Terminated Nurse Protocol Agreements
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Terminated Nurse Protocol Agreements APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Abbey, Ophelia Alice RN215132 Melinda Willingham, MD 45669 13872 4112 E. Ponce De Leon Ave. Clarkston, GA 30021 7/8/2015 Abebe, Mahlet M. RN221110 Jayesh Naik, MD 33253 20253 11111 Houze Rd., Ste 225 Roswell, GA 30076 4/18/2017 Abernathy, Taylor M RN205283 Santanu Das, MD 42560 13871 1049 N. Houston Rd. Warner Robins, GA 31093 7/29/2016 Abernathy, Deborah RN079832 Schaefer, Timothy MD 47524 10688 1700 Hospital South Drive, Ste 500 Austell, GA 30106 11/8/2018 Abernathy, Pamela RN107241 Dark, Jennifer MD 66016 10682 1012 Burleyson Road Dalton, GA 30710 2/1/2017 Abernathy, Kari Elizabeth RN154956 Jaime Burkle, MD 48881 9783 309 Highland Pkwy, Suite 201 Ellijay, GA 30539 5/7/2012 Abon, Moradeke RN141176 Albert Anderson, MD 58136 11082 341 Ponce deLeon Ave. Atlanta, GA 30308 8/24/2015 Abraham, Linda RN178502 Lynette Stewart, MD 39681 11113 3660 Flat Shoals Rd., Ste 180 Decatur, GA 30034 4/16/2013 Abraham, Linda RN178502 Hodges, Sharon MD 40759 10470 1372 Wellbrook Circle Conyers, GA 30012 3/30/2012 Abraham, Linda M. RN178502 Mohamad El-Attar, MD 41286 9546 1372 Wellbrook Cir NE Conyers, GA 30012 11/30/2011 Abraham, Linda M. RN178502 Phillip Bannister, MD 16503 5019 603-A Old Norcross Rd Lawrenceville, GA 30045 10/1/2010 Friday, August 16, 2019 Page 1 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Abramson, Cara Rothfield RN108696 Daniel Dubovsky, MD 29866 13455 5670 Peachtree Dunwoody Rd, Ste 1100 Atlanta, GA 30342 1/10/2019 Abramson, Cara Michelle Rothf RN108696 Thomas Seay, MD 30884 5 5670 P'tree Dunwoody Rd, #1100 Atlanta, GA 30342 6/16/2014 Abt, Ashley Allen RN244930 Thomas W. Hobby, DO 48647 40259 2209 Pineview Drive Valdosta, GA 31602 6/17/2019 Acree, Lisa Pinkard RN126710 Reden Delgado, MD 65957 20821 501 Redmond Rd. Rome, GA 30165 6/1/2019 Acree, Lisa Pinkard RN126710 Melissa Dillmon, MD 54073 12389 255 West Fifth St Rome, GA 30165 4/1/2015 Acree, Lisa Pinkard RN126710 William Whaley, MD 11504 9 750 Deep South Farm Rd Blairsville, GA 30512 9/25/2014 Adams, Mary Allison RN191947 Brandon K. Hicks, MD 46683 41680 1230 Baxter Street Athens, GA 30606 3/26/2018 Adams, Elizabeth Jamie RN240230 Sofia Munir, MD. 68250 40298 1050 Techwood Drive Atlanta, Ga 30318 1/4/2019 Adams, Jina Cravey RN093180 Lawton Davis, MD 21669 39367 89 Telfair Avenue McRae Helena, GA 31055 5/31/2018 Adams, Jamie Elizabeth RN240230 Glenn Hittel, MD 34159 17603 150 Gentilly Blvd Cartersville, GA 30120 7/15/2016 Adams, Jamie RN240230 Yvonne Smith, MD 42443 16396 51 N Morning Side Dr Cartersville, GA 30121 1/3/2017 Adams, Jamie E RN240230 Christopher Sward, MD 45638 13737 150 Gentilly Blvd Cartersville, GA 30120 7/15/2016 Adams, Angela D. RN158173 Asit K. Jha, MD 55248 11189 1706 Alice St. Waycross, GA 31501 2/2/2016 Friday, August 16, 2019 Page 2 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Adams, Sherida RN181346 Knepp, Ira MD 34002 10276 1009 N. Monroe Street Albany, GA 31701 4/30/2012 Adams RN219584 Safia Pirani, MD 56624 38766 3330 Peachtree Corners Circle, Suite H Peachtree Corners, GA 6/21/2018 Adamski, Jennifer Lynn RN226384 James Bailey, MD 28368 11645 743 Spring St Gainesville, GA 30501 4/30/2014 Adcock, Leslie Hollowell RN063419 Cullen Morris, MD 44285 18 1270 Prince Ave, Suite 303 Athens, GA 30606 9/18/2009 Adderley, Kisha RN185219 Crystal Hood, MD 58813 38666 1506 Klondike Rd. Conyers, GA 30094 12/1/2018 Adderley, Kisha RN185219 Sheryl Canady, MD 50999 15543 1775 Parker Rd, Ste C-240 Conyes, GA 30094 2/1/2017 Adegbuji, Omoronke Olufunmil RN161498 Noreen Andrews, MD 46861 7921 1910 Hwy 20 SE, Suite 270 Conyers, GA 30013 11/17/2009 Adeshigbin, Alaba Risikat RN175655 Adrienne Mims, MD 33152 8802 477 Windsor St, Suite 309 Atlanta, GA 30312 7/1/2013 Adeyemi, Afusat RN202394 Mehmood Mehdi, MD 57725 14765 367 Athens Hwy, Ste 1050 Loganville, Ga 30052 2/20/2016 Adeyemo, Oluwatoke Abidemi RN175909 Debra Houry, MD 50889 12805 49 Jesse Hill Dr SE, Emer Dept. Atlanta, GA 30303 8/25/2014 Adibe, Josephine Obiy RN111866 Hany Atallah, MD 52678 13869 80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta, GA 30303 8/19/2015 Adjei, Vincentia Asantewah RN201559 Saied Murphy, MD 39187 13714 1350 Montreal Rd., Ste 210 Tucker, GA 30084 1/9/2015 Adkins, Keith RN277207 Pradyumma Tummala, MD 41016 41119 743 Spring Street Gainesville, GA 30501 2/21/2019 Friday, August 16, 2019 Page 3 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Adkison, Tasha Michele Cobb RN147420 Theron Thompson, MD 51772 9555 1825 Martha Berry Blvd Rome, GA 30165 7/1/2011 Adkison, Tasha Michele Cobb RN147420 Todd Robinson, MD 40773 8747 14 Cherokee Rd Cedartown, GA 30125 1/21/2012 Adofo, Margaret RN256346 Patricia Kelly, MD 48528 21330 424 Decatur St, SE Decatur, GA 30312 7/31/2017 Agbede, Olubunmi Omolola RN205174 Francis Gonzalez, MD 57810 12794 677 Church St Marietta, GA 30060 5/11/2015 Agbor, Ebanga E. RN226655 Charles M.Moore, MD 30655 20748 4550 Cobb Parkway Acworth, GA 30101 9/25/2018 Agomessou, Ablavi Adodo RN214710 Oladayo A Osinuga, MD 51703 42535 1000 Briarcliff Road NE Atlanta, GA 30306 10/31/2018 Agyepong, Dorothy Dee RN109364 Apal L. Hartman, MD 50887 17559 2000 10th Ave, Ste 400 Columbus, GA 31901 2/28/2018 Ahearn, Nanci Lee Brinn RN211307 Douglas Perry, MD 40753 13164 89 Interchange Dr Richmond hill, GA 31324 12/23/2016 Ailes, Lisa Renee RN243650 Charles Roman, DO 43757 15167 2737 Warm Springs Rd Columbus, GA 31904 6/6/2015 Ajiboye-Lala, Oyeronke RN201907 Piyush C Patel, MD 53357 42309 10090 Medlock Bridge Rd Johns Creek, GA 30097 10/1/2018 Akins, Scott RN231437 Sara Sambandham, MD 64964 16127 5673 Peachtree-Dunwoody Rd 5th floor Atlanta, GA 30342 1/8/2016 Akins, Katharine L Reeves RN081701 Willis McVay, MD 54833 25 501 East Long St Claxton, GA 30417 5/1/2014 Akinyele, Olajumoke Elizabeth RN224730 Neil Jariwala, MD 76851 41794 10090 Medlock Bridge Rd (Suite 110) Johns Creek, GA 30097 9/1/2018 Friday, August 16, 2019 Page 4 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Akinyele, Olajumoke RN224730 Brian Barczak, MD 76418 21000 2900 Chamblee Tucker Rd. Bldg 16 Atlanta, GA 30341 1/25/2018 Akpan, Inemienyu RN181184 Ault, Kevin MD 56403 10644 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, 4th floor Atlanta, GA 3030 12/13/2012 Alaka, Olushola RN165259 John Ogundipe, MD 39193 15890 2130 Anderson Mill Rd Austell, GA 30106 10/7/2015 Alaka, Olushola Denai RN165259 Melissa Schepp, MD 50221 12390 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 10/18/2018 Alamu, Ikeade Bello RN211052 Jonathan Rosenfiled, MD 74345 18862 3240 South Cobb Dr. Smyrna, GA 30082 12/4/2016 Alamu, Ikeade Bello RN211052 Lawrence Powell, MD 38915 16831 4120 Austell Rd. Austell, GA 30106 7/31/2017 Albano, Jessica Lyn RN159786 Jeff Donohue, MD 46540 8248 3755 Sixes Road, Suite 202 Canton, GA 30144 3/24/2009 Albritton, Amber Laine RN174507 Alan Brown, MD 57782 19037 417 West Third Ave, Ste 500 Albany, GA 31706 11/30/2018 Albritton, Amber Laine RN174507 James Palazzolo, MD 37637 13022 804 13th Ave Albany, GA 31707 6/10/2016 Alday, Vicky W. RN061053 Jennifer Miller, MD 46996 8081 390 E H Court Brunswick, GA 31520 11/14/2018 Alday, Vicky Lynn Whittington RN061053 Tom Vann Willis, Jr., MD 10695 27 1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524 11/1/2015 Alderman, Troy RN212358 Gutierrez, Raymond MD 57983 10892 701 N. Slappey Blvd Albany, GA 31701 3/7/2018 Aldridge, Rodney RN213368 Dwight A. Owens 43105 395 1720 Peachtree Street (Suite 640) Atlanta, GA 30309 5/9/2019 Friday, August 16, 2019 Page 5 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Alexander, Carla RN179275 Olufemi A. Taiwo, MD 51606 41463 110 Braxton Court Fayetteville, GA 30214 6/8/2018 Alexander, Cassie Rae RN140383 Colville Ferdinand, MD 53439 12189 1120 15th Street, BA-4416 Augusta, GA 30912 3/31/2017 Alexis-Destin, Bernadette RN198438 Anne Grant, MD 70244 15323 5294 Adams St Covington, GA 30014 9/30/2016 Alexis-Destin, Bernadette RN198438 Willard, Kim MD 29123 10891 101 Commerce Blvd, Ste l Barnesville, GA 30204 10/1/2014 Alexis-Destin, Bernadette RN198438 Gwathney, Miriam DO 63343 10101 101 Commerce Place, Suite 1 Barnesville, GA 30204 3/30/2012 Ali, Natalie Renee RN132742 Christina Oskins, MD 74153 20463 1012 Burleyson Rd. Dalton, GA 30720 6/17/2019 Allain, Lauren C. RN225178 Marc J. Harringan, MD 56719 11404 35 Collier Rd., Ste 500 Atlanta, GA 30309 1/17/2019 Allen, Krystal RN218368 Adebowale Akintayo, MD 73945 43313 1834 Clairmont Road Decatur, GA 30033 2/12/2019 Allen, Jane Nix RN072414 Stratton Kearns, MD 32218 19705 597 South Enota Dr. Gainesville, GA 30501 4/15/2019 Allen, Terrie Hattie RN195025 Jeffrey Metts, MD 68070 19632 600 Celebrate Life Parkway Newnan, GA 30265 12/1/2017 Allen, Jane Nix RN072414 Tod Bethea, MD 42016 19409 2578 Helen Hwy Cleveland, GA 30528 4/15/2019 Allen, Carrie Boswell RN201380 Edgar Melendez, MD 41167 18500 9280 Hwy. 5 ste. A Douglasville, GA 30134 8/15/2016 Allen, Vivian Lynn RN134633 Kevin Fussell, MD 67298 17344 2500 Starling St, Ste 504 Brunswick, GA 31520 7/5/2016 Friday, August 16, 2019 Page 6 of 518 APRN Name RN# Delgating Physician PHY# Protocol # Protcol Address Terminated Allen, Pamela Lashun RN214269 Amar Singh, MD 52227 16663 550 Redmond Rd Rome, GA 30165 9/17/2018 Allen, Michelle Marie RN184598 Guilda Saint Fleur, MD 69627 15834 774 GA Hwy 96 Bonaire, GA 31005 6/24/2016 Allen, Carrie Boswell RN201380 Elizabeth Norwood, MD 46192 12926 2739 Felton Dr East Point, GA 30344 11/16/2015 Allen, Renai A RN222518 David Asrael, MD 51291 12767 2988 Shallowford Rd Marietta, GA 30066 3/13/2015 Allen, Renai A RN222518 Wallace Duncan, MD 41109 12419 2988 Shallowford Rd Marietta, GA 30066-3033 3/13/2015 Allen, Jane Nix RN072414 Terry Hansen, MD 47330 48 184-A Professional Dr Baldwin, GA 30511 7/30/2014 Allen, Bryan Patrick RN162545 Richard Morse, MD 42094 8330 2122 Manchester Expressway Columbus, GA 31904 5/23/2014 Allen, Vivian Lynn RN134633 Herman Levy, MD 34010 7821 2500 Starling St, Suite 504 Brunswick, GA 31520 8/10/2016 Allen, Deborah C.