Terminated Nurse Protocol Agreements
APRN Name RN# Delgating Physician License# Protocol # Address Terminated Aaron, Stephanie RN116808 Sanjay Lall, MD 57878 2 95 Collier Rd, Suite 5015 Atlanta GA 30309-1721 7/1/2011
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 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
Abraham, Linda RN178502 Hodges, Sharon MD 40759 10470 1372 Wellbrook Circle Conyers GA 30012 3/30/2012
Abraham, Linda RN178502 Lynette Stewart, MD 39681 11113 3660 Flat Shoals Rd., Ste 180 Decatur GA 30034 4/16/2013
Abramson, Cara Michelle Rothfield RN108696 Thomas Seay, MD 30884 5 5670 P'tree Dunwoody Rd, #1100 Atlanta GA 30342 6/16/2014
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
Acree, Lisa 126710 McCormick 25219 16688 501 Redmond Rd Rome GA 30165 12/11/2015
Adams, Sherida RN181346 Knepp, Ira MD 34002 10276 1009 N. Monroe Street Albany GA 31701 4/30/2012
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
Adegbuji, Omoronke Olufunmilayo 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
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
Wednesday, January 13, 2016 Page 1 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Adjei, Vincentia Asantewah RN201559 Saied Murphy, MD 39187 13714 1350 Montreal Rd., Ste 210 Tucker GA 30084 1/9/2015
Adkison, Tasha Michele Cobb RN147420 Todd Robinson, MD 40773 8747 14 Cherokee Rd Cedartown GA 30125 1/21/2012
Adkison, Tasha Michele Cobb RN147420 Theron Thompson, MD 51772 9555 1825 Martha Berry Blvd Rome GA 30165 7/1/2011
Affleck, Susan M. RN099501 Ashley C. Davis, MD 58161 11467 5555 Whittlesey Blvd, #L-1 Columbus GA 31909 6/6/2014
Agbede, Olubunmi Omolola RN205174 Francis Gonzalez, MD 57810 12794 677 Church St Marietta GA 30060 5/11/2015
Agnew, Greta M Gilson RN054192 Alan Wang, MD 48017 15003 1117 Perimeter Pkwy West, Ste N500 Atlanta GA 30388 2/20/2015
Ailes, Lisa Renee RN243650 Charles Roman, DO 43757 15167 2737 Warm Springs Rd Columbus GA 31904 6/6/2015
Akins, Katharine L Reeves RN081701 Willis McVay, MD 54833 25 501 East Long St Claxton GA 30417 5/1/2014
Akins, Scott RN231437 Thomas Price, MD 53367 14649 5673 Peachtree Dunwoody Rd Atlanta GA 30342 6/30/2015
Akpan, Inemienyu RN181184 Ault, Kevin MD 56403 10644 69 Jesse Hill Jr Dr., SE, Gyn/OB Dept, Atlanta GA 30303 12/13/2012 4th floor
Alaka, Olushola RN165259 John Ogundipe, MD 39193 15890 2130 Anderson Mill Rd Austell GA 30106 10/7/2015
Albano, Jessica Lyn RN159786 Jeff Donohue, MD 46540 8248 3755 Sixes Road, Suite 202 Canton GA 30144 3/24/2009
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
Aliffi, Kathy Jeanette Castille RN089463 Nicole Nunga, MD 61580 12338 600 Parkway North Newnan GA 30265 9/18/2013
Allen, Sonya M. RN077192 Raja Ram, MD 39822 9865 475 Phillip Blvd. Lawrenceville GA 30045 12/1/2012
Allen, Sonya A RN077192 Song Na, MD 38059 11761 4995 Lanier Islands Pkwy, Suite A Buford GA 30518 4/17/2015
Allen, Sonya M. RN077192 Meena J. Shah, MD 21464 11499 475 Philip Blvd, Ste 100 Lawrenceville GA 30045 5/10/2013
Allen, Renai A RN222518 David Asrael, MD 51291 12767 2988 Shallowford Rd Marietta GA 30066 3/13/2015
Allen, Sonya M. RN077192 Thomas Karisny, MD 50029 7724 170 Hospital Circle, Suite A Blairsville GA 30512 8/18/2010
Wednesday, January 13, 2016 Page 2 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Allen, Bryan Patrick RN162545 Richard Morse, MD 42094 8330 2122 Manchester Expressway Columbus GA 31904 5/23/2014
Allen, Bryan Patrick RN162545 Zulfiquar Bhatti, MD 48482 8101 1906 Warm Springs Road Columbus GA 31909 9/9/2008
Allen, Aurelia RN121276 Husham Peter Mishu, MD 40740 39 285 Boulevard, NE Ste #345 Atlanta GA 30312 8/21/2009
Allen, Renai A RN222518 Wallace Duncan, MD 41109 12419 2988 Shallowford Rd Marietta GA 30066-3033 3/13/2015
Alleyne, Montrese Pitmon RN155438 Valens Plummer, MD 49496 12539 595 Piedmont Ave, Suite 100 Atlanta GA 30308 8/30/2014
Allicock, Alisa Natasha RN198722 Kabir Das, MD 62867 12255 231 Graefe St Griffin GA 30224 9/30/2014
Allmond, Lynn Marie Downard RN111386 Daron Ferris, MD 31593 55 1423 Harper St Augusta GA 30912 8/15/2015
Altringer, Joanne May Gensel RN131761 Takacs-diLoranzo, Eva MD 48859 5027 202 Lakeshore Drive, Ste A St. Marys GA 31558 9/1/2014
Amankwah, Pearl Opokua RN195776 Amanda Davis, MD 50152 12531 1133 Eagles Landing Pkwy Stockbridge GA 30281 4/1/2014
Amazon-Leece, Jody Lee RN096082 Venkatappa R. Rangaraj, MD 58633 11468 2795 Main St, West #27 Snellville GA 30078 8/15/2014
Amerson, Keri Lynn RN141829 Richard Ambrozic, MD 43851 9748 3321-B N. Valdosta Rd Valdosta GA 31602 8/22/2014
Amukamara, Ernest U RN201832 Jay Schlossberg, MD 19996 11791 5820 Old National HWY College Park GA 30349 7/10/2014
Amukamara, Ernest U RN201832 Mitzi Rubin, MD 49592 12081 3939 Roswell Rd, Suite 200 Marietta GA 30062 5/23/2013
Amukamara, Ernest U. RN201832 James Criner, MD 54179 8733 7530 Roswell Road Atlanta GA 30350 10/21/2010
Anaele, Caroline RN135346 Obiorah, Samuel MD 42379 9991 1009 3rd Avenue West Point GA 31833 4/9/2012
Anaele, Caroline Chika RN135346 Travan Jasper, MD 45506 14148 1762 Mars Hill Rd N W Acworth GA 30101-8091 12/4/2014
Anaele, Caroline RN135346 Louis, Okiki MD 47479 10893 1762 Mars Hill Rd NW Acworth GA 30101 11/8/2014
Anaele, Caroline Chika Obasi RN135346 Jada Moore-Ruffin, MD 57395 13339 2121 Fairburn Rd., Ste B Douglasville GA 30135 7/1/2015
Anders, Onitisha RN222372 Xiaofeng Zhong, MD 69466 15404 100 Goshen Rd Rincon GA 31326 9/21/2015
Anders, Onitisha Vondese RN222372 Toni Sylvester, MD 58933 15161 110 Goshen Rd. Rincon GA 31326 9/25/2015
Wednesday, January 13, 2016 Page 3 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Anderson, Tabatha Peavy RN149791 James Greene, MD 32741 8206 590 Historic Hwy 441 North Demorest GA 30535 8/13/2013
Anderson, Christa RN129289 Fordham, Donald MD 44718 10538 865 Austin Drive, PO Box 308 Demorest GA 30535 1/15/2015
Anderson, Christina Elaine RN154861 Sallu Jabati, MD 58527 12897 3722 Woodruff Road Columbus GA 31906 2/18/2014
Anderson, Geraldine Jackson RN115669 Sima Dehghany, MD 62494 9709 216 Hospital Rd Cordele GA 31015 8/31/2011
Anderson, Christina Elaine RN154861 Edet Bassey, MD 44408 11829 1041 Talbotton Rd Columbus GA 31907 12/4/2013
Anderson, Sandra RN162692 Lionel Bryan, MD 22725 15039 1007 Mary St Waycross GA 31501 4/1/2015 RN162692
Anderson-Parris, Mary Ann RN122052 Muhammad Alam, MD 69167 12357 3015 Veterans Pkwy Moultrie GA 31788 1/24/2015
Andrews, Regina Lynn RN154122 Timothy Graves, MD 26859 8227 770 Walnut Street Macon GA 31201 5/3/2013
Andrews, Regina Lynn RN154122 Dorothy Stewart, MD 46565 8129 325-A North Cobb Street Milledgeville GA 31061 4/12/2008
Angstadt, Joanne Fitzgerald RN176262 Paul Bradley, MD 30016 7954 340 Eisenhower Dr, Suite 1200 Savannah GA 31406 11/6/2009
Aninwene, Joy Chizobam RN205267 Ephraim Ahanonu, MD 48749 9529 611 Monroe St Macon GA 31201 7/25/2012
Anom, Aileen Michelle RN113842 Christopher Stevens, MD 54515 8387 2990 Five Forks Trickum Rd SW Lawrenceville GA 30044 7/27/2009
Ansley, Diane RN046318 Blumer, John MD 53101 10077 3222A Shrine Road Brunswick GA 31520 1/5/2014
Anthony, Charmaine Simone RN183722 Robert Brown, MD 56269 8209 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 7/17/2014
Antinoro, Gloria Taff Hicks RN091472 Charles Roman, DO 43757 9259 2737 Warm Springs Rd, Suite B Columbus GA 31904 9/24/2010
Anyanwu, Justina RN156181 Nagnur, Shreedhar MD 49192 10540 600 West Memorial Drive Dallas GA 30132 6/7/2013
Apke, Jennifer RN211693 Broadney, Michlene MD 55207 10185 1279 Hwy 54 West, Ste 220 Fayetteville GA 30214 6/30/2012
Appiah-Kubi, Mavis RN185422 Walter Smith, MD 37078 8415 3498 Walnut Ridge Atlanta GA 30349 8/25/2009
Appiah-Kubi, Mavis RN185422 Lawrence Powell, MD 38915 7977 4120 Austell Road SW Austell GA 30106 5/29/2009
Appiah-Kubi, Mavis RN185422 Phillip Nowlin, MD 36588 8916 4480 South Cobb Dr SE Smyrna GA 30080 7/31/2010
Wednesday, January 13, 2016 Page 4 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Arabshahi, Farnaz RN151189 Isioma Okwumabua, MD 70256 13931 3003 Old Alabama Rd Alpharetta GA 30022 11/14/2014
Archer, Holly Lynn Hargrove RN124097 Richard Loyd, DO 37446 93 601 A Professional Dr. Lawrenceville GA 30045 11/1/2007
Armand, Jean RN183299 Upshaw,Thomas MD 37716 10529 1968 Peachtree Road NW Atlanta GA 30309 1/7/2015
Armand, Jean Marie RN183299 Thomas DeMaro, DO 58665 12401 710 Center St, Emer Dept Columbus GA 31801 5/1/2014
Armstrong, Lisa Kristen RN176012 Kenneth Taylor, MD 38985 97 275 Collier Rd, Suite 500 Atlanta GA 30309 2/18/2013
Armstrong, Helen Victoria RN200896 Joan Harden, MD 48640 8783 1862 Candler Road Decatur GA 30032 1/1/2010
Armstrong, Lisa RN176012 Schramm, Charles Steven 29944 10460 993F Johnson Ferry Road, Ste 210 Atlanta GA 30342 6/2/2014 MD
Asa, Michele RN170388 Alicia Hopkins, DO 66506 13521 2800 Overlook Pkwy Atlanta GA 30339 7/30/2014
Asa, Michele RN170388 Alicia Hopkins, DO 66506 13081 2800 Overlook Pkwy Atlanta GA 30339 4/5/2014
Asher, Sue RN142933 William Raisig, MD 55290 8094 64 Call-Wright Road Ellijay GA 30540 5/23/2008
Asher, Sue RN142933 Paul Cox, MD 49762 9009 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 6/1/2010
Aspinwall, Susan Elena Gilstrap RN083491 Sharon Steele, MD 29795 108 601-A Professional Drive, Suite 370 Lawrenceville GA 30045 7/25/2014
Astles, Colleen Anne RN150271 Nichole LeBoyd, MD 54452 7868 3003 Old Alabama Rd Alpharetta GA 30022 4/12/2014
Atchley, Torrey RN191965 Pablo Perez, MD 47502 14607 2510 Redmond Cir N W Rome GA 30165 11/6/2014
Atkins, Letisha Nicole RN157938 Joseph Joyave, MD 43977 8543 100 Market Place Blvd, #201 Cartersville GA 30121 7/20/2012
Atkinson, Denise F RN123829 William Grow, MD 13752 12781 203 Woodrow Wilson Dr Valdosta GA 31602 12/15/2014
Augereau, Cynthia Lindsay RN174546 Bhumiben Purohit, MD 58812 8922 50 Barrett Pkwy Marietta GA 30066 10/12/2010
Augestad, Allison Brooke RN206701 Elizabeth Littlefield, MD 36397 13542 11720 Medlock Bridge Rd, Suite 170 Johns Creek GA 30097 2/18/2015
Augestad, Allison RN206701 William Almon, MD 30938 14496 5755 North Point Parkway, Ste 72 Alpharetta GA 30022 9/18/2015
Augustine-Akpan, Inemienyu RN181184 McCord, Charles MD 39409 10444 3345 Hwy 34E, Ste 102 Sharpsburg GA 30277 12/24/2014
Wednesday, January 13, 2016 Page 5 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Augustine-Akpan, Inemienyu N RN181184 Jane Ellis, MD 44208 11979 69 Jesse Hill Jr Dr SE, OB/GYN Dept, Atlanta GA 30303 1/16/2015 4th Floor
Augustine-Akpan, Inemienyu RN181184 Brown, Beverly MD 42534 10408 477 Windsor St SW, Ste 309 Atlanta GA 30312 7/25/2012
Aurelia, Allen RN121276 William Sightler, DO 34715 15997 195 N Broad St Alamo GA 30411 6/14/2012
Auriemma, Kimberly Anne Wood RN113740 Gena Volas-Redd, MD 45356 112 340 Kennestone Hospital Blvd Marietta GA 30060 10/31/2011
Auriemma, Kimberly RN113740 Zemsky, Lynn MD 51281 10170 340 Kennestone Hospitl Blvd, Ste 100 Marietta GA 30060 6/8/2012
Austin, Barbara Renell Clark RN128161 David Van, MD 29545 9846 747 S. Hill St Griffin GA 30224 6/1/2011
Austin, Barbara RN128161 Epps, Douglas MD 48349 10564 1050 Eagles Landing Pkwy, Ste 302 Stockbridge GA 30281 8/20/2012
Austin, Jennifer Chipps RN187723 Debra Miller, MD 41898 8620 1700 Hospital South Dr, Suite 300 Austell GA 30106 8/15/2011
Austin, SeKeithia Sims RN195200 John Schilling, MD 28883 15941 1200 N Jefferson St. Albany GA 31701 6/22/2015
Bachtel, Mary Kathleen Jones RN123161 William Little, MD 24288 122 6175 Newton Drive Covington GA 30014 10/25/2012
Bachtel, Mary Kathleen Jones RN123161 John Cheng, MD 53117 11719 1645 Tullie Circle Atlanta GA 30329 1/16/2015
Bacot, Brittany RN203478 George Palmer, MD 30658 11929 1012 Bremuda Run Rd Statesboro GA 30458 1/30/2015
Badnin, Martha Ellen RN089038 Joseph Lesesne, MD 29712 125 1100 Johnson Ferry Rd, #600 Atlanta GA 30342 12/31/2010
Baggett, Patricia Robin RN065906 Leslie Cottrell, MD 45194 126 PO Box 658 Mt. Zion GA 30150 6/14/2013
Baggett, Krystal RN159515 Seward, James MD 27247 10067 200 Industrial Blvd ER Dublin GA 31021 3/31/2014
Baggs, Florence Oralee RN089010 Lewis Litwack, MD 61981 9368 PO Box 554 Ludowici GA 31316 8/26/2011
Bagwell, Kristy Sue RN078685 David Dillard, MD 40364 128 1000 Hawthorne Avenue, Suite O Athens GA 30606 7/30/2009
Bagwell, Kristy Sue RN078685 Alan Wang, MD 48017 14016 601 Northholt Pkwy Suwanee GA 30024 4/30/2015
Bailey, Jean M. RN092042 Heywood K. Gay, MD 38768 11365 961 E. Winthrope Ave. Millen GA 30442 8/31/2014
Bailon, Melva Curameng Blanquera RN073825 William Grow, MD 13752 12388 203 Woodrow Wilson Dr Valdosta GA 31602 8/6/2014
Wednesday, January 13, 2016 Page 6 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Baker, Chester Riley RN146348 Frederick Moore, MD 22254 135 663 Lanier Park Drive Gainesville GA 30501 9/1/2009
Baker, Karen Marie RN078399 Cheryl Jones, MD 34865 5486 308 Coliseum Dr., Suite 120 Macon GA 31217 7/24/2008
Baker, Vanessa Young RN072455 W. Merrill Hicks, Jr., MD 38251 9273 334 Smith ave Thomasville GA 31792 10/31/2012
Baker, Vanessa Young RN072455 Ellen Courson, MD 34089 8615 3811 Old US Hwy 41 North Valdosta GA 31602 3/16/2011
Baker, Tracey Lea Lewis RN097754 Thomas A. Buice, MD 51758 142 102 Swatts Street Barnesville GA 30204 2/28/2011
Baker, Karen Marie RN078399 Victoria Afshani, MD 55214 8340 1000 Cowles Clinic Way, Suite M-200 Greensboro GA 30642 9/25/2014
Baker-Janis, Victoria M. RN190935 Noreen Andrews, MD 46861 9910 1910 Hwy 20 SE, Suite 270 Conyers GA 30013 2/15/2013
Baker-Janis, Victoria M RN190935 Noreen Andrews, MD 46861 8577 2380 Buford Dr, Suite 201 Lawrenceville GA 30043 1/2/2011
Baker-Janis, Victoria M RN190935 Robert Deimler, DO 38728 11734 3555 Centerville Hwy, Suite 100 Snellville GA 30039 6/10/2014
Baker-Janis, Victoria RN190935 Smith, Harmon MD 41486 10271 1080 Green Street S.W. Conyers GA 30012 2/28/2013
Baker-Janis, Victoria M. RN190935 Hai Trinh, MD 55991 9917 2118 Scenic Hwy, Suite H Snellville GA 30078 4/16/2012
Baker-Janis, Victoria M RN190935 Mark Elam, MD 36147 13692 100 Medical Center Blvd, Suite 290 Lawrenceville GA 30046 5/11/2015
Ballard, Linda Kozak RN107598 Jeanne Boudreaux, MD 43559 147 5455 Meridian mark Rd, Suite 400 Atlanta GA 30342 4/1/2013
Balun, Brooke Poindexter RN107100 Carlos Franco, MD 23733 149 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 30005 9/25/2014
Banerjee, Pamela Mouhot RN194007 Hope Hamilton-Rodgers, MD 53548 8132 330 Turner McCall Blvd, Suite 306 Rome GA 30165 12/15/2010
Bangurah, Saphie RN147934 Palmore, Melody MD 33679 10064 341 Ponce de Leon Avenue Atlanta GA 30308 12/4/2013
Banister, Anna Lee RN144607 Ramualdo Laygo, MD 17843 13527 1451 Hwy 21 South, Ste H Springfield GA 31329 12/23/2014
Banister, Anna Lee RN144607 Christopher DeLisle, DO 61961 9774 7306 Hwy 21, Suite 105 Pt. Wentworth GA 31407 1/26/2012
Banister, Anna Lee RN144607 Christopher Mathews, MD 49133 9772 100 Goshen Rd Rincon GA 31326 6/1/2012
Banister, Anna Lee RN144607 John Bennett, MD 53838 12946 7306 Hwy 21, Suite 105 Pt Wentworth GA 31407 12/23/2014
Banks-Blades, Paulette Rena RN169953 Mihaela Saler, MD 66316 11888 1350 Walton Way Augusta GA 30901 12/16/2013
Wednesday, January 13, 2016 Page 7 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Banner, Laura RN198626 Penix, LaRoy MD 49080 10277 1315 Jesse Jewell Pkwy Ste 300 Gainesville GA 30501 6/23/2014
Baran, Susan Lorraine RN120593 Eduard Docu, MD 56426 153 102 Bryan Woods Road Savannah GA 31410 11/1/2008
Baraona, Laura K RN047021 Willard Hearin, MD 23604 5039 761 Old Norcross Road Lawrenceville GA 30045 1/7/2010
Barber, Sarah Crowe RN134966 Bradley Ward, MD 21115 520 97 Church Street Taylorsville GA 30178 11/17/2010
Barber, Ronald Blake RN135629 Stephen Dawkins, MD 33066 155 535 North Central Avenue Hapeville GA 30354 5/30/2009
Barber, Sarah Crowe RN134966 Bradley Ward, MD 21115 9688 97 Church St Taylorsville GA 30178 10/15/2012
Barber, Babette RN089020 Catherine Martin, MD 54826 15481 2630 Rockmart Hwy Cedartown GA 30125 7/6/2015
Barkhaus, Corby Lynn RN108439 William Paxton, MD 46206 16678 595 Hurricane Shoals Rd NW, Ste 100 Lawrenceville GA 30046 11/6/2015
Barkhaus, Corby Lynn RN108439 Karen Muro, MD 37304 14823 497 Winn Way, Ste A 210 Decatur GA 30030 11/6/2015
Barlowe, Brenda Jane Harvel RN119659 Thomas Hatchett, MD 36984 5040 870-A Austin Dr Demorest GA 30535 9/3/2015
Barnard, Angela C. RN096995 John Schilling, MD 30880 9667 290 Country Club Dr Stockbridge GA 30281 7/25/2012
Barnes, Susan McGraw RN105904 Ann Ward, MD 23242 8128 304 Turner McCall Blvd Rome GA 30165 10/1/2008
Barnes, Susan McGraw RN105904 Shannon Vaughn, MD 46000 11646 304 Turner McCall Blvd Rome GA 30165 7/5/2013
Barnes, Susan McGraw RN105904 S Joe Vaughn, MD 46000 12202 304 Turner McCall Blvd Rome GA 30165 5/1/2015
Barnett, Tammy Lynn RN147543 Julian McLendon, Jr., MD 38557 163 3758 Hwy 42 Locust Grove GA 30248 6/23/2009
Barnett, Tammy Lynn RN147543 William Taunton, Jr., MD 63543 9074 235 Medical Court Forsyth GA 31029 2/4/2011
Barrett, Karen Lee RN080586 Sinan Haddad, MD 56455 9981 1250 Jesse Jewell Pkwy, Ste 400 Gainesville GA 30501 4/22/2014
Barrett, Karen RN080586 Powell, Eric MD 49081 10666 82 College Circle, Room 107 HNS Dahlonega GA 30597 5/1/2012
Barrett, Patricia Annette Tinney RN093282 Mark Elam, MD 36147 13414 91 4th Street Trion GA 30753 1/9/2015
Barrett, Nadine Janice Fearon RN143515 Richard Schwartz, MD 42935 9152 4471 Washington Road Evans GA 30809 8/1/2011
Barrett, Nadine JF RN143515 Richard Schwartz, MD 42935 9938 1120 15th St, Ste AF-2044 Augusta GA 30912 8/1/2011
Wednesday, January 13, 2016 Page 8 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Barrett, Dena RN129513 Robert Burkich, MD 46372 15846 148 Cobb Parkway Ringgold GA 30736 7/31/2015
Barrett-Brown, Angela Dian RN128594 Roshan Shrestha, MD 56765 8325 1968 Peachtree Road NW Atlatna GA 30309 12/16/2008
Barrington, Elizabeth C. RN140084 Najaz Woods-Bishop, MD 58350 168 1510 Hudson Bridge Rd. Stockbridge GA 30281 5/11/2014
Barrington, Elizabeth RN140084 Harrison Stetler, MD 41681 10762 3957 Holcomb Bridge Road S, Ste 100 Norcross GA 30092 10/1/2012
Barry, Amy Elizabeth Gartner RN156491 Karen Wasilewski, MD 53203 1061 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 11/30/2009
Bartock, Dawn Jennifer RN221390 Todd Cooper, DO 61411 11916 1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta GA 30322 12/31/2014
Bartock, Dawn J. RN221390 Shawn Jobe, MD 60143 11287 1405 Clifton Rd., NE Atlanta GA 30322 2/25/2013
Basham, Carson RN144473 Hulse, Michael MD 40695 10171 10515 Bells Ferry Road, Ste 200 Canton GA 30114 7/25/2012
Bass, Pollyanna Marie RN128236 Jerry Purvis, MD 9235 174 520 Griffin Ave Valdosta GA 31601 4/14/2014
Bass, Pollyanna Marie RN128236 Renaldas Smidtas, MD 41959 13126 4002 North Oak St Ext Valdosta GA 31602 8/31/2014
Bass, Pollyanna Marie RN128236 Jarod Bailey, DO 65929 14049 2412 N. Oak St. Valdosta GA 31602 7/7/2015
Batson, Anne RN090604 Scott Leibowitz, MD 53477 12167 5673 Peachtree Dunwoody Rd, # 775 Atlanta GA 30342 2/21/2014
Battle, Debra Kaye RN087170 Henry Lewis, MD 49052 8339 1990 Limestone Circle, Suite 100 Gainesville GA 30501 6/30/2010
Battle, Juanita RN036923 Jabez Marshall, MD 13066 14441 205 Rees St, Ste A Americus GA 31709 4/11/2015
Bauch, Marie Lynn RN230516 Robert Hall, MD 45234 13623 231 Graefe St. Griffin GA 30224 2/9/2015
Baughman, Diana Marie RN168400 Jeffrey Esslinger, MD 45455 9243 300 Courtyard Dr, Suite A Cartersville GA 30120 2/14/2013
Baughman, Diana Marie RN168400 Mary East, MD 63187 9022 300 Cherokee Pl Cartersville GA 30121 6/10/2010
Baughman, Diana Marie RN168400 Timothy Ryan, MD 40220 8364 84 Pine Grove Road Cartersville GA 30120 2/4/2010
Bean, Heather Michelle RN129550 Avril Beckford, MD 35814 183 1810 Mulkey Road, Suite 201 Austell GA 30106 1/1/2013
Beasley, Kitty Marie RN159427 Robert Shiver, MD 17489 8528 48 US Hwy 19 South Camilla GA 31730 12/8/2010
Beauchamp, Hannah Rebecca RN224465 Vishwas S. Sakhalkar, MD 66808 11590 770 Pine St., #520 Macon GA 31201 9/27/2013
Wednesday, January 13, 2016 Page 9 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Becker, Deborah A RN066734 Rubina Sial, MD 63600 13484 311 Gwinnett Dr. Lawrenceville GA 30046 10/21/2014
Becker, Deborah A. RN066734 Dan Ioanitescu, MD 51476 8475 940-C Hwy 96 Warner Robins GA 31088 8/6/2012
Becklenberg, Amy M RN225162 Travis Bowles, MD 68374 11985 3939 Roswell Rd, Suite 200 Marietta GA 30062 2/19/2014
Beckworth, Jill Katrice RN132814 Christopher Oldfield, MD 46195 188 1326 Eisenhower Drive Savannah GA 31406 7/31/2010
Beckworth, Jill K. RN132814 Yulianty D. Kusuma, MD 61279 11539 130 Stephenson Ave, #102 Savannah GA 31406 3/31/2014
Beddard, Crystal Patrice RN182810 Yolanda Hacker, MD 45811 11772 Take Care Clinic, 5985 Peachtree Pkwy Norcross GA 30092 3/26/2014
Beddard, Crystal P. RN182810 Marc G. Amaya, MD 47181 11493 88954 Hospital Dr. Douglasville GA 30134 3/13/2013
Beddard, Crystal Patrice RN182810 Michael Burke, MD 54798 14615 2849 B Henderdon Mill Rd Atlanta GA 30341 1/28/2015
Bedingfield, Amy P RN046188 Andrew Helfgott, MD 55953 189 1120 15th Street, Suite BA-7410 Augusta GA 30912 5/20/2011
Beelman, Lynne Ann RN105146 Kevin J. Smith, MD 41961 192 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 30144 9/30/2009
Beelman, Lynne Ann RN105146 Kathleen Gunchick, MD 28760 8850 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 7/16/2012
Beelman, Lynne RN105146 Yvonne Smith, MD 42443 11050 1685 Old Pendergrass Rd. Jefferson GA 30549 2/7/2013
Bell, Melissa Bradley RN169682 Kevin Lokkesmoe, MD 32941 12208 4328 Armour Rd Columbus GA 31904 6/24/2014
Bell, Gilbert Lawrence RN076464 Ronnie Hendrix, MD 24690 14271 4835 Sugarloaf Pkwy Lawrenceville GA 30045 11/30/2015
Bell, Shannon RN222369 Arlauskas, Vincent MD 48408 10917 2500 Starling Street, Ste 201 Brunswick GA 31520 10/1/2012
Bellamy, Virginia Elizabeth RN127670 George L. Smith III, MD 21816 13068 4166 A Newton Drive Covington GA 30014 6/27/2014
Bellinger, Susan Elise RN201410 Richard Ambrozic, MD 43851 12769 3321-B N Valdosta Rd Valdosta GA 31602 7/1/2014
Beltran, Beverly E. RN124223 Shameka McElhaney, MD 54854 8906 7530 Roswell Road Atlanta GA 30350 4/25/2011
Beltran, Beverly E. RN124223 Christopher Doerr, DO 34578 9905 108 Park Ave Athens GA 30601 7/23/2011
Beltran, Beverly RN124223 Raymond McKoy, DO 44536 9926 18 Riverbend Dr Rome GA 30161 7/1/2014
Wednesday, January 13, 2016 Page 10 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Beltran, Beverly RN124223 Amber Zafar, MD 47384 15844 1735 S Hwy 27 Carrollton GA 30117-8941 8/8/2015
Bembry, Earl Dan RN149999 Andre McShan, MD 54869 9758 7828 River Rd Waynesboro GA 30830 9/1/2011
Bendall, Misty Leigh RN230334 Charles Roman, DO 43757 12770 2737 Warm Springs Rd Columbus GA 31904 10/8/2013
Bendall, Misty Leigh RN2303344 Kimbley Brown-Gullatt, MD 55549 14217 1600 Fort Benning Rd Columbus GA 31903 6/6/2014
Bender, Natoya N. RN172939 Alison E. Krause, MD 40443 11622 404 Hospital W Dr. Austell GA 30106 5/16/2013
Bender, NaToya Nicola RN172939 Walisa Maynard, MD 50658 12048 677 Church St, Bldg 310 Marietta GA 30060 11/1/2013
Bender, NaToya RN172939 John Ogundipe, MD 39193 15649 2130 Anderson Mill Rd Austell GA 30106 10/7/2015
Bennett, Jennifer SuAnne RN144863 Marc Coan, MD 33295 9374 58 Big A Rd Toccoa GA 30577 4/9/2014
Benson, Ellen Mary RN110079 Walter Hill, MD 9835 13945 345 Blvd NE, Ste 100 Atlanta GA 30312 3/31/2015
Benson, Ellen Mary RN110079 Michael Gladson, MD 21506 211 3877 Morris Ct Norcross GA 30092 7/25/2012
Benson, Ellen Mary RN110079 Dennis O'Brien, MD 25893 9705 3877 Morris Court Norcross GA 30092 4/20/2013
Benston, Janna Marie Langemo RN093585 Sandy Jun, MD 37005 212 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 30328 7/20/2015
Bent, Octavia Lenora RN212018 Guilherme Cantuaria, MD 65227 12692 960 Johnson Ferry Rd, Suite 130 Atlanta GA 30342 10/10/2014
Berg, Shawna RN113194 Gaye Haynes, MD 49696 11114 2906 Franklin Parkway Franklin GA 30217 6/1/2013
Berg, Shawna Marie Aukerman RN113194 Thomas Comstock, MD 19151 12197 802 Dixie St Carrollton GA 30117 2/9/2015
Berg, Shawna RN113194 Ou, Mike MD 53301 10256 1125 East Highway 166 Bowdon GA 30108 6/10/2013
Berglund, Molly Kathryn RN175534 Zenobia Day, MD 61959 12614 2600 Martin Luther King Jr Dr SW, Atlanta GA 30311 1/29/2015 Suite 100
Berry, Marian Adale RN158389 Cindy Freed, D.O. 45791 12066 6135 Roosevelt Highway Warm Springs GA 31830 1/31/2015
Berry, Marian Adale RN158389 Allen Jones, Jr, MD 32214 9458 6135 Roosevelt Hwy Warm Springs GA 31830 8/30/2013
Berry, Marian Adale RN158389 Cindy Freed, DO 45791 8592 6135 Roosevelt Hwy Warm Springs GA 31830 8/9/2010
Wednesday, January 13, 2016 Page 11 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Berry, Marian Adale RN158389 Roy Jefferson, MD 41443 7909 6135 Roosevelt Hwy, PO Box 1000 Warm Springs GA 31830 3/15/2009
Bhakta, Mayuri Ashok RN168372 John Reed, MD 35506 12285 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 30046 3/16/2015
Bibisi, Lucy RN219355 Kevin Lokkesmoe, MD 32941 16206 4328 Armour Rd Columbus GA 31904 10/1/2015
Bird, Patricia Anne Keesee RN069002 Noreen Andrews, MD 46861 226 1910 Hwy 20 SE, Suite 270 Conyers GA 30013 11/1/2010
Bishop, Joy Elaine Miller RN102177 Lisa Miller, MD 38874 228 4152 Baker Street NE Covington GA 30014 6/18/2013
Bishop, Diana Rogers RN184335 Lasonya Roberts, MD 52818 9814 340 Kennestone Hosp Blvd, Suite 150 Marietta GA 30060 4/26/2013
Bivins, Laurie Eileen RN094302 Prakash Desai, MD 18482 231 1664 Mulkey Road Austell GA 30106 5/11/2015
Bixler, Linda RN191831 Charles Cowart, MD 29161 15382 1101 Ocilla Rd Douglas GA 31533 8/10/2015
Blackburn, Carol A RN173529 Bozeman K. Sherwood, MD 26379 11246 447 North Belair Road Evans GA 30809 5/1/2015
Blackmon, Ashley RN184648 Kashif Ahmed, MD 61547 11355 Eagle's Landing Family Practice, 2200 McDonough GA 30252 3/22/2013 Hwy 155 Nort
Blackwell, Jane RN148923 Williams, Ande MD 22081 10066 166 Snapfinger Woods Drive Decatur GA 3035 7/25/2012
Blackwell, Christian RN244330 Wayne Bloodworth, MD 18124 15724 6794 Bill Carruth Pkwy Hiram GA 30141 8/7/2015
Blaesser, Marian RN164653 Wyatt, David MD 42979 10611 9925 Haynes Bridge Road Alpharetta GA 30022 12/15/2012
Blair, Timothy Robert RN169896 Carl Lindblad, MD 22163 13806 4700 battlefield Pkwy Ste. 150 Ringgold GA 30736 11/25/2014
Blalock, Jamie RN149435 Thomas Gary, MD 60264 10911 123 Weaver Roaad, Ste A Blairsville GA 30512 8/29/2012
Blalock, Jamie Rivkin RN149435 Debora Quigley, MD 36601 12901 2257 Hwy 515, Ste B Blairsville GA 30512 4/22/2015
Bland, Loren Copeland RN164599 George Capo, DO 42539 9201 1007 Memorial Dr Griffin GA 30224 5/1/2011
Bland, Loren RN164599 Hitson, Charles MD 26554 10388 231 Graefe Street Griffin GA 30223 11/22/2013
Blankenship, Kimberly Jo RN105484 William Kriegel, DO 31962 5060 3405 SW Dallas Hwy, Suite 505 Marietta GA 30064 11/29/2011
Blanton, Carla Arlene Gustin RN093010 Guillermo Saurina, MD 48570 244 201 Pendleton Dr. Valdosta GA 31605 7/27/2010
Wednesday, January 13, 2016 Page 12 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Blanton, Carla Arlene Gustin RN093010 Stephen Zeigler, MD 35174 9869 2330 North Ashley St Valdosta GA 31603 2/16/2012
Blanton, Carla Arlene Gustin RN093010 Arvind Gupta, MD 33344 9311 3207 Country Club Dr, Suite 2010 Valdosta GA 31605 2/4/2011
Blow, Catherine Ann RN106260 Mahmood Ahmed, MD 42008 12225 231 Graefe St Griffin GA 30224 2/9/2015
Boatright, Amanda Lee RN169897 Michael Deen, MD 58459 12790 143 Hwy 32 By-Pass Alma GA 31510 5/20/2015
Boddy, Alexis Nicole RN234875 Jonathon Allen, MD 56949 14009 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 30742 11/1/2014
Boggs, Heather Marie RN149754 Julian McLendon, Jr., MD 38557 9746 1502 West 3rd St Jackson GA 30233 10/1/2011
Boggs, Heather RN149754 Wu, Changchun MD 61537 10081 65 Old Jackson Road McDonough GA 30252 10/1/2011
Bogle, Regina Lynette Chupp RN053871 Mohamad El-Attar, MD 41286 251 1311 Milstead Avenue Conyers GA 30012 11/30/2011
Bohn, Joy Page RN063667 Kunz, David MD 29703 10004 1655 Lebanon Road, Suite A Lawrenceville GA 30043 8/17/2013
Boles, Shaheedah RN151817 Sasa Strunjas, MD 66426 11323 1915 Eisenhower Dr Savannah GA 31406 12/6/2012
Bolger, Angela Y RN200066 Raymond Easley, DO 20987 12586 555 Old Norcross Rd, Suite 100 Lawrenceville GA 30046 5/1/2015
Bolger, Angela Y. RN200066 Ceylon Rowland, MD 52202 8821 3855 Pleasant Hill Rd, Suite 210 Duluth GA 30096 11/12/2010
Bolger, Angela Y. RN200066 Magdi Hanafi, MD 19269 8442 5673 Peachtree Dunwoody Rd, #750 Atlanta GA 30342 3/31/2009
Bolger, Angela RN200066 Bennie Brown, MD 65055 14561 555 Old Norcross Rd, Ste 100 Lawrenceville GA 30046 12/2/2014
Bolton, Margaret Lynne RN176585 Jonathan Ehrlich, MD 15580 5063 993-D Johnson Ferry Road, Suite 360 Atlanta GA 30342 6/8/2008
Bolton, Kasey Lynn Armour RN134351 Donald Fordham, MD 44718 256 865 Austin Dr Demorest GA 30535 1/12/2015
Bolton-Harris, Elizabeth RN135828 Daniel Sims, MD 57323 11062 1365 Clifton Rd., Ste A2115 Atlanta GA 30322 10/20/2013
Bonhaus, Stephanie RN177260 Kidd, Mary MD 57092 10684 1700 Hospital South Dr, Ste 500 Austell GA 30106 5/21/2013
Bonhaus, Stephanie R. RN177260 Renwick Hood, MD 24265 8478 761 Old Norcross Road Lawrenceville GA 30045 12/23/2009
Bono, Laura RN170150 Hamdi, Haleh MD 49022 10279 1700 Tree Lane, Ste 290 Snellville GA 30078 7/25/2012
Boodhoo, Jacqueline V. RN221717 Kevin E. Woods, MD 68023 11492 1365 Clifton Rd., Ste 1200 Atlanta GA 30322 7/1/2015
Wednesday, January 13, 2016 Page 13 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Boone, Karen Y RN099067 Jacob Varghese, MD 56933 7746 3003 Old Alabama Road Alpharetta GA 30022 8/24/2012
Booth, Carmen Diana RN112063 Roy Harry, MD 28781 8505 PO Box 326 Midville GA 30441 7/1/2009
Booth, Carmen Diana RN112063 Wanda Gobin, DO 53912 12233 3015 Veterans Pkwy Moultrie GA 31788 11/1/2013
Booth, Carmen Diana RN112063 Mark Allen Lee, MD 59451 13280 3116 N. Oak St. Ext. Valdosta GA 31602 8/1/2014
Booth, Carmen Diana RN112063 Wendy Vandemark, MD 57511 260 103 Wayne Avenue Valdosta GA 31602 5/31/2010
Booth, Carmen Diana RN112063 James Eutzler, DO 49729 8736 520 Griffin Ave Valdosta GA 31601 3/31/2010
Booth, Kristin RN208838 Blanks, Keith DO 52042 10413 616 19th Street Columbus GA 31901 7/25/2012
Booth, Kristin Ann RN208838 Anthony Ditaranto, MD 29865 9375 1629 10th Ave, Suite B Columbus GA 31901 12/1/2011
Booth, Sara Elizabeth RN168378 Bradley George, MD 46408 261 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 4/13/2009
Booth, Carmen Diana RN112063 Martha Millan-Sanchez, MD 66223 12678 3015 Veternas Pkwy Moultrie GA 31788 7/3/2014
Booth, Carmen Diana RN112063 Joel Morgan, MD 31295 8596 3541 N. Crossing Cir Valdosta GA 31602 5/30/2013
Bootle, Jennifer Boyd RN227783 Amanda Cowan, MD 50793 12477 14089 Abercorn St Savannah GA 31419 10/1/2014
Bootle, Jennifer RN227783 Patrick McMahon, MD 25460 14494 110 Medical Parkway Pooler GA 31322 1/20/2015
Bordelon, III, Curry Joseph RN157261 Mike Dwyer, MD 50360 8174 5901-C Peachtree-Dunwoody Rd, #C65 Atlanta GA 30328 6/22/2015
Boring, Debra Leigh RN218803 Arvind Chakravarthy, MD 68991 14182 5665 New Northside Dr, Ste 320 Atlanta GA 30328 11/1/2014
Borkovich, Eileen Clare RN156861 Rolf Meinhold, MD 29727 7903 2700 Abbey Court Alpharetta GA 30004 5/2/2013
Botah-Odduro, Ophelia Anane RN145040 Joyce Drayton, MD 38737 8775 1 Baltimore Place, Suite 360 Atlanta GA 30308 7/8/2011
Botah-Oduro, Ophelia Anane RN145040 Mitzi Clayton, MD 61408 9628 211 Fairview Rd Ellenwood GA 30294 7/1/2011
Botah-Oduro, Ophelia Anane RN145040 Oladayo Osinuga, MD 51703 8291 1203 Cleveland Avenue, Suite 2-D East Point GA 30344 3/19/2013
Botah-Oduro, Ophelia Anane RN145040 Chukwudi Amu, MD 26967 9223 5530-B Old National Hwy, Suite 100 College Park GA 30349 12/1/2009
Botah-Oduro, Ophelia Anane RN145040 Chukwudi Amu, MD 26967 2660 4150 Snapfinger Wds Dr, Suite 100 Decatur GA 30035 8/10/2009
Wednesday, January 13, 2016 Page 14 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Botero, John RN207415 Soyoola, Emmanuel MD 53032 10734 1870 Atlanta Hwy Ste J Gainesville GA 30504 3/19/2014
Bovee, Anna Marie RN118574 Hope McDaniel, MD 59287 8416 11766 Hwy 27 Summerville GA 30747 1/20/2009
Bowen, Cindy RN146042 Powell, Lawrence MD 38915 10810 1762 Mars Hill Road NW Acworth GA 30101 7/7/2013
Bowen, Cindy Jo-Ann RN146042 Walter Smith, MD 37078 272 3498 Walnut Ridge Atlanta GA 30349 8/25/2009
Bowen, Cindy Jo-Ann RN146042 Fidias DeLeon, MD 63891 9171 6935 S. Sweetwater Rd Lithia Springs GA 30122 1/31/2011
Bowen, Cindy Jo-Ann RN146042 John Coleman, MD 48498 9239 1720 Peachtree Rd, Suite 200 Atlanta GA 30309 10/10/2013
Bowen, Mark Timothy RN084864 Sidney Smith, III, MD 38615 273 900 Mohawk St, Suite E Savannah GA 31419 6/1/2011
Bowen, Cindy Jo-Ann RN146042 Phillip Nowlin, MD 36588 8915 491 East Main St Cartersville GA 30121 10/26/2013
Bower, Bonnie RN119753 Pinell, Michael MD 58102 10245 4123 Forsyth Rd, Ste K Macon GA 31210 3/25/2013
Bowie, Myra Annette RN128899 Meena Shah, MD 21464 9843 475 Philip Blvd, Suite 100 Lawrenceville GA 30045 8/31/2015
Bowser, Karen Alene RN101527 Bennett Hogan, MD 50024 9978 117 W Northside Dr Valdosta GA 31602 8/11/2014
Bowser, Karen Alene RN101527 Edwin Hiatt, MD 12920 9678 200 Georgia Ave Valdosta GA 31698 8/11/2014
Bowser, Karen Alene RN101527 Eric Davis, MD 63648 13322 3116 N. Oak St Ext Valdosta GA 31602 7/24/2014
Boyd, Pamela Ameilia RN060082 Michele Aguayo, MD 36490 11251 2594 Loganville Hwy, Suite 101 Grayson GA 30017 9/13/2013
Boyd, Jason RN168201 Shanda Newsome, MD 73879 16285 1390 Hwy 19 South Leesburg GA 31763 12/12/2015
Boyette, Eric Lawrence RN135750 Jeffrey Lennox, MD 38844 285 341 Ponce de Leon Avenue NE Atlanta GA 30308 12/19/2008
Boyle, Lynn Michele RN105979 Robert Strauss, MD 27307 7754 1700 Hospital South Drive, Suite 502 Austell GA 30106 7/15/2011
Boyle, Lynn Michele RN105979 Alison Krause, MD 40443 9204 4040 Hospital West Dr Austell GA 30106 10/26/2011
Bozarth, Melissa E. RN184674 Juan Ayerdi, MD 57278 11431 575 First St. Macon GA 31201 7/26/2014
Braaten, Rachael Lynn RN212484 Kenneth Patric, MD 69243 14089 3240 South Cobb Dr. Smyrna GA 30082 10/31/2014
Braaten, Rachael RN212484 Nitasha Burney, MD 55931 14466 3885 Princeton Lake Way, Ste 306 Atlanta GA 30331 8/20/2015
Wednesday, January 13, 2016 Page 15 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Brackett, Robin Ann RN101397 Alexander Gluzman, MD 56452 287 3820 Medical Park Dr Austell GA 30106 3/5/2013
Brackett, Robin Ann RN101397 Richard Maxa, MD 42655 9463 3505 Duluth Park Lane, Suite 400 Duluth GA 30096 12/24/2014
Brackett, Robin RN101397 Brandee Urrutia, MD 66661 15663 4355 Browns Bridge Rd, Ste 1 Cumming GA 30041 8/18/2015
Braden, Robin RN044266 F. Stephen Moore, MD 22254 7696 2324 Limestone Overlook Gainesville GA 30501 11/14/2011
Bradford, Tammy RN221074 Elia, Hany MD 30055 10600 3421 Mike Padgett Hwy Augusta GA 30906 4/20/2012
Bradley, Tajuana Belinda RN148400 Stephen Szabo, MD 44850 9478 6335 Hospital Pkwy, Suite 107 Duluth GA 30097 4/30/2015
Bradley, Jennifer Holloway RN164831 Steven Wolinsky, DO 47175 12891 425 W Third Ave, Suite 600 Albany GA 31701 10/23/2014
Bradshaw, Jessica Lynn RN205143 Joseph Hand, III, MD 49984 12640 1000 B - North Veterans Blvd Glennville GA 30427 8/11/2014
Brady, Mary Virginia RN195811 Traceyan Mendez, MD 57831 12743 215 North coleman St Swainsboro GA 30401 11/6/2014
Braender, Corinne W RN170003 Joshua Chern, MD 66010 15049 5455 Meridian Mar, Ste 540 Atlanta GA 30342 8/17/2015
Braker, Susan Jean RN101050 John Zora, MD 26420 297 1990 Riverside Parkway NW Lawrenceville GA 30043 8/31/2011
Branam, Misty Michelle RN193417 Joseph Watlington, MD 25685 13652 102 Erlanger South Dr. Ringgold GA 30736 12/11/2014
Brandeberry, Thomas RN160904 Ruschak, Lisa MD 59956 10366 1022 Miller Lane SW Darien GA 31305 8/19/2012
Brandeberry, Thomas RN160904 Powell, Eric MD 49081 10920 1111 Glynco Parkway, Bldg 1, Ste 10 Brunswick GA 31525 9/22/2012
Brannon, Elissa Darlene RN092114 Ramie Tritt, MD 20005 7738 5555 Peachtree Dunwoody Rd, Suite Atlanta GA 30342 4/3/2009 235
Brantley, Nina Sheria RN152769 Nitasha Burney, MD 55931 7880 4120 Austell Road SW Austell GA 30106 9/29/2014
Brantley, Nina Sheria RN152769 Charles Wilmer, MD 29394 9365 275 Collier Rd, Suite 300 Atlanta GA 30309 10/15/2013
Braxton, Charisse Alene Gathers RN143102 Michelle Morgan, DO 51694 307 2990 Five Forks Trickum Rd Lawrenceville GA 30044 3/31/2011
Brewer, Kimberly Lorraine RN192359 Bruce V. Ramsdell, MD 18722 11619 6110 Pine Mountain Rd., #201 Kennesaw GA 30152 10/12/2013
Brewer, Kimberly Lorraine RN192359 Paul Roberts, MD 69246 12481 10/12/2013
Wednesday, January 13, 2016 Page 16 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Brewster, Kimberly Enfield RN165564 Laura Beaty, MD 45168 9676 755 Mt Vernon Hwy, Suite 120 Atlanta GA 30328 11/13/2013
Brezial-Mincey, Yumeka Sherell RN124332 Joseph Korwin, MD 34878 14749 One Freedom Way Augusta GA 30904 12/3/2015
Brickhouse, Tammie Vincent RN149012 Norman Todd, MD 13313 12551 2015 Uppergate Dr Atlanga GA 30322 7/29/2014
Brier, Janie Clare Rishel RN107666 Kathleen Gunchick, MD 28760 318 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 1/6/2014
Brill, Pamela RN171528 Janss, Anna MD 52965 10364 1405 Clifton Road, 4th floor Atlanta GA 30322 5/11/2013
Brill, Pamela Beth RN171528 Bradley George, MD 46408 320 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 12/15/2011
Brock, La-Urshalar Beaushenique RN1678369 Ruth O'Regan, MD 53350 12070 1365 Clifton Rd NE, Bldg C Atlanta GA 30322 11/2/2015
Brock, La-Urshalar Beaushenique RN167836 Richard Robinson, MD 38936 8556 3240 Avalon Blvd Conyers GA 30013 6/28/2011
Brockett, Camille Tisha RN184254 James Short, MD 23877 12976 882 Ponce de Leon Ave Atlanta GA 30306 6/1/2014
Brooks, Chasidy Leigh RN190550 Fred Tega, MD 56493 13114 15A Baynard Park Newnan GA 30265 1/23/2015
Brooks, Rhonda M RN050475 Louis Mameli, MD 30648 330 214 Cherokee Rd Thomaston GA 30286 12/15/2014
Brooks, Lisa Mae Vickers RN129994 David Bosshardt, MD 26225 328 128 Battlefield Crossing Court Ringgold GA 30736 2/1/2014
Brooks, James Michael RN129516 Jaza Marina, MD 55267 8307 South Albany Med Ctr, 1300 Newton Albany GA 31701 3/2/2012 Road
Brooks, James RN129516 Morgan III, Joe Harris MD 53503 10746 2300 Dawson Road, Ste 101 Albany GA 31707 7/25/2014
Brown, Ludella RN064864 Richard Dent, MD 17 345 310 Eisenhower Dr, Suite 5A Savannah GA 31406 5/28/2008
Brown, Ludella RN064864 Russell Sliker, MD 46250 8308 1000 Town Center Blvd, Suite 701 Pooler GA 31322 5/1/2010
Brown, Mary Jane RN074964 Donald Fordham, MD 44718 8580 865 Austin Drive Demorest GA 30535 3/31/2010
Brown, Eric Jay RN177029 Nydia Bladuell, MD 38429 340 790 Church Street, Suite 470 Marietta GA 30060 4/1/2009
Brown, Monica Renee' RN112057 Maurice Clifton, MD 61053 8847 MSC Health Clinic - 100 College Station Macon GA 31206 11/21/2010 Dr
Brown, Mary Jane RN074964 Henry Lewis, MD 49052 9085 1990 Limestone Circle, Suite 100 Gainesville GA 30501 7/12/2010
Wednesday, January 13, 2016 Page 17 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Brown, Camille RN163812 Omari Hodge, MD 70459 14133 2154 Johson Ferry Rd NE Atlanta GA 30319-2558 8/1/2015
Brown, Yvonne RN171398 Oladayo Osinuga, MD 51703 356 1203 Cleveland Avenue, Suite 2-D East Point GA 30344 2/25/2008
Brown, Yvonne RN171398 Matthew Goldstein, MD 48115 8853 PO Box 587 Snellville GA 30078 8/9/2010
Brown, Yvonne RN171398 George Brown, MD 30275 9134 141 Piedmont Ave, Suite D Atlanta GA 30303 6/13/2011
Brown, Monica Renee RN112057 Gerald Brantley, MD 33535 2937 100 College Station Drive Macon GA 31206 8/3/2008
Brown, Betsy RN051771 Kidd, Mary MD 57092 10685 1700 Hospital South Drive, Ste 500 Austell GA 30106 5/21/2013
Brown, Betsy L RN051771 Lawrence Rowley, MD 35992 5074 1700 Hospital South Dr, Suite 500 Austell GA 30106 1/1/2014
Brown, Andrea Celina RN191333 Mina Jacob, MD 51477 8386 1700 Hospital South Dr, Suite 302 Austell GA 30106 4/13/2009
Brown, Brenda Rebecca McCune RN076533 Kathleen Gunchick, MD 28760 11854 KSU - 1000 Chastain Rd NW, House 52 Kennesaw GA 30144 1/6/2014
Brown, Brenda Rebecca McCune RN076533 Megan Bowles, MD 68486 13023 1000 Chastain Rd, House 53 Kennesaw GA 30144 3/18/2014
Brown, Monica Renee' RN112057 Allen Garrison, MD 54017 8334 100 College Station Dr Macon GA 31206 7/9/2009 RN112057
Brown, Brenda Rebecca McCune RN076533 Lawrence Powell, MD 38915 7722 4120 Austell Road SW Austell GA 30106 10/1/2013
Brown, Lisa RN165268 Rhonda Wachsmuth, MD 56664 15360 780 Canton Rd NE, Ste 410 Marietta GA 30060 8/18/2015
Brownlee, Amanda Lynn RN184377 Dana Kumjian, MD 35673 9489 1115 Lexington Ave Savannah GA 31404 2/1/2013
Bruce, Myra P. RN117972 Ann P. Ward, MD 23242 11603 48 Hills Creek Rd. Taylorville GA 30178 5/13/2013
Bruce, Myra RN117972 Pryor, Heather MD 44310 10687 508 North Main Street Cedartown GA 30125 11/30/2012
Brumbelow, Kelly Denea RN112048 Joseph Biuso, MD 28726 364 330 Turner McCall Blvd, Suite 203 Rome GA 30165 12/23/2008
Bruner, Kim J. RN047850 Pamella Thomas, MD 19277 11019 86 S. Cobb Dr., Suite M20454 Marietta GA 30063 10/1/2013
Bruner, Kim RN047850 Ognjenka Brkic-Vukotic, MD 47576 5477 11050 Crabapple Rd. Roswell GA 30075 10/15/2010 rn047850 rn047850
Wednesday, January 13, 2016 Page 18 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Bryant, Natalie Gayle RN152834 Andrew Michas, MD 49065 8529 1001 N. Monroe Street Albany GA 31701 8/13/2010
Bryant, Charles W. RN128293 Richard Ambrozic, MD 43851 369 2501 N. Patterson Street Valdosta GA 31602 3/27/2009
Bryant, Natalie Gayle RN152834 Mufaddal Kheda, MD 59860 9388 1200 N. Jefferson St Albany GA 31701 2/1/2011
Bryant, Roxanne Rush RN082727 William Kittle, MD 25197 7728 1350 Walton Way, POB II, Suite 200 Augusta GA 30901 7/1/2011
Bryant, Natalie Gayle RN152834 Michael Satchell, MD 49593 374 806 14th Avenue, Suite C Albany GA 31701 8/13/2010
Bryant, Charles W. RN128293 Douglas Moss, MD 41178 8574 814 Northwood Park Dr Valdosta GA 31602 7/14/2013
Bryant, Jr, Charles W RN128293 Eric Davis, MD 63648 11710 100 S. Madison Ave Thomasville GA 31792 4/10/2014
Bryd, Jenifer RN149798 Shelley Griffin, MD 16238 11083 305 Jones Ave. Waynesboro GA 30830 5/11/2013
Bubar, Kate Elizabeth RN221056 Ashley Davis, MD 58161 12693 5555 Whittlesey Blvd Columbus GA 31909 8/1/2014
Buchanan, Theresa Kassack RN149616 Heather Henry, MD 44231 9280 327 S. 9th Street Griffin GA 30224 6/11/2011
Buchanan, Stacy Briana RN160752 Kirti Kandalkar, MD 62877 12129 CHOA, 2660 Satellite Blvd Duluth GA 30096 6/25/2014
Buckley, Sheri RN123889 Bhumiben S.Purohit, MD 58812 11544 1890 Manor View Cumming GA 30041 6/30/2013
Bui, Binh Quoc RN127335 Patrick Voswinkel, MD 42760 386 10475 Medlock Bridge Rd, Suite 815 Duluth GA 30097 9/30/2011
Bui-Oliver, Binh RN127335 Yolanda Hacker, MD 45811 10270 2990 Five Forks Trickum Rd Lawrenceville GA 30044 9/19/2013
Bulfin, Susan Jean RN185242 Donovan Christie, MD 44432 7976 5985 Peachtree Pkwy NW Norcross GA 30092 2/1/2009
Bumgardner, Heather Nicole RN192027 John Roger Bennett, MD 53838 13851 7306 Hwy 21 Ste 105 Port Wentworth GA 31407 5/16/2015
Bumgardner, Robert Louis RN135809 L. Gail Matthews, MD 52182 390 595 Piedmont Avenue, Suite 100 Atlanta GA 30308 8/6/2012
Bunch, Jana Lamb RN177195 Cecilia Arango, MD 68354 12414 304 Westside Dr Douglas GA 31533 6/23/2014
Bunch, Jana RN177195 Hand III, Joseph MD 49984 10280 1000B N. Veterans Blvd Glennville GA 30427 10/2/2013
Bunch, Jana Lamb RN177195 Frank Bixler, MD 34779 8635 15 Yarbrough St Hazlehurst GA 31539 3/28/2010
Bupp, Melissa Jones RN176757 Devin Handley, MD 48345 13172 501 Mount Vernon Rd Monroe GA 30655 5/13/2014
Wednesday, January 13, 2016 Page 19 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Burch, Mary Catherine Cobb RN084921 James Douglas, MD 33569 394 1013 North 5th Avenue, Suite 2 Rome GA 30165 11/1/2012
Burch, Mary C. RN084921 Thomas L. Garcia, DO 63420 11541 1008 Piedmont Ave. Rockmart GA 30153 8/21/2013
Burch, Mary Catherine Cobb RN084921 Gregory Matechak, MD 52992 12611 1650 Chattahoochee Dr Rockmart GA 30153 4/14/2014
Burch, Erin Tapley RN136571 Eugene Jackson, MD 22793 11695 151 South Houston Rd, Suite 190 Warner Robins GA 31088 2/17/2015
Burger, Susan Elizabeth Reittinger RN126640 William Mills, MD 50901 399 58 Big A Road Toccoa GA 30577 1/1/2011
Burman, Holly Elizabeth RN124541 David Warren, MD 32492 7796 150 Gentilly Blvd Cartersville GA 30120 5/9/2015
Burns, Susannah RN157565 Kabir Das, MD 62867 13811 231 Graefe St. Griffin GA 30224 2/9/2015
Burns, Susannah RN157565 Kandzari, David MD 64993 10858 275 Collier Rd, Ste 300 Atlanta GA 30309 6/1/2013
Burns, Susannah RN157565 Richard Chewning, MD 20091 12254 231 Graefe St Griffin GA 30224 4/7/2014
Burris, Ashley RN198894 Olaitan Adeniji, MD 52670 10913 301 Philip Blv d, Ste A Lawrenceville GA 30045 8/29/2014
Burslem, Victoria Ann Henderson RN127607 Michlene Broadney, MD 55207 5080 11 Upper Riverdale Rd SW Riverdale GA 30274 8/1/2012
Bush, Karon J Pearson RN060034 Michael Pinell, MD 58102 409 6440 W Hamilton Park Dr, Suite F Columbus GA 31919 9/1/2015
Bush, Lisa RN069061 Sethi, Kapil MD 27303 10487 1429 Harper St HF Augusta GA 30912 11/30/2012
Buswell, Catherine L. RN178406 James Drury, MD 48891 8336 401 Old Albany Road Thomasville GA 31799 5/20/2010
Butler, Erin Brantley RN156529 Joan Harden, MD 48640 8414 1862 Candler Road Decatur GA 30032 1/1/2010
Butler, Jennifer Barnes RN122940 Muhammad Sheikh, MD 59195 421 11973 Augusta Road Lavonia GA 30553 9/30/2009
Butler, Yentl RN184069 Eastlyn Harding-Marin, MD 56841 11095 3812 Salem Rd. Covington GA 30016 10/4/2012
Butler, Yentl C. RN184069 Edward Gotlieb, MD 14500 11608 5405 Memorial Dr., #D Stone Mtn. GA 30083 8/1/2014
Byars, Terri RN149469 Roger Brooksbank, MD 68120 11115 501 Redmond Rd. Rome GA 30165 6/9/2015
Byars, Terri RN149469 Styderek, Robert MD 41491 10047 504 Redmond Road Rome GA 30165 6/28/2013
Byczkoski, Christy Natasha RN144570 William Bohlke, MD 37490 425 128 Parker Ave Brooklet GA 30415 2/21/2014
Wednesday, January 13, 2016 Page 20 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Byers, Ann Marie RN221894 LaRoy Penix, MD 49080 12331 743 Spring St Gainesville GA 30501 6/23/2014
Byrd, Linda RN119790 Cooper, Melanie MD 45753 10297 780 North Glynn Fayetteville GA 30214-1193 1/23/2013
Caballero, Lorena Maria RN198706 Dawn Wilson, MD 47279 13079 197 14th St NW, Suite 100 Atlanta GA 30318 11/5/2014
Cabrera, Maria Elena RN146346 Paul Kirshbom, MD 51593 430 1405 Clifton Rd Atlanta GA 30322 7/12/2012
Cadle, Harriet Eyvonne RN149820 Eduardo Montana, Jr., DO 35954 432 61 Whitcher Street, Ste 4140 Marietta GA 30060 11/1/2007
Cadle, Harriet Eyvonne RN149820 Yolanda Wade, MD 58345 13873 1735 S. Hwy 27 Carrolton GA 30117 6/28/2015
Cahill, Mary E RN083997 Gregory Zakers, MD 49847 435 4711 Peachtree Industrial Blvd. Suite B Norcross GA 30092 4/1/2015
Cain, Trina Renee RN054027 Larisa Bradford, MD 57050 437 706 South Wall Street Calhoun GA 30701 9/14/2009
Caldwell, Cindy M. RN115517 Roy Reardon, MD 42402 438 210 W. Main Street, Suite 4 Colquitt GA 39837 11/18/2014
Caldwell, Cindy RN115517 Lawson, Dale MD 54233 10009 2000 Palmyra Rd Albany GA 31707 3/30/2014
Calhoun, Sherry Jo Manley RN069645 Mark Elam, MD 36147 439 808 Professional Blvd Dalton GA 30720 12/1/2008
Calhoun, Sherry RN069645 Thompson, Jonathan MD 52646 10625 1012 Burleyson Road Dalton GA 30720 9/1/2014
Callahan, Kimberly Anne RN150230 Rayna Jobe, MD 60386 8363 805 Sandy Plains Road Marietta GA 30066 10/30/2009
Callahan, Kimberly Anne RN150230 Roshni Patel, MD 57141 9528 1645 Tullie Cir Atlanta GA 30329 2/15/2013
Calvert, Angela Mary RN221721 Mehrdad Seilanian Toosi, MD 67089 11889 200 South Enota Dr, Suite 200 Gainesville GA 30501 3/1/2014
Campbell, Jennifer M. Silas RN145376 E. Wynn Kallay, MD 27395 445 550 Professional Drive Macon GA 31201 6/17/2005
Campbell, Melissa Anne RN198068 Vicente Galan, MD 28685 8969 1365 Rock Quarry Rd, Suite 304 Stockbridge GA 30281 8/28/2015
Campbell, Joyce E RN149456 Denise Workman, DO 50693 446 55 Cantrell Rd. Cleveland GA 30528 10/15/2014
Campbell, Kimberly Michael RN179027 David Hart, MD 40682 448 2959 Sharpsburg McCollum Road Newnan GA 30265 10/25/2009
Campbell, Karen Jo RN088648 Patricia Nevius, MD 25648 447 2155 Post Oak Tritt Road, Suite 100 Marietta GA 30062 11/9/2011
Wednesday, January 13, 2016 Page 21 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Campbell, Lisa RN077336 Jillella, Anand MD 33843 10485 1120 15th Street, Ste BA=54-7 Augusta GA 30912 9/30/2013
Campbell Dunlap, Jane Lynn RN201888 Andre Feria, MD 48513 8551 142 Old Mill Road LaGrange GA 30241 10/25/2010
Cantrell, Jennifer Suzanne RN166999 Robert David Thomson, MD 47166 2147 3619 Braselton Hwy, Suite 103 Dacula GA 30019 2/22/2013
Cantrell, Jennifer Suzanne RN166999 S. Jan Fitzgerald-Soapes 16509 11744 3/6/2013
Carasick, Terry Apt RN176831 Glenn Heigerick, DO 24947 13965 615 B Beaver Ruin Rd. Lilburn GA 30047 6/25/2015 RN176831
Carden, Pamela Kay Hinds RN143868 Pamella Charles-Pryce, MD 58155 13681 794 S Park St. Carrolton GA 30117 2/27/2015
Cargill, Martha Nadine RN168656 Ann-Marie Brooks, MD 56806 7939 35 Jesse Hill Jr Dr Atlanta GA 30303 7/2/2010
Cargill, Martha Nadine RN168656 Roshni Patel, MD 57141 9320 1645 Tullie Circle Atlanta GA 30329 2/15/2013
Carlile, Ashley Dawn RN178335 Noreen Andrews, MD 46861 9610 3720 South Rockbridge Rd Stone Mountain GA 30087 10/4/2011
Carlton, Amanda RN202283 Ashley Stolle, MD 52097 11066 601-A Professional Dr., Ste 370 Lawrenceville GA 30046 6/23/2015
Carman, Catherine Michelle RN171371 George Raschbaum, MD 50252 460 5455 Meridian Mark Rd, Suite 570 Atlanta GA 30342 8/10/2010
Carman, Catherine RN171371 Alexander, Diane MD 34996 10464 5670 Peachtree Dunwody Road, Ste Atlanta GA 30342 7/3/2012 820
Carman, Catherine RN171371 Abboushi, Nour MD 60695 10162 3200 Downwood Circle Ste 640 Atlanta GA 30327 1/31/2012
Carnegie, Serenia Porter RN117177 Terry B. Tri, MD 38991 462 2301 North Ashley Street Valdosta GA 31602 1/18/2008
Carney, Julie Freeman RN168354 Sreekanth Reddy, MD 49476 13136 1505 Northside Blvd, Ste 4600 Cumming GA 30041 4/2/2015
Carpenter, Deborah Elizabeth Bred RN095425 Tressa Scineaux, MD 49499 9439 1616 Market Place Blvd Cumming GA 30041 1/30/2012
Carpenter, Deborah RN095425 Gerber, Alan MD 58672 10503 2069 Teron Trace Dacula GA 30019 7/1/2015
Carpenter, Barbie Jenine Hackle RN109260 Bruce Gioia, MD 38774 465 247 S. Main St Reidsville GA 30453 4/21/2011
Carpinello, Jeniffer Carol Culbertso RN120116 Brenda Hott, MD 41441 469 200 S Enota Dr, Ste 200 Gainesville GA 30501 1/1/2012
Carr, Gwendolyn Jane Conner RN026518 Meena Shah, MD 21464 9145 475 Phillip Blvd, Suite 100 Lawrenceville GA 30046 4/30/2011
Wednesday, January 13, 2016 Page 22 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Carr, Margery McMichael RN121940 Sharon Lynch-Miller, MD 42342 5081 11 Upper Riverdale Rd SW Riverdale GA 30274 3/31/2011
Carr, Gwendolyn Jane Conner RN026518 Stewart Grizzard, MD 43948 470 136 W. Dykes Street Cochran GA 31014 4/30/2010
Carr, Gwendolyn Jane Conner RN026518 Irandathy Rodrigo, MD 42715 8474 2522 Cruse Road, Suite C-2 Lawrenceville GA 30044 5/20/2009
Carr, Gwendolyn Jane Conner RN026518 Raja Ram, MD 38922 9818 475 Philip Blvd, Suite 100 lawrenceville GA 30046 1/31/2013
Carr, Gwendolyn Jane Conner RN026518 Nandana Reddy, MD 55641 11892 6002 Hwy 53 East, Suite 100 Dawsonville GA 30531 5/31/2013
Carroll, Suni Hamm RN119358 James Vick, III, MD 37720 1222 1105 North 5th Avenue Rome GA 30165 2/17/2012
Carter, Mary Kelly RN155084 Timothy Connor, MD 39549 9727 1825 Martha Berry Blvd Rome GA 30165 9/30/2013
Carter, Mary Kelly RN155084 Theron Thompson, MD 51772 9966 1825 Martha Berry Blvd Rome GA 30165 6/19/2012
Carter, Michael A RN047967 Juanita Lott, MD 19847 479 418 E H Court Brunswick GA 31520 4/15/2008
Carter, Mary Kelly RN155084 Margret Thorhallsdottir, MD 64286 9597 1825 Martha Berry Blvd Rome GA 30165 7/16/2011
Carter, Stephanie Ann RN172705 Brendan Groarke, DO 50172 13043 1199 Prince Ave Athens GA 30606 1/23/2015
Carter, Michael A. RN047967 Tom Willis, Jr., MD 10695 8223 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 31524 9/2/2010
Carter, Michael A. RN047967 Lewis Litwack, MD 61981 8659 1131 Chapel Crossing Rd, TRL 759 Glynco GA 31524 9/1/2010
Carter, Stephanie Ann RN172705 Tiffanni Forbes, MD 51936 12973 1199 Prince Ave Athens GA 30605 1/3/2014
Casaday, Julie Choe RN114781 Shyam Gupta, MD 63784 12958 3807 Clairmont Rd, Suite 2008 Chamblee GA 30341 5/15/2014
Casaday, Julie Choe RN114781 Karla Shore, MD 51266 13311 3807 Clairmont Rd, Suite 2008 Chamblee GA 30341 11/27/2014
Casaday, Julie Choe RN114781 D. S. Siddappa, MD 21810 8266 3110 Clifton Springs Rd, Suite B Decatur GA 30034 9/1/2013
Case, Kimberly Lynne RN196209 Verlia Gower, MD 38499 9409 5455 Meridian Mark Rd, Suite 130 Atlanta GA 30342 8/1/2012
Casheba, Janet RN138794 Hinchcliffe, Annette 42607 10267 6300 Hospital Pkwy, Suite 125 Johns Creek GA 30097 11/26/2012
Cassara, Pamela Sue RN115513 William Delp, DO 17791 487 4589 Lawrenceville Road Loganville GA 30052 7/19/2012
Castle, Karen Reese RN150641 James Lantz, Jr, MD 28028 8555 8820 Hospital Drive Douglasville GA 30134 4/2/2013
Wednesday, January 13, 2016 Page 23 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Castlin, Rena Loraine RN153122 Thomas Hurd, MD 27070 11826 400 Tower Rd, Suite 350 Marietta GA 30060 4/22/2013
Catrett, Judy Hallman RN041402 Virginia Sharron Jones, MD 45847 491 18 S. Broad St Butler GA 31006 7/1/2011
Catrett, Judy Hallman RN041402 William Catrett, MD 14471 9924 365 Geneva Rd Buena Vista GA 31803 10/6/2011
Catrett, Judy RN041402 Alvarez, Ricardo MD 52876 10219 131 6th Avenue East Buena Vista GA 31803 2/28/2013
Caudell, Jennifer Carol RN159917 Allison Turk, MD 63037 12786 110 S Chestatee St Dahlonega GA 30597 3/31/2014
Caudell, Jennifer Carol RN159917 Robert Nelson, MD 65037 13797 110 S. Chestatee St Ste. 100 Dahlonega GA 30597 2/4/2015
Cave, Kimberly RN192359 Lanier, John MD 28809 10415 1600 Kennesaw Due West Rd, Ste 501 Kennesaw GA 30152 1/7/2013
Cave, Kimberly Lorraine RN192359 Bruce Ramsdell, MD 18722 9795 3145 Peachtree Rd NE, Suite 165 Atlanta GA 30305 12/16/2011
Cave, Kimberly Lorraine RN192359 Benjamin Smith, MD 44338 8526 17 Collins Drive Cartersville GA 30120 4/8/2011
Caves, Erin Faulkner RN184009 Mary Evelyn McKinley, MD 51256 9411 360 Hospital Dr, Bldg D, #110 Macon GA 31217 6/29/2013
Cawley, Ramona M. RN089149 C. Granville Simmons, MD 17301 9283 907 E. 18th St, Suite 400 Tifton GA 31794 6/8/2012
Cecil, Hannah Rae RN155230 Denise DeVeranaz, MD 41279 13201 need practice address 3/9/2015
Cecil, Hannah Rae RN155230 Heather Henry, MD 44231 498 327 South 9th Street Griffin GA 30224 10/1/2012
Cecil, Hannah R. RN155230 Dwayne L. Watkins, MD 53054 11424 327 S. 9th St. Griffin GA 30224-4111 11/20/2012
Cenerizio, Michelle C RN232564 David Faulk, MD 39787 12375 87 Lindsey Lane, Suite B Kingsland GA 31548 11/19/2013
Cercone, Elizabeth A. RN213895 Robert E. Springer, MD 37081 11226 50 Executive Park, Ste. 5012 Atlanta GA 30329 11/27/2014
Cercone, Elizabeth Ann RN213895 Lakshmi Gopireddy, MD 65244 14656 181 S Clayton St Lawrenceville GA 30045-5716 5/28/2015
Chabot, Judith Takem RN132549 OluJimi Oluwole, DO 69322 499 3979 Buford Hwy Atlanta GA 30345 12/8/2014
Chaffin, Timothy Barrett RN135836 Jyotir Mehta, MD 45887 500 1909 Aberdeen Road, Room 102 Albany GA 31701 6/8/2012
Chafin, Sonja RN063135 Wherry, Richard MD 17341 10889 59 Tifton Drive Dahlonega GA 30533 5/14/2014
Wednesday, January 13, 2016 Page 24 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Chafin, Sonja Elaine Lingerfelt RN063135 George Petro, MD 62155 9883 59 Tipton Drive Dahlonega GA 30533 1/7/2012
Chafin, Phyllis RN057027 Souza, John MD 39475 10369 1110 Hillcrest Pkwy Dublin GA 31021 5/1/2015
Chafin, Sonja Elaine Lingerfelt RN063135 Richard Wherry, MD 17341 9876 59 Tipton Drive Dahlonega GA 30533 1/7/2012
Chafin, Phyllis Amanda RN057027 John Souza, MD 39475 502 PO Box 16100 Dublin GA 31040 6/18/2010
Chafin, Sonja Elaine Lingerfelt RN063135 Ramzi Ghosn, MD 57974 503 1078 Lumpkin Campground Rd, #100 Dawsonville GA 30534 1/7/2012
Chafin, Sonja RN063135 Westmoreland, Anon MD 13534 10089 479-B North Hall Road Dahlonega GA 30533 1/7/2012
Chambers, Donna RN059901 Cantrell, David MD 32883 10234 1407 Cobb Parkway North Marietta GA 30062 7/30/2013
Chamlee, Gina Satterfield RN145959 Joyce Duquette, MD 48111 8522 150 Gentilly Blvd Cartersville GA 30120 2/19/2010
Champion, Heather Michelle RN195224 Dennis Thomas, MD ##### 14076 1003 Holloway Dr. Quitman GA 31643 4/8/2015
Chandler, Barbara Jean RN061123 John C. Knox, MD 22575 512 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 30342 7/15/2014
Chandler, Barbara Jean RN061123 Philip Spandorfer, MD 55977 9928 1100 Lake Hearn Dr, Ste 100 Atlanta GA 30342 7/15/2014
Chandler, Barbara RN061123 Susan Harrell, MD 33100 8046 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 30342 7/15/2014
Chandler, Barbara RN061123 Tama Fuller, MD 21981 8047 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 30342 7/15/2014
Chandler, Barbara RN061123 Elizabeth LeDuc, MD 34754 8048 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 30342 2/28/2011
Chandler, Barbara RN061123 Philip Weiss, MD 38398 8049 1100 Lake Hearn Dr NE, Ste 100 Atlanta GA 30342 7/15/2014
Chapman, Patricia Luree RN073371 Taylor, Robert E. 31338 519 2/17/2012
Chapman, Robin Lee RN080752 Shawn Jobe, MD 60143 8785 2015 Upper Gate Dr, Suite 400 Atlanta GA 30322 6/1/2013
Chapman, Sarah C. RN134966 Gordon Crozier, DO 50334 11515 3365 Piedmont Rd., #1250 Atlanta GA 30305 12/21/2012
Chapman, Robin Lee RN080752 Thomas Abshire, MD 39990 7727 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 10/15/2009
Chapman, Shelby Lynn Colquitt RN139882 Harold Holloway, DO 13327 8746 56 Ebenezer Rd Ellaville GA 31806 6/26/2012
Charrance, Penny RN217048 Thompson, Jonathan MD 52646 10628 1012 Burleyson Road Dalton GA 30720 3/4/2013
Wednesday, January 13, 2016 Page 25 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Chase, Lana Marie RN050194 Alan Weinberg, MD 35785 8264 450 Winn Way Decatur GA 30030 8/30/2009
Chastain, Janet Lynn RN044384 Wendy Troyer, MD 33786 525 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 30328 6/30/2015
Chatman, Shannon Craig RN153918 William A. Mills, MD 50901 526 800 East Doyle Street Toccoa GA 30577 4/30/2013
Chatman, Shannon Craig RN153918 Lionel Meadows, MD 45550 13300 11 Business Center Dr, Suite 205 Eastanollee GA 30538 10/13/2014
Chausmer, Jaimie Klein RN144252 Stephen Frohwein, MD 34834 7840 5669 P'tree Dunwoody Rd NE, Suite Atlanta GA 30342 6/6/2013 315
Chavis, Melinda Elizabeth RN127827 Frank N. Cole, MD 28520 13071 101 Yorktown Dr. Fayetteville GA 30214 9/8/2014
Cheney, Teresa Charlene Brower RN066069 Charles Harden, MD 44930 12491 586 Brannen St Statesboro GA 30458 3/1/2014
Cheney, Teresa Charlene Brower RN066069 Angela Gerguis, MD 47261 13039 586 Brannen St Statesboro GA 30458 9/26/2014
Cheney, Teresa Charlene Brower RN066069 Roger Branch, MD 30272 532 10 Doctor's Street Metter GA 30439 9/10/2010
Cheney, Teresa Charlene Brower RN066069 Brian Deloach, MD 51216 9675 PO Box 8043 Statesboro GA 30460 10/23/2013
Chery, Yves Reginald RN189928 John Gott, MD 28989 12610 95 Collier Rd, Suite 5015 Atlanta GA 30309 9/29/2014
Chessor, Misty L. RN225780 Jason Hefner, MD 61444 11174 508 East Morris St. Dalton GA 30731 2/1/2014
Chicoine, Jennifer Lynn RN161771 Carlos Franco, MD 23733 540 1100 Johnson Ferry Rd, Suite 600 Atlanta GA 30342 9/25/2014
Child, Chris Buchanan RN155127 Jocelyn Holland, MD 40691 8636 10 Market Square Way, Suite 100 Newnan GA 30265 9/25/2009
Childers, Tabitha RN175483 Halleck, Sylvia MD 16356 10492 1431 Riverside Parkway Lawrenceville GA 30043 1/10/2012
Childers, Tabitha RN175483 Babalola, Cecilia MD 58389 10491 3509 Braselton Hwy, Bldg F Dacula GA 30019 3/31/2012
Childree, Rene B RN043261 William Williams, MD 11095 543 204 East 15th Street Alma GA 31510 6/1/2008
Chismar, Ron RN174288 Elia, Hany MD 30055 10901 3421 Mike Padgett Hwy Augusta GA 30906 2/4/2014
Cho, Ki-hyun RN195897 Lee, Peter MD 38545 10389 3840 Peachtree Industrial Blvd Duluth GA 30096 5/24/2015
Choi, Songeun RN176523 Chang Soo Kim, MD 11297 530 Highland Station Dr., #2007 Suwanee GA 30024 3/1/2013
Wednesday, January 13, 2016 Page 26 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Chrena, Helen Rosella RN240115 Sherri Simpson, MD 67942 13999 157 Smith St. Jonesboro GA 30236 2/20/2015
Chrena, Helen Rosella RN240115 Robert Amstadter, MD 40856 13789 9157 Tara Blvd Jonesboro GA 30236 10/1/2014
Chrena, Helen Rosella RN240115 Ramesh Amin, MD 28242 15121 853 Battlecreek Rd Jonesboro GA 30236 4/23/2015
Chrismer, Katherine Nicole RN216231 James L. Chappuis 29604 13072 3161 Howell Mill Rd., Ste 400 Atlanta Ge 30327 3/10/2014 org ia
Christopherson, Kala RN217541 Anand Jillella, MD 33843 10453 1120 15th Street, Ste BAA 5407 Augusta GA 30912 8/14/2013
Christos, Ruth Hirschberg RN099070 William Mills, MD 50901 557 800 East Doyle Street Toccoa GA 30577 1/1/2011
Chukoian, Lois Eleanor Skinner RN138578 Charlene Beard, MD 20513 9936 2201 Mt Zion Parkway Morrow GA 30260 10/27/2014
Clapp, Allison Goggans RN123601 Allison Turk, MD 63037 12592 110 S Chestatee St Dahlonega GA 30597 4/1/2014
Clark, Michele Poole RN093663 Garry Siegel, MD 29784 11703 2500 Hospital Blvd, Suite 290 Roswell GA 30076 5/5/2013
Clark, Ann Marie RN030832 Barbara D'Orio, MD 33956 5512 PO Box 26238 Atlanta GA 30303 1/17/2014
Clark, Amy Taryn RN193329 Benjamin Cheek, MD 25332 8232 2000 Hamilton Road Columbus GA 31904 3/31/2009
Clark, Jennifer Lee Reed RN173733 Joseph Joyave, MD 43977 8861 100 Market Place Blvd, Suite 201 Cartersville GA 30121 9/23/2011
Clark, Michele Poole RN093663 Sowmya Reddy, MD 60596 12098 2500 Hospital Blvd, Suite 290 Roswell GA 30076 1/1/2014
Clark, Joanna Ruth RN060471 Forrest Cantrell, MD 28948 569 777 Franklin Rd Marietta GA 30067 1/27/2014
Clark, Ann M. RN030832 Wilham M. McDonald, MD 37292 11426 P.O. Box 26238 Atlanta GA 303033801 1/4/2013
Classon, Rebecca RN176382 Penix, Laroy MD 49080 10922 743 Spring Street Gainesville GA 30501 6/23/2014
Clay, Kimberly George RN140016 Subodh Lal, MD 52771 577 1700 Hospital South Dr, Suite 502 Austell GA 30106 6/4/2010
Clay-Austin, Cherrice RN160625 Timothy Longaker, MD 25883 11718 1339 Gray Hwy Macon GA 31211 11/1/2013
Clay-Keith, Sharon Denise RN211336 Susan Queen, MD 23496 12765 3000 Schatulga Rd Columbus GA 31907 11/28/2013
Clay-Keith, Sharon Denise RN211336 Satishchandra Patel, MD 28058 13928 3000 Schatulga Rd Columbus GA 31907 12/19/2014
Wednesday, January 13, 2016 Page 27 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Clayton, Brandi RN217058 Richard Baldwin, MD 23894 11106 9280 Hwy 5, Ste A Douglasville GA 30134 6/15/2014
Cleveland, Lauren Mary-Marie RN174980 Eric Powell, MD 49081 12929 1375 East King Ave, GA State Rd 40, Kingsland GA 31548 9/18/2014 Suite A
Clevenger, Carolyn Kay Satterfield RN153941 Glenn C. Heigerick, DO 24947 582 615-B Beaver Ruin Road Lilburn GA 30047 8/30/2014
Cline, Nyla Faye Clifford RN065545 Charles Stevenson, Jr., MD 16288 587 804 Dixie Street Carrollton GA 30117 1/2/2009
Cline, Nyla F. RN065545 Suzanne C. Manley, MD 46167 11283 148 Clinic Ave. Carrollton GA 30117 4/1/2013
Clinton, Mymie T. RN040042 Crystal Bright, MD 67869 12671 118 Alice Coleman Dr Vidalia GA 30474 4/30/2015
Clinton, Mymie RN040042 Ombogo, Anthony MD 66728 10651 215 North Coleman Street Swainsboro GA 30401 10/25/2013
Clinton, Mymie T. RN040042 Muhammad Jamal, MD 58255 588 118 Broad Street Mount Vernon GA 30445 12/3/2010
Clinton, Mymie T. RN040042 Hiromi Maruyama, MD 60744 9562 118 Alice Coleman Dr Vidalia GA 30474 4/20/2012
Clowers, Ayanna T. RN154974 Mary Bell Vaughn, MD 49552 11350 3448 Vineville Ave. Macon GA 31204 6/24/2015
Cobb, Amy Beckman RN193814 Benise Williams, MD 46924 8146 303 Smith Street LaGrange GA 30240 9/23/2013
Cochran, Amy Denise Woodring RN179932 Andrea M. Dabney, MD 66274 13074 274 Big A Rd. Toccoa GA 30577 8/22/2014
Cochran, Amy Denise Woodring RN179932 Louis Fernandez, MD 39790 5094 121 N. Big A. Road Toccoa GA 30577 5/1/2013
Cochrane, Janice H. RN042368 Jonathan Hall, MD 59655 8520 12192 Augusta Road Lavonia Ga 30553 2/15/2010
Cochrane, Janice H. RN042368 William A. Mills, MD 50901 1363 12192 Augusta Road Lavonia GA 30577 11/1/2008
Cochrane, Janice H. RN042368 Michael Caruso, MD 57558 9124 7199 Hwy 441 North, Suite 109 Dillard GA 30537 6/22/2010
Cochrane, Janice H. RN042368 Jaykrishna Darji, MD 58862 9226 196 Ridgecrest Circle Clayton GA 30525 4/16/2015
Cockfield, Christy Michelle RN192162 Jack Borders, MD 39054 9053 1446 Harper St, Ped Surg, 3rd ACC Augusta GA 30909 8/18/2011
Colac, Olga RN185318 Irandathy Rodrigo, MD 42715 9257 2522 Cruse Rd, Suite C-2 Lawrenceville GA 30044 10/7/2015
Coleman, Glendell RN094148 Chrissie Clure, MD 11437 1/31/2012
Wednesday, January 13, 2016 Page 28 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Coleman, Glendell Bradley Wimber RN094148 Sandra Ligneel, MD 32424 11670 1915 Eisenhower Dr Savannah GA 31406 4/16/2013
Collier, Pamela RN076675 Bowman, Robert MD 31387 10654 1430 Hwy 82, Ste 105 Tifton GA 31794 8/9/2012
Collier, Pamela C. RN076675 Carl D. Johnson, MD 28796 11488 1950 Old Ocilla Rd. Tifton GA 31794 3/27/2013
Collier, Pamela Crownover RN076675 Clyde Cranville Simmons, MD 17301 691 907 E. 18th Street Tifton GA 31794 4/2/2012
Collins, Christy Michelle RN130301 Shannon Morgan, MD 60539 8686 101 Riverstone Vista, Suite 106 Blue Ridge GA 30540 11/3/2009
Collins, Penelope B RN033411 Brian DeLoach, MD 51216 610 PO Box 8043 Statesboro GA 30460-8043 3/1/2012
Collins, Jessica Michelle RN162833 Dale Lawson, MD 54233 9866 2000 Palmyra Road - Emer Dept Albany GA 31701 3/30/2014
Collins, Jessica Michelle RN162833 Vito John Bagnato, MD 45711 8831 810 13th Ave, Suite 108 Albany GA 31701 3/22/2011
Collins, Jessica Michelle RN162833 A. S. Ghiathi, MD 40908 8301 106 E. Hartford Road Fort Gaines GA 39851 8/14/2009
Collins, Christy Michelle RN130301 George Galloway, MD 13275 9018 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 12/1/2011
Collins, Linda Savage RN081190 Haritha Arikatla, MD 55723 12380 3685 Braselton Hwy Dacula GA 30019 12/12/2013
Collins, Mary Katherine RN133916 Antonio Moran, Jr, MD 34669 12204 2500 Starling St, Suite 303 Brunswick GA 31520 5/8/2015
Collum, Melanie Rose Durrence RN057165 Garland Martin MD 47233 9989 391 South lst Street Jesup GA 31545 9/20/2011
Collum, Melanie Rose Durrence RN057165 Sandra Bohnstengel, MD 38692 611 391 South 1st Street Jesup GA 31545 7/31/2011
Colman, Nancy Ellen Ross RN066095 Hines, Jeffrey 47443 612 980 Johnson Ferry Road, NE Atlanta GA 30342 2/17/2012
Colson, Amy Leanne Morris RN149647 Lee Rippy, MD 33884 12318 7129 Floyd St Covington GA 30014 2/28/2014
Comer, Judith Lynn RN073864 Michael Rogers, MD 46482 13101 1941 Phinizy Rd Augusta GA 30906 1/3/2014
Comer, Judith Lynn RN073864 Chad Slaughter, MD 62003 13100 380 Cedar St Metter GA 30439 3/30/2014
Conklin, Sarah Elizabeth RN147542 Julian McLendon, Jr., MD 38557 616 3758 Hwy 42 Locust Grove GA 30248 9/20/2009
Wednesday, January 13, 2016 Page 29 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Conley, Becky Ann RN137050 Randall Steffens, Sr, DO 67324 11068 Meadows Reg Hosp - One Meadows Vidalia GA 30474 9/25/2012 Pkwy - ER Dept
Conley, Gail D. RN121290 Ramana P. Rao, MD 37052 11284 801 13th Ave., Stuie A Albany GA 31701 9/1/2014
Conn, Laurie A. RN042170 Michael Rogers, MD 46482 12007 1941 Phinizy Rd Augusta GA 30906 11/8/2013
Connell, April Hellums RN150768 Billy George Chacko, MD 43900 619 1825 Martha Berry Blvd. Rome GA 30165 7/1/2010
Connell, April Hellums RN150768 James Whatley, MD 20622 9264 1825 Martha Berry Blvd Rome GA 30165 8/16/2012
Conway, Marian Ann Lancaster RN022461 Charles Dieas Ruis, MD 30206 627 2858 Pine Street Unadilla GA 31091 6/1/2007
Conyers, Barbara RN163150 Bishop, Joseph MD 10372 10643 100 Peters Street, Ste 38 Calhoun GA 30701 8/26/2013
Conyers, Barbara Jean RN163150 Lloyd Rimer, MD 30665 13024 3541 Chattanooga Rd Tunnel Hill GA 30755 11/28/2014
Conyers, Barbara Jean RN163150 Frank David Newby, MD 38314 9126 1506 Broadrick Dr Dalton GA 30720 3/28/2011
Cook, Jennifer Sue RN128463 Allison Turk, MD 63037 12609 95 Morrison Moore Pkwy Dahlonega GA 30538 4/1/2014
Cook, Sheryl L. RN154812 Yvonne Smith, MD 42443 11933 3600 Dallas Hwy Marietta GA 30064 4/8/2013
Cook, Joann G. RN072673 Sandra Brickman, MD 45043 7979 1806 Lee Avenue Tifton GA 31793 7/24/2009
Cook, Calli Leighann RN209855 John Kludt, MD 34876 10956 3700 Club Drive Lawrenceville GA 30044 11/30/2012
Cook, Jennifer Sue RN128463 Mark Moers, MD 45555 632 95 Morrison Moore Pkwy, West Dahlonega GA 30533 4/1/2009
Cook, Jennifer Sue RN128463 A. E. Westmoreland, MD 13534 9061 280 West Main Street Dahlonega GA 30597 9/30/2010
Cook, Camille Pleshette RN104354 Randy Robinson, MD 35987 13874 1507 Broomtown Rd Lafayette GA 30728 11/23/2014
Cook, Jennifer RN128463 Petro, Jr., George MD 62155 10569 59 Tipton Drive Dahlonega GA 30533 8/16/2013
Cooksey, Karen Paula Rice RN084993 Carolyn Sigman, MD 37904 636 10745 Westside Way, Suite 125 Alpharetta GA 30009 9/10/2015
Cooper, Debra Denise RN084801 John Schilling, MD 30880 8180 290 Country Club Drive, Suite 130 Stockbridge GA 30281 12/31/2009
Cooper, N'Kema Jernee RN175935 Paul Hawkins, MD 54741 15616 4421 Carnes St Acworth GA 30101 9/15/2015
Wednesday, January 13, 2016 Page 30 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Cooper-McQueen, Paula Stephenie RN196254 Jonathan Ehrlich, MD 15580 8196 993-D Johnson Ferry Rd, #360 Atlanta GA 30342 2/1/2012
Copeland, Sherry C. RN066094 Garland Martin, MD 47233 5489 12 Tippins St. Baxley GA 31510 3/5/2010
Copp, Angela Lee RN188441 Igor Lacmanovic, MD 59814 8009 3949 S. Cobb Drive Smyrna GA 30080 2/17/2012
Corcoran, Patricia Ann RN093591 William Callaghan, MD 27974 9030 818 St. Sebastian Way, POB II, Suite Augusta GA 30901 7/31/2015 200
Corcoran, Patricia RN093591 William Kitchens, MD 13222 10255 1348 Walton Way Ste 5700 Augusta GA 30910 7/1/2012
Corcoran, Patricia Ann RN093591 M. Vinayak Kamath, MD 23371 9170 1350 Walton Way Augusta GA 30910 10/1/2011
Corcoran, Patricia Ann RN093591 Reginald Nesbitt, MD 58300 9873 1350 Walton Way Augusta GA 30910 8/1/2015
Corley, Caitlin Michele RN160643 Romualda Klicius, MD 46305 1201 145 N. Medical Pkwy Woodstock GA 30189 7/8/2013
Corley, Caitlin Michele RN160643 Vishwas Sakhalkar 66808 14223 770 Pine St, Ste 520 Macon GA 31201 3/25/2015
Cosgrove, Julie Claire Thompson RN105376 Forrest Clark Cantrell, MD 28948 649 5041 Dallas Hwy, Bldg 2, Suite 2 Powder Springs GA 30127 2/20/2011
Costanzo, Erin Reynolds RN146776 Theron Thompson 51772 651 7869 Villa Rica Hwy Dallas GA 30157 2/17/2012
Cote, Wilma Jean Rogers RN073478 Sandra Bohnstengel, MD 38692 652 391 South First St Jesup GA 31545 7/31/2011
Courson, Jessica Lynne RN190877 Marcus Roberts, MD 35986 13326 903 West Ward St, Suite A Douglas GA 31533 6/18/2015
Cousins, Diane RN106393 Allen W. Jones, Jr., MD 32214 5443 1610 East 10th Street West Point GA 31833 11/1/2013
Coussons-Dyches, Angela Vawn RN135671 Brian DeLoach, MD 51216 662 PO Box 8043 Statesboro GA 30460-8043 5/5/2014
Coussons-Dyches, Angela RN135671 Eric Powell, MD 49081 15467 586 Brannen St Statesboro GA 30458 5/18/2015
Cowart, Rebecca Leanne RN157695 Sanjay Nariani, MD 49861 13108 3457 Lawrenceville Suwanee Rd, Suite Suwanee GA 30024 12/8/2014 C
Cox, Virginia Lee Brady RN101986 William Hammond, MD 19166 667 200 Perry House Road Fitzgerald GA 31750 5/1/2012
Cox, Virginia Lee Brady RN101986 Edd Jones III, MD 33123 13349 110 Norman Dorminy Dr, Box 929 Fitzgerald GA 31750 3/7/2015
Wednesday, January 13, 2016 Page 31 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Cox, Erin Marie RN175357 Alexander Osawa, MD 57551 12446 3331 Hamilton Mill Rd, Suite 1102 Buford GA 30519 1/22/2014
Crabbe, Karla Blythe RN140243 James Collins, MD 29833 12705 304 Turner McCall Blvd Rome GA 30165 5/1/2015
Craig, Jessica RN144337 Dark, Jennifer MD 66016 10744 1012 Burleyson Road Dalton GA 30710 2/15/2013
Craig, Karen Abbott RN107717 Wilma Briones-Mull, MD 64783 9907 255 W. 5th St, Suite 300 Rome GA 30165 12/3/2012
Craig, Karen Jenell Abbott RN107717 Thomas Self, MD 21587 673 1825 Martha Berry Blvd Rome GA 30165 5/2/2008
Crance, Jessica RN186759 Ambrozic, Richard MD 43851 10310 3321 B N. Valdosta Rd, Ste B Valdosta GA 31602 8/22/2014
Crandall, Lisa Marie RN173213 David Wyatt, MD 42979 8428 3540 Duluth Park Lane, Suite 260 Duluth GA 30096 3/28/2014
Crane, Esther RN210385 Feaster, Joshua MD 62690 10417 235 Peachtree St NE, North Tower, Ste Atlanta GA 30303 7/25/2012 2100
Crane, Christine Reese RN147995 Todd Robinson, MD 40773 8199 14 Cherokee Road Cedartown GA 30125 12/18/2008
Crane, Christina Reese RN147995 Thomas Self, MD 21587 675 1825 Martha Berry Blvd Rome GA 30165 3/31/2009
Crane, Christina Reese RN147995 Theron Thompson, MD 51772 8548 1825 Martha Berry Blvd Rome GA 30165 6/19/2012 RN147995
Cravey, Amy Elizabeth Harrell RN123659 Blake Milner, MD 52789 9160 817 Griffin Ave, Suite B Eastman GA 31023 9/1/2010
Cravey, Amy RN123659 Souza, John MD 39475 10149 1110 Hillcrest Pkwy Dublin GA 31021 4/30/2012
Crawford, Miranda Wallace RN192423 John Vender, MD 42475 11809 1120 15th St, BI-3088 Augusta GA 30912 2/7/2014
Creed, Tracy Christine RN140894 Guillermo Saurina, MD 48570 8297 201 Pendleton Drive, Suite 250 Valdosta GA 31605 8/25/2010
Creed, Tracy Christine RN140894 Sangha Sumandeep, MD 56222 13513 1267 Hwy 54 West, Ste 2200 Fayetteville GA 30214 3/16/2015
Creed, Tracy Christine RN140894 George Powell, MD 37046 9278 3207 Country Clun Drive Valdosta GA 31605 7/5/2011
Crenshaw, Claudia Regan RN052883 William Thorneloe, MD 23119 12439 2978 Hwy 36, West/PO Box 3088 Jackson GA 30233 10/16/2014
Crites, Julie Brooks RN160548 Renee Waters, MD 35782 8932 285 Elm St, Suite 102 Cumming GA 30040 8/1/2010
Croft, Sheila Darlene Hill RN049428 Ram Reddy, MD 24178 13338 1061 Dowdy Rd, Suite 100 Athens GA 30606 10/1/2015
Wednesday, January 13, 2016 Page 32 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Croft, Sheilia H. RN049428 Reden C. Delgado, MD 65957 11186 12293 Rome Hwy Rockmart GA 30153 4/24/2014
Croft, Sheila Darlene Hill RN049428 George Galloway, MD 13275 9291 526 Maddox Dr, Suite 101 Ellijay GA 30530 12/1/2011
Croft, Shelia Darlene Hill RN049428 William Raisig, MD 55290 8456 64 Call-Wright Road Ellijay GA 30540 6/26/2009
Crom, Kimberly Williams RN119083 Timothy Brown, MD 32100 8427 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 30274 5/2/2012 RN119083
Crook, Kimberly Ann RN143740 Mohammad Al-Shroof, MD 45158 9717 2054 Watson Blvd Warner Robins GA 31093 12/1/2014
Crosby, Melissa Greene RN132708 Jose Medina-Bairan, MD 41166 9467 PO Box 3550 Valdosta GA 31604 8/20/2011 RN132708
Crow, Kimberly Kay Lindsey RN214410 Raymond Jarvis, MD 45505 9832 330 Turner McCall Blvd Rome GA 30165 8/8/2013
Cruel, Vernendia RN145300 Anthony Marchetti, MD 31471 15250 801 W Gordon St Thomaston GA 30286 9/10/2015
Crumbley, Michelle Renee RN221959 Chandrasekhar Sankaran, 31549 12960 101 Regency Park Dr, Suite 140 McDonough GA 30253 6/26/2015 MD
Crumpler, Carolyn Dohme RN221042 Safia Pirani, MD 56624 12967 220 Oakside Lane Canton GA 30114 7/24/2014
Cruz, Erwin Osiris RN085019 Michael Pompey, MD 23097 694 901 Rice St Atlanta GA 30318 9/1/2014
Cruz, Cheunita Rae Tyler RN126162 Timothy Graves, MD 26859 693 770 Walnut St Macon GA 31201 4/1/2012
Cruz Harris, Jennifer A. RN188328 Barbara Bruce, MD 64338 11568 975 Johnson Ferry Rd., #340 Atlanta GA 30342 1/8/2013
Cuadrado-Barrera, Diana RN220894 Gail Matthews, MD 52182 11296 6158 Highway 92, Suite 101 Acworth GA 30102 2/24/2013
Cuadrado-Barrera, Diana RN220894 Raymond Ramirez, MD 31310 11797 5280 Buford Hwy, Suite H Doraville GA 30340 2/3/2014
Cuadrado-Barrera, Diana RN220894 Pablo Quintonilla, MD 17546 13085 3369 Buford Hwy, ste. 800 Atlanta GA 30329 7/11/2014
Cueto, Jonathan RN203087 Ashok Kancharla, MD 48250 11009 132 Franklin Spring St. Royston GA 30662 6/1/2013
Cueto, Johathan RN203087 Sanjay Nariani, MD ##### 11441 3795 Buford Dr., inside Walmart Buford GA 30519 7/25/2013
Cummings, Thelma B. RN133042 Beverly Hyacinth, MD 57003 11224 2990 Five Forks Trickum Rd. Lawrencefille GA 30044 1/1/2014
Wednesday, January 13, 2016 Page 33 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Cummings, Thelma Berry RN133042 Yvonne Smith, MD 42443 700 145 Standing Oak Pl Fayetteville GA 30214 8/5/2013
Cunningham, Thomas Keith RN115548 Robert Williams, MD 29263 7771 111 S. Washington St Lincolnton GA 30817 7/31/2015
Cunningham, Sylvia RN084875 Plummer, Valens MD 49496 10048 5230 Dallas Hwy Powder Springs GA 30127 5/1/2013
Curl, Carla Sue McFarland RN093196 Albert Lintel, MD 58595 9353 775 West Ave, Suite A Cartersville GA 30120 1/31/2013
Curl, Carla Sue McFarland RN093196 John Manfredi, MD 16101 8253 101 Riverstone Drive, Suite 102 Blue Ridge GA 30513 2/16/2012
Curl, Carla Sue McFarland RN093196 Anne White, MD 30240 704 909 N. 5th Avenue NE Rome GA 30165-2706 2/17/2012
Cutia, James Robert RN177851 Antonio Moran, MD 34669 10958 2500 Starling Street, Suite 300 Brunswick GA 31520 8/12/2013
Cutia, James Robert RN177851 John House, MD 11959 12712 218 Quarterman St Waycross GA 31501 3/1/2014
Cutia, James Robert RN177851 Michael Hamm, DO 49021 9970 410 Darling Ave Waycross GA 31501 11/21/2014
Czerkasij, Victor RN187417 John Y. Chung, MD 41532 5464 1107 Memorial Drive, Ste 201 Dalton GA 30720 1/31/2011
Dade, Rebecca Elaine RN152830 David Shore, MD 41671 13420 758 Old Norcross Rd. #175 Lawrenceville GA 30046 7/14/2015
Daley, Lydia Lee RN048295 John Swing, III, MD 46914 8888 PO Box 1259 Swainsboro GA 30401 9/30/2010
Daley, Lydia Lee RN048295 Mona Hanna, MD 53824 8375 223 N. Anderson Drive Swainsboro GA 30401 9/30/2011
Daley, Lydia Lee RN048295 Roy Thomas Harry, MD 28781 5422 408 Green Street, P.O. Box 737 Louisville GA 30434 8/31/2007
Daley, Lydia Lee RN048295 Mary Lynn Tyson, MD 30683 8189 629 Shadrack Street Waynesboro GA 30830 2/28/2009
Dalley, Patricia Ann RN143047 Ram Reddy, MD 24178 714 132 Franklin Springs Street Royston GA 30662 1/14/2009
Daniel, Julia Fabrycy RN169909 Eric Powell, MD 49081 12632 82 College Cir, Suite HNS 102 Dahlonega GA 30597 2/26/2014
Daniel, Julia Fabrycy RN169909 Norvin Ona, DO 37634 8881 885 Buford Drive Lawrenceville GA 30043 9/1/2012
Daniels, Christina Dawn RN153645 George Galloway, MD 13275 9052 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 7/15/2010
Daniels, Lakeysha Myrie RN152695 Yolanda Hacker, MD 45811 8563 5320 Memorial Drive Stone Mountain GA 30083 7/2/2009
Wednesday, January 13, 2016 Page 34 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Daniels, Lakeysha Myrie RN152695 Germaine Denise Cummings, 52340 8392 5320 Memorial Drive Stone Mountain GA 30083 5/13/2009 MD
Daniels, Mary Caroline Toher RN198156 Rene Romero, MD 37060 9180 1405 Clifton Rd NE Atlanta GA 30322 9/22/2014
Daniels, LaDonia C. RN183020 Daniel Allan Williams, MD 37926 5458 1128 Southpark street Carrollton GA 30119 4/11/2008
Daniels, Christina Dawn RN153645 Thomas Nguyen, DO 62579 9011 772 Maddox Dr, Suite 110 E. Ellijay GA 30540 10/11/2011
Daniels, Christina Dawn RN153645 Thomas Karisny, MD 50029 8067 170 Hospital Circle, Suite A Blairsville GA 30512 2/1/2008
Daniels, Christina Dawn RN153645 Crystal Comeau, MD 61224 9293 101 Riverstone Vists, Suite 111 Blue Ridge GA 30513 4/25/2011
Daniels, Christina Dawn RN153645 Eusebio Fernandez, MD 12038 8299 772 Maddox Drive, Suite 110 East Ellijay GA 30540 1/22/2010
Darsey, Holly Lannom RN164973 Antony Labady, MD 63084 13047 200 Industrial Blvd. Dublin GA 31021 5/1/2015
Darsey, Holly RN164973 Miller, Jeri MD 30835 10117 200 Industrial Blvd Dublin GA 31021 10/31/2013
Darugar, Deborah Crutcher RN054103 Ringer, Dave 30368 10025 803 South Main Street Greensboro GA 30642 10/28/2014
Darugar, Deborah Crutcher RN054103 James Southerland, MD 24632 14212 803 South Main St Greensboro GA 30642 1/4/2015
Daugherty, Alexis Eyre RN157540 Wendy Armstrong, MD 59678 12530 341 Ponce De Leon Center Atlanta GA 30308 10/10/2014
Daugherty, Susan RN080817 Suh, Daniel MD 42125 10869 4 Jackson Blvd Savannah GA 31405 6/27/2014
Daugherty, Lindsey RN162729 Bhumiben Purohit, MD 58812 8923 1890 Manor View Cumming GA 30041 12/21/2010
Daugherty, Susan Kathleen RN080817 R. Alexander Wynn, MD 56939 8125 7120 Hodgson Memorial Drive Savannah GA 31406 4/3/2011
Daugherty, Lindsey RN162729 Scott Tarplee, DO 21057 13237 2300 Parkwood Dr. Brunswick GA 31520 7/18/2014
Davage, Lindsay Marie RN170152 Scott B. Parry, DO 39899 5497 730 Ponce de Leon Place, Ste B Atlanta GA 30306 1/1/2010
Davis, Sarah Louise RN181221 Gary Glasser, MD 33583 9684 315 Winn Way Decatur GA 30030 9/30/2014
Davis, Sarah Louise RN181221 Jennifer Lyman, MD 50039 9680 315 Winn Way Decatur GA 30030 12/31/2012
Davis, Jaqueline Margaret RN143842 Felicia M. Carr, MD 28190 741 305 West Harris Street Savannah GA 31401 8/31/2011
Wednesday, January 13, 2016 Page 35 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Davis, Nicole Elizabeth RN182147 Edward Meier, MD 43426 8644 2112 Shorter Ave, Suite 200 Rome GA 30165 4/18/2011
Davis, Karrie RN129150 Love, Michael MD 64856 10372 979 E. 3rd Street, Ste C-520 Chattanooga TN 37403 7/25/2012
Davis, Sherry Annice Harwell RN050862 Khaled Nass, MD 43717 750 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 30501 12/9/2010
Davis, Monica Rowe RN128572 Clyde Simmons, MD 17301 8077 907 E. 18th Street, Suite 400 Tifton GA 31794 9/28/2012
Davis, Lindsey Leigh RN207840 Nirav Raval, MD 54496 9432 275 Collier Rd, Suite 300 Atlanta GA 30309 9/13/2013
Davis, Kimberly RN120009 Harden, Charles MD 44930 10542 1811 Manning Drive Vidalia GA 30475 9/29/2013
Davis, Jennifer Cross RN148442 Sandy Jun, MD 37005 7856 5901-C P'tree Dunwoody Rd, #C-65 Atlanta GA 30328 6/30/2009
Davis, Emily Cheney RN056422 Michael O'Grady, MD 41189 739 5422 Hwy 20 Sugar Hill GA 30518 11/26/2014
Davis, Debra RN215920 Grossman, Stephanie MD 41814 10195 1365-C Clifton Road Atlanta GA 30322 7/25/2012 RN215920
Davis, Monica RN128572 Chunduri, Ananda MD 64911 10862 39 Kent Road, Ste 5 Tifton GA 31794 8/31/2012
Davis, Barbara Nicole RN158615 Dean Karampelas,MD 26141 734 743 Spring St Gainesville GA 30501 5/19/2014
Davis, Sarah RN191859 Lloydstone Jacobs, II, MD 49179 10950 2900 University Pkwy Lawrenceville GA 30043 5/6/2014
Davis, Jennifer Flanders RN057110 Dennis Harper, MD 53749 742 1400 N Peterson Ave, Suite C Douglas GA 31533 8/17/2015
Davis, Amy Leigh Christian RN140088 Noreen Andrews, MD 46861 11978 1180 McKendree Church Rd, Suite 202 Lawrenceville GA 30043 7/22/2015
Davis, Barbara Nicole RN158615 Swati Gaur, MD 57624 12332 743 Spring Street Gainesville GA 30501 5/19/2014
Davis, Michelle RN217188 Richard Gluckman, MD 13982 15682 3911 Mary Eliza Trace, Ste 200 Marietta GA 30064 8/28/2015
Dawe, Jennifer RN171108 Morohunfolu Akinnusi, MD 64741 9871 55 Whitcher St NE, Suite 160 Marietta GA 30060 11/15/2012
Dawkins, Laneisha Ann RN162457 Eva Beaulieu, MD 66254 11003 3600 Dallas Hwy SW Marietta GA 30064 10/21/2013
Day, Cynthia RN122559 Riesco, Ricardo MD 44069 10437 1933 Shields Road Dalton GA 30720 2/8/2013
Day, Claudia Eileen Yarbrough RN090084 Andrew Pandya, MD 55323 9047 210 E. DeRenne Ave Savannah GA 31405 7/31/2011
Wednesday, January 13, 2016 Page 36 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Day, Elizabeth Jean RN064251 Nedra Dodds, MD 39170 8745 9020 Peridot Pkwy Stockbridge GA 30281 4/19/2010
Day, Elizabeth Jean RN064251 Hugo Ribot, MD 30196 5113 958-A J F Harris Pkwy, Suite 102 Cartersville GA 30120 10/31/2011
Deal, Darron RN187668 Conley, Jason MD 54602 10679 960 Joe Frank Harris Parkway, Emer Cartersville GA 30120 7/25/2012 Dept deArmas, Karla Vanessa RN170709 Gregory Zakers, MD 49847 758 4711 Peachtree Ind Blvd, Ste B Norcross GA 30092 3/31/2014 deArmas, Karla Vanessa RN170709 Rodolfo Carrillo, MD 33243 12955 2181 Northlake Pkwy, Bldg 6, Suite 120 Tucker GA 30084 11/20/2013 deArmes, Karla Vanessa RN170709 Luther Vance, Jr, MD 19354 12008 2171 Northlake Pkwy, Bldg 6, Suite 120 Tucker GA 30084 9/1/2013
Debalsi, Anthony Joseph RN084438 Molly Eaton, MD 23944 760 550 Peachtree St NE, Suite 7000 Atlanta GA 30308 6/12/2013
Decamp, Cynthia Cherie RN089225 Germaine Denise Cummings, 52340 8380 5320 Memorial Drive Stone Mountain GA 30083 5/13/2009 MD
Decker, Julie Ann RN138117 Nichole LeBoyd, MD 54452 7828 649 Shallowford Rd Gainesville GA 30504 12/1/2009
Deguia, Susan Elaine RN144344 Thomas Morrow, MD 39879 9338 5530 Windward Pkwy, Suite 1210 Alpharetta GA 30004 5/3/2011
Demarest, Lauren Whitney RN225396 Shaun Price, MD 57744 12246 705 17th St Columbus GA 31901 4/1/2014
Demott, Jennifer Marie Smith RN096491 David Dobson, MD 57160 12999 655 Stephenson Ave Savannah GA 31406 4/18/2014
Demott, Jennifer Marie Smith RN096491 Steven Corse, MD 26088 11673 340 Eisenhower Dr, Suite 1200 Savannah GA 31406 3/29/2013
Denny, Jean M. RN221807 William E. Richards, MD 67939 11187 5353 Reynolds St., Ste 200 Savannah GA 31405 2/13/2014
Denny-Smith, Tammy Jane RN116008 Bram Wieskopf, MD 45136 772 1192 Buckhead Crossing, Suite E Woodstock GA 30189 11/10/2008
Denson, Freda RN098506 Trishanna Sookdeo, MD 72697 15187 4751 Best Rd College Park GA 30337 7/30/2015
Dent Johnson, Lowanda RN055775 Andrew Mecca, MD 36574 1538 5612 Whitesville Road Columbus GA 31904 3/31/2010
Denton, Sherry Lynn RN106233 Melissa Rhodes, MD 47060 13099 21 Pointe North Dr Cartersville GA 30120 6/19/2015
Deringer, Ashley Cannon RN218179 Tsung Jonathan Hsu, MD 62220 12049 677 Church St, Bldg 310 Marietta GA 30060 10/10/2013
Wednesday, January 13, 2016 Page 37 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Deringer, Ashley Cannon RN218179 Emem Udo, MD 63142 13307 743 Spring St Gainesville GA 30501 10/16/2015
Deringer, Ashley Cannon RN218179 Swati Gaur, MD 57624 12793 743 Spring St Gainesville GA 30501 3/19/2014
Desaulniers, Genevieve Antoinette RN208973 Kyoung-Soon Kim, MD 39144 13087 5150 Stilesboro Rd., Ste. 220 Kennesaw GA 30152 1/12/2015
Desaulniers, Genevieve RN208973 Saudiqa Hoossainy, MD 68179 15103 5150 Stilesboro Rd, Ste 220 Kennesaw GA 30152 9/19/2015
Detzel, Patricia Ann RN166939 Cathy Larrimore, MD 38836 5117 4181 Hospital Dr., Ste #104 Covington GA 30014 12/31/2010
Dew, Brandy Pellicano RN149567 Anthony Wahbeh, MD 46003 8748 2701 Meredyth Drive Albany GA 31707 7/13/2010
Dew, Patricia L RN194703 Howard Stirne, MD 25050 11714 316 North Broad St, Emer Dept Winder GA 30680 4/30/2013
Dew, Brandy Pellicano RN149567 Tania Smith, MD 51602 12540 2420 Westgate Dr, Suite 102 Albany GA 31707 6/20/2014
Dew, Brandy RN149567 Maria, Bernard MD 62741 10475 417 West 3rd Ave Albny GA 31701 9/24/2013
Deweese, Vicki Renee RN145900 Dennis Estep, MD 25429 787 2366 Battlefield Parkway Ft Oglethorpe GA 30742 5/5/2012
Dexter, Susan Elizabeth Ragland RN148538 Irandathy Rodrigo, MD 42715 9116 2522 Cruse Rd, Suite C-2 Lawrenceville GA 30044 6/5/2010
Dexter, Susan Elizabeth Ragland RN148538 Hai Trinh, MD 55991 9763 2118 Scenic Hwy, Suites H & I Snellville GA 30078 8/12/2011
Dexter, Susan Elizabeth Ragland RN148538 Noreen Andrews, MD 46861 9020 1910 Hwy 20 SE, Suite 270 Conyers GA 30013 2/25/2010
Diana, Fabrizio RN242399 Joseph Ricotta, MD 64452 14285 980 Johnson Ferry Rd, Ste 1040 Atlanta GA 30342 7/2/2015
Diaz, Scarlett Renee' RN234841 Arvind Aggarwal, MD 56400 12806 206 Hospital Dr, Suite B Dublin GA 31021 4/24/2014
Diaz, Scarlett Renee' RN234841 Amber Zafar, MD 47384 15028 2443 Brookstone Centre Pkwy, Ste A Columbus GA 31904 2/11/2015
Dickerson, Haley Nicole RN198332 Robert Cossio, MD 36357 12607 322 Stephenson Ave Savannah GA 31405 9/12/2014
Dill, Winston Elmer RN196911 Reemon Bishara, MD 63759 9200 1915 Eisenhower Dr Savannah GA 31406 6/25/2010
Dill, Winston RN196911 Warren, Bryan MD 41237 10571 605 Osborne Street St. Marys GA 31558 4/1/2013
Dill, Winston RN196911 Johnson, Debora MD 43071 10619 950 Dannon View, Ste 4101 Atlanta GA 30331 5/7/2012
Dill, Winston Elmer RN196911 Brett Murphy-Dawson, MD 54080 8410 2100 Comer Avenue Columbus GA 31904 1/9/2009
Wednesday, January 13, 2016 Page 38 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Dillon, Laura J. RN169332 Jim Wade, MD 22664 800 800 East Doyle Street Toccoa GA 30577 7/25/2008
Dinkins Learmont, Beverly Ann RN064892 Richard Wright, MD 46927 11767 315 Upper Riverdale Rd Riverdale GA 30274 2/8/2013
Dinkins Learmont, Beverly Ann RN064892 Oladayo Osinuga, MD 51703 11825 2850 Springdalr Rd SW Atlanta GA 30315 5/15/2013
Dinkins-Learmont, Beverly Ann RN064892 Patricia Baines, MD 53092 1716 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 30303 11/20/2013
DiNonato, Caroline J. RN071559 Lisa Wannamaker, DO 55462 11578 1120 15th St., Pavilion II AF-1040 Augusta GA 30912 5/31/2015
Dirico, Laura Anne RN104267 Timothy Ryan, MD 40220 8362 84 Pine Gove Road Cartersville GA 30120 10/30/2009
Dittmar, Jennifer RN194657 Mathews, Jr., Kenneth MD 64626 10353 118 Howard Street Rossville GA 30741 3/14/2013
Dixey, Priscilla Ann RN085072 Leli Gail Matthews, MD 52182 803 595 Piedmont Avenue, Suite 100 Atlanta GA 30308 1/15/2014
Dixon, Martha RN063195 Anju Malla, MD 60471 14834 1826 Veterans Blvd Dublin GA 31021 5/15/2015
Dobbs, Monica Kathryn RN173287 Richard Baldwin, MD 23894 13411 9280 Hwy 5, Ste A Douglasville GA 30134 9/11/2015
Dobson, Shannon Nunn RN112293 Jesenko Vukotic, MD 43300 9087 2000 Professional Way, Bldg 200 Woodstock GA 30188 2/21/2011
Doedens, Danielle Lane RN203965 Brinkley Goodson, DO 24680 12616 260 Elm St Cumming GA 30040-2467 8/8/2014
Doggette, La-Shunn RN223562 Neil Gladstone, MD 16917 14486 3115 Piedmont Rd, Ste A 102 Atlanta GA 30305 4/13/2015
Doker, Robin Lucille Huff RN117159 Elliot Raizes, MD 24478 812 135 Athens West Pkwy, Suite B Athens GA 30606 12/14/2010
Domzal, Bethany Lyn RN189322 Lionel Meadows, MD 45550 5478 121 North Big A Road Toccoa GA 30577 1/25/2013
Donovan, Pamela Daniel Ratajczak RN093203 Elizabeth Furbish, MD 58472 9336 2450 Vinson Hwy Milledgeville GA 31062 8/6/2015
Dooley, Patricia Dianne Cole RN085079 Hector Aviles, MD 57144 819 3509 Mabry Rd Gainesville GA 30504 3/15/2011
Dooley, Patricia Dianne RN085079 Thomas Cobb, MD 59699 14386 310 Black Bear Ridge Saulee GA 30571 11/21/2014
Dooley, Patricia Dianne Cole RN085079 Heerain Shah, MD 59016 9742 3509 Mabry Rd Gainesville GA 30504 1/9/2012
Dorman, Joyce RN162426 Misra, Sudipta MD 59563 10049 1446 Harper Street BG-1132 Augusta GA 3-012 2/23/2012
Wednesday, January 13, 2016 Page 39 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Dortch, Janet Rose RN130308 Lynley S. Durrett, MD 44912 828 105 Collier Road, Ste 1080 Atlanta GA 30309 12/22/2008
Dortch, Janet Rose RN130308 Meera Garcia, MD 46101 8476 5780 P'tree Dunwoody Rd, #295 Atlanta GA 30342 12/31/2010
Doughton-Johnson, Renea RN072764 Raulnina Uzzle, MD 43499 12373 770 Village Square Dr Stone Mountain GA 30083 8/9/2014
Doughton-Johnson, Susan Renea RN072764 Jacob Varghese, MD 56933 832 3003 Old Alabama Road Alpharetta GA 30022 8/24/2012
Doughton-Johnson, Renea RN072764 Riba Kelsey-Harris, MD 53833 11097 595 Piedmont Ave., Ste 100 Atlanta GA 30308 7/5/2013
Douglas-Adams, Tresselyn Y. RN112304 Ehi Osehobo, MD 49075 8486 1007 Memorial Drive Griffin GA 30224 9/26/2009
Dow, Andrew Ryan RN169902 Michael Frankel, MD 34832 11764 80 Jesse Hill Jr Dr, 8th floor Atlanta GA 30303 10/1/2014
Dowden, Margaret Phyllis RN188812 Renee Corley, MD 33302 8575 653 Roberts Drive, Suite A Riverdale GA 30274 3/1/2011
Downey, Gloria RN099709 Messulam, Elizabeth MD 44786 10898 3421 Mike Padgett Hwy Ste C Augusta GA 30906 2/4/2014
Doyle, Konnie RN110538 Campbell, Becky MD 48105 10701 500 Spillers Way Warner Robins GA 31088 10/1/2013
Doyle, Konnie RN110538 Al-Shroof, Mohammad MD 45158 10572 2054 Watson Blvd Warner Robins GA 31093 4/14/2012
Doyle, Konnie RN110538 Baggett, Kevin DO 48410 10700 500 Spillers Way Warner Robins GA 31088 10/1/2013
Dozier, James Bradford RN181191 Richard Myung, MD 57902 12645 61 Whitcher St, Suite 4100 Marietta GA 30060 1/27/2015
Drakeford, Torrence Tremayne RN222121 Steven Niergarth, DO 44553 12132 1201North Columbia Dr Milledgeville GA 31061 8/31/2015
Drakeford, Torrence RN222121 Floyd, John MD 51041 10872 840 Pine Street Macon GA 31201 7/20/2014
Drakeford, Torrence Tremayne RN222121 James Peterzell, DO 53868 11432 218 Hwy 49 North, Suite B Byron GA 31008 7/24/2013
Drakeford, Torrence Tremayne RN222121 Vinod Sachdeva, MD 46319 12131 1412 Plunkett Rd, Po Box 750 Unadilla GA 31091 10/2/2014
Drake-Hughes, Denise Kim RN185715 Arnold Ray Christopher, MD 53119 5473 3624 J Dewey Gray Circle, Ste 110 Augusta GA 30909 2/11/2008
Drake-Hughes, Denise Kim RN185715 George Zoret, MD 24744 8144 2215 Tobacco Road, Suite F Augusta GA 30906 5/1/2008
Dryer, Sheba RN137657 S. Nok Keomahathai, MD 51054 11586 550 Redmond Rd. Rome GA 30165 7/10/2013
Dubin, Cynthia Ellen RN129528 Michael Gardner, MD 56710 5123 69 Jesse Hill Jr, Dr. SE Atlanta GA 30303 1/1/2008
Wednesday, January 13, 2016 Page 40 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Dubois, Melissa RN212024 Salvatore Mannino, DO 56133 15531 55 Whitcher St, Ste 350 Marietta GA 30060 10/22/2015
Dubravcic, Cindia Leigh Poole RN069794 Vithal Kusuma, MD 21536 8627 1009 N. Monroe St Albany GA 31701 9/30/2010
Dudley, Susan Gail RN121801 Loy Cowart, MD 37979 7788 207 S. Duke Street Lafayette GA 30728 11/1/2010
Dudley, Susan RN121801 Merlin, Mark DO 31635 10596 1140 Hammond Drive, Ste 110 Atlanta GA 30328 9/21/2012
Dudley, Susan Gail RN121801 John Ouderkirk, MD 49992 12316 735 Piedmont Ave Atlanta GA 30808 10/2/2014
Dugas, Princess Marie RN094669 Yolanda Hacker, MD 45811 8562 780 North Glynn Fayetteville GA 30214 1/16/2014
Dugas, Princess Marie RN094669 Germaine Denise Cummings, 52340 851 780 North Glynn Fayetteville GA 30214 5/13/2009 MD
Dukas, Brenda Cheryl RN177273 Anne Todd, MD 51395 8716 1008 N. 3rd Avenue Chatsworth GA 30705 3/2/2010
Dumas, Therese Williams RN172907 Charlie Rouse, MD 44076 8705 100 Professional Park, Suite 303 Carrollton GA 30117 6/18/2011
Dumas, Nicole Yvette RN132595 Thomas Fariss, MD 55747 11921 1400 Holcomb Bridge Rd Roswell GA 30076 10/1/2014
Duncan, Laura Murray RN134435 Shahzad Hashmi, MD 53239 8219 250 North Avenue Athens GA 30601 7/1/2014
Duncan, Tammy Rebecca RN129997 Peter Jiang, MD 59981 12148 1831 5th Ave Columbus GA 31904 6/6/2014
Duncan, Laura Murray RN134435 Craig Johnson, MD 29689 5491 4460 Atlanta Hwy Loganville GA 30052 1/31/2008
Dunn, Ida Marie RN105176 Mark Hancock, MD 67750 860 163 Hospital Dr Toccoa GA 30577 6/18/2014
Dunn, Alexis Brennae RN190028 Crystal Slade, MD 53881 9235 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 10/30/2012
DuPraw, Virginia Ann Pearson RN153403 Eugene Jackson, MD 22793 11837 151 South Houston Lake Rd, Suite 190 Warner Robins GA 31088 2/6/2015
Dupree, Susan Lee RN193186 Kenneth J. Howard, MD 40412 11250 1825 Martha Berry Blvd Rome GA 30165 12/7/2012
Dupree, Susan Lee RN193186 Thomas A. Self, MD 21587 11628 1825 Marth Berry Blvd. Rome GA 30165 10/14/2013
Durden, Linda Tatman RN213380 Paul J Jarrett, MD 23069 13353 3051 Watson Blvd, ste525 Warner Robins GA 31088 12/4/2015
Durham, Rebecca RN112059 Parker, Stacey MD 60022 10150 2578 Helen Highway Cleveland GA 30528 9/26/2000
Wednesday, January 13, 2016 Page 41 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Durham, Rebecca Caroline Brown RN112059 Rebecca Loomis, MD 46984 867 1331 Helen Hwy Cleveland GA 30528 9/12/2011
Durham, Angela Melissa RN180719 David Lowance, MD 16095 865 1903 North Druid Hills Rd Atlanta GA 30319 3/5/2010
DuVall, Caroline RN161843 Robert Byrne, MD 51443 11087 1500 Oglethorpe Ave, Suite 200-C Athens GA 30606 6/11/2014
Duxbury, Linda McIver RN109974 Ferree, Suzanne MD 47772 10448 1357 Hembree Rd, Ste 240 Roswell GA 30076 4/16/2014
Dysinger, June Neil RN108119 Andrew Doris, MD 49005 8479 761 Old Norcross Road Lawrenceville GA 30045 1/9/2010
Eades, Lee Ann Hunter RN066361 Jan Mayfield, MD 51355 869 49 Hosiery Mill Road, Suite 124 Dallas GA 30157 10/11/2009
Earnest, Nina Choi RN217816 Harrison Stetler, MD 41681 11687 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 30092 8/23/2013
Eckert, Cynthia J. RN225095 David R. Wharton 25310 11471 100 Gross Crescent Cr. Ft. Oglethorpe GA 30742 3/1/2013
Eckert, Cynthia Jean RN225095 Lloyd Rimer, MD 30665 12273 3541 Chattanooga Rd Tunnel Hill GA 30755 11/3/2014
Edenfield, Monica Phillips RN184707 Michael Rogers, MD 46482 13514 1941 Phinizy Rd- Webster Det Ctr Augusta GA 30906 10/23/2014
Edenfield, Monica Phillips RN184707 Oladapo Fawibe, MD 43608 12216 811 13th Street, Suite 10 Augusta GA 30901 9/1/2013
Edenfield, Monica RN184707 Edsworth John, MD 65012 10924 811 13th St, Ste 10 Augusta GA 30901 12/31/2012
Edge-Knauff, Julia Kaye RN190120 Daniel Messcher, MD 48443 8033 VSU Stud Health Ctr, North Oak St Valdosta GA 31698 3/18/2009
Edge-Knauff, Julia Kaye RN190120 Edwin Hiatt, MD 12920 8633 200 Georgia Ave Valdosta GA 31698 10/1/2009
Edgeman, Michelle Blalock RN135120 Anthony Harbin, MD 29665 8494 1525 Chattanooga Road Dalton GA 30720 7/16/2011
Edmonds, Peggy RN112337 Bazzel, Grady MD 65524 10710 1941 Phinizy Road Augusta GA 30906 4/21/2012
Edmonds, Peggy RN112337 Rogers, Michael MD 46482 10743 1941 Phinizy Road Augusta GA 30906 9/7/2012
Edmonds, Peggy Dockery RN112337 Eugene Jackson, MD 22793 9242 151 South Houston Lake Rd, Suite 190 Warner Robins GA 31088 2/20/2012
Edmonds, Peggy Dockery RN112337 Steven Johnson, MD 17836 879 1111 Glynco Pkwy, #100 Brunswick GA 31525 7/15/2010
Edmonds, Peggy Dockery RN112337 Dave Ringer, MD 30368 12517 803 South Main St Greensboro GA 30642 7/13/2015
Edwards, Michele Lee RN207801 Allen Dollar, MD 35244 9638 80 Jesse Hill Dr, Suite 2F Atlanta GA 30303 6/21/2014
Wednesday, January 13, 2016 Page 42 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Eichenlaub, Gretchen Dean RN164522 Kay Entrekin, MD 42817 8609 315 Winn Way Decatur GA 30030 11/30/2013
Eichenlaub, Gretchen Dean RN164522 Jennifer Aqua, MD 44882 8602 315 Winn Way Decatur GA 30030 7/2/2010
Eichenlaub, Gretchen Dean RN164522 Gary Glasser, MD 33583 8610 315 Winn Way Decatur GA 30030 11/30/2013
Eichenlaub, Gretchen Dean RN164522 Catherine Bonk, MD 30435 8608 315 Winn way Decatur GA 30030 11/30/2013
Eichenlaub, Gretchen Dean RN164522 Jennifer Lyman, MD 50039 8613 315 Winn Way Decatur GA 30030 12/31/2012
Ejifoma, Mary Iniovosa RN120872 Ahmad Jingo, MD 45842 883 3424 Flat Shoals Rd Decatur GA 30034 2/18/2014
Ejifoma, Mary Iniovosa RN120872 Franklin Von Hack, MD 39501 9963 861 Holcomb Bridge Rd, Ste 200 Roswell GA 30076 8/20/2012
Ejifoma, Mary Iniovosa RN120872 Raymond Ramirez, MD 31310 11773 5180 Jimmy Carter Blvd Norcross GA 30093 2/3/2014
Ekard, Charlotte Ann Hodges RN042548 Craig Johnson, MD 29689 8171 4460 Atlanta Hwy, Suite B Loganville GA 30052 9/30/2008
Ekard, Charlotte Ann Hodges RN042548 Corliss Rupp, MD 49091 8204 1711 Athens Hwy, Suite 500 Grayson GA 30017 5/31/2008
Eley, Cecelia Joyce RN045263 Valens Plummer, MD 49496 7698 780 North Glynn Fayetteville GA 30214 5/12/2009
Elie, Joann RN124957 Shirley Rigaud-Echols, MD 58639 887 770 Village Square Dr Stone Mountain GA 30083 8/31/2010
Elie, Joann RN124957 Shalandra Ross, MD 64457 9430 770 Village Square Dr Stone Mountain GA 30083 8/15/2014
Elie, Joann RN124957 Robert Dourron, MD 48617 9927 2675 N. Decatur Rd, Ste 301 Decatur GA 30033 10/5/2012
Elkins, Amanda RN175222 Gillett, Richard MD 34142 10714 1800 10th Avenue Columbus GA 31901 11/28/2012
Elkins, Amanda Layne RN175222 Derek Woessner, MD 51194 9778 1800 10th Ave Columbus GA 31901 6/17/2011
Elliott, Kelly Ray RN115578 Frank David Newby, MD 38314 888 1506 Broadrick Drive Dalton GA 30720 1/30/2013
Elliott, Brian RN109322 Kirby Smith, DO 39676 15538 760 26th AVE SE Moultrie GA 31768 8/19/2015
Ellis, Laura Anne Green RN150577 Pradeep Jolly, MD 22798 890 975 Johnson Ferry Rd. Atlanta GA 30342 6/30/2014
Ellis, Latrese A RN165019 Yolanda Hacker, MD 45811 13790 794 S Park St Carrolton GA 30117 3/26/2015
Wednesday, January 13, 2016 Page 43 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Elmore, William RN169582 Kelvin White, MD 33753 14473 5505 Bells Ferry Rd Acworth GA 30102-7527 9/22/2015
Elrod, Leah RN164926 Kerry Neises, MD 43720 11119 1107 Memorial Dr., Ste 300 Dalton GA 30720 1/1/2015
Elrod, Leah Tracy RN164926 Dorel Bidiuc, MD 51296 13288 707 Old Dalton - Ellijay Rd, Emer Dept Chatsworth GA 30705 1/1/2015
Elsinga, Elysia RN204492 Ault, Kevin MD 56403 10655 69 Jessee Hill Jr., Dr, SE, GYN/OB Dept, Atlanta GA 30303 12/13/2012 4th floor
Emery, Tonya Leigh RN154628 Mary East, MD 63187 9023 300 Cherokee Pl Cartersville GA 30121 10/2/2010
Emery, Tonya Leigh RN154628 Timothy Ryan, MD 40220 7888 84 Pine Grove Road Cartersville GA 30120 2/4/2010
Emery, Marie Kerr RN064364 Eric Powell, MD 49081 8282 1250 Jesse Jewell Pkwy, Suite 400 Gainesville GA 30501 12/31/2009
Emery, Marie Kerr RN064364 Lenka Novotna, MD 51698 896 800 East Doyle Street Toccoa GA 30577 3/18/2011
Enfinger, Lesley Johnson RN130096 Michael Satchell, MD 49593 2696 806 14th Avenue, Suite C Albany GA 31701 5/1/2009
Enfinger, Casidy Davis RN144558 Abdollatif Ghiathi, DO 40908 8320 208 McDonald Aveune Cuthbert GA 39840 2/6/2009
English, Tracy C. RN123591 Lawrence Powell, MD 38915 8770 3740 Cascade Road Atlanta GA 30331 2/24/2010
Ensley, Deirdre Walker RN077047 Thomas Ho, MD 44748 9754 7494 Battlefield Pkwy Ringgold GA 30736 1/26/2012
Ensley, Deirdre Walker RN077047 Dennis Estep, MD 25429 904 2366 Battlefield Parkway FT Oglethorpe GA 30742 3/1/2011
Ensley, Deirdre Walker RN077047 Thomas Ho, MD 44748 11386 7494 Battlefield Pkwy Ringgold GA 30736 1/26/2012
Enworom, Chinyere D. RN180187 Okiki Louis, MD 47479 905 1490 Pleasant Hill Road Duluth GA 30096 4/25/2014
Epstein, Robin Nadine Pollack RN138969 William Mahle, MD 50110 907 1405 Clifton Rd Atlanta GA 30322 8/5/2013
Erkenbrack, Susan Karen RN137469 Philip Henderson, MD 47601 910 289 Grayson Hwy Lawrenceville GA 30045 6/20/2010
Ervin, Nora RN049625 Patrick Haggard, MD 49403 8786 80 Jesse Hill Jr Dr, Suite 13-A Atlanta GA 30303 5/6/2010
Ervin, Nora RN049625 Barbara D'Orio, MD 33956 9192 PO Box 26238 Atlanta GA 30303 5/30/2012
Ervin, Nora RN049625 Golden Barnett, III, MD 55090 11875 10 Park Place NE, 2nd Floor Atlanta GA 30303 3/31/2013
Wednesday, January 13, 2016 Page 44 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Espitallier, Catherine V RN040164 Richard Schwartz, MD 42935 911 1120 15th St, Suite AF-2044 Augusta GA 30912 8/1/2011
Estabrook, Christine M. RN185062 Richard Carter, MD 38439 8871 1506 Klondike Rd, Suite 205 Conyers GA 30094 10/3/2010
Estabrook, Christine M. RN185062 John Kauh, MD 52970 9853 1365 Clifton Rd, Bldg C Atlanta GA 30222 10/18/2013
Estes, Shaquita Nichole Lewis RN142360 Ann Eggert, MD 28972 8810 12 Eastbrook Bend Peachtree City GA 30269 4/29/2014
Esteves, Ariel RN189458 Frederick Burton, MD 38434 15451 1735 S. Highway 27 Carrollton GA 30117 4/12/2015
Etheridge, Christy Rebecca RN081198 Maurice Solis, MD 30673 12984 575 First St Macon GA 31201 7/21/2014
Ethridge, Rachel RN076629 Roberts, Marcus MD 35986 10842 1909 Highway 82 West, Ste 5 Tifton GA 31793 3/27/2014
Ethridge, Rachel Susan RN076629 Arnold Gaskin, MD 36382 914 9020 Peridot Pkwy Stockbridge GA 30281 4/19/2010
Etienne-Marseille, Valencia RN185846 Clarice Bell-Strayhorn, MD 39730 15833 505 Dacula Rd Dacula GA 30019-2125 8/26/2015
Evans, Kimberly RN113548 Souza, John MD 39475 10300 1110 Hillcrest Pkwy Dublin GA 31021 1/28/2013
Evans, Kimberly RN113548 Marcus Roberts, MD 35986 13276 621 E. First, Ste B Vidalia GA 30475 6/18/2015
Evans, Anne T. RN033687 Esther Harbert, MD 32633 8311 450 Winn Way Decatur GA 30030 10/24/2008
Evans, Rebecca Berrier RN145456 Thomas A. Self, MD 21587 11609 1825 Martha Berry Blvd Rome GA 30165 4/8/2013
Evans, Natalie F. RN168361 Alice R. House, MD 43065 11190 100 College Station Dr. Macon GA 31206 9/4/2014
Evans, Natalie Fulford RN168361 Alice House, MD 43065 9806 100 College Station DR Macon GA 31206 9/4/2014
Evans, Kimberly RN113548 Peter Litchfield, MD 65367 13286 117 Kite Rd, Emer Dept Swainsboro GA 30401 7/1/2014
Evans, Kimberly RN113548 Charles Harden, MD 44930 12625 621 East First St, Suite B Vidalia GA 30475 4/30/2014
Evers, Sharon Lee Sterner RN087281 Tommy Morgan, MD 57755 9760 120-A Gordon Commercial Dr LaGrange GA 30240 10/18/2011
Ewart-Madhere, Arlene Elaine RN129054 William Jackson, MD 35913 922 2945 Panola Road Lithonia GA 30038 9/24/2009
Ewart-Madhere, Arlene Elaine RN129054 Bruce Ribner, MD 49086 9498 1364 Clifton Rd NE Atlanta GA 30322 9/6/2012 RN129054
Wednesday, January 13, 2016 Page 45 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Fahien, Erin Mary RN167366 Mark Stovroff, MD 37088 9091 960 Johnson Ferry Rd, Suite 315 Atlanta GA 30342 6/9/2010
Falkner, Myron RN245428 Ahmed Damtew, MD 67552 15560 3201 Atlanta Industrial Pkwy NW, Ste Atlanta GA 30331 4/30/2015 RN245428 303
Falkner, Myron Javon RN245428 Roy Johnston, MD 40428 15286 9157 Tara Boulevard MD Jonesboro GA 30236 4/30/2015
Farrington, Sherry Lynn RN186074 Houston H. Pittman, MD 18065 5462 20 Riverbend Drive, SW Rome GA 30161 3/14/2008
Faulkner, Linda Leigh RN069262 Arnold Gaskin, MD 36382 8743 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Faulkner, Linda Leigh RN069262 William Watkins, MD 32076 935 235 P'tree St NE, North Tower, #2100 Atlanta GA 30303 9/1/2014
Favis, Tara RN195879 Jody Hughes, MD 68034 14011 55 Whitcher St, Suite 160 Marietta GA 30060 2/3/2014
Favis, Tara Lynn RN195879 Neelima Kothari, MD 51494 11067 55 Whitcher St, Suite 160 Marietta GA 30060 2/3/2014
Fegely, Karen RN154172 Donna Gregory, MD 51227 10175 107 Mountain Brook Dr, Ste 100 Canton GA 30115 10/14/2012
Fegely, Karen Joy Krasley RN154172 Carla Bedford-Dixon, MD 60239 9333 143 Hickory Flat Hwy Canton GA 30114 9/29/2011
Fell, Jeanne Ingraham RN080116 Hansa Bhargava, MD 52423 938 2201 Mt Zion Pkwy Morrow GA 30260 7/1/2011
Fell, Jeanne RN080116 Talboy, Amy MD 37317 10480 1920 Briarcliff Rd NE Atlanta GA 30329 5/31/2015
Fell, Jeanne RN080116 Beard, Charlene MD 20513 10100 1510 Hudson Bridge Rd Stockbridge GA 30281 5/15/2015
Felser, Felice RN153328 Suzanne Ferree, MD 47772 8070 1357 Hembree Road, Suite 240 Roswell GA 30076 11/1/2007
Felser, Felice RN153328 Nydia Maria Bladuell, MD 38429 939 790 Church Street, Ste 470 Marietta GA 30060 6/28/2007
Fenceroy, Megan Louise RN207428 Raymond Easley, DO 20987 12724 1675 Cumberland Pkwy, Suite 205 Smyrna GA 30080 3/19/2014
Fenceroy, Megan Louise RN207428 Ademola Opanuga, MD 66352 12386 2636 MLK Jr Dr, Suite 12 Atlanta GA 30311 11/7/2013
Fenceroy, Megan Louise RN207428 Bonnie Ellenoff, DO 51644 12961 6309 Roswell Rd, Suite 9-2B Sandy Springs GA 30328 3/18/2014
Fender, Justin M. RN194077 Justin F. Harrell, MD 59162 11385 Coffee Family Medicine, 200 Doctors Douglas GA 31533 11/30/2015 Dr., Ste 224
Fernandes, Glenn Raymond RN126877 Andrew Mecca, MD 36574 944 5612 Whitesville Road Columbus GA 31904 1/1/2012
Wednesday, January 13, 2016 Page 46 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ferrand, Mary Ellen RN063288 Brian Herrmann, MD 54219 8930 5455 Meridian Mark Rd, Suite 130 Atlanta GA 30342 7/31/2014
Ferrelli, Dorothy Lynn RN170784 L. Kyrin Dunston, MD 41781 9673 800 East 70th St Savannah GA 31405 7/29/2011
Fikes, Debra Kay Cofield RN126896 Shazib Khawaja, MD 58888 8246 705 Dixie Street Carrollton GA 30117 10/22/2010
Fingerman, Olga RN183720 Sendhil Subramanian, MD 49107 11771 1000 Johnson Ferry Rd, Suite B-155 Marietta GA 30068 4/16/2015
Fingerman, Olga RN183720 Maiysha Clairborne, MD 55194 7967 2801 Buford Hwy, Suite T-30 Atlanta GA 30324 4/16/2015
Finn, Stephanie Marlene RN180071 Mark Coker, MD 56276 12275 14557 Hwy 19, Suite A Griffin GA 30224 6/13/2014
Fisher, Melanie Crittenden RN055758 Esther Harbert, MD 32633 8260 450 Winn Way Decatur GA 30030 10/24/2008
Fisher, Nancy Elizabeth Morse RN062903 Edward Ira Galaid, MD 37544 960 678 Lanier Park Drive Gainesville GA 30506 1/5/2009
Fisher, Dorothy RN089376 Everett Walker, MD 31682 14918 1826 Veterans Blvd Dublin GA 31021 11/30/2015
Fitzpatrick, Kathleen RN096592 Peter Wrobel, MD 40285 9974 409 Uvalda Street Waycross GA 31501 5/13/2013
Fitzpatrick, Kathleen RN096592 Frederick Burton, MD 38434 14828 6020 Harrison Rd Macon GA 31206 4/5/2015
Flax, Debra S. RN095260 Margaret Boudreaux, MD 44172 8173 763 Peachtree Parkway, Suite 2 Cumming GA 30041 9/29/2009
Fleming, Carrie Wheeler RN145614 Anthony Gonter, MD 21700 968 5126 Hospital Dr. Covington GA 30014 12/10/2014
Flippo, Sharyn Renee RN114986 Gary Billingsley, MD 29582 7769 1215 West Wheeler Pkwy Augusta GA 30909 1/2/2013
Flood, Vernell Rene RN112394 Mehmood Mehdi, MD 57725 14674 250 North Ave Athens GA 30605 2/9/2015
Flory, Michael S. RN175893 Johnathan Gaskins, MD 56836 9730 PO Box 1287 Douglas GA 31533 1/12/2012
Flory, Michael RN175893 Cecilia D. Arango, MD 68354 11331 CRH Family Med., 304 Weside Dr. Douglas GA 31533 7/11/2014
Flory, Michael RN175893 Romulo Navarro, MD 23646 13742 100 Doctor's Dr. Ste. C Douglas GA 31533 10/29/2015
Floyd, Kortney Melissa RN181122 Rajeshkumar Miniyar, MD 51597 11879 140 Three Rivers Dr Rome GA 30161 5/30/2014
Floyd, Dawn Marie RN169929 Roger Venable, MD 21437 9738 901 E. 18th St, Emer Dept Tifton GA 31794 2/20/2013
Floyd, Kaci J. RN200664 Donna Schuyver, DO 42754 9825 13570 N. Main St Trenton GA 30752 5/10/2013
Wednesday, January 13, 2016 Page 47 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Floyd, Kaci J RN200664 Gayoung Hong, MD 67467 12034 13570 N Main St Trenton GA 30752 12/20/2013
Floyd, Kaci RN200664 Gayoung Hong, MD 67467 14679 13570 N Main St Trenton GA 30752 7/25/2015
Foley, Kathryn Liedtke RN049093 Michael Huey, MD 50962 8156 1525 Clifton Road NE, 2nd Floor Atlatna GA 30322 5/16/2009
Foley, Kathryn Liedtke RN049093 Sharon Rabinovitz, MD 46806 9462 141 Piedmont Ave, Suite D Atlanta GA 30303 5/23/2014
Foley, Kathryn Liedtke RN049093 Catherine Dekle, MD 53130 8155 1525 Clifton Road NE, 2nd Floor Atlanta GA 30322 8/16/2008
Foley, Kathryn Liedtke RN049093 Theresa Berry, MD 49355 8433 1525 Clifton Road NE Atlanta GA 30047 5/16/2009
Foley, Kathryn Liedtke RN049093 Michael Allan, MD 33511 8152 1525 Clifton Road NE, 2nd Floor Atlanta GA 30322 5/16/2009
Foley, Kathryn Liedtke RN049093 Lisa Lefkovits, MD 50117 8153 1525 Clifton Road NE, 2nd Floor Atlanta GA 30322 5/16/2009
Foley, Kathryn Liedtke RN049093 Dawn Mielke, MD 37752 8154 1525 Clifton Road NE, 2nd Floor Atlanta GA 30322 5/16/2009
Foley, Kathryn Liedtke RN049093 Carol Rappaport, MD 31435 981 1525 Clifton Road NE, 2nd Floor Atlanta GA 30322 5/16/2009
Ford, William Chester RN144697 Muhammad Sheikh, MD 59195 8755 11973 Augusta Road Lavonia GA 30553 5/1/2010
Ford, Deborah Patrice RN111299 Mitzi Rubin, MD 49592 12366 3939 Roswell Rd, Suite 200 Marietta GA 30062 12/31/2013
Ford, Janice RN057176 Laygo, Romualdo MD 17843 10355 1451 Hwy 21 South, Ste H Springfield GA 31320 7/4/2014
Ford, Janice E RN057176 James Cornwell, Jr., MD 50608 984 459 Hwy 119 South, Suite A Springfield GA 31329 7/10/2008
Ford, Janice E. RN057176 Prakash Patel, MD 45909 8780 499 Hwy 119 South Springfield GA 31329 9/8/2010
Ford, Janice E. RN057176 Joseph Ratchford, MD 32848 8779 499 Hwy 119 South Springfield GA 31329 9/8/2010
Ford, Marsha Denise RN066207 Tracey Lemon, MD 50723 5139 315 Boulevard NE, Suite 328 Atlanta GA 30312 2/7/2011
Ford, Nicole RN139406 Sharpton, Julian MD 17084 10176 891 church Street Royston GA 30662 8/31/2014
Ford, Nicole Ruff RN139406 Wesley Smith, MD 45971 8087 11973 Augusta Road Lavonia GA 30553 3/26/2009
Ford, Nicole Ruff RN139406 Muhammad Sheikh, MD 59195 8712 11973 Augusta Road Lavonia GA 30553 5/1/2010
Ford, William RN144697 Sharpton, Julian MD 17084 10177 891 Church Street Royston GA 30662 8/31/2014
Wednesday, January 13, 2016 Page 48 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ford, William Chester RN144697 Wesley Smith, MD 45971 8086 11973 Augusta Road Lavonia GA 30553 3/26/2009
Ford, Janice RN057176 Cornwell, James MD 50608 10843 800 Towne Park Drive, Ste 100 Springfield GA 31329 7/4/2014
Ford, William Chester RN144697 Wesley Smith, MD 45971 9133 11973 Augusta Road Lavonia GA 30553 9/22/2011
Ford, Jr., William RN144697 Mecca, Andrew MD 36574 10902 5612 Whitesville Road Columbus GA 31904 3/4/2015
Forehand, Michael Anthony RN214205 William Cross, DO 62831 9784 2501 N. Patterson St Valdosta GA 31602 7/12/2011
Forehand, Michael A. RN214205 Jonathan R. Parrott, MD 36246 11478 804 Northwood Park Valdosta GA 31602 1/1/2013
Forehand, Michael Anthony RN214205 Muhammad Khan, MD 63080 12470 Archbold Mem Hosp, 915 Gordon Ave Thomasville GA 31792 10/21/2013
Foreman, Jerrye A RN022696 William Thorneloe, MD 23119 12438 2978 Hwy 36 West Jackson GA 30233 10/16/2014
Fortenberry, Melanie RN164301 George Petro, MD 62511 9877 59 Tipton Drive Dahlonega GA 30533 12/19/2014
Fortenberry, Melanie Renea RN164301 Richard Wherry, MD 17341 9860 59 Tipton Dr Dahlonega GA 30533 12/19/2013
Fortenberry, Melanie Renea RN164301 Debora Quigley, MD 36601 9041 178 Hospital Circle Blairsville GA 30512 6/16/2010
Foss, Tammy RN131812 Joseph Korwin, MD 34878 14755 1 Freedom Way Augusta GA 30904 12/3/2015
Foster, Michal Aimee RN115596 Romulo Navarro, MD 23646 13743 100 Doctor's Dr., Ste C Douglas GA 31533 10/29/2015
Foster, Michal RN115596 Lister, Debra MD 38849 10811 1101 Ocilla Road Douglas GA 31533 1/1/2015
Foster, Michal A. RN115596 Cecilia D. Arango, MD 68354 11301 304 Westside Dr. Douglas GA 31533 7/11/2014
Foster, Michal Aimee Lockaby RN115596 Mark Brulte, MD 48490 9611 200 Doctors Dr, Suite 106 Douglas GA 31533 6/15/2012
Foster, Carole Ann RN206637 Stan Bravy, MD 28145 9037 153 Independence Drive Carrollton GA 30116 10/31/2012
Foster, Michal Aimee Lockaby RN115596 Michael Nulph, MD 57735 9296 203 S. Wayne St Alma GA 31510 3/31/2011
Fountain, Amber L. RN201885 Amelia Mathews, MD 58285 11026 200 Wisteria Dr. Gaineville GA 30501 1/29/2014
Fountain, Amber RN201885 Black, Jeff MD 37486 10027 200 Wisteria Drive Gainesville GA 30501 3/27/2012
Fountain, Amber Linnet RN201885 Elizabeth Furbish, MD 58472 8830 2450 Vinson Hwy, Cook Bldg Milledgeville GA 31062 6/1/2010
Wednesday, January 13, 2016 Page 49 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Foutch, Brandon RN214962 Catherine James-Peters, MD 63671 9899 454 Smith Avenue Thomasville GA 31792 9/28/2011
Fowler, David RN050746 Nicolas Sanchez, MD 37356 10915 3000 Schatulga Road Columbus GA 31907 6/25/2013
Fowler, David Hunt RN050746 Joseph LeRoy, MD 33623 9968 400 S Pinetree Blvd Thomasville GA 31799 6/29/2012
Fowler, David H. RN050746 Emile Risby, MD 30869 13511 3000 Schatulga Rd Columbus GA 31907 9/18/2015
Fowler, David H. RN050746 Salman Baseer, MD 59121 9493 705 North Division St Rome GA 30165 7/14/2011
Fowler, David H. RN050746 Smita Varshney, MD 45997 8865 306 Shorter Ave Rome GA 30165 2/1/2010
Fowler, David H RN050746 Susan Queen, MD 23496 12715 3000 Schatulga Rd Columbus GA 31907 6/30/2014
Fowler, Elizabeth Ashley RN206545 Noemi Carcar, MD 41526 12461 303 Fraser Dr Hinesville GA 31313 10/7/2014
Fowlkes, Rebecca J. RN210612 John Chung, MD 41532 10996 1107 Memorial Dr., Ste 201 Dalton GA 30720 1/10/2014
Fox, Stephanie Elaine RN038536 Barbara D'Orio, MD 33956 1003 PO Box 26238 Atlanta GA 30303 12/2/2015
Fox, Rodney Paul RN138434 John Ouderkirk, MD 49992 13358 735 Piedmont Ave., NE Atlanta GA 30308 6/19/2014
Fraher, Margaret McCarthy RN103393 Lisa Lefkovits, MD 50117 8159 1525 Clifton Road NE,2nd Floor Atlanta GA 30322 8/1/2009
Fraher, Margaret Mary McCarthy RN103393 LaJune Oliver, MD 47986 8965 1525 Clifton Rd Atlanta GA 30322 7/17/2010
Fraher, Margaret Mary Mccarthy RN103393 Catherine Dekle, MD 53130 1005 1525 Clifton Road NE,2nd Floor Atlanta GA 30322 8/16/2008
Fraher, Margaret McCarthy RN103393 Carol Rappaport, MD 31435 8161 1525 Clifton Road NE,2nd Floor Atlanta GA 30322 12/31/2009
Francis-Liburd, Julyn Clair RN114539 William Jackson, MD 35913 1006 2945 Panola Road Lithonia GA 30038 11/30/2009
Francis-Liburd, Julyn Clair RN114539 Christopher Stevens, MD 54515 8907 2945 Panola Road Lithonia GA 30038 1/16/2014
Franklin, Sherri DeAnne RN229900 Edwin Bello, MD 36099 12064 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 7/12/2015
Fraser, Laura Ann Lucas RN112888 Claudia Venable, MD 50455 1009 5455 Meridian Mark Rd, Suite 200 Atlanta GA 30342 1/17/2013
Freckleton, Annie Rose RN183877 Charlene Robinson, MD 34233 14560 1220 Caroline St, Ste A 230 Atlanta GA 30307-2749 9/8/2015
Wednesday, January 13, 2016 Page 50 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Frederick, Carlie Ann RN095043 Susan Queen, MD 23496 12418 3000 Schatulga Rd Columbus GA 31907 6/30/2014
Frederick, Alexis Taylor RN178750 Ed Childs, MD 67203 10990 75 Piedmont Ave. Atlanta GA 30302 6/2/2014
Frederick, Alexis Taylor RN178750 Mark Winokur, MD 36317 10989 1401 Johnson Ferry Rd., #390 Marietta GA 30062 3/9/2015
Frederick, Carlie Ann RN095043 Michael Ellis, DO 62835 11923 5/15/2013
Frederick, Carlie Ann RN095043 James Morris, MD 57898 8819 2000 16th Ave, Suite 101 Columbus GA 31901 4/27/2012
Freeman, Dorian RN128290 Campbell, Mary MD 32526 10301 1700 Tree Lane, Ste 290 Snellville GA 30078 7/25/2012
Freeman, Christi Renee RN134889 Randolph Sumner, MD 28323 12739 1825 Martha Berry Blvd Rome GA 30165 5/10/2014
Freeman, Rasheeda Japaka RN168338 Allen Beecham, DO 25102 12512 2000 Village Professional Dr, Suite 200 Canton GA 30114 10/17/2014
Freeman, Karen RN181566 Christopher Recknor, MD 40982 11143 2350 Limestone Pkwy Gainesville GA 30501 4/26/2013
Freeman, Christi Renee RN134889 Lawrence Weiss, MD 44863 13524 3901 Roswell Rd, Ste 225 Marietta GA 30062 10/3/2014
Freeman, Sarah Benton RN029221 Tamer Middleton, MD 51987 1018 1924 Cliff Valley Way NE Atlanta GA 30329 6/15/2012
Freeman, Melanie Lynn Leatherwo RN146535 Lawrence Steigelman, MD 31135 5145 59 Hospital Road Newnan GA 30263 11/24/2007
Freeman, Christi Renee RN134889 Thomas Self, MD 21587 11873 1825 Martha Berry Blvd Rome GA 30165 12/1/2013
Frena, Colette RN113806 Rhodes, Melissa MD 47060 10010 21 Pointe North Drive Cartersville GA 30120 8/2/2013
French, Jessica Adrienne RN232398 Cheryl Perkins, MD 36430 12550 1497 Fair Rd, Suite 200 Statesboro GA 30458 7/15/2014
Frey, Janet Marie RN167990 Patrick Voswinkel, MD 42760 8326 4305 State Bridge Road Alpharetta GA 30022 9/30/2011
Frey, Janet Marie RN167990 Sekhar Sankaran, MD 31549 9923 101 Regency Park Dr, Ste 140 McDonough GA 30253 1/23/2014
Fricke, Susan Lynn Gordon RN211812 Eric Paulk, MD 62271 9451 410 Darling Ave, Emer Dept Waycross GA 31501 1/8/2011
Frierson, Alisa Kay RN218717 Robert Burkich, MD 46372 13305 11300 Atlantis Place, Suite A Alpharetta GA 30022 5/27/2014
Fuller, Andrea Johnson RN098416 Thomas Hatchett, MD 36984 1029 870 Austin Drive Demorest GA 30535 9/30/2009
Fuller, Jana Allen RN147639 Andrea Hill, MD 51332 12463 517 Great Oaks Dr, Suite 103 Monroe GA 30655 1/3/2014
Wednesday, January 13, 2016 Page 51 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Funston, Lisa Michelle RN113877 Steven Leichter, MD 40452 8200 2425 Brookstone Centre Pkwy Columbus GA 31904 8/23/2012
Fur, Kara RN221058 Hurd, Thomas MD 27070 10656 400 Tower Road, Ste 350 Marietta GA 30060 6/30/2015
Furnier, Karen RN077664 Richard Stewart, MD 9270 10916 4164 Riggins Mill Road Macon GA 31217 1/1/2014
Furtah, Anne Davidson RN167745 Riba Kelsey-Harris, MD 53833 1033 1762 Mars Hill Road NW Acworth GA 30101 1/8/2012
Gaillard, Denotra Hicks RN060447 Warren, Brandi DO 61681 10015 1110 Farr Road Columbus GA 31906 6/1/2013
Gallagher, Joanne Marie RN114111 Lloyd James Rimer, MD 30665 1042 1507 Broomtown Rd LaFayette GA 30728 7/1/2010
Galland, Elizabeth Hamrick RN200274 Thomas Self, MD 21587 12376 1825 Martha Berry Blvd Rome GA 30165 12/1/2013
Gambrell, Patricia Healy RN050877 Wesley Bray, MD 27035 1047 55 Whitcher St, Suite 420 Marietta GA 30060 6/1/2010
Garcia, Cheryl RN190223 Gretchen Collins, MD 32712 9165 8201 Hazelbrand Rd Covington GA 30014 5/6/2011
Garfield, Jennifer Juliana Wick RN170685 Kyoung-Soon Kim, MD 39144 9582 5150 Stilesboro Rd, Suite 220 Kennesaw GA 30152 1/13/2015
Garfield, Jennifer Juliana Wick RN170685 Richard Young, MD 21218 3209 958-A Joe F Harris Pkwy, Suites 101 & Cartersville GA 30120 1/1/2011 105
Garner, Julia M RN040072 Ross Jacobson, MD 57204 5151 725 Jesse Jewell Pkwy, Suite 200 Gainesville GA 30501 2/6/2014
Garnett, Laura Marie Nofziger RN100396 Mathew Ciechan, II, MD 24217 8994 400 Town Park Blvd, Suite 300 Evans GA 30809 6/17/2010
Garnett, Laura Marie Nofziger RN100396 Lamar Peacock, MD 34920 1055 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Gaskin, Kara L. RN138448 Thomas H. Chun, MD 47580 11517 55 Whitcher St., #250 Marietta GA 30060 7/11/2014
Gass, Deborah RN186817 Divina Dyer, MD 57161 10946 6158 Hwy 92, Ste 101 Acworth GA 30102 9/30/2012
Gass, Deborah K RN186817 Yvonne Smith, MD 42443 12599 145 Standing Oak Place Fayetteville GA 30214 6/30/2015
Gastley, Joshua Farris RN154209 Jamie Rich, MD 53547 8820 58 Big A Road Toccoa GA 30577 8/31/2011
Gastley, Joshva F. RN154209 Angela B. Reese, MD 47514 11230 154 W. Tugalo St. Toccoa GA 30577 2/14/2014
Gaston, Jeanette Wimbish RN063960 Jack E. Dawson, MD 11945 1066 275 Collier Road, NW Ste 300 Atlanta GA 30309 5/31/2015
Wednesday, January 13, 2016 Page 52 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Gay, Linda L. RN071597 Rayna Jobe, MD 60386 9770 300 Cherokee Place Cartersville GA 30121 9/1/2012
Geiger, Roberta Lynn RN122957 Keith Huckaby, MD 27573 12647 519 West Main St Thomaston GA 30286 9/16/2014
Geiger, Roberta RN122957 Jenkins, John MD 62726 10445 612 W. Gordon Street, Ste C Thomaston GA 30286 11/9/2013
Geimer, Connie L. RN178373 Gary Voccio, MD 29550 9931 1825 Martha Berry Blvd Rome GA 30165 5/24/2012
Geller, Daniel Edward RN183088 Adrienne Mims, MD 33152 12591 477 Windsor St SW, Suite 309 Atlanta GA 30312 12/31/2013
Gentles, Carolyn RN135253 Hahm, Hillary MD 48051 10741 340 Kennestone Hospital Blvd, Ste 200 Marietta GA 30060 8/15/2013
Gentles, Carolyn Ann RN135253 Steven Schuster, DO 31661 1075 5800 Windward Pkwy, Suite MSA211 Alpharetta GA 30005 12/2/2008
Gentles, Carolyn Ann RN135253 Charles Sow, MD 55343 12524 Take Care, 5230 Dallas Hwy Powder Springs GA 30127 10/17/2014
Gentles, Carolyn Ann RN135253 Hitendra Patel, MD 45312 8471 55 Whitcher Street, Suite 420 Marietta GA 30060 5/7/2012
Gentry, John Mitchell RN089319 Maya Carter, MD 59904 11944 3355 Cascade Rd SW, Suite 100 Atlanta GA 30311 5/1/2015
Gentry, John Mitchell RN089319 Aerica Summers, MD 65902 11945 240 Highland Ave, Bldg 3, Suite E Atlanta GA 30307 5/1/2015
George, Deborah RN102350 Sightler, William DO 34715 10456 195 n. Broad Street Alamo GA 30411 6/6/2012
George, Deborah Lee Price RN102350 Abdollatif Ghiathi, DO 40908 8823 7 Taylor St Cuthbert GA 39840 2/2/2010
George, Jennifer RN215413 Ross, Mary MD 55437 9995 337 Commercial Drive, Ste 100 Savannah GA 31406 3/20/2012
George, Crystal Dawn RN185389 Timothy Ward, MD 23125 12103 500 Gordon Ave Thomasville GA 31792 5/9/2014
George, Deborah Lee RN102350 Guy Augustin, MD 70852 13814 1153 North Libety St Nicholls GA 31554 9/15/2014
George, Deborah Lee Price RN102350 Nurallah Esmail, MD 35623 9531 1153 North Liberty St Nichols GA 31554 12/14/2011
Gephart, Rebecca Young RN197890 Sandra Carmichael, MD 36116 12587 100 Gross Crescent, Emer Dept Ft Oglethorpe GA 30742 7/25/2012
Gephart, Rebecca Young RN197890 Carl Lindblad, MD 22163 13816 100 Gross Crescent, Emer Dept Fort Oglethorpe GA 30742 11/25/2014
Gephart, Rebecca RN197890 Coleman, Angela MD 61717 10841 501 Redmond Road Rome GA 30165 5/15/2015
Gerhard, Laurie Turner Ansley RN053785 Robert Pyle, MD 42702 1080 14 Cherokee Road Cedartown GA 30701 2/27/2009
Wednesday, January 13, 2016 Page 53 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Gerhard, Laurie Ansley RN38434 John Pittman, MD 37045 9870 715 East 2nd Ave SW Rome GA 30161 6/22/2011
Gerhard, Laurie Ansley RN053785 Charles Roman, DO 43757 13436 2737 Warm Springs Rd. Columbus GA 31904 6/26/2014
Gerhard, Laurie Ansley RN053785 Raymond McKoy, DO 44536 14602 2510 Redmond Cir N W Rome GA 30165 1/20/2015
Gerrin, Rebecca RN118577 Groover, Ann MD 36765 10309 2945 Miller Ferry Rd SW, Ste D Calhoun GA 30701 11/4/2014
Gervin, Coretta Delia Keith RN124581 William Cross, DO 62831 9767 2501 N. Patterson St, Emer Dept Valdosta GA 31721 7/12/2011
Gervin, Coretta RN124581 Peters, Howard MD 51530 10000 2501 N. Patterson Street Valdosta GA 31602 6/15/2015
Gervin-Clark, Cheryl RN197685 Jeffrey Bell, MD 34539 12364 1200 N Jefferson St Albany GA 31701 4/26/2014
Geter, Jacqueline Jones RN106417 Ifeyinwa Osunkwo, MD 55681 1082 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 30322 8/31/2013
Giarraffa, Phyllis Ann RN096231 Athena Sotus-Nawar, MD 31512 12499 1915 Eisenhower Dr Savannah GA 31406 3/16/2014
Gibble, Anne Crane RN204133 Jude Emokpare, MD 63416 12344 710 Center St Columbus GA 31901 1/23/2014
Gibbons-Berry, Karen Leigh RN093348 William Callaghan, MD 27974 9565 1350 Walton Way Augusta GA 30901 8/31/2012
Gibbons-Berry, Karen Leigh RN093348 Steven Vaughn, MD 48095 1088 818 St. Sebastian Way, Suite 307 Augusta GA 30901 6/18/2010
Gibbons-Berry, Karen Leigh RN093348 Julian Hutchins, MD 18677 9270 4150 Washington Rd, Suite 11 Evans GA 30809 10/3/2011
Gibbs, Martha K RN050776 Leslie Cottrell, MD 45194 1090 1600 Maple St Carrollton GA 30118 2/28/2008
Gibson, Patricia Louise Carter RN181151 Jose Justiniano-Ayala, MD 46773 12726 1430 Suggs St Rossville GA 30741 2/14/2014
Gibson, Patricia Louise Carter RN181151 John Price, MD 55274 9939 611 E Villanow St LaFayette GA 30728 7/23/2012
Gibson, Patricia RN181151 Haller, Jeffrey MD 55826 10894 5081 Hwy 14 Lyerly GA 30730 1/4/2013
Gibson, Patricia Louise Carter RN181151 Richard Smith, MD 19603 9067 5081 Hwy 114 Lyerly GA 30730 5/31/2011
Gibson, Belinda RN039884 Cameron, Nadia MD 53982 10715 3760 Sixes Road, Ste 120 Canton GA 30114 6/13/2012
Gibson, Patricia Louise Carter RN181151 Gary Smith, MD 10666 12727 6120 Alabama Hwy Ringgold GA 30736 5/31/2013
Gibson, Barbara Lillian Dew RN073501 John Pittman, MD 37045 1094 715 E. 2nd St Rome GA 30161 7/31/2011
Wednesday, January 13, 2016 Page 54 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Gibson, Belinda RN039884 Sved, Isaac MD 38981 10740 236 Johnson Ferry Rd, NE, #200 Sandy Springs GA 30328 1/22/2013
Gibson, Belinda Joyce Heard RN039884 Rudolph Tacoronti, MD 45347 1095 5019 LaVista Road Tucker GA 30084 7/1/2010
Gibson, Belinda J. RN039884 Luther Vance, Jr, MD 19354 11602 1/14/2013
Giddens, Ashley Gay RN159726 Chadalavada Kishore, MD 27846 8381 425 Third Avenue, Suite 340 Albany GA 31701 5/29/2009
Gilbert, Cindy Gail Tarrer RN051556 Frank Newby, MD 38314 1099 1506 Broadrick Drive Dalton GA 30720 3/7/2011
Giles, Alexander RN134977 Mahoney, William MD 59274 10204 1000 Chastain Road Kennesaw GA 30144 3/28/2013
Giles, Alexander Lance RN134977 Megan Bowles, MD 68486 13026 1000 Chastain Rd, House 52 Kennesaw GA 30144 12/20/2014
Giles, Alexander Lance RN134977 Allen R. Beecham, DO 25102 11566 2000 Village Professional Dr, Suite 200 Canton GA 30144 8/5/2013
Gilfillan, Kelly West RN150994 Dauda Griffin, MD 57468 14103 934 Briarcliff Rd NE Atlanta GA 30306 6/26/2015
Gilfillan, Kelly RN150994 Vanderlyn Sewell, MD 51547 15987 934 Briarcliff Rd NE Atlanta GA 30306 9/1/2015
Gillmor-Kahn, Mary RN043355 Victoria Green, MD 38240 5156 69 Jesse Hill Jr. Dr. SE 4th Fl Atlanta GA 30303 3/1/2012
Gilreath, Kathryn RN144662 Carter, Cynthia MD 56534 10382 1000 Towne Center Blvd, Ste 705 Pooler GA 31322 11/15/2013
Gilreath, Kathryn Mae RN144662 Eduard Docu, MD 56426 12156 St. Marys Hlth Center, 1302 Drayton St Savannah GA 31401 11/15/2013
Gilreath, Kathryn Mae RN144662 William Garrett, MD 43373 1105 6602 Waters Ave. Bldg. C Savannah GA 31406 7/23/2009
Gilson Agnew, Greta RN054192 Suzanne Turner, MD 47772 13844 11660 Alpharetta Hwy Ste 290 Roswell GA 30076 10/24/2014
Ginn, Alice RN071039 Laungani, Rajesh MD 62544 10721 1800 Howell Mill Road Ste 500 Atlanta GA 30318 4/25/2013
Ginn, Caitlin Bachler Thomson RN190461 Michael B. Chisner, MD 29426 11591 11700 Mercy Blvd, #6 Savannah GA 31419 4/22/2014
Ginn, Alice Kay RN071039 Elbridge Bills, MD 37139 12033 3365 Piedmont Rd, Suite 1250 Atlanta GA 30305 12/20/2013
Gipson, Tonya Angela RN225872 Brenda Garland, MD 22813 13515 201 Hospital Rd. Canton GA 30114 6/30/2015
Gist, Beth Ann Caldwell RN203818 William Gist, MD 62849 9281 112 Hedekin Circle Ft. Oglethorpe GA 30742 2/1/2012
Gittens, Clavel Alexia RN178900 Gulshan Harjee, MD 26865 12642 2536 :awrenceville Hwy Decatur GA 30033 1/24/2014
Wednesday, January 13, 2016 Page 55 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Gittens, Clavel Alexia RN178900 Shyam Khanwani, MD 51672 1109 1250 Highway 54 West, Suite 102 Fayetteville GA 30214 7/11/2008
Gittens, Clavel Alexia RN178900 Michelle Morgan, DO 51694 8469 4398 Atlanta Hwy Loganville GA 30052 2/22/2015
Gjone, Mandy Sellars RN137168 Thomas Ferrari, MD 34829 1110 704 Maple Dr, Suite 1 Vidalia GA 30474 6/17/2010
Gjone, Mandy Sellars RN137168 Franklin Geoffery Connor, 33555 9220 300 Arlington Dr Vidalia GA 30474 5/24/2012 MD
Gladue, Clara Ann RN145311 Frederick Merrill, III, MD 34664 5542 465 North Belair Rd. Suite 1-C Evans GA 30809 8/7/2008
Glaze, Rachel Toi RN149595 Eden F English, MD 52432 11561 470 Valley St., #200 Ball Ground GA 30107 2/1/2014
Glebikowska, Iwona Violetta RN135128 Ann Drayton, MD 49512 9229 1870 Atlanta Hwy, Suite J Gainesville GA 30504 9/30/2011
Glebikowska, Iwona RN135128 Soyoola, Emmanuel MD 53032 10232 1870 Atlanta Hwy Ste J-K Gainesville GA 3004 6/8/2012
Gluzman, Julia RN130753 David Asrael, MD 51291 7812 2464 Roswell Road NE Marietta GA 30062 12/1/2012
Gluzman, Julia RN130753 Wallace Duncan, MD 41109 8408 2464 Roswell Road NE Marietta GA 30062 12/1/2012
Gobeille-Dormio, Rose RN178818 Searle Videlefsky, MD 42477 11135 631 Professional Dr., Ste 360 Lawrenceville GA 30046 3/25/2013
Goble, Anne-Marie RN145415 Joseph Joyave, MD 43977 7846 201 Professional Court Calhoun GA 30701 8/15/2011
Goddard, Tami M. RN165613 Mohammad N. Al-shroof, MD 45158 11344 2054 Watson Blvd Warner Robins GA 31093 12/1/2014
Goddard, Tami Marie RN165613 Jeffery Dowis, MD 68199 14357 1205 Russell Pkwy Warner Robins GA 31088 4/24/2015 RN165613
Godfrey, Chandra T. RN155713 Howard Silk, MD 29785 9258 1240 Hwy 54 West, Suite 310 Fayetteville GA 30214 6/20/2013
Godwin, Cristi Leigh RN130256 Howard Jones, DO 25774 2621 2501 N. Patterson Street Valdosta GA 31602 4/21/2009
Godwin, Cristi Leigh RN130256 Douglas Moss, MD 41178 8553 814 Northwood Park Drive Valdosta GA 31602 12/20/2010
Godwin, Debra Lyn RN059374 Catherine Andrews, MD 23560 13733 4791 S. Main St. Ste 100 Acworth GA 30101 8/31/2015
Goenaga, Maria Elena RN164147 Sarah Hosford, MD 32209 8492 320 Parkway Drive NE, #244 Atlanta GA 30312 10/2/2010
Wednesday, January 13, 2016 Page 56 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Goff, Laura Rene RN188799 Ezad Ahmad, MD 38162 9764 1411 Chattanooga Ave Dalton GA 30720 11/26/2013
Gokal, Payal Vasantrai RN208644 Sharad Ghamande, MD 49173 13295 1120 15th St, BA-7511 Augusta GA 30912 8/14/2014
Gold, Kara Waldrop RN113630 Warren Weber, MD 26677 1122 3875 Austell Road South, Suite 203 Austell GA 30106 4/29/2011
Goldman, Karen Renee RN159730 Bridgett Bailey, DO 58390 9967 116 Smith St Tennille GA 31089 5/9/2012
Goldman, Karen Renee RN159730 Jaykrishna Darji, MD 58862 9240 196 Ridgecrest Circle Clayton GA 30525 6/13/2011
Golubic, Sharon Louise RN127360 Michael Schechter, MD 58776 1125 1547 Clifton Road NE Atlanta GA 30322 6/17/2013
Gomez-Adisa, Delma Dee RN209708 Leli Gail Matthews, MD 52182 13333 6158 Hwy 92, Suite 101 Acworth GA 30102 3/1/2014
Gooch, Carole Elaine Marshall RN069392 Eric Taylor, MD 50564 1128 315 W. 10th Street, Suite 110 Rome GA 30165 4/1/2009
Gooch, Carole Elaine Marshall RN069392 Anne White, MD 30240 8552 909 N Fifth Avenue Rome GA 30165 1/19/2011
Gooch, Carole Elaine Marshall RN069392 Kevin Brown, MD 36109 9632 20 Riverbend Dr SW Rome GA 30161 3/15/2013
Gooding, Karen Elaine RN174056 Sangha Sumandeep, MD 56222 1130 1267 Hwy 54 West, Ste 2200 Fayetteville GA 30214 9/18/2014
Goodman, Theresa G. RN152359 Rayna Jobe, MD 60386 8576 805 Sandy Plains Road Meriatta GA 30066 5/30/2011
Goodno, Shana Leigh RN164651 Richard Pierzchajlo, MD 22620 9385 1489 Kennedy Rd Tifton GA 31794 9/1/2011
Goodson, Jennifer Moore RN124143 Tania Edwards, DO 53465 1131 7777 Kia Pkwy West Point GA 31833 8/1/2010
Goodwin, Willie James RN154592 Benjamin Lam, MD 59544 8519 550 Peachtree St NE Atlanta GA 30016 9/8/2009
Gordon, Karen Fancher RN069257 Ronald C. Pirtle, MD 13784 928 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 6/29/2010
Gordon, Jane Louise RN188412 Luis Murrain, DO 57747 8085 360 College Street Blakely GA 39823 9/26/2008
Gordy, Bridget Nicole RN231607 Eyal Meiri, MD 70324 12704 600 Parkway North Newnan GA 30265 1/24/2014
Gordy, Bridget Nicole RN231607 Thomas Comstock, MD 19151 13255 802 Dixie St Carrollton GA 30117 2/9/2015
Gore, Victoria Ferlita RN121027 Julian Hutchins, Sr., MD 18677 9740 4150 Washington Rd, Suite 11 Evans GA 30809 5/14/2012
Gore, Victoria Ferlita RN121027 Lamar Peacock, MD 34920 8720 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Wednesday, January 13, 2016 Page 57 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Gore, Victoria Ferlita RN121027 Jacob Varghese, MD 56933 7785 3700 Club Drive Lawrenceville GA 30044 11/30/2008
Gore, Holly Paige RN118105 Wood Pope, MD 57741 1136 1600 Forsyth Street Macon GA 31201 7/2/2012
Gore, Holly RN118105 William Dasher, MD 51453 11120 3708 Northside Dr. Macon GA 31210 5/31/2013
Gore, Ashley Heath RN149725 Thomas Deering, MD 32170 8825 275 Collier Rd, Suite 300 Atlanta GA 30309 12/31/2011
Gorgor, Saye Zunpudolo RN105044 Walter Smith, MD 37078 1137 9020 Peridot Pkwy Stockbridge GA 30281 2/3/2010
Gorham, Sara E. RN182301 Milele Francis, MD 55218 11859 1700 Hospital South Dr, Suite 500 Austell GA 30106 7/24/2015
Gosselin, David N RN230020 Mark Brodersen, MD 68883 12445 305 Pineview Dr Waycross GA 31501 12/31/2014
Gosselin, David N RN230020 Tamara Huff, MD 71999 15046 305 Pineview Dr Waycross GA 31501 7/24/2015
Graciaa, Sara H RN217972 Josephine Dunagan, MD 15553 13732 1700 Tree Ln Ste 110 Snellville GA 30078 2/20/2015
Graham, Vickie L. RN165086 Matthew Shannon, MD 67439 11654 2501 N Patterson St, Emer Dept Valdosta GA 31602 10/28/2014
Grant, Shayni L. RN117085 William Pullen, MD 17270 1154 1200 Memorial Dr. Dalton GA 30720 3/19/2015
Grasman, Amy Joyce RN139828 Joseph Stubbs, MD 24105 9697 2402 Osler Court Albany GA 31707 10/11/2011
Grasman, Amy RN139828 Lawson, Dale MD 54233 10008 2000 Palmyra Road Albany GA 31701 3/30/2014
Grasman, Amy Joyce RN139828 Barnwell Calhoun, MD 66934 13654 1390 US Hwy 19 S Leesburg GA 31763 3/1/2015
Graves, Mary Elizabeth RN191607 Kyoung-Soon Kim, MD 39144 8558 5150 Stilesboro Road, Suite 220 Kennesaw GA 30152 1/12/2015
Graves, Mary RN191607 Saudiqa Hoossainy, MD 68179 15105 5150 Stilesboro Rd, Ste 220 Kennesaw GA 30152 9/11/2015
Gray, Pamela Ann Ansley RN094164 Michael Powell, MD 23663 1159 PO Box 840 Thomson GA 30824 9/1/2015
Gray, Wendy Leigh RN229260 Christopher Morgan, MD 66151 12850 West GA Health-1514 Vernon Road LaGrange GA 30240 2/28/2015
Grealy, Charlotte Marie RN168546 Ashley Davis, MD 58161 9614 5555 Whittlesey Rd, Suite L-1 Columbus GA 31909 3/6/2012
Greco, Kimberly Anne RN171399 Laura Bleekrode 34514 13815 1100 Noahmeadow Pkwy Ste 108 Roswell GA 30076 6/15/2015
Green, Laura RN199692 Warren, Brandi DO 61681 10659 6203 Alabama Highway Ringold GA 30736 8/18/2014
Wednesday, January 13, 2016 Page 58 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Green, Laura Ann RN199692 Loy Cowart, MD 37979 9526 207 S. Duke St Lafayette GA 30728 4/10/2012
Green, Laura Ann RN199692 Ann Stokes, MD 63963 14134 4356 Communications Dr Norcross GA 30093 10/31/2014
Green, Amanda Joy RN198522 Linda Thomas, MD 28832 11698 2540 Windy Hill Rd Marietta GA 30067 7/8/2013
Greene, Lawanda RN176432 James White, MD 39510 15775 705 Dixie St Carrolton GA 30117 6/11/2015
Gregory, Ashley Hardy RN160240 Jatinder Bhatia, MD 18784 1244 1120 15th Street, BIW-6033 Augusta GA 30912 6/13/2011
Griffeth, Susan RN131706 Trent Schueneman, MD 51731 15681 2927 Demere Rd St. Simons Island GA 31522 9/23/2015
Griffin, Shuvory Chyann RN193727 Kevin Smith, MD 57272 13332 2410 Sylvester Rd Albany GA 31705 4/25/2014
Griffin, Shuvory Chyann RN193727 Jim Barlow, MD 30717 13116 235 Peachtree St., N Tower, Ste2100 Atlanta GA 30303 6/1/2015
Griffin, Shuvory C. RN193727 Edwin W. Allen III, MD 21472 11252 2000 Palmyra Road Albany GA 31705 10/15/2013
Groover, Teresa Cook RN127220 Darwin Brown, MD 46531 1962 2665 North Decatur Road, Suite 520 Decatur GA 30033 11/13/2009
Grossman, Michael Paul RN206831 Absar Mirza, MD 64864 14230 743 Spring St. NE Gainesville GA 30501 6/1/2015
Grube, Kathy Dimeler RN039862 Leslie Tidwell, MD 44359 1183 1025 N. Houston Road Warner Robins GA 31093 11/30/2007
Guenther, Paula Mechele RN109750 Jeffrey Kim, MD 56117 1184 1700 Hospital South Drive, Suite 502 Austell GA 30106 5/8/2009
Guerrero, Robin Montgomery RN151078 Jeffrey Nicholas, MD 48377 8313 69 Jesse Hill Jr Dr, #308 Atlanta GA 30303 1/8/2010
Guevarra, Natividad J. RN195137 Nadia G. Cameron, MD 53982 11209 3760 Sixes Rd., Ste 120 Canton GA 30115 1/7/2013 RN195137
Guevarra, Natividad RN195137 Purohit, Bhumiben MD 58812 10835 3600 Dallas Hwy SW Marietta GA 30064 7/11/2012
Guevarra, Natividad Jesusa Balderi RN195137 Luther Vance, MD 19354 11770 3065 South Cobb Dr, Suite B Smyrna GA 30080 5/24/2013
Guevarra, Natividad RN195137 Michael O'Grady, MD 41189 15349 1431 Riverside Parkway Lawrenceville GA 30043 4/30/2015
Guice, Emma Mae RN095654 Kathleen Gunchick, MD 28760 8941 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 1/6/2014
Guice, Emma Mae RN095654 Kevin F. Smith, MD 41761 1187 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 30144 9/30/2009
Wednesday, January 13, 2016 Page 59 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Guidry, Angela RN091759 David Goo, MD 31924 10419 1418 Scott Blvd Decatur GA 30030 10/3/2012
Guild, Rene Ronda RN078829 Anne Todd, MD 51395 1189 526 Maddox Dr, Suite 101 Ellijay GA 30540 5/22/2012
Gulsby, Tara Phelps RN209319 Rami Arfoosh, MD 63559 12646 30 Satellite Dr, Suite 200 Winder GA 30680 2/27/2014
Gunby, Julie RN203047 Leach, Andrew MD 49051 10604 1000 Hawthorne Ave, Ste G Athens GA 30606 4/13/2012
Gunter, Amanda Jo RN164900 Amber Zafar, MD 47384 15251 2443 Brookstone Ceatre Parkway, Ste Columbus GA 31904 6/4/2015 A
Gutknecht, Adrienne RN202617 Christopher Crooker, MD 39315 10558 748 Old Norcross Road Lawrenceville GA 30046 1/9/2013
Hagins, Linda Banks RN118093 Quinton Weldon, MD 56786 11060 906 Elmo Street Americus GA 31709 3/19/2015
Hagins, Linda Banks RN118093 Nelson Madrazo, MD 49862 1200 103 GA Hwy 27 East Americus GA 31709 12/31/2011
Hahn, Kaye Herring RN136073 Serena Tidwell, MD 51192 1202 1538 13th Avenue, Suite B200 Columbus GA 31901 11/1/2012
Hale, Ashley RN175434 Abdulla, Maher MD 42151 10944 301 Osigian Blvd Warner Robins GA 31088 11/2/2012
Hall, Debra Lee RN118934 Linwood Zoller, MD 28339 12087 675 White Sulphur Rd, Susite 170 Gainesville GA 30501 12/29/2013
Hall, Anna Mirinda RN180217 Clive Albert, MD 35800 11948 1100 Northside Forsyth Dr, Suite 330 Cumming GA 30041 6/26/2015
Hall, Linda M RN123491 Charles Harden, MD 44930 12945 948 South Main St Baxley GA 31513 4/30/2014
Hall, Debra Lee RN118934 Mef D. Galle, MD 59722 11445 622 Main St Gainesville GA 30501 2/1/2013
Hall, Debra Lee RN118934 Linwood Zoller, MD 28339 9872 675 White Sulphur Road, Suite 170 Gainesville GA 30501 8/1/2012
Hall, Nora Marie RN086005 Crystal Owens, MD 48854 9608 144 East Main St Irwinton GA 31042 1/18/2013
Hall, Nora Marie RN086005 Bhagya Papudesu, MD 52613 1214 616 Ferncrest Drive Sandersville GA 31082 12/16/2010
Hall, Peggy L. RN162539 Anthony Hoots, MD 33114 9812 425 Third Ave, Suite 510 Albany GA 31701 5/20/2011
Halvey, Kathleen Ann RN189107 John O'Connell, MD 62266 8018 5671 P'tree-Dunwoody Rd NE, #110 Atlanta GA 30342 1/10/2012
Halvey, Kathleen RN189107 Hott, Brenda MD 41441 10446 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 30342 4/11/2013
Wednesday, January 13, 2016 Page 60 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hamilton, Cherille Elizabeth RN099535 Daniel Mark Henson, MD 25173 1218 1600 North Brown Road Lawrenceville GA 30043 8/26/2009
Hamilton, Mariangeli Marrero RN089362 Andrew Pandya, MD 55323 1220 210 E. Derenne Ave. Savannah GA 31405 6/25/2014
Hamilton-Anderson, Brenda Gail RN122055 Olakunle Aina, MD 48968 9440 2000 Palmyra Rd, Emer Dept Albany GA 31701 3/27/2014
Hammack, Rebecca Murphy RN132831 Anthony Hoots, MD 33114 1224 425 Third Ave, Suite 510 Albany GA 31701 12/1/2013
Hammaker, Teresa Suzette RN226179 Daniel Lopez, MD 64597 11765 643 Main St Palmetto GA 30268 5/15/2013
Hammett, Rebecca Pearl RN161874 Robersteen Howard, MD 40103 9119 330 Turner McCall Blvd, Suite 4000 Rome GA 30165 4/9/2013
Hammock, Jodi Renee Taylor RN127086 David Asrael, MD 51291 8910 4398 Atlanta Hwy Loganville GA 30052 6/2/2011
Hammock, Jodi Renee Taylor RN127086 Wallace Duncan, MD 41109 8939 4398 Atlanta Hwy Loganville GA 30052 6/2/2011
Hammock, Mary Frances RN138345 Forrest Clark Cantrell, MD 28948 9687 3911 Mary Eliza Trace, Suite 200 Marietta GA 30064 6/6/2011
Hammock, Jodi Renee Taylor RN127086 Richard M. Schlossberg, MD 44330 2231 12 7th Street Auburn GA 30011 9/14/2007
Hammock, Mary Frances RN138345 Dara Hosch, MD 47770 1225 410 Villa Rica Way Marietta GA 30064 2/1/2011
Hammock, Mary Frances RN138345 Jeffrey Cooper, MD 32895 9849 3645-A Howell Ferry Rd Duluth GA 30096 6/12/2015
Hammock, Mary Frances RN138345 Brenda Marino, MD 16392 9850 677 Church St Marietta GA 30066 6/14/2011
Hammock, Mary Frances RN138345 Susan Staviss, MD 38652 9630 1523 Johnson Ferry Rd, Suite 150 Marietta GA 30062 2/21/2011
Hammond, Steven RN203463 Cuddapah, Satish MD 48997 10772 551 Riverstone Pkwy Ste 100 Canton GA 30114 10/10/2012
Hammond, Elizabeth Jane Broome RN051972 Charlene Blache, MD 45728 1226 406-M Northside Dr Valdosta GA 31602 7/31/2011
Hammonds, Lisa Paige RN205130 Fadi Nahab, MD 59883 8957 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 12/17/2010
Hampton, Brigitte RN116013 James Eutzler, DO 49729 8876 1550 Commerce Drive Valdosta GA 31502 2/23/2012
Hampton , Brigitte RN116013 Addington, Tony MD 52526 10793 39 Kent Road, Ste 5 Tifton GA 31794 8/20/2012
Hampton, Brigitte RN116013 Darshan Shah, MD 44096 1227 125 B Victory Dr. Swainsboro GA 30401 9/25/2009
Hampton, Brigitte RN116013 Clyde Simmons, MD 17301 11077 39 Kent Rd., Ste 5 Tifton GA 31794 12/31/2012
Wednesday, January 13, 2016 Page 61 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hamsley, Linda Peterson RN113167 Richard Chase, DO 17784 9502 509 Sumter St, Emer Room Montezuma GA 31063 4/1/2012
Hancock, Crystal LeeAnn RN213708 Gary L. Smith Sr., MD 10666 13138 12978 N. Main St. Trenton GA 30752 10/1/2014
Hand, Charlotte RN072945 M. Mohabubur Rahman, MD 44065 14337 505 Coliseum Dr Macon GA 31217 6/12/2015
Hand, Charlotte RN072945 Clyde Green, MD 30072 14338 505 Coliseum Dr Macon GA 31217 6/15/2015
Hand, Charlotte Mock RN072945 Guy Easterling, DO 41283 1231 277 Commerce St Hawkinsville GA 31036 7/16/2014
Hand, Kristi Lashun RN177312 Noel Battle, MD 54549 12226 176 Charles Hardy Pkwy, Unit C Hiram GA 30141 7/24/2015
Hanik, Maria Muchortow RN098649 Melvin Moore, MD 16647 1233 2675 N. Decatur Rd. Decatur GA 30033 11/30/2009
Hannah, Monica McKeon RN217488 Lynette Budet-Bauza, MD 33797 12083 1446 Harper St, BG-2128 Augusta GA 30912 6/27/2014
Hannah, Julie Anne RN147193 Gordon Peltier, MD 15808 13506 5610 Bethelview Rd, Ste 500 Cumming GA 30040 1/30/2015
Hannah, Julie Anne RN147193 Thomas Fariss, MD 55747 11688 1400 Holcomb Bridge Rd Roswell GA 30076 6/7/2013
Hannah, Monica RN217488 Maria, Bernard MD 62741 10250 1446 Harper Street Augusta GA 30912 6/27/2014
Hannah, Monica McKeon RN217488 Amy Talboy, MD 37317 13551 1920 Briarcliff Rd NE Atlanta GA 30329 8/1/2015
Hanrahan, Caryn S. RN096362 Michael Lindsay, MD 27602 8139 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 30303 10/31/2014
Hanrahan, Caryn Schloss RN096362 Michael Gardner, MD 56710 5524 69 Jesse Hill Jr. Dr. SE Atlanta GA 30303 1/1/2008
Happe, Anne Marie RN121522 Victoria Afshani, MD 55214 1237 1501 Milstead Rd, #110 Conyers GA 30012 9/25/2014
Harbaugh, Christine M RN125164 Sekhar Sankaran, MD 31549 1239 101 Regency Park Dr, Ste 140 McDonough GA 30253 4/9/2009
Harden, Patricia Faye RN029160 Jan Mayfield, MD 51355 14443 49 Hosiery Mill Rd, Str 124 Dallas GA 30157 2/26/2015
Hardison, Heather Smith RN157897 Bhumiben Purohit, MD 58812 5538 5075 P'tree Pkwy, Suite 106 Norcross GA 30092 1/2/2011
Hardison, Heather Smith RN157897 Douglas Lundy, MD 44778 9578 61 Whitcher St, Suite 1100 Marietta GA 30060 5/6/2012
Hardy, Paula Kelly Tullis RN118464 Leslie Cottrell, MD 45194 1247 1600 Maple St. Carrollton GA 30118 7/10/2008
Hardy, Paula K RN118464 Patricia Baines, MD 53092 8198 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 30303 11/21/2011
Wednesday, January 13, 2016 Page 62 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Harmon, Marcia Roberts RN079076 Shobha Rao, MD 32893 5177 2750 Owens Drive, Suite A Conyers GA 30094 5/2/2008
Harmon, Jacqueline RN075610 Ellenoff, Bonnie DO 51644 10724 3834-C Austell Road, Ste C Marietta GA 30008 9/18/2014
Harmon, Jacqueline RN075610 Wyatt Blake, MD 47702 14383 4421 Carnes St Acworth GA 30101 6/15/2015
Harmon, Jacqueline C. RN075610 Stephen Odom, MD 38895 9880 1810 Mulkey Rd, Suite 105 Austell GA 30106 9/1/2014
Harper, Amanda Kay RN151201 Linda Sacks, MD 24724 1250 4750 Waters Ave, Suite 206 Savannah GA 31404 12/12/2014
Harrell, Shirley RN056220 Cowart, Charles MD 29161 10427 1101 Ocilla Road Douglas GA 31533 8/28/2015
Harrell, Shirley Lavon Knowles RN056220 Johnathan Gaskins, MD 56836 9728 PO Box 1287 Douglas GA 31534 1/13/2012
Harrell, Lori Ann Miller RN071579 Ian Davis, DO 64203 11753 1120 15th Street, AF-2030 Augusta GA 30912 7/1/2015
Harrell, Lori Ann Miller RN071579 Jon Gibbs, MD 38493 9969 3651 Wheeler Rd Augusta GA 30909 8/15/2012
Harrell, Lori Ann Miller RN071579 Frederick Merrill, III, MD 34664 1253 465 North Belair Rd, Suite 1-C Evans GA 30809 9/3/2009
Harrell, Lori Ann Miller RN071579 Douglas Cardillo, MD 53432 8933 3623 J. Dewey Gray Cir, Suite 113 Augusta GA 30909 7/13/2011
Harrell, Kathleen RN201460 Richards, Christopher MD 58316 10357 909 Broken Arrow Trail Perry GA 31069 7/25/2012
Harrell, Lori Ann Miller RN071579 Lamar Peacock, MD 34920 8721 465 N. Belair Rd, Suite 3-A Evans GA 30809 12/13/2009
Harrell, Lori RN071579 Divikar Jammalamadaka, MD 66378 10925 811 13th St, Ste 10 Augusta GA 30901 4/1/2013
Harrell, Lori RN071579 Erik Prasatik, MD 61456 15912 2260 Wrightsboro Augusta GA 30904 10/19/2015
Harrell-Ward, Antionette Felicia RN130649 Douglas Lowery-North, MD 39854 1255 1364 Clifton Road Atlanta GA 30322 2/23/2015
Harrelson, Christina Alison RN171135 Eric Goldklang, MD 52729 12286 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 30046 3/1/2015
Harris, Lydia J Boston RN081306 Linda Sacks, MD 24724 1261 4750 Waters Avenue, Suite 206 Savannah GA 31404 12/12/2014
Harris, Elizabeth Marie RN146291 W. Morris Brown, MD 29309 1257 95 Collier Rd, Suite 2055 Atlanta GA 30309 10/9/2010
Harris, Jaime Cherie RN200398 Donna Van Schuyver, DO 42754 9442 13570 N. Main St Trenton GA 30752 5/10/2013
Harris, Jaime Cherie RN200398 Gregory Teel, MD 39961 8867 13570 North Main St Trenton GA 30752 9/30/2010
Wednesday, January 13, 2016 Page 63 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Harris, Mandy RN149407 Heller, Louis MD 45238 10589 755 Walther Road Lawrenceville GA 30046 7/25/2012
Harris, Patricia Renee RN084164 Sherri Simpson, MD 67942 13424 1396 Southlake Dr. Morrow GA 3060 6/18/2014
Harris, Patricia Renee RN084164 Dan Ioanitescu, MD 51476 11081 940 GA Hwy 96 Warner Robins GA 31088 9/14/2012
Harris, Yvonne D RN049658 Nichole LeBoyd, MD 54452 1263 7530 Roswell Road Atlanta GA 30350 8/28/2009
Harris, Kyle Lazett Henderson RN153892 Anthony Clavo, MD 45425 12575 1975 Hwy 54 West, Suite 100 Peachtree City GA 30214 3/21/2014
Harris, Patricia Renee RN084164 Chrissie Clure, MD 49281 14586 800 E 70th St Savannah GA 31405 1/22/2015
Harrison, Jessica Marie RN198333 Zia Khan, MD 62533 14401 151 Wisdom Rd Peachtree City GA 30269 4/10/2015
Harrison, Susan Neidlinger RN113434 Willert Lynn, III, MD 47979 1266 802 Towne Park Drive Rincon GA 31326 3/7/2014
Harrison, Jessica Marie RN198333 Gary Solt, MD 24497 11650 309 Vernon St LaGrange GA 30240 8/14/2014
Harrison, Jennifer Leigh RN159235 Julian D. Sharpton, MD 17084 11612 11973 Augusta Rd. Lavonia GA 30553 8/31/2014
Harrison, Susan Neidlinger RN113434 John Bennett, MD 53838 13312 7306 Hwy 21, Suite 105 Pt Wentworth GA 31407 12/23/2014
Harrison-Smith, Kemberly Jean RN081204 Mark Dorogy, MD 41105 12608 682 Hemlock St, Suite 490 Macon GA 31201 9/5/2014
Harriss, Dorinda Kay RN229745 Gary Olson, MD 20465 12754 1436 Broadrick Dr Dalton GA 30720 1/17/2014
Harry, Cheryl RN133852 Taylor, Michelle MD 60104 10662 3073 Panthersville Rd Decatur GA 30034 7/25/2012
Harry, Cheryl Rosanne RN133852 Deronda Person, MD 50079 8926 3208 Alcovy Club Court Dacula GA 30019 9/30/2010
Hart, Kimberly Womack RN119459 Richard Baldwin, MD 23894 13483 9280 Hwy 5, Ste A Douglasville GA 30134 9/11/2015
Hart, Ivan Pershing RN179734 Roshni Patel, MD 57141 9350 1645 Tullie Circle Atlanta GA 30329 2/15/2013
Hartley, Shanda Thompson RN174554 Michael Kroll, MD 55611 13270 5505 Bells Ferry Rd, Bldg 300 Acworth GA 30102 5/29/2014
Hartley, Shanda Thompson RN174554 Luther Vance, MD 19354 11932 310 Gold Creek Trail Woodstock GA 30188 3/29/2012
Hartley, Shanda Thompson RN174554 Luther Vance, Jr., MD 19354 9737 4595 Towne Lake Pkwy, Bldg 300, #140 Woodstock GA 30189 7/17/2012
Wednesday, January 13, 2016 Page 64 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hartley, Shanda Thompson RN174554 Babalola, Cecilia MD 58389 10051 3970 Five Forks Trickum Rd, Suite A Lilburn GA 30047 10/31/2011
Hartley, Shanda Thompson RN174554 Julia Wilson, MD 56787 9109 7530 Roswell Rd Atlanta GA 30350 3/19/2011
Hartman, Lisa Lou RN134198 Wendy Hawke Lenz, MD 27563 1272 2712 Lawrenceville Hwy Decatur GA 30033 12/31/2007
Harvell, Katherine Ganas RN170256 Brian Griner, MD 46966 8862 117 West Northside Drive Valdosta GA 31602 6/30/2012
Harvill, Star Annette RN160142 Becky Campbell, MD 48105 13261 500 Spillers Way Warner Robins GA 31088 8/27/2015
Harvill, Starr Annette RN160142 Kevin Baggett, DO 48410 13260 500 Spillers Way Warner Robins GA 31088 8/27/2015
Hasbach, Kimberly RN178427 Williams, Rembert Andrew 28105 10102 710 Center Street Columbus GA 31902 1/1/2013 MD
Haskin, Hope Minyette RN151842 John Coleman, MD 48498 1274 1720 Peachtree St, Suite 200 Atlaanta GA 30309 5/11/2010
Hass, Kristen B RN229345 Jose V. Vigil, MD 27463 13094 3685 Lawrenceville Hwy, Ste. 100 Lawrenceville GA 30044 2/28/2014
Hastings, Judy Lynn RN125871 Shahriar Sedghi, MD 37678 8279 610 Third Street, Suite 204 Macon GA 31201 4/30/2009
Hastings, Judy RN125871 Jackson, Eugene MD 22793 10766 151 South Houston Lake Rd, Ste 190 Warner Robins GA 31088 2/13/2013
Hastings, Judy Lynn RN125871 Eric Powell, MD 49081 9836 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 31525 5/1/2012
Hatcher, Kimberly Denise RN154558 Kaizad Shroff, MD 62002 12313 705 17th St, Suite 410 Columbus GA 31901 5/8/2015
Hatcher, Katherine Walker RN138819 Mark Hendricks, MD 43061 1276 380 Hospital Dr, Bldg A, #430 Macon GA 31217 8/26/2010
Hatcher, Laurie Denise RN118661 Elisabeth Barclay, MD 56406 1277 5300 Memorial Dr, Suite 112 Stone Mountain GA 30083 3/1/2010
Hatcher, Katherine Walker RN138819 David Kent, MD 25625 9644 308 Coliseum Dr, Suite 200 Macon GA 31217 6/1/2011
Hatfield, Susan Lynn RN073560 Arnold Gaskin, MD 36382 1278 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Hatten, Karen Patricia Dumproff RN079347 Gaston Moran Celayes, MD 64675 11640 618 East Lamar St Americus GA 31709 3/4/2013
Haupt, Sandra RN072965 Michelle Plaster, MD 61639 13207 1016 E. Spring St. Monroe GA 30655 3/27/2015
Hawk, Virginia Margaret RN048204 Kay Lynn, MD 13182 5179 2398 Mt Vernon Rd, Suite 150 Dunwoody GA 30338 2/5/2011
Wednesday, January 13, 2016 Page 65 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hawthorne, Dolores RN218887 Brickman, Sandra MD 45043 10376 1806 Lee Avenue Tifton GA 31794 9/21/2012
Hayes, Carol Elizabeth RN072974 Dexter Page, MD 40974 14346 238 Professional Ct, Ste A Riverdale GA 30274 11/30/2015
Hayes, Olivia Ruth RN113495 Stephen Pappas, MD 29509 13520 2600 Parkwood Dr. Brunswick GA 31520 9/10/2014
Hayes, Vivian Anne Smith RN062405 Janet Fason, DO 48773 1288 2990 Five Forks Trickum Rd Lawrenceville GA 30044 3/9/2015
Haynes, Kathleen Norris Colden RN101149 William Richardson, MD 26631 1292 4791-B Jonesboro Rd Union City GA 30291 8/18/2012
Hazel, Gina O. RN152773 Dwayne Gard, MD 60731 11409 Memorial Univeristy Medical Center, Savannah GA 31404 2/1/2014 4700 Waters Av
Heard, April Danene Goodwin RN129224 Darrell Carpenter, MD 40023 1300 603 South Wheat Ave, Suite 400 Bainbridge GA 39819 9/21/2012
Hearn, Sherryl Amanda RN168023 Candi Nobles-James, MD 47985 12268 777 Hemlock St, Box 118 Macon GA 31201 12/3/2013
Heavin, Jennifer RN180320 Whipple, Robert MD 46279 10052 37 Calumet Pkwy Bldg G, Ste 101 Newnan GA 30263 12/18/2013
Hedden, Sandra Lynn RN168020 Donna Schuyver, DO 42754 9443 13570 N. Main St Trenton GA 30752 7/1/2011
Hedden, Sandra Lynn RN168020 Gregory Teel, MD 39961 8421 13570 N. Main Street Trenton GA 30752 9/30/2010
Heeke, Sheila Hope Little RN054432 Nelson Oyesiku, MD 31484 9167 1364 Clifton Rd NE, Suite B-2200 Atlanta GA 30322 4/1/2015
Height, Crystal Michelle RN141187 Richard Dent, MD 17 1309 310 Eisenhower Drive, Suite 5 Savannah GA 31406 12/31/2010
Hellam, Patricia Lynn Stauffer RN132478 John Mynatt, Jr., MD 41469 1310 5040 Bill Gardner Pkwy, Ste 100 Locust Grove GA 30248 5/14/2015
Hellmer, Carol Ann RN135983 David Van, MD 29545 12501 290 Country Club Dr, Suite 200 Stockbridge GA 30281 5/22/2014
Hellriegel, Karen Marie RN106534 Jose Justiniano-Ayala, MD 46773 12998 1430 Suggs St Rossville GA 30741 5/31/2014
Helmly, Crystal Whitaker RN203177 Tarak Patel, MD 66394 14044 1224 Augusta West Pkwy Augusta GA 30909 10/25/2015
Helton, Sara Renee RN227468 Eric Powell, MD 49081 12322 1111 Glynco Pkwy, Bldg 1, #10 Brunswick GA 31525 8/27/2014
Helton, Tamika RN170748 Clark, Jr., Curtis DO 47068 10631 610 19th Street Columbus GA 31901 8/1/2013
Henderson, Susan Elizabeth RN200252 Dauda Griffin, MD 57468 14307 934 Briarcliff Rd NE Atlanta GA 30306 6/26/2015
Wednesday, January 13, 2016 Page 66 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Henderson, Ruby Larna RN098527 Veronica Garrett, MD 39106 5181 1567 Milstead Road NE, Suite B Conyers GA 30012 6/4/2010
Henderson, Margo RN078420 Andres Ruiz-Arango, MD 58770 1315 1120 15th St Augusta GA 30912 8/1/2011
Henderson, Margo RN078420 Matthew Lyon, MD 50972 8934 4471 Washington Road Evans GA 30809 8/1/2011
Henon, Robbin Renee RN159161 Rami Azzouz, MD 50126 8343 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 1/16/2010
Henon, Robbin Renee RN159161 Karin Alcantara, MD 43996 1320 2366 Battlefield Pkwy Ft Oglethorpe GA 30742 9/26/2008
Henslee, Mary Roseann Brannen RN141558 Mark Coker, MD 56276 1323 14557 Highway 19, Suite A Griffin GA 30224 7/1/2013
Henson, Eva Lee RN062999 Janene Holladay, MD 37199 1326 1620 Prince Avenue Athens GA 30606 5/28/2010
Herczeg, Katherine Ilene RN170417 Allen Woodrow Jones, MD 32214 8955 1610 East 10th Street West Point GA 31833 3/1/2012
Hern, Cynthia RN160044 Susan Alfonso, MD 46026 11258 1030 Delta Blvd Atlanta GA 30354 1/3/2014
Hernandez, Patricia RN220723 Sendhil Subramanian, MD 49107 14471 1000 Johson Ferry Rd, Ste B 155 Marietta GA 30068 4/16/2015
Herrick, Amy Lynn Hinton RN164161 Samuel Bleuez, MD 60241 11711 1267 Hwy 54 West, Suite 2200 Fayetteville GA 30214 8/2/2014
Hersey, Lois RN029101 Thompson, Sonya MD 37402 10725 1700 Hospital South Drive Austell GA 30106 3/1/2014
Hess, Tammy Jeanette Hamilton RN090517 Hugo Ribot, MD 30196 5186 958A J F Harris Pkwy, Bldg 2, Suite 102 Cartersville GA 30121 7/24/2008
Hibbitts, Marian RN066302 Andrews, Noreen MD 46861 10159 1860 Duluth Hwy Ste 103 Lawrenceville GA 30043 9/14/2012
Hibbitts, Marian E. Hayes RN066302 Kirk-Conrod Hewling, MD 57559 9327 4250 Brownsville Rd Powder Springs GA 30127 9/1/2012
Hibbitts, Marian E. Hayes RN066302 Deronda Person, MD 50079 8919 3208 Alcovy Club Ct Dacula GA 30019 9/30/2010
Hickman, Dana Hull RN193160 Melvin Williams, MD 49260 9965 10 Glenlake Parkway, Ste 40 Atlanta GA 30328 9/18/2012
Hickman, Karen RN078036 Azar, Kenneth MD 13721 10897 306 Greenway Street Thomson GA 30824 1/14/2013
Higgins, Lisbeth RN119881 Cullen Morris, MD 44285 9125 1270 Prince Ave, Suite 303 Athens GA 30606 5/19/2010
Higgs, Angela Odom RN149476 Ajay Kumar, MD 42326 11012 132 Sparta Hwy Eatonton GA 31024 7/30/2014
Hightower, Kimberly Faith RN149811 Sekhar Sankaran, MD 31549 7865 101 Regency Park Dr, Suite 140 McDonough GA 30253 8/7/2015
Wednesday, January 13, 2016 Page 67 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hildebrandt, Rana Hadden RN152808 Glen Dasher, MD 43354 8938 1044 Bermuda Run Rd Statesboro GA 30458 5/1/2010
Hill, Cara C. RN159234 James Palazzolo, MD 37637 8123 804 13th Avenue Alabany GA 31701 7/31/2010
Hill, Sylena Hendrix RN158433 Miriam Gwathney, DO 63343 11981 931 Lower Fayetteville Rd, Suite J Newnan GA 30263 2/1/2014
Hill, Patricia Cannington RN060452 Jeremy Goodwin, MD 59416 8714 235 Medical Court Forsyth GA 31029 6/1/2011
Hill, Patricia Cannington RN060452 William Taunton, Jr., MD 63543 9073 235 Medical Court Forsyth GA 31029 6/1/2011
Hill, Calita Suzanne Allen RN168131 John Price, DO 55274 9100 611 Villanow St Lafayette GA 30728 5/27/2011
Hill, Cara C. RN159234 Troy Kimsey, MD 46876 9290 425 W. Third Ave, Suite 105 Albany GA 31701 4/10/2011
Hill, Cara C. RN159234 Thomas Joiner, MD 22797 9949 425 W Third Ave, Ste 600 Albany GA 31701 6/1/2013
Hill, Calita Suzanne Allen RN168131 Anne Todd, MD 51395 8717 1008 N. 3rd Avenue Chatsworth GA 30705 1/18/2010
Hinds-Carden, Pamela Kay RN143868 Walter Metcalfe, MD 58544 12082 Take Care Clinic, 794 S Park St Carrollton GA 30117 9/10/2013
Hirsch, Lana Christian New RN214271 Elizabeth Killebrew, MD 29898 9882 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 3/29/2013
Hitchcock, Robin Annette RN076949 Matthew Keadey, MD 49143 1354 1364 Clifton Road Atlanta GA 30022 7/28/2009
Hobbs, Laura Elizabeth Rn225115 Harrison Stetler, MD 41681 11706 3957 Holcomb Bridge Rd, Suite 100 Norcross GA 30092 8/23/2013
Hobbs, Laura Elizabeth RN225115 George Katsitadze, MD 52456 12700 4120 Five Forks Trickum Rd, Suite 102 Lilburn GA 30047 1/5/2014
Hocking, Timothy Kevin RN151941 Michael White, MD 61535 12179 9/1/2013
Hockstedler, Marita Ann RN217912 Richard Harvey, MD 37827 10773 575 First Street Macon GA 31201 6/23/2013
Hodges, Jami Nicole RN210361 Quinton Weldon, MD 56786 13569 1035 E. Forsyth St Americus GA 31709 3/19/2015
Hodnicki, Deanna Renee O'Donnell RN104429 Cheryl Perkins, MD 36430 9056 1497 Fair Rd, Suite 200 Statesboro GA 30458 5/17/2013
Hoffa, Evelyn Marie Head RN067755 Thomas R. Rumble, MD 13078 1361 2121-A Bellevue Rd Dublin GA 31021 1/1/2012
Hoffman, Linda Ann Hilpp RN060455 Louis Spencer, MD 61351 8309 4159 Martha Berry Hwy, NW Rome GA 30165 11/1/2009
Hoffman, Judy Lynn RN169860 James Gore, MD 36384 9497 1657 N. Expressway Griffin GA 30223 8/14/2011
Wednesday, January 13, 2016 Page 68 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hoffmann, Linda Ann Hilpp RN060455 Hope McDaniel, MD 59287 1364 4159 Martha Berry Hwy NW Rome GA 30165 10/1/2008
Hoffmann, Linda Ann Hilpp RN060455 Joseph Biuso, MD 28726 8759 330 Turner McCall Blvd, Suite 203 Rome GA 30165 11/30/2011
Hogue-Kinahan, Janice Kaye RN087295 Lisa Rosa-Re, MD 29768 7764 11660 Alpharetta Hwy, Suite 600 Roswell GA 30076 8/17/2009
Holbrook, Alisha Jill RN118690 Darryl Harris, MD 32920 1001 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 30046 7/28/2015
Holcomb, LaDonna Leigh RN101888 Kenneth Howard, MD 40412 8318 1060 Redbud Road Calhoun GA 30701 6/25/2011
Holcomb, LaDonna RN101888 Wilma Briones-Mull, MD 64783 10006 255 West 5th Street Rome GA 30165 12/3/2012
Holland, Jennifer Rachel RN196061 Benjamin Holland, MD 67710 12553 1199 Prince Ave, MSB Bldg, 2nd floor Athens GA 30606 6/19/2015
Holland, Wendy Jean Olmstead RN102280 Anthony Costrini, MD 14476 1374 11700 Mercy Blvd Suite 5 Savannah GA 31419 10/28/2009
Hollis, Elizabeth Maria RN138048 Linda Jones, MD 30111 9535 1500 E. Shotwell St Bainbridge GA 39819 3/7/2014
Hollis, Elizabeth Maria RN138048 D. Shawn Surratt, MD 55984 9534 603 S. Wheat Ave, Suite 700 Bainbridge GA 39819 3/7/2014
Holloway, Amy Elzabeth RN175341 Wyatt Blake, MD 47702 13363 4421 Carnes St. Acworth GA 30101 9/6/2014
Holloway, Amy E. RN175341 Mark Elam, MD 36147 11349 1102 Burleyson Rd. Dalton GA 30720 4/30/2014
Holloway, Amy Elizabeth RN175341 Joseph Sentef, MD 32816 11002 513 Benjamin Way, Suite 200 Dalton GA 30721 9/20/2012
Holmes, Jennifer RN047369 Jackie Cox Thompson, MD 12446 11079 2927 Demere Dr. St. Simons Island GA 31522 4/6/2015
Holmes, Jennifer RN047369 Gwendolyn V. Morgan, MD 24040 11549 502 Sumter St., #C Montezuma GA 31063 5/27/2013
Holmes, Jennifer RN047369 Ryan Wagoner, MD 71582 15528 2927 Demere Rd. St. Simons Island GA 31522 7/6/2015
Holt, Tina RN060670 Delgado, Reden MD 65957 10663 2293 Rome Hwy Rockmart GA 30153 4/24/2014
Holt, Tina rn060670 Dark, Jennifer MD 66016 10693 1012 Burleyson Road Dalton GA 30710 1/31/2014
Holt, Tina M. RN060670 Kenneth J. Howard, MD 40412 11332 1060 Redbud Rd. Calhoun GA 30701 9/12/2014
Hood, Terry RN211820 Skiwski, Jason MD 64973 10164 2366 Battlefield Parkway Ft. Oglethorpe GA 30742 11/3/2012
Hooks, Donna Jean Joiner RN115975 Jimmy Diaz, MD 26097 12398 130 N Gross Rd, Suite 202 Kingsland GA 31548 2/10/2014
Wednesday, January 13, 2016 Page 69 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Hooper, Tracy Lynn Martin RN095695 Teresa Baysden, DO 57348 1395 2001 Antioch Road Dalton GA 30721 2/1/2011
Hoover, Abigail RN155541 Norvell, Mark MD 23393 10119 3300 Fourth Street Brunswick GA 31520 7/1/2015
Hopkins, Debra D RN048111 Samuel Sencil, DO 55971 1396 206 East Church St Bowman GA 30624 7/1/2015
Hopkins, Casey Leigh RN205006 Denise Pecht, MD 34436 9674 771 Old Norcross Rd, Suite 305 Lawrenceville GA 30046 5/12/2012
Hopkins, Janice Marie Gribble RN060470 Thomas Simpson, MD 34949 1397 315 W. 5th St Rome GA 30161 3/21/2011
Horn, Lauren Bramlett RN188946 Bradley Ward, MD 21115 9781 97 Church St Taylorsville GA 30178 2/3/2015
Horner, Dennis Duane RN175950 Larry Fritchman, MD 57970 9122 843 Falls Rd Toccoa GA 30577 11/1/2014
Hornsby, Julie Tiner RN131042 Michael Clifford, MD 37508 9218 11045 Columbia St Blakely GA 39823 10/31/2014
Hornsby, Juile Tiner Rn131042 Vincent Barker, MD 66252 14591 11045 Columbia Rd Blakely GA 39823 9/30/2015
Hostetler, Joy Lynn RN116039 Terry Wood, MD 36636 1406 1340 Boulevard SE Atlanta GA 30315 3/12/2012
Hostetler, Joy RN116039 William Cook, MD 32461 8051 1267 Hwy 54 West, Suite 3200 Fayetteville GA 30214 3/12/2012
Howard, Patricia Lauren RN226783 Joseph Watlington, MD 25685 13365 102 Erlanger South Drive Ringgold GA 3/6/2015
Howard, Heather Hendon RN168272 Cheryl Tolliver, MD 53040 12657 417 Third Ave Albany GA 31701 8/23/2014
Howard, Patricia Lauren RN226783 Brant Holt, MD 54393 11779 102 Erlanger South Drive Ringgold GA 30736 2/20/2014
Howard, Erika D RN149577 Blake Milner, MD 52789 13903 1111 Griffin Ave Ste 1B Eastman GA 31023 2/6/2015
Howell, Frances Wilson RN159191 David Arkin, MD 28136 1419 758 Old Norcross Rd, Ste 175 Lawrenceville GA 30045 10/2/2007
Howell, Scott Nelson RN055858 John Hubbard, MD 30787 9343 228 N. College Ave Hartwell GA 30643 5/13/2011
Howell, Deborah Smith RN098139 Michelle Morgan, MD 51694 1418 9465 Hwy 5 Douglasville GA 30135 2/23/2013
Howell, Charlotte Adrienne RN073038 Dolapo Babalola, MD 59119 1417 Take Care Clinic, 2464 Roswell Rd Marietta GA 30062 2/9/2015
Howell, Charlotte RN073038 Plummer, Valens MD 49496 10057 1762 Mars Hilol Rd NW Acworth GA 30101-8091 5/1/2013
Wednesday, January 13, 2016 Page 70 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Howell, Allen Blaine RN186042 Quinton Weldon, MD 56786 10003 100 Plantation Ridge Drive Americus GA 31709 3/19/2015
Howell-Philip, Vanessa RN142462 Oliviere, James Jr. MD 60017 10527 931 Lower Fayetteville Road Newnan GA 30263 12/31/2012
Howell-Philip, Vanessa RN142462 Miriam Gwathney, DO 63343 11982 931 Lower Fayetteville Rd, Suite J Newnan GA 30263 6/26/2015
Hu, Yuan RN206671 Markus Porkert, MD 51716 13151 1700 Tree Ln., Ste. 190 Snellville GA 30078 5/28/2015
Hubbard, Mandy D. Brinson RN169681 Eric Hall, MD 45814 9016 512-B South Main Street Hinesville GA 31313 8/31/2010
Hubbard, Mandy D. Brinson RN169681 Heather Svenson, MD 50841 8453 47 Professional Drive Brunswick GA 31520 8/31/2010
Huber, Kelly M RN160170 Victor Corrigan, MD 26489 7914 5665 Peachtree Dunwoody Road Suite Atlanta GA 30342 9/15/2008 172
Huckabay, Paige Adams Murphy RN097896 Madhu Vishwanath, MD 56499 1426 3003 Old Alabama Road Alpharetta GA 30022 12/12/2012
Huckaby, Lisa Carole Potts RN069461 Bruce Williams, DO 62794 9276 1301 Sigman Rd NE, Suite 230 Conyers GA 30012 9/22/2011
Huckaby, Lisa Carole Potts RN069461 Mohamad El-Attar, MD 41286 5195 1311 Milstead Avenue Conyers GA 30012 2/26/2010
Hudson, Virginia N. RN064157 Enrique Isidro, MD 49617 8473 PO Box 1000 Warm Springs GA 31830 4/1/2014
Hudson, Kelly Kruegler RN093576 David Derrer, MD 54181 14344 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 3/4/2015
Hudson, Kelly Kruegler RN093576 Ronald Pirtle, MD 13784 15540 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 6/10/2015
Hudson-Gallogly, Wanda Kim RN097026 1432 2/28/2014
Hughes, Linda Lee RN056826 William Bilek, MD 41514 5197 993-D Johnson Ferry Road, Suite 360 Atlanta GA 30342 12/31/2008
Hughes, Tammy H. RN203390 Victoria Shirley, MD 50921 9093 109 Osigian Blvd, Suite 400 Warner Robins GA 31088 2/28/2014
Hughes, Wendy Lynn RN119281 Mohamed Elhassan, MD 72970 14904 5398 Thomaston Rd, Ste B Macon GA 31220 11/25/2015
Hughes, Jaclyn Camille RN208019 George Gowder, MD 25163 14869 35 Hospital Rd Blairsville GA 30512 9/29/2015 RN208019
Hume, Kimberly Renee RN195261 Sara O'Heron, MD 41632 11802 1201 Georgian Park Peachtree City GA 30269 6/23/2013
Hummel, Elaine Dubel RN053488 1443 2/28/2014
Wednesday, January 13, 2016 Page 71 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Humphries, Marcella J.E. RN089263 Stepehn Jarrard, MD 62897 11017 196 Ridgecrest Circle Clayton GA 30525 6/13/2013
Hunte, Janell Lynn RN156325 John Coleman, MD 48498 9943 1720 Peachtree St, Ste 200 Atlanta GA 30309 10/19/2011
Hunter, Tamara Stewart RN112687 Sinyard, Robert MD 25829 10023 PO Box 5860 Athens GA 30604 5/28/2014
Hurd, Rebecca S. RN186637 Bhumiben Purohit, MD 58812 9653 1425 Market Blvd Roswell GA 30076 6/1/2011
Hurd, Rebecca S RN186637 Lee Jacobs, MD 28283 13401 107 Mountain Brook Dr, Suite 100 Canton GA 30115 7/23/2014
Hurd, Rebecca S. RN186637 Deitrick Cox, MD 65394 11466 8811 Hwy 92, Suite 114 Woodstock GA 30189 7/16/2013
Hurd, Rebecca S. RN186637 Young An, MD 52050 8912 1260 Hwy 54 West, Suite 202 Fayetteville GA 30214 1/3/2011
Hurman, Wendy Kay RN149720 Richard Dukes, MD 51875 7863 235 Peachtree St NE, North Tower, Atlanta GA 30303 4/1/2014 #2100
Hurst, Sabine C. RN182617 Joseph D. DeVeau, MD 52706 11175 101 Yorktown Dr., Ste. 110 Fayetteville GA 30215 2/18/2015
Hurst, Sabine RN182617 Ahmed, Kashif MD 61547 10139 2200 Hwy 155 North McDonough GA 30252 8/28/2012
Hurt, Jason B. RN134515 Michael Caruso, MD 57558 8511 7199 Hwy 441 North, Suite 109 Dillard GA 30537 6/10/2009
Hurt, Jason B. RN134515 William A. Mills, MD 50901 1454 800 East Doyle Street Toccoa GA 30577 11/25/2007
Hurt, Jason B. RN134515 Ram Reddy, MD 24178 8439 132 Franklin Springs Street Royston GA 30662 1/29/2009
Huskey, Betty L RN044704 Ali Fakhri, MD 39567 1457 705 North Division St Rome GA 30165 4/30/2011
Hutchison, Anthony Lauren RN181652 Christopher Clare, MD 34318 8849 2001 Peachtree Rd NE, Suite 550 Atlanta GA 30309 7/31/2015
Hyde, Douglas Anderson RN125716 Gary W. Hunt, MD 33359 1462 2855 Old Hwy 5, Ste 104 Blue Ridge GA 30513 12/31/2010
Hyde, Sylvia Helen Dunn RN131917 Mullen, Thomas MD 39882 1463 126 Sequoyah Trail Ringgold GA 30736 6/5/2013
Hyman, Rhona Alesia RN232024 Mitzi Rubin, MD 49592 13048 3939 Roswell Rd, Suite 200 Marietta GA 30062 9/8/2014
Hyman-Duhaney, Rhona Alesia RN232024 Charles Clopton, Jr, MD 43019 12579 3890 Redwine Rd Atlanta GA 30331 2/9/2014
Ilgenfritz, Nancy Gail Armstrong RN047165 Jonathan Winner, MD 13706 1467 1140 Hammond Dr, #E-5250 Atlanta GA 30328 2/18/2010
Wednesday, January 13, 2016 Page 72 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ingram, Cynthia Belle Walker RN063917 Richard Rickman, MD 49332 1471 3200-C North Ashley St. Valdosta GA 31602 5/21/2015
Intili, Henry RN123672 Bruce Ribner, MD 49086 9094 1364 Clifton Rd NE Atlanta GA 30322 3/1/2013
Irick, Susan A. RN064849 David Johnson, MD 32757 1473 705 Jesse Jewell Pkwy SE Ste 200 Gainesville GA 30501 7/18/2012
Irwin, Christine Lynn Miller RN120987 Esther Harbert, MD 32633 8261 450 Winn Way Decatur GA 30030 10/24/2008
Ivester, Alexandra Fleming RN159202 Louis Fernandez, MD 39790 1480 121 North Big A Road Toccoa GA 30577 1/16/2009
Ivey, Karen RN106643 Souza, John MD 39475 10878 1110 Hillcrest Pkwy Dublin GA 31021 10/18/2013
Ivey, Karen Belinda RN106643 Eric Zanghi, MD 30248 1481 1719 Russell Pkwy, Suite 700 Warner Robins GA 31088 6/3/2014
Iwhere, Lovinda Ihuoma RN108038 Walter Metcalfe, MD 58544 12067 Take Care Clinic, 2464 RoswellRd Marietta GA 30062 9/10/2013
Iwhere, Lovinda RN108038 Valens M. Plummer, MD 49496 11462 Take Care Clinic, 2464 Roswell Rd. Marietta GA 30062 5/1/2013
Iwotor, Esther Ijeoma RN109484 Christopher Stevens, MD 54515 12558 5230 Dallas Hwy Powder Springs GA 30127 12/21/2013
Izadi, Mona RN079353 Gulshan Harjee, MD 26865 1482 2536 Lawrenceville Hwy Decatur GA 30033 9/10/2010
Jackson, William Neal RN049375 John Polak, DO 31100 8998 447 North Belair Rd, Suite 101 Evans GA 30809 3/26/2015
Jackson, Hope Cherisse RN128152 Joe Harris Morgan, III MD 53503 9986 2300 Dawson Road Albany GA 31707 6/14/2013
Jackson, Stephanie B. RN071218 Martha Schuh, MD 37488 8550 1275 Hwy 54 West, Suite 200 Fayetteville GA 30214 12/21/2009
Jackson, William Neal RN049375 Ryan Johnson, DO 56876 9210 1350 Walton Way Augusta GA 30813 3/26/2015
Jackson, Stephanie B RN071218 John DuPre, MD 31590 1497 327 South 9th Street Griffin GA 30224 5/7/2009
Jacob, Christine Mary RN126358 Micah Fisher, MD 56546 9372 1365 Clifton Rd NE, Bldg A, # A-4322 Atlanta GA 30322 4/22/2013
Jacob, Christine Mary RN126358 Richard Kim, MD 62129 11870 1 Coca Cola Place Atlanta GA 30301 5/20/2015
Jacobs, Robert Scott RN121991 Warren Theis, MD 55345 12337 1405 Alice St Waycross GA 31501 10/7/2013
Jacobs, Robert Scott RN121991 Eloy Diaz, MD 22596 9552 6572 River Park Dr, Suite 102 Riverdale GA 30274 10/6/2014
James, Chandra Marie Robinson RN169998 James Sirleaf, MD 67036 13404 417 Third Ave, Emer Dept Albany GA 31701 9/20/2013
Wednesday, January 13, 2016 Page 73 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated James, Rita Robinson RN102411 Jeffrey Bell, MD 34539 9491 1200 N Jefferson St Albany GA 31701 5/16/2013
James, Michael Thomas RN057405 Bonnie Ellenoff, DO 51644 1504 2010 Beaver Ruin Rd Norcross GA 30071 3/28/2013
James, Heather Koren RN194375 Claus Brandigi, MD 43004 8637 1220 George C. Wilson Drive Augusta GA 30909 3/12/2010
James, Tiffany RN246514 Charles Roman, DO 43757 15697 2737 Warm Springs Rd Columbus GA 31904 8/3/2015
Janney, Magenia Walker RN078803 Deepali Agarwal, MD 54783 9471 1110 13th St Columbus GA 31901 8/11/2010
Jaramillo, Martha Cecilia RN130879 Gerald Feuer, MD 36154 1505 980 Johnson Ferry Rd, Suite 900 Atlanta GA 30342 4/12/2010
Jaramillo, Martha Cecilia RN130879 Thomas Morrow, MD 39879 8882 5530 Windward Pkwy, Bldg 1 #1210 Alpharetta GA 30004 1/28/2010
Jarboe, Kathleen Sue Mitchell RN088693 Barbara D'Orio, MD 33956 12914 PO Box 26238 Atlanta GA 30303 5/21/2015
Jarrett, Jared Lewis RN198077 Randall B. Brown, MD 31884 12969 575 First St. Macon GA 31201 7/21/2014
Jasper, Lisa Lanee RN140219 Frederick Sengstacke, II, MD 42937 1510 861 Holcomb Bridge Rd, Suite 200 Roswell GA 30076 6/7/2010
Jefferson-Saboor, Andrea Renee RN103467 Joel Rosenstock, MD 32036 1516 2140 Peachtree Rd, Suite 232 Atlanta GA 30309 7/17/2014
Jenkins, Charles RN143268 Chukwudi Amu, MD 26967 9222 5530-B Old National Hwy, Suite 100 College Park GA 30349 12/1/2009
Jenkins, Brandy Gaddy RN166060 Benita Bonser, MD 53980 9211 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 10/28/2012
Jenkins, III, Charles RN143268 Matthew Wheatley, MD 57702 11941 49 Jesse Hill Jr Dr SE, Suite 127 Atlanta GA 30303 5/1/2015
Jennings, Sunshine RN180153 Ammons, Katharine MD 37744 10085 1825 Martha Berry Blvd Rome GA 30165 4/19/2014
Jernander, Brandi Smith RN149163 Bruce Gioia, MD 38774 13052 1120-C Indian Drive Eastman GA 31023 12/31/2014
Jernander, Brandi RN149163 John Souza, MD 39475 15032 1110 Hillcrest Pkwy Dublin GA 31021 2/12/2015
Jha, Shashank Kumar RN214076 Peter Jungblut, MD 69056 13031 1000 Chastain Rd, House 52 Kennesaw GA 30144 3/21/2014
Jha, Shashank RN214076 Hussain, Hina MD 55063 10452 4526 Clubhouse Drive Marietta GA 30066 2/26/2012
Jha, Shashank K. RN214076 Kathleen Gunchick, MD 28760 11601 KSU, 1000 Chastain Rd, House 52 Kennesaw GA 30144 1/6/2014 #5200
Wednesday, January 13, 2016 Page 74 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Jha, Shashank Kumar RN214076 Bhumiben Purohit, MD 58812 13768 5075 Peachtree Pkwy Ste.106 Norcross GA 30092 12/31/2014
Jobe, Susan RN204511 Onkar Kaur, MD 47103 16294 80 West Main St Butler GA 31006 10/1/2015
Jock, Kirkley G. RN218349 Sean Lynch, DO 49186 12595 3736 Mike Padgett Hwy, Suite A Augusta GA 30906 4/4/2015
Jock, Kirkley RN218349 George Pursley, MD 31308 15419 511 Pleasant Home Rd Augusta GA 30907 9/1/2015
Jockers, Barbara Scott RN158619 Adebukola Akintoye, MD 38164 8207 922 Gainesville Hwy, Suites 101-102 Buford GA 30518 6/8/2009
Jockers, Barbara Scott RN158619 Charles Adams, MD 45378 8663 4085 Cloud Springs Rd Ringgold GA 30736 7/25/2012
Johns, Traci RN201265 Robert Byrne, MD 51443 10838 120 Trinity Place Athens GA 30607 7/29/2013
Johns, Traci Bishop RN201265 Gary Walton, MD 36630 13405 1500 Oglethorpe Ave, Suite 300-C Athens GA 30606 6/11/2014
Johnson, Denise RN123212 Reginald Strother, MD 44597 9198 1620 Prince Ave Athens GA 30606 12/18/2012
Johnson, Laurie RN101726 Jones, Cheryl MD 34865 10879 308 Coliseum Drive, Ste 120 Macon GA 31217 12/17/2012
Johnson, Laurie Faye Garfield RN101726 Vundyala Reddy, MD 25022 8294 308 Coliseum Drive, Suite 120 Macon GA 31217 9/6/2012
Johnson, Eva RN074598 Fordham, Donald MD 44718 10539 865 Austin Drive, PO Box 1899 Demorest GA 30535 4/30/2012
Johnson, Heather Constance RN164766 Matthew Grundfast, DO 52944 8347 1009 N. Monroe Street, Suite 102 Albany GA 31701 4/15/2011
Johnson, Jennifer Lynn RN190791 Bennie Brown, DO 65085 13750 151 S Houston Lake Rd, Suite 110 Warner Robins GA 31088 9/1/2015
Johnson, Beverly Kay RN106778 Orlando Fernando, MD 43934 2512 510 South Main St, Suite B Baxley GA 31513 1/31/2011
Johnson, Kimberly Crump RN093193 Daxes Banit, MD 52884 9410 3051 Watson Blvd, Suite 400 Warner Robins GA 31093 12/31/2011
Johnson, Eva RN074598 Dean Karampelas, MD 26141 11124 743 Spring St. Gainesville GA 30501 3/31/2014
Johnson, Lakesha RN177719 Hehn, Rudy MD 26302 10697 915 Gordon Avenue Thomasville GA 31792 8/27/2013
Johnson, Courtney K. RN181532 Devica Alappan, MD 49526 11382 1900 11th Ave., Ste. A Columbus GA 31901 6/17/2013
Johnson, Erin M RN193587 Tim Ashburn, MD 68698 13799 4700 Battlefield Pkwy Ste.310 Ringgold GA 30736 3/16/2015
Wednesday, January 13, 2016 Page 75 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Johnson, Mary Neel Parish RN057678 Michael Dwyer, MD 50360 1541 5901-B Peachtree Dunwoody Rd, Ste B- Atlanta GA 30328 7/13/2015 420
Johnson, Kristie Michelle RN139652 Subhod Rao, MD 64251 13095 1514 Vernon Rd., ER Lagrange GA 30240 7/26/2015
Johnson, Laurie Faye Garfield RN101726 Al Soltan, MD 45011 1535 308 Coliseum Dr. Macon GA 31217 10/20/2008
Johnson, Whitney Brooks RN195771 Marcus Roberts, MD 35986 12626 903 West Ward St, Suite A Douglas GA 31533 7/22/2014
Johnson, Angela Dawn RN113824 Richard Eaton, MD 40370 7767 1001 N. Third Street Folkston GA 31537 9/30/2008
Johnson, Cody RN124320 Celayes Moran, MD 64675 14474 618 East Lamar St Americus GA 31709 6/30/2015
Johnson, Jessica Lynn RN155651 Zada Weston-Hill,MD 39009 12304 1810 GA Hwy 20 SE, Suite 172 Conyers GA 30013 9/1/2014
Johnson, Pamela RN242242 Catherine Apaloo, MD 71964 14469 1500 Oglethorpe Ave, Ste 600 E/F Athens GA 30606 8/26/2015
Johnson, Mae D RN027354 James Blackwell, MD 17132 1539 1107 Memorial Drive, Suite 300 Dalton GA 30720 7/1/2014
Johnson, Pamela RN242242 Kelly Manahan, MD 72318 14468 1500 Oglethorpe Ave, Ste 600 E/F Athens GA 30606 3/16/2015
Johnson, Vickie Michelle RN211354 A. S. Ghiathi, MD 40908 9429 7 Taylor St Cuthbert GA 39840 7/15/2011
Johnson, Jennifer Lynn RN190791 Anthony Ditaranto, MD 29865 11823 915 Elmo St Americus GA 31709 9/11/2014
Johnson, Whitney Brooks RN195771 Marcus Roberts, MD 35986 10964 1909 Hwy 82 West, Suite 5 Tifton GA 31793 9/29/2013
Johnson, Stephanie RN109410 Aloysius Mangan, MD 15023 15575 615 E Villanow St Lafayette GA 30728 9/1/2015
Johnson-Young, La Tonja Quevette RN123293 Raj Gupta, MD 33345 1548 308 Coliseum Dr. Macon GA 31217 7/25/2008
Johnson-Young, La Tonja RN123293 Robert Van Gallera, MD 37717 14903 2249 Vinson Hwy Milledgeville GA 31061 4/27/2015
Johnston, Amanda Carter RN176049 Kenneth Patric, MD 69243 13770 10/22/2014
Johnston, Susan Mary Sadlowski RN117517 Bradford Lipman, MD 28596 13268 275 Collier Rd, Suite 500 Atlanta GA 30309 7/1/2015
Joiner, Janice Dorsey RN084667 Crystal Slade MD 53881 9992 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 11/14/2012
Joiner, Janice Dorsey RN084667 Cathy Larrimore, MD 38836 12021 4181 Hospital Dr, Suite 104 Covington GA 30014 9/15/2014
Wednesday, January 13, 2016 Page 76 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Jones, Anna Christine RN151386 Sadiq Sohani, MD 45010 8411 1413 Chattanooga Avenue Dalton GA 30720 2/1/2009
Jones, Shikira Mone RN175825 Russell Brown, MD 39743 11877 2001 Martin Luther King Jr Dr, #418- Atlanta GA 30310 9/4/2013 430
Jones, Robin Tidwell RN229904 David Bosshardt, MD 26225 2507 110 Battlefield Crossing Ct Ringgold GA 30736 1/1/2014
Jones, Janine Roxanne Coleman RN093541 Richard Robinson, MD 38936 8997 3240 Avalon Blvd Conyers GA 30013 4/19/2010
Jones, Anna RN151386 Elam, Mark MD 36147 10072 1507 Professional Court Dalton GA 30720 3/15/2012
Jones, Marie E RN028735 John Zipperer, MD 50750 1556 PO Box 496 Arlington GA 39813 8/1/2010
Jones, Laquay RN128455 William A. Stinnette, MD 46499 1555 1650 Honey Creek Commons, Ste F Conyers GA 30013 1/31/2011
Jones, Kelly Leighann Dudley RN093051 Andre Feria, MD 48513 9252 142 Old Mill Rd LaGrange GA 30241 11/1/2011
Jones, Anna Christine RN151386 Thomas Self, MD 21587 8166 1825 Martha Berry Blvd Rome GA 30165 8/30/2008
Jones, Anna Christine RN151386 Prasad Rao, MD 55640 8790 960 J F Harris Pkwy Cartersville GA 30120 6/1/2010
Jones, Michelle Lea RN196623 Andrew Waldman, MD 48001 12513 710 Center St, Emer Dept Columbus GA 31801 6/15/2014
Jones, Janine Roxanne Coleman RN093541 Gregory Fountain, MD 34593 5209 766 Walther Road, Suite 100 Lawrenceville GA 30045 9/4/2009
Jones, Anna Christine RN151386 Aldrich Mendoza, MD 62916 9183 251 Hwy 53 Calhoun GA 30701 8/14/2011
Jones, Anna Christine RN151386 Melissa Rhodes, MD 47060 9203 100 Market Place Blvd, Suite 301 Cartersville GA 30121 4/22/2011
Jones, Tracy RN112762 Biggs, Barbara MD 25105 10316 1810 White Circle, Ste 110 Marietta GA 30066 11/26/2013
Jones, Sherri Lynn RN189118 Adrienne Mims, MD 33152 12590 477 Windsor St SW, Suite 309 Atlanta GA 30312 12/31/2013
Jones, Anna Christine RN151386 James M. Crane, MD 36519 5525 1825 Martha Berry Blvd. Rome GA 30165 8/30/2008
Jones, Anna Christine RN151386 Delgado, Reden MD 65957 10711 2293 Rome Hwy Rockmart GA 30153 5/8/2014
Jordan, Susan Maria RN227156 Ricardo Riesco, MD 44069 12341 1933 Shield Rd Dalton GA 30720 3/21/2014
Jordan, Sarah J.L. RN094008 Raymond E. Gutierrez, MD 57983 11223 2000 Palmyra Rd. Albany GA 31701 1/31/2014
Wednesday, January 13, 2016 Page 77 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Jordan, Mary Catherine RN044779 Claire Mazewski, MD 46619 1572 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 11/30/2012
Jordan, Lucynda Reaves RN165700 Nydia M. Bladuell, MD 38429 1571 790 Church Street Marietta GA 30060 10/26/2007
Joyner, Amber RN155568 Flexon, Phillip MD 31737 10005 1707 Meadows Lane, Suite C Vialia GA 30474 7/3/2015
Jules-Villefranche, Myrlande RN175271 Igho Ofotokun, MD 53346 12623 341 Ponce de Leon Ave Atlanta GA 30308 6/5/2015
Kaimachiande, Finda-Mani Mary RN143541 Tosha Rogers, DO 64644 13279 2457 Martin Luther King Jr Dr SW, Atlanta GA 30311 8/11/2014 Suite A
Kaimachiande, Finda-Mani Mary RN143541 Donovan Christie, MD 44432 11990 Take Care Clinic, 4398 Atlanta Hwy Loganville GA 30052 2/1/2014
Kalm, Heather RN152416 Matthew A. Wheatley, MD 57702 11154 80 Jesse Hill Jr. Dr. Atlanta GA 30303 1/1/2015
Kaplan, Phyllis RN096231 Mirza, Wajahat MD 62563 10071 1915 Eisenhower Drive Savannah GA 31416 1/29/2013
Kapoor, Ritu RN226485 Alexander Osowa, MD 57551 13229 2805 Hamilton Mill Rd Buford GA 30519 11/28/2014
Karr, Nance RN090147 Sheryl Vickery, MD 26446 10927 7820 Hickory Flat Hwy Woodstock GA 30188 6/27/2013
Karraker, Barbara RN135364 Ronald Steis, MP 34479 14116 3400-C Old Milton Pkwy, Ste 400 Alpharetta GA 30094 4/2/2015
Kasper, Lauren Elizabeth RN226057 Muhammad Ishaque, MD 60641 14030 150 Gentilly Blvd Cartersville GA 30120 4/18/2015
Kaur, Balwinder RN141621 Donovan Christie, MD 44432 1588 5985 Peachtree Pkwy NW Norcross GA 30092 2/1/2014
Kaye, Leslie Ann RN112764 Benjamin Smith, MD 44338 7763 17 Collins Drive Cartersville GA 30120 7/2/2010
Keels, Barbara J RN087305 Oladayo Osinuga, MD 51703 1590 3290 Memorial Dr, Suite 1-A Decatur GA 30032 3/20/2013
Kehoe, Doreen R. RN206799 Dana Kumjian, MD 35673 9511 1115 Lexington Ave Savannah GA 31404 6/30/2012
Kehoe, Doreen R. RN206799 Paul Bradley, MD 30016 9129 315 Eisenhower Dr Savannah GA 31406 5/1/2012
Keith, Sharon RN211336 Scott, William MD 12565 10498 1915 Eisenhower Drive Savannah GA 31416 7/25/2011
Kelker, Cassandra Yvonne RN116927 Wallace Duncan, MD 41109 11173 794 S Park St Carrollton GA 30117 3/2/2015
Kelker, Cassandra Yvonne RN116927 David Asrael, MD 51291 7774 794 S Park St Carrollton GA 30117 3/2/2015
Wednesday, January 13, 2016 Page 78 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Kelker, Cassandra RN116927 Lakshmi Gopireddy, MD 65244 15192 794 S Park St. Carrolton GA 30117 4/23/2015
Kelker, Cassandra RN116927 Frederick Burton, MD 38434 15793 5448 Whittlesey Blvd, Ste B Columbus GA 31909 9/9/2015
Keller, Hayley Lauren RN205011 Martin Michaels, MD 26157 8900 711 Shields Road Dalton GA 30720 12/18/2011
Kelley, Angela Denise Kitchens RN085412 Walisa Maynard, MD 50658 12191 677 Church St, Bldg 310 Marietta GA 30060 11/1/2013
Kelley, Michelle LaDonna RN212611 Noreen Andrews, MD 46861 9771 4480 South Cobb Dr SE Smyrna GA 30080 10/4/2011
Kelley, Julia Elizabeth Brown RN153888 David Arkin, MD 28136 8808 758 Old Norcross Rd, Suite 175 Lawrenceville GA 30046 2/14/2014
Kelley, Gena Smith RN145032 Thippeswamy Murthy, MD 52470 1598 20 Francis Way, Suite 101 Sharpsburg GA 30277 10/19/2012
Kelley, Angela Denise Kitchens RN085412 Alison Krause, MD 40443 7731 4040 Hospital West Drive Austell GA 30106 5/24/2013
Kelly, Ursula Ann RN205908 Sherri Lynn Barton, MD 48595 11259 6158 Highway 92 Acworth GA 30102 2/9/2013
Kelly, Monique Diane RN184994 Stephen Jarrard, MD 62897 13368 331 Ridgecrest Cr Clayton GA 30525 7/1/2014
Kelly, Karyn Elayne RN087400 Lisa Wannamaker, DO 55462 8460 1384 Greene Street Augusta GA 30901 9/2/2009
Kelly, Karyn Elayne RN087400 Ralph Marionneaux, MD 47621 1604 465 North Belair Road Evans GA 30809 9/3/2009
Kelly, Susan Elizabeth RN218214 Brooks Moore, MD 53336 12909 49 Jesse Hill Dr. SE, ER Dept. Atlanta GA 30303 5/19/2014
Kelly, Karyn Elayne RN087400 Lamar Peacock, MD 34920 8719 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Kelly, Karyn Elayne RN087400 Matthew Lyon, MD 50972 8935 4471 Washington Road Evans GA 30809 8/1/2011
Kelly, Linda Jeanne RN205972 John O'Connell, MD 62266 8868 5671 P'tree Dunwoody Rd NE, #110 Atlanta GA 30342 1/10/2012
Kelly, Elizabeth Ann S. RN050989 John Zipperer, MD 50750 8772 PO Box 496 Arlington GA 39813 8/1/2010
Kelly, Kathy Jean Hyder RN077027 Julian McLendon, Jr, MD 38557 1606 1502 West 3rd Street Jackson GA 30233 11/1/2010
Kelly, Karyn RN087400 Chad Asplunp, MD 58438 15905 1120 15th St. Pavilion AF-1040 Augusta GA 30912 8/18/2015
Kelly, Monique RN184994 William Mills, MD 50901 14774 58 Big A Road Toccoa GA 30577 2/11/2015
Kemmerer, Terri Penna RN065283 David Arkin, MD 28136 1608 758 Old Norcross Rd, Suite 175 Lawrenceville GA 30045 8/3/2009
Wednesday, January 13, 2016 Page 79 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Kendrick, Patricia Rose RN152378 Wallace Duncan, MD 41109 7878 649 Shallowford Rd Gainesville GA 30504 12/17/2009
Kennedy, Christine L RN048660 Larry Vogler, MD 30557 1610 2015 Uppergate Drive Atlanta GA 30322 7/17/2015
Kennedy, Sheryl Ann Wright RN070145 Girish Shroff, MD 19103 1613 6025 Professional Pkwy, Suite 200 Douglasville GA 30135 8/25/2008
Kennedy, Sheryl Ann RN070145 Meena Shah, MD 21464 9391 475 Philip Blvd, Suite 100 Lawrenceville GA 30046 5/5/2012
Kent, Yolanda Michelle RN106726 Charles Roman, DO 43757 11995 2737 Warm Springs Rd Columbus GA 31904 6/7/2013
Kent, Yolanda Michelle RN106726 Anthony Ditaranto, MD 29865 12347 118 Enterprise Ct, Suite A Columbus GA 31904 10/31/2014
Kerr, Joanna H RN191560 Romualda S. Klicius, MD 46305 11260 145 N.Medical Parkway Woodstock GA 30189 1/12/2013
Kessler, Cathleen Ellen RN187457 Gregory Gibson, MD 40388 8002 6555 Professional Place, Suite C Riverdale GA 30274 6/15/2009
Key, Jennifer Leigh Bryan RN084616 Mac Bowman, MD 21647 8781 818 St. Sebastian Way, Suite 308 Augusta GA 30901 1/5/2013
Kiarie, Catherine Njeri RN174019 Randolph Sumner, MD 28323 12533 1825 Martha Berry Blvd Rome GA 30165 2/15/2015
Kicklighter, Cheryl Ann RN032598 Timothy Thomson, MD 46526 1619 951 South Broad Street Thonasville GA 31792 4/1/2008
Kiewit, Devra Ellen RN227529 Maxcene Oreus, MD 55486 13492 1266 Hwy 515 South Jasper GA 30143 4/6/2015
Kilgore, Catherine Martin RN089707 Germaine Cummings, MD 52340 12053 4480 Atlanta Hwy Loganville GA 30052 7/26/2013
Killeen, Jessica Guilfoil RN185537 Mark Beaty, MD 45169 8373 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 30004 2/10/2011
Kim, Patricia soon RN211735 Melvin Williams, MD 49260 13618 10 Glenlake Pkwy, Ste 40 Atlanta GA 30328 7/6/2015
Kim, Grace Nan RN218400 Charles Roman, DO 43757 11996 2737 Warm Springs Rd Columbus GA 31904 4/5/2014
Kimball, Michelle Sharon RN133306 Dennis Estep, MD 25429 1630 2366 Battlefield Parkway Ft Oglethorpe GA 30742 3/27/2010
Kimbrell, Holly Devonda RN123684 Kenneth Jones, MD 31037 9586 501 Redmond Rd, Emer Dept Rome GA 30165 7/31/2012
King, Jamie Bettina RN157567 Omari A Hodge, MD 70459 13773 7/30/2014
King, Emily Laura RN160699 Peter Jungblut, MD 69056 13064 1000 Chastain Road, House 53 Kennesaw GA 30144 1/11/2013
King, Jillian M. RN162789 Vincent Pearson, MD 32970 8312 504 Redmond Road Rome GA 30165 6/1/2010
Wednesday, January 13, 2016 Page 80 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated King, Emily Laura RN160699 John Pittman, MD 37045 9677 715 E. 2nd St Rome GA 30161 7/31/2011
King, Jillian M. RN162789 Himanshu Patel, MD 58116 9188 504 Redmond Rd Rome GA 30165 6/3/2012
King, Emily Laura RN160699 Kathleen Gunchick, MD 28760 11707 KSU,1000 Chastain Rd, House 53 Kennesaw GA 30327 1/6/2014
King, Emily Laura RN160699 Bradley Ward, MD 21115 1634 97 Church Street Taylorsville GA 30178 6/22/2010
King, Emily Laura RN160699 Kirk-Conrod Hewling, MD 57559 9384 4250 Brownsville Rd Powder Springs GA 30127 12/11/2010
King, Emily RN160699 Pittman, John MD 37045 10074 715 E. 2nd Avenue SW Rome GA 30161 6/2/2012
Kinnett, Marsha RN054127 William Coleman, MD 31577 1638 1211 Palmyra Rd Albany GA 31701 11/18/2011
Kirby, Susan Howes RN157966 Ali Mortazavi, DO 54865 7907 2041 Mesa Valley Way, Suite 100 Austell GA 30106 7/24/2013
Kirkby, Dawn Anne Marie RN090840 Yolanda Hacker, MD 45811 8560 5320 Memorial Drive Stone Mountain GA 30083 12/10/2011
Kirkby, Dawn rn090840 Criner, James MD 54179 10690 1510 Milstead Ave NE Conyers GA 30012 1/13/2014
Kirkby, Dawn Anne Marie RN090840 Germaine Denise Cummings, 52340 1641 5320 Memorial Drive Stone Mountain GA 30083 5/13/2009 MD
Kirkby, Dawn RN090840 Damon Kimes, MD 50322 13756 2075 Grayson Hwy Grayson GA 30017 3/30/2015
Kirschner, Caroline RN157276 Dingane Baruti, MD 55411 14079 100 Yorktown Dr., Ste 110 Fayetteville GA 30214 7/6/2015
Kitchens, Charles Earl RN203522 Paul King, MD 36198 13613 285 Boulevard NE, Suite 415 Atlanta ga 30312 9/13/2015
Kitchens, Charles RN203522 James Barlow, MD 30717 15962 235 Peachtree St NE North Tower, Ste Atlanta GA 30303 9/16/2015 2100
Kitchings, Martha RN022690 Badea, Calin MD 55918 10059 303 Fraser Drive Hinesville GA 31313 9/21/2012
Kitchings, Martha Helen Brannen RN022690 Lewis Litwack, MD 61981 9370 PO Box 554 Ludowici GA 31316 8/26/2011
Kitson, Judy Diane RN120499 Joseph Bishop, MD 10372 8504 100 Peters Street, Suite 38 Calhoun GA 30701 3/11/2009
Kiwanuka, Sarah Cissy RN133502 Christopher Stevens, MD 54515 7816 181 South Clayton St SW Lawrenceville GA 30045 2/3/2010
Kless, Laura Elizabeth RN222955 Opeoluwa Akinnusi, MD 64802 13443 2617 Sandy Plains Rd, Ste C Marietta GA 30066 6/9/2015
Wednesday, January 13, 2016 Page 81 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Kline, Gail RN110772 Winston R. Jeshuian, MD 59432 11261 3708 Northside Drive Macon GA 31210 12/21/2012
Klug, Cheryl Ann RN094587 Valens Plummer, MD 49496 1650 2945 Panola Rd Lithonia GA 30038 1/21/2013
Knee, Laura Kay RN166274 Kenneth M Rice, MD 47251 12812 2021 Marketplace Blvd Cumming GA 30041 8/23/2014
Knee, Laura RN166274 Atallah, Hany MD 52678 10070 49 Jesse Hill Jr Drive SE Atlanta GA 30303 11/20/2013
Knight, Jacquelyne M. RN214988 Praneen Reddy, MD 56471 11338 1000 Johnson Ferry Rd., Main Atlanta GA 30342 3/9/2015 Radiology
Knight, Jacquelyn RN214988 Coleman, John MD 48498 10131 1720 Peachtree Rd, Ste 200 Atlanta GA 30309 10/10/2013
Knight, Jacquelyn RN214988 Nowlin, Phillip MD 36588 10531 491 E. Main Street Cartersville GA 30121 9/1/2012
Knowles, Constance RN111915 Elam, Mark MD 36147 10291 800 Professional Blvd Dalton GA 30710 2/20/2013
Knowles, Constance Bailey RN111915 Thomas Mullen, MD 39882 11832 126 Sequoyah Trail Ringgold GA 30736 5/16/2014
Knowles, Susan RN105788 Janet McBarron, MD 28300 15840 2904 Macon Rd Columbus GA 31906 6/25/2015
Knowlson, Beth Frances RN082189 Victoria Green, MD 38240 5226 69 Jesse Hill Jr. Dr. SE Atlanta GA 30303 10/1/2010
Knox, Sharon Paulette RN060943 Nedra Dodds, MD 39170 1657 9020 Peridot Pkwy Stockbridge GA 30281 1/29/2010
Knox, Sharon Paulette RN060943 Jan Mayfield, MD 51355 9015 49 Hosiery Mill Rd, Suite 124 Dallas GA 30157 2/26/2015
Ko, Jung Yung RN185605 Ann Marie Stokes, MD 63963 14072 4356 Communications Dr. Norcross GA 30093 10/31/2014
Kobia, Sonya Hart RN195430 Mitzi Rubin, MD 49592 12735 3939 Roswell Rd, Suite 200 Marietta GA 30062 4/6/2015
Koblasz, Mary Bassett RN055134 Barbara D'Orio, MD 33956 8489 PO Box 26238 Atlanta GA 30303 6/10/2010
Konter, Roslyn Pollard RN121158 Elizabeth Le Duc, MD 34754 5532 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 30342 2/28/2011
Koran, Ola Beth RN084872 Gena Volas-Redd, MD 45356 7729 340 Kennestone Hosp Blvd, Ste 100 Marietta GA 30060 12/26/2008
Korn, Patricia Garshelis RN229043 Susan Queen, MD 23496 12111 7/11/2013
Kotal-Lee, Randi Bliss RN218154 Ashok Kancharla, MD 48250 12011 138 West Gibson St Hartwell GA 30643 9/1/2013
Wednesday, January 13, 2016 Page 82 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Koval, Barbara Kay RN144368 Donna Fearing, MD 29447 8150 120 Stonebridge Pkwy, Suite 410 Woodstock GA 30189 5/5/2008
Koval, Barbara Kay RN144368 David Weinkle, MD 38645 1093 PO Box 422002 Atlanta GA 30342 6/21/2015
Kress, Karen Myers RN125419 Kimford Meador, MD 18705 9354 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 5/11/2012
Kress, Karen Myers RN125419 Frank Brown, MD 31212 8480 1821 Clifton Rd NE Atlanta GA 30329 9/2/2010
Kripalani, Dimple Lilian RN155956 Meena Shah, MD 21464 9594 475 Philip Blvd, Suite 100 Lawrenceville GA 30045 8/30/2012
Kroll, Sherri Cofield RN106135 David Faulk, MD 39787 1671 121 Burgess St Brunswick GA 31525 7/12/2015
Kruszka, Kathryn RN134121 Cantrell, David MD 32883 10235 1407 Cobb Parkway North Marietta GA 30062 7/18/2013
Kuebler, Kim Kathleen RN107885 Dawn Wilson, MD 47279 14593 245 Peachtree Industrial Blvd, Ste 100 Sugar Hill GA 30518 4/24/2015
Kuhn, Jessica Nicole De Marco RN127164 Walter Metcalfe, MD 58544 12093 Take Care Clinic, 2779 N Cobb Pkwy Kennesaw GA 30152 9/10/2013
Kuhn, Jessica Nicole DeMarco RN127164 Pamella Charles-Pryce, MD 58155 12502 2779 N Cobb Pkwy Kennesaw GA 30152 3/4/2015
Kulkin, Charlotte Virginia Conant RN125915 Madhu Vishwanath, MD 56499 8690 7530 Roswell Rd Atlanta GA 30350 8/5/2009
Kurtz, Laura Leigh Alsbury RN075453 Rayna Jobe, MD 60386 8360 805 Sandy Plains Road Marietta GA 30066 10/30/2009
Kurtz, Laura Leigh Alsbury RN075453 Ricardo R. Riesco, MD 44069 1680 711 Shields Road Dalton GA 30720 8/1/2007
Kurtz, Laura Leigh RN075453 Miles Graivier, MD 34602 8074 1295 Hembree Road, Bldg B Suite 100 Roswell GA 30076 5/2/2008
Kushner, Lauren RN131245 Dourron, Robert MD 48617 10073 2675 N. Decatur Rd, Ste 301 Decatur GA 30033 2/25/2012
Kushner, Lauren M RN131245 Neale Freeman, MD 40065 1681 1046 Ridge Avenue SW Atlanta GA 30315 5/31/2011
La Count, Sharon Lynn Ragsdale RN106756 Ram Reddy, MD 24178 1683 132 Franklin Springs Street Royston GA 30662 7/1/2011
Labrador, Babs Rene RN123691 Walter Mashman, MD 32956 8134 275 Collier Road NW, Suite 300 Atlatna GA 30309 5/21/2015
Lacey, Mary Esther RN182787 Jatinder Bhatia, MD 18784 1685 1120 15th Street, BIW-6033 Augusta GA 30912 1/4/2012
Ladson, Catherine RN192197 Harden, Charles MD 44930 10468 621 East First St, Suite B Vidalia GA 30474 4/30/2014
Ladson, Catherine Dorsey RN192197 Laurie Tharpe, MD 36303 8765 330 Hospital Dr, Suite 304 Macon GA 31217 9/15/2011
Wednesday, January 13, 2016 Page 83 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ladson, Catherine Dorsey RN192197 Angela Gerguis, MD 47261 13285 621 East First St, Suite B Vidalia GA 30475 3/6/2015
Laing, Denise RN127193 Durocher, Steven MD 56051 10323 2000 Palmyra Road Albany GA 31707 4/1/2013
Laing, Denise Cloud RN127193 Quinton Weldon, MD 56786 8300 PO Box 544 Americus GA 31709 7/31/2010
Laing, Denise Cloud RN127193 Timothy Thomson, MD 46526 1686 951 South Broad Street Thomasville GA 31792 7/25/2008
Lajiness-Polosky, Danine RN207007 Brett Murphy-Dawson 54080 11089 2100 Comer Ave. Columbus GA 31904 4/1/2015
Lajiness-Polosky, Danine Theresa RN207007 Edward Minor, MD 45095 15270 2100 Comer Ave Columbus GA 31904 4/8/2015
Lancaster, Michael T RN131631 Christopher Scott, MD 57015 12639 1707 Meadows Lane Vidalia GA 30474 6/1/2015
Landing, Stephanie RN170492 Carter, Cynthia MD 56534 10450 1050 Carl Griffin Drive Savannah GA 31405 6/18/2012
Landing, Stephanie R. RN170492 Charles M. Pugh, Jr., MD 19089 11520 1050 Carl Griffin Dr. Savannah GA 31405 10/18/2013
Landrum, Bobby Gene RN109950 John Corbin, MD 34800 12136 2122 Manchester Expy, Emer Dept Columbus GA 31904 8/5/2015
Landrum, Bobby Gene RN109950 Joe Bruce Carr, MD 16889 8088 2122 Manchester Expressway Columbus GA 31904 7/15/2013
Landrum, Frances Marie RN164310 Billy Greening, MD 42585 9521 7285 Hwy 16, Suite C Senoia GA 30276 5/3/2014
Landrum, Bobby Gene RN109950 Kevin King, MD 56310 11839 2122 Manchester Expressway Columbus GA 31904 8/5/2015
Lane, Teresa Kay RN163766 Ann Eggert, MD 28972 8986 12 Eastbrook Bend Peachtree City GA 30269 10/2/2014
Lane, Teresa Kay RN163766 Patrick Railey, MD 43114 7926 3345 E. Hwy 34, Suite 101 Sharpsburg GA 30277 9/22/2009
Lane, Felecia RN141537 Newport, Donald MD 43101 10324 1365 Clifton Road, Ste B6100 Atlanta GA 30322 7/25/2012
Lane, Kristen Goodin RN194082 Mark Ellison, MD 26107 13013 1500 Oglethorpe Ave, Suite 200-C Athens GA 30606 6/11/2014
Lane, Teresa Elaine RN074324 Todd Antin, MD 36495 11325 465 Winn Way, #221 Decatur GA 30030 4/14/2015
Lane, Felecia Charelle RN141537 Nitasha Burney, MD 55931 8396 9465 Hwy 5 Douglasville GA 30135 12/12/2008
Langdon, Kristan RN170212 Lutz, Jerre MD 15711 10818 1365 Clifton Rd NE, Ste A2208 Atlanta GA 30322 8/27/2013
Lanier, Courtenay Renae RN159370 Frank Steele, Jr., MD 29378 1700 50 Kelly Rd McDonough GA 30253 9/1/2009
Wednesday, January 13, 2016 Page 84 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Lanier, Courtenay Renae RN159370 Angela Gerguis, MD 47261 12756 586 Brannen St Statesboro GA 30458 9/26/2014
Lao, Cindy Wei-Hsin RN156557 Vicki Morgan, MD 25645 1703 980 Hwy 29 South Lawrenceville GA 30045 11/19/2007
Lashley, Glenna Willis RN173610 Anuj Chandra, MD 41753 13707 111 Pine St Trenton GA 30752 3/30/2015
Lashley, Glenna Willis RN173610 Cynthia Giles, DO 48778 9346 555 Bluebird Blvd Ft Valley GA 31030 12/13/2013
Lathrop, Breanna Lynn RN184089 David Derrer, MD 54181 14008 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 3/4/2015
Lathrop, Breanna Lynn RN184089 Ronald Pirtle, MD 13784 9174 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 7/21/2014
Lathrop, Breanna RN184089 Ronald Pirtle, MD 13784 15366 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 6/10/2015
Lattimore, Willie Lee RN102042 Raymond Gutierrez, MD 57983 9284 417 W. 3rd Avenue Albany GA 31701 1/31/2014
Lattimore, Willie RN102042 Matthews, Barbara MD 46169 10325 2000 North Monroe Street Albany GA 31701 7/31/2013
Lavallo, Joseph RN214862 Xavier Moore, MD 55619 12027 1133 Eagles Landing Pkwy Stockbridge GA 30281 8/1/2014
Law, Patricia Velda Lee RN073174 Saraju Dalsania, MD 45196 1710 1601 Fair Road, Suite 700 Statesboro GA 30458 5/17/2013
Lawrence, James Fletcher RN134018 James Sexson, MD 38362 9040 1810 Mulkey Rd, Suite 200 Austell GA 30106 3/16/2011
Lawrence, James Fletcher RN134018 Dipesh Patel, MD 53512 1712 3780 Eisenhower Pkwy Macon GA 31206 12/31/2009
Lawrence, James RN134018 Jove, Maurice MD 22799 10075 2801 N. Decatur Rd, Ste 200 Decatur GA 30033 7/25/2012
Lawrence, James Fletcher RN134018 James Peterzell, DO 53868 13914 200 Galleria Pkwy ste100 Atlanta GA 30339 12/1/2014
Lawrence, James Fletcher RN134018 John Ogundipe, MD 39193 11891 1500 S Johnson Ferry Rd NE Atlanta GA 30319 7/1/2014
Lawson, Leslie Elizabeth Johnson RN192522 Adrienne Fabrizio, MD 50365 13657 300 Bull St, Ste 102 Savannah GA 31401 9/17/2015
Lawson, Kristie LaShawn RN141266 William Hammond, MD 19166 8078 200 Perry House Road Fitzgerald GA 31750 11/13/2008
Lawson, Leslie Elizabeth Johnson RN192522 Marilyn Lavallee, MD 53263 13658 1001 Memorial Lane Savannah GA 31410 9/17/2015
Lawson, Donna Naomi RN146311 Walter Scott, Jr, MD 59190 8202 2500 Starling Street, Suite 306 Brunswick GA 31520 9/13/2014
Lawson, Leslie Elizabeth Johnson RN192522 Bobbie Kumar, MD 68197 13655 11935 Abercorn St Savannah GA 31419 9/17/2015
Wednesday, January 13, 2016 Page 85 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Lazzari, Taren S. RN124271 Hemachandra 63341 11352 250 Constitution Blvd, Ste 203 Lawrenceville GA 30046 7/25/2014 Gunawardhana, MD
Leathers, Breanne Nunnally RN211057 Laura Bleekrode, MD 34514 9542 1100 Northmeadow Pkwy, Suite 108 Roswell GA 30076 9/1/2015 211057
Lebiecki, Cindy RN117190 Messner, Stephen MD 59282 10358 1001 Johnson Ferry Road, Ste 500 Atlanta GA 30342 6/12/2012
Lecroy, Tiffany Reichert RN123214 Timothy Ryan, MD 40220 8361 84 Pine Grove Road Cartersville GA 30120 2/4/2010
LeCroy, Tiffany Reichert RN123214 William Kriegel, DO 31962 9664 3405 SW Dallas Hwy Marietta GA 30064 4/15/2012
Ledbetter, Sharon E RN038288 Kirk-Conrod Hewling, MD 57559 12506 4250 Brownsville Rd Powder Springs GA 30127 10/26/2013
Ledbetter, Sharon RN38288 Buhmiben Samir Purohit, MD 58812 11051 3240 South Cobb Dr. Smyrna GA 30080 11/4/2012
Ledbetter, Sharon E. RN038288 Joan Harden, MD 48640 1720 1862 Candler Road Decatur GA 30032 1/1/2010
Ledbetter, Sharon RN038288 Hewling, Kirk-Conrod MD 57559 10326 4250 Brownsville Road Powder Springs GA 30127 9/1/2012
Ledford, Ladonna Kay Ellis RN131920 Ronald Hudson, MD 15384 1721 610 19th Street Columbus GA 31901 3/31/2015
Ledford, Camille York RN154445 Jack Roof, MD 17278 8270 101 RiverStone Vista, Susite 207 Blue Ridge GA 30513 3/6/2014
Ledwitch, John William RN196360 Brian Griner, MD 46966 8377 101-G W. Northside Drive Valdosta GA 31602 2/4/2015
Ledwith, Crystal RN159890 Gerber, Alan MD 58672 10434 2069 Teron Trace, Ste 300 Dacula GA 30019 5/10/2013
Lee, Youn RN153452 Baker, Norman DO 53665 10477 330 Alcovy Street Monroe GA 30655 12/31/2012
Lee, Pamela S. RN034673 Michael Deen, MD 58459 9765 143 Hwy 32 Bypass Alma GA 31510 9/9/2012
Lee, Pamela S RN034673 Alvin Streat, MD 34279 1728 204 E. 15th Street Alma GA 31510 3/2/2009
Lee, Elizabeth Boatright RN079062 Eric Hall, MD 45814 1725 512-B South Main Street Hinesville GA 31313 12/17/2010
Lee, Felisa Ann RN178001 Sung Chang, MD 52693 12137 7351 Old Moon Rd Columbus GA 31909 8/26/2013
Lee, Jamie Clower RN124583 Patrick Haggard, MD 49403 13061 80 Jesse Hill Jr Dr, 13th Floor Atlanta GA 30303 3/26/2014
Wednesday, January 13, 2016 Page 86 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Lee, Cindy Fain RN039505 William Coleman, MD 31577 1724 601 West Eleventh Ave Albany GA 31701 12/31/2014
Lee, Amanda Treston RN203487 Leilani Shivers, MD 57507 13080 900 Dallis St, Suite D LaGrange GA 30240 4/9/2014
Lee, Pamela C. RN034673 Jonathan Wade, DO 66666 11136 204 E. 15th St. Alma GA 31510 5/31/2013
Lee, Pamela S. RN034673 Michael Nulph, MD 57735 5484 204 E. 15th Street Alma GA 31510 4/1/2011
Lee, Jamie RN124583 Patrick Amar, MD 49403 15079 80 Jesse Hill Jr.,Ste 13th floor Atlanta GA 30303 9/18/2015
Lee, Kyung Woon RN211429 Chester Lapeza, MD 44263 15932 148 East Peacock St. Cochran GA 31014 10/1/2015
Lee, Kyung Woon RN211429 Blake Milner, MD 52789 14901 148 East Peacock St. Cochran GA 31014 6/12/2015
Leffall, Para Ramon RN141240 Jacob Varghese, MD 56933 7833 3740 Cascade Road Atlanta GA 30331 8/24/2012
Leidel, Laura Beth RN139769 Roshni Patel, MD 57141 1735 1645 Tullie Circle Atlanta GA 30329 12/1/2010
Leigh, Stacy Diann RN129499 Dennis Dean Wiles, MD 44865 11262 410 Peachtree Parkway Cumming GA 30041 7/1/2015
Lemons, Maria RN164788 Akintoye, Adebukola MD 38164 10668 3780 Holcomb Bridge Road, Ste E Norcross GA 30092 5/22/2012
Lemons, Maria RN164788 Baysden, Teresa DO 57348 10360 3032 Sugar Valley Road Calhoun GA 30701 2/9/2012
Lemons, Maria Linda RN164788 Divina Dyer, MD 57161 8647 181 S. Clayton Street Lawrenceville GA 30045 8/6/2010
Lemons, Maria RN164788 Lloydstone Jacobs II, MD 49179 10806 2900 University Pkwy Lawrenceville GA 30043 5/1/2013
Lenaz, Leona Rausch RN193714 L. Crain Garrot, MD 59157 8236 340 Kennestone Hosp Blvd, Suite 100 Marietta GA 30060 11/30/2011
Leonard, Nina Julia Coleman RN044413 Russell Brown, MD 39743 11972 2001 Martin Luther King Jr Dr, #418- Atlanta GA 30310 9/4/2013 430
Leonard, Valerie Sanchez RN160156 Amar K. Singh, MD 52227 13097 550 Redmond Rd. Rome GA 30165 2/25/2015
Leppke, Allison Marie RN204063 Metra Wright, MD 60634 9788 770 Village Square Dr Stone Mountain GA 30083 10/15/2012
Leppke, Allison M. RN207063 Raulnina T. Uzzle, MD 43499 11413 770 Village Square Dr Stone Mountain GA 30083 4/14/2014
Lester, Dana C. RN039939 Michael Jackson, MD 55376 305 715 E. 2nd Avenue Rome GA 30161 2/2/2010
Wednesday, January 13, 2016 Page 87 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Leverett, Kim Rebecca RN140100 Jose Cangiano, MD 44182 13402 615 Lawrenceville-Suwanee Rd Lawrenceville GA 30046 10/1/2014
Lewis, Cynthia Marie RN234557 Farid Qazi, MD 35737 13117 207 Fairview Park Dr, Suite 207 Dublin GA 31021 7/24/2014
Lewis, Robert Michael RN148871 Mark Elam, MD 36147 9230 800 Professional Blvd Dalton GA 30720 8/20/2014
Lewis, Karen Lynn RN180944 Parviz Brahman, MD 66576 12211 1401 N Tift Ave, Suite B Tifton GA 31794 2/12/2015
Lewis, Robert Michael RN148871 Richard Dukes, MD 51875 8423 235 Peachtree St NE, North Tower, Atlanta GA 30303 8/12/2013 #2100
Lewis, Cynthia Marie RN234557 Sandra Hollander, MD 72000 13690 207 Fairview Park Dr Dublin GA 31021 7/24/2014
Lewis, Karen L. RN180944 Shelly D. Samuel, MD 57248 11617 148 Peacock St. Cochran GA 31014 8/31/2013
Lewis, Donna Rose Laroy RN143524 Theodore Johnson, MD 49656 1751 1831 Clifton Rd, Pod A Atlanta GA 30329 5/18/2012
Lewis, Kimberly Knapp RN149478 Thomas Morrow, MD 39879 1755 5530 Windward Pkwy, Bldg 1, #1210 Alpharetta GA 30004 8/5/2010
Lewis, Colleen Margaret RN177160 John Kauh, MD 52970 9097 1365 Clifton Rd NE, Bldg C Atlanta GA 30322 10/15/2013
Lewis, Robert RN148871 Charles-Pryce, Pamella MD 58155 10550 220 North Cobb Pkwy, Ste 400 Marietta GA 30062 8/11/2014
Lewis, Karen RN180944 Christopher Inhulsen, MD 20743 15257 300 Medical Court Macon 7/16/2015
Ley, Kristin Carter RN201110 Brendan Groakke, DO 50172 13480 1199 Prince Ave Athens GA 30606 5/18/2015
Ley, Kristin Carter RN201110 Tiffanni Forbes, MD 51936 12971 1199 Prince Ave Athens GA 30606 1/3/2014
LeZotte, Ashley Willis RN145239 Lewis Litwack, MD 61981 8660 1131 Chapel Crossing Rd, TRL 759 Glynco GA 31524 9/1/2010
LeZotte, Ashley Willis RN145239 Tom Vann Willis, Jr., MD 10695 1760 1131 Chapel Crossing Rd, Bldg 252 Glynco GA 31524 9/2/2010
Lindsay, Lorie Ann RN178709 Eric Powell, MD 49081 12168 1111 Glynco Pkwy, Bldg 1, Suite 10 Brunswick GA 31525 1/31/2015
Lindsay, Angela Schmidt RN187037 Kenneth W. Healey, MD 24689 5460 12389 Crabapple Road Alpharetta GA 30004 6/16/2008
Lindsey, Melanie E. RN061439 Sandra Brickman, MD 45043 8542 1806 Lee Avenue Tifton GA 31794 6/9/2009
Lindsey, JoAnn D. Flot RN171642 Trishanna Sookdeo, MD 72697 14998 4751 Best Rd. College Park GA 30337 7/30/2015
Wednesday, January 13, 2016 Page 88 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Lingerfelt, Kimbra RN103785 Brant Holt, MD 54393 13821 102 Erlanger South Dr Ringgold GA 30736 3/26/2014
Linville, Melissa Anne RN176752 Jordan Greenbaum, MD 57172 7955 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 30342 4/1/2010
Little, Deborah J. RN138016 Hatem Asad, MD 49978 11183 105 Briarcliff, Ste B Warner Robins GA 31088 12/14/2012
Littrell, Kimberly Harrell RN060422 Craig Johnson, MD 29689 5490 4460 Atlanta Hwy Loganville GA 30052 11/1/2009
Livengood, Lindsay Ann RN180283 James Lamar, MD 32226 9921 9280 Hwy 5, Ste A Douglasville GA 30134 7/28/2012
Livingston, Tracey Quinnell RN130337 Craig Bishop, DO 45725 9835 2412 N. Oak St Valdosta GA 31602 10/30/2014
Lloyd, Kathleen RN056238 Abdulbaaqee, Nailah MD 63829 10144 122 West Athens Street Winder GA 30680 9/23/2015
Lloyd, Kathleen Ann Mary RN056238 William Martin, MD 12937 1772 318 West Pike St. Lawrenceville GA 30045 12/3/2009
Lloyd, Kathleen Ann Mary RN056238 Ifeoma Nnaji, MD 63931 9473 123 Gordon St Washington GA 30673 10/30/2011
Lloyd, Kathleen Ann Mary RN056238 Cathleen Quillian, DO 45924 8874 1351 Stonebridge Pkwy, Bldg 104 Watkinsville GA 30677 1/31/2010
Loeffel, Laura RN149644 Frazier, Cherise MD 61512 10533 2015 Uppergate Drive NE Atlanta GA 30322 9/9/2012
Loftus, Nina Derieta RN157417 Subodh Lal, MD 52771 8440 1700 Hospital South Drive, Suite 502 Austell GA 30106 12/9/2009
Logue, Laura J. RN196130 Anand Jillella, MD 33843 8708 1120 15th St, #BA-5407 Augusta GA 30912 4/12/2010
Logue, Laura J. RN196130 Thomas Samuel, MD 57014 9123 1120 15th St, Suite BA-5407 Augusta GA 30912 5/31/2013
London, Brittney RN210080 James Brown Jr. MD 51025 15173 454 Smith Ave Thomasville GA 31792 8/2/2015
Long, Christine Louise Nugent RN135873 Richard Loyd, DO 37446 1780 1000 Hawthorne Avenue, Suite J Athens GA 30606 3/29/2013
Long, Marsha RN093574 Fernandez, Eusebio MD 12038 10251 772 Maddox Drive, Ste 110 East Elijay GA 30540 2/24/2012
Long, Marsha Nadine RN093574 Thomas Nguyen, DO 62579 9010 772 Maddox Dr, Suite 110 East Ellijay GA 30540 10/11/2011
Long, Marsha Nadine RN093574 George Galloway, MD 13275 9088 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 7/15/2010
Long, Mary Lavonne Stewart RN077139 Louis Cohen, MD 22496 1784 1230 Johnson Ferry Rd, Suite A-10 Marietta GA 30068 5/15/2015
Long-Kimsey, Marsha RN093574 Jack Roof, MD 17278 1786 101 Riverston Vista, Ste 207 Blue Ridge GA 30513 10/19/2007
Wednesday, January 13, 2016 Page 89 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Long-Kimsey, Marsha RN093574 William Raisig, MD 55290 8114 449 Industrial Blvd, Suite 105 Ellijay GA 30540 7/10/2008
Long-Kimsey, Marsha RN093574 Miriam Gentry, MD 10925 8322 190 Hospital Circle Ellijay GA 30540 4/13/2009
Lopez, Melanie B. RN056928 Paul A. Martin, MD 29034 11234 1960 Riverside Pkwy, Ste 101 Lawrenceville GA 30043 5/28/2015
Lord, Resa Anne Wilson RN087816 Paul Steinwachs, MD 42736 11939 1336 Third Ave Columbus GA 31901 5/1/2013
Lott, Patsy L. RN057626 Harrison Clay Carter, MD 50575 9095 1126 West 12th Street Alma GA 31510 1/11/2012
Lott, Patsy RN057626 Griffis, Mark MD 38140 10587 380 East Willow Creek Lane McRae GA 31055 9/12/2012
Lott, Patsy RN057626 Deen, Michael MD 58459 10868 143 Hwy 32 Bypass Alma GA 31510 4/20/2015
Louis, LaTalya RN142821 Vincent Galan, MD 28685 15086 1365 Rock Quarry Rd, Ste 202 Stockbridge GA 30263 7/22/2015
Love, Tamara Rose RN160167 Rao Moravineni, MD 51360 8352 246 O'Dell Road Griffin GA 30224 9/25/2014
Lowman-Kedzierski, Denise RN168434 Brenda Hott, MD 41441 12377 1200 Northside-Forsyth Dr Cumming GA 30041 12/27/2013
Lucas, Amanda Hudson RN140641 Urviben Patel, MD 63937 13919 777 Hemloch St Msc 143 Macon GA 31201 1/1/2015
Lucas, Bobby RN117999 Jeffery Dowis, MD 68199 15633 1205 Russel Parkway Warne Robins GA 31088 6/15/2015
Ludwick, Faith Ann RN067905 Fredric Flax, MD 17452 1801 12385 Crabapple Road, Suite 100 Alpharetta GA 30004 7/3/2015
Lumansoc, Rita RN109444 Dan Ioanitescu, MD 51476 11498 940 Ga Hwy 96 Warner Robins GA 31088 7/20/2013
Lumansoc, Rita Marie Tactay Wi RN109444 Debra Osborne, MD 44297 11726 175 Emery Hwy Macon GA 31217 2/6/2014
Lunsford, Jeanne RN038269 Mian, Haroon MD 66222 10127 970 Joe Frank Harris Pkwy SE Cartersville GA 30120 5/22/2011
Lupa, Julia Suzanne Ball RN072457 Felecia Dawson, MD 30292 12495 One Baltimore Place, NW, Suite 350 Atlanta GA 30308 12/12/2013
Lupa, Julia Suzanne Ball RN072457 Byron Dickerson, MD 36714 1807 500 Medical Center Blvd, #290 Lawrenceville GA 30045 8/1/2013
Lutin, Amanda Melanie RN217917 Paul LoDuca, MD 64595 11926 710 Center St, 5 East Columbus GA 31901 2/14/2014
Lyda, Kenneth E RN124797 Harold D. Carlson, MD 27508 1809 275 Collier Road, NW Ste 300 Atlanta GA 30309 3/29/2013
Lyden, Margaret RN057538 Heller, Louis MD 45238 10588 755 Walther Road Lawrenceville GA 30046 7/25/2012
Wednesday, January 13, 2016 Page 90 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Lyerly, Linda RN116155 Ram, Raja MD 38922 10121 475 Phillip Blvd, Ste 100 Lawrenceville GA 30045 1/7/2013
Lyerly, Carol RN116155 Soyoola, Emmanuel MD 53032 10231 1870 Atlanta Hwy, Ste J-K Gainesville GA 30504 5/2/2012
Lyerly, Linda Carol Phillips RN116155 Ann Drayton, MD 49512 9980 1870 Atlanta Hwy, Ste J Gainesville GA 30504 9/30/2011
Lynch, Gail L. RN097779 Lisa W. Gantner, MD 27690 11299 Acute Care Express, 7901 Veterans Columbus GA 31901 9/12/2013 Pkwy
Lynch-Hayes, Patricia A. RN053247 Richard Schwartz, MD 42935 8936 4471 Washington Road Evans GA 30809 8/1/2011
Lynch-Hayes, Patricia A RN053247 Lisa Wannamaker, DO 55462 1813 1384 Greene Street Augusta GA 30901 9/2/2009
Lynch-Hayes, Patricia RN053247 Wannamaker, Lisa DO 55462 10327 1120 15th St, AF-1040 Augusta GA 30912-7468 5/22/2012
MacDonald, Kelly Lynne RN204149 Todd Cooper, DO 61411 8971 1405 Clifton Road NE Atlanta GA 30322 12/31/2014
Macera, Tana M. RN127219 James Sinnott 35336 1818 3207 Country Club Dr. Valdosta GA 31606 9/13/2012
Mackenzie, Christine Mary Scanlon RN064087 Timothy Helton, MD 29669 1820 1010 Johnson Ferry Rd Marietta GA 30068 4/10/2011
Mackenzie, Christine Mary Scanlon RN064087 Laurae Carpenetti, MD 50606 8879 3921 Shallowford Rd Marietta GA 30062 8/30/2013
Macoy, Lisa RN134284 Roberts, Jerry MD 25657 10670 4000 Shakerag Hill, Ste 201 Peachtree City GA 30269 3/20/2014
Maddox, Jr. RN166580 Odell Paul Still, DO 37085 9106 104 Maple Dr Vidalia GA 30474 6/17/2010
Maddox, Leigh Catherine RN168142 Travis Bowles, MD 68374 11986 3939 Roswell Rd, Suite 200 Marietta GA 30062 4/5/2014
MaGill, Marlis RN121320 Leroy Hubbert, MD 35659 5445 303 Smith Street LaGrange GA 30240 2/3/2012
Magner, Rosemary RN116763 Donald Keith West, MD 32323 1829 823 Campbell Hill Street Marietta GA 30060 11/1/2007
Magner, Rosemary RN116763 Madhu Vishwanath, MD 56499 8395 2779 Cobb Pkwy NW Kennesaw GA 30152 3/30/2009
Maharaj, Rajendra Kuldeep RN118599 David Asrael, MD 51291 1832 235 Peachtree St NE, North Tower, Atlanta GA 30303 9/1/2009 #2100
Mahek, Amber Daley RN133358 William Knapp, MD 17225 7815 95 Collier Rd, Suite 5015 Atlanta GA 30309 2/9/2011
Wednesday, January 13, 2016 Page 91 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Maine, Stacy Bankston RN131694 Hatem Asad, MD 49978 11756 105 Briarcliff Rd Warner Robins GA 31088 7/12/2013
Maine, Stecy Bankston RN131694 Deepti Bhasin, MD 59979 12621 402 Osigian Blvd, Suite 400 Warner Robins GA 31088 1/5/2015
Maine, Stacy Bankston RN131694 Debbie West, MD 41028 8890 116 S. Houston Road Warner Robins GA 31088 8/2/2012
Malave, Mirei RN234796 Stephen F. Finn, MD 46961 13119 1825 Martha Berry Blvd. Rome GA 30165 11/13/2015
Mallett, Nina Diane RN246122 Guilda Saint-Fleur, MD 69627 15289 1227 Rockbridge Rd Stone Mountain GA 30087 11/30/2015
Mallory, Edna Elaine RN185828 Benise Williams, MD 46924 12356 303 Smith St LaGrange GA 30240 2/19/2014
Mallory, Edna Elaine RN185828 Charles Roman, DO 43757 13505 2737 Warm Springs Rd, Ste B Columbus GA 31904 4/4/2015
Malmquist, Lisa RN215209 Hornetty, Paul MD 52951 10620 308 N. Parrish Avenue Adel GA 31620 7/2/2012
Maness, Edina RN184067 Cleveland, William MD 17375 10642 3620 MLK Jr., Drive SW Atlanta GA 30331 4/6/2013
Manga, Mercy Boh RN100057 Audrey Ludwig-Arona, MD 48267 12943 500 Medical Center Blvd, Suite 290 Lawrenceville GA 30046 2/27/2015
Manga, Mercy Boh RN100057 Byron Dickerson, MD 36714 1839 500 Medical Center Blvd, #290 Lawrenceville GA 30045 10/23/2013
Mansfield, Elizabeth Singletary RN183513 Garrett Bennett, MD 51784 13501 11045 Columbia St. Blakely GA 39823 10/31/2014
Maples, Melissa Lynn RN132924 Melissa Davis, MD 59141 9118 330 Turner McCall Blvd, Suite 4000 Rome GA 30165 12/31/2012
Marat, Patti Lorri RN129055 Lewis Litwack, MD 61981 8665 1131 Chapel Crossing Rd, Suite T-759 Glynco GA 31524 9/14/2010
Marat, Patti Lorri RN129055 Heather Svenson, MD 50841 8368 47 Professional Drive Brunswick GA 31520 10/4/2009
Marat, Patti Lorri RN129055 Herman Levy, MD 34010 8771 815 Chapel Crossing Road Brunswick GA 31525 6/8/2010
Marat, Patti Lorri RN129055 Robert Reese, Jr., DO 31312 8992 1111 Glynco Pkwy Brunswick GA 31525 2/8/2011
Marbut, Holly Thornton RN214493 Yvonne Smith, MD 42443 14080 4910 Jonesboro Rd, Ste 701 Union City GA 30291 12/30/2014
Marcel, Solange 155003 William Hudson, MD 30484 15509 2000 16th Avenue Columbus GA 31901 9/1/2015
Marchant, Whitney M. RN204200 Jose H. Acevedo 25499 11208 1299 Interstate Pkwy Augusta GA 30909 11/8/2013
Marcius, Marva Montrose RN186421 Jennifer Dark, MD 66016 7989 1012 Burleyson Rd Dalton GA 30720 9/1/2014
Wednesday, January 13, 2016 Page 92 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Marcum, Christian Leigh RN161635 John Coleman, MD 48498 1845 3193 Howell Mill Rd, Suite 215 Atlanta GA 30327 5/4/2011
Marlow, Louise Ann RN069888 Claire Mazewski, MD 46619 1853 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 2/17/2009
Marlow, Louise RN069888 Messner, Stephen MD 59282 10359 1001 Johnson Ferry Road, Ste 500 Atlanta GA 30342 1/4/2015
Marsh, Helen Marie RN140924 Paul Hawkins, MD 54741 15302 4421 Carnes St Acworth GA 30101 9/15/2015
Marshall, William Robert RN124279 Sidney Smith, MD 38615 1857 900 Mohawk St, Suite E Savannah GA 31419 2/20/2012
Martin, Cynthia Louise Walls RN116159 Kathleen Long, MD 38549 1862 2230 Towne Lake Pkwy, Bldg 1100, Ste Woodstock GA 30189 11/1/2010 140
Martin, Jacquelyn Denise RN052052 Valens Plummer, MD 49496 1867 3800 Princeton Lake Pkwy SW Atlanta GA 30331 7/25/2011
Martin, Ashley Elaine RN147969 Mark Albritton, MD 55912 12088 105 Regency Park Dr McDonough GA 30253 8/23/2013
Martin, Rebecca Jeanne RN141514 Joseph Hormes, MD 29674 1873 780 Canton Road, Suite 400 Marietta GA 30060 4/9/2010
Martinez, Valerie Candice RN211995 Gordana Lovrekovic Zakula, 50404 13629 4750 Waters Ave. Ste 301 Savannah GA 31404 6/24/2015 MD
Martyn, Elizabeth A RN197990 Guy Augustin, MD 70852 13995 1153 North Liberty St. Nicholls GA 31554 12/4/2014
Marucco, Kathryn Mary RN216845 Hamza Gorsi, MD 66495 12041 East GA Healthcare Ctr, 404 Savannah Statesboro GA 30458 6/23/2014 Ave
Massey, Kimberly D RN144412 Dixie Griffin, MD 63661 14091 39 Kent Rd, Ste 5 Tifton GA 31794 10/19/2015
Massey, Kimberly D. RN144412 James Graham, MD 30071 12674 2225 Hwy 41 North Tifton GA 31794 10/19/2015
Massey, Liza Nicole RN133970 George Katsitadze, MD 52456 9937 976 Killian Hill Rd, Bldg A, Ste B Lilburn GA 30047 5/31/2014
Massey, Liza Nicole RN133970 Shannon Cole, MD 51761 14822 106 A Professional Dr, Ste 370 Lawrenceville GA 30303 7/1/2015
Massey, Kimberly RN144412 John DeSimone, MD 19930 14951 611 E Washington Ave Ashburn GA 31714 9/18/2015
Mathews, Cheri RN135902 Ketan Desai, MD 57600 14707 3825 Medical Park Dr, Ste 301 Austell GA 30106 11/16/2014
Mathis, Stephanie RN115936 Nowlin, Phillip MD 36588 10198 491 East Main Street Cartersville GA 30121 10/26/2013
Wednesday, January 13, 2016 Page 93 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Mathis, Stephanie Latrell RN115936 Patrick Voswinkel, MD 42760 7772 10475 Medlock Bridge Rd, Suite 815 Duluth GA 30097 9/30/2011
Mathis, Stephanie Latrell RN115936 Bhumiben Purohit, MD 58812 12736 1890 Manor View Cumming GA 30041 12/31/2014
Mathis, Stephanie Latrell RN115936 Susan Thomas, MD 67173 12913 5985 Peachtree Pkwy Norcross GA 30092 10/20/2014
Matson, Sharon Templeton RN145196 Valens Plummer, MD 49496 12537 5320 Memorial Dr Stone Mountain GA 30083 8/22/2014
Matthews, Mitzi Little RN118570 Mohammad Sl-Shroof, MD 45158 1894 2054 Watson Blvd Warner Robins GA 31093 5/31/2011
Mattox, Julie Griner RN211306 Ahmad Irfan, MD 41584 9449 2003 Pioneer St, Suite A Waycross GA 31501 9/21/2011
Mattox, Julie RN211306 Deen, Michael MD 58459 10495 204 E. 15th Street Alma GA 31510 5/9/2012
Mattox, Julie RN211306 Hamm, Michael DO 49021 10181 410 Darling Avenue - Emer Dept Waycross GA 31501 3/15/2012
Mattox, Stephanie RN19547 Faith Andrews, MD 44158 14075 525 Forest Pkwy, Suite 100 Forest Park GA 30297 10/10/2014
Mayaki, Oluwatoke Abidemi RN175909 Nimisha Trivedi, MD 53715 8350 3778 Hwy 42 Locust Grove GA 30248 11/16/2009
Mayberry, Shara Denise RN238350 Richard Gitomer, MD 25754 14170 550 Peachtree St N E Atlanta GA 30308 8/6/2015
Mayberry, Shara Denise RN238350 Janet Memark, MD 64415 13694 1790 Mulkey Rd, Ste 10 Austell GA 30106 9/2/2014
Mayo, Jesse R. RN169618 Dillon D. Miller, MD 67508 11453 101 Riverstone Vista Blue Ridge GA 30513 9/15/2013
Mbah, Linda Angela RN155427 Michelle Evans, MD 52171 8768 105 Collier Rd NW, Suite 4050 Atlanta GA 30309 9/1/2012
Mbah, Linda Angela RN155427 David Blake, MD 40613 1903 54 Peachtree Park Drive Atlanta GA 30309 8/1/2009
Mbah, Linda RN155427 Frederick Burton, MD 38434 15453 1735 S Hwy 27 Carrollton GA 30117 5/30/2015
McBrayer, Melanie Higgins RN160103 Paul Kirshbom, MD 51593 1908 1405 Clifton Rd Atlanta GA 30322 7/12/2012
McBryar, Lisa Paige RN112936 Ramie Tritt, MD 20005 8567 5555 P'tree Dunewoody Rd, #125 Atlanta GA 30342 10/2/2009
McBryar, Lisa Paige RN112936 Pablo Balboa-Marciack, MD 55409 1911 100 Hospital Court Calhoun GA 30701 6/1/2012
McCall, Nancy Fletcher RN050734 Ganiat Ajayi, MD 47776 1912 4330 South Lee St, Bldg 600 Buford GA 30518 8/25/2011
McCall, Laurie A. McLeod RN093653 Catherine James-Peters, MD 63671 9077 454 Smith Ave Thomasville GA 31792 1/3/2011
Wednesday, January 13, 2016 Page 94 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated McCall, Laurie A. McLeod RN093653 Calvin Reams, MD 19585 8276 951 South Broad Street Thomasville GA 31792 10/22/2009
McCall, Nancy F. RN050734 Abiola Babalakin, MD 62467 11388 2089 Teron Trace, Ste 225 Dacula GA 30019 11/1/2014
McCall-Gaston, Natalie Yvonne RN139162 Maria Walker, MD 25306 11934 5040 Snapfinger Woods Dr, Suite 108 Decatur GA 30035 6/26/2013
McCollum, Joyce Ann Wilkinson RN054949 Lionel Meadows, MD 45550 1920 121 North Big A Road Toccoa GA 30577 5/7/2013
McCollum, Kennon Howard RN102128 Laura Weakland, MD 39505 1921 550 Peachtree St, Suite 1185 Atlanta GA 30308 8/1/2008
McCollum, Kennon Howard RN102128 Shyam Khanwani, MD 51672 8269 1250 Hwy 54 West, Suite 102 Fayetteville GA 30214 11/30/2010
McCoy, Sherry Marie Hay RN096899 Wanda Gobin, DO 53912 11668 3015 Veterans Pkwy Moultrie GA 31788 7/1/2014
McCoy, Tami Star Trinkle RN181259 Jason Berner, MD 48322 13676 120 Oakside Crt, Ste H Canton GA 30114 9/3/2015
McCoy, Nancy Sue RN179017 Melissa Sanchez Quiros, MD 64056 1932 1244 Historic Homer Hwy Homer GA 30547 7/31/2014
McCrary, Linda RN054448 Fisher, Neil MD 61733 10331 3262 Highway 252 Folkston GA 31537 2/25/2012
McCullough, Michael A. RN057553 Joseph D. DeVeau, MD 52706 11176 101 Yorktown Dr., Ste 110 Atlanta GA 30309 2/18/2015
McDade, Sharon Renee RN127394 Guillermo Saurina, MD 48570 9685 2301 N. Ashley St Valdosta GA 31602 1/1/2014
McDaniels, Deborah Tracy RN171593 Madhavi Rayapudi, MD 50861 8106 1400 Northside Forsyth Drive, Suite Cumming GA 30041 7/1/2012 340
McDonald, Jenna N. RN226556 Richard L. Baldwin, MD 23894 11436 9280 Hwy 5, Suite A Douglasville GA 30134 9/11/2015
McDonald, Jennifer RN120924 Karuna Shah, DO 43773 5452 5211 Highway 278 Covington GA 30014 8/22/2014
McElfresh, Patricia Barry RN096562 Anna Janss, MD 52965 1943 1405 Clifton Rd, Tower I, 4th Floor Atlanta GA 30322 11/28/2011
McFarland, Carla RN093196 Jeffrey Esslinger, MD 45455 11075 300 Courtyard Dr., Ste A Cartersville GA 30120 1/14/2013
McFarland, Jade Griffin RN181453 Mukul Khurana, MD 58975 9973 780 26th Ave Moultrie GA 31768 1/18/2013
McGaha, Delaine RN057561 David Roth, MD 54051 12437 300 First Ave South Reidsville GA 30453 11/24/2014
McGaha, Delaine RN057561 Afolarin Banjoko, MD 49267 2408 2/18/2013
Wednesday, January 13, 2016 Page 95 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated McGhin, Janie RN 054469 Dennis Thomas, MD 22898 10931 3374 Greystone Way Valdosta GA 31605 12/30/2013
McGill, Wanda Lee Broome RN066539 Reginald Orr, MD 54091 1950 1514 Vernon Rd LaGrange GA 30240 6/20/2013
McGovern, Maureen Patrice RN139815 Olabisi Pearse, MD 49717 9625 2660 Satellite Blvd Duluth GA 30096 6/1/2012
McGowan, Monica T. RN149268 Kirk-Conrod P. Hewling, MD 57559 11548 4250 Brownsville Rd. Powder Springs GA 30127 10/26/2013
McGowan, Monica Trechele Spann RN149268 Karla Dunbar, MD 47589 1953 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
McHatton, Gina Rabun RN097828 Robert Mullins, MD 49835 9833 3675 J Dewey Gray Cir, Suite 300 Augusta GA 30909 1/20/2012
McHatton, Gina Rabun RN097828 Hemant Yagnick, MD 55321 9381 404 Town Park Blvd, Suite 101 Evans GA 30809 7/14/2011
McIntosh, Brenda L. RN217449 David Asrael, MD 51291 11623 Take Care Clinic, 5230 Dallas Hwy Powder Springs GA 30127-4263 7/7/2013
McIntosh, Brenda L. RN217449 Wallace Duncan, MD 41109 11624 Take Care Clinic, 5230 Dallas Hwy Powder Springs GA 30127 7/7/2013
McIntosh, Brenda RN217449 Babalola, Cecilia MD 58389 10370 1720 Powers Ferry Road, Ste 100 Marietta GA 30067 4/13/2012
McKay, Laura Marie RN093155 Anthony Royek, MD 50914 5357 4750 Waters Ave, Suite 202 Savannah GA 31404 4/26/2014
McKenna, Candace Habian Cole RN113883 Robert A. Mazur, MD 37864 13122 60 Exchange Street, Ste. B-7 Richmond Hill GA 31324 5/20/2014
McKenna, Candace Habian Cole RN113883 Boris Shklyar, DO 65180 12336 10 Whitaker St, Suite A Savannah GA 31401 5/20/2014
McLaughlin, Patricia Carol RN186495 Gena Volas-Redd, MD 45356 5488 340 Kennestone Hospital Blvd, Suite Marietta GA 30060 6/27/2008 100
McLaurin, Nancy RN117468 Johnson, Joseph MD 25621 10180 575 First Streeet Macon GA 31201 7/21/2014
McLees, Lauren Ashley RN192244 Mark Coker, MD 56276 9779 7171 Hwy 19 South Zebulon GA 30295 4/28/2012
McLees, Lauren RN192244 Donohoe, Jeffrey MD 56280 10820 1446 Harper St, Ste BP-3104 Augusta GA 30912 5/16/2014
McLees, Lauren Ashley RN192244 Ronald Lewis, MD 39393 13723 1120 15th St., BA-8412 Augusta GA 30912 7/17/2015
McLendon, Susan RN060662 Thomas Ferrari, MD 34829 10910 110 RT Stanley Senior Place Lyons GA 3-436 9/15/2015
McLeod, Melissa Danielle RN198320 Guy Augustin, MD 70852 14276 1153 North Liberty St Nicholls GA 31554 8/7/2015
Wednesday, January 13, 2016 Page 96 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated McLester, Kendra Linette RN117155 Mohamad El-Attar, MD 41286 5261 1311 Milstead Avenue Conyers GA 30012 2/26/2010
McMillan, Salia LaToria RN176496 Scott Pennington, MD 57555 9713 5505 Peachtree Dunwoody Rd, # 600 Atlanta GA 30342 3/27/2013
McMunn, Michael David RN127929 Rayna Jobe, MD 60386 1979 1425 Market Blvd Roswell GA 30076 2/4/2011
McNeese, Cindy RN112477 James Graham, MD 30071 11639 2225 Hwy 41 North Tifton GA 31793 4/22/2014
McNeil, Francine Jacqueline RN053788 S. M. Abu Zaheed Hassan, 48783 1983 1220 George C. Wilson Drive Augusta GA 30909 12/4/2014 MD
McPhail, Melissa Cummings RN135666 Gaston Moran Celayes, MD 64675 13125 618 East Lamar Street Americus GA 31709 3/2/2014
McPhail, Melissa Cummings RN135666 Anurag Kumbham, MD 58690 9321 215 McNaughton St Cusseta GA 31805 10/8/2012
McPhail, Melissa Cummings RN135666 Juan Ayerdi, MD 57278 13124 575 First Street Macon GA 31201 7/21/2014
McPherson, Fran Annette Hannon RN112980 Eugene Jackson, MD 22793 9084 1111 Glynco Pkwy, Bldg A, #10 Brunswick GA 31525 10/21/2010
McPherson, Christi Ambrose RN131500 Chandresh Viradia, MD 53050 12576 100 Jim Mason Ct, Suite A Warner Robins GA 31088 11/27/2015
McRae-Spencer, Aribell A. RN168031 Charles Burke, MD 58876 8851 1008 North 3rd Avenue Chatsworth GA 30705 7/4/2010
Medlin, Helen Clair RN070135 Michael Katopes, MD 25449 8931 203 Woodpark Place, Bldg C Woodstock GA 30188 12/10/2010
Medlin, Helen Clair RN070135 Melissa Rhodes, MD 47060 9755 100 Market Place Blvd, Suite 301 Cartersville GA 30121 6/12/2011
Medlin, Tammy Lynn Hostetler RN112985 Sharon Kestin, MD 34990 9979 11700 Mercy Blvd, Ste 1B Savannah GA 31419 8/23/2013
Medlin, Helen Clair RN070135 Mitzi Rubin, MD 49592 12094 3939 Roswell Rd, Suite 200 Marietta GA 30062 5/22/2013
Medlin, Helen Clair RN070135 Allen R. Beecham, DO 25102 11444 2000 Village Professional, Suite 200 Canton GA 30114 4/15/2013
Medlin, Helen Clair RN070135 Michael Conlin, MD 36054 8616 2001 Professional Way, Suite 220 Woodstock GA 30188 9/4/2009
Medlin, Helen Clair RN070135 Mark Grimsley, MD 45172 9956 2260 Holly Springs Parkway, Ste 170 Canton GA 30115 8/3/2011
Meister, Lisa RN112988 Jianhua Cheng, MD 46063 14809 1 Freedom Way Augusta GA 30904 8/10/2015
Melde, Karen Joan Dianora RN091317 Julian Gorvy, MD 51806 2007 5185 Peachtree Pkwy, Suite 330 Peachtree GA 30092 4/24/2013 Corners
Wednesday, January 13, 2016 Page 97 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Melnick, Lisa Vivienne Taylor RN067035 Kathleen Gunchick, MD 28760 8981 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 30144 3/16/2010
Melson, Grace RN213069 Singaram, Thenmozhi MD 65060 10504 3850 Windermere Pkwy, Ste 105 Cumming GA 30041 4/2/2012
Meltzer, Liza Blevins RN068992 John Pittman, MD 37045 9104 18 Riverbend Dr, Suite 230 Rome GA 30161 7/31/2011
Meltzer, Liza Blevins RN068992 Joseph Bishop, MD 10372 9115 100 Peters St, Suite 38 Calhoun GA 30701 8/27/2010
Meltzer, Liza Blevins RN068992 Raymond McKoy, DO 44536 9940 18 Riverbend Drive, Ste 230 Rome GA 30161 7/1/2014
Meltzer, Liza Blevins RN068992 Raj Miniyar, MD 51597 8280 330 Turner McCall Blvd, Suite 1050 Rome GA 30165 10/13/2009
Melvin, Tonisha Jeane RN235296 Kashif Naseem, MD 58109 13193 3642 Wheeler Rd Augusta GA 30909 5/8/2015
Melvin, Tonisha Jeane RN235296 Joseph Korwin, MD 34878 14746 1 Freedom Way Augusta GA 30907 12/3/2015
Mercado, Mary Katherine RN133916 Peter Wrobel, MD 40285 9035 1218 Alice Street Waycross GA 31501 6/14/2011
Mercado, Mary Katherine RN133916 Martin, Garland MD 47233 10243 391 S. 1st Street Jesup GA 31545 2/8/2013
Mercer, Gayle Lockridge RN105216 Daniela Rojas Molina, MD 55331 8761 526 Maddox Dr, Suite 101 Ellijay GA 30540 5/29/2012
Mercer, Gayle Lockridge RN105216 Michael Gervasi, DO 44923 2010 75 Bypass Roadm Box 540 Morganton GA 30560 11/4/2007
Mercer, Gayle Lockridge RN105216 Gregg McHan, MD 34654 8131 785 E. Main Street Blue Ridge GA 30513 9/1/2009
Merritt, Shannon Elizabeth RN155336 William Rankine, Jr, DO 55294 8833 116 Tommy Stalnaker Dr, Bldg A Warner Robins GA 31088 6/1/2012
Merritt, Shannon RN155336 Brady, Michael MD 33534 10851 320 Margie Drive Warner Robins GA 31088 1/19/2014
Merriweather, Kenyatta Chevelle RN224477 Russell Brown, MD 39743 11973 2001 Martin Luther King Jr Dr, # 418- Atlanta GA 30310 9/1/2015 430
Messer, Tara Megan RN237132 Collyn Steele, MD 66424 13531 50 Kelly Rd McDonough GA 30253 5/1/2014
Metheny, David R. RN112998 Jaymal R. Patel, MD 50984 11479 601 West 11th Ave., PO Box 1988 Albany GA 31702 9/15/2014
Metheny, David Roy RN112998 Wanda Gobin, DO 53912 14354 601 W 11th Ave Albany GA 31701 11/30/2014
Metz, Linda RN045066 William Kittle, MD 25197 5437 820 St. Sebastian Way, Ste 4-C Augusta GA 30901 9/28/2008
Wednesday, January 13, 2016 Page 98 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Metz, Linda RN045066 Joseph Korwin, MD 34878 14748 One Freedom Way Augusta GA 30904 12/10/2015
Meyer, Rebecca E. RN176382 Daniel Cobb, MD 60163 13609 1240 Jesse Jewell Pkwy, Ste 400 Gainesville GA 30501 5/14/2015
Meyers, Michelle RN218891 Anuj Chandra, MD 41753 10959 111 North Pine Street Trenton GA 30752 1/16/2013
Miclat, Cristine Palacios RN135637 Susan Nowak, MD 58713 8222 1050 Carl Griffin Drive Savannah GA 31405 7/15/2009
Middlebrooks, Brenda Denese RN097848 Naghma Khan, MD 37252 2026 1645 Tullie Cir Atlanta GA 30329 9/29/2014
Milam, Lindsay S. RN162466 Musaddiz Waheed, MD 61368 11546 915 Gordon Ave. Thomasville GA 31792 2/21/2014
Miles, Karen L. RN135390 Andrew Cichelli, MD 44433 2029 1601 Fair Rd, Suite 600 Statesboro GA 30458 9/30/2014
Miller, Vashti Gift RN212631 William Harper, IV, MD 20726 9642 1021 Talbotton Rd Columbus GA 31904 3/15/2011
Miller, Jenifer Susan Van Brackel RN111545 Stephen Szabo, MD 44850 13769 6300 Hospital Pkwy, Suite 300 Johns Creek GA 30097 4/30/2015
Miller, Jenifer S. RN111545 Masih Uddin, MD 42751 9891 385 Hawthorne Lane, #300 Athens GA 30606 8/17/2012
Miller, Gwendolyn G. RN183390 Andrew A. Waldman, MD 48001 11411 710 Center St, Emer Dept Columbus GA 31901 5/20/2014
Miller, Jenifer Susan Van Brackel RN111545 A. Patrick Brooks, MD 22724 2040 1500 Oglethorpe Ave, Suite 400-A Athens GA 30606 5/13/2011
Miller, Jenifer S. RN111545 H. Philip Morris, Jr., MD 30353 9545 1010 Prince Ave, Suite 117 Athens GA 30606 12/17/2012
Miller, Sheila Ann RN146822 M. Rabiul Alam, MD 61549 14818 11660 Alpharetta Hwy Roswell GA 30076 6/5/2015 RN171315
Miller, Leslie RN176756 Samuel Williams III, MD 72749 16154 4421 Carnes St. Acworth GA 30101 9/15/2015
Millier, Jenifer S. RN111545 Narasimhulu Neelagaru, MD 31081 11265 170 Cardiology Place Commerce GA 30529 12/31/2013
Millington-Upshaw, Venus D RN081528 Randy Warner, MD 53905 8902 690 Dallas Hwy, Suite 201 Villa Rica GA 30180 8/19/2010
Millington-Upshaw, Venus D. RN081528 Candice Tate, MD 59967 9407 400 Galleria Pkwy, Suite 1500 Atlanta GA 30339 8/30/2012
Mills, Leslie Carol Medford RN077228 Jose Acevedo, MD 25499 2052 1299 Interstate Pkwy Augusta GA 30909 7/22/2011
Mills, Valerie Anne RN145096 Wesley Smith, MD 45971 2049 11973 Augusta Road Lavonia GA 30553 1/1/2010
Wednesday, January 13, 2016 Page 99 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Millsap, Lori Ann Waters RN102683 Brent Beaird, MD 45720 2053 775 West Avenue, Suite A Cartersville GA 30120 10/19/2009
Millsap, Lori Ann Waters RN102683 Albert Lintel, MD 28595 8845 775 west Ave, Suite A Cartersville GA 30120 1/31/2013
Milner, Joni Reba Dixon RN134487 Helen-Louise Moore, MD 45098 804 116 South Houston Rd Warner Robins GA 31088 9/23/2010
Minter, Bonnie RN081530 Talboy, Amy MD 37317 10481 1920 Briarcliff Rd NE Atlanta GA 30329 8/1/2015
Minter, Bonnie Leigh RN081530 Sheryl Henderson, MD 39818 8119 341 Ponce de Leon Avenue NE Atlanta GA 30308 12/24/2009
Mishra, Margaret Martini RN052474 Sushila Mathew, MD 22250 2058 193 North Park Trail, Suite 100 Stockbridge GA 30281 1/7/2011
Mitcham, Betsy Sue Kirkpatrick RN104197 Ronnie Hendrix, MD 24690 12842 4835 Sugarloaf Pkwy Suite 200-300 Lawrenceville GA 30044 10/7/2014
Mitcham, Betsy Sue RN104197 Mai Ho, MD 61255 14516 4835 Sugarloaf Parkway # 200-300 Lawrenceville GA 30044 10/4/2014
Mitchell, Joan Sapp RN063812 Gloria Castillo, MD 24912 9363 Blandy Way Office Pk 60, Hwy 22 W Milledgeville GA 31061 7/3/2012
Mitchell, Bridgette Anne RN151092 Madhu Vishwanath, MD 56499 8444 2779 Cobb Pkwy NW Kennesaw GA 30152 5/1/2009
Mitchell, Bridgette Anne RN151092 Kathleen Gunchick, MD 28760 8944 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 7/7/2012
Mitchell, Patricia Gayle RN208361 Gayoung Hong, MD 67467 12050 13570 N Main St Trenton GA 30752 7/25/2015
Mitchell, Cynthia Lorraine RN143794 Ricardo Raul Riesco, MD 44069 2059 711 Shields Road Dalton GA 30720 11/6/2008
Mitchell, Joan Sapp RN063812 Debra Osborne, MD 44297 9112 175 Emery Hwy Macon GA 31217 2/6/2014
Mitchell, Bridgette Anne RN151092 Kevin Smith, MD 41961 5527 1000 Chastain Rd., Hse 52 #5200 Kennesaw GA 30144 9/30/2009
Mitchell, Aundre R. RN206296 Yvonne L. Smith, MD 42443 11552 1685 Old Pendergrass Rd. Jefferson GA 30549 6/2/2014
Mitchell, Patricia Gayle RN208361 Wiley Smith, MD 63133 11804 218 North Fredrick St Dalton GA 30721 5/17/2013
Mitchell, Joan Sapp RN063812 Gwendolyn V. Morgan, MD 24040 11422 509 Sumter St, Suite C Montezuma GA 31063 7/25/2013
Mixon, Carol Renee Hagins RN077261 John Quigley, MD 34925 2065 2257 GA Hwy 515 Blairsville GA 30512 2/28/2012
Mobbs, Mary C. RN170835 Yejin Kim, MD 57711 11473 2600 Satelite Blvd. Duluth GA 30096 3/8/2014
Mobley, Kathleen Johanna RN185316 Narasimhulu Neelagaru, MD 31081 11752 170 Cardiology Place Commerce GA 30529 9/8/2013
Wednesday, January 13, 2016 Page 100 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Mobley, Kathleen RN185316 Cathy Lipton, MD 29028 13932 3720 DaVinci Ct. Ste 400 Norcross Ga 30092 6/11/2015
Mobley, Rebecca RN192380 Huffman III, William MD 65007 10084 9 Hospital Park Moultrie GA 31768 2/3/2014
Mobley, Jennifer Bailie RN154040 James Sheppard, MD 47993 2066 400 Canterbury Dr. Wrens GA 30833 1/1/2010
Mobley, Kathleen RN185316 Cameron, Nadia MD 53982 10804 961 Green Street NE Gainesville GA 30501 3/8/2012
Mobley, Letetia Sue Howard RN051796 David Arkin, MD 28136 2067 758 Old Norcross Road, Suite 175 Lawrenceville GA 30045 12/31/2010
Mobley, Jennifer Bailie RN154040 James Pilcher, MD 14541 9135 1067 Peachtree Street Louisville GA 30431 4/5/2011
Mock, Kayla RN204201 Carl Faulks, MD 73121 14262 1050 Carl Griffin Dr Savannah GA 31405 6/16/2015
Molet, Tamiko RN200088 Charles Roman, DO 43757 14270 2737 Warm Springs Rd Columbus GA 31904 12/23/2014
Molet, Tamiko RN200088 Ahmad Jingo, MD 45842 8383 3424 Flat Shoals Road Decatur GA 30034-6536 2/18/2014
Momoh, Isata Celia RN136010 Shameka McElhaney, MD 54854 7824 5230 Dallas Hwy SW Powder Springs GA 30127 3/15/2013
Monteilh, Caridad Mercedes RN154006 Timothy Brown, MD 32100 8730 83 Upper Riverdale Rd, Bldg 2, #135 Riverdale GA 30274 11/2/2009
Monteilh, Caridad Mercedes RN154006 Charles Sow, MD 55343 2072 1855 Hudson Bridge Road Stockbridge GA 30281 6/20/2013
Mood, Rochella Rabon RN082786 John Kludt, MD 34876 13494 3700 Club Drive Lawrenceville GA 30044 8/5/2014
Moon, Charlene H RN046402 Mohammad Masroor, MD 17705 2077 6602 Waters Avenue, Bldg A Savannah GA 31406 2/16/2010
Moore, Dana Lewis RN123301 Lee Collier, MD 48033 14144 104 Fairview Park Dr Dublin GA 31021 4/10/2015
Moore, Megan Elizabeth RN189608 Caroline Yaphockun, MD 53213 9977 330 Turner McCall Blvd, Ste 400 Rome GA 30165 6/11/2013
Moore, Kathryn Marie RN171792 James Richardson, MD 53601 14053 743 Spring St. NE Gainesville GA 30501 5/20/2015
Moore, Carolyn Meredith Campbel RN170740 John O'Connell, MD 62266 9377 5671 P'tree Dunwoody Rd NE, Suite Atlanta GA 30342 12/20/2011 110
Moore, Amanda Sue RN165228 Michelle Evans, MD 52171 12429 35 Collier Rd NW, Suite 150 Atlanta GA 30309 7/1/2013
Moore, Kathryn M. RN171792 Oladayo Osinuga, MD 51703 11547 1000 Briarcliff Rd. Atlanta GA 30306 4/18/2013
Wednesday, January 13, 2016 Page 101 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Moore, Megan RN189608 Thompson, Theron MD 51772 10248 1825 Martha Berry Blvd Rome GA 30165 6/19/2012
Moore, Chaquita Martin RN138492 Derralyn Harris, MD 52739 2081 1440 Benning Drive Columbus GA 31903 7/20/2007
Moore, Carolyn RN170740 Hott, Brenda MD 41441 10505 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 30342 2/1/2013
Moore, Bonnie Jo RN206234 Julian Hutchins, MD 18677 9271 4150 Washington Rd, Suite 11 Evans GA 30809 2/21/2013
Moore, Megan Elizabeth RN189608 Kenneth Howard, MD 40412 10988 1825 Martha Berry Blvd Rome GA 30165 12/6/2012
Moore, Heather RN169917 Harbin, Anthony MD 29665 10410 1525 Chattanooga Road Dalton GA 30720 1/14/2014 RN1699417
Moore, Kristy RN167524 Michael Miles, MD 52082 14515 7869 Villa Rica Hwy Dallas GA 30157 6/1/2015
Moree, June Powell RN030220 Derick Vergne, MD 57263 8265 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 30341 9/30/2008
Moree, June Powell RN030220 Manjula Kallur, MD 57126 8370 3807 Clairmont Road NE, 2nd Floor Chamblee Ga 30341 10/6/2010
Moree, June Powell RN030220 Shyam Kelly Gupta, MD 63784 9427 3807 Clairmont Rd NE, 2nd Floor Chamblee GA 30341 1/17/2014
Morgan, Sarah Abigail RN178238 Jennifer Lyman, MD 50039 8061 315 Winn Way Decatur GA 30030 12/28/2010
Morgan, Sarah Abigail RN178238 Lisa Mandeville-Brown, MD 46987 8062 315 Winn Way Decatur GA 30030 11/16/2010
Morgan, Sarah Abigail RN178238 Kay Entrekin, MD 42817 8059 315 Winn Way Decatur GA 30030 11/16/2010
Morgan, Sarah Abigail RN178238 Catherine Bonk, MD 30435 8063 315 Winn Way Decatur GA 30030 6/25/2010
Morgan, Sarah Abigail RN178238 Gary Glasser, MD 33583 2099 315 Winn Way Decatur GA 30030 11/14/2010
Morgan, Sarah Abigail RN178238 Jennifer Aqua, MD 44882 8060 315 Winn Way Decatur GA 30030 6/25/2010
Morgan, Jr., James Horace RN093714 Christina Nguyen, MD 59083 8293 1331 Helen Hwy Cleveland GA 30528 2/27/2009
Morison, Laura Martino RN209720 William Parrish, MD 9905 12993 3001 Mercer Univ Dr, Suite Atlanta GA 30341 5/11/2015 206/Sheffield
Morison, Laura Martino RN209720 Nicole Ash-Mapp, MD 42993 13552 2154 Johnson Ferry Rd NE Atlanta GA 30319-2558 7/3/2014
Wednesday, January 13, 2016 Page 102 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Morris, Octavia RN165649 Dougherty, Anthony MD 30452 10330 3000 Schatulga Road Columbus GA 31917-2435 2/23/2012
Morris, Laura RN153095 Richard R. Whitlock, Jr., MD 20623 5438 1348 Walton Way, Ste 5100 Augusta GA 30901 10/24/2014
Morris, Lorie Ann RN178709 Sohail Choudhri, MD 36514 9589 1501 Alice St Waycross GA 31501 3/25/2011
Morris, Lorie Ann RN178709 Craig Kubik, DO 47914 9588 1501 Alice St Waycross GA 31501 3/25/2011
Morrison, Karen L RN187113 Heide Moeling, MD 48918 8071 59 Hospital Road Newnan GA 30263 6/1/2008
Morrison, Melissa RN178192 Ellison, Margarett MD 62837 10506 960 Johnson Ferry Rd, Ste 130 Atlanta GA 30342 9/1/2013
Morrow, Maria Michelle RN143857 Nitasha Burney, MD 55931 2110 9465 Hwy 5 Douglasville GA 30135 9/29/2014
Moseley, Vanessa Vershel Crews RN113050 Ricardo Zarzuela, MD 22292 12567 2015 Alice St Waycross GA 31501 8/14/2014
Moser, Carissa RN192019 Ghamande, Sharad MD 49173 10099 1120 15th Street, BA7411 Augusta GA 30912 8/16/2014
Moser, Carissa Anne RN192019 Daniel Lopez, MD 64597 9312 507 Park Street Palmetto GA 30268 8/19/2011
Moses, Charity Ann RN190965 Robert Burkich, MD 46372 9083 148 Scruggs Rd Ringgold GA 30736 12/11/2014
Moshksaran, Mitra RN124145 Battey, Louis MD 21141 10578 275 Collier Road, Ste 500 Atlanta GA 30309 7/25/2012
Moss, Debra Carol Taylor RN138834 Darryl Harris, MD 32920 2113 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 30046 8/3/2015
Moughrabi, Nancy Lynn RN205058 Rami Azzouz, MD 50126 8788 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 7/31/2010
Moughrabi, Nancy Lynn RN205058 Tavares Williams, MD 64990 9361 2366 Battlefield Pkwy Ft Oglethorpe GA 30742 1/1/2011
Moulder, Nicole Taylor RN203629 Joe Clements, MD 43580 12334 743 Spring St Gainesville GA 30501 1/13/2015
Moyer, Rachel RN190663 Riesco, Ricaardo MD 44069 10435 1933 Shields Road Dalton GA 30720 2/13/2012
Moyer, Rachel Lauren RN190663 Rayna Jobe, MD 60386 11069 172 Carriage Trace Marietta GA 30068 10/26/2013
Mueller, Katherine Michelle RN136093 Carl Herring, MD 31941 1327 550 Redmond Road Rome GA 30165 1/9/2015
Muhia, Naomi Wairimu RN160397 Harry D Watkins, MD 25308 8840 924 Old Philadelphia Rd, Suite 102 Jasper GA 30143 7/10/2011
Wednesday, January 13, 2016 Page 103 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Mulkey, Emily Beteag RN199201 Yolanda Hacker, MD 45811 12410 2990 Five Forks Trickum Rd Lawrenceville GA 30044-5872 5/16/2014
Mulkey, Marie Hagood RN042463 Benjamin Roy Smith, MD 44338 9867 17 Collins Drive Cartersville GA 30120 6/30/2012
Mulkey, Emily RN199201 Osowa, Alexander MD 57551 10836 3331 Hamilton Mill Rd, Ste 1102 Buford GA 30519 8/31/2013
Mullen, Bridget Yvette Stevens RN146011 William Lynds, MD 33140 2118 780 North Glynn Fayetteville GA 30214 10/13/2009
Mullis, Laura Denise Dubois RN123086 Richard Ackerman, MD 34759 9151 3780 Eisenhower Pkwy Macon GA 31206 11/1/2013
Mullis, Laura Dubois RN123086 Steven House, MD 43066 2120 3780 Eisenhower Pkwy Macon GA 31206 1/31/2010
Mullis, Lisa Renee RN155767 Gerald Bohn, MD 30957 8948 231 Graeffe Street Griffin GA 30224 2/7/2015
Mullis, Lisa Renee RN155767 Martha Schuh, MD 37488 8451 1275 Hwy 54 West, Suite 200 Fayetteville GA 30214 9/1/2009
Mullis, Lisa Renee RN155767 Kevin Napier, MD 40749 7901 231 Graefe Street Griffin GA 30224 11/9/2009
Mullis, Lisa Renee RN155767 Billy Greening, MD 42585 8701 7285 Hwy 16, Suite B & C Senoia GA 30276 8/11/2011
Munoz, Recia RN182123 Linda Sacks, MD 24724 8447 4750 Waters Avenue, Suite 206 Savannah GA 31404 12/12/2014
Murff, Char RN183145 Charles Myers, MD 69314 15504 1735 S Highway 27 Carrollton GA 30117 7/4/2015
Murphy, Evelyn RN191449 Schrum, Forest MD 41946 10161 1825 Martha Berry Blvd Rome GA 30165 4/26/2013
Murphy, Jason RN244491 Trishanna Sookdeo, MD 72697 14969 4751 Best Rd College Park GA 30337 7/30/2015
Murray, Tina Marie RN160381 David Atefi, MD 19029 8369 1100 Northside Forsyth Dr, #200 Cumming GA 30041 9/30/2009
Murray, Jane W RN102687 Dennis Thomas, MD 22898 12520 3374 Greystone Way Valdosta GA 31605 7/1/2014
Musselman, Margaret E RN097900 Lourdes DeArmas-Benitez, 43917 2129 1606 Norwich Street Brunswick GA 31520 8/21/2009 MD
Musselman, Margaret E. RN097900 David Faulk, MD 39787 9013 600 Coastal Village Brunswick GA 31520 1/25/2012
Muther, Kristina Doris RN153996 Ighovwerha Ofotokun, MD 53346 2130 341 Ponce de Leon Avenue NE Atlanta GA 30308 12/22/2008
Mwangi, Dorcas Wangari RN162748 Oladayo Osinuga, MD 51703 8651 1203 Cleveland Ave, Suite 2-D East Point GA 30344 1/22/2015
Wednesday, January 13, 2016 Page 104 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Mwansa, Kym L RN135298 George Waldon Garriss, III, 51134 12554 3939 Roswell Rd, Suite 200 Marietta GA 30062 9/30/2014 MD
Myers, Debra Ann RN086957 Patrick Voswinkel, MD 42760 8273 10475 Medlock Bridge Road Duluth GA 30097 9/30/2011
Myers, Debra RN086957 Nowlin, Phillip MD 36588 10199 491 East Main Street Cartersville GA 30121 2/5/2012
Myers, Debra Ann RN086957 Richard Wherry, MD 17341 7733 59 Tipton Drive Dahlonega GA 30533 10/11/2010
Mynatt, Candace Leigh RN127464 David Weinkle, MD 38645 8186 PO Box 422002 Atlanta GA 30342 11/1/2009
Naab, Kimberly RN143014 Aneesh Gupta, MD 53231 11150 455 Nathan Deal Blvd Dallas GA 30132 1/30/2013
Naab, Kimberly Michelle Williams RN143014 George Waldon Garriss, III, 51134 11928 3939 Roswell Rd, Suite 200 Marietta GA 30062 6/11/2013 MD
Nagaddya, Lillian M RN143664 Henry Watson, MD 25399 2138 3146 Chamblee-Dunwoody Rd, Suite Chamblee GA 30341 2/28/2010 103
Nagaddya, Lillian M RN143664 Okiki Louis, MD 47479 12096 Take Care Clinic, 9465 Hwy 5 Douglasville GA 30135 11/8/2014
Nagaddya, Lillian M. RN143664 Ahmad Jingo, MD 45842 9791 3424 Flat Shoal Rd, Suite A Decatur GA 30034 2/18/2014
Nagaddya, Lillian M RN143664 Kirpich Joseph, MD 54904 9964 969 Windy Hill Rd, Ste E Smyrna GA 30008 3/1/2012
Nagaddya, Lillian M. RN143664 Julia Wilson, MD 56787 9110 9465 Hwy 5 Douglasville GA 30135 6/19/2013
Nation, Dawnmarie E. Pearson RN102308 Fred Tega, MD 56493 9789 15-A Baynard Park Newnan GA 30265 8/13/2011
Nation, Dawnmarie E. Pearson RN102308 Valarie Manley, MD 32783 2144 101 Beckett Lane, Suite 502 Fayetteville GA 30214 2/1/2011
Nattier, Natasha L. RN182324 Eman Kaldas, MD 49579 9128 3121 Peach Orchard Rd, Suite 103 Augusta GA 30906 6/27/2011
Neal, Olivia Rambo RN202198 Erskine James, MD 47980 12120 777 Hemlock St Macon GA 31201 11/11/2013
Nejedly, Maureen D RN057680 Meenakshi Hari, MD 49026 13836 2520 Windy Hill Rd. Ste 104 Marietta Ga 30067 8/1/2014
Nejem, Rachel Elizabeth RN207580 Imran Syed, MD 44117 11659 11820 Northfall Lane, Suite 1101 Alpharetta GA 30009 12/2/2014
Nell-Dybdahl, Christine L. RN127904 Laurence Sperling, MD 34250 13129 1365 Clifton Rd., Ste. 2240 Atlanta GA 30322 2/1/2015
Wednesday, January 13, 2016 Page 105 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Nelson, Kristina Lynn RN187338 Bryan Cheever, MD 34120 8000 1107 Memorial Drive, Suite 200 Dalton GA 30720 7/20/2010
Nelson, Stephanie RN190528 Garcia, Alberto MD 54374 10474 4370 Kingsway, Ste E Valdosta GA 31602 8/17/2012
Nelson, Melissa Marie RN212157 Stephen Pastan MD 39196 9985 Emory Transplant Center, 1365 Clifton Atlanta GA 30322 8/6/2012 Rd #B
Nelson, Brandon Scott RN206663 Andrew Mecca, MD 36574 13215 5612 Whitesville Rd Columbus GA 31904 4/1/2015
Nelson, Stephanie RN190528 Richard Ambrozic, MD 43851 11126 3321 B N. Valdosta Rd. Valdosta GA 31602 2/1/2013
Nerestil, Sandra RN157237 Jobe, Rayna MD 60386 10507 1615 Ridenour Blvd, Ste 202 Kennesaw GA 30152 10/30/2012
Nerestil, Sandra RN157237 Timothy Ryan, MD 40220 8917 84 Pine Grove Road Cartersville GA 30120 2/4/2010
Nesbitt, Charkes Chaketha RN189528 William Michael Brown, MD 21653 5537 355 Tower Road, Suite 300 Marietta GA 30060 12/22/2010
Nesbitt, Charkes C. RN189528 Robert A. Miller, MD 38295 11348 35 Collier Rd, Wound/Hyperbaric Ctr Atlanta GA 30309 5/20/2013
Nesbitt, Charkes Chaketha RN189528 Eyal Ben-Aire, MD 56520 9604 95 Collier Rd, Suite 5015 Atlanta GA 30309 6/21/2012
NeSmith, Kacy Lee Hickman RN173353 Daryl McCartney, MD 68067 15027 215 North Coleman St. Swainsboro GA 30401 5/22/2015
Neu, Lovie Doucette RN215180 James Chappuis, MD 29604 12178 3161 Howell Mill Rd, Suite 400 Atlanta GA 30327 8/1/2013
Neu, Lovie RN215180 Raymond Easley, DO 20987 15635 260 Elm St Cumming GA 30040 5/22/2015
Neville, Anita Marlene RN117902 Dunagan, Josephine MD 15553 294 1700 Tree Lane, Ste 110A/B and 360 Snellville GA 30078 3/1/2015
New, Katina RN132208 Taylor, Michelle MD 60104 10677 3073 Panthersville Road Decatur GA 30034 7/25/2012
Newsome, Brittiany Michelle RN190752 Nelson Madrazo, MD 49862 11740 103 GA Hwy 27 East Americus GA 31709 5/30/2015
Newton, Maureen Edythe RN146013 Terry Golden, MD 14050 13294 1961 N Druid Hills Rd Atlanta GA 30329 12/19/2014
Newton, Maureen Edythe RN146013 Adrienne Mims, MD 33152 9707 477 Windsor St, Suite 309 Atlanta GA 30312 12/31/2013
Newton, Maureen Edythe RN146013 Charles Hitson, MD 26554 7849 125 North Tenth Street Griffin GA 30223 4/22/2010
Niazi, Abdul Hai RN216874 Guido H. Ring, MD 45325 11235 1431 Riverside Pkwy Lawrenceville GA 30043 3/15/2014
Wednesday, January 13, 2016 Page 106 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Niazi, Abdul Hai RN216874 Stephen Brogdon, MD 68377 13835 250 North Ave Athens GA 30601 1/26/2015
Niazi, Abdul H. RN216874 Guido H. Ring, MD 45325 11636 3955 Harrison Rd Loganville GA 30052 3/15/2014
Nichols, Sandra Walker RN184239 Williams, Jonathan DO 59237 10407 1221 E McPherson St Nashville GA 31639 10/24/2013
Nichols, Sandra Walker RN184239 Quinton Weldon, MD 56786 9694 116 W. Thigpen Ave Lakeland GA 31635 6/23/2014
Nichols, Amy RN198801 Stetler, Harrison MD 41681 10789 3957 Holcomb Bridge Rd, Ste 100 Norcross GA 30092 5/1/2013
Nichols, Anne Yost RN162196 Kevin Smith, MD 41961 2164 KSU Hlth Clinic, 1000 Chastain Rd, Hse Kennesaw GA 30144 9/30/2009 52, #5200
Nichols, Anne Yost RN162196 Kathleen Gunchick, MD 28760 8942 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 6/29/2012
Nichols, Lindsey Ann RN168367 James Capo, MD 22363 8290 1100 Johnson Ferry Rd, #460, Bldg II Atlanta GA 30342 12/15/2009
Nicholson, Teresa Lynn Gifford RN103935 Garry Siegel, MD 29784 11702 2500 Hospital Blvd, Suite 290 Roswell GA 30076 5/15/2013
Nijem, Summer Starr RN175052 Sheryl Henderson, MD 39818 2168 341 Ponce de Leon Avenue NE Atlatna GA 30308 7/30/2010
Nijem, Summer Starr RN175052 Rana Chakraborty, MD 41752 9366 341 Ponce de Leon Ave NE Atlanta GA 30308 5/14/2013
Nipper, Wanda Vining RN103666 Elizabeth Killebrew, MD 29898 2169 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 4/30/2010
Nivens, Alice Anita Stokes RN077978 John Harris, MD 26 2170 1820 Florence Street Savannah GA 31415 12/14/2007
Nix-Beddingfield, Billie RN150406 Cuomo, Michael MD 59397 10134 85 Auburn Park Drive Auburn GA 30011 11/16/2011
Nodine, Jan RN140654 Duffey, Jr., Franklin MD 16856 10221 231 West Hancock Street, Box 061 Milledgeville GA 31061 10/31/2014
Nofziger, Angel RN192187 Parrish, William MD 9905 10610 3001 Mercer University Drive Atlanta GA 30341 9/19/2013
Nofziger, Angel RN192187 Burkich, Robert MD 46372 10609 171 Mt. Paran Rd Atlanta GA 30342 9/10/2014
Nofziger, Angel Elizabeth RN192187 Robert Burkich, MD 46372 12570 11300 Atlantis Place, Suite A Alpharetta GA 30022 5/29/2014
Noland, Sharon Sue Stockard RN154825 Brian DeLoach, MD 51216 2174 PO Box 8043 Statesboro GA 30460-8043 3/14/2011
Northover, Jill Marie Ernst RN107851 Ui Ho Park, MD 18938 12430 3889 Cobb Pkwy NW Acworth GA 30101 11/22/2013
Wednesday, January 13, 2016 Page 107 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Northover, Jill Marie Ernst RN107851 Nadia Cameron, MD 53982 10933 3760 Sixes Rd, Ste 120 Canton GA 30115 8/24/2012
Norton, Carol B. RN098033 Noreen Andrews, MD 46861 2180 2380 Buford Drive Lawrenceville GA 30043 1/31/2010
Norton, Carol RN098033 Julia Wilson, MD 56787 11529 4398 Atlanta Hwy Loganville GA 30052 6/19/2013
Norton, Carol B. RN098033 Meena Shah, MD 21464 9161 475 Philip Blvd, Suite 100 Lawrenceville GA 30045 7/21/2010
Norton, Carol B. RN098033 David Kunz, MD 29703 9390 1655-A Lebanon Rd, Suite A Lawrenceville GA 30043 7/23/2012
Norvell, Barbara Lynn RN057688 Khurram Khan, MD 67490 12753 12/30/2013
Norvell, Barbara RN057688 Edward Espinosa, DO 59636 11023 577 Glenridge Dr. NE, Ste E200 Atlanta GA 30328 7/15/2013
Nowland, Tammy Carol RN147143 James Vick lll, MD 37720 14597 15 Pliverbend Dr S W, Ste 200 Rome GA 30161 4/7/2015
Nowlin, Andrea Nicole RN174175 Tamara New, MD 58712 12288 1405 Clifton Rd NE, AFLAC Cancer Ctr Atlanta GA 30322 7/18/2014
Nowlin, Andrea Nicole RN174175 Ifeyinwa Osunkwo, MD 55681 5496 1405 Clifton Rd, Tower 1, 4th Floor Atlanta GA 30322 8/31/2013
Nussbaum, Elaine F RN222173 Tania Smith, MD 51602 13949 2420 Westgate Dr., Ste 102 Albany GA 31707 8/21/2015
Nussbaum, Elaine RN222173 Kolade K. Obajuluwa, MD 67147 11616 609 E. Lamar St. Americus GA 31709 8/2/2014
Nwogu, Cecilia Adamma RN113098 Chukwudi Amu, MD 26967 8233 5526 Old National Hwy, Bldg J Suite B Atlanta GA 30349 12/1/2009
Obear, Paula Hanshaw RN241445 Donald Mackler, MD 21021 14168 102 Gross Crescent Cir, Ste 300 Fort Oglethorpe GA 30742 1/19/2015
O'Connor, Diane RN188468 Baysden, Teresa DO 57348 10079 243 Huffaker Road Rome GA 30161 10/27/2011
O'Connor, Diane RN188468 Elam, Mark MD 36147 10212 800 Professional Blvd. Dalton GA 30720 1/31/2014
O'Connor, Diane Marie RN188468 Teresa Baysden, DO 57348 8012 2001 Antioch Rd Dalton GA 30721 4/24/2011
O'Connor, Whitney Renee RN182395 Paul Kirschbaum, MD 21728 9576 2665 N. Decatur Rd, Suite 260 Decatur GA 30033 7/18/2013
O'Connor, Diane Marie RN188468 Rajiv Tejura, MD 68804 13011 PO Box 649 Marietta GA 30090 2/2/2015
O'Connor, Diane Marie RN188468 Paul Walker, DO 46272 14837 1150 Powder Springs Rd Marietta GA 30064 2/25/2015
Odom, Jhaelyn RN221177 Gary Stewart, MD 57845 15576 105 Regency Park Dr McDonough GA 30253 5/18/2015
Wednesday, January 13, 2016 Page 108 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Oess, Barbara Ellen Ohlman RN122151 Phillip Bannister, MD 16503 2202 401 West Pike St, Suite A Lawrenceville GA 30127 7/15/2013
Oess, Barbara RN122151 William A. Zorn, MD 27746 11041 2950 Buford Hwy, Ste 140 Cumming GA 30041 7/15/2013
Oess, Barbara Ellen Ohlman RN122151 Michael Litrel, MD 39623 12820 227 Riverstone Dr Canton GA 30114 6/10/2015
Ofodile, Ije E. RN107027 Christopher Stevens, MD 54515 2203 181 South Clayton St SW Lawrenceville GA 30045 5/22/2009
Oglesby, Brenda T. RN173168 Radian Florea, MD 49171 8989 100 Gross Crescent Cir Ft. Oglethorpe GA 30742 3/11/2012
O'Hara-West, Patricia Shannon RN079770 Matthew Goldstein, MD 48115 2206 PO Box 587 Snellville GA 30078 12/31/2010
O'Hara-West, Patricia Shannon RN079770 Darryl Harris, MD 32920 12127 1000 Medical Center Blvd, Emer Dept Lawrenceville GA 30046 8/10/2015
Okoro, Roseline RN144712 Jae Pak, MD 40185 9394 2795 Main St West, Bldg # 27 Snellville GA 30078 1/1/2011
Okoro, Roseline RN144712 Afroz Rahman, MD 17940 8875 5211 Adams Street Covington GA 30014 5/14/2010
Oladokun, Frederica Modupe RN150491 Dolapo Babalola, MD 59119 12157 Take Care Clinic, 181 S Clayton St Lawrenceville GA 30045 5/29/2015
Oladokun, Frederica Modupe RN150491 Melanie Cooper, MD 45753 7870 181 South Clayton St SW Lawrenceville GA 30045 5/20/2013
Olds, Gretchen E. RN122840 Ram K. Reddy, MD 24178 11571 1061 Dowdy Rd., #100 & 101 Athens GA 30606 5/22/2013
Olds, Gretchen Elene RN122840 Divina Dyer, MD 57161 2212 4398 Atlanta Hwy Loganville GA 30052 2/14/2009
Oliver, Kathryn RN073151 Ravikanth, Anupana MD 48297 10321 335 Roselane Street Marietta GA 30060 12/29/2011
Olofintuyi, Sophia Evette Yelder RN117221 Okiki Louis, MD 47479 2214 5985 Peachtree Pkwy Norcross GA 30092 4/2/2011
Olsen, Susan RN063656 Daniel Eller, MD 89563 16482 1700 Hospital South Dr, Ste 504 Austell gA 30106 10/16/2015
Olson, Sheryl A. RN143016 Christopher Doerr, DO 34578 9904 108 Park Ave Athens GA 30601 7/27/2011
Olson, Sheryl A RN143016 Raymond McKoy, DO 44536 9952 18 Riverbend Drive Rome GA 30161 10/31/2011
Olson, Sheryl A. RN143016 Eric A. Deal, DO 24226 11474 2151 W. Spring St. Monroe GA 30655 6/22/2014
Olson, Sheryl A. RN143016 Christopher Stevens, MD 54515 9117 3003 Old Alabama Rd Alpharetta GA 30022 5/26/2011
Olson, Sheryl A. RN143016 Douglas Ash, MD 49138 9665 415-B Pottery Factory Dr Commerce GA 30529 6/15/2012
Wednesday, January 13, 2016 Page 109 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Olson, Sheryl RN143016 Ditaranto, Anthony MD 29865 10462 43 Hilltop Drive Jefferson GA 30549 10/1/2012
Oparah, Theresa RN084496 Valens Plummer, MD 49496 2219 780 North Glynn Fayetteville GA 30214 7/25/2011
Opeka, Julie Ann RN154025 Vicki Morgan, MD 25645 8238 980 Hwy 29 South Lawrenceville GA 30045 3/28/2014
Opeka, Julie RN154025 Johnson, Paul MD 46132 10612 PO Box 422022 Atlanta GA 30542 2/1/2015
Oraka, Chika Cordelia RN129064 Riba Kelsey-Harris, MD 53833 2220 1050 Delta Blvd SW Atlanta GA 30354 11/14/2009
Orfield, Christeen M. RN181678 Andrew Helfgott, MD 55953 2221 1120 15th Street, Suite BA-7410 Augusta GA 30912 5/20/2011
Origer, Andre Jean RN204986 Charles Semones, MD 51737 13687 1050 Valdosta Hwy Homerville GA 31634 4/24/2015
Origer, Andre Jean RN204986 Eric Davis, MD 63648 11689 1221 E McPherson Ave Nashville GA 31639 12/15/2013
Orr, Carol RN060259 Shah, Heerian MD 59016 10153 196 Scoggins Drive Demorest GA 30535 9/12/2012
Orr, Carol Davis RN060259 Albert Vernon Dixon, MD 17570 9341 76 Hunt Martin Rd, Suite A Blairsville GA 30512 3/25/2014
Oskey, Rebecca Jo RN167767 Elizabeth Killebrew, MD 29898 2228 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 4/5/2011
Ott, Lynda Dee Davis RN153118 Hernan Posas, Jr., MD 32026 2233 4274 North Valdosta Road Valdosta GA 31602 12/1/2012
Outlaw, Melanie Jeannette RN112116 Marcus Roberts, MD 35986 14031 903 Westward St., Ste A Douglas GA 31533 6/18/2015
Outz, Mary Allison Rn191947 Julian D. Sharpton, MD 17084 11268 11973 Augusta Rel Lavonia GA 30553 9/18/2012
Owens, Jacquelyn Denise RN115796 Franklin Brown, MD 62315 9414 445 Winn Way Decatur GA 30030 10/7/2011
Owens, Cheryl Ann Wilson RN066880 James Harbin, MD 38507 5288 1525 Chattanooga Road Dalton GA 30720 12/19/2008
Owens, Kay Marie Williams RN131956 Michael Litrel, MD 39623 2235 15 Reinhardt College Pkwy, Bldg 100, Canton GA 30114 3/21/2008 Suite 110
Owens, Cheryl Ann Wilson RN066880 Anthony Harbin, MD 29665 8495 1525 Chattanooga Road Dalton GA 30720 1/1/2011
Pacitti, Elise Hurley RN099451 Rose Briglevich, MD 17042 12854 3969 South Cobb Drive Suite 107 Smyrna GA 30080 9/10/2013
Pacitti, Elise Hurley RN099451 Steven Lenhard, MD 39153 8306 790 Church Street, Suite 250 Marietta GA 30060 1/7/2014
Wednesday, January 13, 2016 Page 110 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Pacitti, Tryphena M Hendricks RN050884 Walter Smith, MD 37078 2237 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Page, Joy Michele RN063667 Travan Jasper, MD 45506 14385 6410 W John Xing Duluth GA 30097-1507 3/7/2015
Page, Jr, Douglas Lamar RN212022 John Souza, MD 39475 11838 1110 Hillcrest Pkwy Dublin GA 31021 5/1/2015
Page, Jr., Douglas Lamar RN212022 Thomas Self, MD 21587 11874 1825 Martha Berry Blvd Rome GA 30165 12/1/2013
Palakodeti, Connie Marie RN237096 Kenneth Patric Jr, MD 69243 14824 1931 Jesse Jewell Pkwy Gainesville GA 30501 3/6/2015
Palnau, Catherine Martin RN089707 Benjamin Abraham, DO 34757 2245 3020 Hwy 124 Snellville GA 30039 3/25/2013
Paniagua, Kelli Michelle RN135303 Martin Michaels, MD 26157 2248 711 Shields Rd Dalton GA 30720 12/18/2011
Panjwani, Ashraf RN204629 Schock, Theodore DO 30882 10807 3509 Braselton Hwy, Bldg F Dacula GA 30019 3/4/2014
Panjwani, Ashraf RN204629 Blake, Bryan MD 40613 10809 3509 Braselton Hwy, Bldg F Dacula GA 30019 3/4/2014
Panjwani, Ashraf RN204629 Halleck, Sylvia MD 16356 10808 1431 Riverside Pkwy Lawrenceville GA 30043 7/12/2012
Panjwani, Ashraf RN204629 Utpal Pandya, MD 64696 13372 2400 Mt Zion Pkwy Jonesboro GA 30236 8/7/2015
Parham, Denise Y RN044185 Leslie Cottrell, MD 45194 2254 1600 Maple St. Carrollton GA 30118 1/1/2015
Parker, Curtisia Denise RN151818 Elliot Raizes, MD 24478 9616 345 N. Harris St, Suite 100 Athens GA 30606 2/6/2014
Parker, Jami Louise RN084681 Oladayo Osinuga, MD 51703 12855 550 Peachtree St NE Atlanta GA 30308 1/22/2015
Parker, Kimberly Koye Hilton RN117408 Mark Ellison, MD 26107 12857 1500 Olglethorpe Ave Suite 200C Athens GA 30606 4/27/2014
Parker, Gail Lynne RN064159 Charles Campbell, MD 69772 12556 86 South Cobb Dr, MZ 0454 Marietta GA 30063 5/19/2015
Parker, Gail Lynne RN064159 Rodothea Milatou, MD 43713 9524 86 S. Cobb Dr Marietta GA 30063 10/1/2013
Parker, Curtisia Denise RN151818 Supriya Mannepalli, MD 61798 13169 743 Spring St Gainesville GA 30501 4/11/2014
Parkinson, Samantha RN176156 Yagnick, Hemant MD 55321 10154 404 Town Park Blvd, Ste 101 Evans GA 30809 6/6/2013
Parrish, Heath RN176061 Patrina Lockette 48855 10979 110 Norman Dorminy Drive Fitzgerald GA 31750 5/31/2013
Wednesday, January 13, 2016 Page 111 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Parrish, Heath RN176061 Charles Cowart, MD 29161 15426 1101 Ocilla Rd Douglas GA 31533 9/2/2015
Parson, Carrie Lyn Denby RN106229 Tony Addington, MD 52526 2274 39 Kent Rd, Suite 5 Tifton GA 31794 4/13/2012
Paschal, Debra Ann Brooks RN060102 Vickie Mixon Brown, MD 25115 2278 840 West Thomas Street Milledgeville GA 31061 7/13/2009
Pasley, Jennifer Mason RN129904 David Weinkle, MD 38645 2279 PO Box 422002 Atlanta GA 30342 6/21/2015
Passmore, Tewana RN210698 Anthony Howard, MD 34616 16407 3075 Ronald Reagan Blvd, Ste 501 Cumming GA 30041 10/22/2015
Pastorino, Cynthia Ann Mance RN153266 Darshana Sheth, MD 58642 8281 2550 Windy Hill Road, Suite 309 Marietta GA 30067 4/30/2012
Pastorino, Cynthia Ann Mance RN153266 Warren Weber, MD 26677 2280 3875 Austell Road, Suite 203 Austell GA 30106 6/10/2009
Patel, Falguni RN221100 David Nussbaum, DO 67697 12384 712 North 7th St Cordele GA 31015 8/2/2014
Patel, Purvi Mukesh RN174392 Lawrence Weiss, MD 44863 9113 1121 Johnson Ferry Rd, Suite 340 Marietta GA 30068 10/6/2010
Patel, Purvi Mukesh RN174392 Darshana Sheth, MD 58642 9468 2476 Canton Rd NE Marietta GA 30066 2/1/2012
Patterson, Donna Marie Smoak RN124405 Paul Bradley, MD 30016 2284 340 Eisenhower Dr, Suite 1200 Savannah GA 31406 12/19/2008
Patterson, Daphne Maria RN165491 Raymond Easley, DO 20987 12247 555 Old Norcross Rd, Suite 100 Lawrenceville GA 30046 10/1/2013
Patterson, Daphne Maria RN165491 Claire Willie, MD 39177 9650 1324 Hwy 138 S.W. Riverdale GA 30296 12/30/2011
Patton, Haley Ann RN215782 John Ogundipe, MD 39193 14126 2130 Anderson Mill Rd Austell GA 30106 4/25/2015
Patton, David RN164071 Mian, Haroon MD 66222 10128 3600 Dallas Hwy SW Marietta GA 30064 7/13/2012
Patton, David Garrett RN164071 Bhumiben Purohit, MD 58812 5206 5075 P'tree Pkwy, Suite 106 Norcross GA 30092 6/27/2011
Paulk, Jane RN052908 Chester R. Lapeza, MD 44263 11427 1004 W Ward St Douglas GA 31533 9/22/2014
Paulson, Tabatha D. RN164177 Marc Goldman, MD 39579 9007 1538 13th Ave, Suite B-300 Columbus GA 31901 6/23/2011
Payne, Margaret RN068135 Stewart, Deirdre MD 39022 10548 410 Peachtree Parkway, Ste 300 Cumming GA 30041 3/14/2015
Payne, Andrea Bush RN191676 Jonathan Allen, MD 56949 12757 100 Gross Crescent Cir, Emer Dept Ft Oglethorpe GA 30742 11/1/2014
Wednesday, January 13, 2016 Page 112 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Payne, Jennifer RN183181 Barbara McMillan-Persaud, 46887 95 5127 Jimmy Carter Blvd Norcross GA 30093 3/12/2009 MD
Payne, Teresa RN122561 Mulberry, Michael MD 50725 10563 24 Alicia Lane, Ste 7 Dahlonega GA 30533 9/18/2008
Payne, Andrea RN191676 Gary Smith, MD 10666 15541 P.O Box 729 Ringgold GA 30736 9/26/2015
Payne, Andrea RN191676 Lloyd Rimer, MD 30665 14840 3541 Chattanooga Rd Tunnel Hill GA 30755 2/4/2015
Pearce, Barbara Ann Patterson RN054555 K. G. Kumar, MD 20562 8677 3207 Country Club Drive Valdosta GA 31605 6/1/2012
Pearce, Robin RN159135 John Gott, MD 28989 11027 95 Collier Rd., Ste 5015 Atlanta GA 30309 7/28/2013
Pearce, Barbara RN054555 Eutzler, James DO 49729 10881 520 Griffin Avenue Valdosta GA 31601 9/28/2015
Pearce, Robin Wise RN159135 Anna Kalynych, MD 38527 2303 275 Collier Rd, Suite 300 Atlanta GA 30309 8/7/2012
Pearce, Barbara Ann Patterson RN054555 William R. Grow, MD 13752 2302 3207 Country Club Drive Valdosta GA 31605 9/1/2009
Pease, Diane Susan Schroeder RN113917 John Pittman, MD 37045 2305 18 Riverbend Dr, Suite 230 Rome GA 30161 8/4/2010
Pease, Margaret Ann RN074675 James Beiter, MD 40003 2306 PO Box 422002 Atlanta GA 30342 9/1/2009
Pease, Margaret Ann RN074675 Poornima Chintalapalli, MD 61405 9080 1610-D E. Forsyth St Americus GA 31709 7/5/2010
Peavey, Alica Ann Giljam RN143241 Thomas Hurd, MD 27070 2307 400 Tower Road, Suite 350 Marietta GA 30060 1/31/2011
Peck, Ann Marie RN134282 Thomas Hatchett, MD 36984 2310 870-A Austin Dr Demorest GA 30535 5/11/2015
Pecot, Jennifer Young RN168014 Brian Herrmann, MD 54219 3333 5455 Meridian Mark Rd, Suite 130 Atlanta GA 30342 8/6/2010
Peden, Alison RN181612 Thompson, Jonathan MD 52646 10627 1012 Burleyson Road Dalton GA 30720 9/1/2014
Peek, Sarah RN206978 Vera Garcia, MD 54375 15427 209 E Main St Hahira GA 31632 5/14/2015
Pegues, Kimberly Denise Jones RN127796 Scott Clark, MD 52157 2313 2324 Limestone Overlook Gainesville GA 30501 10/16/2014
Pena, Erica Denise RN206475 Norman Decker, DO 37984 9176 1915 Eisenhower Dr Savannah GA 31406 3/31/2013
Pendley, Stephanie RN139571 Michael Schechter, MD 58776 9852 1547 Clifton Road NE Atlana GA 30322 2/18/2013
Wednesday, January 13, 2016 Page 113 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Penland, Erin RN175506 Todd, Anne MD 51395 10827 772 Maddox Drive, Ste 122 Ellijay GA 30540 6/14/2013
Penland, Erin Nicole RN175506 Charles Burke, MD 58876 9159 1008 North 3rd Ave Chatsworth GA 30705 5/23/2012
Penland, Erin Nicole RN175506 Daniela Rojas-Molina, MD 55331 12361 772 Maddox Dr, Suite 122 Ellijay GA 30540 11/13/2013
Perrel, Diana RN202321 Hernandez-Aviles, Milca MD 61749 10440 1933 Shields Road Dalton GA 30720 3/17/2015
Perrel, Diana Marie RN202321 Martin Michaels, MD 26157 8586 711 Shields Road Dalton GA 30720 12/18/2011
Perry, Venester RN166520 Roshni Patel, MD 57141 11168 CHOA, 1645 Tullie Cr. Atlanta GA 30329 2/15/2013
Perry, Venester A RN166520 John Cheng, MD 53117 11700 1645 Tullie Circle Atlanta GA 30329 1/29/2015 RN166520
Perry, Mitzie RN134054 Skiwski, Jason MD 64973 10165 2366 Battlefield Parkway Ft. Oglethorpe GA 30742 3/3/2012
Persky, Lizette RN107663 Jennifer Aqua, MD 44882 8057 315 Winn Way Decatur GA 30030 7/2/2010
Persky, Lizette RN107663 Gary Glasser, MD 33583 8055 315 Winn Way Decatur GA 30030 9/30/2014
Persky, Lizette RN107663 Jennifer Lyman, MD 50039 8058 315 Winn Way Decatur GA 30030 12/31/2012
Peshel, Tabatha Michele RN115803 Harvey N. Sacks, MD 17880 5440 148 Bill Carruth Pkwy, Suite 100 Hiram GA 30141 6/24/2011
Pestrak, Mary Ann RN200864 Brett Murphy-Dawson, MD 54080 8065 2100 Comer Avenue Columbus GA 31904 5/27/2011
Petca, Persida RN199089 William Mills, MD 50901 10208 58 Big A Road Toccoa GA 30577 2/17/2012
Peters, Marcia Jean RN139529 Ighouwerha Ofotokun, MD 53346 2333 341 Ponce de Leon Avenue NE Atlanta GA 30308 8/12/2011
Peters, Erin Michelle RN189815 Rami Azzouz, MD 50126 8787 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 7/31/2010
Peters, Zelda Regina RN124526 Rowland Chigbu, MD 63642 12232 2202 E Oglethorpe Blvd Albany GA 31705 10/31/2013
Petersen, Melissa Tucker RN117123 Gary Glasser, MD 33583 8604 315 Winn Way Decatur GA 30030 7/23/2010
Petersen, Melissa Tucker RN117123 Kay Entrekin, MD 42817 8603 315 Winn Way Decatur GA 30030 7/23/2010
Petersen, Melissa Tucker RN117123 Catherine Bonk, MD 30435 2336 315 Winn Way Decatur GA 30030 7/23/2010
Wednesday, January 13, 2016 Page 114 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Petersen, Melissa Tucker RN117123 Jennifer Aqua, MD 44882 8606 315 Winn Way Decatur GA 30030 7/23/2010
Petersen, Melissa Tucker RN117123 Lisa Mandeville-Brown, MD 46987 8605 315 Winn Way Decatur GA 30030 7/23/2010
Petersen, Melissa Tucker RN117123 Jennifer Lyman, MD 50039 8607 315 Winn Way Decatur GA 30030 7/23/2010
Peterson Jr., Berry Lawrence RN113166 Kirk Kanter, MD 30631 2337 1405 Clifton Rd Atlanta GA 30322 12/2/2012
Petty, Jeremy A. RN175210 Mitzi Clayton, MD 61408 9629 211 Fairview Rd Ellenwood GA 30294 9/1/2011
Phillips, Monica Rae RN184707 Roger Branch, MD 30272 9972 10 Doctors St Metter GA 30439 6/13/2014
Phillips, Shanon Renee RN169956 Lisa Miller, MD 38874 12315 4152 Baker St Covington GA 30014-1404 11/27/2013
PHILLIPS, JANNA RN133630 John David Arnett 38423 11270 200 Doctor's Drive Douglas GA 31533 12/31/2014
Phillips, Karen Curtis RN116540 Zia Khan, MD 62533 11953 2579 Hwy 54 Peachtree City GA 30269 5/9/2014
Phillips, Karen Curtis RN116540 David Van, MD 29545 13478 290 Country Club Dr, Ste 200 Stockbridge GA 30281 4/27/2015
Phillips, Jana RN133630 John Arnett, MD 38423 11058 200 Doctor's Dr., #106 Douglas GA 31533 12/31/2014
Phillips, China Henry RN141185 Michael Rallo, MD 54655 2340 7020 Moon Road Columbus GA 31909 3/27/2015
Phillips, Karen Curtis RN116540 Patrick Bowen, MD 48982 706 1365 Clifton Rd NE, #A-4 Atlanta GA 30322 12/1/2012
Phillips, Ronda RN130803 Narayan, Nalini MD 44287 10319 119 Ambulance Drive Carrollton GA 30116 3/17/2014
Phillips, Shanon Renee RN169956 John Mynatt, Jr, MD 41469 8516 5040 Bill Gardner Pkwy, Suite 100 Locust Grove GA 30248 8/1/2013
Phillips, Janna RN Burton, Norris Kent MD 31888 10106 39 Kent Road, Suite 1 Tifton GA 31794 8/3/2012 RN133630
Phillips, Roxanne RN215472 Kenneth Howard, MD 40412 15266 1060 Redbud Rd Calhoun GA 30701 9/10/2015 RN215472
Philson, Beverly Lynn RN088054 Svathi Reddy, MD 56352 8679 PO Box 26238 Atlanta GA 30303 6/1/2010
Philson, Beverly Lynn RN088054 Sara Carolyn Acker, MD 58383 8525 PO Box 26238 Atlanta GA 30303 6/19/2009
Wednesday, January 13, 2016 Page 115 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Philson, Beverly Lynn RN088054 Ruth Shim, MD 55889 8678 PO Box 26238 Atlanta GA 30303 7/31/2014
Pickens, Herretta LaChell RN137164 Moore, Daniel MD 38562 10730 790 Church Street, Ste 330 Marietta GA 30060 12/13/2012
Pickett, Angelique Laurelyn Schultz RN186812 Jan Mayfield, MD 51355 9762 49 Hosiery Mill Rd, Suite 124 Dallas GA 30157 10/29/2014
Pickett, Angelique Laurelyn Schultz RN186812 Bradley Ward, MD 21115 13496 48 Hills Creek Rd. Taylorsville GA 30178 9/5/2014
Pickett, Angelique RN186812 Robinson, Todd MD 40773 10086 14 Cherokee Road Cedartown GA 30125 10/3/2013
Pierce, April RN106291 Das, Santanu MD 42560 10694 1049 N. Houston Road Warner Robins GA 31093 6/9/2014
Pierson RN085698 Kelli Carter, MD 41529 885 PO Box 1197 Thompson GA 30824 8/1/2011
Pierson-Elam, Sylvia Marie RN085698 Jack L. Miller, MD 24987 11304 Concentra, Plant Vogtle, 7825 River Rd Waynesboro GA 30830 9/30/2014
Pihera, Rebecca Anne Pride RN167855 Seymour Solodar, MD 14956 9557 4015 S. Cobb Dr, Suite 10 Smyrna GA 30080 6/24/2013
Pilcher, Linnea Marie Haas RN072278 Jae Pak, MD 40185 9392 2160 Fountain Dr, Suite 200 Snellville GA 30078 1/6/2011
Pilcher, Linnea Marie Haas RN072278 Russell Wagner, MD 33740 2347 2160 Fountain Drive, Suite D Snellville GA 30078 3/14/2008
Pilgrim-Boyd, Amber Hope RN149651 Yolanda Graham, MD 38001 9884 1291 Stanley Rd NW Kennesaw GA 30152 5/13/2014
Pindling, Andrea RN144793 Richard Spurlock, MD 59207 11127 745 Poplar Dr. Newnan GA 30265 1/30/2013
Pingeton, Robin Ann RN11408 John Ogundipe, MD 39193 12858 7823 Spivey Station Blvd Jonesboro GA 30236 7/1/2014
Pinkston, Shannon Lea RN235487 Kenneth Grotz, MD 37820 13297 4150 Washington Rd, Suite 11 Evans GA 30809 10/29/2014
Pinkston, Latoya N. RN140882 David Martin, MD 21757 9506 1136 Cleveland Ave, Suite 608 East Point GA 30344 12/24/2014
Pinyerd, Abby Rene RN235091 Amar Singh, MD 52227 13528 550 Redminsd Rd. Rome GA 30165 11/4/2014
Pipkin, Lisa Hocker RN135264 Veronica Garrett, MD 39106 8143 1567 Milstead Road, Suite B Conyers GA 30012 5/19/2008
Piri, Manuel RN154748 Divina Dyer, MD 57161 8432 1762 Mars Hill Road NW Acworth GA 30101 10/25/2014
Piri, Manuel RN154748 Miguel Jimenez, MD 52966 7889 1676 Mulkey Road, Suite A Austell GA 30106 12/7/2007
Pirkle, Jeanette Susan RN160182 Donald Fordham, MD 44718 13373 865 Austin Dr Demorest GA 30535 12/20/2014
Wednesday, January 13, 2016 Page 116 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Pitts, Andrea Briscoe RN124333 John Cowan, Jr, MD 60167 8356 550 Redmond Road Rome GA 30165 1/3/2015
Pitts, Andrea Briscoe RN124333 Edward Meier, MD 43426 8194 2112 Shorter Avenue, Suite 200 Rome GA 30165 9/30/2008
Pitts, Robin Diane Harshman RN081207 New, Tamara, MD 58712 2355 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 7/31/2013
Planeaux, Michelle RN178205 Talboy, Amy MD 37317 10482 1920 Briarcliff Rd NE Atlanta GA 30329 8/1/2015
Plaxico, Elisha RN171306 Miller, Jeri MD 30835 10069 200 Industrial Blvd ER Dublin GA 31-21 10/31/2013
Plaxico, Elisha RN171306 Mendez, Traceyan MD 57831 10288 215 N. Coleman Street Swainsboro GA 30401 4/6/2012
Plaxico, Elisha Amy RN171306 Muhammad Jamal, MD 58255 8767 452 Second Street Sopeton GA 30457 10/31/2011
Poirier-Elliott, Elaine Marie RN074932 Dawn Swaby-Ellis, MD 29112 2361 3807 Clairmont Road Chamblee GA 30341 12/31/2013
Poirier-Elliott, Elaine Marie RN074932 Adebayo Akinsola, MD 67381 12956 3807 Clairmont Rd Chamblee GA 30341 8/7/2015
Pomar, Pamela RN054213 Talboy, Amy MD 37317 10483 1920 Briaracliff Rd NE Atlanta GA 30329 11/27/2013
Ponder, Bonita RN149123 Bhumiben S. Purohit, MD 58812 11574 1890 Manor View Cumming GA 30041 3/15/2013
Ponniah, Shivanthi RN196129 Muhammad Akmal, MD 44665 8549 200 Industrial Blvd, Suite 114 Ellijay GA 30540 6/11/2009
Porter, Laura Lynn RN144810 Seth Wagner, MD 70602 14413 100 Gross Crescent Cir, Ste 203 Fort Olgethorpe GA 30742 11/28/2014
Porter, Erin James RN170616 Yvonne Smith, MD 42443 12779 145 Standing Oak Place Fayetteville GA 30214 9/5/2014
Posey, Tammy Lynn RN210395 Albert Copeland, MD 31400 9330 772 Maddox Dr, Suite 122 Ellijay GA 30540 12/19/2010
Posey, Tammy Lynn RN210395 Daniela Rojas-Molina, MD 55331 9623 772 Maddox Dr, Suite 122 Ellijay GA 30540 5/15/2012
Potter, Betty Jean RN192280 Charles Hitson, MD 26554 9454 231 Graefe St Griffin GA 30223 8/10/2012
Potter, Betty Jean RN192280 Dorothy Stewert, MD 46565 15514 5398 Thomaston Rd, Ste B Macon GA 31220 9/1/2015
Pottinger, Aikaterine Sofia RN192200 Vivian Lennon, MD 43121 11721 4166 Buford Hwy, Suite 1102 Chamblee GA 30345 10/24/2014
Povolny, Angela Michelle RN117011 Scott Clark, MD 52157 12095 2324 Limestone Overlook Gainesville GA 30501 2/28/2014
Povolny, Angela M. RN117011 Bernerdine M. King, MD 42071 11214 705 Jesse Jewell Pkwy, Ste 200 Gainesville GA 30501 6/21/2013
Wednesday, January 13, 2016 Page 117 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Powell, Pamela W. RN063932 Michael C. Pinell, MD 58102 11184 701 Baytree Rd., Ste A Valdosta GA 31602 9/9/2013
Powell, Pamela Westberry RN063932 Jerry Purvis, Sr, MD 9235 9858 520 Griffin Avenue Valdosta GA 31601 8/26/2014
Powell, Laura A Huff RN106617 Matthew Lyon, MD 50972 2377 4471 Washington Road Evans GA 30809 8/1/2011
Powell, Pamela Westberry RN063932 Eric Stout, MD 56629 2382 1525 Baytree Rd, Suite F Valdosta GA 31602 2/16/2011
Powell, Tracy Elaine Carr RN092714 Niall Galloway, MD 31921 2384 1365-B Clifton Rd, Suite 1400 Atlanta GA 30322 2/14/2011
Powers, Lisa LuAnne RN208590 Katharine Ammons, MD 37744 9227 1825 Martha Berry Blvd Rome GA 30165 2/18/2011
Prade, Kenya Monique RN206880 Veronica Garrett, MD 39106 9274 1567 Milstead Rd NE, Suite B Conyers GA 30012 5/30/2014
Prather, Deborah RN123825 Jackson, Robert MD 49698 10115 50 Kelly Road McDonough GA 30253 2/24/2012
Prather, Deborah Kay RN123825 Julian McLendon, Jr., MD 38557 2386 3758 Hwy 42 Locust Grove GA 30248 2/24/2012
Prather, Deborah Kay RN123825 William Watkins, MD 32076 8658 235 P'tree St NE, North Tower, #2100 Atlanta GA 30303 9/1/2014
Prator, Amanda Marie RN162398 Linda Moore, MD 55849 8854 610 19th Street Columbus GA 31901 12/16/2010
Prator, Amanda Marie RN162398 Thomas Isenovski, DO 55602 8789 2122 Manchester Expressway Columbus GA 31904 9/20/2013
Pratt, Karen Ann RN240957 Emile Risby, MD 30869 13864 3000 Schatulga Rd Columbus GA 31907 2/28/2015
Prayter, Susan RN094003 Criner, James MD 54179 10882 17612 Mars Hill Road NW Acworth GA 30101 1/13/2014
Prayter, Susan Marie RN094003 Nitasha Burney, MD 55931 2388 5230 Dallas Hwy Powder Springs GA 30127 9/29/2014
Prest, Lois Marie RN071143 Bandupriya Vidanagama, MD 18758 2393 80 Butler Street Atlanta GA 30303 8/26/2010
Prest, Lois Marie RN071143 Patrick Haggard, MD 49403 9348 80 Jesse Hill Jr Dr Atlanta GA 30303 7/7/2011
Prest, Lois RN071143 Barnett III, Golden MD 55090 10107 80 Jesse Hill Jr Drive, 13th floor, Emer Atlanta GA 30303 3/29/2013 Dept
Prevosti, Linda M. RN109974 Richard G. Dukes, MD 51875 11152 11705 Jones Bridge Rd. Johns Creek GA 30005 8/12/2013
Price, Paula Susanne RN141037 Donald Fordham, MD 44718 8579 865 Austin Drive Demorest GA 30535 1/3/2015
Wednesday, January 13, 2016 Page 118 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Price, Amber Grace RN107117 John Souza, MD 39475 2396 PO Box 16100 Dublin GA 31040 5/10/2010
Price, Jennifer Dykes RN161346 James Routon, MD 12231 11871 1497 Fair Rd, Suite 206 Statesboro GA 30458 3/13/2015
Price, Gloria RN225038 Pablo Quitanilla, MD 17546 13819 3369 Buford Hwy Ste 810 Atlanta GA 30329 9/25/2014
Priester, Karen Joan Lagerberg RN077983 Wendy Troyer, MD 33786 2399 5901-C P'tree Dunwoody Rd, Suite C-65 Atlanta GA 30328 6/30/2015
Pringle, Tawnya Lynette RN155811 Valens Plummer, MD 49496 8406 3800 Princeton Lake Pkwy SW Atlanta GA 30331 7/25/2011
Prohst, Melissa Joy RN225300 Meenakshi Hari, MD 49026 14922 2520 Windy Hill Rd. Ste. 104 Marietta GA 30067 1/13/2015
Pruitt, Shannon Daneal Ardeeser RN132591 Todd Kelley, MD 47781 2404 330 Turner McCall Blvd, Suite 4000 Rome GA 30165 10/8/2010
Pruitt, Barbara Lynn Senterfitt RN151379 Walisa Maynard, MD 50658 12026 4040 Hospital West Dr Austell GA 30106 11/1/2013
Pryor, Anita Lynn Rigsby RN102357 Christopher Edens, MD 42042 2407 PO Drawer 5 Griffin GA 30224 1/31/2009
Pryor, Julie King RN073134 Vitaliy Gavrikov, MD 61430 13489 1431 Riverside Pkwy, Ste B Lawrencville GA 30043 3/11/2015
Pryor, Julie King RN073134 Kenneth Patrick, MD 69243 14302 3240 South Cobb Dr Smyrna GA 30084 11/3/2014
Pryor, Julie K. RN073134 Thomas W. Bloodworth, MD 18124 11497 101 Cleburne Pkwy Hiram GA 30141 1/17/2014
Pryor, Julie King RN073134 Carroll Cooper, MD 63309 13490 1431 Riverside Pkwy, Ste B Lawrenceville GA 30043 3/11/2015
Pryor, Julie King RN073134 Vitaliy Gavrikov, MD 61430 13488 3955 Harrison Rd, Ste 400 Loganville GA 30052 3/11/2015
Pryor, Juile RN073134 Nitasha Burney, MD ##### 14460 3885 Princeton Lake Way, Ste 306 Atlanta GA 30331 3/11/2015
Pryor, Julie King RN073134 Carroll Cooper, MD 63309 13491 3955 Harrison Rd, Ste 400 Loganville GA 30052 3/11/2015
Puckett, Jennifer Hazel RN235162 Forrest Clark Cantrell, MD 28948 13601 777 Franklin Rd Marietta GA 30067 7/25/2015
Puett, Pamela T. RN089764 Sharon Lynch-Miller, MD 42342 5300 11 Upper Riverdale Rd SW Riverdale GA 30274 3/31/2011
Pugh, Jena Daneen RN208906 Sarah Hosford, MD 32209 9769 320 Parkway Dr NE, Suite 244 Atlanta GA 30312 7/5/2013
Pulaski, Sandra Brubaker RN137019 Matthew Burrell, MD 17998 9514 980 Johnson Ferry Rd, Suite 900 Atlanta GA 30342 10/20/2011
Wednesday, January 13, 2016 Page 119 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Pulaski, Sandra Brubaker RN137019 Kristi Mulchahey, MD 34209 2411 2550 Windy Hill road, Suite 115 Marietta GA 30067 6/5/2010
Pulaski, Sandra RN137019 Yap, O.W. Stephanie MD 55044 10108 1462 Montreal Road, Ste 403 Tucker GA 30084 6/15/2012
Purcell, Kimberly RN160206 Sankaran, Sekhar MD 31549 10534 101 Regency Park Drive, Ste 140 McDonough GA 30253 12/11/2015
Purrman, Kathryn Christine RN225420 Jack Miller, MD 24987 12822 220 Cobb Parkway Suite 400 Marietta GA 30062 1/6/2014
Purvis, Juliet Elizabeth Waugh RN124737 Paul Cox, MD 49762 8897 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 1/7/2010
Quattlebaum, Adrian Menapace RN167566 Andrew Cichelli, MD 44433 8365 1601 Fair Road, Suite 600 Statesboro GA 30458 8/28/2009
Quattlebawn, Adrian M RN167566 Courage Atekha, MD 49266 11271 1030 Bermuda Run Road Statesboro GA 30458 5/31/2013
Quinn, Brandi Nicole Webber RN212300 Cassandra Wanzo, MD 35165 12748 601 Bombay Lane Roswell GA 30076 10/31/2014
Quinn-Freeman, Lasagna RN186321 Roman, Charles DO 43757 10125 2757 Warm Springs Road Columbus GA 31904 2/9/2012
Rackley, Emmerll RN219574 Mubbashir Khan, MD 54327 11472 Unison Behavior Hlth, 1005 Shirley Douglas GA 31533 2/28/2013 Ave.
Rackley, Emmeril RN219574 George Hall, MD 55669 14155 1050 Carl Griffin Dr Savannah GA 31405 9/25/2015
Rackley, Emmerll RN219574 Holly Crowley, MD 51452 12862 400 S Pinetree Blvd Thomasville GA 31799 9/19/2013
Raduszewski, Thomas Chester RN104540 Nassar Tehrani, MD 53044 9469 292 Industrial Blvd, Suite 101 Hawkinsville GA 31036 3/16/2013
Rager, Mary Jane Boll RN061422 Walter Smith, MD 37078 2424 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Raines, Kendra L. RN216468 John R. Coleman, Jr, MD 48498 11604 1720 Peachtree St., Ne, #200 Atlanta GA 30309 4/16/2013
Rainey, Tiffany RN176596 Mark Hancock, MD 67750 11018 163 Hospital Dr. Toccoa GA 30577 2/18/2013
Ramasamy, Kanniammal RN140212 Nanette Wenger, MD 8924 2432 80 Jesse Hill Jr Dr SE Atlanta GA 30303 7/14/2010
Ramasamy, Kanniammal RN140212 Allen Dollar, MD 35244 9262 49 Jessie Hill Jr Dr SE Atlanta GA 30303 12/10/2010
Rambo, Brandi RN149163 Shahriar Sedghi, MD 37678 10209 610 Third Street, Ste 204 Macon GA 31201 12/19/2013
Ramer, Shelia Clyde Barbree RN085730 Linda Jones, MD 30111 2435 1500 E. Shotwell St Bainbridge GA 39819 1/29/2014
Wednesday, January 13, 2016 Page 120 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ramirez, Janice RN183690 Thomas Whitesell, MD 52854 11147 2040 Dan Proctor Drive, Suite #170 St. Marys GA 31558 4/30/2014
Ramirez, Diana L. RN092135 Angela O. Wright, MD 45103 11340 2467 Golden Camp Rd. Augusta GA 30906 9/14/2013
Ramseur, Meleia Sue Green RN104542 Gaston Moran-Celayes, MD 64675 12664 618 East Lamar St Americus GA 31709 7/1/2014
Ramseur, Meleia Sue Green RN104542 Parviz Brahman, MD 66576 12395 1401 N Tift Ave, Suite B Tifton GA 31794 7/1/2014
Ramsey, Edwina Antoinnette RN170346 Sara O'Heron, MD 41632 9050 1201 Georgian Park Peachtree City GA 30269 4/1/2010
Randall, Rhonda T. RN088363 Murtaza Cassoobhoy, MD 43014 146 5 Dunwoody Park, Suite 118 Dunwoody GA 30338 2/6/2014
Randels, Camden Lorraine RN192210 Louis Fernandez, MD 39790 11811 274 Big A Road Toccoa GA 30577 6/21/2013
Rangnow, Katie Elizabeth RN185110 Robin Lowman, MD 62392 9453 1255 Hwy 54 West, Emer Dept Fayetteville GA 30214 1/12/2012
Rangnow, Katie Elizabeth RN185110 John Holmes, MD 44749 9305 601 South 8th Street Griffin GA 30233 6/9/2014
Rangnow, Katie Elizabeth RN185110 Damon Kimes, MD 50322 8777 601 South 8th St, Emergency Dept Griffin GA 30224 6/23/2010
Rapkin, Karen Ruth RN158967 Jordan Greenbaum, MD 57172 2443 1001 Johnson Ferry Rd, Suite 500 Atlanta GA 30342 4/3/2015
Raptopoulos, Sophia Marie RN230273 Ralph Jackson, MD 22794 15090 771 Norcross Rd, Ste 110 Lawreneville GA 30045 5/8/2015
Rast, Jean Louise RN102372 Albert Lintel, III, MD 28595 8315 824 West Avenue Cartersville GA 30120 12/31/2008
Rast, Jean Louise RN102372 Crystal Comeau, MD 61224 9790 174 Highland Crossing South East Ellijay GA 30540 4/16/2011
Rast, Jean RN102372 Richard Dukes MD 51875 10007 235 Peachtree St Ne, North Tower Atlanta GA 30303 8/12/2013 #3200
Ratajczak, Pamela Camille Daniel RN093203 Louis Barton, MD 33024 9032 2450 Vinson Hwy Milledgeville GA 31062 8/13/2010
Rawlings, Jane Paige RN120774 Kenneth Sobel, MD 24099 2447 575 Professional Dr, Suite 510 Lawrenceville GA 30046 8/26/2015
Ray, Trena Dawn RN134959 Brenda Budlong, MD 34749 2451 304 Shorter Avenue, Suite 102 Rome GA 30165 10/5/2010
Ray, Trena Dawn RN134959 Joseph Biuso, MD 28726 8903 330 Turner McCall Blvd, Suite 203 Rome GA 30165 11/30/2010
Ray, Trena Dawn RN134959 John-Mark Miller, DO 56857 9184 1008 Piedmont Ave Rockmart GA 30153 10/5/2010
Wednesday, January 13, 2016 Page 121 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ray, Trena Dawn RN134959 Donald Evans, MD 9810 12864 321 N. Main Street Adairsville GA 30103 5/19/2015
Ray, Trena RN134959 Gregory, Donna MD 51227 10510 321 N. Main Street, Ste A Adairsville GA 30103 9/15/2013
Ray, Jeanette Wyatt RN085734 Heather Henry, MD 44231 8726 327 S. 9th Street Griffin GA 30224 7/1/2010
Ray, Jeanette Wyatt RN085734 Charles Hitson, MD 26554 2449 125 North Tenth Street Griffin GA 30223 9/4/2010
Raytchev, Vesselin Stoyanov RN213784 Michael O'Grady, MD 41189 12600 7100 Peachtree Dunwoody Rd, Suite Atlanta GA 30328 11/13/2013 100
Raytchev, Vesselin Stoyanov RN213784 Raymond Easley, DO 20987 12650 7100 Peachtree Dunwoody Rd, Suite Atlanta GA 30328 1/21/2015 100
Raytchev, Vesselin Stoyanov RN213784 Sonny Dosanjh, MD 66686 12651 7100 Peachtree Dunwoody Rd, Suite Atlanta GA 30328 11/1/2014 100
Reagan, Deborah McDonald RN093831 Daniel Messcher, MD 48443 2454 4721 Hummingbird Lane Valdosta GA 31602 3/21/2009
Reagan, Deborah McDonald RN093831 Wendy Vandemark, MD 57511 9479 2310 N. Patterson St, Bldg G Valdosta GA 31602 12/10/2013
Reagin, Hilari RN205000 Dyer, Divina MD 57161 10395 1510 Milstead Avee NE Conyers GA 30012 8/15/2012
Reavis, Catherine Whittenburg RN155029 Anthony Salvo, MD 56359 2455 110 R T Stanley, Sr. Place Lyons GA 30436 5/12/2010
Reavis, Catherine RN155029 Thad Riley, MD 28637 8344 PO Box 957 Statesboro GA 30459 6/1/2010
Record, Elizabeth Odenthal RN083762 Tamara New, MD 58712 2456 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 4/4/2012
Redden, Laura Leigh RN195027 Mohan Papudesu, MD 29063 9637 610 Ferncrest Dr Sandersville GA 31082 6/30/2014
Redden, Laura Leigh RN195027 Mohan Papudesu, MD 29063 8267 610 Ferncrest Drive Sandersville GA 31082 10/15/2010
Reddick, Rachel Nicole RN208711 Christopher Crooker, MD 39315 11835 748 Old Norcross RD, Suite 185 Lawrenceville GA 30046 12/19/2014
Redding, Evelyn Patricia O'Leary RN054604 Chuck Clopton, MD 43019 8695 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Reece, J. Shannon RN170766 Patrick Voswinkel, MD 42760 8918 10475 Medlock Bridge Rd, Suite 815 Duluth GA 30097 1/31/2010
Reed, Deborah Ann RN102945 Jeffrey Klopper, MD 26321 11954 3188 Atlanta Rd SE Smyrna GA 30080 5/16/2013
Wednesday, January 13, 2016 Page 122 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Reed, Melissa Nichole RN175387 Syed Rizvi, MD 43754 12314 1200 N Jefferson St Albany GA 31701 6/5/2015
Reed, Melissa Nichole RN175387 Syed Rizvi, MD 43754 9501 1200 N. Jefferson St Albany GA 31701 12/14/2012
Reed, Kelly Jean RN069681 Donna Fearing, MD 29447 2463 120 Stonebridge Pkwy, Suite 410 Woodstock GA 30189 1/8/2013
Reed, Janice Denise RN129274 Steven Disch, MD 30989 8738 2500 Hospital Blvd, Suite 310 Roswell GA 30076 9/9/2013
Reed, Deborah RN102945 Winston, Jeffrey MD 28337 10433 800 Kennesaw Ave, Ste 130 Marietta GA 30060 9/10/2012
Reese, Shataundia RN174285 Irandathy Rodrigo, MD 42715 14775 2522 Cruse Rd, Ste C-2 Lawrenceville GA 30044 9/2/2015
Reeves, Merrilea Ward RN045410 James Gore, Jr., MD 36384 2467 1657 N. Expressway Griffin GA 30223 6/27/2008
Reid, Verona Andrea RN128880 Okiki Louis, MD 47479 8951 794 S. Park Street Carrollton GA 30117 1/23/2012
Reid, Verona Andrea RN128880 Walter Smith, MD 37078 8413 3498 Walnut Ridge Atlanta GA 30349 8/31/2009
Reid, Julianne Marie Bissett RN143210 Daniel Wu, MD 51572 2470 49 Jesse Hill Jr Dr, Emergency Dept Atlanta GA 30303 11/20/2013
Reid, Andrea Nicole RN192897 Xavier Moore, MD 55619 12815 1133 Eagles Landing Pkwy Stockbridge GA 30281 9/23/2015
Reid, Maria Ayesha RN222007 Russell Brown, MD 39743 11974 2001 Martin Luther King Jr Dr, # 418- Atlanta GA 30310 9/4/2013 430
Reid, Verona Andrea RN128880 Glenn Bloom, MD 64512 11853 235 Peachtree St NE, North Tower, Atlanta GA 30303 12/31/2014 #2100
Reid, Verona Andrea RN128880 Phillip Nowlin, MD 36588 8913 4480 South Cobb Dr SE Smyrna GA 30080 12/1/2010
Reis, Maureen Jacqueline RN149081 Charles L. Brown, MD 28383 2471 275 Collier Road, Suite 500 Atlanta GA 30309 1/31/2011
Reiss, Eleanore RN070451 Leli Gail Matthews, MD 52182 2473 595 Piedmont Avenue, Suite 100 Atlanta GA 30308 9/27/2014
Rella, Karla RN196290 Coker, Mark MD 56276 10784 14557 Highway 19, Suite A Griffin GA 30224 6/1/2012
Revell, Cherial Lashawn RN127665 Amit Sharma, MD 59514 7805 6400 Bradley Park Dr, Bldg A, #A Columbus GA 31904 12/22/2008
Revels, Selina Elizabeth Altman RN073465 Errol Graham, MD 32388 2478 105 E. Tollison St. Baxley GA 31513 12/12/2011
Revels, Selina RN073465 Martin, Garland MD 47233 10502 23 Tippins Street Baxley GA 31513 9/25/2013
Wednesday, January 13, 2016 Page 123 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Reynolds, Deborah A. RN103757 Dillon D. Miller, MD 67508 11509 101 Riverstone Vista, Ste. 111 Blkue Ridge GA 30513 8/31/2014
Rhiver, Debra Elizabeth RN098042 Deirdre Cosby, MD 55397 9785 PO Box 26238 Atlanta GA 30303 7/30/2012
Rhodes, Lila Kay Libbey RN047639 George Myers, MF 35706 2486 504 Redmond Rd. Rome GA 30165 10/3/2014
Rhynes, Sharon C. RN16998 Vijay Patel, MD 35723 8073 15 Cavender Street Newnan GA 30263 1/31/2008
Richardson, Rebecca Pearl RN161874 Todd Kelley, MD 47781 8108 330 Turner McCall Blvd, Suite 4000 Rome GA 30165 4/5/2010
Richards-Reynolds, Karen Ingrid Al RN154504 Freeman Montague, MD 28123 13377 896 Hwy 81 East McDonough GA 30252 8/13/2014
Richey, Tiffany Boleman RN151213 David Asrael, MD 51291 12158 Take Care Clinic, 2990 Five Forks Lawrenceville GA 30044 10/21/2014 Trickum Rd
Richey, Tiffany Boleman RN151213 Wallace Duncan, MD 41109 12159 Take Care Clinic, 2990 Five Forks Lawrenceville GA 30044 10/21/2014 Trickum Rd
Richey, Tiffany Boleman RN151213 Melanie Cooper, MD 45753 7875 4398 Atlanta Hwy Loganville GA 30052 5/31/2013
Riddle, Sara Pauline RN154853 Bruce Goldweig, MD 48516 5487 1700 Hospital South Dr. Suite 102 Austell GA 30106 9/28/2007
Ridgeway, Sarah Suzanne RN156030 Richard Eaton, MD 40370 2501 1001 N. Third St Folkston GA 31537 9/30/2008
Ridgeway, Sarah Suzanne RN156030 Albert Thompson, MD 22338 8355 1001 N. Third Street Folkston GA 31537 9/30/2013
Riggins, Gwendolyn H RN049330 Charles Jackson, MD 14513 2503 1506 Telfair St Dublin GA 31021 11/28/2011
Riley, Cynthia W RN163734 Richard Bunt, MD 46834 10967 345 Blvd NE Atlanta GA 30312 6/6/2014
Riley, Cynthia Darlene RN163734 Dennis O'Brien, MD 25893 9700 3877 Morris Ct Norcross GA 30092 4/9/2012
Riner, Betty Louyul RN144955 Charles Pugh, MD 19089 13037 1050 Carl Griffin Dr Savannah GA 31409 9/15/2014
Riner, Betty Louyul RN144955 Nicholas Costrini, MD 22534 12210 501 Eisenhower Dr Savannah GA 31406 10/10/2013
Riner, Betty Louyul RN144955 John Northup, MD 16651 12670 12345 Mercy Blvd Savannah GA 31419 2/14/2014
Riner, Betty Louyul RN144955 Joenie Almeida, MD 45694 14004 3223 Falligant Ave Savannah GA 31404 10/24/2014
Ring, Cheri A. RN098573 Charles Pettus, MD 33675 9721 1267 W. Hwy 54, Suite 2200 Fayetteville GA 30214 3/4/2011
Wednesday, January 13, 2016 Page 124 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Rittenhouse, Sharri Khay RN116666 Carroll Cooper, MD 63309 14359 1938 Peachtree Rd, Ste 610 Atlanta GA 30309 1/2/2015
Rittenhouse, Sharri Khay RN116666 Jan Bennett, MD 30580 11730 2346 Wisteria Dr, Suite 120 Snellville GA 30078 10/18/2013
Rittenhouse, Sharri Khay RN116666 Carroll Cooper, MD 63309 14179 1431 Riverside Pkwy Lawrenceville GA 30043 1/2/2015
Rittenhouse, Sharri Khay RN16666 Carroll Cooper, MD 63309 14180 1938 Peachtree Rd, Ste 610 Atlanta, Ga 30309 GA 30309 1/2/2015
Rittenhouse, Sharri Khay RN116666 Isaac Sved, MD 38981 12870 236 Johnson Ferry Road NE Suite 200 Sandy Springs GA 30328 3/28/2014
Rittenhouse, Sharri Khay RN116666 Edward Espinosa, DO 59636 2509 5775 Glenridge Dr NE, Suite E-200 Atlanta GA 30328 2/4/2011
Rittenhouse, Sharri Khay RN116666 La-Shaun Elliot, MD 68404 13445 2336 Wisteria Dr, Ste 310 Snellville GA 30078 5/30/2014
Rivers, Tammy Lynn RN185080 Gulshan Harjee, MD 26865 13471 2536 Lawrencville Hwy Decatur GA 30033 8/25/2014
Roark, Jennifer Anne Mims RN097864 Carol Hector, MD 43640 2513 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 30501 5/1/2014
Robbins, Christine RN172358 Miles Mason, MD ##### 11818 3500 McClure Bridge Rd Duluth GA 30096 11/1/2013
Roberson, Shawn M. RN128926 Anand P. Jillella, MD 33843 11364 1120 15th Street, Suite BA-5407 Augusta GA 30912 9/30/2013
Roberson, Pamela RN073844 Barbara D'Orio, MD 33956 9162 PO Box 26238 Atlanta GA 30303 5/13/2014
Roberson, Shawn Marie RN128926 Jeremy Pantin, MD 66390 12563 1120 15th St, BA-5407 Augusta GA 30912 4/1/2015
Roberts, Terry Lee RN188172 Donna Van Schuyver, DO 42754 9441 1430 Suggs St Rossville GA 30752 6/14/2011
Roberts, Terry Lee RN188172 Gregory Teel, MD 39961 8420 1430 Suggs Street Rossville GA 30741 9/30/2010
Roberts, Terry Lee RN188172 Jose Justiniano-Ayala, MD 46773 9934 1430 Suggs Street Rossville GA 30741 3/1/2013
Robertson, Suzanne Patricia RN146420 Kathleen Gunchick, MD 28760 8943 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 3/21/2011
Robertson, Suzanne Patricia RN146420 Kevin Smith, MD 41961 7851 1000 Chastain Rd, Hse 52, #5200 Kennesaw GA 30144 9/30/2009
Robinson, Shannon Latrelle RN154343 Karen Frank, DO 69193 2540 896 Hwy 441 South Clayton GA 30525 5/11/2015
Robinson, Marianne RN213047 Boyle, Paula MD 55928 10061 4799 Blue Ridge Drive, Suite 10 Blue Ridge GA 30513 9/30/2015
Wednesday, January 13, 2016 Page 125 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Robinson, Elizabeth RN 158648 Edward A. Espinosa DO 59636 11022 5775 Glenridge Dr., NE, Ste. E200 Atlanta GA 30328 6/27/2013
Robinson, Annette RN081735 Purvis Sr, Jerry MD 9235 10513 520 Griffin Avenue Valdosta GA 31601 12/25/2014
Robinson, Andrea Jo Smock RN110950 Charles Sow, MD 55343 2531 1855 Hudson Bridge Road Stockbridge GA 30281 3/22/2013
Robinson, Jennifer RN152308 Burton, Kelvin MD 32101 10029 8464 Adair Street Douglasville GA 30134 3/19/2012
Robinson, Teresa Jane RN158355 Daniel Bergsagel, MD 29407 2541 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 11/15/2008
Robinson, Deena Maria RN195029 Arif Patni, DO 42916 12106 260 Elm St Cumming GA 30040 10/1/2014
Robinson, Deena M. RN195029 Swapna Madhavan, MD 57098 11564 260 Elm St. Cumming GA 30040-2467 6/24/2013
Robinson, Jennifer Nickole RN191143 Elizabeth LeDuc, MD 34754 12119 960 Johnson Ferry Rd, Suite 315 Atlanta GA 30342 3/9/2015
Robinson, Jakki Nicole RN208654 Benita Bonser, MD 53980 12155 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 12/3/2014
Robinson, Aileen G RN036342 Samuel Erinne, MD 35622 2530 1136 Cleveland Avenue, Suite 308 East Point GA 30344 3/11/2010
Rogers, Dana Marie RN125593 T Wayne Bloodworth, MD 18124 11927 101 Cleburn Pkwy Hiram GA 30141 1/1/2015
Rogers, Locianna Cheree RN159456 Mohamad El-Attar, MD 41286 8880 1372 Wellbrook Circle Conyers GA 30012 9/1/2010
Rollins, Kalita Higginbotham RN191958 Nichole LeBoyd, MD 54752 13830 6410 W Johns Xing Fuluth GA 30097 8/29/2014
Rooney, Melissa Bucalan RN204746 Edward Himot, MD 18388 12694 55 Whitcher St, Suite 460 Marietta GA 30060 7/31/2014
Roper, Christine Thomas RN184167 Trishanna Sookdeo, MD 72697 14999 4751 Best Rd College Park GA 30337 7/30/2015
Roper, Christine Thomas RN184167 Nitasha Burney, MD 55931 16140 1685 Old Pendergrass Rd. Jefferson GA 30549 8/31/2015
Rose, Karen R RN 134082 Willian Kriegel, DO 31962 14119 3707 Largent Way Marietta GA 30064 11/13/2015
Roser, Ruth Miriam RN092041 Hugo Ribot, MD 30196 8333 958-A J F Harris Pkwy, Suite 102 Cartersville GA 30120 7/31/2010
Roser, Ruth Miriam RN092041 Suzanne Ferree, MD 47772 8068 1357 Hembree Road, Suite 240 Roswell GA 30076 11/1/2007
Roser, Ruth Miriam RN092041 Andrew Dott, MD 33314 9729 993-D Johnson Ferry Rd, Suite 360 Atlanta GA 30342 3/23/2011
Wednesday, January 13, 2016 Page 126 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ross, Anita Michelle Nugent RN102271 Thomas Mann, MD 37607 2572 118 Norman Dorminy Dr Fitzgerald GA 31750 11/2/2011
Ross, Janet L. RN070037 Thopu, Anuradha 41377 5450 8954 Hospital Drive, Ste 100-C Douglasville GA 30134 5/12/2007
Ross, Janet Lorene RN070037 Anedi Eme-Akwari, MD 55671 8100 2293 Rome Hwy Rockmart GA 30153 6/10/2010
Ross, Susan Horion RN074416 Fredric Flax, MD 17452 2575 12385 Crabapple Road, suite 100 Alpharetta GA 30004 4/1/2015
Rossman, Sandy Davina RN078917 Sylvia Halleck, MD 16356 2576 3955 Harrison Rd, Suite 400 Loganville GA 30052 3/22/2010
Rowell, Elizabeth RN170185 Braverman, Juana MD 31536 10336 2625 Beaver run Rd, Ste B Norcross GA 30071 7/25/2012
Rowell, Michelle Frances RN113302 Chandresh Viradia, MD 53050 2584 100 Jim Mason Court Warner Robins GA 31088 5/3/2013
Rowell-Crane, Nancy Gay RN085782 William Watkins, MD 32076 8583 235 P'tree St NE North Tower, #2100 Atlanta GA 30303 9/1/2014
Rowell-Crane, Nancy Gay RN085782 Michael Manning, MD 33397 2585 2215 Exchange Place SE Conyers GA 30013 3/1/2012
Rowland, Lisa E RN186906 Rajiv Tejura, MD 68804 13009 PO Box 649 Marietta GA 30090 7/18/2014
Rowland, Lisa E. RN186906 William Parrish, MD 47989 8740 204 Allen Memorial Dr, Suite 201 Bremen GA 30110 11/20/2009
Rowland, Lisa E. RN186906 Nitasha Burney, MD 55931 9782 794 S. Park St Carrollton GA 30117 9/29/2014
Rowland, Myriam Hernandez RN213704 Teresa Baysden, DO 57348 9957 531 Duvall Rd Chatsworth GA 30705 7/20/2012
Rowland, Myriam RN213704 Kidwai, Asim MD 64848 10840 531 Duvall Road Chatsworth GA 30705 2/1/2014
Rowland, Lisa RN186906 Okiki Louis, MD 47479 10823 794 S. Park Street Carrollton GA 30117 3/1/2013
Rowland, Lisa E. RN186906 John Pittman, MD 37045 9086 18 Riverbend Dr, Suite 230 Rome GA 30161 2/4/2011
Royal, Shirlene RN077506 Hammond, William MD 19166 10680 357 Cargile Road Ocilla GA 31774 11/23/2012
Royal, Shirlene Daniel RN077506 Charles Ruis, MD 30206 9425 609 1/2 N. Irwin Ave Ocilla GA 31774 3/26/2012
Royal, Shirlene D. RN077506 Oscar H. Salvat, MD 49742 11533 357 Cargile Rd. Ocilla GA 31774 4/10/2013
Royster, Merissa Neshun RN160500 Africa Alvarez-McLeod, MD 35733 13951 1650 County Services Pkwy Marietta GA 30008 10/15/2014
Rubin, Howard RN061915 A. Kenneth Fuller, MD 28165 8346 400 S. Pinetree Blvd Thomasville GA 31792 6/9/2014
Wednesday, January 13, 2016 Page 127 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Rubke, Patricia RN098072 Lewis Litwack, MD 61981 9369 PO Box 554 Ludowici GA 31316 8/26/2011
Rubke, Patricia RN098072 Badea, Calin MD 55918 10060 213 N. McDonald Street, Ste A & B Lucowici GA 31316 11/1/2011
Rubner, Jennifer Kay RN181893 Diane Dunston, MD 29631 14495 675 College Ave Athens GA 30603 8/28/2015
Rudolph, Barbara Baether Reed RN080409 Julia Johnson, MD 56721 9744 310 Eisenhower Dr, Suite 5 Savannah GA 31406 12/31/2011
Ruis-Thompson, Margaret RN223241 Charmaine Wilson, MD 68021 11599 1915 Eisenhower Dr. Savannah GA 31406 4/14/2014
Ruis-Thompson, Margaret RN223241 Manuel Martinez, MD 24757 11162 1915 Eisenhower Dr. Savannah GA 31406 4/14/2014
Ruis-Thompson, Margaret E RN223241 Chrissie Clure, MD 49281 12760 800 E 70th St Savannah GA 31405 4/14/2014
Russe, Deborah RN060846 Love, Michael MD 64856 10365 979 E. 3rd Street, Ste C-520 Chattanooga TN 37403 7/25/2012
Russell, Valerie Marie RN172311 Sumandeep Sangha, MD 56222 8110 20 Francis way, Suite 101 Sharpsburg GA 30277 7/24/2008
Rustin, Corey Dwayne RN241941 Sharon Rabinovitz, MD 46806 14294 141 Piedmont Ave, Ste D Atlanta GA 30303 2/27/2015
Ruth Hayes, Olivia RN113495 Cabeca, Anna DO 42537 10737 2712 Parkwood Drive Brunswick GA 31520 5/1/2014
Rutkowski, Patricia RN217610 Zottoli, Lawrence MD 36639 10109 #4 Medical Arts Savannah GA 31405 8/2/2011
Ryan, Nancy Josephine RN103741 Stephen Carter, II, MD 24659 2603 915 Thornton Road Lithia Springs GA 30122 7/17/2011
Sahatevasukont, Chitchawal RN176776 Jose Cangiano, MD 44182 15227 1 Technology Pkwy South, Ste 1 Norcross GA 30092 8/15/2015
Sahota, Kavinder Kaur RN114039 David Asrael, MD 51291 2606 2464 Roswell Road NE Marietta GA 30062 1/31/2011
Sahota, Kavinder Kaur RN114039 Wallace Duncan, MD 41109 8409 2464 Roswell Road NE Marietta GA 30062 1/31/2011
Sakor, Uvienome RN159225 Cameron, Nadia MD 53982 10030 3311 Hwy 5 Douglasville GA 30135 2/8/2012
Sakor, Uvienome Linda RN159225 Fidias DeLeon, MD 63891 9148 6935 S. Sweetwater Rd Lithia Springs GA 30122 1/31/2011
Sakor, Uvienome Linda RN159225 Phillip Nowlin, MD 36588 8914 4480 South Cobb Drive SE Smyrna GA 30080 5/9/2011
Sakor, Uvienome Linda RN159225 Walter Smith, MD 37078 2607 3498 Walnut Ridge Atlanta GA 30349 8/28/2009
Salami, Modupe RN152612 Taylor, Michelle MD 60104 10347 3073 Panthersville Road Decatur GA 30034 2/20/2012
Wednesday, January 13, 2016 Page 128 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Salter, Robert Christopher RN141751 Mike Ou, MD 53301 2609 1125 East Hwy 166 Bowden GA 30108 2/20/2009
Samuel, Tseday RN172768 Sean Delany, MD 49001 12872 631 Professional Dr Suite 360 Lawrenceville GA 30046 11/19/2013
Samuels, Angella Veronica RN133706 Naresh Parikh, MD 28851 8329 1861 Peeler Road Dunwoody GA 30097 9/13/2012
Samuels, Angella Veronica RN133706 William Lynds, MD 33140 8397 5320 Memorial Drive Stone Mountain GA 30083 1/31/2009
Samuels, Angella V. RN133706 Marie Lightbourne, MD 63059 11500 2356 Lenora Church Rd. Snellville GA 30078 12/13/2013
Sanchez, Victoria Lawrence RN084728 Deronda Person, MD 50079 8920 3208 Alcovy Club Ct. Dacula GA 30019 9/30/2010
Sanchez, Victoria Lawrence RN084728 John Coleman, MD 48498 9520 1720 Peachtree St, Suite 200 Atlanta GA 30309 2/16/2013
Sanchez, Victoria Lawrence RN084728 Kirk-Conrod Hewling, MD 57559 9383 4250 Brownville Rd Powder Springs GA 30127 1/25/2013
Sandak, Patricia Daly RN084392 Mark Oliver, MD 48557 2614 2416 Capstone Court Columbus GA 31904 11/4/2010
Sanders, Amanda Arrants RN185902 David Derrer, MD 54181 13585 1015 Donald Lee Hollowell Atlanta GA 30318 9/22/2014
Sanders, Amanda Arrants RN185902 William Parrish, MD 9905 11733 3001 Mercer Univ Dr, #206 Sheffield Atlanta GA 30341 10/13/2013
Sanders, Rebecca Bailey RN124327 Charles R. Sanders, MD 29087 2617 951 South Broad Street Thomasville GA 31792 11/18/2011
Sanderson, Catherine S RN063813 Julian Hutchins, MD 18677 2618 4150 Washington Rd, Suite 11 Evans GA 30809 3/11/2011
Sandford, Monica Ann RN209939 Michael Carter, MD 34119 15171 1075 Cooper Rd, Ste. 101 Grayson GA 30017 8/1/2015
Sandiford, Janice Elizabeth RN120356 P. Ravi Sarma, MD 18073 9485 1700 Tree Lane, Suite 490 Snellville GA 30078 1/11/2013
Sandiford, Janice Elizabeth RN120356 Stephen Szabo, MD 44850 13775 6300 Hospital Way, Suite 300 Johns Creek GA 30097 4/30/2015
Sanford, Sally RN072580 Donna Gregory, MD 51227 5493 321a North Main Street Adairsville GA 30106 9/15/2013
Sans, Kathryn Olivia RN173666 Roshan Shrestha, MD 56765 8656 1968 Peachtree Rd NW, Bldg 77, 6th Atlanta GA 30309 5/14/2010 floor
Sant' Elia, Nicole R. RN208370 William Boydston, MD 34112 9358 5455 Meridian Mark Rd, Suite 540 Atlanta GA 30342 10/18/2010
Sapp, Jennifer Albritton RN229391 Faheem Nusrat, MD 44043 12669 1008 Atlanta Hwy warrenton GA 30825 4/24/2014
Wednesday, January 13, 2016 Page 129 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Saranthus, Jill Ann Landry RN155923 Barbara C. Biggs, MD 25105 2623 1431 White Circle Marietta GA 30066 5/14/2008
Satterfield, Aimee B. RN155152 John C. Allen, MD 56949 11559 100 Gross Crescent Cr. Fort Oglethorpe GA 30742 11/1/2014
Satterfield, Lena Marie RN228612 Andrew Combs, MD 69569 12051 1430 Suggs St Rossville GA 30741 7/31/2014
Satterfield, Aimee Ballew RN155152 Dustin Russell, MD 66541 11776 4355 Brown's Bridge Rd, Suite 1 Cumming GA 30041 3/24/2013
Saunders, Rosalyn RN135001 Sightler, William DO 34715 10293 195 N. Broad Street Alamo GA 31055 1/9/2012
Savage, Kimberly Anne RN139517 Xavier Moore, MD 55619 13659 1133 Eagles Landing Pkwy Stockbridge GA 30281 9/23/2015
Savage, Kimberly Ann RN139517 Amanda Davis, MD 50152 12054 1133 Eagles Landing Pkwy Stockbridge GA 30281 1/1/2014
Scarborough, Joy Renew RN134148 Habigaile Cribe, MD 50874 2633 903 East Willow Creek Lane McRae GA 31055 4/1/2008
Scarborough, Joy Renew RN134148 Habigaile Cribe, MD 50874 12919 911 Plaza Ave, Suite B Eastman GA 31023 6/12/2015
Schafer, Frances Georgina RN143233 James Lantz, MD 28028 8230 8820 Hospital Drive Douglasville GA 30134 9/27/2008
Schalnat, Kimberly Mohr RN211196 Ram Reddy, MD 24178 9944 1061 Dowdy Rd, Suite 100 Athens GA 30606 1/31/2013
Scharff, Leah Alford RN185001 David Kandzari, MD 64993 12825 275 Collier Rd. Suite 500 Atlanta GA 30309 1/28/2014
Schear, Nancy Kappus RN074058 Robert Williams, MD 58488 8080 1127 Druid Park Avenue Augusta GA 30904 7/15/2008
Schear, Nancy Shelley RN074058 Ralph Marionneaux, MD 47621 2638 465 North Belair Road, Suite 1-C Evans GA 30809 6/29/2008
Scheffer, Steven RN206788 Thomas, Pamella MD 19277 10981 86 South Cobb Drive Marietta GA 30063 4/1/2013
Schempp, Catherine RN184398 Levy, Robyn MD 33625 10555 5555 Peachtree Dunwood Road, Ste Atlanta GA 30342 11/9/2012 340
Schmeier, Laura Jean Blanchard RN102451 Darryl Kaelin, MD 56729 8796 2020 Peachtree Rd NW Atlanta GA 30309 6/1/2011
Schmeier, Laura Jean Blanchard RN102451 Erik Shaw, DO 58012 8794 2020 Peachtree Rd NW Atlanta GA 30309 8/5/2011
Schmeier, Laura Jean Blanchard RN102451 Wallace Duncan, MD 41109 8407 2464 Roswell Road NE Marietta GA 30062 5/8/2012
Schmeier, Laura Jean Blanchard RN102451 David Asrael, MD 51291 2642 2464 Roswell Road NE Marietta GA 30062 5/18/2012
Wednesday, January 13, 2016 Page 130 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Schmidt, Mirel Aline RN184832 Alexander Osowa, MD 57551 9509 3331 Hamilton Mill Rd, Suite 1102 Buford GA 30519 10/24/2013
Schnedl, Anne Marie RN133708 Michael Gardner, MD 56710 5515 63 Jesse Hill Jr, Dr. SE 4th Fl Atlanta GA 30303 1/1/2008
Schneider, Kathy Ann RN129282 Etienne Rodriguez, MD 67979 12218 1168 North Main St, Suite 120 Cedartown GA 30125 10/8/2014
Schnitzeler, Erica Ann RN176656 Sreekanth Reddy, MD 49476 8870 5670 P'tree Dunwoody Rd, Suite 1100 Atlanta GA 30342 12/20/2013
Schornack, Theresa RN136624 Ashley Davis 58161 14537 1111 Bullsboro Rd Newan GA 30265 3/25/2015 RN136627
Schultz, Alicia McCasland RN199188 Kenneth Jones, MD 24000 8316 6325 Shannon Pkwy, Suite D Union City GA 30291 7/24/2009
Schultz, Lindsay RN204214 Ashok Kancharla, MD 48250 10905 132 Franklin Spring Street Royston GA 30662 6/7/2013
Schuyler, Clarice Marie Jones RN046697 Kristi Mulchahey, MD 34209 2650 2550 Windy Hill Road, Suite 115 Marietta GA 30067 10/23/2009
Schwartz, Donna Ruth Minton RN106672 Dewey Hammond, MD 21367 2651 906 South Wall ST Calhoun GA 30701 4/15/2008
Schwartz, Karen Ann Crooke RN123081 Byron Dickerson, MD 36714 2652 500 Medical Ctr Blvd, Suite 290 Lawrenceville GA 30045 3/9/2010
Schwarze, Lois Anne RN149696 Yolanda Hacker, MD 45811 7862 5320 Memorial Drive Stone Mountain GA 30083 11/20/2012
Schwerin, Kay sandra Stevens RN168251 Michael Pinell, MD 58102 12182 10500 Abercorn St, Unit N Savannah GA 31419 6/27/2014
Schwerin, Kay S. RN168251 Christopher L. Wixon, MD 49122 11518 4750 Waters Ave., #500 Savannah GA 31404 7/8/2013
Scott, Denise RN140254 David Asrael, MD 51291 10952 5230 Dallas Hwy Powder Springs GA 30127 4/11/2013
Scott, Suzette Sharlette RN179096 Andrea Hill, MD 51332 13594 517 Great Oaks Dr, Ste 103 Monroe GA 30655 8/1/2014
Scott, Denise RN140254 Wallace Duncan, MD 41109 10951 5230 Dallas Hwy Powder Springs Ga 30127 4/11/2013
Scott, Holly Anna RN167868 Karin Alcantara, MD 43996 2658 2366 Battlefield Parkway Ft Oglethorpe GA 30742 10/1/2008
Scott, Zoe Marie RN172672 Sadiq Sohani, MD 45010 5479 1413 Chattanooga Ave. Dalton GA 30720 6/23/2008
Scott, Kay Suzanne RN113833 Stanley Smith, MD 37696 8422 15 Cavender Street Newnan GA 30263 8/6/2010
Scott, Holly Anna RN167868 Rami Azzouz, MD 50126 8341 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 7/3/2009
Wednesday, January 13, 2016 Page 131 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Scott, Kay S. RN113833 Kay Crosby, MD 30593 5434 15 Cavender Street Newnan GA 30263 10/1/2009
Scully, Carol Joy Wesley RN151311 William Kriegel, DO 31962 2665 3707 Largent Way Marietta GA 30064 6/15/2014
Seaborn, Chelsea Louise McVicar RN192373 Saeid Khansarinia, MD 50649 11994 95 Collier Rd, Suite 5015 Atlanta GA 30309 5/23/2013
Seagraves, Kendra Keenan RN176789 William Richards, MD 67939 14620 5353 Reynolds St, Ste 200 Savannah GA 31405 3/24/2015
Searcy, Danny Frank RN179255 Charles Cha, MD 49531 2669 15 Medical Drive Cartersville GA 30121 9/28/2013
Searcy, Ann-Maxwell RN153721 Andre Schoeffler, MD 39463 12573 294 Hwy 515 West, Unit L Blairsville GA 30512 11/22/2013
Searcy, Ann-Maxwell RN153721 Dillon D. Miller, MD 67508 11508 101 Riverstone Vista, Ste 111 Blue Ridge GA 30513 2/1/2013
Sebastian, Vini RN186436 Kenneth Patric Jr. MD 69243 14783 400 Peachtree Industrial Blvd Suwanee GA 30024-6989 3/6/2015
Segovia Ruiz, Oscar RN185083 Anandamadhuri Chunduri, 64911 15683 1650 County Services Parkway SW Marietta GA 30008-4010 6/12/2015 MD
Sells, Katie RN172738 Johnson, Traci MD 47723 10337 1700 Tree Lane, Ste 290 Snellville GA 30078 7/25/2012
Seltenright, Joan Lee Oliver RN119115 Christopher Wizner, MD 37734 7780 4250 Brownsville Rd Powder Springs GA 30127 12/1/2011
Seltenright, Joan Lee Oliver RN119115 Glenn Bloom, MD 64512 13985 235 Peachtree St NE, North Tower, Atlanta GA 30303 12/31/2014 Suite 2100
Senior-Crosby, Diana R. RN155684 Thomas Wayne Bloodworth, 18124 7900 101 Cleburne Pkwy Hiram GA 30141 1/1/2015 MD
Shaeri, Anahita RN229663 Michael Baron, DO 33273 15156 1505 Lilburn Stone Mountain Rd., Ste Stone Mountail GA 30087 6/30/2015 100
Shaffer, Barbara J Reeves RN069901 Mohan Papudesu, MD 29063 2681 610 Ferncrest Drive Sandersville GA 31082 1/1/2008
Shaffer, Nicole Michelle RN202000 Devesh Patel, MD 54171 12561 820 St Sebastian Way, Suite 8-A Augusta GA 30901 8/30/2014
Shah, Payal N. RN181347 Ronnie Hendrix, MD 24690 12878 4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville GA 30044 2/12/2014
Shah, Tracy Elaine RN105323 David Stahura, DO 60615 12443 2140 Peachtree Rd NW, Suite 232 Atlanta GA 30309 3/27/2014
Shanaman, Rachel Anne RN160537 Curtis Clark, DO 47068 8674 610 19th Street Columbus GA 31901 9/1/2013
Wednesday, January 13, 2016 Page 132 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Sharova, Yelena RN204969 Noreen Andrews, MD 46861 9634 3720 South Rockbridge Rd Stone Mountain GA 30087 10/4/2011
Shaver, Eugenia Faith RN185137 Brant Holt, MD 54393 11778 102 Erlanger South Dr Ringgold GA 30736 2/20/2014
Shaver, Eugenia Faith RN185137 Joseph Watlington, MD 25685 13036 102 Erlanger South Dr Ringgold GA 30736 4/1/2014
Shaw, Pamela G RN070808 Anthony Dougherty, MD 30452 692 3000 Schatulga Road Columbus GA 31907 6/27/2012
Shaw, Pamela G. RN070808 Brett N. Murphy-Dawson, 54080 11410 2100 Comer Ave. Columbus GA 31914 3/5/2015 MD
Shaw McMillan, Lauren RN184339 Appel, Larry MD 58568 9998 4700 Waters Ave Savannah ga 31404 8/2/2011
Shaw McMillan, Lauren RN184339 Gard, Dwayne MD 60731 10634 4700 Waters Avenue Savannah GA 31404 9/1/2012
Shaw McMillan, Lauren RN184339 John Gerguis, MD 47085 11055 115 Gillikin St. Twin City GA 30471 11/2/2012
Shedd, Cheryl RN037691 Flynn,Timothy MD 41795 10259 3931 Mundy Mill Road, Ste A Oakwood GA 30566 8/13/2012
Shedd, Cheryl Evans RN037691 Meena Shah, MD 21464 8828 475 Philip Blvd, Suite 100 Lawrenceville GA 30045 12/30/2010
Sheehan-Lowery, Eileen Mary RN214409 Gary Smith, MD 10666 14092 6120 Alabama Hwy Ringgold GA 30736 4/10/2015
Sheffield, Dian Thornton RN055630 Raulnina Uzzle, MD 43499 2690 2140 Peachtree Rd, Suite 232 Atlanta GA 30309 4/30/2013
Sheffield, Dian RN055630 Lalita Swaminathan, MD 55709 14645 3073 Panthersville Rd Decatur GA 30034 2/28/2015
Shelton, Amanda J. Barton RN097650 Eddie R. Cheeks, MD 21661 5334 2803 Wrightsboro Road, Ste 45 Augusta GA 30909 10/31/2011
Shepherd, Sharon Lesley RN121520 Alan Keh Cu Chiam, MD 42554 10969 1188 Ralph David Abernathy Blvd Atlanta GA 30294 3/25/2014
Shepherd, Shannon Elizabeth RN149693 Arnold Gaskin, MD 36382 8744 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Sherman, Carmen Judith Ramirez RN113226 Jeffrey Durmer, MD 52711 2698 4245 John's Creek Pkwy, Suite A Suwanee GA 30024 10/31/2014
Sherman, Penny RN140155 English, Eden MD 52432 10839 120 Barnet Drive Milledgeville GA 31061 2/1/2014
Sherrod, Amy Elizabeth RN172913 Karen Wasilewski, MD 53203 8929 5455 Meridian Mark Rd, Suite 400 Atlanta GA 30342 1/20/2012
Shields, Allison Baker Thomas RN156421 Harold Carlson, MD 27508 8384 275 Collier Road, Suite 300 Atlanta GA 30309 3/3/2014
Wednesday, January 13, 2016 Page 133 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Shilling, Dellarie Lane RN069911 William F. Kent, MD 10585 2701 1497 Fair Road, Ste 300 Statesboro GA 30458 11/4/2011
Shingles, Vernendia Anne RN145300 Marsha Pierdinock, MD 36846 2702 1009 N. Monroe St., Ste 102 Albany GA 31701 9/5/2009
Shirley, Brian B. RN137551 S. M. Abu Zaheed Hassan, 48783 8638 1220 George C. Wilson Drive Augusta GA 30909 4/1/2013 MD
Shirley, Brian Bates RN137551 Charles Hughes, MD 63471 11905 1120 15th St, BP-4109 Augusta GA 30912 6/30/2015
Shiver, Janice E RN089259 Eduard Docu, MD 56426 2703 1302 Drayton St Savannah GA 31401 3/23/2013
Shiver, Kristi Renee RN177287 Micah Tepper, MD 57687 9741 1700 Hospital South Dr, Suite 302 Austell GA 30106 12/28/2011
Shiver, Kristi Renee RN177287 Robert Warner, MD 28099 8801 1700 Hospital South Dr, Suite 302 Austell GA 30106 1/1/2011
Shiver, Janice E RN089259 Athena Sotus-Nawar, MD 31512 12084 1915 Eisenhower Dr Savannah GA 31406 9/15/2014
Shockley, Naiomi Michelle RN159492 Harvey Danits, MD 15242 3348 1000 Corporate Center Drive, Suite 220 Morrow GA 30260 4/1/2015
Shoemaker, Kathryn Goles RN075946 Henry Watson, MD 25399 8493 3146 Chamblee Dunwoody Rd, #103 Chamblee GA 30341 8/12/2009
Shore, Karen Elizabeth RN148855 Nadia Cameron, MD 53982 11852 961 Green St NE Gainesville GA 30501 8/3/2013
Shouse, Karen Lee RN143928 James Foster, MD 41556 9058 1515 Pope Ave Augusta GA 30912 6/13/2014
Shrader, Shanda RN246981 Venkateswara Dikkala, MD 48226 15942 2775 Cruse Rd, Ste 1801 Lawrenceville GA 30044 9/30/2015
Shropshire, Ali RN196656 Bohlke, William MD 37490 10429 9945 US Hwy 301 S Statesboro GA 30458 4/16/2014
Shropshire, Ali Michelle RN196656 Brian DeLoach, MD 51216 9856 Bldg 0404, Forest Dr Statesboro GA 30460-8043 7/15/2014
Shroth, Michael RN161177 Captain, Anthony MD 39300 10661 775 West Avenue, Ste B Cartersville GA 30120 8/7/2012
Shroth, Jr., Michael Gene RN161177 Marc Berger, MD 66567 13980 10152 Blue Ridge Dr. Blue Ridge GA 30513 7/13/2015
Shuler, Cynthia Ann RN123324 Ian Hamilton, Jr, MD 47329 2708 1109 Burleyson Road, Suite 202 Dalton GA 30720 2/3/2014
Shuler, Linda RN111878 Hefner, Jason MD 61444 10896 420 Lavender Drive Rome GA 30161 5/28/2013
Wednesday, January 13, 2016 Page 134 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Shuler, Linda J. RN111878 John Price, DO 55274 8886 462 Lavender Dr NW Rome GA 30165 6/1/2011
Shuler, Linda RN111878 Chastain, William MD 65091 10515 400 Timms Rd NE Calhoun GA 30701 7/23/2012
Shuler, Linda J RN111878 Amar Singh, MD 52227 12112 550 Redmond Rd Rome GA 30165 1/3/2014
Shuler, Cynthia Ann RN123324 Christopher Abbot, MD 58127 8107 1109 Burleyson Rd, Suite 202 Dalton GA 30720 8/13/2008
Shuler, Linda RN111878 Raymond McKoy, DO 44536 14842 2510 Redmond Circle Rome GA 30165 4/9/2015
Shuman, Sherry Gilleland RN107256 William G. Raisig, MD 55290 2711 64 Call Wright Road Ellijay GA 30540 4/20/2009
Shuman, Sherry Gilleland RN107256 George Galloway, MD 13275 9294 526 Maddox Dr, Suite 101 Ellijay GA 30540 12/1/2011
Shuman, Sherry Gilleland RN107256 Cynthia Libert, MD 59457 9624 63 Pleasant Hill Rd Blairsville GA 30512 2/9/2012
Shumate, Jr, Donald H RN175443 Hope McDaniel-Desarmes, 59287 12036 1328 Joe Frank Harris Pkwy Cartersville GA 30120 2/1/2015 MD
Shumate, Jr., Donald H. RN175443 Thomas A. Self, MD 21587 11570 1825 Martha Berry Bl Rome GA 30165 4/23/2013
Shumate, Jr., Donald RN175443 Theron Thompson, MD 51772 10095 1825 Martha Berry Blvd Rome GA 30165 6/19/2012
Shumate, Jr., Donald RN175443 Kenneth Howard, MD 40412 10938 1825 Martha Berry Blvd Rome GA 30165 12/7/2012
Shupe, Leah Clark RN214000 George Fallieras, MD 72531 14163 3193 Howell Mill Rd Atlanta GA 30327 7/28/2015
Siddle, Jennifer Elizabeth RN178422 Shveta Raju, MD 66052 12796 475 Philip Blvd, Suite 100 Lawrenceville GA 30046 2/9/2014
Siddle, Jennifer Elizabeth RN178422 Philip Henderson, MD 47601 12217 2696 Lawrenceville-Suwanee Rd Suwanee GA 30024 12/6/2013
Siefferman, Patricia Anne Thomas RN027377 William A. Mills, MD 50901 2714 12192 Augusta Road Lavonia GA 30553 5/18/2007
Simcox, Jordan RN177691 Shameka McElhaney, MD 54854 15893 1605 Roberta Dr Marietta GA 30008 12/22/2015
Simmons, Jennilyn Alexis RN235628 Lavon Thurman, Jr, MD 19791 13018 1200 Og Skinner Dr. West Point GA 31833 10/21/2014
Simmons, Jennilyn Alexis RN235628 Deborah Honeycutt, MD 38633 13683 2000 Clayton State Blvd., Bldg 1000 Morrow GA 30260 1/13/2015
Simmons, Carol RN069115 Mendez, Traceyan MD 57831 10287 215 N. Coleman Street Swainsboro GA 30401 10/31/2014
Wednesday, January 13, 2016 Page 135 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Simmons, Carol Collins RN069115 Muhammad Jamal, MD 58255 2719 452 Second Street Soperton GA 30457 10/31/2011
Simmons, Eleanor Dodd Kilroy RN077580 Paul Bradley, MD 30016 2720 340 Eisenhower Drive, Suite 1200 Savannah GA 31406 5/1/2012
Simmons, Pamela RN188913 Jeffrey Haller 55826 11070 104 Prominence Point Pkwy, Ste 104 Canton GA 30114 2/1/2014
Simon, Patricia Ann RN115640 William Sightler, DO 34715 11094 Riverbend Corr Fac - 196 Laying Farm Milledgeville GA 31061 2/15/2013 Rd
Simone, Katherine Elizabeth L'Estra RN140232 AnnMarie Stokes, MD 63963 12828 4356 Communications Dr Norcross GA 30093 11/30/2014
Simone, Katherine Elizabeth L' Estr RN140232 John Gerguis, MD 47085 14713 4356 Communications Dr Norcross GA 30093 2/1/2015
Simpson, William Andrew RN203796 Gayoung Hong, MD 67467 13196 13570 N. Main St Trenton GA 30752 7/25/2015
Simpson, Connie Lynn RN085039 Joseph Biuso, MD 28726 8457 330 Turner McCall Blvd, Suite 203 Rome GA 30165 2/12/2009
Simpson, Utopia Teresa RN141041 Vitaliy Gavrikov, MD 61430 11198 5422 Hwy 20 Sugar Hill GA 30518 3/1/2013
Simpson, Connie Lynn RN085039 Ann Ward, MD 23242 7730 304 Turner McCall Blvd Rome GA 30165 10/1/2008
Simpson, Melissa Ann RN172839 Jon Stauffer, MD 47950 8568 301 W. Hansell St Thomasville GA 31792 2/21/2013
Sims, John Winfield RN153608 Chuck Clopton, MD 43019 8681 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Sims, John Winfield RN153608 Martha Schuh, MD 37488 7885 1275 Hwy 54 West, Suite 200 Fayetteville GA 30214 5/1/2009
Sims, Lisa Nicole RN155250 Bhat Mohan, MD 19407 7897 6507 Professional Place Riverdale GA 30274 9/10/2010
Sims, Lisa Nicole RN155250 Charles Hitson, MD 26554 9455 231 Graefe St Griffin GA 30223 3/2/2014
Sims, Melanie RN176715 Narayan, Nalini MD 44287 10320 119 Ambulance Drive Carrollton GA 30116 10/1/2013
Sims, Christy Little RN057867 Harold Katner, MD 28021 2727 135 Macon West Drive Macon GA 31201 3/26/2013
Sinclair, Joann Sams RN075214 Sandhya Ramayya, MD 56469 2729 5398 Thomaston Road Macon GA 31220 3/26/2015
Sinclair, Kayon Ayton RN179410 Mitzi Rubin, MD 49592 12367 3939 Roswell Rd, Suite 200 Marietta GA 30062 10/27/2013
Sineath, Dana Thorneburg RN177668 Sandra Kae Bohnstengel, MD 38692 2730 391 South 1st Street Jesup GA 31545 3/5/2008
Wednesday, January 13, 2016 Page 136 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Sineath, Dana Thorneburg RN177668 Loy Cowart, III, MD 37979 8099 601 South Main Street Glennville GA 30427 6/30/2008
Singer, Margaret Leigh RN139651 Tod Bethea, MD 42016 8162 536 Hwy 441 South Clayton GA 30525 9/23/2011
Singer, Virginia Mae RN149692 Randy Warner, MD 53905 9757 690 Dallas Hwy, Suite 201 Villa Rica GA 30180 10/13/2011
Singh, Kelli Leigh RN134406 H. Paul LeBlanc, MD 24012 8235 109 Hospital Drive Calhoun GA 30701 9/15/2009
Singletary, Decca RN241413 Tarak Patel, MD 66394 14925 1224 Augusta West Parkway Augusta GA 30909 6/19/2015
Singleton, Judy Fay Keener RN091620 Joseph Biuso, MD 28726 8904 330 Turner McCall Blvd Rome GA 30165 11/30/2010
Singleton, Cynthia Lynn RN109487 Albert Lintel, MD 28595 8844 775 West Ave, Suite A Cartersville GA 30120 1/31/2013
Singleton, Cynthia Lynn RN109487 William Asbury, MD 52139 7758 775 West Avenue, Suite A Cartersville GA 30120 2/21/2009
Singleton, Leslie Anne RN169712 Dmitriy Pelishev, DO 62154 8791 65 Old Jackson Rd McDonough GA 30252 7/1/2011
Singleton, Judy Fay Keener RN091620 Jay Thomas, MD 47997 9575 5764 New Calhoun Hwy NE Shannon GA 30172 12/31/2010
Sisk, Carrie RN144549 Murphey, James MD 64161 10342 2578 Helen Hwy Cleveland GA 30528 2/22/2015
Sissom, Kasey Nicole RN185647 Thomas Mullin, MD 39882 12062 126 Sequoyan Trail Ringgold GA 30736 5/9/2014
Slagle, Kathleen RN149527 Bernard Maria, MD 62741 10518 1440 Harpo Street Augusta GA 30912 7/1/2014
Small, Amanda Leigh RN199065 Milaniera Latorre, MD 38032 14106 643 Main Street Palmetto GA 30268 12/6/2014
Small, Amanda Leigh RN199065 Kim Jelks, MD 29123 12237 51 Gay Connector Greenville GA 30222 10/1/2014
Small, Amanda RN199065 Burke, Charles MD 58876 10826 1008 North 3rd Avenue Chatswworth GA 30705 1/21/2013
Small, Amanda RN199065 Joseph DeVeau, MD 52706 11111 101 Yorktown Dr., Ste 110 Fayetteville GA 30214 12/1/2014
Small, Amanda Leigh RN199065 Guillermo Pena, MD 59493 11812 75 By-pass Rd Morgonton GA 30560 3/29/2013
Smeltzer, Melissa 127602 Gary Smith, MD 10666 14527 6120 Alabama Hwy Ringgold GA 30736 4/9/2014
Smillie, Anna Katharine RN103800 Micheal Gardner, MD 56710 5516 69 Jesse Hill Jr. Dr. SE Atlanta GA 30303 1/1/2008
Smillie, Anna Katharine RN103800 Michael Lindsay, MD 27602 8141 69 Jesse Hill Jr Drive SE, 4th Floor Atlanta GA 30303 10/31/2014
Wednesday, January 13, 2016 Page 137 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Smith, Amy Denise Ellsworth RN156014 Beverly Hyacinth, MD 57003 892 2670 Cobb Pkwy SE Smyrna GA 30080 1/12/2011
Smith, Beverly Blige RN118154 Hubert Smith, MD 18745 2750 412 Northside Dr East, Suite 200 Statesboro GA 30458 3/20/2013
Smith, Daniel Joe RN113417 Wayne Williams, MD 25070 2756 616 19th Street Columbus GA 31901 11/28/2007
Smith, Daniel Joe RN113417 Gloria Kayfan, DO 48431 9059 PO Box 1908 Albany GA 31701 7/16/2010
Smith, Lynne Elise DeBelly RN060915 Shawn West, MD 52495 8218 907 E. 18th Street, Ssuite 400 Tifton GA 31794 6/15/2009
Smith, Melissa Faye RN237608 Susan Queen, MD 23496 13417 3000 Schatulga Rd Columbus GA 31907 6/30/2014
Smith, Lynne RN060915 Addington, Tony MD 52526 10863 39 Kent Road, Ste 5 Tifton GA 31794 8/3/2012
Smith, James Craig RN124380 John Souza, MD 39475 9153 PO Box 16100 Dublin GA 31040 9/6/2011
Smith, Marjorie Jordan RN192533 Nandara R. Reddy, MD 55641 11560 4415 Front Nine Dr., #700 Cumming GA 30041 1/24/2014
Smith, Marjorie Jordan RN192533 Meena Shah, MD 21464 9217 475 Philip Blvd, Suite 100 Lawrenceville GA 30045 12/25/2012
Smith, Marjorie Jordan RN192533 Michael Fortson, MD 35051 8192 1058 Bear Creek Blvd Hampton GA 30228 8/15/2008
Smith, Marjorie Jordan RN192533 Fred Hood, MD 45071 8256 65 Old Jackson Rd McDonough GA 30252 3/28/2009
Smith, Mary Elizabeth RN178265 Vicki Morgan, MD 25645 9420 980 Hwy 29 South Lawrenceville GA 30045 8/1/2013
Smith, Mary Katherine RN133916 Asit Jha, MD 55248 2773 1706 Alice Street Waycross GA 31501 1/16/2010
Smith, LaTanya RN189368 Bhumiben S. Purohit, MD 58812 11545 1890 Manor View Cumming GA 30041 5/23/2013
Smith, Janet Lynn Campbell RN057008 Dauda Griffin, MD 57468 13968 934 Briarcliff Rd, NE Atlanta GA 30306 6/26/2015
Smith, Nancy RN051699 Rhodes, Melissa MD 47060 10096 21 Pointe North Drive Cartersville GA 30120 9/10/2013
Smith, Cassie H. RN195210 Farid Qazi, MD 35737 11142 207 Fairview Park Dr. Dublin GA 31021 4/29/2013 RN195210
Smith, Nancy Willis RN051699 William Early, MD 20694 9141 320 Hospital Road Canton GA 30114 6/1/2011
Smith, Anne L. RN082793 Rhonda E. Colombo, MD 54985 11448 1120 15th St. Augusta GA 30912 1/20/2015
Wednesday, January 13, 2016 Page 138 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Smith, Nicole RN156452 Grizzard, Stewart MD 43947 10269 136 w. Dykes Street Cochran GA 31014 6/22/2015
Smith, Patricia Lynn RN117533 Ambrous Findley, Jr., DO 28267 2777 331 Ridgecrest Cr. Clayton GA 30525 4/21/2015
Smith, Susan Rice RN059221 Dave Ringer, MD 30368 9373 803 South Main St Greensboro GA 30642 9/15/2012
Smith, Tara Newman RN128471 Marvyn Cohen, MD 11213 7807 500 18th St, Suite B-20 Columbus GA 31901 11/15/2013
Smith, Ellen Gray RN115453 Umbreen Lodi, MD 45284 2759 82 Jesse Hill Drive Atlanta GA 30303 9/24/2015
Smith, Jamie A. RN184094 Gwendolyn V. Morgan, MD 24040 11550 502 Sumter St., #C Montezuma GA 31063 7/25/2013
Smith, Kathryn RN081837 Mendez, Traceyan MD 57831 10652 215 North Coleman Street Swainsboro GA 30401 10/31/2014
Smith, Daniel Joe RN113417 Sambasivam Suthan, MD 59773 8122 502-G South Lee Street Americus GA 31709 7/8/2008
Smith, Janet Lynn Campbell RN057008 Jan Mayfield, MD 51355 8757 49 Hosiery Mill Rd, Suite 124 Dallas GA 30157 1/31/2011
Smith, Janet Lynn Campbell RN057008 Shameka McElhaney, MD 54854 2764 5230 Dallas Hwy SW Powder Springs GA 30127 10/17/2009
Smith, Janet Lynn Campbell RN057008 Andre McShan, MD 54869 9627 5 Barber Industrial Court Villa Rica GA 30180 11/30/2011
Smith, Jennifer Martinez RN102046 Pablo Balboa-Marciack, MD 55409 9481 100 Hospital Court Calhoun GA 30701 1/6/2013
Smith, Jennifer Martinez RN102046 Larisa Bradford, MD 57050 8242 906 South Wall Street Calhoun GA 30701 9/14/2009
Smith, Jessica RN188916 Palmer, George MD 30658 10712 1012 Bermuda Run Road Statesboro GA 30458 9/30/2013
Smith, Janet RN057008 Charles-Pryce, Pamella MD 58155 10469 2800 Overlook Pkwy Atlanta GA 30339 6/15/2013
Smith, Julie Ann RN154964 Curtis Sorensen, MD 39947 9839 100 Brookstone Center Pkwy Columbus GA 31904 8/15/2014
Smith, Allison Bernice Reeves RN089788 T. Dennis Sullivan, MD 15512 8571 3795 Mansell Road Alpharetta GA 30022 9/16/2014
Smith, Kathryn RN081837 Maruyama, Hiromi MD 60744 10286 222 S. Main Street Reidsville GA 30453 4/20/2012
Smith, Kathryn Anne Edenfield RN081837 Muhammad Jamal, MD 58255 2769 154 S. Leroy Street Metter GA 30439 10/31/2011
Smith, Kristina Marie RN160488 John Demicco, MD 16855 8512 11700 Mercy Blvd, Plaza D, #1-A Savannah GA 31419 4/8/2010
Smith, Kristina Marie RN160488 Paul Bradley, MD 30016 9089 315 Eisenhower Drive Savannah GA 31406 6/11/2012
Wednesday, January 13, 2016 Page 139 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Smith, Kristine Marie RN157400 Michael Rogers, MD 46482 9834 401 Walton Way Augusta GA 30901 2/17/2011
Smith, Kristine Marie RN157400 Peter Allotey, MD 45693 9693 2660 Montpelier Ave Macon GA 31204 4/20/2012
Smith, Lynne D. RN060915 Clyde Granville Simmons, MD 17301 8676 907 East 18th St, Suite 400 Tifton GA 31794 6/8/2012
Smith, Lynne D. RN060915 Clyde Cranville Simmons, MD 17301 2771 907 E. 18th Street Tifton GA 31794 4/28/2008
Smith, Jessica RN188916 Martin, Garland MD 47233 10044 23 Tippins Street Baxley GA 31513 1/24/2012
Smith, Alicia Louise RN192262 Rajeshkumar Miniyar, MD 51597 8639 140 Three Rivers Drive Rome GA 30161 7/31/2013
Smith, Nancy Willis RN051699 Jeffrey Haller, MD 55826 12744 104 Prominence Point Pkwy, Suite 104 Canton GA 30114 7/13/2015
Smith, Rebecca RN045397 Salvador Ramos-Camacho, 69937 12383 298 US Hwy 520 Cusseta GA 31805 12/31/2014 MD
Smith, Chrystal Dawn RN172144 Johnson, Miles MD 38817 10637 3001 S. Cobb Dr #103 Smyrna GA 30080 2/4/2014
Smith, James Craig RN124380 Eugene Jackson, MD 22793 9714 151 S. Houston Lake Rd, Suite 190 Warner Robins GA 31088 2/6/2015
Smith, Wanda Gail Hollis RN038139 Douglas LaSuer, MD 61474 9069 105 E. Tollison St Baxley GA 31513 9/1/2011
Smith, Wanda RN038139 Martin, Garland MD 47233 10657 23 Tippins Street Baxley GA 31513 5/10/2012
Smith, Kristin RN247583 Jeffery Brewster, MD 52896 15772 710 Center St Columbus GA 31901 8/17/2015
Smith, Nicole RN156452 Micheal Nulph, MD 57735 16096 1027 Highway 247 South Kathleen GA 31047 9/14/2015
Smith-Vaughn, Melissa RN206506 Roger Brooksbank, MD 68120 11275 501 Redmond Road Rome GA 30165 10/31/2012
Smith-Vaughn, Melissa RN206506 Marshall, John MD 45877 10517 1200 Memorial Drive Emer Dept Dalton GA 30720 10/31/2012
Smith-Vaughn, Melissa RN206506 Perlaky, Steven MD 41639 10169 100 Gross Crescent Circle Ft. Oglethorpe GA 30742 8/18/2012
Sneed, Holly RN169913 Kavtaradze, David MD 51148 10955 1008 7th Street North Cordele GA 31015 3/11/2015
Snider, Teresa Gale Oldham RN073598 Julia Wilson, MD 56787 9046 3740 Cascade Rd Atlanta GA 30331 6/19/2013
Wednesday, January 13, 2016 Page 140 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Snow, Kimberly Sheree Tucker RN133811 Daniel J. Messcher, MD 48443 2797 Fairburn Stud Hlth Ctr/North Oak Valdosta GA 31698 3/21/2009 Street
Snow, Kimberly Sheree Tucker RN133811 Jonathan Parrott, MD 36246 8285 2501 N Patterson Street Valdosta GA 31602 4/26/2009
Snuggs, Barbora Cerny RN124381 David Warren, MD 32492 5350 150 Gentilly Blvd Cartersville GA 30120 11/12/2010
Snyder, Tomoko RN191842 Michael Duke, MD 42041 9476 120 Barnet Dr Milledgeville GA 31061 1/13/2012
Snyder, Tomoko RN191842 Andre Lewis, MD 40457 9146 511 Masters Circle Dublin GA 31021 8/30/2010
Snyder, Ann Marie McGuire RN127019 Paul Johnson, MD 46132 2798 PO Box 422002 Atlanta GA 30342 6/28/2015
Sobolik, Kim Elise Wakely RN138753 Janice Galleshaw, MD 33906 2801 3330 Preston Ridge Rd, Suite 110 Alpharetta GA 30005 9/25/2014
Soehnlein, Regina Louise RN111832 Valens Plummer, MD 49496 7761 7530 Roswell Rd Atlanta GA 30350 7/25/2011
Soltwisch, Meagan RN215505 Mecca, Andrew MD 36574 10097 5612 Whitesville Road Columbus GA 31904 1/31/2012
Sommers, Tanya RN080808 Stetler, Harrison MD 41681 10790 3957 Holcomb Bridge Rd Ste 100 Norcross GA 30092 2/1/2013
Sone, Gladys Epote RN176209 Donald Evans, MD 9810 13135 78 Opal St Cartersville GA 30120 5/19/2015
Songer, Betty Jo RN063963 Gaston Moran-Celayes, MD 64675 11937 618 East Lamar St Americus GA 31709 9/6/2013
Songer, Betty Jo RN063963 B. Bret Law, MD 46879 2804 131 E. 6th Ave Buena Vista GA 31803 7/31/2011
Sorace, Breanna Leigh RN183659 Christopher Atkins, MD 45708 12635 1266 Hwy 515 South, Emer Dept Jasper GA 30143 6/29/2015
Sorapuru, Anjenette RN218352 Sendhil Subramanian, MD 49107 13827 1000 Johnson Ferry Rd Ste B155 Marietta GA 30068 9/20/2014
Sostre, Maria Rosa RN124958 Jacob Varghese, MD 56933 8391 3003 Old Alabama Road Alpharetta GA 30022 8/24/2012
Sparks, Tony Lewis RN107315 Patricia Tygrett, DO 32319 9815 2712 Hwy 411 SE Fairmount GA 31039 6/15/2011
Sparti, Frances Lillian RN065096 Michael Gervasi, DO 44923 2811 75 Bypass Road, Box 540 Morganton GA 30560 10/4/2007
Spearman, Amy Louise Erickson RN154322 Kevin F. Smith, MD 41961 2814 1000 Chastain Rd., Hse 52, #5200 Kennesaw GA 30144 9/30/2009
Spearman, Amy Louise Erickson RN154322 Kathleen Gunchick, MD 28760 8945 1000 Chastain Rd, House 52, #5200 Kennesaw GA 30144 7/31/2012
Wednesday, January 13, 2016 Page 141 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Speights, Charlanna RN243415 Randolph Sumner, MD 28323 14780 1825 Martha Berry Blvd Rome GA 30165 9/2/2015 RN243415
Spencer, Valerie Shani RN210299 Mohamed Elhassan, MD 72970 14912 5398 Thomaston Rd, Ste B Macon GA 31220 11/25/2015
Spikes, LaDonna Lorraine RN149993 John Arnett, MD 38423 13508 200 Doctors Dr, Ste 106 Douglas GA 31533 9/11/2015
Spikes, Ladonna Lorraine RN149993 Jonathan Wade, DO 66666 13243 204 East 15th St Alma GA 31510 5/31/2014 RN149993
Spinks, Katherine Renee RN157974 P. Ravi Sarma, MD 18073 3265 1700 Tree Lane Ste 490 Snellville GA 30078 9/30/2008
Spires, Kimberly Warren RN145338 Carmine Oddis, MD 51072 9267 682 Hemlock St, Suite 490 Macon GA 31201 2/5/2014
Springman, Courtney RN167104 Tamara New, MD 58712 10780 5455 Meridian Mark Road, Ste 400 Atlanta GA 30342 7/31/2013
Springman, Courtney Louise RN167104 Paul Kirshbom, MD 51593 8978 1405 Clifton rd Atlanta GA 30322 7/12/2012
Sprout, Amanda Marie RN162398 Rembert Andrew Williams, 28105 9590 710 Center St, Emer Dept Columbus GA 31901 8/1/2013 MD
Spurr, Melissa Marie RN070342 Alfred Brannen, MD 30584 2829 818 St. Sebastian Way Augusta GA 30901 9/20/2012
Spurr, Melissa M. RN070342 Donald H. Loebl, Jr., MD 62136 11592 1238D'Antignac St. Augusta GA 30901 4/1/2013
Stafford, John David RN169872 Timothy Whitaker, MD 54697 8482 2855 Old Hwy 5, Suite 109 Blue Ridge GA 30513 8/20/2012
Staines, Kelly Lochridge RN117738 Allen Beecham, DO 25102 14391 2000 Village Professional Dr, Ste 200 Canton GA 30114 3/22/2015
Staines, Kelly Lochridge RN117738 Phillip Nowlin, MD 36588 12339 3384 Peachtree St NE, Suite 700 Atlanta GA 30326 10/26/2013
Staines, Kelly Lochridge RN117738 Cynthia Brown, MD 49876 2832 400 Timms Road Calhoun GA 30701 1/31/2012
Stallings, Judith Anna RN146014 Federico Milla, MD 69356 12829 95 Collier Road Suite 5015 Atlanta GA 30309 2/12/2015
Stallings, Judith RN146014 Daniel Holtz, MD 62891 15087 4550 Cobb Parkway N W, Ste 309 B Acworth GA 30101 9/18/2015
Stamper, Michael Scott RN113457 Ralph Marionneaux, MD 47621 8082 465 North Belair Road, Suite 1-C Evans GA 30809 9/3/2009
Stamper, Michael Scott RN113457 James Millen, MD 30834 8718 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Wednesday, January 13, 2016 Page 142 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Stamps, Tracy Elaine RN105323 Divina Dyer, MD 57161 2835 3740 Cascade Road Atlanta GA 30331 4/5/2010
Standiford, Christen RN175956 Gard, Dwayne MD 60731 10614 4700 Waters Avenue Savannah GA 31404 11/5/2013
Standiford, Christen Faith RN175956 Larry Appel, MD 58568 9541 4700 Waters Ave Savannah GA 31404 2/20/2012
RN117053 Franklin Von Hack, MD 39501 9286 861 Holcomb Bridge Rd Roswell GA 30076 3/12/2011
RN117053 Frederick Sengstacke, II, MD 42937 2840 861 Holcomb Bridge Rd, Suite 200 Roswell GA 30076 6/7/2010
Stark, Suzanne RN066998 Nagma Lott, MD 60504 12382 107 Main St Plains GA 31780 11/30/2014
Stark, Suzanne RN066998 Alluri Raju, MD 22626 2843 650 Alston Street Richland GA 31825 4/8/2013
Stark, Suzanne RN066998 Gaston Moran-Celayes, MD 64675 12986 618 Est Lamar St Americus GA 31709 1/1/2014
Stark, Suzanne RN066998 Shelley Samuel, MD 57248 11935 148 East Peacock St Cochran GA 31014 10/1/2013
Starnes, Maureen E. RN159717 Nicolas Krawiecki, MD 22804 2844 2015 Uppergate Drive Atlanta GA 30322 8/21/2009
Starrett, Laura Lynn Collins RN093153 Julian Sharpton, MD 17084 2846 1850 Hwy 145 Carnesville GA 30521 8/31/2014
Statham, Annie Denise RN111226 Michael Busman, MD 40628 12981 800 GA SW State Univ Dr Americus GA 31709 7/1/2015
Steding, Dawnelle Shaw RN187046 John Coleman, MD 48498 8987 1720 Peachtree St, Suite 200 Atlanta GA 30309 1/28/2013
Steding, Dawnelle S. RN187046 Susan Wheatley, MD 31357 11632 6385 McGinnis Ferry Rd., #202 Johns Creek GA 30005 12/13/2013
Steele, Katherine Long RN064448 Eric Gibney, MD 61884 11755 1968 Peachtree Rd N,W Bldg 77, 5th Atlanta GA 30309 2/10/2014 Floor
Steelman, Brittany Carnley RN147012 Theresa Courtney, MD 27043 3056 2283 Vinson Hwy Milledgeville GA 31062 1/31/2012
Steelman, Brittany C. RN147012 Theresa M. Courtney, MD 27043 11414 Park 60, Georgia 22 Milledgeville GA 31061 5/1/2013
Steelman, Brittany RN147012 Caplan, Howard MD 15916 10583 620 Broad Street Milledgeville GA 31062 9/1/2013
Stein, Christina Lynn Bisca RN076478 Jon Stahlman, MD 49207 2851 2390 Wall St Conyers GA 30013 12/23/2013
Steinmetz, Jami Dearmon RN124632 Olabisi Pearse, MD 49717 2853 2660 Satellite Blvd Duluth GA 30096 8/23/2013
Wednesday, January 13, 2016 Page 143 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Steinmeyer, Ashleigh Lauren RN203151 Larry Mellick, MD 42892 13244 423 Crawford Ave Augusta GA 30904 9/30/2014
Stell, Flora RN191455 Ahmed, Emad MD 45157 10781 385 Hawthorne Lane, Ste 200 Athens GA 30606 7/25/2012
Stembridge, Fredicia LaSandra RN207096 Chandresh Viradia, MD 53050 11641 100 Jim Mason Ct, Suite A Warner Robins GA 31088 12/5/2015
Stemp, Linda Denise RN170552 Richard Pike, MD 47640 9140 2001 Peachtree Rd, Suite 705 Atlanta GA 30309 12/11/2012
Stemp, Linda RN170552 Vance, Luther MD 19354 10831 3065 South Cobb Dr, Ste B Smyrna GA 30080 12/31/2012
Stemp, Linda Denise RN170552 William Stinnette, MD 46499 10971 1650 Honey Creek Commons Conyers GA 30013 6/30/2004
Stemp, Linda Denise RN170552 Paul Spiegl, MD 25045 2951 5673 Peachtree Dunwoody Road, Atlanta GA 30342 12/11/2012 Suite 825
Stemp, Linda Denise RN170552 Nichole LeBoyd, MD 54452 8405 7530 Roswell Road Atlanta GA 30350 6/5/2009
Stephan, Karen Marie RN160130 Paul Kirshbom, MD 51593 2856 1405 Clifton Rd Atlanta GA 30322 7/12/2012
Stephens, Melia Ann RN167716 Kyoung-Soon Kim, MD 39144 9002 5150 Stilesboro Rd, Suite 220 Kennesaw GA 30152 9/4/2010
Stephens, Tammy Lynn RN101834 Ralph Warnock, MD 17337 13976 4421 Carnes St. Acworth GA 30101 4/8/2015
Stephens, Melia Ann RN167716 Keyana Washington, MD 63749 13719 601A Professional Dr, Ste 370 Lawrenceville GA 30046 9/22/2014
Stephens, Tammy Lynn RN101834 Cesar Figueroa, MD 32105 13245 340 Hospital Dr Macon GA 31217 8/14/2014
Stephens, Tammy Lynn RN101834 Timothy Graves, MD 26859 11903 770 Walnut St Macon GA 31201 6/6/2013
Stephens, Latonya RN129457 Chukwudi Amu, MD 26967 9224 5530-B Old National Hwy, Suite 100 College Park GA 30349 12/1/2009
Sterling, Kristen RN167843 Hutchins Sr., Julian MD 18677 10802 4150 Washington Rd, Ste 11 Evans GA 30809 11/12/2013
Sterling, Kristen Heather RN167843 Celalettin Ustun, MD 55993 8709 1120 15th Street, #BA-5407 Augusta GA 30912 4/28/2010
Sterling, Kristen RN167843 Kenneth Grotz, MD 37820 14456 4150 Washington Rd Evans GA 30809 2/22/2015
Sterling, Kristen Heather RN167843 Anand Jillella, MD 33843 9121 1120 15th St, Suite BA-5407 Augusta GA 30912 9/30/2013
Stern, Christina Myers RN185213 Bhagat Reddy, MD 55012 5426 275 Collier Road, NW Ste 300 Atlanta GA 30309 5/22/2015
Wednesday, January 13, 2016 Page 144 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Stevens, Joy Manry RN108425 William W. Crone, MD 41540 5355 3169 Holcomb Bridge Rd, Ste 760 Norcross GA 30071 8/15/2007
Stewart, Jacquelyn M. RN111294 Betsy Horton, MD 40693 9154 745 South Glynn St Fayetteville GA 30214 12/31/2011
Stewart, Deborah RN124133 Jones, Tommy MD 48365 10616 PO Box 1726 Highway 301 Glennville GA 30427 1/30/2015
Stewart, Fallon K. RN226921 Justin R. Kunes, MD 66201 11584 6 Executive Park Dr., #10 Atlanta GA 30329 12/5/2014
Stewart, Merry Ann RN205580 Lee Ann Merchen MD 60009 11007 1447 Harper St. Augusta GA 30912 5/16/2013 RN205580
Stewart, Natalie RN170096 Sward, Lisa Ann MD 45639 10982 150 Gentilly Blvd Cartersville GA 30120 1/9/2014
Stewart, Dana Michelle RN145278 Amar Singh, MD 52227 9720 550 Redmond Rd Rome GA 30165 5/24/2013
Stier, Ingrid RN140664 Kaveh Ehsanipoor, MD 20309 11182 4750 Waters Ave., Ste 452 Savannah GA 31404 3/25/2013
Stock, Lynn Marie RN202416 Charles McCord, MD 39409 8566 3345 Hwy 34 East, Suite 102 Sharpsburg GA 30277 12/31/2009
Stock, Lynn Marie RN202416 Benita Bonser, MD 53980 9236 1279 Hwy 54 West, Suite 220 Fayetteville GA 30214 1/17/2013
Stock, Lynn Marie RN202416 Cathy Larrimore, MD 38836 12022 4181 Hospital Dr, Suite 104 Covington GA 30014 11/21/2014
Stockwell, Helen Rosemary Jackma RN113476 Deepti Manjal, MD 46627 2874 6002 Professional Pkwy Douglasville GA 30134 7/6/2012
Stone, Ellen H RN042582 John McCravey, MD 29048 2878 4750 Battlefield Pkwy Ringgold GA 30736 4/22/2011
Storey, Susan Carol RN060668 Richard Dent, MD 17 8345 310 Eisenhower Drive, Suite 5 Savannah GA 31406 3/14/2011
Storey, Susan Carol RN060668 Julia Johnson, MD 56721 9708 310 Eisenhower Dr, Suite 5 Savannah GA 31406 12/31/2011
Storey, Susan RN60668 Lora Denton, MD 33818 14529 310 Eisenhower Dr, Ste 5 Savannah GA 31406 10/15/2014
Stout, Deborah RN070640 Lah, James MD 41863 10732 1821 Clifton Rd NE, POD A Atlanta GA 30329 3/19/2013
Stoyle, Sheryl RN104589 Oscar Salvat, MD 49742 15636 618 East Lamar St Americus GA 31709 8/10/2015
Stoyle, Sheryl Angel RN104589 Andrea Bretal, MD 64777 14631 618 East Lamar St Americus GA 31709 2/1/215
Stoyle, Sheryl Angel RN104589 Christopher Inhulsen, MD 20743 15047 300 Medical Court Oglethorpe GA 31068 5/1/2015
Wednesday, January 13, 2016 Page 145 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Straub, Sharnee Elizabeth RN077156 Seymour Rosenbloom, MD 15849 2882 55 Whitcher St, Suite 400 Marietta GA 30060 11/23/2014
Street, Wanda Lisa RN140175 Velda Givens, DO 46763 5492 2100 Comer Ave Columbus GA 31906 9/10/2008
Street, Wanda Lisa Monroig RN140175 Brett Murphy-Dawson, MD 54080 8195 PO Box 5328 Colubus GA 31906 4/22/2013
Strickland, Kelleigh Jean RN146690 Michelle Morgan, DO 51694 7852 5895 Peachtree Pkwy Norcross GA 30092 2/2/2010
Strickland, Kelleigh Jean RN146690 Thomas Carswell, MD 26238 9522 2830 Clearview Place, Suite 500 Doraville GA 30340 12/1/2011
Strickland, Carol Lynn Bland RN111997 Suzanne Anderson, MD 57922 2884 340 Eisenhowser Drive, Bldg 1500 Savannah GA 31406 7/11/2008
Strickland, Kelleigh RN146690 Almon, William MD 30938 10602 5755 North Point Pkwy Ste 72 Alpharetta GA 30022 8/1/2014
Stringer, Marsha Ann RN134286 Brenda Hott, MD 41441 9975 200 S Enota Dr, Ste. 200 gainesville GA 30501 1/1/2012
Stringer, Marsha RN134286 Davis, Mitchell MD 35030 10489 200 S. Enota Drive, Ste 200 Gainesville GA 30501 8/30/2013
Strother, Nancy Hodges RN173597 James Greene, MD 29657 9019 114 Northpark Drive Brunswick GA 31520 8/20/2014
Stubbs, Rachel Cowan RN112208 David Gaskin, MD 32736 12983 310 Eisenhower Dr, Bldg 5 Savannah GA 31406 2/28/2014
Stubbs, Allison Leigh RN135494 George Katsitadze, MD 52456 2895 976 Killian Hill Road, Bldg A, Suite B Lilburn GA 30047 5/31/2011
Stubbs, Rachel RN112208 Pinell, Michael MD 58102 10020 340 Eisenhower Drive, Suite 910 Savannah GA 31406 6/15/2013
Stuckwisch, Frances A Leyba RN067248 Lawrence Gynther, MD 26863 9686 1514 Vernon Rd LaGrange GA 30240 8/23/2012
Stuckwisch, Frances A Leyba RN067248 Lawrence Gynther, MD 26863 2896 303 Smith Street LaGrange GA 30240 1/21/2011
Stull, Mildred Potter RN043103 Lyndall C. Van Vicki, MD 29811 2897 747 South Hill Street Griffin GA 30224 9/11/2014
Stull, Mildred Potter RN043103 Wondiful Colbert 68389 14296 747 South Hill St Griffin GA 30224 9/25/2014
Stull, Mildred Potter RN043103 George Capo, DO 42539 9202 1007 Memorial Dr Griffin GA 30224 5/1/2011
Stump, Catherine Elizabeth RN192344 Ronald Pirtle, MD 13784 9750 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 8/15/2014
Stump, Catherine Elizabeth RN192344 David Derrer, MD 54181 13934 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 3/4/2015
Stump, Catherine RN192344 Ronald Pirtle, MD 13784 15328 1015 Donald Lee Hollowell Pkwy Atlanta GA 30315 6/10/2015
Wednesday, January 13, 2016 Page 146 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Sturdivant, Shuconda Kanta RN194195 Ifeoma Nnaji, MD 63931 14090 1300 Joseph E. Boone Blvd, NW Atlanta GA 30314 9/1/2015
Suddeth, Misty Meshell RN113269 Reden Delgado, MD 65957 12832 508 East Morris St Dalton GA 30721 5/1/2015
Suddeth, Misty Meshell RN113269 Jason Hefner, MD 61444 12399 104 Prominence Point Pkwy, Suite 104 Canton GA 30114 2/1/2014
Suddeth, Misty RN113269 Witt, Michael MD 26045 10837 1289 G.T. Maddox Pkwy chatsworth GA 30705 5/10/2013
Sullins, Lisia Ann RN112143 Scott Tarplee, DO 21057 2902 2300 Parkwood Drive Brunswick GA 31520 9/22/2015
Sullivan, Eleanor C RN073627 Philip Spandorfer, MD 55977 9950 1100 Lake Hearn Dr, Ste 100 Atlanta GA 30342 7/15/2014
Sullivan, Eleanor C. Cochrane RN073627 John C. Knox, MD 22575 5531 1100 Lake Hearn Dr., NE Ste 100 Atlanta GA 30342 7/15/2014
Sullivan, Haley RN197605 Surber, Joseph DO 52232 10001 2122 Manchester Expresway Columbus GA 31904 5/23/2014
Sullivan, Haley Patterson RN197605 Bantwal Baliga, MD 56680 12085 1400 Bradley Lake Blvd Columbus GA 31904 10/25/2013
Sullivan, Eleanor C .Cochrane RN073627 Tama Y. Fuller, MD 21981 5530 1100 Lake Hearn Dr., Ste 100 Atlanta GA 30342 7/15/2014
Sullivan, Eleanor RN073627 Philip Weiss, MD 38398 8050 1100 Lake Hearn Drive Suite 100 Atlanta GA 30342 7/15/2014
Sullivan, Eleanor C. Cochrane RN073627 Elizabeth Le Duc, MD 34754 2904 1100 Lake Hearn Dr., Ste 100 Atlanta GA 30342 2/28/2011
Sullivan, Eleanor C. Cochrane RN073627 Susan W. Harrell, MD 33100 5529 1100 Lake Hearn Dr., Ste 100 Atlanta GA 30342 7/15/2014
Sumler, Todd RN127085 Johathan R. Parrott, MD 36246 11314 804 Northwood Park Valdosta GA 31602 4/5/2013
Summerour, Lanissa RN130632 Bennett, Jan DO 30580 10223 761 North Cherokee Road Social Circle GA 30025 3/11/2014
Sumner, Laura Kristen RN183455 Howard McMahan, MD 22824 9706 361 Cargile Rd Ocilla GA 31774 7/26/2011
Sumner, Melissa RN146794 Hutchins Sr., Julian MD 18677 10147 4150 Washington Road, Ste 11 Evans GA 30809 11/23/2011
Sumner, Melissa L RN146794 Frederick Merrill, III, MD 34664 5543 465 North Belair Rd. Evans GA 30809 9/3/2009
Sumner, Melissa Lampp RN146794 James Millen, MD 30834 8723 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Sunara-Waters, Adriana RN218916 Halleck, Sylvia MD 16356 10832 1431 Riverside Parkway Lawrenceville GA 30043 7/17/2012
Sunara-Waters, Adriana RN218916 Guido Ring, MD 45325 11102 106 West 4th Ave. Cordele GA 31015 3/15/2014
Wednesday, January 13, 2016 Page 147 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Sutherland, Joanna RN110992 Hurd, Thomas MD 27070 10457 400 Taver Road, Ste 350 Marietta GA 30060 6/28/2022
Sutherland, Joanna Wilson RN110992 Anita Rao, MD 60315 2911 400 Tower Rd, Suite 350 Marietta GA 30060 1/31/2011
Sutton, Beverly Lorraine Head RN035712 Anne Todd, MD 51395 2913 526 Maddox Dr, Suite 101 Ellijay GA 30540 5/30/2013
Swafford, Jodi Leigh RN195459 Thomas Varughese, MD 45998 9913 6130 Prestley Mill Rd, Suite B Douglasville GA 30135 2/13/2015
Sweitzer, Dana Michelle RN232965 Thomas Mullen, MD 39882 12656 205 Roadrunner Blvd Lafayette GA 30728 2/26/2014
Swiger, Nicole RN116714 Chu, Ha MD 61952 10227 6000 Joe Fran k Harris Pkwy NW Adairsville GA 30103 11/30/2014
Swiger, Nicole Belcher RN116714 Hope McDaniel, MD 59287 9051 6000 Joe Frank Harris Pkwy, Suite C Adairsville GA 30103 8/6/2010
Swiger, Nicole Belcher RN116714 Marcia Williams, MD 34985 2921 6000 J F Harris Pkwy, Ste C Adairsville GA 30103 7/1/2010
Swint, Charlotte Elizabeth RN147478 John Sladky, MD 41219 2922 2015 Uppergate Drive Atlanta GA 30322 5/26/2009
Swint, Charlotte Elizabeth RN147478 Nicolas Krawiecki, MD 22804 8585 2015 Uppergate Drive Atlanta GA 30322 2/21/2013
Sybert, Jules C. RN175586 Edgar Kenton, MD 58531 9490 550 Peachtree St, Suite 3343 Atlanta GA 30308 11/11/2011
Sybert, Jules RN175586 Gavrikov, Vitaliy MD 61430 10803 7100 Peachtree Dunwoody Road, ste Atlanta GA 30328 9/4/2012 100
Sybert, Jules RN175586 Lanier, John MD 28809 10615 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 30328 4/17/2012
Sybert, Jules RN175586 O'Grady, Michael MD 41189 10486 7100 Peachtree Dunwoody Rd, Ste 100 Atlanta GA 30328 9/4/2012
Sykes, Mary Elizabeth Werne RN081905 Linda Hudson, MD 47771 9416 2734 Ledo Rd, #15 Albany GA 31707 3/11/2013
Sykes, Mary Elizabeth Werne RN081905 Gloria Kayfan, DO 48431 9142 PO Box 1908 Albany GA 31707 8/1/2010
Sykes, Mary Elizabeth Werne RN081905 David L. Brand, MD 46045 2923 208 North Cuthbert St. Colquitt GA 39837 3/1/2008
Sykes, Brandy M. RN184836 Richard Dukes, MD 51875 9518 235 Peachtree St NE, North Tower, Atlanta GA 30303 5/1/2014 #2100
Symes-Gilbert, Sandra RN200358 Sullivan, Thomas Dennis MD 15512 10398 3795 Mansell Road Alpharetta GA 30022 9/12/2014
Szczepanski, Crystal Renee RN176079 Martha Schuh, MD 37488 8436 1275 Hwy 54 West, Suite 200 Fayettevill GA 30214 12/2/2009
Wednesday, January 13, 2016 Page 148 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Szczepanski, Crystal Renee RN176079 Jeffrey Nicholas, MD 48377 7953 69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Atlanta GA 30303 9/1/2015 Rm 308
Tai, Eva Chen RN183964 Roshni Patel, MD 57141 8649 1645 Tullie Circle Atlanta GA 30329 2/15/2013
Talley, Jamila A. RN171089 Beverly Hyacinth, MD 57003 8394 2670 Cobb Pkwy SE Smyrna GA 30080 7/25/2012
Tanner, Brianne S. Mason RN163540 Rayna Jobe, MD 60386 1880 1425 Market Blvd Roswell GA 30076 3/15/2012
Tarabicos, Anna-Lisa RN148036 Laura Bleekrode, MD 34514 10648 1100 Northmeadow Pkwy, Ste 108 Roswell GA 30076 1/4/2013
Tarabicos, Anna-Lisa Marie Decord RN148036 Maurice Sholas, MD 60314 11807 1001 Johnson Ferry Rd Atlanta GA 30342 11/30/2013
Tarver, Pamela G. RN164778 Christopher Kang, MD 39141 11282 2801 DeKalb Medical Parkway Lithonia GA 30058 1/2/2014
Tate, Lorrie Suzanne Ray RN102375 Francis Gonzalez, MD 57810 12525 677 Church St, Box 111 Marietta GA 30060 5/11/2015
Taylor, Crystal RN169794 Roberts, Marcus MD 35986 10758 1909 Highway 82 West, Ste 5 Tifton GA 31793 10/17/2012
Taylor, Gina RN219174 Hewling, Kirk-Conrod MD 57559 10788 4250 Brownsville Road Powder Springs GA 30127 4/22/2013
Taylor, Delisha Brantley RN145142 Prakash Desai, MD 18482 2931 1664 Mulkey Road Austell GA 30106 11/1/2010
Taylor, Jean Osowiecki RN155989 Sandra Diehl, MD 31237 8163 709 Canton Road, Suite 200 Marietta GA 30060 12/23/2011
Taylor, Delisha B. RN145142 Krishna Eechampati, MD 43994 11203 2985 George Busbee Pkwy, NW Kennesaw GA 30144 1/25/2013
Taylor, Jaimi M. RN154709 Eugene H. Jackson, MD 22793 11495 151 S. Houston Lake Rd., Ste 190 Warner Robins GA 31088 11/11/2014
Taylor, Sebrina RN115782 Guy Augustin, MD 70852 15280 1153 North Liberty St Nicholls GA 31554 8/7/2015
Taylor, Gaynell RN178955 Mef Galle, MD 59722 14771 6300 Jimmy Carter Blvd, Ste 110 Norcross ga 30071 7/24/2015
Tchaya, Sylvie V RN172042 Walter Metcalfe, MD 58544 12068 Take Care Clinic, 7530 Roswell Rd Atlanta GA 30350 9/10/2013
Tchaya, Sylvie RN172042 Plummer, Valens MD 49496 10098 7530 Roswell Road Atlanta GA 30350 5/1/2013
Teagarden, Diane Leigh Agosti RN105822 Suzette LaRoche, MD 46149 8497 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 9/4/2015
Teagarden, Diane Leigh Agosti RN105822 Kimford Meador, MD 18705 8498 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 9/21/2013
Wednesday, January 13, 2016 Page 149 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Teagarden, Diane Leigh Agosti RN105822 Page Pennell, MD 40513 8500 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 6/21/2009
Teagarden, Diane Leigh Agosti RN105822 Susan Palac, MD 60954 8499 1365 Clifton Rd NE, Suite A-3400 Atlanta GA 30322 8/8/2011
Teasley, Christa Clare Tumbleston RN117547 Ronald Forehand, MD 22760 2948 University Health Ctr, 370 River Road Athens GA 30602 9/6/2013
Tedder, Cathy M RN045228 Sandra Kopacz, MD 32179 2949 1303 Hwy 215 Vienna GA 31092 10/8/2010
Teffault, April Lynn RN128774 Lionel Meadows, MD 45550 2950 121 N. Big A Road Toccoa GA 30577 7/24/2011
Tenebruso, Lillian E RN223698 Nagma Lott, MD 60504 11691 107 Main St Plains GA 31780 5/25/2013
Tenebruso, Lillian E. RN223698 Anurag K. Kumbham, MD 58690 11281 298 US Highway 520 Cusseta GA 31825 2/4/2013
Terrell, Karen J. RN171345 David Erwunife, MD 11312 4/26/2013
Terrell, Karen RN171345 Sightler, William DO 34715 10455 195 N. Broad Street Alamo GA 30411 5/4/2012
Terrell, Karen Jean RN171345 Nurrallah Esmail, MD 35623 9669 PO Box 650, Medical Dept Nicholls GA 31554 12/14/2011
Thames, Linda Ann RN122730 Keith Kirby, MD 40438 8072 8 Wheeler Street Savannah GA 31405 9/15/2012
Thames, Linda A. RN122730 Fremont P. Wirth, MD 16449 11197 4 East Jackson Blvd. Savannah GA 31405 2/28/2014
Thames, Linda Ann RN122730 Murray Robinson, MD 52518 13062 2675 N Decatur Rd, Suite 110 Decatur GA 30033 3/17/2014
Thibault, Paula S. RN174649 Allen Randle Beecham, DO 25102 11381 2000 Village Professional Dr., #200 Canton GA 30114 5/25/2014
Thibault, Paula RN174649 Haley, Donna MD 40916 10630 100 Medical Lane, Ste 1 Canton GA 30114 7/26/2012
Thisell, Susan K. RN082980 Hany Elia, MD 30055 8837 3421 Mike Padgett Hwy Augusta GA 30906 1/4/2010
Thisell, Susan K. RN082980 Kenneth Azar, MD 13721 8197 306 Greenway Street Thomson GA 30824 10/16/2009 RN082980
Thomae, Maria Carmen RN135792 Julian Hutchins, MD 18677 9499 4150 Washington Rd, Suite 11 Evans GA 30809 3/11/2011
Thomas, Hyacinth RN192999 Cacia Soares-Welch, MD 55704 9421 1240 Jesse Jewell Pkwy, Suite 500 Gainesville GA 30501 1/31/2011
Thomas, Rachel Lee RN233993 Susan Queen, MD 23496 12480 3000 Schatulga Rd Columbus GA 31907 9/19/2013
Wednesday, January 13, 2016 Page 150 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Thomas, Tawya Scherri RN156089 Deepali Agarwal, MD 54783 8502 1110 13th Street Columbus GA 31901 2/24/2011
Thomas, Barbara Ann RN133666 Kirk-Conrod Hewling, MD 57559 9328 4250 Brownsville Rd Powder Springs GA 30127 5/30/2011
Thomas, Tawenna Tajuanda RN149165 Mona Massoud, MD 70479 13006 526 West Broad Ave Albany GA 31705 5/16/2014
Thomas, Jessica Joy RN185361 Mary Jo Lechowicz, MD 53339 9718 1365 Clifton Rd NE, Bldg C, Plaza floor Atlanta GA 30322 3/14/2014
Thomas, Elizabeth Ann D'Amico RN093201 Adam Leaderman, MD 29709 2966 5673 P'tree Dunwoody Rd, #775 Atlatna GA 30342 5/20/2010
Thomas, Ceretha Mae RN211903 Miriam Gwathney, DO 63343 9605 300 W. Perry St Manchester GA 31816 3/30/2012
Thomas, Carol RN053639 Gabram, Sheryl MD 56834 10399 69 Jesse Hill Jr Dr SE, Ste 303 Atlanta GA 30303 6/25/2014
Thomas, Barbara Ann RN133666 Deronda Person, MD 50079 8921 3208 Alcovy Club Ct. Dacula GA 30019 9/30/2010
Thomas, Barbara RN133666 Mian, Haroon MD 66222 10130 3600 Dallas Hwy SW Marietta GA 36004 7/13/2012
Thomas, Charmaine Betty RN163447 Reneka Dobbs, MD 64770 12099 1328 Joe Frank Harris Pkwy Cartersville GA 30120 2/1/2015
Thomas, Jency RN177250 Budell, John MD 17369 10028 2175 Northlake Pkwy, Ste 142 Tucker GA 30084 12/14/2012
Thomas, Carol Ann RN053639 David Feliciano, MD 34827 2963 80Jesse Hill Jr Dr SE, Suite 304 Atlanta GA 30303 1/31/2011
Thomas, Heather Renae RN171973 Veronica Garrett, MD 39106 8243 1567 Milstead Road, Suite B Conyers GA 30012 7/21/2010
Thomas, Robin RN219545 Gertrude Arrington, MD 27036 14764 1720 Phoenix Blvd, Ste 900,600 College Park GA 30349 9/29/2015
Thompson, Darrel Winifred RN120888 Maurice Clifton, MD 61053 2977 MSC Health Clinic - 100 College Station Macon GA 31206 11/21/2010 Dr
Thompson, Natalie Nicole RN170568 Poornima Chintalapalli, MD 61405 9660 1610-D East Forsyth St Americus GA 31709 7/29/2011
Thompson, Kristan Anne RN159396 Richard Dent, MD 17 8540 310 Eisenhower Dr, Bldg #5 savannah GA 31406 11/9/2009
Thompson, Johnetta RN153018 Joan Harden, MD 48640 7883 1862 Candler Road Decatur GA 30032 1/1/2010
Thompson, Johnetta RN153018 Mian, Haroon MD 66222 10129 970 Joe Frank Harris Pkwy SE Cartersville GA 30120 7/13/2012
Thompson, Andrea Lucckino RN139742 Jesse Grant, MD 21510 12741 124 Third St Macon GA 31201 7/10/2015
Wednesday, January 13, 2016 Page 151 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Thompson, Jill Marie Antisell RN164801 Lance Wiist, MD 33754 5374 761 Old Norcross Road Lawrenceville GA 30045 11/5/2009
Thompson, Andrea L. RN139742 Clyde O. Green, MD 30072 11333 1122 Gray Hwy Macon GA 31211 4/26/2013
Thompson, Andrea L. RN139742 Mohammad M. Rahman, MD 44065 11334 3350 Northside Dr. Macon GA 31210 4/26/2013
Thompson, James Arthur RN077718 James Drury, MD 48891 2980 401 Old Albany Road Thomasville GA 31792 4/16/2014
Thompson, Andrea Lucckino RN139742 Appavuchetty Soundappan, 44107 9452 1115 Morningside Dr Perry GA 31069 10/14/2013 MD
Thompson, Colette A Kowalski RN067355 Ifeoma Nnaji, MD 63931 2976 247 Union Point St Lexington GA 30648 10/20/2011
Thompson, Charlotte Allen RN067048 Michlene Broadney, MD 55207 5373 11 Upper Riverdale Rd SW Riverdale GA 30274 3/31/2011
Thompson, Brenda Meadows RN070005 Teresa Baysden, DO 57348 2975 2001 Antioch Rd Dalton GA 30721 2/4/2010
Thompson, Amy RN161642 Nam, Nakyoung Judy MD 59292 10031 2089 Teron Trace Dacula GA 30019 2/25/2014
Thompson, Andrea Lucckino RN139742 Randal Sugerman, MD 36465 11971 1339 Gray Hwy Macon GA 31211 12/1/2013
Thompson, Leslie RN237918 Ashley Davis, MD 58161 13684 5555 Whittlesey Blvd, Suite L-1 Columbus GA 31909 10/31/2014
Thompson, Jennifer Smith RN142971 David Van, MD 29545 8271 747 South Hill Street Griffin GA 30224 4/1/2010
Thompson, Leslie RN237918 Katrina Parker, MD 40510 14728 2425 Brookstone Ctr Pkwy Columbus GA 31904 3/1/2015
Thorne, Julia RN207895 Lanier, John MD 28809 10400 2050 Cumming Hwy Canton GA 30114 7/25/2012
Thorne, Julia RN207895 Durbin, Randy DO 64776 10716 2050 Cumming Hwy, Ste 100 Canton GA 30114 7/31/2012
Thornton, Anita Lyn RN081936 Ronald Forehand, MD 22760 2988 370 River Road Athens GA 30602 8/9/2013
Thrasher, MaryAnn M. RN174775 Mark P. Elam, MD 36147 11243 9702 Chestnut Hill Lane Chattanooga TN 37421 1/31/2014
Thrasher, Mary Aqnn Moulder RN174775 Vimala Nair, MD 18058 9036 100 Lacy St, Suite 150 Marietta GA 30060 5/11/2012
Thrasher, MaryAnn Moulder RN174775 Rajiv Tejura, MD 68804 13010 PO Box 649 Marietta GA 30090 2/2/2015
Threats, Millicent Lenora RN178172 Oladayo Osinuga, MD 51703 1321 3290 Memorial Drive, Suite A-1 Decatur GA 30032 1/22/2015
Wednesday, January 13, 2016 Page 152 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Thrower, Eileen Joyce Barry RN082194 Walter Lonergan, MD 27401 5376 59 Hospital Road Newnan GA 30263 8/31/2011
Tillery, Traci Myrick RN106991 Ann Ward, MD 23242 7755 304 Turner McCall Blvd Rome GA 30165 10/1/2008
Tillery, Traci Myrick RN106991 S Joe Vaughn, MD 46000 12203 304 Turner MCCall Blvd Rome GA 30165 5/1/2015
Tillery, Traci Myrick RN106991 S. Joe Vaughn, MD 46000 11664 304 Turner McCall Blvd Rome GA 30165 7/5/2013
Timmins, Christopher Louis RN202115 William Raisig, MD 55290 8535 64 Call-Wright Road Ellijay GA 30540 11/14/2009
Timmins, Christopher RN202115 Todd, Anne MD 51395 10825 772 Maddox Drive, Ste 122 Ellijay GA 30540 5/31/2013
Tinsley, Pamela Ruth Dorris RN079447 Allen Hoffman, MD 24822 3001 790 Church St., Suite 250 Marietta GA 30060 9/28/2008
Tinson, Aretha RN121032 Matthews, Barbara MD 46169 10294 2000 N. Monroe Street Albany GA 31701 7/31/2013
Tobey, Jacqueline Davies RN122787 Peter Barrett, MD 69372 13611 95 Collier Rd, NW, Ste 5015 Atlanta GA 30309 11/26/2014
Toi Glaze, Rachel RN149595 Mullen, Thomas MD 39882 10821 126 Sequoyah Ringgold GA 30736 6/11/2013
Tolbert, Gentry RN175489 Terrance Hughes, MD 56454 10945 1500 Langford Medical Dr, Bldg 200 Bogart GA 30622 10/17/2014
Tolbert, Tameka Ransom RN109522 Mary Dailey-Smith, MD 50472 9034 5610 Wendy Bagwell Pkwy, Suite 103 Hiram GA 30141 3/26/2015
Tolbert, Tameka Ransom RN109522 Miles Johnson, MD 38817 3004 3001 South Cobb Drive, Suite 103 Smyrna GA 30080 2/4/2014
Tolbert, Gentry RN175489 Reddy, Ram MD 24178 10032 132 Franklin Springs Street Royston GA 30662 6/1/2012
Tolbert, Shaun RN213583 Manuel Martinez, MD 24757 9925 1915 Eisenhower Drive Savannah GA 31406 4/11/2012
Toler, Jimmie RN178993 Brown, Deronda MD 50079 10599 109 Minus Avenue, Ste C-10 Garden City GA 31408 3/6/2013
Tolleson, Brenda Gail RN118107 Linda Arnold, MD 40299 14350 260 West Cinton St Gray GA 31032 5/1/2015
Tomberlin, Tara RN175216 Wanna, Fady MD 43813 10792 688 Walnut Street, Ste 200 Macon GA 31201 3/17/2014
Tomlinson, Daniel Patrick RN216775 Jay Goldstein, MD 45229 15303 4700 Waters Ave, ER Savannah GA 31404 11/30/2015
Toole, Ronda Speir RN113445 Timothy Graves, MD 26859 3011 770 Walnut Street Macon GA 31201 11/29/2010
Torres, Daniela Lucinda RN189158 Jeremiah McClure, MD 66228 13639 6501 Peake Rd, Ste 100 Macon GA 31210 10/9/2014
Wednesday, January 13, 2016 Page 153 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Towler, April Pearson RN176177 Glynn Chesser, MD 39307 8314 700 Sunset Drive, Suite 502 Athens GA 30606 4/16/2010
Towner, Susan B RN053829 Fredrick Merrill, III, DO 34664 3015 465 North Belair Road, Suite 1-C Evans GA 30809 9/3/2009
Towner, Susan B. RN053829 James Millen, MD 30834 8722 465 N. Belair Rd, Suite 3-A Evans GA 30809 2/6/2010
Trattler, Maria E. Russum RN150779 William Whaley, MD 11504 3019 1100 Johnson Ferry Rd, #600 Atlanta GA 30342 9/25/2014
Trawick, Carmen Glen Campbell RN131277 Shelley Samuel, MD 57248 11936 148 East Peacock St Cochran GA 31014 6/29/2013
Trent, Amy Reilly RN154502 James Bailey, MD 28368 9213 743 Spring St Gainesville GA 30501 4/27/2015
Trevathan, Linda Scott RN063891 Ronald Pirtle, MD 13784 8335 239 Ivan Allen Jr Blvd NW Atlanta GA 30313 9/24/2010
Trice, Laura Leigh RN066916 Holly Clemons, MD 71921 14492 747 South Hill St Griffin GA 30224 5/1/2015
Trice, Laura Leigh Moxon RN066916 Lyndall C. Van Vicki, MD 29811 3021 747 South Hill Street Griffin GA 30224 9/11/2014
Trice, Laura Leigh RN066916 Wondiful Colbert, MD 68389 14297 747 South Hill St Griffin GA 30224 9/25/2014
Trotta, Cynthia L. RN160044 Nicole Franks, MD 49691 3023 550 Peachtree Street Atlanta GA 30308 5/1/2012
Truelove, Eddie Jean Eckford RN212011 George Hall, MD 55669 13705 1050 Carl Griffen Dr Savannah GA 31405 8/28/2014
Truelove, Eddie RN212011 Frank Pechal, MD 26616 13231 1915 Eisenhower Dr. Savannah GA 31406 4/26/2014
Trussell, Sharl Ann McGee RN084787 Quinton Weldon, MD 56786 3024 1212 East Union Street Vienna GA 31092 9/1/2008
Tucker, Thomas Leon RN177247 Mohamad M. Kassem, MD 40934 11254 3580 Cameron Parkway Stockbridge GA 30281 9/24/2012
Tucker, Rosebud H. RN116109 Bruce Ribner, MD 49086 9205 1364 Clifton Rd Atlanta GA 30322 2/29/2012
Tucker, Rosebud H. RN116109 Charles Sow, MD 55343 3028 1855 Hudson Bridge Road Stockbridge GA 30281 10/16/2014
Tucker, Ramie RN193447 Kaufman, Robert MD 31150 10622 550 Peachtree St NE #170 Atlanta GA 30308 4/23/2012
Tucker, Thomas Leon RN177247 Frank Brown, MD 31212 9313 1821 Clifton Rd NE Atlanta GA 30329 11/12/2010
Tudorancea, Deanna Lynn RN127022 Donovan Christie, MD 44432 3029 7530 Roswell Road Atlanta GA 30350 1/30/2013
Tullos, Chelsi RN192690 Yang, Steven MD 65438 10187 1009 N. Monroe Street, Ste 102 Albany GA 31701 12/30/2013
Wednesday, January 13, 2016 Page 154 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Tupko-Maloy, Anna Magdalena RN198112 Absar Mirza, MD 64864 13040 665 Duluth Highway, Suite 801 Lawrenceville GA 30046 5/20/2015
Turk, Pamela Diane Kight RN101998 William Hammond, MD 19166 3033 200 Perry House Road Fitzgerald GA 31750 5/1/2012
Turner, Saundra Lee RN079807 Matthew Lyon, MD 50972 3038 4471 Washington Road Evans GA 30809 8/1/2011
Turner, Ashli Brook RN155163 John H Smith, II, MD 48940 7895 550 P'tree St NE, Ste 1810 Atlanta GA 30308 2/28/2008
Turner, Martricia RN150217 Kirk-Conrod Hewling, MD 57559 12086 4250 Brownsville Rd Powder Springs GA 30127 9/30/2014
Turner, Martricia RN150217 Rayna Jobe, MD 60386 8953 1425 Market Blvd Roswell GA 30076 8/30/2011
Turner, Christine RN073684 Suzanne Ferree, MD 47772 8069 1357 Hembree Road, Suite 240 Roswell GA 30076 11/1/2007
Turner, Jennifer A. RN040276 Alan Weinberg, MD 35785 8263 450 Winn Way Decatur GA 30030 8/30/2009
Turner, Rachel Anthony RN202294 Edward Meier, MD 43426 12175 2112 Shorter Ave NW, Suite 200 Rome GA 30165 8/2/2014
Turner, Watonna RN123210 Jobe, Rayna MD 60386 10787 172 Carriage Trace Marietta GA 3008 11/1/2012
Turner, Judith Ann Herndon RN054880 Robert Miller, MD 35295 3037 105 Collier Rd NW, Suite 3010 Atlanta GA 30309 12/11/2013
Turner, Martricia RN150217 Fidias DeLeon, MD 63891 9169 6935 S. Sweetwater Rd Lithia Springs GA 30122 1/31/2011
Turner, Watonna Lynn RN123210 Michelle Morgan, DO 51694 3041 5230 Dallas Hwy Powder Springs GA 30127 5/7/2010
Twumasi, Gifty Owusu RN186816 Okiki Louis, MD 47479 8924 5230 Dallas Hwy Powder Springs GA 30127 11/8/2014
Tyler, Christina Daniels RN153645 Luther Vance, MD 19354 12122 3065 South Cobb Dr, Suite B Smyrna GA 30080 10/3/2013
Tyre, Mitzi Braddock RN170702 Aiello, James MD 48023 10719 410 Darling Avenue Waycross GA 31501 9/18/2013
Tyukodi Palakodeti, Connie Marie RN237096 Alexander Osowa, MD 57551 14278 2805 Hamilton Mill Rd Buford GA 30519 12/12/2014
Uba, Sabo RN220844 Afolake Mobolaji, MD 64805 12015 5604 Wendy Bagwell Pkwy, Suite 611 Hiram GA 30141 3/31/2014
Uba, Helen Oro RN224627 Marla Morgan, MD 64610 13460 2709 Meredyth Dr, Ste 230 Albany GA 31707 5/8/2015
Ukani, Hafiza Aziz RN137261 Melanie Cooper, MD 45753 7826 2990 Five Forks Trickum Rd SW Lawrenceville GA 30044 5/17/2013
Underwood, Ashley Stockwell RN192047 Alexander Osawa, MD 57551 12447 3331 Hamilton Mill Rd, Suite 1102 Buford GA 30519 4/20/2015
Wednesday, January 13, 2016 Page 155 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Upchurch, Linda Anne Liles RN168120 Loy Cowart, III, MD 37979 8272 8816 Hwy 301 North Claxton GA 30417 6/15/2009
Ura, Chiemi Amanda RN184301 Rony Adam, MD 39992 8425 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 30303 8/7/2009
Ura, Chiemi Amanda RN184301 Kevin Ault, MD 56403 8758 69 Jesse Hill Jr Dr SE, 4th Floor Atlanta GA 30303 12/13/2012
Usher, Madeline M RN167457 Wanda Gobin, MD 53912 13825 601 West 11th Ave. P.O. Box 1988 Albany Ga 31702 11/30/2014
Usher, Madeline Mary RN167457 Martha Millan-Sanchez, MD 66223 12677 3015 Veterans Pkwy Moultrie GA 31788 4/30/2014
Usher, Madeline RN167457 Luke, Claude MD 22247 10375 3015 Veterans Parkway Moultrie GA 31788 4/29/2013
Usher, Madeline Mary RN167457 Wanda Gobin, DO 53912 12235 3015 Veterans Pkwy Moultrie GA 31788 11/30/2014
Usher, Madeline Mary RN167457 Henry Eugenio, MD 32379 3058 3015 Veterans Pkwy Moultrie GA 31776 11/21/2011
Usher, Madeline Mary RN167457 Milagros Keh, MD 18509 14906 601 W 11th Ave Albany GA 31701 5/6/2015
Uwazie, Nkeiru RN185085 Beverly Hyacinth, MD 57003 11611 2945 Panola Rd. Lithonia GA 30038 1/1/2014
Uyesugi, Karen Denise Grail RN090354 Sharon Lynch-Miller, MD 42342 5384 11 Upper Riverdale Rd SW Riverdale GA 30274 3/31/2011
Uzuegbunam, Florence RN145066 Christopher Stevens, MD 54515 8393 4398 Atlanta Hwy Loganville GA 30052 7/5/2014
Uzuegbunam, Florence RN145066 Shahed Brown, MD 61400 14641 1670 Clairmont Rd Decatur GA 30033 9/21/2015
Vael, Aimee Corley RN138569 Christopher Reddoch, MD 61328 3061 5997 Spring Street Warm Springs GA 31830 6/26/2009
Valenzona, Julieta RN192534 Galan, Vincent MD 28685 10834 1365 Rock Quarry Rd, Ste 202 Stockbridge GA 30281 9/17/2012
Van Buren, Christy Denise RN153727 Deborah Griffiths, MD 35888 2903 1000 Medical Center Blvd,. Emer Dept Lawrenceville GA 30046 10/2/2013
Van Dellen, Stephanie Klug RN188240 George Garriss, MD 51134 11855 3939 Roswell Rd, Suite 200 Marietta GA 30062 4/9/2013
Van Dellen, Stephanie RN188240 Aneesh Gupta, MD 53231 11149 51 N. Morningside Dr. Cartersville GA 30121 1/30/2013
Van Dellen, Stephanie Klug RN188240 Scott Parry, DO 39899 12043 730 Ponce de Leon Pl, Unit B Atlanta GA 30306 4/29/2015
Van Dorn, Terri RN195252 Karen Muro, MD 37304 14440 497 Winn Way, Ste A-210 Decatur GA 30030 11/21/2014
Van Liew, Sybil Lynn Stewart RN087348 Alan Weinberg, MD 35785 8262 450 Winn Way Decatur GA 30030 8/30/2009
Wednesday, January 13, 2016 Page 156 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Van Patten, Laura RN149681 Thomas Deering, MD 32170 11139 275 Collier Rd., Ste 500 Atlanta GA 30309 9/7/2013
VanDenburg, George RN224765 Roger A. Brooksbank, MD 68120 11153 501 Redmond Rd. Rome GA 30165 7/2/2015
Vardman, Marguerite Marie RN076035 Wesley McDaniel, MD 26588 13990 6135 Roosevelt Hwy Warm Springs GA 31830 11/9/2014
Varghese, Susan RN169364 John O'Connell, MD 62266 9906 5673 Peachtree Dunwoody Rd NE, Atlanta GA 30342 1/10/2012 #650
Varghese, Susan RN169364 Hott, Brenda MD 41441 10458 5673 Peachtree Dunwoody Rd, Ste 650 Atlanta GA 30342 10/31/2013
Varnum, Allison Renee RN224930 Andrew Mecca, MD 36574 11860 5612 Whitesville Rd Columbus GA 31904 2/1/2014
Vaughan, Emily Regina Gwinn RN155488 Amar Patel, MD 52803 11910 55 Whitcher St, Suite 350 Marietta GA 30060 11/15/2013
Vaz, Denise rn172992 Thomson, Robert MD 47166 10317 3619 Braselton Highway Dacula GA 30019 11/26/2014
Vaz, Denise Sophia RN172992 Babatunde Onasanya, MD 50983 3075 605 Beaver Ruin Rd, Suite B Lilburn GA 30047 4/30/2010
Ventimiglia, John RN192494 Mark Tanner, MD 25677 9461 1935 Howell Mill Rd Atlanta GA 30318 4/6/2011
Ventimiglia, John RN192494 Elliot Raizes, MD 24478 8735 3075 Breckinridge Blvd, Suite 415 Duluth GA 30096 9/1/2010
Vieira, Jennifer Cecilia RN103582 Barbara D'Orio, MD 33956 8503 PO Box 26238 Atlanta GA 30303 6/10/2010
Vincent, Sandra RN129147 Cameron, Nadia MD 53982 10537 3760 Sixes Road, Ste 120 Canton GA 30114 3/21/2012
Voyles, Bonny Sue Wood RN168259 H Verdain Barnes, MD 12029 12827 2000 North Monroe St Albany GA 31701 7/29/2014
Voyles, Bonny RN168259 Sanders, Charles MD 29087 10401 951 South Broad Street Thomasville GA 31792 1/10/2014
Voyles, Bonny Sue Wood RN168259 Calvin Reams, MD 19585 8836 951 South Broad St Thomasville GA 31792 1/1/2011
Vreeland, Christopher Allen RN135333 Donald Keith West, MD 32323 3085 823 Campbell Hill Street Marietta GA 30060 11/1/2007
Vreeland, Christopher Allen RN135333 Folashade Omole, MD 49074 8443 2988 Shallowford Road Marietta GA 30066 3/1/2010
Waddell, Amanda L RN235186 Mubbashir Khan, MD 54327 12944 1007 Mary Street Waycross GA 31501 12/31/2014
Wadley, Felicia RN173494 Eubanks, Amy MD 52922 10332 101 Quartz Drive, Ste 201 Villa Rica GA 30180 10/19/2013
Wednesday, January 13, 2016 Page 157 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Waggoner, Lynda Lee RN063518 Donald Kern, MD 67068 11006 15151 Alcovy Rd NE Covington GA 30014 5/4/2013
Waggoner, Lynda Lee RN063518 Steven Bonner, MD 68484 11788 15151 Alcovy Rd NE Covington GA 30014 12/5/2013
Waggoner, Lynda Lee RN063518 Sylvia Halleck, MD 16356 3090 3955 Harrison Rd, Suite 400 Loganville GA 30052 6/7/2010
Wagner, Muna Elizabeth RN155078 Ricardo Riesco, MD 44069 3093 711 Shields Road Dalton GA 30720 10/17/2011
Wagner, Muna Elizabeth RN155078 Sadiq Sohani, MD 45010 8685 1413 Chattanooga Ave Dalton GA 30720 9/1/2012
Wahab, Maybel Josephine RN194802 Jonathan Ehrlich, MD 15580 8169 993-D Johnson Ferry Road, Suite 360 Atlanta GA 30342 1/31/2011
Walker, Benjamin James RN141132 Michael Hamm, DO 49021 9031 410 Darling Ave, Emergency Dept Waycross GA 31501 9/28/2011
Walker, Benjamin James RN141132 Parrott, Jonathan MD 36246 10560 804 Northwood Park Valdosta GA 31602 9/7/2012
Walker, Jennifer Joiner RN129698 Ralph Warnock, MD 17337 11902 4080 McGinnis Ferry Rd, #804 Alpharetta GA 30005 6/15/2014
Walker, Benjamin RN141132 Gatewood (Tolliver), Cheryl 53040 10551 2941-D N. Ashley St, Ste D Valdosta GA 31602 4/23/2012 MD
Walker, Benjamin James RN141132 Eric Davis, MD 63648 12471 100 S Madison St Thomasville GA 31792 10/21/2013
Walker, Benjamin RN141132 Marcus Roberts, MD 35986 11099 903 West Ward St., Ste A Douglas GA 31533 2/10/2015
Walker, Regina RN091762 Reddy, Ram MD 24178 10229 1061 Dowdy Road, Sts 100 & 101 Athens GA 30606 11/30/2012
Walker, Melissa D. RN170353 Sujatha Hariharan, MD 57635 9232 1700 Hospital South Dr, Suite 300 Austell GA 30106 3/7/2011
Walker, Benjamin James RN141132 William Hammond, MD 19166 3096 200 Perry House Road Fitzgerald GA 31750 5/1/2012
Walker, Jennifer Joiner RN129698 Ditaranto, Anthony MD 29865 3099 1629 10th Ave, Ste B Columbus GA 31901 7/11/2013
Walker, Sandra RN184239 Celestine Stiles, MD 60194 16002 1221 E McPherson Nashville GA 31639 11/16/2011
Wall, Donna Van Bladel RN134321 Bruce Goldsweig, MD 48516 3105 1700 Hospital South Drive Austell GA 30106 7/25/2008
Wall, Donna Van Bladel RN134321 Osagie Okundaye, MD 55488 8214 150 Gentilly Blvd Cartersville GA 30120 9/18/2009
Wall, Kelly Elizabeth RN198482 Jared Griffis, MD 57469 12634 1199 Prince Ave Athens GA 30606 9/6/2014
Wednesday, January 13, 2016 Page 158 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Wall, Donna RN134321 Miller, Debra MD 41898 10886 148 Bill Carruth Pkwy, Ste 260 Hiram GA 30141 7/31/2013
Wall, Donna Van Bladel RN134321 Ravinder Reddy, MD 63435 8877 150 Gentilly Blvd Cartersville GA 30120 9/30/2010
Wallace, Jasmia Nyree RN217995 Eva Beaulieu, MD 66254 11950 3600 Dallas Hwy SW Marietta GA 30064 2/1/2015
Wallace, Cynthia S RN046062 Hugo Ribot, MD 30196 5391 958-A J F Harris Pkwy, Suite 102 Cartersville GA 30120 12/7/2007
Wallace, Jasmia Nyree RN217995 Cassandra Donnelly, DO 68144 13666 3617 Roswell Rd NE, Suite A Atlanta GA 30305 6/12/2015
Wallace, Deborah Elaine RN143968 Gregory Franz, MD 60835 8477 1707 Meadows Lane, Suite C Vidalia GA 30474 2/26/2010
Wallace, Jasmia Nyree RN217995 Rohit Tongia, MD 56494 14975 1700 Tree Lane Snellville GA 30078 2/18/2015
Walsh, Laurie RN140799 Leaderman, Adam MD 29709 10266 5673 Peachtree Dunwoody Road, Ste Atlanta Ga 30342 3/3/2014 775
Walter, Sherry Backer RN134482 Anthony Gonter, MD 21700 3114 5126 Hospital Dr. Covington GA 30014 12/10/2014
Walter, Julie RN166086 Rosenthal, Dinna MD 49252 10795 4181 Hospital Drive, Ste 202 Covington GA 30014 1/30/2014
Walton, Nurah Jamilah RN186508 Kashif Ahmed, MD 61547 9747 2200 Hwy 155 North McDonough GA 30252 6/7/2011
Walton, Nurah J. RN186508 Christopher Stevens, MD 54515 11530 Take Care Clinic, 1855 Hudson Bridge Stockbridge GA 30281 9/9/2013 Rd.
Wandurraga, Megan Mewborn RN203584 Stephanie Gordon, MD 49382 9808 2750 Owens Dr, Suite A Conyers GA 30094 6/30/2013
Wansky, Michelle Stella RN187265 Alison Krause, MD 40443 7998 4040 Hospital West Drive Austell GA 30106 4/1/2010
Ward, Antoinette Felicia RN130649 Janet Fason, DO 48773 11724 Take Care, 2464 Roswell Rd Marietta GA 30062 11/1/2013
Ward, Sandra RN148845 Weldon, Quinton MD 56786 10852 PO Box 904 Americus GA 31709 8/31/2012
Ward, Kevin RN147488 Sean Miles, MD 52084 15673 1605 Hwy 34 E, Ste A2 Newnan GA 30265 9/10/2015
Ware, Altheia Bass RN142278 Bennie Brown, DO 65085 13230 151 S Houston Lake Rd, Suite 110 Warner Robins GA 31088 9/1/2015
Ware, Altheia Bass RN142278 Charles Roman, DO 43757 9617 2737 Warm Springs Rd, Suites B&C Columbus GA 31904 8/26/2011
Ware, Altheia Bass RN142278 Jibike Adegbile, MD 48967 8374 7196 North Lake Drive, Suite B Columbus GA 31909 4/2/2009
Wednesday, January 13, 2016 Page 159 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Ware, Altheia Bass RN142278 Andrew Mecca, MD 36574 9102 5612 Whitesville Rd Columbus GA 31904 12/31/2010
Warner, Mamron Hyndman RN131361 Christopher Stevens, MD 54515 7814 3600 Sandy Plains Road Marietta GA 30066 7/14/2012
Warren, Jennifer E Tyre RN031979 Michael Pinell, MD 58102 3127 227 Merchants Way Brunswick GA 31525 7/13/2015
Washington, Patrick Lynn RN137952 Micah Tepper, MD 57687 8234 1700 Hospital South Dr, Suite 302 Austell GA 30106 12/28/2011
Washington, Tonita RN198365 Cameron, Nadia MD 53982 10490 494 Boulevard SE Atlanta GA 30312 10/31/2012
Watkins, Nicole McLendon RN170663 Rao, Ramana MD 37052 10409 801 13th Ave, Ste A Albany GA 31701 5/21/2015
Watkins, Cathy Elizabeth RN083309 Thomas Bloodworth, MD 18124 3133 101 Cleburne Pkwy Hiram GA 30141 6/25/2015
Watson, Margaret E. RN057926 Husham Mishu, MD 40740 9120 285 Boulevard NE, Suite 345 Atlanta GA 30312 1/19/2013
Watson, Holly Leo RN152146 Avril Beckford, MD 35814 9149 1810 Mulkey Rd, Suite 201 Austell GA 30106 8/31/2010
Watson, James RN201031 Peter Holliday, III, MD 26557 10713 420 Charter Blvd, Ste 402 Macon GA 31210 8/6/2012
Watson, Margaret E. RN057926 Edward McDonald, MD 41890 3140 PO Box 908851 Gainesville GA 30501 12/18/2009
Watson, Donna M. H. RN087567 Christopher Stevens, MD 54515 11172 2988 Shallowford Rd Marietta GA 30066 4/10/2013
Watson, Anna Evans RN229407 Bruce Ramsdell, MD 18722 12682 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 30152 2/28/2015
Watson, Anna Evans RN229407 Paul Roberts, MD 69246 12683 6110 Pine Mountain Rd, Suite 201 Kennesaw GA 30152 1/22/2015
Watters, Jana Gayle Smith RN142322 Ricardo Riesco, MD 44069 8452 711 Shields Road Dalton GA 30720 6/22/2010
Watters, Jana RN142322 Estep, Dennis MD 25429 10850 2366 Battlefield Parkway Ft. Oglethorpe GA 30742 4/6/2013
Wattkis, Evon RN196933 Rao Moravineni, MD 51360 10984 246 O'dell Rd, Ste #4 Griffin GA 30224 2/4/2013
Wattkis, Evon Rosilyn RN196933 Anthony Onyegbula, DO 53348 8332 7444 Hannover Pkey, Ste 150 Stockbridge GA 30281 5/4/2012
Watts, Cindi Michele Still RN107484 William Kriegel, DO 31962 9075 3405 SW Dallas Hwy, Suite 505 Marietta GA 30064 2/20/2011
Watts, Edna Earl Richardson RN036579 Eugene H. Jackson, MD 22793 3143 790-341 Hwy, Professional Bldg. A Hawkinsville GA 31036 3/10/2010
Watts, Cindi Michele Still RN107484 Luther Vance, MD 19354 3142 3065 South Cobb Dr Smyrna GA 30080 9/19/2012
Wednesday, January 13, 2016 Page 160 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Watts, Cindi Michele Still RN107484 Jon Trankina, MD 30681 9309 4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock GA 30189 6/1/2011
Watts, Edna RN036579 Vaughn, Candace MD 40809 10478 1012 Hwy 247 South Kathleen GA 31047 8/22/2013
Watts, Shawn RN128926 George Pursley, MD 31308 15418 820 Stevens Greek Rd Augusta GA 30907 9/1/2015
Way, Peter Joseph RN126204 Kent Plowman, MD 17872 3145 987 St. Sebastian Way, Suite 1509 Augusta GA 30912 8/20/2010
Weatherspoon, Zakiyyah RN177186 Jarod Bailey, DO 65929 15061 2405 Bemiss Rd Valdosta GA 31602 8/31/2015
Weaver, Valencia Lavon RN091813 Karen Muro, MD 37304 8970 497 Winn Way, Suite A-210 Decatur GA 30030 9/8/2015
Weaver, Gail Marner RN117742 H. Philip Morris, Jr, MD 30353 9641 1010 Prince Ave, Suite 117 Athens GA 30606 7/31/2011
Webb, Terrance David RN094097 Robert Greenfield III, MD 37221 9942 3211 Iris Drive, Ste A Covington GA 30016 2/10/2015
Webb, Dorraine Baker RN091563 Briccio Valdez, MD 19353 9593 3120 N Oak St Ext, Suite C Valdosta GA 31602 7/15/2011
Webb, Terrance David RN094097 Scott Morrell, MD 29218 8807 3211 Iris Dr, Suite A Covington GA 30016 8/1/2011
Webb, Danny Shane RN197364 Bhumiben Purohit, MD 58812 13668 5075 Peachtree Pkwy, Suite 106 Norcross GA 30092 12/31/2014
Webb, Valarie Irene Adams RN118538 John Souza, MD 39475 8766 PO Box 16100 Dublin GA 31040 5/1/2015
Webb, Dorraine Baker RN091563 Charles Alexis, MD 64716 9945 3120 N Oak St Ext, Ste C Valdosta GA 31602 8/14/2013
Webb, Dorraine Baker RN091563 Paresh Thanki, MD 55344 14071 706 N. Parrish Ave. Adel GA 31620 12/31/2014
Webb, Valarie RN118538 Barker, Lucretia MD 42013 10412 1112 Plaza Avenue Eastman GA 31023 4/27/2012
Webb, Suzanne Davis RN240704 John Ouderkirk, MD 49992 13939 9925 Haynes Bridge Rd, Suite 320 Alpharetta GA 30022 3/1/2015
Webb, Danny RN197364 Nitasha Burney, MD 55931 14967 3885 Princeton Lakes Way, Ste 306 Atlanta GA 30331 7/22/2015
Webb, Terrance RN094097 Charles Catron, MD 66362 14961 1707 Meadows Lane Vidalia GA 30474 8/7/2015
Webster, Carol Anne RN081776 Samantha Anderson, MD 49158 5396 9 Dunwoody Park, Suite 108 Atlanta GA 30338 2/7/2011
Webster, Carol Anne RN081776 Bradley Moore, MD 51691 8652 9 Dunwoody Park, Suite 108 Dunwoody GA 30338 2/7/2011
Wednesday, January 13, 2016 Page 161 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Weeks, Keela Kathleen RN155393 John Coleman, MD 48498 7898 1720 Peachtree St, Suite 200 Atlanta GA 30309 9/10/2010
Weizel, Pamela RN110633 Melody Palmore, MD 33679 3162 341 Ponce de Leon Avenue NE Atlanta GA 30308 11/5/2011
Weizel, Pamela RN110633 Laura Beaty, MD 45168 9777 755 Mt Vernon Hwy, # 120 & 220 Atlanta GA 30328 7/25/2013
Wekesa, Grace Irene RN098265 Thomas Morrow, MD 39879 8988 5530 Windward Pkwy, Suite 1210 Alpharetta GA 30004 11/26/2012
Wekesa, Grace Irene RN098265 Carla Jorgensen, MD 54576 3163 1800 Tree Lane, Suite 180 Snellville GA 30078 4/23/2009
Wekesa, Grace Irene RN098265 Stephen Szabo, MD 44850 8692 2712 Lawrenceville Hwy Decatur GA 30033 9/25/2014
Welch, Natasha RN208091 Murtaza Cassoobhoy, MD 43014 10941 5 Dunwoody Park, Ste 118 Atlanta GA 30338 2/10/2013
Welch, Natasha Rosita RN208091 John O'Connell, MD 62266 9299 5671 P'tree Dunwoody Rd, Suite 110 Atlanta GA 30342 5/4/2011
Wells, Stephanie Marie RN135621 Matthew Goldstein, MD 48115 8905 PO Box 587 Snellville GA 30078 12/31/2010
Wenger, Molly Jo RN202727 James Thomsen, MD 34485 8725 5455 Meridian Mark Rd, Suite 130 Atlanta GA 30342 7/1/2010
West, Amanda Lee RN213041 Maged Abdelmalik, MD 55077 11898 36261 N Okefenokee Dr Folkston GA 31537 9/1/2014
West, Amanda RN213041 Thompson, Albert MD 22338 10034 2383 Third Street Folkston GA 31537 9/1/2014
Westbrook, Anita D. RN070078 Divina Dyer, MD 57161 3179 1762 Mars Hill Road NW Acworth GA 30101 10/8/2011
Westdahl, Claire M. RN120210 Michael Lindsay, MD 27602 5401 69 Jesse Hill Jr. Drive SE Atlanta GA 30303 1/1/2008
Westin, Candace RN051666 Babalola, Cecilia MD 58389 10035 3970 Five Forks Trickum Road, Ste A Lilburn GA 30047 11/28/2011
Weston, Candace Hasinah RN051666 Dawn Wilson, MD 47279 12911 3395 Bouldercrest Road Ellenwood GA 30294 12/3/2015
Wetherington, Karen Joy RN088614 Jagdeep Singh, MD 59761 9147 118 E. Girard Ave, Suite 104 Cedartown GA 30125 12/29/2012
Wetter, Suzanne RN154784 Harjee, Gulshan MD 26865 10367 2536 Lawrenceville Hwy Decatur GA 30033 5/1/2015
Whaley, Janet Lorraine RN188449 Earl Grubbs, MD 32742 8010 PO Box 587 Snellville GA 30078 7/1/2012
Whaley, Marjorie Nicole RN193006 John Vender, MD 42475 14128 1120 15 S,t Ste BI 3088 Augusta GA 30912 8/14/2015
Whaley, Shelby Chapman RN139882 Quinton Weldon, MD 56786 11046 100 Plantation Ridge Dr. Americus GA 31709 3/19/2015
Wednesday, January 13, 2016 Page 162 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Whaley, Shelby RN139882 Charles Semones, MD 51737 15521 56 Ebnezer Rd Ellaville GA 31806 9/30/2015
Wheeler, Cheryl RN037416 Perlaky, Steven MD 41639 10404 100 Gross Crescent Circle Ft. Oglethorpe GA 30742 7/1/2012
Wheeler, Cheryl RN037416 Atkins, Christopher MD 45708 10431 1266 Highway 515 South, Emergency Jasper GA 30143 4/9/2013 Dept
Wheeler, Cheryl Ann RN037416 William Pullen, MD 17270 553 PO Box 1168 Dalton GA 30720 3/19/2015
Wheeler-Ikuesan, Luella Corine RN066854 William Parrish, MD 9905 3188 3001 Mercer Univ Dr, Sheffield Bldg Atlanta GA 30341 9/28/2011 #206
Whidby, Deborah Anne RN134199 Elliott Raizes, MD 24478 3189 3075 Breckinridge Blvd, Suite 415 Duluth GA 30096 9/10/2009
White, Rhonda D. RN109746 Christopher Stevens, MD 54515 13533 2988 Shallowford Rd Marietta GA 30066 4/14/2015
White, Rhonda D RN109746 Darshana Sheth, MD 58642 12797 3822 Roswell Rd, Suite 112 Marietta GA 30062 10/8/2014
White, Della Denise Pittman RN052900 Andrew Mecca, MD 36574 3191 5612 Whitesville Rd Columbus GA 31904 5/15/2012
White, Rhonda D RN109746 Karen Bullington, MD 55930 3198 3750 Palladian Village Drive, Suite 300 Marietta GA 30066 3/17/2009
White, Dianna L. RN221863 Charles V. Clopton, Jr., MD 43019 11335 195 Fairview Rd. Ellenwood GA 30294 5/22/2013
White, Katharine Lynn RN136717 Wallace Duncan, MD 41109 12428 2945 Panola Rd Lithonia GA 30038-2313 3/2/2015
White, Rhonda D. RN109746 James Criner, MD 54179 8732 2779 Cobb Pkwy SW Kennesaw GA 30152 1/13/2014
White, Katharine Lynn RN136717 David Asrael, MD 51291 12496 2945 Panola Rd Lithonia GA 30038-2313 3/2/2015
White, Dianna Lynn RN221863 Teresa Clark, MD 20417 11207 35 Collier Rd NW, Suite 500 Atlanta GA 30309 8/10/2014
White, Dianna L. RN221863 Akinwole A. Awujo, MD 48204 11336 3840 Redwine Rd., Ste 100 Atlanta GA 30331 5/22/2013
White, Amanda R. RN112970 F. Geoffery Conner, MD 33555 5504 1608 Meadows Lane, Suite 1 Vidalia GA 30474 4/30/2015
Whitehead, Joanne Marion True RN058514 Phuong-Lynh Ta, MD 50447 3200 1107 Memorial Drive, Suite 300 Dalton GA 30720 6/29/2009
Whitten, Shannon Elizabeth RN117082 Crystal Owens, MD 48854 9607 144 East Main St Irwinton GA 31042 1/17/2013
Wednesday, January 13, 2016 Page 163 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Whitten, Shannon Elizabeth RN117082 Bridgett Bailey, DO 58390 3205 PO Box 365 Tennille GA 31089 12/15/2010
Whitten, Sarah Ann RN129474 Melanie Cooper, MD 45753 3204 181 South Clayton St SW Lawrenceville GA 30045 2/27/2010
Whotaler, Rosalie RN119916 Rupert McCormac, MD 65714 14539 4083 Clondsprting RD Ringgold GA 30736 12/11/2014
Widener, Wallette Gwen RN113693 Eugene Lafranchise, MD 34638 3211 6602 Waters Ave. Bldg C Savannah GA 31406 7/31/2012
Wieczorek, Susan Carol Karm RN042301 Ricardo Alvarez, MD 52876 3212 8400 Veterans Pkwy, Suite 1026 Columbus GA 31909 5/17/2011
Wiegmann-Ross, Michele Lee RN145899 Sekhar Sankaran, MD 31549 7848 101 Regency Park Drive, Suite 140 McDonough GA 30253 1/23/2014
Wiggins, Sonia Coleman RN104534 John DeSimone, MD 19930 8491 611 E. Washington Ave Ashburn GA 31714 9/18/2015
Wilbanks, Ashley Nicole RN190699 Kenneth Howard, MD 40412 9948 11766 Hwy 27, Ste A Summerville GA 30747 4/23/2012
Wilbur, Christen N. RN224720 Joyce H. Poag, MD 21355 11516 3571 Chamblee Tucker Rd. Atlanta GA 30341 3/19/2013
Wilcox, Tanya Sellers RN143313 Kyoung-Soon Kim, MD 39144 3217 5150 Stilesboro Road, Suite 220 Kennesaw GA 30152 1/13/2015
Wilcox, Tanya RN143313 Saudiqa Hoossainy, MD 68179 15106 5150 Stilesboro Rd, Ste 220 Kennesaw GA 30152 9/19/2015
Wilder, Angela RN197955 David Dean, MD 64808 15397 95 Collier Rd NW Atlanta GA 30309 7/31/2015
Wildermuth, Megan Marie RN165632 Donna Haley, MD 40916 5469 100 Medical Lane, Suite 1 & 2 Canton GA 30114 6/30/2011
Wildermuth, Megan Marie RN165632 L. Steven Lowman, MD 37856 8327 1230 Baxter Street Athens GA 30606 1/31/2009
Wilkerson, Deborah M RN127940 Julian Sharpton, MD 17084 14012 138 west Gibson St. Hartwell GA 30643 9/25/2015
Wilkerson, Evelyn P RN043510 Lawrence Powell, MD 38915 3223 9465 Hwy 5 Douglasville GA 30135 11/14/2011
Wilkes, Erin Ashley RN164167 Israel Bryson, MD 54797 9367 2251 W. Elm St Wrightsville GA 31096 1/31/2012
Wilkes, Erin RN164167 Prasad, Vijitha MD 40520 10546 544 West Church Street Swainsboro GA 30401 6/22/2012
Wilkes, Erin RN164167 Sumner, Jean MD 30225 10797 2257 West Elm Street, Ste C Wrightsville GA 31096 11/30/2015
Wilkey, Sheila R. RN191033 Alexander Osawa, MD 57551 9500 3331 Hamilton Mill Rd, Suite 1102 Buford GA 30519 10/28/2013
Willard, Brandi Hartman RN149632 Andrew Mecca, MD 36574 9246 5612 Whitesville Rd Columbus GA 31904 3/1/2011
Wednesday, January 13, 2016 Page 164 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Willard, Brandi RN149632 Norvin Ona, DO 37634 10907 885 Buford Drive Lawrenceville GA 30043 11/29/2012
Willard, Sonya L RN190879 Jamie Rich, MD 53547 9930 58 Big A Road Toccoa GA 30577 5/31/2012
Willard, Sonya Lynn RN190879 Ashok Kancharla, MD 48250 12745 132 Franklin Springs St Royston GA 30662 9/27/2015
Willard, Brandi Hartman RN149632 Raja Ram, MD 38922 9558 475 Philip Blvd, Susite 100 Lawrenceville GA 30046 2/1/2011
Willard, Brandi Hartman RN149632 Hai Trinh, MD 55991 9756 2118 Scenic Hwy, Suites H & I Snellville GA 30078 2/14/2012
Willard, Brandi RN149632 Moreno, Jorge MD 46792 10430 1631 Hwy 20 W McDonough GA 30253 3/16/2012
Willard, Brandi RN149632 Mecca, Andrew MD 36574 10036 5612 Whitesville Road Columbus GA 31904 2/21/2013
Willard, Brandi RN149632 Ronnie Hendrix, MD 24690 14814 4835 Sugarloaf Pkwy, Ste 200 Lawrenceville GA 30044 2/12/2015
Williams, Mary Lynn RN102733 Kalpana Nayak, MD 26049 14094 1912 Memmorial Dr., Ste E Waycross GA 31501 2/2/2015
Williams, Mary Lynn RN102733 David M. Nussbaum, DO 67697 11368 712 N. 7th Street Cordele GA 31015 9/25/2013
Williams, Lovoria rn103047 Kerins, Craig MD 21170 10039 1521 Anthony Road Augusta GA 30904-0799 7/25/2012
Williams, Lillian Odeal RN120648 Gail Matthews, MD 52182 3239 9465 Hwy 5 Douglasville GA 30135 4/19/2012
Williams, Janet Elizabeth RN125883 Catherine Emeruwa, MD 49008 3234 1240 Hwy 54, Bldg 100, Suite 100 Fayetteville GA 30214 6/1/2008
Williams, Janet Elizabeth RN125883 John DuPre, MD 31590 8530 327 South 9th Street Griffin GA 30224 2/25/2011
Williams, Betty Lynn Phillips RN066681 Newby, Frank MD 38314 3226 1506 Broadrick Drive Dalton GA 30710 8/31/2012
Williams, Mitzi RN149347 Dean Karampelas, MD 26141 13933 743 Spring St Gainesville GA 30501 5/20/2015
Williams, Greg Lee RN147732 Joseph Hand, MD 49984 8898 1002-B Downing Musgrove Hwy Glennville GA 30427 3/18/2010
Williams, Inger Ferguson RN140322 Robert Warner, MD 28099 7830 1700 Hospital South Dr, Suite 302 Austell GA 30106 1/14/2011
Williams, Janet Elizabeth RN125883 Heather Henry, MD 44231 8210 101 Devant Street, Suite 903 Fayetteville GA 30214 10/21/2010
Williams, Janet E. RN125883 David Gowdy, MD 34601 9888 101 Devant Street, Suite 903 Fayetteville GA 30214 3/14/2015
Wednesday, January 13, 2016 Page 165 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Williams, Janet Elizabeth RN125883 Christian Ohagwu, MD 39888 8145 101 Devant Street, Suite 903 Fayetteville GA 30214 3/3/2008
Williams, Natasha Renee RN150777 Julia Wilson, MD 56787 8952 794 S. Park Street Carrollton GA 30117 6/19/2013
Williams, Greg RN147732 Martin, Garland MD 47233 10043 23 Tipping Street Baxley GA 31513 1/1/2012
Williams, Mary Lynn RN102733 Fernando Neuman, MD 54640 9405 602 East 16th Ave, Suite B Cordele GA 31015 11/11/2011
Williams, Tiffany Dawn RN164328 Cathy Larrimore, MD 38836 9423 4181 Hospital Dr, Suite 104 Covington GA 30014 12/31/2011
Williams, Tiffany Dawn RN164328 Veronica Garrett, MD 39106 8642 1567 Milstead Rd NE, Suite B Conyers GA 30012 4/29/2010
Williams, Natasha Renee RN150777 Frank Steele, Jr, MD 29378 8762 50 Kelly Road McDounough GA 30253 1/1/2010
Williams, Trina Denise Johnson RN077012 Hugo Ribot, MD 30196 8739 958-A J F Harris Pkwy, Suite 102 Cartersville GA 30120 1/31/2011
Williams, Tammy Ellene RN146039 Scott A. Sheldon, MD 57842 3253 396 Historic Hwy, 441 N Demorest GA 30535 6/7/2007
Williams, Allison D RN198462 Israel Bryson, MD 54797 14300 2251 W Elm St Wrightsville GA 31096 5/9/2015
Williams, Marilyn Butler RN097616 Ram Reddy, MD 24178 3244 132 Franklin Spring Street Royston GA 30662 7/1/2011
Williams, Shirley Marie RN163873 Elizabeth Killebrew, MD 29898 3252 11 Upper Riverdale Rd SW, Bdg 29, Riverdale GA 30274 3/31/2011 #230
Williams, Sandra Jean RN056087 Carlos Zayas-Montalvo, MD 36668 3248 1968 Peachtree Rd., NW 5th Fl Bldg 77 Atlanta GA 30309 6/8/2011
Williams, Mary Katherine RN036755 Clarence T. Alford, MD 44619 5449 303 Smith Street LaGrange GA 30240 7/27/2010
Williams, Natalie RN174560 David Kaiser, MD 71353 15376 2000 16th Avenue Columbus GA 31901 9/1/2015
Williamson, Susan Holt RN058876 Frank Cook, MD 18125 3257 PO Box 765 Ludowici GA 31316 3/18/2014
Williamson, Susan Holt RN058876 Stephen Smith, MD 63025 13570 386 East Cypress St, Bldg A, Ste 6 Ludowici GA 31316 9/30/2014
Williamson, Ronda RN072778 Vladescu, D. Sorin MD 66098 10390 36671 Highway 23 Cobbtown GA 30420 10/23/2013
Willis, Micah Aaron RN151609 David Ferner, MD 54877 8137 901 E. 18th Street Tifton GA 31793 3/18/2013
Willis, Beverly Ann Waldon RN141960 Peggy Bergrab, MD 64330 12434 417 Third Ave Albany GA 31702 2/18/2015
Wednesday, January 13, 2016 Page 166 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Wilson, Susan B. RN045387 Denise Crawley, MD 41766 8231 1025 North Main Street Cedartown GA 30125 11/15/2010
Wilson, Joy Stanetrice RN193733 Karla Dunbar, MD 47589 8673 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Wilson, Karyn Leah RN139914 Jonathon Allen, MD 56949 13388 100 Gross Cresent Circle Fort Oglethorpe GA 30742 11/1/2014
Wilson, Susan B. RN045387 Lee Ann Howell, MD 60183 9525 1025 North Main St Cedartown GA 30125 5/10/2011
Wilson, Susan B RN045387 Heather Pryor, MD 44310 3270 134 East Fairmount Avenue Cedartown GA 30125 1/25/2008
Wilson, Susan RN045387 Julaine Cross, MD 56037 9895 1025 North Main St Cedartown GA 30125 2/18/2014
Wilson, Hermeyone Theodora Bell RN106630 Mark Tanner, MD 25677 8215 1935 Howell Mill Rd Atlanta GA 30318 2/13/2009
Wilson, Hermeyone Theodora Bell RN106630 Jafar Tabatabai, MD 14868 9780 212 Edgewood Ave NE Atlanta GA 30303 1/31/2012
Wilson, Hermeyone Theodora Bell RN106630 Quintin Robinson, MD 62763 12004 2140 Peachtree Rd NW, Suite 232 Atlanta GA 30309 2/23/2015
Wilson, Hermeyone Theodora Bell RN106630 Richard Prokesch, MD 19754 8634 6285 Garden Walk Blvd, Suite A Riverdale GA 30274 2/23/2015
Wilson, Joy Stanetrice RN193733 Kimberly Green, DO 58478 12266 3370 Sugarloaf Pkwy, Suite G-7 Lawrenceville GA 30044 7/1/2013
Wilson, Joy Stanetrice RN193733 Nadia Cameron, MD 53982 11949 212 Edgewood Ave Atlanta GA 30303 2/18/2013
Wilson, Susan B RN045387 Hope McDaniel, MD 59287 8147 134 East Fairmount Avenue Cedartown GA 30125 10/1/2008
Wilson, Ashley RN183884 Jabez Marshall, MD 13066 14628 205 Rees St Americus GA 31709 4/11/2015
Wimberly, Yvane Margaret RN137772 Mohamed Kassem, MD 40934 3275 3580 Cameron Parkway Stockbridge GA 30281 7/9/2009
Winn, Carla Kay Pye RN170624 Iveta Berzinch, MD 43873 8508 307 Pineview Drive Waycross GA 31501 6/8/2015
Winn, Kathryn RN216845 Faiz Rahman MD 63433 10012 404 Savannah Avenue Statesboro GA 30458 6/1/2013
Winnette, Gina Frances RN152637 Traceyan Mendez, MD 57831 11665 215 North Coleman St Swainsboro GA 30401 6/1/2013
Winnette, Gina Frances RN152637 Faiz Rahman, MD 63433 9643 404 Savannah Ave Statesboro GA 30458 12/31/2012
Winnette, Gina Frances RN152637 Hiromi Maruyama, MD 60744 9250 222 South Main St Reidsville GA 30453 12/30/2010
Winstead, Nicole RN184306 Jerath, Rita MD 22937 10246 1446 Harper Street Ste BG1017 Augusta GA 30912 6/6/2014
Wednesday, January 13, 2016 Page 167 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Winters, Rhonda Lynn Toole RN082052 Timothy Stapleton, MD 36295 3280 1600 Forsyth Street Macon GA 31201 11/4/2010
Wirth, Diane Lynn RN108564 Benjamin Abraham, DO 34757 11836 2020 McGee Rd Snellville GA 30078 9/8/2014
Wirth, Diane Lynn RN108564 Allen Dollar, MD 35244 9043 80 Jesse Hill Dr Atlanta GA 30303 4/5/2013
Wise, Mary Elizabeth RN213344 Kenneth Grotz, MD 37820 13121 4150 Washington Rd, Suite 11 Evans GA 30809 10/8/2014
Withers, Lorraine Taylor RN146627 Jyotir Mehta, MD 45887 9749 801 13th Ave, Suite A Albany GA 31701 11/12/2011
Withers, Lorraine Taylor RN146627 Ramana Rao, MD 37052 3283 1909 Aberdeen Road, Room 102 Albany GA 31701 3/15/2011
Witt, Connie Louise RN045044 Theron Thompson, MD 51772 9400 1825 Martha Berry Blvd Rome GA 30165 10/5/2011
Witt, Connie Louise RN045044 James Michael Brown, MD 33284 3284 194 Allgood Street Trion GA 30753 5/31/2009
Witt, Connie Louise RN045044 Kenneth Howard, MD 40412 8617 11766 Hwy 27, Suite A Summerville GA 30747 4/24/2014
Witt, Lindsey Leigh RN180347 Mark Beaty, MD 45169 8541 2365 Old Milton Pkwy, Suite 200 Alpharetta GA 30009 3/19/2010
Wood, Carol Anne Kahl RN045109 Barry Jones, MD 12495 8096 5965 Parkway North Blvd Cumming GA 30040 9/30/2009
Wood, Leanne RN113945 Busman, Michael MD 40628 10584 922 East Jefferson Street, Ste B Americus GA 31709 3/28/2012
Wood, Leanne Debra RN113945 Mohammed Elbasha, MD 59714 9933 350 Hospital Drive Macon GA 31217 9/7/2011
Wood, Leanne D. RN113945 Robert E. Windsor, MD 31857 11525 2550 Windy Hill Rd., #215 Marietta GA 30067 3/20/2013
Woodall, Heather rn162935 Chandra, Madhusudan MD 38143 10040 233 N. Hurston Road Stone Mountain GA 30083 7/25/2012
Woodall, Jo Anne RN033512 Folashade Omole, MD 49074 3288 2988 Shallowford Road Marietta GA 30066 10/31/2010
Woodard, Katrina Anne Calhoun RN082783 Theron Thompson, MD 51772 8763 1825 Martha Berry Blvd Rome GA 30165 7/1/2011
Woodie, Jo Ann RN069357 Roy Brownlow, MD 42196 3291 1665 Hwy 34 East, Suite 100 Newnan GA 30265 6/25/2015
Woodruff, Mary Teresa RN079456 Rami Azzouz, MD 50126 8342 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 6/30/2009
Woodruff, Mary Teresa RN079456 Karin Alcantara, MD 43996 3295 2366 Battlefield Pkwy Ft. Oglethorpe GA 30742 9/26/2008
Woods, Beverly A. RN105351 William Jackson, MD 35913 3297 2945 Panola Road Lithonia GA 30038 9/12/2009
Wednesday, January 13, 2016 Page 168 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Woods, Jennifer Dania RN221754 Atif Iqbal, MD 61971 11257 2300 A manchester expressway Columbus GA 31904 4/17/2014
Wooley, Kari Louise RN223468 Reden Delgado, MD 65957 13309 2293 Old Rockmart Hwy Rockmart GA 30153 9/12/2014
Wooley, Kari Louise RN223468 Mark Coker, MD 56276 11799 14557 Hwy 19, Suite A Griffin GA 30224 6/4/2013
Wortham, Candace RN100010 Kenneth Horlander, MD 46128 5448 303 Smith Street LaGrange GA 30240 3/11/2011
Wortham, Candace H. RN100010 Robert Copeland, MD 11745 9817 301 Medical Dr, Suite 501 LaGrange GA 30240 9/7/2012
Wortham, Candace RN100010 Steven Leichter, MD 40452 11132 2425 Brookstone Center Pkwy Columbus GA 31904 8/1/2013
Woughter, Linda RN205309 Karim Gokal, MD 58868 309 105-A Johnson Street Dahlonega GA 30040 11/1/2011
Woughter, Linda RN205309 Franklin Duffey, MD 16856 9342 PO Box 10 Cumming GA 30028 4/15/2011
Wright, Daniel B. RN118839 Olakunle Aina, MD 48968 9289 2000 Palmyra Rd Albany GA 31701 3/27/2014
Wright, Margaret A. RN165440 Gregory Fortner, MD 32733 12691 1101 North Way Darien GA 31305 1/3/2014
Wright, Daniel B. RN118839 Gloria Kayfan, DO 48431 9143 PO Box 1908 Albany GA 31701 7/26/2010
Wright, Daniel B RN118839 Richard Rickman, MD 49332 12734 3200-C North Ashley St Valdosta GA 31602 5/4/2014
Wright, Daniel B. RN118839 Quinton Weldon, MD 46786 9695 116 W. Thigpen Ave Lakeland GA 31635 3/19/2015
Wright, Karen Angella Uter RN107575 Divina Dyer, MD 57161 3308 780 North Glynn Fayetteville GA 30214 10/28/2012
Wright, Jenni Charity RN175976 Ritu Khurana, MD 55858 12379 19 Redmond Rd Rome GA 30165 6/24/2015
Wright, Cindy RN133687 Florida Basilio, MD 28720 11052 2039 Warm Springs Rd. Columbus GA 31904 9/24/2014
Wright, Denise Jean RN050048 Alison Krause, MD 40443 9659 4040 Hospital West Dr Austell GA 30106 5/23/2013
Yandel, Susan Eileen RN115022 Christopher Crooker, MD 39315 3315 748 Old Norcross Road, Suite 185 Lawrenceville GA 30045 9/25/2009
Yandel, Susan Eileen RN115022 Frenesa Hall, MD 35892 9033 1945 Mason Mill Rd, Suite 100 Decatur GA 30033 7/25/2012
Yarnall, Richard Clark RN108692 Christopher Crooker, MD 39315 3318 748 Old Norcross Road, Suite 185 Lawrenceville GA 30045 1/1/2012
Wednesday, January 13, 2016 Page 169 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Yarnall, Richard RN108692 Steckl, Pete MD 36296 10244 235 Peachtree St North Tower, Ste Atlanta GA 30303 5/31/2014 2100
Yawn, Traci RN093579 Kimsey, Troy MD 46876 10374 425 West Third Avenue, Medical Albany GA 31701 8/1/2014 Tower I, Ste 105
Yawn, Anthony Jackson RN104649 John Souza, MD 39475 8275 PO Box 16100 Dublin GA 31040 10/26/2011
Yawn, Traci Kurpe RN093579 Kesha Allen, MD 57920 11833 417 Third Ave Albany GA 31701 10/15/2013
Yawn-Lewis, Tonya RN118481 Seward, James MD 27247 10068 200 Industrial Blvd ER Dublin GA 31021 3/31/2014
Yearous-Algozin, Anna Livia RN217018 Louis Fernandez, MD 39790 12400 274 Big A Rd Toccoa GA 30577 8/27/2014
Yerke, Julie Leanne Johnson RN145132 James Collins, MD 29833 12706 304 Turner McCall Blvd Rome GA 30165 5/1/2015
Yon, Sarah Marie RN190861 Bounthavy Homsombath, 68031 12652 3675 J Dewey Gray Circle, Suite 300 Augusta GA 30909 2/11/2015 MD
Youmans, Frances Mcdowell RN073220 Jerry Mallett, Jr, MD 30647 3330 400 S. Pinetree Blvd Thomasville GA 31792 4/8/2015
Young, Beth Burch RN047409 Joshua Wolf, MD 59792 2327 1968 Peachtree Rd NW Atlanta GA 30309 8/10/2012
Young, Beth B. RN047409 John Layher, MD 46692 11589 2470 Daniels Bridge Rd., #251 Athens GA 30606 6/20/2014
Young, Nancy RN148404 Theresa Jacobs, MD 46864 13247 868 York Ave, SW Atlanta GA 30310 7/7/2014
Young, Dawn RN153142 Edwards, Tania DO 53465 10241 1413 Whitesville Road, Ste 700 Columbus GA 31904 5/31/2013
Young, Dawn Andrea Pettiford RN153142 Syed Naqvi, MD 62144 9855 710 Center St Columbus GA 31901 1/18/2012
Young, Holly Stiehm RN151008 Mohammad Osman, MD 54323 12585 625 Big Shanty Rd NW Kennesaw GA 30144 12/31/2013
Young, Glenda D RN046139 James Criner, MD 54179 3332 1490 Pleasant Hill Rd Duluth GA 30096 1/13/2014
Young, Melanie RN113728 LaSuer, Douglas MD 61474 10166 105 East Tollison Street Baxley GA 31513 4/5/2013
Young, Suzanne RN080340 Anne B. Todd, MD 51395 3336 526 Maddox Drive, Ste 101 Ellijay GA 30540 8/31/2009
Youngblood-West, Leigh Ann RN150142 Curtis Clark, DO 47068 11676 610 19th St Columbus GA 31901 9/1/2013
Wednesday, January 13, 2016 Page 170 of 171 APRN Name RN# Delgating Physician License# Protocol # Address Terminated Younker, Marcia Lynn McMullen RN086363 Steve Kissinger, MD 30493 8694 9020 Peridot Pkwy Stockbridge GA 30281 4/15/2010
Yufenyuy, Mamboh Ngum RN188604 Kenneth Patric, MD 69243 14088 3240 South Cobb Dr. Smyrna GA 30082 10/31/2014
Zavala, Sandra Marlene RN221556 Collyn Steele, MD 66424 12243 50 Kelly Rd McDonough GA 30253 7/20/2015
Zaworski, Tamara RN140349 Fleming, Alesia MD 34841 10547 1645 Tullie Circle Atlanta GA 30329 1/20/2015
Zehnder, Sandra V. RN067932 Margaret M. Boudreaux, MD 44172 5470 102 Pilgram Village Dr. Cumming GA 30040 10/1/2007
Zimmerman, Cheri RN135902 Tepper, Micah MD 57687 10019 1700 Hospital South Drive Austell GA 30106 12/28/2011
Ziobrowski, Ashley Christine RN159464 Ian Davis, DO 64203 13226 1120 15th St, BI-5092 Augusta GA 30912 4/5/2015
Zollinger, Leigh Anne RN137086 Anthony Ditaranto, MD 29865 8742 900 8th Street Columbus GA 31905 12/1/2011
Zuleta, Francisco Javier RN143427 Rosa Urrutia, MD 18967 3246 562 Concord Road Smyrna GA 30082 4/24/2009
Zuleta, Francisco Javier RN143427 Robert Albin, MD 33018 8680 5667 P'tree Dunwoody Rd, Suite 350 Atlanta GA 30342 10/26/2009
Wednesday, January 13, 2016 Page 171 of 171