georgia composite medical board minutes of the june 4

Georgia Composite Medical Board

Minutes of the June 4, 2020 Meeting

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The Georgia Composite Medical Board (GCMB) held its regular meeting on June 4, 2020 via

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

Board members on the call:

John S. Antalis, MD

William Bostock, DO

Gretchen Collins, MD, Chair

Debi Dalton, MD

E. Dan DeLoach, MD

Charmaine Faucher, PA (ex-officio)

Alexander Gross, MD

Shawn Hanley, Consumer Member

Thomas Harbin, MD

Rob Law, CFA

J. Jeffery Marshall, MD

Matthew Norman, MD

Andrew Reisman, MD

David Retterbush, MD

Richard Weil, MD

Board member absent:

Barby Simmons, DO, Vice Chair

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Phyllis White, Executive Assistant

Jonathan McGehee, Director of Investigations

Latisha Bias, Enforcement Supervisor

Gina Haskins, Licensure Manager

Legal staff on the call:

D. Williams-McNeely, Senior Assistant Attorney General

Max Changus, JD, Assistant Attorney General

CALL TO ORDER

Dr. Collins called the meeting of the Georgia Composite Medical Board to order at 7:37 a.m.

AGENDA

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

June 4, 2020 meeting. The motion carried unanimously.

MINUTES

Dr. Harbin made a motion to approve the minutes of the May 7, 2020 meeting. Dr. Antalis

seconded the motion and it carried unanimously.

ELECTION OF OFFICERS

Dr. Retterbush made a motion to appoint Dr. Simmons, DO as the Chairperson and Dr. Harbin,

MD as the Vice Chairperson. Dr. Marshall seconded the motion and it carried unanimously.

CHAIR’S REPORT

Dr. Collins made the following report:



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1. Head count for the July meeting at the Board office – is it face to face?

2. Discuss the impact of COVID-19 on the Board.

3. Tight schedule for today, but we can get it all done in one day.

4. Election of Officers

EXECUTIVE DIRECTOR’S REPORT

Ms. Hughes made the following report. The report was accepted as information:

Congratulated Mr. McGehee on being accepted in the upcoming Emerging Leaders Class

Dr. Gross is going to be the doctor of the day at the legislature on June 25, 2020.

Ms. Hughes discussed the budget cuts approved by the Board and the impact. The Board

accepted as information.

Ms. Hughes updated the Board that there has been 861 Emergency Practice Permits have been

issued to date.

Mr. Changus, the Board’s attorney, reviewed O.C.G.A. s. 43-34-25(g)(8), which is the

exemption section where it notes the general limit of four, and then identifies the exemption as

(8) "In any local board of education which has a school nurse program." .

The Board accepted as information the following:

The American Association of Medical Assistants has established a three year eligibility

pilot program.

Prescription Drug Monitoring Program (PDMP) Workgroup Minutes/Update.

Email from Bryan Ginn, Chief Campus Officer, PCOM Georgia regarding Accreditation

with Exceptional Outcome

FSMB - Information on USMLE Step 2 Clinical Skills

Physician Specialties ranked by annual compensation.

National Board of Medical Examiners.NBOME – update on testing availability.

Mary Daniels, asking if the board would accept scores without USMLE Step 2, Clinical Skills.

The Board responded it would follow the guidelines of the testing company.

Email from Jennifer Pike regarding Physician Standing Orders, the Board asked for additional

information.



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The Board asked Dr. Downey to assist with the rewrite of the Guidelines for the Prescription Use

of Opioids, the Board asked for the guidelines be added to the Rules agenda for next month.

Radiology Technicians would like to expand the language in the current rules. Provided some

sample language from MS/TN. Not seeking licensure, refer to the Rules Committee.

Dr. Collins appointed a Telemedicine Committee which consists of the following Board

members:

Dr. Bostick

Dr. Collins

Dr. Dalton

Dr. Norman

Dr. Simmons

Dr. Weil

CLOSED SESSION

Dr. DeLoach motioned seconded by Dr. Harbin to go into closed session to discuss applications,

investigations and disciplinary matters. The motion carried unanimously.

APPEARANCE BEFORE THE BOARD

Thomas Lyons, MD met with the Board to appeal the offer for a Volunteer in Medicine license,

he wanted to reinstate his full license. The Board voted to deny licensure.

APPEARANCE BEFORE THE BOARD

Briand Bounkeu, MD met with the Board to appeal the denial of his application. The Board

voted to uphold original decision to deny licensure.

OPEN SESSION

Dr. Collins declared open session.

ATTORNEY GENERAL (AG)

Max Changus, Assistant Attorney General presented the Attorney General Status Report.

Dr. DeLoach submitted a motion, seconded by Mr. Law and motion carried to accept the

following order:

Stephanie Parker, PA

PHYSICIAN LICENSURE COMMITTEE

Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions:



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Waivers

The following waivers were reviewed and approved. Petitioner/Rule Number:

Walters II, Jerry 360-2-.02(5)

Minhas, Priyanka 360-2-.01(f)

Approve

Approve

Ogbuagu, Henry 360-2-.09(3)(b) Approve

Questions/Requests Brown, Tatiana Approve request to send transcript to Moscow Medical School

AD Deny

O’Neil, W, Charles Approve to waive ETC

Waiver residents Approve

Notary on Form D and D2 Notary required

PU Deny Emergency Permit (Dr Weil recused)

GS Table

Open Session

Dr. Retterbush declared open session. Motion Dr. Weil, seconded Dr. Collins, to approve the

recommendations of the licensure committee.

The following applications were approved for licensure

Smith, Michael Administrative License

Lorenc, Paul Educational Training Certificate

Mehta, Ritesh License

Budde, Jason License

Njoku, Ifeoma License

Ayoung Chee, Patricia License

Akbary, Silvija License

Sandoz, John License

Laudon, Robert License

Westawski, Daniel License

Kobza, Paul License

Valdes, Ruddy License

Pineiro, Gisselle License

Hollis, Bob License

McKay, Kristopher License

Savage, Paul License

Warren, Samuel Reinstate

Haynor, Jared Reinstate

Light, Gerald Reinstate



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The following applications were not approved:

SP Deny

FSP Interview

MJ Table

MP Table

PM Table

AJ Table

BB Uphold previous decision to deny licensure

Applications Administratively Approved

Abyhankar, Archana S MD

Adams, Dawn MD

Afolabi, Olayinka O MD

Agrawal, Nithya V MD

Ahmad, Attila MD

Akbary, Silvija MD

Alemu, Tewodros MD

Ali, Farman MD

Ali, Shoheb S MD

Almidani, Mazen A MD

Alwani, Faraz F MD

Anzmann, Jonathan M MD

Aquino-Cabrera, Marleny Y MD

Arcot-Joshi, Priya DO

Armstrong, Kyle B DO

Arora, Natasha R DO

Arora, Shruthi MD

Ashraf, Zuhha MD

Aslam, Hina MD

Ayoung-Chee, Patricia MD

Babiker, Ahmed MD

Baker, Ann M MD

Ballesteros, Juan MD

Ballesteros, Martha MD

Barrio, George A MD

Basundhra, Saurabh MD

Battish, Raman MD

Beach, Paul A DO



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Belakhlef, Sami MD

Bell, Joshua A MD

Bensimhon, Daniel R MD

Berhane, Daniel MD

Bernstein, Keith A MD

Bhalani, Milly K MD

Bhoola, Patricia S MD

Biskamp, Connor J MD

Bookman, Robert, Jr MD

Boston, Vincent MD

Brandman, David MD

Brooks, Nathaniel, III MD

Brown, Kimberly M MD

Brown, Rodneysha L MD

Buchwald, Zachary S MD

Budd, Kelsey R MD

Burch, Zachary M MD

Burriss, Mary E MD

Cantrell, William M MD

Caraher, Mary T DO

Carroll, Michael MD

Carswell, Kristina N MD

Castresana, Daniel N MD

Chaar-Alvarez, Frances MD

Chan, Alex DO

Chaudry, Mohammed M MD

Chauhan, Dhaval MD

CHEN, Denise F MD

Chickering, William H MD

Chien, Franklin MD

Chiwocha, Farai E MD

Chokkalingam, Shobashalini MD

Chopra, Rebaika MD

Clemente, Marc F MD

Clermont, Edward C MD

Coffin, Elisabeth M MD

Colvin, Lacey D DO

Consky, Elizabeth K MD

Conway, Jane MD

Cools, Michael J MD

Cox, Chad S MD



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Crawford, Tiana MD

Culpepper, David MD

Davis, Ashley N MD

Davuluri, Naga Ratnakar MD

Denmark, Belinda A DO

Deppe, John MD

DeRoche, Michael MD

Dinallo, Anthony MD

Dinh, Truc X MD

Dixon, Scott DO

Dowdy, Jared MD

Duffell, Brian P MD

Dykes, Thomas E MD

Enderson, Jessica DO

Endress, Ryan MD

Evans, Adam MD

Evans, Sean S MD

Evliyaoglu, Ferhat MD

Fantaye, Samuel H MD

Farrington, Woodrow J, II MD

Fitzpatrick, Ellen M MD

Ford, Heather MD

Ford-Daniels, Katherine MD

Fox, Jason MD

Franklin, Alexandra MD

French, Sarah G MD

Frost, Chelsea D MD

Fujita, Ayako W MD

Ganju, Rohit G MD

Gearing, Bobby C, III MD

Gellman Biskamp, Sarah R MD

Gilbert, Kurt M MD

Gillen, Matthew D DO

Gilligan, Brian P MD

Gladden, Karen H MD

Goldberg, Leah MD

Goldsmith, Benjamin H MD

Goldwire, Franklin W MD

Goltz, Davida Y MD

Gopal, Arun K MD

Gotshall, Alexandra MD



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Grace, Daniel A MD

Grandhi, Ravi K MD

Grant, Keionna MD

Gray, Elizabeth MD

Guenther, Lauren A MD

Gundapunei, Satish Babu DO

Gupta, Ritu MD

Halanski, Amy D MD

Hamoui, Omar MD

Hanrahan, Steven DO

Harkins, Emily MD

Harmon, Elliot D MD

Harris, Cynthia MD

Harris, Gina R DO

Hassaballa, Mohamed MD

Hassan, Ahmed M MD

Hassan, Saria M MD

Hazuka, Mark B MD

Healy, Sara J MD

Helland, Gregg MD

Hemani, Salman MD

Henderson, Brittany B MD

Henderson, Tarah L DO

Hermann, Michael MD

Hill, Donald MD

Hill, Georgia P DO

Ho, Chuan-Xing MD

Holseth, Saundra Y DO

Howard, Courtney MD

Hyer, Lauren C MD

Irving, Winston D, Jr. MD

Iyer, Meenakshi N MD

Jackson, David A MD

Jackson, Karen A MD

James, Frank MD

Jamil, Muhammad T MD

Jarrard, Merry T MD

Jennings-Kumagai, Sarah A MD

Jerome, Elizabeth MD

Jhaveri, Manan A MD

Johnson, Ashley MD



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Joshi, Mehulkumar DO

Kachaamy, Toufic MD

Kebbel, Kayla B MD

Keller, John C MD

Kemp, Megan C MD

Keshwah, Sunil P MD

Khan, Aslam MD

Khan, Gulam Ashfaq H MD

Khan, Raja M MD

Khan, Syeda M MD

Khosla, Deven MD

Kim, Sean S DO

King, Joseph MD

Kingsley, Donald DO

Kirshner, Brandon R MD

Kobza, Paul E DO

Korona, Alicia D MD

Koshy, Stevley DO

Kovacs, Stephen MD

Krieger, Andrew J MD

Kuo, Jarret MD

Laing, Cindy DO

Laundon, Robert K MD

Le, Thuyan T MD

Lee, Peter MD

Lee, Tricia MD

Lesser, David S MD

Li, Sui MD

Lim, Annie K DO

Linder, Neil DO

Lonsako, Shumet A MD

Lopez, Lucia MD

Lopez, Marisa P MD

Lotsu, Dzifaa K MD

Lowe, Aidan F MD

Lumpkin, Christopher H MD

Lynch, Holly N DO

Maghsoudy, Farzaneh V MD

Martin, Edward A, Jr MD

Martin, Ryan J DO

Masson, Sarbjit S MD



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Masson, Scott DO

Mathis, Nicole D MD

Mattson, Christopher MD

McDonald, Mark M MD

McLendon, Taylor W MD

McSwain, Sallie M MD

Megally, Nada N MD

Mehari, Tigist G MD

Mehta, Mitali MD

Mehta, Ritesh J MD

Melanson, Victoria G MD

Menard, Grayson W MD

Mercer, Jett MD

Miller- Adams, Vandene T MD

Miller, Jamison C MD

Miller, Joshua MD

Minhas, Hamza MD

Mitchell, Robert H MD

Mizera, Kathryn MD

Monroe, Alexandra K MD

Moore, Bryan J MD

Moore, Jerri K MD

Morgan, Mackenzie MD

Moritz, Joy DO

Muthumala, Neomal DO

Myers, Kimberly MD

Nagarajan, Elanagan, N/A MD

Neimanis, Sara MD

Nellore, Malleeswari MD

Nelson, Carolyn A MD

Nelson, John T MD

Nezami, Nariman MD

Ngo, Binh Q MD

Nikac, Violeta MD

Ninh, Jimmy MD

Njoku, Ifeoma MD

Nwasike, Chinedu MD

Odell. Diamond T MD

Oh, Melissa A MD

Ojo-oniyun, Saheed G MD

Okpala, Victoria MD



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Oneiz, roneiz MD

Onyesoh, Ngozi U MD

Otaluka, Susan U MD

Otchere-Boateng, Yaw MD

Pai, Vidya MD

Palmieri, Vincent J MD

Patel, Devangi DO

Patel, Hiren MD

Patel, Khushbuben MD

Patel, Krishna A MD

Patel, Neil J MD

Patel, Pujan MD

Patel, Ravikumar DO

Patel, Shil DO

Pauly, Quinn MD

Penn, Caleb MD

Perdoncin, Emily MD

Pesiridou, Angeliki MD

Pham, Amanda T MD

Pham, Teresia MD

Pharris, Kevin R MD

Phelps, Katherine A MD

Pimentel, Norianne MD

Pineiro, Giselle I DO

Pines, Jack R, III MD

Polotsky, Alex J MD

Posnik, Oksana MD

Prewitt, Alexander DO

Proctor, Eva G MD

Quintero, Elmer L MD

Ramirez Gomez, Jose M MD

Ramirez-Cueva, Fatima DO

Reddy, Sandeep G MD

Reses, Joseph D MD

Reynolds, Jessica MD

Reznick, Stephanie C MD

Robinson, Emily J DO

Robinson-Parks, Asha Z MD

Rose, John DO

Rueds, Briana M DO

Salas Robinson, Arelis MD



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Samali, Saughar DO

Sanderson-Smith, Jennifer L MD

Sandoz, John C MD

Sangha, Thalvinder MD

Sannananja, Bhagya MD

Savage, Paul E MD

Schachar, Ira MD

Schwartz, Brandon S MD

Schwartz, Shauna DO

Serianni, Richard MD

Serpa, Carmen R MD

Setty, Shubha G MD

Shah, Purav C MD

Shah, Rachel P MD

Sharma, Surina MD

Shen, Mark W MD

Shukla, Rakendu P MD

Simpson, William G DO

Snipes, Kristen M MD

Stewart, Paula J MD

Sudekum, Veronica L MD

Swavely, Steven C MD

Tabilona, Jules Ryan MD

Taha, Yamal J MD

Tan, Tony W, MD MD

Tanga, Joseph A MD

Tanksley, Christin-Lauren S MD

Taveras Delgado, Rosa C MD

Taylor, Mark L MD

Tharin, Baxter D MD

Tharpe, Chet MD

Thomas, Melissa l MD

Thompson, Kim M MD

Tian, Sibo MD

Toth, Matthew J MD

Trippe, Bruce S MD

Tummala, Vijayaprasad MD

Valdes, Ruddy A DO

Vallabhajosyula, Saraschandra MD

Van Mason, Jessica MD

Vasudevan, Kumar MD



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Vaughns, Travisha E MD

Venkataramana, Anita B MD

Vijayvargiya, Priya MD

Vinson, Kalie A MD

Vitale, Jonathan DO

Walrath, Jonathan M DO

Walters, Jerry L MD

Wegmann, Nathan K DO

Weiss, Danielle L MD

Westawski, Daniel MD

Willard, Erin MD

Willey, Drew L MD

Williams, Gabrielle MD

Williams, Kamille R. MD

Williams, Narreinar MD

Williamson, Johnny L MD

Willis, Arnold J MD

Wilson, Joseph MD

Wilson, Shenelle N MD

Winchester, Chia-Lin C MD

Windokun, Adejare MD

Woc-Colburn, Laila E MD

Wolfley, Cortney N DO

Woodham, David B MD

Youssef, Michael MD

Yousufzai, Bilal K MD

Zachowski, Emily A DO

Zehring, Bradley J DO

Zelickson, Adam MD

Zetola, Nicola M MD

Approved Residency Training Permits

Abbott, Matthew L

Abdullahi, Dirir H

Abdurraheem-Salami, Ibipo M

Abkemeier, Mary E

Abu Farsak, Hisham

Ahmad, Ayesha

Al Dahabreh, Laith M



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Al Marei, Ibrahim Y

Allen, Daniel L, Jr

Allen, Steven R

Amenu, Eunice

Andre, Tinuola O

Anrude, Akash

Ansah, Rosemary M

Antonovich, Devin D

Aquino, Jesse A

Arellano, Joseph J

Arfa, Ahmed S

Askar, Gina

Atemnkeng, Njika

Azhar, Yusra

Baez-Lugo, Axel M

Baig, Mariam

Bailey, Monique E

Bano, Kulsum

Barron, Harold B

Barrows, Cory E

Baumgartner, Christian

Biggs, Sarah E

Bingham, Rhyan E

Blue, Elliot D

Boatwright, Jennifer M

Bohanan, Mac H

Bolarinwa, Felicia A

Bouchi, Yasir H

Bowerman, Brice P

Boykin, Katelyn A

Brzezinska, Bogna N

Bucur, Philip A

Bullard, Tron L

Burroway, Brandon W

Campbell, Anthony G

Carroll, Kevin A, II

Cary, William R

Casey, Mycal E

Chang, William T

Chen, Aaron Y

Chimberoff, Scott H



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Chisholm, Joshua S

Chory, Kayla A

Chu, Jaemi S

Cline, Joseph K

Clinton, Candace L

Costa, Guilherme d

Cotter, Thomas E

Cox, Ashlyn Y

Craddock, Matthew R

Craft, Shaniece A

Crawford, Maya N

Cromer, David R

Cruz, Justin P

Curcuru, John R

Daniels, Anthony L

Daoud, Wisam

Davies, George M

Davis, Carlton J

DeGrazia, Taryn M

Delmonico, Adriana L

DeMaagd, Erica T

Diamond, Davis C

Diven, Marshall A

Diwan, Dhruti P

Dominguez, Omar F

Drury, Nicholas B

Dunaway, Andrew J

Duru, Tochukwu M

Dwamena, Prince

Dyke, Lisa M

Easley, Melissa M

Erby, Mattie L

Esperant-Hilaire, Nahayo

Estvold, Soren K

Faber, Ariel H

Fields, Brittany C

Fitzgerald, Caitlyn D

Folsom, Hannah G

Foster, Megan E

Fowler, Teresa E

Fox, Ashley D



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Freeman, Charles J

Garcia, Daniel J

Gifford, Monica M

Gilani, Aamir Sirajuddin

Gillings, Matthew J

Gills, Kelli A

Gonzalez Cardona, Jaime J

Gordon, Clifford W, Jr

Grace, Harrison E

Grandprey, Emily L

Grant, Jaselyn

Greene, Henry L

Gubler, Andrew S

Harbeck, Sarah J

Harris, Jada M

Hawkins, Sebastian M

Held, Edward L

Henry, Nathan S

Herndon, Joshua B

Hirst, Ryan J

Ho, Hang T

Hoffer, Colton G

Holjencin, Joseph C

Hong, Winston Y

Houghton, Ruma R

Houston, Harrison B

Hussain, Abdul M

Ice, Tyler A

Idubor, Osamuyi

Ingley, Megan N

Jagatic, Tomislav H

Jaleel, Dana R

Jalnapurkar, Sawan S

James, Kenneth M

James, Nicholas P

Jimenez Cordero, Enoe J

Joo, Yujin

Juka, Herald

Kabir, Nighat P

Kanu, Ezinne M

Kaplan, Rafael J



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Kawano, Yuji

Kelley, Layne E

Kelly, Cullen D

Kennedy, Robert D

Kesiena, Onoriode

Khan, Mohammad Z

Kim, Sera

Kissinger, Ryan W

Koganti, Sriramakrishna R

Krebs, Joseph R

Kremer, Michael J

Kubiak, Michal J

Kupshik, David

Kuyvenhoven, Mary E

Labule, Arnold

Lalani, Raheem

Lance, Derek A

Landis, Michael D

Le, Kevin Q

Lerner, Nosson

Li, Hanzhou

Li, Jiemin J

Light, Jeremy G

Limay, Abdalnasir A

Lopez, Nicole S

Ma, Merry W

Madala, Nikhil

Madwani, Kiran

Magazin, Maja

Mahon, Samantha L

Malapur, Bina R

Mandrov, Anton A

Manu, Preeth N

Masood, Mahvish F

Mayers, James D, Jr

McDonald, MIchael J

McLaughlin, Katy L

Melton, Christopher D

Mikhail, Peter N

Miller, Ryan P

Moideen, Pramila P



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Montenegro, Danny J

Moore, Cameron D

Morales-Nunez, Shalane A

Mude, Pooja J

Mullani, Naureen N

Murray, Rachel L

Nelson, Kristopher A

Nsona Koyagialo, Nzota P

Oberle, Michael D

Offerman, Emilie A

Oh, Ilkyu D

Okereke, Chijioke C

Omar, Nivin A

Orenstein, Gabriel A

Orlando, Christopher V

Pansius, Joseph B

Parameswaran, Anand M

Park, Jee Ha

Patel, Darshna N

Patel, Himax

Patel, Mallika

Patel, Nand V

Patel, Shaan V

Payne, Taylor R

Pelote, Erica L

Perez, Reinaldo L

Phan, Tracy T

Pineda, Daphne A

Pletz, Jacob D

Prusinski Fernung, Lauren E

Ramos, Christina M

Rehman, Obaid

Revere, America S

Ricci, Daniel E

Rivera-Salva, Juan E

Rivers, Jonathan D

Robinson, Lauren C

Rodriguez, Evelyn M

Roman, Robert A

Rosier, Raquel R

Royalty, Kyle J



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Ruble, Brittni L

Rusiecki, Gregory

Sackfield, Bradley C

Sambangi, Chaitanya D

Sanchez Gonzalez, Maria G

Sanchez, Nelson

Saxena, Sharul

Schmidbauer, Kristen L

Schultz, Alex V

Scofield, Thomas A

Seamon, Amanda B

Sedeek, Ahmed M

Seminario, Natalie A

Serna-Gonzalez, Juan S

Shariff, Yassmin

Sharma, Chinmaya

Sheikh, Nafiz K

Sherry, Alexander D

Shields, Molly C

Shoukier, Mahran

Shuler, Ryan J

Shurley, Joshua H

Simon, Remil

Singh, Karampal

Singh, Mandeep

Singh, Navdeep

Singireddy, Shreyas R

Skelton, Graham S

Smith, Corey D

Smith, Lauren W

Spears, Debra A

Spurrier, Rachel L

St-Gourdin, Kenette

Stockton, Savannah M

Stoikov, Teodora S

Stokes, Stephanie D

Stryker, Stephanie N

Sweidan, Yousef N

Syed, Areej

Synovec, John D

Tadavarthi, Yasasvi



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Taskale, Gokhan E

Tauhidul, Liniya

Taunton, Jacob D

Thackar, Neil B

Thawer, Fahim A

Tian, Lee Q

Tobin, Stephen P

Tong, Brian A

Tran, Danny M

Trieu, Hai P

Ulmer, Michael T

Vadodaria, Mansi N

Van De Water, Trevor D

Vaz, Jennifer A

Venable, Erica L

Venugopal, Nitin

Voong, Cassandra M

Wallace, Catherine E

Wang, Alex

Wang, Jifeng

Watson, Lindsay C

Wayson, Jesse W

Weirich, Matthew P

West, Austin C

Wetzstein, Sara A

Whalen, John E, Jr

Willeford, Sierra

Williams, Taylor R

Williams, Zachary F

Womack, Carson A

Wong, Alfred K

Wong, Theodora K

Wood, Matthew E

Wright, Alexandra G

Zaied, Abdelrahman A

Zambrano, Maria J

Zarkua, Georgy

Zarkua, Kristina

Zhang, Catherine

Zhang, Sophia H



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NURSE PROTOCOL ADVISORY COMMITTEE

Dr. Gross presented the Nurse Protocol Report:


1. A question regarding refilling-controlled substances, if patients are getting refills that require my

DEA (such as phentermine, etc.), are there physical assessment requirements? Yes. Refer to Rule

360-2-7. The Delegating is also required.

2. Brandi Miller, Pediatric acute care Nurse Practitioner. I am very interested in doing some

telemedicine health during these most uncertain times. Initially GA required providers to have an in-

person encounter with a physical examination prior to being allowed to assess and prescribe

medication electronically. Would I be able to have telemedicine visits while here in Georgia to

patient’s in New York? What documentation is needed through the State of Georgia to get started?

Refer to telehealth rule. NP needs to contact other states. Needs a license for each state and

some states required you to both RN and Advance Practice License. The General Rule is you

need license in other states.

3. Since I have a GA Nurse Practitioner Licensure does this permit me to do Telemedicine from GA but

treating patients in different states via phone or live video specifically and only for Workers

Compensation in Occupational Medicine? Is there anything else in relation to my licensure that I

need to have to practice? Need to contact other state boards.

4. The physicians that we need to add as designated are general surgeons and the delegating physician is

a Gastroenterologist. They will be utilizing the midlevel for procedures that are within both

specialties’ scope of practice. May we utilize the general surgeons as designated physicians’ or does a

new protocol have to be issued? As long as both Physicians are within scope of the APRN.

5. The Department of Correctional Healthcare does not require NPs to have DEA since they do not

prescribe independently but we have physicians sign off their prescriptions and for that reason our

NPs do not file APRN agreement for approval with the medical board. Does this still limit the number

of NPs a physician can supervise? The ratio number is still the same.

6. The questions are as follows: 1) Since I have a GA Nurse Practitioner Licensure does this permit me

to do Telemedicine from GA but treating patients in different states via phone or live video

specifically and only for Workers Compensation in Occupational Medicine? For Workers Comp we

DO NOT treat patients in Group Health meaning NO Medicaid/ Medicare patients or any other

commercial grade health entities. I mention this because it is thought by the physicians and

companies employing us that because it is specifically Workers Compensation, we do not require

additional Licensure for those States. For example, If I am in Georgia doing Telemedicine and a

patient call from Virginia, am I able to treat that patient without a Virginia NP Licensure? Please

elaborate. Must contact other state board. 2) If my delegating and designated physician have

unencumbered license and can practice in any State does that allow me as an NP to also practice in

any state without obtaining my NP licensure from those states? Contact other Boards for their

requirements. 3) If I am employed as an Independent Contractor for Telemedicine can I use the

physicians hiring me as my Delegating and Designated physicians? Or do I have to find a different

Delegating and Designated Physician outside of that agreement? Is there anything else in relation to



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my licensure that I need to have to practice as an Independent Contractor? Must practice in the same

scope as physician

Form C:

❖ Kendrick, Tara

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

34-25.

APRN DELEGATING PHYSICIAN

Barnes, Sangduan David Alvarez, MD

Bell, Lindsey Robert Miller, MD

Bowen, Nancy David Whitehead, MD

Clay, April Daniel McMicken, MD

Crawford, Salaethia Gregory Spellman, MD

Curry, David Timothy Zgleszewski, MD

Denton, Christi John Hoyt, MD

Freeman, Troy Sudha Reddy, MD

Shelton, Tracey Yuri Pride, MD

Stephens, Tammy Kenneth Dinella, MD

Doxie, LaDonna Jasmine Kearse, MD

James, Lequawn Jasmine Kearse, MD

Whatley, Susan William Coleman, MD

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

43-34-25 with changes.


Govner, Nikki Stephen Tafor, MD

King, Jeannie Travis Carroll, MD

Kuriyama, Tomoyo Fahad Khan, DO

Meeks, Elise Nicholas Agresti, MD

Wright, Karen Reed Pitre, MD

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

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


Forrest, Amber Leo Noragbon, MD

Walton, Nurah (resubmit) Hassan Bokhari, MD

Wolfe, Roshmoti Kenneth Pittman, MD

APRN Protocol pending under review


Harrell, Cori Joseph Charles Jr, MD

Harris, Chivas Angelia Cain, MD



23

Highsmith, Wykeisha Barry Hull, MD

Sapp, Brooke Harold Katner, MD

Scarborough, Michele Christopher Richards, MD

Scruggs, Haley Sandra Gibbs, MD

Shelton, Tracey Yuri Pride, MD

Stephens, Tammy Kenneth Dinella

Protocols Administratively Reviewed

APRN Last APRN First Supervising Physician Name

Kennedy Ronalda Kay Oso

Aiello Lisa Natalia Miles

Chavez Alexander Anshul Patel

Babajide-Gbenga Bolanle Mehmood Mehdi

Akintoye Nimota Shameka McElhaney

Beasley Kitty Winston Connell, Jr.

Batten Lisa Shad Stormant

Brackett Robin Eric Gibney

Grant Tshaun Aderemi Dosunmu

Frazier Lisa Edward Bass

Green Alisha Julaine Cross

Heitkamp Brittany William Boydston

Brock Felicia John Corbin

Medlin Helen Mark Albritton

SEXUAL MISCONDUCT ADVISORY COMMITTEE

Dr. Gross reviewed the charge of the Committee and asked the members to review the following

information:

FSMB Report

House Bill 629

Proposed Changes to Rule 360-3-02(12) “Unprofessional Conduct Defined” (Chaperone Rule) -

There was a brief discuss on language/changes for this rule.

Plans to write Medical schools and residency programs after the development of these

rules/policies.

There will be a full meeting at the July meeting.

PHYSICIAN ASSISTANT ADVISORY COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report.




24

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

PA Supervising Physician

Amman, Ariel Jones, Christopher

Amoh, Daniel Murphy, Douglass

Baler, Eric Summers, Joshua

Gregory III, Roger Ghattas, Timothy

Howell, Erin Wattenbarger, J. Michael

Jackson, Alexis Boss-Cole, Etta

Karbowski, Megan McLaurin, Samuel

McMahan, Alivia McMahan, Mary

Qin, Limei Searcy, Lydia

Rentch, Kyla Graham, Antonio

Serafen, Katherine Jones, Andrew

Spruill-Mote, Julia Taylor, Mark

Thrower, Charles McLaurin, Samuel

Approve the following application for initial licensure with a supervising physician pending

additional information:


Turner, Robert Halkos, Michael

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

PA

Fenstermaker, Anna

Gregory, Charlotte

Hwang, Joseph

Ingram, Ashley

Jones, Carlie

Jones, Richard

Kauffman, Kristina

McKinney, Michael

Messier, Sara

Miller, Anna

Patel, Monal

Peel, Shelby

Podmeyer, Kelsey

Retterbush, William

Smith, Stephen

Traina, Alissa

Young, Diane

Zehna, Jessica



25

Table the following applications for initial licensure without a supervising physician

pending additional information:

PA Rider, Michael

Approve the following Add/Change applications:


Abiodun, Abimbola Blount, Bernadette

Alston, Sharon Willie, Claire

Barrett, Maura Katsitadze, George

Belko, Daniel San Miguel, David

Bloodsaw-Scott, Lashonda O'Neal, Kenneth

Bowser, Bradley Haddad, Sinan

Burkett, Stephanie San Miguel, David

Carney, Kathryn Skowronski, Piotr

Chambers, D'Amber Johnson, Donovan

Cibiras, Robert Brand, David

Coleman, Elizabeth Certain, Matthew

Crouch, Anne Bradley, Paul

Cutshall, Joshua Sumner, Randolph

Daniels, Jamison Glass, Oliver

Davis, Trevor Flail, Elizabeth

Denzin, Damon Boron, James

Diosdado, Sara Hogan, Matthew

Dunlap, Daniel Waldman, Michael

Fancher, Betty Jo Leon, Gorby

Forbes, Elizabeth Pursley, George

Foreman Jr, Foreman Grant, April

Frazee Ii, Donald Amador, Juan

Giddens, Matthew Al-Moosawi, Khaldoon

Giddens, Matthew Johnston Jr, Lester

Globerman, Mark Pisula, Brian

Green, Catherine Nagel, Kerry

Grogan, Deana Brooks, Alrick

Hawn, Thomas Koo, Johan

Heckman, Alexander Gottsman, Michael

Hemphill, Kelly Munn, Barry

Ho, Hong Abukhdeir, Hesham

Hoeffler, Jessica Grant, April

Hyde, Kayla Lanham, Jason

Jaffer, Alysha Johnson, Donovan

Jean-Jacques, Emmanuel Vega, John

Joseph, Rodeline Goldberg, Mark



26

King, Ashley Nnodim, Ahamefula

Lavecchia, Melinda Curro, Christopher

Lewis, Lindsay Salmieri, Stephen

Liddell, John Bogar, Kristina

Mann, Erika Bray-Ross, Melody

McKellar, Marjorie Lowe, Michael

Mills, Mark Nagel, Kerry

Morton, Hayley Redcross, Joseph

Nancy, Hart Maziarz, Brian

Orleck, Kimberly Suh, Jung

Otto, Alexandra Wiegman, Jarrod

Palcic, Marilyn Deshpande, Chetan

Pass, Kristin Brown, Charles

Patel, Harris Patel, Amrish

Pena, Erica Limehouse, John

Phipps-McGregor, Sharla Spiegler, Jason

Rama, Nisha Dillard, David

Reynolds, Joseph Lorenzo, Samuel

Richman, Hunter Sinha, Amulya

Riley, Sarah Buckely, Jennifer

Rivera-Armoreda, Erica Kuzio, Daniel

Robinson, Michelle Lorenz, Richard

Routt, Stephen Johnson, Donovan

Short, Dennis Singleton, Rodmond

Smith, Laura Flandry, Jacqueline

Stone, Dawn Johnston, Lester

Stone, Dawn Yang, Jin

Taft, Jermaine Alphonse, Paul

Tioaquen, Cheryl Gandhi, Kamlesh

Toubiana, Alicia Mirza, Omer

Tran, Ngoc Minerve, Harold

Tran, Uyen Mack, Lisa

Trogdon, Virginia Stewart, David

Verma, Priya Murphy, Thomas

Viles, Nathan San Miguel, David

Waller, Leah Sinha, Amulya

Warburton, Nicole San Miguel, David

Williams, Gregory Bethea, Tod

Willis, Edie Vocelle, Sarah

Wilson, Christy Alphonse, Paul

Witsiepe, Kara Harris, Jacqueline

Yoon, Jo Ann Boswell, Vincent



27

Approve the following Additional Duty Request: Stephen Lewis, PA with –Dr. Michael Bosley

Large Joint Injections

Table the following Additional Duty Request pending additional information: Jacob Lunsford, PA with –Dr. Blake Willis

Botulinum Toxin Injection

Fine the following $500 for unlicensed practice: C.D.

Other Business:

1. KSTAR Virtual Pharmacology and Prescribing Course -

Add to GCMB Newsletter

COSMETIC LASER ADVISORY COMMITTEE

Dr. Gross presented the Cosmetic Laser Committee report as a motion and it carried

unanimously.


Approved the following for Assistant Laser Practitioner

Olivia Braitsch

Hannah Holbrook

Shuntelle Mason

Tammy Pruiett

Laila Taylor

Erica Watson

Melanie Whitenton-Cates

Taylor Wiggins

Approved the following for reissue of Assistant Laser Practitioner

Brenda Sullivan

Approved the following for Senior Laser Practitioner

A.K. – with conditions

Approved the following for reissue of Senior Laser Practitioner

Maureen Bosley

Other Business:

The Board referred the email from David Kurkoski to the AG’s Office for review and response.



28

The Board accepted the information from Mr. John Hoopman that he is now ACCME-approved for a

course entitled “Foundations of Laser and Light.”

RESPIRATORY CARE ADVISORY COMMITTEE

Dr. Dalton presented the Respiratory Care Committee report as a motion. The Board accepted

the report by unanimous vote.


Correspondence

The Committee accepted as information a letter from NBRC regarding proctoring.

Denial:

M.B.

Tabled for additional information

McMillian, Patricia

Starling, Andria

Reinstatements:

Haver, Francie

Shaw, Christopher

Hancock, Cynthia

Taylor, Blondelle-NPDB report

Ahsan, Asia

Fraser, Glenlloyd-Form F & explanation of arrest

Johnson, Genina

Payne, Amy-NPDB report

Rockett, Pamela-NPDB report

Evans, Bradley

Hemphill, Amy

Meister, Brian

Temporary:

Abel, Alexi

Mathis, Savannah

Anderson, Jackie

Walker, Alexis

Alanazi, Nasser

Roscoe, Kayla-Form F & Verifiable Document

Full Licensure:

Dickerson, Aimee



29

McPherson, Beverly

Scott, Audrey

Alkhthlan, Abdullah

Hill, Keyanna

Soto, Tori

Nicolas, Tania

Gibbs, Derrick

Landy, Darrius

Quiller, Tiandra

Gray, Trevor

Martinez, Jennifer

Westervelt, Thomas

Korn-Reavis, Amy

Arnold, Diva-NPDB report

Hughes, Jennifer- updated Resume & CEUs

Siriani, Kristin-additional information

Metcalfe, Melanie-NPDB report

Greer, Endia-NPDB report

Cheek, Jennifer-60 CEUs

Administrative Upgrades

Ashley Tootle

Phillip Forster

Amanda Wilkes

Abraham Adame

Dina Chavez

Nadiya Deen

Sharhonda Williams

Justin Heard

Zewdie Shekur

Ayan Warsama

Tracie Douglas

Jasmine Adams

Bindi Bhakta

Tehmia Yahya

Tatyana Valenzuela

Lashonte Brown

Bethany Newsome

Shanique Miller

Malik Logan

Van Tran

Meghan Jenei

Kaylee Jenkins



30

Additional Business:

• The Committee reviewed the proposed rule changes with Asst. Attorney General, Max Changus.

• Discussion with Executive Director, LaSharn Hughes, on emergency permits converting to

permanent licenses- no action due to Governor extending permits to July 12, 2020.

ACUPUNCTURE ADVISORY COMMITTEE

Rob Law presented the Acupuncture Committee report as a motion and it carried unanimously.


Accepted the quarterly report for the following:

Yiqiang Zhou

Approved the following applications for initial licensure:

Rian Bush

Gabriella Rivera

Approved the following request for acupuncture privileges:

Victoria Meredith, MD

PERFUSION ADVISORY COMMITTEE

Dr. Retterbush presented the Perfusion Committee report as a motion. The Board accepted the

report by unanimous vote.

Approved the following applications for Initial Perfusion Licensure:

James Groneck

Gary Koenig

Yajin Ren

Ryan Zavala

PAIN MANAGEMENT COMMITTEE

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

accepted the report by unanimous vote.


Approved the following for licensure.

Sun Pain Institute- Savannah

Comprehensive Spine and Pain, LLC- Sandy Springs

Guardian Medical Care-St. Marys

Hemlock Pain Center-Thomaston



31

The Committee approved the following applications that were Administratively Approved

License # Pain Clinic Name

121, 123 The Physicians Spine and Rehabilitation Specialists of Georgia

ADD Practicing Physician, Christopher Paul

293, 294 The Spine Center of Southeast Georgia, LLC

ADD Managing Employee, Tabitha Bailey

Delete Managing Employee, Daniel McGinnis

Delete Physician, Anthony McPherson

407 Georgia Pain and Spine Care

ADD Practicing Physician, Daniel Sandlin

ADD Practicing Physician, Sandeep Vaid


ADD APRNs, Ashley Miller and Mitchell Boles

ADD Practicing Physician, Daniel Sandlin


DELETE Practicing Physician, Ali Kassamali

122 The Physicians Spine and Rehabilitation Specialists of Georgia, PC

DELETE APRN, Susan Slappey

266 TDI Pain/TDIP

ADD APRN, Cassie Kelly

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Deloach presented the Genetic Counselors Advisory Committee report.


The Committee reviewed and approved the following applications.

Erin Ash

Divya Baxi

Stephanie Cagle

Leslie Cohen Melanie Corbman Rachel Covington Summer Duffy (Temporary License)



32

Jennifer Garbarini

Kristen Grill

Courtney Lewis Gail Martino Paulina Nassab Allie Norse Richard Okamura Tabitha Perry Kristen Rauch Elizabeth Repass Irelyn Shepard Theresa Shuck Matt Tschirgi April Tucker Jessica Watts Andrea Wilkins

Kayla Young

ORTHOTIST & PROSTHETIST ADVISORY COMMITTEE

Dr. DeLoach presented the Orthotist & Prosthetist Advisory Committee report.


Approved the following applications for licensure:

Emma Blass – Dual O&P – pending additional information

James Keith Myers – Orthotist

Juan Prieto – Orthotist

Other Business:

The Committee referred the email from Mr. LeRoy Oddie regarding manufacturer exemption to the AG’s

Office for review and response.

LAW ENFORCEMENT ADVISORY REPORT


1. 20200464 – Denied request

2. 20201394 – Approved release of records

3. 20200454 – Summary Suspension

4. 20200460 – Lift probation



33

WELLNESS COMMITTEE

Dr. Harbin presented the Wellness Committee report as a motion and Dr. Simmons seconded.

The Board accepted the report by unanimous vote:


PHP Report

The Committee reviewed the PHP Report and accepted as information.

TG - Give five days to enter PHP.

Gregory S. Smith, MD – denied request to terminate conditions of public consent order.

The Committee reviewed a brochure from Ethics and Boundaries Assessment Services, LLC,

providing information on their services. The Committee asked the staff to ask for additional

information on their programs and see if other states use their services.

INVESTIGATIVE COMMITTEE

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

Mr. Law. The Board accepted the report by unanimous vote. The Board took the following

actions.

20190285 LOC 20192138 TABLE

20192200 PEER 20200096 LOC

20200238 TABLE 20200294 PEER

20200314 CLOSE 20200492 LOC

20200506 FINV 20200570 FINV

20200646 LOC 20200722 CLOSE

20200726 TABLE

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

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

WB – deny attorney’s recommended offer and move forward with the case.

BG – deny request for investigative interview proceed with the case.

Close:

20192512 20190630 20191765 20192529 20192578 20200059

20200078 20200100 20200114 20200118 20200200 20200292

20200297 20200308 20200393 20200434 20200436 20200467

20200523 20200529 20200575 20200596 20200599 20200633

20200665 20200681 20200740 20200743 20200744 20200745

20200747 20200748 20200749 20200750 20200751 20200752

20200753 20200766 20200770 20200773 20200786 20200792



34

20200794 20200795 20200797 20200813 20200837 20200854

20200865 20200869 20200875 20200881 20200883 20200897

20200917 20200929 20200934 20200938 20200940 20200969

20200974 20200976 20200981 20200982 20200983 20200986

20200990 20200995 20200996 20200997 20201003 20201007

20201018 20201021 20201022 20201026 20201032 20201038

20201039 20201042 20201047 20201056 20201072 20201084

20201099 20201128 20201130 20201142 20201161 20201216

20201230 20201307 20201309 20201345 20201362 20201385

20201387 20201398 20201399 20201402 20201405 20201406

20201407

Close with Letter of Concern:

20192526 20200092 20200302 20200483 20200565 20200602

20200697 20200764 20200767 20200867 20200924 20200975

20201253 20192362 20201394

Invite for Investigative Interview:

20190559 20191854 20200058 20200152 20200546 20200635

20200811 20201008 20201153

Further Investigation:

20191615 20200152 20201153 20201266

Table

20190607 20200206 20201148 20201355 20200067

Attorney General’s Office

20170258 20201121

Peer Review

20190559 20200546 20190701 20192393

OMPE

20190872

INITIAL COMPLAINT EVALUATIONS The Board approved the following recommendations.

20201207 20201361 20201366 20201370 20201391 20201393

20201413 20201417 20201426 20201433 20201443 20201445

20201453 20201455 20201461

RECUSALS Antalis 20192200



35

DeLoach 20200078 20200152 20200764 20201253

Gross 20201394

There being no further business, motion Dr. Marshall, seconded Dr. Retterbush voted to adjourn

the meeting at 4:59p.m.

__________________________________ _____________________________________

Gretchen Collins, MD LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by:

_______________________________________________

Phyllis White, Executive Assistant

georgia composite medical board minutes of the june 4

Documents