terminated nurse protocol agreements
TRANSCRIPT
Terminated Nurse Protocol Agreements
Terminated RN# Delgating Physician 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
Mohamad El‐Attar, MD 1372 Wellbrook Cir NE Conyers GA 3001241286RN178502Abraham, Linda M. 11/30/20119546
Phillip Bannister, MD 603‐A Old Norcross Rd Lawrenceville GA 3004516503RN178502Abraham, Linda M. 10/1/20105019
Hodges, Sharon MD 1372 Wellbrook Circle Conyers GA 3001240759RN178502Abraham, Linda 3/30/201210470
Lynette Stewart, MD 3660 Flat Shoals Rd., Ste 180 Decatur GA 3003439681RN178502Abraham, Linda 4/16/201311113
Thomas Seay, MD 5670 P'tree Dunwoody Rd, #1100 Atlanta GA 3034230884RN108696Abramson, Cara Michelle Rothf 6/16/20145
Knepp, Ira MD 1009 N. Monroe Street Albany GA 3170134002RN181346Adams, Sherida 4/30/201210276
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 Olufunmil 11/17/20097921
Adrienne Mims, MD 477 Windsor St, Suite 309 Atlanta GA 3031233152RN175655Adeshigbin, Alaba Risikat 7/1/20138802
Todd Robinson, MD 14 Cherokee Rd Cedartown GA 3012540773RN147420Adkison, Tasha Michele Cobb 1/21/20128747
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147420Adkison, Tasha Michele Cobb 7/1/20119555
Ashley C. Davis, MD 5555 Whittlesey Blvd, #L‐1 Columbus GA 3190958161RN099501Affleck, Susan M. 6/6/201411467
Willis McVay, MD 501 East Long St Claxton GA 3041754833RN081701Akins, Katharine L Reeves 5/1/201425
Ault, Kevin MD 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, 4th floor
Atlanta GA 3030356403RN181184Akpan, Inemienyu 12/13/201210644
Friday, October 17, 2014 Page 1 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Jeff Donohue, MD 3755 Sixes Road, Suite 202 Canton GA 3014446540RN159786Albano, Jessica Lyn 3/24/20098248
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
Raja Ram, MD 475 Phillip Blvd. Lawrenceville GA 3004539822RN077192Allen, Sonya M. 12/1/20129865
Thomas Karisny, MD 170 Hospital Circle, Suite A Blairsville GA 3051250029RN077192Allen, Sonya M. 8/18/20107724
Richard Morse, MD 2122 Manchester Expressway Columbus GA 3190442094RN162545Allen, Bryan Patrick 5/23/20148330
Zulfiquar Bhatti, MD 1906 Warm Springs Road Columbus GA 3190948482RN162545Allen, Bryan Patrick 9/9/20088101
Husham Peter Mishu, MD 285 Boulevard, NE Ste #345 Atlanta GA 3031240740RN121276Allen, Aurelia 8/21/200939
Meena J. Shah, MD 475 Philip Blvd, Ste 100 Lawrenceville GA 3004521464RN077192Allen, Sonya M. 5/10/201311499
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
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN201832Amukamara, Ernest U 5/23/201312081
James Criner, MD 7530 Roswell Road Atlanta GA 3035054179RN201832Amukamara, Ernest U. 10/21/20108733
Jay Schlossberg, MD 5820 Old National HWY College Park GA 3034919996RN201832Amukamara, Ernest U 7/10/201411791
Obiorah, Samuel MD 1009 3rd Avenue West Point GA 3183342379RN135346Anaele, Caroline 4/9/20129991
Edet Bassey, MD 1041 Talbotton Rd Columbus GA 3190744408RN154861Anderson, Christina Elaine 12/4/201311829
Sima Dehghany, MD 216 Hospital Rd Cordele GA 3101562494RN115669Anderson, Geraldine Jackson 8/31/20119709
James Greene, MD 590 Historic Hwy 441 North Demorest GA 3053532741RN149791Anderson, Tabatha Peavy 8/13/20138206
Friday, October 17, 2014 Page 2 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Sallu Jabati, MD 3722 Woodruff Road Columbus GA 3190658527RN154861Anderson, Christina Elaine 2/18/201412897
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
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
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
Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN185422Appiah‐Kubi, Mavis 5/29/20097977
Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN185422Appiah‐Kubi, Mavis 7/31/20108916
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN185422Appiah‐Kubi, Mavis 8/25/20098415
Richard Loyd, DO 601 A Professional Dr. Lawrenceville GA 3004537446RN124097Archer, Holly Lynn Hargrove 11/1/200793
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN200896Armstrong, Helen Victoria 1/1/20108783
Schramm, Charles Steven MD
993F Johnson Ferry Road, Ste 210 Atlanta GA 3034229944RN176012Armstrong, Lisa 6/2/201410460
Kenneth Taylor, MD 275 Collier Rd, Suite 500 Atlanta GA 3030938985RN176012Armstrong, Lisa Kristen 2/18/201397
Alicia Hopkins, DO 2800 Overlook Pkwy Atlanta GA 3033966506RN170388Asa, Michele 4/5/201413081
Alicia Hopkins, DO 2800 Overlook Pkwy Atlanta GA 3033966506RN170388Asa, Michele 7/30/201413521
Friday, October 17, 2014 Page 3 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Sharon Steele, MD 601‐A Professional Drive, Suite 370 Lawrenceville GA 3004529795RN083491Aspinwall, Susan Elena Gilstrap 7/25/2014108
Nichole LeBoyd, MD 3003 Old Alabama Rd Alpharetta GA 3002254452RN150271Astles, Colleen Anne 4/12/20147868
Joseph Joyave, MD 100 Market Place Blvd, #201 Cartersville GA 3012143977RN157938Atkins, Letisha Nicole 7/20/20128543
Bhumiben Purohit, MD 50 Barrett Pkwy Marietta GA 3006658812RN174546Augereau, Cynthia Lindsay 10/12/20108922
Brown, Beverly MD 477 Windsor St SW, Ste 309 Atlanta GA 3031242534RN181184Augustine‐Akpan, Inemienyu 7/25/201210408
Gena Volas‐Redd, MD 340 Kennestone Hospital Blvd Marietta GA 3006045356RN113740Auriemma, Kimberly Anne Wo 10/31/2011112
Zemsky, Lynn MD 340 Kennestone Hospitl Blvd, Ste 100 Marietta GA 3006051281RN113740Auriemma, Kimberly 6/8/201210170
David Van, MD 747 S. Hill St Griffin GA 3022429545RN128161Austin, Barbara Renell Clark 6/1/20119846
Debra Miller, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010641898RN187723Austin, Jennifer Chipps 8/15/20118620
Epps, Douglas MD 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 3028148349RN128161Austin, Barbara 8/20/201210564
William Little, MD 6175 Newton Drive Covington GA 3001424288RN123161Bachtel, Mary Kathleen Jones 10/25/2012122
Joseph Lesesne, MD 1100 Johnson Ferry Rd, #600 Atlanta GA 3034229712RN089038Badnin, Martha Ellen 12/31/2010125
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
David Dillard, MD 1000 Hawthorne Avenue, Suite O Athens GA 3060640364RN078685Bagwell, Kristy Sue 7/30/2009128
Heywood K. Gay, MD 961 E. Winthrope Ave. Millen GA 3044238768RN092042Bailey, Jean M. 8/31/201411365
Cheryl Jones, MD 308 Coliseum Dr., Suite 120 Macon GA 3121734865RN078399Baker, Karen Marie 7/24/20085486
Frederick Moore, MD 663 Lanier Park Drive Gainesville GA 3050122254RN146348Baker, Chester Riley 9/1/2009135
Friday, October 17, 2014 Page 4 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
W. Merrill Hicks, Jr., MD 334 Smith ave Thomasville GA 3179238251RN072455Baker, Vanessa Young 10/31/20129273
Thomas A. Buice, MD 102 Swatts Street Barnesville GA 3020451758RN097754Baker, Tracey Lea Lewis 2/28/2011142
Ellen Courson, MD 3811 Old US Hwy 41 North Valdosta GA 3160234089RN072455Baker, Vanessa Young 3/16/20118615
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
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
Robert Deimler, DO 3555 Centerville Hwy, Suite 100 Snellville GA 3003938728RN190935Baker‐Janis, Victoria M 6/10/201411734
Jeanne Boudreaux, MD 5455 Meridian mark Rd, Suite 400 Atlanta GA 3034243559RN107598Ballard, Linda Kozak 4/1/2013147
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 DeLisle, DO 7306 Hwy 21, Suite 105 Pt. Wentworth GA 3140761961RN144607Banister, Anna Lee 1/26/20129774
Christopher Mathews, MD 100 Goshen Rd Rincon GA 3132649133RN144607Banister, Anna Lee 6/1/20129772
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
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
Bradley Ward, MD 97 Church St Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 10/15/20129688
Stephen Dawkins, MD 535 North Central Avenue Hapeville GA 3035433066RN135629Barber, Ronald Blake 5/30/2009155
Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN134966Barber, Sarah Crowe 11/17/2010520
Friday, October 17, 2014 Page 5 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Shannon Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN105904Barnes, Susan McGraw 7/5/201311646
Julian McLendon, Jr., MD 3758 Hwy 42 Locust Grove GA 3024838557RN147543Barnett, Tammy Lynn 6/23/2009163
William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN147543Barnett, Tammy Lynn 2/4/20119074
Richard Schwartz, MD 1120 15th St, Ste AF‐2044 Augusta GA 3091242935RN143515Barrett, Nadine JF 8/1/20119938
Powell, Eric MD 82 College Circle, Room 107 HNS Dahlonega GA 3059749081RN080586Barrett, Karen 5/1/201210666
Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN143515Barrett, Nadine Janice Fearon 8/1/20119152
Sinan Haddad, MD 1250 Jesse Jewell Pkwy, Ste 400 Gainesville GA 3050156455RN080586Barrett, Karen Lee 4/22/20149981
Roshan Shrestha, MD 1968 Peachtree Road NW Atlatna GA 3030956765RN128594Barrett‐Brown, Angela Dian 12/16/20088325
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
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
Renaldas Smidtas, MD 4002 North Oak St Ext Valdosta GA 3160241959RN128236Bass, Pollyanna Marie 8/31/201413126
Jerry Purvis, MD 520 Griffin Ave Valdosta GA 316019235RN128236Bass, Pollyanna Marie 4/14/2014174
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
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
Friday, October 17, 2014 Page 6 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Dan Ioanitescu, MD 940‐C Hwy 96 Warner Robins GA 3108851476RN066734Becker, Deborah A. 8/6/20128475
Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN225162Becklenberg, Amy M 2/19/201411985
Christopher Oldfield, MD 1326 Eisenhower Drive Savannah GA 3140646195RN132814Beckworth, Jill Katrice 7/31/2010188
Yulianty D. Kusuma, MD 130 Stephenson Ave, #102 Savannah GA 3140661279RN132814Beckworth, Jill K. 3/31/201411539
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
Andrew Helfgott, MD 1120 15th Street, Suite BA‐7410 Augusta GA 3091255953RN046188Bedingfield, Amy P 5/20/2011189
Yvonne Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN105146Beelman, Lynne 2/7/201311050
Kevin J. Smith, MD 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 3014441961RN105146Beelman, Lynne Ann 9/30/2009192
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN105146Beelman, Lynne Ann 7/16/20128850
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
George L. Smith III, MD 4166 A Newton Drive Covington GA 3001421816RN127670Bellamy, Virginia Elizabeth 6/27/201413068
Richard Ambrozic, MD 3321‐B N Valdosta Rd Valdosta GA 3160243851RN201410Bellinger, Susan Elise 7/1/201412769
Shameka McElhaney, MD 7530 Roswell Road Atlanta GA 3035054854RN124223Beltran, Beverly E. 4/25/20118906
Christopher Doerr, DO 108 Park Ave Athens GA 3060134578RN124223Beltran, Beverly E. 7/23/20119905
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
Friday, October 17, 2014 Page 7 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Marc Coan, MD 58 Big A Rd Toccoa GA 3057733295RN144863Bennett, Jennifer SuAnne 4/9/20149374
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
Ou, Mike MD 1125 East Highway 166 Bowdon GA 3010853301RN113194Berg, Shawna 6/10/201310256
Gaye Haynes, MD 2906 Franklin Parkway Franklin GA 3021749696RN113194Berg, Shawna 6/1/201311114
Roy Jefferson, MD 6135 Roosevelt Hwy, PO Box 1000 Warm Springs GA 3183041443RN158389Berry, Marian Adale 3/15/20097909
Cindy Freed, DO 6135 Roosevelt Hwy Warm Springs GA 3183045791RN158389Berry, Marian Adale 8/9/20108592
Allen Jones, Jr, MD 6135 Roosevelt Hwy Warm Springs GA 3183032214RN158389Berry, Marian Adale 8/30/20139458
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
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
Wyatt, David MD 9925 Haynes Bridge Road Alpharetta GA 3002242979RN164653Blaesser, Marian 12/15/201210611
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
Friday, October 17, 2014 Page 8 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Guillermo Saurina, MD 201 Pendleton Dr. Valdosta GA 3160548570RN093010Blanton, Carla Arlene Gustin 7/27/2010244
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
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
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
Ceylon Rowland, MD 3855 Pleasant Hill Rd, Suite 210 Duluth GA 3009652202RN200066Bolger, Angela Y. 11/12/20108821
Magdi Hanafi, MD 5673 Peachtree Dunwoody Rd, #750 Atlanta GA 3034219269RN200066Bolger, Angela Y. 3/31/20098442
Jonathan Ehrlich, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN176585Bolton, Margaret Lynne 6/8/20085063
Daniel Sims, MD 1365 Clifton Rd., Ste A2115 Atlanta GA 3032257323RN135828Bolton‐Harris, Elizabeth 10/20/201311062
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
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN099067Boone, Karen Y 8/24/20127746
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
Blanks, Keith DO 616 19th Street Columbus GA 3190152042RN208838Booth, Kristin 7/25/201210413
Joel Morgan, MD 3541 N. Crossing Cir Valdosta GA 3160231295RN112063Booth, Carmen Diana 5/30/20138596
Anthony Ditaranto, MD 1629 10th Ave, Suite B Columbus GA 3190129865RN208838Booth, Kristin Ann 12/1/20119375
Friday, October 17, 2014 Page 9 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN168378Booth, Sara Elizabeth 4/13/2009261
Wendy Vandemark, MD 103 Wayne Avenue Valdosta GA 3160257511RN112063Booth, Carmen Diana 5/31/2010260
Martha Millan‐Sanchez, MD
3015 Veternas Pkwy Moultrie GA 3178866223RN112063Booth, Carmen Diana 7/3/201412678
Rolf Meinhold, MD 2700 Abbey Court Alpharetta GA 3000429727RN156861Borkovich, Eileen Clare 5/2/20137903
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
Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN145040Botah‐Oduro, Ophelia Anane 7/1/20119628
Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2‐D East Point GA 3034451703RN145040Botah‐Oduro, Ophelia Anane 3/19/20138291
Chukwudi Amu, MD 5530‐B Old National Hwy, Suite 100 College Park GA 3034926967RN145040Botah‐Oduro, Ophelia Anane 12/1/20099223
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
Walter Smith, MD 3498 Walnut Ridge Atlanta GA 3034937078RN146042Bowen, Cindy Jo‐Ann 8/25/2009272
Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN146042Bowen, Cindy Jo‐Ann 1/31/20119171
Phillip Nowlin, MD 491 East Main St Cartersville GA 3012136588RN146042Bowen, Cindy Jo‐Ann 10/26/20138915
John Coleman, MD 1720 Peachtree Rd, Suite 200 Atlanta GA 3030948498RN146042Bowen, Cindy Jo‐Ann 10/10/20139239
Powell, Lawrence MD 1762 Mars Hill Road NW Acworth GA 3010138915RN146042Bowen, Cindy 7/7/201310810
Sidney Smith, III, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN084864Bowen, Mark Timothy 6/1/2011273
Pinell, Michael MD 4123 Forsyth Rd, Ste K Macon GA 3121058102RN119753Bower, Bonnie 3/25/201310245
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 8/11/201413322
Friday, October 17, 2014 Page 10 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Bennett Hogan, MD 117 W Northside Dr Valdosta GA 3160250024RN101527Bowser, Karen Alene 8/11/20149978
Michele Aguayo, MD 2594 Loganville Hwy, Suite 101 Grayson GA 3001736490RN060082Boyd, Pamela Ameilia 9/13/201311251
Jeffrey Lennox, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030838844RN135750Boyette, Eric Lawrence 12/19/2008285
Robert Strauss, MD 1700 Hospital South Drive, Suite 502 Austell GA 3010627307RN105979Boyle, Lynn Michele 7/15/20117754
Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN105979Boyle, Lynn Michele 10/26/20119204
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
Joseph Hand, III, MD 1000 B ‐ North Veterans Blvd Glennville GA 3042749984RN205143Bradshaw, Jessica Lynn 8/11/201412640
John Zora, MD 1990 Riverside Parkway NW Lawrenceville GA 3004326420RN101050Braker, Susan Jean 8/31/2011297
Ruschak, Lisa MD 1022 Miller Lane SW Darien GA 3130559956RN160904Brandeberry, Thomas 8/19/201210366
Powell, Eric MD 1111 Glynco Parkway, Bldg 1, Ste 10 Brunswick GA 3152549081RN160904Brandeberry, Thomas 9/22/201210920
Ramie Tritt, MD 5555 Peachtree Dunwoody Rd, Suite 235
Atlanta GA 3034220005RN092114Brannon, Elissa Darlene 4/3/20097738
Nitasha Burney, MD 4120 Austell Road SW Austell GA 3010655931RN152769Brantley, Nina Sheria 9/29/20147880
Charles Wilmer, MD 275 Collier Rd, Suite 300 Atlanta GA 3030929394RN152769Brantley, Nina Sheria 10/15/20139365
Michelle Morgan, DO 2990 Five Forks Trickum Rd Lawrenceville GA 3004451694RN143102Braxton, Charisse Alene Gather 3/31/2011307
Paul Roberts, MD 69246RN192359Brewer, Kimberly Lorraine 10/12/201312481
Bruce V. Ramsdell, MD 6110 Pine Mountain Rd., #201 Kennesaw GA 3015218722RN192359Brewer, Kimberly Lorraine 10/12/201311619
Laura Beaty, MD 755 Mt Vernon Hwy, Suite 120 Atlanta GA 3032845168RN165564Brewster, Kimberly Enfield 11/13/20139676
Norman Todd, MD 2015 Uppergate Dr Atlanga GA 3032213313RN149012Brickhouse, Tammie Vincent 7/29/201412551
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN107666Brier, Janie Clare Rishel 1/6/2014318
Friday, October 17, 2014 Page 11 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Bradley George, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246408RN171528Brill, Pamela Beth 12/15/2011320
Janss, Anna MD 1405 Clifton Road, 4th floor Atlanta GA 3032252965RN171528Brill, Pamela 5/11/201310364
Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN167836Brock, La‐Urshalar Beausheniq 6/28/20118556
Morgan III, Joe Harris MD 2300 Dawson Road, Ste 101 Albany GA 3170753503RN129516Brooks, James 7/25/201410746
Jaza Marina, MD South Albany Med Ctr, 1300 Newton Road
Albany GA 3170155267RN129516Brooks, James Michael 3/2/20128307
David Bosshardt, MD 128 Battlefield Crossing Court Ringgold GA 3073626225RN129994Brooks, Lisa Mae Vickers 2/1/2014328
George Brown, MD 141 Piedmont Ave, Suite D Atlanta GA 3030330275RN171398Brown, Yvonne 6/13/20119134
Mina Jacob, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010651477RN191333Brown, Andrea Celina 4/13/20098386
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN171398Brown, Yvonne 8/9/20108853
Kathleen Gunchick, MD KSU ‐ 1000 Chastain Rd NW, House 52 Kennesaw GA 3014428760RN076533Brown, Brenda Rebecca McCun 1/6/201411854
Maurice Clifton, MD MSC Health Clinic ‐ 100 College Station Dr
Macon GA 3120661053RN112057Brown, Monica Renee' 11/21/20108847
Allen Garrison, MD 100 College Station Dr Macon GA 3120654017RN112057RN112057
Brown, Monica Renee' 7/9/20098334
Henry Lewis, MD 1990 Limestone Circle, Suite 100 Gainesville GA 3050149052RN074964Brown, Mary Jane 7/12/20109085
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
Donald Fordham, MD 865 Austin Drive Demorest GA 3053544718RN074964Brown, Mary Jane 3/31/20108580
Russell Sliker, MD 1000 Town Center Blvd, Suite 701 Pooler GA 3132246250RN064864Brown, Ludella 5/1/20108308
Megan Bowles, MD 1000 Chastain Rd, House 53 Kennesaw GA 3014468486RN076533Brown, Brenda Rebecca McCun 3/18/201413023
Richard Dent, MD 310 Eisenhower Dr, Suite 5A Savannah GA 3140617RN064864Brown, Ludella 5/28/2008345
Friday, October 17, 2014 Page 12 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Nydia Bladuell, MD 790 Church Street, Suite 470 Marietta GA 3006038429RN177029Brown, Eric Jay 4/1/2009340
Lawrence Powell, MD 4120 Austell Road SW Austell GA 3010638915RN076533Brown, Brenda Rebecca McCun 10/1/20137722
Gerald Brantley, MD 100 College Station Drive Macon GA 3120633535RN112057Brown, Monica Renee 8/3/20082937
Oladayo Osinuga, MD 1203 Cleveland Avenue, Suite 2‐D East Point GA 3034451703RN171398Brown, Yvonne 2/25/2008356
Dana Kumjian, MD 1115 Lexington Ave Savannah GA 3140435673RN184377Brownlee, Amanda Lynn 2/1/20139489
Pryor, Heather MD 508 North Main Street Cedartown GA 3012544310RN117972Bruce, Myra 11/30/201210687
Ann P. Ward, MD 48 Hills Creek Rd. Taylorville GA 3017823242RN117972Bruce, Myra P. 5/13/201311603
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
Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN152834Bryant, Natalie Gayle 8/13/2010374
Richard Ambrozic, MD 2501 N. Patterson Street Valdosta GA 3160243851RN128293Bryant, Charles W. 3/27/2009369
Douglas Moss, MD 814 Northwood Park Dr Valdosta GA 3160241178RN128293Bryant, Charles W. 7/14/20138574
Mufaddal Kheda, MD 1200 N. Jefferson St Albany GA 3170159860RN152834Bryant, Natalie Gayle 2/1/20119388
Andrew Michas, MD 1001 N. Monroe Street Albany GA 3170149065RN152834Bryant, Natalie Gayle 8/13/20108529
William Kittle, MD 1350 Walton Way, POB II, Suite 200 Augusta GA 3090125197RN082727Bryant, Roxanne Rush 7/1/20117728
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
Friday, October 17, 2014 Page 13 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
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
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
Hand III, Joseph MD 1000B N. Veterans Blvd Glennville GA 3042749984RN177195Bunch, Jana 10/2/201310280
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
Gregory Matechak, MD 1650 Chattahoochee Dr Rockmart GA 3015352992RN084921Burch, Mary Catherine Cobb 4/14/201412611
Thomas L. Garcia, DO 1008 Piedmont Ave. Rockmart GA 3015363420RN084921Burch, Mary C. 8/21/201311541
James Douglas, MD 1013 North 5th Avenue, Suite 2 Rome GA 3016533569RN084921Burch, Mary Catherine Cobb 11/1/2012394
William Mills, MD 58 Big A Road Toccoa GA 3057750901RN126640Burger, Susan Elizabeth Reittin 1/1/2011399
Richard Chewning, MD 231 Graefe St Griffin GA 3022420091RN157565Burns, Susannah 4/7/201412254
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 Henders 8/1/20125080
Sethi, Kapil MD 1429 Harper St HF Augusta GA 3091227303RN069061Bush, Lisa 11/30/201210487
James Drury, MD 401 Old Albany Road Thomasville GA 3179948891RN178406Buswell, Catherine L. 5/20/20108336
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN122940Butler, Jennifer Barnes 9/30/2009421
Edward Gotlieb, MD 5405 Memorial Dr., #D Stone Mtn. GA 3008314500RN184069Butler, Yentl C. 8/1/201411608
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN156529Butler, Erin Brantley 1/1/20108414
Friday, October 17, 2014 Page 14 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Eastlyn Harding‐Marin, MD 3812 Salem Rd. Covington GA 3001656841RN184069Butler, Yentl 10/4/201211095
Styderek, Robert MD 504 Redmond Road Rome GA 3016541491RN149469Byars, Terri 6/28/201310047
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
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
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
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
Rayna Jobe, MD 805 Sandy Plains Road Marietta GA 3006660386RN150230Callahan, Kimberly Anne 10/30/20098363
Roshni Patel, MD 1645 Tullie Cir Atlanta GA 3032957141RN150230Callahan, Kimberly Anne 2/15/20139528
Mehrdad Seilanian Toosi, MD
200 South Enota Dr, Suite 200 Gainesville GA 3050167089RN221721Calvert, Angela Mary 3/1/201411889
Jillella, Anand MD 1120 15th Street, Ste BA=54‐7 Augusta GA 3091233843RN077336Campbell, Lisa 9/30/201310485
David Hart, MD 2959 Sharpsburg McCollum Road Newnan GA 3026540682RN179027Campbell, Kimberly Michael 10/25/2009448
E. Wynn Kallay, MD 550 Professional Drive Macon GA 3120127395RN145376Campbell, Jennifer M. Silas 6/17/2005445
Patricia Nevius, MD 2155 Post Oak Tritt Road, Suite 100 Marietta GA 3006225648RN088648Campbell, Karen Jo 11/9/2011447
Andre Feria, MD 142 Old Mill Road LaGrange GA 3024148513RN201888Campbell Dunlap, Jane Lynn 10/25/20108551
Friday, October 17, 2014 Page 15 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Robert David Thomson, MD
3619 Braselton Hwy, Suite 103 Dacula GA 3001947166RN166999Cantrell, Jennifer Suzanne 2/22/20132147
S. Jan Fitzgerald‐Soapes 16509RN166999Cantrell, Jennifer Suzanne 3/6/201311744
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
George Raschbaum, MD 5455 Meridian Mark Rd, Suite 570 Atlanta GA 3034250252RN171371Carman, Catherine Michelle 8/10/2010460
Alexander, Diane MD 5670 Peachtree Dunwody Road, Ste 820
Atlanta GA 3034234996RN171371Carman, Catherine 7/3/201210464
Abboushi, Nour MD 3200 Downwood Circle Ste 640 Atlanta GA 3032760695RN171371Carman, Catherine 1/31/201210162
Terry B. Tri, MD 2301 North Ashley Street Valdosta GA 3160238991RN117177Carnegie, Serenia Porter 1/18/2008462
Tressa Scineaux, MD 1616 Market Place Blvd Cumming GA 3004149499RN095425Carpenter, Deborah Elizabeth B 1/30/20129439
Bruce Gioia, MD 247 S. Main St Reidsville GA 3045338774RN109260Carpenter, Barbie Jenine Hackl 4/21/2011465
Brenda Hott, MD 200 S Enota Dr, Ste 200 Gainesville GA 3050141441RN120116Carpinello, Jeniffer Carol Culbe 1/1/2012469
Meena Shah, MD 475 Phillip Blvd, Suite 100 Lawrenceville GA 3004621464RN026518Carr, Gwendolyn Jane Conner 4/30/20119145
Raja Ram, MD 475 Philip Blvd, Suite 100 lawrenceville GA 3004638922RN026518Carr, Gwendolyn Jane Conner 1/31/20139818
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
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
James Vick, III, MD 1105 North 5th Avenue Rome GA 3016537720RN119358Carroll, Suni Hamm 2/17/20121222
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN155084Carter, Mary Kelly 6/19/20129966
Friday, October 17, 2014 Page 16 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Margret Thorhallsdottir, MD
1825 Martha Berry Blvd Rome GA 3016564286RN155084Carter, Mary Kelly 7/16/20119597
Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN047967Carter, Michael A. 9/1/20108659
Tiffanni Forbes, MD 1199 Prince Ave Athens GA 3060551936RN172705Carter, Stephanie Ann 1/3/201412973
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
Tom Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN047967Carter, Michael A. 9/2/20108223
D. S. Siddappa, MD 3110 Clifton Springs Rd, Suite B Decatur GA 3003421810RN114781Casaday, Julie Choe 9/1/20138266
Shyam Gupta, MD 3807 Clairmont Rd, Suite 2008 Chamblee GA 3034163784RN114781Casaday, Julie Choe 5/15/201412958
Verlia Gower, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034238499RN196209Case, Kimberly Lynne 8/1/20129409
Hinchcliffe, Annette 6300 Hospital Pkwy, Suite 125 Johns Creek GA 3009742607RN138794Casheba, Janet 11/26/201210267
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
William Catrett, MD 365 Geneva Rd Buena Vista GA 3180314471RN041402Catrett, Judy Hallman 10/6/20119924
Virginia Sharron Jones, MD 18 S. Broad St Butler GA 3100645847RN041402Catrett, Judy Hallman 7/1/2011491
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
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
Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN192359Cave, Kimberly Lorraine 4/8/20118526
Friday, October 17, 2014 Page 17 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Dwayne L. Watkins, MD 327 S. 9th St. Griffin GA 30224‐411153054RN155230Cecil, Hannah R. 11/20/201211424
Heather Henry, MD 327 South 9th Street Griffin GA 3022444231RN155230Cecil, Hannah Rae 10/1/2012498
David Faulk, MD 87 Lindsey Lane, Suite B Kingsland GA 3154839787RN232564Cenerizio, Michelle C 11/19/201312375
Jyotir Mehta, MD 1909 Aberdeen Road, Room 102 Albany GA 3170145887RN135836Chaffin, Timothy Barrett 6/8/2012500
Ramzi Ghosn, MD 1078 Lumpkin Campground Rd, #100 Dawsonville GA 3053457974RN063135Chafin, Sonja Elaine Lingerfelt 1/7/2012503
Wherry, Richard MD 59 Tifton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja 5/14/201410889
Westmoreland, Anon MD 479‐B North Hall Road Dahlonega GA 3053313534RN063135Chafin, Sonja 1/7/201210089
George Petro, MD 59 Tipton Drive Dahlonega GA 3053362155RN063135Chafin, Sonja Elaine Lingerfelt 1/7/20129883
Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN063135Chafin, Sonja Elaine Lingerfelt 1/7/20129876
John Souza, MD PO Box 16100 Dublin GA 3104039475RN057027Chafin, Phyllis Amanda 6/18/2010502
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
Susan Harrell, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034233100RN061123Chandler, Barbara 7/15/20148046
Philip Weiss, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034238398RN061123Chandler, Barbara 7/15/20148049
Elizabeth LeDuc, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034234754RN061123Chandler, Barbara 2/28/20118048
John C. Knox, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034222575RN061123Chandler, Barbara Jean 7/15/2014512
Tama Fuller, MD 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 3034221981RN061123Chandler, Barbara 7/15/20148047
Philip Spandorfer, MD 1100 Lake Hearn Dr, Ste 100 Atlanta GA 3034255977RN061123Chandler, Barbara Jean 7/15/20149928
Friday, October 17, 2014 Page 18 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Gordon Crozier, DO 3365 Piedmont Rd., #1250 Atlanta GA 3030550334RN134966Chapman, Sarah C. 12/21/201211515
Harold Holloway, DO 56 Ebenezer Rd Ellaville GA 3180613327RN139882Chapman, Shelby Lynn Colquitt 6/26/20128746
Thomas Abshire, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034239990RN080752Chapman, Robin Lee 10/15/20097727
Shawn Jobe, MD 2015 Upper Gate Dr, Suite 400 Atlanta GA 3032260143RN080752Chapman, Robin Lee 6/1/20138785
Taylor, Robert E. 31338RN073371Chapman, Patricia Luree 2/17/2012519
Thompson, Jonathan MD 1012 Burleyson Road Dalton GA 3072052646RN217048Charrance, Penny 3/4/201310628
Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN050194Chase, Lana Marie 8/30/20098264
William A. Mills, MD 800 East Doyle Street Toccoa GA 3057750901RN153918Chatman, Shannon Craig 4/30/2013526
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
Charles Harden, MD 586 Brannen St Statesboro GA 3045844930RN066069Cheney, Teresa Charlene Brow 3/1/201412491
Brian Deloach, MD PO Box 8043 Statesboro GA 3046051216RN066069Cheney, Teresa Charlene Brow 10/23/20139675
Roger Branch, MD 10 Doctor's Street Metter GA 3043930272RN066069Cheney, Teresa Charlene Brow 9/10/2010532
Jason Hefner, MD 508 East Morris St. Dalton GA 3073161444RN225780Chessor, Misty L. 2/1/201411174
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
Elia, Hany MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN174288Chismar, Ron 2/4/201410901
Chang Soo Kim, MD 530 Highland Station Dr., #2007 Suwanee GA 30024RN176523Choi, Songeun 3/1/201311297
Friday, October 17, 2014 Page 19 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Robert Amstadter, MD 9157 Tara Blvd Jonesboro GA 3023640856RN240115Chrena, Helen Rosella 10/1/201413789
James L. Chappuis 3161 Howell Mill Rd., Ste 400 Atlanta Georgia
3032729604RN216231Chrismer, Katherine Nicole 3/10/201413072
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
Allison Turk, MD 110 S Chestatee St Dahlonega GA 3059763037RN123601Clapp, Allison Goggans 4/1/201412592
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
Forrest Cantrell, MD 777 Franklin Rd Marietta GA 3006728948RN060471Clark, Joanna Ruth 1/27/2014569
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
Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN093663Clark, Michele Poole 5/5/201311703
Benjamin Cheek, MD 2000 Hamilton Road Columbus GA 3190425332RN193329Clark, Amy Taryn 3/31/20098232
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
Richard Baldwin, MD 9280 Hwy 5, Ste A Douglasville GA 3013423894RN217058Clayton, Brandi 6/15/201411106
Glenn C. Heigerick, DO 615‐B Beaver Ruin Road Lilburn GA 3004724947RN153941Clevenger, Carolyn Kay Satterfi 8/30/2014582
Charles Stevenson, Jr., MD 804 Dixie Street Carrollton GA 3011716288RN065545Cline, Nyla Faye Clifford 1/2/2009587
Hiromi Maruyama, MD 118 Alice Coleman Dr Vidalia GA 3047460744RN040042Clinton, Mymie T. 4/20/20129562
Friday, October 17, 2014 Page 20 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Ombogo, Anthony MD 215 North Coleman Street Swainsboro GA 3040166728RN040042Clinton, Mymie 10/25/201310651
Muhammad Jamal, MD 118 Broad Street Mount Vernon GA 3044558255RN040042Clinton, Mymie T. 12/3/2010588
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 Woodrin 5/1/20135094
Jonathan Hall, MD 12192 Augusta Road Lavonia Ga 3055359655RN042368Cochrane, Janice H. 2/15/20108520
William A. Mills, MD 12192 Augusta Road Lavonia GA 3057750901RN042368Cochrane, Janice H. 11/1/20081363
Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN042368Cochrane, Janice H. 6/22/20109124
Jack Borders, MD 1446 Harper St, Ped Surg, 3rd ACC Augusta GA 3090939054RN192162Cockfield, Christy Michelle 8/18/20119053
Chrissie Clure, MDRN094148Coleman, Glendell 1/31/201211437
Sandra Ligneel, MD 1915 Eisenhower Dr Savannah GA 3140632424RN094148Coleman, Glendell Bradley Wi 4/16/201311670
Bowman, Robert MD 1430 Hwy 82, Ste 105 Tifton GA 3179431387RN076675Collier, Pamela 8/9/201210654
Clyde Cranville Simmons, MD
907 E. 18th Street Tifton GA 3179417301RN076675Collier, Pamela Crownover 4/2/2012691
Carl D. Johnson, MD 1950 Old Ocilla Rd. Tifton GA 3179428796RN076675Collier, Pamela C. 3/27/201311488
George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN130301Collins, Christy Michelle 12/1/20119018
Shannon Morgan, MD 101 Riverstone Vista, Suite 106 Blue Ridge GA 3054060539RN130301Collins, Christy Michelle 11/3/20098686
Brian DeLoach, MD PO Box 8043 Statesboro GA 30460‐804351216RN033411Collins, Penelope B 3/1/2012610
A. S. Ghiathi, MD 106 E. Hartford Road Fort Gaines GA 3985140908RN162833Collins, Jessica Michelle 8/14/20098301
Vito John Bagnato, MD 810 13th Ave, Suite 108 Albany GA 3170145711RN162833Collins, Jessica Michelle 3/22/20118831
Haritha Arikatla, MD 3685 Braselton Hwy Dacula GA 3001955723RN081190Collins, Linda Savage 12/12/201312380
Dale Lawson, MD 2000 Palmyra Road ‐ Emer Dept Albany GA 3170154233RN162833Collins, Jessica Michelle 3/30/20149866
Friday, October 17, 2014 Page 21 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Sandra Bohnstengel, MD 391 South 1st Street Jesup GA 3154538692RN057165Collum, Melanie Rose Durrence 7/31/2011611
Garland Martin MD 391 South lst Street Jesup GA 3154547233RN057165Collum, Melanie Rose Durrence 9/20/20119989
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
Chad Slaughter, MD 380 Cedar St Metter GA 3043962003RN073864Comer, Judith Lynn 3/30/201413100
Michael Rogers, MD 1941 Phinizy Rd Augusta GA 3090646482RN073864Comer, Judith Lynn 1/3/201413101
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
James Whatley, MD 1825 Martha Berry Blvd Rome GA 3016520622RN150768Connell, April Hellums 8/16/20129264
Billy George Chacko, MD 1825 Martha Berry Blvd. Rome GA 3016543900RN150768Connell, April Hellums 7/1/2010619
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
Bishop, Joseph MD 100 Peters Street, Ste 38 Calhoun GA 3070110372RN163150Conyers, Barbara 8/26/201310643
A. E. Westmoreland, MD 280 West Main Street Dahlonega GA 3059713534RN128463Cook, Jennifer Sue 9/30/20109061
Mark Moers, MD 95 Morrison Moore Pkwy, West Dahlonega GA 3053345555RN128463Cook, Jennifer Sue 4/1/2009632
Petro, Jr., George MD 59 Tipton Drive Dahlonega GA 3053362155RN128463Cook, Jennifer 8/16/201310569
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
Friday, October 17, 2014 Page 22 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Yvonne Smith, MD 3600 Dallas Hwy Marietta GA 3006442443RN154812Cook, Sheryl L. 4/8/201311933
John Kludt, MD 3700 Club Drive Lawrenceville GA 3004434876RN209855Cook, Calli Leighann 11/30/201210956
John Schilling, MD 290 Country Club Drive, Suite 130 Stockbridge GA 3028130880RN084801Cooper, Debra Denise 12/31/20098180
Jonathan Ehrlich, MD 993‐D Johnson Ferry Rd, #360 Atlanta GA 3034215580RN196254Cooper‐McQueen, Paula Steph 2/1/20128196
Garland Martin, MD 12 Tippins St. Baxley GA 3151047233RN066094Copeland, Sherry C. 3/5/20105489
Igor Lacmanovic, MD 3949 S. Cobb Drive Smyrna GA 3008059814RN188441Copp, Angela Lee 2/17/20128009
Romualda Klicius, MD 145 N. Medical Pkwy Woodstock GA 3018946305RN160643Corley, Caitlin Michele 7/8/20131201
Forrest Clark Cantrell, MD 5041 Dallas Hwy, Bldg 2, Suite 2 Powder Springs GA 3012728948RN105376Cosgrove, Julie Claire Thompso 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
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
Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN175357Cox, Erin Marie 1/22/201412446
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101986Cox, Virginia Lee Brady 5/1/2012667
Wilma Briones‐Mull, MD 255 W. 5th St, Suite 300 Rome GA 3016564783RN107717Craig, Karen Abbott 12/3/20129907
Dark, Jennifer MD 1012 Burleyson Road Dalton GA 3071066016RN144337Craig, Jessica 2/15/201310744
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
Todd Robinson, MD 14 Cherokee Road Cedartown GA 3012540773RN147995Crane, Christine Reese 12/18/20088199
Friday, October 17, 2014 Page 23 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN147995Crane, Christina Reese 3/31/2009675
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN147995RN147995
Crane, Christina Reese 6/19/20128548
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
Blake Milner, MD 817 Griffin Ave, Suite B Eastman GA 3102352789RN123659Cravey, Amy Elizabeth Harrell 9/1/20109160
John Vender, MD 1120 15th St, BI‐3088 Augusta GA 3091242475RN192423Crawford, Miranda Wallace 2/7/201411809
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
Renee Waters, MD 285 Elm St, Suite 102 Cumming GA 3004035782RN160548Crites, Julie Brooks 8/1/20108932
Reden C. Delgado, MD 12293 Rome Hwy Rockmart GA 3015365957RN049428Croft, Sheilia H. 4/24/201411186
George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3053013275RN049428Croft, Sheila Darlene Hill 12/1/20119291
William Raisig, MD 64 Call‐Wright Road Ellijay GA 3054055290RN049428Croft, Shelia Darlene Hill 6/26/20098456
Timothy Brown, MD 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 3027432100RN119083RN119083
Crom, Kimberly Williams 5/2/20128427
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
Safia Pirani, MD 220 Oakside Lane Canton GA 3011456624RN221042Crumpler, Carolyn Dohme 7/24/201412967
Michael Pompey, MD 901 Rice St Atlanta GA 3031823097RN085019Cruz, Erwin Osiris 9/1/2014694
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
Friday, October 17, 2014 Page 24 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Sanjay Nariani, MD 3795 Buford Dr., inside Walmart Buford GA 30519#####RN203087Cueto, Johathan 7/25/201311441
Ashok Kancharla, MD 132 Franklin Spring St. Royston GA 3066248250RN203087Cueto, Jonathan 6/1/201311009
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
Plummer, Valens MD 5230 Dallas Hwy Powder Springs GA 3012749496RN084875Cunningham, Sylvia 5/1/201310048
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
John House, MD 218 Quarterman St Waycross GA 3150111959RN177851Cutia, James Robert 3/1/201412712
Antonio Moran, MD 2500 Starling Street, Suite 300 Brunswick GA 3152034669RN177851Cutia, James Robert 8/12/201310958
John Swing, III, MD PO Box 1259 Swainsboro GA 3040146914RN048295Daley, Lydia Lee 9/30/20108888
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
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
Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN169909Daniel, Julia Fabrycy 9/1/20128881
Eric Powell, MD 82 College Cir, Suite HNS 102 Dahlonega GA 3059749081RN169909Daniel, Julia Fabrycy 2/26/201412632
Friday, October 17, 2014 Page 25 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Thomas Nguyen, DO 772 Maddox Dr, Suite 110 E. Ellijay GA 3054062579RN153645Daniels, Christina Dawn 10/11/20119011
Crystal Comeau, MD 101 Riverstone Vists, Suite 111 Blue Ridge GA 3051361224RN153645Daniels, Christina Dawn 4/25/20119293
Eusebio Fernandez, MD 772 Maddox Drive, Suite 110 East Ellijay GA 3054012038RN153645Daniels, Christina Dawn 1/22/20108299
Daniel Allan Williams, MD 1128 Southpark street Carrollton GA 3011937926RN183020Daniels, LaDonia C. 4/11/20085458
Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN152695Daniels, Lakeysha Myrie 5/13/20098392
Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN152695Daniels, Lakeysha Myrie 7/2/20098563
Miller, Jeri MD 200 Industrial Blvd Dublin GA 3102130835RN164973Darsey, Holly 10/31/201310117
R. Alexander Wynn, MD 7120 Hodgson Memorial Drive Savannah GA 3140656939RN080817Daugherty, Susan Kathleen 4/3/20118125
Scott Tarplee, DO 2300 Parkwood Dr. Brunswick GA 3152021057RN162729Daugherty, Lindsey 7/18/201413237
Suh, Daniel MD 4 Jackson Blvd Savannah GA 3140542125RN080817Daugherty, Susan 6/27/201410869
Bhumiben Purohit, MD 1890 Manor View Cumming GA 3004158812RN162729Daugherty, Lindsey 12/21/20108923
Scott B. Parry, DO 730 Ponce de Leon Place, Ste B Atlanta GA 3030639899RN170152Davage, Lindsay Marie 1/1/20105497
Felicia M. Carr, MD 305 West Harris Street Savannah GA 3140128190RN143842Davis, Jaqueline Margaret 8/31/2011741
Chunduri, Ananda MD 39 Kent Road, Ste 5 Tifton GA 3179464911RN128572Davis, Monica 8/31/201210862
Khaled Nass, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050143717RN050862Davis, Sherry Annice Harwell 12/9/2010750
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN181221Davis, Sarah Louise 12/31/20129680
Edward Meier, MD 2112 Shorter Ave, Suite 200 Rome GA 3016543426RN182147Davis, Nicole Elizabeth 4/18/20118644
Clyde Simmons, MD 907 E. 18th Street, Suite 400 Tifton GA 3179417301RN128572Davis, Monica Rowe 9/28/20128077
Friday, October 17, 2014 Page 26 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Nirav Raval, MD 275 Collier Rd, Suite 300 Atlanta GA 3030954496RN207840Davis, Lindsey Leigh 9/13/20139432
Harden, Charles MD 1811 Manning Drive Vidalia GA 3047544930RN120009Davis, Kimberly 9/29/201310542
Love, Michael MD 979 E. 3rd Street, Ste C‐520 Chattanooga TN 3740364856RN129150Davis, Karrie 7/25/201210372
Sandy Jun, MD 5901‐C P'tree Dunwoody Rd, #C‐65 Atlanta GA 3032837005RN148442Davis, Jennifer Cross 6/30/20097856
Grossman, Stephanie MD 1365‐C Clifton Road Atlanta GA 3032241814RN215920RN215920
Davis, Debra 7/25/201210195
Dean Karampelas,MD 743 Spring St Gainesville GA 3050126141RN158615Davis, Barbara Nicole 5/19/2014734
Swati Gaur, MD 743 Spring Street Gainesville GA 3050157624RN158615Davis, Barbara Nicole 5/19/201412332
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
Nedra Dodds, MD 9020 Peridot Pkwy Stockbridge GA 3028139170RN064251Day, Elizabeth Jean 4/19/20108745
Riesco, Ricardo MD 1933 Shields Road Dalton GA 3072044069RN122559Day, Cynthia 2/8/201310437
Andrew Pandya, MD 210 E. DeRenne Ave Savannah GA 3140555323RN090084Day, Claudia Eileen Yarbrough 7/31/20119047
Conley, Jason MD 960 Joe Frank Harris Parkway, Emer Dept
Cartersville GA 3012054602RN187668Deal, Darron 7/25/201210679
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
Friday, October 17, 2014 Page 27 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Thomas Morrow, MD 5530 Windward Pkwy, Suite 1210 Alpharetta GA 3000439879RN144344Deguia, Susan Elaine 5/3/20119338
Shaun Price, MD 705 17th St Columbus GA 3190157744RN225396Demarest, Lauren Whitney 4/1/201412246
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
Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN055775Dent Johnson, Lowanda 3/31/20101538
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
Cathy Larrimore, MD 4181 Hospital Dr., Ste #104 Covington GA 3001438836RN166939Detzel, Patricia Ann 12/31/20105117
Maria, Bernard MD 417 West 3rd Ave Albny GA 3170162741RN149567Dew, Brandy 9/24/201310475
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
Tania Smith, MD 2420 Westgate Dr, Suite 102 Albany GA 3170751602RN149567Dew, Brandy Pellicano 6/20/201412540
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 Raglan 2/25/20109020
Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN148538Dexter, Susan Elizabeth Raglan 8/12/20119763
Irandathy Rodrigo, MD 2522 Cruse Rd, Suite C‐2 Lawrenceville GA 3004442715RN148538Dexter, Susan Elizabeth Raglan 6/5/20109116
Friday, October 17, 2014 Page 28 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Arvind Aggarwal, MD 206 Hospital Dr, Suite B Dublin GA 3102156400RN234841Diaz, Scarlett Renee' 4/24/201412806
Robert Cossio, MD 322 Stephenson Ave Savannah GA 3140536357RN198332Dickerson, Haley Nicole 9/12/201412607
Warren, Bryan MD 605 Osborne Street St. Marys GA 3155841237RN196911Dill, Winston 4/1/201310571
Johnson, Debora MD 950 Dannon View, Ste 4101 Atlanta GA 3033143071RN196911Dill, Winston 5/7/201210619
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
Jim Wade, MD 800 East Doyle Street Toccoa GA 3057722664RN169332Dillon, Laura J. 7/25/2008800
Richard Wright, MD 315 Upper Riverdale Rd Riverdale GA 3027446927RN064892Dinkins Learmont, Beverly Ann 2/8/201311767
Oladayo Osinuga, MD 2850 Springdalr Rd SW Atlanta GA 3031551703RN064892Dinkins Learmont, Beverly Ann 5/15/201311825
Patricia Baines, MD 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 3030353092RN064892Dinkins‐Learmont, Beverly Ann 11/20/20131716
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
Leli Gail Matthews, MD 595 Piedmont Avenue, Suite 100 Atlanta GA 3030852182RN085072Dixey, Priscilla Ann 1/15/2014803
Jesenko Vukotic, MD 2000 Professional Way, Bldg 200 Woodstock GA 3018843300RN112293Dobson, Shannon Nunn 2/21/20119087
Elliot Raizes, MD 135 Athens West Pkwy, Suite B Athens GA 3060624478RN117159Doker, Robin Lucille Huff 12/14/2010812
Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN189322Domzal, Bethany Lyn 1/25/20135478
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
Misra, Sudipta MD 1446 Harper Street BG‐1132 Augusta GA 3‐01259563RN162426Dorman, Joyce 2/23/201210049
Meera Garcia, MD 5780 P'tree Dunwoody Rd, #295 Atlanta GA 3034246101RN130308Dortch, Janet Rose 12/31/20108476
Friday, October 17, 2014 Page 29 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Lynley S. Durrett, MD 105 Collier Road, Ste 1080 Atlanta GA 3030944912RN130308Dortch, Janet Rose 12/22/2008828
Riba Kelsey‐Harris, MD 595 Piedmont Ave., Ste 100 Atlanta GA 3030853833RN072764Doughton‐Johnson, Renea 7/5/201311097
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN072764Doughton‐Johnson, Susan Ren 8/24/2012832
Raulnina Uzzle, MD 770 Village Square Dr Stone Mountain GA 3008343499RN072764Doughton‐Johnson, Renea 8/9/201412373
Ehi Osehobo, MD 1007 Memorial Drive Griffin GA 3022449075RN112304Douglas‐Adams, Tresselyn Y. 9/26/20098486
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
Baggett, Kevin DO 500 Spillers Way Warner Robins GA 3108848410RN110538Doyle, Konnie 10/1/201310700
Campbell, Becky MD 500 Spillers Way Warner Robins GA 3108848105RN110538Doyle, Konnie 10/1/201310701
Al‐Shroof, Mohammad MD 2054 Watson Blvd Warner Robins GA 3109345158RN110538Doyle, Konnie 4/14/201210572
Floyd, John MD 840 Pine Street Macon GA 3120151041RN222121Drakeford, Torrence 7/20/201410872
Vinod Sachdeva, MD 1412 Plunkett Rd, Po Box 750 Unadilla GA 3109146319RN222121Drakeford, Torrence Tremayne 10/2/201412131
James Peterzell, DO 218 Hwy 49 North, Suite B Byron GA 3100853868RN222121Drakeford, Torrence Tremayne 7/24/201311432
Arnold Ray Christopher, MD
3624 J Dewey Gray Circle, Ste 110 Augusta GA 3090953119RN185715Drake‐Hughes, Denise Kim 2/11/20085473
George Zoret, MD 2215 Tobacco Road, Suite F Augusta GA 3090624744RN185715Drake‐Hughes, Denise Kim 5/1/20088144
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
Merlin, Mark DO 1140 Hammond Drive, Ste 110 Atlanta GA 3032831635RN121801Dudley, Susan 9/21/201210596
Loy Cowart, MD 207 S. Duke Street Lafayette GA 3072837979RN121801Dudley, Susan Gail 11/1/20107788
Yolanda Hacker, MD 780 North Glynn Fayetteville GA 3021445811RN094669Dugas, Princess Marie 1/16/20148562
Friday, October 17, 2014 Page 30 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Germaine Denise Cummings, MD
780 North Glynn Fayetteville GA 3021452340RN094669Dugas, Princess Marie 5/13/2009851
Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN177273Dukas, Brenda Cheryl 3/2/20108716
Charlie Rouse, MD 100 Professional Park, Suite 303 Carrollton GA 3011744076RN172907Dumas, Therese Williams 6/18/20118705
Craig Johnson, MD 4460 Atlanta Hwy Loganville GA 3005229689RN134435Duncan, Laura Murray 1/31/20085491
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
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
Thomas A. Self, MD 1825 Marth Berry Blvd. Rome GA 3016521587RN193186Dupree, Susan Lee 10/14/201311628
Kenneth J. Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN193186Dupree, Susan Lee 12/7/201211250
Rebecca Loomis, MD 1331 Helen Hwy Cleveland GA 3052846984RN112059Durham, Rebecca Caroline Bro 9/12/2011867
Parker, Stacey MD 2578 Helen Highway Cleveland GA 3052860022RN112059Durham, Rebecca 9/26/200010150
David Lowance, MD 1903 North Druid Hills Rd Atlanta GA 3031916095RN180719Durham, Angela Melissa 3/5/2010865
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
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
Oladapo Fawibe, MD 811 13th Street, Suite 10 Augusta GA 3090143608RN184707Edenfield, Monica Phillips 9/1/201312216
Friday, October 17, 2014 Page 31 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Edsworth John, MD 811 13th St, Ste 10 Augusta GA 3090165012RN184707Edenfield, Monica 12/31/201210924
Edwin Hiatt, MD 200 Georgia Ave Valdosta GA 3169812920RN190120Edge‐Knauff, Julia Kaye 10/1/20098633
Daniel Messcher, MD VSU Stud Health Ctr, North Oak St Valdosta GA 3169848443RN190120Edge‐Knauff, Julia Kaye 3/18/20098033
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
Bazzel, Grady MD 1941 Phinizy Road Augusta GA 3090665524RN112337Edmonds, Peggy 4/21/201210710
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
Allen Dollar, MD 80 Jesse Hill Dr, Suite 2F Atlanta GA 3030335244RN207801Edwards, Michele Lee 6/21/20149638
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
Ahmad Jingo, MD 3424 Flat Shoals Rd Decatur GA 3003445842RN120872Ejifoma, Mary Iniovosa 2/18/2014883
Raymond Ramirez, MD 5180 Jimmy Carter Blvd Norcross GA 3009331310RN120872Ejifoma, Mary Iniovosa 2/3/201411773
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
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
Shirley Rigaud‐Echols, MD 770 Village Square Dr Stone Mountain GA 3008358639RN124957Elie, Joann 8/31/2010887
Gillett, Richard MD 1800 10th Avenue Columbus GA 3190134142RN175222Elkins, Amanda 11/28/201210714
Derek Woessner, MD 1800 10th Ave Columbus GA 3190151194RN175222Elkins, Amanda Layne 6/17/20119778
Friday, October 17, 2014 Page 32 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Frank David Newby, MD 1506 Broadrick Drive Dalton GA 3072038314RN115578Elliott, Kelly Ray 1/30/2013888
Pradeep Jolly, MD 975 Johnson Ferry Rd. Atlanta GA 3034222798RN150577Ellis, Laura Anne Green 6/30/2014890
Ault, Kevin MD 69 Jessee Hill Jr., Dr, SE, GYN/OB Dept, 4th floor
Atlanta GA 3030356403RN204492Elsinga, Elysia 12/13/201210655
Mary East, MD 300 Cherokee Pl Cartersville GA 3012163187RN154628Emery, Tonya Leigh 10/2/20109023
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
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN154628Emery, Tonya Leigh 2/4/20107888
Abdollatif Ghiathi, DO 208 McDonald Aveune Cuthbert GA 3984040908RN144558Enfinger, Casidy Davis 2/6/20098320
Michael Satchell, MD 806 14th Avenue, Suite C Albany GA 3170149593RN130096Enfinger, Lesley Johnson 5/1/20092696
Lawrence Powell, MD 3740 Cascade Road Atlanta GA 3033138915RN123591English, Tracy C. 2/24/20108770
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
Dennis Estep, MD 2366 Battlefield Parkway FT Oglethorpe GA 3074225429RN077047Ensley, Deirdre Walker 3/1/2011904
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
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
Barbara D'Orio, MD PO Box 26238 Atlanta GA 3030333956RN049625Ervin, Nora 5/30/20129192
Golden Barnett, III, MD 10 Park Place NE, 2nd Floor Atlanta GA 3030355090RN049625Ervin, Nora 3/31/201311875
Richard Schwartz, MD 1120 15th St, Suite AF‐2044 Augusta GA 3091242935RN040164Espitallier, Catherine V 8/1/2011911
Friday, October 17, 2014 Page 33 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN076629Ethridge, Rachel 3/27/201410842
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN076629Ethridge, Rachel Susan 4/19/2010914
Peter Litchfield, MD 117 Kite Rd, Emer Dept Swainsboro GA 3040165367RN113548Evans, Kimberly 7/1/201413286
Charles Harden, MD 621 East First St, Suite B Vidalia GA 3047544930RN113548Evans, Kimberly 4/30/201412625
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
Thomas A. Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN145456Evans, Rebecca Berrier 4/8/201311609
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN113548Evans, Kimberly 1/28/201310300
Alice House, MD 100 College Station DR Macon GA 3120643065RN168361Evans, Natalie Fulford 9/4/20149806
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
Mark Stovroff, MD 960 Johnson Ferry Rd, Suite 315 Atlanta GA 3034237088RN167366Fahien, Erin Mary 6/9/20109091
Houston H. Pittman, MD 20 Riverbend Drive, SW Rome GA 3016118065RN186074Farrington, Sherry Lynn 3/14/20085462
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
Friday, October 17, 2014 Page 34 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Jody Hughes, MD 55 Whitcher St, Suite 160 Marietta GA 3006068034RN195879Favis, Tara 2/3/201414011
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
Hansa Bhargava, MD 2201 Mt Zion Pkwy Morrow GA 3026052423RN080116Fell, Jeanne Ingraham 7/1/2011938
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
Andrew Mecca, MD 5612 Whitesville Road Columbus GA 3190436574RN126877Fernandes, Glenn Raymond 1/1/2012944
Brian Herrmann, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034254219RN063288Ferrand, Mary Ellen 7/31/20148930
L. Kyrin Dunston, MD 800 East 70th St Savannah GA 3140541781RN170784Ferrelli, Dorothy Lynn 7/29/20119673
Shazib Khawaja, MD 705 Dixie Street Carrollton GA 3011758888RN126896Fikes, Debra Kay Cofield 10/22/20108246
Mark Coker, MD 14557 Hwy 19, Suite A Griffin GA 3022456276RN180071Finn, Stephanie Marlene 6/13/201412275
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
Peter Wrobel, MD 409 Uvalda Street Waycross GA 3150140285RN096592Fitzpatrick, Kathleen 5/13/20139974
Margaret Boudreaux, MD 763 Peachtree Parkway, Suite 2 Cumming GA 3004144172RN095260Flax, Debra S. 9/29/20098173
Gary Billingsley, MD 1215 West Wheeler Pkwy Augusta GA 3090929582RN114986Flippo, Sharyn Renee 1/2/20137769
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
Donna Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200664Floyd, Kaci J. 5/10/20139825
Friday, October 17, 2014 Page 35 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Theresa Berry, MD 1525 Clifton Road NE Atlanta GA 3004749355RN049093Foley, Kathryn Liedtke 5/16/20098433
Catherine Dekle, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032253130RN049093Foley, Kathryn Liedtke 8/16/20088155
Sharon Rabinovitz, MD 141 Piedmont Ave, Suite D Atlanta GA 3030346806RN049093Foley, Kathryn Liedtke 5/23/20149462
Michael Huey, MD 1525 Clifton Road NE, 2nd Floor Atlatna GA 3032250962RN049093Foley, Kathryn Liedtke 5/16/20098156
Dawn Mielke, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032237752RN049093Foley, Kathryn Liedtke 5/16/20098154
Michael Allan, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032233511RN049093Foley, Kathryn Liedtke 5/16/20098152
Carol Rappaport, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032231435RN049093Foley, Kathryn Liedtke 5/16/2009981
Lisa Lefkovits, MD 1525 Clifton Road NE, 2nd Floor Atlanta GA 3032250117RN049093Foley, Kathryn Liedtke 5/16/20098153
Cornwell, James MD 800 Towne Park Drive, Ste 100 Springfield GA 3132950608RN057176Ford, Janice 7/4/201410843
Laygo, Romualdo MD 1451 Hwy 21 South, Ste H Springfield GA 3132017843RN057176Ford, Janice 7/4/201410355
James Cornwell, Jr., MD 459 Hwy 119 South, Suite A Springfield GA 3132950608RN057176Ford, Janice E 7/10/2008984
Prakash Patel, MD 499 Hwy 119 South Springfield GA 3132945909RN057176Ford, Janice E. 9/8/20108780
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN111299Ford, Deborah Patrice 12/31/201312366
Joseph Ratchford, MD 499 Hwy 119 South Springfield GA 3132932848RN057176Ford, Janice E. 9/8/20108779
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN139406Ford, Nicole Ruff 3/26/20098087
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN139406Ford, Nicole Ruff 5/1/20108712
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 3/26/20098086
Muhammad Sheikh, MD 11973 Augusta Road Lavonia GA 3055359195RN144697Ford, William Chester 5/1/20108755
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN144697Ford, William Chester 9/22/20119133
Friday, October 17, 2014 Page 36 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Tracey Lemon, MD 315 Boulevard NE, Suite 328 Atlanta GA 3031250723RN066207Ford, Marsha Denise 2/7/20115139
Jonathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN214205Forehand, Michael A. 1/1/201311478
William Cross, DO 2501 N. Patterson St Valdosta GA 3160262831RN214205Forehand, Michael Anthony 7/12/20119784
Muhammad Khan, MD Archbold Mem Hosp, 915 Gordon Ave Thomasville GA 3179263080RN214205Forehand, Michael Anthony 10/21/201312470
Debora Quigley, MD 178 Hospital Circle Blairsville GA 3051236601RN164301Fortenberry, Melanie Renea 6/16/20109041
Cecilia D. Arango, MD 304 Westside Dr. Douglas GA 3153368354RN115596Foster, Michal A. 7/11/201411301
Michael Nulph, MD 203 S. Wayne St Alma GA 3151057735RN115596Foster, Michal Aimee Lockaby 3/31/20119296
Mark Brulte, MD 200 Doctors Dr, Suite 106 Douglas GA 3153348490RN115596Foster, Michal Aimee Lockaby 6/15/20129611
Stan Bravy, MD 153 Independence Drive Carrollton GA 3011628145RN206637Foster, Carole Ann 10/31/20129037
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
Joseph LeRoy, MD 400 S Pinetree Blvd Thomasville GA 3179933623RN050746Fowler, David Hunt 6/29/20129968
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
Nicolas Sanchez, MD 3000 Schatulga Road Columbus GA 3190737356RN050746Fowler, David 6/25/201310915
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN050746Fowler, David H 6/30/201412715
John Ouderkirk, MD 735 Piedmont Ave., NE Atlanta GA 3030849992RN138434Fox, Rodney Paul 6/19/201413358
Lisa Lefkovits, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032250117RN103393Fraher, Margaret McCarthy 8/1/20098159
Catherine Dekle, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032253130RN103393Fraher, Margaret Mary Mccart 8/16/20081005
Friday, October 17, 2014 Page 37 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Carol Rappaport, MD 1525 Clifton Road NE,2nd Floor Atlanta GA 3032231435RN103393Fraher, Margaret McCarthy 12/31/20098161
LaJune Oliver, MD 1525 Clifton Rd Atlanta GA 3032247986RN103393Fraher, Margaret Mary McCart 7/17/20108965
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
Claudia Venable, MD 5455 Meridian Mark Rd, Suite 200 Atlanta GA 3034250455RN112888Fraser, Laura Ann Lucas 1/17/20131009
Michael Ellis, DO 62835RN095043Frederick, Carlie Ann 5/15/201311923
James Morris, MD 2000 16th Ave, Suite 101 Columbus GA 3190157898RN095043Frederick, Carlie Ann 4/27/20128819
Ed Childs, MD 75 Piedmont Ave. Atlanta GA 3030267203RN178750Frederick, Alexis Taylor 6/2/201410990
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN095043Frederick, Carlie Ann 6/30/201412418
Randolph Sumner, MD 1825 Martha Berry Blvd Rome GA 3016528323RN134889Freeman, Christi Renee 5/10/201412739
Lawrence Steigelman, MD 59 Hospital Road Newnan GA 3026331135RN146535Freeman, Melanie Lynn Leathe 11/24/20075145
Christopher Recknor, MD 2350 Limestone Pkwy Gainesville GA 3050140982RN181566Freeman, Karen 4/26/201311143
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN134889Freeman, Christi Renee 12/1/201311873
Tamer Middleton, MD 1924 Cliff Valley Way NE Atlanta GA 3032951987RN029221Freeman, Sarah Benton 6/15/20121018
Campbell, Mary MD 1700 Tree Lane, Ste 290 Snellville GA 3007832526RN128290Freeman, Dorian 7/25/201210301
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
Patrick Voswinkel, MD 4305 State Bridge Road Alpharetta GA 3002242760RN167990Frey, Janet Marie 9/30/20118326
Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN167990Frey, Janet Marie 1/23/20149923
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
Friday, October 17, 2014 Page 38 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Thomas Hatchett, MD 870 Austin Drive Demorest GA 3053536984RN098416Fuller, Andrea Johnson 9/30/20091029
Steven Leichter, MD 2425 Brookstone Centre Pkwy Columbus GA 3190440452RN113877Funston, Lisa Michelle 8/23/20128200
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 1/8/20121033
Warren, Brandi DO 1110 Farr Road Columbus GA 3190661681RN060447Gaillard, Denotra Hicks 6/1/201310015
Lloyd James Rimer, MD 1507 Broomtown Rd LaFayette GA 3072830665RN114111Gallagher, Joanne Marie 7/1/20101042
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN200274Galland, Elizabeth Hamrick 12/1/201312376
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 & 105
Cartersville GA 3012021218RN170685Garfield, Jennifer Juliana Wick 1/1/20113209
Eden F English, MD 470 Valley St., #200 Ball Ground GA 3010752432RN149595Garland, Rachel Toi 2/1/201411561
Ross Jacobson, MD 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 3050157204RN040072Garner, Julia M 2/6/20145151
Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN100396Garnett, Laura Marie Nofziger 2/6/20101055
Mathew Ciechan, II, MD 400 Town Park Blvd, Suite 300 Evans GA 3080924217RN100396Garnett, Laura Marie Nofziger 6/17/20108994
Thomas H. Chun, MD 55 Whitcher St., #250 Marietta GA 3006047580RN138448Gaskin, Kara L. 7/11/201411517
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
Rayna Jobe, MD 300 Cherokee Place Cartersville GA 3012160386RN071597Gay, Linda L. 9/1/20129770
Jenkins, John MD 612 W. Gordon Street, Ste C Thomaston GA 3028662726RN122957Geiger, Roberta 11/9/201310445
Friday, October 17, 2014 Page 39 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
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
Hahm, Hillary MD 340 Kennestone Hospital Blvd, Ste 200 Marietta GA 3006048051RN135253Gentles, Carolyn 8/15/201310741
Abdollatif Ghiathi, DO 7 Taylor St Cuthbert GA 3984040908RN102350George, Deborah Lee Price 2/2/20108823
Timothy Ward, MD 500 Gordon Ave Thomasville GA 3179223125RN185389George, Crystal Dawn 5/9/201412103
Ross, Mary MD 337 Commercial Drive, Ste 100 Savannah GA 3140655437RN215413George, Jennifer 3/20/20129995
Sightler, William DO 195 n. Broad Street Alamo GA 3041134715RN102350George, Deborah 6/6/201210456
Nurallah Esmail, MD 1153 North Liberty St Nichols GA 3155435623RN102350George, Deborah Lee Price 12/14/20119531
Sandra Carmichael, MD 100 Gross Crescent, Emer Dept Ft Oglethorpe GA 3074236116RN197890Gephart, Rebecca Young 7/25/201212587
John Pittman, MD 715 East 2nd Ave SW Rome GA 3016137045RN053785Gerhard, Laurie Ansley 6/22/20119870
Robert Pyle, MD 14 Cherokee Road Cedartown GA 3070142702RN053785Gerhard, Laurie Turner Ansley 2/27/20091080
Charles Roman, DO 2737 Warm Springs Rd. Columbus GA 3190443757RN053785Gerhard, Laurie Ansley 6/26/201413436
William Cross, DO 2501 N. Patterson St, Emer Dept Valdosta GA 3172162831RN124581Gervin, Coretta Delia Keith 7/12/20119767
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
William Callaghan, MD 1350 Walton Way Augusta GA 3090127974RN093348Gibbons‐Berry, Karen Leigh 8/31/20129565
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN093348Gibbons‐Berry, Karen Leigh 10/3/20119270
Friday, October 17, 2014 Page 40 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Steven Vaughn, MD 818 St. Sebastian Way, Suite 307 Augusta GA 3090148095RN093348Gibbons‐Berry, Karen Leigh 6/18/20101088
Leslie Cottrell, MD 1600 Maple St Carrollton GA 3011845194RN050776Gibbs, Martha K 2/28/20081090
John Price, MD 611 E Villanow St LaFayette GA 3072855274RN181151Gibson, Patricia Louise Carter 7/23/20129939
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
Richard Smith, MD 5081 Hwy 114 Lyerly GA 3073019603RN181151Gibson, Patricia Louise Carter 5/31/20119067
John Pittman, MD 715 E. 2nd St Rome GA 3016137045RN073501Gibson, Barbara Lillian Dew 7/31/20111094
Luther Vance, Jr, MD 19354RN039884Gibson, Belinda J. 1/14/201311602
Haller, Jeffrey MD 5081 Hwy 14 Lyerly GA 3073055826RN181151Gibson, Patricia 1/4/201310894
Sved, Isaac MD 236 Johnson Ferry Rd, NE, #200 Sandy Springs GA 3032838981RN039884Gibson, Belinda 1/22/201310740
Cameron, Nadia MD 3760 Sixes Road, Ste 120 Canton GA 3011453982RN039884Gibson, Belinda 6/13/201210715
Rudolph Tacoronti, MD 5019 LaVista Road Tucker GA 3008445347RN039884Gibson, Belinda Joyce Heard 7/1/20101095
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
Allen R. Beecham, DO 2000 Village Professional Dr, Suite 200 Canton GA 3014425102RN134977Giles, Alexander Lance 8/5/201311566
Mahoney, William MD 1000 Chastain Road Kennesaw GA 3014459274RN134977Giles, Alexander 3/28/201310204
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
Michael B. Chisner, MD 11700 Mercy Blvd, #6 Savannah GA 3141929426RN190461Ginn, Caitlin Bachler Thomson 4/22/201411591
Friday, October 17, 2014 Page 41 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Elbridge Bills, MD 3365 Piedmont Rd, Suite 1250 Atlanta GA 3030537139RN071039Ginn, Alice Kay 12/20/201312033
Laungani, Rajesh MD 1800 Howell Mill Road Ste 500 Atlanta GA 3031862544RN071039Ginn, Alice 4/25/201310721
William Gist, MD 112 Hedekin Circle Ft. Oglethorpe GA 3074262849RN203818Gist, Beth Ann Caldwell 2/1/20129281
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
Franklin Geoffery Connor, MD
300 Arlington Dr Vidalia GA 3047433555RN137168Gjone, Mandy Sellars 5/24/20129220
Thomas Ferrari, MD 704 Maple Dr, Suite 1 Vidalia GA 3047434829RN137168Gjone, Mandy Sellars 6/17/20101110
Frederick Merrill, III, MD 465 North Belair Rd. Suite 1‐C Evans GA 3080934664RN145311Gladue, Clara Ann 8/7/20085542
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
Howard Silk, MD 1240 Hwy 54 West, Suite 310 Fayetteville GA 3021429785RN155713Godfrey, Chandra T. 6/20/20139258
Howard Jones, DO 2501 N. Patterson Street Valdosta GA 3160225774RN130256Godwin, Cristi Leigh 4/21/20092621
Douglas Moss, MD 814 Northwood Park Drive Valdosta GA 3160241178RN130256Godwin, Cristi Leigh 12/20/20108553
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
Friday, October 17, 2014 Page 42 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Warren Weber, MD 3875 Austell Road South, Suite 203 Austell GA 3010626677RN113630Gold, Kara Waldrop 4/29/20111122
Jaykrishna Darji, MD 196 Ridgecrest Circle Clayton GA 3052558862RN159730Goldman, Karen Renee 6/13/20119240
Bridgett Bailey, DO 116 Smith St Tennille GA 3108958390RN159730Goldman, Karen Renee 5/9/20129967
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
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
Rayna Jobe, MD 805 Sandy Plains Road Meriatta GA 3006660386RN152359Goodman, Theresa G. 5/30/20118576
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
Benjamin Lam, MD 550 Peachtree St NE Atlanta GA 3001659544RN154592Goodwin, Willie James 9/8/20098519
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
Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN121027Gore, Victoria Ferlita 2/6/20108720
Thomas Deering, MD 275 Collier Rd, Suite 300 Atlanta GA 3030932170RN149725Gore, Ashley Heath 12/31/20118825
Wood Pope, MD 1600 Forsyth Street Macon GA 3120157741RN118105Gore, Holly Paige 7/2/20121136
Jacob Varghese, MD 3700 Club Drive Lawrenceville GA 3004456933RN121027Gore, Victoria Ferlita 11/30/20087785
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
Friday, October 17, 2014 Page 43 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Joseph Stubbs, MD 2402 Osler Court Albany GA 3170724105RN139828Grasman, Amy Joyce 10/11/20119697
Lawson, Dale MD 2000 Palmyra Road Albany GA 3170154233RN139828Grasman, Amy 3/30/201410008
Ashley Davis, MD 5555 Whittlesey Rd, Suite L‐1 Columbus GA 3190958161RN168546Grealy, Charlotte Marie 3/6/20129614
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
Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN160240Gregory, Ashley Hardy 6/13/20111244
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
Darwin Brown, MD 2665 North Decatur Road, Suite 520 Decatur GA 3003346531RN127220Groover, Teresa Cook 11/13/20091962
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
Jeffrey Nicholas, MD 69 Jesse Hill Jr Dr, #308 Atlanta GA 3030348377RN151078Guerrero, Robin Montgomery 1/8/20108313
Luther Vance, MD 3065 South Cobb Dr, Suite B Smyrna GA 3008019354RN195137Guevarra, Natividad Jesusa Bal 5/24/201311770
Purohit, Bhumiben MD 3600 Dallas Hwy SW Marietta GA 3006458812RN195137Guevarra, Natividad 7/11/201210835
Nadia G. Cameron, MD 3760 Sixes Rd., Ste 120 Canton GA 3011553982RN195137RN195137
Guevarra, Natividad J. 1/7/201311209
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN095654Guice, Emma Mae 1/6/20148941
Kevin F. Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441761RN095654Guice, Emma Mae 9/30/20091187
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
Friday, October 17, 2014 Page 44 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Christopher Crooker, MD 748 Old Norcross Road Lawrenceville GA 3004639315RN202617Gutknecht, Adrienne 1/9/201310558
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
Abdulla, Maher MD 301 Osigian Blvd Warner Robins GA 3108842151RN175434Hale, Ashley 11/2/201210944
Linwood Zoller, MD 675 White Sulphur Road, Suite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 8/1/20129872
Linwood Zoller, MD 675 White Sulphur Rd, Susite 170 Gainesville GA 3050128339RN118934Hall, Debra Lee 12/29/201312087
Charles Harden, MD 948 South Main St Baxley GA 3151344930RN123491Hall, Linda M 4/30/201412945
Mef D. Galle, MD 622 Main St Gainesville GA 3050159722RN118934Hall, Debra Lee 2/1/201311445
Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN086005Hall, Nora Marie 1/18/20139608
Anthony Hoots, MD 425 Third Ave, Suite 510 Albany GA 3170133114RN162539Hall, Peggy L. 5/20/20119812
Bhagya Papudesu, MD 616 Ferncrest Drive Sandersville GA 3108252613RN086005Hall, Nora Marie 12/16/20101214
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
Daniel Mark Henson, MD 1600 North Brown Road Lawrenceville GA 3004325173RN099535Hamilton, Cherille Elizabeth 8/26/20091218
Olakunle Aina, MD 2000 Palmyra Rd, Emer Dept Albany GA 3170148968RN122055Hamilton‐Anderson, Brenda Ga 3/27/20149440
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
Friday, October 17, 2014 Page 45 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Richard M. Schlossberg, MD
12 7th Street Auburn GA 3001144330RN127086Hammock, Jodi Renee Taylor 9/14/20072231
Wallace Duncan, MD 4398 Atlanta Hwy Loganville GA 3005241109RN127086Hammock, Jodi Renee Taylor 6/2/20118939
Dara Hosch, MD 410 Villa Rica Way Marietta GA 3006447770RN138345Hammock, Mary Frances 2/1/20111225
Brenda Marino, MD 677 Church St Marietta GA 3006616392RN138345Hammock, Mary Frances 6/14/20119850
Susan Staviss, MD 1523 Johnson Ferry Rd, Suite 150 Marietta GA 3006238652RN138345Hammock, Mary Frances 2/21/20119630
Forrest Clark Cantrell, MD 3911 Mary Eliza Trace, Suite 200 Marietta GA 3006428948RN138345Hammock, Mary Frances 6/6/20119687
David Asrael, MD 4398 Atlanta Hwy Loganville GA 3005251291RN127086Hammock, Jodi Renee Taylor 6/2/20118910
Cuddapah, Satish MD 551 Riverstone Pkwy Ste 100 Canton GA 3011448997RN203463Hammond, Steven 10/10/201210772
Charlene Blache, MD 406‐M Northside Dr Valdosta GA 3160245728RN051972Hammond, Elizabeth Jane Broo 7/31/20111226
Fadi Nahab, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032259883RN205130Hammonds, Lisa Paige 12/17/20108957
Clyde Simmons, MD 39 Kent Rd., Ste 5 Tifton GA 3179417301RN116013Hampton, Brigitte 12/31/201211077
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
Richard Chase, DO 509 Sumter St, Emer Room Montezuma GA 3106317784RN113167Hamsley, Linda Peterson 4/1/20129502
Guy Easterling, DO 277 Commerce St Hawkinsville GA 3103641283RN072945Hand, Charlotte Mock 7/16/20141231
Melvin Moore, MD 2675 N. Decatur Rd. Decatur GA 3003316647RN098649Hanik, Maria Muchortow 11/30/20091233
Thomas Fariss, MD 1400 Holcomb Bridge Rd Roswell GA 3007655747RN147193Hannah, Julie Anne 6/7/201311688
Lynette Budet‐Bauza, MD 1446 Harper St, BG‐2128 Augusta GA 3091233797RN217488Hannah, Monica McKeon 6/27/201412083
Maria, Bernard MD 1446 Harper Street Augusta GA 3091262741RN217488Hannah, Monica 6/27/201410250
Friday, October 17, 2014 Page 46 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Michael Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN096362Hanrahan, Caryn Schloss 1/1/20085524
Sekhar Sankaran, MD 101 Regency Park Dr, Ste 140 McDonough GA 3025331549RN125164Harbaugh, Christine M 4/9/20091239
Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN157897Hardison, Heather Smith 1/2/20115538
Douglas Lundy, MD 61 Whitcher St, Suite 1100 Marietta GA 3006044778RN157897Hardison, Heather Smith 5/6/20129578
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
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
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
Douglas Cardillo, MD 3623 J. Dewey Gray Cir, Suite 113 Augusta GA 3090953432RN071579Harrell, Lori Ann Miller 7/13/20118933
Richards, Christopher MD 909 Broken Arrow Trail Perry GA 3106958316RN201460Harrell, Kathleen 7/25/201210357
Jon Gibbs, MD 3651 Wheeler Rd Augusta GA 3090938493RN071579Harrell, Lori Ann Miller 8/15/20129969
Divikar Jammalamadaka, MD
811 13th St, Ste 10 Augusta GA 3090166378RN071579Harrell, Lori 4/1/201310925
Frederick Merrill, III, MD 465 North Belair Rd, Suite 1‐C Evans GA 3080934664RN071579Harrell, Lori Ann Miller 9/3/20091253
Anthony Clavo, MD 1975 Hwy 54 West, Suite 100 Peachtree City GA 3021445425RN153892Harris, Kyle Lazett Henderson 3/21/201412575
Dan Ioanitescu, MD 940 GA Hwy 96 Warner Robins GA 3108851476RN084164Harris, Patricia Renee 9/14/201211081
W. Morris Brown, MD 95 Collier Rd, Suite 2055 Atlanta GA 3030929309RN146291Harris, Elizabeth Marie 10/9/20101257
Donna Van Schuyver, DO 13570 N. Main St Trenton GA 3075242754RN200398Harris, Jaime Cherie 5/10/20139442
Gregory Teel, MD 13570 North Main St Trenton GA 3075239961RN200398Harris, Jaime Cherie 9/30/20108867
Friday, October 17, 2014 Page 47 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Heller, Louis MD 755 Walther Road Lawrenceville GA 3004645238RN149407Harris, Mandy 7/25/201210589
Nichole LeBoyd, MD 7530 Roswell Road Atlanta GA 3035054452RN049658Harris, Yvonne D 8/28/20091263
Willert Lynn, III, MD 802 Towne Park Drive Rincon GA 3132647979RN113434Harrison, Susan Neidlinger 3/7/20141266
Mark Dorogy, MD 682 Hemlock St, Suite 490 Macon GA 3120141105RN081204Harrison‐Smith, Kemberly Jean 9/5/201412608
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
Luther Vance, MD 310 Gold Creek Trail Woodstock GA 3018819354RN174554Hartley, Shanda Thompson 3/29/201211932
Luther Vance, Jr., MD 4595 Towne Lake Pkwy, Bldg 300, #140 Woodstock GA 3018919354RN174554Hartley, Shanda Thompson 7/17/20129737
Julia Wilson, MD 7530 Roswell Rd Atlanta GA 3035056787RN174554Hartley, Shanda Thompson 3/19/20119109
Babalola, Cecilia MD 3970 Five Forks Trickum Rd, Suite A Lilburn GA 3004758389RN174554Hartley, Shanda Thompson 10/31/201110051
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
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
Eric Powell, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152549081RN125871Hastings, Judy Lynn 5/1/20129836
Jackson, Eugene MD 151 South Houston Lake Rd, Ste 190 Warner Robins GA 3108822793RN125871Hastings, Judy 2/13/201310766
Shahriar Sedghi, MD 610 Third Street, Suite 204 Macon GA 3120137678RN125871Hastings, Judy Lynn 4/30/20098279
Friday, October 17, 2014 Page 48 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
David Kent, MD 308 Coliseum Dr, Suite 200 Macon GA 3121725625RN138819Hatcher, Katherine Walker 6/1/20119644
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
Arnold Gaskin, MD 9020 Peridot Pkwy Stockbridge GA 3028136382RN073560Hatfield, Susan Lynn 4/15/20101278
Gaston Moran Celayes, MD 618 East Lamar St Americus GA 3170964675RN079347Hatten, Karen Patricia Dumprof 3/4/201311640
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
William Richardson, MD 4791‐B Jonesboro Rd Union City GA 3029126631RN101149Haynes, Kathleen Norris Colden 8/18/20121292
Dwayne Gard, MD Memorial Univeristy Medical Center, 4700 Waters Av
Savannah GA 3140460731RN152773Hazel, Gina O. 2/1/201411409
Darrell Carpenter, MD 603 South Wheat Ave, Suite 400 Bainbridge GA 3981940023RN129224Heard, April Danene Goodwin 9/21/20121300
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
Richard Dent, MD 310 Eisenhower Drive, Suite 5 Savannah GA 3140617RN141187Height, Crystal Michelle 12/31/20101309
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
Clark, Jr., Curtis DO 610 19th Street Columbus GA 3190147068RN170748Helton, Tamika 8/1/201310631
Andres Ruiz‐Arango, MD 1120 15th St Augusta GA 3091258770RN078420Henderson, Margo 8/1/20111315
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
Friday, October 17, 2014 Page 49 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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 Branne 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
Susan Alfonso, MD 1030 Delta Blvd Atlanta GA 3035446026RN160044Hern, Cynthia 1/3/201411258
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
Hugo Ribot, MD 958A J F Harris Pkwy, Bldg 2, Suite 102 Cartersville GA 3012130196RN090517Hess, Tammy Jeanette Hamilto 7/24/20085186
Andrews, Noreen MD 1860 Duluth Hwy Ste 103 Lawrenceville GA 3004346861RN066302Hibbitts, Marian 9/14/201210159
Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN066302Hibbitts, Marian E. Hayes 9/1/20129327
Deronda Person, MD 3208 Alcovy Club Ct Dacula GA 3001950079RN066302Hibbitts, Marian E. Hayes 9/30/20108919
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
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
Glen Dasher, MD 1044 Bermuda Run Rd Statesboro GA 3045843354RN152808Hildebrandt, Rana Hadden 5/1/20108938
Anne Todd, MD 1008 N. 3rd Avenue Chatsworth GA 3070551395RN168131Hill, Calita Suzanne Allen 1/18/20108717
Troy Kimsey, MD 425 W. Third Ave, Suite 105 Albany GA 3170146876RN159234Hill, Cara C. 4/10/20119290
Thomas Joiner, MD 425 W Third Ave, Ste 600 Albany GA 3170122797RN159234Hill, Cara C. 6/1/20139949
Jeremy Goodwin, MD 235 Medical Court Forsyth GA 3102959416RN060452Hill, Patricia Cannington 6/1/20118714
Friday, October 17, 2014 Page 50 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
William Taunton, Jr., MD 235 Medical Court Forsyth GA 3102963543RN060452Hill, Patricia Cannington 6/1/20119073
Miriam Gwathney, DO 931 Lower Fayetteville Rd, Suite J Newnan GA 3026363343RN158433Hill, Sylena Hendrix 2/1/201411981
Walter Metcalfe, MD Take Care Clinic, 794 S Park St Carrollton GA 3011758544RN143868Hinds‐Carden, Pamela Kay 9/10/201312082
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
Cheryl Perkins, MD 1497 Fair Rd, Suite 200 Statesboro GA 3045836430RN104429Hodnicki, Deanna Renee O'Don 5/17/20139056
Thomas R. Rumble, MD 2121‐A Bellevue Rd Dublin GA 3102113078RN067755Hoffa, Evelyn Marie Head 1/1/20121361
James Gore, MD 1657 N. Expressway Griffin GA 3022336384RN169860Hoffman, Judy Lynn 8/14/20119497
Louis Spencer, MD 4159 Martha Berry Hwy, NW Rome GA 3016561351RN060455Hoffman, Linda Ann Hilpp 11/1/20098309
Hope McDaniel, MD 4159 Martha Berry Hwy NW Rome GA 3016559287RN060455Hoffmann, Linda Ann Hilpp 10/1/20081364
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN060455Hoffmann, Linda Ann Hilpp 11/30/20118759
Lisa Rosa‐Re, MD 11660 Alpharetta Hwy, Suite 600 Roswell GA 3007629768RN087295Hogue‐Kinahan, Janice Kaye 8/17/20097764
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
Friday, October 17, 2014 Page 51 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Linda Jones, MD 1500 E. Shotwell St Bainbridge GA 3981930111RN138048Hollis, Elizabeth Maria 3/7/20149535
D. Shawn Surratt, MD 603 S. Wheat Ave, Suite 700 Bainbridge GA 3981955984RN138048Hollis, Elizabeth Maria 3/7/20149534
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
Gwendolyn V. Morgan, MD 502 Sumter St., #C Montezuma GA 3106324040RN047369Holmes, Jennifer 5/27/201311549
Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN060670Holt, Tina 4/24/201410663
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
Teresa Baysden, DO 2001 Antioch Road Dalton GA 3072157348RN095695Hooper, Tracy Lynn Martin 2/1/20111395
Thomas Simpson, MD 315 W. 5th St Rome GA 3016134949RN060470Hopkins, Janice Marie Gribble 3/21/20111397
Denise Pecht, MD 771 Old Norcross Rd, Suite 305 Lawrenceville GA 3004634436RN205006Hopkins, Casey Leigh 5/12/20129674
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
Cheryl Tolliver, MD 417 Third Ave Albany GA 3170153040RN168272Howard, Heather Hendon 8/23/201412657
Brant Holt, MD 102 Erlanger South Drive Ringgold GA 3073654393RN226783Howard, Patricia Lauren 2/20/201411779
David Arkin, MD 758 Old Norcross Rd, Ste 175 Lawrenceville GA 3004528136RN159191Howell, Frances Wilson 10/2/20071419
Plummer, Valens MD 1762 Mars Hilol Rd NW Acworth GA 30101‐809149496RN073038Howell, Charlotte 5/1/201310057
John Hubbard, MD 228 N. College Ave Hartwell GA 3064330787RN055858Howell, Scott Nelson 5/13/20119343
Michelle Morgan, MD 9465 Hwy 5 Douglasville GA 3013551694RN098139Howell, Deborah Smith 2/23/20131418
Friday, October 17, 2014 Page 52 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Oliviere, James Jr. MD 931 Lower Fayetteville Road Newnan GA 3026360017RN142462Howell‐Philip, Vanessa 12/31/201210527
Victor Corrigan, MD 5665 Peachtree Dunwoody Road Suite 172
Atlanta GA 3034226489RN160170Huber, Kelly M 9/15/20087914
Madhu Vishwanath, MD 3003 Old Alabama Road Alpharetta GA 3002256499RN097896Huckabay, Paige Adams Murph 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
RN097026Hudson‐Gallogly, Wanda Kim 2/28/20141432
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
Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN195261Hume, Kimberly Renee 6/23/201311802
RN053488Hummel, Elaine Dubel 2/28/20141443
Stepehn Jarrard, MD 196 Ridgecrest Circle Clayton GA 3052562897RN089263Humphries, Marcella J.E. 6/13/201311017
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
Deitrick Cox, MD 8811 Hwy 92, Suite 114 Woodstock GA 3018965394RN186637Hurd, Rebecca S. 7/16/201311466
Young An, MD 1260 Hwy 54 West, Suite 202 Fayetteville GA 3021452050RN186637Hurd, Rebecca S. 1/3/20118912
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, #2100
Atlanta GA 3030351875RN149720Hurman, Wendy Kay 4/1/20147863
Ahmed, Kashif MD 2200 Hwy 155 North McDonough GA 3025261547RN182617Hurst, Sabine 8/28/201210139
Michael Caruso, MD 7199 Hwy 441 North, Suite 109 Dillard GA 3053757558RN134515Hurt, Jason B. 6/10/20098511
Friday, October 17, 2014 Page 53 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Ram Reddy, MD 132 Franklin Springs Street Royston GA 3066224178RN134515Hurt, Jason B. 1/29/20098439
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
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
Charles Clopton, Jr, MD 3890 Redwine Rd Atlanta GA 3033143019RN232024Hyman‐Duhaney, Rhona Alesia 2/9/201412579
Jonathan Winner, MD 1140 Hammond Dr, #E‐5250 Atlanta GA 3032813706RN047165Ilgenfritz, Nancy Gail Armstron 2/18/20101467
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
Souza, John MD 1110 Hillcrest Pkwy Dublin GA 3102139475RN106643Ivey, Karen 10/18/201310878
Eric Zanghi, MD 1719 Russell Pkwy, Suite 700 Warner Robins GA 3108830248RN106643Ivey, Karen Belinda 6/3/20141481
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
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
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN071218Jackson, Stephanie B. 12/21/20098550
Micah Fisher, MD 1365 Clifton Rd NE, Bldg A, # A‐4322 Atlanta GA 3032256546RN126358Jacob, Christine Mary 4/22/20139372
Friday, October 17, 2014 Page 54 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Warren Theis, MD 1405 Alice St Waycross GA 3150155345RN121991Jacobs, Robert Scott 10/7/201312337
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
Jeffrey Bell, MD 1200 N Jefferson St Albany GA 3170134539RN102411James, Rita Robinson 5/16/20139491
James Sirleaf, MD 417 Third Ave, Emer Dept Albany GA 3170167036RN169998James, Chandra Marie Robinso 9/20/201313404
Deepali Agarwal, MD 1110 13th St Columbus GA 3190154783RN078803Janney, Magenia Walker 8/11/20109471
Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1 #1210 Alpharetta GA 3000439879RN130879Jaramillo, Martha Cecilia 1/28/20108882
Gerald Feuer, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034236154RN130879Jaramillo, Martha Cecilia 4/12/20101505
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 Rene 7/17/20141516
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
Ammons, Katharine MD 1825 Martha Berry Blvd Rome GA 3016537744RN180153Jennings, Sunshine 4/19/201410085
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
Kathleen Gunchick, MD KSU, 1000 Chastain Rd, House 52 #5200
Kennesaw GA 3014428760RN214076Jha, Shashank K. 1/6/201411601
Charles Adams, MD 4085 Cloud Springs Rd Ringgold GA 3073645378RN158619Jockers, Barbara Scott 7/25/20128663
Adebukola Akintoye, MD 922 Gainesville Hwy, Suites 101‐102 Buford GA 3051838164RN158619Jockers, Barbara Scott 6/8/20098207
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
Friday, October 17, 2014 Page 55 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Orlando Fernando, MD 510 South Main St, Suite B Baxley GA 3151343934RN106778Johnson, Beverly Kay 1/31/20112512
Marcus Roberts, MD 1909 Hwy 82 West, Suite 5 Tifton GA 3179335986RN195771Johnson, Whitney Brooks 9/29/201310964
Hehn, Rudy MD 915 Gordon Avenue Thomasville GA 3179226302RN177719Johnson, Lakesha 8/27/201310697
Daxes Banit, MD 3051 Watson Blvd, Suite 400 Warner Robins GA 3109352884RN093193Johnson, Kimberly Crump 12/31/20119410
Matthew Grundfast, DO 1009 N. Monroe Street, Suite 102 Albany GA 3170152944RN164766Johnson, Heather Constance 4/15/20118347
Fordham, Donald MD 865 Austin Drive, PO Box 1899 Demorest GA 3053544718RN074598Johnson, Eva 4/30/201210539
James Blackwell, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072017132RN027354Johnson, Mae D 7/1/20141539
Richard Eaton, MD 1001 N. Third Street Folkston GA 3153740370RN113824Johnson, Angela Dawn 9/30/20087767
Jones, Cheryl MD 308 Coliseum Drive, Ste 120 Macon GA 3121734865RN101726Johnson, Laurie 12/17/201210879
Zada Weston‐Hill,MD 1810 GA Hwy 20 SE, Suite 172 Conyers GA 3001339009RN155651Johnson, Jessica Lynn 9/1/201412304
Marcus Roberts, MD 903 West Ward St, Suite A Douglas GA 3153335986RN195771Johnson, Whitney Brooks 7/22/201412626
A. S. Ghiathi, MD 7 Taylor St Cuthbert GA 3984040908RN211354Johnson, Vickie Michelle 7/15/20119429
Vundyala Reddy, MD 308 Coliseum Drive, Suite 120 Macon GA 3121725022RN101726Johnson, Laurie Faye Garfield 9/6/20128294
Reginald Strother, MD 1620 Prince Ave Athens GA 3060644597RN123212Johnson, Denise 12/18/20129198
Devica Alappan, MD 1900 11th Ave., Ste. A Columbus GA 3190149526RN181532Johnson, Courtney K. 6/17/201311382
Al Soltan, MD 308 Coliseum Dr. Macon GA 3121745011RN101726Johnson, Laurie Faye Garfield 10/20/20081535
Dean Karampelas, MD 743 Spring St. Gainesville GA 3050126141RN074598Johnson, Eva 3/31/201411124
Raj Gupta, MD 308 Coliseum Dr. Macon GA 3121733345RN123293Johnson‐Young, La Tonja Quev 7/25/20081548
Crystal Slade MD 1279 Hwy 54 West, Suite 220 Fayetteville GA 3021453881RN084667Joiner, Janice Dorsey 11/14/20129992
Elam, Mark MD 1507 Professional Court Dalton GA 3072036147RN151386Jones, Anna 3/15/201210072
Delgado, Reden MD 2293 Rome Hwy Rockmart GA 3015365957RN151386Jones, Anna Christine 5/8/201410711
Friday, October 17, 2014 Page 56 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Adrienne Mims, MD 477 Windsor St SW, Suite 309 Atlanta GA 3031233152RN189118Jones, Sherri Lynn 12/31/201312590
Prasad Rao, MD 960 J F Harris Pkwy Cartersville GA 3012055640RN151386Jones, Anna Christine 6/1/20108790
James M. Crane, MD 1825 Martha Berry Blvd. Rome GA 3016536519RN151386Jones, Anna Christine 8/30/20085525
Richard Robinson, MD 3240 Avalon Blvd Conyers GA 3001338936RN093541Jones, Janine Roxanne Colema 4/19/20108997
Sadiq Sohani, MD 1413 Chattanooga Avenue Dalton GA 3072045010RN151386Jones, Anna Christine 2/1/20098411
Russell Brown, MD 2001 Martin Luther King Jr Dr, #418‐430
Atlanta GA 3031039743RN175825Jones, Shikira Mone 9/4/201311877
Biggs, Barbara MD 1810 White Circle, Ste 110 Marietta GA 3006625105RN112762Jones, Tracy 11/26/201310316
John Zipperer, MD PO Box 496 Arlington GA 3981350750RN028735Jones, Marie E 8/1/20101556
David Bosshardt, MD 110 Battlefield Crossing Ct Ringgold GA 3073626225RN229904Jones, Robin Tidwell 1/1/20142507
Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN151386Jones, Anna Christine 4/22/20119203
Aldrich Mendoza, MD 251 Hwy 53 Calhoun GA 3070162916RN151386Jones, Anna Christine 8/14/20119183
William A. Stinnette, MD 1650 Honey Creek Commons, Ste F Conyers GA 3001346499RN128455Jones, Laquay 1/31/20111555
Gregory Fountain, MD 766 Walther Road, Suite 100 Lawrenceville GA 3004534593RN093541Jones, Janine Roxanne Colema 9/4/20095209
Andre Feria, MD 142 Old Mill Rd LaGrange GA 3024148513RN093051Jones, Kelly Leighann Dudley 11/1/20119252
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN151386Jones, Anna Christine 8/30/20088166
Andrew Waldman, MD 710 Center St, Emer Dept Columbus GA 3180148001RN196623Jones, Michelle Lea 6/15/201412513
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
Raymond E. Gutierrez, MD 2000 Palmyra Rd. Albany GA 3170157983RN094008Jordan, Sarah J.L. 1/31/201411223
Ricardo Riesco, MD 1933 Shield Rd Dalton GA 3072044069RN227156Jordan, Susan Maria 3/21/201412341
Friday, October 17, 2014 Page 57 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Tosha Rogers, DO 2457 Martin Luther King Jr Dr SW, Suite A
Atlanta GA 3031164644RN143541Kaimachiande, Finda‐Mani Mar 8/11/201413279
Donovan Christie, MD Take Care Clinic, 4398 Atlanta Hwy Loganville GA 3005244432RN143541Kaimachiande, Finda‐Mani Mar 2/1/201411990
Mirza, Wajahat MD 1915 Eisenhower Drive Savannah GA 3141662563RN096231Kaplan, Phyllis 1/29/201310071
Sheryl Vickery, MD 7820 Hickory Flat Hwy Woodstock GA 3018826446RN090147Karr, Nance 6/27/201310927
Donovan Christie, MD 5985 Peachtree Pkwy NW Norcross GA 3009244432RN141621Kaur, Balwinder 2/1/20141588
Benjamin Smith, MD 17 Collins Drive Cartersville GA 3012044338RN112764Kaye, Leslie Ann 7/2/20107763
Oladayo Osinuga, MD 3290 Memorial Dr, Suite 1‐A Decatur GA 3003251703RN087305Keels, Barbara J 3/20/20131590
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
Scott, William MD 1915 Eisenhower Drive Savannah GA 3141612565RN211336Keith, Sharon 7/25/201110498
Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN205011Keller, Hayley Lauren 12/18/20118900
David Arkin, MD 758 Old Norcross Rd, Suite 175 Lawrenceville GA 3004628136RN153888Kelley, Julia Elizabeth Brown 2/14/20148808
Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN085412Kelley, Angela Denise Kitchens 5/24/20137731
Thippeswamy Murthy, MD 20 Francis Way, Suite 101 Sharpsburg GA 3027752470RN145032Kelley, Gena Smith 10/19/20121598
Noreen Andrews, MD 4480 South Cobb Dr SE Smyrna GA 3008046861RN212611Kelley, Michelle LaDonna 10/4/20119771
Walisa Maynard, MD 677 Church St, Bldg 310 Marietta GA 3006050658RN085412Kelley, Angela Denise Kitchens 11/1/201312191
John Zipperer, MD PO Box 496 Arlington GA 3981350750RN050989Kelly, Elizabeth Ann S. 8/1/20108772
Stephen Jarrard, MD 331 Ridgecrest Cr Clayton GA 3052562897RN184994Kelly, Monique Diane 7/1/201413368
Sherri Lynn Barton, MD 6158 Highway 92 Acworth GA 3010248595RN205908Kelly, Ursula Ann 2/9/201311259
John O'Connell, MD 5671 P'tree Dunwoody Rd NE, #110 Atlanta GA 3034262266RN205972Kelly, Linda Jeanne 1/10/20128868
Friday, October 17, 2014 Page 58 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Lamar Peacock, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080934920RN087400Kelly, Karyn Elayne 2/6/20108719
Ralph Marionneaux, MD 465 North Belair Road Evans GA 3080947621RN087400Kelly, Karyn Elayne 9/3/20091604
Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN087400Kelly, Karyn Elayne 9/2/20098460
Julian McLendon, Jr, MD 1502 West 3rd Street Jackson GA 3023338557RN077027Kelly, Kathy Jean Hyder 11/1/20101606
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN087400Kelly, Karyn Elayne 8/1/20118935
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
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
Romualda S. Klicius, MD 145 N.Medical Parkway Woodstock GA 3018946305RN191560Kerr, Joanna H 1/12/201311260
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
Timothy Thomson, MD 951 South Broad Street Thonasville GA 3179246526RN032598Kicklighter, Cheryl Ann 4/1/20081619
Germaine Cummings, MD 4480 Atlanta Hwy Loganville GA 3005252340RN089707Kilgore, Catherine Martin 7/26/201312053
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
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
Bradley Ward, MD 97 Church Street Taylorsville GA 3017821115RN160699King, Emily Laura 6/22/20101634
Omari A Hodge, MD 70459RN157567King, Jamie Bettina 7/30/201413773
Friday, October 17, 2014 Page 59 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN160699King, Emily Laura 12/11/20109384
Pittman, John MD 715 E. 2nd Avenue SW Rome GA 3016137045RN160699King, Emily 6/2/201210074
John Pittman, MD 715 E. 2nd St Rome GA 3016137045RN160699King, Emily Laura 7/31/20119677
Kathleen Gunchick, MD KSU,1000 Chastain Rd, House 53 Kennesaw GA 3032728760RN160699King, Emily Laura 1/6/201411707
Himanshu Patel, MD 504 Redmond Rd Rome GA 3016558116RN162789King, Jillian M. 6/3/20129188
Vincent Pearson, MD 504 Redmond Road Rome GA 3016532970RN162789King, Jillian M. 6/1/20108312
Peter Jungblut, MD 1000 Chastain Road, House 53 Kennesaw GA 3014469056RN160699King, Emily Laura 3/29/201413064
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
Yolanda Hacker, MD 5320 Memorial Drive Stone Mountain GA 3008345811RN090840Kirkby, Dawn Anne Marie 12/10/20118560
Criner, James MD 1510 Milstead Ave NE Conyers GA 3001254179rn090840Kirkby, Dawn 1/13/201410690
Germaine Denise Cummings, MD
5320 Memorial Drive Stone Mountain GA 3008352340RN090840Kirkby, Dawn Anne Marie 5/13/20091641
Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN022690Kitchings, Martha Helen Brann 8/26/20119370
Badea, Calin MD 303 Fraser Drive Hinesville GA 3131355918RN022690Kitchings, Martha 9/21/201210059
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
Winston R. Jeshuian, MD 3708 Northside Drive Macon GA 3121059432RN110772Kline, Gail 12/21/201211261
Valens Plummer, MD 2945 Panola Rd Lithonia GA 3003849496RN094587Klug, Cheryl Ann 1/21/20131650
Atallah, Hany MD 49 Jesse Hill Jr Drive SE Atlanta GA 3030352678RN166274Knee, Laura 11/20/201310070
Kenneth M Rice, MD 2021 Marketplace Blvd Cumming GA 3004147251RN166274Knee, Laura Kay 8/23/201412812
Friday, October 17, 2014 Page 60 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Thomas Mullen, MD 126 Sequoyah Trail Ringgold GA 3073639882RN111915Knowles, Constance Bailey 5/16/201411832
Elam, Mark MD 800 Professional Blvd Dalton GA 3071036147RN111915Knowles, Constance 2/20/201310291
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
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
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
Cantrell, David MD 1407 Cobb Parkway North Marietta GA 3006232883RN134121Kruszka, Kathryn 7/18/201310235
Walter Metcalfe, MD Take Care Clinic, 2779 N Cobb Pkwy Kennesaw GA 3015258544RN127164Kuhn, Jessica Nicole De Marco 9/10/201312093
Madhu Vishwanath, MD 7530 Roswell Rd Atlanta GA 3035056499RN125915Kulkin, Charlotte Virginia Cona 8/5/20098690
Miles Graivier, MD 1295 Hembree Road, Bldg B Suite 100 Roswell GA 3007634602RN075453Kurtz, Laura Leigh 5/2/20088074
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
Friday, October 17, 2014 Page 61 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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 Ragsdal 7/1/20111683
Jatinder Bhatia, MD 1120 15th Street, BIW‐6033 Augusta GA 3091218784RN182787Lacey, Mary Esther 1/4/20121685
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
Quinton Weldon, MD PO Box 544 Americus GA 3170956786RN127193Laing, Denise Cloud 7/31/20108300
Timothy Thomson, MD 951 South Broad Street Thomasville GA 3179246526RN127193Laing, Denise Cloud 7/25/20081686
Durocher, Steven MD 2000 Palmyra Road Albany GA 3170756051RN127193Laing, Denise 4/1/201310323
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
Billy Greening, MD 7285 Hwy 16, Suite C Senoia GA 3027642585RN164310Landrum, Frances Marie 5/3/20149521
Joe Bruce Carr, MD 2122 Manchester Expressway Columbus GA 3190416889RN109950Landrum, Bobby Gene 7/15/20138088
Patrick Railey, MD 3345 E. Hwy 34, Suite 101 Sharpsburg GA 3027743114RN163766Lane, Teresa Kay 9/22/20097926
Newport, Donald MD 1365 Clifton Road, Ste B6100 Atlanta GA 3032243101RN141537Lane, Felecia 7/25/201210324
Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN141537Lane, Felecia Charelle 12/12/20088396
Mark Ellison, MD 1500 Oglethorpe Ave, Suite 200‐C Athens GA 3060626107RN194082Lane, Kristen Goodin 6/11/201413013
Lutz, Jerre MD 1365 Clifton Rd NE, Ste A2208 Atlanta GA 3032215711RN170212Langdon, Kristan 8/27/201310818
Frank Steele, Jr., MD 50 Kelly Rd McDonough GA 3025329378RN159370Lanier, Courtenay Renae 9/1/20091700
Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN156557Lao, Cindy Wei‐Hsin 11/19/20071703
Cynthia Giles, DO 555 Bluebird Blvd Ft Valley GA 3103048778RN173610Lashley, Glenna Willis 12/13/20139346
Friday, October 17, 2014 Page 62 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN184089Lathrop, Breanna Lynn 7/21/20149174
Matthews, Barbara MD 2000 North Monroe Street Albany GA 3170146169RN102042Lattimore, Willie 7/31/201310325
Raymond Gutierrez, MD 417 W. 3rd Avenue Albany GA 3170157983RN102042Lattimore, Willie Lee 1/31/20149284
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
James Sexson, MD 1810 Mulkey Rd, Suite 200 Austell GA 3010638362RN134018Lawrence, James Fletcher 3/16/20119040
Dipesh Patel, MD 3780 Eisenhower Pkwy Macon GA 3120653512RN134018Lawrence, James Fletcher 12/31/20091712
Jove, Maurice MD 2801 N. Decatur Rd, Ste 200 Decatur GA 3003322799RN134018Lawrence, James 7/25/201210075
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141266Lawson, Kristie LaShawn 11/13/20088078
Hemachandra Gunawardhana, MD
250 Constitution Blvd, Ste 203 Lawrenceville GA 3004663341RN124271Lazzari, Taren S. 7/25/201411352
Messner, Stephen MD 1001 Johnson Ferry Road, Ste 500 Atlanta GA 3034259282RN117190Lebiecki, Cindy 6/12/201210358
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN123214Lecroy, Tiffany Reichert 2/4/20108361
William Kriegel, DO 3405 SW Dallas Hwy Marietta GA 3006431962RN123214LeCroy, Tiffany Reichert 4/15/20129664
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN038288Ledbetter, Sharon E. 1/1/20101720
Hewling, Kirk‐Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN038288Ledbetter, Sharon 9/1/201210326
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
Jack Roof, MD 101 RiverStone Vista, Susite 207 Blue Ridge GA 3051317278RN154445Ledford, Camille York 3/6/20148270
Leilani Shivers, MD 900 Dallis St, Suite D LaGrange GA 3024057507RN203487Lee, Amanda Treston 4/9/201413080
Alvin Streat, MD 204 E. 15th Street Alma GA 3151034279RN034673Lee, Pamela S 3/2/20091728
Friday, October 17, 2014 Page 63 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Michael Nulph, MD 204 E. 15th Street Alma GA 3151057735RN034673Lee, Pamela S. 4/1/20115484
Michael Deen, MD 143 Hwy 32 Bypass Alma GA 3151058459RN034673Lee, Pamela S. 9/9/20129765
Baker, Norman DO 330 Alcovy Street Monroe GA 3065553665RN153452Lee, Youn 12/31/201210477
Jonathan Wade, DO 204 E. 15th St. Alma GA 3151066666RN034673Lee, Pamela C. 5/31/201311136
Patrick Haggard, MD 80 Jesse Hill Jr Dr, 13th Floor Atlanta GA 3030349403RN124583Lee, Jamie Clower 3/26/201413061
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
Jacob Varghese, MD 3740 Cascade Road Atlanta GA 3033156933RN141240Leffall, Para Ramon 8/24/20127833
Roshni Patel, MD 1645 Tullie Circle Atlanta GA 3032957141RN139769Leidel, Laura Beth 12/1/20101735
Divina Dyer, MD 181 S. Clayton Street Lawrenceville GA 3004557161RN164788Lemons, Maria Linda 8/6/20108647
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
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
Metra Wright, MD 770 Village Square Dr Stone Mountain GA 3008360634RN204063Leppke, Allison Marie 10/15/20129788
Michael Jackson, MD 715 E. 2nd Avenue Rome GA 3016155376RN039939Lester, Dana C. 2/2/2010305
Shelly D. Samuel, MD 148 Peacock St. Cochran GA 3101457248RN180944Lewis, Karen L. 8/31/201311617
Sandra Hollander, MD 207 Fairview Park Dr Dublin GA 3102172000RN234557Lewis, Cynthia Marie 7/24/201413690
Theodore Johnson, MD 1831 Clifton Rd, Pod A Atlanta GA 3032949656RN143524Lewis, Donna Rose Laroy 5/18/20121751
Farid Qazi, MD 207 Fairview Park Dr, Suite 207 Dublin GA 3102135737RN234557Lewis, Cynthia Marie 7/24/201413117
Friday, October 17, 2014 Page 64 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
John Kauh, MD 1365 Clifton Rd NE, Bldg C Atlanta GA 3032252970RN177160Lewis, Colleen Margaret 10/15/20139097
Charles‐Pryce, Pamella MD 220 North Cobb Pkwy, Ste 400 Marietta GA 3006258155RN148871Lewis, Robert 8/11/201410550
Mark Elam, MD 800 Professional Blvd Dalton GA 3072036147RN148871Lewis, Robert Michael 8/20/20149230
Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351875RN148871Lewis, Robert Michael 8/12/20138423
Thomas Morrow, MD 5530 Windward Pkwy, Bldg 1, #1210 Alpharetta GA 3000439879RN149478Lewis, Kimberly Knapp 8/5/20101755
Tiffanni Forbes, MD 1199 Prince Ave Athens GA 3060651936RN201110Ley, Kristin Carter 1/3/201412971
Lewis Litwack, MD 1131 Chapel Crossing Rd, TRL 759 Glynco GA 3152461981RN145239LeZotte, Ashley Willis 9/1/20108660
Tom Vann Willis, Jr., MD 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 3152410695RN145239LeZotte, Ashley Willis 9/2/20101760
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
Brant Holt, MD 102 Erlanger South Dr Ringgold GA 3073654393RN103785Lingerfelt, Kimbra 3/26/201413821
Jordan Greenbaum, MD 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 3034257172RN176752Linville, Melissa Anne 4/1/20107955
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
Ifeoma Nnaji, MD 123 Gordon St Washington GA 3067363931RN056238Lloyd, Kathleen Ann Mary 10/30/20119473
Cathleen Quillian, DO 1351 Stonebridge Pkwy, Bldg 104 Watkinsville GA 3067745924RN056238Lloyd, Kathleen Ann Mary 1/31/20108874
William Martin, MD 318 West Pike St. Lawrenceville GA 3004512937RN056238Lloyd, Kathleen Ann Mary 12/3/20091772
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
Friday, October 17, 2014 Page 65 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
George Galloway, MD 101 Riverstone Vista, Suite 111 Blue Ridge GA 3051313275RN093574Long, Marsha Nadine 7/15/20109088
Thomas Nguyen, DO 772 Maddox Dr, Suite 110 East Ellijay GA 3054062579RN093574Long, Marsha Nadine 10/11/20119010
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
Jack Roof, MD 101 Riverston Vista, Ste 207 Blue Ridge GA 3051317278RN093574Long‐Kimsey, Marsha 10/19/20071786
Miriam Gentry, MD 190 Hospital Circle Ellijay GA 3054010925RN093574Long‐Kimsey, Marsha 4/13/20098322
William Raisig, MD 449 Industrial Blvd, Suite 105 Ellijay GA 3054055290RN093574Long‐Kimsey, Marsha 7/10/20088114
Paul Steinwachs, MD 1336 Third Ave Columbus GA 3190142736RN087816Lord, Resa Anne Wilson 5/1/201311939
Griffis, Mark MD 380 East Willow Creek Lane McRae GA 3105538140RN057626Lott, Patsy 9/12/201210587
Harrison Clay Carter, MD 1126 West 12th Street Alma GA 3151050575RN057626Lott, Patsy L. 1/11/20129095
Brenda Hott, MD 1200 Northside‐Forsyth Dr Cumming GA 3004141441RN168434Lowman‐Kedzierski, Denise 12/27/201312377
Dan Ioanitescu, MD 940 Ga Hwy 96 Warner Robins GA 3108851476RN109444Lumansoc, Rita 7/20/201311498
Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN109444Lumansoc, Rita Marie Tactay W 2/6/201411726
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
Friday, October 17, 2014 Page 66 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Richard Schwartz, MD 4471 Washington Road Evans GA 3080942935RN053247Lynch‐Hayes, Patricia A. 8/1/20118936
Lisa Wannamaker, DO 1384 Greene Street Augusta GA 3090155462RN053247Lynch‐Hayes, Patricia A 9/2/20091813
Wannamaker, Lisa DO 1120 15th St, AF‐1040 Augusta GA 30912‐746855462RN053247Lynch‐Hayes, Patricia 5/22/201210327
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 Sca 4/10/20111820
Laurae Carpenetti, MD 3921 Shallowford Rd Marietta GA 3006250606RN064087Mackenzie, Christine Mary Sca 8/30/20138879
Roberts, Jerry MD 4000 Shakerag Hill, Ste 201 Peachtree City GA 3026925657RN134284Macoy, Lisa 3/20/201410670
Odell Paul Still, DO 104 Maple Dr Vidalia GA 3047437085RN166580Maddox, Jr. 6/17/20109106
Travis Bowles, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006268374RN168142Maddox, Leigh Catherine 4/5/201411986
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, #2100
Atlanta GA 3030351291RN118599Maharaj, Rajendra Kuldeep 9/1/20091832
William Knapp, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030917225RN133358Mahek, Amber Daley 2/9/20117815
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
Benise Williams, MD 303 Smith St LaGrange GA 3024046924RN185828Mallory, Edna Elaine 2/19/201412356
Friday, October 17, 2014 Page 67 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Hornetty, Paul MD 308 N. Parrish Avenue Adel GA 3162052951RN215209Malmquist, Lisa 7/2/201210620
Cleveland, William MD 3620 MLK Jr., Drive SW Atlanta GA 3033117375RN184067Maness, Edina 4/6/201310642
Byron Dickerson, MD 500 Medical Center Blvd, #290 Lawrenceville GA 3004536714RN100057Manga, Mercy Boh 10/23/20131839
Melissa Davis, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016559141RN132924Maples, Melissa Lynn 12/31/20129118
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
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
Jose H. Acevedo 1299 Interstate Pkwy Augusta GA 3090925499RN204200Marchant, Whitney M. 11/8/201311208
John Coleman, MD 3193 Howell Mill Rd, Suite 215 Atlanta GA 3032748498RN161635Marcum, Christian Leigh 5/4/20111845
Claire Mazewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034246619RN069888Marlow, Louise Ann 2/17/20091853
Sidney Smith, MD 900 Mohawk St, Suite E Savannah GA 3141938615RN124279Marshall, William Robert 2/20/20121857
Joseph Hormes, MD 780 Canton Road, Suite 400 Marietta GA 3006029674RN141514Martin, Rebecca Jeanne 4/9/20101873
Kathleen Long, MD 2230 Towne Lake Pkwy, Bldg 1100, Ste 140
Woodstock GA 3018938549RN116159Martin, Cynthia Louise Walls 11/1/20101862
Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN052052Martin, Jacquelyn Denise 7/25/20111867
Mark Albritton, MD 105 Regency Park Dr McDonough GA 3025355912RN147969Martin, Ashley Elaine 8/23/201312088
George Katsitadze, MD 976 Killian Hill Rd, Bldg A, Ste B Lilburn GA 3004752456RN133970Massey, Liza Nicole 5/31/20149937
Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN115936Mathis, Stephanie 10/26/201310198
Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN115936Mathis, Stephanie Latrell 9/30/20117772
Valens Plummer, MD 5320 Memorial Dr Stone Mountain GA 3008349496RN145196Matson, Sharon Templeton 8/22/201412537
Friday, October 17, 2014 Page 68 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Deen, Michael MD 204 E. 15th Street Alma GA 3151058459RN211306Mattox, Julie 5/9/201210495
Hamm, Michael DO 410 Darling Avenue ‐ Emer Dept Waycross GA 3150149021RN211306Mattox, Julie 3/15/201210181
Nimisha Trivedi, MD 3778 Hwy 42 Locust Grove GA 3024853715RN175909Mayaki, Oluwatoke Abidemi 11/16/20098350
Janet Memark, MD 1790 Mulkey Rd, Ste 10 Austell GA 3010664415RN238350Mayberry, Shara Denise 9/2/201413694
David Blake, MD 54 Peachtree Park Drive Atlanta GA 3030940613RN155427Mbah, Linda Angela 8/1/20091903
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
Ganiat Ajayi, MD 4330 South Lee St, Bldg 600 Buford GA 3051847776RN050734McCall, Nancy Fletcher 8/25/20111912
Catherine James‐Peters, MD
454 Smith Ave Thomasville GA 3179263671RN093653McCall, Laurie A. McLeod 1/3/20119077
Calvin Reams, MD 951 South Broad Street Thomasville GA 3179219585RN093653McCall, Laurie A. McLeod 10/22/20098276
Maria Walker, MD 5040 Snapfinger Woods Dr, Suite 108 Decatur GA 3003525306RN139162McCall‐Gaston, Natalie Yvonne 6/26/201311934
Lionel Meadows, MD 121 North Big A Road Toccoa GA 3057745550RN054949McCollum, Joyce Ann Wilkinso 5/7/20131920
Shyam Khanwani, MD 1250 Hwy 54 West, Suite 102 Fayetteville GA 3021451672RN102128McCollum, Kennon Howard 11/30/20108269
Laura Weakland, MD 550 Peachtree St, Suite 1185 Atlanta GA 3030839505RN102128McCollum, Kennon Howard 8/1/20081921
Wanda Gobin, DO 3015 Veterans Pkwy Moultrie GA 3178853912RN096899McCoy, Sherry Marie Hay 7/1/201411668
Melissa Sanchez Quiros, MD
1244 Historic Homer Hwy Homer GA 3054764056RN179017McCoy, Nancy Sue 7/31/20141932
Friday, October 17, 2014 Page 69 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Fisher, Neil MD 3262 Highway 252 Folkston GA 3153761733RN054448McCrary, Linda 2/25/201210331
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
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
Afolarin Banjoko, MD 49267RN057561McGaha, Delaine 2/18/20132408
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
Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN139815McGovern, Maureen Patrice 6/1/20129625
Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN149268McGowan, Monica Trechele Sp 4/15/20101953
Kirk‐Conrod P. Hewling, MD
4250 Brownsville Rd. Powder Springs GA 3012757559RN149268McGowan, Monica T. 10/26/201311548
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
Anthony Royek, MD 4750 Waters Ave, Suite 202 Savannah GA 3140450914RN093155McKay, Laura Marie 4/26/20145357
Friday, October 17, 2014 Page 70 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Robert A. Mazur, MD 60 Exchange Street, Ste. B‐7 Richmond Hill GA 3132437864RN113883McKenna, Candace Habian Col 5/20/201413122
Boris Shklyar, DO 10 Whitaker St, Suite A Savannah GA 3140165180RN113883McKenna, Candace Habian Col 5/20/201412336
Gena Volas‐Redd, MD 340 Kennestone Hospital Blvd, Suite 100
Marietta GA 3006045356RN186495McLaughlin, Patricia Carol 6/27/20085488
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
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
James Graham, MD 2225 Hwy 41 North Tifton GA 3179330071RN112477McNeese, Cindy 4/22/201411639
Anurag Kumbham, MD 215 McNaughton St Cusseta GA 3180558690RN135666McPhail, Melissa Cummings 10/8/20129321
Eugene Jackson, MD 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 3152522793RN112980McPherson, Fran Annette Hann 10/21/20109084
Charles Burke, MD 1008 North 3rd Avenue Chatsworth GA 3070558876RN168031McRae‐Spencer, Aribell A. 7/4/20108851
Sharon Kestin, MD 11700 Mercy Blvd, Ste 1B Savannah GA 3141934990RN112985Medlin, Tammy Lynn Hostetler 8/23/20139979
Michael Conlin, MD 2001 Professional Way, Suite 220 Woodstock GA 3018836054RN070135Medlin, Helen Clair 9/4/20098616
Melissa Rhodes, MD 100 Market Place Blvd, Suite 301 Cartersville GA 3012147060RN070135Medlin, Helen Clair 6/12/20119755
Mark Grimsley, MD 2260 Holly Springs Parkway, Ste 170 Canton GA 3011545172RN070135Medlin, Helen Clair 8/3/20119956
Allen R. Beecham, DO 2000 Village Professional, Suite 200 Canton GA 3011425102RN070135Medlin, Helen Clair 4/15/201311444
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN070135Medlin, Helen Clair 5/22/201312094
Michael Katopes, MD 203 Woodpark Place, Bldg C Woodstock GA 3018825449RN070135Medlin, Helen Clair 12/10/20108931
Julian Gorvy, MD 5185 Peachtree Pkwy, Suite 330 Peachtree Corners
GA 3009251806RN091317Melde, Karen Joan Dianora 4/24/20132007
Friday, October 17, 2014 Page 71 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Kathleen Gunchick, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014428760RN067035Melnick, Lisa Vivienne Taylor 3/16/20108981
Joseph Bishop, MD 100 Peters St, Suite 38 Calhoun GA 3070110372RN068992Meltzer, Liza Blevins 8/27/20109115
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
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
Daniela Rojas Molina, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054055331RN105216Mercer, Gayle Lockridge 5/29/20128761
Gregg McHan, MD 785 E. Main Street Blue Ridge GA 3051334654RN105216Mercer, Gayle Lockridge 9/1/20098131
Michael Gervasi, DO 75 Bypass Roadm Box 540 Morganton GA 3056044923RN105216Mercer, Gayle Lockridge 11/4/20072010
William Rankine, Jr, DO 116 Tommy Stalnaker Dr, Bldg A Warner Robins GA 3108855294RN155336Merritt, Shannon Elizabeth 6/1/20128833
Brady, Michael MD 320 Margie Drive Warner Robins GA 3108833534RN155336Merritt, Shannon 1/19/201410851
Collyn Steele, MD 50 Kelly Rd McDonough GA 3025366424RN237132Messer, Tara Megan 5/1/201413531
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
Musaddiz Waheed, MD 915 Gordon Ave. Thomasville GA 3179261368RN162466Milam, Lindsay S. 2/21/201411546
William Harper, IV, MD 1021 Talbotton Rd Columbus GA 3190420726RN212631Miller, Vashti Gift 3/15/20119642
Masih Uddin, MD 385 Hawthorne Lane, #300 Athens GA 3060642751RN111545Miller, Jenifer S. 8/17/20129891
H. Philip Morris, Jr., MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN111545Miller, Jenifer S. 12/17/20129545
Andrew A. Waldman, MD 710 Center St, Emer Dept Columbus GA 3190148001RN183390Miller, Gwendolyn G. 5/20/201411411
A. Patrick Brooks, MD 1500 Oglethorpe Ave, Suite 400‐A Athens GA 3060622724RN111545Miller, Jenifer Susan Van Brack 5/13/20112040
Friday, October 17, 2014 Page 72 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Narasimhulu Neelagaru, MD
170 Cardiology Place Commerce GA 3052931081RN111545Millier, Jenifer S. 12/31/201311265
Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN081528Millington‐Upshaw, Venus D 8/19/20108902
Candice Tate, MD 400 Galleria Pkwy, Suite 1500 Atlanta GA 3033959967RN081528Millington‐Upshaw, Venus D. 8/30/20129407
Wesley Smith, MD 11973 Augusta Road Lavonia GA 3055345971RN145096Mills, Valerie Anne 1/1/20102049
Jose Acevedo, MD 1299 Interstate Pkwy Augusta GA 3090925499RN077228Mills, Leslie Carol Medford 7/22/20112052
Albert Lintel, MD 775 west Ave, Suite A Cartersville GA 3012028595RN102683Millsap, Lori Ann Waters 1/31/20138845
Brent Beaird, MD 775 West Avenue, Suite A Cartersville GA 3012045720RN102683Millsap, Lori Ann Waters 10/19/20092053
Helen‐Louise Moore, MD 116 South Houston Rd Warner Robins GA 3108845098RN134487Milner, Joni Reba Dixon 9/23/2010804
Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030839818RN081530Minter, Bonnie Leigh 12/24/20098119
Sushila Mathew, MD 193 North Park Trail, Suite 100 Stockbridge GA 3028122250RN052474Mishra, Margaret Martini 1/7/20112058
Kevin Smith, MD 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 3014441961RN151092Mitchell, Bridgette Anne 9/30/20095527
Gwendolyn V. Morgan, MD 509 Sumter St, Suite C Montezuma GA 3106324040RN063812Mitchell, Joan Sapp 7/25/201311422
Yvonne L. Smith, MD 1685 Old Pendergrass Rd. Jefferson GA 3054942443RN206296Mitchell, Aundre R. 6/2/201411552
Madhu Vishwanath, MD 2779 Cobb Pkwy NW Kennesaw GA 3015256499RN151092Mitchell, Bridgette Anne 5/1/20098444
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN151092Mitchell, Bridgette Anne 7/7/20128944
Ricardo Raul Riesco, MD 711 Shields Road Dalton GA 3072044069RN143794Mitchell, Cynthia Lorraine 11/6/20082059
Gloria Castillo, MD Blandy Way Office Pk 60, Hwy 22 W Milledgeville GA 3106124912RN063812Mitchell, Joan Sapp 7/3/20129363
Debra Osborne, MD 175 Emery Hwy Macon GA 3121744297RN063812Mitchell, Joan Sapp 2/6/20149112
Wiley Smith, MD 218 North Fredrick St Dalton GA 3072163133RN208361Mitchell, Patricia Gayle 5/17/201311804
John Quigley, MD 2257 GA Hwy 515 Blairsville GA 3051234925RN077261Mixon, Carol Renee Hagins 2/28/20122065
Friday, October 17, 2014 Page 73 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
James Pilcher, MD 1067 Peachtree Street Louisville GA 3043114541RN154040Mobley, Jennifer Bailie 4/5/20119135
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
Cameron, Nadia MD 961 Green Street NE Gainesville GA 3050153982RN185316Mobley, Kathleen 3/8/201210804
James Sheppard, MD 400 Canterbury Dr. Wrens GA 3083347993RN154040Mobley, Jennifer Bailie 1/1/20102066
Huffman III, William MD 9 Hospital Park Moultrie GA 3176865007RN192380Mobley, Rebecca 2/3/201410084
Ahmad Jingo, MD 3424 Flat Shoals Road Decatur GA 30034‐653645842RN200088Molet, Tamiko 2/18/20148383
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
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
Caroline Yaphockun, MD 330 Turner McCall Blvd, Ste 400 Rome GA 3016553213RN189608Moore, Megan Elizabeth 6/11/20139977
Kenneth Howard, MD 1825 Martha Berry Blvd Rome GA 3016540412RN189608Moore, Megan Elizabeth 12/6/201210988
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN206234Moore, Bonnie Jo 2/21/20139271
Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN170740Moore, Carolyn 2/1/201310505
John O'Connell, MD 5671 P'tree Dunwoody Rd NE, Suite 110
Atlanta GA 3034262266RN170740Moore, Carolyn Meredith Cam 12/20/20119377
Derralyn Harris, MD 1440 Benning Drive Columbus GA 3190352739RN138492Moore, Chaquita Martin 7/20/20072081
Oladayo Osinuga, MD 1000 Briarcliff Rd. Atlanta GA 3030651703RN171792Moore, Kathryn M. 4/18/201311547
Friday, October 17, 2014 Page 74 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Thompson, Theron MD 1825 Martha Berry Blvd Rome GA 3016551772RN189608Moore, Megan 6/19/201210248
Harbin, Anthony MD 1525 Chattanooga Road Dalton GA 3072029665RN169917RN1699417
Moore, Heather 1/14/201410410
Shyam Kelly Gupta, MD 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 3034163784RN030220Moree, June Powell 1/17/20149427
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
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
Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN178238Morgan, Sarah Abigail 11/16/20108062
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN178238Morgan, Sarah Abigail 12/28/20108061
Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN178238Morgan, Sarah Abigail 6/25/20108063
Kay Entrekin, MD 315 Winn Way Decatur GA 3003042817RN178238Morgan, Sarah Abigail 11/16/20108059
Christina Nguyen, MD 1331 Helen Hwy Cleveland GA 3052859083RN093714Morgan, Jr., James Horace 2/27/20098293
Nicole Ash‐Mapp, MD 2154 Johnson Ferry Rd NE Atlanta GA 30319‐255842993RN209720Morison, Laura Martino 7/3/201413552
Sohail Choudhri, MD 1501 Alice St Waycross GA 3150136514RN178709Morris, Lorie Ann 3/25/20119589
Craig Kubik, DO 1501 Alice St Waycross GA 3150147914RN178709Morris, Lorie Ann 3/25/20119588
Dougherty, Anthony MD 3000 Schatulga Road Columbus GA 31917‐243530452RN165649Morris, Octavia 2/23/201210330
Heide Moeling, MD 59 Hospital Road Newnan GA 3026348918RN187113Morrison, Karen L 6/1/20088071
Nitasha Burney, MD 9465 Hwy 5 Douglasville GA 3013555931RN143857Morrow, Maria Michelle 9/29/20142110
Ricardo Zarzuela, MD 2015 Alice St Waycross GA 3150122292RN113050Moseley, Vanessa Vershel Crew 8/14/201412567
Friday, October 17, 2014 Page 75 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Daniel Lopez, MD 507 Park Street Palmetto GA 3026864597RN192019Moser, Carissa Anne 8/19/20119312
Ghamande, Sharad MD 1120 15th Street, BA7411 Augusta GA 3091249173RN192019Moser, Carissa 8/16/201410099
Battey, Louis MD 275 Collier Road, Ste 500 Atlanta GA 3030921141RN124145Moshksaran, Mitra 7/25/201210578
Tavares Williams, MD 2366 Battlefield Pkwy Ft Oglethorpe GA 3074264990RN205058Moughrabi, Nancy Lynn 1/1/20119361
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN205058Moughrabi, Nancy Lynn 7/31/20108788
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
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
Steven House, MD 3780 Eisenhower Pkwy Macon GA 3120643066RN123086Mullis, Laura Dubois 1/31/20102120
Billy Greening, MD 7285 Hwy 16, Suite B & C Senoia GA 3027642585RN155767Mullis, Lisa Renee 8/11/20118701
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN155767Mullis, Lisa Renee 9/1/20098451
Richard Ackerman, MD 3780 Eisenhower Pkwy Macon GA 3120634759RN123086Mullis, Laura Denise Dubois 11/1/20139151
Kevin Napier, MD 231 Graefe Street Griffin GA 3022440749RN155767Mullis, Lisa Renee 11/9/20097901
Schrum, Forest MD 1825 Martha Berry Blvd Rome GA 3016541946RN191449Murphy, Evelyn 4/26/201310161
David Atefi, MD 1100 Northside Forsyth Dr, #200 Cumming GA 3004119029RN160381Murray, Tina Marie 9/30/20098369
Dennis Thomas, MD 3374 Greystone Way Valdosta GA 3160522898RN102687Murray, Jane W 7/1/201412520
Friday, October 17, 2014 Page 76 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Nowlin, Phillip MD 491 East Main Street Cartersville GA 3012136588RN086957Myers, Debra 2/5/201210199
Patrick Voswinkel, MD 10475 Medlock Bridge Road Duluth GA 3009742760RN086957Myers, Debra Ann 9/30/20118273
Richard Wherry, MD 59 Tipton Drive Dahlonega GA 3053317341RN086957Myers, Debra Ann 10/11/20107733
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 Willia 6/11/201311928
Aneesh Gupta, MD 455 Nathan Deal Blvd Dallas GA 3013253231RN143014Naab, Kimberly 1/30/201311150
Henry Watson, MD 3146 Chamblee‐Dunwoody Rd, Suite 103
Chamblee GA 3034125399RN143664Nagaddya, Lillian M 2/28/20102138
Ahmad Jingo, MD 3424 Flat Shoal Rd, Suite A Decatur GA 3003445842RN143664Nagaddya, Lillian M. 2/18/20149791
Julia Wilson, MD 9465 Hwy 5 Douglasville GA 3013556787RN143664Nagaddya, Lillian M. 6/19/20139110
Kirpich Joseph, MD 969 Windy Hill Rd, Ste E Smyrna GA 3000854904RN143664Nagaddya, Lillian M 3/1/20129964
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
Eman Kaldas, MD 3121 Peach Orchard Rd, Suite 103 Augusta GA 3090649579RN182324Nattier, Natasha L. 6/27/20119128
Erskine James, MD 777 Hemlock St Macon GA 3120147980RN202198Neal, Olivia Rambo 11/11/201312120
Garcia, Alberto MD 4370 Kingsway, Ste E Valdosta GA 3160254374RN190528Nelson, Stephanie 8/17/201210474
Stephen Pastan MD Emory Transplant Center, 1365 Clifton Rd #B
Atlanta GA 3032239196RN212157Nelson, Melissa Marie 8/6/20129985
Friday, October 17, 2014 Page 77 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Richard Ambrozic, MD 3321 B N. Valdosta Rd. Valdosta GA 3160243851RN190528Nelson, Stephanie 2/1/201311126
Bryan Cheever, MD 1107 Memorial Drive, Suite 200 Dalton GA 3072034120RN187338Nelson, Kristina Lynn 7/20/20108000
Timothy Ryan, MD 84 Pine Grove Road Cartersville GA 3012040220RN157237Nerestil, Sandra 2/4/20108917
Jobe, Rayna MD 1615 Ridenour Blvd, Ste 202 Kennesaw GA 3015260386RN157237Nerestil, Sandra 10/30/201210507
Eyal Ben‐Aire, MD 95 Collier Rd, Suite 5015 Atlanta GA 3030956520RN189528Nesbitt, Charkes Chaketha 6/21/20129604
Robert A. Miller, MD 35 Collier Rd, Wound/Hyperbaric Ctr Atlanta GA 3030938295RN189528Nesbitt, Charkes C. 5/20/201311348
William Michael Brown, MD
355 Tower Road, Suite 300 Marietta GA 3006021653RN189528Nesbitt, Charkes Chaketha 12/22/20105537
James Chappuis, MD 3161 Howell Mill Rd, Suite 400 Atlanta GA 3032729604RN215180Neu, Lovie Doucette 8/1/201312178
Taylor, Michelle MD 3073 Panthersville Road Decatur GA 3003460104RN132208New, Katina 7/25/201210677
Adrienne Mims, MD 477 Windsor St, Suite 309 Atlanta GA 3031233152RN146013Newton, Maureen Edythe 12/31/20139707
Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN146013Newton, Maureen Edythe 4/22/20107849
Guido H. Ring, MD 3955 Harrison Rd Loganville GA 3005245325RN216874Niazi, Abdul H. 3/15/201411636
Guido H. Ring, MD 1431 Riverside Pkwy Lawrenceville GA 3004345325RN216874Niazi, Abdul Hai 3/15/201411235
James Capo, MD 1100 Johnson Ferry Rd, #460, Bldg II Atlanta GA 3034222363RN168367Nichols, Lindsey Ann 12/15/20098290
Kevin Smith, MD KSU Hlth Clinic, 1000 Chastain Rd, Hse 52, #5200
Kennesaw GA 3014441961RN162196Nichols, Anne Yost 9/30/20092164
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN162196Nichols, Anne Yost 6/29/20128942
Stetler, Harrison MD 3957 Holcomb Bridge Rd, Ste 100 Norcross GA 3009241681RN198801Nichols, Amy 5/1/201310789
Williams, Jonathan DO 1221 E McPherson St Nashville GA 3163959237RN184239Nichols, Sandra Walker 10/24/201310407
Quinton Weldon, MD 116 W. Thigpen Ave Lakeland GA 3163556786RN184239Nichols, Sandra Walker 6/23/20149694
Garry Siegel, MD 2500 Hospital Blvd, Suite 290 Roswell GA 3007629784RN103935Nicholson, Teresa Lynn Gifford 5/15/201311702
Friday, October 17, 2014 Page 78 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Rana Chakraborty, MD 341 Ponce de Leon Ave NE Atlanta GA 3030841752RN175052Nijem, Summer Starr 5/14/20139366
Sheryl Henderson, MD 341 Ponce de Leon Avenue NE Atlatna GA 3030839818RN175052Nijem, Summer Starr 7/30/20102168
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
Cuomo, Michael MD 85 Auburn Park Drive Auburn GA 3001159397RN150406Nix‐Beddingfield, Billie 11/16/201110134
Robert Burkich, MD 11300 Atlantis Place, Suite A Alpharetta GA 3002246372RN192187Nofziger, Angel Elizabeth 5/29/201412570
Parrish, William MD 3001 Mercer University Drive Atlanta GA 303419905RN192187Nofziger, Angel 9/19/201310610
Burkich, Robert MD 171 Mt. Paran Rd Atlanta GA 3034246372RN192187Nofziger, Angel 9/10/201410609
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
Noreen Andrews, MD 2380 Buford Drive Lawrenceville GA 3004346861RN098033Norton, Carol B. 1/31/20102180
David Kunz, MD 1655‐A Lebanon Rd, Suite A Lawrenceville GA 3004329703RN098033Norton, Carol B. 7/23/20129390
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN098033Norton, Carol B. 7/21/20109161
Julia Wilson, MD 4398 Atlanta Hwy Loganville GA 3005256787RN098033Norton, Carol 6/19/201311529
Khurram Khan, MD 67490RN057688Norvell, Barbara Lynn 12/30/201312753
Edward Espinosa, DO 577 Glenridge Dr. NE, Ste E200 Atlanta GA 3032859636RN057688Norvell, Barbara 7/15/201311023
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
Friday, October 17, 2014 Page 79 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Chukwudi Amu, MD 5526 Old National Hwy, Bldg J Suite B Atlanta GA 3034926967RN113098Nwogu, Cecilia Adamma 12/1/20098233
Elam, Mark MD 800 Professional Blvd. Dalton GA 3072036147RN188468O'Connor, Diane 1/31/201410212
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
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
Christopher Stevens, MD 181 South Clayton St SW Lawrenceville GA 3004554515RN107027Ofodile, Ije E. 5/22/20092203
Radian Florea, MD 100 Gross Crescent Cir Ft. Oglethorpe GA 3074249171RN173168Oglesby, Brenda T. 3/11/20128989
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN079770O'Hara‐West, Patricia Shannon 12/31/20102206
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
Ram K. Reddy, MD 1061 Dowdy Rd., #100 & 101 Athens GA 3060624178RN122840Olds, Gretchen E. 5/22/201311571
Divina Dyer, MD 4398 Atlanta Hwy Loganville GA 3005257161RN122840Olds, Gretchen Elene 2/14/20092212
Ravikanth, Anupana MD 335 Roselane Street Marietta GA 3006048297RN073151Oliver, Kathryn 12/29/201110321
Okiki Louis, MD 5985 Peachtree Pkwy Norcross GA 3009247479RN117221Olofintuyi, Sophia Evette Yelde 4/2/20112214
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
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
Friday, October 17, 2014 Page 80 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Eric A. Deal, DO 2151 W. Spring St. Monroe GA 3065524226RN143016Olson, Sheryl A. 6/22/201411474
Ditaranto, Anthony MD 43 Hilltop Drive Jefferson GA 3054929865RN143016Olson, Sheryl 10/1/201210462
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
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
Shah, Heerian MD 196 Scoggins Drive Demorest GA 3053559016RN060259Orr, Carol 9/12/201210153
Albert Vernon Dixon, MD 76 Hunt Martin Rd, Suite A Blairsville GA 3051217570RN060259Orr, Carol Davis 3/25/20149341
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
Julian D. Sharpton, MD 11973 Augusta Rel Lavonia GA 3055317084Rn191947Outz, Mary Allison 9/18/201211268
James Harbin, MD 1525 Chattanooga Road Dalton GA 3072038507RN066880Owens, Cheryl Ann Wilson 12/19/20085288
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
Michael Litrel, MD 15 Reinhardt College Pkwy, Bldg 100, Suite 110
Canton GA 3011439623RN131956Owens, Kay Marie Williams 3/21/20082235
Steven Lenhard, MD 790 Church Street, Suite 250 Marietta GA 3006039153RN099451Pacitti, Elise Hurley 1/7/20148306
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
Thomas Self, MD 1825 Martha Berry Blvd Rome GA 3016521587RN212022Page, Jr., Douglas Lamar 12/1/201311874
Friday, October 17, 2014 Page 81 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Schock, Theodore DO 3509 Braselton Hwy, Bldg F Dacula GA 3001930882RN204629Panjwani, Ashraf 3/4/201410807
Blake, Bryan MD 3509 Braselton Hwy, Bldg F Dacula GA 3001940613RN204629Panjwani, Ashraf 3/4/201410809
Halleck, Sylvia MD 1431 Riverside Pkwy Lawrenceville GA 3004316356RN204629Panjwani, Ashraf 7/12/201210808
Supriya Mannepalli, MD 743 Spring St Gainesville GA 3050161798RN151818Parker, Curtisia Denise 4/11/201413169
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
Rodothea Milatou, MD 86 S. Cobb Dr Marietta GA 3006343713RN064159Parker, Gail Lynne 10/1/20139524
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
Tony Addington, MD 39 Kent Rd, Suite 5 Tifton GA 3179452526RN106229Parson, Carrie Lyn Denby 4/13/20122274
Vickie Mixon Brown, MD 840 West Thomas Street Milledgeville GA 3106125115RN060102Paschal, Debra Ann Brooks 7/13/20092278
Darshana Sheth, MD 2550 Windy Hill Road, Suite 309 Marietta GA 3006758642RN153266Pastorino, Cynthia Ann Mance 4/30/20128281
Warren Weber, MD 3875 Austell Road, Suite 203 Austell GA 3010626677RN153266Pastorino, Cynthia Ann Mance 6/10/20092280
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
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
Claire Willie, MD 1324 Hwy 138 S.W. Riverdale GA 3029639177RN165491Patterson, Daphne Maria 12/30/20119650
Friday, October 17, 2014 Page 82 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Bhumiben Purohit, MD 5075 P'tree Pkwy, Suite 106 Norcross GA 3009258812RN164071Patton, David Garrett 6/27/20115206
Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3006466222RN164071Patton, David 7/13/201210128
Marc Goldman, MD 1538 13th Ave, Suite B‐300 Columbus GA 3190139579RN164177Paulson, Tabatha D. 6/23/20119007
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
K. G. Kumar, MD 3207 Country Club Drive Valdosta GA 3160520562RN054555Pearce, Barbara Ann Patterson 6/1/20128677
Anna Kalynych, MD 275 Collier Rd, Suite 300 Atlanta GA 3030938527RN159135Pearce, Robin Wise 8/7/20122303
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
John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN113917Pease, Diane Susan Schroeder 8/4/20102305
James Beiter, MD PO Box 422002 Atlanta GA 3034240003RN074675Pease, Margaret Ann 9/1/20092306
Poornima Chintalapalli, MD 1610‐D E. Forsyth St Americus GA 3170961405RN074675Pease, Margaret Ann 7/5/20109080
Thomas Hurd, MD 400 Tower Road, Suite 350 Marietta GA 3006027070RN143241Peavey, Alica Ann Giljam 1/31/20112307
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
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
Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN175506Penland, Erin 6/14/201310827
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
Friday, October 17, 2014 Page 83 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Martin Michaels, MD 711 Shields Road Dalton GA 3072026157RN202321Perrel, Diana Marie 12/18/20118586
Roshni Patel, MD CHOA, 1645 Tullie Cr. Atlanta GA 3032957141RN166520Perry, Venester 2/15/201311168
Skiwski, Jason MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074264973RN134054Perry, Mitzie 3/3/201210165
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
Rowland Chigbu, MD 2202 E Oglethorpe Blvd Albany GA 3170563642RN124526Peters, Zelda Regina 10/31/201312232
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
Jennifer Lyman, MD 315 Winn Way Decatur GA 3003050039RN117123Petersen, Melissa Tucker 7/23/20108607
Gary Glasser, MD 315 Winn Way Decatur GA 3003033583RN117123Petersen, Melissa Tucker 7/23/20108604
Jennifer Aqua, MD 315 Winn Way Decatur GA 3003044882RN117123Petersen, Melissa Tucker 7/23/20108606
Lisa Mandeville‐Brown, MD 315 Winn Way Decatur GA 3003046987RN117123Petersen, Melissa Tucker 7/23/20108605
Catherine Bonk, MD 315 Winn Way Decatur GA 3003030435RN117123Petersen, Melissa Tucker 7/23/20102336
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
Mitzi Clayton, MD 211 Fairview Rd Ellenwood GA 3029461408RN175210Petty, Jeremy A. 9/1/20119629
Narayan, Nalini MD 119 Ambulance Drive Carrollton GA 3011644287RN130803Phillips, Ronda 3/17/201410319
Friday, October 17, 2014 Page 84 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Burton, Norris Kent MD 39 Kent Road, Suite 1 Tifton GA 3179431888RNRN133630
Phillips, Janna 8/3/201210106
John Mynatt, Jr, MD 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 3024841469RN169956Phillips, Shanon Renee 8/1/20138516
Roger Branch, MD 10 Doctors St Metter GA 3043930272RN184707Phillips, Monica Rae 6/13/20149972
Patrick Bowen, MD 1365 Clifton Rd NE, #A‐4 Atlanta GA 3032248982RN116540Phillips, Karen Curtis 12/1/2012706
Zia Khan, MD 2579 Hwy 54 Peachtree City GA 3026962533RN116540Phillips, Karen Curtis 5/9/201411953
Ruth Shim, MD PO Box 26238 Atlanta GA 3030355889RN088054Philson, Beverly Lynn 7/31/20148678
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
Moore, Daniel MD 790 Church Street, Ste 330 Marietta GA 3006038562RN137164Pickens, Herretta LaChell 12/13/201210730
Robinson, Todd MD 14 Cherokee Road Cedartown GA 3012540773RN186812Pickett, Angelique 10/3/201310086
Das, Santanu MD 1049 N. Houston Road Warner Robins GA 3109342560RN106291Pierce, April 6/9/201410694
Kelli Carter, MD PO Box 1197 Thompson GA 3082441529RN085698Pierson 8/1/2011885
Seymour Solodar, MD 4015 S. Cobb Dr, Suite 10 Smyrna GA 3008014956RN167855Pihera, Rebecca Anne Pride 6/24/20139557
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
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
Veronica Garrett, MD 1567 Milstead Road, Suite B Conyers GA 3001239106RN135264Pipkin, Lisa Hocker 5/19/20088143
Miguel Jimenez, MD 1676 Mulkey Road, Suite A Austell GA 3010652966RN154748Piri, Manuel 12/7/20077889
New, Tamara, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034258712RN081207Pitts, Robin Diane Harshman 7/31/20132355
Friday, October 17, 2014 Page 85 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Edward Meier, MD 2112 Shorter Avenue, Suite 200 Rome GA 3016543426RN124333Pitts, Andrea Briscoe 9/30/20088194
Mendez, Traceyan MD 215 N. Coleman Street Swainsboro GA 3040157831RN171306Plaxico, Elisha 4/6/201210288
Miller, Jeri MD 200 Industrial Blvd ER Dublin GA 31‐2130835RN171306Plaxico, Elisha 10/31/201310069
Muhammad Jamal, MD 452 Second Street Sopeton GA 3045758255RN171306Plaxico, Elisha Amy 10/31/20118767
Mullen, Thomas MD 126 Sequoyah Ringgold GA 3073639882RN149595Poe, Rachel 6/11/201310821
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
Yvonne Smith, MD 145 Standing Oak Place Fayetteville GA 3021442443RN170616Porter, Erin James 9/5/201412779
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
Scott Clark, MD 2324 Limestone Overlook Gainesville GA 3050152157RN117011Povolny, Angela Michelle 2/28/201412095
Bernerdine M. King, MD 705 Jesse Jewell Pkwy, Ste 200 Gainesville GA 3050142071RN117011Povolny, Angela M. 6/21/201311214
Niall Galloway, MD 1365‐B Clifton Rd, Suite 1400 Atlanta GA 3032231921RN092714Powell, Tracy Elaine Carr 2/14/20112384
Michael C. Pinell, MD 701 Baytree Rd., Ste A Valdosta GA 3160258102RN063932Powell, Pamela W. 9/9/201311184
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
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN106617Powell, Laura A Huff 8/1/20112377
Katharine Ammons, MD 1825 Martha Berry Blvd Rome GA 3016537744RN208590Powers, Lisa LuAnne 2/18/20119227
Friday, October 17, 2014 Page 86 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
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
Bandupriya Vidanagama, MD
80 Butler Street Atlanta GA 3030318758RN071143Prest, Lois Marie 8/26/20102393
Barnett III, Golden MD 80 Jesse Hill Jr Drive, 13th floor, Emer Dept
Atlanta GA 3030355090RN071143Prest, Lois 3/29/201310107
Patrick Haggard, MD 80 Jesse Hill Jr Dr Atlanta GA 3030349403RN071143Prest, Lois Marie 7/7/20119348
Richard G. Dukes, MD 11705 Jones Bridge Rd. Johns Creek GA 3000551875RN109974Prevosti, Linda M. 8/12/201311152
John Souza, MD PO Box 16100 Dublin GA 3104039475RN107117Price, Amber Grace 5/10/20102396
Valens Plummer, MD 3800 Princeton Lake Pkwy SW Atlanta GA 3033149496RN155811Pringle, Tawnya Lynette 7/25/20118406
Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN132591Pruitt, Shannon Daneal Ardees 10/8/20102404
Walisa Maynard, MD 4040 Hospital West Dr Austell GA 3010650658RN151379Pruitt, Barbara Lynn Senterfitt 11/1/201312026
Thomas W. Bloodworth, MD
101 Cleburne Pkwy Hiram GA 3014118124RN073134Pryor, Julie K. 1/17/201411497
Christopher Edens, MD PO Drawer 5 Griffin GA 3022442042RN102357Pryor, Anita Lynn Rigsby 1/31/20092407
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
Kristi Mulchahey, MD 2550 Windy Hill road, Suite 115 Marietta GA 3006734209RN137019Pulaski, Sandra Brubaker 6/5/20102411
Friday, October 17, 2014 Page 87 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Matthew Burrell, MD 980 Johnson Ferry Rd, Suite 900 Atlanta GA 3034217998RN137019Pulaski, Sandra Brubaker 10/20/20119514
Yap, O.W. Stephanie MD 1462 Montreal Road, Ste 403 Tucker GA 3008455044RN137019Pulaski, Sandra 6/15/201210108
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 Menapac 8/28/20098365
Courage Atekha, MD 1030 Bermuda Run Road Statesboro GA 3045849266RN167566Quattlebawn, Adrian M 5/31/201311271
Roman, Charles DO 2757 Warm Springs Road Columbus GA 3190443757RN186321Quinn‐Freeman, Lasagna 2/9/201210125
Mubbashir Khan, MD Unison Behavior Hlth, 1005 Shirley Ave.
Douglas GA 3153354327RN219574Rackley, Emmerll 2/28/201311472
Holly Crowley, MD 400 S Pinetree Blvd Thomasville GA 3179951452RN219574Rackley, Emmerll 9/19/201312862
Nassar Tehrani, MD 292 Industrial Blvd, Suite 101 Hawkinsville GA 3103653044RN104540Raduszewski, Thomas Chester 3/16/20139469
Walter Smith, MD 9020 Peridot Pkwy Stockbridge GA 3028137078RN061422Rager, Mary Jane Boll 4/15/20102424
John R. Coleman, Jr, MD 1720 Peachtree St., Ne, #200 Atlanta GA 3030948498RN216468Raines, Kendra L. 4/16/201311604
Mark Hancock, MD 163 Hospital Dr. Toccoa GA 3057767750RN176596Rainey, Tiffany 2/18/201311018
Allen Dollar, MD 49 Jessie Hill Jr Dr SE Atlanta GA 3030335244RN140212Ramasamy, Kanniammal 12/10/20109262
Nanette Wenger, MD 80 Jesse Hill Jr Dr SE Atlanta GA 303038924RN140212Ramasamy, Kanniammal 7/14/20102432
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
Angela O. Wright, MD 2467 Golden Camp Rd. Augusta GA 3090645103RN092135Ramirez, Diana L. 9/14/201311340
Thomas Whitesell, MD 2040 Dan Proctor Drive, Suite #170 St. Marys GA 3155852854RN183690Ramirez, Janice 4/30/201411147
Sara O'Heron, MD 1201 Georgian Park Peachtree City GA 3026941632RN170346Ramsey, Edwina Antoinnette 4/1/20109050
Friday, October 17, 2014 Page 88 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
John Holmes, MD 601 South 8th Street Griffin GA 3023344749RN185110Rangnow, Katie Elizabeth 6/9/20149305
Robin Lowman, MD 1255 Hwy 54 West, Emer Dept Fayetteville GA 3021462392RN185110Rangnow, Katie Elizabeth 1/12/20129453
Damon Kimes, MD 601 South 8th St, Emergency Dept Griffin GA 3022450322RN185110Rangnow, Katie Elizabeth 6/23/20108777
Albert Lintel, III, MD 824 West Avenue Cartersville GA 3012028595RN102372Rast, Jean Louise 12/31/20088315
Richard Dukes MD 235 Peachtree St Ne, North Tower #3200
Atlanta 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 Dani 8/13/20109032
Brenda Budlong, MD 304 Shorter Avenue, Suite 102 Rome GA 3016534749RN134959Ray, Trena Dawn 10/5/20102451
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN134959Ray, Trena Dawn 11/30/20108903
Charles Hitson, MD 125 North Tenth Street Griffin GA 3022326554RN085734Ray, Jeanette Wyatt 9/4/20102449
John‐Mark Miller, DO 1008 Piedmont Ave Rockmart GA 3015356857RN134959Ray, Trena Dawn 10/5/20109184
Gregory, Donna MD 321 N. Main Street, Ste A Adairsville GA 3010351227RN134959Ray, Trena 9/15/201310510
Heather Henry, MD 327 S. 9th Street Griffin GA 3022444231RN085734Ray, Jeanette Wyatt 7/1/20108726
Michael O'Grady, MD 7100 Peachtree Dunwoody Rd, Suite 100
Atlanta GA 3032841189RN213784Raytchev, Vesselin Stoyanov 11/13/201312600
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
Friday, October 17, 2014 Page 89 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN054604Redding, Evelyn Patricia O'Lear 4/15/20108695
Patrick Voswinkel, MD 10475 Medlock Bridge Rd, Suite 815 Duluth GA 3009742760RN170766Reece, J. Shannon 1/31/20108918
Jeffrey Klopper, MD 3188 Atlanta Rd SE Smyrna GA 3008026321RN102945Reed, Deborah Ann 5/16/201311954
Steven Disch, MD 2500 Hospital Blvd, Suite 310 Roswell GA 3007630989RN129274Reed, Janice Denise 9/9/20138738
Syed Rizvi, MD 1200 N. Jefferson St Albany GA 3170143754RN175387Reed, Melissa Nichole 12/14/20129501
Donna Fearing, MD 120 Stonebridge Pkwy, Suite 410 Woodstock GA 3018929447RN069681Reed, Kelly Jean 1/8/20132463
Winston, Jeffrey MD 800 Kennesaw Ave, Ste 130 Marietta GA 3006028337RN102945Reed, Deborah 9/10/201210433
James Gore, Jr., MD 1657 N. Expressway Griffin GA 3022336384RN045410Reeves, Merrilea Ward 6/27/20082467
Okiki Louis, MD 794 S. Park Street Carrollton GA 3011747479RN128880Reid, Verona Andrea 1/23/20128951
Russell Brown, MD 2001 Martin Luther King Jr Dr, # 418‐430
Atlanta GA 3031039743RN222007Reid, Maria Ayesha 9/4/201311974
Phillip Nowlin, MD 4480 South Cobb Dr SE Smyrna GA 3008036588RN128880Reid, Verona Andrea 12/1/20108913
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
Charles L. Brown, MD 275 Collier Road, Suite 500 Atlanta GA 3030928383RN149081Reis, Maureen Jacqueline 1/31/20112471
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
Friday, October 17, 2014 Page 90 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN073465Revels, Selina 9/25/201310502
Errol Graham, MD 105 E. Tollison St. Baxley GA 3151332388RN073465Revels, Selina Elizabeth Altman 12/12/20112478
Deirdre Cosby, MD PO Box 26238 Atlanta GA 3030355397RN098042Rhiver, Debra Elizabeth 7/30/20129785
Vijay Patel, MD 15 Cavender Street Newnan GA 3026335723RN16998Rhynes, Sharon C. 1/31/20088073
Todd Kelley, MD 330 Turner McCall Blvd, Suite 4000 Rome GA 3016547781RN161874Richardson, Rebecca Pearl 4/5/20108108
Freeman Montague, MD 896 Hwy 81 East McDonough GA 3025228123RN154504Richards‐Reynolds, Karen Ingri 8/13/201413377
Melanie Cooper, MD 4398 Atlanta Hwy Loganville GA 3005245753RN151213Richey, Tiffany Boleman 5/31/20137875
Bruce Goldweig, MD 1700 Hospital South Dr. Suite 102 Austell GA 3010648516RN154853Riddle, Sara Pauline 9/28/20075487
Albert Thompson, MD 1001 N. Third Street Folkston GA 3153722338RN156030Ridgeway, Sarah Suzanne 9/30/20138355
Richard Eaton, MD 1001 N. Third St Folkston GA 3153740370RN156030Ridgeway, Sarah Suzanne 9/30/20082501
Charles Jackson, MD 1506 Telfair St Dublin GA 3102114513RN049330Riggins, Gwendolyn H 11/28/20112503
Dennis O'Brien, MD 3877 Morris Ct Norcross GA 3009225893RN163734Riley, Cynthia Darlene 4/9/20129700
Richard Bunt, MD 345 Blvd NE Atlanta GA 3031246834RN163734Riley, Cynthia W 6/6/201410967
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
Charles Pugh, MD 1050 Carl Griffin Dr Savannah GA 3140919089RN144955Riner, Betty Louyul 9/15/201413037
Charles Pettus, MD 1267 W. Hwy 54, Suite 2200 Fayetteville GA 3021433675RN098573Ring, Cheri A. 3/4/20119721
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
La‐Shaun Elliot, MD 2336 Wisteria Dr, Ste 310 Snellville GA 3007868404RN116666Rittenhouse, Sharri Khay 5/30/201413445
Isaac Sved, MD 236 Johnson Ferry Road NE Suite 200 Sandy Springs GA 3032838981RN116666Rittenhouse, Sharri Khay 3/28/201412870
Friday, October 17, 2014 Page 91 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Gulshan Harjee, MD 2536 Lawrencville Hwy Decatur GA 3003326865RN185080Rivers, Tammy Lynn 8/25/201413471
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
Anand P. Jillella, MD 1120 15th Street, Suite BA‐5407 Augusta GA 3091233843RN128926Roberson, Shawn M. 9/30/201311364
Donna Van Schuyver, DO 1430 Suggs St Rossville GA 3075242754RN188172Roberts, Terry Lee 6/14/20119441
Jose Justiniano‐Ayala, MD 1430 Suggs Street Rossville GA 3074146773RN188172Roberts, Terry Lee 3/1/20139934
Gregory Teel, MD 1430 Suggs Street Rossville GA 3074139961RN188172Roberts, Terry Lee 9/30/20108420
Kevin Smith, MD 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 3014441961RN146420Robertson, Suzanne Patricia 9/30/20097851
Kathleen Gunchick, MD 1000 Chastain Rd, House 52, #5200 Kennesaw GA 3014428760RN146420Robertson, Suzanne Patricia 3/21/20118943
Edward A. Espinosa DO 5775 Glenridge Dr., NE, Ste. E200 Atlanta GA 3032859636RN 158648Robinson, Elizabeth 6/27/201311022
Swapna Madhavan, MD 260 Elm St. Cumming GA 30040‐246757098RN195029Robinson, Deena M. 6/24/201311564
Samuel Erinne, MD 1136 Cleveland Avenue, Suite 308 East Point GA 3034435622RN036342Robinson, Aileen G 3/11/20102530
Charles Sow, MD 1855 Hudson Bridge Road Stockbridge GA 3028155343RN110950Robinson, Andrea Jo Smock 3/22/20132531
Daniel Bergsagel, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034229407RN158355Robinson, Teresa Jane 11/15/20082541
Burton, Kelvin MD 8464 Adair Street Douglasville GA 3013432101RN152308Robinson, Jennifer 3/19/201210029
Mohamad El‐Attar, MD 1372 Wellbrook Circle Conyers GA 3001241286RN159456Rogers, Locianna Cheree 9/1/20108880
Nichole LeBoyd, MD 6410 W Johns Xing Fuluth GA 3009754752RN191958Rollins, Kalita Higginbotham 8/29/201413830
Edward Himot, MD 55 Whitcher St, Suite 460 Marietta GA 3006018388RN204746Rooney, Melissa Bucalan 7/31/201412694
Hugo Ribot, MD 958‐A J F Harris Pkwy, Suite 102 Cartersville GA 3012030196RN092041Roser, Ruth Miriam 7/31/20108333
Friday, October 17, 2014 Page 92 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Andrew Dott, MD 993‐D Johnson Ferry Rd, Suite 360 Atlanta GA 3034233314RN092041Roser, Ruth Miriam 3/23/20119729
Thomas Mann, MD 118 Norman Dorminy Dr Fitzgerald GA 3175037607RN102271Ross, Anita Michelle Nugent 11/2/20112572
Thopu, Anuradha 8954 Hospital Drive, Ste 100‐C Douglasville GA 3013441377RN070037Ross, Janet L. 5/12/20075450
Anedi Eme‐Akwari, MD 2293 Rome Hwy Rockmart GA 3015355671RN070037Ross, Janet Lorene 6/10/20108100
Sylvia Halleck, MD 3955 Harrison Rd, Suite 400 Loganville GA 3005216356RN078917Rossman, Sandy Davina 3/22/20102576
Braverman, Juana MD 2625 Beaver run Rd, Ste B Norcross GA 3007131536RN170185Rowell, Elizabeth 7/25/201210336
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
William Watkins, MD 235 P'tree St NE North Tower, #2100 Atlanta GA 3030332076RN085782Rowell‐Crane, Nancy Gay 9/1/20148583
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
Kidwai, Asim MD 531 Duvall Road Chatsworth GA 3070564848RN213704Rowland, Myriam 2/1/201410840
Rajiv Tejura, MD PO Box 649 Marietta GA 3009068804RN186906Rowland, Lisa E 7/18/201413009
John Pittman, MD 18 Riverbend Dr, Suite 230 Rome GA 3016137045RN186906Rowland, Lisa E. 2/4/20119086
Nitasha Burney, MD 794 S. Park St Carrollton GA 3011755931RN186906Rowland, Lisa E. 9/29/20149782
Teresa Baysden, DO 531 Duvall Rd Chatsworth GA 3070557348RN213704Rowland, Myriam Hernandez 7/20/20129957
Oscar H. Salvat, MD 357 Cargile Rd. Ocilla GA 3177449742RN077506Royal, Shirlene D. 4/10/201311533
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
A. Kenneth Fuller, MD 400 S. Pinetree Blvd Thomasville GA 3179228165RN061915Rubin, Howard 6/9/20148346
Badea, Calin MD 213 N. McDonald Street, Ste A & B Lucowici GA 3131655918RN098072Rubke, Patricia 11/1/201110060
Friday, October 17, 2014 Page 93 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Lewis Litwack, MD PO Box 554 Ludowici GA 3131661981RN098072Rubke, Patricia 8/26/20119369
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
Chrissie Clure, MD 800 E 70th St Savannah GA 3140549281RN223241Ruis‐Thompson, Margaret E 4/14/201412760
Charmaine Wilson, MD 1915 Eisenhower Dr. Savannah GA 3140668021RN223241Ruis‐Thompson, Margaret 4/14/201411599
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
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
David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN114039Sahota, Kavinder Kaur 1/31/20112606
Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN114039Sahota, Kavinder Kaur 1/31/20118409
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
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
Mike Ou, MD 1125 East Hwy 166 Bowden GA 3010853301RN141751Salter, Robert Christopher 2/20/20092609
Sean Delany, MD 631 Professional Dr Suite 360 Lawrenceville GA 3004649001RN172768Samuel, Tseday 11/19/201312872
Naresh Parikh, MD 1861 Peeler Road Dunwoody GA 3009728851RN133706Samuels, Angella Veronica 9/13/20128329
William Lynds, MD 5320 Memorial Drive Stone Mountain GA 3008333140RN133706Samuels, Angella Veronica 1/31/20098397
Marie Lightbourne, MD 2356 Lenora Church Rd. Snellville GA 3007863059RN133706Samuels, Angella V. 12/13/201311500
Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN084728Sanchez, Victoria Lawrence 9/30/20108920
Friday, October 17, 2014 Page 94 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN084728Sanchez, Victoria Lawrence 2/16/20139520
Kirk‐Conrod Hewling, MD 4250 Brownville Rd Powder Springs GA 3012757559RN084728Sanchez, Victoria Lawrence 1/25/20139383
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
William Parrish, MD 3001 Mercer Univ Dr, #206 Sheffield Atlanta GA 303419905RN185902Sanders, Amanda Arrants 10/13/201311733
Julian Hutchins, MD 4150 Washington Rd, Suite 11 Evans GA 3080918677RN063813Sanderson, Catherine S 3/11/20112618
P. Ravi Sarma, MD 1700 Tree Lane, Suite 490 Snellville GA 3007818073RN120356Sandiford, Janice Elizabeth 1/11/20139485
Donna Gregory, MD 321a North Main Street Adairsville GA 3010651227RN072580Sanford, Sally 9/15/20135493
Roshan Shrestha, MD 1968 Peachtree Rd NW, Bldg 77, 6th floor
Atlanta 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
Dustin Russell, MD 4355 Brown's Bridge Rd, Suite 1 Cumming GA 3004166541RN155152Satterfield, Aimee Ballew 3/24/201311776
Andrew Combs, MD 1430 Suggs St Rossville GA 3074169569RN228612Satterfield, Lena Marie 7/31/201412051
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
Habigaile Cribe, MD 903 East Willow Creek Lane McRae GA 3105550874RN134148Scarborough, Joy Renew 4/1/20082633
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
David Kandzari, MD 275 Collier Rd. Suite 500 Atlanta GA 3030964993RN185001Scharff, Leah Alford 1/28/201412825
Friday, October 17, 2014 Page 95 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Levy, Robyn MD 5555 Peachtree Dunwood Road, Ste 340
Atlanta GA 3034233625RN184398Schempp, Catherine 11/9/201210555
Erik Shaw, DO 2020 Peachtree Rd NW Atlanta GA 3030958012RN102451Schmeier, Laura Jean Blanchar 8/5/20118794
Darryl Kaelin, MD 2020 Peachtree Rd NW Atlanta GA 3030956729RN102451Schmeier, Laura Jean Blanchar 6/1/20118796
David Asrael, MD 2464 Roswell Road NE Marietta GA 3006251291RN102451Schmeier, Laura Jean Blanchar 5/18/20122642
Wallace Duncan, MD 2464 Roswell Road NE Marietta GA 3006241109RN102451Schmeier, Laura Jean Blanchar 5/8/20128407
Alexander Osowa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN184832Schmidt, Mirel Aline 10/24/20139509
Michael Gardner, MD 63 Jesse Hill Jr, Dr. SE 4th Fl Atlanta GA 3030356710RN133708Schnedl, Anne Marie 1/1/20085515
Sreekanth Reddy, MD 5670 P'tree Dunwoody Rd, Suite 1100 Atlanta GA 3034249476RN176656Schnitzeler, Erica Ann 12/20/20138870
Ashok Kancharla, MD 132 Franklin Spring Street Royston GA 3066248250RN204214Schultz, Lindsay 6/7/201310905
Kenneth Jones, MD 6325 Shannon Pkwy, Suite D Union City GA 3029124000RN199188Schultz, Alicia McCasland 7/24/20098316
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
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
Andrea Hill, MD 517 Great Oaks Dr, Ste 103 Monroe GA 3065551332RN179096Scott, Suzette Sharlette 8/1/201413594
Friday, October 17, 2014 Page 96 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Sadiq Sohani, MD 1413 Chattanooga Ave. Dalton GA 3072045010RN172672Scott, Zoe Marie 6/23/20085479
Stanley Smith, MD 15 Cavender Street Newnan GA 3026337696RN113833Scott, Kay Suzanne 8/6/20108422
Kay Crosby, MD 15 Cavender Street Newnan GA 3026330593RN113833Scott, Kay S. 10/1/20095434
Rami Azzouz, MD 2366 Battlefield Pkwy Ft. Oglethorpe GA 3074250126RN167868Scott, Holly Anna 7/3/20098341
David Asrael, MD 5230 Dallas Hwy Powder Springs GA 3012751291RN140254Scott, Denise 4/11/201310952
Wallace Duncan, MD 5230 Dallas Hwy Powder Springs Ga 3012741109RN140254Scott, Denise 4/11/201310951
Karin Alcantara, MD 2366 Battlefield Parkway Ft Oglethorpe GA 3074243996RN167868Scott, Holly Anna 10/1/20082658
William Kriegel, DO 3707 Largent Way Marietta GA 3006431962RN151311Scully, Carol Joy Wesley 6/15/20142665
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
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
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
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
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
Friday, October 17, 2014 Page 97 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Appel, Larry MD 4700 Waters Ave Savannah ga 3140458568RN184339Shaw McMillan, Lauren 8/2/20119998
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
Raulnina Uzzle, MD 2140 Peachtree Rd, Suite 232 Atlanta GA 3030943499RN055630Sheffield, Dian Thornton 4/30/20132690
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
Karen Wasilewski, MD 5455 Meridian Mark Rd, Suite 400 Atlanta GA 3034253203RN172913Sherrod, Amy Elizabeth 1/20/20128929
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
S. M. Abu Zaheed Hassan, MD
1220 George C. Wilson Drive Augusta GA 3090948783RN137551Shirley, Brian B. 4/1/20138638
Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN177287Shiver, Kristi Renee 1/1/20118801
Micah Tepper, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010657687RN177287Shiver, Kristi Renee 12/28/20119741
Eduard Docu, MD 1302 Drayton St Savannah GA 3140156426RN089259Shiver, Janice E 3/23/20132703
Athena Sotus‐Nawar, MD 1915 Eisenhower Dr Savannah GA 3140631512RN089259Shiver, Janice E 9/15/201412084
Henry Watson, MD 3146 Chamblee Dunwoody Rd, #103 Chamblee GA 3034125399RN075946Shoemaker, Kathryn Goles 8/12/20098493
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
Bohlke, William MD 9945 US Hwy 301 S Statesboro GA 3045837490RN196656Shropshire, Ali 4/16/201410429
Friday, October 17, 2014 Page 98 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
John Price, DO 462 Lavender Dr NW Rome GA 3016555274RN111878Shuler, Linda J. 6/1/20118886
Christopher Abbot, MD 1109 Burleyson Rd, Suite 202 Dalton GA 3072058127RN123324Shuler, Cynthia Ann 8/13/20088107
Chastain, William MD 400 Timms Rd NE Calhoun GA 3070165091RN111878Shuler, Linda 7/23/201210515
Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN111878Shuler, Linda J 1/3/201412112
Hefner, Jason MD 420 Lavender Drive Rome GA 3016161444RN111878Shuler, Linda 5/28/201310896
Ian Hamilton, Jr, MD 1109 Burleyson Road, Suite 202 Dalton GA 3072047329RN123324Shuler, Cynthia Ann 2/3/20142708
Cynthia Libert, MD 63 Pleasant Hill Rd Blairsville GA 3051259457RN107256Shuman, Sherry Gilleland 2/9/20129624
George Galloway, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054013275RN107256Shuman, Sherry Gilleland 12/1/20119294
William G. Raisig, MD 64 Call Wright Road Ellijay GA 3054055290RN107256Shuman, Sherry Gilleland 4/20/20092711
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
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
William A. Mills, MD 12192 Augusta Road Lavonia GA 3055350901RN027377Siefferman, Patricia Anne Tho 5/18/20072714
Paul Bradley, MD 340 Eisenhower Drive, Suite 1200 Savannah GA 3140630016RN077580Simmons, Eleanor Dodd Kilroy 5/1/20122720
Jeffrey Haller 104 Prominence Point Pkwy, Ste 104 Canton GA 3011455826RN188913Simmons, Pamela 2/1/201411070
Muhammad Jamal, MD 452 Second Street Soperton GA 3045758255RN069115Simmons, Carol Collins 10/31/20112719
Friday, October 17, 2014 Page 99 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
William Sightler, DO Riverbend Corr Fac ‐ 196 Laying Farm Rd
Milledgeville GA 3106134715RN115640Simon, Patricia Ann 2/15/201311094
Joseph Biuso, MD 330 Turner McCall Blvd, Suite 203 Rome GA 3016528726RN085039Simpson, Connie Lynn 2/12/20098457
Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN085039Simpson, Connie Lynn 10/1/20087730
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
Harold Katner, MD 135 Macon West Drive Macon GA 3120128021RN057867Sims, Christy Little 3/26/20132727
Bhat Mohan, MD 6507 Professional Place Riverdale GA 3027419407RN155250Sims, Lisa Nicole 9/10/20107897
Charles Hitson, MD 231 Graefe St Griffin GA 3022326554RN155250Sims, Lisa Nicole 3/2/20149455
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayetteville GA 3021437488RN153608Sims, John Winfield 5/1/20097885
Narayan, Nalini MD 119 Ambulance Drive Carrollton GA 3011644287RN176715Sims, Melanie 10/1/201310320
Chuck Clopton, MD 9020 Peridot Pkwy Stockbridge GA 3028143019RN153608Sims, John Winfield 4/15/20108681
Mitzi Rubin, MD 3939 Roswell Rd, Suite 200 Marietta GA 3006249592RN179410Sinclair, Kayon Ayton 10/27/201312367
Loy Cowart, III, MD 601 South Main Street Glennville GA 3042737979RN177668Sineath, Dana Thorneburg 6/30/20088099
Sandra Kae Bohnstengel, MD
391 South 1st Street Jesup GA 3154538692RN177668Sineath, Dana Thorneburg 3/5/20082730
Randy Warner, MD 690 Dallas Hwy, Suite 201 Villa Rica GA 3018053905RN149692Singer, Virginia Mae 10/13/20119757
Tod Bethea, MD 536 Hwy 441 South Clayton GA 3052542016RN139651Singer, Margaret Leigh 9/23/20118162
H. Paul LeBlanc, MD 109 Hospital Drive Calhoun GA 3070124012RN134406Singh, Kelli Leigh 9/15/20098235
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
William Asbury, MD 775 West Avenue, Suite A Cartersville GA 3012052139RN109487Singleton, Cynthia Lynn 2/21/20097758
Friday, October 17, 2014 Page 100 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Albert Lintel, MD 775 West Ave, Suite A Cartersville GA 3012028595RN109487Singleton, Cynthia Lynn 1/31/20138844
Jay Thomas, MD 5764 New Calhoun Hwy NE Shannon GA 3017247997RN091620Singleton, Judy Fay Keener 12/31/20109575
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
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
Micheal Gardner, MD 69 Jesse Hill Jr. Dr. SE Atlanta GA 3030356710RN103800Smillie, Anna Katharine 1/1/20085516
Michael Fortson, MD 1058 Bear Creek Blvd Hampton GA 3022835051RN192533Smith, Marjorie Jordan 8/15/20088192
Shameka McElhaney, MD 5230 Dallas Hwy SW Powder Springs GA 3012754854RN057008Smith, Janet Lynn Campbell 10/17/20092764
Andre McShan, MD 5 Barber Industrial Court Villa Rica GA 3018054869RN057008Smith, Janet Lynn Campbell 11/30/20119627
Farid Qazi, MD 207 Fairview Park Dr. Dublin GA 3102135737RN195210RN195210
Smith, Cassie H. 4/29/201311142
Pablo Balboa‐Marciack, MD
100 Hospital Court Calhoun GA 3070155409RN102046Smith, Jennifer Martinez 1/6/20139481
Fred Hood, MD 65 Old Jackson Rd McDonough GA 3025245071RN192533Smith, Marjorie Jordan 3/28/20098256
Larisa Bradford, MD 906 South Wall Street Calhoun GA 3070157050RN102046Smith, Jennifer Martinez 9/14/20098242
Johnson, Miles MD 3001 S. Cobb Dr #103 Smyrna GA 3008038817RN172144Smith, Chrystal Dawn 2/4/201410637
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN188916Smith, Jessica 1/24/201210044
Rajeshkumar Miniyar, MD 140 Three Rivers Drive Rome GA 3016151597RN192262Smith, Alicia Louise 7/31/20138639
Maruyama, Hiromi MD 222 S. Main Street Reidsville GA 3045360744RN081837Smith, Kathryn 4/20/201210286
John Demicco, MD 11700 Mercy Blvd, Plaza D, #1‐A Savannah GA 3141916855RN160488Smith, Kristina Marie 4/8/20108512
Paul Bradley, MD 315 Eisenhower Drive Savannah GA 3140630016RN160488Smith, Kristina Marie 6/11/20129089
Friday, October 17, 2014 Page 101 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Michael Rogers, MD 401 Walton Way Augusta GA 3090146482RN157400Smith, Kristine Marie 2/17/20119834
Peter Allotey, MD 2660 Montpelier Ave Macon GA 3120445693RN157400Smith, Kristine Marie 4/20/20129693
Clyde Granville Simmons, MD
907 East 18th St, Suite 400 Tifton GA 3179417301RN060915Smith, Lynne D. 6/8/20128676
Meena Shah, MD 475 Philip Blvd, Suite 100 Lawrenceville GA 3004521464RN192533Smith, Marjorie Jordan 12/25/20129217
Palmer, George MD 1012 Bermuda Run Road Statesboro GA 3045830658RN188916Smith, Jessica 9/30/201310712
Muhammad Jamal, MD 154 S. Leroy Street Metter GA 3043958255RN081837Smith, Kathryn Anne Edenfield 10/31/20112769
Hubert Smith, MD 412 Northside Dr East, Suite 200 Statesboro GA 3045818745RN118154Smith, Beverly Blige 3/20/20132750
Asit Jha, MD 1706 Alice Street Waycross GA 3150155248RN133916Smith, Mary Katherine 1/16/20102773
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
Gloria Kayfan, DO PO Box 1908 Albany GA 3170148431RN113417Smith, Daniel Joe 7/16/20109059
John Souza, MD PO Box 16100 Dublin GA 3104039475RN124380Smith, James Craig 9/6/20119153
Vicki Morgan, MD 980 Hwy 29 South Lawrenceville GA 3004525645RN178265Smith, Mary Elizabeth 8/1/20139420
Jan Mayfield, MD 49 Hosiery Mill Rd, Suite 124 Dallas GA 3015751355RN057008Smith, Janet Lynn Campbell 1/31/20118757
Beverly Hyacinth, MD 2670 Cobb Pkwy SE Smyrna GA 3008057003RN156014Smith, Amy Denise Ellsworth 1/12/2011892
Charles‐Pryce, Pamella MD 2800 Overlook Pkwy Atlanta GA 3033958155RN057008Smith, Janet 6/15/201310469
Clyde Cranville Simmons, MD
907 E. 18th Street Tifton GA 3179417301RN060915Smith, Lynne D. 4/28/20082771
Gwendolyn V. Morgan, MD 502 Sumter St., #C Montezuma GA 3106324040RN184094Smith, Jamie A. 7/25/201311550
Nandara R. Reddy, MD 4415 Front Nine Dr., #700 Cumming GA 3004155641RN192533Smith, Marjorie Jordan 1/24/201411560
Friday, October 17, 2014 Page 102 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
William Early, MD 320 Hospital Road Canton GA 3011420694RN051699Smith, Nancy Willis 6/1/20119141
Marvyn Cohen, MD 500 18th St, Suite B‐20 Columbus GA 3190111213RN128471Smith, Tara Newman 11/15/20137807
Dave Ringer, MD 803 South Main St Greensboro GA 3064230368RN059221Smith, Susan Rice 9/15/20129373
Rhodes, Melissa MD 21 Pointe North Drive Cartersville GA 3012047060RN051699Smith, Nancy 9/10/201310096
Bhumiben S. Purohit, MD 1890 Manor View Cumming GA 3004158812RN189368Smith, LaTanya 5/23/201311545
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN237608Smith, Melissa Faye 6/30/201413417
Martin, Garland MD 23 Tippins Street Baxley GA 3151347233RN038139Smith, Wanda 5/10/201210657
Curtis Sorensen, MD 100 Brookstone Center Pkwy Columbus GA 3190439947RN154964Smith, Julie Ann 8/15/20149839
Douglas LaSuer, MD 105 E. Tollison St Baxley GA 3151361474RN038139Smith, Wanda Gail Hollis 9/1/20119069
Addington, Tony MD 39 Kent Road, Ste 5 Tifton GA 3179452526RN060915Smith, Lynne 8/3/201210863
Shawn West, MD 907 E. 18th Street, Ssuite 400 Tifton GA 3179452495RN060915Smith, Lynne Elise DeBelly 6/15/20098218
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
Roger Brooksbank, MD 501 Redmond Road Rome GA 3016568120RN206506Smith‐Vaughn, Melissa 10/31/201211275
Julia Wilson, MD 3740 Cascade Rd Atlanta GA 3033156787RN073598Snider, Teresa Gale Oldham 6/19/20139046
Jonathan Parrott, MD 2501 N Patterson Street Valdosta GA 3160236246RN133811Snow, Kimberly Sheree Tucker 4/26/20098285
Daniel J. Messcher, MD Fairburn Stud Hlth Ctr/North Oak Street
Valdosta GA 3169848443RN133811Snow, Kimberly Sheree Tucker 3/21/20092797
David Warren, MD 150 Gentilly Blvd Cartersville GA 3012032492RN124381Snuggs, Barbora Cerny 11/12/20105350
Andre Lewis, MD 511 Masters Circle Dublin GA 3102140457RN191842Snyder, Tomoko 8/30/20109146
Michael Duke, MD 120 Barnet Dr Milledgeville GA 3106142041RN191842Snyder, Tomoko 1/13/20129476
Friday, October 17, 2014 Page 103 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Valens Plummer, MD 7530 Roswell Rd Atlanta GA 3035049496RN111832Soehnlein, Regina Louise 7/25/20117761
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
B. Bret Law, MD 131 E. 6th Ave Buena Vista GA 3180346879RN063963Songer, Betty Jo 7/31/20112804
Gaston Moran‐Celayes, MD 618 East Lamar St Americus GA 3170964675RN063963Songer, Betty Jo 9/6/201311937
Jacob Varghese, MD 3003 Old Alabama Road Alpharetta GA 3002256933RN124958Sostre, Maria Rosa 8/24/20128391
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
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
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
Tamara New, MD 5455 Meridian Mark Road, Ste 400 Atlanta GA 3034258712RN167104Springman, Courtney 7/31/201310780
Paul Kirshbom, MD 1405 Clifton rd Atlanta GA 3032251593RN167104Springman, Courtney Louise 7/12/20128978
Rembert Andrew Williams, MD
710 Center St, Emer Dept Columbus GA 3190128105RN162398Sprout, Amanda Marie 8/1/20139590
Linda Moore, MD 610 19th Street Columbus GA 3190155849RN162398Sprout, Amanda Marie Baldwin 12/16/20108854
Thomas Isenovski, DO 2122 Manchester Expressway Columbus GA 3190455602RN162398Sprout, Amanda Marie Baldwin 9/20/20138789
Donald H. Loebl, Jr., MD 1238D'Antignac St. Augusta GA 3090162136RN070342Spurr, Melissa M. 4/1/201311592
Friday, October 17, 2014 Page 104 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Alfred Brannen, MD 818 St. Sebastian Way Augusta GA 3090130584RN070342Spurr, Melissa Marie 9/20/20122829
Timothy Whitaker, MD 2855 Old Hwy 5, Suite 109 Blue Ridge GA 3051354697RN169872Stafford, John David 8/20/20128482
Phillip Nowlin, MD 3384 Peachtree St NE, Suite 700 Atlanta GA 3032636588RN117738Staines, Kelly Lochridge 10/26/201312339
Cynthia Brown, MD 400 Timms Road Calhoun GA 3070149876RN117738Staines, Kelly Lochridge 1/31/20122832
Ralph Marionneaux, MD 465 North Belair Road, Suite 1‐C Evans GA 3080947621RN113457Stamper, Michael Scott 9/3/20098082
James Millen, MD 465 N. Belair Rd, Suite 3‐A Evans GA 3080930834RN113457Stamper, Michael Scott 2/6/20108718
Divina Dyer, MD 3740 Cascade Road Atlanta GA 3033157161RN105323Stamps, Tracy Elaine 4/5/20102835
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
Frederick Sengstacke, II, MD
861 Holcomb Bridge Rd, Suite 200 Roswell GA 3007642937RN117053 6/7/20102840
Franklin Von Hack, MD 861 Holcomb Bridge Rd Roswell GA 3007639501RN117053 3/12/20119286
Gaston Moran‐Celayes, MD 618 Est Lamar St Americus GA 3170964675RN066998Stark, Suzanne 1/1/201412986
Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN066998Stark, Suzanne 10/1/201311935
Nagma Lott, MD 107 Main St Plains GA 3178060504RN066998Stark, Suzanne 11/30/201412382
Alluri Raju, MD 650 Alston Street Richland GA 3182522626RN066998Stark, Suzanne 4/8/20132843
Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN159717Starnes, Maureen E. 8/21/20092844
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 Floor
Atlanta GA 3030961884RN064448Steele, Katherine Long 2/10/201411755
Friday, October 17, 2014 Page 105 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Caplan, Howard MD 620 Broad Street Milledgeville GA 3106215916RN147012Steelman, Brittany 9/1/201310583
Theresa Courtney, MD 2283 Vinson Hwy Milledgeville GA 3106227043RN147012Steelman, Brittany Carnley 1/31/20123056
Theresa M. Courtney, MD Park 60, Georgia 22 Milledgeville GA 3106127043RN147012Steelman, Brittany C. 5/1/201311414
Jon Stahlman, MD 2390 Wall St Conyers GA 3001349207RN076478Stein, Christina Lynn Bisca 12/23/20132851
Olabisi Pearse, MD 2660 Satellite Blvd Duluth GA 3009649717RN124632Steinmetz, Jami Dearmon 8/23/20132853
Ahmed, Emad MD 385 Hawthorne Lane, Ste 200 Athens GA 3060645157RN191455Stell, Flora 7/25/201210781
William Stinnette, MD 1650 Honey Creek Commons Conyers GA 3001346499RN170552Stemp, Linda Denise 6/30/200410971
Vance, Luther MD 3065 South Cobb Dr, Ste B Smyrna GA 3008019354RN170552Stemp, Linda 12/31/201210831
Paul Spiegl, MD 5673 Peachtree Dunwoody Road, Suite 825
Atlanta GA 3034225045RN170552Stemp, Linda Denise 12/11/20122951
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
Paul Kirshbom, MD 1405 Clifton Rd Atlanta GA 3032251593RN160130Stephan, Karen Marie 7/12/20122856
Cesar Figueroa, MD 340 Hospital Dr Macon GA 3121732105RN101834Stephens, Tammy Lynn 8/14/201413245
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
Timothy Graves, MD 770 Walnut St Macon GA 3120126859RN101834Stephens, Tammy Lynn 6/6/201311903
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
William W. Crone, MD 3169 Holcomb Bridge Rd, Ste 760 Norcross GA 3007141540RN108425Stevens, Joy Manry 8/15/20075355
Friday, October 17, 2014 Page 106 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Lee Ann Merchen MD 1447 Harper St. Augusta GA 3091260009RN205580RN205580
Stewart, Merry Ann 5/16/201311007
Sward, Lisa Ann MD 150 Gentilly Blvd Cartersville GA 3012045639RN170096Stewart, Natalie 1/9/201410982
Amar Singh, MD 550 Redmond Rd Rome GA 3016552227RN145278Stewart, Dana Michelle 5/24/20139720
Kaveh Ehsanipoor, MD 4750 Waters Ave., Ste 452 Savannah GA 3140420309RN140664Stier, Ingrid 3/25/201311182
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
Deepti Manjal, MD 6002 Professional Pkwy Douglasville GA 3013446627RN113476Stockwell, Helen Rosemary Jac 7/6/20122874
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
Lah, James MD 1821 Clifton Rd NE, POD A Atlanta GA 3032941863RN070640Stout, Deborah 3/19/201310732
Brett Murphy‐Dawson, MD PO Box 5328 Colubus GA 3190654080RN140175Street, Wanda Lisa Monroig 4/22/20138195
Velda Givens, DO 2100 Comer Ave Columbus GA 3190646763RN140175Street, Wanda Lisa 9/10/20085492
Almon, William MD 5755 North Point Pkwy Ste 72 Alpharetta GA 3002230938RN146690Strickland, Kelleigh 8/1/201410602
Thomas Carswell, MD 2830 Clearview Place, Suite 500 Doraville GA 3034026238RN146690Strickland, Kelleigh Jean 12/1/20119522
Michelle Morgan, DO 5895 Peachtree Pkwy Norcross GA 3009251694RN146690Strickland, Kelleigh Jean 2/2/20107852
Suzanne Anderson, MD 340 Eisenhowser Drive, Bldg 1500 Savannah GA 3140657922RN111997Strickland, Carol Lynn Bland 7/11/20082884
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
Friday, October 17, 2014 Page 107 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
George Katsitadze, MD 976 Killian Hill Road, Bldg A, Suite B Lilburn GA 3004752456RN135494Stubbs, Allison Leigh 5/31/20112895
Pinell, Michael MD 340 Eisenhower Drive, Suite 910 Savannah GA 3140658102RN112208Stubbs, Rachel 6/15/201310020
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
Ronald Pirtle, MD 1015 Donald Lee Hollowell Pkwy Atlanta GA 3031813784RN192344Stump, Catherine Elizabeth 8/15/20149750
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
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
Tama Y. Fuller, MD 1100 Lake Hearn Dr., Ste 100 Atlanta GA 3034221981RN073627Sullivan, Eleanor C .Cochrane 7/15/20145530
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
Bantwal Baliga, MD 1400 Bradley Lake Blvd Columbus GA 3190456680RN197605Sullivan, Haley Patterson 10/25/201312085
Johathan R. Parrott, MD 804 Northwood Park Valdosta GA 3160236246RN127085Sumler, Todd 4/5/201311314
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
Friday, October 17, 2014 Page 108 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Frederick Merrill, III, MD 465 North Belair Rd. Evans GA 3080934664RN146794Sumner, Melissa L 9/3/20095543
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
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
Anita Rao, MD 400 Tower Rd, Suite 350 Marietta GA 3006060315RN110992Sutherland, Joanna Wilson 1/31/20112911
Hurd, Thomas MD 400 Taver Road, Ste 350 Marietta GA 3006027070RN110992Sutherland, Joanna 6/28/202210457
Anne Todd, MD 526 Maddox Dr, Suite 101 Ellijay GA 3054051395RN035712Sutton, Beverly Lorraine Head 5/30/20132913
Thomas Mullen, MD 205 Roadrunner Blvd Lafayette GA 3072839882RN232965Sweitzer, Dana Michelle 2/26/201412656
Marcia Williams, MD 6000 J F Harris Pkwy, Ste C Adairsville GA 3010334985RN116714Swiger, Nicole Belcher 7/1/20102921
Hope McDaniel, MD 6000 Joe Frank Harris Pkwy, Suite C Adairsville GA 3010359287RN116714Swiger, Nicole Belcher 8/6/20109051
John Sladky, MD 2015 Uppergate Drive Atlanta GA 3032241219RN147478Swint, Charlotte Elizabeth 5/26/20092922
Nicolas Krawiecki, MD 2015 Uppergate Drive Atlanta GA 3032222804RN147478Swint, Charlotte Elizabeth 2/21/20138585
Lanier, John MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032828809RN175586Sybert, Jules 4/17/201210615
O'Grady, Michael MD 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 3032841189RN175586Sybert, Jules 9/4/201210486
Gavrikov, Vitaliy MD 7100 Peachtree Dunwoody Road, ste 100
Atlanta GA 3032861430RN175586Sybert, Jules 9/4/201210803
Edgar Kenton, MD 550 Peachtree St, Suite 3343 Atlanta GA 3030858531RN175586Sybert, Jules C. 11/11/20119490
Gloria Kayfan, DO PO Box 1908 Albany GA 3170748431RN081905Sykes, Mary Elizabeth Werne 8/1/20109142
Linda Hudson, MD 2734 Ledo Rd, #15 Albany GA 3170747771RN081905Sykes, Mary Elizabeth Werne 3/11/20139416
David L. Brand, MD 208 North Cuthbert St. Colquitt GA 3983746045RN081905Sykes, Mary Elizabeth Werne 3/1/20082923
Friday, October 17, 2014 Page 109 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Richard Dukes, MD 235 Peachtree St NE, North Tower, #2100
Atlanta GA 3030351875RN184836Sykes, Brandy M. 5/1/20149518
Martha Schuh, MD 1275 Hwy 54 West, Suite 200 Fayettevill GA 3021437488RN176079Szczepanski, Crystal Renee 12/2/20098436
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 Dec 11/30/201311807
Roberts, Marcus MD 1909 Highway 82 West, Ste 5 Tifton GA 3179335986RN169794Taylor, Crystal 10/17/201210758
Sandra Diehl, MD 709 Canton Road, Suite 200 Marietta GA 3006031237RN155989Taylor, Jean Osowiecki 12/23/20118163
Prakash Desai, MD 1664 Mulkey Road Austell GA 3010618482RN145142Taylor, Delisha Brantley 11/1/20102931
Krishna Eechampati, MD 2985 George Busbee Pkwy, NW Kennesaw GA 3014443994RN145142Taylor, Delisha B. 1/25/201311203
Hewling, Kirk‐Conrod MD 4250 Brownsville Road Powder Springs GA 3012757559RN219174Taylor, Gina 4/22/201310788
Plummer, Valens MD 7530 Roswell Road Atlanta GA 3035049496RN172042Tchaya, Sylvie 5/1/201310098
Walter Metcalfe, MD Take Care Clinic, 7530 Roswell Rd Atlanta GA 3035058544RN172042Tchaya, Sylvie V 9/10/201312068
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
Susan Palac, MD 1365 Clifton Rd NE, Suite A‐3400 Atlanta GA 3032260954RN105822Teagarden, Diane Leigh Agosti 8/8/20118499
Ronald Forehand, MD University Health Ctr, 370 River Road Athens GA 3060222760RN117547Teasley, Christa Clare Tumblest 9/6/20132948
Sandra Kopacz, MD 1303 Hwy 215 Vienna GA 3109232179RN045228Tedder, Cathy M 10/8/20102949
Lionel Meadows, MD 121 N. Big A Road Toccoa GA 3057745550RN128774Teffault, April Lynn 7/24/20112950
Friday, October 17, 2014 Page 110 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Anurag K. Kumbham, MD 298 US Highway 520 Cusseta GA 3182558690RN223698Tenebruso, Lillian E. 2/4/201311281
Nagma Lott, MD 107 Main St Plains GA 3178060504RN223698Tenebruso, Lillian E 5/25/201311691
David Erwunife, MDRN171345Terrell, Karen J. 4/26/201311312
Sightler, William DO 195 N. Broad Street Alamo GA 3041134715RN171345Terrell, Karen 5/4/201210455
Nurrallah Esmail, MD PO Box 650, Medical Dept Nicholls GA 3155435623RN171345Terrell, Karen Jean 12/14/20119669
Fremont P. Wirth, MD 4 East Jackson Blvd. Savannah GA 3140516449RN122730Thames, Linda A. 2/28/201411197
Keith Kirby, MD 8 Wheeler Street Savannah GA 3140540438RN122730Thames, Linda Ann 9/15/20128072
Haley, Donna MD 100 Medical Lane, Ste 1 Canton GA 3011440916RN174649Thibault, Paula 7/26/201210630
Allen Randle Beecham, DO 2000 Village Professional Dr., #200 Canton GA 3011425102RN174649Thibault, Paula S. 5/25/201411381
Hany Elia, MD 3421 Mike Padgett Hwy Augusta GA 3090630055RN082980Thisell, Susan K. 1/4/20108837
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
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
Budell, John MD 2175 Northlake Pkwy, Ste 142 Tucker GA 3008417369RN177250Thomas, Jency 12/14/201210028
Cacia Soares‐Welch, MD 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 3050155704RN192999Thomas, Hyacinth 1/31/20119421
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'Amic 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
Friday, October 17, 2014 Page 111 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Gabram, Sheryl MD 69 Jesse Hill Jr Dr SE, Ste 303 Atlanta GA 3030356834RN053639Thomas, Carol 6/25/201410399
Kirk‐Conrod Hewling, MD 4250 Brownsville Rd Powder Springs GA 3012757559RN133666Thomas, Barbara Ann 5/30/20119328
Deronda Person, MD 3208 Alcovy Club Ct. Dacula GA 3001950079RN133666Thomas, Barbara Ann 9/30/20108921
Mian, Haroon MD 3600 Dallas Hwy SW Marietta GA 3600466222RN133666Thomas, Barbara 7/13/201210130
Mona Massoud, MD 526 West Broad Ave Albany GA 3170570479RN149165Thomas, Tawenna Tajuanda 5/16/201413006
Susan Queen, MD 3000 Schatulga Rd Columbus GA 3190723496RN233993Thomas, Rachel Lee 9/19/201312480
Richard Dent, MD 310 Eisenhower Dr, Bldg #5 savannah GA 3140617RN159396Thompson, Kristan Anne 11/9/20098540
Randal Sugerman, MD 1339 Gray Hwy Macon GA 3121136465RN139742Thompson, Andrea Lucckino 12/1/201311971
Maurice Clifton, MD MSC Health Clinic ‐ 100 College Station Dr
Macon GA 3120661053RN120888Thompson, Darrel Winifred 11/21/20102977
David Van, MD 747 South Hill Street Griffin GA 3022429545RN142971Thompson, Jennifer Smith 4/1/20108271
Lance Wiist, MD 761 Old Norcross Road Lawrenceville GA 3004533754RN164801Thompson, Jill Marie Antisell 11/5/20095374
Michlene Broadney, MD 11 Upper Riverdale Rd SW Riverdale GA 3027455207RN067048Thompson, Charlotte Allen 3/31/20115373
Joan Harden, MD 1862 Candler Road Decatur GA 3003248640RN153018Thompson, Johnetta 1/1/20107883
Ifeoma Nnaji, MD 247 Union Point St Lexington GA 3064863931RN067355Thompson, Colette A Kowalski 10/20/20112976
Poornima Chintalapalli, MD 1610‐D East Forsyth St Americus GA 3170961405RN170568Thompson, Natalie Nicole 7/29/20119660
William Kitchens, MD 1348 Walton Way Ste 5700 Augusta GA 3091013222RN093591Thompson, Patricia 7/1/201210255
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
Mian, Haroon MD 970 Joe Frank Harris Pkwy SE Cartersville GA 3012066222RN153018Thompson, Johnetta 7/13/201210129
Friday, October 17, 2014 Page 112 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Teresa Baysden, DO 2001 Antioch Rd Dalton GA 3072157348RN070005Thompson, Brenda Meadows 2/4/20102975
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
M. Vinayak Kamath, MD 1350 Walton Way Augusta GA 3091023371RN093591Thompson, Patricia Ann 10/1/20119170
James Drury, MD 401 Old Albany Road Thomasville GA 3179248891RN077718Thompson, James Arthur 4/16/20142980
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
Mark P. Elam, MD 9702 Chestnut Hill Lane Chattanooga TN 3742136147RN174775Thrasher, MaryAnn M. 1/31/201411243
Vimala Nair, MD 100 Lacy St, Suite 150 Marietta GA 3006018058RN174775Thrasher, Mary Aqnn Moulder 5/11/20129036
Walter Lonergan, MD 59 Hospital Road Newnan GA 3026327401RN082194Thrower, Eileen Joyce Barry 8/31/20115376
S. Joe Vaughn, MD 304 Turner McCall Blvd Rome GA 3016546000RN106991Tillery, Traci Myrick 7/5/201311664
Ann Ward, MD 304 Turner McCall Blvd Rome GA 3016523242RN106991Tillery, Traci Myrick 10/1/20087755
Todd, Anne MD 772 Maddox Drive, Ste 122 Ellijay GA 3054051395RN202115Timmins, Christopher 5/31/201310825
William Raisig, MD 64 Call‐Wright Road Ellijay GA 3054055290RN202115Timmins, Christopher Louis 11/14/20098535
Allen Hoffman, MD 790 Church St., Suite 250 Marietta GA 3006024822RN079447Tinsley, Pamela Ruth Dorris 9/28/20083001
Matthews, Barbara MD 2000 N. Monroe Street Albany GA 3170146169RN121032Tinson, Aretha 7/31/201310294
Reddy, Ram MD 132 Franklin Springs Street Royston GA 3066224178RN175489Tolbert, Gentry 6/1/201210032
Manuel Martinez, MD 1915 Eisenhower Drive Savannah GA 3140624757RN213583Tolbert, Shaun 4/11/20129925
Miles Johnson, MD 3001 South Cobb Drive, Suite 103 Smyrna GA 3008038817RN109522Tolbert, Tameka Ransom 2/4/20143004
Friday, October 17, 2014 Page 113 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Brown, Deronda MD 109 Minus Avenue, Ste C‐10 Garden City GA 3140850079RN178993Toler, Jimmie 3/6/201310599
Wanna, Fady MD 688 Walnut Street, Ste 200 Macon GA 3120143813RN175216Tomberlin, Tara 3/17/201410792
Timothy Graves, MD 770 Walnut Street Macon GA 3120126859RN113445Toole, Ronda Speir 11/29/20103011
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
Shelley Samuel, MD 148 East Peacock St Cochran GA 3101457248RN131277Trawick, Carmen Glen Campbel 6/29/201311936
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
Nicole Franks, MD 550 Peachtree Street Atlanta GA 3030849691RN160044Trotta, Cynthia L. 5/1/20123023
George Hall, MD 1050 Carl Griffen Dr Savannah GA 3140555669RN212011Truelove, Eddie Jean Eckford 8/28/201413705
Frank Pechal, MD 1915 Eisenhower Dr. Savannah GA 3140626616RN212011Truelove, Eddie 4/26/201413231
Quinton Weldon, MD 1212 East Union Street Vienna GA 3109256786RN084787Trussell, Sharl Ann McGee 9/1/20083024
Kaufman, Robert MD 550 Peachtree St NE #170 Atlanta GA 3030831150RN193447Tucker, Ramie 4/23/201210622
Bruce Ribner, MD 1364 Clifton Rd Atlanta GA 3032249086RN116109Tucker, Rosebud H. 2/29/20129205
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
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
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN101998Turk, Pamela Diane Kight 5/1/20123033
Alan Weinberg, MD 450 Winn Way Decatur GA 3003035785RN040276Turner, Jennifer A. 8/30/20098263
Friday, October 17, 2014 Page 114 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Jobe, Rayna MD 172 Carriage Trace Marietta GA 300860386RN123210Turner, Watonna 11/1/201210787
Matthew Lyon, MD 4471 Washington Road Evans GA 3080950972RN079807Turner, Saundra Lee 8/1/20113038
Rayna Jobe, MD 1425 Market Blvd Roswell GA 3007660386RN150217Turner, Martricia 8/30/20118953
Robert Miller, MD 105 Collier Rd NW, Suite 3010 Atlanta GA 3030935295RN054880Turner, Judith Ann Herndon 12/11/20133037
Michelle Morgan, DO 5230 Dallas Hwy Powder Springs GA 3012751694RN123210Turner, Watonna Lynn 5/7/20103041
John H Smith, II, MD 550 P'tree St NE, Ste 1810 Atlanta GA 3030848940RN155163Turner, Ashli Brook 2/28/20087895
Fidias DeLeon, MD 6935 S. Sweetwater Rd Lithia Springs GA 3012263891RN150217Turner, Martricia 1/31/20119169
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
Afolake Mobolaji, MD 5604 Wendy Bagwell Pkwy, Suite 611 Hiram GA 3014164805RN220844Uba, Sabo 3/31/201412015
Melanie Cooper, MD 2990 Five Forks Trickum Rd SW Lawrenceville GA 3004445753RN137261Ukani, Hafiza Aziz 5/17/20137826
Loy Cowart, III, MD 8816 Hwy 301 North Claxton GA 3041737979RN168120Upchurch, Linda Anne Liles 6/15/20098272
Kevin Ault, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030356403RN184301Ura, Chiemi Amanda 12/13/20128758
Rony Adam, MD 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 3030339992RN184301Ura, Chiemi Amanda 8/7/20098425
Luke, Claude MD 3015 Veterans Parkway Moultrie GA 3178822247RN167457Usher, Madeline 4/29/201310375
Martha Millan‐Sanchez, MD
3015 Veterans Pkwy Moultrie GA 3178866223RN167457Usher, Madeline Mary 4/30/201412677
Henry Eugenio, MD 3015 Veterans Pkwy Moultrie GA 3177632379RN167457Usher, Madeline Mary 11/21/20113058
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
Friday, October 17, 2014 Page 115 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
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
Aneesh Gupta, MD 51 N. Morningside Dr. Cartersville GA 3012153231RN188240Van Dellen, Stephanie 1/30/201311149
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
Hott, Brenda MD 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 3034241441RN169364Varghese, Susan 10/31/201310458
John O'Connell, MD 5673 Peachtree Dunwoody Rd NE, #650
Atlanta GA 3034262266RN169364Varghese, Susan 1/10/20129906
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN224930Varnum, Allison Renee 2/1/201411860
Amar Patel, MD 55 Whitcher St, Suite 350 Marietta GA 3006052803RN155488Vaughan, Emily Regina Gwinn 11/15/201311910
Babatunde Onasanya, MD 605 Beaver Ruin Rd, Suite B Lilburn GA 3004750983RN172992Vaz, Denise Sophia 4/30/20103075
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
Calvin Reams, MD 951 South Broad St Thomasville GA 3179219585RN168259Voyles, Bonny Sue Wood 1/1/20118836
Sanders, Charles MD 951 South Broad Street Thomasville GA 3179229087RN168259Voyles, Bonny 1/10/201410401
H Verdain Barnes, MD 2000 North Monroe St Albany GA 3170112029RN168259Voyles, Bonny Sue Wood 7/29/201412827
Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN135333Vreeland, Christopher Allen 3/1/20108443
Friday, October 17, 2014 Page 116 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Donald Keith West, MD 823 Campbell Hill Street Marietta GA 3006032323RN135333Vreeland, Christopher Allen 11/1/20073085
Eubanks, Amy MD 101 Quartz Drive, Ste 201 Villa Rica GA 3018052922RN173494Wadley, Felicia 10/19/201310332
Donald Kern, MD 15151 Alcovy Rd NE Covington GA 3001467068RN063518Waggoner, Lynda Lee 5/4/201311006
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
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
Jonathan Ehrlich, MD 993‐D Johnson Ferry Road, Suite 360 Atlanta GA 3034215580RN194802Wahab, Maybel Josephine 1/31/20118169
Eric Davis, MD 100 S Madison St Thomasville GA 3179263648RN141132Walker, Benjamin James 10/21/201312471
William Hammond, MD 200 Perry House Road Fitzgerald GA 3175019166RN141132Walker, Benjamin James 5/1/20123096
Ralph Warnock, MD 4080 McGinnis Ferry Rd, #804 Alpharetta GA 3000517337RN129698Walker, Jennifer Joiner 6/15/201411902
Reddy, Ram MD 1061 Dowdy Road, Sts 100 & 101 Athens GA 3060624178RN091762Walker, Regina 11/30/201210229
Gatewood (Tolliver), Cheryl MD
2941‐D N. Ashley St, Ste D Valdosta GA 3160253040RN141132Walker, Benjamin 4/23/201210551
Sujatha Hariharan, MD 1700 Hospital South Dr, Suite 300 Austell GA 3010657635RN170353Walker, Melissa D. 3/7/20119232
Ditaranto, Anthony MD 1629 10th Ave, Ste B Columbus GA 3190129865RN129698Walker, Jennifer Joiner 7/11/20133099
Michael Hamm, DO 410 Darling Ave, Emergency Dept Waycross GA 3150149021RN141132Walker, Benjamin James 9/28/20119031
Parrott, Jonathan MD 804 Northwood Park Valdosta GA 3160236246RN141132Walker, Benjamin James 9/7/201210560
Jared Griffis, MD 1199 Prince Ave Athens GA 3060657469RN198482Wall, Kelly Elizabeth 9/6/201412634
Miller, Debra MD 148 Bill Carruth Pkwy, Ste 260 Hiram GA 3014141898RN134321Wall, Donna 7/31/201310886
Ravinder Reddy, MD 150 Gentilly Blvd Cartersville GA 3012063435RN134321Wall, Donna Van Bladel 9/30/20108877
Friday, October 17, 2014 Page 117 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
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
Leaderman, Adam MD 5673 Peachtree Dunwoody Road, Ste 775
Atlanta Ga 3034229709RN140799Walsh, Laurie 3/3/201410266
Rosenthal, Dinna MD 4181 Hospital Drive, Ste 202 Covington GA 3001449252RN166086Walter, Julie 1/30/201410795
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
Stephanie Gordon, MD 2750 Owens Dr, Suite A Conyers GA 3009449382RN203584Wandurraga, Megan Mewborn 6/30/20139808
Alison Krause, MD 4040 Hospital West Drive Austell GA 3010640443RN187265Wansky, Michelle Stella 4/1/20107998
Rutherford, Robin MD 1365 Clifton Road Ste 1200 Atlanta GA 3032254926RN109597Ward, Angela 7/25/201210402
Janet Fason, DO Take Care, 2464 Roswell Rd Marietta GA 3006248773RN130649Ward, Antoinette Felicia 11/1/201311724
Weldon, Quinton MD PO Box 904 Americus GA 3170956786RN148845Ward, Sandra 8/31/201210852
Charles Roman, DO 2737 Warm Springs Rd, Suites B&C Columbus GA 3190443757RN142278Ware, Altheia Bass 8/26/20119617
Jibike Adegbile, MD 7196 North Lake Drive, Suite B Columbus GA 3190948967RN142278Ware, Altheia Bass 4/2/20098374
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN142278Ware, Altheia Bass 12/31/20109102
Christopher Stevens, MD 3600 Sandy Plains Road Marietta GA 3006654515RN131361Warner, Mamron Hyndman 7/14/20127814
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
Husham Mishu, MD 285 Boulevard NE, Suite 345 Atlanta GA 3031240740RN057926Watson, Margaret E. 1/19/20139120
Friday, October 17, 2014 Page 118 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Peter Holliday, III, MD 420 Charter Blvd, Ste 402 Macon GA 3121026557RN201031Watson, James 8/6/201210713
Christopher Stevens, MD 2988 Shallowford Rd Marietta GA 3006654515RN087567Watson, Donna M. H. 4/10/201311172
Avril Beckford, MD 1810 Mulkey Rd, Suite 201 Austell GA 3010635814RN152146Watson, Holly Leo 8/31/20109149
Edward McDonald, MD PO Box 908851 Gainesville GA 3050141890RN057926Watson, Margaret E. 12/18/20093140
Estep, Dennis MD 2366 Battlefield Parkway Ft. Oglethorpe GA 3074225429RN142322Watters, Jana 4/6/201310850
Ricardo Riesco, MD 711 Shields Road Dalton GA 3072044069RN142322Watters, Jana Gayle Smith 6/22/20108452
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
William Kriegel, DO 3405 SW Dallas Hwy, Suite 505 Marietta GA 3006431962RN107484Watts, Cindi Michele Still 2/20/20119075
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
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
Kent Plowman, MD 987 St. Sebastian Way, Suite 1509 Augusta GA 3091217872RN126204Way, Peter Joseph 8/20/20103145
H. Philip Morris, Jr, MD 1010 Prince Ave, Suite 117 Athens GA 3060630353RN117742Weaver, Gail Marner 7/31/20119641
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
Barker, Lucretia MD 1112 Plaza Avenue Eastman GA 3102342013RN118538Webb, Valarie 4/27/201210412
Bradley Moore, MD 9 Dunwoody Park, Suite 108 Dunwoody GA 3033851691RN081776Webster, Carol Anne 2/7/20118652
Friday, October 17, 2014 Page 119 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Samantha Anderson, MD 9 Dunwoody Park, Suite 108 Atlanta GA 3033849158RN081776Webster, Carol Anne 2/7/20115396
John Coleman, MD 1720 Peachtree St, Suite 200 Atlanta GA 3030948498RN155393Weeks, Keela Kathleen 9/10/20107898
Laura Beaty, MD 755 Mt Vernon Hwy, # 120 & 220 Atlanta GA 3032845168RN110633Weizel, Pamela 7/25/20139777
Melody Palmore, MD 341 Ponce de Leon Avenue NE Atlanta GA 3030833679RN110633Weizel, Pamela 11/5/20113162
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
Matthew Goldstein, MD PO Box 587 Snellville GA 3007848115RN135621Wells, Stephanie Marie 12/31/20108905
James Thomsen, MD 5455 Meridian Mark Rd, Suite 130 Atlanta GA 3034234485RN202727Wenger, Molly Jo 7/1/20108725
Maged Abdelmalik, MD 36261 N Okefenokee Dr Folkston GA 3153755077RN213041West, Amanda Lee 9/1/201411898
Thompson, Albert MD 2383 Third Street Folkston GA 3153722338RN213041West, Amanda 9/1/201410034
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
Jagdeep Singh, MD 118 E. Girard Ave, Suite 104 Cedartown GA 3012559761RN088614Wetherington, Karen Joy 12/29/20129147
Earl Grubbs, MD PO Box 587 Snellville GA 3007832742RN188449Whaley, Janet Lorraine 7/1/20128010
Perlaky, Steven MD 100 Gross Crescent Circle Ft. Oglethorpe GA 3074241639RN037416Wheeler, Cheryl 7/1/201210404
Atkins, Christopher MD 1266 Highway 515 South, Emergency Dept
Jasper GA 3014345708RN037416Wheeler, Cheryl 4/9/201310431
William Parrish, MD 3001 Mercer Univ Dr, Sheffield Bldg #206
Atlanta GA 303419905RN066854Wheeler‐Ikuesan, Luella Corine 9/28/20113188
Friday, October 17, 2014 Page 120 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Elliott Raizes, MD 3075 Breckinridge Blvd, Suite 415 Duluth GA 3009624478RN134199Whidby, Deborah Anne 9/10/20093189
James Criner, MD 2779 Cobb Pkwy SW Kennesaw GA 3015254179RN109746White, Rhonda D. 1/13/20148732
Karen Bullington, MD 3750 Palladian Village Drive, Suite 300 Marietta GA 3006655930RN109746White, Rhonda D 3/17/20093198
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN052900White, Della Denise Pittman 5/15/20123191
Teresa Clark, MD 35 Collier Rd NW, Suite 500 Atlanta GA 3030920417RN221863White, Dianna Lynn 8/10/201411207
Akinwole A. Awujo, MD 3840 Redwine Rd., Ste 100 Atlanta GA 3033148204RN221863White, Dianna L. 5/22/201311336
Charles V. Clopton, Jr., MD 195 Fairview Rd. Ellenwood GA 3029443019RN221863White, Dianna L. 5/22/201311335
Phuong‐Lynh Ta, MD 1107 Memorial Drive, Suite 300 Dalton GA 3072050447RN058514Whitehead, Joanne Marion Tru 6/29/20093200
Bridgett Bailey, DO PO Box 365 Tennille GA 3108958390RN117082Whitten, Shannon Elizabeth 12/15/20103205
Crystal Owens, MD 144 East Main St Irwinton GA 3104248854RN117082Whitten, Shannon Elizabeth 1/17/20139607
Melanie Cooper, MD 181 South Clayton St SW Lawrenceville GA 3004545753RN129474Whitten, Sarah Ann 2/27/20103204
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
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
Donna Haley, MD 100 Medical Lane, Suite 1 & 2 Canton GA 3011440916RN165632Wildermuth, Megan Marie 6/30/20115469
L. Steven Lowman, MD 1230 Baxter Street Athens GA 3060637856RN165632Wildermuth, Megan Marie 1/31/20098327
Lawrence Powell, MD 9465 Hwy 5 Douglasville GA 3013538915RN043510Wilkerson, Evelyn P 11/14/20113223
Prasad, Vijitha MD 544 West Church Street Swainsboro GA 3040140520RN164167Wilkes, Erin 6/22/201210546
Israel Bryson, MD 2251 W. Elm St Wrightsville GA 3109654797RN164167Wilkes, Erin Ashley 1/31/20129367
Friday, October 17, 2014 Page 121 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Alexander Osawa, MD 3331 Hamilton Mill Rd, Suite 1102 Buford GA 3051957551RN191033Wilkey, Sheila R. 10/28/20139500
Hai Trinh, MD 2118 Scenic Hwy, Suites H & I Snellville GA 3007855991RN149632Willard, Brandi Hartman 2/14/20129756
Jamie Rich, MD 58 Big A Road Toccoa GA 3057753547RN190879Willard, Sonya L 5/31/20129930
Raja Ram, MD 475 Philip Blvd, Susite 100 Lawrenceville GA 3004638922RN149632Willard, Brandi Hartman 2/1/20119558
Andrew Mecca, MD 5612 Whitesville Rd Columbus GA 3190436574RN149632Willard, Brandi Hartman 3/1/20119246
Mecca, Andrew MD 5612 Whitesville Road Columbus GA 3190436574RN149632Willard, Brandi 2/21/201310036
Norvin Ona, DO 885 Buford Drive Lawrenceville GA 3004337634RN149632Willard, Brandi 11/29/201210907
Moreno, Jorge MD 1631 Hwy 20 W McDonough GA 3025346792RN149632Willard, Brandi 3/16/201210430
Scott A. Sheldon, MD 396 Historic Hwy, 441 N Demorest GA 3053557842RN146039Williams, Tammy Ellene 6/7/20073253
Julia Wilson, MD 794 S. Park Street Carrollton GA 3011756787RN150777Williams, Natasha Renee 6/19/20138952
Carlos Zayas‐Montalvo, MD 1968 Peachtree Rd., NW 5th Fl Bldg 77 Atlanta GA 3030936668RN056087Williams, Sandra Jean 6/8/20113248
Frank Steele, Jr, MD 50 Kelly Road McDounough GA 3025329378RN150777Williams, Natasha Renee 1/1/20108762
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
David M. Nussbaum, DO 712 N. 7th Street Cordele GA 3101567697RN102733Williams, Mary Lynn 9/25/201311368
Elizabeth Killebrew, MD 11 Upper Riverdale Rd SW, Bdg 29, #230
Riverdale GA 3027429898RN163873Williams, Shirley Marie 3/31/20113252
Clarence T. Alford, MD 303 Smith Street LaGrange GA 3024044619RN036755Williams, Mary Katherine 7/27/20105449
Newby, Frank MD 1506 Broadrick Drive Dalton GA 3071038314RN066681Williams, Betty Lynn Phillips 8/31/20123226
Fernando Neuman, MD 602 East 16th Ave, Suite B Cordele GA 3101554640RN102733Williams, Mary Lynn 11/11/20119405
Friday, October 17, 2014 Page 122 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Joseph Hand, MD 1002‐B Downing Musgrove Hwy Glennville GA 3042749984RN147732Williams, Greg Lee 3/18/20108898
Ram Reddy, MD 132 Franklin Spring Street Royston GA 3066224178RN097616Williams, Marilyn Butler 7/1/20113244
Kerins, Craig MD 1521 Anthony Road Augusta GA 30904‐079921170rn103047Williams, Lovoria 7/25/201210039
Gail Matthews, MD 9465 Hwy 5 Douglasville GA 3013552182RN120648Williams, Lillian Odeal 4/19/20123239
Heather Henry, MD 101 Devant Street, Suite 903 Fayetteville GA 3021444231RN125883Williams, Janet Elizabeth 10/21/20108210
Christian Ohagwu, MD 101 Devant Street, Suite 903 Fayetteville GA 3021439888RN125883Williams, Janet Elizabeth 3/3/20088145
Robert Warner, MD 1700 Hospital South Dr, Suite 302 Austell GA 3010628099RN140322Williams, Inger Ferguson 1/14/20117830
John DuPre, MD 327 South 9th Street Griffin GA 3022431590RN125883Williams, Janet Elizabeth 2/25/20118530
Martin, Garland MD 23 Tipping Street Baxley GA 3151347233RN147732Williams, Greg 1/1/201210043
Vladescu, D. Sorin MD 36671 Highway 23 Cobbtown GA 3042066098RN072778Williamson, Ronda 10/23/201310390
Frank Cook, MD PO Box 765 Ludowici GA 3131618125RN058876Williamson, Susan Holt 3/18/20143257
David Ferner, MD 901 E. 18th Street Tifton GA 3179354877RN151609Willis, Micah Aaron 3/18/20138137
Mark Tanner, MD 1935 Howell Mill Rd Atlanta GA 3031825677RN106630Wilson, Hermeyone Theodora 2/13/20098215
Nadia Cameron, MD 212 Edgewood Ave Atlanta GA 3030353982RN193733Wilson, Joy Stanetrice 2/18/201311949
Denise Crawley, MD 1025 North Main Street Cedartown GA 3012541766RN045387Wilson, Susan B. 11/15/20108231
Lee Ann Howell, MD 1025 North Main St Cedartown GA 3012560183RN045387Wilson, Susan B. 5/10/20119525
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
Julaine Cross, MD 1025 North Main St Cedartown GA 3012556037RN045387Wilson, Susan 2/18/20149895
Jafar Tabatabai, MD 212 Edgewood Ave NE Atlanta GA 3030314868RN106630Wilson, Hermeyone Theodora 1/31/20129780
Friday, October 17, 2014 Page 123 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Kimberly Green, DO 3370 Sugarloaf Pkwy, Suite G‐7 Lawrenceville GA 3004458478RN193733Wilson, Joy Stanetrice 7/1/201312266
Karla Dunbar, MD 9020 Peridot Pkwy Stockbridge GA 3028147589RN193733Wilson, Joy Stanetrice 4/15/20108673
Mohamed Kassem, MD 3580 Cameron Parkway Stockbridge GA 3028140934RN137772Wimberly, Yvane Margaret 7/9/20093275
Faiz Rahman MD 404 Savannah Avenue Statesboro GA 3045863433RN216845Winn, Kathryn 6/1/201310012
Faiz Rahman, MD 404 Savannah Ave Statesboro GA 3045863433RN152637Winnette, Gina Frances 12/31/20129643
Hiromi Maruyama, MD 222 South Main St Reidsville GA 3045360744RN152637Winnette, Gina Frances 12/30/20109250
Traceyan Mendez, MD 215 North Coleman St Swainsboro GA 3040157831RN152637Winnette, Gina Frances 6/1/201311665
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
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
James Michael Brown, MD 194 Allgood Street Trion GA 3075333284RN045044Witt, Connie Louise 5/31/20093284
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN045044Witt, Connie Louise 10/5/20119400
Kenneth Howard, MD 11766 Hwy 27, Suite A Summerville GA 3074740412RN045044Witt, Connie Louise 4/24/20148617
Barry Jones, MD 5965 Parkway North Blvd Cumming GA 3004012495RN045109Wood, Carol Anne Kahl 9/30/20098096
Busman, Michael MD 922 East Jefferson Street, Ste B Americus GA 3170940628RN113945Wood, Leanne 3/28/201210584
Mohammed Elbasha, MD 350 Hospital Drive Macon GA 3121759714RN113945Wood, Leanne Debra 9/7/20119933
Robert E. Windsor, MD 2550 Windy Hill Rd., #215 Marietta GA 3006731857RN113945Wood, Leanne D. 3/20/201311525
Friday, October 17, 2014 Page 124 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
Folashade Omole, MD 2988 Shallowford Road Marietta GA 3006649074RN033512Woodall, Jo Anne 10/31/20103288
Chandra, Madhusudan MD 233 N. Hurston Road Stone Mountain GA 3008338143rn162935Woodall, Heather 7/25/201210040
Theron Thompson, MD 1825 Martha Berry Blvd Rome GA 3016551772RN082783Woodard, Katrina Anne Calhou 7/1/20118763
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
William Jackson, MD 2945 Panola Road Lithonia GA 3003835913RN105351Woods, Beverly A. 9/12/20093297
Atif Iqbal, MD 2300 A manchester expressway Columbus GA 3190461971RN221754Woods, Jennifer Dania 4/17/201411257
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
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
Kenneth Horlander, MD 303 Smith Street LaGrange GA 3024046128RN100010Wortham, Candace 3/11/20115448
Franklin Duffey, MD PO Box 10 Cumming GA 3002816856RN205309Woughter, Linda 4/15/20119342
Karim Gokal, MD 105‐A Johnson Street Dahlonega GA 3004058868RN205309Woughter, Linda 11/1/2011309
Richard Rickman, MD 3200‐C North Ashley St Valdosta GA 3160249332RN118839Wright, Daniel B 5/4/201412734
Divina Dyer, MD 780 North Glynn Fayetteville GA 3021457161RN107575Wright, Karen Angella Uter 10/28/20123308
Alison Krause, MD 4040 Hospital West Dr Austell GA 3010640443RN050048Wright, Denise Jean 5/23/20139659
Gregory Fortner, MD 1101 North Way Darien GA 3130532733RN165440Wright, Margaret A. 1/3/201412691
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
Friday, October 17, 2014 Page 125 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Christopher Crooker, MD 748 Old Norcross Road, Suite 185 Lawrenceville GA 3004539315RN108692Yarnall, Richard Clark 1/1/20123318
Steckl, Pete MD 235 Peachtree St North Tower, Ste 2100
Atlanta GA 3030336296RN108692Yarnall, Richard 5/31/201410244
Kesha Allen, MD 417 Third Ave Albany GA 3170157920RN093579Yawn, Traci Kurpe 10/15/201311833
John Souza, MD PO Box 16100 Dublin GA 3104039475RN104649Yawn, Anthony Jackson 10/26/20118275
Seward, James MD 200 Industrial Blvd ER Dublin GA 3102127247RN118481Yawn‐Lewis, Tonya 3/31/201410068
Joshua Wolf, MD 1968 Peachtree Rd NW Atlanta GA 3030959792RN047409Young, Beth Burch 8/10/20122327
Anne B. Todd, MD 526 Maddox Drive, Ste 101 Ellijay GA 3054051395RN080340Young, Suzanne 8/31/20093336
LaSuer, Douglas MD 105 East Tollison Street Baxley GA 3151361474RN113728Young, Melanie 4/5/201310166
Theresa Jacobs, MD 868 York Ave, SW Atlanta GA 3031046864RN148404Young, Nancy 7/7/201413247
Syed Naqvi, MD 710 Center St Columbus GA 3190162144RN153142Young, Dawn Andrea Pettiford 1/18/20129855
Edwards, Tania DO 1413 Whitesville Road, Ste 700 Columbus GA 3190453465RN153142Young, Dawn 5/31/201310241
Mohammad Osman, MD 625 Big Shanty Rd NW Kennesaw GA 3014454323RN151008Young, Holly Stiehm 12/31/201312585
John Layher, MD 2470 Daniels Bridge Rd., #251 Athens GA 3060646692RN047409Young, Beth B. 6/20/201411589
James Criner, MD 1490 Pleasant Hill Rd Duluth GA 3009654179RN046139Young, Glenda D 1/13/20143332
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 McMulle 4/15/20108694
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
Friday, October 17, 2014 Page 126 of 127
Terminated RN# Delgating Physician AddressLicense#APRN Name Protocol #
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
Friday, October 17, 2014 Page 127 of 127