Georgia Composite Medical Board Minutes of the May 2-3

Georgia Composite Medical Board

Minutes of the May 2-3, 2019 Board Meeting

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The Georgia Composite Medical Board (GCMB) held its regular meeting on May 2-3, 2019, at

Augusta University, J. Harold M.D., Education Commons 1301 Ra Dent Blvd., Augusta GA

30912 to consider Medical Board matters.

Board members present:

J. Jeffrey Marshall, Chair

B. K. Mohan, MD, Vice Chair

John S. Antalis, MD

Gretchen Collins, MD

Daniel DeLoach, MD

Charmian Faucher, PA (ex-officio)

Michael Fowler, Sr., CFSP

Alexander S. Gross, MD

Thomas Harbin, MD

Rob Law, CFA

Andrew Reisman, MD

David Retterbush, MD

Joe Sam Robinson, MD

Barby Simmons, DO

Richard Weil, MD

Board members absent:

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Lisa Norris, MPH, Deputy Executive Director

Phyllis Douglas, JD, Legal Services Officer

Max Changus, JD, Assistant Attorney General

Johnathan McGehee, Interim Director of Investigation

Phyllis White, Operations Manager

Latisha Bias, Enforcement Lead

Charmian Faucher, PA (ex-office) (Friday)

Richard Weil, MD (Friday)

Alexander S. Gross, MD (Friday)

CALL TO ORDER

Dr. Marshall called the meeting of the Georgia Composite Medical Board to order at 8:00 a.m.

AGENDA AND MINUTES

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

May 2-3, 2019 meeting. The motion carried unanimously.

Dr. Weil made a motion to approve the minutes of the April 11, 2019 meeting. Dr. Collins

seconded the motion and it carried unanimously.

INTRODUCTIONS

Official Welcome:

Dr. Brooks Keel, President of Augusta University – welcome the Board to the campus.

Dr. David Hess, dean of the Medical College of Georgia – welcomed the Board, provided a

presentation on current and future growth of the Medical School.



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GEORGIA PROFESSIONAL HEALTH PROGRAM

Dr. Paul Earley provided an update on the Georgia Professional Health Program, how cases are

handled, and the reporting relationship with the Board.

BOARD CHAIRMAN’S REPORT

Dr. Marshall thanked Dr. Hess and Dr. Earley for their reports. He gave the Board a report on

the Federation of State Medical Board meeting in Dallas and what he took away that we can

work on changing. He thanked Dr. Gross for running a good campaign for the Nominating

Committee. He mentioned that he still had not heard anything on the appointments to the

Board. He also gave a legislative update. CB16 Interstate Compact

EXECUTIVE DIRECTOR’S REPORT

Ms. Hughes made the following report:

1. Sam Pondrom, JD Can a podiatrist and a physician co-own a practice, will this work with

physicians and other health care providers? There was not enough information to respond.

2. Karen T. Civali, RN – Who has to do the three-month clinical visit can it be a NP or

PA. Can the physician delegate? Okay to delegate.

3. Jianli Zhoa – Can the signature line be a digital signature. The Board will accept this type

of signature as long as it is reputable company.

4. Jjais Richards, MD – Can a physician determine whom they can supervise. It is between the

physician and the institution.

5. Compact information – Accepted as information.

6. City of Atlanta Resolution – regarding conversion therapy. The Board accepted as

information.

Dr. Antalis motioned to go into closed session Dr. Harbin seconded the motion and it carried

unanimously

ATTORNEY GENERAL (AG)

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

Dr. Harbin submitted a motion, seconded by Dr. Reisman to accept the report as information.

The motion carried unanimously.

Dr. Marshall declared open session.

RECESS

Dr. Marshall declared the meeting in recess for holding committee meetings



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RECONVENE

Dr. Marshall reconvened the meeting at 2:15 p.m.

LICENSURE COMMITTEE

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

report by unanimous vote.

The Board took the following actions:

Petitions requesting to Waive Rules:

Petitioner Rule Number:

Jasvir Singh, MD 360-2-.02 Approved request

Du, Tri, MD 360-2-.07 (6) (8)

Murala, John 360-2-.01(g)

Kuruva, Manohar 360-2-.01(f)(2)

Denied request

Tabled request

Approved request

Reinstatement request:

1. N.G. – Administrative license – if not invite for interview.

2. Sara, Danielle - Approved

3. Acree, Patricia - Approved

4. Druss, Benjamin – Approved Administrative License

Approved Applications for Licensure:

License# Name Degree

82803 Hiser, Wesley MD

82804 Gorti, Harika, Harika MD

82805 Hamilton, Joy M MD

82806 Henry, Brandon V MD

82807 John, Tamara MD

82808 Moyer, Amanda B MD

82809 Peace, DeVaughn K, II MD

82810 Meka, Naga P MD

82811 Adelore, Tejumade MD

82812 Akhtar, Aisha MD

82813 Andriessen, Emily MD



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82814 Patel, Margi B MD

82815 Angelle, Jonathan MD

82816 Patel, Rutveej MD

82817 Allen, John C MD

82818 Ball, Kimberly C MD

82819 Bocock, John MD

82820 Carter, Adam MD

82821 Murphy, Stephanie E MD

82822 Nasir, Junaid MD

82823 Payne, Michelle H MD

82824 Christman, Chad S DO

82825 Coy, Adam M MD

82826 Patel, Shyam A MD

82827 Czuprynski, Robert J MD

82828 Defnet, Ann M MD

82829 Jacobs, Lloydine MD

82830 Cha, Bede Soon T DO

82831 Goodridge, Sophia MD

82832 Kaufman, Michael R MD

82833 Kramer, Nicholas M MD

82834 Khan, Fahad DO

82835 Jurma, Duane MD

82836 Raiser, Sara N MD

82837 Beshish, Asaad MD

82838 Alfonso, Kristan P MD

82839 Azeem, Sameera MD

82840 Barnes, Benjamin MD



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82841 Bokhari, Hassan MD

82842 Calev, Hila MD

82843 Carmona Pires, Miguel MD

82844 Dalal, Curran MD

82845 Dellock, Carey A MD

82846 Bunker, Anna MD

82847 Burdette, Elliott MD

82848 Chen, Tina S MD

82849 De, Nidhi MD

82851 Martin, Ryan C MD

82852 Khamissi Sobi, Mali MD

82853 Webb, Christiaan A MD

82854 Jennings, Aisha C MD

82855 Lubin, Daniel MD

82856 Meisner, Peter MD

82857 Anvar, Bardia A MD

82858 Ma, Christopher M MD

82859 Ramos Saenz, Carlos R MD

82860 Thomas, Joseph H MD

82861 Wewel, Joshua T MD

82862 Ravi, Pranav MD

82863 Rouhana, Hailey F MD

82864 Taylor, Scott B DO

82865 Tran, Huu H MD

82866 Yuan, Hongjie MD

82867 Sarver, David B MD

82868 Siewe, Daku Y MD



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82869 Asakrah, Saja MD

82870 Bovenkerk, Stephen DO

82871 Catausan, Michael MD

82872 Degesys, Catherine MD

82873 Roy, Rajasree MD

82874 Aziz, Rommana DO

82875 Brown, Cameron A DO

82876 Chapman, Douglas E, Sr MD

82877 Chinwuba, Ijeoma MD

82878 Chumble, Shubhangi MD

82879 Kheder, Ammar MD

82880 Lyons, Valerie MD

82881 Nordsiek, Michael F DO

82882 Petersen, Katherine A MD

82883 Maxwell, Meredith M MD

82884 Ogiamien, Efosa O MD

82885 Mehta, Rohini S MD

82886 Kichloo, Saima MD

82887 McGinn, Thomas DO

82888 Hattaway, Joshua DO

82889 Garnica Moya, Loreli MD

82890 Gill, Puneet MD

82891 Hunt, Rachel MD

82892 Hamidi, Adam DO

82893 Sridharan, Lakshmi MD

82895 Gillman, Rachel E DO

82896 Chai, Zhijin MD



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82897 Warren, Nichelle A MD

82898 Shah, Nirav MD

82899 Yoon, James J MD

82900 Shah, Neel MD

82901 Smith, Marche T MD

82902 Trice, Kevin K MD

82903 Tolaymat, Omar A MD

82904 Tanaja, Jasmin MD

82905 Vera Ortiz, Juliana M MD

82906 Waseem, Bushra MD

82907 Wolf, Mattie F MD

82908 Wells, Robert S MD

82909 Yeh, Michael MD

82910 Ray, Laura A MD

82911 Tison, Katherine L MD

82912 Yang, Kevin K MD

82913 Spyris, Constantinos T MD

82914 Hasan, Syed Askari MD

82915 Kocharian, Naira MD

82916 Doshi, Shreyans MD

82918 Weinberg, Devin L MD

82919 Trubitt, Meredith E MD

82920 Bassett, Eliot A DO

82921 Kadalikattil Thomas, Mathew MD

82922 Danish, Timothy F MD

82923 Cafuir, Loraine A MD

82924 Bass, Jamie E DO



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82925 Beharrysingh, Rudra MD

82926 Christy, Ilia MD

82927 Daher, Hoda S MD

82928 Kanu, Okezika C MD

82929 Davis, Orrin MD

82930 Deschaine, Maria MD

82931 Dickson, Cristina DO

82932 DeBlock, Heidi F MD

82933 Key, Samuel R MD

82934 Dude, Carolynn MD

82935 Urbaniak, Steven DO

82936 Sullivan, Pamela C MD

82937 Williams, Audrey C MD

82938 Suma, Dominic MD

82939 Baker, Ronald W, Sr MD

82940 Rani, Pooja MD

82941 Andrews, Danielle MD

82942 Salah, Zahraa MD

82943 Hamilton, Kimberly M MD

82944 Ghosh, Radhika MD

82945 Johnson, Mark C MD

82946 Gorovoy, David S MD

82947 Hudspeth, Loren J MD

82948 Coke, Hugh, III MD

82949 Iboaya, Aiwane A DO

82950 Narapareddy, Bharat MD

82951 Hegarty, Daniel MD



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82952 Ha, Thoa K MD

82953 Gin, Nancy E MD

82954 Kuruva, Manohar MD

82955 Gershenbaum, Bart K, D.O. DO

82956 Kwayisi, Golda M MD

82957 Ebelhar, Jonathan S MD

82958 O'Keefe, John J MD

82959 Armstrong, Linda K DO

82960 Jaipal, Fnu MD

82961 Del Toro, Cristina MD

82962 Harb, Tad MD

82963 Flores-Bermudez, Hector MD

82964 Betts, Eric MD

82965 Felpel, Clair DO

82966 Bevier-Rawls, Elyse MD

82967 Khatiwada, Pooja MD

82968 Espinoza, Aldo J MD

82969 Holden, Rhiannon L MD

82970 Edwards, Shatia Y DO

82971 Siwawa, Portia MD

82972 Wooley, Rahim MD

82973 Martinez, Marwin MD

82975 Mai, Raymond DO

82976 Porteus, Cory DO

82977 Loye, Ayomide MD

82978 Liu, Emberlynn L MD

82979 Mehta, Minesh J MD



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82980 Patrick, Kristen M MD

82981 Ohienmhen, Beatrix MD

82982 Myers, Joshua P MD

82983 Negem, Matthew E DO

82984 McCready, Craig MD

82985 Martinez, Ariane MD

82986 Okyere, Britta A MD

82987 Mirzoyan, Michael MD

82988 McClung, Theresa MD

82989 Leach, Fredrick S MD

82990 Kesarwala, Aparna MD

82991 Harrell, Sean A MD

82992 Krueger, Loren D MD

82993 Kamireddy, Samata MD

82994 Kim, Daniel J MD

82995 Egger, Anthony MD

82996 Kang, Yao MD

82997 Head, Justin M DO

82998 Goldstein, Madeleine H DO

82999 Foster, Gregory S MD

83000 Thodeson, Drew M MD

83001 Kalathil, Alaka A MD

83002 Thomas, Jonathan A MD

83003 Becton, Wendell MD

83004 Boaen, Joseph D, IV MD

83005 Victoria, Samuel MD

83006 Scoon, Hedayah R MD



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83007 Zhu, Andy F MD

83008 Kokoski, Jordann DO

83009 Taylor, Danielle L MD

83010 Kagbo-Kue, Suaka MD

83011 Jeon, Peter S DO

83012 Fisher, Robert MD

NURSE PROTOCOL COMMITTEE Dr. Gross presented the Nurse Protocol Committee report as a motion. The Board accepted the

report by unanimous vote.


Other Business

1. Introduction and welcome to Suzanne Staebler, APRN, as a new member of the Nurse

Protocol Committee.

2. Form C – Jason Levy – Approved

Approved protocols under the provision of O.C.C.A. 43-34-25.

APRN DELEGATING PHYSICIAN

Atakorah, Hannah Osinuga Oladayo

Beaubrun, Shelley (Revisit) Yassar Kanawati

Carlson, Ashley Louis Barton

Croft, JiNa John Gott

DiCara, Sonya Erin London

Driver, Walline Robert Hall

Edwards, Cassondra Layth Saymeh

Freeman, Sharolette Gillian Greer

Greenwood, Austin Jane Clark

Herring, James (Revisit) Chadwick Stouffer

Herring, Meredith Anthony Captain

Hirsch, Ginger Joseph Bear

Lane, Brandi (Revisit) Lawrence Reccoppa

Newton, Keshala David Nussbaum

Robbins, Christine Esteban Lim

Underwood, Ashley Kenneth Patric

Weber, Amy Daniel Cobb

Ziegler, Elizabeth Jones Barbara

Determine the following protocols agreements meet the provisions of O.C.G.A., 43-34-25 with

changes

APRN DELEGATING PHYSICIAN Allen, Turquoise William Mahoney



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Brown, Lisa Daniel Broderick

Brown, Lisa John Lu

Castlin, Rena Jaymal Patel

Driver, Walline Robert Hall

Eaton, Stacy Gregory Jackson

Govner, Nikki Stephen Tafor

Guest, Sara James Appiah-Pippim

Joyce, Katrina Dare Adewumi

Korf, Ali Abul Matin

Meinken, Constance Neil Jariwala

Myers, Chasity_ (Revisit) Lawrence Reccoppa

Osayi, Monica Shahzad Hashmi

Paulk, Carlas Ajitabh Pandey

The Board determined that the following protocol agreements does NOT meet the provisions

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

APRN DELEGATING PHYSICIAN

Lott, Jodi (Revisit) Lawrence Reccoppa

Mashburn, Lori Ajitabh Pandey

McBrayer, Sherri (Revisit) Lawrence Reccoppa

Stidham, David (Revisit) Lawrence Reccoppa

Weatherspoon, Zakiyyah (Revisit) Lawrence Reccoppa

Protocols Administratively Reviewed/Approved:

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

Agbor Ebanga Mark Salsberry

Allen Turquoise William Mahoney

Atakorah Hannah Osinuga Oladayo

Atkins Bethany David Turfler

Bacot Brittany Kendall Griffith

Bahr Rugiatu Jacqueline Harris

Baily Dominique Brendan Doucette

Beaubrun Shelley Yassar Kanawati

Beck Beverly Mohsen Khodakaram

Bell Stephanie Gillian Greer

Berman Natalia Patrick Egbe

Billings Jordan Catherine James-Peters

Boateng Janet Yashaswini Parikh

Bostrom Katie Edwin Montague

Brisibe Modupeola Sherri Barton

Brooks Christen James Collins

Brown Lisa Daniel Broderick

Brown Brenda Afolake Mobolaji



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Brown Lisa John Lu

Brown Cyasha Vishal Patel

Carlson Ashley Louis Barton

Castlin Rena Jaymal Patel

Cate Victoria Lalit Vadlamani,

Cho Ye Seul Sooil Kim

Christie Melville Kalvin Nathaniel

Cloud Timra Shehzad Muhamed

Collier Samuel Jason Gardiner

Collins Karena Mary McKinley

Compaan Kyle Nicholas Beaulieu

Copeland Laura Stacia Dzikunu

Corley Caitlin Stnley Bush

Croft Ji na John Gott

Crowe, Jr. William Crystal Comeau

Darley Breanna Gloria Browne

Davis Aubrey Abul Matin

Davis Arthur Jorge Pisarello

DeCesare Meredith Thomas Hobby

Dennin Eric John Perry

Desrosiers Myrlene Phillip Hadley

Dexter Susan Ahamefula Nnodim

Diaby Nassaratou Vanderlyn Sewell

DiCara Sonya Erin London

Driver Walline Robert Hall

Dunaway Sherrie Ujwal Siddamreddy

Eaton Stacy Gregory Jackson

Edwards Cassondra Layth Saymeh

Ejimofor Kelechi Yvonne Maduka

Finley Beth Jacqueline Harris

Fletcher Carolyn William Cirillo

Foreman Jerrye Robert Hunter, Jr

Freeman Sharolette Gillian Greer

Gaddy Alicia Cheryl Perkins

Gardner Brooks Jenean Charmille Hare

Garner Amy Alejandra Staubs

Geimer Connie Wilson Tucker

Gilkey Corinna Donald Jones

Golden Marci Ravin Talati

Graham Latisha Chun Ng

Greenwood Austin Jane Clark



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Guevarra Natividad Frank Cook

Hall Brandon James Sinclair

Hammond Myrna Kimberly Stroud

Hawkins Rebekah Nirag Nagada

Heather Pickle Medelaine Santos Vega

Henning Kristen John Barnes

Henson Courtney Dawnetta Holladay

Herring Meredith Anthony Captain

Herring James Chadwick Stouffer

Higgins Christine Dawn Russell

Hill Cara Russell Jones

Hirjee Salima Ramya Rangaraj

Hirsch Ginger Joseph Bear

Hunter Kristin Chatherine James-Peters

Jackson Beverly Amer Al-Rafati

Jefferson-Saboor Andrea Renee Earl C. Joyner

Jennings Melinda Susan Jordan

Johnson Michelle Kristine Gould

Johnson Kimberly James Thigpen

Johnson-Lykes Natalie Davin Mitchell

Jolly McCall Piyushkumar Patel

Jones Chandria Lawrence Reccoppa

Kalick Maria Tam Nguyen

Kelley Wesley Gloria Browne

King-Byrne Ava Anjali Grandhige

Kuhn Crystal Sunil Vallurupalli

Lahey Amy Himalee Sabris

Lancaster Vanessa Andrew Diamond

Lane Brandi Lawrence Raccoppa

Lee Hyesun Young Won Kang

Lomax Jeneen Lynette Stewart

Loucks Andrea Usama Kanaan

Madlock Danielle Adebukola Akintoye

Mallory Sharon Anthony Adams

Martin Kerry John Ouderkirk

Massey Liza Steven Goudy

McDonald Erin Eliahu Feen

McKinney Jennifer Brittainy Dark

McKinnon Lisa Douglas Williams

Medders Lesly Jimmy Malaver

Meltzer Liza Joseph Bishop



15

Merritt Marcie Bernard Oddi

Meyers Steven Joseph Kaplan

Mills Jennifer Martha Ward

Mitchell Shonkethia Jehangir Pirzada

Mock Maria Donald Jones

Morey Kayla Stacia Dzikunu

Nace Shana Pamela Gordon

Neely Kristin Charles Roman

Newton Keshala David Nussbaum

Outlaw Melanie James Sinclair

Paine Michael William Early

Patterson Moneka Roger Branch

Patteson Brooke Anna Janss

Peck Ann Melissa Warner

Powell Laura James Ford

Powell Silona Heather Gunn

Pruitt Megan Sajad Zalzala

Quincy Eleanor Debbie Hagins

Rafus Jennifer Robert Packer

Rease Lashandra Tamaurus Sutton

Reid Kiki Dingane Baruti

Releford Steven Michael Ofori

Rigsby Karen Jeffrey Winston

Robbins Christine Melanie Pointer

Robbins Christine Esteban Lim

Robertson Trinell Tod Bethea

Robertson Trinell Sakib Maya

Ross Susan Paul Wentland

Ruiz Alexandra Daniel Van Riper

Sapp Laurel Franklin Conner

Saunders Tamika Yvonne Maduka

Saunders Tamika Reginald Jackosn

Scarlett Christina Trent Schueneman

Seeger Kathryn Marc Yune

Sharma Upasna Solomon Teckle

Shipman Shaleacia Josephine Dunagan

Shore Karen Stephen Little

Singley Brittney Davey Herring

Sparks Tony Timothy Osborne

Stamegna Lynn Raymond Young

Startic Stefanie Helen Panarites



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Sturdivant Shuconda Jose Cangiano

Taylor Christine Bolanle Sogade

Teel Lesley Richard Spurlock

Thomas-Cloud Rosemary Precious Braswell

Ticle Christopher Davis Reames

Underwood Ashley Kenneth Patric

Uwagerikpe Felicitas Jennifer Robinson

Vessel Mary Lori Lynch

Wadhwania Zohra Patrick McDougal

Wall Kelly Etta Ross-Cole

Wallace Marlyn Satyajeet Patel

Ward Mary Robert Mitchell

Ward Mary Billy Chiou

Ware Erica Joanne Kuntz

Waters Melissa Justin Harrell

Watson Brandi Hughh Parks

Weber Amy Daniel Cobb

Wertengerger Caitlin Mark Oliver

Whitaker Kawajalein Sufiyan Patwa

White Julie Lisa Griggs

White Amanda Christen Weber

Wilkinson Elizabeth Julian Hutchins

Williams Chekeeta Albert Scott

Williams Tamika Joseph Saulsbury

Williams Jaqueline Robin White

Williams Kimberly David Turfler

Willingham Jodi Jeffery Winge

Wilson Donnamarie John Houser

Wilson Amber Linda Hendricks

Wint Marvet Miles Johnson

Wise Tiffany Leilani Shivers

Wood Tina Randy Robinson

Woodal Tara Jones Gresham

Wright Kelly Robert Wright

Other Business

1. The Committee agreed to meet with the APRNto discuss the items listed below.

Revision – APRN Forms:

Board to determine which documents will require an original signature

1. Protocol Agreement

Form A



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Form C

2. Registration form

3. Telemedicine Letter

4. Training Letter, etc.

5. Determine if both Page nine and Form A are needed for Designated Physicians.

6. Discuss updating FAQ, to include general comments about comparable

specialties.

7. Discussed family medicine/psychiatry.

PHYSICIAN ASSISTANT COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report as a motion. The Board

accepted the report as amended by unanimous vote.


Approved the applications for initial licensure with a supervising physician:

PA Supervising Physician

Bond, Allison Williams, Joel

Brendle, Seth Barbour, Scott

Brubaker, Ethan Grory, James

Callahan, Daniel Adcox, William

Davis, Virginia Horwitz, Edwin

Gossett, Holly Gott, John

Henry, Amber Usmani, Asharul

Henry, Gage Ammar, Kevin

Kolski, Trevor Sacks, Todd

O'Steen, Pamela Elliot, Sean

Reed, Sawyer Musser, Daniel

Simonson, Tara McKoy, Raymond

Spott, Rebecca Goldsmith, William

Williamson, Timothy Gupta, Divya

Approved the following applications for initial licensure without a supervising physician

PA

Chapman, Rachel

Chester, Alexis

Clayton, Alexis

Galletta, Esther

Johnson, Edward

Matthews, Stephanie

Ogilvy, Leslie

Pham, Tram

Seay, Le’Tombria

Tioaquen, Cheryl

Warren, Brittany



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Weaver, Adam

Approved application for licensure reinstatement with a supervising physician:


Rains, John Snoddy, Robert

Approved the application for licensure reinstatement without a supervising physician:

PA

Blaich, Phillip

Johnson, Malinda

Approved Add/Change Applications


Abell, Margaret Bowden, John

Adams, Danny Haddad, Ayham

Alden, Christopher Brownlee, Richard

Alishio, Shaniah Geldres, Juan

Allen, Christian Huang, Christian

Baker, Julie Milla Federico

Bempong, Kojo Bigsby, Sara

Benefield, Richard Frankel, Roger

Birth, Synquincity Woodhouse, Sheila

Borrillo, Joseph Lynn, Pa

Brown, Rishia Vangallera, Robert

Campagna, Nikki Thobhani, Salman

Carr, Victoria Daly, Charles

Cobbs, Jennifer Carter, Michael

Denham, Stephanie Sebastian, Santhra

Deveau, Maria Maya, Sakib

Drusky, Elisa Manocha, Anuj

Dubose, David Dominguez, Jose

Fels, Brendan Lorentz, Charles

Gelin, Karine Bhuta, Pinkesh

Hale, Amanda Moore, Harry

Harrelson, Amy Hiller, James

Hartsfield, Traci Lee, Richard

Herring, Teresa Swerlick, Robert

Herzberger, Joseph Olson, Douglas

Highnote, Marissa Symbas, John

Howell, Caroline Ganz, Jodi

Howell, Chelsea Reeves, James

Hunter, Laquette Ladelle, Kalvin

Jarvis, Gregory Harris, Robert

Khliher, Sarah Shah, Suresh

Klein, Sarah Cowan, Amanda



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Kumar, Namita Babcock, Melissa

Lau, Daniel King, Joshua

Legare, Angel Yagnick, Hemant

Lester, Fleet Spaulding, Susan

Li, Weiwen Azonobi, Ijeoma

Luft, Scott Sharma, Jyoti

Madden, Daryl Donadio, Richard

Martinec, Jordan Oshinowo, Abayomi

Mattis, Debra Dorato-Iqbal, Paola

Mcever, Jeffrey Gilbert, William

Mesinger, Ramona Meduri, Christopher

Mills, Mark Sherrer, Jack

Modi, Pratik Gunn, Heather

Moore, Aubrey Ramanujeyam, Pitchamathu

Morais, Jannet Brown, Russell

Owens, Michael Valdamudi, Ratna

Parmar, Pretesh Sloan, Reuben

Patel, Ashley Willingham, Elizabeth

Patel, Dhara Ross, Rhonda

Patel, Kevin Lin, Franklin

Patel, Sanjay Bigsby, Sara

Payne, James Souza, John

Pracht, John Oshinowo, Abayomi

Quinn, Laura Weisman, Jamie

Rhondes, Sarah Hoke, Wesley

Riley, Retaunda Seiter, Thomas

Robinson, Ceronnie Carter, Clinton

Rose, Eric Erceg, Stefan

Rose, Kayla Gupta, Divya

Ruszkowski, Karen Dolak, James

Ryan, Beverly Dorato-Iqbal, Paola

Saydar, Michelle Mcleod, Donald

Sharma, Amit Nathaniel, Kalvin

Sharma, Sanjiv Kuntz, Richard

Sheppard, Jessica Mally, Abhijith

Shiels, Sheri Van Riper, Daniel

Spencer, Jason Xia, Tian

Stansell, Christopher Nnodim, Ahamefula

Tenney-Thomas, Kerry Tan, Miguel

Thompson, Margaret Nahas, Juliana

Umbehant, Leah Reschly, Matthew

Walsh, Ashlie Foreman, Juron

Williams, Kelly Hawkins, Clifford

Willis, Paula Cowan, Amanda



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Approved additional Duties request.

Synquincity Birth PA with—Dr. Sheila Woodhouse

Cardiac stress testing

Paul Hughes PA with—Dr. Ajay Nooka Bone

Marrow Biopsy and Aspirate

Jennifer Cobbs PA with—Dr. Michael Carter

Lasers

Vaginal rejuvenation

Fillers

Neuromodulators

Olivia Janus PA with—Dr. Ogbonna Ogbu

Arterial Line Insertion

Central Line Insertion

Vascath Insertion

Anna McFather PA with—Dr. Cynthia Shepherd

Bone Marrow Biopsy

Marcus Parker PA with—Dr. Arthur

McCain Lumbar Puncture

Porta Cath Removal

Joint Arthrogram and Arthrocentesis

Eddie Simms PA with—Dr. William Ballard

Arterial Line Placement

Central Line Placement

Pulmonary Artery Catheter Placement

Kelly Williams PA with—Dr. Chad Kuhlman

Myelogram

Paracentesis

Thoracentesis

Port

Placement

Lumbar

Puncture

Picc Line Placement

Central Line Placement

Tunneled Vascular



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Access

Lacey Wood PA with—Dr. John Barton

Myelogram

Lumbar Puncture

Other Business

1. T.S. – Tabled for additional information.

2. Texas A&M University College of Medicine Rural and Community Health Institute:

Offers assessments and evaluations of Physician Assistants to determine the

practitioner’s ability to safely practice medicine. Tabled.

COSMETIC LASER COMMITTEE

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

unanimously.

The Board took the following actions.

Approved applications for Assistant Laser Practitioner licensure

Ashley Beach

Chrissy Brooks

Karen Godwin

Lubna Hussain

Tamera Partiss

Darcy Pucciarello

Anna Reach

Adriana Santiago

Xiaoyan Sun

Tambra Watkins

Approved application for Reissue of Senior Laser Practitioner with conditions:

Emily Condle

Approved application for Senior Laser Practitioner:

Molly Couey

RESPIRATORY CARE COMMITTEE Dr. Collins presented the Respiratory Care Committee report as a motion. The Board accepted

the report by unanimous vote.

The Board took the following actions

Approved Reinstatement request:



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Waugh, Shane

Fregeau, Anne

Approved Applications:

McKinney, Jennifer, pending additional information

Mills, Bonita

Verdeflor, Northeryn

Thompson, Hermondoz, pending additional information

Gough,Weatherford, Jacob

Albritton, Emmalee, pending additional information

Mangan, Rhianon

Lord, Shannon

Vaughn, Taylor

Outing, Adonis

Butter, Amanda, pending additional information

Sharpe, Elexis

Forster, Phillip

Grissom, Bryanna

Smith, Anna, pending additional information

Tootle, Ashley

Pace, Shinice

Monsegue, Brandie-Anne

Dunn, Bruna - pending additional information

Young, Jennifer

Boone, Melissa, pending additional information

Glisson, Matthew, pending additional information

Green, Corine

Green, Octavia, pending additional information

Youngblood, Macy

Deen, Madiya , pending additional information

Shekur, Zewdie, pending additional information

Shih, Chi Hsiang

Smith, Rachel

Tran, Van

Askew, Jasmine

Barrett, Skky

Scruggs, April

Trotter, Alexandra

Beall, Christa

Davis, Carmen

Barnett, Charles

Lovelace, Jasmaine

Langford, Julie

Jones, Kathryn

Cheatwood, Maegan

Ballard, Kyleigh



23

Dutton, Patrick

Cooper, Destiny

Andujar, Kristian

Baker, Mark

Watkins, Mactrice

Mabry, Andrea’

Palmer, Chavise

Hale, Meagan

Elliot, Kaithlyn

Crum, Wigha

Corcoran, Raquelle

Blake, Le’ron

Bell, Adelyn

Talley, Amanda

Paulino, Samantha

Kratina, Taylor

Fallin, Quanisha

Jacheo, Dina

Williams, Zoe

Martinez, Jessica, pending additional information

Meadows, Raela, pending additional information

Weaver, Chaston, pending additional information

Chambeilain, Kristen, pending additional information

Troche, Rebekah

Valenzuela, Tatyana, pending additional information

Warsama, Ayan, pending additional information

Wilkes, Amanda

Acevedo, Adrianna, pending additional information

Bermudez, Sara

Bhakta, Bindi

Black, Maya, pending additional information

Davila, Jessica

Dennis, Brittney, pending additional information

Browne, Lashonte, pending additional information

Diaz-Guerrero, Isabel

Do, Marie

Edge, Caroline

Harris, Rachel, pending additional information

Heard, Justin

Isagas, Salina

Jenei, Meghan

Jimenez, Jacqueline, pending additional information

Jones, Brandi

Jones, Dana

Jenkins, Kaylee, pending additional information

Jones, Chelsea, pending additional information



24

Kebede, Melat

Laidford, Courtney, pending additional information

Martin, Shikari

Mathis, Samuel

Mitchell, Patrick

Miller, Shanique

Olgetree, Chelsea

Palacios, Elder

Patel, Krishna, pending additional information

Pham, Daniel

Schoening, Helen

Approved Administrative upgrades:

Bedwell, Hanna

Bilbrey, Carson

Bishop, Ryan

Blackwell, Brooke

Boatwright, Linsey

Boone, Dejah

Brown Jessica

Brown, Jackie

Bryant Christine

Burton, Lynda

Cleveland, Tyler

Cook, Emily

Ely, Katelyn

Ford, Donna

Fuller, Tamara

Hollifield, Marlena

Hilton, Tyler

Hoang, Dieu

Jarrord, Chelsea

Kim, Kim Sey Evn

Milam, Mary-Ann

Nguyen, Ly-Huong

Nwokike, McDonnell

Selamu, Redwan

Schinnery, Tiara

Silva, Lagera

Smith, Samantha

Swearing, Ramona

Tatti, Nicole

Trapkin, Lily

Truong, Kimberly

Uribe, Sandra

Vasquez, Katherine



25

Webb, Johntez

Welch, LaShonda

Williams, Lindsey

Wright, Elizabeth

PERFUSION COMMITTEE

Dr. Retterbush presented the Perfusion Committee report. The Board accepted the report by

unanimous vote.


Approved applications for initial perfusion licensure:

Marc Adler

Timothy Gannon

ACUPUNCTURIST COMMITTEE

Mr. Law presented the Acupuncturist Committee report to the Board as a motion. The Board

accepted the report by unanimous vote.


Accepted the following quarterly reports:

1. Hyosun Choi

2. Tram-Huong Gebreyesus –Incomplete may resubmit request with the next quarterly

report

Other Business:

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

2. The Board approved the request from Sook An-Kil for the NCCAOM CEU

packages, stating either CEU package would be acceptable.

Board gave will respond to the Arizona Acupuncture Board stating that Georgia law

does not have a specific definition of a chemical dependency program.

WELLNESS COMMITTEE

Dr. Collins presented the Wellness Committee report. The Board accepted the report by

unanimous:

The Board took the following actions.

Non-Interview Matters:

1. 20171205 - Review OMPE results. Refer to GA PHP



26

2. 20180253 – Review OMPE results.

3. Goldberg, David A. – Public Consent Order with indefinite suspension.

PHP report – Paul Earley, M.D. (in-person) and Robin McCown (in-person)

INVESTIGATIVE INTERVIEW REPORT

Dr. Weil, M.D, presented the Investigative Interview report as a motion, Mr. Fowler seconded

the motion; The Board accepted the report by unanimous vote. The Board took the following

actions.

20182027 Letter of Concern 20180856 Letter of Concern

20180942 Close 20190390 Close

20190916 Forward to Investigations

INVESTIGATIVE COMMITTEE

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

by Dr. Robinson. The Board accepted the report by unanimous vote. The Board took the

following actions.

Close:

20171353 20171394 20171556 20171781 20180695 20180744

20180759 20181560 20181576 20181673 20181746 20181835

20182032 20182033 20190073 20190216 20190272 20190373

20190441 20190509 20190510 20190519 20190595 20190633

20190674 20190736 20190754 20190781 20190815 20190870

20190896 20190897 20190919 20191617 20191621 20191634

20191640 20191685 20191706 20191710 20191720 20191733

20191734 20191735 20191736 20191745 20191758 20191759

20191769 20191774 20191775 20191781 20191783 20191785

20191797 20191799 20191800 20191801 20191802 20191803

20191804 20191811 20191822 20191842 20191843 20191858

20191862 20191863 20191865 20191881 20191887 20191889

20191891 20191924 20191925 20191929 20191937 20191953

20192001 20192013 20192019 20192046 20192051 20192080

20192086 20192101 20192104 20192176 20192205 20192218

20192223 20192225 20192269 20192271 20192284

Close with Letter of Concern:

20181978 20191626 20191907 20191910 20191747

Invite for Investigative Interview:



27

20150910 20180666 20182258 20190301 20190858 20191624

20191773 20191909

Further Investigation:

20191718 20192054

Table

20190789 20191888 20192248

Attorney General’s Office

20150349 20160488 20191972 20192027 20121324 20140319

20150747 20172008 20172014 20180502 20192267

Peer Review

20190559 20190656 20191724

OMPE

20190570 20191968 20192198 20181187 20182263

INITIAL COMPLAINT EVALUATIONS

The Board approved the following recommendations.

20192281 20192282 20192287 20192293 20192295 20192296

20192297 20192309 20192313 20192316 20192320 20192336

RECUSALS

DeLoach 20180942 20091924 20171394 20191747 20181746

20190674 20191621 20191865 20192295

Mohan 20192104

Retterbush 20180942

Simmons 20192013

There being no other business, Dr. DeLoach submitted a motion, seconded by Dr. Robinson to

adjourn the meeting. The motion carried unanimously. Dr. Marshall adjourned the May 2-3,,

2019 meeting at 8:15 a.m.



28

__________________________________ _____________________________________

J. Jeffery Marshall, MD LaSharn Hughes, MBA

Chairperson Executive Director


Minutes of the May 2-3, 2019 Meeting

29

Documents

Georgia Composite Medical Board Minutes of the May 2-3