call to order agenda minutes chairman’s report

Georgia Composite Medical Board

Minutes of the November 11, 2021 Meeting

1

The Georgia Composite Medical Board (GCMB) held its regular meeting on November 11, 2021 via

teleconference at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters.

Board members on the call:

John S. Antalis, MD

Subrahmanya Bhat, MD

William Bostock, DO

Debi Dalton, MD, Chair

Charmaine Faucher, PA (ex-officio)

Austin Flint, MD

Srenni Gangasani, MD

Judy Gardner, FASHP, Consumer Member

Alexander Gross, MD

J. Jeffery Marshall, MD

Matthew Norman, MD

Andrew Reisman, MD

Board members absent: Shawn Hanley, Consumer Member

Barby Simmons, DO

Management staff present: Latisha Bias, Enforcement Manager

Daniel Dorsey, Finance Manager

David Harris, Licensing Manager

Jonathan McGehee, Director of Investigations

Phyllis White, Executive Assistant

Legal staff on the call: Max Changus, JD, Assistant Attorney General

CALL TO ORDER Dr. Dalton called the meeting of the Georgia Composite Medical Board to order at 6:30 p.m.

AGENDA Dr. Antalis made a motion, seconded by Dr. Gross to approve the agenda of the November 11, 2021

meeting. The motion carried unanimously.

MINUTES Dr. Gross made a motion, seconded by Dr. Antalis to approve the minutes of the October 7, 2021

meeting. The motion carried unanimously.

CHAIRMAN’S REPORT Dr. Dalton advised everyone that due to the current COVID situation, we will continue to meet virtually

through the end of the year.

The Board named Jonathan McGehee as the Interim Executive Director.

CLOSED SESSION Ms. Gardner motioned seconded by Dr. Antalis to go into closed session to discuss applications,

Investigations and disciplinary matters. The motion carried unanimously.



2

OPEN SESSION Dr. Dalton declared open session.

PHYSICIAN LICENSURE COMMITTEE Dr. Antalis presented the Licensure Committee Report:

The Board took the following actions:

Approved Petition(s) to Waive Rules

1. Rafai, Shariq 360-2-02 (6)

2. Sait, Mohammed 360-2-02 (5)

Questions and Requests

1. Rayapati, Samuel – Request for Official Medical School Transcript copy to be forwarded to

KBML **Okay to Release Transcript to Kentucky Medical Board

2. Ramoutar, Virin re Citizenship – October 12th email does not change anything. He needs the

H1B visa before we can license him

3. SK- USMLE Step 2 CK on 4th Attempt - OK to apply for a Residency Permit/can apply for full

licensure when he has met all requirements

Table for further Information

1. ST

Approve Initial/Reinstatement

2. Brandon, Thomas

3. Brown, Elicia

4. Chithriki, Babu

5. Dwivedi, Rohit

6. Evec, Adam

7. Ghannam, Suzanne

8. Gibbons, Stacey

9. Patel, Ravindra

10. Pham, Thuy-Huong

11. Segall, Morris

12. Sundaram, Jawahar

ADMINISTRATIVELY APPROVED APPLICATIONS Name Degree Suffix

Abdalla, Abubaker O MD

Adams, Scott D DO

Adesanya, Adebola MD

Aguilar, Patrick MD

Ahmad, Ardalanejaz MD

Ahmad, Yahya R MD

Alberico, Paul J MD



3

Allen, Randi B MD

Alvanpour, Anahita MD

Amoako, Adae MD

Amratia, Dhruv A MD

Anastasio, Albert T MD

Anderson, James MD

Anisko, Nathan W DO

Antony, Sheila MD

Armstrong, Carissa L MD

Arshad, Haroon MD

Ashour, Emir MD

Askar, Gina MD

Ayankola, Olusola J MD

Babalola, Marian MD

Badri, Sami MD

Baik, Peter DO

Bailey, Paul D MD

Bailey-Dorton, Chasse M MD

Baker, Shane A MD

Balauag, Sherry Ann F MD

Baleguli, Vidya MD

Barber, Kevin J DO

Barfell, Richard A MD

Barron, Elyssa L MD

Barry, Mariama MD

Barto, Alyssa A MD

Barton, Richard MD

Behbahani-Nejad, Omid MD

Bellman, Sambita B MD

Bernadas, Eleanore C MD

Berry, Amanda L MD

Bias, Richard E, MD

Bichel, Corey A DO

Birru, Anteneh MD

Bishop, Karly R DO

Boolchand, Jayant MD

Boudreau, Douglas MD

Boulware, Jason P DO

Brandon, Thomas A MD

Braunstein, Mark A DO

Brown, Ciara A MD

Brown, Elicia T MD

Bryant, Joshua DO



4

Butros, Paul R MD

Butt, Laeeq A MD

Cagle, Bradley A MD

Caraballo-Burgos, Darwin MD

Carlin, Robert MD

Carnahan, Leslie G MD

Casiano, Vincent E MD

Caskey, Robert C MD

Cespedes, Victoria E MD

Chachar, Atiya MD

Challagolla, Deepti C MD

Chapaton-Rivard, Elisabeth DO

Charles, Gina G DO

Chaudhary, Shahzad A MD

Chaudhry, Muzammal S MD

Chen, Yihan MD

Chintanadilok, Jirayos MD

Chokr, Mustafa A DO

Chopra, Sahil MD

Christopher, Ross T MD

Cirillo, Melissa L MD

Clark, Joseph C DO

Clarke, Janice A MD

Cohen-Addad, Dan I MD

Colantoni, Matthew S DO

Colom-Conde, Daniel G MD

Cooke, Justin T MD

Cooper, Shontreal M MD

Covino, Brian M MD

Crandall, Sarah L MD

Craychee, Judith MD

Cuda, Maria A DO

Daneshgari, Firouz MD

Dattani, Sunny D DO

Dawood, Ayad J MD

Deadmond, Amanda J MD

DeCosimo, Lillian MD

Deuber, Mark MD

Dickinson, Richard D MD

Dinning, Lee A DO

Doegg, Zachary M MD

Donahue, Jeffrey J MD

Donnell, Sarah A MD



5

Duc, Dione DO

Dukes, Alayna M MD

Dwivedi, Rohit MD

Echeverry, German MD

Eiseler, Sara R MD

Elema, Riuyinosa MD

Emadian, Seyed M MD

Evec, Adam D DO

Even, Loras R DO

Fang, Tzann DO

Fleming-Vaghjiani, Jude T MD

Foley, Deborah D MD

Foley, Stephanie J MD

Fulton, Stephen P MD

Gammaitoni, Carlo J MD

Ghadiali, Mohsin Y MD

Ghannam, Suzanne MD

Goenka, Ajay MD

Gold, Daniel A MD

Gonsalves, Michelle DO

Gonsoulin, Morna MD

Gonzalez, William MD

Gottlieb, Steven J DO

Greenblatt, Robert P MD

Greene, Riley E MD

Greiwe, Raymond M MD

Gulati, Kavita MD

Gupta, Krishan K MD

Gutterson, Glen A MD

Hackett, Brittany A MD

Haden, Georgina MD

Hahn, Sigrid A MD

Haider, Huma MD

Halabi, Safwan MD

Harding, Olayinka MD

Haryani, Ajay MD

Hassaballa, Deena DO

Herpich, Byron K MD

Hobson, Kali N MD

Hoopingarner, Bradley R MD

Hu, Yuhning MD

Huckabee, Rife E MD

Hudson, Thomas MD



6

Hughes, Kristin L MD

Hutchinson, Daniel M DO

Iams, Dane MD

Ihle, Christopher L MD

Ilyadis, Latia H DO

Islam, Nafiha MD

Iwuchukwu, Nicole MD

Jabbar, Seema B MD

Jackson, Todd, Jr. MD

Jassey, Lewis K DO

Jayaram, Preeth MD

Jeffers, Kayin MD

Jensen, Scott M MD

Jiang, Linda Y MD

Jiang, Shirley L MD

Jindal, Priti MD

John, Bejoy MD

John-Salimi, Azad MD

Johnson, Caylor E MD

Jolayemi, Adeola MD

Jones, Blake C MD

Kamer, Stacy R MD

Kapil, Jyoti MD

Kapoor, Kalvin K DO

Kassar, Mohamad A MD

Kaster, Steven MD

Kaufman, Matthew S MD

Kelly, Peter J DO

Kennedy, Gregory D MD

Keyser, Andrew R MD

Khan, Sidra MD

Khateeb, Fahad N MD

Khorsandzadeh, Shayan MD

Kjome, Kimberly L MD

Koller, Derek MD

Korsah, Nana N MD

Kucik, Corry J MD

Kwak, Karen DO

Lakhani, Adnan N MD

LAKHVA, ASMA F MD

Le, Brian T MD

LeBano, Richard S MD

Lee, John J DO



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Lee, Julia S MD

Lee, Peter Q DO

Leo, Troy MD

Lester, Malisa S MD

Levin, Jay M MD

Libbey, Kyle R MD

Lim, Betty B MD

Litt, Jeffrey S DO

Long, Kayla W DO

Louis Saunders, Katharine J MD

Loutfi, Hassan Y MD

Lucas, Douglas DO

Mac, Mylinh T MD

MacDonald, Frank D, Jr MD

Maceda, Rodrigo Miguel P MD

Madden, Jessica W MD

Manjunath, Aekta MD

Mankowitz, Scott L MD

March, Christopher MD

Markandaya, Manjunath MD

Marty Vigo, Harry D MD

Mavani, Gaurang MD

Mayer, Romana C MD

McAlhany, Stephanie J MD

McRoy, Georgia MD

Medeck, Sarah A DO

Melathe, Melvin M MD

Menna, Michael S DO

Milford, Belinda J MD

Miller Murray, Cecile M MD

Miller, Gregory D DO

Miller, Lawrence F MD

Miranda, Andre Filipe MD

Mizelle, Eric Q MD

Morris, Saint-Aaron, I MD

Murcia Salazar, Diana J MD

Murray, Alexandra E DO

Naderi, Nassim MD

Nassif, Nicole E MD

Nguyen, Daniel A MD

Nix, James MD

Ntumy, Fredrick K MD

Offerman, Emilie A DO



8

Okpareke, Ikenna MD

Papadi, Bhavesh MD

Parekh, Sunny DO

Park, Kathryn L MD

Patel, Kartik K MD

Patel, Ravir MD

Patel, Seema DO

Patel, Sonu M DO

Peitzman, Linda R MD

Peled, Anne MD

Pham, Thuy-Huong T MD

Phares, Matthew DO

Picascio, Vincent MD

Podber, Jayson S MD

Poruk, Katherine E MD

Qualley, Jason MD

Rabinowitz, Joseph H MD

Rabinstein, Alejandro A MD

Ragukonis, Frank, Jr. MD

Ramirez, Cristina M MD

Ramnarine, Mityanand MD

Ray, Emily A DO

Reed, Sandra J MD

Reifsnyder, Jeremy W DO

Riaz, Hasan MD

Ricart, Erin L MD

Ricks, Lelai MD

Riley, Randall MD

Rizk, Levi DO

Robertson, Dwain K MD

Robinette, Jesse P MD

Robinowitz, Leah DO

Robinson, Akayla D MD

Rogoff, Bryan J DO

Roopani, Ghazala Q MD

Rosa, Paola M MD

Rowland, Shawn C MD

Ruble, Brittni L DO

Ryan, Lisa MD

Saad, Abdulhassan K MD

Saha, Myra DO

Sait, Mohammed A MD

Samuel, Paulraj A MD



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Samuelson, Heather MD

Sanchez, Cesar MD

Santapuram, Pranav R MD

Sawass, Hussam MD

Saxon, Keith G MD

Schiesser, Michael J MD

Schreckinger Rodas, Cristina M MD

Seawright, Jonathon MD

Segall, Morris MD

Shah, Lisa M MD

Shamian, Benhoor MD

Shaw, Colette M MD

Shellenberger, Jeffry J MD

Shigemitsu, Hidenobu MD

Siddaramu, Rajiv MD

Siddiqui, Safia MD

Smallman, Darlene MD

Smith, Jeremy S MD

Sobczak, Mark MD

Sofat, Atul MD

Song, Yohan MD

Sonntag, Joseph G DO

Sparks, Randal P DO

Stallworth, Catherine R MD

Stampfer, Samuel D MD

Starkey, Michael J MD

Steffan, Anna MD

Stephens, Kevin U, Jr MD

Strong, Christian MD

Stroupe, Daniel B MD

Sucherman, Daniel MD

Sullivan, Annette N MD

Sundaram, Jawahar MD

Sur, Brandon W MD

Sweet, Charles T MD

Swope, David K, Jr MD

Szeibel, Peter J MD

Szeto, Jeremy DO

Taha, Omar B MD

Thornton, Lauren V MD

Tom, Todd N MD

Tran, Quyen A MD

Trimuel, Sharita K MD



10

Trivedi, Maulik M MD

Unadkat, Deven J DO

Uzochukwu, Chinazor Ebelechukwu O MD

Vallabhaneni, Snigdha MD

Vernon, Jeffrey A DO

Wallace, Carter D MD

Wells, Cornell, Jr. MD

Weng, Liangping MD

Win, Khin S DO

Winter, Samuel C DO

Woelfel, Gregory MD

Wolanin, Stephanie A MD

Wong, George R MD

Wong, Hsien Yean, MD MD

Wylie, John D, MD MD

Ye Mon, Ei MD

You, Alex H MD

Young, Kisha J MD

Zaghi, Justin MD

Zagoria, Ronald J MD

Zarzour, Zachary D MD

RESIDENCY TRAINING PERMIT Agarwal, Pallavi

Boyd, Chelsea A

Lukac, Marina C

VOLUNTEER IN MEDICINE Bathina, Ravindranath MD

NURSE PROTOCOL ADVISORY COMMITTEE Dr. Norman presented the Nurse Protocol Report:


The following Form C’s were approved:

❖ Crisp, Susan

❖ Garfunkel, Catherine

❖ Maxey, Alorna

❖ Morris, Cherelle



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The following Form C’s were not approved:

❖ Arnold, Louis

❖ Coffey, Alice

❖ Goergen, Jessica

❖ Petrella, Cynthia

❖ Wood, Jaclyn

The Committee reviewed and approved the following protocols under the provision of O.C.C.A. 43-

34-25.

APRN Delegating Physician

Alaina, Noor Aesha Patel, MD

Barra, Jessica (resubmit) Lanre Udu, MD

Bonham, Deaxtra Ryan Schlueter, DO

Hamilton, Zandria Jasmine Kearse, MD

Harrell, Brittni (resubmit) Johnny Belenchia, MD

Meeks, Emily Deepak Kapoor, MD

Snyder, Cynthia Sheryl Gabram, MD

The Committee determined that the following protocol agreements meet the provisions of O.C.G.A.

43-34-25 with changes.


Dupree, Susan John Blasingame, III, MD

Fountain, Amber Sajad Zalzala, MD

Gardner, Amie Scott Miles, MD

Guy, Chandra Allison Dupont, MD

Hayes, Morgan Akin Ogundipe, MD

The Committee determined that the following protocol agreements do NOT meet the provisions of

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


Alozie, Nwanyinnaya Akin Ogundipe, MD

Barnard, Lindsay Kendall Griffith, MD

King, Jennifer Kimberly Hood, MD

Mitchell, Nicole Donald Gates, MD

Reichard, Jared Elizabeth Benjamin, MD

Seal, Shawn (resubmit) Shanker Yalamanchili, MD

Thompson, Kimberly Kambiz, Aflatoon, DO

Protocols Administratively Reviewed:

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

APRN Last APRN First Middle Supervising Physician Name

Abbasi Johnna Alexandra Feliciano Aponte



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Abdul Mary Raul Lopez

Adams Raquel Kimberly Pickens

Adewumi Ugochi Martha Schuh

Adhiambo Linda Kyong Moon

Agyemang William Olatunji Awe

Akintoye Nimota Samantha Wagner

Ali Noureen Usama Khalid

Altman Keri Laura Moore

Alvarado Meagen Jesus Vazquez-Figueroa

Amougou Amougou Yves-Aime Gary Weichbrodt

Amprofi Esther Vibhav Rangarajan

Anderson Kimberly Bernardino Villescas, Jr.

Anderson-Finch Sheena Alexandra Feliciano Aponte

Anyanwu Justina Brij Singh

Arabshahi Farnaz Meenakshi Thirunavu

Arias Nita James Lee

Arowosegbe Tolulope Omari Hodge

Arrington Mary John The Anh Pham

Awuah Diana Susan Whitmer

Axente Mary Bruce Miller

Badejo Deborah Megan Craig

Bailey Melissa Kent Cohen

Banaszak Lauren Mathew Smith

Banks Tresha Vibhav Rangarajan

Barfield John Eni Nwabueze

Barnard, Jr. Larry Patrick Lingo

Barnes Megan Richard Dukes

Batchelor Jessica David Beshai

Battle Jessica Sujatha Reddy

Bellfield Shkeya Martin Johnson

Bennett Julie Manishkumar Joshi

Bertram Jennifer Gerald Brantley

Bethi Thanmayie Sherri Barton

Black Ashley Alexandra Feliciano Aponte

Blackstock Terrilyn Mayur Mody

Bloodworth Corlynda Samyukta Chava

Boles Mitchell Reginald Jackson

Bower Bonnie Rodrigo Sanchez

Bowman Elizabeth David Paulk, Jr.

Bridges Betty Raymond Moody, III

Brodbeck Amber Bridgette Dingle



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Brooks, Sr. Damion Sujatha Reddy

Broussard Kendra Muhammad Ismail

Brown Laura Rajeshkumar Miniyar

Bryan Brenda Nicholas Herga

Bullock Patrice Martha Ward

Burroughs Jennifer Dwayne Gard

Byrd Deaudrey Yuan-Xiang Meng

Caoile Michael Richard Rickman

Carson Jasmine Alexandra Feliciano Aponte

Chapman Vickie Stephen Tidwell

Chaudhari Jagruti Piyush Patel

Cheek Hannah Leon Meeks

Cherry Meredith Jonathan Hundley

Chin-Young Victoria Monica Best

Christensen Kyra Michael Mendoza

Clark Melissa Ayodele Ayedun

Clarke Merlyn Francesca Osegbue-Obasi

Cobb Kristi Joy Nwadike

Cofield Rachel Leah Lowman

Colston Tabria Mazen Abdalla

Conover Katherine Nabaa Zalzala

Cox Nycole Judith Dennis

Cox Laura Bounthavy Homsombath

Cox Lindsay Samir Parekh

Cruz Jaynald Hafsa Bhatti

Culpa-Bondal Maria Sujatha Reddy

Curtis Tommy Sarah Polow

Cutter Shibana Henry Anderson, IV

Daly Michael David Maynoldi

Dare Patricia Ahmad Janjua

Davis Jamil Rahul Gupta

Davis Jamil Randy Durbin

Dawson Amber Dennis Harper

Deslattes Asia Wesley Stuckey

Donnelly Rosemary Trenton Elliott

Douglas Alison Dhru Girard

Dubose-Cooper Shelia Susan Whitmer

Dudley Dana Jigarkumar Parikh

Duffey Nathan Scott Sheldo

Dutta Adity Ronald Anglade

Ebert Tayler Bipinchandra Patel



14


Edwards Tracie Kenneth O'Neal

Ejimofor Kelechi Oluwole Akintayo

Ellis Kylie Abiodun Olatidoye

Entrekin Kathryn Mahaveer Vakharia

Ethridge Shannon Daryl Remick

Eubanks Angela Ronald Smallwood

Evans Prudence Martin Siegfried

Federinko Emma Andrew Clementz

Ferguson Erin Caroline Miller

Fish Kasey Gorby Leon

Fletcher Carolyn Jeffrey Rymuza

Francis-Freckleton Nicole Tony Bullon

Francois Lise-Stephana Dion David

Franklin Scott Jeffrey Rymuza

Frasier Lauren Derek Heard

Frimpong Doris Katherina Ekeji

Fruge Samantha Tan-Loc Nguyen

Fuller Lori William Parrish

Gallemore Tekeria Michael Duke

Geiselman Robbie Helaina Jaffe

Gentles Sonia Sherri Barton

Githaite Veronica Matthew Levin

Goggans Judith William LaHouse

Gonzalez Laura Renato Santos

Graham Christopher Yvonne Neau

Graham Shanika Olatunji Awe

Grimes-Dixon Elaine Tse-hwa Yin

Groseclose Liam Kevin Goodlow

Groseclose Liam Shahid Elahi

Guderian Lauren Afolabi Tiamiyu

Hardin Kelli David Oh

Harper Shelly Priya Arcot-Joshi

Harsha Mallory Raul Lopez

Hartman-Willard Brandi James Thigpen

Hassan Mariam Kencliffe Palmer

Hauge Ana Suresh Shah

Hendrix Stacy Alexandra Feliciano Aponte

Henry Millicent Joshua Morris

Herrin Sara Rajni Sinha

Herring Shannon Roxanna McMorris

Holifield Michele Alexandra Feliciano Aponte



15


Holland Jennifer Sujatha Reddy

Howard Lawrence Albright Gayagoy

Howell Dewey Joseph Foust

Howell Owens Kristen Rashante Harris

Hubbard Robyn Kyung Yoon

Hughley-Hall Rhonda Kyle Price

Hunt Angela Robert Edwards

Hunter Chrystal Reginald Orr

Hyde Cassandra Robert Ford

Ikeakanam Roseline Carla Mclean-Joseph

Intorcia Stephanie Raymond Bedgood

Intorcia Stephanie Carley Ebanks

Jackson Savannah Gregory Floyd

Jean-Louis Faith Meenakshi Hari

Johnson Kay Kevin Goodlow

Johnson Denetra Christopher Pergrem

Johnson Stephanie David Denman

Johnston Chelsea Gerald Brantley

Jones Lakiesha Muhammad Aamer

Joseph Lydie Jay Patel

Jung Oh-Young Song Na

Kagha Esther Eric Fogam

Kazeroonian Roghieh Sarita Prasad

Keegan Nancy Jennifer Gall Kapella

Kendrick Patricia Sofia Munir

Kennedy Ronalda Ana Lisa Carr

Kiene Rachel Guy Maclang

Kim Grace Cierra Moss

Kwon Hyun Jasmine Kearse

Lacy Melanie Jacquelin Nguyen

Landowski Christina Don Adam

Lang-Coleman Kristen Tammy Allen

Lanier Sarah Christopher Blanchard

Lawson Evie Joshua Yager

Leaf Nickolas Kevin Trapnell

Lentz Alexandra Michael Stiefel

Lester Leah Natalie Bessom

Lewis Misty Stewart Shevitz

Lewis Tashaneca Judith Dennis

Livingston Tracey Martha Ward

Lloyd Jeri Monal Shah



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Loper Melissa Dexter Graves

Lord Magon Kevin Trapwell

Lucas Megan Patrick Morgan

Maddox Melanie Rftesh Mehta

Maharaj Rajendra Arvind Chakravarthy

Manseka Mukanda Ken Sanford

Markham Eric Arvind Chakravarthy

Mask Milena Daren Newfield

Mask Milena Shiel Patel

McCallister Sonia Sylvia Akenji

McCoy Ksena Edward Whelen

McMahon Whitney Payman Sabetghadam

McNeal Shelby Bipinchandra Patel

Medlin Helen Sylvia Akenji

Meewes Daniel Natalie Britt

Merritt Marcie Harold Gage

Minich Joshua Antonio Remollino

Mirza Sher Michael Bryant

Montero Jorge Christopher Borrego

Moseley Tina Bruce Easterling

Mullins Jennifer Debora Johnson

Mulvaney Gloria Stephanie Ireland-Gordy

Musgrove Bobby Jean Kenneth Grotz

Nappo Caroline Jameelah Gater

Navalah Chantel Paula Adamson

Nelson Randall Laurie Cochran

Nicholson Patricia Rodrick Stewart

Niven Ozma Grant Lewis

Oakley Meghan Allen Solomon

Oliver Susan Ayodele Ayedun

Olivo Brittany Lawerence Zottoli

Osuri Adriane Joshua Resa

Pate Erin Rupert Dyer

Patterson Lanika Chivon Stubbs

Patterson Frances Samuel Gilbert

Paul Dawn Jessica Williams

Payne Tiffany Stuart Tieszen

Peay Priscilla Oladayo Osinuga

Perko Allyson Vineet Reddy

Peters Edwina Theresa Jacobs

Pickens Herretta Cecil F. Bennett, Jr.



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Pickett Grace Ioannis Parastatidis

Pitts Billy Catherine Dickens

Prado Laura John Pham

Prince Brittany Sarah Polow

Putman Lashanda Derek Heldzinger

Quarles Wesley Keneeshia Williams

Quinn Aamanda Alexandra Feliciano Aponte

Randolph Bridget Samuel Bleuez

Reed Tracy Adam Hoover

Reid KiKi TAYSEER HUSAIN CHOWDHRY

Robillard Irlande Kehinde Idowu

Robillard Irlande Kenneth O'Neal

Roby Neta ERIC GALABE FOGAM

Romero Norka Susana Urgiles

Rosser Monique Kira Colbert

Russell Julie Andrea Kovacic

Sams Christie Mario Ponce

Sanchez Victoria Raul Lopez

Sapp Julie Terry Ham Jr.

Scoggins Cody Jason Skiwski

Scott Melissa Frank Curvin

Seagraves, Jr. Joseph Jeffry Peters

Sealey Darrick Deepti Bhasin

Seaton Britney Jose Vincent Vigil

Sellers Haley Mathew Levine

Shaver Rachel Amy Thompson

Shepard Leslie Harvinder Bhatti

Singletary Rachel Aljaaly Ahmed

Skinner Serena Susana Urgiles

Slater Megan Ludy Lukose

Smith Kimberly Tayseer Chowdhry

Smith Natacha Rajanskhar Valmiki

Smith Natacha Sunil Parashar

Smith Alicia Chinyelu Nwobu

Somani Afsha Rekha Kesavan

Sosa Erika Pablo Balboa-Marciack

Soto Gina Rhiannon Holden

Spencer Donica William McPeters

Standard Brantley Eni Nwabueze

Sterling Raynard Andrew Van Horn

Stewart Dana Swati Chopra



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Sutherland Nina Scott Beach

Swicord Jasie Allison Key

Taylor Kelly Crystal Bright

Taylor Amy John Cooper

Thomas Venyette Carol Odegaard

Thomas Haley Oliver Horne

Thompson Phyllis Yasir Mukhtar

Thompson DeAnna Cameron Nixon

Tiller Jordan Theodore Schock

Tinoco Buket Lisa Culpepper

Travis Lucille Josephine Anuforo

Trawick Ashley Cathy Hogan-Harper

Trisha Ann Martin Hardy

Tyus Brittney Darrell Suratt

Uba Marian Roberto Romero Maldonado

Vogt GeorgAnne Cameka Scarborough

Watson Donna Daquesha Chever

Webb April Adam White

Wiggins Kelsey Jonathan Pewitt

Wiggins Sonia Alpa Ray

Wiley Shnita Tonia Youmans

Williams Kendra Dawn Ferguson

Williams Tiffany Kristopher Palmer

Williamson Larresia Sanjeev Bhavnani

Wilson Lavona Mary Alston

Winters Rhonda Bradwell Mcalister, II

Wise Katlin Ashis Hari Tayal

Wood Leanne RaShante Harris

Woodley Travis Ann Drayton

Woodson Rodesia Charles Gebhardt

Zimmerman Kathryn Edward Gotlieb

PHYSICIAN ASSISTANT ADVISORY COMMITTEE Dr. Antalis presented the Physician Assistant Committee report.


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



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PA Supervising Physician

Sydney Adams Geddes, Benjamin

Hoda Agrama Okah Anyokwu

Trevor Ambron Tyler Kabes

Alexa Anderson Jerell Brown

Julia Ashford James Ashford

Justin Bilancia Xing Gao

Joseph Esfahbodi-Rad Lindsay Busch

Heidy Fernandez Candace Chumley

Jennifer Glass Maria Russell

Sarah Khan Alireza Khazaeizadeh

Christopher Menster Alan Miller

Kelsey Morkem Kent Miller

Mekayla Murphy Jeff Traub

Brooke Nosovitsky Jason Rehm

Madison Odom Jody Velie

Ashley Wainio Richard Johnson

Approved the following applications for initial licensure without a supervising physician:

PA

Omotola Akinrolabu

Aubree Ashdown

Cynthia Banigan

Sarah Black

Hannah Buehler

Brandon Carroll

Alejandro Chavez

Christina Collector

Nathan Franke

Devinder Kaur

Kyle Maxey

Nadia Miller

Janelle Murphy

Victoria Ohuoba

Amanze Onwuka

Andrew Porter

Nicolle Ramsey-De Jesus

Rebekah Sooy

Tiffani Stewart

Samantha Taylor

Approved the following applications for initial licensure without a supervising physician

(continued):

PA

Allison Vogel



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Approved the following applications for licensure reinstatement without a supervising physician:

PA

Arthurlyn Sullivan

Approved the following applications for additional duties:

Daniel Ayers Bill Majdalany

Moderate Sedation

Paracentesis

Kathleen Benedict Amelia Langston

Lumber Puncture

Moderate Sedation

Bone Marrow Biopsy

Yevgeniya Berkovski Victory Orellana-Noia

Bone Marrow Biopsy

Moderate Sedation

Lumbar puncture w/ Intrathecol Chemo

Kolyse Wagstaff-Caver Alexis Shaefaer

Botox for Chronic Migraine

Margaret Connolly Advit Dixit

Intubation

Central Lines

Arterial Lines

Lauren Fisher Jennifer Buckley

Kybella Cosmetic Injections

Neurotoxin Injections

Chemical Peel TCA

Surgical excision & layered repair of malignant

& non-malignant lesions

Visual Sclerotherapy

Dermal Filler Injections

Fractional Ablative CO2 laser

Radiofrequency microneedling

Ashley Gantt Mircea Cristescu

CT Guided Biopsy

Image Guided Drain Placement

US Guided Paracentesis

US Guided Biopsy

Moderate Sedation



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Amanda Goldner Melissa Babcock

Icon Cynosure Lasers

Gundula Huber Marcus Brown

Exercise and Pharmacologic Stress Test

Elise Hulsebus Jack Yu

PDO Thread

PRF

Nasra Osman Stephanie Busby

Arterial Lines

Central Lines

Jason Owens Robert Kim

Thyroid FNA/Biopsy

Tunneled Line Placement

Dhara Patel Blake Willis

Botulinum Toxin Injections

Danielle Roberts Mary Jo Lechowie

Moderate Sedation

Hana Shash Ahsan Achichi

Stress Tests

Courtney Staab Michael Litrel

Colposcopy

Renee Thomas Neil Resnick

Moderate Sedation

Courtney Weglarz Nason Rouhizad

Botulinum toxin injections/Neuromodulators

Dermal Filler Injections

Other Business:

Amber Freeman – ADD/CHANGE Application, Questionnaire #2 Answer: Approved

Samantha Steiner-Request for Clarification

Answer: The law states must be placed in a prominent place. Signage at the entrance is sufficient to meet

this requirement. It is not necessary to have signage in every place a PA works.

Approved Add/Changes

PA Supervising Physician

Jason Anderson John Entrekin

Donna Arthur Ravi Vora



22

Donna Arthur Octav Cristea

Donna Arthur Denise Lo

Donna Arthur Arpita Basu

Raphael Atulo Mwamba Mwila

Raphael Atulo Brandon Dawson

Hallie Bain Derek Culnan

Erikaa Beall Mah-Fri Fomukong

Andrew Beeson Eric Hamilton

Mallory Bellissimo Mark Goldberg

Keelia Benner Kevin Hord

Rachel Bennett Arun Jacob

Tony Bevill Theodore Yarboro

Casey Bolton Crystal Bright

Melody Bolton Seth Eisenberg

Erin Borowski Keith Phillippi

Michelle Bos David Katz

Manuela Botero Vijal Patel

Manuela Botero Murray Hirsh

Ryan Brainard Sunderraj Kamaleson

Cynthia Brand Julie Crusor

Kynlea Brantley Richard James

Caroline Brewer Steven Blackwood

Jennifer Brown Fred Hood

Dwight Brown Ian Munger

Ethan Brubaker Matthew Stewart

Andrew Bryant Michael Carroll

Eshan Budhwani Ned Okarter

Kaitlin Byrd Jason Lemons

Lauren Cannon Tayseer Chowdhry

Tamika Carr Thien Quach

Audrey Chasteen John Song

Abbey Chatmon Lisa Gillespie

Kelsey Clegg Edward Boland

Amelia Cline Aly Hashim

Brandon Cook Laura Moore

Amy Collier Alireza Khazaeizadeh

Jade Coppola Ram Reddy

Jace Crawford Alexander Sikes

Sonza Curtis Naima Cheema

Nhi-Ngoc Dai Stuarat Tieszen

Kelsey Davis Joshua Knott

Kevin Davis Seth Eisenberg

Toni Davis Melissa Pearce

Veena Desai Nimisha Patel

Sara Dover Menelaos Demestihas

Alexandra Duvall Sharon Kestin

Mary Richard Evans Deval Patel



23

Brendan Fels Barrett Cowan

Lauren Fisher Jennifer Buckley

Joy Ford Kimberlynn Richards

Gary Friend Kimberly Workowski

Allison Fritzsche John Foster, III

Andrew Gamel Taylor Cates

Miranda Garcia Susan Jordan

Lee Gedney David Bailey

Thomas Geckler Dion David

Lorna Gitari-Mugambi Julia Liu

Eunice Goetz Erjia Bao

Amy Goodman Jamie Groh

Georgia Griffis Kenneth Benjamin

Clifton Gunter Donald Cornutt, Jr.

Amiee Frutchey Alison Ward

Steven Harris Diane Lefebvre

Katherine Harrison-Chaknis Jack Yu

Anna Healy Sipra Laddha

Anna Healy Margot Cseley

Randy Hicks Larry Smith

Gregory Hightower Jason O’Neal

Gundula Huber Marcus Brown

Kailin Huelsman Hedayah Scoon

Sean Hughes Robert Lott

Jennifer Humphreys Michael Muro

Andrew Hunter David Flatt

Keri Hunter Meghan Lilly

Eva de la Motte Hurst Alireza Khazaeizadeh

Caroline Hutcherson Joseph Mareno, Jr.

Edward Jackson Michael Carroll

Kathleen Joslin Fraz Alwani

Christopher Kelley Anthony Iwelunmor

Felicity Kerivan Frank Cole

Elicia Kimsey Keerthy Krishnamani

Jessica Kitchens Laneau Hayes

Christine Koval Latif Chaudhry

Matthew Kratish Isabella Ricketts

Taylor Winslow Jawad Llyas

Eun Lee Donald Cornutt

Heather Moss Ralph Jackson

Cody Ward Larry Smith

Dhara Patel Blake Willis

Nasra Osman Stephanie Busby

William Watkins Ronald Pace

Tiffani Maheia James Short

Amanda Morris Anna Elmers

Eddie Sims Samuel Todd



24

Aaron Souter Charles Leewood

Leah O’Callaghan Kudiratu Clark

Jason Spencer Larry Smith

Stefanie Rowland Andrew Frazier

Rebecca Maki Andrew Frazier

Richard Little Matthew Weis

Jessica Vernon Kevin Pharris

Tam Tran Shiel Patel

Tam Tran Daren Newfield

Emily Shull Jeffrey Perets

Ashlie Walsh Tiffany Sanders

Gregg Snider Susan Spaulding

Glen Morgan Cathy Harper-Hogan

Amanda Lariscey Sharifa Mediene

Jessica Vaverka Deval Patel

Ndidi Walker Deborah Bauman

Aboulaye Sidibe Joanna Bonsall

Kenneth Masters David Flatt

Vickie Vo Michael Carroll

Caleb Stewart Nathan City

John Steinkraus Nathan City

Andrey Lazar Mark Murphy

Colby Larrabee Mary Jacobson

Robert Weeks Michele Pennington

Deborah Pereira Adolfo Molina John Wallace

Edie Willis Dwanye Gard

Madison Tanner Charles Harris

Courtney Wedgeworth Dozier Hood

Jacqueline Woodcock Alireza Khazaeizadeh

Latera Terry Andrew Clementz

Deena Altman Spital Tuvia Breuer

Megan Webb Thinh Nguyen

Shellie Lutz Martin Hardy

Kelly Zavoli Faraz Alwani

Janice Miller Derek Culnan

Jessica Nieves Alireza Khazaeizadeh

Eileen Lau Alireza Khazaeizadeh

Calysta Tilley Chad Brock

Michael McDaniel Scott Barbour

Ian McMillian Mohammed Loya

Heidi Phillips Ta-Tanisha Favor

Benny Wilkerson John Shivdat

Brilee Rogers Jason Rogers

Abby Nichols Isabella Odame

Gregg Snider Karen Jackson

Ozell Williams Chadalauada Kishore

Karishma Patel Robert Gadlage



25

Ryan Meacham Igor Lazar

Meah Gholam Igor Lazar

Dane Nalley Karen Jackson

Melissa LeRay Richita Surana

Xiao Taing Alireza Khazaeizah

India Younger Alireza Khazaeizah

Ronald Jennings Marissa Anderson

Abbey Nix-Gilbert Ankit Patel

Steven Lin Pankaj Chhatbar

Natalie Schmitz Nason Rouhizad

Courtney Weglarz Nason Rouhizad

Luis Pluguez Ram Reddy

Ndidi Walker John Di Carlo

Alexis Rook Curtis Sorensen

Radha Patel Curtis Sorensen

Eddie Simms Gavin Harris

Telicia Scott Tamica White

Melody Snyder Alireza Khazaeizadeh

David Osedo Pierre Des Anges

Rachel Nwaokolo Alireza Khazaeizadeh

Haley Scouten Nicolas Chronos

Betsy Weiss Janice Pressley

Calysta Tilley Chad Brock

Janice Varkey Murray Hirsh

Alexandra Palgon Jodi Ganz

COSMETIC LASER ADVISORY COMMITTEE Dr. Gross presented the Cosmetic Laser Committee report as a motion and it carried unanimously.

Assistant Laser Practitioner –

Bella Abramov

Ara Aiba

Kemba Ali

Ashley Andrews

Grecia Arnould

Danielle Blount

Shawnville Celestine

Kendra Colston

Asia Crittenden

Carolyn Desprez

Heather Dignan

Jennie Doyle

Hannah Fishburn

Keiona Gadson

Ekemma Goff

Jasmine Hardy



26

Olivia Harpenau

Tatum Higginbotham

Noorin Kachhi

Ashley Khaw

Yuna Kim

Rhonda Lahr

Lauryn Loalbo

Yary Martinez

Brooklyn McCormick-Moore

Juliet McDade

Oseluona Okpamen

Shamia Powell

Heather Reid

Valerie Roach

Ariana Rodriquez

Aaliyah Serrano

Kennedi Sharpe

Kelly Sime

Azita Sohrabi

Reissue of Assistant Laser Practitioner –

Farhat Haseeb

Manuela Pirvu

Senior Laser Practitioner –

Deborah Bell

Yuan Hu

Nadia Point-du-Jour

Emily Poteete

Britanie Smith

RESPIRATORY CARE ADVISORY COMMITTEE

Dr. Dalton presented the Respiratory Care Committee report as a motion, seconded by Dr. Marshall. The

Board accepted the report by unanimous vote.


Practicing Without a License- Reinstatement

20220762

Reinstatements; Kim, Sey Eun Gipson, Joseph, Sr. Walters, Lucie Pearce, Carmen- pending additional information



27

Fortson, Cierra- pending additional information

Full Licensure;

Bice, Ronald

Catano, Michelle

Chaffee, Michelle

Smartt, Marcus

Allinder, Angie

Troxler, Catherine

Angrisano, Jermiah

Hamoui, April

Marion, Laura

Walker, Garland

Arconado, Samantha

McWhorter, Brittany

Fairley, Andreica

Holder, Jennifer

Moore, Loucinda

Garbarini, Anna

Ingram, Mark

Poindexter, Octavia

Nyanue, Victoria

Havard, Joshua

Rush, Malinda

Grant, Shannon

Karimi, Tammy

Scott, Jacob

Brannelus, Ketty

Jean-Jacques, Kernaud- pending additional information

Marsh, Tylan- pending additional information

Cooke-McKenzie, Jacqueline- pending additional information

Ware Jasmen- pending additional information

Administrative Upgrades

LaKeisha Hines

Elizabeth Bilthuis

Ariella Pierre-Louis

Thuy Dang

Jason Powell

Alex Santana

Lindsey Corley

Nicholas Jackson

Amal Jose

Nadia Jagroo

Josephine Ashong

Vina-Phuong Vo



28

Ashton Hall

Tabitha Summerlin

Ariel Chaperon

Emily Fitchthorn

PERFUSION ADVISORY COMMITTEE

Dr. Marshall presented the Perfusion Committee report as a motion and it carried unanimously.


Approved the following application for licensure:

Darin Pala

ACUPUNCTURE ADVISORY COMMITTEE

Ms. Gardner presented the Acupuncture Committee report as a motion and it carried unanimously.


Approved the following applications for licensure:

Soo Jin Bae

Margaret Richichi

PAIN MANAGEMENT COMMITTEE

Ms. Gardner presented the Pain Management Committee report as a motion. The Board accepted the

report by unanimous vote.


Approved the following for pain licensure

F560650 Pain Treatment Centers of Georgia- Hinesville

F561324 Premier Healthcare Center, Corp- Decatur

Referred the following to the PA Committee for final decision

Hospital Clinic Crisp Regional Pain Management- Cordele

Add PA, Russell Dowdy

Administratively approved applications:

269 Ellis Pain Centers

ADD PA, Kerri McKinney

447 Spectrum Spine and Pain Care

ADD APRNs, Britney Annunziato & Christopher Miller



29

261 Rehabilitation Physicians of Georgia PC

Change Location

408 Georgia Pain and Spine Care

Change Location

250 Alliance Spine and Pain Centers

ADD Practicing Physician, Preetesh Patel

224 Harbin Clinic, LLC

DELETE APRN, Kimberly Mae Evans

Lic # 252 & 419 Alliance Spine and Pain Centers- Atlanta and Woodstock

Add APRN, Janice Gould

Lic # 250 Alliance Spine and Pain Centers- Atlanta

Add Practicing Physician, David Rosenfeld

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Simmons presented the Genetic Counselors Advisory Committee report.


Stacey Aldrich

Kendall Annable

Caitlin Campbell

Hannah Davis – upgrading to Full license

Sarah Howe

Emily Martin upgrading to Full license

Tara Newcomb

Dara Sasaki

Christina Schocklin Jacqueline Scott

Eve Simi

Calan Szmyd

O & P ADVISORY COMMITTEE Dr. Bostock presented the O & P Advisory Committee report.


Approved the following application for licensure:



30

Annie Stephens – Dual O&P

INVESTIGATIVE COMMITTEE The Investigative Committee report was presented as a motion by Dr. Marshall and was seconded by Dr.

Antalis. The Board accepted the report by unanimous vote. The Board took the following actions.

Close:

20200057 20200297 20200381 20200861 20200925 20200937

20201324 20201526 20210171 20210497 20210552 20210951

20211279 20211323 20211403 20211490 20211492 20211493

20211498 20211515 20211526 20211531 20211539 20211546

20211548 20211554 20211566 20211587 20211598 20211600

20211607 20211608 20211611 20211613 20211614 20211619

20211621 20211643 20220003 20220009 20220011 20220014

20220016 20220028 20220031 20220037 20220039 20220046

20220065 20220066 20220068 20220075 20220078 20220079

20220083 20220086 20220089 20220090 20220095 20220100

20220102 20220103 20220113 20220119 20220123 20220143

20220145 20220151 20220177 20220189 20220207 20220331

Letter of Concerns:

20211555 20220185 20220198 20220220 20220228 20220232

20220257 20220303 20220319

Further Investigation:

20220209

Invite for Investigative Interview:

20210366 20211049 20211329 20220080 20220124 20220171

20220178 20220183

Table

20210226 20211065 20220253

Peer Review

20211162



31

INITIAL COMPLAINT EVALUATIONS

The Board approved the following recommendations.

20201004 20220305 20220317 20220320 20220329 20220346

20220365 20220388 20220389 20220401 20220411 20220422

20220454 20220457 20220461 20220464 20220473 20220474

20220475 20220479 20220505 20220514 20220521 20220555

20220556 20220557 20220558 20220559 20220560 20220561

20220562 20220563

RECUSALS

Marshall 20220178

Reisman 20210171

There being no further business, motion Judy Gardner, seconded Dr. Antalis to adjourn the meeting at

7:27p.m.

__________________________________ ________________________________

Debi Dalton, MD Jonathan McGehee

Chairperson Interim Executive Director

Recorded by:

________________________________________

Phyllis White, Executive Assistant

call to order agenda minutes chairman’s report

Documents