georgia composite medical board minutes of the september 2
TRANSCRIPT
Georgia Composite Medical Board
Minutes of the September 2, 2021 Meeting
1
The Georgia Composite Medical Board (GCMB) held its regular meeting on September 2, 2021 via
teleconference at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters.
Board members on the call:
John S. Antalis, MD
Subrahmanya Bhat, MD
William Bostock, DO
Debi Dalton, MD, Chair
Charmaine Faucher, PA (ex-officio)
Austin Flint, MD
Srenni Gangasani, MD
Judy Gardner, FASHP, Consumer Member
Alexander Gross, MD
Shawn Hanley, Consumer Member
J. Jeffery Marshall, MD
Andrew Reisman, MD
Barby Simmons, DO
Management staff present: David Harris, Licensing Manager
LaSharn Hughes, MBA, Executive Director
Jonathan McGehee, Director of Investigations
Phyllis White, Executive Assistant
Legal staff on the call: Max Changus, JD, Assistant Attorney General
Board members absent: Matthew Norman, MD
CALL TO ORDER Dr. Dalton called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.
AGENDA Dr. Marshall made a motion, seconded by Dr. Gross to approve the agenda of the September 2, 2021
meeting. The motion carried unanimously.
MINUTES Dr. Marshall made a motion, seconded by Dr. Gross to approve the minutes of the August 5, 2021
and August 11, 2021 meeting. The motion carried unanimously.
CHAIRMAN’S REPORT Dr. Dalton advised everyone that due to the current COVID situation, we will continue to meet virtually.
EXECUTIVE DIRECTOR’S REPORT Ms. Hughes, Executive Director, presented the following report:
Recognized Akia Coley for 5 years of Service
Legislation for the upcoming session, The Board does not want to introduce any new legislation for this
session.
Georgia Composite Medical Board
Minutes of the September 2, 2021 Meeting
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Ms. Hart, AJC, asked the Board if the Board had a position on who can prescribe Ivermectin. The Board
does not have a position and suggested she contact the CDC or FDA.
The Board considered a request from Dr. Lauterbach to waive the requirements for reinstatement. The
Board denied the request.
Ms. Hughes informed the members that Board would become a State of Principal Licensure for the
Interstate Medical Compact on September 15, 2021.
Mr. Steven Justus requested renewal information on an applicant. The Board denied the request since
applications including renewal applications are confidential by law.
Liz Keener asked if a MD can purchase an electro-hydraulic unfocused shockwave device? The Board
advised that there is nothing in the Laws/Rules that would prohibit someone from purchasing this device.
The Board accepted as information the following:
FSMB Board of Directors Meeting Highlights.
Performance Measures of the Board for FY 21.
RULES COMMITTEE REPORT
Motion Dr. Reisman, seconded Dr. Antalis and motion carried to send the following Rules to the Attorney
General’s Office for review and approval prior to posting:
Rule Chapter 360-41 “Sedation in Physician Offices and Medispas”
Rule 360-31-.01 “Applications” (O&P) – as amended.
Motion Dr. Reisman, seconded Dr. Antalis and motion carried to post the following Rules for comment:
Rule 360-16-.02 “Renewal and Expiration Date”
Rule 360-15-.01 “Requirements for Physician” (CE)
CLOSED SESSION Dr. Marshall motioned seconded by Dr. Flint to go into closed session to discuss applications,
Investigations and disciplinary matters. The motion carried unanimously.
OPEN SESSION Dr. Dalton declared open session.
APPEARANCES BEFORE THE BOARD Edd Thomas, MD. The Board voted to allow Dr. Thomas to take the SPEX.
Imo Ndem, MD. The Board voted to uphold original decision to deny licensure or allow to withdraw.
William Richardson, MD. The Board voted to uphold original decision to deny licensure or allow to
Georgia Composite Medical Board
Minutes of the September 2, 2021 Meeting
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withdraw.
CLOSED SESSION Dr. Gross motioned seconded by Dr. Marshall to go into closed session to discuss applications,
investigations and disciplinary matters. The motion carried unanimously.
OPEN SESSION Dr. Dalton declared open session.
ATTORNEY GENERAL (AG) Max Changus, Assistant Attorney General, presented the AG Status Report. Dr. Marshall submitted a
motion, seconded by Dr. Gross and motion carried to accept the report as information and approved the
following Board Orders:
Case # 20220304
Angela Coleman—Public Consent Order
Vanessa Lindo, PA—Public Consent Order for Reinstatement
PHYSICIAN LICENSURE COMMITTEE Dr. Gross presented the Licensure Committee Report:
The Board took the following actions:
Approve Petition(s) to Waive Rules
Bailey, Gerald – Rules 360-2 .02 (5)
Other Business
Compact Answer: Marschall Smith concerning IMLCC Licensure – Once cleared, licensed, COMPACT
is not concerned with actions; however, this does not preclude the Georgia Medical Board from taking
action based on other State Board Actions.
USMLE – July 2021 Quarterly FSMB Report accepted as information only.
Questions/Requests
Shila Patel – Submit a Reinstatement Application and requirements including CME.
Taskar, Devesh – Deny request to sponsor ECFMG certification
Ahmed, Saqib – Inform him that it appears that your regulatory action by the Irish Medical Council may
be a bar to you acquiring a Telemedicine license in the State of GA. An application for a full medical
license with disclosure of this information may be submitted; however, the nature of the Telemedicine
license has been restricted by the GA General Assembly.
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Minutes of the September 2, 2021 Meeting
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Accepted as Information Only
MS – Accepted Board decision and withdrew application
JR – Accepted Board decision and withdrew application
Approve Instituional License:
Abdalrahman, Akim
Reinstate with Consent Order:
Bowles, Theodore – Private Order to include registration with GA PHP with terms and conditions until
such time he wishes to petition lifting the order when advocacy from the PHP that their services are no
longer required.
Interview:
JM – based on issues during training.
TW – based on arrest, training issues, withdrawn application to Alabama.
AR – based on postgraduate training issues.
Approve Reinstatement:
Klipper, David
Deny or Withdraw Application:
JS – based on issues with training.
GD – based on Texas board actions.
ADMINISTRATIVELY APPROVED APPLICATIONS
Name Degree Suffix
Abbas, Noah MD
Adcock, Amelia K MD
Al Borgan, Saif Munther Za'al MD
Albano, Adam P MD
Albert, Michael H MD
Ali, Ailia K MD
Ali, Mohsin MD
Al-Jaberi, Rana MD
Anigbogu, Nkoli T MD
Annaba, Mohammad MD
Babaie, Anna DO
Bahn-Humphrey, Alexandra MD
Bakir, Bayan MD
Bammes, Nathan O DO
Bao, Rong MD
Bar-Levav, Ilana P MD
Beckwith, Michael A MD
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Bell, Tiffany L DO
Benoit, Janeeka B DO
Bhatia, Sameer MD
Bonacci, Robert MD
Brathwaite, Shayna A MD
Brisnehan, Kirk M DO
Brown, Amy E MD
Burk, Kenneth DO
Burke-Bray, Nykia S MD
Burkich, Alexandra N MD
Butt, Mohammad Omar MD
Byrd, Taekwondo J MD
Caldwell, Chad D MD
Carson, Robert P MD
Carstairs, Shaun D MD
Charles, Hearns MD
Chavarriaga, Alejandro MD
Chen, Tiffany Y MD
Cheng, Anny M MD
Cheng, Jonathan C MD
Chiou, Howard MD
Choe, Jessica S MD
Chow, William DO
Chukwukelu, Vince I MD
Ciuro, Jordan A MD
Cleland, Ellen C MD
Cline, Sherry E DO
Cohen, Inbal MD
Concepcion, Cecilia L MD
Costantini, Jay K, MD MD
Coulter, James S MD
Crawford, Benjamin R DO
Daly, Ivonne M MD
Dange, Yojana R MD
Davis, James A MD
Davis, Tammara L MD
DeBardeleben, Daniel E MD
DeHan, Preston J MD
Dhadphale, Ketan A MD
Dhingra, Sadhna MD
DiBenedetto, Kevin P MD
Dolan, Michael T, Jr DO
Doris, Jacob B MD
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Egbelakin, Akinbode S MD
Eley, Kerry MD
Eshetu, Tadesse MD
Eyre, Zachary W MD
Fiechtl, James F MD
Figg, Jonathan A MD
Figurelle, Morgan E DO
Fitzgerald, Theresa M MD
Flom, Stephanie MD
Fobare, Amanda G MD
Friedensohn, Peter N MD
Gamboa, Olivia G MD
Giles, Karen E MD
Gill, Kristi P DO
Gobraeel, Gamal S MD
Gold, Jeremy A MD
Goodwin, Meredith A MD
Gosdin, Daniel B MD
Grant, Colin DO
Graziano, Michelle K MD
Gudeta, Alemeshet Y MD
Guha, Avirup MD
Gulick, Jeffrey DO
Han, Charles MD
Harris, Atia J MD
Hazelwood, Senator Kwamme MD
Henkler, Kelly C MD
Hersh, Marc A MD
Hill, Harry H MD
Holt, Zayn M MD
Homish, Jerome D DO
Huh, Eric H MD
Iqbal, Vaseem MD
Jahn, Hayden MD
Jayswal, Rishim K MD
Jennings, Shannon M MD
Jones, Jeffrey E MD
Julian, Zoë MD
Kaleka, Amanjeet K MD
Kargman, Kevin DO
Kato, Norman S MD
Kaur, Maninder P MD
Kelly, Noreen P MD
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Khan, Jaffar M MD
Khan, Sanober M MD
Khosla, Anil MD
Kim, Andrew R MD
Kim, Chi-Hyun MD
Kimpson, Candace J MD
Kneeland, Patrick P MD
Kole, Jonathan W MD
Kossar, Alexander P MD
Koszuta, John J MD
Kramer, Melissa A DO
Kraslow, Michelle L MD
Kukreja, Richa MD
Kumbkarni, Anjum MD
Kuroki, Helen M MD
Kwon, Ji H DO
Lachica, Roberto D MD
Lall, Chitranjan MD
Lampe, Benjamin S MD
Lane, Lucy B MD
Laster, Janese S MD
Lau, Melissa MD
Layman, Terry L MD
Leal, Ticiana A MD
Lee, JoBeth E MD
Lee, Requita M MD
Li, Zan C MD
Lin, Michelle P MD
Lind, Kerrie A MD
Lofley, Kent J DO
Long, David A, Jr. MD
Lopez Presas, Ezequiel P MD
Lynch, Stephen F MD
Maddika, srikanth r MD
Maegawa, Felipe A MD
Mahoney, Patricia A MD
Maini, Kushagra MD
Malinowski, Beata L MD
Maloney, Timi MD
Marshall, Jessica L DO
Masi, Jeffrey MD
Masood, Faraz MD
Massarweh, Nader N MD
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Minutes of the September 2, 2021 Meeting
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Mayur, Sandeep K MD
McGinnis, Nathan L MD
McKenna, Alyssa MD
McQuilkin, Jordan A MD
McShea, Christina T MD
Meehan, James C, Jr MD
Melton, Casey W MD
Mian, Nosheen A MD
Millichap, John J, MD MD
Mitchell, William G MD
Mohr, Robert MD
Monde-Jones, Ann Isabelle A MD
Monroe, Richard K MD
Moon, Jung J MD
Morrell, Joseph, Jr. MD
Mostoufi-Moab, Ebrahim MD
Moustafa, Bayan DO
Mulugeta, Philipose MD
Murphree, Duaine D MD
Mustafa, Marium MD
Myers, Robert C DO
Nakkar, Talal MD
Nath, Audrey R MD
Nath, Vikas MD
Negron, Michol S DO
Nettles, Ayesha M MD
Newey, Christopher R DO
Nguyen, Khoa D DO
Nielson, Joshua H DO
Nnamuchi, Lilian C MD
Nwaokafor, Felix C MD
Okumu, Wycliffe MD
Olabisi, Jendayi L MD
Olshausen, Kai P MD
Orafidiya, Yetunde MD
Parsons, Michael F MD
Parsons, Seth MD
Patel, Milapkumar R MD
Patel, Neel N MD
Patel, Parth K MD
Patel, Pujan MD
Patel, Rakesh B MD
Patel, Ravish MD
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Minutes of the September 2, 2021 Meeting
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Patel, Sagar P MD
Pereira, Gregory MD
Perju, Catalin M MD
Perszyk, Ira A MD
Petra, Alexis MD
Polsani, Shanker R MD
Porro, Karen F MD
Potter, Charles F MD
Quintana Quezada, Raymundo A MD
Raines-Hepple, Robert MD
Ramirez, Boris R MD
Ray, Mario M MD
Rebis, Sabina A MD
Rembecki, Richard M MD
Rhodehouse, Blair DO
Rhone, Kelly A MD
Rogg, Katherine C MD
Roller, Richard A MD
Rummings, Kelli A DO
Sarvis, Astrid MD
Savoie, Andrew A DO
Saylor, Benjamin T MD
Sharif, Mohammed MD
Sharma, Manish MD
Shepard, Marc R MD
Siffring, Corydon W MD
Simmons, Curtis L MD
Sirineni, Gopi K MD
Smith, Christopher T DO
Smith, Nathan MD
Smith, Whitaker M MD
Snoddy, Janelle B MD
Solomon, Dennis R DO
Steiner, Andrew M MD
Stoddard, Hugh T MD
Storm, Curtis MD
Stroer, Kenneth C DO
Stuckey, Alex MD
Suh, Nina MD
Suslin, Igor MD
Swim, Tara MD
Taylor, Melissa A MD
Tee, Andrew R MD
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Thompson, Zachary DO
Thweatt, Delhi E MD
Tomlinson, James R, Jr MD
Touliatos, John G MD
Treyster, Artur MD
Truong, Kimberly K MD
Tyler, Jessica L MD
Ulmer, Thomas DO
Umstead, Eric C MD
Uphues, Michael R DO
Veigh, Stephen V, DO DO
Velazquez, Eric J MD
Vogt, Peggy MD
Von Kohorn, Isabelle MD
Vydyanathan, Amaresh MD
Waldman, Stuart MD
Walker, Ndambini MD
Ward, Nathan J DO
Wasser, Larry S MD
Weinberg, Gregg D MD
Wellons, John C MD
Wilkinson, Hugh A MD
Williams, Jason T DO
Williams, Lindsy N MD
Williams, Paige E MD
Williams, Renuka S MD
Windham, William A MD
Wong, Joseph S MD
Woods, Dana MD
Wooldridge, Bryan E MD
Zalzala, Nabaa DO
Zeeshan, Nikhath MD
Zetoony, Michelle DO
Zimmerman, Andrew MD
RESIDENCY TRAINING PERMIT Stewart, Matthew P
Varela, Mark A
NURSE PROTOCOL ADVISORY COMMITTEE Dr. Norman presented the Nurse Protocol Report:
Georgia Composite Medical Board
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The Board took the following actions:
The following Form C’s were approved:
Cook, Kristen
Elmadolar, Elizabeth
Gray, Jennifer
Haefner-Birdsong, April
Kudlata, Regan
Mayhue, Delta
Oestreich, Krystal
Pollard, Hannah
Turk, Christy
Wagner, Jennifer
The following Form C’s were not approved:
Couse, Tracey
Haskin, Justin
Jones, Eric
Mauldin, Taylor
McClain, Enika
Rizkalla, Chelsea
Thorne, Julia
The Committee reviewed and approved the following protocols under the provision of O.C.C.A.
43-34-25.
APRN Delegating Physician
Allen, Harriett William Dinsfriend, MD
Autry, Cameron Manan Shah, MD
Bailey, Alison Santanu Das, MD
Bush, Michelle Shehnaz Makhani, MD
Chigbu, Chinyere Rao Moravineni, MD
Childs, Jenny David Newton, MD
Edouard, Rebecca Sudha Reddy, MD
Elder, Shelby Wendy Vandemark, MD
Elhalaby, Salim Stephen Kissinger, MD
Nembhard, Brittany Sudha Reddy, MD
Shuler, Cynthia (resubmit) James Stewart, MD
Song, Jiangnan Manan Shah, MD
Tedder, Cathy Santana Das, MD
The Committee determined that the following protocol agreements meet the provisions of
O.C.G.A. 43-34-25 with changes.
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APRN Delegating Physician
Blackwood, Elizabeth Jody Hughes, MD
Bucao, Amanda Tracy Barefield, MD
Cartwright, Candice Mark Hahn, DO
Eckert, Cynthia (resubmit) Karen Gilson, MD
Flint, Lisa William Raisig, MD
Gardner, Amie Scott Miles, MD
King, Emilie Meridith Farrow, MD
Lord, Magon Darshak Karia, MD
Lundberg, Amanda Bih Tambi, MD
Ogala, Grace Hany Elia, MD
Patterson, Frances Samuel Gilbert, MD
Paulk, Rhonda Craig Rosebrock, MD
Porter, Erin Ammar Tahir, MD
Price, Kayla Joel Morgan, MD
Randolph, Bridget Samuel Blevez, MD
Rhodes, Marc Vishal Arora, MD
Saxon, Amanda Vishal Adora, MD
Shaw, Sharon Bharatkumar Patel, MD
Smith, Viviene Theodore Morgan, MD
Streufert, Aaron Jeffrey Alvarez, MD
Winn, Carla Kayln Lane, MD
Protocols that were not reviewed:
APRN Delegating Physician
Hirst, HaYong Tara Orlando, MD
Lowe, Lisa Salman Kazim, MD
Protocols that were referred to the Attorney General’s Office:
APRN Delegating Physician
Odereo, Beatrice Rade Vukmir, MD
Protocols Administratively Reviewed:
The following protocol agreements meet the provisions of OCGA 43-34-25:
APRN Last APRN First Middle Delegating Physician Name
Allen Tika Geetha Jonnala
Angwabu Charlotte Bhavika Patel
Bernard Francette Bryon Evans
Brown Robin Vikram Raje
Brown Lisa Pamela Weigandt
Cesar Vonnie Rose Briglerich
Chancellor Ashley Becky Campbell
Clarke-Hall Renee Paul Johnson
Cochie Madison Michael Lava
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APRN Last APRN First Middle Delegating Physician Name
Daniel Julia Eric Powell
Desrosiers Myrlene Leslie Perez
Dodd Wendy Ana Lisa Carr
Drakeford Torrence Anuj Patel
Griner Dell Renee John McKnight
Hansen Amanda Tayari Mchezaji
Harper Sherry Lucas Golub
Herrington Amanda Marti Gibbs
Holsomback Julia Sabine Barlatt
Hughson-Chitolie Charisse Ibrahim Opaleye
Jha Shashank Stefan Routt
Johnson Macey Daniel Schoenborn
Koidima Lassina Bernardino Willescas, Jr.
Konzelman Travis Ryan Box
Lee Matthew Jimson Smith
Littleton Hope Christopher Bazal
Magistro Caleb Scott Parry
Manning Robert Mohammed Almzayyen
Martin Chris Elliot Wade
McKinnon Jesse Debra Lister
McMicken Michelle John Stauffer
Merritt Amanda Kenneth Grotz
Merritt Stephanie Hemachandran Nair
Metts Eli Thomas Hobby
Meyers Steven Sonil Kumar
Mocanu Irina Muhammad Usman
Mock Desiree Rajwinder Manhiani
Monteith Michelle John McKnight
Nnoko Ebote Georgia Huff
Noonan Robert Bryan Price
Obialor Romanus Karim Ali
Osondu Chidiebere Yogesh Goswami
Oyerinde Mercy Ibrahim Opaleye
Patel Anisha Meenakshi Thirunavu
Patterson Joanne Bih Tambi
Polk Reneka Joy Hamilton
Purser Jane Samuel Sencil
Radke Rebecca Brenda Hott
Rardin Jerad Shahin Etebar
Ray Amanda Milly Kirit Bhalani
Saavedra Sara Gerald Bohn
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APRN Last APRN First Middle Delegating Physician Name
Sammons Sarah Bret Lewis
Sayer Matthew Brooke Halpern
Schaffner Priya Alexis Atwater
Scroggins Sherri Megan Brown
Septor Heidi Terry Williams Jr.
Settle Laureen Allen Dollar
Simon Latoya Chinedu Nweke
Smith Jason April Grant
Smith Chinara Stephen Kissinger
Stauffer Joshua Bobby Herrington
Stephens Cheryl Mark Elam
Summerfield, Jr Gary Jason Springer
Thiel Sara Thomas Matthews
Thompson Tamika Thomas Taylor
Tyson Elizabeth Asha Nayak
Virani Anita Gregory Cumberbatch
Ware Erica Michael Groover
White Katherine Nicola Lee
Womack Amber Nadine Regis
Yancey Beverly Mia M Galioto
PHYSICIAN ASSISTANT ADVISORY COMMITTEE Dr. Antalis presented the Physician Assistant Committee report.
The Board took the following actions:
The Committee recommended approval of the following applications for initial licensure with a
supervising physician:
PA Supervising Physician
Monica Alexanderson Trevor Paris
Chad Allen Morgan Cause
Alexis Ansley Liza Starecki
Nada Awdi Chinedu Okfukpara
Cody Baum Anthony Manson
Kate Barnes Catherine Meredith
Rachel Bennett Zain Boghani
Melody Bolton Sue Han
Andrew Bryant Kam Wong
Lorrin Carter Matthias Grube
Aaron Chau Victor Zubar
Ann Chessler John Meisinger
Sara Chmielewski Jerry Williams
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Lindsey Cook Jay Singh
Jordan Cordova Richard Trent
Kimberly Cowart Thomas Harvey
Hannah Cain Christopher Whitson
Kaleigh Coon John Meisinger
Christian Cravey John Zimmerman
The Committee recommended approval of the following applications for initial licensure with a
supervising physician:
PA Supervising Physician
Stephanie Crews Jay Levi
Justin Farmer Jenna Mclendon
Adam Fossett Olutoyin Okanlawon
Gwendolyn Gabey Richard Thomas
Erin Griffin Jehangir Pirzada
Christina Hale Steven Scott
Leeshah Kim Stefan Erceg
Samantha Lee Ilan Sondheimer
Kelsey Maher Kimberly Parsons
Preston Maness Clifford Song
Emily Miller Juan Amador
Stephanie Moon Maki Rheaume
Lauren LaRocque Nathan City
Carly Landry Madhaui Rayapundi
Hai Le Clifford Song
Jennifer Lee Carlos Tan
Shelia Riser Richard Maenza
Taylor Rotell Michael Fiedorek
Arshawn Sami Clifford Song
Melanie Schellman Joel Bress
Olexandra Skulskaya Igor Lazar
David Svintsitski Antoine LeFlore
Alexandra Tello David Bailey
Debby Thomas Sandra Thomas
Demetria Thomas Jun Ma
Carly Threlkeld Justin Barrett
Stephen Tyson Stefan Erceg
Katherine Woodlee Michael Reif
The Committee recommended pending approval of the following applications for initial licensure
with a supervising physician upon additional information:
PA Supervising Physician
Natalie Larrea Ricky Matkins
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Benjamin Lindroth Shah Manan
Christopher Pendley Sean Kelly
Thomas Rudi Thomas Philpot
Rachel Sharitz Victor Zubar
Kori Vaughn Hee Wan Lee
The Committee recommended approval of the following applications for initial licensure without a
supervising physician:
PA
Jessica Austel
Katherine Chaknis
Nhi Ngoc Dai
Abegail Dismukes
Hannah Grachek
Kathryn Greene
Eva de la Motte Hurst
Madison Joiner
Laraine Kiser
Alexander Kolesar
Jacklyn Landres
Laisa Lemes
Richard Nellis
Ngoc Nguyen
Alyssa Patel
Ron Perets
Jessica Phillip
Cassie Rodriquez-Feo
Ayanna Thomas-Rentz
Racquel Volkowitz
Leslie Walker
Savannah Willbanks
Molly Williams
Vivienne Yakum
The Committee recommended pending approval of the following applications for initial licensure
without a supervising physician upon additional information:
PA
Taelor Cichanski
Randy Hicks
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The Committee recommended approval of the following applications for reinstatement of licensure
with a supervising physician:
PA Supervising Physician
Quandrian Bronner Mubashar Munir
The Committee recommended approval of the following applications for reinstatement of licensure
without a supervising physician:
PA
Julia Mitchell
Jennifer Nuessner
The Committee Tabled the following applications for reinstatement of licensure without a
supervising physician:
PA
Stephanie Heinsch
The Committee recommended approval of the following 90-Day Temporary Permit WITH a
supervising physician:
PA Supervising Physician
Katie Berkley James Barlow
Madison Cobb Dean Kirkel
Colleen Leveille Logan Fields
Caroline Long Niti Carlson
John Price III James Bennett
Mary Shoup Sarah Vocelle
The Committee tabled the following 90-Day Temporary Permit WITH a supervising physician:
PA Supervising Physician
Krystle Richmond Camille Davis-Williams
The Committee recommended approval of the following additional duties:
PA Supervising Physician
Joel Andrews Ajay Nooka
Moderate Sedation
Yevgeniya Berkovski Rebecca Klisovac
Moderate Sedation
Bone Marrow Biopsy
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Nives Keran Amelia Langston
Moderate Sedation
Nives Keran Amelia Langston
Lumbar Puncture
Rachael Morffi Ajay Nooka
Moderate Sedation
Eric Peterson Neil Resnick
US Guided Thyroid Biopsy
Moderate Sedation
Bone Marrow Biopsy
Roseann Pruitt Nisha Joseph
Moderate Sedation
Allison Smith Michael Bosley
Tunneled PICC
PICC Insertion
Intrathecal Injections (Cisternogram, Myelogram, and Methotrexate)
Other Business:
Newton, Mark, MD (GA House of Representatives)- PA Scope of Practice delays w/GCMB (Electronic
Signatures/Payments)
Answer: Current system does not have the capacity for electronic submission of add/change applications
and online payment. Working with vendor to initiate new system updates soon.
Approved Add/Changes
PA Supervising Physician
Farida Ahmadi Aparna Mark
Jordan Ashford Jonathan Fass
Enoch Asiedu Janice Newsome
Brittany Baker Sarah Wilson
Caroline Barker Sofia Khan
Haley Bauguss Nicolas Chronos
James Beck Seema Tekwani
Yvegeniya Berkovski Victor Orellana-Noia
Bina Bhakta Rishi Gupta
Manuela Botero Jeffrey Tatro
Brooke Bozek Deronda Brown
Payal Brahmbhatt Sandeep Patel
Payal Brahmbhatt Tiencia James
Payal Brahmbhatt Andrew Van Horn
Clinton Brif Jonathan Christy
Haidy Brooks Gerald Filmore
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Robert Brooks John Davis
Xiaohui Brotzge Peyton Syed
Kayla Brown Pamela Allen
Kimberly Brown-Clark Chadwick Palmer
Courtney Calcote Kevin Coyle
James Callis Paul Bradley
Ashlea Cannon Freda McCarter
Christopher Carter Kavita Kotte
Raquiah Carter Katherine Kohler
Caitlyn Cartwright Ebimoboere Okoro
Kimberly Cecil Charles Galea
Wouter Ceyssens David Fisher
ZhiQiang Cheng Vinai Vishwanath
Pamela Chi Ciela Lopez-Armstrong
Khadeja Chowdhury Yogesh Goswami
Jill Chang Laurie Kohen
Kelly Clark Lor Goldstein
Courtney Cleveland David Walsh
Desiree Cleveland Stephanie Rush
Amelia Cline Robert Cochran
Erica Collier Jason O’Neal
Allyson Cooper Matthew Gillen
Joseph Craig Hafsa Bhatti
Jace Crawford Anthony Marchetti
Amber Crowder Robert Holcombe
Hong Cui Harrison Pollinger
Karla Dalrymple Martin Zenni
Tonya Dang Paola Dorato-Iqbal
Randy Davis Ahmed Moussa
Azim Dayani Darryl Hall
Philip DeRosa Brandon Naylor
William Driscoll George Cierny
Kingsley Dunwoody Amit Bhakta
Alexandra Duvall Kathryn Blocker
Amanda Elder John Barton
Jesse Farris Adam Stuart
Erin Flanagan Sean Lowe
Charles Foreman Joshua Wewel
Michael Forrest Jack Paschal
Diana Fowler Paul Turk
Robert Fox Jeremy Ferris
Lindsay Gaines Meredith Miller
Jennifer Garrett Naima Cheema
Laura Gillen Jack Yu
Al-Rose Gilliani Steven Helfman
Latasha Gray Monica Chappell
William Green Meredith Miller
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Brett Haarman Kendra Grubb
Jamie Hays Tracey Ragsdale
Huda Hayyeh Cheryl Trowell
Melanie Hicks Krista Johnson
Jonathan Hill Rami Arfoosh
William Hooks Sarah Vocelle
Virginia Horan Subhadra Shashidharan
Chelsea Howell Harrison Pollinger
Elise Hulsebus Jack Yu
Mirna Jacob-Pintro Abdul Sheikh
Kavita Jaiswal Aashish Desai
Ali Jama Seema Tekwani
Brittney Jeffrie Riddhi Merchant
Anna Johnson Jimson Smith
Anna Johnson William Brown
William Johnson Vincent Talosig
Carlie Jones Etta Boss-Cole
Tanis Kakar Kimberly Dao-King
Karl Kline Mitchel Leavitt
Earl Lawson Jr. Stefan Erceg
Christen Ledder Venu Velagapudi
Jenifer Nobles Andrew Osborne
Rosemarie Smith Paul Cox
Adam Ridley Angel Brown
Jordan Miller Ellis Mossaded
Kimberly Straub Siddharth Patel
Sarai Vargas-Ver Joanna Le Parc
Sharla Phipps-McGregor Richard Thomas
Gholam Meah Richard Thomas
Kristin Waters Matthew Rabito
Abigail Nevitt Maria Alban
John Neil Megan Durham
Richard Rivera Samuel Durrett
Jessica Wood Jack Yu
Stephanie Thompson Edward Hall
Skyler Lamberth Bernardino Villescas
Glen Megran Eni Nwabueze
Katy Smith Clarence McKemie
Lauree Thomas Wilmer Balaoing
Lauree Thomas Lauren Hill
Carolyn Saba Brett Cannon
Melissa Mermiges Raul Buelvas
Amanda Morris Sarah Friend
Rachel Gooding Thomas Zickgraf
Christopher Woods Ryan Johnson
Davis Mellick Thomas Freeman
Reiko Noll Wilson Walker
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Mark Salinas Koganti Deepika
Sydney Wyatt Mikael Starecki
Glen Megran Joseph Tanga
Brittany Thomas Peter Kim
John Lidell Pelham Williams
Savannah Sessions James Reeves
Annie Wright Allan Krutchik
Elizabeth White Mohammed Almzayyen
Seemie Syed Selwynn Howard
Larissa Melnik Martin Dixon
Daniel McCarthy Elbridge Bills
Jacob Schoeff David Kim
Katherine Siedor Melissa Babcock
Matthew Revilla Gabriela Pena
Oyinlola Peterson Sawler Vu
David Osedo John Soud
Saipriya Neti Brad Birenberg
Hannah May Eduardo Montana
Brandon Nieves Shannon Trowell
Erica Melling Brian Chadwick
Michael Owens Denis Trto
Daniel Wilkinson Susan Smith
Disha Patel Tracy Murray
Kimberly Powell Eliran Bracha
Yosef Seewald Ritu Saini
Roseann Pruitt Nisha Joseph
Bolynthia Singleton Clarence Morgan
Kathryn O’Meara John Chung
Jerrica Miles Adaora Osakwe
Gabriel Najarro Wendy Greene
Dennis Short Santhana Sriradchatha
Samantha Nowak Terrence Gfroerer
McKenna Moe Aja McCutchen
Gabriel Valdez Reginald Orr
Varin Sachhathep Rami Arfoosh
Arshia Samandi Wendy Neveu
COSMETIC LASER ADVISORY COMMITTEE Dr. Gross presented the Cosmetic Laser Committee report as a motion and it carried unanimously.
The Board took the following actions:
Approved the following for Assistant Laser Practitioner:
Dedra Baitis
Jessica Boyce
Natacha Calcano
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Kendra Camp
Victoria Capland
Tierra Collier
Roshena Craddick
Charnice Crowley
Habiba Deyji
Megan Diaz
Delaney Gallaty
Taylor Harris
Anissa Jones
Ashley King
Jami Leverett
Laura Marcelle
Kelly Murray
Sthaell Oliveira Focas de Araujo
Jameel Petry
Octavis Reliford
Cynthia Rich
Corina Riggs
Andrea Rockefeller
Rosann Rodgers
Ashley Rogers
Rosemarie Smith
Erika Vazquez
Sabrina Wallace
Amber Whosendove
Morgan Wilson
Jaycee Zotti
Approved the following for reissue of Assistant Laser Practitioner::
Joyce Candelario
Rachael Manton
Hodan Nor
Charlotte Rice-Senior-Brown
Approved the following for Senior Laser Practitioner:
Tara Canzon
Erin Conant
Lauren Fisher
Beverly Ramsey
Approved the following for reissue of Senior Laser Practitioner:
Natasha Welsh
Approved the following for Assistant Laser Practitioner with terms and conditions:
P.C.
J.H.
K.C.
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RESPIRATORY CARE ADVISORY COMMITTEE
Dr. Dalton presented the Respiratory Care Committee report as a motion, seconded by Dr. Marshall. The
Board accepted the report by unanimous vote.
The Board took the following actions:
Correspondence:
1. Email question from Chris Thebeau regarding telehealth and licensure. The Committee
determined that a Georgia respiratory license is required to perform remote/virtual
CPAP/BiPAP setups for Georgia residents by out-of-state registered respiratory therapists.
The Committee refers Mr. Thebeau to the current emergency rules and laws pertaining
to the use of telecommunication in Georgia.
Additional Business:
1. Attorney General’s office met with Committee to discuss scope of practice for RTs.
2. Michael Todd’s Rules Waiver Petition denied.
3. The Committee agreed to re-submit an additional draft of Respiratory Care Professionals Rules to
the Office of Planning and Budget with further justification of each rule.
Reinstatements Approved; Shivers, Pamela McConathy, Carmen Gloth, Andrea Bogan, Randy- pending additional information Michael Todd- pending additional information
Temporary Licensure Approved;
Gaines, Crystal
Full Licensure Approved
Anderson, Benjamin
Flynn, Jaime
Johnson, Cindy
Huerta, Melissa
Carrese, Alicia
Flynn, Jennifer
Mayor, Michael
Short, Tierra
Kennedy, Brianna
Cortez, Randal
Franck, Alyssa
Slotarski, Karen
Crum, Jessica
Moreno, Giancarlo
Varghese, Robin
DelVecchio, Lisa
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Moses, Richard
Dress, Spencer
Handy, Deborah
Parker, Kirby
Ellis, Heather
Hood, Phillip
Rike, Hannah
Penson, Eric
Harper, Vanessa-pending additional information
Edwards, Maryann- pending additional information
Arnold, Hunter- pending additional information
Brock, Ashley- pending additional information
Broughton, Tracey- pending additional information
Habermann, Katharine- pending additional information
Reed, Antonio- pending additional information
Administrative Upgrades
Saadia King
La’Shandis Brown
Patricia Johnson
Hope Duke
Ansley Boettche
PERFUSION ADVISORY COMMITTEE
Dr. Marshall presented the Perfusion Committee report as a motion and it carried unanimously.
The Board took the following actions:
Approved the following for Initial Perfusion Licensure:
Timothy Weaver
ACUPUNCTURE ADVISORY COMMITTEE
Ms. Gardner presented the Acupuncture Committee report as a motion and it carried unanimously.
The Board took the following actions:
Accepted the following quarterly reports:
Michelle Arms – and approved the request to remove David Toone as supervisor
Approved the following for acupuncture privileges:
Jay Hortenstine, MD
Approved the following for limited acupuncture licensure:
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Nikita Olafare Abiwon
Approved the following for initial acupuncture licensure:
Seoung Jee
Deanna Stennett
Yazmin Valdes
Han-Lin Yang
Other Business:
1. Accepted as information the list of limited licensees and supervisors.
2. The Board determined that since Georgia law does not define nor recognize acupuncture assistant,
there is no scope of practice. An assistant would not be allowed to complete duties or tasks that
involved patient contact, which would be considered the practice of acupuncture.
3. The Board accepted the request for from Brittany Dirtzu to relinquish limited license.
PAIN MANAGEMENT COMMITTEE
Ms. Gardner presented the Pain Management Committee report as a motion. The Board accepted the
report by unanimous vote.
The Board took the following actions:
Approved the following for pain licensure:
Summit Spine & Joint Centers- Fort Oglethorpe
Athens Spine Center PC- Greensboro
Administratively approved applications:
License # Pain Clinic
379 Sugarhill Medical and Spine Center
ADD Practicing Physician, Bradford Gould
201 Consultants in Pain Medicine, LLC ADD PA, Courtney Calcote
ADD Practicing Physician, Monica Carrion-Jones
195 Care Medical Center
ADD APRN, Mi Hyun Choi
150,248,250,322,326 Alliance Spine and Pain Centers
ADD Practicing Physician, Priscilla Agbenyefia
428,515,516 Cleaver Medical Group
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ADD APRN, Elizabeth Sipple
Other Business:
The Committee accepted the order for Case No. 20220008.
GENETIC COUNSELORS ADVISORY COMMITTEE
Dr. Simmons presented the Genetic Counselors Advisory Committee report.
The Board took the following actions:
1. The Committee reviewed and discussed the email from Erica Beacon and requested to advise Ms.
Beacon that as long as she is licensed in Georgia, she can see patients in Georgia.
2. The Committee reviewed and discussed the email from ABGC regarding Active Candidate Status.
The following applications were approved:
Jaclyn Blakely
Jillian Carroll Lauren Grimes
Jennifer Jacober
Kathryn Miller
Madeleine Tjoelker – Temporary license
Amy Wells
Colleen Wherley
O & P ADVISORY COMMITTEE Dr. Bostock presented the O & P Advisory Committee report.
The Board took the following actions:
Approved the following applications for licensure:
Brian White – Dual O&P
Christopher Tracy – Dual O&P
Other Business:
The Committee approved the change to Rule 360-31-.01(2) regarding patient and referral source reference
forms and approved sending the change to the Rules Committee.
INVESTIGATIVE INTERVIEW REPORT Dr. Flint presented the Investigative Interview report as a motion and was seconded by Dr. Marshall. The
Board accepted the report unanimous vote. The Board took the following actions.
20201536 Close
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INVESTIGATIVE COMMITTEE The Investigative Committee report was presented as a motion by Dr. Gross, and was seconded by Dr. Flint. The
Board accepted the report unanimous vote. The Board took the following actions.
Close:
20200598 20200991 20201090 20210036 20210081 20210395
20210538 20210597 20210786 20211131 20211151 20211248
20211263 20211308 20211330 20211346 20211415 20211427
20211437 20211443 20211444 20211469 20211486 20211487
20211516 20211536 20211545 20211552 20211559 20211560
20211562 20211563 20211564 20211571 20211583 20211586
20211592 20211593 20211596 20211599 20211602 20211604
20211605 20211606 20211622 20211656 20220002 20220022
20220024 20220025 20220072 20220073 20220087 20220091
20220104 20220122
Letter of Concerns:
20200294 20201202 20211351 20211455 20211466 20211472
20211473 20211529 20211537 20211570 20211574 20211601
20220036 20220045
Further Investigation:
20201244
Invite for Investigative Interview:
20181087 20211039 20211479 20211623
Table
20210728 20220038
Referred to Attorney General’s Office
20192200 20210269 20211150 20211508
Peer Review
20211476 20211617
INITIAL COMPLAINT EVALUATIONS
The Board approved the following recommendations.
20220043 20220044 20220070 20220076 20220082 20220084
20220092 20220096 20220099 20220115 20220116 20220117
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20220121 20220131 20220132 20220139 20220141 20220142
20220154 20220155 20220167 20220168 20220170 20220174
20220176 20220179 20220184 20220186 20220190
RECUSALS Bostock Hearing – William Burnett, DO
REVIEW HEARING William Burnett, DO, requested a review hearing. David Stubbins, Assistant Attorney General, appeared
on behalf of the Board. Dr. Burnett had no representation. The Board members asked questions, then Dr.
Burnett responded. The Board voted to go into Executive Session to deliberate. Dr. Dalton declared the
meeting in Open Session. Dr. Marshall made a motion, seconded by Dr. Gross, to uphold the Initial
Decision of the Administrative Law Judge to revoke the license. Dr. Bostock recused.
LAW ENFORCEMENT ADVISORY REPORT The LEAR report was presented as a motion by Dr. Gross, and was seconded by Dr. Marshall, The Board
accepted the report by unanimous vote. The Board took the following actions.
1. S.A. – Release Records request
2. 20211065 – Further Investigation
3. 20200234, 20200279, 20200316 – Refer to AGs Office
There being no further business, motion Dr. Gross, seconded Dr. Marshall to adjourn the meeting at
4:45p.m.
__________________________________ ________________________________
Debi Dalton, MD LaSharn Hughes, MBA
Chairperson Executive Director
Recorded by:
________________________________________
Phyllis White, Executive Assistant