georgia composite medical board minutes of the december 5

Georgia Composite Medical Board

Minutes of the December 5, 2019 Meeting

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The Georgia Composite Medical Board (GCMB) held its regular meeting on December 5, 2019,

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

Board members present:

John S. Antalis, MD

Gretchen Collins, MD, Chair

Debi Dalton, MD

E. Dan DeLoach, MD

Charmaine Faucher, PA (ex-officio)

Alexander Gross, MD

Thomas Harbin, MD

Rob Law, CFA

Matthew Norman, MD

Andrew Reisman, MD

David Retterbush, MD

Joe Sam Robinson, MD

Barby Simmons, DO, Vice Chair

Richard Weil, MD

Management and legal staff present:

LaSharn Hughes, MBA, Executive Director

Lisa Norris, MPH, Deputy Executive Director

Phyllis Douglas, JD, Legal Services Officer

D. Williams-McNeely, Senior Assistant Attorney General

Max Changus, JD, Assistant Attorney General

Phyllis White, Executive Assistant

Latisha Bias, Enforcement Supervisor

Gina Haskins, Licensure Manager

CALL TO ORDER

Dr. Collins called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.

AGENDA

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

December 5, 2019 meeting. The motion carried unanimously.

MINUTES

Mr. Law made a motion to approve the minutes of the November 7, 2019 meeting. Dr.

Retterbush seconded the motion and it carried unanimously.

CHAIR’S REPORT

Dr. Collins made the following report:

1. January meeting is the 9th of next month – anyone not able to attend?

2. The legislative session starts next month we may have some legislative items regarding the

compact and the laser law.

EXECUTIVE DIRECTOR’S REPORT

Ms. Hughes made the following report:

1. Email from Laureen Austin regarding a Board Certified Plastic Surgeon to provide office



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procedures, i.e., fat grafts, under local anesthesia. The Board recommends referring Ms.

Austin to the Office Based Surgery Guidelines.

2. Email from Thalia Paz regarding Lasers. The Board recommends sending her the

Frequently Asked Questions for Lasers.

3. Email from Grace Foster regarding physicians dispensing CBD oil in office. The Board

recommends advising Ms. Foster that there are no rules or regulations for CBD oil. The

Board recommends sending the Low THC Rules.

4. Email from Commander Bobbi McGraw, Valdosta Police Department regarding AED.

The Board recommends advising Commander McGraw that you must be a licensed MD

to manage AED.

5. Email from Rebecca Kennedy

May a PA or APRN (who has been properly delegated the authority to prescribe

Schedule III controlled substances and pursuant to his/her job description or approved

Nurse Protocol Agreement, as applicable) enter into and sign a written treatment

agreement (or pain management agreement) with his/her patient when prescribing a

Schedule III controlled substance and see such patients for the required clinical visits in

order to satisfy the requirements of Rule 360-3-.06(f)? See Rules.

6. Email from Lisa Faircloth regarding Office-Based Anesthesia and Surgery Guidelines.

The Board emphasized that the Guidelines are recommendations.

7. Email from Kait James regarding laws regulating microneedling. The Board referred to

the Physical Therapy Board or Cosmetology Board.

8. Email from Patricia McCarty, M.M. – Highlights from October 23-25, 2019 FSMB

Board of Directors meeting. The Board accepted as information.

RULES COMMITTEE REPORT

Dr. Gross gave the following report.

Motion Dr. Deloach, seconded Dr. Retterbush to post the following rules for comments:

Rule 360-3-.18 “Telemedicine License”

Rule Chapter 360-39 “Genetic Counselors”

Rule Chapter 360-40 “Interstate Compact”

PRESENTATION

The Board had a presentation from Dr. Rob Schreiner and Dr. Martha Wilber on the proposed

changes to Rule 360-3-.07 “Practice Through Electronic or Other Such Means.” The Board also

heard from Dr. Jean Sumner on this matter. There were other comments from the attendees.



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After a lengthy discussion, the Board asked the group to prepare proposed changes and submit to

the Board for consideration at the January meeting.

CLOSED SESSION

Dr. Retterbush motioned seconded by Dr. Harbin to go into closed session to discuss

investigations and disciplinary matters, and it carried unanimously.

ATTORNEY GENERAL (AG)

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

Dr. Antalis submitted a motion, seconded by Dr. Weil and motion carried to accept the report

and the following orders:

Roger Blair, PA

Michael Brady, MD

Kristi Lewis, RCP

RECESS

Dr. Collins declared the meeting in recess for holding committee meetings.

RECONVENE

Dr. Collins reconvened the meeting at 2:32p.m.

DECLARE OPEN SESSION

APPEARANCE BEFORE THE BOARD

Monica Cowles, MD, met with the Board regarding the decision of the Board to take the Clinical

Skills examination. The Board voted to allow Dr. Cowles to take the SPEX examination.

PHYSICIAN LICENSURE COMMITTEE

Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions:

Applications Not Approved

BG Allow to withdraw because of other state board actions.

LJ Refer to Wellness Committee

LK Table for clarification of exact clinical practice and Independent Medical Evaluations.

TS Table for current psychiatric evaluation.

MI Table for further information regarding NY revocation.

IS Uphold initial decision.



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JS Uphold initial decision.

CD Uphold initial decision.

Information Only

Bressee, Joseph Application withdrawn

Buring, Joel Application withdrawn

Applications Approved

Fourzali, Yamil Institutional license approve

Moore, Barry License

Thomson, David License

Uddin, Mohammed License

Patel, Bhavik License

Jendi, Mohammed License

Smeeks, Frank License

Naik. Puja License

Henderson, Kimberly License

Granchi, Thomas License

Schreiber, Michael License

Mendieta, Constantino Reinstate

Arora, Mukesh Reinstate

SC Reinstate upon receipt of another $500 for practicing in GA without a license

SD Reinstate upon receipt of another $500 for practicing in GA without a license

JB Reinstate upon receipt of another $500 for practicing in GA without a license

APPLICATIONS ADMINISTRATIVELY APPROVED

Name

License

Number

Degree

Suffix

Abdulhayoglu, Emil S 84589 MD

Abou Ghaddara, Hussein 84573 MD

Adams, Chad 84543 MD

Altman, Jonathan E 84606 MD

Angerett, Nathan 84575 DO

Atherly-John, Yvonne 84580 MD

Awojulu, Adetokunbo 84511 MD

Baldwin, Edward L, III 84590 MD

Baldwin, Paul C, III 84591 MD

Barlow, Benjamin 84519 MD

Behnam-Curry, Marcelina 84525 MD



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Bell, Lee D, Jr. 84520 MD

Beyer, Eric M 84592 MD

Bidros, Dani S 84593 MD

Billue, Angela R 84662 MD

Blackmon, Zachary 84597 DO

Broussard, Crystal R 84579 MD

Broyles, William K 84545 MD

Cho, Hana 84521 MD

Coffey, Ryan M 84594 MD

Combs, Angela 84544 DO

Connolly, Robert 84576 MD

Crawford, Courtney 84595 MD

Davis, Curtis 84578 DO

Dawson, Holly M 84522 MD

Dougherty, Michael P 84523 MD

D'Souza, Caitlin 84524 DO

Dumont, Frank 84596 MD

Duzan, Daniel R 84552 MD

Eichenberger, Daniel J 84531 MD

El Sakr, Ashleigh G 84609 MD

Estrella, Thendrex 84605 MD

Fain, Kristina R 84620 DO

Federico, Roland-Austin 84629 MD

Ferguson, Edward 84622 MD

Fick, Daryl B, Jr. 84604 MD

Figner, Jacob D 84633 DO

Finnila, Zaunklay 84610 MD

Flowers, Alexis 84631 MD

Funderburk, Christopher D 84625 MD

Gallagher, Thomas 84612 MD

Geracimos, Ryan T 84513 MD

Gleason, Brigette L 84619 MD

Gold, Heather L 84624 MD

Granchi, Thomas S 84561 MD

Grandpre, Lauren E 84603 MD

Gray, Helen 84628 MD

Han, Jung-ah 84615 MD

Harvey, Ryan M 84613 MD

Heggers, Lauren R 84621 MD



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Henderson, Kimberly 84559 MD

Holliday, Rex M 84571 MD

Houser, Jon-Erik 84626 MD

Houshan, Iyad G 84611 MD

Hsiung, Leslie 84533 MD

Huseynov, Loghman 84617 MD

Huynh, Thuc 84602 MD

Iqbal, Javed 84581 MD

Jendi, Mohammed R 84562 MD

Jervey, Charles S 84627 MD

Kadle, Nikhil S 84608 MD

Kaltiso, Sheri-Ann O 84630 MD

Kameen, Anthony 84601 MD

Kansara, Pranav 84532 MD

Kessen, Alexis 84614 MD

Khan, Asma S 84607 MD

Khan, Kashiff 84600 MD

Khawaja, Ayaz 84632 MD

Khayal, Hosam 84582 MD

Knight, Lacy A 84616 MD

Kotick, James 84623 MD

Lander, Aitemad A 84587 DO

Lawal, Lukman 84542 MD

Leisinger, Elise 84528 DO

Lemmer, Alexander A 84644 MD

Lezeau, Wolf B 84585 DO

Liu, Chunyen 84639 MD

Logan, Rachel L 84599 DO

Lohre, Margaret 84588 MD

Lowery, Teresa 84638 MD

Maleeva, Tatiana 84598 MD

Manning, Evan P 84637 MD

Mathews, Miney 84640 MD

McCartney, Thomas 84526 DO

McCord, Carl W 84643 MD

Mehta, Amitkumar N 84584 MD

Menya, Donald O 84635 DO

Miller, Abigail R 84530 MD

Misiura, Anne K 84586 MD



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Mitta, Melanie I 84645 MD

Moment, Ebonique 84641 MD

Moore, Barry A 84557 MD

Morris, Lee E 84527 MD

Munsif, Siddharth A 84541 MD

Naik, Puja 84560 MD

Naren, James 84618 MD

Nguyen, Landai 84647 DO

Olsen, Amy 84642 MD

Patel, Bhavik M 84558 MD

Patterson-Lake, Marlyn A 84646 MD

Pemberton, William B 84540 MD

Peppercorn, Robert M 84634 MD

Phifer, Jamie 84583 MD

Poole, Charles T 84636 MD

Purandare, Amar Y 84529 MD

Ragland, Jeremy T 84574 MD

Rios, Jeannette 84659 DO

Rosa Fajar, Luis A 84538 MD

Rosenthal, David M 84565 MD

Ruege, Andrew 84657 MD

Rutkowski, Elizabeth K 84566 MD

Sabbag, Yamil David F 84577 MD

Salazar, Arturo A 84549 MD

San Miguel, David E 84546 DO

SARKER, TANIA 84653 MD

Schoettler, Michelle L 84564 MD

Schreiber, Michael L 84555 DO

Schwartz, Jamila I 84652 MD

Shikhman, Aleksandr 84570 MD

Shoja, Pantea 84665 MD

Si, Celine P 84551 MD

Simon, Rochelle 84651 MD

Singh, Simren 84548 DO

Smeeks, Frank C, III 84553 MD

Sutherland, Dean 84650 MD

Tao, Stanley S 84539 MD

Taylor, Susan G 84655 MD

Thareja, Shalini 84516 MD



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Theocharides, Thomas 84663 MD

Thomson, David K 84554 MD

Tintinalli, Anne 84664 MD

Torres-Diaz, Kristina M, DO 84649 DO

Tran, Hong N 84547 MD

Triantos, Phillip A 84512 MD

TUKAYE, DEEPALI N 84654 MD

Tyson, Samuel L 84515 MD

Uddin, Mohammad 84556 MD

VanBeek, Christine 84656 MD

Vaughan, Thomas E 84510 MD

Villiotte, Philip 84661 MD

Waheed, Sana 84518 MD

Wahl, Elizabeth P 84567 MD

Walker, Clark 84658 MD

Weibley, Eilene 84537 MD

Weis, Melissa N 84534 MD

Whitcopf, Peter J 84517 MD

White, Bartholomew J 84648 MD

White, Terris L 84535 MD

Williams, Michael B 84568 MD

Wiltjer, Chelsea A 84569 MD

Wong, Aurora C 84536 MD

Xia, Chunzhi 84550 MD

Yang, Nelson N 84660 MD

Yang, Shao 84572 MD

Zahradnik, Vladimir 84514 MD

Zuo, Chunlai 84563 MD

NURSE PROTOCOL ADVISORY COMMITTEE

Dr. Gross presented the Nurse Protocol Report:

The Committee recommended the following:

1. I had a question regarding placing IUDs neither of the MDs in my practice place IUDs. If

the delegating physician isn’t placing IUDs, then the APRN cannot place IUDs

either.

2. The scenario is an FNP works in one of our locations under the direction of a

Psychiatrist. In the past we understood that a FP Physician could not supervise a

Psychiatric Certified APRN because their specialty needed to be consistent however this



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is a case where a Family Nurse Practitioner is supervised by and Psychiatrist – this FNP

has been trained in all areas of family medicine included mental health/behavioral health

in their training. The requirements for a FNP to work under a delegating physician

that practices psychiatry is that one must have at least one year of clinical

experience, a semester of coursework in psychiatry or one’s certification must

corresponds to the delegating physician.

3. Is an APRN allowed to keep prescribing even though it’s been over 30 days since the

application was submitted to the Board? The APRN was initially denied due to not

providing sufficient evidence of experience in psychiatry but is now resubmitting with a

resume as proof. If the application is going through the process to be approved, then

it is alright for an APRN to keep prescribing.

4. The APRN Committee asked the Board of Nursing if a psychiatric nurse practitioner

could be trained on the job to assess and prescribe for basic primary care needs like

hypertension and diabetes. The Board of Nursing responded that it would be within the

Committee’s discretion to determine what medical acts could be delegated to an

advanced practice registered nurse through a nurse protocol agreement.

Form C:

❖ Holmes, Turquoise-approved

❖ Rhule, Julie-approved

The Committee reviewed and approved the following protocols under the provision of

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

APRN Delegating Physician

Green, Blake Jonathan Ratcliff, MD

Herrick, Amy Daniel Faith, MD

Jacob, Christine Ruchir Khurana, MD

Kay, Harriet Shawn Williams, DO

Leonard, Michael Clarice Bell-Strayhorn, MD

Williams, Thomas Charles Alexis, MD

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

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


McCorvey, Eileen Peter Rosenquist, MD

Tolcher, Maria Lynette Wilson-Phillips, MD



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

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


Fraiser, Lauren (revisit) Jaymal Patel, MD

Glisson, Dawn Jaymal Patel, MD

Goodwin, Denise Kenneth Pittman, MD

Llewellyn, Angela Esteban Lim Jr., MD

Protocols Administratively Reviewed:

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

APRN Last APRN First Middle SupervisingPhysicianName

Adekunle Toyin Roberto Norniella

Ahle Susan Thomas Moriarity III

Alderman Troy Eric Lehman

Alexander Carol Joseph Hand

Alford Jacqueline Afolabi Tiamiyu

Alston Marion David Deuser

Asbel Sherri Riaz Gill

Avila Laura Yashaswini Parikh

Azar Jennifer John Connors

Bain Judy Michael Pinell

Barnes Jenna Kerry Neises

Bartlett Donya Josseph Veys

Batson Kinshishi Pradeep Thodima

Beagles Rebekah Abdullah Kutlar

Beauchamp Kaleigh Joseph Dobson

Bell Robert Paul Giles

Berkner Kelsey Theron Thompson

Boateng Janet Neha Soni

Bomar Adam Rishi Gupta

Bonk Donna Marcus Crawford

Bridges Ashley Robert Criscuola

Bright Rachel Daniel Gordon

Brown Lorna Osama Hindash

Brummitt Tracesha William Roundtree

Bruner Jr. Lawrence Trushnaa Patel



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Bryan Brenda James Sexson

Calano Diana Lina Millian

Carr Bradley Mark Smith

Cayman Kalnettie John Bennett

Champion Heather Witemba Kabange

Chevalier Dartiss Okah Anyokwu

Clark Dani Michael McNeel

Cobb Tracy John Pablo

Collins Janice Dawn Russell

Conaway Yvonne Nicole Sroka

Cox Alicia Parviz Brahman

Crisp Susan Satyen Mehta

Cudjoe Esi Michael McHenry

Cultarevic Nazifa Riaz Syed

Dalsania Rucha Gayathri Kumar

Davis II Preston Scott Elliot Raizes

Davis Jr. Arthur Eric Lehman

Defoor Deanna Richard LoCicero

Elmore William Karen Newell

Evans Pamela Randy Robinson

Exum Sarah Madelaine Vega

Fountain Tara Allen Lavender

Franklin Jasmine Muhammad Khan

Fredrick Kaitlyn Jonathan Levy

Frolo Hayden Mark Flood

Giddens Ashley Farzana Mumtaz

Girodo Eleanor Mark Waterman

Green Blake Jonathan Ratcliff

Griffis Jr. Donald Kenneth Ajabor

Griffiths Karen David McGrew

Gulley Tanesha Amelia Zelnak

Gupta Rachna Farhad Yazdi

Hall Anthony Randy Warner

Harbin Dawnne Robert Hull

Harper Shelly Hari Madichetty



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Harris Kimberly Beatrix Ohienmhen

Harris Sarah Jody Velie

Hawkins Rebekah Theresa Jacobs

Hayes Rebecca Catherine Brown

Headley Craig Okah Anyokwu

Helton Rebecca Herschel Kessler

Henderson III Governor Henry Ramon Caballero

Herrick Amy Daniel Scott Faith

Hevia-Paez Pedro Shuchita Gupta

Holyfield Candi Jeffrey Durmer

Huff Patrick Kurt Jacobson

Jackson Brittany Abiodun Olatidoye

Jacob Christine Ruchir Khurana

Jason Glory Martin Austin

Jeffers-Smith Jennifer Elliot Raizes

Jenkins Zachary Domenick Roma

Johnson Lynsey Lindsey Hartsell

Josey Allison Andrea Alexander

Kay Harriet Shawn Williams

Kepler Glenda Emile Risby

Kiewit Devra Neetu Reddy

Kinsey Conekia Brock Bowman

Konieczka Carl Joshua Knott

Labella Virginia Adam White

Long Angela Bryan Woods

Lyons Margaret Saima Syed

Malinowski Palmer John Harris

Maxey Raleigh Michael Hanowell

Mekonnen Mahlet Paul Donnan

Morgan Denise Donald Maddox

Morris Kelsey Aftab Ahmed

Moss Serena Amar Singh

Nizan Michael Stephanie Miles

Norris Amanda Eric Ellis

Pierce Donna Bridgett Ashbury



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Prouix Bonnie

Roseberry Charity Douglas Cooper

Schwartz Lauren William Lambert

Schwiker Melissa Robert Dambach

Shaw Marissa Ryan Gerrity

Tate Abigail Jospeh Dobson

Thach Julie Jennifer Cobernus

Tolcher Maria Lynetter Wilson-Phillips

Vidrine Maureen Yogesh Goswami

Williams Thomas Charles Alexis

PHYSICIAN ASSISTANT ADVISORY COMMITTEE

Dr. Antalis presented the Physician Assistant Committee report


Approved the following application for initial licensure with a supervising physician

pending additional information:

PA Supervising Physician

Welch, Bethany Kanchwala, Suhail

Approved the following applications for initial licensure without a supervising physician

PA

Abraham, Sheeba

Ahles, Shaina

Almanzar, Jose

Cahill, Karen

Cherian, Julianne

Fischer, Carrisa

Garcia, Erica

Montgomery, Sharon

Newman, Kate

Ortiz, Georine

Oshikoga, Olatunde

Pineda, Nicolai

Wentt, Christine

Williams, Angela



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Approved the following application for licensure reinstatement with a supervising

physician:


Eliseo, Erin Culnan, Derek

Approved the following applications for reinstatement without a supervising physician:

PA

Gauldin, Thomas

Approved the following Add/Change applications:


Ali, Anisa Myung, Richard

Anderson, Nate Marley, Chad

Andrle, Andrew Sharma, Niraj

Angotti, David Magee, Shalene

Ankrom, Kirsten Miller, Jeffrey

Antoon, Elizabeth Stephens, Dean

Bagge, Jeremy Sellars, Christopher

Ballou, Dalice Boyle, Paula

Bhakta, Bina Luu, Theresa

Blair, Jeremiah Corey, Michael

Boomgarden, Hannah Given, Kenna

Bridges, Angel Harris, Eugene

Bridges, Angel Harris, Eugene

Bruce, Cori Sondheimer, Ilan

Busch, Anthony Pruitt, Russell

Cabe, Audrey Grigorian, Arthur

Carlson, Joseph Faloye, Abimbola

Castellaw, Timothy Yost, James

Catall, Mallory Damle, Sagar

Chaffee, Rebecca Mvthayyah, Srinivasan

Chavez, Anna Durocher, Steven

Church, Loretta Gartmond, Cindy

Coman, Rebecca Clayton, Mitzi

Contreras, Tram Said, Zaid

Coppage, Erica Ross, Michael

Cutler, Rebekah Scott, William

Daitch, Brian Carreira, Dominic

Daniels, Jessica Rubin, Michael

Darrin, Coulter Thomas, James

Desai, Tejal Kaul, Prashant



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Deveau, Maria Bavani, Hillery

Dickerson, Raymond Mclendon, Julian

Edwards, Scott Magee, Shalene

Ellison, Sarah Crim, William

Ellison, Sarah James, Martha

Eng, Tracey Arora, Sona

Figella, Katherine O'heron, Sara

Floyd, Kanani Dominguez, Jose

Gaines Ii, David Benz, Alexander

Galaska, Kimberly Crispin, Barlatt

Garner, Shenika Rigaud-Echols, Shirley

Geckler, Thomas Gillespie, Lisa

Gill, David Hamm, Michael

Gilmer, Jodi Pohl, Stephen

Gorman, Jill Parks, Matthew

Green, Catherine Kaplan, Joseph

Gunter, Clifton Schwartz, Stephen

Harris, Elizabeth Fox, Charles

Harris, Kendall Bigsby, Sara

Hayes, Beckie Gard, Dwayne

Hayyeh, Huda Lin, Edward

Heinle, Oliver Moraczewski, Terence

Hemmen, Alyssa Morris, Christine

Hoang, Vu Hall, Darryl

Hoeffner, Hannah Clark, James

Hoeffner, Hannah Arnovitz, Pearl

Holl, Nicholas Clayton, Mitzi

Holloway, Charles Wade, Yolanda

Hook, Kristopher Ndukwe, Ndubuisi

Hubbarth, Justin Beenot, Michael

Jaroh, Hannah Davtyan, Hakob

Jeon, Audrey Lockman, David

Jones, Carol Sharma, Sarita

Jones, Erin Bridges, Susan

Kim, David Wheeler, James

Layfield, William Grady, Alicia

Logan, Lindsay Brinkmann, Colin

Luu, Tammy Barkhuizen, Jannie

Martin, Joshua Rogan, James

Matuza, Charles Drohan, Laura

McCarthy, Daniel Ramsdell, Bruce

McGraw, James Cuddapah, Satish



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Miller, Amanda Galambos, Michael

Mills, Veronica Mclendon, Julian

Morrison, Tia Bigsby, Sara

Moss, Heather Fuller, Aaron

Murphy, Justin Etheridge, Latoya

Ncho, Anon Clement Lee, Nicola

Nickum, Christopher Hirani, Amyn

Osborne, Mallory Jarvis, Raymond

Osedo, David Harris, Eugene

Parmley, Deidre Harris, Eugene

Pass, Kristin Powell, Ian

Patel, Devisha Saiyed, Sahebi

Patel, Hiral Oh, David

Patel, Niraj Grady, Alicia

Patel, Vanisha Coe, Susan

Peterson, Eric Resnick, Neil

Phillips, Ruthann Middlebrooks, Edward

Porter, Jenny Haddad, Ayham

Rasheed, Syed Brooks, Hodari

Rayner, Hansel Siddiqui, Muhammad

Rearick, Monica Bradbury, Thomas

Risley, Ryan Van Riper, Daniel

Ritchie, Mark Supple, Nichole

Ross, Sarah Stolovitz, Gary

Rullman, Cassandra Timani, Shereen

Russey, Colby Skidmore, Stephen

Sauls, Sean Swartzentruber, Gary

Scott, Telicia Kinsey-Gotier, Kristi

Secor, Karen Vera Ortiz, Juliana

Seigle, Nancy Egolum, Ugochukwu

Settle, James Segerman, Stuart

Sfeir, Sally Hoffman, Joel

Shannon, Alvina Kinsey-Gotier, Kristi

Sharbel, Christy Lynch, Sean

Shaw, Marc Shah, Akash

Skinner, Callaway Deloach, Brian

Smith, Melanie Lester, Joseph

Snyder, Elizabeth Egly, Joshua

Sohani, Monica Morales-Pico, Brenda

Stanley, Corey Hungerpiller, Jeanne

Stewart, Margaret Elkin, Gary

Stoker, John Chokshi, Khushboo



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Stone, Kemberly Guadiana, Laura

Stringer, Byron Brown, Alan

Stringer, Byron Hamm, Michael

Swindle, Brett Zeidan, Ronnie

Tatum-Hulsey, Meredith Haddad, Ayham

Thaxton, Mariah Barton, John

Thomas, Larry Spiegler, Jason

Thomas, Tangenia Dao, Sang

Thompson, Meredith Cowan, Amanda

Thornton, James Varias, Jon

Tompkins, Ava Grady, Alicia

Toole, Dara Hyman, Jon

Trahan, Shanna Brinkmann, Colin

Tran, Lyna Mclendon, Julian

Traya, Wesley El-Deiry, Mark

Tsang, Denny Hayat, Anik

Umstead, Sydney Spiegl, Paul

Velani, Zeshan Crouch, Thomas

Wagstaff, Kolyse Riley, Renee

Wahesh, Carrie Solitario, John

Ward, Amanda Hammel, Josh

White, Elizabeth Wijesinghe, Ekmini

White, Madeleine Ellis, Shemille

York, Christina Williams, Geri

Young, Carlton Harding, Susan

Zimmerman, Rachel Coe, Susan

Approved the following Additional Duty Request:

Andrew Andrle, PA with—Dr. Viraj Sharma

Cardiac Stress Testing

Rachel Davis, PA with—Dr. Carmen Kavali

Injection of Dermal Fillers

Injection of Neuromodulators

Karen Hammond, PA with—Dr. Fawzi Mohammad

Insertion of Tunneled Central IV Access

Kady Katsekis, PA with—Dr. Daniel Chan

Arthrocentesis of Major and Intermediate Joints



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Chelsea Masters, PA – with Dr. Harold Carlson

Intra-Aortic Balloon Pump Removal

Amber Mayfield, PA with—Dr. Jason Arnold

Cosmetic Fillers

Neurotoxin Injections

Nicole McCarthy, PA with—Dr. Elizabeth Littlefield

Injection of Botox for Cosmetic Purposes

Injection of Cosmetic Fillers, Juvederm Products

Jason Owens, PA with—Dr. Ashur Lawand

Myelogram

Paracentesis

Thoracentesis

Lumbar Puncture

Stephanie Parker, PA with—Dr. Carmen Kavali

Injection of Dermal Fillers

Injection of Neuromodulators

Tabled the following Additional Duty Request for additional information:

Aubrie Mathewson, PA with—Dr. Steven Niergarth

Arthrocentesis

Intra-Articular Injections

Treatment of Dislocations (Closed Reduction)

Fine the following $500 for unlicensed practice:

Physician Assistant

AO

Requested the following to submit 240 shadowing hours:

Physician Assistant

BS

LZ

Interviews:

1. Ann Biser

Approve application for licensure

2. James Lunsford

Dual licensed provider, approved to practice as PA/AA, must provide both job

descriptions when adding/changing supervising physician.



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Other Business:

1. Dr. Aubrey Camacho- Physician Assistant license.

Must graduate from an accredited physician assistant program, pass the NCCPA exam,

and complete the application process for an initial physician assistant license to be

considered for review.

2. William Koopal- Enrolled in PHP

Approved application for licensure with terms and conditions.

3. Timothy Miller

Approved application for licensure reinstatement

COSMETIC LASER ADVISORY COMMITTEE

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

unanimously.


Approve the following for Assistant Laser Practitioner:

JoAnne Sherman

Gloria Castillo-Ramirez

Mariela Serrano Chavez

Melissa Ruby

Kayla Hopkins

Alyissa Bentley

Jessica May

Ashley Kossoff

Approve the following for Senior Laser Practitioner:

Lioudmiea Bourova-Brazier

Julie Choe

Kaitlan Haney

Approve the following applications pending additional information:

Meghan Harvey

Sana Engineer

Kaesia Y. Pratt

Ashley Cotner

Caroline French

Teresa Myers

Angela Jones



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RESPIRATORY CARE ADVISORY COMMITTEE

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

the report by unanimous vote.


Revisits from November:

Brady, Angela

Diem, Ta

Greenway, Gary- pending NC license verification

Harper, India- pending DC license verification

Hurst, Kyle

Lorfils, Joseph

Omosigho, Imuentiyan

Pursnell, Justin

Scott, Patricia

Smith, La’Nesia

Snow, Shanteka

Sterling, Jessica

Whetstone, Marilyn

Williams, Clarence

Woods, Loretta

Correspondence

Form B discussion pending Committee review in January 2020

Reinstatements:

Rosencrantz, Aimee

Temporary:

Dunn, Tia

Harper, Vanessa

Moody, Landon

Mock, Vada

Presley, Kali

Warren, Stephen

Farmer, Morgan

Hicks, Tovia

Logan, Malik

Moss, Onnie

Horne, Monica

Lankford, Olivia

Palmon, April



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Fincher, Keri

Milling, Rhonda

Gray, Keltsey-Form A and explanation of public or private disciplinary action

Jones, Emily

Bass, Tyqueria

Beck, Tara

Cannon, Carlee

Corker, Julius

West, Brittany

Lyons, Abigail-NPDB report

Vilsaint, Sherice

Full Licensure

Benda, Charla

Zidile, David

Carpenter, Vickie

Guthmiller, Brenda-pending SD license verification

Krasnova, Diana

Allen, Pamela-pending updated Form B

Shermohmad, Farzana

Bohannon, Jamie

Graham, Stephen

Boothby, Rebecca

Ice, Lynn- pending TX license verification

Perez, Jimmy

Bouzek, Angela

Matthews De Castillo, Carol

Pierre, Tiffany-pending MS license verification

Williams, Mary

Administrative Upgrades

1. Brittany Hobbs

2. Alonica Jones

3. Markesia Johnson

4. Angela Copeland

5. Dakota Smith

6. Helen Schoening

7. Tyjah Hill

8. Rebecca Collum

9. Elder Palacios

10. Dana Jones



22

PERFUSION ADVISORY COMMITTEE

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

accepted the report by unanimous vote.


1. Sebastian Gilmore- approved for licensure.

2. Sarah Clutter- Provisional, pending additional information.

ACUPUNCTURE ADVISORY COMMITTEE

Mr. Law presented the Acupuncture Advisory Committee report as a motion. The Board

accepted the report by unanimous vote.


Approve the application for Limited Licensure for the following:

Yiqiang Zhou

Table the Initial application for additional information:

Jae Hun Lee

Approve the quarterly report for the following:

Sharon Lipscomb

Reviewed and accepted the request for acupuncture privileges:

Anne Eliason, MD

Committee requested Board review, petition for termination of order:

SSA

PAIN MANAGEMENT COMMITTEE

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

report by unanimous vote.


Application Pain Clinic Name

License

#460(Reinstatement)

Physician Pain Care, PC

Approve pending additional information

547513 Medici Medical Arts- Snellville

547688 Serenity Spine Center, LLC- Springfield



23

The Committee approved the following applications that were Administratively Approved

License # Pain Clinic Name

234, 235,291,451

Specialty Clinics Spine Intervention

Change Name to Specialty Spine and Pain, P.C.

235,291 Specialty Spine and Pain, PC

ADD APRN Svetlana Kozlova

236 Alliance Spine and Pain Centers

ADD Practicing Physician, Omar Hajmurad

ADD Practicing Physician, Efosa Ogiamien

Other Business:

1. Proposed paragraph or questions for Pain Clinic license

• The Committee approved the following questions to be added to the pain clinic

application.

A. Has the pain management clinic practiced with an expired or lapsed license since its

last renewal or initial license? ___YES ____NO

B. Has the pain management clinic practiced without a license in the past 12 months?

___YES ____NO

If you answer yes to any of these two questions, please give a detailed statement as to

why this occurred. False statements will lead to a formal investigation which could cause

your clinic’s license to be delayed and up to not being approved

2. Questions

• Committee reviewed a question regarding whether a physician in Georgia would be

required to have a pain clinic license if he/she advertise services which have the effect of

lessening pain with non-opiate prescriptive medication. The Committee recommended

board staff to refer potential applicant to rules and guidelines for Pain Clinics.

• Committee reviewed a question regarding whether treating patients with Opioid addiction

using MAT (Medication Assisted Treatment); with the prescription of Buprenorphine (a

schedule III drug) would require a pain management license. The Committee



24

recommended board staff to refer potential applicant to rules and guidelines for Pain

Clinics.

GENETIC COUNSELORS ADVISORY COMMITTEE

Dr. Deloach presented the Genetic Counselors Advisory Committee report.


1. Dr. DeLoach introduced new advisory member, Angela Brickle, MS, CGC.

2. The Committee reviewed and discussed the Genetic Counselors Rules.

3. The Committee reviewed and discussed Genetic Counselors application packet.

ORTHOTIST & PROSTHETIS ADVISORY COMMITTEE

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


Licensure Upgrade Approvals:

Beth Rickerson – Pending additional information

Sarah Mitchell

Kori Campbell – pending additional information

LAW ENFORCEMENT ADVISORY REPORT

Phyllis Douglas, Legal Services Officer, presented the LEAR report. Dr. Harbin seconded. The

Board accepted the report by unanimous vote.

1. A.M., APRN – Approved to release public information only

2. 20162046 - Approved to release the records

WELLNESS COMMITTEE

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

The Board accepted the report by unanimous vote:

a. PHP report: Paul Earley, M.D. – via telephone

b. Non-Interview Matters:

a. L.M., PA - review request to utilize Shepherd Center for neuro-cognitive

evaluation per OMPE. Approve request.



25

b. 20141337 – review request to terminate probation. Recommendation: Approve

request.

c. Interview Matters:

a. 20200426 – voluntary release from PHP. Return to GA PHP within two weeks

and follow their recommendations.

d. Add-On:

a. C.C., PA – question regarding short-term disability and credentialing. Submit an

advocacy letter from treatment provider stating safe to practice upon return to

work after short term disability expires.

b. 20190913 – discussion regarding prior review of termination and NPDB report

for clinical privileges revocation. Must seek treatment with Board approved

Addictionologist and incorporate GA PHP monitoring standards.

INVESTIGATIVE INTERVIEW REPORT

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

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

20170522 CLOSE 20180778 LOC

20182233 LOC 20190140 FINV

20190467 FINV 20190681 Voluntary Surrender

20191583 LOC 20191727 AGNOH

20192132 CLOSE 20192133 CLOSE

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

seconded by Dr. Retterbush, MD. The Board accepted the report by unanimous vote. The

Board took the following actions.

Close:

20180253 20180283 20180787 20181846 20182094 20190562

20190792 20191675 20191744 20191836 20191908 20192008

20192054 20192145 20192301 20192368 20192402 20192435

20192553 20192554 20192587 20192598 20200006 20200012

20200022 20200121 20200133 20200137 20200147 20200199

20200202 20200221 20200225 20200226 20200231 20200236

20200241 20200251 20200260 20200263 20200264 20200334

20200351 20200382 20200405

Close with Letter of Concern:

20140839 20191717 20191832 20192280 20192525 20192541



26

20200020 20200047 20200072 20200139 20200437

Invite for Investigative Interview:

20192259 20192393 20192407 20192571 20200018 20200153

20200213 20200220 20200234 20200279 20200294 20200316

20200366

Further Investigation:

20190872 20192118 20200157 20200268

Table

20192376 20200100 20200152 20200248 20200519

Attorney General’s Office

20171793

Peer Review

20181486 20190784 20200205

OMPE

20200243 20200285 20200395

INITIAL COMPLAINT EVALUATIONS The Board approved the following recommendations.

20200330 20200352 20200432 20200448 20200459 20200462

20200479 20200485 20200504 20200509 20200511 20200514

20200517 20200524 20200525 20200527 20200528 20200532

20200535 20200538 20200549 20200552 20200558 20200566

20192531

RECUSALS DeLoach 20200018 20200020 20200220 20200234 20200251

20200260 20200279 20200294 20200316 20191675

20200006 20200330 20200459

Retterbush 20200147 20200538

Simmons 20200205

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

meeting at 4:54 p.m.

__________________________________ _____________________________________

Gretchen Collins, MD LaSharn Hughes, MBA

Chairperson Executive Director

Recorded by: Phyllis White

georgia composite medical board minutes of the december 5

Documents