terminated nurse protocol agreements...terminated nurse protocol agreements aprn name rn# delegating...
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Terminated Nurse Protocol Agreements
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sanjay Lall, MD 95 Collier Rd, Suite 5015 Atlanta GA 30309-172157878RN116808Aaron, Stephanie 7/1/20112
Jaime Burkle, MD 309 Highland Pkwy, Suite 201 Ellijay GA 3053948881RN154956Abernathy, Kari Elizabeth 5/7/20129783
Albert Anderson, MD 341 Ponce deLeon Ave. Atlanta GA 3030858136RN141176Abon, Moradeke 8/24/201511082
Mohamad El-Attar, MD 1372 Wellbrook Cir NE Conyers GA 3001241286RN178502Abraham, Linda M. 11/30/20119546
Lynette Stewart, MD 3660 Flat Shoals Rd., Ste 180 Decatur GA 3003439681RN178502Abraham, Linda 4/16/201311113
Hodges, Sharon MD 1372 Wellbrook Circle Conyers GA 3001240759RN178502Abraham, Linda 3/30/201210470
Phillip Bannister, MD 603-A Old Norcross Rd Lawrenceville GA 3004516503RN178502Abraham, Linda M. 10/1/20105019
Thomas Seay, MD 5670 P'tree Dunwoody Rd, #1100 Atlanta GA 3034230884RN108696Abramson, Cara Michelle Rothfield 6/16/20145
Melissa Dillmon, MD 255 West Fifth St Rome GA 3016554073RN126710Acree, Lisa Pinkard 4/1/201512389
William Whaley, MD 750 Deep South Farm Rd Blairsville GA 3051211504RN126710Acree, Lisa Pinkard 9/25/20149
McCormick 501 Redmond Rd Rome GA 3016525219126710Acree, Lisa 12/11/201516688
Asit K. Jha, MD 1706 Alice St. Waycross GA 3150155248RN158173Adams, Angela D. 2/2/201611189
Knepp, Ira MD 1009 N. Monroe Street Albany GA 3170134002RN181346Adams, Sherida 4/30/201210276
Glenn Hittel, MD 150 Gentilly Blvd Cartersville GA 3012034159RN240230Adams, Jamie Elizabeth 7/15/201617603
Christopher Sward, MD 150 Gentilly Blvd Cartersville GA 3012045638RN240230Adams, Jamie E 7/15/201613737
James Bailey, MD 743 Spring St Gainesville GA 3050128368RN226384Adamski, Jennifer Lynn 4/30/201411645
Cullen Morris, MD 1270 Prince Ave, Suite 303 Athens GA 3060644285RN063419Adcock, Leslie Hollowell 9/18/200918
Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN161498Adegbuji, Omoronke Olufunmilayo 11/17/20097921
Saturday, January 21, 2017 Page 1 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Adrienne Mims, MD 477 Windsor St, Suite 309 Atlanta GA 3031233152RN175655Adeshigbin, Alaba Risikat 7/1/20138802
Mehmood Mehdi, MD 367 Athens Hwy, Ste 1050 Loganville Ga 3005257725RN202394Adeyemi, Afusat 2/20/201614765
Debra Houry, MD 49 Jesse Hill Dr SE, Emer Dept. Atlanta GA 3030350889RN175909Adeyemo, Oluwatoke Abidemi 8/25/201412805
Hany Atallah, MD 80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta GA 3030352678RN111866Adibe, Josephine Obiy 8/19/201513869
Saied Murphy, MD 1350 Montreal Rd., Ste 210 Tucker GA 3008439187RN201559Adjei, Vincentia Asantewah 1/9/201513714
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147420Adkison, Tasha Michele Cobb 7/1/20119555
Todd Robinson, MD 14 Cherokee Rd Cedartown GA 3012540773RN147420Adkison, Tasha Michele Cobb 1/21/20128747
Ashley C. Davis, MD 5555 Whittlesey Blvd, #L-1 Columbus GA 3190958161RN099501Affleck, Susan M. 6/6/201411467
Deronda Brown, MD 106 E. Broad St. Savannah GA 3141050079RN210974Afolabi, Wuraola B. 6/11/201617645
Francis Gonzalez, MD 677 Church St Marietta GA 3006057810RN205174Agbede, Olubunmi Omolola 5/11/201512794
Alan Wang, MD 1117 Perimeter Pkwy West, Ste N500 Atlanta GA 3038848017RN054192Agnew, Greta M Gilson 2/20/201515003
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN243650Ailes, Lisa Renee 6/6/201515167
Willis McVay, MD 501 East Long St Claxton GA 3041754833RN081701Akins, Katharine L Reeves 5/1/201425
Thomas Price, MD 5673 Peachtree Dunwoody Rd Atlanta GA 3034253367RN231437Akins, Scott 6/30/201514649
Sara Sambandham, MD 5673 Peachtree-Dunwoody Rd 5th floor Atlanta GA 3034264964RN231437Akins, Scott 1/8/201616127
Ault, Kevin MD 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, 4th floor
Atlanta GA 3030356403RN181184Akpan, Inemienyu 12/13/201210644
John Ogundipe, MD 2130 Anderson Mill Rd Austell GA 3010639193RN165259Alaka, Olushola 10/7/201515890
Jeff Donohue, MD 3755 Sixes Road, Suite 202 Canton GA 3014446540RN159786Albano, Jessica Lyn 3/24/20098248
James Palazzolo, MD 804 13th Ave Albany GA 3170737637RN174507Albritton, Amber Laine 6/10/201613022
Tom Vann Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN061053Alday, Vicky Lynn Whittington 11/1/201527
Saturday, January 21, 2017 Page 2 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Willard, Kim MD 101 Commerce Blvd, Ste l Barnesville GA 3020429123RN198438Alexis-Destin, Bernadette 10/1/201410891
Gwathney, Miriam DO 101 Commerce Place, Suite 1 Barnesville GA 3020463343RN198438Alexis-Destin, Bernadette 3/30/201210101
Nicole Nunga, MD 600 Parkway North Newnan GA 3026561580RN089463Aliffi, Kathy Jeanette Castille 9/18/201312338
Song Na, MD 4995 Lanier Islands Pkwy, Suite A Buford GA 3051838059RN077192Allen, Sonya A 4/17/201511761
Elizabeth Norwood, MD 2739 Felton Dr East Point GA 3034446192RN201380Allen, Carrie Boswell 11/16/201512926
Wallace Duncan, MD 2988 Shallowford Rd Marietta GA 30066-303341109RN222518Allen, Renai A 3/13/201512419
David Asrael, MD 2988 Shallowford Rd Marietta GA 3006651291RN222518Allen, Renai A 3/13/201512767
Husham Peter Mishu, MD 285 Boulevard, NE Ste #345 Atlanta GA 3031240740RN121276Allen, Aurelia 8/21/200939
Zulfiquar Bhatti, MD 1906 Warm Springs Road Columbus GA 3190948482RN162545Allen, Bryan Patrick 9/9/20088101
Meena J. Shah, MD 475 Philip Blvd, Ste 100 Lawrenceville GA 3004521464RN077192Allen, Sonya M. 5/10/201311499
Thomas Karisny, MD 170 Hospital Circle, Suite A Blairsville GA 3051250029RN077192Allen, Sonya M. 8/18/20107724
Herman Levy, MD 2500 Starling St, Suite 504 Brunswick GA 3152034010RN134633Allen, Vivian Lynn 8/10/20167821
Richard Morse, MD 2122 Manchester Expressway Columbus GA 3190442094RN162545Allen, Bryan Patrick 5/23/20148330
Raja Ram, MD 475 Phillip Blvd. Lawrenceville GA 3004539822RN077192Allen, Sonya M. 12/1/20129865
Kevin Fussell, MD 2500 Starling St, Ste 504 Brunswick GA 3152067298RN134633Allen, Vivian Lynn 7/5/201617344
Guilda Saint Fleur, MD 774 GA Hwy 96 Bonaire GA 3100569627RN184598Allen, Michelle Marie 6/24/201615834
Edgar Melendez, MD 9280 Hwy. 5 ste. A Douglasville GA 3013441167RN201380Allen, Carrie Boswell 8/15/201618500
Valens Plummer, MD 595 Piedmont Ave, Suite 100 Atlanta GA 3030849496RN155438Alleyne, Montrese Pitmon 8/30/201412539
Kabir Das, MD 231 Graefe St Griffin GA 3022462867RN198722Allicock, Alisa Natasha 9/30/201412255
Daron Ferris, MD 1423 Harper St Augusta GA 3091231593RN111386Allmond, Lynn Marie Downard 8/15/201555
Saturday, January 21, 2017 Page 3 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Trent Schueneman, MD 2927 Demere Rd Saint Simons Island
GA 3152251731RN087708RN087708
Alston, Marion 6/30/201615925
Takacs-diLoranzo, Eva MD 202 Lakeshore Drive, Ste A St. Marys GA 3155848859RN131761Altringer, Joanne May Gensel 9/1/20145027
Amanda Davis, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028150152RN195776Amankwah, Pearl Opokua 4/1/201412531
Venkatappa R. Rangaraj, MD 2795 Main St, West #27 Snellville GA 3007858633RN096082Amazon-Leece, Jody Lee 8/15/201411468
Richard Ambrozic, MD 3321-B N. Valdosta Rd Valdosta GA 3160243851RN141829Amerson, Keri Lynn 8/22/20149748
Kent Remley, MD 1665 Hwy 34E, Ste 100 Newnan GA 3026543462RN199493Amster, Lori Rae 2/11/201616891
James L. Chappuis, MD 3161 Howell Mill Rd. NW, Ste 400 Atlanta GA 30302729604RN199493Amster, Lori 5/28/201617560
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN201832Amukamara, Ernest U 5/23/201312081
Jay Schlossberg, MD 5820 Old National HWY College Park GA 3034919996RN201832Amukamara, Ernest U 7/10/201411791
James Criner, MD 7530 Roswell Road Atlanta GA 3035054179RN201832Amukamara, Ernest U. 10/21/20108733
Louis, Okiki MD 1762 Mars Hill Rd NW Acworth GA 3010147479RN135346Anaele, Caroline 11/8/201410893
Obiorah, Samuel MD 1009 3rd Avenue West Point GA 3183342379RN135346Anaele, Caroline 4/9/20129991
Jada Moore-Ruffin, MD 2121 Fairburn Rd., Ste B Douglasville GA 3013557395RN135346Anaele, Caroline Chika Obasi 7/1/201513339
Travan Jasper, MD 1762 Mars Hill Rd N W Acworth GA 30101-809145506RN135346Anaele, Caroline Chika 12/4/201414148
Xiaofeng Zhong, MD 100 Goshen Rd Rincon GA 3132669466RN222372Anders, Onitisha 9/21/201515404
Toni Sylvester, MD 110 Goshen Rd. Rincon GA 3132658933RN222372Anders, Onitisha Vondese 9/25/201515161
Edet Bassey, MD 1041 Talbotton Rd Columbus GA 3190744408RN154861Anderson, Christina Elaine 12/4/201311829
Sallu Jabati, MD 3722 Woodruff Road Columbus GA 3190658527RN154861Anderson, Christina Elaine 2/18/201412897
Fordham, Donald MD 865 Austin Drive, PO Box 308 Demorest GA 3053544718RN129289Anderson, Christa 1/15/201510538
Sima Dehghany, MD 216 Hospital Rd Cordele GA 3101562494RN115669Anderson, Geraldine Jackson 8/31/20119709
Saturday, January 21, 2017 Page 4 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Greene, MD 590 Historic Hwy 441 North Demorest GA 3053532741RN149791Anderson, Tabatha Peavy 8/13/20138206
Yvonne Smith, MD 1227 Rock Bridge Rd Stone GA 3008742443RN251022Anderson, Camrin 8/23/201616339
Lionel Bryan, MD 1007 Mary St Waycross GA 3150122725RN162692RN162692
Anderson, Sandra 4/1/201515039
Eric Friedrich, MD 227 Merchants Way Brunswick GA 3152516344RN149756Anderson, Kymberly Dawn 5/25/201616770
David Sydner Lockman, MD 728 Cobb Street Athens GA 3060663798RN176811Anderson, Letitia Belinda 1/22/201613067
Muhammad Alam, MD 3015 Veterans Pkwy Moultrie GA 3178869167RN122052Anderson-Parris, Mary Ann 1/24/201512357
Dorothy Stewart, MD 325-A North Cobb Street Milledgeville GA 3106146565RN154122Andrews, Regina Lynn 4/12/20088129
Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN154122Andrews, Regina Lynn 5/3/20138227
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN169747Andrews, Rachel 9/14/201616280
Paul Bradley, MD 340 Eisenhower Dr, Suite 1200 Savannah GA 3140630016RN176262Angstadt, Joanne Fitzgerald 11/6/20097954
Ephraim Ahanonu, MD 611 Monroe St Macon GA 3120148749RN205267Aninwene, Joy Chizobam 7/25/20129529
Christopher Stevens, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004454515RN113842Anom, Aileen Michelle 7/27/20098387
Blumer, John MD 3222A Shrine Road Brunswick GA 3152053101RN046318Ansley, Diane 1/5/201410077
Lisa Ruschak, MD 1022 Miller Lane SW Darien GA 3130559956RN046318Ansley, Diane H 6/10/201685
Robert Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN183722Anthony, Charmaine Simone 7/17/20148209
Charles Roman, DO 2737 Warm Springs Rd, Suite B Columbus GA 3190443757RN091472Antinoro, Gloria Taff Hicks 9/24/20109259
Nagnur, Shreedhar MD 600 West Memorial Drive Dallas GA 3013249192RN156181Anyanwu, Justina 6/7/201310540
Broadney, Michlene MD 1279 Hwy 54 West, Ste 220 Fayetteville GA 3021455207RN211693Apke, Jennifer 6/30/201210185
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN185422Appiah-Kubi, Mavis 8/25/20098415
Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN185422Appiah-Kubi, Mavis 5/29/20097977
Saturday, January 21, 2017 Page 5 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN185422Appiah-Kubi, Mavis 7/31/20108916
Isioma Okwumabua, MD 3003 Old Alabama Rd Alpharetta GA 3002270256RN151189Arabshahi, Farnaz 11/14/201413931
Richard Loyd, DO 601 A Professional Dr. Lawrenceville GA 3004537446RN124097Archer, Holly Lynn Hargrove 11/1/200793
Alice House, MD 100 College Station Dr. Macon GA 3120643065RN070092Ard, Cheryl Jean 3/4/201615152
Upshaw,Thomas MD 1968 Peachtree Road NW Atlanta GA 3030937716RN183299Armand, Jean 1/7/201510529
Thomas DeMaro, DO 710 Center St, Emer Dept Columbus GA 3180158665RN183299Armand, Jean Marie 5/1/201412401
Kory Vaughn, MD 745 Poplar Rd Newnan GA 3026569457RN183299Armand, Jean Marie 4/1/201614282
Jamie Walraven, MD 1275 Hwy 54 W, Ste 201 Fayetteville GA 3021445023RN183299Armand, Jean Marie 9/1/201614055
Kristy Levarity-Conley, MD 1418 Scott Boulevard Decatur GA 3003063709RN183299Armand, Jean Marie 10/14/201618692
Jacalyn Gilbert-Green, DO 1418 Scott Blvd. Decatur GA 3003074801RN183299Armand, Jean Marie 7/31/201618066
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN200896Armstrong, Helen Victoria 1/1/20108783
Kenneth Taylor, MD 275 Collier Rd, Suite 500 Atlanta GA 3030938985RN176012Armstrong, Lisa Kristen 2/18/201397
Schramm, Charles Steven MD
993F Johnson Ferry Road, Ste 210 Atlanta GA 3034229944RN176012Armstrong, Lisa 6/2/201410460
Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN126964Arp, Michelle Aimee 6/30/20165033
Alicia Hopkins, DO 2800 Overlook Pkwy Atlanta GA 3033966506RN170388Asa, Michele 7/30/201413521
Alicia Hopkins, DO 2800 Overlook Pkwy Atlanta GA 3033966506RN170388Asa, Michele 4/5/201413081
William Raisig, MD 64 Call-Wright Road Ellijay GA 3054055290RN142933Asher, Sue 5/23/20088094
Paul Cox, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051349762RN142933Asher, Sue 6/1/20109009
Kitasha Bumey, MD 3885 Princeton Lakes Way Atlanta GA 3033155931RN198848Ashu, Lyna 6/17/201614556
Sharon Steele, MD 601-A Professional Drive, Suite 370 Lawrenceville GA 3004529795RN083491Aspinwall, Susan Elena Gilstrap 7/25/2014108
Saturday, January 21, 2017 Page 6 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Nichole LeBoyd, MD 3003 Old Alabama Rd Alpharetta GA 3002254452RN150271Astles, Colleen Anne 4/12/20147868
Pablo Perez, MD 2510 Redmond Cir N W Rome GA 3016547502RN191965Atchley, Torrey 11/6/201414607
Craig Campbell, MD 464 W 3rd St, Ste 111 Jackson GA 3023369773RN194301Atigbi-Hansen, Jueth 9/24/201618634
Venkatappa Rangaraj, MD 2795 Main St. W, Ste 27 Snellville GA 3007858633RN194301Atigbi-Hansen, Jueth 5/31/201613942
Paul Allen, MD 2795 Main St.W, Ste 27 Snellville GA 3007828490RN194301Atigbi-Hansen, Jueth 5/31/201615065
Joseph Joyave, MD 100 Market Place Blvd, #201 Cartersville GA 3012143977RN157938Atkins, Letisha Nicole 7/20/20128543
William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN123829Atkinson, Denise F 12/15/201412781
Bhumiben Purohit, MD 50 Barrett Pkwy Marietta GA 3006658812RN174546Augereau, Cynthia Lindsay 10/12/20108922
Elizabeth Littlefield, MD 11720 Medlock Bridge Rd, Suite 170 Johns Creek GA 3009736397RN206701Augestad, Allison Brooke 2/18/201513542
William Almon, MD 5755 North Point Parkway, Ste 72 Alpharetta GA 3002230938RN206701Augestad, Allison 9/18/201514496
Jane Ellis, MD 69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor
Atlanta GA 3030344208RN181184Augustine-Akpan, Inemienyu N 1/16/201511979
Brown, Beverly MD 477 Windsor St SW, Ste 309 Atlanta GA 3031242534RN181184Augustine-Akpan, Inemienyu 7/25/201210408
McCord, Charles MD 3345 Hwy 34E, Ste 102 Sharpsburg GA 3027739409RN181184Augustine-Akpan, Inemienyu 12/24/201410444
William Sightler, DO 195 N Broad St Alamo GA 3041134715RN121276Aurelia, Allen 6/14/201215997
Zemsky, Lynn MD 340 Kennestone Hospitl Blvd, Ste 100 Marietta GA 3006051281RN113740Auriemma, Kimberly 6/8/201210170
Gena Volas-Redd, MD 340 Kennestone Hospital Blvd Marietta GA 3006045356RN113740Auriemma, Kimberly Anne Wood 10/31/2011112
Debra Miller, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010641898RN187723Austin, Jennifer Chipps 8/15/20118620
David Van, MD 747 S. Hill St Griffin GA 3022429545RN128161Austin, Barbara Renell Clark 6/1/20119846
Epps, Douglas MD 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 3028148349RN128161Austin, Barbara 8/20/201210564
John Schilling, MD 1200 N Jefferson St. Albany GA 3170128883RN195200Austin, SeKeithia Sims 6/22/201515941
Saturday, January 21, 2017 Page 7 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN123161Bachtel, Mary Kathleen Jones 1/16/201511719
William Little, MD 6175 Newton Drive Covington GA 3001424288RN123161Bachtel, Mary Kathleen Jones 10/25/2012122
George Palmer, MD 1012 Bremuda Run Rd Statesboro GA 3045830658RN203478Bacot, Brittany 1/30/201511929
Pradeep Jolly, MD 1100 Johnson Ferry Rd, Ste 600 Atlanta GA 3034222798RN089038Badnin, Martha Ellen 8/22/20169946
Joseph Lesesne, MD 1100 Johnson Ferry Rd, #600 Atlanta GA 3034229712RN089038Badnin, Martha Ellen 12/31/2010125
Jorge Spinolo, MD 698 Duluth Hwy, Ste 201 Lawrenceville GA 3004636016RN089038Badnin, Martha Ellen 8/26/201617200
Seward, James MD 200 Industrial Blvd ER Dublin GA 3102127247RN159515Baggett, Krystal 3/31/201410067
Leslie Cottrell, MD PO Box 658 Mt. Zion GA 3015045194RN065906Baggett, Patricia Robin 6/14/2013126
Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN089010Baggs, Florence Oralee 8/26/20119368
Badea, Calin MD 213 N. McDonald Street, Suite A & B Ludowici GA 3131655918RN089010Baggs, Florence 8/15/201610058
David Dillard, MD 1000 Hawthorne Avenue, Suite O Athens GA 3060640364RN078685Bagwell, Kristy Sue 7/30/2009128
Alan Wang, MD 601 Northholt Pkwy Suwanee GA 3002448017RN078685Bagwell, Kristy Sue 4/30/201514016
Heywood K. Gay, MD 961 E. Winthrope Ave. Millen GA 3044238768RN092042Bailey, Jean M. 8/31/201411365
Prakul Chandra, MD 961 East Winthrope Ave Millen GA 3044266006RN092042Bailey, Jean Marie 12/18/201513863
William Grow, MD 203 Woodrow Wilson Dr Valdosta GA 3160213752RN073825Bailon, Melva Curameng Blanquera 8/6/201412388
James Gore, Jr, MD 1657 N. Expressway Griffin GA 3022336384133680Bain, Judy 4/11/201616713
Robert Wilson, MD 308 Bedell Ave Woodbine GA 3156938133RN051587Baird, Kim Andrea Timmerman 10/17/2015133
Dennis Thomas, MD 209 East 4th St Woodbine GA 3156922898RN051587Rn051587
Baird, Kim 6/8/201614453
Cheryl Jones, MD 308 Coliseum Dr., Suite 120 Macon GA 3121734865RN078399Baker, Karen Marie 7/24/20085486
Victoria Afshani, MD 1000 Cowles Clinic Way, Suite M-200 Greensboro GA 3064255214RN078399Baker, Karen Marie 9/25/20148340
Saturday, January 21, 2017 Page 8 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Terry Greene, MD 130 Magnolia Lane Cornelia GA 3053132741RN146348Baker, Chester Riley 12/14/20158727
Thomas A. Buice, MD 102 Swatts Street Barnesville GA 3020451758RN097754Baker, Tracey Lea Lewis 2/28/2011142
Frederick Moore, MD 663 Lanier Park Drive Gainesville GA 3050122254RN146348Baker, Chester Riley 9/1/2009135
Ellen Courson, MD 3811 Old US Hwy 41 North Valdosta GA 3160234089RN072455Baker, Vanessa Young 3/16/20118615
W. Merrill Hicks, Jr., MD 334 Smith ave Thomasville GA 3179238251RN072455Baker, Vanessa Young 10/31/20129273
Robert Deimler, DO 3555 Centerville Hwy, Suite 100 Snellville GA 3003938728RN190935Baker-Janis, Victoria M 6/10/201411734
Hai Trinh, MD 2118 Scenic Hwy, Suite H Snellville GA 3007855991RN190935Baker-Janis, Victoria M. 4/16/20129917
Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN190935Baker-Janis, Victoria M. 2/15/20139910
Noreen Andrews, MD 2380 Buford Dr, Suite 201 Lawrenceville GA 3004346861RN190935Baker-Janis, Victoria M 1/2/20118577
Smith, Harmon MD 1080 Green Street S.W. Conyers GA 3001241486RN190935Baker-Janis, Victoria 2/28/201310271
Mark Elam, MD 100 Medical Center Blvd, Suite 290 Lawrenceville GA 3004636147RN190935Baker-Janis, Victoria M 5/11/201513692
William Stuart, MD 3200 Downwood Circle, Ste 550 Atlanta GA 3032712645RN124698Baker-Newsholme, Beverly 8/23/201616855
Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN107598Ballard, Linda Kozak 4/25/201611887
Jeanne Boudreaux, MD 5455 Meridian mark Rd, Suite 400 Atlanta GA 3034243559RN107598Ballard, Linda Kozak 4/1/2013147
Carlos Franco, MD 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 3000523733RN107100Balun, Brooke Poindexter 9/25/2014149
Gary Fischer, MD 10200 Ford Ave, Ste 101 Richmond Hill GA 3132457804RN220937Banasik, Stephanie Eileen 2/3/201615762
Milanieva Latorre, MD 643 Main St. Palmetto GA 3026838032RN230719Bandell, Jaclyn Marie 9/30/201514985
Hope Hamilton-Rodgers, MD 330 Turner McCall Blvd, Suite 306 Rome GA 3016553548RN194007Banerjee, Pamela Mouhot 12/15/20108132
Palmore, Melody MD 341 Ponce de Leon Avenue Atlanta GA 3030833679RN147934Bangurah, Saphie 12/4/201310064
Christopher Mathews, MD 100 Goshen Rd Rincon GA 3132649133RN144607Banister, Anna Lee 6/1/20129772
Christopher DeLisle, DO 7306 Hwy 21, Suite 105 Pt. Wentworth GA 3140761961RN144607Banister, Anna Lee 1/26/20129774
Saturday, January 21, 2017 Page 9 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Cornwell, MD 3 Hidden Creek Guyton GA 3031250608RN144607Banister, Anna Lee 12/3/20159773
John Bennett, MD 7306 Hwy 21, Suite 105 Pt Wentworth GA 3140753838RN144607Banister, Anna Lee 12/23/201412946
Ramualdo Laygo, MD 1451 Hwy 21 South, Ste H Springfield GA 3132917843RN144607Banister, Anna Lee 12/23/201413527
Sarita Mobley, MD 1787 Broad St Lumpkin GA 3181546872RN140148Banks, Meredith 1/8/201616228
Mihaela Saler, MD 1350 Walton Way Augusta GA 3090166316RN169953Banks-Blades, Paulette Rena 12/16/201311888
Penix, LaRoy MD 1315 Jesse Jewell Pkwy Ste 300 Gainesville GA 3050149080RN198626Banner, Laura 6/23/201410277
Oladapo Fawihe, MD 811 13th St., Ste 11 Augusta GA 3090143608RN185747Bannister, Brandis K Singleton 5/1/201613340
Mariamma George, mD 3872 Hwy 5 Douglasville GA 3013523734RN232928Banugaria, Bhumika 9/9/201616632
Eduard Docu, MD 102 Bryan Woods Road Savannah GA 3141056426RN120593Baran, Susan Lorraine 11/1/2008153
Willard Hearin, MD 761 Old Norcross Road Lawrenceville GA 3004523604RN047021Baraona, Laura K 1/7/20105039
Stephen Dawkins, MD 535 North Central Avenue Hapeville GA 3035433066RN135629Barber, Ronald Blake 5/30/2009155
Barry Morgan, MD 1755 Hwy 34, Suite 2150 Newnan GA 3026525554RN135629Barber, Ronald Blake 2/5/20168601
Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 11/17/2010520
Bradley Ward, MD 97 Church St Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 10/15/20129688
Christopher Morgan, MD 549 B Bullsboro Dr, Ste B Newnan GA 3026566151RN135629Barber, Ronald Blake 2/5/201617041
Catherine Martin, MD 2630 Rockmart Hwy Cedartown GA 3012554826RN089020Barber, Babette 7/6/201515481
Karen Muro, MD 497 Winn Way, Ste A 210 Decatur GA 3003037304RN108439Barkhaus, Corby Lynn 11/6/201514823
William Paxton, MD 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville GA 3004646206RN108439Barkhaus, Corby Lynn 11/6/201516678
Thomas Hatchett, MD 870-A Austin Dr Demorest GA 3053536984RN119659Barlowe, Brenda Jane Harvel 9/3/20155040
John Schilling, MD 290 Country Club Dr Stockbridge GA 3028130880RN096995Barnard, Angela C. 7/25/20129667
Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN105904Barnes, Susan McGraw 10/1/20088128
Saturday, January 21, 2017 Page 10 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Shannon Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN105904Barnes, Susan McGraw 7/5/201311646
S Joe Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN105904Barnes, Susan McGraw 5/1/201512202
William Harper, MD 1021 Talbotton Rd Columbus GA 3190420726RN241927Barnes, Abby S 12/7/201513861
Thad Riley, MD PO Box 957 Statesboro GA 3045928637RN060037Barnett, Connie J. 4/29/20168371
William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN147543Barnett, Tammy Lynn 2/4/20119074
Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN147543Barnett, Tammy Lynn 6/23/2009163
Richard Schwartz, MD 1120 15th St, Ste AF-2044 Augusta GA 3091242935RN143515Barrett, Nadine JF 8/1/20119938
Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN143515Barrett, Nadine Janice Fearon 8/1/20119152
Powell, Eric MD 82 College Circle, Room 107 HNS Dahlonega GA 3059749081RN080586Barrett, Karen 5/1/201210666
Sinan Haddad, MD 1250 Jesse Jewell Pkwy, Ste 400 Gainesville GA 3050156455RN080586Barrett, Karen Lee 4/22/20149981
Robert Burkich, MD 148 Cobb Parkway Ringgold GA 3073646372RN129513Barrett, Dena 7/31/201515846
Mark Elam, MD 91 4th Street Trion GA 3075336147RN093282Barrett, Patricia Annette Tinney 1/9/201513414
Roshan Shrestha, MD 1968 Peachtree Road NW Atlatna GA 3030956765RN128594Barrett-Brown, Angela Dian 12/16/20088325
Najaz Woods-Bishop, MD 1510 Hudson Bridge Rd. Stockbridge GA 3028158350RN140084Barrington, Elizabeth C. 5/11/2014168
Harrison Stetler, MD 3957 Holcomb Bridge Road S, Ste 100 Norcross GA 3009241681RN140084Barrington, Elizabeth 10/1/201210762
Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN156491Barry, Amy Elizabeth Gartner 11/30/20091061
Josephina Tan, MD 106 East Broad St Savannah GA 3140119193RN212817Barstow, Pamela 7/22/201616432
Todd Cooper, DO 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta GA 3032261411RN221390Bartock, Dawn Jennifer 12/31/201411916
Shawn Jobe, MD 1405 Clifton Rd., NE Atlanta GA 3032260143RN221390Bartock, Dawn J. 2/25/201311287
Hulse, Michael MD 10515 Bells Ferry Road, Ste 200 Canton GA 3011440695RN144473Basham, Carson 7/25/201210171
Jerry Purvis, MD 520 Griffin Ave Valdosta GA 316019235RN128236Bass, Pollyanna Marie 4/14/2014174
Saturday, January 21, 2017 Page 11 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Renaldas Smidtas, MD 4002 North Oak St Ext Valdosta GA 3160241959RN128236Bass, Pollyanna Marie 8/31/201413126
Jarod Bailey, DO 2412 N. Oak St. Valdosta GA 3160265929RN128236Bass, Pollyanna Marie 7/7/201514049
Craig Bishop, DO 2412 N Oak St Valdosta GA 3160245725RN128236Bass, Pollyanna 2/10/201615981
Scott Leibowitz, MD 5673 Peachtree Dunwoody Rd, # 775 Atlanta GA 3034253477RN090604Batson, Anne 2/21/201412167
Henry Lewis, MD 1990 Limestone Circle, Suite 100 Gainesville GA 3050149052RN087170Battle, Debra Kaye 6/30/20108339
Jabez Marshall, MD 205 Rees St, Ste A Americus GA 3170913066RN036923Battle, Juanita 4/11/201514441
Robert Hall, MD 231 Graefe St. Griffin GA 3022445234RN230516Bauch, Marie Lynn 2/9/201513623
Mary East, MD 300 Cherokee Pl Cartersville GA 3012163187RN168400Baughman, Diana Marie 6/10/20109022
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN168400Baughman, Diana Marie 2/4/20108364
Jeffrey Esslinger, MD 300 Courtyard Dr, Suite A Cartersville GA 3012045455RN168400Baughman, Diana Marie 2/14/20139243
Frank Mott, MD 1411 Laney Walker Blvd. Augusta GA 3091270674RN176760Beagles, Rebekah 5/13/201615023
Avril Beckford, MD 1810 Mulkey Road, Suite 201 Austell GA 3010635814RN129550Bean, Heather Michelle 1/1/2013183
Robert Shiver, MD 48 US Hwy 19 South Camilla GA 3173017489RN159427Beasley, Kitty Marie 12/8/20108528
Vishwas S. Sakhalkar, MD 770 Pine St., #520 Macon GA 3120166808RN224465Beauchamp, Hannah Rebecca 9/27/201311590
Raymond McKoy, DO 2510 Redmond Cir NW Rome GA 3016544536RN207208Beck, Jeremy Wayne 7/12/201614626
Dan Ioanitescu, MD 940-C Hwy 96 Warner Robins GA 3108851476RN066734Becker, Deborah A. 8/6/20128475
Gariat Ajayi, MD 250 North Ave Athens GA 3060147776RN066734Becker, Deborah A 5/1/201614200
Rubina Sial, MD 311 Gwinnett Dr. Lawrenceville GA 3004663600RN066734Becker, Deborah A 10/21/201413484
Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN225162Becklenberg, Amy M 2/19/201411985
Yulianty D. Kusuma, MD 130 Stephenson Ave, #102 Savannah GA 3140661279RN132814Beckworth, Jill K. 3/31/201411539
Christopher Oldfield, MD 1326 Eisenhower Drive Savannah GA 3140646195RN132814Beckworth, Jill Katrice 7/31/2010188
Saturday, January 21, 2017 Page 12 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Marc G. Amaya, MD 88954 Hospital Dr. Douglasville GA 3013447181RN182810Beddard, Crystal P. 3/13/201311493
Yolanda Hacker, MD Take Care Clinic, 5985 Peachtree Pkwy Norcross GA 3009245811RN182810Beddard, Crystal Patrice 3/26/201411772
Michael Burke, MD 2849 B Henderdon Mill Rd Atlanta GA 3034154798RN182810Beddard, Crystal Patrice 1/28/201514615
Andrew Helfgott, MD 1120 15th Street, Suite BA-7410 Augusta GA 3091255953RN046188Bedingfield, Amy P 5/20/2011189
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN105146Beelman, Lynne Ann 7/16/20128850
Kevin J. Smith, MD 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 3014441961RN105146Beelman, Lynne Ann 9/30/2009192
Yvonne Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN105146Beelman, Lynne 2/7/201311050
Arlauskas, Vincent MD 2500 Starling Street, Ste 201 Brunswick GA 3152048408RN222369Bell, Shannon 10/1/201210917
Kevin Lokkesmoe, MD 4328 Armour Rd Columbus GA 3190432941RN169682Bell, Melissa Bradley 6/24/201412208
Ronnie Hendrix, MD 4835 Sugarloaf Pkwy Lawrenceville GA 3004524690RN076464Bell, Gilbert Lawrence 11/30/201514271
George L. Smith III, MD 4166 A Newton Drive Covington GA 3001421816RN127670Bellamy, Virginia Elizabeth 6/27/201413068
Delquis Mendoza, MD 3073 Panthersville Rd Decatur GA 3003440486RN119661Bellamy, Dene Ruth 6/10/201613563
Richard Ambrozic, MD 3321-B N Valdosta Rd Valdosta GA 3160243851RN201410Bellinger, Susan Elise 7/1/201412769
Kathryn Elmore, MD 497 Winn Way, Ste A-210 Decatur GA 3003055942RN204236Bello, Nicole Sade 9/11/201616679
Maria Walker, MD 2521 Piedmont Rd NE Atlanta GA 3032425306RN250155Belouche-Clavo, Renato Miguel 4/28/201617349
Christopher Doerr, DO 108 Park Ave Athens GA 3060134578RN124223Beltran, Beverly E. 7/23/20119905
Ronald Forehand, MD 370 River Road, Univ Health Center Athens GA 3060222760RN124223Beltran, Beverly E. 1/1/2010433
Raymond McKoy, DO 18 Riverbend Dr Rome GA 3016144536RN124223Beltran, Beverly 7/1/20149926
Shameka McElhaney, MD 7530 Roswell Road Atlanta GA 3035054854RN124223Beltran, Beverly E. 4/25/20118906
Amber Zafar, MD 1735 S Hwy 27 Carrollton GA 30117-894147384RN124223Beltran, Beverly 8/8/201515844
Saturday, January 21, 2017 Page 13 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Andre McShan, MD 7828 River Rd Waynesboro GA 3083054869RN149999Bembry, Earl Dan 9/1/20119758
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN230334Bendall, Misty Leigh 10/8/201312770
Kimbley Brown-Gullatt, MD 1600 Fort Benning Rd Columbus GA 3190355549RN2303344Bendall, Misty Leigh 6/6/201414217
Walisa Maynard, MD 677 Church St, Bldg 310 Marietta GA 3006050658RN172939Bender, NaToya Nicola 11/1/201312048
Alison E. Krause, MD 404 Hospital W Dr. Austell GA 3010640443RN172939Bender, Natoya N. 5/16/201311622
John Ogundipe, MD 2130 Anderson Mill Rd Austell GA 3010639193RN172939Bender, NaToya 10/7/201515649
Marc Coan, MD 58 Big A Rd Toccoa GA 3057733295RN144863Bennett, Jennifer SuAnne 4/9/20149374
Bryan Sleigh, MD 200 Industrial Blvd Dublin GA 3102150995RN237110Bennett, Carrie Heather 11/4/201616723
Darshana Sheth, MD 3822 Roswell Rd, Ste 12 Marietta GA 3006258642RN237110Bennett, Carrie 11/15/201615950
John Ogundipe, MD 2130 Anderson Mill Rd Austell GA 3010639193RN252499Bennett, Shirene Mera 6/10/201616889
Michael Gladson, MD 3877 Morris Ct Norcross GA 3009221506RN110079Benson, Ellen Mary 7/25/2012211
Dennis O'Brien, MD 3877 Morris Court Norcross GA 3009225893RN110079Benson, Ellen Mary 4/20/20139705
Dennis O'Brien, MD 4151 Memorial Dr, Ste 105 Decatur GA 3003225893RN110079Benson, Ellen Mary 2/10/201616779
Walter Hill, MD 345 Blvd NE, Ste 100 Atlanta GA 303129835RN110079Benson, Ellen Mary 3/31/201513945
Sandy Jun, MD 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 3032837005RN093585Benston, Janna Marie Langemo 7/20/2015212
Guilherme Cantuaria, MD 960 Johnson Ferry Rd, Suite 130 Atlanta GA 3034265227RN212018Bent, Octavia Lenora 10/10/201412692
Clementine Solares, MD 1120 15th St., Ste BP-4109 Augusta GA 3091262082198940Bentley, Heather 7/1/201616511
Ou, Mike MD 1125 East Highway 166 Bowdon GA 3010853301RN113194Berg, Shawna 6/10/201310256
Thomas Comstock, MD 802 Dixie St Carrollton GA 3011719151RN113194Berg, Shawna Marie Aukerman 2/9/201512197
Gaye Haynes, MD 2906 Franklin Parkway Franklin GA 3021749696RN113194Berg, Shawna 6/1/201311114
Derrell Anglyn Jr., MD 55 Sims St McDonough GA 3025324198RN242003Berglin, Allison Kate 10/12/201515444
Saturday, January 21, 2017 Page 14 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Zenobia Day, MD 2600 Martin Luther King Jr Dr SW, Suite 100
Atlanta GA 3031161959RN175534Berglund, Molly Kathryn 1/29/201512614
Charlene Wood, MD 2600 Martin Luther King Jr Dr SW, Ste 100Atlanta GA 3031166879RN175534Berglund, Molly 12/24/201516348
Cindy Freed, DO 6135 Roosevelt Hwy Warm Springs GA 3183045791RN158389Berry, Marian Adale 8/9/20108592
Warren, Brandi DO 44 11th St SW Moultrie GA 3176861681RN164502Berry, Jennifer 8/20/201610857
Roy Jefferson, MD 6135 Roosevelt Hwy, PO Box 1000 Warm Springs GA 3183041443RN158389Berry, Marian Adale 3/15/20097909
Allen Jones, Jr, MD 6135 Roosevelt Hwy Warm Springs GA 3183032214RN158389Berry, Marian Adale 8/30/20139458
Cindy Freed, D.O. 6135 Roosevelt Highway Warm Springs GA 3183045791RN158389Berry, Marian Adale 1/31/201512066
Vincent Brawley, MD 1350 Walton Way - 3rd Floor Augusta GA 3090133283RN042166Bertucci, Rosalee C 7/1/2016220
John Reed, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635506RN168372Bhakta, Mayuri Ashok 3/16/201512285
Alli, Renee MD 11 Dunwoody Park, Ste 190 Dunwoody GA 3033851424RN214759Bhimani, Anila 3/31/201610065
Kevin Lokkesmoe, MD 4328 Armour Rd Columbus GA 3190432941RN219355Bibisi, Lucy 10/1/201516206
Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN069002Bird, Patricia Anne Keesee 11/1/2010226
Lisa Miller, MD 4152 Baker Street NE Covington GA 3001438874RN102177Bishop, Joy Elaine Miller 6/18/2013228
Lasonya Roberts, MD 340 Kennestone Hosp Blvd, Suite 150 Marietta GA 3006052818RN184335Bishop, Diana Rogers 4/26/20139814
Prakash Desai, MD 1664 Mulkey Road Austell GA 3010618482RN094302Bivins, Laurie Eileen 5/11/2015231
Charles Cowart, MD 1101 Ocilla Rd Douglas GA 3153329161RN191831Bixler, Linda 8/10/201515382
Neil Gladstone, MD 295 Molly Lane Ste, 150 Woodstock GA 3018916917RN232904Black, Gidget 10/1/201516213
Bozeman K. Sherwood, MD 447 North Belair Road Evans GA 3080926379RN173529Blackburn, Carol A 5/1/201511246
Kashif Ahmed, MD Eagle's Landing Family Practice, 2200 Hwy 155 Nort
McDonough GA 3025261547RN184648Blackmon, Ashley 3/22/201311355
Williams, Ande MD 166 Snapfinger Woods Drive Decatur GA 303522081RN148923Blackwell, Jane 7/25/201210066
Saturday, January 21, 2017 Page 15 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lathan Overstreet, MD 36659RN148923Blackwell, Jane Marie Breen 6/30/20165057
Wayne Bloodworth, MD 6794 Bill Carruth Pkwy Hiram GA 3014118124RN244330Blackwell, Christian 8/7/201515724
Wyatt, David MD 9925 Haynes Bridge Road Alpharetta GA 3002242979RN164653Blaesser, Marian 12/15/201210611
Lloyd Rimer, MD 3541Chattahooga Rd Tunnel Hill GA 3075530665RN169896Blair, Timothy 8/26/201615556
Carl Lindblad, MD 4700 battlefield Pkwy Ste. 150 Ringgold GA 3073622163RN169896Blair, Timothy Robert 11/25/201413806
Randy Robinson, MD 1507 Broomtown Rd Lafayette GA 3072835987RN169896Blair, Timoth Robert 2/1/201615284
Amanda Cowan, MD 5 Executive Circle Savannah GA 3140650793RN183563Blakey, Mary Jo Christrine 12/22/201515317
Debora Quigley, MD 2257 Hwy 515, Ste B Blairsville GA 3051236601RN149435Blalock, Jamie Rivkin 4/22/201512901
Thomas Gary, MD 123 Weaver Roaad, Ste A Blairsville GA 3051260264RN149435Blalock, Jamie 8/29/201210911
George Capo, DO 1007 Memorial Dr Griffin GA 3022442539RN164599Bland, Loren Copeland 5/1/20119201
Hitson, Charles MD 231 Graefe Street Griffin GA 3022326554RN164599Bland, Loren 11/22/201310388
William Kriegel, DO 3405 SW Dallas Hwy, Suite 505 Marietta GA 3006431962RN105484Blankenship, Kimberly Jo 11/29/20115060
Arvind Gupta, MD 3207 Country Club Dr, Suite 2010 Valdosta GA 3160533344RN093010Blanton, Carla Arlene Gustin 2/4/20119311
Stephen Zeigler, MD 2330 North Ashley St Valdosta GA 3160335174RN093010Blanton, Carla Arlene Gustin 2/16/20129869
Guillermo Saurina, MD 201 Pendleton Dr. Valdosta GA 3160548570RN093010Blanton, Carla Arlene Gustin 7/27/2010244
Edward Meier, MD 2112 Shorter Avenue, Suite 200 Rome GA 3016543426RN039694Blevins, Joann H 9/16/2016245
Mahmood Ahmed, MD 231 Graefe St Griffin GA 3022442008RN106260Blow, Catherine Ann 2/9/201512225
Michael Deen, MD 143 Hwy 32 By-Pass Alma GA 3151058459RN169897Boatright, Amanda Lee 5/20/201512790
Jonathon Allen, MD 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 3074256949RN234875Boddy, Alexis Nicole 11/1/201414009
Julian McLendon, Jr., MD 1502 West 3rd St Jackson GA 3023338557RN149754Boggs, Heather Marie 10/1/20119746
Wu, Changchun MD 65 Old Jackson Road McDonough GA 3025261537RN149754Boggs, Heather 10/1/201110081
Saturday, January 21, 2017 Page 16 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Mohamad El-Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN053871Bogle, Regina Lynette Chupp 11/30/2011251
Kunz, David MD 1655 Lebanon Road, Suite A Lawrenceville GA 3004329703RN063667Bohn, Joy Page 8/17/201310004
Sasa Strunjas, MD 1915 Eisenhower Dr Savannah GA 3140666426RN151817Boles, Shaheedah 12/6/201211323
Magdi Hanafi, MD 5673 Peachtree Dunwoody Rd, #750 Atlanta GA 3034219269RN200066Bolger, Angela Y. 3/31/20098442
Ceylon Rowland, MD 3855 Pleasant Hill Rd, Suite 210 Duluth GA 3009652202RN200066Bolger, Angela Y. 11/12/20108821
Raymond Easley, DO 555 Old Norcross Rd, Suite 100 Lawrenceville GA 3004620987RN200066Bolger, Angela Y 5/1/201512586
Bennie Brown, MD 555 Old Norcross Rd, Ste 100 Lawrenceville GA 3004665055RN200066Bolger, Angela 12/2/201414561
Jonathan Ehrlich, MD 993-D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN176585Bolton, Margaret Lynne 6/8/20085063
Donald Fordham, MD 865 Austin Dr Demorest GA 3053544718RN134351Bolton, Kasey Lynn Armour 1/12/2015256
Daniel Sims, MD 1365 Clifton Rd., Ste A2115 Atlanta GA 3032257323RN135828Bolton-Harris, Elizabeth 10/20/201311062
Cynthia Jane Libert, MD 48 Haralson Place, Ste. 1 Blairsville GA 3051259457RN175506Bond, Nicole Penland 3/12/201612927
Horace Sawyer, MD 1362 South Main St Ellijay GA 3054010362RN175506Bond, Nicole Penland 7/1/201617743
Haolat Babalakin, MD 3550 Old Milton Pkw Alpharetta GA 3000562467RN243441Bonds, Kalisha 4/16/201615052
Gary Daniel, MD 2064 Vineville Ave. Macon GA 3120446752RN192704Bongiovanni, Delana Alicia 7/11/201617134
Renwick Hood, MD 761 Old Norcross Road Lawrenceville GA 3004524265RN177260Bonhaus, Stephanie R. 12/23/20098478
Kidd, Mary MD 1700 Hospital South Dr, Ste 500 Austell GA 3010657092RN177260Bonhaus, Stephanie 5/21/201310684
Hamdi, Haleh MD 1700 Tree Lane, Ste 290 Snellville GA 3007849022RN170150Bono, Laura 7/25/201210279
Kevin E. Woods, MD 1365 Clifton Rd., Ste 1200 Atlanta GA 3032268023RN221717Boodhoo, Jacqueline V. 7/1/201511492
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN099067Boone, Karen Y 8/24/20127746
Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN168378Booth, Sara Elizabeth 4/13/2009261
Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN112063Booth, Carmen Diana 11/1/201312233
Saturday, January 21, 2017 Page 17 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Wendy Vandemark, MD 3116 N Oak Street Ext Valdosta GA 3160257511RN112063Booth, Carmen Diana 5/20/201612935
Anthony Ditaranto, MD 1629 10th Ave, Suite B Columbus GA 3190129865RN208838Booth, Kristin Ann 12/1/20119375
Blanks, Keith DO 616 19th Street Columbus GA 3190152042RN208838Booth, Kristin 7/25/201210413
Martha Millan-Sanchez, MD 3015 Veternas Pkwy Moultrie GA 3178866223RN112063Booth, Carmen Diana 7/3/201412678
Roy Harry, MD PO Box 326 Midville GA 3044128781RN112063Booth, Carmen Diana 7/1/20098505
James Eutzler, DO 520 Griffin Ave Valdosta GA 3160149729RN112063Booth, Carmen Diana 3/31/20108736
Joel Morgan, MD 3541 N. Crossing Cir Valdosta GA 3160231295RN112063Booth, Carmen Diana 5/30/20138596
Wendy Vandemark, MD 103 Wayne Avenue Valdosta GA 3160257511RN112063Booth, Carmen Diana 5/31/2010260
Bridgette Guthrie, MD 710 Center St Columbus GA 3190169122RN208838Booth, Kristin Ann 7/14/201614449
Mark Allen Lee, MD 3116 N. Oak St. Ext. Valdosta GA 3160259451RN112063Booth, Carmen Diana 8/1/201413280
Amanda Cowan, MD 14089 Abercorn St Savannah GA 3141950793RN227783Bootle, Jennifer Boyd 10/1/201412477
Nathan Samras, MD 110 Medical Park Dr Pooler GA 3132272113RN227783Bootle, Jennifer 11/1/201515056
Patrick McMahon, MD 110 Medical Parkway Pooler GA 3132225460RN227783Bootle, Jennifer 1/20/201514494
David Nussbaum, DO 586 Brannen St Stateboro GA 3045867697RN227783Bootle, Jennifer 9/1/201616392
Mike Dwyer, MD 5901-C Peachtree-Dunwoody Rd, #C65 Atlanta GA 3032850360RN157261Bordelon, III, Curry Joseph 6/22/20158174
Rolf Meinhold, MD 2700 Abbey Court Alpharetta GA 3000429727RN156861Borkovich, Eileen Clare 5/2/20137903
Charles Sow, MD 4398 Atlanta Hwy Loganville GA 3005255343RN173279Bosse, Adelyne 10/25/2014264
Joyce Drayton, MD 1 Baltimore Place, Suite 360 Atlanta GA 3030838737RN145040Botah-Odduro, Ophelia Anane 7/8/20118775
Chukwudi Amu, MD 4150 Snapfinger Wds Dr, Suite 100 Decatur GA 3003526967RN145040Botah-Oduro, Ophelia Anane 8/10/20092660
Chukwudi Amu, MD 5530-B Old National Hwy, Suite 100 College Park GA 3034926967RN145040Botah-Oduro, Ophelia Anane 12/1/20099223
Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2-D East Point GA 3034451703RN145040Botah-Oduro, Ophelia Anane 3/19/20138291
Saturday, January 21, 2017 Page 18 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN145040Botah-Oduro, Ophelia Anane 7/1/20119628
Soyoola, Emmanuel MD 1870 Atlanta Hwy Ste J Gainesville GA 3050453032RN207415Botero, John 3/19/201410734
Hope McDaniel, MD 11766 Hwy 27 Summerville GA 3074759287RN118574Bovee, Anna Marie 1/20/20098416
Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN146042Bowen, Cindy Jo-Ann 1/31/20119171
Powell, Lawrence MD 1762 Mars Hill Road NW Acworth GA 3010138915RN146042Bowen, Cindy 7/7/201310810
Phillip Nowlin, MD 491 East Main St Cartersville GA 3012136588RN146042Bowen, Cindy Jo-Ann 10/26/20138915
Sidney Smith, III, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN084864Bowen, Mark Timothy 6/1/2011273
John Coleman, MD 1720 Peachtree Rd, Suite 200 Atlanta GA 3030948498RN146042Bowen, Cindy Jo-Ann 10/10/20139239
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN146042Bowen, Cindy Jo-Ann 8/25/2009272
House, Alice MD 100 College Station Drived Macon GA 3120643065RN119753Bower, Bonnie 3/4/201610645
Pinell, Michael MD 4123 Forsyth Rd, Ste K Macon GA 3121058102RN119753Bower, Bonnie 3/25/201310245
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN128899Bowie, Myra Annette 8/31/20159843
Wendy Vandemark, MD 2310 W. Patterson St, Unit B Valdosta GA 3160257511RN101527Bowser, Karen Alene 5/20/20169437
Bennett Hogan, MD 117 W Northside Dr Valdosta GA 3160250024RN101527Bowser, Karen Alene 8/11/20149978
Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN101527Bowser, Karen Alene 8/11/20149678
Eric Davis, MD 3116 N. Oak St Ext Valdosta GA 3160263648RN101527Bowser, Karen Alene 7/24/201413322
Michele Aguayo, MD 2594 Loganville Hwy, Suite 101 Grayson GA 3001736490RN060082Boyd, Pamela Ameilia 9/13/201311251
Robert Spruill, MD 1632 Old Ocilla Rd Tifton GA59026RN168201Boyd, Jason Brantley 5/18/201617029
Shanda Newsome, MD 1390 Hwy 19 South Leesburg GA 3176373879RN168201Boyd, Jason 12/12/201516285
Jeffrey Lennox, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030838844RN135750Boyette, Eric Lawrence 12/19/2008285
Sheth, Darshana MD 3822 Roswell Road Marietta GA 3006258642RN105979Boyle, Lynn 11/15/201610686
Saturday, January 21, 2017 Page 19 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN105979Boyle, Lynn Michele 10/26/20119204
Robert Strauss, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010627307RN105979Boyle, Lynn Michele 7/15/20117754
Juan Ayerdi, MD 575 First St. Macon GA 3120157278RN184674Bozarth, Melissa E. 7/26/201411431
Kenneth Patric, MD 3240 South Cobb Dr. Smyrna GA 3008269243RN212484Braaten, Rachael Lynn 10/31/201414089
Nitasha Burney, MD 3885 Princeton Lake Way, Ste 306 Atlanta GA 3033155931RN212484Braaten, Rachael 8/20/201514466
Trent Schueneman, MD 2927 Demere Rd St. Simons GA 3152251731RN217510Bracewell, Joanne 8/20/201615926
Richard Maxa, MD 3505 Duluth Park Lane, Suite 400 Duluth GA 3009642655RN101397Brackett, Robin Ann 12/24/20149463
Alexander Gluzman, MD 3820 Medical Park Dr Austell GA 3010656452RN101397Brackett, Robin Ann 3/5/2013287
Brandee Urrutia, MD 4355 Browns Bridge Rd, Ste 1 Cumming GA 3004166661RN101397Brackett, Robin 8/18/201515663
F. Stephen Moore, MD 2324 Limestone Overlook Gainesville GA 3050122254RN044266Braden, Robin 11/14/20117696
Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN221074Bradford, Tammy 4/20/201210600
Stephen Szabo, MD 6335 Hospital Pkwy, Suite 107 Duluth GA 3009744850RN148400Bradley, Tajuana Belinda 4/30/20159478
Steven Wolinsky, DO 425 W Third Ave, Suite 600 Albany GA 3170147175RN164831Bradley, Jennifer Holloway 10/23/201412891
Joseph Hand, III, MD 1000 B - North Veterans Blvd Glennville GA 3042749984RN205143Bradshaw, Jessica Lynn 8/11/201412640
Traceyan Mendez, MD 215 North coleman St Swainsboro GA 3040157831RN195811Brady, Mary Virginia 11/6/201412743
Joshua Chern, MD 5455 Meridian Mar, Ste 540 Atlanta GA 3034266010RN170003Braender, Corinne W 8/17/201515049
John Zora, MD 1990 Riverside Parkway NW Lawrenceville GA 3004326420RN101050Braker, Susan Jean 8/31/2011297
Robert Burkich, MD 148 Cobb Pkwy Ringgold GA 3073646372RN193417Branam, Misty Michelle 6/11/201514944
Joseph Watlington, MD 102 Erlanger South Dr. Ringgold GA 3073625685RN193417Branam, Misty Michelle 12/11/201413652
Edward Matthews, DO 2300 Manchester Expressway, Ste 2001 Columbus GA 3190434896RN209150Branch, Adam Michael 5/13/201614301
Powell, Eric MD 1111 Glynco Parkway, Bldg 1, Ste 10 Brunswick GA 3152549081RN160904Brandeberry, Thomas 9/22/201210920
Saturday, January 21, 2017 Page 20 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ruschak, Lisa MD 1022 Miller Lane SW Darien GA 3130559956RN160904Brandeberry, Thomas 8/19/201210366
Ramie Tritt, MD 5555 Peachtree Dunwoody Rd, Suite 235Atlanta GA 3034220005RN092114Brannon, Elissa Darlene 4/3/20097738
Charles Wilmer, MD 275 Collier Rd, Suite 300 Atlanta GA 3030929394RN152769Brantley, Nina Sheria 10/15/20139365
Nitasha Burney, MD 4120 Austell Road SW Austell GA 3010655931RN152769Brantley, Nina Sheria 9/29/20147880
Michelle Morgan, DO 2990 Five Forks Trickum Rd Lawrenceville GA 3004451694RN143102Braxton, Charisse Alene Gathers 3/31/2011307
Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN177281Bray, Onie Beatrice Diane 4/3/201412764
Onkar Kaur, MD 218 Hwy 49 North Ste A Byron GA 3100847103RN177281Bray, Onie 4/22/201413841
Bruce V. Ramsdell, MD 6110 Pine Mountain Rd., #201 Kennesaw GA 3015218722RN192359Brewer, Kimberly Lorraine 10/12/201311619
Paul Roberts, MD 69246RN192359Brewer, Kimberly Lorraine 10/12/201312481
Laura Beaty, MD 755 Mt Vernon Hwy, Suite 120 Atlanta GA 3032845168RN165564Brewster, Kimberly Enfield 11/13/20139676
Joseph Korwin, MD One Freedom Way Augusta GA 3090434878RN124332Brezial-Mincey, Yumeka Sherell 12/3/201514749
Norman Todd, MD 2015 Uppergate Dr Atlanga GA 3032213313RN149012Brickhouse, Tammie Vincent 7/29/201412551
Brian DeLoach, MD PO Box 8043 Statesboro GA 30460-804351216RN076524Bridges, Kathleen Rose Dunham 3/14/2016316
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN107666Brier, Janie Clare Rishel 1/6/2014318
Janss, Anna MD 1405 Clifton Road, 4th floor Atlanta GA 3032252965RN171528Brill, Pamela 5/11/201310364
Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN171528Brill, Pamela Beth 12/15/2011320
Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN167836Brock, La-Urshalar Beaushenique 6/28/20118556
Ruth O'Regan, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032253350RN1678369Brock, La-Urshalar Beaushenique 11/2/201512070
James Short, MD 882 Ponce de Leon Ave Atlanta GA 3030623877RN184254Brockett, Camille Tisha 6/1/201412976
Morgan III, Joe Harris MD 2300 Dawson Road, Ste 101 Albany GA 3170753503RN129516Brooks, James 7/25/201410746
Saturday, January 21, 2017 Page 21 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jaza Marina, MD South Albany Med Ctr, 1300 Newton RoadAlbany GA 3170155267RN129516Brooks, James Michael 3/2/20128307
David Bosshardt, MD 128 Battlefield Crossing Court Ringgold GA 3073626225RN129994Brooks, Lisa Mae Vickers 2/1/2014328
Louis Mameli, MD 214 Cherokee Rd Thomaston GA 3028630648RN050475Brooks, Rhonda M 12/15/2014330
Stephen Souther, MD 425 W-Third Ave., Ste 600 Albany GA 3170144108RN129516Brooks, James Michael 7/30/201614019
Frank Mott, MD 1120 15th St. Augusta GA 3091270674RN201527Brooks, Amy Danielle 5/13/201614821
Fred Tega, MD 15A Baynard Park Newnan GA 3026556493RN190550Brooks, Chasidy Leigh 1/23/201513114
Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN076533Brown, Brenda Rebecca McCune 10/1/20137722
Richard Dent, MD 310 Eisenhower Dr, Suite 5A Savannah GA 3140617RN064864Brown, Ludella 5/28/2008345
Kathleen Gunchick, MD KSU - 1000 Chastain Rd NW, House 52 Kennesaw GA 3014428760RN076533Brown, Brenda Rebecca McCune 1/6/201411854
Russell Sliker, MD 1000 Town Center Blvd, Suite 701 Pooler GA 3132246250RN064864Brown, Ludella 5/1/20108308
Nydia Bladuell, MD 790 Church Street, Suite 470 Marietta GA 3006038429RN177029Brown, Eric Jay 4/1/2009340
Mina Jacob, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010651477RN191333Brown, Andrea Celina 4/13/20098386
Lawrence Rowley, MD 1700 Hospital South Dr, Suite 500 Austell GA 3010635992RN051771Brown, Betsy L 1/1/20145074
Kidd, Mary MD 1700 Hospital South Drive, Ste 500 Austell GA 3010657092RN051771Brown, Betsy 5/21/201310685
George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN171398Brown, Yvonne 6/13/20119134
Henry Lewis, MD 1990 Limestone Circle, Suite 100 Gainesville GA 3050149052RN074964Brown, Mary Jane 7/12/20109085
Gerald Brantley, MD 100 College Station Drive Macon GA 3120633535RN112057Brown, Monica Renee 8/3/20082937
Alice House, MD 100 College Station Dr Macon GA 3120643065RN112057Brown, Monica Renee' 3/4/20169572
Allen Garrison, MD 100 College Station Dr Macon GA 3120654017RN112057RN112057
Brown, Monica Renee' 7/9/20098334
Maurice Clifton, MD MSC Health Clinic - 100 College Station DrMacon GA 3120661053RN112057Brown, Monica Renee' 11/21/20108847
Saturday, January 21, 2017 Page 22 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
R. Brian Raybon, MD 79 Doyle Street Toccoa GA 3057738339RN117303Brown, Sandra Hemphill 4/30/20125076
Michael Powell, MD 464 Mt Pleasant Rd Thomson GA 3082423663RN212391Brown, Tranika Charisse 3/24/201612612
Megan Bowles, MD 1000 Chastain Rd, House 53 Kennesaw GA 3014468486RN076533Brown, Brenda Rebecca McCune 3/18/201413023
Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2-D East Point GA 3034451703RN171398Brown, Yvonne 2/25/2008356
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN171398Brown, Yvonne 8/9/20108853
Donald Fordham, MD 865 Austin Drive Demorest GA 3053544718RN074964Brown, Mary Jane 3/31/20108580
Ahmad Jingo, MD 4150 Snapfinger Kloods Dr, Ste 208 Decatur GA 3003545842RN197433Brown, Brandy Rose 10/1/201414605
Matthew Goldstein, MD 1700 Medical Way Snellville GA 3007048115RN177029Brown, Eric Jay 8/15/201614606
Omari Hodge, MD 2154 Johson Ferry Rd NE Atlanta GA 30319-255870459RN163812Brown, Camille 8/1/201514133
Michel Pare, MD 1107 Memorial Dr, Ste 100 Dalton GA 3072045569RN174936Brown, Suzanne Elizabeth 11/7/201614384
Rhonda Wachsmuth, MD 780 Canton Rd NE, Ste 410 Marietta GA 3006056664RN165268Brown, Lisa 8/18/201515360
Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN184377Brownlee, Amanda Lynn 2/1/20139489
Ann P. Ward, MD 48 Hills Creek Rd. Taylorville GA 3017823242RN117972Bruce, Myra P. 5/13/201311603
Pryor, Heather MD 508 North Main Street Cedartown GA 3012544310RN117972Bruce, Myra 11/30/201210687
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN112048Brumbelow, Kelly Denea 12/23/2008364
Ognjenka Brkic-Vukotic, MD 11050 Crabapple Rd. Roswell GA 3007547576RN047850rn047850rn047850
Bruner, Kim 10/15/20105477
Pamella Thomas, MD 86 S. Cobb Dr., Suite M20454 Marietta GA 3006319277RN047850Bruner, Kim J. 10/1/201311019
Andrew Michas, MD 1001 N. Monroe Street Albany GA 3170149065RN152834Bryant, Natalie Gayle 8/13/20108529
Mufaddal Kheda, MD 1200 N. Jefferson St Albany GA 3170159860RN152834Bryant, Natalie Gayle 2/1/20119388
Saturday, January 21, 2017 Page 23 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN152834Bryant, Natalie Gayle 8/13/2010374
Douglas Moss, MD 814 Northwood Park Dr Valdosta GA 3160241178RN128293Bryant, Charles W. 7/14/20138574
Richard Ambrozic, MD 2501 N. Patterson Street Valdosta GA 3160243851RN128293Bryant, Charles W. 3/27/2009369
Muhammad Khan, MD 915 Gordon Ave Thomasville GA 3179263080RN128293Bryant, Charles W, Jr 6/27/201611732
William Kittle, MD 1350 Walton Way, POB II, Suite 200 Augusta GA 3090125197RN082727Bryant, Roxanne Rush 7/1/20117728
Stephen Salmieri, DO 759 Old Norcross Road Lawrenceville GA 3004549151RN061119Bryant, Beth Susan Cohen 10/17/2016368
Anastasios Polimenakos, MD 1120 15th St, BA 8300 Augusta GA 3091271271RN061119Bryant, Beth Susan Cohen 10/5/201617224
Eric Davis, MD 100 S. Madison Ave Thomasville GA 3179263648RN128293Bryant, Jr, Charles W 4/10/201411710
Shelley Griffin, MD 305 Jones Ave. Waynesboro GA 3083016238RN149798Bryd, Jenifer 5/11/201311083
Ashley Davis, MD 5555 Whittlesey Blvd Columbus GA 3190958161RN221056Bubar, Kate Elizabeth 8/1/201412693
Kirti Kandalkar, MD CHOA, 2660 Satellite Blvd Duluth GA 3009662877RN160752Buchanan, Stacy Briana 6/25/201412129
Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN149616Buchanan, Theresa Kassack 6/11/20119280
Bhumiben S.Purohit, MD 1890 Manor View Cumming GA 3004158812RN123889Buckley, Sheri 6/30/201311544
Arun Singh, MD 1111 Bullsboro Dr, Ste 6/7 Newnan GA 3026571879207420Buckner, Tanesh Lasharn 6/30/201617017
Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN127335Bui, Binh Quoc 9/30/2011386
Yolanda Hacker, MD 2990 Five Forks Trickum Rd Lawrenceville GA 3004445811RN127335Bui-Oliver, Binh 9/19/201310270
Anu Murthy, MD One CNN Ctr, NT1008D Atlanta GA 3030354867RN078274Buist, Nancy Naucke 3/1/20168650
Donovan Christie, MD 5985 Peachtree Pkwy NW Norcross GA 3009244432RN185242Bulfin, Susan Jean 2/1/20097976
L. Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN135809Bumgardner, Robert Louis 8/6/2012390
John Roger Bennett, MD 7306 Hwy 21 Ste 105 Port Wentworth GA 3140753838RN192027Bumgardner, Heather Nicole 5/16/201513851
Hand III, Joseph MD 1000B N. Veterans Blvd Glennville GA 3042749984RN177195Bunch, Jana 10/2/201310280
Saturday, January 21, 2017 Page 24 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Frank Bixler, MD 15 Yarbrough St Hazlehurst GA 3153934779RN177195Bunch, Jana Lamb 3/28/20108635
Cecilia Arango, MD 304 Westside Dr Douglas GA 3153368354RN177195Bunch, Jana Lamb 6/23/201412414
Devin Handley, MD 501 Mount Vernon Rd Monroe GA 3065548345RN176757Bupp, Melissa Jones 5/13/201413172
Eugene Jackson, MD 151 South Houston Rd, Suite 190 Warner Robins GA 3108822793RN136571Burch, Erin Tapley 2/17/201511695
Thomas L. Garcia, DO 1008 Piedmont Ave. Rockmart GA 3015363420RN084921Burch, Mary C. 8/21/201311541
Gregory Matechak, MD 1650 Chattahoochee Dr Rockmart GA 3015352992RN084921Burch, Mary Catherine Cobb 4/14/201412611
James Douglas, MD 1013 North 5th Avenue, Suite 2 Rome GA 3016533569RN084921Burch, Mary Catherine Cobb 11/1/2012394
Stewart Grizzard, MD 1365 D Sam Nunn Blvd Perry GA 3106943948RN136571Burch, Erin 11/5/201515135
William Mills, MD 58 Big A Road Toccoa GA 3057750901RN126640Burger, Susan Elizabeth Reittinger 1/1/2011399
David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN124541Burman, Holly Elizabeth 5/9/20157796
Kandzari, David MD 275 Collier Rd, Ste 300 Atlanta GA 3030964993RN157565Burns, Susannah 6/1/201310858
Richard Chewning, MD 231 Graefe St Griffin GA 3022420091RN157565Burns, Susannah 4/7/201412254
Kabir Das, MD 231 Graefe St. Griffin GA 3022462867RN157565Burns, Susannah 2/9/201513811
Panyavee Khan, MD 777 Franklin Rd Marietta GA 3006754756RN133692Burris, Robin Asay 7/25/2016406
Olaitan Adeniji, MD 301 Philip Blv d, Ste A Lawrenceville GA 3004552670RN198894Burris, Ashley 8/29/201410913
Michlene Broadney, MD 11 Upper Riverdale Rd SW Riverdale GA 3027455207RN127607Burslem, Victoria Ann Henderson 8/1/20125080
Sethi, Kapil MD 1429 Harper St HF Augusta GA 3091227303RN069061Bush, Lisa 11/30/201210487
Michael Pinell, MD 6440 W Hamilton Park Dr, Suite F Columbus GA 3191958102RN060034Bush, Karon J Pearson 9/1/2015409
Brandi Weaver Warren, DO 809 11th Ave, Suite A East Cordele GA 3101561681RN160658Bussey, Schvon Yvette May 4/20/201612244
James Drury, MD 401 Old Albany Road Thomasville GA 3179948891RN178406Buswell, Catherine L. 5/20/20108336
Carlos Martinez, MD 165 Emery Hwy, Suite 100 Macon GA 3121731793RN096331Butler, Sheila Wilmore 5/7/20169612
Saturday, January 21, 2017 Page 25 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN122940Butler, Jennifer Barnes 9/30/2009421
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN156529Butler, Erin Brantley 1/1/20108414
Edward Gotlieb, MD 5405 Memorial Dr., #D Stone Mtn. GA 3008314500RN184069Butler, Yentl C. 8/1/201411608
Eastlyn Harding-Marin, MD 3812 Salem Rd. Covington GA 3001656841RN184069Butler, Yentl 10/4/201211095
Kashif Ahmed, MD 2200 Hwy 155 N McDonough GA 3025261547RN155412Butler, Amanda Lynn 12/11/201514199
Styderek, Robert MD 504 Redmond Road Rome GA 3016541491RN149469Byars, Terri 6/28/201310047
Roger Brooksbank, MD 501 Redmond Rd. Rome GA 3016568120RN149469Byars, Terri 6/9/201511115
William Bohlke, MD 128 Parker Ave Brooklet GA 3041537490RN144570Byczkoski, Christy Natasha 2/21/2014425
LaRoy Penix, MD 743 Spring St Gainesville GA 3050149080RN221894Byers, Ann Marie 6/23/201412331
Cooper, Melanie MD 780 North Glynn Fayetteville GA 30214-119345753RN119790Byrd, Linda 1/23/201310297
Dawn Wilson, MD 197 14th St NW, Suite 100 Atlanta GA 3031847279RN198706Caballero, Lorena Maria 11/5/201413079
Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN146346Cabrera, Maria Elena 7/12/2012430
Eduardo Montana, Jr., DO 61 Whitcher Street, Ste 4140 Marietta GA 3006035954RN149820Cadle, Harriet Eyvonne 11/1/2007432
Yolanda Wade, MD 1735 S. Hwy 27 Carrolton GA 3011758345RN149820Cadle, Harriet Eyvonne 6/28/201513873
Priya BayyaPureddy, MD 3850 Wintermere Pkwy, Ste 105 Cumming GA 3004155177RN149820Cadle, Harriet Eyvonne 6/15/201617467
Gregory Zakers, MD 4711 Peachtree Industrial Blvd. Suite B Norcross GA 3009249847RN083997Cahill, Mary E 4/1/2015435
Larisa Bradford, MD 706 South Wall Street Calhoun GA 3070157050RN054027Cain, Trina Renee 9/14/2009437
Lawson, Dale MD 2000 Palmyra Rd Albany GA 3170754233RN115517Caldwell, Cindy 3/30/201410009
Roy Reardon, MD 210 W. Main Street, Suite 4 Colquitt GA 3983742402RN115517Caldwell, Cindy M. 11/18/2014438
Quyen Luu, MD 458 Hemlock St, Ste 200 Macon GA 3120125216RN221321Calhoon, Gwendolyn Spivey 9/2/201618442
Saturday, January 21, 2017 Page 26 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN069645Calhoun, Sherry 9/1/201410625
Mark Elam, MD 808 Professional Blvd Dalton GA 3072036147RN069645Calhoun, Sherry Jo Manley 12/1/2008439
Roshni Patel, MD 1645 Tullie Cir Atlanta GA 3032957141RN150230Callahan, Kimberly Anne 2/15/20139528
Rayna Jobe, MD 805 Sandy Plains Road Marietta GA 3006660386RN150230Callahan, Kimberly Anne 10/30/20098363
Patrick Spafford, MD 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 3032838971RN141273Callison, James Robert 1/9/2016440
Mehrdad Seilanian Toosi, MD 200 South Enota Dr, Suite 200 Gainesville GA 3050167089RN221721Calvert, Angela Mary 3/1/201411889
Vicente Galan, MD 1365 Rock Quarry Rd, Suite 304 Stockbridge GA 3028128685RN198068Campbell, Melissa Anne 8/28/20158969
E. Wynn Kallay, MD 550 Professional Drive Macon GA 3120127395RN145376Campbell, Jennifer M. Silas 6/17/2005445
Denise Workman, DO 55 Cantrell Rd. Cleveland GA 3052850693RN149456Campbell, Joyce E 10/15/2014446
David Hart, MD 2959 Sharpsburg McCollum Road Newnan GA 3026540682RN179027Campbell, Kimberly Michael 10/25/2009448
Jillella, Anand MD 1120 15th Street, Ste BA=54-7 Augusta GA 3091233843RN077336Campbell, Lisa 9/30/201310485
Patricia Nevius, MD 2155 Post Oak Tritt Road, Suite 100 Marietta GA 3006225648RN088648Campbell, Karen Jo 11/9/2011447
Robert Mullins, MD 3675 J. Dewey Gray Circle, Ste 300 Augusta GA 3090949835RN077336Campbell, Lisa Owens 2/27/201614059
Andre Feria, MD 142 Old Mill Road LaGrange GA 3024148513RN201888Campbell Dunlap, Jane Lynn 10/25/20108551
Amy Clemons, MD 380 Cedar St Metter GA 3043957058RN221018Cannady, Kyle 10/16/201516059
S. Jan Fitzgerald-Soapes 16509RN166999Cantrell, Jennifer Suzanne 3/6/201311744
Robert David Thomson, MD 3619 Braselton Hwy, Suite 103 Dacula GA 3001947166RN166999Cantrell, Jennifer Suzanne 2/22/20132147
R. Brian Raybon, MD 79 Doyle St Toccoa GA 3057738339RN101692Cape, Wanda Ivy 5/1/20165136
Alan Wang, MD 601 Northolt Pkwy Suwanee GA 3002448017176831Carasick, Terry A. 9/3/201616700
Glenn Heigerick, DO 615 B Beaver Ruin Rd. Lilburn GA 3004724947RN176831RN176831
Carasick, Terry Apt 6/25/201513965
Saturday, January 21, 2017 Page 27 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Pamella Charles-Pryce, MD 794 S Park St. Carrolton GA 3011758155RN143868Carden, Pamela Kay Hinds 2/27/201513681
John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN168656Cargill, Martha Nadine 10/6/201511693
Ann-Marie Brooks, MD 35 Jesse Hill Jr Dr Atlanta GA 3030356806RN168656Cargill, Martha Nadine 7/2/20107939
Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN168656Cargill, Martha Nadine 2/15/20139320
Noreen Andrews, MD 3720 South Rockbridge Rd Stone Mountain GA 3008746861RN178335Carlile, Ashley Dawn 10/4/20119610
Ashley Stolle, MD 601-A Professional Dr., Ste 370 Lawrenceville GA 3004652097RN202283Carlton, Amanda 6/23/201511066
George Raschbaum, MD 5455 Meridian Mark Rd, Suite 570 Atlanta GA 3034250252RN171371Carman, Catherine Michelle 8/10/2010460
Abboushi, Nour MD 3200 Downwood Circle Ste 640 Atlanta GA 3032760695RN171371Carman, Catherine 1/31/201210162
Alexander, Diane MD 5670 Peachtree Dunwody Road, Ste 820 Atlanta GA 3034234996RN171371Carman, Catherine 7/3/201210464
Firas Hougeir, MD 4645 Timber Ridge Rd, Ste 100 Douglasville GA 3013560181RN171898Carmon, Mary Jansson 11/17/201517536
Paula Nelson, MD 650 Henderson Dr, Ste 502 Cartersville GA 3012041913RN171898Carmon, Mary Jansson 5/19/201617466
James Campagna, MD 2418 North Oak St, Suite B-1 Valdosta GA 3160233806RN117177Carnegie, Serenia Porter 4/14/20169306
Terry B. Tri, MD 2301 North Ashley Street Valdosta GA 3160238991RN117177Carnegie, Serenia Porter 1/18/2008462
Sreekanth Reddy, MD 1505 Northside Blvd, Ste 4600 Cumming GA 3004149476RN168354Carney, Julie Freeman 4/2/201513136
Bruce Gioia, MD 247 S. Main St Reidsville GA 3045338774RN109260Carpenter, Barbie Jenine Hackle 4/21/2011465
Gerber, Alan MD 2069 Teron Trace Dacula GA 3001958672RN095425Carpenter, Deborah 7/1/201510503
Tressa Scineaux, MD 1616 Market Place Blvd Cumming GA 3004149499RN095425Carpenter, Deborah Elizabeth Bred 1/30/20129439
Brenda Hott, MD 200 S Enota Dr, Ste 200 Gainesville GA 3050141441RN120116Carpinello, Jeniffer Carol Culbertso 1/1/2012469
Meena Shah, MD 475 Phillip Blvd, Suite 100 Lawrenceville GA 3004621464RN026518Carr, Gwendolyn Jane Conner 4/30/20119145
Irandathy Rodrigo, MD 2522 Cruse Road, Suite C-2 Lawrenceville GA 3004442715RN026518Carr, Gwendolyn Jane Conner 5/20/20098474
Stewart Grizzard, MD 136 W. Dykes Street Cochran GA 3101443948RN026518Carr, Gwendolyn Jane Conner 4/30/2010470
Saturday, January 21, 2017 Page 28 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sharon Lynch-Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN121940Carr, Margery McMichael 3/31/20115081
Nandana Reddy, MD 6002 Hwy 53 East, Suite 100 Dawsonville GA 3053155641RN026518Carr, Gwendolyn Jane Conner 5/31/201311892
Raja Ram, MD 475 Philip Blvd, Suite 100 lawrenceville GA 3004638922RN026518Carr, Gwendolyn Jane Conner 1/31/20139818
Scott Waguespack, MD 1401 South Main Street Moultrie GA 3176863014RN180724Carr, Brandy Elizabeth 8/3/201617982
David Fieseler, MD 1401 South Main St. Moultrie GA 3176817756RN180724Carr, Brandy Elizabeth 6/14/201617937
Edward Minor, MD 2100 Comer Ave. Columbus GA 3190145095RN179832Carringer, Shannon Selina 4/21/201616357
James Vick, III, MD 1105 North 5th Avenue Rome GA 3016537720RN119358Carroll, Suni Hamm 2/17/20121222
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN145535Carswell, Tiffany 9/13/201615768
Tom Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN047967Carter, Michael A. 9/2/20108223
Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN047967Carter, Michael A. 9/1/20108659
Salim Osta, MD 1131 Chapel Crossing Rd, Bldg 759 Glynco GA 3152415631RN047967Carter, Michael A. 11/1/20159401
Margret Thorhallsdottir, MD 1825 Martha Berry Blvd Rome GA 3016564286RN155084Carter, Mary Kelly 7/16/20119597
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN155084Carter, Mary Kelly 6/19/20129966
Timothy Connor, MD 1825 Martha Berry Blvd Rome GA 3016539549RN155084Carter, Mary Kelly 9/30/20139727
Juanita Lott, MD 418 E H Court Brunswick GA 3152019847RN047967Carter, Michael A 4/15/2008479
Tiffanni Forbes, MD 1199 Prince Ave Athens GA 3060551936RN172705Carter, Stephanie Ann 1/3/201412973
Brendan Groarke, DO 1199 Prince Ave Athens GA 3060650172RN172705Carter, Stephanie Ann 1/23/201513043
Shyam Gupta, MD 3807 Clairmont Rd, Suite 2008 Chamblee GA 3034163784RN114781Casaday, Julie Choe 5/15/201412958
D. S. Siddappa, MD 3110 Clifton Springs Rd, Suite B Decatur GA 3003421810RN114781Casaday, Julie Choe 9/1/20138266
Karla Shore, MD 3807 Clairmont Rd, Suite 2008 Chamblee GA 3034151266RN114781Casaday, Julie Choe 11/27/201413311
Verlia Gower, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034238499RN196209Case, Kimberly Lynne 8/1/20129409
Saturday, January 21, 2017 Page 29 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Thomsen, MD 5455 Meridian Mark Rd., Ste 130 Atlanta GA 3034234485RN138794Casheba, Janet L. 3/11/201611311
0RN138794Casheba, Janet 3/11/201610272
Hinchcliffe, Annette 6300 Hospital Pkwy, Suite 125 Johns Creek GA 3009742607RN138794Casheba, Janet 11/26/201210267
James Thomsen, MDRN138794Casheba, Janet L. 3/11/201611389
Walter Ingram, MD 80 Jesse Hill Dr, Suite 3B Atlanta GA 3030331766RN130675Cason, Evelyn Maria 2/16/20169378
William Delp, DO 4589 Lawrenceville Road Loganville GA 3005217791RN115513Cassara, Pamela Sue 7/19/2012487
James Lantz, Jr, MD 8820 Hospital Drive Douglasville GA 3013428028RN150641Castle, Karen Reese 4/2/20138555
Thomas Hurd, MD 400 Tower Rd, Suite 350 Marietta GA 3006027070RN153122Castlin, Rena Loraine 4/22/201311826
Virginia Sharron Jones, MD 18 S. Broad St Butler GA 3100645847RN041402Catrett, Judy Hallman 7/1/2011491
William Catrett, MD 365 Geneva Rd Buena Vista GA 3180314471RN041402Catrett, Judy Hallman 10/6/20119924
Alvarez, Ricardo MD 131 6th Avenue East Buena Vista GA 3180352876RN041402Catrett, Judy 2/28/201310219
Allison Turk, MD 110 S Chestatee St Dahlonega GA 3059763037RN159917Caudell, Jennifer Carol 3/31/201412786
Robert Nelson, MD 110 S. Chestatee St Ste. 100 Dahlonega GA 3059765037RN159917Caudell, Jennifer Carol 2/4/201513797
Peter Wrobel, MD 1230 Marina Ridge Marina Rd, Ste 550 Cumming GA 3004140285RN154971Caudell, Jason Daniel 8/1/201617611
Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN192359Cave, Kimberly Lorraine 4/8/20118526
Bruce Ramsdell, MD 3145 Peachtree Rd NE, Suite 165 Atlanta GA 3030518722RN192359Cave, Kimberly Lorraine 12/16/20119795
Lanier, John MD 1600 Kennesaw Due West Rd, Ste 501 Kennesaw GA 3015228809RN192359Cave, Kimberly 1/7/201310415
Mary Evelyn McKinley, MD 360 Hospital Dr, Bldg D, #110 Macon GA 3121751256RN184009Caves, Erin Faulkner 6/29/20139411
C. Granville Simmons, MD 907 E. 18th St, Suite 400 Tifton GA 3179417301RN089149Cawley, Ramona M. 6/8/20129283
Heather Henry, MD 327 South 9th Street Griffin GA 3022444231RN155230Cecil, Hannah Rae 10/1/2012498
Saturday, January 21, 2017 Page 30 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Dwayne L. Watkins, MD 327 S. 9th St. Griffin GA 30224-411153054RN155230Cecil, Hannah R. 11/20/201211424
Denise DeVeranaz, MD need practice address41279RN155230Cecil, Hannah Rae 3/9/201513201
David Faulk, MD 87 Lindsey Lane, Suite B Kingsland GA 3154839787RN232564Cenerizio, Michelle C 11/19/201312375
Robert E. Springer, MD 50 Executive Park, Ste. 5012 Atlanta GA 3032937081RN213895Cercone, Elizabeth A. 11/27/201411226
Lakshmi Gopireddy, MD 181 S Clayton St Lawrenceville GA 30045-571665244RN213895Cercone, Elizabeth Ann 5/28/201514656
OluJimi Oluwole, DO 3979 Buford Hwy Atlanta GA 3034569322RN132549Chabot, Judith Takem 12/8/2014499
Jyotir Mehta, MD 1909 Aberdeen Road, Room 102 Albany GA 3170145887RN135836Chaffin, Timothy Barrett 6/8/2012500
Wherry, Richard MD 59 Tifton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja 5/14/201410889
Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja Elaine Lingerfelt 1/7/20129876
George Petro, MD 59 Tipton Drive Dahlonega GA 3053362155RN063135Chafin, Sonja Elaine Lingerfelt 1/7/20129883
Ramzi Ghosn, MD 1078 Lumpkin Campground Rd, #100 Dawsonville GA 3053457974RN063135Chafin, Sonja Elaine Lingerfelt 1/7/2012503
John Souza, MD PO Box 16100 Dublin GA 3104039475RN057027Chafin, Phyllis Amanda 6/18/2010502
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN057027Chafin, Phyllis 5/1/201510369
Westmoreland, Anon MD 479-B North Hall Road Dahlonega GA 3053313534RN063135Chafin, Sonja 1/7/201210089
Gururaj Nayak, MD 1909 N Columbia St, Ste D Milledgeville GA 3106144033RN057027Chafin, Phyllis 8/1/201515624
Jeffery Dowis, MD 3193 E 21st St Vildalia GA 3047468199RN057027Chafin, Phyllis 3/30/201615865
Safia Pirani, MD 4855 River Green Pkwy ste. 700 Duluth GA 3009656624RN186103Chagani, Salimah 10/21/201618732
Cantrell, David MD 1407 Cobb Parkway North Marietta GA 3006232883RN059901Chambers, Donna 7/30/201310234
Joyce Duquette, MD 150 Gentilly Blvd Cartersville GA 3012048111RN145959Chamlee, Gina Satterfield 2/19/20108522
Dennis Thomas, MD 1003 Holloway Dr. Quitman GA 31643#####RN195224Champion, Heather Michelle 4/8/201514076
Saturday, January 21, 2017 Page 31 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John C. Knox, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034222575RN061123Chandler, Barbara Jean 7/15/2014512
Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN061123Chandler, Barbara Jean 7/15/20149928
Susan Harrell, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034233100RN061123Chandler, Barbara 7/15/20148046
Tama Fuller, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034221981RN061123Chandler, Barbara 7/15/20148047
Elizabeth LeDuc, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034234754RN061123Chandler, Barbara 2/28/20118048
Philip Weiss, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034238398RN061123Chandler, Barbara 7/15/20148049
Gordon Crozier, DO 3365 Piedmont Rd., #1250 Atlanta GA 3030550334RN134966Chapman, Sarah C. 12/21/201211515
Taylor, Robert E. 31338RN073371Chapman, Patricia Luree 2/17/2012519
Shawn Jobe, MD 2015 Upper Gate Dr, Suite 400 Atlanta GA 3032260143RN080752Chapman, Robin Lee 6/1/20138785
Thomas Abshire, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034239990RN080752Chapman, Robin Lee 10/15/20097727
Harold Holloway, DO 56 Ebenezer Rd Ellaville GA 3180613327RN139882Chapman, Shelby Lynn Colquitt 6/26/20128746
Roger Branch, MD 10 Doctors St Metter GA 3045930272RN241333Charles, Jenny Lee 4/22/201614541
Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN217048Charrance, Penny 3/4/201310628
Dorel Bidiuc, MD 707 Old Dalton Ellijay Rd Chatsworth GA 3070551296RN217048Charrance, Penny Lynn 7/1/201611793
Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN050194Chase, Lana Marie 8/30/20098264
Wendy Troyer, MD 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 3032833786RN044384Chastain, Janet Lynn 6/30/2015525
William A. Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN153918Chatman, Shannon Craig 4/30/2013526
Lionel Meadows, MD 11 Business Center Dr, Suite 205 Eastanollee GA 3053845550RN153918Chatman, Shannon Craig 10/13/201413300
Stephen Frohwein, MD 5669 P'tree Dunwoody Rd NE, Suite 315 Atlanta GA 3034234834RN144252Chausmer, Jaimie Klein 6/6/20137840
Frank N. Cole, MD 101 Yorktown Dr. Fayetteville GA 3021428520RN127827Chavis, Melinda Elizabeth 9/8/201413071
Robert Rhoades, MD 3940 Washington Rd Martinez GA 3090713420RN134641Cheek, Bradford Kesler 10/31/201516785
Saturday, January 21, 2017 Page 32 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jose Cangiano, MD 1 Technology Pkwy South, Ste 1 Norcross GA 3009244182RN101507Cheeseman, Karen Marion Ward 8/26/201615225
Charles Harden, MD 586 Brannen St Statesboro GA 3045844930RN066069Cheney, Teresa Charlene Brower 3/1/201412491
Brian Deloach, MD PO Box 8043 Statesboro GA 3046051216RN066069Cheney, Teresa Charlene Brower 10/23/20139675
Roger Branch, MD 10 Doctor's Street Metter GA 3043930272RN066069Cheney, Teresa Charlene Brower 9/10/2010532
Angela Gerguis, MD 586 Brannen St Statesboro GA 3045847261RN066069Cheney, Teresa Charlene Brower 9/26/201413039
Eric Powell, MD 586 Brannen St Statesboro GA 3045849081066069Cheney, Teresa 10/2/201514138
John Gott, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030928989RN189928Chery, Yves Reginald 9/29/201412610
Jason Hefner, MD 508 East Morris St. Dalton GA 3073161444RN225780Chessor, Misty L. 2/1/201411174
Carlos Franco, MD 1100 Johnson Ferry Rd, Suite 600 Atlanta GA 3034223733RN161771Chicoine, Jennifer Lynn 9/25/2014540
Jocelyn Holland, MD 10 Market Square Way, Suite 100 Newnan GA 3026540691RN155127Child, Chris Buchanan 9/25/20098636
Halleck, Sylvia MD 1431 Riverside Parkway Lawrenceville GA 3004316356RN175483Childers, Tabitha 1/10/201210492
Babalola, Cecilia MD 3509 Braselton Hwy, Bldg F Dacula GA 3001958389RN175483Childers, Tabitha 3/31/201210491
William Williams, MD 204 East 15th Street Alma GA 3151011095RN043261Childree, Rene B 6/1/2008543
Damon Kimes, MD 695 Crossville Rd Roswell GA 3007550322RN039908Childs, Eileen 9/24/201613764
Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN174288Chismar, Ron 2/4/201410901
Lee, Peter MD 3840 Peachtree Industrial Blvd Duluth GA 3009638545RN195897Cho, Ki-hyun 5/24/201510389
Stephen Clements, MD 1365 Clifton Rd NE, #A-2432 Atlanta GA 3032211305RN134174Choate, Elizabeth Thompson 4/30/2016548
Vincent Galan, MD 1365 Rock Quarry Rd. Ste. 202 Stockbridge GA 3028128685RN217502Choe, Julia Miyoung 8/5/201617858
Chang Soo Kim, MD 530 Highland Station Dr., #2007 Suwanee GA 30024RN176523Choi, Songeun 3/1/201311297
Sherri Simpson, MD 157 Smith St. Jonesboro GA 3023667942RN240115Chrena, Helen Rosella 2/20/201513999
Reemon Bishara, MD 1915 Eisenhower Dr. Savannah GA 3140563759RN240115Chrena, Helen Rosella 6/17/201617757
Saturday, January 21, 2017 Page 33 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ramesh Amin, MD 853 Battlecreek Rd Jonesboro GA 3023628242RN240115Chrena, Helen 10/9/201516093
Robert Amstadter, MD 9157 Tara Blvd Jonesboro GA 3023640856RN240115Chrena, Helen Rosella 10/1/201413789
Ramesh Amin, MD 853 Battlecreek Rd Jonesboro GA 3023628242RN240115Chrena, Helen Rosella 4/23/201515121
James L. Chappuis 3161 Howell Mill Rd., Ste 400 Atlanta Georgia
3032729604RN216231Chrismer, Katherine Nicole 3/10/201413072
Gaston Moran-Celayes, MD 602 East 16th Ave, Suite B Cordele GA 3101564675RN119135Christmas, Marcy Ann Herrington 2/4/2016555
Anand Jillella, MD 1120 15th Street, Ste BAA 5407 Augusta GA 3091233843RN217541Christopherson, Kala 8/14/201310453
William Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN099070Christos, Ruth Hirschberg 1/1/2011557
Charlene Beard, MD 2201 Mt Zion Parkway Morrow GA 3026020513RN138578Chukoian, Lois Eleanor Skinner 10/27/20149936
Allison Turk, MD 110 S Chestatee St Dahlonega GA 3059763037RN123601Clapp, Allison Goggans 4/1/201412592
Wilham M. McDonald, MD P.O. Box 26238 Atlanta GA 30303380137292RN030832Clark, Ann M. 1/4/201311426
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN030832Clark, Ann Marie 1/17/20145512
Benjamin Cheek, MD 2000 Hamilton Road Columbus GA 3190425332RN193329Clark, Amy Taryn 3/31/20098232
Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN093663Clark, Michele Poole 5/5/201311703
Meier, Edward MD 2112 Shorter Ave NW, Ste 200 Rome GA 30165#####RN173733Clark, Jennifer 1/28/201610349
Forrest Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN060471Clark, Joanna Ruth 1/27/2014569
Sowmya Reddy, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007660596RN093663Clark, Michele Poole 1/1/201412098
Joseph Joyave, MD 100 Market Place Blvd, Suite 201 Cartersville GA 3012143977RN173733Clark, Jennifer Lee Reed 9/23/20118861
Jack Yu, MD 1467 Harper St, HB-5040 Augusta GA 3091238656RN219964Clark, Robin Ann 9/2/201617656
Thomas Locke III 4500 North Point Parkway Alpharetta GA 3002236409RN241302Clark, Kathleen 7/1/201616499
Raymond Howard, MD 107 John Maddox Dr. Rome GA 3016551145RN173733Clark, Jennifer Lee Reed 9/7/201617460
Saturday, January 21, 2017 Page 34 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Richard Young, MD 958-A J F Harris Pkwy, Suite 105 Cartersville GA 3012021218RN180285Clarke-Hall, Renee Marie 10/1/20159901
Penix, Laroy MD 743 Spring Street Gainesville GA 3050149080RN176382Classon, Rebecca 6/23/201410922
Subodh Lal, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010652771RN140016Clay, Kimberly George 6/4/2010577
Timothy Longaker, MD 1339 Gray Hwy Macon GA 3121125883RN160625Clay-Austin, Cherrice 11/1/201311718
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN211336Clay-Keith, Sharon Denise 11/28/201312765
Satishchandra Patel, MD 3000 Schatulga Rd Columbus GA 3190728058RN211336Clay-Keith, Sharon Denise 12/19/201413928
Richard Baldwin, MD 9280 Hwy 5, Ste A Douglasville GA 3013423894RN217058Clayton, Brandi 6/15/201411106
Sarvotham Kini, MD 108 Spear Rd Athens GA 3060234170RN200233Claytor, Kathryn 11/30/201514557
Eric Powell, MD 1375 East King Ave, GA State Rd 40, Suite A
Kingsland GA 3154849081RN174980Cleveland, Lauren Mary-Marie 9/18/201412929
Albert Thompson, MD 1375 E. King Ave. Hwy 40, Ste A Kingsland GA 3154822338RN174980Cleveland, Lauren Mary-Marie 1/19/201614043
Glenn C. Heigerick, DO 615-B Beaver Ruin Road Lilburn GA 3004724947RN153941Clevenger, Carolyn Kay Satterfield 8/30/2014582
Suzanne C. Manley, MD 148 Clinic Ave. Carrollton GA 3011746167RN065545Cline, Nyla F. 4/1/201311283
Charles Stevenson, Jr., MD 804 Dixie Street Carrollton GA 3011716288RN065545Cline, Nyla Faye Clifford 1/2/2009587
Crystal Bright, MD 118 Alice Coleman Dr Vidalia GA 3047467869RN040042Clinton, Mymie T. 4/30/201512671
Ombogo, Anthony MD 215 North Coleman Street Swainsboro GA 3040166728RN040042Clinton, Mymie 10/25/201310651
Hiromi Maruyama, MD 118 Alice Coleman Dr Vidalia GA 3047460744RN040042Clinton, Mymie T. 4/20/20129562
Muhammad Jamal, MD 118 Broad Street Mount Vernon GA 3044558255RN040042Clinton, Mymie T. 12/3/2010588
Mary Bell Vaughn, MD 3448 Vineville Ave. Macon GA 3120449552RN154974Clowers, Ayanna T. 6/24/201511350
Benise Williams, MD 303 Smith Street LaGrange GA 3024046924RN193814Cobb, Amy Beckman 9/23/20138146
Louis Fernandez, MD 121 N. Big A. Road Toccoa GA 3057739790RN179932Cochran, Amy Denise Woodring 5/1/20135094
Saturday, January 21, 2017 Page 35 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Andrea M. Dabney, MD 274 Big A Rd. Toccoa GA 3057766274RN179932Cochran, Amy Denise Woodring 8/22/201413074
Hamid Syed, MD 367 Clear Creek Pkwy Lavonia GA 3055369975RN104775Cochran, Deborah Ann Kiernan 1/14/201616898
Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN042368Cochrane, Janice H. 4/16/20159226
Jonathan Hall, MD 12192 Augusta Road Lavonia Ga 3055359655RN042368Cochrane, Janice H. 2/15/20108520
Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN042368Cochrane, Janice H. 6/22/20109124
William A. Mills, MD 12192 Augusta Road Lavonia GA 3057750901RN042368Cochrane, Janice H. 11/1/20081363
Jack Borders, MD 1446 Harper St, Ped Surg, 3rd ACC Augusta GA 3090939054RN192162Cockfield, Christy Michelle 8/18/20119053
Michele Henson, MD 5400 Waters Ave Savannah GA 3140473306RN204554Cohen, Herchelle 3/1/201615881
Irandathy Rodrigo, MD 2522 Cruse Rd, Suite C-2 Lawrenceville GA 3004442715RN185318Colac, Olga 10/7/20159257
Chrissie Clure, MDRN094148Coleman, Glendell 1/31/201211437
Sandra Ligneel, MD 1915 Eisenhower Dr Savannah GA 3140632424RN094148Coleman, Glendell Bradley Wimber 4/16/201311670
Juliana Nahas, MD 4181 Hospital Dr, Ste 202 Covington GA 3001444549RN184597Colley, April 7/29/201615443
Bowman, Robert MD 1430 Hwy 82, Ste 105 Tifton GA 3179431387RN076675Collier, Pamela 8/9/201210654
Carl D. Johnson, MD 1950 Old Ocilla Rd. Tifton GA 3179428796RN076675Collier, Pamela C. 3/27/201311488
Clyde Cranville Simmons, MD 907 E. 18th Street Tifton GA 3179417301RN076675Collier, Pamela Crownover 4/2/2012691
Vijith Prasad, MD 131- B Victory Dr. Swainsboro GA 3040140520RN090997Collier, Pamela Lee Bowman 12/18/201513075
Haritha Arikatla, MD 3685 Braselton Hwy Dacula GA 3001955723RN081190Collins, Linda Savage 12/12/201312380
Antonio Moran, Jr, MD 2500 Starling St, Suite 303 Brunswick GA 3152034669RN133916Collins, Mary Katherine 5/8/201512204
Shannon Morgan, MD 101 Riverstone Vista, Suite 106 Blue Ridge GA 3054060539RN130301Collins, Christy Michelle 11/3/20098686
George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN130301Collins, Christy Michelle 12/1/20119018
Saturday, January 21, 2017 Page 36 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Brian DeLoach, MD PO Box 8043 Statesboro GA 30460-804351216RN033411Collins, Penelope B 3/1/2012610
Nooka, Ajay MD 1365 Clifton Road NE, Bldg C, Plaza LevelAtlanta GA 3032263380RN185288Collins, Hannah 12/8/201510847
Vito John Bagnato, MD 810 13th Ave, Suite 108 Albany GA 3170145711RN162833Collins, Jessica Michelle 3/22/20118831
Dale Lawson, MD 2000 Palmyra Road - Emer Dept Albany GA 3170154233RN162833Collins, Jessica Michelle 3/30/20149866
A. S. Ghiathi, MD 106 E. Hartford Road Fort Gaines GA 3985140908RN162833Collins, Jessica Michelle 8/14/20098301
William Grubb, MD 3025 Shrine Rd, Ste 450 Brunswick GA 3152016606RN133916Collins, Mary Katherine 12/4/201515604
Garland Martin MD 391 South lst Street Jesup GA 3154547233RN057165Collum, Melanie Rose Durrence 9/20/20119989
Sandra Bohnstengel, MD 391 South 1st Street Jesup GA 3154538692RN057165Collum, Melanie Rose Durrence 7/31/2011611
Hines, Jeffrey 980 Johnson Ferry Road, NE Atlanta GA 3034247443RN066095Colman, Nancy Ellen Ross 2/17/2012612
Lee Rippy, MD 7129 Floyd St Covington GA 3001433884RN149647Colson, Amy Leanne Morris 2/28/201412318
Michael Avidano, MD 1101 Hospital Dr, Suite100-A Stockbridge GA 3028139722RN113723Colton, Wendy Marley 7/2/2016613
Michael Rogers, MD 1941 Phinizy Rd Augusta GA 3090646482RN073864Comer, Judith Lynn 1/3/201413101
Chad Slaughter, MD 380 Cedar St Metter GA 3043962003RN073864Comer, Judith Lynn 3/30/201413100
Gururaj Nayak, MD 1909 N Columbia St, Suite D Milledgeville GA 3106144033RN103622Conforti, Elisabeth Ludwig Kieb 10/18/201613665
Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN147542Conklin, Sarah Elizabeth 9/20/2009616
Ramana P. Rao, MD 801 13th Ave., Stuie A Albany GA 3170137052RN121290Conley, Gail D. 9/1/201411284
Randall Steffens, Sr, DO Meadows Reg Hosp - One Meadows Pkwy - ER Dept
Vidalia GA 3047467324RN137050Conley, Becky Ann 9/25/201211068
Michael Rogers, MD 1941 Phinizy Rd Augusta GA 3090646482RN042170Conn, Laurie A. 11/8/201312007
Billy George Chacko, MD 1825 Martha Berry Blvd. Rome GA 3016543900RN150768Connell, April Hellums 7/1/2010619
James Whatley, MD 1825 Martha Berry Blvd Rome GA 3016520622RN150768Connell, April Hellums 8/16/20129264
Saturday, January 21, 2017 Page 37 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Vikash Modi, MD 80 Vinings Dr McDonough GA 3025370226RN209853Connors, Christina Renee 1/12/201615273
Charles Dieas Ruis, MD 2858 Pine Street Unadilla GA 3109130206RN022461Conway, Marian Ann Lancaster 6/1/2007627
Frank David Newby, MD 1506 Broadrick Dr Dalton GA 3072038314RN163150Conyers, Barbara Jean 3/28/20119126
Lloyd Rimer, MD 3541 Chattanooga Rd Tunnel Hill GA 3075530665RN163150Conyers, Barbara Jean 11/28/201413024
Bishop, Joseph MD 100 Peters Street, Ste 38 Calhoun GA 3070110372RN163150Conyers, Barbara 8/26/201310643
Micheal Sumner, MD 1120 15 th, Ste B I Augusta GA 3091263062RN225002Conyers, Shanika 5/13/201614835
Byron Murray, MD 311 W. 4th St Waynesboro GA 308307856RN225002Conyers, Shanika Linette Richardso 6/21/201617077
Yvonne Smith, MD 3600 Dallas Hwy Marietta GA 3006442443RN154812Cook, Sheryl L. 4/8/201311933
Sandra Brickman, MD 1806 Lee Avenue Tifton GA 3179345043RN072673Cook, Joann G. 7/24/20097979
Allison Turk, MD 95 Morrison Moore Pkwy Dahlonega GA 3053863037RN128463Cook, Jennifer Sue 4/1/201412609
Petro, Jr., George MD 59 Tipton Drive Dahlonega GA 3053362155RN128463Cook, Jennifer 8/16/201310569
Mark Moers, MD 95 Morrison Moore Pkwy, West Dahlonega GA 3053345555RN128463Cook, Jennifer Sue 4/1/2009632
John Kludt, MD 3700 Club Drive Lawrenceville GA 3004434876RN209855Cook, Calli Leighann 11/30/201210956
A. E. Westmoreland, MD 280 West Main Street Dahlonega GA 3059713534RN128463Cook, Jennifer Sue 9/30/20109061
Randy Robinson, MD 1507 Broomtown Rd Lafayette GA 3072835987RN104354Cook, Camille Pleshette 11/23/201413874
Anu Murthy, MD 303 Peachtree St, Ste LL-140 Atlanta GA 3030354867RN104354Cook, Camille 10/4/201615584
Sidney Smith, MD 9665 Ford Ave Richmond Hill GA 3132438615RN143588Cook, Kerri Anne 9/1/201614825
Carolyn Sigman, MD 10745 Westside Way, Suite 125 Alpharetta GA 3000937904RN084993Cooksey, Karen Paula Rice 9/10/2015636
Jasmine Park, DO 10745 Westside Way, Ste 125 Alpharetta GA 3000974162RN084993Cooksey, Karen 1/29/201616304
John Schilling, MD 290 Country Club Drive, Suite 130 Stockbridge GA 3028130880RN084801Cooper, Debra Denise 12/31/20098180
Paul Hawkins, MD 4421 Carnes St Acworth GA 3010154741RN175935Cooper, N'Kema Jernee 9/15/201515616
Saturday, January 21, 2017 Page 38 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jonathan Ehrlich, MD 993-D Johnson Ferry Rd, #360 Atlanta GA 3034215580RN196254Cooper-McQueen, Paula Stephenie 2/1/20128196
Garland Martin, MD 12 Tippins St. Baxley GA 3151047233RN066094Copeland, Sherry C. 3/5/20105489
Paul Martin, MD 1960 Riverside Pkwy ste.# 101 Lawrenceville GA 3004329034RN199904Copeland, Christina Danielle 6/10/201617774
Igor Lacmanovic, MD 3949 S. Cobb Drive Smyrna GA 3008059814RN188441Copp, Angela Lee 2/17/20128009
William Kitchens, MD 1348 Walton Way Ste 5700 Augusta GA 3091013222RN093591Corcoran, Patricia 7/1/201210255
William Callaghan, MD 818 St. Sebastian Way, POB II, Suite 200 Augusta GA 3090127974RN093591Corcoran, Patricia Ann 7/31/20159030
Reginald Nesbitt, MD 1350 Walton Way Augusta GA 3091058300RN093591Corcoran, Patricia Ann 8/1/20159873
M. Vinayak Kamath, MD 1350 Walton Way Augusta GA 3091023371RN093591Corcoran, Patricia Ann 10/1/20119170
Bennie Brown, DO 925 Branch Court, Ste 101 Grovetown GA 3081365085RN093591Corcoran, Patricia Ann 10/15/201514020
Romualda Klicius, MD 145 N. Medical Pkwy Woodstock GA 3018946305RN160643Corley, Caitlin Michele 7/8/20131201
Vishwas Sakhalkar 770 Pine St, Ste 520 Macon GA 3120166808RN160643Corley, Caitlin Michele 3/25/201514223
Forrest Clark Cantrell, MD 5041 Dallas Hwy, Bldg 2, Suite 2 Powder Springs GA 3012728948RN105376Cosgrove, Julie Claire Thompson 2/20/2011649
Theron Thompson 7869 Villa Rica Hwy Dallas GA 3015751772RN146776Costanzo, Erin Reynolds 2/17/2012651
Sandra Bohnstengel, MD 391 South First St Jesup GA 3154538692RN073478Cote, Wilma Jean Rogers 7/31/2011652
Marcus Roberts, MD 903 West Ward St, Suite A Douglas GA 3153335986RN190877Courson, Jessica Lynne 6/18/201513326
Allen W. Jones, Jr., MD 1610 East 10th Street West Point GA 3183332214RN106393Cousins, Diane 11/1/20135443
Brian DeLoach, MD PO Box 8043 Statesboro GA 30460-804351216RN135671Coussons-Dyches, Angela Vawn 5/5/2014662
Eric Powell, MD 586 Brannen St Statesboro GA 3045849081RN135671Coussons-Dyches, Angela 5/18/201515467
Sanjay Nariani, MD 3457 Lawrenceville Suwanee Rd, Suite C Suwanee GA 3002449861RN157695Cowart, Rebecca Leanne 12/8/201413108
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101986Cox, Virginia Lee Brady 5/1/2012667
Saturday, January 21, 2017 Page 39 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN175357Cox, Erin Marie 1/22/201412446
Edd Jones III, MD 110 Norman Dorminy Dr, Box 929 Fitzgerald GA 3175033123RN101986Cox, Virginia Lee Brady 3/7/201513349
James Collins, MD 304 Turner McCall Blvd Rome GA 3016529833RN140243Crabbe, Karla Blythe 5/1/201512705
Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016RN144337Craig, Jessica 2/15/201310744
Wilma Briones-Mull, MD 255 W. 5th St, Suite 300 Rome GA 3016564783RN107717Craig, Karen Abbott 12/3/20129907
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN107717Craig, Karen Jenell Abbott 5/2/2008673
Ambrozic, Richard MD 3321 B N. Valdosta Rd, Ste B Valdosta GA 3160243851RN186759Crance, Jessica 8/22/201410310
David Wyatt, MD 3540 Duluth Park Lane, Suite 260 Duluth GA 3009642979RN173213Crandall, Lisa Marie 3/28/20148428
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147995RN147995
Crane, Christina Reese 6/19/20128548
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN147995Crane, Christina Reese 3/31/2009675
Todd Robinson, MD 14 Cherokee Road Cedartown GA 3012540773RN147995Crane, Christine Reese 12/18/20088199
Feaster, Joshua MD 235 Peachtree St NE, North Tower, Ste 2100
Atlanta GA 3030362690RN210385Crane, Esther 7/25/201210417
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN123659Cravey, Amy 4/30/201210149
Michele Pennington, MD 817 Griffin Ave Eastman GA 3102363003RN123659Cravey, Amy Elizabeth Harrell 2/5/20169303
Blake Milner, MD 817 Griffin Ave, Suite B Eastman GA 3102352789RN123659Cravey, Amy Elizabeth Harrell 9/1/20109160
Brandi Wynne, MD 150 E Peacock St Cochran GA 3101460635RN123659Cravey, Amy 7/11/201616095
John Vender, MD 1120 15th St, BI-3088 Augusta GA 3091242475RN192423Crawford, Miranda Wallace 2/7/201411809
Suzanne Strickland, MD 1446 Harper St. Augusta GA 3091260620RN192423Crawford, Miranda Wallace 2/9/201613391
James Carroll, MD 1446 Harper St, BT2840 Augusta GA 3091226236RN192423Crawford, Miranda Wallace 2/9/201613389
Elizabeth Sekul, MD 1446 Harper St., BT2840 Augusta GA 3091239230RN192423Crawford, Miranda Wallace 2/9/201613390
Saturday, January 21, 2017 Page 40 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
George Powell, MD 3207 Country Clun Drive Valdosta GA 3160537046RN140894Creed, Tracy Christine 7/5/20119278
Guillermo Saurina, MD 201 Pendleton Drive, Suite 250 Valdosta GA 3160548570RN140894Creed, Tracy Christine 8/25/20108297
Sangha Sumandeep, MD 1267 Hwy 54 West, Ste 2200 Fayetteville GA 3021456222RN140894Creed, Tracy Christine 3/16/201513513
William Thorneloe, MD 2978 Hwy 36, West/PO Box 3088 Jackson GA 3023323119RN052883Crenshaw, Claudia Regan 10/16/201412439
Renee Waters, MD 285 Elm St, Suite 102 Cumming GA 3004035782RN160548Crites, Julie Brooks 8/1/20108932
William Raisig, MD 64 Call-Wright Road Ellijay GA 3054055290RN049428Croft, Shelia Darlene Hill 6/26/20098456
George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3053013275RN049428Croft, Sheila Darlene Hill 12/1/20119291
Reden C. Delgado, MD 12293 Rome Hwy Rockmart GA 3015365957RN049428Croft, Sheilia H. 4/24/201411186
Ram Reddy, MD 1061 Dowdy Rd, Suite 100 Athens GA 3060624178RN049428Croft, Sheila Darlene Hill 10/1/201513338
Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN119083RN119083
Crom, Kimberly Williams 5/2/20128427
Mohammad Al-Shroof, MD 2054 Watson Blvd Warner Robins GA 3109345158RN143740Crook, Kimberly Ann 12/1/20149717
Jose Medina-Bairan, MD PO Box 3550 Valdosta GA 3160441166RN132708RN132708
Crosby, Melissa Greene 8/20/20119467
Raymond Jarvis, MD 330 Turner McCall Blvd Rome GA 3016545505RN214410Crow, Kimberly Kay Lindsey 8/8/20139832
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN171418Crowe, Julia 10/2/201515513
Anthony Marchetti, MD 801 W Gordon St Thomaston GA 3028631471RN145300Cruel, Vernendia 9/10/201515250
Chandrasekhar Sankaran, MD
101 Regency Park Dr, Suite 140 McDonough GA 3025331549RN221959Crumbley, Michelle Renee 6/26/201512960
Safia Pirani, MD 220 Oakside Lane Canton GA 3011456624RN221042Crumpler, Carolyn Dohme 7/24/201412967
Glenda Pettaway, MD 11 Dunwoody Park, Ste 190 Dunwoody GA 3033862456RN218718Crutchfield, Brooke Burbridge 3/22/201617456
Michael Pompey, MD 901 Rice St Atlanta GA 3031823097RN085019Cruz, Erwin Osiris 9/1/2014694
Saturday, January 21, 2017 Page 41 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN126162Cruz, Cheunita Rae Tyler 4/1/2012693
Barbara Bruce, MD 975 Johnson Ferry Rd., #340 Atlanta GA 3034264338RN188328Cruz Harris, Jennifer A. 1/8/201311568
Jesse Jones, MD 4300 Buford Hwy, Suite 216 Atlanta GA 3034535072RN219464Cruz-Morales, Esmerardo 10/1/201612514
Gail Matthews, MD 6158 Highway 92, Suite 101 Acworth GA 3010252182RN220894Cuadrado-Barrera, Diana 2/24/201311296
Raymond Ramirez, MD 5280 Buford Hwy, Suite H Doraville GA 3034031310RN220894Cuadrado-Barrera, Diana 2/3/201411797
Pablo Quintonilla, MD 3369 Buford Hwy, ste. 800 Atlanta GA 3032917546RN220894Cuadrado-Barrera, Diana 7/11/201413085
Ashok Kancharla, MD 132 Franklin Spring St. Royston GA 3066248250RN203087Cueto, Jonathan 6/1/201311009
Sanjay Nariani, MD 3795 Buford Dr., inside Walmart Buford GA 30519#####RN203087Cueto, Johathan 7/25/201311441
Beverly Hyacinth, MD 2990 Five Forks Trickum Rd. Lawrencefille GA 3004457003RN133042Cummings, Thelma B. 1/1/201411224
Yvonne Smith, MD 145 Standing Oak Pl Fayetteville GA 3021442443RN133042Cummings, Thelma Berry 8/5/2013700
Robert Williams, MD 111 S. Washington St Lincolnton GA 3081729263RN115548Cunningham, Thomas Keith 7/31/20157771
Plummer, Valens MD 5230 Dallas Hwy Powder Springs GA 3012749496RN084875Cunningham, Sylvia 5/1/201310048
Kenneth Howard, MD 11766 Highway 27, Ste A Summerville GA 3074740412RN247081Cunningham, Anglea 4/15/201616398
Lester Johnston, MD 116 Main St. Lincolnton GA 3081755605RN115548Cunningham, Thomas 7/31/201615888
Albert Lintel, MD 775 West Ave, Suite A Cartersville GA 3012058595RN093196Curl, Carla Sue McFarland 1/31/20139353
Anne White, MD 909 N. 5th Avenue NE Rome GA 30165-270630240RN093196Curl, Carla Sue McFarland 2/17/2012704
John Manfredi, MD 101 Riverstone Drive, Suite 102 Blue Ridge GA 3051316101RN093196Curl, Carla Sue McFarland 2/16/20128253
Antonio Moran, MD 2500 Starling Street, Suite 300 Brunswick GA 3152034669RN177851Cutia, James Robert 8/12/201310958
John House, MD 218 Quarterman St Waycross GA 3150111959RN177851Cutia, James Robert 3/1/201412712
Michael Hamm, DO 410 Darling Ave Waycross GA 3150149021RN177851Cutia, James Robert 11/21/20149970
Saturday, January 21, 2017 Page 42 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Y. Chung, MD 1107 Memorial Drive, Ste 201 Dalton GA 3072041532RN187417Czerkasij, Victor 1/31/20115464
David Shore, MD 758 Old Norcross Rd. #175 Lawrenceville GA 3004641671RN152830Dade, Rebecca Elaine 7/14/201513420
Andrew Magnet, MD 1 Aflac Parkway Columbus GA 3190760215RN251580Daftarian, Zahra 9/30/201516481
Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN094340Dalcour, Lori Anita 6/30/2016711
Roy Thomas Harry, MD 408 Green Street, P.O. Box 737 Louisville GA 3043428781RN048295Daley, Lydia Lee 8/31/20075422
Mary Lynn Tyson, MD 629 Shadrack Street Waynesboro GA 3083030683RN048295Daley, Lydia Lee 2/28/20098189
John Swing, III, MD PO Box 1259 Swainsboro GA 3040146914RN048295Daley, Lydia Lee 9/30/20108888
Mona Hanna, MD 223 N. Anderson Drive Swainsboro GA 3040153824RN048295Daley, Lydia Lee 9/30/20118375
Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN143047Dalley, Patricia Ann 1/14/2009714
Loy Cowart, MD 127 North College St Statesboro GA 3045837979RN218021Daly, Michael Edward 9/19/201616652
Eric Powell, MD 82 College Cir, Suite HNS 102 Dahlonega GA 3059749081RN169909Daniel, Julia Fabrycy 2/26/201412632
Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN169909Daniel, Julia Fabrycy 9/1/20128881
Crystal Comeau, MD 101 Riverstone Vists, Suite 111 Blue Ridge GA 3051361224RN153645Daniels, Christina Dawn 4/25/20119293
Rene Romero, MD 1405 Clifton Rd NE Atlanta GA 3032237060RN198156Daniels, Mary Caroline Toher 9/22/20149180
Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN152695Daniels, Lakeysha Myrie 7/2/20098563
Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN152695Daniels, Lakeysha Myrie 5/13/20098392
Eusebio Fernandez, MD 772 Maddox Drive, Suite 110 East Ellijay GA 3054012038RN153645Daniels, Christina Dawn 1/22/20108299
Thomas Nguyen, DO 772 Maddox Dr, Suite 110 E. Ellijay GA 3054062579RN153645Daniels, Christina Dawn 10/11/20119011
George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN153645Daniels, Christina Dawn 7/15/20109052
Thomas Karisny, MD 170 Hospital Circle, Suite A Blairsville GA 3051250029RN153645Daniels, Christina Dawn 2/1/20088067
Saturday, January 21, 2017 Page 43 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Daniel Allan Williams, MD 1128 Southpark street Carrollton GA 3011937926RN183020Daniels, LaDonia C. 4/11/20085458
Heather Edwards, MD 2739 Felton Dr. East Point GA 3034457604RN152695Daniels-Williams, Lakeysha Myrie 1/11/201616791
Karuna Shah, MD 5900 Hillandale Dr. ste. 230 Lithonia GA 3005843773RN69143D'Antignac, Veronica 9/6/201617992
Johnathan Henderson, MD 7138 Hwy 212, Ste A Covington GA 3001654898RN069143D'Antignac, Veronica 1/5/201615019
Miller, Jeri MD 200 Industrial Blvd Dublin GA 3102130835RN164973Darsey, Holly 10/31/201310117
Antony Labady, MD 200 Industrial Blvd. Dublin GA 3102163084RN164973Darsey, Holly Lannom 5/1/201513047
Ringer, Dave 803 South Main Street Greensboro GA 3064230368RN054103Darugar, Deborah Crutcher 10/28/201410025
James Southerland, MD 803 South Main St Greensboro GA 3064224632RN054103Darugar, Deborah Crutcher 1/4/201514212
Mark McCracken, MD 1499 Fair Rd Statesboro GA 3045855863RN138716Dasher, Jessica Rebecca 2/25/201616899
Bhumiben Purohit, MD 1890 Manor View Cumming GA 3004158812RN162729Daugherty, Lindsey 12/21/20108923
Suh, Daniel MD 4 Jackson Blvd Savannah GA 3140542125RN080817Daugherty, Susan 6/27/201410869
R. Alexander Wynn, MD 7120 Hodgson Memorial Drive Savannah GA 3140656939RN080817Daugherty, Susan Kathleen 4/3/20118125
Wendy Armstrong, MD 341 Ponce De Leon Center Atlanta GA 3030859678RN157540Daugherty, Alexis Eyre 10/10/201412530
Scott Tarplee, DO 2300 Parkwood Dr. Brunswick GA 3152021057RN162729Daugherty, Lindsey 7/18/201413237
Scott B. Parry, DO 730 Ponce de Leon Place, Ste B Atlanta GA 3030639899RN170152Davage, Lindsay Marie 1/1/20105497
Clyde Simmons, MD 907 E. 18th Street, Suite 400 Tifton GA 3179417301RN128572Davis, Monica Rowe 9/28/20128077
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN181221Davis, Sarah Louise 12/31/20129680
Lloydstone Jacobs, II, MD 2900 University Pkwy Lawrenceville GA 3004349179RN191859Davis, Sarah 5/6/201410950
Dean Karampelas,MD 743 Spring St Gainesville GA 3050126141RN158615Davis, Barbara Nicole 5/19/2014734
Khaled Nass, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050143717RN050862Davis, Sherry Annice Harwell 12/9/2010750
Edward Meier, MD 2112 Shorter Ave, Suite 200 Rome GA 3016543426RN182147Davis, Nicole Elizabeth 4/18/20118644
Saturday, January 21, 2017 Page 44 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Grossman, Stephanie MD 1365-C Clifton Road Atlanta GA 3032241814RN215920RN215920
Davis, Debra 7/25/201210195
Nirav Raval, MD 275 Collier Rd, Suite 300 Atlanta GA 3030954496RN207840Davis, Lindsey Leigh 9/13/20139432
Michael O'Grady, MD 5422 Hwy 20 Sugar Hill GA 3051841189RN056422Davis, Emily Cheney 11/26/2014739
Harden, Charles MD 1811 Manning Drive Vidalia GA 3047544930RN120009Davis, Kimberly 9/29/201310542
Phillip Potter, MD 699 Church St, Suite 320 Marietta GA 3006034220RN177687Davis, Daisy Bisola 6/17/201512256
Sandy Jun, MD 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 3032837005RN148442Davis, Jennifer Cross 6/30/20097856
Dennis Harper, MD 1400 N Peterson Ave, Suite C Douglas GA 3153353749RN057110Davis, Jennifer Flanders 8/17/2015742
Jenkins II, John MD 612 West Gordon Street, Ste C Thomaston GA 3028662726RN144410Davis, Cassandra 7/1/201610591
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN181221Davis, Sarah Louise 9/30/20149684
Swati Gaur, MD 743 Spring Street Gainesville GA 3050157624RN158615Davis, Barbara Nicole 5/19/201412332
Chunduri, Ananda MD 39 Kent Road, Ste 5 Tifton GA 3179464911RN128572Davis, Monica 8/31/201210862
Jennifer Meyer-Carper, MD 315 Winn Way Decatur GA 3003064604RN181221Davis, Sarah Louise 10/31/20159679
Bridgett Asbury, MD 1806 Lee Avenue Tifton GA 3179348752RN089222Davis, Shelly Denice 4/27/2016749
Love, Michael MD 979 E. 3rd Street, Ste C-520 Chattanooga TN 3740364856RN129150Davis, Karrie 7/25/201210372
Noreen Andrews, MD 1180 McKendree Church Rd, Suite 202 Lawrenceville GA 3004346861RN140088Davis, Amy Leigh Christian 7/22/201511978
Mark Kats, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050161275RN050862Davis, Sherry Annice Harwell 1/8/20169595
Felicia M. Carr, MD 305 West Harris Street Savannah GA 3140128190RN143842Davis, Jaqueline Margaret 8/31/2011741
Charles Cowart, MD 205 Shirley Ave Douglas GA 3153329161RN197160Davis, Larissa 12/6/201616340
Richard Gluckman, MD 3911 Mary Eliza Trace, Ste 200 Marietta GA 3006413982RN217188Davis, Michelle 8/28/201515682
Syed Naseeruddin, MD 11680 Great Oaks Way, Ste 150 Alpharetta GA 3002267046RN244923Davis, Amber Danielle 7/27/201616985
Saturday, January 21, 2017 Page 45 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Hardwell, MD 304 Turner McCall Blvd Rome GA 3016549177RN204404Davis-Evans, Chassidy 3/24/201616319
Morohunfolu Akinnusi, MD 55 Whitcher St NE, Suite 160 Marietta GA 3006064741RN171108Dawe, Jennifer 11/15/20129871
Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN162457Dawkins, Laneisha Ann 10/21/201311003
Hugo Ribot, MD 958-A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN064251Day, Elizabeth Jean 10/31/20115113
Riesco, Ricardo MD 1933 Shields Road Dalton GA 3072044069RN122559Day, Cynthia 2/8/201310437
Nedra Dodds, MD 9020 Peridot Pkwy Stockbridge GA 3028139170RN064251Day, Elizabeth Jean 4/19/20108745
Andrew Pandya, MD 210 E. DeRenne Ave Savannah GA 3140555323RN090084Day, Claudia Eileen Yarbrough 7/31/20119047
James Butts, MD PO Box 2683 Gainesville GA 305039103RN121449Day, Leigh Anne Smith 3/14/2016755
Christopher Bussler, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050155813RN164139Day, Hannah Shope 2/19/201613849
Armene Vanoyan, MD 275 Collier Rd Ste 100 C Atlanta GA 3030946508RN174953Day, Julie Marie 7/1/201613884
Matthey Harris, MD 1240 Jesse Jewell Pkwy, Ste 500 Gainesville GA 3050147761RN164139Day, Hannah Shope 2/19/201616776
Conley, Jason MD 960 Joe Frank Harris Parkway, Emer DeptCartersville GA 3012054602RN187668Deal, Darron 7/25/201210679
Shailesh Patel, MD 5454 Yorktowne Dr. Atlanta GA 3034961931RN200869Dean, Shakaola Amaree 9/9/201617994
Gregory Zakers, MD 4711 Peachtree Ind Blvd, Ste B Norcross GA 3009249847RN170709deArmas, Karla Vanessa 3/31/2014758
Rodolfo Carrillo, MD 2181 Northlake Pkwy, Bldg 6, Suite 120 Tucker GA 3008433243RN170709deArmas, Karla Vanessa 11/20/201312955
Luther Vance, Jr, MD 2171 Northlake Pkwy, Bldg 6, Suite 120 Tucker GA 3008419354RN170709deArmes, Karla Vanessa 9/1/201312008
Molly Eaton, MD 550 Peachtree St NE, Suite 7000 Atlanta GA 3030823944RN084438Debalsi, Anthony Joseph 6/12/2013760
Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN089225Decamp, Cynthia Cherie 5/13/20098380
Nichole LeBoyd, MD 649 Shallowford Rd Gainesville GA 3050454452RN138117Decker, Julie Ann 12/1/20097828
Jeffery Dowis, MD 1205 Russell Parkway Warner Robins GA 3108868199RN123457Decker, Laura 2/5/201615824
Saturday, January 21, 2017 Page 46 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Frank Bynes, MD 4395 Ogeechee Rd., Ste 298 Savannah GA 3140536932168565Dees, Kristi 1/5/201616731
John Ouderkirk, MD 735 Piedmont Ave Atlanta GA 3080849992RN144344Deguia, Susan Elaine 3/3/201412493
Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN144344Deguia, Susan Elaine 5/3/20119338
Andrew Waldman, MD 710 Center St, Emer Dept Columbus GA 3190148001RN092845Dehner, Carissa Francine Buttrum 10/17/201513291
Jaymal Patel, MD 2100 Comer Ave Columbus GA 3190450984RN138138Dehner, Michael Andrew 9/30/201617298
Robert Raybon, MD 79 Doyle St Toccoa GA 3057738339RN216236DeLoach, Shana Barker 4/1/201512161
Shaun Price, MD 705 17th St Columbus GA 3190157744RN225396Demarest, Lauren Whitney 4/1/201412246
Dingane Baruti, MD 100 Yorktown Dr., Ste 110 Fayetteville GA 3021455411232647Demby, Taheerah Denise 12/31/201514082
Kenneth Patric, MD 400 Peachtree Industrial Blvd. Suwanne GA 3002469243RN232647Demby, Taheerah Denise 6/22/201617079
Steven Corse, MD 340 Eisenhower Dr, Suite 1200 Savannah GA 3140626088RN096491Demott, Jennifer Marie Smith 3/29/201311673
David Dobson, MD 655 Stephenson Ave Savannah GA 3140657160RN096491Demott, Jennifer Marie Smith 4/18/201412999
William E. Richards, MD 5353 Reynolds St., Ste 200 Savannah GA 3140567939RN221807Denny, Jean M. 2/13/201411187
Bram Wieskopf, MD 1192 Buckhead Crossing, Suite E Woodstock GA 3018945136RN116008Denny-Smith, Tammy Jane 11/10/2008772
Akita Evans, MD 1227 Rockbridge Rd. Stone Mountain GA 3008764372RN098506Denson, Freda Jeannine 10/29/201516136
Trishanna Sookdeo, MD 4751 Best Rd College Park GA 3033772697RN098506Denson, Freda 7/30/201515187
Nitasha Burney, MD 1227 Rockbridge Rd. Stone Mtn GA 3008755931098506Denson, Freda 6/17/201616697
Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN055775Dent Johnson, Lowanda 3/31/20101538
Melissa Rhodes, MD 21 Pointe North Dr Cartersville GA 3012047060RN106233Denton, Sherry Lynn 6/19/201513099
Trent Schueneman, MD 2927 Demere Rd St Simons Island GA 3152351731RN138582Denton, Diane 1/15/201615924
Tsung Jonathan Hsu, MD 677 Church St, Bldg 310 Marietta GA 3006062220RN218179Deringer, Ashley Cannon 10/10/201312049
Swati Gaur, MD 743 Spring St Gainesville GA 3050157624RN218179Deringer, Ashley Cannon 3/19/201412793
Saturday, January 21, 2017 Page 47 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Emem Udo, MD 743 Spring St Gainesville GA 3050163142RN218179Deringer, Ashley Cannon 10/16/201513307
Saudiqa Hoossainy, MD 5150 Stilesboro Rd, Ste 220 Kennesaw GA 3015268179RN208973Desaulniers, Genevieve 9/19/201515103
Kyoung-Soon Kim, MD 5150 Stilesboro Rd., Ste. 220 Kennesaw GA 3015239144RN208973Desaulniers, Genevieve Antoinette 1/12/201513087
Cathy Larrimore, MD 4181 Hospital Dr., Ste #104 Covington GA 3001438836RN166939Detzel, Patricia Ann 12/31/20105117
Tania Smith, MD 2420 Westgate Dr, Suite 102 Albany GA 3170751602RN149567Dew, Brandy Pellicano 6/20/201412540
Anthony Wahbeh, MD 2701 Meredyth Drive Albany GA 3170746003RN149567Dew, Brandy Pellicano 7/13/20108748
Howard Stirne, MD 316 North Broad St, Emer Dept Winder GA 3068025050RN194703Dew, Patricia L 4/30/201311714
Maria, Bernard MD 417 West 3rd Ave Albny GA 3170162741RN149567Dew, Brandy 9/24/201310475
Dennis Estep, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074225429RN145900Deweese, Vicki Renee 5/5/2012787
Noreen Andrews, MD 1910 Hwy 20 SE, Suite 270 Conyers GA 3001346861RN148538Dexter, Susan Elizabeth Ragland 2/25/20109020
Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN148538Dexter, Susan Elizabeth Ragland 8/12/20119763
Irandathy Rodrigo, MD 2522 Cruse Rd, Suite C-2 Lawrenceville GA 3004442715RN148538Dexter, Susan Elizabeth Ragland 6/5/20109116
Joseph Ricotta, MD 980 Johnson Ferry Rd, Ste 1040 Atlanta GA 3034264452RN242399Diana, Fabrizio 7/2/201514285
Arvind Aggarwal, MD 206 Hospital Dr, Suite B Dublin GA 3102156400RN234841Diaz, Scarlett Renee' 4/24/201412806
Amber Zafar, MD 2443 Brookstone Centre Pkwy, Ste A Columbus GA 3190447384RN234841Diaz, Scarlett Renee' 2/11/201515028
Robert Cossio, MD 322 Stephenson Ave Savannah GA 3140536357RN198332Dickerson, Haley Nicole 9/12/201412607
Brett Murphy-Dawson, MD 2100 Comer Avenue Columbus GA 3190454080RN196911Dill, Winston Elmer 1/9/20098410
Reemon Bishara, MD 1915 Eisenhower Dr Savannah GA 3140663759RN196911Dill, Winston Elmer 6/25/20109200
Johnson, Debora MD 950 Dannon View, Ste 4101 Atlanta GA 3033143071RN196911Dill, Winston 5/7/201210619
Warren, Bryan MD 605 Osborne Street St. Marys GA 3155841237RN196911Dill, Winston 4/1/201310571
Emile Risby, MD 3000 Schatulga Rd Columbus GA 3190730869RN196911Dill, Winston 3/22/201615429
Saturday, January 21, 2017 Page 48 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jim Wade, MD 800 East Doyle Street Toccoa GA 3057722664RN169332Dillon, Laura J. 7/25/2008800
Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN218672Din, Erica Shozaki 4/14/201611962
Oladayo Osinuga, MD 2850 Springdalr Rd SW Atlanta GA 3031551703RN064892Dinkins Learmont, Beverly Ann 5/15/201311825
Richard Wright, MD 315 Upper Riverdale Rd Riverdale GA 3027446927RN064892Dinkins Learmont, Beverly Ann 2/8/201311767
Vickie James, MD 1897 Godby Rd College Park GA 3034931032RN064892Dinkins-Learmont, Beverly Ann 8/22/201612571
Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN064892Dinkins-Learmont, Beverly Ann 11/20/20131716
Lisa Wannamaker, DO 1120 15th St., Pavilion II AF-1040 Augusta GA 3091255462RN071559DiNonato, Caroline J. 5/31/201511578
Timothy Ryan, MD 84 Pine Gove Road Cartersville GA 3012040220RN104267Dirico, Laura Anne 10/30/20098362
Mathews, Jr., Kenneth MD 118 Howard Street Rossville GA 3074164626RN194657Dittmar, Jennifer 3/14/201310353
James Kauten, MD 1968 Peachtree Rd NW Atlanta GA 3030924830RN246944Ditty, Clay 1/6/201615552
James Randleman, MD 1365 Clifton Rd, Bldg B Atlanta GA 3032247826RN224677Divinnie, Kaitlin Ann 7/31/201616772
Leli Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN085072Dixey, Priscilla Ann 1/15/2014803
James D. Waller MD 1 Sweet Bay Court, Ste B Mouldtie GA 317683715RN109231Dixon, Lori A.L. 8/5/201617643
Anju Malla, MD 1826 Veterans Blvd Dublin GA 3102160471RN063195Dixon, Martha 5/15/201514834
Richard Baldwin, MD 9280 Hwy 5, Ste A Douglasville GA 3013423894RN173287Dobbs, Monica Kathryn 9/11/201513411
Jesenko Vukotic, MD 2000 Professional Way, Bldg 200 Woodstock GA 3018843300RN112293Dobson, Shannon Nunn 2/21/20119087
Brinkley Goodson, DO 260 Elm St Cumming GA 30040-246724680RN203965Doedens, Danielle Lane 8/8/201412616
Raymond Easley, DO 260 Elm St Cumming GA 3004020987RN203965Doedens, Danielle Lane 11/12/201514160
Neil Gladstone, MD 3115 Piedmont Rd, Ste A 102 Atlanta GA 3030516917RN223562Doggette, La-Shunn 4/13/201514486
Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN117159Doker, Robin Lucille Huff 12/14/2010812
Saturday, January 21, 2017 Page 49 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN189322Domzal, Bethany Lyn 1/25/20135478
Robert Spruill, MD 8 Laurel Court Moultrie GA 3176859026RN064894Donnan, Judith Ann Ferguson 9/30/20169049
Elizabeth Furbish, MD 2450 Vinson Hwy Milledgeville GA 3106258472RN093203Donovan, Pamela Daniel Ratajczak 8/6/20159336
Heerain Shah, MD 3509 Mabry Rd Gainesville GA 3050459016RN085079Dooley, Patricia Dianne Cole 1/9/20129742
Hector Aviles, MD 3509 Mabry Rd Gainesville GA 3050457144RN085079Dooley, Patricia Dianne Cole 3/15/2011819
Thomas Cobb, MD 310 Black Bear Ridge Saulee GA 3057159699RN085079Dooley, Patricia Dianne 11/21/201414386
Misra, Sudipta MD 1446 Harper Street BG-1132 Augusta GA 3-01259563RN162426Dorman, Joyce 2/23/201210049
Lynley S. Durrett, MD 105 Collier Road, Ste 1080 Atlanta GA 3030944912RN130308Dortch, Janet Rose 12/22/2008828
Meera Garcia, MD 5780 P'tree Dunwoody Rd, #295 Atlanta GA 3034246101RN130308Dortch, Janet Rose 12/31/20108476
Riba Kelsey-Harris, MD 595 Piedmont Ave., Ste 100 Atlanta GA 3030853833RN072764Doughton-Johnson, Renea 7/5/201311097
Raulnina Uzzle, MD 770 Village Square Dr Stone Mountain GA 3008343499RN072764Doughton-Johnson, Renea 8/9/201412373
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN072764Doughton-Johnson, Susan Renea 8/24/2012832
Ehi Osehobo, MD 1007 Memorial Drive Griffin GA 3022449075RN112304Douglas-Adams, Tresselyn Y. 9/26/20098486
Kalpana Nayak, MD 1912 Memorial Dr, Ste E Waycross GA 3150126049RN218345Douthit, Melissa Anne 9/1/201615745
Michael Frankel, MD 80 Jesse Hill Jr Dr, 8th floor Atlanta GA 3030334832RN169902Dow, Andrew Ryan 10/1/201411764
Renee Corley, MD 653 Roberts Drive, Suite A Riverdale GA 3027433302RN188812Dowden, Margaret Phyllis 3/1/20118575
Messulam, Elizabeth MD 3421 Mike Padgett Hwy Ste C Augusta GA 3090644786RN099709Downey, Gloria 2/4/201410898
Al-Shroof, Mohammad MD 2054 Watson Blvd Warner Robins GA 3109345158RN110538Doyle, Konnie 4/14/201210572
Campbell, Becky MD 500 Spillers Way Warner Robins GA 3108848105RN110538Doyle, Konnie 10/1/201310701
Baggett, Kevin DO 500 Spillers Way Warner Robins GA 3108848410RN110538Doyle, Konnie 10/1/201310700
Richard Myung, MD 61 Whitcher St, Suite 4100 Marietta GA 3006057902RN181191Dozier, James Bradford 1/27/201512645
Saturday, January 21, 2017 Page 50 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Layher, MD 1230 Bulter St Athens GA 3066646692RN161881Dragoi, Diana 12/31/201515425
Floyd, John MD 840 Pine Street Macon GA 3120151041RN222121Drakeford, Torrence 7/20/201410872
Steven Niergarth, DO 1201North Columbia Dr Milledgeville GA 3106144553RN222121Drakeford, Torrence Tremayne 8/31/201512132
James Peterzell, DO 218 Hwy 49 North, Suite B Byron GA 3100853868RN222121Drakeford, Torrence Tremayne 7/24/201311432
Vinod Sachdeva, MD 1412 Plunkett Rd, Po Box 750 Unadilla GA 3109146319RN222121Drakeford, Torrence Tremayne 10/2/201412131
George Zoret, MD 2215 Tobacco Road, Suite F Augusta GA 3090624744RN185715Drake-Hughes, Denise Kim 5/1/20088144
Arnold Ray Christopher, MD 3624 J Dewey Gray Circle, Ste 110 Augusta GA 3090953119RN185715Drake-Hughes, Denise Kim 2/11/20085473
S. Nok Keomahathai, MD 550 Redmond Rd. Rome GA 3016551054RN137657Dryer, Sheba 7/10/201311586
Michael Gardner, MD 69 Jesse Hill Jr, Dr. SE Atlanta GA 3030356710RN129528Dubin, Cynthia Ellen 1/1/20085123
Salvatore Mannino, DO 55 Whitcher St, Ste 350 Marietta GA 3006056133RN212024Dubois, Melissa 10/22/201515531
Vithal Kusuma, MD 1009 N. Monroe St Albany GA 3170121536RN069794Dubravcic, Cindia Leigh Poole 9/30/20108627
Merlin, Mark DO 1140 Hammond Drive, Ste 110 Atlanta GA 3032831635RN121801Dudley, Susan 9/24/201610596
Loy Cowart, MD 207 S. Duke Street Lafayette GA 3072837979RN121801Dudley, Susan Gail 11/1/20107788
John Ouderkirk, MD 735 Piedmont Ave Atlanta GA 3080849992RN121801Dudley, Susan Gail 10/2/201412316
Yolanda Hacker, MD 780 North Glynn Fayetteville GA 3021445811RN094669Dugas, Princess Marie 1/16/20148562
Germaine Denise Cummings, MD
780 North Glynn Fayetteville GA 3021452340RN094669Dugas, Princess Marie 5/13/2009851
Thomas Simpson, Jr., MD 255 West Fifth St Rome GA 3016534949RN130310Duggar, Gina Darlene 8/21/20159793
Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN177273Dukas, Brenda Cheryl 3/2/20108716
Thomas Fariss, MD 1400 Holcomb Bridge Rd Roswell GA 3007655747RN132595Dumas, Nicole Yvette 10/1/201411921
Charlie Rouse, MD 100 Professional Park, Suite 303 Carrollton GA 3011744076RN172907Dumas, Therese Williams 6/18/20118705
Saturday, January 21, 2017 Page 51 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Craig Johnson, MD 4460 Atlanta Hwy Loganville GA 3005229689RN134435Duncan, Laura Murray 1/31/20085491
Edwin Hiatt, MD 200 Georgia Ave, Student Hlth Ctr Valdosta GA 3169812920RN163035Duncan, Kristen Lee 11/1/20159098
Shahzad Hashmi, MD 250 North Avenue Athens GA 3060153239RN134435Duncan, Laura Murray 7/1/20148219
Peter Jiang, MD 1831 5th Ave Columbus GA 3190459981RN129997Duncan, Tammy Rebecca 6/6/201412148
Richard Rickman, MD 200 Georgia Ave. Valdosta GA 3169849332163035Duncan, Kristen 1/4/201616715
Oscar Salvat, MD 80 West Main St. Butler GA 3100649742RN129997Duncan, Tammy Rebecca 6/17/201614208
Mark Hancock, MD 163 Hospital Dr Toccoa GA 3057767750RN105176Dunn, Ida Marie 6/18/2014860
Crystal Slade, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453881RN190028Dunn, Alexis Brennae 10/30/20129235
Eugene Jackson, MD 151 South Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN153403DuPraw, Virginia Ann Pearson 2/6/201511837
Stewart Grizzard, MD 151 South Houstion Lake, Ste 190 Warner Robins GA 3108843948RN153403Dupraw, Virginia 10/2/201514937
Kenneth J. Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN193186Dupree, Susan Lee 12/7/201211250
Thomas A. Self, MD 1825 Marth Berry Blvd. Rome GA 3016521587RN193186Dupree, Susan Lee 10/14/201311628
Justin Watson, MD 55 Whitcher St, Ste 250 Marietta GA 3006065655RN212880Duran, Maximo 11/3/201616523
Paul J Jarrett, MD 3051 Watson Blvd, ste525 Warner Robins GA 3108823069RN213380Durden, Linda Tatman 12/4/201513353
Layth Saymeh, MD 203 Tommy Stalnaker Dr. Warner Robins GA 3108867436RN213380Durden, Linda Tatman 9/23/201617006
David Lowance, MD 1903 North Druid Hills Rd Atlanta GA 3031916095RN180719Durham, Angela Melissa 3/5/2010865
Parker, Stacey MD 2578 Helen Highway Cleveland GA 3052860022RN112059Durham, Rebecca 9/26/200010150
Rebecca Loomis, MD 1331 Helen Hwy Cleveland GA 3052846984RN112059Durham, Rebecca Caroline Brown 9/12/2011867
Jennifer Duke, MD 540 Charter Blvd, Ste 100 Macon GA 3121050615RN116991Durkee, Kate Moore 9/2/201514023
Robert Byrne, MD 1500 Oglethorpe Ave, Suite 200-C Athens GA 3060651443RN161843DuVall, Caroline 6/11/201411087
Ferree, Suzanne MD 1357 Hembree Rd, Ste 240 Roswell GA 3007647772RN109974Duxbury, Linda McIver 4/16/201410448
Saturday, January 21, 2017 Page 52 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Bounthavy Homsombath, MD
3675 J Dewey Gray Cir, Suite 300 Augusta GA 3090968031RN228108Dykes, Angela Renee 6/8/201612408
Andrew Doris, MD 761 Old Norcross Road Lawrenceville GA 3004549005RN108119Dysinger, June Neil 1/9/20108479
Jan Mayfield, MD 49 Hosiery Mill Road, Suite 124 Dallas GA 3015751355RN066361Eades, Lee Ann Hunter 10/11/2009869
Harrison Stetler, MD 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 3009241681RN217816Earnest, Nina Choi 8/23/201311687
David R. Wharton 100 Gross Crescent Cr. Ft. Oglethorpe GA 3074225310RN225095Eckert, Cynthia J. 3/1/201311471
Lloyd Rimer, MD 3541 Chattanooga Rd Tunnel Hill GA 3075530665RN225095Eckert, Cynthia Jean 11/3/201412273
Edsworth John, MD 811 13th St, Ste 10 Augusta GA 3090165012RN184707Edenfield, Monica 12/31/201210924
Oladapo Fawibe, MD 811 13th Street, Suite 10 Augusta GA 3090143608RN184707Edenfield, Monica Phillips 9/1/201312216
Michael Rogers, MD 1941 Phinizy Rd- Webster Det Ctr Augusta GA 3090646482RN184707Edenfield, Monica Phillips 10/23/201413514
Daniel Messcher, MD VSU Stud Health Ctr, North Oak St Valdosta GA 3169848443RN190120Edge-Knauff, Julia Kaye 3/18/20098033
Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN190120Edge-Knauff, Julia Kaye 10/1/20098633
Anthony Harbin, MD 1525 Chattanooga Road Dalton GA 3072029665RN135120Edgeman, Michelle Blalock 7/16/20118494
Steven Johnson, MD 1111 Glynco Pkwy, #100 Brunswick GA 3152517836RN112337Edmonds, Peggy Dockery 7/15/2010879
Rogers, Michael MD 1941 Phinizy Road Augusta GA 3090646482RN112337Edmonds, Peggy 9/7/201210743
Eugene Jackson, MD 151 South Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN112337Edmonds, Peggy Dockery 2/20/20129242
Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN112337Edmonds, Peggy Dockery 7/13/201512517
Bazzel, Grady MD 1941 Phinizy Road Augusta GA 3090665524RN112337Edmonds, Peggy 4/21/201210710
Allen Dollar, MD 80 Jesse Hill Dr, Suite 2F Atlanta GA 3030335244RN207801Edwards, Michele Lee 6/21/20149638
Lynn Denny, MD 376 Rogers Ave Macon GA 3120450155RN203106Edwards, Emily 12/10/201516551
Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN164522Eichenlaub, Gretchen Dean 11/30/20138609
Saturday, January 21, 2017 Page 53 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN164522Eichenlaub, Gretchen Dean 7/2/20108602
Catherine Bonk, MD 315 Winn way Decatur GA 3003030435RN164522Eichenlaub, Gretchen Dean 11/30/20138608
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN164522Eichenlaub, Gretchen Dean 11/30/20138610
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN164522Eichenlaub, Gretchen Dean 12/31/20128613
Franklin Von Hack, MD 861 Holcomb Bridge Rd, Ste 200 Roswell GA 3007639501RN120872Ejifoma, Mary Iniovosa 8/20/20129963
Raymond Ramirez, MD 5180 Jimmy Carter Blvd Norcross GA 3009331310RN120872Ejifoma, Mary Iniovosa 2/3/201411773
Ahmad Jingo, MD 3424 Flat Shoals Rd Decatur GA 3003445842RN120872Ejifoma, Mary Iniovosa 2/18/2014883
Corliss Rupp, MD 1711 Athens Hwy, Suite 500 Grayson GA 3001749091RN042548Ekard, Charlotte Ann Hodges 5/31/20088204
Craig Johnson, MD 4460 Atlanta Hwy, Suite B Loganville GA 3005229689RN042548Ekard, Charlotte Ann Hodges 9/30/20088171
Valens Plummer, MD 780 North Glynn Fayetteville GA 3021449496RN045263Eley, Cecelia Joyce 5/12/20097698
Shirley Rigaud-Echols, MD 770 Village Square Dr Stone Mountain GA 3008358639RN124957Elie, Joann 8/31/2010887
Shalandra Ross, MD 770 Village Square Dr Stone Mountain GA 3008364457RN124957Elie, Joann 8/15/20149430
Robert Dourron, MD 2675 N. Decatur Rd, Ste 301 Decatur GA 3003348617RN124957Elie, Joann 10/5/20129927
Joan James, MD 770 Village Square Drive Stone Mountain GA 3008365263RN124957Elie, Joann 4/25/201613885
Derek Woessner, MD 1800 10th Ave Columbus GA 3190151194RN175222Elkins, Amanda Layne 6/17/20119778
Gillett, Richard MD 1800 10th Avenue Columbus GA 3190134142RN175222Elkins, Amanda 11/28/201210714
Gaston Morah Celayes, MD 618 E Lamar St Americus GA 3107964675RN198479Elliot, Anita Simpson 2/5/201614202
Frank David Newby, MD 1506 Broadrick Drive Dalton GA 3072038314RN115578Elliott, Kelly Ray 1/30/2013888
Kirby Smith, DO 760 26th AVE SE Moultrie GA 3176839676RN109322Elliott, Brian 8/19/201515538
Seth Berl, MD 9 Hospital Park Moultrie GA 31176824390RN109322Elliott, Brian Allen 5/1/201614374
Pradeep Jolly, MD 975 Johnson Ferry Rd. Atlanta GA 3034222798RN150577Ellis, Laura Anne Green 6/30/2014890
Saturday, January 21, 2017 Page 54 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Yolanda Hacker, MD 794 S Park St Carrolton GA 3011745811RN165019Ellis, Latrese A 3/26/201513790
Contresia Bailey, MD 555 Old Norcross Rd, Ste 100 Lawrenceville GA 3004657042RN169582Elmore, William 1/22/201616164
Kelvin White, MD 5505 Bells Ferry Rd Acworth GA 30102-752733753RN169582Elmore, William 9/22/201514473
Kerry Neises, MD 1107 Memorial Dr., Ste 300 Dalton GA 3072043720RN164926Elrod, Leah 1/1/201511119
Dorel Bidiuc, MD 707 Old Dalton - Ellijay Rd, Emer Dept Chatsworth GA 3070551296RN164926Elrod, Leah Tracy 1/1/201513288
Ault, Kevin MD 69 Jessee Hill Jr., Dr, SE, GYN/OB Dept, 4th floor
Atlanta GA 3030356403RN204492Elsinga, Elysia 12/13/201210655
Lenka Novotna, MD 800 East Doyle Street Toccoa GA 3057751698RN064364Emery, Marie Kerr 3/18/2011896
Eric Powell, MD 1250 Jesse Jewell Pkwy, Suite 400 Gainesville GA 3050149081RN064364Emery, Marie Kerr 12/31/20098282
Mary East, MD 300 Cherokee Pl Cartersville GA 3012163187RN154628Emery, Tonya Leigh 10/2/20109023
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN154628Emery, Tonya Leigh 2/4/20107888
James Malcolm, MD 300 Tower Rd, Ste 200 Marietta GA 3006044781RN229514Endsley, Lynelle 2/26/201615586
Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN130096Enfinger, Lesley Johnson 5/1/20092696
Abdollatif Ghiathi, DO 208 McDonald Aveune Cuthbert GA 3984040908RN144558Enfinger, Casidy Davis 2/6/20098320
Brenda Hott, MD 200 S Enota Dr, Suite 200 Gainesville GA 3050141441RN183909Engel, Bryan Scott 11/1/201512740
Lawrence Powell, MD 3740 Cascade Road Atlanta GA 3033138915RN123591English, Tracy C. 2/24/20108770
Dennis Estep, MD 2366 Battlefield Parkway FT Oglethorpe GA 3074225429RN077047Ensley, Deirdre Walker 3/1/2011904
Thomas Ho, MD 7494 Battlefield Pkwy Ringgold GA 3073644748RN077047Ensley, Deirdre Walker 1/26/20129754
Thomas Ho, MD 7494 Battlefield Pkwy Ringgold GA 3073644748RN077047Ensley, Deirdre Walker 1/26/201211386
Okiki Louis, MD 1490 Pleasant Hill Road Duluth GA 3009647479RN180187Enworom, Chinyere D. 4/25/2014905
William Mahle, MD 1405 Clifton Rd Atlanta GA 3032250110RN138969Epstein, Robin Nadine Pollack 8/5/2013907
Saturday, January 21, 2017 Page 55 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Philip Henderson, MD 289 Grayson Hwy Lawrenceville GA 3004547601RN137469Erkenbrack, Susan Karen 6/20/2010910
Patrick Haggard, MD 80 Jesse Hill Jr Dr, Suite 13-A Atlanta GA 3030349403RN049625Ervin, Nora 5/6/20108786
Golden Barnett, III, MD 10 Park Place NE, 2nd Floor Atlanta GA 3030355090RN049625Ervin, Nora 3/31/201311875
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN049625Ervin, Nora 5/30/20129192
Lester Freeman, MD 2600 MLK Jr Dr, Suite 206 Atlanta GA 3031147431RN128018Esezobor, Cherri Denise 4/11/201612358
Richard Schwartz, MD 1120 15th St, Suite AF-2044 Augusta GA 3091242935RN040164Espitallier, Catherine V 8/1/2011911
John Kauh, MD 1365 Clifton Rd, Bldg C Atlanta GA 3022252970RN185062Estabrook, Christine M. 10/18/20139853
Richard Carter, MD 1506 Klondike Rd, Suite 205 Conyers GA 3009438439RN185062Estabrook, Christine M. 10/3/20108871
Ann Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN142360Estes, Shaquita Nichole Lewis 4/29/20148810
Frederick Burton, MD 1735 S. Highway 27 Carrollton GA 3011738434RN189458Esteves, Ariel 4/12/201515451
Maurice Solis, MD 575 First St Macon GA 3120130673RN081198Etheridge, Christy Rebecca 7/21/201412984
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN076629Ethridge, Rachel Susan 4/19/2010914
Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN076629Ethridge, Rachel 3/27/201410842
Clarice Bell-Strayhorn, MD 505 Dacula Rd Dacula GA 30019-212539730RN185846Etienne-Marseille, Valencia 8/26/201515833
Meena Shah, MD 475 Philip Blvd. Lawrenceville GA 3004621464RN251834Etzkorn, Jessica A. 6/15/201616753
Alice House, MD 100 College Station DR Macon GA 3120643065RN168361Evans, Natalie Fulford 9/4/20149806
David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN145456Evans, Rebecca Berrier 12/4/20151796
Thomas A. Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN145456Evans, Rebecca Berrier 4/8/201311609
Alice R. House, MD 100 College Station Dr. Macon GA 3120643065RN168361Evans, Natalie F. 9/4/201411190
Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN033687Evans, Anne T. 10/24/20088311
Saturday, January 21, 2017 Page 56 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN113548Evans, Kimberly 1/28/201310300
Charles Harden, MD 621 East First St, Suite B Vidalia GA 3047544930RN113548Evans, Kimberly 4/30/201412625
Peter Litchfield, MD 117 Kite Rd, Emer Dept Swainsboro GA 3040165367RN113548Evans, Kimberly 7/1/201413286
Frederick Burton, MD 6020 Harrison Rd. Macon GA 3120638434RN168361Evans, Natalie Fulford 6/18/201614066
Marcus Roberts, MD 621 E. First, Ste B Vidalia GA 3047535986RN113548Evans, Kimberly 6/18/201513276
Stewart Grizzard, DO 621 East First St, Ste B Vidalia GA 3047543948RN113548Evans, Kimberly 4/21/201615812
Tommy Morgan, MD 120-A Gordon Commercial Dr LaGrange GA 3024057755RN087281Evers, Sharon Lee Sterner 10/18/20119760
Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN129054RN129054
Ewart-Madhere, Arlene Elaine 9/6/20129498
William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN129054Ewart-Madhere, Arlene Elaine 9/24/2009922
Maria Walker, MD 5040 Snapfinger Woods Dr. ste. 108 Decatur GA 3003525306RN246171Eyefia, Emmanuel Eseroghene 9/30/201618028
Mark Dorogy, MD 1062 Forsyth St, Ste 1 B Macon GA 3120141105RN207232Ezell, Rachel 12/18/201516284
Mark Stovroff, MD 960 Johnson Ferry Rd, Suite 315 Atlanta GA 3034237088RN167366Fahien, Erin Mary 6/9/20109091
Ahmed Damtew, MD 3201 Atlanta Industrial Pkwy NW, Ste 303Atlanta GA 3033167552RN245428RN245428
Falkner, Myron 4/30/201515560
Roy Johnston, MD 9157 Tara Boulevard MD Jonesboro GA 3023640428RN245428Falkner, Myron Javon 4/30/201515286
Raymond McKoy, DO 815 Shugart Rd Dalton GA 3072044536RN244839Farrell, Vincent 10/24/201515084
Houston H. Pittman, MD 20 Riverbend Drive, SW Rome GA 3016118065RN186074Farrington, Sherry Lynn 3/14/20085462
John Vu, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024840813RN069262Faulkner, Linda Leigh 9/11/20159715
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN069262Faulkner, Linda Leigh 4/15/20108743
William Watkins, MD 235 P'tree St NE, North Tower, #2100 Atlanta GA 3030332076RN069262Faulkner, Linda Leigh 9/1/2014935
Neelima Kothari, MD 55 Whitcher St, Suite 160 Marietta GA 3006051494RN195879Favis, Tara Lynn 2/3/201411067
Saturday, January 21, 2017 Page 57 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Ouderkirk, MD 9925 Haynes Bridge Rd, Suite 320 Alpharetta GA 3002249992RN195879Favis, Tara Lynn 11/18/201613703
Jody Hughes, MD 55 Whitcher St, Suite 160 Marietta GA 3006068034RN195879Favis, Tara 2/3/201414011
Derrell Anglyn, Jr, MD 55 Sims St McDonough GA 3025324198RN173878Fears, Stacey Lorraine 9/26/201411696
Damon Kimes, MD 5985 Peachree Pkwy Norcross GA 30092-281850322RN173878Fears, Stacey Lorriane 9/24/201614324
Suzette Chin, MD 21 Pointe North Dr Cartersville GA 3012058955RN229596Feehan, Magen Ann 7/15/201614982
Donna Gregory, MD 107 Mountain Brook Dr, Ste 100 Canton GA 3011551227RN154172Fegely, Karen 10/14/201210175
Carla Bedford-Dixon, MD 143 Hickory Flat Hwy Canton GA 3011460239RN154172Fegely, Karen Joy Krasley 9/29/20119333
Ram Reddy, MD 132 Franklin Springs St Royston GA 3066224178RN226586Fekadu, Aynaddis 12/31/201512058
Hansa Bhargava, MD 2201 Mt Zion Pkwy Morrow GA 3026052423RN080116Fell, Jeanne Ingraham 7/1/2011938
Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN080116Fell, Jeanne 5/31/201510480
Beard, Charlene MD 1510 Hudson Bridge Rd Stockbridge GA 3028120513RN080116Fell, Jeanne 5/15/201510100
Suzanne Ferree, MD 1357 Hembree Road, Suite 240 Roswell GA 3007647772RN153328Felser, Felice 11/1/20078070
Nydia Maria Bladuell, MD 790 Church Street, Ste 470 Marietta GA 3006038429RN153328Felser, Felice 6/28/2007939
Raymond Easley, DO 1675 Cumberland Pkwy, Suite 205 Smyrna GA 3008020987RN207428Fenceroy, Megan Louise 3/19/201412724
Ademola Opanuga, MD 2636 MLK Jr Dr, Suite 12 Atlanta GA 3031166352RN207428Fenceroy, Megan Louise 11/7/201312386
Bonnie Ellenoff, DO 6309 Roswell Rd, Suite 9-2B Sandy Springs GA 3032851644RN207428Fenceroy, Megan Louise 3/18/201412961
Justin F. Harrell, MD Coffee Family Medicine, 200 Doctors Dr., Ste 224
Douglas GA 3153359162RN194077Fender, Justin M. 11/30/201511385
Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN126877Fernandes, Glenn Raymond 1/1/2012944
Oscar H. Salvat, MD 1111 Griffin Ave., Ste. 1A Eastman GA 3102349742RN040735Ferra, Mary Gail Little 5/2/201413089
Brian Herrmann, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034254219RN063288Ferrand, Mary Ellen 7/31/20148930
Saturday, January 21, 2017 Page 58 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
L. Kyrin Dunston, MD 800 East 70th St Savannah GA 3140541781RN170784Ferrelli, Dorothy Lynn 7/29/20119673
John Demicco, MD 11702 Mercy Blvd Plaza B, 2G Savannah GA 3141916855RN212021Ferry, Erin Michelle 8/11/201617744
John Northup, MD 12345 Mercy Blvd Savannah GA 3141916651RN212021Ferry, Erin 8/30/201615312
William Webb, MD 10055 Ford Ave, Ste 4 A Richmond Hill GA 3132458238RN212021Ferry, Erin Michelle 9/30/201515332
Shazib Khawaja, MD 705 Dixie Street Carrollton GA 3011758888RN126896Fikes, Debra Kay Cofield 10/22/20108246
Sendhil Subramanian, MD 1000 Johnson Ferry Rd, Suite B-155 Marietta GA 3006849107RN183720Fingerman, Olga 4/16/201511771
Maiysha Clairborne, MD 2801 Buford Hwy, Suite T-30 Atlanta GA 3032455194RN183720Fingerman, Olga 4/16/20157967
Mark Coker, MD 14557 Hwy 19, Suite A Griffin GA 3022456276RN180071Finn, Stephanie Marlene 6/13/201412275
Robert P. Dourron, MD 2675 N. Decatur Rd., Ste. 301 Decatur GA 3003348617RN112386Finnegan, Kimberly L. 9/19/201411309
George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN129326Fisher, Mary Grace 7/1/2016959
Edward Ira Galaid, MD 678 Lanier Park Drive Gainesville GA 3050637544RN062903Fisher, Nancy Elizabeth Morse 1/5/2009960
Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN055758Fisher, Melanie Crittenden 10/24/20088260
Everett Walker, MD 1826 Veterans Blvd Dublin GA 3102131682RN089376Fisher, Dorothy 11/30/201514918
Jeffrey Klick, MD 1001 Johnson Ferry Rd, NE Atlanta GA 3034265581RN251258Fisher, Deborah 4/1/201616793
Peter Wrobel, MD 409 Uvalda Street Waycross GA 3150140285RN096592Fitzpatrick, Kathleen 5/13/20139974
Frederick Burton, MD 6020 Harrison Rd Macon GA 3120638434RN096592Fitzpatrick, Kathleen 4/5/201514828
Margaret Boudreaux, MD 763 Peachtree Parkway, Suite 2 Cumming GA 3004144172RN095260Flax, Debra S. 9/29/20098173
Anthony Gonter, MD 5126 Hospital Dr. Covington GA 3001421700RN145614Fleming, Carrie Wheeler 12/10/2014968
Kimberly Bates, MD 665 Duluth Hwy, Ste 401 Lawrenceville GA 3004671466RN097357Fleming, Susan 6/24/201616267
Gary Billingsley, MD 1215 West Wheeler Pkwy Augusta GA 3090929582RN114986Flippo, Sharyn Renee 1/2/20137769
Mehmood Mehdi, MD 250 North Ave Athens GA 3060557725RN112394Flood, Vernell Rene 2/9/201514674
Saturday, January 21, 2017 Page 59 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Warren Henderson, MD 303 Smith Street LaGrange GA 3024020734RN134967Flory, Tracy 11/4/20165444
Johnathan Gaskins, MD PO Box 1287 Douglas GA 3153356836RN175893Flory, Michael S. 1/12/20129730
Cecilia D. Arango, MD CRH Family Med., 304 Weside Dr. Douglas GA 3153368354RN175893Flory, Michael 7/11/201411331
Romulo Navarro, MD 100 Doctor's Dr. Ste. C Douglas GA 3153323646RN175893Flory, Michael 10/29/201513742
Gayoung Hong, MD 13570 N Main St Trenton GA 3075267467RN200664Floyd, Kaci J 12/20/201312034
Roger Venable, MD 901 E. 18th St, Emer Dept Tifton GA 3179421437RN169929Floyd, Dawn Marie 2/20/20139738
Rajeshkumar Miniyar, MD 140 Three Rivers Dr Rome GA 3016151597RN181122Floyd, Kortney Melissa 5/30/201411879
Donna Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200664Floyd, Kaci J. 5/10/20139825
Gayoung Hong, MD 13570 N Main St Trenton GA 3075267467RN200664Floyd, Kaci 7/25/201514679
Jose Justiniano-Ayala, MD 13570 N Main St Trenton GA 3075246773RN200664Floyd, Kaci 10/23/201516191
Lisa Lefkovits, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032250117RN049093Foley, Kathryn Liedtke 5/16/20098153
Dawn Mielke, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032237752RN049093Foley, Kathryn Liedtke 5/16/20098154
Sharon Rabinovitz, MD 141 Piedmont Ave, Suite D Atlanta GA 3030346806RN049093Foley, Kathryn Liedtke 5/23/20149462
Theresa Berry, MD 1525 Clifton Road NE Atlanta GA 3004749355RN049093Foley, Kathryn Liedtke 5/16/20098433
Carol Rappaport, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032231435RN049093Foley, Kathryn Liedtke 5/16/2009981
Catherine Dekle, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032253130RN049093Foley, Kathryn Liedtke 8/16/20088155
Michael Allan, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032233511RN049093Foley, Kathryn Liedtke 5/16/20098152
Michael Huey, MD 1525 Clifton Road NE, 2nd Floor Atlatna GA 3032250962RN049093Foley, Kathryn Liedtke 5/16/20098156
Laygo, Romualdo MD 1451 Hwy 21 South, Ste H Springfield GA 3132017843RN057176Ford, Janice 7/4/201410355
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 9/22/20119133
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN144697Ford, William Chester 5/1/20108755
Saturday, January 21, 2017 Page 60 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 3/26/20098086
Sharpton, Julian MD 891 Church Street Royston GA 3066217084RN144697Ford, William 8/31/201410177
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN139406Ford, Nicole Ruff 5/1/20108712
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN139406Ford, Nicole Ruff 3/26/20098087
Sharpton, Julian MD 891 church Street Royston GA 3066217084RN139406Ford, Nicole 8/31/201410176
Tracey Lemon, MD 315 Boulevard NE, Suite 328 Atlanta GA 3031250723RN066207Ford, Marsha Denise 2/7/20115139
Joseph Ratchford, MD 499 Hwy 119 South Springfield GA 3132932848RN057176Ford, Janice E. 9/8/20108779
James Cornwell, Jr., MD 459 Hwy 119 South, Suite A Springfield GA 3132950608RN057176Ford, Janice E 7/10/2008984
Cornwell, James MD 800 Towne Park Drive, Ste 100 Springfield GA 3132950608RN057176Ford, Janice 7/4/201410843
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN111299Ford, Deborah Patrice 12/31/201312366
Prakash Patel, MD 499 Hwy 119 South Springfield GA 3132945909RN057176Ford, Janice E. 9/8/20108780
Ganiat Ajayi, MD 311 Gwinnett Dr Lawrenceville GA 3004647776RN111299Ford, Deborah 6/30/201615928
John Vance Jr., MD P.O. Box 542 Leesburg GA 3176353383RN132706Ford, Patricia Carol 10/27/201613947
Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN144697Ford, Jr., William 3/4/201510902
Jonathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN214205Forehand, Michael A. 1/1/201311478
Muhammad Khan, MD Archbold Mem Hosp, 915 Gordon Ave Thomasville GA 3179263080RN214205Forehand, Michael Anthony 10/21/201312470
William Cross, DO 2501 N. Patterson St Valdosta GA 3160262831RN214205Forehand, Michael Anthony 7/12/20119784
William Thorneloe, MD 2978 Hwy 36 West Jackson GA 3023323119RN022696Foreman, Jerrye A 10/16/201412438
Irandathy Rodrigo, MD 2522 Cruse Rd, Ste C-2 Lawrenceville GA 3004442715RN174285Foreman, Shataundia 9/2/201514775
Debora Quigley, MD 178 Hospital Circle Blairsville GA 3051236601RN164301Fortenberry, Melanie Renea 6/16/20109041
Richard Wherry, MD 59 Tipton Dr Dahlonega GA 3053317341RN164301Fortenberry, Melanie Renea 12/19/20139860
Saturday, January 21, 2017 Page 61 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
George Petro, MD 59 Tipton Drive Dahlonega GA 3053362511RN164301Fortenberry, Melanie 12/19/20149877
Daniel Torrez, MD 1605 Chantilly Dr, Ste 305 Atlanta GA 3032461177RN106665Fortenberry, April Lynn 2/29/201614481
Joseph Korwin, MD 1 Freedom Way Augusta GA 3090434878RN131812Foss, Tammy 12/3/201514755
Cecilia D. Arango, MD 304 Westside Dr. Douglas GA 3153368354RN115596Foster, Michal A. 7/11/201411301
Stan Bravy, MD 153 Independence Drive Carrollton GA 3011628145RN206637Foster, Carole Ann 10/31/20129037
Mark Brulte, MD 200 Doctors Dr, Suite 106 Douglas GA 3153348490RN115596Foster, Michal Aimee Lockaby 6/15/20129611
Lister, Debra MD 1101 Ocilla Road Douglas GA 3153338849RN115596Foster, Michal 1/1/201510811
Michael Nulph, MD 203 S. Wayne St Alma GA 3151057735RN115596Foster, Michal Aimee Lockaby 3/31/20119296
Romulo Navarro, MD 100 Doctor's Dr., Ste C Douglas GA 3153323646RN115596Foster, Michal Aimee 10/29/201513743
Jacalyn Gilbert-Green, DO 4861 Bill Gardner Pkwy Locust Grove GA 3024874801RN119706Foston, Tenita Phillips 7/31/201618511
Kristy Levarity-Conley, MD 1418 Scott Boulevard Decatur GA 3003063709RN119706Foston, Tenita Phillips 10/14/201618720
Elizabeth Furbish, MD 2450 Vinson Hwy, Cook Bldg Milledgeville GA 3106258472RN201885Fountain, Amber Linnet 6/1/20108830
Amelia Mathews, MD 200 Wisteria Dr. Gaineville GA 3050158285RN201885Fountain, Amber L. 1/29/201411026
Black, Jeff MD 200 Wisteria Drive Gainesville GA 3050137486RN201885Fountain, Amber 3/27/201210027
Catherine James-Peters, MD 454 Smith Avenue Thomasville GA 3179263671RN214962Foutch, Brandon 9/28/20119899
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN050746Fowler, David H 6/30/201412715
Nicolas Sanchez, MD 3000 Schatulga Road Columbus GA 3190737356RN050746Fowler, David 6/25/201310915
Salman Baseer, MD 705 North Division St Rome GA 3016559121RN050746Fowler, David H. 7/14/20119493
Smita Varshney, MD 306 Shorter Ave Rome GA 3016545997RN050746Fowler, David H. 2/1/20108865
Noemi Carcar, MD 303 Fraser Dr Hinesville GA 3131341526RN206545Fowler, Elizabeth Ashley 10/7/201412461
Joseph LeRoy, MD 400 S Pinetree Blvd Thomasville GA 3179933623RN050746Fowler, David Hunt 6/29/20129968
Saturday, January 21, 2017 Page 62 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Anthony Howard, MD 3075 Ronald Reagan Blvd, Ste 501 Cumming GA 3004134616RN218432Fowler, Lauren 12/24/201516406
Woodwin Weeks, DO 139 E Broad St Norman Park GA 3177168866RN170964Fowler, Carolyn 10/25/201614722
Emile Risby, MD 3000 Schatulga Rd Columbus GA 3190730869RN050746Fowler, David H. 9/18/201513511
John Chung, MD 1107 Memorial Dr., Ste 201 Dalton GA 3072041532RN210612Fowlkes, Rebecca J. 1/10/201410996
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN038536Fox, Stephanie Elaine 12/2/20151003
John Ouderkirk, MD 735 Piedmont Ave., NE Atlanta GA 3030849992RN138434Fox, Rodney Paul 6/19/201413358
Louis Fernandez, MD 274 Big A Rd. Toccoa GA 3057739790RN076847Fox, Jennifer Ann 11/1/201618336
Andrea Dabney, MD 274 Big A Rd Toccoa GA 3057766274RN076847Fox, Jennifer Ann 6/30/201614122
Carol Rappaport, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032231435RN103393Fraher, Margaret McCarthy 12/31/20098161
Lisa Lefkovits, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032250117RN103393Fraher, Margaret McCarthy 8/1/20098159
LaJune Oliver, MD 1525 Clifton Rd Atlanta GA 3032247986RN103393Fraher, Margaret Mary McCarthy 7/17/20108965
Catherine Dekle, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032253130RN103393Fraher, Margaret Mary Mccarthy 8/16/20081005
William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN114539Francis-Liburd, Julyn Clair 11/30/20091006
Christopher Stevens, MD 2945 Panola Road Lithonia GA 3003854515RN114539Francis-Liburd, Julyn Clair 1/16/20148907
Frank Mott, MD 1411 Laney Walker Blvd, AN-2206 Augusta GA 3091270674RN208981Frankhouser, Brittany Ruth 4/29/201614104
Edwin Bello, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021436099RN229900Franklin, Sherri DeAnne 7/12/201512064
Claudia Venable, MD 5455 Meridian Mark Rd, Suite 200 Atlanta GA 3034250455RN112888Fraser, Laura Ann Lucas 1/17/20131009
Charlene Robinson, MD 1220 Caroline St, Ste A 230 Atlanta GA 30307-274934233RN183877Freckleton, Annie Rose 9/8/201514560
Ed Childs, MD 75 Piedmont Ave. Atlanta GA 3030267203RN178750Frederick, Alexis Taylor 6/2/201410990
Michael Ellis, DO 62835RN095043Frederick, Carlie Ann 5/15/201311923
Saturday, January 21, 2017 Page 63 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Mark Winokur, MD 1401 Johnson Ferry Rd., #390 Marietta GA 3006236317RN178750Frederick, Alexis Taylor 3/9/201510989
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN095043Frederick, Carlie Ann 6/30/201412418
James Morris, MD 2000 16th Ave, Suite 101 Columbus GA 3190157898RN095043Frederick, Carlie Ann 4/27/20128819
Tamer Middleton, MD 1924 Cliff Valley Way NE Atlanta GA 3032951987RN029221Freeman, Sarah Benton 6/15/20121018
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN134889Freeman, Christi Renee 12/1/201311873
Lawrence Steigelman, MD 59 Hospital Road Newnan GA 3026331135RN146535Freeman, Melanie Lynn Leatherwo 11/24/20075145
Campbell, Mary MD 1700 Tree Lane, Ste 290 Snellville GA 3007832526RN128290Freeman, Dorian 7/25/201210301
Allen Beecham, DO 2000 Village Professional Dr, Suite 200 Canton GA 3011425102RN168338Freeman, Rasheeda Japaka 10/17/201412512
Christopher Recknor, MD 2350 Limestone Pkwy Gainesville GA 3050140982RN181566Freeman, Karen 4/26/201311143
Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN134889Freeman, Christi Renee 5/10/201412739
Lawrence Weiss, MD 3901 Roswell Rd, Ste 225 Marietta GA 3006244863RN134889Freeman, Christi Renee 10/3/201413524
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN134889Freeman, Christi Renee 5/17/201614829
Rhodes, Melissa MD 21 Pointe North Drive Cartersville GA 3012047060RN113806Frena, Colette 8/2/201310010
Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN232398French, Jessica Adrienne 7/15/201412550
Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN167990Frey, Janet Marie 1/23/20149923
Patrick Voswinkel, MD 4305 State Bridge Road Alpharetta GA 3002242760RN167990Frey, Janet Marie 9/30/20118326
Eric Paulk, MD 410 Darling Ave, Emer Dept Waycross GA 3150162271RN211812Fricke, Susan Lynn Gordon 1/8/20119451
Robert Burkich, MD 11300 Atlantis Place, Suite A Alpharetta GA 3002246372RN218717Frierson, Alisa Kay 5/27/201413305
William Mills, MD 58 Big A Rd Toccoa GA 3057750901RN248833Fulaytar, Sarah 3/14/201616102
Thomas Hatchett, MD 870 Austin Drive Demorest GA 3053536984RN098416Fuller, Andrea Johnson 9/30/20091029
Andrea Hill, MD 517 Great Oaks Dr, Suite 103 Monroe GA 3065551332RN147639Fuller, Jana Allen 1/3/201412463
Saturday, January 21, 2017 Page 64 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Cynthia Libert, MD 48 Haralson Place, Suite 1 Blairsville GA 3051259457RN227177Fuller, Jaynee Lee 11/14/201611862
Stewart Grizzard, MD 4795 Riverside Dr. Macon GA 3121043948RN162031Fuller, Chevita Edwards 3/11/201616794
Steven Leichter, MD 2425 Brookstone Centre Pkwy Columbus GA 3190440452RN113877Funston, Lisa Michelle 8/23/20128200
Hurd, Thomas MD 400 Tower Road, Ste 350 Marietta GA 3006027070RN221058Fur, Kara 6/30/201510656
Ae Seon Cha, MD 1942 Atkinson Rd., Ste 100 Lawrenceville GA 3004366463RN209383Furlong, Sarah C. 7/15/201511353
Richard Stewart, MD 4164 Riggins Mill Road Macon GA 312179270RN077664Furnier, Karen 1/1/201410916
Riba Kelsey-Harris, MD 1762 Mars Hill Road NW Acworth GA 3010153833RN167745Furtah, Anne Davidson 12/1/20151033
Rembert Williams, MD 2122 Manchester Exprwy Columbus GA 3190428105RN106397Futrell, Lisa Marie Rowe 12/23/20151037
James Butts, MD PO Box 2683 Gainesville GA 305039103RN143523Gabrels, Dorothy A. 3/14/20169079
Warren, Brandi DO 1110 Farr Road Columbus GA 3190661681RN060447Gaillard, Denotra Hicks 6/1/201310015
Linda Neale, DO 1255 Hwy 54 West Fayetteville GA 3021449070RN175270Gainey, Tyronjala 9/19/201615406
Donald Manning, MD 1968 Peachtree Rd NW Atlanta GA 3030923635RN175270Gainey, Tyronjala 9/19/201614948
Jasmine Kearse, MD 5454 Yorktowne Dr. atlanta GA 3034974490RN175270Gainey, Tyronjala Shontel 3/16/201617618
Lloyd James Rimer, MD 1507 Broomtown Rd LaFayette GA 3072830665RN114111Gallagher, Joanne Marie 7/1/20101042
Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN200274Galland, Elizabeth Hamrick 9/1/201512737
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN200274Galland, Elizabeth Hamrick 12/1/201312376
Pablo Perez, MD 1102 W. Waugh St. Dalton GA 3072047502RN229452Gallardo, Eduardo 10/28/201616364
James Meadows, MD PO Box14417 Savannah GA 3141625641RN112436Gamble, Kathy Cooper 1/19/20161046
Wesley Bray, MD 55 Whitcher St, Suite 420 Marietta GA 3006027035RN050877Gambrell, Patricia Healy 6/1/20101047
Gretchen Collins, MD 8201 Hazelbrand Rd Covington GA 3001432712RN190223Garcia, Cheryl 5/6/20119165
Richard Young, MD 958-A Joe F Harris Pkwy, Suites 101 & 105Cartersville GA 3012021218RN170685Garfield, Jennifer Juliana Wick 1/1/20113209
Saturday, January 21, 2017 Page 65 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kyoung-Soon Kim, MD 5150 Stilesboro Rd, Suite 220 Kennesaw GA 3015239144RN170685Garfield, Jennifer Juliana Wick 1/13/20159582
Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN040072Garner, Julia M 2/6/20145151
Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN100396Garnett, Laura Marie Nofziger 6/17/20108994
Lamar Peacock, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080934920RN100396Garnett, Laura Marie Nofziger 2/6/20101055
Jeffrey Dowis, MD 211 Bobby Jones Expy, Ste C Martinez GA 3090768199RN188785Garrard, Jeremy Erwin 6/25/201617426
Thomas H. Chun, MD 55 Whitcher St., #250 Marietta GA 3006047580RN138448Gaskin, Kara L. 7/11/201411517
Yvonne Smith, MD 145 Standing Oak Place Fayetteville GA 3021442443RN186817Gass, Deborah K 6/30/201512599
Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN186817Gass, Deborah K 10/21/201312552
Divina Dyer, MD 6158 Hwy 92, Ste 101 Acworth GA 3010257161RN186817Gass, Deborah 9/30/201210946
Jamie Rich, MD 58 Big A Road Toccoa GA 3057753547RN154209Gastley, Joshua Farris 8/31/20118820
Angela B. Reese, MD 154 W. Tugalo St. Toccoa GA 3057747514RN154209Gastley, Joshva F. 2/14/201411230
Jack E. Dawson, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030911945RN063960Gaston, Jeanette Wimbish 5/31/20151066
Rayna Jobe, MD 300 Cherokee Place Cartersville GA 3012160386RN071597Gay, Linda L. 9/1/20129770
Rita Beckford, MD 2101 Womack Rd. Dunwoody GA 3033873189RN071597Gay, Linda L. 8/9/201618514
Donald Siegel, MD 2101 Womack Rd, Ste NT Dunwoody GA 30338q11475RN071597Gay, Linda L 7/1/201617212
Jenkins, John MD 612 W. Gordon Street, Ste C Thomaston GA 3028662726RN122957Geiger, Roberta 11/9/201310445
Keith Huckaby, MD 519 West Main St Thomaston GA 3028627573RN122957Geiger, Roberta Lynn 9/16/201412647
Gary Voccio, MD 1825 Martha Berry Blvd Rome GA 3016529550RN178373Geimer, Connie L. 5/24/20129931
Adrienne Mims, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233152RN183088Geller, Daniel Edward 12/31/201312591
Charles Sow, MD Take Care, 5230 Dallas Hwy Powder Springs GA 3012755343RN135253Gentles, Carolyn Ann 10/17/201412524
Hahm, Hillary MD 340 Kennestone Hospital Blvd, Ste 200 Marietta GA 3006048051RN135253Gentles, Carolyn 8/15/201310741
Saturday, January 21, 2017 Page 66 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Steven Schuster, DO 5800 Windward Pkwy, Suite MSA211 Alpharetta GA 3000531661RN135253Gentles, Carolyn Ann 12/2/20081075
Hitendra Patel, MD 55 Whitcher Street, Suite 420 Marietta GA 3006045312RN135253Gentles, Carolyn Ann 5/7/20128471
George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN089319Gentry, John Mitchell 7/1/20161077
Maya Carter, MD 3355 Cascade Rd SW, Suite 100 Atlanta GA 3031159904RN089319Gentry, John Mitchell 5/1/201511944
Aerica Summers, MD 240 Highland Ave, Bldg 3, Suite E Atlanta GA 3030765902RN089319Gentry, John Mitchell 5/1/201511945
Sightler, William DO 195 n. Broad Street Alamo GA 3041134715RN102350George, Deborah 6/6/201210456
Timothy Ward, MD 500 Gordon Ave Thomasville GA 3179223125RN185389George, Crystal Dawn 5/9/201412103
Nurallah Esmail, MD 1153 North Liberty St Nichols GA 3155435623RN102350George, Deborah Lee Price 12/14/20119531
Abdollatif Ghiathi, DO 7 Taylor St Cuthbert GA 3984040908RN102350George, Deborah Lee Price 2/2/20108823
Ross, Mary MD 337 Commercial Drive, Ste 100 Savannah GA 3140655437RN215413George, Jennifer 3/20/20129995
Guy Augustin, MD 1153 North Libety St Nicholls GA 3155470852RN102350George, Deborah Lee 9/15/201413814
Sandra Carmichael, MD 100 Gross Crescent, Emer Dept Ft Oglethorpe GA 3074236116RN197890Gephart, Rebecca Young 7/25/201212587
Coleman, Angela MD 501 Redmond Road Rome GA 3016561717RN197890Gephart, Rebecca 5/15/201510841
Pablo Perez, MD 815 Shugart Rd Dalton GA 3072047502RN197890Gephart, Rebecca 3/1/201614608
Carl Lindblad, MD 100 Gross Crescent, Emer Dept Fort Oglethorpe GA 3074222163RN197890Gephart, Rebecca Young 11/25/201413816
Lloyd Rimer, MD 3541 Chattanooga Rd Tunnel Hill GA 3075530665RN197890Gephart, Rebecca 11/2/201615422
John Pittman, MD 715 East 2nd Ave SW Rome GA 3016137045RN38434Gerhard, Laurie Ansley 6/22/20119870
Robert Pyle, MD 14 Cherokee Road Cedartown GA 3070142702RN053785Gerhard, Laurie Turner Ansley 2/27/20091080
Raymond McKoy, DO 2510 Redmond Cir N W Rome GA 3016544536RN053785Gerhard, Laurie Ansley 1/20/201514602
Charles Roman, DO 2737 Warm Springs Rd. Columbus GA 3190443757RN053785Gerhard, Laurie Ansley 6/26/201413436
Groover, Ann MD 2945 Miller Ferry Rd SW, Ste D Calhoun GA 3070136765RN118577Gerrin, Rebecca 11/4/201410309
Saturday, January 21, 2017 Page 67 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Joseph Joyave, MD 100 Market Place Blvd, Ste 302 Cartersville GA 3012143977RN118577Gerrin, Rebecca 2/23/201615181
Jeffrey Bell, MD 1200 N Jefferson St Albany GA 3170134539RN197685Gervin-Clark, Cheryl 4/26/201412364
Ifeyinwa Osunkwo, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032255681RN106417Geter, Jacqueline Jones 8/31/20131082
Athena Sotus-Nawar, MD 1915 Eisenhower Dr Savannah GA 3140631512RN096231Giarraffa, Phyllis Ann 3/16/201412499
Jude Emokpare, MD 710 Center St Columbus GA 3190163416RN204133Gibble, Anne Crane 1/23/201412344
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN093348Gibbons-Berry, Karen Leigh 10/3/20119270
Steven Vaughn, MD 818 St. Sebastian Way, Suite 307 Augusta GA 3090148095RN093348Gibbons-Berry, Karen Leigh 6/18/20101088
William Callaghan, MD 1350 Walton Way Augusta GA 3090127974RN093348Gibbons-Berry, Karen Leigh 8/31/20129565
Leslie Cottrell, MD 1600 Maple St Carrollton GA 3011845194RN050776Gibbs, Martha K 2/28/20081090
Haller, Jeffrey MD 5081 Hwy 14 Lyerly GA 3073055826RN181151Gibson, Patricia 1/4/201310894
Gary Smith, MD 6120 Alabama Hwy Ringgold GA 3073610666RN181151Gibson, Patricia Louise Carter 5/31/201312727
Jose Justiniano-Ayala, MD 1430 Suggs St Rossville GA 3074146773RN181151Gibson, Patricia Louise Carter 2/14/201412726
John Price, MD 611 E Villanow St LaFayette GA 3072855274RN181151Gibson, Patricia Louise Carter 7/23/20129939
Rudolph Tacoronti, MD 5019 LaVista Road Tucker GA 3008445347RN039884Gibson, Belinda Joyce Heard 7/1/20101095
Cameron, Nadia MD 3760 Sixes Road, Ste 120 Canton GA 3011453982RN039884Gibson, Belinda 6/13/201210715
Luther Vance, Jr, MD 19354RN039884Gibson, Belinda J. 1/14/201311602
John Pittman, MD 715 E. 2nd St Rome GA 3016137045RN073501Gibson, Barbara Lillian Dew 7/31/20111094
Richard Smith, MD 5081 Hwy 114 Lyerly GA 3073019603RN181151Gibson, Patricia Louise Carter 5/31/20119067
Sved, Isaac MD 236 Johnson Ferry Rd, NE, #200 Sandy Springs GA 3032838981RN039884Gibson, Belinda 1/22/201310740
Chadalavada Kishore, MD 425 Third Avenue, Suite 340 Albany GA 3170127846RN159726Giddens, Ashley Gay 5/29/20098381
Frank Newby, MD 1506 Broadrick Drive Dalton GA 3072038314RN051556Gilbert, Cindy Gail Tarrer 3/7/20111099
Saturday, January 21, 2017 Page 68 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Mahoney, William MD 1000 Chastain Road Kennesaw GA 3014459274RN134977Giles, Alexander 3/28/201310204
Megan Bowles, MD 1000 Chastain Rd, House 52 Kennesaw GA 3014468486RN134977Giles, Alexander Lance 12/20/201413026
Allen R. Beecham, DO 2000 Village Professional Dr, Suite 200 Canton GA 3014425102RN134977Giles, Alexander Lance 8/5/201311566
Neil Gladstone, MD 3115 Piedmont Rd Atlanta GA16917RN134977Giles, Alexander Lance 2/17/201614889
Vanderlyn Sewell, MD 934 Briarcliff Rd NE Atlanta GA 3030651547RN150994Gilfillan, Kelly 9/1/201515987
Dauda Griffin, MD 934 Briarcliff Rd NE Atlanta GA 3030657468RN150994Gilfillan, Kelly West 6/26/201514103
Edwin Bello, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021436099RN233119Gillette, Tiffany Celeste 3/12/201612536
David Moore, MD 1153 North Liberty Nicholls23639RN200090Gilliard, Latasha Nicole 6/1/201617494
Janet McBarron, MD 2904 Macon Rd Columbus G 3190228300RN143502RN143502
Gilliland, Tammy 10/28/201616497
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN089950Gillis, Hollie Thacker 2/18/201616601
Victoria Green, MD 69 Jesse Hill Jr. Dr. SE 4th Fl Atlanta GA 3030338240RN043355Gillmor-Kahn, Mary 3/1/20125156
Eduard Docu, MD St. Marys Hlth Center, 1302 Drayton St Savannah GA 3140156426RN144662Gilreath, Kathryn Mae 11/15/201312156
Carter, Cynthia MD 1000 Towne Center Blvd, Ste 705 Pooler GA 3132256534RN144662Gilreath, Kathryn 11/15/201310382
William Garrett, MD 6602 Waters Ave. Bldg. C Savannah GA 3140643373RN144662Gilreath, Kathryn Mae 7/23/20091105
Suzanne Turner, MD 11660 Alpharetta Hwy Ste 290 Roswell GA 3007647772RN054192Gilson Agnew, Greta 10/24/201413844
Elbridge Bills, MD 3365 Piedmont Rd, Suite 1250 Atlanta GA 3030537139RN071039Ginn, Alice Kay 12/20/201312033
Michael B. Chisner, MD 11700 Mercy Blvd, #6 Savannah GA 3141929426RN190461Ginn, Caitlin Bachler Thomson 4/22/201411591
Laungani, Rajesh MD 1800 Howell Mill Road Ste 500 Atlanta GA 3031862544RN071039Ginn, Alice 4/25/201310721
Brenda Garland, MD 201 Hospital Rd. Canton GA 3011422813RN225872Gipson, Tonya Angela 6/30/201513515
William Gist, MD 112 Hedekin Circle Ft. Oglethorpe GA 3074262849RN203818Gist, Beth Ann Caldwell 2/1/20129281
Saturday, January 21, 2017 Page 69 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Michelle Morgan, DO 4398 Atlanta Hwy Loganville GA 3005251694RN178900Gittens, Clavel Alexia 2/22/20158469
Gulshan Harjee, MD 2536 :awrenceville Hwy Decatur GA 3003326865RN178900Gittens, Clavel Alexia 1/24/201412642
Shyam Khanwani, MD 1250 Highway 54 West, Suite 102 Fayetteville GA 3021451672RN178900Gittens, Clavel Alexia 7/11/20081109
Thomas Ferrari, MD 704 Maple Dr, Suite 1 Vidalia GA 3047434829RN137168Gjone, Mandy Sellars 6/17/20101110
Franklin Geoffery Connor, MD
300 Arlington Dr Vidalia GA 3047433555RN137168Gjone, Mandy Sellars 5/24/20129220
Adithya Reddy, MD 2550 Windy Hill Rd., Ste 206 Marietta GA 3006761509RN229466Gladden, Brandi Nichole 10/1/201513955
Frederick Merrill, III, MD 465 North Belair Rd. Suite 1-C Evans GA 3080934664RN145311Gladue, Clara Ann 8/7/20085542
Eden F English, MD 470 Valley St., #200 Ball Ground GA 3010752432RN149595Glaze, Rachel Toi 2/1/201411561
Soyoola, Emmanuel MD 1870 Atlanta Hwy Ste J-K Gainesville GA 300453032RN135128Glebikowska, Iwona 6/8/201210232
Ann Drayton, MD 1870 Atlanta Hwy, Suite J Gainesville GA 3050449512RN135128Glebikowska, Iwona Violetta 9/30/20119229
David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN130753Gluzman, Julia 12/1/20127812
Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN130753Gluzman, Julia 12/1/20128408
Searle Videlefsky, MD 631 Professional Dr., Ste 360 Lawrenceville GA 3004642477RN178818Gobeille-Dormio, Rose 3/25/201311135
Joseph Joyave, MD 201 Professional Court Calhoun GA 3070143977RN145415Goble, Anne-Marie 8/15/20117846
Mohammad N. Al-shroof, MD 2054 Watson Blvd Warner Robins GA 3109345158RN165613Goddard, Tami M. 12/1/201411344
Jeffery Dowis, MD 1205 Russell Pkwy Warner Robins GA 3108868199RN165613RN165613
Goddard, Tami Marie 4/24/201514357
Howard Silk, MD 1240 Hwy 54 West, Suite 310 Fayetteville GA 3021429785RN155713Godfrey, Chandra T. 6/20/20139258
Douglas Moss, MD 814 Northwood Park Drive Valdosta GA 3160241178RN130256Godwin, Cristi Leigh 12/20/20108553
Howard Jones, DO 2501 N. Patterson Street Valdosta GA 3160225774RN130256Godwin, Cristi Leigh 4/21/20092621
Saturday, January 21, 2017 Page 70 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Catherine Andrews, MD 4791 S. Main St. Ste 100 Acworth GA 3010123560RN059374Godwin, Debra Lyn 8/31/201513733
Sarah Hosford, MD 320 Parkway Drive NE, #244 Atlanta GA 3031232209RN164147Goenaga, Maria Elena 10/2/20108492
Ezad Ahmad, MD 1411 Chattanooga Ave Dalton GA 3072038162RN188799Goff, Laura Rene 11/26/20139764
Sharad Ghamande, MD 1120 15th St, BA-7511 Augusta GA 3091249173RN208644Gokal, Payal Vasantrai 8/14/201413295
Maiysha Clairborne, MD 1000 Johnson Ferry Rd, Ste B155 Barietta GA 3006855194RN230566Golan, Tail 4/1/201615578
Warren Weber, MD 3875 Austell Road South, Suite 203 Austell GA 3010626677RN113630Gold, Kara Waldrop 4/29/20111122
Bridgett Bailey, DO 116 Smith St Tennille GA 3108958390RN159730Goldman, Karen Renee 5/9/20129967
Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN159730Goldman, Karen Renee 6/13/20119240
Michael Schechter, MD 1547 Clifton Road NE Atlanta GA 3032258776RN127360Golubic, Sharon Louise 6/17/20131125
Leli Gail Matthews, MD 6158 Hwy 92, Suite 101 Acworth GA 3010252182RN209708Gomez-Adisa, Delma Dee 3/1/201413333
Kevin Brown, MD 20 Riverbend Dr SW Rome GA 3016136109RN069392Gooch, Carole Elaine Marshall 3/15/20139632
Eric Taylor, MD 315 W. 10th Street, Suite 110 Rome GA 3016550564RN069392Gooch, Carole Elaine Marshall 4/1/20091128
Anne White, MD 909 N Fifth Avenue Rome GA 3016530240RN069392Gooch, Carole Elaine Marshall 1/19/20118552
John Pittman, MD 715 E 2nd Ave Rome GA 3016137045RN069392Gooch, Carole 5/25/201614555
Pablo Quintanilla, MD 5139 Jimmy Carter Blvd, Ste 203 Norcross GA 3009317546RN217564Good, Kayla Marie 8/1/201617654
Sangha Sumandeep, MD 1267 Hwy 54 West, Ste 2200 Fayetteville GA 3021456222RN174056Gooding, Karen Elaine 9/18/20141130
Rayna Jobe, MD 805 Sandy Plains Road Meriatta GA 3006660386RN152359Goodman, Theresa G. 5/30/20118576
Divina Dyer, MD 100 Duplainville Rd The Rock GA 3028557161RN157565Goodman, Susannah Burns 6/27/201617299
Charles Myers, MD 100 Duplainville Rd The Rock GA 3028569314RN157565Goodman, Susannah 12/11/201514979
Richard Pierzchajlo, MD 1489 Kennedy Rd Tifton GA 3179422620RN164651Goodno, Shana Leigh 9/1/20119385
Tania Edwards, DO 7777 Kia Pkwy West Point GA 3183353465RN124143Goodson, Jennifer Moore 8/1/20101131
Saturday, January 21, 2017 Page 71 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Benjamin Lam, MD 550 Peachtree St NE Atlanta GA 3001659544RN154592Goodwin, Willie James 9/8/20098519
Leslie Cotrell, MD 1600 Maple St. Carrollton GA 3011845194RN118448Goodwin, Amy Catherine 8/24/20161132
Goldstein, Matthew MD 1700 Medical Way, Emer Dept Snellville GA 3007848115RN158213Gordon, Bridgette 8/15/201610739
Luis Murrain, DO 360 College Street Blakely GA 3982357747RN188412Gordon, Jane Louise 9/26/20088085
Ronald C. Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN069257Gordon, Karen Fancher 6/29/2010928
Eyal Meiri, MD 600 Parkway North Newnan GA 3026570324RN231607Gordy, Bridget Nicole 1/24/201412704
Thomas Comstock, MD 802 Dixie St Carrollton GA 3011719151RN231607Gordy, Bridget Nicole 2/9/201513255
Jacob Varghese, MD 3700 Club Drive Lawrenceville GA 3004456933RN121027Gore, Victoria Ferlita 11/30/20087785
Wood Pope, MD 1600 Forsyth Street Macon GA 3120157741RN118105Gore, Holly Paige 7/2/20121136
Thomas Deering, MD 275 Collier Rd, Suite 300 Atlanta GA 3030932170RN149725Gore, Ashley Heath 12/31/20118825
Lamar Peacock, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080934920RN121027Gore, Victoria Ferlita 2/6/20108720
William Dasher, MD 3708 Northside Dr. Macon GA 3121051453RN118105Gore, Holly 5/31/201311120
Julian Hutchins, Sr., MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN121027Gore, Victoria Ferlita 5/14/20129740
Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN105044Gorgor, Saye Zunpudolo 2/3/20101137
Milele Francis, MD 1700 Hospital South Dr, Suite 500 Austell GA 3010655218RN182301Gorham, Sara E. 7/24/201511859
Mark Brodersen, MD 305 Pineview Dr Waycross GA 3150168883RN230020Gosselin, David N 12/31/201412445
Tamara Huff, MD 305 Pineview Dr Waycross GA 3150171999RN230020Gosselin, David N 7/24/201515046
Josephine Dunagan, MD 1700 Tree Ln Ste 110 Snellville GA 3007815553RN217972Graciaa, Sara H 2/20/201513732
Matthew Shannon, MD 2501 N Patterson St, Emer Dept Valdosta GA 3160267439RN165086Graham, Vickie L. 10/28/201411654
Karen Baker, MD 1692 Chatham Pkwy Savannah GA 3140566251RN226146Graham, Erin Elizabeth 9/21/201616863
Peter Lee, MD 34 Upper Riverdale Rd. ste. 100 Riverdale GA 3027438545RN212577Graham, Latisha Lashaun 6/16/201617786
Saturday, January 21, 2017 Page 72 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
William Pullen, MD 1200 Memorial Dr. Dalton GA 3072017270RN117085Grant, Shayni L. 3/19/20151154
Lawson, Dale MD 2000 Palmyra Road Albany GA 3170154233RN139828Grasman, Amy 3/30/201410008
Joseph Stubbs, MD 2402 Osler Court Albany GA 3170724105RN139828Grasman, Amy Joyce 10/11/20119697
Samrajya Gogineni, MD 1390 Hwy 19 South Leesburg GA 3176325160RN139828Grasman, Amy Joyce 4/29/201614941
Barnwell Calhoun, MD 1390 US Hwy 19 S Leesburg GA 3176366934RN139828Grasman, Amy Joyce 3/1/201513654
Kyoung-Soon Kim, MD 5150 Stilesboro Road, Suite 220 Kennesaw GA 3015239144RN191607Graves, Mary Elizabeth 1/12/20158558
Saudiqa Hoossainy, MD 5150 Stilesboro Rd, Ste 220 Kennesaw GA 3015268179RN191607Graves, Mary 9/22/201515105
Stephen Pastan, MD 35 Collier Road NW, Suite 610 Atlanta GA 3030939196RN143701Gray, Carol Ann Ferguson 8/15/20161157
Michael Powell, MD PO Box 840 Thomson GA 3082423663RN094164Gray, Pamela Ann Ansley 9/1/20151159
Christopher Morgan, MD West GA Health-1514 Vernon Road LaGrange GA 3024066151RN229260Gray, Wendy Leigh 2/28/201512850
Thomas Bloodworth, MD 6794 Bill Carruth Pkwy Hiram GA 3014118124RN167348Gray, Rebecca 2/1/201616112
Ashley Davis, MD 5555 Whittlesey Rd, Suite L-1 Columbus GA 3190958161RN168546Grealy, Charlotte Marie 3/6/20129614
Laura Bleekrode 1100 Noahmeadow Pkwy Ste 108 Roswell GA 3007634514RN171399Greco, Kimberly Anne 6/15/201513815
Linda Thomas, MD 2540 Windy Hill Rd Marietta GA 3006728832RN198522Green, Amanda Joy 7/8/201311698
Warren, Brandi DO 6203 Alabama Highway Ringold GA 3073661681RN199692Green, Laura 8/18/201410659
Loy Cowart, MD 207 S. Duke St Lafayette GA 3072837979RN199692Green, Laura Ann 4/10/20129526
Pablo Perez, MD 1102 W. Waugh Street Dalton GA 3072047502RN199692Green, Laura Ann 12/9/20088417
Rao Moravineni, MD 747 S. 8th St., Ste C Griffin GA 3022451360RN196523Green, Marla Carolyn 7/18/201613621
Ethan Tolbert, MD 550 Peachtree St, NE, Ste 1185 Atlanta GA 3030846265RN196523Green, Marla Carolyn 7/18/201613622
Joy Nwadike, MD 110 Hospital Dr Calhoun GA 3070156863RN069351Green, Linda 1/22/201515729
James Mossell, MD 901 East 18 th St, Ste 490 Tifton GA 3179444028RN215381Green, GerLana Shanea 10/29/201514157
Saturday, January 21, 2017 Page 73 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Dawn Wilson, MD 545 Old Norcross Rd, Ste 300 Lawrenceville GA 3004647279RN186231Green, Angella Dinina 8/16/201616876
Ann Stokes, MD 4356 Communications Dr Norcross GA 3009363963RN199692Green, Laura Ann 10/31/201414134
Kevin Johnson, MD 1000 University Center Lane, Ste 3106 Lawrenceville GA 3004370497RN196671Greene, Margaret Elizabeth 8/12/201614260
James White, MD 705 Dixie St Carrolton GA 3011739510RN176432Greene, Lawanda 6/11/201515775
David Goo, MD 100 Medical Center Blvd. Lawrenceville GA 3004631924RN208848Greenwald, Codi Lynn 11/20/201513894
Jatinder Bhatia, MD 1120 15th Street, BIW-6033 Augusta GA 3091218784RN160240Gregory, Ashley Hardy 6/13/20111244
Trent Schueneman, MD 2927 Demere Rd St. Simons Island GA 3152251731RN131706Griffeth, Susan 9/23/201515681
Edwin W. Allen III, MD 2000 Palmyra Road Albany GA 3170521472RN193727Griffin, Shuvory C. 10/15/201311252
Kevin Smith, MD 2410 Sylvester Rd Albany GA 3170557272RN193727Griffin, Shuvory Chyann 4/25/201413332
Jim Barlow, MD 235 Peachtree St., N Tower, Ste2100 Atlanta GA 3030330717RN193727Griffin, Shuvory Chyann 6/1/201513116
John House, MD 218 Quarterman St Waycross GA 3150111959RN203059Griffis, Jr., Donald Neal 10/8/201513269
Akita Evans, MD 700 US Hwy 29 North Athens GA 3060164372RN186490Grigsby, John 10/29/201515294
Nitasha Burney, MD 700 US Hwy 29N Athens GA 3060155931RN186490Grisby, John Michael 6/17/201616795
Darwin Brown, MD 2665 North Decatur Road, Suite 520 Decatur GA 3003346531RN127220Groover, Teresa Cook 11/13/20091962
Absar Mirza, MD 743 Spring St. NE Gainesville GA 3050164864RN206831Grossman, Michael Paul 6/1/201514230
Leslie Tidwell, MD 1025 N. Houston Road Warner Robins GA 3109344359RN039862Grube, Kathy Dimeler 11/30/20071183
Jeffrey Kim, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010656117RN109750Guenther, Paula Mechele 5/8/20091184
Lathan Overstreet, MD 340 Boulevard, Suite 103 Atlanta GA 3031236659RN197647Guercio, Cynthia Vaughn 6/30/20168731
Jeffrey Nicholas, MD 69 Jesse Hill Jr Dr, #308 Atlanta GA 3030348377RN151078Guerrero, Robin Montgomery 1/8/20108313
Purohit, Bhumiben MD 3600 Dallas Hwy SW Marietta GA 3006458812RN195137Guevarra, Natividad 7/11/201210835
Saturday, January 21, 2017 Page 74 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Nadia G. Cameron, MD 3760 Sixes Rd., Ste 120 Canton GA 3011553982RN195137RN195137
Guevarra, Natividad J. 1/7/201311209
Luther Vance, MD 3065 South Cobb Dr, Suite B Smyrna GA 3008019354RN195137Guevarra, Natividad Jesusa Balderi 5/24/201311770
Michael O'Grady, MD 1431 Riverside Parkway Lawrenceville GA 3004341189RN195137Guevarra, Natividad 4/30/201515349
Kevin F. Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441761RN095654Guice, Emma Mae 9/30/20091187
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN095654Guice, Emma Mae 1/6/20148941
Jamie L. Walraven, MD 1418 Scott Blvd Decatur GA 3003045023RN091759Guidry, Angela Marie 9/1/201611482
David Goo, MD 1418 Scott Blvd Decatur GA 3003031924RN091759Guidry, Angela 10/3/201210419
Anne Todd, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054051395RN078829Guild, Rene Ronda 5/22/20121189
Trivedi, Nimisha MD 3778 Hwy 42 Locust Grove GA 3024853715RN210215Guinoo, Gregory 3/18/201310302
Rami Arfoosh, MD 30 Satellite Dr, Suite 200 Winder GA 3068063559RN209319Gulsby, Tara Phelps 2/27/201412646
Leach, Andrew MD 1000 Hawthorne Ave, Ste G Athens GA 3060649051RN203047Gunby, Julie 4/13/201210604
Amber Zafar, MD 2443 Brookstone Ceatre Parkway, Ste A Columbus GA 3190447384RN164900Gunter, Amanda Jo 6/4/201515251
Randy Robinson, MD 1507 Broomtown Rd. Lafayette GA 3072835987RN164900Gunter, Amanda Jo 1/1/201513991
Kimberly Curseen, MD 1462 Clifton Rd Atllanta GA 3032272890RN052101Gunter, Debbie 8/18/201614928
Andrew Magnet, MD 813 E 68th St, Ste 8 Savannah ga 3140560215RN164900Gunter, Amanda 2/1/201615822
Christopher Crooker, MD 748 Old Norcross Road Lawrenceville GA 3004639315RN202617Gutknecht, Adrienne 1/9/201310558
Nasser Tehrani, MD 1117 Morningside Dr. Perry GA 3106953044RN203390H Hughes, Tammy 2/13/201613421
Quinton Weldon, MD 906 Elmo Street Americus GA 3170956786RN118093Hagins, Linda Banks 3/19/201511060
Nelson Madrazo, MD 103 GA Hwy 27 East Americus GA 3170949862RN118093Hagins, Linda Banks 12/31/20111200
Serena Tidwell, MD 1538 13th Avenue, Suite B200 Columbus GA 3190151192RN136073Hahn, Kaye Herring 11/1/20121202
Saturday, January 21, 2017 Page 75 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Tarak Patel, MD 1224 Augusta West Parkway Augusta GA 3090966394RN097428Haid, Jeanne 3/31/201614685
Abdulla, Maher MD 301 Osigian Blvd Warner Robins GA 3108842151RN175434Hale, Ashley 11/2/201210944
Richard Shelton Jr, MD 4095 S Lee St. Buford GA 3051843775RN139047Haley, Judith Marie Best 9/17/20161207
Anthony Hoots, MD 425 Third Ave, Suite 510 Albany GA 3170133114RN162539Hall, Peggy L. 5/20/20119812
Linwood Zoller, MD 675 White Sulphur Rd, Susite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 12/29/201312087
Bhagya Papudesu, MD 616 Ferncrest Drive Sandersville GA 3108252613RN086005Hall, Nora Marie 12/16/20101214
Linwood Zoller, MD 675 White Sulphur Road, Suite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 8/1/20129872
Clive Albert, MD 1100 Northside Forsyth Dr, Suite 330 Cumming GA 3004135800RN180217Hall, Anna Mirinda 6/26/201511948
Mef D. Galle, MD 622 Main St Gainesville GA 3050159722RN118934Hall, Debra Lee 2/1/201311445
Charles Harden, MD 948 South Main St Baxley GA 3151344930RN123491Hall, Linda M 4/30/201412945
Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN086005Hall, Nora Marie 1/18/20139608
Patrick Antoine, MD 901 Rice St NW Atlanta GA 3031857143RN151300Hall, Charlotte Pongonis 10/15/201517479
Thenmozhi Singaram, MD 3850 Windermer Pkwy, Ste 105 Cumming GA 3004165060RN180217Hall, Anna 1/29/201615522
Douglas Epps, MD 10447 Tara Blvd, Ste E Jonesboro GA 3023848348RN204856Hall-Faison, Talonda N 3/4/201617086
Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN189107Halvey, Kathleen 4/11/201310446
John O'Connell, MD 5671 P'tree-Dunwoody Rd NE, #110 Atlanta GA 3034262266RN189107Halvey, Kathleen Ann 1/10/20128018
Andrew Pandya, MD 210 E. Derenne Ave. Savannah GA 3140555323RN089362Hamilton, Mariangeli Marrero 6/25/20141220
Ahmad Jingo, MD 3424 Flat Shoals Rd Decatur GA 3003545842RN210732Hamilton, Heather Brown 5/1/201412980
Daniel Mark Henson, MD 1600 North Brown Road Lawrenceville GA 3004325173RN099535Hamilton, Cherille Elizabeth 8/26/20091218
Diane Payne, MD 49 Jesse Hill Jr. Dr., 3rd Flr Atlanta GA 3030370402RN244205Hamilton, Jonathan Wesley 8/8/201618243
Ortelio Bosch, MD 7450 Skidaway Rd Savannah GA 3140651119RN089362Hamilton, Mariangeli Marrero 6/30/201616670
Saturday, January 21, 2017 Page 76 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Howard McMahan, MD 361 Cargile Rd Ocilla GA 3177422824RN122055Hamilton-Anderson, Brenda Gail 11/1/20159851
Olakunle Aina, MD 2000 Palmyra Rd, Emer Dept Albany GA 3170148968RN122055Hamilton-Anderson, Brenda Gail 3/27/20149440
William Paxton, MD 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville GA 3004646206RN168664Hamm, Quanisha Nayima 3/31/201617229
Anthony Hoots, MD 425 Third Ave, Suite 510 Albany GA 3170133114RN132831Hammack, Rebecca Murphy 12/1/20131224
Daniel Lopez, MD 643 Main St Palmetto GA 3026864597RN226179Hammaker, Teresa Suzette 5/15/201311765
Robersteen Howard, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016540103RN161874Hammett, Rebecca Pearl 4/9/20139119
Brenda Marino, MD 677 Church St Marietta GA 3006616392RN138345Hammock, Mary Frances 6/14/20119850
David Asrael, MD 4398 Atlanta Hwy Loganville GA 3005251291RN127086Hammock, Jodi Renee Taylor 6/2/20118910
Jeffrey Cooper, MD 3645-A Howell Ferry Rd Duluth GA 3009632895RN138345Hammock, Mary Frances 6/12/20159849
Dara Hosch, MD 410 Villa Rica Way Marietta GA 3006447770RN138345Hammock, Mary Frances 2/1/20111225
Richard M. Schlossberg, MD 12 7th Street Auburn GA 3001144330RN127086Hammock, Jodi Renee Taylor 9/14/20072231
Susan Staviss, MD 1523 Johnson Ferry Rd, Suite 150 Marietta GA 3006238652RN138345Hammock, Mary Frances 2/21/20119630
Wallace Duncan, MD 4398 Atlanta Hwy Loganville GA 3005241109RN127086Hammock, Jodi Renee Taylor 6/2/20118939
Forrest Clark Cantrell, MD 3911 Mary Eliza Trace, Suite 200 Marietta GA 3006428948RN138345Hammock, Mary Frances 6/6/20119687
Charlene Blache, MD 406-M Northside Dr Valdosta GA 3160245728RN051972Hammond, Elizabeth Jane Broome 7/31/20111226
Rodger Chapman, MD 2890 Delk Road Marietta GA 3006716769RN048900Hammond, Rebecca M Westbrook 8/19/20167700
Cuddapah, Satish MD 551 Riverstone Pkwy Ste 100 Canton GA 3011448997RN203463Hammond, Steven 10/10/201210772
Fadi Nahab, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032259883RN205130Hammonds, Lisa Paige 12/17/20108957
Darshan Shah, MD 125 B Victory Dr. Swainsboro GA 3040144096RN116013Hampton, Brigitte 9/25/20091227
James Eutzler, DO 1550 Commerce Drive Valdosta GA 3150249729RN116013Hampton, Brigitte 2/23/20128876
Addington, Tony MD 39 Kent Road, Ste 5 Tifton GA 3179452526RN116013Hampton , Brigitte 8/20/201210793
Saturday, January 21, 2017 Page 77 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Clyde Simmons, MD 39 Kent Rd., Ste 5 Tifton GA 3179417301RN116013Hampton, Brigitte 12/31/201211077
Richard Chase, DO 509 Sumter St, Emer Room Montezuma GA 3106317784RN113167Hamsley, Linda Peterson 4/1/20129502
Richard Chase, DO 93 South Broad St Ellaville GA 3180617784RN113167RN113167
Hamsley, Linda 8/3/201616075
Aloysius Mangan, MD 12978 N Main St. Trenton GA 3075215023RN213708Hancock, Crystal 10/5/201514484
Gary L. Smith Sr., MD 12978 N. Main St. Trenton GA 3075210666RN213708Hancock, Crystal LeeAnn 10/1/201413138
Richard Smith, MD 12978 N Main St Trenton GA 3075219603RN213708Hancock, Crystal LeeAnn 11/1/201617227
Guy Easterling, DO 277 Commerce St Hawkinsville GA 3103641283RN072945Hand, Charlotte Mock 7/16/20141231
Noel Battle, MD 176 Charles Hardy Pkwy, Unit C Hiram GA 3014154549RN177312Hand, Kristi Lashun 7/24/201512226
M. Mohabubur Rahman, MD 505 Coliseum Dr Macon GA 3121744065RN072945Hand, Charlotte 6/12/201514337
Clyde Green, MD 505 Coliseum Dr Macon GA 3121730072RN072945Hand, Charlotte 6/15/201514338
Shalini Patel, MD 677 Greison Trail, Ste H Newnan GA 3026352804RN177312Hand, Kristi 12/7/201516184
Melvin Moore, MD 2675 N. Decatur Rd. Decatur GA 3003316647RN098649Hanik, Maria Muchortow 11/30/20091233
Jason Smith, MD 259 US Hwy 19 N Camilla GA 3173057188RN082087Hanna, Martha 5/27/201615241
Maria, Bernard MD 1446 Harper Street Augusta GA 3091262741RN217488Hannah, Monica 6/27/201410250
Lynette Budet-Bauza, MD 1446 Harper St, BG-2128 Augusta GA 3091233797RN217488Hannah, Monica McKeon 6/27/201412083
Thomas Fariss, MD 1400 Holcomb Bridge Rd Roswell GA 3007655747RN147193Hannah, Julie Anne 6/7/201311688
Gordon Peltier, MD 5610 Bethelview Rd, Ste 500 Cumming GA 3004015808RN147193Hannah, Julie Anne 1/30/201513506
Amy Talboy, MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN217488Hannah, Monica McKeon 8/1/201513551
Felissa Goldstein, MD 1920 Briarcliff Rd. Atlanta GA 3032957467RN217488Hannah, Monica McKeon 1/31/201615939
Divina Dyer, MD 4120 Austell Rd Austell GA GA 30106-184157161RN167622Hannor, Tahisha Batrice 5/29/201514210
Saturday, January 21, 2017 Page 78 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Michael Lindsay, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030327602RN096362Hanrahan, Caryn S. 10/31/20148139
Michael Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN096362Hanrahan, Caryn Schloss 1/1/20085524
Victoria Afshani, MD 1501 Milstead Rd, #110 Conyers GA 3001255214RN121522Happe, Anne Marie 9/25/20141237
Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN125164Harbaugh, Christine M 4/9/20091239
Jan Mayfield, MD 49 Hosiery Mill Rd, Str 124 Dallas GA 3015751355RN029160Harden, Patricia Faye 2/26/201514443
Douglas Lundy, MD 61 Whitcher St, Suite 1100 Marietta GA 3006044778RN157897Hardison, Heather Smith 5/6/20129578
Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN157897Hardison, Heather Smith 1/2/20115538
Lathan Overstreet, MD 340 Boulevard NE, Suite 103 Atlanta GA 3031236659RN188351Hardtman, Pandora Tamara 6/30/20168693
Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN118464Hardy, Paula K 11/21/20118198
Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN118464Hardy, Paula Kelly Tullis 7/10/20081247
Ellenoff, Bonnie DO 3834-C Austell Road, Ste C Marietta GA 3000851644RN075610Harmon, Jacqueline 9/18/201410724
Stephanie Gordon, MD 2750 Owens Dr, Suite A Conyers GA 3009449382RN079076Harmon, Marcia Roberts 1/21/20169066
Shobha Rao, MD 2750 Owens Drive, Suite A Conyers GA 3009432893RN079076Harmon, Marcia Roberts 5/2/20085177
Stephen Odom, MD 1810 Mulkey Rd, Suite 105 Austell GA 3010638895RN075610Harmon, Jacqueline C. 9/1/20149880
Wyatt Blake, MD 4421 Carnes St Acworth GA 3010147702RN075610Harmon, Jacqueline 6/15/201514383
Linda Sacks, MD 4750 Waters Ave, Suite 206 Savannah GA 3140424724RN151201Harper, Amanda Kay 12/12/20141250
Vincent Brawley, MD 1350 Walton Way - 3rd floor Augusta GA 3090133283RN042192Harper, Joan Daniel 7/1/20161251
John Arnett, MD 208 Grady Ave. South Douglas GA 3153338423RN176239Harper, Shanda DeLeice 2/1/201616686
Douglas Cardillo, MD 3623 J. Dewey Gray Cir, Suite 113 Augusta GA 3090953432RN071579Harrell, Lori Ann Miller 7/13/20118933
Johnathan Gaskins, MD PO Box 1287 Douglas GA 3153456836RN056220Harrell, Shirley Lavon Knowles 1/13/20129728
Lamar Peacock, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080934920RN071579Harrell, Lori Ann Miller 12/13/20098721
Saturday, January 21, 2017 Page 79 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jon Gibbs, MD 3651 Wheeler Rd Augusta GA 3090938493RN071579Harrell, Lori Ann Miller 8/15/20129969
Frederick Merrill, III, MD 465 North Belair Rd, Suite 1-C Evans GA 3080934664RN071579Harrell, Lori Ann Miller 9/3/20091253
Richards, Christopher MD 909 Broken Arrow Trail Perry GA 3106958316RN201460Harrell, Kathleen 7/25/201210357
Ian Davis, DO 1120 15th Street, AF-2030 Augusta GA 3091264203RN071579Harrell, Lori Ann Miller 7/1/201511753
Cowart, Charles MD 1101 Ocilla Road Douglas GA 3153329161RN056220Harrell, Shirley 8/28/201510427
Divikar Jammalamadaka, MD 811 13th St, Ste 10 Augusta GA 3090166378RN071579Harrell, Lori 4/1/201310925
Erik Prasatik, MD 2260 Wrightsboro Augusta GA 3090461456RN071579Harrell, Lori 10/19/201515912
Douglas Lowery-North, MD 1364 Clifton Road Atlanta GA 3032239854RN130649Harrell-Ward, Antionette Felicia 2/23/20151255
Eric Goldklang, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004652729RN171135Harrelson, Christina Alison 3/1/201512286
Anthony Clavo, MD 1975 Hwy 54 West, Suite 100 Peachtree City GA 3021445425RN153892Harris, Kyle Lazett Henderson 3/21/201412575
Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN049658Harris, Yvonne D 8/28/20091263
Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN149407Harris, Mandy 7/25/201210589
Linda Sacks, MD 4750 Waters Avenue, Suite 206 Savannah GA 3140424724RN081306Harris, Lydia J Boston 12/12/20141261
Gregory Teel, MD 13570 North Main St Trenton GA 3075239961RN200398Harris, Jaime Cherie 9/30/20108867
Donna Van Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200398Harris, Jaime Cherie 5/10/20139442
W. Morris Brown, MD 95 Collier Rd, Suite 2055 Atlanta GA 3030929309RN146291Harris, Elizabeth Marie 10/9/20101257
Dan Ioanitescu, MD 940 GA Hwy 96 Warner Robins GA 3108851476RN084164Harris, Patricia Renee 9/14/201211081
John Eanes, MD 1510 Hudson Bridge Rd Stockbridge GA 3028156433RN1137236Harris, Wendy 1/5/201614499
Jose Justiniano-Ayala, MD 1430 Suggs St. Rossville GA 3074146773RN200398Harris, Jaime Cherie 11/20/201515215
Chrissie Clure, MD 800 E 70th St Savannah GA 3140549281RN084164Harris, Patricia Renee 1/22/201514586
Sherri Simpson, MD 1396 Southlake Dr. Morrow GA 306067942RN084164Harris, Patricia Renee 6/18/201413424
Saturday, January 21, 2017 Page 80 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Julian D. Sharpton, MD 11973 Augusta Rd. Lavonia GA 3055317084RN159235Harrison, Jennifer Leigh 8/31/201411612
Gary Solt, MD 309 Vernon St LaGrange GA 3024024497RN198333Harrison, Jessica Marie 8/14/201411650
Willert Lynn, III, MD 802 Towne Park Drive Rincon GA 3132647979RN113434Harrison, Susan Neidlinger 3/7/20141266
James Cornwell, MD 3 Hidden Creek Dr Guyton GA 3131250608RN113434Harrison, Susan Neidlinger 12/3/201513996
Joseph Ratchford, MD 1451 Hwy 21 South, Ste H Springfield GA 3132932848RN113434Harrison, Susan Neidlinger 4/4/201617170
Zia Khan, MD 151 Wisdom Rd Peachtree City GA 3026962533RN198333Harrison, Jessica Marie 4/10/201514401
John Bennett, MD 7306 Hwy 21, Suite 105 Pt Wentworth GA 3140753838RN113434Harrison, Susan Neidlinger 12/23/201413312
Paul Schriever, MD 304 Turner McCall Rome GA 3016140781RN209157Harrison, William Cory 6/6/201615263
Mark Dorogy, MD 682 Hemlock St, Suite 490 Macon GA 3120141105RN081204Harrison-Smith, Kemberly Jean 9/5/201412608
Julian Hutchins, MD 675 Hamilton St. Sparta GA 3108718677RN081204Harrison-Smith, Kemberly Jean 5/5/201615934
Gary Olson, MD 1436 Broadrick Dr Dalton GA 3072020465RN229745Harriss, Dorinda Kay 1/17/201412754
Deronda Person, MD 3208 Alcovy Club Court Dacula GA 3001950079RN133852Harry, Cheryl Rosanne 9/30/20108926
Taylor, Michelle MD 3073 Panthersville Rd Decatur GA 3003460104RN133852Harry, Cheryl 7/25/201210662
Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN179734Hart, Ivan Pershing 2/15/20139350
Edgar Melendez, MD 9280 Hwy, Ste A Douglasville GA 3013441167RN119459Hart, Kimberly 5/28/201616443
Richard Baldwin, MD 9280 Hwy 5, Ste A Douglasville GA 3013423894RN119459Hart, Kimberly Womack 9/11/201513483
Hailu Demissachew, MD 19 Redmond Rd. Rome GA 3016554072RN234345Hartfield, Satoya Loreen 5/17/201612580
Babalola, Cecilia MD 3970 Five Forks Trickum Rd, Suite A Lilburn GA 3004758389RN174554Hartley, Shanda Thompson 10/31/201110051
Julia Wilson, MD 7530 Roswell Rd Atlanta GA 3035056787RN174554Hartley, Shanda Thompson 3/19/20119109
Luther Vance, Jr., MD 4595 Towne Lake Pkwy, Bldg 300, #140 Woodstock GA 3018919354RN174554Hartley, Shanda Thompson 7/17/20129737
Luther Vance, MD 310 Gold Creek Trail Woodstock GA 3018819354RN174554Hartley, Shanda Thompson 3/29/201211932
Saturday, January 21, 2017 Page 81 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lester Benn, MD 207 Crestmont Way Canton GA 3011431205RN174554Hartley, Shanda Thompson 6/30/201616653
Michael Kroll, MD 5505 Bells Ferry Rd, Bldg 300 Acworth GA 3010255611RN174554Hartley, Shanda Thompson 5/29/201413270
Wendy Hawke Lenz, MD 2712 Lawrenceville Hwy Decatur GA 3003327563RN134198Hartman, Lisa Lou 12/31/20071272
Brian Griner, MD 117 West Northside Drive Valdosta GA 3160246966RN170256Harvell, Katherine Ganas 6/30/20128862
Kevin Baggett, DO 500 Spillers Way Warner Robins GA 3108848410RN160142Harvill, Starr Annette 8/27/201513260
Becky Campbell, MD 500 Spillers Way Warner Robins GA 3108848105RN160142Harvill, Star Annette 8/27/201513261
Scott Reynolds, MD 1700 Hospital Dr, Suite 500 Austell GA 3010659009RN218149Harwell, Christina Louise 7/29/201612620
Williams, Rembert Andrew MD
710 Center Street Columbus GA 3190228105RN178427Hasbach, Kimberly 1/1/201310102
Susan Jordan, MD 354 Newnan Crossing Bypass, Ste 200 Newnan GA 3026566169RN142510Haskew, Barbara 3/17/201715093
John Coleman, MD 1720 Peachtree St, Suite 200 Atlaanta GA 3030948498RN151842Haskin, Hope Minyette 5/11/20101274
Jose V. Vigil, MD 3685 Lawrenceville Hwy, Ste. 100 Lawrenceville GA 3004427463RN229345Hass, Kristen B 2/28/201413094
Edward Young, MD 777 Hemlock St, MSC 117 Macon GA 3120136325RN125871Hastings, Judy Lynn 1/8/20168624
Eric Powell, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152549081RN125871Hastings, Judy Lynn 5/1/20129836
Shahriar Sedghi, MD 610 Third Street, Suite 204 Macon GA 3120137678RN125871Hastings, Judy Lynn 4/30/20098279
Jackson, Eugene MD 151 South Houston Lake Rd, Ste 190 Warner Robins GA 3108822793RN125871Hastings, Judy 2/13/201310766
Quyen Luu, MD 639 Hemlock St, Suite 200 Macon GA 3120125216RN125871Hastings, Judy Lynn 1/8/201612387
David Kent, MD 308 Coliseum Dr, Suite 200 Macon GA 3121725625RN138819Hatcher, Katherine Walker 6/1/20119644
Kaizad Shroff, MD 705 17th St, Suite 410 Columbus GA 3190162002RN154558Hatcher, Kimberly Denise 5/8/201512313
Elisabeth Barclay, MD 5300 Memorial Dr, Suite 112 Stone Mountain GA 3008356406RN118661Hatcher, Laurie Denise 3/1/20101277
Mark Hendricks, MD 380 Hospital Dr, Bldg A, #430 Macon GA 3121743061RN138819Hatcher, Katherine Walker 8/26/20101276
Saturday, January 21, 2017 Page 82 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
David A. Morton, MD 3000 Schatulga Rd. Columbus GA 3190748279RN154558Hatcher, Kimberly D. 6/6/201617668
Emile Risby, MD 3000 Schatulga Rd Columbus GA 3190730869RN154558Hatcher, Kimberly 3/22/201615920
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN073560Hatfield, Susan Lynn 4/15/20101278
Arnold Gaskin, MD 3384 Peachtree Rd NE, Suite 700 Atlanta GA 3032636382RN073560Hatfield, Susan Lynn 2/15/201611998
Christopher Richards, MD 300 Medical Court Oglethorpe GA 3106858316RN079347Hatten, Karen Patricia Dumproff 5/7/201411742
Gaston Moran Celayes, MD 618 East Lamar St Americus GA 3170964675RN079347Hatten, Karen Patricia Dumproff 3/4/201311640
Annette Hinchcliffe, MD 6300 Hospital Pkwy, Suite 125 Johns Creek GA 3009742607RN225760Haupt, Vivien G 2/17/201611731
Michelle Plaster, MD 1016 E. Spring St. Monroe GA 3065561639RN072965Haupt, Sandra 3/27/201513207
Kay Lynn, MD 2398 Mt Vernon Rd, Suite 150 Dunwoody GA 3033813182RN048204Hawk, Virginia Margaret 2/5/20115179
Brickman, Sandra MD 1806 Lee Avenue Tifton GA 3179445043RN218887Hawthorne, Dolores 9/21/201210376
Yuan-Xiang Meng, MD 5320 Memorial Dr. Stone Mountain GA 3008351257RN110160Hawthorne, Valencia Karen 3/12/201617352
Ifeoma Eke, MD 1510 Hudson Bridge Rd Stockbridge GA 3028152350RN174596Hayek, Brenda Carole 10/20/201512238
Arun Singh, MD 1111 Bullsboro Dr., Ste 6 and 7 Newnan GA 3026571879RN174596Hayek, Brenda Carole 6/30/201617089
Janet Fason, DO 2990 Five Forks Trickum Rd Lawrenceville GA 3004448773RN062405Hayes, Vivian Anne Smith 3/9/20151288
Stephen Pappas, MD 2600 Parkwood Dr. Brunswick GA 3152029509RN113495Hayes, Olivia Ruth 9/10/201413520
Tracy Barr, MD 1180 Barrett Pkwy. Ste. 102 Kennesaw GA 3014458030RN216264Hayes, Traci Marie 9/10/201618780
Dexter Page, MD 238 Professional Ct, Ste A Riverdale GA 3027440974RN072974Hayes, Carol Elizabeth 11/30/201514346
William Richardson, MD 4791-B Jonesboro Rd Union City GA 3029126631RN101149Haynes, Kathleen Norris Colden 8/18/20121292
Patrice A. Shongo, MD 659 Athens St. Jefferson GA 3054943028RN26165Haynes, Twilla Locklear 6/30/201617791
Dwayne Gard, MD Memorial Univeristy Medical Center, 4700 Waters Av
Savannah GA 3140460731RN152773Hazel, Gina O. 2/1/201411409
Saturday, January 21, 2017 Page 83 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Darrell Carpenter, MD 603 South Wheat Ave, Suite 400 Bainbridge GA 3981940023RN129224Heard, April Danene Goodwin 9/21/20121300
Candi Nobles-James, MD 777 Hemlock St, Box 118 Macon GA 3120147985RN168023Hearn, Sherryl Amanda 12/3/201312268
Frederick Burton, MD 6020 Harrison Rd. Macon GA 3120638434RN168023Hearn, Sherryl Amanda 6/2/201614065
Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN144729Heath, Thomas Gregory 8/24/20161303
Whipple, Robert MD 37 Calumet Pkwy Bldg G, Ste 101 Newnan GA 3026346279RN180320Heavin, Jennifer 12/18/201310052
Donna Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN168020Hedden, Sandra Lynn 7/1/20119443
Gregory Teel, MD 13570 N. Main Street Trenton GA 3075239961RN168020Hedden, Sandra Lynn 9/30/20108421
Nulph, Michael MD 222 Perry Hwy Hawkinsville GA 3103657735RN129700Hedden, Danielle 5/1/201610638
Nelson Oyesiku, MD 1364 Clifton Rd NE, Suite B-2200 Atlanta GA 3032231484RN054432Heeke, Sheila Hope Little 4/1/20159167
Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN141187Height, Crystal Michelle 12/31/20101309
John Mynatt, Jr., MD 5040 Bill Gardner Pkwy, Ste 100 Locust Grove GA 3024841469RN132478Hellam, Patricia Lynn Stauffer 5/14/20151310
David Van, MD 290 Country Club Dr, Suite 200 Stockbridge GA 3028129545RN135983Hellmer, Carol Ann 5/22/201412501
Jose Justiniano-Ayala, MD 1430 Suggs St Rossville GA 3074146773RN106534Hellriegel, Karen Marie 5/31/201412998
Jon Gibbs, MD 3651 Wheeler Rd Augusta GA 3090938493RN203177Helmly, Crystal 9/18/201614554
Tarak Patel, MD 1224 Augusta West Pkwy Augusta GA 3090966394RN203177Helmly, Crystal Whitaker 10/25/201514044
Brandon Mednick, MD 1255 Hwy 54 W, Emer. Dept. Fayetteville GA 3021456138RN204741Helms, Rachel Ann 11/16/201613979
Eric Powell, MD 1111 Glynco Pkwy, Bldg 1, #10 Brunswick GA 3152549081RN227468Helton, Sara Renee 8/27/201412322
Clark, Jr., Curtis DO 610 19th Street Columbus GA 3190147068RN170748Helton, Tamika 8/1/201310631
Albert Thompson, MD 1375 East King Ave. Hwy 40 Kingsland GA 3154822338RN227468Helton, Sara Renee 1/19/201614027
Veronica Garrett, MD 1567 Milstead Road NE, Suite B Conyers GA 3001239106RN098527Henderson, Ruby Larna 6/4/20105181
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN078420Henderson, Margo 8/1/20118934
Saturday, January 21, 2017 Page 84 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Andres Ruiz-Arango, MD 1120 15th St Augusta GA 3091258770RN078420Henderson, Margo 8/1/20111315
Dauda Griffin, MD 934 Briarcliff Rd NE Atlanta GA 3030657468RN200252Henderson, Susan Elizabeth 6/26/201514307
Paul Spiegl, MD 5673 Peachtree Dunwoody Rd, Ste 825 Atlanta GA 3034225045RN206677Henke, Stephanie Jayne 2/10/201616784
Karin Alcantara, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074243996RN159161Henon, Robbin Renee 9/26/20081320
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN159161Henon, Robbin Renee 1/16/20108343
Mark Coker, MD 14557 Highway 19, Suite A Griffin GA 3022456276RN141558Henslee, Mary Roseann Brannen 7/1/20131323
Janene Holladay, MD 1620 Prince Avenue Athens GA 3060637199RN062999Henson, Eva Lee 5/28/20101326
Allen Woodrow Jones, MD 1610 East 10th Street West Point GA 3183332214RN170417Herczeg, Katherine Ilene 3/1/20128955
Michael D. Hagues, DO 2122 Manchester Expwy, PO Box 7000, ERColumbus GA 3190823977RN170417Herczeg, Katherine I. 7/17/201611506
Susan Alfonso, MD 1030 Delta Blvd Atlanta GA 3035446026RN160044Hern, Cynthia 1/3/201411258
Sendhil Subramanian, MD 1000 Johson Ferry Rd, Ste B 155 Marietta GA 3006849107RN220723Hernandez, Patricia 4/16/201514471
Nikita Gupta, MD 1405 Clifton Rd NE Atlanta GA 3032261886RN248207Hernandez, Emily Tirado 9/22/201616659
John House, MD 711 Charles Gilman Jr Ave, Ste B Kingsland GA 3154811959RN197793Herndon, Courtney 10/8/201516091
Samuel Bleuez, MD 1267 Hwy 54 West, Suite 2200 Fayetteville GA 3021460241RN164161Herrick, Amy Lynn Hinton 8/2/201411711
Thompson, Sonya MD 1700 Hospital South Drive Austell GA 3010637402RN029101Hersey, Lois 3/1/201410725
Felissa Goldstein, MD 1920 Briarcliff Rd Atlanta GA 3032957467RN247655Hesney, Sarah 1/27/201616277
Hugo Ribot, MD 958A J F Harris Pkwy, Bldg 2, Suite 102 Cartersville GA 3012130196RN090517Hess, Tammy Jeanette Hamilton 7/24/20085186
Steven Bradley, DO P.O. Box 729 Ringgold GA 3073635359RN216918Hester, Lindsay Caroline 9/16/201618146
Deronda Person, MD 3208 Alcovy Club Ct Dacula GA 3001950079RN066302Hibbitts, Marian E. Hayes 9/30/20108919
Kirk-Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN066302Hibbitts, Marian E. Hayes 9/1/20129327
Andrews, Noreen MD 1860 Duluth Hwy Ste 103 Lawrenceville GA 3004346861RN066302Hibbitts, Marian 9/14/201210159
Saturday, January 21, 2017 Page 85 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Melvin Williams, MD 10 Glenlake Parkway, Ste 40 Atlanta GA 3032849260RN193160Hickman, Dana Hull 9/18/20129965
Azar, Kenneth MD 306 Greenway Street Thomson GA 3082413721RN078036Hickman, Karen 1/14/201310897
Ann Marie Stokes, MD 2000 Building 10th Ave. Ste 410 Columbus GA 3190163963RN193160Hickman, Dana Hull 9/1/201613782
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN194193Hickman, Heather Renee 2/18/201616602
William Rankine, DO 1960 247 Connector, Emer Dept Byron GA 3100855294RN097435Hicks, Violeta Elizabeth 3/8/201616782
Christopher Crooker, MD 748 Old Norcross Rd, Ste 185 Lawrenceville GA 3004639315RN158733Hicks, Robert Francis 2/9/201515142
Cullen Morris, MD 1270 Prince Ave, Suite 303 Athens GA 3060644285RN119881Higgins, Lisbeth 5/19/20109125
Ajay Kumar, MD 132 Sparta Hwy Eatonton GA 3102442326RN149476Higgs, Angela Odom 7/30/201411012
Sekhar Sankaran, MD 101 Regency Park Dr, Suite 140 McDonough GA 3025331549RN149811Hightower, Kimberly Faith 8/7/20157865
Glen Dasher, MD 1044 Bermuda Run Rd Statesboro GA 3045843354RN152808Hildebrandt, Rana Hadden 5/1/20108938
Troy Kimsey, MD 425 W. Third Ave, Suite 105 Albany GA 3170146876RN159234Hill, Cara C. 4/10/20119290
Miriam Gwathney, DO 931 Lower Fayetteville Rd, Suite J Newnan GA 3026363343RN158433Hill, Sylena Hendrix 2/1/201411981
William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN060452Hill, Patricia Cannington 6/1/20119073
Jeremy Goodwin, MD 235 Medical Court Forsyth GA 3102959416RN060452Hill, Patricia Cannington 6/1/20118714
Thomas Joiner, MD 425 W Third Ave, Ste 600 Albany GA 3170122797RN159234Hill, Cara C. 6/1/20139949
Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN168131Hill, Calita Suzanne Allen 1/18/20108717
John Price, DO 611 Villanow St Lafayette GA 3072855274RN168131Hill, Calita Suzanne Allen 5/27/20119100
James Palazzolo, MD 804 13th Avenue Alabany GA 3170137637RN159234Hill, Cara C. 7/31/20108123
Duane Moores, MD 2500 Starling St, Suite 506 Brunswick GA 3152046998RN195040Hiller, Nicole Ann 6/30/201612649
Walter Metcalfe, MD Take Care Clinic, 794 S Park St Carrollton GA 3011758544RN143868Hinds-Carden, Pamela Kay 9/10/201312082
Virna Simmons, MD 1227 Rock Bridge Rd Stone GA 3008760614RN234689Hinton, Cindy 3/23/201616399
Saturday, January 21, 2017 Page 86 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN214271Hirsch, Lana Christian New 3/29/20139882
Matthew Keadey, MD 1364 Clifton Road Atlanta GA 3002249143RN076949Hitchcock, Robin Annette 7/28/20091354
George Katsitadze, MD 4120 Five Forks Trickum Rd, Suite 102 Lilburn GA 3004752456RN225115Hobbs, Laura Elizabeth 1/5/201412700
Harrison Stetler, MD 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 3009241681Rn225115Hobbs, Laura Elizabeth 8/23/201311706
Michael White, MD 61535RN151941Hocking, Timothy Kevin 9/1/201312179
Richard Harvey, MD 575 First Street Macon GA 3120137827RN217912Hockstedler, Marita Ann 6/23/201310773
Michael Raines, MD 1035 East Forsyth St. Americus GA 3170935979RN210361Hodges, Jami Nicole 3/14/201615357
Quinton Weldon, MD 1035 E. Forsyth St Americus GA 3170956786RN210361Hodges, Jami Nicole 3/19/201513569
Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN104429Hodnicki, Deanna Renee O'Donnell 5/17/20139056
Thomas R. Rumble, MD 2121-A Bellevue Rd Dublin GA 3102113078RN067755Hoffa, Evelyn Marie Head 1/1/20121361
Louis Spencer, MD 4159 Martha Berry Hwy, NW Rome GA 3016561351RN060455Hoffman, Linda Ann Hilpp 11/1/20098309
James Gore, MD 1657 N. Expressway Griffin GA 3022336384RN169860Hoffman, Judy Lynn 8/14/20119497
Altee Johnson, MD 101 Yorktown Dr, Ste 110 Fayetteville GA 3021460387RN169860Hoffman, Judy 1/19/201615909
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN060455Hoffmann, Linda Ann Hilpp 11/30/20118759
Hope McDaniel, MD 4159 Martha Berry Hwy NW Rome GA 3016559287RN060455Hoffmann, Linda Ann Hilpp 10/1/20081364
Lisa Rosa-Re, MD 11660 Alpharetta Hwy, Suite 600 Roswell GA 3007629768RN087295Hogue-Kinahan, Janice Kaye 8/17/20097764
Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN118690Holbrook, Alisha Jill 7/28/20151001
Wilma Briones-Mull, MD 255 West 5th Street Rome GA 3016564783RN101888Holcomb, LaDonna 12/3/201210006
Kenneth Howard, MD 1060 Redbud Road Calhoun GA 3070140412RN101888Holcomb, LaDonna Leigh 6/25/20118318
Anthony Costrini, MD 11700 Mercy Blvd Suite 5 Savannah GA 3141914476RN102280Holland, Wendy Jean Olmstead 10/28/20091374
William Garrett, MD 6602 Waters Ave, Bldg C Savannah GA 3140643373RN102280Holland, Wendy Jean Olmstead 4/30/20158860
Saturday, January 21, 2017 Page 87 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Benjamin Holland, MD 1199 Prince Ave, MSB Bldg, 2nd floor Athens GA 3060667710RN196061Holland, Jennifer Rachel 6/19/201512553
Rene Mackay, MD 1360 Caduceus Way Building 400, Ste 104Athens GA 30606#####RN196061Holland, Jennfier 11/9/201516056
D. Shawn Surratt, MD 603 S. Wheat Ave, Suite 700 Bainbridge GA 3981955984RN138048Hollis, Elizabeth Maria 3/7/20149534
Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN138048Hollis, Elizabeth Maria 3/7/20149535
Raulnina Uzzle, MD 5582 Memorial Drive Stone Mountain GA 3008343499RN186422Hollis, Katrice Dionne 8/20/201616918
Mark Elam, MD 1102 Burleyson Rd. Dalton GA 3072036147RN175341Holloway, Amy E. 4/30/201411349
Joseph Sentef, MD 513 Benjamin Way, Suite 200 Dalton GA 3072132816RN175341Holloway, Amy Elizabeth 9/20/201211002
Wyatt Blake, MD 4421 Carnes St. Acworth GA 3010147702RN175341Holloway, Amy Elzabeth 9/6/201413363
Jackie Cox Thompson, MD 2927 Demere Dr. St. Simons Island GA 3152212446RN047369Holmes, Jennifer 4/6/201511079
Gwendolyn V. Morgan, MD 502 Sumter St., #C Montezuma GA 3106324040RN047369Holmes, Jennifer 5/27/201311549
Ryan Wagoner, MD 2927 Demere Rd. St. Simons Island GA 3152271582RN047369Holmes, Jennifer 7/6/201515528
Kenneth J. Howard, MD 1060 Redbud Rd. Calhoun GA 3070140412RN060670Holt, Tina M. 9/12/201411332
Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN060670Holt, Tina 4/24/201410663
Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016rn060670Holt, Tina 1/31/201410693
F Geoffery Conner, MD 1608 Meadows Lane, Suite 1 Vidalia GA 3047433555RN164616Holton, Cynthia Kaye 12/15/201611989
Felix Amoa-Bonsu, MD 5185 Old National Hwy College Park GA 3034955916RN151100Holts, Kalato Lehue 6/15/201617821
Skiwski, Jason MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074264973RN211820Hood, Terry 11/3/201210164
Jimmy Diaz, MD 130 N Gross Rd, Suite 202 Kingsland GA 3154826097RN115975Hooks, Donna Jean Joiner 2/10/201412398
David Morris, MD 3280 Howell Mill Rd, Ste 326 Atlanta GA 3032728828RN097494Hooks Jr., Jerry Dwayne 12/31/201515464
Teresa Baysden, DO 2001 Antioch Road Dalton GA 3072157348RN095695Hooper, Tracy Lynn Martin 2/1/20111395
Norvell, Mark MD 3300 Fourth Street Brunswick GA 3152023393RN155541Hoover, Abigail 7/1/201510119
Saturday, January 21, 2017 Page 88 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Denise Pecht, MD 771 Old Norcross Rd, Suite 305 Lawrenceville GA 3004634436RN205006Hopkins, Casey Leigh 5/12/20129674
Samuel Sencil, DO 206 East Church St Bowman GA 3062455971RN048111Hopkins, Debra D 7/1/20151396
Thomas Simpson, MD 315 W. 5th St Rome GA 3016134949RN060470Hopkins, Janice Marie Gribble 3/21/20111397
Bradley Ward, MD 97 Church St Taylorsville GA 3017821115RN188946Horn, Lauren Bramlett 2/3/20159781
Larry A. Fritchman, MD 843 Falls Rd. Toccoa GA 3057757970RN159649Horner, Rose Marie I. 2/1/201611610
Larry Fritchman, MD 843 Falls Rd Toccoa GA 3057757970RN175950Horner, Dennis Duane 11/1/20149122
Shrinath Nadig, MD 274 Big A Road Toccoa GA 3057761302RN175950Horner, Dennis Duane 5/6/201614644
Michael Clifford, MD 11045 Columbia St Blakely GA 3982337508RN131042Hornsby, Julie Tiner 10/31/20149218
Vincent Barker, MD 11045 Columbia Rd Blakely GA 3982366252Rn131042Hornsby, Juile Tiner 9/30/201514591
Jennifer Beckman, MD 523 Dixie St, Ste 3 Carrollton GA 3011766453RN176163RN176163
Hornsby, Lauren Elane 8/25/201614795
William Cook, MD 1267 Hwy 54 West, Suite 3200 Fayetteville GA 3021432461RN116039Hostetler, Joy 3/12/20128051
Terry Wood, MD 1340 Boulevard SE Atlanta GA 3031536636RN116039Hostetler, Joy Lynn 3/12/20121406
Brant Holt, MD 102 Erlanger South Drive Ringgold GA 3073654393RN226783Howard, Patricia Lauren 2/20/201411779
Cheryl Tolliver, MD 417 Third Ave Albany GA 3170153040RN168272Howard, Heather Hendon 8/23/201412657
Blake Milner, MD 1111 Griffin Ave Ste 1B Eastman GA 3102352789RN149577Howard, Erika D 2/6/201513903
Joseph Watlington, MD 102 Erlanger South Drive Ringgold GA25685RN226783Howard, Patricia Lauren 3/6/201513365
David Arkin, MD 758 Old Norcross Rd, Ste 175 Lawrenceville GA 3004528136RN159191Howell, Frances Wilson 10/2/20071419
Michelle Morgan, MD 9465 Hwy 5 Douglasville GA 3013551694RN098139Howell, Deborah Smith 2/23/20131418
Plummer, Valens MD 1762 Mars Hilol Rd NW Acworth GA 30101-809149496RN073038Howell, Charlotte 5/1/201310057
Saturday, January 21, 2017 Page 89 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lee, Clay DO 207 31st Avenue SE Moultrie GA 3176846610RN206614Howell, Jennifer 11/4/201510664
John Hubbard, MD 228 N. College Ave Hartwell GA 3064330787RN055858Howell, Scott Nelson 5/13/20119343
Quinton Weldon, MD 100 Plantation Ridge Drive Americus GA 3170956786RN186042Howell, Allen Blaine 3/19/201510003
Dolapo Babalola, MD Take Care Clinic, 2464 Roswell Rd Marietta GA 3006259119RN073038Howell, Charlotte Adrienne 2/9/20151417
Craig Fredericks, MD 704 South Broad St. Thomasville GA 3179232907RN198780Howell, Rachel Hearon 2/16/201612305
Berl, Seth MD #9 Hospital Park Moultrie GA 3176824390RN206614Howell, Jennifer 5/4/201610554
Gary Swartzentruber, MD 1335 4th Street Sw. Moultrie GA 3176863965RN206614Howell, Jennifer Lindsey 7/24/201618099
Oliviere, James Jr. MD 931 Lower Fayetteville Road Newnan GA 3026360017RN142462Howell-Philip, Vanessa 12/31/201210527
Miriam Gwathney, DO 931 Lower Fayetteville Rd, Suite J Newnan GA 3026363343RN142462Howell-Philip, Vanessa 6/26/201511982
Shalini Reddy, MD 1825 Martha Berry Blvd Rome GA 3016545935RN205032Hoyt, Heather Smith 5/24/201613057
Markus Porkert, MD 1700 Tree Ln., Ste. 190 Snellville GA 3007851716RN206671Hu, Yuan 5/28/201513151
Heather Svenson, MD 47 Professional Drive Brunswick GA 3152050841RN169681Hubbard, Mandy D. Brinson 8/31/20108453
Eric Hall, MD 512-B South Main Street Hinesville GA 3131345814RN169681Hubbard, Mandy D. Brinson 8/31/20109016
Eddie Thomas, MD 391 Peachtree St Jesup GA 3154553192RN169681Hubbard, Mandy D. Brinson 6/28/20169272
Stanley Jones, MD 391 Peacdhtree St Jesup GA 3154547607RN169681Hubbard, Mandy D. Brinson 6/28/20169654
Victor Corrigan, MD 5665 Peachtree Dunwoody Road Suite 172Atlanta GA 3034226489RN160170Huber, Kelly M 9/15/20087914
Madhu Vishwanath, MD 3003 Old Alabama Road Alpharetta GA 3002256499RN097896Huckabay, Paige Adams Murphy 12/12/20121426
Mohamad El-Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN069461Huckaby, Lisa Carole Potts 2/26/20105195
Bruce Williams, DO 1301 Sigman Rd NE, Suite 230 Conyers GA 3001262794RN069461Huckaby, Lisa Carole Potts 9/22/20119276
Enrique Isidro, MD PO Box 1000 Warm Springs GA 3183049617RN064157Hudson, Virginia N. 4/1/20148473
Saturday, January 21, 2017 Page 90 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Tom Bledsoe, MD 509 Alabama Ave Bremen GA 3011041730RN101917Hudson, Lori Ann 12/31/201514688
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN093576Hudson, Kelly Kruegler 6/10/201515540
David Derrer, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031854181RN093576Hudson, Kelly Kruegler 3/4/201514344
RN097026Hudson-Gallogly, Wanda Kim 2/28/20141432
Edwin Hiatt, MD VSU Student Health, 200 Georgia Ave Valdosta GA 3169812920RN194267Hughes, Joshua Emmett 11/1/201511792
William Bilek, MD 993-D Johnson Ferry Road, Suite 360 Atlanta GA 3034241514RN056826Hughes, Linda Lee 12/31/20085197
Victoria Shirley, MD 109 Osigian Blvd, Suite 400 Warner Robins GA 3108850921RN203390Hughes, Tammy H. 2/28/20149093
Cynthia Libert, MD 48 Haralson Place, Ste One Blairsville GA 3051259457RN213917Hughes, Michael 1/29/201614794
George Gowder, MD 35 Hospital Rd Blairsville GA 3051225163RN208019RN208019
Hughes, Jaclyn Camille 9/29/201514869
Mohamed Elhassan, MD 5398 Thomaston Rd, Ste B Macon GA 3122072970RN119281Hughes, Wendy Lynn 11/25/201514904
Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN195261Hume, Kimberly Renee 6/23/201311802
Sarita Prasad, MD 1480 Hwy 27 S. Carrolton GA 3011773372RN195261Hume, Kimberly Renee 6/28/201617097
RN053488Hummel, Elaine Dubel 2/28/20141443
Stepehn Jarrard, MD 196 Ridgecrest Circle Clayton GA 3052562897RN089263Humphries, Marcella J.E. 6/13/201311017
Matthew Astin, MD 100 Gross Crescent Circle Fort Oglethorpe GA 3074266248RN250529Hunt, Wanda Colleen 5/11/201616797
Tracey Lemon, MD 315 Boulevard NE, Ste 224 Atlanta GA 3031250723RN224876Hunt, Hope 5/6/201615140
John Coleman, MD 1720 Peachtree St, Ste 200 Atlanta GA 3030948498RN156325Hunte, Janell Lynn 10/19/20119943
Sinyard, Robert MD PO Box 5860 Athens GA 3060425829RN112687Hunter, Tamara Stewart 5/28/201410023
Dingane Baruti, MD 774 Ga Hwy 96 Bongire GA 3100555411RN198375Hunter, Genner 11/30/201516254
Young An, MD 1260 Hwy 54 West, Suite 202 Fayetteville GA 3021452050RN186637Hurd, Rebecca S. 1/3/20118912
Saturday, January 21, 2017 Page 91 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Deitrick Cox, MD 8811 Hwy 92, Suite 114 Woodstock GA 3018965394RN186637Hurd, Rebecca S. 7/16/201311466
Bhumiben Purohit, MD 1425 Market Blvd Roswell GA 3007658812RN186637Hurd, Rebecca S. 6/1/20119653
Lee Jacobs, MD 107 Mountain Brook Dr, Suite 100 Canton GA 3011528283RN186637Hurd, Rebecca S 7/23/201413401
Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100Atlanta GA 3030351875RN149720Hurman, Wendy Kay 4/1/20147863
Joseph D. DeVeau, MD 101 Yorktown Dr., Ste. 110 Fayetteville GA 3021552706RN182617Hurst, Sabine C. 2/18/201511175
Ahmed, Kashif MD 2200 Hwy 155 North McDonough GA 3025261547RN182617Hurst, Sabine 8/28/201210139
Allee Johnson, MD 101 Yorktown Dr, Ste 110 Fayetteville GA 3021460387RN182617Hurst, Sabine 8/2/201515230
Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN134515Hurt, Jason B. 1/29/20098439
Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN134515Hurt, Jason B. 6/10/20098511
William A. Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN134515Hurt, Jason B. 11/25/20071454
Ali Fakhri, MD 705 North Division St Rome GA 3016539567RN044704Huskey, Betty L 4/30/20111457
Christopher Clare, MD 2001 Peachtree Rd NE, Suite 550 Atlanta GA 3030934318RN181652Hutchison, Anthony Lauren 7/31/20158849
Gary W. Hunt, MD 2855 Old Hwy 5, Ste 104 Blue Ridge GA 3051333359RN125716Hyde, Douglas Anderson 12/31/20101462
Mullen, Thomas MD 126 Sequoyah Trail Ringgold GA 3073639882RN131917Hyde, Sylvia Helen Dunn 6/5/20131463
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN232024Hyman, Rhona Alesia 9/8/201413048
Charles Clopton, Jr, MD 3890 Redwine Rd Atlanta GA 3033143019RN232024Hyman-Duhaney, Rhona Alesia 2/9/201412579
Edgar Melendez, MD 9280 Hwy 5, Ste A Douglasville GA 3013441167RN173287Ibanez, Monica 6/14/201616442
Sandra Gibbs, MD 3240 South Cobb Dr Smyrna GA 3008232192RN145774Idowu, Frances 6/4/201615455
Leon L. Haley, MD 80 Jesse Hill Fr. Dr. SE Atlanta GA 3030343211RN144525Idusuyl, Esohe 5/14/201411219
Jonathan Winner, MD 1140 Hammond Dr, #E-5250 Atlanta GA 3032813706RN047165Ilgenfritz, Nancy Gail Armstrong 2/18/20101467
Richard Rickman, MD 3200-C North Ashley St. Valdosta GA 3160249332RN063917Ingram, Cynthia Belle Walker 5/21/20151471
Saturday, January 21, 2017 Page 92 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Robb Fulton, DO 1365-D Sam Nunn Blvd Perry GA 3106973325RN063917Ingram, Cynthia 10/4/201616064
Bruce Ribner, MD 1364 Clifton Rd NE Atlanta GA 3032249086RN123672Intili, Henry 3/1/20139094
David Johnson, MD 705 Jesse Jewell Pkwy SE Ste 200 Gainesville GA 3050132757RN064849Irick, Susan A. 7/18/20121473
Esther Harbert, MD 450 Winn Way Decatur GA 3003032633RN120987Irwin, Christine Lynn Miller 10/24/20088261
Louis Fernandez, MD 121 North Big A Road Toccoa GA 3057739790RN159202Ivester, Alexandra Fleming 1/16/20091480
Eric Zanghi, MD 1719 Russell Pkwy, Suite 700 Warner Robins GA 3108830248RN106643Ivey, Karen Belinda 6/3/20141481
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN106643Ivey, Karen 10/18/201310878
Jim Barlow, MD 235 Peachtree St. NE, N Tower, Ste 2100Atlanta GA 3030330717RN106643Ivey, Karen Belinda 9/1/201513779
Walter Metcalfe, MD Take Care Clinic, 2464 RoswellRd Marietta GA 3006258544RN108038Iwhere, Lovinda Ihuoma 9/10/201312067
Valens M. Plummer, MD Take Care Clinic, 2464 Roswell Rd. Marietta GA 3006249496RN108038Iwhere, Lovinda 5/1/201311462
Christopher Stevens, MD 5230 Dallas Hwy Powder Springs GA 3012754515RN109484Iwotor, Esther Ijeoma 12/21/201312558
Gulshan Harjee, MD 2536 Lawrenceville Hwy Decatur GA 3003326865RN079353Izadi, Mona 9/10/20101482
Ryan Johnson, DO 1350 Walton Way Augusta GA 3081356876RN049375Jackson, William Neal 3/26/20159210
Joe Harris Morgan, III MD 2300 Dawson Road Albany GA 3170753503RN128152Jackson, Hope Cherisse 6/14/20139986
John DuPre, MD 327 South 9th Street Griffin GA 3022431590RN071218Jackson, Stephanie B 5/7/20091497
Jamie Walraven, MD 7285 Hwy 16, Suites C & D Senoia GA 3027645023RN071218Jackson, Stephanie B. 9/1/20168588
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN071218Jackson, Stephanie B. 12/21/20098550
John Polak, DO 447 North Belair Rd, Suite 101 Evans GA 3080931100RN049375Jackson, William Neal 3/26/20158998
Gottfrid Karlsson, MD 745 Poplar Rd, Emer Dept Newnan GA 3026566380RN071218Jackson, Stephanie B 10/20/201511684
Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN139599Jackson, Missy Leigh 8/1/201614442
Melissa Primrose, MD 774 GA Hwy 96 Bonaire GA 3100553516RN198259Jackson, AnJanean T 6/30/201617822
Saturday, January 21, 2017 Page 93 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Carlos Zayas, MD 1120 15th St, BA4236 Augusta GA 3091236668RN201130Jackson, Naundria Jarlego 8/29/201618577
Richard Kim, MD 1 Coca Cola Place Atlanta GA 3030162129RN126358Jacob, Christine Mary 5/20/201511870
Micah Fisher, MD 1365 Clifton Rd NE, Bldg A, # A-4322 Atlanta GA 3032256546RN126358Jacob, Christine Mary 4/22/20139372
Eloy Diaz, MD 6572 River Park Dr, Suite 102 Riverdale GA 3027422596RN121991Jacobs, Robert Scott 10/6/20149552
Warren Theis, MD 1405 Alice St Waycross GA 3150155345RN121991Jacobs, Robert Scott 10/7/201312337
Devin Handley, MD 2659 Abutment Rd Dalton GA 3072048356RN230675Jacobs-Kalick, Maria Anz 11/30/201512474
Jeffrey Bell, MD 1200 N Jefferson St Albany GA 3170134539RN102411James, Rita Robinson 5/16/20139491
Bonnie Ellenoff, DO 2010 Beaver Ruin Rd Norcross GA 3007151644RN057405James, Michael Thomas 3/28/20131504
Claus Brandigi, MD 1220 George C. Wilson Drive Augusta GA 3090943004RN194375James, Heather Koren 3/12/20108637
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN246514James, Tiffany 8/3/201515697
James Sirleaf, MD 417 Third Ave, Emer Dept Albany GA 3170167036RN169998James, Chandra Marie Robinson 9/20/201313404
Aziz Pirani, MD 4025 Lawrenceville Hwy, Ste A Lilburn GA 3004761934RN247673Jani, Namrata 10/1/201616142
Alexander Osowa, MD 2805 Hamilton Mill Rd Buford GA 3051957551RN216253Jankiewicz, Kathron 9/28/201616586
Deepali Agarwal, MD 1110 13th St Columbus GA 3190154783RN078803Janney, Magenia Walker 8/11/20109471
Gerald Feuer, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034236154RN130879Jaramillo, Martha Cecilia 4/12/20101505
Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1 #1210 Alpharetta GA 3000439879RN130879Jaramillo, Martha Cecilia 1/28/20108882
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN088693Jarboe, Kathleen Sue Mitchell 5/21/201512914
Mary Huber, MD 3520 Piedmont Rd, Ste 330 Atlanta GA 3030536399RN088693Jarboe, Kathleen 6/30/201615847
Randall B. Brown, MD 575 First St. Macon GA 3120131884RN198077Jarrett, Jared Lewis 7/21/201412969
Frederick Sengstacke, II, MD 861 Holcomb Bridge Rd, Suite 200 Roswell GA 3007642937RN140219Jasper, Lisa Lanee 6/7/20101510
Joel Rosenstock, MD 2140 Peachtree Rd, Suite 232 Atlanta GA 3030932036RN103467Jefferson-Saboor, Andrea Renee 7/17/20141516
Saturday, January 21, 2017 Page 94 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Layher, MD 2470 Daniells Bridge Rd, Suite 251 Athens GA 3060646692RN091095Jenkins, Melinda Sue Hunter 8/14/20141521
Chukwudi Amu, MD 5530-B Old National Hwy, Suite 100 College Park GA 3034926967RN143268Jenkins, Charles 12/1/20099222
Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN166060Jenkins, Brandy Gaddy 10/28/20129211
Matthew Wheatley, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030357702RN143268Jenkins, III, Charles 5/1/201511941
Ammons, Katharine MD 1825 Martha Berry Blvd Rome GA 3016537744RN180153Jennings, Sunshine 4/19/201410085
David Arnall, MD 101 Yorktown Dr., Ste 100 Rayetteville GA 3021436916RN099810Jennings, Melinda 3/17/201611122
John Souza, MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN149163Jernander, Brandi 2/12/201515032
Mark Senger, DO 222 Perry Hwy, Building A Hawkinsville GA 3103658006RN149163Jernander, Brandi 7/10/201614184
Bruce Gioia, MD 1120-C Indian Drive Eastman GA 3102338774RN149163Jernander, Brandi Smith 12/31/201413052
Collyn Steele, MD 50 Kelly Rd. McDonough GA 3025366424RN221418Jewell, Lisa Kristine 10/3/201413486
Kathleen Gunchick, MD KSU, 1000 Chastain Rd, House 52 #5200 Kennesaw GA 3014428760RN214076Jha, Shashank K. 1/6/201411601
Peter Jungblut, MD 1000 Chastain Rd, House 52 Kennesaw GA 3014469056RN214076Jha, Shashank Kumar 3/21/201413031
Hussain, Hina MD 4526 Clubhouse Drive Marietta GA 3006655063RN214076Jha, Shashank 2/26/201210452
Bhumiben Purohit, MD 5075 Peachtree Pkwy Ste.106 Norcross GA 3009258812RN214076Jha, Shashank Kumar 12/31/201413768
Guilda Saint-Fleur, MD 10945 State Bridge Rd Alpharetta GA 3002269627RN214076Jha, Shashank 6/17/201615288
Aziz Pirani, MD 4025 Lawrenceville Hwy NW, Ste A Lilburn GA 3004761934RN139623Jiwani, Rehana Jamaluddin 1/1/201614942
Onkar Kaur, MD 80 West Main St Butler GA 3100647103RN204511Jobe, Susan 10/1/201516294
Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN204511Jobe, Susan Leanne 4/14/201614574
Sean Lynch, DO 3736 Mike Padgett Hwy, Suite A Augusta GA 3090649186RN218349Jock, Kirkley G. 4/4/201512595
George Pursley, MD 511 Pleasant Home Rd Augusta GA 3090731308RN218349Jock, Kirkley 9/1/201515419
Adebukola Akintoye, MD 922 Gainesville Hwy, Suites 101-102 Buford GA 3051838164RN158619Jockers, Barbara Scott 6/8/20098207
Saturday, January 21, 2017 Page 95 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Charles Adams, MD 4085 Cloud Springs Rd Ringgold GA 3073645378RN158619Jockers, Barbara Scott 7/25/20128663
Robert Byrne, MD 120 Trinity Place Athens GA 3060751443RN201265Johns, Traci 7/29/201310838
Gary Walton, MD 1500 Oglethorpe Ave, Suite 300-C Athens GA 3060636630RN201265Johns, Traci Bishop 6/11/201413405
Senger, Mark DO 2809 Pine Street Unadilla GA 3109158006RN093193Johnson, Kimberly 7/10/201610768
A. S. Ghiathi, MD 7 Taylor St Cuthbert GA 3984040908RN211354Johnson, Vickie Michelle 7/15/20119429
Zada Weston-Hill,MD 1810 GA Hwy 20 SE, Suite 172 Conyers GA 3001339009RN155651Johnson, Jessica Lynn 9/1/201412304
Orlando Fernando, MD 510 South Main St, Suite B Baxley GA 3151343934RN106778Johnson, Beverly Kay 1/31/20112512
Richard Eaton, MD 1001 N. Third Street Folkston GA 3153740370RN113824Johnson, Angela Dawn 9/30/20087767
Reginald Strother, MD 1620 Prince Ave Athens GA 3060644597RN123212Johnson, Denise 12/18/20129198
Jones, Cheryl MD 308 Coliseum Drive, Ste 120 Macon GA 3121734865RN101726Johnson, Laurie 12/17/201210879
Matthew Grundfast, DO 1009 N. Monroe Street, Suite 102 Albany GA 3170152944RN164766Johnson, Heather Constance 4/15/20118347
Devica Alappan, MD 1900 11th Ave., Ste. A Columbus GA 3190149526RN181532Johnson, Courtney K. 6/17/201311382
Daxes Banit, MD 3051 Watson Blvd, Suite 400 Warner Robins GA 3109352884RN093193Johnson, Kimberly Crump 12/31/20119410
Hehn, Rudy MD 915 Gordon Avenue Thomasville GA 3179226302RN177719Johnson, Lakesha 8/27/201310697
Dean Karampelas, MD 743 Spring St. Gainesville GA 3050126141RN074598Johnson, Eva 3/31/201411124
Al Soltan, MD 308 Coliseum Dr. Macon GA 3121745011RN101726Johnson, Laurie Faye Garfield 10/20/20081535
Vundyala Reddy, MD 308 Coliseum Drive, Suite 120 Macon GA 3121725022RN101726Johnson, Laurie Faye Garfield 9/6/20128294
Fordham, Donald MD 865 Austin Drive, PO Box 1899 Demorest GA 3053544718RN074598Johnson, Eva 4/30/201210539
Anthony Ditaranto, MD 915 Elmo St Americus GA 3170929865RN190791Johnson, Jennifer Lynn 9/11/201411823
Marcus Roberts, MD 903 West Ward St, Suite A Douglas GA 3153335986RN195771Johnson, Whitney Brooks 7/22/201412626
Marcus Roberts, MD 1909 Hwy 82 West, Suite 5 Tifton GA 3179335986RN195771Johnson, Whitney Brooks 9/29/201310964
Saturday, January 21, 2017 Page 96 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Blackwell, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072017132RN027354Johnson, Mae D 7/1/20141539
Michael Dwyer, MD 5901-B Peachtree Dunwoody Rd, Ste B-420
Atlanta GA 3032850360RN057678Johnson, Mary Neel Parish 7/13/20151541
Tim Ashburn, MD 4700 Battlefield Pkwy Ste.310 Ringgold GA 3073668698RN193587Johnson, Erin M 3/16/201513799
George Garriss, MD 3094 Watson Blvd Warner Robins GA 3109351134RN216891Johnson, Tierra Simone 3/10/201617027
Aloysius Mangan, MD 615 E Villanow St Lafayette GA 3072815023RN109410Johnson, Stephanie 9/1/201515575
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN139381Johnson, Kirsten Nations 6/2/201617573
Andrew Magnet, MD 1 Aflac Parkway Columbus GA 3190760215RN055775Johnson, Lowanda 8/31/201615771
Kelly Manahan, MD 1500 Oglethorpe Ave, Ste 600 E/F Athens GA 3060672318RN242242Johnson, Pamela 3/16/201514468
Subhod Rao, MD 1514 Vernon Rd., ER Lagrange GA 3024064251RN139652Johnson, Kristie Michelle 7/26/201513095
Dharmeshkumar Patel, MD 2491 Panola Rd. Lithonia GA 3005855264201739Johnson, Vicky 4/1/201616739
Celayes Moran, MD 618 East Lamar St Americus GA 3170964675RN124320Johnson, Cody 6/30/201514474
Ashfaq Saiyed, MD 202 S Cherry St Ocilla GA 3177444833RN195771Johnson, Whitney Brooks 7/8/201613078
Catherine Apaloo, MD 1500 Oglethorpe Ave, Ste 600 E/F Athens GA 3060671964RN242242Johnson, Pamela 8/26/201514469
Bennie Brown, DO 151 S Houston Lake Rd, Suite 110 Warner Robins GA 3108865085RN190791Johnson, Jennifer Lynn 9/1/201513750
William Davis, MD 326 Shirley Ave Douglas GA 3153329320RN197323Johnson, Kacie Charlene 4/27/201616916
Raj Gupta, MD 308 Coliseum Dr. Macon GA 3121733345RN123293Johnson-Young, La Tonja Quevette 7/25/20081548
Robert Van Gallera, MD 2249 Vinson Hwy Milledgeville GA 3106137717RN123293Johnson-Young, La Tonja 4/27/201514903
Sarvotham Kini, MD 108 Spear Rd, Ste 309 Winnie Davis Athens GA 3060234170RN176049Johnston, Amanda 11/30/201514462
Kenneth Patric, MD 69243RN176049Johnston, Amanda Carter 10/22/201413770
Bradford Lipman, MD 275 Collier Rd, Suite 500 Atlanta GA 3030928596RN117517Johnston, Susan Mary Sadlowski 7/1/201513268
Saturday, January 21, 2017 Page 97 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Crystal Slade MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453881RN084667Joiner, Janice Dorsey 11/14/20129992
Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN084667Joiner, Janice Dorsey 9/15/201412021
Arthur Chandler Jr., MD 1238 D'Atignac St Augusta GA 3090127513RN144235Jolly, Erin Ann Halford 4/30/20161549
Prasad Rao, MD 960 J F Harris Pkwy Cartersville GA 3012055640RN151386Jones, Anna Christine 6/1/20108790
Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN151386Jones, Anna Christine 5/8/201410711
John Zipperer, MD PO Box 496 Arlington GA 3981350750RN028735Jones, Marie E 8/1/20101556
Elam, Mark MD 1507 Professional Court Dalton GA 3072036147RN151386Jones, Anna 3/15/201210072
Aldrich Mendoza, MD 251 Hwy 53 Calhoun GA 3070162916RN151386Jones, Anna Christine 8/14/20119183
Gregory Fountain, MD 766 Walther Road, Suite 100 Lawrenceville GA 3004534593RN093541Jones, Janine Roxanne Coleman 9/4/20095209
Adrienne Mims, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233152RN189118Jones, Sherri Lynn 12/31/201312590
Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN093541Jones, Janine Roxanne Coleman 4/19/20108997
Andre Feria, MD 142 Old Mill Rd LaGrange GA 3024148513RN093051Jones, Kelly Leighann Dudley 11/1/20119252
William A. Stinnette, MD 1650 Honey Creek Commons, Ste F Conyers GA 3001346499RN128455Jones, Laquay 1/31/20111555
Andrew Waldman, MD 710 Center St, Emer Dept Columbus GA 3180148001RN196623Jones, Michelle Lea 6/15/201412513
David Bosshardt, MD 110 Battlefield Crossing Ct Ringgold GA 3073626225RN229904Jones, Robin Tidwell 1/1/20142507
Russell Brown, MD 2001 Martin Luther King Jr Dr, #418-430 Atlanta GA 3031039743RN175825Jones, Shikira Mone 9/4/201311877
Sadiq Sohani, MD 1413 Chattanooga Avenue Dalton GA 3072045010RN151386Jones, Anna Christine 2/1/20098411
James M. Crane, MD 1825 Martha Berry Blvd. Rome GA 3016536519RN151386Jones, Anna Christine 8/30/20085525
Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN151386Jones, Anna Christine 4/22/20119203
Biggs, Barbara MD 1810 White Circle, Ste 110 Marietta GA 3006625105RN112762Jones, Tracy 11/26/201310316
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN151386Jones, Anna Christine 8/30/20088166
Saturday, January 21, 2017 Page 98 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Josephine Dunagan, MD 1700 Tree Lane, Ste 110 Snellville GA 3007815553RN232161Jones, Charlotte Benton 12/31/201516034
Matthew Wheatley, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030357702RN165239Jones, Tarvorshae Rodgers 11/5/201516371
Eduardo Rojas, MD 1035 Red Bud Rd, Ste 201 Calhoun GA 3070130370RN151386Jones, Anna Christine 12/1/201513680
Nydia M. Bladuell, MD 790 Church Street Marietta GA 3006038429RN165700Jordan, Lucynda Reaves 10/26/20071571
Claire Mazewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246619RN044779Jordan, Mary Catherine 11/30/20121572
Ricardo Riesco, MD 1933 Shield Rd Dalton GA 3072044069RN227156Jordan, Susan Maria 3/21/201412341
Raymond E. Gutierrez, MD 2000 Palmyra Rd. Albany GA 3170157983RN094008Jordan, Sarah J.L. 1/31/201411223
David Fieseler, MD 101 Deluxe Cr., Ste B Thomaston GA 3028617756RN198431Jordan, Tina K. 6/14/201617074
Scott Waguespack, MD 101 Deluxe Circle ste. B Thomaston GA 3028663014RN198431Jordan, Tina Karan 8/3/201618040
David Cox, MD 101 Deluxe Circle, Ste B Thomaston GA 3028670247RN198431Jordan, Tina Kiran 1/6/201616868
Flexon, Phillip MD 1707 Meadows Lane, Suite C Vialia GA 3047431737RN155568Joyner, Amber 7/3/201510005
Igho Ofotokun, MD 341 Ponce de Leon Ave Atlanta GA 3030853346RN175271Jules-Villefranche, Myrlande 6/5/201512623
Donovan Christie, MD Take Care Clinic, 4398 Atlanta Hwy Loganville GA 3005244432RN143541Kaimachiande, Finda-Mani Mary 2/1/201411990
Tosha Rogers, DO 2457 Martin Luther King Jr Dr SW, Suite AAtlanta GA 3031164644RN143541Kaimachiande, Finda-Mani Mary 8/11/201413279
Manish Vig, MD 745 Poplar Rd, Emer Dept Newnan GA 3026567829RN189926Kalen, Jennifer Michelle 11/14/201611683
Stephen Prater, MD 95 Collier Road, Suite 5015 Atlanta GA 3031941929RN189926Kalen, Jennifer Michelle 11/14/20168030
Matthew A. Wheatley, MD 80 Jesse Hill Jr. Dr. Atlanta GA 3030357702RN152416Kalm, Heather 1/1/201511154
Raymond Faught, MD 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032263347RN196611Kamel, Nada 1/9/201615497
Rebecca Fasano, MD 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032272541RN196611Kamel, Nada 1/9/201615498
Suzette LaRoche, MD 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032246149RN196611Kamel, Nada 1/9/201615492
Naymee Velez-Ruz, MD 1365 Clifton Rd NE Bldg B ste 2200 Atlanta GA 3032266733RN196611Kamel, Nada 1/9/201615495
Saturday, January 21, 2017 Page 99 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Andres Rodriguez-Ruez, MD 1365 Clifton Rd NE Bldg B ste 2200 Atlanta GA 3032272103RN196611Kamel, Nada 1/9/201615494
Charles Epstein, MD 1365 Clifton Rd NE, Ste 2200 Bldg B Altanta GA 3032216228RN196611Kamel, Nada 1/9/201615490
Maria Silva, MD 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032265059RN196611Kamel, Nada 1/9/201615493
Evan Gedzelman, MD 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032264544RN196611RN196611
Kamel, Nada 1/9/201615489
Sandra Helmers, Md 1365 Clifton Rd NE Bldg B Ste 2200 Atlanta GA 3032248784RN196611Kamel, Nada 1/6/201615491
David Fields, MD 96 Tara Commons Dr. Loganville GA 3005248232RN210035Kang, Mindy Lee 4/9/201616600
Dustin Russell, MD 4355 Browns Bridge Rd Cumming GA 3004166541RN183709Kang, Erika 5/30/201616570
Mirza, Wajahat MD 1915 Eisenhower Drive Savannah GA 3141662563RN096231Kaplan, Phyllis 1/29/201310071
Safia Pirani, MD 3330 Peachtree Corners Cir, Ste H Norcross GA 3009256624RN226485Kapoor, Ritu 2/15/201614921
Alexander Osowa, MD 2805 Hamilton Mill Rd Buford GA 3051957551RN226485Kapoor, Ritu 11/28/201413229
Sheryl Vickery, MD 7820 Hickory Flat Hwy Woodstock GA 3018826446RN090147Karr, Nance 6/27/201310927
Ronald Steis, MP 3400-C Old Milton Pkwy, Ste 400 Alpharetta GA 3009434479RN135364Karraker, Barbara 4/2/201514116
Muhammad Ishaque, MD 150 Gentilly Blvd Cartersville GA 3012060641RN226057Kasper, Lauren Elizabeth 4/18/201514030
Donovan Christie, MD 5985 Peachtree Pkwy NW Norcross GA 3009244432RN141621Kaur, Balwinder 2/1/20141588
Thenmozhi Singram, MD 3850 Windermere Pkwy, Ste 105 Cumming GA 3004165060RN141621Kaur, Balwinder 3/4/201616925
Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN112764Kaye, Leslie Ann 7/2/20107763
John Manfredi, MD 308 Deep South Farm Rd, Suite 200 Blairsville GA 3051216101RN107500Keaton, Tina Shelleen West 12/31/201513576
Allen Hoffman, MD 52 Tower Rd Marietta GA 3006024822RN189072Keeley, Sara B. 4/30/20149908
Oladayo Osinuga, MD 3290 Memorial Dr, Suite 1-A Decatur GA 3003251703RN087305Keels, Barbara J 3/20/20131590
Yara Fattouh, MD 1111 U.S. 76 Chatsworth GA 3070553522RN222731Keener, Panda Mechelle 5/21/201615587
Saturday, January 21, 2017 Page 100 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN206799Kehoe, Doreen R. 6/30/20129511
Paul Bradley, MD 315 Eisenhower Dr Savannah GA 3140630016RN206799Kehoe, Doreen R. 5/1/20129129
William Cross, DO 2501 N. Patterson St, Emer Dept Valdosta GA 3172162831RN124581Keith, Coretta Delia Keith 7/12/20119767
Peters, Howard MD 2501 N. Patterson Street Valdosta GA 3160251530RN124581Keith, Coretta 6/15/201510000
Scott, William MD 1915 Eisenhower Drive Savannah GA 3141612565RN211336Keith, Sharon 7/25/201110498
Wallace Duncan, MD 794 S Park St Carrollton GA 3011741109RN116927Kelker, Cassandra Yvonne 3/2/201511173
David Asrael, MD 794 S Park St Carrollton GA 3011751291RN116927Kelker, Cassandra Yvonne 3/2/20157774
Frederick Burton, MD 5448 Whittlesey Blvd, Ste B Columbus GA 3190938434RN116927Kelker, Cassandra 9/9/201515793
Lakshmi Gopireddy, MD 794 S Park St. Carrolton GA 3011765244RN116927Kelker, Cassandra 4/23/201515192
Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN205011Keller, Hayley Lauren 12/18/20118900
Walisa Maynard, MD 677 Church St, Bldg 310 Marietta GA 3006050658RN085412Kelley, Angela Denise Kitchens 11/1/201312191
Noreen Andrews, MD 4480 South Cobb Dr SE Smyrna GA 3008046861RN212611Kelley, Michelle LaDonna 10/4/20119771
David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004628136RN153888Kelley, Julia Elizabeth Brown 2/14/20148808
Thippeswamy Murthy, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027752470RN145032Kelley, Gena Smith 10/19/20121598
Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN085412Kelley, Angela Denise Kitchens 5/24/20137731
Terry Melvin, MD 1217 Lafayette Rd Rossville GA 3074135951RN085412Kelley, Angela Denise Kitchens 6/1/201613185
Michael Burke, MD 1414 Dug Gap Rd Dalton GA 3072054798RN178702Kelley, Brandy 12/18/201515505
Brooks Moore, MD 49 Jesse Hill Dr. SE, ER Dept. Atlanta GA 3030353336RN218214Kelly, Susan Elizabeth 5/19/201412909
Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN087400Kelly, Karyn Elayne 9/2/20098460
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN087400Kelly, Karyn Elayne 8/1/20118935
Sherri Lynn Barton, MD 6158 Highway 92 Acworth GA 3010248595RN205908Kelly, Ursula Ann 2/9/201311259
Saturday, January 21, 2017 Page 101 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lamar Peacock, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080934920RN087400Kelly, Karyn Elayne 2/6/20108719
Julian McLendon, Jr, MD 1502 West 3rd Street Jackson GA 3023338557RN077027Kelly, Kathy Jean Hyder 11/1/20101606
Ralph Marionneaux, MD 465 North Belair Road Evans GA 3080947621RN087400Kelly, Karyn Elayne 9/3/20091604
John O'Connell, MD 5671 P'tree Dunwoody Rd NE, #110 Atlanta GA 3034262266RN205972Kelly, Linda Jeanne 1/10/20128868
John Zipperer, MD PO Box 496 Arlington GA 3981350750RN050989Kelly, Elizabeth Ann S. 8/1/20108772
Chad Asplunp, MD 1120 15th St. Pavilion AF-1040 Augusta GA 3091258438RN087400Kelly, Karyn 8/18/201515905
William Mills, MD 58 Big A Road Toccoa GA 3057750901RN184994Kelly, Monique 2/11/201514774
Anekwe Onwuanyi, MD 80 Jesse Hill Jr Dr SE Atlanta GA 3030358088RN218214Kelly, Susan Elizabeth 2/17/201613751
Sarita Mobley, MD 1787 Broad St Pumpkin GA 3181546872RN050989Kelly, Elizabeth Ann 1/8/201615276
Robert Jones, MD 1801 Peachtree St, Ste 250 Atlanata GA 3030930629RN191024Kelly, Beverly 11/17/201516283
Sandeep Vaid, MD 1801 Peachtree St, Ste 250 Atlanta GA 3030966095RN191024Kelly, Beverly Shelley 2/23/201616926
Stephen Jarrard, MD 331 Ridgecrest Cr Clayton GA 3052562897RN184994Kelly, Monique Diane 7/1/201413368
David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004528136RN065283Kemmerer, Terri Penna 8/3/20091608
Wallace Duncan, MD 649 Shallowford Rd Gainesville GA 3050441109RN152378Kendrick, Patricia Rose 12/17/20097878
Larry Vogler, MD 2015 Uppergate Drive Atlanta GA 3032230557RN048660Kennedy, Christine L 7/17/20151610
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004621464RN070145Kennedy, Sheryl Ann 5/5/20129391
Girish Shroff, MD 6025 Professional Pkwy, Suite 200 Douglasville GA 3013519103RN070145Kennedy, Sheryl Ann Wright 8/25/20081613
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN106726Kent, Yolanda Michelle 6/7/201311995
Anthony Ditaranto, MD 118 Enterprise Ct, Suite A Columbus GA 3190429865RN106726Kent, Yolanda Michelle 10/31/201412347
Howard Stirne, MD 316 N. Broad St. Winder GA 3068025050RN177718Kerr, Lakisha J. 2/12/201611204
Romualda S. Klicius, MD 145 N.Medical Parkway Woodstock GA 3018946305RN191560Kerr, Joanna H 1/12/201311260
Saturday, January 21, 2017 Page 102 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Gregory Gibson, MD 6555 Professional Place, Suite C Riverdale GA 3027440388RN187457Kessler, Cathleen Ellen 6/15/20098002
Mac Bowman, MD 818 St. Sebastian Way, Suite 308 Augusta GA 3090121647RN084616Key, Jennifer Leigh Bryan 1/5/20138781
Franc Wallace, MD 624 Martin Luther King, Jr Drive Milledgeville GA 3106148582RN107136Key, Dawn Waddell 2/29/20167756
Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN174019Kiarie, Catherine Njeri 2/15/201512533
Timothy Thomson, MD 951 South Broad Street Thonasville GA 3179246526RN032598Kicklighter, Cheryl Ann 4/1/20081619
Maxcene Oreus, MD 1266 Hwy 515 South Jasper GA 3014355486RN227529Kiewit, Devra Ellen 4/6/201513492
Germaine Cummings, MD 4480 Atlanta Hwy Loganville GA 3005252340RN089707Kilgore, Catherine Martin 7/26/201312053
Anthony Howard, MD 119 Victory Dr., Ste A Swainsboro GA 3040134616RN112793Kilgore, Melissa 6/3/201617655
Mark Beaty, MD 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 3000445169RN185537Killeen, Jessica Guilfoil 2/10/20118373
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN218400Kim, Grace Nan 4/5/201411996
Melvin Williams, MD 10 Glenlake Pkwy, Ste 40 Atlanta GA 3032849260RN211735Kim, Patricia soon 7/6/201513618
Dennis Estep, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074225429RN133306Kimball, Michelle Sharon 3/27/20101630
Kenneth Jones, MD 501 Redmond Rd, Emer Dept Rome GA 3016531037RN123684Kimbrell, Holly Devonda 7/31/20129586
Anu Murthy, MD Turner Health/Wellness (CNS), One CNN Ctr, NT100BD
Atlanta GA 3030354867RN198554Kinard, Amy Cupples 9/19/201613757
Himanshu Patel, MD 504 Redmond Rd Rome GA 3016558116RN162789King, Jillian M. 6/3/20129188
John Pittman, MD 715 E. 2nd St Rome GA 3016137045RN160699King, Emily Laura 7/31/20119677
Vincent Pearson, MD 504 Redmond Road Rome GA 3016532970RN162789King, Jillian M. 6/1/20108312
Kathleen Gunchick, MD KSU,1000 Chastain Rd, House 53 Kennesaw GA 3032728760RN160699King, Emily Laura 1/6/201411707
Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN160699King, Emily Laura 6/22/20101634
Pittman, John MD 715 E. 2nd Avenue SW Rome GA 3016137045RN160699King, Emily 6/2/201210074
Saturday, January 21, 2017 Page 103 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kirk-Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN160699King, Emily Laura 12/11/20109384
Vijith Prasad, MD 131- B Victory Drive Swainsboro GA 3040140520RN142732King, Angela Bridget 12/18/201513096
Peter Jungblut, MD 1000 Chastain Road, House 53 Kennesaw GA 3014469056RN160699King, Emily Laura 1/11/201313064
Omari A Hodge, MD 70459RN157567King, Jamie Bettina 7/30/201413773
Megan Bowles, MD 3215 Campus Loop, House 52 Kennesaw GA 30441#####RN160699King, Emily Laura 11/11/201514234
Omari Hodge, MD 3215 Campus Loop Rd House 3215 Kennesaw GA 3014470459RN160699King, Emily 11/9/201516435
Mae Morgan, MD 275 Pryor St SW Atlanta GA 3030322902RN160719King-Marshall, Damali 2/12/201615688
William Coleman, MD 1211 Palmyra Rd Albany GA 3170131577RN054127Kinnett, Marsha 11/18/20111638
Ali Mortazavi, DO 2041 Mesa Valley Way, Suite 100 Austell GA 3010654865RN157966Kirby, Susan Howes 7/24/20137907
Criner, James MD 1510 Milstead Ave NE Conyers GA 3001254179rn090840Kirkby, Dawn 1/13/201410690
Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN090840Kirkby, Dawn Anne Marie 12/10/20118560
Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN090840Kirkby, Dawn Anne Marie 5/13/20091641
Damon Kimes, MD 2075 Grayson Hwy Grayson GA 3001750322RN090840Kirkby, Dawn 3/30/201513756
Bryan Cheever, MD 1107 Memorial Dr., Ste 200 Dalton GA 3072034120RN203897Kirkpatrick, Justin L. 1/11/201613713
Dingane Baruti, MD 100 Yorktown Dr., Ste 110 Fayetteville GA 3021455411RN157276Kirschner, Caroline 7/6/201514079
Rachel Velez, DO 2209 Pineview Valdosta GA 3160239500RN066436Kiser, Kenneth Lindsey 12/8/201616799
Jean Sumner, MD 2257 West Elm St., Ste C Wrightsville GA 3109630225RN076916Kitchens, Layne Harvey 12/31/201511000
Paul King, MD 285 Boulevard NE, Suite 415 Atlanta ga 3031236198RN203522Kitchens, Charles Earl 9/13/201513613
James Barlow, MD 235 Peachtree St NE North Tower, Ste 2100
Atlanta GA 3030330717RN203522Kitchens, Charles 9/16/201515962
Badea, Calin MD 303 Fraser Drive Hinesville GA 3131355918RN022690Kitchings, Martha 9/21/201210059
Saturday, January 21, 2017 Page 104 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN022690Kitchings, Martha Helen Brannen 8/26/20119370
Joseph Bishop, MD 100 Peters Street, Suite 38 Calhoun GA 3070110372RN120499Kitson, Judy Diane 3/11/20098504
Christopher Stevens, MD 181 South Clayton St SW Lawrenceville GA 3004554515RN133502Kiwanuka, Sarah Cissy 2/3/20107816
Opeoluwa Akinnusi, MD 2617 Sandy Plains Rd, Ste C Marietta GA 3006664802RN222955Kless, Laura Elizabeth 6/9/201513443
Eric Lincoln, DO 840 Pine St, Suite 500 Macon GA 3120167343RN110772Kline, Gail Ann Mullin 6/17/201612018
Winston R. Jeshuian, MD 3708 Northside Drive Macon GA 3121059432RN110772Kline, Gail 12/21/201211261
Edward A. Minor, MD 2100 Comer Ave. Columbus GA 3190445095252641Klinkhammer, Angela Payne 4/21/201617053
Teresa Cone, MD 2100 Comer Ave. Columbus GA 3190468134252641Klinkhammer, Angela 12/5/201516727
Valens Plummer, MD 2945 Panola Rd Lithonia GA 3003849496RN094587Klug, Cheryl Ann 1/21/20131650
Kenneth M Rice, MD 2021 Marketplace Blvd Cumming GA 3004147251RN166274Knee, Laura Kay 8/23/201412812
Todd Albinger, MD 5665 Peachtree Dunwoody Rd NE, Emer Dept
Atlanta GA 3034233509RN166274Knee, Laura Kay 3/12/201612541
Atallah, Hany MD 49 Jesse Hill Jr Drive SE Atlanta GA 3030352678RN166274Knee, Laura 11/20/201310070
Snehal Dalal, MD 5955 State Bridge Rd, Suite 200 Johns Creek GA 3009757297RN166274Knee, Laura Kay 3/12/20169132
Kevin Washington, MD 1170 Cleveland Ave East Point GA 3034462629RN166274Knee, Laura Kay 3/12/201617247
Praneen Reddy, MD 1000 Johnson Ferry Rd., Main Radiology Atlanta GA 3034256471RN214988Knight, Jacquelyne M. 3/9/201511338
Coleman, John MD 1720 Peachtree Rd, Ste 200 Atlanta GA 3030948498RN214988Knight, Jacquelyn 10/10/201310131
Nowlin, Phillip MD 491 E. Main Street Cartersville GA 3012136588RN214988Knight, Jacquelyn 9/1/201210531
Samier Belagaje 80 Jesse Hill Jr Dr S E Atlanta GA 3030364896RN101384Knott, Allison 6/14/201614427
Elam, Mark MD 800 Professional Blvd Dalton GA 3071036147RN111915Knowles, Constance 2/20/201310291
Thomas Mullen, MD 126 Sequoyah Trail Ringgold GA 3073639882RN111915Knowles, Constance Bailey 5/16/201411832
Saturday, January 21, 2017 Page 105 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Janet McBarron, MD 2904 Macon Rd Columbus GA 3190628300RN105788Knowles, Susan 6/25/201515840
Victoria Green, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030338240RN082189Knowlson, Beth Frances 10/1/20105226
Nedra Dodds, MD 9020 Peridot Pkwy Stockbridge GA 3028139170RN060943Knox, Sharon Paulette 1/29/20101657
Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN060943Knox, Sharon Paulette 2/26/20159015
Christopher Atkins, MD 1266 Hwy 15 South, Emer Dept Jasper GA 3014345708RN060943Knox, Sharon Paulette 8/31/201613583
Ann Marie Stokes, MD 4356 Communications Dr. Norcross GA 3009363963RN185605Ko, Jung Yung 10/31/201414072
John Sabri Gerguis, MD 1203 Brampton Avenue Statesboro GA 3045847085RN185605Ko, Jung Yung 3/24/201614365
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN195430Kobia, Sonya Hart 4/6/201512735
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN055134Koblasz, Mary Bassett 6/10/20108489
Elizabeth Le Duc, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034234754RN121158Konter, Roslyn Pollard 2/28/20115532
Gena Volas-Redd, MD 340 Kennestone Hosp Blvd, Ste 100 Marietta GA 3006045356RN084872Koran, Ola Beth 12/26/20087729
Susan Queen, MD 23496RN229043Korn, Patricia Garshelis 7/11/201312111
Ashok Kancharla, MD 138 West Gibson St Hartwell GA 3064348250RN218154Kotal-Lee, Randi Bliss 9/1/201312011
Richard Hansen, MD 1100 Johnson Ferry Rd, Ste 460 Bld. 2 Atlanta GA 3034224152RN243166Kotti, Michelle Marie 6/17/201615110
David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN144368Koval, Barbara Kay 6/21/20151093
Donna Fearing, MD 120 Stonebridge Pkwy, Suite 410 Woodstock GA 3018929447RN144368Koval, Barbara Kay 5/5/20088150
Kimford Meador, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032218705RN125419Kress, Karen Myers 5/11/20129354
Frank Brown, MD 1821 Clifton Rd NE Atlanta GA 3032931212RN125419Kress, Karen Myers 9/2/20108480
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN155956Kripalani, Dimple Lilian 8/30/20129594
David Faulk, MD 121 Burgess St Brunswick GA 3152539787RN106135Kroll, Sherri Cofield 7/12/20151671
Cantrell, David MD 1407 Cobb Parkway North Marietta GA 3006232883RN134121Kruszka, Kathryn 7/18/201310235
Saturday, January 21, 2017 Page 106 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Dawn Wilson, MD 245 Peachtree Industrial Blvd, Ste 100 Sugar Hill GA 3051847279RN107885Kuebler, Kim Kathleen 4/24/201514593
Pamella Charles-Pryce, MD 2779 N Cobb Pkwy Kennesaw GA 3015258155RN127164Kuhn, Jessica Nicole DeMarco 3/4/201512502
Walter Metcalfe, MD Take Care Clinic, 2779 N Cobb Pkwy Kennesaw GA 3015258544RN127164Kuhn, Jessica Nicole De Marco 9/10/201312093
Anu Murthy, MD 2255 Cumberland Pkwy, Suite 1400 Atlanta GA 3033954867RN125915Kulkin, Charlotte Virginia Conant 3/1/201610976
Madhu Vishwanath, MD 7530 Roswell Rd Atlanta GA 3035056499RN125915Kulkin, Charlotte Virginia Conant 8/5/20098690
Rayna Jobe, MD 805 Sandy Plains Road Marietta GA 3006660386RN075453Kurtz, Laura Leigh Alsbury 10/30/20098360
Ricardo R. Riesco, MD 711 Shields Road Dalton GA 3072044069RN075453Kurtz, Laura Leigh Alsbury 8/1/20071680
Miles Graivier, MD 1295 Hembree Road, Bldg B Suite 100 Roswell GA 3007634602RN075453Kurtz, Laura Leigh 5/2/20088074
Neale Freeman, MD 1046 Ridge Avenue SW Atlanta GA 3031540065RN131245Kushner, Lauren M 5/31/20111681
Dourron, Robert MD 2675 N. Decatur Rd, Ste 301 Decatur GA 3003348617RN131245Kushner, Lauren 2/25/201210073
Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN106756La Count, Sharon Lynn Ragsdale 7/1/20111683
Walter Mashman, MD 275 Collier Road NW, Suite 300 Atlatna GA 3030932956RN123691Labrador, Babs Rene 5/21/20158134
Jatinder Bhatia, MD 1120 15th Street, BIW-6033 Augusta GA 3091218784RN182787Lacey, Mary Esther 1/4/20121685
Joshua Vova, MD 1001 Johnson Ferry Rd Atlanta GA 3034260484RN191439Lacy, Melanie Ann 5/1/201616594
Laurie Tharpe, MD 330 Hospital Dr, Suite 304 Macon GA 3121736303RN192197Ladson, Catherine Dorsey 9/15/20118765
Harden, Charles MD 621 East First St, Suite B Vidalia GA 3047444930RN192197Ladson, Catherine 4/30/201410468
Angela Gerguis, MD 621 East First St, Suite B Vidalia GA 3047547261RN192197Ladson, Catherine Dorsey 3/6/201513285
Quinton Weldon, MD PO Box 544 Americus GA 3170956786RN127193Laing, Denise Cloud 7/31/20108300
Durocher, Steven MD 2000 Palmyra Road Albany GA 3170756051RN127193Laing, Denise 4/1/201310323
Timothy Thomson, MD 951 South Broad Street Thomasville GA 3179246526RN127193Laing, Denise Cloud 7/25/20081686
Brett Murphy-Dawson 2100 Comer Ave. Columbus GA 3190454080RN207007Lajiness-Polosky, Danine 4/1/201511089
Saturday, January 21, 2017 Page 107 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Edward Minor, MD 2100 Comer Ave Columbus GA 3190445095RN207007Lajiness-Polosky, Danine Theresa 4/8/201515270
Abigail Kamishlian, MD 1561 S Hwy 27, Ste B6 and B7 Carrollton GA 3011744580RN213402Lake, Dorothy Nicole 11/10/201617177
Nimisha Trivedi, MD 3778 Hwy 42 Locust Grove GA 3024853715RN117444Lake-Thomas, Jacinta 1/20/20121687
Tong Huynh, MD 4775 Jimmy Carter Blvd, Ste 201 Norcross GA 3009320172RN215993Lam, Jade Tiffany 5/1/201615758
Arun Singh, MD 5555 Whittlesey Blvd, Ste L-1 Columbus GA 3190971879RN198232Lampkin, Anndrea Marie 7/1/201617032
Christopher Scott, MD 1707 Meadows Lane Vidalia GA 3047457015RN131631Lancaster, Michael T 6/1/201512639
Carter, Cynthia MD 1050 Carl Griffin Drive Savannah GA 3140556534RN170492Landing, Stephanie 6/18/201210450
Charles M. Pugh, Jr., MD 1050 Carl Griffin Dr. Savannah GA 3140519089RN170492Landing, Stephanie R. 10/18/201311520
Ortelio Bosch, MD 7450 Skidaway Rd Savannah GA 3140651119RN170492Landing, Stephanie Rachel 5/13/201613194
Joe Bruce Carr, MD 2122 Manchester Expressway Columbus GA 3190416889RN109950Landrum, Bobby Gene 7/15/20138088
John Corbin, MD 2122 Manchester Expy, Emer Dept Columbus GA 3190434800RN109950Landrum, Bobby Gene 8/5/201512136
Billy Greening, MD 7285 Hwy 16, Suite C Senoia GA 3027642585RN164310Landrum, Frances Marie 5/3/20149521
Kevin King, MD 2122 Manchester Expressway Columbus GA 3190456310RN109950Landrum, Bobby Gene 8/5/201511839
Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN164310Landrum, Frances Marie 6/24/201613593
Saeed Zafar, Md 2032 Wynnton Rd., SteA Columbus GA 3190645370RN109950Landrum, Bobby Gene 1/29/201614041
Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN141537Lane, Felecia Charelle 12/12/20088396
Patrick Railey, MD 3345 E. Hwy 34, Suite 101 Sharpsburg GA 3027743114RN163766Lane, Teresa Kay 9/22/20097926
Ann Eggert, MD 12 Eastbrook Bend Peachtree City GA 3026928972RN163766Lane, Teresa Kay 10/2/20148986
Newport, Donald MD 1365 Clifton Road, Ste B6100 Atlanta GA 3032243101RN141537Lane, Felecia 7/25/201210324
Mark Ellison, MD 1500 Oglethorpe Ave, Suite 200-C Athens GA 3060626107RN194082Lane, Kristen Goodin 6/11/201413013
Todd Antin, MD 465 Winn Way, #221 Decatur GA 3003036495RN074324Lane, Teresa Elaine 4/14/201511325
Saturday, January 21, 2017 Page 108 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lutz, Jerre MD 1365 Clifton Rd NE, Ste A2208 Atlanta GA 3032215711RN170212Langdon, Kristan 8/27/201310818
Leigh Barrell, MD 1608 Martha Berry Blvd Rome GA 30165#####RN196057Lange, Christie 7/22/201616134
Frank Steele, Jr., MD 50 Kelly Rd McDonough GA 3025329378RN159370Lanier, Courtenay Renae 9/1/20091700
Angela Gerguis, MD 586 Brannen St Statesboro GA 3045847261RN159370Lanier, Courtenay Renae 9/26/201412756
Eric Powell, MD 586 Brannen St Stateboro GA 3045849081RN159370Lanier, Courtenay Renae 10/2/201514152
David Nussbaum, MD 586 Brannen St Statesboro GA 3045867697RN159370Lanier, Courtenay 4/1/201616568
Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN156557Lao, Cindy Wei-Hsin 11/19/20071703
Thinh Nguyen, MD 1891 Howell Mill Rd., NW, #A Atlanta GA 3031862402RN204643Lascuna, Paul J. 7/29/201617588
Cynthia Giles, DO 555 Bluebird Blvd Ft Valley GA 3103048778RN173610Lashley, Glenna Willis 12/13/20139346
Anuj Chandra, MD 111 Pine St Trenton GA 3075241753RN173610Lashley, Glenna Willis 3/30/201513707
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN184089Lathrop, Breanna Lynn 7/21/20149174
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN184089Lathrop, Breanna 6/10/201515366
David Derrer, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031854181RN184089Lathrop, Breanna Lynn 3/4/201514008
Raymond Gutierrez, MD 417 W. 3rd Avenue Albany GA 3170157983RN102042Lattimore, Willie Lee 1/31/20149284
Matthews, Barbara MD 2000 North Monroe Street Albany GA 3170146169RN102042Lattimore, Willie 7/31/201310325
Xavier Moore, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028155619RN214862Lavallo, Joseph 8/1/201412027
Saraju Dalsania, MD 1601 Fair Road, Suite 700 Statesboro GA 3045845196RN073174Law, Patricia Velda Lee 5/17/20131710
Jove, Maurice MD 2801 N. Decatur Rd, Ste 200 Decatur GA 3003322799RN134018Lawrence, James 7/25/201210075
Dipesh Patel, MD 3780 Eisenhower Pkwy Macon GA 3120653512RN134018Lawrence, James Fletcher 12/31/20091712
James Sexson, MD 1810 Mulkey Rd, Suite 200 Austell GA 3010638362RN134018Lawrence, James Fletcher 3/16/20119040
John Ogundipe, MD 1500 S Johnson Ferry Rd NE Atlanta GA 3031939193RN134018Lawrence, James Fletcher 7/1/201411891
Saturday, January 21, 2017 Page 109 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Peterzell, DO 200 Galleria Pkwy ste100 Atlanta GA 3033953868RN134018Lawrence, James Fletcher 12/1/201413914
Walter Scott, Jr, MD 2500 Starling Street, Suite 306 Brunswick GA 3152059190RN146311Lawson, Donna Naomi 9/13/20148202
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141266Lawson, Kristie LaShawn 11/13/20088078
Marilyn Lavallee, MD 1001 Memorial Lane Savannah GA 3141053263RN192522Lawson, Leslie Elizabeth Johnson 9/17/201513658
Bobbie Kumar, MD 11935 Abercorn St Savannah GA 3141968197RN192522Lawson, Leslie Elizabeth Johnson 9/17/201513655
Erick Bournigal, MD 3025 Shrine Rd, Ste 280 Brunswick GA 3152033280RN146311Lawson, Donna 7/11/201615646
Adrienne Fabrizio, MD 300 Bull St, Ste 102 Savannah GA 3140150365RN192522Lawson, Leslie Elizabeth Johnson 9/17/201513657
Cecil Sharp, MD 1350 Walton Way, NICU Augusta GA 3090127662RN141032Layfield, Nicole K. 7/1/20169726
Hemachandra Gunawardhana, MD
250 Constitution Blvd, Ste 203 Lawrenceville GA 3004663341RN124271Lazzari, Taren S. 7/25/201411352
Laura Bleekrode, MD 1100 Northmeadow Pkwy, Suite 108 Roswell GA 3007634514RN211057211057
Leathers, Breanne Nunnally 9/1/20159542
Messner, Stephen MD 1001 Johnson Ferry Road, Ste 500 Atlanta GA 3034259282RN117190Lebiecki, Cindy 6/12/201210358
William Kriegel, DO 3405 SW Dallas Hwy Marietta GA 3006431962RN123214LeCroy, Tiffany Reichert 4/15/20129664
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN123214Lecroy, Tiffany Reichert 2/4/20108361
Buhmiben Samir Purohit, MD 3240 South Cobb Dr. Smyrna GA 3008058812RN38288Ledbetter, Sharon 11/4/201211051
Kirk-Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN038288Ledbetter, Sharon E 10/26/201312506
Hewling, Kirk-Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN038288Ledbetter, Sharon 9/1/201210326
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN038288Ledbetter, Sharon E. 1/1/20101720
Ronald Hudson, MD 610 19th Street Columbus GA 3190115384RN131920Ledford, Ladonna Kay Ellis 3/31/20151721
Jack Roof, MD 101 RiverStone Vista, Susite 207 Blue Ridge GA 3051317278RN154445Ledford, Camille York 3/6/20148270
Saturday, January 21, 2017 Page 110 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ward, Martha MD 916 S Broad St, Thomasville GA 3179220360RN198797Ledger, Kelly 11/13/201410574
Brian Griner, MD 101-G W. Northside Drive Valdosta GA 3160246966RN196360Ledwitch, John William 2/4/20158377
Gerber, Alan MD 2069 Teron Trace, Ste 300 Dacula GA 3001958672RN159890Ledwith, Crystal 5/10/201310434
William Coleman, MD 601 West Eleventh Ave Albany GA 3170131577RN039505Lee, Cindy Fain 12/31/20141724
Baker, Norman DO 330 Alcovy Street Monroe GA 3065553665RN153452Lee, Youn 12/31/201210477
Michael Deen, MD 143 Hwy 32 Bypass Alma GA 3151058459RN034673Lee, Pamela S. 9/9/20129765
Michael Nulph, MD 204 E. 15th Street Alma GA 3151057735RN034673Lee, Pamela S. 4/1/20115484
Eric Hall, MD 512-B South Main Street Hinesville GA 3131345814RN079062Lee, Elizabeth Boatright 12/17/20101725
Sung Chang, MD 7351 Old Moon Rd Columbus GA 3190952693RN178001Lee, Felisa Ann 8/26/201312137
Jonathan Wade, DO 204 E. 15th St. Alma GA 3151066666RN034673Lee, Pamela C. 5/31/201311136
Alvin Streat, MD 204 E. 15th Street Alma GA 3151034279RN034673Lee, Pamela S 3/2/20091728
Leilani Shivers, MD 900 Dallis St, Suite D LaGrange GA 3024057507RN203487Lee, Amanda Treston 4/9/201413080
Chester Lapeza, MD 148 East Peacock St. Cochran GA 3101444263RN211429Lee, Kyung Woon 10/1/201515932
John Affronti, MD` 1120 15th St Augusta GA 3091245686RN203487Lee, Amanda Treston 3/1/201614206
Patrick Amar, MD 80 Jesse Hill Jr.,Ste 13th floor Atlanta GA 3030349403RN124583Lee, Jamie 9/18/201515079
Nail Gladstone, MD 3115 Piedmont Rd, A 102 Atlanta GA 3030516917RN216926Lee, Amanda 12/1/201615597
Blake Milner, MD 148 East Peacock St. Cochran GA 3101452789RN211429Lee, Kyung Woon 6/12/201514901
Milagros Keh, MD 601 W 11th Ave Albany GA 1850918509RN039505Lee, Cindy Fain 10/31/201615145
Patrick Haggard, MD 80 Jesse Hill Jr Dr, 13th Floor Atlanta GA 3030349403RN124583Lee, Jamie Clower 3/26/201413061
Jacob Varghese, MD 3740 Cascade Road Atlanta GA 3033156933RN141240Leffall, Para Ramon 8/24/20127833
John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN155393Leger, Keela Weeks 9/10/20107898
Saturday, January 21, 2017 Page 111 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN139769Leidel, Laura Beth 12/1/20101735
Dennis Dean Wiles, MD 410 Peachtree Parkway Cumming GA 3004144865RN129499Leigh, Stacy Diann 7/1/201511262
Anant Dalvi, MD 55 Witcher St, Ste 160 Marietta GA 3006063849RN205388Lemberg, Robert Seth 5/21/201613500
Akintoye, Adebukola MD 3780 Holcomb Bridge Road, Ste E Norcross GA 3009238164RN164788Lemons, Maria 5/22/201210668
Baysden, Teresa DO 3032 Sugar Valley Road Calhoun GA 3070157348RN164788Lemons, Maria 2/9/201210360
Divina Dyer, MD 181 S. Clayton Street Lawrenceville GA 3004557161RN164788Lemons, Maria Linda 8/6/20108647
Lloydstone Jacobs II, MD 2900 University Pkwy Lawrenceville GA 3004349179RN164788Lemons, Maria 5/1/201310806
L. Crain Garrot, MD 340 Kennestone Hosp Blvd, Suite 100 Marietta GA 3006059157RN193714Lenaz, Leona Rausch 11/30/20118236
Russell Brown, MD 2001 Martin Luther King Jr Dr, #418-430 Atlanta GA 3031039743RN044413Leonard, Nina Julia Coleman 9/4/201311972
David Faulk, MD 2060 Dan Proctor Dr, Ste 3300 St Marys GA 3155839787RN044413Leonard, Nina Julia Coleman 12/4/201513640
Amar K. Singh, MD 550 Redmond Rd. Rome GA 3016552227RN160156Leonard, Valerie Sanchez 2/25/201513097
Marlene Zetzer, MD 2060 Dan Proctor Dr, Ste 3300 St Mary GA 3155833236RN044413Leonard, Nina Julia Coleman 7/1/201617308
Metra Wright, MD 770 Village Square Dr Stone Mountain GA 3008360634RN204063Leppke, Allison Marie 10/15/20129788
Raulnina T. Uzzle, MD 770 Village Square Dr Stone Mountain GA 3008343499RN207063Leppke, Allison M. 4/14/201411413
Michael Jackson, MD 715 E. 2nd Avenue Rome GA 3016155376RN039939Lester, Dana C. 2/2/2010305
Thomas Varughese, MD 6130 Presley Mill Rd. ste. B Douglasville GA 3031445998RN179310Letisha, Preethy 11/1/201618620
Shahzad Hashmi, MD 301 Gwinnett Dr, Suite 150 Lawrenceville GA 3004653239RN140100Leverett, Kim Rebecca 3/1/20168348
Jose Cangiano, MD 615 Lawrenceville-Suwanee Rd Lawrenceville GA 3004644182RN140100Leverett, Kim Rebecca 10/1/201413402
David Fiesler, MD 101 Deluxe Circle, Ste B Thomaston GA 3028617756RN122239Lew, Sybil Jane 6/14/201617312
Shelly D. Samuel, MD 148 Peacock St. Cochran GA 3101457248RN180944Lewis, Karen L. 8/31/201311617
Mark Elam, MD 800 Professional Blvd Dalton GA 3072036147RN148871Lewis, Robert Michael 8/20/20149230
Saturday, January 21, 2017 Page 112 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100Atlanta GA 3030351875RN148871Lewis, Robert Michael 8/12/20138423
Charles-Pryce, Pamella MD 220 North Cobb Pkwy, Ste 400 Marietta GA 3006258155RN148871Lewis, Robert 8/11/201410550
Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1, #1210 Alpharetta GA 3000439879RN149478Lewis, Kimberly Knapp 8/5/20101755
Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN180944Lewis, Karen Lynn 2/12/201512211
Theodore Johnson, MD 1831 Clifton Rd, Pod A Atlanta GA 3032949656RN143524Lewis, Donna Rose Laroy 5/18/20121751
John Kauh, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032252970RN177160Lewis, Colleen Margaret 10/15/20139097
Samantha Benson, MD 3340 Paddocks Pkwy Suwanee GA 3002447699RN197350Lewis, Samantha McWilliams 9/5/201611658
Farid Qazi, MD 207 Fairview Park Dr, Suite 207 Dublin GA 3102135737RN234557Lewis, Cynthia Marie 7/24/201413117
Christopher Inhulsen, MD 300 Medical Court Macon20743RN180944Lewis, Karen 7/16/201515257
Tammie Quest, MD 1670 Clairmont Rd Decatur GA 3003345590RN143524Lewis, Donna 1/31/201614678
Sandra Hollander, MD 207 Fairview Park Dr Dublin GA 3102172000RN234557Lewis, Cynthia Marie 7/24/201413690
Jeffrey Winter, MD 1700 Hospital South Dr, Suite 502 Austell GA 3010636044RN155957Lewis-Austin, Michelle Abigal 3/23/201612613
Tiffanni Forbes, MD 1199 Prince Ave Athens GA 3060651936RN201110Ley, Kristin Carter 1/3/201412971
Brendan Groakke, DO 1199 Prince Ave Athens GA 3060650172RN201110Ley, Kristin Carter 5/18/201513480
Tom Vann Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN145239LeZotte, Ashley Willis 9/2/20101760
Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN145239LeZotte, Ashley Willis 9/1/20108660
Allotey, Peter MD 2660 Montpelier Avenue Macon GA 3120445643RN097756Liggins-Spikes, Irona 12/16/201510794
Eric Powell, MD 1111 Glynco Pkwy, Bldg 1, Suite 10 Brunswick GA 3152549081RN178709Lindsay, Lorie Ann 1/31/201512168
Kenneth W. Healey, MD 12389 Crabapple Road Alpharetta GA 3000424689RN187037Lindsay, Angela Schmidt 6/16/20085460
Sandra Brickman, MD 1806 Lee Avenue Tifton GA 3179445043RN061439Lindsey, Melanie E. 6/9/20098542
Trishanna Sookdeo, MD 4751 Best Rd. College Park GA 3033772697RN171642Lindsey, JoAnn D. Flot 7/30/201514998
Saturday, January 21, 2017 Page 113 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Brant Holt, MD 102 Erlanger South Dr Ringgold GA 3073654393RN103785Lingerfelt, Kimbra 3/26/201413821
Stephanie Reese, DO 1421 Alice St, Ste 4B Waycross GA 3150171743RN209537RN71743
Linton, Lindsay 6/30/201612875
Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN176752Linville, Melissa Anne 4/1/20107955
Sohail Ejaz, MD 663 Lanier Park Dr Gainesville GA 3050160065RN234444Little, Mishell Carmela 8/20/201612772
Hatem Asad, MD 105 Briarcliff, Ste B Warner Robins GA 3108849978RN138016Little, Deborah J. 12/14/201211183
Craig Johnson, MD 4460 Atlanta Hwy Loganville GA 3005229689RN060422Littrell, Kimberly Harrell 11/1/20095490
James Lamar, MD 9280 Hwy 5, Ste A Douglasville GA 3013432226RN180283Livengood, Lindsay Ann 7/28/20129921
Craig Bishop, DO 2412 N. Oak St Valdosta GA 3160245725RN130337Livingston, Tracey Quinnell 10/30/20149835
Cathleen Quillian, DO 1351 Stonebridge Pkwy, Bldg 104 Watkinsville GA 3067745924RN056238Lloyd, Kathleen Ann Mary 1/31/20108874
Ifeoma Nnaji, MD 123 Gordon St Washington GA 3067363931RN056238Lloyd, Kathleen Ann Mary 10/30/20119473
William Martin, MD 318 West Pike St. Lawrenceville GA 3004512937RN056238Lloyd, Kathleen Ann Mary 12/3/20091772
Abdulbaaqee, Nailah MD 122 West Athens Street Winder GA 3068063829RN056238Lloyd, Kathleen 9/23/201510144
Frazier, Cherise MD 2015 Uppergate Drive NE Atlanta GA 3032261512RN149644Loeffel, Laura 9/9/201210533
Subodh Lal, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010652771RN157417Loftus, Nina Derieta 12/9/20098440
Anand Jillella, MD 1120 15th St, #BA-5407 Augusta GA 3091233843RN196130Logue, Laura J. 4/12/20108708
Thomas Samuel, MD 1120 15th St, Suite BA-5407 Augusta GA 3091257014RN196130Logue, Laura J. 5/31/20139123
James Brown Jr. MD 454 Smith Ave Thomasville GA 3179251025RN210080London, Brittney 8/2/201515173
Omar Al Haddad, MD 509 Wheat Ave Bainbridge GA 3981865987RN210080London, Brittney 3/17/201616105
Thomas Nguyen, DO 772 Maddox Dr, Suite 110 East Ellijay GA 3054062579RN093574Long, Marsha Nadine 10/11/20119010
Louis Cohen, MD 1230 Johnson Ferry Rd, Suite A-10 Marietta GA 3006822496RN077139Long, Mary Lavonne Stewart 5/15/20151784
Saturday, January 21, 2017 Page 114 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN093574Long, Marsha Nadine 7/15/20109088
Moss, Kelvin MD 60 Old Highway 5 South Ellijay GA 3054054634RN093574Long, Marsha 10/24/201610576
Fernandez, Eusebio MD 772 Maddox Drive, Ste 110 East Elijay GA 3054012038RN093574Long, Marsha 2/24/201210251
Richard Loyd, DO 1000 Hawthorne Avenue, Suite J Athens GA 3060637446RN135873Long, Christine Louise Nugent 3/29/20131780
Paula Boyle, MD 101 Riverstone Vista, Ste 114 Blue Ridge GA 3051355928RN093574Long, Marsha Nadine 3/6/201616931
William Raisig, MD 449 Industrial Blvd, Suite 105 Ellijay GA 3054055290RN093574Long-Kimsey, Marsha 7/10/20088114
Miriam Gentry, MD 190 Hospital Circle Ellijay GA 3054010925RN093574Long-Kimsey, Marsha 4/13/20098322
Jack Roof, MD 101 Riverston Vista, Ste 207 Blue Ridge GA 3051317278RN093574Long-Kimsey, Marsha 10/19/20071786
Paul A. Martin, MD 1960 Riverside Pkwy, Ste 101 Lawrenceville GA 3004329034RN056928Lopez, Melanie B. 5/28/201511234
Paul Steinwachs, MD 1336 Third Ave Columbus GA 3190142736RN087816Lord, Resa Anne Wilson 5/1/201311939
Ashley Davis, MD 5555 Whittlesey Blvd, Suite L-1 Columbus GA 3190958161RN087816Lord, Resa Anne Wilson 12/16/20151789
Harrison Clay Carter, MD 1126 West 12th Street Alma GA 3151050575RN057626Lott, Patsy L. 1/11/20129095
Griffis, Mark MD 380 East Willow Creek Lane McRae GA 3105538140RN057626Lott, Patsy 9/12/201210587
Deen, Michael MD 143 Hwy 32 Bypass Alma GA 3151058459RN057626Lott, Patsy 4/20/201510868
Vincent Galan, MD 1365 Rock Quarry Rd, Ste 202 Stockbridge GA 3026328685RN142821Louis, LaTalya 7/22/201515086
Rao Moravineni, MD 246 O'Dell Road Griffin GA 3022451360RN160167Love, Tamara Rose 9/25/20148352
Sonjoy Laskar, MD 550 Peachtree St, Med Off Tower, 4th Floor
Atlanta GA 3030854772RN168434Lowman-Kedzierski, Denise 9/2/20129065
Brenda Hott, MD 1200 Northside-Forsyth Dr Cumming GA 3004141441RN168434Lowman-Kedzierski, Denise 12/27/201312377
Urviben Patel, MD 777 Hemloch St Msc 143 Macon GA 3120163937RN140641Lucas, Amanda Hudson 1/1/201513919
Jeffery Dowis, MD 1205 Russel Parkway Warne Robins GA 3108868199RN117999Lucas, Bobby 6/15/201515633
Saturday, January 21, 2017 Page 115 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Fredric Flax, MD 12385 Crabapple Road, Suite 100 Alpharetta GA 3000417452RN067905Ludwick, Faith Ann 7/3/20151801
Emmanuel Soyoola, MD 1870 Atlanta Hwy Ste J-K Gainesville GA 3050453032RN188378Luke, Cynthia Dee Anne 8/20/201513724
Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN109444Lumansoc, Rita Marie Tactay Wi 2/6/201411726
Dan Ioanitescu, MD 940 Ga Hwy 96 Warner Robins GA 3108851476RN109444Lumansoc, Rita 7/20/201311498
Mian, Haroon MD 970 Joe Frank Harris Pkwy SE Cartersville GA 3012066222RN038269Lunsford, Jeanne 5/22/201110127
Byron Dickerson, MD 500 Medical Center Blvd, #290 Lawrenceville GA 3004536714RN072457Lupa, Julia Suzanne Ball 8/1/20131807
Felecia Dawson, MD One Baltimore Place, NW, Suite 350 Atlanta GA 3030830292RN072457Lupa, Julia Suzanne Ball 12/12/201312495
Paul LoDuca, MD 710 Center St, 5 East Columbus GA 3190164595RN217917Lutin, Amanda Melanie 2/14/201411926
Harold D. Carlson, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030927508RN124797Lyda, Kenneth E 3/29/20131809
Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN057538Lyden, Margaret 7/25/201210588
Ann Drayton, MD 1870 Atlanta Hwy, Ste J Gainesville GA 3050449512RN116155Lyerly, Linda Carol Phillips 9/30/20119980
Soyoola, Emmanuel MD 1870 Atlanta Hwy, Ste J-K Gainesville GA 3050453032RN116155Lyerly, Carol 5/2/201210231
Ram, Raja MD 475 Phillip Blvd, Ste 100 Lawrenceville GA 3004538922RN116155Lyerly, Linda 1/7/201310121
Martha Millan-Sanchez, MD 3015 Veterans Pkwy Moultrie GA 3178866223RN180751Lyles, Linda Michelle 8/4/201613981
Lisa W. Gantner, MD Acute Care Express, 7901 Veterans PkwyColumbus GA 3190127690RN097779Lynch, Gail L. 9/12/201311299
Michael Hagues, DO 2122 Manchester Exprway Columbus GA 3190423977RN097779Lynch, Gail L. 8/1/201611613
Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN053247Lynch-Hayes, Patricia A 9/2/20091813
Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN053247Lynch-Hayes, Patricia A. 8/1/20118936
Wannamaker, Lisa DO 1120 15th St, AF-1040 Augusta GA 30912-746855462RN053247Lynch-Hayes, Patricia 5/22/201210327
Derrell Leggett, MD 794 McDonough Rd, Ste 111 Jackson GA 3023366346RN219928Lynn, Jessica Nicole 8/29/201618540
Saturday, January 21, 2017 Page 116 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Todd Cooper, DO 1405 Clifton Road NE Atlanta GA 3032261411RN204149MacDonald, Kelly Lynne 12/31/20148971
James Sinnott 3207 Country Club Dr. Valdosta GA 3160635336RN127219Macera, Tana M. 9/13/20121818
Timothy Helton, MD 1010 Johnson Ferry Rd Marietta GA 3006829669RN064087Mackenzie, Christine Mary Scanlon 4/10/20111820
Laurae Carpenetti, MD 3921 Shallowford Rd Marietta GA 3006250606RN064087Mackenzie, Christine Mary Scanlon 8/30/20138879
Roberts, Jerry MD 4000 Shakerag Hill, Ste 201 Peachtree City GA 3026925657RN134284Macoy, Lisa 3/20/201410670
Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN168142Maddox, Leigh Catherine 4/5/201411986
Odell Paul Still, DO 104 Maple Dr Vidalia GA 3047437085RN166580Maddox, Jimmy 6/17/20109106
Vijitha Prasad, DO 544 W Church St Swainsboro GA 3040140520RN166580Maddox, Jimmy 12/18/201516007
Leroy Hubbert, MD 303 Smith Street LaGrange GA 3024035659RN121320MaGill, Marlis 2/3/20125445
Donald Keith West, MD 823 Campbell Hill Street Marietta GA 3006032323RN116763Magner, Rosemary 11/1/20071829
Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN116763Magner, Rosemary 3/30/20098395
David Asrael, MD 235 Peachtree St NE, North Tower, #2100Atlanta GA 3030351291RN118599Maharaj, Rajendra Kuldeep 9/1/20091832
William Knapp, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030917225RN133358Mahek, Amber Daley 2/9/20117815
Thuy Bui, MD PO Box 422002 Atlanta GA 3034249276RN174074Maher, Anne R. 9/1/201611635
Hatem Asad, MD 105 Briarcliff Rd Warner Robins GA 3108849978RN131694Maine, Stacy Bankston 7/12/201311756
Debbie West, MD 116 S. Houston Road Warner Robins GA 3108841028RN131694Maine, Stacy Bankston 8/2/20128890
Deepti Bhasin, MD 402 Osigian Blvd, Suite 400 Warner Robins GA 3108859979RN131694Maine, Stecy Bankston 1/5/201512621
Stephen F. Finn, MD 1825 Martha Berry Blvd. Rome GA 3016546961RN234796Malave, Mirei 11/13/201513119
Guilda Saint-Fleur, MD 1227 Rockbridge Rd Stone Mountain GA 3008769627RN246122Mallett, Nina Diane 11/30/201515289
Benise Williams, MD 303 Smith St LaGrange GA 3024046924RN185828Mallory, Edna Elaine 2/19/201412356
Charles Roman, DO 2737 Warm Springs Rd, Ste B Columbus GA 3190443757RN185828Mallory, Edna Elaine 4/4/201513505
Saturday, January 21, 2017 Page 117 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Anthony Yost, MD 2575 Peachtree Pkwy. Ste. 100 Cumming GA 3004163155RN185828Mallory, Edna Elaine 11/1/201618429
Rod Duraski, MD 301 Medical Dr, Ste 501 LaGrange GA 3024030296RN185828Mallory, Edna 1/4/201616172
Hornetty, Paul MD 308 N. Parrish Avenue Adel GA 3162052951RN215209Malmquist, Lisa 7/2/201210620
Maxwell Prempeh, MD 150 Gentilly Blvd. Cartersville GA 3012064054RN177773Malstrom, Stacey Glass 6/26/201613685
Suh, David MD 1468 Montreal Road Tucker GA 3008457848RN117790Mancao, Caroline 6/24/201610083
Cleveland, William MD 3620 MLK Jr., Drive SW Atlanta GA 3033117375RN184067Maness, Edina 4/6/201310642
Audrey Ludwig-Arona, MD 500 Medical Center Blvd, Suite 290 Lawrenceville GA 3004648267RN100057Manga, Mercy Boh 2/27/201512943
Byron Dickerson, MD 500 Medical Center Blvd, #290 Lawrenceville GA 3004536714RN100057Manga, Mercy Boh 10/23/20131839
Charles Sow, MD 9465 Hwy 5 Douglasville GA 30135-150955343RN181831Manning, Tiffany Renee 3/1/201614387
Garrett Bennett, MD 11045 Columbia St. Blakely GA 3982351784RN183513Mansfield, Elizabeth Singletary 10/31/201413501
Melissa Davis, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016559141RN132924Maples, Melissa Lynn 12/31/20129118
Robert Reese, Jr., DO 1111 Glynco Pkwy Brunswick GA 3152531312RN129055Marat, Patti Lorri 2/8/20118992
Lewis Litwack, MD 1131 Chapel Crossing Rd, Suite T-759 Glynco GA 3152461981RN129055Marat, Patti Lorri 9/14/20108665
Heather Svenson, MD 47 Professional Drive Brunswick GA 3152050841RN129055Marat, Patti Lorri 10/4/20098368
Herman Levy, MD 815 Chapel Crossing Road Brunswick GA 3152534010RN129055Marat, Patti Lorri 6/8/20108771
Donald Fordham, MD 865 Austin Dr Demorest GA 3053544718RN214493Marbut, Holly 1/11/201614947
Yvonne Smith, MD 4910 Jonesboro Rd, Ste 701 Union City GA 3029142443RN214493Marbut, Holly Thornton 12/30/201414080
William Hudson, MD 2000 16th Avenue Columbus GA 3190130484155003Marcel, Solange 9/1/201515509
Jose H. Acevedo 1299 Interstate Pkwy Augusta GA 3090925499RN204200Marchant, Whitney M. 11/8/201311208
Jennifer Dark, MD 1012 Burleyson Rd Dalton GA 3072066016RN186421Marcius, Marva Montrose 9/1/20147989
Saturday, January 21, 2017 Page 118 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Coleman, MD 3193 Howell Mill Rd, Suite 215 Atlanta GA 3032748498RN161635Marcum, Christian Leigh 5/4/20111845
Roger Hill, DO 1810 White Circle Marietta GA 3006028277RN197666Margrave, Amy Rebecca Danforth 2/13/201612511
Messner, Stephen MD 1001 Johnson Ferry Road, Ste 500 Atlanta GA 3034259282RN069888Marlow, Louise 1/4/201510359
Claire Mazewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246619RN069888Marlow, Louise Ann 2/17/20091853
Mark Wulkan, Md 1405 Clifton Rd. NE Atlanta GA 3032245676RN209008Marquez, Orlin Yared 12/5/201515157
Lawrence Powell, MD Take Care, 1490 Pleasant Hill Rd Duluth GA 3009638915RN171405Marrero, Isla Starr 12/10/201512526
Paul Hawkins, MD 4421 Carnes St Acworth GA 3010154741RN140924Marsh, Helen Marie 9/15/201515302
Sidney Smith, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN124279Marshall, William Robert 2/20/20121857
Matthew Whitley, MD 5455 Meridian Mark Rd. #130 Atlanta GA 3034266673RN166850Marshall, Emily L 3/25/201616370
Joseph Hormes, MD 780 Canton Road, Suite 400 Marietta GA 3006029674RN141514Martin, Rebecca Jeanne 4/9/20101873
Leslie Cottrell, MD 1600 Maple Street, UWG Health Svcs Carrollton GA 3011845194RN112921Martin, Jim Glen 8/24/20161868
Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN052052Martin, Jacquelyn Denise 7/25/20111867
Kathleen Long, MD 2230 Towne Lake Pkwy, Bldg 1100, Ste 140Woodstock GA 3018938549RN116159Martin, Cynthia Louise Walls 11/1/20101862
Mark Albritton, MD 105 Regency Park Dr McDonough GA 3025355912RN147969Martin, Ashley Elaine 8/23/201312088
Kirpich Joseph, MD 990 Peachtree Ind Blvd Suwanee GA 3002454904RN133278Martin, Sharalyn Marrion 9/30/201614393
Gordana Lovrekovic Zakula, MD
4750 Waters Ave. Ste 301 Savannah GA 3140450404RN211995Martinez, Valerie Candice 6/24/201513629
Guy Augustin, MD 1153 North Liberty St. Nicholls GA 3155470852RN197990Martyn, Elizabeth A 12/4/201413995
Hamza Gorsi, MD East GA Healthcare Ctr, 404 Savannah AveStatesboro GA 3045866495RN216845Marucco, Kathryn Mary 6/23/201412041
Johnson, Paul MD 1001 Johnson Ferry Rd Atlanta GA 3034246132RN193287Mason, Emily 2/12/201610771
George Katsitadze, MD 976 Killian Hill Rd, Bldg A, Ste B Lilburn GA 3004752456RN133970Massey, Liza Nicole 5/31/20149937
Saturday, January 21, 2017 Page 119 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Graham, MD 2225 Hwy 41 North Tifton GA 3179430071RN144412Massey, Kimberly D. 10/19/201512674
John DeSimone, MD 611 E Washington Ave Ashburn GA 3171419930RN144412Massey, Kimberly 9/18/201514951
Shannon Cole, MD 106 A Professional Dr, Ste 370 Lawrenceville GA 3030351761RN133970Massey, Liza Nicole 7/1/201514822
Dixie Griffin, MD 39 Kent Rd, Ste 5 Tifton GA 3179463661RN144412Massey, Kimberly D 10/19/201514091
Ketan Desai, MD 3825 Medical Park Dr, Ste 301 Austell GA 3010657600RN135902Mathews, Cheri 11/16/201414707
Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN115936Mathis, Stephanie 10/26/201310198
Kalpana Nayak, MD 1912 Memorial Dr Waycross GA 3150126049RN138004Mathis, Scott Eugene 6/1/201611841
Susan Thomas, MD 5985 Peachtree Pkwy Norcross GA 3009267173RN115936Mathis, Stephanie Latrell 10/20/201412913
Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN115936Mathis, Stephanie Latrell 9/30/20117772
Bhumiben Purohit, MD 1890 Manor View Cumming GA 3004158812RN115936Mathis, Stephanie Latrell 12/31/201412736
Forte David McEachin, MD PO Box 929 Tifton GA 3179344017RN142973Mathis, Jessica Hunter 12/28/20161889
Samuel Edelman, DO 710 Center St. Columbus GA 3190170804RN160912Mathis, Elizabeth Ruth McKnight 3/17/201613546
Valens Plummer, MD 5320 Memorial Dr Stone Mountain GA 3008349496RN145196Matson, Sharon Templeton 8/22/201412537
Mohammad Sl-Shroof, MD 2054 Watson Blvd Warner Robins GA 3109345158RN118570Matthews, Mitzi Little 5/31/20111894
Ahmad Irfan, MD 2003 Pioneer St, Suite A Waycross GA 3150141584RN211306Mattox, Julie Griner 9/21/20119449
Hamm, Michael DO 410 Darling Avenue - Emer Dept Waycross GA 3150149021RN211306Mattox, Julie 3/15/201210181
Deen, Michael MD 204 E. 15th Street Alma GA 3151058459RN211306Mattox, Julie 5/9/201210495
Faith Andrews, MD 525 Forest Pkwy, Suite 100 Forest Park GA 3029744158RN19547Mattox, Stephanie 10/10/201414075
Ram Reddy, MD 1061 Dowdy Rd, Suite 100 Athens GA 3060624178RN201747May, Amie Patricia 7/20/201613289
Nimisha Trivedi, MD 3778 Hwy 42 Locust Grove GA 3024853715RN175909Mayaki, Oluwatoke Abidemi 11/16/20098350
Sheree Walker, MD 484 Irvin Ct Decatur GA 3003066435RN238350Mayberry, Shara 12/1/201616165
Saturday, January 21, 2017 Page 120 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Richard Gitomer, MD 550 Peachtree St N E Atlanta GA 3030825754RN238350Mayberry, Shara Denise 8/6/201514170
Janet Memark, MD 1790 Mulkey Rd, Ste 10 Austell GA 3010664415RN238350Mayberry, Shara Denise 9/2/201413694
Dillon D. Miller, MD 101 Riverstone Vista Blue Ridge GA 3051367508RN169618Mayo, Jesse R. 9/15/201311453
Raymond McKay, DO 304 Turner McCall Blvd Rome GA 3016544536RN169618Mayo, Jesse 7/12/201616006
Thuy T. Bui, MD P.O. Box 422022 Atlanta GA 3054249276RN085532Mayton, Melinda 12/25/201511510
David Blake, MD 54 Peachtree Park Drive Atlanta GA 3030940613RN155427Mbah, Linda Angela 8/1/20091903
Michelle Evans, MD 105 Collier Rd NW, Suite 4050 Atlanta GA 3030952171RN155427Mbah, Linda Angela 9/1/20128768
Frederick Burton, MD 1735 S Hwy 27 Carrollton GA 3011738434RN155427Mbah, Linda 5/30/201515453
Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN160103McBrayer, Melanie Higgins 7/12/20121908
Ramie Tritt, MD 5555 P'tree Dunewoody Rd, #125 Atlanta GA 3034220005RN112936McBryar, Lisa Paige 10/2/20098567
Pablo Balboa-Marciack, MD 100 Hospital Court Calhoun GA 3070155409RN112936McBryar, Lisa Paige 6/1/20121911
Catherine James-Peters, MD 454 Smith Ave Thomasville GA 3179263671RN093653McCall, Laurie A. McLeod 1/3/20119077
Abiola Babalakin, MD 2089 Teron Trace, Ste 225 Dacula GA 3001962467RN050734McCall, Nancy F. 11/1/201411388
Calvin Reams, MD 951 South Broad Street Thomasville GA 3179219585RN093653McCall, Laurie A. McLeod 10/22/20098276
Ganiat Ajayi, MD 4330 South Lee St, Bldg 600 Buford GA 3051847776RN050734McCall, Nancy Fletcher 8/25/20111912
Maria Walker, MD 5040 Snapfinger Woods Dr, Suite 108 Decatur GA 3003525306RN139162McCall-Gaston, Natalie Yvonne 6/26/201311934
Harris Tyra, MD 794 S Park St Carrollton GA 30117-382661249RN139162McCall-Gaston, Natalie 9/6/201515188
Deslyn Olunuga, MD 1670 Clairmont Rd Decatur GA 3003373906RN139162McCall-Gaston, Natalie Yvonne 7/5/201616860
Laura Weakland, MD 550 Peachtree St, Suite 1185 Atlanta GA 3030839505RN102128McCollum, Kennon Howard 8/1/20081921
Shyam Khanwani, MD 1250 Hwy 54 West, Suite 102 Fayetteville GA 3021451672RN102128McCollum, Kennon Howard 11/30/20108269
Saturday, January 21, 2017 Page 121 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Louis Fernandez, MD 274 Big A Rd Toccoa GA 3057739790RN054949McCollum, Joyce Ann Wilkinson 10/31/201612707
Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN054949McCollum, Joyce Ann Wilkinson 5/7/20131920
M. Frank Powell, MD 464 Mt. Plesant Rd. homson GA 3082423663RN149422McCord, Frances A. 3/31/201611579
Melissa Sanchez Quiros, MD 1244 Historic Homer Hwy Homer GA 3054764056RN179017McCoy, Nancy Sue 7/31/20141932
Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN096899McCoy, Sherry Marie Hay 7/1/201411668
Muhammad Alam, MD 3015 Veternas Pkwy Moultrie GA 3178869167RN096899McCoy, Sherry Marie Hay 11/17/201512679
Morris Pulliam, MD 1244 Historic Homer Hwy Homer GA 3054734223RN179017McCoy, Nancy Sue 3/4/201613838
Jason Berner, MD 120 Oakside Crt, Ste H Canton GA 3011448322RN181259McCoy, Tami Star Trinkle 9/3/201513676
Fisher, Neil MD 3262 Highway 252 Folkston GA 3153761733RN054448McCrary, Linda 2/25/201210331
Joseph D. DeVeau, MD 101 Yorktown Dr., Ste 110 Atlanta GA 3030952706RN057553McCullough, Michael A. 2/18/201511176
Guillermo Saurina, MD 2301 N. Ashley St Valdosta GA 3160248570RN127394McDade, Sharon Renee 1/1/20149685
Madhavi Rayapudi, MD 1400 Northside Forsyth Drive, Suite 340 Cumming GA 3004150861RN171593McDaniels, Deborah Tracy 7/1/20128106
Karuna Shah, DO 5211 Highway 278 Covington GA 3001443773RN120924McDonald, Jennifer 8/22/20145452
Richard L. Baldwin, MD 9280 Hwy 5, Suite A Douglasville GA 3013423894RN226556McDonald, Jenna N. 9/11/201511436
Sonal Hazariwala, MD 5211 Hwy 278 NE Covington GA 3001454151RN120924McDonald, Jennifer 11/2/201514000
Edgar Melendez, MD 9280 Hwy 5, Ste A Douglasville GA 3013441167RN226556McDonald, Jenna 4/2/201616446
Lily Henson, MD 5211 Hwy 878 NE Covington GA 3001474836RN120924McDonald, Jennifer 6/15/201616626
Anna Janss, MD 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 3032252965RN096562McElfresh, Patricia Barry 11/28/20111943
Mukul Khurana, MD 780 26th Ave Moultrie GA 3176858975RN181453McFarland, Jade Griffin 1/18/20139973
Jeffrey Esslinger, MD 300 Courtyard Dr., Ste A Cartersville GA 3012045455RN093196McFarland, Carla 1/14/201311075
David Roth, MD 300 First Ave South Reidsville GA 3045354051RN057561McGaha, Delaine 11/24/201412437
Saturday, January 21, 2017 Page 122 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Afolarin Banjoko, MD 49267RN057561McGaha, Delaine 2/18/20132408
Misty Poole, MD 210 Mose Coleman Dr. Vidalia GA 3047466797RN176173McGee, Amara A 5/13/201617323
Dennis Thomas, MD 3374 Greystone Way Valdosta GA 3160522898RN 054469McGhin, Janie 12/30/201310931
Reginald Orr, MD 1514 Vernon Rd LaGrange GA 3024054091RN066539McGill, Wanda Lee Broome 6/20/20131950
Julia Ballard, MD 130 Sam Walker Dr, Medical Unit LaGrange GA 3024021637RN066539McGill, Wanda Lee Broome 11/15/201613103
Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN139815McGovern, Maureen Patrice 6/1/20129625
Kirk-Conrod P. Hewling, MD 4250 Brownsville Rd. Powder Springs GA 3012757559RN149268McGowan, Monica T. 10/26/201311548
Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN149268McGowan, Monica Trechele Spann 4/15/20101953
Adithya Reddy, MD 2550 Windy Hill Rd., Ste 206 Marietta GA 3006761509RN149268McGowan, Monica Trechele Spann 10/1/201513950
Felix Amoa-Bonsu, MD 5185 Old National Hwy College Park GA 3034955916RN149268McGowan, Monica Trechele Spann 6/1/201613262
Hemant Yagnick, MD 404 Town Park Blvd, Suite 101 Evans GA 3080955321RN097828McHatton, Gina Rabun 7/14/20119381
Robert Mullins, MD 3675 J Dewey Gray Cir, Suite 300 Augusta GA 3090949835RN097828McHatton, Gina Rabun 1/20/20129833
David Asrael, MD Take Care Clinic, 5230 Dallas Hwy Powder Springs GA 30127-426351291RN217449McIntosh, Brenda L. 7/7/201311623
Wallace Duncan, MD Take Care Clinic, 5230 Dallas Hwy Powder Springs GA 3012741109RN217449McIntosh, Brenda L. 7/7/201311624
Babalola, Cecilia MD 1720 Powers Ferry Road, Ste 100 Marietta GA 3006758389RN217449McIntosh, Brenda 4/13/201210370
Kirpich Joseph, MD 3575 Koger Blvd, Ste 116 Duluth GA 3009654904RN189290McIntosh, Marcia 9/30/201615680
Omari Hodge, MD 2988 Shallowford Rd Marietta GA 3006670459RN180990McIntyre-McKay, Florence Angelee 11/8/201613250
Anthony Royek, MD 4750 Waters Ave, Suite 202 Savannah GA 3140450914RN093155McKay, Laura Marie 4/26/20145357
Boris Shklyar, DO 10 Whitaker St, Suite A Savannah GA 3140165180RN113883McKenna, Candace Habian Cole 5/20/201412336
Robert A. Mazur, MD 60 Exchange Street, Ste. B-7 Richmond Hill GA 3132437864RN113883McKenna, Candace Habian Cole 5/20/201413122
Saturday, January 21, 2017 Page 123 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Charles Cowart, MD 205 Shirley ave. Douglas GA 3153329161RN216659McKinnon, Edyn Butts 5/15/201617708
Gena Volas-Redd, MD 340 Kennestone Hospital Blvd, Suite 100 Marietta GA 3006045356RN186495McLaughlin, Patricia Carol 6/27/20085488
Johnson, Joseph MD 575 First Streeet Macon GA 3120125621RN117468McLaurin, Nancy 7/21/201410180
Donohoe, Jeffrey MD 1446 Harper St, Ste BP-3104 Augusta GA 3091256280RN192244McLees, Lauren 5/16/201410820
Mark Coker, MD 7171 Hwy 19 South Zebulon GA 3029556276RN192244McLees, Lauren Ashley 4/28/20129779
Ronald Lewis, MD 1120 15th St., BA-8412 Augusta GA 3091239393RN192244McLees, Lauren Ashley 7/17/201513723
Thomas Ferrari, MD 110 RT Stanley Senior Place Lyons GA 3-43634829RN060662McLendon, Susan 9/15/201510910
Margaret Anne White, MD 500 Springhouse Circle Stone Mountain GA 3008736482RN126278Mclendon, Bridget R. 10/6/201618365
Odell Still, DO 110 RT Stanley Sr. Place Lyons GA 3043637085RN060662McLendon, Susan Florence 12/1/201516353
Guy Augustin, MD 1153 North Liberty St Nicholls GA 3155470852RN198320McLeod, Melissa Danielle 8/7/201514276
Mohamad El-Attar, MD 1311 Milstead Avenue Conyers GA 3001241286RN117155McLester, Kendra Linette 2/26/20105261
Scott Pennington, MD 5505 Peachtree Dunwoody Rd, # 600 Atlanta GA 3034257555RN176496McMillan, Salia LaToria 3/27/20139713
Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN127929McMunn, Michael David 2/4/20111979
Philip Scaglione, MD 1120 C Indian Drive Eastman GA 3102363810RN212138McNeal, Sandra Nichole 9/22/201618790
Joseph Hathaway, MD 114 Hill Pond Lane Statesboro GA 3045849797RN089620McNeely, Pamela Karen 5/10/201614927
James Graham, MD 2225 Hwy 41 North Tifton GA 3179330071RN112477McNeese, Cindy 4/22/201411639
S. M. Abu Zaheed Hassan, MD
1220 George C. Wilson Drive Augusta GA 3090948783RN053788McNeil, Francine Jacqueline 12/4/20141983
Robert Wilson, MD 308 Bedell Ave. Woodbine GA 3156938133RN218786McNulty, Amanda Rebecca 10/17/201513537
Michael Serotoff, MD 11 Upper Riverdale Rd. Riverdale GA 3027468789RN235357McPeak, Justin Clint 8/25/201618639
John Ouderkirk, MD 735 Piedmont Rd Atlanta GA 3080849992RN235357McPeak, Justin 6/20/201615809
Saturday, January 21, 2017 Page 124 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Shelley D. Samuel, MD 218 Hwy 49 North, Suite A Byron GA 3100857248RN135666McPhail, Melissa 1/15/201411369
Anurag Kumbham, MD 215 McNaughton St Cusseta GA 3180558690RN135666McPhail, Melissa Cummings 10/8/20129321
Juan Ayerdi, MD 575 First Street Macon GA 3120157278RN135666McPhail, Melissa Cummings 7/21/201413124
James Stevick, MD 575 First St Macon GA 3120134481RN135666McPhail, Melissa 5/4/201514802
Gaston Moran Celayes, MD 618 East Lamar Street Americus GA 3170964675RN135666McPhail, Melissa Cummings 3/2/201413125
Chandresh Viradia, MD 100 Jim Mason Ct, Suite A Warner Robins GA 3108853050RN131500McPherson, Christi Ambrose 11/27/201512576
Eugene Jackson, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152522793RN112980McPherson, Fran Annette Hannon 10/21/20109084
Charles Burke, MD 1008 North 3rd Avenue Chatsworth GA 3070558876RN168031McRae-Spencer, Aribell A. 7/4/20108851
Michael Lee Miles, MD 7863 Villa Rica Hwy Dallas GA 3015752082RN168031McRae-Spencer, Aribell 8/2/201615798
Scott Tarplee, DO 2300 Parkwood Dr Brunswick GA 3152021057RN219621Meadows, Windy Diane 7/11/201616537
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN070135Medlin, Helen Clair 5/22/201312094
Michael Conlin, MD 2001 Professional Way, Suite 220 Woodstock GA 3018836054RN070135Medlin, Helen Clair 9/4/20098616
Mark Grimsley, MD 2260 Holly Springs Parkway, Ste 170 Canton GA 3011545172RN070135Medlin, Helen Clair 8/3/20119956
Sharon Kestin, MD 11700 Mercy Blvd, Ste 1B Savannah GA 3141934990RN112985Medlin, Tammy Lynn Hostetler 8/23/20139979
Allen R. Beecham, DO 2000 Village Professional, Suite 200 Canton GA 3011425102RN070135Medlin, Helen Clair 4/15/201311444
Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN070135Medlin, Helen Clair 6/12/20119755
Michael Katopes, MD 203 Woodpark Place, Bldg C Woodstock GA 3018825449RN070135Medlin, Helen Clair 12/10/20108931
Bobbie Kumar, MD 11935 Abercorn St, Suite 7106 Savannah GA 3141968197RN112985Medlin, Tammy Lynn Hostetler 1/18/201613038
Elena Pimanova, MD Mem. Med Assoc.Pooler, 101 West Mulberry
Savannah GA 3140771614RN112985Medlin, Tammy Lynn H. 11/16/201617095
Lisa Ruschak, MD 3300 Fourth St. Brunswick GA 3152059956RN235429Meeks, Samantha Rae Slagle 6/10/201613720
Saturday, January 21, 2017 Page 125 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Scott Quisling, MD 758 Old Norcross Rd, Ste 100 Lawrenceville GA 3004640765RN157541Mehta, Rovi-Jane 5/6/201617419
Yuan-Xiang Meng, MD 4398 Atlanta Hwy Loganville GA 3005251257RN157541Mehta, Rovi-Jane Ranada 8/31/201513147
Jianhua Cheng, MD 1 Freedom Way Augusta GA 3090446063RN112988Meister, Lisa 8/10/201514809
Julian Gorvy, MD 5185 Peachtree Pkwy, Suite 330 Peachtree Corners
GA 3009251806RN091317Melde, Karen Joan Dianora 4/24/20132007
Kathleen Gunchick, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014428760RN067035Melnick, Lisa Vivienne Taylor 3/16/20108981
Singaram, Thenmozhi MD 3850 Windermere Pkwy, Ste 105 Cumming GA 3004165060RN213069Melson, Grace 4/2/201210504
Joseph Bishop, MD 100 Peters St, Suite 38 Calhoun GA 3070110372RN068992Meltzer, Liza Blevins 8/27/20109115
Raymond McKoy, DO 18 Riverbend Drive, Ste 230 Rome GA 3016144536RN068992Meltzer, Liza Blevins 7/1/20149940
Raj Miniyar, MD 330 Turner McCall Blvd, Suite 1050 Rome GA 3016551597RN068992Meltzer, Liza Blevins 10/13/20098280
John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN068992Meltzer, Liza Blevins 7/31/20119104
Joseph Slappey, MD 1610 Forsyth St Macon GA 3120134473RN164346Melvin, Heather Woodward 5/16/201610998
Kashif Naseem, MD 3642 Wheeler Rd Augusta GA 3090958109RN235296Melvin, Tonisha Jeane 5/8/201513193
Joseph Korwin, MD 1 Freedom Way Augusta GA 3090734878RN235296Melvin, Tonisha Jeane 12/3/201514746
Peter Wrobel, MD 1218 Alice Street Waycross GA 3150140285RN133916Mercado, Mary Katherine 6/14/20119035
Martin, Garland MD 391 S. 1st Street Jesup GA 3154547233RN133916Mercado, Mary Katherine 2/8/201310243
Gregg McHan, MD 785 E. Main Street Blue Ridge GA 3051334654RN105216Mercer, Gayle Lockridge 9/1/20098131
Daniela Rojas Molina, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054055331RN105216Mercer, Gayle Lockridge 5/29/20128761
Michael Gervasi, DO 75 Bypass Roadm Box 540 Morganton GA 3056044923RN105216Mercer, Gayle Lockridge 11/4/20072010
Vijitha Prasad, MD 117 Kite Road Swainsboro GA 3040140520RN156565Meritt, Lisa Michele 7/22/20161478
Leslie Cottrell. MD 1601 Maple St Carrollton GA 3011845194RN152283Merrill, Christy Erin Cotney 8/24/201614362
Saturday, January 21, 2017 Page 126 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Brady, Michael MD 320 Margie Drive Warner Robins GA 3108833534RN155336Merritt, Shannon 1/19/201410851
William Rankine, Jr, DO 116 Tommy Stalnaker Dr, Bldg A Warner Robins GA 3108855294RN155336Merritt, Shannon Elizabeth 6/1/20128833
Dingane Baruti, MD 664 N Main St Pearson GA 3164255411RN201661Merritt, Amanda 3/21/201615855
Russell Brown, MD 2001 Martin Luther King Jr Dr, # 418-430Atlanta GA 3031039743RN224477Merriweather, Kenyatta Chevelle 9/1/201511973
Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN237132Messer, Tara Megan 5/1/201413531
Jaymal R. Patel, MD 601 West 11th Ave., PO Box 1988 Albany GA 3170250984RN112998Metheny, David R. 9/15/201411479
Wanda Gobin, DO 601 W 11th Ave Albany GA 3170153912RN112998Metheny, David Roy 11/30/201414354
William Kittle, MD 820 St. Sebastian Way, Ste 4-C Augusta GA 3090125197RN045066Metz, Linda 9/28/20085437
David Parler, MD One Freedon Way Augusta GA 3090434216RN045066Metz, Linda Boone 8/31/201616872
Joseph Korwin, MD One Freedom Way Augusta GA 3090434878RN045066Metz, Linda 12/10/201514748
Shaena Blevins, MD 743 Spring St. Gainsville GA 3050160242RN176382Meyer, Rebecca E. 1/11/201613565
Daniel Cobb, MD 1240 Jesse Jewell Pkwy, Ste 400 Gainesville GA 3050160163RN176382Meyer, Rebecca E. 5/14/201513609
Anuj Chandra, MD 111 North Pine Street Trenton GA 3075241753RN218891Meyers, Michelle 1/16/201310959
Susan Nowak, MD 1050 Carl Griffin Drive Savannah GA 3140558713RN135637Miclat, Cristine Palacios 7/15/20098222
Naghma Khan, MD 1645 Tullie Cir Atlanta GA 3032937252RN097848Middlebrooks, Brenda Denese 9/29/20142026
Musaddiz Waheed, MD 915 Gordon Ave. Thomasville GA 3179261368RN162466Milam, Lindsay S. 2/21/201411546
Goldstein, Matthew MD 1700 Medical Way Snellville GA 3007848115RN209012Milburn, Terri 8/15/201610749
Andrew Cichelli, MD 1601 Fair Rd, Suite 600 Statesboro GA 3045844433RN135390Miles, Karen L. 9/30/20142029
Matthew Hazen, mD 5455 Meridian Mark Rd, Ste 200 Atlanta GA 3034269324RN208578Miley, Camella 7/1/201616646
A. Patrick Brooks, MD 1500 Oglethorpe Ave, Suite 400-A Athens GA 3060622724RN111545Miller, Jenifer Susan Van Brackel 5/13/20112040
H. Philip Morris, Jr., MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN111545Miller, Jenifer S. 12/17/20129545
Saturday, January 21, 2017 Page 127 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Masih Uddin, MD 385 Hawthorne Lane, #300 Athens GA 3060642751RN111545Miller, Jenifer S. 8/17/20129891
William Harper, IV, MD 1021 Talbotton Rd Columbus GA 3190420726RN212631Miller, Vashti Gift 3/15/20119642
Andrew A. Waldman, MD 710 Center St, Emer Dept Columbus GA 3190148001RN183390Miller, Gwendolyn G. 5/20/201411411
James Polhill, MD 1067 Peachtree St. Louisville GA 3043418066175982Miller, Kelley 5/31/201616703
Samuel Williams III, MD 4421 Carnes St. Acworth GA 3010172749RN176756Miller, Leslie 9/15/201516154
Michelle Huggins, MD 207 Crestmont Way Canton GA 3011434368RN146822Miller, Sheila Ann Moore 6/3/201618682
M. Rabiul Alam, MD 11660 Alpharetta Hwy Roswell GA 3007661549RN146822RN171315
Miller, Sheila Ann 6/5/201514818
Saudiqa Hoossainy, MD 5150 Stilesboro Rd, Ste 220 Kennesaw GA 3015268179RN089642Miller, Nancy Elizabeth 12/7/201516598
Terry Melvin, MD 4411 Oakwood Drive Chattanooga TN 3741635951RN189150Miller, Leah Harris 5/27/201613187
Stephen Szabo, MD 6300 Hospital Pkwy, Suite 300 Johns Creek GA 3009744850RN111545Miller, Jenifer Susan Van Brackel 4/30/201513769
Narasimhulu Neelagaru, MD 170 Cardiology Place Commerce GA 3052931081RN111545Millier, Jenifer S. 12/31/201311265
Candice Tate, MD 400 Galleria Pkwy, Suite 1500 Atlanta GA 3033959967RN081528Millington-Upshaw, Venus D. 8/30/20129407
Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN081528Millington-Upshaw, Venus D 8/19/20108902
Jose Acevedo, MD 1299 Interstate Pkwy Augusta GA 3090925499RN077228Mills, Leslie Carol Medford 7/22/20112052
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN145096Mills, Valerie Anne 1/1/20102049
Brent Beaird, MD 775 West Avenue, Suite A Cartersville GA 3012045720RN102683Millsap, Lori Ann Waters 10/19/20092053
Safia Pirani, MD 220 Oakside Lane Canton GA 3011456624RN102683Millsap, Lori W. 3/3/201511266
Albert Lintel, MD 775 west Ave, Suite A Cartersville GA 3012028595RN102683Millsap, Lori Ann Waters 1/31/20138845
Helen-Louise Moore, MD 116 South Houston Rd Warner Robins GA 3108845098RN134487Milner, Joni Reba Dixon 9/23/2010804
Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN081530Minter, Bonnie 8/1/201510481
Saturday, January 21, 2017 Page 128 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030839818RN081530Minter, Bonnie Leigh 12/24/20098119
Felissa Goldstein, MD 1920 Briarcliff Rd NE Atlanta GA 3032957467RN081530Minter, Bonnie 1/31/201615882
Sushila Mathew, MD 193 North Park Trail, Suite 100 Stockbridge GA 3028122250RN052474Mishra, Margaret Martini 1/7/20112058
Ronnie Hendrix, MD 4835 Sugarloaf Pkwy Suite 200-300 Lawrenceville GA 3004424690RN104197Mitcham, Betsy Sue Kirkpatrick 10/7/201412842
Mai Ho, MD 4835 Sugarloaf Parkway # 200-300 Lawrenceville GA 3004461255RN104197Mitcham, Betsy Sue 10/4/201414516
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN151092Mitchell, Bridgette Anne 7/7/20128944
Kevin Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441961RN151092Mitchell, Bridgette Anne 9/30/20095527
Ricardo Raul Riesco, MD 711 Shields Road Dalton GA 3072044069RN143794Mitchell, Cynthia Lorraine 11/6/20082059
Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN063812Mitchell, Joan Sapp 2/6/20149112
Yvonne L. Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN206296Mitchell, Aundre R. 6/2/201411552
Gloria Castillo, MD Blandy Way Office Pk 60, Hwy 22 W Milledgeville GA 3106124912RN063812Mitchell, Joan Sapp 7/3/20129363
Gwendolyn V. Morgan, MD 509 Sumter St, Suite C Montezuma GA 3106324040RN063812Mitchell, Joan Sapp 7/25/201311422
Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN151092Mitchell, Bridgette Anne 5/1/20098444
Gayoung Hong, MD 13570 N Main St Trenton GA 3075267467RN208361Mitchell, Patricia Gayle 7/25/201512050
Wiley Smith, MD 218 North Fredrick St Dalton GA 3072163133RN208361Mitchell, Patricia Gayle 5/17/201311804
Dave Ringer, MD 1041 Park Drive Greensboro GA 3064230368RN089650Mitchell-Powell, Sally-Ann Mary 10/21/20082064
John Quigley, MD 2257 GA Hwy 515 Blairsville GA 3051234925RN077261Mixon, Carol Renee Hagins 2/28/20122065
Yejin Kim, MD 2600 Satelite Blvd. Duluth GA 3009657711RN170835Mobbs, Mary C. 3/8/201411473
Cameron, Nadia MD 961 Green Street NE Gainesville GA 3050153982RN185316Mobley, Kathleen 3/8/201210804
Narasimhulu Neelagaru, MD 170 Cardiology Place Commerce GA 3052931081RN185316Mobley, Kathleen Johanna 9/8/201311752
David Arkin, MD 758 Old Norcross Road, Suite 175 Lawrenceville GA 3004528136RN051796Mobley, Letetia Sue Howard 12/31/20102067
Saturday, January 21, 2017 Page 129 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Sheppard, MD 400 Canterbury Dr. Wrens GA 3083347993RN154040Mobley, Jennifer Bailie 1/1/20102066
James Pilcher, MD 1067 Peachtree Street Louisville GA 3043114541RN154040Mobley, Jennifer Bailie 4/5/20119135
Huffman III, William MD 9 Hospital Park Moultrie GA 3176865007RN192380Mobley, Rebecca 2/3/201410084
Cathy Lipton, MD 3720 DaVinci Ct. Ste 400 Norcross Ga 3009229028RN185316Mobley, Kathleen 6/11/201513932
Charles Lodge, DO 6 Hospital Park Moultrie GA 3176824019RN192380Mobley, Rebecca 11/23/201515904
Carl Faulks, MD 1050 Carl Griffin Dr Savannah GA 3140573121RN204201Mock, Kayla 6/16/201514262
Ahmad Jingo, MD 3424 Flat Shoals Road Decatur GA 30034-653645842RN200088Molet, Tamiko 2/18/20148383
Charles Roman, DO 2737 Warm Springs Rd Columbus GA 3190443757RN200088Molet, Tamiko 12/23/201414270
Mahanned Ahmed, MD 4166 Snapfinger Wood Dr. Decatur GA 3003574885RN200088Molet, Tamiko 11/8/201618392
Andrew Magnet, MD 1932 Wynnton Rd Columbus GA 3199960215RN200088Molet, Tamiko 2/1/201616117
Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN136010Momoh, Isata Celia 3/15/20137824
Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN154006Monteilh, Caridad Mercedes 11/2/20098730
Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN154006Monteilh, Caridad Mercedes 6/20/20132072
Terry Melvin, MD 1217 Lafayette Rd. Rossville GA 3074135951RN207357Montgomery, Jennifer Anne 6/1/201613186
Andrea Dabney, MD 274 Big A Rd Toccoa GA 3057766274RN243094Montgomery, Kristen Sue 2/16/201614600
John Kludt, MD 3700 Club Drive Lawrenceville GA 3004434876RN082786Mood, Rochella Rabon 8/5/201413494
Mohammad Masroor, MD 6602 Waters Avenue, Bldg A Savannah GA 3140617705RN046402Moon, Charlene H 2/16/20102077
Jeffrey Watson, MD 510 Oglethorpe Hwy Hinesville GA 3131371907RN046402Moon, Charlene H 9/30/201617302
James Cornwell, MD 3 Hidden Creek Dr Guyton GA 3131250608RN 191998Moore, Kristie Gail 12/3/201512879
Oladayo Osinuga, MD 1000 Briarcliff Rd. Atlanta GA 3030651703RN171792Moore, Kathryn M. 4/18/201311547
Saturday, January 21, 2017 Page 130 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kenneth Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN189608Moore, Megan Elizabeth 12/6/201210988
John O'Connell, MD 5671 P'tree Dunwoody Rd NE, Suite 110 Atlanta GA 3034262266RN170740Moore, Carolyn Meredith Campbel 12/20/20119377
Kenneth Taylor, MD 275 Collier Rd., Ste 500 Atlanta GA 3030938985RN170740Moore, C. Meredith 1/13/201611228
David Carlton, MD 15 Riverbend Dr SW, Suite 120 Rome GA 3016141749RN189608Moore, Megan Elizabeth 7/12/201612221
Michelle Evans, MD 35 Collier Rd NW, Suite 150 Atlanta GA 3030952171RN165228Moore, Amanda Sue 7/1/201312429
Joseph Joyave, MD 204 Professional Court Calhoun Ga 3070143977RN137979Moore, Rebecca Mcwhorter 2/23/20162086
Caroline Yaphockun, MD 330 Turner McCall Blvd, Ste 400 Rome GA 3016553213RN189608Moore, Megan Elizabeth 6/11/20139977
Thompson, Theron MD 1825 Martha Berry Blvd Rome GA 3016551772RN189608Moore, Megan 6/19/201210248
Derralyn Harris, MD 1440 Benning Drive Columbus GA 3190352739RN138492Moore, Chaquita Martin 7/20/20072081
Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN170740Moore, Carolyn 2/1/201310505
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN206234Moore, Bonnie Jo 2/21/20139271
Harbin, Anthony MD 1525 Chattanooga Road Dalton GA 3072029665RN169917RN1699417
Moore, Heather 1/14/201410410
James Richardson, MD 743 Spring St. NE Gainesville GA 3050153601RN171792Moore, Kathryn Marie 5/20/201514053
Barry Renz, MD 55 Whitcher St Ste 130 Marietta GA 3006030195RN102799Moore, Stephanie 5/28/201613843
Lee Collier, MD 104 Fairview Park Dr Dublin GA 3102148033RN123301Moore, Dana Lewis 4/10/201514144
Christina Chen, MD 677 Church St Marietta GA 3006071928RN200447Moore, Verretta Cetrice 4/15/201616227
Michael Lee Miles 7869 Villa Rica Hwy Dallas GA 3015752082RN167524Moore, Kristy Strickland 6/8/201617061
James Greene, MD 1111 Glynco Parkway Bldg1, Ste 10 Brunswick GA 3152529657RN247244Moore, Kerry 5/1/201615770
Joseph L. Ratchford, MD 499 Highway 119 S. Springfield GA 3132932848RN191998Moore, Kristie Gail 4/4/201617120
Nancy Cox, MD 400 Canterbury Dr. Wrens GA 3083366364RN203996Moore, Joyce Marie 6/22/201613726
Saturday, January 21, 2017 Page 131 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Michael Miles, MD 7869 Villa Rica Hwy Dallas GA 3015752082RN167524Moore, Kristy 6/1/201514515
Dean Karampelas, MD 743 Spring St NE Gainesville GA 3050126141RN171792Moore, Kathryn 12/20/201515608
Michael Streleckis, MD 4175 Tanners Creek Dr Flowery Branch GA 3054241490RN173142Moore, Alisha Denise 9/1/201515218
Rodney M. Dourron, MD 2675 N. Decatur Rd, Suite 301 Decatur GA 3003336143RN087831Morales, Evelyn Rosa 12/17/20142092
Manjula Kallur, MD 3807 Clairmont Road NE, 2nd Floor Chamblee Ga 3034157126RN030220Moree, June Powell 10/6/20108370
Derick Vergne, MD 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 3034157263RN030220Moree, June Powell 9/30/20088265
Shyam Kelly Gupta, MD 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 3034163784RN030220Moree, June Powell 1/17/20149427
Shahina Mirza, MD 3807 Clairmont Rd. NE, 2nd Flr. Chamblee GA 3034127297RN030220Moree, June Powell 9/1/201615059
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN178238Morgan, Sarah Abigail 12/28/20108061
Paresh Patel, MD 58 Big A Rd Toccoa GA 3057737325RN106080Morgan, Dawn Nicole Carlton 4/4/20162096
Lisa Mandeville-Brown, MD 315 Winn Way Decatur GA 3003046987RN178238Morgan, Sarah Abigail 11/16/20108062
Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN178238Morgan, Sarah Abigail 11/16/20108059
Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN178238Morgan, Sarah Abigail 6/25/20108063
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN178238Morgan, Sarah Abigail 11/14/20102099
Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN178238Morgan, Sarah Abigail 6/25/20108060
Mary Moore, MD 424 Decatur St SE Atlanta GA 3031241902RN196356RN196356
Morgan, Traci 5/6/201615689
Joseph Joyave, MD 100 Market Place Blvd, Ste 201 Cartersville GA 3012143977RN211260Morgan, Stephanie Cordell 2/23/201613984
Eric Friedrich, MD 10500 Abercorn St., Ste N Savannah GA 3140916344RN187630Morgan, Jackie Lynn 8/13/201617009
Thomas Karisny, MD 202 Hospital Rd Blairsville GA 3051250029RN093714Morgan, Jr, James Horace 11/14/20169517
Christina Nguyen, MD 1331 Helen Hwy Cleveland GA 3052859083RN093714Morgan, Jr., James Horace 2/27/20098293
Saturday, January 21, 2017 Page 132 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
William Parrish, MD 3001 Mercer Univ Dr, Suite 206/SheffieldAtlanta GA 303419905RN209720Morison, Laura Martino 5/11/201512993
Nicole Ash-Mapp, MD 2154 Johnson Ferry Rd NE Atlanta GA 30319-255842993RN209720Morison, Laura Martino 7/3/201413552
Craig Kubik, DO 1501 Alice St Waycross GA 3150147914RN178709Morris, Lorie Ann 3/25/20119588
Richard R. Whitlock, Jr., MD 1348 Walton Way, Ste 5100 Augusta GA 3090120623RN153095Morris, Laura 10/24/20145438
Sohail Choudhri, MD 1501 Alice St Waycross GA 3150136514RN178709Morris, Lorie Ann 3/25/20119589
Dougherty, Anthony MD 3000 Schatulga Road Columbus GA 31917-243530452RN165649Morris, Octavia 2/23/201210330
Howard McMahan, MD 361 Cargile Rd Ocilla GA 3177422824RN165649Morris, Octavia DeChandra 11/1/201513837
Heide Moeling, MD 59 Hospital Road Newnan GA 3026348918RN187113Morrison, Karen L 6/1/20088071
Ellison, Margarett MD 960 Johnson Ferry Rd, Ste 130 Atlanta GA 3034262837RN178192Morrison, Melissa 9/1/201310506
Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN143857Morrow, Maria Michelle 9/29/20142110
Edward Matthews, DO 2525 Williams Rd Columbus GA 3190934896RN117861Morse, Teresa Renee 7/1/20162398
Ricardo Zarzuela, MD 2015 Alice St Waycross GA 3150122292RN113050Moseley, Vanessa Vershel Crews 8/14/201412567
Ghamande, Sharad MD 1120 15th Street, BA7411 Augusta GA 3091249173RN192019Moser, Carissa 8/16/201410099
Daniel Lopez, MD 507 Park Street Palmetto GA 3026864597RN192019Moser, Carissa Anne 8/19/20119312
Robert Burkich, MD 148 Scruggs Rd Ringgold GA 3073646372RN190965Moses, Charity Ann 12/11/20149083
Dawn Wilson, MD 545 Old Norcorss, Ste 300 Lawrenceville GA 3004647279RN173580Moses, Karen 6/15/201616071
Battey, Louis MD 275 Collier Road, Ste 500 Atlanta GA 3030921141RN124145Moshksaran, Mitra 7/25/201210578
Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN138834Moss, Debra Carol Taylor 8/3/20152113
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN205058Moughrabi, Nancy Lynn 7/31/20108788
Tavares Williams, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074264990RN205058Moughrabi, Nancy Lynn 1/1/20119361
Saturday, January 21, 2017 Page 133 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Joe Clements, MD 743 Spring St Gainesville GA 3050143580RN203629Moulder, Nicole Taylor 1/13/201512334
John Adamski, MD 200 South Enota Dr., Ste 150 Gainesville GA 3050168873RN203629Moulder, Nicole Taylor 3/14/201614001
Aziz Pirani, MD 4025 Lawrenceville Hwy., Ste A Lilburn GA 3004761934RN177036Moya, Verushcka G 11/1/201413752
Riesco, Ricaardo MD 1933 Shields Road Dalton GA 3072044069RN190663Moyer, Rachel 2/13/201210435
Rayna Jobe, MD 172 Carriage Trace Marietta GA 3006860386RN190663Moyer, Rachel Lauren 10/26/201311069
Carl Herring, MD 550 Redmond Road Rome GA 3016531941RN136093Mueller, Katherine Michelle 1/9/20151327
Harry D Watkins, MD 924 Old Philadelphia Rd, Suite 102 Jasper GA 3014325308RN160397Muhia, Naomi Wairimu 7/10/20118840
Benjamin Roy Smith, MD 17 Collins Drive Cartersville GA 3012044338RN042463Mulkey, Marie Hagood 6/30/20129867
Yolanda Hacker, MD 2990 Five Forks Trickum Rd Lawrenceville GA 30044-587245811RN199201Mulkey, Emily Beteag 5/16/201412410
Osowa, Alexander MD 3331 Hamilton Mill Rd, Ste 1102 Buford GA 3051957551RN199201Mulkey, Emily 8/31/201310836
William Lynds, MD 780 North Glynn Fayetteville GA 3021433140RN146011Mullen, Bridget Yvette Stevens 10/13/20092118
Mae Morgan, MD 424 Decatur St SE Atlanta GA 3031222902RN146011Mullen, Bridget Yvette 2/19/201615654
Dellys Soler Rodriguez, MD 1405 Clifton Rd NE, 6th floor Atlanta GA 3032272132RN183915Mullen, Lauren Alyse 1/1/201615074
Hewatt M. Sims, MD 1622 Madison Avenue Tifton GA 3179448965RN196567Mullins, Rodney Amos 5/20/201613140
Billy Greening, MD 7285 Hwy 16, Suite B & C Senoia GA 3027642585RN155767Mullis, Lisa Renee 8/11/20118701
Richard Ackerman, MD 3780 Eisenhower Pkwy Macon GA 3120634759RN123086Mullis, Laura Denise Dubois 11/1/20139151
Steven House, MD 3780 Eisenhower Pkwy Macon GA 3120643066RN123086Mullis, Laura Dubois 1/31/20102120
Gerald Bohn, MD 231 Graeffe Street Griffin GA 3022430957RN155767Mullis, Lisa Renee 2/7/20158948
Kevin Napier, MD 231 Graefe Street Griffin GA 3022440749RN155767Mullis, Lisa Renee 11/9/20097901
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN155767Mullis, Lisa Renee 9/1/20098451
Saturday, January 21, 2017 Page 134 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Gururaj Nayak, MD 1909 North Columbia St Ste D Milledgeville GA 3106144033RN167847Mullis, Tabitha Hendrix 5/1/201513828
Jeffery Wadsworth, MD 1365A Clifton Rd NE Atlanta GA 3032262088RN214873Mundy, Martha J 8/31/20169919
Linda Sacks, MD 4750 Waters Avenue, Suite 206 Savannah GA 3140424724RN182123Munoz, Recia 12/12/20148447
Charles Myers, MD 1735 S Highway 27 Carrollton GA 3011769314RN183145Murff, Char 7/4/201515504
Schrum, Forest MD 1825 Martha Berry Blvd Rome GA 3016541946RN191449Murphy, Evelyn 4/26/201310161
Trishanna Sookdeo, MD 4751 Best Rd College Park GA 3033772697RN244491Murphy, Jason 7/30/201514969
Dennis Thomas, MD 3374 Greystone Way Valdosta GA 3160522898RN102687Murray, Jane W 7/1/201412520
Gregory McHan, MD 787 Main Street Blue Ridge GA 3051334654RN062691Murray, Patricia Ann Stranahan 11/11/20152126
David Atefi, MD 1100 Northside Forsyth Dr, #200 Cumming GA 3004119029RN160381Murray, Tina Marie 9/30/20098369
Felix Bonsu, MD 5185 Old National Hwy Atlanta GA 3034955916RN218157Musa, Caroline Wambui 2/15/201613327
Lourdes DeArmas-Benitez, MD
1606 Norwich Street Brunswick GA 3152043917RN097900Musselman, Margaret E 8/21/20092129
David Faulk, MD 600 Coastal Village Brunswick GA 3152039787RN097900Musselman, Margaret E. 1/25/20129013
Ighovwerha Ofotokun, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030853346RN153996Muther, Kristina Doris 12/22/20082130
Oladayo Osinuga, MD 1203 Cleveland Ave, Suite 2-D East Point GA 3034451703RN162748Mwangi, Dorcas Wangari 1/22/20158651
George Waldon Garriss, III, MD
3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN135298Mwansa, Kym L 9/30/201412554
Kambiz Aflatoon, DO 885 Buford Dr Lawrenceville GA 3004366238135298Mwansa, Kym 9/30/201514742
Patrick Voswinkel, MD 10475 Medlock Bridge Road Duluth GA 3009742760RN086957Myers, Debra Ann 9/30/20118273
Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN086957Myers, Debra 2/5/201210199
Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN086957Myers, Debra Ann 10/11/20107733
Thomas Byars, MD 6 Executive Park Dr, Ste 10 Atlanta GA 3032959689RN205664Myers, Joshua Anthony 2/29/201616623
Saturday, January 21, 2017 Page 135 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN127464Mynatt, Candace Leigh 11/1/20098186
George Waldon Garriss, III, MD
3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN143014Naab, Kimberly Michelle Williams 6/11/201311928
Aneesh Gupta, MD 455 Nathan Deal Blvd Dallas GA 3013253231RN143014Naab, Kimberly 1/30/201311150
John Mersereau, MD 2050 Cumming Highway ste. 100 Canton GA 3011514936RN192461Nace, Shana Elizabeth 4/1/201618057
Ahmad Jingo, MD 3424 Flat Shoal Rd, Suite A Decatur GA 3003445842RN143664Nagaddya, Lillian M. 2/18/20149791
Okiki Louis, MD Take Care Clinic, 9465 Hwy 5 Douglasville GA 3013547479RN143664Nagaddya, Lillian M 11/8/201412096
Kirpich Joseph, MD 969 Windy Hill Rd, Ste E Smyrna GA 3000854904RN143664Nagaddya, Lillian M 3/1/20129964
Henry Watson, MD 3146 Chamblee-Dunwoody Rd, Suite 103Chamblee GA 3034125399RN143664Nagaddya, Lillian M 2/28/20102138
Julia Wilson, MD 9465 Hwy 5 Douglasville GA 3013556787RN143664Nagaddya, Lillian M. 6/19/20139110
Vivian Lennon, MD 4166 Bufored Hwy N E Atlanta GA 3034543121RN192816Nakasone, Alma 9/1/201614726
Jingo, Ahmad MD 3424 Flat Shoals Road Decatur GA 3003445842RN196422Namakula, Judith 6/1/201410860
Nelson Yuen, MD 2292 Peachtree Rd NW Atlanta GA 3030963984RN196422Namakula, Judith 6/20/201616403
Valarie Manley, MD 101 Beckett Lane, Suite 502 Fayetteville GA 3021432783RN102308Nation, Dawnmarie E. Pearson 2/1/20112144
Fred Tega, MD 15-A Baynard Park Newnan GA 3026556493RN102308Nation, Dawnmarie E. Pearson 8/13/20119789
Oyebanjo, Mobolaji MD 307 Old Stone Road Villa Rica GA 3018053509RN197721Nation, Rebekah 12/2/201510334
Mohammad Khan, MD 1407Chattanooga Ave, Ste A Dalton GA 3072042315RN166755Nation, Sherri 1/15/201615321
Eman Kaldas, MD 3121 Peach Orchard Rd, Suite 103 Augusta GA 3090649579RN182324Nattier, Natasha L. 6/27/20119128
Elizabeth May, MD 80 Jesse Hill Jr. Dr., SE Atlanta GA 3030370279RN195468Navalah, Chantal 7/1/201617400
Sandra Gibbs, MD 774 GA Hwy 96 Bonaire GA 31005#####RN195468Navalah, Chantal 1/26/201616249
Erskine James, MD 777 Hemlock St Macon GA 3120147980RN202198Neal, Olivia Rambo 11/11/201312120
Saturday, January 21, 2017 Page 136 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Meenakshi Hari, MD 2520 Windy Hill Rd. Ste 104 Marietta Ga 3006749026RN057680Nejedly, Maureen D 8/1/201413836
Imran Syed, MD 11820 Northfall Lane, Suite 1101 Alpharetta GA 3000944117RN207580Nejem, Rachel Elizabeth 12/2/201411659
Laurence Sperling, MD 1365 Clifton Rd., Ste. 2240 Atlanta GA 3032234250RN127904Nell-Dybdahl, Christine L. 2/1/201513129
Stephen Pastan MD Emory Transplant Ctr, 1365 Clifton Rd, Clinic B
Atlanta GA 3032239196RN212157Nelson, Melissa Marie 8/15/20169987
Stephen Pastan MD Emory Transplant Center, 1365 Clifton Rd #B
Atlanta GA 3032239196RN212157Nelson, Melissa Marie 8/6/20129985
Garcia, Alberto MD 4370 Kingsway, Ste E Valdosta GA 3160254374RN190528Nelson, Stephanie 8/17/201210474
Bryan Cheever, MD 1107 Memorial Drive, Suite 200 Dalton GA 3072034120RN187338Nelson, Kristina Lynn 7/20/20108000
Richard Ambrozic, MD 3321 B N. Valdosta Rd. Valdosta GA 3160243851RN190528Nelson, Stephanie 2/1/201311126
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN206663Nelson, Brandon Scott 4/1/201513215
Jobe, Rayna MD 1615 Ridenour Blvd, Ste 202 Kennesaw GA 3015260386RN157237Nerestil, Sandra 10/30/201210507
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN157237Nerestil, Sandra 2/4/20108917
Eyal Ben-Aire, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030956520RN189528Nesbitt, Charkes Chaketha 6/21/20129604
William Michael Brown, MD 355 Tower Road, Suite 300 Marietta GA 3006021653RN189528Nesbitt, Charkes Chaketha 12/22/20105537
Robert A. Miller, MD 35 Collier Rd, Wound/Hyperbaric Ctr Atlanta GA 3030938295RN189528Nesbitt, Charkes C. 5/20/201311348
Daryl McCartney, MD 215 North Coleman St. Swainsboro GA 3040168067RN173353NeSmith, Kacy Lee Hickman 5/22/201515027
Glen Dasher, MD 1044 Bermuda Run Stateboro GA 3045843354RN173353NeSmith, Kacy Lee Hickman 11/9/201615788
James Chappuis, MD 3161 Howell Mill Rd, Suite 400 Atlanta GA 3032729604RN215180Neu, Lovie Doucette 8/1/201312178
Mary Dailey-Smith, MD 5610 Wendy Bagwell Pkwy, Ste 103 Hiram GA 3014150472RN215180Neu, Lovie 2/8/201615826
Yong Lee, MD 6002 Professional Pkwy, Ste 140 Douglasville GA 3013437597RN215180Neu, Lovie Doucette 6/13/201617309
Kimberly D. Gilbert, MD 5100 West. St. Covington Ga 3001462848RN215180Neu, Lovie Doucette 9/6/201618351
Saturday, January 21, 2017 Page 137 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Raymond Easley, DO 260 Elm St Cumming GA 3004020987RN215180Neu, Lovie 5/22/201515635
Dunagan, Josephine MD 1700 Tree Lane, Ste 110A/B and 360 Snellville GA 3007815553RN117902Neville, Anita Marlene 3/1/2015294
Taylor, Michelle MD 3073 Panthersville Road Decatur GA 3003460104RN132208New, Katina 7/25/201210677
Dorel Bidiuc, MD 707 Old Dalton Ellijay Rd Chatsworth GA 3070551296RN155378Newberry, Brittany Marie 7/1/201613017
Nelson Madrazo, MD 103 GA Hwy 27 East Americus GA 3170949862RN190752Newsome, Brittiany Michelle 5/30/201511740
Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN146013Newton, Maureen Edythe 4/22/20107849
Adrienne Mims, MD 477 Windsor St, Suite 309 Atlanta GA 3031233152RN146013Newton, Maureen Edythe 12/31/20139707
Terry Golden, MD 1961 N Druid Hills Rd Atlanta GA 3032914050RN146013Newton, Maureen Edythe 12/19/201413294
Rose Briglevich, MD 3969 S. Cobb Dr., #107 Smyrna GA 3008017042RN184991Nguyen, Sophie 9/2/201617065
Emmanuel Soyoola, MD 1870 Atlanta Hwy, Ste J-K Gainesville GA 3050453032RN216874Niazi, Abdul 8/20/201511161
Guido H. Ring, MD 1431 Riverside Pkwy Lawrenceville GA 3004345325RN216874Niazi, Abdul Hai 3/15/201411235
Guido H. Ring, MD 3955 Harrison Rd Loganville GA 3005245325RN216874Niazi, Abdul H. 3/15/201411636
Neil Geadstone, MD 295 Wolly Ln, Ste 150 Woodstock GA 3018916917RN216874Niazi, Abdul 8/20/201514706
Stephen Brogdon, MD 250 North Ave Athens GA 3060168377RN216874Niazi, Abdul Hai 1/26/201513835
Virginia Wight, MD 250 North Ave Athens GA 3060532839RN216874Niazi, Abdul Hai 4/4/201615165
Quinton Weldon, MD 116 W. Thigpen Ave Lakeland GA 3163556786RN184239Nichols, Sandra Walker 6/23/20149694
Williams, Jonathan DO 1221 E McPherson St Nashville GA 3163959237RN184239Nichols, Sandra Walker 10/24/201310407
Stetler, Harrison MD 3957 Holcomb Bridge Rd, Ste 100 Norcross GA 3009241681RN198801Nichols, Amy 5/1/201310789
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN162196Nichols, Anne Yost 6/29/20128942
Kevin Smith, MD KSU Hlth Clinic, 1000 Chastain Rd, Hse 52, #5200
Kennesaw GA 3014441961RN162196Nichols, Anne Yost 9/30/20092164
Saturday, January 21, 2017 Page 138 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Capo, MD 1100 Johnson Ferry Rd, #460, Bldg II Atlanta GA 3034222363RN168367Nichols, Lindsey Ann 12/15/20098290
Nelson Yuen, MD 3617 Roswell Rd NE, Suite A Atlanta GA 3030563984RN168367Nichols, Lindsey Ann 6/20/201613671
Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN103935Nicholson, Teresa Lynn Gifford 5/15/201311702
Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlatna GA 3030839818RN175052Nijem, Summer Starr 7/30/20102168
Rana Chakraborty, MD 341 Ponce de Leon Ave NE Atlanta GA 3030841752RN175052Nijem, Summer Starr 5/14/20139366
Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN103666Nipper, Wanda Vining 4/30/20102169
John Harris, MD 1820 Florence Street Savannah GA 3141526RN077978Nivens, Alice Anita Stokes 12/14/20072170
Eduard Docu, MD 102 Bryan Woods Road Savannah GA 3141056426RN077978Nivens, Alice Anita Stokes 5/17/20168185
Cuomo, Michael MD 85 Auburn Park Drive Auburn GA 3001159397RN150406Nix-Beddingfield, Billie 11/16/201110134
Duffey, Jr., Franklin MD 231 West Hancock Street, Box 061 Milledgeville GA 3106116856RN140654Nodine, Jan 10/31/201410221
Robert Burkich, MD 11300 Atlantis Place, Suite A Alpharetta GA 3002246372RN192187Nofziger, Angel Elizabeth 5/29/201412570
Burkich, Robert MD 171 Mt. Paran Rd Atlanta GA 3034246372RN192187Nofziger, Angel 9/10/201410609
Parrish, William MD 3001 Mercer University Drive Atlanta GA 303419905RN192187Nofziger, Angel 9/19/201310610
Brian DeLoach, MD PO Box 8043 Statesboro GA 30460-804351216RN154825Noland, Sharon Sue Stockard 3/14/20112174
Ui Ho Park, MD 3889 Cobb Pkwy NW Acworth GA 3010118938RN107851Northover, Jill Marie Ernst 11/22/201312430
Nadia Cameron, MD 3760 Sixes Rd, Ste 120 Canton GA 3011553982RN107851Northover, Jill Marie Ernst 8/24/201210933
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN098033Norton, Carol B. 7/21/20109161
Divina Dyer, MD 4398 Atlanta Hwy Locanville GA 30052-731457161RN098033Norton, Carol B 5/29/201512629
David Kunz, MD 1655-A Lebanon Rd, Suite A Lawrenceville GA 3004329703RN098033Norton, Carol B. 7/23/20129390
Noreen Andrews, MD 2380 Buford Drive Lawrenceville GA 3004346861RN098033Norton, Carol B. 1/31/20102180
Saturday, January 21, 2017 Page 139 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Julia Wilson, MD 4398 Atlanta Hwy Loganville GA 3005256787RN098033Norton, Carol 6/19/201311529
Susan Blank, MD 3985 Steve Reynolds Blvd, Bldg P Norcross GA 3009333782RN098033Norton, Carol B. 1/29/201616949
Edward Espinosa, DO 577 Glenridge Dr. NE, Ste E200 Atlanta GA 3032859636RN057688Norvell, Barbara 7/15/201311023
Khurram Khan, MD 67490RN057688Norvell, Barbara Lynn 12/30/201312753
James Vick lll, MD 15 Pliverbend Dr S W, Ste 200 Rome GA 3016137720RN147143Nowland, Tammy Carol 4/7/201514597
Tamara New, MD 1405 Clifton Rd NE, AFLAC Cancer Ctr Atlanta GA 3032258712RN174175Nowlin, Andrea Nicole 7/18/201412288
Ifeyinwa Osunkwo, MD 1405 Clifton Rd, Tower 1, 4th Floor Atlanta GA 3032255681RN174175Nowlin, Andrea Nicole 8/31/20135496
Kolade K. Obajuluwa, MD 609 E. Lamar St. Americus GA 3170967147RN222173Nussbaum, Elaine 8/2/201411616
Tania Smith, MD 2420 Westgate Dr., Ste 102 Albany GA 3170751602RN222173Nussbaum, Elaine F 8/21/201513949
Chukwudi Amu, MD 5526 Old National Hwy, Bldg J Suite B Atlanta GA 3034926967RN113098Nwogu, Cecilia Adamma 12/1/20098233
Donald Mackler, MD 102 Gross Crescent Cir, Ste 300 Fort Oglethorpe GA 3074221021RN241445Obear, Paula Hanshaw 1/19/201514168
Ahmad Jingo, MD 3424 Flat shoals Rd Decatur GA 3003445842RN206149RN206149
Obilor, Naomi Tessy 2/1/201514761
Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN188468O'Connor, Diane Marie 2/2/201513011
Teresa Baysden, DO 2001 Antioch Rd Dalton GA 3072157348RN188468O'Connor, Diane Marie 4/24/20118012
Baysden, Teresa DO 243 Huffaker Road Rome GA 3016157348RN188468O'Connor, Diane 10/27/201110079
Paul Kirschbaum, MD 2665 N. Decatur Rd, Suite 260 Decatur GA 3003321728RN182395O'Connor, Whitney Renee 7/18/20139576
Elam, Mark MD 800 Professional Blvd. Dalton GA 3072036147RN188468O'Connor, Diane 1/31/201410212
Paul Walker, DO 1150 Powder Springs Rd Marietta GA 3006446272RN188468O'Connor, Diane Marie 2/25/201514837
Gary Stewart, MD 105 Regency Park Dr McDonough GA 3025357845RN221177Odom, Jhaelyn 5/18/201515576
Whitesell, Thomas MD 2060 Dan Proctor Dr, Suite 2100 St. Marys GA 3155852854RN062128O'Donoghue, Cheryl 6/10/201610774
Saturday, January 21, 2017 Page 140 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
William A. Zorn, MD 2950 Buford Hwy, Ste 140 Cumming GA 3004127746RN122151Oess, Barbara 7/15/201311041
Phillip Bannister, MD 401 West Pike St, Suite A Lawrenceville GA 3012716503RN122151Oess, Barbara Ellen Ohlman 7/15/20132202
Michael Litrel, MD 227 Riverstone Dr Canton GA 3011439623RN122151Oess, Barbara Ellen Ohlman 6/10/201512820
David Faulk, MD 2712 Parkwood Dr. Brunswick GA 3152039787RN238103O'Flynn, Tamsyn Catherine 12/4/201513578
Christopher Stevens, MD 181 South Clayton St SW Lawrenceville GA 3004554515RN107027Ofodile, Ije E. 5/22/20092203
Antony Labady, MD 1467 John Robert Dr, Ste B, C, D Morrow GA 3026063084RN161714Ogbonna, Francisca E. 12/12/201617725
Radian Florea, MD 100 Gross Crescent Cir Ft. Oglethorpe GA 3074249171RN173168Oglesby, Brenda T. 3/11/20128989
Altee Johnson, MD 101 Yorktown Dr, Ste 110 Fayetteville GA 3021460387RN242902Oglesby, Virginia 1/12/201615045
Darryl Harris, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004632920RN079770O'Hara-West, Patricia Shannon 8/10/201512127
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN079770O'Hara-West, Patricia Shannon 12/31/20102206
Adam Meadow, MD 2540 Windy Hill Rd Marietta GA 3006767504RN234013Okibedi-Ahanotu, Alphonsa 12/9/201614680
Afroz Rahman, MD 5211 Adams Street Covington GA 3001417940RN144712Okoro, Roseline 5/14/20108875
Jae Pak, MD 2795 Main St West, Bldg # 27 Snellville GA 3007840185RN144712Okoro, Roseline 1/1/20119394
Melanie Cooper, MD 181 South Clayton St SW Lawrenceville GA 3004545753RN150491Oladokun, Frederica Modupe 5/20/20137870
Dolapo Babalola, MD Take Care Clinic, 181 S Clayton St Lawrenceville GA 3004559119RN150491Oladokun, Frederica Modupe 5/29/201512157
Divina Dyer, MD 4398 Atlanta Hwy Loganville GA 3005257161RN122840Olds, Gretchen Elene 2/14/20092212
Ram K. Reddy, MD 1061 Dowdy Rd., #100 & 101 Athens GA 3060624178RN122840Olds, Gretchen E. 5/22/201311571
Ravikanth, Anupana MD 335 Roselane Street Marietta GA 3006048297RN073151Oliver, Kathryn 12/29/201110321
Okiki Louis, MD 5985 Peachtree Pkwy Norcross GA 3009247479RN117221Olofintuyi, Sophia Evette Yelder 4/2/20112214
Phillip Potter, MD 1700 Hospital South Dr, Suite 504 Austell GA 3010634220RN063656Olsen, Susan Kimberly 6/17/20155284
Daniel Eller, MD 1700 Hospital South Dr, Ste 504 Austell gA 3010689563RN063656Olsen, Susan 10/16/201516482
Saturday, January 21, 2017 Page 141 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Raymond McKoy, DO 18 Riverbend Drive Rome GA 3016144536RN143016Olson, Sheryl A 10/31/20119952
Christopher Doerr, DO 108 Park Ave Athens GA 3060134578RN143016Olson, Sheryl A. 7/27/20119904
Eric A. Deal, DO 2151 W. Spring St. Monroe GA 3065524226RN143016Olson, Sheryl A. 6/22/201411474
Douglas Ash, MD 415-B Pottery Factory Dr Commerce GA 3052949138RN143016Olson, Sheryl A. 6/15/20129665
Christopher Stevens, MD 3003 Old Alabama Rd Alpharetta GA 3002254515RN143016Olson, Sheryl A. 5/26/20119117
Ditaranto, Anthony MD 43 Hilltop Drive Jefferson GA 3054929865RN143016Olson, Sheryl 10/1/201210462
Manjari Devidi, MD 80 Jessie Hill Jr. Drive Atlanta GA 3030369396RN104520Olubuyide, Taiye Anike 6/30/201618347
Suzette LaRoche, MD 12 Executive Park Dr. Atlanta GA 3032946149RN238690Olvera, Victoria Dawn 11/5/201514198
Courtney Shelton, MD 870 Crestmark Dr, Ste 200 Lithia Springs GA 3012250559RN205364Onyirimba, Esther 2/5/201616027
Joel Isom, MD 870 Crestmark Dr, Ste 202 Lithia Springs GA 3012268926RN205364Onyirimba, Esther 4/30/201617410
Valens Plummer, MD 780 North Glynn Fayetteville GA 3021449496RN084496Oparah, Theresa 7/25/20112219
Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN154025Opeka, Julie Ann 3/28/20148238
Johnson, Paul MD PO Box 422022 Atlanta GA 3054246132RN154025Opeka, Julie 2/1/201510612
Riba Kelsey-Harris, MD 1050 Delta Blvd SW Atlanta GA 3035453833RN129064Oraka, Chika Cordelia 11/14/20092220
Andrew Helfgott, MD 1120 15th Street, Suite BA-7410 Augusta GA 3091255953RN181678Orfield, Christeen M. 5/20/20112221
Eric Davis, MD 1221 E McPherson Ave Nashville GA 3163963648RN204986Origer, Andre Jean 12/15/201311689
Charles Semones, MD 1050 Valdosta Hwy Homerville GA 3163451737RN204986Origer, Andre Jean 4/24/201513687
Albert Vernon Dixon, MD 76 Hunt Martin Rd, Suite A Blairsville GA 3051217570RN060259Orr, Carol Davis 3/25/20149341
Shah, Heerian MD 196 Scoggins Drive Demorest GA 3053559016RN060259Orr, Carol 9/12/201210153
Elizabeth Killebrew, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021429898RN167767Oskey, Rebecca Jo 4/5/20112228
Hernan Posas, Jr., MD 4274 North Valdosta Road Valdosta GA 3160232026RN153118Ott, Lynda Dee Davis 12/1/20122233
Saturday, January 21, 2017 Page 142 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Devon Briggs, MD 831 Fairways Court, Ste A Stockbridge GA 3028156972RN207871RN202871
Otubaga, Omolola Adeyinka 11/30/201516566
Shailesh Patel, MD 5454 Yorktown Drive Atlanta GA 3034961931RN207871Otubaga, Omolola Adeyinka 9/12/201618427
Robb Fulton, DO 903 West Ward St, Ste A Douglas GA 3153373325RN112116Outlaw, Melanie 10/4/201615813
Marcus Roberts, MD 903 Westward St., Ste A Douglas GA 3153335986RN112116Outlaw, Melanie Jeannette 6/18/201514031
Julian D. Sharpton, MD 11973 Augusta Rel Lavonia GA 3055317084Rn191947Outz, Mary Allison 9/18/201211268
George Myers, MD 504 Redomond Rd Rome GA 3016535706Rn200411Owen, Audrey 5/13/201616232
Michael Litrel, MD 15 Reinhardt College Pkwy, Bldg 100, Suite 110
Canton GA 3011439623RN131956Owens, Kay Marie Williams 3/21/20082235
Franklin Brown, MD 445 Winn Way Decatur GA 3003062315RN115796Owens, Jacquelyn Denise 10/7/20119414
Anthony Harbin, MD 1525 Chattanooga Road Dalton GA 3072029665RN066880Owens, Cheryl Ann Wilson 1/1/20118495
James Harbin, MD 1525 Chattanooga Road Dalton GA 3072038507RN066880Owens, Cheryl Ann Wilson 12/19/20085288
Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN050884Pacitti, Tryphena M Hendricks 4/15/20102237
Rose Briglevich, MD 3969 South Cobb Drive Suite 107 Smyrna GA 3008017042RN099451Pacitti, Elise Hurley 9/10/201312854
Steven Lenhard, MD 790 Church Street, Suite 250 Marietta GA 3006039153RN099451Pacitti, Elise Hurley 1/7/20148306
Bridgette Guthrie, MD 710 Center St Columbus GA 3190169122RN172490Pagano, Linda Lane 7/22/201614032
Travan Jasper, MD 6410 W John Xing Duluth GA 30097-150745506RN063667Page, Joy Michele 3/7/201514385
Raymond McKoy, DO 2510 Redmond Cir N W Rome GA 3016544536RN212022Page Jr, Douglas Lamar 2/5/201614603
John Souza, MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN212022Page, Jr, Douglas Lamar 5/1/201511838
Kenneth Howard, Md 11766 Hwy 27, Ste A Summerville GA 3074740412RN212022Page, Jr, Douglas Lamar 2/23/201613717
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN212022Page, Jr., Douglas Lamar 12/1/201311874
Saturday, January 21, 2017 Page 143 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jose Cangiano, MD 1 Technology Pkwy South, Ste 1 Norcross GA 3009244182RN073954Painter, Susan Gail 8/26/201615226
Kenneth Patric Jr, MD 1931 Jesse Jewell Pkwy Gainesville GA 3050169243RN237096Palakodeti, Connie Marie 3/6/201514824
Clarice Bell-Strayhorn, MD 6001 Cumming Hwy Sugar Hill GA 3051839730RN237096Palakodeti, Connie 12/20/201414502
Benjamin Abraham, DO 3020 Hwy 124 Snellville GA 3003934757RN089707Palnau, Catherine Martin 3/25/20132245
Martin Michaels, MD 711 Shields Rd Dalton GA 3072026157RN135303Paniagua, Kelli Michelle 12/18/20112248
Halleck, Sylvia MD 1431 Riverside Pkwy Lawrenceville GA 3004316356RN204629Panjwani, Ashraf 7/12/201210808
Blake, Bryan MD 3509 Braselton Hwy, Bldg F Dacula GA 3001940613RN204629Panjwani, Ashraf 3/4/201410809
Schock, Theodore DO 3509 Braselton Hwy, Bldg F Dacula GA 3001930882RN204629Panjwani, Ashraf 3/4/201410807
Utpal Pandya, MD 2400 Mt Zion Pkwy Jonesboro GA 3023664696RN204629Panjwani, Ashraf 8/7/201513372
Leslie Cottrell, MD 1600 Maple St. Carrollton GA 3011845194RN044185Parham, Denise Y 1/1/20152254
Charles Campbell, MD 86 South Cobb Dr, MZ 0454 Marietta GA 3006369772RN064159Parker, Gail Lynne 5/19/201512556
Rodothea Milatou, MD 86 S. Cobb Dr Marietta GA 3006343713RN064159Parker, Gail Lynne 10/1/20139524
Oladayo Osinuga, MD 550 Peachtree St NE Atlanta GA 3030851703RN084681Parker, Jami Louise 1/22/201512855
Mark Ellison, MD 1500 Olglethorpe Ave Suite 200C Athens GA 3060626107RN117408Parker, Kimberly Koye Hilton 4/27/201412857
Elliot Raizes, MD 345 N. Harris St, Suite 100 Athens GA 3060624478RN151818Parker, Curtisia Denise 2/6/20149616
Supriya Mannepalli, MD 743 Spring St Gainesville GA 3050161798RN151818Parker, Curtisia Denise 4/11/201413169
R Gary Branch, MD 10 Doctor St Melter GA 3043930272RN097957Parker, Sharon 3/1/201614432
Yagnick, Hemant MD 404 Town Park Blvd, Ste 101 Evans GA 3080955321RN176156Parkinson, Samantha 6/6/201310154
Patrina Lockette 110 Norman Dorminy Drive Fitzgerald GA 3175048855RN176061Parrish, Heath 5/31/201310979
Thomas Mann, MD Phoebe Dorminy Med Ctr, 200 Perry House Rd
Fitzgerald GA 3175037607RN176061Parrish, Heath Jackson 2/8/201611798
Saturday, January 21, 2017 Page 144 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Scott Waguespack, MD 1401 South Main St. Moultrie GA 3176863014RN204103Parrish, Jessica Ashley 8/3/201617865
Charles Cowart, MD 1101 Ocilla Rd Douglas GA 3153329161RN176061Parrish, Heath 9/2/201515426
Tony Addington, MD 39 Kent Rd, Suite 5 Tifton GA 3179452526RN106229Parson, Carrie Lyn Denby 4/13/20122274
Riba Kelsey-Harris, MD 3740 Cascade Road Atlanta GA 3033153833RN062697Parsons, Lisa Kay Douthitt 12/1/20152275
Vickie Mixon Brown, MD 840 West Thomas Street Milledgeville GA 3106125115RN060102Paschal, Debra Ann Brooks 7/13/20092278
David Weinkle, MD PO Box 422002 Atlanta GA 3034238645RN129904Pasley, Jennifer Mason 6/21/20152279
Anthony Howard, MD 3075 Ronald Reagan Blvd, Ste 501 Cumming GA 3004134616RN210698Passmore, Tewana 10/22/201516407
Warren Weber, MD 3875 Austell Road, Suite 203 Austell GA 3010626677RN153266Pastorino, Cynthia Ann Mance 6/10/20092280
Darshana Sheth, MD 2550 Windy Hill Road, Suite 309 Marietta GA 3006758642RN153266Pastorino, Cynthia Ann Mance 4/30/20128281
Lawrence Weiss, MD 1121 Johnson Ferry Rd, Suite 340 Marietta GA 3006844863RN174392Patel, Purvi Mukesh 10/6/20109113
Darshana Sheth, MD 2476 Canton Rd NE Marietta GA 3006658642RN174392Patel, Purvi Mukesh 2/1/20129468
David Nussbaum, DO 712 North 7th St Cordele GA 3101567697RN221100Patel, Falguni 8/2/201412384
Christopher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006721796RN145957Patel, Namita G. 12/8/20168894
Nipun Patel, MD 3646-B Chamblee Tucker Rd. ste B Chamblee GA 3034146800RN260993Patel, Dina Ashok 12/27/201619283
Chester Lapeza, MD 602 East 16th Ave, Ste B Cordele GA 3101544263RN221100Patel, Falguni 9/20/201614101
Claire Willie, MD 1324 Hwy 138 S.W. Riverdale GA 3029639177RN165491Patterson, Daphne Maria 12/30/20119650
Raymond Easley, DO 555 Old Norcross Rd, Suite 100 Lawrenceville GA 3004620987RN165491Patterson, Daphne Maria 10/1/201312247
Paul Bradley, MD 340 Eisenhower Dr, Suite 1200 Savannah GA 3140630016RN124405Patterson, Donna Marie Smoak 12/19/20082284
Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3006466222RN164071Patton, David 7/13/201210128
Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN164071Patton, David Garrett 6/27/20115206
John Ogundipe, MD 2130 Anderson Mill Rd Austell GA 3010639193RN215782Patton, Haley Ann 4/25/201514126
Saturday, January 21, 2017 Page 145 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Chester R. Lapeza, MD 1004 W Ward St Douglas GA 3153344263RN052908Paulk, Jane 9/22/201411427
Walter Smith, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024837078RN150120Paulk, Tina Baker 12/15/20159583
Marc Goldman, MD 1538 13th Ave, Suite B-300 Columbus GA 3190139579RN164177Paulson, Tabatha D. 6/23/20119007
Mitzi Rubin, MD 564 Crosstown Dr Peachtree City GA 3026949592RN129689Pause, Donna Jenkins 1/1/201616485
Jonathan Allen, MD 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 3074256949RN191676Payne, Andrea Bush 11/1/201412757
Stewart, Deirdre MD 410 Peachtree Parkway, Ste 300 Cumming GA 3004139022RN068135Payne, Margaret 3/14/201510548
Ralph Warnock, MD 4421 Carnes St Acworth GA 3010117337RN137097Payne, Melissa Kirkland 5/20/20162295
Mulberry, Michael MD 24 Alicia Lane, Ste 7 Dahlonega GA 3053350725RN122561Payne, Teresa 9/18/200810563
Barbara McMillan-Persaud, MD
5127 Jimmy Carter Blvd Norcross GA 3009346887RN183181Payne, Jennifer 3/12/200995
Lloyd Rimer, MD 3541 Chattanooga Rd Tunnel Hill GA 3075530665RN191676Payne, Andrea 2/4/201514840
Gary Smith, MD P.O Box 729 Ringgold GA 3073610666RN191676Payne, Andrea 9/26/201515541
Stanley Morgan, MD 101 Harris Industrial Blvd, Suite C Vidalia GA 3047435106RN085963Peacock, Barbara Tucker 8/31/20162299
K. G. Kumar, MD 3207 Country Club Drive Valdosta GA 3160520562RN054555Pearce, Barbara Ann Patterson 6/1/20128677
William R. Grow, MD 3207 Country Club Drive Valdosta GA 3160513752RN054555Pearce, Barbara Ann Patterson 9/1/20092302
John Gott, MD 95 Collier Rd., Ste 5015 Atlanta GA 3030928989RN159135Pearce, Robin 7/28/201311027
Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN054555Pearce, Barbara Ann Patterson 11/1/20159631
Anna Kalynych, MD 275 Collier Rd, Suite 300 Atlanta GA 3030938527RN159135Pearce, Robin Wise 8/7/20122303
Eutzler, James DO 520 Griffin Avenue Valdosta GA 3160149729RN054555Pearce, Barbara 9/28/201510881
Fariborz Zaer, MD 106 E Broad St Savannah GA 31401-291745679RN166226Pearlman, Brett Parsons 1/15/201614281
Brian Coleman, MD 4700 Walers Ave (ER) Savannah GA 3140460360RN166226Pearlman, Brett Parsons 1/30/201514347
Saturday, January 21, 2017 Page 146 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Teresa Clark, MD 2920 Pharr Ct South, NW Atlanta GA 3030520417RN137049Peart, Adrienne Collins 6/17/201614169
Nelson Madrazo, MD 105 Walnut St Montezuma GA 3106349862RN074675Pease, Margaret Ann 11/16/20169275
Poornima Chintalapalli, MD 1610-D E. Forsyth St Americus GA 3170961405RN074675Pease, Margaret Ann 7/5/20109080
James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN074675Pease, Margaret Ann 9/1/20092306
John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN113917Pease, Diane Susan Schroeder 8/4/20102305
Thomas Hurd, MD 400 Tower Road, Suite 350 Marietta GA 3006027070RN143241Peavey, Alica Ann Giljam 1/31/20112307
Thomas Hatchett, MD 870-A Austin Dr Demorest GA 3053536984RN134282Peck, Ann Marie 5/11/20152310
Brian Herrmann, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034254219RN168014Pecot, Jennifer Young 8/6/20103333
Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN181612Peden, Alison 9/1/201410627
Alicia Weksler, MD 1012 Burleyson Rd Dalton GA 3072037924RN181612Peden, Alison Cardell 6/1/201613909
Vera Garcia, MD 209 E Main St Hahira GA 3163254375RN206978Peek, Sarah 5/14/201515427
Scott Clark, MD 2324 Limestone Overlook Gainesville GA 3050152157RN127796Pegues, Kimberly Denise Jones 10/16/20142313
Sonjoy Laskar, MD 1365 Clifton Rd NE Atlanta GA 3032254772RN196014Pekarek, Ann 8/17/201616321
Norman Decker, DO 1915 Eisenhower Dr Savannah GA 3140637984RN206475Pena, Erica Denise 3/31/20139176
Michael Schechter, MD 1547 Clifton Road NE Atlana GA 3032258776RN139571Pendley, Stephanie 2/18/20139852
Charles Burke, MD 1008 North 3rd Ave Chatsworth GA 3070558876RN175506Penland, Erin Nicole 5/23/20129159
Daniela Rojas-Molina, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054055331RN175506Penland, Erin Nicole 11/13/201312361
Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN175506Penland, Erin 6/14/201310827
Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN202321Perrel, Diana Marie 12/18/20118586
Hernandez-Aviles, Milca MD 1933 Shields Road Dalton GA 3072061749RN202321Perrel, Diana 3/17/201510440
Roshni Patel, MD CHOA, 1645 Tullie Cr. Atlanta GA 3032957141RN166520Perry, Venester 2/15/201311168
Saturday, January 21, 2017 Page 147 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Cheng, MD 1645 Tullie Circle Atlanta GA 3032953117RN166520RN166520
Perry, Venester A 1/29/201511700
Skiwski, Jason MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074264973RN134054Perry, Mitzie 3/3/201210165
Ronald Watts, MD 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 3028144862RN201965Perry, Tracy 7/7/201615836
Andrew Carlson, MD 116 W. Church St. Americus GA 3170934554RN153051Perry, Lori Ann 10/10/201618056
Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN107663Persky, Lizette 7/2/20108057
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN107663Persky, Lizette 9/30/20148055
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN107663Persky, Lizette 12/31/20128058
Harvey N. Sacks, MD 148 Bill Carruth Pkwy, Suite 100 Hiram GA 3014117880RN115803Peshel, Tabatha Michele 6/24/20115440
Brett Murphy-Dawson, MD 2100 Comer Avenue Columbus GA 3190454080RN200864Pestrak, Mary Ann 5/27/20118065
William Mills, MD 58 Big A Road Toccoa GA 3057750901RN199089Petca, Persida 2/17/201210208
Ighouwerha Ofotokun, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030853346RN139529Peters, Marcia Jean 8/12/20112333
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN189815Peters, Erin Michelle 7/31/20108787
Rowland Chigbu, MD 2202 E Oglethorpe Blvd Albany GA 3170563642RN124526Peters, Zelda Regina 10/31/201312232
Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN117123Petersen, Melissa Tucker 7/23/20102336
Lisa Mandeville-Brown, MD 315 Winn Way Decatur GA 3003046987RN117123Petersen, Melissa Tucker 7/23/20108605
Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN117123Petersen, Melissa Tucker 7/23/20108606
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN117123Petersen, Melissa Tucker 7/23/20108604
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN117123Petersen, Melissa Tucker 7/23/20108607
Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN117123Petersen, Melissa Tucker 7/23/20108603
Kirk Kanter, MD 1405 Clifton Rd Atlanta GA 3032230631RN113166Peterson Jr., Berry Lawrence 12/2/20122337
Saturday, January 21, 2017 Page 148 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Eugene Jackson, MD 118 NomanDorminy Dr Fitzgerald GA 3175022793RN203692Petrie, Kathryn 7/11/201615178
Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN175210Petty, Jeremy A. 9/1/20119629
Terry Melvin, MD 1217 Lafayette Rd Rossville GA 3074135951RN248581Philipose, Minu 6/1/201615970
Zia Khan, MD 2579 Hwy 54 Peachtree City GA 3026962533RN116540Phillips, Karen Curtis 5/9/201411953
Burton, Norris Kent MD 39 Kent Road, Suite 1 Tifton GA 3179431888RNRN133630
Phillips, Janna 8/3/201210106
John David Arnett 200 Doctor's Drive Douglas GA 3153338423RN133630PHILLIPS, JANNA 12/31/201411270
John Arnett, MD 200 Doctor's Dr., #106 Douglas GA 3153338423RN133630Phillips, Jana 12/31/201411058
John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN169956Phillips, Shanon Renee 8/1/20138516
Narayan, Nalini MD 119 Ambulance Drive Carrollton GA 3011644287RN130803Phillips, Ronda 3/17/201410319
Patrick Bowen, MD 1365 Clifton Rd NE, #A-4 Atlanta GA 3032248982RN116540Phillips, Karen Curtis 12/1/2012706
Michael Rallo, MD 7020 Moon Road Columbus GA 3190954655RN141185Phillips, China Henry 3/27/20152340
Lisa Miller, MD 4152 Baker St Covington GA 30014-140438874RN169956Phillips, Shanon Renee 11/27/201312315
Roger Branch, MD 10 Doctors St Metter GA 3043930272RN184707Phillips, Monica Rae 6/13/20149972
Robert Burkich, MD 148 Cobb Parkway Ringgold GA 3073646372RN215472Phillips, Roxanne 2/29/201616452
David Van, MD 290 Country Club Dr, Ste 200 Stockbridge GA 3028129545RN116540Phillips, Karen Curtis 4/27/201513478
Kenneth Howard, MD 1060 Redbud Rd Calhoun GA 3070140412RN215472RN215472
Phillips, Roxanne 9/10/201515266
Holly Clemons, MD 1050 Eagles Landing Parkway, Ste 200 Stockbridge GA 3028171921RN116540Phillips, Karen 7/12/201615622
Forrest Smith, MD 45 W. Crossville Rd Roswell GA 3007523230RN250274Phillips, Charleitte 10/11/201619071
Ruth Shim, MD PO Box 26238 Atlanta GA 3030355889RN088054Philson, Beverly Lynn 7/31/20148678
Saturday, January 21, 2017 Page 149 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sara Carolyn Acker, MD PO Box 26238 Atlanta GA 3030358383RN088054Philson, Beverly Lynn 6/19/20098525
Svathi Reddy, MD PO Box 26238 Atlanta GA 3030356352RN088054Philson, Beverly Lynn 6/1/20108679
Monifa Seawell, MD 10 Park Place South, Ste 215 221 235 Atlanta GA 3030370582RN088054Philson, Beverly 7/1/201614532
Moore, Daniel MD 790 Church Street, Ste 330 Marietta GA 3006038562RN137164Pickens, Herretta LaChell 12/13/201210730
Adrian Douglass, MD 35 Collier Rd, Suite 500 Atlanta GA 3030936522RN137164Pickens, Herretta La'Chell 10/28/201411660
Tracy E. Wimbush, MD 1240 Eagles Landing Pkwy, Ste 300 Stockbridge GA 3028168869RN137164Pickens, Herretta L. 5/19/201617187
Anthany Claro, MD 1975 Hwy 54 West, Ste 100 Peachtree City GA 3026945425RN137164Pickens, Herretta La'Chell 3/6/201514254
Shahram Rezaiamin, MD 900 Eagles Landing Pkwy Stockbridge GA 3028149939RN137164Pickens, Herretta 10/21/201515596
Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN186812Pickett, Angelique Laurelyn Schultz 10/29/20149762
Robinson, Todd MD 14 Cherokee Road Cedartown GA 3012540773RN186812Pickett, Angelique 10/3/201310086
Dingane Baruti, MD 100 Yorktown Dr, Ste 110 Fayetteville GA 3021455411RN186812Pickett, Angelique Schultz 11/30/201514274
Bradley Ward, MD 48 Hills Creek Rd. Taylorsville GA 3017821115RN186812Pickett, Angelique Laurelyn Schultz 9/5/201413496
Reden Delgado, MD 1168 North Main St, Ste 120 Cedatown GA 3012565957RN243778Pickett, Halima Ama 2/1/201614857
Das, Santanu MD 1049 N. Houston Road Warner Robins GA 3109342560RN106291Pierce, April 6/9/201410694
Kelly McCants, MD 95 Collier Rd, Ste 3000 Atlanta GA 3030972798RN244034Pierce, Caroline Elizabeth 11/15/201514945
Kelli Carter, MD PO Box 1197 Thompson GA 3082441529RN085698Pierson 8/1/2011885
Jack L. Miller, MD Concentra, Plant Vogtle, 7825 River Rd Waynesboro GA 3083024987RN085698Pierson-Elam, Sylvia Marie 9/30/201411304
Seymour Solodar, MD 4015 S. Cobb Dr, Suite 10 Smyrna GA 3008014956RN167855Pihera, Rebecca Anne Pride 6/24/20139557
Wheeler, George MD 1218 Alice Streeet Waycross GA 3150133751RN123572Pike, Dawn 2/5/201510123
Russell Wagner, MD 2160 Fountain Drive, Suite D Snellville GA 3007833740RN072278Pilcher, Linnea Marie Haas 3/14/20082347
Jae Pak, MD 2160 Fountain Dr, Suite 200 Snellville GA 3007840185RN072278Pilcher, Linnea Marie Haas 1/6/20119392
Saturday, January 21, 2017 Page 150 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Yolanda Graham, MD 1291 Stanley Rd NW Kennesaw GA 3015238001RN149651Pilgrim-Boyd, Amber Hope 5/13/20149884
Richard Spurlock, MD 745 Poplar Dr. Newnan GA 3026559207RN144793Pindling, Andrea 1/30/201311127
John Ogundipe, MD 7823 Spivey Station Blvd Jonesboro GA 3023639193RN11408Pingeton, Robin Ann 7/1/201412858
Alan Wang, MD 601 Notholt Pkwy Suwannee GA 3002448017RN114408Pingeton, Robin 2/10/201615755
David Martin, MD 1136 Cleveland Ave, Suite 608 East Point GA 3034421757RN140882Pinkston, Latoya N. 12/24/20149506
Kenneth Grotz, MD 4150 Washington Rd, Suite 11 Evans GA 3080937820RN235487Pinkston, Shannon Lea 10/29/201413297
George Pursley, MD 1219 West Wheeler Pkwy, Ste A Augusta GA 3090931308RN194511Pinner, Andrea Elizabeth 9/4/201515295
Amar Singh, MD 550 Redminsd Rd. Rome GA 3016552227RN235091Pinyerd, Abby Rene 11/4/201413528
Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN135264Pipkin, Lisa Hocker 5/19/20088143
Divina Dyer, MD 1762 Mars Hill Road NW Acworth GA 3010157161RN154748Piri, Manuel 10/25/20148432
Miguel Jimenez, MD 1676 Mulkey Road, Suite A Austell GA 3010652966RN154748Piri, Manuel 12/7/20077889
Donald Fordham, MD 865 Austin Dr Demorest GA 3053544718RN160182Pirkle, Jeanette Susan 12/20/201413373
John Cowan, Jr, MD 550 Redmond Road Rome GA 3016560167RN124333Pitts, Andrea Briscoe 1/3/20158356
New, Tamara, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN081207Pitts, Robin Diane Harshman 7/31/20132355
Edward Meier, MD 2112 Shorter Avenue, Suite 200 Rome GA 3016543426RN124333Pitts, Andrea Briscoe 9/30/20088194
Ortelio Bosch, MD 7450 Skidaway Rd Savannah GA 3140651119RN124333Pitts, Andrea 6/23/201615577
Tamara New, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN178205Planeaux, Michelle B. 1/1/20122356
Talboy, Amy MD 1920 Briarcliff Rd NE Atlanta GA 3032937317RN178205Planeaux, Michelle 8/1/201510482
Navreet Sidhu, MD 1920 Briarcliff Rd. Atlanta GA 3032975142RN178205Planeaux, Michelle Barbara 5/13/201617325
Felissa Goldstein, MD 1920 Briarcliff Rd NE Atlanta GA 3032957467RN178205Planeaux, Michelle 1/31/201615967
Mendez, Traceyan MD 215 N. Coleman Street Swainsboro GA 3040157831RN171306Plaxico, Elisha 4/6/201210288
Saturday, January 21, 2017 Page 151 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Muhammad Jamal, MD 452 Second Street Sopeton GA 3045758255RN171306Plaxico, Elisha Amy 10/31/20118767
Miller, Jeri MD 200 Industrial Blvd ER Dublin GA 31-2130835RN171306Plaxico, Elisha 10/31/201310069
Timothy Bunker, MD 1107 Memorial Dr, Ste 100 Da Hon GA 3072049851RN184431Poarch, William 1/8/201614769
Adebayo Akinsola, MD 3807 Clairmont Rd Chamblee GA 3034167381RN074932Poirier-Elliott, Elaine Marie 8/7/201512956
Dawn Swaby-Ellis, MD 3807 Clairmont Road Chamblee GA 3034129112RN074932Poirier-Elliott, Elaine Marie 12/31/20132361
Talboy, Amy MD 1920 Briaracliff Rd NE Atlanta GA 3032937317RN054213Pomar, Pamela 11/27/201310483
Bhumiben S. Purohit, MD 1890 Manor View Cumming GA 3004158812RN149123Ponder, Bonita 3/15/201311574
Muhammad Akmal, MD 200 Industrial Blvd, Suite 114 Ellijay GA 3054044665RN196129Ponniah, Shivanthi 6/11/20098549
Jonathan Chen, DO 55 Whitcher St, Suite 160 Marietta GA 3006060811RN125435Pool, Suzanne Laurel 7/1/201512581
Yvonne Smith, MD 145 Standing Oak Place Fayetteville GA 3021442443RN170616Porter, Erin James 9/5/201412779
Seth Wagner, MD 100 Gross Crescent Cir, Ste 203 Fort Olgethorpe GA 3074270602RN144810Porter, Laura Lynn 11/28/201414413
Albert Copeland, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054031400RN210395Posey, Tammy Lynn 12/19/20109330
Daniela Rojas-Molina, MD 772 Maddox Dr, Suite 122 Ellijay GA 3054055331RN210395Posey, Tammy Lynn 5/15/20129623
Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN192280Potter, Betty Jean 8/10/20129454
Dorothy Stewert, MD 5398 Thomaston Rd, Ste B Macon GA 3122046565RN192280Potter, Betty Jean 9/1/201515514
Vivian Lennon, MD 4166 Buford Hwy, Suite 1102 Chamblee GA 3034543121RN192200Pottinger, Aikaterine Sofia 10/24/201411721
Bernerdine M. King, MD 705 Jesse Jewell Pkwy, Ste 200 Gainesville GA 3050142071RN117011Povolny, Angela M. 6/21/201311214
Scott Clark, MD 2324 Limestone Overlook Gainesville GA 3050152157RN117011Povolny, Angela Michelle 2/28/201412095
Niall Galloway, MD 1365-B Clifton Rd, Suite 1400 Atlanta GA 3032231921RN092714Powell, Tracy Elaine Carr 2/14/20112384
Jerry Purvis, Sr, MD 520 Griffin Avenue Valdosta GA 316019235RN063932Powell, Pamela Westberry 8/26/20149858
Eric Stout, MD 1525 Baytree Rd, Suite F Valdosta GA 3160256629RN063932Powell, Pamela Westberry 2/16/20112382
Saturday, January 21, 2017 Page 152 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN106617Powell, Laura A Huff 8/1/20112377
Michael C. Pinell, MD 701 Baytree Rd., Ste A Valdosta GA 3160258102RN063932Powell, Pamela W. 9/9/201311184
Katharine Ammons, MD 1825 Martha Berry Blvd Rome GA 3016537744RN208590Powers, Lisa LuAnne 2/18/20119227
Veronica Garrett, MD 1567 Milstead Rd NE, Suite B Conyers GA 3001239106RN206880Prade, Kenya Monique 5/30/20149274
Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN123825Prather, Deborah Kay 2/24/20122386
William Watkins, MD 235 P'tree St NE, North Tower, #2100 Atlanta GA 3030332076RN123825Prather, Deborah Kay 9/1/20148658
Jackson, Robert MD 50 Kelly Road McDonough GA 3025349698RN123825Prather, Deborah 2/24/201210115
Jacalyn Gilbert-Green, MD 4861 Bill Gardner Parkway Locust Grove GA 3024874801RN123825Prather, Deborah Kay 7/31/201618077
John Vu, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024840813RN123825Prather, Deborah Kay 8/1/201614290
Linda Moore, MD 610 19th Street Columbus GA 3190155849RN162398Prator, Amanda Marie 12/16/20108854
Thomas Isenovski, DO 2122 Manchester Expressway Columbus GA 3190455602RN162398Prator, Amanda Marie 9/20/20138789
Emile Risby, MD 3000 Schatulga Rd Columbus GA 3190730869RN240957Pratt, Karen Ann 2/28/201513864
Criner, James MD 17612 Mars Hill Road NW Acworth GA 3010154179RN094003Prayter, Susan 1/13/201410882
Nitasha Burney, MD 5230 Dallas Hwy Powder Springs GA 3012755931RN094003Prayter, Susan Marie 9/29/20142388
James Butts, MD PO Box 2683 Gainesville GA 305039103RN147000Preissler, Dianne Lynne Woods 3/14/20162389
Barnett III, Golden MD 80 Jesse Hill Jr Drive, 13th floor, Emer DeptAtlanta GA 3030355090RN071143Prest, Lois 3/29/201310107
Bandupriya Vidanagama, MD 80 Butler Street Atlanta GA 3030318758RN071143Prest, Lois Marie 8/26/20102393
Patrick Haggard, MD 80 Jesse Hill Jr Dr Atlanta GA 3030349403RN071143Prest, Lois Marie 7/7/20119348
David Van, MD 747 South Hill St. Griffin GA 3022429545RN126112Preston-Lloyd, Crystal Ann 10/1/201618278
Jeffrey Reed, MD 1631 Hwy 20 West McDonough GA 3025358580RN126112Preston-Lloyd, Crystal Ann 1/3/201719115
Saturday, January 21, 2017 Page 153 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Tasha Feaster, MD 1133 Eagle's Landing Pkwy Stockbridge GA 3028162690RN126112Preston-Lloyd, Crystal Ann 9/1/201617059
Richard G. Dukes, MD 11705 Jones Bridge Rd. Johns Creek GA 3000551875RN109974Prevosti, Linda M. 8/12/201311152
James Routon, MD 1497 Fair Rd, Suite 206 Statesboro GA 3045812231RN161346Price, Jennifer Dykes 3/13/201511871
Donald Fordham, MD 865 Austin Drive Demorest GA 3053544718RN141037Price, Paula Susanne 1/3/20158579
John Souza, MD PO Box 16100 Dublin GA 3104039475RN107117Price, Amber Grace 5/10/20102396
Pablo Quitanilla, MD 3369 Buford Hwy Ste 810 Atlanta GA 3032917546RN225038Price, Gloria 9/25/201413819
William Shivers, MD 3455 Harris Rd Waycross GA 3150330214RN242170Price, Deborah 4/2/201616545
Wendy Troyer, MD 5901-C P'tree Dunwoody Rd, Suite C-65 Atlanta GA 3032833786RN077983Priester, Karen Joan Lagerberg 6/30/20152399
Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN155811Pringle, Tawnya Lynette 7/25/20118406
Kelvin Moss, MD 1200 Memorial Dr. Dalton GA 3072054634RN077411Pritchett, Jana Susan 10/24/201618179
Meenakshi Hari, MD 2520 Windy Hill Rd. Ste. 104 Marietta GA 3006749026RN225300Prohst, Melissa Joy 1/13/201514922
Walisa Maynard, MD 4040 Hospital West Dr Austell GA 3010650658RN151379Pruitt, Barbara Lynn Senterfitt 11/1/201312026
Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN132591Pruitt, Shannon Daneal Ardeeser 10/8/20102404
John Ogundipe, MD 2130 Anderson Mill Rd Austell GA 3010639193RN151379Pruitt, Barbara 8/18/201615650
Thomas W. Bloodworth, MD 101 Cleburne Pkwy Hiram GA 3014118124RN073134Pryor, Julie K. 1/17/201411497
Jamie Walraven, MD 601 South 8th St, Emergency Dept Griffin GA 3022445023RN102357Pryor, Anita Lynn Rigsby 9/1/20167843
Christopher Edens, MD PO Drawer 5 Griffin GA 3022442042RN102357Pryor, Anita Lynn Rigsby 1/31/20092407
Carroll Cooper, MD 1431 Riverside Pkwy, Ste B Lawrenceville GA 3004363309RN073134Pryor, Julie King 3/11/201513490
Vitaliy Gavrikov, MD 3955 Harrison Rd, Ste 400 Loganville GA 3005261430RN073134Pryor, Julie King 3/11/201513488
Carroll Cooper, MD 3955 Harrison Rd, Ste 400 Loganville GA 3005263309RN073134Pryor, Julie King 3/11/201513491
Kenneth Patrick, MD 3240 South Cobb Dr Smyrna GA 3008469243RN073134Pryor, Julie King 11/3/201414302
Saturday, January 21, 2017 Page 154 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Vitaliy Gavrikov, MD 1431 Riverside Pkwy, Ste B Lawrencville GA 3004361430RN073134Pryor, Julie King 3/11/201513489
Nitasha Burney, MD 3885 Princeton Lake Way, Ste 306 Atlanta GA 30331#####RN073134Pryor, Juile 3/11/201514460
Forrest Clark Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN235162Puckett, Jennifer Hazel 7/25/201513601
Sharon Lynch-Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN089764Puett, Pamela T. 3/31/20115300
Sarah Hosford, MD 320 Parkway Dr NE, Suite 244 Atlanta GA 3031232209RN208906Pugh, Jena Daneen 7/5/20139769
John Ouderkirk, MD 9925 Haynes Bridge Rd. ste. 320 Alphareta GA 3002249992RN204378Pugh, Ashley Williams 11/18/201618434
Matthew Burrell, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034217998RN137019Pulaski, Sandra Brubaker 10/20/20119514
Kristi Mulchahey, MD 2550 Windy Hill road, Suite 115 Marietta GA 3006734209RN137019Pulaski, Sandra Brubaker 6/5/20102411
Yap, O.W. Stephanie MD 1462 Montreal Road, Ste 403 Tucker GA 3008455044RN137019Pulaski, Sandra 6/15/201210108
Sankaran, Sekhar MD 101 Regency Park Drive, Ste 140 McDonough GA 3025331549RN160206Purcell, Kimberly 12/11/201510534
Jack Miller, MD 220 Cobb Parkway Suite 400 Marietta GA 3006224987RN225420Purrman, Kathryn Christine 1/6/201412822
Paul Cox, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051349762RN124737Purvis, Juliet Elizabeth Waugh 1/7/20108897
Andrew Cichelli, MD 1601 Fair Road, Suite 600 Statesboro GA 3045844433RN167566Quattlebaum, Adrian Menapace 8/28/20098365
Courage Atekha, MD 1030 Bermuda Run Road Statesboro GA 3045849266RN167566Quattlebawn, Adrian M 5/31/201311271
Cassandra Wanzo, MD 601 Bombay Lane Roswell GA 3007635165RN212300Quinn, Brandi Nicole Webber 10/31/201412748
Roman, Charles DO 2757 Warm Springs Road Columbus GA 3190443757RN186321Quinn-Freeman, Lasagna 2/9/201210125
Holly Crowley, MD 400 S Pinetree Blvd Thomasville GA 3179951452RN219574Rackley, Emmerll 9/19/201312862
Mubbashir Khan, MD Unison Behavior Hlth, 1005 Shirley Ave. Douglas GA 3153354327RN219574Rackley, Emmerll 2/28/201311472
George Hall, MD 1050 Carl Griffin Dr Savannah GA 3140555669RN219574Rackley, Emmeril 9/25/201514155
Kenneth Taylor, MD 95 Collier Rd, Suite 3000 Atlanta GA 3030938985RN116771Radke, Rebecca Linton 5/28/201612301
Nassar Tehrani, MD 292 Industrial Blvd, Suite 101 Hawkinsville GA 3103653044RN104540Raduszewski, Thomas Chester 3/16/20139469
Saturday, January 21, 2017 Page 155 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Stephanie Reese, DO 1921 Alice St, Ste B4 Waycross GA 3150171743RN235259Rafus, Jennifer 6/29/201615742
Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN061422Rager, Mary Jane Boll 4/15/20102424
Jamie Walraven, MD 1275 Hwy 54 W, Ste 201 Fayetteville GA 3021445023RN160356Ragland, Kenya Monee 9/1/201614054
Kavita Kongara, MD 980 Johnson Ferry Rd NE, Ste 820 Atlanta GA 3034263678RN160356Ragland, Kenya Monee 3/18/201615733
Onkar Kaur, MD 101 Mayo St, Ste B Americus GA 3170947103RN157693Ragsdale, Cynthia 3/1/201615887
John R. Coleman, Jr, MD 1720 Peachtree St., Ne, #200 Atlanta GA 3030948498RN216468Raines, Kendra L. 4/16/201311604
Anthony Martin, MD 1 Freedom Way Augusta GA 30990472873RN105806Raines, Terri Lynn 7/25/201514754
Mark Hancock, MD 163 Hospital Dr. Toccoa GA 3057767750RN176596Rainey, Tiffany 2/18/201311018
Nanette Wenger, MD 80 Jesse Hill Jr Dr SE Atlanta GA 303038924RN140212Ramasamy, Kanniammal 7/14/20102432
Allen Dollar, MD 49 Jessie Hill Jr Dr SE Atlanta GA 3030335244RN140212Ramasamy, Kanniammal 12/10/20109262
Shahriar Sedghi, MD 610 Third Street, Ste 204 Macon GA 3120137678RN149163Rambo, Brandi 12/19/201310209
Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN085730Ramer, Shelia Clyde Barbree 1/29/20142435
Thomas Whitesell, MD 2040 Dan Proctor Drive, Suite #170 St. Marys GA 3155852854RN183690Ramirez, Janice 4/30/201411147
Angela O. Wright, MD 2467 Golden Camp Rd. Augusta GA 3090645103RN092135Ramirez, Diana L. 9/14/201311340
Parviz Brahman, MD 1401 N Tift Ave, Suite B Tifton GA 3179466576RN104542Ramseur, Meleia Sue Green 7/1/201412395
Gaston Moran-Celayes, MD 618 East Lamar St Americus GA 3170964675RN104542Ramseur, Meleia Sue Green 7/1/201412664
Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN170346Ramsey, Edwina Antoinnette 4/1/20109050
Murtaza Cassoobhoy, MD 5 Dunwoody Park, Suite 118 Dunwoody GA 3033843014RN088363Randall, Rhonda T. 2/6/2014146
Louis Fernandez, MD 274 Big A Road Toccoa GA 3057739790RN192210Randels, Camden Lorraine 6/21/201311811
Eva Beaulieu, MD 5185 Old National Hwy Atlanta GA 3034966254RN230003Randolph, Bridget N 2/1/201612297
Robin Lowman, MD 1255 Hwy 54 West, Emer Dept Fayetteville GA 3021462392RN185110Rangnow, Katie Elizabeth 1/12/20129453
Saturday, January 21, 2017 Page 156 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Holmes, MD 601 South 8th Street Griffin GA 3023344749RN185110Rangnow, Katie Elizabeth 6/9/20149305
Damon Kimes, MD 601 South 8th St, Emergency Dept Griffin GA 3022450322RN185110Rangnow, Katie Elizabeth 6/23/20108777
Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN158967Rapkin, Karen Ruth 4/3/20152443
Ralph Jackson, MD 771 Norcross Rd, Ste 110 Lawreneville GA 3004522794RN230273Raptopoulos, Sophia Marie 5/8/201515090
Albert Lintel, III, MD 824 West Avenue Cartersville GA 3012028595RN102372Rast, Jean Louise 12/31/20088315
Richard Dukes MD 235 Peachtree St Ne, North Tower #3200Atlanta GA 3030351875RN102372Rast, Jean 8/12/201310007
Crystal Comeau, MD 174 Highland Crossing South East Ellijay GA 3054061224RN102372Rast, Jean Louise 4/16/20119790
Louis Barton, MD 2450 Vinson Hwy Milledgeville GA 3106233024RN093203Ratajczak, Pamela Camille Daniel 8/13/20109032
Eugene Jackson, MD 118 Norman Dorminy Dr. Fitzgerald GA 3175022793RN118146Rathbun, Debra Diane 7/11/201617421
Kenneth Sobel, MD 575 Professional Dr, Suite 510 Lawrenceville GA 3004624099RN120774Rawlings, Jane Paige 8/26/20152447
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN134959Ray, Trena Dawn 11/30/20108903
Brenda Budlong, MD 304 Shorter Avenue, Suite 102 Rome GA 3016534749RN134959Ray, Trena Dawn 10/5/20102451
Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN085734Ray, Jeanette Wyatt 9/4/20102449
Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN085734Ray, Jeanette Wyatt 7/1/20108726
Donald Evans, MD 321 N. Main Street Adairsville GA 301039810RN134959Ray, Trena Dawn 5/19/201512864
Gregory, Donna MD 321 N. Main Street, Ste A Adairsville GA 3010351227RN134959Ray, Trena 9/15/201310510
John-Mark Miller, DO 1008 Piedmont Ave Rockmart GA 3015356857RN134959Ray, Trena Dawn 10/5/20109184
Andrew Magnet, MD 813 E 68th St, Ste B Savannah GA 3140160215RN108050Raynes, Rebecca Ann 2/1/20162453
Michael O'Grady, MD 7100 Peachtree Dunwoody Rd, Suite 100Atlanta GA 3032841189RN213784Raytchev, Vesselin Stoyanov 11/13/201312600
Sonny Dosanjh, MD 7100 Peachtree Dunwoody Rd, Suite 100Atlanta GA 3032866686RN213784Raytchev, Vesselin Stoyanov 11/1/201412651
Raymond Easley, DO 7100 Peachtree Dunwoody Rd, Suite 100Atlanta GA 3032820987RN213784Raytchev, Vesselin Stoyanov 1/21/201512650
Saturday, January 21, 2017 Page 157 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Wendy Vandemark, MD 2310 N. Patterson St, Bldg G Valdosta GA 3160257511RN093831Reagan, Deborah McDonald 12/10/20139479
Daniel Messcher, MD 4721 Hummingbird Lane Valdosta GA 3160248443RN093831Reagan, Deborah McDonald 3/21/20092454
Dyer, Divina MD 1510 Milstead Avee NE Conyers GA 3001257161RN205000Reagin, Hilari 8/15/201210395
Thad Riley, MD PO Box 957 Statesboro GA 3045928637RN155029Reavis, Catherine 6/1/20108344
Anthony Salvo, MD 110 R T Stanley, Sr. Place Lyons GA 3043656359RN155029Reavis, Catherine Whittenburg 5/12/20102455
Tamara New, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN083762Record, Elizabeth Odenthal 4/4/20122456
Mohan Papudesu, MD 610 Ferncrest Dr Sandersville GA 3108229063RN195027Redden, Laura Leigh 6/30/20149637
Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN195027Redden, Laura Leigh 10/15/20108267
Charles McCord, MD 3345 E Hwy 34, Ste 102 Sharpsburg GA 3027739409RN195027Redden, Laura Leigh 1/29/201614801
Barry Iguobadia, MD 222 Perry Hwy, Ste 206, Prof Bldg B Hawkinsville GA 3103671240RN195027Redden, Laura Leigh 8/3/201617420
Christopher Crooker, MD 748 Old Norcross RD, Suite 185 Lawrenceville GA 3004639315RN208711Reddick, Rachel Nicole 12/19/201411835
Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN054604Redding, Evelyn Patricia O'Leary 4/15/20108695
Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN170766Reece, J. Shannon 1/31/20108918
Winston, Jeffrey MD 800 Kennesaw Ave, Ste 130 Marietta GA 3006028337RN102945Reed, Deborah 9/10/201210433
Syed Rizvi, MD 1200 N. Jefferson St Albany GA 3170143754RN175387Reed, Melissa Nichole 12/14/20129501
Steven Disch, MD 2500 Hospital Blvd, Suite 310 Roswell GA 3007630989RN129274Reed, Janice Denise 9/9/20138738
Jeffrey Klopper, MD 3188 Atlanta Rd SE Smyrna GA 3008026321RN102945Reed, Deborah Ann 5/16/201311954
Donna Fearing, MD 120 Stonebridge Pkwy, Suite 410 Woodstock GA 3018929447RN069681Reed, Kelly Jean 1/8/20132463
Syed Rizvi, MD 1200 N Jefferson St Albany GA 3170143754RN175387Reed, Melissa Nichole 6/5/201512314
James Gore, Jr., MD 1657 N. Expressway Griffin GA 3022336384RN045410Reeves, Merrilea Ward 6/27/20082467
Xavier Moore, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028155619RN192897Reid, Andrea Nicole 9/23/201512815
Saturday, January 21, 2017 Page 158 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN128880Reid, Verona Andrea 12/1/20108913
Okiki Louis, MD 794 S. Park Street Carrollton GA 3011747479RN128880Reid, Verona Andrea 1/23/20128951
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN128880Reid, Verona Andrea 8/31/20098413
Daniel Wu, MD 49 Jesse Hill Jr Dr, Emergency Dept Atlanta GA 3030351572RN143210Reid, Julianne Marie Bissett 11/20/20132470
Russell Brown, MD 2001 Martin Luther King Jr Dr, # 418-430Atlanta GA 3031039743RN222007Reid, Maria Ayesha 9/4/201311974
Glenn Bloom, MD 235 Peachtree St NE, North Tower, #2100Atlanta GA 3030364512RN128880Reid, Verona Andrea 12/31/201411853
Cedric Porter, MD 380 B Cedar St Metter GA 3043929363RN205143Reinhardt, Jessica Bradshaw 11/29/201617336
Charles L. Brown, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN149081Reis, Maureen Jacqueline 1/31/20112471
Leli Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN070451Reiss, Eleanore 9/27/20142473
Coker, Mark MD 14557 Highway 19, Suite A Griffin GA 3022456276RN196290Rella, Karla 6/1/201210784
Amit Sharma, MD 6400 Bradley Park Dr, Bldg A, #A Columbus GA 3190459514RN127665Revell, Cherial Lashawn 12/22/20087805
Errol Graham, MD 105 E. Tollison St. Baxley GA 3151332388RN073465Revels, Selina Elizabeth Altman 12/12/20112478
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN073465Revels, Selina 9/25/201310502
Garrett Barnes, MD 420 East 2nd Ave Rome GA 3016144163RN208910Reyes, Nancy 4/22/201615260
Dillon D. Miller, MD 101 Riverstone Vista, Ste. 111 Blkue Ridge GA 3051367508RN103757Reynolds, Deborah A. 8/31/201411509
Deirdre Cosby, MD PO Box 26238 Atlanta GA 3030355397RN098042Rhiver, Debra Elizabeth 7/30/20129785
George Myers, MF 504 Redmond Rd. Rome GA 3016535706RN047639Rhodes, Lila Kay Libbey 10/3/20142486
Vijay Patel, MD 15 Cavender Street Newnan GA 3026335723RN16998Rhynes, Sharon C. 1/31/20088073
Sperling, Laurence MD 1365 Clifton Rd,Bldg A, Ste 2200 Emory Clinic
Atlanta GA 3032234250RN062144Rice, Claire 8/19/201610511
Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN073504Richardson, Susan Alden 2/12/20162499
Saturday, January 21, 2017 Page 159 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN161874Richardson, Rebecca Pearl 4/5/20108108
Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN097935Richardson, Deanna O 11/10/20152496
Pablo Quintanilla, MD 5151 Brook Hollow Pkwy, Ste 145 Norcross GA 3007117546RN240818Richardson, Anna 2/4/201615618
Michael Busman, MD 922 East Jefferson St, Ste B Americus GA 3170940628RN141220Richardson, Paul Andrew 6/21/201617119
Freeman Montague, MD 896 Hwy 81 East McDonough GA 3025228123RN154504Richards-Reynolds, Karen Ingrid Al 8/13/201413377
David Asrael, MD Take Care Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004451291RN151213Richey, Tiffany Boleman 10/21/201412158
Melanie Cooper, MD 4398 Atlanta Hwy Loganville GA 3005245753RN151213Richey, Tiffany Boleman 5/31/20137875
Wallace Duncan, MD Take Care Clinic, 2990 Five Forks Trickum Rd
Lawrenceville GA 3004441109RN151213Richey, Tiffany Boleman 10/21/201412159
Dustin Russell, MD 4355 Browns Bridge Rd, Ste 1 Cumming GA 3004166541RN139349Richins, Robin Rene Taylor 6/30/201613661
Bruce Goldweig, MD 1700 Hospital South Dr. Suite 102 Austell GA 3010648516RN154853Riddle, Sara Pauline 9/28/20075487
Richard Eaton, MD 1001 N. Third St Folkston GA 3153740370RN156030Ridgeway, Sarah Suzanne 9/30/20082501
Albert Thompson, MD 1001 N. Third Street Folkston GA 3153722338RN156030Ridgeway, Sarah Suzanne 9/30/20138355
Robyn Wirsing -Black, MD 5 Church St, Ste 300 Nahunta GA 3155371747RN156030Ridgeway, Sarah Suzanne 5/31/201614292
Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN049330Riggins, Gwendolyn H. 8/31/201512869
Charles Jackson, MD 1506 Telfair St Dublin GA 3102114513RN049330Riggins, Gwendolyn H 11/28/20112503
Richard Bunt, MD 345 Blvd NE Atlanta GA 3031246834RN163734Riley, Cynthia W 6/6/201410967
Dennis O'Brien, MD 3877 Morris Ct Norcross GA 3009225893RN163734Riley, Cynthia Darlene 4/9/20129700
Gaston Moran Celayes, MD 618 East Lamar St. Americus GA 3170964675RN164620Riley, Amanda Jenkins 2/5/201613792
Onkar Kaur, MD 80 West Main St. Butler GA 3100647103RN164620Riley, Amanda 2/5/201614398
Safia Pirani, MD 260 Elm St Cumming GA 3004056624RN157240Rinehart, Cynthia Jean N. 3/2/201413550
Saturday, January 21, 2017 Page 160 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Swapna Madhavan, MD 260 Elm Street Cumming GA 3004057098RN157240Rinehart, Cynthia Jean N 6/20/201514994
Charles Pugh, MD 1050 Carl Griffin Dr Savannah GA 3140919089RN144955Riner, Betty Louyul 9/15/201413037
Nicholas Costrini, MD 501 Eisenhower Dr Savannah GA 3140622534RN144955Riner, Betty Louyul 10/10/201312210
John Northup, MD 12345 Mercy Blvd Savannah GA 3141916651RN144955Riner, Betty Louyul 2/14/201412670
Joenie Almeida, MD 3223 Falligant Ave Savannah GA 3140445694RN144955Riner, Betty Louyul 10/24/201414004
Charles Pettus, MD 1267 W. Hwy 54, Suite 2200 Fayetteville GA 3021433675RN098573Ring, Cheri A. 3/4/20119721
Isaac Sved, MD 236 Johnson Ferry Road NE Suite 200 Sandy Springs GA 3032838981RN116666Rittenhouse, Sharri Khay 3/28/201412870
Edward Espinosa, DO 5775 Glenridge Dr NE, Suite E-200 Atlanta GA 3032859636RN116666Rittenhouse, Sharri Khay 2/4/20112509
Jan Bennett, MD 2346 Wisteria Dr, Suite 120 Snellville GA 3007830580RN116666Rittenhouse, Sharri Khay 10/18/201311730
Carroll Cooper, MD 1431 Riverside Pkwy Lawrenceville GA 3004363309RN116666Rittenhouse, Sharri Khay 1/2/201514179
Carroll Cooper, MD 1938 Peachtree Rd, Ste 610 Atlanta GA 3030963309RN116666Rittenhouse, Sharri Khay 1/2/201514359
La-Shaun Elliot, MD 2336 Wisteria Dr, Ste 310 Snellville GA 3007868404RN116666Rittenhouse, Sharri Khay 5/30/201413445
Carroll Cooper, MD 1938 Peachtree Rd, Ste 610 Atlanta, Ga 30309 GA 3030963309RN16666Rittenhouse, Sharri Khay 1/2/201514180
Gulshan Harjee, MD 2536 Lawrencville Hwy Decatur GA 3003326865RN185080Rivers, Tammy Lynn 8/25/201413471
Ann Drayton, MD 1870 Atlanta Hwy, Ste J-K Gainesville GA 3050449512RN185080Rivers, Tammy 2/15/201615897
Carol Hector, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050143640RN097864Roark, Jennifer Anne Mims 5/1/20142513
Miles Mason, MD 3500 McClure Bridge Rd Duluth GA 30096#####RN172358Robbins, Christine 11/1/201311818
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN073844Roberson, Pamela 5/13/20149162
Jeremy Pantin, MD 1120 15th St, BA-5407 Augusta GA 3091266390RN128926Roberson, Shawn Marie 4/1/201512563
Anand P. Jillella, MD 1120 15th Street, Suite BA-5407 Augusta GA 3091233843RN128926Roberson, Shawn M. 9/30/201311364
Saturday, January 21, 2017 Page 161 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jose Justiniano-Ayala, MD 1430 Suggs Street Rossville GA 3074146773RN188172Roberts, Terry Lee 3/1/20139934
Donna Van Schuyver, DO 1430 Suggs St Rossville GA 3075242754RN188172Roberts, Terry Lee 6/14/20119441
Gregory Teel, MD 1430 Suggs Street Rossville GA 3074139961RN188172Roberts, Terry Lee 9/30/20108420
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN146420Robertson, Suzanne Patricia 3/21/20118943
Kevin Smith, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014441961RN146420Robertson, Suzanne Patricia 9/30/20097851
Swapna Madhavan, MD 260 Elm St. Cumming GA 30040-246757098RN195029Robinson, Deena M. 6/24/201311564
Elizabeth LeDuc, MD 960 Johnson Ferry Rd, Suite 315 Atlanta GA 3034234754RN191143Robinson, Jennifer Nickole 3/9/201512119
Arif Patni, DO 260 Elm St Cumming GA 3004042916RN195029Robinson, Deena Maria 10/1/201412106
Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN208654Robinson, Jakki Nicole 12/3/201412155
Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN110950Robinson, Andrea Jo Smock 3/22/20132531
Boyle, Paula MD 4799 Blue Ridge Drive, Suite 10 Blue Ridge GA 3051355928RN213047Robinson, Marianne 9/30/201510061
Karen Frank, DO 896 Hwy 441 South Clayton GA 3052569193RN154343Robinson, Shannon Latrelle 5/11/20152540
Daniel Bergsagel, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034229407RN158355Robinson, Teresa Jane 11/15/20082541
Samuel Erinne, MD 1136 Cleveland Avenue, Suite 308 East Point GA 3034435622RN036342Robinson, Aileen G 3/11/20102530
Edward A. Espinosa DO 5775 Glenridge Dr., NE, Ste. E200 Atlanta GA 3032859636RN 158648Robinson, Elizabeth 6/27/201311022
Purvis Sr, Jerry MD 520 Griffin Avenue Valdosta GA 316019235RN081735Robinson, Annette 12/25/201410513
Burton, Kelvin MD 8464 Adair Street Douglasville GA 3013432101RN152308Robinson, Jennifer 3/19/201210029
Oller, Carlo MD 960 Joe Frank Harris Parkway Cartersville GA 3012065719RN083852Robinson, Lisa 2/24/201610405
Mohamad El-Attar, MD 1372 Wellbrook Circle Conyers GA 3001241286RN159456Rogers, Locianna Cheree 9/1/20108880
T Wayne Bloodworth, MD 101 Cleburn Pkwy Hiram GA 3014118124RN125593Rogers, Dana Marie 1/1/201511927
Saturday, January 21, 2017 Page 162 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Glen Dasher, MD 1044 Bermuda Run Rd. Stateboro GA 3045843354RN168119Rogers, Candice Tillman 11/20/201513485
Nichole LeBoyd, MD 6410 W Johns Xing Fuluth GA 3009754752RN191958Rollins, Kalita Higginbotham 8/29/201413830
Ahmed Damtew 3201 Atlanta Industrial Pkwy, Ste 303 Atlanta GA 3033167552183825Romulus, Rose 9/30/201616687
Jeffrey Klopper, MD 3465 North Desert Drive ste. 104, Bldg 4 East Point GA 3033426321RN183825Romulus, Rose Laure 6/27/201618225
Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN204746Rooney, Melissa Bucalan 7/31/201412694
John Reed, MD 1475 Holcomb Bridge Rd. Roswell GA 3007624719RN204746Rooney, Melissa 5/31/201615346
Nitasha Burney, MD 1685 Old Pendergrass Rd. Jefferson GA 3054955931RN184167Roper, Christine Thomas 8/31/201516140
Trishanna Sookdeo, MD 4751 Best Rd College Park GA 3033772697RN184167Roper, Christine Thomas 7/30/201514999
Willian Kriegel, DO 3707 Largent Way Marietta GA 3006431962RN 134082Rose, Karen R 11/13/201514119
Ronald Forehand, MD Univ Hlth Ctr, 370 River Rd Athens GA 3060222760RN053910Rosenberger, Chandler Brooks 7/31/20162569
Hugo Ribot, MD 958-A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN092041Roser, Ruth Miriam 7/31/20108333
Andrew Dott, MD 993-D Johnson Ferry Rd, Suite 360 Atlanta GA 3034233314RN092041Roser, Ruth Miriam 3/23/20119729
Suzanne Ferree, MD 1357 Hembree Road, Suite 240 Roswell GA 3007647772RN092041Roser, Ruth Miriam 11/1/20078068
Anedi Eme-Akwari, MD 2293 Rome Hwy Rockmart GA 3015355671RN070037Ross, Janet Lorene 6/10/20108100
Thopu, Anuradha 8954 Hospital Drive, Ste 100-C Douglasville GA 3013441377RN070037Ross, Janet L. 5/12/20075450
Thomas Mann, MD 118 Norman Dorminy Dr Fitzgerald GA 3175037607RN102271Ross, Anita Michelle Nugent 11/2/20112572
Fredric Flax, MD 12385 Crabapple Road, suite 100 Alpharetta GA 3000417452RN074416Ross, Susan Horion 4/1/20152575
Sylvia Halleck, MD 3955 Harrison Rd, Suite 400 Loganville GA 3005216356RN078917Rossman, Sandy Davina 3/22/20102576
Wendy Davis-Mitchell, MD 3999 Austll Rd, Ste 901 Austell GA 3010645442RN154553Rotella, Melissa Rayburn 6/20/201615536
Jeffery Dowis, MD 1205 Russell Pkwy Warner Robins GA 3108868199RN169765Round, Sally Arnold 9/1/201614356
Braverman, Juana MD 2625 Beaver run Rd, Ste B Norcross GA 3007131536RN170185Rowell, Elizabeth 7/25/201210336
Saturday, January 21, 2017 Page 163 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Chandresh Viradia, MD 100 Jim Mason Court Warner Robins GA 3108853050RN113302Rowell, Michelle Frances 5/3/20132584
Michael Manning, MD 2215 Exchange Place SE Conyers GA 3001333397RN085782Rowell-Crane, Nancy Gay 3/1/20122585
John Vu, MD 4861 Bill Gardner Pkwy Locust Grove GA 3024840813RN085782Rowell-Crane, Nancy Gay 3/5/20149915
William Watkins, MD 235 P'tree St NE North Tower, #2100 Atlanta GA 3030332076RN085782Rowell-Crane, Nancy Gay 9/1/20148583
Nitasha Burney, MD 794 S. Park St Carrollton GA 3011755931RN186906Rowland, Lisa E. 9/29/20149782
Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN186906Rowland, Lisa E 7/18/201413009
Teresa Baysden, DO 531 Duvall Rd Chatsworth GA 3070557348RN213704Rowland, Myriam Hernandez 7/20/20129957
John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN186906Rowland, Lisa E. 2/4/20119086
Kidwai, Asim MD 531 Duvall Road Chatsworth GA 3070564848RN213704Rowland, Myriam 2/1/201410840
William Parrish, MD 204 Allen Memorial Dr, Suite 201 Bremen GA 3011047989RN186906Rowland, Lisa E. 11/20/20098740
Okiki Louis, MD 794 S. Park Street Carrollton GA 3011747479RN186906Rowland, Lisa 3/1/201310823
Hammond, William MD 357 Cargile Road Ocilla GA 3177419166RN077506Royal, Shirlene 11/23/201210680
Charles Ruis, MD 609 1/2 N. Irwin Ave Ocilla GA 3177430206RN077506Royal, Shirlene Daniel 3/26/20129425
Oscar H. Salvat, MD 357 Cargile Rd. Ocilla GA 3177449742RN077506Royal, Shirlene D. 4/10/201311533
Molly Vicchrilli, MD 304 Turner McCall Blvd Rome GA 3016558364RN207612Royal, Kyung 8/24/201615554
Africa Alvarez-McLeod, MD 1650 County Services Pkwy Marietta GA 3000835733RN160500Royster, Merissa Neshun 10/15/201413951
Mary Moore, MD 424 Decatur St SE Atlanta GA 3031241902RN210856Rozo-Rivera, Astrid 5/5/201615655
A. Kenneth Fuller, MD 400 S. Pinetree Blvd Thomasville GA 3179228165RN061915Rubin, Howard 6/9/20148346
Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN098072Rubke, Patricia 8/26/20119369
Badea, Calin MD 213 N. McDonald Street, Ste A & B Lucowici GA 3131655918RN098072Rubke, Patricia 11/1/201110060
Salim Osta, MD 106 Shoppers Way, Suite 1 Brunswick GA 3152515631RN098072Rubke, Patricia 6/1/201513731
Saturday, January 21, 2017 Page 164 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Diane Dunston, MD 675 College Ave Athens GA 3060329631RN181893Rubner, Jennifer Kay 8/28/201514495
Julia Johnson, MD 310 Eisenhower Dr, Suite 5 Savannah GA 3140656721RN080409Rudolph, Barbara Baether Reed 12/31/20119744
Manuel Martinez, MD 1915 Eisenhower Dr. Savannah GA 3140624757RN223241Ruis-Thompson, Margaret 4/14/201411162
Charmaine Wilson, MD 1915 Eisenhower Dr. Savannah GA 3140668021RN223241Ruis-Thompson, Margaret 4/14/201411599
Chrissie Clure, MD 800 E 70th St Savannah GA 3140549281RN223241Ruis-Thompson, Margaret E 4/14/201412760
Love, Michael MD 979 E. 3rd Street, Ste C-520 Chattanooga TN 3740364856RN060846Russe, Deborah 7/25/201210365
Sumandeep Sangha, MD 20 Francis way, Suite 101 Sharpsburg GA 3027756222RN172311Russell, Valerie Marie 7/24/20088110
Sharon Rabinovitz, MD 141 Piedmont Ave, Ste D Atlanta GA 3030346806RN241941Rustin, Corey Dwayne 2/27/201514294
Cabeca, Anna DO 2712 Parkwood Drive Brunswick GA 3152042537RN113495Ruth Hayes, Olivia 5/1/201410737
Zottoli, Lawrence MD #4 Medical Arts Savannah GA 3140536639RN217610Rutkowski, Patricia 8/2/201110109
Stephen Carter, II, MD 915 Thornton Road Lithia Springs GA 3012224659RN103741Ryan, Nancy Josephine 7/17/20112603
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN186975Sadler, Lori Allen 10/24/201617495
Jose Cangiano, MD 1 Technology Pkwy South, Ste 1 Norcross GA 3009244182RN176776Sahatevasukont, Chitchawal 8/15/201515227
Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN114039Sahota, Kavinder Kaur 1/31/20118409
David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN114039Sahota, Kavinder Kaur 1/31/20112606
Phillip Nowlin, MD 4480 South Cobb Drive SE Smyrna GA 3008036588RN159225Sakor, Uvienome Linda 5/9/20118914
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN159225Sakor, Uvienome Linda 8/28/20092607
Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN159225Sakor, Uvienome Linda 1/31/20119148
Cameron, Nadia MD 3311 Hwy 5 Douglasville GA 3013553982RN159225Sakor, Uvienome 2/8/201210030
Taylor, Michelle MD 3073 Panthersville Road Decatur GA 3003460104RN152612Salami, Modupe 2/20/201210347
Mike Ou, MD 1125 East Hwy 166 Bowden GA 3010853301RN141751Salter, Robert Christopher 2/20/20092609
Saturday, January 21, 2017 Page 165 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sean Delany, MD 631 Professional Dr Suite 360 Lawrenceville GA 3004649001RN172768Samuel, Tseday 11/19/201312872
Marie Lightbourne, MD 2356 Lenora Church Rd. Snellville GA 3007863059RN133706Samuels, Angella V. 12/13/201311500
William Lynds, MD 5320 Memorial Drive Stone Mountain GA 3008333140RN133706Samuels, Angella Veronica 1/31/20098397
Naresh Parikh, MD 1861 Peeler Road Dunwoody GA 3009728851RN133706Samuels, Angella Veronica 9/13/20128329
John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN084728Sanchez, Victoria Lawrence 2/16/20139520
Shameka McElhaney, MD 7530 Roswell Rd. Atlanta GA 30350-483754854RN084728Sanchez, Victoria 6/4/201611205
Kirk-Conrod Hewling, MD 4250 Brownville Rd Powder Springs GA 3012757559RN084728Sanchez, Victoria Lawrence 1/25/20139383
Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN084728Sanchez, Victoria Lawrence 9/30/20108920
Mark Oliver, MD 2416 Capstone Court Columbus GA 3190448557RN084392Sandak, Patricia Daly 11/4/20102614
Charles R. Sanders, MD 951 South Broad Street Thomasville GA 3179229087RN124327Sanders, Rebecca Bailey 11/18/20112617
Ward, Martha MD 916 South Broad Street Thomasville GA 3179220360RN124327Sanders, Rebecca 5/1/201610397
William Parrish, MD 3001 Mercer Univ Dr, #206 Sheffield Atlanta GA 303419905RN185902Sanders, Amanda Arrants 10/13/201311733
Oscar Salvat, MD 602 East 16th Ave, Ste B Cordele GA 3101549742RN159335Sanders, Diana Rozier 6/17/201613557
David Derrer, MD 1015 Donald Lee Hollowell Atlanta GA 3031854181RN185902Sanders, Amanda Arrants 9/22/201413585
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN063813Sanderson, Catherine S 3/11/20112618
Clement Anthony, MD 710 Center St, Emer Dept Columbus GA 3190127752RN174948Sanderson, Amy Askew 11/10/201513446
Dana Woodhall, MD 710 Center St. Columbus GA 3190166843RN174948Sanderson, Amy Askew 5/5/201616969
Michael Carter, MD 1075 Cooper Rd, Ste. 101 Grayson GA 3001734119RN209939Sandford, Monica Ann 8/1/201515171
P. Ravi Sarma, MD 1700 Tree Lane, Suite 490 Snellville GA 3007818073RN120356Sandiford, Janice Elizabeth 1/11/20139485
Stephen Szabo, MD 6300 Hospital Way, Suite 300 Johns Creek GA 3009744850RN120356Sandiford, Janice Elizabeth 4/30/201513775
Saturday, January 21, 2017 Page 166 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Donna Gregory, MD 321a North Main Street Adairsville GA 3010651227RN072580Sanford, Sally 9/15/20135493
Eduardo Rojas, MD 1035 Redbud Road Suite 201 Calhoun GA 3070130370RN072580Sanford, Sally Jo 8/11/201512873
Roshan Shrestha, MD 1968 Peachtree Rd NW, Bldg 77, 6th floorAtlanta GA 3030956765RN173666Sans, Kathryn Olivia 5/14/20108656
William Boydston, MD 5455 Meridian Mark Rd, Suite 540 Atlanta GA 3034234112RN208370Sant' Elia, Nicole R. 10/18/20109358
Faheem Nusrat, MD 1008 Atlanta Hwy warrenton GA 3082544043RN229391Sapp, Jennifer Albritton 4/24/201412669
Barbara C. Biggs, MD 1431 White Circle Marietta GA 3006625105RN155923Saranthus, Jill Ann Landry 5/14/20082623
Lionel Bryan, MD 1007 Mary St. Waycross GA 3150122725RN243632Sather, Jaime Lynn 5/15/201515016
Andrew Combs, MD 1430 Suggs St Rossville GA 3074169569RN228612Satterfield, Lena Marie 7/31/201412051
Dustin Russell, MD 4355 Brown's Bridge Rd, Suite 1 Cumming GA 3004166541RN155152Satterfield, Aimee Ballew 3/24/201311776
John C. Allen, MD 100 Gross Crescent Cr. Fort Oglethorpe GA 3074256949RN155152Satterfield, Aimee B. 11/1/201411559
Bernard Scoggins, MD 235 Walnut Ave S. Leesburg GA 3176320605RN184546Sattler, Leshia 7/7/201616585
Shailesh Patel, MD 5454 Yorktowne Dr. Atlanta GA 3034961931RN180176Saulsby-Smith, Amy Renee 9/12/201617996
Sightler, William DO 195 N. Broad Street Alamo GA 3105534715RN135001Saunders, Rosalyn 1/9/201210293
Amanda Davis, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028150152RN139517Savage, Kimberly Ann 1/1/201412054
Xavier Moore, MD 1133 Eagles Landing Pkwy Stockbridge GA 3028155619RN139517Savage, Kimberly Anne 9/23/201513659
John C. Bleacher, MD 5455 Meridian Mark Road, Ste 570 Atlanta GA 3034242182RN182668Sayewich, Laura Handley 6/30/201511277
Habigaile Cribe, MD 903 East Willow Creek Lane McRae GA 3105550874RN134148Scarborough, Joy Renew 4/1/20082633
Habigaile Cribe, MD 911 Plaza Ave, Suite B Eastman GA 3102350874RN134148Scarborough, Joy Renew 6/12/201512919
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN154220Scarborough, Michele Susanne 9/28/201613175
James Lantz, MD 8820 Hospital Drive Douglasville GA 3013428028RN143233Schafer, Frances Georgina 9/27/20088230
Ram Reddy, MD 1061 Dowdy Rd, Suite 100 Athens GA 3060624178RN211196Schalnat, Kimberly Mohr 1/31/20139944
Saturday, January 21, 2017 Page 167 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
David Kandzari, MD 275 Collier Rd. Suite 500 Atlanta GA 3030964993RN185001Scharff, Leah Alford 1/28/201412825
Ralph Marionneaux, MD 465 North Belair Road, Suite 1-C Evans GA 3080947621RN074058Schear, Nancy Shelley 6/29/20082638
Robert Williams, MD 1127 Druid Park Avenue Augusta GA 3090458488RN074058Schear, Nancy Kappus 7/15/20088080
Thomas, Pamella MD 86 South Cobb Drive Marietta GA 3006319277RN206788Scheffer, Steven 4/1/201310981
Janet T. Fason, DO Take Care Clinic, 2988 Shallowford Rd. Marietta GA 30066-303348773RN184398Schempp, Catherine 8/14/201511577
Levy, Robyn MD 5555 Peachtree Dunwood Road, Ste 340 Atlanta GA 3034233625RN184398Schempp, Catherine 11/9/201210555
Darryl Kaelin, MD 2020 Peachtree Rd NW Atlanta GA 3030956729RN102451Schmeier, Laura Jean Blanchard 6/1/20118796
Erik Shaw, DO 2020 Peachtree Rd NW Atlanta GA 3030958012RN102451Schmeier, Laura Jean Blanchard 8/5/20118794
Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN102451Schmeier, Laura Jean Blanchard 5/8/20128407
David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN102451Schmeier, Laura Jean Blanchard 5/18/20122642
Alexander Osowa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN184832Schmidt, Mirel Aline 10/24/20139509
Christopher Ludlow, MD 325 W Montgomery Crossroads Savannah GA 3140630501RN064088Schmitz, Catherine Low 8/1/201514997
Michael Gardner, MD 63 Jesse Hill Jr, Dr. SE 4th Fl Atlanta GA 3030356710RN133708Schnedl, Anne Marie 1/1/20085515
Etienne Rodriguez, MD 1168 North Main St, Suite 120 Cedartown GA 3012567979RN129282Schneider, Kathy Ann 10/8/201412218
Gregory, Donna MD 906 South Wall Street Calhoun GA 3070151227RN129282Schneider, Kathy 6/15/201610783
Reden Delgado, MD 1168 North Main St, Ste 120 Polk GA 3012565957RN129282RN129282
Schneider, Kathy Ann 2/1/201614283
Sreekanth Reddy, MD 5670 P'tree Dunwoody Rd, Suite 1100 Atlanta GA 3034249476RN176656Schnitzeler, Erica Ann 12/20/20138870
Alan Wang, MD 601 Northolt Pky Suwanee GA 3002448017RN176656Schnitzeler, Erica 3/19/201616043
Marat Plotkin, MD 105 Greencastle Rd, Ste A Tyrone GA 3029046473RN136627Schornack, Theresa 3/8/201615760
Saturday, January 21, 2017 Page 168 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ashley Davis 1111 Bullsboro Rd Newan GA 3026558161RN136624RN136627
Schornack, Theresa 3/25/201514537
Kenneth Jones, MD 6325 Shannon Pkwy, Suite D Union City GA 3029124000RN199188Schultz, Alicia McCasland 7/24/20098316
Ashok Kancharla, MD 132 Franklin Spring Street Royston GA 3066248250RN204214Schultz, Lindsay 6/7/201310905
Kristi Mulchahey, MD 2550 Windy Hill Road, Suite 115 Marietta GA 3006734209RN046697Schuyler, Clarice Marie Jones 10/23/20092650
Dewey Hammond, MD 906 South Wall ST Calhoun GA 3070121367RN106672Schwartz, Donna Ruth Minton 4/15/20082651
Byron Dickerson, MD 500 Medical Ctr Blvd, Suite 290 Lawrenceville GA 3004536714RN123081Schwartz, Karen Ann Crooke 3/9/20102652
Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN149696Schwarze, Lois Anne 11/20/20127862
Sharon R. Rabinovitz, MD 141 Piedmont Ave., Ste D Atlanta GA 3030346806RN134791Schwarze, Elizabeth A. 7/1/201611199
Christopher L. Wixon, MD 4750 Waters Ave., #500 Savannah GA 3140449122RN168251Schwerin, Kay S. 7/8/201311518
Michael Pinell, MD 10500 Abercorn St, Unit N Savannah GA 3141958102RN168251Schwerin, Kay sandra Stevens 6/27/201412182
Greg Schlegel, MD 100 Medical Center Blvd, Ste 165 Lawrenceville GA 3004623222RN112607Scoggins, Kelly W. 6/1/201611239
Kevin Jensen, MD 100 Medical Cener Blvd, Ste 165 Lawrenceville GA 3004628794RN112607Scoggins, Kelly Wynette 10/26/201618248
Kay Crosby, MD 15 Cavender Street Newnan GA 3026330593RN113833Scott, Kay S. 10/1/20095434
Sadiq Sohani, MD 1413 Chattanooga Ave. Dalton GA 3072045010RN172672Scott, Zoe Marie 6/23/20085479
Karin Alcantara, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074243996RN167868Scott, Holly Anna 10/1/20082658
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN167868Scott, Holly Anna 7/3/20098341
Wallace Duncan, MD 5230 Dallas Hwy Powder Springs Ga 3012741109RN140254Scott, Denise 4/11/201310951
David Asrael, MD 5230 Dallas Hwy Powder Springs GA 3012751291RN140254Scott, Denise 4/11/201310952
Stanley Smith, MD 15 Cavender Street Newnan GA 3026337696RN113833Scott, Kay Suzanne 8/6/20108422
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN179096Scott, Suzette Sharlette 8/1/201413594
Saturday, January 21, 2017 Page 169 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Melissa Schepp, MD 677 Church St, 310 Bldg Marietta GA 3006050221RN197872Scott, Jessica Elisabeth 4/1/201513053
William Kriegel, DO 3707 Largent Way Marietta GA 3006431962RN151311Scully, Carol Joy Wesley 6/15/20142665
Walid Nassaif, MD 1670 Clairmont Rd Decatur GA 3003357904RN152213RN152213
Scully, Cathleen 10/9/201514448
Saeid Khansarinia, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030950649RN192373Seaborn, Chelsea Louise McVicar 5/23/201311994
William Richards, MD 5353 Reynolds St, Ste 200 Savannah GA 3140567939RN176789Seagraves, Kendra Keenan 3/24/201514620
Scott Waguespack,MD 602 East 16th Ave. Ste. B Cordele GA 3101563014RN193158Seagraves, Jr., Joseph Thomas 8/3/201617905
Dillon D. Miller, MD 101 Riverstone Vista, Ste 111 Blue Ridge GA 3051367508RN153721Searcy, Ann-Maxwell 2/1/201311508
Andre Schoeffler, MD 294 Hwy 515 West, Unit L Blairsville GA 3051239463RN153721Searcy, Ann-Maxwell 11/22/201312573
Charles Cha, MD 15 Medical Drive Cartersville GA 3012149531RN179255Searcy, Danny Frank 9/28/20132669
Kenneth Patric Jr. MD 400 Peachtree Industrial Blvd Suwanee GA 30024-698969243RN186436Sebastian, Vini 3/6/201514783
Anandamadhuri Chunduri, MD
1650 County Services Parkway SW Marietta GA 30008-401064911RN185083Segovia Ruiz, Oscar 6/12/201515683
Johnson, Traci MD 1700 Tree Lane, Ste 290 Snellville GA 3007847723RN172738Sells, Katie 7/25/201210337
Christopher Wizner, MD 4250 Brownsville Rd Powder Springs GA 3012737734RN119115Seltenright, Joan Lee Oliver 12/1/20117780
Glenn Bloom, MD 235 Peachtree St NE, North Tower, Suite 2100
Atlanta GA 3030364512RN119115Seltenright, Joan Lee Oliver 12/31/201413985
Thomas Wayne Bloodworth, MD
101 Cleburne Pkwy Hiram GA 3014118124RN155684Senior-Crosby, Diana R. 1/1/20157900
Kenneth Healey, MD 205 Rees St Americus GA 3170924689RN184152Settle, Crystal Nicole 11/2/201514709
Douglas Moss, MD 814 Northwood Park Drive Valdosta GA 3160241178RN134946Seyfried, Lavenia Juanita 12/9/20169959
Michael Baron, DO 1505 Lilburn Stone Mountain Rd., Ste 100Stone Mountail GA 3008733273RN229663Shaeri, Anahita 6/30/201515156
Saturday, January 21, 2017 Page 170 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Devesh Patel, MD 820 St Sebastian Way, Suite 8-A Augusta GA 3090154171RN202000Shaffer, Nicole Michelle 8/30/201412561
Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN069901Shaffer, Barbara J Reeves 1/1/20082681
David Stahura, DO 2140 Peachtree Rd NW, Suite 232 Atlanta GA 3030960615RN105323Shah, Tracy Elaine 3/27/201412443
Ronnie Hendrix, MD 4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville GA 3004424690RN181347Shah, Payal N. 2/12/201412878
Dharmeshkumar Patel, MD 2491 Panola Rd. Lithonia GA 3005855264RN181347Shah, Payal N. 4/1/201613470
Karen Dewling, MD 4395 Johns Creek Pkwy, Ste150 Suwanee GA 3002444445RN235660Shanahan, Sara Ratchford 6/10/201613772
Curtis Clark, DO 610 19th Street Columbus GA 3190147068RN160537Shanaman, Rachel Anne 9/1/20138674
Noreen Andrews, MD 3720 South Rockbridge Rd Stone Mountain GA 3008746861RN204969Sharova, Yelena 10/4/20119634
Kola Ologunja, MD 3104 Creekside Village Dr., Ste 504 Kennesaw GA 3014450548RN192158Sharp, Jennie Babara 1/28/201613725
Joseph Watlington, MD 102 Erlanger South Dr Ringgold GA 3073625685RN185137Shaver, Eugenia Faith 4/1/201413036
Brant Holt, MD 102 Erlanger South Dr Ringgold GA 3073654393RN185137Shaver, Eugenia Faith 2/20/201411778
Anthony Dougherty, MD 3000 Schatulga Road Columbus GA 3190730452RN070808Shaw, Pamela G 6/27/2012692
Brett N. Murphy-Dawson, MD
2100 Comer Ave. Columbus GA 3191454080RN070808Shaw, Pamela G. 3/5/201511410
Appel, Larry MD 4700 Waters Ave Savannah ga 3140458568RN184339Shaw McMillan, Lauren 8/2/20119998
Cedric Porter, MD 124 Victory Dr. Swainsboro GA 3040129363RN184339Shaw McMillan, Lauren 9/1/201611240
Gard, Dwayne MD 4700 Waters Avenue Savannah GA 3140460731RN184339Shaw McMillan, Lauren 9/1/201210634
John Gerguis, MD 115 Gillikin St. Twin City GA 3047147085RN184339Shaw McMillan, Lauren 11/2/201211055
Timothy Flynn, MD 3931 Mundy Mill Road Oakwood GA 3056641795RN037691Shedd, Cheryl Evans 12/2/20142688
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN037691Shedd, Cheryl Evans 12/30/20108828
Flynn,Timothy MD 3931 Mundy Mill Road, Ste A Oakwood GA 3056641795RN037691Shedd, Cheryl 8/13/201210259
Saturday, January 21, 2017 Page 171 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Gary Smith, MD 6120 Alabama Hwy Ringgold GA 3073610666RN214409Sheehan-Lowery, Eileen Mary 4/10/201514092
Vanderlyn Sewell, MD 2591 Candler Rd Decatur GA 3003251547RN055630Sheffield, Dian Thornton 2/3/201612290
Raulnina Uzzle, MD 2140 Peachtree Rd, Suite 232 Atlanta GA 3030943499RN055630Sheffield, Dian Thornton 4/30/20132690
Pamela Shannon, MD 3073 Panthersville Rd. Decatur GA 3003446488RN055630Sheffield, Dian Thornton 9/7/201618550
Lalita Swaminathan, MD 3073 Panthersville Rd Decatur GA 3003455709RN055630Sheffield, Dian 2/28/201514645
Rama Gangaiah, MD 3073 Panthersville Rd Decatur GA 3003441805RN055630Sheffield, Dian 6/15/201615629
Eddie R. Cheeks, MD 2803 Wrightsboro Road, Ste 45 Augusta GA 3090921661RN097650Shelton, Amanda J. Barton 10/31/20115334
Alan Keh Cu Chiam, MD 1188 Ralph David Abernathy Blvd Atlanta GA 3029442554RN121520Shepherd, Sharon Lesley 3/25/201410969
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN149693Shepherd, Shannon Elizabeth 4/15/20108744
English, Eden MD 120 Barnet Drive Milledgeville GA 3106152432RN140155Sherman, Penny 2/1/201410839
Jeffrey Durmer, MD 4245 John's Creek Pkwy, Suite A Suwanee GA 3002452711RN113226Sherman, Carmen Judith Ramirez 10/31/20142698
Francis Kane, MD 2450 Vinson Hwy Milledgeville GA 3106235274RN140155Sherman, Penny 12/10/201514528
Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN172913Sherrod, Amy Elizabeth 1/20/20128929
Lew, Glen MD 5455 Meridian Mark Rd, Ste 400 AFLAC Center
Atlanta GA 3034241457RN172913Sherrod, Amy 10/30/201510514
Harold Carlson, MD 275 Collier Road, Suite 300 Atlanta GA 3030927508RN156421Shields, Allison Baker Thomas 3/3/20148384
William F. Kent, MD 1497 Fair Road, Ste 300 Statesboro GA 3045810585RN069911Shilling, Dellarie Lane 11/4/20112701
Marsha Pierdinock, MD 1009 N. Monroe St., Ste 102 Albany GA 3170136846RN145300Shingles, Vernendia Anne 9/5/20092702
Charles Hughes, MD 1120 15th St, BP-4109 Augusta GA 3091263471RN137551Shirley, Brian Bates 6/30/201511905
S. M. Abu Zaheed Hassan, MD
1220 George C. Wilson Drive Augusta GA 3090948783RN137551Shirley, Brian B. 4/1/20138638
Athena Sotus-Nawar, MD 1915 Eisenhower Dr Savannah GA 3140631512RN089259Shiver, Janice E 9/15/201412084
Saturday, January 21, 2017 Page 172 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Eduard Docu, MD 1302 Drayton St Savannah GA 3140156426RN089259Shiver, Janice E 3/23/20132703
Micah Tepper, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010657687RN177287Shiver, Kristi Renee 12/28/20119741
Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN177287Shiver, Kristi Renee 1/1/20118801
Harvey Danits, MD 1000 Corporate Center Drive, Suite 220 Morrow GA 3026015242RN159492Shockley, Naiomi Michelle 4/1/20153348
Henry Watson, MD 3146 Chamblee Dunwoody Rd, #103 Chamblee GA 3034125399RN075946Shoemaker, Kathryn Goles 8/12/20098493
Bridgette Guthrie, MD 710 Center St Columbus GA 3190169122RN229830Shoemaker, Ashlee Quick 7/20/201614117
Nadia Cameron, MD 961 Green St NE Gainesville GA 3050153982RN148855Shore, Karen Elizabeth 8/3/201311852
James Foster, MD 1515 Pope Ave Augusta GA 3091241556RN143928Shouse, Karen Lee 6/13/20149058
Venkateswara Dikkala, MD 2775 Cruse Rd, Ste 1801 Lawrenceville GA 3004448226RN246981Shrader, Shanda 9/30/201515942
Bohlke, William MD 9945 US Hwy 301 S Statesboro GA 3045837490RN196656Shropshire, Ali 4/16/201410429
Brian DeLoach, MD Bldg 0404, Forest Dr Statesboro GA 30460-804351216RN196656Shropshire, Ali Michelle 7/15/20149856
Captain, Anthony MD 775 West Avenue, Ste B Cartersville GA 3012039300RN161177Shroth, Michael 8/7/201210661
Marc Berger, MD 10152 Blue Ridge Dr. Blue Ridge GA 3051366567RN161177Shroth, Jr., Michael Gene 7/13/201513980
Hefner, Jason MD 420 Lavender Drive Rome GA 3016161444RN111878Shuler, Linda 5/28/201310896
Christopher Abbot, MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072058127RN123324Shuler, Cynthia Ann 8/13/20088107
Ian Hamilton, Jr, MD 1109 Burleyson Road, Suite 202 Dalton GA 3072047329RN123324Shuler, Cynthia Ann 2/3/20142708
Chastain, William MD 400 Timms Rd NE Calhoun GA 3070165091RN111878Shuler, Linda 7/23/201210515
John Price, DO 462 Lavender Dr NW Rome GA 3016555274RN111878Shuler, Linda J. 6/1/20118886
Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN111878Shuler, Linda J 1/3/201412112
Raymond McKoy, DO 2510 Redmond Circle Rome GA 3016544536RN111878Shuler, Linda 4/9/201514842
Saturday, January 21, 2017 Page 173 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Reden Delgado, MD 2293 Rome Hwy Rockmart GA 3015365957RN111878Shuler, Linda J 3/10/201613382
Cynthia Libert, MD 63 Pleasant Hill Rd Blairsville GA 3051259457RN107256Shuman, Sherry Gilleland 2/9/20129624
William G. Raisig, MD 64 Call Wright Road Ellijay GA 3054055290RN107256Shuman, Sherry Gilleland 4/20/20092711
George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054013275RN107256Shuman, Sherry Gilleland 12/1/20119294
Hope McDaniel-Desarmes, MD
1328 Joe Frank Harris Pkwy Cartersville GA 3012059287RN175443Shumate, Jr, Donald H 2/1/201512036
Kenneth Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN175443Shumate, Jr., Donald 12/7/201210938
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN175443Shumate, Jr., Donald 6/19/201210095
Thomas A. Self, MD 1825 Martha Berry Bl Rome GA 3016521587RN175443Shumate, Jr., Donald H. 4/23/201311570
George Fallieras, MD 3193 Howell Mill Rd Atlanta GA 3032772531RN214000Shupe, Leah Clark 7/28/201514163
Shveta Raju, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004666052RN178422Siddle, Jennifer Elizabeth 2/9/201412796
Philip Henderson, MD 2696 Lawrenceville-Suwanee Rd Suwanee GA 3002447601RN178422Siddle, Jennifer Elizabeth 12/6/201312217
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004621464RN178422Siddle, Jennifer Elizabeth 1/8/201613076
William A. Mills, MD 12192 Augusta Road Lavonia GA 3055350901RN027377Siefferman, Patricia Anne Thomas 5/18/20072714
Shameka McElhaney, MD 1605 Roberta Dr Marietta GA 3000854854RN177691Simcox, Jordan 12/22/201515893
Paul Bradley, MD 340 Eisenhower Drive, Suite 1200 Savannah GA 3140630016RN077580Simmons, Eleanor Dodd Kilroy 5/1/20122720
Mendez, Traceyan MD 215 N. Coleman Street Swainsboro GA 3040157831RN069115Simmons, Carol 10/31/201410287
Barbara Nelson, MD 531 Duvall Rd Chatsworth GA 3070554628RN188913Simmons, Pamela Jean 4/1/201612838
Muhammad Jamal, MD 452 Second Street Soperton GA 3045758255RN069115Simmons, Carol Collins 10/31/20112719
Jeffrey Haller 104 Prominence Point Pkwy, Ste 104 Canton GA 3011455826RN188913Simmons, Pamela 2/1/201411070
Lavon Thurman, Jr, MD 1200 Og Skinner Dr. West Point GA 3183319791RN235628Simmons, Jennilyn Alexis 10/21/201413018
Saturday, January 21, 2017 Page 174 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Deborah Honeycutt, MD 2000 Clayton State Blvd., Bldg 1000 Morrow GA 3026038633RN235628Simmons, Jennilyn Alexis 1/13/201513683
Gail Hurley, MD 402 McKinley Drive Athens GA 3060118990RN150477Simmons, Rebecca Louise 4/25/201616981
Crystal Bright, MD 452 Second St Soperton GA 3045767869RN069115Simmons, Carol 8/31/201614796
William Sightler, DO Riverbend Corr Fac - 196 Laying Farm Rd Milledgeville GA 3106134715RN115640Simon, Patricia Ann 2/15/201311094
Marcel Lacoste, MD 1 Freedom Way Augusta GA 3090465836RN093496RN65836
Simonds, Jennifer Huls 1/4/201614815
John Ouderkirk, MD 9925 Haynes Bridge Rd, #320 Alpharetta GA 3002249992RN222747Simonds, Kadie Burpee 7/8/201617960
AnnMarie Stokes, MD 4356 Communications Dr Norcross GA 3009363963RN140232Simone, Katherine Elizabeth L'Estra 11/30/201412828
John Gerguis, MD 4356 Communications Dr Norcross GA 3009347085RN140232Simone, Katherine Elizabeth L' Estr 2/1/201514713
Vitaliy Gavrikov, MD 5422 Hwy 20 Sugar Hill GA 3051861430RN141041Simpson, Utopia Teresa 3/1/201311198
Jon Stauffer, MD 301 W. Hansell St Thomasville GA 3179247950RN172839Simpson, Melissa Ann 2/21/20138568
Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN085039Simpson, Connie Lynn 10/1/20087730
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN085039Simpson, Connie Lynn 2/12/20098457
Gayoung Hong, MD 13570 N. Main St Trenton GA 3075267467RN203796Simpson, William Andrew 7/25/201513196
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN153608Sims, John Winfield 5/1/20097885
Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN153608Sims, John Winfield 4/15/20108681
Bhat Mohan, MD 6507 Professional Place Riverdale GA 3027419407RN155250Sims, Lisa Nicole 9/10/20107897
Harold Katner, MD 135 Macon West Drive Macon GA 3120128021RN057867Sims, Christy Little 3/26/20132727
Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN155250Sims, Lisa Nicole 3/2/20149455
Narayan, Nalini MD 119 Ambulance Drive Carrollton GA 3011644287RN176715Sims, Melanie 10/1/201310320
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN179410Sinclair, Kayon Ayton 10/27/201312367
Saturday, January 21, 2017 Page 175 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sandhya Ramayya, MD 5398 Thomaston Road Macon GA 3122056469RN075214Sinclair, Joann Sams 3/26/20152729
Sandra Kae Bohnstengel, MD 391 South 1st Street Jesup GA 3154538692RN177668Sineath, Dana Thorneburg 3/5/20082730
Loy Cowart, III, MD 601 South Main Street Glennville GA 3042737979RN177668Sineath, Dana Thorneburg 6/30/20088099
James A. Sirleaf, MD 417 Third Ave. Albany GA 3170167036RN226825Singer, Lamarquis D. 8/31/201511594
Tod Bethea, MD 536 Hwy 441 South Clayton GA 3052542016RN139651Singer, Margaret Leigh 9/23/20118162
Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN149692Singer, Virginia Mae 10/13/20119757
H. Paul LeBlanc, MD 109 Hospital Drive Calhoun GA 3070124012RN134406Singh, Kelli Leigh 9/15/20098235
Tarak Patel, MD 1224 Augusta West Parkway Augusta GA 3090966394RN241413Singletary, Decca 6/19/201514925
Dmitriy Pelishev, DO 65 Old Jackson Rd McDonough GA 3025262154RN169712Singleton, Leslie Anne 7/1/20118791
Joseph Biuso, MD 330 Turner McCall Blvd Rome GA 3016528726RN091620Singleton, Judy Fay Keener 11/30/20108904
Jay Thomas, MD 5764 New Calhoun Hwy NE Shannon GA 3017247997RN091620Singleton, Judy Fay Keener 12/31/20109575
William Asbury, MD 775 West Avenue, Suite A Cartersville GA 3012052139RN109487Singleton, Cynthia Lynn 2/21/20097758
Albert Lintel, MD 775 West Ave, Suite A Cartersville GA 3012028595RN109487Singleton, Cynthia Lynn 1/31/20138844
John Reed, MD 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 3004635506RN152508Singleton, Kimberly Lynn 10/15/201512284
Shannon Pitman, MD 822 Industrial Blvd Ellijay GA 3054060550RN123413Singleton, Sandy Lynn Anderson 6/6/201616982
Anil Yadav, MD 51 Gordon Rd, Suite 201 Jasper GA 3014353898RN123413Singleton, Sandy Lynn Anderson 7/30/201513850
Rachel Velez, DO 2209 Pineview Dr. Valdosta GA 3160239500RN098278Sinnott, Anita D. 12/8/201616763
Murphey, James MD 2578 Helen Hwy Cleveland GA 3052864161RN144549Sisk, Carrie 2/22/201510342
Thomas Mullin, MD 126 Sequoyan Trail Ringgold GA 3073639882RN185647Sissom, Kasey Nicole 5/9/201412062
Bernard Maria, MD 1440 Harpo Street Augusta GA 3091262741RN149527Slagle, Kathleen 7/1/201410518
Joseph DeVeau, MD 101 Yorktown Dr., Ste 110 Fayetteville GA 3021452706RN199065Small, Amanda 12/1/201411111
Saturday, January 21, 2017 Page 176 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kim Jelks, MD 51 Gay Connector Greenville GA 3022229123RN199065Small, Amanda Leigh 10/1/201412237
Guillermo Pena, MD 75 By-pass Rd Morgonton GA 3056059493RN199065Small, Amanda Leigh 3/29/201311812
Burke, Charles MD 1008 North 3rd Avenue Chatswworth GA 3070558876RN199065Small, Amanda 1/21/201310826
Milaniera Latorre, MD 643 Main Street Palmetto GA 3026838032RN199065Small, Amanda Leigh 12/6/201414106
Gary Smith, MD 6120 Alabama Hwy Ringgold GA 3073610666127602Smeltzer, Melissa 4/9/201414527
Michael Lindsay, MD 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 3030327602RN103800Smillie, Anna Katharine 10/31/20148141
Micheal Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN103800Smillie, Anna Katharine 1/1/20085516
Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN059221Smith, Susan Rice 9/15/20129373
Marvyn Cohen, MD 500 18th St, Suite B-20 Columbus GA 3190111213RN128471Smith, Tara Newman 11/15/20137807
Clyde Cranville Simmons, MD 907 E. 18th Street Tifton GA 3179417301RN060915Smith, Lynne D. 4/28/20082771
Ambrous Findley, Jr., DO 331 Ridgecrest Cr. Clayton GA 3052528267RN117533Smith, Patricia Lynn 4/21/20152777
Peter Allotey, MD 2660 Montpelier Ave Macon GA 3120445693RN157400Smith, Kristine Marie 4/20/20129693
Michael Rogers, MD 401 Walton Way Augusta GA 3090146482RN157400Smith, Kristine Marie 2/17/20119834
Bhumiben S. Purohit, MD 1890 Manor View Cumming GA 3004158812RN189368Smith, LaTanya 5/23/201311545
Jeffrey Haller, MD 104 Prominence Point Pkwy, Suite 104 Canton GA 3011455826RN051699Smith, Nancy Willis 7/13/201512744
Gwendolyn V. Morgan, MD 502 Sumter St., #C Montezuma GA 3106324040RN184094Smith, Jamie A. 7/25/201311550
Farid Qazi, MD 207 Fairview Park Dr. Dublin GA 3102135737RN195210RN195210
Smith, Cassie H. 4/29/201311142
Chloe Armstead, DO 500 18th St, Suite B-20 Columbus GA 3190170699RN128471Smith, Tara Newman 2/5/201612733
Paul Bradley, MD 315 Eisenhower Drive Savannah GA 3140630016RN160488Smith, Kristina Marie 6/11/20129089
Saturday, January 21, 2017 Page 177 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Clyde Granville Simmons, MD 907 East 18th St, Suite 400 Tifton GA 3179417301RN060915Smith, Lynne D. 6/8/20128676
Shawn West, MD 907 E. 18th Street, Ssuite 400 Tifton GA 3179452495RN060915Smith, Lynne Elise DeBelly 6/15/20098218
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN038139Smith, Wanda 5/10/201210657
William Early, MD 320 Hospital Road Canton GA 3011420694RN051699Smith, Nancy Willis 6/1/20119141
Addington, Tony MD 39 Kent Road, Ste 5 Tifton GA 3179452526RN060915Smith, Lynne 8/3/201210863
Muhammad Jamal, MD 154 S. Leroy Street Metter GA 3043958255RN081837Smith, Kathryn Anne Edenfield 10/31/20112769
Rhodes, Melissa MD 21 Pointe North Drive Cartersville GA 3012047060RN051699Smith, Nancy 9/10/201310096
Asit Jha, MD 1706 Alice Street Waycross GA 3150155248RN133916Smith, Mary Katherine 1/16/20102773
Rhonda E. Colombo, MD 1120 15th St. Augusta GA 3091254985RN082793Smith, Anne L. 1/20/201511448
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN192533Smith, Marjorie Jordan 12/25/20129217
Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN178265Smith, Mary Elizabeth 8/1/20139420
Douglas LaSuer, MD 105 E. Tollison St Baxley GA 3151361474RN038139Smith, Wanda Gail Hollis 9/1/20119069
Fred Hood, MD 65 Old Jackson Rd McDonough GA 3025245071RN192533Smith, Marjorie Jordan 3/28/20098256
Michael Fortson, MD 1058 Bear Creek Blvd Hampton GA 3022835051RN192533Smith, Marjorie Jordan 8/15/20088192
Grizzard, Stewart MD 136 w. Dykes Street Cochran GA 3101443947RN156452Smith, Nicole 6/22/201510269
Umbreen Lodi, MD 82 Jesse Hill Drive Atlanta GA 3030345284RN115453Smith, Ellen Gray 9/24/20152759
Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN156014Smith, Amy Denise Ellsworth 1/12/2011892
Quyen Luu, MD 639 Hemlock St, Suite 200 Macon GA 3120125216RN154107Smith, Amanda Kelley 11/27/20158782
Wayne Williams, MD 616 19th Street Columbus GA 3190125070RN113417Smith, Daniel Joe 11/28/20072756
Sambasivam Suthan, MD 502-G South Lee Street Americus GA 3170959773RN113417Smith, Daniel Joe 7/8/20088122
Saturday, January 21, 2017 Page 178 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Nandara R. Reddy, MD 4415 Front Nine Dr., #700 Cumming GA 3004155641RN192533Smith, Marjorie Jordan 1/24/201411560
Debora Quigley, MD 178 Hospital Cir Blairsville GA 3051236601RN181932Smith, Deborah Jean 8/1/20162757
John Demicco, MD 11700 Mercy Blvd, Plaza D, #1-A Savannah GA 3141916855RN160488Smith, Kristina Marie 4/8/20108512
John Souza, MD PO Box 16100 Dublin GA 3104039475RN124380Smith, James Craig 9/6/20119153
Eugene Jackson, MD 151 S. Houston Lake Rd, Suite 190 Warner Robins GA 3108822793RN124380Smith, James Craig 2/6/20159714
Salvador Ramos-Camacho, MD
298 US Hwy 520 Cusseta GA 3180569937RN045397Smith, Rebecca 12/31/201412383
Johnson, Miles MD 3001 S. Cobb Dr #103 Smyrna GA 3008038817RN172144Smith, Chrystal Dawn 2/4/201410637
Rajeshkumar Miniyar, MD 140 Three Rivers Drive Rome GA 3016151597RN192262Smith, Alicia Louise 7/31/20138639
T. Dennis Sullivan, MD 3795 Mansell Road Alpharetta GA 3002215512RN089788Smith, Allison Bernice Reeves 9/16/20148571
Palmer, George MD 1012 Bermuda Run Road Statesboro GA 3045830658RN188916Smith, Jessica 9/30/201310712
Gloria Kayfan, DO PO Box 1908 Albany GA 3170148431RN113417Smith, Daniel Joe 7/16/20109059
Maruyama, Hiromi MD 222 S. Main Street Reidsville GA 3045360744RN081837Smith, Kathryn 4/20/201210286
Charles-Pryce, Pamella MD 2800 Overlook Pkwy Atlanta GA 3033958155RN057008Smith, Janet 6/15/201310469
Mendez, Traceyan MD 215 North Coleman Street Swainsboro GA 3040157831RN081837Smith, Kathryn 10/31/201410652
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN188916Smith, Jessica 1/24/201210044
Larisa Bradford, MD 906 South Wall Street Calhoun GA 3070157050RN102046Smith, Jennifer Martinez 9/14/20098242
Pablo Balboa-Marciack, MD 100 Hospital Court Calhoun GA 3070155409RN102046Smith, Jennifer Martinez 1/6/20139481
Andre McShan, MD 5 Barber Industrial Court Villa Rica GA 3018054869RN057008Smith, Janet Lynn Campbell 11/30/20119627
Hubert Smith, MD 412 Northside Dr East, Suite 200 Statesboro GA 3045818745RN118154Smith, Beverly Blige 3/20/20132750
Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN057008Smith, Janet Lynn Campbell 10/17/20092764
Saturday, January 21, 2017 Page 179 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN057008Smith, Janet Lynn Campbell 1/31/20118757
Curtis Sorensen, MD 100 Brookstone Center Pkwy Columbus GA 3190439947RN154964Smith, Julie Ann 8/15/20149839
Jeffery Brewster, MD 710 Center St Columbus GA 3190152896RN247583Smith, Kristin 8/17/201515772
Ronald Lewis, MD 1521 Pope Ave. Augusta GA 3091239393RN244129Smith, Natalie Nicole 9/30/201618539
Sharad Ghamande, MD 1120 15th St. Augusta GA 3091249173RN244129Smith, Natalie Nicole 5/20/201615068
Richard Rickman, MD 151 South Houston Lake Rd Warner Robins GA 3108849332RN124380Smith, James Craig 11/13/201515055
Jennifer Evans, MD 151 South Houston Lake Rd, Ste 190 Warner Robins GA 3108869804RN124380Smith, James 8/4/201616474
David A. Morton, MD 3000 Schatulga Rd. Columbus GA 3190748279RN237608Smith, Melissa Faye 6/30/201617600
Dauda Griffin, MD 934 Briarcliff Rd, NE Atlanta GA 3030657468RN057008Smith, Janet Lynn Campbell 6/26/201513968
Rachel Velez, DO 2209 Pineview Dr. Valdosta GA 3160239500RN188644Smith, Elizabeth E. 12/8/201616764
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN237608Smith, Melissa Faye 6/30/201413417
Emile Risby, MD 3000 Schatulga Rd Columbus GA 3190730869RN237608Smith, Melissa Faye 3/22/201613510
Micheal Nulph, MD 1027 Highway 247 South Kathleen GA 3104757735RN156452Smith, Nicole 9/14/201516096
Angela Gerguis, MD 360 Hospital Drive bldg. D ste. 130 Macon GA 3121747261RN156452Smith, Nicole Michelle 10/13/201618946
Vanderlyn Sewell, MD 934 Briarcliff Rd NE Atlanta GA 3030651547RN057008Smith, Janet 9/24/201515985
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN145936Smith, Melissa Ann 3/1/201614546
John Gerguis, MD 1203 Brampton Ave Statesboro GA 3045847085RN144996Smith, Jennifer Lynn 10/31/201613615
Eden English, MD 104 Prominence Point Pkwy, Ste 104 Canton GA 3011452432RN051699Smith, Nancy 10/1/201616058
Roger Brooksbank, MD 501 Redmond Road Rome GA 3016568120RN206506Smith-Vaughn, Melissa 10/31/201211275
Perlaky, Steven MD 100 Gross Crescent Circle Ft. Oglethorpe GA 3074241639RN206506Smith-Vaughn, Melissa 8/18/201210169
Marshall, John MD 1200 Memorial Drive Emer Dept Dalton GA 3072045877RN206506Smith-Vaughn, Melissa 10/31/201210517
Saturday, January 21, 2017 Page 180 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Boyd, Ronald MD Blandy Way Office Park 60, Hwy 22 W Milledgeville GA 310619438RN155696Snead, Keshana 11/8/201510215
Peter Lavine, MD 60 GA Hwy 22 Milledgeville GA 3106158276RN155696Snead, Keshana 10/29/201516327
Kavtaradze, David MD 1008 7th Street North Cordele GA 3101551148RN169913Sneed, Holly 3/11/201510955
Julia Wilson, MD 3740 Cascade Rd Atlanta GA 3033156787RN073598Snider, Teresa Gale Oldham 6/19/20139046
Daniel J. Messcher, MD Fairburn Stud Hlth Ctr/North Oak Street Valdosta GA 3169848443RN133811Snow, Kimberly Sheree Tucker 3/21/20092797
Jonathan Parrott, MD 2501 N Patterson Street Valdosta GA 3160236246RN133811Snow, Kimberly Sheree Tucker 4/26/20098285
Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN133811Snow, Kimberly Sheree Tucker 11/1/20158629
David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN124381Snuggs, Barbora Cerny 11/12/20105350
Paul Johnson, MD PO Box 422002 Atlanta GA 3034246132RN127019Snyder, Ann Marie McGuire 6/28/20152798
Michael Duke, MD 120 Barnet Dr Milledgeville GA 3106142041RN191842Snyder, Tomoko 1/13/20129476
Andre Lewis, MD 511 Masters Circle Dublin GA 3102140457RN191842Snyder, Tomoko 8/30/20109146
Janice Galleshaw, MD 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 3000533906RN138753Sobolik, Kim Elise Wakely 9/25/20142801
Valens Plummer, MD 7530 Roswell Rd Atlanta GA 3035049496RN111832Soehnlein, Regina Louise 7/25/20117761
Jorge Pisarello, MD 1120 W. Broad Ave, Suite B-4 Albany GA 3170558914RN115875Soles, Stanley Ferrell 11/18/201613699
Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN215505Soltwisch, Meagan 1/31/201210097
Stetler, Harrison MD 3957 Holcomb Bridge Rd Ste 100 Norcross GA 3009241681RN080808Sommers, Tanya 2/1/201310790
Donald Evans, MD 78 Opal St Cartersville GA 301209810RN176209Sone, Gladys Epote 5/19/201513135
Gaston Moran-Celayes, MD 618 East Lamar St Americus GA 3170964675RN063963Songer, Betty Jo 9/6/201311937
B. Bret Law, MD 131 E. 6th Ave Buena Vista GA 3180346879RN063963Songer, Betty Jo 7/31/20112804
David L. Dickensheets, MD 1100 Northside Forsyth Dr., Ste 250 Cumming GA 3004145769RN183659Sorace, Breanna L. 4/5/201611367
Christopher Atkins, MD 1266 Hwy 515 South, Emer Dept Jasper GA 3014345708RN183659Sorace, Breanna Leigh 6/29/201512635
Saturday, January 21, 2017 Page 181 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Sendhil Subramanian, MD 1000 Johnson Ferry Rd Ste B155 Marietta GA 3006849107RN218352Sorapuru, Anjenette 9/20/201413827
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN124958Sostre, Maria Rosa 8/24/20128391
Henry Lewis, MD 774 GA Hwy 96 Bonaire GA 3100549052RN203226Southerland, Shanita 12/31/201515645
Guilda Saint Fleur, MD 774 GA Hwy 96 Bonaire GA 3100569627RN203226Southerland, Shanita Lahoma 6/3/201617044
Oller, Carlo MD 960 Joe Frank Harris Pkwy Cartersville GA 3012065719RN107305Sparks, Tony 8/24/201410465
Patricia Tygrett, DO 2712 Hwy 411 SE Fairmount GA 3103932319RN107315Sparks, Tony Lewis 6/15/20119815
Michael Gervasi, DO 75 Bypass Road, Box 540 Morganton GA 3056044923RN065096Sparti, Frances Lillian 10/4/20072811
G W Garriss, III, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN154322Spearman, Amy Louise 12/12/201512368
Kevin F. Smith, MD 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 3014441961RN154322Spearman, Amy Louise Erickson 9/30/20092814
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN154322Spearman, Amy Louise Erickson 7/31/20128945
Mae Morgan, MD 424 Decatur St SE Atlanta GA 3031222902RN088491Spearman, Pamela 2/12/201615656
Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN243415RN243415
Speights, Charlanna 9/2/201514780
Darshana Sheth, MD 2550 Windy Hill Rd, Suite 309 Marietta GA 3006758642RN123614Spencer, Ivy Leigh Crowder 11/15/20162820
Patrick Spafford, MD 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 3032838971RN139992Spencer, Leigh Winter 6/15/20122821
Mohamed Elhassan, MD 5398 Thomaston Rd, Ste B Macon GA 3122072970RN210299Spencer, Valerie Shani 11/25/201514912
John Arnett, MD 200 Doctors Dr, Ste 106 Douglas GA 3153338423RN149993Spikes, LaDonna Lorraine 9/11/201513508
Jonathan Wade, DO 204 East 15th St Alma GA 3151066666RN149993RN149993
Spikes, Ladonna Lorraine 5/31/201413243
P. Ravi Sarma, MD 1700 Tree Lane Ste 490 Snellville GA 3007818073RN157974Spinks, Katherine Renee 9/30/20083265
Carmine Oddis, MD 682 Hemlock St, Suite 490 Macon GA 3120151072RN145338Spires, Kimberly Warren 2/5/20149267
Paul Kirshbom, MD 1405 Clifton rd Atlanta GA 3032251593RN167104Springman, Courtney Louise 7/12/20128978
Saturday, January 21, 2017 Page 182 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Robert Clark Brown, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034256269RN167104Springman, Courtney Louise 4/8/201612024
Tamara New, MD 5455 Meridian Mark Road, Ste 400 Atlanta GA 3034258712RN167104Springman, Courtney 7/31/201310780
Rembert Andrew Williams, MD
710 Center St, Emer Dept Columbus GA 3190128105RN162398Sprout, Amanda Marie 8/1/20139590
Alfred Brannen, MD 818 St. Sebastian Way Augusta GA 3090130584RN070342Spurr, Melissa Marie 9/20/20122829
Donald H. Loebl, Jr., MD 1238D'Antignac St. Augusta GA 3090162136RN070342Spurr, Melissa M. 4/1/201311592
Timothy Whitaker, MD 2855 Old Hwy 5, Suite 109 Blue Ridge GA 3051354697RN169872Stafford, John David 8/20/20128482
Cynthia Brown, MD 400 Timms Road Calhoun GA 3070149876RN117738Staines, Kelly Lochridge 1/31/20122832
Phillip Nowlin, MD 3384 Peachtree St NE, Suite 700 Atlanta GA 3032636588RN117738Staines, Kelly Lochridge 10/26/201312339
Allen Beecham, DO 2000 Village Professional Dr, Ste 200 Canton GA 3011425102RN117738Staines, Kelly Lochridge 3/22/201514391
Federico Milla, MD 95 Collier Road Suite 5015 Atlanta GA 3030969356RN146014Stallings, Judith Anna 2/12/201512829
Daniel Holtz, MD 4550 Cobb Parkway N W, Ste 309 B Acworth GA 3010162891RN146014Stallings, Judith 9/18/201515087
Christopher Riddell, MD 2540 Windy Hill Rd Marietta GA 3006721796RN127250Stamegna, Lynn Mary 12/9/20168892
James Millen, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080930834RN113457Stamper, Michael Scott 2/6/20108718
Ralph Marionneaux, MD 465 North Belair Road, Suite 1-C Evans GA 3080947621RN113457Stamper, Michael Scott 9/3/20098082
Divina Dyer, MD 3740 Cascade Road Atlanta GA 3033157161RN105323Stamps, Tracy Elaine 4/5/20102835
Eduard Docu, MD 1302 Drayton St Savannah GA 3141056426RN175956Standiford, Christen Faith 10/31/201513021
Lawrence Zottoli, MD 4704 Augusta Rd Garden City GA 3140836639RN175956Standiford, Christen Faith 10/31/201513020
Larry Appel, MD 4700 Waters Ave Savannah GA 3140458568RN175956Standiford, Christen Faith 2/20/20129541
Gard, Dwayne MD 4700 Waters Avenue Savannah GA 3140460731RN175956Standiford, Christen 11/5/201310614
Nellie Crawford, MD 107-B Upper Riverdale Rd. Riverdale GA 3034466471194197Standridge, Stephanie 3/31/201616698
Saturday, January 21, 2017 Page 183 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Divina Dyer, MD 2800 Overlook Pkwy. Atlanta GA 3033957161RN209521Staples, Mieshia 8/26/201618430
Nicole Ash-Mapp, MD 275-D Upper Riverdale Rd Riverdale GA 3027442993RN209521Staples, Mieshia 7/15/201615831
Franklin Von Hack, MD 861 Holcomb Bridge Rd Roswell GA 3007639501RN117053 3/12/20119286
Frederick Sengstacke, II, MD 861 Holcomb Bridge Rd, Suite 200 Roswell GA 3007642937RN117053 6/7/20102840
Gaston Moran-Celayes, MD 618 Est Lamar St Americus GA 3170964675RN066998Stark, Suzanne 1/1/201412986
Alluri Raju, MD 650 Alston Street Richland GA 3182522626RN066998Stark, Suzanne 4/8/20132843
Nagma Lott, MD 107 Main St Plains GA 3178060504RN066998Stark, Suzanne 11/30/201412382
Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN066998Stark, Suzanne 10/1/201311935
David Feiseler, MD 220 Alston St. Richland GA 3182517756RN066998Stark, Suzanne 8/1/201618237
Oscar Salvat, MD 220 Alston St. Richland GA 3182549742RN066998Stark, Suzanne 6/17/201613208
Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN159717Starnes, Maureen E. 8/21/20092844
Julian Sharpton, MD 1850 Hwy 145 Carnesville GA 3052117084RN093153Starrett, Laura Lynn Collins 8/31/20142846
Michael Busman, MD 800 GA SW State Univ Dr Americus GA 3170940628RN111226Statham, Annie Denise 7/1/201512981
Susan Wheatley, MD 6385 McGinnis Ferry Rd., #202 Johns Creek GA 3000531357RN187046Steding, Dawnelle S. 12/13/201311632
John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN187046Steding, Dawnelle Shaw 1/28/20138987
Eric Gibney, MD 1968 Peachtree Rd N,W Bldg 77, 5th FloorAtlanta GA 3030961884RN064448Steele, Katherine Long 2/10/201411755
Caplan, Howard MD 620 Broad Street Milledgeville GA 3106215916RN147012Steelman, Brittany 9/1/201310583
Theresa M. Courtney, MD Park 60, Georgia 22 Milledgeville GA 3106127043RN147012Steelman, Brittany C. 5/1/201311414
Theresa Courtney, MD 2283 Vinson Hwy Milledgeville GA 3106227043RN147012Steelman, Brittany Carnley 1/31/20123056
Bruce Ramsdell, MD 2941 Piedmont Rd, Unit B Atlanta GA 3030518722RN230998Stegall, Carolyn Lovejoy 2/17/201612633
Jon Stahlman, MD 2390 Wall St Conyers GA 3001349207RN076478Stein, Christina Lynn Bisca 12/23/20132851
Saturday, January 21, 2017 Page 184 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN124632Steinmetz, Jami Dearmon 8/23/20132853
Larry Mellick, MD 423 Crawford Ave Augusta GA 3090442892RN203151Steinmeyer, Ashleigh Lauren 9/30/201413244
Ahmed, Emad MD 385 Hawthorne Lane, Ste 200 Athens GA 3060645157RN191455Stell, Flora 7/25/201210781
Chandresh Viradia, MD 100 Jim Mason Ct, Suite A Warner Robins GA 3108853050RN207096Stembridge, Fredicia LaSandra 12/5/201511641
Richard Pike, MD 2001 Peachtree Rd, Suite 705 Atlanta GA 3030947640RN170552Stemp, Linda Denise 12/11/20129140
Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN170552Stemp, Linda Denise 6/5/20098405
William Stinnette, MD 1650 Honey Creek Commons Conyers GA 3001346499RN170552Stemp, Linda Denise 6/30/200410971
Paul Spiegl, MD 5673 Peachtree Dunwoody Road, Suite 825
Atlanta GA 3034225045RN170552Stemp, Linda Denise 12/11/20122951
Vance, Luther MD 3065 South Cobb Dr, Ste B Smyrna GA 3008019354RN170552Stemp, Linda 12/31/201210831
Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN160130Stephan, Karen Marie 7/12/20122856
Kyoung-Soon Kim, MD 5150 Stilesboro Rd, Suite 220 Kennesaw GA 3015239144RN167716Stephens, Melia Ann 9/4/20109002
Chukwudi Amu, MD 5530-B Old National Hwy, Suite 100 College Park GA 3034926967RN129457Stephens, Latonya 12/1/20099224
Angelica James-Herry, MD 1405 Clifton Rd, 4th Floor, AFLAC Atlanta GA 3032248362RN167716Stephens, Melia Ann 12/30/201411900
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN101834Stephens, Tammy Lynn 6/6/201311903
Keyana Washington, MD 601A Professional Dr, Ste 370 Lawrenceville GA 3004663749RN167716Stephens, Melia Ann 9/22/201413719
Ralph Warnock, MD 4421 Carnes St. Acworth GA 3010117337RN101834Stephens, Tammy Lynn 4/8/201513976
Melissa Primrose, MD 774 GA Hwy 96 Bonaire GA 3100553516RN101834Stephens, Tammy Lynn 6/30/201617909
Tarak Patel, MD 1224 Augusta West Pkwy Augusta GA 3090966394RN182818Stephens, Jason Edward 3/10/201616612
Frederick Burton, MD 6020 Harrison Rd, Ste B Macon GA 3120638434RN101834Stephens, Tammy Lynn 5/6/201617443
Hetal Thakore, MD 3651 Wheeler RD Augusta GA 3090953556RN182818Stephens, Jason Edward 10/1/201516508
Saturday, January 21, 2017 Page 185 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Stepen Finn, MD 1825 Martha Berry Blvd Rome GA 3016546961RN238076Stephens, Andrea 12/17/201514781
Cesar Figueroa, MD 340 Hospital Dr Macon GA 3121732105RN101834Stephens, Tammy Lynn 8/14/201413245
Angela Wright, MD 2467 Golden Camp Rd Augusta GA 3090645103RN182818Stephens, Jason Edward 7/22/201618315
Celalettin Ustun, MD 1120 15th Street, #BA-5407 Augusta GA 3091255993RN167843Sterling, Kristen Heather 4/28/20108709
Anand Jillella, MD 1120 15th St, Suite BA-5407 Augusta GA 3091233843RN167843Sterling, Kristen Heather 9/30/20139121
Hutchins Sr., Julian MD 4150 Washington Rd, Ste 11 Evans GA 3080918677RN167843Sterling, Kristen 11/12/201310802
Kenneth Grotz, MD 4150 Washington Rd Evans GA 3080937820RN167843Sterling, Kristen 2/22/201514456
Bhagat Reddy, MD 275 Collier Road, NW Ste 300 Atlanta GA 3030955012RN185213Stern, Christina Myers 5/22/20155426
William W. Crone, MD 3169 Holcomb Bridge Rd, Ste 760 Norcross GA 3007141540RN108425Stevens, Joy Manry 8/15/20075355
Patrice Harris, MD 99 jesse Hill Jr Dr SE Atlanta GA 3030338794RN135932Stevens, Debbie 9/30/201516245
Jones, Tommy MD PO Box 1726 Highway 301 Glennville GA 3042748365RN124133Stewart, Deborah 1/30/201510616
Sward, Lisa Ann MD 150 Gentilly Blvd Cartersville GA 3012045639RN170096Stewart, Natalie 1/9/201410982
Justin R. Kunes, MD 6 Executive Park Dr., #10 Atlanta GA 3032966201RN226921Stewart, Fallon K. 12/5/201411584
Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN145278Stewart, Dana Michelle 5/24/20139720
Lee Ann Merchen MD 1447 Harper St. Augusta GA 3091260009RN205580RN205580
Stewart, Merry Ann 5/16/201311007
Betsy Horton, MD 745 South Glynn St Fayetteville GA 3021440693RN111294Stewart, Jacquelyn M. 12/31/20119154
Kaveh Ehsanipoor, MD 4750 Waters Ave., Ste 452 Savannah GA 3140420309RN140664Stier, Ingrid 3/25/201311182
Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN202416Stock, Lynn Marie 11/21/201412022
Benita Bonser, MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453980RN202416Stock, Lynn Marie 1/17/20139236
Charles McCord, MD 3345 Hwy 34 East, Suite 102 Sharpsburg GA 3027739409RN202416Stock, Lynn Marie 12/31/20098566
Saturday, January 21, 2017 Page 186 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Deepti Manjal, MD 6002 Professional Pkwy Douglasville GA 3013446627RN113476Stockwell, Helen Rosemary Jackma 7/6/20122874
Anurupa Damineni, MD 1670 Clairmont Rd Decatur GA 3003347419RN103931Stokes, Marcia Lynette 12/14/20157750
Altee Johnson, MD 101 Yorktown Dr, Ste 110 Fayetteville GA 3021460387RN220700Stokes, Kelly Christina 6/27/201615208
John McCravey, MD 4750 Battlefield Pkwy Ringgold GA 3073629048RN042582Stone, Ellen H 4/22/20112878
Julia Johnson, MD 310 Eisenhower Dr, Suite 5 Savannah GA 3140656721RN060668Storey, Susan Carol 12/31/20119708
Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN060668Storey, Susan Carol 3/14/20118345
Craig Bishop, DO 2412 N Oak St Valdosta GA 3160245725RN213604Storey, Amber Brooke 12/31/201514618
Lora Denton, MD 310 Eisenhower Dr, Ste 5 Savannah GA 3140633818RN60668Storey, Susan 10/15/201414529
Cheryl McGowan, MD 11705 Jones Bridge Rd, Ste A 201 Johns Creek GA 3000570484RN182841Stough, Ashley 5/19/201615460
Lah, James MD 1821 Clifton Rd NE, POD A Atlanta GA 3032941863RN070640Stout, Deborah 3/19/201310732
Carlo Oller, MD 960 Joe Frank Harris Pkwy, Emer Dept Cartersville GA 3012065719RN206377Stout, Mandy Rees 10/17/201513284
Christopher Inhulsen, MD 300 Medical Court Oglethorpe GA 3106820743RN104589Stoyle, Sheryl Angel 5/1/201515047
Andrea Bretal, MD 618 East Lamar St Americus GA 3170964777RN104589Stoyle, Sheryl Angel 2/1/21514631
Oscar Salvat, MD 618 East Lamar St Americus GA 3170949742RN104589Stoyle, Sheryl 8/10/201515636
Seymour Rosenbloom, MD 55 Whitcher St, Suite 400 Marietta GA 3006015849RN077156Straub, Sharnee Elizabeth 11/23/20142882
Michaele Brown, MD 2487 Cedarcrest RD, Ste 714 Acworth GA 3010157052RN077156Straub, Sharnee Elizabeth 1/30/201614569
Velda Givens, DO 2100 Comer Ave Columbus GA 3190646763RN140175Street, Wanda Lisa 9/10/20085492
Brett Murphy-Dawson, MD PO Box 5328 Colubus GA 3190654080RN140175Street, Wanda Lisa Monroig 4/22/20138195
Michael Witt, MD 1289 Gi Maddox Pkwy Chatsworth GA 3070526045RN064327Strickland, Thomas 11/23/20152887
Eric Jensen, MD 1107 Memorial Dr, Suite 300 Dalton GA 3072050304RN064327Strickland, Thomas E. 11/23/20158237
Jay Thomas, MD 5764New Calhoun Hwy NE Shannon GA 3017247997RN064327Strickland, Thomas 11/23/20159185
Saturday, January 21, 2017 Page 187 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Michelle Morgan, DO 5895 Peachtree Pkwy Norcross GA 3009251694RN146690Strickland, Kelleigh Jean 2/2/20107852
Thomas Carswell, MD 2830 Clearview Place, Suite 500 Doraville GA 3034026238RN146690Strickland, Kelleigh Jean 12/1/20119522
Almon, William MD 5755 North Point Pkwy Ste 72 Alpharetta GA 3002230938RN146690Strickland, Kelleigh 8/1/201410602
Devin Handley, MD 2659 Abutment Rd Dalton GA 3072048356RN064327Strickland, Thomas 12/7/201512475
Suzanne Anderson, MD 340 Eisenhowser Drive, Bldg 1500 Savannah GA 3140657922RN111997Strickland, Carol Lynn Bland 7/11/20082884
Richard Mersberger, DO 3931 Mundy Mill Rd, Ste A Oakwood GA 3056655140RN064327Strickland, Thomas Earl 11/15/201616960
Davis, Mitchell MD 200 S. Enota Drive, Ste 200 Gainesville GA 3050135030RN134286Stringer, Marsha 8/30/201310489
Brenda Hott, MD 200 S Enota Dr, Ste. 200 gainesville GA 3050141441RN134286Stringer, Marsha Ann 1/1/20129975
James Greene, MD 114 Northpark Drive Brunswick GA 3152029657RN173597Strother, Nancy Hodges 8/20/20149019
Ui Ho Park, MD 3889 Cobb Pkwy NW Acworth GA 3010118938RN145301Stroud, Melissa F. 10/1/20169379
Pinell, Michael MD 340 Eisenhower Drive, Suite 910 Savannah GA 3140658102RN112208Stubbs, Rachel 6/15/201310020
George Katsitadze, MD 976 Killian Hill Road, Bldg A, Suite B Lilburn GA 3004752456RN135494Stubbs, Allison Leigh 5/31/20112895
Owen, Frances MD 7000 Wellnes Way, Ste 7230 St. Simon's Island GA 3152240973RN135494Stubbs, Allison 8/12/201610386
David Gaskin, MD 310 Eisenhower Dr, Bldg 5 Savannah GA 3140632736RN112208Stubbs, Rachel Cowan 2/28/201412983
Lawrence Gynther, MD 303 Smith Street LaGrange GA 3024026863RN067248Stuckwisch, Frances A Leyba 1/21/20112896
Lawrence Gynther, MD 1514 Vernon Rd LaGrange GA 3024026863RN067248Stuckwisch, Frances A Leyba 8/23/20129686
Lyndall C. Van Vicki, MD 747 South Hill Street Griffin GA 3022429811RN043103Stull, Mildred Potter 9/11/20142897
George Capo, DO 1007 Memorial Dr Griffin GA 3022442539RN043103Stull, Mildred Potter 5/1/20119202
Wondiful Colbert 747 South Hill St Griffin GA 3022468389RN043103Stull, Mildred Potter 9/25/201414296
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN192344Stump, Catherine Elizabeth 8/15/20149750
David Derrer, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031854181RN192344Stump, Catherine Elizabeth 3/4/201513934
Saturday, January 21, 2017 Page 188 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031513784RN192344Stump, Catherine 6/10/201515328
Kambiz Aflatoon, DO 885 Buford Dr Lawrenceville GA 3004366238RN194195Sturdivant, Shuconda 2/17/201616263
Ifeoma Nnaji, MD 1300 Joseph E. Boone Blvd, NW Atlanta GA 3031463931RN194195Sturdivant, Shuconda Kanta 9/1/201514090
Witt, Michael MD 1289 G.T. Maddox Pkwy chatsworth GA 3070526045RN113269Suddeth, Misty 5/10/201310837
Jason Hefner, MD 104 Prominence Point Pkwy, Suite 104 Canton GA 3011461444RN113269Suddeth, Misty Meshell 2/1/201412399
Reden Delgado, MD 508 East Morris St Dalton GA 3072165957RN113269Suddeth, Misty Meshell 5/1/201512832
Scott Tarplee, DO 2300 Parkwood Drive Brunswick GA 3152021057RN112143Sullins, Lisia Ann 9/22/20152902
James Rogan, MD 700 Park Regency Place, Ste 2502 Atlanta GA 3032637662RN112143Sullins, Lisia 9/16/201515507
Tama Y. Fuller, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034221981RN073627Sullivan, Eleanor C .Cochrane 7/15/20145530
Bantwal Baliga, MD 1400 Bradley Lake Blvd Columbus GA 3190456680RN197605Sullivan, Haley Patterson 10/25/201312085
Philip Weiss, MD 1100 Lake Hearn Drive Suite 100 Atlanta GA 3034238398RN073627Sullivan, Eleanor 7/15/20148050
Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN073627Sullivan, Eleanor C 7/15/20149950
Elizabeth Le Duc, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034234754RN073627Sullivan, Eleanor C. Cochrane 2/28/20112904
Susan W. Harrell, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034233100RN073627Sullivan, Eleanor C. Cochrane 7/15/20145529
John C. Knox, MD 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 3034222575RN073627Sullivan, Eleanor C. Cochrane 7/15/20145531
Surber, Joseph DO 2122 Manchester Expresway Columbus GA 3190452232RN197605Sullivan, Haley 5/23/201410001
Johathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN127085Sumler, Todd 4/5/201311314
Douglas Moss, MD 814 Northwood Park Valdosta GA 3160241178RN127085Sumler, Todd 12/9/201610908
Frank Lake, III, MD 743 Spring St Gainesville GA 3050111972RN174484Summerlin, Melissa Davis 11/10/20169761
Bennett, Jan DO 761 North Cherokee Road Social Circle GA 3002530580RN130632Summerour, Lanissa 3/11/201410223
Howard McMahan, MD 361 Cargile Rd Ocilla GA 3177422824RN183455Sumner, Laura Kristen 7/26/20119706
Saturday, January 21, 2017 Page 189 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
James Millen, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080930834RN146794Sumner, Melissa Lampp 2/6/20108723
Hutchins Sr., Julian MD 4150 Washington Road, Ste 11 Evans GA 3080918677RN146794Sumner, Melissa 11/23/201110147
Frederick Merrill, III, MD 465 North Belair Rd. Evans GA 3080934664RN146794Sumner, Melissa L 9/3/20095543
Guido Ring, MD 106 West 4th Ave. Cordele GA 3101545325RN218916Sunara-Waters, Adriana 3/15/201411102
Halleck, Sylvia MD 1431 Riverside Parkway Lawrenceville GA 3004316356RN218916Sunara-Waters, Adriana 7/17/201210832
James Harbin, MD 10155 Eagle Dr Covington GA 3001438507RNSusin, Barbara Leeanne Weitzel 9/10/20155365
Hurd, Thomas MD 400 Taver Road, Ste 350 Marietta GA 3006027070RN110992Sutherland, Joanna 6/28/202210457
Anita Rao, MD 400 Tower Rd, Suite 350 Marietta GA 3006060315RN110992Sutherland, Joanna Wilson 1/31/20112911
Anne Todd, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054051395RN035712Sutton, Beverly Lorraine Head 5/30/20132913
Renwick Hood, MD 761 Old Norcross Road Lawrenceville GA 3004524265RN091126Sveum, Jonne 9/3/20155366
Thomas Varughese, MD 6130 Prestley Mill Rd, Suite B Douglasville GA 3013545998RN195459Swafford, Jodi Leigh 2/13/20159913
John Jenkins, II, MD 100 Hwy 18 W, Ste 106 Barnesville GA 3020462726RN190818Swatts, Brandi Jackson 7/1/201612214
Thomas Mullen, MD 205 Roadrunner Blvd Lafayette GA 3072839882RN232965Sweitzer, Dana Michelle 2/26/201412656
Chu, Ha MD 6000 Joe Fran k Harris Pkwy NW Adairsville GA 3010361952RN116714Swiger, Nicole 11/30/201410227
Hope McDaniel, MD 6000 Joe Frank Harris Pkwy, Suite C Adairsville GA 3010359287RN116714Swiger, Nicole Belcher 8/6/20109051
Marcia Williams, MD 6000 J F Harris Pkwy, Ste C Adairsville GA 3010334985RN116714Swiger, Nicole Belcher 7/1/20102921
Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN147478Swint, Charlotte Elizabeth 2/21/20138585
John Sladky, MD 2015 Uppergate Drive Atlanta GA 3032241219RN147478Swint, Charlotte Elizabeth 5/26/20092922
Gavrikov, Vitaliy MD 7100 Peachtree Dunwoody Road, ste 100Atlanta GA 3032861430RN175586Sybert, Jules 9/4/201210803
Edgar Kenton, MD 550 Peachtree St, Suite 3343 Atlanta GA 3030858531RN175586Sybert, Jules C. 11/11/20119490
O'Grady, Michael MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032841189RN175586Sybert, Jules 9/4/201210486
Saturday, January 21, 2017 Page 190 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Lanier, John MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032828809RN175586Sybert, Jules 4/17/201210615
Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100Atlanta GA 3030351875RN184836Sykes, Brandy M. 5/1/20149518
David L. Brand, MD 208 North Cuthbert St. Colquitt GA 3983746045RN081905Sykes, Mary Elizabeth Werne 3/1/20082923
Linda Hudson, MD 2734 Ledo Rd, #15 Albany GA 3170747771RN081905Sykes, Mary Elizabeth Werne 3/11/20139416
Gloria Kayfan, DO PO Box 1908 Albany GA 3170748431RN081905Sykes, Mary Elizabeth Werne 8/1/20109142
Angela Dowson, MD 2734 Ledo Rd, Ste 15 Albany GA 3170740895RN081905Sykes, Mary 9/20/201615421
Sullivan, Thomas Dennis MD 3795 Mansell Road Alpharetta GA 3002215512RN200358Symes-Gilbert, Sandra 9/12/201410398
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayettevill GA 3021437488RN176079Szczepanski, Crystal Renee 12/2/20098436
Jeffrey Nicholas, MD 69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Rm 308
Atlanta GA 3030348377RN176079Szczepanski, Crystal Renee 9/1/20157953
Damon Kimes, MD 60 Hospital Rd, Emer Dept Newnan GA 3026350322RN176079Szczepanski, Crystal Renee 9/24/20169450
Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN183964Tai, Eva Chen 2/15/20138649
Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN171089Talley, Jamila A. 7/25/20128394
Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN163540Tanner, Brianne S. Mason 3/15/20121880
Laura Bleekrode, MD 1100 Northmeadow Pkwy, Ste 108 Roswell GA 3007634514RN148036Tarabicos, Anna-Lisa 1/4/201310648
Maurice Sholas, MD 1001 Johnson Ferry Rd Atlanta GA 3034260314RN148036Tarabicos, Anna-Lisa Marie Decord 11/30/201311807
Christopher Kang, MD 2801 DeKalb Medical Parkway Lithonia GA 3005839141RN164778Tarver, Pamela G. 1/2/201411282
Francis Gonzalez, MD 677 Church St, Box 111 Marietta GA 3006057810RN102375Tate, Lorrie Suzanne Ray 5/11/201512525
Sandra Diehl, MD 709 Canton Road, Suite 200 Marietta GA 3006031237RN155989Taylor, Jean Osowiecki 12/23/20118163
Hewling, Kirk-Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN219174Taylor, Gina 4/22/201310788
RN124210Taylor, Sylvester 12/31/20152943
Saturday, January 21, 2017 Page 191 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN169794Taylor, Crystal 10/17/201210758
Krishna Eechampati, MD 2985 George Busbee Pkwy, NW Kennesaw GA 3014443994RN145142Taylor, Delisha B. 1/25/201311203
Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009749717RN074994Taylor, Tina Armstrong 11/6/20169672
Eugene H. Jackson, MD 151 S. Houston Lake Rd., Ste 190 Warner Robins GA 3108822793RN154709Taylor, Jaimi M. 11/11/201411495
Prakash Desai, MD 1664 Mulkey Road Austell GA 3010618482RN145142Taylor, Delisha Brantley 11/1/20102931
Warren J. Henderson, MD 303 Smith St. LaGrange GA 3024020734RN154560Taylor, Wendy L. 11/4/201611192
Mohan Papudesu, MD 610 Ferncrest Drive Sandersville GA 3108229063RN174968Taylor, Shalu Renee 10/31/20152940
Guy Augustin, MD 1153 North Liberty St Nicholls GA 3155470852RN115782Taylor, Sebrina 8/7/201515280
Jeremiah McClure, MD 6501 Peake Rd Macon GA 3121066228RN154709Taylor, Jaimi Marie 8/24/20114900
Cath Harper-Hogan, MD 124 Third St Macon GA 3120144228RN154709Taylor, Jaimi Marie 6/1/201617144
Mef Galle, MD 6300 Jimmy Carter Blvd, Ste 110 Norcross ga 3007159722RN178955Taylor, Gaynell 7/24/201514771
John David Arnett, MD 208 Grady Avenue South Douglas GA 3153338423RN115782Taylor, Sebrina Renee King 10/16/201617627
Robert Marler, MD 725 Jesse Jewell Pkwy, Suite 300 Gainesville GA 3050135947RN184594Taylor, Kelly Elizabeth 9/9/201613323
Joan Ifarinde, MD 125 Victory Dr, Ste B Swainsboro GA 3040162122RN145142Taylor, Delisha 11/30/201615972
Kalpana Nayak, MD 1912 Memorial Dr, Ste E Waycross GA 3150126049RN169794Taylor, Crystal Leigh 3/7/201616813
Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN157407Taylor-Jones, Antoinette 10/27/201510900
Walter Metcalfe, MD Take Care Clinic, 7530 Roswell Rd Atlanta GA 3035058544RN172042Tchaya, Sylvie V 9/10/201312068
Plummer, Valens MD 7530 Roswell Road Atlanta GA 3035049496RN172042Tchaya, Sylvie 5/1/201310098
Sandra Helmers, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032248784RN105822Teagarden, Diane Leigh Agosti 3/22/20162947
Suzette LaRoche, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032246149RN105822Teagarden, Diane Leigh Agosti 9/4/20158497
Susan Palac, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032260954RN105822Teagarden, Diane Leigh Agosti 8/8/20118499
Saturday, January 21, 2017 Page 192 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Page Pennell, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032240513RN105822Teagarden, Diane Leigh Agosti 6/21/20098500
Kimford Meador, MD 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 3032218705RN105822Teagarden, Diane Leigh Agosti 9/21/20138498
Ronald Forehand, MD University Health Ctr, 370 River Road Athens GA 3060222760RN117547Teasley, Christa Clare Tumbleston 9/6/20132948
Dharmeshkumar Patel MD 2491 Panola Rd. Lithonia GA 3005855264204954Techapatikul, Kallayanee 4/1/201616736
Sandra Kopacz, MD 1303 Hwy 215 Vienna GA 3109232179RN045228Tedder, Cathy M 10/8/20102949
Clement Anthony, MD 710 Center St Columbus GA 3190127752RN175477RN175477
Teel, Lesley Dale 7/2/201614544
Lionel Meadows, MD 121 N. Big A Road Toccoa GA 3057745550RN128774Teffault, April Lynn 7/24/20112950
Thenmozhi Sinjaram, MD 3850 Windermere Pkwy, Ste 105 Cumming GA 3004165060RN184550Telemaque, Coyette 10/30/201515523
Nagma Lott, MD 107 Main St Plains GA 3178060504RN223698Tenebruso, Lillian E 5/25/201311691
Anurag K. Kumbham, MD 298 US Highway 520 Cusseta GA 3182558690RN223698Tenebruso, Lillian E. 2/4/201311281
David Erwunife, MDRN171345Terrell, Karen J. 4/26/201311312
Nurrallah Esmail, MD PO Box 650, Medical Dept Nicholls GA 3155435623RN171345Terrell, Karen Jean 12/14/20119669
Sightler, William DO 195 N. Broad Street Alamo GA 3041134715RN171345Terrell, Karen 5/4/201210455
F. Clark Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN140783Tesh, Ana Lynn 7/26/201611885
Keith Kirby, MD 8 Wheeler Street Savannah GA 3140540438RN122730Thames, Linda Ann 9/15/20128072
Fremont P. Wirth, MD 4 East Jackson Blvd. Savannah GA 3140516449RN122730Thames, Linda A. 2/28/201411197
Murray Robinson, MD 2675 N Decatur Rd, Suite 110 Decatur GA 3003352518RN122730Thames, Linda Ann 3/17/201413062
Allen Randle Beecham, DO 2000 Village Professional Dr., #200 Canton GA 3011425102RN174649Thibault, Paula S. 5/25/201411381
Haley, Donna MD 100 Medical Lane, Ste 1 Canton GA 3011440916RN174649Thibault, Paula 7/26/201210630
Hany Elia, MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN082980Thisell, Susan K. 1/4/20108837
Saturday, January 21, 2017 Page 193 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kenneth Azar, MD 306 Greenway Street Thomson GA 3082413721RN082980RN082980
Thisell, Susan K. 10/16/20098197
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN135792Thomae, Maria Carmen 3/11/20119499
Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN133666Thomas, Barbara Ann 9/30/20108921
Cacia Soares-Welch, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050155704RN192999Thomas, Hyacinth 1/31/20119421
Budell, John MD 2175 Northlake Pkwy, Ste 142 Tucker GA 3008417369RN177250Thomas, Jency 12/14/201210028
Deepali Agarwal, MD 1110 13th Street Columbus GA 3190154783RN156089Thomas, Tawya Scherri 2/24/20118502
Mary Jo Lechowicz, MD 1365 Clifton Rd NE, Bldg C, Plaza floor Atlanta GA 3032253339RN185361Thomas, Jessica Joy 3/14/20149718
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN233993Thomas, Rachel Lee 9/19/201312480
Kirk-Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN133666Thomas, Barbara Ann 5/30/20119328
Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN171973Thomas, Heather Renae 7/21/20108243
Adam Leaderman, MD 5673 P'tree Dunwoody Rd, #775 Atlatna GA 3034229709RN093201Thomas, Elizabeth Ann D'Amico 5/20/20102966
Miriam Gwathney, DO 300 W. Perry St Manchester GA 3181663343RN211903Thomas, Ceretha Mae 3/30/20129605
David Feliciano, MD 80Jesse Hill Jr Dr SE, Suite 304 Atlanta GA 3030334827RN053639Thomas, Carol Ann 1/31/20112963
Gabram, Sheryl MD 69 Jesse Hill Jr Dr SE, Ste 303 Atlanta GA 3030356834RN053639Thomas, Carol 6/25/201410399
Mona Massoud, MD 526 West Broad Ave Albany GA 3170570479RN149165Thomas, Tawenna Tajuanda 5/16/201413006
Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3600466222RN133666Thomas, Barbara 7/13/201210130
Reneka Dobbs, MD 1328 Joe Frank Harris Pkwy Cartersville GA 3012064770RN163447Thomas, Charmaine Betty 2/1/201512099
Gertrude Arrington, MD 1720 Phoenix Blvd, Ste 900,600 College Park GA 3034927036RN219545Thomas, Robin 9/29/201514764
Clyde O. Green, MD 1122 Gray Hwy Macon GA 3121130072RN139742Thompson, Andrea L. 4/26/201311333
Mohammad M. Rahman, MD 3350 Northside Dr. Macon GA 3121044065RN139742Thompson, Andrea L. 4/26/201311334
Saturday, January 21, 2017 Page 194 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Hart, Ronald MD 247 Union Point Street Lexington GA 3064846115RN067355Thompson, Colette 12/22/201510145
Michlene Broadney, MD 11 Upper Riverdale Rd SW Riverdale GA 3027455207RN067048Thompson, Charlotte Allen 3/31/20115373
Vijitha Prasad, MD 544 W. Church Street Swainsboro GA 3040140520RN070005Thompson, Brenda Meadows 12/18/20159139
Appavuchetty Soundappan, MD
1115 Morningside Dr Perry GA 3106944107RN139742Thompson, Andrea Lucckino 10/14/20139452
Nam, Nakyoung Judy MD 2089 Teron Trace Dacula GA 3001959292RN161642Thompson, Amy 2/25/201410031
Teresa Baysden, DO 2001 Antioch Rd Dalton GA 3072157348RN070005Thompson, Brenda Meadows 2/4/20102975
Richard Dent, MD 310 Eisenhower Dr, Bldg #5 savannah GA 3140617RN159396Thompson, Kristan Anne 11/9/20098540
Jesse Grant, MD 124 Third St Macon GA 3120121510RN139742Thompson, Andrea Lucckino 7/10/201512741
Ifeoma Nnaji, MD 247 Union Point St Lexington GA 3064863931RN067355Thompson, Colette A Kowalski 10/20/20112976
Randal Sugerman, MD 1339 Gray Hwy Macon GA 3121136465RN139742Thompson, Andrea Lucckino 12/1/201311971
Poornima Chintalapalli, MD 1610-D East Forsyth St Americus GA 3170961405RN170568Thompson, Natalie Nicole 7/29/20119660
Shameka McElhaney, MD 2670 Cobb Pkwy SE Smyrna GA 3008054854RN170568Thompson, Natalie Nicole 8/13/201512527
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN153018Thompson, Johnetta 1/1/20107883
Mian, Haroon MD 970 Joe Frank Harris Pkwy SE Cartersville GA 3012066222RN153018Thompson, Johnetta 7/13/201210129
Lance Wiist, MD 761 Old Norcross Road Lawrenceville GA 3004533754RN164801Thompson, Jill Marie Antisell 11/5/20095374
David Van, MD 747 South Hill Street Griffin GA 3022429545RN142971Thompson, Jennifer Smith 4/1/20108271
James Drury, MD 401 Old Albany Road Thomasville GA 3179248891RN077718Thompson, James Arthur 4/16/20142980
Alice House, MD 100 College Station Dr Macon GA 3120643065RN120888Thompson, Darrel Winifred 3/4/20169596
Maurice Clifton, MD MSC Health Clinic - 100 College Station DrMacon GA 3120661053RN120888Thompson, Darrel Winifred 11/21/20102977
Katrina Parker, MD 2425 Brookstone Ctr Pkwy Columbus GA 3190440510RN237918Thompson, Leslie 3/1/201514728
Saturday, January 21, 2017 Page 195 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Ashley Davis, MD 5555 Whittlesey Blvd, Suite L-1 Columbus GA 3190958161RN237918Thompson, Leslie 10/31/201413684
Donald Siegel, MD 555 N Indian Creek Dr Clarkston GA 3002111475RN078351Thomson, Susan 7/1/201615723
Rita Beckford, MD 555 North Indian Creek Dr. Clarkston GA 3002173189RN078351Thomson, Susan Jane Borich 8/4/201618213
Jeffrey Brewster, MD 710 Center St Columbus GA52896RN235312Thornbury, Sarah 7/11/201615707
Craig Banta, MD 2050 Cumming Hwy, Ste 100 Canton GA 3011548873RN207895Thorne, Julia 5/29/201611112
Lanier, John MD 2050 Cumming Hwy Canton GA 3011428809RN207895Thorne, Julia 7/25/201210400
Durbin, Randy DO 2050 Cumming Hwy, Ste 100 Canton GA 3011464776RN207895Thorne, Julia 7/31/201210716
Ronald Forehand, MD 370 River Road Athens GA 3060222760RN081936Thornton, Anita Lyn 8/9/20132988
Alexander Osowa, MD 2805 Hamilton Mill Rd Buford GA 3051957551RN214508Thornton, Angela Autumn 7/22/201617370
Vimala Nair, MD 100 Lacy St, Suite 150 Marietta GA 3006018058RN174775Thrasher, Mary Aqnn Moulder 5/11/20129036
Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN174775Thrasher, MaryAnn Moulder 2/2/201513010
Mark P. Elam, MD 9702 Chestnut Hill Lane Chattanooga TN 3742136147RN174775Thrasher, MaryAnn M. 1/31/201411243
Oladayo Osinuga, MD 3290 Memorial Drive, Suite A-1 Decatur GA 3003251703RN178172Threats, Millicent Lenora 1/22/20151321
Walter Lonergan, MD 59 Hospital Road Newnan GA 3026327401RN082194Thrower, Eileen Joyce Barry 8/31/20115376
Carolyn Bennett, MD 1405 Clifton Rd NE, 4th floor, Tower 1 Atlanta GA 3032258729RN228738Tickle, Kelly Marie 11/15/201613000
Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN106991Tillery, Traci Myrick 10/1/20087755
S Joe Vaughn, MD 304 Turner MCCall Blvd Rome GA 3016546000RN106991Tillery, Traci Myrick 5/1/201512203
S. Joe Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN106991Tillery, Traci Myrick 7/5/201311664
Jay Goldstein, MD 4700 Waters Ave, ED Savannah GA 3140445229RN161574Tillman, Kelly R. 7/31/201617149
William Raisig, MD 64 Call-Wright Road Ellijay GA 3054055290RN202115Timmins, Christopher Louis 11/14/20098535
Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN202115Timmins, Christopher 5/31/201310825
Saturday, January 21, 2017 Page 196 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Allen Hoffman, MD 790 Church St., Suite 250 Marietta GA 3006024822RN079447Tinsley, Pamela Ruth Dorris 9/28/20083001
Andrea Bretal, MD 618 East Lamar St Americus GA 3170964777RN121032Tinson, Aretha Marie 2/5/201612393
Matthews, Barbara MD 2000 N. Monroe Street Albany GA 3170146169RN121032Tinson, Aretha 7/31/201310294
Marler, Robert MD 725 Jesse Jewell Pkwy, Ste 300 Gainesville GA 3050135947RN102211Tipton, Anga-Lee 12/1/201610833
Peter Barrett, MD 95 Collier Rd, NW, Ste 5015 Atlanta GA 3030969372RN122787Tobey, Jacqueline Davies 11/26/201413611
Mullen, Thomas MD 126 Sequoyah Ringgold GA 3073639882RN149595Toi Glaze, Rachel 6/11/201310821
Manuel Martinez, MD 1915 Eisenhower Drive Savannah GA 3140624757RN213583Tolbert, Shaun 4/11/20129925
Terrance Hughes, MD 1500 Langford Medical Dr, Bldg 200 Bogart GA 3062256454RN175489Tolbert, Gentry 10/17/201410945
Miles Johnson, MD 3001 South Cobb Drive, Suite 103 Smyrna GA 3008038817RN109522Tolbert, Tameka Ransom 2/4/20143004
Mary Dailey-Smith, MD 5610 Wendy Bagwell Pkwy, Suite 103 Hiram GA 3014150472RN109522Tolbert, Tameka Ransom 3/26/20159034
Reddy, Ram MD 132 Franklin Springs Street Royston GA 3066224178RN175489Tolbert, Gentry 6/1/201210032
Sanjeen Tenkolkar, MD 4589 Lawrenceville Rd Loganville GA 3005263066RN175489Tolbert, Gentry Elizabeth Broach 7/8/201614120
Brown, Deronda MD 109 Minus Avenue, Ste C-10 Garden City GA 3140850079RN178993Toler, Jimmie 3/6/201310599
Linda Arnold, MD 260 West Cinton St Gray GA 3103240299RN118107Tolleson, Brenda Gail 5/1/201514350
Wanna, Fady MD 688 Walnut Street, Ste 200 Macon GA 3120143813RN175216Tomberlin, Tara 3/17/201410792
Jay Goldstein, MD 4700 Waters Ave, ER Savannah GA 3140445229RN216775Tomlinson, Daniel Patrick 11/30/201515303
Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN113445Toole, Ronda Speir 11/29/20103011
Mary Bell Vaughn, MD 3448 Vineville Ave. Macon GA 3120449552RN113445Toole, Ronda Speir 5/25/201613590
Scott Parry, DO 730 Ponce de Leon Place, Ste B Atlanta GA 3030639899RN190875Torres, Lorena 5/21/201614932
Jeremiah McClure, MD 6501 Peake Rd, Ste 100 Macon GA 3121066228RN189158Torres, Daniela Lucinda 10/9/201413639
Jesse Jones, MD 430 Buford Hwy, Ste 216 Atlanta GA 3034535072RN170067Toufighian, Emile' Rose 10/1/201616362
Saturday, January 21, 2017 Page 197 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Glynn Chesser, MD 700 Sunset Drive, Suite 502 Athens GA 3060639307RN176177Towler, April Pearson 4/16/20108314
James Millen, MD 465 N. Belair Rd, Suite 3-A Evans GA 3080930834RN053829Towner, Susan B. 2/6/20108722
Fredrick Merrill, III, DO 465 North Belair Road, Suite 1-C Evans GA 3080934664RN053829Towner, Susan B 9/3/20093015
William Whaley, MD 1100 Johnson Ferry Rd, #600 Atlanta GA 3034211504RN150779Trattler, Maria E. Russum 9/25/20143019
Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN131277Trawick, Carmen Glen Campbell 6/29/201311936
Timothy Graves, MD 770 Walnut St. Macon GA 3120126859RN151832Traylor-Carter, Winnifred Ann 3/1/201617014
James Bailey, MD 743 Spring St Gainesville GA 3050128368RN154502Trent, Amy Reilly 4/27/20159213
Ronald Pirtle, MD 239 Ivan Allen Jr Blvd NW Atlanta GA 3031313784RN063891Trevathan, Linda Scott 9/24/20108335
Lyndall C. Van Vicki, MD 747 South Hill Street Griffin GA 3022429811RN066916Trice, Laura Leigh Moxon 9/11/20143021
Wondiful Colbert, MD 747 South Hill St Griffin GA 3022468389RN066916Trice, Laura Leigh 9/25/201414297
Holly Clemons, MD 747 South Hill St Griffin GA 3022471921RN066916Trice, Laura Leigh 5/1/201514492
Nicole Franks, MD 550 Peachtree Street Atlanta GA 3030849691RN160044Trotta, Cynthia L. 5/1/20123023
Satishchandra Patel, MD 3000 Schatulga Rd Columbus GA 3190728058RN212011Truelove, Eddie 8/1/201614614
Frank Pechal, MD 1915 Eisenhower Dr. Savannah GA 3140626616RN212011Truelove, Eddie 4/26/201413231
George Hall, MD 1050 Carl Griffen Dr Savannah GA 3140555669RN212011Truelove, Eddie Jean Eckford 8/28/201413705
Quinton Weldon, MD 1212 East Union Street Vienna GA 3109256786RN084787Trussell, Sharl Ann McGee 9/1/20083024
Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN116109Tucker, Rosebud H. 10/16/20143028
Bruce Ribner, MD 1364 Clifton Rd Atlanta GA 3032249086RN116109Tucker, Rosebud H. 2/29/20129205
Kaufman, Robert MD 550 Peachtree St NE #170 Atlanta GA 3030831150RN193447Tucker, Ramie 4/23/201210622
Frank Brown, MD 1821 Clifton Rd NE Atlanta GA 3032931212RN177247Tucker, Thomas Leon 11/12/20109313
Mohamad M. Kassem, MD 3580 Cameron Parkway Stockbridge GA 3028140934RN177247Tucker, Thomas Leon 9/24/201211254
Saturday, January 21, 2017 Page 198 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Donovan Christie, MD 7530 Roswell Road Atlanta GA 3035044432RN127022Tudorancea, Deanna Lynn 1/30/20133029
Yang, Steven MD 1009 N. Monroe Street, Ste 102 Albany GA 3170165438RN192690Tullos, Chelsi 12/30/201310187
Absar Mirza, MD 665 Duluth Highway, Suite 801 Lawrenceville GA 3004664864RN198112Tupko-Maloy, Anna Magdalena 5/20/201513040
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101998Turk, Pamela Diane Kight 5/1/20123033
Michelle Morgan, DO 5230 Dallas Hwy Powder Springs GA 3012751694RN123210Turner, Watonna Lynn 5/7/20103041
Kirk-Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN150217Turner, Martricia 9/30/201412086
Joshua McNatt, MD 3193 Howell Mill Rd, Suite 306 Atlanta GA 3032766688RN054880Turner, Judith Ann Herndon 9/15/201513003
Suzanne Ferree, MD 1357 Hembree Road, Suite 240 Roswell GA 3007647772RN073684Turner, Christine 11/1/20078069
Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN040276Turner, Jennifer A. 8/30/20098263
Robert Miller, MD 105 Collier Rd NW, Suite 3010 Atlanta GA 3030935295RN054880Turner, Judith Ann Herndon 11/1/20153037
Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN150217Turner, Martricia 1/31/20119169
Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN150217Turner, Martricia 8/30/20118953
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN079807Turner, Saundra Lee 8/1/20113038
Jobe, Rayna MD 172 Carriage Trace Marietta GA 300860386RN123210Turner, Watonna 11/1/201210787
Edward Meier, MD 2112 Shorter Ave NW, Suite 200 Rome GA 3016543426RN202294Turner, Rachel Anthony 8/2/201412175
John H Smith, II, MD 550 P'tree St NE, Ste 1810 Atlanta GA 3030848940RN155163Turner, Ashli Brook 2/28/20087895
Paul D. Forney MD 1119 15th St. Family Medicine Center Augusta GA 3091223155RN079807Turner, Saundra L. 5/31/201611016
Okiki Louis, MD 5230 Dallas Hwy Powder Springs GA 3012747479RN186816Twumasi, Gifty Owusu 11/8/20148924
Luther Vance, MD 3065 South Cobb Dr, Suite B Smyrna GA 3008019354RN153645Tyler, Christina Daniels 10/3/201312122
Aiello, James MD 410 Darling Avenue Waycross GA 3150148023RN170702Tyre, Mitzi Braddock 9/18/201310719
Alexander Osowa, MD 2805 Hamilton Mill Rd Buford GA 3051957551RN237096Tyukodi Palakodeti, Connie Marie 12/12/201414278
Saturday, January 21, 2017 Page 199 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Afolake Mobolaji, MD 5604 Wendy Bagwell Pkwy, Suite 611 Hiram GA 3014164805RN220844Uba, Sabo 3/31/201412015
Angela Dawson, MD 500 Third Ave, Ste 105 Albany GA 3170140895RN220844Uba, Sabo 9/23/201613457
Marla Morgan, MD 2709 Meredyth Dr, Ste 230 Albany GA 3170764610RN224627Uba, Helen Oro 5/8/201513460
Melanie Cooper, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004445753RN137261Ukani, Hafiza Aziz 5/17/20137826
Sofia Munir, MD 3240 South Cobb Dr Smyrna GA 3008268250RN200015Ulysse, Tameeka Shavett 1/12/201616989
Dingane Baruti, MD 100 Yorktown Dr, Str 10 Fayetteville GA 3021455411RN200015Ulysse, Tameeka 11/30/201514798
Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN192047Underwood, Ashley Stockwell 4/20/201512447
Henry Lewis, MD 6001 Cumming Hwy, Ste 1 Sugar Hill GA 3051849052RN192047Underwood, Ashley 12/31/201516068
Mae Morgan, MD 424 Decatur St SE Atlanta GA 3031222902RN097437Unongo, Cindy 2/12/201615657
Loy Cowart, III, MD 8816 Hwy 301 North Claxton GA 3041737979RN168120Upchurch, Linda Anne Liles 6/15/20098272
Rony Adam, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030339992RN184301Ura, Chiemi Amanda 8/7/20098425
Kevin Ault, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030356403RN184301Ura, Chiemi Amanda 12/13/20128758
Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN167457Usher, Madeline Mary 11/30/201412235
Henry Eugenio, MD 3015 Veterans Pkwy Moultrie GA 3177632379RN167457Usher, Madeline Mary 11/21/20113058
Martha Millan-Sanchez, MD 3015 Veterans Pkwy Moultrie GA 3178866223RN167457Usher, Madeline Mary 4/30/201412677
Luke, Claude MD 3015 Veterans Parkway Moultrie GA 3178822247RN167457Usher, Madeline 4/29/201310375
Wanda Gobin, MD 601 West 11th Ave. P.O. Box 1988 Albany Ga 3170253912RN167457Usher, Madeline M 11/30/201413825
Milagros Keh, MD 601 W 11th Ave Albany GA 3170118509RN167457Usher, Madeline Mary 5/6/201514906
Beverly Hyacinth, MD 2945 Panola Rd. Lithonia GA 3003857003RN185085Uwazie, Nkeiru 1/1/201411611
Sharon Lynch-Miller, MD 11 Upper Riverdale Rd SW Riverdale GA 3027442342RN090354Uyesugi, Karen Denise Grail 3/31/20115384
Christopher Stevens, MD 4398 Atlanta Hwy Loganville GA 3005254515RN145066Uzuegbunam, Florence 7/5/20148393
Saturday, January 21, 2017 Page 200 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Shahed Brown, MD 1670 Clairmont Rd Decatur GA 3003361400RN145066Uzuegbunam, Florence 9/21/201514641
Christopher Reddoch, MD 5997 Spring Street Warm Springs GA 3183061328RN138569Vael, Aimee Corley 6/26/20093061
Galan, Vincent MD 1365 Rock Quarry Rd, Ste 202 Stockbridge GA 3028128685RN192534Valenzona, Julieta 9/17/201210834
Roy Brownlow, MD 1665 Hwy 34 E, Ste 100 Newnan GA 3026542196RN192534Valenzona, Julieta 9/16/201515716
Annette Hinchcliffe, MD 3400 A Old Milton Pkwy, Ste 510 Alpharetta GA 3000542607RN234253Vali, Holly Rachelle 11/20/201514485
Deborah Griffiths, MD 1000 Medical Center Blvd,. Emer Dept Lawrenceville GA 3004635888RN153727Van Buren, Christy Denise 10/2/20132903
George Garriss, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006251134RN188240Van Dellen, Stephanie Klug 4/9/201311855
Scott Parry, DO 730 Ponce de Leon Pl, Unit B Atlanta GA 3030639899RN188240Van Dellen, Stephanie Klug 4/29/201512043
Aneesh Gupta, MD 51 N. Morningside Dr. Cartersville GA 3012153231RN188240Van Dellen, Stephanie 1/30/201311149
John Ouderkirk, MD 5275 Peachtree Pkwy Norcross GA 3009249992R$N188240Van Dellen, Stephanie 10/17/201616515
Karen Muro, MD 497 Winn Way, Ste A-210 Decatur GA 3003037304RN195252Van Dorn, Terri 11/21/201414440
Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN087348Van Liew, Sybil Lynn Stewart 8/30/20098262
Thomas Deering, MD 275 Collier Rd., Ste 500 Atlanta GA 3030932170RN149681Van Patten, Laura 9/7/201311139
Roger A. Brooksbank, MD 501 Redmond Rd. Rome GA 3016568120RN224765VanDenburg, George 7/2/201511153
John Marshall, MD 1200 Memorial Dr, Emer Dept Dalton GA 3072045877RN224765Vandenburg, George 12/16/201513050
Wesley McDaniel, MD 6135 Roosevelt Hwy Warm Springs GA 3183026588RN076035Vardman, Marguerite Marie 11/9/201413990
John O'Connell, MD 5673 Peachtree Dunwoody Rd NE, #650 Atlanta GA 3034262266RN169364Varghese, Susan 1/10/20129906
Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN169364Varghese, Susan 10/31/201310458
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN224930Varnum, Allison Renee 2/1/201411860
Andrew Magnet, MD 1932 Wynnton Rd Columbus GA 3199960215RN224930Varnum, Allison Renee 6/6/201617277
Amar Patel, MD 55 Whitcher St, Suite 350 Marietta GA 3006052803RN155488Vaughan, Emily Regina Gwinn 11/15/201311910
Saturday, January 21, 2017 Page 201 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Babatunde Onasanya, MD 605 Beaver Ruin Rd, Suite B Lilburn GA 3004750983RN172992Vaz, Denise Sophia 4/30/20103075
Thomson, Robert MD 3619 Braselton Highway Dacula GA 3001947166rn172992Vaz, Denise 11/26/201410317
Jay Floyd, MD 106 Shopper's Way, Ste 1 Brunswick GA 3152573914RN253219Veal, Laura H 5/20/201616974
Mark Tanner, MD 1935 Howell Mill Rd Atlanta GA 3031825677RN192494Ventimiglia, John 4/6/20119461
Elliot Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN192494Ventimiglia, John 9/1/20108735
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN103582Vieira, Jennifer Cecilia 6/10/20108503
Cameron, Nadia MD 3760 Sixes Road, Ste 120 Canton GA 3011453982RN129147Vincent, Sandra 3/21/201210537
Maiysha Clairborne, MD 1000 Johnson Ferry Rd., Ste B155 Marietta GA 3006855194247742Vora, Kajal 4/6/201616734
H Verdain Barnes, MD 2000 North Monroe St Albany GA 3170112029RN168259Voyles, Bonny Sue Wood 7/29/201412827
Sanders, Charles MD 951 South Broad Street Thomasville GA 3179229087RN168259Voyles, Bonny 1/10/201410401
Calvin Reams, MD 951 South Broad St Thomasville GA 3179219585RN168259Voyles, Bonny Sue Wood 1/1/20118836
Donald Keith West, MD 823 Campbell Hill Street Marietta GA 3006032323RN135333Vreeland, Christopher Allen 11/1/20073085
Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN135333Vreeland, Christopher Allen 3/1/20108443
Mubbashir Khan, MD 1007 Mary Street Waycross GA 3150154327RN235186Waddell, Amanda L 12/31/201412944
Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN220439Wade, Nathan 10/17/201616025
Eubanks, Amy MD 101 Quartz Drive, Ste 201 Villa Rica GA 3018052922RN173494Wadley, Felicia 10/19/201310332
Steven Bonner, MD 15151 Alcovy Rd NE Covington GA 3001468484RN063518Waggoner, Lynda Lee 12/5/201311788
Sylvia Halleck, MD 3955 Harrison Rd, Suite 400 Loganville GA 3005216356RN063518Waggoner, Lynda Lee 6/7/20103090
Donald Kern, MD 15151 Alcovy Rd NE Covington GA 3001467068RN063518Waggoner, Lynda Lee 5/4/201311006
Sadiq Sohani, MD 1413 Chattanooga Ave Dalton GA 3072045010RN155078Wagner, Muna Elizabeth 9/1/20128685
Ricardo Riesco, MD 711 Shields Road Dalton GA 3072044069RN155078Wagner, Muna Elizabeth 10/17/20113093
Saturday, January 21, 2017 Page 202 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Jonathan Ehrlich, MD 993-D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN194802Wahab, Maybel Josephine 1/31/20118169
Ralph Warnock, MD 4080 McGinnis Ferry Rd, #804 Alpharetta GA 3000517337RN129698Walker, Jennifer Joiner 6/15/201411902
Jeremy Hess, MD 49 Jesse Hill Jr Dr SE, Emer Dept Atlanta GA 3030357818RN171841Walker, Richard Jerome 1/1/201612405
Mubbashir Khan, MD 1007 Mary St Waycross GA 3150154327RN162692Walker, Sandra Lenette 6/27/201612908
Marcus Roberts, MD 903 West Ward St., Ste A Douglas GA 3153335986RN141132Walker, Benjamin 2/10/201511099
Gatewood (Tolliver), Cheryl MD
2941-D N. Ashley St, Ste D Valdosta GA 3160253040RN141132Walker, Benjamin 4/23/201210551
Michael Hamm, DO 410 Darling Ave, Emergency Dept Waycross GA 3150149021RN141132Walker, Benjamin James 9/28/20119031
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141132Walker, Benjamin James 5/1/20123096
Ditaranto, Anthony MD 1629 10th Ave, Ste B Columbus GA 3190129865RN129698Walker, Jennifer Joiner 7/11/20133099
Sujatha Hariharan, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010657635RN170353Walker, Melissa D. 3/7/20119232
Reddy, Ram MD 1061 Dowdy Road, Sts 100 & 101 Athens GA 3060624178RN091762Walker, Regina 11/30/201210229
Michael Maley, MD 269 Ridgecrest Circle Clayton GA 3052534410RN091762Walker, Regina Ellen Elliott 8/11/20163101
Eric Davis, MD 100 S Madison St Thomasville GA 3179263648RN141132Walker, Benjamin James 10/21/201312471
Parrott, Jonathan MD 804 Northwood Park Valdosta GA 3160236246RN141132Walker, Benjamin James 9/7/201210560
Celestine Stiles, MD 1221 E McPherson Nashville GA 3163960194RN184239Walker, Sandra 11/16/201116002
Aneke Onwuanyi, MD 80 Jesse Hill Jr. Dr., SE Atlanta GA 3030358088RN171841Walker, Richard Jerome 10/15/201617504
Osagie Okundaye, MD 150 Gentilly Blvd Cartersville GA 3012055488RN134321Wall, Donna Van Bladel 9/18/20098214
Bruce Goldsweig, MD 1700 Hospital South Drive Austell GA 3010648516RN134321Wall, Donna Van Bladel 7/25/20083105
Ravinder Reddy, MD 150 Gentilly Blvd Cartersville GA 3012063435RN134321Wall, Donna Van Bladel 9/30/20108877
Jared Griffis, MD 1199 Prince Ave Athens GA 3060657469RN198482Wall, Kelly Elizabeth 9/6/201412634
Saturday, January 21, 2017 Page 203 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Miller, Debra MD 148 Bill Carruth Pkwy, Ste 260 Hiram GA 3014141898RN134321Wall, Donna 7/31/201310886
Hugo Ribot, MD 958-A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN046062Wallace, Cynthia S 12/7/20075391
Gregory Franz, MD 1707 Meadows Lane, Suite C Vidalia GA 3047460835RN143968Wallace, Deborah Elaine 2/26/20108477
Eva Beaulieu, MD 3600 Dallas Hwy SW Marietta GA 3006466254RN217995Wallace, Jasmia Nyree 2/1/201511950
Rohit Tongia, MD 1700 Tree Lane Snellville GA 3007856494RN217995Wallace, Jasmia Nyree 2/18/201514975
Cassandra Donnelly, DO 3617 Roswell Rd NE, Suite A Atlanta GA 3030568144RN217995Wallace, Jasmia Nyree 6/12/201513666
Leaderman, Adam MD 5673 Peachtree Dunwoody Road, Ste 775Atlanta Ga 3034229709RN140799Walsh, Laurie 3/3/201410266
Joseph Griffin, MD 2815 Clearview Place Doraville GA 3034023361RN220575Walsh, Lisa Marie 7/1/201617947
Elizabeth Messulam, MD 3421 Mike Padgett Hwy Augusta GA 3090644786RN242754Walston, Pastelle 6/1/201614958
Anthony Gonter, MD 5126 Hospital Dr. Covington GA 3001421700RN134482Walter, Sherry Backer 12/10/20143114
Rosenthal, Dinna MD 4181 Hospital Drive, Ste 202 Covington GA 3001449252RN166086Walter, Julie 1/30/201410795
Eugene Jackson, MD 118 Norman Dorminy Dr Fitzgerald GA 3175022793RN146103Walters, Bridget M 7/11/201615179
Lev Grinman, MD 530 Martin Lane Augusta GA 3090972207RN220520Walters, Laura Mary 11/1/201619006
Kashif Ahmed, MD 2200 Hwy 155 North McDonough GA 3025261547RN186508Walton, Nurah Jamilah 6/7/20119747
Christopher Stevens, MD Take Care Clinic, 1855 Hudson Bridge Rd.Stockbridge GA 3028154515RN186508Walton, Nurah J. 9/9/201311530
Christa Hines, MD 2100 Comer Avenue Columbus GA 3190475345RN261652Walton, Ralphine Renee Whitfield 11/2/201619075
Joe K. Griffin, Jr., MD 1326 Eisenhower Dr. Savannah GA 3140638501RN077768Walz, Tammie Elizabeth Way 8/1/20153119
Peter Miller, MD 1326 Eisenhower Dr, Bldg 1 Savannah GA 3140663099RN077768Walz, Tammie Way 6/1/201616774
Meena Shah, MD 475 Philip Blvd Lawrenceville GA 3004621464RN256506Wanamaker, Leanne Marie 7/14/201618171
Stephanie Gordon, MD 2750 Owens Dr, Suite A Conyers GA 3009449382RN203584Wandurraga, Megan Mewborn 6/30/20139808
Igor Lacmanovic, MD 3950 Austell Rd. box 22 Austell GA 3010659814RN177708Wanjiku, Tabitha Faith 8/18/201618318
Saturday, January 21, 2017 Page 204 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN187265Wansky, Michelle Stella 4/1/20107998
Janet Fason, DO Take Care, 2464 Roswell Rd Marietta GA 3006248773RN130649Ward, Antoinette Felicia 11/1/201311724
Charles Allen Semones 8453 Queen Anna Drive Tallahassee FL 323751737RN148845Ward, Sandra A. 11/1/201511255
Weldon, Quinton MD PO Box 904 Americus GA 3170956786RN148845Ward, Sandra 8/31/201210852
Sean Miles, MD 1605 Hwy 34 E, Ste A2 Newnan GA 3026552084RN147488Ward, Kevin 9/10/201515673
John Shivdat, DO 200 Industrial Blvd Dublin GA 3102147527RN148845Ward, Sandra 3/31/201616290
Arlene Dijamco 900 Old Roswell Lakes Pkwy, Ste 220 Roswell GA 3007666592RN244086Wardle, Melanie 12/24/201515488
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN142278Ware, Altheia Bass 12/31/20109102
Jibike Adegbile, MD 7196 North Lake Drive, Suite B Columbus GA 3190948967RN142278Ware, Altheia Bass 4/2/20098374
Howard Willis, MD 1005 Talbottom Rd, Suite B Columbus GA 3190430693RN142278Ware, Altheia Bass 1/22/20168564
Charles Roman, DO 2737 Warm Springs Rd, Suites B&C Columbus GA 3190443757RN142278Ware, Altheia Bass 8/26/20119617
Bennie Brown, DO 151 S Houston Lake Rd, Suite 110 Warner Robins GA 3108865085RN142278Ware, Altheia Bass 9/1/201513230
Frederick Burton, MD 6020 Harrison Rd Macon GA 3120638434rn142278Ware, Althela 1/22/201614730
Christopher Stevens, MD 3600 Sandy Plains Road Marietta GA 3006654515RN131361Warner, Mamron Hyndman 7/14/20127814
Dennis Spencer, DO 1077 South Main St, Emer Dept Madison GA 3065047663RN203092Warnock, Kimberly Goodwin 5/2/201613173
Michael Pinell, MD 227 Merchants Way Brunswick GA 3152558102RN031979Warren, Jennifer E Tyre 7/13/20153127
Cameron, Nadia MD 494 Boulevard SE Atlanta GA 3031253982RN198365Washington, Tonita 10/31/201210490
Micah Tepper, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010657687RN137952Washington, Patrick Lynn 12/28/20118234
Maxwell Prempeh, MD 150 Gentilly Blvd Cartersville GA 3012064054RN221832Washington, Kiara 6/3/201615445
Elizabeth R. Messulam, MD 3421 Mike Padgett Hwy Augusta GA 3090644786RN224319Washington, Kwanza Amira 9/27/201617519
Rao, Ramana MD 801 13th Ave, Ste A Albany GA 3170137052RN170663Watkins, Nicole McLendon 5/21/201510409
Saturday, January 21, 2017 Page 205 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Thomas Bloodworth, MD 101 Cleburne Pkwy Hiram GA 3014118124RN083309Watkins, Cathy Elizabeth 6/25/20153133
Christopher Stevens, MD 2988 Shallowford Rd Marietta GA 3006654515RN087567Watson, Donna M. H. 4/10/201311172
Badre, Shenon MD 2500 Starling Street Ste 501 Brunswick GA 3152052532RN112289Watson, Elizabeth K 8/1/20163136
Husham Mishu, MD 285 Boulevard NE, Suite 345 Atlanta GA 3031240740RN057926Watson, Margaret E. 1/19/20139120
Edward McDonald, MD PO Box 908851 Gainesville GA 3050141890RN057926Watson, Margaret E. 12/18/20093140
Avril Beckford, MD 1810 Mulkey Rd, Suite 201 Austell GA 3010635814RN152146Watson, Holly Leo 8/31/20109149
Rodger Chapman, MD 2890 Delk Road Marietta GA 3006716769RN087567Watson, Donna M.H. 8/18/20163135
Paul Roberts, MD 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 3015269246RN229407Watson, Anna Evans 1/22/201512683
Bruce Ramsdell, MD 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 3015218722RN229407Watson, Anna Evans 2/28/201512682
Peter Holliday, III, MD 420 Charter Blvd, Ste 402 Macon GA 3121026557RN201031Watson, James 8/6/201210713
Ricardo Riesco, MD 711 Shields Road Dalton GA 3072044069RN142322Watters, Jana Gayle Smith 6/22/20108452
Estep, Dennis MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074225429RN142322Watters, Jana 4/6/201310850
Anthony Onyegbula, DO 7444 Hannover Pkey, Ste 150 Stockbridge GA 3028153348RN196933Wattkis, Evon Rosilyn 5/4/20128332
Rao Moravineni, MD 246 O'dell Rd, Ste #4 Griffin GA 3022451360RN196933Wattkis, Evon 2/4/201310984
Luther Vance, MD 3065 South Cobb Dr Smyrna GA 3008019354RN107484Watts, Cindi Michele Still 9/19/20123142
Jon Trankina, MD 4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock GA 3018930681RN107484Watts, Cindi Michele Still 6/1/20119309
Vaughn, Candace MD 1012 Hwy 247 South Kathleen GA 3104740809RN036579Watts, Edna 8/22/201310478
Eugene H. Jackson, MD 790-341 Hwy, Professional Bldg. A Hawkinsville GA 3103622793RN036579Watts, Edna Earl Richardson 3/10/20103143
William Kriegel, DO 3405 SW Dallas Hwy, Suite 505 Marietta GA 3006431962RN107484Watts, Cindi Michele Still 2/20/20119075
George Pursley, MD 820 Stevens Greek Rd Augusta GA 3090731308RN128926Watts, Shawn 9/1/201515418
Michael Sumner, MD 1120 15th St Augusta GA 3091263062RN128926Watts, Shawn 5/20/201616100
Saturday, January 21, 2017 Page 206 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kent Plowman, MD 987 St. Sebastian Way, Suite 1509 Augusta GA 3091217872RN126204Way, Peter Joseph 8/20/20103145
Jarod Bailey, DO 2405 Bemiss Rd Valdosta GA 3160265929RN177186Weatherspoon, Zakiyyah 8/31/201515061
Georgina Kalaitzidis, MD 1292 Athens Street Gainesville GA 3050756186RN092374Weaver, Doris Munford 5/31/20168514
H. Philip Morris, Jr, MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN117742Weaver, Gail Marner 7/31/20119641
Bethea, Todd MD 536 Hwy 441 South Clayton GA 3052542016RN117742Weaver, Gail 10/8/201510178
Karen Muro, MD 497 Winn Way, Suite A-210 Decatur GA 3003037304RN091813Weaver, Valencia Lavon 9/8/20158970
Charles Alexis, MD 3120 N Oak St Ext, Ste C Valdosta GA 3160264716RN091563Webb, Dorraine Baker 8/14/20139945
Briccio Valdez, MD 3120 N Oak St Ext, Suite C Valdosta GA 3160219353RN091563Webb, Dorraine Baker 7/15/20119593
Scott Morrell, MD 3211 Iris Dr, Suite A Covington GA 3001629218RN094097Webb, Terrance David 8/1/20118807
Robert Greenfield III, MD 3211 Iris Drive, Ste A Covington GA 3001637221RN094097Webb, Terrance David 2/10/20159942
Barker, Lucretia MD 1112 Plaza Avenue Eastman GA 3102342013RN118538Webb, Valarie 4/27/201210412
John Souza, MD PO Box 16100 Dublin GA 3104039475RN118538Webb, Valarie Irene Adams 5/1/20158766
Paresh Thanki, MD 706 N. Parrish Ave. Adel GA 3162055344RN091563Webb, Dorraine Baker 12/31/201414071
John Ouderkirk, MD 9925 Haynes Bridge Rd, Suite 320 Alpharetta GA 3002249992RN240704Webb, Suzanne Davis 3/1/201513939
Nitasha Burney, MD 3885 Princeton Lakes Way, Ste 306 Atlanta GA 3033155931RN197364Webb, Danny 7/22/201514967
Bhumiben Purohit, MD 5075 Peachtree Pkwy, Suite 106 Norcross GA 3009258812RN197364Webb, Danny Shane 12/31/201413668
Charles Catron, MD 1707 Meadows Lane Vidalia GA 3047466362RN094097Webb, Terrance 10/1/201514961
Bradley Moore, MD 9 Dunwoody Park, Suite 108 Dunwoody GA 3033851691RN081776Webster, Carol Anne 2/7/20118652
Samantha Anderson, MD 9 Dunwoody Park, Suite 108 Atlanta GA 3033849158RN081776Webster, Carol Anne 2/7/20115396
Janet Fason, DO 5435 Five Forks Trickum Rd. Stone Mountain GA 3008748773RN153196Weir, Karene Gaile 2/15/201613385
Melody Palmore, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030833679RN110633Weizel, Pamela 11/5/20113162
Saturday, January 21, 2017 Page 207 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Laura Beaty, MD 755 Mt Vernon Hwy, # 120 & 220 Atlanta GA 3032845168RN110633Weizel, Pamela 7/25/20139777
Stephen Szabo, MD 2712 Lawrenceville Hwy Decatur GA 3003344850RN098265Wekesa, Grace Irene 9/25/20148692
Carla Jorgensen, MD 1800 Tree Lane, Suite 180 Snellville GA 3007854576RN098265Wekesa, Grace Irene 4/23/20093163
Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN098265Wekesa, Grace Irene 11/26/20128988
John O'Connell, MD 5671 P'tree Dunwoody Rd, Suite 110 Atlanta GA 3034262266RN208091Welch, Natasha Rosita 5/4/20119299
Murtaza Cassoobhoy, MD 5 Dunwoody Park, Ste 118 Atlanta GA 3033843014RN208091Welch, Natasha 2/10/201310941
Jeffrey Dowis, MD 3193 East First St Vidalia GA 3047468199RN175924Welch, Lanie Demolfetto 3/30/201613165
Tidmore Jr., William C. MD 2412 North Oak Street Valdosta GA 3160241978RN154254Weldon , Lisa 12/4/201510801
Melissa Primrose, MD 3094 Watson Blvd Warner Robins GA 3109353516RN050378Weldon, Delores Hinton 7/29/201618169
Guilda Saint Fleur, MD 455 Nathan Dean Blvd Dallas GA 3012369627RN215883Well, Aline 6/17/201616264
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN135621Wells, Stephanie Marie 12/31/20108905
Henry Lewis, MD 774 Highway 96 Bonaire GA 3100549052RN216891Wells, Tierra 12/31/201515643
Uchenna Kalu, MD 1117 Perimeter Ctr West, Ste 500 N Atlanta GA 3033862127RN233405Wendel, Bonita Jean 3/24/201614111
James Thomsen, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034234485RN202727Wenger, Molly Jo 7/1/20108725
Thompson, Albert MD 2383 Third Street Folkston GA 3153722338RN213041West, Amanda 9/1/201410034
Maged Abdelmalik, MD 36261 N Okefenokee Dr Folkston GA 3153755077RN213041West, Amanda Lee 9/1/201411898
Divina Dyer, MD 1762 Mars Hill Road NW Acworth GA 3010157161RN070078Westbrook, Anita D. 10/8/20113179
Michael Lindsay, MD 69 Jesse Hill Jr. Drive SE Atlanta GA 3030327602RN120210Westdahl, Claire M. 1/1/20085401
Babalola, Cecilia MD 3970 Five Forks Trickum Road, Ste A Lilburn GA 3004758389RN051666Westin, Candace 11/28/201110035
Dawn Wilson, MD 3395 Bouldercrest Road Ellenwood GA 3029447279RN051666Weston, Candace Hasinah 12/3/201512911
Jagdeep Singh, MD 118 E. Girard Ave, Suite 104 Cedartown GA 3012559761RN088614Wetherington, Karen Joy 12/29/20129147
Saturday, January 21, 2017 Page 208 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Harjee, Gulshan MD 2536 Lawrenceville Hwy Decatur GA 3003326865RN154784Wetter, Suzanne 5/1/201510367
Quinton Weldon, MD 100 Plantation Ridge Dr. Americus GA 3170956786RN139882Whaley, Shelby Chapman 3/19/201511046
Earl Grubbs, MD PO Box 587 Snellville GA 3007832742RN188449Whaley, Janet Lorraine 7/1/20128010
Charles Semones, MD 56 Ebnezer Rd Ellaville GA 3180651737RN139882Whaley, Shelby 9/30/201515521
John Vender, MD 1120 15 S,t Ste BI 3088 Augusta GA 3091242475RN193006Whaley, Marjorie Nicole 8/14/201514128
Atkins, Christopher MD 1266 Highway 515 South, Emergency DeptJasper GA 3014345708RN037416Wheeler, Cheryl 4/9/201310431
Perlaky, Steven MD 100 Gross Crescent Circle Ft. Oglethorpe GA 3074241639RN037416Wheeler, Cheryl 7/1/201210404
William Pullen, MD PO Box 1168 Dalton GA 3072017270RN037416Wheeler, Cheryl Ann 3/19/2015553
Sadiq Sohani, MD 1413 Chattanooga Ave Dalton GA 3072045010RN135072Wheeler, Sherrie Lynn 3/10/201614407
William Parrish, MD 3001 Mercer Univ Dr, Sheffield Bldg #206Atlanta GA 303419905RN066854Wheeler-Ikuesan, Luella Corine 9/28/20113188
Elliott Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN134199Whidby, Deborah Anne 9/10/20093189
F. Geoffery Conner, MD 1608 Meadows Lane, Suite 1 Vidalia GA 3047433555RN112970White, Amanda R. 4/30/20155504
James Criner, MD 2779 Cobb Pkwy SW Kennesaw GA 3015254179RN109746White, Rhonda D. 1/13/20148732
Wallace Duncan, MD 2945 Panola Rd Lithonia GA 30038-231341109RN136717White, Katharine Lynn 3/2/201512428
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN052900White, Della Denise Pittman 5/15/20123191
David Asrael, MD 2945 Panola Rd Lithonia GA 30038-231351291RN136717White, Katharine Lynn 3/2/201512496
Darshana Sheth, MD 3822 Roswell Rd, Suite 112 Marietta GA 3006258642RN109746White, Rhonda D 10/8/201412797
Akinwole A. Awujo, MD 3840 Redwine Rd., Ste 100 Atlanta GA 3033148204RN221863White, Dianna L. 5/22/201311336
Karen Bullington, MD 3750 Palladian Village Drive, Suite 300 Marietta GA 3006655930RN109746White, Rhonda D 3/17/20093198
Saturday, January 21, 2017 Page 209 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Charles V. Clopton, Jr., MD 195 Fairview Rd. Ellenwood GA 3029443019RN221863White, Dianna L. 5/22/201311335
Teresa Clark, MD 35 Collier Rd NW, Suite 500 Atlanta GA 3030920417RN221863White, Dianna Lynn 8/10/201411207
Christopher Stevens, MD 2988 Shallowford Rd Marietta GA 3006654515RN109746White, Rhonda D. 4/14/201513533
Phuong-Lynh Ta, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072050447RN058514Whitehead, Joanne Marion True 6/29/20093200
Patrick Battey, MD 95 Collier Rd., Ste 5015 Atlanta GA 3030924388RN180564Whitlock, Kimberly Jo 1/19/201613387
Bridgett Bailey, DO PO Box 365 Tennille GA 3108958390RN117082Whitten, Shannon Elizabeth 12/15/20103205
Melanie Cooper, MD 181 South Clayton St SW Lawrenceville GA 3004545753RN129474Whitten, Sarah Ann 2/27/20103204
Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN117082Whitten, Shannon Elizabeth 1/17/20139607
Jessie Bender, DO 4181 Hospital Dr., Ste 104 Covington GA 3001471454RN195000Whitworth, Natalie Clarice 6/7/201617160
Rupert McCormac, MD 4083 Clondsprting RD Ringgold GA 3073665714RN119916Whotaler, Rosalie 12/11/201414539
Eugene Lafranchise, MD 6602 Waters Ave. Bldg C Savannah GA 3140634638RN113693Widener, Wallette Gwen 7/31/20123211
Ricardo Alvarez, MD 8400 Veterans Pkwy, Suite 1026 Columbus GA 3190952876RN042301Wieczorek, Susan Carol Karm 5/17/20113212
Sekhar Sankaran, MD 101 Regency Park Drive, Suite 140 McDonough GA 3025331549RN145899Wiegmann-Ross, Michele Lee 1/23/20147848
John DeSimone, MD 611 E. Washington Ave Ashburn GA 3171419930RN104534Wiggins, Sonia Coleman 9/18/20158491
Kenneth Howard, MD 11766 Hwy 27, Ste A Summerville GA 3074740412RN190699Wilbanks, Ashley Nicole 4/23/20129948
Joyce H. Poag, MD 3571 Chamblee Tucker Rd. Atlanta GA 3034121355RN224720Wilbur, Christen N. 3/19/201311516
Renee Waters, MD 75 Elliott Street ste. 200 Dawsonville GA 3053435782RN224720Wilbur, Christen Nicole 9/16/201618902
Kyoung-Soon Kim, MD 5150 Stilesboro Road, Suite 220 Kennesaw GA 3015239144RN143313Wilcox, Tanya Sellers 1/13/20153217
Saudiqa Hoossainy, MD 5150 Stilesboro Rd, Ste 220 Kennesaw GA 3015268179RN143313Wilcox, Tanya 9/22/201515106
David Dean, MD 95 Collier Rd NW Atlanta GA 3030964808RN197955Wilder, Angela 7/31/201515397
Bobby Khan, MD 870 Crestmark Dr, Ste 202 Lithia Springs GA 3012237251RN150905Wilder, Janice 5/16/201617381
Saturday, January 21, 2017 Page 210 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Courtney Shelton, MD 870 Greison Tr, F Newnan GA 3026350559RN150905Wilder, Janice 2/5/201615946
L. Steven Lowman, MD 1230 Baxter Street Athens GA 3060637856RN165632Wildermuth, Megan Marie 1/31/20098327
Donna Haley, MD 100 Medical Lane, Suite 1 & 2 Canton GA 3011440916RN165632Wildermuth, Megan Marie 6/30/20115469
Lawrence Powell, MD 9465 Hwy 5 Douglasville GA 3013538915RN043510Wilkerson, Evelyn P 11/14/20113223
Julian Sharpton, MD 138 west Gibson St. Hartwell GA 3064317084RN127940Wilkerson, Deborah M 9/25/201514012
Prasad, Vijitha MD 544 West Church Street Swainsboro GA 3040140520RN164167Wilkes, Erin 6/22/201210546
Sumner, Jean MD 2257 West Elm Street, Ste C Wrightsville GA 3109630225RN164167Wilkes, Erin 11/30/201510797
Israel Bryson, MD 2251 W. Elm St Wrightsville GA 3109654797RN164167Wilkes, Erin Ashley 1/31/20129367
Clay Lee, MD 207 31 St Ave S E Moultrie GA 3176846610RN201017Wilkes, Rebecca Lynn 8/8/201514724
Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN191033Wilkey, Sheila R. 10/28/20139500
James M. Rogan, MD 1401 Peachtree St., #220 Atlanta GA 3030937662RN204137Wilkinson, Elizabeth J. 7/28/201617143
LaFayette Burks, MD 386 E Cypress Ste Bldg A PO Box 765 Ludowici GA 3131650502RN058876Willamson, Susan 1/12/201614191
Moreno, Jorge MD 1631 Hwy 20 W McDonough GA 3025346792RN149632Willard, Brandi 3/16/201210430
Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN149632Willard, Brandi 2/21/201310036
Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN149632Willard, Brandi Hartman 2/14/20129756
Raja Ram, MD 475 Philip Blvd, Susite 100 Lawrenceville GA 3004638922RN149632Willard, Brandi Hartman 2/1/20119558
Ashok Kancharla, MD 132 Franklin Springs St Royston GA 3066248250RN190879Willard, Sonya Lynn 9/27/201512745
Jamie Rich, MD 58 Big A Road Toccoa GA 3057753547RN190879Willard, Sonya L 5/31/20129930
Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN149632Willard, Brandi 11/29/201210907
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN149632Willard, Brandi Hartman 3/1/20119246
Ronnie Hendrix, MD 4835 Sugarloaf Pkwy, Ste 200 Lawrenceville GA 3004424690RN149632Willard, Brandi 2/12/201514814
Saturday, January 21, 2017 Page 211 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John Shivdat, DO 200 Industrial Blvd Dublin GA 3102147527RN149632Willard, Brandi Hartman 1/6/201616968
Taubin, Rhonda MD 2020 Peachtree Rd NW Atlanta GA 3030932482RN056087Williams, Sandra 9/2/201510296
Carlos Zayas-Montalvo, MD 1968 Peachtree Rd., NW 5th Fl Bldg 77 Atlanta GA 3030936668RN056087Williams, Sandra Jean 6/8/20113248
Elizabeth Killebrew, MD 11 Upper Riverdale Rd SW, Bdg 29, #230 Riverdale GA 3027429898RN163873Williams, Shirley Marie 3/31/20113252
Ram Reddy, MD 132 Franklin Spring Street Royston GA 3066224178RN097616Williams, Marilyn Butler 7/1/20113244
Mason, Kein MD 1405 Franklin Road Marietta GA 3006728604RN163073Williams, Tasheeka 4/11/201610186
Julia Wilson, MD 794 S. Park Street Carrollton GA 3011756787RN150777Williams, Natasha Renee 6/19/20138952
David M. Nussbaum, DO 712 N. 7th Street Cordele GA 3101567697RN102733Williams, Mary Lynn 9/25/201311368
Veronica Garrett, MD 1567 Milstead Rd NE, Suite B Conyers GA 3001239106RN164328Williams, Tiffany Dawn 4/29/20108642
Cathy Larrimore, MD 4181 Hospital Dr, Suite 104 Covington GA 3001438836RN164328Williams, Tiffany Dawn 12/31/20119423
Hugo Ribot, MD 958-A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN077012Williams, Trina Denise Johnson 1/31/20118739
Scott A. Sheldon, MD 396 Historic Hwy, 441 N Demorest GA 3053557842RN146039Williams, Tammy Ellene 6/7/20073253
Gail Matthews, MD 9465 Hwy 5 Douglasville GA 3013552182RN120648Williams, Lillian Odeal 4/19/20123239
Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN140322Williams, Inger Ferguson 1/14/20117830
David Gowdy, MD 101 Devant Street, Suite 903 Fayetteville GA 3021434601RN125883Williams, Janet E. 3/14/20159888
Christian Ohagwu, MD 101 Devant Street, Suite 903 Fayetteville GA 3021439888RN125883Williams, Janet Elizabeth 3/3/20088145
Heather Henry, MD 101 Devant Street, Suite 903 Fayetteville GA 3021444231RN125883Williams, Janet Elizabeth 10/21/20108210
John DuPre, MD 327 South 9th Street Griffin GA 3022431590RN125883Williams, Janet Elizabeth 2/25/20118530
John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN205403Williams, Whitney Nicole 7/19/201611743
Clarence T. Alford, MD 303 Smith Street LaGrange GA 3024044619RN036755Williams, Mary Katherine 7/27/20105449
Saturday, January 21, 2017 Page 212 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kerins, Craig MD 1521 Anthony Road Augusta GA 30904-079921170rn103047Williams, Lovoria 7/25/201210039
Joseph Hand, MD 1002-B Downing Musgrove Hwy Glennville GA 3042749984RN147732Williams, Greg Lee 3/18/20108898
Martin, Garland MD 23 Tipping Street Baxley GA 3151347233RN147732Williams, Greg 1/1/201210043
Newby, Frank MD 1506 Broadrick Drive Dalton GA 3071038314RN066681Williams, Betty Lynn Phillips 8/31/20123226
Frank Steele, Jr, MD 50 Kelly Road McDounough GA 3025329378RN150777Williams, Natasha Renee 1/1/20108762
Fernando Neuman, MD 602 East 16th Ave, Suite B Cordele GA 3101554640RN102733Williams, Mary Lynn 11/11/20119405
Catherine Emeruwa, MD 1240 Hwy 54, Bldg 100, Suite 100 Fayetteville GA 3021449008RN125883Williams, Janet Elizabeth 6/1/20083234
Karen Moore, MD 1405 Franklin Gateway Marietta GA 3006729497RN163073Williams, Tasheeka Nakemia 6/17/201617954
Kalpana Nayak, MD 1912 Memmorial Dr., Ste E Waycross GA 3150126049RN102733Williams, Mary Lynn 2/2/201514094
Dean Karampelas, MD 743 Spring St Gainesville GA 3050126141RN149347Williams, Mitzi 5/20/201513933
Charles Sow, MD 1513 E Cleveland East Point GA 5534355343RN243438Williams, Kimberley Michelle 8/27/201414437
Israel Bryson, MD 2251 W Elm St Wrightsville GA 3109654797RN198462Williams, Allison D 5/9/201514300
Jyotir Mehta, MD 801 13st Ave, Ste A Albany GA 3170145887RN223654Williams, Kasheika 3/11/201616303
David Kaiser, MD 2000 16th Avenue Columbus GA 3190171353RN174560Williams, Natalie 9/1/201515376
Ifeoma Nnaji, MD 1300 Joseph E Boone Blvd Atlanta GA 3031463931RN192734Williams, Tina 7/16/201613648
Felecia Dawson, MD 1 Baltimore Pl. NW Atlanta GA 3030830292RN163873Williams, Shirley Marie 11/29/201618954
Frank Cook, MD PO Box 765 Ludowici GA 3131618125RN058876Williamson, Susan Holt 3/18/20143257
Vladescu, D. Sorin MD 36671 Highway 23 Cobbtown GA 3042066098RN072778Williamson, Ronda 10/23/201310390
Courtney Shelton, MD 285 Boulevard NE, Ste 435 Atlanta GA 3031250559RN194813Williamson, Natasha 2/5/201615851
Stephen Smith, MD 386 East Cypress St, Bldg A, Ste 6 Ludowici GA 3131663025RN058876Williamson, Susan Holt 9/30/201413570
Saturday, January 21, 2017 Page 213 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Peggy Bergrab, MD 417 Third Ave Albany GA 3170264330RN141960Willis, Beverly Ann Waldon 2/18/201512434
David Ferner, MD 901 E. 18th Street Tifton GA 3179354877RN151609Willis, Micah Aaron 3/18/20138137
Jonathan Hall, MD 12192 Augusta Rd Lavonia GA 3055359655RN145096Wills, Valerie Anne 11/1/201612467
Lee Ann Howell, MD 1025 North Main St Cedartown GA 3012560183RN045387Wilson, Susan B. 5/10/20119525
Denise Crawley, MD 1025 North Main Street Cedartown GA 3012541766RN045387Wilson, Susan B. 11/15/20108231
Daniel Robitshek, MD 330 Turner McCall Blvd., Ste 201 Rome GA 3016563804RN140128Wilson, Jaci 10/31/201311096
Kimberly Green, DO 3370 Sugarloaf Pkwy, Suite G-7 Lawrenceville GA 3004458478RN193733Wilson, Joy Stanetrice 7/1/201312266
Heather Pryor, MD 134 East Fairmount Avenue Cedartown GA 3012544310RN045387Wilson, Susan B 1/25/20083270
Hope McDaniel, MD 134 East Fairmount Avenue Cedartown GA 3012559287RN045387Wilson, Susan B 10/1/20088147
Quintin Robinson, MD 2140 Peachtree Rd NW, Suite 232 Atlanta GA 3030962763RN106630Wilson, Hermeyone Theodora Bell 2/23/201512004
Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN193733Wilson, Joy Stanetrice 4/15/20108673
Richard Prokesch, MD 6285 Garden Walk Blvd, Suite A Riverdale GA 3027419754RN106630Wilson, Hermeyone Theodora Bell 2/23/20158634
Mark Tanner, MD 1935 Howell Mill Rd Atlanta GA 3031825677RN106630Wilson, Hermeyone Theodora Bell 2/13/20098215
Nadia Cameron, MD 212 Edgewood Ave Atlanta GA 3030353982RN193733Wilson, Joy Stanetrice 2/18/201311949
Jafar Tabatabai, MD 212 Edgewood Ave NE Atlanta GA 3030314868RN106630Wilson, Hermeyone Theodora Bell 1/31/20129780
Julaine Cross, MD 1025 North Main St Cedartown GA 3012556037RN045387Wilson, Susan 2/18/20149895
James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN103701Wilson, Patty Jean 5/31/20123268
Lester Estevez, DO 208 Scranton Connector ste. 119 Brunswick GA 3152576711RN179451Wilson, Rosemary Tamisin 9/23/201618904
Melissa Bruhn, MD 916 South Broad St Thomasville GA 3179243565RN123110Wilson, Elizabeth 11/16/201615579
Jabez Marshall, MD 205 Rees St Americus GA 3170913066RN183884Wilson, Ashley 4/11/201514628
Jonathon Allen, MD 100 Gross Cresent Circle Fort Oglethorpe GA 3074256949RN139914Wilson, Karyn Leah 11/1/201413388
Saturday, January 21, 2017 Page 214 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
John DiBlasi, MD 135 Canal Street ste. 500 Pooler GA 3132275206RN179451Wilson, Rosemary Tamisin 8/30/201618654
Lawrence Powell, MD 1510 Milstead Ave NE Conyers GA 3001238915RN135948Wilson-Burris, Tiny 12/10/20153271
Mohamed Kassem, MD 3580 Cameron Parkway Stockbridge GA 3028140934RN137772Wimberly, Yvane Margaret 7/9/20093275
Iveta Berzinch, MD 307 Pineview Drive Waycross GA 3150143873RN170624Winn, Carla Kay Pye 6/8/20158508
Faiz Rahman MD 404 Savannah Avenue Statesboro GA 3045863433RN216845Winn, Kathryn 6/1/201310012
Traceyan Mendez, MD 215 North Coleman St Swainsboro GA 3040157831RN152637Winnette, Gina Frances 6/1/201311665
Faiz Rahman, MD 404 Savannah Ave Statesboro GA 3045863433RN152637Winnette, Gina Frances 12/31/20129643
Kyauna Miller, MD 222 South Main St Reidsville GA 3.45368071RN152637Winnette, Gina Frances 12/15/201511966
Hiromi Maruyama, MD 222 South Main St Reidsville GA 3045360744RN152637Winnette, Gina Frances 12/30/20109250
Daryl McCartney, MD 1570 Brampton Ave Statesboro GA 3045868067RN152637Winnette, Gina Frances 12/15/201514864
Jerath, Rita MD 1446 Harper Street Ste BG1017 Augusta GA 3091222937RN184306Winstead, Nicole 6/6/201410246
Timothy Stapleton, MD 1600 Forsyth Street Macon GA 3120136295RN082052Winters, Rhonda Lynn Toole 11/4/20103280
Benjamin Abraham, DO 2020 McGee Rd Snellville GA 3007834757RN108564Wirth, Diane Lynn 9/8/201411836
Allen Dollar, MD 80 Jesse Hill Dr Atlanta GA 3030335244RN108564Wirth, Diane Lynn 4/5/20139043
Kenneth Grotz, MD 4150 Washington Rd, Suite 11 Evans GA 3080937820RN213344Wise, Mary Elizabeth 10/8/201413121
Jyotir Mehta, MD 801 13th Ave, Suite A Albany GA 3170145887RN146627Withers, Lorraine Taylor 11/12/20119749
Ramana Rao, MD 1909 Aberdeen Road, Room 102 Albany GA 3170137052RN146627Withers, Lorraine Taylor 3/15/20113283
Mark Beaty, MD 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 3000945169RN180347Witt, Lindsey Leigh 3/19/20108541
Kenneth Howard, MD 11766 Hwy 27, Suite A Summerville GA 3074740412RN045044Witt, Connie Louise 4/24/20148617
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN045044Witt, Connie Louise 10/5/20119400
James Michael Brown, MD 194 Allgood Street Trion GA 3075333284RN045044Witt, Connie Louise 5/31/20093284
Saturday, January 21, 2017 Page 215 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Nellie Crawford, MD 107 B Upper Riverdale Rd Riverdale GA 3027466471159925Witzel, April Meredith 3/31/201614547
Barry Jones, MD 5965 Parkway North Blvd Cumming GA 3004012495RN045109Wood, Carol Anne Kahl 9/30/20098096
Mohammed Elbasha, MD 350 Hospital Drive Macon GA 3121759714RN113945Wood, Leanne Debra 9/7/20119933
Busman, Michael MD 922 East Jefferson Street, Ste B Americus GA 3170940628RN113945Wood, Leanne 3/28/201210584
Robert E. Windsor, MD 2550 Windy Hill Rd., #215 Marietta GA 3006731857RN113945Wood, Leanne D. 3/20/201311525
Chandra, Madhusudan MD 233 N. Hurston Road Stone Mountain GA 3008338143rn162935Woodall, Heather 7/25/201210040
Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN033512Woodall, Jo Anne 10/31/20103288
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN082783Woodard, Katrina Anne Calhoun 7/1/20118763
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN082783Woodard, Katrina Anne Calhoun 10/4/201515002
Roy Brownlow, MD 1665 Hwy 34 East, Suite 100 Newnan GA 3026542196RN069357Woodie, Jo Ann 6/25/20153291
Michael McHenry, MD 354 Newnan Crossing Bypass, Ste 200 Newnan GA 3026565285RN069357Woodie, Jo Ann 6/2/201615923
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN079456Woodruff, Mary Teresa 6/30/20098342
Karin Alcantara, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074243996RN079456Woodruff, Mary Teresa 9/26/20083295
Atif Iqbal, MD 2300 A manchester expressway Columbus GA 3190461971RN221754Woods, Jennifer Dania 4/17/201411257
William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN105351Woods, Beverly A. 9/12/20093297
Mark Coker, MD 14557 Hwy 19, Suite A Griffin GA 3022456276RN223468Wooley, Kari Louise 6/4/201311799
Reden Delgado, MD 2293 Old Rockmart Hwy Rockmart GA 3015365957RN223468Wooley, Kari Louise 9/12/201413309
Carter, Cynthia MD 1000 Towne Center Blvd, Ste 705 Pooler GA 3132256534RN107568Woo-Sheffield, Marci 2/1/201610381
Kenneth Horlander, MD 303 Smith Street LaGrange GA 3024046128RN100010Wortham, Candace 3/11/20115448
Steven Leichter, MD 2425 Brookstone Center Pkwy Columbus GA 3190440452RN100010Wortham, Candace 8/1/201311132
Robert Copeland, MD 301 Medical Dr, Suite 501 LaGrange GA 3024011745RN100010Wortham, Candace H. 9/7/20129817
Saturday, January 21, 2017 Page 216 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Karim Gokal, MD 105-A Johnson Street Dahlonega GA 3004058868RN205309Woughter, Linda 11/1/2011309
Franklin Duffey, MD PO Box 10 Cumming GA 3002816856RN205309Woughter, Linda 4/15/20119342
Ian Davis, DO 1120 15th Street, BI 5092 Augusta GA 3091264203RN149121Wright, Latanya Kay 5/20/201612186
Ritu Khurana, MD 19 Redmond Rd Rome GA 3016555858RN175976Wright, Jenni Charity 6/24/201512379
Gregory Fortner, MD 1101 North Way Darien GA 3130532733RN165440Wright, Margaret A. 1/3/201412691
Quinton Weldon, MD 116 W. Thigpen Ave Lakeland GA 3163546786RN118839Wright, Daniel B. 3/19/20159695
Richard Rickman, MD 3200-C North Ashley St Valdosta GA 3160249332RN118839Wright, Daniel B 5/4/201412734
Olakunle Aina, MD 2000 Palmyra Rd Albany GA 3170148968RN118839Wright, Daniel B. 3/27/20149289
Gloria Kayfan, DO PO Box 1908 Albany GA 3170148431RN118839Wright, Daniel B. 7/26/20109143
Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN050048Wright, Denise Jean 5/23/20139659
Divina Dyer, MD 780 North Glynn Fayetteville GA 3021457161RN107575Wright, Karen Angella Uter 10/28/20123308
Florida Basilio, MD 2039 Warm Springs Rd. Columbus GA 3190428720RN133687Wright, Cindy 9/24/201411052
Atif Iqbal, MD 2300 A. Manchester Expressway, Ste 006Columbus GA 3190461971RN133687Wright, Cindy R. 9/8/201613547
Busman, Michael MD 922 E. Jefferson Street, Suite B Americus GA 3170940628RN085059Wysochansky, Mary Helen 1/14/201610041
Sean Delaney, MD 755 Walther Rd Lawrencelille Ga 3004649001RN191551Xiang, Abegail Delez 9/1/201614816
Frenesa Hall, MD 1945 Mason Mill Rd, Suite 100 Decatur GA 3003335892RN115022Yandel, Susan Eileen 7/25/20129033
Christopher Crooker, MD 748 Old Norcross Road, Suite 185 Lawrenceville GA 3004539315RN115022Yandel, Susan Eileen 9/25/20093315
Steckl, Pete MD 235 Peachtree St North Tower, Ste 2100Atlanta GA 3030336296RN108692Yarnall, Richard 5/31/201410244
Christopher Crooker, MD 748 Old Norcross Road, Suite 185 Lawrenceville GA 3004539315RN108692Yarnall, Richard Clark 1/1/20123318
Tambrea Ellison, MD 2550 Windy Hill Rd. , Ste 206 Marietta GA 3006769187RN105921Yates, Susan Marina 8/20/201513937
John Souza, MD PO Box 16100 Dublin GA 3104039475RN104649Yawn, Anthony Jackson 10/26/20118275
Saturday, January 21, 2017 Page 217 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Kimsey, Troy MD 425 West Third Avenue, Medical Tower I, Ste 105
Albany GA 3170146876RN093579Yawn, Traci 8/1/201410374
Kesha Allen, MD 417 Third Ave Albany GA 3170157920RN093579Yawn, Traci Kurpe 10/15/201311833
Gibbs, Sandra MD 145 E. Peacock St, Ste 3 Cochran GA 3101432192RN104649Yawn, Anthony 6/24/201610592
James Sirleaf, MD 417 W 3rd Ave Albany GA 3170167036RN093579Yawn, Traci 8/31/201515671
Seward, James MD 200 Industrial Blvd ER Dublin GA 3102127247RN118481Yawn-Lewis, Tonya 3/31/201410068
Louis Fernandez, MD 274 Big A Rd Toccoa GA 3057739790RN217018Yearous-Algozin, Anna Livia 8/27/201412400
James Collins, MD 304 Turner McCall Blvd Rome GA 3016529833RN145132Yerke, Julie Leanne Johnson 5/1/201512706
James Collins, MD 304 Turner McCall Blvd Rome GA 3016529833RN145132Yerke, Julie 1/2/201615779
Robert Burkich, MD 148 Cobb Pkwy Ringold GA 3073646372RN253161Yin, Tiffany Lauren 7/16/201617296
Bounthavy Homsombath, MD
3675 J Dewey Gray Circle, Suite 300 Augusta GA 3090968031RN190861Yon, Sarah Marie 2/11/201512652
Cassandra Josephson, MD 1405 Clifton Rd. NE Atlanta GA 3032247608RN221867Yonchik, Christine Marie 8/18/201618555
Jerry Mallett, Jr, MD 400 S. Pinetree Blvd Thomasville GA 3179230647RN073220Youmans, Frances Mcdowell 4/8/20153330
Anne B. Todd, MD 526 Maddox Drive, Ste 101 Ellijay GA 3054051395RN080340Young, Suzanne 8/31/20093336
Syed Naqvi, MD 710 Center St Columbus GA 3190162144RN153142Young, Dawn Andrea Pettiford 1/18/20129855
James Criner, MD 1490 Pleasant Hill Rd Duluth GA 3009654179RN046139Young, Glenda D 1/13/20143332
LaSuer, Douglas MD 105 East Tollison Street Baxley GA 3151361474RN113728Young, Melanie 4/5/201310166
Edwards, Tania DO 1413 Whitesville Road, Ste 700 Columbus GA 3190453465RN153142Young, Dawn 5/31/201310241
John Layher, MD 2470 Daniels Bridge Rd., #251 Athens GA 3060646692RN047409Young, Beth B. 6/20/201411589
Joshua Wolf, MD 1968 Peachtree Rd NW Atlanta GA 3030959792RN047409Young, Beth Burch 8/10/20122327
Mohammad Osman, MD 625 Big Shanty Rd NW Kennesaw GA 3014454323RN151008Young, Holly Stiehm 12/31/201312585
Saturday, January 21, 2017 Page 218 of 219
Terminated RN# Delegating Physician Protocol AddressLicense#APRN Name Protocol #
Charles P. Catron, MD 1707 Meadows Lane, Ste F & H Vidalia GA 3047466362RN218687Young, Bradley H. 7/31/201611236
Virna Simmon, MD 1355 South Park St US Hwy 27 Carrollton GA 3011760614RN192017Young, Shante 2/20/201615379
Jeffrey Lamp, MD 2151 West Spring St Monroe GA 3065556736RN047409Young, Beth Burch 12/31/201613581
Theresa Jacobs, MD 868 York Ave, SW Atlanta GA 3031046864RN148404Young, Nancy 7/7/201413247
Curtis Clark, DO 610 19th St Columbus GA 3190147068RN150142Youngblood-West, Leigh Ann 9/1/201311676
Steve Kissinger, MD 9020 Peridot Pkwy Stockbridge GA 3028130493RN086363Younker, Marcia Lynn McMullen 4/15/20108694
Kenneth Patric, MD 3240 South Cobb Dr. Smyrna GA 3008269243RN188604Yufenyuy, Mamboh Ngum 10/31/201414088
Sarvotham Kini, MD 108 Spear Rd, Ste 309 Winnie Davis Athens GA 3060234170RN188604Yufenyuy, Mamboh 11/30/201514549
Sofia Munir, MD 505 Dacula Rd Dacula GA 3001968250RN188604Yufenyuy, Mamboh Ngum 4/28/201616847
Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN221556Zavala, Sandra Marlene 7/20/201512243
Fleming, Alesia MD 1645 Tullie Circle Atlanta GA 3032934841RN140349Zaworski, Tamara 1/20/201510547
Margaret M. Boudreaux, MD 102 Pilgram Village Dr. Cumming GA 3004044172RN067932Zehnder, Sandra V. 10/1/20075470
Tepper, Micah MD 1700 Hospital South Drive Austell GA 3010657687RN135902Zimmerman, Cheri 12/28/201110019
Ian Davis, DO 1120 15th St, BI-5092 Augusta GA 3091264203RN159464Ziobrowski, Ashley Christine 4/5/201513226
Anthony Ditaranto, MD 900 8th Street Columbus GA 3190529865RN137086Zollinger, Leigh Anne 12/1/20118742
Rosa Urrutia, MD 562 Concord Road Smyrna GA 3008218967RN143427Zuleta, Francisco Javier 4/24/20093246
Robert Albin, MD 5667 P'tree Dunwoody Rd, Suite 350 Atlanta GA 3034233018RN143427Zuleta, Francisco Javier 10/26/20098680
Saturday, January 21, 2017 Page 219 of 219