APRN and Delegating Physician - Reviewed Nurse Protocol Agreements APRN Name RN# Delgating Physician License# Address Effective On Terminated Aaron, Stephanie RN116808 David Dean, MD 64808 95 Collier Rd, Suite 5015 Atlanta GA 30309 8/5/2011 Abraham, Linda M. RN178502 Mohamad El‐Attar, MD 41286 1372 Wellbrook Cir NE Conyers GA 30012 1/7/2011 11/30/2011 Adams, Jennifer Campbell RN157995 James Lindley, MD 33138 4 Jackson Blvd Savannah GA 31405 12/3/2010 Adeshigbin, Alaba RN175655 Lloydstone Jacobs II, MD 49179 2980 University Parkway Lawrenceville GA 30043 8/10/2012 Aerstin, Monica Christine RN131199 Hassan Sayegh, MD 36066 95 Collier Rd, Suite 300 Atlanta GA 30309 9/13/2013 Alcius, Martine Eliette RN195292 Josephine Tan, MD 19193 106 East Broad St Savannah GA 31401 1/9/2014 Al‐Haroun, Katherine Melton RN188235 Melody Palmore, MD 33679 341 Ponce de Leon Ave Atlanta GA 30308 12/6/2013 Allen, Jane Nix RN072414 Terry Hansen, MD 47330 184‐A Professional Dr Baldwin GA 30511 5/3/2013 Allen, Vivian Lynn RN134633 Herman Levy, MD 34010 3222 Shrine Road, Suite B Brunswick GA 31520 8/8/2008 Allmond, Lynn Marie Downard RN111386 Daron Ferris, MD 31593 1423 Harper St Augusta GA 30912 9/3/2009 Amazon‐Leece, Jody Lee RN096082 Naresh Parikh, MD 28851 6330 Primrose Hill Court Norcross GA 30092 2/5/2009 Anderson, Sherry L RN107552 David Celestial, DO 54990 610 19th st Columbus GA 31901‐1528 9/13/2013 Anderson, Christopher James RN105862 Sidney Smith, MD 38615 900 Mohawk St Savannah GA 31419 4/1/2011 Andler, Pamela Joy Salett RN157084 Nydia Maria Bladuell, MD 38429 55 Whitcher St, Suite 350 Marietta GA 30060 4/13/2007 Antinoro, Gloria Taff Hicks RN091472 Charles Roman, DO 43757 2737 Warm Springs Rd, Suite B Columbus GA 31904 8/6/2010 9/24/2010 Armand, Jean RN183299 Upshaw,Thomas MD 37716 1968 Peachtree Road NW Atlanta GA 30309 3/1/2012 Asher, Sue RN142933 Crystal Comeau, MD 61224 101 Riverstone Vista, Suite 111 Blue Ridge GA 30513 8/5/2011 Atkins, Letisha RN157938 Jill W. Kitchens 60516 150 Gentilly Blvd. Cartersville GA 30120 10/5/2012 Auriemma, Kimberly RN113740 Garrot, Louis Crain MD 59157 790 Church St, Suite 335 Marietta GA 30060 6/8/2012 Friday, March 21, 2014 Page 1 of 15 APRN Name RN# Delgating Physician License# Address Effective On Terminated Auriemma, Kimberly RN113740 Zemsky, Lynn MD 51281 340 Kennestone Hospitl Blvd, Ste Marietta GA 30060 11/3/2011 6/8/2012 100 Aycox, Melissa Dawn McElreat RN139568 Richard Robinson, MD 38936 3240 Avalon Blvd Conyers GA 30013 5/7/2009 Baggett, Krystal E. RN159515 Andy F. Williamson, MD 25402 908 Hillcrest Parkway Dublin GA 31021 6/8/2007 Baize, Theresa Elaine RN156046 Arvind Gupta, MD 33344 3207 Country Club Drive Valdosta GA 31605 10/2/2008 Baker, Tracey Lea Lewis RN097754 Thomas A. Buice, MD 51758 102 Swatts Street Barnesville GA 30204 4/13/2007 2/28/2011 Bangurah, Saphie RN147934 Palmore, Melody MD 33679 341 Ponce de Leon Avenue Atlanta GA 30308 10/7/2011 12/4/2013 Baran, Susan RN120593 Bailey, Marion MD 10469 109 Industrial Drive, Ste B St. Mary's GA 31558 1/6/2012 Barber, Sarah Crowe RN134966 Bradley Ward, MD 21115 97 Church Street Taylorsville GA 30178 10/4/2007 11/17/2010 Barnett, Toni Odom RN060038 Daniela Rojas‐Molina, MD 55331 772 Maddox Dr, Suite 122 Ellijay GA 30540 5/3/2013 Barrett, Nadine Janice Fearon RN143515 Richard Schwartz, MD 42935 4471 Washington Road Evans GA 30809 8/5/2011 8/1/2011 Barthold, Nichole Marie RN225792 Michael Papciak, MD 16823 3400‐A Old Milton Pkwy, Suite 330 Alpharetta GA 30005 3/6/2014 Baughcum, Milissa B. RN203867 Kelly C. Grow, MD 51353 740 Prince Ave., Bldg 15 Athens GA 30606 11/2/2012 Beasley, Kitty Marie RN159427 Robert Shiver, MD 17489 48 US Hwy 19 South Camilla GA 31730 5/7/2009 12/8/2010 Beddard, Crystal P. RN182810 Marc G. Amaya, MD 47181 88954 Hospital Dr. Douglasville GA 30134 1/11/2013 3/13/2013 Bell, Melissa Bradley RN169682 Kevin Lokkesmoe, MD 32941 4328 Armour Rd Columbus GA 31904 9/13/2013 Bembry, Earl Dan RN149999 Andre McShan, MD 54869 7828 River Rd Waynesboro GA 30830 5/6/2011 9/1/2011 Benvenue, Pamela RN044253 Rowley, Lawrence MD 35992 1700 Hospital South Drive, Ste 500 Austell GA 30106 5/4/2012 Berry, Marian Adale RN158389 Cindy Freed, DO 45791 6135 Roosevelt Hwy Warm Springs GA 31830 6/5/2009 8/9/2010 Bird, Patricia Anne Keesee RN069002 Linda Casteel, MD 43346 3725 Zoar Rd Snellville GA 30039 11/5/2010 Friday, March 21, 2014 Page 2 of 15 APRN Name RN# Delgating Physician License# Address Effective On Terminated Black, Tekesa Michell RN214831 William Cleveland, MD 17375 3620 Martin Luther King Jr Dr SW Atlanta GA 30331 2/6/2014 Blalock, Jamie RN149435 Thomas Gary, MD 60264 123 Weaver Roaad, Ste A Blairsville GA 30512 8/10/2012 8/29/2012 Blanton, Carla Arlene Gustin RN093010 Stephen Zeigler, MD 35174 2330 North Ashley St Valdosta GA 31603 10/7/2011 2/16/2012 Boatright, Amanda RN169897 Carter, Harrison MD 50575 1126 West 12th Street Alma GA 31510 1/6/2012 Bolger, Angela Y. RN200066 Ceylon Rowland, MD 52202 3855 Pleasant Hill Rd, Suite 210 Duluth GA 30096 11/5/2009 11/12/2010 Bonhaus, Stephanie R. RN177260 Renwick Hood, MD 24265 761 Old Norcross Road Lawrenceville GA 30045 3/6/2009 12/23/2009 Booth, Carmen Diana RN112063 Wanda Gobin, DO 53912 3015 Veterans Pkwy Moultrie GA 31788 9/13/2013 Boros, Barbara Judith RN165608 Stuart Handelsman, MD 21512 980 Johnson Ferry Rd, Suite 410 Atlatna GA 30342 8/9/2013 Botah‐Oduro, Ophelia Anane RN145040 Mitzi Clayton, MD 61408 211 Fairview Rd Ellenwood GA 30294 4/1/2011 7/1/2011 Bovee, Anna Marie RN118574 Hope McDaniel, MD 59287 11766 Hwy 27 Summerville GA 30747 1/9/2009 1/20/2009 Bower, Bonnie RN119753 House, Alice MD 43065 100 College Station Drived Macon GA 31206 5/4/2012 Bowser, Karen Alene RN101527 Wendy Vandemark, MD 57511 2310 W. Patterson St, Unit B Valdosta GA 31602 12/3/2010 Boyles, Sandra Grace Paterson RN091497 Sharon Fitzgerald‐Soapes, 16509 3685 Lawrenceville Hwy, Suite 100 Lawrenceville GA 30044 2/7/2008 MD Bradford, Tammy RN221074 Elia, Hany MD 30055 3421 Mike Padgett Hwy Augusta GA 30906 5/4/2012 4/20/2012 Brady, Linda L. RN088662 Mark Coker, MD 56276 212 Cherokee Road Thomaston GA 30286 11/7/2008 Brantley, Nina Sheria RN152769 Nitasha Burney, MD 55931 4120 Austell Road SW Austell GA 30106 1/9/2009 Brewster, Kimberly Enfield RN165564 Laura Beaty, MD 45168 755 Mt Vernon Hwy, Suite 120 Atlanta GA 30328 4/1/2011 11/13/2013 Brock, La‐Urshalar Beausheniqu RN1678369 Ruth O'Regan, MD 53350 1365 Clifton Rd NE, Bldg C Atlanta GA 30322 7/11/2013 Friday, March 21, 2014 Page 3 of 15 APRN Name RN# Delgating Physician License# Address Effective On Terminated Brooks, James Michael RN129516 Jaza Marina, MD 55267 South Albany Med Ctr, 1300 Albany GA 31701 11/7/2008 3/2/2012 Newton Road Brown, Chundra Shevonne RN200229 Srinivasa Ayinala, MD 52531 301 Philip Blvd NW, Suiote A Lawrenceville GA 30046 9/13/2013 Brown, Monica Renee' RN112057 Alice House, MD 43065 100 College Station Dr Macon GA 31206 2/4/2011 Brown, Brenda Rebecca McCun RN076533 Lawrence Powell, MD 38915 4120 Austell Road SW Austell GA 30106 12/4/2008 10/1/2013 Browne, Vickie H. RN050915 Ralph C. Lyons, MD 25217 34 Upper Riverdale Rd., Ste 201 Riverdale GA 30274 11/2/2012 Bruner, Kim J. RN047850 Pamella Thomas, MD 19277 86 S. Cobb Dr., Suite M20454 Marietta GA 30063 9/13/2012 10/1/2013 Bryant, Roxanne Rush RN082727 William Callaghan, MD 27974 1350 Walton Way, POB II, Suite 200 Augusta GA 30901 2/4/2011 Bryant, Summer M RN154368 Kenneth Deaton, MD 31585 233 North Houston Rd. Suite 141 Warner Robins GA 31093 9/14/2007 Buckley, Sheri RN123889 Bhumiben S.Purohit, MD 58812 1890 Manor View Cumming GA 30041 1/11/2013 6/30/2013 Bulfin, Susan Jean RN185242 Donovan Christie, MD 44432 5985 Peachtree Pkwy NW Norcross GA 30092 12/4/2008 2/1/2009 Burch, Erin Tapley RN136571 Alain Toland, DO 22901 1719 Russell Parkway, Ste 300 Warner Robins GA 31088 8/5/2011 Burnett, Lillie Kathryn RN063097 Christopher Riddell, MD 21796 2540 Windy Hill Rd Marietta GA 30067 1/7/2010 Bush, Karon J Pearson RN060034 Michael Pinell, MD 58102 6440 W Hamilton Park Dr, Suite F Columbus GA 31919 3/8/2013 Butler, Jennifer Marie RN121419 Richard LoCicero, MD 48535 725 Jesse Jewell Pkwy, Suite 150 Gainesville GA 30501 11/7/2008 Caban, Mariana RN206214 Perez, Pablo MD 47502 1102 West Waugh Street Dalton GA 30720 11/3/2011 Cain, Trina Renee RN054027 Larisa Bradford, MD 57050 706 South Wall Street Calhoun GA 30701 4/2/2009 9/14/2009 Calhoun, Cathleen RN072598 Michael Banov, MD 37945 108 Margaret Avenue Marietta GA 30060 8/2/2007 Campbell, Jennifer RN145376 Smith, Jason MD 52635 550 Professional Drive Macon GA 31201 1/6/2012 Campbell Dunlap, Jane Lynn RN201888 Thomas Gore, MD 27553 1551 Doctors Dr LaGrange GA 30240 5/6/2011 Friday, March 21, 2014 Page 4 of 15 APRN Name RN# Delgating Physician License# Address Effective On Terminated Cargill, Martha Nadine RN168656 Roshni Patel, MD 57141 1645 Tullie Circle Atlanta GA 30329 9/2/2010 2/15/2013 Carnes, Michelle RN043286 Elia, Hany MD 30055 3421 Mike Padgett Hwy Augusta GA 30906 7/12/2012 Carr, Gwendolyn Jane Conner RN026518 Nandana Reddy, MD 55641 6002 Hwy 53 East, Suite 100 Dawsonville GA 30531 7/11/2013 5/31/2013 Cartagena, Rhonda RN128437 Palmore, Melody MD 33679 341 Ponce de Leon Avenue Atlanta GA 30308 5/4/2012 Carter, Michael A RN047967 Juanita Lott, MD 19847 418 E H Court Brunswick GA 31520 2/7/2008 4/15/2008 Casbourne, Daniela Jordon RN139341 Jonathan Kaufman, MD 53470 1365 Clifton Rd NE, Bldg C, Plaza Atlanta GA 30322 3/6/2009 Floor Cassman, June RN156994 Ashwinkumar Patel, MD 38326 1130 Talbotton Rd Columbus GA 31904 11/5/2010 Caudell, Jennifer Carol RN159917 Allison Turk, MD 63037 110 S Chestatee St Dahlonega GA 30597 2/6/2014 Cawley, Ramona M.