

4/3/2020Paul Walker, DO 46272RN174775Thrasher, MaryAnn 14839 1150 Powder Springs Rd Marietta, GA 30069

5/11/2012Vimala Nair, MD 18058RN174775Thrasher, Mary Aqnn Moulder 9036 100 Lacy St, Suite 150 Marietta, GA 30060

2/2/2015Rajiv Tejura, MD 68804RN174775Thrasher, MaryAnn Moulder 13010 PO Box 649 Marietta, GA 30090

1/31/2014Mark P. Elam, MD 36147RN174775Thrasher, MaryAnn M. 11243 9702 Chestnut Hill Lane Chattanooga, TN 37421

11/30/2018David Campbell, MD. 74033RN213384Threat, Jamie Lyall 39877 61 Whitcher Street Marietta, GA 30060

2/4/2021Arthur M. Baker, MD 65729RN082194Thrower, Eileen Joyce Barry 20867 1692 Chatham Parkway Savannah, GA 31405-1350

12/4/2017Schaefer, Timothy MD 47524RN082194Thrower, Eileen 10705 1700 Hospital South Drive, Ste 500 Austell, GA 30106

8/31/2011Walter Lonergan, MD 27401RN082194Thrower, Eileen Joyce Barry 5376 59 Hospital Road Newnan, GA 30263

11/15/2016Carolyn Bennett, MD 58729RN228738Tickle, Kelly Marie 13000 1405 Clifton Rd NE, 4th floor, Tower 1 Atlanta, GA 30322

11/1/2015Jennifer Beckman, MD 66453RN125386Tidwell, Amber Nickolina 13701 523 Dixie St Ste. 3 Carrollton, GA 30117

1/7/2019Charlie Rouse, MD 44076RN125386Tidwell, Amber Nickolina 16988 129 Bankhead Hwy Carrollton, GA 30117

7/1/2022Debora Johnson 43071RN125386Tidwell, Amber 48709 122 Gordon Commercial Drive LaGrange, GA 30240

12/3/2020Hanx Elia 30055RN199100Tiernan, Lauren 48769 306 Greenway Street Thomson, GA 30824

Monday, August 1, 2022 Page 431 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/5/2022Vamsi K Kota 60210RN199100Tiernan, Lauren 55648 1120 15th St. Augusta, GA 30912

6/1/2022Dean Seehusen 80956RN208126Tierney, Chasity 53201 1120 15th Street Augusta, GA 30912

6/30/2020Joseph Hobbs 17105RN208126Tierney, Chasity 46174 1120 15th St., HB3016 Augusta, Ga 30912

7/24/2019Brian Cunningham, DO 75157RN208126Tierney, Chasity Christina 17141 447 N Belair Rd, Ste 101 Evans, GA 30809

11/17/2020David Weinkle 38645RN135119Tigner, Jennifer 44608 1001 Johnsin Ferryy Rd Atlanta, GA 30342

1/2/2020ROUBA GARRO MD 70115RN135119TIGNER, JENNIFER 39600 1405 CLIFTON RD NE ATLANTA, GA 30322

5/1/2015S Joe Vaughn, MD 46000RN106991Tillery, Traci Myrick 12203 304 Turner MCCall Blvd Rome, GA 30165

7/5/2013S. Joe Vaughn, MD 46000RN106991Tillery, Traci Myrick 11664 304 Turner McCall Blvd Rome, GA 30165

10/1/2008Ann Ward, MD 23242RN106991Tillery, Traci Myrick 7755 304 Turner McCall Blvd Rome, GA 30165

7/31/2016Jay Goldstein, MD 45229RN161574Tillman, Kelly R. 17149 4700 Waters Ave, ED Savannah, GA 31404

6/30/2019ALLEN SOLOMON MD 28465RN188151TILLMAN, CAROL 39601 300 LENORA CHURCH RD SNELLVILLE, GA 30078

5/1/2017William Toussaint, MD 70231RN216390Tilson, Carlie Lee 17624 1555 Brampton Ave. Statesboro, GA 30459

1/11/2019Jack Copeland, MD 30289RN215693Timmerman, Angelica Coleman 20761 725 Jesse Jewell Pkwy SE Gaineville, GA 30501

1/11/2019Andrew Reisman, MD 42406RN215693Timmerman, Angelica Coleman 20762 4222 Fairbanks Drivce Oakwood, GA 30566

7/18/2018David R. Persaud, MD 70703RN202115Timmins, Christopher Louis 13155 772 Maddox Dr., Ste. 122 Ellijay, GA 30513

5/31/2013Todd, Anne MD 51395RN202115Timmins, Christopher 10825 772 Maddox Drive, Ste 122 Ellijay, GA 30540

11/14/2009William Raisig, MD 55290RN202115Timmins, Christopher Louis 8535 64 Call-Wright Road Ellijay, GA 30540

12/31/2020Thuy T. Bui, MD 49276RN187007Timmons, Lauren B. 11512 P.O. Box 422022 Atlanta, GA 30542

2/16/2022Sanjeev S Tendolkar 63066RN242756Timsina, Reshma 58954 4593 Lawerenceville Road Loganville, GA 30052

1/15/2022Jose Jstiano-Ayala 46773RN210991Tinker, Heather 57492 205 Jenkins Road Rossville, GA 30741

4/28/2022Jazzmine Basham 90864RN210991Tinker, Heather L. 60357 205 Jenkins Road Rossville, GA 30741

4/27/2021James Wahl 83444RN210991Tinker, Heather 53528 83 Crye-Leike Dr Fort Olgethrope, GA 30742

1/14/2022Lisa Culpepper 46070RN268918Tinoco, Buket 59379 11459 Johns Creek Pkwy Suite 250 Johns Creek, GA 30097

7/31/2013Matthews, Barbara MD 46169RN121032Tinson, Aretha 10294 2000 N. Monroe Street Albany, GA 31701

1/15/2021Reuben Roberts, Jr 17944RN121032Tinson, Aretha 42847 23 Old School Road Georgetown, GA 39854

2/5/2016Andrea Bretal, MD 64777RN121032Tinson, Aretha Marie 12393 618 East Lamar St Americus, GA 31709

Monday, August 1, 2022 Page 432 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/29/2021Darren Dillard 82471RN239947Tippens, Zachery 52401 3540 North Cobb Pkwy NW Acworth, GA 30101

12/1/2020Margaret Alisa Davis 39033RN102211Tipton, Anga Lee 40608 4000 Village View Drive Gainsville, GA 30506

5/1/2019Micheal J. Mulberry, MD. 50725RN102211Tipton, Anga-lee M. 39854 2435 Old Cornelia Highway Gainesville, Ga 30507

1/1/2021Fatimah Manzoor, MD 64600RN102211Tipton, Anga-Lee Morgan 19134 725 Jessie Jewell Pkwy. SE Gainesville, GA 30501

12/1/2016Marler, Robert MD 35947RN102211Tipton, Anga-Lee 10833 725 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

3/28/2018Augusto Soltero-Diaz, MD 61350RN217347Tisdale, Rhonda Jean 19882 3240 S. Cobb Dr. Smyrna, GA 30082

11/4/2016Ahmad Jingo, MD 45842RN217347Tisdale, Rhonda Jean 18982 3424 Flat Shoals Rd. Decatur, GA 30034

8/1/2019Stacey Heit 41307RN277007Tobelmann, Jamie 42994 1200 Northside Forsyth Drive Cumming, GA 30041

11/26/2014Peter Barrett, MD 69372RN122787Tobey, Jacqueline Davies 13611 95 Collier Rd, NW, Ste 5015 Atlanta, GA 30309

10/1/2018Klepper Garcia, MD 69812RN165626Todd, Wiliam Lewis 17150 1120 15th St, BA 3514 Augusta, GA 30912

10/1/2018Jeffrey Switzer, DO 53184RN165626Todd, William Lewis 14977 1120 15th St. Augusta, GA 30912

6/11/2013Mullen, Thomas MD 39882RN149595Toi Glaze, Rachel 10821 126 Sequoyah Ringgold, GA 30736

7/8/2016Sanjeen Tenkolkar, MD 63066RN175489Tolbert, Gentry Elizabeth Broac 14120 4589 Lawrenceville Rd Loganville, GA 30052

3/26/2015Mary Dailey-Smith, MD 50472RN109522Tolbert, Tameka Ransom 9034 5610 Wendy Bagwell Pkwy, Suite 103 Hiram, GA 30141

10/17/2014Terrance Hughes, MD 56454RN175489Tolbert, Gentry 10945 1500 Langford Medical Dr, Bldg 200 Bogart, GA 30622

10/1/2018Maribelle Verdiales, MD 61871RN175489Tolbert, Gentry Elizabeth Broac 17300 226 Alcovy St Monroe, GA 30655

6/1/2012Reddy, Ram MD 24178RN175489Tolbert, Gentry 10032 132 Franklin Springs Street Royston, GA 30662

4/11/2012Manuel Martinez, MD 24757RN213583Tolbert, Shaun 9925 1915 Eisenhower Drive Savannah, GA 31406

2/4/2014Miles Johnson, MD 38817RN109522Tolbert, Tameka Ransom 3004 3001 South Cobb Drive, Suite 103 Smyrna, GA 30080

10/15/2019John Potts, MD 17642RN119473Tolcher, Kelly Lynn Languell 3005 365 N. Jeff Davis Drive Fayetteville, GA 30214

11/12/2019Lynetter Wilson-Phillips 38132RN148026RN148026

Tolcher, Maria 47602 4112 E Ponce de Leon Ave Clarkston, GA 30021

6/2/2021Iga Lentowicz 75752RN233679Toliver, Brittany 55971 1000 Johnson Ferry Rd NE Atlanta, GA 30342

5/1/2015Linda Arnold, MD 40299RN118107Tolleson, Brenda Gail 14350 260 West Cinton St Gray, GA 31032

3/1/2020Ralph Warnock, MD 17337RN118107Tolleson, Brenda 15424 4421 Carnes St Acworth, GA 30101

3/17/2014Wanna, Fady MD 43813RN175216Tomberlin, Tara 10792 688 Walnut Street, Ste 200 Macon, GA 31201

Monday, August 1, 2022 Page 433 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/7/2019Kavitha Vemuri, MD 55350RN175216Tomberlin, Tara Shannon 17620 350 Hospital Dr, Bldg B, Ste 212 Macon, GA 31217

4/26/2021Guillermo Saurina, MD 48570RN183464Tomlinson, Lori Gordon 12686 2301 N Ashley St Valdosta, GA 31602

11/30/2015Jay Goldstein, MD 45229RN216775Tomlinson, Daniel Patrick 15303 4700 Waters Ave, ER Savannah, GA 31404

7/9/2021Lee Jacobs 28283RN233123Tommolino, Maria 53327 111 Mountian Brook Dr Suite 100 Canton, GA 30115

3/22/2021Theodore McKinley Morgan, MD.

65711RN234107Tonner, Karen Elizabeth 39911 3200 Highlands Parkway, Suite 400 Smyrna, GA 30082

5/25/2016Mary Bell Vaughn, MD 49552RN113445Toole, Ronda Speir 13590 3448 Vineville Ave. Macon, GA 31204

11/29/2010Timothy Graves, MD 26859RN113445Toole, Ronda Speir 3011 770 Walnut Street Macon, GA 31201

6/19/2020Constance Enmon 67561RN208555Toole, Stephanie 51150 625 Big Shanty Rd NW Kennesaw, GA 30144

4/24/2019Joan James, MD 65263RN247631Torke, Brittany Shea 20876 5582 Memorial Dr. Stone Mountain, GA 30083

4/12/2020Jamil Harp 61087RN247631Torke, Brittany 43433 5582 Memorial Drive Stone Mountain, GA 30083

7/7/2020Herschel Kessler 69501RN189158Torres, Daniela 46322 6005 Watsomn Blvd Byron, GA 31008

9/14/2018Guy D Foulkes, MD 39794RN189158Torres, Daniela L 42054 1100 Second St SE Cochran, GA 31014

3/30/2022David Smith 33707RN225881Torres, Patricia 55344 13081 GA-9 Alpharetta, GA 30004

10/9/2014Jeremiah McClure, MD 66228RN189158Torres, Daniela Lucinda 13639 6501 Peake Rd, Ste 100 Macon, GA 31210

4/4/2018Cathy Harper-Hogan 44228RN189158Torres, Daniela Lucinda 19419 100 University Pkwy Macon, GA 31206

1/1/2021Bradwell McAlisterI II 40480RN225881Torres, Patricia 46818 1305 Jennings Mill Rd Suite 120 Watkinsville, GA 30677

3/1/2021Kimberly Ham 50375RN106890Toth, Dana 51855 2510 GA Hwy 127 Kathleen, GA 30147

10/1/2016Jesse Jones, MD 35072RN170067Toufighian, Emile' Rose 16362 430 Buford Hwy, Ste 216 Atlanta, GA 30345

7/27/2020Tangela Atkinson 77534RN235177Toussaint, Athara 48209 625 West Memorial Dr Dallas, GA 30132

4/16/2010Glynn Chesser, MD 39307RN176177Towler, April Pearson 8314 700 Sunset Drive, Suite 502 Athens, GA 30606

9/3/2009Fredrick Merrill, III, DO 34664RN053829Towner, Susan B 3015 465 North Belair Road, Suite 1-C Evans, GA 30809

5/1/2021Reginald Nesbitt, MD 58300RN053829Towner, Susan B. 8578 1350 Walton Way Augusta, GA 30901

2/6/2010James Millen, MD 30834RN053829Towner, Susan B. 8722 465 N. Belair Rd, Suite 3-A Evans, GA 30809

5/4/2021Paul Weiner 79401RN053829Towner, Susan 46819 447 N Belair Rd Evans, GA 30809

7/1/2019Kevin Trapnell, MD 46920RN053829Towner, Susan B 17273 925 Branch Ct, Ste 101 Grovetown, GA 30813

Monday, August 1, 2022 Page 434 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/14/2020Harold J. Polak, MD 31100RN053829Towner, Susan Batchelor 40818 3121 Peach Orchard Road (Ste. 201) Augusta, GA 30906

8/27/2021Bryan Hooker 32586RN239188Townes, Ashley 57131 14 Sammy McGhee Blvd Suite 204 Jasper, GA 30143

10/20/2018Michael Sumner, MD 63062RN192270Towns, Lisa Spencer 12138 1120 15th St, BI-5092 Augusta, GA 30912

10/1/2015Brenda Budlong, MD 34749RN093580Townsell, Barbara Anne Schweg 13559 304 Shorter Ave, Suite 102 Rome, GA 30165

8/14/2017Catherine Strickland, MD 65819RN093580Townsell, Barbara Anne Schweg 13560 304 Shorter Ave, Suite 103 Rome, GA 30165

6/30/2018Smita Varshney, MD 45997RN183339Townsend, Stephanie 41534 1700 Mulkey Rd Austell, Ga 31016

6/11/2021Glen Dasher 43354RN285297Townsend, Melissa 47092 721 N Veterns Blvd Glennville, GA 30427

12/3/2019Nadia Cameron 53982RN210421Townsend, Mellen 47287 2033 Buford Hwy Suite 109 Buford, GA 30518

9/9/2020Ava Ferdinand 81543RN222432Trammell, Jacquelyn 53113 743 Spring Street NE Gainesville, GA 30501

5/12/2021Thomas Hurd, MD 27070RN119757Trapp Jr, Lester Phillip 3018 55 Whitcher Street, Suite 130 Marietta, GA 30060

9/25/2014William Whaley, MD 11504RN150779Trattler, Maria E. Russum 3019 1100 Johnson Ferry Rd, #600 Atlanta, GA 30342

11/15/2021Gloria Richards 40770RN195568Travis, Lucille 50598 215 Palisades Drive Dallas, Ga 30157

5/21/2019Frank Curvin 45058RN144873Trawick, Latonia Michelle 40687 3535 Ashton Woods Drive Atlanta, GA 30319

6/29/2013Shelley Samuel, MD 57248RN131277Trawick, Carmen Glen Campbell 11936 148 East Peacock St Cochran, GA 31014

9/30/2015Vincent Barker, MD 66252RN131042Trawick, Juile Tiner 14591 11045 Columbia Rd Blakely, GA 39823

10/31/2014Michael Clifford, MD 37508RN131042Trawick, Julie Tiner 9218 11045 Columbia St Blakely, GA 39823

8/14/2020Michael Hampton Groover 35059RN144873Trawick, Latonia Michelle 4 3535 Ashton Woods Drive Atlanta, GA 30319

5/19/2020Kristopher M Palmer, DO 75974RN201356Traylor, Ashley Ellen 42544 915 Gordon Ave Thomasville, GA 31792

12/13/2017Nasser Tehrani, MD 53044RN201356Traylor, Ashley Ellen 17374 1117 Morningside Dr Perry, GA 31069

10/14/2021Stanley Himes 33839RN201356Traylor, Ashley 41927 100 Frist Court Columbus, GA 31909

9/22/2021Vijia George 68161RN201356Traylor, Ashley 41845 462 E.G. Miles Parkway Hinesville, GA 31313

2/22/2019Mariha Natividad Feliciano 74686RN201356Traylor, Ashley Ellen 40160 100 First Court Columbus, GA 31909

5/1/2019Michael Groover, MD 35059RN151832Traylor-Carter, Winnifred Ann 13246 7345 Red Oak Rd Union City, GA 30291

3/1/2016Timothy Graves, MD 26859RN151832Traylor-Carter, Winnifred Ann 17014 770 Walnut St. Macon, GA 31201

1/21/2021Michelle Plaster 61639RN231452Treadwell, Rachel 39648 1016 E. Spring Street Monroe, GA 30655

4/27/2015James Bailey, MD 28368RN154502Trent, Amy Reilly 9213 743 Spring St Gainesville, GA 30501

Monday, August 1, 2022 Page 435 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/24/2010Ronald Pirtle, MD 13784RN063891Trevathan, Linda Scott 8335 239 Ivan Allen Jr Blvd NW Atlanta, GA 30313

9/11/2014Lyndall C. Van Vicki, MD 29811RN066916Trice, Laura Leigh Moxon 3021 747 South Hill Street Griffin, GA 30224

5/1/2015Holly Clemons, MD 71921RN066916Trice, Laura Leigh 14492 747 South Hill St Griffin, GA 30224

7/1/2020Mahlon Delong 33564RN076722Triche, Shirley D. 41994 12 Executive Park Drive Atlanta, GA 30329

2/25/2019Hetal Thakore, MD 53556RN160040Tripp, Sarah Sabri 13475 3651 Wheeler Rd. Augusta, GA 30909

1/1/2018John Budell, MD 17369RN188936Trivedi, Tran B 15042 5019 Lavista Rd Tucker, GA 30084

3/1/2021Thomas Powell 82709RN188936Trivedi, Tran 53565 5019 Lavista Rd Tucker, GA 30084

9/2/2020Laura Davidson 28960RN188936Trivedi, Tran 45764 5019 Lavista Rd Tucker, GA 30084

4/22/2019Vera Reaves 38076RN188936Trivedi, Tran B 41425 5019 La vista RD Tucker, GA 30084

4/15/2022Michael Kraft 72374RN188936Trivedi, Tran 58362 5019 Lavista Road Tucker, GA 30084

5/1/2012Nicole Franks, MD 49691RN160044Trotta, Cynthia L. 3023 550 Peachtree Street Atlanta, GA 30308

3/2/2021Steven G. Dawson, MD 62198RN140275Trouille, Lori 11057 2501 Patterson St. Valdosta, GA 31603

9/7/2020Rupert A Dyer 51314RN173035Truax, Terese N 41314 1712-C East Broad Avenue Albany, GA 31705

2/17/2017David Sauls, MD 72475RN212011Truelove, Eddie Jean Eckford 18561 3000 Schautulga Rd. Columbus, GA 31907

8/1/2016Satishchandra Patel, MD 28058RN212011Truelove, Eddie 14614 3000 Schatulga Rd Columbus, GA 31907

11/1/2021William Coleman 31577RN212011Truelove, Eddie 46654 2403 Olser Court Suite B Albany, GA 31701

5/8/2018Rajeshkumar Miniyar, MD 51597RN251007Trujillo, Heidi Joy 19123 140 Three Rivers Dr. Rome, GA 30161

6/6/2022Katherine Brazzale 88794RN289445Trunzo, Kristine 58659 1230 Peacxhtree St, NE 19th floor Atlanta, GA 30309

9/1/2008Quinton Weldon, MD 56786RN084787Trussell, Sharl Ann McGee 3024 1212 East Union Street Vienna, GA 31092

10/28/2017Frances Ferguson, MD 35625RN084787Trussell, Sharl Ann 10757 1212 E. Union St, PO Box 679 Vienna, GA 31092

7/16/2021Michael Moss 66543RN191181Tuberville, Audra 56751 3345 US Highway 84 West Unit 102 Blackshear, GA 31516

10/19/2019Christiaan Webb 82853RN195188Tucker, Kristin 46176 3316 Greystone Way Valdosta, Ga 31602

7/7/2020Eric Mitchell, MD 46177RN214341Tucker, Shamekia Shawnte 20893 1255 Highway 54 West Fayetteville, GA 30214

11/12/2010Frank Brown, MD 31212RN177247Tucker, Thomas Leon 9313 1821 Clifton Rd NE Atlanta, GA 30329

2/29/2012Bruce Ribner, MD 49086RN116109Tucker, Rosebud H. 9205 1364 Clifton Rd Atlanta, GA 30322

4/23/2012Kaufman, Robert MD 31150RN193447Tucker, Ramie 10622 550 Peachtree St NE #170 Atlanta, GA 30308

Monday, August 1, 2022 Page 436 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/29/2019Hassanyeh, Akram MD 29881RN162699Tucker, Jason 10718 1058 Bermuda Run Rd Statesboro, GA 30458

6/1/2020Garnet Craddock, MD 33061RN214341Tucker, Shamekia Shawnte 18139 1975 Hwy 54 West, Ste 110 Peachtree City, GA 30269

10/1/2019Gerald Filmore, MD 50288RN137050Tucker, Becky Conley 15392 865 South 1st St Jesup, GA 31545

10/16/2014Charles Sow, MD 55343RN116109Tucker, Rosebud H. 3028 1855 Hudson Bridge Road Stockbridge, GA 30281

10/19/2019Christian Webb 82853RN195188Tucker, Kristin 46656 3316 Greystone Way Valdosta, GA 31602

1/30/2013Donovan Christie, MD 44432RN127022Tudorancea, Deanna Lynn 3029 7530 Roswell Road Atlanta, GA 30350

3/4/2022Kenneth Barngrover 27027RN248995Tuggle, Ruth 49149 5669 Whitesville Rd Columbus, GA 31904

2/27/2020Paul Murray, MD 29046RN192690Tullos, Chelsi Theresa 17275 2225 US Hwy 41N Tifton, GA 31794

12/30/2013Yang, Steven MD 65438RN192690Tullos, Chelsi 10187 1009 N. Monroe Street, Ste 102 Albany, GA 31701

5/20/2015Absar Mirza, MD 64864RN198112Tupko-Maloy, Anna Magdalena 13040 665 Duluth Highway, Suite 801 Lawrenceville, GA 30046

5/1/2012William Hammond, MD 19166RN101998Turk, Pamela Diane Kight 3033 200 Perry House Road Fitzgerald, GA 31750

12/20/2019Afu Abdul 70329RN229744Turks, Kelvin 47282 150 Gentilly Blvd Cartersville, GA 30165

10/6/2019Michele Mitchell 71254RN239092Turner, Martin 45767 1481 Hwy 40 E Kingsland, GA 31548

12/31/2020Frank Jones 35295RN054880Turner, Judith 43556 1255 Highway 54 West Fayetteville, GA 30214

6/17/2019Jeremy L Coleman, MD 75148RN239092Turner, Martin A 42811 51 Lindsey Lane St. Marys, GA 31558

5/31/2016Paul D. Forney MD 23155RN079807Turner, Saundra L. 11016 1119 15th St. Family Medicine Center Augusta, GA 30912

11/1/2012Jobe, Rayna MD 60386RN123210Turner, Watonna 10787 172 Carriage Trace Marietta, GA 3008

9/15/2015Joshua McNatt, MD 66688RN054880Turner, Judith Ann Herndon 13003 3193 Howell Mill Rd, Suite 306 Atlanta, GA 30327

2/28/2008John H Smith, II, MD 48940RN155163Turner, Ashli Brook 7895 550 P'tree St NE, Ste 1810 Atlanta, GA 30308

8/2/2014Edward Meier, MD 43426RN202294Turner, Rachel Anthony 12175 2112 Shorter Ave NW, Suite 200 Rome, GA 30165

1/31/2011Fidias DeLeon, MD 63891RN150217Turner, Martricia 9169 6935 S. Sweetwater Rd Lithia Springs, GA 30122

12/18/2020Michael Robinowitz, MD 17274RN054880Turner, Judith Ann Herndon 17190 35 Collier Rd Atlanta, GA 30309

4/23/2019Mihaela Ille, MD 62895RN150217Turner, Martricia 15277 855 Veterans Memorial Hwy SE Mableton, GA 30126-2733

9/30/2014Kirk-Conrod Hewling, MD 57559RN150217Turner, Martricia 12086 4250 Brownsville Rd Powder Springs, GA 30127

11/11/2021Kenneth Grotz, MD 37820RN165588Turner, Callie Jo Yassney 13299 4150 Washington Rd, Suite 11 Evans, GA 30809

1/8/2021Byron Littlefield, DO 28810RN202294Turner, Rachel Anthony 21023 21 Commerce Pkwy Adairsville, GA 30103

Monday, August 1, 2022 Page 437 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/1/2015Robert Miller, MD 35295RN054880Turner, Judith Ann Herndon 3037 105 Collier Rd NW, Suite 3010 Atlanta, GA 30309

8/1/2011Matthew Lyon, MD 50972RN079807Turner, Saundra Lee 3038 4471 Washington Road Evans, GA 30809

5/7/2010Michelle Morgan, DO 51694RN123210Turner, Watonna Lynn 3041 5230 Dallas Hwy Powder Springs, GA 30127

8/30/2011Rayna Jobe, MD 60386RN150217Turner, Martricia 8953 1425 Market Blvd Roswell, GA 30076

8/30/2009Alan Weinberg, MD 35785RN040276Turner, Jennifer A. 8263 450 Winn Way Decatur, GA 30030

11/27/2020Shad Stormant 79703RN208937Turner, Lauren 48068 1720 Reynolds Street Waycross, GA 31501

7/1/2022Denis Morin 24466RN159921Turner, Tiffanie 48182 30 Buchanan Bypass Buchanan, GA 30113

6/1/2019Eman Kaldas 49579RN188149Turner, Marion Alicia 72 3486 Peach Orchard Rd. Augusta, GA 30906

4/14/2017Simon Portee, MD 33177RN080384Turner-Fleming, Lynette Nena 18993 5968 Gateway Blvd Stone Mountain, GA 30087

10/18/2021Samuel Palmer, MD 29061RN140344Tuten, Michelle Webb 3044 233 North Houston Rd, Suite 140-F Warner Robins, GA 3109

2/3/2019Michael Manning, MD 33397RN176628Tuttle, Scottie Lauren 15326 2215 Exchange Place Conyers, GA 30013

7/31/2017Janet Fason, DO 48773RN186816Twumasi, Gifty Owusu 14146 1762 Mars Mill Rd N W Acworth, GA 30101-8091

7/16/2019Joseph Boecker, Do 13441RN186816Twumasi, Gifty Owusu 41177 1762 Mars Hill Rd NW Acworth, Ga 31010

11/8/2014Okiki Louis, MD 47479RN186816Twumasi, Gifty Owusu 8924 5230 Dallas Hwy Powder Springs, GA 30127

12/22/2021Arivind Chakravarthy 68991RN153645Tyler, Christina 57063 3755 Sixes Rd Suite 100 Canton, GA 30114

10/3/2013Luther Vance, MD 19354RN153645Tyler, Christina Daniels 12122 3065 South Cobb Dr, Suite B Smyrna, GA 30080

2/24/2017Norman Welch, MD 24508RN251608Tyner, Elizabeth Bryant 18299 1800 Howell Mill Rd, NW, Ste 450 Atlanta, GA 30318

12/6/2019Peter G Strauss, MD 60999RN268685Tyner, Carrie E 42362 3745 Cherokee St Kennesaw, GA 30144

9/18/2013Aiello, James MD 48023RN170702Tyre, Mitzi Braddock 10719 410 Darling Avenue Waycross, GA 31501

6/18/2020Linda K.Hudson, MD. 47771RN238935Tyrer, Larry Earl 40035 417 3rd Ave. Albany, Ga 31701

8/1/2020Christopher Mathews 49133RN258624Tyson, Yvonne 43871 1481 Hwy 40 E Kingsland, GA 31548

3/9/2020Mark Long, MD 48265RN200512Tyson, Stephanie Elizabeth 21024 3745 Cherokee St. ste. 401 Kennesaw, GA 30144

12/12/2014Alexander Osowa, MD 57551RN237096Tyukodi Palakodeti, Connie Mar 14278 2805 Hamilton Mill Rd Buford, GA 30519

4/16/2019D. Shawn Surratt, MD 55984RN143534Tyus, Angela Frances 9533 603 S. Wheat Ave, Suite 700 Bainbridge, GA 39819

8/31/2021Rosemarie Anderson 76765RN220844Uba, Sabo 57725 1000 Medical Center Blvd Lawerenceville, GA 30046

7/30/2017Raushanah Hud- Aleem, DO 62999RN224627Uba, Helen Oro 19838 3110 Clifton Springs Rd. ste. B Decatur, GA 30034

Monday, August 1, 2022 Page 438 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/8/2015Marla Morgan, MD 64610RN224627Uba, Helen Oro 13460 2709 Meredyth Dr, Ste 230 Albany, GA 31707

9/23/2016Angela Dawson, MD 40895RN220844Uba, Sabo 13457 500 Third Ave, Ste 105 Albany, GA 31701

3/31/2014Afolake Mobolaji, MD 64805RN220844Uba, Sabo 12015 5604 Wendy Bagwell Pkwy, Suite 611 Hiram, GA 30141

6/25/2018Carisa Hines, MD 50637RN201979Uba, Marian 40609 455 Nathan Dean Blvd. Dallas, GA 30132

10/26/2017ANURADHA THOPU MD 41377RN201979UBA, MARIAN 39508 340 BOULEVARD NE SUITE 210 ATLANTA, GA 30312

1/31/2021Neil Kahn 30489RN220844Uba, Sabo 41349 1000 Medical center BLVD Lawrenceville, GA 30078

12/23/2020ATHENA SOTUS-NAWAR MD 31512RN220844UBA, SABO 40226 450 WINN WAY DECATUR, GA 30030

2/29/2020Reginald Jackson 51007RN201979Uba, Marian Omaka 41848 80 Jesse Hill Jr Drive SE Atlanta, GA 30303

5/26/2020Roxanne McMorris 77689RN224627Uba, Helen Oro 41738 3110 Clifton Springs Rd Suite B Decatur, GA 30034

8/31/2021Gary Figiel 35254RN220844Uba, Sabo 56763 1000 Medical Center Blvd Lawerenceville, GA 30046

12/24/2019Sayed Aamir 67192RN218857Udai, Feona 46035 1800 Tree Lane, Suite 190 Snellville, Ga 30078

10/15/2020Victor Okeh 71268RN228894Udeze, Igwebuike 44610 2457 Martin Luther King Jr Dr SW Suite A Atlanta, GA 30311

9/28/2020Sasikanth Doddapaneni 57797RN187080Ugwuibe-Ogunseye, Clara 51864 20 Herrell Road Villa Rica, GA 30180

4/19/2021Sherry Gwyn Taylor Akers 38630RN187080Ugwuibe-Ogunseye, Clara 55125 20 Herrell Road Villa Rica, GA 30180

12/1/2021Christopher Randolph 26628RN187808Ugwuibe-Ogunseye, Clara 52195 523 Dixie Street Carrollton, GA 30117

5/17/2013Melanie Cooper, MD 45753RN137261Ukani, Hafiza Aziz 7826 2990 Five Forks Trickum Rd SW Lawrenceville, GA 30044

1/31/2022William Paxton, MD 46206RN210966Uko, Chigozie Grace 16677 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville, GA 300

9/2/2021Martha Schuh #####RN294164Ulmer-Deloach, Kayla 58578 3540 N Cobb Pkwy NW Acworth, GA 30101

1/12/2016Sofia Munir, MD 68250RN200015Ulysse, Tameeka Shavett 16989 3240 South Cobb Dr Smyrna, GA 30082

11/30/2015Dingane Baruti, MD 55411RN200015Ulysse, Tameeka 14798 100 Yorktown Dr, Str 10 Fayetteville, GA 30214

9/30/2021David Bryant 52394RN298325Um, Danielle 54994 10680 Medlock Bridge Rd Suite 102 Johns Creek, GA 30097

5/6/2020WILLIAM GODFREY MD 28552RN115864UMSTEAD, VIDA VICTORIA SKIN 39509 1762 MARS HILL RD NW ACWORTH, GA 30101

5/15/2018Paula Brathwaite 62476RN176515Underwood, Heather Lynn 41322 2 West Main Street Hampton, GA 30228

12/31/2015Henry Lewis, MD 49052RN192047Underwood, Ashley 16068 6001 Cumming Hwy, Ste 1 Sugar Hill, GA 30518

11/30/2018Thomas Hobby, DO 48647RN225634Underwood, Sarah Comparato 16848 3207 Country Club Rd. Valdosta, GA 31605

Monday, August 1, 2022 Page 439 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/20/2015Alexander Osawa, MD 57551RN192047Underwood, Ashley Stockwell 12447 3331 Hamilton Mill Rd, Suite 1102 Buford, GA 30519

2/12/2016Mae Morgan, MD 22902RN097437Unongo, Cindy 15657 424 Decatur St SE Atlanta, GA 30312

7/13/2019Zahid Afridi, MD 68875RN097437Unongo, Cindy Denise 17920 424 Decatur st. Atlanta, GA 30312

6/15/2009Loy Cowart, III, MD 37979RN168120Upchurch, Linda Anne Liles 8272 8816 Hwy 301 North Claxton, GA 30417

8/7/2009Rony Adam, MD 39992RN184301Ura, Chiemi Amanda 8425 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta, GA 30303

12/13/2012Kevin Ault, MD 56403RN184301Ura, Chiemi Amanda 8758 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta, GA 30303

11/21/2011Henry Eugenio, MD 32379RN167457Usher, Madeline Mary 3058 3015 Veterans Pkwy Moultrie, GA 31776

4/29/2013Luke, Claude MD 22247RN167457Usher, Madeline 10375 3015 Veterans Parkway Moultrie, GA 31788

5/6/2015Milagros Keh, MD 18509RN167457Usher, Madeline Mary 14906 601 W 11th Ave Albany, GA 31701

11/30/2014Wanda Gobin, DO 53912RN167457Usher, Madeline Mary 12235 3015 Veterans Pkwy Moultrie, GA 31788

11/30/2014Wanda Gobin, MD 53912RN167457Usher, Madeline M 13825 601 West 11th Ave. P.O. Box 1988 Albany, Ga 31702

12/1/2016Angela Dawson, MD 40895RN167457Usher, Madeline 15842 500 W Third Ave, Ste 105 Albany, GA 31701

4/30/2014Martha Millan-Sanchez, MD 66223RN167457Usher, Madeline Mary 12677 3015 Veterans Pkwy Moultrie, GA 31788

7/23/2019Jennifer Robinson 51369RN208165Uwagerikpe, Felicitas 45319 156 Pine Knoll Drive Carrollton, GA 30117

11/8/2018Emile Risby, MD 30869RN185085Uwazie, Nkeiru Ngozi 17629 2450 Vinson Hwy- Cook Bldg Milledgeville, GA 31062

5/22/2017Miles Johnson, MD 38817RN185085Uwazie, Nkeiru Ngozi 12953 150 Fiddlers Ridge Fayetteville, GA 30214

1/1/2018Suneel Katragadda, MD 59255RN185085Uwazie, Nkeiru Ngozi 19450 2151 Peachford Rd. Atlanta, GA 30338

2/1/2020Neil Kahn, MD 30489RN185085Uwazie, Nkeiru Ngozi 21117 2711 Irwin Way ste. 211 Decatur, GA 30030

2/20/2018Svathi Reddy, MD 56352RN185085Uwazie, Nkeiru Ngozi 19664 398 GA-11 Monroe, Ga 30655

8/20/2018Sreevedi Vayalapalli, MD 59226RN185085Uwazie, Nkeiru Ngozi 19662 950 Scales Rd, Ste 302 Suwanwee, GA 30024

1/1/2014Beverly Hyacinth, MD 57003RN185085Uwazie, Nkeiru 11611 2945 Panola Rd. Lithonia, GA 30038

10/23/2020Jonathan Guy 67579RN185085Uwazie, Nikeiru 46952 2295 Parklake Drive Suite 500 Atlanta, GA 30345

3/31/2011Sharon Lynch-Miller, MD 42342RN090354Uyesugi, Karen Denise Grail 5384 11 Upper Riverdale Rd SW Riverdale, GA 30274

7/5/2014Christopher Stevens, MD 54515RN145066Uzuegbunam, Florence 8393 4398 Atlanta Hwy Loganville, GA 30052

9/21/2015Shahed Brown, MD 61400RN145066Uzuegbunam, Florence 14641 1670 Clairmont Rd Decatur, GA 30033

6/26/2009Christopher Reddoch, MD 61328RN138569Vael, Aimee Corley 3061 5997 Spring Street Warm Springs, GA 31830

Monday, August 1, 2022 Page 440 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/1/2017Tyra Harris, MD 61249RN102635Vafaeian, Safiah 16020 950 Towne Lake Parkway Woodstock, GA 30189-1601

1/3/2022Jian Li 61794RN245563Valdes, Angel 57799 901 E 18th Street Tifton, GA 31794

4/16/2021John Gerguis 47085RN197799Valdez, Lisa 46986 173 West Savannah Street Clayton, GA 30525

7/11/2018Allen Solomon, MD 28465RN197799Valdez, Lisa Marie 17631 3000 Lenora Church Rd Snellville, GA 30078

11/12/2019Arthur Henry Yancey II 36909RN197799Valdez, Lisa Marie 39991 2284 Marietta Blvd Nw Atlanta, GA 30318

2/22/2022Elijah Robinson 81173RN197799Valdez, Lisa 47818 745 Memorial Drive Atlanta, GA 30316

3/16/2019Clarice Bell-Strayhorn, MD 39730RN197799Valdez, Lisa Marie 18194 6001 Cumming Hwy, Ste 1 Sugar Hill, GA 30518

9/16/2015Roy Brownlow, MD 42196RN192534Valenzona, Julieta 15716 1665 Hwy 34 E, Ste 100 Newnan, GA 30265

9/17/2012Galan, Vincent MD 28685RN192534Valenzona, Julieta 10834 1365 Rock Quarry Rd, Ste 202 Stockbridge, GA 30281

3/25/2022Trevor Feinstein 65768RN192534Valenzona, Julieta 52282 1267 Highway 54 West Suite 4200 Fayeteville, GA 30214

11/20/2015Annette Hinchcliffe, MD 42607RN234253Vali, Holly Rachelle 14485 3400 A Old Milton Pkwy, Ste 510 Alpharetta, GA 30005

1/8/2020William Meadows III 30513RN289411Van Akkeren, Jeanie 47562 400 Battlefield Pkwy Fort Olgethrope, GA 30742

2/1/2019Hillary J. Farrah, DO 73955RN153727Van Buren, Christy Denise 40180 6325 Hospital Parkway Johns Creek, GA 30097

10/2/2013Deborah Griffiths, MD 35888RN153727Van Buren, Christy Denise 2903 1000 Medical Center Blvd,. Emer Dept Lawrenceville, GA 30

7/3/2021Zaigham Butt 40338RN270893Van Buul, Carol 51580 775 Sunset Drive Athens, GA 30606

7/16/2021Rashante Harris, MD 62706RN188240Van Dellen, Stephanie Klug 20606 3999 Austell Rd. ste. 901 Austell, GA 30106

4/29/2015Scott Parry, DO 39899RN188240Van Dellen, Stephanie Klug 12043 730 Ponce de Leon Pl, Unit B Atlanta, GA 30306

10/17/2016John Ouderkirk, MD 49992RN188240Van Dellen, Stephanie 16515 5275 Peachtree Pkwy Norcross, GA 30092

12/31/2018Patricia Kelly, MD 48528RN195252Van Dorn, Terri Tonisha 17921 424 Decatur St. Atlanta, GA 30312

1/27/2021Solomon Teckle, MD 64976RN184337Van Lear, Murray 40698 1829 Lawrenceville Hwy Decatur, GA 30033

8/30/2009Alan Weinberg, MD 35785RN087348Van Liew, Sybil Lynn Stewart 8262 450 Winn Way Decatur, GA 30030

3/22/2021Sanjay Sharma, MD 42119RN087348Van Liew, Sybil Lynn Stewart 8572 341 Ponce de Leon Ave NE Atlanta, GA 30308

12/23/2020Athena Sotus-Nawar 31512RN087348Van Liew, Sybil 50757 450 Winn Way Decatur, GA 30030

3/9/2021Deborah Bates, MD 19367RN223448Van Ness, Kimberly Megan 41492 2460 Washington Rd. thomson, Ga 30824

9/20/2019Wesley M.Stuckey, MD 36620RN263080Van Orden, Amy Elizabeth 19621 1525 Chattanooga Rd. Dalton, GA 30720

9/7/2013Thomas Deering, MD 32170RN149681Van Patten, Laura 11139 275 Collier Rd., Ste 500 Atlanta, GA 30309

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/26/2017Matthew Whitley, MD 66673RN198474Van Weele, Hannah Denise 19894 5455 Meridian Mark Rd. ste. 130 Atlanta, GA 30342

3/1/2019Paul Bernard, MD 60045RN198474Van Weele, Hannah Denise 39155 10700 Medlock Bridge Rd. Suite. 102 Duluth, GA 30097

9/16/2020Brett Sandifer 51381RN270893VanBuul, Carol 49129 275 Collier Road Suite 300 Atlanta, GA 30309

5/5/2020Roger Bessey 26063RN223468Vance, Kari 49319 7660 Covington Hwy Lithonia, GA 30058

3/30/2021Yvoone McAllister 25218RN269964Vance, Dale 53426 2410 Ingleside Ave Macon, GA 31204

5/20/2020Robert Lambert, MD 70271RN224765Vandenberg, George 17173 1200 Memorial Dr, ED Dalton, GA 20720

7/2/2015Roger A. Brooksbank, MD 68120RN224765VanDenburg, George 11153 501 Redmond Rd. Rome, GA 30165

12/16/2015John Marshall, MD 45877RN224765Vandenburg, George 13050 1200 Memorial Dr, Emer Dept Dalton, GA 30720

12/10/2021Alexander Sikes 75522RN224765Vandenburg, George 52633 1200 Memorial Drive Dalton, GA 30720

10/1/2018Anthony Marchetti, MD 31471RN224765Vandenburg, George 17630 801 W. Gordon St Thomaston, GA 30286

4/5/2021William Koeppel 76204RN197822Vandiver, Candace 45849 613 Hospital Drive Rd Commerce, GA 30529

3/25/2019Afaq Gul, MD 64944RN197822Vandiver, Candace Lauren 17152 11 Charlie Morris Rd Colbert, GA 30628

12/31/2021Thomas Campen 32147RN168292Vanover, Dawn 49001 163 Hospital Drive Tocca, GA 30577

12/31/2021Thomas Campen 32147RN168292Vanover, Dawn 53881 541 Hissotric Hwy 441-N Demorest, GA 30535

2/10/2021Imoigele Aiskiu 46023RN214917Vardaman, Robert 54476 2001 Peachtree Rd NE STE 575 Atlanta, GA 30309

12/2/2020Tommy Thomas, MD 66829RN214917Vardaman, ll, Robert Michael 14410 80 Jessie Hill Jr Dr Atlanta, GA 30303

11/9/2014Wesley McDaniel, MD 26588RN076035Vardman, Marguerite Marie 13990 6135 Roosevelt Hwy Warm Springs, GA 31830

1/3/2022Sunil John, MD 50530RN076035Vardman, Marguerite 15374 2122 Manchester Expressway Columbus, GA 31908

12/1/2018Crystal Hood, MD 58813RN196651Varghese, Sonia 17956 1506 Klondike Rd, SW Conyers, GA 30094

6/1/2019Eman Kaldas, MD 49579RN201564Varghese, Mary Laurel 12200 3121 Peach Orchard Rd, Suite 103 Augusta, GA 30906

10/31/2013Hott, Brenda MD 41441RN169364Varghese, Susan 10458 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta, GA 30342

2/18/2022Laura Divoky 80814RN171722Varghese, Julia 44441 743 Spring Street Gainesville, GA 30501

2/1/2019Jim John 64572RN196104Varghese, Deepthy 41773 755 Walter Road Lawrenceville, GA 30046

3/18/2019Adam Carlisle 81117RN171722Varghese, Julia 43490 1968 Peachtree Road NW Atlanta, GA 30309

1/10/2012John O'Connell, MD 62266RN169364Varghese, Susan 9906 5673 Peachtree Dunwoody Rd NE, #650 Atlanta, GA 30342

4/23/2021Catherine Dickens 35240RN248541Varnadore, Halei 50442 111 Colonial Way Jesup, GA 31545

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/24/2020Odell Still 37085RN248541Varnadore, Halei 49307 391 South 1ST Street Jessup, GA 31545

1/25/2019John Madonna, MD 31981RN193833Varnadore, Katherine 40840 1506 Alice Street Waycross, GA 31501

6/6/2016Andrew Magnet, MD 60215RN224930Varnum, Allison Renee 17277 1932 Wynnton Rd Columbus, GA 31999

2/1/2016Theresa Hudson, MD 39594RN224930Varnum, Allison Renee 17278 5448 Whittlesey Blvd, Ste B Columbus, GA 31909

2/1/2014Andrew Mecca, MD 36574RN224930Varnum, Allison Renee 11860 5612 Whitesville Rd Columbus, GA 31904

9/27/2018ANDREW MAGNET MD 60215RN224930VARNUM-MILLER, ALLISON REN 39512 1932 WYNNTON RD COLUMBUS, GA 31999

1/20/2022Nadine Hauiburton-Foster 60079RN202976Vastani, Noushin 43639 10905 Haynes Bridge Road Alpharetta, GA 30022

11/15/2013Amar Patel, MD 52803RN155488Vaughan, Emily Regina Gwinn 11910 55 Whitcher St, Suite 350 Marietta, GA 30060

6/29/2021Kashyap Patel, MD 57230RN155488Vaughan, Emily 14534 200 S Enota Dr, Ste 200 Gainesville, GA 30501

9/20/2021Russell Lake 75198RN285395Vaughan, Melissa 48511 101 St. Joseph's Candler Drive Pooler, GA 31322

7/2/2021Eric Silver 63440RN289098Vaughan, Brookes 57375 119 Harmony Xing STE 3 Eatonton, GA 31024

10/7/2021Lawrence Zottoli, Jr 36639RN285395Vaughn, Melissa 58451 101 St. Joseph's/Candler Dr Suite Pooler, GA 31322

9/3/2020Lakshman Dinavahi, MD 70088RN217150Vaughn, Jordan 40530 960 Joe Frank Harris Parkway Cartersville, GA 30120

9/23/2021Wilma Kristine 64783RN217150Vaughn, Jordan 45091 302 Shorter Avenue Rome, GA 30165

10/11/2019James Butts 9103RN239189Vaughters, Audra 43208 810 Pine Street Gainesville, GA 30501

4/30/2010Babatunde Onasanya, MD 50983RN172992Vaz, Denise Sophia 3075 605 Beaver Ruin Rd, Suite B Lilburn, GA 30047

11/26/2014Thomson, Robert MD 47166rn172992Vaz, Denise 10317 3619 Braselton Highway Dacula, GA 30019

8/19/2019Rod Duraski 30296RN248717Veal, John 43210 1514 Vernon Rd Lagrange, GA 30240

2/28/2022Brian Deloach 51216RN193457Veal, Holly 55339 984 Plant Drive Statesboro, GA 30460

10/7/2020ASHLEY MABINA MD 77289RN193457VEAL, HOLLY FOXWORTH 39514 4700 WATERS AVE SAVANNAH, GA 31404

5/20/2016Jay Floyd, MD 73914RN253219Veal, Laura H 16974 106 Shopper's Way, Ste 1 Brunswick, GA 31525

1/25/2021Manuel Vega, MD 28227RN095541Vega, Alicia Luisa 12416 206-A Hospital Dr Dublin, GA 31021

7/1/2020Nancy Lefever, MD 50205RN256045Velie, Penny Leigh 18942 88 Clinic Rd Tate, GA 30177

1/1/2020Yvonne Hooks, MD 41313RN114858Venter, Susan Marie 17153 11460 Johns Creek Pkwy Johns Creek, GA 30097

4/6/2011Mark Tanner, MD 25677RN192494Ventimiglia, John 9461 1935 Howell Mill Rd Atlanta, GA 30318

9/1/2010Elliot Raizes, MD 24478RN192494Ventimiglia, John 8735 3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

Monday, August 1, 2022 Page 443 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2018Craig Shapiro, MD 62285RN245398Vera, Casey 15511 1001 Johnson Ferry Rd Atlanta, GA 30342

2/1/2019Gulshan Harjee, MD 26865RN182347Verme, Mirose Philistin 12641 2536 Lawrenceville Hwy Decatur, GA 30033

6/12/2019Brandon Paritz, DO 70695RN182347Verme, Mirose Philistin 20692 2988 Shallowford Rd. Marietta, GA 30066

8/28/2020Megan Bowles, MD 68486RN216175Vermillion, Iliana Irene 18766 3215 Campus Loop Rd. Kennesaw, GA 30144

5/3/2021Jorge Rodgriguez 63947RN216175Vermillion, Iliana 54732 3215 Campus Loop Rd House 52 Kennesaw, GA 30144

5/12/2021John Thornton 29542RN281875Vernon, Krista 45116 1120 15 Street Augusta, GA 30912

8/20/2021Lori Lynch 68826RN165645Vessel, Mary 45275 3193 Howell Mill Rd NW Suite 306 Atlanta, GA 30327

2/15/2020Lester Johnson 69015RN164513Vickers, David 47224 3200 C North Ashley St Valdosta, GA 31602

3/15/2021Wayne Hodges 29887RN164513Vickers, David 49469 3200-C North Ashley St Valdosta, GA 31602

2/3/2020Vincent Glenn Nacion Valencia,MD

68571RN164513Vickers, David K. 41311 103 James St. Adel, Ga 31620

10/1/2017John Maylock, MD 64862RN164513Vickers, David Kenneth 20517 103 James St. Adel, GA 31620

6/10/2010Barbara D'Orio, MD 33956RN103582Vieira, Jennifer Cecilia 8503 PO Box 26238 Atlanta, GA 30303

7/31/2021Bryan Hooker 32586RN180691Vincent, Regine 46822 3750 Peachtree Rd NE Suite 159 Atlanta, GA 30319

4/30/2018Amy Wkrzykowski, MD 47871RN187984Vincent, Jessica Hinton 20810 303 Parkway Dr. NE Atlanta, GA 30312

4/21/2021Wayne Hodges 29887RN231071Vining, Joshua 54285 14089 Abercorn Street Savannah, GA 31419

6/28/2021Jennifer Evans 69804RN231701Vining, Joshua 57352 3200-C North Ashley Street Valdosta, GA 31602

8/31/2015Darryl Harris, MD 32920RN198125Vizinat, David Craig 12126 1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300

10/6/2021Kevin Pharris 86112RN305130Vogel, Tonya 58360 4072 Atlanta Highway Loganville, GA 30052

4/6/2016Maiysha Clairborne, MD 55194RN247742Vora, Kajal 16734 1000 Johnson Ferry Rd., Ste B155 Marietta, GA 30068

1/15/2019Marc Harrigan, MD 56719RN2477742Vora, Kajal Pandya 18244 10945 State Bridge Rd. Alpharetta, GA 30022

3/31/2018Carisa Hines, MD 50637RN247742Vora, Kajal Pandya 20869 800 Glenwood Ave. SE Atlanta, GA 30312

7/29/2014H Verdain Barnes, MD 12029RN168259Voyles, Bonny Sue Wood 12827 2000 North Monroe St Albany, GA 31701

10/8/2019Sanders, Charles MD 29087RN168259Voyles, Bonny 10401 951 South Broad Street Thomasville, GA 31792

5/12/2022Elving Colon 67205RN168259Voyles, Bonny 57905 951 S Broad Street Thomasville, GA 31792

1/1/2011Calvin Reams, MD 19585RN168259Voyles, Bonny Sue Wood 8836 951 South Broad St Thomasville, GA 31792

Monday, August 1, 2022 Page 444 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/1/2007Donald Keith West, MD 32323RN135333Vreeland, Christopher Allen 3085 823 Campbell Hill Street Marietta, GA 30060

3/1/2010Folashade Omole, MD 49074RN135333Vreeland, Christopher Allen 8443 2988 Shallowford Road Marietta, GA 30066

11/22/2016Scott Shapiro, MD 32469RN076432Vrooman, Linda 14131 3075 Tower Rd, Ste F Columbus, GA 31909

11/7/2014William Harper, MD 20726RN076432Vrooman, Linda August 12604 1021 Talbotton Rd Columbus, GA 31904

5/16/2019Stephanie Gordon, MD 49382RN134131Vu, Lan Thi 3086 2750 Owens Drive, Suite A Conyers, GA 30094

8/15/2021Riddhi Salim Merchant 66146RN258175Vu, Bao Ngoe 57156 345 Huntington Pl Ct Suite 200 McDonough, GA 30253

2/21/2019Osama Hidash, MD 35652RN183198Wacasey, Daphne 17923 1825 County Services Pkwy Marietta, GA 30060

12/31/2014Mubbashir Khan, MD 54327RN235186Waddell, Amanda L 12944 1007 Mary Street Waycross, GA 31501

1/2/2022Clarice Bell-Strayhorn, MD 39730RN214849Waddell, Kristen Michelle 38988 1751 Newnan Crossing Blvd. E Newnan, GA 30265

10/17/2016Dave Ringer, MD 30368RN220439Wade, Nathan 16025 803 South Main St Greensboro, GA 30642

4/25/2022Craig Byron Colby, MD 64350RN220439Wade, Nathan Charles 41387 803 South Main Street Greensboro, Ga 30642

7/1/2020Patrick McDougal 57110RN223694Wadhwania, Zohra 45397 1000 Medical Center Blvd Lawrenceville, GA 30046

10/19/2013Eubanks, Amy MD 52922RN173494Wadley, Felicia 10332 101 Quartz Drive, Ste 201 Villa Rica, GA 30180

5/28/2019Patrick Antoine, MD 57143RN210808Wadud, Mir Abdul 17387 901 Rice St Atlanta, GA 30318

7/7/2021Kate Reker Raymond, DO. 45938RN218587Wafer, Christina Louise 39878 150 Gentilly Blvd. Cartersville, Ga 30120

12/5/2013Steven Bonner, MD 68484RN063518Waggoner, Lynda Lee 11788 15151 Alcovy Rd NE Covington, GA 30014

2/12/2021Gretchen Collins, MD 32712Rn063518Waggoner, Lynda Lee 11789 8201 Hazelbrand Rd Covington, GA 30014

5/4/2013Donald Kern, MD 67068RN063518Waggoner, Lynda Lee 11006 15151 Alcovy Rd NE Covington, GA 30014

6/7/2010Sylvia Halleck, MD 16356RN063518Waggoner, Lynda Lee 3090 3955 Harrison Rd, Suite 400 Loganville, GA 30052

10/17/2011Ricardo Riesco, MD 44069RN155078Wagner, Muna Elizabeth 3093 711 Shields Road Dalton, GA 30720

9/1/2012Sadiq Sohani, MD 45010RN155078Wagner, Muna Elizabeth 8685 1413 Chattanooga Ave Dalton, GA 30720

3/10/2019Kavya Sebastian, MD 67769RN266387Wagner, Sarah Benton 20988 1365 Clifton Rd. NE Atlanta, GA 30322

4/6/2021Reginald Davis, MD 27720RN168411Wagner, Jennifer Kline 15956 5 Execuive Circle Savannah, GA 31406

1/31/2011Jonathan Ehrlich, MD 15580RN194802Wahab, Maybel Josephine 8169 993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

2/28/2020Jonathan Velasquez 48581RN208988Wahl, Kimberly 41849 1601 Watson blvd Warner Robins, GA 31093

4/30/2016Emmanuel Soyoola, MD 53032RN100057Wahl, Mercy 15344 2169 Lawrenceville Hwy Lawrenceville, GA 30044

Monday, August 1, 2022 Page 445 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/5/2021Eric Davis, MD 63648RN183455Waite, Laura Sumner 12830 116 W. Thigpen Ave Suite D Lakeland, GA 31635

11/25/2019Rajasekhar Reddy, MD. 59177RN229350Waite, Jennifer 40378 350 Country Club Drive Stockbridge, Ga 30281

11/1/2019Syed Rizvi 44073RN192287Wakefield, Samantha 44633 5775 Peachtree Dunwoody Road NE Bldg C Suite 500 Atlanta

7/2/2021Christopher Powell 73371RN294523Walbridge, Jessica 57925 150 Clinic Ave Suite 202 Carrollton, GA 30117

8/6/2021Darshak Karia 75510RN256011Walden, Susan Westmoreland 41856 1350 Walton Way Augusta, GA 30901

6/30/2018Kristine B. Mull, MD 64783RN073413Walden-McBride, Deborah Lyn 41423 302 Shorter Avenue Rome, GA 30165

2/19/2021James Howard 43390RN209935Waldron, Janet 46177 409 Uvalda St Waycross, ga 31501

10/29/2020Richard Robinson 28916RN070784Walker, Jerri 45814 3240 Avalon Blvd Conyers, GA 30013

9/7/2021Shannon Ellis 72568RN225070Walker, Emma 53713 440 US Highway 84 East Cairo, GA 39828

3/12/2020Tzvetan Vassiler 49952RN183278Walker, Dionne May 41739 1960 Riverside Pkwy Suite 101 Lawrenceville, GA 30043

9/15/2020Neil Sinha 65183RN222433Walker, Brittany 52289 1395 S Marietta Pkwy Building 400 Suite 116 Marietta, GA

10/15/2016Aneke Onwuanyi, MD 58088RN171841Walker, Richard Jerome 17504 80 Jesse Hill Jr. Dr., SE Atlanta, GA 30303

10/25/2017Sidney Greenstone, DO 17812RN091762Walker, Regina Ellen Elliott 17635 318 W. Howell St. Hartwell, GA 30643

5/24/2019Nathan Kow, MD 71350RN138847Walker, Jill Deanne 39053 4075 Elnora Drive Macon, GA 31210

10/20/2021Justin F. Harrell, MD 59162RN141132Walker, Benjamin J. 40346 1101 Ocilla Road Douglas, Ga 31533

10/1/2019Ashish Dhungel 64359RN214831Walker, Tekesa 44239 1425 Highway 34F Newnan, GA 30265

6/6/2017Lynette Wilson-Phillips, MD 38132RN159359Walker, Erica Mercedes 20044 4112 E Ponce de Leon Ave. Clarkston, GA 30021

3/7/2011Sujatha Hariharan, MD 57635RN170353Walker, Melissa D. 9232 1700 Hospital South Dr, Suite 300 Austell, GA 30106

2/10/2015Marcus Roberts, MD 35986RN141132Walker, Benjamin 11099 903 West Ward St., Ste A Douglas, GA 31533

6/27/2016Mubbashir Khan, MD 54327RN162692Walker, Sandra Lenette 12908 1007 Mary St Waycross, GA 31501

1/1/2016Jeremy Hess, MD 57818RN171841Walker, Richard Jerome 12405 49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

9/7/2012Parrott, Jonathan MD 36246RN141132Walker, Benjamin James 10560 804 Northwood Park Valdosta, GA 31602

4/23/2012Gatewood (Tolliver), Cheryl MD

53040RN141132Walker, Benjamin 10551 2941-D N. Ashley St, Ste D Valdosta, GA 31602

6/15/2014Ralph Warnock, MD 17337RN129698Walker, Jennifer Joiner 11902 4080 McGinnis Ferry Rd, #804 Alpharetta, GA 30005

5/21/2018Divina Dyer, MD 57161RN197090Walker, Jenny Maria 13328 2800 Overlook Pkwy Atlanta, GA 30339

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2022Kyong Moon 63374RN214831Walker, Tekesa 58239 3515 Camp Creek Pkwy East Pont, GA 30344

7/20/2021G. Timothy Park MD 22859RN118369Walker, Carol 10011 551 North Cherokee Road Social Circle, GA 30025

11/30/2012Reddy, Ram MD 24178RN091762Walker, Regina 10229 1061 Dowdy Road, Sts 100 & 101 Athens, GA 30606

5/1/2012William Hammond, MD 19166RN141132Walker, Benjamin James 3096 200 Perry House Road Fitzgerald, GA 31750

2/15/2019Roger Branch, MD 30272RN094080Walker, James Leland 3098 PO Box 538 Metter, GA 30439

7/11/2013Ditaranto, Anthony MD 29865RN129698Walker, Jennifer Joiner 3099 1629 10th Ave, Ste B Columbus, GA 31901

8/11/2016Michael Maley, MD 34410RN091762Walker, Regina Ellen Elliott 3101 269 Ridgecrest Circle Clayton, GA 30525

7/25/2008Bruce Goldsweig, MD 48516RN134321Wall, Donna Van Bladel 3105 1700 Hospital South Drive Austell, GA 30106

9/30/2010Ravinder Reddy, MD 63435RN134321Wall, Donna Van Bladel 8877 150 Gentilly Blvd Cartersville, GA 30120

9/18/2009Osagie Okundaye, MD 55488RN134321Wall, Donna Van Bladel 8214 150 Gentilly Blvd Cartersville, GA 30120

7/31/2013Miller, Debra MD 41898RN134321Wall, Donna 10886 148 Bill Carruth Pkwy, Ste 260 Hiram, GA 30141

9/6/2014Jared Griffis, MD 57469RN198482Wall, Kelly Elizabeth 12634 1199 Prince Ave Athens, GA 30606

9/10/2020Etta Ross-Cole 55541RN170495Wall, Kelly 45278 303 Harris Industrial BLVD Suite 3 Vidalia, GA 30474

12/18/2020Samantha Storey 60328RN161712Wallace, Tonya 52875 1230 Peachtree Street NE, 19th Floor Atlanta, GA 30309

6/20/2019Kevin Watkins, MD 72721RN161712Wallace, Tonya Renee 20887 600 Celebrate Life Parkway Newnan, GA 30265

2/1/2015Eva Beaulieu, MD 66254RN217995Wallace, Jasmia Nyree 11950 3600 Dallas Hwy SW Marietta, GA 30064

2/18/2015Rohit Tongia, MD 56494RN217995Wallace, Jasmia Nyree 14975 1700 Tree Lane Snellville, GA 30078

6/12/2015Cassandra Donnelly, DO 68144RN217995Wallace, Jasmia Nyree 13666 3617 Roswell Rd NE, Suite A Atlanta, GA 30305

1/10/2020Melissa Schepp, MD 50221RN136273Wallace, Stephanie Ruth 3108 677 Church St Marietta, GA 30060

2/26/2010Gregory Franz, MD 60835RN143968Wallace, Deborah Elaine 8477 1707 Meadows Lane, Suite C Vidalia, GA 30474

12/7/2007Hugo Ribot, MD 30196RN046062Wallace, Cynthia S 5391 958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120

3/20/2022Sonali Bora 63174RN220575Walsh, Lisa M. 60247 3333 Old Milton Parkway, Suite 160 Alpharetta, GA 30005

3/3/2014Leaderman, Adam MD 29709RN140799Walsh, Laurie 10266 5673 Peachtree Dunwoody Road, Ste 775 Atlanta, Ga 30342

7/1/2016Joseph Griffin, MD 23361RN220575Walsh, Lisa Marie 17947 2815 Clearview Place Doraville, GA 30340

12/31/2016Kenneth Thompson, MD 73474RN220575Walsh, Lisa Marie 17621 310 Black Bear Ridge Rd. Sautee, GA 30571

4/26/2019Vance Andre Raham, MD. 74765RN220575Walsh, Lisa Marie 39856 1301 Shiloh Rd. Kennesaw, Ga 30144

Monday, August 1, 2022 Page 447 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/29/2017Brian White, MD 61186RN243120Walsh, Lisa Marie 18967 800 Kennesaw Ave. ste. 120 Marietta, GA 30060

10/31/2019Roy Sandersll Ground 50837RN220575Walsh, Lisa Marie 42928 1380 Howell Bridge Road Ball Ground, GA 30107

4/26/2019Ana-Zully Teran, MD 55800RN220575Walsh, Lisa Marie 40858 1001 Weatherstone Parkway Suite 420 Woodstock, GA 301

8/25/2021Lee Jacobs, MD 28283RN220575Walsh, Lisa Marie 39150 111 Mountain Brook Drive ste. 100 Canton, GA 30115

12/6/2020James Criag 52910RN220575Walsh, Lisa 53421 277 Medical Way Riverdale, GA 30274

11/20/2020S.M. Hassan 48783RN210379Walsh, Regina 46034 3675 J. Dewey Gray Circle, Suite 300 Augusta, Ga 30909

9/22/2020Naveed Ummed 66835RN220575Walsh, Lisa 43081 2151 Peachford RD Atlanta, GA 30338

2/25/2022Frederick Merrill, DO 34664RN242754Walston, Pastelle 41653 561 University Dr Evans, Ga 30809

3/1/2018Michael F. Powell, MD 23663RN242754Walston, Pastelle Henry 38932 4421 Carnes Street Acworth, GA 30101

6/1/2016Elizabeth Messulam, MD 44786RN242754Walston, Pastelle 14958 3421 Mike Padgett Hwy Augusta, GA 30906

1/30/2014Rosenthal, Dinna MD 49252RN166086Walter, Julie 10795 4181 Hospital Drive, Ste 202 Covington, GA 30014

12/10/2021Charles Hitson, MD 26554RN078025Walter, Susan Wheeler 3115 619 S. 8th St. ste. 200 Griffin, GA 30224-4260

1/1/2022Thomas Mann, MD 37607RN146103Walters, Bridget M 14323 182 Perry House Rd Fitzgerald, GA 31750

7/11/2016Eugene Jackson, MD 22793RN146103Walters, Bridget M 15179 118 Norman Dorminy Dr Fitzgerald, GA 31750

3/27/2018Felix Amoa-Bonsu 55916RN192018Walters, Stephanie Marie 42060 5785 Old National Highway College Park, GA 30349

6/30/2020Joseph Hobbs 17105RN222074Walters, Colleen Priscilla 45875 1120 15th Street Augusta, GA 30912

11/2/2016Christa Hines, MD 75345RN261652Walton, Ralphine Renee Whitfi 19075 2100 Comer Avenue Columbus, GA 31904

5/5/2021Edward Minor, MD 45095RN261652Walton, Ralphine Renee Whitfi 19292 2100 Comer Ave. Columbus, GA 31904

1/22/2020Richard Wright, MD 46927RN186508Walton, Nurah Jamilah 13176 315 Upper Riverdale Rd Riverdale, GA 30274

6/7/2011Kashif Ahmed, MD 61547RN186508Walton, Nurah Jamilah 9747 2200 Hwy 155 North McDonough, GA 30252

9/9/2013Christopher Stevens, MD 54515RN186508Walton, Nurah J. 11530 Take Care Clinic, 1855 Hudson Bridge Rd. Stockbridge, GA 30

8/1/2015Joe K. Griffin, Jr., MD 38501RN077768Walz, Tammie Elizabeth Way 3119 1326 Eisenhower Dr. Savannah, GA 31406

6/1/2016Peter Miller, MD 63099RN077768Walz, Tammie Way 16774 1326 Eisenhower Dr, Bldg 1 Savannah, GA 31406

7/14/2016Meena Shah, MD 21464RN256506Wanamaker, Leanne Marie 18171 475 Philip Blvd Lawrenceville, GA 30046

6/30/2013Stephanie Gordon, MD 49382RN203584Wandurraga, Megan Mewborn 9808 2750 Owens Dr, Suite A Conyers, GA 30094

2/7/2020Nalini Narayan,MD 44287RN206115Wangungu, Evah Muthoni 19750 601 Dallas Hwy. Villa Rica, GA 30180

Monday, August 1, 2022 Page 448 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/30/2019James White, MD 39510RN206115Wangungu, Evah Muthoni 39108 705 Dixie St. Carrollton, GA 30117

8/18/2016Igor Lacmanovic, MD 59814RN177708Wanjiku, Tabitha Faith 18318 3950 Austell Rd. box 22 Austell, GA 30106

12/31/2016Randy Durbin, DO 64776RN229572Wanner, Heather Brown 12630 4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004-2921

5/1/2017Brian Barczak, MD 76418RN187265Wansky, Michelle Stella 19852 2900 Chambler Tucker Rd. Atlanta, GA 30341

4/1/2010Alison Krause, MD 40443RN187265Wansky, Michelle Stella 7998 4040 Hospital West Drive Austell, GA 30106

5/31/2020Cindy Parker 45571RN198436Warburton, Rachel 49039 3465 D Macon Rd Columbus, GA 31907

12/14/2018Catherine J Pechon, MD 77290RN198436Warburton, Rachel A 42061 3465 Macon Road Columbus, GA 31907

8/26/2020Billy Chiou 56274RN175515Ward, Mary 45276 1740 Lions Club RD Madison, GA 30650

10/1/2019Robert Mitchell 47491RN175515Ward, Mary 45277 100 Medical Center DR Commerce, GA 30529

2/17/2021Jacqueline Harris 63934RN193130Ward, Tekeia 43528 1260 Highway 54W Suite 101 Fayetteville, GA 30214

1/13/2020Alan Sanders 39223RN129001Ward, Denise 45990 15 Earnest Dr. Blairville, Ga 30512

3/31/2016John Shivdat, DO 47527RN148845Ward, Sandra 16290 200 Industrial Blvd Dublin, GA 31021

4/15/2020Maria Gonzaga, MD 70627RN148659Ward, Julie Jenell 19837 1900 10th Ave. Ste. 300 Columbus, GA 31901

12/8/2014Suzette Chin, MD 58955RN235092Ward, Jennifer Carol 13167 21 Pointe North Drive Cartersville, GA 30120

11/1/2013Janet Fason, DO 48773RN130649Ward, Antoinette Felicia 11724 Take Care, 2464 Roswell Rd Marietta, GA 30062

8/31/2012Weldon, Quinton MD 56786RN148845Ward, Sandra 10852 PO Box 904 Americus, GA 31709

12/1/2016Benjamin Cheek, MD 25332RN148659Ward, Julie Jenell 9048 2300 Manchester Expwy, Ste B001 Columbus, GA 31904

2/3/2017Rutherford, Robin MD 54926RN109597Ward, Angela 10402 1365 Clifton Road Ste 1200 Atlanta, GA 30322

9/10/2015Sean Miles, MD 52084RN147488Ward, Kevin 15673 1605 Hwy 34 E, Ste A2 Newnan, GA 30265

11/1/2015Charles Allen Semones 51737RN148845Ward, Sandra A. 11255 8453 Queen Anna Drive Tallahassee, FL 3237

8/26/2011Charles Roman, DO 43757RN142278Ware, Altheia Bass 9617 2737 Warm Springs Rd, Suites B&C Columbus, GA 31904

1/22/2016Howard Willis, MD 30693RN142278Ware, Altheia Bass 8564 1005 Talbottom Rd, Suite B Columbus, GA 31904

12/31/2010Andrew Mecca, MD 36574RN142278Ware, Altheia Bass 9102 5612 Whitesville Rd Columbus, GA 31904

1/22/2016Frederick Burton, MD 38434rn142278Ware, Althela 14730 6020 Harrison Rd Macon, GA 31206

9/1/2015Bennie Brown, DO 65085RN142278Ware, Altheia Bass 13230 151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088

3/25/2021Iyad Houshan 84611RN282438Ware, Erica 53222 1155 Perimeter Center West, 11 th Floor Atlanta, GA 30338

Monday, August 1, 2022 Page 449 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/20/2020Joanne Kuntz 76316RN282438Ware, Erica 45274 550 Peachtree St NE Atlanta, GA 30308

3/4/2022Ambreen Mardhani 75722RN106324Warner, Amy 45815 3003 Old Alabama Road Alpharetta, GA 30022

7/14/2012Christopher Stevens, MD 54515RN131361Warner, Mamron Hyndman 7814 3600 Sandy Plains Road Marietta, GA 30066

5/2/2016Dennis Spencer, DO 47663RN203092Warnock, Kimberly Goodwin 13173 1077 South Main St, Emer Dept Madison, GA 30650

9/26/2018James Graham, MD 30071RN198239Warren, Alexander Blaine 19893 110 S. Hutchinson Ave Adel, GA 31620

1/19/2022Flavia Rossi, MD 69623RN198239Warren, Alexander Blaine 16834 2225 US Hwy 41 N Tifton, GA 31794

1/1/2017James Graham, MD 30071RN198239Warren, Alexander Blaine 16835 2225 US Hwy 41 N Tifton, GA 31794

6/12/2019Douglas Adam Perry, MD 40753RN127202Warren, Sarah Elizabeth 40515 89 Intrchange Dr. Richmond Hill, GA 31324

7/13/2015Michael Pinell, MD 58102RN031979Warren, Jennifer E Tyre 3127 227 Merchants Way Brunswick, GA 31525

12/28/2011Micah Tepper, MD 57687RN137952Washington, Patrick Lynn 8234 1700 Hospital South Dr, Suite 302 Austell, GA 30106

7/7/2020Sasidhar Guthikonda, MD 57471RN137952Washington, Patrick Lynn 9532 1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214

11/30/2017Chandra B. Armstrong, MD 43562RN198365Washington, Tonita R. 11496 1862 Candler Rd. Decatur, GA 30032

4/20/2020John Lloyd, MD 28434RN204167Washington, Gary Nathan 19180 6085 Lake Forest Dr. Ste. 300B Sandy Springs, GA 3023

9/27/2016Elizabeth R. Messulam, MD 44786RN224319Washington, Kwanza Amira 17519 3421 Mike Padgett Hwy Augusta, GA 30906

7/1/2018Nadia Cameron, MD 53982RN198365Washington, Tonita Rochelle 20519 1694 Cutters Mill Dr. Lithonia, GA 30058

2/9/2017Richard Schlossberg, MD 44330RN204167Washington, Gary Nathan 17971 12 Seventh Street Auburn, GA 30011

5/9/2022Barry Moore 84557RN204600Washington, Lance 57597 765 River Road Mineral Bluff, GA 30559

5/1/2019Juliana Nahas, MD 44549RN145575Washington, Barbara Jean 19752 4181 Hospital Drive ste. 202 Covington, GA 30014

6/3/2016Maxwell Prempeh, MD 64054RN221832Washington, Kiara 15445 150 Gentilly Blvd Cartersville, GA 30120

10/31/2012Cameron, Nadia MD 53982RN198365Washington, Tonita 10490 494 Boulevard SE Atlanta, GA 30312

1/9/2019Gustavo Pradilla, MD 70411RN171731Wasilewski, Kami Renee 17382 49 Jesse Hill Dr. SE, Ste 336 Atlanta, GA 30303

6/1/2021Audrea Vaughn 67328RN195200Waters, SeKeitha 54385 152 Station Drive Lesburg, GA 31763

1/12/2022COLIN ALIFF MD 49634RN140780WATERS, MELISSA 40404 1900 TEBEAU ST WAYCROSS, GA 31501

3/31/2020Michael Peacock 40752RN222833Watkins, Jenna 41852 911 Plaza Avenue Suite C Eastman, GA 31023

5/21/2015Rao, Ramana MD 37052RN170663Watkins, Nicole McLendon 10409 801 13th Ave, Ste A Albany, GA 31701

5/1/2018Lisa Ortenzi, MD 23395RN083309Watkins, Cathy Elizabeth 15737 3405 Dallas Hwy, Ste 505 Marietta, GA 30064

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/22/2022Corie Tewari, MD 67695RN134304Watkins, Berdell Elizabeth 17155 2701 N. Decatur Rd Decatur, GA 30033

6/25/2015Thomas Bloodworth, MD 18124RN083309Watkins, Cathy Elizabeth 3133 101 Cleburne Pkwy Hiram, GA 30141

8/18/2016Rodger Chapman, MD 16769RN087567Watson, Donna M.H. 3135 2890 Delk Road Marietta, GA 30067

8/1/2016Badre, Shenon MD 52532RN112289Watson, Elizabeth K 3136 2500 Starling Street Ste 501 Brunswick, GA 31520

12/18/2009Edward McDonald, MD 41890RN057926Watson, Margaret E. 3140 PO Box 908851 Gainesville, GA 30501

8/3/2020Carl Johnson, MD 28796RN050405Watson, Vivian Elaine 158 1950 Old Ocilla Rd. Tifton, GA 31794

3/26/2019Richard Antonio, MD 74176RN215051Watson, Kenya 21209 484 Irvin Court ste. 240 Decatur, GA 30030

8/23/2021Thomas Garcia, DO 63420RN152968Watson, Stephen Russell 19899 501 Redmond Rd. Rome, GA 30164

8/6/2012Peter Holliday, III, MD 26557RN201031Watson, James 10713 420 Charter Blvd, Ste 402 Macon, GA 31210

1/19/2013Husham Mishu, MD 40740RN057926Watson, Margaret E. 9120 285 Boulevard NE, Suite 345 Atlanta, GA 30312

8/31/2010Avril Beckford, MD 35814RN152146Watson, Holly Leo 9149 1810 Mulkey Rd, Suite 201 Austell, GA 30106

5/1/2021Samir Belagaje, MD 64896RN057926Watson, Margaret 14430 80 Jesse Hill Jr Dr S E Atlanta, GA 30303

4/10/2013Christopher Stevens, MD 54515RN087567Watson, Donna M. H. 11172 2988 Shallowford Rd Marietta, GA 30066

2/28/2015Bruce Ramsdell, MD 18722RN229407Watson, Anna Evans 12682 6110 Pine Mountain Rd, Suite 201 Kennesaw, GA 30152

1/22/2015Paul Roberts, MD 69246RN229407Watson, Anna Evans 12683 6110 Pine Mountain Rd, Suite 201 Kennesaw, GA 30152

10/1/2018Lucas Golub 74186RN215051Watson, Kenya 41853 484 Irvin Ct Suite 240 Decatur, GA 30030

11/13/2019Timothy Longaker 25883RN229505Watson, Kyle 41854 602 East 16th Ave Suite B Cordele, GA 31015

11/11/2020Joseph Sarbu 77770RN152968Watson, Stephen R 41855 501 Redmond Road Rome, GA 30165

3/4/2022Hugh Parks 54328RN139826Watson, Brandi 45388 604 E. Long Stret Suite A Claxton, GA 30417

5/16/2019William C Tidmore, MD 41978RN201031Watson, James E 40471 2412 N Oak St Valdosta, GA 31602

5/11/2021Dwayne Gard 60731RN254422Watson, Julianne 47235 4700 Waters Avenue Savannah, GA 31404

6/23/2020Abraham King Lin 68057RN229544Watson, Pamela Rene 42655 1000 Towne Center Blvd. Pooler, GA 31322

12/31/2018Altee Johnson, MD 60387RN209660Watt, Amanda 41479 774 Ga Hwy 96 Bonaire, Ga 31005

3/26/2020Augusto Soltero-Diaz 61350RN209660Watt, Amanda 43575 774 GA Hwy 96 Bonaire, GA 31005

4/6/2013Estep, Dennis MD 25429RN142322Watters, Jana 10850 2366 Battlefield Parkway Ft. Oglethorpe, GA 30742

6/22/2010Ricardo Riesco, MD 44069RN142322Watters, Jana Gayle Smith 8452 711 Shields Road Dalton, GA 30720

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RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/4/2012Anthony Onyegbula, DO 53348RN196933Wattkis, Evon Rosilyn 8332 7444 Hannover Pkey, Ste 150 Stockbridge, GA 30281

2/4/2013Rao Moravineni, MD 51360RN196933Wattkis, Evon 10984 246 O'dell Rd, Ste #4 Griffin, GA 30224

6/1/2011Jon Trankina, MD 30681RN107484Watts, Cindi Michele Still 9309 4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock, GA 301

2/20/2011William Kriegel, DO 31962RN107484Watts, Cindi Michele Still 9075 3405 SW Dallas Hwy, Suite 505 Marietta, GA 30064

9/1/2015George Pursley, MD 31308RN128926Watts, Shawn 15418 820 Stevens Greek Rd Augusta, GA 30907

8/22/2013Vaughn, Candace MD 40809RN036579Watts, Edna 10478 1012 Hwy 247 South Kathleen, GA 31047

5/20/2016Michael Sumner, MD 63062RN128926Watts, Shawn 16100 1120 15th St Augusta, GA 30912

12/1/2016Michael Powell, MD 23663RN128926Watts, Shawn Marie 16368 464 Mt. Pleasant Rd Thomson, GA 30824

2/23/2018Quyen Luu, MD 25216RN164730Watts, Christina Lynae Dye 18601 458 Hemlock St, Ste 200 Macon, GA 31201

10/3/2019Ankit Patel 61313RN118797Watts, Connie 43340 170 Cardiology Place Commerce, GA 30529-1083

3/9/2020Israel Bryson, MD. 54797RN222506Watts, Teresa 40152 2251 West Elm Street Wrightsville, Ga 31096

5/2/2018Elia Abboud, MD 62799RN118797Watts, Connie 40833 200 S Enota Dr NE Gainesville, GA 30501-3466

9/19/2012Luther Vance, MD 19354RN107484Watts, Cindi Michele Still 3142 3065 South Cobb Dr Smyrna, GA 30080

3/10/2010Eugene H. Jackson, MD 22793RN036579Watts, Edna Earl Richardson 3143 790-341 Hwy, Professional Bldg. A Hawkinsville, GA 31036

10/25/2019Shaun Conlon, MD 62828RN097624Waugh, Lisa 17810 5671 Peachtree Dunwoody, Ste 500 Atlanta, GA 30342

8/15/2021Stephen Kissinger 30493RN233382Waweru, Jane 46944 3384 Peachtree Rd NE Suite 700 Atlanta, GA 30236

8/20/2010Kent Plowman, MD 17872RN126204Way, Peter Joseph 3145 987 St. Sebastian Way, Suite 1509 Augusta, GA 30912

7/21/2021Abhishek Gaur 52174RN216787Weather, Starr 46639 743 Spring Street Gainesville, GA 30501

9/15/2020Lakshman Dinavahi 70088RN216787Weather, Starr 44612 960 Joe Frank Harris Parkway Cartesville, GA 30120

9/1/2021William Keating 52971RN215553Weatherby, Anna Marie 45131 57 Executive Parks (Suite 100) Atlanta, GA 30329

1/1/2022Seth Garrett 81258RN246435Weatherford, Kimberly 53785 720 Transit Ave Suite 101 Canton, GA 30114

4/1/2018Craig Bishop, DO 45725RN177186Weatherspoon, Zakiyyah 16157 2405 Bemiss Rd Valdosta, GA 31602

8/31/2015Jarod Bailey, DO 65929RN177186Weatherspoon, Zakiyyah 15061 2405 Bemiss Rd Valdosta, GA 31602

12/15/2017Pierce, David MD 29930RN177186Weatherspoon, Zakiyyah 10577 2412 N. Oak Street Valdosta, GA 31602

9/29/2020Lawerence Reccoppa 69940RN177186Weatherspoon, Zakiyyah 46859 3120 North Oak St Extension Suite C Valdosta, GA 31602

11/1/2021Joel Johnson, MD 30799RN089815Weaver, Judy Elaine 3149 1007 Greenfield Drive Tifton, GA 31794

Monday, August 1, 2022 Page 452 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/8/2015Karen Muro, MD 37304RN091813Weaver, Valencia Lavon 8970 497 Winn Way, Suite A-210 Decatur, GA 30030

5/31/2016Georgina Kalaitzidis, MD 56186RN092374Weaver, Doris Munford 8514 1292 Athens Street Gainesville, GA 30507

10/8/2015Bethea, Todd MD 42016RN117742Weaver, Gail 10178 536 Hwy 441 South Clayton, GA 30525

5/27/2016Suzanne Storey, MD 49845RN113658Weaver, Leslie 15525 611 Evillanow St Lafayette, GA 30728

7/31/2011H. Philip Morris, Jr, MD 30353RN117742Weaver, Gail Marner 9641 1010 Prince Ave, Suite 117 Athens, GA 30606

8/15/2019Antonio Rios, MD 45114RN092374Weaver, Doris Munford 18251 1315 Jesse Jewell Parkway ste. 110 Gainesville, GA 30501

4/13/2017Carol Pryby, MD 46215RN117742Weaver, Gail Marner 18253 536 Highway 441 South Clayton, GA 30525

8/1/2021Paul Miranda, MD 70270RN113658Weaver, Leslie Michelle Gilreat 17158 7566 Nashville St. Ringgold, GA 30736

11/1/2019JAMES BUTTS MD 9103RN092374WEAVER, DORIS 40486 810 PINE STREET GAINESVILLE, GA 30501

8/25/2020Georges LaFleur, MD 53260RN117742Weaver, Gail Marner 20883 30 Cottonwood Drive Clayton, GA 30525

10/1/2018Paul Miranda, MD 70270RN213372Webb, Emily Templeton 18713 7566 Nashville Street Ringgold, GA 30736

1/11/2019Madhavi Rayapudi, MD 50861RN271349Webb, Maci M. 39071 1400 Northside Forsyth Dr. ste. 310 Cumming, GA 30041

11/1/2021Holly Aldridge 53078RN144725Webb, April 52405 1500 Olgethrope Ave Bldg 600 EF Athens, GA 30606

4/20/2020Sheraj Jacob 57380RN276463Webb, Michelle 48961 2324 Limestone Overlook Gainesville, GA 30501

12/31/2019Bruce Gioia 38774RN228872Webb, Matthew 43529

7/24/2019Charles Gebhardt 28778RN175520Webb, Leah 42000 2601 Stuart Avenue Albany, GA 31707

8/1/2019John Souza, MD 39475RN118538Webb, Valarie 41651 144 E Oak Street McRae Helena, Ga 31055

2/24/2020Nailah Abdulbaagee 63829RN251203Webb, Erica Williams 41612 158 West Ponde de Leon Ave Decatur, GA 30030

4/17/2020Pulipaka Rao 23210RN195451Webb, Candace 46516 770 Pine Street Macon, GA 31201

4/20/2020Casey Henritz 68027RN251203Webb, Erica 43435 3527 Memorial Drive Unit W Decatur, GA 30032

12/31/2014Bhumiben Purohit, MD 58812RN197364Webb, Danny Shane 13668 5075 Peachtree Pkwy, Suite 106 Norcross, GA 30092

4/1/2019Hogai Nassery, MD 43718RN251203Webb, Erica Williams 16975 158 Ponce de Leon Ave Decatur, GA 30030

10/1/2015Charles Catron, MD 66362RN094097Webb, Terrance 14961 1707 Meadows Lane Vidalia, GA 30474

7/22/2015Nitasha Burney, MD 55931RN197364Webb, Danny 14967 3885 Princeton Lakes Way, Ste 306 Atlanta, GA 30331

9/29/2016Jaymal Patel, MD 50984RN091563Webb, Dorraine 14777 3120 N Oak St Ext 3 Valdosta, GA 31602

3/1/2015John Ouderkirk, MD 49992RN240704Webb, Suzanne Davis 13939 9925 Haynes Bridge Rd, Suite 320 Alpharetta, GA 30022

Monday, August 1, 2022 Page 453 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/4/2017Jack Copeland, MD 30289RN197364Webb, Danny 15749 725 Jesse Jewell Pkwy SE Gainesville, GA 30501

4/27/2012Barker, Lucretia MD 42013RN118538Webb, Valarie 10412 1112 Plaza Avenue Eastman, GA 31023

6/1/2017Candra Mack, MD 61000RN144725Webb, April Davis 16358 4152 Baker St. Covington, GA 30014

7/6/2017Nelson Madazo, MD 49862RN175520Webb, Leah Dawn 14523 103 GA Hwy 7 E Americus, GA 31709

12/31/2014Paresh Thanki, MD 55344RN091563Webb, Dorraine Baker 14071 706 N. Parrish Ave. Adel, GA 31620

1/24/2020Paresh Thanki, MD 55344RN091563Webb, Dorraine Baker 12330 3120 North Oak St Ext, Suite C Valdosta, GA 31602

2/10/2015Robert Greenfield III, MD 37221RN094097Webb, Terrance David 9942 3211 Iris Drive, Ste A Covington, GA 30016

8/14/2013Charles Alexis, MD 64716RN091563Webb, Dorraine Baker 9945 3120 N Oak St Ext, Ste C Valdosta, GA 31602

5/1/2015John Souza, MD 39475RN118538Webb, Valarie Irene Adams 8766 PO Box 16100 Dublin, GA 31040

8/1/2011Scott Morrell, MD 29218RN094097Webb, Terrance David 8807 3211 Iris Dr, Suite A Covington, GA 30016

10/3/2018Edwin Hiatt, MD 12920RN091563Webb, Dorraine Baker 8974 200 Georgia Ave Valdosta, GA 31698

12/1/2021Adam White 72166RN144725Webb, April 59261 1230 Baxter St Athens, GA 30606

7/15/2011Briccio Valdez, MD 19353RN091563Webb, Dorraine Baker 9593 3120 N Oak St Ext, Suite C Valdosta, GA 31602

5/28/2022Daniel Cobb 60163RN089310Weber, Amy 45332 1485 Jesse Jewell Pkwy Ste 240 Gainesville, GA 30501

1/21/2021Stephen H. Kahler, MD 30330RN148627Weber, Julie Dorsch 5474 150 Henry Burson Drive, Ste 200 Carrollton, GA 30117

2/7/2011Samantha Anderson, MD 49158RN081776Webster, Carol Anne 5396 9 Dunwoody Park, Suite 108 Atlanta, GA 30338

8/11/2020Brian Cross, MD 43190RN141621Webster, Robert Bruce 3156 231 Graefe Street Griffin, GA 30223

2/7/2011Bradley Moore, MD 51691RN081776Webster, Carol Anne 8652 9 Dunwoody Park, Suite 108 Dunwoody, GA 30338

3/31/2021Payman Nourparian 76034RN224272Webster, Faith 47310 55 Witcher Street Suite 250 Marietta, GA 30060

4/16/2018Lynn Denny, MD. 50155RN080584Weekley, Mitzi 40153 4292 Gray Highway Gray, Ga 31032

3/30/2020David Harrison, MD 39815RN170400Weeks, Kathryn Martin 18254 68 Lanier Park Dr. Gainesville, GA 30501

8/15/2020Leslie Pittman 76411RN210715Wehunt, Tonya 46549 17 White Street Cleveland, GA 30528

9/9/2019Christopher Wommack, MD 48583RN198261Weierick, Leslie Kay 13962 106 Enterprise Crt, Ste A Columbus, GA 31904

3/1/2022Aigul Guilmanova 80922285646Weipert, Mark 46286 65 Old Jackson Rd McDonugh, GA 30252

2/15/2016Janet Fason, DO 48773RN153196Weir, Karene Gaile 13385 5435 Five Forks Trickum Rd. Stone Mountain, GA 30087

5/28/2020Eastlyn Harding-Marin, MD 56841RN153196Weir, Karene Gaile 11615 15151 Alvovy Jersey Rd. Covington, GA 30014

Monday, August 1, 2022 Page 454 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2020Olubunkola Olubi, MD 56613RN051662Weitzel, Sybil Stone 8193 20 Francis Way, Suite 101 Sharpsburg, GA 30277

11/5/2011Melody Palmore, MD 33679RN110633Weizel, Pamela 3162 341 Ponce de Leon Avenue NE Atlanta, GA 30308

7/25/2013Laura Beaty, MD 45168RN110633Weizel, Pamela 9777 755 Mt Vernon Hwy, # 120 & 220 Atlanta, GA 30328

4/23/2009Carla Jorgensen, MD 54576RN098265Wekesa, Grace Irene 3163 1800 Tree Lane, Suite 180 Snellville, GA 30078

9/25/2014Stephen Szabo, MD 44850RN098265Wekesa, Grace Irene 8692 2712 Lawrenceville Hwy Decatur, GA 30033

11/26/2012Thomas Morrow, MD 39879RN098265Wekesa, Grace Irene 8988 5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

4/19/2021Jeffery Dowis, MD 68199RN175924Welch, Lanie Demolfetto 21268 3193 East First Street Vidalia, GA 30474

8/3/2021Duke, Michael MD 42041RN102154Welch, Stephanie 10403 134 W. Campus Drive, Cbox 091 Milledgeville, GA 31061

5/4/2011John O'Connell, MD 62266RN208091Welch, Natasha Rosita 9299 5671 P'tree Dunwoody Rd, Suite 110 Atlanta, GA 30342

2/10/2013Murtaza Cassoobhoy, MD 43014RN208091Welch, Natasha 10941 5 Dunwoody Park, Ste 118 Atlanta, GA 30338

3/30/2016Jeffrey Dowis, MD 68199RN175924Welch, Lanie Demolfetto 13165 3193 East First St Vidalia, GA 30474

8/3/2021Michael Duke 42041RN102154Welch, Stephanie M 41934 134 West Campus Dr Milledgeville, GA 31061

1/10/2020Anjali Grandhige 68174RN208091Welch, Natasha 46183 677 Church St. Marietta, Ga 30060

4/8/2021Matthew Astin 66248RN050378Weldon, Delores 56229 520 Martin Luther Kimg Jr. Blvd Apt 305 Macon, GA 31201

10/12/2018Douglas Dozie 15372RN050378Weldon, Delores 43082 376 Rogers Ave Macon, GA 31204

12/4/2015Tidmore Jr., William C. MD 41978RN154254Weldon, Lisa 10801 2412 North Oak Street Valdosta, GA 31602

7/29/2016Melissa Primrose, MD 53516RN050378Weldon, Delores Hinton 18169 3094 Watson Blvd Warner Robins, GA 31093

5/19/2017Slade, Lance MD 52488RN169965Weldon, Abby 10552 550 Professional Drive Macon, GA 31201

9/11/2017Eric Anderson, MD 51577RN154254Weldon, Lisa Kay 16875 209 Pendleton Dr. Valdosta, GA 31603

10/11/2017Sofia Munir, MD 68250RN215883Well, Aline Ange 18026 1355 S Park Street Carrollton, GA 30117

6/17/2016Guilda Saint Fleur, MD 69627RN215883Well, Aline 16264 455 Nathan Dean Blvd Dallas, GA 30123

12/31/2015Henry Lewis, MD 49052RN216891Wells, Tierra 15643 774 Highway 96 Bonaire, GA 31005

1/31/2020Sharifa Abon-Mediene 78683RN191001Wells, Heather 44668 1100 HillCrest Parkway Site A8 Dublin, GA 31021

2/11/2019Joseph Foust 52930RN191001Wells, Heather 43306 1100 HillCrest Parkway Suite A8 Dublin, GA 31021

5/8/2019Marga Ngwang, MD 70328RN198187Wells, Tiffany Eileen 42081 1810 Mulkey Road Austell, GA 30106

5/11/2018CHRISTOPHER SWARD MD 45638RN198187WELLS, TIFFANY EILEEN 39723 150 GENTILLY BLVD CARTERSVILLE, GA 30120

Monday, August 1, 2022 Page 455 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/31/2010Matthew Goldstein, MD 48115RN135621Wells, Stephanie Marie 8905 PO Box 587 Snellville, GA 30078

9/1/2019Alan Wang, MD 48017RN233405Wendel, Bonita Jean 18256 601 Northholt Pkwy. Suwanee, GA 30024

7/1/2010James Thomsen, MD 34485RN202727Wenger, Molly Jo 8725 5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

7/31/2017Folashade Omole, MD 49074RN097935Wermers, Victoria Mignon 3174 2988 Shallowford Road Marietta, GA 30066

7/31/2017Michelle Morgan, DO 51694RN052052Werner, Melody 16342 4398 Atlanta Hwy Loganville, GA 30052-7314

5/27/2020Mark Oliver 48557RN222551Wertengerger, Caitlin 45341 2416 Capstone Court Columbus, GA 31909

5/7/2020Matthew Hazen, MD 69324RN143311Wesley, Stacie Allyn Reed 20820 35 Jessie Hill Jr. Drive Atlanta, GA 30303

9/25/2018Joy L. Smith, MD 38968RN143311Wesley, Stacie Allyn Reed 20261 35 Jessie Hill Jr. Drive Atlanta, GA 30303

5/2/2022Mark Lipham, MD 19173RN226798Wesley, Joanna Lee 17949 156 Pine Knoll Dr. Carrollton, GA 30117

2/1/2019Jennfier Duke, MD 50615RN162702West, Laresa 16574 540 Charta Blvd, Ste 100 Macon, GA 31210

6/26/2017Amar Mohan, MD 66531RN090771West, Elizabeth 20287 307 Prospect St. NE Atlanta, GA 30312

12/12/2017Sheryl Canady, MD 50999RN209362West, Jessica Lou 19090 564 Crosstown Dr. Peachtree City, GA 30269

11/30/2021Karen Kinsell 42630RN245918West, Ashley 55343 125 Benjamnin H Hill Dr. SW Fitzgerld, GA 31750

9/1/2014Thompson, Albert MD 22338RN213041West, Amanda 10034 2383 Third Street Folkston, GA 31537

2/1/2020Donna Van Schuyver, DO 42754RN122688West, Pamela LM 9935 13570 N Main St Trenton, GA 30752

9/1/2014Maged Abdelmalik, MD 55077RN213041West, Amanda Lee 11898 36261 N Okefenokee Dr Folkston, GA 31537

10/7/2011Rouse, Charlie MD 44076RN170279West, Adrianne 10092 100 Professional Place, Ste 303 Carrollton, GA 30117

10/8/2011Divina Dyer, MD 57161RN070078Westbrook, Anita D. 3179 1762 Mars Hill Road NW Acworth, GA 30101

10/28/2021Kent Cohen 30981RN202790Westbrook, Elizabeth 45819 175 Langley Dr Suite E4 Lawrenceville, GA 30046

12/31/2021Eric Goldklang 52729RN202790Westbrook, Elizabeth 45096 1000 Medical Center Blvd Lawrenceville, GA 30046

1/1/2008Michael Lindsay, MD 27602RN120210Westdahl, Claire M. 5401 69 Jesse Hill Jr. Drive SE Atlanta, GA 30303

11/28/2011Babalola, Cecilia MD 58389RN051666Westin, Candace 10035 3970 Five Forks Trickum Road, Ste A Lilburn, GA 30047

10/1/2018Lucas Golub 74186RN261887Weston, Erin 41857 3515 Hwy 138 SE Stockbridge, GA 30281

8/22/2018Jonahan Wade 66666RN188640Weston, Latanya 41858 3030 Airport E Drive Macon, GA 312016

3/26/2019Richard Antonio, MD 74176RN261887Weston, Erin Elizabeth 21211 3515 Highway 138 SE Stockbridge, GA 30281

12/29/2012Jagdeep Singh, MD 59761RN088614Wetherington, Karen Joy 9147 118 E. Girard Ave, Suite 104 Cedartown, GA 30125

Monday, August 1, 2022 Page 456 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/1/2015Harjee, Gulshan MD 26865RN154784Wetter, Suzanne 10367 2536 Lawrenceville Hwy Decatur, GA 30033

2/19/2018Alan Maloon, MD 31470RN252108Wetzel, Stefanie Joy 41029 211 Chicopee Dr Marietta, GA 30060

5/1/2019Vidyadhar Chitale 23819RN252108Wetzel, Stefanie Joy 40942 211 Chicopee Dr. Marietta, GA 30060

10/30/2019Sharma Niraj, MD 54276RN188449Whaley, Janet 39520 1700 Medical Way Snellville, GA 30078

4/12/2019Keith O'Malley 65039RN193006Whaley, Marjorie Nicole 41859 1120 15th St BB4514 Augusta, GA 30912

9/24/2021Jim John 64572RN188449Whaley, Janet 41869 755 Walter Road Lawrenceville, GA 30046

8/14/2015John Vender, MD 42475RN193006Whaley, Marjorie Nicole 14128 1120 15 S,t Ste BI 3088 Augusta, GA 30912

3/19/2015Quinton Weldon, MD 56786RN139882Whaley, Shelby Chapman 11046 100 Plantation Ridge Dr. Americus, GA 31709

6/30/2018Shirish Amrutia, MD 70034RN169622Whaley, Lucie S 12930 55 Whitcher St. Marietta, GA 30060

3/20/2018Colville Ferdinand, MD 53439RN193006Whaley, Marjorie 16189 1120 15th St BB 4514 Augusta, GA 30912

12/1/2017Benjamin Andrews, MD 31867RN139882Whaley, Shelby Lynn Colquitt 13264 126 Hwy 280 West, Emer Dept Americus, GA 31719

7/1/2012Earl Grubbs, MD 32742RN188449Whaley, Janet Lorraine 8010 PO Box 587 Snellville, GA 30078

9/20/2021Sharad Virmani, MD 72183RN183030Whatley, Susan Porter 17929 645 Grant St SE Atlanta, GA 30312

1/2/2014Robert Kaufmann, MD 30115RN183030Whatley, Susan Porter 9413 2001 Professional Pkwy, Suite 220 Woodstock, GA 30188

6/5/2020Song Hum Na 38054RN208073Whatley, Diana Nicole 41046 4995 Friendship Rd. Suite A Buford, GA 30519

3/4/2022William Raisig 55290RN168420Wheat, Michelle 58243 60 Highland Court Ellijay, GA 30540

3/19/2015William Pullen, MD 17270RN037416Wheeler, Cheryl Ann 553 PO Box 1168 Dalton, GA 30720

4/12/2019Joshua Hare 71791RN135072Wheeler, Sherrie 44444 1107 Memorial Dr Suite 100 Dalton, GA 30720-8662

3/10/2016Sadiq Sohani, MD 45010RN135072Wheeler, Sherrie Lynn 14407 1413 Chattanooga Ave Dalton, GA 30720

7/1/2012Perlaky, Steven MD 41639RN037416Wheeler, Cheryl 10404 100 Gross Crescent Circle Ft. Oglethorpe, GA 30742

4/9/2013Atkins, Christopher MD 45708RN037416Wheeler, Cheryl 10431 1266 Highway 515 South, Emergency Dept Jasper, GA 30143

7/21/2017Jeffrey Blackmon, MD 55917RN037416Wheeler, Cheryl 15292 1200 Memorial Dr Dalton, GA 30720-2529

2/1/2020Inder Singh 40551RN066854Wheeler-Ikuesan, Luella 41951 4421 Carnes St Acworth, GA 30101

9/28/2011William Parrish, MD 9905RN066854Wheeler-Ikuesan, Luella Corine 3188 3001 Mercer Univ Dr, Sheffield Bldg #206 Atlanta, GA 30341

9/10/2009Elliott Raizes, MD 24478RN134199Whidby, Deborah Anne 3189 3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

4/23/2021Tarek Patel 66394RN195943Whigham, Robert 48521 1224 August West Parkway Augusta, GA 30909

Monday, August 1, 2022 Page 457 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/4/2022Jon Gibbs 38493RN195943Whigham, Robert 56234 3685 Wheeler Rd, Ste 100 Augusta, GA 30909

9/1/2021Kashif Naseem, MD 58109RN195943Whigham, Robert Dean 19299 3642 Wheeler Rd. Augusta, GA 30909

10/14/2020Dwight Owens 43105RN246767Whipple-Scott, Kenyotter 45773 1720 Peachtree Street Suite 640 Atlanta, GA 30309

5/1/2019Steven Durocher, MD 56051RN224425Whitaker, Kawajalein Latic 42540 2151 West Spring Street Monroe, GA 30655

2/14/2020Sanjay A Nariani, MD 49861RN109746White, Rhonda D 42494 2451 Peachtree Industrial Blvd Buford, GA 30518

1/7/2019Mark Leimbach 40137RN218306White, Catherine 42781 743 Spring Street Gainesville, GA 30501-3715

2/14/2020Terence Frinks 51042RN109746White, Rhonda 42777 1700 Mulkey Rd Austell, GA 301066

10/1/2018Tucker, Wilson L. 31142RN106014White, Julie 20119 304 Turner McCall Blvd Rome, GA 30165

2/14/2020Frank Curvin 45058RN109746White, Rhonda 42756 3535 Ashton Woods Drive Atlanta, /ga 30319

2/14/2020Michael Groover 35059RN109746White, Rhonda 42757 3535 Ashton Woods Drive Atlanta, GA 30319

2/17/2021Marga Ngwang, MD 70328RN109746White, Rhonda D 42088 50 Saine Drive Sw Marietta, GA 30008

6/1/2019Baheeg Shadeed, MD 24628RN109746White, Rhonda 42089 50 Saine Drive SW Marietta, GA 30008

12/7/2018Neha S. Shah, MD 76684RN129857White, Sharon 40616 1255 Highway 54 West Fayetteville, GA 30214

10/2/2018Daniel Matricia, DO 31289RN100171White, Cynthia 40643 1481 Hwy 40 E Kingsland, GA 31548

12/15/2020Melissa D. Primrose, MD 53516RN221863White, Dianna Lynn 41238 4421 Canes Street Acworth, Ga 30101

10/1/2018Kristine Briones-Mull, MD 64783RN106014White, Julie Akins 17633 6000 Joe Frank Harris Pkwy, NW, Ste 103 Adairsville, GA 301

2/2/2021David Bryant 52394RN208385White, Mosesal 51986 1365 Rock Quarry Rd Suite 302 Stockbridge, GA 30281

2/14/2020Farzana Mumtaz, MD 36419RN109746White, Rhonda D 42062 1700 Mulkey Road Austell, GA 30106

9/15/2020John Schuler 37364RN198115White, Jodian 43589 600 Celebrate Life Parkway Newnan, GA 30265

2/14/2020Amma Abunyewa, MD 64774RN109746White, Rhonda D 42065 1700 Mulkey Road Austell, GA 30106

2/3/2021Sylvanus K Fiakopornoo, MD 60453RN109746White, Rhonda 42069 1700 Mulkey Road Austell, GA 30106

4/1/2021Christen Weber 78519RN112970White, Amanda 45314 1005 Boulder Drive Gray, GA 31032

12/31/2019Lisa Griggs 56715RN106014White, Julie 45330 2659 Abutement Road Dalton, GA 30721

2/1/2019Petrenia Davis-Jenkins 76812RN100171White, Cynthia 43272 1481 Highway 40 East Kingsland, GA 31548

2/5/2019Kirpich Joseph 54904RN109746White, Rhonda 43273 2451 Peachtree Industrial Blvd Buford, GA 30518

Monday, August 1, 2022 Page 458 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/19/2020Julio Petilon 73625RN277074White, Kaela 43355 4930 Governors drive Suite 205 Forest Park, GA 30297

5/2/2019Tam Nguyen 75739RN106014White, Julie 45153 2659 Abutment Rd Dalton, GA 30720

2/25/2019Cheryl Reinhardt 60316RN106014White, Julie 43013 2659 Abutment Road Dalton, GA 30720

4/19/2019Heather Henry, MD 44231RN129857White, Sharon Jackson 19708 1255 Hwy 54 West Fayetteville, GA 30214

4/14/2015Christopher Stevens, MD 54515RN109746White, Rhonda D. 13533 2988 Shallowford Rd Marietta, GA 30066

10/12/2020Etta W. Boss-Cole, MD 55541RN118676White, Laura Harris 18340 414 Lugenia Drive Vidalia, GA 30474

1/14/2018Amanda Hutchinson, MD 69055RN198115White, Jodian L. 17290 600 Celebrate Life Pkwy Newnan, GA 30265

3/1/2019Paul Hawkins, MD 54741RN112970White, Amanda 15428 4421 Carnes St Acworth, GA 30101

3/2/2015Wallace Duncan, MD 41109RN136717White, Katharine Lynn 12428 2945 Panola Rd Lithonia, GA 30038-2313

12/10/2019Dawn Wilson, MD 47279RN142311White, Opal Williams 9158 245 Peachtree Ind Blvd, Suite 100 Sugar Hill, GA 30518

9/1/2017Ralph Warnock, MD 17337RN221863White, Dianna Lynn 13959 4421 Carnes St Acworth, GA 30101

10/8/2014Darshana Sheth, MD 58642RN109746White, Rhonda D 12797 3822 Roswell Rd, Suite 112 Marietta, GA 30062

8/10/2014Teresa Clark, MD 20417RN221863White, Dianna Lynn 11207 35 Collier Rd NW, Suite 500 Atlanta, GA 30309

4/30/2015F. Geoffery Conner, MD 33555RN112970White, Amanda R. 5504 1608 Meadows Lane, Suite 1 Vidalia, GA 30474

3/2/2015David Asrael, MD 51291RN136717White, Katharine Lynn 12496 2945 Panola Rd Lithonia, GA 30038-2313

2/5/2020Tam Nguyen 75739RN106014White, Julie 48178 2659 Abutment Rd Dalton, GA 30721

7/6/2021Lee Jacobs 28283RN146770White, Mary Katherine 56981 111 Mountian Brook Drive Suite 100 Canton, GA 30115

5/15/2012Andrew Mecca, MD 36574RN052900White, Della Denise Pittman 3191 5612 Whitesville Rd Columbus, GA 31904

3/17/2009Karen Bullington, MD 55930RN109746White, Rhonda D 3198 3750 Palladian Village Drive, Suite 300 Marietta, GA 30066

2/15/2021Keeman Bishara 63759RN288522White, Mariel 46826 1150 Cornell Ave Savannah, GA 31406

1/13/2014James Criner, MD 54179RN109746White, Rhonda D. 8732 2779 Cobb Pkwy SW Kennesaw, GA 30152

3/25/2021Michael Peacock 40752RN184151Whitehead, Michelle 47037 113 Spring Valley Road Jeffersonville, GA 31044

6/29/2009Phuong-Lynh Ta, MD 50447RN058514Whitehead, Joanne Marion Tru 3200 1107 Memorial Drive, Suite 300 Dalton, GA 30720

2/28/2022Blake Milner 52789RN184151Whitehead, Michelle 58229 815 Legion Drive Eastman, GA 31023

5/13/2019Carmine Oddis, MD 51072RN154923Whitehead, Janet Leigh 15146 1062 Forsyth Street, Suite 1B Macon, GA 31201

12/26/2019Ezad Ahmad, MD 38162RN218472Whitehead, Stacy Kay 19971 1411 Chattanooga Ave. ste. 102 Dalton, GA 30720

Monday, August 1, 2022 Page 459 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/11/2021Benetta Duhart 52559RN268511Whitehurst, Lindsay 51182 3240 Avalon Blvd Conyers, GA 30013

2/20/2018Alana Kent, MD 51241RN138301Whitener, Bethany 12859 14244 Highway 515 N Ste 100 Ellijay, GA 30540

2/1/2018Darrell Murray, MD 44797RN178489Whitening, Marilyn Elaine Sims 17221 920 Dannon View SW, Ste 3103 Atlanta, GA 30331

6/21/2017Karen Baker, MD 66251RN051676Whitfield, Jill Futch 16841 1692 Chatham Pkwy Savannah, GA 31405

6/1/2019Thomas Smith, MD 46254RN244479Whitlock, Jennifer 15364 304 Turner McCall Blvd Rome, GA 30165

1/19/2016Patrick Battey, MD 24388RN180564Whitlock, Kimberly Jo 13387 95 Collier Rd., Ste 5015 Atlanta, GA 30309

5/21/2020Michael Frankel, MD 34832RN180564Whitlock, Kimberly Jo 9724 80 Jessie Hill Jr Dr, 8th Floor Atlanta, GA 30303

1/17/2013Crystal Owens, MD 48854RN117082Whitten, Shannon Elizabeth 9607 144 East Main St Irwinton, GA 31042

2/27/2010Melanie Cooper, MD 45753RN129474Whitten, Sarah Ann 3204 181 South Clayton St SW Lawrenceville, GA 30045

12/15/2010Bridgett Bailey, DO 58390RN117082Whitten, Shannon Elizabeth 3205 PO Box 365 Tennille, GA 31089

5/3/2017Kent Ford, DO 40063RN117082Whitten, Shannon Elizabeth 11712 616 Ferncrest Dr Sandersville, GA 31082

9/21/2018Donald R. Lynch, MD. 14927RN117082Whitten, Shannon Elizabeth 39861 632 Fem Crest Drive Sandersville, Ga 31082

6/1/2018PETER WROBEL MD 40285RN117082WHITTEN, SHANNON 39516 1718 REYNOLDS ST WAYCROSS, GA 31501

1/30/2021Raymond Howard, MD 51145RN168114Whittenburg, Kerri Lynn 19510 107 John Maddox Dr. Rome, GA 30165

6/7/2016Jessie Bender, DO 71454RN195000Whitworth, Natalie Clarice 17160 4181 Hospital Dr., Ste 104 Covington, GA 30014

5/26/2021Mark McCracken 55863RN196303Whitworth, Stacey 41937 1499 Fair Rd Statesboro, GA 30458

1/23/2019Teresa Clark, MD 20417RN045532Wickstrom, Betty Robinson 20147 5949 Buford Hwy. Norcross, GA 30071

5/1/2021Jasdeep Sandhu 66551RN225736Wideman, Stacy 55334 5775 Peachtree Dunwoody Rd Atlanta, GA 30342

5/20/2021Joel Greenberg, MD 28560RN113693Widener, Wallette Gwen 12039 6602 Waters Ave, Bldg C Savannah, GA 31406

7/31/2012Eugene Lafranchise, MD 34638RN113693Widener, Wallette Gwen 3211 6602 Waters Ave. Bldg C Savannah, GA 31406

7/8/2021Patrina Lockette 48855RN290953Wiechman, Micralyn 49569 1390 US Highway 19 Lessburg, GA 31763

5/17/2011Ricardo Alvarez, MD 52876RN042301Wieczorek, Susan Carol Karm 3212 8400 Veterans Pkwy, Suite 1026 Columbus, GA 31909

4/25/2022Dave Ringer, MD 30368RN213342Wiedower, Kelly Allison 19126 803 South Main Street Greensboro, GA 30642

11/14/2018Harvey Danits, MD 15242RN145899Wiegmann-Ross, Michele Lee 17926 1115 Mt. Zion Rd, Ste E Morrow, GA 30260

1/23/2014Sekhar Sankaran, MD 31549RN145899Wiegmann-Ross, Michele Lee 7848 101 Regency Park Drive, Suite 140 McDonough, GA 30253

8/17/2020Mariel D Hepburn, MD 74668RN104534Wiggins, Sonia C. 16745 611 East Washington Ave. Ashburn, GA 31714

Monday, August 1, 2022 Page 460 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/31/2021Edward Meier 43426RN223700Wiggins, Kelsey 54483 2112 Shorter Avenue NW Suite 240 Rome, GA 30165

9/18/2015John DeSimone, MD 19930RN104534Wiggins, Sonia Coleman 8491 611 E. Washington Ave Ashburn, GA 31714

4/23/2012Kenneth Howard, MD 40412RN190699Wilbanks, Ashley Nicole 9948 11766 Hwy 27, Ste A Summerville, GA 30747

3/19/2013Joyce H. Poag, MD 21355RN224720Wilbur, Christen N. 11516 3571 Chamblee Tucker Rd. Atlanta, GA 30341

9/16/2016Renee Waters, MD 35782RN224720Wilbur, Christen Nicole 18902 75 Elliott Street ste. 200 Dawsonville, GA 30534

9/30/2021Sujatha Reddy 20385RN213051Wilburn, Kemeya 54998 3575 Fulton Mill Road Macon, GA 31216

6/14/2019Kim Kyoung-Soon, MD 39144RN143313Wilcox, Tanya Sellers 16628 1770 Dennis kemp Lane Kennesaw, GA 30152

4/24/2020Gabriella Kacsoh, MD 46774RN222689Wilcox, Stephanie Anne 18379 550 Professional Drive Macon, GA 31201

9/22/2015Saudiqa Hoossainy, MD 68179RN143313Wilcox, Tanya 15106 5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

1/13/2015Kyoung-Soon Kim, MD 39144RN143313Wilcox, Tanya Sellers 3217 5150 Stilesboro Road, Suite 220 Kennesaw, GA 30152

12/11/2021Bridgette Dingle, MD 64532RN060359Wilder, Teresa Garvin 14933 304 Turner McCall Blvd. Rome, GA 30161

1/13/2022Michael Poss 33881RN150905Wilder, Janice 48987 315 Field St Bremen, GA 30110

6/15/2021Dawn Wilson 47279RN150905Wilder, Janice M 41613 545 Old Norcross RD Suite 300-B Lawrenceville, GA 30046

5/16/2016Bobby Khan, MD 37251RN150905Wilder, Janice 17381 870 Crestmark Dr, Ste 202 Lithia Springs, GA 30122

2/5/2016Courtney Shelton, MD 50559RN150905Wilder, Janice 15946 870 Greison Tr, F Newnan, GA 30263

6/30/2011Donna Haley, MD 40916RN165632Wildermuth, Megan Marie 5469 100 Medical Lane, Suite 1 & 2 Canton, GA 30114

1/31/2009L. Steven Lowman, MD 37856RN165632Wildermuth, Megan Marie 8327 1230 Baxter Street Athens, GA 30606

2/20/2021Daniel Esteves 61881RN223144Wiles, Mairi 46855 2169 Lawerenceville Hwy Lawerenceville, GA 30044

6/4/2019David Cox, MD 70247RN201982Wiley, Regina Phillips 20228 277 Perry Parkway ste. C Perry, GA 31069

3/10/2021Brandi Wynne 60635RN201982Wiley, Regina 47096 136 W Dykes St Cochran, GA 31014

4/12/2021Odell Still 37085RN201982Wiley, Regina 45779 136 West Dykes Street Cochran, GA 31014

7/31/2021Lisa Ortenzi 23395RN299125Wilhite, Dana 55949 3405 Dallas Hwy SW Suite 505 Marietta, GA 30064

9/30/2017Stephen Rogers, DO 26180RN250719Wilke, Kimberly Michelle 20719 4750 Waters Ave. ste. 210 Savannah, GA 31404

4/21/2017Keith Kirby, MD 40438RN250719Wilke, Kimberly Michelle 17378 8 Wheeler St. Savannah, GA 31405

8/16/2019PRISCILLA ROSS MD 58635RN205719WILKE, KIMBERLY MICHELLE 39586 8880 ABERCORN STREET SAVANNAH, GA 31406

12/10/2019Christopher Stevens, MD 54515RN043510Wilkerson, Evelyn P 12835 9465 HWY 5 Douglasville, GA 30135

Monday, August 1, 2022 Page 461 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/25/2015Julian Sharpton, MD 17084RN127940Wilkerson, Deborah M 14012 138 west Gibson St. Hartwell, GA 30643

11/14/2011Lawrence Powell, MD 38915RN043510Wilkerson, Evelyn P 3223 9465 Hwy 5 Douglasville, GA 30135

11/30/2015Sumner, Jean MD 30225RN164167Wilkes, Erin 10797 2257 West Elm Street, Ste C Wrightsville, GA 31096

6/30/2017Kitchens, Wentzelle MD 38277RN164167Wilkes, Erin 10798 501 Sparta Road, Ste F Sandersville, GA 31082

1/31/2012Israel Bryson, MD 54797RN164167Wilkes, Erin Ashley 9367 2251 W. Elm St Wrightsville, GA 31096

6/22/2012Prasad, Vijitha MD 40520RN164167Wilkes, Erin 10546 544 West Church Street Swainsboro, GA 30401

8/8/2015Clay Lee, MD 46610RN201017Wilkes, Rebecca Lynn 14724 207 31 St Ave S E Moultrie, GA 31768

9/13/2019Cherilyn Zellner, MD 43153RN164167Wilkes, Erin Ashley 38997 2251 W. Elm Street Wrightsville, GA 31096

9/1/2018David Hocker 41138RN191033Wilkey, Sheila 43356 815 John Beck Dockins Rd Rabun Gap, GA 30568

10/28/2013Alexander Osawa, MD 57551RN191033Wilkey, Sheila R. 9500 3331 Hamilton Mill Rd, Suite 1102 Buford, GA 30519

9/1/2015Mark Rosing, DO 39453RN205836Wilkinson, Tammie Jo Keith 14037 1514 Vernon Rd. LaGrange, GA 30041

7/28/2016James M. Rogan, MD 37662RN204137Wilkinson, Elizabeth J. 17143 1401 Peachtree St., #220 Atlanta, GA 30309

1/4/2021Julian Hutchins 61788RN204137Wilkinson, Elizabeth 45313 3001 Mercer University Dr Atlanta, GA 30341

12/21/2021Matthew Astin 66248RN204137Wilkinson, Elizabeth Johnson 41331

1/12/2016LaFayette Burks, MD 50502RN058876Willamson, Susan 14191 386 E Cypress Ste Bldg A PO Box 765 Ludowici, GA 31316

3/16/2012Moreno, Jorge MD 46792RN149632Willard, Brandi 10430 1631 Hwy 20 W McDonough, GA 30253

9/27/2015Ashok Kancharla, MD 48250RN190879Willard, Sonya Lynn 12745 132 Franklin Springs St Royston, GA 30662

5/14/2018Gottfrid Karlsson, MD 66380RN184536Willard, Karen K 11806 745 Poplar Rd Newnan, GA 30265

3/1/2011Andrew Mecca, MD 36574RN149632Willard, Brandi Hartman 9246 5612 Whitesville Rd Columbus, GA 31904

11/29/2012Norvin Ona, DO 37634RN149632Willard, Brandi 10907 885 Buford Drive Lawrenceville, GA 30043

1/1/2018Steven Durocher, MD 56051RN149632Willard, Brandi Hartman 17161 4835 Sugarloaf Pkwy, Ste 200-300 Lawrenceville, GA 30044

1/6/2016John Shivdat, DO 47527RN149632Willard, Brandi Hartman 16968 200 Industrial Blvd Dublin, GA 31021

2/12/2015Ronnie Hendrix, MD 24690RN149632Willard, Brandi 14814 4835 Sugarloaf Pkwy, Ste 200 Lawrenceville, GA 30044

3/30/2021Punam Sachdev, MD 58002RN184536Willard, Karen K. 19179 2400 Mt. Zion Parkway Jonesboro, GA 30236

3/16/2022Divya Narayanaswamy, MD 76913RN149632Willard, Brandi 41652 101 Regency Park Dr Suite 110 McDonough, Ga 30253-7080

1/1/2020Eddie Richardson 52047RN149632Willard, Brandi 44618 7129 Floyd St NE Covington, GA 30014

Monday, August 1, 2022 Page 462 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

5/31/2012Jamie Rich, MD 53547RN190879Willard, Sonya L 9930 58 Big A Road Toccoa, GA 30577

2/21/2013Mecca, Andrew MD 36574RN149632Willard, Brandi 10036 5612 Whitesville Road Columbus, GA 31904

2/14/2012Hai Trinh, MD 55991RN149632Willard, Brandi Hartman 9756 2118 Scenic Hwy, Suites H & I Snellville, GA 30078

2/1/2011Raja Ram, MD 38922RN149632Willard, Brandi Hartman 9558 475 Philip Blvd, Susite 100 Lawrenceville, GA 30046

9/25/2013David M. Nussbaum, DO 67697RN102733Williams, Mary Lynn 11368 712 N. 7th Street Cordele, GA 31015

8/1/2020Steven Macheers, MD 34187RN094494Williams, Kellie Sue Kratzer 9602 5665 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342

5/1/2011Michael Nulph, MD 57735RN147732Williams, Greg Lee 9574 204 E. 15th St Alma, GA 31510

3/3/2008Christian Ohagwu, MD 39888RN125883Williams, Janet Elizabeth 8145 101 Devant Street, Suite 903 Fayetteville, GA 30214

5/31/2021Anthony Harbin, MD 29665RN077012Williams, Trina Denise Johnson 9723 1525 Chattanooga Rd Dalton, GA 30720

9/30/2016Williams, Benjamin MD 31686RN136002Williams, Tammie 10345 202 Cherokee Road Thomaston, GA 30286

3/14/2015David Gowdy, MD 34601RN125883Williams, Janet E. 9888 101 Devant Street, Suite 903 Fayetteville, GA 30214

9/2/2015Taubin, Rhonda MD 32482RN056087Williams, Sandra 10296 2020 Peachtree Rd NW Atlanta, GA 30309

10/21/2010Heather Henry, MD 44231RN125883Williams, Janet Elizabeth 8210 101 Devant Street, Suite 903 Fayetteville, GA 30214

1/1/2012Martin, Garland MD 47233RN147732Williams, Greg 10043 23 Tipping Street Baxley, GA 31513

4/11/2016Mason, Kein MD 28604RN163073Williams, Tasheeka 10186 1405 Franklin Road Marietta, GA 30067

3/18/2010Joseph Hand, MD 49984RN147732Williams, Greg Lee 8898 1002-B Downing Musgrove Hwy Glennville, GA 30427

6/19/2013Julia Wilson, MD 56787RN150777Williams, Natasha Renee 8952 794 S. Park Street Carrollton, GA 30117

12/20/2017Michael Hamm, DO 49021RN147732Williams, Greg Lee 9008 410 Darling Ave, Emerg Dept Waycross, GA 31501

1/31/2011Hugo Ribot, MD 30196RN077012Williams, Trina Denise Johnson 8739 958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120

1/1/2010Frank Steele, Jr, MD 29378RN150777Williams, Natasha Renee 8762 50 Kelly Road McDounough, GA 30253

2/25/2011John DuPre, MD 31590RN125883Williams, Janet Elizabeth 8530 327 South 9th Street Griffin, GA 30224

4/29/2010Veronica Garrett, MD 39106RN164328Williams, Tiffany Dawn 8642 1567 Milstead Rd NE, Suite B Conyers, GA 30012

8/31/2012Newby, Frank MD 38314RN066681Williams, Betty Lynn Phillips 3226 1506 Broadrick Drive Dalton, GA 30710

6/1/2008Catherine Emeruwa, MD 49008RN125883Williams, Janet Elizabeth 3234 1240 Hwy 54, Bldg 100, Suite 100 Fayetteville, GA 30214

4/19/2012Gail Matthews, MD 52182RN120648Williams, Lillian Odeal 3239 9465 Hwy 5 Douglasville, GA 30135

7/1/2011Ram Reddy, MD 24178RN097616Williams, Marilyn Butler 3244 132 Franklin Spring Street Royston, GA 30662

Monday, August 1, 2022 Page 463 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

7/20/2021Thomas DiFulco, MD 18215RN057924Williams, Rita Teresa Stinson 3247 1462 Montreal Road, Suite 303 Tucker, GA 30084

6/8/2011Carlos Zayas-Montalvo, MD 36668RN056087Williams, Sandra Jean 3248 1968 Peachtree Rd., NW 5th Fl Bldg 77 Atlanta, GA 30309

3/31/2011Elizabeth Killebrew, MD 29898RN163873Williams, Shirley Marie 3252 11 Upper Riverdale Rd SW, Bdg 29, #230 Riverdale, GA 3027

6/7/2007Scott A. Sheldon, MD 57842RN146039Williams, Tammy Ellene 3253 396 Historic Hwy, 441 N Demorest, GA 30535

10/17/2016Pablo Balboa, MD 55409RN107543Williams, Teresa Diane 3254 2712 Hwy 411 Fairmount, GA 30139

7/27/2010Clarence T. Alford, MD 44619RN036755Williams, Mary Katherine 5449 303 Smith Street LaGrange, GA 30240

6/30/2020Muhammad Rehan 42405RN213551Williams, Kimberly 46829 640 1st Street Macon, GA 31201

8/20/2021Brij Singh 43777RN189763Williams, Mya 58452 809 S Broad Street SW Rome, GA 30161

5/4/2021Kunal Gupta 85075GAA-NP000049

Williams, Shantrice 57283 210 Cobb Pkwy SE Suite 100 Marietta, GA 30060

3/1/2022Alejandra Staubs 80399RN219692Williams, Sara 58244 517 Benjamin Way #400 Dalton, GA 30721

7/7/2021Andrea Videlefsky 44135RN057924Williams, Rita 57872 2520 Windy Hill Rd SE Ste 303 Marietta, GA 30067

1/1/2021Margot Cseley 20523RN054957Williams, Margaret 48741 268 Lawerence Street Ste100 Marietta, GA 30060

4/1/2020Michael Torkelson 68570RN200792Williams, Latasha 48439 5621 Ga Hwy 21S Rincon, GA 31326

2/4/2022Charles Campbell Jr 69772RN054957Williams, Margaret 56766 86 South Cobb Drive. Mail Drop off 0454 Marietta, GA 3006

7/23/2020Michael Poss 33881RN192734Williams, Tina 46188 1 CNN Center, North Tower, 10th Floor Atlanta, ga 30303

2/10/2021Riddhi Merchant 66146RN215788Williams, Summer 54397 345 Huntington PL Ct, Suite 200 McDonough, GA 30253

9/23/2021David Turfler 29255RN147732Williams, Greg 45781 950 South Main Street Ste #2 Baxler, GA 31513

9/29/2020Crispin Barlatt 79934RN261557Williams, Jacqueline 45782 1155 Concord Rd Auite 200 Smyrna, GA 30080

3/22/2021Deliana Peykova 76783RN149347Williams, Mitzi 55953 2150 Limestone Pkwy Suite 222 Gainesville, GA 30501

11/8/2021Stewart Shevitz 36002RN160049Williams, Pamela 55604 3633 Wheeler Road Suite 365 Augusta, GA 30909

10/19/2020Bhavika Patel 76120RN077012Williams, Trina 53792 3615 Marietta Highway Dallas, GA 30157

10/19/2020Bhavika Patel 76120RN191322Williams, Tamika 53794 3615 Marietta Highway Dallas, GA 30157

4/13/2022Scheri-Lyn Makombre 77154RN208077Williams, Imani 54178 110 Peachtree Street NE Suite 200 Atlanat, GA 30309

1/6/2021Anupama Ravikanth 48297RN172043Williams, Sharyon 53552 5550 Peachtree Parkway Suite 150 Peachtree Corners, GA 3

5/10/2021Amanda Cowan 50793RN158275Williams, Forrest 52874 107 Canal Street Pooler, GA 31322

Monday, August 1, 2022 Page 464 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/23/2020Sidney Morgan 21262RN215152Williams, Lucas 46486 215 Mims Road Sylvania, GA 30467

5/21/2019Brian Pratt 78359RN097046Williams, Rebecca Jo 42969 563 Mountain City Road Clayton, GA 30525

1/29/2021Charles Alexis 64716RN128779Williams, Thomas 47701 2209 Pineview Drive Valdosta, GA 31602

9/20/2019Jaime Davis 54807RN216770Williams, Brittany 44717 130 Enterprise Parkway McDonough, GA 30253

2/14/2020Zia L Khan, MD 62533RN242269Williams, Tracee 42070 99 Hill Haven Road Greenville, GA 30222

6/26/2018Cathy Harper-Hogan 44228RN199202Williams, Roneseya 41938 1005 State University Dr Fort Valley, GA 31030

5/1/2020Robin White 62392RN261557Williams, Jaqueline 45347 1412 Milstead Avenue NE Conyers, GA 30012

5/5/2021Christine Charaf 72743RN176449Williams, Daron 42003 1670 Clairmont Road Decatur, GA 30033

11/30/2018Anthony Securo 51736RN054957Williams, Margaret 42004 970 Cassville-White RD NE Cartersville, GA 30120

2/14/2020Ramesh Reddy 35982RN242269Williams, Tracee 42005 7300 Lester Road Union City, GA 30291

6/1/2019Loyd Rimer 30665RN242269Williams, Tracee 42007 1067 Batlefield Pkwy Fort Oglethorpe, GA 30742

2/14/2020Bradley Ward 21115RN242269Williams, Tracee A 42008 2 Three Miles Road Rome, GA 30165

8/20/2020Swapna Madhavan 57098RN130233Williams, Eve 41740 475 Tribble Gab Road Cumming, GA 30040

5/1/2019Valencia Burruss, MD 41745RN077012Williams, Trina 39649 2510 Redmond Circle, NW Rome, GA 30165

8/29/2017Charles Cowart, MD 29161RN223385Williams, Laura Dorminey 19114 205 Shirley Ave. Douglas, GA 31533

3/2/2017Altee Johnson, MD 60387RN150777Williams, Natasha Renee 19110 101 Yorktown Dr. ste. 110 Fayetteville, GA 30214

7/20/2021Charles Adams, MD 45378RN057924Williams, Rita Teresa Stinson 19034 250 Oak Street Roswell, GA 30075

1/5/2017Akita Evans, MD 64372RN233631Williams, Cierra Nicole 18676 1751 Newnan Crossings Blvd. E Newnam, GA 30265

2/9/2019PRAKASH MERAI MD 32248RN160049WILLIAMS, PAMELA 39588 3405 MIKE PADGETT HWY AUGUSTA, GA 30906

5/28/2019Phillip Gray, MD 33340RN107543Williams, Teresa Diane 18884 105 Willowbrook Way SE Calhoun, GA 30701

11/29/2016Felecia Dawson, MD 30292RN163873Williams, Shirley Marie 18954 1 Baltimore Pl. NW Atlanta, GA 30308

7/1/2019Zenobia Day, MD 61959RN192734Williams, Tina 39054 One CNN Center, 10 North Atlanta, GA 30303

10/12/2018Guy Foulkes, MD 39794RN199202Williams, Roneseya B 42381 1005 State University Dr Fort Valley, GA 31030

3/15/2019Amy Gonzalez 54213RN191322Williams, Tamika 43647 12201 Highway 92 Suite D Woodstoock, GA 30188

12/15/2018Raymond Easley, DO 20987RN244037Williams, Amy Ruth 40949 11040 Crabapple Rd. (Suite A) Roswell, GA 30075

2/8/2021Roger Hill, MD 28277RN192284Williams, Katherine Marie 18792 1810 White Circle NW ste. 105 Marietta, GA 30066

Monday, August 1, 2022 Page 465 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

11/9/2018Harvey J. Danits 15242RN216770Williams, Brittany Craft 39186 1115 Mt. Zion Road Suite E Morrow, GA 30260

8/20/2020Sean Lambert 30336RN130233Williams, Eve 42834 475 Tribble Gap Road Cumming, GA 30040

2/14/2020Terence Frinks 51042RN242269Williams, Tracee 42760 7290 Lester Rd Building P Union City, GA 30291

10/20/2019Yogesh Goswami 58597RN216702Williams, Nicole 42764 311 Gwinnett Drive Lawrenceville, GA 30046

2/14/2020Jonathan F. Busbee 40336RN242269Williams, Tracee A 42552 99 Hill Haven Roas Greenville, GA 30222

3/11/2016Jyotir Mehta, MD 45887RN223654Williams, Kasheika 16303 801 13st Ave, Ste A Albany, GA 31701

11/1/2018Robi Goswami, MD 69600RN136565Williams, Olive 16314 1968 Peachtree Rd NW Atlanta, GA 30309

2/22/2017Marc Harrigan, MD 56719RN150777Williams, Natasha Renee 16352 1424 West Paces Ferry Rd. NW Atlanta, GA 30329

6/9/2016Michael Burke, MD 54798RN174560Williams, Natalie Nicole 17953 2900 Chamblee Tucker Rd. ste. BLD16 Atlanta, GA 30341

6/17/2016Karen Moore, MD 29497RN163073Williams, Tasheeka Nakemia 17954 1405 Franklin Gateway Marietta, GA 30067

7/3/2018John Bennett, MD 53838RN158275Williams, Forrest Trevor 19958 7306 GA Highway 21 Port Wentworth, GA 31407

2/11/2020Sylvanus Fiakpornoo, MD 60453RN189763Williams, Mya Louise 20037 2713 Charles Hardy Pkwy. Ste. 223 Dallas, GA 30157

12/31/2020Leo Noragbon, MD 60014RN174560Williams, Natalie Nicole 19270 710 Pine Ave. Americus, GA 31709

2/16/2021Ray Bennett, MD 56526RN233631Williams, Cierra 21026 815 3rd. Ave. West Point, GA 30241

1/18/2022Jonathan Allen, MD 56949RN147732Williams, Greg Lee 20953 1900 Tebeau St. Waycross, GA 31501

8/2/2017George Staton, MD 63539RN215152Williams, Lucas Nathan 20960 410 Connell Rd. Valdosta, GA 31602

3/15/2019Tiah Xia, MD 64310RN191322Williams, Tamika Darlice 20939 12460 Crabapple Road Alpharetta, GA 30004

4/27/2021Marc Harrigan, MD 56719RN150777Williams, Natasha Renee 20941 2154 Johnson Ferry Road Atlanta, GA 30319

10/25/2017Dolapo Babalola, MD 59119RN150777Williams, Natasha Renee 12097 Take Care Clinic, 3003 Old Alabama Rd Alpharetta, GA 3002

4/30/2019Richard Ambrozic, MD 43851RN214268Williams, Leanna Wilson 17058 3321 N Valdosta Rd, Ste B Valdosta, GA 31602

6/1/2019Jeffery Butler, MD 68488RN147732Williams, Greg Lee 15274 950 South Main St Baxley, GA 31513

9/1/2015David Kaiser, MD 71353RN174560Williams, Natalie 15376 2000 16th Avenue Columbus, GA 31901

8/29/2019James Chappius, MD 29604RN249636Williams, Countiss Patrice 17162 3161 Howell Mill Rd NW, Ste 400 Atlanta, GA 30327

6/1/2020Randy Cronic, MD 38721RN172043Williams, Sharyon Leaf 17163 3660 Howell Ferry Rd, Ste B Duluth, GA 30096

4/9/2019Leilani Shivers, MD 57507RN242269Williams, Tracee 15175 130 Sam Walker Rd Lagrange, GA 30240

7/16/2016Ifeoma Nnaji, MD 63931RN192734Williams, Tina 13648 1300 Joseph E Boone Blvd Atlanta, GA 30314

Monday, August 1, 2022 Page 466 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

6/1/2019Jeffery Butler, MD 68488RN149433Williams, Kimberly Dawn 16821 950 South Main St, Ste 1 Baxley, GA 31513

5/21/2016Scott Parry, DO 39899RN190875Williams, Lorena 14932 730 Ponce de Leon Place, Ste B Atlanta, GA 30306

6/17/2020Parviz Brahman, MD 66576RN198101Williams, Jordan 16450 1401 South Main St Moultrie, GA 31768

3/30/2015Evelyn Johnson, MD 56182RN147732Williams, Greg Lee 11976 950 South Main St, Suite 2 Baxley, GA 31513

5/9/2015Israel Bryson, MD 54797RN198462Williams, Allison D 14300 2251 W Elm St Wrightsville, GA 31096

1/14/2011Robert Warner, MD 28099RN140322Williams, Inger Ferguson 7830 1700 Hospital South Dr, Suite 302 Austell, GA 30106

7/19/2016John Mynatt, Jr, MD 41469RN205403Williams, Whitney Nicole 11743 5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248

12/31/2011Cathy Larrimore, MD 38836RN164328Williams, Tiffany Dawn 9423 4181 Hospital Dr, Suite 104 Covington, GA 30014

11/19/2019Theresa Jacobs, MD 46864RN192734Williams, Tina 9419 868 York Ave Atlanta, GA 30310

11/11/2011Fernando Neuman, MD 54640RN102733Williams, Mary Lynn 9405 602 East 16th Ave, Suite B Cordele, GA 31015

3/30/2020Kabir Das, MD 62867RN187229Williams, Amanda 15748 619 S. 8th St. ste. 200 Griffin, GA 30224-4260

8/27/2014Charles Sow, MD 55343RN243438Williams, Kimberley Michelle 14437 1513 E Cleveland East Point, GA 55343

2/2/2015Kalpana Nayak, MD 26049RN102733Williams, Mary Lynn 14094 1912 Memmorial Dr., Ste E Waycross, GA 31501

5/20/2015Dean Karampelas, MD 26141RN149347Williams, Mitzi 13933 743 Spring St Gainesville, GA 30501

10/23/2013Vladescu, D. Sorin MD 66098RN072778Williamson, Ronda 10390 36671 Highway 23 Cobbtown, GA 30420

2/5/2016Courtney Shelton, MD 50559RN194813Williamson, Natasha 15851 285 Boulevard NE, Ste 435 Atlanta, GA 30312

10/23/2019Gerald Filmore, MD 50288RN058876Williamson, Susan Holt 17291 386 E. Cypress St, Bldg A, Ste 6 Ludowici, GA 31316

9/30/2014Stephen Smith, MD 63025RN058876Williamson, Susan Holt 13570 386 East Cypress St, Bldg A, Ste 6 Ludowici, GA 31316

7/31/2021Solomon Teckle 64976RN254038Williamson, Kelsey 44243 450 14th Street NW Atlanta, GA 30318

3/23/2021Garvin Chandler 80353RN254038Williamson, Kelsey 52157 1825 Martha Berry Boulevard Rome, GA 30165

8/25/2021Adebouwale Akintayo 73945RN254038Williamson, Kelsey 57999 450 14th Street NW Atlanta, GA 30315

3/18/2014Frank Cook, MD 18125RN058876Williamson, Susan Holt 3257 PO Box 765 Ludowici, GA 31316

2/13/2017Badea, Calin MD 55918RN169751Williamson, Suzannah 10346 213 N. McDonald Street Ludowici, GA 31316

12/30/2020Gary Kinsey 30637RN177897Williamson-English, Andrea 44446 2055 Deer Creek Trail Buford, GA 30519

2/12/2021Edward McDavid, MD 26794RN149431Williford, Stacey Hodges 12425 205 Medical Arts Dr Sandersville, GA 31082

1/11/2018Charles Cowart, MD 29161RN180522Willingham, Jodi Benson 19609 205 Shirley Ave. Douglas, GA 31533

Monday, August 1, 2022 Page 467 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/4/2019Pamela Clanton 61221RN090063Willingham, Cheryl 41330 745 Poplar Road Newnan, GA 30265

6/29/2018Lora Efaw 36727RN180522Willingham, Jodi Benson 39597 39 Kent Road - (Suite 2) Tifton, GA 31794

11/1/2019Wesley Stuckey, MD 36620RN269024Willis, Josie Lorraine 21287 1525 Chattanooga Rd. Dalton, GA 30720

1/27/2022Jennie Scoggins 67792RN241647Willis, Ashley 43648 1226 D'Antignac Street Augusta, GA 30901

9/7/2021Sanjeev Bhavnani 77555RN294190Willis, Charity 55004 1155 Perimeter Ctr West, 11th floor Atlanta, GA 30338

8/15/2017James Sirleaf, MD 67036RN141960Willis, Beverly 15150 417 3rd Ave West Albany, GA 31707

6/21/2018John Souza, MD 39475RN209178Willis, Kristen Alexis 18372 821 N. Cobb Street Milledgeville, GA 31061

2/18/2015Peggy Bergrab, MD 64330RN141960Willis, Beverly Ann Waldon 12434 417 Third Ave Albany, GA 31702

6/8/2018Peggy Bergrab, MD 64330RN177038Willis, Misty 15715 2336 Dawson Rd Albany, GA 31707

3/18/2013David Ferner, MD 54877RN151609Willis, Micah Aaron 8137 901 E. 18th Street Tifton, GA 31793

2/1/2022Gregory Bennett 80265RN209178Willis, Kristen 46835 821 N.Cobb Street Milledgeville, GA 31061

10/16/2020Jonathan Bender 5002RN195391Willis, Maria 46836 1267 Hwy 54 West Suite 4200 Fayetteville, GA 30214

9/3/2020Temitope Oluwatosin Olarewaju

78091RN177038Willis, Misty 44 126 Highway 280 West Americus, GA 31719

12/31/2021Thomas Campen 32147RN295936Willman, David 53422 541 Historic Hwy 441-N Demorest, GA 30535

12/6/2021Karen Frank, DO 69193RN145096Wills, Valerie Anne 20679 1244 Historic Homer Hwy. Homer, GA 30547

11/1/2016Jonathan Hall, MD 59655RN145096Wills, Valerie Anne 12467 12192 Augusta Rd Lavonia, GA 30553

4/1/2019Christopher Inhulsen, MD. 20743RN227637Wilmer, Kelly Taylor 40016 618 East Lamar Street Americus, Ga 31709

1/1/2021Ryan Monti 78999RN227637Wilmer, Kelly 52024 618 E. Lamar Street Americus, GA 31709

12/31/2020Jeffrey Culpepper 38212RN208918Wilson, Lavona 49044 P.O. BOX 729 Ringgold, GA 30736

10/1/2020Mark L. Daniel, MD 28759RN096987Wilson, Sandra Baird 40356 490 Kathwood Drive Athens, GA 30607

10/26/2017James Brown Jr., MD 21652RN096987Wilson, Sandra Baird 20605 479 Hwy. 98 East Danielsville, GA 30633

12/31/2019Jaquelin Gotlieb, MD 17810RN247115Wilson, Laura Renae 19116 5405 D Memorial Dr. Stone Mountain, GA 30083

9/23/2019Daniel Robitshek, MD 63804RN140128Wilson, Jaci Fishback 19132 501 Redmond Rd. Rome, GA 30165

3/22/2017Randall Brown, MD 31884RN176381Wilson, Alexandria McRae 17616 2409 N Patterson St, Ste 230 Valdosta, GA 31602

3/29/2019ARTHUR GRIGORIAN MD 48632RN216840WILSON, AMBER ANN 39589 840 PAINE ST SUITE 880 MACON, GA 31201

Monday, August 1, 2022 Page 468 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/23/2016Lester Estevez, DO 76711RN179451Wilson, Rosemary Tamisin 18904 208 Scranton Connector ste. 119 Brunswick, GA 31525

5/1/2019Thomas J. Locke III 36409RN158720Wilson, Vinette Martin 41118 11770 Haynes Bridge Road (Ste 401 Studio 12) Alpharetta, G

2/7/2021Robert J Williams, MD 29263RN096987Wilson, Sandra Baird 42083 112 Hospital Drive Washington, GA 30673

7/16/2018Divina Dyer, MD 57161RN135948Wilson, Tiny Benita 38992 2800 Outlook Parkway Atlanta, GA 30339

10/1/2020Jim R. Wade, MD 22664RN096987Wilson, Sandra Baird 38967 633 Falls Road (P O Box 1129) Toccoa, GA 30577

10/1/2020Robert W. Klassen, MD 34385RN096987Wilson, Sandra Baird 40512 2560 Flintridge Road Gainesville, GA 30501

10/1/2020Anon E. Westmoreland Jr. 13534RN096987Wilson, Sandra Baird 40724 2560 Flintridge Road Gainesville, GA 30501

10/1/2020Nancy R Watson, MD 42766RN096987Wilson, Sandra Baird 42496 633 Falls Road Toccoa, GA 30577

10/31/2018Oladayo A Osinuga, MD 51703RN096987Wilson, Sandra Baird 42497 1000 Briarcliff Road NE Atlanta, GA 30306

2/1/2020MayLuz Bullecer 50947RN096987Wilson, Sandra 42769 490 Kathwood Drive Athens, GA 30607

1/22/2021Dave Ringer 30368RN096987Wilson, Sandra 42773 112 Hospital Drive Washington, GA 30673

10/1/2020Terence Frinks 51042RN096987Wilson, Sandra 42758 1000 Briarcliff Rd NE Atlanta, GA 30306

11/4/2021Benjamin Smith, MD 44338RN224092Wilson, Lorna Kay 40939 17 Collins Dr Cartersville, Ga 30120

3/31/2020Joseph DeVeau 52706RN201447Wilson, Patrice J. 40981 101 Yorktown Dr. Suite 200 Fayetteville, GA 30214

9/1/2017Ralph Warnock, MD 17337RN186801Wilson, Catherine Marie 13977 4421 Carnes St. Acworth, GA 30101

11/16/2016Melissa Bruhn, MD 43565RN123110Wilson, Elizabeth 15579 916 South Broad St Thomasville, GA 31792

12/16/2020David Woodard, MD 59977RN164618Wilson, Cynthea Marie 9516 PO Box 5860 Athens, GA 30604

5/10/2011Lee Ann Howell, MD 60183RN045387Wilson, Susan B. 9525 1025 North Main St Cedartown, GA 30125

12/31/2017Thaddeus Riley, MD 28637RN198560Wilson, Alexandra Byers 13938 23702 US Hwy 80 East Statesboro, GA 30461

10/31/2013Daniel Robitshek, MD 63804RN140128Wilson, Jaci 11096 330 Turner McCall Blvd., Ste 201 Rome, GA 30165

1/1/2020Danielle Epanchin, DO 68769RN045387Wilson, Susan B 13142 1650 Chattahoochee Dr. Rockmart, GA 30153

1/3/2018Derrell Anglyn, MD 24198RN224092Wilson, Lorna Kay 16694 55 Sims St. McDonough, GA 30253

4/29/2016Josephine Dunagan, MD 15553RN251844Wilson, Carrie 16742 1700 Tree Lane, Ste 110 Snellville, GA 30078

9/12/2016Jada Moore-Ruffin, MD 57395RN247115Wilson, Laura Renae 17165 30 Warren St. SE Atlanta, GA 30317

2/23/2015Quintin Robinson, MD 62763RN106630Wilson, Hermeyone Theodora B 12004 2140 Peachtree Rd NW, Suite 232 Atlanta, GA 30309

4/30/2021Michael Austin, MD 25937RN193733Wilson, Joy Stanetrice 12107 2010 Beaver Ruin Rd Norcross, GA 30071

Monday, August 1, 2022 Page 469 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

8/8/2018James Rogan, MD 37662RN208918Wilson, Lavona Constancia 19619 1707 North Blairs Bridge Rd. Austell, GA 30168

1/19/2022Flavia Rossi, MD 69623RN191733Wilson, Elizabeth Lewis 16361 2225 US 41 N Tifton, GA 31794

10/15/2018Onika Popo-James, DO 62759RN193733Wilson, Joy Stanetrice 19771 1500 Juneau Way Grayson, GA 30017

8/30/2016John DiBlasi, MD 75206RN179451Wilson, Rosemary Tamisin 18654 135 Canal Street ste. 500 Pooler, GA 31322

4/11/2015Jabez Marshall, MD 13066RN183884Wilson, Ashley 14628 205 Rees St Americus, GA 31709

5/31/2012James Beiter, MD 40003RN103701Wilson, Patty Jean 3268 PO Box 422002 Atlanta, GA 30342

1/25/2008Heather Pryor, MD 44310RN045387Wilson, Susan B 3270 134 East Fairmount Avenue Cedartown, GA 30125

4/15/2010Karla Dunbar, MD 47589RN193733Wilson, Joy Stanetrice 8673 9020 Peridot Pkwy Stockbridge, GA 30281

2/23/2015Richard Prokesch, MD 19754RN106630Wilson, Hermeyone Theodora B 8634 6285 Garden Walk Blvd, Suite A Riverdale, GA 30274

2/13/2009Mark Tanner, MD 25677RN106630Wilson, Hermeyone Theodora B 8215 1935 Howell Mill Rd Atlanta, GA 30318

11/15/2010Denise Crawley, MD 41766RN045387Wilson, Susan B. 8231 1025 North Main Street Cedartown, GA 30125

2/18/2014Julaine Cross, MD 56037RN045387Wilson, Susan 9895 1025 North Main St Cedartown, GA 30125

10/1/2008Hope McDaniel, MD 59287RN045387Wilson, Susan B 8147 134 East Fairmount Avenue Cedartown, GA 30125

1/31/2012Jafar Tabatabai, MD 14868RN106630Wilson, Hermeyone Theodora B 9780 212 Edgewood Ave NE Atlanta, GA 30303

12/10/2015Lawrence Powell, MD 38915RN135948Wilson-Burris, Tiny 3271 1510 Milstead Ave NE Conyers, GA 30012

7/9/2009Mohamed Kassem, MD 40934RN137772Wimberly, Yvane Margaret 3275 3580 Cameron Parkway Stockbridge, GA 30281

8/15/2017James Sirleaf, MD 67036RN190851Wimberly, Donna Frances 12001 417 Third Ave Albany, GA 31701

11/10/2016John Shivdat, DO 47527RN229271Wimberly, Donna Frances 17383 200 Industrial Blvd Dublin, GA 31021

5/2/2019Natalie Lane, MD 44516RN134467Wimmer, Nicole 16710 1120 15th St., AF-2039 Augusta, GA 30912

7/10/2020Stanley Tenenbaum, MD 11493RN193467Wing, Jennifer Elizabeth 7706 1805 Parke Plaza Circle, Suite 103 Stone Mountain, GA 3008

1/1/2018Ahmed El Sharkawi, MD 55128RN247075Winkelman, Laura Marie 16487 2500 Starling St, Suite 601 Brunswick, GA 31520

5/1/2018Muhammad Ahmed 61687RN261631Winkler, Kristine Corene 41337 1637 Athenns HWY Grayson, GA 30017

8/23/2019Gordon Waters 52849RN170624Winn, Carla 15819 120 Carter Ave Blackshear, GA 31516

12/4/2018Vasudev Kulkarni, MD 18512RN066278Winn, Sheryl H 3279 902 Smith Street Dublin, GA 31021

6/1/2013Faiz Rahman MD 63433RN216845Winn, Kathryn 10012 404 Savannah Avenue Statesboro, GA 30458

6/8/2015Iveta Berzinch, MD 43873RN170624Winn, Carla Kay Pye 8508 307 Pineview Drive Waycross, GA 31501

Monday, August 1, 2022 Page 470 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

12/30/2010Hiromi Maruyama, MD 60744RN152637Winnette, Gina Frances 9250 222 South Main St Reidsville, GA 30453

6/1/2013Traceyan Mendez, MD 57831RN152637Winnette, Gina Frances 11665 215 North Coleman St Swainsboro, GA 30401

12/31/2012Faiz Rahman, MD 63433RN152637Winnette, Gina Frances 9643 404 Savannah Ave Statesboro, GA 30458

12/15/2015Kyauna Miller, MD 68071RN152637Winnette, Gina Frances 11966 222 South Main St Reidsville, GA 3.453

10/10/2016David Samuels, DO 49521RN152637Winnette, Gina Frances 16818 204 South Main St. Stateboro, GA 30458

12/15/2015Daryl McCartney, MD 68067RN152637Winnette, Gina Frances 14864 1570 Brampton Ave Statesboro, GA 30458

6/6/2014Jerath, Rita MD 22937RN184306Winstead, Nicole 10246 1446 Harper Street Ste BG1017 Augusta, GA 30912

9/13/2021Stephen Dawkins 33066RN223878Winston-Parker, Whitney 49414 535 N.Central Ave Hapeville, GA 30354

7/9/2021Harold Jackson 32591RN177542Wint, Marvet 56616 2000 Riverside Pkwy Suite 107 Lawernceville, GA 30043

9/3/2021Adebayo Akintobi 55081RN177542Wint, Marvet 57639 2663 Easterly Place Decatur, GA 30035

10/5/2018Kevin Watkins, MD 72721RN175692Winter, Joni Lee 20889 600 Celebrate Life Parkway Newnan, GA 30265

6/1/2017Roxanne Williams, MD 66338RN175692Winter, Joni Lee 14956 600 Celebrate Life Parkway Newnan, GA 30265

3/15/2022Christopher Morgan, MD 66151RN175692Winter, Joni Lee 12965 1514 Vernon Rd, Emer Dept LaGrange, GA 30240

4/3/2019Richard Thomas, MD 59217RN082052Winters, Rhonda Lynn Toole 9435 3708 Northside Dr Macon, GA 31210

4/3/2019Kenneth Harper, MD 25983RN082052Winters, Rhonda Lynn Toole 11746 556 Third St, Suite A Macon, GA 31201

4/3/2019Marrus Simmons, MD 49946RN082052Winters, Rhonda Lynn 14522 4226 Hartley Bridge Rd Macon, GA 31216

4/19/2021Thomas McCormick 51255RN082052Winters, Rhonda 53968 1361 Jennings Mill Rd Suite 201 Watkinsville, GA 30677

11/4/2010Timothy Stapleton, MD 36295RN082052Winters, Rhonda Lynn Toole 3280 1600 Forsyth Street Macon, GA 31201

4/5/2013Allen Dollar, MD 35244RN108564Wirth, Diane Lynn 9043 80 Jesse Hill Dr Atlanta, GA 30303

9/8/2014Benjamin Abraham, DO 34757RN108564Wirth, Diane Lynn 11836 2020 McGee Rd Snellville, GA 30078

5/30/2019Robert Sorrentino, MD 55649RN213344Wise, Mary Elizabeth 19285 1120 15th St., BBR 6518 Augusta, GA 30912

10/8/2014Kenneth Grotz, MD 37820RN213344Wise, Mary Elizabeth 13121 4150 Washington Rd, Suite 11 Evans, GA 30809

2/1/2021Paul Herzwurm 37831RN213344Wise, Mary 46851 811 13TH ST Suite 20 Augusta, GA 30901

4/30/2021Crispin Barlatt 79934RN227300Wise, Marlana 56838 207 Crestmont Way Canton, GA 30114

6/29/2018Melissa Davis, MD 59141RN223590Wisenbaker, Miranda Paige 18363 1013 North Fifth Avenue Rome, GA 30165

4/9/2021Simon Fensterszaub 83142RN294400Wissemeier, Sarah 52982 5131 Warm Springs Rd Columbus, GA 31909

Monday, August 1, 2022 Page 471 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/15/2011Ramana Rao, MD 37052RN146627Withers, Lorraine Taylor 3283 1909 Aberdeen Road, Room 102 Albany, GA 31701

11/12/2011Jyotir Mehta, MD 45887RN146627Withers, Lorraine Taylor 9749 801 13th Ave, Suite A Albany, GA 31701

3/18/2022Veronica Garrett 39106RN084160Witmer, Jennifer G. 60319 1415 Milstead Road NE, Suite A Conyers, GA 30012

4/26/2021Frederick Burton 38434RN045044Witt, Connie 48705 2510 Redmond Circle NW Rome, GA 30165

5/31/2009James Michael Brown, MD 33284RN045044Witt, Connie Louise 3284 194 Allgood Street Trion, GA 30753

4/24/2014Kenneth Howard, MD 40412RN045044Witt, Connie Louise 8617 11766 Hwy 27, Suite A Summerville, GA 30747

3/19/2010Mark Beaty, MD 45169RN180347Witt, Lindsey Leigh 8541 2365 Old Milton Pkwy, Suite 200 Alpharetta, GA 30009

12/13/2021Harry Lightfoot 60759RN236956Witt, Nicole Dubois 41741

10/5/2011Theron Thompson, MD 51772RN045044Witt, Connie Louise 9400 1825 Martha Berry Blvd Rome, GA 30165

2/10/2020Gary Smith, MD 10666RN045044Witt, Connie 15545 2968 Hwy 337 Menho, GA 30731

11/4/2021Amanda Cowan 50793RN273762Wogoman, Heather 58781 361 Commerical Drive Savannah, GA 31406

5/5/2021Michael DiCristina 22223RN284746Wojtaszek, Anna 46837 2850 Springdale Rd SW Atlanta, GA 30315

6/1/2018James Greene, MD 29657RN256258Wolf, Meredith 20581 1111 Glynco Parkway Bldg. 1 ste. 10 Brunswick, GA 31525

4/30/2019KIMBERLY VENABLE MD 70977RN270978Wolfe, Roshmoti 39298 1414 DUG GAP RD DALTON, GA 30720

11/13/2020Molly Vicchrilli, MD 58364RN140266Wolfer, Jennifer Leigh 15261 304 Turner McCall Blvd. Rome, GA 30161

6/26/2022Kevin DiBenedetto 90067RN290700Wolin-Collins, Miakoda 59055 780 East Olgethrope Highway Hinesville, GA 31313

3/30/2022RaShante Harris 62706RN113945Wood, Leanne 59350 13081 Highway 9 N Alpharetta, GA 30004

2/10/2020Gary Smith 10666RN113945Wood, Leanne 46838 P O BOX 729 Ringgold, GA 30736

10/1/2017Jeff Reinhardt, MD #####RN144656Wood, Kelly Michelle 5415 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

9/7/2011Mohammed Elbasha, MD 59714RN113945Wood, Leanne Debra 9933 350 Hospital Drive Macon, GA 31217

3/20/2013Robert E. Windsor, MD 31857RN113945Wood, Leanne D. 11525 2550 Windy Hill Rd., #215 Marietta, GA 30067

9/30/2009Barry Jones, MD 12495RN045109Wood, Carol Anne Kahl 8096 5965 Parkway North Blvd Cumming, GA 30040

12/15/2019Bradley S. McCowan, MD 62570RN205800Wood, Jaclyn C. 17188 55 Whitcher St., Ste 250 Marietta, GA 30060

3/28/2012Busman, Michael MD 40628RN113945Wood, Leanne 10584 922 East Jefferson Street, Ste B Americus, GA 31709

5/31/2019Ian Heger, MD 63870RN191945Wood, Miranda Harris 12482 1120 15th St, BP-3111 August, GA 30912

4/30/2011Jeffrey Klopper, MD 26321RN045109Wood, Carol Anne Kahl 9386 3188 Atlanta Rd SE Smyrna, GA 30080

Monday, August 1, 2022 Page 472 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

3/5/2018Thomas Garcia, DO 63420RN118419Wood, Dena Lashon 38733 501 Redmond Rd. Rome, GA 30165

9/1/2020Robert N Price III, MD 59002RN219743Wood, Erin Gaines 40490 1199 Prince Avenue Athens, GA 30606

4/19/2019Edward Killorin 32219RN154613Wood, Victoria 44040 2300 Manchester Expy Suite A-002 Columbus, GA 31904

11/30/2020Joseph Sarbu 77770RN118419Wood, Deena 41863 501 Redmond Road Rome, GA 30165

1/21/2021James Lennon 76106RN231069Wood, Jordan 43341 308 Coliseum Drive Suite 120 Macon, GA 31217

7/1/2019Brian Cross 43190RN215283Wood, Brad 42009 619 S 8TH ST Griffin, GA 30224

10/12/2018Donell Collins 74241RN113945Wood, Leanne 43177 3720 Holcomb Bridge Rd Norcross, GA 30092

3/31/2020Amana Andrews 75679RN118419Wood, Dena 45786 601 Shorter Ave Rome, GA 30165

12/16/2019Alexander Post 81721RN191945Wood, Miranda 45787 1446 Harper Street Augusta, GA 30912

5/1/2021Fidias DeLeon 63891RN113945Wood, Leanne 47726 3641 Centerville Hwy Ste A Snellville, GA 30039

10/31/2010Folashade Omole, MD 49074RN033512Woodall, Jo Anne 3288 2988 Shallowford Road Marietta, GA 30066

1/4/2022Kirk Kanter, MD 30631RN142316Woodall, Kimberly Janece 3289 1405 Clifton Rd Atlanta, GA 30322

7/1/2018Shereef Girgis, MD 45476RN082783Woodard, Katrina Anne Calhou 3290 550 Redmond Road Rome, GA 30165

7/1/2011Theron Thompson, MD 51772RN082783Woodard, Katrina Anne Calhou 8763 1825 Martha Berry Blvd Rome, GA 30165

12/1/2021Melissa Dillmon, MD 54073RN082783Woodard, Katrina Calhoun 39072 255 W. 5th Street Rome, GA 30165

6/29/2020Kerry Nagel 58108RN218034Woodard, Lynei 42835 3827 Jimmy Lee Smith Pkwy Hiram, GA 30141-2804

1/1/2021Kristi Kinsey-Gotier 61108RN218034Woodard, Lynei Cheri 41510 4475 West Villlage Parkway Ellenwood, GA 30294

10/4/2015Thomas Self, MD 21587RN082783Woodard, Katrina Anne Calhou 15002 1825 Martha Berry Blvd Rome, GA 30165

10/11/2020Dolapo Babalola 59119280363Wooden, Corshonta 46542 1355 South Park Street Carrollton, GA 30117

6/25/2015Roy Brownlow, MD 42196RN069357Woodie, Jo Ann 3291 1665 Hwy 34 East, Suite 100 Newnan, GA 30265

6/2/2016Michael McHenry, MD 65285RN069357Woodie, Jo Ann 15923 354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265

12/12/2021Thomas Campen 32147RN238883Woodington, Kenneth 53424 541 Historic Hwy 441-N Demorest, GA 30535

12/17/2019Aman Kakkar 56303RN202209Woodley, Travis 45984 3970 Deputy Bill Cantrell Memorial Rd., #100 Cumming, Ga

6/30/2017J David Carson, MD 16321RN195346Woodley, Joshua James 16999 60 Exchange St, B-7 Richmond Hill, GA 31324

9/25/2019Ajay Jain, MD 58253RN201629Woodruff, Ashley 16444 1497 Fair Rd, Ste 305 Statesboro, GA 30458

5/13/2017Ha N. Tran, MD 61178RN205797Woodruff, Kristin Elizabeth 18426 1240 Eagles Landing Pkwy. Ste 260 Stockbridge, GA 30281

Monday, August 1, 2022 Page 473 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/26/2008Karin Alcantara, MD 43996RN079456Woodruff, Mary Teresa 3295 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

6/30/2009Rami Azzouz, MD 50126RN079456Woodruff, Mary Teresa 8342 2366 Battlefield Pkwy Ft. Oglethorpe, GA 30742

9/12/2009William Jackson, MD 35913RN105351Woods, Beverly A. 3297 2945 Panola Road Lithonia, GA 30038

1/8/2020William Meadows III 30513RN103586Woods, Janet 47903 400 Battlefield Pkwy Fort Olgethrope, GA 30742

8/4/2021Wesley Seabolt 64266RN175825Woods, Shikira 57968 110 S. Main Street Hiawassee, GA 30546

1/1/2022Brittany Thomas 71426RN212965Woods, Kyle 58009 39 Kent Road Suite 2 Tifton, GA 31794

12/16/2020Wesley Neal Seabolt 64266RN175825Woods, Shikira 50 76 Hunt Martin Street Blairsville, GA 30512

4/17/2014Atif Iqbal, MD 61971RN221754Woods, Jennifer Dania 11257 2300 A manchester expressway Columbus, GA 31904

8/2/2017Lavon Thurman, MD 19791RN221754Woods, Jennifer Dania 21094 5448 Whittlesey Blvd. ste. B Columbus, GA 31909

12/21/2021Matthew Astin, MD 66248RN103586Woods, Janet 16324 100 Gross Crescent Circle Fort Ogletharpe, GA 30742

4/16/2021Melissa Rampal 69219RN212965Woods, Kyle 47276 2225 US Hwy 41 Tifton, GA 31794

3/1/2019Tiffany Parks 68594RN105351Woods, Beverly 44630 498 Chattin Drive Canton, GA 30115

7/6/2021Mark Gay 46852RN251479Woods, Melanie 53193 1500 East Shotwell Street Bainbridge, GA 39819

5/20/2020Jaime Recasens 50055RN105351Woods, Beverly 50623 498 Chattin Dr Canton, GA 30115

12/1/2017Melanie Pointer, MD 68037RN175825Woods, Shikira M. Jones 19129 101 Marietta Street ste. 350 Atlanta, GA 30303

11/1/2021Patrina Lockette 48855RN218227Woodson, Rodesia 52634 1390 US Hwy 19 Leesburg, GA 31763

1/1/2020Akicia Weksler 37924RN209127Woodward, Patricia Leigh Ann 46839 1012 Burleyson Rd Dalton, GA 30720

1/1/2022Adetokunbo Awojulu 84511RN270845Wooldrige, Hannah 58308 358 Veteran Parkway N Moultrie, GA 31788

2/1/2018Willie Bowers, MD 42188RN115523Wooley, Angela C. 20201 5629 Hwy. 21 S Rincon, GA 31326

9/12/2014Reden Delgado, MD 65957RN223468Wooley, Kari Louise 13309 2293 Old Rockmart Hwy Rockmart, GA 30153

6/4/2013Mark Coker, MD 56276RN223468Wooley, Kari Louise 11799 14557 Hwy 19, Suite A Griffin, GA 30224

4/15/2017Munit Emlael, MD 63322RN195585Woolfolk, Kalemah 15438 600 Celebrate Life Parkway Newnan, GA 30265

4/30/2021Stephanie Chapman, DO 71929RN261754Woolwine, Megan Jeanette 19297 2927 Demere Rd. St. Simons Island, GA 31522

7/1/2017Angela Gerguis, MD 47261RN107568Woo-Sheffield, Marci Ann 19538 3 West Perry Street Savannah, GA 31401

8/15/2020Stephen Pohl, MD 27107RN107568Woo-Sheffield, Marci Ann 20713 5629 Hwy. 21 South Rincon, GA 31326

5/24/2021Michael Torkelson 68570RN107568Woo-Sheffield, Marci 53156 107 Canal Street Pooler, GA 31322

Monday, August 1, 2022 Page 474 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

2/1/2016Carter, Cynthia MD 56534RN107568Woo-Sheffield, Marci 10381 1000 Towne Center Blvd, Ste 705 Pooler, GA 31322

6/6/2021William Brown, III, MD 29309RN120846Wooten, Kelleen Michele 3300 95 Collier Rd, Suite 5015 Atlanta, GA 30309

10/7/2019Mahendrakumar Amin 27483RN247875Wooten, Monica 43519 1022 W Bryan St Douglas, GA 31533

1/7/2021Allen Dollar, MD 35244RN209106Works-Fleming, Faith Elise 20521 80 Jessie Hill Jr. Drive Atlanta, GA 30303

7/14/2017Peter Wrobel, MD 40285RN151016Worsham, Nena Ann Vasquez 19131 1718 Reynolds Street Waycross, GA 31501

8/1/2013Steven Leichter, MD 40452RN100010Wortham, Candace 11132 2425 Brookstone Center Pkwy Columbus, GA 31904

8/12/2018Srinivas Bramhadevi, MD 61946RN100010Wortham, Candace H 12605 1497 Lafayette Pkwy LaGrange, GA 30241

3/11/2011Kenneth Horlander, MD 46128RN100010Wortham, Candace 5448 303 Smith Street LaGrange, GA 30240

9/7/2012Robert Copeland, MD 11745RN100010Wortham, Candace H. 9817 301 Medical Dr, Suite 501 LaGrange, GA 30240

11/1/2011Karim Gokal, MD 58868RN205309Woughter, Linda 309 105-A Johnson Street Dahlonega, GA 30040

4/15/2011Franklin Duffey, MD 16856RN205309Woughter, Linda 9342 PO Box 10 Cumming, GA 30028

5/19/2020Ruth O'Regan, MD 53350RN169458Wrammert, Kathryn Anne Carls 458 1365 Clifton Rd Atlanta, GA 30322

10/28/2012Divina Dyer, MD 57161RN107575Wright, Karen Angella Uter 3308 780 North Glynn Fayetteville, GA 30214

4/13/2021Richard Epter 48228RN195355Wright, Paula 56816 1321 A Interstae Pkwy Augusta, GA 30909

12/1/2018Robert C. Bowman, MD 31387RN118839Wright, Daniel B. 11580 1430 Hwy 82 West, #105 Tifton, GA 31793

3/27/2014Olakunle Aina, MD 48968RN118839Wright, Daniel B. 9289 2000 Palmyra Rd Albany, GA 31701

9/24/2014Florida Basilio, MD 28720RN133687Wright, Cindy 11052 2039 Warm Springs Rd. Columbus, GA 31904

5/23/2013Alison Krause, MD 40443RN050048Wright, Denise Jean 9659 4040 Hospital West Dr Austell, GA 30106

3/19/2015Quinton Weldon, MD 46786RN118839Wright, Daniel B. 9695 116 W. Thigpen Ave Lakeland, GA 31635

5/4/2014Richard Rickman, MD 49332RN118839Wright, Daniel B 12734 3200-C North Ashley St Valdosta, GA 31602

5/20/2016Ian Davis, DO 64203RN149121Wright, Latanya Kay 12186 1120 15th Street, BI 5092 Augusta, GA 30912

6/24/2015Ritu Khurana, MD 55858RN175976Wright, Jenni Charity 12379 19 Redmond Rd Rome, GA 30165

7/7/2017Gregory Patterson 45106RN146898Wright, Jennifer Lynn 19617 100 Mimosa Drive Thomasville, GA 31792

11/27/2017Mobin Shah, MD 64068RN050048Wright, Denise Jean 19716 1255 Hwy 54 West Fayetteville, GA 30214

4/1/2018James Brown Jr., MD 51025RN069827Wright, Lori Ann Rentz 20964 2605 Parkwood Dr. Brunswick, GA 31520

Monday, August 1, 2022 Page 475 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/20/2021Madelaine Santos-Vega, MD 74351RN198143Wright, Mary Isabelle 18329 1007 E. 16th Ave. ste. A Cordele, GA 31015

9/8/2016Atif Iqbal, MD 61971RN133687Wright, Cindy R. 13547 2300 A. Manchester Expressway, Ste 006 Columbus, GA 319

7/9/2021Jonathan Williams, DO 59237RN118839Wright, Daniel 15194 1120 W Broad Ave, Ste B4 Albany, GA 31707

2/7/2019John Aicher, MD 26432RN161833Wright, Brooke Blackwell 41255 744 Noah Drive Suite 108 Jasper, Ga 30143

8/31/2019Erinn Harris, MD 47760RN133687Wright, Cindy R. 18956 2000 10th Avenue Columbus, GA 31901

5/1/2020Roger Hiser, MD 48899RN175976Wright, Jenni Charity 17294 962 Joe Frank Harris Pkwy, Ste 104 Cartersville, GA 30120

12/27/2018Rukhsana R Ahmad, MD 55330RN162502Wright, Anna Carolina W 42435 1902 Macy Drive Roswell, GA 30076

12/6/2018Robert Morgan 31639RN160505Wright, Michelle 42597 502 E. General Stewart Way Suite A Hinesville, GA 31313

12/31/2018Bobby Crocker 48343RN107575Wright, Karen Angella 41614 424 Decatur Street Atlanta, GA 30312

10/28/2019Carlos Zayas 36668RN135344Wright, Stephanie 43214 1120 15th Street Suite AD3401 Augusta, GA 30912

12/25/2020Shrenik Shah 77245RN162502Wright, Anna 53574 3885 Princton Lakes Way SW Suite 314 Atlanta, GA 30331

10/31/2020Henry GutheryIII 83229RN175976Wright, Jenni 51523 10 Main Street Marketpkace Cartersville, GA 30121

4/6/2022Afolabi Tiamiyu 63140RN198143Wright, Mary 55966 317 E. Washington Avenue Ashburn, GA 31714

5/3/2021Alan Brown 57782RN235876Wright, Heather 54819 209 N. Camellia Blvd Fort Valley, GA 31030

2/27/2020Winston Gandy 30065RN161833Wright, Brooke 46192 744 Noah Dr., #108 Jasper, GA 30143

7/30/2021Jeffrey Broder 30017RN235906Wright, Caroline 49289 1 Freedom Way Augusta, GA 30904

3/8/2019John Gott 28989RN280197Wrigley, William 42710 1968 Peachtree Road NW Atlanta, GA 30309

10/1/2019Dana Woodhall, MD 66843RN176582Wyatt, Rachel Nelson 17649 710 Center St Columbus, GA 31901

3/30/2016Lance Slade, MD 52488RN241881Wyatt, Lauren 15708 550 Professional Dr Macon, GA 31201

11/8/2021Robert Holland 59662RN260231Wylie, Mark 54177 106 Shoppers Way Suite 115 Brunswick, GA 31520

3/3/2020Zia L Khan, MD 62533RN111878Wynn, Linda 42067 99 Hill Haven Road Greenville, GA 30222

3/16/2020Johnathan F Busbee, MD 40336RN111878Wynn, Linda 42064 99 Hill Haven Road Greenville, GA 30222

3/3/2020Bradley Ward 21115RN111878Wynn, Linda 41940 2 Three Miles Road Rome, GA 30165

9/21/2021James Hamilton Jr. 29179RN111878Wynn, Linda 46841 1626 Jeurgens Court Norcross, GA 30093

3/3/2020Ramesh Reddy #####RN111878Wynn, Linda 46843 1626 Jeurgens Court Norcross, GA 30093

Monday, August 1, 2022 Page 476 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/14/2016Busman, Michael MD 40628RN085059Wysochansky, Mary Helen 10041 922 E. Jefferson Street, Suite B Americus, GA 31709

7/31/2020James Velimesis 42474RN153305Wyttenbach, Tiffany 45788 1300 Ridenour Blvd Suite 300 Kennesaw, GA 30152

10/15/2021Sanjeer Tendolkar 63066RN223451Xavier, Shereen 43495 4589 Lawrenceville Road Loganville, GA 30052

7/5/2020Randy Bottner, MD 35381RN191551Xiang, Abegail Delez 19224 4700 Waters Avenue Savannah, GA 31404

9/1/2016Sean Delaney, MD 49001RN191551Xiang, Abegail Delez 14816 755 Walther Rd Lawrencelille, Ga 30046

5/13/2022Jorge Leguizamo 61479RN252873Yadav, Lily 53474 698 Duluth Highway Suite 201 Lawerenceville, GA 30046

5/13/2022William Howard Whaley, MD

11504RN252873Yadav, Lily 41502 1100 Johnson Ferry Road Atlanta, Ga 30342

1/11/2021Randy Wamer 53905RN204157Yallah, Selma 47162 690 Dallas Hwy Suite 201 Villa Rica, GA 30180

9/25/2009Christopher Crooker, MD 39315RN115022Yandel, Susan Eileen 3315 748 Old Norcross Road, Suite 185 Lawrenceville, GA 30045

3/30/2016Josephine Dunagan, MD 15553RN204281Yandle, Amber Nicole 15212 1700 Tree Lane, Ste 110 Snellville, GA 30078

4/20/2021Douglas Josephson 46603RN216896Yang, Young 44672 12385 Crabapple Road Suite 200 Alpharetta, GA 30004

1/7/2019Caroline Miller 54011RN216896Yang, Young Jin 41360 3911 Mary Eliza Trace Suite 200 Marietta, GA 30064

2/13/2019Abiodun Olatidoye, MD 48556RN198790Yap, Sheena Kayla 40019 6507 Professional Place Rivrdale, GA 30274

6/17/2020Edward Middlebrooks, MD 47624RN108692Yarnall, Richard Clark 13399 758 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046

1/1/2012Christopher Crooker, MD 39315RN108692Yarnall, Richard Clark 3318 748 Old Norcross Road, Suite 185 Lawrenceville, GA 30045

5/31/2014Steckl, Pete MD 36296RN108692Yarnall, Richard 10244 235 Peachtree St North Tower, Ste 2100 Atlanta, GA 30303

3/22/2020Paul Chai 82721RN188733Yarrow, Charlotte 46844 1405 Clifton Rd Atlanta, GA 30322

10/2/2021Megan Durham 44203RN188733Yarrow, Charlotte 51345 1405 Clifton Rf NE (pediatric suite 3rd floor) Atlanta, GA 303

11/21/2017Lloyd Rimer, MD 30665RN105921Yates, Susan Marina 18929 3541 Chattanooga Rd. Tunnel Hill, GA 30755

11/21/2017Victor Osisanya, MD 71689RN105921Yates, Susan Marina 16972 313 Boynton Dr Ringold, GA 30736

8/20/2015Tambrea Ellison, MD 69187RN105921Yates, Susan Marina 13937 2550 Windy Hill Rd. , Ste 206 Marietta, GA 30067

6/24/2016Gibbs, Sandra MD 32192RN104649Yawn, Anthony 10592 145 E. Peacock St, Ste 3 Cochran, GA 31014

8/31/2015James Sirleaf, MD 67036RN093579Yawn, Traci 15671 417 W 3rd Ave Albany, GA 31701

4/19/2019Jorge Pisarello, MD 58914RN093566Yawn, Melanie Kay 13698 1120 W. Broad Ave, Suite B-4 Albany, GA 31705

4/10/2019Jorge Pisarello, MD 58914RN093566Yawn, Melanie Kay 13796 701 N Slappey Blvd Albany, GA 31701-1413

Monday, August 1, 2022 Page 477 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

10/15/2013Kesha Allen, MD 57920RN093579Yawn, Traci Kurpe 11833 417 Third Ave Albany, GA 31701

1/1/2020Vincent Culpepper, MD 46072RN093566Yawn, Melanie Kay 18195 307 3rd Ave. E Cordele, GA 31010

10/26/2011John Souza, MD 39475RN104649Yawn, Anthony Jackson 8275 PO Box 16100 Dublin, GA 31040

4/22/2014Michael B. Chisner, MD 29426RN190461Yawn, Caitlin Bachler Thomson 11591 11700 Mercy Blvd, #6 Savannah, GA 31419

8/1/2014Kimsey, Troy MD 46876RN093579Yawn, Traci 10374 425 West Third Avenue, Medical Tower I, Ste 105 Albany, G

3/31/2014Seward, James MD 27247RN118481Yawn-Lewis, Tonya 10068 200 Industrial Blvd ER Dublin, GA 31021

6/1/2018Lisa Rudolph-Watson, MD 42414RN195312Yearby, Felicia Michelle 39615 401 Old Alabany Road Thomasville, GA 31792

6/29/2021Lisa Ann Rudolph-Watson, MD.

42414RN195312Yearby, Felicia Michelle 39880 401 Old Albany Road Thomasville, Ga 31792

9/1/2020Eugene Y Sun, MD 62170RN195312Yearby, Felicia Michelle 42072 401 Old Albany Road Thomasville, GA 31792

8/27/2014Louis Fernandez, MD 39790RN217018Yearous-Algozin, Anna Livia 12400 274 Big A Rd Toccoa, GA 30577

9/21/2020Alan Moy, DO 58990RN145132Yerke, Juile Leanne 14185 501 Redmond RD Rome, GA 30165

1/2/2016James Collins, MD 29833RN145132Yerke, Julie 15779 304 Turner McCall Blvd Rome, GA 30165

5/1/2015James Collins, MD 29833RN145132Yerke, Julie Leanne Johnson 12706 304 Turner McCall Blvd Rome, GA 30165

3/15/2022Kenneth Ajabor, MD 70846RN145132Yerke, Julie Leanne Johnson 19141 960 Joe Frank Harris Pkwy SE Cartersville, GA 30120

7/16/2016Robert Burkich, MD 46372RN253161Yin, Tiffany Lauren 17296 148 Cobb Pkwy Ringold, GA 30736

11/2/2016Rani Reddy, MD 34450RN203571Yocco, Natasha Lee 17121 106 Briarwood Rd Statesboro, GA 30458

2/11/2015Bounthavy Homsombath, MD

68031RN190861Yon, Sarah Marie 12652 3675 J Dewey Gray Circle, Suite 300 Augusta, GA 30909

8/18/2016Cassandra Josephson, MD 47608RN221867Yonchik, Christine Marie 18555 1405 Clifton Rd. NE Atlanta, GA 30322

11/8/2019Fitzroy Graham, MD 48780RN221867Yonchik, Christina Marie 21191 105 Mirramont Lake Dr. Woodstock, GA 30189

5/21/2020Wiley Smith 63133RN157606York, Melissa 43605 500 Green Road Chatsworth, GA 30705

8/9/2020Scott Mitchell 56212RN157606York, Melissa 52383 1008 North 3rd Ave Chatsworth, GA 30705

11/11/2020Jose Justiniano-Ayala 46773RN157606York, Melissa 54182 205 Jenkins Rd Rossville, GA 30752

2/1/2017Dark, Jennifer MD 66016RN061087York, Deborah Sue 3327 1012 Burleyson Road Dalton, GA 30720

1/1/2021Paul Feldman 29640RN223210Yost, Allison 48425 874 W Lanier Ave Unit 220 Fayetteville, GA 30215

4/8/2015Jerry Mallett, Jr, MD 30647RN073220Youmans, Frances Mcdowell 3330 400 S. Pinetree Blvd Thomasville, GA 31792

Monday, August 1, 2022 Page 478 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

9/1/2018Forrest Cantrell, Jr, MD 28948RN210357Youmans, Lauren Marie 17167 3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064

8/9/2021STEVEN DUROCHER MD 56051RN153452YOUN, LEE 39808 2151 W SPRING ST MONROE, GA 30655

11/12/2021William S. Barnes 26449RN173347Young, Joshua S. 39654

10/18/2019Patrick Railey, MD 43114RN148404Young, Nancy 20878 1855 Hudson Bridge Rd. Stockbridge, GA 30281

10/25/2021Glen Bunn 82620RN218687Young, Bradley 55981 1 Meadows Pkwy Vidalia, GA 30474

12/3/2020Yomi Fashola 82034RN192840Young, Christy 47219 2122 Manchester Expressway Columbus, GA 31904

10/18/2019Daniel Rosenblatt 80766RN263464Young, Milou 43602 1200 Abernathy Road Atlanta, GA 30328

12/31/2020Afolabi Tiamiyu 63140RN201773Young, Courtney 42013 801 W. Gordon Street Thomaston, GA 30286

10/31/2019Deanna Ross 61854RN185371Young, Katherine 42011 4181 Hospital Drive Suite 401 Corington, GA 30014

1/30/2021Sung Chang 52693RN158039Young, Brian 46689 7351 Old Moon Rd Columbus, GA 31909

11/1/2020Mark E. Dorogy, MD 41105RN212891Young, Candice Danielle 40177 612 W. Gordon Street (Suite C) Thomaston, GA 30286

4/30/2021Sophenia R. Gay, MD 67868RN201773Young, Courtney Anne 40189 821 N. Cobb Street Milledgeville, GA 31061

3/1/2018WILLIAM WARR MD 9051RN201773YOUNG, COURTNEY ANNE 40197 7600 VETERANS PKWY COLUMBUS, GA 31904

12/31/2016Jeffrey Lamp, MD 56736RN047409Young, Beth Burch 13581 2151 West Spring St Monroe, GA 30655

2/20/2016Virna Simmon, MD 60614RN192017Young, Shante 15379 1355 South Park St US Hwy 27 Carrollton, GA 30117

11/4/2020John Cheng, MD 53117RN151008Young, Holly Stiehm 18175 1001 Johnson Ferry Rd. Atlanta, GA 30342

7/1/2017Tyra Harris, MD 61249RN148404Young, Nancy 14986 780 North Glynn Fayetteville, GA 30214-1193

2/28/2018Cecil Bennett, MD 48844RN192017Young, Shanta Nicole 18265 440 Prime Point Peachtree City, GA 30269

4/27/2018Joseph Verdun, MD 61675RN214447Young, Angelique Shannelle 21177 868 York Avenue SW. Atlanta, GA 30310-2750

7/31/2017Pamella Charles-Pryce, MD 58155RN148404Young, Nancy 16261 3116 Highway 34 East Newnan, GA 30265

9/16/2014Felix Bonsu, MD 55916RN214447Young, Angelique Shannelle 19486 5185 Old National Highway Atlanta, GA 30349

1/29/2016Jon Stahlman, MD 49207RN046139Young, Glenda D 13205 565 Old Norcross Rd Lawrenceville, GA 30677

7/7/2014Theresa Jacobs, MD 46864RN148404Young, Nancy 13247 868 York Ave, SW Atlanta, GA 30310

1/28/2020Sufiyan Patwa, MD 76577RN047409Young, Beth Burch 19682 2151 West Spring Street Monroe, GA 30655

12/31/2013Mohammad Osman, MD 54323RN151008Young, Holly Stiehm 12585 625 Big Shanty Rd NW Kennesaw, GA 30144

7/31/2016Charles P. Catron, MD 66362RN218687Young, Bradley H. 11236 1707 Meadows Lane, Ste F & H Vidalia, GA 30474

Monday, August 1, 2022 Page 479 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/13/2014James Criner, MD 54179RN046139Young, Glenda D 3332 1490 Pleasant Hill Rd Duluth, GA 30096

8/31/2009Anne B. Todd, MD 51395RN080340Young, Suzanne 3336 526 Maddox Drive, Ste 101 Ellijay, GA 30540

8/10/2012Joshua Wolf, MD 59792RN047409Young, Beth Burch 2327 1968 Peachtree Rd NW Atlanta, GA 30309

4/5/2013LaSuer, Douglas MD 61474RN113728Young, Melanie 10166 105 East Tollison Street Baxley, GA 31513

5/31/2013Edwards, Tania DO 53465RN153142Young, Dawn 10241 1413 Whitesville Road, Ste 700 Columbus, GA 31904

6/20/2014John Layher, MD 46692RN047409Young, Beth B. 11589 2470 Daniels Bridge Rd., #251 Athens, GA 30606

7/1/2014Deepti Bhasin, MD 59979RN173347Young, Joshua 11278 402 Osigian Blvd., Ste 400 Warner Robins, GA 31088

8/18/2020William Franklin Swafford Jr. 46262RN280038Youngblood, Julie Ann 21 209 N. Cuthbert Street, P.O Box 7 Colquitt, GA 39837

3/31/2022Garret Bennett 51784RN280038Youngblood, Julie 58664 209 Cuthbert Street Colquitt, GA 39837

5/1/2018Michael Hagues, DO 23977RN150142Youngblood, Leigh Ann 11834 2122 Manchester Expressway, Emer Dept Columbus, GA 31

9/2/2021Jonathan Williams 59237RN280038Youngblood, Julie 46062 1500 East Shotwell St Bainbridge, GA 39819

9/24/2019Daniel Williams, MD 37926RN066243Youngblood, Mary Jean 40900 1128 South Park Street Carrollton, Ga 30117

9/1/2013Curtis Clark, DO 47068RN150142Youngblood-West, Leigh Ann 11676 610 19th St Columbus, GA 31901

12/17/2018Michael Caruso, MD 57558RN145165Youngstrom, Carol Anne 19956 6509 Gateway Rd. Columbus, GA 31909

7/30/2021Stephen Kissinger, MD 30493RN086363Younker, Marcia Lynn McMulle 11999 3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

4/15/2010Steve Kissinger, MD 30493RN086363Younker, Marcia Lynn McMulle 8694 9020 Peridot Pkwy Stockbridge, GA 30281

4/5/2015Ferrol Sams, III, MD 19767RN188712Yu, Fang 12348 101 Yorktown Dr, Suite 100 Fayetteville, GA 30214

10/31/2014Kenneth Patric, MD 69243RN188604Yufenyuy, Mamboh Ngum 14088 3240 South Cobb Dr. Smyrna, GA 30082

11/30/2015Sarvotham Kini, MD 34170RN188604Yufenyuy, Mamboh 14549 108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602

4/28/2016Sofia Munir, MD 68250RN188604Yufenyuy, Mamboh Ngum 16847 505 Dacula Rd Dacula, GA 30019

1/22/2020Richard Wright, MD 46927RN188604Yufenyuy, Mamboh Ngum 17931 6572 River Park Dr, Ste 102 Riverdale, GA 30274

4/25/2020John Moultrie 75999RN188604Yufenyuy, Mamboh 43603 4398 Atlanta Highway Loganville, GA 30052

12/16/2019Justine Henago 52580RN199304Yuyun, Mabel 47155 1395 S. Marietta Pkwy Bldg 309 Suite 216 Marietta, GA 300

2/23/2021Allen Solomon 28465RN177796Zarzour, Janet 54550 101 Cobblestine Trace Se Moultrie, GA 31788

1/30/2019Crystal Hood 58813RN234153Zauche, Lauren M 41742 1506 Klondike Road Suite 205 Conyers, GA 30094

Monday, August 1, 2022 Page 480 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

1/1/2019Collyn Steele, MD 66424RN221556Zavala, Sandra Marlene 17528 3758 Hwy 42 Locust Grove, GA 30248

7/20/2015Collyn Steele, MD 66424RN221556Zavala, Sandra Marlene 12243 50 Kelly Rd McDonough, GA 30253

1/20/2015Fleming, Alesia MD 34841RN140349Zaworski, Tamara 10547 1645 Tullie Circle Atlanta, GA 30329

12/31/2016Megan Durham, MD 44203RN167802Zaworski, Celena McLaurin 17386 1975 Century Blvd, Ste 6 Atlanta, GA 30345

12/31/2021Jacueline Cheatham-Terry 71325RN077142Zebeau, Anna Maria 41340 1025 North Main street Cedartown, GA 30125

11/1/2019James Seyson 38362RN063876Zebley, Helen D 41942 865 South First St Jesup, GA 31545

10/1/2007Margaret M. Boudreaux, MD

44172RN067932Zehnder, Sandra V. 5470 102 Pilgram Village Dr. Cumming, GA 30040

6/14/2019Bleekrode, Laura M. 34514RN067932Zehnder, Sandra Victoria Smith 3342 11660 Alpharetta Hwy, Ste 290 Roswell, GA 30076

9/14/2018Ae Seon Cha 64463RN199076Zeidman, Gina 42012 3890 Johns Creek Parkway Suwanee, GA 30024

12/15/2019Finda Guyton 72578RN199076Zeidman, Gina 43532 575 W. Pike Street Suite 1 Lawrenceville, GA 30046

3/30/2018Gary Smith, MD 15509RN199076Zeidman, Gina M 17168 275 Carpenter Lane, Ste 102 Sandy Springs, GA 30328

2/6/2021William Richards 67939RN225648Zeisler, Gail 44613 5353 Reynolds Street Suite 200 Savannah, GA 31405

2/1/2019Khalid Hayat 56555RN184748Zelano, Patricia 41941 755 Walther Road Lawrenceville, GA 30046

6/23/2021Rashante Harris, MD 62706RN184748Zelano, Patricia Joy 20615 3999 Austell Rd. ste. 901 Austell, GA 30106

4/1/2021John Llyod 28434RN175744Zercher, Robyn 52643 3125 East Shawdowlawn Ave NE Atlanta, GA 30305

9/28/2021Kris Manlove-Simmons 57748RN287817Zheng, Feng 46304 3425 Buford Drive, Suite 200 Buford, GA 30519

2/25/2021Crystal Hood 58813RN272364Zielinski, Jordan 46002 1506 Klondike Rd, SW., #205 Conyers, Ga 30094

9/24/2021Steven Lee 38841RN231718Zimmerman, Amanda 47775 1791 Wulkey Rd Ste 200 Austell, GA 30106

1/31/2017Edward McDonald Jr., MD 41890RN190851Zimmerman, Ashley Williams 20882 655 Jesse Jewell Parkway SE. ste. C Gainesville, GA 30501

6/1/2016McDonald, Edward MD 41890RN220575Zimmerman, Ashley 10523 655 Jesse Jewell Pkwy, SE, Ste C Gainesville, GA 30501

12/28/2011Tepper, Micah MD 57687RN135902Zimmerman, Cheri 10019 1700 Hospital South Drive Austell, GA 30106

4/5/2015Ian Davis, DO 64203RN159464Ziobrowski, Ashley Christine 13226 1120 15th St, BI-5092 Augusta, GA 30912

12/13/2021Harry Lightfoot Jr., MD 60759RN2227677Zodarecky, Krista Nichole 20670 1700 Hospital South Dr. ste. 202 Austell, GA 30106

12/1/2011Anthony Ditaranto, MD 29865RN137086Zollinger, Leigh Anne 8742 900 8th Street Columbus, GA 31905

8/6/2020Charlene Blache, MD 45728RN215988Zow, Nalitia Xante Jordan 19863 406 Northside Drive ste. M Valdosta, GA 31602

Monday, August 1, 2022 Page 481 of 482

RN# Delegating Physicia Protcol AddressPHY#APRN Name Protocol # Terminated

4/24/2009Rosa Urrutia, MD 18967RN143427Zuleta, Francisco Javier 3246 562 Concord Road Smyrna, GA 30082

Monday, August 1, 2022 Page 482 of 482