APRN and Delegating Physician - Active Reviewed Nurse Protocol Agreements
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APRN and Delegating Physician - Active Reviewed Nurse Protocol Agreements APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Aaron, Stephanie RN116808 David Dean, MD 64808 9854 95 Collier Rd, Suite 5015 Atlanta, GA 30309 8/5/2011 Abbey, Ophelia Alice RN215132 Melinda Willingham, MD 45669 13872 4112 E. Ponce De Leon Ave. Clarkston, GA 30021 9/11/2014 Abdullahi, Antoinette RN236531 Freeman Montaque, MD 28123 13606 896 Highway East McDonough, GA 30252 8/7/2014 Abernathy, Taylor M RN205283 Santanu Das, MD 42560 13871 1049 N. Houston Rd. Warner Robins, GA 31093 9/11/2014 Abernathy, Deborah RN079832 Schaefer, Timothy MD 47524 10688 1700 Hospital South Drive, Ste 500 Austell, GA 30106 5/4/2012 Abernathy, Pamela RN107241 Dark, Jennifer MD 66016 10682 1012 Burleyson Road Dalton, GA 30710 5/4/2012 Abon, Moradeke RN141176 Albert Anderson, MD 58136 11082 341 Ponce deLeon Ave. Atlanta, GA 30308 10/5/2012 Abraham, Linda M. RN178502 Jonathan Ehrlich, MD 15580 12325 993‐D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342 10/10/2013 Abraham, Rennie Juanillo RN204958 Josephine Lopez, MD 44125 11647 1500 Oglethorpe Ave, Suite 100 Athens, GA 3 2/7/2013 Abramson, Cara Rothfield RN108696 Daniel Dubovsky, MD 29866 13455 5670 Peachtree Dunwoody Rd, Ste 1100 Atlanta, GA 30342 7/10/2014 Absalom, Kaci LaDawn RN177275 Edward Matthews, DO 34896 11864 2525 Williams Rd Columbus, GA 31909 2/5/2015 Acree, Lisa Pinkard RN126710 Melissa Dillmon, MD 54073 12389 255 West Fifth St Rome, GA 30165 10/10/2013 Friday, February 13, 2015 Page 1 of 352 APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Acton, Patricia RN124420 Winston, Alan Daniel MD 41245 10018 200 South Enota, Suite 380 Gainesville, GA 30501 1/6/2012 Adams, Jamie E RN240230 Christopher Sward, MD 45638 13737 150 Gentilly Blvd Cartersville, GA 30120 9/11/2014 Adams, Holly Scott RN176923 Paul Guichard, DO 54386 11963 55 Whitcher St, Suite 350 Marietta, GA 30060 7/11/2013 Adams, Angela D. RN158173 Asit K. Jha, MD 55248 11189 1706 Alice St. Waycross, GA 31501 11/2/2012 Adams, Jewel Ann RN079253 Donald Davis, MD 19506 7726 1525 Clifton Road Atlanta, GA 30322 10/2/2012 Adams, Jennifer Campbell RN157995 James Lindley, MD 33138 7908 4 Jackson Blvd Savannah, GA 31405 12/3/2010 Adamski, Jennifer RN226384 Dean Karampelas, MD 26141 13842 743 Spring St Gainesville, GA 30501 9/11/2014 Adamski, Jennifer Lynn RN226384 Dean Karampelas, MD 26141 11780 743 Spring St Gainesville, GA 30501 4/4/2013 Adcock, Leslie Hollowell RN063419 William Morris Brown, MD 29309 8855 95 Collier Rd, Suite 5015 Atlanta, GA 30309 1/7/2010 Addison, Nivenann Townsend RN114338 Michael Connor, MD 31581 5020 725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501 5/6/2011 Addy, Sharon N. RN218443 Edward Matthews, MD 34896 11238 2525 Williams Rd. Columbus, GA 31909 12/7/2012 Adebayo, Monsurat M. RN144155 Jada Bussey‐Jones, MD 47306 11218 80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303 11/2/2012 Adegbuji, OmoRonke RN161498 Cedrella Jones‐Taylor, MD 26313 14908 1670 Clairmont Rd Decatur, GA 30033 2/5/2015 Adegbuji, Omoronke Olufunmil RN161498 Madhu Vishwanath, MD 56499 8869 595 Piedmont Ave, Suite 1000 Atlanta, GA 30308 12/4/2009 Friday, February 13, 2015 Page 2 of 352 APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Adeshigbin, Alaba RN175655 Lloydstone Jacobs II, MD 49179 10949 2980 University Parkway Lawrenceville, GA 30043 8/10/2012 Adeshigbin, Alaba Risikat RN175655 Lee Grose, MD 46856 22 2900 University Parkway Lawrenceville, GA 30045 11/1/2007 Adeyemi, Afusat RN202394 Mehmood Mehdi, MD 57725 14765 367 Athens Hwy, Ste 1050 Loganville, Ga 30052 2/5/2015 Adham, Sarah Christin RN208832 Douglas Stuart, MD 35527 9475 95 Collier Rd, Suite 4045 Atlanta, GA 30309 11/5/2010 Adibe, Josephine Obiy RN111866 Hany Atallah, MD 52678 13869 80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta, GA 30303 9/11/2014 Adkins, Jessica R RN168399 Kasey Berman, MD 55095 13809 400 Mall Blvd Ste.410B Savannah, GA 31406 9/11/2014 Adkins, India Marcell RN183996 Eric Hall, MD 45814 11965 512 South Main St, Suite A Hinesville, GA 31313 6/7/2013 Adkins, Amelia Rose Craighead RN117328 Robersteen Howard, MD 40103 24 330 Turner McCall Blvd, Suite 4000 Rome, GA 30165 9/14/2007 Adkinson, Lauren Aaron RN181617 Frank Casey, MD 59614 12519 5400 Bowman Rd Macon, GA 31210 11/8/2013 Aerstin, Monica Christine RN131199 Hassan Sayegh, MD 36066 195 95 Collier Rd, Suite 300 Atlanta, GA 30309 9/13/2013 Agbede, Olubunmi Omolola RN205174 Francis Gonzalez, MD 57810 12794 677 Church St Marietta, GA 30060 4/4/2014 Agyemang, Dora Agyei RN158183 Frank Bynes, MD 36932 12702 106 East Broad St Savannah, GA 31401 1/9/2014 Agyemang, William O. B. RN154407 Eric Fogam, MD 47902 9138 PO Box 7150 Garden City, GA 31418 10/8/2010 Ahearn, Nanci Lee Brinn RN211307 Douglas Perry, MD 40753 13164 89 Interchange Dr Richmond hill, GA 31324 4/4/2014 Friday, February 13, 2015 Page 3 of 352 APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Ahearn, Nanci Lee Brinn RN211307 Wallace Holland, MD 24438 9647 10055 Ford Ave, Suite 5A Richmond Hill, GA 31324 3/4/2011 Aina, Joan rn153656 Robinowitz, Michael MD 17274 10528 1255 Highway 54 West Fayetteville, GA 30214 3/1/2012 Akins, Katharine L Reeves RN081701 David Brantley, MD 28506 13512 200 North River St. Claxton, GA 30417 7/10/2014 Alaka, Olushola Denai RN165259 Melissa Schepp, MD 50221 14504 677 Church St. Marietta, GA 30060 9/11/2014 Alaka, Olushola Denai RN165259 Melissa Schepp, MD 50221 12390 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 10/10/2013 Albritton, Amber Laine RN174507 James Palazzolo, MD 37637 13022 804 13th Ave Albany, GA 31707 3/6/2014 Alcius, Martine Eliette RN195292 Josephine Tan, MD 19193 12701 106 East Broad St Savannah, GA 31401 1/9/2014 Alday, Vicky W. RN061053 Jennifer Miller, MD 46996 8081 390 E H Court Brunswick, GA 31520 11/1/2007 Alday, Vicky Lynn Whittington RN061053 Tom Vann Willis, Jr., MD 10695 27 1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524 6/8/2007 Alderman, Troy Drawdy RN212358 Jorge Pisarello, MD 58914 13091 701 North Slappey Blvd Albany, GA 31701 4/4/2014 Alderman, Troy RN212358 Gutierrez, Raymond MD 57983 10892 701 N. Slappey Blvd Albany, GA 31701 7/12/2012 Ales, Lisa Marie RN119193 Charles Johnson, MD 7504 11886 6392 Murphy Dr Morrow, GA 30260 5/3/2013 Alexander, Cassie Rae RN140383 Colville Ferdinand, MD 53439 12189 1120 15th Street, BA‐4416 Augusta, GA 30912 8/9/2013 Alexander, Shona Rasheeda RN168429 Margaret White, MD 36482 33 500 Springhouse Circle Stone Mountain, GA 30087 8/5/2011 Alexander, Gary Richard RN059514 Robert Hall, MD 45234 29 231 Graefe Street Griffin, GA 30223 11/1/2007 Friday, February 13, 2015 Page 4 of 352 APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Alexis‐Destin, Bernadette RN198438 Ray Paris, MD 19855 14382 101 Commerce Place Barnesville, GA 30204 10/9/2014 Al‐Haroun, Katherine Melton RN188235 Melody Palmore, MD 33679 12631 341 Ponce de Leon Ave Atlanta, GA 30308 12/6/2013 Ali, Idris Pasha RN229841 Christopher Oldfield, MD 46195 12069 1326 Eisenhower Dr Savannah, GA 31406 8/9/2013 Aliffi, Kathy Jeanette Castille RN089463 Nathan Neufeld, DO 70135 12615 600 Parkway North Newnan, GA 30265 12/6/2013 Aliffi, Kathy Jeanette Castille RN089463 George Vellanikaran, MD 33219 36 20 Francis Way, Suite 101 Sharpsburg, GA 30277 10/4/2007 Aliotta, Brandy Taylor RN142957 William Osborne, MD 33664 37 4750 Waters Avenue, Suite 400 Savannah, GA 31404 2/5/2009 Allain, Lauren C. RN225178 Marc J. Harringan, MD 56719 11404 3699 Cascade Rd., #B1 Atlanta, GA 30331 1/11/2013 Allcott, Mary Alice Giblin RN052669 Michael Sharkey, MD 38609 8182 510 East Oglethorpe Hwy Hinesville, GA 31313 4/3/2008 Allen, Carrie Boswell RN201380 Elizabeth Norwood, MD 46192 12926 2739 Felton Dr East Point, GA 30344 11/7/2014 Allen, Jane Nix RN072414 Glendon Rougeou, MD 70764 13440 108 Prominence Ct Ste 100 Dawsonville, GA 30534 9/11/2014 Allen, Renai A RN222518 David Asrael, MD 51291 12767 2988 Shallowford Rd Marietta, GA 30066 1/9/2014 Allen, Jane Nix RN072414 Robert Kelly, MD 34384 12427 5875 Thompson Mill Rd, Suite 100 Hoschton, GA 30548 12/6/2013 Allen, Renai A RN222518 Wallace Duncan, MD 41109 12419 2988 Shallowford Rd Marietta, GA 30066‐3033 10/10/2013 Allen, Jane Nix RN072414 Terry Hansen, MD 47330 48 184‐A Professional Dr Baldwin, GA 30511 5/3/2013 Friday, February 13, 2015 Page 5 of 352 APRN Name RN# Delgating Physician PHY# Protocol # Protocol Address Effective Allen, Sonya A RN077192 Song Na, MD 38059 11761 4995 Lanier Islands Pkwy, Suite A Buford, GA 30518 4/4/2013 Allen, Amber Beth RN184309 Virginia Price, MD 19897 9914 705 Dallas Hwy, Suite 101 Villa Rica, GA 30180 9/1/2011 Allen, Nancy Leigh Ward RN065074 William Adcox, MD 31376 52 100 Genevieve Court, Suite A Fayetteville, GA 30215 3/4/2011 Allen, Bryan Patrick RN162545 Carl Foster, MD 57618 8852 6400 Flat Rock Rd Columbus, GA 31907 4/1/2010 Allen, Deborah C. RN190740 Rose Cesar, MD 48217 8927 1497 Fair Rd, Suite 201 Statesboro, GA 30458 2/5/2010 Allen, Vivian Lynn RN134633 Herman Levy, MD 34010 7821 2500 Starling St, Suite 504 Brunswick, GA 31520 8/8/2008 Allen, Deborah C. RN190740 Rani Reddy, MD 34450 8201 106 Briarwood Road Statesboro, GA 30458 6/6/2008 Allen, Beth Ann RN081047 Joseph Watlington, MD 25685 8124 201 Thomas Road Ft.