georgia composite medical board minutes of the august 6

Georgia Composite Medical Board

Minutes of the August 6, 2020

Meeting

1

The Georgia Composite Medical Board (GCMB) held its regular meeting on August 6, 2020 via

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

Board members on the call:

John S. Antalis, MD

William Bostock, DO

Gretchen Collins, MD

Debi Dalton, MD

E. Dan DeLoach, MD

Charmaine Faucher, PA (ex-officio)

Alexander Gross, MD

Thomas Harbin, MD, Vice Chair

Rob Law, CFA, Consumer Member

J. Jeffery Marshall, MD

Matthew Norman, MD

Andrew Reisman, MD

David Retterbush, MD

Barby Simmons, DO, Chair

Richard Weil, MD Board member absent:

Shawn Hanley, Consumer Member

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Phyllis White, Executive Assistant

Jonathan McGehee, Director of Investigations

Latisha Bias, Enforcement Supervisor

Legal staff on the call:

Max Changus, JD, Assistant Attorney General

David Stubbins, JD, Assistant Attorney General

CALL TO ORDER

Dr. Simmons called the meeting of the Georgia Composite Medical Board to order at 7:31a.m.

AGENDA

Dr. Retterbush submitted a motion, seconded by Dr. Harbin to approve the agenda of the August 6,

2020 meeting. The motion carried unanimously.

MINUTES

Dr. Retterbush made a motion to approve the minutes of the July 9, 2020 meeting. Dr. Antalis seconded

the motion and it carried unanimously.

CHAIR’S REPORT

Dr. Simmons made the following report.

1. Due to COVID, the Board will hold virtual meetings through the end of the year.

2. Dr. Simmons discussed CME Credit discussion

EXECUTIVE DIRECTOR’S REPORT

LaSharn Hughes, Executive Director presented the following information:



Meeting

2

The Board has issued 2,000 Emergency Permits since we started in March.

Motion Retterbush, seconded Marshall and motion carried to make the following corrections to the June

4, 2020 minutes:

Page 4 – remove the following:

Remove approval for licensure for Arturo Diaz, should be denied.

Page 33 - add the following

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

BG – deny request for investigative interview proceed with the case

The Board set the following meeting dates for 2021.

January 7th February 4

March 4th April 1st

May 6th June 3rd

July 1st August 5th

September 2nd October 7th

November 4th December 2nd

Michael S. Kaplan, MD, requested removal of an action from the Maryland Board be removed from his

profile since the Maryland Board has removed the action. Motion Dr. Retterbush, seconded Dr. Marshall

and motion carried to remove the action.

Lisa A. Robin, Chief Advocacy Officer, Federation of State Medical Board, informed the Board of

legislation that would impact the Board. Equal Access to Care Act, S. 3993 and Temporary Reciprocity

to Ensure Equal Access to Treatment “TREAT” Act. This legislation will allow health care professionals

to practice across state lines during COVID-19 in a secondary state without obtaining a license. The

Board has concerns regarding this type of practice since the applicant cannot be vetted by the state

where the practice occurs.

The Board discussed legislation that was signed by the Governor that directly impacts the Board. SB

321 APRN/PA legislation, referred to the Rules Committee for rule changes. HB 752 Interstate Compact

will require background checks for physicians. Motion Dr. Retterbush, seconded Dr. Gross and motion

carried to require background checks for all licensees of the Board. These will be conducted for new

applicants and during renewals for existing licensees.

RULES REPORT

Dr. Retterbush made a motion, seconded by Dr. Marshall to post the following Rules for

comments:

Rule 360-3-.02(12) “Unprofessional Conduct Defined” (Chaperone)

Rule Chapter 360-13 “Respiratory Care Professionals”

Rule 360-8 “Pain Management Clinics” Housekeeping Changes



Meeting

3

CLOSED SESSION

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

investigations and disciplinary matters. The motion carried unanimously.

OPEN SESSION

Dr. Simmons declared open session.

ATTORNEY GENERAL (AG)

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

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

information and approved the following Board Orders:

Sidney Smith, MD

Timothy Mulligan, MD

Yong Liu, MD

Rajae Janho, MD

TELEMEDICINE COMMITTEE The Telemedicine Committee made the following report to the Board:

The Committee established the following Goal and Purpose for the Committee:

To review the laws and rules regarding telemedicine and to make sure the laws and rules are

serving the needs of the state and citizens of Georgia; and to make any suggested legislative

changes to the General Assembly.

The Committee reviewed and discuss the following law and rules. After a reviewing the current law and

rules, there are not any recommended changes at this time. The Committee will wait to see if any

interested parties want to make any changes at this time.

O.C.G.A. Sec. 33-24-56.4 “Georgia Telehealth Act”

Rule 360-3-.07 “Practice Through Electronic or Other Such Means”

Emergency Rule:

Rule 360-3-0.10-.08 “Practice Through Electronic or Other Such Means”

Rule 360-2-.17 “Requirements for Telemedicine”

Rule 360-2-.03 “Unprofessional Conduct Defined”

SEXUAL MISCONDCUT COMMITTEE The Committee made the following report to the Board:



Meeting

4

FSMB Physician Sexual Misconduct

The Committee reviewed the report and recommendations from the report. There are recommendations

in the report that the Board reviewed regarding the following:

Investigations – the committee discussed the Board’s investigative process. A member suggested it

would be helpful for the full board to have a presentation on how cases are handled. Then a

determination will be made on any additional training the investigations may need.

Legislation – the committee reviewed some additional recommendations regarding that may be included

in some possible legislation next session.

Practice Monitors – the committee reviewed the recommendation regarding practice monitors. The staff

shared a brochure for a monitoring group that the Board has used before. The staff will see how other

states handle this group of employees of boards.

PHYSICIAN LICENSURE COMMITTEE

Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions:

Waivers

The following waivers were reviewed and approved.

Taherbhai, Akil Mohammed 360-2-01(1)(f)

Hejjo Alrefai, Basel 360-2-.01(f)

Questions/Requests

Notify Deborah Elizabeth Eapen that the Georgia Medical Board does not sponsor re-takes of USMLE Steps.

Gloria Hutchinson - does not need a license if only observing.

Applications Not Approved

TB Complete SPEX or other Clinical Skills Examination, or apply for VIM License and then

work for 90 days under supervising and then provide a letter of advocacy from

supervising physician, or allow to withdraw. JS Interview

CE Uphold previous decision to deny or withdraw

VP Refer to PHP

EU Deny or allow to withdraw

DR Clinical Skills Examination, or offer Emergency Practice Permit

VW Interview

RD (RNST) Deny based on criminal convictions

RM Interview

SK Refer to PHP

DB (RNST) Table for date of last clinical practice of medicine

AC Deny Institutional License due to practice not qualifying as an institution.

RN (RNST) Clinical Skills Examination or Allow to withdraw or deny



Meeting

5

Applications Approved

Avino, Lorianne License without restriction

Silver, John License without restriction

Luem, Carl (RNST) License without restriction

Elmansy, Hazem License without restriction

Fisher, Scott (RNST) Reinstate without restriction

Hoyt, Alastair License without restriction

Barrientos, Osvaldo License without restriction

Bazemore, Derek Reinstate without restriction

Wagner, Michel License without restriction

Brown, Dawn License without restriction

Buchanan, Jason License without restriction

Eames, James License without restriction

Delius, Ralph License without restriction

Frickel, Wendy License without restriction

Herron, Michael License without restriction

Kirsh, Therese License without restriction

Lo, Eric License without restriction

Hassan, Ahmed License without restriction

Herrin, Michael License without restriction

Larkins, Mark License without restriction

Brayboy, Tara License without restriction

Nolte, Ryan License without restriction

Holt, Eric License without restriction

Residency Training Permits

Blanton, Leah Approve

Jerome Homish Approve

Kevin Patel Application withdrawn

Administratively Approved Applications

Abid, Syed MD

Agarwal, Ankita MD

Agarwal, Rajender K MD

Ajose, Taiwo A MD

Akache, Rola W DO

Akinsanya, Olajide A MD

Al Kassem, Hatem MD

Alawi, Aws MD

Aldulescu, Monica DO

Alemany Colom, Eduardo MD

AlJaroudi, Wael MD

Allen, Delenya MD



Meeting

6

Alnabki, Ziad MD

Anderson, Kathy M MD

Andrews, Cody L DO

Ang, Sheryl S MD

Ansari, Abrar A DO

Avino, Lorianne E DO

Badia, Daniel J DO

Baig, Mohammad Q MD

Bansal, Ila MD

Barnes, Cassandra MD

Barney, Elise J DO

Barrientos, Osvaldo Andres MD

Beatte, Hope MD

Benjamin, Jacqueline A MD

Bentham, Wayne D MD

Berkow, Roger L MD

Betz, Kristina J MD

Beyene, Tolawak K MD

Bhatt, Binoy MD

Bobrov, Amira MD

Bobrov, Michael MD

Bost, Brian P MD

Boudreau, Edward D DO

Boulware, Ronald G MD

Bowe, Crystal C MD

Brayboy, Tara J MD

Brinkman, William J MD

Brock, Joseph C, Jr DO

Brown, Danielle R DO

Brown, Dawn MD

Browning, Benjamin B MD

Bruzzini, Daniel B MD

Buchanan, Jason MD

Butler-Quarles, Barika MD

Campbell, Earl, III MD

Campbell, Patrick MD

Carey, John E MD

Cesarine, Joseph MD

Cha, Yong K, K MD

Chandra, Shalabh MD



Meeting

7

Chisholm, Joshua S DO

Chivukula, Kaavya MD

Chorney, Elizabeth T MD

Chumley, Candace F MD

Chung, Michael H MD

Clayton, Warren F MD

Cleckler, Sarah DO

Coats, Travis MD

Crowder, Robert T MD

Crum, Rachal DO

Cruz, John W MD

Cruz, Victor MD

Dai, Shengchuan MD

Daniel, Annamma MD

Dannemann, Tanya M MD

Dave, Isha MD

DeJournett, Richard L MD

Delius, Ralph E MD

Dhakal, Dora R MD

Dhople, Anil A MD

DiBona, Alexander MD

Diller, Maggie L MD

Donaghy, Deirdre V MD

Duarte, Jeremias R DO

Dubique, Jordan MD

Duchon, Karman J MD

Dupont, Gregory P MD

Eames, James S MD

Eaton, Jennifer L MD

Edwards, James E MD

Ehrenberger, David R MD

Eisenberg, Joel L MD

Eken Sander, Stephanie C MD

Elmansy, Hazem M MD

Fan, Chuan F MD

Fedusenko, Ashley MD

Ferizaj, Redi MD

Fields, George DO

Fisher, Jeremy G MD

Follett, Kelly G MD



Meeting

8

Frickel, Wendy MD

Getz, Kelly E MD

Given, Michael J MD

Gliga, Louise A MD

Golden, Thomas M MD

Greenberg, Ilyssa DO

Greenspan, Matthew MD

Guerra, Daniel J MD

Harb, Ragheb MD

Harris, Ciel F MD

Hassan, Ahmed M DO

Hayden, Scott A MD

He, Steven MD

Hecker, Susan M MD

Hejjo Alrefai, Basel MD

Hermansen, John R MD

Herrin, Michael K MD

Herron, Michael K MD

Ho, Annie H MD

Hodgson, Joni DO

Hoyt, Alastair T MD

Huang, Charles MD

Hunt-Heinzen, Elyse MD

Hur, Eunmi MD

Hutton, Timothy P MD

Ihrig, Timothy G MD

Imran, Rajeel MD

Ireland-Gordy, Stephanie D MD

Jamshidi, Soheil MD

Jani, Ajay S MD

Jentzen, Noah MD

Jessani, Sehar N MD

Jones, James D MD

Jorandby, Lantie MD

Jordan, Brent MD

Jordan, Caleb MD

Kalaveshi, Sokol MD

Kalia, Junaid MD

Kallam, Erin F DO

Kaneria, Samir C MD



Meeting

9

Kern-Smith, Emily M MD

Kessler, Howard MD

Khan, Sadaf A MD

Khanna, Ashish MD

Khishchenko, Natan MD

Kim, Susie MD

Kirsch, Therese MD

Krieg, Carolyn DO

Lanneau, Grainger S MD

Larkins, Mark V MD

Law, Anthony B MD

Lerman, Dana T MD

Little, Patricia L MD

Lo, Eric MD

Lord, Christopher A MD

Mallarino-Haeger, Christina MD

Malone, Brett MD

Mandavia, Sujal MD

McGowan, Christopher E MD

McKenzie Johnson, Tamra MD

McKenzie, Alexandra S MD

McKnight, Jerry T MD

McLaughlin, Dell C MD

Melhem, Molly MD

Memon, Aurangzeb MD

Mendelow, Micahel J MD

Miller, Joel C MD

Minja, Frank J MD

Motiwala, Reshma MD

Mueller, Stephanie L MD

Narayana, Sumathi MD

Nasrin, Mubina MD

Nathanson, Richard A MD

Nguyen, Phuong V DO

Nolte, Ryan N MD

Odubanjo, Anthony A MD

Olds, Gregory D MD

Onwe, Charles N MD

Ortego, Jonathan C MD

Park, Dong MD



Meeting

10

Patel, Shiel MD

Patel, Vivak DO

Perry, Avital MD

Phillips, Pushpa MD

Pillenahalli Maheshwarappa, Ravishankar MD

Pita, Rafael MD

Price, Kyle M MD

Prostko, Michael MD

Qamar, Muhammad S MD

Quaynor, Samuel D MD

Qureshi, Anam MD

Qureshi, Owais MD

Raad, Roy MD

Rahman, Mohammad A MD

Rahman, Vanita J MD

Rajanahally, Saneal MD

Raley, James A MD

Rana, Muhammad A MD

Reddy, Kartik MD

Redfield, Colby S MD

Reid, Chad R MD

Rhoads, Susan MD

Rice, James MD

Rice, Sarah T MD

Riesz, David A MD

Ruffin, David M MD

Russell, Andrew A MD

Ryan, Christine M MD

Salame, Nicole F MD

Sarkar, Aishawarya MD

Satiya, Saawan MD

Scanlon, Nicholas MD

Schechter, Jade L MD

Schrager, Michael P MD

Scruggs, Stewart MD

Shadid, Hythem P MD

Shaikh, Umair MD

Shavladze, Nikolay MD

Sheider, Shelby L MD

Sherman, Steven J MD



Meeting

11

Siddiqui, Sabet M MD

Silver, John MD

Silverman, Jonathan MD

Simmons, Carnetha M MD

Simmons, Jennifer W MD

Sims, Tammy H MD

Sincebaugh, James B MD

Skjei, Leah MD

Sobani, Zain u MD

Sorenson, Jamie L MD

Stadnyk, Michael J MD

Stark, Craig G MD

Starkie, Roderick V DO

Starr, Carter MD

Steinberg, David M MD

Sterling, Kevin A MD

Stevens, Timothy J MD

Strickland, Johnnie W, Jr MD

Sundaramoorthy, Anita S MD

Swendris, Ronald P MD

Taka, Nchang MD

Thapa, Suman MD

Tibaleka, June B MD

Tolpinrud, Whitney L MD

Tomich, Jennifer L MD

Tran, Jacvinta P MD

Tran, Patricia A MD

Usman, Muhammad MD

Vaishnani, Devin M MD

Valadri, Ravinder MD

Valerio, Marcos G MD

Vanderby, Alexander MD

VanderVinne, Nathan DO

Vinson, Mohabe A MD

Wagner, Michel R MD

Walker, Gene E, Jr MD

Warmington, Janelle MD

Warren, Kyle C MD

Warrington, Janet M MD

Waters, Kathleen M MD



Meeting

12

Wheatley, Marsha K MD

Williams, Jason P MD

Wilson, Lytani Z MD

Wong, Bryan C MD

Wu, Amy MD

Yaish, Ayman D DO

Yang, Chien MD

Yoon, Jessica S MD

Residency Training Permits

Achram, Robert

Barrar, Elisabeth A

Blanton, Leah C

da Silva, Rafael C

Elazzouny, Osama H

Gordon, Wesley A

Haq, Jeesanul

Homish, Jerome D

Husband, David

Kumar, Navin

Mahat, Usha

Mandhan, Warsha

Mlynek, Karolina S

Napoli, Federico A

Newman, Maureen A

Pham, Nicolas T

Restivo, Bradley

Ruaengsri, Chawannuch

Sheaffer, Aaron A

Tan, Paul D

Waitimu, Susan

Zaidi, Beenish Z

Zuchowski, Colin R

NURSE PROTOCOL ADVISORY COMMITTEE

Dr. Gross presented the Nurse Protocol Report:


I. Sydnee Allison, Director of Human Resources at Reliant Medical Associates. We are looking

to expand into the state of Georgia for telemedicine. The APRN's address should be their



Meeting

13

mailing/residential address, not the practice address correct? On various forms such as the

Protocol Agreement, Registration Form, and Form A it asks for various addresses for the

Primary Practice Address and the Practice Locations- For safety reasons advise APRN to

use the practice address.

The following questions have been referred to the Attorney General Office for a

response.

1. Would it be appropriate to put the main headquarters address for the Primary Practice

Site information and add that this is for "Telemedicine"? Our headquarters is not based in

the state of Georgia, so we are unsure if that would be acceptable?

2. If using our corporate address is not acceptable, would the Physician and APRN list their

personal address where they are physically conducting the telehealth visits?

3. Will it be acceptable if their personal address is not located in Georgia because they live

out of state, but hold a Georgia license?

I am referring to the requirement that “the delegating physician shall document and maintain a

record of onsite observation and review of medical records on a quarterly basis to monitor

quality of care being provided to the patients” (Rule 360-32-.05). For nurses practicing via

telehealth, can the “onsite observation” requirement Be conducted via telehealth? Yes. The

statute does not differentiate.

II. I am a physician looking into arranging nurse collaboration supervisory agreements for nurse

practitioners in non-treating roles in Georgia. I am not currently located in Georgia, but I do have

an office location in Georgia. Would this be acceptable? I have heard different answers and

wanted to clarify before proceeding with the medical board. Define non-treating (clarify the

role). If will be doing the role of just a nurse does not need a protocol for non-treating.

The following Form C’s were approved:

McQuitty, Wanda

Nelson, Tricia

Shelton, Tracey

Wafer,Christina

The following Form C’s approved with changes.

Allmond, Lynn

Drogoul, Anastasiya

Sayani, Kiran

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

43-34-25.

APRN DELEGATING PHYSICIAN

Alaina, Noor Ashly Joseph, MD

Baker, Sharon John Pittman, MD

Bariyiga, Ann Geoffrey Aaron, MD



Meeting

14

Thornhill, Timiko Sudha Reddy, MD

Ulysse, Tameeka Sudha Reddy, MD

Long, Brandy Benjamin Roy, MD

Peck, Ann Ayman Fareed, MD

Sanni,Oyenike Jose Cangiano,, MD

Williams, Nicole Panchajanya Paul, MD

Walton, Patrice Miller, Serena, MD

Yadav, Lily Sherine Thomas, MD

The Committee determined that the following protocol agreements meet the provisions of

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


Bodi, Josephine William Blackwell, MD

Burbank, Gina Navin Wadehra, MD

Hecht, Hayley Dean Kirkel, MD

Hoffman, Judy Adrienne Van Curen, MD

Lancaster, Sabrina Nadine Regis, MD

Mwangi, Stella Kristina, Bowen, MD

Park, Michelle Meena Shah, MD

Pesce, Jodi Vera Lafosse, DO

Atkinson, Denise Eugene Sun, MD

Usher, Camille Kristin, Higgins, MD

Williams, Betty Rami Azzouz, MD

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

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


Smith -Blevins, Rachel Amy Archer, MD

Barrow, Michael Eugene Sun, MD

Protocols Administratively Reviewed:

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

APRN Last APRN First Delegating Physician Name

Alaina Noor Ashly Joseph

Baker Sharon John Pittman

Battle Jessica Sujatha Reddy

Bevill Jana Lawrence Zottoli Jr.

Blais Miranda Neale Freeman

Brett Roberta Carter Tharpe

Butler Deborah Suzanne Schuessler

Carlile Ashley David Gale

Chaffin Dana Michael Duchynski

Chipman Wendy Hollis Sigman



Meeting

15


Corbitt Mary Deanna Guthrie

Couch Jamie William White

Cowan Terri Meredith Lora

Cox Douglas Robert Blackwell

Davis Bradley Robert Bartosh

Davis Larissa Carol Williams

Dawson Christopher Desiree LaCharite

Dean Daniel Jesus Vazquez-Figueroa

Deneus Gracelyn Rhonda King

Dennis Gabrielle Timothy Daniel

Ekokobe Simon Hassan Bokhari

Eziakor Chiazor William Whissell

Fant Janette Joe Bateman

Gainous Joy James Karas

Gainous Joy William Ellis

Gosier Endia Timothy Daniel

Graves Dellinia Wayne Wells

Gravitt Christopher Melinda Knight

Grogan Lori Charles Hitson

Gupta Rachna Alina Barrett

Hai Ha Quy Leli Gail Matthews

Hardy Robert Harigopal Reddy

Hess Heather Randy Robinson

Hester Jessica Chad Zehms

Hocking Timothy Maureen Nwaokolo

Holdsworth Noel Roy Smith

Hughes Frances Jaideep Patel

Hughes Daniel Daniel Sandlin

James Kynthia Elvin Irvin Jr.

Johnson Celechia Satyajeet Patel

Jolly Tammy Thomas Williamson

Jones Kelsey Kashif Naseem

Josey Allison Linda Hudson

Kelley Tiffany Robert Lester IV

Kirkpatrick Brittney Robert Thompson

Kukharchuk Olga Sang Dao

Leverett MeSheal Moneer Sohail

Luckman Kimberly Angampally Rajeev

Maliwa Branderly Sharon Haynes

Markham Meghan Lee Jacobs

McDonald Brandee James Clark



Meeting

16


Meyers Dana Sergio Naccarato

Mugwede Lilian Rodney Avery

Napier Audrey Kerin Napier

Perkins Ethan Jimi Malik

Reymar Nancy Jeffrey Schulze

Rivers Tammy Michael Stechison

Roberts Jenene Michele Flagge

Sanders Trina Diahann Moore

Schwartz Heather S.M. Abu Zaheed Hassan

Scully Carol John Lammert

Simonette Joseph Emmanuel Onyeka

Simpson Melissa Shaun Hoenstine

Sims Shaniqua Jack Cheng

Smith Alicia Brittany Andry

Tavenner Stacy Roy Smith

Thornhill Timiko Sudha Reddy

Wallace Tonya Samantha Storey

Walters Collen Dean Seehusen

Watson Lisa James Yost

Williams Forrest Amanda Cowan

Wrammert Kathryn Mani Daneshmand

Young Courtney Johnny Bonner

PHYSICIAN ASSISTANT ADVISORY COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report.


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

PA Supervising Physician

Charles, Melody Pittman, Jamya

Greeff, Kelsey Konn, Jasmine

Jarvis, Scott Kaye, Peter

Jones, Justin Lane, William

Rodgers, Caroline Myers, Thomas

Samandi, Arshia Nugent, Katherine

White-Lewis, Lacey Rubin, Ashley

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

PA

Benson, Kyle

Benson, Meghan



Meeting

17

Brodersen, Isabel

Chandler, Nicholas

Dunn, Michael

Ezagui, Nechama

Gamel, Andrew

Kumar, Alka

Loveridge, Carl

Maman, Daniel

McGovern, Kyle

Minava, Jeremy

Nagorsky, Leah

Nwadiogbu, Victoria

Patel, Pooja

Pippi, Eric

Ricketts, Joni

Sangster, Philip

Story, Cameron

Thompson, Dana

Thurmond, Shanice

Require the following initial licensure application to complete 240 Shadowing Hours:

PA

Williams, Molly

Approve the following application for initial licensure without supervising physician pending

clarification of reference:

PA

Zaman, Jasmine

Approve the following applications for reinstatement with a supervising physician with fine for

unlicensed practice:

PA Supervising Physician

Keith, Haley Wheeler, Tyler

McCracken, Lindsey Paulk, Kirk

Approve the following applications for reinstatement without a supervising physician:

PA

Hughes, Paul

Whaler, Kimberly

Table the following reinstatement application for clarification on professional duties:

PA



Meeting

18

Klaus, Kimberly Kim, Joyce

Require the following reinstatement application to complete 240 Shadowing Hours:

PA

Alsup, Bridget

Mahaffey, Lucinda

Approve the following requests for additional duties:

Olivia Flory, PA with—Dr. Blake Willis

Botulinum Toxin Injection

Sandhya Gupta, PA with—Dr. Manfred Sandler

Stress Testing

Ashley Hayes, PA with—Dr. Bhavik Shah

Prostate Biopsy

Testosterone Pallet Placement

Cystoscopy

Hydro-distention

Stent Removal

Percutaneous Nerve Evaluation

Lauren Holcomb, PA with – Dr. Teresa Lo

Nasal Endoscopy

Tasneem Huda, PA with—Dr. Salman Ashfaq

Supervision of Cardiac Stress Tests

Paige Johnson, PA with—Dr. Alexander Gluzman

Endotracheal Intubation with RSI

Amber Mayfield, PA with – Dr. Charles Harris

Fillers (Cosmetics)

Neurotoxin (Cosmetics)

Courtney Weglarz, PA with—Dr. Blake Willis

Botulinum Toxin Injections

Shelley Young, PA with – Dr. Matthew Pugliese

Fine Needle Aspiration

Other Business:

1. Approve submission of replacement Form D for initial PA licensure application for MG.



Meeting

19

2. Approve applicant July applicant MG after review of legal documents update.

3. Approve BA for approval of temporary license to complete 240 shadowing hours requirement.

4. Approve LM for approval of temporary license to complete 240 shadowing hours.

5. Add verbiage to Form D and Form C reference forms clarifying new graduates must only have MD’s

or DO’s who has recent knowledge of their PA skills complete the forms.

6. Have Rules Committee review PA prescriptive authority question regarding what the term

“evaluation” means for the reviewing Supervising Physician.

7. Inform pending applicant who questioned who else can sign reference form if he only rotated with

one physician that he can request the medical director or program director to complete the reference

form as well.

COSMETIC LASER ADVISORY COMMITTEE

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

unanimously.


Approved the following for Assistant Laser Practitioner:

Asaya Besay

Monica Hayward

Tysha Henry

Minaz Khetani

Lauren Love

Lissete Perez-Rodriguez

Callahan Proctor

Akiya Ransom

Mahshid Rezaeidashti

Mary Robbins

Megan Waltemyer

Cynthia Winston

Jaclyn Young

Approved the following for reissue of Assistant Laser Practitioner:

Denise de Catalogne

Melissa Federico

Sophal Khat

Approved the following for Senior Laser Practitioner:

Jean Armand

Virginia Blount

Glory White



Meeting

20

Approved the following for reissue of Senior Laser Practitioner:

Erika Cooper

Approved the following for Assistant Laser Practitioner with conditions:

C. H.

Other Business:

Tabled the information regarding training provided by manufacturer representatives; to be

reviewed at the September meeting.

Referred to the Rules Committee – Rule 360-35-.01(12) to include those RN/NP licensed

through the Nursing Compact in states that participate.

RESPIRATORY CARE ADVISORY COMMITTEE

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

report by unanimous vote.


Correspondence

The Committee approved the withdrawal of Dennis Burnley’s application.

The Committee accepted as information the final draft of the rules that will be presented to the Board at the

August board meeting.

Reinstatements:

Williams, Ranah

Bonner, Lorraine

Helferich, Lawrence

Moore, Jasmin

Leary, Michael- pending additional documentation

Romiluyi, Omotayo- pending additional documentation

Belmont, Alexander- pending additional documentation

Temporary:

Pickens, Shaterri

Dunlap, Nathaniel

Whitton, Andrew

King, Saadia- pending additional documentation

Full Licensure:

Banugariya, Hiral

Pearson-Moore, Dretecia

Baaheth, Carlette

Busby, Shamequia

Pike, Belinda

Louis-Charles, Colleen



Meeting

21

Louis-Charles, Jean David

France, Taloria

Truong, Kum

Tjersland, Mary

Harris, Rhonda

McGee, Hoyt

Welch, Jennifer

Henson, Jacqueline- pending additional documentation

Celestin, Pierre- pending additional documentation

Morrison, Rukiya- pending additional documentation

Administrative Upgrades

Anthony Williams

Jasmaine Lovelace

Albern Domond

Chavise Palmer

Keltsey Gray

Rickie Kanaya

Yasmine Gilmore

Shannon McGriff

Ka-Terra Foster

Additional Business:

The Committee tabled the Committee Term Limits for further discussion with Asst. Attorney, Max Changus.

ACUPUNCTURE ADVISORY COMMITTEE

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

Board took the following actions:

Accepted the quarterly report for the following:

Alpha Bond – and approved a 6-month extension to supervisory period – new expiration date

2/28/2021

Approved the following application for limited licensure:

Lu Phoun

Referred to the Attorney General’s Office for revocation of license due to falsification of records to the

Board:

T. P.

Other Business:

Recommended the temporary reduction to 20 hours of CEU for license renewal during the state

of emergency.

PERFUSION ADVISORY COMMITTEE



Meeting

22

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

report by unanimous vote.


Approved the following application for Initial Perfusion Licensure:

Sarah Lombardi

PAIN MANAGEMENT COMMITTEE

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

the report by unanimous vote.


Application Pain Clinic Name

F552374 Comprehensive Spine & Pain, LLC- Decatur

F552585 Southeast Neurological Specialists- Thomasville

F552624 FX Spine and Performance Center, LLC- Evans

Pending clear background checks

License # Pain Clinic Name

375, 539 Alliance Spine and Pain Centers

ADD APRN, Melissa Chapel

118 Center for Spine & Pain Medicine

DELETE APRN, Kasie Barrett

293,294 Spine Center of Southeast Georgia

DELETE APRN, Robert Sizemore

328, 418, 419 Alliance Spine and Pain Centers

ADD Practicing Physician, Scott Masson

485 Neurological Spine Center

DELETE Practicing Physician, Chirag Patel

224 Harbin Clinic, LLC

DELETE Physician Assistant, William Johnson

195 Care Medical Center

ADD APRN, Robert Keen

375,539 Alliance Spine and Pain Centers

ADD APRN, Erin Key

388 Advanced Pain& Rehab, P.C.

ADD Practicing Physician, Pawanjit Singh



Meeting

23

Other Business:

• Question from Dr. Matthew DiDuro regarding confirmation on allowing clinics to implement video calls

or virtual appointments. During the State of Emergency, the Board will approve this request, but

encourages the clinic to ensure that urine samples are done in a secure manner.

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Deloach presented the Genetic Counselors Advisory Committee report.


1. The Committee reviewed the email from Lisa Oakes regarding new graduate who does not have a

temporary or permanent license. The Committee advised that the individual must have a temporary

or permanent license.

2. The Committee reviewed and approved the following applications:

Craig Adamski

Natalie Beck

Emily Daugherty

Hannah Davis (Temporary License) Whitney Ducaine Rebekah Hutchins (Temporary License) Mary Oliver Maureen Palmer Tessa Pitman Sarah Predham Rebecca Reeder Lauren Staunch Cynthia Trotter Emily Umscheid Cynthia Watson

ORTHOTIST & PROSTHETIST ADVISORY COMMITTEE

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


Approved the following applications for licensure:

Matthew Dunford – Upgrade to Dual O&P

Eleanor Malone Otwell – Dual O&P – pending additional information

Other Business:

Board staff to send reply to Mr. LeRoy Oddie stating a manufacturer representative may not

independently engage in patient care outside his/her role as an employee of the manufacturer and

must be under the direction of a physician or health provider (orthotist, prosthetist, or dual



Meeting

24

orthotist/prosthetist) who is operating within his/her scope of practice.

LAW ENFORCEMENT ADVISORY REPORT


1. 20171376 & 22000184 – Approved release of records

2. 20192103 – Table

3. 20200279 – Table

4. 20141800 – offer voluntary surrender

5. 202000243, 2020285, 20200395, and 20210074 – approve indefinite Suspension

6. 20200884 – refer to AG’s Office

WELLNESS COMMITTEE


Georgia PHP Report

Robin F. McCown, Executive Director, provided the Committee with an update on cases with the PHP.

The members asked Ms. McCown for any data on relapses or the intake compared to last year this time.

RN - recommended licensure

GS - request additional information

LM - recommend licensure.

ML - Interview

The Committee accepted quarterly reports on the following:

DT

HM

INVESTIGATIVE INTERVIEW REPORT

Dr. DeLoach presented the Investigative Interview report as a motion, and was seconded by Dr.

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

20192241 FINV 20192472 CLOSE

20200457 PEER 20200624 LOC

20200725 TABLE

INVESTIGATIVE COMMITTEE

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

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



Meeting

25

actions.

Close:

20180282 20180681 20200110 20200164 20200164 20200167

20200211 20200217 20200218 20200219 20200455 20200588

20200601 20200655 20200697 20200720 20200936 20201076

20201146 20201147 20201149 20201151 20201160 20201162

20201163 20201164 20201168 20201172 20201174 20201180

20201183 20201188 20201192 20201197 20201199 20201205

20201208 20201215 20201218 20201219 20201220 20201221

20201222 20201224 20201226 20201233 20201234 20201237

20201246 20201278 20201281 20201282 20201289 20201312

20201328 20201329 20201341 20201378 20201381 20201403

20201408 20201412 20201424 20201434 20201436 20201438

20201460 20201470 20201483 20201499 20201517 20201521

20201522 20201558 20201563 20201565 20201568 20201584

20201646

Close with Letter of Concern:

20192590 20200205 20201167 20201181 20201190 20201191

20201437

Invite for Investigative Interview:

20192412 20201377 20201469 20201535

Further Investigation:

20200166

Table

20172158 20200802 20201427

Attorney General’s Office

20151084

Peer Review

20200067

OMPE

20200435

INITIAL COMPLAINT EVALUATIONS

The Board approved the following recommendations.

202014769 20201480 20201631 20201640 20201655 20201663

20210010 20210013 20210020 20210025 20210029 20200034

20210080

RECUSALS



Meeting

26

Antalis 20200884

Dalton 20200884

Collins 20200457

DeLoach 20200725

Marshall 20200457 20201377 20201584

Norman 20200457

Reisman 20200884 20201151 20201584

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

meeting at 1:51p.m.

__________________________________ ________________________________

Barby J. Simmons, DO LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by:

________________________________________ Phyllis White, Executive Assistant

georgia composite medical board minutes of the august 6

Documents