Georgia Composite Medical Board Minutes of the December 5 ...
GEORGIA COMPOSITE MEDICAL BOARD · GEORGIA COMPOSITE MEDICAL BOARD MINUTES MARCH 31-APRIL 1, 2016...
Transcript of GEORGIA COMPOSITE MEDICAL BOARD · GEORGIA COMPOSITE MEDICAL BOARD MINUTES MARCH 31-APRIL 1, 2016...
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GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
The Georgia Composite Medical Board (GCMB) held its regular meeting on March 31-April 1,
2016 at Georgia Regents University. J. Harold Harrison Education Commons, 1301 R.A. Dent
Blvd, Augusta, GA 30901 to consider Medical Board matters.
Board members in attendance were:
Alice A. House, MD, FAAFP, Chair
John S. Antalis, MD, Vice Chair
Keisha Callins, MD, MPH
E. Daniel DeLoach, MD
Charmaine Faucher, PA-C (Ex-Officio Member)
Alexander S. Gross, MD
Jane “Cami” McGarity (Consumer Member)
J. Jeffrey Marshall, MD
B. K. Mohan, MD
David Retterbush, MD
Joe Sam Robinson, MD
Ronald “Ronnie” Wallace, MBA (Consumer Member)
Richard Weil, MD
Board member absent were:
John Downey, DO
George “Trey” Powell, MD
Charles White, DO
Representatives from the Attorney General’s Office:
Janet Wray, Senior Assistant Attorney General
CALL TO ORDER
Dr. House called the meeting of the Georgia Composite Medical Board to order at 9:30 a.m.
AGENDA
Dr. Deloach submitted a motion, seconded by Mr. Wallace, to approve the agenda of the March
31-April 1, 2016 meeting. The motion carried unanimously.
MINUTES
Dr. Deloach submitted a motion, seconded by Dr. Gross to approve the minutes of the March 3,
2016 meeting. The motion carried unanimously.
Dr. Peter Buckley, MD, Medical School Dean, made welcoming remarks and gave an overview
of the school. This is a great time to be in Augusta. They have worked to broaden the portfolio of
students and to develop a state of the art medical school. It is the ninth largest medical school in
America. They have a 9.3 survey satisfaction rate of exiting medical students.
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BOARD CHAIR’S REPORT Dr. House presented the Board Chair Report.
1. FSMB symposium: Antitrust Implications for state medical boards.
2. Georgia Professional Regulation Reform Act (HB 952).
RULES HEARING
Dr. Gross convened the public hearing concerning the following proposed Rules amendments:
360-36-36 “Low THC Oil.”
Dr. Gross asked if anyone was present to address the Board on the posted Rule amendments. No
was present to address the Board.
Dr. Gross reviewed the submitted written comments with the Board members.
Dr. Gross made a motion to table and refer Rule 360-3-.02 “Unprofessional Conduct Defined”
back to the Rules Committee to address concerns.
Dr. Retterbush seconded the motion, and it carried unanimously.
Rule 360-3-.02, "Unprofessional Conduct Defined."
Dr. Gross asked if anyone was present to address the Board on the posted Rule amendments. No
was present to address the Board.
Dr. Gross made a motion to amend Rule 360-3-.02 “Unprofessional Conduct Defined.”
that the Board find the formulation and adoption of these rules do not impose excessive
regulatory cost on any licensee and any cost to comply with the rule cannot be reduced by a less
expensive alternative that fully accomplishes the objectives of the applicable laws; that the Board
finds that it is not legal or feasible to meet the objectives of the applicable laws to adopt or
implement differing actions for businesses as listed in O.C.G.A. 50-13-4(A) (3)(A),(B),(C), and
(D).
Dr. Deloach seconded the motion, and it carried unanimously.
EXECUTIVE DIRECTOR’S REPORT
Robert Jeffery, Executive Director, presented the following information for the Board’s review.
Dr. Retterbush submitted a motion, seconded by Dr. Weil to accept the report. The motion
carried unanimously. The Board took the following actions:
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GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
1. Richard Mansfield, D.O. asked “Does the prescription of oral antibiotics and oral steroids
by a physician who has not examined the patient comply with Board rules”? Refer to
Laws and Rules.
2. The Bibb county Medical Society sent a letter urging the Board to require expert
witnesses who do not hold Georgia licensure to obtain a special certificate or limited
license. Should the Board wish to support this? Board accepted as information.
3. Peachtree Allergy Clinic urges board to oppose FSMB Position Statement four
“Compounding of Medications by Physician”. Dr. Weil motioned to oppose the
resolution. Dr. Retterbush seconded the motion and it carried unanimously.
4. USMLE issued guidance to state boards concerning its procedures for allowing
examinees to retake the exam. For information only.
5. An article by Practical Pain Management entitled “Legacy Patients from High-Dose
Opioid Era”. For information only.
6. AMA opposes Virginia’s Assistant Physician License. Dr. Gross motioned to oppose the
licensure of assistant physicians. Mr. Wallace seconded the motion and it carried. Dr.
DeLoach abstained.
7. Dr. Antalis gave a recap of his presentation of the Georgia Composite Medical Board at
the Medical Association of Atlanta. For information only.
8. Dr. Alice A. House, M.D. Chair was named to the Federation of State Medical Boards
Review Committee. For information only.
RECESS Dr. House declared the meeting in recess for the purpose of holding committee meetings.
Dr. House then declared the meeting would be open session upon completion of the investigative
interviews.
Dr. Weil made a motion, seconded by Dr. Gross, to adjourn the March 31, 2016 Board meeting at
4:40 p.m., and reconvene April 1, 2016 at 9:00 a.m. The motion carried unanimously.
CALL TO ORDER Dr. House called the meeting of the Georgia Composite Medical Board to order at 9:00 a.m.
Board members in attendance Friday April 1, 2016 were:
Alice A. House, MD, Chairperson
John S. Antalis, MD, Vice Chairperson
Keisha Callins, MD
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GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
E. Daniel DeLoach, MD
Charmaine Faucher, PA-C (Ex-Officio Member)
Alexander S. Gross, MD
J. Jeffrey Marshall, MD
Jane “Cami” McGarity (Consumer Member)
B. K. Mohan, MD
David Retterbush, MD
Joe S. Robinson, MD
Ronald “Ronnie” Wallace, MBA (Consumer Member)
Richard Weil, MD
Board members absent Friday April 1, 2016 were:
John M. Downey, DO
George “Trey” Powell, MD
Charles White, DO
Representatives from the Attorney General’s Office Friday April 1, 2015:
Janet Wray, Senior Assistant Attorney General –by teleconference
LEGAL/ENFORCEMENT ACTION REPORT
Betsy Cohen, Staff Attorney, presented the Law Enforcement Action Report. Dr. Gross
submitted a motion to approve the report, and Dr. Antalis seconded the motion. The Board
accepted the report by unanimous vote.
The Board took the following actions:
1. Ernest James Nelson, P.A.: Deny request.
2. Request from Attorney Thomas W. Huyck: Refer to Rules Committee.
3. File #356: Approve Private Consent Order for Licensure upon receipt.(Dr. Retterbush
opposed private consent order)
4. Curtis Cheeks, MD: Deny request to modify Public Consent Order.
5. 20160357: Accept application for inactive status, close case and flag.
6. Ron Mark, MD: Approve Public Consent Order upon receipt of original.
7. Rahim Gul, MD: Approve Public Consent Order upon receipt of original.
ACUPUNCTURE ADVISORY COMMITTEE Dr. Mohan presented the Acupuncture Advisory Committee report as a motion and was seconded
by Dr. Deloach. The Board accepted the report by unanimous vote. The Board took the following
actions:
Accept the following Quarterly Reports:
1. Hannah Tran
2. Ahmad Ptah El
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MINUTES
MARCH 31-APRIL 1, 2016
3. Joseph (JK) DeLapp, III
.
Approve Applicant for Limited License:
1. Monique Pamphile
Approve Applicants for an upgrade from Limited Licensure to Full Licensure:
1. Ahmad Ptah El
2. Joseph (JK) DeLapp, III
Other Business:
1. Acupuncture reference form add “The person who signs this form MAY NOT be
related to the applicant by blood, marriage, or adoption
2. Change Quarterly Report “TX” line to “Patient Chief Complaint or Symptom”.
3. Change Quarterly Acupuncture Supervision Report TX column to “Patient chief
complaint or symptom”
LASER ADVISORY COMMITTEE
Dr. Gross presented the amended Laser Advisory Committee report as a motion, and was
seconded by Dr. Robinson. The Board accepted the report by unanimous vote. The Board took
the following actions:
Approved Applicants for Assistant Laser Practitioner:
1. Branum, Amy Collier, Lachelle
2. Dalton, Anita
3. Dickerson, Stephanie
4. Dooley, Kerri
5. Herring, Thomas
6. Jiwan, Dilshad
7. Maokandova, Bella
8. Reed, Melissa
9. Romero, Yorkidea
10. Schoeneck, Kelly
11. Vickerson, Keena
Other Business:
1. A.Y. – Invite for interview.
PHYSICIAN LICENSING COMMITTEE
Dr. Weil presented the Licensing Committee report as a motion, and was seconded by
Dr. Callins. The Board accepted the report by unanimous vote. The Board took the following
actions:
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MINUTES
MARCH 31-APRIL 1, 2016
Interview(s)
Rodriguez, Luis—Reinstate w/o Restriction
Tabled Applications Pending Additional Information:
1. P.N.
2. L.O.
Approved Request for Waiver or Variance of Rule:
360-2-.01 (5)
1. Tantuwaya, Brijesh
2. Scott, Derek
3. Ofori, Leslie
5. Mansour, Nassir
6. Hawy, Eman
360-2-.01(f)
1. Stein, Michael
Approved Reinstatement Applications:
61046 Boyd, Charles, MD
39075 Connors, Donna, MD
61065 Fielder, Odicie, MD
69289 Hall, Gregory, MD
50382 Hunter, Samuel, MD
57118 Karmpaliotis, Dimitrios, MD
38074 Rapp, Ira, MD
40206 Redel, Istvan, MD
33202 Snodgrass, Timothy, MD
63819 Stanley, Thomas, MD
26764 Woods, John, MD
Other Business
1. Rodriguez-Gonzlez - Approved request to release application documents.
2. Ku, David - Uphold previous decision to require CST for full license.
Approved Applications Pending Additional Information
Jani, Jyotir MD
Merid, Fantaye MD
Manohar, Akshay MD
Hekmatdoost, Kevon MD
LavinOberst, Bruce MD
Kumari, Savita MD
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Osipchuk, Oleksandr MD
Oberst, Leslie MD
Sharma, Neha MD
Approved Applications for Licensure:
075644 PAIK, JEANIE MD
075645 PECTASIDES, MELINA MD
075646 PETIT, MICHAEL DO
075647 PHILIP, TIJI MATHEW MD
075648 PATEL, ARPAN MD
075649 PLANCHER, JOAO MCONEIL NICOLAS MOISE MD
075650 POP, ANCA DR MD
075651 PROSSER, BERTRAM LLEWELLYN MD
075652 POSCABLO-STEIN, MARIA CRISTINA MD
075653 RAJENDRAN, AMARABALAN MD
075654 RALLY, SANJEEV KUMAR MD
075655 RALSTON, JONATHAN SCOTT MD
075656 RALSTON, SAMUEL AARON DO
075657 RAOL, NIKHILA PINNAPUREDDY MD
075658 ROGERS, JULIE MD
075659 ROSEN, ROBERT STUART MD
075660 ROSS, BRIAN ROBERT MD
075661 ROSTAD, BRADLEY SVERRE MD
075662 RUBIN, SHARON LISA MD
075663 ROBERTSON, JENNIFER MD
075664 SARKISSIAN, HAGOP MD
075665 SATHIYAKUMAR, ASMITHA KATHLEEN MD
075666 SAZMAND, TAKESH DO
075667 SCEUSI, ERIC MD
075668 SCHWARTZ, ALAN CHRISTOPHER MD
075669 SHAH, PHALGOON MD
075670 SHAH, SNEHAL MD
075671 SHASHA, DANIEL MD
075672 SILVA, NAOMI NICOLE MD
075673 HOLLOWAY, INDIA KENYONDA MD
075674 SINEATH, MARVIN HUBERT JR MD
075675 SLICKER, KIPP DO
075676 SMITH, JEFFREY PERCEY JR MD
075677 HARVEY, KELLY SUE MD
075678 SNYDER, MICHELLE M MD
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075679 SPENCER, AMANA ELIORA MD
075680 STEIN, KATHERINE ELIZABETH MD
075681 MILLHOUSE, CHRISTINA MD
075682 STEIN, MICHAEL JERRY MD
075683 KIMBRELL, BLAKE MD
075684 TAN, GEORGE MD
075685 KOONER, GAGANDEEP KAUR MD
075686 TERAO, MICHAEL AKIRA MD
075687 THANADAR, ROKSHANA RASCHID MD
075688 THOMSON, ALEXCIS MD
075689 KENNON, ALEXANDER WOODWARD MD
075690 TIPTON, RUSSELL GARY MD
075691 TOLIVER, HERMAN LAROY MD
075692 TRAN, DAVID DANG MD
075693 MOLNAR, RENE MD
075694 TRUITT, MARY DO
075695 HORGAN, BRETT DO
075696 VELASQUEZ, JOHN THOMAS MD
075697 VIDYASAGARAN, THARA MD
075698 LASHER, STEPHEN ANDREW JR MD
075699 VIELKIND, MONICA DR MD
075700 VILLARREAL ALEJANDRO, ONIER MD
075701 MCCORMICK, RYAN DAVID MD
075702 WALKER, ANTOINETTE ADJOWA OTUBEA MD
075703 WANTUCK, JAMES MATTHEW MD
075704 ONUNKWO, CHIEDU CHARLES MD
075705 WEBSTER, ANDREW SCOTT MD
075706 WEISS, AARON DAVID MD
075707 HWANG, CHARLES JR MD
075708 WELCH, GREGORY PATRICK MD
075709 KIRK, CARTER MD
075710 WELDEMICHAEL, DAWIT ASSEFA MD
075711 LIGHTFOOT, MICHELLE MD
075712 WESLEY, RAFAELA TONIOLO DO
075713 WHITE, CANDACE CHARYSSE DO
075714 WHITNEY, MARGARET MD
075715 WILLIAMS, EMANTAVIUS MARQUIS DO
075716 WILSON, KAFI MD
075717 WINDEMULLER, FERNANDO JOSE MD
075718 WITTENAUER, JUSTINE MD
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GEORGIA COMPOSITE MEDICAL BOARD
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MARCH 31-APRIL 1, 2016
075719 MUGO, MARYANN NJOKI MD
075720 BOYD, CHARLES EDWARD MD
075721 ABBOUD, RAMI MD
075722 MARDHANI, AMBREEN MD
075723 AGGARWAL, ATISHI DEEPTI MD
075724 AJANI, SHAHNAZ MD
075725 AJEBO, GERMAME HAILEGIORGIS MD
075726 AKINTOYE, OLOLADE MD
075727 ANDOH-DUKU, AUGUSTINE MD
075728 LANSELL, AMANDA NICOLE MD
075729 RODRIGUEZ, LUIS A MD
075730 ANDERSON, DOUGLAS JAMES MD
075731 PARK, H JOHN MD
075732 MISENHEIMER, JACOB ALBERT MD
075733 ANSARI, SIKANDER JAWEED MD
075734 PERSON, ERIK BURNESS MD
075735 HAWY, EMAN EL MD
075736 RACHMAN, NATHAN MARC MD
075737 ARSHAD, SONIA MD
075738 BARDHAN, POOJA MD
075739 NGUYEN, TAM BAO MD
075740 BAXTER, BLAISE MD
075741 MALONE, CHALLYN NICOLE MD
075742 SCHWARTZ, ROBIN HEMETER MD
075743 BEAVERS, STEPHANIE ALEXANDRA MD
075744 TANTUWAYA, BRIJESH KUMAR MD
075745 JENNINGS, ERIC MD
075746 BENFIELD, RONALD WILLIAM MD
075747 BHANDARI, NEHAL MD
075748 BOHMAN, KEITH DANIEL MD
075749 O'NEAL, WESLEY THOMAS DO
075750 THOMPSON, VERONITA CAROLINE MD
075751 VECCHIONE, MICHAEL JOSEPH MD
075752 LENTOWICZ, IGA MD
075753 BOHMAN, SUMMER LEE MD
075754 CALLOWAY, ALEXIS PONDER MD
075755 CARDWELL, JARED KENT MD
075756 CASTELLINO, CANDICE NADIA MD
075757 MANN, PAUL CHRISTOPHER MD
075758 MCCULLOUGH, JENNIFER DAWN MD
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GEORGIA COMPOSITE MEDICAL BOARD
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MARCH 31-APRIL 1, 2016
075759 CHANG, JOHANNA MD
075760 CHAUDHARI, NIKULKUMAR MD
075761 CHENG, JENNIFER MD
075762 CHERIAN, JOHN MD
075763 HENEIN, FADY MD
075764 CHU, ELLICA MOORE MD
075765 CLIFFORD, KELLY MD
075766 COATES, KEVIN EMERSON MD
075767 COLEY, CURTIS JAMES II MD
075768 MARKLEY, SARA CAITLIN MD
075769 HEINZ, ERICH ROLLAND SR DO
075770 COUTINHO SCHECHTER, MARCOS MD
075771 CRANFORD, DANIEL JOHNSTON MD
075772 CROCKETT, CHARLENE MD
075773 CROSS, KIMBERLY NICOLE MD
075774 CRUZ, LORINDA ANNE MD
075775 DALEY, NATHAN ADAM MD
075776 DAS, SHAMIE MD
075777 DEDEA, ANTHONY JOSEPH MD
075778 DEMAERSCHALK, BART MAURICE MD
075779 DEMERIA, DENNIS DYLAN MD
075780 DENARDI, LISA MD
075781 DESAI, KARAN MD
075782 DIAZ, GIL ANTONIO MD
075783 DRINKWATER, ROBYN NICOLE MD
075784 FAIYAZ, RASHID MD
075785 HOFFENBERG, TODD MATTHEW DO
075786 FERDJALLAH, ASMAA MD
075787 FIGIEL, STEVEN MD
075788 KOHLI, RITESH MD
075789 FINE, NORA MD
075790 HARTSELL, LINDSEY MARIE MD
075791 FOX, ELIZABETH DORA MD
075792 FRENCH, JOHN THOMAS MD
075793 GEBRU, MINAS WOLDETSADIK DO
075794 OGUNSULIRE, OLAWOLE JOSEPH MD
075795 KEEN, JOSEPH R MD
075796 KLIMENKO, MARIA MD
075797 NOURPARVAR, SHABNAM MD
075798 FREEMAN, JAMES DAVID MD
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MARCH 31-APRIL 1, 2016
075799 GITTENS, MONIQUE ROCHELLE DO
075800 MICHELFELDER, ERIK CHARLES SR DO
075801 GOLDSMITH, WILLIAM MD
075802 GRAUPNER, SCOTT MD
075803 MA, MAREK MD
075804 GUILLORY, TESHA ANN DO
075805 GUPTA, NISHA MD
075806 HERMAN, RICHARD GARY MD
075807 MAHONEY, HOLLY BARMORE MD
075808 MIRZA, MUHAMMAD ASAD MD
075809 HAMES, NICOLE MD
075810 KRAFT, JACQUELINE VAUGHN MD
075811 KOYAMA, ATSUKO MD
075812 MCKANE, MEGHANN GOSSETT MD
075813 ODUNAIYA, HANNAH MD
075814 PATEL, LAVA YOGENDRA DO
075815 PATEL, JAYMIN BHARAT MD
075816 PATEL, BIMAL BHARATKUMAR MD
075817 KRISHNAMOORTHY, ARUN DO
075818 POLANCO ROSARIO, PAOLA MD
075819 ROGERS, RYAN ANTHONY MD
075820 TSIMERINOV, EVGENY ILYCH DR MD
075821 MANDALAKAS, NICHOLAS JOHN MD
075822 ZHU, FANG DO
075823 PERRY, MICHAEL CHARLES JR MD
075824 KEENER, EMILIY MD
075825 ZARAK MARCENARO, ALBERTO MD
075826 MALLY, ABHIJITH DEV DO
075827 NAJJAR, MUHAMMAD DO
075828 NEWAY, WILLIAM III MD
075829 MURPHY, PHILIP PATRICK MD
075830 HUH, JEANNIE DO
075831 AGUILAR, MARIA ISABEL MD
075832 ALBERTO, GINO JR MD
075833 BREWBAKER, CAREY MD
075834 CAWTHON, DAVID FRANKLIN MD
075835 EMMONS, AARON CECIL MD
075836 FARMER, JOHN MITCHELL MD
075837 GORE, ANDREW MD
075838 LANCASTER, STEELE FOREST MD
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MARCH 31-APRIL 1, 2016
075839 MAVRIDIS, SAVAS MD
075840 LORENZ, EILEEN MD
075841 HURT, KIKI MD
075842 LYDA, MARK MD
075843 MACCALLUM, DAISY-SCARLETT DO
075844 HOBEICH, GEORGE MD
075845 MOORE, EDWIN ALAN MD
075846 BAYLISS, JOCELYN KELLY MD
075847 AHMAD, SHAHID NAFEES MD
075848 RUDY, GEORGE MD
075849 NAGY, PETER LAJOS DO
075850 PORTER, SAMUEL GLENN MD
075851 SHAD, ASFA YOUSAF DO
075852 SAMMER, MARLA DO
075853 HALPHEN, CHRISTOPHER ROSS MD
075854 KEER, NIKKY MD
075855 OSEI, KOFI MARFO MD
075856 HAYES, KEVIN CURTIS MD
075857 KLINGENSMITH, NATHAN J
075858 ZAKERS, ALEEMA SABUR
Approved Residency Training Permits
008190 AFARI, ERIC ADJEI
008191 KOSHKELASHVILI, NIKOLOZ
008192 MINAMI, NATHALIE YUKI
008193 BRUSCH, BENJAMIN DONALD
008194 KENNY THOMAS, JEFFY
008195 NLANDU, ZOLA
008196 PALETTE, COURTNEY LYNN
008197 ADEBAYO, AKEEM ADEKUNLE
008198 PIERCE, MICHAEL TRAVIS
008199 TAYLOR, SUSAN DEWITT
008200 WEBB, ERIC DANIEL
008201 LOCKLIN, JASMINE NICOLE
ADVANCED PRACTICE NURSE ADVISORY COMMITTEE
Dr. House presented the Nurse Protocol Advisory Committee report as a motion, and was
seconded by Dr. Retterbush. The Board accepted the report by unanimous vote. The Board took
the following actions:
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GEORGIA COMPOSITE MEDICAL BOARD
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MARCH 31-APRIL 1, 2016
The following protocol agreements meet the provisions of OCGA 43-34-25:
APRN DELEGATING PHYSICIAN Adams, Angela Patel, Nimi MD
Adams, Margaret Herma, Lee MD
Adeyemi, Afusat Yusuff, Shelly MD
Anderson, Lisa Beville, Roger MD
Barrett, Nadine Kutlar, Abdullah MD
Bennett, Kathryn Cabrera, Cynthia MD
Besse, Jennifer Rodriguez-Torres, Jose MD
Blackstock, Terilyn Pennel, Ted MD
Boone, Karene Stevens, Christopher MD
Brooks, Chundra Jalil, Omar MD
Brower, Henry Dega, Sreevalli MD
Bryant, Kristen Agrawal, Vishal MD
Bursey, Lauren Bendana, Maria MD
Cadle, Harriet Bayya Pureddy, Priya MD
Cage, Kathleen Casey, Frank MD
Carmon, Mary Nelson, Paula MD
Clanton, Lisa Napier, Kevin MD
Clardy, Nancy Kulkarni, Kailash MD
Clark, Jennifer Howard, Raymond MD
Cosby, Pamela Luu, Quyen MD
Cottle, Christopher Cantrell, David MD
Crenshaw, Claudia Carter, William MD
Crutchfield, Brooke Pettaway, Glenda MD
Davis-Evans, Chassidy Bidiuc, Dorel MD
Donnelly, Rosemary Raizes, Elliot MD
Dorsey, Rachel Kaur, Onkar MD
Drake, Denise Murro, Anthony MD
Dupree, Susan Jones, Kenneth MD
Elledge, Laura Padove, Lee MD
Etheridge, Blanche Dunne, James MD
Evan, Kimberly Shivdat, John DO
Fagan, Melisssa Short, James MD
Fears, Stacey Ghose, Mayushree MD
Ford, Deborah Ajayi, Ganiant MD
Forehand, Brett Zanghi, Eric MD
Foreman, Jerrye Carter, William MD
Garrard, Jeremy Dowis, Jeffrey MD
Giamarella, Nancy Bledsoe, Tom MD
Gibson, Patricia Greene, Christopher MD
Gilliard, Latasha Moore, David MD
Glenn, Brenda Horn, Christopher MD
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MINUTES
MARCH 31-APRIL 1, 2016
Gordon, Tanya Bilsky, Gerald MD
Gould, Mary Tiley, Stephen DO
Green, Linda Williams, Christian MD
Green, Maloma Bracey, Jennifer MD
Griggs, Brandon Udoji, Timothy MD
Gunter, Amanda McKenzie, Jana MD
Hall, Charlotte Antoine, Patrick MD
Hall, Marylin Rangaraj, Venkatappa MD
Hicks, Violeta Pope, Muna MD
Hill-Smith, Qumara Short, James MD
Idusuyi, Ishoe Kelsey, Harris MD
Jenkins, Lakeisha Hadi, Mohammed MD
Jestel, Jennifer Rene, Sabrina MD
Johnson, Kelsey Hines, Carisa MD
Johnson, Kristie Regis, Nadine MD
Jone, Samiya Justiniano, Ayala MD
Jones, Anna Handley, Devin MD
Jones, Charlotte Hutson, Mark MD
Kaimachiande, Finda Matthews, Gail MD
Kang, Erika Russell, Dustin MD
Kerr, Lakisha Churbaji, Hicham MD
Kwee, Mary Richmond, John MD
Lee, Susan Echols, Carmen MD
Lettley, Thea McElhaney, Shameka MD
Little, Patrice Bond, Terrell MD
Lucas, Bobby Pham, Chuc MD
Lucas, Bobby Obiorah, Samuel MD
Lyon, Jessica McMahan, Howard MD
Maharaj, Rajendra Barlow, James MD
Margrove, Amy Bourne, Ebon MD
Marrero, Isla Raizes, Elliot MD
McCier, Khelsea Battle, Maria MD
McGhin, Janie Bailon, Benjamin MD
McKane, Jasmine Harburchak, David MD
McLaurin, Nancy Bolan, Peter MD
McLeod, Melissa Moore, David MD
Miller, Ashley Yahanda, Alan MD
Mitchell, Maxine Wiggins, Travis MD
Moncrief, Jacob Vox, Ford MD
Moore, Rebecca Williams, Christian MD
Moore, Rebecca Barr, Tracy MD
Morgan, Stephanie Williams, Christian MD
Murray, Patrici McHan, Gregory MD
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MARCH 31-APRIL 1, 2016
Najam, Nadia Zaman, Yasmin MD
Navalah, Chantal May, Elizabeth MD
Nozile, Petra Hadi, Mohammed MD
Nutt, Jordan Feaster, Tasha MD
Oates, Christi Strunjas, Sasha MD
Olson, Dacia Ajayi, Phillip MD
Onyisimba, Esther Isom. Joel MD
Paulk, Rhonda Hasek, Martin MD
Payne, Erica Modi, Vikash MD
Phegley,-Payne, Linda Taranto, Christopher DO
Philips, Margan Feoderis, Basitio MD
Prather, Kaley Das, Kabir MD
Ragland, Kenya Gilbert-Green, Jacalyn MD
Rathbun, Debra Jackson, Eugene MD
Redden, Laura Iguobadia, Barry MD
Rudy, Susanna Silva-Villalon, Laura MD
Sipe, Martha Uzzle, Raulnina MD
Slay-Chipp, Cathy Floyd, Jay MD
Smith, Tracy Henderson, Murdock MD
Snead, Keshana Jones, Tanya MD
Snider, Teresa Matthews, Gail MD
Stegall, Carolyn Cheek, Darrell MD
Stephens, Tammy Burton, Frederick
Stivers, Tiffany Benson, Samantha MD
Street, Wanda Sandhi, Harjesus MD
Tada, Hirayuki Rubin, Mitzi MD
Taylor, Cynthia Rankine, William DO
Theobald, David Heiss, Erik MD
Thomas, Kimonetia Patel, Anshul MD
Thomas, Tawya Thurman, Lavon MD
Thorne, Julia Mersereau, John MD
Thornton, Angela Osawa, Alexander MD
Traylor, Ashley Tehrani, Nasser MD
Trick, Susan Kelley, John MD
Varnum, Allison Thurman, Lavon MD
Wadud, Mir Antoine, Patrick MD
Walton, Kathrine Ugwonali, Obinwanne MD
Wasilewski, Kami Pradilla, Gustavo MD
Watkins, Nicole Sightler, William DO
Wilder, Janice Khan, Bobby MD
Wilke, Kimberly Kirby, Keith MD
Wilkinson, Tammie Rao,. Subhad MD
William, Kelsey Self, Thomas MD
16
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Williams, Jordan Pickens, Kimberely
Williams, Natasha Lynds, William MD
Williams-Evans, Shiprah Santos, Alberto MD
Williamson, Natasha Isom, Joel MD
Wilson, Herbert Olliff, Stacy MD
Wimberly, Donna Shivdat, John DO
Wood, Jaclyn McCowan, Bradley MD
Youngstrom, Carol Sirleaf, James MD
Yzenski, Teresa Iguabadia, Barry MD
Zaworski, Celena Durham, Megan MD
Zeigler, Kathryn Byck, David MD
The following protocol agreements meet the provisions of OCGA 43-34-25 with
additions/changes:
APRN DELEGATING PHYSICIAN Bailey, Jean Branch, Roger MD
Bevill, Jana Lin, Abraham MD
Bridges, Betty Wheeler, Richard MD
Creed, Tracy Tidmore, William MD
Dickey, Jamie Jordan, Madhavi MD
Dinser, Michelle Pham, Nga MD
Hanse, Megan Johnson, Altee MD
Hill, Veronica Devito, Dennis MD
McBride, Veronica Thurman, Lavon MD
Meeks, Jonathan Oller, Carlo MD
Mehta, Rovi-Jane Quisling, Scott MD
Meltzer, Liza McKoy, Raymond DO
Reynold, Ryan Moore, Daniel MD
Rhodes-Bigham, Anderia Tan, Carlos MD
Smith, LaTanya Harris, Tyra MD
Toothman, Rebecca Oller, Carlo MD
Zavala, Sandra Steele, Collyn MD
Other Business:
1. Approved adding central venous catheter placement, vascath placement, and arterial line
placement procedures to agreement between Michelle Irwin, APRN and B Sandifer, MD.
2. In response to inquiry regarding the type of nurse/practitioner that can give botox and
dermal fillers under the direct supervision of a physician or without supervision of a
physician- An RN can with supervision and an order from a physician. An APRN can
without supervision if it is part of his/her protocol agreement. An LPN or MA cannot do
it at all.
17
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
Dr. Antalis presented the amended report of the Physician Assistant Advisory Committee as a
motion. The motion was seconded by Ms. McGarity. The Board accepted the report by
unanimous vote. The Board took the following actions.
Approved requests for additional duties:
PA PHYSICIAN
1. Jenkins, Patrick 1967 Vijay, Patel 55415
- Saphenous Vein Harvesting
- Removal of Chest Tubes
- Removal of Temporary Pacer Wires
2. McDowell, John 4984 Blackley, Donald 30012
- Arterial Line Placement
- Central Venous Line Placement
- Chest Tube Placement
- Lumbar Puncture (Diagnostic)
- Ventricles Slant Tap
- Umbilical Venous Catheter Placement
- Umbilical artery Catheter Placement
3. Phillips, Laura 5836 Thomas, Kristen 67815
- Botulinum Toxin Injection Cosmetic Treatment
4. Johnson, Paige 7296 Gluzman, Alexander 56452
- Arterial Lines
- Central Lines (IJ, Subclavian, Femoral)
- Vascular Access Catheter
5. Lowe, Kroy 7514 Mishu, Husham 40740
- Botox (Migraine)
6. Bienvenu-Sumpter, Cunardline 4913 Yune, Marc 41395
- Kybella
7. Burton, Michael (6815) Stillwagon, Jason (53181)
- Arterial Lines
- VasCaths
- Thoracentesis
- Central Venous Catheter
8. Sikes, Robert (6474) Evans, Gregory (70098)
18
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
- Arterial Line
- VasCath
- Central Line
Tabled requests for additional duties for more information:
PA PHYSICIAN
1. McDowell, John 4984 Blackley, Donald 30012
- Partial Exchange Transfusion
Approved Initial Applications with supervising physicians:
PA PHYSICIAN
Patel, Aisha Gluzman, Alexander 56452
Gaffney, Kristin Trapnell, Kevin 46920
Paleno, Ashley Shults, Jonathan (75377)
King, Martha Lakshminarayan, Venkatesh (69881)
D’Amici, Brittany Sharma, Jyoti (69709)
Talles-Eriksen, Jessica Denlinger, Craig (70367)
Cuong, Tran (PND) Newton, John (55867)
Peoples, Curtis Mortazavi, Ali (54865)
Short, Jennifer Gabram, Sheryl (56834)
Yankey, Austin Howard, Robersteen (40103)
Olansen, Nancy Chandler, Howard (68382)
Approved application for initial licensure with no supervising physician:
PA
Davda, Naresh
Matte, John
Padin, Jimmy
Traenkner, Jessica – pending additional information.
Approved Reinstatement Applications:
PA PHYSICIAN
Shallop, Holly (7502) NO Supervisor
McWhorter, Edward (5496) NO Supervisor
Tsui, Stephanie (6004) Soodini, Geetha (59025)
Lafontant, Andy (4404 Lavenhouse, Clifton (55678)
Approved Applications for Initial Licensure pending additional information:
PA PHYSICIAN
Olansen, Nancy Chandler, Howard (68382)
19
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Approved Reinstatement Application pending additional information
PA PHYSICIAN
Pearce, Mercy (6053) (PND) Wood, Morgan 32681
Other Business:
1. JH – Invite for interview.
2. JP - Table for additional information
3. Wayne Littlefield, PA- Approved to issue an order terminating requirements of non-
disciplinary public consent order for licensure.
4. Natalie McNeel, PA- Shadowing hours completed and may begin clinical practice,
however, must submit a request for additional duty.
5. A question regarding Scope of Practice – PA can only perform duties consistent with
definition of physical therapy if supervising physician is a PM & R/DO that is actively
manipulating patients and performing those functions. PA should then apply for
additional duty for physical therapy and in addition to CME training
Approved add/changes Applications: PA SUPEVISING PHYSICIAN
Ali, Kirran (6970) Palmore, Marvin (33422)
Ambrose, Anthony (7905) Sobel, Richard (24100)
Barnhart, Tracey (4522) Jalil, Omar (58254)
Benge, Coral (3067) D’Henon, Sara (41632)
Bishop, Maryellen (6999) Mchezaji, Tayari (50409)
Boston, Jessica (6737) Jalil, Omar (52854)
Carter, Toni (7405) Bruner, Harlan (69402)
Causey, Keith (1121) Wolfe, James (36045)
Charles, Emmanuelle (5291) Reham, Khalique (54116)
Cheng, Nicole (5877) Pavekh, Samir (53305)
Chung, Nancy (7789) Pirani, Safia (56624)
Curran, Henry (1247) Cseley, Margot (20523)
Curtis, Berkley (5534) Hetzler, Norman (74185)
Darby, Jolina (7339) Caruthers, Brain (67284)
Davis, Toni (6599) Sridharan, Marandapalli (26392)
Deardurff, Lawrence (7511) Lipscomb, Michael (49463)
DeFreitas, Maria (4588) Bryan, Edward (55184)
Der, Jasminder (5853) McNeill, Nora (25224)
Dider, David (4999) Bedford, Caria (60239)
Dider, David (4999) Jacobs, Lloydstone (49179)
Dixon, Jennifer (7342) Williams, Shaun (71587)
Dorce, Hanna (5448) Awe, Olatunji (47570)
Dry, Tonia (4785) Pendleton, Albert (68965)
Duarrani, Amber (7126) Donnelly, Cassandra (68144)
Duffy, Andrew (6380) Johnsn, Alte (60387)
Edenfield, Lauren (7343) Buelvas, Raul (43882)
20
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Eleazer, Susan (1778) Eagleson, Patrick (65102)
Euler, Brittany (6429) Ishaque, Muhammad (60641)
Felix, Hans (7283) McNeill, Nora (25224)
Foreman, Kristofer (3756) Albinger, Todd (33509)
Forman, Kristopher (3756) Higgins, Robert (29185)
Gebremeskel, Rachel (6590) Patel, Dharmesh (55264)
Greco, Shawnna (6202) Manalaf, Dev (64411)
Green, Sonya (4259) Reaves, Vera (38076)
Haber, Erica (7410) Brownlow, Roy (42196)
Hall, Kevin (5874) Anderson, Stephen (72507)
Hightower, Jimmy (4949) Blake, Sean (69875)
Hook, Kristopher (7899) Osemota, Simeon (65720)
Howell, Dawn (6180) Porter, Mary (32635)
Hubbarth, Justin (5765) Core, Macon (41420)
Imes, Allan (4088) Reed, Jeffery (58580)
Iskaros, Jonathan (7876) Feaster, Tasha (62690)
Jaster, Kristal (7452) Clarke, Suzanne (57446)
Jenkins, Patrick (1967) Patel, Vijay (55415)
Johnson, Courtney (6117) Williams, Christian (72168)
Jones, Dennis (5985) Healy, McKenna (70151)
Karellas, Kristen (6715) Amaya, Marc (47181)
Karin, Stubbs (3167) Turry, Paul (36471)
Keats, Michael (5912) Herbert, Harold (59166)
Kemp, Vanessa (7701) Grotz, Kenneth (37820)
Kirby, Rebekah (6471) Williams, Christian (72168)
Kirkley, Archie (7567) Boss-Cole, Etta Wilcia (55541)
Kramer, Kathryn (6260) Brooker, Stuart (36929)
Lee, Chantel (5514) Crumbley, Audrey (53031)
Krupansky, Craig (7093) Short, James (23877)
Leitz, Ryan (6051) Paul, Timothy (45581)
Letizia, Laurie (6469) Quinn, David (57648)
Louis, Lawrence (7741) Lynch, Lori (68826)
Delozier, Daniel (3119) Francke, Eric (60834)
May, Twanya (3259) Wilson, Alvin (33494)
Mills, Veronica (5155) Oliff, Stacy (69234)
Modi, Hardik (7199) Sobel, Richard (24100)
Munoz, Keith (4279) Tonnu, Thawi (32068)
Ncho, Clement (6000) Marshall, Patrice (48274)
Newton, Kimberly (4382) Freeman, Carolyn (63703)
Panchetti, Fabiola (7543) Francis, Woody (48325)
Pillot, Ebonique (4500) Echols, Garmen (65398)
Pointer, Michael (4134) Panvelker, Rekha (34432)
Pui, Yi Fei (5411) Janeira, Armando (56463)
Rauber, Rocio (6119) Gruega, Andrew (70559)
Robinson, Michelle (2882) Lee, Linda (73550)
Robinson, Terry (3629) Foster, John (37539)
Rosenthal, Joseph (7439) Siegal, Gary (36289)
21
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Sain, Linda (6679) Steinberg, Charles (27743)
Sally, Donald (2071) Madu, April (66175)
Saltin, David (3215) Van-Horn, Andrew (54522)
Scouten, Haley (5219) Sanchez, Melissa (64056)
Silverman, Shawna (5319) Carpenter, Anne (73941)
Smith, Jennifer (4299) Williams, Christian (72168)
Sommer, Brian (7896) Pendley, Andrew (67585)
Stone, Miranda (7482) Hadi, Mohammed (73757)
Stringer, Todd (7041) Butler, Michael (35833)
Sumitant, Jeri (5522) Colasnti, Jonathan (70867)
Sung, Christian (4914) Kauten, James (24830)
Syed, Seemie (5510) Gelfres, Juan (66492)
Thai, Keang (4179) Barlow, Jim (30717)
Tucker, Eric (2251) Rachal, Henry (65415)
Udom, Raina-Marie (6417) Kotte, Kavita (66516)
Walker, Caroline (6007) Lee, Linda (73550)
Walker, Kimberly (6556) Albinger, Todd (33509)
Wallace, Amanda (6247) Wood, Morgan (32681)
Waters, Amiee (3226) Rachal, Henry (65415)
Watkins, Harold (4327) Flint, Russell (31423)
Wheeler, Courtney (6404) Basden, Cheryl (30951)
Williamson, Melissa (5931) Currier, Steven (65231)
Witherspoon, Michael (6837) Rehme, Suzanne (65051)
Osedo, David (6034) Mclendon, Kennon (33393)
Approved the following add/change application pending additional information.
PA PHYSICIAN Tywon, Shawn (2613) Gutierrez, Raymond (57983)
Tabled the following add/change applications:
PA PHYSICIAN AA MR
AI RS
ER MH
Approved the following add/change application with a letter of concern:
PA PHYSICIAN FS AL
ORTHOTIST AND PROSTHETIST ADVISORY COMMITTEE Dr. Deloach presented the Orthotist and Prosthetist Advisory Committee Report as a motioned
and was seconded by Mr. Wallace. The board accepted the report by unanimous vote. The Board
took the following actions.
Approved Orthotics/Prosthetist Application:
1. Corbitt, Jennifer
22
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
2. Dunning, Christopher
3. Flores, Stephanie – Pending additional information
4. Miller, Taavy
PERFUSIONIST ADVISORY COIMMITTEE
Dr. Retterbush presented the Perfusionist Advisory Committee report as a motion and was
seconded by Dr. Marshall. The Board accepted the report by unanimous vote. The Board took
the following actions.
Approve the following Application for Provisional Perfusionist Licensure:
1. D. Aaron Jacques
2. Noble Isac
RESPIRATORY CARE ADVISORY COMMITTEE
Ms. McGarity presented the Respiratory Advisory Committee report as a motion and was
seconded by Dr. Rettebush. The Board accepted the report by unanimous vote. The Board took
the following actions.
Approved the following Applicants requesting a 12-month permit:
Columbus Tech College - pending additional information
1. Nichols, Venetia
2. Nobles, Amelia
3. Thrasher, Donald
Augusta Technical College – pending additional information
1. Barry, Clarissa
2. Clevenger, Phonepaseut
3. Coogler, Kristyn
4. Dalis, Abigail
5. Drumgoole, Keisha
6. Duvall, Kseniya
7. Gibbons, Tishira
8. Grant, Adrienne
9. Gray, Zack
10. Hase, Kimberly
11. Henderson, Tarit
12. Kitchens, Lakesha
13. Kophazy, Tamara
14. McKeon, Melissa
15. Mobley, Evan
23
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Georgia State University
1. Felemban, Rawaa
2. Calhown, Yvonne
Armstrong State University
1. Dixon, Amber
Florida A & M University
1. Arnold, Charod
California College San Diego
1. Grilli, Katelynn – pending additional information
Georgia Northwestern Tech College
1. Ashley, Kimberly –pending form A
2. Carroll, Haley
3. Fonseca, Darlene
4. Frenya, Jolyn - pending additional information
5. Huether, Sondra
6. Jordan, Leah
7. Kirk, Lisa
8. Millholland, William – pending additional information
9. Murphy, Stacey
10. Pelzer, Lakeisha
11. Satterwhite, Ronald
12. Sherwood, Lauren
13. Wagner, Lauren
14. West, Travis
15. Westmoreland, Summer
16. White, Holly
Oconee Tech College – pending additional information
1. Bryant, Brittney
2. Carey, Brianna
3. Carter, Octavia
4. Cooper, Kimberly
5. Fordham, Anissa
6. Keown, Wilson
7. Morris, Kathleen
8. Morris, Thomas
24
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
9. Peacock, Benjamin
10. Spicer, Michael
11. Williams, Jessicca
12. Yearty, Cheice
Dalton State College – pending additional information.
1. Brown, Nathaniel
2. Fraire, Liliana
3. Johnson, Myra
4. Jones, Caroline
5. Keith, Sydney
6. Long, Courtney
7. Nations, Ashley
8. Perez, Janet
9. Petry, Veronica
10. Sellers, Seth
11. Smith, Jamie
12. Young, Erin
Approve the following Applicant’s by Reciprocity:
1. Folsom, Melissa
2. Gari, Thomas
3. Gringrich, Robert
4. LeGossey, Alex
5. Maxwell, Dorothy – pending additional information
6. Medina, Rafael
7. Rivera, Kayla
8. Tate, Lynne – Pending additional information
9. Williams, Kellend
10. Williams, Ranah
Approve the following applicants for Reinstatement of Licensure:
1. Alemu, Ermias
2. Jenkins, Ruby
Approved the following applicant for full licensure:
1. White, Clarice
Approved full licensure by Administrative Action:
1. Bulkoski, Gabrielle
25
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
2. Burnley, Lindsey
3. Christmas, Courtney
4. Curry, Shakira
5. Green, Kaneisha
6. Hall, Desiree
7. King, Shaneka
8. Nguyen Ray
9. Ortega Joana
10. Shields, Briana
11. Shirley, Brandi
12. Sroda, Jessica
Other Business:
1. Inquiry on accepting CRCEs from The American Lung Association refer to Rules
Committee.
2. Inquiries about licensure refer to Rules and Laws.
3. Table - question for GSRC Board
PAIN CLINIC ADVISORY COMMITTEE
Dr. Weil presented the Pain Clinic Advisory Committee as a motion, and was seconded by Dr.
Deloach. The Board accepted the report by unanimous vote.
The Board took the following actions:
1. Table File#358-360 and invite owner for an interview.
2. Table File #361-362 and invite owner for an interview.
3. Approved Change in Location for North Georgia Pain Clinic.
4. Approved 6 Change in Ownership applications for Georgia Pain Physicians.
5. Approved Spine Care and Pain Management (License #146) request to add practicing physician
Stephen Gilbert.
Approved the following applications:
License # Pain Clinic Name
318 Family First Healthcare of NE GA
Revise business hours
Add practicing physician James Brown
116 Georgia Pain & Spine Care
Add physician assistant Erica Haber
350 Kroll Care
26
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Add APRN Melissa Hosea
368 Axis Pain Center
Delete Managing Employee Allison Estes
Add Managing Employee Patricia Riggs
Delete APRN Brett Forehand
369 Axis Pain Center
Delete Managing Employee Allison Estes
Add Managing Employee Patricia Riggs
Delete APRN Brett Forehand
309 Spine Care and Pain Management - Dublin
Revise hours practicing physician Huber Matos-Garsault
143 Spine Care and Pain Management – Greensboro
Revise hours practicing physician Jerry Spivey
370 Spine Care and Pain Management – Milledgeville
Revise hours practicing physician Fred Usoh
Revise hours practicing physician Jerry Spivey
365 Spine Care and Pain Management -
Revise hours practicing physician Fred Usoh
Revise hours practicing physician James Shields
175 Savannah Pain Management
Add APRN Kimberly Wilke
Other Business:
1. Discussed the recommendation from Attorney Stubbins regarding the recent denial of
File #350 and File #351 and upholds its original decision to deny both clinics.
RULES COMMITTEE
Dr. Gross presented the Rules Committee report as a motion, and was seconded by
Dr. Retterbush. The Board accepted the report by unanimous vote. The Board took the following
actions:
1. Adopt as a guideline the language in AMA Opinion 8.21 – Use of Chaperones during Physical Exams.
2. Amend and repost Orthotist & Prosthetist Rule 360-31-.13 regarding term limits.
Mr. Wallace motioned to go into closed session to discuss investigative matters. Dr. Antalis
seconded the motion and it carried unanimously.
27
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
Dr. House declared open session.
WELLNESS COMMITTEE Dr. Callins presented the Wellness Committee report as a motion and was seconded by Dr. Weil
The Board accepted the report by unanimous vote.
1. The PHP report received from Paul Earley, MD
2. Discussed consideration for a collaborative effort to develop a strategic plan for
physician wellness education.
3. C. P.: Table application.
4. 20161066. Lift ANTP upon agreeing to informal monitoring.
5. 20120239: For information only.
6. J.E.: Table application.
7. 20161575: For information only.( Dr. Deloach recused)
8. 20161423: For information only.
9. 20140973: Terminate Amended Private Consent Order.
10. 20150242: Rescind vote for OMPE and close case.
11. 20161027: Deny request.
12. 20161401: Approve Amended Private Consent Order upon receipt.
INVESTIGATIVE INVERVIEW REPORT David Retterbush, M.D. presented the Investigative Interview report as a motion, and was
seconded by Keisha Callins, M.D. The Board accepted the report by unanimous vote. The Board
took the following actions.
20150909 Letter of Concern 20160004 Close
20160011 Letter of Concern 20160566 Letter of Concern
INVESTIGATIVE COMMITTEE The Investigative Committee report was presented as a motion by J. Jeffrey Marshall, M.D., and
was seconded by Keisha Callins, M.D. The Board accepted the report by unanimous vote. The
Board took the following actions.
The Board approved the following recommendations.
Close:
20141666 20161683 20150151 20150297 20150493 20151080
20151143 20151162 20151417 20151423 20160036 20160048
20160163 20160198 20160239 20160321 20160395 20160457
20160458 20160459 20160485 20160522 20160523 20160726
20160728 20160796 20160846 20160856 20160901 20160912
20160924 20160928 20160935 20160945 20160954 20161007
28
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
20161011 20161013 20161037 20161038 20161046 20161050
20161064 20161074 20161087 20161092 20161093 20161096
20161097 20161101 20161104 20161119 20161120 20161126
20161129 20161132 20161133 20161137 20161140 20161141
20161144 20161147 20161148 20161152 20161155 20161157
20161163 20161168 20161198 20161200 20161205 20161214
20161236 20161238 20161241 20161242 20161247 20161254
20161259 20161260 20161267 20161270 20161277 20161294
20161305 20161306 20161346 20161366 20161601 20161602
20161655
Close with Letter of Concern:
20150047 20150261 20150464 20150625 20160674 20150830
20151058 20151130 20151186 20160204 20160211 20160841
20160973 20161058 20161061 20161071 20161095 20161121
20161142 20161212 20161218 20161229 20161235 20161248
20161403
Invite for Investigative Interview:
20150416 20151165 20151373 20160848 20161131 20161176
20161268 20161188
Further Investigation:
20101921 20110819 20130994 20131450 20150980 20151228
20151301 20151377 20160752 20160987
Referral to Attorney General:
20110228 20160033
20160511 20160697
Table
20151230 20160061 20161069
INITIAL COMPLAINT EVALUATIONS 20160729 20160797 20161199 20161463 20161472 20161474
20161481 20161509 20161519 20161525 20161541 20161571
20161586 20161589 20161605 20161634 20161635 20161642
20161651 20161674 20161675 20161676 20161677 20161678
20161679 20161680 20161681 20161682 20161683 20161685
20161686 20161687 20161688 20161689 20161690 20160691
20161692 20161693 20161694 20161695 20161696 20161697
20161698 20161699 20161700 20161701 20161702 20161703
29
GEORGIA COMPOSITE MEDICAL BOARD
MINUTES
MARCH 31-APRIL 1, 2016
20161704 20161705 20161706 20161707 20161708 20161709
20161710 20161711 20161713 20161738
RECUSALS Antalis 20161366
DeLoach 20141683 20150151 20160239 20161069 20161148
20161205 20161214 20161269
Gross 20161144
House 20110226 20160033
Marshall 20161101 20161121 20161144 20161157
Mohan 20161403
Dr. Weil submitted a motion, seconded by Dr. Retterbush, to adjourn the March 31-April 1, 2016
Board meeting at 9:05 a.m. The motion carried unanimously.
____________________________ ________________________________
Alice House, MD Robert Jeffery, MBA
Chairperson Executive Director
Recorded by Diane Atkinson