Terminated Nurse Protocol AgreementsB Blairsville, GA 30512 3/31/2017 Boddy, Alexis Nicole RN234875...
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Terminated Nurse Protocol Agreements Effective Terminated RN# Delgating Physicia Protcol Address PHY# APRN Name Protocol # McCormick 25219 126710 Acree, Lisa 16688 501 Redmond Rd Rome, GA 30165 12/11/2015 Kobina Wilmot, MD 68577 RN201559 Adjei, Vincentia Asantewah 21034 2551 Roswell Rd. ste. 415 Marietta, GA 30062 8/2/2017 Ashley C. Davis, MD 58161 RN099501 Affleck, Susan M. 11467 5555 Whittlesey Blvd, #L-1 Columbus, GA 31909 6/6/2014 Alan Wang, MD 48017 RN054192 Agnew, Greta M Gilson 15003 1117 Perimeter Pkwy West, Ste N500 Atlanta, GA 30388 2/20/2015 Thomas Price, MD 53367 RN231437 Akins, Scott 14649 5673 Peachtree Dunwoody Rd Atlanta, GA 30342 6/30/2015 Nicole Nunga, MD 61580 RN089463 Aliffi, Kathy Jeanette Castille 12338 600 Parkway North Newnan, GA 30265 9/18/2013 Trent Schueneman, MD 51731 RN087708 RN087708 Alston, Marion 15925 2927 Demere Rd Saint Simons Island, GA 31522 6/30/2016 Sallu Jabati, MD 58527 RN154861 Anderson, Christina Elaine 12897 3722 Woodruff Road Columbus, GA 31906 2/18/2014 Ephraim Ahanonu, MD 48749 RN205267 Aninwene, Joy Chizobam 9529 611 Monroe St Macon, GA 31201 7/25/2012 William Snell, DO 24495 RN156181 Anyanwu, Justina Ngozi 14610 880 Canton Rd Marietta, GA 30060 3/1/2017 Jamie Walraven, MD 45023 RN183299 Armand, Jean Marie 14055 1275 Hwy 54 W, Ste 201 Fayetteville, GA 30214 9/1/2016 Monday, August 21, 2017 Page 1 of 29
Transcript of Terminated Nurse Protocol AgreementsB Blairsville, GA 30512 3/31/2017 Boddy, Alexis Nicole RN234875...
Terminated Nurse Protocol Agreements
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
McCormick 25219126710Acree, Lisa 16688 501 Redmond Rd Rome, GA 30165 12/11/2015
Kobina Wilmot, MD 68577RN201559Adjei, Vincentia Asantewah 21034 2551 Roswell Rd. ste. 415 Marietta, GA 30062 8/2/2017
Ashley C. Davis, MD 58161RN099501Affleck, Susan M. 11467 5555 Whittlesey Blvd, #L-1 Columbus, GA 31909 6/6/2014
Alan Wang, MD 48017RN054192Agnew, Greta M Gilson 15003 1117 Perimeter Pkwy West, Ste N500 Atlanta, GA 30388 2/20/2015
Thomas Price, MD 53367RN231437Akins, Scott 14649 5673 Peachtree Dunwoody Rd Atlanta, GA 30342 6/30/2015
Nicole Nunga, MD 61580RN089463Aliffi, Kathy Jeanette Castille 12338 600 Parkway North Newnan, GA 30265 9/18/2013
Trent Schueneman, MD 51731RN087708RN087708
Alston, Marion 15925 2927 Demere Rd Saint Simons Island, GA 31522 6/30/2016
Sallu Jabati, MD 58527RN154861Anderson, Christina Elaine 12897 3722 Woodruff Road Columbus, GA 31906 2/18/2014
Ephraim Ahanonu, MD 48749RN205267Aninwene, Joy Chizobam 9529 611 Monroe St Macon, GA 31201 7/25/2012
William Snell, DO 24495RN156181Anyanwu, Justina Ngozi 14610 880 Canton Rd Marietta, GA 30060 3/1/2017
Jamie Walraven, MD 45023RN183299Armand, Jean Marie 14055 1275 Hwy 54 W, Ste 201 Fayetteville, GA 30214 9/1/2016
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Jacalyn Gilbert-Green, DO 74801RN183299Armand, Jean Marie 18066 1418 Scott Blvd. Decatur, GA 30030 7/31/2016
Kristy Levarity-Conley, MD 63709RN183299Armand, Jean Marie 18692 1418 Scott Boulevard Decatur, GA 30030 10/14/2016
Brown, Beverly MD 42534RN181184Augustine-Akpan, Inemienyu 10408 477 Windsor St SW, Ste 309 Atlanta, GA 30312 7/25/2012
William Sightler, DO 34715RN121276Aurelia, Allen 15997 195 N Broad St Alamo, GA 30411 6/14/2012
David Van, MD 29545RN128161Austin, Barbara Renell Clark 9846 747 S. Hill St Griffin, GA 30224 6/1/2011
William Grow, MD 13752RN073825Bailon, Melva Curameng Blanq 12388 203 Woodrow Wilson Dr Valdosta, GA 31602 8/6/2014
Catherine Martin, MD 54826RN089020Barber, Babette 15481 2630 Rockmart Hwy Cedartown, GA 30125 7/6/2015
John Schilling, MD 30880RN096995Barnard, Angela C. 9667 290 Country Club Dr Stockbridge, GA 30281 7/25/2012
Shannon Vaughn, MD 46000RN105904Barnes, Susan McGraw 11646 304 Turner McCall Blvd Rome, GA 30165 7/5/2013
Richard Schwartz, MD 42935RN143515Barrett, Nadine JF 9938 1120 15th St, Ste AF-2044 Augusta, GA 30912 8/1/2011
David Drury, MD 44202RN159427Beasley, Kitty Marie 14220 410 Curry St Pelham, GA 31779 6/5/2017
Raymond McKoy, DO 44536RN207208Beck, Jeremy Wayne 14626 2510 Redmond Cir NW Rome, GA 30165 7/12/2016
Rubina Sial, MD 63600RN066734Becker, Deborah A 13484 311 Gwinnett Dr. Lawrenceville, GA 30046 10/21/2014
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Michael Burke, MD 54798RN182810Beddard, Crystal Patrice 14615 2849 B Henderdon Mill Rd Atlanta, GA 30341 1/28/2015
Charles Roman, DO 43757RN230334Bendall, Misty Leigh 12770 2737 Warm Springs Rd Columbus, GA 31904 10/8/2013
Kimbley Brown-Gullatt, MD 55549RN2303344
Bendall, Misty Leigh 14217 1600 Fort Benning Rd Columbus, GA 31903 6/6/2014
Michael Gladson, MD 21506RN110079Benson, Ellen Mary 211 3877 Morris Ct Norcross, GA 30092 7/25/2012
Mark Stewart, MD 32058RN173529Blackburn, Carol A. 18049 840 Stevens Creek Rd. Augusta, GA 30907 2/20/2017
Lathan Overstreet, MD 36659RN148923Blackwell, Jane Marie Breen 5057 6/30/2016
Williams, Ande MD 22081RN148923Blackwell, Jane 10066 166 Snapfinger Woods Drive Decatur, GA 3035 7/25/2012
Debora Quigley, MD 36601RN149435Blalock, Jamie Rivkin 20273 2257 Hwy. 515 ste. B Blairsville, GA 30512 3/31/2017
Jonathon Allen, MD 56949RN234875Boddy, Alexis Nicole 14009 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742 11/1/2014
Sasa Strunjas, MD 66426RN151817Boles, Shaheedah 11323 1915 Eisenhower Dr Savannah, GA 31406 12/6/2012
Bennie Brown, MD 65055RN200066Bolger, Angela 14561 555 Old Norcross Rd, Ste 100 Lawrenceville, GA 30046 12/2/2014
Kevin E. Woods, MD 68023RN221717Boodhoo, Jacqueline V. 11492 1365 Clifton Rd., Ste 1200 Atlanta, GA 30322 7/1/2015
Blanks, Keith DO 52042RN208838Booth, Kristin 10413 616 19th Street Columbus, GA 31901 7/25/2012
Monday, August 21, 2017 Page 3 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Paul Roberts, MD 69246RN192359Brewer, Kimberly Lorraine 12481 10/12/2013
Bruce V. Ramsdell, MD 18722RN192359Brewer, Kimberly Lorraine 11619 6110 Pine Mountain Rd., #201 Kennesaw, GA 30152 10/12/2013
Lester Estevez, MD 76711RN218653Brooks, Alexandria Copeland 19475 208 Scranton Connector ste. 119 Brunswick, GA 31525 9/6/2016
Ann P. Ward, MD 23242RN117972Bruce, Myra P. 11603 48 Hills Creek Rd. Taylorville, GA 30178 5/13/2013
Shelley Griffin, MD 16238RN149798Bryd, Jenifer 11083 305 Jones Ave. Waynesboro, GA 30830 5/11/2013
Devin Handley, MD 48345RN176757Bupp, Melissa Jones 13172 501 Mount Vernon Rd Monroe, GA 30655 5/13/2014
Cooper, Melanie MD 45753RN119790Byrd, Linda 10297 780 North Glynn Fayetteville, GA 30214-1193 1/23/2013
Paul Walker, DO 46272RN054027Cain, Trina Renee 14838 1150 Powder Springs Rd Marietta, GA 30064 5/15/2017
Quyen Luu, MD 25216RN221321Calhoon, Gwendolyn Spivey 18442 458 Hemlock St, Ste 200 Macon, GA 31201 9/2/2016
S. Jan Fitzgerald-Soapes 16509RN166999Cantrell, Jennifer Suzanne 11744 3/6/2013
Pamella Charles-Pryce, MD 58155RN143868Carden, Pamela Kay Hinds 13681 794 S Park St. Carrolton, GA 30117 2/27/2015
Abboushi, Nour MD 60695RN171371Carman, Catherine 10162 3200 Downwood Circle Ste 640 Atlanta, GA 30327 1/31/2012
Firas Hougeir, MD 60181RN171898Carmon, Mary Jansson 17536 4645 Timber Ridge Rd, Ste 100 Douglasville, GA 30135 11/17/2015
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
James Vick, III, MD 37720RN119358Carroll, Suni Hamm 1222 1105 North 5th Avenue Rome, GA 30165 2/17/2012
Tiffanni Forbes, MD 51936RN172705Carter, Stephanie Ann 12973 1199 Prince Ave Athens, GA 30605 1/3/2014
James Thomsen, MDRN138794Casheba, Janet L. 11389 3/11/2016
0RN138794Casheba, Janet 10272 3/11/2016
Thomas Hurd, MD 27070RN153122Castlin, Rena Loraine 11826 400 Tower Rd, Suite 350 Marietta, GA 30060 4/22/2013
Irwin Streiff, MD 17317RN105766Cayton, Teresa Underwood 497 159 West Railroad St Pembroke, GA 31321 2/17/2017
Denise DeVeranaz, MD 41279RN155230Cecil, Hannah Rae 13201 3/9/2015
Jeffery Dowis, MD 68199RN057027Chafin, Phyllis 15865 3193 E 21st St Vildalia, GA 30474 3/30/2016
Gururaj Nayak, MD 44033RN057027Chafin, Phyllis 15624 1909 N Columbia St, Ste D Milledgeville, GA 31061 8/1/2015
Taylor, Robert E. 31338RN073371Chapman, Patricia Luree 519 2/17/2012
Gordon Crozier, DO 50334RN134966Chapman, Sarah C. 11515 3365 Piedmont Rd., #1250 Atlanta, GA 30305 12/21/2012
Lionel Meadows, MD 45550RN153918Chatman, Shannon Craig 13300 11 Business Center Dr, Suite 205 Eastanollee, GA 30538 10/13/2014
Chang Soo Kim, MDRN176523Choi, Songeun 11297 530 Highland Station Dr., #2007 Suwanee, GA 30024 3/1/2013
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Robert Amstadter, MD 40856RN240115Chrena, Helen Rosella 13789 9157 Tara Blvd Jonesboro, GA 30236 10/1/2014
James L. Chappuis 29604RN216231Chrismer, Katherine Nicole 13072 3161 Howell Mill Rd., Ste 400 Atlanta, Georgia 30327 3/10/2014
Chrissie Clure, MDRN094148Coleman, Glendell 11437 1/31/2012
Vijith Prasad, MD 40520RN090997Collier, Pamela Lee Bowman 13075 131- B Victory Dr. Swainsboro, GA 30401 12/18/2015
Hines, Jeffrey 47443RN066095Colman, Nancy Ellen Ross 612 980 Johnson Ferry Road, NE Atlanta, GA 30342 2/17/2012
Michael Rogers, MD 46482RN073864Comer, Judith Lynn 13101 1941 Phinizy Rd Augusta, GA 30906 1/3/2014
Chad Slaughter, MD 62003RN073864Comer, Judith Lynn 13100 380 Cedar St Metter, GA 30439 3/30/2014
Randall Steffens, Sr, DO 67324RN137050Conley, Becky Ann 11068 Meadows Reg Hosp - One Meadows Pkwy - ER Dept Vidalia, 9/25/2012
Sidney Smith, MD 38615RN143588Cook, Kerri Anne 14825 9665 Ford Ave Richmond Hill, GA 31324 9/1/2016
Yvonne Smith, MD 42443RN154812Cook, Sheryl L. 11933 3600 Dallas Hwy Marietta, GA 30064 4/8/2013
Anu Murthy, MD 54867RN104354Cook, Camille 15584 303 Peachtree St, Ste LL-140 Atlanta, GA 30303 10/4/2016
Igor Lacmanovic, MD 59814RN188441Copp, Angela Lee 8009 3949 S. Cobb Drive Smyrna, GA 30080 2/17/2012
Theron Thompson 51772RN146776Costanzo, Erin Reynolds 651 7869 Villa Rica Hwy Dallas, GA 30157 2/17/2012
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
RN038817Craine, Diane M 674 5/22/2017
Glenda Pettaway, MD 62456RN218718Crutchfield, Brooke Burbridge 17456 11 Dunwoody Park, Ste 190 Dunwoody, GA 30338 3/22/2016
Barbara Bruce, MD 64338RN188328Cruz Harris, Jennifer A. 11568 975 Johnson Ferry Rd., #340 Atlanta, GA 30342 1/8/2013
Yvonne Smith, MD 42443RN133042Cummings, Thelma Berry 700 145 Standing Oak Pl Fayetteville, GA 30214 8/5/2013
Anne White, MD 30240RN093196Curl, Carla Sue McFarland 704 909 N. 5th Avenue NE Rome, GA 30165-2706 2/17/2012
John Manfredi, MD 16101RN093196Curl, Carla Sue McFarland 8253 101 Riverstone Drive, Suite 102 Blue Ridge, GA 30513 2/16/2012
John House, MD 11959RN177851Cutia, James Robert 12712 218 Quarterman St Waycross, GA 31501 3/1/2014
Antonio Moran, MD 34669RN177851Cutia, James Robert 10958 2500 Starling Street, Suite 300 Brunswick, GA 31520 8/12/2013
Eric Powell, MD 49081RN169909Daniel, Julia Fabrycy 12632 82 College Cir, Suite HNS 102 Dahlonega, GA 30597 2/26/2014
Wendy Armstrong, MD 59678RN157540Daugherty, Alexis Eyre 12530 341 Ponce De Leon Center Atlanta, GA 30308 10/10/2014
Michael O'Grady, MD 41189RN056422Davis, Emily Cheney 739 5422 Hwy 20 Sugar Hill, GA 30518 11/26/2014
Rodolfo Carrillo, MD 33243RN170709deArmas, Karla Vanessa 12955 2181 Northlake Pkwy, Bldg 6, Suite 120 Tucker, GA 30084 11/20/2013
Molly Eaton, MD 23944RN084438Debalsi, Anthony Joseph 760 550 Peachtree St NE, Suite 7000 Atlanta, GA 30308 6/12/2013
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
John Ouderkirk, MD 49992RN144344Deguia, Susan Elaine 12493 735 Piedmont Ave Atlanta, GA 30808 3/3/2014
Steven Corse, MD 26088RN096491Demott, Jennifer Marie Smith 11673 340 Eisenhower Dr, Suite 1200 Savannah, GA 31406 3/29/2013
David Dobson, MD 57160RN096491Demott, Jennifer Marie Smith 12999 655 Stephenson Ave Savannah, GA 31406 4/18/2014
Tsung Jonathan Hsu, MD 62220RN218179Deringer, Ashley Cannon 12049 677 Church St, Bldg 310 Marietta, GA 30060 10/10/2013
Kyoung-Soon Kim, MD 39144RN208973Desaulniers, Genevieve Antoin 13087 5150 Stilesboro Rd., Ste. 220 Kennesaw, GA 30152 1/12/2015
Howard Stirne, MD 25050RN194703Dew, Patricia L 11714 316 North Broad St, Emer Dept Winder, GA 30680 4/30/2013
Amber Zafar, MD 47384RN234841Diaz, Scarlett Renee' 15028 2443 Brookstone Centre Pkwy, Ste A Columbus, GA 31904 2/11/2015
Oladayo Osinuga, MD 51703RN064892Dinkins Learmont, Beverly Ann 11825 2850 Springdalr Rd SW Atlanta, GA 30315 5/15/2013
Richard Wright, MD 46927RN064892Dinkins Learmont, Beverly Ann 11767 315 Upper Riverdale Rd Riverdale, GA 30274 2/8/2013
Neil Gladstone, MD 16917RN223562Doggette, La-Shunn 14486 3115 Piedmont Rd, Ste A 102 Atlanta, GA 30305 4/13/2015
Thomas Cobb, MD 59699RN085079Dooley, Patricia Dianne 14386 310 Black Bear Ridge Saulee, GA 30571 11/21/2014
Michael Frankel, MD 34832RN169902Dow, Andrew Ryan 11764 80 Jesse Hill Jr Dr, 8th floor Atlanta, GA 30303 10/1/2014
John Layher, MD 46692RN161881Dragoi, Diana 15425 1230 Bulter St Athens, GA 30666 12/31/2015
Monday, August 21, 2017 Page 8 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Vinod Sachdeva, MD 46319RN222121Drakeford, Torrence Tremayne 12131 1412 Plunkett Rd, Po Box 750 Unadilla, GA 31091 10/2/2014
James Peterzell, DO 53868RN222121Drakeford, Torrence Tremayne 11432 218 Hwy 49 North, Suite B Byron, GA 31008 7/24/2013
John Ouderkirk, MD 49992RN121801Dudley, Susan Gail 12316 735 Piedmont Ave Atlanta, GA 30808 10/2/2014
Oladapo Fawibe, MD 43608RN184707Edenfield, Monica Phillips 12216 811 13th Street, Suite 10 Augusta, GA 30901 9/1/2013
Bazzel, Grady MD 65524RN112337Edmonds, Peggy 10710 1941 Phinizy Road Augusta, GA 30906 4/21/2012
Joan James, MD 65263RN124957Elie, Joann 13885 770 Village Square Drive Stone Mountain, GA 30083 4/25/2016
Kirby Smith, DO 39676RN109322Elliott, Brian 15538 760 26th AVE SE Moultrie, GA 31768 8/19/2015
Thomas Ho, MD 44748RN077047Ensley, Deirdre Walker 11386 7494 Battlefield Pkwy Ringgold, GA 30736 1/26/2012
Golden Barnett, III, MD 55090RN049625Ervin, Nora 11875 10 Park Place NE, 2nd Floor Atlanta, GA 30303 3/31/2013
Patrick Haggard, MD 49403RN049625Ervin, Nora 8786 80 Jesse Hill Jr Dr, Suite 13-A Atlanta, GA 30303 5/6/2010
Peter Litchfield, MD 65367RN113548Evans, Kimberly 13286 117 Kite Rd, Emer Dept Swainsboro, GA 30401 7/1/2014
Ahmed Damtew, MD 67552RN245428RN245428
Falkner, Myron 15560 3201 Atlanta Industrial Pkwy NW, Ste 303 Atlanta, GA 30331 4/30/2015
Jody Hughes, MD 68034RN195879Favis, Tara 14011 55 Whitcher St, Suite 160 Marietta, GA 30060 2/3/2014
Monday, August 21, 2017 Page 9 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Suzette Chin, MD 58955RN229596Feehan, Magen Ann 14982 21 Pointe North Dr Cartersville, GA 30120 7/15/2016
Suzanne Ferree, MD 47772RN153328Felser, Felice 8070 1357 Hembree Road, Suite 240 Roswell, GA 30076 11/1/2007
Bonnie Ellenoff, DO 51644RN207428Fenceroy, Megan Louise 12961 6309 Roswell Rd, Suite 9-2B Sandy Springs, GA 30328 3/18/2014
Anthony Gonter, MD 21700RN145614Fleming, Carrie Wheeler 968 5126 Hospital Dr. Covington, GA 30014 12/10/2014
Mehmood Mehdi, MD 57725RN112394Flood, Vernell Rene 14674 250 North Ave Athens, GA 30605 2/9/2015
Muhammad Khan, MD 63080RN214205Forehand, Michael Anthony 12470 Archbold Mem Hosp, 915 Gordon Ave Thomasville, GA 3179 10/21/2013
Michael Ellis, DO 62835RN095043Frederick, Carlie Ann 11923 5/15/2013
Zia Khan, MD 62533RN203757Friedl, Martha Lorena 14416 2111 W Point Rd LaGrange, GA 30240 9/30/2015
Robert Burkich, MD 46372RN218717Frierson, Alisa Kay 13305 11300 Atlantis Place, Suite A Alpharetta, GA 30022 5/27/2014
RN106401Garcia, Kristen Rose Przybyla 1049 1/23/2017
John Pittman, MD 37045RN38434Gerhard, Laurie Ansley 9870 715 East 2nd Ave SW Rome, GA 30161 6/22/2011
Charles Roman, DO 43757RN053785Gerhard, Laurie Ansley 13436 2737 Warm Springs Rd. Columbus, GA 31904 6/26/2014
Athena Sotus-Nawar, MD 31512RN096231Giarraffa, Phyllis Ann 12499 1915 Eisenhower Dr Savannah, GA 31406 3/16/2014
Julian Hutchins, MD 18677RN093348Gibbons-Berry, Karen Leigh 9270 4150 Washington Rd, Suite 11 Evans, GA 30809 10/3/2011
Monday, August 21, 2017 Page 10 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Gary Smith, MD 10666RN181151Gibson, Patricia Louise Carter 12727 6120 Alabama Hwy Ringgold, GA 30736 5/31/2013
Luther Vance, Jr, MD 19354RN039884Gibson, Belinda J. 11602 1/14/2013
Allen R. Beecham, DO 25102RN134977Giles, Alexander Lance 11566 2000 Village Professional Dr, Suite 200 Canton, GA 30144 8/5/2013
Neil Gladstone, MD 16917RN134977Giles, Alexander Lance 14889 2/17/2016
Vanderlyn Sewell, MD 51547RN150994Gilfillan, Kelly 15987 934 Briarcliff Rd NE Atlanta, GA 30306 9/1/2015
Gulshan Harjee, MD 26865RN178900Gittens, Clavel Alexia 12642 2536 :awrenceville Hwy Decatur, GA 30033 1/24/2014
Jeffery Dowis, MD 68199RN165613RN165613
Goddard, Tami Marie 14357 1205 Russell Pkwy Warner Robins, GA 31088 4/24/2015
Leli Gail Matthews, MD 52182RN209708Gomez-Adisa, Delma Dee 13333 6158 Hwy 92, Suite 101 Acworth, GA 30102 3/1/2014
John Gerguis, MD 47085RN199692Green, Larua Ann 14465 4356 Communications Dr Norcross, GA 30093 12/30/2016
Pablo Perez, MD 47502RN199692Green, Laura Ann 8417 1102 W. Waugh Street Dalton, GA 30720 12/9/2008
Linda Thomas, MD 28832RN198522Green, Amanda Joy 11698 2540 Windy Hill Rd Marietta, GA 30067 7/8/2013
James White, MD 39510RN176432Greene, Lawanda 15775 705 Dixie St Carrolton, GA 30117 6/11/2015
Kevin Smith, MD 57272RN193727Griffin, Shuvory Chyann 13332 2410 Sylvester Rd Albany, GA 31705 4/25/2014
Monday, August 21, 2017 Page 11 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Absar Mirza, MD 64864RN206831Grossman, Michael Paul 14230 743 Spring St. NE Gainesville, GA 30501 6/1/2015
Nadia G. Cameron, MD 53982RN195137RN195137
Guevarra, Natividad J. 11209 3760 Sixes Rd., Ste 120 Canton, GA 30115 1/7/2013
Purohit, Bhumiben MD 58812RN195137Guevarra, Natividad 10835 3600 Dallas Hwy SW Marietta, GA 30064 7/11/2012
Mef D. Galle, MD 59722RN118934Hall, Debra Lee 11445 622 Main St Gainesville, GA 30501 2/1/2013
Anthony Hoots, MD 33114RN162539Hall, Peggy L. 9812 425 Third Ave, Suite 510 Albany, GA 31701 5/20/2011
Mercy Isang, MD 50528RN226179Hammaker, Teresa S. 20914 2209 Pineview Dr. Valdosta, GA 31602 4/29/2017
Lynette Budet-Bauza, MD 33797RN217488Hannah, Monica McKeon 12083 1446 Harper St, BG-2128 Augusta, GA 30912 6/27/2014
Thomas Fariss, MD 55747RN147193Hannah, Julie Anne 11688 1400 Holcomb Bridge Rd Roswell, GA 30076 6/7/2013
Richards, Christopher MD 58316RN201460Harrell, Kathleen 10357 909 Broken Arrow Trail Perry, GA 31069 7/25/2012
Dan Ioanitescu, MD 51476RN084164Harris, Patricia Renee 11081 940 GA Hwy 96 Warner Robins, GA 31088 9/14/2012
Chrissie Clure, MD 49281RN084164Harris, Patricia Renee 14586 800 E 70th St Savannah, GA 31405 1/22/2015
Sherri Simpson, MD 67942RN084164Harris, Patricia Renee 13424 1396 Southlake Dr. Morrow, GA 3060 6/18/2014
Michael Kroll, MD 55611RN174554Hartley, Shanda Thompson 13270 5505 Bells Ferry Rd, Bldg 300 Acworth, GA 30102 5/29/2014
Monday, August 21, 2017 Page 12 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Luther Vance, MD 19354RN174554Hartley, Shanda Thompson 11932 310 Gold Creek Trail Woodstock, GA 30188 3/29/2012
Jose V. Vigil, MD 27463RN229345Hass, Kristen B 13094 3685 Lawrenceville Hwy, Ste. 100 Lawrenceville, GA 30044 2/28/2014
Gaston Moran Celayes, MD 64675RN079347Hatten, Karen Patricia Dumprof 11640 618 East Lamar St Americus, GA 31709 3/4/2013
Stephen Pappas, MD 29509RN113495Hayes, Olivia Ruth 13520 2600 Parkwood Dr. Brunswick, GA 31520 9/10/2014
Candi Nobles-James, MD 47985RN168023Hearn, Sherryl Amanda 12268 777 Hemlock St, Box 118 Macon, GA 31201 12/3/2013
Miriam Gwathney, DO 63343RN158433Hill, Sylena Hendrix 11981 931 Lower Fayetteville Rd, Suite J Newnan, GA 30263 2/1/2014
George Katsitadze, MD 52456RN225115Hobbs, Laura Elizabeth 12700 4120 Five Forks Trickum Rd, Suite 102 Lilburn, GA 30047 1/5/2014
Michael White, MD 61535RN151941Hocking, Timothy Kevin 12179 9/1/2013
Gwendolyn V. Morgan, MD 24040RN047369Holmes, Jennifer 11549 502 Sumter St., #C Montezuma, GA 31063 5/27/2013
Jimmy Diaz, MD 26097RN115975Hooks, Donna Jean Joiner 12398 130 N Gross Rd, Suite 202 Kingsland, GA 31548 2/10/2014
Victor Corrigan, MD 26489RN160170Huber, Kelly M 7914 5665 Peachtree Dunwoody Road Suite 172 Atlanta, GA 3034 9/15/2008
RN097026Hudson-Gallogly, Wanda Kim 1432 2/28/2014
RN053488Hummel, Elaine Dubel 1443 2/28/2014
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Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Deitrick Cox, MD 65394RN186637Hurd, Rebecca S. 11466 8811 Hwy 92, Suite 114 Woodstock, GA 30189 7/16/2013
Lee Jacobs, MD 28283RN186637Hurd, Rebecca S 13401 107 Mountain Brook Dr, Suite 100 Canton, GA 30115 7/23/2014
Allee Johnson, MD 60387RN182617Hurst, Sabine 15230 101 Yorktown Dr, Ste 110 Fayetteville, GA 30214 8/2/2015
Charles Clopton, Jr, MD 43019RN232024Hyman-Duhaney, Rhona Alesia 12579 3890 Redwine Rd Atlanta, GA 30331 2/9/2014
Jones Philippe, MD 44056RN118753Ibeanusi, Grace 14439 3644 Chamblee Tucker Rd, Unit F Atlanta, GA 30341 1/31/2017
Leon L. Haley, MD 43211RN144525Idusuyl, Esohe 11219 80 Jesse Hill Fr. Dr. SE Atlanta, GA 30303 5/14/2014
Gottfrid Karlsson, MD 66380RN071218Jackson, Stephanie B 11684 745 Poplar Rd, Emer Dept Newnan, GA 30265 10/20/2015
Warren Theis, MD 55345RN121991Jacobs, Robert Scott 12337 1405 Alice St Waycross, GA 31501 10/7/2013
James Sirleaf, MD 67036RN169998James, Chandra Marie Robinso 13404 417 Third Ave, Emer Dept Albany, GA 31701 9/20/2013
Alexander Osowa, MD 57551RN216253Jankiewicz, Kathron 16586 2805 Hamilton Mill Rd Buford, GA 30519 9/28/2016
Randall B. Brown, MD 31884RN198077Jarrett, Jared Lewis 12969 575 First St. Macon, GA 31201 7/21/2014
John Souza, MD 39475RN149163Jernander, Brandi 15032 1110 Hillcrest Pkwy Dublin, GA 31021 2/12/2015
Charles Adams, MD 45378RN158619Jockers, Barbara Scott 8663 4085 Cloud Springs Rd Ringgold, GA 30736 7/25/2012
Monday, August 21, 2017 Page 14 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Gary Walton, MD 36630RN201265Johns, Traci Bishop 13405 1500 Oglethorpe Ave, Suite 300-C Athens, GA 30606 6/11/2014
Kenneth Patric, MD 69243RN176049Johnston, Amanda Carter 13770 10/22/2014
Russell Brown, MD 39743RN175825Jones, Shikira Mone 11877 2001 Martin Luther King Jr Dr, #418-430 Atlanta, GA 30310 9/4/2013
William A. Stinnette, MD 46499RN128455Jones, Laquay 1555 1650 Honey Creek Commons, Ste F Conyers, GA 30013 1/31/2011
Andrew Johnson, MD 73280RN181695Joyce, Katrina 15811 61 Whitcher St, Ste 3110 Marietta, GA 30060 4/30/2017
William Cross, DO 62831RN124581Keith, Coretta Delia Keith 9767 2501 N. Patterson St, Emer Dept Valdosta, GA 31721 7/12/2011
Scott, William MD 12565RN211336Keith, Sharon 10498 1915 Eisenhower Drive Savannah, GA 31416 7/25/2011
Lakshmi Gopireddy, MD 65244RN116927Kelker, Cassandra 15192 794 S Park St. Carrolton, GA 30117 4/23/2015
Sherri Lynn Barton, MD 48595RN205908Kelly, Ursula Ann 11259 6158 Highway 92 Acworth, GA 30102 2/9/2013
Robert D.S. Jones, MD 30629RN191024Kelly, Beverly S. 17535 1801 Peachtree St., Ste 250 Atlanta, GA 30309 4/26/2017
Charles Roman, DO 43757RN106726Kent, Yolanda Michelle 11995 2737 Warm Springs Rd Columbus, GA 31904 6/7/2013
Charles Roman, DO 43757RN218400Kim, Grace Nan 11996 2737 Warm Springs Rd Columbus, GA 31904 4/5/2014
John Pittman, MD 37045RN160699King, Emily Laura 9677 715 E. 2nd St Rome, GA 30161 7/31/2011
Monday, August 21, 2017 Page 15 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Omari A Hodge, MD 70459RN157567King, Jamie Bettina 13773 7/30/2014
Megan Bowles, MD #####RN160699King, Emily Laura 14234 3215 Campus Loop, House 52 Kennesaw, GA 30441 11/11/2015
Janet McBarron, MD 28300RN105788Knowles, Susan 15840 2904 Macon Rd Columbus, GA 31906 6/25/2015
Susan Queen, MD 23496RN229043Korn, Patricia Garshelis 12111 7/11/2013
Paul Walker, DO 46272RN152769Lagarde, Nina 15801 1150 Powder Springs St, Ste 50 Marietta, GA 30064 5/15/2017
Edward Minor, MD 45095RN207007Lajiness-Polosky, Danine There 15270 2100 Comer Ave Columbus, GA 31904 4/8/2015
Newport, Donald MD 43101RN141537Lane, Felecia 10324 1365 Clifton Road, Ste B6100 Atlanta, GA 30322 7/25/2012
Jove, Maurice MD 22799RN134018Lawrence, James 10075 2801 N. Decatur Rd, Ste 200 Decatur, GA 30033 7/25/2012
Kirk-Conrod Hewling, MD 57559RN038288Ledbetter, Sharon E 12506 4250 Brownsville Rd Powder Springs, GA 30127 10/26/2013
Nail Gladstone, MD 16917RN216926Lee, Amanda 15597 3115 Piedmont Rd, A 102 Atlanta, GA 30305 12/1/2016
Patrick Haggard, MD 49403RN124583Lee, Jamie Clower 13061 80 Jesse Hill Jr Dr, 13th Floor Atlanta, GA 30303 3/26/2014
Milagros Keh, MD 18509RN039505Lee, Cindy Fain 15145 601 W 11th Ave Albany, GA 18509 10/31/2016
Baysden, Teresa DO 57348RN164788Lemons, Maria 10360 3032 Sugar Valley Road Calhoun, GA 30701 2/9/2012
Monday, August 21, 2017 Page 16 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Russell Brown, MD 39743RN044413Leonard, Nina Julia Coleman 11972 2001 Martin Luther King Jr Dr, #418-430 Atlanta, GA 30310 9/4/2013
Sandra Hollander, MD 72000RN234557Lewis, Cynthia Marie 13690 207 Fairview Park Dr Dublin, GA 31021 7/24/2014
Farid Qazi, MD 35737RN234557Lewis, Cynthia Marie 13117 207 Fairview Park Dr, Suite 207 Dublin, GA 31021 7/24/2014
Tiffanni Forbes, MD 51936RN201110Ley, Kristin Carter 12971 1199 Prince Ave Athens, GA 30606 1/3/2014
Brant Holt, MD 54393RN103785Lingerfelt, Kimbra 13821 102 Erlanger South Dr Ringgold, GA 30736 3/26/2014
Paul Steinwachs, MD 42736RN087816Lord, Resa Anne Wilson 11939 1336 Third Ave Columbus, GA 31901 5/1/2013
Debra Osborne, MD 44297RN109444Lumansoc, Rita Marie Tactay W 11726 175 Emery Hwy Macon, GA 31217 2/6/2014
Vijitha Prasad, DO 40520RN166580Maddox, Jimmy 16007 544 W Church St Swainsboro, GA 30401 12/18/2015
Adam Meadows, MD 67504RN109444Mahmoud, Rita Marie Tactay 18408 3950 Austell Rd Sw. Austell, GA 30106 11/8/2016
Sidney Smith, MD 38615RN124279Marshall, William Robert 1857 900 Mohawk St, Suite E Savannah, GA 31419 2/20/2012
Ketan Desai, MD 57600RN135902Mathews, Cheri 14707 3825 Medical Park Dr, Ste 301 Austell, GA 30106 11/16/2014
Faith Andrews, MD 44158RN19547Mattox, Stephanie 14075 525 Forest Pkwy, Suite 100 Forest Park, GA 30297 10/10/2014
Raymond McKay, DO 44536RN169618Mayo, Jesse 16006 304 Turner McCall Blvd Rome, GA 30165 7/12/2016
Joseph D. DeVeau, MD 52706RN057553McCullough, Michael A. 11176 101 Yorktown Dr., Ste 110 Atlanta, GA 30309 2/18/2015
Monday, August 21, 2017 Page 17 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Afolarin Banjoko, MD 49267RN057561McGaha, Delaine 2408 2/18/2013
Felix Amoa-Bonsu, MD 55916RN149268McGowan, Monica Trechele Sp 13262 5185 Old National Hwy College Park, GA 30349 6/1/2016
Wallace Duncan, MD 41109RN217449McIntosh, Brenda L. 11624 Take Care Clinic, 5230 Dallas Hwy Powder Springs, GA 30127 7/7/2013
David Asrael, MD 51291RN217449McIntosh, Brenda L. 11623 Take Care Clinic, 5230 Dallas Hwy Powder Springs, GA 30127 7/7/2013
Philip Scaglione, MD 63810RN212138McNeal, Sandra Nichole 18790 1120 C Indian Drive Eastman, GA 31023 9/22/2016
James Graham, MD 30071RN112477McNeese, Cindy 11639 2225 Hwy 41 North Tifton, GA 31793 4/22/2014
Gaston Moran Celayes, MD 64675RN135666McPhail, Melissa Cummings 13125 618 East Lamar Street Americus, GA 31709 3/2/2014
Julian Gorvy, MD 51806RN091317Melde, Karen Joan Dianora 2007 5185 Peachtree Pkwy, Suite 330 Peachtree Corners, GA 3009 4/24/2013
Collyn Steele, MD 66424RN237132Messer, Tara Megan 13531 50 Kelly Rd McDonough, GA 30253 5/1/2014
Wanda Gobin, DO 53912RN112998Metheny, David Roy 14354 601 W 11th Ave Albany, GA 31701 11/30/2014
M. Rabiul Alam, MD 61549RN146822RN171315
Miller, Sheila Ann 14818 11660 Alpharetta Hwy Roswell, GA 30076 6/5/2015
William Harper, IV, MD 20726RN212631Miller, Vashti Gift 9642 1021 Talbotton Rd Columbus, GA 31904 3/15/2011
Michelle Huggins, MD 34368RN146822Miller, Sheila Ann Moore 18682 207 Crestmont Way Canton, GA 30114 6/3/2016
Monday, August 21, 2017 Page 18 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Miles Johnson, MD 38817RN229054Mills, Elizabeth Renee 13952 150 Fiddlers Ridge Fayetteville, GA 30214 5/22/2017
Gwendolyn V. Morgan, MD 24040RN063812Mitchell, Joan Sapp 11422 509 Sumter St, Suite C Montezuma, GA 31063 7/25/2013
John Kludt, MD 34876RN082786Mood, Rochella Rabon 13494 3700 Club Drive Lawrenceville, GA 30044 8/5/2014
Oladayo Osinuga, MD 51703RN171792Moore, Kathryn M. 11547 1000 Briarcliff Rd. Atlanta, GA 30306 4/18/2013
Michael Miles, MD 52082RN167524Moore, Kristy 14515 7869 Villa Rica Hwy Dallas, GA 30157 6/1/2015
Barry Renz, MD 30195RN102799Moore, Stephanie 13843 55 Whitcher St Ste 130 Marietta, GA 30060 5/28/2016
Michelle Evans, MD 52171RN165228Moore, Amanda Sue 12429 35 Collier Rd NW, Suite 150 Atlanta, GA 30309 7/1/2013
Nicole Ash-Mapp, MD 42993RN209720Morison, Laura Martino 13552 2154 Johnson Ferry Rd NE Atlanta, GA 30319-2558 7/3/2014
Joan Ifarinde, MD 62122RN203354Muhammad, Britney 19883 9280 Highway 5 ste. A Douglasville, GA 30134 1/18/2017
Dennis Thomas, MD 22898RN102687Murray, Jane W 12520 3374 Greystone Way Valdosta, GA 31605 7/1/2014
Felix Bonsu, MD 55916RN218157Musa, Caroline Wambui 13327 5185 Old National Hwy Atlanta, GA 30349 2/15/2016
John Mersereau, MD 14936RN192461Nace, Shana Elizabeth 18057 2050 Cumming Highway ste. 100 Canton, GA 30115 4/1/2016
Vivian Lennon, MD 43121RN192816Nakasone, Alma 14726 4166 Bufored Hwy N E Atlanta, GA 30345 9/1/2016
Monday, August 21, 2017 Page 19 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Meenakshi Hari, MD 49026RN057680Nejedly, Maureen D 13836 2520 Windy Hill Rd. Ste 104 Marietta, Ga 30067 8/1/2014
James Chappuis, MD 29604RN215180Neu, Lovie Doucette 12178 3161 Howell Mill Rd, Suite 400 Atlanta, GA 30327 8/1/2013
Raymond Easley, DO 20987RN215180Neu, Lovie 15635 260 Elm St Cumming, GA 30040 5/22/2015
Adrienne Mims, MD 33152RN146013Newton, Maureen Edythe 9707 477 Windsor St, Suite 309 Atlanta, GA 30312 12/31/2013
Neil Geadstone, MD 16917RN216874Niazi, Abdul 14706 295 Wolly Ln, Ste 150 Woodstock, GA 30189 8/20/2015
Stephen Brogdon, MD 68377RN216874Niazi, Abdul Hai 13835 250 North Ave Athens, GA 30601 1/26/2015
James Pilcher, MD 14541RN185511Nobles, Erin Grace 19890 1067 Peachtree Street Louisville, GA 30434 1/16/2017
Khurram Khan, MD 67490RN057688Norvell, Barbara Lynn 12753 12/30/2013
Eva Beauieu, MD 66254RN188468O' Connor, Diane Marie 20918 1751 Newnan Crossings Blvd. ste. E Newnan, GA 30265 6/21/2017
Ahmad Jingo, MD 45842RN206149RN206149
Obilor, Naomi Tessy 14761 3424 Flat shoals Rd Decatur, GA 30034 2/1/2015
Paul Walker, DO 46272RN188468O'Connor, Diane Marie 14837 1150 Powder Springs Rd Marietta, GA 30064 2/25/2015
Gary Stewart, MD 57845RN221177Odom, Jhaelyn 15576 105 Regency Park Dr McDonough, GA 30253 5/18/2015
Manjari Devidi, MD 69396RN104520Olubuyide, Taiye Anike 18347 80 Jessie Hill Jr. Drive Atlanta, GA 30303 6/30/2016
Monday, August 21, 2017 Page 20 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Julian D. Sharpton, MD 17084Rn191947Outz, Mary Allison 11268 11973 Augusta Rel Lavonia, GA 30553 9/18/2012
Rose Briglevich, MD 17042RN099451Pacitti, Elise Hurley 12854 3969 South Cobb Drive Suite 107 Smyrna, GA 30080 9/10/2013
Halleck, Sylvia MD 16356RN204629Panjwani, Ashraf 10808 1431 Riverside Pkwy Lawrenceville, GA 30043 7/12/2012
R Gary Branch, MD 30272RN097957Parker, Sharon 14432 10 Doctor St Melter, GA 30439 3/1/2016
Oladayo Osinuga, MD 51703RN084681Parker, Jami Louise 12855 550 Peachtree St NE Atlanta, GA 30308 1/22/2015
Mark Ellison, MD 26107RN117408Parker, Kimberly Koye Hilton 12857 1500 Olglethorpe Ave Suite 200C Athens, GA 30606 4/27/2014
Supriya Mannepalli, MD 61798RN151818Parker, Curtisia Denise 13169 743 Spring St Gainesville, GA 30501 4/11/2014
Paul Bradley, MD 30016RN124405Patterson, Donna Marie Smoak 2284 340 Eisenhower Dr, Suite 1200 Savannah, GA 31406 12/19/2008
Chester R. Lapeza, MD 44263RN052908Paulk, Jane 11427 1004 W Ward St Douglas, GA 31533 9/22/2014
Fariborz Zaer, MD 45679RN166226Pearlman, Brett Parsons 14281 106 E Broad St Savannah, GA 31401-2917 1/15/2016
Roshni Patel, MD 57141RN166520Perry, Venester 11168 CHOA, 1645 Tullie Cr. Atlanta, GA 30329 2/15/2013
Zia Khan, MD 62533RN116540Phillips, Karen Curtis 11953 2579 Hwy 54 Peachtree City, GA 30269 5/9/2014
John David Arnett 38423RN133630PHILLIPS, JANNA 11270 200 Doctor's Drive Douglas, GA 31533 12/31/2014
Forrest Smith, MD 23230RN250274Phillips, Charleitte 19071 45 W. Crossville Rd Roswell, GA 30075 10/11/2016
Monday, August 21, 2017 Page 21 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Monifa Seawell, MD 70582RN088054Philson, Beverly 14532 10 Park Place South, Ste 215 221 235 Atlanta, GA 30303 7/1/2016
Richard Spurlock, MD 59207RN144793Pindling, Andrea 11127 745 Poplar Dr. Newnan, GA 30265 1/30/2013
John Ogundipe, MD 39193RN114408Pingeton, Robin Ann 12858 7823 Spivey Station Blvd Jonesboro, GA 30236 7/1/2014
Edward Meier, MD 43426RN124333Pitts, Andrea Briscoe 8194 2112 Shorter Avenue, Suite 200 Rome, GA 30165 9/30/2008
Timothy Bunker, MD 49851RN184431Poarch, William 14769 1107 Memorial Dr, Ste 100 Da Hon, GA 30720 1/8/2016
Bhumiben S. Purohit, MD 58812RN149123Ponder, Bonita 11574 1890 Manor View Cumming, GA 30041 3/15/2013
Seth Wagner, MD 70602RN144810Porter, Laura Lynn 14413 100 Gross Crescent Cir, Ste 203 Fort Olgethorpe, GA 30742 11/28/2014
Gary Smith, MD 10666RN144810Porter, Laura Lynn Michael 12860 6120 Alabama HWY Ringgold, GA 30736 1/1/2017
Jeffrey Reed, MD 58580RN126112Preston-Lloyd, Crystal Ann 19115 1631 Hwy 20 West McDonough, GA 30253 1/3/2017
Pablo Quitanilla, MD 17546RN225038Price, Gloria 13819 3369 Buford Hwy Ste 810 Atlanta, GA 30329 9/25/2014
Anthony Marchetti, MD 31471RN102357Pryor, Anita Lynn Rigsby 13109 801 W Gordon St., Emer Dept Thomaston, GA 30286 12/31/2016
Kenneth Patrick, MD 69243RN073134Pryor, Julie King 14302 3240 South Cobb Dr Smyrna, GA 30084 11/3/2014
Holly Crowley, MD 51452RN219574Rackley, Emmerll 12862 400 S Pinetree Blvd Thomasville, GA 31799 9/19/2013
Monday, August 21, 2017 Page 22 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Jamie Walraven, MD 45023RN160356Ragland, Kenya Monee 14054 1275 Hwy 54 W, Ste 201 Fayetteville, GA 30214 9/1/2016
John R. Coleman, Jr, MD 48498RN216468Raines, Kendra L. 11604 1720 Peachtree St., Ne, #200 Atlanta, GA 30309 4/16/2013
Angela O. Wright, MD 45103RN092135Ramirez, Diana L. 11340 2467 Golden Camp Rd. Augusta, GA 30906 9/14/2013
Ralph Jackson, MD 22794RN230273Raptopoulos, Sophia Marie 15090 771 Norcross Rd, Ste 110 Lawreneville, GA 30045 5/8/2015
Crystal Comeau, MD 61224RN102372Rast, Jean Louise 9790 174 Highland Crossing South East Ellijay, GA 30540 4/16/2011
Donald Evans, MD 9810RN134959Ray, Trena Dawn 12864 321 N. Main Street Adairsville, GA 30103 5/19/2015
Michael O'Grady, MD 41189RN213784Raytchev, Vesselin Stoyanov 12600 7100 Peachtree Dunwoody Rd, Suite 100 Atlanta, GA 30328 11/13/2013
Jeffrey Klopper, MD 26321RN102945Reed, Deborah Ann 11954 3188 Atlanta Rd SE Smyrna, GA 30080 5/16/2013
Russell Brown, MD 39743RN222007Reid, Maria Ayesha 11974 2001 Martin Luther King Jr Dr, # 418-430 Atlanta, GA 30310 9/4/2013
Timothy Graves, MD 26859RN049330Riggins, Gwendolyn H. 12869 770 Walnut Street Macon, GA 31201 8/31/2015
Joenie Almeida, MD 45694RN144955Riner, Betty Louyul 14004 3223 Falligant Ave Savannah, GA 31404 10/24/2014
Isaac Sved, MD 38981RN116666Rittenhouse, Sharri Khay 12870 236 Johnson Ferry Road NE Suite 200 Sandy Springs, GA 303 3/28/2014
Carroll Cooper, MD 63309RN16666Rittenhouse, Sharri Khay 14180 1938 Peachtree Rd, Ste 610 Atlanta, Ga 30309, GA 30309 1/2/2015
La-Shaun Elliot, MD 68404RN116666Rittenhouse, Sharri Khay 13445 2336 Wisteria Dr, Ste 310 Snellville, GA 30078 5/30/2014
Monday, August 21, 2017 Page 23 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Gregory Fortner, MD 32733RN186527Roberts, Shawna Colleen 19734 1135 North Way ste. E Darien, GA 31305 3/3/2017
Suzanne Ferree, MD 47772RN092041Roser, Ruth Miriam 8068 1357 Hembree Road, Suite 240 Roswell, GA 30076 11/1/2007
Charmaine Wilson, MD 68021RN223241Ruis-Thompson, Margaret 11599 1915 Eisenhower Dr. Savannah, GA 31406 4/14/2014
Cameron, Nadia MD 53982RN159225Sakor, Uvienome 10030 3311 Hwy 5 Douglasville, GA 30135 2/8/2012
Sean Delany, MD 49001RN172768Samuel, Tseday 12872 631 Professional Dr Suite 360 Lawrenceville, GA 30046 11/19/2013
Dustin Russell, MD 66541RN155152Satterfield, Aimee Ballew 11776 4355 Brown's Bridge Rd, Suite 1 Cumming, GA 30041 3/24/2013
Alan Wang, MD 48017RN176656Schnitzeler, Erica 16043 601 Northolt Pky Suwanee, GA 30024 3/19/2016
Ashley Davis 58161RN136624RN136627
Schornack, Theresa 14537 1111 Bullsboro Rd Newan, GA 30265 3/25/2015
Andre Schoeffler, MD 39463RN153721Searcy, Ann-Maxwell 12573 294 Hwy 515 West, Unit L Blairsville, GA 30512 11/22/2013
Ronnie Hendrix, MD 24690RN181347Shah, Payal N. 12878 4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville, GA 3004 2/12/2014
Alan Keh Cu Chiam, MD 42554RN121520Shepherd, Sharon Lesley 10969 1188 Ralph David Abernathy Blvd Atlanta, GA 30294 3/25/2014
Francis Kane, MD 35274RN140155Sherman, Penny 14528 2450 Vinson Hwy Milledgeville, GA 31062 12/10/2015
Jeffrey Durmer, MD 52711RN113226Sherman, Carmen Judith Ramir 2698 4245 John's Creek Pkwy, Suite A Suwanee, GA 30024 10/31/2014
Monday, August 21, 2017 Page 24 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Narayan, Nalini MD 44287RN176715Sims, Melanie 10320 119 Ambulance Drive Carrollton, GA 30116 10/1/2013
Mitzi Rubin, MD 49592RN179410Sinclair, Kayon Ayton 12367 3939 Roswell Rd, Suite 200 Marietta, GA 30062 10/27/2013
Guillermo Pena, MD 59493RN199065Small, Amanda Leigh 11812 75 By-pass Rd Morgonton, GA 30560 3/29/2013
Gary Smith, MD 10666127602Smeltzer, Melissa 14527 6120 Alabama Hwy Ringgold, GA 30736 4/9/2014
Michael Rogers, MD 46482RN157400Smith, Kristine Marie 9834 401 Walton Way Augusta, GA 30901 2/17/2011
Bhumiben S. Purohit, MD 58812RN189368Smith, LaTanya 11545 1890 Manor View Cumming, GA 30041 5/23/2013
Jeffery Brewster, MD 52896RN247583Smith, Kristin 15772 710 Center St Columbus, GA 31901 8/17/2015
Gwendolyn V. Morgan, MD 24040RN184094Smith, Jamie A. 11550 502 Sumter St., #C Montezuma, GA 31063 7/25/2013
Vanderlyn Sewell, MD 51547RN057008Smith, Janet 15985 934 Briarcliff Rd NE Atlanta, GA 30306 9/24/2015
Cynthia Brown, MD 48976RN102046Smith, Jennifer Martinez 12886 815 Curtis Parkway SE Calhoun, GA 30701 3/5/2016
Peter Lavine, MD 58276RN155696Snead, Keshana 16327 60 GA Hwy 22 Milledgeville, GA 31061 10/29/2015
Patricia Tygrett, DO 32319RN107315Sparks, Tony Lewis 9815 2712 Hwy 411 SE Fairmount, GA 31039 6/15/2011
Darshana Sheth, MD 58642RN123614Spencer, Ivy Leigh Crowder 2820 2550 Windy Hill Rd, Suite 309 Marietta, GA 30067 11/15/2016
John Arnett, MD 38423RN149993Spikes, LaDonna Lorraine 13508 200 Doctors Dr, Ste 106 Douglas, GA 31533 9/11/2015
Monday, August 21, 2017 Page 25 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Donald H. Loebl, Jr., MD 62136RN070342Spurr, Melissa M. 11592 1238D'Antignac St. Augusta, GA 30901 4/1/2013
Lora Denton, MD 33818RN60668Storey, Susan 14529 310 Eisenhower Dr, Ste 5 Savannah, GA 31406 10/15/2014
Carlo Oller, MD 65719RN206377Stout, Mandy Rees 13284 960 Joe Frank Harris Pkwy, Emer Dept Cartersville, GA 30120 10/17/2015
David Gaskin, MD 32736RN112208Stubbs, Rachel Cowan 12983 310 Eisenhower Dr, Bldg 5 Savannah, GA 31406 2/28/2014
Wondiful Colbert 68389RN043103Stull, Mildred Potter 14296 747 South Hill St Griffin, GA 30224 9/25/2014
Ronald Pirtle, MD 13784RN192344Stump, Catherine 15328 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30315 6/10/2015
Howard McMahan, MD 22824RN183455Sumner, Laura Kristen 9706 361 Cargile Rd Ocilla, GA 31774 7/26/2011
Thomas Mullen, MD 39882RN232965Sweitzer, Dana Michelle 12656 205 Roadrunner Blvd Lafayette, GA 30728 2/26/2014
Angela Dowson, MD 40895RN081905Sykes, Mary 15421 2734 Ledo Rd, Ste 15 Albany, GA 31707 9/20/2016
Guy Augustin, MD 70852RN115782Taylor, Sebrina 15280 1153 North Liberty St Nicholls, GA 31554 8/7/2015
RN124210Taylor, Sylvester 2943 12/31/2015
David Erwunife, MDRN171345Terrell, Karen J. 11312 4/26/2013
Hany Elia, MD 30055RN082980Thisell, Susan K. 8837 3421 Mike Padgett Hwy Augusta, GA 30906 1/4/2010
Susan Queen, MD 23496RN233993Thomas, Rachel Lee 12480 3000 Schatulga Rd Columbus, GA 31907 9/19/2013
Monday, August 21, 2017 Page 26 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Clyde O. Green, MD 30072RN139742Thompson, Andrea L. 11333 1122 Gray Hwy Macon, GA 31211 4/26/2013
Mohammad M. Rahman, MD
44065RN139742Thompson, Andrea L. 11334 3350 Northside Dr. Macon, GA 31210 4/26/2013
Durbin, Randy DO 64776RN207895Thorne, Julia 10716 2050 Cumming Hwy, Ste 100 Canton, GA 30114 7/31/2012
Oladayo Osinuga, MD 51703RN178172Threats, Millicent Lenora 1321 3290 Memorial Drive, Suite A-1 Decatur, GA 30032 1/22/2015
Allen Hoffman, MD 24822RN079447Tinsley, Pamela Ruth Dorris 3001 790 Church St., Suite 250 Marietta, GA 30060 9/28/2008
Brown, Deronda MD 50079RN178993Toler, Jimmie 10599 109 Minus Avenue, Ste C-10 Garden City, GA 31408 3/6/2013
Wondiful Colbert, MD 68389RN066916Trice, Laura Leigh 14297 747 South Hill St Griffin, GA 30224 9/25/2014
Frank Pechal, MD 26616RN212011Truelove, Eddie 13231 1915 Eisenhower Dr. Savannah, GA 31406 4/26/2014
George Hall, MD 55669RN212011Truelove, Eddie Jean Eckford 13705 1050 Carl Griffen Dr Savannah, GA 31405 8/28/2014
Mohamad M. Kassem, MD 40934RN177247Tucker, Thomas Leon 11254 3580 Cameron Parkway Stockbridge, GA 30281 9/24/2012
Suzanne Ferree, MD 47772RN073684Turner, Christine 8069 1357 Hembree Road, Suite 240 Roswell, GA 30076 11/1/2007
Aneesh Gupta, MD 53231RN188240Van Dellen, Stephanie 11149 51 N. Morningside Dr. Cartersville, GA 30121 1/30/2013
George Garriss, MD 51134RN188240Van Dellen, Stephanie Klug 11855 3939 Roswell Rd, Suite 200 Marietta, GA 30062 4/9/2013
Monday, August 21, 2017 Page 27 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Karen Muro, MD 37304RN195252Van Dorn, Terri 14440 497 Winn Way, Ste A-210 Decatur, GA 30030 11/21/2014
Cameron, Nadia MD 53982RN129147Vincent, Sandra 10537 3760 Sixes Road, Ste 120 Canton, GA 30114 3/21/2012
Celestine Stiles, MD 60194RN184239Walker, Sandra 16002 1221 E McPherson Nashville, GA 31639 11/16/2011
Michael Hamm, DO 49021RN141132Walker, Benjamin James 9031 410 Darling Ave, Emergency Dept Waycross, GA 31501 9/28/2011
Eric Davis, MD 63648RN141132Walker, Benjamin James 12471 100 S Madison St Thomasville, GA 31792 10/21/2013
Anthony Gonter, MD 21700RN134482Walter, Sherry Backer 3114 5126 Hospital Dr. Covington, GA 30014 12/10/2014
Lev Grinman, MD 72207RN220520Walters, Laura Mary 19006 530 Martin Lane Augusta, GA 30909 11/1/2016
Arlene Dijamco 66592RN244086Wardle, Melanie 15488 900 Old Roswell Lakes Pkwy, Ste 220 Roswell, GA 30076 12/24/2015
Alison Baker, MD 53490RN050378Weldon, Delores Hinton 18949 1/6/2017
Uchenna Kalu, MD 62127RN233405Wendel, Bonita Jean 14111 1117 Perimeter Ctr West, Ste 500 N Atlanta, GA 30338 3/24/2016
Dawn Wilson, MD 47279RN051666Weston, Candace Hasinah 12911 3395 Bouldercrest Road Ellenwood, GA 30294 12/3/2015
Charles Semones, MD 51737RN139882Whaley, Shelby 15521 56 Ebnezer Rd Ellaville, GA 31806 9/30/2015
Akinwole A. Awujo, MD 48204RN221863White, Dianna L. 11336 3840 Redwine Rd., Ste 100 Atlanta, GA 30331 5/22/2013
Monday, August 21, 2017 Page 28 of 29
Effective Terminated RN# Delgating Physicia Protcol AddressPHY#APRN Name Protocol #
Charles V. Clopton, Jr., MD 43019RN221863White, Dianna L. 11335 195 Fairview Rd. Ellenwood, GA 30294 5/22/2013
Rupert McCormac, MD 65714RN119916Whotaler, Rosalie 14539 4083 Clondsprting RD Ringgold, GA 30736 12/11/2014
Elizabeth Furbish, MD 58472RN140155Wiggins, Penny E. 18134 2450 Vinson Highway ste. Blue 1 Milledgeville, GA 31062 1/8/2017
Kerins, Craig MD 21170rn103047Williams, Lovoria 10039 1521 Anthony Road Augusta, GA 30904-0799 7/25/2012
Kimberly Green, DO 58478RN193733Wilson, Joy Stanetrice 12266 3370 Sugarloaf Pkwy, Suite G-7 Lawrenceville, GA 30044 7/1/2013
Nadia Cameron, MD 53982RN193733Wilson, Joy Stanetrice 11949 212 Edgewood Ave Atlanta, GA 30303 2/18/2013
Nellie Crawford, MD 66471159925Witzel, April Meredith 14547 107 B Upper Riverdale Rd Riverdale, GA 30274 3/31/2016
Chandra, Madhusudan MD 38143rn162935Woodall, Heather 10040 233 N. Hurston Road Stone Mountain, GA 30083 7/25/2012
Gregory Fortner, MD 32733RN165440Wright, Margaret A. 12691 1101 North Way Darien, GA 31305 1/3/2014
Gloria Kayfan, DO 48431RN118839Wright, Daniel B. 9143 PO Box 1908 Albany, GA 31701 7/26/2010
Frenesa Hall, MD 35892RN115022Yandel, Susan Eileen 9033 1945 Mason Mill Rd, Suite 100 Decatur, GA 30033 7/25/2012
Syed Naqvi, MD 62144RN153142Young, Dawn Andrea Pettiford 9855 710 Center St Columbus, GA 31901 1/18/2012
Robert Albin, MD 33018RN143427Zuleta, Francisco Javier 8680 5667 P'tree Dunwoody Rd, Suite 350 Atlanta, GA 30342 10/26/2009
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