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Georgia Composite Medical Board

Minutes of the January 10, 2019 Meeting

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The Georgia Composite Medical Board (GCMB) held its regular meeting on January 10, 2019 at

2 Peachtree 5th floor, Atlanta, Georgia, 30303 to consider Medical Board matters.

Board members present:

J. Jeffrey Marshall, MD, Chair

John S. Antalis, MD

Keisha Callins, MD, MPH

Gretchen Collins, MD

Charmian Faucher, PA (ex-officio)

Michael Fowler

Alexander S. Gross, M

Thomas Harbin, MD

Rob Law, CFA

B. K. Mohan, MD

David Retterbush, MD

Joe Sam Robinson, MD

Barby Simmons, DO

Richard Weil, MD

Board members absent:

Daniel DeLoach, MD

Andrew Riesman, MD

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Lisa Norris, MPH, Deputy Executive Director

Phyllis Douglas, JD, Board Attorney

Max Changus, JD, Senior Assistant Attorney General

Wylencia Hood Monroe, JD,

Senior Assistant Attorney General

Karl Reimers, Director of Investigation

Phyllis White, Operations Manager

LaTisha Bias, Enforcement Lead

CALL TO ORDER

Dr. Marshall called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.

AGENDA AND MINUTES

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

January, 10, 2019 meeting. The motion carried unanimously.

Dr. Weil made a motion to approve the minutes of the December 6, 2018. Dr. Collins seconded

the motion and it carried unanimously.

OATH OF OFFICE

Dr. Marshall introduced Mr. Michael Fowler, SR, CFSP, new consumer member to the Board.

Mr. Fowler gave a brief history of his background and experience.

Dr. Marshall swore in Mr. Fowler, and the Board Members welcome him to the Medical Board.



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ELECTION OF VICE CHAIR

Dr. Gross motioned to elect Dr. BK Mohan to the position of Vice Chair. Dr. Robinson seconded

the motion and it carried unanimously.

Dr. Retterbush motioned to recognition of Ronnie Wallace and thank him for his contribution to

the Medical Board. Dr. Antalis seconded the motion and it carried unanimously.

EXECUTIVE DIRECTOR’S REPORT

Ms. Hughes, Executive Director presented the report.

1. Introduced Lisa Norris. Deputy Executive Director, and Dr. Shuman. Assistant Medical

Director to the to Board.

2. PDMP Advisory Committee meeting will be held on January 17, 2019. For information,

only.

3. Federation of State Medical Boards Annual meeting in Ft. Worth TX. April 26 thru April

28. Mr. Law is registered under consumer member scholarship. For information only.

4. Physician Health News – Federation of State Physician Health Programs.

5. Reviewed a copy of the Newsletter and the Annual Report. Ms. Hughes thanked Harini

Indrakrijhnan, Intern for her work creating the newsletter and the annual report for the

Board.

Dr. Retterbush suggested to send the newsletter by mail if possible.

6. Questions from Paul Clarke for MedSpa for Botox and dermal-filler type injection.

Board approved for Dr. Gross to respond.

7. Article: “Carr Announces Lawsuit Against Opioid Manufactures and Distributors.” For

information, only.

8. Article: “Calif. Medical Board Begins Tracking Docs’ FDA Warning Letters.” For

information, only.

9. Reviewed email from the Education Commission for Foreign Medical Graduates.

Concerning Medical School Accreditation Requirement starting in 2023. Dr. Antalis will

report from the subcommittee at the next Board meeting.

10. An email from Karen Beard requesting information for regulations that cover physicians

providing diagnostic and preventive services in a mobile unit. Board responded; no

special requirements.

11. A letter from the Medical Association of Georgia regarding requirements for a retiring

physician to maintain medical records for the statutory 10-year retention period. Referred

to the Rules Committee to review.

RULES HEARING

Dr. Gross convened the Public Hearing concerning the following proposed Rules amendments:

(Rule 360-5-.05(5) “Limitations on Physician Assistant Practice.” Dr. Gross asked if anyone

was present to address the Board on the posted Rule with amendments. The Board received two

comments regarding this proposed amendment Board responded the comments do not refer to

the rule only for children in school system. Bethany Sherrer, Government Relations Medical

https://medicalboard.georgia.gov/sites/medicalboard.georgia.gov/files/Notice%20of%20Intent%20360-3-.02%285%29%20Unprofessional%20Conduct%20Defined.pdf



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Association of Georgia. (MAG) was present to make comments concerning MAG’s position on

the Rule amendment.

Dr. Weil responded to Ms. Sherrer’s concerns. The concerns do not have anything to do with the

proposed Rule. The Board will send the comments to the Rules Committee for their review.

Dr. Gross made a motion to approve Rule 360-5-.05(5) “Limitations on Physician Assistant

Practice.” That the Board find the formulation and adoption of these rules do not impose

excessive regulatory cost on any licensee and any cost to comply with the rule cannot be reduced

by a less expensive alternative that fully accomplishes the objectives of the applicable laws; that

the Board finds that it is not legal or feasible to meet the objectives of the applicable laws to

adopt or implement differing actions for businesses as listed in O.C.G.A. 50-13-4(A)

(3)(A),(B),(C), and (D).

Dr. Weil seconded the motion and it carried unanimously.

Dr. Gross convened the Public Hearing concerning the following proposed Rules amendments:

Rule 360-3-.02(5) Unprofessional Conduct Defined. Dr. Gross asked if anyone was present to

address the Board on the posted Rule with amendments. Denise Workman, DO, was present to

voice concerns regarding proposed Rule 360-3-.02(5) “Unprofessional Conduct Defined.”

Dr. Weil responded to the concerns addressed do not have anything to do with the proposed

Rule. The Board will send her concerns to the Rules Committee for their review.

Dr. Gross made a motion to approve Rule 360-3-.02(5) Unprofessional Conduct Defined. That the

Board find the formulation and adoption of these rules do not impose excessive regulatory cost

on any licensee and any cost to comply with the rule cannot be reduced by a less expensive

alternative that fully accomplishes the objectives of the applicable laws; that the Board finds that

it is not legal or feasible to meet the objectives of the applicable laws to adopt or implement

differing actions for businesses as listed in O.C.G.A. 50-13-4(A) (3)(A),(B),(C), and (D).

Dr. Weil seconded the motion and it carried unanimously.

EXECUTIVE DIRECTORS REPORT CONTINUED

12. E.R. Table.

13. Brent Hall, MD requested information concerning: is a medical license required to

eviscerate a body for pathologic examination? Board response; Yes, it has to be a

licensed physician.

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

unanimously.






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Senior Assistant Attorney General D. Williams-McNeely presented an Orientation for the Board

members.

RECESS

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

RECONVENE

Dr. Marshall reconvened the meeting at 2:00 p.m.

Dr. Simmons motioned to go into closed session. Dr. Collins seconded the motion and it carried

unanimously.

Dr. Marshall declared open session.

APPEARANCE BEFORE THE BOARD

Somnath Roy, MD, requested an appearance before the Board. Dr. Roy made a statement

concerning losing his license in Ohio. The Board members asked questions. Dr. Roy made

statements regarding his plans for employment. Dr. Marshall asked for clarification of Dr. Roy’s

Statement.

APPEARANCE BEFORE THE BOARD

Umesh Singla, MD requested an appearance before the Board. Dr. Singla made comments

concerning his application for licensure. The Board members asked questions. Dr. Singla made

oral arguments concerning his request for licensure. The Board members asked questions

concerning his future employment plans.

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

unanimously.

Dr. Marshall declared open session.

Dr. Retterbush motioned to deny Somnath Roy, MD request for licensure. He may reapply for

licensure when he gets Ohio cleared up. Dr. Weil seconded the motion and it carried

unanimously.

Dr. Antalis motioned to deny Dr. Umesh Singla’s application for licensure. Dr. Retterbush

seconded the motion and it carried unanimously.

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:



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Petition to Waive Rules

Cadot, Hadley: Rule 360-2-.02(6) Approved.

Approved reinstatement applications:

Thiagarajan, Ramcharan Reinstate without restriction

Ramsay Thomas, Charmaine Reinstate without restriction

Questions/Requests

1. Dr. George T. Frederick

Kowalski, Theresa MD

Board upheld Decision to deny Residency Training

License.

2. Jay Park, MD Approve request for application pursuant to O.C.G.A.

§43-1-2(k)

3. Applicant Questionnaire Question #10: add to question “…been released or

terminated….”

Other Business:

1. TK – Board upheld original decision to deny.

2. Jay Park, MD – Approved request for application pursuant to O.C.G.A §43-1-2(k)

3. Regarding Applicant Questionnaire – Question #10; add to question “Been released or

terminated.”

4. SB - Allow to Withdraw and reapply when VA investigation concluded.

5. SW - Clinical Skills Examination.

6. DB – Clinical Skills Examination or allow to withdraw.

7. TH – Clinical Skills Examination or allow to withdraw.

8. JB – Clinical Skills Examination or allow to withdraw.

9. TD – Deny or allow to withdraw.

10. AC – Deny reinstatement request.

11. CH – Invite for interview.

12. KD – Invite for interview.

13. OA – Invite for interview.

14. CH – Invite for interview.

15. JB – Refer to Wellness Committee.

16. FE – Request for application extension denied.

17. ED – Table

18. NP – Table

Information only:

1. SV – Withdrew application.

2. WW – Withdrew application.

3. DD – Withdrew application.



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Approved Reinstatement Applications:

45321 RAMSAY, THOMAS CHARMAINE MD

49866 THIAGARAJAN, RAMCHARAN MD

82014 BURESH, CARY MD

82015 AUERBACH, JULIA WHITFIELD MD

82016 DELONE, NOAH MD

82017 MILES, ETHAN ANDREW MD

82018 SY, JONATHAN ALBANZA MD

82019 ROKADIA, HAALA MD

82020 QUARSHIE, EUGENE MD

82021 MORRISON, JIMMY JOE MD

82022 MOGIL, IRENE DO

82023 CURRAN, MICHAEL MANNING MD

82024 CHANDRASHEKAR, LINGAIAH MD

82025 CHEN, JONATHAN MD

82026 COX, NATRAVIS RAMON MD

82027 CALE, MO DO

82028 HAYDEK, JOHN PAUL MD

82029 OGWO, CHERECHI CILLA MD

82030 KRUMMEY, SCOTT MICHAEL MD

82031 NOYES, DIANE KAY MD

82032 NIKOLOV, BORISLAV MOMCHILOV MD

82033 POLSKY, MARK DAVID DO

82034 FASHOLA, YOMI MD

82035 FIEDLER, FARANAK SARAJZADEH DR MD

82036 PILGRIM, ASHLEY JOEL MD

82037 PINNER, JOSHUA DAVID MD

82038 MCLAUGHLIN, JESSICA MD

82039 OGUNJIMI, ESTHER OLUWAKEMI MD

82040 FIELDS, AKIYOMI MD

82041 ELIAS-AUSI, SAMUEL MD

82042 PEREYRA, CHARLES MD

82043 PATEL, JAYKUMAR GIRISHBAI MD

82044 MARK, APARNA MD

82045 LESTER, DAVIS PAGE MD

82046 FAMORI, BENEDICT GBOLABO MD

82047 MOHIUDDIN, HASAN MD

82048 LINDENBAUM, YELENA MD

82049 BIT-IVAN, ESTHER NONI DO

82050 BLOUNT, SUMMER EDAINAH MD

82051 DIDARIO, MARIE ELIZABETH DO

82052 CHANDRA, LAKSHYA MD

82053 HOLT, MAYYADA FAIZAH MD

82054 SHARMA, MANISHA ARJUNA MD



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82055 WEISS, DAVID MD

82056 SOLOMON, ZACHARY FORREST MD

82057 SMITH, MONIQUE ANTOINETTE MD

82058 RATLIFF, DAVID CHRISTOPHER MD

82059 POLEY, PREETI REBECCA MD

82060 ALLEN, ELSIE MARIE MD

82061 BENYEHUDA, JOHANE MD

82062 BOITEAU, GUILLAUME MD

82063 BURACK, STEVEN ADAM DO

82064 CAMPBELL, CHARLES LARRY MD

82065 COOPER, RYAN J MD

82066 DRWIEGA, JOSEPH CASIMIR MD

82067 ROLLE, NOELLE ALICIA MD

82068 REETHS, THOMAS DO

82069 FRY, MICHAEL F MD

82070 EISENSTAT, SAUL MD

82071 PARK, CATHERINE MD

82072 HARUN, AISHA MD

82073 MONTASER, ANOOSH MD

82074 MORNINGSTAR, AJA MD

82075 NAMDE, MADJIMBAYE CHARLES MD

82076 PATTERSON, ANDREW JAY MD

82077 MENDOZA, PIA MAGDALENA RAMO MD

82078 JENSEN, JERRI LYNNE MD

82079 NGUYEN, NHI-KIEU DO

82080 MALHOTRA, REENU K MD

82081 LIVINGSTONE, IAN RAYMOND MD

82084 JAMES MILTON REYNOLDS MD

82082 PETTYJOHN, SARAH DENISE MD

82084 THAKUR, ANAYET MD

82085 ROSARIO, LUIS ROBERTO MD

82086 WILLIS, CHARLES MD

82087 TUCKER, STEVEN GEORGE DO

82088 SUMPTER, JA'PEL MD

82089 WAINRIGHT, WILLIAM BRADLEY MD

82090 SELLMAN, RICHARD LAWRENCE MD

82091 VAN DECAR, JAMES MD

82092 YE, CHENGCHENG MD

82093 REEVES, ALEXANDER GARDEN MD

82094 RISTER, NICHOLAS SCOTT MD

82095 VERMA, RUBY MD

82096 ALEXANDER-MARTIN, ANGELICE MD

82097 ANDERSON, CAITLIN MD

82098 ALONSO-JECKELL, YAIMA MD

82099 BRANDT, EMILY MD



8

82100 COHEN, BRIAN MICHAEL MD

82101 MALHOTRA, SHEETAL MD

82102 KANAGALA, VAMSI MD

82103 NATHAN, JONATHAN MD

82104 HILL, JANUARY AISHA MD

82105 KATLER, QUINTON MD

82106 JACKSON, ANNA LOYAL MD

82107 ERNOEHAZY, WILLIAM STEPHEN MD

82108 JEFFERIS, LAUREN R MD

82109 GAUNDER, CHRISTOPHER LEPAGE MD

82110 HAMMEL, JOSH MD

82111 FACEY, DALKEITH GEORGE DO

82112 DUARTE, ANGELICA PAOLA MD

82113 PAYNE, JANORA MD

82114 HENDRIX, HARLEY MD

82115 OKANLAWON, OLUTOYIN JAMES MD

82116 STEVENS, RAYMONDA MD

82117 SUZUKI, MARK MASARU MD

82118 RUNNING, KATI ELISE E MD

82119 SCHURING, CRAIG ANTHONY MD

82120 STRICSEK, GEOFFREY PAUL MD

82121 GREEN, ROBERT LORENZA JR MD

82122 BRUK, NATALY MD

82123 BURNELL, ELIZABETH ELLEN MD

82124 CHAN, PENNAPA S MD

82125 CAMILLE, MARTINE LORY MD

82126 AHMED, MUHAMMAD KHALEEQ MD

82127 MACEDO, FRANCISCO YURI MD

82128 CHAD J HAYES MD

82129 MEHTA, SANJAY SUREN MD

82130 RAFAELIAN, OLGA ALEXANDROVNA MD

82131 SMITH, CHRISTOPHER D MD

82132 THAKKAR, NEHAL P MD

82133 ZUBKOV, ALEXANDER MD

82134 WILLIAMS, MONICA JOYCEROSS MD

82135 RICHESIN, RENEE MD

82136 BRADEN, BEAU RUSSELL DO

82137 CHUKWUEKE, PRISCILLA NGOZI MD

82138 DOBSON, JOSEPH V MD

82139 DREW, JACK MICHAEL MD

82140 BARRETT, A M MD

82141 CHENNAREDDY, SANTHI PRIYA MD

82142 HORKAN, DAVIS MD

82143 KARLICEK, MARTIN MD

82144 MOIDEEN, AHAMED SHEIKH MD



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82145 FREEMAN, ASHLEY DODD MD

82146 OLAGUNJU, TOLANI MD

82147 LU, MARVIN LOUIS ROY YAP MD

82148 EDALAT, FARAMARZ MD

82149 HUILGOL, VIVEK MD

82150 FRIESEN, KERRY D MD

82151 ARTHUR MORRIS FREEDMAN MD

82152 MYDLARZ, DARIUSZ MD

82153 COLLINS, DAVID EDWARD MD

82154 WAXLER, JENNIFER LYNN DO

82155 VANTE, IVANKA MARIE KRYSTINA MD

82156 PHILLIP, NIMEKA NITRICE DUPREE 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. Form C – Brunson, Robert - Approved

2. Form C – Dailey, Jennifer – Need additional documentation

3. Form C – Denise Harris – Need additional documentation.

4. Form C – Jarret, Jared –No Form C needed

5. Form C – Reddy, Praveen - Approved

6. Revisit – Causby, Faith – resubmitted agreement pages 2-6 – Dr. Gross will review.

7. Doctor Gross and Rhonda Ligon suggested additional information should be

submitted along with the protocol application package such CV and critical

workforce gasp for Psychiatry specialty. – No Not Required

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

APRN DELEGATING PHYSICIAN

Brock, Virginia Guy, Jonathan

Coulombe, Serena McFarland, Kathryn

Davis, Jamil Greenwald, Corey

Nuega, Mary Deepti Munjal

Sostre, Angel John Hoyt

St. Clair, Homecia Lynette Steward

Todd, William Klepper, Garcia

Tyrer, Larry Gretchen, Anderson

VanBuren, Chrisy Justin Chen

Wheelus, Shane Gustavo Pradilla

Willis, Ashley Jennie Scoggins



10

Determined the following protocol agreements meet the provisions of O.C.G.A. 43-34-25 with

changes.

APRN DELEGATING PHYSICIAN

Brown-Davis, Janett Drury, James

Childress-Rodriguez, Robins Diblasi, John

Duncan, Laura Greenwald, Corey

Hodo, Michael Buchanan-Enter, Alison

Lee, Jamie Munjal Shroff

McNair, Deborah Sarita Prasad

Omorogbe, Franklin Delquis Mendoza

PrudHomme, Anslie Carroll Odem

Thome, Julia Pace Leslye

Determined the following protocol agreements do not meet the provisions of O.C.G.A. 43-34-25.

APRN DELEGATING PHYSICIAN Hammack, Rebecca Hudson, Linda

Peprah, Mavis Jaanthi Srinivasiah

Protocols Administratively Reviewed:

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

APRN Last APRN First Middle SupervisingPhysicianName

Abt Ashley Shehzad Muhamed

Adams Shniqual Kendy Verpile

Aderholt Bradee B Dimpu Patel

Alday Vicky Ahmed Elsharkawi

Allen Terrie Lenora Allen

Allman Michael Alan Craig Denlinger

Amster Lori Christina Wu

Andrade Jayne Kristin Dickson

Andrade Jayne Tascarella W. David

Andrews Leanna Van Millin

Ard Stephanie Michael Satchell

Awuah Diana Maame Ijeoma C. Azonobi

Bagley Jordan Christopher L. Robinson

Bailey Dominique Leon Hari G. Mabichetty

Bailey Kimberly L Bryan Cheever

Bain Judy B Chris Edens

Barbee Carol Ann Gifford Lorenz

Barnes Sandguan George Aristide

Barrett Karen Sinah Haddad



11


Ben Amina Jacquelina Owusu

Bishop Candace Donna VanSchuyver

Blackmon Ashley Margaret Roth Arun Krishnamoorthy

Blanks Evelinn Debra Johnson-Jordan

Bonner Natalie Tricia Moss

Botero John Morgan Wood

Bremner John Munjal Shroff

Brewster Glenna Theodore Johnson

Bright April Anita Arthur Yancey

Brock Virginia Jonathan Guy

Bruce Myra Tam Nguyen

Bruce Myra Tam Nguyen

Bryant Jennifer Nichole Stephen Skidmore

Buchanan Stacy Maria Rosso

Burgess-Graham Levada Chante Tangela Atkinson

Burts Ciera J Douglas Laipple

Call Blynnsa C Arun Krishnamoorthy

Caristi Laura Melissa Magill

Carter Brittany David Nussbaum

Causbey Faith E Elroy Dixon,MD

Cedermark Ryan Daniel Vinaya K. Puppala

Chambers Donna Marie Lee D Jacobs

Chambless Anna Jason Nesmith

Childress-Rodriguez Robin John DiBlasi

Clark Catherine Lynn Ezaldeen A. Numur

Clark Taylor Robert Gross

Cleghorne Amanda Jason Holbrook

Colson Sarah Renee Jianfeng Wang

Conner Danielle Sheila Best

Cooper Teresa Reuben Roberts, Jr.

Coulombe Serena M Kathryn McFarland

Crabb Gabrel Matthew Michael Hamm

Cronia Cara Toby Bond

Crutchfield Brooke Yaman Eksioglu

Dadd Haley Patton James Hamilton

Davis Cleste M Michael Young



12


Davis Jamil Corey Greenwald

Davis Jamil E Darrell Murray

Davis Jamil E Kambiz Aflatoon

DiGerolamo-Thaller Nicolle Maria Timothy R. Thaller

Duncan James Reneka Dobbs-Jackson

Elhalaby Salim Diahann Moore

Ellis Sarah David Nussbaum

Faine Kristin Lee Erik Bendiks

Fant Janette Ellen Richard L. Sturm

Fenceroy Megan L. Eyal Meiri

Flores Teresa De Jesus Deborah Rodriguez

Floyd Natalie Frances Navin Taneja

Freeman Christi Renee George E. Aristide

Frolo Hayden Brandon Roberts

Gaillard Denotra Audrey W Brown

Gardner Amie Adam Lewis

Gay Carla Vishal Agrawal

Georges Frantz Douglas Laipple

Goad Jordan Diahann Moore

Gore Deena Edan Shapiro

Hall Catherine D David P. Samuels

Hall Tyechia Fawzi Himaoa

Halter Christina Victoria Green

Hamsley Linda Peterson Spencer T. Price

Harden Patricia Faye Dingler Karen Hacker

Harpe Karisa T Thomas Milam

Harris Kimberly Nancy Doelling

Harris Sarah Gary Smith

Hartman Lisa Lou Alan Einstein

Heard Felicia L. Albert D. Copeland

Henley Deidra Diane Kathryn A Knodel

Higdon Stephanie Marla Neil Sinha

Hinton Cindy Arun Krishnamoorthy

Hodo Michael Paul Humberto

Hogg Katlyn Tylor Charles B. Shiver

Holland Wendy Jean Robert J. Burton



13


Holloway Alisha Davis Dixie Griffin

Hurlock Nancy Sherma Peter

Hurt Kari Roshan Shrestha

Hutcheson Ladonna Joseph Foust

James Ebony Simeon Kwan

Jankiewicz Kathron Steven Figiel

Jenkins-Jacobs Angela Jeffrey Metts

Johnson Tamicky Anne M. McKenzie-Brown

Jones Juanita Latasha Burgess

Katongole Carolyne Karen Hacker

Key Pam Alania Kent

Kobia Sonya Hart Crystal A Young-Wilson

Krummel Nicole Stephen Fleming

LaCroix Charleane Scott Reynolds

Ladewig Michelle Ronald Beebe

Lam Jade Megan Bowles

Lambert Abbey Jessica Stepp

Lavender Anna Robert Bowman

LeBlanc-Riley Marie Alfred Rathinam

Lokey Christine Alexis Gage

Long Allison George Aragon

Lord Resa Dana Cason

Lovett Darnae Christopher Mathews

Lumpkin Ashley Thomas Garcia

Lynch Gail Kandra Watson

Madlock Danielle Lawrence Powell

Maraman Sharon Darrell Murray

Marquez Orlin Sarita Prasad

Martin Sandra Madeline Santos Vega

Mason Emily Jose Garza

Masters Vivian Margaret Keeling

McConnell Kimberly Mohan Papudesu

McDaniel Erica Ricardo Duran

McDowell Melissa Adebonale Akintayo

McDowell Melissa Sofia Zaman

McLear Barbara Bill Smith



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McMAnis Heather Alford Brady

McNair Deborah Sarita Prasad

McNeese Haley Manish Aggarwal

Mercer Paige David Nussbaum

Merriam Natasha Matthew Agan

Miller Tanya Shad Storment

Molet Tamiko Jonathan Wade

Moore Elizabeth Mukta Chandora

Morris Octavia Uiwal Siddamreddy

Morris-White Ellen Bender Jonathan

Mosley Vashawn Michael Clifford

Naude Hannah Afolorin Banjoko

Nesmith Candace Premila Malhotra

Nessing Cynthia John Rogers

Nicolas Dar-Pucelle Robert Mitchell

Nuega Mary Grace Deepti Munjal

O' Rourke Caroline Barunashish Brahma

Ofoha Laura Kenneth Ofoha

Ogbonna Francisca Lawrence Reccoppa

Okpara Nneka Thuy Doan

Otaluka Nenna Willie Tapp

Palmer Corinne Kristin Dickson

Parks Eric Viorica Pencea

Patel Ektaa David Montgomery

Penix Angela John Rogers

Peprah Mavis Jayanthi Srinivasiah

Philip Sophia Yashaswini Parikh

Phillips China Jacqueline Owusu

Pickens Herretta Abdul Odemuyiwa

Plaxico Elisha Andre Johnson

Pollard-Manigault Denise Anna Tanner

Porter Julie Margaret Keeling

Powell Zacharey Linda Jones

Presley Allison Rebecca Staub

Purdy Ellie Mark Elam

Rasmussen Kim Edwin Hiatt



15


Reeder Melissa Latoya Etheridge

Resilard Joanne Simeon Kwan

Riley Amanda Thomas Williamson

Rivera Mildred Barbara Jones

Robbins Jimmy Aarthi Sridhar

Roberson Nicole Mary Mckinley

Rose Karen Nasir Asghar

Ross Susan Simeon Kwan

Rouse William Jules Nehmetallah

Russell Marenda Himanshu Patel

Sakor Uvienome Ruth Mays Evans

Sears Krystal Damien Hansra

Shadwick Natally DeAnn Bing

Shafer Amanda Pamela Weigandt

Sheth Punam Jack Eades

Shinall Eliza Jay Goldstein

Simmonds Ann Paul Bernard

Slatton Kimberly Ramesh Reddy

Smith Erin Victoria Green

Smith Lynne Clarence Hunter

Solen James Peter Wrobel

Solomon Christopher Manishkumar R Joshi

Sostre Angel John Hoyt

St. Clair Homecia Lynette Stewart

Stapleton Haley Lindsay Fowler

Story Matthew Joe Huong

Streeter Mary Lurriane Harris-Davis

Strother Jennifer Prashant Kaul

Stubbs Allison Abena Koram

Suddarth Caitlin Kristopher Palmer

Summer Georgianne Nadia Cameron

Taylor Alice Susan Brickle

Teter Clara Dennis Fields

Thomas Ashli Barry Tarpley

Thomas Melissa David Nussbaum

Thomas-Cloud Rosemary Atul Trivedi



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Thompson Darrell Janis Coffin

Tierney Chasity Kevin Trapnell

Tingle Sara Garth Russo

Todd William Klepper Garcia

Toth David Jason Smith

Tyrer Larry Gretchen Anderson

Tyson Yvonne Christopher Mathews

Udeze Igwebuike Rodrick Lawton

Udojji Sameia Adefisa Oduwole

Ussery Rachel Mahdi Taha

VanBuren Christy Justin Chen

Ward Tekeia Jacqueline Harris

Watts Teresa Kelli Carter

Webb Aaron Kenneth Eugene

Weldon Kathleen Davis Jefferson Baer

Wells Jamie Jason Stillwagan

West Jessica Robert Kaufmann

Wheelus Shane Gustavo Pradilla

Whelan Kholi Benajamin Hess

Wilkey Sheila Terry Hansen

Williams Marilyn Dillon Miller

Williams Tamika Amy Gonzalez

Willis Ashley Jennie Scoggins

Wooley Angela Stephen Pohl

Wright Michelle David Nussbaum

Youngblood Julie Moneer Sohail

Youngstrom Carol Jeff Jenkins

Zoe Huijun Grace Chai

Revisits

1. – Discussion regarding pediatric certification when the Delegating Physician is

Internal/Family Medicine Physician. Internal Medicine doctor needs to have a duel license

as family medicine. NP should be working within scope of practice.

2. – Dr. Kitchens letter from last month – LaSharn will send letter to Dr. Kitchens letting him

know that the Board does not have any protocol agreements on file between him and any

NP’s working at Optimum.



17

3. – from Taylor Surin – PNP Restriction – Restricted to age 21 and under, need to add an

acute care certification to license. Contact the Georgia Board of Nursing for additional

training.

PHYSICIAN ASSISTANT COMMITTEE

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

the report as amended by unanimous vote.


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

PA Supervising Physician

Ballou, Dalice Quigley, Debora

Evans, Abbey Wan, Michelle

Fritz, Renee Hunter, Timothy

Holt, Matthew Lee, Susan

Johnston, Todd Hutchinson, Hank

Modi, Shruhi Guy-Craft, Wanda

Preteroti, Amanda Jackson, Charles

Royer, Bridget Pattaras, John

Stabaeus, Keiko Mohammed, Azeem

Watts, Leah Nadig, Shrinath

Approved the applications for initial licensure without a supervising physician:

PA

Amos, Clifton

Balkcom, Sarah

Curioz, Brandi

Harris, Caroline

Holloway, Michael

Jones, Alexa

Kaliher, Sarah

Li, Weiwen

Miranda-Rosales, Yaoska

Plouzek, Megan

Schneider, Carly

Wycoki, Michael

Approved application for reinstatement with a supervising physician:


King, Ashley Rogers, Ethan



18

Approved the following Additional Duties:


Aimee Abide PA-C with—Dr. Joel Zivot

Pulmonary Artery Catheters Chest Tubes

Thoracentesis Central Lines Intubation Arterial Lines

Ashlei Alig PA-C with— Dr. Mansa Lawrence

Neurotoxin

Dermal Filler injectables

Kathryn Berman PA-C with— Dr. Brett Sandifer

Vascular Catheter Insertion for Hemodialysis

Central Venous Catheter Insertion

Arterial Line Insertion

Kathryn Berman PA-C with Dr. Arthur James

Ultrasound Gilded Sclerotherapy

Kristin Bourg PA-C with Dr. Christopher Perez

Ultrasound Gilded Sclerotherapy

Visually Guided Sclerotherapy

Eric Chihuahua PA-C with—Dr. Ronald Walpert

Lumber Puncture

Lauren Fogelgren PA-C with— Dr. Gary Woods

Lumbar Puncture with administration of IT chemotherapy

Bone Marrow Biopsy/ Aspirate

Carline Freeman PA-C with—Dr. Jason Rogers

Knee joints

Shoulder joints

Aspirations

Erin Goodwin PA-C with—Dr. Lisa Daniels Intubation

Arterial Lines Central Line

Marcus Parker PA with—Dr. Arthur McCain IV

Conscious Sedation

Bone Marrow Biopsy

Lacey Wood P with—Dr. John Barton

Port Insertion



19

Paracentesis Thoracentesis

PICC Line Placement

Other Business:

1. Julie Bates: Inquiry regarding physician assistant rules and job description.

2.- Update Physician Assistant Basic job description as requested.

3. Dorothy Mack – Approved for reinstatement without a supervising physician. Pending

additional information.

4. SF - An application for reinstatement of licensure was submitted and

reviewed during the March 2018 meeting. The board had her application pending:

240 shadowing hours and two recommendations. She has completed her shadowing hours

and provided two recommendations. - Approve pending two references complete on Form D

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:

Natasha Baker

Abby Bowen

Mackenzie Cottrell

Alexis Dale

Katarina Day

Alexis Hopkins

Davida Jackson

Cara Moore

Wai Sze Nip

Jocelyn Popowitz

Jessica Vrooman

Dorian Williams

Approved application for reissue of Assistant Laser Practitioner licensure:

R.C. – with condition

Approved applications for Senior Laser Practitioner licensure:

Gerald Battaglia

Byerly Ham

Jolee Hughes

Hayley Painter



20

ORTHOTIST & PROSTHETIST COMMITTEE Mr. Law, presented the Orthotist & Prosthetist Committee report as a motion. The Board

accepted the report by unanimous vote.

Approved the following application for Orthotist licensure:

Mary Littrell Jackson

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

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

the report by unanimous vote.

Approved Reinstatement Applications:

Ellwanger, David – Pending additional information

Mayes-Riggs, Robin

Approved Administrative Upgrades

Butler, Tequilla

Anderson, Amber

Cain, Kristen

Stitcher, Taylor

Daniel, Georgene

Davis, Afrika

Durden, Sherrell

Harris, Danielle

Parker, Gerald

Cook, Trent

Williams, JL

Faircloth, Candiss

Aiken, Neysa

Babb, Taylor

Benton, Brandi

Warmack, Jonathan

Bonny, Marie

Brown, Kenya



21

Bush, Austin

Cannell, Casey

Carswell, Stacy

Cook, Alicia

Dillard, Brittany

Edwards, MaryAnn

Edge, Brieanna

Ford, Aadriyanda

Green, Jessica

Harrison, David

Heflin, Antoinette

Howard, Natasha

Jowers, Erica

Knauls, Leslie

Maddox, Rachel

Lewis, Derek

Lewis, Erica

Marin, Carla

Mizell, Kourtney

Pryor, Kayla

Santiago, Elivia

Siriani, Kristin

Tucker, Christian

Waller, Casie

Warnock, Amanda

Awoniyi, Felicia

Foster, Akilah

Abede, Agernesh

Assefa, Aster

Bourova, Anastasia

Hardy, Anita

Holloway, Roshawnda

Johnson, Shawndra

Middleton, Tanzineka

Park, Minhee

Sahle, Zetseat

Shelangi, Serena

Approved Reciprocity Applications

1. Beal, LaJessica

2. Cole, Kelly

3. Denison, Michelle – Pending additional information.

4. Sherman, Brian – Pending additional information.

5. Smith, Aaron

6. Smith, DaKota



22

7. Ware, Annmarie – Pending additional information.

Approved Temporary:

1. Kennedy, Brianna

2. Howard, Gregory

3. Palmer, Olivia

4. Rivers, Heather

5. Mayhew, Jada

6. Johnson, Lindsey

7. Morris, Amber

8. Moss, Melissa

9. Jones, Alonica

10. Best, Kadedra

Other Business:

Two Committee Members will be leaving. The Board will conduct interviews to fill these

positions.

ACUPUNCTURIST COMMITTEE

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

accepted the report by unanimous vote.


Approved application for initial licensure:

On Joong Shin

Approved application for limited licensure:

Sharron Lipscomb

Approved application for reinstatement of licensure:

Jameel Moksa Battle

PAIN MANAGEMENT COMMITTEE

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

approved the motion unanimously.

Approved request to add Practicing Physician/APRN:

1. 152 -Athens Spine Center, PC-Add Mandy K. Eichenlaub P.A. C

2. 297 -McDonough Adult & Pediatric Medical Care & Pain Management

Add APRN-Gloria Cordero and Request Change Location.

3. 419 -Alliance Spine and Pain Center-Add Practicing Physician Shawn Cable, MD

ATTORNEY GENERAL (AG)



23

Max Changus, Senior Attorney General, presented the AG Status Report, Dr. Retterbush

submitted a motion, seconded by Dr. Callins to accept the report as information. The motion

carried unanimously.

LAW ENFORCEMENT ACTION REPORT Karl Reimers, presented the Law Enforcement Report.

The Board approved the report unanimously.

1. Gayathri Natarajan, MD: Approve request

2. Robert Grabenkort, PA: Accept request for Inactive status

3. Carl LoSasso, MD: Accept request for Inactive status

4. 20190254: Tabled

5. Andrew Dannemann, MD: Accept request for Inactive status

6. 20190536: Tabled

7. Richard Timmons, MD: Accept request for Inactive status

8. Sandra Freedman, MD: Accept request for Inactive status

WELLNESS COMMITTEE

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

unanimous:

The Board took the following actions.

1. PHP report by Paul Earley, M.D., and Robin McGown

2. Reviewed Wellness Committee Guidelines per Attorney General’s Office – dated 10/12/16

3. Reviewed Board Approved Treatment Facilities for Sexual Misconduct and Boundary Issues

list for 2019a. Review list with GA PHP.

4. Request Licensure to review clinical skills facilities list and share with Wellness for potential

Wellness referrals for professional boundary violations involving over-prescribing.

5. Reviewed Board Approved Evaluation Facilities list for 2019.

6. Reviewed introductory material for University of Florida Medical School courses for

Prescribing Medications and Distressed Physicians. Request audit of courses by Charmaine

Faucher, PA-C for appropriateness to add to internal lists.

7. 20191682 – Issue stay for OMPE to stop time clock for additional information.

INVESTIGATIVE INTERVIEW REPORT



24

Dr. Marshall, presented the Investigative Interview report as a motion, and was seconded by Dr.

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

actions.

20180653 - Closed

20171725 - Closed

20181889 - Closed

20190618 - Tabled

20171205 - Order for Mental Physical Evaluation

INVESTIGATIVE COMMITTEE

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

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

actions.

Close:

20161272 20180755 20182011 20190195 20190385 20190526 20191660

20161273 20180780 20182013 20190209 20190399 20190527 20191678

20161417 20180800 20182048 20190220 20190402 20190545 20190703

20161539 20180806 20182061 20190234 20190405 20190565 20190759

20161765 20180838 20182123 20190246 20190413 20190569 20190803

20171465 20180840 20182197 20190248 20190428 20190572 20190822

20171482 20180842 20182199 20190251 20190430 20190576 20191603

20171799 20180844 20182229 20190255 20190437 20190596

20171800 20180909 20190030 20190275 20190466 20190599

20180286 20180921 20190040 20190292 20190479 20190613

20180404 20180922 20190139 20190331 20190481 20190614

20180481 20181022 20190154 20190347 20190486 20190623

20180660 20181171 20190156 20190357 20190505 20190639

20180664 20181805 20190181 20190538 20190507 20190669

20180665 20181892 20190194 20190372 20190511 20190808

20170488 20171508 20181909 20182179 20190440 20190531

20170711 20180556 20181993 20190211 20190452 20190534

20171505 20180839 20182073 20190368 20190458 20190535

20171506 20180891 20182074 20190388 20190478 20190541

20171507 20181720 20182156 20190395 20190482 20190533

Close with Letter of Concern:

20162047 20180786 20181992 20171275

20162049 20181548 20190133

Invite for Investigative Interview:

20170311 20181160 20182245



25

Further Investigation:

20161855 20172148 20182142

20162379 20172174

20172146 20180846

Table

20150910 20180821 20181899 20180903 20181577 20181941

20182138 20190333 20182060 20190205 20190380 20172165

20180822 20181021 20181940

Attorney General’s Office

20180223 20190051 20190462 20181977

OMPE

20180253

INITIAL COMPLAINT EVALUATIONS

The Board approved the following recommendations.

20191695 20191732 20191762 20191790

20191700 20191740 20191763 20191792

20191701 20191741 20191766 20191793

20191707 20191750 20191768 20191794

20191719 20191751 20191770 20191796

20191722 20191752 20191772 20191821

20191723 20191753 20191779 20191847

20191729 20191754 20191780

20191730 20191755 20191784

20191731 20191756 20191786

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

adjourn the meeting. The motion carried unanimously. Dr. Marshall adjourned the January 10,

2019 meeting at 5:30 PM

__________________________________ _____________________________________

J, Jeffrey Marshall, MD LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by Diane Atkinson

georgia composite medical board...82035 fiedler, faranak sarajzadeh dr md 82036 pilgrim, ashley joel...

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