georgia composite medical board minutes may 1, 2014

GEORGIA COMPOSITE MEDICAL BOARD MINUTES

May 1, 2014

1

The Georgia Composite Medical Board (GCMB) held its regular meeting on May 1, 2014 at 2 Peachtree St., NW 36th Floor, Atlanta, GA 30303 to consider Medical Board matters. Board members in attendance on Thursday, May 1, 2014 were:

Richard Weil, MD, Chairperson David Retterbush, MD, Vice Chairperson John S. Antalis, MD William Butler, MD E. Daniel Deloach, MD Charmaine Faucher, PA-C, Ex-Officio Board Member Alexander S. Gross, MD Alice A. House, MD B. K. Mohan, MD William S. Sightler, DO Wendy Troyer, MD Ronald Wallace, Consumer Member Charles White, DO

Board members absent on Thursday, May 1, 2014 were:

George “Trey” Powell, MD Gilbert Chandler, III, MD Jane “Cami” McGarity, Consumer Member

Representatives from the Attorney General’s Office:

Janet Wray, Senior Assistant Attorney General CALL TO ORDER Dr. Weil called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m. NEW BOARD MEMBERS Dr. Weil, Board Chairperson, and LaSharn Hughes, Executive Director, swore in Ronnie Wallace as a new Board Member, and Charmaine Faucher as the new PA-C, Ex-Officio Board Member. AGENDA Dr. Retterbush submitted a motion, seconded by Dr. Butler, to approve the agenda of the May 1, 2014 meeting. The motion carried unanimously. MINUTES Dr. White submitted a motion, seconded by Dr. Gross, to approve the minutes of the April 3, 2014 meeting. The motion carried unanimously.


May 1, 2014

2

Dr. Butler motioned to amend the May 5-6, 2011 minutes concerning I.O. Dr. Gross seconded the motion and it carried unanimously. Dr. White and Ms. Hughes gave a summary of the topics discussed at the Federation of State Medical Board Meeting. Some of the topics included Streamlining licensing, National Licensing, Allopathic and Osteopathic forms, Patient centered healthcare. Dr. Sumner discussed the Telemedicine Rules summit she attended. EXECUTIVE DIRECTOR’S REPORT LaSharn Hughes, Executive Director, presented the following information for the Board’s review. Dr. Deloach submitted a motion, seconded by Dr. Retterbush, to accept the report. The motion carried unanimously. The Board took the following actions:

1. Beth Schuster asked what constitutes original signatures for the PA job descriptions. Board

referred to the PA Committee. 2. Holly Thompson emailed to inquire about the Office-Based Anesthesia and Surgery

Guidelines established by the Georgia Composite Medical Board. Board advised to refer to the Rules and Laws.

3. The Attorney General Sam Olens asked the staff for help in a new campaign starting to reduce prescription drug abuse in high schools. Board Members and local doctors may be interested in appearing and speaking at these announcements and help address the competition and dangers. Board will put this information in next newsletter.

4. Madelyn Speech, Specialized Surveyor, reviewed the draft of the Pain Management Clinic Rules and felt it needed information to support a survey process. Board referred to the Rules Committee.

5. Article in USA Today review shows more than 100,000 doctors, nurses, medical technicians and health care aides are abusing or dependent on prescription drugs in a given year, putting patients at risk. For information only.

6. Article in Georgia Health News “Colorado health director warns Georgia families to beware Miracle cure marijuana.” For information only.

7. A letter from Affiliated Monitors concerning Ten Years of Quality Independent Integrity Monitoring. For information only.

8. Parker Eastin, PA requested guidance from the Board on behalf of a client. Concerning retention of electronic medical records. Board advised it is the same standard as other medical records.

9. Richard Allen, RPH, Director of Drugs and Narcotics Agency asked if the Board us tracking whether of not the pain clinics registered are also office based Opioid treatment centers. Board advised that we are not.

10. Question regarding the Residency Training initial application. The Board did not note a problem.


May 1, 2014

3

11. The American Board of Laser Surgery emailed concerning a certificate for non physician practitioners this may be of interest. Dr. Gross responded; the Laser Committee is considering training courses and discussed the requirements of law for non physician laser practitioners.

12. Board reviewed a draft of the Medical Board Case Tracking Form. For information only. GYN Resources, INC. requested an appearance before the Board. GYN Resources Inc. is a surgical service that provides necessary clinical staff, equipment and resources so that the physician may perform low risk minor surgical procedures safely at their office location. The Board members asked questions and GYN staff responded. Dr. Gross recommended they go thru the Board’s guide lines for office based surgery and make suggestions for the Board to review. Dr. Antalis moved to go into Executive Session. Dr. Gross seconded the motion and it carried unanimously. Dr. Weil declared Open Session. LAW ENFORCEMENT ACTION REPORT Emmalie Kirkland, Acting director of Investigations, presented the Law Enforcement Report for the Board’s review. Dr. Gross submitted a motion, seconded by Dr. White, to accept the amended report. The motion carried unanimously. The Board took the following actions:

1. New Hampshire Board of Medicine requested information regarding investigative file 20140703. Board approved to share investigative information.

2. The North Dakota Board of Medical Examiners requested copies of all investigative

material concerning voluntary surrender of J.M. Board approved to share information. 3. UPMC Passavant Hospital requested information concerning investigative file 20140910.

Board denied request. 4. The Office of the Attorney General, Georgia Medicaid Fraud Control Unit requested copies

of investigative file 20130558. Board approved to share information. 5. 20101826 – Approved to lift supervised practice. 6. James Johnson III, M.D. – Accept Inactive Status request. 7. 20112031 – Refer to Wellness Committee. 8. 20110771 Invite for interview. 9. 20101993 – Table


May 1, 2014

4

10. 20111188 – Deny petition. 11. Allison Winn Hemingway, P.A. – Approved consent order for reinstatement. 12. 20141008 – Close 13. Wallace Anderson, D.O. – Approved consent order. 14. Ethel Smith, MD – Approved consent order. 15. Lee Ann Marlow, M.D. – Accept surrender of licensure. 16. Christopher Croom, M.D. - Approved consent order. 17. 20140881 – Place on administrative hold. 18. Charles B. Lyons, D.O. – Approved consent order. 19. 20141133 – Close 20. Kush Kumar, MD – Approved consent order with redaction. 21. 20131513 – Table until June 1, 2014. 22. Keith Andrew Levine, M.D. – Approved consent order 24. Williams Briggs, M.D. - Accept inactive status. 25. 20140966 – Peer review. Open case on companion. 26. 20141451 – Refer for consent order. 27. 20140901 – Deny request for change of terms and conditions.

ADJOURNED Dr. Chandler moved to go into Closed Session to conduct Investigative Interviews. Dr. Retterbush seconded, the motion and it carried unanimously. Dr. Weil then declared the meeting would be open session upon completion of the investigative interviews for the purpose of holding committee meetings. RECONVENE 2:30 PM Call to Order


May 1, 2014

5

ADVISORY COMMITTEE REPORTS PHYSICIAN LICENSING COMMITTEE Dr. House presented the report of the Physician Licensing Committee as a motion. Dr. Gross seconded the motion, and it carried unanimously. The Board took the following actions: Interviews:

1. Ronald Woody—Approved reinstatement application 2. T.B.—Table

Invite for Interview

1. B.B. 2. C.O.

Tabled Waiver(s) Request:

1. Khawar, Saquib MD

Approved Waivers Request: 1. Pasupuleti, Ravi MD - 360-2-.02 2. Sanders, Rebecca MD - 360-2-.02(5) 3. Oza, Mina MD - 360-2.01(f) 4. Giminez, Edgardo - 360-2-01 (f) 5. Koontz, William - 360-02.-.07

Approved Voluntary In Medication Application:

1. Rabens, Clayton Approved Reinstatement Applications:

64220 Glastad, Karl MD 29469 Holsenbeck, Linton MD 30805 Koontz, William MD 26541 Hand, Stephen MD 20205 Phelan, Westell MD 41036 Yaeger, Carlf MD 31532 Woody, Ronald MD 26137 Johnson, Samuel MD

Other Business:

1. Muralles, Arnulfo MD –Table request. 2. Abrams, Daniel MD—Deny sponsorship for USMLE Step 1 due to number of attempts 3. Kalin, David MD—Allow to withdraw application for licensure 4. Hychko, Jessica MD – Allow to withdraw application for Institutional Licensure


May 1, 2014

6

5. Omonuwa, Smith MD—Approved request to send true and correct copy of medical school transcript to Indiana Medical Board.

6. For clarification of reinstatement CME requirement; 80 hours within last four year period. 7. King, John – Advise he will need to resolve issue with Alabama Medical Board before the

board will consider his application. 8. Mikowski, Stanley—Will need to complete application for Administrative Licensure 9. Effective July 1, 2014, the USMLE will not allow state sponsorship. For information only. 10. Board Discussion: Voluntary In Medicine licenses are not required for summer camp/ trip

chaperone, etc. The “Good Samaritan Clause” is the safeguard for one to administer services in case of an emergency. However, the continuation of care or ongoing treatment of patients in such a setting will require a medicine license in Georgia.

11. K.B. - Tabled 12. M.S. - Advise applicant that a clinical skills test tailored to her specialty is acceptable. 13. E.H. - Table until July 31, 2014. 14. Allow applicants M.S. and K.G. to take SPEX

Approved Applicants for Licensure: 71771 HORWITZ, ALEXANDER 71772 O'CONNOR, LAURENCE THOMAS JR 71773 MARTINEZ VARGAS, MARINO ANTONIO 71774 KUMAR, RUPESH 71775 NCHAKO, ELMANG NJABOU 71776 JAMES, KYLE PATRICK 71777 NIKOLSKY, VICTOR 71778 MILMAN, IRINA 71779 KOONAPU, LAKSHMI N 71781 MCCORMICK, CHARLES PATRICK 71782 MCCARTHY, JOSHUA WADE 71783 MOLL, VANESSA 71784 JANSEN, NATHAN KENNETH 71785 OZA, MINA K 71786 HEUER, KAREN AILEEN 71787 NWODO, CHUKWUDI EMMANUEL 71788 HENDERSON, PATRICK RYAN 71789 HERLONG, JASON LANE 71790 LORENZO, CYNTHIA 71791 HARE, JOSHUA L 71792 JOSEPH, ALEXANDRA LOUISELIE 71793 KIM, JUNG 71794 HAMEEDI, AMIR ALI 71795 KELLUM, ETHAN 71796 NAGESH, VINODHA 71797 MENEFEE, MICHAEL 71798 HOFFIUS, ANNA DUNN


May 1, 2014

7

71799 LE, RICHARD 71800 KATHROTIA, KEVIN NATVARLAL 71801 KEFELA, ARON ETHIOPIA 71802 HALL, DARRYL CROSSWRIGHT 71803 HANEY, MATTHEW 71804 NEUPANE, AASHISH KUMAR N A 71805 KIM, DENISE SUJIN 71806 HARKINS, COREY 71807 LARA RIVERA, SHANIL 71808 LACHIEWICZ, MARK PAUL 71809 HOLDER, ANDRE L 71810 ITALIANO, FRANK THOMAS III 71811 HINDS, NICOLE ANN-MARIE 71812 KING, MICHAEL ALAN 71813 HENDRICKS, KELLY 71814 HALAWI, RACHA 71815 HOLDER, JANELLE NAOMI WILLIAMS 71816 LOSIK, ALEXANDRE 71817 JOHNSTON, JANICE GLORIA 71818 KEEL, CHRISTOPHER EDWIN 71819 KASPER, DAVID MICHAEL 71820 MCFARLAND, KATHRYN 71821 MCLOGAN, KATHERINE 71822 JADIDIAN, ARMON 71823 NGUYEN, DZI-VIET PHUOC 71824 KOTINSLEY, BENJAMIN 71825 MITCHELL, ADAM JACKSON 71826 LANE, PAUL DOLPHOUS JR 71827 MCDUFFIE, JEREMY SCOTT 71828 LEVENSON, TRESSA ILENE 71829 HOFFA, MARY 71830 HAGOOD, CRYSTAL 71831 HARDEN, TOREY SCOTT 71832 KURL, RAGAV 71833 MCGILL, STEPHANIE SUSAN 71834 METZIG, NATALIE MARIE 71835 MCHARDY, JENNIFER LYNN 71836 KOZINN, SPENCER IAN 71837 LIM, MIIA 71838 HERZOG, KATHERINE SMITH 71839 KALANGARA, JERRY 71840 HALL, SEKEYTA 71841 LIN, SHING-YU 71842 HOSSEINI, MARYAM


May 1, 2014

8

71843 HASSANYAR, MOHAMMAD REZA 71844 HEIKKILA, JEANETTE LYNN 71845 JONES, GREGORY ALLEN 71846 PADULA, JAMES C 71847 MILLER, FRANK H 71848 PASUPULETI, RAVI KUMAR 71849 PATEL, AMEET CHANDRAKANT 71850 PATEL, ROSHAN DHANSUKH 71851 PATEL, NEAL MAHENDRA 71852 PEARCE, JASON RANDALL 71853 KUDIWU SANGADI NGUISANI, CRISTAL 71854 PECK, JESSICA JOAN 71855 PHAM, QUEHUONG H 71856 POLEYNARD, GARY 71857 RAGINS, JAMES WILLIAM 71858 RAI, PRADEEP R 71859 RAZACK, RAZVI 71860 REDDICK, KEISHA LYNN BURSEY 71861 ROTHSTEIN, JOSHUA 71862 ROYCHOWDHURY, MONIKA 71863 RUSSELL, DANIEL PAUL JR 71864 SAGHIR, TAHER MUSA 71865 SABIR, ADEEL 71866 SAINT VIL, FRANTZ 71867 SALAU-OKELEJI, ADERONKE 71868 SANDERS, REBECCA DEAN 71869 SCHNELL, LUCAS GABRIEL 71870 SCORR, LAURA 71871 SHAMS, MARISSA 71873 SHELL, TROY 71874 SHEA, JILL MARIE 71875 SHERMAN, JOHN ALAN 71876 SHIH, JERRY J 71878 SHIN, YOO MEE 71879 SINGH, ARUN LAKSHMAN 71880 SINGH, GURMUKH 71881 SMOLENSKY, OLEXANDR 71882 SNAVELY, ADAM DANIEL 71883 SOMERS ARIETTI, CHRISTIE MARIA 71884 SORIANO, HSIAO 71885 SPIVEY, JOHN CASEY 71886 STACK, ANDREW PHILLIP 71887 STANFORD, JAMES ERIC 71888 STRONG, STAFFEL


May 1, 2014

9

71889 STARR, HARLAN MCMILLAN 71890 SULLIVAN, KATHLEEN MARIE 71892 SUMNER, EMILY ANNE 71893 SUNDAR, MICHELE 71894 SUTHAR, TUSHAR NATVARLAL 71895 SYED, QURATULAIN 71896 TALWALKAR, JAYNANT AWINASH 71897 TARASCHENKO, OLHA 71898 TAROKH, SAEED 71899 TREESE, THEODORE 71900 TREIYER, DANIEL 71901 TUTEN, THOMAS ALEXANDER 71902 VALIANI, KIRAN 71903 VAN ASSCHE, BRADLEY THOMAS 71904 VELASQUEZ, JASON OMAR 71905 VINET, TIFFANY MARIE 71907 WATSON, JEFFREY ALAN 71908 WEDD, JOEL PATRICK 71909 WOOLERY, JONATHAN DALE 71910 WHITWORTH, KEVIN JOHN 71911 WILLIAMS, BERNARD A 71912 WILLIAMS, JESSICA HAINES 71913 XAVIER, ALBIN DR 71914 YOUSEF, YASSMIN 71915 ZERRA, PATRICIA ELIZABETH 71916 DENNIS, DESI 71917 DITKOFSKY, NOAH GABRIEL 71918 ABODUNRIN, BIMBOLA OLAPEJU 71919 CARVER, ALISSA 71920 BATRA, ANU 71921 CLEMONS, HOLLY 71922 PATIL, VINIT 71923 ANWAR, MEHRUBA 71924 CLARK, TYLER ALLEN 71925 BARRETT, JUSTIN EDWARD 71926 FREEMAN, ANDREA RAE 71927 EL BEJJANI, MIREILLE 71928 CHEN, CHRISTINA 71929 CHAPMAN, STEPHANIE 71930 BURRIS, RICHARD BRANDON 71931 CULTON, LISA 71932 BOUADOU, JEFFERY LEROY 71933 CARTER, MONICA GAYLE 71934 GAURILOFF-ROTHENBERG, JANE BIRGITTA


May 1, 2014

10

71935 FAULKNER, KALLI KOLE 71936 CROSMER, MEGAN SUZANNE 71937 DELLAQUILA, MATTHEW JAMES 71938 BUI, TRIMINH HOANG 71939 DAVIS, DEVON EILEEN 71940 BABALIAROS, KATHERINE SHIELDS 71941 BEECHER, BRETT ALAN 71942 AVUTU, HIMA BINDU 71943 GHAZAL, NADER 71944 DUCKSWORTH, CHASITY RENEE 71945 DESAI, TORAL SHAH 71946 BABAR, AHMED SHEERAZ 71947 BAILEY, WAYNE THOMAS 71948 CITY, NATHAN DREW 71949 ALGHOTHANI, NAEL 71950 ASANDRA, CHRISTOPHER FORMMIT 71951 BURTON, FRANK 71952 GILL, KANWAR ZAMEER SINGH 71953 AMIN, PRASHANT 71954 ADENUGA, OLUFEMI MICHAEL 71955 ADENUGA, GBEMISOLA 71956 DOWS-MARTINEZ, MARLY 71957 BANU ANAM, SHARMIN 71958 EL-SAYED, MAHMOUD MOHAMAD ALI 71959 CHOWDHURY, RAYHANUR RAHMAN 71960 CHAMBERS, WESLEY CARROLL 71961 FINES-DAILEY, VERLEE LIENNEZZE 71962 BEKELE, FISSEHA ZEWDU 71963 AGARWAL, MANEESHA 71964 APPIAH-PIPPIM, CATHERINE E 71965 DUNNAVANT, FLOYD DANIEL 71966 CARDEN, MARCUS A 71967 FLAJOLE, MARK 71968 GORDEN, LEMUEL DURRELL III 71969 EISENBERG, STEVEN 71970 HERZOG, GREG ALLEN 71971 HEMBREE, NED WASHINGTON 71972 MITCHELL, SARAH GRACE 71973 PURI, RUCHIR


May 1, 2014

11

APPEARANCES BEFORE THE BOARD Steven B. Schwartz, M. D., requested an appearance before the Board regarding denial of reinstatement. Dr. Schwartz made opening statements regarding his practice plans. The Board asked questions and Dr. Schwartz responded. Dr. Gross moved to go into closed session. Dr. Retterbush seconded the motion and it carried unanimously. Dr. Weil declared open session. Dr. Butler moved to reaffirm denial of reinstatement application for Dr. Schwartz. Dr. White seconded the motion and it carried unanimously. Jeffrey Rausch, M.D., requested an appearance before the Board to explain his circumstances. The Board members asked questions. His application had expired and this appearance was for information only. He will have to reapply for licensure ACUPUNCTURE ADVISORY COMMITTEE Dr. Butler presented the report of the Acupuncture Advisory Committee as a motion. Dr. Retterbush seconded the motion, and it carried unanimously. The Board took the following actions: Accepted Quarterly Report:

S. Akinyi Osano Approved Applications for Initial Licensure:

1. Yiming Lin 2. Yifan Liu

Other Business:

1. Reviewed list of limited licensees and supervisors 2. Accepted explanation from V.P. regarding patient #34 with presentation of CLL on

quarterly report last month 3. Directed Board staff to contact current and previous committee members for names/info for

potential committee members to fill the open positions on the Acupuncture Advisory Committee – need two (2) L.Ac. and one (1) consumer member

4. Tabled the NCCAOM Apprenticeship Guidelines for further review ORTHOTICS AND PROSTHETICS ADVISORY COMMITTEE Dr. Deloach presented the report of the Orthotics and Prosthetics Advisory Committee as a motion. Dr. Retterbush seconded the motion, and it carried unanimously. The Board took the following actions.


May 1, 2014

12

Approved Applicant for Orthotic licensure: 1. Grubbs, Jaime Approved Applicant for upgrade to full O&P licensure:

1. Schmidt, Derick

PHYSICIAN ASSISTANT ADVISORY COMMITTEE Dr. Retterbush presented the report of the Physician Assistant Advisory Committee with amendments as a motion. Dr. Gross seconded the motion, and it carried unanimously. The Board took the following actions: Approved the following additional duties request: PHYSICIAN ASSISTANT DUTIES REQUESTED

1. Michele Erin Baker Fluoroscopic-guided shoulder arthrogram/injection Fluoroscopic-guided hip arthrogram/injection Fluoroscopic-guided myelogram/lumbar puncture Ultrasound-guided peripherally inserted central catheter placement Ultrasound-guided thoracentesis X-ray-guided lumbar epidural steroid injection X-ray-guided myelogram Modified barium swallow Upper GI barium swallow Esophogram Paracentesis

2. John A. Chandler Removal/insertion of chest tubes

Insertion/removal of temporary pacemaker wires Arterial line insertion Surgical closure of chest placement of wires Saphenous vein harvest, endoscopic and open Radial artery harvesting

3. Ashley Parker Croker Insertion/removal of temporary pacemaker wires

Removal/insertion of chest tube Arterial line insertion Surgical closure of chest Saphenous vein graft harvesting and endoscopic harvesting Radial artery harvesting

4. Robert McKenna, Jr. Nuclear stress testing/cardiac stress tests 5. Omara Ortega Endotracheal intubation procedure


May 1, 2014

13

6. Mary Alison Williams Botulinum toxin injection

Facial filler administration 7. Zoe Renew Schultz Stress testing with and without nuclear imaging

Cardiac PET imaging

Denied Additional Duties request: 1. Erin Baker X-ray guided lumbar epidural steroid injection tabled.

Interviews: 1. Daniel Jans – Approved 2. S.B.A – Reinstate with consent order 3. Amanda Miller – Approved

Approved Applicant for Reinstatement:

1. Shalyn Benae Ahmadi Approved Applicants for Physician Assistant Licensure: Physician Assistant License# Supervising Physician License# GLANCY, THOMAS JOHN 6149 SETTY, GURUDATT K 49094 HARRELSON, AMY 6175 DASHER, GLEN JAMES 43354 KURIAKOSE, PREETHY E 6115 BRANDIGI, CLAUS 43004 MCDANIEL, ERICA 6168 GRUNCH, BETSY H 69414 NEELY, REBECCA 6170 HORTON, BETSY SUSAN 40693 NEWBY, WILLIAM B 6122 VILLASENOR, NAZARIO JR 64985 PAIGE, CRAIG VINCENT 6154 DAWSON, GARY NOEL 53857 ROBINSON, SHAE ALA 6171 PRABHUDEV, CHANDANA 55272 SCHARF, ELIZABETH ANN 6163 TENENBAUM, STANLEY 11493 SCHIMMELMANN, GITTE P 6126 GASKILL, LESLIE S 46406 SHETH, FERRINA P 6127 ESSIEN, EKAN IWOK 61772 SORGINI, FRANCES VEY 6140 SYMBAS, NIKOLAS PETER 42127 SULLIVAN, RICHARD H III 6173 FISHER, STEPHEN RONALD 62037 SUMMER, BEN 6164 RAMSUE, CLAYTON M 49938 TAKKALLAPALLI, AKHILA 6144 JEANNOT, MICHEL 65686 Approved Complete inactive status applications (O.C.G.A. 43-34-103(a)(1)); that do not have a supervising physician

Physician Assistant File# BROCK, GINA MARIE 6152 HENNEK, KRISTIN KYLE 6159 SHEPS, MARYANN C 6148 Approved the following Applications to add or change supervising physicians:

Physician Assistant License Supervising Physician License ABRAHAMSON, JULIE 1325 EASLEY, RAYMOND 20987 ANDERSON, LORENZO J 5655 EASLEY, RAYMOND 20987


May 1, 2014

14

BEESON, ANDREW EDWARD 2684 MASON, NIKOVA RASHIDA 63711 BENZ, WILLIAM 5709 DAVENPORT, JEFFERY 63574 BURKE, GREGORY LEE 2771 KETCHEY, CHRISTOPHER 63875 BUTLER, GREGORY 4687 KULISH, LAWRENCE 45880 COCHRAN, ALLISON 6242 BERGERON, RHETT 44683 COOPER, MARY LANE 1586 CRAVEY, MICHELE 42223 COURTNEY, KATE 6641 SMITH, JASON 57188 DANIEL, AMANDA W 6247 BAILEY, JASON 51619 DANIEL, AMANDA WHITNEY 6247 BAILEY, JUSTIN SCOTT 51619 DEEDRICK, GREGG 3888 MANDEL, SAMUEL 18523 DEMPSEY, DANIEL 4508 RICHARDSON, GHARI 59948 EASON, JESSE BLAIR 6090 DAVENPORT, JEFFREY PATON 63574 EVANS-PAULIN, STACEY 6483 PYNE, GREGORY 58105 FISHER, ANDREW 7057 MCLENDON, KENNON 33393 FLEURY, JASON RAY 5556 DESAI, KETAN NARENDRA 57600 GARMON, JOHN SCOTT 4399 SUN, EUGENE YO-JEN 62170 GILES, YOSEF JAMAKE 6012 BASHEY, ASAD 57207 GREEN, MARY FISHER 6983 VELAMAKANNI, SWAPNA 66433 GUNTER, CLIFTON 2562 ASIS, ANA 46933 HAYNES, JONATHAN 7073 FYE, CHIQUITA 20707 HERINGTON, PETER 5418 HARRIS, ROBERT 46114 HOLT, ALLISON 5961 MCCURDY, CARL 21745 HURST, LASHUNDA 4402 MELCHER, RICHARD 18526 JOHNSON, ELIZABETH 2953 BRAHMA, BARUN 34112 LAING, JENNIFER 5401 JOSEPH, DANIEL 30112 LEE, JESSICA 5749 VANCE, LUTHER 19354 LEE, JESSICA DAWN 5749 CARLSON, HAROLD DANIEL 24221 LEE, JESSICA DAWN 5749 DEGRYSE, AMBER LEE 65537 LYTLE, NICOLE ALICIA 3771 TAYLOR, EARL MCRAE 25298 MACKEY, DOROTHEA 3184 MOORE, DAVID 23639 MOORE, JODI ANN 5365 NELSON, PAULA 41913 NEALE, ANGELA 4511 SHEIKH, ABDUL 52017 OKOLO, BEATRICE 5258 SILVERBOARD, HOWARD 45965 OPOKU-AMANKWAH, PATRICK 5919 NATARELLA, EMILY 66875 PATEL, HIRAL 5066 GRANT, JESSE 21510 RAU, MARY 6452 MCELHANNON, MARK 40154 ROBINSON, TERRY LYNN 3629 WALKER, MARIA 25306 RUDDELL, STINA 6097 SMITH, JASON 57188 SCHULTZ, ZOE 7003 SRIDHARAN, MAVANDAPALLI 26392 SHORT, DENNIS JAMES 4909 CROSS, WILLIAM 62831 SORAN, DIANA 7128 CREEL, BRADLEY 65534


May 1, 2014

15

STERLING, JEREMY 4200 SAMADY, HEATHER 55967 TELFORD, SIMONE 4693 OJO, OLUFUNSO 54004 TREADWELL, BOBBY 5730 STARNES, TREVOR 65799 WASHINGTON, JASON DONTEZ 6691 LATOUFF, OMAR 23473 WISHAM, FRANCIS 1417 SCOTT, JAMES 15420 WOODARD, LARESA 6771 VERDUN, JOSEPH 61675 ARTHUR, DONNA 5037 TATA UDAY, MD 53413 BANKS, MEREDITH 6814 FREDERICK MOORE, MD 22254 BERGERON-JOHNSON, ROSEMARY 2255 PERTER SMITH, MD 63025 BROWN, ROSELYN 5245 SOLOMAN TAFARI, MD 42956 CICERELLO,KERI 5947 SUSAN SHAFII, MD 70910 HICKEY MICHAEL 2036 ANDREW SLAVICO,MD 36791 HICKEY, MICHAEL 2036 MARK FREEMAN, DO 28767 LINDSEY, KIMBERLY 6388 SUZANA MONTANA, MD 45097 MASSIE, EMILEE 6120 JAMES MEADOWS III, MD 25641 MULLIN, BRIAN 6366 MICHAEL HALKE, MD 49695 SAYDAR, MICHELLE 4868 NIKOVA MASON, MD 63711 STRATTON, HALEH 2617 ISSAC SVEU, MD 38981 SUTTER, KORY 4888 BRANDON BOWMAN, MD 65738 WRIGHT, WHITNEY 5397 NIKOVA MASON, MD 63711 YELVERTON, DENNIS 2227 RAUL, BLANCO, MD 59684

Other Business: 1. Waljker, Caroline Ashley – Mirror Lear addendum recommendation 2. Daniel Jans - Approved reinstatement. 3. S.A. – Approved reinstatement with a consent order. LOC for supervising physician 4. Amanda Miller – Approved application for licensure. 5. E.C. – Table for additional information 6. K. M. – Table for additional information 7. C.T. – Table for additional information 8. K.M. – Table pending additional information 9. C.W. – Refer for suspension 10. Discussed electronic signatures for alternate supervisors, but require the original signature of

the original PA supervising physician. PERFUSION ADVISORY COMMITTEE Dr. Retterbush presented the report of the Perfusion Advisory Committee as a motion. Dr. White seconded the motion, and it carried unanimously. The Board took the following actions Approved applications for initial licensure:

1. David Farr, Jr. 2. Robert Fraser


May 1, 2014

16

RESPIRATORY CARE ADVISORY COMMITTEE Dr. Sightler presented the report of the Respiratory Care Advisory Committee as a motion. Dr. White seconded the motion, and it carried unanimously. The Board took the following actions: Approved the Applicants for 12-month permits: Armstrong Atlantic State University 1. Bacon, Sydnei 2. Gebreyohanis, Abrehame - pending additional information 3. James, Cortney 4. Hicks, Erica 5. Kangeter, Jordan 6. Maddox, Brittany 7. Miles, Breanna 8. Patel, Dhara Augusta Technical College 1. Basey, Krystal 2. Ewing, Michael - pending additional information Dalton State University 1. Blackwell, Emily - pending additional information 2. Haygood, Melissa - pending additional information Darton State College 1. Gaffney, Kierra Georgia Regents University - pending additional information 1. Bellamy, Ashleigh 2. Craig, Theresa 3. Flynn, Kelley 4. Harris, Antuan 5. Kahsay, Luna 6. Lariscy, Kayla 7. Miller, Ashley 8. Nde, Musi 9. Neville, Jancy 10. O’Connor, Melanie 11. Partridge, Christopher 12. Rountree, Stephanie 13. Shin, Hyeun 14. Standford, Jonathan 15. Usher, Pamela 16. Walters, Candace 17. White, Michael


May 1, 2014

17

18. Wilson, Steven 19. Wilson, Talicia 20. Woodall, Chimere Middle Georgia State College - pending additional information 1. Do, Brian 2. Green, Melissa 3. Hammock, James 4. Hardy, Tanaia 5. Lumpkin, Lakashi 6. Monos, Christopher 7. Salley, Nanyamka 8. Smith, Rolanda 9. Stone, Traveta Oconee Fall Line Technical College 1. Ruthland, Davia - pending additional information SW Georgia Technical College 1. Bryant, Stephanie 2. Burt, William 3. Cleveland, Tynise 4. Crawford, Shannon 5. Hawkins, Kiwanis 6. Humphrey, Caitlin 7. Thomas, Lashonda Tennessee State University

1. White, Danielle - pending additional information Approved Applicants Requesting Licensure by Reciprocity:

1. Caldwell, Nicholas 2. Dome, Denise - pending additional information 3. Foulkes, Christine - pending additional information 4. Grasser, Michelle pending additional information 5. Inam, Wilson - pending additional information 6. Jesuorobo, Jenkins 7. Johnson, Audra 8. Kibble, Dwayne 9. Lasater, Tabitha - pending additional information 10. McCord, Vashan 11. Mattingly, Destiny - pending additional information 12. Meyer, Rebecca pending additional information


May 1, 2014

18

13. Smith, Vivian 14. Trabert, Albert - pending additional information 15. White-Woods, Katrina

Approved Reinstatement Applications: 1. Callis, David - 2. Fuller, Janice 3. Grotz, Kimberly 4. Hahn, Tatiana 5. Papp, Alisa 6. Roberson, Lindsey - pending additional information 7. Sasser, Ross 8. Taylor, Charles

Approved Applicants for Licensure: Allison, Tanya Bauer, Tara Benjamin, Anne Blackmon, Charlotte Boone, Tiffany Faulknor, Erin Gay, Dillon Johnson, Kendra Keena, Hadley Mackey, Holly Misencik, Ashley Nicolas, Yvis Roberts, Kelly Sims, Mary

Smith, Nathaniel Stringer, Dori Swaim, Helen Thomason, Jessica Wei, Miles Wetherington, William

Other Business

1. G.R. – Table 2. Ashley Misencik – Approved licensure. 3. Candace Smith – Approved 90 days to obtain a potential employer. 4. Tracy McCloud – Approved pending fifteen CEU’s in Critical Care.


May 1, 2014

19

RULES COMMITTEE Dr. Butler presented the report of the Rules Committee in the form of a motion. Dr. Gross seconded the motion, and it carried unanimously. The Board took the following actions: Rules Approved for Posting for Comments

1. Rule 360-10 Institutional Licenses Dr. Antalis made the motion, seconded by Dr. Mohan and motion carried to approve for posting. Motion carried unanimously.

2. Rule 360-8 Pain clinics After a discussion regarding the definition of “Medical treatment or services,” Dr. Antalis made the motion, seconded by Dr. Sightler and motion carried to approve for posting.

3. Tabled the discussion of Pain Clinic Frequently Asked Questions. INTERNATIONAL MEDICAL SCHOOL COMMITTEE Dr. Antalis presented the report of the International Medical School Committee with modifications in the form of a motion. Dr. Deloach seconded the motion, and it carried unanimously. The Board took the following actions: The members discussed the report from Health Services Education Consultants (HSEC) regarding the evaluation and site visits of the University of Medicine and Health Services (UMHS) in St. Kitts. The members recommended that on-site visits be made at both the St. Kitts location as well as the Portland, Maine location where the 5th semester clinical training is held. These site visits by one or two committee members would be conducted in order to validate the information contained in the HSEC report and to ensure that all academic/training processes are functioning properly. After the initial on-site visits, random visits would then be conducted periodically. The Medical Board Executive Director will pursue options for reimbursement of travel expenses with the Office of Planning and Budget. LASER ADVISORY COMMITTEE Dr. Gross presented the Laser Advisory Committee as a motion. Dr. Deloach seconded the motion, and it carried unanimously. The Board took the following actions: The Board considered the Committees advice concerning their review of nine resumes. Based on the requirements, four did not qualify and the five individuals listed below will be invited for an interview:

Barron, Jill Esthetician Butler, Sandra Esthetician Gardner, Alan Physician Gladney, Lori Registered Nurse Radcliff, Charlene Registered Nurse


May 1, 2014

20

ADVANCED PRACTICE NURSE ADVISORY COMMITTEE Dr. Gross presented the report of the amended APRN Advisory Committee as a motion. Dr. White seconded the motion, and it carried unanimously. The Board took the following actions: The following protocol agreements meet the provisions of OCGA 43-34-25:

APRN DELEGATING PHYSICIAN Amankwah, Pearl Shelton, Courtney MD Anderson, Geraldine Southerland, Sheila MD Blalock, Jamie Quigley, Debora MD Brown, Mignon Giwa, Rifquat MD Burris, Robin Khan, Panyavee MD Caballero, Lorena Wilson, Dawn MD Calvert, Helen Elbridge, Bills MD Cleveland, Janna Johnson, Farris MD Cochran, Amy Dabney, Andrea MD Cochran, Charma Box, James MD Collins, Janice McDaniel, Michael MD Copeland, Christina Fletcher, David MD Cruz, Erwin Britton, Matthew MD Cuadrado-Barrera, Diana Quintonilla, Pablo MD Daugherty, Lindsey Tarplee, Scott DO De Meglio, Naomi Zarge, Joseph MD DeGuia, Susan Fields, Jayson MD Demott, Jennifer Musto, Michelle MD Dillon, Laura Hancock, Mark MD Etheridge, Christy Solis, Maurice MD Fenceroy, Megan Meiri, Eyal MD Fleming, Marla Banov, Michael MD Freeman, Jennifer McDaniel, Michael MD Fuller, Wendy Duke, Michael MD Fults, Selvi Hacena, Mokhtar MD Gambrell, Patricia Hancock, Mark MD Gibbons, Wanda Middleton, Courtney MD Hall, Debra Haynes, Andre MD Hamilton, Doreen Illston, Blake DO Hammond, Leigh Coleman, Patrick MD Hargett, April Robinson, Lisa DO Hartfield, Satoya Demissachew, Hailu MD Harvey, Maisha Mishra, Prashant MD Herrick, Amy Patel, Atulkumar MD Hoepfner, Marianna Middleton, Courtney MD


May 1, 2014

21

Holton, Cynthia Conner, Franklin MD Hutcheson, Ladonna Conner, Franklin MD Keip, Shelly Kruse, Edward DO Kelley, Angela Melvin, Terry MD King, Mackenzie Reddy, Praveen MD LaCount, Sharon Cameron, Nadia MD Lavallo, Joseph Roa, Gopal MD Leonard, Lori Villaseñor Jr., Nazario MD Loft, Brenda McDaniel, Michael MD Long, Carol Lipton, Cathy MD McKenna, Candace Mazur, Robert MD McLeish, Elizabeth Lytollis, William MD McPhail, Melissa Ayerdi, Juan MD Melvin, Tanisha Naseem, Kashif MD Moore, Terri Rogers, Michael MD Nodine, Janette Thompson, Ashley MD O’Conner, Whitney Cseley, Margot MD Okibedi-Ahanatu, Alphonso John, Jayashree MD Peart, Andrienne Clark, Jelunder MD Peterson, Dana Peretz, Jeffrey MD Reagin, Hilari Forehand, Ronald MD Reid, Andrea Moore, Xavier MD Rhodes, Lila Kay Myers, George, MD Richardson, Lindsay Christa, Michael MD Robinson, Elizabeth Solodar, Seymour MD Saintil, Marianne Gunter, Kurrle MD Shields, Heather Ogundipe, Akin MD Simpson, William Hong, Gayoung MD Sims, Melanie Narayan, Nalini MD Smarr, Sherish Chapman, Thaddeus MD Sone, Gladys Evans, Donald MD Sone, Gladys Betz, Charles MD Spikes, Ladonna Wade, Jonathan DO Spires, Kimberly Blackwell, Robert MD Steinmeyer, Ashleigh Mellick, Larry MD Summerlin, Aurelia Assikis, Vasily MD Switzer, Traci El-Deiry, Mark MD Thiel, Shelba Lipton, Cathy MD Thomas, Jessica Randolph, Brion MD Thomas, Tawanna Mascoud, Mona MD Tracewski, Meghan Klick, Jeffrey MD Traylor, Winnifred Groover, Michael MD Walton, Nurah Harvey, Paul MD Walton, Nurah Wright, Richard MD


May 1, 2014

22

Warnock, Kimberly Spencer, Dennis DO Watkins, Cathy Bloodworth, Thomas MD Willis, Misty Sheff, Sean MD Witt, Connie McElhannon, Mark MD Young, Glenda Stahlman, Jon MD Young, Nancy Jacobs, Theresa MD Ziobrowski, Ashley Davis, Ian DO

The following protocol agreements meet the provisions of OCGA 43-34-25 with additions or changes:

APRN DELEGATING PHYSICIAN Banister, Anna Bennett, John Booth, Carmen Lee, Mark MD Bryant Jr., Charles Wade, Jonathan DO Castro, Brittany Oliver, Thomas MD Cheeks, Miyesha Alvarez-McLeod, Africa MD Cox, Erin Marie Taylor, Robert MD Craft, Hope McCravey John MD Earl, Merri Moussa, Ahmed MD Ferrelle, Christine Zaer, Fariborz MD Guidry, Angela Brathwaite, Paula MD Jarrett, Jared Brown, Randall MD Lattimore, Willie Woodard, Alfred MD Lingerfelt, Kimbra Watlington, Joseph MD Mayfield, Shannon Garrett, Veronica MD McIntyre-McKay, Florence Hodge, Omari MD Pihera, Rebecca Cobb, Thomas MD Scarborough, Michele Graves, Timothy MD Shahpar, Jessica Mudahar, Baljinder MD Thompson, Rebecca Pullen, William MD Vandenburg, George Marshall, John MD Webster, Carol Middleton, Courtney MD White, Deidra Parks, David MD

Other Business:

1. Approved revised APRN forms 2. Tabled agreement between NP James Lawrence and Dr. Amarish Kapasi. 3. Approved additional privileges for current protocol between NP Karen Bowser and Dr.

Wendy Vandemark.

PAIN CLINIC ADVISORY COMMITTEE Dr. Weil presented the report of the Pain Clinic Advisory Committee as a motion. Dr. Deloach seconded the motion, and it carried unanimously.


May 1, 2014

23

The Board took the following actions: Approved Applications: Ellis Pain Center MyFamily Doc Other Business:

1. ONP Specialty Group - Allow to withdraw the pain clinic application. 3. South Atlanta Medical Care – Tabled request to change locations pending additional

information. 4. Pain Relief Clinic - Tabled request to add practicing physician Ateeqahmed Patel, MD due

to conflict with hours at another pain clinic. 5. The NEXus Pain Center – Approved request of one owner, who has sold his share of the

clinic. 6. Rehabilitation Physicians of Georgia – Approved request to add physician assistant Michael

Hickey to the Snellville and Decatur location and to change the location of the Villa Rica office.

7. Atlanta Integrated Medical Health Clinic – Approved request to add practicing physician

Ademola Opanuga. 8. Pain Management & Wellness Center - Approved request to add practicing physician Eric

Benning. 9. Gainesville Pain Management – Approved request to add practicing physician Janet Griffin

and APRN Erwin Cruz. 10. Spine Care and Pain Management – approved request to add Brian Adams practicing

physician to the Athens and Lavonia locations. 11. Key Pain Center – Tabled request. 12. Hapeville Medical Center - Approved request to change the name and location and to add a

managing employee Kecia Osbourne. Tabled request to add practicing physician M.G. 13. Care Medical Center- Approved request to add physician assistant Dana Simpson to the pain

clinic and the revised hours for practicing physician, Dr. Ghari Richardson. 14. Atlas Healthcare & Rehabilitation – Approved request to add Kevin White, MD as a

practicing physician. (Dr. Retterbush abstained)


May 1, 2014

24

15. Approved request to allow individuals who have an OPEN investigative case after they have

been approved for a pain clinic license or approved to work in a pain clinic, to continue to practice in clinic until the results of the investigation are complete.

16. Approved request to make revisions to the Personnel Certification Form due to concerns

from practitioners.

17. Approved to add a $75 fee to add a practicing physician, physician assistant and/or APRN to pain clinics.

CLOSED MEETING Dr. White made a motion, seconded by Dr. Retterbush to go into closed session to discuss pending litigation, investigative, and Wellness Committee matters. The motion carried unanimously. OPEN MEETING Dr. Weil declared the meeting in open session. WELLNESS COMMITTEE Dr. Deloach presented the amended report of the Wellness Committee as a motion. Dr. Retterbush seconded the motion, and it carried unanimously. The Board took the following actions: 1. 20120906 – Refer for an order for Mental Physical Evaluation.

2. S.P. Defer to Licensing Committee. 3. Stephen Mitchell, MD. - Approve Order Terminating Probation upon receipt. 4. Jacob Ward, MD. - Approve Amendment to Public Consent Order upon receipt.

INVESTIGATIVE COMMITTEE Dr. White presented the report of the Investigative Committee as a motion. Dr. Deloach seconded the Committee’s motion, and it carried unanimously. The Board took the following actions:

Recusals -Weil (20140456, 20140688, 20140791) Gross (20140456) Close: 20100373 20130159 20130444 20130445 20131057 20131241 20131242 20140300 20140451 20140456 20140604 20140612 20140666 20140680 20140688 20140690 20140694 20140731 20140732 20140733 20140736 20140775 20140776 20140777 20140778 20140780 20140782 20140783 20140785 20140786 20140790 20140791 20140794 20140798 20140799 20140801 20140805 20140808 20140809 20140810 20140812 20140813 20140849 20140860 20140874 20140889 20140891 20140896 20140898 20140903 20140925 20140942 20140993 20111162 20121592


May 1, 2014

25

Close: 20121927 20130265 20140796 20140602 Invite for Investigative Interview: 20140309 20140685 20140818 20140981 20121324 Table: 20130292 20131274 20140997 Order Mental Physical Evaluation:: 20141171 Attorney General Notice of Hearing 20121324 20141451 INITIAL COMPLAINT EVALUTIONS: Recusal - Butler (20140892) Close: 20130882 20140287 20140342 20140484 20140561 20140562 20140629 20140655 20140672 20140738 20140740 20140749 20140750 20140756 20140774 20140797 20140845 20140846 20140848 20140851 20140863 20140892 20140919 20140930 20140953 20140984 20141005 20141050 20141057 20141160 20141304 20141365 20141410 INITIAL MALPRACTICE EVALUATIONS 20141347 20141359

INVESTIGATIVE INTERVIEW REPORT

Dr. White presented the report of the Investigative Interview Report as a motion. Dr. Antalis seconded the Committee’s motion, and it carried unanimously. The Board took the following actions:

1. 20130941-Close 2. 20140742-Table 3. 20141036-Close with letter of concern 4. 20130124-Table 5. 20131586-Table


May 1, 2014

26

6. 20121429-Table 7. 20140330-Table 8. 20140071-Table

ADJOURNMENT At 5:25 p.m. there being no further business, Dr. Deloach made a motion, seconded by Dr. Gross, to adjourn the May 1, 2014 Board meeting. The motion carried and the meeting was adjourned. ____________________________ ________________________________ Richard Weil, MD LaSharn Hughes, MBA Chairperson Executive Director Recorded by Diane Atkinson

georgia composite medical board minutes may 1, 2014

Documents