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APRN and Delegating Physician - Active Reviewed Nurse Protocol Agreements
APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Aaron, Stephanie

RN116808

David Dean, MD

64808

9854

95 Collier Rd, Suite 5015 Atlanta, GA 30309

8/5/2011

Abbey, Ophelia

RN215132

Sherica Rosser, MD

61157

15665

3459 Holcomb Bridge Rd, Ste 100 Norcross, GA 30092

6/4/2015

Abbey, Ophelia Alice

RN215132

Melinda Willingham, MD

45669

13872

4112 E. Ponce De Leon Ave. Clarkston, GA 30021

9/11/2014

Abdullahi, Antoinette

RN236531

Freeman Montaque, MD

28123

13606

896 Highway East McDonough, GA 30252

8/7/2014

Abernathy, Taylor M

RN205283

Santanu Das, MD

42560

13871

1049 N. Houston Rd. Warner Robins, GA 31093

9/11/2014

Abernathy, Pamela

RN107241

Dark, Jennifer MD

66016

10682

1012 Burleyson Road Dalton, GA 30710

5/4/2012

Abernathy, Deborah

RN079832

Schaefer, Timothy MD

47524

10688

1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/4/2012

Abid, Martha

RN192840

Jeremy Ackerman, MD

59584

15249

1364 Clifton Rd NE Altanta, GA 30322

5/8/2015

Abiodun, Dolapo

RN186519

Armando Salazar, MD

73055

15753

5151 Brook Hollow Pkwy, Ste 145 Norcross, GA 30071

7/9/2015

Abon, Moradeke

RN141176

Albert Anderson, MD

58136

11082

341 Ponce deLeon Ave. Atlanta, GA 30308

10/5/2012

Abraham, Linda M.

RN178502

Jonathan Ehrlich, MD

15580

12325

993-D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342

10/10/2013

Abraham, Rennie Juanillo

RN204958

Josephine Lopez, MD

44125

11647

1500 Oglethorpe Ave, Suite 100 Athens, GA 3

2/7/2013

Wednesday, August 12, 2015

Page 1 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Abramson, Cara Rothfield

RN108696

Daniel Dubovsky, MD

29866

13455

5670 Peachtree Dunwoody Rd, Ste 1100 Atlanta, GA 30342

7/10/2014

Absalom, Kaci LaDawn

RN177275

Edward Matthews, DO

34896

11864

2300 Manchester Expwy, Ste 2001 Columbus, GA 31909

2/5/2015

Acree, Lisa

RN126710

Darshak Pandya, DO

58995

15634

501 Redmond Rd Rome, GA 30165

6/4/2015

Acree, Lisa Pinkard

RN126710

Melissa Dillmon, MD

54073

12389

255 West Fifth St Rome, GA 30165

10/10/2013

Acton, Patricia

RN124420

Winston, Alan Daniel MD

41245

10018

200 South Enota, Suite 380 Gainesville, GA 30501

1/6/2012

Adams, Matthew

RN176258

Anthony Captain, MD

39300

15884

2955 Cleveland Hwy, Ste A Dalton, GA 30721

7/9/2015

Adams, Kelli

RN164623

Dean Karampelas, MD

26141

15695

743 Spring St NE Gainesville, GA 30501

6/4/2015

Adams, Jamie E

RN240230

Christopher Sward, MD

45638

13737

150 Gentilly Blvd Cartersville, GA 30120

9/11/2014

Adams, Holly Scott

RN176923

Paul Guichard, DO

54386

11963

55 Whitcher St, Suite 350 Marietta, GA 30060

7/11/2013

Adams, Angela D.

RN158173

Asit K. Jha, MD

55248

11189

1706 Alice St. Waycross, GA 31501

11/2/2012

Adams, Jewel Ann

RN079253

Donald Davis, MD

19506

7726

1525 Clifton Road Atlanta, GA 30322

10/2/2012

Adams, Jennifer Campbell

RN157995

James Lindley, MD

33138

7908

4 Jackson Blvd Savannah, GA 31405

12/3/2010

Adamski, Jennifer

RN226384

Dean Karampelas, MD

26141

13842

743 Spring St Gainesville, GA 30501

9/11/2014

Adamski, Jennifer Lynn

RN226384

Dean Karampelas, MD

26141

11780

743 Spring St Gainesville, GA 30501

4/4/2013

Wednesday, August 12, 2015

Page 2 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Adcock, Leslie Hollowell

RN063419

William Morris Brown, MD

29309

8855

95 Collier Rd, Suite 5015 Atlanta, GA 30309

1/7/2010

Adderley, Gilda

RN191759

Susan Schayes, MD

43278

15659

2124 Candler Rd Decatur, GA 30310

6/4/2015

Adderley, Kisha

RN185219

Sheryl Canady, MD

50999

15543

1775 Parker Rd, Ste C-240 Conyes, GA 30094

6/4/2015

Addison, Nivenann Townsend

RN114338

Michael Connor, MD

31581

5020

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Addy, Sharon N.

RN218443

Edward Matthews, MD

34896

11238

2525 Williams Rd. Columbus, GA 31909

12/7/2012

Adebayo, Monsurat M.

RN144155

Jada Bussey-Jones, MD

47306

11218

80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

11/2/2012

Adegbuji, OmoRonke

RN161498

Cedrella Jones-Taylor, MD

26313

14908

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Adegbuji, Omoronke Olufunmil RN161498

Madhu Vishwanath, MD

56499

8869

595 Piedmont Ave, Suite 1000 Atlanta, GA 30308

12/4/2009

Adekoya, Chrisianah

RN211077

Ritz Claxton, MD

66584

14500

1133 Eagles Landing Pkwy Stockbridge, GA 66584

5/8/2015

Adeshigbin, Alaba

RN175655

Lloydstone Jacobs II, MD

49179

10949

2980 University Parkway Lawrenceville, GA 30043

8/10/2012

Adeshigbin, Alaba Risikat

RN175655

Lee Grose, MD

46856

22

2900 University Parkway Lawrenceville, GA 30045

11/1/2007

Adeyemi, Afusat

RN202394

Mehmood Mehdi, MD

57725

14765

367 Athens Hwy, Ste 1050 Loganville, Ga 30052

2/5/2015

Adham, Sarah Christin

RN208832

Douglas Stuart, MD

35527

9475

95 Collier Rd, Suite 4045 Atlanta, GA 30309

11/5/2010

Adibe, Josephine Obiy

RN111866

Hany Atallah, MD

52678

13869

80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta, GA 30303

9/11/2014

Wednesday, August 12, 2015

Page 3 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Adkins, Jessica R

RN168399

Kasey Berman, MD

55095

13809

400 Mall Blvd Ste.410B Savannah, GA 31406

9/11/2014

Adkins, India Marcell

RN183996

Eric Hall, MD

45814

11965

512 South Main St, Suite A Hinesville, GA 31313

6/7/2013

Adkins, Amelia Rose Craighead

RN117328

Robersteen Howard, MD

40103

24

330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

9/14/2007

Adkinson, Lauren Aaron

RN181617

Frank Casey, MD

59614

12519

5400 Bowman Rd Macon, GA 31210

11/8/2013

Aerstin, Monica Christine

RN131199

Hassan Sayegh, MD

36066

195

95 Collier Rd, Suite 300 Atlanta, GA 30309

9/13/2013

Agnew, Greta

RN054192

Titu Das, MD

61838

15359

6335 Hospital Parkway, Ste 310 John Creek, GA 30097

5/8/2015

Agyemang, Dora Agyei

RN158183

Frank Bynes, MD

36932

12702

106 East Broad St Savannah, GA 31401

1/9/2014

Agyemang, William O. B.

RN154407

Eric Fogam, MD

47902

9138

PO Box 7150 Garden City, GA 31418

10/8/2010

Agyepong, Dorothy Dee

RN109364

Clyde Simmons, MD

17301

15108

5488 Alabama Ave Omega, GA 31775

3/5/2015

Ahearn, Nanci Lee Brinn

RN211307

Douglas Perry, MD

40753

13164

89 Interchange Dr Richmond hill, GA 31324

4/4/2014

Ahearn, Nanci Lee Brinn

RN211307

Wallace Holland, MD

24438

9647

10055 Ford Ave, Suite 5A Richmond Hill, GA 31324

3/4/2011

Aina, Joan

rn153656

Robinowitz, Michael MD

17274

10528

1255 Highway 54 West Fayetteville, GA 30214

3/1/2012

Akins, Scott

RN231437

Sara Sambandham, MD

64964

16127

5673 Peachtree-Dunwoody Rd 5th floor Atlanta, GA 30342

8/6/2015

Akins, Katharine L Reeves

RN081701

David Brantley, MD

28506

13512

200 North River St. Claxton, GA 30417

7/10/2014

Alaka, Olushola

RN165259

John Ogundipe, MD

39193

15890

2130 Anderson Mill Rd Austell, GA 30106

7/9/2015

Wednesday, August 12, 2015

Page 4 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Alaka, Olushola Denai

RN165259

Melissa Schepp, MD

50221

14504

677 Church St. Marietta, GA 30060

9/11/2014

Alaka, Olushola Denai

RN165259

Melissa Schepp, MD

50221

12390

5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

10/10/2013

Albritton, Amber Laine

RN174507

James Palazzolo, MD

37637

13022

804 13th Ave Albany, GA 31707

3/6/2014

Alcius, Martine Eliette

RN195292

Josephine Tan, MD

19193

12701

106 East Broad St Savannah, GA 31401

1/9/2014

Alday, Vicky W.

RN061053

Jennifer Miller, MD

46996

8081

390 E H Court Brunswick, GA 31520

11/1/2007

Alday, Vicky Lynn Whittington

RN061053

Tom Vann Willis, Jr., MD

10695

27

1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524

6/8/2007

Alderman, Troy Drawdy

RN212358

Jorge Pisarello, MD

58914

13091

701 North Slappey Blvd Albany, GA 31701

4/4/2014

Alderman, Troy

RN212358

Gutierrez, Raymond MD

57983

10892

701 N. Slappey Blvd Albany, GA 31701

7/12/2012

Ales, Lisa Marie

RN119193

Charles Johnson, MD

7504

11886

6392 Murphy Dr Morrow, GA 30260

5/3/2013

Alexander, Cassie Rae

RN140383

Colville Ferdinand, MD

53439

12189

1120 15th Street, BA-4416 Augusta, GA 30912

8/9/2013

Alexander, Shona Rasheeda

RN168429

Margaret White, MD

36482

33

500 Springhouse Circle Stone Mountain, GA 30087

8/5/2011

Alexander, Gary Richard

RN059514

Robert Hall, MD

45234

29

231 Graefe Street Griffin, GA 30223

11/1/2007

Alexis-Destin, Bernadette

RN198438

Anne Grant, MD

70244

15323

5294 Adams St Covington, GA 30014

5/8/2015

Alexis-Destin, Bernadette

RN198438

Ray Paris, MD

19855

14382

101 Commerce Place Barnesville, GA 30204

10/9/2014

Wednesday, August 12, 2015

Page 5 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Al-Haroun, Katherine Melton

RN188235

Melody Palmore, MD

33679

12631

341 Ponce de Leon Ave Atlanta, GA 30308

12/6/2013

Ali, Idris Pasha

RN229841

Christopher Oldfield, MD

46195

12069

1326 Eisenhower Dr Savannah, GA 31406

8/9/2013

Aliffi, Kathy Jeanette Castille

RN089463

Nathan Neufeld, DO

70135

12615

600 Parkway North Newnan, GA 30265

12/6/2013

Aliffi, Kathy Jeanette Castille

RN089463

George Vellanikaran, MD

33219

36

20 Francis Way, Suite 101 Sharpsburg, GA 30277

10/4/2007

Aliotta, Brandy Taylor

RN142957

William Osborne, MD

33664

37

4750 Waters Avenue, Suite 400 Savannah, GA 31404

2/5/2009

Allain, Lauren C.

RN225178

Marc J. Harringan, MD

56719

11404

35 Collier Rd., Ste 500 Atlanta, GA 30309

1/11/2013

Allcott, Mary Alice Giblin

RN052669

Michael Sharkey, MD

38609

8182

510 East Oglethorpe Hwy Hinesville, GA 31313

4/3/2008

Allen, Sonya

RN077192

Mark Elam, MD

36147

15949

755 S Perry St 2nd floor Lawrenceville, GA 30046

8/6/2015

Allen, Harriett

RN185582

Jack Dawson, MD

11945

15979

1968 Peachtree Rd NW Atlanta, GA 30309

8/6/2015

Allen, Jacob

RN195213

William Blincoe, MD

23018

15816

1968 Peachtree Rd NW Atlanta, GA 30309

7/9/2015

Allen, Michelle Marie

RN184598

Guilda Saint Fleur, MD

69627

15834

774 GA Hwy 96 Bonaire, GA 31005

7/9/2015

Allen, Jeanie

RN087452

Paul Giles, MD

25159

15637

1006 Mt Vernon Highway Vidalia, GA 30474

6/4/2015

Allen, Mary

RN058026

Anna Woodbury, MD

67188

15569

1670 Clairmont Rd Decatur, GA 30033

6/4/2015

Allen, Sonya M.

RN077192

Bill Moore Smith, MD

59963

15412

755 South Perry St., 2nd Flr Lawrenceville, GA 30046

5/8/2015

Wednesday, August 12, 2015

Page 6 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Allen, Renai A

RN222518

Tamer Middleton, Md

51987

15355

2988 Shallowford Rd. Marietta, GA 30066

4/2/2015

Allen, Mary Chandler

RN233995

Meenakshi Hari, MD

49026

15342

2520 Windy Hill Rd, Ste 104 Marietta, GA 30067

4/2/2015

Allen, Terrie Hattie

RN195025

George Arimah, MD

42787

15160

121 Northcrest Blvd. Macon, GA 31210

3/5/2015

Allen, Carrie Boswell

RN201380

Elizabeth Norwood, MD

46192

12926

2739 Felton Dr East Point, GA 30344

11/7/2014

Allen, Jane Nix

RN072414

Glendon Rougeou, MD

70764

13440

108 Prominence Ct Ste 100 Dawsonville, GA 30534

9/11/2014

Allen, Jane Nix

RN072414

Robert Kelly, MD

34384

12427

5875 Thompson Mill Rd, Suite 100 Hoschton, GA 30548

12/6/2013

Allen, Jane Nix

RN072414

Terry Hansen, MD

47330

48

184-A Professional Dr Baldwin, GA 30511

5/3/2013

Allen, Amber Beth

RN184309

Virginia Price, MD

19897

9914

705 Dallas Hwy, Suite 101 Villa Rica, GA 30180

9/1/2011

Allen, Nancy Leigh Ward

RN065074

William Adcox, MD

31376

52

100 Genevieve Court, Suite A Fayetteville, GA 30215

3/4/2011

Allen, Bryan Patrick

RN162545

Carl Foster, MD

57618

8852

6400 Flat Rock Rd Columbus, GA 31907

4/1/2010

Allen, Deborah C.

RN190740

Rose Cesar, MD

48217

8927

1497 Fair Rd, Suite 201 Statesboro, GA 30458

2/5/2010

Allen, Vivian Lynn

RN134633

Herman Levy, MD

34010

7821

2500 Starling St, Suite 504 Brunswick, GA 31520

8/8/2008

Allen, Deborah C.

RN190740

Rani Reddy, MD

34450

8201

106 Briarwood Road Statesboro, GA 30458

6/6/2008

Allen, Beth Ann

RN081047

Lindsay Crawford, MD

56531

42

614 Patterson Road Lafayette, GA 30728

12/7/2007

Wednesday, August 12, 2015

Page 7 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Allen, Beth Ann

RN081047

Joseph Watlington, MD

25685

8124

201 Thomas Road Ft. Oglethorpe, GA 30742

12/7/2007

Allicock, Alisa Natasha

RN198722

Andrew Magnet

60215

14277

813 E 68th St, Ste B Savannah, GA 31401

11/7/2014

Allman, Danielle Kristin Renee

RN226437

Vida Reklaitis, MD

34718

12498

1000 Johnson Ferry Rd, Emer Dept Atlanta, GA 30342

12/6/2013

Allman, Danielle Kristin Renee

RN226437

Deborah Griffiths, MD

35888

12289

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Almeida, Tammy Renee

RN175707

Troy Murphy, DO

53290

12451

9 Chatham Center South, Suite C Savannah, GA 31405

1/9/2014

Alston, Marion

RN087708

Trefts, Lori MD

66093

10484

2500 Starling St, Ste 503 Brunswick, GA 31520

3/1/2012

Altringer, Joanne May Gensel

RN131761

Michelle Perry, MD

53017

14084

2040 Dan Proctor Dr., Ste 250 St Marys, GA 31558

10/9/2014

Amaker, Iris

RN041284

Riba Kelsey-Harris, MD

53833

59

3740 Cascade Road Atlanta, GA 30331

12/4/2008

Amankwah, Pearl Opokua

RN195776

Courtney Shelton, MD

50559

13232

315 Boulevard NE, Suite 200 Atlanta, GA 30312

5/1/2014

Amanti, Michael Gerard

RN234264

Morgan McLemore, MD

59290

13992

80 Jesse Hill Jr Dr. SE, Ground Atlanta, GA 30303

9/11/2014

Amason, Jeryi Lyn Pankov

RN100568

Laurence Lesser, MD

14194

13709

2160 Fountain Drive, Ste 5 Snellville, GA 30078

9/11/2014

Amato, Juliet Renee

RN186569

Baker, Roy MD

25096

10213

4 Jackson Blvd Savannah, GA 31405

12/1/2011

Amatriain, Valerie Renee

RN091643

Deborah Griffiths, MD

35888

62

Amazon, Jody Lee

RN096082

Jae Pak, MD

40185

9396

Wednesday, August 12, 2015

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013
2160 Fountain Dr, Suite 200 Snellville, GA 30078

11/5/2010

Page 8 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Amazon-Leece, Jody Lee

RN096082

Naresh Parikh, MD

28851

63

Amba, Katheryne Tifuh

RN208577

Robert Cook, MD

26087

Amidei, Tina Marie

RN147435

Alan Cheng, MD

Amidei, Tina Marie

RN147435

Amukamara, Ernest

Protocol Address

Effective

6330 Primrose Hill Court Norcross, GA 30092

2/5/2009

12123

707 Old Dalton Elijay Rd, Emer Dept Chatsworth, GA 30705

8/9/2013

66271

13867

55 Whitcher St. Ste 350 Marietta, GA 30060

9/11/2014

Daniel Kleinman, MD

25627

64

55 Whitcher St, Suite 350 Marietta, GA 30060

8/9/2013

RN201832

Sallu Jabati, MD

58572

15487

5820 Old National Highway College Park, GA 30349

6/4/2015

Anaele, Caroline

RN135346

David Wyatt, MD

42979

15886

2121 Fairburn Rd, Ste B Douglasville, GA 30135

7/9/2015

Anaele, Caroline Chika Obasi

RN135346

Luzmira Torres, MD

54287

11869

2121 Fairburn Rd, Suite B Douglasville, GA 30135

5/3/2013

Anders, Onitisha

RN222372

Xiaofeng Zhong, MD

69466

15404

100 Goshen Rd Rincon, GA 31326

5/8/2015

Anders, Onitisha Vondese

RN222372

Toni Sylvester, MD

58933

15161

110 Goshen Rd. Rincon, GA 31326

3/5/2015

Anderson, Tasha

RN183773

Matthew Wisdom, MD

69150

15099

1000 Johnson Ferry Rd N E Atlanta, GA 30342

3/5/2015

Anderson, Letitia Belinda

RN176811

David Sydner Lockman, MD

63798

13067

728 Cobb Street Athens, GA 30606

9/11/2014

Anderson, Geraldine Jackson

RN115669

Sheila Southerland, MD

55894

13180

902 7th Street North Cordele, GA 31015

5/1/2014

Anderson, Sherry L

RN107552

David Celestial, DO

54990

7757

610 19th st Columbus, GA 31901-1528

9/13/2013

Anderson, Karen Beale

RN101306

Sidney Morgan, Jr, MD

21262

74

105 Rocky Ford Rd Sylvania, GA 30467

3/8/2013

Wednesday, August 12, 2015

Page 9 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Anderson, Christine G.

RN139756

Harold D. Hubert, MD

6355

11376

820 St. Sebastian Way, Ste *-A Augusta, GA 30901

12/7/2012

Anderson, Tabatha P.

RN149791

Kecia J. Jones, MD

55247

11286

638 Historic Hwy 441, Ste. B Demorest, GA 30535

11/2/2012

Anderson, Stephanie Heaton

RN173488

Anderson, Michael MD

54532

77

391 East Main street Canton, GA 301114

1/6/2012

Anderson, Laura

RN189512

Grundfast, Matthew DO

52944

10260

1009 N. Monroe Street Albany, GA 31701

12/1/2011

Anderson, Geraldine

RN115669

Jones, Ernest DO

41851

10194

216 Hospital Drive Cordele, GA 31015

11/3/2011

Anderson, Christopher James

RN105862

Sidney Smith, MD

38615

71

900 Mohawk St Savannah, GA 31419

4/1/2011

Anderson, Alana Dee Austin

RN146734

Andrew Michas, MD

49065

9307

1001 N. Monroe Street Albany, GA 31701

9/2/2010

Anderson, Cynthia Lynne

RN127974

Tonya Fordham, DO

49292

8937

277 Lackawanna Street Baxley, GA 31513

1/7/2010

Anderson, Caroline Carter

RN154703

Harrison Carter, MD

50575

8696

1126 West 12th Street Alma, GA 31510

11/5/2009

Anderson, Mae Kelly

RN060007

Brian DeLoach, MD

51216

76

PO Box 8043 Statesboro, GA 30460-8043

9/11/2008

Anderson, Christine Gayle

RN139756

Mark Smith, MD

37908

70

1303 D'Antignac Street, Suite 2500 Augusta, GA 30901

3/7/2008

Anderson, Tasha LC

RN183773

Robert Dambach, DO

30039

78

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

12/7/2007

Anderson-Reid, Marlene

RN178688

Ernest Han, MD

62511

11532

663 Lanier Park Dr. Gainesville, GA 30501

1/11/2013

Andler, Pamela Joy Salett

RN157084

Nydia Maria Bladuell, MD

38429

79

55 Whitcher St, Suite 350 Marietta, GA 30060

4/13/2007

Wednesday, August 12, 2015

Page 10 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Andres, Garland R. S.

RN159210

Sherry Taylor, MD

35151

8483

5780 P'tree Dunwoody Rd, #295 Atlanta, GA 30342

4/2/2009

Andrews, Nancy

RN238281

Jeff Wilkins, MD

51402

15094

3421 Mike Padgett Hwy Augusta, GA 30906

3/5/2015

Andrews, Regina Lynn

RN154122

Raj Gupta, MD

33345

12188

308 Coliseum Dr, Suite 120 Macon, GA 31217

8/9/2013

Angevine, Margaret McGarrity

RN246634

Jose Ruiz-Lagos, MD

63948

15933

35 Collier Rd, Ste 635 Atlanta, GA 30309

7/9/2015

Ansley, Diane H

RN046318

Lisa Ruschak, MD

59956

85

1022 Miller Lane SW Darien, GA 31305

3/6/2014

Anyanwu, Justina Ngozi

RN156181

Sharon Tuckett, DO

36309

15940

4028 Hwy 5 Douglasville, GA 30135

7/9/2015

Anyaoha, Forstina Nneka

RN210012

Tariq Noohani, MD

66975

16135

677 Church St. Marietta, GA 30060

8/6/2015

Aplin, Brooke Johnson

RN138437

James Cox, MD

34323

88

6918 McGinnis Ferry Road Suwanee, GA 30024

3/7/2008

Appiah-Kubi, Mavis

RN185422

Yolanda Hacker, MD

45811

13329

855 Veterans Memorial Hwy SE Mableton, GA 30126

6/6/2014

Archer, Holly

RN124097

Holmes Marchman, MD

37021

15968

655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501

8/6/2015

Archer, Ava Dawn

RN133688

Alison Krause, MD

40443

9178

4040 Hospital West Drive Austell, GA 30106

8/6/2010

Ard, Cheryl

RN070092

Linda Arnold, MD

40299

15696

260 West Clinton St Gray, GA 31032

6/4/2015

Ard, Cheryl Jean

RN070092

Alice House, MD

43065

15152

100 College Station Dr. Macon, GA 31206

2/5/2015

Ard, Cheryl J.

RN070092

Hubert R. Smith, MD

18745

11206

412 Northside Dr., East Statesboro, GA 30458

12/7/2012

Wednesday, August 12, 2015

Page 11 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Armand, Jean Marie

RN183299

William Cross, DO

62831

16040

710 Center St., Emer. Dept Columbus, GA 31901

7/9/2015

Armand, Jean Marie

RN183299

Kory Vaughn, MD

69457

14282

745 Poplar Rd Newnan, GA 30265

11/7/2014

Armand, Jean Marie

RN183299

Jamie Walraven, MD

45023

14330

1275 Hwy 54 W Ste 201 Fayetteville, Ga 30214

10/9/2014

Armand, Jean

RN183299

Jackson, William MD

35913

10217

1365 Rock Quarry Road, Ste 200 Stockbridge, GA 30281

11/3/2011

Armand, Jean Marie

RN183299

Shakira Thomas, MD

64729

9615

60 Hospital Rd, Emer Dept Newnan, GA 30263

4/1/2011

Armand, Jean Marie

RN183299

Michael Flueckiger, MD

35869

96

1968 Peachtree Rd, Emer Dept Atlanta, GA 30309

3/4/2011

Armstrong, Hailey

RN247289

Molly Vicchrilli, MD

58364

16119

304 Turner McCall Blvd Rome, GA 30165

8/6/2015

Armstrong, Lindsay Leigh

RN239601

Laurence Greenbaum, MD

57171

14061

2015 Uppergate Dr. NE Atlanta, GA 30322

10/9/2014

Armstrong, Lisa Kristen

RN176012

James Wheeler, MD

17903

13865

993F Johnson Ferry Rd Ste 210 Atlanta, GA 30342

9/11/2014

Armstrong, Christine Beauvais

RN144348

James Kauten, MD

24830

13612

95 Collier Rd., NW, Ste 5015 Atlanta, GA 30309

8/7/2014

Armstrong, Helen Victoria

RN200896

Pamela Clanton, MD

61221

13143

745 Poplar Rd Newnan, GA 30265

6/6/2014

Arp, Michelle Aimee

RN126964

Lathan Overstreet, MD

36659

5033

340 Boulevard NE, Suite 103 Atlanta, GA 30312

8/7/2009

Arrington, John Davis

RN187913

Matthew A. Wheatley, MD

57702

10994

80 Jesse Hill Jr. Dr. Atlanta, GA 30303

11/2/2012

Arthur, Emily

RN234732

Sekhar Sankaran, MD

31549

16111

101 Regency PK Dr, Ste 140 McDonough, GA 30253

8/6/2015

Wednesday, August 12, 2015

Page 12 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Asa, Michele

RN170388

Betsy S. Horton, MD

40693

11188

745 S. Glynn St. Fayetteville, GA 30214

11/2/2012

Asher, Sue

RN142933

Crystal Comeau, MD

61224

9868

101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

8/5/2011

Asher, Sue

RN142933

Robert Stahlkuppe, MD

17089

102

56 Hospital St. Hiawassee, GA 30546

9/14/2007

Ashton, Christine O'Rourke

RN198739

David Propp, MD

40521

12299

1525 Clifton Rd Atlanta, GA 30322

9/13/2013

Ashton, Christine O'Rourke

RN198739

Underset, Craig MD

29961

10745

5579 Maleton Pkwy Mableton, GA 30126

6/8/2012

Ashu, Lyna

RN198848

Kitasha Bumey, MD

55931

14556

3885 Princeton Lakes Way Atlanta, GA 30331

12/4/2014

Ashworth, Susan Elizabeth Lest

RN080564

Jeffrey Tharp, MD

35153

107

176 Marietta Hwy Hiram, GA 30141

9/2/2010

Askew, Susan Lee Michelle Bro

RN084786

William Swofford, MD

46262

12215

210 West Main St, Suite 4 Colquitt, GA 39837

9/13/2013

Atchley, Torrey

RN191965

Raymond McKoy, DO

44536

14601

2510 Redmond Cir N W Rome, GA 30165

1/8/2015

Atherton, Ann Ritchie

RN118404

Edward Clark, MD

36700

109

744 First Street Macon, GA 31201

1/11/2008

Atigbi-Hansen, Jueth

RN194301

Paul Allen, MD

28490

15065

2795 Main St.W, Ste 27 Snellville, GA 30078

4/2/2015

Atigbi-Hansen, Jueth

RN194301

Venkatappa Rangaraj, MD

58633

13942

2795 Main St. W, Ste 27 Snellville, GA 30078

9/11/2014

Atkins, Denise

RN202095

Donna Burrell, MD

38704

15821

610 19th St, SF Columbus Clinic Columbus, GA 31901

7/9/2015

Atkins, Rebekah Renee

RN195940

Flavia Rossi, MD

69623

15095

2225 US Hwy 41 North Tifton, GA 31794

3/5/2015

Wednesday, August 12, 2015

Page 13 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Atkins, Bethany Woodruff

RN204317

David Turfler, MD

24255

13415

209 S. Tallahassee St, PO Box 770 Hazlehurst, GA 31539

7/10/2014

Atkins, Letisha

RN157938

Jill W. Kitchens

60516

11100

150 Gentilly Blvd. Cartersville, GA 30120

10/5/2012

Atkins, David Ryan

RN124759

Richard Wheeler, MD

46277

7797

416-A East McPherson Ave Nashville, GA 31639

11/5/2010

Atkinson, Julie Ellen

RN170658

Jatinder Bhatia, MD

18784

9189

1120 15th Street, BIW-6033 Augusta, GA 30912

8/6/2010

Atkinson, Denise F

RN123829

Martha Ward, MD

20360

7793

400 S. Pinetree Blvd Thomasville, GA 31792

2/5/2009

Augestad, Allison

RN206701

Robert Dambach, DO

30039

15875

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

7/9/2015

Augestad, Allison

RN206701

William Almon, MD

30938

14496

5755 North Point Parkway, Ste 72 Alpharetta, GA 30022

6/4/2015

Augustine-Akpan, Inemienyu

RN181184

Miriam Gwathney, DO

63343

12804

931 Lower Fayetteville Rd, Suite J Newnan, GA 30263

2/6/2014

Auriemma, Kimberly

RN113740

Garrot, Louis Crain MD

59157

10761

790 Church St, Suite 335 Marietta, GA 30060

6/8/2012

Austin, Sekeithia

RN195200

Onkar Kaur, MD

47103

16114

618 East Lamar St Americus, GA 31709

8/6/2015

Austin, Nancy MacCrae

RN162994

Pete Williams, MD

59940

114

743 Spring St Gainesville, GA 30501

4/4/2014

Austin, Valerie Anne

RN145096

Jonathan Hall, MD

59655

12467

12192 Augusta Rd Lavonia, GA 30553

12/6/2013

Austin, Barbara

RN128161

Clark, Robert DO

40887

10565

1701 Magnolia Way, Ste 101 Augusta, GA 30909

3/29/2012

Austin, Jennifer

RN187723

McCoy, Frank MD

10063

340 Kennestone Hospital Blvd, Ste 200 Marietta, GA 30060

10/7/2011

Wednesday, August 12, 2015

Page 14 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Austin, Barbara

RN128161

Menchion, Kenneth MD

47236

10013

350 Country Club Dr, Suite B Stockbridge, GA 30281

9/1/2011

Austin, Colleen Mccoy

RN065814

Thomas Olson, MD

40180

113

1405 Clifton Rd, Tower I,4th Floor Atlanta, GA 30322

6/6/2008

Avinger, Shanetia Sontavia

RN189154

Anthony Clavo, MD

45425

15354

1975 West Hwy 54 Fayetteville, GA 30214

4/2/2015

Avist, Dana Marie

RN115997

Pak, Jae MD

40185

118

2160 Fountain Drive Ste 101 Snellville, GA 30078

7/12/2012

Aycox, Melissa Dawn McElreath RN139568

Richard Robinson, MD

38936

5036

3240 Avalon Blvd Conyers, GA 30013

5/7/2009

Ayeni, Regina Foluke

RN143045

Clarence Hendrix, MD

28569

12454

1825 County Services Pkwy Marietta, GA 30060

10/10/2013

Ayer, Adam

RN199510

Bleacher, John MD

42182

10257

5455 Meridian Mark Road, Ste 570 Atlanta, GA 30342

3/29/2012

Ayyagari, Krishnaveni

RN216654

Jodi Vann, MD

41988

14971

696 Grayson Hwy Lawrenceville, GA 30046

3/5/2015

Bachtel, Mary Kathleen

RN123161

Naghma Khan, MD

37252

14792

1645 Tullie Circle Atlanta, GA 30329

2/5/2015

Bacot, Eliza

RN168366

David Quintero Bustos, MD

61149

14886

600 Celebrate Life Pwy Newnan, GA 30265

2/5/2015

Badnin, Martha Ellen

RN089038

Pradeep Jolly, MD

22798

9946

1100 Johnson Ferry Rd, Ste 600 Atlanta, GA 30342

8/5/2011

Baggett, Patricia Robin

RN065906

Leslie Cottrell, MD

45194

14171

4248 Mt. Zion Rd Carrollton, GA 30150

11/7/2014

Baggett, Krystal E.

RN159515

Andy F. Williamson, MD

25402

5467

908 Hillcrest Parkway Dublin, GA 31021

6/8/2007

Baggs, Florence

RN089010

Badea, Calin MD

55918

10058

213 N. McDonald Street, Suite A & B Ludowici, GA 31316

10/7/2011

Wednesday, August 12, 2015

Page 15 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Baggs, Florence Oralee

RN089010

Olugbenga A. Awe, MD

48329

5461

PO Box 52 Hinesville, GA 31310

4/13/2007

Bailey, Erin

RN247639

Fred Hood MD

45071

15880

1050 Eagles Landing Pkwy, Ste 200 Stockbridge, GA 30281

7/9/2015

Bailey, Jean Marie

RN092042

Prakul Chandra, MD

66006

13863

961 East Winthrope Ave Millen, GA 30442

9/11/2014

Bailey, Courtney Ann Mels

RN186045

Eric Mitchell, MD

46177

11917

1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214

6/7/2013

Bailey, Natisha

RN135442

Shields, James MD

27911

10566

200 s. Houston Lake Rd, Ste A Warner Robins, GA 31088

3/29/2012

Bailon, Melva Curameng Blanq

RN073825

Benjamin Bailon, MD

27025

131

890 W. Main Street Lakeland, GA 31635

8/8/2008

Baird, Kim Andrea Timmerman

RN051587

Robert Wilson, MD

38133

133

308 Bedell Ave Woodbine, GA 31569

5/3/2013

Baize, Theresa Elaine

RN156046

Arvind Gupta, MD

33344

134

3207 Country Club Drive Valdosta, GA 31605

10/2/2008

Baker, Benjamin Jermaine

RN202254

Mahmood Mahmood

42008

15746

231 Graefe St Griffin, GA 30224

7/9/2015

Baker, Carol Dean

RN057106

Edward Olsen, MD

55160

14949

175 Emery Hwy Macon, GA 31217

3/5/2015

Baker, Nidsa Doris

RN175998

Lawrence Zottoli, MD

36639

13019

4704 Augusta Rd Garden City, GA 31408

4/4/2014

Baker, Vanessa Young

RN072455

Richard Rickman, MD

49332

12627

3200-C North Ashley St Valdosta, GA 31602

12/6/2013

Baker, Vanessa Y.

RN072455

Ellen E. Courson, MD

34089

11535

3811 Old US Hwy 41 North Valdosta, GA 31604

1/11/2013

Baker, Nidsa D.

RN175998

Eduard Docu, MD

56426

11513

St. Marys Hlth Center, 1302 Drayton St Savannah, GA 31401 1/11/2013

Wednesday, August 12, 2015

Page 16 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Baker, Chester Riley

RN146348

James Terry Greene, MD

32741

8727

130 Magnolia Lane Cornelia, GA 30531

9/3/2009

Baldridge, Robert Lee

RN111133

Todd Hold, MD

46126

14177

1035 Redbud Rd (ER) Clhoun, GA 30701

11/7/2014

Ballard, Linda Kozak

RN107598

Karen Wasilewski, MD

53203

11887

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

5/3/2013

Banasik, Stephanie Eileen

RN220937

Gary Fischer, MD

57804

15762

10200 Ford Ave, Ste 101 Richmond Hill, GA 31324

7/9/2015

Bandell, Jaclyn Marie

RN230719

Milanieva Latorre, MD

38032

14985

643 Main St. Palmetto, GA 30268

4/2/2015

Bandoquillo, Kirby

RN221793

Franklin Lin, MD

52461

15565

61 Whitcher St, Ste 3110 Marietta, GA 30060

6/4/2015

Banister, Anna Lee

RN144607

William Kolhoff, MD

63706

14860

800 Towne Park Dr, Ste 100 Rincon, GA 31326

2/5/2015

Banister, Anna Lee

RN144607

James Cornwell, MD

50608

9773

3 Hidden Creek Guyton, GA 30312

5/6/2011

Banks, Kai Lynneice

RN226809

Naghma Khan, MD

37252

12761

1645 Tullie Cir Atlanta, GA 30329

1/9/2014

Banks, Kai Lynniece

RN226809

Elizabeth Norwood, MD

46192

11697

2739 Felton Dr East Point, GA 30344

3/8/2013

Banks, Elizabeth Davidson

RN123620

Benjamin Epstein, MD

35044

151

2665 N. Decatur Road, Suite 255 Decatur, GA 30033

2/5/2009

Banks-Blades, Paulette Rena

RN169953

Alison Lauber, MD

22812

9434

1120 15th St, HB-4022 Augusta, GA 30909

1/7/2011

Banner, Laura J

RN198626

Shaena Blevins, MD

60242

13566

743 Spring Street Gainesville, GA 30501

7/10/2014

Bannister, Brandis K Singleton

RN185747

Oladapo Fawihe, MD

43608

13340

811 13th St., Ste 11 Augusta, GA 30901

6/6/2014

Wednesday, August 12, 2015

Page 17 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Baran, Susan

RN120593

Bailey, Marion MD

10469

10379

109 Industrial Drive, Ste B St. Mary's, GA 31558

1/6/2012

Barbaree, Leigh Ann

RN166195

Michael Sims, MD

19775

8464

3934 Woodruff Road Columbus, GA 31904

2/5/2009

Barbee, Leah

RN159846

Duke, Michael MD

42041

10420

134 West Campus Drive, Cbox 091 Milledgeville, GA 31061

2/3/2012

Barber, Babette

RN089020

Ann Ward, MD

23242

16031

48 Hill Creek Rd Taylorsville, GA 30178

8/6/2015

Barber, Charlotte

RN049419

Roberts, Michael MD

26367

10541

750 N. Cobb Street, Ste 110 Milledgeville, GA 31061

3/1/2012

Barber, Ronald Blake

RN135629

Yolanda Wade, MD

58345

8675

40 Jefferson Street Newnan, GA 30263

8/7/2009

Barber, Ronald Blake

RN135629

Barry Morgan, MD

25554

8601

1755 Hwy 34, Suite 2150 Newnan, GA 30265

7/10/2009

Barco, Angela

RN221722

Troy Akers, MD

67924

15911

2260 Wrightboro Augusta, GA 30904

7/9/2015

Barco, Angela Marie

RN221722

Rolando Torres, MD

43138

15018

2460 Washington Rd, NE Thomson, GA 30824

5/8/2015

Barco, Angela Marie

RN221722

David Brosnahan, MD

59132

14215

1350 Walton Way Augusta, GA 30901

11/7/2014

Barco, Angela Marie

RN221722

Bozeman Sherwood, MD

26379

13434

5176 Wrightsboro Road Grovetown, GA 30818

7/10/2014

Barco, Angela Marie

RN221722

Mihaela Saler, MD

66316

11053

1350 Walton Way Augusta, GA 30901

12/7/2012

Barfield, John

RN101335

Amy Lucas, MD

65452

11148

1062 Forsyth St., Ste 1-B Macon, GA 31201

10/5/2012

Barker, Susan

RN037609

Shaun Franklin, MD

40663

14779

325 W Montgomery Crossroads Savannah, GA 31406

2/5/2015

Wednesday, August 12, 2015

Page 18 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Barkhaus, Corby Lynn

RN108439

Karen Muro, MD

37304

14823

497 Winn Way, Ste A 210 Decatur, GA 30030

2/5/2015

Barlow, Paula

RN079838

Isioma Okwumabua, MD

70256

15118

2464 Roswell Rd Marietta, GA 30062-4954

4/2/2015

Barlow, Paula Carol Stiller

RN079838

Miriam Gwathney, DO

63343

12803

931 Lower Fayetteville Rd, Suite J Newnan, GA 302563

7/10/2014

Barlowe, Brenda Jane Harvel

RN119659

Thomas Hatchett, MD

36984

5040

870-A Austin Dr Demorest, GA 30535

8/6/2010

Barnard, Angela C

RN096995

Vincent Galan, MD

28685

13810

1365 Rock Quarry Rd Stockbridge, GA 30281

9/11/2014

Barnes, Allison Maxwell

RN205112

Robert Hall, MD

45234

15026

231 Graefe St. Griffin, GA 30224

3/5/2015

Barnes, Abby S

RN241927

William Harper, MD

20726

13861

1021 Talbotton Rd Columbus, GA 31904

9/11/2014

Barnes, Christopher

RN197164

Peter Barrett, MD

69372

13860

95 Collier Rd, NW, Ste 5015 Atlanta, GA 30309

9/11/2014

Barnes, Wendy Denise

RN165438

Mahaveer Vakharia, MD

38390

11843

4171 Marietta St, Suite 300-A Powder Springs, GA 30127

7/11/2013

Barnes, Susan McGraw

RN105904

Wayne Richey, MD

50910

7753

160 Central Avenue Trion, GA 30753

1/11/2008

Barnes, Maria Martinez

RN125306

Raulnina Uzzle, MD

43499

7800

770 Village Square Drive Stone Mountain, GA 30083

1/11/2008

Barnes, Dawn Kyla Daw

RN138894

Dennis Estep, MD

25429

160

2366 Battlefield Parkway Ft Oglethorpe, GA 30742

10/4/2007

Barnett, Toni Odom

RN060038

Daniela Rojas-Molina, MD

55331

164

772 Maddox Dr, Suite 122 Ellijay, GA 30540

5/3/2013

Barnett, Tammy Lynn

RN147543

Jeremy Goodwin, MD

59416

8713

97 Martin Luther King Dr Forsyth, GA 31029

9/3/2009

Wednesday, August 12, 2015

Page 19 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Barnett, Connie J.

RN060037

Thad Riley, MD

28637

8371

PO Box 957 Statesboro, GA 30459

12/4/2008

Barnette, Katherine

RN176758

Matthew A. Wheatley, MD

57702

11039

80 Jesse Hill Jr., Dr., Ste 127 Atlanta, GA 30303

11/2/2012

Barrett, Karen

RN080586

Henry Lewis, MD

49052

15849

1990 Limestone Pkwy, Ste 100 Gainesville, GA 30501

7/9/2015

Barrett, Patricia Annette

RN093282

Gary Smith Sr, MD

10666

15000

204 North Duke St. LaFayette, GA 30728

3/5/2015

Barrett, Kasie Deann

RN149515

Bryan Cheever, MD

34120

372

1107 Memorial Dr, Suite 200 Dalton, GA 30720

8/9/2013

Barrett, Karen L.

RN080586

Herman V. Barnes, MD

12029

11484

1314 West Ridge Rd. Gainesville, GA 30501

1/11/2013

Barrett, Nadine Janice Fearon

RN143515

Abdullah Kutlar, MD

34751

9380

1120 15th Street Augusta, GA 30912

11/5/2010

Barrett-Brown, Angela

RN128594

David Quintero Bustos, MD

61149

15433

600 Celebrate Life Parkway Newnan, GA 30265

5/8/2015

Barrett-Brown, Angela Dian

RN128594

James Spivey, MD

51848

9444

1365 Clifton Rd, Suite 6400 Atlanta, GA 30322

12/3/2010

Barrington, Elizabeth

RN140084

Kevin Rodbell, MD

57998

14633

1799 Briarcliff Rd N E, Ste X Atlanta, GA 30306

1/8/2015

Barron, Britteny Lee

RN132239

Thomas Hatchett, MD

36984

9179

870 A. Austin Drive Demorest, GA 30535

8/6/2010

Barrow, Bridget April

RN135517

Antonio Remollino, MD

57994

14983

103 GA Hwy 27 E Americus, GA 31709

4/2/2015

Barrow, Bridget April

RN135517

Luis Murrain, DO

57747

14583

260 College St Blakely, GA 39823

12/4/2014

Barrow, Bridget A.

RN135517

Serena D. Tidwell, MD

51192

11423

1538 13th Ave. Columbus, GA 31907

3/8/2013

Wednesday, August 12, 2015

Page 20 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Barry, Amy Elizabeth Gartner

RN156491

John Bergsagel, MD

29407

8928

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

1/7/2010

Barth, Bethanie

RN246968

Scott Clay, MD

52698

15466

3222-A Shrine Rd Brunswick, GA 31520

5/8/2015

Barthold, Nichole Marie

RN225792

Michael Papciak, MD

16823

13005

3400-A Old Milton Pkwy, Suite 330 Alpharetta, GA 30005

3/6/2014

Bartlett, Katherine Evans

RN097337

Victor Thomas, MD

40574

12898

1200 Memorial Drive Dalton, GA 30720

3/6/2014

Bartlett, Donya

RN130291

Cullison, James MD

45057

10426

150 Clinic Avenue, Ste 202 Carrollton, GA 30117

2/3/2012

Bartley, Ashley

RN160240

Cecil Sharp, MD

27662

14553

1350 Waalton Way Augusta, GA 30901

2/5/2015

Bartock, Dawn

RN221390

William Cash, MD

64344

14318

1405 Clifton Rd N E Atlanta, GA 30022

10/9/2014

Bartolomei, Rachel Ayers

RN145757

Kiran Kanji, MD

54761

14894

1265 Hwy 54 West, Ste 402 Fayetteville, GA 30214

2/5/2015

Barton, Michele

RN136131

Arthur Reisman, MD

30421

15919

5501 Dunwoody Village Pkwy Dunwoody, GA 30338

8/6/2015

Basel, Catherine Nicole

RN206894

Miriam Gentin, MD

53311

13859

663 Lanier Pk. Dr. Gainesville, GA 30501

9/11/2014

Bass, Pollyanna

RN128236

Craig Bishop, DO

45725

15981

2412 N Oak St Valdosta, GA 31602

8/6/2015

Batson, Joshua

RN222875

Jonathan Sule, MD

60329

15431

3790 Old US 41 N, Ste B Valdosta, GA 31602

5/8/2015

Batson, Anne Richards Watson

RN090604

Scott Leibowitz, MD

53477

7736

275 Collier Rd, Suite 300 Atlanta, GA 30309

8/5/2011

Batten, Lisa Ann Tyre

RN138008

Robert Collins, DO

48034

9556

1101 Ocilla Rd Douglas, GA 31534

2/4/2011

Wednesday, August 12, 2015

Page 21 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Battle, Juanita

RN036923

Kenneth Healey, MD

24689

15619

205 Rees St Americus, GA 31709

6/4/2015

Bauch, Marie Lynn

RN230516

Mark Coker, MD

56276

14787

14557 Highway 19, Ste A Griffin, GA 30224

1/8/2015

Baughcum, Milissa B.

RN203867

Kelly C. Grow, MD

51353

11241

740 Prince Ave., Bldg 15 Athens, GA 30606

11/2/2012

Baumann, Joni Leigh

RN189178

Kartik Reddy, MD

69700

13060

600 West Memorial Dr Dallas, GA 30132

4/4/2014

Beagles, Rebekah

RN176760

Frank Mott, MD

70674

15023

1411 Laney Walker Blvd. Augusta, GA 30912

3/5/2015

Beaird, Carrie M.

RN112931

Lawrence Berman, MD

35374

179

413 Pottery Factory Dr Commerce, GA 30529

9/13/2013

Beall, Frances Margaret Eicher

RN040301

Ronald Forehand, MD

22760

181

University Health Ctr, 370 River Rd Athens, GA 30602

1/11/2008

Bean, Heather M.

RN129550

Julie Segal, MD

50260

11540

755 Mt. Vernon Hwy. NE, #150 Atlanta, GA 30328

1/11/2013

Beasley, Kitty Marie

RN159427

Anozie Ukaonu, MD

53729

9561

48 US Hwy 19 South Camilla, GA 31730

1/7/2011

Beasley, Jocelyn Hills

RN145084

Robert Mullins, MD

49835

1350

1220 George C. Willson Drive Augusta, GA 30909

9/3/2009

Beaubrun, Shelley

RN193787

Mehmood Mehdi, MD

57725

14766

367 Athens Hwy, Ste 1050 Loganville, GA 30052

2/5/2015

Bechler-Karsch, Abby

RN120701

Kirk Kanter, MD

30631

184

1405 Clifton Rd Atlanta, GA 30322

2/5/2010

Beck, Jeremy Wayne

RN207208

Parviz Brahman, MD

66576

14627

1401 N Tift Ave, Ste B Tifton, GA 31794

1/8/2015

Beck, Emily Marie

RN190666

Bruce S. Ribner, MD

49086

11514

1364 Clifton Rd. NE Atlanta, GA 30322

7/11/2013

Wednesday, August 12, 2015

Page 22 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Becker, Deborah A

RN066734

Gariat Ajayi, MD

47776

14200

250 North Ave Athens, GA 30601

11/7/2014

Becklenberg, Amy M

RN225162

William Warren, MD

54181

14272

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

12/4/2014

Beckworth, Jill

RN132814

Bohnstengel, Sandra MD

38692

10274

132 Stephenson Ave, Ste 102 Savannah, GA 31405

1/6/2012

Beddard, Crystal

RN182810

Tameka Walker-Blake, MD

62448

16077

5126 Hospital Dr Covington, GA 30014

8/6/2015

Bedingfield, Amy P.

RN046188

Lawrence Devoe, MD

24929

9829

1120 15th St, BA-7410 Augusta, GA 30912

8/5/2011

Beerman, Pastora

RN100419

Raghava Bhaskaran, MD

25580

15641

606 Academy Ave Dublin, GA 31021

6/4/2015

Beerman, Pastora Amparo

RN100419

Bennie Johnson, DO

23999

8811

18 Cumming St Alpharetta, GA 30009

11/5/2009

Beerman, Pastora Amparo

RN100419

Rhett Bergeron, MD

44683

8283

555 Sun Valley Drive, Suite D-1 Roswell, GA 30076

9/11/2008

Behunin, Jennifer

RN154156

Kanwar Gill, MD

71952

16032

743 Spring St NE Gainesville, GA 30501

8/6/2015

Behunin, Jennifer Shrum

RN154156

O W Stephaine Yap, MD

55044

8458

1462 Montreal Road, Suite 403 Tucker, GA 30084

2/5/2009

Beilman, John Patrick

RN148859

Gordon Leslie Walters, MD

30919

194

818 St Sebastian Way, Suite 311 Augusta, GA 30901

5/3/2013

Belcher, Dalandra Cavada

RN203310

Amit Patel, MD

62929

15048

455 Philip Blvd, Bldg 100, Ste 140 Lawrenceville, GA 30046

5/8/2015

Bell, Gilbert

RN076464

Steven Durocher, MD

56051

15784

4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 30044

8/6/2015

Bell, Hermeyone

RN106630

Zandraetta Tims-Cook, MD

63616

15403

2215 Cheshire Bridge Rd Atlanta, GA 30324

5/8/2015

Wednesday, August 12, 2015

Page 23 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bell, Gilbert Lawrence

RN076464

Ronnie Hendrix, MD

24690

14271

4835 Sugarloaf Pkwy Lawrenceville, GA 30045

12/4/2014

Bell, Sally N.

RN181266

Anupama Ravikanth, MD

48297

11866

335 Roselane St, Suite 203 Marietta, GA 30060

9/13/2013

Bell, LaCheisa Sherell

RN162894

Obinnaya Emerole, MD

41550

9424

654 First St Macon, GA 31201

3/4/2011

Bell, Catie Miller

RN116708

Raymond Rudolph, MD

30205

197

4700 Waters Ave, Suite 405 Savannah, GA 31404

10/8/2010

Bellamy, Dene Ruth

RN119661

Delquis Mendoza, MD

40486

13563

3073 Panthersville Rd Decatur, GA 30034

7/10/2014

Belton, Rosalyn

RN164849

Marcel Lacoste, MD

65836

14812

1 Freedom Way Augusta, GA 30904

2/5/2015

Beltran, Beverly E.

RN124223

Ronald Forehand, MD

22760

433

370 River Road, Univ Health Center Athens, GA 30602

10/2/2009

Bembry, Earl Dan

RN149999

Garland Martin

47233

14368

7828 River Rd Waynesboro, GA 30830

12/4/2014

Bemid, Stephanie Witt

RN217373

John Layher, MD

46692

16037

2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606

8/6/2015

Bendall, Misty Leigh

RN230334

Wendy Wright

52658

14216

235 Grand Isle Ct McDonough, GA 30252

12/4/2014

Bender, NaToya

RN172939

John Ogundipe, MD

39193

15649

2130 Anderson Mill Rd Austell, GA 30106

7/9/2015

Bender, NaToya Nicola

RN172939

Tsung Hsu, MD

62220

12728

677 Church St, 310 Bldg Marietta, GA 30060

1/9/2014

Benek, Mary Faye

RN063022

Yolanda Borders, MD

66547

15839

505 City Blvd Waycross, GA 31501

7/9/2015

Benjamin, Valerie Lynne

RN116279

Terri McFadden, MD

32110

206

35 Jesse Hill Jr Dr Atlanta, GA 30303

4/1/2010

Wednesday, August 12, 2015

Page 24 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bennett, Carrie

RN237110

Darshana Sheth, MD

58642

15950

3822 Roswell Rd, Ste 12 Marietta, GA 30062

8/6/2015

Bennett, Anna Brandon

RN242160

Tamara New, MD

58712

14266

1405 Clifton Rd NE (Aflac Cancer Center) Atlanta, GA 30322

11/7/2014

Bennett, Carrie Heather

RN237110

Kiera von Besser

66837

14025

5665 Peachtree Dunwoody Rd. Atlanta, GA 30342

10/9/2014

Bennett, Alisha Salo

RN202172

Larry Elam, MD

53491

14096

10055 Ford Ave, Ste 4A Richmond Hill, GA 31324

10/9/2014

Bennett, Alison Nicole

RN186285

Raymond Jarvis, MD

45505

13554

330 Turner McCall Blvd, Suite 3000 Rome, GA 30165

8/7/2014

Bennett, Stephanie Leigh Stock

RN077666

Jeffrey Lamp, MD

56736

11699

2151 West Spring St Monroe, GA 30655

3/8/2013

Benston, Janna

RN093585

Timothy Troyer, MD

33898

16035

1000 Johnson Ferry Rd NE Atlanta, GA 30342

8/6/2015

Bentley, Melissa Paige

RN203453

Todd Vermeer, MD

49505

13562

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 7/10/2014

Benvenue, Pamela

RN044253

Rowley, Lawrence MD

35992

10683

1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/4/2012

Berg, Shawna Marie Aukerman

RN113194

Jeffery Reid, MD

55792

13049

100 Professional Place, Suite 204 Carrollton, GA 20117

4/4/2014

Berglin, Allison Kate

RN242003

Derrell Anglyn Jr., MD

24198

15444

55 Sims St McDonough, GA 30253

5/8/2015

Berkowitz, Katie Ann

RN225497

Shriprasad Deshpande, MD

64531

12450

1405 Clifton Rd NE, Heart Transplant Dept Atlanta, GA 3032

11/8/2013

Bernardo, Stephanie Marie

RN185976

Frank Keller, MD

#####

15169

1405 Clifton Rd NE Alfac Clinic 4th Flr Atlanta, GA 30322

5/8/2015

Berndt, Angela Susanne

RN218258

Akinkunmi Ogundipe, MD

50237

15005

55 Whitcher St, Ste 460 Marietta, GA 30060

3/5/2015

Wednesday, August 12, 2015

Page 25 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Berry, Marian Adale

RN158389

Ray Paris, MD

19855

15058

202 Croft St Carrollton, GA 30117

4/2/2015

Berry, Marian Adale

RN158389

Johnathan Gore, MD

36164

15336

6135 Roosevelt Hwy Warm Springs, GA 31830

4/2/2015

Berry, Jennifer Peters

RN164502

Kesha Allen, MD

57920

11867

417 Third Ave, Emer Dept Albany, GA 317101

10/10/2013

Berry, Jennifer

RN164502

Warren, Brandi DO

61681

10857

44 11th St SW Moultrie, GA 31768

9/13/2012

Berry, Jennifer Peters

RN164502

Benjamin Andrews, Jr, MD

31867

8887

126 Hwy 280 West Americus, GA 31719

1/7/2010

Bertram, Monica Clare Ninaber RN087583

John West, MD

28915

219

2295 Henry Clower Blvd, Suite 101 Snellville, GA 30078

5/9/2008

Bertucci, Rosalee C

RN042166

Vincent Brawley, MD

33283

220

1350 Walton Way - 3rd Floor Augusta, GA 30901

8/7/2009

Bethea, Bridget

RN221907

Edsworth John, MD

65012

10918

811 13th St, Ste 10 Augusta, GA 30901

8/10/2012

Beverly, Joan Mckee

RN036066

Arnold Mellits, MD

41168

222

3400-C Old Milton Pkwy, Suite 500 Alpharetta, GA 30005

1/9/2009

Bexley, LaToya Pulliam

RN159472

Michael Vavrik, MD

47859

13972

410 Dixie St. Carrollton, GA 30117

10/9/2014

Bhimani, Anila

RN214759

Alli, Renee MD

51424

10065

11 Dunwoody Park, Ste 190 Dunwoody, GA 30338

10/7/2011

Bice, Amanda Michelle

RN186980

Steven Diamond, MD

36135

12415

100 Doctor's Dr, Suite 202 Douglas, GA 31533

10/10/2013

Biggs, Leslie

RN160586

James Gore, MD

36384

15138

1657 North Expressway Griffin, A 30223

3/5/2015

Biglow, Anicia S

RN058793

Bharatkumar Patel, MD

48693

10966

390 17th Street NW, Unit 2020 Atlanta, GA 30363

11/2/2012

Wednesday, August 12, 2015

Page 26 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bird, Patricia Anne Keesee

RN069002

Linda Casteel, MD

43346

9448

3725 Zoar Rd Snellville, GA 30039

11/5/2010

Bird, Patricia Anne Keesee

RN069002

William Delp, DO

17791

8618

4589 Lawrenceville Rd Loganville, GA 30052

8/7/2009

Biron, Jose Lee Belandres

RN211598

Aashish Patel, MD

62410

12283

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Bishara, Melody

RN212857

Friedman, Mark MD

38488

10253

5673 Peachtree Dunwoody Road Ste 775 Atlanta, GA 30342

12/1/2011

Bishop, Diana

RN184335

Rhonda Wachsmuth, MD

56664

15362

780 Canton Rd, Ste 410 Marietta, GA 30060

5/8/2015

Bishop, Cassie Leigh

RN201329

David Fieseler, MD

17756

13715

523 West Main Street Thomaston, GA 30286

9/11/2014

Bishop, Joy Elaine Miller

RN102177

Andrea Hill, MD

51332

12462

517 Great Oaks Dr, Suite 103 Monroe, GA 30655

11/8/2013

Bivins, Laurie

RN094302

Stephanie Poole, MD

47011

15752

611 Campbell Hill Rd, Ste 103 Marietta, GA 30060

7/9/2015

Bizzell, Nicole Phaye

RN155124

Walter Wilson, MD

27947

232

129 Carl Vinson Parkway Warner Robins, GA 31088

9/14/2007

Black, Gidget

RN232904

James Chappuis, MD

29604

15794

3161 Howell Mill Rd NW, Ste 400 Atlanta, GA 30327

7/9/2015

Black, Tekesa Michell

RN214831

Freeman Montaque, Jr, MD

28123

13428

695 Crossville Rd, Healthcare Clinic Roswell, GA 30075

7/10/2014

Black, Tekesa Michell

RN214831

William Cleveland, MD

17375

12904

3620 Martin Luther King Jr Dr SW Atlanta, GA 30331

2/6/2014

Black, Casey R.

RN146749

Scott J. Cahoon, MD

48492

11534

6635 Lake Dr. Morrow, GA 30260

1/11/2013

Blackburn, Karen

RN152997

Reed Pitre, MD

49707

15014

1701 Hardee Ave SW Atlanta, GA 30310

3/5/2015

Wednesday, August 12, 2015

Page 27 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Blackburn, Karen Foster

RN152997

George Brown, MD

30275

233

141 Piedmont Ave, Suite D Atlanta, GA 30303

6/4/2010

Blackmon, Ashley

RN184648

Kelly McCants, MD

72798

15693

95 Collier Rd NW, Ste 3000 Atlanta, GA 30309

7/9/2015

Blackmon, Kelly Costello

RN124057

Randall Brown, MD

31884

13591

2409 N Patterson St, Ste 230 Valdosta, GA 31602

8/7/2014

Blackstock, Terrilyn Lamb

RN203869

James Turner, MD

55349

15237

100 Willowbrook Way Calhoun, GA 30701

4/2/2015

Blackwood, Elizabeth Pangman

RN144610

Shirish Amrutia, MD

70034

12900

55 Whitcher St, Ste 160 Marietta, GA 30060

6/6/2014

Blaesser, Marian

RN164653

Thomas Seay, MD

30884

235

1505 Northside Blvd, Suite 4600 Cumming, GA 30041

12/4/2009

Blair, Timothy

RN169896

Lloyd Rimer, MD

30665

15556

3541Chattahooga Rd Tunnel Hill, GA 30755

6/4/2015

Blair, Timoth Robert

RN169896

Randy Robinson, MD

35987

15284

1507 Broomtown Rd Lafayette, GA 30728

4/2/2015

Blair, Ann Marie Joyner

RN111994

Richard Gillett, MD

34142

13341

1800 10th Ave. Columbus, GA 31901

6/6/2014

Blair, Tammie Mae

RN147139

William Cook, MD

32461

238

1267 Hwy 54 West, Suite 3200 Fayetteville, GA 30214

11/1/2007

Blake, Opal Mullings

RN199200

Rajesh Jasani, MD

49905

14196

631 Profesonal Dr, Ste 350 Lawrenceville, GA 30046

11/7/2014

Blakey, Mary Jo Christrine

RN183563

Amanda Cowan, MD

50793

15317

5 Executive Circle Savannah, GA 31406

4/2/2015

Blalock, Jamie Rivkin

RN149435

Sinan Haddad, MD

56455

13225

1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501

6/6/2014

Blalock, Dedra

RN089049

Merlino, John MD

27868

10254

550 Peachtree St, 6th Floor MOT Atlanta, GA 30308

2/3/2012

Wednesday, August 12, 2015

Page 28 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Blalock

RN149435

Andre Schoeffler, MD

39463

11133

294 Highway 515 W., Unit L Blairsville, GA 30512

10/5/2012

Bland, Loren

RN164599

Kevin Napier, MD

40749

16129

231 Graefe St Griffin, GA 30224

8/6/2015

Blankenship, Kimberly Jo

RN105484

Jon Trankina, MD

30681

9308

4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock, GA 3018 11/5/2010

Blanks, Evelinn Suarez

RN118524

Timothy Brown, MD

32100

9655

83 Upper Riverdale Rd, Bldg 2, #135 Riverdale, GA 30274

4/1/2011

Blanks, Evelinn Suarez

RN118524

Phillip Bannister, MD

16503

2901

401 West Pike St, Suite A Lawrenceville, GA 30045

8/7/2009

Blanton, Carla

rn093010

Retterbush, David MD

20145

10605

403 Cowart Avenue Valdosta, GA 31604

3/29/2012

Blanton, Carla

RN093010

Lalla, Michael MD

66204

10557

2330 N. Ashley Street Valdosta, GA 31602

3/29/2012

Blanton, Carla Arlene Gustin

RN093010

Eric Anderson, MD

51577

9810

PO Box 1727 Valdosta, GA 31602

8/5/2011

Blasingame, Kim P

RN093785

Jeff Reinhardt, MD

47250

5061

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Blevins, Joann H

RN039694

Edward Meier, MD

43426

245

2112 Shorter Avenue, Suite 200 Rome, GA 30165

3/7/2008

Blick, Susan Katherine

RN143856

Crystal Owens, MD

48854

247

144 E. Main St Irwinton, GA 31042

10/8/2010

Blomquist, Tyler Jean

RN179749

Christopher Dente, MD

51873

12030

69 Jesse Hill Jr Dr SE, Suite 307 Atlanta, GA 30303

7/11/2013

Boatright, Amanda

RN169897

James Sinclair, MD

36457

15751

203 South Wayne St Alma, GA 31510

7/9/2015

Boatright, Amanda

RN169897

Carter, Harrison MD

50575

10278

1126 West 12th Street Alma, GA 31510

1/6/2012

Bobbitt, Charlotte

RN230744

Allison Dupont, MD

63856

15116

200 S Enota Dr, Ste 200 Gainesville, GA 30501

4/2/2015

Wednesday, August 12, 2015

Page 29 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bobon, Marguerite Horen

RN100238

Sean Delaney, MD

49001

12995

631 Professional Dr, Suite 360 Lawrenceville, GA 30046

4/4/2014

Boddy, Alexis

RN234875

Vance Boddy, MD

49160

15202

6084 Professional Pkwy, Ste C Douglasville, GA 30135

4/2/2015

Bode, Justine Alexandra

RN228010

Bruce Bode, MD

23909

11690

1800 Howell Mil Rd, Suite 450 Atlanta, GA 30318

3/8/2013

Boggs, Heather Marie

RN149754

Connie Dupre, MD

31675

14077

1657 North Expressway Griffin, GA 30223

10/9/2014

Bogle, Regina

RN053871

Hodges, Sharon MD

40759

10471

1372 Wellbrook Circle Conyers, GA 30012

2/3/2012

Boland, Susan Harper

RN106498

Ellis Malone, MD

13773

253

1680 Hospital South Drive Austell, GA 30106

10/2/2008

Boles, Shaheedah

RN151817

Mary DeVaul-Eshleman, DO

68402

11536

1915 Eisenhower Dr. Savannah, GA 31406

1/11/2013

Bolger, Angela

RN200066

Song Na, MD

38059

15628

4995 Lanier Islands Pkwy, Ste A Buford, GA 30519

6/4/2015

Bolger, Angela Y

RN200066

Daniel Henson, MD

25173

14058

1600 N. Brown Rd. Lawrenceville, GA 30043

10/9/2014

Bolt, Stephanie White

RN149753

Brett Bowie, MD

54552

9457

1602 Vernon Rd, suite 200 LaGrange, GA 30240

1/7/2011

Bolton-Harris, Elizabeth Kay

RN135828

Divya Gupta, MD

59652

12594

550 Peachtree St Atlanta, GA 30308

12/6/2013

Bolton-Harris, Elizabeth Kay

RN135828

Harold Carlson, MD

27508

255

275 Collier Rd., NW Ste 300 Atlanta, GA 30309

3/7/2008

Bond, Barbara Ann

RN245379

Hannibal Edwards, MD

52552

15222

791 Oak St. Hapeville, GA 30354

4/2/2015

Bond, Rebecca Bowie

RN155479

Sergio Mejias, MD

40737

13858

740 Prince Ave. Ste 2 Athens, GA 30606

9/11/2014

Wednesday, August 12, 2015

Page 30 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bond, Nicole Penland

RN175506

Cynthia Jane Libert, MD

59457

12927

48 Haralson Place, Ste. 1 Blairsville, GA 30512

7/10/2014

Bonds, Kalisha

RN243441

Haolat Babalakin, MD

62467

15052

3550 Old Milton Pkw Alpharetta, GA 30005

5/8/2015

Bonhaus, Stephanie R

RN177260

Saleem Malik, MD

44523

12141

1700 Hospital South Dr, Suite 500 Austell, GA 30106

8/9/2013

Bonk, Donna M.

RN174045

Raymond R. Jarvis, MD

45505

11225

330 Turner McCall Blvd, Ste 3000 Rome, GA 30165

11/2/2012

Booher, Peggy Jane Webb

RN076497

Honorio Bulos, MD

48029

9039

300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534 3/4/2010

Booher, Peggy Jane Webb

RN076497

Robert David Thomson, MD

47166

258

3619 Braselton Hwy, Suite 103 Dacula, GA 30019

5/7/2009

Boone, Karen

RN099067

Leli Gail Matthews, MD

52182

10919

2988 shallowford Road Marietta, GA 30066

8/10/2012

Boone, Nicole Michelle

RN160520

Joyce Drayton, MD

38737

8856

PO Box 1536 Lawrenceville, GA 30046

1/7/2010

Booth, Kristin Ann

RN208838

Bridgette Guthrie, MD

69122

14449

710 Center St Columbus, GA 31901

10/9/2014

Booth, Carmen

RN112063

Hernando Moreno, MD

59473

13803

3120 North Oak St Ext. Ste. C Valdosta, GA 31602

9/11/2014

Booth, Carmen Diana

RN112063

Wendy Vandemark, MD

57511

12935

3116 N Oak Street Ext Valdosta, GA 31602

2/6/2014

Bootle, Jennifer

RN227783

Nathan Samras, MD

72113

15056

110 Medical Park Dr Pooler, GA 31322

3/5/2015

Borders, Amber McMillian

RN197237

Annisha Ellis, MD

53849

15234

1810 Mulkey Rd, Ste 201 Austell, GA 30106

5/8/2015

Boring, Tiffany Elizabeth

RN194520

Crystal Bailey-Gary, MD

58943

13113

123 Weaver Rd., Ste. A Blairsville, GA 30512

4/4/2014

Wednesday, August 12, 2015

Page 31 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Borkovich, Eileen Clare

RN156861

John Reed, MD

24719

12990

1475 Holcomb Bridge Rd, Suite 129 Roswell, GA 30076

9/11/2014

Boros, Barbara Judith

RN165608

Stuart Handelsman, MD

21512

12176

980 Johnson Ferry Rd, Suite 410 Atlatna, GA 30342

8/9/2013

Bosse, Adelyne

RN173279

Charles Sow, MD

55343

264

4398 Atlanta Hwy Loganville, GA 30052

12/4/2008

Bossie, Andrea Elizabeth Logan

RN112876

Carlos Zayas-Montalvo, MD

36668

265

1968 Peachtree Rd. NW 5th Fl Bldg 77 Atlanta, GA 30309

6/8/2007

Bostick, Ashley Lacey

RN181134

Andrew Cordista, MD

51451

11452

8 Live Oak Court Moultrie, GA 31768

3/8/2013

Bostick, Ashley Lacey

RN181134

Venu Madhipatla, MD

65559

11451

3131 South Main St Moultrie, GA 31768

3/8/2013

Bostick, Ashley

RN181134

Howard Melton, MD

35697

11449

3004 2nd St SE Moultrie, GA 31768

3/8/2013

Bostick, Ashley Lacey

RN181134

Chauncey Herrington, MD

22559

11450

3131 South Main St Moultrie, GA 31768

3/8/2013

Bosworth, Veronica A

RN229289

Nancy Dawson, MD

68719

12378

1900 Tebeau St Waycross, GA 31501

10/10/2013

Botah-Oduro, Ophelia Anane

RN145040

Gregory Zakers, MD

49847

12133

6455 Tara Blvd, Suite 7-A Jonesboro, GA 30236

9/13/2013

Botchey, Faith Adzo

RN188218

Kim House, MD

49491

14972

1670 Clairmont Rd, CLC-Bldg D Decatur, GA 30033

2/5/2015

Botelho, Kathryn

RN165964

Dott, Andrew MD

33314

10500

993D Johnson Ferry Rd, Ste 360 Atlanta, GA 30342

3/1/2012

Botero, John David

RN207415

Steven Durocher, MD

56051

15781

4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 207415

7/9/2015

Botero, John David

RN207415

Wasiu Adisa, DO

67525

13517

1255 Hwy 54 W Fayetteville, GA 30214

7/10/2014

Wednesday, August 12, 2015

Page 32 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Botero, John David

RN207415

Ronnie Hendrix, MD

24690

13256

4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville, GA 3004 6/6/2014

Botero, John David

RN207415

Lisa Amodio, DO

67272

12274

417 Third Ave, Emer Dept Albany, GA 31701

4/4/2014

Botero, John David

RN207415

David Stone, MD

24501

11816

367 Clear Creek Pkwy, Emer Dept Lavonia, GA 30553

4/4/2013

Botnick, Beth S.

RN118785

Mahendra Shah, MD

34466

8963

227-A Scenic Hwy, Suite A Lawrenceville, GA 30046

2/5/2010

Botters, Kara

RN106754

Williams, Jr., Byron MD

18974

10090

550 Peachtree St, 5th floor MOT, Ste 4411 Atlanta, GA 3030 10/7/2011

Boucher, Andrea Marie

RN237911

Michael Lindsay, MD

27602

14320

80 Jess Hill Jr Dr SE Atlanta, GA 30303

10/9/2014

Boulware, Angel Brown

RN172317

Salil Patel, MD

44305

14564

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Boulware, Angel Brown

RN172317

Marcus Sims, MD

60507

12013

5 Dunwoody Park Place, Suite 118 Atlanta, GA 30338

7/11/2013

Bourova-Brazier, Lloudmila

RN184484

Virna Simmons, MD

60614

16067

10945 State Bridge Rd Alpharetta, GA 30022

8/6/2015

Bourova-Brazier, Lioudmilla Yur RN184484

Peter Ulbrich

28696

14188

2950 Buford Hwy, Ste 140 Cumming, GA 30041

11/7/2014

Bowen, Nancy Hodges

RN173597

Trent Schueneman, MD

51731

13584

7130 Wellness Way St Simons Island, GA 31522

8/7/2014

Bowen, Cindy Jo-Ann

RN146042

Manjushree Ghose, MD

42827

12799

Walgreens Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

2/6/2014

Bowen, Mark

RN084864

Reinheimer, Susan MD

31493

10567

100 Main Street, Annex II Garden City, GA 31408

3/29/2012

Bowen, Sally Winifred

RN124766

Cari Ouderkirk, MD

32730

276

Wednesday, August 12, 2015

Northside Hsp - Em Dpt, 1000 J'son Ferry Rd Atlanta, GA 303 9/14/2007

Page 33 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bower, Bonnie Gayle

RN119753

Kalambur Panchapakesan,
MD

42912

14329

777 Hemlock St MSC 142 Macon, GA 31201

10/9/2014

Bower, Bonnie

RN119753

House, Alice MD

43065

10645

100 College Station Drived Macon, GA 31206

5/4/2012

Bower, Bonnie Gayle

RN119753

Rana Munna, MD

52466

277

330 Hospital Dr, Bldg C, Suite 302 Macon, GA 31217

12/4/2009

Bowers, Thomas Andrew

RN178996

Toby Bond, Md

43880

14018

1181 Langford Dr., Bldg 200, Ste 105 Bogart, GA 30622

10/9/2014

Bowers, Thomas Andrew

RN178996

Toby Bond, MD

43880

12444

1181 Langford Dr, Bldg 200, Suite 105 Bogart, GA 30622

10/10/2013

Bowie, Myra Annette

RN128899

Meena Shah, MD

21464

9843

475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

6/30/2011

Bowie, Myra Annette

RN128899

Wanda Guy-Craft, MD

64224

279

1315 Delaunay Ave, Suite 201 Columbus, GA 31901

4/1/2011

Bowling, Rhonda

RN209511

Leach, Andrew MD

49051

10698

1000 Hawthorn Drive, Ste G Athens, GA 30606

5/4/2012

Bowman, Patricia Smith

RN088489

Elliot Raizes, MD

24478

280

135 Athens West Pkwy, Suite B Athens, GA 30606

4/1/2010

Bowser, Karen Alene

RN101527

Hernando Moreno, MD

59473

13804

3120 North Oak St. Ext. Ste. C Valdosta, GA 31602

9/11/2014

Bowser, Karen Alene

RN101527

Wendy Vandermark, MD

57511

12936

3116 N Oak Street Ext Valdosta, GA 31602

4/4/2014

Bowser, Karen Alene

RN101527

Wendy Vandemark, MD

57511

9437

2310 W. Patterson St, Unit B Valdosta, GA 31602

12/3/2010

Boyd, Pamela Amelia

RN060082

Dragos Vladesczu, MD

66098

12763

2594 Loganville Hwy, Suite 101 Grayson, GA 30017

1/9/2014

Boye-Doe, Sylvia B

RN214860

Michelle Evans, MD

52171

9932

35 Collier Rd NW, Ste 150 Atlanta, GA 30309

8/5/2011

Wednesday, August 12, 2015

Page 34 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Boyers, Jane Gilbert

RN059048

Devender Reddy, MD

38589

282

1010 Johnson Ferry Rd Marietta, GA 30068

7/11/2008

Boyette, Eric Lawrence

RN135750

Benjamin Epstein, MD

35044

8462

2665 N. Decatur Road, Suite 255 Decatur, GA 30033

2/5/2009

Boyle, Lynn

RN105979

Sheth, Darshana MD

58642

10686

3822 Roswell Road Marietta, GA 30062

6/8/2012

Boyles, Sandra Grace Paterson

RN091497

Sharon Fitzgerald-Soapes,
MD

16509

286

Bozarth, Melissa Erin

RN184674

William Brooks, MD

63299

13745

1600 Forsyth St. Macon, GA 31201

9/11/2014

Bozeman, Lindsey Jo

RN175716

Stephen Pitts, MD

24066

9249

550 Peachtree St NE Atlanta, GA 30308

1/7/2011

Braaten, Rachael

RN212484

Nitasha Burney, MD

55931

14466

3885 Princeton Lake Way, Ste 306 Atlanta, GA 30331

12/4/2014

Braatz, Stephanie Stephens

RN130261

Wiley Perry Ballard, MD

30265

8645

275 Collier Rd NW, Suite 400 Atlanta, GA 30309

7/10/2009

Bracewell, Joanne Ellen

RN217510

Claudele Souffrant-Razo,
MD

68002

11821

607 Fourth St West Darien, GA 31305

4/4/2013

Bracewell, Joanne Ellen

RN217510

Lourdes deArmas, MD

43917

11054

607 4th Street West Darien, GA 31305

10/5/2012

Bracewell, Joanne

RN217510

Bailey, Marion MD

10467

10214

107 Industrial Drive, Ste B St. Mary's, GA 31558

12/1/2011

Brackett, Robin

RN101397

Brandee Urrutia, MD

66661

15663

4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041

6/4/2015

Bradley, Tajuana

RN148400

Jorge Leguizamo, MD

61479

15476

698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045

5/7/2015

Bradley, Jennifer Holloway

RN164831

Daniel Martin, MD

62255

13014

425 3rd Ave, Suite 510 Albany, GA 31701

3/6/2014

Wednesday, August 12, 2015

3685 Lawrenceville Hwy, Suite 100 Lawrenceville, GA 30044 2/7/2008

Page 35 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bradley, Janice May

RN150905

Sharon C. Tuckett, MD

36309

11247

Bradley, Catherine M

RN093726

Anthony Sussman, MD

30388

291

4750 Waters Avenue, Suite 500 Savannah, GA 31404

2/5/2009

Bradshaw, Denise

RN219030

Ochsner, M. Gage MD

38894

10493

4750 Waters Avenue, 2nd floor Savannah, GA 31404

3/1/2012

Bradshaw-Small, Lisa Yvonne

RN141141

Marina Demetrashvili, MD

51310

14991

180 Martin Drive, Ste E030 Carrollton, GA 30117

3/5/2015

Bradshaw-Small, Lisa

RN141141

Richardson, Tommie MD

31313

10738

4-15 South Cobb Drive #115 Palmetto, GA 30268

6/8/2012

Brady, Mary

RN195811

Floyd Soriano, MD

54941

14140

154 South Leroy St Metter, GA 30349

11/7/2014

Brady, Linda L.

RN088662

Mark Coker, MD

56276

8353

212 Cherokee Road Thomaston, GA 30286

11/7/2008

Braender, Corinne W

RN170003

Joshua Chern, MD

66010

15049

5455 Meridian Mar, Ste 540 Atlanta, GA 30342

3/5/2015

Braker, Susan

RN101050

Halwig, John MD

27558

10116

1620 Mulkey Road Austell, GA 30106

10/7/2011

Branam, Misty Michelle

RN193417

Robert Burkich, MD

46372

14944

148 Cobb Pkwy Ringgold, GA 30736

2/5/2015

Branch, Adam Michael

RN209150

Edward Matthews, DO

34896

14301

2300 Manchester Expressway, Ste 2001 Columbus, GA 3190 1/8/2015

Brandeberry, Thomas Keith

RN160904
RN160904

Bryan Weatherspoon, MD

33482

300

Brandt, Lynn Michele

RN105979

Mary Barfield, MD

50495

14604

Brannon, Laura Elizabeth

RN089072

Stephen Pastan, MD

39196

302

Wednesday, August 12, 2015

88 Wellstar Douglasville Medical Center Douglasville, GA 301 4/4/2013

51 Lindsay Lane Kingsland, GA 31548

2/5/2009

970 Joe Fark Harris Pkwy S E, Ste 100 Cartersville, GA 30120

12/4/2014

1365 Clifton Rd, 6th Floor, B-6400 Atlanta, GA 30322

8/6/2010

Page 36 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Brantley, Arian Marrel

RN201303

Brian Cross, MD

43190

15324

231 Graefe St Griffin, GA 30224

4/2/2015

Brantley, Amanda M.

RN214358

Amy Hardin, MD

35307

11165

1140 Hammond Dr., Ste E5250 Atlanta, GA 30328

10/5/2012

Brat, Donna Ashlee

RN150354

Ian Crocker, MD

28391

7869

1365 Clifton Rd NE Atlanta, GA 30322

12/4/2009

Bratoeva, Maria D

RN205338

Hina Hussain, MD

55063

12773

2440 Sandy Plains Rd, Suite 100, Bldg 6 Marietta, GA 30066

1/9/2014

Bratoeva, Maria D

RN205338

Ilya Wolfson, MD

51860

12762

3353 Trickum Rd, Suite 201 Woodstock, GA 30188

1/9/2014

Braxton, Charisswe Alene Gath

RN143102

Paul Donnan, MD

47892

13251

477 Windsor St SW, Suite 309 Atlanta, GA 30312

6/6/2014

Bray, Onie

RN177281

Onkar Kaur, MD

47103

13841

218 Hwy 49 North Ste A Byron, GA 31008

9/11/2014

Bray, Onie Beatrice Diane

RN177281

Parviz Brahman, MD

66576

12764

1401 N Tift Ave, Suite B Tifton, GA 31794

1/9/2014

Breedlove, Rene Richardson

RN135396

John Clark Hill, III MD

46122

9863

1935-A Homer Road, Suite A Commerce, GA 30529

8/5/2011

Brennan, Laura Ann

RN174289

Frances Owen, MD

40973

311

172 Follins Lane St. Simon's Island, GA 31522

9/3/2009

Brewer, Selena O

RN224644

Patrick Eagleson, MD

65102

13624

1230 Baxter St. Athens, GA 30606

8/7/2014

Brewer, Angela Evans

RN101667

Bradley Goldberg, MD

40079

2809

2010 Ocilla Rd Douglas, GA 31533

10/10/2013

Brewer, Deborah Ann

RN042077

Beverly Hyacinth, MD

57003

313

1050 Delta Blvd SW Atlanta, GA 30354

11/7/2008

Joseph Korwin, MD

34878

14749

One Freedom Way Augusta, GA 30904

2/5/2015

Brezial-Mincey, Yumeka Sherell RN124332

Wednesday, August 12, 2015

Page 37 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Brickhouse, Tammie Vincent

RN149012

Vicki Morgan, MD

25645

12658

Bridges, Kathleen Rose Dunha

RN076524

Brian DeLoach, MD

51216

316

Bridgman, Kelli Nicole

RN164274

Muhammad Ahmed, MD

61687

Bridgman, Kelli Nicole

RN164274

Russell Wagner, MD

Brier, Janie

RN107666

Briggs, Natalie Renee

Protocol Address

Effective

3815 Harrison Rd Loganville, GA 30052

6/6/2014

PO Box 8043 Statesboro, GA 30460-8043

9/11/2008

14891

1637 Athens Hwy Grayson, GA 30017

2/5/2015

33740

8220

2160 Fountain Drive, Suite D Snellville, GA 30078

5/9/2008

Mohammed Abubaker, MD

45683

14531

670 North Ave, Ste 100 Marietta, GA 30060

4/2/2015

RN221422

Jim Barlow, MD

30717

13429

235 Peachtree St Ne, North Tower, #2100 Atlanta, GA 30303 7/10/2014

Bright, Constance Ann

RN161055

Rajeswari Natarajan, MD

55501

15534

1255 Hwy 54 West Fayetteville, GA 30214

5/8/2015

Brill, Natalie

RN218514

Richard Antonio, MD

74176

16080

484 Irvin Court Decatur, GA 30030

8/6/2015

Brill, Pamela Beth

RN171528

Glen Lew, MD

41457

10363

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

1/9/2014

Brink, Tracey

RN250502

Swati Johnson, DO

73940

16125

5353 Reynolds St Savannah, GA 31405

8/6/2015

Britt, Calee Stephens

RN183113

Terry Landford, DO

45867

14964

1899 Lake Rd, Ste 212 Hiram, GA 30141

3/5/2015

Britt, Abby Johanna

RN215985

Jane Elllis, MD

44208

14332

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

10/9/2014

Britt, Sarah Eugenie

RN072541

Yuan-Xiang Meng, MD

51257

13944

120 Marietta Hwy Canton, GA 30014

9/11/2014

Britt, Latoya Denique

RN216589

Brion V. Randolph, MD

68281

11585

600 Parkway North Newnan, GA 30265

4/4/2013

Wednesday, August 12, 2015

Page 38 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Britt, Sarah

RN072541

Matthews, Graham MD

41883

10378

Britt, Janey Butler

RN115507

Errol Graham, MD

32388

321

Brock, Chasity Cowart

RN177270

William Parrish, MD

47989

Brock, La-Urshalar Beausheniqu RN167836
9

Ruth O'Regan, MD

Brockman, Hailey

RN207596

Brooks, Rhonda

Protocol Address

Effective

100 Stone Forest Drive, Ste 240 Woodstock, GA 30189

2/3/2012

105 E. Tollison St. Baxley, GA 31513

7/13/2007

12494

204 Allen Memorial Dr, Suite 201 Bremen, GA 30110

11/8/2013

53350

12070

1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

7/11/2013

Carlos Zayas, MD

36668

16087

1120 15th St, Ste BA4236 Augusta, GA 30912

8/6/2015

RN050475

Perry Wells, MD

20498

14642

214 Cherokee Rd Thomaston, GA 30286

1/8/2015

Brooks, Amy Danielle

RN201527

Frank Mott, MD

70674

14821

1120 15th St. Augusta, GA 30912

1/8/2015

Brooks, James Michael

RN129516

Stephen Souther, MD

44108

14019

425 W-Third Ave., Ste 600 Albany, GA 31701

10/9/2014

Brooks, Kristal Javon

RN183382

Jeffrey Siegelman, MD

65891

13316

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 0303

6/6/2014

Brooks, Lisa Mae Vickers

RN129994

John Tapp, MD

53188

13069

2205 McCollie Avenue Chattanooga, TN 37404

5/1/2014

Brooks, Chundra Brown

RN200229

Srinivasa Ayinala, MD

52531

12277

301 Philip Blvd NW, Suiote A Lawrenceville, GA 30046

9/13/2013

Broom, Sharon Kaye Mullins

RN040914

Marcus Simmons, MD

49946

331

4226 Hartley Bridge Rd, Suite 104 Macon, GA 31216

7/11/2008

Browder, Kelly

RN174173

Palanisamy Rajasekaran,
MD

52204

15166

500 Medical Center Blvd Lawrenceville, GA 30042

4/2/2015

Brower, Patricia Anne

RN137975

Charles Crabbe, MD

22132

332

320 Kennestone Hosp Blvd, Suite 201 Marietta, GA 30060

8/8/2008

Wednesday, August 12, 2015

Page 39 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Brown, Carla

RN204127

Peter Lee, MD

38545

16061

34 Upper Riverdale Rd, Ste 100 Riverdale, GA 30274

8/6/2015

Brown, Andrea

RN191333

Michael Ross, MD

59506

15830

1364 Clifton Rd NE Atlanta, GA 30322

8/6/2015

Brown, Andrea

RN191333

Dennis O'Brien, MD

25893

15546

125 Clairemont Ave, Ste 380 Decator, GA 30030

7/9/2015

Brown, Takaya Lashun

RN134877

Atif lqbal, MD

61971

15885

2300 A Manchester Expwy, Ste 006 Columbus, GA 31904

7/9/2015

Brown, Brandy

RN197433

Faith Andrews, MD

44158

15593

525 Forest Pkwy, Ste 100 Forest Park, GA 30297

6/4/2015

Brown, Lisa

RN165268

Rhonda Wachsmuth, MD

56664

15360

780 Canton Rd NE, Ste 410 Marietta, GA 30060

5/8/2015

Brown, Susan

RN154896

Thomas Moriarity, DO

58080

15474

1326 Elsenhower Dr Bldg 1 Savannah, GA 31406

5/8/2015

Brown, Esther

RN188943

Himanshu Patel, MD

58116

15501

504 Redmond Rd Rome, GA 30165

5/8/2015

Brown, Pamela

RN084599

George Wilmox, MD

44608

14651

1670 Clairmont Rd Decatur, GA 30033

4/2/2015

Brown, Eric Jay

RN177029

Adebola Adeogan, MD

42157

14221

3016 N Broad St Winder, GA 30680

4/2/2015

Brown, Amanda

RN191969

Usama Kanaan, MD

60618

15011

1405 Clifton Rd NE Atlanta, G 30322

3/5/2015

Brown, Renee

RN225307

Alexis Cutchins, MD

67925

15123

1525 Clifton Rd, Ste 408 Atanta, GA 30322

3/5/2015

Brown, Brandy Rose

RN197433

Ahmad Jingo, MD

45842

14605

4150 Snapfinger Kloods Dr, Ste 208 Decatur, GA 30035

12/4/2014

Brown, Eric Jay

RN177029

Matthew Goldstein, MD

48115

14606

1700 Medical Way Snellville, GA 30070

12/4/2014

Wednesday, August 12, 2015

Page 40 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Brown, Camille

RN163812

Omari Hodge, MD

70459

14133

2154 Johson Ferry Rd NE Atlanta, GA 30319-2558

11/7/2014

Brown, Suzanne Elizabeth

RN174936

Michel Pare, MD

45569

14384

1107 Memorial Dr, Ste 100 Dalton, GA 30720

10/9/2014

Brown, Lachandra Felice

RN163094

Adolfo R Suarez, MD

53614

13854

687 Hospital Rd. Commerce, GA 30529

9/11/2014

Brown, Yvonne

RN171398

Cassandra Donnelly, DO

68144

13667

3617 Roswell Rd NE, Suite A Atlanta, GA 30305

8/7/2014

Brown, Darlene Turner

RN158257

James Price, MD

35117

336

51 Lindsey Lane Kingsland, GA 31548

7/10/2014

Brown, Mignon Delores

RN160388

Rifquat Giwa, MD

63198

13070

3950 Austell Rd. Austell, GA 30106

5/1/2014

Brown, Melinda Hope Cain-Mar RN166498

Victor Thomas, MD

40574

12449

1200 Memorial Dr Dalton, GA 30720

12/6/2013

Brown, Cynthia Jo Martin

RN038371

Donato Roman, MD

12855

334

3259 Valtech Rd Valdosta, GA 31602

12/6/2013

Brown, Tranika Charisse

RN212391

Michael Powell, MD

23663

12612

464 Mt Pleasant Rd Thomson, GA 30824

12/6/2013

Brown, Danelle Leigh

RN218652

James Sipp, MD

53880

12433

54556 Meridian mark Rd, Suite 130 Atlanta, GA 30342

10/10/2013

Brown, Michelle

RN67038

Angela J. Hale, MD

37230

11179

655 First St. Macon, GA 31201

11/2/2012

Brown, Kara

RN209213

Costley, Chad MD

54263

10763

402 W. Ponce de Leon Ave Decatur, GA 30030

6/8/2012

Brown, Ludella

RN064864

Gupta, Daisy DO

64946

10172

114 Canal Street Pooler, GA 31322

11/3/2011

Brown, Yvonne

RN171398

Alvaro Velasquez, MD

45020

9898

550 Peachtree St NE, 6th Floor Atlanta, GA 30308

8/5/2011

Brown, Lee Ann Lancaster

RN080547

Eric Manahan, MD

48916

9842

1504 Broadrick Dr Dalton, GA 30720

6/30/2011

Wednesday, August 12, 2015

Page 41 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Brown, Virginia Corley

RN144959

Andrew Toledo, MD

27933

9711

1150 Lake Hearn Dr, Suite 400 Atlanta, GA 30342

5/6/2011

Brown, Lachanda Felice

RN163094

S. Thomas Greenstone, MD

17812

9426

374 Coats Dr Toccoa, GA 30577

2/4/2011

Brown, Monica Renee'

RN112057

Alice House, MD

43065

9572

100 College Station Dr Macon, GA 31206

2/4/2011

Brown, Sandra Hemphill

RN117303

R. Brian Raybon, MD

38339

5076

79 Doyle Street Toccoa, GA 30577

9/2/2010

Brown, Eric Jay

RN177029

Daniel Wu, MD

51572

8621

49 Jesse Hill Jr Dr, Emergency Dept Atlanta, G 30303

7/10/2009

Brown, Andrea Elaine

RN119715

Miles Johnson, MD

38817

8277

4115 Glenwood Road Decatur, GA 30032

8/8/2008

Brown, Ludella

RN064864

Shaun Franklin, MD

40663

8249

14089 Abercorn Street Savannah, GA 31406

8/8/2008

Brown, Yvonne

RN171398

Nicole Franks, MD

49691

8203

550 Peachtree St NE Atlanta, GA 30308

7/11/2008

Brown, II, Charles E

RN190606

Bridgette Dingle, MD

64532

15337

340 Turner McCall Blvd, Ste 103 Rome, GA 30165

4/2/2015

Browne, Vickie H

RN050915

Judith Cauvin, MD

59135

12108

1260 Hwy 54 West, Suite 101 Fayetteville, GA 30214

8/9/2013

Browne, Vickie H.

RN050915

Ralph C. Lyons, MD

25217

11227

34 Upper Riverdale Rd., Ste 201 Riverdale, GA 30274

11/2/2012

Browning, Harvey Dewayne

RN229413

Monica HoffmeisterBecerra, MD

68209

12060

2122 Manchester Pkwy Columbus, GA 31904

7/11/2013

Broyard, Enid P.

RN180036

Beatrice Gee, MD

45468

361

35 Jesse Hill Jr Dr SE Atlanta, GA 30303

6/5/2009

Bruce, Myra Patricia Lane

RN117972

Devin Handley, MD

48356

12473

2659 Abutment Rd Dalton, GA 30720

11/8/2013

Wednesday, August 12, 2015

Page 42 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Bruce, Anne

RN086371

Blache, Charlene MD

45728

10247

Bruce, Anne Louise

RN086371

Charlene Blache, MD

45728

362

Brueshaber Jr., John Henry

RN204034

Petro Nikolinakos, MD

63106

Brulte, Amanda Hall

RN197324

Brian Childers, MD

Bruner, Kim J

RN047850

Bruner, Kim J.

RN047850

Protocol Address

Effective

130 W. Screven Street Quitman, GA 31643

12/1/2011

1309 W. Screven St Quitman, GA 31643

9/2/2010

13469

3320 Old Jefferson Rd. Bldg 700 Athen, GA 30607

7/10/2014

42212

15329

100 Doctors Dr, Ste 104 Douglas, GA 31533

4/2/2015

Charles Campbell, MD

69772

12555

86 South Cobb Dr, MZ 0454 Marietta, GA 30063

12/6/2013

Rodothea Milatou, MD

43713

9523

86 S. Cobb Dr Marietta, GA 30063

1/7/2011

Brutcher, Edith Anastasia Poste RN167522

David Lawson, MD

17231

7937

1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

7/1/2010

Bryan, Ashley

RN213727

Catherine Morris, MD

32435

16124

5345 Crossroads Dr Acworth, GA 30102

8/6/2015

Bryan, Angelan

RN122946

Dan Suskin, MD

36883

14611

550 Medical Center Blvd Lawrenceville, GA 30046

1/8/2015

Bryan, Shawneka Denise

RN148378

Manfred Sandler, MD

38353

14566

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Bryan, Ashley Ruth

RN213727

Robert Kaufmann, MD

30115

12992

2001 Professional Way, suite 220 Woodstock, GA 30188

3/6/2014

Bryan-Grant, Sharon

RN158290

Romeo R. Moriles, MD

#####

11459

236 Arrowhead Blvd Jonesboro, GA 30236

2/7/2013

Bryan-Grant, Sharon May

RN158290

Ann Eggert, MD

28972

367

12 Eastbrook Bend Peachtree City, GA 30269

11/7/2008

Bryant, Zanetta Renea

RN216403

Dwayne Watkins, MD

53054

13853

327 S. 9th St. Griffin, GA 30224

9/11/2014

Wednesday, August 12, 2015

Page 43 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bryant, Allison Adcock

RN165380

Anita Johnson, MD

53464

12977

600 Parkway North Newnan, GA 30265

3/6/2014

Bryant, Charles W, Jr

RN128293

Muhammad Khan, MD

63080

11732

915 Gordon Ave Thomasville, GA 31792

3/8/2013

Bryant, Natalie

RN152834

Talley, Thomas MD

33895

10062

414 5th Avenue Albany, GA 31707

10/7/2011

Bryant, Roxanne Rush

RN082727

Vanessa Cabaron, MD

53843

9513

1350 Walton Way, POB II, Suite 200 Augusta, GA 30901

2/4/2011

Bryant, Roxanne Rush

RN082727

William Callaghan, MD

27974

9512

1350 Walton Way, POB II, Suite 200 Augusta, GA 30901

2/4/2011

Bryant, Jacquelyn Rose Evans

RN082044

James Butts, MD

9103

371

PO Box 2683 Gainesville, GA 30503

2/5/2010

Bryant, Beth Susan Cohen

RN061119

Stephen Salmieri, DO

49151

368

759 Old Norcross Road Lawrenceville, GA 30045

9/11/2008

Bryant, Summer M

RN154368

Kenneth Deaton, MD

31585

5540

233 North Houston Rd. Suite 141 Warner Robins, GA 31093

9/14/2007

Bryant Jr, Charles W

RN128293

Roy Reardon, MD

42402

14576

209 N Cuthbert St Colquitt, GA 39837

12/4/2014

Bryant Jr., Charles W.

RN128293

Jonathan Wade, DO

66666

13248

100 S. Madison St. Thomasville, GA 31792

5/1/2014

Bryant, Jr., Lawrence Earl

RN229758

Mohamad Kassem, MD

40934

12009

3580 Cameron Pkwy Stockbridge, GA 30281

7/11/2013

Brzycky, Sara Jane

RN241242

Angela Lynn Beninga, DO

68481

13852

2020 Peachtree Rd NW Atlanta, GA 30309

9/11/2014

Buchanan, Stacy Briana

RN160752

Una Scruggs, MD

69636

13755

CHOA, 2660 Satellite Blvd Duluth, GA 30096

9/11/2014

Buchanan, Theresa Kassack

RN149616

Gerald Bohn, MD

30957

11677

1857 West McIntosh Rd Griffin, GA 30223

3/8/2013

Wednesday, August 12, 2015

Page 44 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Buchanan, Theresa

RN149616

Ahmed, Mahmood MD

42008

10173

Buchanan, Stacy Briana

RN160752

Marie Baudean, MD

23898

381

Buck, Allison

RN209702

Sunderraj Kamaleson, MD

42622

Buck, Mary Elizabeth

RN072464

Edward Rydzak, MD

Buckley, Sheri Sullins

RN123889

Buckman, Laura Lee

Protocol Address

Effective

231 Graefe Street Griffin, GA 30224

11/3/2011

980 Hwy 29 South Lawrenceville, GA 30045

10/4/2007

14467

210 E DeRenne Ave Savannah, GA 31405

12/4/2014

38941

1991

1139 Lexington Ave Savannah, GA 31404

9/11/2014

Jeffrey Esslinger, MD

45455

11678

300 Courtyard Dr, Suite A Cartersville, GA 30120

3/8/2013

RN199198

Henry Perez, MD

29990

12948

5665 Peachtree-Dunwoody Rd NE, Emer Dept Atlanta, GA 30 2/6/2014

Buckner, Joretta Ann Harvey

RN101831

Mohamad Kassem, MD

40934

8565

3580 Cameron Pkwy Stockbridge, GA 30231

6/5/2009

Buckovich, Veronica M.

RN221955

John A. Pablo, MD

42102

11358

225 Candler Dr., Ste 100 Savannah, GA 31405

12/7/2012

Buendia, Allyson Joy

RN177114

Mohammad Kamran, MD

59535

8896

700 Church Street Marietta, GA 30060

3/4/2010

Buist, Nancy Naucke

RN078274

Anu Murthy, MD

54867

8650

One CNN Ctr, NT1008D Atlanta, GA 30303

7/10/2009

Bukshteyn, Irina

RN202943

Suzanne Turner, MD

47772

12569

1357 Hembree Rd, Suite 240 Roswell, GA 30076

12/6/2013

Bulatao, Elizabeth Aguanta

RN137184

John Blumer, MD

53101

12845

3222 Shrine Road Suite A Brunswick, GA 31520

4/4/2014

Bulatao, Elizabeth Aguanta

RN137184

Carl Shenkman, MD

36000

7825

1111 Glynco Pkwy, Suite 400 Brunswick, GA 31525

5/6/2011

Bullet, Ouenshanta Rasheda

RN212576

Habigaile Cribe, MD

50874

14328

550 Peachtree St., NE 7200 Atlanta, GA 30308

9/11/2014

Wednesday, August 12, 2015

Page 45 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Bumgardner, Heather

RN192027

William Kolhoff, MD

63706

15731

Bunch, Jana

RN177195

Daryl McCartney, MD

68067

14609

Bundy, Virginia

RN050495

Vevera, Elizabeth MD

41990

10380

3400A Old Milton Parkway, Ste 130 Alpharetta, GA 30005

2/3/2012

Bunker, Kimberly LeAnn

RN173575

Lee Jacobs, MD

28283

14085

107 Mountail Dr., Ste 100 Canton, GA 30115

10/9/2014

Bupp, Melissa

RN176757

Thaddeus Lynn, MD

59670

15077

501 Mt Vernon Rd Monroe, GA 30655

3/5/2015

Bupp, Melissa Jones

RN176757

Ronald Nash, MD

58909

7956

501 Mt. Vernon Rd., NW Monroe, GA 30655

10/5/2012

Burch, Erin

RN136571

David Dillard, MD

40364

15393

1719 Russell Pkwy Bldg 300 Warner Robbins, GA 31088

6/4/2015

Burch, Erin

RN136571

Stewart Grizzard, MD

43948

15135

1365 D Sam Nunn Blvd Perry, GA 31069

5/8/2015

Burch, Katelyn Faith

RN223487

Mark Wulkan, MD

45676

15154

1405 Clifton Rd NE Atlanta, GA 30322

3/5/2015

Burch, Mary Catherine Cobb

RN084921

Danielle Epanchin, DO

68769

13946

1650 chattahoochee Dr. Rockmart, GA 30153

9/11/2014

Burch, Erin Tapley

RN136571

Alain Toland, DO

22901

393

1719 Russell Parkway, Ste 300 Warner Robins, GA 31088

8/5/2011

Burke, Julie

RN126100

Randy Warner, MD

53905

11035

690 Dallas Hwy, Ste 201 Villa Rick, GA 30180

10/5/2012

Burke, Colleen E.

RN177306

Suzanne Molock, MD

26344

7957

601-A Professional Drive, Suite 370 Lawrenceville, GA 30045 12/7/2007

Burkes, Henry

RN104337

Dale M. Lawson, MD

54233

11105

126 Hwy 280 West Americus, GA 31719

Wednesday, August 12, 2015

7306 Hwy 21, Ste 105 Port Wentworth, GA 31326

7/9/2015
12/4/2014

10/5/2012

Page 46 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Burks, Olivia

RN093687

Philip Beegle Jr.

17773

15792

975 Johnson Ferry Rd, Ste 100 Atlanta, GA 30342

8/6/2015

Burks, Olivia

RN093687

Rajeswari Natarajan, MD

55501

14950

1255 Hwy 54 Fayetteville, GA 30214

5/8/2015

Burks, Olivia Good Mentzer

RN093687

William Lyday, II, MD

49859

12778

600 Parkway North Newnan, GA 30265

1/9/2014

Burman, Holly

RN124541

Lisa Ortenzi, MO

23395

15639

880 Crestmark Dr, Ste 200 Lithia Springs, GA 30122

6/4/2015

Burnett, Tonya

RN155040

Carley S. Ebanks, MD

35619

11038

610 Third St., Ste. 100 Macon, GA 31201

10/5/2012

Burnett, Erica

RN185246

Al-Shroof, Mohammad MD

45158

10414

2054 Watson Blvd Warner Robins, A 31093

2/3/2012

Burnett, Lillie Kathryn

RN063097

Christopher Riddell, MD

21796

8891

2540 Windy Hill Rd Marietta, GA 30067

1/7/2010

Burnette, Sharon Denise

RN124312

Naomi Kirkman-Bey, MD

47610

403

777 Hemlock St. Macon, GA 31201

10/9/2014

Burns, Rachel Ann

RN231977

Gregory Patterson, MD

45106

12222

100 Mimosa Dr, 3rd Floor Thomasville, GA 31792

9/13/2013

Burns, Kimberly

RN073196

Keating, William MD

52971

10190

1800 Lumpkin Campground Road, Ste 300 Dawsonville, GA 3 11/3/2011

Burris, Ashley Cornellson

RN198894

William Paxton, MD

46206

14335

170 Camden Hill Rd, Ste F Lawernceville, GA 30046

10/9/2014

Burris, Robin Asay

RN133692

Panyavee Khan, MD

54756

406

777 Franklin Rd Marietta, GA 30067

5/1/2014

Burse, Julia LaToya

RN194654

Aseem Shrivastava, MD

70426

12902

55 Whitcher St., Ste. 160 Marietta, GA 30060

6/6/2014

Burse, Julia LaToya

RN194654

Alan Muster, MD

45305

11004

55 Whitcher St, Suite 160 Marietta, GA 30060

10/5/2012

Wednesday, August 12, 2015

Page 47 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Burt, Victoria

RN093515

Alfred Brannen ll, MD

30584

15394

1350 Walton Way Augusta, GA 30901

5/8/2015

Burt, Kristie

RN191802

Spencer, Louis MD

61351

10647

4159 Martha Berry Hwy, NW Rome, GA 30165

5/4/2012

Burt, Victoria McShell

RN093515

Arthur Chandler, MD

27513

7739

1348 Walton Way, Suite 5100 Augusta, GA 30901

4/3/2008

Burton, Julyn

RN162227

Tamaddon, Houman MD

63032

10764

1350 Walton Way Augusta, GA 30901

7/12/2012

Bush, Karon

RN060034

Bantwal Baliga, MD

56680

16076

6440 West Hamilton Park Dr, Ste F Columbus, GA 31909

8/6/2015

Bush, Kelly Otisha

RN148840

Ifeoma Nnaji, MD

63931

13669

1300 Joseph E Boone Blvd Atlanta, GA 30314

8/7/2014

Bush, Karon J Pearson

RN060034

Michael Pinell, MD

58102

409

6440 W Hamilton Park Dr, Suite F Columbus, GA 31919

3/8/2013

Bussey, Schvon Yvette May

RN160658

Brandi Weaver Warren, DO

61681

12244

809 11th Ave, Suite A East Cordele, GA 31015

1/9/2014

Bussoletti, April J.

RN115674

Diana M. Whiteman, MD

37729

11229

748 Old Norcross, Ste 150 Lawrenceville, GA 30045

2/7/2013

Butler, Patricia

RN093087

Amanda Cowan, MD

50793

15318

5 Executive Circle Savannah, GA 31406

5/8/2015

Butler, Kathryn Vargo

RN129146

Barry Jones, MD

12495

14219

5965 Parkway N Blvd Cummings, GA 30040

1/8/2015

Butler, Yentl Camile

RN184069

David Martin, MD

21757

14535

34 Upper Riverdale RD Riverdale, GA 30274

12/4/2014

Butler, Amanda Lynn

RN155412

Kashif Ahmed, MD

61547

14199

2200 Hwy 155 N McDonough, GA 30252

11/7/2014

Butler, Yentl Camile

RN184069

Charles Campbell, MD

69772

14098

86 South Cobb Dr, M20454 Marietta, GA 30063

10/9/2014

Wednesday, August 12, 2015

Page 48 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Butler, Patricia B

RN093087

Brian Kornblatt, MD

38029

422

5 Executive Circle Savannah, GA 31406

11/8/2013

Butler, Sheila Wilmore

RN096331

Carlos Martinez, MD

31793

9612

165 Emery Hwy, Suite 100 Macon, GA 31217

3/4/2011

Butler, Jennifer Marie

RN121419

Richard LoCicero, MD

48535

8351

725 Jesse Jewell Pkwy, Suite 150 Gainesville, GA 30501

11/7/2008

Butler, Erin Brantley

RN156529

Frank Cole, MD

28520

419

101 Yorktown Drive Fayetteville, GA 30214

1/11/2008

Byczkoski, Christy Natasha

RN144570

Brian Deloach, MD

51216

13632

P.O. Box 8043 Statesboro, GA 30458

8/7/2014

Byers, Ann Marie

RN221894

Shaena Blevins, MD

60242

13564

743 Spring Street Gainesville, GA 30501

7/10/2014

Byrd, Jenifer

RN149798

Marisol Sanlnocencio, MD

47654

15898

1001 Fernwood Dr Milledgeville, GA 31061

8/6/2015

Byrd, Jenifer J.

RN149798

Shelley A. Griffin, MD

16238

11166

305 Jones Ave. Waynesboro, GA 30830

10/5/2012

Byrd, Lorraine Lott

RN165617

Maria Mascolo, MD

52469

8317

PO Box 14417 Savannah, GA 31416

2/5/2009

Byrd, Eve Heemann

RN081218

William McDonald, MD

37292

427

1841 Clifton Rd NE Atlanta, GA 30329

2/5/2009

Byrd, Mary Elizabeth

RN179366

Mahaveer C. Vakharia, MD

38390

428

4171 Marietta Street Powder Springs, GA 30127

4/13/2007

Caban, Mariana

RN206214

Perez, Pablo MD

47502

10196

1102 West Waugh Street Dalton, GA 30720

11/3/2011

Cabe, Carolyn Rose

RN212474

Susanna Meredith, MD

62561

14118

101 Harrison Industrial Blvd, Ste C Vidalia, GA 30474

11/7/2014

Cabrera, Maria Elena

RN146346

Brian Kogon, MD

53322

10993

1405 Clifton Rd Atlanta, GA 30322

9/13/2012

Wednesday, August 12, 2015

Page 49 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cabrera, Tammy

RN128826

Cabrera, Anthony MD

42538

10467

200 West Gordon Dalton, GA 30710

2/3/2012

Cadle, Harriet Eyvonne

RN149820

Kevin Smith, MD

41961

8378

PO Box 4128 Canton, GA 30114

7/10/2009

Cadle, Harriet E yvonne

RN149820

Jorge Simmonds-Diaz, MD

34947

8120

3379 Trickum Road Woodstock, GA 30188

1/11/2008

Cady, Christlaen Elizabeth

RN100014

Kevin Lanclos, MD

47109

9743

6175 Newton Dr Covington, GA 30014

6/3/2011

Cahill-Roberts, Mary Elizabeth

RN083997

Wendy Greenberg, MD

35641

15022

777 Franklin Rd Marietta, GA 30067

3/5/2015

Cain, Trina

RN054027

Snell, William DO

24495

10146

880 Canton Road, Ste 300 Marietta, GA 30152

10/7/2011

Caldwell, Cindy M.

RN115517

Kevin Smith, MD

57272

13526

2410 Sylvester Rd. Albany, GA 31750

7/10/2014

Caldwell, Cindy

RN115517

Lisa Amodio, DO

67272

12303

417 Third Avenue Albany, GA 31701

1/9/2014

Caldwell, Cindy

rn115517

Smith, Christopher MD

20820

10699

401 Fourth Avenue Albany, GA 31701

5/4/2012

Caldwell, Cindy M.

RN115517

Vito Bagnato, MD

45711

9702

810 13th Ave Albany, GA 31701

4/1/2011

Caldwell, Cindy M.

RN115517

Joseph Burnette, MD

33286

9704

401 Fourth Ave Albany, GA 31701

4/1/2011

Caldwell, Cindy M.

RN115517

Joseph Stubbs, MD

24105

9696

2402 Osler Court Albany, GA 31707

4/1/2011

Calhoun, Cathleen

RN072598

Michael Banov, MD

37945

8053

108 Margaret Avenue Marietta, GA 30060

8/2/2007

Calkin, Valerie Ann

RN232017

Hitendra Patel, MD

45312

12423

55 Whitcher St, Suite 160 Marietta, GA 30060

11/8/2013

Callahan, Kimberly Anne

RN150230

Dennis Spencer Jr, DO

47663

13427

1077 South Main St. Madison, GA 30650

7/10/2014

Wednesday, August 12, 2015

Page 50 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Callison, James Robert

RN141273

Patrick Spafford, MD

38971

440

Calvert, Helen

RN226129

Niruopama Natarajan, MD

66723

Calvert, Angela Mary

RN221721

Michael Lebow, MD

Calvert, Helen Hardie

NP226129

Cameron, April Camille

Protocol Address

Effective

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

14552

1640 Powers Ferry Rd Bldg 9, Ste 330 Marietta, GA 30067

2/5/2015

61114

12979

1856 Thompson Bridge Rd Gainesville, GA 30548

2/5/2015

Elbridge Bills, MD

37139

13163

3365 Piedmont Rd NE, Suite 1250 Atlanta, GA 30305

5/1/2014

RN218393

David Beech, MD

56091

14887

80 Jessie Hiill Jr Dr SE Atlanta, GA 30303

2/5/2015

Cameron, April

RN218393

Beverly Taylor, MD

25053

14536

1513 East Cleveland Ave Bldg 500 East Point, GA 30344

1/8/2015

Campbell, Jennifer Guerrero

RN135678

Barbara Weissman, MD

32082

12846

1605 Chantilly Dr. NE, Ste 300 Atlanta, GA 30324

7/9/2015

Campbell, Hailey

RN198704

Eugene Morris, MD

63922

15176

1088 (A) Baxter St Atherns, GA 30606

4/2/2015

Campbell, Lisa Owens

RN077336

Robert Mullins, MD

49835

14059

3675 J. Dewey Gray Circle, Ste 300 Augusta, GA 30909

10/9/2014

Campbell, Sharon

RN121520

Travon Jasper, MD

45506

13929

896 Hwy 81 East McDonough, GA 30252

9/11/2014

Campbell, Jimmy Rex

RN190551

Mark Lewis, MD

35932

12818

865 South 1st St Jesup, GA 31545

9/11/2014

Campbell, Sharon Lesley

RN121520

Alan Cu-Chiam, MD

42554

13218

1188 Ralph David Abernathy Blvd, West End Atlanta, GA 303 6/6/2014

Campbell, Lisa Owens

RN077336

Jeremy Pantin, MD

66390

12565

1120 15th St, BA-5407 Augusta, GA 30912

1/9/2014

Campbell, Jennifer

RN145376

Smith, Jason MD

52635

10237

550 Professional Drive Macon, GA 31201

1/6/2012

Wednesday, August 12, 2015

Page 51 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Campbell, Jennifer

RN145376

Smith, Jason MD

52635

10263

Campbell, Lynnda Joy Brooks

RN126988

Vicki Knight-Mathis, MD

47337

Campbell, Jennifer Guerrero

RN135678

Nicolas Krawiecki, MD

Campbell, Melissa Anne

RN198068

Campbell, Kimberly Michael

Protocol Address

Effective

550 Professional Drive Macon, GA 31201

12/1/2011

449

2920 Marietta Hwy, Suite 142 Canton, GA 30114

10/7/2011

22804

1185

1605 Chantilly Dr Atlanta, GA 30324

11/5/2010

Vicente Galan, MD

28685

8969

1365 Rock Quarry Rd, Suite 304 Stockbridge, GA 30281

2/5/2010

RN179027

David Vann, MD

37919

8908

2959 Sharpsburg-McCollum Rd Newnan, GA 30265

1/7/2010

Campbell, Kathleen Anne

RN150649

Sandy Jun, MD

37005

8287

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Campbell Dunlap, Jane Lynn

RN201888

Thomas Gore, MD

27553

9698

1551 Doctors Dr LaGrange, GA 30240

5/6/2011

Campbell Jr, Jimmy

RN190551

Mana Kasongo, MD

57753

15149

417 W. 3rd Ave Albany, GA 31701

3/5/2015

Campbell-Brown, Erica Dawn

RN169061

Sean Dariushnia, MD

61724

14204

80 Jesse Hill Jr. Dr. SE, PO Box 26278 Atlanta, GA 30303

11/7/2014

Cannady, Kyle

RN221018

Amy Clemons, MD

57058

16059

380 Cedar St Metter, GA 30439

8/6/2015

Cannon, Robert D

RN051954

Leo Noragbon, MD

60014

13778

227 Mountain Dr. Dahlonega, GA 30533

9/11/2014

Cannon, Robert D.

RN051954

Mahendra R. Shah, MD

34466

11435

227 Scenic Hwy, Suite A Lawrenceville, GA 30046

8/9/2013

Cannon, Rebecca Lynn

RN157546

Avril Beckford, MD

35814

452

1810 Mulkey Road, Suite 201 Austell, GA 30106

4/2/2009

Cannova, Dawn

RN182648

Danni Suskin, MD

36883

15085

550 Medical Center Blvd Lawrenceville, GA 30046

3/5/2015

Wednesday, August 12, 2015

Page 52 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cano Johnson, Claudia

RN135756

Cook, William MD

32461

10747

1340 Boulevard SE Atlanta, GA 30315

6/8/2012

Cantrell, Jennifer Suzanne

RN166999

Gina Maxey, MD

56136

13987

1862 Auburn Rd, Ste 107 Dacula, GA 30019

10/9/2014

Canty, Regina King

RN145760

Sharmila Thadani, MD

55801

13259

550 Peachtree St NE, Ste 7000 Atlanta, GA 30308

6/6/2014

Cape, Wanda Ivy

RN101692

R. Brian Raybon, MD

38339

5136

79 Doyle St Toccoa, GA 30577

9/2/2010

Carasick, Terry A.

RN176831

Margot B. Cseley, MD

20523

11347

78 Atlanta St. Marietta, GA 30060

4/4/2013

Caraway, Elaine Bowen

RN044419

Amer Al-Rafati, MD

42160

454

116 South Houston Rd Warner Robins, GA 31088

6/5/2009

Cargal, Allison L

RN187703

Avril Beckford, MD

35814

13342

4581 South Cobb Dr., Ste 100 Smyrna, GA 30080

6/6/2014

Cargill, Martha Nadine

RN168656

Ifeoma Eke, MD

52350

14097

1510 Hudson Bridge Rd. Stockbridge, GA 30281

10/9/2014

Cargill, Martha Nadine

RN168656

John Cheng, MD

53117

11693

1645 Tullie Circle Atlanta, GA 30329

3/8/2013

Carlson, Alyssa Nolan

RN185530

Jennifer Gottschalk, MD

62991

14477

320 Parkway Dr, Ste 222 Atlanta, GA 30318

1/8/2015

Carlton, Amanda

RN202283

Georga Stickney, MD

54128

15951

601 A Professional Dr Lawrenceville, GA 30046

8/6/2015

Carman, Catherine

RN171371

Mark Winokur, MD

36317

15670

1401 Johnson Ferry Rd, Ste 390 Marietta, GA 30062

6/4/2015

Carman, Catherine Michelle

RN171371

Christopher Killingsworth

67666

14431

9700 Medlock Bridge Rd, Ste 182 John Creek, GA 30097

10/9/2014

Carman, Catherine Michelle

RN171371

Stephen Messner, MD

59282

9445

1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

11/5/2010

Wednesday, August 12, 2015

Page 53 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Carnegie, Serenia Porter

RN117177

James Campagna, MD

33806

9306

2418 North Oak St, Suite B-1 Valdosta, GA 31602

11/5/2010

Carnegie, Serenia Porter

RN117177

Joseph Burnette, MD

33286

8179

401 4th Avenue Albany, GA 31701

9/11/2008

Carnes, Michelle

RN043286

Elia, Hany MD

30055

10899

3421 Mike Padgett Hwy Augusta, GA 30906

7/12/2012

Carnes, Betty Darlene

RN084947

Sandy Jun, MD

37005

463

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Caron, Jason

RN169432

Deborah Griffiths, MD

35888

464

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Carpenter, Francine

RN053788

Talmadge Bowden, MD

11288

14747

1 Freedom Way Augusta, GA 30904

2/5/2015

Carpenter, Barbie Jenine Hackl

RN109260

Joseph Hand, MD

49984

9892

247 S Main St Reidsville, GA 30453

8/5/2011

Carper, Brenda Carol Campbell

RN038702

Kathleen Funk, MD

37997

468

Northside Hosp - ER, 1000 Johnson Ferry Rd Atlanta, GA 303 9/14/2007

Carpinello, Jeniffer

RN120116

Davis, Mitchell MD

35030

10488

200 E.Enota Drive, Ste 200 Gainesville, GA 30501

3/1/2012

Carr, Margery McMichael

RN121940

Richard Robinson, MD

38936

14135

3240 Avalon Blvd Conyers, GA 30013

10/9/2014

Carr, Lisa S

RN077674

Melissa Bruhn, MD

43565

471

918 South Broad St Thomasville, GA 31792

10/7/2011

Carrega, Timothy Norman

RN151657

Candice Wallace, MD

30918

12282

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Carrithers, Natalie

RN196773

Grossman, Jeffrey MD

46109

10765

5555 Peachtree Dunwoody Rd, Ste 201 Atlanta, GA 30342

6/8/2012

Carroll, Suni H

RN119358

James Vick III, MD

37720

13343

15 Riverbend Dr. SW Rome, GA 30161

6/6/2014

Wednesday, August 12, 2015

Page 54 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Carroll, Mallory Erin

RN198991

William T. Mahle, MD

50110

11625

1405 N. Clifton Rd. Atlanta, GA 30322

6/7/2013

Carson, Jasmine Denise

RN091674

Jose Justiniano-Ayala, MD

#####

14882

11638 Hwy 27, Ste 8 Summerville, GA 30747

2/5/2015

Carswell, Tiffany

RN145535

Timothy Graves, MD

26859

15768

770 Walnut St Macon, GA 31201

7/9/2015

Carswell, Chasity Jana'

RN175135

Ajay Kumar, MD

42326

13727

132 Sparta Hwy Eatonton, GA 31024

9/11/2014

Cartagena, Rhonda

RN128437

Palmore, Melody MD

33679

10678

341 Ponce de Leon Avenue Atlanta, GA 30308

5/4/2012

Carter, Byron

RN187228

William Grow, MD

13752

15038

203 Woodrow Wilson Dr Valdosta, G 31602

4/2/2015

Carter, Stephanie Ann

RN172705

Parker Grow, MD

52943

14902

1199 Prince Ave MSB Bldg, 2nd Floor Athens, GA 30606

2/5/2015

Carter, Kariba DeJuanshae

RN186538

Omari Hodge, MD

70459

13344

2945 Panola Rd. Lithonia, GA 30038

6/6/2014

Carter, Mary Kelly

RN155084

Fredrick O'Neal, Jr, MD

33419

12532

1825 Martha Berry Blvd Rome, GA 30165

11/8/2013

Carter, Kariba D.

RN186538

David C. Snyder, MD

33711

11481

1490 Milstead Rd., NE, #A Conyers, GA 30013

1/11/2013

Carter, Michael A.

RN047967

Salim Osta, MD

15631

9401

1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524

11/5/2010

Carter, Janis Kristine

RN135657

Carlos Zayas-Montalvo, MD

36668

478

1968 Peachtree Rd. NW Bldg 77 5th Flr Atlanta, GA 30309

10/4/2007

Cartledge, Tracy

RN072622

Peter Steckl, MD

36296

13798

235 Peactree St. North Tower Ste.2100 Atlanta, GA 30303

9/11/2014

Cartledge, Tracy Ann

RN072622

Woody Francis, MD

48325

12997

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 3/6/2014

Wednesday, August 12, 2015

Page 55 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cartledge, Tracy Ann

RN072622

Mark Waterman, MD

21214

8702

303 Parkway Dr NE, Emergency Dept Atlanta, GA 30312

9/3/2009

Carusi, Gloria Jean

RN044369

William Lambert, MD

35926

482

110 Lloyd Ave Tyrone, GA 30290

8/5/2011

Casaday, Julie Choe

RN114781

Joseph Bona, MD

43331

13310

3807 Clairmont Rd, Suite 2008 Chamblee, GA 30341

6/6/2014

Casaday, Julie Choe

RN114781

Raushamah Hud-Aleem, DO 62999

12783

3110 Clifton Springs Rd Dacatur, GA 30034

2/6/2014

Casanova, Christiana Sipper

RN117028

Joshua Wolf, MD

59792

7776

1968 Peachtree Rd, Bldg 77, 5thFloor Atlanta, GA 30309

9/11/2008

Casbourne, Daniela J.

RN139341

Joe W. Bateman, MD

51019

11317

1360 Upper Hembree Rd., Ste 100 Roswell, GA 30076

12/7/2012

Casbourne, Daniela Jordon

RN139341

Jonathan Kaufman, MD

53470

483

1365 Clifton Rd NE, Bldg C, Plaza Floor Atlanta, GA 30322

3/6/2009

Casey, Kellie

RN210468

Ashok Kancharla, MD

48250

15944

1061 Dowdy Rd Athens, GA 30606

8/6/2015

Cash, Alecia

RN159440

Richard Robinson, MD

38936

11134

3240 Avalon Blvd Conyers, GA 30013

10/5/2012

Casheba, Janet L.

RN138794

James Thomsen, MD

34485

11311

5455 Meridian Mark Rd., Ste 130 Atlanta, GA 30342

12/7/2012

Cason, Evelyn Maria

RN130675

Walter Ingram, MD

31766

9378

80 Jesse Hill Dr, Suite 3B Atlanta, GA 30303

11/5/2010

Casper, Tamra Jo James

RN060504

John Harsch, MD

28566

486

1050 Eagles Ldg Pkwy, Suite 102 Stockbridge, GA 30218

8/2/2007

Cassara, Pamela Sue

RN115513

William Norris Little, MD

24288

11783

6175 Newton Dr Covington, GA 30014

4/4/2013

Cassel, Krista

RN247812

Zulfiqar Ali, MD

68694

16103

140 Merrell St Cusseta, GA 31805

8/6/2015

Wednesday, August 12, 2015

Page 56 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cassels, Melinda Jill

RN170289

Scott Johnson, MD

39831

14892

1255 Hwy 54 West Fayetteville, GA 30214

4/2/2015

Cassidy, Beau

RN215260

Parry, Bryan

43734

10273

4181 Hospital Drive, Suite 204 Covington, GA 30014

2/3/2012

Cassman, June

RN156994

Ashwinkumar Patel, MD

38326

9325

1130 Talbotton Rd Columbus, GA 31904

11/5/2010

Castano, Olga Lucia

RN216124

Marvin Nix, MD

60227

15279

3950 Austell Rd Austell, GA 30106

4/2/2015

Castle, Susan Laney

RN155688

Marion Owen, MD

52800

13345

465 Winn Way, Ste 215 Decatur, GA 30030

6/6/2014

Castle, Karen Reese

RN150641

William Griffith, MD

40675

12262

4904 Timber Ridge Dr, Suite 104 Douglasville, GA 30135

9/13/2013

Castro, Brittany Dawn

RN198897

Thomas Oliver, MD

27624

13290

1500 Oglethorpe Ave., 2000 Athens, GA 30606

5/1/2014

Castro, Gina

RN152933

Francis, Milele MD

55218

10703

1700 Hospital South Drive Ste 500 Austell, GA 30106

5/4/2012

Catlin, Theresa Lynn

RN172224

Anthony Mark Landis, DO

21733

490

600 Professional Drive, Ste 210 Lawrenceville, GA 30045

4/13/2007

Catrett, Judy Hallman

RN041402

Daniel Singleton, MD

68857

12755

131 East 6th Ave Buena Vista, GA 31803

1/9/2014

Catrett, Judy Hallman

RN041402

Alluri Raju, MD

22626

11735

131 East 6th Ave Buena Vista, GA 31803

3/8/2013

Caudell, Jennifer

RN159917

Melissa Warner, MD

33480

15585

310 Black Bear Ridge Sautee Nacooche, GA 30571

6/4/2015

Caudell, Jason

RN154971

Haddad, Sinan MD

56455

10864

1250 Jesse Jewell Pkwy, Ste 400 Gainesville, GA 30501

7/12/2012

Caulley, Kelly Danette

RN133307

Henry Lonnie Gardiner, MD

39346

493

11459 Johns Creek Pkwy, Suite 250 Johns Creek, GA 30097

6/7/2013

Wednesday, August 12, 2015

Page 57 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Causbey, Faith Enetta

RN112129

Oscar Espetia, MD

65358

12847

Causbey, Faith Enetta

RN112129

Alfred Woodard, MD

40592

Cave, Melissa Morgan

RN170411

James Polhill, MD

Caves, Erin Faulkner

RN184009

Cawley, Ramona

Protocol Address

Effective

2501 N Patterson St Valdosta, GA 31602

3/6/2014

494

417 W. 3rd Avenue Albany, GA 31705

8/7/2009

18066

9376

1067 Peachtree St Louisville, GA 30434

10/8/2010

Mary Bell Vaughn, MD

49552

13589

3448 Vineville Ave. Macon, GA 31204

8/7/2014

RN089149

Chunduri, Ananda MD

64911

10865

39 Kent Rd, Ste 5 Tifton, GA 31794

7/12/2012

Cawthon, Wanda Alane

RN072630

Sreeroop Sen, MD

41667

496

77 W. Gibson Street Hartwell, GA 30643

4/2/2009

Ceasar, Robbyn

RN165331

Curtis Clark, MD

47068

11116

610 19th St. Columbus, GA 31901

10/5/2012

Cecil, Hannah Rae

RN155230

Mark Bradshaw, MD

66574

12028

315 South 12th St Griffin, GA 30224

8/9/2013

Cellar, Janet Cecilia Schilling

RN131301

James Lah, MD

41863

8595

1841 Clifton Road Atlanta, GA 30329

6/5/2009

Cellar, Janet Cecilia Schilling

RN131301

Allan Levey, MD

34885

8358

1841 Clifton Road NE Atlanta, GA 30329

11/7/2008

Cenerizio, Michelle

RN232564

Ayman Fareed, MD

58740

14797

1670 Clairmont Rd Decatur, GA 30033

3/5/2015

Center, Andrea Mitchell

RN196917

John Bleacher, MD

42182

14375

5455 Meridian Mark Rd, Ste 570 Atlanta, GA 30342

1/8/2015

Chabot, Judith Takem

RN132549

Charles Outz, MD

53302

13393

367 Clear Creek Pkwy Lavonia, GA 30553

7/10/2014

Chaffin, Dana Reynolds

RN208967

Billy Greening, MD

42585

12713

7285 Hwy 16, Suite C Senoia, GA 30276

1/9/2014

Wednesday, August 12, 2015

Page 58 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Chaffin, Dana Reynolds

RN208967

Dwayne Watkins, MD

53054

12071

327 S 9th St Griffin, GA 30224

7/11/2013

Chaffin, Timothy B.

RN135836

Kesha L. Allen, MD

57920

11596

417 Third Ave. Albany, GA 31701

5/3/2013

Chaffin, Timothy

RN135836

Prince, Bobby MD

35735

10736

2311 Lake Park Dr Albany, GA 31707

9/12/2012

Chaffins, Carolyn Sue Lambert

RN067693

Larry Clements, MD

21489

501

760 Kennesaw Avenue Marietta, GA 30060

9/11/2008

Chafin, Sonja Elaine

RN063135

Pete Williams, MD

59940

13801

743 Spring St. NE Gainesville, GA 30501

9/11/2014

Chafin, Sonja

RN063135

Ghosn, Ramzi MD

57974

10888

1078 Lumpkin Campground Rd, Ste 100 Dawsonville, GA 305 7/12/2012

Chafin, Sonja

RN063135

Petro, George MD

62155

10890

59 Tifton Drive Dahlonega, GA 30533

7/12/2012

Chalk, Suzanne Marie

RN123599

Subodh Lal, MD

52771

8625

1700 Hospital South Dr, Suite 502 Austell, GA 30106

12/4/2009

Chalk, Suzanne Marie

RN123599

Raymond Rubin, MD

41204

8470

95 Collier Rd NW, #4085 Atlanta, GA 30309

3/6/2009

Chalmers, Sharon Waits

RN058004

John Kludt, MD

34876

12848

3700 Club Drive Lawrenceville, GA 30044

9/11/2014

Chambers, Brittany

RN198927

Margot Cseley, MD

20523

15664

2655 Northwinds Parkway Alpharetta, GA 30009

7/9/2015

Chambers, Donna Marie

RN059901

Janet Memark, MD

64415

13202

1790 Mulkey Rd., Ste 10 Austell, GA 30106

6/6/2014

Chambers, Donna Marie

RN059901

Hina Hussain, MD

55063

506

2440 Sandy Plains, Suite 100, Bldg 6 Marietta, GA 30066

10/5/2012

Chambers, Terri

RN120392

Geary Jr., Franklyn MD

30306

10866

80 Jesse Hill Jr. Drive Atlanta, GA 30303

7/12/2012

Wednesday, August 12, 2015

Page 59 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Chamlee, Gina

RN145959

Conley, Jason MD

54602

10479

960 Joe Frank Harris Parkway Cartersvville, GA 30120

3/1/2012

Champion, Heather Michelle

RN195224

Dale Wing, MD

68022

12012

116 Mimosa Dr Thomasville, GA 31792

7/11/2013

Chandler, Laurie

RN113163

Josephine Dunagan, MD

15553

11042

1700 Tree Lane Snellville, GA 30078

10/5/2012

Chandler, Barbara Jean

RN061123

Sandy Jun, MD

37005

8286

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Chandler, Beryl Jo

RN184560

Steve Daugherty, DO

28259

8102

313 Boynton Drive Ringgold, GA 30736

1/11/2008

Chang, Kai Yuan

RN170578

Richard Dent, MD

17

8288

310 Eisenhower Drive, Suite 5 Savannah, GA 31406

9/11/2008

Chapman, Robin Lee

RN080752

Shannon Meeks, MD

54163

12073

2015 Uppergate Dr, Suite 400 Atlanta, GA 30322

7/11/2013

Chapman, Vickie

RN066554

Polow, Sarah DO

24067

10586

824 G I Maddox Pkwy Chatsworth, GA 30705

6/7/2013

Chapman, Sarah C.

RN134966

James A. Sexson, MD

38362

11573

1810 Mulkey Rd., #200 Austell, GA 30106

3/8/2013

Chapman, Samuel

RN176461

McIncrow, Richard DO

59099

10416

5354 Reynolds St, Ste 424 Savannah, GA 31405

2/3/2012

Chapman, Shelby Colquitt

RN139882

Chase, Richard DO

17784

10022

509 Sumter Street Montezuma, GA 31063-1733

10/7/2011

Chapman, Samuel David

RN176461

Obaid Rehman, MD

44990

9436

11700 Mercy Blvd, Bldg #5 Savannah, GA 31419

4/1/2011

Chapman, Robin Lee

RN080752

Christine Kempton, MD

56189

9092

2015 Upper Gate Dr, Suite 400 Atlanta, GA 30322

5/7/2010

Thomas Meyer, MD

16394

13200

360 Hospital Dr, Bldg D, Ste. 200 Macon, GA 31217

6/6/2014

Chappell-Stokes, Brittany Aman RN201632

Wednesday, August 12, 2015

Page 60 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Charles, Jenny Lee

RN241333

Roger Branch, MD

30272

14541

10 Doctors St Metter, GA 30459

2/5/2015

Charles, Venyette A.

RN192517

Sherri Barton, MD

48595

12309

6158 Hwy 92, Suite 101 Acworth, GA 30102

12/6/2013

Charlot, Mary Jane

RN187056

Rodger Chapman, MD

16769

13708

191 S. Main St Luthersville, GA 30251

9/11/2014

Charlot, Mary Jane

RN187056

Divina Dyer, MD

57161

12487

Take Care Clinic, 780 North Glynn Fayetteville, GA 30214-11 11/8/2013

Charlton, Julie Ann Salsbury

RN099786

Kim Lipscomb, MD

58696

5085

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Charrance, Penny Lynn

RN217048

Dorel Bidiuc, MD

51296

11793

707 Old Dalton Ellijay Rd Chatsworth, GA 30705

4/4/2013

Chase, Kelly

RN139247

Andrew Green, MD

58961

12436

1498 Jesse Jewell Pkwy, Suite C Gainesville, GA 30501

11/8/2013

Chatman, Shannon

RN153918

Erin London, MD

45440

15799

11 Business Center Dr, Ste 205 Eastanolle, GA 30538

7/9/2015

Chausmer, Jaimie Klein

RN144252

Kimberly Champney, MD

53115

12117

980 Johnson Ferry Rd NE, Suite 520 Atlanta, GA 30342

8/9/2013

Cheeks, Miyesha A.

RN146277

Africa Alvarez-McLeod, MD

35733

529

1605 Peachtree St., NE Atlanta, GA 30309

5/1/2014

Cheeseman, Karen Marion War RN101507

Jose Cangiano, MD

44182

15225

1 Technology Pkwy South, Ste 1 Norcross, GA 30092

4/2/2015

Cheeseman, Karen Marion War RN101507

Asaf Aleem, MD

30260

13447

2150 Peachford Rd. Atlanta, GA 30338

7/10/2014

Chen, Huey Jen

RN187042

Franklin Brown, MD

62315

9194

445 Winn Way Decatur, GA 30030

8/6/2010

Cheney, Teresa

066069

Eric Powell, MD

49081

14138

586 Brannen St Statesboro, GA 30458

11/7/2014

Cheney, Teresa

RN066069

Bohlke, William MD

37490

10428

9945 US Hwy 301 S Statesboro, GA 30458

2/3/2012

Wednesday, August 12, 2015

Page 61 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Chernik, Christine Ann

RN137932

Donna Fearing, MD

29447

534

Chery, Yves

RN189928

Ganapathy, Malliga MD

32734

10667

1120 15th Street, The Pavilion I, AE-3038 Augusta, GA 3091 5/4/2012

Chesnutt, Judy Denise

RN046227

Victor Thomas, MD

40574

15235

1200 Memorial Dr Dalton, GA 30720

8/6/2015

Chesnutt, Margaret America

RN080757

Susan Platt, MD

#####

14646

755 Commerce Dr Decatur, GA 30030

3/5/2015

Chesser, Yvonne Allen

RN123120

Parker Grow, MD

52943

539

PO Box 5860 Athens, GA 30604

12/3/2010

Chessor, Misty Lynn

RN225780

Barbara S Nelson, MD

54628

12807

508 East Morris St Dalton, GA 30721

1/9/2014

Chetty, Sundari

RN145607

Emanuel Soyoola, MD

53032

11084

1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

10/5/2012

Child, Chris

RN155127

Joseph Parks lll, MD

20586

14548

32 Jackson St Newnan, GA 30263

12/4/2014

Child, Chris Buchanan

RN155127

Eugene Hurwitz, MD

24694

9182

690 Dallas Hwy, Suite 101 Villa Rica, GA 30180

9/2/2010

Childers, Suzanne Amanda

RN179111

Monica Newton, DO

64874

12478

950-A South Enota Dr Gainesville, GA 30501

11/8/2013

Childers, Tabitha A.

RN175483

Theltonia Howard, MD

66186

11501

1170 Cleveland Ave. East Point, GA 30344

1/11/2013

Childers, Tabitha

RN175483

Richardson, Matthew MD

53023

10813

5555 Peachtree Dunwoody Rd, Ste 201 Atlanta, GA 30342

7/12/2012

Childers, Dona Faye Earwood

RN097177

Ann Ward, MD

23242

542

97 Church Street Taylorville, GA 30178

10/4/2007

Childree, Rene B.

RN043261

William Bohlke, MD

37490

8252

PO Box 487 Brooklet, GA 30415

7/11/2008

Wednesday, August 12, 2015

120 Stonebridge Pkwy Woodstock, GA 30189

3/7/2008

Page 62 of 400

APRN Name
Childress, Irene M.

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

RN185501

Edward J. Kruse, DO

58055

11015

1120 15th St, BA-4107 Augusta, GA 30912

9/13/2012

Childress-Rodriquez, Robin Ren RN141373

Eugene Hurwitz, MD

24694

9568

690 Dallas Hwy, Suite 101 Villa Rica, GA 30180

3/4/2011

Childs, Eileen

RN039908

Damon Kimes, MD

50322

13764

695 Crossville Rd Roswell, GA 30075

9/11/2014

Chitoh, John Achibuem

RN197564

Kory Vaughn, MD

69457

13722

745 Poplar Rd. Newnan, GA 30265

9/11/2014

Chitoh, John

RN197564

Ghiathi, A.S. DO

40908

10163

125 McDonald Avenue Cuthbert, GA 39840

10/7/2011

Chitwood, Connie

RN118797

Francis Jenkins, MD

25988

15823

3320 Old Jefferson Rd, Ste 200 A Athens, GA 30607

7/9/2015

Chitwood, Kimberly Allison Clay RN160445

Donna Groover, Md

40676

13346

7143 Turner Lake Rd Covington, GA 30014

6/6/2014

Cho, Ki-hyun

RN195897

Charles Roman, Do

43757

15807

2737 Warm Springs Rd Columbus, GA 31904

7/9/2015

Cho, Haeseon

Rn211009

Young Kang, MD

56302

14455

4855 River Green Pkwy, Ste 140 Duluth, GA 30096

12/4/2014

Choate, Elizabeth Thompson

RN134174

Stephen Clements, MD

11305

548

1365 Clifton Rd NE, #A-2432 Atlanta, GA 30322

2/5/2009

Choate, Tara Nicole

RN155231

Patrick Spafford, MD

38971

549

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Choe, Unchong

RN234129

Sekhar Sankaran, MD

31549

15989

101 Regency Pkwy Rd, Ste 140 McDonough, GA 30253

8/6/2015

Chosewood, Christa Ryan

RN170392

Paul Zolty, MD

54142

9108

55 Whitcher St, Suite 160 Marietta, GA 30060

8/6/2010

Chrena, Helen

RN240115

Ramesh Amin, MD

28242

16093

853 Battlecreek Rd Jonesboro, GA 30236

8/6/2015

Christian, Dana Lorraine

RN128856

James Capes, MD

38438

550

550 Peachtree Street Atlanta, GA 30308

9/14/2007

Wednesday, August 12, 2015

Page 63 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Christie, Byerly

RN215879

Lesley Cown, MD

36129

16070

Christie, Melville Devon

RN159008

William Watkins, MD

32076

Christie, Jacqueline Thomas

RN151674

Donovan Christie, MD

Christmas, Marcy Ann

RN119135

Christmas, Marcy Ann Herringt

Protocol Address

Effective

4061 Vinerille Ave Macon, GA 31210-5039

8/6/2015

554

235 P'tree St NE, North Tower, #2100 Atlanta, GA 30303

10/2/2008

44432

7876

725 North Central Avenue, Suite 1 Atlanta, GA 30354

1/11/2008

Chester Lapeza, MD

44263

14415

602 East 16th Ave, Ste B Cordele, GA 31015

10/9/2014

RN119135

Gaston Moran-Celayes, MD

64675

555

602 East 16th Ave, Suite B Cordele, GA 31015

6/7/2013

Christodoulos, Rozalinde B

RN142649

James Roth, MD

46525

358

3925 Johns Creek Court, Suite A Suwanee, GA 30024

11/1/2007

Chukoian, Lois

RN138578

Dennis Wiles, MD

44865

14710

410 Peachtree Parkway, Ste 300 Cumming, GA 30041

1/8/2015

Chukoian, Lois Eleanor Skinner

RN138578

John Bergsagel, MD

29407

558

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30322

3/6/2009

Chumley, Angela Deloach

RN085064

Frances Decker, MD

33953

559

241 Silverwood Comm Dr Rincon, GA 31326

3/6/2009

Chung, Judith P Hart

RN127763

James Butts, MD

9103

560

PO Box 2683 Gainesville, GA 30503

6/4/2010

Clairvil, Sherly

RN171397

Joseph Philippe, MD

44056

15283

5825 Glendridge Dr Atlanta, GA 30328

5/8/2015

Clardy, Nancy Lucille Ennis

RN051923

Box, James Brent MD

31566

565

1035 Red Bud Road Calhoun, GA 30701

5/4/2012

Clark, Kara

RN128881

Robert Marler, MD

35947

15756

1314 West Ridge Rd Gainesville, GA 30501

7/9/2015

Clark, Linda K

RN047714

Sharkoora Omonuwa, MD

37895

14919

1826 Veterans Blvd, Bldg 9B Dublin, GA 31021

4/2/2015

Wednesday, August 12, 2015

Page 64 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Clark, Ann Marie

RN030832

Ayisha Jameel, MD

69471

15081

80 Jesse Hill Jr. S E Atlanta, GA 30303

4/2/2015

Clark, Zaccardo Kentrell

RN231360

Cassandra Donnelly, DO

68144

14768

3617 Roswell Rd N E, Ste A Atlanta, GA 30305

1/8/2015

Clark, Sommer

RN194331

Ramon Ramos, MD

33683

14570

460 Mall Blvd Savannah, GA 31406

12/4/2014

Clark, Michele Poole

RN093663

Jason Bailey, MD

51619

13820

1498 Jesse Jewell Pkwy Ste D Gainesville, GA 30501

9/11/2014

Clark, Tiffany Guyton

RN238230

Garland Martin, MD

47233

13558

One Chemical Plant Rd Riceboro, GA 31323

7/10/2014

Clark, Jennifer

RN173733

Meier, Edward MD

#####

10349

2112 Shorter Ave NW, Ste 200 Rome, GA 30165

1/6/2012

Clark, Mark Douglas

RN128712

Andre Kallab, MD

45259

572

1240 Jesse Jewell Rd. Suite 600 Gainesville, GA 30501

12/7/2007

Clarke-Hall, Renee Marie

RN180285

Richard Young, MD

21218

9901

958-A J F Harris Pkwy, Suite 105 Cartersville, GA 30120

8/5/2011

Clarke-Hall, Renee Marie

RN180285

Gwendolyn Delaney, MD

49380

9459

410 Peachtree Pkwy, Suite 4260 Cumming, GA 30041

1/7/2011

Clark-Jenkins, Barbara Renell

RN128161

Douglas Epps, MD

48349

14988

1445 Old McDonough Hwy SE Conyers, GA 30094

3/5/2015

Clay, Alexa

RN244899

Andrew Leach, MD

49051

15200

355 Hawthorne Lane Athens, GA 30606

6/4/2015

Clay, Kimberly George

RN140016

Stanley Fineman, MD

16229

9285

895 Canton Rd, Bldg 200, Suite 200 Marietta, GA 30060

9/2/2010

Clay-Austin, Cherrice

RN160625

Mary Bell Vaughn, MD

49552

13588

3448 Vineville Ave. Macon, GA 31204

8/7/2014

Clayton, Sonie Marie

RN113665

Michael Steinbook, MD

26661

578

1117 20th Street Columbus, GA 31901

6/6/2008

Wednesday, August 12, 2015

Page 65 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Claytor, Kathryn

RN200233

Sarvotham Kini, MD

34170

14557

108 Spear Rd Athens, GA 30602

12/4/2014

Clemmons, Lori Anne

RN200259

Anthony Harbin, MD

29665

5451

1525 Chattanooga Road Dalton, GA 30720

3/6/2009

Cleveland, Lauren Mary-Marie

RN174980

Albert Thompson, MD

22338

14043

1375 E. King Ave. Hwy 40, Ste A Kingsland, GA 31548

10/9/2014

Cleveland, Janna B

RN043294

Farris Johnson, MD

27580

580

496 Reese St Athens, GA 30601

5/1/2014

Cleveland, Lauren

RN174980

Stoughton-Doherty,
Kimberly MD

55981

10091

2040 Dan Proctor Drive, Ste 140 St. Mary's, GA 31558

10/7/2011

Clevenger, Carolyn

RN153941

Ihab Hajjar, MD

70835

15119

1821 Clifton Rd NE Atlanta, GA 30329

3/5/2015

Clevenger, Zachary Allen

RN153940

Mark A. Matthews, MD

54861

584

200 S.Enota Dr., Ste 200 Gainesville, GA 30501

10/5/2012

Clevenger, Gina Price

RN120899

Anne Lule, MD

51507

9099

330 Turner McCall Blvd, Suite 206 Rome, GA 30165

5/7/2010

Clevenger, Gina Price

RN120899

Thomas Ryan, MD

42415

583

20 Collins Drive, Suite B Cartersville, GA 30120

11/5/2009

Cline, Nyla Faye

RN065545

Elizabeth Adamiak, MD

33015

14186

804 Dixie St Carrollton, GA 30117

11/7/2014

Cline, Nyla Faye Clifford

RN065545

Elizabeth Adamiak, MD

33015

8463

804 Dixie Street Carrollton, GA 30117

3/6/2009

Clinton, Mymie

RN040042

Catherine James-Peters, MD 63671

15802

118 Alice Coleman Dr Vidalio, GA 30474

7/9/2015

Close, Mary Jennifer

RN165558

Donald Gates, MD

53915

8925

6602 Abercorn St, Suite 102 Savannah, GA 31405

1/7/2010

Cloud, Paulette Marie Dyson

RN146108

James Gore, Jr., MD

36384

589

1512 Highway 19 North Thomaston, GA 30286

9/14/2007

Wednesday, August 12, 2015

Page 66 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Clubb, Karen

RN077688

Joseph Slappey, MD

3447

11085

1600 Forsyth St. Macon, GA 31201

10/5/2012

Clymer, Emily Susan Jones

RN113899

Charles Brown, III, MD

28383

8181

275 Collier Road, Suite 500 Atlanta, GA 30309

5/9/2008

Coar, Jaekea Teshea

RN185308

Gururaj Nayak, MD

44033

15063

701 Bluebird Blvd Fort Valley, GA 31030

4/2/2015

Coar, Jaekea

RN185308

Keathem Malone, MD

44524

11064

301 Watson Blvd, Ste 525 Warner Robins, GA 31093

10/5/2012

Cobb, Amy Beckman

RN193814

Marat Plotkin, MD

46473

14762

105 Greencastle Rd, Ste A Tyrone, GA 30290

2/5/2015

Cobb, Amy Beckman

RN193814

Clifford Tumambing, MD

68326

12252

380 South Davis Rd, Suites E&F LaGrange, GA 30240

9/13/2013

Coburn, Allison Inga Buri

RN198926

Jonathan Ehrlich, MD

15580

9114

993-D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342

6/4/2010

Cochran, Renee

RN069910
RN069910

Bradley Ward, MD

21115

15435

78 Opal St Cartersoille, GA 30120

5/8/2015

Cochran, Angela Elaine

RN119943

Scott Kelly, MD

44256

13529

6635 Lake Dr Morrow, GA 30260

7/10/2014

Cochran, Charma Louise

RN139566

James Box, MD

31566

13168

1035 Red Bud Rd Calhoun, GA 30701

5/1/2014

Cochran, Virginia Parramore

RN154552

Charlene Blache, MD

45728

594

406-M Northside Dr Valdosta, GA 31602

9/2/2010

Cockfield, Christy

RN192162

Chantrapa Bunyapen, MD

19243

15599

1120 15th St, Ste BIW 6033 Augusta, GA 30912

7/9/2015

Cody, Regina

RN117919

David Samuels, DO

49521

15975

117 Kile Rd Swainsboro, GA 30401

8/6/2015

Cody, Regina G.

RN117919

Traceyan Mendez, MD

57831

1179

316 North Main Street Swainsboro, GA 30401

7/10/2009

Wednesday, August 12, 2015

Page 67 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Coffee, LaChaka S

RN160446

Deborah Henry, MD

41950

15335

1670 Clairmont Rd. Decatur, GA 30033

4/2/2015

Coffey, Alice Margaret

RN192147

Thomas Emerson, MD

26772

13646

55 Witcher St, Ste 250 Marietta, GA 30060

8/7/2014

Coggins, Brenna Jean Williford

RN137838

Vadelund, Karin MD

58934

9997

235 Peachtree St NE, Ste 2100 Atlanta, GA 30303

9/1/2011

Cohan, Amy

RN193985

Merchen, Todd MD

58986

10494

1120 15th St BA 4407 Augusta, GA 30912

3/1/2012

Cohen, Herchelle

RN204554

Michele Henson, MD

73306

15881

5400 Waters Ave Savannah, GA 31404

7/9/2015

Cohen, Bonni S.

RN201143

Joel Cohen, DO

60359

8557

3207 Country Club Drive Valdosta, GA 31605

5/7/2009

Coke, Sallie Poole

RN097198

Lee Woodall, MD

22917

600

101 Houston Street Barnesville, GA 30204

12/3/2010

Colac, Olga

RN185318

Irandathy Rodrigo, MD

42715

9257

2522 Cruse Rd, Suite C-2 Lawrenceville, GA 30044

9/2/2010

Cole, Valerie M

RN145608

G. Walden Garriss, III, MD

51134

11984

3939 Roswell Rd, Suite 200 Marietta, GA 30062

6/7/2013

Coleman, Dakshaben

RN144943

Maurice Solis, MD

30673

15763

2409 N Patterson St, Ste 230 Valdosta, GA 31602

7/9/2015

Coleman, Megan Delane

RN198551

Vijitha Prasad, MD

40520

12718

544 W Church St Swainsboro, GA 30401

1/9/2014

Coleman, Glendell Bradley

RN094148

Eric Fan, DO

49615

12151

1102 Smith Ave Thomasville, GA 31792

8/9/2013

Coleman, Julie W

RN065066

Thomas Murphy, MD

30158

603

PO Box 5860 Athens, GA 30604

12/3/2010

Colley, April

RN184597

Juliana Nahas, MD

44549

15443

4181 Hospital Dr, Ste 202 Covington, GA 30014

5/8/2015

Wednesday, August 12, 2015

Page 68 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Collier, Pamela Lee

RN090997

Rolando Torres, MD

43138

14858

1350 Walton Way Augusta, GA 30901

2/5/2015

Collier, Pamela Crownover

RN076675

Clyde Granville Simmons,
MD

17301

11715

5488 Alabama Ave Omega, GA 31775

3/8/2013

Collier, Pamela Lee Bowman

RN090997

Faiz Rahman, MD

63433

9107

404 Savannah Ave Statesboro, GA 30458

5/7/2010

Collins, Mary Katherine

RN133916

William Grubb, MD

16606

15604

3025 Shrine Rd, Ste 450 Brunswick, GA 31520

7/9/2015

Collins, Janice M

RN117850

Michael McDaniel, MD

57398

13236

5780 Peachtree Dunwoody Rd, #200 Atlanta, GA 30342

5/1/2014

Collins, Linda Savage

RN081190

Archna Poddar, MD

50827

13082

3685 Brasleton Hwy, Suite 100 Dacula, GA 30019

4/4/2014

Collins, Hannah

RN185288

Nooka, Ajay MD

63380

10847

1365 Clifton Road NE, Bldg C, Plaza Level Atlanta, GA 30322

7/12/2012

Collins, Jessica

RN162833

Bergrab, Peggy MD

64330

10568

417 Third Avenue Albany, GA 31702

3/29/2012

Collins, Krista

RN152165

Maxa, Richard MD

42655

10191

3505 Duluth Park Lane, Ste 400 Duluth, GA 30096

11/3/2011

Collins, Christy Michelle

RN130301

Kevin Davis, MD

45765

9064

77 Weaver Road Blairsville, GA 30512

6/4/2010

Collins, Christy Michelle

RN130301

Paul Cox, MD

49762

8839

101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

11/5/2009

Collins, Janice M.

RN117850

Tania Morgan, MD

48172

5096

5354 Reynolds St, Suite 303 Savannah, GA 31419

7/11/2008

Colton, Wendy Marley

RN113723

Michael Avidano, MD

39722

613

1101 Hospital Dr, Suite100-A Stockbridge, GA 30281

3/4/2011

Colvin, Shannon Leigh Bentley

RN144273

Asher Galloway, MD

16511

8947

6095 Professional Pkwy, Suite A-210 Douglasville, GA 30134 2/5/2010

Wednesday, August 12, 2015

Page 69 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Comer, Angelin

RN242145

Morhtar Hacena, MD

55062

14689

2054 Watson Blvd Warner Robins, GA 31093

3/5/2015

Comer, Judith Lynn

RN073864

Anthony Howard, MD

34616

14366

119-A Victory Dr, Ste A Swainsboro, GA 30401

12/4/2014

Comer, Judith Lynn

RN073864

Jeffrey Dowis, MD

68199

13536

3193 East First St Vidalia, GA 30474

7/10/2014

Comer, Rosalynn Nadia Miller

RN166066

Nathan Spell, MD

45012

12406

1364 Clifton Rd, Suite D-218 Atlanta, GA 30322

10/10/2013

Comer, Rosalynn

RN166066

Herbert Carter, MD

41409

11092

550 Peachtree St., NE, MOT 7th Flr. Atlanta, GA 30308

10/5/2012

Comer, Judith Lynn

RN073864

Ronald Hart, MD

46115

615

11 Charlie Morris Rd Colbert, GA 30628

1/7/2010

Compaan, Kyle Peter

RN219725

Dennis Welch, MD

33922

13347

5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

6/6/2014

Compton, Anne B.

RN211468

Diane V. Duvall, MD

33739

11630

1800 Howell Mill Rd., #680 Atlanta, GA 30318

2/7/2013

Conforti, Elisabeth Ludwig Kieb

RN103622

Gururaj Nayak, MD

44033

13665

1909 N Columbia St, Suite D Milledgeville, GA 31061

8/7/2014

Conley, Gail Dykhouse

RN121290

Steven Yang, MD

65438

14181

2740 Ray Knight Way, Ste 100 Albany, GA 31707

11/7/2014

Conley, Becky Ann

RN137050

Adam Kennah, MD

56578

11073

865 South First ST Jesup, GA 31545

10/5/2012

Conley, Becky Ann

RN137050

Robert Herrington, MD

31942

11072

462 E G Miles Pkwy Hinesville, GA 31313

10/5/2012

Conley, Becky Ann

RN137050

Timothy Osborne, MD

68085

11071

One Meadows Pkwy - Emergency Dept Vidalia, GA 30475

10/5/2012

Conlon, Barbara Jean Ruff

RN157373

Nimish N. Dhruva, MD

45200

617

20 Francis Way, Suite 101 Sharpsburg, GA 30277

12/7/2007

Wednesday, August 12, 2015

Page 70 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Connelly, Erin Lynaugh

RN171851

Dolly Aguilera, MD

55386

9584

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

2/4/2011

Conners, Julie Beth

RN196237

Kalpit Patel, MD

70398

13348

2464 Roswell Rd. Marietta, GA 30062

6/6/2014

Connors, Christina Renee

RN209853

Vikash Modi, MD

70226

15273

80 Vinings Dr McDonough, GA 30253

5/8/2015

Consedine, Megan Alexander

RN170580

Andrew Muir, MD

52079

623

2015 Uppergate Road Atlanta, GA 30322

3/6/2009

Conway, Valerie Kim

RN072672

Slavko Kukucka, MD

46877

13936

119 Chimney Rd Rincon, GA 31326

9/11/2014

Conway, Julie Michelle Hooks

RN081259

Alison Wright, MD

46017

626

1025 North Houston Road Warner Robins, GA 31093

9/14/2007

Conyers, Shanika

RN225002

Micheal Sumner, MD

63062

14835

1120 15 th, Ste B I Augusta, GA 30912

3/5/2015

Conyers, Babara Jean

RN163150

Joseph A. Bishop, MD

10372

13137

100 Peters St., Ste. 38 Calhoun, GA 30701

4/4/2014

Cook, Jennifer

RN218993

Kenneth Williams, MD

44381

15710

633 Stephenson Ave Savannah, GA 31405

6/4/2015

Cook, Jennifer Michele

RN218993

Paul Bradley, MD

30016

13729

340 Eisenhower Dr, Suite 1200 Savannah, GA 31405

10/9/2014

Cook, Christopher Lee

RN154894

Andrew Waldman, MD

48001

13875

710 Center St Columbus, GA 31901

9/11/2014

Cook, Jennifer Sue

RN128463

Robert Nelson, MD

65037

13794

110 South Chestatee St. Ste. 100 Dahlonega, GA 30597

9/11/2014

Cook, Erin Elizabeth Norton

RN191725

Suzanne Manley, MD

46167

12017

148 Clinic Ave Carrollton, GA 30117

7/11/2013

Cook, Calli Leighann

RN209855

Husham P. Mishu, MD

40740

11607

285 Boulevard NE, #345 Atlanta, GA 30312

3/8/2013

Wednesday, August 12, 2015

Page 71 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cook, Kerri Anne

RN143588

Firas Bannout, MD

55176

9662

455 S. Main St, Suite 201 Hinesville, GA 31313

4/1/2011

Cook, Sheryl L.

RN154812

Charles Burton, Jr, MD

23025

9090

1587 Phoenix Blvd, Suite 6 College Park, GA 30349

5/7/2010

Cook, Camille Pleshette

RN104354

Nicola Botley-Lee, MD

52106

629

5026 Snapfinger Woods Dr, Suite 112 Decatur, GA 30035

1/11/2008

Cook, William Byron

RN059531

John Sladky, MD

41219

7705

2015 Uppergate Drive NE Atlanta, GA 30022

11/1/2007

Cooksey, Karen Paula Rice

RN084993

Carolyn Sigman, MD

37904

636

10745 Westside Way, Suite 125 Alpharetta, GA 30009

2/5/2009

Cooley, Kim Verleigh

RN095692

Sandy Jun, MD

37005

8164

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Coon, Melanie B.

RN159289

Avril Beckford, MD

35814

1988

1810 Mulkey Road, Suite 201 Austell, GA 30106

8/8/2008

Cooper, N'Kema Jernee

RN175935

Paul Hawkins, MD

54741

15616

4421 Carnes St Acworth, GA 30101

6/4/2015

Cooper, Chandra

RN136292

Robert Springer lll

37081

15216

50 Executive Park South, Ste 5012 Atlanta, GA 30329

4/2/2015

Cooper, Chandra M

RN136292

James Peterzell, DO

53868

13817

200 Galleria Pkwy Ste.100 Atlanta, GA 30339

9/11/2014

Cooper, Layla Lahuti

RN202449

David Wyatt, MD

42979

13337

4199 Paces Ferry Rd SE, Suite 200 Atlanta, GA 30339

7/10/2014

Cooper, Sarah Callander

RN234191

Howard Snapper, MD

38970

12758

55 whitcher St, Suite 350 Marietta, GA 30060

1/9/2014

Cooper, Erin Timmerman

RN197896

Faiz Rehman, MD

43270

12278

818 St Sebastian Way, Suite 307 Augusta, GA 30901

9/13/2013

Cooper, Debra Denise

RN084801

Fernando Burstein, MD

32141

8972

975 Johnson Ferry Rd NE, Suite 100 Atlanta, GA 30342

2/5/2010

Wednesday, August 12, 2015

Page 72 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cooper, Debra Denise

RN084801

Connie DuPre, MD

31675

8706

1512 Hwy 19 West Thomaston, GA 30286

9/3/2009

Cope, Mary Christine

RN125895

Tania Morgan, MD

48172

7801

5354 Reynolds St, Suite 303 Savannah, GA 31405

2/5/2009

Copeland, Christina Danielle

RN199904

David Fletcher, MD

59718

13083

1075 South Main St., Suite 100 Madison, GA 30650

5/1/2014

Copeland, Sherry C.

RN066094

Frank Bixler, MD

34779

9164

15 Yarbrough St Hazlehurst, GA 31539

8/6/2010

Copeland, Sandra Davis

RN102110

Haley Manley, MD

42079

5505

101 Houston Street Barnesville, GA 30204

4/2/2009

Corbett, Tarra Lea Mccullar

RN112198

Scott Cooper, MD

27696

641

1400 Northside Forsyth Dr, Suite 250 Cumming, GA 30041

1/7/2011

Corbin, Kristin Marie

RN216234

Tasneem Bhatia, MD

49025

13653

1401 Dresden Dr. Atlanta, GA 30319

8/7/2014

Corcoran, Patricia Ann

RN093591

Bennie Brown, DO

65085

14020

925 Branch Court, Ste 101 Grovetown, GA 30813

10/9/2014

Corcoran, Patricia Ann

RN093591

Ioana Chirca, MD

69285

13876

1350 Walton Way Augusta, GA 30901

9/11/2014

Corcoran, Patricia Ann

RN093591

Kevin Nash, MD

68078

11760

1350 Walton Way, Medical Staff Office Augusta, GA 30910

4/4/2013

Corcoran, Patricia

RN093591

Hunter, Timothy MD

66702

10885

1348 Walton Way Augusta, GA 30910

7/12/2012

Corcoran, Patricia Ann

RN093591

Reginald Nesbitt, MD

58300

9873

1350 Walton Way Augusta, GA 30910

9/1/2011

Corcoran, Patricia Ann

RN093591

William Callaghan, MD

27974

9030

818 St. Sebastian Way, POB II, Suite 200 Augusta, GA 30901

4/1/2010

Corcoran, Patricia Ann

RN093591

Faiz Rehman, MD

43270

2985

1348 Walton Way, Suite 5100 Augusta, GA 30901

11/7/2008

Wednesday, August 12, 2015

Page 73 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cordi, Francesca

RN100590

Sushma Chandan, MD

22984

14657

1670 Clairmont Rd Decatur, GA 30033

3/5/2015

Cordle, Emma Walker

RN168452

James Douglas, MD

33569

11777

15 Riverbend Dr SW, Suite 100 Rome, GA 30161

4/4/2013

Corley, Caitlin

RN160643

Lance Slade, MD

52488

15477

550Professional Dr Macon, GA 31201

5/8/2015

Correia, Wanda Denise Wall

RN122788

Nancy Lefever, MD

50205

648

PO Box 680 Tate, GA 30177

4/4/2013

Cossman, Barbara H

RN049752

Marisa Gadea, MD

41802

650

1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

7/11/2008

Costanzo, Erin Reynolds

RN146776

Michael Miles, MD

52082

8095

7869 Villa Rica Hwy Dallas, GA 30157

11/1/2007

Costello, Phyllis Pelfrey

RN158279

Allison Enter, MD

71699

13793

1416 Wainbrook Dr Augusta, GA 30909

9/11/2014

Costello, Phyllis Pelfry

RN158279

John Affronti, MD

45686

12435

1120 15th St, Suite BBR-2538 Augusta, GA 30912

11/8/2013

Cote, Wilma

RN073478

Martin, Garland

47233

10126

391 South lst Street Jesup, GA 31545

10/7/2011

Cotroneo, Mia

RN080800

Sandy Jun, MD

37005

654

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Cotto Jr., Thomas

RN184383

Leslie Leigh, MD

34752

15125

500 Medical Center Blvd Lawrecneville, GA 30042

4/2/2015

Couch, Mark Edward

RN124073

Peter Lee, MD

38545

657

34 Upper Riverdale Rd, #100A Riverdale, GA 30274

2/5/2009

Coulombe, Serena

RN051998

James Brennan, MD

19645

5442

303 Smith Street LaGrange, GA 30240

8/8/2008

Coulter, Kirsten Baum

RN195756

Cheryl Perkins, MD

36430

12549

1497 Fair Rd, Suite 200 Statesboro, GA 30458

1/9/2014

Wednesday, August 12, 2015

Page 74 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Courington, Aaron S.

RN186396
186396

Brook Bearden, MD

56527

5475

5116 Northwind Blvd. Valdosta, GA 31605

5/10/2007

Courson, Jessica Lynne

RN190877

Robb Fulton, DO

73325

15938

903 west Ward St, Ste A Douglas, GA 31533

7/9/2015

Cousins, Valerie

RN204335

Saurabh Desai, MD

27530

15549

6025 Professional Pkwy Douglasville, GA 30134

6/4/2015

Cousins, Valerie Jean

RN204335

Luther Vance, Jr, MD

19354

12968

8470 Senoia Rd Fairburn, GA 30213

4/4/2014

Cousins, Valerie Jean

RN204335

Hermogenes Pagsisihan, MD 50666

9447

100 Professional Park, Suite 204 Carrollton, GA 30117

11/5/2010

Coussons-Dyches, Angela Vawn RN135671

Robert Mooney, MD

36828

14588

1203 Brampton Ave Statesboro, GA 30458

2/5/2015

Coussons-Dyches, Angela Vawn RN135671

Angela Gerguis, MD

47261

12690

586 Brannon St Statesboro, GA 30458

1/9/2014

Coussons-Dyches, Angela Vawn RN135671

Emory Powers Smith, MD

25281

12808

1203 Brampton Ave Statesboro, GA 30458

1/9/2014

Coussons-Dyches, Angela Vawn RN135671

Amy Clemons, MD

57058

9960

300 Cedar St Metter, GA 30439

8/5/2011

Cowan, Karen Demesa

RN141005

David Markham, MD

69311

12403

5673 Peachtree-Dunwoody Rd, Suite 650 Atlanta, GA 30342 10/10/2013

Cowart, Rebecca

RN157695

David Kunz, MD

29703

14760

1655 Lebanon Rd, Ste A Lawrenceville, GA 30043

2/5/2015

Cowart, Linda Rae

RN051252

Thomas Gearhard, MD

27193

8461

1790 Mulkey Road, Suite 8 Austell, GA 30106

5/7/2009

Cowgill, Bryce Simpson

RN181784

Obaid Rehman, MD

44990

12370

PO Box 14417 Savannah, GA 31416

10/10/2013

Cox, Virginia

RN101986

Debra Lister, MD

38849

15594

1101 Ocilla Rd Douglas, GA 31533

6/4/2015

Wednesday, August 12, 2015

Page 75 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Cox, Laura Lynn

RN170047

Haais Mir, MD

70812

14673

3675 J Dewey Gray Cir, Ste 300 Augusta, GA 30909

1/8/2015

Cox, Judith Parson

RN063181

Armene Vanoyan, MD

46508

13878

275 Collier Rd Ste 100-C Atlanta, GA 30309

9/11/2014

Cox, Erin Marie

RN175357

Robert Taylor, DO

31338

13084

5281 Cleveland Hwy Clermont, GA 30527

5/1/2014

Cox, Cynthia

RN145683

Corrigan, Victor MD

26489

10914

1301 Sigman Rd NE, Ste 200 Conyers, GA 30012

10/5/2012

Cox, Stacey

RN150316

Mills, Robert MD

32252

10524

120 Hickory Road Canton, GA 30115

3/1/2012

Coyne, Darlene Mendenhall

RN047904

Eric Karlen, MD

37584

668

1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

7/11/2008

Cozart, Angela Lynn Jones

RN160794

Pravinchandra Patel, MD

27888

12302

1130 Talbotton Rd Columbus, GA 31904

9/13/2013

Crabb, Jolyn Blackwell

RN112575

Laura Conger, MD

42031

13753

1200 Memorial Dr. Dalton, GA 30720

9/11/2014

Craft, Hope Michell

RN161354

John W. McCravey, MD

29048

13086

4750 Battlefield Pkwy Ringgold, GA 30736

5/1/2014

Craft, Kathryn Smithwick

RN057080

Dennis Williams, MD

38402

670

339 Fury's Fewrry Rd, Suite 2 Martinez, GA 30907

3/4/2010

Crafton, Julie Witt

RN169370

Jibike Adegbile, MD

48967

8773

7196 Northlake Dr, Suite B Columbus, GA 31909

1/7/2010

Craig, Jessica

RN144337

Amanda Davis-Herin, MD

50152

15440

1200 Memonal Dr Dalton, BGA 30720

5/8/2015

Craig, Karen J.

RN107717

Julaine B. Cross, MD

56037

11542

255 W. 5th Street, #300 Rome, GA 30165

3/8/2013

Craig, Karen J.

RN107717

Dee Russell, MD

19593

8310

255 W. 5th St, Suite 300 Rome, GA 30165

9/11/2008

Wednesday, August 12, 2015

Page 76 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Crance, Jessica

RN186759

Farquhar, Scott MD

41290

10350

3316 Greystone Way Valdosta, GA 31605

1/6/2012

Crandall, Lisa Marie

RN173213

Naresh Parikh, MD

28851

13222

6330 Primrose Hill Crt, Ste 208 Norcross, GA 30092

7/10/2014

Crane, Esther Joy

RN210385

Richard Dukes, MD

51875

13791

11705 Jones Bridge RD Ste. A201 Johns Creek, GA 30005

9/11/2014

Crane, Christina Reese

RN147995

Alan Moy, DO

58990

12327

501 Redmond Rd NW, Emer Dept Rome, GA 30165

9/13/2013

Crane, Christina

RN147995

David Wharton, MD

25310

11117

100 Gross Crescent Cr. Ft. Oglethorpe, GA 30742

2/7/2013

Cranwell-Bruce, Lisa Ann

RN080107

William Lynds, MD

33140

676

5320 Memorial Dr Stone Mountain, GA 30083

11/5/2009

Cravey, Amy

RN123659

Brandi Wynne, MD

60635

16095

150 E Peacock St Cochran, GA 31014

8/6/2015

Cravey, Amy Elizabeth Harrell

RN123659

Michele Pennington, MD

63003

9303

817 Griffin Ave Eastman, GA 31023

9/2/2010

Crawford, Miranda Wallace

RN192423

Elizabeth Sekul, MD

39230

13390

1446 Harper St., BT2840 Augusta, GA 30912

6/6/2014

Crawford, Miranda Wallace

RN192423

James Carroll, MD

26236

13389

1446 Harper St, BT2840 Augusta, GA 30912

6/6/2014

Crawford, Miranda Wallace

RN192423

Suzanne Strickland, MD

60620

13391

1446 Harper St. Augusta, GA 30912

6/6/2014

Crawford Jr, Randall Terry

RN195783

David Hatmaker, MD

26300

14756

One Meddows Pkwy Vidalia, GA 30474

2/5/2015

Creed, Whitney

RN184601

Michael Metry MD

71977

15484

2122 Manchester Expwy, Critical Care Columbus, GA 31904

5/8/2015

Creed, Whitney Lauren

RN184601

Kevin King, MD

56310

11840

2122 Manchester Expway, Hosp Med Dept Columbus, GA 31 7/11/2013

Wednesday, August 12, 2015

Page 77 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Creed, Tracy

RN140894

Heindel, N. Hadley MD

31939

10192

710 Newnan Crossing Bypass, Ste # Newnan, GA 30263

11/3/2011

Creel, Stacy Lynn Bohannon

RN221254

Charles Holley, MD

41833

16042

225 Candler Dr, Ste 301 Savannah, GA 31405

8/6/2015

Crenshaw, Catherine Regina

RN176345

Padmushree Woodham, MD 63306

14321

840 Pine St Ste 990 Macon, GA 31201

10/9/2014

Cressy, Stacey

RN139554

Reynolds, Scott MD

59009

10704

1700 Hospital South Drive, Ste 500 Austell, GA 301006

5/4/2012

Crews, Barbara

RN059028

Kevin Kirchner, MD

40439

14859

5455 Meridian Mark Rd, Ste 200 Atlanta, GA 30342

2/5/2015

Cribbs, Cuyler Daniel

RN183545

Daniel Collipp, DO

55740

13970

176 Memorial Drive Jesup, GA 31545

9/11/2014

Criswell, Robin Annette

RN151479

Troy Coon, MD

56422

11970

618 Ponder Place, Suite 2 Evans, GA 30809

6/7/2013

Criswell, Robin Annette

RN151479

John Oester, MD

54021

9739

3651 Wheeler Rd, MOB I, #205 Augusta, GA 30909

11/3/2011

Crites, Julie Brooks

RN160548

Brandee Urrutia, MD

66661

11814

4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

4/4/2013

Crites, Julie Brooks

RN160548

Kenneth Rice, MD

47251

9371

1628 Market Place Blvd Cumming, GA 30041

10/8/2010

Crites, Julie Brooks

RN160548

Sinan Haddad, MD

56455

7916

1250 Jesse Jewell Pkwy, #400 Gainesville, GA 30501

2/5/2009

Crittenden, Darlene Rene Seldo RN106186

Paul Hanna, DO

59161

12802

2122 Manchester Exprwy, Hosp Med Dept Columbus, GA 31 2/6/2014

Croft, Sheila Darlene Hill

RN049428

Ram Reddy, MD

24178

13338

1061 Dowdy Rd, Suite 100 Athens, GA 30606

6/6/2014

Cromer, Pamela Richardson

RN067104

Christopher McLeroy, MD

39865

7712

465 N. Belair Rd, Suite 2B Evans, GA 30809

9/2/2010

Wednesday, August 12, 2015

Page 78 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Crook, Kimberly Ann

RN143740

Daxis Banit, MD

52884

13466

3051 Watson Blvd, Ste 400 Warner Robins, GA 31093

6/6/2014

Crosby, Melissa

RN132708

Alvarado, Alan MD

37463

10174

3440 North Valdosta Road Valdosta, GA 31605

11/3/2011

Crosen, Kanina Diane

RN208438

William Snell, DO

24495

9580

880 Canton Rd, Suite 300 Marietta, GA 30060

3/4/2011

Crouse, Sharon L.

RN038518

Thomas Davis, MD

12079

13438

634 Peachtree Pkwy, Ste 210 Cumming, GA 30041

7/10/2014

Crowe, Julia

RN171418

Andrea Hill, MD

51332

15513

517 Great Oaks Dr, Ste 103 Monroe, GA 30655

5/8/2015

Crowe, Julia

RN171418

Patrick Eagleson, MD

65702

15389

1230 Baxter St Athens, GA 30606

5/8/2015

Crowe, Lora

RN153999

Wells, Jr., Charles MD

19807

10411

435 Second Street, Ste 430 Macon, GA 31201

1/6/2012

Crowe, Julia Rosdeutscher

RN171418

Ronald Forehand, MD

22760

2567

370 River Rd, Univ Health Ctr Athens, GA 30602

10/2/2009

Crowe, Jr., William Charles

RN089205

David Wharton, MD

25310

10957

100 Gross Crescent Circle Fort Oglethorpe, GA 30742

3/8/2013

Crowe, Jr., William Charles

RN089205

Love, Michael MD

64856

10299

979 East Third Street, Ste 520 Chattanooga, TN 37403

1/6/2012

Cruel, Vernendia

RN145300

Anthony Marchetti, MD

31471

15250

801 W Gordon St Thomaston, GA 30286

4/2/2015

Crump, Christie Rae

RN155758

James Taylor, MD

65189

13025

541 Historic Hwy 441 North Demorest, GA 30535

3/6/2014

Crumpler, Carolyn Dohme

RN221042

Ilene Grossman, MD

51089

15024

487 Winn Way, Ste 202 Decatur, GA 30030

3/5/2015

Crumpler, Carolyn Dohme

RN221042

Swapna Madhavan, MD

57098

14622

260 Elm St. Cumming, GA 30040

12/4/2014

Wednesday, August 12, 2015

Page 79 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Crumpler, Carolyn Dohme

RN221042

Anne Todd, MD

51395

13673

220 Oakside Lane Canton, GA 30120

8/7/2014

Cruz, Do Hyeon

RN226144

Shawn Kim, MD

60393

14021

3525 Gwinnett Place Dr. Duluth, GA 30096

10/9/2014

Cruz, Erwin Osiris

RN085019

Janet Lee Griffin, DO

46597

13879

3 Washington Ave Ste C Gainesville, GA 30501

9/11/2014

Cruz, Erwin Osiris

RN085019

Matthew Britton, MD

26067

13209

3 Washington Ave, Suite C Gainesville, GA 30501

5/1/2014

Cruz, Yvette Nicole McLloyd

RN169066

Lawrence Zottoli, MD

36639

13008

4704 Augusta Rd Garden City, GA 31408

4/4/2014

Cruz, Yvette Nicole McLloyd

RN169066

Eduard Docu, MD

56426

11842

1302 Drayton St Savannah, GA 31401

5/3/2013

Cruz-Harris, Jennifer Anne

RN188328

Stephanie Keller, MD

64120

11822

975 Johnson Ferry Rd, Suite 340 Atlanta, GA 30342

5/3/2013

Cruz-Morales, Esmerardo

RN219464

Jesse Jones, MD

35072

12514

4300 Buford Hwy, Suite 216 Atlanta, GA 30345

11/8/2013

Cuadrado-Barrera, Diana

RN220894

Clarence Morgan, MD

33410

14791

5944 Buford Hwy Norcross, GA 30071

3/5/2015

Cuadrado-Barrera, Diana

RN220894

Adolfo Molina, MD

24166

13812

3182 Shallowford Rd. NE Chamblee, GA 30341

9/11/2014

Cueto, Jonathan

RN203087

Travis Bowles, MD

68374

14083

3939 Roswell Rd, Ste 200 Marietta, GA 30062

10/9/2014

Cueto, Jonathan

RN203087

Folake Aminu, MD

62871

11504

584 Lanier Park Dr. Gainesville, GA 30501

1/11/2013

Culbreth, Jennifer Lauren

RN188387

Marilyn Lavallee, MD

53263

11828

1001 Memorial Lane Savannah, GA 31410

4/4/2013

Culpa-Bondal, Maria Flordesol

RN109284

Dan Ioanitescu, MD

51476

13314

940 GA Hwy 96 Warner Ronins, GA 31088

6/6/2014

Wednesday, August 12, 2015

Page 80 of 400

APRN Name
Cummins, Doniece Ross

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

RN217465

Davey Deal, Jr, MD

46076

12643

310 Hospital Dr, Suite 305 Macon, GA 31217

4/4/2014

Cummins, Emily Annette Sasser RN149914

Thomas Hurd, MD

27070

8546

400 Tower Road, Suite 350 Marietta, GA 30060

5/7/2009

Cunningham, Thomas

RN115548

Lester Johnston, MD

55605

15888

116 Main St. Lincolnton, GA 30817

7/9/2015

Cunningham, Sylvia Shannon

RN084875

Jeffrey Tharp, MD

35153

9238

176 Marietta Hwy, Bldg A Hiram, Ga 30141

8/6/2010

Cunningham, Sylvia Shannon

RN084875

Muhammad Sheikh, MD

59195

703

2500 Dallas Hwy SW Marietta, GA 30064

8/6/2010

Cunningham, Deloris Hefner

RN033755

Daniela Rojas Molina, MD

55331

702

526 Maddox Drive Ellijay, GA 30540

10/2/2009

Cunningham, Benna E.

RN036369

Ronald Forehand, MD

22760

701

University Health Ctr, 370 River Rd Athens, GA 30602

1/11/2008

Curtis, Tommy Charles

RN199165

Pablo Balboa, MD

55409

13880

100 Hospital Ct. Calhoum, GA 30701

9/11/2014

Curtis, Tommy Charles

RN199165

Kelvin Moss, MD

54634

13301

60 Old Hwy 5 South Ellijay, GA 30540

7/10/2014

Cutia, James Robert

RN177851

Michael Hamm, DO

49021

15069

5248 Newjesup Hwy Brunswick, GA 31523

2/5/2015

Dada, Olasumbo Oluwekemi

RN186907

David Subich, MD

69971

13439

5210 Armour Rd, Ste 200 Columbus, GA 31904

7/10/2014

Dada, Olasumbo O.

RN186907

Ali Z. Fakhri, MD

39567

11522

3000 Schatulga Rd. Columbus, GA 31917

1/11/2013

Dalcour, Lori Anita

RN094340

Lathan Overstreet, MD

36659

711

340 Boulevard NE, Suite 103 Atlanta, GA 30312

11/5/2009

Dale, Amanda A.

RN188679

Henry J. Baughman, MD

45395

11362

375 Boynton Dr. Ringgold, GA 30736

12/7/2012

Wednesday, August 12, 2015

Page 81 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Daley, Lydia Lee

RN048295

Ajai Kalla, MD

51880

13350

1727 Wrightsboro Rd, Ste B Augusta, GA 30904

6/6/2014

Daley, Lydia Lee

RN048295

Sarita Sharma, MD

32294

13351

1727 Wrightsboro Rd, Ste B Augusta, GA 30904

6/6/2014

Daley, Lydia L.

RN048295

Mary L. Tyson, MD

30683

11346

1727 Wrightsboro Rd., Ste. B Augusta, GA 30904

12/7/2012

Daley, Lydia Lee

RN048295

David Bate, MD

34291

8582

PO Box 1505 Sylvania, GA 30467

7/10/2009

Dalton, Ceree

RN044035

Hubbard, John MD

30787

10867

1763 Fernside Drive Toccoa, GA 30577

7/12/2012

Daly, Serena Holder

RN160363

William Benedict, Jr, MD

59122

12074

61 Whitcher St, Suite 3110 Marietta, GA 30060

7/11/2013

D'Amico Thomas, Elizabeth Ann RN093201

Ibrez Bandukwala, MD

46036

9186

5673 Peachtree Dunwoody, Suite 775 Atlanta, ga 30342

9/2/2010

Daniel, Colette

RN085223

Jeffrey Kingsley, Do

52973

15563

800 Talbotton Rd Columbus, GA 31904

6/4/2015

Daniel, Julia Fabrycy

RN169909

David Persaud, MD

70703

13156

772 Maddox Dr., Ste. 122 Ellijay, GA 30540

4/4/2014

Daniels, Christina Dawn

RN153645

Nadia Cameron, MD

53982

11919

3760 Sixes Rd, Suite 120 Canton, GA 30114

8/9/2013

Daniels, Christina

RN153645

Fernandez, Eusebio MD

12038

10258

772 Maddux Drive, Ste 110 East Ellijay, GA 30540

12/1/2011

Daniels, Christina Dawn

RN153645

Paul Cox, MD

49762

8911

101 Riverstone Vista, Ssuite 111 Blue Ridge, GA 30513

1/7/2010

Dankyi, Edward Osei

RN238024
RN238024

Kevin Goodlow, MD

57977

14022

1133 Eagle's Landing Pkwy Stockbridge, GA 30281

10/9/2014

D'Annunzio, Shannan Hoyt

RN155782

Marty Sellers, MD

56925

724

Wednesday, August 12, 2015

1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309 5/7/2010
Page 82 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Dansby, Elisha Marchette

RN226208

Daniel Green, MD

53230

11774

865 1st Street Jesup, GA 31545

6/7/2013

D'Antignac, Veronica

RN069143

Johnathan Henderson, MD

54898

15019

7138 Hwy 212, Ste A Covington, GA 30016

6/4/2015

Dark, Lela K.

RN222649

Nicola B. Lee, MD

52106

11494

4223 Highway 42 Conley, GA 30288

1/11/2013

Darley, Clayton Barkley

RN135450

Raul Santos, MD

41662

12052

334 Smith Ave Thomasville, GA 31792

7/11/2013

Darley, Clayton B.

RN135450

Musaddid Waheed, MD

61368

11455

914 Gordon Ave. Thomasville, GA 31792

1/11/2013

Darty, Monica Shyrell

RN205657

Crandall Chambers, MD

43182

12440

811 22nd St Columbus, GA 31904

10/10/2013

Daskal, Kathleen Theresa

RN170840

Vimala Nair, MD

18058

728

100 Lacy Street Marietta, GA 30060

11/7/2008

Daughdrill, Elizabeth Adgent

RN199555

Rami Azzouz, MD

50126

13881

1507 Professional CT Dalton, GA 30720

9/11/2014

Davage, Lindsay Marie

RN170152

Darwin Brown, MD

46531

8999

2665 N. Decatur Rd, Suite 520 Decatur, GA 30033

3/4/2010

Davenport, Lottie S

RN149848

Anil Yadav, MD

53898

12951

51 Gordon Rd Jasper, GA 30143

2/6/2014

Davenport, Lottie S.

RN149848

Crystal Comeau, MD

61224

731

PO Box 306 East Ellijay, GA 30539

12/3/2010

Davey, Julie Ann

RN134353

Rahil Kazi, MD

41593

733

1707 Watson Boulevard Warner Robins, GA 31093

11/1/2007

David, Jennifer

RN222180

Vicki Knight-Mathis, MD

47337

14497

2920 Marietta Way, Ste 142 Canton, GA 30189

12/4/2014

Davila, Teresa

RN172048

Sunil John, MD

50530

15373

2122 Manchester Expwy Columbus, GA 31908

5/8/2015

Wednesday, August 12, 2015

Page 83 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Davis, Michelle

RN217188

Richard Gluckman, MD

13982

15682

3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064

6/4/2015

Davis, Philip Virgil

RN209698

Jeremy Ackerman, MD

59584

15191

1364 Clifton Rd. Atlanta, GA 30322

2/5/2015

Davis, Sarah Kelley

RN191859

Muhammad Hashmi, MD

70303

14581

2900 University Parkway Lawrenceville, GA 30043

2/5/2015

Davis, Jennifer

RN171127

Sinan Haddad, MD

56455

14490

12580 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

1/8/2015

Davis, Larry Matthew

RN237100

Ifeoma Nnaji, MD

63931

14081

1300 Joseph E Boone Blvd, NW Atlanta, GA 30314

10/9/2014

Davis, Hannah Leigh

RN198699

Ashley Cavalier, MD

55556

13602

7000 Wellness Way, Ste 7120 St. Simons Island, GA 31522

8/7/2014

Davis, Jamil Eman

RN188113

Eamon Dutta, MD

46593

13462

2150 Peachford Rd. Atlanta, GA 30338

8/7/2014

Davis, Michelle Marietta

RN198314

Anthony Hoots, MD

33114

13548

425 W 3rd Ave, Ste 510 Albany, GA 31701

7/10/2014

Davis, Jennifer Flanders

RN057110

Dennis Harper, MD

53749

742

1400 N Peterson Ave, Suite C Douglas, GA 31533

4/4/2014

Davis, Kimberly Ann Faulk

RN120009

Garland Martin, MD

47233

12617

23 Tippins St Baxley, GA 31513

1/9/2014

Davis, Daisy Bisola

RN177687

Phillip Potter, MD

34220

12256

699 Church St, Suite 320 Marietta, GA 30060

11/8/2013

Davis, R. Tim

RN155517

Sunil John, MD

50530

12295

2122 Manchester Exprwy Columbus, GA 31904

9/13/2013

Davis, Lindsey N.

RN201662

Louis E. Hempel, MD

33106

11213

6918 McGinnis Ferry Rd. Suwanee, GA 30024

11/2/2012

Davis, Charlotte Ann Hawley

RN174985

Wade, Jim MD

22664

10912

58 Big A Road Toccoa, GA 30577

8/10/2012

Wednesday, August 12, 2015

Page 84 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Davis, Cassandra

RN144410

Jenkins II, John MD

62726

10591

612 West Gordon Street, Ste C Thomaston, GA 30286

3/29/2012

Davis, Jaqueline

RN143842

Kestin, Sharon MD

34990

10252

11700 Mercy Blvd, Ste 1-B Savannah, GA 31419

12/1/2011

Davis, Margaret

RN176709

Earl Young, MD

46338

10014

915 Thornton Road Lithia Springs, GA 30122

10/7/2011

Davis, Sarah Louise

RN181221

Catherine Bonk, MD

30435

9682

315 Winn Way Decatur, GA 30030

4/1/2011

Davis, Sarah Louise

RN181221

Kay Entrekin, MD

42817

9683

315 Winn Way Decatur, GA 30030

4/1/2011

Davis, Sarah Louise

RN181221

Lisa Dawn Mandeville, MD

46987

9681

315 Winn Way Decatur, GA 30030

4/1/2011

Davis, Sarah Louise

RN181221

Jennifer Meyer-Carper, MD

64604

9679

315 Winn Way Decatur, GA 30030

4/1/2011

Davis, Sherry Annice Harwell

RN050862

Mark Kats, MD

61275

9595

1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

4/1/2011

Davis, Jennifer Cross

RN148442

Dennis Estep, MD

25429

9609

2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

3/4/2011

Davis, Priscilla Ann Edwards

RN069177

Gregory Fountain, MD

34593

748

766 Walther Rd, Suite 100 Lawrenceville, GA 30045

2/5/2010

Davis, Shelly Denice

RN089222

Bridgett Asbury, MD

48752

749

1806 Lee Avenue Tifton, GA 31793

4/3/2008

Dawe, Jennifer J.

RN171108

Deepti Munjal, MD

46627

11163

4586 Timber Ridge Dr, Suite 200 Douglasville, GA 30135

10/5/2012

Dawson, Christopher Michael

RN168036

Brett Cannon, MD

46053

9460

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

12/3/2010

Day, Cynthia

RN122559

Suzanne Storey, MD

49845

15835

611 E. Villanow St LaFayette, GA 30728

7/9/2015

Wednesday, August 12, 2015

Page 85 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Day, Julie Marie

RN174953

Armene Vanoyan, MD

46508

13884

275 Collier Rd Ste 100 C Atlanta, GA 30309

9/11/2014

Day, Hannah Shope

RN164139

Christopher Bussler, MD

55813

13849

1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

9/11/2014

Day, Claudia

RN090084

Ross, Priscilla MD

58635

10418

210 E. DeRenne Avenue Savannah, GA 31405

2/3/2012

Day, Elizabeth

RN064251

Kadum, Fareed MD

22993

10298

970 Joe Frank Harris Pkwy, Ste 240 Cartersville, GA 30120

1/6/2012

Day, Leigh Anne Smith

RN121449

James Butts, MD

9103

755

PO Box 2683 Gainesville, GA 30503

6/4/2010

De Jager, Stephanie Detamore

RN190298

Michael Schmitz, MD

40542

8039

5445 Meridian Mark, Ste 250 Atlanta, GA 30342

11/3/2011

De Meglio, Naomi Ann

RN180824

Joseph Zarge, MD

44150

13228

5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342

5/1/2014

Deal, Karen

RN135390

Loy Cowart, MD

37979

15207

127 North College St Statesboro, GA 30458

4/2/2015

Deal, Karen L

RN135390

Hubert Smith, MD

18745

14143

412 Northside Dr E Statesboro, GA 30458

11/7/2014

Dean, Rhett

RN168240

Tasha Feaster, MD

#####

15457

235 Peachtree St NE, N Tower, Ste 2100 Atlanta, GA 30303

5/8/2015

Dean, Lynn Dixon

RN080864

Victor Corrigan, MD

26489

12985

275 Collier Rd, Suite 500 Atlanta, GA 30309

3/6/2014

Dearmas, Karla

RN170709

Zenobia Day, MD

61959

15386

491 Carter Ave Atlanta, GA 30317

6/4/2015

deArmas, Karla Vanessa

RN170709

Maziar Rezvani, MD

53937

13058

1000 Johnson Ferry Rd, Suite E-200 Marietta, GA 30068

4/4/2014

Deavers, Katherine

RN100964

Karl Schultz Jr

37676

15735

1240 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

7/9/2015

Wednesday, August 12, 2015

Page 86 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Debalsi, Anthony Joseph

RN084438

Christine Kempton, MD

56189

13007

2015 Uppergate Dr, 4th Floor Atlanta, GA 30322

3/6/2014

DeBerry, Ashely

RN152548

Riad Ahmad, MD

54203

15126

500 Medical Center Blvd Lawernceville, GA 30042

4/2/2015

deBey, Susan Meredith

RN137169

R. Bradley Bedgood, DO

52054

9339

420 Charter Blvd, Suite 303 Macon, GA 31210

11/5/2010

Decamp, Cynthia Cherie

RN089225

Yolanda Hacker, MD

45811

8561

5320 Memorial Drive Stone Mountain, GA 30083

5/7/2009

Decarlo, Marilyn Sue Gonzalez

RN114872

Mary Hunter, MD

25985

14310

80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303

12/4/2014

Decker, Laura

RN123457

Jeffery Dowis, MD

68199

15824

1205 Russell Parkway Warner Robins, GA 31088

8/6/2015

Dees, Kristi Deanna

RN168565

Maria Jauhar, MD

62898

14503

100 Blue Fin Savannah, GA 30043

4/2/2015

Dees, Latasha Roshelle

RN235188

Mitzi Rubin, MD

49592

13532

3939 Roswell Rd, Suite 200 Marietta, GA 30062

7/10/2014

Degnan, Ellen Dri

RN111248

Edward Salzberg, MD

34460

765

3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005

7/11/2008

DeGuia, Susan Elaine

RN144344

Jayson Fields, MD

49794

13199

150 Gentilly Blvd. Cartersville, GA 30120

5/1/2014

Deguia, Susan Elaine

RN144344

Khawaja Mahmood, MD

42648

8226

12 Sammy McGhee Blvd, Suite 102 Jasper, GA 30143

8/8/2008

Dehner, Carissa Francine Buttru RN092845

Andrew Waldman, MD

48001

13291

710 Center St, Emer Dept Columbus, GA 31901

6/6/2014

Dehner, Carissa F.

RN092845
RN092845

Keith A. Blanks, DO

52042

11490

710 Center St., Emer Dept Columbus, GA 31901

6/7/2013

Dekle, Angelyn A

RN111884

Anthony Royek, MD

50914

766

4750 Waters Ave, Suite 202 Savannah, GA 31404

6/5/2009

Wednesday, August 12, 2015

Page 87 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Delaney, Donna Collins

RN122291

Richard Kerensky, MD

57236

3070

100 Mimosa Dr, 2nd Floor Thomasville, GA 31792

10/8/2010

Delaney, Christina Lynn

RN194057

Andrew Kirsch, MD

45518

8430

5445 Meridian Mark Rd, #420 Atlanta, GA 30342

2/5/2009

Delestowicz, Victoria

RN202030

Harbin, Anthony MD

29665

10218

1525 Chattanooga Road Dalton, GA 30720

12/1/2011

Dell, Megan Jean

RN245371

Sanjay Nariani, MD

49861

15174

3457 Lawrenceville Suwanee Rd, Ste C Suwanee, GA 30024

4/2/2015

Dell, Karen Strickland

RN107350

Dale McGregor, DO

25220

13983

3131 South Main St. Moultrie, GA 31771

10/9/2014

Dell, Karen Strickland

RN107350

Langston Cleveland, MD

46584

1936

4468 Union Rd Tifton, GA 31794

11/8/2013

Delnoce, Jennifer Lyndsey

RN191912

Syed Zaidi, MD

60489

13635

528 Broad St. SE, Ste B Gainesville, GA 30501

8/7/2014

DeLoach, Shana Barker

RN216236

Robert Raybon, MD

38339

12161

79 Doyle St Toccoa, GA 30577

8/9/2013

DeLoach, Andrea M.

RN072616

Jill Bryant, MD

43375

11538

711 Knight Ave. Waycross, GA 31501

1/11/2013

Demarest, Lauren Whitney

RN225396

Linda Moore, MD

55849

12242

610 19th St Columbus, GA 31901-1528

9/13/2013

DeMaro, Erica Ann

RN229838

Thomas DeMaro, DO

58665

13146

710 Center St , Emer Dept Columbus, GA 31801

4/4/2014

232647

Dingane Baruti, MD

55411

14082

100 Yorktown Dr., Ste 110 Fayetteville, GA 30214

10/9/2014

Demby, Taheerah Denise
Demott, Jennifer

RN096491

Kenneth Williams Jr, MD

44381

15711

633 Stephenson Ave Savannah, GA 31405

6/4/2015

Demott, Jennifer Marie Smith

RN096491

Ebony Gaffney, MD

68732

13352

633 Stephenson Ave. Savannah, GA 31405

6/6/2014

Demott, Jennifer Marie Smith

RN096491

Michele Musto, MD

59790

13214

633 Stephenson Ave Savannah, GA 31405

5/1/2014

Wednesday, August 12, 2015

Page 88 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Demott, Jennifer Marie Smith

RN096491

Paul Bradley, MD

30016

12037

340 Eisenhower Dr, Suite 1200 Savannah, GA 31406

8/9/2013

Denley, Gregory Paul

RN186485

Oscar Espetia, MD

65358

13479

2501 N Patterson St, Emer Dept Valdosta, GA 31602

7/10/2014

Denly, Gregory P.

RN186485

Ethan R. Rogers, MD

59926

11303

743 Spring St. Gainesville, GA 30501

12/7/2012

Dennis-Crooks, Hyacinth

RN136934

Tracey Lemon, MD

50723

8431

315 Boulevard NE, Suite 328 Atlanta, GA 30312

3/6/2009

Dennis-Crooks, Hyacinth Isolyn

RN136934

Tressa Acineaux, MD

49499

771

936 Holcomb Bridge Rd, Suite 2 Roswell, GA 30076

7/13/2007

Dennis-Griggs, Diane

RN152771

Samuel Erinne, MD

35622

14162

1029 Cleveland Ave East Point, GA 30344

3/5/2015

Dennis-Griggs, Diane Mae

RN152771

Leslie Matthews, MD

58705

7881

720 Westview Dr SW, Surgery Dept Atlanta, GA 30310

4/2/2009

Denny-Smith, Tammy Jane

RN116008

Jeffrey Haller, MD

55826

9382

104 Prominence Point Pkwy, Suite 108 Canton, GA 30114

11/5/2010

Denson, Freda Jeannine

RN098506

Akita Evans, MD

64372

16136

1227 Rockbridge Rd. Stone Mountain, GA 30087

8/6/2015

Dent-Johnson, Lowanda

RN055775

Anthony Olofintuyi, MD

45309

12411

2009 Warm Springs Rd Columbus, GA 31904

10/10/2013

Denton, Sherry

RN106233

Warren Oberle, MD

62752

16051

790 Church St Ext, Ste 430 Marietta, GA 30060

8/6/2015

Denton, Diane

RN138582

Trent Schueneman, MD

51731

15924

2927 Demere Rd St Simons Island, GA 31523

8/6/2015

Depetrillo, Merrill Elizabeth

RN108911

William Hudson, MD

25619

774

1400 Northside Forsyth Dr. Cumming, GA 30041

6/8/2007

Derby, Ashley Nicole

RN230271

Timothy Lin, MD

60401

12849

21 Pointe North Drive Cartersville, GA 30120

4/4/2014

Wednesday, August 12, 2015

Page 89 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Deringer, Ashley Cannon

RN218179

Emem Udo, MD

63142

13307

Deriso, Anna Tallman

RN146512

William Barber, MD

25525

777

Derosa, Caroline

RN245640

Reemon Bishara, MD

63759

Derrick, John Westly

RN219197

Felissa Goldstein, MD

Desandre, Carolynn Anne

RN113863

Desaulniers, Genevieve

RN208973

Protocol Address

Effective

743 Spring St Gainesville, GA 30501

6/6/2014

77 Collier Road NW, Suite 2050 Atlanta, GA 30309

12/4/2008

15694

1915 Eisenhower St Savannah, GA 31406

6/4/2015

57467

12628

CHOA, 1920 Briarcliff Rd NE Atlanta, GA 30329

2/6/2014

Christine Danforth, MD

42503

13458

1008 N. 3rd Ave. Chatsworth, GA 30705

7/10/2014

Saudiqa Hoossainy, MD

68179

15103

5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

3/5/2015

DesRoches, Paula Marie Gilmer RN136363

Bruce Ribner, MD

49086

9130

1364 Clifton Rd NE Atlanta, GA 30322

6/4/2010

Deutsch, Kristin Elizabeth

RN123631

Louis G. Lee, MD

21540

781

301 West Hansell Street Thomasville, GA 31792

8/2/2007

Dew, Patricia L

RN194703

Eric Deal, DO

24226

11925

316 N Broad St, Emer Dept Winder, GA 30680

7/11/2013

Dew, Brandy Pellicano

RN149567

George Fredrick, MD

61736

784

2336 Dawson Rd, Suite 1500 Albany, GA 31707

7/10/2009

Dewberry, Kerry Garcia

RN172870

Cathy Larrimore, MD

38836

786

4181 Hospital Drive, Ste 104 Covington, GA 30014

7/13/2007

Dewhurst, Marja-Liisa Liv

RN145318

Hal Scherz, MD

38357

7844

5445 Meridian Mark Rd, Suite 420 Atlanta, GA 30342

1/7/2010

Dews, Stephanie

RN182779

Sarin, Sanjay MD

60501

10570

1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214

3/29/2012

Dexter, Susan Elizabeth Raglan

RN148538

Naren Logendra, MD

42336

12149

2151 West Spring St, Emer Dept Monroe, GA 30655

8/9/2013

Wednesday, August 12, 2015

Page 90 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Dexter, Susan Elizabeth Raglan

RN148538

Andrew Mecca, MD

36574

9245

5612 Whitesville Rd Columbus, GA 31904

8/6/2010

Dexter, Susan Elizabeth Raglan

RN148538

Muthu Kuttappan, MD

37851

9206

14779 Brown Bridge Rd Covington, GA 30016

7/1/2010

Dexter, Susan Elizabeth Raglan

RN148538

William Delp, DO

17791

790

4589 Lawrenceville Road Loganville, GA 30052

1/7/2010

Dey, Sherry

RN054079

Young, Raymond MD

53381

10543

1841 Clifton Rd, Atlanta, GA 30329

3/1/2012

Diana, Fabrizio

RN242399

Joseph Ricotta, MD

64452

14285

980 Johnson Ferry Rd, Ste 1040 Atlanta, GA 30342

1/8/2015

Diaz, Maria Teresa

RN199729

Husham Mishu, MD

40740

9446

285 Boulevard NE, Suite 345 Atlanta, GA 30312

3/4/2011

Dickerson, Haley Nicole

RN198332

Larry Elam, MD

53491

13660

10055 Ford Ave, Ste 4A Richmond Hill, GA 31324

9/11/2014

Dickinson, Elizabeth Crook

RN188543

Medel Reyes, MD

48815

12355

55 Whitcher St, Suite 160 Marietta, GA 30060

10/10/2013

Diehl, Paula Kim Nader

RN120829

Kristi Mulchahey, MD

34209

794

2550 Windy Hill Drive, Suite 115 Marietta, GA 30067

2/7/2008

Dietz Lindo, Karan Antoinette

RN125161

Charles Okolo, MD

48686

1766

1151 Cleveland Ave, Suite D East Point, GA 30344

1/7/2011

Dietz-Lindo, Karan Antoinette

RN125161

Jennifer Christie, MD

60162

13105

1365 Clifton Rd NE, Suite 1200 Atlanta, GA 30322

6/6/2014

Dill, Winston

RN196911

Emile Risby, MD

30869

15429

3000 Schatulga Rd Columbus, GA 31907

5/8/2015

Dill, Winston Elmer

RN196911

Douglas Cooper, MD

37180

11894

600 Coastal Village Dr Brunswick, GA 31520

8/9/2013

Dill, Winston Elmer

RN196911

Frank Shelp, MD

62166

8537

1915 Eisenhower Drive Savannah, GA 31406

6/5/2009

Wednesday, August 12, 2015

Page 91 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Diller, Jeffrey Duane

RN163507

Sharon Amaya, MD

47182

8991

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

2/5/2010

Dillon, Laura

RN169332

Mark Hancock, MD

67750

13238

163 Hospital Dr. Toccoa, GA 60577

5/1/2014

Din, Erica Shozaki

RN218672

Collyn Steele, MD

66424

11962

50 Kelly Rd McDonough, GA 30253

7/11/2013

Dinkins-Learmont, Beverly Ann

RN064892

Nana Kwaku Opare, MD

58113

12572

6062 Buford Hwy, Suite 114 Norcross, GA 30071

12/6/2013

Dinkins-Learmont, Beverly Ann

RN064892

Vickie James, MD

31032

12571

1897 Godby Rd College Park, GA 30349

12/6/2013

Dirico, Laura Anne

RN104267

Husham Mishu, MD

40740

8268

285 Boulevard NE, Suite 345 Atlanta, GA 30312

7/11/2008

Ditty, Clay

RN246944

James Kauten, MD

24830

15552

1968 Peachtree Rd NW Atlanta, GA 30309

6/4/2015

Dixon, Martha

RN063195

Myrtho Ceran, MD

65346

14920

1826 Veterans Blvd Dublin, GA 31021

2/5/2015

Dixon, Michelle

RN170285

Sheth, Anuradha MD

40547

10499

755 Old Norcross Road Lawrenceville, GA 30046

3/1/2012

Doan, Cynthia Louise Lively

RN050751

Patrick Spafford, MD

38971

807

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Dobbs, Monica Kathryn

RN173287

Richard Baldwin, MD

23894

13411

9280 Hwy 5, Ste A Douglasville, GA 30134

7/10/2014

Dobson, Shannon N

RN112293

Jordana Heaven, MD

49697

13813

2000 Professional Way Ste 200 Woodstock, GA 30188

9/11/2014

Dodd, Martha

RN164138

Tamika Bryant, MD

65940

15913

975 Johnson Ferry Rd NE, Ste 350 Atlanta, GA 30342

7/9/2015

Dodd, John

RN117801

Hancock, William MD

47089

10632

907 E. l8th Street, Ste 100 Tifton, GA 31794

5/4/2012

Wednesday, August 12, 2015

Page 92 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Doedens, Danielle Lane

RN203965

Raymond Easley, DO

20987

14160

260 Elm St Cumming, GA 30040

1/8/2015

Doepel, Colby Bixby

RN139444

Ben Thrower, MD

50311

8774

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Doherty-Chandler, Diane Arlen

RN112295

Sandy Jun, MD

37005

810

590-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Dollar, Susan Elisabeth

RN036308

Charles Burke, MD

58876

9287

1008 North 3rd Avenue Chatsworth, GA 30705

8/25/2010

Dollar, Susan Elisabeth

RN036308

Teresa Baysden, DO

57348

8885

450 Clarence King Pkwy Calhoun, GA 30701

2/5/2010

Donaldson, Yvonne Crosby

RN047984

Rani Reddy

34450

14846

106 Briarwood Rd Statesboro, GA 30458

1/8/2015

Doneski, Christopher

RN197662

Daniel Zapko, MD

70021

15441

1200 Memonal Dr Dalton, GA 30720

5/8/2015

Donkar, Lauren Marie

RN155467

Annette Hinchcliffe, MD

42607

816

3915 Johns Creek Court, Suite 120 Suwanee, GA 30024

9/3/2009

Donnan, Judith Ann Ferguson

RN064894

Robert Spruill, MD

59026

9049

8 Laurel Court Moultrie, GA 31768

4/1/2010

Donnan, Judith Ann Ferguson

RN064894

Rhonda Bedell, MD

36097

817

633 Veteran's Pkwy South Moultrie, GA 31788

4/1/2010

Donovan, Michelle

RN234610

David Ziemer, MD

23252

15759

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

7/9/2015

Dooley, Mary Ellen

RN227986

Michelle Schofield, MD

55885

12177

600 Parkway North Newnan, GA 30265

9/13/2013

Dorman, Deidre

RN176798

Norris Burton, MD

31888

15410

907 E. 18th St, Ste 140 Tifton, GA 31794

6/4/2015

Dorsey, Rachel

RN177603

Parviz Brahman, MD

66576

15454

107 Main Street Plains, GA 31780

5/8/2015

Wednesday, August 12, 2015

Page 93 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Dorsey, Martha

RN047265

David Rimland, MD

13998

14647

Dorsey, Sara Dawn

RN152697

Amy Hardin, MD

35307

827

4595 Towne Lake Pkwy, Bldg 400, #100 Woodstock, GA 3018 11/7/2008

Dotson, Mary

RN085083

Gregory S. Smith, MD

47532

5436

21 Jefferson Place, Ste 1 Athens, GA 30601

4/13/2007

Doub, Kelly

RN226465

Anjali Parish, MD

49082

15371

2122 Manchester Expressway Columbus, GA 31904

5/8/2015

Douglas, Christy Nichole

RN160818

Lora Efaw, MD

36727

12118

39 Kent Rd, Suite 2 Tifton, GA 31794

8/9/2013

Douthit, Melissa Anne

RN218345

Kalpana Nayak, MD

26049

15745

1912 Memorial Dr, Ste E Waycross, GA 31501

7/9/2015

Dover, Eileen Ann

RN187527

Satya Suddala, MD

35148

8657

135 Eagle's Walk, Suite 200 Stockbridge, GA 30281

8/7/2009

Dow, Andrew Ryan

RN169902

Michael Frankel, MD

34832

11762

80 Jesse Hill Jr, 8th Foor Atlanta, GA 30303

4/4/2013

Dowd, Melissa

RN135297

James Splichal, MD

57021

14476

3320 Old Jefferson Rd Bldg 700 Athens, GA 30607

12/4/2014

Dowden, Margaret Phyllis

RN188812

Eastlyn Harding-Marin, MD

56841

13982

3812 Salem Rd Covington, GA 30016

10/9/2014

Dowdy, Regina Marie

RN175134

Leigh Barrell, MD

40777

12090

1608 Martha Berry Blvd Rome, GA 30165

7/11/2013

Drakeford, Torrence Tremayne

RN222121

Steven Niergarth, DO

44553

12132

1201North Columbia Dr Milledgeville, GA 31061

8/9/2013

Draucek, Mary Jeanette

RN203207

Meena Shah, MD

21464

12291

475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

9/13/2013

Dressler, Susan Alyce Brock

RN164946

Teresa Thompson, MD

58650

13468

63 Pleasant Hill Rd. Blairsville, GA 30512

7/10/2014

Wednesday, August 12, 2015

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Page 94 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Driscoll, Erin Caitrin

RN211572

Syed, Imran MD

44117

10017

11820 Northfall Lane Alpharetta, GA 30009

9/1/2011

Driskell, Amanda Turner

RN137545

Ross Jacobson, MD

57204

5122

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

9/11/2014

Driver, Patsy Virginia Bell

RN068981

Albert Edwards II, MD

30053

15155

9280 Hwy 5, Ste D Douglasville, GA 30134

3/5/2015

Driver, Patsy Virgina Bell

RN068981

Warlito Rollolazo, MD

17551

15162

809 West Bankhead Hwy Villa Rica, GA 30180

3/5/2015

Driver, Walline Thurmond

RN102335

Charles Hitson, MD

26554

12931

231 Graefe Street Griffin, GA 30223

9/11/2014

Driver, Walline T.

RN102335

Zanthia E. Wiley. MD

54293

11249

550 Peachtree Street Atlanta, GA 30308

11/2/2012

Driver, Katherine Ann Johnson

RN129426

Robert Campbell, MD

53429

842

1226 D'Antignac Street Augusta, GA 30901

3/6/2009

Drown, Cynthia Crockett

RN097897

Jeremy London, MD

50403

844

11706 Mercy Blvd, Plaza A, Bldg 7 Savannah, GA 31419

1/7/2011

Drucker, Kathryne

RN192005

Maiysha Clairborne, MD

55194

16122

1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068

8/6/2015

Drumheller, Kelly Wilson

RN141047

Brian Griner, MD

46966

8760

117 West Northside Dr Valdosta, GA 31602

10/2/2009

Drumheller, Kelly Wilson

RN141047

Edwin Hiatt, MD

12920

846

200 Georgia Ave Valdosta, GA 31698

7/10/2009

Drumm, Jonathan Aaron

RN243336

Jonathon Allen, MD

56949

14256

100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742 11/7/2014

Dryer, Sheba

RN137657

Igor Legostaev, MD

58067

12488

501 Redmond Rd Rome, GA 30165

1/9/2014

Duane, Danielle Sikes

RN194227

John Layher, MD

46692

11847

2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606

5/3/2013

Wednesday, August 12, 2015

Page 95 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Dubin, Cynthia E.

RN129528

Michael Lindsay, MD

27602

8138

69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303

2/7/2008

Ducote, Mary Donell Moreland

RN092409

Michael Maloney, MD

24982

850

520 Jesse Jewell Pkwy Gainesville, GA 30501

1/11/2008

Dudley, Susan Gail

RN121801

Robert Vandermeer, MD

26670

12317

2950 Buford Hwy, Suite 140 Cumming, GA 30041

11/8/2013

Duggan, Meredith

RN184535

Ann Groover, MD

36765

15211

2945 Miller Ferry Rd, Ste D Calhoun, GA 30701

4/2/2015

Duggar, Gina Darlene

RN130310

Thomas Simpson, Jr., MD

34949

9793

255 West Fifth St Rome, GA 30165

6/30/2011

Duggar, Gina Darlene

RN130310

Bradley Larson, MD

54449

852

157 Clinic Avenue, Suite 101 Carrollton, GA 30117

5/9/2008

Dugue, Michele

RN202278

Keilin, Steven MD

52408

10874

1365 Clifton Rd, Ste 1200 Atlanta, GA 30322

7/12/2012

Dukes, Deanna May

RN204460

Karthik Ramaswamy, MD

40525

8859

200 S. Enota Dr NE, Suite 200 Gainesville, GA 30501

2/5/2010

Dumas, Therese Williams

RN172907

Thomas Morrow, MD

39879

9954

5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

8/5/2011

Dumbuya, Angela Memuna Kor RN153544

Andrew Pippas, MD

53806

854

1831 5th Avenue Columbus, GA 31904

10/2/2009

Dumphy, Deborah Ann

RN169649

Honorio Bulos, MD

48029

9260

300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534 9/2/2010

Duncan, Tammy Rebecca

RN129997

Oscar Salvat, MD

49742

14208

80 West Main St. butler, GA 31006

11/7/2014

Duncan, Philicia

RN064975

Ballay, Tereasa MD

56027

10845

735 Glynn Street Fayetteville, GA 30214

9/13/2012

Duncan, Patricia Williams

RN078954

Benjamin Rucker, MD

17877

9253

1448 Lee Beard Way Augusta, GA 30901

9/2/2010

Wednesday, August 12, 2015

Page 96 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Duncan, Kristen Lee

RN163035

Edwin Hiatt, MD

12920

9098

200 Georgia Ave, Student Hlth Ctr Valdosta, GA 31698

5/7/2010

Duncan, Laura Murray

RN134435

Marion Dudley Weems, MD 33223

8984

55 Carlton St, Univ Health Ctr Athens, GA 30602

2/5/2010

Duncan, Cynthia Abbott

RN138799

Suvrat Bhargave, MD

47297

8573

120 Handley Rd, Suite 310 Tyrone, GA 30290

6/5/2009

Duncan, Sandy Marchas Joseph RN149029

Bobby Smith, MD

38966

8213

275 Collier Rd, Suite 500 Atlanta, GA 30309

9/11/2008

Duncan, Sandy Marchas Joseph RN149029

William C. Jacobs, MD

18679

857

275 Collier Road, NW Ste 300 Atlanta, GA 30309

12/7/2007

Dunn, Ida

RN105176

Rita Claxton, MD

66584

15705

1133 Eagles Landing Pkwy Stockbridge, GA 30281

6/4/2015

Dunn, Dorothy

RN089253

Grace Crawford, MD

60571

14753

One Freedom Way Augusta, GA 30904

2/5/2015

Dunn, Tamaria Elizabeth

RN181866

Collyn Steele, MD

66424

14573

50 Kelly Rd McDonough, GA 30253

12/4/2014

Dunn, Sara Karon P.

RN039868

Samantha Benson, MD

47699

861

3340 Paddocks Pkwy Suwanee, GA 30024

2/7/2013

Dunwiddie, Jessica Lauren

RN209324

Edward Meier, MD

43426

14226

2112 Shorter Ave, Ste 200 Rome, GA 30165

12/4/2014

Dunwoody, Paula Suzanne Perr RN063689

Edward Meier, MD

43426

863

501 Redmond Rd Rome, GA 30165

9/3/2009

Dupraw, Virginia

RN153403

Stewart Grizzard, MD

43948

14937

151 South Houstion Lake, Ste 190 Warner Robins, GA 31088 5/8/2015

DuPraw, Virginia Ann Pearson

RN153403

Jesse Ray Grant, MD

21510

9539

124 Third St Macon, GA 31201

2/4/2011

Dupree, Susan Lee

RN193186

Ruchir Khurana, MD

53772

11813

960 Joe F Harris Pkwy, Emer Dept Cartersville, GA 30120

4/4/2013

Wednesday, August 12, 2015

Page 97 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Duprey, Cynthia Elizabeth

RN171820

Madhurima Uppalapati, MD 57509

12476

100 Market Place Blvd, Suite 200 Cartersville, GA 30121

11/8/2013

Duran, Maximo

RN212880

Ewal Persaud, MD

40754

15600

3885 Princeton Lakes Way, Ste 412 Atanta, GA 30331

6/4/2015

Durden, Linda Tatman

RN213380

Paul J Jarrett, MD

23069

13353

3051 Watson Blvd, ste525 Warner Robins, GA 31088

6/6/2014

Durdin, Joan

RN048536

Jin, Erica DO

64396

10054

1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043

10/7/2011

Durham, Angela Melissa

RN180719

W. Perry Ballard, MD

30265

9103

1800 Howell Mill Rd, Suite 800 Atlanta, GA 30318

6/4/2010

Durkee, Kate Moore

RN116991

Jennifer Duke, MD

50615

14023

540 Charter Blvd, Ste 100 Macon, GA 31210

10/9/2014

Duverger-Juleus, Sandy

RN193961

Amy K. Pearson, MD

47638

11487

2481 Hwy 17 Richmond Hill, GA 31324

6/7/2013

Dyal, Brenda Sue

RN185734

William Grow, MD

13752

12789

203 Woodrow Wilson Dr Valdosta, GA 31602

2/6/2014

Dyer, Juli Mickelle

RN162233

Lajos Toth, MD

47545

15767

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

7/9/2015

Dyer, Elizabeth Marie

RN164989

Debora Quigley, MD

36601

9042

178 Hospital Circle Blairsville, GA 30512

4/1/2010

Dykeman, Elizabeth Anne

RN204806

Mark Hancock, MD

67750

13403

163 Hospital Dr. Toccoa, GA 60577

6/6/2014

Dykes, Angela Renee

RN228108

Bounthavy Homsombath,
MD

68031

12408

3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909

12/6/2013

Dykes, Lauren Mathews

RN192090

Shahriar Sedghi, MD

37678

11876

610 Third St, Suite 204 Macon, GA 31201

5/3/2013

Dykes, Lauren

RN192090

Dean, R. Jonathan MD

31403

10354

380 Hospital Drive, Bldg A, Ste 430 Macon, GA 31217

1/6/2012

Wednesday, August 12, 2015

Page 98 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Earl, Adrienne Kathleen

RN186685

Raymond Bedgood, DO

52054

13183

610 Third St., Ste 206 Macon, GA 31201

9/11/2014

Earl, Merri Anderson

RN188112

Leilani Shivers, MD

57507

13153

900 Dallis St, Suite D LaGrange, GA 30240

4/4/2014

Earnest, Nina Choi

RN217816

George Katsitadze, MD

52456

12699

4120 Five Forks Trickum Rd, Suite 102 Lilburn, GA 30047

2/6/2014

East, Missy Michelle

RN113560

Wallace Ajakiaye, MD

72271

15172

1014 W Franklin St Sylvester, GA 31791

4/2/2015

Eaton, Lynnfield Massey

RN195095

Barbara Weissman, MD

32082

11899

2015 Uppergate Dr Atlanta, GA 30322

6/7/2013

Eberhart, Veronica C

RN180727

Allison Dupont, MD

63856

15010

200 S Enota Dr, Ste 200 Gainesville, GA 30501

3/5/2015

Eckler, Peggy Dawn

RN207743

Salman Ashfaq, MD

47878

13355

1287 Sims St. Gainesville, GA 30501

6/6/2014

Economy, Lee Nicky

RN156896

Matthew Keadey, MD

49143

874

1364 Clifton Road Atlanta, GA 30322

1/11/2008

Edds, Crystal Michele

RN134734

Glenda Wright, MD

62456

875

125-B Victory Dr Swainsboro, GA 30401

3/4/2010

Edenfield, Monica

RN184707

Steven Currier, MD

65231

14772

1350 Walton Way Augusta, GA 30901

2/5/2015

Edenfield, Monica Phillips

RN184707

Troy Coon, MD

56422

14158

618 Ponder Place, Ste 2 Evans, GA 30809

11/7/2014

Edge, Naph'tali Brandon

RN161809

Loni Jenkins, MD

63358

14483

1010 Hospital Dr, Bldg B Stockbridge, GA 30281

2/5/2015

Edge, Elois Lewis

RN054422

Francis Kwarteng, MD

61792

5126

401 South Madison St Albany, GA 31701

3/4/2011

Edmonds, Peggy

RN112337

James Southerland, MD

24632

16026

803 South Main St Greensboro, GA 30642

8/6/2015

Wednesday, August 12, 2015

Page 99 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Edwards, Heather Leigh

RN177285

Rifquat Giwa, MD

63198

13115

3950 Austell Rd. Austell, GA 30106

6/6/2014

Edwards, Michelle East

RN113560

Dennis Thomas, MD

22898

11895

3374 Greystone Way Valdosta, GA 31605

6/7/2013

Edwards, Michele

RN207801

Friedman, Brenda MD

54709

10193

6325 Hospital Parkway ER Johns Creek, GA 30097

11/3/2011

Edwards, Kilauna Marisa

RN172925

Jose Acevedo, MD

25499

9816

1299 Interstate Pkwy Augusta, GA 30909

10/7/2011

Edwards, Annalee Skelton

RN211927

W. Perry Ballard, MD

30265

9802

1800 Howell Mill Rd, Suite 800 Atlanta, GA 30318

6/30/2011

Edwards, Michelle East

RN113560

Gopala Derebail, MD

14307

2984

2336 Dawson Rd Albany, Ga 31707

2/4/2011

Edwards, Patricia Ann

RN183206

David Arnall, MD

36916

881

101 Yorktown Drive, Suite 100 Fayetteville, GA 30214

2/7/2008

Eichenlaub, Gretchen Dean

RN164522

Lisa Mandeville-Brown, MD

46987

8611

315 Winn Way Decatur, GA 30030

7/10/2009

Eiland, Carolyn A.

RN119402

Josephine Tan, MD

19193

12703

106 East Broad St Savannah, GA 31401

1/9/2014

Ekard, Charlotte Ann Hodges

RN042548

Shahzad Hashmi, MD

53239

8961

PO Box 263 Lawrenceville, GA 30046

5/7/2010

Ekard, Charlotte Ann

RN042548

Robin M. Johnson, MD

51410

5463

1014 Main Street Stone Mountain, GA 30083

4/13/2007

Elango, Theresa Elena

Rn161701

Sara O'Heron, MD

41632

11801

1201 Georgian Park Peachtree City, GA 30269

4/4/2013

Eldred, Susan Elaine

RN134366

David Kunz, MD

29703

7818

1655 Lebanon Rd, Suite A Lawrenceville, GA 30043

5/9/2008

Eller, Tanya Haydee

RN209871

Douglas Olson, MD

51073

12260

1200 Northside-Forsyth Dr, Emer Dept Cumming, GA 30041

10/10/2013

Ellington, Rosina

RN186595

Uchenna Kalu, MD

62127

11138

157 Burke St. Stockbridge, GA 30281

10/5/2012

Wednesday, August 12, 2015

Page 100 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Ellington, Rosina

RN186595

Robinowitz, Michael MD

17274

10875

1255 Hwy 54 West Fayetteville, GA 30214

7/12/2012

Elliot, Anita Simpson

RN198479

Gaston Morah Celayes, MD

64675

14202

618 E Lamar St Americus, GA 31079

11/7/2014

Elliott, Taylor

RN234218

Ralph Bowers, MD

57436

16089

3824 South Hwy 27 Lafayette, GA 30728

8/6/2015

Elliott, Karren Lynn

RN133023

Omar Al Haddad, MD

65987

15365

505 Amelia Ave Baindridge, GA 39819

6/4/2015

Elliott, Brian

RN109322

Kumud Rangaraj, MD

59007

15520

3131 South Main St Moultrie, GA 31768

6/4/2015

Elliott, Brian Allen

RN109322

Seth Berl, MD

24390

14374

9 Hospital Park Moultrie, GA 311768

1/8/2015

Elliott, J. Carol

RN225477

Robert Holland, MD

59662

12661

2927 Demere Rd St Simons Island, GA 31522

1/9/2014

Elliott, Kelly R.

RN115578

Anthony Captain, MD

39300

11202

400 Timms Rd., NE Calhoun, GA 30701

1/11/2013

Ellis, LaTrese

RN165019

Akita Evans, MD

64372

15293

700 US HWY 29 N Athens, GA 30601

5/8/2015

Ellis, Robyn Nicole

RN184088

Thomas Whitesell, MD

52854

12814

2060 Dan Proctor Dr, Suite 210 St Marys, GA 31558

2/6/2014

Ellis, Kyndra Lenee

RN154735

Linda Sacks, MD

24724

8506

4750 Waters Avenue, Suite 206 Savannah, GA 31404

3/6/2009

Ellis Hasty, Angel Brooke

RN197661

Jennifer Starnes, MD

66016

15615

1012 Burleyson, Rd. Dalton, GA 30720

6/4/2015

Elmore, Carisa

RN186166

Keith Seibert

66638

15330

10055 Ford Ave, Ste 4A Richmond Hill, GA 31324

4/2/2015

Elmore, William

RN169582

Kelvin White, MD

33753

14473

5505 Bells Ferry Rd Acworth, GA 30102-7527

11/7/2014

Wednesday, August 12, 2015

Page 101 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Elrod, Leah

RN164926

Wyatt Blake, MD

47702

14136

4421 Carnes St Acworth, GA 30101

Elsinga, Elysia Nicole

RN204492

Jane Ellis, MD

44208

11980

69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor Atlanta, GA 30 6/7/2013

Emery, Tonya Leigh

RN154628

Jeffrey Esslinger, MD

45455

9228

300 Court Yard Drive Cartersville, GA 30120

8/6/2010

Emery, Marie Kerr

RN064364

Nichole LeBoyd, MD

54452

8648

5985 Peachtree Pkwy Norcross, GA 30092

7/10/2009

Endsley, Lynelle

RN229514

James Malcolm, MD

44781

15586

300 Tower Rd, Ste 200 Marietta, GA 30060

6/4/2015

Enfinger, Lesley Johnson

RN130096

Joe Harris Morgan, III, MD

53503

9063

2402 Osler Court, Suite 200 Albany, GA 31707

5/7/2010

Enfinger, Casidy Davis

RN144558

Luis Murrain, DO

57747

8484

360 College Street Blakely, GA 39823

3/6/2009

Engel, Bryan

RN183909

Braxton Turner lll, MD

51094

15857

1250 Jesse Jewell Pkwy, Ste 200 Gainesville, GA 30501

7/9/2015

Engel, Bryan Scott

RN183909

Brenda Hott, MD

41441

12740

200 S Enota Dr, Suite 200 Gainesville, GA 30501

1/9/2014

England, Megan

RN238324

Bill Smith, MD

59963

15405

101 McFarland Rd Lookout, GA 30750

5/8/2015

Enrique-Lofton, Laverne Juanita RN111252

Tyrone Malloy, MD

23086

903

4201 Rainbow Dr Decatur, GA 30034

12/6/2013

Ensley, Deirdre W

RN077047

Micheal Hale, MD

54571

13886

1409 Chattanooga ave Dalton, GA 30720

9/11/2014

Enworom, Chinyere D.

RN180187

Kirti Shah, MD

27248

9890

605 Old Norcross Rd Lawrenceville, GA 30019

8/5/2011

Epling, Maria Goenaga

RN164147

Stephanie H. Gordon, MD

49382

11433

2750 Owens Dr., Suite A Conyers, GA 30094

1/11/2013

Wednesday, August 12, 2015

11/7/2014

Page 102 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Erhard, Darla Rae

RN152483

Robert Younger, III, MD

31373

909

Ernest, Michelle Kelly

RN162446

William Whitten, MD

42770

Ervin, Nora

RN049625

Raushanah Hud-Aleem, DO

Eschmann, Ray Wills

RN210109

Escobarduque, Carlos Alberto

Protocol Address

Effective

1107 Memorial Dr, Suite G-2 Dalton, GA 30720

11/5/2009

12952

3934 Woodruff Rd Columbus, GA 31904

3/6/2014

62999

9543

3110 Clifton Springs Rd, Suite B Decatur, GA 30034

2/4/2011

Mana Rasongo, MD

57753

15136

417 W. 3rd Ave Albany, GA 31701

3/5/2015

RN225443

Adolfo Molina, MD

24166

12749

3182 Shallowford Rd Chamblee, GA 30341

6/6/2014

Esezobor, Cherri Denise

RN128018

Lester Freeman, MD

47431

12358

2600 MLK Jr Dr, Suite 206 Atlanta, GA 30311

10/10/2013

Estabrook, Christine M

RN185062

Ruth O'Regan, MD

53350

12485

490 Jesse Hill Dr SE, Room 120 Atlanta, GA 30303

11/8/2013

Estabrook, Christine

RN185062

Kauh, John MD

52970

10283

80 Jesse Hill Jr Drive SE Atlanta, GA 30303

1/6/2012

Estes, Shaquita Nichole Lewis

RN142360

Leslie Lawley, MD

52985

13356

1525 Clifton Rd. NE, 3rd Flr Atlanta, GA 30322

6/6/2014

Estes, Shaquita Nichole Lewis

RN142360

Joy Smith, MD

38968

12353

35 Jesse Hill Jr Dr Atlanta, GA 303063

10/10/2013

Estes, Shaquita Nichole Lewis

RN142360

Najaz Woods-Bishop, MD

58350

12385

1510 Hudson Bridge Rd Stockbridge, GA 30281

10/10/2013

Estes, Shaquita Nichole Lewis

RN142360

Dekisha Drayton, MD

53016

11648

3885 Princeton Lakes Way, Suite 302 Atlanta, GA 30331

2/7/2013

Estes, Shaquita

RN142360

Flowers, Runette MD

18297

10264

2855 Candler Rd, Ste 9 Decatur, GA 30034

12/1/2011

Estes, Sandi Waits

RN125688

E. Wynn Kallay, MD

27395

913

550 Professional Drive Macon, GA 31201

9/14/2007

Wednesday, August 12, 2015

Page 103 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Etheridge, Christy Rebecca

RN081198

Jason Chapman, MD

66581

14803

575 First St Macon, GA 31201

2/5/2015

Ethridge, Susan Rachel

RN076629

Eric K Davis, MD

63648

12809

235 E Washington Ave Ashburn, GA 31714

1/9/2014

Ethridge, Rachel Susan

RN076629

Patrina Lockette-Smith, MD

48855

8967

354 E. Washington Ave Ashburn, GA 31714

3/4/2010

Etienne-Marseille, Valencia

RN185846

Clarice Bell-Strayhorn, MD

39730

15833

505 Dacula Rd Dacula, GA 30019-2125

7/9/2015

Etris, Sharon Ann Reid

RN063255

Dong Shin, MD

54026

8818

1365-C Clifton Rd NE Atlanta, GA 30322

11/5/2009

Evans, Kimberly

RN113548

Stewart Grizzard, DO

43948

15812

621 East First St, Ste B Vidalia, GA 30475

7/9/2015

Evans, Amy

RN183099

Terry Landford, DO

45867

14963

1899 Lake Rd Ste 212 Hiram, GA 30141

3/5/2015

Evans, Natalie Fulford

RN168361

Frederick Burton, MD

38434

14066

6020 Harrison Rd. Macon, GA 31206

10/9/2014

Evans, Ann Marie Ostrander

RN138783

Ronald Forehand, MD

22760

13431

55 Carlton St. Athens, GA 30602

6/6/2014

Evans, Rebecca Berrier

RN145456

Thomas Self, MD

21587

13198

1825 Martha Berry Blvd. Rome, GA 30165

6/6/2014

Evans, Monica

RN150100

Moore, Helen-Louise MD

45098

10573

116 S. Houston Road Warner Robins, GA 31088

3/29/2012

Evans, Kimberly

RN113548

Munsayac, Lumawig MD

15028

10206

111 North 3rd Street Glenwood, GA 30428

12/1/2011

Evans, Ann Marie Ostrander

RN138783

Josephine Lopez, MD

44125

915

650 Oglethorpe Avenue, Suite 4 Athens, GA 30606

6/6/2008

Evans, Rebecca Berrier

RN145456

David Warren, MD

32492

1796

150 Gentilly Blvd Cartersville, GA 30120

1/11/2008

Wednesday, August 12, 2015

Page 104 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Evavold, Kristine Marie Kenney

RN120377

Hal Herd, MD

13140

920

601-A Professional Dr, Ste 370 Lawrenceville, GA 30045

12/7/2007

Everett, Kendra Davis

RN145552

Charles McCord, MD

39409

9175

3345 Hwy 34 East, Suite 102 Sharpsburg, GA 30277

7/1/2010

Ezell, Rachel

RN207232

Robert Tuck, MD

33217

15310

777 Hemlock St Macon, GA 31201

4/2/2015

Ezzell, Trevor

RN152048

Harry Ferrran Jr.

26111

16023

655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501

8/6/2015

Fadli, Nadia Maria

RN168130

Samir Belagaje, MD

64896

15036

80 Jesse Hill Jr.Dr SE, 11G028 Atlanta, GA 30303

3/5/2015

Fagan, Melissa Necole

RN210303

William Delp, DO

70084

15325

2215 Exchange Place Conyers, GA 30013

6/4/2015

Fairchilds, Mary Elizabeth

RN205146

John Adamski, MD

68873

14002

743 Spring St. Gainesville, GA 30501

9/11/2014

Fairchilds, Mary Elizabeth

RN205146

James Richardson, MD

53601

12005

743 Spring St Gainesville, GA 30501

7/11/2013

Faircloth, Lisa

RN154242

Fussell, Melvin MD

52565

10530

1770 Watson Blvd Warner Roins, GA 31093

3/1/2012

Faircloth, John Myron

RN122237

Richard Wheeler, MD

46227

9889

416-A E. McPherson Street Nashville, GA 31639

8/5/2011

Faircloth, John Myron

RN122237

Alberto Garcia, MD

54374

925

209 E. Main St Hahira, GA 31632

6/3/2011

Fairfield, Lois Arlou

RN203210

John Attokaren, MD

29575

12329

11600 Atlantis Place, Suite B Alpharetta, GA 30022

10/10/2013

Fairlamb, Catherine Lois Visha

RN062189

James Sipp, MD

53880

3083

5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

9/3/2009

Faison, Yulanda

RN153816

Michael Pinell, MD

58102

15769

227 Merchants Way Brunswick, GA 31525

7/9/2015

Wednesday, August 12, 2015

Page 105 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fallin, Tiffany Merritt

RN124556

James Black, MD

57777

13721

471 3rd Ave. West Albany, GA 31701

9/11/2014

Fan, Michelle Brown

RN147926

Eric Fan, DO

49615

2492

1102 Smith Ave, Suite M Thomasville, GA 31792

6/6/2014

Fannon, Marjorie Ann Pryor

RN048537

David Weinkle, MD

38645

929

PO Box 422002 Atlanta, GA 30342

11/1/2007

Fareed, Surayyah

RN092866

Lynette Stewart, MD

39681

15385

2855 Candler Rd, Ste 14A Decatur, GA 30034

5/8/2015

Fareed, Surayyuh W

RN092866

Precious Braswell, MD

55729

931

2885 Headland Dr. East Point, GA 30344

10/5/2012

Fargason, Danielle Nicole

RN198099

Joseph Boveri, MD

38693

8523

5430 Glenridge Drive Atlanta, GA 30342

5/7/2009

Fargnoli, Marisa Lee

RN188848

Amyn Hirani, MD

64388

12644

55 Whitcher St, Suite 160 Marietta, GA 30060

1/9/2014

Farnum, Marsha

RN231734

Lenora Allen, MD

21473

15380

713 Andrews Dr Thomaston, GA 30286

6/4/2015

Farnum, Marsha Delaine

RN231734

Chrissie Clure, MD

49281

12660

800 E. 70th St Savannah, GA 31405

1/9/2014

Farrell, Vincent

RN244839

Raymond McKoy, DO

44536

15084

815 Shugart Rd Dalton, GA 30720

3/5/2015

Farrell, Vincent Bernard

RN244839

Leli, Matthews

52182

14831

2701 North Decatur Rd Decatur, GA 30030

3/5/2015

Farris, Scott Penn

RN136220

Christpher Riddell, MD

21796

8893

2540 Windy Hill Rd Marietta, GA 30062

2/5/2010

Faudree, Cyndi Bletzacker

RN118892

Suzanne Anderson, MD

57922

14343

5354 Reynolds St, Ste 424 Savannah, GA 31405

12/4/2014

Faudree, Ronald E

RN212187

Marion Bailey, Jr, MD

10467

13688

210 E Derenne Ave Savannah, GA 31405

8/7/2014

Wednesday, August 12, 2015

Page 106 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Faudree, Cyndi Bletzacker

RN118892

Marion Bailey Jr., MD

10467

934

Faudree, Cyndi

RN118892

Martinez, Frederick MD

60185

Faulkner, Linda Leigh

RN069262

Donald V Baker, DO

Faulkner, Linda Leigh

RN069262

Faulkner, Linda Leigh

Protocol Address

Effective

1101 North Way Darien, GA 31305

7/10/2014

10559

5354 Reynolds Street Ste 424 Savannah, GA 31405

3/29/2012

46667

12810

745 Poplar Rd.- Emergency Dept Newnan, GA 30265

1/9/2014

John Vu, MD

40813

9715

4861 Bill Gardner Pkwy Locust Grove, GA 30248

6/30/2011

RN069262

Martha Schuh, MD

37488

8600

1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

7/10/2009

Favis, Tara Lynn

RN195879

John Ouderkirk, MD

49992

13703

9925 Haynes Bridge Rd, Suite 320 Alpharetta, GA 30022

9/11/2014

Favorov, Alena

RN184264

Thomas Deering, MD

32170

14482

275 Collier Rd N W, Ste 500 Atlanta, GA 30309

12/4/2014

191529

Joseph Nichols, MD

35712

14132

35 collier Rd, Ste 475 Atlanta, GA 30309

11/7/2014

Fears, Stacey Lorriane

RN173878

Damon Kimes, MD

50322

14324

5985 Peachree Pkwy Norcross, GA 30092-2818

10/9/2014

Fears, Stacey Lorraine

RN173878

Derrell Anglyn, Jr, MD

24198

11696

55 Sims St McDonough, GA 30253

3/8/2013

Fegely, Karen J.

RN154172

Lee D. Jacobs, MD

28283

11212

107 Mountain Brook Dr., Ste 100 Canton, GA 30115

11/2/2012

Fegely, Karen Joy Krasley

RN154172

William Chastain, MD

65091

9689

400 Timms Rd NE Calhoun, GA 30701

4/1/2011

Fekadu, Aynaddis

RN226586

Ram Reddy, MD

24178

12058

132 Franklin Springs St Royston, GA 30662

7/11/2013

Fell, Jeanne

RN080116

Beard, Charlene MD

20513

10100

1510 Hudson Bridge Rd Stockbridge, GA 30281

11/3/2011

Felton, Tasha

RN199640

Jennifer Goedken, MD

49234

16066

1670 Clairmont Rd Decatur, GA 30033

8/6/2015

Fawbush, Megan

Wednesday, August 12, 2015

Page 107 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fenceroy, Megan Louise

Rn207428

Bonnie Ellenoff, DO

51644

13887

6309 Roswell Rd ste ZB Sandy Springs, GA 30328

9/11/2014

Fenceroy, Megan Louise

RN207428

Eyal Meiri, MD

70324

13197

600 Parkway North Newnan, GA 30265

5/1/2014

Fenceroy, Megan Louise

RN207428

Ekan Essian, MD

61772

12725

5815 Windward Pkwy, Suite 205 Alpharetta, GA 30005

1/9/2014

Fender, Justin Marcus

RN194077

Dennis Conrad Harper, MD

53749

11820

1400 N Peterson Ave Douglas, GA 31533

4/4/2013

Fender, Justin M.

RN194077

Justin F. Harrell, MD

59162

11385

Coffee Family Medicine, 200 Doctors Dr., Ste 224 Douglas, G 12/7/2012

Fender, Justin

RN194077

Jeffery Winge, MD

59530

11107

1101 Ocilla Rd. Douglas, GA 31533

10/5/2012

Fenn, Kristin Lamb

RN210229
RN210229

Sandra Mager, MD

38043

14161

1007 South Macon St Jesup, GA 31545

12/4/2014

Ferguson, Debbie Ann

RN106333

Olu Babatola, MD

50598

14810

2370 S Houstion Lake Rd Kathleen, GA 31047

8/6/2015

Ferguson, Kathy Patterson

RN039700

Vincent Brawley, MD

33283

943

1350 Walton Way - 3rd floor Augusta, GA 30901

8/7/2009

Fernandez, Joy

RN213865

Gabriel Onofre, MD

56904

15658

3367 Buford Highway, Ste 910 Atlanta, GA 30319

8/6/2015

Ferra, Mary Gail Little

RN040735

Oscar H. Salvat, MD

49742

13089

1111 Griffin Ave., Ste. 1A Eastman, GA 31023

10/9/2014

Ferra, Mary G.

RN040735

Pierre J. Fontaine, MD

62686

11460

1153 North Liberty St. Nicholls, GA 31554

1/11/2013

Ferrelle, Christine Bruyette

RN052324

Fariborz Zaer, MD

45679

947

106 East Broad St. Savannah, GA 31401

5/1/2014

Ferry, Erin Michelle

RN212021

William Webb, MD

58238

15332

10055 Ford Ave, Ste 4 A Richmond Hill, GA 31324

5/8/2015

Wednesday, August 12, 2015

Page 108 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Ferry, Erin

RN212021

John Northup, MD

16651

15312

Fetsch, Deanna Marlene

RN136405

Marisa Gadea, MD

41802

Fielder, Judy Parsons

RN071233

Amy Wetter, MD

Fields, Jessica Chastain

Rn189454

Figueroa, Susan Woollen

Protocol Address

Effective

12345 Mercy Blvd Savannah, GA 31419

5/8/2015

948

1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

7/11/2008

57701

950

980 Johnson Ferry Rd, #620 Atlanta, GA 303472

8/7/2009

Timothy Ward, MD

23125

13204

500 Gordon Ave Thomasville, GA 31792

11/7/2014

RN228752

Thomas Ho, MD

44748

12199

7494 Battlefield Pkwy Ringgold, GA 30736

9/13/2013

Figueroa, Renee Sunshine

RN143128

Edward Himot, MD

18388

951

55 Whitcher St, Suite 460 Marietta, GA 30060

6/3/2011

Figueroa, Virgil

RN144625

William Early, MD

20694

952

320 Hospital Road Canton, GA 30114

7/11/2008

Fingles, Debra

RN159627

Tan-Loc Nguyen, MD

52213

955

1025 N. Houston Road Warner Robins, GA 31093

10/4/2007

Finkenhoefer, Patricia S

RN071833

Vicki Morgan, MD

25645

12714

3815 Harrison Rd Loganville, GA 30052

2/6/2014

Finn, Stephanie Marlene

RN180071

Tasneem Bhatia MD

49025

14187

1401 Dresden Dr, Ste 200 Atlanta, GA 30319

11/7/2014

Finnegan, Kimberly L.

RN112386

Robert P. Dourron, MD

48617

11309

2675 N. Decatur Rd., Ste. 301 Decatur, GA 30033

12/7/2012

Fish, Melissa Terry

RN067040

Benjamin Cheek, MD

25332

5138

2300 Manchester Expwy, Ste B001 Columbus, GA 31904

6/6/2008

Fisher, Dorothy

RN089376

Everett Walker, MD

31682

14918

1826 Veterans Blvd Dublin, GA 31021

4/2/2015

Fisher, Mary Grace

RN129326

George Brown, MD

30275

959

141 Piedmont Ave, Suite D Atlanta, GA 30303

6/4/2010

Fisher, Nancy Elizabeth Morse

RN062903

Robert Taylor, DO

31338

8468

5281 Cleveland Hwy Clermont, GA 30527

3/6/2009

Wednesday, August 12, 2015

Page 109 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fishman, Nicole Beth

RN197580

Kelly Davillier, MD

60168

8666

51 Hiram Dr, Bldg B Hiram, GA 30141

8/7/2009

Fitzpatrick, Anne Mentro

RN168632

Dawn Simon, MD

58644

964

1605 Chantilly Dr. NE Atlanta, GA 30324

10/9/2014

Fitzpatrick, Kathleen

RN096592

Yolanda Wade, MD

58345

14068

1735 S Hwy 27 Carrollton, GA 30117

10/9/2014

Flachbarth, Lisa Cody

RN160118

William Reisman, MD

61510

12954

80 Jesse Hill Jr Dr Atlanta, GA 30303

6/6/2014

Flanigan, Mona Lisa Redd

RN039034

Stanley Smith, MD

19604

14946

1 Freedon Way Augusta, GA 30904

2/5/2015

Flax, Debra S.

RN095260

Honorio Bulos, MD

48029

9038

300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534 3/4/2010

Fleming, Carrie

RN145614

Tameka Walker-Blake, MD

62448

16078

5126 Hospital Dr Covington, GA 30014

8/6/2015

Fleming, Marla Kaye Yancey

RN142299

Michael Banov, MD

37945

13192

11755 Pointe Place, Suite A-1 Roswell, GA 30076

5/1/2014

Fleming, Janice Hardin

RN057211

Paul Behrmann, MD

19638

969

224 Reagan Circle Dawsonville, GA 30534

5/10/2007

Fletcher, Natalie Nason

RN191589

Verlia Gower, MD

38499

11775

5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

4/4/2013

Flicek, Barbara Lynn

RN046271

James Stillerman, MD

31515

974

4181 Hospital Dr, Suite 401 Covington, GA 30014

6/3/2011

Flint, Deborah N Chika

RN196619

Stuart Brooker, MD

36929

9418

550 Peachtree Street Atlanta, GA 30308

1/7/2011

Flood, Vernell Rene

RN112394

Virgina Wight, MD

32839

15153

250 North Ave Athens, GA 30605

3/5/2015

Flory, Tracy Ann Woodard

RN134967

Clifford Tumambing, MD

68326

975

380 South Davis Rd, Suites E & F LaGrange, GA 30241

12/4/2014

Wednesday, August 12, 2015

Page 110 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Flory, Michael

RN175893

Romulo Navarro, MD

23646

13742

100 Doctor's Dr. Ste. C Douglas, GA 31533

9/11/2014

Flory, Michael

RN175893

Lister, Debra MD

38849

10463

1101 Ocilla Road Douglas, GA 31533

2/3/2012

Flory, Tracy

RN134967

Warren Henderson, MD

20734

5444

303 Smith Street LaGrange, GA 30240

8/8/2008

Flowers, Deborah H.

RN112395

Mandy Moye, MD

65589

11370

603 S. Wheat Ave., #450 Bainbridge, GA 39819

1/11/2013

Floyd, Tommie

RN123475

Naresh Parikh, MD

28851

15853

845 Scenic Hwy, Ste 100 Lawrenceville, GA 30046

8/6/2015

Floyd, Dawn

RN169929

Howard McMahan, MD

22824

15322

907 18th St East, Ste 290 Tifton, GA 31794

5/8/2015

Floyd, Kaci

RN200664

Gayoung Hong, MD

67467

14679

13570 N Main St Trenton, GA 30752

1/8/2015

Floyd, Linda Gayle

RN060566
RN060566

Eugene Sun, MD

62170

14847

1120 W Broad Ave, Ste 13-4 Albany, GA 31707

1/8/2015

Floyd, Dawn Marie

Rn169929

James Graham

30071

14598

2225 US Hwy 41 N Tifton, GA 31794

12/4/2014

Floyd, Dawn Marie

RN169929

Dixie Griffin, MD

63661

14423

2225 U S Hwy 41 N Tifton, GA 31794

10/9/2014

Floyd, Linda Gayle

RN060566

Dhanraj Padhiar, MD

22615

13888

2209 Pineview Dr Valdosta, GA 31602

9/11/2014

Floyd, Linda Gayle

RN060566

Jaymal Patel, MD

50984

13630

3120 North Oak St Ext, C Valdosta, GA 31602

8/7/2014

Floyd, Linda Gayle

RN060566

Livingstone Rasalam, MD

33437

13525

303 Woodrow Wilson Dr. Valdosta, GA 31602

7/10/2014

Floyd, Kortney Melissa

RN181122

Rajeshkumar Miniyar, MD

51597

11879

140 Three Rivers Dr Rome, GA 30161

6/7/2013

Wednesday, August 12, 2015

Page 111 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Floyd, Dawn Marie

RN169929

John DeSimone, MD

19930

11738

Fluker, Janet Gay

RN112396

Harvey Harris, MD

37825

Fly, Mary Donaldson

RN163789

Lisa Wannamaker, DO

Fly, Mary Donaldson

RN163789

Foarde, Sheila Coleen Garry

Protocol Address

Effective

611 East Washington Ave Ashburn, GA 31794

3/8/2013

978

1900 10th Avenue, Suite 211 Columbus, GA 31901

1/9/2009

55462

8367

1384 Greene Street Augusta, GA 30901

11/7/2008

Sean Lynch, DO

49186

979

3736 Mike Padgett Hwy, Suite A Augusta, GA 30906

3/7/2008

RN155984

Brooks Whitney, MD

36903

13997

5671 Peachtree Dunwoody Rd NE, Ste 620 Atlanta, GA 3034 10/9/2014

Fodor, Whitney Anne

RN209243

Jeremy Ackerman, MD

59584

15067

1364 Clifton Rd NE Atlanta, GA 30322

4/2/2015

Fodor, Whitney Anne

RN209243

Kashif Ahmed, MD

61547

13357

2200 Hwy 155 North McDonough, GA 30252

6/6/2014

Folds, Hannah Carline

RN183076

Woody Francis, MD

48325

13579

235 Peachtree St, NE North Tower Atlanta, GA 30303

7/10/2014

Foley, Kathryn Liedtke

RN049093

Freeman Montague, Jr, MD

28123

13336

5320 Memorial Dr Stone Mountain, GA 30083

6/6/2014

Follmer, Diane Marie Schaefer

RN088862

Lori Corley, MD

34251

982

3707 Largent Way Marietta, GA 30064

7/11/2008

Foote, Regina Marie

RN162306

Candice Wallace, MD

30918

12296

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Forbrick, Jeffery Andrew

RN212023

Robert Burton, MD

33543

12868

545 old Norcross Rd, Ste 300 Lawernceville, GA 30045

12/4/2014

Ford, Jina Lynn

RN183571

Randolph Summer, MD

28323

15268

1825 Martha Berry Blvd Rome, GA 30165

4/2/2015

Ford, Deborah Patrice

RN111299
RN111299

Darrell Muray, MD

44797

14896

2795 Mainstreet West, Ste 26 Snellville, GA 30078

3/5/2015

Wednesday, August 12, 2015

Page 112 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Ford, Nicole

RN139406

James Haymore, MD

9721

14450

11973 Augusta Rd Lavonia, GA 30553

1/8/2015

Ford, Patricia Carol

RN132706

John Vance Jr., MD

53383

13947

P.O. Box 542 Leesburg, GA 31763

9/11/2014

Ford, Janice E

RN057176

Jack Heneisen, MD

22780

13848

1214 N. Columbia Ave. Ste D Rincon, Ga 31326

9/11/2014

Ford, Ashley Kathleen

RN207084

Swapna Madhavan, MD

57098

12970

260 Elm St Cumming, GA 30040

3/6/2014

Ford, Marsha Denise

RN066207

Charis Trench-Simmons, MD 58337

11438

386 Princeton Lakes Way, Suite 280 Atlanta, GA 30331

5/3/2013

Ford, Nicole Ruff

RN139406

Wesley Smith, MD

45971

9005

11973 Augusta Road Lavonia, GA 30553

5/7/2010

Ford, Janice E.

RN057176
RN057176

Christopher Mathews, MD

49133

8245

1451 Hwy 21 South, Suite H Springfield, GA 31329

7/11/2008

Ford Jr, William

RN144697

James Haymore, MD

9721

14452

11973 Augusta Rd Lavpmoa, GA 30553

12/4/2014

Ford, Jr., William Chester

RN144697

John Kludt, MD

34876

11922

3700 Club Dr Lawrenceville, GA 30044

8/9/2013

Forehand, Brett

RN209646

Chandresh Viradia, MD

53050

15818

100 Jim Mason Court, Ste A Warner Robins, GA 31088

7/9/2015

Forehand, Michael

RN214205

Lee, Mark MD

59451

10926

1221 E. McPherson Avenue Nashville, GA 31639

9/13/2012

Forehand, Michael A.

RN021405

Peters, Howard MD

51530

9999

2501 N. Patterson Street Valdosta, GA 31602

9/1/2011

Foreman, Lisa Marie

RN154091

Leslie Gray, MD

40083

2394

9900 Medlock Bridge Road Duluth, GA 30097

9/11/2008

Forest, Sabrina

RN234266

Thomas Jackson, MD

25184

14805

1 Freedom Way Augusta, GA 30904

3/5/2015

Wednesday, August 12, 2015

Page 113 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fort, Brenda

RN085152

Wayne Harris, MD

34150

14684

1670 Clairmont Rd Decatur, GA 30033

1/8/2015

Forte, Briana E

RN204328

Candi Nobles-James, MD

47985

14050

777 Hemlock St. Macon, GA 31201

10/9/2014

Fortenberry, April Lynn

RN106665

Daniel Torrez, MD

61177

14481

1605 Chantilly Dr, Ste 305 Atlanta, GA 30324

1/8/2015

Fortenberry, Melanie Renea

RN164301

Ramzi Ghosn, MD

57974

9003

278 Hwy 400 North, Suite 1160 Dawsonville, GA 30533

3/4/2010

Fortson, Nedra Speight

RN131505

Karen Kinsell, MD

42630

14358

305 Washington St South Fort Gaines, GA 39851

1/8/2015

Fortson, Nedra Speight

RN131505

Michael Satchell, MD

49593

14149

806 14th Ave Albany, GA 31701

11/7/2014

Foss, Tammy

RN131812

Joseph Korwin, MD

34878

14755

1 Freedom Way Augusta, GA 30904

2/5/2015

Foss, Merry-Lynn

RN118689

James Smith, MD

59763

12125

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Foss, Merry-Lynn

RN118689

James Capes, MD

38438

994

Foster, Michal Aimee

RN115596

Michael Hoffstetter, MD

50023

Foster, Michal Aimee

RN115596

Romulo Navarro, MD

Foster, Jessica Lyn Albano

RN159786

Foster, Amber Brooke
Foster-Hall, Tracy Michelle

550 Peachtree St, Emergency Dept Atlanta, GA 30308

1/9/2009

14069

200 Doctor's Drive, Ste L Douglas, GA 31533

10/9/2014

23646

13743

100 Doctor's Dr., Ste C Douglas, GA 31533

9/11/2014

Tami Breton, MD

38695

12455

3805 Cherokee St Kennesaw, GA 30144

10/10/2013

RN173330

Joshua King, MD

52116

11794

5126 Hospital Dr Covington, GA 30014

5/3/2013

RN157997

Samantha Benson, MD

47699

11651

3340 Paddocks Pkwy Suwanee, GA 30024

2/7/2013

Wednesday, August 12, 2015

Page 114 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Foston, Tenita Phillips

RN119706

John Vu, MD

40813

12606

Foston, Tenita Phillips

RN119706

James Spivey, MD

51848

Fountain, Amber Linnet

RN201885

Rizwan Khan, DO

Fountain, Athena Joann Sinopol RN101700
Fowler, Carolyn

Protocol Address

Effective

3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

12/6/2013

998

1365-B Clifton Rd Atlanta, GA 30322

8/6/2010

63251

14376

2000 16th Ave Columbus, GA 31901

2/5/2015

James Daly, MD

36358

1000

PO Box 14417 Savannah, GA 31416

12/4/2009

RN170964

Woodwin Weeks, DO

68866

14722

139 E Broad St Norman Park, GA 31771

2/5/2015

Fowler, Elizabeth Ashley

RN206545

Calin Badea, MD

55918

14275

303 Fraser Dr Hinesvillie, GA 31313

11/7/2014

Fowler, Elizabeth Ashley

RN206545

Salvko Kukucka, Md

46877

13986

119 Chimney Rd. Rincon, GA 31326

10/9/2014

Fowler, David H.

RN050746

Emile Risby, MD

30869

13511

3000 Schatulga Rd Columbus, GA 31907

7/10/2014

Fox, Jennifer Ann

RN076847

Andrea Dabney, MD

66274

14122

274 Big A Rd Toccoa, GA 30577

11/7/2014

Fox, Bruce Michael

RN084674

Joseph Sentef, Jr, MD

32816

12109

513 Benjamin Way, Suite 200 Dalton, GA 30721

8/9/2013

Fox, Stephanie Elaine

RN038536

Barbara D'Orio, MD

33956

1003

PO Box 26238 Atlanta, GA 30303

11/5/2009

Fox, Vickie Pendley

RN047729

Wendy Troyer, MD

33786

1004

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Fox, Rodney Paul

RN138434

David Morris, MD

28828

1002

3280 Howell Mill Rd. NW, Suite 326 Atlanta, GA 30327

9/14/2007

Emily Herndon, MD

35902

14024

Stdnt Hlth and Counseling 1525 Clifton Rd. Atlanta, GA 3032 10/9/2014

Fraher, Margaret Mary McCart RN103393

Wednesday, August 12, 2015

Page 115 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fraher, Margaret Mary McCart

RN103393

Sandra Maryman, MD

24035

9657

1525 Clifton Rd, Student Health Atlanta, GA 30322

4/1/2011

Fraher, Margaret Mary M

RN103393

Theresa Berry, MD

49355

8434

1525 Clifton Road NE Atlanta, GA 30047

3/6/2009

Fraher, Margaret McCarthy

RN103393

Michael Huey, MD

50962

8157

1525 Clifton Road ND, 2nd Floor Atlanta, GA 30322

5/9/2008

Fraher, Margaret McCarthy

RN103393

Dawn Mielke, MD

37752

8158

1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322

5/9/2008

Fraher, Margaret McCarthy

RN103393

Michael Allan, MD

33511

8160

1525 Clifton Road NE,2nd Floor Atlanta, GA 30322

5/9/2008

Fralick, Ivy Duncan

RN149522

Arunas Urbonas, MD

54135

8559

3564 N. Crossing Cir, Suite B Valdosta, GA 31602

5/7/2009

Frame, Amanda Leigh

RN204611

John Frederick, MD

62983

14095

630 13th St., Ste 250 Augusta, GA 30901

10/9/2014

Francisco, Geraldine Ann Del Ca RN195296

Yahya Siddiq, MD

18954

9902

1700 Hospital South Dr, Suite 200 Austell, GA 30106

8/5/2011

Francois, Erica

RN207843

John Mix, MD

55271

14800

575 First St Macon, GA 31201

3/5/2015

Francois, Erica Nicole

RN207843

John Mix, MD

55271

12100

575 First St Macon, GA 31201

7/11/2013

Frankhouser, Brittany Ruth

RN208981

Frank Mott, MD

70674

14104

1411 Laney Walker Blvd, AN-2206 Augusta, GA 30912

10/9/2014

Frankhouser, Kimberly Elizabet

RN114621

Marisa Gadea, MD

41802

1007

1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

7/11/2008

Frawley, Stacy Lyn

RN164239

Walt Reid, MD

39663

11652

705 Dixie St Carrollton, GA 30117

2/7/2013

Frazier, Linda

RN070540

Malathi Ginjupalli, MD

58415

15247

1310 13th Ave Columbus, GA 31901

4/2/2015

Wednesday, August 12, 2015

Page 116 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Frazier, Rhonda

RN208616

Zaidi, Syed MD

60489

10425

1211 Sherwood Park Drive NE Gainesville, GA 30501

2/3/2012

Frazier, Kathy Stephens

RN149395

Felix Sogade, MD

42444

8295

639 Hemlock Street, Suite 100 Macon, GA 31201

9/11/2008

Freckleton, Annie Rose

RN183877

Charlene Robinson, MD

34233

14560

1220 Caroline St, Ste A 230 Atlanta, GA 30307-2749

2/5/2015

Freckleton, Annie Rose

RN183877

Alan CuChiam, MD

42554

14559

1188 Araloh David Abernathy Blvd Atlanta, GA 30310-1716

2/5/2015

Freckleton, Annie Rose

RN183877

Lonnie Jenkins, MD

17209

14712

315 Boulevard N E #516 Atlanta, GA 30312-1200

2/5/2015

Frederick, Alexis Taylor

RN178750

William Keeling, MD

60650

13586

80 Jesse Hill Jr. Drive Atlanta, GA 30303

8/7/2014

Frederick, Carlie Ann

RN095043

Emile Risby, MD

30869

13509

3000 Schatulga Rd. Columbus, GA 31907

7/10/2014

Frederick, Carlie Ann

RN095043

Michael Ellis, DO

62835

12206

2000 16th Ave Columbus, GA 31901

9/13/2013

Frederick, Jane Anne

RN057224

Nisha Chande, MD

61454

9840

3213 Campus Loop Rd NW, Hse 53 Kennesaw, GA 30144

8/5/2011

Freeberg, Casey Rhea

RN218331

Niraj Sharma, MD

54276

14817

755 Walther Rd Lawrenceville, GA 30046

2/5/2015

Freeman, Rasheeda Japaka

RN168338

Erin London, MD

45440

15398

415 Pottery Factory Dr. Commerce, GA 30529

9/11/2015

Freeman, Christi Renee

RN134889

Thomas Self, MD

21587

14829

1825 Martha Berry Blvd Rome, GA 30165

1/8/2015

Freeman, Christi Renee

RN134889

Carlo Oller, MD

65719

14317

960 Joe Frank Harris Pkwy Cartersville, GA 30120

1/8/2015

Freeman, Jennifer Wendy

RN154520

Michael McDaniel, MD

57398

5144

5780 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342

5/1/2014

Wednesday, August 12, 2015

Page 117 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Freeman, Pamela Phillips

RN104531

Russell Jones, MD

68177

12978

425 Third Ave, Suite 600 Albany, GA 31701

4/4/2014

Freeman, Karen Jeanette Buice

RN181566

Barry Munn, MD

54167

11943

655 Jesse Jewell Pkwy, Suite B Gainesville, GA 30501

6/7/2013

Freeman, Kirstie

RN163543

Sung Chang, MD

52693

10948

7351 Old Moon Road Columbus, GA 31909

8/10/2012

Freeman, Shannon Lois Mccoy

RN024690

James Freeman, MD

8764

1019

803 N Jefferson Albany, GA 31701

10/2/2008

Frena, Colette Busko

RN113806

Mark M. Beaty, MD

45169

1020

3823 Roswell Rd., Ste 101 Marietta, GA 30062

8/2/2007

French, Jessica

RN232398

Cheryl Perkins, MD

36430

15773

1497 Fair Rd, Ste 200 Statesboro, GA 30458

7/9/2015

French-Mirtschink, Teri Elaine T RN106388

Barry Mangel, MD

38296

1021

55 Whitcher Street, Suite 350 Marietta, GA 30060

7/11/2008

Frey, Janet

RN167990

Juliana Nahas, MD

44549

11195

4181 Hospital Dr., Ste 202 Covington, GA 30014

1/11/2013

Fricke, Susan

RN211812

Matricia, Daniel DO

31289

10640

214 Professional Circle, Ste A St. Marys, GA 31558

5/4/2012

Friedman, Paula W

RN140297

Verlia C. Gower, MD

38499

11366

5455 Meridian Mark Rd., NE Atlanta, GA 30342

12/7/2012

Fritz, Heather Lynn

RN212251

Eric Felner, MD

52564

9620

2015 Uppergate Dr Atlanta, GA 30322

4/1/2011

Frost-Johnson, Genieve

RN165016

Ketan Desai, DO

57600

8614

3820 Medical Park Dr, Ste 2200 Austell, GA 30106

8/7/2009

Fry, Melanie Ann

RN186644

Dixie Griffin, MD

63661

13889

39 Kent Rd. Ste 5 Tifton, GA 31794

9/11/2014

Fry, Melanie

RN186644

Tolliver, Cheryl MD

53040

10735

2941-D N. Ashley Street, Ste D Valdosta, GA 31602

6/8/2012

Wednesday, August 12, 2015

Page 118 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Fuentes, Allison

RN230823

Holly Krysiak, MD

65583

15384

5665 New Northside Dr, Ste 320 Atlanta, GA 30328

5/8/2015

Fukuda, Cristiane Lemos

RN158316

Christopher Borrego, DO

52259

9247

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

9/2/2010

Fulaytar, Sarah

RN248833

William Mills, MD

50901

16102

58 Big A Rd Toccoa, GA 30577

8/6/2015

Fulcher, Sheila

RN137639

Levit, Ronald MD

59268

10118

4425 Paulsen Street Savannah, GA 31405

10/7/2011

Fuller, Jamie

rn170842

Stephanie Keller, MD

64120

15430

975 Johnson Ferry Rd Atlanta, GA 30342

5/8/2015

Fuller, Jana Allen

RN147639

Stephen Felton, MD

30996

13002

1445 Old McDonough Hwy, Suite E Conyers, GA 30094

2/5/2015

Fuller, Wendy Brannan

RN093416

Michael Duke, MD

42041

13189

120 Barnet Dr Milledgeville, GA 31061

5/1/2014

Fuller, Jana Allen

RN147639

Andrea Hill, MD

51332

12463

517 Great Oaks Dr, Suite 103 Monroe, GA 30655

11/8/2013

Fuller, Selena Nekita

RN172405

Madhu Vishwanath, MD

56499

12522

Take Care, 181 S Clayton St Lawrenceville, GA 30045

11/8/2013

Fuller, Jaynee Lee

RN227177

Cynthia Libert, MD

59457

11862

48 Haralson Place, Suite 1 Blairsville, GA 30512

5/3/2013

Fuller, Wendy Susan Damcott

RN082682

Kevin Lanclos, MD

47109

1031

6175 Newton Drive Covington, GA 30014

5/9/2008

Fuller, Wendy Brannan

RN093416

Bradford Lipman, MD

28596

1030

275 Collier Road NW, Suite 300 Atlanta, GA 30309

11/1/2007

Fullmore, Teawka

RN176193

Rhonda Williams, MD

44647

15053

711 Knight Ave Waycross, GA 31503

3/5/2015

Fults, Selvi

RN167969

Mokhtar Hacena, MD

55062

13239

2054 Watson Blvd. Warner Robins, GA 31093

5/1/2014

Furlong, Sarah C.

RN209383

Ae Seon Cha, MD

66463

11353

1942 Atkinson Rd., Ste 100 Lawrenceville, GA 30043

12/7/2012

Wednesday, August 12, 2015

Page 119 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Futch, Nancy Williams

RN051276

Mahendrakumar Amin, MD

27483

1036

1022 W. Bryan St. Douglas, GA 31533

10/9/2014

Futrell, Lisa Marie Rowe

RN106397

Rembert Williams, MD

28105

1037

2122 Manchester Exprwy Columbus, GA 31904

9/13/2013

Gabrels, Dorothy A.

RN143523

James Butts, MD

9103

9079

PO Box 2683 Gainesville, GA 30503

5/7/2010

Gabrels, Dorothy A.

RN143523

Henry Lewis, MD

49052

1038

1208A Sherwood Park Drive Gainesville, GA 30501

8/2/2007

Gaddis, Stepanie Marie

RN198713

Cynthia Murray, MD

58374

14341

3686 Wheeler Rd Augusta, GA 30909

9/11/2014

Gaddis, Funlola

RN186624

Galan, Vincent MD

28685

10466

1365 Rock Quarry Road, Ste 202 Stockbridge, GA 30281

2/3/2012

Gaillard, Denotra Hicks

RN060447

Tania Edwards,DO

53462

12352

1110 Farr Rd, Suite C Columbus, GA 31906

11/8/2013

Gainer, Judy R.

RN091787

Javed H. Fazal, MD

57457

11359

1860 Watson Blvd. Warner Robins, GA 31093

12/7/2012

Gainey, Tyronjala

RN175270

Linda Neale, DO

49070

15406

1255 Hwy 54 West Fayetteville, GA 30214

6/4/2015

Gainey, Tyronjala

RN175270

Donald Manning, MD

23635

14948

1968 Peachtree Rd NW Atlanta, GA 30309

3/5/2015

Gallagher, Joanne Marie

RN114111

William Meadows, MD

30513

9261

1507 Broomtown Rd LaFayette, GA 30728

9/2/2010

Galland, Elizabeth

RN200274

Suzanne Rehrne, MD

65051

14585

960 Joe Frank Harris Parkway Cartersville, GA 30120

1/8/2015

Galland, Elizabeth Hamrick

RN200274

Randolph Sumner, MD

28323

12737

1825 Martha Berry Blvd Rome, GA 30165

1/9/2014

Gallaway, Dorothy Kay Clark

RN058116

Cynthia Rust, MD

35132

1044

634 McDonough Blvd SE Atlanta, GA 30315

9/2/2010

Wednesday, August 12, 2015

Page 120 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Galliano, Donna Michelle

RN084817

Channing Hampton, MD

72028

14863

2225 US Hwy 41 North Tifton, GA 31794

3/5/2015

Gamble, Kathy Cooper

RN112436

James Meadows, MD

25641

1046

PO Box14417 Savannah, GA 31416

6/8/2007

Gambrell, Patricia Healy

RN050877

Jeffrey Lamp

56736

14280

2151 West Spring St Monroe, GA 30655

11/7/2014

Gambrell, Patricia Healy

RN050877

Mark Hancock, MD

67750

12170

163 Hospital Dr Toccoa, GA 30577

5/1/2014

Gamel, Mary Suzanne

rn139591

Gore, James MD

36384

10742

1657 North Expressway Griffin, GA 30223

6/8/2012

Gannaway, Geri Lauraine Mathi RN144204

Robert Younger, III, MD

31373

1048

1107 Memorial Dr, Suite G-2 Dalton, GA 30720

11/5/2009

Garber, Courtney S

RN191056

Christopher Horn, MD

66120

13891

55 Whitcher St Marietta, GA 30060

9/11/2014

Garcia, Cheryl Anita

RN190223

Gretchen Collins, MD

32712

11030

8201 Hazelbrand Rd. Covington, GA 30014

9/13/2012

Gardner, Christy

RN177499

James Holcomb, MD

27065

15966

1120 15th St, BIW 6033 Augusta, GA 30912

8/6/2015

Gardner, Jennifer Ann

Rn 198306

Charles Stewart, MD

54037

14142

95 Collier Rd, Ste 4075 Atlanta, GA 30309

11/7/2014

Gardner, Katherine Elizabeth

RN185338

David Allen, MD

24773

12164

120 Trinity Place Athens, GA 30607

8/9/2013

Gardner, Alana M.

RN022359

Joon Ahn, MD

48750

11399

200 S. Enota Dr., Ste. 200 Gainesville, GA 30501

12/7/2012

Gardner, Colleen

RN082384

Gimpelevich, Akiva DO

64219

10200

2398 Mt. Vernon Road Ste 150 Dunwoody, GA 30338

11/3/2011

Gardner, Colleen Chace

RN082384

Gail Gross, MD

23161

1051

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Garfield, Jennifer

RN170685

Saudiqa Hoossainy, MD

68179

15104

5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

3/5/2015

Wednesday, August 12, 2015

Page 121 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Garmon, Lindsey

RN203458

Jagdeep Singh, MD

59761

14139

1168 North Main St, Ste 110 Cedartown, GA 30125

11/7/2014

Garner, Kaylin

RN215633

Michael Hahowell, MD

61846

15530

5126 Hospial Dr Covington, GA 30014

6/4/2015

Garner, Danielle LaTese

RN174395

Patrick Bowen, MD

48982

13065

1365 Clifton Rd NE, Suite A-4 Atlanta, GA 30322

4/4/2014

Garner, William Martin

RN112439

Jill Pottinger, MD

42601

1054

304 Turner McCall Blvd Rome, GA 30165

2/7/2008

Garnett, Laura Marie Nofziger

RN100396

Ward Warren, MD

63045

9208

1350 Walton Way Augusta, GA 30901

7/1/2010

Garrard, Jeremy

RN188785

Charles Hope ll, MD

43962

14790

210 E DeRenne Ave Savannah, GA 31405

2/5/2015

Garrett, Kerry

RN123276
RN123276

Edward Young, MD

36325

15400

777 Hemlock St, MSC 104 Macon, GA 31201

5/8/2015

Garrett, Caroline

RN216084

Anil Yadav, MD

53898

14913

51 Gordon Rd, Ste 201 Jasper, GA 30143

2/5/2015

Garrison, Margarita

RN207237

Manjushree Ghose, MD

42827

13359

2988 Shallowford Rd. Marietta, GA 30066

6/6/2014

Garvey, Janet Ellen

RN244297

Earl Martin, MD

28602

15147

701 Charles Gllman Jr. Ave, Ste B Kingsland, GA 31548

4/2/2015

Gaskill, Catherine

RN159613

Andrew Wickliffe

47868

11140

275 Collier Rd., Ste 500 Atlanta, GA 30309

10/5/2012

Gaskin, Allison Lynn

RN201181

Channing Hampton, MD

72028

14616

2225 US Hwy N Tifton, GA 31794

1/8/2015

Gaskin, Kara

RN138448

Sexson, James MD

38362

10606

1810 Mulkey Rd, Ste 200 Austell, GA 30106

3/29/2012

Gaskin, Kelley Lynn

RN140352

Jordan Greenbaum, MD

57172

1063

1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

11/5/2009

Wednesday, August 12, 2015

Page 122 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gaskins, Rebecca

RN066224

Medina-Bairan, Jose MD

41166

10284

3334 Greystone Wayh Valdosta, GA 31605

1/6/2012

Gass, Deborah K

RN186817

Eva Beaulieu, MD

66254

12552

3600 Dallas Hwy SW Marietta, GA 30064

12/6/2013

Gass, Deborah K

RN186817

Karina Belinfante, MD

55726

11672

3903 South Cobb Dr, Suite 120 Smyrna, GA 30080

3/8/2013

Gass, Deborah K.

RN186817

Brendee N. Urrutia, MD

66661

11469

4355 Browns Bridge Rd., #1 Cumming, GA 30041

1/11/2013

Gaston, Jeanette

RN063960

Daniel Sims, MD

57323

11048

550 Peachtree St., MOT 4 Atlanta, GA 30308

10/5/2012

Gates, Yolanda April

RN085176

Erskine James, MD

47980

12121

777 Hemlock St Macon, GA 31201

8/9/2013

Gates, Mary Alisha

RN173289

Tamika J. Bryant, MD

65940

11463

1001 Johnson Ferry Rd, #500 Atlanta, GA 30342

7/11/2013

Gatliff-Holley, Karen

RN116254

Johnny Christian, MD

35026

15462

305 Jones Ave Waynesboro, GA 30830

5/8/2015

Gay, Anna

RN191509

Usama Kanaan, MD

60648

15437

1405 Clifton Rd NE Atlanta, GA 30322

5/8/2015

Gay, Sarah Elizabeth

RN210406

Frank Saucier, MD

28880

13001

2122 Manchester Exprwy, Emer Dept Columbus, GA 31904

3/6/2014

Gay, Judith

RN039869

Niebaum, Kevin DO

47353

10151

306 Corder Road Warner Robins, GA 31088

10/7/2011

Gay, Judith Ann

RN039869

Edward Clark, MD

36700

1068

744 First Street Macon, GA 31201

4/3/2008

Gay Giddens, Ashley

RN31577
RN31577

William Coleman, MD

31577

14848

1211 Palmyra Rd Albany, GA 31701

1/8/2015

Gaynor, Deborah

RN108005

Robert Burnham, MD

31886

15973

3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005

8/6/2015

Wednesday, August 12, 2015

Page 123 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gaynor, Amy Lempyne

RN144324

Thomas Taylor, MD

33212

12589

477 Windsor St SW, Suite 309 Atlanta, GA 30312

12/6/2013

Gaynor, Deborah Anne Hertz

RN108005

Melissa Eaton, MD

48507

1071

110 N Corners Pkwy, Suite 100 Cumming, GA 30040

7/11/2008

Geers, Christine Maria

RN090045

Hal Scherz, MD

38357

1072

5445 Meridian Mark Road, #420 Atlanta, GA 30342

2/5/2009

Geiger, Jennifer

RN213762

Andrew Yen, MD

63554

15954

200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

8/6/2015

Geiger, Roberta Lynn

RN122957

Mark Winokur

36317

14156

1401 Johnson Ferry, Ste 390 Marietta, GA 30062

12/4/2014

Geimer, Connie

RN178373

Paul Schriever, MD

40781

15873

330 Turner McCall Blvd Rome, GA 30165

7/9/2015

Geller, Daniel Edward

RN183088

Angela Floyd, MD

65546

13254

477 Windsor St SW, Suite 309 Atlanta, GA 30312

6/6/2014

Gentry, John Mitchell

RN089319

George Brown, MD

30275

1077

141 Piedmont Ave, Suite D Atlanta, GA 30303

6/4/2010

George, Deborah

RN102350

Resha Allen, MD

57920

15691

417 W 3rd Ave Albany, GA 31701

6/4/2015

George, Binumol

RN179444

Dinesh Chatoth, MD

50004

14336

575 Professional Dr, Ste 250 Lawrenceville, GA 30044

10/9/2014

George, Deborah

RN102350

Fontaine, Pierre MD

62686

10815

1153 North Liberty St,. PO Box 650 Nicholls, GA 31554

7/12/2012

George Dalmida, Safiya A

RN149930

Sherri Barton, MD

48595

14228

6158 Hwy 92, Ste 101 Acworth, GA 30102

4/2/2015

George Dalmida, Safiya

RN149930

Joseph, Kirpich MD

54904

10275

969 Windy Hill Rd Ste E Smyrna, GA 30080

6/8/2012

Gephart, Rebecca

RN197890

Lloyd Rimer, MD

30665

15422

3541 Chattanooga Rd Tunnel Hill, GA 30755

5/8/2015

Wednesday, August 12, 2015

Page 124 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gephart, Rebecca

RN197890

Randy Robinson, MD

35987

15220

1507 Broomtown Rd Lafayette, GA 30728

4/2/2015

Gephart, Rebecca

RN197890

Pablo Perez, MD

47502

14608

815 Shugart Rd Dalton, GA 30720

12/4/2014

Gerken, Molly Kayla

RN231331

Jeffrey Reznik, MD

53872

15078

2520 Windy Hill Rd S E, Ste301 Marietta, GA 30067

3/5/2015

Gerrin, Rebecca

RN118577

Joseph Joyave, MD

43977

15181

100 Market Place Blvd, Ste 302 Cartersville, GA 30121

4/2/2015

Gervin, Coretta Delia Keith

RN124581

Benjamin Andrews, MD

31867

8531

1048 E. Forsyth Street Americus, GA 31709

6/5/2009

Gervin, Coretta Delia Keith

RN124581

Alfred Woodard, MD

40592

1081

417 West 3rd Ave. Albany, GA 31701

9/14/2007

Geter, Jacqueline Jones

RN106417

Tamara New, MD

58712

12280

1405 Clifton Rd NE, AFLAC Cancer Center Atlanta, GA 30322 9/13/2013

Giammarella, Nancy Drown

RN114596

Cynthia Brown, MD

49876

1085

815 Curtis Pkway Calhoun, GA 30701

9/11/2014

Giaraffa, Phyllis A

RN096231

Reemon Bishara, MD

63759

13892

1915 Eisenhower Dr Savannah, GA 31406

9/11/2014

Gibbons, Wanda L. Rogler

RN069862

Courtney Middleton, MD

57295

5155

11975 Morris Rd, Suite 300 Alpharetta, GA 30005

5/1/2014

Gibbons-Berry, Karen

RN093348

Hetal Thakore

53556

11101

811 13th Street, Ste 10 Augusta, GA 30901

10/5/2012

Gibbons-Berry, Karen Leigh

RN093348

Vanessa Cabaron, MD

53843

9567

1350 Walton Way Augusta, GA 30901

4/1/2011

Gibbs, Jennifer Nicole

RN154629

Amy Nance, MD

65452

13577

800 First St., Ste 410 Macon, GA 31201

8/7/2014

Gibbs, Jennifer Dokupil

RN233060

Thomas Ho, MD

44748

12442

7494 Battlefield Pkwy Ringgold, GA 30736-7306

10/10/2013

Wednesday, August 12, 2015

Page 125 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gibbs, Stephanie

RN149561

Kim Blevens, MD

32131

1091

116 South Houston Rd Warner Robins, GA 31088

9/3/2009

Gibbs, Martha K.

RN050776

Daniel Williams, MD

37926

8449

1128 Southpark street Carrollton, GA 30119

2/5/2009

Gibson, Belinda Joyce

RN039884

Bruce Wood, DO

23516

14488

259 Jonesboro Rd McDonough, GA 30253

12/4/2014

Gibson, Barbara

RN073501

Edward Meier, MD

43426

14193

2112 Shorter Ave N W, Ste 200 Rome, GA 30165

11/7/2014

Gibson, Christy Howard

RN162475

Travan Jasper, MD

45506

13682

3116 Hwy 34 East Newnan, GA 30265

8/7/2014

Giedd, Ann Marie Beckwith

RN189614

William Lytollis, MD

57392

11846

316 North Broad St Winder, GA 30680

5/3/2013

Gifford, Virginia L.

RN181533

Travis Bowles, MD

68374

11987

3939 Roswell Rd, Suite 200 Marietta, GA 30062

6/7/2013

Gilbert, Cindy Gail Tarrer

RN051556

William Edwards, MD

47079

12811

800 Professional Blvd Dalton, GA 30720

1/9/2014

Gilfillan, Kelly West

RN150994

Olufemi Taiwo, MD

51606

11757

222 Arrowhead Blvd Jonesboro, GA 30236

4/4/2013

Gilfillan, Kelly West

RN150994

Aly Ahmed, MD

39026

11758

2340 Patrick Henry Pkwy, Suite 225 McDonough, GA 30253

4/4/2013

Gill, Sherry

RN188635

Paxton, William MD

46206

10268

170 Camden Hill Rd Lawrenceville, GA 30046

12/1/2011

Gill, Nicole K.

RN124898

Kevin King, MD

56310

1100

2122 Manchester Expwy Columbus, GA 31904

4/2/2009

Gillette, Tiffany Celeste

RN233119

Edwin Bello, MD

36099

12536

1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

11/8/2013

Gilliam, Stephen Darrell

RN075780

David Hocker, MD

41138

1103

8564 Highway 17 S Toccoa, GA 30577

10/9/2014

Wednesday, August 12, 2015

Page 126 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gilliard, Candace Usry

RN149543

Douglas Joyner, MD

31039

8973

151 E. Mayo St Americus, GA 31709

3/4/2010

Gilliland, Tammy

RN143502

Gregory Sfakianos, MD

67770

15375

2300 Manchester Expwy, Ste C001 Columbus, GA 31904

5/8/2015

Gillis, Hollie T.

RN089950

Caroline D. Yaphockun, MD

53213

11576

330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

2/7/2013

Gillis, Hollie Thacker

RN089950

Thomas Ryan, MD

42415

1104

20 Collins Dr, Suite B Cartersville, GA 30120

11/5/2009

Gilson Agnew, Greta M

RN054192

Walter Smith, DO

28895

13893

6330 Riverdale RD Riverdale, GA 30274

9/11/2014

Gipson, Tonya

RN225872

Todd Martin, MD

67824

16063

201 Hospital Rd Canton, GA 30114

8/6/2015

Giron, Lorena Alicia

RN121825

Kumud Smith, MD

41181

14811

1 Freedom Way Augusta, GA 30904

2/5/2015

Gisness, Christine Marie Miller

RN064140

Daniel Wu, MD

51572

1107

49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

9/11/2008

Gladden, Brandi Nichole

RN229466

Adithya Reddy, MD

61509

13955

2550 Windy Hill Rd., Ste 206 Marietta, GA 30067

9/11/2014

Gladney, Tammy Annette

RN106430

Shannon Vaughn, MD

46000

1112

310 W. 10th Street Rome, GA 30165

12/7/2007

Gladue, Clara Ann

RN145311

Craig Kerins, MD

21170

8846

1384 Greene St Augusta, GA 30901

12/4/2009

Glasheen, Debra Ann

RN208103

Brooks Moore, MD

53336

12959

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

2/6/2014

Glaze, Rachel Toi

RN149595

Phillip Gray, MD

33340

12836

450 Clarence King Pkwy Calhoun, GA 30701

2/6/2014

Gleason, Charise Lyn

RN139408

Sagar Lonial, MD

44007

1113

1365 Clifton Rd NE, Bldg C, Plaza Level Atlanta, GA 30322

3/6/2009

Wednesday, August 12, 2015

Page 127 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Glebikowska, Iwona Violetta

RN135128

Margaret Boudreaux, MD

44172

9156

763 Peachtree Pkwy, Suite 2 Cumming, GA 30041

6/4/2010

Glover, Shontreka Akisha

RN155519

Oswaldo Henriquez, MD

70141

13027

80 Jesse Hill Jr Dr SE, Ste 3J ENT Clinic Atlanta, GA 30303

3/6/2014

Glover, Jessica Brandt

RN217049

Dudley Stone, MD

51088

12545

2 Wheeler St Savannah, GA 31405

11/8/2013

Gnann, Kathryn Ann Kohn

RN087807

Tammy Williams, MD

51563

1116

150 Gentilly Blvd Cartersville, GA 30120

11/1/2007

Gobeille-Dormio, Rosalee

RN178818

Sean Delaney, MD

49001

12259

755 Walther Rd Lawrenceville, GA 30046

10/10/2013

Goble, Anne-Marie

RN145415

Andrew Hester, MD

66172

12903

106 Hospital Crt. Calhoun, GA 30701

6/6/2014

Goddard, Tami Marie

RN165613

Douglas Brewer, MD

38696

12010

240 Sheraton Blvd Macon, GA 31210

7/11/2013

Godfrey, Chandra Tucwann

RN155713

Frederick Roberts, MD

42113

12294

2122 Manchester Exprwy Columbus, GA 31904

9/13/2013

Godwin, Cristi Leigh

RN130256

Jonathan Williams, DO

59237

9571

1733 Gornto Rd, Suite 101-C Valdosta, GA 31601

2/4/2011

Goergen, Jacob

RN226582

David Quintero Bustos, MD

61149

15592

600 Celebrate Life Parkway Newnan, GA 30265

6/4/2015

Goff, Macie Lane

RN124928

Hugo Ribot, MD

30196

8109

958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120

12/7/2007

Gohacki, Robin Christine Jernig

RN178156

Stephen Odom, MD

38895

13633

1700 Hospital South Dr, Suite 202 Austell, GA 30106

8/7/2014

Gokal, Payal Vasantrai

RN208644

Ioana Chirca, MD

69285

14339

1350 Walton Way 4 West Augusta, GA 30901

9/11/2014

Golan, Tail

RN230566

Maiysha Clairborne, MD

55194

15578

1000 Johnson Ferry Rd, Ste B155 Barietta, GA 30068

6/4/2015

Wednesday, August 12, 2015

Page 128 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Golan, Tali

RN230566

Riba Kelsy-Harris, MD

53833

12523

2670 Cobb Pkwy SE Smyrna, GA 30080

11/8/2013

Gold, Kara Waldrop

RN113630

Alex Rikhter, MD

44070

9961

1140 Hammond Drive, Ste G7105 Atlanta, GA 30328

8/5/2011

Goldklang, Michelle Marie

RN161827

Harriette Perlstein, MD

31098

9482

4395 Johns Creek Pkwy, Suite 150 Suwanee, GA 30024

12/3/2010

Goldsberry, Jennifer

RN129746

Duke, Michael MD

42041

10391

134 W. Campus Dr, CBX 091 Milledgeville, GA 31061

1/6/2012

Golubic, Sharon Louise

RN127360

Dawn Simon, MD

58644

11961

1605 Chantilly Dr, Suite 305 Atlanta, GA 30324

6/7/2013

Gonzalez-Roepke, Raquel Idalis

RN200412

Deborah Rodriguez, MD

62599

12719

771 Old Norcross Rd, Suite 250 Lawrenceville, GA 30046

1/9/2014

Gooch, Carole

RN069392

John Pittman, MD

37045

14555

715 E 2nd Ave Rome, GA 30161

12/4/2014

Gooch, Michelle E. Wright

RN212025

Michael Hartley, MD

63668

9803

1109 Burleyson Rd, Suite 202 Dalton, GA 30720

8/5/2011

Gooch, Michelle E. Wright

RN212025

Ian Hamilton, Jr., MD

47329

9804

1109 Burleyson Rd, Suite 202 Dalton, GA 30720

8/5/2011

Goode, Robbie Poore

RN073439

Stephen Frohwein, MD

34834

1129

5669 Peachtree Dunwoody Rd, Suite 315 Atlanta, GA 30342

3/6/2014

Gooding, Karen Elaine

RN174056

Nicole Sroka, MD

57191

15091

1267 Hwy 54 West, Ste 210 Fayetteville, GA 30214

3/5/2015

Goodman, Susannah

RN157565

Charles Myers, MD

69314

14979

100 Duplainville Rd The Rock, GA 30285

3/5/2015

Goodman, Erin Marie

RN207405

Jonathan Hundley, MD

69029

13503

1968 Peachtree Rd, NW Atlanta, GA 30309

7/10/2014

Goodno, Shana

RN164651

Lee, Clay DO

46610

10224

207 31st Ave SE Moultrie, GA 31768

12/1/2011

Wednesday, August 12, 2015

Page 129 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Goodno, Shana Leigh

RN164651

Rhonda Bedell, MD

36097

9477

633 Veteran's Pkwy South Moultrie, GA 31788

1/7/2011

Goodson, Jennifer Moore

RN124143

John Schuler, MD

37364

12972

600 Parkway North Newnan, GA 30265

3/6/2014

Goodwin, Dara

RN180693

Smith, Ronnie MD

45338

10303

543 Jonesboro Rd McDonough, GA 30253

1/6/2012

Goodwin, Willie James

RN154592

Oladapo Odujebe, MD

60950

9362

550 Peachtree St NE, Emer Room Atlanta, GA 30308

12/3/2010

Goodwin, Amy Catherine

RN118448

Leslie Cotrell, MD

45194

1132

1600 Maple St. Carrollton, GA 30118

8/2/2007

Gordon, Bridgette

RN158213

Mark Elam, MD

36147

15717

1000 Medical Center Blvd 100, Ste 290 Lawrenceville, GA 30 7/9/2015

Gordon, Catherine Doan

RN191108

Thomas Gary, MD

60264

12308

123 Weaver Rd, Suite A Blairsville, GA 30512

9/13/2013

Gordon, Bridgette

RN158213

Goldstein, Matthew MD

48115

10739

1700 Medical Way, Emer Dept Snellville, GA 30078

6/8/2012

Gordon, Jane Louise

RN188412

John Abell, MD

33014

5528

521 W. 3rd Avenue Albany, GA 31701

4/2/2009

Gordy, Bridget Nicole

RN231607

Aldrich Mendoza, MD

62916

15307

1480 Hwy 27 South Carrollton, GA 30117

4/2/2015

Gordy, Bridget Nicole

RN231607

Regina Justice, MD

47777

13257

2462 Hwy 34 East, Suite A Newnan, GA 30265

6/6/2014

Gore, Holly Paige

RN118105

William Dasher lll, MD

51453

14898

3708 Northside Dr Macon, GA 31210

2/5/2015

Gore, Victoria Ferlita

RN121027

Mathew Ciechan, II, MD

24217

8993

400 Town Park Blvd, Suite 300 Evans, GA 30809

2/5/2010

Gorgens, Ulrike

RN185676

Peter Rossi, MD

57833

9886

1365 Clifton Road Atlanta, GA 30322

8/5/2011

Wednesday, August 12, 2015

Page 130 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gorgor, Saye Zunpudolo

RN105044

Riba Kelsey-Harris, MD

53833

8990

9465 Hwy 5 Douglasville, GA 30135

2/5/2010

Gosa, Josephine Elaine Fisher

RN060198

John Bucholtz, DO

25116

1141

1800 10th Ave Columbus, GA 31901

8/7/2014

Goyal, Geetika

RN225920

Beena Patel, MD

37322

15452

8095 Roswell Rd, Ste A Sandy Springs, GA 30004

5/8/2015

Graber, Karolina Hope

RN166965

Taylor Graves, MD

40082

1145

1821 Clifton Rd. NE Atlanta, GA 30329

10/9/2014

Graff, Jennifer Ann

RN215164

Melissa White, MD

54363

13315

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

6/6/2014

Graham, Vickie L

RN165086

Oscar Espetia, MD

65358

16021

2501 N Patterson St. Valdosta, GA 31602

7/9/2015

Graham, Vickie

RN165086

Glenn Valladares, MD

72152

14361

2501 North Patterson St Valdosta, GA 31602

12/4/2014

Graham, Jennifer

RN176480

Robertson, Gregory MD

52203

10202

6325 Hospital Parkway Johns Creek, GA 30097

11/3/2011

Graham, Vickie L.

RN165086

Raymond Gutierrez, MD

57983

9510

417 W. 3rd Ave, Emer Dept Albany, GA 31701

3/4/2011

Grahn, Jody J.

RN136905

Thomas David Yates, MD

26417

1150

58 Big A Rd Toccoa, GA 30577

4/13/2007

Granger, Elaine

RN116530

Gillespie, Lisa MD

41433

10561

1412 Milstead Avenue Conyers, GA 30012

3/29/2012

Granger, Elaine Frances Green

RN116530

Karim Godamunne, MD

51652

9466

1170 Cleveland Ave East Point, GA 30344

12/3/2010

Granger, Elaine Frances Green

RN116530

Joel Megli, MD

49244

8975

11 Upper Riverdale Rd Riverdale, GA 30274

3/4/2010

Granger, Elaine Frances Green

RN116530

Rodrick Lawton, MD

55766

1152

790 341 Blvd Hawkinsville, GA 31036

6/5/2009

Wednesday, August 12, 2015

Page 131 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Grant, Shayni

RN117085

Jason Nicely, MD

67693

15291

1200 Memorial Dr Dalton, GA 30720-2529

6/4/2015

Grant, April R.

RN152353

Jatinder Bhatia, MD

18784

15013

1120 15th St., BIW 633 Augusta, GA 30912

3/5/2015

Grasman, Amy Joyce

RN139828

Samrajya Gogineni, MD

25160

14941

1390 Hwy 19 South Leesburg, GA 31763

3/5/2015

Grasman, Amy

RN139828

Crick, Mark MD

41421

10356

2709 Meredyth Drive SW, Ste 330 Albny, GA 31707

1/6/2012

Grasman, Amy Joyce

RN139828

Joseph Burnette, MD

33286

9703

401 Fourth Ave Albany, GA 31701

4/1/2011

Grasman, Amy Joyce

RN139828

Vito John Bagnato, MD

45711

8591

810 13th Avenue, Suite 108 Albany, GA 31701

6/5/2009

Graves, Mary

RN191607

Saudiqa Hoossainy, MD

68179

15105

5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

3/5/2015

Gravitt, Pamela Mae Wooten

RN097443

Laura Conger, MD

42031

13670

1200 Memorial Dr Dalton, GA 30720

8/7/2014

Graw, Kimberly Hope

RN191658

Lera Fina, DO

66488

14269

2040 Dan Proctor Dr, Ste 140 St. Marys, GA 31558

2/5/2015

Graw, Kimberly Hope Young

RN191658

Kimberly StoughtonDoherty, MD

55981

12685

2040 Dan Proctor Dr, Suite 140 St Mary's, GA 31558

1/9/2014

Gray, Rebecca

RN167348

Thomas Bloodworth, MD

18124

16112

6794 Bill Carruth Pkwy Hiram, GA 30141

8/6/2015

Gray, Wendy Leigh

RN229260

Nick Vlachos, MD

62624

12856

100 Glenn Bass Road LaGrange, GA 30240

3/6/2014

Gray, Jennifer H.

RN168105

Victor W. Rosenfeld, MD

64752

11614

1326 Eisenhower Dr. Savannah, GA 31405

3/8/2013

Gray, Leah D.

RN059012

Colin Brinkmann, MD

59131

11177

1984 Peachtree Rd., Ste 515 Atlanta, GA 30309

12/7/2012

Wednesday, August 12, 2015

Page 132 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gray, Eleasha R.

RN121625

Randall Berinhout, MD

34777

8302

210 Medical Blvd Stockbridge, GA 30281

10/2/2008

Gray, Carol Ann Ferguson

RN143701

Stephen Pastan, MD

39196

1157

35 Collier Road NW, Suite 610 Atlanta, GA 30309

11/1/2007

Gray, Carol Ann Ferguson

RN143701

Michael Katz, MD

40116

8092

35 Collier Road NW, Suite 610 Atlanta, GA 30309

11/1/2007

Gray, Carol Ann Ferguson

RN143701

Edward Frederickson, MD

32384

8093

35 Collier Road NW, Suite 610 Atlanta, GA 30309

11/1/2007

Gray, Pamela Ann Ansley

RN094164

Michael Powell, MD

23663

1159

PO Box 840 Thomson, GA 30824

5/10/2007

Gray-Smith, Patricia Theresa

RN167539

Paul Allen, MD

28490

14459

2795 Main St. W, Ste 27 Snellville, GA 30078

4/2/2015

Gray-Smith, Patricia

RN167539

Venkatappa R. Rangaraj,
MD

58633

11480

2795 Main St. W, #27 Snellville, GA 30078

3/8/2013

Gray-Smith, Patricia Theresa

RN167539

Jae Pak, MD

40185

9399

2160 Fountain Dr, Suite 200 Snellville, GA 30078

11/5/2010

Gray-Smith, Patricia Theresa

RN167539

Naresh Parikh, MD

28851

1160

6330 Primrose Hill Court Norcross, GA 30092

2/5/2009

Greco, Lindsay

RN189878

Jones, Andrew ND

65467

10152

2701 North Decatur Road Decatur, GA 30033

11/3/2011

Greco, Lindsay Elizabeth

RN189878

Samuel Szumstein, MD

55796

5482

3820 Medical Park Dr Austell, GA 30106

1/7/2010

Green, Linda

RN069351

Joy Nwadike, MD

56863

15729

110 Hospital Dr Calhoun, GA 30701

7/9/2015

Green, GerLana Shanea

RN215381

James Mossell, MD

44028

14157

901 East 18 th St, Ste 490 Tifton, GA 31794

11/7/2014

Green, Marla Carolyn

RN196523

Ethan Tolbert, MD

46265

13622

550 Peachtree St, NE, Ste 1185 Atlanta, GA 30308

10/9/2014

Wednesday, August 12, 2015

Page 133 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Green, Marla Carolyn

RN196523

Pradeep Jolly, MD

22798

14063

1100 Johnson Ferry Rd., Ste 600 Atlanta, GA 30342

10/9/2014

Green, Marla Carolyn

RN196523

Rao Moravineni, MD

51360

13621

747 S. 8th St., Ste C Griffin, GA 30224

9/11/2014

Green, Alisha Moses

RN175761

Jagdeep Singh, MD

59761

13360

501 Redmond Rd. Rome, GA 30165

6/6/2014

Green, Jennifer Brooke Miles

RN115738

Carlton Lancaster, MD

15392

12851

1109 Burleyson Road Suite 104 Dalton, GA 30720

6/6/2014

Green, Amanda Joy

RN198522

Robert Del Pozo, MD

35853

12196

2540 Windy Hill Rd Marietta, GA 30067

9/13/2013

Greenbush, Rita Marie Clonan

RN073914

Ryan Moody, MD

59284

12075

138 Canal St, Suites 304-305 Pooler, GA 31322

7/11/2013

Greenbush, Rita Marie Clonan

RN073914

John Rathbun, MD

23665

7718

11700 Mercy Blvd #6 Savannah, GA 31419

1/11/2008

Greene, Alania

RN190789

Micah Riegner, MD

47991

15676

310 Eisenhower Dr, Bldg 16 Savannah, GA 31406

6/4/2015

Greene, Margaret Elizabeth

RN196671

Kevin Johnson, MD

70497

14260

1000 University Center Lane, Ste 3106 Lawrenceville, GA 300 2/5/2015

Greene, Maloma Abidemi

RN171320

Stacie Schmidt, MD

63811

12963

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

3/6/2014

Greene, Priscilla Rowan

RN117817

Jonathan Parrott, MD

36246

8254

2501 N. Patterson Street Valdosta, GA 31602

9/11/2008

Greene, Priscilla Rowan

RN117817

Lora Efaw, MD

36727

1164

1807 Old Ocilla Road Tifton, GA 31794

11/1/2007

Greenhood, Karen E. Richards

RN046959

Michael Banov, MD

37945

8212

108 Margaret Avenue Marietta, GA 30060

6/6/2008

Greenwald, Codi Lynn

RN208848

David Goo, MD

31924

13894

100 Medical Center Blvd. Lawrenceville, GA 30046

9/11/2014

Wednesday, August 12, 2015

Page 134 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Greenway, Mary

RN144604

Clifton, James DO

23926

10722

PO Box 1199, 305 Kite Road Swainsboro, GA 30401

6/8/2012

Greer, Jean Smith

RN145206

Darshana Sheth, MD

58642

14845

2476 Canton Rd Marietta, GA 30066-5377

4/2/2015

Gregory, Shalia Shani

RN201437

James Lah, MD

41863

13451

1821 Clifton Rd, NE Atlanta, GA 30329

7/10/2014

Gregory, Shalia Shani

RN201437

Ihab Hajjar, MD

70835

13449

1821 Clifton Rd, NE Atlanta, GA 30329

7/10/2014

Gregory, Shalia Shani

RN201437

Krishnankutty Sathian, MD

37903

13452

1821 Clifton Rd, NE Atlanta, GA 30329

7/10/2014

Gregory, Shalia Shani

RN201437

William Hu, MD

63701

13453

1821 Clifton Rd., NE Atlanta, GA 30329

7/10/2014

Gregory, Shalia Shani

RN201437

Allan Levey, MD

34885

13448

1821 Clifton Rd. Atlanta, GA 30329

7/10/2014

Gregory, Shalia Shah

RN201437

Chadwick Hales, MD

60739

13450

1821 Clifton Rd, NE Atlanta, GA 30329

7/10/2014

Grenon, Suzanne Victoria Smith RN159818

Bryan Cheever, MD

34120

2785

1107 Memorial Dr, Suite 200 Dalton, GA 30720

1/7/2010

Griffaw, Laura Ann

RN226492

Edwin Bello, MD

36099

12154

1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

8/9/2013

Griffeth, Susan

RN131706

Trent Schueneman, MD

51731

15681

2927 Demere Rd St. Simons Island, GA 31522

6/4/2015

Griffin, Shuvory Chyann

RN193727

Cassandra Donnelly, DO

68144

14881

3617 Roswell Rd NE, Ste A Atlanta, GA 30305

3/5/2015

Griffis, Jr., Donald Neal

RN203059

John House, MD

11959

13269

218 Quarterman St Waycross, GA 31501

6/6/2014

Grigg, Carolyn W.

RN106463

David Quintero-Bustos, MD

61149

13555

600 Parkway North Newnan, GA 30265

8/7/2014

Wednesday, August 12, 2015

Page 135 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Griggs, Susan Flanagan

RN059057

Michael Litrel, MD

39623

5168

227 Riverstone Dr Canton, GA 30114

12/7/2007

Grigsby, John

RN186490

Akita Evans, MD

64372

15294

700 US Hwy 29 North Athens, GA 30601

5/8/2015

Grimes, Ashley Upchurch

RN183224

Andrew Doris, MD

49005

13971

761 Old Norcross Rd. Lawrenceville, GA 30046

9/11/2014

Grindlay, Ashley Marie

RN197394

Jose Aristizabal, MD

51206

11076

2665 N Decatur Rd, Suite 430 Decatur, GA 30033

10/5/2012

Griner, Dell Renee Britt

RN112041

John Currie, MD

63768

9648

1831 5th Ave Columbus, GA 31904

4/1/2011

Grossman, Michael Paul

RN206831

Anuradha Subramanian, MD 56774

12975

69 Jesse Hill Jr Dr SE, Suite 312-A Atlanta, GA 30303

6/4/2015

Grove, Lindsay Ann

RN053441

Amanda Cowan, MD

50793

15320

5 Executive Circle Savannah, GA 31406

5/8/2015

Grube, Kathy Dimeler

RN039862

Alison Wright, MD

46017

8091

1025 North Houston Road Warner Robins, GA 31093

11/1/2007

Grummer-Smith, Kelly

RN180155

Teresa Stewart, MD

57022

15473

39 Kent Rd Tifton, GA 31794

5/8/2015

Guercio, Cynthia

RN197647

Thompson, Sonya MD

37402

10723

1700 Hospital South Drive, Ste 500 Austell, GA 30106

6/8/2012

Guercio, Cynthia Vaughn

RN197647

Lathan Overstreet, MD

36659

8731

340 Boulevard, Suite 103 Atlanta, GA 30312

11/5/2009

Guest, Sara

RN123486

Eric Paulk, MD

62271

11819

901 E. 18th St, Emer Dept Tifton, GA 31793

4/4/2013

Guest, Sara

RN123486

Mohak Dave', MD

51128

1186

743 Spring St, Emergency Dept Gainesville, GA 30501

7/10/2009

Guice, Emma Mae

RN095654

Megan Bowles, MD

68486

13028

3215 Campus Loop Rd NW, House 52 Kennesaw, GA 30144

3/6/2014

Wednesday, August 12, 2015

Page 136 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Guidry, Angela Marie

RN091759

Paula Brathwaite, MD

62476

13184

2 West Main St Hampton, GA 30228

5/1/2014

Guidry, Angela Marie

RN091759

Romeo Moriles, MD

39639

11988

236 Arrowhead Blvd Jonesboro, GA 30236

6/7/2013

Guidry, Angela Marie

RN091759

Jamie L. Walraven, MD

45023

11482

1418 Scott Blvd Decatur, GA 30030

2/7/2013

Guild, Rene

RN078829

Pena, Gullermo MD

59493

10829

75 Bypass Road Morganton, GA 30560

9/13/2012

180218

Kambiz Aflatoon, DO

66238

14813

885 Buford Dr Lawrenceville, GA 30043

1/8/2015

Guillaume, Chales Peguy
Guillaume, Charles

RN180218

Muhammad Ahmed, MD

61687

14738

1637 Athens Hwy Grayson, GA 30017

1/8/2015

Guinoo, Gregory

RN210215

Trivedi, Nimisha MD

53715

10302

3778 Hwy 42 Locust Grove, GA 30248

1/6/2012

Guldenschuh, Tanya

RN063401

Savage, Valeria MD

52724

10055

1942 Atkinson Road, Suite 100 Lawrenceville, GA 30043

10/7/2011

Gullatte, Mary

RN054217

Imani Vannoy, MD

24225

15062

741 Chance Rd Marietta, GA 30066

3/5/2015

Gulsby, Tara Phelps

RN209319

Ranjit Mathew, MD

37286

14060

170 Hawthorne Park Athens, GA 30606

10/9/2014

Gunby, Julie Dotterweich

RN203047

Reza Sutandi, MD

66908

15182

1942 Atkinson Rd., Ste 100 Lawrenceville, GA 30043

12/4/2014

Gunter, Amanda

RN164900

Dennis Spencer, DO

47663

15917

1075 S Main St, Ste 100 Madison, GA 30650

8/6/2015

Gunter, Amanda

RN164900

Andrew Magnet, MD

60215

15822

813 E 68th St, Ste 8 Savannah, ga 31405

7/9/2015

Gunter, Amanda Jo

RN164900

Courtney Shelton, MD

50559

14655

315 Boulevard N E # 200 Atlanta, GA 30312

2/5/2015

Gunter, Debbie

RN052101

Kimberly Curseen, MD

72890

14928

1462 Clifton Rd Atllanta, GA 30322

2/5/2015

Wednesday, August 12, 2015

Page 137 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Gunter, Debbie

RN052101

Ihab Hajjar, MD

70835

14929

1821 Clifton Rd NE Atlanta, GA 30329

2/5/2015

Gunter, Amanda Jo

RN164900

Randy Robinson, MD

35987

13991

1507 Broomtown Rd. Lafayette, GA 30728

9/11/2014

Gustin, Courtney

RN205597

Lue, John MD

40145

10239

1120 15th Street Augusta, `GA 30912

12/1/2011

Gutknecht, Adrienne Nicole

RN202617

Randy Durbin, DO

64776

11931

4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004

7/11/2013

Guzi, Toni R

RN212085

Judith Cauvin, MD

59135

12144

1260 Hwy 54 West, Suite 101 Fayetteville, GA 30214

11/8/2013

H Hughes, Tammy

RN203390

Nasser Tehrani, MD

53044

13421

1117 Morningside Dr. Perry, GA 31069

7/10/2014

Haack, Martha

RN075216

Merlino, John MD

27868

10289

550 Peachtree St NE, MOT 6th Floo Atlanta, GA 30308

1/6/2012

Hackworth, Terry

RN143003

Swartz, Amy MD

33718

10525

3280 Howell Mill Rd NW Atlanta, GA 30327

3/1/2012

Haggerty, Sharon

RN152867

Morgan III, Joe Harris MD

53503

10050

2300 Dawson Rd, Suite 101 Albany, GA 31707

10/7/2011

Hagins, Linda Banks

RN118093

Michael Raines, Md

35979

15356

1035 East Forsyth St Americus, GA 31709

4/2/2015

Haid, Jeanne Ann

RN097428

Amy Sprague, MD

35145

11747

3651 Wheeler Rd Augusta, GA 30919

3/8/2013

Hails, Catherine Anne

RN237958

William Cooper, MD

37977

13398

61 Whitcher St, Suite 4100 Marietta, GA 30060

7/10/2014

Hairel, Tammy Michelle Beason RN094798

Caroline Yaphockun, MD

53213

1205

330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

10/4/2007

Haizlip, Leslie Anne

Barbara J. Simmons, MD

34716

13092

833 Campbell Hill St., Ste. 400 Marietta, GA 30060

9/11/2014

RN136404

Wednesday, August 12, 2015

Page 138 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hajjaji, Sarah Najjar

RN162753

Debra Johnson-Jordan, DO

32592

14102

2739 Felton Dr. East Point, GA 30344

10/9/2014

Hale, Jeanette Lynn

RN154708

Tonya Fordham, DO

49292

13749

277 Lackawanna ST Baxley, GA 31513

10/9/2014

Hale, Ashley S.

RN175434

Mark V. Hendricks, MD

43061

11465

840 Pine St., #780 Macon, GA 31201

1/11/2013

Hale, Tina Marie

RN086905

John C. Blankenship, MD

49529

11253

1500 Oglethorpe Ave. Athens, GA 30606

11/2/2012

Hale, Jessi

RN197929

Anil Modi, MD

48066

11110

300 Medical Dr., Ste 701 LaGrange, GA 30240

11/2/2012

Hall, Sarah Kathryn

RN235394

Bridgette Guthrie, MD

69122

14124

710 Center St Columbus, GA 31901

12/4/2015

Hall, Anna

RN180217

Thenmozhi Singaram, MD

65060

15522

3850 Windermer Pkwy, Ste 105 Cumming, GA 30041

7/9/2015

Hall, Jaclyn Nicole

RN189087

Riad Ahmad, MD

54203

15100

500 Medical Center Blvd Lawrenceville, GA 30042

4/2/2015

Hall, Deirdre

RN185035

Haolat Babalakin, MD

62467

14508

4720 Peachtree Ind Blvd, Ste 4101 Norcross, GA 30071

1/8/2015

Hall, Peggy L

RN162539

Anozie Ukaonu, MD

53729

14183

2000 North Monroe St Albany, GA 31701

11/7/2014

Hall, Debra Lee

RN118934

Yvonne Neau, MD

60947

13896

1950 N. Broad St Alamo, GA 30411

9/11/2014

Hall, Koreen Brenda-Joy

RN199006

Anekwe Onwuanyi, MD

58088

13474

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

7/10/2014

Hall, Linda M

RN123491

Eric Powell, MD

49081

13287

111 Colonial Way Jesup, GA 31545

6/6/2014

Hall, Debra Lee

RN118934

Andre Haynes, MD

68818

13181

195 N Broad St Alamo, GA 30411

5/1/2014

Wednesday, August 12, 2015

Page 139 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hall, Kristina Lynn Nelson

RN187338

Gary Olson, MD

20465

12363

1436 Broadrick Dr, Suite B Dalton, GA 30720

12/6/2013

Hall, Sharon Lee

RN051703

Michael Raines, MD

35979

12059

122 Hwy 280 West, Suite A Americus, GA 31719

7/11/2013

Hall, Brandi Elizabeth

RN198776

Geetha R. Soodini, MD

59025

11588

1505 Northside Blvd, #2800 Cumming, GA 30041

6/7/2013

Hall, Nora Marie

RN086005

Kent Ford, DO

40063

11713

616 Ferncrest Dr Sandersville, GA 31082

3/8/2013

Hall, Adriana Sanchez

RN199078

Allan Dias, MD

65759

11013

1100 Lake Hearn Dr, Suite 450 Atlanta, GA 30342

9/13/2012

Hall, Peggy

RN162539

Franco, Carlos MD

47748

10786

507 Third Ave, Ste 2-3 Albany, GA 31701

6/8/2012

Hall, Cynthia

RN090459

Thompson, Jonathan MD

52646

10626

1012 Burleyson Road Dalton, GA 30720

3/29/2012

Hall, Reagan

RN219086

Kendrick, John MD

26883

10441

3527 North Valdosta Road Valdosta, GA 31602

2/3/2012

Hall, Linda

RN123491

Highbaugh-Battle, Agnela
MD

59076

10368

143 S. Tallahassee St. Hazelhurst, GA 31539

1/6/2012

Hall, Marylin Doreen

RN088093

James Hornsby, MD

54389

8487

1605 Roberta Drive Marietta, GA 30008

6/5/2009

Hall, Marylin Doreen

RN088093

Kirpich Joseph, MD

54904

1213

969 Windy Hill Road, Suite E Smyrna, GA 30080

2/5/2009

Hallford, Jennifer

RN192628

Ravin Talati, MD

67172

15957

1070 Historic Hwy 441, Ste D&E Demorest, GA 30535

8/6/2015

Halvey, Kathleen Ann

RN189107

Brenda Hott, MD

41441

13441

1200 Northside Forsyth Dr, Heart Failure Clinic Cumming, GA 7/10/2014

Hamilton, Doreen

RN235848

Troy Akers, MD

#####

15910

2260 Wrightsboro Rd Augusta, GA 30904

Wednesday, August 12, 2015

7/9/2015

Page 140 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hamilton, Doreen Cynteta

RN235848

Blake Illston, DO

68035

12826

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

5/1/2014

Hamilton, Heather Brown

RN210732

Ahmad Jingo, MD

45842

12980

3424 Flat Shoals Rd Decatur, GA 30035

3/6/2014

Hamilton, Earla D.

RN197737

Zada Y. Weston-Hill, MD

39009

11302

2453 Powder Springs Rd., Ste 210 Marietta, GA 30064

10/5/2012

Hamilton, Cherille Elizabeth

RN099535

Jack Dawson, MD

11945

8826

275 Collier Rd NW, Suite 320 Atlanta, GA 30309

3/4/2010

Hamilton-Anderson, Brenda

RN122055

Jeffry Peters, MD

40514

15388

1815 Old Ocilla Rd Tifton, GA 31794

5/8/2015

Hamilton-Anderson, Brenda Ga RN122055

Steven Rigdon, MD

22873

12213

2225 US Hwy 41 North Tifton, GA 31794

9/13/2013

Hamilton-Anderson, Brenda Ga RN122055

Howard McMahan, MD

22824

9851

361 Cargile Rd Ocilla, GA 31774

8/5/2011

Hamilton-Anderson, Brenda Ga RN122055

Johnathan Gaskins, MD

56836

9592

1101 Ocilla Rd, Emer Dept Douglas, GA 31533

2/4/2011

Hamilton-Anderson, Brenda Ga RN122055

Richard Lepanto, MD

58694

8547

901 E. 18th St, Emergency Med Svcs Tifton, GA 31794

5/7/2009

Hamilton-Anderson, Brenda Ga RN122055

Raymond Gutierrez, MD

57983

8533

701 N. Slappey Blvd Albany, GA 31701

5/7/2009

Hamilton-Anderson, Brenda Ga RN122055

Sandra Brickman, MD

45043

1221

1806 Lee Avenue Tifton, GA 31794

3/7/2008

Hammack, Mary Jane

RN166815

Dwayne Gard, MD

60731

14231

4700 Water Ave Savannah, GA 31403

11/7/2014

Hammack, Rebecca Murphy

RN132831

Alan Brown, MD

57782

12905

425 Third Ave., Ste. 500 Albany, GA 31701

10/9/2014

Hammaker, Teresa Suzette

RN226179

Dauda Griffin, MD

57468

12101

643 Main St Palmetto, GA 30268

7/11/2013

Wednesday, August 12, 2015

Page 141 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hammock, Mary

RN138345

Richard Gluckman, MD

13982

15644

3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064

6/4/2015

Hammock, Jodi Renee Taylor

RN127086

Reinaldo Verson, MD

38120

9955

610 19th Street Columbus, GA 31901

8/5/2011

Hammock, Mary Frances

RN138345

Jeffrey Cooper, MD

32895

9849

3645-A Howell Ferry Rd Duluth, GA 30096

8/5/2011

Hammock, Jodi Renee Taylor

RN127086

William Jackson, MD

35913

8437

2990 Five Forks Trickum Rd SW Lawrenceville, GA 30044

1/9/2009

Hammock, Jodi Renee Taylor

RN127086

Dana Hogan, MD

44236

8089

146 W. Athens Street Winder, GA 30680

11/1/2007

Hammond, Leigh Anne

RN232621

Patrick Coleman, MD

36354

13160

232 19th St., Ste 7220 Atlanta, GA 30363

5/1/2014

Hammond, Elizabeth

RN051972

Deganian, Javad MD

16053

10876

1700 Tree Lane Rd, Ste 110A Snellville, GA 30078

7/12/2012

Hammond, Rebecca M Westbr

RN048900

Rodger Chapman, MD

16769

7700

2890 Delk Road Marietta, GA 30067

1/7/2010

Hammond, Myrna B

RN079839

James Beiter, MD

40003

378

PO Box 422002 Atlanta, GA 30342

11/1/2007

Hampton, Amber

RN229929

Mehrdad Toosi, MD

67089

15602

1200 Northside Forsyth Cumming, GA 30041

6/4/2015

Hampton, Brigitte

RN116013
RN116013

Dixie Griffin, MD

63661

11857

2225 US Hwy 41 North Tifton, GA 31794

5/3/2013

Hamrick, Theresa

RN195922

Richard Young

21218

11088

958-A Joe Frank Harris Pkwy, Ste 101 & 105 Cartersville, GA

10/5/2012

Hamrick, Ellen Elizabeth

RN159447

Mark Stovroff, MD

37088

9329

755 Mount Vernon Hwy, Suite 460 Atlanta, GA 30328

10/8/2010

Wednesday, August 12, 2015

Page 142 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hamsley, Linda

RN11
RN113167

Richard Chase, DO

17784

16075

93 South Broad St Ellaville, GA 31806

8/6/2015

Han, Stephanie Bonglae

RN210849

Naresh Parikh, MD

28851

14201

6330 Primrose Hill Ct Norcross, GA 30092

11/7/2014

Hancock, Crystal

RN213708

Aloysius Mangan, MD

15023

14484

12978 N Main St. Trenton, GA 30752

1/8/2015

Hancock, Carmen Cristina

RN203620

Martha Arellano, MD

53698

13645

1365C Clifton Rd NE, C11520 Atlanta, GA 30322

8/7/2014

Hand, Kristi Lashun

RN177312

Noel Battle, MD

54549

12226

176 Charles Hardy Pkwy, Unit C Hiram, GA 30141

9/13/2013

Handley, Jeana

RN152732

Jacquelin Miller, MD

43098

15754

1035 Red Bud Rd Calhoun, GA 30701

7/9/2015

Haney, James Beaumont

RN135542

Michelle Huggins, MD

34368

14105

870 Crestmark Dr., Ste 202 Lithia Springs, GA 30122

10/9/2014

Haney, James Beaumont

RN135542

Deitrick Cox, MD

65394

12056

8811 Hwy 92, Suite 114 Woodstock, GA 30189

7/11/2013

Hanna, Martha

RN082087

Jason Smith, MD

57188

15241

259 US Hwy 19 N Camilla, GA 31730

4/2/2015

Hanna, Mary N

RN233370

William Macheski, MD

28038

12420

2300 Manchester Expwy, Ste 2001 Columbus, GA 31904

1/9/2014

Hannah, Monica McKeon

RN217488

Felissa Goldstein, MD

57467

15939

1920 Briarcliff Rd. Atlanta, GA 30329

7/9/2015

Hannah, Julie Anne

RN147193

Yolanda Hacker, MD

45811

13361

1650 Buford Hwy Cumming, GA 30041

6/6/2014

Hannon, Shelley Kristina

RN150842

Gary Minkiewicz, MD

39182

9824

200 S. Enota Dr, Suite 200 Gainesville, GA 30501

6/30/2011

Hannor, Tahisha Batrice

RN167622

Divina Dyer, MD

57161

14210

4120 Austell Rd Austell GA, GA 30106-1841

11/7/2014

Wednesday, August 12, 2015

Page 143 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hannor, Tanisha Batrice

RN167622

James Lantz, MD

28028

11745

8820 Hospital Dr Douglasville, GA 30134

4/4/2013

Hanse, Megan Michelle

RN198740

Shahriar Sedghi, MD

37678

12666

610 Third St, Suite 204 Macon, GA 31201

2/6/2014

Happe, Anne Marie

RN121522

Kristina Bowen, MD

48981

14093

3330 Preston Ridge, Ste 110 Alpharetta, GA 30005

10/9/2014

Happe, Anne Marie

RN121522

Laura Weakland, MD

39505

13767

550 Peachtree St NE, Suite 1185 Atlanta, GA 30308

9/11/2014

Happe, Anne Marie

RN121522

Rao Moravinei, MD

51360

13765

747 South 8th St, Suite C Griffin, GA 30224

9/11/2014

Happe, Anne Marie

RN121522

John Kauh, MD

52970

12079

1365-C Clifton Rd Atlanta, GA 30322

7/11/2013

Harbaugh, Christine M.

RN125164

Deneta Sells, MD

58200

8521

494 Boulevard SE Atlanta, GA 30312

5/7/2009

Harden, Patricia Faye

RN029160

Yolanda Wade, MD

58345

13897

1735 S. Hwy 27 Carrollton, GA 30117

9/11/2014

Hardin, Kelli

RN220318

Scott Fantz, MD

12034

15672

175 Samaritan Dr Jasper, GA 30143

6/4/2015

Hardin, Jo Lynn

RN197567

Sharon Hamre, MD

34364

13739

1001 Johnson Ferry Rd. NE, PICU Atlanta, GA 30342

6/4/2015

Hardison, Melissa Anne

RN169970

Johnny Peeples, MD

33427

12596

1223 Plaza Ave Eastman, GA 31023

12/6/2013

Hardison, Heather Smith

RN157897

Alexander Kessler, MD

50647

12076

50 Medical Lane Canton, GA 30114

7/11/2013

Hardtman, Pandora Tamara

RN188351

Lathan Overstreet, MD

36659

8693

340 Boulevard NE, Suite 103 Atlanta, GA 30312

8/7/2009

Hardy, Jennifer

RN183834

Shawn Fagan, MD

73150

15115

3675 J. Dewey Gray Cir, Ste 300 Augusta, GA 30909

4/2/2015

Wednesday, August 12, 2015

Page 144 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hardy, Luticia

RN165263

Tammy Williams, MD

51563

14752

150 Gentilly Blvd Cartersville, GA 30120

1/8/2015

Hardy, Jennie M Johnson

RN083197

Michael Pompey, MD

23097

1246

901 Rice Street Atlanta, GA 30318

1/9/2014

Hardy, Paula

RN118464

Levy, Howard MD

36207

10709

59 Executive Park South Atlanta, GA 30329

5/4/2012

Hargett, April Pulliam

RN163941

Lisa Robinson, DO

60863

13224

1601 Fair Rd., Ste 600 Statesboro, GA 30458

5/1/2014

Hargraves, Andrea Marsha Ker

RN148927

Melissa Bruhn, MD

43565

5176

916 South Broad St Thomasville, GA 31792

8/5/2011

Harlow, Andrea Christine

RN185930

Kimberly Williams, MD

32063

8121

460 West Main Street, Suite 100 Blue Ridge, GA 30513

2/7/2008

Harmon, Jacqueline

RN075610

Charles Betz, MD

17130

15852

1345 Redmond Cirle Rome, GA 30165

7/9/2015

Harmon, Amanda Joanne

RN213627

Nicholas Pietrzak, MD

44308

13637

3951 Ridge Ave, Ste B Macon, GA 31210

8/7/2014

Harmon, Marcia Roberts

RN079076

Stephanie Gordon, MD

49382

9066

2750 Owens Dr, Suite A Conyers, GA 30094

4/1/2010

Harper, Amanda Kay

RN151201

Palmer Johnston, MD

67656

15007

4700 Waters Ave. Savannah, GA 31404

6/4/2015

Harper, Terri F

RN044250

Kenneth Harper, MD

25983

12147

556 Third St, Suite A Macon, GA 31201

8/9/2013

Harper, Katharine Marie

RN177721

William Kriegel, DO

31962

12035

3707 Largent Way Marietta, GA 30064

8/9/2013

Harper, Katharine M.

RN177721

Beena Patel, MD

37322

11356

8095 Roswell Rd Sandy Springs, GA 30350

12/7/2012

Harper, Joan Daniel

RN042192

Vincent Brawley, MD

33283

1251

1350 Walton Way - 3rd floor Augusta, GA 30901

8/7/2009

Wednesday, August 12, 2015

Page 145 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Harper, Mary C.

RN024557

Jeffrey Klopper, MD

26321

8472

3188 Atlanta Road SE Smyrna, GA 30080

2/5/2009

Harrell, Lori

RN071579

Erik Prasatik, MD

61456

15912

2260 Wrightsboro Augusta, GA 30904

7/9/2015

Harrell, Shirley

RN056220

Cowart, Charles MD

29161

10427

1101 Ocilla Road Douglas, GA 31533

2/3/2012

Harrington, Meghan

RN204505

Henry Perez, MD

29990

11475

5665 Peachtree Dunwoody Rd. Atlanta, GA 30322

1/11/2013

Harris, Jessica

RN228995

Ermina Mujadzic, MD

64868

15800

447 N Belair Rd, Ste 101 Evans, GA 30809

7/9/2015

Harris, Lydia J Boston

RN081306

Palmer Johnston, MD

67656

15008

4700 Waters Ave. Savannah, GA 31404

6/4/2015

Harris, Katrice

RN179660

Fritz Jean-Pierre, MD

62725

15512

55 Whitcher St, Ste 410 Marietta, GA 30060

5/8/2015

Harris, Kyle

RN153892

Alexis Cutchins, MD

67925

15122

1525 Clifton Rd, Ste 408 Atlanta, GA 30322

3/5/2015

Harris, Mandy

RN149407

Louis Heller, MD

45238

14667

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Harris, Sarah Kay

RN167607

Margaret Frank, MD

68775

14635

1670 Clairemont Ave Decatur, GA 30033

1/8/2015

Harris, Wendy

RN113723
6

John Eanes, MD

56433

14499

1510 Hudson Bridge Rd Stockbridge, GA 30281

12/4/2014

Harris, Jessica Mary

RN228995

Bennie Brown

65085

14205

925 Branch Ct, Ste 101 Grovetown, GA 30813

11/7/2014

Harris, Jaime Cherie

RN200398

Jose Justiniano-Ayala, MD

46773

15215

1430 Suggs St. Rossville, GA 30741

9/11/2014

Harris, Kim Sheree Sturdivant

RN096458

Stephen Frohwein, MD

34834

12687

5669 Peachtree Dunwoody Rd, Suite 315 Atlanta, GA 30322

2/6/2014

Wednesday, August 12, 2015

Page 146 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Harris, Delecia Monique

RN165597

Erik Shaw, DO

58012

12509

2020 Peachtree Rd NW Atlanta, GA 30309

11/8/2013

Harris, Jessica Mary

RN228995

Mac Bowman, MD

21647

12134

818 St Sebastian Way, #308 Augusta, GA 30901

9/13/2013

Harris, Heather

RN177469

Waters, Renee MD

35782

10870

75 Elliot Rd., Ste 210 Dawsonville, GA 30534

7/12/2012

Harris, Elizabeth Marie

RN146291

Alan McDonald III, MD

51509

9878

2001 Peachtree Road, Suite 705 Atlanta, GA 30309

8/5/2011

Harris, Leah B

RN189150

Suzanne Storey, MD

49845

5503

611 E. Villanow St, Bldg 3 Lafayette, GA 30728

9/14/2007

Harris, Jeffrey Alan

RN109366

Cheryl Jones, MD

34865

1259

308 Coliseum Dr Macon, GA 31217

6/8/2007

Harrison, Jessica Marie

RN198333

Pramod Kakarala, MD

72312

16090

745 Poplar Rd Newnan, GA 30265

8/6/2015

Harrison, Christina Marie

RN135444

Gordon Waters, MD

52849

14637

120 E Carter Ave Blackshear, GA 31516

1/8/2015

Harrison, Mary Allene

RN155058

Amy Case, MD

66176

14057

400 Tower Rd., Ste 200 Marietta, GA 30060

10/9/2014

Harrison, Susan Neidlinger

RN113434

James Cornwell, MD

50608

13996

3 Hidden Creek Dr Guyton, GA 31312

10/9/2014

Harrison, Kristi Lynn

RN195227

Mokhtar Hacena, MD

55062

13963

2054 Watson Blvd Warner Robins, GA 31093

9/11/2014

Harrison, Shirley Dianne

RN083533

Crystal Owens, MD

48854

13410

4274 Gray Hwy, Ste E Gray, GA 31032

7/10/2014

Harrison-Smith, Kemberly Jean

RN081204

Julian Hutchins, MD

18677

15934

675 Hamilton St. Sparta, GA 31087

7/9/2015

Hart, Kimberly Womack

RN119459

Richard Baldwin, MD

23894

13483

9280 Hwy 5, Ste A Douglasville, GA 30134

7/10/2014

Wednesday, August 12, 2015

Page 147 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hart, Rebecca

RN198296

Anthony Costrini, MD

14476

11040

PO Box 14417 Savannah, GA 31416

11/2/2012

Hart, Kimberly Womack

RN119459

Norman Novelly, DO

40500

1268

5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

8/7/2009

Hartfield, Satoya Loreen

RN234345

Hailu Demissachew, MD

54072

12580

19 Redmond Rd. Rome, GA 30165

5/1/2014

Hartley, Christina Marie

RN188547

Avril Beckford, MD

35814

11739

4581 South Cobb Dr, Suite 100 Smyrna, GA 30080

3/8/2013

Hartley, Shanda Thompson

RN174554

Thomas Morrow, MD

39879

1270

5530 Windward Pkwy, Bldg One, #1210 Alpharetta, GA 3000 11/5/2009

Hartman, Lisa Lou

RN134198

Alan Einstein, DO

40900

9465

5400 Laurel Springs Pkwy, Suite 1401 Suwanee, GA 30024

12/3/2010

Hartman, Lisa Lou

RN134198

Craig Johnson, MD

29689

8379

5775 P'tree Dunwoody Rd, #C-200 Atlanta, GA 30342

3/6/2009

Hartsfield, Barbara

RN036560

Jennifer Wootten, MD

35791

11159

10 Park Place Atlanta, GA 30305

10/5/2012

Harvell, Katherine Ganas

RN170256

Muhammad Akram, MD

48476

14026

1921 Alice St, Ste 4A Waycross, GA 31501

10/9/2014

Harvell, Katherine Ganas

RN170256

Charles Galea, MD

55229

11638

615-A Pendleton St. Waycross, GA 31501

2/7/2013

Harvey, Maisha Nilanja

RN175742

Prashant Mishra, MD

55281

13182

3950 Austell Rd Austell, GA 30106

5/1/2014

Harvill, Star Annette

RN160142

Becky Campbell, MD

48105

13261

500 Spillers Way Warner Robins, GA 31088

6/6/2014

Harvill, Starr Annette

RN160142

Kevin Baggett, DO

48410

13260

500 Spillers Way Warner Robins, GA 31088

6/6/2014

Harwell, Christina Louise

RN218149

Scott Reynolds, MD

59009

12620

1700 Hospital Dr, Suite 500 Austell, GA 30106

12/6/2013

Wednesday, August 12, 2015

Page 148 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Haskew, Barbara

RN142510

Susan Jordan, MD

66169

15093

354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265

4/2/2015

Hass, Kristen

RN229345

Ton deGrauw, MD

66687

15889

1605 Chantilly Dr NE, Ste 300 Atlanta, GA 30324

7/9/2015

Hass, Kristen B

RN229345

George Katsitadze, MD

52456

15101

1235 Indian Trail Rd, Ste A 100 Norcross, GA 30093

4/2/2015

Hastings, Judy Lynn

RN125871

Quyen Luu, MD

25216

12387

639 Hemlock St, Suite 200 Macon, GA 31201

10/10/2013

Hastings, Judy Lynn

RN125871

Edward Young, MD

36325

8624

777 Hemlock St, MSC 117 Macon, GA 31201

7/10/2009

Hastings, Judith Ann Rainey

RN057772

Leslie Cottrell, MD

45194

1275

1600 Maple St. Carrollton, GA 30118

8/2/2007

Hatcher, Kimberly

RN154558

Emile Risby, MD

30869

15920

3000 Schatulga Rd Columbus, GA 31907

8/6/2015

Hatcher, Jenny Marie

RN130534

Dale Lawson, MD

54233

14286

126 HWY 280 West Americus, GA 31709

2/5/2015

Hatcher, Katherine

RN138819

Woods, W. Jason MD

44383

10236

220 North Macon Street Macon, GA 3110

12/1/2011

Hatcher, Laurie Denise

RN118661

Samuel Johnson, MD

37841

9207

5300 Memorial Dr, Suite 112 Stone Mountain, GA 30083

8/6/2010

Hatfield, Susan Lynn

RN073560

Arnold Gaskin, MD

36382

11998

3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

7/11/2013

Hatten, Karen Patricia

RN079347

Richard Chase, DO

17784

13788

300 Medical Ct. Oglethorpe, GA 31068

9/11/2014

Hatten, Karen Patricia Dumprof RN079347

Christopher Richards, MD

58316

11742

300 Medical Court Oglethorpe, GA 31068

3/8/2013

Hatten, Karen Patricia Dumprof RN079347

Richard Chase, DO

17784

9323

300 Medical Court Oglethorpe, GA 31063

10/8/2010

Wednesday, August 12, 2015

Page 149 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Haupt, Sandra

RN072965
RN072965

Saghar Navid, MD

63274

15712

1045 Bateman Dr Social Circle, GA 30025

7/9/2015

Haupt, Vivien G

RN225760

Annette Hinchcliffe, MD

42607

11731

6300 Hospital Pkwy, Suite 125 Johns Creek, GA 30097

3/8/2013

Hauserman, Sarah Ashley

RN192437

Bahaaldin Alsoufi, MD

69085

14279

1405 Clifton Rd Atlanta, GA 30322

1/8/2015

Hausner, Julie

RN189625

Marty Sellers, MD

56925

11562

1968 Peachtree Rd., NW, Bldg 77, Flr 5 Atlanta, GA 30309

2/7/2013

Hawk, Virginia Margaret

RN048204

Akiva Gimpelevich, DO

64219

9691

2398 Mt Vernon Rd, Suite 150 Dunwoody, GA 30338

4/1/2011

Hawkins, Theron Edward

RN101168

Thomas Murray, MD

23194

1284

1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

1/9/2009

Hayek, Brenda

RN174596

Ashley Davis, MD

58161

15446

1111 Bullsboro Dr, Ste 6-7 Newan, GA 30265

5/8/2015

Hayek, Brenda Carole

RN174596

Ifeoma Eke, MD

52350

12238

1510 Hudson Bridge Rd Stockbridge, GA 30281

9/13/2013

Hayek, Brenda Carole

RN174596

Eric Hoffler, MD

32752

8319

735 Glen Street South Fayetteville, GA 30214

11/7/2008

Hayes, Traci

RN216264

Douglas Josephson, MD

46603

15449

3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005

5/8/2015

Hayes, Carol Elizabeth

RN072974

Dexter Page, MD

40974

14346

238 Professional Ct, Ste A Riverdale, GA 30274

1/8/2015

Hayes, Olivia

RN113495

Maria Jauhar, MD

62898

14137

2000 Tebeau St Waycross, GA 31501

11/7/2014

Haymore, Janet Leah

RN085278

James Haymore, MD

9721

1291

479 Hwy 98 E Danielsville, GA 30633

10/9/2014

Mark Elam, MD

36147

14051

1000 Medical Center Blvd, Ste 290 Lawrenceville, GA 30046

10/9/2014

Haynes, Kathleen Norris Colden RN101149

Wednesday, August 12, 2015

Page 150 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Haynes, Mackie Lee Teate

RN045227

Leslie Cottrell, MD

45194

1293

1600 Maple St. Carrollton, GA 30118

6/8/2007

Head, Amy Marie

RN144931

James Gore, MD

36384

11725

1657 North Expressway Griffin, GA 30223

3/8/2013

Head, Leslie

RN149423

Vevera, Elizabeth MD

41990

10385

3400A Old Milton Pkwy, Ste 130 Alpharetta, GA 30005

2/3/2012

Head, Amy

RN144931

Cunningham, William MD

62325

10308

PO Box 1000 Warm Springs, GA 31830

1/6/2012

Heard, April G.

RN129224

Mandy S. Moye, MD

65589

11407

603 S. Wheat Ave. Bainbridge, GA 39819

1/11/2013

Hearn, Sherryl Amanda

RN168023

Frederick Burton, MD

38434

14065

6020 Harrison Rd. Macon, GA 31206

10/9/2014

Heath, Ashieigh

RN234314

Milanieva Latorre, MD

38032

15304

16201 Barnesville St Zebulon, GA 30295-3250

4/2/2015

Heath, Thomas Gregory

RN144729

Leslie Cottrell, MD

45194

1303

1600 Maple St. Carrollton, GA 30118

8/2/2007

Heavin, Jennifer Ashley

RN180320

Robert Whipple, MD

46279

13145

775 Poplar Rd., Ste. 150 Newnan, GA 30265

4/4/2014

Heavin, Jennifer Ashley

RN180320

Lisa McMath, MD

53332

13029

4000 Shakerag Hill, Suite 201 Peachtree City, GA 30269

3/6/2014

Hebert, Mark G

RN116170

Joel Rosenstock, MD

32036

1304

2484 Briarcliff Road, Suite 24 Atlanta, GA 30329

1/9/2009

Hedden, Danielle

RN129700

Nulph, Michael MD

57735

10638

222 Perry Hwy Hawkinsville, GA 31036

6/8/2012

Hedden, Danielle

RN129700

Kopacz, Sandra MD

32179

10767

222 Perry Hwy Hawkinsville, GA 31092

6/8/2012

Hedden, Danielle K.

RN129700

Mark Senger, DO

58006

9538

PO Box 485 Unadilla, GA 31091

2/4/2011

Wednesday, August 12, 2015

Page 151 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hedrick, Caroline M.

RN087760

Rami Azzouz, MD

50126

11288

1507 Professional Court Dalton, GA 30720

11/2/2012

Heeke, Sheila Hope Little

RN054432

Daniel Barrow, MD

28110

1306

1364 Clifton Rd NE, #B-2200 Atlanta, GA 30322

2/5/2009

Heier, Lauren Phyllis

RN176347

Varnada Karriem-Norwood,
MD

48902

8684

2701 N. Decatur Road Decatur, GA 30033

8/7/2009

Heinrich, Patricia Wood

RN194996

Robert D. Mixson, MD

39415

11221

104 Lakeshore Dr., Ste A St. Marys, GA 31558

11/2/2012

Hellam, Patricia

RN132478

Juliana Nahas, MD

44549

15895

4181 Hospital Dr, Ste 202 Covington, GA 30014

7/9/2015

Hellmer, Carol

RN135983

Chandra Armstrong, MD

43562

15899

1862 Candler Rd Decatur, G 30032

7/9/2015

Hellriegel, Karen

RN106534

Edward Meier, MD

43426

10943

2112 Shorter Ave, Ste 200 Rome, GA 30165

8/10/2012

Helm, Jansen Pryor

RN142576

Monica Hum, MD

53247

1311

95 Collier Rd NW, Suite 4025 Atlanta, GA 30309

2/4/2011

Helmly, Crystal

RN203177

Jon Gibbs, MD

38493

14554

3651 Wheeler Rd Augusta, GA 30909

12/4/2014

Helmly, Crystal Whitaker

RN203177

Tarak Patel, MD

66394

14044

1224 Augusta West Pkwy Augusta, GA 30909

10/9/2014

Helms, Rachel Ann

RN204741

Brandon Mednick, MD

56138

13979

1255 Hwy 54 W, Emer. Dept. Fayetteville, GA 30214

10/9/2014

Helms, Pamela Beth

RN081220

Jagdeep Singh, MD

59761

13608

1168 North Main St., Ste 110 Cedartown, GA 30125

8/7/2014

Helms, Pamela Beth

RN081220

Wayne Richey, MD

50910

1312

160 Central Avenue Trion, GA 30753

9/14/2007

Helton, Sara Renee

RN227468

Albert Thompson, MD

22338

14027

1375 East King Ave. Hwy 40 Kingsland, GA 31548

10/9/2014

Wednesday, August 12, 2015

Page 152 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Helton, Amy Leigh

RN134376

Gregory Martin, MD

47801

5229

1498 Jesse Jewell Pkwy, Suite D Gainesville, GA 30501

11/8/2013

Helton, Tamika LaShun

RN170748

Michael Hagues, DO

23977

11782

2300 Manchester Expwy, Emer Dept Columbus, GA 31904

4/4/2013

Hemenway, Shannon Jean

RN180038

Michael Butler, MD

35833

1313

3226-A Hampton Avenue Brunswick, GA 31520

4/3/2008

Henderson, Jessica

RN246307

John Byers, MD

50076

15808

2300 Manchester Expy, Ste 2001 Columbus, GA 31904

7/9/2015

Henderson, Corie

RN191332

Howard Seeman, MD

34709

15706

157 Clinic Ave, Ste 201 Carrollton, GA 30117

6/4/2015

Henderson, Ruby

RN098527

Page, Dexter MD

40974

10748

550 Peachtree S, Ste 1275 Atlanta, GA 30308

6/8/2012

Henderson, Margo

RN078420

West, Robert MD

43818

10141

465 North Belair Rd, Ste 2B Evans, GA 30809

10/7/2011

Hendley, Caroline Perry

RN203841

William Tidmore Jr, MD

41978

14915

2412 North Oak St Valdosta, GA 31602-7567

3/5/2015

Henry-Ladge, Nadine Shahine

RN185352

Sharne Hampton, MD

30375

12479

901 Rice St Atlanta, GA 30318

11/8/2013

Henry-Ladge, Nadine Shahine

RN185352

Ethan Tolbert, MD

46265

8809

550 Peachtree St NE, Suite 1185 Atlanta, GA 30308

4/1/2010

Hensley, Tinsley Miller

RN171049

Henry Baughman, MD

45395

1324

375 Boynton Drive Ringgold, GA 30736

10/2/2009

Henson, Chelsea Skye

RN122848

Catherine Yeagley, MD

46018

1325

2665 N Decatur Rd, Suite 750 Decatur, GA 30033

9/1/2011

Herczeg, Katherine I.

RN170417

Michael D. Hagues, DO

23977

11506

2122 Manchester Expwy, PO Box 7000, ER Columbus, GA 31 2/7/2013

Hern, Cynthia L

RN160044

Brooks Moore, MD

53336

13319

49 Jess Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

Wednesday, August 12, 2015

6/6/2014

Page 153 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hern, Cynthia L.

RN160044

Hyun Cho-Steinberg, MD

35226

12676

1030 Delta Blvd Atlanta, GA 30354

1/9/2014

Hernaiz, Lizzette

RN137143

Michael Frankel, MD

34832

9701

80 Jesse Hill Jr Dr, 8th Floor Atlanta, GA 30303

5/6/2011

Hernandez, Patricia

RN220723

Adolfo Molina, MD

24166

15786

3182 Shallowford Rd Chamblee, GA 30341

7/9/2015

Hernandez, Erin

RN071356

James Beiter, MD

40003

3328

PO Box 422002 Atlanta, GA 30342

11/1/2007

Herndon, Courtney

RN197793

John House, MD

11959

16091

711 Charles Gilman Jr Ave, Ste B Kingsland, GA 31548

8/6/2015

Herren, Alexandra Mary

RN191445

Candi Nobles-Jones, MD

47985

14327

777 Hemlock St Macon, GA 31201

10/9/2014

Herrick, Amy Lynn Hinton

RN164161

Atulkumar Patel, MD

30179

13210

600 Parkway North Newnan, GA 30265

5/1/2014

Herring, Meredith Lynn

RN115942

Hosam Saad-Naguib

39456

14309

1504 N Thornton Ave Dalton, GA 30720

1/8/2015

Herring, Gina Bailey

RN141123

Benjamin Epstein, MD

35044

9256

2665 N. Decatur Rd, Suite 255 Decatur, GA 30033

9/2/2010

Herring, Belinda King

RN095672

Mahaveer Vakharia, MD

38390

8172

4171 Marietta Street, Suite 300A Powder Springs, GA 30127 5/9/2008

Herring, Gina Bailey

RN141123

Melody Palmore, MD

33679

8126

341 Ponce de Leon Ave NE Atlanta, GA 30308

1/11/2008

Herring, Gina Bailey

RN141123

Minhly Nguyen, MD

49149

1331

341 Ponce de Leon Ave NE Atlanta, GA 30308

12/7/2007

Herring James, Sherrenah

RN155556

Jonathan Ehrlich, MD

15580

5183

993-D Johnson Ferry Rd, #360 Atlanta, GA 30042

9/13/2012

Herrington, Angela Cornelia

RN125069

Gail Leli Matthews, MD

52182

13900

2154 Johnson Ferry Rd. NE Atlanta, GA 30319

9/11/2014

Wednesday, August 12, 2015

Page 154 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Herrington, Angela

RN125069

Kriegel, William DO

31962

10002

3707 Largent Way Marietta, GA 30064

10/7/2011

Herron, Lesia L

RN115103

Joseph Verdun, MD

61675

14123

868 York Ave S.W Atlanta, GA 30310

12/4/2014

Hess, Carole Jean Zoccolillo

RN118553

Matthew Burrell, MD

17998

1335

980 Johnson Ferry Rd NE, Suite 900 Atlanta, GA 30342

11/7/2008

Heup, Lynn D Leandro

RN089022

Ian Crocker, MD

28391

11969

1365 Clifton Rd NE Atlanta, GA 30322

6/7/2013

Heup, Lynn D Leandro

RN089022

Pudipeddi Sarma, MD

18073

1338

1700 Tree Lane, Suite 490 Snellville, GA 30078

11/7/2008

Hewitt, Yvonne Lucely

RN215271

Franklyn Geary Jr, MD

30306

14890

80 Jesse Hill Jr. Dr, Box 26134 Atlanta, GA 30303

2/5/2015

Heynen, Courtney-Maree

RN160603

Benjamin Cheek, MD

25332

5187

2300 Manchester Expwy, Ste B001 Columbus, GA 31904

6/6/2008

Hickerson-Jones, Stephanie Nic RN241773

Kaizad Shroff, MD

62002

14028

705 17th St, Ste 410 Columbus, GA 31901

10/9/2014

Hickman, Dana Hull

William Childs, DO

55116

15159

1200 Northside Forsyth Dr. Cumming, GA 30041

3/5/2015

James Walker, DO

32834

14172

1019 Keith Dr. Ste A Perry, GA 31069

11/7/2014

RN193160

Hickman, Kimberly R
Hickman, Dana Hull

RN193160

Ann Marie Stokes, MD

63963

13782

2000 Building 10th Ave. Ste 410 Columbus, GA 31901

9/11/2014

Hickman, Dana Hull

RN193160

Brett A. Krummert, MD

65976

11401

2033 Buford Hwy, Ste. 109 Buford, GA 30518

3/8/2013

Hickman, Dana Hull

RN193160

Thenmozhi Singaram, MD

65060

9861

3850 Windermere Pkwy, Suite 105 Cumming, GA 30041

10/7/2011

Hickman, Heather Renee

RN194193

Todd Kelley, MD

47781

9830

330 Turner McCall Blvd Rome, GA 30165

6/30/2011

Hicks, Robert Francis

RN158733

Christopher Crooker, MD

39315

15142

748 Old Norcross Rd, Ste 185 Lawrenceville, GA 30046

4/2/2015

Wednesday, August 12, 2015

Page 155 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hicks, Amy F.

RN188989

Cynthia B. Chamless, MD

30975

11521

6501 Peake Rd., #200 Macon, GA 31210

1/11/2013

Hicks, Violeta Elizabeth Trail

RN097435

Bobby Harrington, MD

31942

1341

462 E. G. Miles Pkwy Hinesville, GA 31313

10/5/2012

Higgins, Amy Outlaw

RN167875

Devica Alappan, MD

49526

12695

1900 11th Ave, Suite A Columbus, GA 31901

1/9/2014

Higgins, Lisbeth

RN119881

Michael McDaniel, MD

54841

12000

1364 Clifton Rd, Suite F-606 Atlanta, GA 30322

7/11/2013

Higgs, Angela Odom

RN149476

Andrew Pandya, MD

55323

13730

210 East DeRenne Ave Savannah, GA 31405

9/11/2014

Higgs, Angela

RN149476

Richardson, Eddie MD

52047

10660

105 Harmony Crossing, Ste 3 Eatonton, GA 31024

5/4/2012

Highsmith, Wykeisha Latrice

RN196899

Kenneth Goolsby, MD

25162

12272

1990 Limestone Cir, Suite 110 Gainesville, GA 30501

9/13/2013

Hightower, Kimberly Copeland

RN149802

Sharon Amaya, MD

47182

12673

146 Bill Carruth Parkway, Emer Dept Hiram, GA 30141

3/6/2014

Hilde, Karen Renea

RN142352

Brian DeLoach, MD

51216

8298

PO Box 8043 Statesboro, GA 30460-8043

9/11/2008

Hilde, Eldonna Marie Chase

RN040814

Brian DeLoach, MD

51216

1342

PO Box 8043 Statesboro, GA 30460-8043

9/11/2008

Hildebrand, Maria A.

RN123498

Steven A. Durocher, MD

56051

11233

2151 W. Spring St. Monroe, GA 30655

12/7/2012

Hildebrand, Maria A

RN123498

Henry Philip Morris, MD

30353

7791

1010 Prince Ave, Suite 17 Athens, GA 30606

12/3/2010

Hildebrand, Sara Eisen

RN149041

Leon Martin, MD

26594

8697

2701 N. Decatur Rd Decatur, GA 30033

8/7/2009

Hildebrand, Sara Eisen

RN149041

Earl Grubbs, MD

32742

1343

1700 Medical Way Snellville, GA 30078

1/9/2009

Wednesday, August 12, 2015

Page 156 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hill, Calita

RN168131

Wyatt Blake, MD

47702

15918

4421 Carnes St Acworth, GA 30101

8/6/2015

Hill, Sylena

RN158433

Jamya Pittman, MD

54864

14923

1980 Martin Dr Carollton, GA 30117

3/5/2015

Hill, Calita suzanne

RN168131

Alicia Weksler, MD

37924

13927

1012 Burleyson Rd Dalton, GA 30720

9/11/2014

Hill, Asha

RN212586

Sheryl Heron, MD

41828

13318

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

6/6/2014

Hill, Cara C

RN159234

Steven Wolinsky, DO

47175

12653

425 W Third Ave, Suite 600 Albany, GA 31701

2/6/2014

Hill, Patricia Cannington

RN060452

Jennifer Duke, MD

50615

9911

540 Charter Blvd, Suite 100 Macon, GA 31210

8/5/2011

Hill, Patricia Cannington

RN060452

Lee Woodall, MD

22917

8872

101 Houston St Barnesville, GA 30204

12/4/2009

Hill, Eric Shannon

RN106566

Boykin Robinson, MD

46229

1346

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

1/9/2009

Hiller, Nicole Ann

RN195040

Duane Moores, MD

46998

12649

2500 Starling St, Suite 506 Brunswick, GA 31520

1/9/2014

Hill-Mekoba, Carmen Sharon

RN183075

Gregory Zakers, MD

49847

1349

550 Fairburn Road, Suite B-4 Atlanta, GA 30331

1/9/2009

Hill-Smith, Qumara

RN183072

William Watkins, MD

32076

16098

235 Peachtree St NE North Tower Atlanta, GA 30303

8/6/2015

Hinds, Misty Meredith

RN191957

Mary East, MD

63187

9355

539 Hardee St Dallas, GA 30132

11/5/2010

Hint, Harriet Carleen Panduro

RN090519

Marat Plotkin, MD

46473

1353

105 Greencastle Road, Suite A Tyrone, GA 30290

1/11/2008

Hiser, Melissa Sharon Johnson

RN158856

Margaret Boudreaux, MD

44172

9155

763 Peachtree Pkwy, Suite 2 Cumming, GA 30041

6/4/2010

Wednesday, August 12, 2015

Page 157 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hobbs, Laura Elizabeth

RN225115

Harriette Perlstein, MD

31098

13771

4395 Johns Creek Pkwy, Ste 150 Suwanee, GA 30024

9/11/2014

Hobbs, Laura Elizabeth

RN225115

David Goo, MD

31924

13362

1000 Medical Ctr Blvd. Lawrenceville, GA 30046

6/6/2014

Hobbs, Sarah

RN177607

Sedghi, Shahriar MD

37678

10179

610 Third Street, Ste 204 Macon, GA 31201

11/3/2011

Hochkins, Mary

RN220322

Frank Lopez, MD

30132

15367

134 Mountainside Village Pkwy, Bldg 500 Jasper, GA 30143

5/8/2015

Hochstetler, Trinity Joy

RN242574

Edward Gotlieb, MD

14500

14510

5405 D Memorial Dr, Ste D Stone Mountain, GA 30083

1/8/2015

Hocking, Timothy Kevin

RN151941

Andrew Waldman, MD

48001

12381

710 Center St, Emer Dept Columbus, GA 31901

10/10/2013

Hocking, Timothy Kevin

RN151941

Daisy Lim, MD

38847

1356

2705 Airport Road, Suite 101 Dalton, GA 30721

3/7/2008

Hockstedler, Marita Ann

RN217912

Candi Nobles-James, MD

47985

12160

777 Hemlock St, Suite 118 Macon, GA 31201

2/6/2014

Hodges, Jami Nicole

RN210361

Michael Raines, MD

35979

15357

1035 East Forsyth St. Americus, GA 31709

4/2/2015

Hodnicki, Deanna Renee O'Don RN104429

Michael Deal, MD

29623

13263

112 Hill Pond Lane Statesboro, GA 30458

7/10/2014

Hodo, Michael Paul

RN175854

Sandeep Khurana, MD

70813

13901

1120 Fifteen St BBR2538 Augusta, GA 30912

9/11/2014

Hoehn, Nancy Lee

RN069440

Theresa Christie, MD

42543

1359

2258 Wrightsboro Rd, Suite 150 Augusta, GA 30904

7/11/2013

Hoepfner, Marianne Vera

RN218934

Courtney Middleton, MD

57295

13107

11975 Morris Rd, Suite 300 Alpharetta, GA 30005

5/1/2014

Hoffman, Jocelyn

RN205683

Magdalena Soldanska, MD

3733

15891

975 Johnson Ferry Rd NE, Ste 100 Atlanta, GA 30342

8/6/2015

Wednesday, August 12, 2015

Page 158 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hoffman, Judy

RN169860

Altee Johnson, MD

60387

15909

101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

8/6/2015

Hoffman, Judy Lynn

RN169860

Jameson Estes, MD

48852

13978

5454 Venture Ct. Monticello, GA 31064

9/11/2014

Hoffman, Judy Lynn

RN169860

Kamlesh Patel, MD

52481

9953

303 Parkway Dr Atlanta, GA 30312

8/5/2011

Hoffman, Judy Lynn

RN169860

Kathy Mansfield, MD

38299

9599

210 Hannah's Mill Rd Thomaston, GA 30286

4/1/2011

Hoffman, Judy Lynn

RN169860

William Jackson, MD

35913

9150

1365 Rock Quarry Rd, Suite 200 Stockbridge, GA 30281

7/1/2010

Hoffman, Judy Lynn

RN169860

Dong Trang, DO

57691

8966

801 West Gordon Street Thomaston, GA 30286

2/5/2010

Hoffmann, Linda

RN060455

Budlong, Brenda MD

34749

10328

304 Shorter Avenue Rome, GA 30165

1/6/2012

Hogg, Leigh Ann

RN134384

Randall Meredith, MD

50821

14145

811 13th St, Ste 20 Augusta, GA 30901

11/7/2014

Hogue-Kinahan, Janice Kaye

RN087295

James Kinahan, MD

35277

1366

5471 Chamblee Dunwoody Road Dunwoody, GA 30338

6/6/2008

Holbrook, Blaire Hatcher

RN191603

William Boydston, MD

34112

12150

5455 Meridian Mark Rd NE, Suite 540 Atlanta, GA 30342

8/9/2013

Holcomb, Carole Strohm

RN099217

Paul Donnan, MD

47892

1368

477 Windsor St SW, Suite 309 Atlanta, GA 30312

6/6/2014

Holcomb, Mindy Lynn

RN187563

Sara Harbin MD

66353

13030

14-A Legacy Way Adairsville, GA 30103

3/6/2014

Holcomb, LaDonna L.

RN101888

Julaine B. Cross, MD

56037

11543

255 W 5th Street, #300 Rome, GA 30165

3/8/2013

Holdsworth, Noel

RN184767

Melissa Warner, MD

33480

15073

310 Black Bear Ridge Sautee Nacoochee, GA 30571

3/5/2015

Wednesday, August 12, 2015

Page 159 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Holiday, Demetrius Denise

RN146949

Annmarie Books, MD

56806

13744

35 Jessie Hill Jr. Dr Atlanta, GA 30303

9/11/2014

Holland, Kathleen

RN071958

Paul King, MD

36198

15361

285 Boulevard, Ste 415 Atlanta, GA 30312

5/8/2015

Holland, Wendy Jean Olmstead RN102280

William Garrett, MD

43373

8860

6602 Waters Ave, Bldg C Savannah, GA 31406

4/1/2010

Hollett, Mary Elizabeth

RN123667

Samuel Griffin, MD

26287

1375

700 Sunset Dr, Suite 101 Athens, GA 30606

6/4/2010

Holley, Sherry Perkins

RN111917

Jasmina Warren, MD

29555

1376

189 Jefferson Parkway Newnan, GA 30263

11/1/2007

Hollifield, Jr, Anthony Theodore RN197148

John Corbin, MD

34800

11958

2122 Manchester Expry, Emer Dept Columbus, GA 31904

7/11/2013

Hollifield, Jr, Anthony

RN197148

Foster, Carl MD

57618

10909

6400 Flat Rock Road Columbus, GA 31907

8/10/2012

Hollingsworth, Kimberly Jean

RN093472

Cheryl Reinhardt, MD

60316

14584

2800 Overlook, MD Atlanta, GA 30339

1/8/2015

Hollingsworth, Crichton Anne

RN171362

Norvin Ona, DO

37634

12307

1925 Old Peachtree Rd Lawrenceville, GA 30043

9/13/2013

Hollis, Elizabeth Maria

RN138048

D. Shawn Surratt, MD

55984

13712

505 Amelia Ave. Bainbridge, GA 39819

9/11/2014

Hollis, Elizabeth Maria

RN138048

Gloria Kayfan, DO

48431

1378

PO Box 1908 Albany, GA 31701

6/4/2010

Hollis, Nila Erica

RN196128

Michael Brooks, MD

29420

8424

868 York Avenue Atlanta, GA 30310

3/6/2009

Holloway, Ashley Ann

RN201389

James Douglas, MD

33569

13364

15 Riverbend Dr, SW Rome, GA 30161

6/6/2014

Holloway, Hollie

RN170114

Smith, Jason MD

52635

10553

550 Professional Drive Macon, GA 31201

3/1/2012

Wednesday, August 12, 2015

Page 160 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Holman, Melissa

RN245596

Olawale Osunsanya, MD

72784

15860

2136 Delores St Colguitt, GA 39837

8/6/2015

Holmes, Jennifer Cassiel Spires

RN047369

Jaymal Patel, MD

50984

13627

3120 North Oak St Ext, C Valdosta, GA 31602

8/7/2014

Holmes, Jennifer Cassiel Spires

RN047369

Foster Brin, MD

29980

8667

175 Emery Hwy Macon, GA 31217

10/2/2009

Holmes, Jennifer Cassiel Spires

RN047369

Nathan Feibelman, MD

28768

8668

175 Emery Hwy Macon, GA 31217

10/2/2009

Holmes, Jennifer Cassiel Spires

RN047369

James Fenley, MD

34584

8691

175 Emery Hwy Macon, GA 31217

10/2/2009

Holmes, Jennifer Cassiel Spires

RN047369

Thomas R. Rumble, MD

13078

1381

2121-A Bellevue Road Dublin, GA 31021

8/2/2007

Holsey, Angela

RN152873

Patrick Dorvilus, MD

60450

10947

380 Sconyers Street Metter, GA 30439

8/10/2012

Holstad, Marcia McDonnell

RN048542

Melody Palmore, MD

33679

1384

341 Ponce de Leon Avenue NE Atlanta, GA 30308

12/7/2007

Holt, Stacy Exum

RN118735

Grace Davis, MD

39770

9344

203 W. Kelley St Sylvester, GA 31791

10/8/2010

Holt, Lisa Renee

RN081255

Samantha Anderson, MD

49158

5193

4360 Chamblee Dunwoody Road, Ste 370 Atlanta, GA 30341 6/5/2009

Holton, Cynthia Kaye

RN164616

F Geoffery Conner, MD

33555

11989

1608 Meadows Lane, Suite 1 Vidalia, GA 30474

5/1/2014

Holton, Cynthia

RN164616

Peter Higgins, MD

65260

11146

101 Harris Industrial Blvd., Suite A Vidalia, GA 30474

10/5/2012

Holton, Rhonda Lynn

RN149723

Cecil Sharp, MD

27662

7864

1350 Walton Way - 3rd Floor Augusta, GA 30901

8/7/2009

Homa, Gina Rene

RN170654

Yvonne Smith, MD

42443

14129

4910 Jonesboro Rd, Ste 701 Union City, GA 30291

11/7/2014

Wednesday, August 12, 2015

Page 161 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Homeyer, Dana Carole Davis

RN057108

Henry Patton, MD

22861

9787

6175 Newton Dr Covington, GA 30014

6/3/2011

Honeycutt, Stephanie

RN159919

Jocelyne Tadros, MD

61652

16099

743 Spring St NE Gainesville, GA 30501-3715

8/6/2015

Honeycutt, Stephanie W.

RN159919

Kirk Kanter, MD

30631

8977

1405 Clifton Rd Atlanta, GA 30322

2/5/2010

Hood, Marian

RN145867
RN145867

Kemisha Key, MD

70663

15436

2122 Manchester Expressway Columbus, GA 31908

5/8/2015

Hooker, Tanisha Renae

RN141343

Sangha Sumandeep, MD

56222

13567

1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214

7/10/2014

Hooker, Tanisha Renae

RN141343

Felix Amoa-Bonsu, MD

55916

12409

5185 Old National Hwy Atlanta, GA 30349

11/8/2013

Hooks, Donna Jean Joiner

RN115975

Janise Whitesell, MD

47867

12816

501 N Kings Bay Rd Kingsland, GA 31548

2/6/2014

Hooks, Julie

RN118682

Pierzchajlo, Richard MD

22620

10225

1489 Kennedy Road Tifton, GA 31794

12/1/2011

Hooks Jr., Jerry Dwayne

RN097494

David Morris, MD

28828

15464

3280 Howell Mill Rd, Ste 326 Atlanta, GA 30327

5/8/2015

Hooper, Tracy

RN095695

Alicia Weksler, MD

37924

15256

1012 Burleyson Dalton, GA 30720

4/2/2015

Hooper, Tracy

RN095695

Polow, Sarah DO

24067

10585

824 G I Maddox Pkwy Chatsworth, GA 30705

6/7/2013

Hoover, Abigail

RN155541

Matthew Johnston, MD

30109

15974

3025 Shrine Rd, Ste 150 Brunswick, GA 31520

8/6/2015

Hoover, Abigail Currier

RN155541

Jennifer Miller, MD

46996

9613

390 EH Court Brunswick, GA 31520

5/6/2011

Horn, Lauren Bramlett

RN188946

Jessica Stepp, DO

69261

15338

48 Hills Creek Rd. Taylorsville, GA 30178

4/2/2015

Wednesday, August 12, 2015

Page 162 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Horn, Martha Tallman

RN182990

David Jacobson, MD

21405

7964

2665 N. Decatur Rd, Suite 520 Decatur, GA 30033

6/6/2008

Horne, Katherine Marie

RN243697

Anthony Olofintuy, MD

45309

15180

118 Enterprise Court, Ste B Columbus, GA 31904

4/2/2015

Horne, Allie

RN198433

Sells, Deneta MD

58200

10692

490 Bill Kennedy Way Atlanta, GA 30316

5/4/2012

Horne, Wanda Yejide

RN200954

Anuj Manocha, MD

45876

8704

1700 Hospital South Dr, Suite 502 Austell, GA 30100

11/5/2009

Horner, Rose Marie I.

RN159649

Larry A. Fritchman, MD

57970

11610

843 Falls Rd. Toccoa, GA 30577

3/8/2013

Hornsby, Juile Tiner

Rn131042

Vincent Barker, MD

66252

14591

11045 Columbia Rd Blakely, GA 39823

1/8/2015

Hornsby, Lauren Elane

RN176163
RN176163

Jennifer Beckman, MD

66453

14795

523 Dixie St, Ste 3 Carrollton, GA 30117

1/8/2015

Hornsby, Julie Tiner

RN131042

Mallory McRae, MD

50218

9585

1518 Miluli Ave Bainbridge, GA 39819

3/4/2011

Hostetler, Joy

RN116039

Damon Kimes, MD

50322

13758

1490 Pleasant Hill Rd. Duluth, GA 30096

9/11/2014

Hough, Kenyetta Mashanna

RN165675

Medel Reyes, MD

48815

8569

55 Whitcher St, Suite 420 Marietta, GA 30060

6/5/2009

Houlday, Lauren Kremer

RN192388

Richard Maxa, MD

42655

13902

3505 Dulth Pk LN Ste 400 Dulth, GA 30096

9/11/2014

Houser, Scarlett Marie

RN226014

Rishi Gupta, MD

64947

13223

61 Whitcher St, Suite 3110 Marietta, GA 30060

8/7/2014

Howard, Patricia

RN226783

Hans Yehnert, MD

72516

15377

251 N lyerly St Ste 100 Chattanooga, TN 37404

5/8/2015

Howard, Heather Hendon

Rn168272

Josephine Ediale, MD

50514

14873

626 Dallas Hwy Villa Rica, GA 30180

2/5/2015

Wednesday, August 12, 2015

Page 163 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Howard, Christi Nicole

RN192503

Rhonda Wachsmuth, MD

56664

14989

780 Canton Rd, Ste 410 Marietta, GA 30060

2/5/2015

Howard, Christie Jane

RN208802

Idopise Umana, MD

62295

12320

1515 River Place Braselton, GA 30517

9/13/2013

Howard, Jacqueline Elaine

RN143388

Michael Walter Szpak, MD

34256

1412

1009 N. Monroe St. Albany, GA 31701

4/13/2007

Howell, Charlotte

RN073038

Omari Hodge, MD

70459

15757

120 Marietta Hwy Canton, GA 30014

7/9/2015

Howell, Allen Blaine

RN186042

Charles Semones, MD

51737

15448

56 Ebenezer Rd Ellaville, GA 31806

5/8/2015

Howell, Susan Bellinger

RN201410

George Powell, MD

37046

13664

3207 Country Club Dr. Valdosta, GA 31605

8/7/2014

Howell, Rachel Hearon

RN198780

Craig Fredericks, MD

32907

12305

704 South Broad St. Thomasville, GA 31792

4/4/2014

Howell, Jennifer

RN206614

Lee, Clay DO

46610

10664

207 31st Avenue SE Moultrie, GA 31768

5/4/2012

Howell, Jennifer

RN206614

Berl, Seth MD

24390

10554

#9 Hospital Park Moultrie, GA 31768

3/1/2012

Howell, Sarah Lynn

RN189639

Jeffrey Gallups, MD

33774

2057

2365 Old Milton Pkwy Alpharetta, GA 30004

5/7/2009

Howell-Philip, Vanessa

RN142462

Michelle Morgan, DO

51694

12528

Take Care, 9465 Hwy 5 Douglasville, GA 30135

11/8/2013

Howell-Philip, Vanessa

RN142462

Alvin Cheatham, MD

22732

1423

6000 N. Terminal Pkwy, Suite ATR-R3 Atlanta, GA 30320

7/10/2009

Hoyt, Heather Smith

RN205032

Shalini Reddy, MD

45935

13057

1825 Martha Berry Blvd Rome, GA 30165

4/4/2014

Hu, Yuan

RN206671

Nicholas Lembo, MD

28430

16028

275 Collier Rd NW, Ste 500 Atlanta, GA 30309

8/6/2015

Wednesday, August 12, 2015

Page 164 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hu, Yuan

RN206671

Ralph Jackson, MD

22794

10853

771 Old Norcross Road Ste 110 Lawrenceville, GA 30046

7/12/2012

Hu, Qiuping

RN121854

Morgan McLemore

59290

9759

1365-C Clifton Rd, Suite 3078 Atlanta, GA 30322

5/6/2011

Hubbard, Mandy D. Brinson

RN169681

Stanley Jones, MD

47607

9654

391 Peacdhtree St Jesup, GA 31545

3/4/2011

Hubbard, Mandy D. Brinson

RN169681

Eddie Thomas, MD

53192

9272

391 Peachtree St Jesup, GA 31545

9/2/2010

Hubbard-Green, Deneek B.

RN197288

Viranuj Sueblinvong, MD

61664

9045

1365 Clifton Rd NE, Clinic A, Suite 4346 Atlanta, GA 30322

4/1/2010

Hubble, Wanda Ann Bland

RN048168

Michael Szpak, MD

34256

8628

1009 N. Monroe Street Albany, GA 31701

8/7/2009

Hudson, Jessica

RN157685

Marisol Sanlnocencio, MD

47654

15894

1001 Fernwood Dr Milledgevilole, GA 31061

8/6/2015

Hudson, Kelly

RN093576

Melissa Sanchez, MD

64056

15976

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318-6653

8/6/2015

Hudson, Lori Ann

RN101917

Tom Bledsoe, MD

41730

14688

509 Alabama Ave Bremen, GA 30110

2/5/2015

Hudson, Virginia N

RN064157

William Cunningham, MD

62325

13423

PO Box 68, 5919 Spring St. Warm Springs, GA 31830

7/10/2014

Hudson, Virginia N

RN064157

Duan Huang, MD

55058

1431

6135 Roosevelt Hwy, PO Box 1000 Warm Springs, GA 31830 10/4/2007

Hudson, Kelly Kruegler

RN093576

Ronald Pirtle, MD

13784

1429

239 Ivan Allen, Jr. Blvd Atlanta, GA 30313

9/14/2007

Hudson-Gallogly, Wanda Kim

RN097026

Christine Danforth, MD

42503

13539

1008 N. 3rd Ave. Chatsworth, GA 30705

7/10/2014

Huenink, Laura

RN168244

Tamer Middleton, MD

24856

15189

1762 Mars Hill Rd. NW Acworth, GA 30101

4/2/2015

Wednesday, August 12, 2015

Page 165 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Huenink, Laura Carlisle

RN168244

Carl Goolsby, MD

34144

8224

176 Marietta Hwy, Bldg A, Suite A Hiram, GA 30141

10/2/2008

Huff, Patrick Demond

RN203094

Michael Tucker, MD

57695

12374

6262 Veterans Pkwy Columbus, GA 31909

10/10/2013

Hughes, Jolee

RN215455

Mark Coker, MD

56276

15877

14557 Griffin Highway 19 Ste A Griffin, GA 30224-9582

7/9/2015

Hughes, Jaclyn

RN208019

Debora Quigley, MD

36601

15311

2257 Hwy 515, Ste B Blairsville, GA 30512

5/8/2015

Hughes, Wendy Lynn

RN119281

Mohamed Elhassan, MD

72970

14904

5398 Thomaston Rd, Ste B Macon, GA 31220

4/2/2015

Hughes, Jaclyn Camille

RN208019
RN208019

George Gowder, MD

25163

14869

35 Hospital Rd Blairsville, GA 30512

2/5/2015

Hughes, Michael

RN213917

Cynthia Libert, MD

59457

14794

48 Haralson Place, Ste One Blairsville, GA 30512

2/5/2015

Hughes, Joshua Emmett

RN194267

Edwin Hiatt, MD

12920

11792

VSU Student Health, 200 Georgia Ave Valdosta, GA 31698

5/3/2013

Hughes, Brandy Jeanne

RN190189

Keith Sanders, MD

34237

8857

993 Johnson Ferry Rd NE, Bldg F, #120 Atlanta, GA 30342

12/4/2009

Hughes, Tammy H.

RN203390

Mobolaji Ogunsakin, MD

55136

8699

1118 Morningside Dr, Suite A Perry, GA 31069

8/7/2009

Hughes, Leslie Lynn

RN123670

Debora Quigley, MD

36601

7792

130 Hospital Circle Blairsville, GA 30512

8/2/2007

Huliganga, Christina Rimando

RN225315

Jennifer Adu-Frimpong, MD

51901

12722

710 Center St, Emer Dept Columbus, GA 31901

3/6/2014

Hullender, Loma Teems

RN113447

David Bosshardt, MD

26225

1437

128 Battlefield Crossing Ct Ringgold, GA 30736

10/8/2010

Hume, Kimberly

RN195261

Jason Mount, MD

55847

14799

200 Allen Memorial Dr Bermen, GA 30110

2/5/2015

Wednesday, August 12, 2015

Page 166 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hume, Kimberly Renee

RN195261

Richard Warren, MD

54956

12130

705 Dixie St Carrollton, GA 30117

8/9/2013

Hummel, Elaine Dubel

RN053488

Christine Danforth, MD

42503

13459

1008 N. 3rd Ave Chatsworth, GA 30705

7/10/2014

Humphries, Marcella J.

RN089263

Charles E. Allen, MD

20644

11626

2324 Limestone Overlok Gainesville, GA 30501

2/7/2013

Humphries, Rebecca Fondren

RN175845

Louellen Gurley, MD

42263

8064

303 Smith Street LaGrange, GA 30240

5/7/2009

Hunnicutt, Kenneth Dawson

RN241969

Nidia Meyer, MD

66528

14263

306 Shorter Ave Rome, GA 30165

3/5/2015

Hunt, Hope

RN224876

Tracey Lemon, MD

50723

15140

315 Boulevard NE, Ste 224 Atlanta, GA 30312

4/2/2015

Hunt, Valencia Ciara

RN199404

Michael Sumner, MD

63062

14042

1120 15th St. BI5092 Augusta, GA 30912

10/9/2014

Hunter, Tamara Stewart

RN112687

Loren Hunt, MD

20549

13476

330 Hawthorne Lane Athens, GA 30606

7/10/2014

Hunter, Elizabeth

RN173796

Sheth, Anuradha MD

40547

10636

755 Old Norcross Road Lawrenceville, GA 30046

6/8/2012

Hunter, Vicky

RN073046

Reynolds, Scott MD

59009

10726

1700 Hospital South Drive, Ste 500 Austell, GA 30106

6/8/2012

Hurd, Deborah Luann

RN139521

Marc Kornfield, MD

28807

15937

1335 Canton Rd, Ste C Marietta, GA 30066

7/9/2015

Hurd, Deborah Luann Aldridge

RN139521

Daniel Moore, MD

38562

11796

790 Church St, Suite 330 Marietta, GA 30060

7/11/2013

Hurdelbrink, Tappie Faye

RN113074

Jeff Reinhardt, MD

47250

5200

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Hurlebaus, Anna Elizabeth

RN081291

Donald Manning, MD

23635

15790

1968 Peachtree Rd NW Atlanta, GA 30309

7/9/2015

Sean Lambert, MD

30336

14579

260 Elm St Cumming, GA 30040

12/4/2014

Hurley, Robin Diane

106631

Wednesday, August 12, 2015

Page 167 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hurst, Sabine

RN182617

Tasha Feaster, MD

62690

15660

235 Peachtree St NE North Tower, Ste 2100 Atlanta, GA 303 6/4/2015

Hurst, Sabine Cary

RN182617

Kevin Clearly, MD

52263

13518

1255 Hwy 54 W Fayettevile, GA 30214

7/10/2014

Hurt, Beatrice

RN117835

Jones, Ernest DO

41851

10311

216 Hospital Drive Cordele, GA 31015

1/6/2012

Hurt, Jason B.

RN134515

Ram Reddy, MD

24178

8672

132 Franklin Springs Street Royston, GA 30662

12/4/2009

Huston, Treasa

RN061331

Reden Delgado, MD

65957

16062

80 Redmond Rd Rome, GA 30165

8/6/2015

Huston, Treasa Diane

RN061331

Roger Hiser, MD

48899

12720

962 Joe Frank Harris Pkwy, #104 Cartersville, GA 30120

1/8/2015

Huston, Treasa Diane

RN061331

Albert Lintel, III, MD

28595

11786

958 Joe Frank Harris Pkwy, #100 Cartersville, GA 30120

5/3/2013

Huston, Treasa Diane

RN061331

Steven Schwartz, MD

26025

1458

Occup Med 958 Joe Frank Harris Pkwy NW, #100 Cartersville 1/7/2010

Hutcheson, Ladonna Marie

RN154042

Franklin Geoffery Conner,
MD

33555

13171

1608 Meadows Lane, Suite 1 Vidalia, GA 30474

5/1/2014

Hutcheson, Ladonna Marie

RN154042

Lumawig Munsayac, MD

15028

8104

441 W. Broad Street Mt. Vernon, GA 30445

12/7/2007

Hutchins, Georgia

RN156504

Theodora Mbanefo, MD

56596

14743

9249 Hwy 29-N Athens, GA 30601

2/5/2015

Hutchison, Anthony Lauren

RN181652

Kaveh Khajavi, MD

51201

9255

2001 Peachtree Rd NE, Ste 550 Atlanta, GA 30309

9/2/2010

Hyde, Douglas A.

RN125716

Dillon D. Miller, MD

67508

11454

4799 Blue Ridge Dr., Ste 104 Blue Ridge, GA 30513

12/7/2012

Hyde, Douglas Anderson

RN125716

Crystal Comeau, MD

61224

9579

4799 Blue Ridge Hwy, Suite 104 Blue Ridge, GA 30513

2/4/2011

Wednesday, August 12, 2015

Page 168 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Hyers, Heather

RN206962
RN206962

Ghari Richardson, MD

59948

14372

2804-C N Oak St Valdosta, GA 31602

1/8/2015

Hyman, Rhona Alesia

RN232024

James Clabby, MD

16042

14010

9280 Hwy 5, Ste H Douglasville, GA 30134

9/11/2014

Ibeanusi, Grace Nwachukwu

RN118753

Rahim Gul, MD

52073

1465

3945 Lawrenceville Hwy Lilburn, GA 30047

3/8/2013

Idowu, Frances

RN145774

Sandra Gibbs, MD

32192

15455

3240 South Cobb Dr Smyrna, GA 30082

5/8/2015

Idusuyi, Esohe

RN144525

Hany Atallah, MD

52678

1466

49 Jesse Hill Jr. Dr., Box 26178 Atlanta, GA 30303

6/6/2014

Ighile, Faith

RN157568

Corie Tewari, MD

67695

14874

2701 North Decatur Rd Decatur, GA 30033

2/5/2015

Igunbor, Oluwadamilola

RN201775

Bamidele Adeyemo, MD

69744

16050

303 Parkway Dr NE Atlanta, GA 30312

8/6/2015

Ikeakanam, Roseline

RN132218

Kenneth Sanford, MD

36449

14461

2989 W Rockquarry Rd Buford, GA 30518

1/8/2015

Ikonne, Blessing Ada

RN197583

Angela Evans, DO

66597

13904

871 Forest Pkwy Forest Park, GA 30297

9/11/2014

Ikwueme, Seraphine

RN171553

Syamala Erramilli, MD

47896

8976

4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084

3/4/2010

Ilgenfritz, Nancy

RN047165

Warren, William MD

23126

10447

1015 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

2/3/2012

Ingle, Christa Hunton

RN170392

William Redwood, MD

33180

13596

677 Church St. Marietta, GA 30060

8/7/2014

Ingram, Cynthia

RN063917

Robb Fulton, DO

73325

16064

1365-D Sam Nunn Blvd Perry, GA 31069

8/6/2015

Ingram, Cynthia

RN063917

Schmidt, Michael MD

58500

10814

633 Veterans Pkwy, Ste 6 Moultrie, GA 31768

7/12/2012

Wednesday, August 12, 2015

Page 169 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Ingram-Jones, Trinity Lynn

RN163089

Rosalind Womack, MD

72171

15231

303 Fraser Dr Hinesville, GA 31313

4/2/2015

Irick, Susan A.

RN064849

Stephen Morgan, MD

63714

12006

743 Spring St Gainesville, GA 30501

7/11/2013

Irwin, Christine Lynn Miller

RN120987

Barry Jones, MD

12495

9026

5965 Parkway North Blvd, Suite C Cumming, GA 30040

3/4/2010

Isaac, Jessica Joy

RN185361

Brion Randolph, MD

68281

13211

600 Parkway North Newnan, GA 30265

5/1/2014

Isaac, David

RN136301

Karlsson, Gottfrid Jona MD

66380

10727

745 Poplar Road Newnan, GA 30265

1/11/2013

Isaac, David

RN136301

Obiorah, Samuel MD

42379

10016

350 Hospital Drive Macon, GA 31217

9/1/2011

Ivemeyer, Joy

RN122247

Leslie Leigh, MD

34752

15128

500 Medical Center Blvd Lawrenceville, GA 30042

4/2/2015

Ivey, Sharonda Lasha

RN207536

Anilkumar Pillai, MD

45914

15184

707 N Houston Rd Warner Robins, GA 31093

4/2/2015

Ivey, Karen Belinda

RN106643

Kennon McLendon, MD

33393

15219

710 Center St. Columbus, GA 31901

4/2/2015

Ivey, Karen Belinda

RN106643

Jim Barlow, MD

30717

13779

235 Peachtree St. NE, N Tower, Ste 2100 Atlanta, GA 30303

9/11/2014

Ivie, Abigail Dahl

RN188532

Erik Bauer, MD

57425

9241

5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

8/6/2010

Iwhere, Lovinda Ihuoma

RN108038

Pamella Charles-Pryce, MD

58155

12503

2464 Roswell Rd Marietta, GA 30062-4954

11/8/2013

Iwhere, Lovinda Ihuoma

RN108038

Larry Tune, MD

37409

9335

1841 Clifton Rd Atlanta, GA 30329

1/7/2011

Iwotor, Esther Ijeoma

RN109484

Dolapa Babalola, MD

59119

9496

1595 West Cleveland Ave East Point, GA 30344

12/3/2010

Wednesday, August 12, 2015

Page 170 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jacchia, Kelly Michelle

RN138990

Melissa Eaton, MD

48507

1483

110 N. Corners Pkwy, Suite 100 Cumming, GA 30040

7/11/2008

Jacek, Wendy

RN142499

Ayhan Haddad, MD

50628

15391

1250 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

5/8/2015

Jacek, Wendy

RN142499

Dustin Russell, MD

66541

12457

4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

11/8/2013

Jackson, Stephanie

RN071218

Walter Watkins, MD

29260

15943

2260 Wrightsboro Rd Augusta, GA 30904

8/6/2015

Jackson, Teri Holloway

RN190639

Javed Fazal, MD

57457

15092

1860 Watson Blvd. Warner Robins, GA 31093

4/2/2015

Jackson, Missy Leigh

RN139599

Dave Ringer, MD

30368

14442

803 South Main St Greensboro, GA 30642

10/9/2014

Jackson, Joy

RN063451

Lisa Miller, MD

38874

1493

4152 Baker St NE Covington, GA 30014

9/13/2013

Jackson, Beverly Kay Root

RN045920

Patrick Fenlon, MD

27373

1486

119 West Hill St Thomasville, GA 31792

7/11/2013

Jackson, Stephanie

RN071218

Ikpe, Chinedum MD

66121

10903

745 Poplar Road Newnan, GA 30265

7/12/2012

Jackson, Antonina

RN140032

Donnan, Paul MD

47892

10752

100 Edgewood Avenue NE, Ste 1020 Atlanta, GA 30303-3065 6/8/2012

Jackson, Stephanie

RN071218

Lynn Flowers, MD

56708

10282

601 South 8th Street Griffin, GA 30224

1/6/2012

Jackson, Rebecca Suzanne Brig

RN136000

Michael Connor, MD

31581

5203

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Jackson, Antonina Gabrielle

RN140032

David Robertson, MD

27244

9645

77 Collier Rd, Suite 2080 Atlanta, GA 30309

3/4/2011

Alton Pilcher, MD

27238

1495

3652 J Dewey Gray Circle Augusta, GA 30909

8/6/2010

Jackson, Nancy Ellen Champion RN110128

Wednesday, August 12, 2015

Page 171 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jackson, David Ray

RN154383

Rachel Velez, DO

39500

1488

PO Box 845 Quitman, GA 31643

12/4/2009

Jackson, Stephanie B.

RN071218

Reginald Nesbitt, MD

58300

8641

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

11/5/2009

Jackson, Stephanie B.

RN071218

Jamie Walraven, MD

45023

8588

7285 Hwy 16, Suites C & D Senoia, GA 30276

6/5/2009

Jackson, Hope Cherisse

RN128152

Michael Satchell, MD

49593

1490

806 14th Ave, Suite C Albany, GA 31701

4/2/2009

Jackson, Anitra Lauche

RN194439

Gary Orris, MD

37636

8177

6160 P'tree Dunwoody Rd NE, #100A Atlanta, GA 30328

3/6/2009

Jackson, Kelly Len

RN143526

Alexander Saker, Jr, MD

33187

8338

600 Professional Drive, Suite 210 Lawrenceville, GA 30045

1/9/2009

Jackson, Jr., Harold Eugene

RN218070

Bradley Heiges, MD

50479

15158

210 E. DeRene Ave. Savannah, GA 31405

3/5/2015

Jacob, Christine

RN126358

Maria Aaron, MD

42086

15515

1365B Clifton Rd 5th Flr, Clinic B Atlanta, GA 30322

5/8/2015

Jacobs, Laura

RN211599

Timothy Ward, MD

23125

15841

500 Gordon Ave Thomasville, GA 31799

7/9/2015

Jacobs, Robert Scott

RN121991

Warren Theis, MD

55345

14113

403 A Lister St Waycross, GA 31501

11/7/2014

Jacobs, Robert Scott

RN121991

Eric Davis, MD

63648

12949

13202 Cleveland St West, Suite 200 Nahunta, GA 31553

2/6/2014

Jacobs, Robert Scott

RN121991

Lina Harper, MD

55237

1501

303 Darling Ave. Waycross, GA 31501

9/14/2007

Jacobs-Kalick, Maria Anz

RN230675

Devin Handley, MD

48356

12474

2659 Abutment Rd Dalton, GA 30720

11/8/2013

Jacobson, Stephanie

RN225668

Claude Sportes, MD

71418

15133

1120 15th St, Ste BA-5407 Augusta, GA 30912

4/2/2015

Wednesday, August 12, 2015

Page 172 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

James, Tiffany

RN246514

Charles Roman, DO

43757

15697

2737 Warm Springs Rd Columbus, GA 31904

7/9/2015

James, Melody

RN172395

Ginari Price, MD

56712

15738

223 Medical Center Dr Riverdale, GA 30274

7/9/2015

James, Alexcia

RN243022

Richard Morse Jr, MD

42094

15510

2122 Manchester Expressway Columbus, GA 31904

5/8/2015

James, Angela

RN114907

Prima Foster, MD

57619

14788

6400 Flat Rock Rd Columbus, GA 31907

1/8/2015

James, Rita Robinson

RN102411

Rupert Dyer, DO

51314

12230

PO Box 391 Dawson, GA 39842

10/10/2013

James, Chandra Marie Robinso

RN169998

Matthew Grundfast, DO

52944

9736

1009 N. Monroe St, Suite 102 Albany, GA 31701

5/6/2011

James, Mylene Perez

RN106466

Jayanthi Srinivasiah, MD

33204

9537

2712 Lawrenceville Hwy Decatur, GA 30033

1/7/2011

Jamieson, Sarah

RN218868

Reisman, William MD

61510

10544

80 Jesse Hill Jr Drive Atlanta, GA 30303

3/1/2012

Janney, Magenia Walker

RN078803

Sung Chang, MD

52693

9982

7351 Old Moon Rd Columbus, GA 31909

11/3/2011

Jaramillo, Martha Cecilia

RN130879

Benedict Benigno, MD

17010

9190

960 Johnson Ferry Rd, Suite 130 Atlanta, GA 30342

8/6/2010

Jarboe, Kathleen

RN088693

Mary Huber, MD

36399

15847

3520 Piedmont Rd, Ste 330 Atlanta, GA 30305

7/9/2015

Jardina, Joanna

RN141087

Claudia Venable, MD

50455

15414

1001 Johnson Ferry Rd Atlanta, GA 30342

5/8/2015

Jarrett, Jared Lewis

RN198077

Anthony Hoots, MD

33114

12486

425 W 3rd Ave, Suite 510 Albany, GA 31707

11/8/2013

Jasper, Lisa

RN140219

Gail Matthews, MD

52182

11201

1855 Hudson Bridge Rd. Stockbridge, GA 30281-5000

11/2/2012

Wednesday, August 12, 2015

Page 173 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jayakumar, Bhanu

RN192215

Solomon Tafari, MD

42956

11938

2701 N Decatur Rd Decatur, GA 30033

6/7/2013

Jefferson, Latasha D

RN195618

Leo Ovadje, MD

55143

13766

105 North Park Trail Ste. 300 Stockbridge, GA 30281

10/9/2014

Jefferson, Latasha Devonne

RN195618

Zada Weston-Hill, MD

39009

13895

1810 GA Hwy 20 SE, Suite 172 Conyers, GA 30013

9/11/2014

Jefferson, Tonya Kay Smythwic

RN157741

Zada Weston-Hill, MD

39009

11769

2890 Hwy 212, Suite E Conyers, GA 30094

6/7/2013

Jefferson, Tonya Kay Smythwic

RN157741

Alvin Griffin, MD

32107

1515

1039 E. Freeway Drive Conyers, GA 30094

10/8/2010

Jefferson-Saboor, Andrea Rene

RN103467

Zandraetta Tims-Cook, MD

63616

15254

285 Boulevard NE, Ste 525 Atlanta, GA 30312

4/2/2015

Jefferson-Saboor, Andrea Rene

RN103467

James Short, MD

23877

14708

882 Ponce De Leon Atlanta, GA 30306

1/8/2015

Jeffers-Smith, Jennifer Ann

RN139560

Yvonne Carter, MD

73208

14938

1650 County Services Pkw Marietta, GA 30008

2/5/2015

Jeffers-Smith, Jennifer Ann

RN139560

Africa Alvarez-McLeod, MD

35733

1513

1650 County Services Pkwy Marietta, GA 30008

9/11/2014

Jenkins, Melinda

RN091095

Rami Arfoosh, MD

63559

15734

30 Satellite Dr, Ste 200 Winder, GA 30680

7/9/2015

Jenkins, Catherine Alysia

RN183344

Julie Braddy-Roberts, MD

68759

14048

7830 Veterans Pkwy, Ste H Columbus, GA 31909

10/9/2014

Jenkins, Lisa M.

RN100176

Anthony J. Marchetti, MD

31471

11502

801 West Gordon St. Thomaston, GA 30286

1/11/2013

Jenkins, Brandy G.

RN166060

Foloshade Omole, MD

49074

11461

Take Care Clinic, 794 S. Park St. Carrollton, GA 30117

1/11/2013

Jenkins, Melinda Sue Hunter

RN091095

John Layher, MD

46692

1521

2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606

8/6/2010

Wednesday, August 12, 2015

Page 174 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jenkins, Michelle R.

RN108642

Vintonne' Naiden, MD

31482

1522

3951 Snapfinger Pkwy #350 Ste 350 Decatur, GA 30035

6/8/2007

Jenkins, Lisa Marie

RN100176

Jonathan F. Busbee, MD

40336

1519

615 South Center Street Thomaston, GA 30286

5/10/2007

Jenkins, Dana Michelle Ramer

RN117622

Joseph R. Shaver, MD

42430

1518

3630 J. Dewey Gray Circle Augusta, GA 30909

5/10/2007

Jenkins, III, Charles

RN143268

Matthew Wheatley, MD

57702

11941

49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

10/10/2013

Jenkins, III, Charles

RN143268

Sarvotham Kini, MD

34170

9809

4930 Governors Dr, Suite 409 Forest Park, GA 30297

6/30/2011

Jennings, Melinda

RN099810

David Arnall, MD

36916

11122

101 Yorktown Dr., Ste 100 Rayetteville, GA 30214

10/5/2012

Jeon, Jenny H

RN205660

Jin Kim, MD

54442

12624

1325 Satellite Blvd, Suite 701-A Suwanee, GA 30024

1/9/2014

Jeon, Won Sun

RN161911

Jill Purdie, MD

61324

5205

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Jernander, Brandi

RN149163

Mark Senger, DO

58006

14184

222 Perry Hwy, Building A Hawkinsville, GA 31036

11/7/2014

Jestel, Jennifer Lynn Waller

RN169469

William McGarity, MD

21747

3109

5243 Snapfinger Woods Dr. Decatur, GA 30035

6/8/2007

Jett, Sunni Lea

RN194643

Gary Harvey, MD

20728

12593

3219 College St, Box 20448 Savannah, GA 31404

12/6/2013

Jewell, Lisa Kristine

RN221418

Collyn Steele, MD

66424

13486

50 Kelly Rd. McDonough, GA 30253

7/10/2014

Jha, Shashank

RN214076

Guilda Saint-Fleur, MD

69627

15288

10945 State Bridge Rd Alpharetta, GA 30022

5/8/2015

Jha, Shashank

RN214076

Douglas Laipple, MD

21410

15313

2849 B Henderson Mill Rd Atlanta, GA 30341

4/2/2015

Wednesday, August 12, 2015

Page 175 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jha, Shashank Kumar

RN214076

Fidias DeLeon, MD

63891

11896

2484 Briarcliff Rd, Suite 24 Atlanta, GA 30329

6/7/2013

Jividen, Elaine Beth

RN230014

Thomas Armistead, MD

69086

12458

915 Interstate Ridge Rd Gainesville, GA 30501

11/8/2013

Jiwani, Rehana Jamaluddin

RN139623

Aziz Pirani, MD

61934

14942

4025 Lawrenceville Hwy NW, Ste A Lilburn, GA 30047

2/5/2015

Jobe, Susan

RN204511

Paul Harvey, MD

48960

15804

2650 GA-138 Jonesboro, GA 30236

7/9/2015

Jobe, Susan Leanne

RN204511

Collyn Steele, MD

66424

14574

50 Kelly Rd McDonough, GA 30253

12/4/2014

Jock, Kirkley

RN218349

George Pursley, MD

31308

15419

511 Pleasant Home Rd Augusta, GA 30907

5/8/2015

John, Leena

RN174399

Shah, Nikhil DO

57674

10728

1800 Howell Mill Rd, Ste 500 Atlanta, GA 30318

6/8/2012

John, Sarah Katherine

RN192936
RN192936

Karina Belinfante, MD

55726

9417

3903 South Cobb Dr, Suite 120 Smyrna, GA 30080

12/3/2010

Johnson, Carol

RN197812

Gary Stewart, MD

57845

16041

105 Regency Park Dr McDonough, GA 30253

8/6/2015

Johnson, Eva

RN074598

Toosi Seilanian, MD

67089

15862

200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

8/6/2015

Johnson, Lowanda

RN055775

Andrew Magnet, MD

60215

15771

1 Aflac Parkway Columbus, GA 31907

7/9/2015

Johnson, Kristie

RN139652

Ella Amador, MD

70033

15690

616 19th St, Ste 200 Columbus, GA 31901

6/4/2015

Johnson, Stephanie

RN109410

Aloysius Mangan, MD

15023

15575

615 E Villanow St Lafayette, GA 30728

6/4/2015

Johnson, Brandon

RN226151

Melody Palmore, MD

33679

15387

341 Ponce De Leon Ave Atanta, GA 30308

5/8/2015

Wednesday, August 12, 2015

Page 176 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Johnson, Qiana

RN185555

Tamika Bryant, MD

65940

15416

975 Johnson Ferry Rd, Ste 350 Atlanta, GA 30342

5/8/2015

Johnson, Erin

RN193587

Clark Colvard, MD

28388

15381

102 Gross Crescent Circle Fort Oglethorpe, GA 30742

5/8/2015

Johnson, Claudette Angella

RN180553

Catherine Burley, MD

26230

15221

868 York Ave., SW Atlanta, GA 30310

4/2/2015

Johnson, Angeletta

RN116219

Walter Hill, MD

9835

15327

PCCA 3201 Atlanta Industrial Blvd, Ste 303 Atlanta, GA 3033 4/2/2015

Johnson, Courtney Kate

RN181532

Arvind Chakravarthy, MD

68991

14943

1514 Vernon Rd LaGrange, GA 30240

4/2/2015

Johnson, Pamela

RN242242

Catherine Apaloo, MD

71964

14469

1500 Oglethorpe Ave, Ste 600 E/F Athens, GA 30606

12/4/2014

Johnson, Brandilyn Kay

RN162979

Tammy McLean, MD

53496

13689

705 17th St Columbus, GA 31901

10/9/2014

Johnson, Carol C

RN197812

Ira Robinson, MD

47830

13846

1240 Eagles Landings Pkwy Ste. 100 Stockbridge, GA 30281

9/11/2014

Johnson, Kristie Michelle

RN139652

Jennifer Adu-Frimpong, MD

51901

13948

1514 Vernon Rd., ER Lagrange, GA 30240

9/11/2014

Johnson, Jennifer Lynn

RN190791

Bennie Brown, DO

65085

13750

151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088

9/11/2014

Johnson, Eva P

RN074598

Ernest Kamara, MD

60285

13800

743 Spring St Gainesville, GA 30501

9/11/2014

Johnson, Qiana Aidah

RN185555

Dorothy Stewart, MD

46565

13857

5820 Old National Hwy College Park, GA 30349

9/11/2014

Johnson, Denise

RN123212

Jong Choi, MD

52043

13966

413 Pottery Factory Dr. Commerce, GA 30529

9/11/2014

Johnson, Courtney Kate

RN181532

Kennon McLendon, MD

33393

12994

710 Center St, Emer Dept Columbus, GA 31904

7/10/2014

Wednesday, August 12, 2015

Page 177 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Johnson, Mae D

RN027354

Stanford Voegele, MD

57201

13444

1107 Memorial Dr, Suite 300 Dalton, GA 30720

7/10/2014

Johnson, Christina Susanne

RN176056

Michael Early, MD

27806

13366

201 Avera Drive Fort Valley, GA 31030

6/6/2014

Johnson, Whitney Brooks

RN195771

Ashfaq Saiyed, MD

44833

13078

202 S Cherry St Ocilla, GA 31774

4/4/2014

Johnson, Anita Joyce

RN175391

David Elwood, MD

57963

1526

55 Whitcher Street, Ste 130 Marietta, GA 30060

3/6/2014

Johnson, Courtney Kate

RN181532

Jennifer Adu-Frimpong, MD

51901

12721

710 Center St, emer Dept Columbus, GA 31901

3/6/2014

Johnson, Jasmine Jevon

RN229652

Anekwe Onwuanyi, MD

58088

12598

80 Jesse Hill Dr Atlanta, GA 30303

2/6/2014

Johnson, Laurie Faye Garfield

RN101726

Peter Holliday, III, MD

26557

12324

420 Charter Blvd, Suite 402 Macon, GA 31210

9/13/2013

Johnson, Denise

RN123212

Lawrence Berman, MD

35374

12198

413 Pottery Factory Dr Commerce, GA 30529

9/13/2013

Johnson, Jennifer Lynn

RN190791

Anthony Ditaranto, MD

29865

11823

915 Elmo St Americus, GA 31709

4/4/2013

Johnson, Stephanie Michelle Fi

RN083477

Catherine Schwender, MD

59189

1544

1500 Oglethorpe Ave, Suite 2000 Athens, GA 30606

3/8/2013

Johnson, Kimberly

RN093193

Senger, Mark DO

58006

10768

2809 Pine Street Unadilla, GA 31091

6/8/2012

Johnson, Whitney

RN195771

Irfan, Ahmad MD

41584

10312

2003-A Pioneer Street, Ste A Waycross, GA 31501

1/6/2012

Johnson, Kirsten

RN139381

Blache, Charlene MD

45728

10307

406 M Northside Drive Valdosta, GA 31602

1/6/2012

Johnson, Brandilyn

RN162979

Moore, Linda MD

55849

10348

610 19th Street Columbus, GA 31901

1/6/2012

Wednesday, August 12, 2015

Page 178 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Johnson, Brandilyn Kay

RN162979

William Macheski, MD

28038

9639

2525 Williams Rd Columbus, GA 31909

10/7/2011

Johnson, Christy Lynn Rodehea

RN052724

Quyen Luu, MD

25216

9837

639 Hemlock St, Suite 200 Macon, GA 31201

8/5/2011

Johnson, Heather Constance

RN164766

James Metcalf, MD

28188

9813

409 W Fourth Ave Albany, GA 31701-1915

6/30/2011

Johnson, Paul Douglas

RN112745

Leonard Heffner, MD

15780

1543

1365-C Clifton Rd NE Atlanta, GA 30322

5/6/2011

Johnson, Beverly Kay

RN106778

Errol Graham, MD

32388

9699

105 E. Tollison St, Suite B Baxley, GA 31513

5/6/2011

Johnson, Angela Dawn

RN113824

Maged Abdelmalik, MD

55077

9298

36261 Okefenokee Dr Folkston, GA 31537

10/8/2010

Johnson, Beverly Kay

RN106778

Evelyn Johnson, MD

56182

9172

510 South Main St, Suite B Baxley, GA 31513

8/6/2010

Johnson, Christy Lynn Rodehea

RN052724

Connie DuPre, MD

31675

1529

1657 North Expressway Griffin, GA 30223

9/3/2009

Johnson, Nicole Tamara

RN179949

Mohamad Kassem, MD

40934

8687

3580 Cameron Pkwy Stockbridge, GA 30281

8/7/2009

Johnson, Teresa W.

RN078675

Edwin Hiatt, MD

12920

1545

200 Georgia Avenue Valdosta, GA 31698

7/10/2009

Johnson, Margaret Jeanne Hails RN040414

Robert Hudec, MD

40104

1540

145 N. Medical Pkwy Woodstock, GA 30189

6/5/2009

Johnson, Christie Pheona

RN170210

Frenesa Hall, MD

35892

8372

5979 Buford Hwy, Suite B-4 Doraville, GA 30340

2/5/2009

Johnson, Angela Dawn

RN113824

Albert Thompson, MD

22338

8354

1001 N. Third Street Folkston, GA 31537

1/9/2009

Johnson, Laura Kristen Jones

RN077029

Timothy Daugherty, MD

37781

1534

4451 Paulsen Street Savannah, GA 31405

10/2/2008

Wednesday, August 12, 2015

Page 179 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Johnson, Juanita Onbey

RN054352

G. Edgar Anderson, MD

33263

5456

4700 Battlefield Pkwy, Suite 220 Ringgold, GA 30736

9/11/2008

Johnson, Jr., Robert Howard

RN081322

Bruce Gioia, MD

38774

13042

1110 Hillcrest Pkwy Dublin, GA 31021

4/4/2014

Johnson-Ruise, Kimberlyn

RN183331

Virna Simmons, MD

60614

15642

1355 S Park St. Carrollton, GA 30117

6/4/2015

Johnson-Young, LaTonja

RN123293

Udaya Moti, MD

51362

15583

2249 Vinson Hwy Milledgeville, GA 31061

7/9/2015

Johnston, Susan

RN117517

Kenneth Taylor, MD

38985

16092

275 Collier Rd NW, Ste 500 Atlanta, GA 30309

8/6/2015

Johnston, Amanda

RN176049

Sarvotham Kini, MD

34170

14462

108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602

12/4/2014

Johnston, Jennifer Beasley

RN215247

Tami Breton, MD

38695

11878

3805 Cherokee St Kennesaw, GA 30144

7/11/2013

Joiner, Juanita

RN155547

Deganian, Javad MD

16053

10877

1700 Tree Lane, Ste 110A/B & 360 Snellville, GA 30078

7/12/2012

Jolly, Erin Ann Halford

RN144235

Arthur Chandler Jr., MD

27513

1549

1238 D'Atignac St Augusta, GA 30901

11/7/2014

Jones, Cecile

RN147388

Paul Zolty, MD

54142

15994

3820 Medical Park Dr Austell, GA 30106

8/6/2015

RN147388

Jones, Tracy

RN112762

Mopelola Isola, MD

#####

15948

600 West Memorial Dr Dallas, GA 30132

8/6/2015

Jones, Tarvorshae

RN165239

Andrew Darlington, MD

71597

15743

745 Poplar Rd Newnan, GA 30265

7/9/2015

Jones, Jena Marie

RN203521

Ronnie Smith. MD

45338

15239

543 Jonesboro Rd McDonough, GA 30253

4/2/2015

Wednesday, August 12, 2015

Page 180 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jones, Shauna Rae

RN180743

Louis Casal, MD

35579

14917

1405 Clifton Rd NE Atlanta, GA 30322

2/5/2015

Jones, Jasmynn

RN170338

Robert Forster, MD

36969

14638

1670 Clairmont Rd Decath, GA 30033

1/8/2015

Jones, Sydney Catherine

RN217169

George Katsitadze, MD

52456

14052

6450 Spalding Dr., Ste A Norcross, GA 30092

10/9/2014

Jones, Codi Brianne

RN196846

Dana Kumjian, MD

35673

14029

1115 Lexington Ave. Savannah, GA 31404

10/9/2014

Jones, Anna Christine

RN151386

Eduardo Rojas, MD

30370

13680

1035 Red Bud Rd, Ste 201 Calhoun, GA 30701

9/11/2014

Jones, Sherri Lynn

RN189118

Angela Floiyd, MD

65546

13253

477 Windsor St SW, Suite 309 Atlanta, GA 30312

6/6/2014

Jones, Lisa Varney

RN176548

Pete Williams, MD

59940

12333

743 Spring St Gainesville, GA 30501

10/10/2013

Jones, Lisa Michelle

RN224915

Valarie Manley, MD

32783

11830

101 Beckett Lane, Suite 502 Fayetteville, GA 30214

4/4/2013

Jones, Janine Roxanne Coleman RN093541

Erica Jin, DO

64396

11655

1942 Atkinson Rd, Suite 100 Lawrenceville, GA 30043

2/7/2013

Jones, Anita

RN066948

Bush, Stanley MD

48846

10313

1508-B Hardeman Ave Macon, GA 31201

2/3/2012

Jones, Floia

RN134343

Nayudu, Sasi MD

47932

10315

1112 N. Madison Albany, GA 31701

1/6/2012

Jones, Mary

rn047344

Wu, Jonathan MD

53967

10046

2665 N. Decatur Road #430 Decatur, GA 30033

10/7/2011

Jones, Angela Queen

RN130471

Erskine James, MD

47980

1552

707 Pine St Macon, GA 31210

8/5/2011

Jones, Dustin T.

RN176230

Jonathon Molnar, MD

54914

9831

550 Redmond Rd Rome, GA 30165

6/30/2011

Jones, April Gretchen Gaddy

RN167974

Rahil Kazi, MD

41593

9326

1707 Watson Blvd Warner Robins, GA 31093

11/5/2010

Wednesday, August 12, 2015

Page 181 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jones, Anne Marie

RN176256

William Boydston, MD

34112

9357

5455 Meridian Mark Rd, Suite 540 Atlanta, GA 30342

10/8/2010

Jones, Mary I.

RN047344

Cynthia Rust, MD

35132

9318

634 McDonough Blvd SE Atlanta, GA 30315

9/2/2010

Jones, Marie E.

RN028735

David Brand, MD

46045

9216

103 R E Jennings Ave SE Arlington, GA 39813

8/6/2010

Jones, Rhonda Dee

RN073104

Karen Fehr-D'Alessandro,
MD

35178

1562

5354 Reynolds St, Suite 222 Savannah, GA 31405

12/4/2009

Jones, Tracy Kathleen

RN112762

Shreedhar Nagnur, MD

49192

8835

600 West Memorial Dr Dallas, GA 30132

12/4/2009

Jones, Tanya D.

RN166594

LaSonya Roberts, MD

52818

1566

340 Kennestone Hosp Blvd, Suite 150 Marietta, GA 30060

9/3/2009

Jones, Anita Carole Waller

RN066948

William Shilling, III, MD

47841

1553

426 Hwy 26 East Cochran, GA 31014

6/5/2009

Jones, Paula Deloach

RN104371

Todd Robinson, MD

41937

1561

241 Silverwood Commercial Dr Rincon, GA 31326

3/6/2009

Jones, Tracy Kathleen

RN112762

Anuj Manocha, MD

45876

1567

1700 Hospital South Drive, Suite 502 Austell, GA 30106

1/9/2009

Jones, Nikisha Sharina

RN153007

Charles Brown, III, MD

28383

7882

275 Collier Road, Suite 500 Atlanta, GA 30309

5/9/2008

Jones, Mary I

RN047344

Victor E. Corrigan, MD

26489

1558

5665 P'tree D'woody Rd, Ste 172 Atlanta, GA 30342

6/8/2007

Jordan, Diana Sanders

RN159335

Oscar Salvat, MD

49742

13557

602 East 16th Ave, Ste B Cordele, GA 31015

12/4/2014

Jordan, Sarah Lee

RN094008

Dale Lawson, MD

54233

13787

1048 E. Forsyth St Americus, GA 31709

9/11/2014

Jordan, Wronda Jo Williams

RN093291

Paula Greaves, MD

43631

13777

833 Campbell Hill St., Ste 400 Marietta, GA 30060

9/11/2014

Wednesday, August 12, 2015

Page 182 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jordan, Sarah Jean Lee

RN094008

Mana Kasongo, MD

57753

13293

2000 Palmyra Rd. Albany, GA 31701

7/10/2014

Jordan, Sarah Jean Lee

RN094008

George Yared, MD

46662

12104

2225 US Hwy 41 North Tifton, GA 31794

8/9/2013

Jordan, Mary Catherine

RN044779

Bryan Philbrook, MD

47009

11754

975 Johnson Ferry Rd Atlanta, GA 30342

5/3/2013

Jordan, Michelle Marie Chase

RN148424

James Palazzolo, MD

37637

9591

804 13th Ave Albany, GA 31707

3/4/2011

Jordan, Michelle Marie Chase

RN148424

Marsha Pierdinock, MD

36846

8959

1009 N. Monroe St Albany, GA 31701

2/5/2010

Jordan, Dorothy Henry

RN061785

Roy Sanders, MD

50837

8889

160 Clairemont Ave, Ste 445 Decatur, GA 30030

1/7/2010

Jordan, Lucynda Reaves

RN165700

Dan Dan, MD

39084

8133

275 Collier Road NW, Suite 300 Atlanta, GA 30309

1/11/2008

Jorgensen, Maria Connie

RN098399

Shahzad Hashmi, MD

53239

5536

250 North Avenue Athens, GA 30601

3/6/2009

Joseph, Elsie F.

RN204912

William Parrish, MD

47989

8946

200 Allen Memorial Drive Bremen, GA 30110

3/4/2010

Joseph, Jessica Susan Garland

RN165867

Beena Patel, MD

37322

9012

8095-A Roswell Rd Atlanta, GA 30350

3/4/2010

Josman, Saul

RN118331

Charles Green, MD

17456

14808

1 Freedom Way Augusta, GA 30904

2/5/2015

Joyner, Amber Nobles

RN155568

Ronald Wayne Williams, MD 60338

8643

1707 Meadows Lane, Suite C Vidalia, GA 30474

7/10/2009

Jumper, Hannah Rebeccah

RN213303
RN213303

Stephen Rohn, MD

40212

14639

1436 Broadrick Dr, Ste B Dalton, GA 30720

1/8/2015

Jurado, Steffanee

RN105837

Shahed Brown, MD

61400

15041

1670 Clairmont Rd Decatur, GA 30033

4/2/2015

Wednesday, August 12, 2015

Page 183 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Jurgensen, Katharine

RN205599

James Haymore, MD

9721

14451

11973 Augusta Rd Lavonia, GA 30553

1/8/2015

Kaddour-Djebbar, Benaissa

RN204732

Licheng Tian, MD

47853

13055

3405 Mike Padgett Hwy Augusta, GA 30906

4/4/2014

Kagha, Esther C.

RN115671

Carla Bedford-Dixon, MD

60239

1578

2797 Campbellton Rd SW, Suite C-2 Atlanta, GA 30311

3/6/2014

Kaimachiande, Finda

RN143541

Dolapo Babalola, MD

59119

15817

595 Piedmont Ave, Ste 100 Atlanta, GA 30308-2480

7/9/2015

Kaimachiande, Finda-Mani Mar RN143541

Manjushree Ghose, MD

42827

13292

595 Piedmont Ave, Suite 100 Atlanta, GA 30308

6/6/2014

Kalen, Jennifer

RN189926

Rajeswari Natarajan, MD

55501

14734

1255 Hwy 54 West Fayetteville, GA 30214

1/8/2015

Kalen, Jennifer Michelle

RN189926

Manish Vig, MD

67829

11683

745 Poplar Rd, Emer Dept Newnan, GA 30265

3/8/2013

Kalen, Jennifer Michelle

RN189926

Kevin Cleary, MD

52263

11682

1255 Hwy 54 West Fayetteville, GA 30214

3/8/2013

Kalen, Jennifer Michelle

RN189926

Stephen Prater, MD

41929

8030

95 Collier Road, Suite 5015 Atlanta, GA 30319

3/7/2008

Kallis, Kelly

RN119187

Obenshain, Michael MD

36839

10461

4000 Shakerag Hill, Ste 301 Peachtree City, GA 30269

2/3/2012

Kallon, Seibattu

RN244318

Raxit Patel, MD

64951

15269

55 Witcher St, Ste 160 Marietta, GA 30060

4/2/2015

Kalm, Heather

RN152416

Matthew A. Wheatley, MD

57702

11154

80 Jesse Hill Jr. Dr. Atlanta, GA 30303

10/5/2012

Kalu, Eberechi Linda

RN206385

Uchenna Kalu, MD

62127

13905

3904 N Druid Hills Rd Ste 269 Decatur, GA 30033

9/11/2014

Kamali, Esmaeil Ben

RN162951

Lee Wilkes, MD

41033

15709

4426 Hugh Howell Rd, B 303 Tucker, GA 30084

7/9/2015

Wednesday, August 12, 2015

Page 184 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kamara, Asata

RN169167

Ahmad Jingo, MD

45842

15684

3424 Flat Shoals Rd Decatur, GA 30034

8/6/2015

Kamel, Nada

RN196611

Rebecca Fasano, MD

72541

15498

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Raymond Faught, MD

63347

15497

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Ioannis Karakis, MD

67662

15496

1365 Clifton Rd NE Bldge B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Naymee Velez-Ruz, MD

66733

15495

1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Andres Rodriguez-Ruez, MD 72103

15494

1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Maria Silva, MD

65059

15493

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Suzette LaRoche, MD

46149

15492

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Sandra Helmers, Md

48784

15491

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kamel, Nada

RN196611

Charles Epstein, MD

16228

15490

1365 Clifton Rd NE, Ste 2200 Bldg B Altanta, GA 30322

5/8/2015

Kamel, Nada

RN196611
RN196611

Evan Gedzelman, MD

64544

15489

1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322

5/8/2015

Kanyuira, Jane Wangeci

RN153313

Prashant Mishra, MD

55281

13266

3950 Austell Rd Austell, GA 30106

12/4/2014

Kapoor, Ritu

RN226485

Safia Pirani, MD

56624

14921

3330 Peachtree Corners Cir, Ste H Norcross, GA 30092

4/2/2015

Kappes, Julie Nora

RN149215

Robert Campbell, MD

53429

13454

1226 D'Antignac St Augusta, GA 30901

7/10/2014

Wednesday, August 12, 2015

Page 185 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Karaga, Joann

RN132103

Arun Pol, MD

39907

8435

6290 Abbotts Bridge Rd, Suite 502 Johns Creek, GA 30097

2/5/2009

Karr, Nance Carol

RN090147

Bryan Hooker, MD

32586

12750

220 J L White Dr, Suite 110 Jasper, GA 30143

6/6/2014

Karraker, Barbara

RN135364

Maiysha Clairborne, MD

55194

16123

1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068

8/6/2015

Kartchner, Elizabeth Ann Maug

RN167541

Lawrence Dudas, MD

66026

12583

743 Spring St Gainesville, GA 30501

12/6/2013

Kassens, Jane Marie

RN105066

Beverly Hyacinth, MD

57003

1585

2670 Cobb Pkwy SE Smyrna, GA 30080

12/4/2008

Kauffman, Donna Amanda Ridl

RN098045

Dave Ringer, MD

30368

1586

803 South Main St Greensboro, GA 30642

11/8/2013

Kaur, Balwinder

RN141621

Rekha Singh, MD

38154

16113

1300 Peachtree Industrial Blvd, Ste 4105 Suwanee, GA 3002 8/6/2015

Kaur, Balwinder

RN141621

Manjushree Ghose, MD

42827

13780

5985 Peachtree Pkwy Norcross, GA 30092

9/11/2014

Kaye, Leslie Anne

RN112764

John Hostetler, MD

35907

9277

1825 Martha Berry Blvd Rome, GA 30165

9/2/2010

Kayler, Amy Elizabeth

RN144801

Ivan Diamond, MD

23040

5216

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Keaton, Tina Shelleen West

RN107500

John Manfredi, MD

16101

13576

308 Deep South Farm Rd, Suite 200 Blairsville, GA 30512

8/7/2014

Kededa, Berhanu

RN152429

Michael Lipsitt, MD

18924

14517

766 Walther Rd, Ste 100 Lawrenceville, GA 30046

2/5/2015

Kededa, Berhanu

RN152429

Jimson Smith, MD

62289

11125

2201 North Decatur Rd. Decatur, GA 30033

12/7/2012

Keegan, Patricia Ann

RN181512

Vasilis Babaliaros, MD

44160

9800

1364 Clifton Rd, Suite F-606 Atlanta, GA 30322

6/30/2011

Wednesday, August 12, 2015

Page 186 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Keeley, Sara

RN189072

Lee Jacobs, MD

28283

15921

107 Mountain Brook Dr, Ste 100 Canton, GA 30115

8/6/2015

Keeley, Sara B

RN189072

Freeman Montaque Jr., MD

28123

13625

695 Crossville Rd. Roswell, GA 30075

8/7/2014

Keeley, Sara B.

RN189072

Allen Hoffman, MD

24822

9908

52 Tower Rd Marietta, GA 30060

8/5/2011

Keels, Barbara J.

RN087305

Samuel Erinne, MD

35622

9076

1136 Cleveland Ave, Suite 308 East Point, GA 30344

5/7/2010

Keesling, Mark

RN193399

O'Shea, Kevin MD

38574

10103

811 13th Street, Ste 20 Augusta, GA 30901

10/7/2011

Kehoe, Doreen

RN206799
RN206799

Yulianty Kusuma, MD

61279

15725

130 Stephenson Ave, Ste 102 Savannah, GA 31405

6/4/2015

Keip, Shelly Renee

RN184401

Edward Kruse, DO

58055

13233

1120 15th St Augusta, GA 30912

5/1/2014

Keith, Leah Veronica

RN106717

Ryan Crisel, MD

69788

14062

1267 Hwy 54 W, Ste 2200 Fayetteville, GA 30214

10/9/2014

Keith, Catherine Richardson

RN075194

James Wheeler, MD

17903

1594

993 F Johnson Ferry Rd, Ste 210 Atlanta, GA 30342

9/11/2014

Kelker, Cassandra

RN116927

Frederick Burton, MD

38434

15793

5448 Whittlesey Blvd, Ste B Columbus, GA 31909

7/9/2015

Keller, Christina

RN215688

John Layher, MD

46692

15961

2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606

8/6/2015

Keller, Gina Bernstein

RN185663

Scott Parry, DO

39899

13592

730 Ponce de Leon Place, Ste B Atlanta, GA 30306

8/7/2014

Keller, Haley

RN205011

Hernandez-Aviles, Milca
MD

61749

10438

1933 Shields Road Dalton, GA 30720

2/3/2012

Keller-Vice, Hayley Lauren

RN205011

Gayoung Hong, MD

67467

13573

13570 N. Main St Trenton, GA 30752

7/10/2014

Wednesday, August 12, 2015

Page 187 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kelley, Brandy

RN178702

Michael Burke, MD

54798

15505

1414 Dug Gap Rd Dalton, GA 30720

5/8/2015

Kelley, Angela Denise Kitchens

RN085412

Terry Melvin, MD

35951

13185

1217 Lafayette Rd Rossville, GA 30741

5/1/2014

Kelley, Vivian Ann

RN159555

Karen Clarke, MD

60570

1600

1514 Vernon Rd LaGrange, GA 30240

2/5/2010

Kelly, Karyn

RN087400

Chad Asplunp, MD

58438

15905

1120 15th St. Pavilion AF-1040 Augusta, GA 30912

8/6/2015

Kelly, Monique Diane

RN184994

Ambrous Findley, DO

28267

14996

563 Mountain City Rd Clayton, GA 30525

3/5/2015

Kelly, Susan Elizabeth

RN218214

Anekwe Onwuanyi, MD

58088

13751

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

10/9/2014

Kelly, Linda Jeanne

RN205972

Kim Champney, MD

53115

13367

1000 Johnson Ferry Rd NE, Ste 340 Atlanta, GA 30342

6/6/2014

Kelly, Ursula Ann

RN205908

Sheryl Heron, MD

41828

13321

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

6/6/2014

Kelly, Sean Patrick

RN228991

Scott Bell, MD

69174

12505

1538 13th Ave, Suite B-300 Columbus, GA 31901

11/8/2013

Kelly, Linda

RN205972

Hott, Brenda MD

41441

10459

1200 Northside Forsyth Dr Cumming, GA 30041

2/3/2012

Kelly, Elizabeth Ann S.

RN050989

David Brand, MD

46045

9233

PO Box 496 Arlington, GA 39813

8/6/2010

Kelly, Karyn Elayne

RN087400

Mathew Ciechan, II, MD

24217

8995

400 Town Park Blvd, Suite 300 Evans, GA 30809

2/5/2010

Kelly, Karyn Elayne

RN087400

Jill Miller, MD

45891

8752

1384 Greene Street Augusta, GA 30901

10/2/2009

Kelly, Elizabeth Ann S.

RN050989

William Thompson, MD

40575

1602

PO Box 496 Arlington, GA 39813-0496

1/9/2009

Wednesday, August 12, 2015

Page 188 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kemp, Mieshia

RN209521

Nicole Ash-Mapp, MD

42993

15831

275-D Upper Riverdale Rd Riverdale, GA 30274

7/9/2015

Kendrick, Tara Darlene

RN144327

Darla Morgan, MD

39878

13910

170 Curtis Pkwy Ste 1 Calhoun, GA 30701

9/11/2014

Kendrick, Patricia Rose

RN152378

Brandee Urrutia, MD

66661

11975

4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041

11/8/2013

Kendrick, Patricia Rose

RN152378

Sinan Haddad, MD

56455

8864

1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501

12/4/2009

Kendrick, Patricia Rose

RN152378

William Lynds, MD

33140

8682

649 Shallowford Rd Gainesville, GA 30504

8/7/2009

Kennedy, Christine

RN048660

Sampath Prahalad, MD

61817

15945

2015 Uppergate Dr Atlanta, GA 30322

8/6/2015

Kennedy, Trisha Lynn

RN190959

Christopher McLendon, MD

31627

15236

200 Westpark Dr Peachtree City, GA 30269

4/2/2015

Kennedy, Sheryl Ann

RN070145

Saurabh Desai, MD

27530

12910

6025 Professional Pkwy., Ste. 200 Douglasville, GA 30134

11/7/2014

Kennedy, Erica

RN176824

Burson, James MD

34785

10759

4000 Shakerag Hill, Ste 204 Peachtree City, GA 30269

7/12/2012

Kennedy, Sheryl

RN070145

Patel, Rajendra MD

21781

10753

2965 Johnson Ferry Road, Ste D Marietta, GA 30067

6/8/2012

Kennedy, Trisha Lynn

RN190959

Mark Ling, MD

34647

8255

710 Newnan Crossing By-pass Newnan, GA 30263

8/8/2008

Kent, Kendall Lynn

RN209683

Sherma Peter, MD

66306

15246

201 DeRene Ave Savannah, GA 31405

4/2/2015

Kent, Yolanda Michelle

RN106726

Deepali Agarwal, MD

54783

13267

1110 13th St Columbus, GA 31901

7/10/2014

Kerr, Joanna Heden

RN191560

Laurette Ho, MD

41831

11729

3225 Shallowford rd, Bldg 1300 Marietta, GA 30062

4/4/2013

Wednesday, August 12, 2015

Page 189 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kerr, Lakisha J.

RN177718

Howard Stirne, MD

25050

11204

316 N. Broad St. Winder, GA 30680

11/2/2012

Kesselman, Alyssa Lauren

RN201497

Romualda Klicius, MD

46305

11893

145 North Medical Pkwy Woodstock, GA 30189

6/7/2013

Kessler, Cathleen Ellen

RN187457

Nalini Narayan, MD

44287

9082

705 Dixie Street Carrollton, GA 30117

5/7/2010

Key, Jennifer Leigh

RN084616

Connie Trello, MD

43495

14826

1350 Walton Way 3rd FL Augusta, GA 30901

2/5/2015

Key, Jennifer Leigh Bryan

RN084616

Mac Bowman, MD

21647

14209

1350 Walton Way Augusta, GA 30901

11/7/2014

Key, Jennifer Leigh

RN084616
RN084616

Ioana Chirca, MD

69285

14420

1350 Walton Way Augusta, GA 30901

10/9/2014

Key, Jennifer Leigh Bryan

RN084616

Kevin Nash, MD

68078

11831

1350 Walton Way Augusta, GA 30901

5/3/2013

Key, Dawn Waddell

RN107136

Franc Wallace, MD

48582

7756

624 Martin Luther King, Jr Drive Milledgeville, GA 31061

9/11/2008

Key, Dawn Waddell

RN107136

Al Soltan, MD

45011

1618

308 Coliseum Dr. Macon, GA 31217

6/8/2007

Keys, Hunter Masengill

RN215846

Chinedum Ikpe, MD

66121

14737

745 Poplar Rd Newnan, GA 30265

1/8/2015

Khalil, Karen D.

RN197582

John Kludt, MD

34876

13662

3700 Club Dr Lawrenceville, GA 30044

9/11/2014

Khan, Rani Sheereen

RN160821

Donna Sinclair, MD

64733

9841

1046 Ridge Ave Atlanta, GA 30315

6/30/2011

Khan, Rani Sheereen

RN160821

Jonathan Ehrlich, MD

15580

5221

9937 Johnson Ferry Rd, #360 Atlanta, GA 30342

7/10/2009

Khanna, Dipti

RN207437

B Krishna Mohan, MD

19407

11727

6507 Professional Place Riverdale, GA 30274

3/8/2013

Wednesday, August 12, 2015

Page 190 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kidane, Layla

RN212851

Rifquat Giwa, MD

63198

13672

3950 Austell Rd. Austell, GA 30106

8/7/2014

Kidd, Lindsey Marie

RN237390

Daniel Marcadis, MD

41881

13605

302 Point North Place Dalton, GA 30720

8/7/2014

Kidd, Keith L.

RN200047

Vincent Viscomi, MD

32320

8376

83 Crye Leike Drive Ft. Oglethorpe, GA 30742

1/9/2009

Kidwell, Natisha

RN208948

Andrew Yen, MD

63554

15863

200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

7/9/2015

Kiewit, Devra

RN227529

Richard VanDam, MD

71296

15482

1266 Highway 515 South Jasper, GA 30143

6/4/2015

Kilgore, Priscilla

RN131629

Charles Well Jr, MD

19807

14763

435 Second St, Ste 430 Macon, GA 31201

2/5/2015

Kilgore, Catherine Martin

RN089707

Michael Baron, DO

33273

13395

1505 Lilburn Stone Mountain Rd, Suite 100 Stone Mountain,

7/10/2014

Killeen, Jessica Guilfoil

RN185537

Lynley Durrett, MD

44912

8832

105 Collier Rd NW, Suite 1080 Atlanta, GA 30309

11/5/2009

Kilroy, Mariae Damien

RN069540

Armene Vanoyan, MD

46508

13911

275 Collier Rd Ste 100C Atlanta, GA 30309

9/11/2014

Kim, Hyo Jin

RN118947

Robert Hoff, MD

22784

1628

1357 Hembree Rd, Suite 150 Roswell, Ga 30076

6/30/2011

Kimball, Kay Ann

RN077063

Elizabeth McGee, MD

33633

1629

760 Kennesaw Avenue Marietta, GA 30060

9/11/2008

Kimbrell, Holly Devonda

RN123684

Josh Uptigrove, DO

67452

14513

201 Hospital Rd, (ER) Canton, GA 30114

12/4/2014

Kimbrell, Holly Devonda

RN123684

Jonathan Gore, MD

59417

11074

960 Joe F Harris Pkwy Cartersville, GA 30121

10/5/2012

Kinard, Amy Cupples

RN198554

Anu Murthy, MD

54867

13757

Turner Health/Wellness (CNS), One CNN Ctr, NT100BD Atlant 9/11/2014

Wednesday, August 12, 2015

Page 191 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kinard, Amy

RN198554

Springer, Robert MD

37081

10791

50 Executive Park South, Ste 5012 Atlanta, GA 30329

6/8/2012

Kincey, Stefanie

RN246701

Olawale Osunsanya, MD

72784

15791

213 Delores St Colquitt, GA 39837

7/9/2015

King, Jeannie Paige

RN120898

Bridgette Dingle, MD

64532

14954

420 East 2nd Ave Rome, GA 30161

3/5/2015

Praveen Reddy, MD

56471

13217

1000 Johnson Ferry Rd. NE Atlanta, GA 30342

5/1/2014

King, Mackenzie Jackson
RN151113
King, Angela Bridget

RN142732

Vijith Prasad, MD

40520

13096

131- B Victory Drive Swainsboro, GA 30401

4/4/2014

King, Stephanie Marie

RN185557

Stephen Frohwein, MD

34834

12688

5671 Peachtree Dunwoody Rd. Suite 300 Atlanta, GA 30342

2/6/2014

King, Garnet

RN076787

Antin, Todd MD

36495

10184

465 Winn Way Decatur, GA 30030

11/3/2011

King, Sharon D

RN114535

Matthews Gwynn, MD

34147

1636

993 Johnson Ferry Rd, Suite F-120 Atlanta, GA 30342

7/10/2009

King, Deborah Ann

RN123523

Donna Fearing, MD

29447

1633

120 Stone Bridge Pkwy, Ste 410 Woodstock, GA 30189

12/7/2007

King-Marshall, Damali

RN160719

Mae Morgan, MD

22902

15688

275 Pryor St SW Atlanta, GA 30303

8/6/2015

Kinsinger, Tonya Jo

RN239541

Teresa Coleman, MD

37975

13912

919 South Broad ST Thomasville, GA 31792

9/11/2014

Kinton, Jillian Elizabeth

RN226018

Paul Browne, MD

30967

14879

1120 15th St Augusta, GA 30912

2/5/2015

Kippels, Andrea Jean

RN065116

William Hu, MD

63701

9656

1841 Clifton Rd NE Atlanta, GA 30329

4/1/2011

Kippels, Andrea Jean

RN065116

James Lah, MD

41863

8594

1841 Clifton Road Atlanta, GA 30329

6/5/2009

Wednesday, August 12, 2015

Page 192 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kippels, Andrea Jean

RN065116

Allan Levey, MD

34885

1639

1841 Clifton Road NE Atlanta, GA 30329

11/7/2008

Kirby, Robert Steven

RN163585

William Mills, MD

50901

5453

58 Big A Road Toccoa, GA 30577

3/6/2009

Kirkby, Dawn Anne Marie

RN090840

Lisa Welch, MD

42486

13636

1290 Columbia Dr. Decatur, GA 30032

8/7/2014

Kirkley, Stephanie Renee King

RN116772

Mitchell Hecht, MD

40405

1643

1305 Henbree Rd, Ste 201 Roswell, GA 30076

8/5/2011

Kirkpatrick, Justin L.

RN203897

Bryan Cheever, MD

34120

13713

1107 Memorial Dr., Ste 200 Dalton, GA 30720

9/11/2014

Kiser, Laurie Ann

RN135069

Kancharla Ashok, MD

48250

1644

132 Franklin Springs St Royston, GA 30662

8/7/2014

Kitchens, Charles Earl

RN203522

Paul King, MD

36198

13613

285 Boulevard NE, Suite 415 Atlanta, ga 30312

8/7/2014

Kitchens, Layne Harvey

RN076916

Jean Sumner, MD

30225

11000

2257 West Elm St., Ste C Wrightsville, GA 31096

9/13/2012

Kitchens, Layne Barrett Harvey

RN076916

Wentzelle Kitchens, MD

38277

1646

501 Sparta Road, Suite F Sandersville, GA 31082

1/11/2008

Kitchings, Martha Helen Branne RN022690

Calin Badea, MD

55918

13016

455 South Main St, Suite 104 Hinesville, GA 31313

3/6/2014

Kitchings, Martha Helen Branne RN022690

Olugbenga A. Awe, MD

48329

1647

PO Box 52 Hinesville, GA 31310

4/13/2007

Kiwanuka, Sarah Cissy

RN133502

Cedrella Jones-Taylor, MD

26313

15020

1670 Clairmont Rd. Decatur, GA 30033

6/4/2015

Kiwanuka, Sarah Cissy

RN133502

Franklin Von Hack, MD

39501

9962

861 Holcomb Bridge Rd, Ste 200 Roswell, GA 30076

8/5/2011

Kline, Jennifer

RN168411

Reginald Davis, MD

27720

15956

5 Execuive Circle Savannah, GA 31406

8/6/2015

Wednesday, August 12, 2015

Page 193 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective
10/10/2013

Kline, Gail Ann Mullin

RN110772

Eric Lincoln, DO

67343

12018

840 Pine St, Suite 500 Macon, GA 31201

Knee, Laura Kay

RN166274

Todd Albinger, MD

33509

12541

5665 Peachtree Dunwoody Rd NE, Emer Dept Atlanta, GA 30 11/8/2013

Knee, Laura Kay

RN166274

Snehal Dalal, MD

57297

9132

5955 State Bridge Rd, Suite 200 Johns Creek, GA 30097

8/6/2010

Knight, Kristan Baker

RN238878

Dana Cason, MD

39302

15372

2122 Manchester Expressway Columbus, GA 31904

5/8/2015

Knight, Tristia

RN141779

Rani Reddy, MD

34450

14849

106 Briarwood Rd Statesboro, GA 30458

1/8/2015

Knight, Ann Beecher

RN159369

Stephanie Eaton, MD

44204

12092

1000 Johnson Ferry Rd Atlanta, GA 30342

9/13/2013

Knight, Lorraine

RN215036

Lance Stein, MD

56368

10928

1968 Peachtree Rd NW, Bldg 77, 5tgh floor Atlanta, GA 3030 9/13/2012

Knight, Brandi Dawn

RN143310

Jeffrey Proctor, MD

43267

1651

970 J F Harris Pkwy, Suite 260 Cartersville, GA 30120

4/2/2009

Knott, Allison

RN101384

Samier Belagaje

64896

14427

80 Jesse Hill Jr Dr S E Atlanta, GA 30303

10/9/2014

Knowles, Constance Bailey

RN111915

Wyatt Blake, MD

47702

13369

4421 Carnes St. Acworth, GA 30101

6/6/2014

Knox, Sharon Paulette

RN060943

Christopher Atkins, MD

45708

13583

1266 Hwy 15 South, Emer Dept Jasper, GA 30143

8/7/2014

Knox, Sharon Paulette

RN060943

Jonathan Gore, MD

59417

11997

960 Joe Frank Harris, Pkwy, Emer Dept Cartersville, GA 3012 7/11/2013

Knox, Sharon

RN060943

Camp, Barbara MD

41747

10769

33 Nacoochee Way PO Box 485 Sautee Nacoochee, GA 3057 6/8/2012

Knox, Sharon Paulette

RN060943

Shawn Holsonback, DO

45242

9096

1200 Memorial Dr, Emergency Dept Dalton, GA 30720

Wednesday, August 12, 2015

5/7/2010

Page 194 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Knudsen, Irina M

RN139660

Dong Shin, MD

54026

1658

1365 C Clifton Rd. Atlanta, GA 30322

7/10/2014

Ko, Jung Yung

RN185605

Hampton Groover, MD

35059

12105

1626 Jeurgens Court Norcross, GA 30093

8/9/2013

Ko, Jung Yung

RN185605

Gerald Staton, MD

22473

11968

1821 Clifton Rd NE Atlanta, GA 30329

7/11/2013

Kobia, Sonya Hart

RN195430

David Vann, MD

37919

15353

2959 Sharpsburg McCollum Rd Newnan, GA 30265

4/2/2015

Koblasz, Mary Bassett

RN055134

Ruth Shim, MD

55889

9131

PO Box 26238 Atlanta, GA 30303

7/1/2010

Kohler, Patricia Lynn

RN207747

Elliot Raizes, MD

24478

9495

3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

12/3/2010

Kohring, Kasey Elizabeth

RN233062

Elizabeth Killebrew, MD

29898

12535

1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

11/8/2013

Kolsky, Jillian Morgan

RN194621

Michael Ogden, MD

46893

8240

148 Clinic Avenue Carrollton, GA 30117

7/11/2008

Kombe, Marie- Louise Njonjo

RN204145

Prashant V. Mishra, MD

55281

13139

3950 Austell Rd., Box 22 Austell, GA 30106

4/4/2014

Konieczka, Carl Heinz

RN210228

Jeremy Hess, MD

57818

12404

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

10/10/2013

Konter, Roslyn P

RN121158

Philip Spandorfer, MD

55977

9951

1100 Lake Hearn Dr, Ste 100 Atlanta, GA 30342

8/5/2011

Konter, Roslyn Pollard

RN121158

Susan W. Harrell, MD

33100

5535

1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

7/13/2007

Konter, Roslyn Pollard

RN121158

Tama Y. Fuller, MD

21981

1660

1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

7/13/2007

Konter, Roslyn Pollard

RN121158

Philip S. Weiss, MD

38398

5534

1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

7/13/2007

Wednesday, August 12, 2015

Page 195 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Konter, Roslyn Pollard

RN121158

John C. Knox, MD

22575

5533

1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342

7/13/2007

Kopp, Laurie

RN081378

Mercadel, Thaedra MD

63061

10754

3872 Hwy 5 Douglasville, GA 30135

6/8/2012

Kotti, Michelle Marie

RN243166

Richard Hansen, MD

24152

15110

1100 Johnson Ferry Rd, Ste 460 Bld. 2 Atlanta, GA 30342

3/5/2015

Koval, Barbara K

RN144368

Laura Harris, MD

54494

13906

105 Collier Rd Ste 4060 Atlanta, GA 30309

9/11/2014

228524

Hyunmi Kim, MD

56119

15447

1605 Chantilly Dr NE, Ste 300 Atlanta, GA 30324

5/8/2015

Kowalski, Tracy Jean

RN237238

Goga Vukotic, MD

47576

13663

11050 Crabapple Rd., Bldg A, Ste 104B Roswell, GA 30075

9/11/2014

Kozma, Kellie Jo

RN160612

Steven Schuster, DO

31661

1775

5800 Windward Pkwy, Suite A-211 Alpharetta, GA 30005

4/2/2009

KracKenberger, Denise Kathryn

RN151196
RN151196

Louis Heller, MD

45238

14670

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Krackenberger, Denise

RN151196

Heller, Louis MD

45238

10182

755 Walther Road Lawrenceville, GA 30046

11/3/2011

Krechmery, Karen Lynn

RN146180

James Capes, MD

38438

7850

550 Peachtree St NE, Emergency Dept Atlanta, GA 30308

4/2/2009

Kress, Karen

RN125419

Flacker, Jonathan MD

48148

10755

1821 Clifton Road Atlanta, GA 30329

6/8/2012

Kreun, Tiffany Brooke

RN205413

Andrew Cichelli, MD

44433

15112

1601 Fair Rd, Ste 600 Statesboro, GA 30458

4/2/2015

Krispin, Andrea

RN131953

Williams, Stewart MD

30242

10575

2412 N. Oak Street Valdosta, GA 31602

3/29/2012

Kroening, Sara Alexious

RN152993

Geetha R. Soodini, MD

59025

13913

1505 Northside Blvd Ste 2800 Cumming, GA 30041

9/11/2014

Kovitch, Eliana

Wednesday, August 12, 2015

Page 196 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kroll, Sherri Cofield

RN106135

Marlene Zetzer, MD

33236

12659

121 Burgess Rd Brunswick, GA 31520

6/6/2014

Krueger, Patrick James

RN226020

Jeffrey Siegelman, MD

65891

13320

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

6/6/2014

Kubay, Jacquelynn Marie

RN232921

Eugene Paul, MD

60305

14418

176 Lyons St Jackson, GA 30233

10/9/2014

Kubik, Lauren

RN186355

Todd Taylor, MD

68322

14757

49 Jesse Hill Jr Dr S E Atlanta, GA 30303

1/8/2015

Kuebler, Kim Kathleen

RN107885

Armin Oskouei, MD

63721

14518

310 Eisenhower Dr Bldg 12, Ste C Savannah, GA 31410

12/4/2014

Kulkin, Charlotte Virginia Cona

RN125915

Anu Murthy, MD

54867

10976

2255 Cumberland Pkwy, Suite 1400 Atlanta, GA 30339

12/7/2012

Kulkin, Charlotte Virginia Cona

RN125915

Tom Fariss, MD

55747

1677

1400 Holcomb Bridge Road Roswell, GA 30076

1/11/2008

Kunkel, Judith Ann

RN206803

Dillon Miller, MD

67508

11851

101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

5/3/2013

Kunkel, Lynn

RN089519

Rowley, Lawrence MD

35992

10706

1700 Hospsital South Drive Austell, GA 30106

5/4/2012

Kurtz, Laura Leigh Alsbury

RN075453

Jason Holbrook, MD

44237

9494

2050 Cumming Hwy, Suite 100 Canton, GA 30114

1/7/2011

Kurtz, Laura Leigh Alsbury

RN075453

Nagwa Eskander-Demian,
MD

46297

8513

553 Riverstone Pkwy, Suite B Canton, GA 30114

5/7/2009

Kushner, Lauren

RN131245

Greaves, Paula MD

43631

10594

833 Campbell Hill St NE, Ste 400 Marietta, GA 30060

12/7/2012

Kushner, Lauren M.

RN131245

Donna Sinclair, MD

64733

9811

1046 Ridge Ave SW Atlanta, GA 30315

6/30/2011

Kuttukaran, Lijy John

RN180822

Steven Urken

36030

12574

1670 Clairmont Rd Decatur, GA 30033

12/6/2013

Wednesday, August 12, 2015

Page 197 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kyle, Alison Walter

RN150116

Danny Branstetter, MD

63175

9470

341 Ponce de Leon Ave Atlanta, GA 30308

11/5/2010

Kyle, Alison Walter

RN150116

Laura Broyles, MD

53839

1682

341 Ponce de Leon Avenue NE Atlanta, GA 30308

12/7/2007

Labrador, Babs Rene

RN123691

Nicholas Lembo, MD

28430

15838

1968 Peachtree Road NW Atlanta, GA 30309

7/9/2015

LaCoste, Kathalina

RN114591

Johnson, Miles MD

38817

10817

3001 S. Cobb Drive, Ste 103 Smyrna, GA 30080

7/12/2012

LaCount, Sharon Lynn Ragsdale RN106756

Nadia Cameron, MD

53982

13240

961 Green St, NE Gainesville, GA 30501

5/1/2014

Lagarde, Nina

RN152769

Wendy Goza, MD

32476

15764

110 Brandywine Blvd Fayetteville, GA 30214

8/6/2015

Lagarde, Nina

RN152769

Altee Johnson, MD

60387

15562

101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

6/4/2015

Laing, Denise Cloud

RN127193

Roy Reardon, MD

42402

9221

208 North Cuthbert Street Colquitt, GA 39837

9/2/2010

Lake-Thomas, Jacinta

RN117444

Nimisha Trivedi, MD

53715

1687

3778 Hwy 42 Locust Grove, GA 30248

12/4/2008

Lam, Jade Tiffany

RN215993

Tong Huynh, MD

20172

15758

4775 Jimmy Carter Blvd, Ste 201 Norcross, GA 30093

7/9/2015

Laman, Barbara C.

RN221471

Thomas N. Mullen, MD

39882

11428

126 Sequoyah Tr. Ringgold, GA 30736

12/6/2012

Lamar, Exie

RN181187

Charles Hitson, MD

26554

16060

409 W. Solomon Griffin, GA 30223

8/6/2015

Lamb, Jessica Mullis

RN163024

Gyula Soos, MD

49093

9072

230 Industrial Blvd, Suite 3 Dublin, GA 31021

4/1/2010

Lambert, Cynthia Augereau

RN174546

Allen Hoffman, MD

24822

11848

8954 Hospital Dr, Bldg B, #115 Douglasville, GA 30134

5/3/2013

Wednesday, August 12, 2015

Page 198 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lambeth, Shannon Tomlinson

RN173739

Edward Chen, MD

48884

9197

1365 Clifton Rd, A-2232 Atlanta, GA 30322

8/6/2010

Lancaster, Michael

RN131631

James Fordyce, DO

47318

15736

1707 Meadows Lane Vidalia, GA 30474

7/9/2015

Lancaster, Sabrina M

RN119030

Georgia Theriot, MD

42539

13818

406 East Lee ST Thomaston, GA 30286

9/11/2014

Lance, Robyn Johnson

RN181646

Travan Jasper, MD

45506

14740

2990 Five Forks Trickum Rd. Lawrenceville, GA 30044

1/8/2015

Landers, Phyllis Nadeau

RN096607

Linda Casteel

43346

8225

3725 Zoar Road Snellville, GA 30039

9/11/2008

Landers, Phyllis Nadeau

RN096607

Mark Mittenthal, MD

17864

8118

5669 P'tree D'woody Rd, Ste 100 Atlanta, GA 30342

2/7/2008

Landing, Stephanie Rachel

RN170492

Ortelio Bosch, MD

51119

13194

7450 Skidaway Rd Savannah, GA 31406

6/6/2014

Landor, Misty Dawn

RN173390

Cheryl Trowell, MD

63035

13571

4900 Ivey Rd, Suite 1826 Acworth, GA 30101

9/11/2014

Landor, Misty

RN173390

Wu, Jonathan MD

53967

10045

265 N. Decatur Blvd, Ste 430 Decatur, GA 30033

10/7/2011

Landor, Misty Dawn

RN173390

Bob Agbogu, MD

43839

9044

1136 Cleveland Ave, Suite 500 East Point, GA 30344

4/1/2010

Landrum, Bobby Gene

RN109950

Saeed Zafar, Md

45370

14041

2032 Wynnton Rd., SteA Columbus, GA 31906

10/9/2014

Landrum, Frances Marie

RN164310

Charles Hitson, MD

26554

13593

231 Graefe St Griffin, GA 30223

8/7/2014

Landrum, Bobby Gene

RN109950

John Corbin, MD

34800

12136

2122 Manchester Expy, Emer Dept Columbus, GA 31904

9/13/2013

Landrum, Bobby Gene

RN109950

Kevin King, MD

56310

11839

2122 Manchester Expressway Columbus, GA 31904

7/11/2013

Wednesday, August 12, 2015

Page 199 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Landry, Kelly Anne

RN195729
RN195729

Lakshmanan Krishnamurti,
MD

71385

15185

1405 Clifton Rd NE, Ste 4th floor Atlanta, GA 30322

4/2/2015

Lane, Teresa

RN163766

Regina Justice, MD

47777

15499

2462 Hwy 34 E, Ste A Newnan, GA 30265

5/8/2015

Lane, Teresa

RN074324

Jeffrey Winston, MD

28337

15472

800 Kennesaw Ave Bldg 100, Ste 130 Marietta, GA 30060

5/8/2015

Lane, Teresa Elaine

RN074324

Charles Hendry, MD

10422

9887

1900 The Exchange, Suite 420 Atlanta, GA 30339

8/5/2011

Lane, Teresa P.

RN074324

Michael Gladson, MD

21506

7719

70 Ada Street Blue Ridge, GA 30513

2/7/2008

Lanford, Tiffany

RN162694

Marc Unterman, MD

19800

15557

766 Walther Rd Lawrenceville, GA 30046

8/6/2015

Langdon, Kristan N Drake

RN170212

Byron Williams, III, MD

53894

12412

1365 Clifton Rd NE Atlanta, GA 30322

10/10/2013

Langford, Da'na Michelle

RN206784

Francis Kwarteng, MD

61792

9601

401 South Madison St Albany, GA 31707

3/4/2011

Langston, Lydia Michelle

RN229672

Bola Sogade, MD

47875

12180

639 Hemlock St, Suite 101 Macon, GA 31201

7/10/2014

Lanier, Courtenay Renae

RN159370

Eric Powell, MD

49081

14152

586 Brannen St Stateboro, GA 30458

12/4/2014

Lanier, Kimberly Tyra

RN119081

Barry Jones, MD

12495

8097

5965 Pkwy North Blvd, Ste C Cumming, GA 30040

11/1/2007

Lantaff, Tracy

RN176566

Hess, Amy MD

65821

10377

960 Joe Frank Harris Pkwy Cartersville, GA 30120

1/6/2012

Laporte, Kelci Jane

RN194084

William Mahle, MD

50110

8979

1405 Clifton Rd Atlanta, GA 30322

2/5/2010

Larisch, Sandra

RN155491

Robert Schultz, MD

18949

15704

1100 Lake Heard Dr, Ste 350 Atlanta, GA 30342

6/4/2015

Wednesday, August 12, 2015

Page 200 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Larson, Deborah Ann

RN170174

Sidney Paul Chastang, MD

41094

1704

3921 Shallowford Rd Marietta, GA 30062

1/7/2010

Lashley, Laura Elizabeth

RN198754

Mark Majoch, MD

36651

12219

3855 Pleasant Hill Rd, Suite 100 Duluth, GA 30096

10/10/2013

Lassiter-Stephens, Michelle

RN180512

Cecil Bennett, MD

48844

15114

440 Prime Point Peachtree City, GA 30269

4/2/2015

Latham, Cassandra Coe

RN115534

John Blumer, MD

53101

7770

3222 Shrine Rd, Suite A Brunswick, GA 31520

10/5/2012

Lathrop, Breanna

RN184089

Melissa Sanchez, MD

64056

15870

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/9/2015

Lathrop, Breanna Lynn

RN184089

William Warren, MD

23126

9173

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

8/6/2010

Lathrop, Barbara Lynn Wells

RN112839

Joshua Perkel, MD

56343

8412

1062 Forsyth Street, Suite 2A Macon, GA 31201-8639

1/9/2009

Lattany, Tiffany Mashalle

RN203218

Lina Harper, MD

55237

13308

303 Darling Ave. Waycross, GA 31501

9/11/2014

Latterell, Brooke Linn

RN200417

Eric Gibney, MD

61884

9078

1968 Peachtree Rd NW, Bldg 77, 5th Floor Atlanta, GA 30309 5/7/2010

Lattimore, Willie Lee

RN102042

Alfred Woodard, MD

40592

12490

417 Third Ave, Emer Dept Albany, GA 31701

5/1/2014

Lattimore, Willie Lee

RN102042

Oscar Espetia, MD

65358

12466

2501 North Patterson St, Emer Dept Valdosta, GA 31602

11/8/2013

Laue, Donna Jean Wills

RN095679

Thomas Bozzuto, DO

56978

1706

803 North Jefferson Street, Suite A Albany, GA 31701

1/11/2008

Lausch, Tara

RN213219

Leah Helton, MD

60741

15995

102 Bowling Lane Dublin, GA 31021

8/6/2015

Lausch, Tara Hutchinson

RN213219

John Chipley, MD

61406

15828

200 Industrial Blvd Dublin, GA 31021

7/9/2015

Wednesday, August 12, 2015

Page 201 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lavallo, Joseph

RN214862

Pamela Clanton, MD

61221

14514

745 Poplar Rd Newnan, GA 30265

9/11/2014

Lavallo, Joseph

RN214862

Gopal Rao, MD

32892

13219

350 Country Club Dr. Ste A Stockbridge, GA 30281

5/1/2014

Law, Latonya Patrice

Rn224963
RN224963

Adam Meadows, MD

67504

14617

2540 Windy Hill Rd Marietta, GA 30067

1/8/2015

Law, Patricia Velda Lee

RN073174

Hubert Smith, MD

18745

12135

412 Northside Drive East Statesboro, GA 30458

8/9/2013

Law, Latonya P.

RN224963

Angela H. Coleman, MD

61717

11329

1140 Hammond Dr., Ste K110 Atlanta, GA 30328

1/11/2013

Lawrence, Patricia R

RN216297

Usama Kanaan, MD

60648

15033

1405 Clifton Rd NE Atlanta, GA 30322

3/5/2015

Lawrence, James Fletcher

RN134018

Rehha Desai, MD

19665

15025

3000 Lenora Church Rd Snellville, GA 30078

3/5/2015

Lawrence, Jeriene

RN161643

Donald Fordham, MD

44718

14952

865 Austin Dr Demorest, GA 30535

3/5/2015

Lawrence, Tionya Nitara

RN207425

Tamer Middleton, MD

51987

14984

2075 Grayson Hwy Grayson, GA 30017

3/5/2015

Lawrence, James

RN134018

Amaush Kapasi, MD

54759

14850

1670 Clairmont Rd Decatur, GA 30022

1/8/2015

Lawrence, Tionya Nitara

RN207425

Valens Plummer, MD

49496

12542

1510 Milstead Ave NE Conyers, GA 30012

11/8/2013

Lawrence, Sara Amanda Beth

RN176980

Robert King, MD

53835

11991

1825 Martha Berry Blvd Rome, GA 30165

6/7/2013

Lawson, Donna

RN146311

Erick Bournigal, MD

33280

15646

3025 Shrine Rd, Ste 280 Brunswick, GA 31520

6/4/2015

Adrienne Fabrizio, MD

50365

13657

300 Bull St, Ste 102 Savannah, GA 31401

8/7/2014

Lawson, Leslie Elizabeth Johnso RN192522

Wednesday, August 12, 2015

Page 202 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lawson, Leslie Elizabeth Johnso RN192522

Bobbie Kumar, MD

68197

13655

11935 Abercorn St Savannah, GA 31419

8/7/2014

Lawson, Leslie Elizabeth Johnso RN192522

Marilyn Lavallee, MD

53263

13658

1001 Memorial Lane Savannah, GA 31410

8/7/2014

Lawson, Leslie Elizabeth Johnso RN192522

Rita Livingston, MD

63494

12675

109 Minus Ave, Suite C-10 Garden City, GA 31408

1/9/2014

Layfield, Nicole K.

RN141032

Cecil Sharp, MD

27662

9726

1350 Walton Way, NICU Augusta, GA 30901

5/6/2011

Le, Dung Kim

RN163404

Rab, Tamveer MD

28451

10770

1364 Clifton Rd, Ste F606 Atlanta, GA 30322

6/8/2012

Leak, Xaviera Jonee

RN195450

Jason Beland, MD

55920

12974

600 Parkway North Newnan, GA 30265

3/6/2014

Leake, Deborah Lynn

RN177231

Mark Griffiths, MD

67223

15141

1645 Tullie Circle Atlanta, GA 30329

4/2/2015

Learmont, Beverly Ann Dinkins

RN064892

Wendy Wright, MD

52658

8827

6550 Roswell Road Sandy Springs, GA 30328

1/7/2010

Learmont, Beverly Ann Dinkins

RN064892

Alvin Cheatham, MD

22732

8597

6000 N. Termonal Pkwy, Suite 315 Atlanta, GA 30320

7/10/2009

Leary, Bridget Josephine

RN176398

Felix Sogade, MD

42444

1717

639 Hemlock St, Suite 100 Macon, GA 31201

7/10/2014

Leathers, Breanne Nunnally

RN211057
211057

Laura Bleekrode, MD

34514

9542

1100 Northmeadow Pkwy, Suite 108 Roswell, GA 30076

1/7/2011

Leathers, Breanne Nunnally

RN211057

Phillip Nowlin, MD

36588

9508

4480 S. Cobb Dr SE Smyrna, GA 30080

1/7/2011

Lebedin, Sharon Capelouto

RN055732

Marisa Gadea, MD

41802

1718

1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068

7/11/2008

Lebon, Linda

RN109435

Bradford Lipman, MD

28596

15787

6392 Murphy Dr Morrow, GA 30260

8/6/2015

Wednesday, August 12, 2015

Page 203 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

LeCroy, Tiffany

RN123214

Jon Trankina

30681

11031

4595 Town Lake Pkwy, Bldg. 300, Ste 100 Woodstock, GA 30 9/13/2012

LeCroy, Tiffany Reichert

RN123214

Mary East, MD

63187

9021

300 Cherokee Place Cartersville, GA 30121

3/4/2010

Ledbetter, Sharon E.

RN038288

Muhammad Sheikh, MD

59195

9214

2774 North Cobb Pkwy Kennesaw, GA 30152

8/6/2010

Ledbetter, Sharon E.

RN038288

Daryl Sherrod, MD

49976

8982

1910 Hwy 20 Conyers, GA 30013

2/5/2010

Ledford, Anna

RN202959

Scott Hopkins, MD

72831

15614

196 Ridgecrest Circle Clayton, GA 30525

6/4/2015

Ledford, Ladonna

RN131920

Daniel Kosobucki, MD

45857

15479

106 Enterprise Court, Ste A Columbus, GA 31904

6/4/2015

Ledford, Anna Michelle

RN202959

Barbara Camp, MD

41747

12140

33 Nacoochee Way Sautee, GA 30571

9/13/2013

Ledger, Kelly

RN198797

Christopher Daniels, MD

71484

14851

100 Mimosa Dr, Ste 2nd Floor Thomasville, GA 31792

1/8/2015

Ledger, Kelly

RN198797

Ward, Martha MD

20360

10574

916 S Broad St, Thomasville, GA 31792

3/29/2012

Ledwitch lll, John William

RN196360

Jennifer Collier-Madon

57592

15088

101 W Northside Dr, Ste F Valdosta, GA 31602

3/5/2015

Lee, Jamie

rn124583

Adam Meadows, MD

67504

16046

2540 Windy Hill Rd Marietta, GA 30067

8/6/2015

Lee, Kyung Woon

RN211429

Chester Lapeza, MD

44263

15932

148 East Peacock St. Cochran, GA 31014

7/9/2015

Lee, Melissa

RN209627

Jose Justiniano-Ayala, MD

46773

15906

1430 Suggs St Rossville, GA 307471

7/9/2015

Lee, Jamie

RN124583

Patrick Amar, MD

49403

15079

80 Jesse Hill Jr.,Ste 13th floor Atlanta, GA 30303

3/5/2015

Lee, Jaesuk

RN244828

Jinahn Kim, MD

54442

14940

1325 Satellite Blvd, Bldg 700, Ste 701 A Suwanee, GA 30024

2/5/2015

Wednesday, August 12, 2015

Page 204 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lee, Amanda Treston

RN203487

John Affronti, MD`

45686

14206

1120 15th St Augusta, GA 30912

11/7/2014

Lee, Knicole Ann

RN116307

Odell Stil, DO

37085

13840

388 South Main St Baxley, GA 31513

9/11/2014

Lee, Ming Howard

RN202161

Rohit Panchal, MD

69918

13063

55 Whitcher St, Suite 160 Marietta, GA 30060

6/6/2014

Lee, Karen Burke

RN145509

Winston Clark Connell, MD

58733

12432

915 Gordon Ave, Emer Dept Thomasville, GA 31792

10/10/2013

Lee, Younju

RN153452

Howard Stirne, MD

25050

12407

2151 W Spring St, Emer Dept Monroe, GA 30655

10/10/2013

Lee, Knicole Ann

RN116307

Teresa Cezar, MD

48031

11657

755 S Main St Baxley, GA 31513

2/7/2013

Lee, Erin

RN221512

Bruce Ramsdell, MD

18722

11108

3145 Peachtree Rd., NE, Ste 165 Atlanta, GA 30305

10/5/2012

Lee, Knicole Ann

RN116307

Ferrari, Thomas MD

34829

10607

110 R.T. Stanley Sr. Place Lyons, GA 3-436

3/29/2012

Lee, Elizabeth Boatright

RN079062

Keith Seibert, MD

51733

9690

10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324

4/1/2011

Leech, Jennifer Tompkins

RN172094

Andrew Green, MD

58961

1733

1498 Jesse Jewell Pkwy, Suite C Gainesville, GA 30501

11/8/2013

Leech, Christopher L

RN171688

Kashyap Patel, MD

57230

9976

200 S Enota Dr, Ste 200 Gainesville, GA 30501

8/5/2011

Leeson, Deborah Kay

RN234904

Jonathan Kaufman, MD

53470

13915

1365 Clifton Rd NE Bldg C Plaza Floor Atlanta, GA 30322

9/11/2014

Leffall, Para

RN141240

Beverly Hyacinth, MD

57003

10954

9465 Hwy 5 Douglasville, GA 30135

8/10/2012

Lehr, Nicole

RN191595

Martha Clabby, MD

50095

15244

1405 Clifton Rd NE Atlanta, GA 30322

4/2/2015

Wednesday, August 12, 2015

Page 205 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Leidel, Laura Beth

RN139769

Naghma Khan, MD

37252

12912

1645 Tullie Circle Atlanta, GA 30329

3/6/2014

Leigh, Stacy Diann

RN129499

David Goo, MD

31924

13477

1000 Medical Center Blvd. Lawrenceville, GA 30046

7/10/2014

Leighty, Susan Hardy

RN117120

Brandon Hicks, MD

46683

13916

5401 Lake Oconee Pkwy (ER Dept.) Greensboro, GA 30642

9/11/2014

Lemberg, Robert Seth

RN205388

Anant Dalvi, MD

63849

13500

55 Witcher St, Ste 160 Marietta, GA 30060

7/10/2014

Lemene, Kristina Eder

RN233740

Laura Beaty, MD

45168

12906

755 Mt Vernon Hwy, Suite 120 Sandy Springs, GA 30328

2/6/2014

Lemons, Maria Linda

RN164788

Philip Henderson, MD

47601

11920

3696 Lawrenceville-Suwanee Rd Suwanee, GA 30024

6/7/2013

Lenaz, Leona Rausch

RN193714

Donna Haley, MD

40916

11644

687 Marietta Hwy Canton, GA 30114

3/8/2013

Lenaz, Leona

RN193714

Vola-Redd, Gena MD

45356

10240

790 Church St, Suite 335 Marietta, GA 30060

12/1/2011

Lentsch, Rolvin

RN192239

Mark Beaty, MD

45169

11104

3823 Roswell Rd. Ste 101 Marietta, GA 30062

10/5/2012

Lentsch, Rolvin Charles

RN192239

Wesley Smith, MD

45971

9404

11973 Augusta Rd Lavonia, GA 30553

11/5/2010

Lentz, Alexandra

RN177086

William Blincoe, MD

23018

15469

1968 Peachtree Rd NW Atlanta, GA 30309

5/8/2015

Leoffler, Kathleen Ann Collins

RN143499

Richard Gorman, MD

31008

1741

1401 Georgian Park, Suite 200 Peachtree City, GA 30269

4/2/2009

Leonard, Nina Julia Coleman

RN044413

David Faulk, MD

39787

13640

2060 Dan Proctor Dr, Ste 3300 St Marys, GA 31558

8/7/2014

Leonard, Lori Michele

RN123700

Nazario Villasenors, Jr, MD

64985

13212

18 Riverbend Dr SW, Suite 120 Rome, GA 30161

5/1/2014

Wednesday, August 12, 2015

Page 206 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lerstang, MaryAlyson

RN155655

Thomas Hobby, DO

48647

11267

3207 Country Club Valdosta, GA 31605

12/7/2012

Lertpenmaeta, Della

RN093485

Syed Zafar, MD

58814

14676

180 Martin Dr. Carrollton, GA 30117

2/5/2015

Lertpenmaeta, Della Lanette

RN093485

Christopher Wizner, MD

37734

1744

4250 BrownsvilleRoad Powder Springs, GA 30127

12/4/2008

Lettley, Thea

RN244409

Mihaela Ille, MD

62895

15054

896 Hwy 81 East McDonough, GA 30252

4/2/2015

Leverett, MeSheal LaVerne

RN210815

Richard Rickman, MD

49332

14039

3200-C N Ashley St. Valdosta, GA 31602

10/9/2014

Leverett, Kim Rebecca

RN140100

Shahzad Hashmi, MD

53239

8348

301 Gwinnett Dr, Suite 150 Lawrenceville, GA 30046

11/7/2008

Levine, Lori

RN225854

Melissa Sanchez Quiros, MD 64056

15879

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/9/2015

Levine, Lori Ann

RN225854

Abiodun Olatidoye, MD

48556

14109

6507 Professional Place Riverdale, GA 30274

11/7/2014

Levy, Deborah Sommers

RN091404

Marc-Andre Jean-Gilles, DO

62720

13993

3540 Duluth Park Ln., Ste 290 Duluth, GA 30096

10/9/2014

Lewis, Donna

RN143524

Tammie Quest, MD

45590

14678

1670 Clairmont Rd Decatur, GA 30033

3/5/2015

Lewis, Ellen Lee Ann

RN116778

Suneel Katragadda, MD

59255

13463

2150 Peachford Rd. Atlanta, GA 30338

7/10/2014

Lewis, Terri Maddrey

RN171645

Yuan-Xiang Meng, MD

51257

13150

2670 Cobb Pkwy SE Smyrna, GA 30080

4/4/2014

Lewis, Robert Lewis

RN148871

George Waldon Garriss, III,
MD

51134

12557

3939 Roswell Rd, Suite 200 Marietta, GA 30062

12/6/2013

Lewis, Colleen Margaret

RN177160

Taofeek Owonikoko, MD

60953

12464

1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

11/8/2013

Wednesday, August 12, 2015

Page 207 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lewis, Robert Michael

RN148871

Joseph Lavori, DO

39619

12220

220 North Cobb Pkwy, Suite 400 Marietta, GA 30062

10/10/2013

Lewis, Samantha McWilliams

RN197350

Samantha Benson, MD

47699

11658

3340 Paddocks Pkwy Suwanee, GA 30024

2/7/2013

Lewis, Robert

RN148871

Mchezagi, Tayari MD

50409

10669

1360 Upper Hembree Rd, Ste 100 Roswell, GA 30076

5/4/2012

Lewis, Elizabeth

RN191733

Stone, Dudley MD

51088

10665

2 Wheeler Street Savannah, GA 31405

5/4/2012

Lewis, Leanna

RN161641

Lupi, Michael DO

38152

10629

3408 Trout St Brunswick, GA 31520

3/29/2012

Lewis, Nikiya

RN184063

Oldham, Benjamin MD

56210

10451

1497 Fair Road, Ste 300 Statesboro, GA 30458

2/3/2012

Lewis, Tonya Yawn

RN118481

Habigaile Cribe, MD

50874

9725

911 Plaza Ave, Suite B Eastman, GA 31023

4/1/2011

Lewis, Rod Lee

RN068366

Bryan Cheever, MD

34120

9310

1107 Memorial Dr, Suite 200 Dalton, GA 30720

10/8/2010

Lewis, Robert Michael

RN148871

Jeffrey Donohue, MD

46540

1759

3755 Sixes Road, Suite 202 Canton, GA 30114

7/11/2008

Lewis-Austin, Michelle Abigal

RN155957

Jeffrey Winter, MD

36044

12613

1700 Hospital South Dr, Suite 502 Austell, GA 30106

12/6/2013

Lewitt, Maryjane Massey

RN116759

Lisa Vinokur, MD

38394

5233

2500 Hospital Blvd, Suite 290 Roswell, GA 30076

4/1/2011

Ley, Kristin

RN201110

Ben Holland, MD

67710

15744

1199 Prince Ave Athens, GA 30606

7/9/2015

Ley, Kristen Strickland

RN162601

Tiffany Kumpel, MD

54448

13481

2409 N Patterson St, Suite 200 Valdosta, GA 31602

7/10/2014

LeZotte, Ashley Willis

RN145239

Mitchell Jones, MD

35448

12184

2500 Starling St, Suite 404 Brunswick, GA 31520

8/9/2013

Wednesday, August 12, 2015

Page 208 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

LeZotte, Ashley Willis

RN145239

Salim Osta, MD

15631

9402

1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524

11/5/2010

Li, Dan

RN191159

Kalpesh Patel, MD

59106

12654

810 13th Ave, Suite 106 Albany, GA 31701

1/9/2014

Liggins-Spikes, Irona

RN097756

Buchhammer, Carlos MD

29598

1762

111 Fieldstone Drive, Ste 114 Milledgeville, GA 31061

7/12/2012

Liggins-Spikes, Irona

RN097756

Allotey, Peter MD

45643

10794

2660 Montpelier Avenue Macon, GA 31204

6/8/2012

Light, Mary Ann

RN246513

Bill Smith, MD

59963

16036

91 Fourth St Trion, GA 30753

8/6/2015

Light, Mary Ann

RN246513

Mark Elam, MD

36147

15358

800 Professional Blvd Dalton, GA 30720

5/8/2015

Lilly, Alice June West

RN092698

Andrew Doris, II, MD

49005

1764

761 Old Norcross Road Lawrenceville, GA 30045

5/7/2009

Lindahl, Deborah Ann

RN166817

Huitt Mattox, MD

33402

9652

3217 4th Street Brunswick, GA 31525

3/4/2011

Lindley, Jessica

RN198957

Kenneth Jones Jr, MD

31037

15483

304 Turner McCall Blvd Rome, GA 30165

7/9/2015

Lindley, Jessica Cherie

RN198957

Yousef Hindi, MD

55372

13110

600 West Memorial Dr Dallas, GA 30132

4/4/2014

Lindsay, Angela Schmidt

RN187037

Shelley Dunson-Allen, MD

33316

8284

1305 Hembree Road, Suite 101 Roswell, GA 30076

9/11/2008

Lindsey, Towanda

RN185072

Jason Levy, MD

49802

16128

1000 Johnson Ferry Rd Atlanta, GA 30342

8/6/2015

Lindsey, JoAnn D. Flot

RN171612

Nitasha Burney, MD

55931

16137

505 Dacula Rd Dacula, GA 30019

8/6/2015

Lindsey, Lee

RN106795

Onkar Kaur, MD

47103

14789

636 2nd Avenue, S W Rochelle, GA 31079

2/5/2015

Wednesday, August 12, 2015

Page 209 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lindsey, Charlotte Lynn

RN130014

Jim Barlow, MD

30717

13634

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 8/7/2014

Lindsey, Melanie E.

RN061439

Alberto Garcia, MD

54374

8729

209 East Main St Hahira, GA 31632

9/3/2009

Lingerfelt, Kimbra Leigh White

RN103785

Joseph Watlington, MD

25685

1767

102 Erlanger South Dr. Ringgold, GA 30736

5/1/2014

Lingle, Kristen Anne

RN150295

Kimberley Wilson, MD

31363

1768

2001 Peachtree Rd NE, #205 Atlanta, GA 30309

5/7/2009

Linticum, Kimberly M.

RN172995

Joseph R. Shaver, MD

42430

5471

3630 J. Dewey Gray Circle Augusta, GA 30909

5/10/2007

Linton, Lindsay

RN209537

Muhammad Akram, MD

48476

15139

1921 Aliu St, 3A Waycross, GA 31501

4/2/2015

Linton, Lindsay

RN209537
RN71743

Stephanie Reese, DO

71743

12875

1421 Alice St, Ste 4B Waycross, GA 31501

11/7/2014

Linville, Melissa Anne

RN176752

William Boydston, MD

34112

9356

5455 Meridian Mark Rd, Suite 540 Atlanta, GA 30342

10/8/2010

Litchfield, Mary Ann

RN087156

Jan Mayfield, MD

51355

15198

49 Hosiery Mill Rd, Ste 124 Dallas, GA 30157

4/2/2015

Litchfield, Mary

RN087156

Burke, Michael MD

54798

10895

125 Clairemont Ave, Ste 170 Decaatur, GA 30030

7/12/2012

Little, Patrice

RN196707

Thomas Locke, MD

36409

15866

4500 North Point Pkwy Alpharetta, GA 30022

7/9/2015

Little, Morgan Elizabeth

RN226022

Frank Lake, MD

40716

13805

668 Lanier Pk DR Gainesville, GA 30501

9/11/2014

Little, Mishell Carmela

RN234444

Sohail Ejaz, MD

60065

12772

663 Lanier Park Dr Gainesville, GA 30501

1/9/2014

Little, Deborah Jean Bailey

RN138016

Dinakara Shetty, MD

42431

12055

1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088

7/11/2013

Wednesday, August 12, 2015

Page 210 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Little, Valerie Jean Smart

RN131473

John Declue, DO

37522

9900

2024 6th Ave Columbus, GA 31904

8/5/2011

Little, Valerie Jean Smart

RN131473

Michael Rallo, MD

54655

9297

7020 Moon Road Columbus, GA 31909

9/2/2010

Littleton, Hope Cherisse

RN128152

Robert Spruill, MD

59026

12964

8 Laurel Ct Moultrie, GA 31768

3/6/2014

Littrell, Kimberly Lyn Harrell

RN060422

Stephen Preas, MD

19752

8858

2430 Tucker Dr, Bldg A Loganville, GA 30052

12/4/2009

Livingston, Tracey

RN130337

Benjamin Bailon, MD

27025

14457

3328 Bemiss Rd Valdosta, GA 31602

1/8/2015

Lloyd, Kathleen

RN056238

Abdulbaaqee, Nailah MD

63829

10144

122 West Athens Street Winder, GA 30680

11/3/2011

Locher, Kim Elizabeth

RN209184

Jonathan Chen, DO

60811

11457

55 Whitcher St, Suite 160 Marietta, GA 30060

4/4/2013

Lockhart, Christine Marie Strike RN125749

Dinesh Patel, MD

46798

8895

34 S. Ellis St Camilla, GA 31730

1/7/2010

Lockhart, Christine Marie Strike RN125749

Stephen Rubendall, MD

57320

1774

259 US Hwy 19 North Camilla, GA 31730

1/7/2010

Loeffel, Laura Jean

RN149644

Stephanie Keller, MD

64120

12813

975 Johnson Ferry Rd NE Atlanta, GA 30342

1/9/2014

Loeffel, Laura Jean

RN149644

Antonius J. DeGrauw

66687

11191

975 Johnson Ferry Rd., Ste. 340 Atlanta, GA 30342

11/2/2012

Loft, Brenda Curd

RN124123

Michael McDaniel, MD

57398

5234

5780 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342

5/1/2014

Loftus, Nina Derieta

RN157417

Michael Flueckiger, MD

35869

9324

1968 Peachtree Rd NW Atlanta, GA 30309

11/5/2010

Loftus, Nina Derieta

RN157417

Matthew Keadey, MD

49143

7905

1364 Clifton Road Atlanta, GA 30022

1/11/2008

Wednesday, August 12, 2015

Page 211 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Logan, Janet K

RN189571

Das, Santanu MD

42560

8023

1049 N. Houston Road Warner Robins, GA 31093

5/4/2012

Logue, Laura

RN196130

Jeremy Pantin, MD

66390

13918

1120 15th St. Ste BA5414 Augusta, GA 30912

9/11/2014

Logue, Lisa Clair Parker

RN049489

Charles Nash, MD

48068

12548

725 Jesse Jewell Pkwy, Suite 390 Gainesville, GA 30501

12/6/2013

Lomami, Ida

RN166752

Ian Munger, DO

70661

15555

One Meadows Parkway Vidalia, GA 30474

6/4/2015

Lomami, Mwingi Ida

RN166752

McLean, Ronald MD

30163

10220

Rosedale Avenue Thomasville, GA 31792

11/3/2011

Lomax, Susan Elizabeth

RN117846

F. Clark Cantrell, MD

28948

11884

777 Franklin Rd Marietta, GA 30067

5/3/2013

London, Brittney

RN210080

Omar Al Haddad, MD

65987

16105

509 Wheat Ave Bainbridge, GA 39818

8/6/2015

Long, Mary

RN077139

Amita Dave, MD

23724

15561

3825 Medical Park Dr, Ste 201 Austell, GA 30106-1337

6/4/2015

Long, Carol S

RN063853

Cathy Lipton, MD

29028

1779

3720 Davinci Ct, Ste 400 Norcross, GA 30092

5/1/2014

Long, Mary Ann

RN175517

Melissa Davis, MD

59141

12002

1013 North 5th Ave Rome, GA 30165

7/11/2013

Long, Barbara Fay

RN170974

Patrick Eagleson, MD

65102

11868

1230 Baxter St, Emer Dept Athens, GA 30606

5/3/2013

Long, Marsha

RN093574

Moss, Kelvin MD

54634

10576

60 Old Highway 5 South Ellijay, GA 30540

3/29/2012

Long, Marsha Nadine

RN093574

Crystal Comeau, MD

61224

9292

101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

9/2/2010

Long, Kelly

RN175274

Jeffery Hines, MD

47443

5480

116 Upper Riverdale Road Riverdale, GA 30274

3/7/2008

Wednesday, August 12, 2015

Page 212 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Long, Ellen Kay

RN032975

Evangelio Gonzalez, MD

16234

1782

690 Dallas Hwy, Suite 303 Villa Rica, GA 30180

11/1/2007

Loper, Alice

RN070694

Duke, Michael MD

42041

10392

134 W. Campus Dr, CBX 091 Milledgeville, GA 31061

1/6/2012

Lopez, Leidys

RN134913

Dellys Soler Rodriquez, MD

72132

15204

2015 Uppergak Dr NE Atlanta, GA 30322

4/2/2015

Lopez, Leidys

RN134913

Barry Warshaw, MD

15435

12798

1405 Clifton Rd NE Atlanta, GA 30329

2/6/2014

Lord, Resa Anne Wilson

RN087816

Ashley Davis, MD

58161

1789

5555 Whittlesey Blvd, Suite L-1 Columbus, GA 31909

4/1/2011

Lott, Patsy

RN057626

Jeffery Bulter, MD

68488

15471

821 South Main St, Ste C Baxley, GA 31513

5/8/2015

Louis, LaTalya

RN142821

Clarice Bell, MD

39730

16133

774 GA Hwy 96 Banaire, GA 31005

8/6/2015

Love, Elizabeth Differ

RN183882

Andrew Yen, MD

63554

14003

200 S. Enota Dr, Suite 200 Gainesville, GA 30501-3466

10/9/2014

Lovering, Carole J.

RN225897

Ryan P. Carrick

65941

11211

3820 Medical Park Dr. Austell, GA 30106

12/7/2012

Lovett, Megan

RN063558

Jeffrey Pearce, MD

60963

11061

195 King Ave. Athens, GA 30606

10/5/2012

Lovett, Michelle Marie

RN191241

Jeffrey Kim, MD

56117

8441

1700 Hospital South Drive, Suite 502 Austell, GA 30106

1/9/2009

Lovvorn, Mackenzie Lyn

RN192194

Javad Deganian, MD

16053

13162

1700 Tree Lane Rd, Suite 110-A Snellville, GA 30078

4/4/2014

Lowe, Peggy Joyce Yarbrough

RN024085

Tod Bethea, MD

42016

1795

536 Hwy 441 South Clayton, GA 30525

5/9/2008

Lowman, Janice

RN176229

Bagheri, Bob MD

40865

10183

204 Canton Road Cumming, GA 30040

11/3/2011

Wednesday, August 12, 2015

Page 213 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lowman, Janice Elaine

RN176229

Renee Waters, MD

35782

9875

3651Dawson Forest Rd, Suite 100 Dawsonville, GA 30533

10/7/2011

Lowman-Kedzierski, Denise

RN168434

Omari Hodge, MD

70459

13786

1762 Mars Hill Rd. NW Acworth, GA 30101

9/11/2014

Lowman-Kedzierski, Denise

RN168434

Lyla Correoso-Thomas, MD

6886

11527

1395 Marietta Pkwy, #902 Marietta, GA 30067

1/11/2013

Lowman-Kedzierski, Denise

RN168434

Sonjoy Laskar, MD

54772

9065

550 Peachtree St, Med Off Tower, 4th Floor Atlanta, GA 303 4/1/2010

Lowman-Kedzierski, Denise

RN168434

Dennis Incorvati, DO

50527

5511

355 Tower Road, Suite 300 Marietta, GA 30060

4/2/2009

Lucas, Bobby Gene

RN117999

Matthew Astin, MD

66248

15057

5665 New Northside Dr. Suite 320 Atlanta, GA 30328

4/2/2015

Ludwick, Faith

RN067905

Douglas Josephson, MD

46603

15915

3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005

8/6/2015

Luedecke, Eleanor Rogers

RN149205

Daniel Eller, MD

39563

2554

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Luke, Cynthia Dee Anne

RN188378

John Kludt, MD

34876

13802

3700 Club Dr Lawrenceville, GA 30044

9/11/2014

Luke, Cynthia Dee Anne

RN188378

Emmanuel Soyoola, MD

53032

13724

1870 Atlanta Hwy Ste J-K Gainesville, GA 30504

9/11/2014

Luke, Debra C.

RN089566

John D. Arnett, MD

38423

11551

200 Doctor's Dr., Suite 106 Douglas, GA 31533

1/11/2013

Lumansoc, Rita

RN109444

Rumble, Thomas MD

13078

10844

2121-A Bellevue Road Dublin, GA 31021

7/12/2012

Lumpkin, Mary Caroline

RN181046

Todd Kelley, MD

47781

9187

330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

8/6/2010

Lund, Christine

RN218596

Perkins, Cheryl MD

36430

10633

1497 Fair Road, Ste 200 Statesboro, GA 30458

5/4/2012

Wednesday, August 12, 2015

Page 214 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lundi, Camille

RN201612

Jeremiah Bivins, MD

69545

15626

304 Margie Dr Warner Robins, GA 31088

6/4/2015

Lunsford, Jeanne Rankine

RN038269

Eva Beaulieu, MD

66254

1805

3600 Dallas Hwy Marietta, GA 30064

11/8/2013

Lupa, Julia Suzanne Ball

RN072457

Denise Pecht, MD

34436

13370

771 Old Norcross Rd, Ste 305 Lawrenceville, GA 30046

6/6/2014

Lutin, Amanda Melanie

RN217917

Rene Romero, MD

37060

13281

2015 Uppergate Dr NE, 6th Floor Atlanta, GA 30322

6/6/2014

Lutterman, Deborah Hartman

RN150285

Ann Haight, MD

50522

1271

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Luttrell, Barbara K.

RN068675

Tara Hammond, MD

52183

8289

2250 Satellite Blvd, Ssuite 115 Duluth, GA 30097

12/4/2008

Lyda, Kenneth E

RN124797

Andrew Wyckliffe, MD

47868

13406

275 Collier Rd, Suite 500 Atlanta, GA 30309

8/7/2014

Lyden, Margaret

RN057538
RN057538

Louis Heller, MD

45238

14669

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Lyden, Margaret Ann

RN057538

Walter Mashman, MD

32956

8208

275 Collier Rd, Suite 300 Atlanta, GA 30309

5/9/2008

Lyerly, Linda Carol Phillips

RN116155

Nandana Reddy, MD

55641

11694

4415 Front Nine Dr Cumming, GA 30041

3/8/2013

Lyle, Rebecca S.

RN202480

Robert Campbell, MD

53429

8909

1226 D'Antignac St Augusta, GA 30901

5/7/2010

Lyles, Linda Michelle

RN180751

Martha Millan-Sanchez, MD 66223

13981

3015 Veterans Pkwy Moultrie, GA 31788

10/9/2014

Lynch, Alexis

RN209232

Nicole Jasper, MD

49572

15620

350 Hospital Dr Macon, GA 31217

6/4/2015

Lynch, Gail L

RN097779

Ella Amador, MD

70033

12510

7301 Blackmon Rd. Columbus, GA 31909

3/6/2014

Wednesday, August 12, 2015

Page 215 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Lynch, Gail L.

RN097779

Michael Hagues, DO

23977

11613

2122 Manchester Exprway Columbus, GA 31904

4/4/2013

Lyons, Lori

RN196622

Jason Smith, MD

52635

11049

550 Professional Dr. Macon, GA 31201

10/5/2012

Mac Kean, Thomas Alexander

RN146046

James Odom, Jr., MD

42984

8366

416 E. McPherson Street Nashville, GA 31639

12/4/2008

Mac Kean, Thomas Alexander

RN146046

Robert Sasine, MD

25389

1816

217 Broad Street Doerun, GA 31744

4/13/2007

Macauley, Quintina

RN109088

Bharatkumar Patel

48693

11024

4015 South Cobb Dr, Suite 110 Smyrna, GA 30080

10/5/2012

MacCallum, Elleen Mary

RM15918
5

Niels Engberding, MD

64534

15240

80 Jesse Hill Dr Atlanta, GA 30303

5/8/2015

MacDonald, Kelly Lynne

RN201149

Himalee Sabnis, MD

61514

14623

1405 Clifton Rd NE Atlanta, GA 30322

12/4/2014

MacDonald, Patti Mcgee

RN073225

Christopher Rittmeyer, MD

42407

8323

4750 Waters Avenue, Suite 307 Savannah, GA 31404

10/2/2008

Macera, Tana M.

RN127219

Thomas W. Hobby, DO

48647

11180

2501 N. Patterson St. Valdosta, GA 31602

11/2/2012

Mackel, George Scott

RN077194

Dennis Spencer, DO

47663

12319

1077 South Main St, Emer Dept Madison, GA 30650

9/13/2013

Mackel, George

RN077194

Caruso, Michael MD

57558

10819

196 Ridgecrest Circle Clayton, GA 30525

9/13/2012

Mackel, George Scott

RN077194

Jaykrishna Darji, MD

58862

9958

196 Ridgecrest Circle Clayton, GA 30525

8/5/2011

Mackenzie, Christine Mary Scan RN064087

Timothy Helton, MD

29669

12824

1010 Johnson Ferry Rd Marietta, GA 30068

1/9/2014

Mackey-Burns, Susan

Blache, Charlene MD

45728

10676

406 M Northside Drive Valdosta, GA 31602

5/4/2012

RN151220

Wednesday, August 12, 2015

Page 216 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Macoy, Lisa S.

RN134284

Regina Justice, MD

47777

14006

2462 Hwy 34 East, Ste A Newnan, GA 30265

10/9/2014

Macoy, Lisa S.

RN134284

John Potts, MD

17642

1823

365 North Jeff Davis Drive Fayetteville, GA 30214

2/7/2008

Macy ll, Ronald Tilton

RN205935

Charles Galea, MD

55229

15233

615-A Pedleton Waycross, GA 31501

4/2/2015

Madaris, Brently Todd

RN097785

Kenneth Matthews

64626

1824

101 South Duke St. Lafayette, GA 30728

9/11/2014

Madden, Ellen Patricia

RN191035

Jonathan Popler, MD

64052

12025

1100 Lake Hearn Dr, Suite 450 Atlanta, GA 30342

7/11/2013

Maddox, Leigh Catherine

RN168142

Alexander Kessler, MD

50647

8570

50 Medical Lane, Suite A Canton, GA 30114

6/5/2009

Maddox, Jr., Jimmy Harold

RN166580

Carl Lift, MD

50206

13056

129 Admiralty Way NW Milledgeville, GA 31061

4/4/2014

Magaletti, Karalyn Rose

RN206519

Karen Walson, MD

61015

13941

1001 Johnson Ferry Rd NE, PICU Atlanta, GA 30342

10/9/2014

MaGill, Marlis

RN121320

McGowan, James MD

28833

10496

303 Smith Street, lst floor Lagrange, GA 30240

3/1/2012

Maharaj, Rajendra Kuldeep

RN118599

Karin Vadelund, MD

58934

8751

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 10/2/2009

Maharaj, Rajendra Kuldeep

RN118599

Brian Mason, MD

41460

8750

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 10/2/2009

Mahek, Amber Daley

RN133358

David Dean, MD

64808

9649

95 Collier Rd, Suite 5015 Atlanta, GA 30309

4/1/2011

Maher, Anne R.

RN174074

Thuy Bui, MD

49276

11635

PO Box 422002 Atlanta, GA 30342

3/8/2013

Maher, Anne

RN174074

Fleming, Alesia MD

34841

10222

1645 Tullie Circle Atlanta, GA 30329

12/1/2011

Wednesday, August 12, 2015

Page 217 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Maina, Catherine

RN147038

Sreeni Gangasani, MD

48777

14939

766 Walther Rd, Ste 100 Lawrenceville, GA 30046

3/5/2015

Maina, Catherine Wangari

RN147038

Michael O'Grady, MD

41189

11748

7100 Peachtree Dunwoody Rd, #100 Atlanta, GA 30328

3/8/2013

Majors, Jaime Lou

RN190660

Scott Clark, MD

52157

13603

2324 Limestone Overlook Gainesville, GA 30501

8/7/2014

Makinde, Roseline A.

RN162552

Mary East, MD

63187

9560

5805 State Bridge Rd Johns Creek, GA 30097

1/7/2011

Malave, Mirei

RN234796

Stephen F. Finn, MD

46961

13119

1825 Martha Berry Blvd. Rome, GA 30165

4/4/2014

Malcom, Amelia

RN171386

Fletcher, David MD

59718

10135

1075 South Main Street, Ste 100 Madison, GA 30650

10/7/2011

Maldin, Melissa Paige

RN170995

Tyrone Malloy, MD

23086

12065

1924 Cliff Valley Way Atlanta, GA 30329

1/9/2014

Mallard, Shelley Hendrix

RN112902

Harvey Sanders, MD

16975

1834

305 Jones Ave. Waynesboro, GA 30830

7/13/2007

Mallett, Nina Diane

RN246122

Guilda Saint-Fleur, MD

69627

15289

1227 Rockbridge Rd Stone Mountain, GA 30087

5/8/2015

Malloy, Jacqueline A.

RN103102

Kathleen Funk, MD

37997

8962

1000 Johnson Ferry Rd Atlanta, GA 30342

5/7/2010

Malloy, Jacqueline A.

RN103102

Bradley Stearns, MD

53380

8806

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

5/7/2010

Raymond E. Tidman, MD

32826

1835

101 RiverStone Vista Blue Ridge, GA 30513

4/13/2007

Malloy, Jacqueline A.
Malone, Mary Marcella

RN049304

Victoria Green, MD

38240

5510

69 Jesse Hill Jr. DR. SE 4th FL Atlanta, GA 30303

6/8/2007

Malstrom, Stacey Glass

RN177773

Maxwell Prempeh, MD

64054

13685

150 Gentilly Blvd. Cartersville, GA 30120

8/7/2014

Mancao, Caroline

RN117790

Suh, David MD

57848

10083

1468 Montreal Road Tucker, GA 30084

10/7/2011

Wednesday, August 12, 2015

Page 218 of 400

APRN Name
Mancini, Mackenzie
Manga, Mercy

RN#
RN234199
100057

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Londa Cannon, MD

30972

15984

2600 Martin Luther King Jr. Dr SW, Ste 100 Atlanta, GA 3031 8/6/2015

Emmanuel Soyoola, MD

53032

15344

2169 Lawrenceville Hwy Lawrenceville, GA 30044

5/8/2015

Manghram, Diane Anthony

RN110631

Kent Plowman, MD

17872

1840

987 St. Sebastian Way, EB-105 Augusta, GA 30912

1/7/2011

Mann, Robert Jason

RN164166

Gregory Smith, MD

47532

13572

21 Jefferson Place, Ste 1 Athens, GA 30601

8/7/2014

Mann, Linda J.

RN053615

Michelle Morgan, DO

51694

11200

5320 Memorial Dr. Stone Mountain, GA 30083

11/2/2012

Manning, Tiffany Renee

RN181831

Charles Sow, MD

55343

14387

9465 Hwy 5 Douglasville, GA 30135-1509

12/4/2014

Mansfield, Elizabeth

RN183513

David Brand, MD

46045

14590

11045 Columbia St Blakely, GA 39823

1/8/2015

Manuel, Marissa

RN247071

Rishi Gupta, MD

64947

15439

Wellstar Neurosurg, 61 Whitcher St, Ste 3110 Marietta, GA 3 5/8/2015

Maples, Melissa L.

RN132924

Todd R. Kelley, MD

47781

11575

Harbin Clinic, 330 Turner McCall Blvd, #4000 Rome, GA 301 2/7/2013

Marat, Patti Lorri

RN129055

James Graham, MD

57979

9712

331 South Main St Baxley, GA 31513

5/6/2011

Marat, Patti Lorri

RN129055

R. Neal Boswell, MD

16170

8950

2605 Parkwood Drive Brunswick, GA 31520

1/7/2010

Marbut, Holly

RN214493

Donald Fordham, MD

44718

14947

865 Austin Dr Demorest, GA 30535

2/5/2015

155003

William Hudson, MD

30484

15509

2000 16th Avenue Columbus, GA 31901

5/8/2015

Marchant, Whitney Mimbs

RN204200

Gary Billingsley, MD

29582

11785

1215 West Wheeler Pkwy Augusta, GA 30909

4/4/2013

Marcius, Marva Monrose

RN186421

Alicia Weksler, MD

37924

13926

1012 Burleyson Rd Dalton, GA 30720

9/11/2014

Marcel, Solange

Wednesday, August 12, 2015

Page 219 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Marcum, Christian Leigh

RN161635

Thomas Morrow, MD

39879

11940

5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

6/7/2013

Marcus, Tara Leigh

RN139669

Melissa Eaton, MD

48507

1846

3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005

7/11/2008

Margrave, Amy Rebecca Danfor RN197666

Roger Hill, DO

28277

12511

114 Cherry St, Suite A Marietta, GA 30060

11/8/2013

Markos, Yodit Katrell

RN187059

Jermaine Jackson, MD

60278

9334

3820 Medical Park Dr Austell, GA 30106

10/8/2010

Marks, Victoria

RN112271

Whitney Denton, MD

52266

15701

3747 Roswell Rd, Ste 216 Marietta, GA 30062

6/4/2015

Markwalter, Gena

RN129040

Connie Trello, MD

43495

15867

1350 Walton Way 3rd Floor Critical Care Augusta, GA 30901 8/6/2015

Markwalter, Gena Lynn Johnso

RN129040

Ellen Shaver, MD

41670

14078

840 Stevens Creek Rd. Augusta, GA 30907

10/9/2014

Markwalter, Gena Lynn Johnso

RN129040

Bruce Friedman, MD

40066

1852

3630 J. Dewey Gray Cir Augusta, GA 30909

4/1/2011

Marquez, Orlin Yared

RN209008

Mark Wulkan, Md

45676

15157

1405 Clifton Rd. NE Atlanta, GA 30322

3/5/2015

Marquez, Orlin Yared

RN209008

Jimmy Graham, MD

17811

14303

1362 S Main St, N Georgia Med Cernter Ellijay, GA 30540

3/5/2015

Marrero, Isla

RN171405

Ibrahim Opaleye, MD

72878

15958

2531 Briarcliff Rd, Ste 210A Atlanata, GA 30329

8/6/2015

Marrero, Isla Starr

RN171405

Lawrence Powell, MD

38915

12526

Take Care, 1490 Pleasant Hill Rd Duluth, GA 30096

11/8/2013

Marrs, Carol Beth

RN233824

John Chung, MD

41532

13691

1107 Memorial Dr, Suite 201 Dalton, GA 30720

9/11/2014

Marsh, Helen Marie

RN140924

Paul Hawkins, MD

54741

15302

4421 Carnes St Acworth, GA 30101

4/2/2015

Wednesday, August 12, 2015

Page 220 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Marshall, Patricia Ann

RN133957

Thomas Bozzuto, DO

56978

12937

803 North Jefferson St, Suite A Albany, GA 31701

4/4/2014

Marshall, Patricia Ann

RN133957

Stephen Weiss, MD

56391

13045

803 N Jefferson St, Suite A Albany, GA 31701

4/4/2014

Marshall, Shawanda Latrece

RN199472

Raymond Jarvis, MD

45505

12996

330 Turner McCall Blvd, Suite 300 Rome, GA 30165

3/6/2014

Marshall, Patricia Ann

RN133957

Kesha Allen, MD

57920

12417

417 Third Ave, Emer Dept Albany, GA 31701

11/8/2013

Marshall, Valeriann

RN054505

Burkich, Robert MD

46372

10756

171 Mount Paran Road Sandy Springs, GA 30342

6/8/2012

Marshall, Patricia Ann

RN133957

Vithal Kusuma, MD

21536

9731

1009 N. Monroe St Albany, GA 31701

5/6/2011

Marshall, Tracey Tamar

RN155764

Donovan Christie, MD

44432

1855

725 N. Central Ave Hapeville, GA 30354

9/3/2009

Martin, Jacqueline Marie

RN129013

Cedrella Taylor-Jones, MD

26313

15333

1670 Clairmont Rd. Decatur, GA 30033

4/2/2015

Martin, Jennifer Susanne

RN160199

Amy Hardin, MD

35307

15272

250 Parkbrooke Place, Ste 200 Woodstock, GA 30189

4/2/2015

Martin, Danielle

RN210538

Carlos Martinez, MD

31793

14464

2400 Bellene Rd, Ste 29 B Dublin, GA 31021

1/8/2015

Martin, Laura Mae

Rn240100

Charles Betz

#####

14284

100 John Maddox Dr Rome, GA 306165

1/8/2015

Martin, Carol Ann Dunson

RN072776

Bryan Woods, MD

34273

14665

1265 West Hwy 54, Ste 402 Fayetteville, GA 30214

9/11/2014

Martin, Stephanie

RN229442

Richard Kim, MD

62129

14319

One Coca Cola Plaza Atlanta, GA 30313

9/11/2014

Martin, Sharalyn Marrion

RN133278

Kirpich Joseph, MD

54904

14393

990 Peachtree Ind Blvd Suwanee, GA 30024

9/11/2014

Martin, Lindsay Leigh

RN201381

Bruce Ribner, MD

49086

13507

1364 Clifton Rd, Ste B-705 Atlanta, GA 30322

9/11/2014

Wednesday, August 12, 2015

Page 221 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Martin, Jacquelyn Denise

RN052052

Michelle Morgan, MD

51694

9563

3800 Princeton Lake Pkwy Sw Atlanta, GA 30331

3/4/2011

Martin, Cynthia Louise Walls

RN116159

Hillary Hahm, MD

48051

9530

340 Kennestone Hosp Blvd, Suite 200 Marietta, GA 30060

2/4/2011

Martin, Jim Glen

RN112921

Leslie Cottrell, MD

45194

1868

1600 Maple Street, UWG Health Svcs Carrollton, GA 30118

8/8/2008

Martin, Melissa Anne

RN167333

Bradley George, MD

46408

1872

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

6/6/2008

Martyn, Elizabeth A

RN197990

Andre Haynes, MD

68818

12817

1153 N. Liberty St Nicholls, GA 31554

1/9/2014

Marucco, Kathryn Mary

RN216845

Cheryl Perkins, MD

36430

14643

1497 Fair Rd, Ste 200 Statesboro, GA 30458

2/5/2015

Marvets, Patricia Diane

RN135286

Judith Bennett, MD

33026

14369

1600 Fort Benning Rd Columbus, GA 31903-2834

12/4/2014

Mason, Emily

RN193287

Johnson, Paul MD

46132

10771

1001 Johnson Ferry Rd Atlanta, GA 30342

6/8/2012

Mason, Angelia

RN089586

Duke, Michael MD

42041

10394

134 W. Campus Dr CBX 091 Milledgeville, GA 31061

1/6/2012

Mason, Kelly Cassedy

RN124340

Sarah Ghayouri, MD

39109

8170

1800 Tree Lane Road, Suite 290-A Snellville, GA 30078

4/3/2008

Mason, Kelly Cassedy

RN124340

Jack Dawson, Jr, MD

11945

8135

275 Collier Road NW, Suite 300 Atlanta, GA 30309

1/11/2008

Massengale, Sharon Stanley

RN143548

Bridget Bailey, DO

58390

13989

116 Smith St. Tennille, GA 31089

9/11/2014

Massey, Kimberly

RN144412

John DeSimone, MD

19930

14951

611 E Washington Ave Ashburn, GA 31714

3/5/2015

Massey, Emily

RN159762
Rn159762

Nalini Narayan, MD

#####

14478

705 Dixie St Carrollton, GA 30117

12/4/2014

Wednesday, August 12, 2015

Page 222 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Massey, Kimberly D

RN144412

Dixie Griffin, MD

63661

14091

39 Kent Rd, Ste 5 Tifton, GA 31794

10/9/2014

Massey, Kimberly D.

RN144412

James Graham, MD

30071

12674

2225 Hwy 41 North Tifton, GA 31794

1/9/2014

Mastin, Janet Kay Martin

RN111687

Ann E. Eggert, MD

28972

1885

12 Eastbrook Bend Peachtree City, GA 30269

5/10/2007

Matey, Andrew Simon

RN217253

Peter Barrett, MD

69372

15278

95 Collier Rd NW, Ste 5015 Atlanta, GA 30309

4/2/2015

Mathis, Jessica

RN164716

Richard Prokesch, MD

19754

15907

6285 Garden Walk Blvd, Ste A Riverdale, GA 30274

7/9/2015

Mathis, Elizabeth

RN241940

Bernardine King, MD

42071

15401

535 Jesse Jewell Parkway, Ste C Gainesville, GA 30501

5/8/2015

Mathis, Stephanie

RN115936

Kenneth Patric, MD

69243

14924

3600 Dallas Hwy SW Marietta, GA 30064

2/5/2015

Mathis, Elizabeth Ruth McKnig

RN160912

Samuel Edelman, DO

70804

13546

710 Center St. Columbus, GA 31901

8/7/2014

Mathis, Elizabeth Ruth McKnig

RN160912

Jennifer Frimpong, MD

51901

12723

710 Center St, Emer Dept Columbus, GA 31901

3/6/2014

Mathis, Sarah Naomi

RN170479

Scott McKee, MD

58908

11912

55 Whitcher St, Suite 350 Marietta, GA 30060

9/13/2013

Mathis, Scott Eugene

RN138004

Kalpana Nayak, MD

26049

11841

1912 Memorial Dr Waycross, GA 31501

5/3/2013

Mathis, Jessica Hunter

RN142973

Forte David McEachin, MD

44017

1889

PO Box 929 Tifton, GA 31793

4/2/2009

Mathis, Scott Eugene

RN138004

Donald Waters, MD

13804

1890

120-A Carter Avenue Blackshear, GA 31516

5/9/2008

Matthews, Teresa

RN147300

Aja McCutchen, MD

58645

15502

1498 Jesse Jewell Parkway, Ste A Ginesville, GA 30501

5/8/2015

Wednesday, August 12, 2015

Page 223 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Matthews, Teresa Rebekah

RN147300

Olaitan Adeniji, MD

52670

12698

1498 Jesse Jewell Pkwy SE, Suite A Gainesville, GA 30501

1/9/2014

Matthews, Marianne

RN095379

Hicks, Claire MD

29466

10799

1290 Athens Street Gainesville, GA 30507

6/8/2012

Matthews, Cheri

RN135902

Jacob, Mina MD

51477

10371

1700 Hospital South Drive Ste 302 Austell, GA 30106

1/6/2012

Mattox, Stephanie Joy

RN195457

Darwin Brown, MD

46531

14832

2665 N Decatur Rd, Ste 520 Decatur, GA 30033

1/8/2015

Mattox, Julie G.

RN211306

Sidney P. Smith, MD

38615

11360

900 Mohawk St. Savannah, GA 31419

12/7/2012

Maul, Lindsay

RN187791

Muhammad Akram, MD

48476

12877

1921 Alice St. Ste.4A Waycross, GA 31501

9/11/2014

Maxwell, Thomas Everett

RN044942

Adriana Hermida, MD

59074

1897

1821 Clifton Road Atlanta, GA 30329

4/2/2009

Maxwell, Andrea Marie

RN161634

Brad Prybis, MD

54427

8151

150 Clinic Avenue, Suite 101 Carrollton, GA 30117

8/8/2008

May, Amie Patricia

RN201747

Ram Reddy, MD

24178

13289

1061 Dowdy Rd, Suite 100 Athens, GA 30606

6/6/2014

May, Sherry Richardson

RN149530

Mallory Smith, MD

22471

8899

125 Memorial Drive Reidsville, GA 30453

1/7/2010

Mayfield, Shannon Marie

RN159998

Veronica Garrett, MD

39106

13249

1415 Milstead Rd, Ste A Conyers, GA 30012

5/1/2014

Mayhue, Michelle Day

RN097258

Robert Blackwell, MD

50128

1899

3708 Northside Dr Macon, GA 31210

8/6/2010

Maynard, Jennifer Kay Baldwin

RN177268

Charles Stephens, MD

58785

13282

960 Joe Frank Harris Pkwy, Emer Dept Cartersville, GA 30120 6/6/2014

Maynard, Necia Louise

RN081599

David Lawson, MD

17231

1900

1365 Clifton Rd NE, Bldg C Atlanta, GA 30322

Wednesday, August 12, 2015

7/11/2013

Page 224 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Mayo, Jesse Ray

RN169618

Dorel Bidiuc, MD

51296

12543

707 Old Dalton Ellijay Rd, Emer Dept Chatsworth, GA 30705

11/8/2013

Mayo, Jesse R.

RN169618

Dillon D. Miller, MD

67508

11453

101 Riverstone Vista Blue Ridge, GA 30513

12/7/2012

Mayton, Melinda

RN085532

Thuy T. Bui, MD

49276

11510

P.O. Box 422022 Atlanta, GA 30542

3/8/2013

Mbah, Linda

RN155427

Richard Antonio, MD

74176

16079

484 Irvin Court Decatur, GA 30030

8/6/2015

McAfee, Laurene Barrett

RN050410

Eddie Atwell, MD

29303

1904

15 Medical Drive Cartersville, GA 30121

12/4/2008

McAfee, Laurene Barrett

RN050410

Charles Cha, MD

49531

8229

15 Medical Drive Cartersville, GA 30121

6/6/2008

McAlister, Janice Louise

RN152221

Joseph Miller, MD

45892

1905

275 Collier Road, Suite 500 Atlanta, GA 30309

1/9/2009

McBrayer, Melanie Higgins

RN160103

Brian Kogon, MD

53322

10930

1405 Clifton Road Atlanta, GA 30322

9/13/2012

McBride, Susanna

RN117722

James Conkright, MD

40829

15991

1417 Pednleton Rd Augusta, GA 30904

8/6/2015

McBride, Veronica Elaine

RN095698

Amber Zafar, MD

47384

13921

5448 Whittlesey Blvd Ste B Columbus, GA 31909

9/11/2014

McBride, Irene B.

RN165190

Omer Kucuk, MD

61470

9881

1365-C Clifton Rd NE Atlanta, GA 30329

8/5/2011

McCall, Nancy

RN050734

Shah, Mehendra MD

34466

10653

227A Scenic Hwy Lawrenceville, GA 30046

5/4/2012

McCall, Laurie

RN093653

Brandi Warren, DO

61681

10207

809A 11th Avenue East Cordele, GA 31015

12/1/2011

McCall, Laurie A. McLeod

RN093653

Jason Griffin, MD

47325

8843

454 Smith Ave Thomasville, GA 31792

12/4/2009

Wednesday, August 12, 2015

Page 225 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McCall-Gaston, Natalie

RN139162

Harris Tyra, MD

61249

15188

794 S Park St Carrollton, GA 30117-3826

4/2/2015

McCall-Gaston, Natalie Yvonne

RN139162

Bruce Wood, DO

23516

12281

259 Jonesboro Rd McDonough, GA 30253

9/13/2013

McCall-Gaston, Natalie Yvonne

RN139162

Wondiful Colbert, MD

68389

12072

830 Eagles Landing Pkwy, Suite 203 Stockbridge, GA 30281

7/11/2013

McCann, Michael

RN065692

Malik, Saleem MD

44523

10707

1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/4/2012

McCarthy, Andrea Patricia

RN115980

Erich Randolph, MD

27190

13677

320 Parkway NE Atlanta, GA 30312

8/7/2014

McCarthy, Melissa Smith

RN192261

Stephanie Eaton, MD

44204

12742

5505 Peachtree-Dunwoody Rd, Suite 370 Atlanta, GA 30342 1/9/2014

McClain, Lindsey

RN173621

Griner, Brian MD

46966

10822

117 West Northside Drive Valdosta, GA 31602

7/12/2012

McClaude, Anamaria

RN228744

Gail Hurley, MD

18990

13839

675 College Ave Thens, GA 30603

9/11/2014

McCloud-Forbes, Donna

RN073978

William Watkins, MD

32076

13862

235 Peachtree St NE, North Tower, Suite 2100 Atlanta, GA 3 9/11/2014

McCollum, Joyce Ann Wilkinson RN054949

Louis Fernandez, MD

39790

12707

274 Big A Rd Toccoa, GA 30577

1/9/2014

McCollum, Kennon Howard

RN102128
RN102128

Padrica Hopkins-Menchion,
MD

47446

9438

1045 Southcrest Dr, Suite 200 Stockbridge, GA 30281

2/4/2011

McConnell, Carrie F.

RN171520

John Byers, MD

50076

1923

2525 Williams Rd Columbus, GA 31909

9/1/2011

McCord, Frances A.

RN149422

M. Frank Powell, MD

23663

11579

464 Mt. Plesant Rd. homson, GA 30824

2/7/2013

McCorkle, Laurel Williams

RN157075

Donald Gates, MD

53915

7904

6602 Abercorn St, Suite 102 Savannah, GA 31405

5/7/2009

Wednesday, August 12, 2015

Page 226 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McCormick, Marie

RN214963

Jha, Asit MD

55248

10305

1451 Church Street Waycross, GA 31501

1/6/2012

McCormick, Marie

RN214963

Holzman, Martin MD

65824

10285

1451 Church Street Waycross, GA 31501

1/6/2012

Mccormick, Marsha A Alexande RN111872

Stephanie Riemann, MD

40362

1928

3755 Sixes Road, Suite 300 Canton, GA 30114

12/4/2008

Mccourt, Mary Elizabeth

RN046664

Paul Bradley, MD

30016

1929

315 Eisenhower Drive Savannah, GA 31406

4/1/2010

McCown, Penelope

RN171315

Saira Tarig Niaz, MD

58550

14819

5900 Hillandale Dr, Ste 215 Lithonia, GA 30058

3/5/2015

McCoy, Tami Star Trinkle

RN181259

Jason Berner, MD

48322

13676

120 Oakside Crt, Ste H Canton, GA 30114

9/11/2014

McCoy, Nancy Sue

RN179017

Morris Pulliam, MD

34223

13838

1244 Historic Homer Hwy Homer, GA 30547

9/11/2014

McCoy, Sherry Marie Hay

RN096899

Muhammad Alam, MD

69167

12679

3015 Veternas Pkwy Moultrie, GA 31788

1/9/2014

McCoy, Caroline Paige

RN171151

Roshan Shrestha, MD

56765

8539

1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309 5/7/2009

McCrary, Judy Lynn Hay

RN050560

Serena Tidwell, MD

51192

1933

1538 13th Avenue, Suite B200 Columbus, GA 31901

11/1/2007

McCullough, Michael Allen

RN057553

Joseph Kim, MD

69682

12784

745 Poplar Rd, Emer Dept Newnan, GA 30265

2/6/2014

McCullough, Michael Allen

RN057553

Paula Brathwaite, MD

62476

12785

1255 Hwy 54 West, Emer Dept Fayetteville, GA 30214

2/6/2014

McCullough Vieira, Megan Mari RN191822

Paula Brathwaite, MD

62476

12831

1255 HY 54 W. Emergency Department Fayetteville, GA 302 1/9/2014

McCurdy, Brenda W.

Brandi Warren, DO

61681

14778

1 N Main St., Ste 104 Moultrie, GA 31768

RN225409

Wednesday, August 12, 2015

1/8/2015

Page 227 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McDade, Sharon Renee

RN127394

Douglass Moss, MD

41178

13012

814 Northwood Park Dr Valdosta, GA 31602

4/4/2014

McDaniel, Stephanie

RN207209

Rubal Patel, MD

64707

15591

901 E 18th St Tifton, GA 31794

7/9/2015

McDaniel, Rebecca Lea Palmer

RN122985

James Gore, MD

36384

13610

1657 North Expressway Griffin, GA 30223

8/7/2014

McDaniel, Linda R.

RN191724

Sheri Campbell, MD

58445

9540

690 Dallas Hwy, Suite 301 Villa Rica, GA 30180

2/4/2011

McDaniel, Wanda Ruth Shell

RN038289

Michael Fortson, MD

35051

1940

1058 Bear Creek Blvd Hampton, GA 30228

5/9/2008

McDonald, Jennifer

RN120924

Sonal Hazariwala, MD

54151

14000

5211 Hwy 278 NE Covington, GA 30014

10/9/2014

McDonald, Lyndsey Lea

RN180967

Stephanie Keller, MD

64120

11795

975 Johnson Ferry Rd, Suite 340 Atlanta, GA 30342

7/11/2013

McDonald, Lyndsey Lea

RN180967

Honorio Bulos, MD

48029

11904

300 Dawson Commons Cir, #320 Dawsonville, GA 30534

6/7/2013

McDonald, Jenna N.

RN226556

Richard L. Baldwin, MD

23894

11436

9280 Hwy 5, Suite A Douglasville, GA 30134

1/11/2013

McDowell, Kelly Marie

RN154424

Robin Fowler, MD

52931

11705

1388-A Wellbrook Circle Conyers, GA 30012

5/3/2013

McDowell, Jacquelyn

RN177697

McMath, Lisa MD

53332

10673

4000 Shakerag Hill, Ste 200 Peachtree City, GA 30265

5/4/2012

McElfresh, Patricia

RN096562

Briones, Michael DO

42192

10373

1405 Clifton Rd NE, 4th floor Atlanta, GA 30322

1/6/2012

McElroy, Colleen Mary

RN198710

Akram Shibani, MD

72809

14966

55 Witcher St, Ste 160 Marietta, GA 30060

3/5/2015

McFarland, Carla Sue

RN093196

Jose Justiniano-Ayala, MD

46773

13620

118 East Girard St. Cedartown, GA 30125

8/7/2014

Wednesday, August 12, 2015

Page 228 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McFarland, Jade Griffin

RN181453

Dale McGregor, DO

25220

11680

3131 South Main St Moultrie, GA 31768

3/8/2013

McGaha, Delaine

RN057561

David Dobson, MD

57160

14852

300 First Ave South Reidsville, GA 30453

1/8/2015

McGee, Joy Richardson

RN205330

Julaine Cross, MD

56037

11692

255 West 5th St, Suite 300 Rome, GA 30165

3/8/2013

McGill, Wanda Lee Broome

RN066539

Christopher Morgan, MD

66151

13409

1514 Vernon Rd, Emer Dept LaGrange, GA 30240

12/4/2014

McGill, Wanda Lee Broome

RN066539

Julia Ballard, MD

21637

13103

130 Sam Walker Dr, Medical Unit LaGrange, GA 30240

4/4/2014

McGill, Wanda

RN066539

Vlachos, Nick MD

62624

10932

1514 Vernon Road LaGrange, GA 30240

8/10/2012

McGowan, Monica Trechele Sp

RN149268

Adithya Reddy, MD

61509

13950

2550 Windy Hill Rd., Ste 206 Marietta, GA 30067

9/11/2014

McGowan, Monica Trachele Sp

RN149268

Christopher Stevens, MD

54515

13647

3800 Princeton Lake Pkwy SW Atlanta, GA 30331

8/7/2014

McGowan, Valerie Elaine James RN059933

Frank Bynes, MD

36932

1954

106 Wast Broad St Savannah, GA 31401

2/6/2014

McGowan, Monica Trechele Sp

RN149268

Robert Earl Windsor, MD

31857

10977

2550 Windy Hill Road, Suite 215 Marietta, GA 30067

12/6/2012

McGowan, Maxine Alberta Eur

RN201165

Miles Johnson, MD

38817

8804

3001 South Cobb Dr, Susite 103 Smyrna, GA 30080

11/5/2009

McGrath, Maureen Therese

RN150349

Eric Felner, MD

52564

8792

2015 Upper Gate Drive Atlanta, GA 30322

11/5/2009

McGuire, John F.

RN053124

Ross Jacobson, MD

57204

5259

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

McHargue, Nicole

RN191762

Davillier, Kelly MD

60168

10333

1 Hiram Blvd, Bldg B Hiram, GA 30141

1/6/2012

Wednesday, August 12, 2015

Page 229 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McIlwain, Margaret Ann Linkou RN123403

Gerald Bohn, MD

30957

14934

1857 West McIntosh Rd. Griffin, GA 30223

2/5/2015

McIlwain, Margaret A.

RN123403

Harry A. Linkous, MD

31465

11620

320 Forest Hill Rd. Macon, GA 31210

4/4/2013

McIntosh, Marcia

RN189290

Kirpich Joseph, MD

54904

15680

990 peachtree Ind Blvd Suwanee, GA 30024

6/4/2015

McIntosh, Marie Kathlyn

RN112961

Monica HoffmeisterBecerra, MD

68209

12292

2122 Mnchester Exprwy, Hosp Med Dept Columbus, GA 319 9/13/2013

McIntosh, Modupe Deas

RN092844

Wendy Troyer, MD

33786

1957

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

McIntyre, Jennifer Gregg

RN211545

Joseph DeVeau, MD

52706

9909

101 Yorktown Dr, Suite 100 Fayetteville, GA 30214

8/5/2011

McIntyre-McKay, Florence Ang

RN180990

Omari Hodge, MD

70459

13250

2988 Shallowford Rd Marietta, GA 30066

5/1/2014

McIver, Linda

RN109974

Robert Kaufmann, MD

30115

13354

550 Peachtree St NE, Ste 1700 Atlanta, GA 30308

6/6/2014

McIver, Linda

RN109974

Robert Kaufmann, MD

30115

13277

220 A Sandy Springs Place Atlanta, GA 30328

6/6/2014

McKay, Angela C.

RN162144

Victoria A. Shirley, DO

50921

11285

109 Ostgian Blvd, Ste. 400 Warner Robins, GA 31088

11/2/2012

McKee-Waddle, Rebecca

RN063586

Herbert Carter, MD

41409

11078

550 Peachtree St. NE, 7th flr Medical Office Tower Atlanta, G 10/5/2012

McLaughlin, Denise

RN032055

Victoria Green, MD

38240

5514

69 Jesse Hill Jr. SE 4th Fl Atlanta, GA 30303

6/8/2007

McLaurin, Laura Varga

RN139185

Jack Ross, MD

27302

1963

610 19th St Columbus, GA 31909

9/13/2013

McLear, Barbara Sharp

RN098801

Frank DeMarco, MD

44442

1966

1100 N'side Forsyth Dr, Ste 450 Cumming, GA 30041

9/14/2007

Wednesday, August 12, 2015

Page 230 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McLeish, Elizabeth

RN151929

Aja McCutchen, MD

58645

15559

299 North Broad St Winder, GA 30680

6/4/2015

McLeish, Elizabeth R.

RN151929

William Lytollis, MD

57392

12852

316 N. Broad Street Winder, GA 30680

5/1/2014

McLendon, Bridget R

RN126278

Habigaile Cribe, MD

50874

14305

1 Baltimore Place Atlanta, GA 30308

1/8/2015

McLendon, Angela L.

RN102736

Thomas Buice, MD

51758

3255

URMC Wound Healing Center, P.O. Box 1059 Thomaston, GA 11/2/2012

McLendon, Susan

RN060662

Thomas Ferrari, MD

34829

10910

110 RT Stanley Senior Place Lyons, GA 3-436

8/10/2012

McLeod, Melissa Danielle

RN198320

Guy Augustin, MD

70852

14276

1153 North Liberty St Nicholls, GA 31554

11/7/2014

McLeod, Melissa Danielle

RN198320

James Sinclair, MD

36457

13535

306 Westside Dr. Douglas, GA 31533

7/10/2014

McLeskey, Theodora Jean Frud

RN091604

Gary Broadnax, DO

16213

1969

1944 Walton Way Augusta, GA 30904

8/2/2007

McLester, Kendra

RN117155

Tracey St. Julian, MD

54127

9163

155 Medical Way, Suite B Riverdale, GA 30274

9/2/2010

McMahon, Angela

RN117269

Rebecca Loomis, MD

46984

15714

1515 River Place, Ste 100 Braselton, GA 30517

6/4/2015

McMahon, James Adam

RN181173

Laura Conger-Moore, MD

42031

13102

1200 Memorial Drive, Hospitalist Dept Dalton, GA 30720

8/7/2014

McMillan, Vickie Ann Swad

RN134308

James Newlon, DO

26606

9001

145 N. Medical Pkwy Woodstock, GA 30189

3/4/2010

McMillan, Vickie Ann Swad

RN134308

Nagalakshmi Suryadevara,
MD

58515

1975

145 N. Medical Pkwy Woodstock, GA 30189

3/6/2009

McMillan, Trina Louise Nobles

RN102265

Richard Schlossberg, MD

44330

1974

12 Seventh Street Auburn, GA 30011

12/4/2008

Wednesday, August 12, 2015

Page 231 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McMunn, Michael David

RN127929

Dean Broome, MD

48604

13272

300 1st Ave South Reidsville, GA 30453

McNair, Deborah Ruth

RN189661

Woody Francis, MD

48325

8025

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 8/7/2014

McNair, Deborah

RN189661

Sams III, Ferrol MD

19767

10873

101 Yorktown Drive, Ste 100 Fayetteville, GA 30214

7/12/2012

McNeal, Virginia Maxine Voyles RN100656

Edward Ajayi, MD

37935

12258

6133 Love St Austell, GA 30168

7/10/2014

McNeely, Pamela Karen

RN089620

Joseph Hathaway, MD

49797

14927

114 Hill Pond Lane Statesboro, GA 30458

2/5/2015

McNeese, Haley Bree

RN165033

James B White, MD

39510

12391

705 Dixie St Carrollton, GA 30117

10/10/2013

McNulty, Amanda Rebecca

RN218786

Robert Wilson, MD

38133

13537

308 Bedell Ave. Woodbine, GA 31569

7/10/2014

McPeak, Justin

RN235357

John Ouderkirk, MD

49992

15809

735 Piedmont Rd Atlanta, GA 30808

7/9/2015

McPhail, Melissa

RN135666
RN135666

James Stevick, MD

34481

14802

575 First St Macon, GA 31201

2/5/2015

McPhail, Melissa

RN135666

Shelley D. Samuel, MD

57248

11369

218 Hwy 49 North, Suite A Byron, GA 31008

6/7/2013

McPherson, Elisabeth M

RN195222

Suzanne Manley, MD

46167

15341

148 Clinic Ave Carrollton, GA 30117

4/2/2015

McPherson, Christi Ambrose

RN131500

Chandresh Viradia, MD

53050

12576

100 Jim Mason Ct, Suite A Warner Robins, GA 31088

12/6/2013

McPherson, Fran Annette Hann RN112980

Robert Bowman, MD

31387

9551

1430 Hwy 82 West, Suite 105 Tifton, GA 31793

1/7/2011

McQuigg, Lesli

Darrin Strickland, MD

38105

10751

3025 Shrine Rd, Suite 190 Brunswick, GA 31520

6/8/2012

RN130343

Wednesday, August 12, 2015

6/6/2014

Page 232 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

McQuigg, Lesli Gowen

RN130343

Juanita Lott, MD

19847

1986

418 E H Court Brunswick, GA 31520

3/7/2008

McRae, Britt

RN123207

Duke, Michael MD

42041

10393

134 W. Campus Dr CBX 091 Milledgeville, GA 31061

1/6/2012

McRae-Spencer, Aribell

RN168031

Michael Lee, MD

52082

15798

7863 Villa Rica Hwy Dallas, GA 30157

7/9/2015

McRae-Spencer, Aribell

RN168031

Jacobs, Theresa MD

46864

10733

868 York Avenue Atlanta, GA 30310

6/8/2012

Mcroyal, Nancy Cathaleen Aver RN091649

Madhu Vishwanath, MD

56499

1990

2779 Cobb Pkwy NW Kennesaw, GA 30152

12/4/2008

McSherry, Amalia Heneghan

RN227080

Rene Romero, MD

37060

12637

1405 Clifton Rd NE, 6th Floor Atlanta, GA 30322

2/6/2014

McVay, Amanda Kaye

RN184986

Tania Morgan, MD

48172

8960

5354 Reynolds St, Suite 303 Savannah, GA 31405

2/5/2010

Mead, Hazel

RN029227

Conner, Franklin Geoffery
MD

33555

10532

300 Arlington Dr Vidalia, GA 30474

3/29/2012

Meadows, Kendaly

RN148484
RN148484

Fionan O'Griofa, MD

40179

15113

1670 Clairmont Rd Decatur, GA 30033

3/5/2015

Meadows, Elizabaeth Hall

RN112536

Richard Robinson, MD

38936

5262

3240 Avalon Blvd Conyers, GA 30013

5/7/2009

Mealing, Tatum Sherrell

RN166826

Charles Brown, III, MD

28383

1996

275 Collier Road, Suite 500 Atlanta, GA 30309

5/9/2008

Mealor, Andrea

RN209080

Brian Adams, MD

70842

14736

1620 Prince Ave Athens, GA 30606

1/8/2015

Mealor, Andrea Maclin

RN209080

D. Janene Holladay, MD

37199

13544

601 Broad St, Suite B Gainesville, GA 30501

7/10/2014

Medlin, Helen Clair

RN070135

Zenobia Day, MD

61959

13482

255 Prosperity Way Adairsville, GA 30103

7/10/2014

Wednesday, August 12, 2015

Page 233 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Medlin, Tammy Lynn Hostetler

RN112985

Bobbie Kumar, MD

68197

13038

11935 Abercorn St, Suite 7106 Savannah, GA 31419

3/6/2014

Medlin, Helen

RN070135

Huggins, Michelle MD

34368

10329

870 Crest Mark Drive, Ste 202 Lithia Springs, GA 30122

1/11/2013

Meekins, Jacqueline Loriann

RN111315

Franklin Lin, MD

52461

1998

61 Whitcher St, Suite 4100 Marietta, GA 30060

7/10/2009

Meeks, Samantha Rae Slagle

RN235429

Lisa Ruschak, MD

59956

13720

3300 Fourth St. Brunswick, GA 31520

9/11/2014

Meeks-Sjostrom, Diana Joan

RN131825

Christopher Parman, MD

53803

1999

100 Stone Forest Drive, Suite 130 Woodstock, GA 30189

11/7/2008

Mehta, Rovi-Jane Ranada

RN157541

Yuan-Xiang Meng, MD

51257

13147

4398 Atlanta Hwy Loganville, GA 30052

4/4/2014

Meister, Lisa

RN112988

Jianhua Cheng, MD

46063

14809

1 Freedom Way Augusta, GA 30904

2/5/2015

Mekhoukh, Jennifer Liechty

RN186511

Victor Corrigan, MD

26489

12578

275 Collier Rd, Suite 300 Atlanta, GA 30309

12/6/2013

Mekhoukh, Jennifer Liechty

RN186511

Randy J. Yanda, MD

36638

11263

95 Collier Road Suite 4075 Atlanta, GA 30309

11/2/2012

Melde, Karen Joan Dianora

RN091317

Fiona Blair, MD

41729

12618

2240 West Park Pl, Suite A Stone Mountain, GA 30087

1/9/2014

Melde, Karen Joan Dianora

RN091317

Elizabeth Norwood, MD

46192

12029

2739 Felton Dr East Point, GA 30344

7/11/2013

Melvin, Tonisha Jeane

RN235296

Joseph Korwin, MD

34878

14746

1 Freedom Way Augusta, GA 30907

4/2/2015

Melvin, Darin Jay

RN162600

John E. Gee, MD

60732

13112

3527 North Valdosta Rd. Valdosta, GA 31602

4/4/2014

Melvin, Darin Jay

RN162600

James R. Goss, DO

27381

13111

3527 North Valdosta Rd. Valdosta, GA 31602

4/4/2014

Wednesday, August 12, 2015

Page 234 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Melvin, Darin Jay

RN162600

Jarod Bailey, DO

65929

13170

2704 North Oak St., Ste A-2 Valdosta, GA 31602

4/4/2014

Melvin, Heather Woodward

RN164346

Joseph Slappey, MD

34473

10998

1610 Forsyth St Macon, GA 31201

9/13/2013

Mercer, Gayle

RN105216

Pena, Guillermo MD

59493

10828

75 Bypass Road Morganton, GA 30560

7/12/2012

Merck, Tara Taneski

RN113523

Michael Briones, DO

42192

2012

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Meritt-Iten, Lisa Michele

RN156565

Vijitha Prasad, MD

40520

1478

117 Kite Road Swainsboro, GA 30401

10/2/2009

Merrill, Christy Erin Cotney

RN152283

Leslie Cottrell. MD

45194

14362

1601 Maple St Carrollton, GA 30118

1/8/2015

Merritt, Amanda

RN201661

Dingane Baruti, MD

55411

15855

664 N Main St Pearson, GA 31642

7/9/2015

Merritt, Marcie

RN176738
RN176738

Robert Cella, MD

58336

15574

200 Perry House Rd Fitzgerald, GA 31750

6/4/2015

Merritt, Marcle

RN176738

Mark Brulte, MD

48490

15573

200 Perry House Rd Fitzgerald, GA 31750

6/4/2015

Merritt, Kayla Cook

RN209446

Julian McLendon, MD

38557

14758

1502 West 3rd St Jackson, GA 30233

1/8/2015

Merritt, Shannon Elizabeth

RN155336

Timothy Graves, MD

26859

13922

770 Walnut St Macon, GA 31201

9/11/2014

Merritt, Marcie LeAnn

RN176738

Thomas Mann, MD

37607

13516

Merritt, Amanda Lynn

RN184377

Joel Greenberg, MD

28560

11759

6602 Waters Ave, Bldg C Savannah, GA 31406

4/4/2013

Merritt, Marcie LeAnn

RN176738

Phlilp I. Reese, DO

66407

11264

118 Norman Dorminy Dr. Fitzgerald, GA 31750

11/2/2012

Wednesday, August 12, 2015

7/10/2014

Page 235 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Merriweather, Kenyatta Chevel RN224477

Russell Brown, MD

39743

11973

2001 Martin Luther King Jr Dr, # 418-430 Atlanta, GA 30310

9/13/2013

Messer, Tara Megan

RN237132

James Crane, MD

36519

14612

1825 Martha Berry Blvd Rome, GA 30165

1/8/2015

Metheny, David Roy

RN112998

Milagros Keh, MD

18509

14905

601 W 11th Ave Albany, GA 31701

2/5/2015

Metheny, David Roy

RN112998

Jonathan Williams, DO

59237

13762

1120 W. Broad Ave. Ste. B-4 Albany, GA 31705

9/11/2014

Metheny, David

RN112998

Gobin, Wanda DO

53912

10197

601 West 11th Ave Albany, GA 31763

11/3/2011

Metz, Linda

RN045066

Joseph Korwin, MD

34878

14748

One Freedom Way Augusta, GA 30904

2/5/2015

Meyer, Rebecca

RN176382

Jolaade Adebayo, MD

72496

15686

601 Broad St SE, Ste B Gainesville, GA 30501

6/4/2015

Meyer, Rebecca E.

RN176382

Shaena Blevins, MD

60242

13565

743 Spring St. Gainsville, GA 30501

7/10/2014

Meyer, Heidi Rae

RN116908

David Villasana, MD

34973

2021

790 Church Street, Ste #400 Marietta, GA 30060

4/13/2007

Meyers, Michelle Emily

RN218891

Michael Dant, MD

23936

11708

4700 Battlefield Pkwy, Suite 200 Ringgold, GA 30736

4/4/2013

Meyers-Prosyniuk, Stacey Mari

RN210777

William Hudson, MD

30484

13015

2000 16th Ave Columbus, GA 31901

3/6/2014

Michael, Garry

RN093691

Wayne Kelley, Jr., MD

65447

11090

3708 Northside Dr. Macon, GA 31210

10/5/2012

Miclat, Cristine Palacios

RN135637

Sabin Tomus, MD

45994

8710

455 South Main St, Suite 203 Hinesville, GA 31313

9/3/2009

Ricardo Raul Riesco, MD

44069

2027

711 Shileds Road Dalton, GA 30720

5/10/2007

Middleton, Connie Dianne Cole RN113005

Wednesday, August 12, 2015

Page 236 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Milam, Adrienne Marie

RN185538

Raul Nogueira, MD

64876

14880

80 Jesse Hill Jr Dr, Ste 11 C Atlanta, GA 30303

2/5/2015

Milam, Lindsay Smith

RN162466

Muhammad Khan, MD

63080

7923

915 Gordon Ave Thomasville, GA 31792

6/6/2014

Milam, Lindsay

RN162466

Ward, Timothy MD

23125

10361

947 South Broad Street Thomasville, GA 31792

1/6/2012

Milburn, Terri Lynn

RN209012

Husham Mishu, MD

40740

10991

285 Boulevard NE, Ste. 345 Atlanta, GA 30312

9/13/2012

Milburn, Terri

RN209012

Goldstein, Matthew MD

48115

10749

1700 Medical Way Snellville, GA 30078

6/8/2012

Milburn, Terri

rn209012

Vadelund, Karin MD

58934

10618

235 Peachtree St NE, North Tower, Ste 2100 Atlanta, G 3030 3/29/2012

Miles, Karen

RN135390

Hughes, Brian MD

31029

10597

One Meadows Parkway Vidalia, GA 30474

5/4/2012

Miley, Kathryn Lynn

RN170081

Antony Labady, MD

63084

14953

200 Industrial Blvd Dublin, GA 31021

2/5/2015

Miller, Sheila Ann Moore

RN146822

Zia Khan, MD

62533

16045

5470 Meridian Marks Rd NE Atlanta, GA 30342

8/6/2015

Miller, Brandi Nicole

RN159327

Paul Johnson, MD

46132

15936

677 Church St. NE Marietta, GA 30060

7/9/2015

Miller, Jenifer

RN111545

Jorge Leguizamo, MD

61479

15475

698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045

5/8/2015

Miller, Jenifer Susan Van Brack

RN111545

Richard Loyd, DO

37446

13774

125 King Ave, Suite 200 Athens, GA 30606

9/11/2014

Miller, Leah Harris

RN189150

Terry Melvin, MD

35951

13187

4411 Oakwood Drive Chattanooga, TN 37416

9/11/2014

Miller, Andrea Joslin

RN170287

Joshua Vova, MD

60484

13054

1001 Johnson Ferry Rd NE Atlanta, GA 30342

6/6/2014

Miller, Elizabeth Ann Tillman

RN051585

Michael Busman, MD

40628

2037

800 GSW State University Dr Americus, GA 31709

3/6/2014

Wednesday, August 12, 2015

Page 237 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Miller, Angela DeAnne

RN198269

Anthony O'Meara, MD

63386

12841

4303 Jodeco Rd McDonough, GA 30253

3/6/2014

Miller, Treecie Lee

RN221171

Dominique Smith, MD

42439

12453

5404 Hillandale Park Court Lithonia, GA 30058

1/9/2014

Miller, Gwendolyn Giddings

RN183390

Lisa Gantner, MD

27690

12662

7901 Veterans Pkwy Columbus, GA 31909

1/9/2014

Miller, Tonya D

RN228457

Martha Millan Sanchez, MD 66223

12234

3015 Verterans Pkwy Moultrie, GA 31788

9/13/2013

Miller, Laura Southern

RN182120

Louellen Gurley, MD

42263

12169

303 Smith St LaGrange, GA 30240

8/9/2013

Miller, Vashti Gift

RN212631

Frederick Roberts, MD

42113

11957

2122 Manchester Expry Columbus, GA 31908

7/11/2013

Miller, Vashti

RN212631

Kingsley, Jeffery DO

52973

10160

5210 Armour Road Columbus, GA 31904

10/7/2011

Miller, Macy

RN217874

Boss-Cole, Etta MD

55541

10122

414 Lugenia Blvd Vidalia, GA 30474

10/7/2011

Miller, Andrea Joslin

RN170287

Maurice Sholas, MD

60314

9819

1001 Johnson Ferry Rd Atlanta, GA 30342

6/30/2011

Miller, Kelly Jena

RN187026

Michael Sharkey, MD

38609

9792

212 Hospital Dr, Suite C Warner Robins, GA 31088

6/3/2011

Miller, Jocelyn Rae

RN199861

Kathleen McKie, MD

52362

9527

1445 Harper St, Suite BG-1104 Augusta, GA 30912

1/7/2011

Miller, Nancy Elizabeth

RN089642

Richard Young, MD

21218

2045

958-A Joe F Harris Pkwy, Suites 101 & 105 Cartersville, GA 30 7/1/2010

Miller, Kristine Elizabeth Atkins

RN064231

Lance Wiist, MD

33754

2043

761 Old Norcross Road Lawrenceville, GA 30045

5/7/2009

Miller, Lisa Ann

RN179064

Antonio Rios, MD

45114

3186

669 Lanier Park Drive Gainesville, GA 30501

12/4/2008

Wednesday, August 12, 2015

Page 238 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Miller, Susan Jane Borich

RN078351

Kevin Smith, MD

41961

2047

100 Chastain Rd., Hse 52 #5200 Kennesaw, GA 30144

9/14/2007

Miller-Tso, Denise A.

RN150727

Susan Wheatley, MD

31357

11633

6385 McGinnis Ferry Rd., #202 Johns Creek, GA 30005

3/8/2013

Millhouse, Paula W.

RN129911

Frank Trigg, MD

30556

2051

101 RiverStone Vista, Suite 203 Blue Ridge, GA 30513

4/13/2007

Millican, Ashley

RN186725

Thomas Bloodworth, MD

18124

15901

6794 Bill Carruth Pkwy Hiram, GA 30141

7/9/2015

Millican, Ashley

RN186725

Gretta Flaherty, DO

69114

15413

1501 Shorter Ave Rome, GA 30165

5/8/2015

Millican, Ashley

RN186725

Parmer, Keith MD

15200

10672

1501 Shorter Avenue Rome, GA 30165

5/4/2012

Milliman, Dana Lynn

RN132926

James Brennan, MD

19645

8954

303 Smith Street LaGrange, GA 30240

4/1/2010

Millington-Upshaw, Venus D.

RN081528

Shawn P. Allen, MD

38168

11618

3006 Clairmont Rd., #115 Atlanta, GA 30329

9/13/2013

Millington-Upshaw, Venus

RN081528

Dominic Nkwocha, MD

55280

11043

4015 South Cobb Dr., Suite 110B Smyrna, GA 30080

10/5/2012

Mills, Elizabeth Renee

RN229054

Kay Oso, MD

44049

14325

3890 Redwine Rd SW Atlanta, GA 30331

10/9/2014

Mills, Leslie

RN077228

Becton, Elizabeth MD

38178

10595

1303 d'Antignac Street, Ste 2600 Augusta, GA 30901

3/29/2012

Millsap, Lori Ann Waters

RN102683

Lee Battle, III, MD

20858

13549

775 West Ave, Suite A Cartersville, GA 30120

7/10/2014

Millsap, Lori W.

RN102683

Safia Pirani, MD

56624

11266

220 Oakside Lane Canton, GA 30114

11/2/2012

Millsap, Kimberly Dawn

RN178269

Steven Spivey, MD

50737

8646

150 Gentilly Blvd Cartersville, GA 30120

7/10/2009

Wednesday, August 12, 2015

Page 239 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Millwee, Sara Eisen

RN149041

Irvine Duplan, MD

57066

13157

743 Spring St., NE Gainesville, GA 30501

4/4/2014

Milner, Joni Reba Dixon

RN134487

Jason Smith, MD

52635

9488

550 Professional Dr Macon, GA 31201

2/4/2011

Milstead, Cynthia Nan

RN090178

Hina Hussain, MD

55063

9587

4526 Clubhouse Dr Marietta, GA 30066

3/4/2011

Milstead, Cynthia Nan

RN090178

William Godfrey, MD

28552

2055

3525 Busbee Drive, Suite 100 Kennesaw, GA 30144

5/9/2008

Mimbs, Andriea

RN135482

Arvind Aggarwal, MD

56400

14865

206 Hospital Dr Dublin, GA 31021

2/5/2015

Miner, Katie Elizabeth

RN140594

Brian Griner, MD

46966

2056

117 W. Northside Drive Valdosta, GA 31602

1/11/2008

Minter, Bonnie

RN081530

Felissa Goldstein, MD

57467

15882

1920 Briarcliff Rd NE Atlanta, GA 30329

7/9/2015

Mishra, Margaret M.

RN052474

Larry Stewart, MD

27123

11491

116 S. Houston Rd. Warner Robins, GA 31088

5/3/2013

Missildine, Audrea

RN249104

Terry Banks, MD

48206

15959

1 Aflac Way Columbus, GA 31907

8/6/2015

Mitcham, Betsy Kirkpatrick

RN104197

Allen Beecham, DO

25102

14192

2000 Vilage Professional Dr, Ste 110 Canton, GA 30114

11/7/2014

Mitchell, Aundre Roucha

RN206296

Sandra Gibbs, MD

32192

15930

774 GA Hwy 96 Bonaire, GA 31005

8/6/2015

Mitchell, Aundre Roucha

RN206296

Onkar Kaur, MD

47103

14203

602 East 16th Ave, Ste B Cordele, GA 31015

11/7/2014

Mitchell, Mary McCartney

RN073201

Derek Pendarvis, MD

49933

13718

725 Jessee Jewell Pkwy, Ste 350 Gainesville, GA 30501

9/11/2014

Mitchell, Trekesha Deshon

RN168369

Ian Davis, MD

64203

12201

1120 15th Street, BI-5092 Augusta, GA 30912

8/9/2013

Wednesday, August 12, 2015

Page 240 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Mitchell, Patricia Gayle

RN208361

Gayoung Hong, MD

67467

12050

13570 N Main St Trenton, GA 30752

7/11/2013

Mitchell, Bridgette Anne

RN151092

Michael Riley, MD

59949

11914

55 Whitcher St, Suite 350 Marietta, GA 30060

6/7/2013

Mitchell, Joan

RN063812

Dan Ioanitescu, MD

51476

11354

Phoenix Center, 940 Georgia Highway 96 Warner Robins, GA 1/11/2013

Mitchell, Joan

RN063812

Jackie Cox Thompson, MD

12446

11109

2927 Demere Rd. St. Simons Island, GA 31522

10/5/2012

Mitchell, Joan Sapp

RN063812

Kyaw Minn, MD

46455

9364

3575 Fulton Mill Rd Macon, GA 31207

10/8/2010

Mitchell, Jamerall

RN159656

Willie Hillson, MD

20737

9266

2357 Tobacco Rd Augusta, GA 30906

9/2/2010

Mitchell, Joan Sapp

RN063812

Thomas Rumble, MD

13078

9244

2121-A Bellevue Rd Dublin, GA 31021

8/6/2010

Mitchell, Roberta Ann Leinweb

RN114580

Jordan Greenbaum, MD

57172

2062

1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

11/5/2009

Mitchell, Joan Sapp

RN063812

James Fenley, MD

34584

8671

175 Emery Hwy Macon, GA 31217

11/5/2009

Mitchell, Joan Sapp

RN063812

Foster Brin, MD

29980

8669

175 Emery Hwy Macon, GA 31217

11/5/2009

Mitchell-Powell, Sally-Ann Mar

RN089650

Dave Ringer, MD

30368

2064

1041 Park Drive Greensboro, GA 30642

4/2/2009

Mitton, Amy L.

RN118764

Anil Yadav, MD

53898

11405

Prestige Primary Care, 51 Gordon Rd. Jasper, GA 30143

12/7/2012

Mix, Kristin L

RN225124

Tidence Prince, MD

37339

11824

3951 Ridge Ave, Suite C Macon, GA 31210

5/3/2013

Mixon, Angela Jane

RN115484

Robert Mazur, MD

37864

15071

60 Exchange St, Ste B-7 Richmond Hill, GA 31324

3/5/2015

Wednesday, August 12, 2015

Page 241 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Mize, Candace Cherie

RN190811

Joseph Lomboy, MD

47921

14878

1018 Keith Dr, Ste A Perry, GA 31069

2/5/2015

Mobbs, Mary Cardina

RN170835

Marie Baudean, MD

23898

12917

980 Lawrenceville Hwy Lawrenceville, GA 30046

10/9/2014

Mobley, Rebecca

RN192380

Charles Lodge, DO

24019

15904

6 Hospital Park Moultrie, GA 31768

8/6/2015

Mobley, Jennifer Bailie

RN154040

George Pursley, MD

31308

9903

1219 West Wheeler Pkwy Augusta, GA 30309

8/5/2011

Mock, Maria

RN083558

Francis Kwarteng, MD

61792

5269

401 South Madison St Albany, GA 31701

3/4/2011

Modly, Lori Angeleene

RN201247

Jocelyne Tadros, MD

61652

16053

743 Spring St NE Gainesville, GA 30501-3715

8/6/2015

Moesch, Julie Graham

RN063326

William Richards, MD

67939

2999

5353 Reynolds St, Suite 200 Savannah, GA 31405

11/8/2013

Mohazab, Elahe

RN228614

Morgan Garrett, DO

72255

14013

960 Joe Frank Harris Pkwy, Emer Dept Cartersville, GA 30120 1/8/2015

Mohiuddin, Suzanne Graybeal

RN114838

Mark Hutson, MD

35908

2068

1875 Century Blvd NE, suite 150 Atlanta, GA 30345

2/7/2008

Mohr, Amanda L.

RN222009

John Y. Chung, MD

41532

11326

1107 Memorial Dr., Ste. 201 Dalton, GA 30720

12/7/2012

Mohren-Graves, Shirley E

RN227657

Jayashree John, MD

62125

12207

2000 16th Ave Columbus, GA 31901

9/13/2013

Molet, Tamiko

RN200088

Andrew Magnet, MD

60215

16117

1932 Wynnton Rd Columbus, GA 31999

8/6/2015

Momin, Almas Soyal

RN203131

Safia Pirani, MD

56624

14236

3330 Peachtree Corner Cir, Ste H Peachtree Corners, GA 300 12/4/2014

Momoh, Isata Celia

RN136010

Matthew Hogan, MD

61895

13148

2675 North Decatur Rd, Suite 410 Decatur, GA 30033

Wednesday, August 12, 2015

7/10/2014

Page 242 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Momoh, Isata Celia

RN136010

Benjamin Epstein, MD

35044

8715

2665 North Decatur Rd, Suite 255 Decatur, GA 30033

9/3/2009

Monroe, Sally A. Scott

RN086301

Ross Jacobson, MD

57204

5270

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Monteilh, Caridad

RN154006

Sharma, Chetan MD

64272

10314

1620 Bass Road Macon, GA 31201

1/6/2012

Monteilh, Caridad Mercedes

RN154006

Nimisha Trivedi, MD

53715

8873

3778 Hwy 42 Locust grove, GA 30248

4/1/2010

Montgomery, Jocelyn

RN181462

Lisa Mack, MD

47115

15623

550 Peachtree St Atlanta, GA 30308

6/4/2015

Montgomery, Kristen Sue

RN243094

Andrea Dabney, MD

66274

14600

274 Big A Rd Toccoa, GA 30577

1/8/2015

Montgomery, Jennifer Anne

RN207357

Terry Melvin, MD

35951

13186

1217 Lafayette Rd. Rossville, GA 30741

6/6/2014

Montgomery, Ginger Platte

RN208251

Pamela Gordon, MD

69815

12729

677 Church St, 310 Bldg Marietta, GA 30060

1/9/2014

Montgomery, Samantha Helton RN160145

Michael Raines, MD

35979

9984

122 Highway 280 West, Ste A Americus, GA 31719

8/5/2011

Montgomery, Samantha Helton RN160145

Michael Busman, MD

40628

9254

72 South Broad St Ellaville, GA 31806

9/2/2010

Moody, Zakiyyah

RN177186

Pierce, David MD

29930

10577

2412 N. Oak Street Valdosta, GA 31602

3/29/2012

Moody, Susan E.

RN189877

Georgia Theriot, MD

24357

8136

51 Hospital Road Newnan, GA 30263

1/11/2008

Moody, Andrea Denise Mobley

RN055947

Michael P. Baker, MD

36497

2076

2101 Tebeau St Waycross, GA 31501

7/13/2007

Moonjeli, Shaini

RN181827

Abarmard Zafari, MD

39018

14827

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Wednesday, August 12, 2015

Page 243 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Moore, Ayjanah

RN207446

Byron Evans, MD

53850

16109

81 Upper Riverdale Rd Ste 100 Riverdale, GA 30274

8/6/2015

Moore, Kerry

RN247244

James Greene, MD

29657

15770

1111 Glynco Parkway Bldg1, Ste 10 Brunswick, GA 31525

7/9/2015

Moore, Alisha Denise

RN173142

Michael Streleckis, MD

41490

15218

4175 Tanners Creek Dr Flowery Branch, GA 30542

7/9/2015

Moore, Kathryn

RN171792

Dean Karampelas, MD

26141

15608

743 Spring St NE Gainesville, GA 30501

6/4/2015

Moore, Dana

RN123301

Richard Oster, DO

50238

15638

200 Industrial Blvd Dublin, GA 31021

6/4/2015

Moore, Shawn

RN191172

Douglas Olson, MD

51073

15617

201 Hospital Rd Canton, GA 30114

6/4/2015

Moore, Wesley

RN211348

James Kauten, MD

24830

15518

1968 Peachtree Rd NW Atlanta, GA 30309

5/8/2015

Moore, Lindsay Nicole

RN220229

Walter Kuhn, MD

33851

14251

120 15th St, Ste AF-2039 Augusta, GA 30912

4/2/2015

Moore, Laurie Denise

RN144115

Kim House, MD

49491

14793

1670 Clairmont Rd, Ste CLC-BLDG D Decatur, GA 30033

2/5/2015

Moore, Leslie Michelle

RN227918

Tarsem Gupta, MD

28410

14306

138 Peach Dr McDonough, GA 30253

12/4/2014

RN
191998

James Cornwell, MD

50608

12879

3 Hidden Creek Dr Guyton, GA 31312

11/7/2014

Moore, Kristie Gail
Moore, Cheryl Lynn Andrews

RN093755

Lavon Thurmon Jr., MD

19791

13973

94 McCrary Rd. Fortson, GA 31808

9/11/2014

Moore, Joyce Marie

RN203996

Nancy Cox, MD

66364

13726

400 Canterbury Dr. Wrens, GA 30833

9/11/2014

Moore, Carolyn Meredith Cam

RN170740

Brenda Hott, MD

41441

13568

1200 Northside Forsyth Dr. Cumming, GA 30041

8/7/2014

Wednesday, August 12, 2015

Page 244 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Moore, Kelsey Elizabeth

RN181455

Thomas O'Barr, MD

24472

12921

1810 White Circle Marietta, GA 30060

8/7/2014

Moore, Terri Tonisha

RN195252

Michael Rogers, MD

45482

13241

1941 Phinizy Rd-Webster Det. Ctr Augusta, GA 30906

5/1/2014

Moore, Shawn William

RN191172

Robert Hummer, MD

44242

13032

541 Historic Hwy 441 North Demorest, GA 30535

3/6/2014

Moore, Vernita Jena

RN127868

Clay Lee, DO

46610

11947

207 31st Ave SE Moultrie, GA 31768

10/10/2013

Moore, Megan Elizabeth

RN189608

David Carlton, MD

41749

12221

15 Riverbend Dr SW, Suite 120 Rome, GA 30161

9/13/2013

Moore, Kelsey Elizabeth

RN181455

Paul Walker, DO

46272

11827

1810 White Circle, Suite 155 Marietta, GA 30066

5/3/2013

Moore, C. Meredith

RN170740

Kenneth Taylor, MD

38985

11228

275 Collier Rd., Ste 500 Atlanta, GA 30309

11/2/2012

Moore, Chaquita

RN138492

Taylor, William MD

33213

10526

160 Spring Branch Drive Dublin, GA 31021

3/1/2012

Moore, Tara Thompson

RN164184

William Shilling, III, MD

47841

9722

426 Hwy 26 East Cochran, GA 31014

4/1/2011

Moore, Rebecca Mcwhorter

RN137979

Joseph Joyave, MD

43977

2086

204 Professional Court Calhoun, Ga 30701

2/5/2010

Moore, Cecilia Pickett

RN134600

Michael Maley, MD

34410

2080

58 Big A Road Toccoa, GA 30577

9/11/2008

Moore Miller, Sheila

RN146822

M. Rabiul Alam, MD

61549

15044

11660 Alhparetta Hwy, Ste 430 Roswell, GA 30076

3/5/2015

Morales, Evelyn Rosa

RN087831

Rodney M. Dourron, MD

36143

2092

2675 N. Decatur Rd, Suite 301 Decatur, GA 30033

9/3/2009

Morawski, Jr, John Joseph

RN146905

Anna Elmers, MD

60248

13191

2020 Peachtree Rd NW Atlanta, GA 30309

6/6/2014

Wednesday, August 12, 2015

Page 245 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Moree, June Powell

RN030220

Shahina Mirza, MD

27297

15059

3807 Clairmont Rd. NE, 2nd Flr. Chamblee, GA 30341

3/5/2015

Morgan, Traci

RN196356
RN196356
RN196356

Mary Moore, MD

41902

15689

424 Decatur St SE Atlanta, GA 30312

8/6/2015

Morgan, Vanessa

RN237798

Daniel Sandler, MD

42420

14884

4700 Waters Ave Savannah, GA 31404

2/5/2015

Morgan, Melissa Marchelle

RN161547

George Miller, MD

56901

12422

2300 Manchester Expwy, Ste 2001 Columbus, GA 31904

1/8/2015

Morgan, Jackie Lynn

RN187630

Michael Pinell, MD

58102

14434

114 Canal St, Ste 302 Pooler, GA 31322

12/4/2014

Morgan, Stephanie Cordell

RN211260

Joseph Joyave, MD

43977

13984

100 Market Place Blvd, Ste 201 Cartersville, GA 30121

10/9/2014

Morgan, Jackie Lynn

RN187630

Lawrence Zottoli, MD

36639

14040

4704 Augusta Rd. Garden City, GA 31408

10/9/2014

Morgan, Amy Danielle

RN198744

Francis Gonzalez, MD

57810

12795

677 Church st Marietta, GA 30060

4/4/2014

Morgan, Kelly

rn134518

Stout, Robert MD

25835

10729

1602 Vernon Rd, Ste 400 LaGrange, GA 30240

6/8/2012

Morgan, Sarah

RN178238

Bonk, Catherine MD

30435

10114

315 Winn Way Decatur, GA 30030

10/7/2011

Morgan, Dawn Nicole Carlton

RN106080

Paresh Patel, MD

37325

2096

58 Big A Rd Toccoa, GA 30577

1/7/2010

Morgan, Regina Laffonne

RN097019

Derrick Phillips, MD

29514

2098

3051 Watson Blvd Warner Robins, GA 31093

6/5/2009

Morgan, Constance Elaine

RN052821

Brian DeLoach, MD

51216

2095

PO Box 8043 Statesboro, GA 30460-8043

9/11/2008

Wednesday, August 12, 2015

Page 246 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Morgan, Edith Millicent

RN081555

Vundyala Reddy, MD

25022

2097

308 Coliseum Drive Macon, GA 31217

6/8/2007

Morgan, Jr, James Horace

RN093714

Thomas Karisny, MD

50029

9517

202 Hospital Rd Blairsville, GA 30512

1/7/2011

Morin, Julie Marie

RN183526

Andrew Toledo, MD

27933

12597

1100 Johnson Ferry Rd, Suite 200 Atlanta, GA 30342

1/9/2014

Morison, Laura Martino

RN209720

John R. Kludt, MD

34876

13128

3700 Club Drive Lawrenceville, GA 30044

9/11/2014

Morrell, Emily Anne

RN193496

Crystal Slade, MD

53881

15021

1279 Hwy 54 West, Ste 220 Fayettevile, GA 30214

3/5/2015

Morris, Laura Priest

RN153095

Aman Kakkar, MD

56303

13760

1505 Northside Blvd. Ste 4000 Cumming, GA 30041

10/9/2014

Morris, Octavia DeChandra

RN165649

Howard McMahan, MD

22824

13837

361 Cargile Rd Ocilla, GA 31774

9/11/2014

Morris, Katherine Olivia

RN191040

Maria Batlle, MD

34772

13502

3497 Duluth Park Ln, Ste 200 Duluth, GA 30096

7/10/2014

Morris, Linda Pam

RN123310

Dennis Estep, MD

25429

12340

2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

10/10/2013

Morris, Lori

RN178709

Fisher, Neil MD

61733

10226

3262 Hwy 252 East Folkston, GA 31537

12/1/2011

Morris, Helen Celeste

RN163378

Ricardo Raul Riesco, MD

44069

2104

711 Shileds Road Dalton, GA 30720

5/10/2007

Morrison, Melissa Suzanne

Rn178192

Howard Silverboard

45965

14578

5505 Peachtree Dunwoody Rd, Ste 370 Atlanta, GA 30342

1/8/2015

Morrison, Karen Lydia

RN187113

Benita Bonser, MD

53980

9212

1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

7/1/2010

Morrison Spencer, Kathleen Ma RN184142

Ann Haight, MD

50522

11005

1405 Clifton Rd, AFLAC Admin Suite Atlanta, GA 30322

7/12/2012

Morrow, Maria

Heather Turner, MD

55714

11145

1279 Highway 54 West, Ste 220 Fayetteville, GA 30214

10/5/2012

RN143857

Wednesday, August 12, 2015

Page 247 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Morse, Teresa Renee

RN117861

Edward Matthews, DO

34896

2398

2525 Williams Rd Columbus, GA 31909

9/1/2011

Morse, Kathy Sue Baxendale

RN208550

Michael Hilton, MD

52581

9845

1485 Jesse Jewel Pkwy, Ste 200 Gainesville, GA 30501

8/5/2011

Morton, Carla Jean Kemper

RN069532

Elizabeth Young, MD

48101

14038

744 1st Street Macon, GA 31201

10/9/2014

Morton, Jennifer Lynn

RN171906

Rohit Panchal, MD

69918

13220

55 Whitcher St, Suite 160 Marietta, GA 30060

6/6/2014

Moseley, Vanessa Verhel

RN113050

Sridhar Srinivasan, MD

62292

14334

176 Alice St Wycross, GA 31501

10/9/2014

Moss, Serena Nichole

RN230692

Rita Mezzatesta, MD

58371

12751

550 Redmond Rd Rome, GA 30165

1/9/2014

Most, Anny

RN174589

Carter, Cynthia MD

56534

10383

1000 Towne Center Blvd, Ste 705 Pooler, GA 31322

1/6/2012

Mosteller, Buffy Saxon

RN170080

Anthony Captain, MD

39300

11983

3957 Cleveland Hwy Dalton, GA 30721

7/11/2013

Mott, Michelle Cousins

RN150892

Patricia Baines, MD

53092

2115

49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

9/11/2008

Moughrabi, Marwan Mohamm

RN091202

David Martin, MD

52410

9028

80 Oakwood Ave Trenton, GA 30752

4/1/2010

Moughrabi, Marwan Mohamm

RN091202

William Meadows, MD

30513

8884

14 Fort Town Dr Ft. Oglethorpe, GA 30742

1/7/2010

Moulder, Nicole Taylor

RN203629

John Adamski, MD

68873

14001

200 South Enota Dr., Ste 150 Gainesville, GA 30501

9/11/2014

Moya, Verushcka G

RN177036

Aziz Pirani, MD

61934

13752

4025 Lawrenceville Hwy., Ste A Lilburn, GA 30047

9/11/2014

Moya, Sherry Rayne

RN173415

Jodi Bayley, MD

57575

8257

1101 Nor Tec Drive Conyers, GA 30013

7/11/2008

Wednesday, August 12, 2015

Page 248 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Mueller, Katherine Michelle

RN136093

John Cowan Jr, MD

60167

15267

550 Redmond Rd Rome, GA 30165

4/2/2015

Muhia, Naomi Wairimu

RN160397

Adewunmi Kazeem, MD

64735

15130

5655 Lake Acworth Dr, Ste 120 Acworth, GA 30101

3/5/2015

Muirhead, Lisa

RN194661

Theodore Johnson, MD

49656

15029

1670 Clairmont Rd. Decatur, GA 30033

3/5/2015

Mulkey, Emily Beteag

RN199201

Jinah Kim, MD

54442

13808

1325 Satellite Blvd Ste.700 Suwanee, GA 30024

9/11/2014

Mulkey, Marie Hagood

RN042463

Jeffrey Donohue, MD

46540

2117

3755 Sixes Road, Ste 202 Canton, GA 30114

4/13/2007

Mull, Erin Christine

RN168141

Sarita Kansal, MD

52587

11913

55 Whitcher St, Suite 350 Marietta, GA 30060

6/7/2013

Mullen, Bridget Yvette

RN146011

Mae Morgan, MD

22902

15654

424 Decatur St SE Atlanta, GA 30312

8/6/2015

Mullen, Lauren Alyse

RN183915

Dellys Soler Rodriguez, MD

72132

15074

1405 Clifton Rd NE, 6th floor Atlanta, GA 30322

3/5/2015

Mullins, Rodney Amos

RN196567

Hewatt M. Sims, MD

48965

13140

1622 Madison Avenue Tifton, GA 31794

4/4/2014

Mullis, Lisa Renee

RN155767

Brian Cross, MD

43190

15296

231 Graefe St Griffin, GA 30224

8/6/2015

Mullis, Rachael

RN246371

Barry Warshaw, MD

15435

16054

1405 Clifton Rd NE Atlanta, GA 30322

8/6/2015

Mullis, Tabitha

RN167847

Mary McKinley, MD

51256

15134

360 Hospital Dr, Bldg D, Ste 130 Macon, GA 31217

3/5/2015

Mullis, Tabitha Hendrix

RN167847

Gururaj Nayak, MD

44033

13828

1909 North Columbia St Ste D Milledgeville, GA 31061

9/11/2014

Mullis, Laura Denise Dubois

RN123086

W. Dennis Taylor, MD

33213

13575

160 Spring Branch Dr Dublin, GA 31021

7/10/2014

Wednesday, August 12, 2015

Page 249 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Mullis, Lisa R.

RN155767

Gerald J. Bohn, MD

30957

11581

1857 West McIntosh Rd. Griffin, GA 30223

3/8/2013

Mulry, Robert Francis

RN227568

Richard Schwartz, MD

42935

11863

1120 15th St, AF-2039 Augusta, GA 30912

5/3/2013

Mundy, Martha J

RN214873

Jeffery Wadsworth, MD

62088

9919

1365A Clifton Rd NE Atlanta, GA 30322

10/7/2011

Mundy, Cynthia Allyson

RN139537

Jatinder Bhatia, MD

18784

2122

1120 15th Street, BIW-6033 Augusta, GA 30912

4/1/2010

Munna, Melissa Ann

RN170513

Ryan Bozof, MD

61213

13738

11975 Morris Rd. Ste. 140 Alpharetta, GA 30005

10/9/2014

Munoz, Recia

RN182123

Daniel Sandler, MD

42420

15006

4700 Waters Ave. Savannah, GA 31404

3/5/2015

Murdock, Kimberly

RN138265

Gladin, Collier MD

30609

10621

140 North Crest Blvd Macon, GA 31210

5/4/2012

Murphy, Jason Daniel

RN244491

Akita Evans, MD

64372

16138

505 Dacula Rd. Dacula, GA 30019

8/6/2015

Murphy, Melissa Bell

RN188105

Danni Suskin, MD

36883

15183

550 Medical Center Blvd. Lawrenceville, Ga 30046

4/2/2015

Murphy, Evelyn Ann

RN191449

Travis Bowles, MD

68374

12181

3939 Roswell Rd, Suite 200 Marietta, GA 30062

8/9/2013

Murphy, Dorothy L.

RN187836

Rahil Kazi, MD

41593

8005

1707 Watson Blvd, Suite 200 Warner Robins, GA 31093

10/2/2008

Murray, Tina Marie

RN160381

William Fackler, MD

40830

9055

1014 Forsyth St, Suite 300 Macon, GA 31201

6/4/2010

Murray, Patricia Ann Stranahan RN062691

Gregory McHan, MD

34654

2126

787 Main Street Blue Ridge, GA 30513

3/7/2008

Musselman, Margaret

RN97900

William Shivers, MD

30214

11045

600 Coastal Village Dr. Brunswick, GA 31520

10/5/2012

Musser, Alexis

RN184372

Kancharla, Ashok MD

48250

10904

132 Franklin Spring Street Royston, GA 30662

7/12/2012

Wednesday, August 12, 2015

Page 250 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Musto, Patricia

RN092707

Richard Levitt, MD

21541

5494

1285 Hembree Rd. Suite 100 Roswell, GA 30076

6/8/2007

Mwangi, Dorcas Wangari

RN162748

Kirpich Joseph, MD

54904

7924

969 Windy Hill Road, Suite E Smyrna, GA 30080

2/5/2009

Mwangi, Dorcas Wangari

RN162748

Joyce R. Drayton, MD

38737

5526

465 Winn Way, Ste 201 Decatur, GA 30030

7/13/2007

Mwaniki, Helen Wambui

RN150943

Lawrence Powell, MD

38915

2131

4120 Austell Road SW Austell, GA 30106

12/4/2008

Mwansa, Kym

135298

Kambiz Aflatoon, DO

66238

14742

885 Buford Dr Lawrenceville, GA 30043

2/5/2015

Mwansa, Kym

RN135298

Luther Vance, Jr., MD

19354

11169

1150 Grimes Bridge Rd, Suite 400 Roswell, GA 30075

3/8/2013

Mwansa, Kym L.

RN135298

Julius B. Oderinde, MD

36658

11320

2400 Pleasant Hill Rd., NW, Ste. 300 Duluth, GA 30096

12/7/2012

Mwansa, Kym

RN135298

Emmanuel Soyoola, MD

#####

11157

7050 Jimmy Carter Blvd, Ste 212 Peachtree Corners, GA 300 10/5/2012

Myers, Ashley Anne

RN204891

Mark Wulkan, MD

45676

15163

1405 Clifton Rd NE Atlanta, GA 30322

3/5/2015

Myers, Trisha

RN103949

Haaris Mir, MD

70812

13924

3675 J. Dewey Gray Circle Ste 300 Augusta, GA 30909

9/11/2014

Myers, Trisha Ann

RN103949

Claus Brandigi, MD

43004

7751

1220 George C. Wilson Drive Augusta, GA 30909

9/3/2009

Myers, Sherie Diane

RN145952

William Little, MD

24288

2135

6175 Newton Drive Covington, GA 30014

12/7/2007

Mynatt, Candace Leigh

RN127464

James Cox, MD

34323

2136

6918 McGinnis Ferry Road Suwanee, GA 30024

4/3/2008

Naab, Kimberly Williams

RN143014

Jack Dawson, MD

11945

15935

1968 Peachtree Rd, NW Atlanta, GA 30309

7/9/2015

Naab, Kimberly Michelle Willia

RN143014

Allen Randle Beecham, DO

25102

11930

2000 Village Professional Dr, Suite 200 Canton, GA 30114

6/7/2013

Wednesday, August 12, 2015

Page 251 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Naddy, Jennifer Tischler

RN236841

Rajeshkumar Miniyar, MD

51597

13943

140 Three Rivers Dr, Ste 140 Rome, GA 30161

9/11/2014

Nadeau, Stephanie Jo

RN215537

Christopher Borrego, DO

52259

15595

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

6/4/2015

Nagaddya, Lillian

RN143664

Janet Fason, DO

48773

16017

1762 Mars Hill Rd NW Acworth, GA 30101-8091

8/6/2015

Nagaddya, Lillian M

RN143664

Nicole Ash-Mapp, MD

42993

14151

9465 Hwy 5 Douglasville, GA 30135-1509

11/7/2014

Nakasone, Alma

RN192816

Vivian Lennon, MD

43121

15605

4166 Buford Highway, Ste 1102 Atlanta, GA 30345

6/4/2015

Namakula, Judith

RN196422

Janet Fason, DO

48773

11872

Take Care Clinic, 2990 Five Forks Trickum Rd Lawrenceville,

5/3/2013

Namakula, Judith

RN196422

Jingo, Ahmad MD

45842

10860

3424 Flat Shoals Road Decatur, GA 30034

7/12/2012

Nana, Hina Rajesh

RN167533

Girish Shroff, MD

19103

9068

6025 Professional Pkwy, Suite 200 Douglasville, GA 30134

4/1/2010

Nannini, Laura

RN245697

Charles Lassiter, MD

52984

15470

745 Poplar Rd Newnan, GA 30265

5/8/2015

Narmani-Mohammadi, Foroogh RN216463

Seema Bisht-Nedler, MD

46361

14045

3030 McEver Rd., Ste 130 Gainseville, GA 30504

10/9/2014

Nation, Sherri

RN166755

Mohammad Khan, MD

42315

15321

1407Chattanooga Ave, Ste A Dalton, GA 30720

4/2/2015

Nation, Jody Christian

RN183337

Naseer Humayun, MD

52583

11858

1420 Mineral Springs Rd Dalton, GA 30720

5/3/2013

Nation, Rebekah

RN197721

Oyebanjo, Mobolaji MD

53509

10334

307 Old Stone Road Villa Rica, GA 30180

1/6/2012

Nation, Dawnmarie

RN102308

Gardner, S. Lynn MD

44220

10080

1300 Joseph E. Boone Blvd. Atlant, GA 30314

10/7/2011

Wednesday, August 12, 2015

Page 252 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nde, Beatrice Anih

RN149109

Joshua Wolf, MD

59792

8324

1968 Peachtree Rd NW Atlanta, GA 30309

11/7/2008

Neal, Paul Sue Eskridge

RN062577

Robert Guerreso, DO

38787

2148

1730 Lawrenceville - Suwanee Rd Lawrenceville, GA 30043

8/7/2014

Neal, Olivia Rambo

RN202198

James Heery, MD

40094

12655

3226-A Hampton Ave Brunswick, GA 31520

2/6/2014

Neeman, Ruth

RN097909

Norwood, Elizabeth MD

46192

10635

2739 Pelton Drive East Point, GA 30344

5/4/2012

Nejedly, Maureen Devaney

RN057680

Laurette Ho, MD

41831

2152

3225 Shallowford Road, Suite 1300 Marietta, GA 30062

4/3/2008

Nejem, Rachel Elizabeth

RN207580

David Shore, MD

41671

14885

758 Old Norcross Rd, Ste 175 Lawrenceville, GA 30046

2/5/2015

Nelson, Tarra McCullar

RN112198

Scott Cooper, MD

27696

15698

1200 Northside Forsyth Dr Cumming, GA 30041

7/9/2015

Nelson, Christy Dawn

RN160608

Kartik Reddy, MD

69700

14436

146 Bill Carruth Pky Hiram, GA 30141

12/4/2014

Nelson, Karen Thomaston

RN077713

Andrew Pippas, MD

53806

2154

1831 5th Ave Columbus, GA 31904

8/7/2014

Nelson, Christy Dawn

RN160608

Van Hill, MD

33103

13467

8954 Hospital Dr. Douglasville, GA 30134

7/10/2014

Nelson, Stephanie Lynn

RN190528

Joel Morgan, MD

31295

12602

3541 North Crossing Cir Valdosta, GA 31602

12/6/2013

Nelson, Stacie

RN129463

Lal, Subodh MD

52771

10136

1700 Hospital South Drive Austell, GA 30106

10/7/2011

Nelson, Melissa Marie

RN212157

Stephen Pastan MD

39196

9987

Emory Transplant Ctr, 1365 Clifton Rd, Clinic B Atlanta, GA 3 9/1/2011

Nerestil, Sandra

RN157237

Abdul Sheikh, MD

52017

13925

144 Bill Carruth Pkwy Ste 4200 Hiram, Ga 30141

Wednesday, August 12, 2015

9/11/2014

Page 253 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nerestil, Sandra

RN157237

David Caras, MD

34552

11915

55 Whitcher St, Suite 350 Marietta, GA 30060

6/7/2013

Nerestil, Sandra

RN157237

Mary East, MD

63187

9024

300 Cherokee Place Cartersville, GA 30121

3/4/2010

Nesbitt, Charkes Chaketha

RN189528

Joseph Miller, MD

45892

9027

275 Collier Rd NW, Suite 300 Atlanta, GA 30309

3/4/2010

NeSmith, Kacy Lee Hickman

RN173353

Glen Dasher, MD

43354

15788

1044 Bermuda Run Stateboro, GA 30458

7/9/2015

NeSmith, Nikki Renee

RN159829

Willis McVay, MD

54833

12044

501 East Long St Claxton, GA 30417

7/11/2013

Nessing, Cynthia

RN057577

Paton Hathcox, MD

52744

14340

777 Hemlock St Macon, GA 31201

10/9/2014

Neu, Lovie

RN215180

Mary Dailey-Smith, MD

50472

15826

5610 Wendy Bagwell Pkwy, Ste 103 Hiram, GA 30141

7/9/2015

Newberry, Brtittany Marie

RN155378

Christopher Atkins, MD

45708

12853

1266 HWY 515 South Jasper, GA 30143526

3/6/2014

Newberry, Brittany Marie

RN155378

Dorel Bidiuc, MD

51296

13017

707 Old Dalton Ellijay Rd Chatsworth, GA 30705

3/6/2014

Newberry, Brittany M.

RN155378

Paula J. Boyle, MD

55928

11587

101 Riverstone Vista, #111 Blue Ridge, GA 30513

2/7/2013

Newberry, Linda

RN054589

Shuman, Robert MD

18253

10846

2121A Bellevue Road Dublin, GA 31021

7/12/2012

Newell, Jodee

RN241679

Claudia Venable, MD

54044

15409

1001 Johnson Ferry Rd NE Atlanta, GA 30342

5/8/2015

Newton, Tyra LaShaye

RN201648

Abdullah Kutlar, MD

34751

13303

1120 15th St, BAA-5407 Augusta, GA 30912

6/6/2014

Newton, Maureen Edythe

RN146013

Paul Donnan, MD

47892

13252

477 Windsor St SW, Suite 309 Atlanta, GA 30312

6/6/2014

Wednesday, August 12, 2015

Page 254 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nguyen, Nga

RN161976

Patrick Eagleson, MD

65102

15485

1230 Baxter St Athens, GA 30606

6/4/2015

Nguyen, Mariana Thuyen

RN188608

Timothy Graves, MD

26859

14108

770 Walnut Street Macon, GA 31201

9/11/2014

Nguyen, Kun Hui

RN180354

Dawn Simon, MD

58644

13371

1405 Clifton Rd. Atlanta, GA 30322

6/6/2014

Nguyen, Mariana Thuyen

RN188608

Kenneth DiNella, MD

36716

12032

415 North Jackson St Americus, GA 31709

8/9/2013

Nguyen, Nga

RN161976

Brenda Friedman, MD

54709

11720

6325 Hospital Pkwy Johns Creek, GA 30097

3/8/2013

Nguyen, Sophie Tranh

RN184991

James Lee, DO

56583

11675

310 Gold Creek Trail, Suite 200 Woodstock, GA 30188

3/8/2013

Nguyen, Mariana T.

RN188608

Dinakara B. Shetty, MD

42431

11361

1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088

12/7/2012

Nguyen, Nga

RN161976

Fleming, Alesia MD

34841

10188

1645 Tullie Circle Atlanta, GA 30329

11/3/2011

Nguyen, Trang Mai

RN177230

Edward Himot, MD

18388

9734

55 Whitcher St, Suite 460 Marietta, GA 30060

6/3/2011

Niazi, Abdul Hai

RN216874

Virginia Wight, MD

32839

15165

250 North Ave Athens, GA 30605

4/2/2015

Niazi, Abdul Hai

RN216874

Kenneth DiNella, MD

36716

11749

415 N Jackson St Americus, Ga 31709

3/8/2013

Niazi, Abdul

RN216874

Emmanuel Soyoola, MD

53032

11161

1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

10/5/2012

Nicholas, Tracy Purcell

RN185022

Khusrow Niazi, MD

42676

9848

875 Johnson Ferry Rd Atlanta, GA 30342

10/7/2011

Nicholas, Tracy Purcell

RN185022

Joshua Wolf, MD

59792

7975

1968 Peachtree Road Atlanta, GA 30309

6/6/2008

Wednesday, August 12, 2015

Page 255 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nichols, Kristina Gail

RN156613

Aman Kakkar, MD

56303

13693

130 Riverstone Terr, Suite 102 Canton, GA 30114

9/11/2014

Nichols, Lindsey Ann

RN168367

Nelson Yuen, MD

63984

13671

3617 Roswell Rd NE, Suite A Atlanta, GA 30305

8/7/2014

Nichols, Carol S

RN029126

William R Edwards, MD

47079

12819

800 Professional Blvd-Health Dept Dalton, GA 30720

1/9/2014

Nichols, Sandra Walker

RN184239

Muhammad Khan, MD

63080

12472

Archbold Hosp, 915 Gordon Ave Thomasville, GA 31792

11/8/2013

Nichols, Sandra Walker

RN184239

Winston C. Connell, Jr, MD

58733

11429

915 Gordon Ave Thomasville, GA 31792

6/7/2013

Nichols, Sandra Walker

RN184239

Thomas Park, MD

56205

11850

603 Wheat Ave, Suite 800 Bainbridge, GA 39819

5/3/2013

Nichols, Laura

RN200861

Rayapudi, Madhavi MD

50861

10859

1400 Northside Forsyth Drive Cumming, GA 30041

7/12/2012

Nichols, Lindsey

RN168367

Durrett, Lynley MD

44912

10562

105 Collier Road, Ste 1080 Atlanta, GA 30309

3/29/2012

Nichols, Sandra Walker

RN184239

Mark Gay, MD

46852

9301

2000 Palmyra Rd, Emer Dept Albany, GA 31701

9/2/2010

Nicholson, Tonya Blankenship

RN131379

Mark Boles, MD

45731

9101

2400 Bellevue Rd, Suite 26 Dublin, GA 31021

5/7/2010

Niehanke, Kristina

RN143057

Gill, Jasbir MD

31429

10137

105 W. Crawford Avenue Valdosta, GA 31602

11/3/2011

Nielsen, Jill Marie

RN107010

Mary Wiles, MD

19625

2166

PO Box 1000 Blairsville, GA 30514

9/14/2007

Nikhill, Sheela Jayaraman

RN209869

Yousef Hindi, MD

55372

14599

146 Bill Carruth Parkway Hiram, GA 30141

12/4/2014

Nivens, Alice Anita Stokes

RN077978

Eduard Docu, MD

56426

8185

102 Bryan Woods Road Savannah, GA 31410

5/9/2008

Wednesday, August 12, 2015

Page 256 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nix, Kelly Brumbelow

RN112048

James Clabby, MD

16042

5502

3825 Medical Park Dr, Suite 201 Austell, GA 30106

4/2/2009

Nix-Beddingfield, Billie

RN150406

Rami Arfoosh, MD

63559

15785

30 Satellite Dr, Ste 200 Winder, GA 30680

7/9/2015

Nix-Beddingfield, Billie

RN150406

Riaz A. Syed, MD

43791

5465

870 Collins Hill Road Lawrenceville, GA 30043

4/13/2007

Njungwe, Eric Ngonji

RN213561
213561

Mitzi Clayton, MD

61408

13716

145 Eagle's Walk, Ste A McDonough, GA 30281

9/11/2014

Nobles, Erin Grace

RN185511

Richard Eaton, MD

40370

12321

632 Ferncrest Dr Sandersville, GA 31082

12/6/2013

Noblett, Heather Dawn

RN144708

Christopher Crooker, MD

39315

8841

748 Old Norcross Rd, Suite 185 Lawrenceville, GA 30046

12/4/2009

Nodine, Jan Kay Thomason

RN140654

Ashley Thompson, MD

66830

13130

55 Carlton St. Athens, GA 30602

5/1/2014

Noe, Amanda

RN154626

George Kerr, MD

24831

15969

2709 Airport Rd, Ste 101 Dalton, GA 30721

8/6/2015

Nolan, Alyssa Jill

RN185530

Fuad Fakhreddine, MD

18294

8527

315 Boulevard NE, Suite 500 Atlanta, GA 30312

6/5/2009

Nored, Sherry Lynn Moak

RN084333

Gregory Martin, MD

47801

5282

1498 Jesse Jewell Pkwy, Suite D Gainesville, GA 30501

11/8/2013

Noronha, Preeti

RN205009

Olabisi Pearse, MD

49717

11137

CHOA 2660 Satellite Blvd Duluth, GA 30096

10/5/2012

Norris, Wendy

RN236963

Curtis Sorensen, MD

39947

14421

100 Brookstone Center Pkwy Columbus, GA 31904

10/9/2014

Norris, Cheryl Lynn

RN136924

Rodolfo Bordoni, MD

31167

2178

790 Church St, Suite 335 Marietta, GA 30060

6/8/2007

Norris, Juanita Pitts

RN075091

Michael Maley, MD

34410

1413

58 Big A Rd Toccoa, GA 30577

4/13/2007

Wednesday, August 12, 2015

Page 257 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Northcutt, Torre Shaunte

RN195079

Stephen Tafor, MD

57329

13190

101 Preston Court, Suite 103 Macon, GA 31210

7/10/2014

Northcutt, Torre S.

RN195079

Chukwuemeka Nwabuebo,
MD

48553

11298

654 First St. Macon, GA 31201

12/7/2012

Northover, Jill Marie Ernst

RN107851

Nancy Lefever, MD

50205

12942

PO Box 680 Tate, GA 30177

3/6/2014

Northover, Jill Marie Ernst

RN107851

Satish Cuddapah, MD

48997

9636

551 Riverstone Pkwy, Suite 100 Canton, GA 30114

4/1/2011

Norton, Carol B

RN098033

Divina Dyer, MD

57161

12629

4398 Atlanta Hwy Locanville, GA 30052-7314

12/6/2013

Norton, Carol

RN098033

Robert Williams

29263

11021

21 W. Robert Toombs Ave. Washington, GA 30673

9/13/2012

Norvell, Barbara Lynn

RN057688

Shameka McElhaney, MD

54854

2182

2464 Roswell Road Marietta, GA 30062

1/9/2009

Norwood, Bethany Rennaye

RN204069

Rodney Smith, MD

18553

16139

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

8/6/2015

Nourparvar, Lauren Eichel

RN209239

Kalpit Patel, MD

70398

13302

2154 Johnson Ferry Rd NE Atlanta, GA 30319

6/6/2014

Nourparvar, Lauren E.

RN209239

Linda S. Couture, MD

36518

11569

550 Peachtree St NE Atlanta, GA 30308

2/7/2013

Nowell, Michelle Leigh

RN175422

Joseph Slappey, MD

34473

12507

1600 Forsyth St Macon, GA 31201

11/8/2013

Nowland, Beckie Annette

RN168109

Robert Sasine, MD

25389

15066

3131 South Main St Moultrie, GA 31768

4/2/2015

Nowlin, Andrea Nicole

RN174175

Robert Brown, MD

56269

14446

5455 Meridian Mark Rd, Ste 400 Atlanta, GA 30342

10/9/2014

Nunziata, Mary Catherine

RN134347

James French, MD

58959

2188

2365 Old Milton Pkwy, Suite 300 Alpharetta, GA 30004

9/11/2008

Wednesday, August 12, 2015

Page 258 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Nussbaum, Elaine F

RN222173

Tania Smith, MD

51602

13949

2420 Westgate Dr., Ste 102 Albany, GA 31707

9/11/2014

Nwogu, Cecilia Adamma

RN113098

Miguel E. Stubbs, MD

37708

5439

3001 South Cobb Dr, Ste 103 Smyrna, GA 30080

4/13/2007

Oates, Christi

RN172573

Afolarin Banjoko, MD

49267

15692

836 E 65th St, Ste 10 Savannah, GA 31405

7/9/2015

Obear, Paula

RN241445

Aloysius Mangan, MD

15023

14720

615 E Villanow St LaFayette, GA 30728

1/8/2015

Obialor, Naomi

RN206149

April Madu, DO

66175

15564

845 Scenic Hwy, Ste 100 Lawrenceville, GA 30046

6/4/2015

Obuba, Joseph Kalu

RN228348

Kelvin Burton, MD

32101

13530

2022 Fairburn Rd, Suite D Douglasville, GA 301135

7/10/2014

O'Callaghan, Barbara Butler

RN139570

Christopher Hagenstad, MD 52738

9487

3855 Pleasant Hill Rd, Suite 480 Duluth, GA 30096

2/4/2011

O'Connell, Dana

RN203523

Sanjeer Tendolkar, MD

63066

15144

4589 Lawrenceville Loganville, GA 30052

4/2/2015

O'Connell, Erin

RN164836

Nguyen, Elizabeth MD

55862

10335

980 Johnson Ferry Rd Ste 410 Atlanta, GA 30342

1/6/2012

O'Conner, Whitney Renee

RN182395

Margot Cseley, MD

20523

13131

268 Lawrence St. Marietta, GA 30060

5/1/2014

O'Connor, Diane Marie

RN188468

Eugene Hurwitz, MD

24694

15282

37 Calumet Pkwy Bldg F, Ste 201 Newnan, GA 30263

4/2/2015

Odell, Teresa Mary Milton

RN081010

Barry K. Hull, MD

47096

2198

3000 Shakerag Hill Peachtree City, GA 30269

4/13/2007

Odom, Cicily Montina

RN138231

Amar Patel, MD

52803

9668

55 Whitcher St, Suite 350 Marietta, GA 30060

4/1/2011

Odom, Cicily Montina

RN138231

William Douglas Knopf, MD

23469

5519

5665 Peachtree Dunwoody Rd. Atlanta, GA 30342

10/4/2007

Wednesday, August 12, 2015

Page 259 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

O'Donoghue, Cheryl

RN062128

Whitesell, Thomas MD

52854

10774

2060 Dan Proctor Dr, Suite 2100 St. Marys, GA 31558

6/8/2012

Odum, Jacqueline Turner

RN191946

Andrew Green, MD

58961

8090

725 Jesse Jewell Parkway, Suite 300 Gainesville, GA 30501

5/9/2008

Oess, Barbara Ellen Ohlman

RN122151

Michael Litrel, MD

39623

12820

227 Riverstone Dr Canton, GA 30114

1/9/2014

O'Flynn, Tamsyn Catherine

RN238103

David Faulk, MD

39787

13578

2712 Parkwood Dr. Brunswick, GA 31520

7/10/2014

Ofori, Isabelle Mouchia

RN183911

Rekha Desai, MD

19665

15229

3000 Lenora Church Rd. Snellville, GA 30078

6/4/2015

Ogbomoh, Evelyn Nwangulor

RN189070

Clarence Hendrix, MD

28569

12019

1825 County Services Pkwy Marietta, GA 30008

7/11/2013

Oglesby, Virginia

RN242902

Altee Johnson, MD

60387

15045

101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

4/2/2015

Oglesby, Amber Dell

RN195091

Herschel Kessler, DO

69501

15334

1514 Vernon Rd LaGrange, GA 30240

4/2/2015

Oglesby, LeVinchi C

RN215726

Huitt Mattox, MD

33402

12568

3217 4th St Brunswick, GA 31520

12/6/2013

Ogoo, Millicent Raydette

RN166228

Maxcene Oreus, MD

55486

16141

1133 Eagles Landing Pkwy Stockbridge, GA 30281

8/6/2015

O'Hara, Janet D

RN095296

Amanda Cowan, MD

50793

15316

5 Executive Circle Savannah, GA 31406

7/9/2015

O'Hara, Janet Denise Smithberg RN095296

Brian Kornblatt, MD

38029

13456

5 Executive Circle Savannah, GA 31406

7/10/2014

O'Hara-West, Patricia Shannon

RN079770

Darryl Harris, MD

32920

12127

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Ohawa, Joan Akinyi

RN210195

Yuan-Xiang Meng, MD

51257

13149

2779 N Cobb Pkwy Kennesaw, GA 30152

Wednesday, August 12, 2015

4/4/2014

Page 260 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Okeani, Ngozi

RN124521

Shameka McElhaney, MD

54854

2208

5230 Dallas Hwy SW Powder Springs, GA 30127

12/4/2008

Okibedi-Ahanotu, Alphonsa

RN234013

Adam Meadow, MD

67504

14680

2540 Windy Hill Rd Marietta, GA 30067

1/8/2015

Okibedi-Ahanotu, Alphonsa Ad

RN234013

Jayashree John, MD

62125

13152

2000 16th Ave. Columbus, GA 31901

5/1/2014

Okoro, Ngozi Gloria

RN149536

Jan Mayfield, MD

51355

13545

49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157

7/10/2014

Okoye, Beatrice

RN177155
RN177155

Crystal Nelson, MD

66157

15627

250 Coporate Center Court Stockbridge, GA 30281

6/4/2015

Oladokun, Frederica Modupe

RN150491

Dolapo Babalola, MD

59119

12157

Take Care Clinic, 181 S Clayton St Lawrenceville, GA 30045

8/9/2013

Oladunjoye, Busurat Kikelomo

RN126090

Gopala Derebail, MD

14307

7802

2336 Dawson Rd Albany, GA 31707

9/2/2010

Olaivar-Lomboy, Marietta Pana RN118138

Lomboy, Joseph Romarate

47921

2210

1031 Keith Drive, Suite B Perry, GA 31069

4/13/2007

Olawuyi, Tiwalade Aderayo

RN193864

Donald Evans, MD

9810

15537

811 Kennesaw Avenue Marietta, GA 30060

5/8/2015

Olawuyi, Tiwalade

RN193864

Snell, William DO

24495

10211

811 Kennesaw Ave. Marietta, GA 30060

12/1/2011

Olsen, Susan Kimberly

RN063656

Phillip Potter, MD

34220

5284

1700 Hospital South Dr, Suite 504 Austell, GA 30106

5/3/2013

Olson, Dacia Ranee

RN206693

Firas Bannout, MD

55176

14419

455 South Main St, Ste 201 Hinesville, GA 31313-4354

11/7/2014

Olson, Ellen Ann Carlson

RN125237

Ann Haight, MD

50522

2215

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Olsson, Alesha

RN168282

Rittmeyer, Christopher

42407

9996

4750 Waters Avenue, Suiite 307 Savannah, GA 31404

9/1/2011

Wednesday, August 12, 2015

Page 261 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Olubuyide, Taiye A.

RN104520

Kristina L. Lundberg, MD

62393

11217

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

1/11/2013

Olvera, Victoria Dawn

RN238690

Sandra Helmers, MD

48784

14238

12 Executive Park Dr. Atlanta, GA 30329

12/4/2014

Olvera, Victoria Dawn

RN238690

Andres Rodriguez-Ruiz, MD

72103

14239

12 Executive Park Dr Atlanta, GA 30329

12/4/2014

Olvera, Victoria Dawn

RN238690
2

Evan Gedzelman, MD

64544

14224

12 Executive Park Dr. Atlanta, GA 30329

12/4/2014

Olvera, Victoria Dawn

RN238690

Naymee Velez-Ruiz, MD

66733

14189

12 Executive Park Dr. Atlanta, GA 30329

12/4/2014

Olvera, Victoria Dawn

RN238690

Suzette LaRoche, MD

46149

14198

12 Executive Park Dr. Atlanta, GA 30329

11/7/2014

Omodele, Sarah

RN182004

Sigman, Steven MD

36612

10508

275 Collier Road, Suite 300 Atlanta, GA 30309

3/1/2012

Omodele, Sarah Awolesi

RN182004

Jasmine Jeffers, MD

39136

9581

3825 Medical Park Dr, Suite 300 Austell, GA 30106

3/4/2011

Omondi, Erica Leigh

RN242864

Rejeshkumar Miniyar, MD

51597

15001

140 Three Rivers Dr., Ste 140 Rome, GA 30161

3/5/2015

Onunka, Evelyn Ihuoma Enyinn

RN094938

Ahmad Jingo, MD

45842

2218

5898 Jonesboro Rd Morrow, GA 30260

1/7/2011

Onwusibe, Joy

RN162813

John Ogundipe, MD

39193

15721

2130 Anderson Mill Rd Austell, GA 30106

7/9/2015

Onwusibe, Joy C.

RN162813

Yousef Hindi, MD

55372

11419

600 W. Memorial Dr. Dallas, GA 30132

12/7/2012

Oparah, Theresa

RN084496

Folashade Omole, MD

49074

9566

780 North Glynn Fayetteville, GA 30214

1/7/2011

Opeka, Julie A

RN154025

Melissa Magill, MD

57218

13834

1132 athens Hwy Ste. 201 Grayson, GA 30014

9/11/2014

Wednesday, August 12, 2015

Page 262 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Opeka, Julie

RN154025

Fleming, Alesia MD

34841

10579

1645 Tullie Circle Atlanta, GA 30329

3/29/2012

Orfield, Christeen M.

RN181678

Lawrence Devoe, MD

24929

9828

1120 15th St, BA-7410 Augusta, GA 30912

6/30/2011

Oropo, Sikirat Yetunde

RN147222

Jayanthi Srinivasiah, MD

33204

2223

2675 North Decatur Rd. Decatur, GA 30033

6/8/2007

O'Rourke, Caroline Darnell

RN203398

Jerry Roberts, MD

25657

13967

4000 Shakerag Hill, ste 201 Peachtree City, GA 30269

9/11/2014

Osim, Blessing Dickson

Rn220672

Abdollatif Ghiathi, DO

40903

14175

7 Taylor St Cuthbert, GA 39840-6127

11/7/2014

Ostaszewski, Mary Eva Leboeuf RN144234

Robert Dambach, DO

30039

8103

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

12/7/2007

Osuri, Adriane Marie

RN205412

Martha Clabby, MD

50095

15340

1405 Clifton Rd, NE Atlanta, GA 30322

4/2/2015

Ott, Karman Michelle

RN125760
RN125760

Lakshmanan Krishnamurti,
MD

71385

14750

1405 Clifton Rd Atlanta, GA 30322

2/5/2015

Ott, Lynda Dee Davis

RN153118

William Grow, MD

13752

12788

203 Woodrow Wilson Dr Valdosta, GA 31602

2/6/2014

Outlaw, Melanie

RN112116

Robb Fulton, DO

73325

15813

903 West Ward St, Ste A Douglas, GA 31533

7/9/2015

Outz, Mary A.

RN191947

David A. Stone, MD

24501

11193

367 Clear Creek Pkwy Lavonia, GA 30353

11/2/2012

Outz, Mary Allison

RN191947

Ashok Kancharla, MD

48250

10906

132 Frnklin Spring Street Royston, GA 30662

9/13/2012

Owen, Audrey Griffin

RN200411

John O. Pittman, MD

37045

13141

715 E. 2nd Ave., SW Rome, GA 30161

4/4/2014

Owens, Paige Eley

RN124242

Lajos Toth, MD

47545

15766

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

7/9/2015

Wednesday, August 12, 2015

Page 263 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Owens, Jacquelyn

RN115796

Sreedeyl Vayalapalli, MD

59226

15506

1 Technology Parkway South Norcross, GA 30092

5/8/2015

Owens, Javacia

RN164879

Rajeswari Natarajan, MD

55501

15305

1255 Highway 54 West Fayetteville, GA 30214

4/2/2015

Owens, Jacquelyn Denise

RN115796

Shahzad Hashmi, MD

53239

13674

175 Gwinnett Dr. Lawrenceville, GA 30046

8/7/2014

Owens, Jacquelyn

RN115796

Evans, Bryon MD

53850

10880

1835 Savoy Drive, Ste 101 Atlanta, GA 30341

7/12/2012

Owens, Jacquelyn

RN115796

Klopper, Jeffrey MD

26321

10322

3188 Atlanta Rd SE Smyrna, GA 30080

1/6/2012

Oyewo, Agnes Pukande

RN228627

Nimisha Trivedi, MD

53715

13617

3778 Hwy 42 Locust Grove, GA 30248

10/9/2014

Pacitti, Elise Hurley

RN099451

Peter Jungblut, MD

69056

13033

1000 Chastain Rd, House 52 Kennesaw, Ga 30144

3/6/2014

Pacitti, Tryphena

RN050884

Atallah, Hany MD

52678

10056

80 Jesse Hill Jr Drive SE Atlanta, GA 30303

10/7/2011

Pacitti, Elise Hurley

RN099451

Amber Orquia, MD

38899

9231

3707 Largent Way Marietta, GA 30064

8/6/2010

Pafford, Robert Lamar

RN104525

Woody Francis, MD

48325

9503

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 12/3/2010

Pafford, Robert Lamar

RN104525

Tayari Mchezaji, MD

50409

2238

235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303 2/5/2009

Pafford, Robert Lamar

RN104525

Ehi Osehobo, MD

49075

8448

230 West College Street, Suite B Griffin, GA 30224

2/5/2009

Pagano, Linda Lane

RN172490

Bridgette Guthrie, MD

69122

14032

710 Center St Columbus, GA 31901

10/9/2014

Page, Douglas L.

RN212002

Brian K. Jordan, DO

53561

11244

126 Highway 280 Americus, GA 31719

11/2/2012

Wednesday, August 12, 2015

Page 264 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Page Jr, Douglas Lamar

RN212022

Raymond McKoy, DO

44536

14603

2510 Redmond Cir N W Rome, GA 30165

1/8/2015

Page, Jr, Douglas Lamar

RN212022

Kenneth Howard, Md

40412

13717

11766 Hwy 27, Ste A Summerville, GA 30747

9/11/2014

Page, Jr, Douglas Lamar

RN212022

Randolph Sumner, MD

28323

12738

1825 Martha Berry Blvd Rome, GA 30165

1/9/2014

Painter, Susan Gail

RN073954

Jose Cangiano, MD

44182

15226

1 Technology Pkwy South, Ste 1 Norcross, GA 30092

4/2/2015

Painter, Susan Gail

RN073954

Asaf Aleem, MD

30260

13464

2150 Peachford Rd. Atlanta, GA 30338

7/10/2014

Painter, Amy Ruth Elizabeth

RN194830

Cary Sauer, MD

61159

13133

2015 Uppergate Dr, Suite 250 Atlanta, GA 30322

6/6/2014

Painter, Amy Ruth Elizabeth

RN194830

Roy Rajan, MD

66553

13132

2015 Uppergate Dr Atlanta, GA 30322

6/6/2014

Painter, Amy Ruth Elizabeth

RN194830

Dawn Simon, MD

58644

11787

1605 Chantilly Dr, Suite 405 Atlanta, GA 30324

4/4/2013

Palakodeti, Connie

RN237096

Clarice Bell-Strayhorn, MD

39730

14502

6001 Cumming Hwy Sugar Hill, GA 30518

5/8/2015

Palerino, Lesa Kay

RN077219

Robert Palerino, MD

28848

2243

106 Enterprise Court, Suite B Columbus, GA 31904

8/8/2008

Palmer, Elizabeth Lynn

RN107561

Bobbie Kumar, MD

68197

13046

11935 Abercorn St. Savannah, GA 31419

9/11/2014

Palmer, Corinne Lynn

RN066649

Mahendra Shah, MD

34466

8454

227 Scenic Hwy, Suite A Lawrenceville, GA 30045

2/5/2009

Palmer, Corinne Lynn

RN066649

Shripal Makim, MD

39861

8455

227 Scenic Hwy, Suite A Lawrenceville, GA 30045

2/5/2009

Palomino, Antoinette

RN202063

Abigail Kamishlian, MD

44580

15383

4905 Courtney Dr Forest Park, GA 30297

5/8/2015

Wednesday, August 12, 2015

Page 265 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Panigua, Kelli

RN135303

Hernandez-Aviles, Milca
MD

61749

10439

1933 Shields Road Dalton, A 30720

2/3/2012

Panjwani, Ashraf

RN204629

Robi Goswami, MD

69600

16132

1968 Peachtree Rd Atlanta, GA 30309

8/6/2015

Panter, Theresa Marie

RN070748

Larry Payne, MD

34217

8509

535 Jessie Jewel Pkwy, Suite C Gainesville, GA 30501

4/2/2009

Park, Song

RN219551

Raulnina Uzzle, MD

43499

15456

1760 Candler Rd Decatur, GA 30032

5/8/2015

Park, Hyeon Hui

RN237528

Jinahn Kim, MD

54442

13736

1325 Satellite Blvd. Bldg.700 Ste, 701A Suwanee, GA 30024

9/11/2014

Park, Nanyoung

RN190483

Christopher Hagenstad, MD 52738

13833

3855 Pleasant Hill RD Ste 480 Duluth, GA 30096

9/11/2014

Park, Nanyoung

RN190483

Chang Soo Kim, MD

59806

12648

3590 Peachtree Industrial Blvd Duluth, GA 30096

1/9/2014

Parker, Gail Lynne

RN064159

Judith Dennis, MD

33068

15064

660 W Crossville Rd, Ste 110 Roswell, GA 30075

5/8/2015

Parker, Curtisia Denise

RN151818

Elliot Raizes, MD

24478

14686

345 N Harris St, Ste 100 Athens, GA 30601

3/5/2015

Parker, Pamela Ellen

RN041452

John Bucholtz, DO

25116

14166

1800 10th Ave, Ste 100 Columbus, GA 31901

11/7/2014

Parker, Sandra Salcedo

RN173169

Peter Rossi, MD

57833

2265

5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

7/10/2014

Parker, Gail Lynne

RN064159

Lynn Flowers, MD

56708

9971

601 South 8th Street Griffin, GA 30224

8/5/2011

Parker, Jami Louise

RN084681

James Criner, MD

54179

2259

2945 Panola Rd Lithonia, GA 30038

12/4/2009

Parker, Gail Lynne

RN064159

Nicole Franks, MD

49691

2258

550 Peachtree Street NE Atlanta, GA 30308

12/7/2007

Wednesday, August 12, 2015

Page 266 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Parks, Melissa D.

RN137055

Jay A. Schecter, MD

30879

11185

550 Redmond Rd. Rome, GA 30165

11/2/2012

Parra, Monica

RN171690

Tyra Harris, MD

61249

13644

6131 S. Norcross Tucker Rd, Suite 700 Norcross, GA 30093

9/11/2014

Parrish, Heath

RN176061

Charles Cowart, MD

29161

15426

1101 Ocilla Rd Douglas, GA 31533

5/8/2015

Parrish, Heath Jackson

RN176061

Dale McGregor

25220

14232

3131 S Main St Moultrie, GA 31768

1/8/2015

Parrish, Patricia Ann McDonnell RN066656

James Graham, MD

30071

13216

22225 US Hwy 41 North Tifton, GA 31794

12/4/2014

Parrish, Patricia Ann

RN066656

Dixie Griffin, MD

63661

14130

39 Kent Rd, Ste 5 Tifton, GA 31794

11/7/2014

Parrish, Heath Jackson

RN176061

Thomas Mann, MD

37607

11798

Phoebe Dorminy Med Ctr, 200 Perry House Rd Fitzgerald, GA 11/8/2013

Parrish, Frances Heard

RN187697

Donna Edmond-King, MD

44711

12231

PO Box 50098 Albany, GA 31703

10/10/2013

Parrish, Heath Jackson

RN176061

Robert Ludwick, MD

37277

11686

118 Norman Dorminy Dr Fitzgerald, GA 31750

3/8/2013

Parrish, Wendy

RN113642

Douglas K. Epps, MD

48349

11289

1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281

11/2/2012

Parrish, Patricia Ann McDonnell RN066656

Edd Jones, III, MD

33123

7709

PO Box 929 Fitzgerald, GA 31750

11/7/2008

Parrish, Wendy

RN113642

David Van, MD

29545

2273

747 South Hill Street Griffin, GA 30224

9/14/2007

Parson, Carrie

RN106229

Stewart, Teresa MD

57022

10760

2225 US Hwy 41 N. Tifton, GA 31794

6/8/2012

Parsons, Lisa Kay Douthitt

RN062697

Riba Kelsey-Harris, MD

53833

2275

3740 Cascade Road Atlanta, GA 30331

12/4/2008

Wednesday, August 12, 2015

Page 267 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Paschal, Debra Ann Brooks

RN060102

Linda Arnold, MD

40299

14355

260 West Clinton St Gray, GA 31032

12/4/2014

Paschal, Debra Ann Brooks

RN060102

Kimberly Phillips, MD

51711

9775

142 Hospital Perimeter Rd Eatonton, GA 31024

6/30/2011

Pasley, Jennifer Mason

RN129904

Laura Harris, MD

54494

11722

105 Collier Rd, Suite 4060 Atlanta, GA 30309

5/3/2013

Pass, Sherry Jo Manley

RN069645

Jennifer Starnes, MD

66016

15223

1012 Burleyson Rd. Dalton, GA 30720

4/2/2015

Pastorino, Cynthia A.

RN153266

Donald Evans, MD

9810

11524

572 W. Main Cartersville, GA 30120

4/4/2013

Pastrick, Kelli

RN164623

Kelly, Robert MD

34384

10443

5875 Thompson Mill Road, Ste 100 Hoschton, GA 30548

2/3/2012

Pastrick, Kelli Nichole

RN164623

Pierpont Brown, MD

30018

9345

1075-B Jesse Jewell Pkwy Gainesville, GA 30501

11/5/2010

Patel, Roshni

RN218169

Dharmeshkumar Patel, MD

55264

15516

2491 Panola Rd Lithonia, GA 30058

5/8/2015

Patel, Divyalata Vishal

RN213374

Susan Thomas, MD

67173

14316

950 Towne Lake Parkway Woodstock, GA 30189-1601

12/4/2014

Patel, Falguni

RN221100

Chester Lapeza, MD

44263

14101

602 East 16th Ave, Ste B Cordele, GA 31015

10/9/2014

Patel, Divyalata Vishal

RN213374

Vafa Rekaby, MD

62598

12484

6334 Roswell Rd NE Sandy Springs, GA 30328

11/8/2013

Patel, Davdatt Vinod

RN102301

Arthur Reitman, MD

51416

12145

55 Whitcher St, Suite 350 Marietta, GA 30060

8/9/2013

Patel, Dharti

RN149650

Lee, Hans MD

58269

10088

55 Whichter Street #350 Marietta, GA 30060

10/7/2011

Patel, Minal J.

RN207436

Stephen Pastan, MD

39196

9559

1365 Clifton Rd, Clinic B, B-6400 Atlanta, GA 30322

2/4/2011

Wednesday, August 12, 2015

Page 268 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Patel, Namita G.

RN145957

Christopher Riddell, MD

21796

8894

2540 Windy Hill Rd Marietta, GA 30067

3/4/2010

Patel, Davdatt Vinod

RN102301

Stratton Kearns, MD

32218

2281

597 South Enota Drive Gainesville, GA 30501

6/6/2008

Patil, Porsche Prashant

RN228425

Ramprasad Subramaniam,
MD

56489

12518

677 Church St, Box 111 Marietta, GA 30060

2/6/2014

Patrick, Selisha Michelle

RN170614

Jeffrey Lamp, MD

56736

13582

2151 Wset Spring St Monroe, GA 30655

8/7/2014

Patrick, Aubrie Michelle

RN209751

Kenneth Grotz, MD

37820

13298

4150 Washington Rd, Suite 11 Evans, GA 30809

6/6/2014

Patrick, David Anthony

RN113814

Kenneth Taylor, MD

38985

12253

95 Collier Rd, Suite 3000 Atlanta, GA 30309

9/13/2013

Patrick, Jessica L

RN205538

James Mossell, DO

44028

11918

907 E 18th St, Suite 490-A Tifton, GA 31794

6/7/2013

Patterson, Mary Lucas

RN133361

Heather Currier, MD

61719

14804

1 Freedom Way, Ste DD 22 Augusta, GA 30904

2/5/2015

Patterson, Mary Lucas

RN133361

Manuel Ramirez, MD

25254

14973

1 Freedom Way, DD-22 Augusta, GA 30904

2/5/2015

Patterson, Anitra Delores

RN191854

Zada Weston-Hill, MD

39009

14240

2453 Powder Springs Rd, Ste 215 Marietta, GA 30064

12/4/2014

Patterson, Ansleigh Remon

RN164844

Mitchell Davis, MD

35030

5459

200 S. Enota Drive, NE Ste 200 Gainesville, GA 30501

12/4/2008

Patterson, Jauna D.

RN105305

Gopal Rao, MD

32892

2285

350 Country Club Drive, Suite A Stockbridge, GA 30281

7/11/2008

Patton, David Garrett

RN164071

Mitzi Rubun, MD

49592

15232

3747 Roswell Rd, Ste 216 Marietta, GA 30062

4/2/2015

Patton, David

RN164071
RN164071

Bhumiben S. Purohit MD

58812

11014

3600 Dallas Hwy, SW Marietta, GA 30064

9/13/2012

Wednesday, August 12, 2015

Page 269 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Patton, Deanna

RN036987

Mehta, Jyotir MD

45887

10155

8014 13th Ave, Ste A Albany, GA 31701

10/7/2011

Patton, Beverly Lanell

RN116807

Thomas R. Rumble, MD

13078

5291

2121-A Bellevue Road Dublin, GA 31021

7/13/2007

Paulk, Tina

RN150120

John Vu, MD

40813

14289

4861 Bill Gardner Pkwy Locust Grove, GA 30248

2/5/2015

Paulk, Rhonda

RN167096

Nelson, Donald MD

24847

10290

200 Industrial Blvd Dublin, GA 31021

1/6/2012

Paulk, Tina Baker

RN150120

Walter Smith, MD

37078

9583

4861 Bill Gardner Pkwy Locust Grove, GA 30248

3/4/2011

Paulk, Jane

RN052908

David Turfler, MD

29255

2289

PO Box 770 Hazlehurst, GA 31539

2/7/2008

Paulson, Tabatha

RN164177

Cheek, Kathryn MD

26080

10292

2416 Capstone Court Columbus, GA 31909-0795

1/6/2012

Paulson, Tabatha

RN164177

Foster, Prima MD

57619

10078

6400 Flat Rock Road Columbus, GA 31907

10/7/2011

Payne, Andrea

RN191676

Gary Smith, MD

10666

15541

P.O Box 729 Ringgold, GA 30736

7/9/2015

Payne, Carole

RN029266

Sean Lambert, MD

30336

14577

260 Elm St Cumming, GA 30040

12/4/2014

Payne, Teresa A.

RN122561

Donna C. Whitfield, MD

48130

11470

134 Ansley Dr., #400 Dahlonega, GA 30533

8/9/2013

Payne, Melissa Kirkland

RN137097

Ralph Warnock, MD

17337

2295

4421 Carnes St Acworth, GA 30101

6/7/2013

Payne, Shelia E.

RN077594

Lawton C. Davis, MD

21669

11434

2121-B Bellevue Rd. Dublin, GA 31021

12/7/2012

Payne, Margaret Ann

RN068135

Corn, Stephanie MD

33810

2294

1055 Grove Street North Dahlonega, GA 30533

5/4/2012

Wednesday, August 12, 2015

Page 270 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Payne, Jennifer

RN183181

Paul Sutej, MD

55030

8590

980 Johnson Ferry Rd NE, Suite 220 Atlanta, GA 30342

6/5/2009

Payton, Ramona

RN084011

David Gose, MD

49694

2297

176 Marietta Hwy Hiram, GA 30141

9/11/2008

Peacock, Barbara Tucker

RN085963

Stanley Morgan, MD

35106

2299

101 Harris Industrial Blvd, Suite C Vidalia, GA 30474

3/6/2014

Pearce, Barbara

RN054555

Eutzler, James DO

49729

10881

520 Griffin Avenue Valdosta, GA 31601

7/12/2012

Pearce, Barbara Ann Patterson

RN054555

Edwin Hiatt, MD

12920

9631

200 Georgia Ave Valdosta, GA 31698

3/4/2011

Pearlman, Brett Parsons

RN166226

Brian Coleman, MD

60360

14347

4700 Walers Ave (ER) Savannah, GA 31404

2/5/2015

Pearson, Jessica

RN220235

Raxit Patel, MD

64951

16033

55 Whitcher St, Ste 160 Marietta, GA 30060

8/6/2015

Pearson, Christina Lynn

RN076877

Ricardo Riesco, MD

44069

14311

1933 Shields Rd Dalton, GA 30720

1/8/2015

Pearson, Nicole Haynes

RN122509

Terry Feng, MD

26264

1294

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Peart, Adrienne Collins

RN137049

Teresa Clark, MD

20417

14169

2920 Pharr Ct South, NW Atlanta, GA 30305

1/8/2015

Peart, Adrienne Collins

RN137049

Jelunder Clark, MD

42544

13242

990 Bear Creek Blvd, Ste. G Hampton, GA 30228

5/1/2014

Pease, Margaret Ann

RN074675

Nelson Madrazo, MD

49862

9275

105 Walnut St Montezuma, GA 31063

9/2/2010

Peay, Jennifer Williamson

RN113720

Olabisi Pearse, MD

49717

8385

2660 Satellite Blvd Duluth, GA 30096

1/9/2009

Peay, Jennifer Williamson

RN113720

Marie Baudean, MD

23898

2308

980 Hwy 29 South Lawrenceville, GA 30045

10/4/2007

Wednesday, August 12, 2015

Page 271 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Peck, Ann Marie

RN134282

Thomas Hatchett, MD

36984

2310

870-A Austin Dr Demorest, GA 30535

8/6/2010

Peckham, Richard Anthony

RN162464

Muhammad Alam, MD

69167

12311

3015 Veterans Pkwy Moultrie, GA 31788

9/13/2013

Pecot, Jennifer Young

RN168014

Sivasanker
Bakthavachalam, MD

62182

12023

5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342

7/11/2013

Peden, Alison Cardell

RN181612

Alicia Weksler, MD

37924

13909

1012 Burleyson Rd Dalton, GA 30720

9/11/2014

Peek, Sarah Merree

RN206978

Fred Fritzsche, MD

48045

15060

14949 U.S. Hwy 19 South, Ste B Thomasville, GA 31792

3/5/2015

Peeples, Elizabeth Ann Bethea

RN079019

Kenneth M. Mathews, MD

64626

2312

118 Howard St., PO Box 766 Rossville, GA 30741

1/11/2013

Peeples, Angela Fay

RN095733

Joseph Khouri, MD

24698

2311

3080 Highlands Pkwy, Suite A Smyrna, GA 30082

1/11/2008

Pence, Wendy

RN164838

Cline Jackson, MD

59246

15351

340 Turner McCall Blvd Rome, GA 30161

7/9/2015

Pendley, Stephanie

RN139571

Dawn Simon, MD

58644

11890

1605 Chantilly Dr, Suite 305 Atlanta, GA 30324

5/3/2013

Pendley, Kimberly Ann

RN210799

Robert King, MD

53835

9719

1825 Martha Berry Blvd Rome, GA 30165

4/1/2011

Penrose, Karen C

RN101568

Sidney Smith, III, MD

38615

2317

900 Mohawk St, Suite E Savannah, GA 31419

4/1/2011

Pepper, Bonnie Beth Snider

RN061498

Fernando Burstein, MD

32141

2318

975 Johnson Ferry Rd NE, Suite 100 Atlanta, GA 30342

6/7/2013

Perez, Jenina Sampang

RN172230

W. Morris Brown, III, MD

29309

2320

95 Collier Rd, Suite 5015 Atlanta, GA 30309

2/5/2010

Perkins, Gloria Jean Allen

RN096269

Susan Thomas, MD

67173

13495

2945 Panola Rd. Lithonia, GA 30038

7/10/2014

Wednesday, August 12, 2015

Page 272 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Perry, Tracy

RN201965

Ronald Watts, MD

44862

15836

1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281

7/9/2015

Perry, Venester

RN166520

Alesiam Fleming, MD

34848

15035

1645 Tullie Circle Atlanta, GA 30329

3/5/2015

Perry, Merry Lynn

RN121310

Josephine Tan, MD

19193

7787

106 East Broad St Savannah, GA 31401

1/9/2014

Perry, Venester A

RN166520

Nancy Fajman, MD

36732

9554

35 Jesse Hill Jr Dr Atlanta, GA 30303

1/7/2011

Perry, Venester A.

RN166520

Stephen Messner, MD

59282

8769

1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342

11/5/2009

Perry, Nancy

RN090323

James McGowan, MD

28833

5446

303 Smith Street LaGrange, GA 30240

9/11/2008

Persky, Lizette

RN107663

Lisa Mandeville-Brown, MD

46987

8056

315 Winn Way Decatur, GA 30030

8/2/2007

Persky, Lizette Simone Sellers

RN107663

Catherine Bonk, MD

30435

2329

315 Winn Way Decatur, GA 30030

8/2/2007

Persky, Lizette

RN107663

Kay Entrekin, MD

42817

8054

315 Winn Way Decatur, GA 30030

8/2/2007

Pesce, Jodi

RN097976

William van Laar, DO

33733

15805

68 Hampton ST McDonough, GA 30253

7/9/2015

Peshel, Tabatha Michele

RN115803

Shazib Khawaja, MD

58888

13034

705 Dixie St, Suite 401 Carrollton, GA 30117

3/6/2014

Petca, Persida Livia

RN199089

Ken Santord, MD

36449

14017

2989 W Rock Quary Rd Buford, GA 30519

11/7/2014

Petca, Persida

RN199089

Nariani, Sanjay MD

49861

10750

3463 Lawrenceville Suwanee Rd, Ste 109 Suwanee, GA 3002 6/8/2012

Petca, Persida

RN199089

Joseph, Kirpich MD

54904

10603

3795 Buford Drive Buford, GA 30519

Wednesday, August 12, 2015

3/29/2012

Page 273 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Peterman, Gerald Cliford

RN122988
RN122988

Todd Lilje, DO

55784

14438

901 E 18th St Tifton, GA 31794

12/4/2014

Peterman, Gerald Clifford

RN122988

Mohammad Al-Shroof, MD

45158

2332

2054 Watson Blvd Warner Robins, GA 31088

3/6/2009

Peters, Chanya

RN237921

Charles Fox, MD

56056

14380

488 Kennesaw Ave N W, Ste 200 Marietta, GA 30060

9/11/2014

Peters, Chanya

RN237921

Richard Friedman, MD

19382

14381

488 Kennesaw Ave N W, Ste 200 Marietta, GA 30060

9/11/2014

Peters, Cnanya

RN237921

Charles Nesmith, MD

54629

13523

488 Kennesaw Ave, Ste 200 Marietta, GA 30060

7/10/2014

Peters, Zelda Regina

RN124526

Eric Gibney, MD

61884

8803

1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309 12/4/2009

Peters, Zelda Regina

RN124526

Matthew Grundfast, DO

52944

2334

1009 North Monroe Street Albany, GA 31707

4/13/2007

Petersen, Dana Alice

RN200031

Jeffrey Peretz, MD

65780

13178

5671 Peachtree Dunwoody Rd, #700 Atlanta, GA 30342

5/1/2014

Peterson, Rachel

RN205837

Daniel Valancius, MD

72151

15679

330 Turner McCall, Ste 201 Rome, GA 30165

6/4/2015

Peterson, Elisabeth

RN234033

Kamille Brown, MD

66000

15461

2660 Satellite Blvd Duluth, GA 30096

5/8/2015

Peterson, Tyressa

RN216265

Monica Hum, MD

53247

15075

95 Collier Rd Atlanta, GA 30309

3/5/2015

Petrie, Kathryn

RN203692

Eugene Jackson, MD

22793

15178

118 NomanDorminy Dr Fitzgerald, GA 31750

4/2/2015

Petrie, Kathryn

RN203692

Thomas Mann, MD

37607

15177

118 Norman Dorminy Dr Fitzgerald, GA 31750

4/2/2015

Pettay, John Alton

RN107083

Hyun Cho-Steinberg, MD

35226

13649

1030 Delta Blvd. Atlanta, GA 30354

8/7/2014

Wednesday, August 12, 2015

Page 274 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pettay, John Alton

RN107083

John West, MD

28915

2339

2295 Henry Clower Blvd, Suite 101 Snellville, GA 30078

5/9/2008

Peverini, Christine Marie

RN200011

Anurag Sahu, MD

65174

12603

1365 Clifton Rd NE, Suite A-2447 Atlanta, GA 30322

12/6/2013

Pflugrad, Aimee

RN186333

Daniel Valancius, MD

72151

15390

304 Turner McCall Boulevard Rome, GA 30165

5/8/2015

Philip, Sandra Milena

RN198199

Jamika Hallman-Cooper, MD 65120

11967

2015 Uppergate Dr Atlanta, GA 30322

6/7/2013

Philipose, Minu

RN248581

Terry Melvin, MD

35951

15970

1217 Lafayette Rd Rossville, GA 30741

8/6/2015

Phillips, Karen

RN116540

Holly Clemons, MD

71921

15622

1050 Eagles Landing Parkway, Ste 200 Stockbridge, GA 3028 6/4/2015

Phillips, China

RN141185
8

Christopher Thompson, MD

70621

15395

7020 Moon Rd Columbus, GA 31909

5/8/2015

Phillips, Roxanne

RN215472
RN215472

Kenneth Howard, MD

40412

15266

1060 Redbud Rd Calhoun, GA 30701

4/2/2015

Phillips, Stephanie

RN183566

Michael Clifford, MD

37508

14926

208 N Cuthbert Rd Colguitt, GA 39837

3/5/2015

Phillips, Kristin Maureen

RN218061

Troy Bond, MD

43880

14312

1181 Langford Dr Bldg 200 Ste 105 Bogart, GA 30622

1/8/2015

Phillips, Shelly

RN183668

Henry Purvis, MD

48703

14370

658 Northside Dr East, Ste A Statesboro, GA 30459

12/4/2014

Phillips, Amanda Corrine

RN154237

Carmine Oddis, MD

51072

13522

682 Hemlock St, Suite 490 Macon, GA 31201

7/10/2014

Phillips, Ronda Stewart

RN130803

Christopher Arant, MD

60698

12982

705 Dixie St, Suite 401 Carrollton, GA 30117

3/6/2014

Phillips, Shanon Renee

RN169956

John Mynatt, Jr, MD

41469

12582

5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248

12/6/2013

Wednesday, August 12, 2015

Page 275 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Phillips, Jana

RN133630

John Arnett, MD

38423

11058

200 Doctor's Dr., #106 Douglas, GA 31533

11/2/2012

Phillips, Nancy Elanore

RN162571
RN162571

Geoffrey Deutsch, MD

45061

11010

100 Mimosa Dr. Thomasville, GA 31792

9/13/2012

Phillips, Stephanie

RN183566

Roy Reardon, MD

42402

10936

208 North Cuthbert Street Colquitt, GA 39837

8/10/2012

Phillips, Anika Schulte

RN209679

Andrew Leach, MD

49051

9403

1000 Hawthorne Ave, Suite G Athens, GA 30606

10/8/2010

Phillips, Kimberly Dawn

RN161741

Mark Vrana, MD

22663

2341

3320 Old Jefferson Road, Bldg 700 Athens, GA 30607

8/8/2008

Philpot, Holly Kimball

RN129070
NP

Poling, John MD

50051

9994

1086A Baxter Street Athens, GA 30606

1/6/2012

Philson, Beverly Lynn

RN088054

Monita Seawell, MD

70582

14853

10 Park Place South Atlanta, GA 30303

1/8/2015

Pickens, Herretta

RN137164

Shahram Rezaiamin, MD

49939

15596

900 Eagles Landing Pkwy Stockbridge, GA 30281

6/4/2015

Pickens, Herretta La'Chell

RN137164

Anthany Claro, MD

45425

14254

1975 Hwy 54 West, Ste 100 Peachtree City, GA 30269

12/4/2014

Pickens, Herretta La'Chell

RN137164

Syed Rizvi, MD

44073

12940

4343 Shallowford Rd, Suite B4-A Marietta, GA 30062

2/6/2014

Pickens, Herretta La'Chell

RN137164

Adrian Douglass, MD

36522

11660

35 Collier Rd, Suite 500 Atlanta, GA 30309

2/7/2013

Pickens, Herretta LaChell

RN137164

Otis Powell Jr., MD

25814

9920

2391 Benjamin E Mays Dr SW, Second Fl, Ste A Atlanta, GA 3 8/5/2011

Pickett, Angelique

RN186812

Jan Mayfield, MD

51355

15195

49 Hosiery Mill Rd, Ste 124 Dallas, GA 30157

4/2/2015

Pickett, Halima Ama

RN243778

Reden Delgado, MD

65957

14857

1168 North Main St, Ste 120 Cedatown, GA 30125

2/5/2015

Wednesday, August 12, 2015

Page 276 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pickett, Angelique Schultz

RN186812

Dingane Baruti, MD

55411

14274

100 Yorktown Dr, Ste 110 Fayetteville, GA 30214

11/7/2014

Pierce, Caroline Elizabeth

RN244034

Kelly McCants, MD

72798

14945

95 Collier Rd, Ste 3000 Atlanta, GA 30309

4/2/2015

Pierce, April Marie Edenfield

RN106291

Kevin Niebaum, DO

47353

13958

107 Peacock Dr. Warner Robins, GA 31088

9/11/2014

Pierce, Donna Michelle

RN089608

Sandra Brickman, MD

45043

7735

1806 Lee Ave Tifton, GA 31794

7/11/2013

Pihera, Rebecca Anne Pride

RN167855

Thomas Cobb, MD

59699

13275

5775 Peachtree Dunwoody Rd., C200 Atlanta, GA 30342

5/1/2014

Pihera, Rebecca Anne Pride

RN167855

Bryon Evans, MD

53850

11883

1835 Savoy Dr, Suite 101 Atlanta, GA 30341

6/7/2013

Pike, Dawn

RN123572

Wheeler, George MD

33751

10123

1218 Alice Streeet Waycross, GA 31501

10/7/2011

Pilcher, Linnea Marie Haas

RN072278

Naresh Parikh, MD

28851

8465

6330 Primrose Hill Court Norcross, GA 30092

2/5/2009

Pilcher, Linnea Marie Haas

RN072278

Syamala Erramilli, MD

47896

8188

4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084

5/9/2008

Pilgrim, Teresa K

RN051329

Terri McFadden, MD

32110

2348

35 Jesse Hill Jr Dr Atlanta, GA 30303

4/1/2010

Pindling, Andrea Flo

RN144793

Barbara Nichols, DO

59835

11685

745 Poplar Rd, Emer Dept Newnan, GA 30265

3/8/2013

Pingeton, Robin

RN114408

Alan Wang, MD

48017

15755

601 Notholt Pkwy Suwannee, GA 30024

7/9/2015

Pingeton, Robin Ann

RN114408

Uchenna Kalu, MD

62127

13832

1117 Perimeter Center West Ste 500N Atlanta, GA 30338

9/11/2014

Pingeton, Robin Ann

RN114408

Wesley McDaniel, MD

26588

2350

11685 Alpharetta Hwy, Suite 155 Roswell, GA 30076

3/6/2009

Wednesday, August 12, 2015

Page 277 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pinner, Andrea Elizabeth

RN194511

George Pursley, MD

31308

15295

1219 West Wheeler Pkwy, Ste A Augusta, GA 30909

5/8/2015

Pipkin, Lisa Hocker

RN135264
RN135264

Michael Burke, MD

54798

15107

2849 B Henderson Mill Rd Atlanta, GA 30341

4/2/2015

Pirkey, Daniel

RN210817

Lassiter, Richard MD

54917

10695

2701 North Decatur Rd, Emer Dept Decatur, GA 30033

5/4/2012

Pirkle, Jeanette Susan

RN106182
RN106182

Lajos Toth, MD

47545

15796

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

7/9/2015

Pittman, Stephanie Renee

RN156539

Richard Robinson, MD

38936

9548

3240 Avalon Blvd Conyers, GA 30013

1/7/2011

Pitts, Andrea

RN124333

Ortelio Bosch, MD

51119

15577

7450 Skidaway Rd Savannah, GA 31406

6/4/2015

Pitts, Robin Diane Harshman

RN081207

Robert Clark Brown, MD

56269

12249

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

9/13/2013

PL Montes, Marie-Daniel

RN174442

David Markham, MD

69311

14107

5673 Peachtree Dunwoody Rd NE, Ste 650 Atlanta, GA 3034 9/11/2014

Planeaux, Michelle

RN178205

Felissa Goldstein, MD

57467

15967

1920 Briarcliff Rd NE Atlanta, GA 30329

8/6/2015

Planeaux, Michelle B.

RN178205

Tamara New, MD

58712

2356

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

6/6/2008

Plant, Kelley

RN135055

Yalamanchili, Gandhiji MD

25312

10261

1009 N. Monroe Street Albany, GA 31701

12/1/2011

Plaxico, Elisha

RN171306

Nicole Jasper, MD

49572

15675

350 Hospital Dr Macon, GA 31217

6/4/2015

Plaxico, Elisha

RN171306

Dipesh Patel, ND

53512

15459

3780 Eisenhower Pkwy Macon, GA 31206

5/8/2015

Wednesday, August 12, 2015

Page 278 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Player, Susan Elizabeth

RN190060

Barry Jones, MD

12495

8838

5965 Parkway North Blvd, Suite C Cumming, GA 30040

12/4/2009

Plock, Lisa Renee Mills

RN075180

Anthony Miller, MD

32433

8467

3465-D Macon Road Columbus, GA 31907

7/10/2009

Plock, Lisa Renee Mills

RN075180

Jefferson C. Jones, MD

26766

2358

2000 10th Ave, Suite 200 Columbus, GA 31901

9/14/2007

Poindexter, Tina Louise

RN154249

Kenneth Harper, MD

35182

2360

5910 Hillandale Dr, Suite 301 Lithonia, GA 30058

2/5/2010

Poirier-Elliott, Elaine

RN074932

Xuexin Tang, MD

50916

16084

3807 Clairmont Rd Chamblee, GA 30341

8/6/2015

Polivka, Dwight

RN215571

Malone, Randolph MD

34412

10124

511 Gordon Avenue Thomasville, GA 31792

11/3/2011

Polk-Seldon, Gabriele

RN154808

Kevin King, MD

56310

16116

2122 Manchester Expressway Columbus, GA 31908

8/6/2015

Pollard-Manigault, M. Denise

RN234981

Bess Schoen, MD

31120

12987

2015 Uppergate Dr, Suite 252 Atlanta, GA 30322

4/4/2014

Ponniah, Shivanthi

RN196129

Robert Deimler, DO

38728

16108

3555 Centerville Hwy Snellville, GA 30039

8/6/2015

Pool, Suzanne Laurel

RN125435

Jonathan Chen, DO

60811

12581

55 Whitcher St, Suite 160 Marietta, GA 30060

6/6/2014

Pool, Shelley H.

RN118322

William D. Taylor, MD

33213

11330

160 Springbranch Dr. Dublin, GA 31021

12/7/2012

Poole, Sally Wright

RN045012

John Polak, DO

31100

8824

3121 Peach Orchard Rd, Suite 201 Augusta, GA 30906

1/7/2010

Poole, Sally Wright

RN045012

William E. Callaghan, MD

27974

2364

1348 Walton Way, Ste 5100 Augusta, GA 30901

5/10/2007

Pope, Rebecca Jill

RN203790

Richard Warren, MD

54956

13265

705 Dixie St, Emer Dept Carrollton, GA 30117

6/6/2014

Wednesday, August 12, 2015

Page 279 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pope, Bianca Rae Germano

RN203157

Patsy Mitchell, DO

64606

12413

118 Northpark Dr Brunswick, GA 31520

10/10/2013

Pope, Ohridia Amaki

RN107104

Reddy, Bhaskar MD

55440

2367

1400 Northside Forsyth Dr, Ste 380 Cumming, GA 30041

7/12/2012

Porter, Laura

RN144810

Yolanda Wade, Md

58345

16030

240 Chadmore Lane Tyrone, GA 30290

8/6/2015

Porter, Erin James

RN170616

W. Stanley Arnold, MD

20400

12265

275 Collier Rd, Suite 500 Atlanta, GA 30309

2/5/2015

Porter, Erin James

RN170616

George Miller, MD

56901

9640

2525 Williams Rd Columbus, GA 31909

9/1/2011

Posey, Julie Marie

RN201646

Martha Millan-Sanchez, MD 66223

13144

3015 Veterans Pkwy Moultrie, GA 31788

4/4/2014

RN
171224

Bryan Philbrook, MD

47009

11047

975 Johnson Ferry Rd, Ste 340 Atlanta, GA 30342

10/5/2012

Postell, Pamela

RN186958

Osborne, Anwar MD

60778

10473

550 Peachtree Street Atlanta, GA 30308

2/3/2012

Poteet, Tara A.

RN170471

Pablo E. Balboa-Marciack,
MD

55409

11181

100 Hospital Ct. Calhoun, GA 30701

1/11/2013

Potter, Betty Jean

RN192280

Dorothy Stewert, MD

46565

15514

5398 Thomaston Rd, Ste B Macon, GA 31220

5/8/2015

Povolny, Angela Michelle

RN117011

Manfred Sandler, MD

38353

14565

755 Walther Rd Lawrenecville, GA 30046

1/8/2015

Powell, Pamela Westberry

RN063932

Randall Brown, MD

31884

13651

2409 North Patterson St, ste 230 Valdosta, GA 31602

8/7/2014

Powell, Mary Elizabeth

RN068688

Anna Marie Cabeca, DO

42537

5128

2712 Parkwood Drive Brunswick, GA 31520

10/5/2012

Powell, Laura

RN106617

Ford, James MD

14489

10556

501 Broad Street Wrens, GA 30833

3/1/2012

Post, Heather

Wednesday, August 12, 2015

Page 280 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Powell, Laura Huff

RN106617

Carter, Kelli MD

41529

10026

1113 Washington Road Thomson, GA 30824

10/7/2011

Powell, Tanika Ramsey

RN170035

S. K. Naidu, MD

19570

8466

6564 Professional Place, Suite A Riverdale, GA 30274

3/6/2009

Powell, Christie Lee

RN110996

Thomas Olson, MD

40180

2375

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Prado, Laura Ellen

RN122652

Regis Haid, MD

37229

2770

2001 Peachtree Rd, Suite 575 Atlanta, GA 30309

9/13/2013

Prata, Nina

RN200370

Amyn Hirani, MD

64388

12957

55 Whitcher St, Suite 160 Marietta, GA 30060

4/4/2014

Prater, Kimberly Dale

RN185543

Shehnaz Makhani, MD

43694

14571

1058 Bear Creek Blvd Hampton, GA 30228

12/4/2014

Prather, Deborah

RN123825

Moreno, Jorge MD

46792

10691

1631 Hwy 20 W Donough, GA 30253

5/4/2012

Prator, Amanda Marie

RN162398

Curtis Sorensen, MD

39947

12684

100 Frist Ct Columbus, GA 31909

12/4/2014

Pratt, Cindy Ann Clower

RN066085

James Lantz, MD

28028

2387

8820 Hospital Drive Douglasville, GA 30134

7/11/2008

Prayter, Susan Marie

RN094003

Christopher Stevens, MD

54515

13035

1762 MarsHill Rd NW Acworth, GA 30101

3/6/2014

Preissler, Dianne Lynne Woods

RN147000

James Butts, MD

9103

2389

PO Box 2683 Gainesville, GA 30503

2/5/2010

Prescott, Susan

RN063723

James Smith, MD

22644

2391

15 Cavender Street Newnan, GA 30263

9/14/2007

Pressell, Louann

RN061901

Thomas Gearhard, MD

27193

2392

1790 Mulkey Road, Suite 8 Austell, GA 30106

7/11/2008

Prest, Lois Marie

RN071143

Barbara D'Orio, MD

33956

11992

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

6/7/2013

Wednesday, August 12, 2015

Page 281 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Prestidge, Taryn

RN183505

Kevin Napier, MD

40749

11156

231 Graefe St. Griffin, GA 30224

12/7/2012

Preston, Rachel Ellse

RN191412

Elizabeth Norwood, MD

46192

14125

2739 Felton Dr East Point, GA 30344

11/7/2014

Price, Tasha

RN244445

Nadia Cameron, MD

53982

15648

3760 Sixes Rd, Ste 120 Canton, GA 30114

7/9/2015

Price, Jennifer

RN161346

Victor Rosenfeld, MD

64752

15674

1326 Eisenhower Dr Savannah, GA 31406

6/4/2015

Price, Mary Macon

RN234158

Hai Trinh, MD

55991

15458

2118 Scenic Highway, Ste H Snellville, GA 30078

5/8/2015

Price, Lauren Ann

RN200058

William Barnes, MD

26449

15080

4660 Riverside Pk Blvd Macon, GA 31210

4/2/2015

Price, Lisa Marie

RN188132

Kamlesh Patel, MD

52481

14784

5665 New Northside Dr, Ste 320 Atlanta, GA 30328

2/5/2015

Price, Lisa Marie

RN188132

Clinton Carter, MD

36695

14785

3730 Camia Dr South west, Ste 110 Atlanta, GA 30331

2/5/2015

Price, Gloria

RN225038

Frank McCoferty, MD

38862

14613

550 Eagles Landing Pkwy, Ste 110 Stockbridge, GA 30281

1/8/2015

Price, Deborah Lynn

RN242170

Ulas Camsari, MD

69774

14033

1707 Boulevard Square, Ste A Waycross, GA 31501

10/9/2014

Price, Amber Grace

RN107117

Gyula Soos, MD

49093

8534

102 Bowling Lane Dublin, GA 31021

5/7/2009

Prieto, Dana Lynn

RN171232

John Coleman, MD

48498

11856

1720 Peachtree St NE, Suite 200 Atlanta, GA 30309

5/3/2013

Pringle, Tawnya Lynette

RN155811

Lawrence Powell, MD

38915

9635

3800 Princeton Lake Pkwy SW Atlanta, GA 30331

3/4/2011

Pritham, Ursula Anna

RN217055

George Palmer, MD

30658

12947

1012 Bermuda Run Rd Statesboro, GA 30458

2/6/2014

Wednesday, August 12, 2015

Page 282 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pritham, Ursula Anna

RN217055

Brian DeLoach, MD

51216

12456

250 Forest Dr, Room #1004 Statesboro, GA 30460-0001

11/8/2013

Prudhomme, Maria Gabriella

RN213432

Michael Hanowell, MD

61846

13940

5126 Hospital Dr NE Covington, GA 30014

10/9/2014

Pruitt, Barbara

RN151379

John Ogundipe, MD

39193

15650

2130 Anderson Mill Rd Austell, GA 30106

6/4/2015

Pruitt, Barbara Lynn Senterfitt

RN151379

Russel Pruitt, MD

41931

14993

4900 Ivey Rd Bldg 1000, Ste 1025 Acworth, GA 30101

3/5/2015

Pruitt, Barbara Lynn Senterfitt

RN151379

Pamela Gordon, MD

69815

12730

677 Church St, 310 Bldg Marietta, GA 30060

1/9/2014

Pryor, Anita

RN102357

Jennifer Marrast-Host, MD

49313

11032

601 South 8th Street Griffin, GA 30224

9/13/2012

Pryor, Anita Lynn Rigsby

RN102357

Bill Greening, MD

42585

9732

7285 Hwy 16, Suites B & C Senoia, GA 30276

5/6/2011

Pryor, Anita Lynn Rigsby

RN102357

Muthusamy Sekar, MD

47152

8536

350 Country Club Dr, Suite A Stockbridge, GA 30281

9/3/2009

Pryor, Anita Lynn Rigsby

RN102357

Jamie Walraven, MD

45023

7843

601 South 8th St, Emergency Dept Griffin, GA 30224

6/5/2009

Pryor, Anita Lynn Rigsby

RN102357

Heather Henry, MD

44231

8217

327 S. 9th Street Griffin, GA 30224

8/8/2008

Puckett, Jennifer

RN235162

Ronnika Harley, MD

60848

16121

736 Whitlock Ave, Ste 600 Marietta, GA 30064

8/6/2015

Puckett, Catherine Zuber

RN160924

James Smith, MD

59763

2409

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Pugh, Kami Bonner

RN138402

Shahriar Sedghi, MD

37678

13374

610 Third St, Ste 204 Macon, GA 31201

6/6/2014

Pugh, Jena Daneen

RN208906

Stephen Salmieri, MD

49151

12681

759 Old Norcross Rd Lawrenceville, GA 30046

2/6/2014

Wednesday, August 12, 2015

Page 283 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Pugmire, Karen Yarborough

RN097978

Vernon Henderson, MD

44746

2335

285 Boulevard NE, Suite 535 Atlanta, GA 30312

2/7/2008

Pulaski, Sandra Brubaker

RN137019

Barbara Simmons, MD

34716

14165

833 Campbell Hill St N W, Ste 400 Marietta, GA 30060

2/5/2015

Pulaski, Sandra

RN137019

Latif, Rhonda MD

30127

10785

2550 Windy Hill Rd, Ste 115 Marietta, GA 30067

6/8/2012

Pullen, Stacey L.

RN174219

Todd H. Robinson, MD

40773

11357

14 Cherokee Rd. Cedartown, GA 30125

12/7/2012

Pullen, Ashlie Lynn

RN184471

Manoj Hiralal Shah, MD

28077

5430

1021 N. Houston Road Warner Robins, GA 31093

12/7/2007

Purcell, Kimberly

RN160206

Sankaran, Sekhar MD

31549

10534

101 Regency Park Drive, Ste 140 McDonough, GA 30253

3/1/2012

Purrman, Kathryn Christine

RN225420

Beverly Hyacinth, MD

57003

13304

855 Veternas Memorial Hwy Mableton, GA 30126

6/6/2014

Purrman, Kathryn C.

RN225420

Audra E. Ford, MD

61581

11315

6334 Roswell Rd., Ste C Sandy Springs, GA 30328

12/7/2012

Purvis, Stacey

RN117924

Gifford Lorenz, MD

30816

15168

5354 Reynolds St, Ste 318 Savannah, GA 31405

4/2/2015

Purvis, Shali

RN140169

Whipple, Oliver MD

52035

10777

4700 Waters Avenue, Ste 403 Savannah, GA 31404

7/12/2012

Purvis, Juliet Elizabeth Waugh

RN124737

Jerry Purvis, Sr, MD

9235

8664

106 West Northside Dr Valdosta, GA 31602

11/5/2009

Purvis, Shali Michelle

RN140169

Randolph Bishop, MD

41516

2417

4 Jackson Blvd Savannah, GA 31405

9/11/2008

Pye Jr., Robert

RN164959

Carmine Oddis, MD

51072

15916

1062 Forsyth St, Ste 1B Macon, GA 31201

8/6/2015

Qin, Ling

RN143497

Eileen Javellana, MD

45841

7837

725 Jesse Jewell Pkyw SE Gainesville, GA 30501

4/4/2014

Wednesday, August 12, 2015

Page 284 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Quaile, Heather C

RN234874

William Burak, MD

68527

13418

790 Church St., Ste 410 Marietta, GA 30060

6/6/2014

Quinn, Karen

RN063713

Vincent Brawley, MD

33283

2419

1350 Walton Way - 3rd Floor Augusta, GA 30901

8/7/2009

Quinn-Freeman, Lasagna Alaine RN186321

Shazia Khan, MD

48905

11716

32 Calumet Pkwy, Bldg H, #100 Newnan, GA 30263

3/8/2013

Quinn-Freeman, Lasagna

RN186321

Willard-Jelks, Kim MD

29123

10674

51 Gay Connector Greenville, GA 30222

7/12/2012

Quirimit, Charmaine Lim

RN203691

Ramon Ramos, MD

33683

14242

460 Mall Blvd Savannah, GA 31406

12/4/2014

Rabayeva, Irina A

RN168805

Anthony Mills, MD

44023

12441

4651 Chamblee-Dunwoody Rd, Suite A Dunwoody, GA 3033 10/10/2013

Rabayeva, Irina

RN168805

DeMarini, Thomas MD

32171

10424

2665 N. Decatur Rd, Ste 430 Decatur, GA 30033

2/3/2012

Rabern, Tammy Thompson

RN085945

Vassily Assikis, MD

52530

8445

128 Millard Farmer Ind. Blvd Newnan, GA 30263

2/5/2009

Raborn, Nancy

RN136892

William Callaghan, MD

27974

11158

1348 Walton Way, Ste 5100 Augusta, GA 30901

10/5/2012

Raburn, Martha Brown

RN109339

Fawzi Himada, MD

47442

2422

811 N. 4th Street Cordele, GA 31015

9/11/2008

Rachide, Marjorie Anne

RN243120

Charles Sow, MD

55343

14213

7530 Roswell Rd Atlanta, GA 30350-4837

11/7/2014

Rackley, Emmeril

RN219574

George Hall, MD

55669

14155

1050 Carl Griffin Dr Savannah, GA 31405

11/7/2014

Radke, Rebecca Linton

RN116771

Kenneth Taylor, MD

38985

12301

95 Collier Rd, Suite 3000 Atlanta, GA 30309

9/13/2013

Raduszewski, Thomas Chester

RN104540

Sean Delaney, MD

49001

12102

631 Professional Dr, Suite 360 Lawrenceville, GA 30046

7/11/2013

Wednesday, August 12, 2015

Page 285 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Rafus, Jennifer

RN235259

Stephanie Reese, DO

71743

15742

1921 Alice St, Ste B4 Waycross, GA 31501

8/6/2015

Ragains, Susan

RN048215

Bill Smith, MD

59963

15281

1351 Scarboro Hwy Sylvania, GA 30467

4/2/2015

Ragan, Carson Basham

RN144473

Caroline Gibbons, MD

67735

13785

833 Campbell Hill St Ste.400 marietta, GA 30060

9/11/2014

Ragland, Kenya Monee

RN160356

Kavita Kongara, MD

63678

15733

980 Johnson Ferry Rd NE, Ste 820 Atlanta, GA 30342

6/4/2015

Ragland, Kenya Monee

RN160356

Jamie Walraven, MD

45023

14331

1275 Hwy 54 W Fayetteville, GA 30214

10/9/2014

Ragland, Kenya

RN160356

Jeffrey Oyler, MD

41191

11242

1968 Peachtree Rd., NW Atlanta, GA 30309

11/2/2012

Ragland, Kenya Monee

RN160356

Eugene Harris, MD

59658

9823

60 Hospital Rd Newnan, GA 30263

6/30/2011

Ragsdale, Cynthia

RN157693

Onkar Kaur, MD

47103

15887

101 Mayo St, Ste B Americus, GA 31709

7/9/2015

Ragsdale, Maria

RN097737

Kathryn Neely, MD

46189

13831

310 Paper Trail Way Ste. 306 Canton, GA 30115

9/11/2014

Rai, Suneeta

RN243573

David Walker, MD

37415

14511

1 Sweet Boy Court, Ste B Moultrie, GA 31768

3/5/2015

Raines, Terri Lynn

RN105806

Anthony Martin, MD

72873

14754

1 Freedom Way Augusta, GA 309904

2/5/2015

Rainey, Tiffany

RN176596

Jeffrey Lamp, MD

56736

11565

2151 West Spring St. Monroe, GA 30655

3/8/2013

Rainey, Patricia

RN112656

Papciak, Michael MD

16823

10111

3400A Old Milton Parkway #330 Alpharetta, GA 30005

10/7/2011

Rainey, Jessica Keith

RN068772

William D. Tumlin, MD

12014

2428

774 Athens Road/P.O. Box 69 Lexington, GA 30648

4/13/2007

Wednesday, August 12, 2015

Page 286 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Rains, Dianna

RN229960

Wendy Greenberg, MD

35641

15017

777 Franklin Rd Marietta, GA 30067

3/5/2015

Raiser, Cathy Conwell

RN057774

Joseph Weissman, MD

32083

7704

2665 N. Decatur Road, Suite 630 Decatur, GA 30033

11/1/2007

Ralph, Amanda Jo

RN229934

Thomas Runyan, MD

41205

13580

3221 Glynn Ave. Brunswick, GA 31520

7/10/2014

Ramasamy, Kanniammal

RN140212

Louis Battey, MD

21141

9573

275 Collier Rd, Suite 500 Atlanta, GA 30309

2/4/2011

Ramaswamy, Vandana

RN150908

William Mahle, MD

50110

2433

1405 Clifton Rd Atlanta, GA 30322

3/4/2010

Rambo-Martin, Christine Monic RN199760

Rene Romero, MD

37060

12759

2015 Uppergate Dr NE Atlanta, GA 30322

1/9/2014

Ramey, Alice Crowe

RN155483

Tammy Williams, MD

51563

2436

150 Gentilly Blvd Cartersville, GA 30120

8/2/2007

Ramseur, Meleia Sue Green

RN104542

Sheila Southerland, MD

55894

13695

902 North 7th St, Emer Dept Cordele, GA 31015

9/11/2014

Ramsey, Edwina Antoinnette

RN170346

Kalpit Patel, MD

70398

13375

7530 Roswell Rd. Atlanta, GA 30350

6/6/2014

Ramsey, Edwina Antoinette

RN170346

Allen Maxwell Hoffman, MD 24822

11272

1150 Powder Springs Road Mariettia, GA 30008

12/7/2012

Rand, Avonelle

RN162511

Licheng Tian, MD

47853

15678

3405 Mike Padgett Highway Augusta, GA 30909

6/4/2015

Randall, Rhonda T.

RN088363

Anthony Captain, MD

39300

13422

1 Tennessee St. Cartersville, GA 30120

7/10/2014

Randolph, Bridget

RN230003

Paul Mathieu, MD

65453

15206

130 Eagle Spring CT, Ste A Stockbridge, GA 30281

4/2/2015

Randolph, Bridget N.

RN230003

Xavier Moore, MD

55619

12863

1133 Eagles landing Parkway Stockbridge, GA 30281

3/6/2014

Wednesday, August 12, 2015

Page 287 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Randolph, Bridget N

RN230003

Eva Beaulieu, MD

66254

12297

5185 Old National Hwy Atlanta, GA 30349

9/13/2013

Randolph, Kimberly Michele

RN226334

Jeffrey Metts, MD

68070

11709

600 Parkway North Newnan, GA 30265

3/8/2013

Rangnow, Katie Elizabeth

RN185110

Daniel Faith, MD

51798

13498

745 Poplar Rd Newnan, GA 30265

7/10/2014

Rangnow, Katie

RN185110

Cleary, Kevin MD

52263

10509

1255 Highway 54 West Emer Room Fayetteville, GA 30214

3/1/2012

Rangnow, Katie Elizabeth

RN185110

David Eric Jones, MD

45257

9268

8 Eastbrook Bend, Suite B Peachtree City, GA 30269

9/2/2010

Rankin, Lisa Renee

RN128950

Vinod Mehta, MD

29913

2440

546 South 8th Street, Suite B Griffin, GA 30224

8/2/2007

Ranna, Diane Elizabeth

RN151163

Angela Swayne, MD

53421

2441

1255 Hwy 54 West Fayetteville, GA 30214

10/8/2010

Rapkin, Karen

RN158967

Helen Panarites, MD

35493

16085

1920 Briarcliff Rd Atlanta, GA 30329

8/6/2015

Raptopoulos, Richard Louis

RN204366

Menelaos Demestihas, MD

64357

13317

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

6/6/2014

Rasmussen, Kim Gay

RN115567

Richard Ambrozic, MD

43851

14480

3321 N Valdosta Rd, Ste B Valdosta, GA 31602

1/8/2015

Rasmussen, Katherine Bowen

RN139510

Michael Litrel, MD

39623

2444

227 Riverstone Dr Canton, GA 30114

12/7/2007

Rast, Jean Louise

RN102372

William Brown, MD

21653

8631

355 Tower Rd, Suite 300 Marietta, GA 30060

7/10/2009

Rast, Jean Louise

RN102372

Ronald Alvarez, MD

51405

2445

1100 N'side Forsyth Dr, Ste 250 Cumming, GA 30076

9/14/2007

Rattray, Katie Ellisabeth

RN242397

William Ballard, MD

35554

14173

1968 Peachtree Rd. N W Atlanta, GA 30309

11/7/2014

Wednesday, August 12, 2015

Page 288 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Rawlings, Jane Paige

RN120774

Kenneth Sobel, MD

24099

2447

575 Professional Dr, Suite 510 Lawrenceville, GA 30046

7/1/2010

Rawlins, Frances H

RN029455

Wallace Mays, MD

21258

2448

151-B Mayo St Americus, GA 31709

11/5/2010

Ray, Melanie

RN204073

Welch, Dennis MD

33922

10580

5665 Peachtree Dunwoody Rd Atlanta, GA 30342

3/29/2012

Ray, Melanie

RN204073

Hargraves, Joshua MD

62216

10233

1364 Clifton Road Atlanta, GA 30322

12/1/2011

Ray, Rita Marie Birgen

RN043729

Melissa Bruhn, MD

43565

5305

916 South Broad St Thomasville, GA 31792

8/5/2011

Ray, Shelley L.

RN124867

Michael Connor, MD

31581

5306

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Ray, Trena Dawn

RN134959

Teresa Baysden, MD

57348

9519

450 Clarence King Pkwy Calhoun, GA 30701

12/3/2010

Ray, Angie E.

RN164257

Joel Greenburg, MD

28560

8247

5356 Reynolds St, Suite 300 Savannah, GA 31405

8/8/2008

Raynes, Rebecca Ann

RN108050

Andrew Magnet, MD

60215

2453

813 E 68th St, Ste B Savannah, GA 31401

8/7/2014

Reagan, Deborah McDonald

RN093831

Bhavesh Patel, MD

56163

14244

2209 Pineview Dr Valdosta, GA 31602

12/4/2014

Reagan, Deborah

RN093831

Nitin Patel, MD

37324

14397

2209 Pineview Dr Valdosta, GA 31602

9/11/2014

Reagan, Deborah McDonald

RN093831

Edwin Hiatt, MD

12920

8630

200 Georgia Avenue Valdosta, GA 31698

7/10/2009

Reagan, Mirrin Elizabeth

RN150756

Lisa Hasty, MD

35648

7872

100 Stone Forest Drive, Suite 300 Woodstock, GA 30189

12/7/2007

Reagin, Hilari Alysia

RN205000

Ronald Forehand, MD

22760

12866

UGA Health Center 95 Carlton St Athens, GA 30602

5/1/2014

Wednesday, August 12, 2015

Page 289 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Reagin, Hilari

RN205000

Bryan Blake, MD

40613

11128

3509 Braselton Hwy, Bldg F Dacula, GA 30019

10/5/2012

Reardon, Thomas

RN089784

Tyra Harris, MD

61249

16019

1490 Pleasant Hill Rd Duluth, GA 30096-4674

8/6/2015

Reardon, Thomas Randall

RN089784

Nicole Ash-Mapp, MD

42993

13540

1490 Pleasant Hill Rd Duluth, GA 30096

7/10/2014

Reardon, Elizabeth

RN077989

Weselman, Kelly MD

47377

10681

4480 North Cooper Lake Road, Ste 201 Smyrna, GA 30082

5/4/2012

Rease, Lashandra Nichole

RN171259

William McAlvany, MD

31625

14575

1000 Johnson Ferry Rd (ER) Atlanta, GA 30342

12/4/2014

Rease, Lashandra Nichole

RN171259

Dion David, MD

66775

13416

1170 Cleveland Ave. Atlanta, GA 30344

7/10/2014

Rebuck, Lorraine

RN197961

Stephen Raborn, MD

36602

15795

1942 North Ave Columbus, GA 31901

7/9/2015

Record, Geneva

RN234548
RN234548

Michael Dant, MD

23936

16101

4700 Battlefield Parkway, Ste 200 Ringgold, GA 30736

8/6/2015

Record, Elizabeth

RN083762

Wasilewski, Karen MD

53203

10675

5455 Meridian Mark Rd, Ste 400 Atlanta, GA 30342

5/4/2012

Redden, Laura Leigh

RN195027

Charles McCord, MD

39409

14801

3345 E Hwy 34, Ste 102 Sharpsburg, GA 30277

2/5/2015

Redding, Evelyn

RN054604

Ahmed, Kashif MD

61547

10140

2200 Hwy 155 North McDonough, Ga 30252

10/7/2011

Redding, Evelyn Patricia O'Lear

RN054604

Fred Hood, MD

45071

2457

65 Old Jackson Road McDonough, GA 30252

9/11/2008

Reddy, Tonya L.

RN182025

Matthew Keadey, MD

49143

8130

1364 Clifton Road Atlanta, GA 30322

1/11/2008

Redjamand, Mojgan

RN160834

Jeffrey Kim, MD

56117

8626

1700 Hospital South Dr, Suite 502 Austell, GA 30106

9/3/2009

Wednesday, August 12, 2015

Page 290 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Redmond, Terri Lynn

RN231240

Patricia Thompson, MD

69987

12328

600 Parkway North Newnan, GA 30265

10/10/2013

Reece, J. Shannon

RN170766

Karen Demuth, MD

59707

8968

2015 Uppergate Drive Atlanta, GA 30322

2/5/2010

Reece, J. Shannon

RN170766

Darshana Sheth, MD

58642

8784

2550 Windy Hill Rd, Suite 309 Marietta, GA 30067

11/5/2009

Reed, Mitzi

RN140837

Dorel Bidivc, MD

51296

15290

707 Old Dalton Ellijay Rd Chatsworth, GA 30705

5/8/2015

Reed, Karen Lynn Pope

RN085648

Adrienne Fabrizio, MD

50365

2462

300 Bull St., Ste 102 Savannah, GA 31401

9/11/2014

Reed, Laura Pomrenke

RN190938

Ethan Rogers, MD

59926

13628

Reed, Janice Denise

RN129274

William Early, MD

20694

13066

320 Hospital Rd Canton, GA 30114

4/4/2014

Reed, Deborah Ann

RN102945

Yassar Kanawati, MD

49237

9912

848 Hiram Acworth Hwy Hiram, GA 30141

8/5/2011

Reed, Lisa Adams

RN149133

Angel Acevedo, MD

60149

13

100 Market Place Blvd, Suite 201 Cartersville, GA 30121

2/5/2010

Reed, Deborah Ann

RN102945

Kingsley Iyamu, MD

44493

8515

34 Peachtree St, Suite 770 Atlanta, GA 30303

6/5/2009

Reeder, Sally Bowen

RN124766

Josh Uptigrove, Do

67452

14512

201 Hospital Rd (ER) Canton, GA 30114

12/4/2014

Reeder, Sally

RN124766

Johnston, Lester MD

55605

10708

212 Hospital Drive Washington, GA 30673

5/4/2012

Reedus, Cheryl Denise

RN063216

Charles I. Wilmer, MD

29394

761

275 Collier Road, NW, Ste 300 Atlanta, GA 30309

11/1/2007

Reese, Shataundia

RN174285

Irandathy Rodrigo, MD

42715

14775

2522 Cruse Rd, Ste C-2 Lawrenceville, GA 30044

1/8/2015

Wednesday, August 12, 2015

8/7/2014

Page 291 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Reese, Shataundia Nyrae

RN174285

Mitzi Rubin, MD

49592

12365

3939 Roswell Rd, Suite 200 Marietta, GA 30062

1/9/2014

Reeves, Merrilea Ward

RN045410

John Vu

40813

14291

4861 Bill Gardner Pkwy Locust Grove, GA 30248

2/5/2015

Reeves, Merrilea Ward

RN045410

David Van, MD

29545

8331

747 S. Hill Street Griffin, GA 30224

2/5/2009

Regan, Kiara Marie

RN237273

Maggie Ross, MD

65604

14414

633 Stepenson Ave Savannah, GA 31405

10/9/2014

Regis, Sonja Allison

RN168464

Shobha Rao, MD

32893

5025

350 Country Club Drive, Suite D Stockbridge, GA 30281

4/3/2008

Register, Mary

RN063845

Steis, Ronald MD

34479

10617

3400-C Old Milton Pkwy Ste 400 Alpharetta, GA 30005

3/29/2012

Register, Mary Stiger

RN063845

Kenneth Miller, MD

20776

2468

5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342

8/5/2011

Reid, Verona Andrea

RN128880

Jay Erdman, MD

32177

14931

235 Peachtree St. NE, N Tower Ste 2100 Atlanta, GA 30303

2/5/2015

Reid, Verona Andrea

RN128880

William Watkins, MD

32076

14479

235 Peachtree St N E North Tower, Ste 2100 Atlanta, GA 303 12/4/2014

Reid, Maria Ayesha

RN222007

Michael Burke, MD

54798

14074

2849-B Henderson Mill Rd Atlanta, GA 30341

11/7/2014

Reid, Andrea Nicole

RN192897

Xavier Moore, MD

55619

12815

1133 Eagles Landing Pkwy Stockbridge, GA 30281

5/1/2014

Reid, Julianne Marie Bissett

RN143210

Sundus Lodhi, MD

65021

12732

1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta, GA 30322

1/9/2014

Reid, Julianne Marie Bissett

RN143210

Kenneth Newell, MD

49631

12731

1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta, GA 30322

1/9/2014

Reid, Verona Andrea

RN128880

Sharne Hampton, MD

30375

12162

Fulton Co Jail, 901 Rice St Atlanta, GA 30318

8/9/2013

Wednesday, August 12, 2015

Page 292 of 400

APRN Name
Reid, Stacy Cason
Reinhardt, Jessica Bradshaw

RN#
RN165481
205143

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Edwin Hiatt, MD

12920

8805

200 Georgia Ave Valdosta, GA 31698

12/4/2009

Paul Whitlock Jr., MD

12592

13954

210 E Derenne Ave. Savannah, GA 31405

9/11/2014

Reinhart, Margaret Greenwaid

RN127281

Keith Kirby, MD

40438

8450

8 Wheeler Street Savannah, GA 31405

2/5/2009

Reis, Maureen

RN149081

Brown III, Charles MD

28383

10143

275 Collier Road, Ste 300 Atlanta, GA 30309

10/7/2011

Reisman, Lisa

RN081008

Arthur Reisman, MD

30421

15209

1725 Mt. Vernon Rd, Ste 4 Dunwoody, GA 30338

4/2/2015

Reiss, Eleanore

RN070451

Emily Herndon

35902

14333

1525 Clifton Rd Atlanta, GA 35902

10/9/2014

Reiss, Eleanore

RN070451

Sandra Maryman, MD

24035

9658

1525 Clifton Rd, Student Health Atlanta, GA 30322

4/1/2011

Reiss, Eleanore

RN070451

LaJune Oliver, MD

47986

8964

1525 Clifton Road Atlanta, GA 30322

5/7/2010

Reiss, Eleanore

RN070451

Theresa Berry, MD

49355

8815

1525 Clifton Rd Atlanta, GA 30322

11/5/2009

Reiss, Eleanore

RN070451

Carol Rappaport, MD

31435

8816

1525 Clifton Road Atlanta, GA 30322

11/5/2009

Reiss, Eleanore

RN070451

Michael Allan, MD

33511

8817

1525 Clifton Road Atlanta, GA 30322

11/5/2009

Reiss, Eleanore

RN070451

Dawn Mielke, MD

37752

8813

1525 Clifton Road Atlanta, GA 30322

11/5/2009

Reiss, Eleanore

RN070451

Michael Huey, MD

50962

8814

1525 Clifton Road, Suite 240 Atlanta, GA 30322

11/5/2009

Releford, Steve

RN134673

Chionesu Sonyika, MD

63817

15953

601 South 8th St Griffin, GA 30224

8/6/2015

Releford, Steven

RN134637

Robert Norvel Jr, MD

55630

14773

180 Martin Dr Carrollton, GA 30117

2/5/2015

Wednesday, August 12, 2015

Page 293 of 400

APRN Name
Renales, Felicia Renee

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Kevin D Lokkesmoe, MD

32941

13740

4328 Armour Rd. Columbus, GA 31904

10/9/2014

Rentz, Anna Victoria Westerma RN113439

Francis Herrbold, MD

55825

13397

425 3rd Ave, Suite 510 Albany, GA 31701

7/10/2014

Rentz, Anna Victoria Westerma RN113439

Kamil Hanna, MD

59422

12792

425 W 3rd Ave, Suite 600 Albany, GA 31701

2/6/2014

Renz, Deanna

RN104510

Forbes, Robert MD

34341

10731

410 Villa Rica Way Marietta, GA 30064

6/8/2012

Revels, Selina Elizabeth Altman

RN073465

Harrison Carter, MD

50575

12667

1126 West 12th St Alma, GA 31510

9/11/2014

Reyes, Nancy

RN208910

Garrett Barnes, MD

44163

15260

420 East 2nd Ave Rome, GA 30161

7/9/2015

Reyes, Imelda

RN192592

Vivian Lennon, MD

43121

8741

4166 Buford Hwy NE Atlanta, GA 30345

10/2/2009

Reyka, Ladonna Darlene

RN092750

Matthew Lyon, MD

50972

12431

2260 Wrightsboro Rd, Emer Dept Augusta, GA 30904

10/10/2013

Reynolds, Keatrina Tarsha

RN205796

Amanda Nguyen, MD

64424

15299

148 Clinic Ave Carrollton, GA 30117

5/8/2015

Reynolds, Elysia

RN217693

Dawn Wilson, MD

47279

15434

545 Old Norcross Rd, Ste 300 Lawrenceville, GA 30046

5/8/2015

Reynolds, Shannon Lee

RN173458

Sandeep Datla, MD

50473

14114

111 Fieldstone Dr, Ste 104 Milledgeville, GA 31061

11/7/2014

Reynolds, Shali Michelle

RN140169

Priscilla Ross, MD

58635

14194

8880 Abercorn St Savannah, GA 31406

11/7/2014

Reynolds, Patricia Ann Hicks

RN057361

Clifton Youngblood, MD

36050

14014

81 Upper Riverdale Rd., Ste 210 Riverdale, GA 30274

10/9/2014

Reynolds, Sharon DeHart

RN187854

James Vernell, MD

15204

8006

77 Weaver Rd, Suite B Blairsville, GA 30512

7/10/2014

RN183768

Wednesday, August 12, 2015

Page 294 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Reynolds, Ryan Elizabeth

RN215732

Sharon Amaya, MD

47182

12185

5665 New Northside Dr, Suite 320 Atlanta, GA 30328

8/9/2013

Reynolds, Deborah A.

RN103757

Dillon D. Miller, MD

67508

11509

101 Riverstone Vista, Ste. 111 Blkue Ridge, GA 30513

1/11/2013

Reynolds, Keatrina Tarsha

RN205796

Steven Eubanks, MD

57608

9431

148 Clinic Ave Carrollton, GA 30117

1/7/2011

Reynolds, Patricia Ann Hicks

RN057361

Reuben Reynolds, MD

25822

2482

906 Hampton Rd McDonough, GA 30253

9/11/2008

Reynolds, Denise Skelton

RN120844

Reed Seligman, MD

42427

2481

5815 Windward Parkway, Suite 207 Alpharetta, GA 30005

8/8/2008

Rhiver, Debra Elizabeth

RN098042

Patrick Amar, MD

49403

15120

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

4/2/2015

Rhiver, Debra

RN098042

William M. McDonald, MD

37292

11129

P.O. Box 26238, 80 Jesse Hill Fr. Dr., SE Atlanta, GA 30303

10/5/2012

Rhoads, Barbara Jean Metz

RN119314

Niels Engberding, MD

64535

9618

80 Jesse Hill Jr Dr Atlanta, GA 30303

3/4/2011

Rhodes, Alison

RN107764

Marion Horton, MD

28788

15667

125 Church St Vidalla, GA 30474

8/6/2015

Rhodes, Lila Kay

RN047639

Edgar Rhodes, MD

12085

14352

2304 Shorter Ave Rome, GA 30165

1/8/2015

Rhodes, Kristen Hollis

RN170221

Mark Matthews, MD

54861

11001

200 S. Enota Dr., Ste. 200 Gainesville, GA 30501

10/5/2012

Rhodes-Bigham, Anderia

RN066876

Norwood, Elizabeth MD

46192

10613

2739 Felton Drive East Point, GA 30344

3/29/2012

Rhodes-Bigham, Anderia

RN066876

Flowers, Runette MD

18297

10501

2855 Candler Rd, Ste 9 Decatur, GA 30034

3/1/2012

Rhymes, Monica Vanessa

RN197319

Dennis Spencer, DO

47663

12521

1077 South Main St Madison, GA 30650

11/8/2013

Wednesday, August 12, 2015

Page 295 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Rhymes, Monica V.

RN197319

Appavuchetty Soundappan,
MD

44107

11464

1115 Morningside Dr. Perry, GA 31069

12/6/2012

Rhynes, Sharon Chatman

RN169986

Olubunkola Olubi, MD

56613

13599

1267 Hwy 54, W. Fayetteville, GA 30214

8/7/2014

Rhynes, Sharon Chatham

RN169986

Marvin Reid, MD

39663

5457

705 Dixie Street Carrollton, GA 30117

4/13/2007

Rice, Edward Johnathan

RN247715

Edward Boland, MD

40826

15874

5000 Wrightsboro Rd Grovetown, GA 30813

7/9/2015

Rice, Rebecca Michele Yates

RN133053

Rajwinder Manhiani, MD

56604

13376

1355 Independence Dr. Augusta, GA 30901

6/6/2014

Rice, Claire

RN062144

Sperling, Laurence MD

34250

10511

1365 Clifton Rd,Bldg A, Ste 2200 Emory Clinic Atlanta, GA 30 3/1/2012

Rice, Sandra Kay Futhey

RN148997

Hiba Tamim, MD

38156

2490

2665 North Decatur Rd, Suite 740 Decatur, GA 30033

12/4/2009

Richards, Edecia Alexandria

RN133612

Harmon Smith, MD

41486

12306

1301 Sigmon Rd NE, Suite 230 Conyers, GA 30012

9/13/2013

Richards, Edecia Alexandria

RN133612

Consuelo Fernandez, MD

39789

12113

2699 Klondike Rd Lithonia, GA 30058

9/13/2013

Richards, Sonia Erica

RN136523

Henry Watson, Jr, MD

25399

2494

3652 Chamblee Dunwoody Rd, Suite 4 Chamblee, GA 30341 1/9/2009

Richardson, Anna

RN240818

Pablo Quintanilla, MD

17546

15618

5151 Brook Hollow Pkwy, Ste 145 Norcross, GA 30071

6/4/2015

Richardson, Erynn Marks

RN229273

Dannis Hood, MD

35267

14867

132 Battlefield Crossing Court Ringgold, GA 30736

2/5/2015

Richardson, Cynthia Jones

RN083527

Julian McLendon Jr, MD

38557

13487

1502 West 3rd St. Jackson, GA 30233

7/10/2014

Richardson, Lindsay Suzanne

RN194397

Michael Christa, MD

40637

13227

4250 Brownsville Rd. Powder Springs, GA 30127

5/1/2014

Wednesday, August 12, 2015

Page 296 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Richardson, Cynthia

RN083527

Wu, Changhun MD

61537

10138

65 Old Jackson Road McDonough, GA 30252

10/7/2011

Richardson, Susan Alden

RN073504

Elliot Raizes, MD

24478

9415

3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096

11/5/2010

Richardson, Susan Alden

RN073504

Elliot Raizes, MD

24478

2499

135 Athens West Pkwy, Suite B Athens, GA 30606

4/1/2010

Richardson, Deanna O

RN097935

Folashade Omole, MD

49074

2496

2988 Shallowford Road Marietta, GA 30066

1/9/2009

Richardson, Patricia L

RN041850

N. Spencer Welch, MD

24508

2498

77 Collier Road, Suite 2080 Atlanta, GA 30309

8/8/2008

Richardson, Amanda Lynn

RN145030

Jamison Roberts, MD

38347

2495

2959 Sharpsburg McCollum Rd Unit A Newnan, GA 30265

7/13/2007

Richards-Reynolds, Karen

RN154504

Kashif Ahmed, MD

61547

15399

2200 Hwy 155 North McDonough, GA 30252

5/8/2015

Richards-Reynolds, Karen Ingrid RN154504

Michael Fortson, MD

35051

8258

1058 Bear Creek Blvd Hampton, GA 30228

7/11/2008

Richins, Robin Rene Taylor

RN139349

Dustin Russell, MD

66541

13661

4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041

8/7/2014

Richins, Robin Rene Taylor

RN139349

James Roth, MD

46525

2500

4360 Chamblee D'woody Rd, Ste 515 Atlanta, GA 30341

3/7/2008

Rider, Tracy Leigh

RN102391

James Bailey, MD

28368

11417

743 Spring St. N E Gainesville, GA 30501

3/5/2015

Ridgeway, Sarah Suzanne

RN156030

Robyn Wirsing -Black, MD

71747

14292

5 Church St, Ste 300 Nahunta, GA 31553

12/4/2014

Ridore, Chanon

RN199479

Sulton, Jacqueline MD

27675

10601

5700 Hillandale Drive, Ste 150 Lithonia, GA 30058

5/4/2012

Riemer, Amy Nicole Bryan

RN211322

James Turner, MD

55349

9751

400 Timms Rd NE Calhoun, GA 30701

6/3/2011

Wednesday, August 12, 2015

Page 297 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Riggins, Gwendolyn

RN049330

Owens, Crystal MD

48854

10396

144 E. Main Street Irwinton, GA 31042

1/6/2012

Riley, Margaret

RN070706

Tammie Quest, MD

45590

14671

1670 Clairmont Rd, Ste 11 B Decatur, GA 30033

3/5/2015

Riley, Amanda Jenkins

RN164620

Onkar Kaur, MD

47103

12950

218 Hwy 49 North Ste. A Byron, GA 31008

9/11/2014

Riley, Amanda

RN164620

Onkar Kaur, MD

47103

14398

80 West Main St. Butler, GA 31006

9/11/2014

Riley, Cynthia Darlene

RN163734

Walter Hill, MD

9835

13899

4255 Wade Green Rd Kennesaw, GA 30144

9/11/2014

Riley, Amanda Jenkins

RN164620

Gaston Moran Celayes, MD

64675

13792

618 East Lamar St. Americus, GA 31709

9/11/2014

Riley, Susan Joan Braun

RN084374

Thaddeus Riley, MD

28637

2506

PO Box 957 Statesboro, GA 30461

3/7/2008

Riley, Cynthia Darlene

RN163734

Michael Gladson, MD

21506

2505

1100 Cambridge Square, Suite B Alpharetta, GA 30004

10/4/2007

Rinehart, Cynthia Jean N

RN157240

Swapna Madhavan, MD

57098

14994

260 Elm Street Cumming, GA 30040

3/5/2015

Rinehart, Cynthia Jean N.

RN157240

Safia Pirani, MD

56624

13550

260 Elm St Cumming, GA 30040

7/10/2014

Rinehart, Cynthia

RN157240

Brinkley F. Goodson, DO

24680

11598

260 Elm St. Cumming, GA 30040-2467

2/7/2013

Riner, Betty Louyul

RN144955

Paul Hawkins, MD

54741

14127

4421 Carnes St Acworth, GA 30101

11/7/2014

Ringstaff, Marilyn Teresa

RN084634

Ann Drayton, MD

49512

9550

1870 Atlanta Hwy, Suite J Gainesville, GA 30504

2/4/2011

Ringstaff, Marilyn Teresa

RN084634

Tamer Middleton, MD

51987

5317

1924 Cliff Valley Way Atlanta, GA 30329

11/5/2009

Wednesday, August 12, 2015

Page 298 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Riordan, Elizabeth Dawn

RN168317

Claud Brandigi, MD

43004

7938

1220 George C Wilson Dr Augusta, GA 30909

11/5/2009

Rittenhouse, Sharri Khay

RN116666

Carroll Cooper, MD

63309

14359

1938 Peachtree Rd, Ste 610 Atlanta, GA 30309

11/7/2014

Rittenhouse, Sharri Khay

RN116666

Carroll Cooper, MD

63309

14179

1431 Riverside Pkwy Lawrenceville, GA 30043

11/7/2014

Rittle, Ashley

RN204304

Stephen Pastan, MD

39196

15468

1365 Clifton Rd NE Atlanta, GA 30322

5/8/2015

Rivera, Jose Fernando

RN088485

Jack Ross, MD

27302

2510

610 19th st Columbus, GA 31901

9/13/2013

Rivers, Tammy

RN185080

Ann Drayton, MD

49512

15897

1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504

8/6/2015

Roark, Jennifer Anne Mims

RN097864

Christy Wagner, MD

50067

13296

1856-14 Thompson Bridge Rd Gainesville, GA 30501

6/6/2014

Robb, Sandra Wagner

RN057807

Thomas Hatchett, MD

36984

2514

870-A Austin Drive Demorest, GA 30535

2/5/2009

Robbins, Christine

RN172358

Bryan Blake, MD

40613

13953

939 Thornton Rd. Lithia Springs, GA 30122

9/11/2014

Robbins, Alison Martell

RN160532

Robert Dean, MD

31403

12166

840 Pine St, Suite 780 Macon, GA 31201

8/9/2013

Robbins, Kristen Ruth

RN192418

William Brown, MD

29309

9598

95 Collier Rd, Suite 5015 Atlanta, GA 30309

2/4/2011

Robbins, Susan Vanagel

RN070928

Arnold Negrin, MD

31544

8084

304 Commercila Drive, Suite A savannah, GA 31406

10/4/2007

Roberson, Pamela Buckley

RN073844

Rohit Khanna, MD

56188

11880

1640 Powers Ferry Rd, Bldg 17, #100 Marietta, GA 30067

7/11/2013

Roberson, Pamela Buckley

RN073844

Svathi Reddy, MD

56352

8501

PO Box 26238 Atlanta, GA 30303

3/6/2009

Wednesday, August 12, 2015

Page 299 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Roberts, Ashley

RN228776

Steven Toro, MD

49113

15806

3950 Austell Rd. Box 22 Austell, GA 30160

7/9/2015

Roberts, Heather

RN188947

Rhonda Wachsmuth, MD

56664

15363

780 Canton Rd, Ste 410 Marietta, GA 30060

5/8/2015

Roberts, Jo Persis

RN099303

Anupama Ravikanth, MD

48297

12823

335 Roseland St. Suite 203 Marietta, GA 30060

1/9/2014

Roberts, Jessica

RN180140

Burns, Bruce MD

48882

10472

800 First St., Ste 410 Macon, GA 31201

3/1/2012

Roberts, Jessica E

RN178157

Richard Dukes, MD

51875

9947

235 Peachtree St NE, North Tower Ste 2100 Atlanta, GA 303 8/5/2011

Roberts, Karen Jean

RN200814

J. Michael Ware, MD

29967

8337

504 Redmond Road Rome, GA 30165

3/6/2009

Roberts, Jo Persis

RN099303

Timothy Helton, MD

29669

2521

1010 Johnson Ferry Road Marietta, GA 30068

11/7/2008

Roberts, Lori Jeanne Gardner

RN070413

Vicki Morgan, MD

25645

2523

980 Hwy 29 South Lawrenceville, GA 30045

10/4/2007

Robertson, Shelley

RN233535

Toosi Seilanian, MD

67089

15864

200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466

7/9/2015

Robillard, Diane Larson

RN149275

Gary Broadnax, DO

16213

2529

1944 Walton Way, Suite F Augusta, GA 30904

9/11/2008

Robinson, Shannon

RN154343

Kimberly Martin, FM

69223

15776

896 Hwy 441 South Clayton, GA 30525

7/9/2015

Robinson, Annette Sirmans

RN081735

James Eutzler, DO

49729

14914

520 Griffin Ave Valdosta, GA 31601

4/2/2015

Robinson, Jennifer

RN191143
RN191143

John Bleacher, MD

42182

14509

5455 Meridian Mark Rd, Ste 570 Atlanta, GA 30342

12/4/2014

Robinson, Karen Lynn

RN236695

Monica HoffmeisterBecerra, MD

68209

13273

2122 Manchester Expwy, Hospital Med Columbus, GA 31904 6/6/2014

Wednesday, August 12, 2015

Page 300 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Robinson, Elizabeth Lauren Scu

RN158648

Seymour Solodar, MD

14956

12871

4015 South Cobb Drive Suite 10 Smyrna, GA 30080

5/1/2014

Robinson, Deena Maria

RN195029

Arif Patni, DO

42916

12106

260 Elm St Cumming, GA 30040

8/9/2013

Robinson, Andrea Jo Smock

RN110950

Fred Hood, MD

45071

11881

830 Eagles Landing Pkwy, Suite 203 Stockbridge, GA 30281

6/7/2013

Robinson, Elizabeth Lauren Scu

RN158648

Bharatkumar Patel, MD

48693

2534

4015 South Cobb Dr, Suite 110 Smyrna, GA 30080

3/8/2013

Robinson, Aileen G.

RN036342

Ugochi K. Ohuabunwo, MD

55776

11216

80 Jesse Hill Jr., Dr., SE Atlanta, GA 30303

1/11/2013

Robinson, Lisa Bridwell

RN149710

William Lynds, MD

33140

11171

794 S Park St Carrollton, GA 30117

11/2/2012

Robinson, Shannon Latrelle

RN154343

Morris Clayton Pulliam, MD

34223

11273

896 Highway 441 South Clayton, GA 30525

11/2/2012

Robinson, Lisa

RN083852

Oller, Carlo MD

65719

10405

960 Joe Frank Harris Parkway Cartersville, GA 30120

1/6/2012

Robinson, Marianne

RN213047

Boyle, Paula MD

55928

10061

4799 Blue Ridge Drive, Suite 10 Blue Ridge, GA 30513

10/7/2011

Robinson, Cordelia

RN202034

Kenneth Franco, MD

58671

9666

80 Jesse Hill Dr, Suite D-332 Atlanta, GA 30303

6/30/2011

Robinson, Aileen G.

RN036342

Clyde Watkins, Jr., MD

36033

9248

5900 Hillandale Dr, Annex E Lithonia, GA 30058

10/8/2010

Robinson, Lisa Bridwell

RN149710

Phillip McGhee, MD

18043

8418

2906 Franklin Pkwy Franklin, GA 30817

3/6/2009

Robledo, Luz Marina

RN104552

Terri McFadden, MD

32110

2543

35 Jesse Hill Jr Dr Atlanta, GA 30303

4/1/2010

Rodd, Amber

RN186115

Falconer III, James MD

44213

10883

119 W. Hill Street Thomasville, GA 31792

7/12/2012

Wednesday, August 12, 2015

Page 301 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Roden, Karen P

RN227114

Tidence Prince, MD

37339

12515

3951 Ridge Ave, Suite C Macon, GA 31210

11/8/2013

Roderick, June

RN247707

M Mohabubar Rahman, MD 44065

15872

505 Coliseum Dr Macon, GA 31217

7/9/2015

Rodgers, Allyson M.

RN224906

Jody Velie, MD

57029

11583

1025 Keith Dr. Perry, GA 31069

3/8/2013

Rodriguez, Jodie Ann

RN118621

Tracy Barr, MD

58030

14875

11800 Barrett Parkway Kennesaw, GA 30144

3/5/2015

Rodriguez, Jodie Ann Blons

RN118621

Jamie Rollins, MD

60467

11661

684 Sixes Rd, Suite 220 Holly Springs, GA 30115

2/7/2013

Rodriguez, Jodie Ann Blons

RN118621

Annmarie Brooks, MD

56806

9422

35 Jesse Hill Jr Dr SE Atlanta, GA 30303

12/3/2010

Roe, Robin

RN097481

Anthony Captain, MD

39300

15869

2976 Hwy 76, Ste B&C Chatsworth, GA 30705

7/9/2015

Roebuck, Victoria Anne Holland RN074697

Edmund Kim, MD

38273

2550

761 Old Norcross Road Lawrenceville, GA 30045

5/7/2009

Rogers, Candice

RN168119

Stewart Grizzard, MD

43948

15783

621 East First St Vidalia, GA 30475

7/9/2015

Rogers, Locianna

RN159456

Ioana Bonta, MD

63295

14786

600 Celebrate Life Pkwy Newnan, GA 30265

1/8/2015

Rogers, Dana Maris

RN125593

Christian Hyde, MD

67765

14830

600 Celebrate Life Parkway Newnan, GA 30265

1/8/2015

Rogers, Candice Tillman

RN168119

Glen Dasher, MD

43354

13485

1044 Bermuda Run Rd. Stateboro, GA 30458

7/10/2014

Rogers, Robin Carol Jones

RN075846

Daniel Matricia, DO

31289

13313

1481 Hwy 40 East Kingsland, GA 31548

6/6/2014

Rogers, Angela Michelle

RN159909

Laura Larson, MD

54450

12680

819 Dixie St Carrollton, GA 30017

1/9/2014

Wednesday, August 12, 2015

Page 302 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Rogers, Dana Maria Kinard

RN125593

Portee, Simone MD

33177

2553

4791 Jonesboro Road Union City, GA 30291

7/12/2012

Rogers, Dana

RN125593

Shelton, Joseph MD

65795

10581

145 Edgewood Avenue Atlanta, GA 30303

3/29/2012

Rogers, Locianna Cheree

RN159456

John Lipman, MD

34012

9864

3903 South Cobb Dr, Suite 230 Smyrna, GA 30080

8/5/2011

Rogers, Augusta Danielle

RN160902

Asit Jha, MD

55248

8863

1400 N. Peterson Ave, Suite 3 Douglas, GA 31533

1/7/2010

Rogers, Augusta Danielle

RN160902

Rebecca Tarlton, MD

28470

8728

2406 Bellevue Ave, Suite 7 Dublin, GA 31021

11/5/2009

Rollins, Kalita

RN191958

Mark Elam, MD

36147

15718

1000 Medical Ctr Blvd Bldg 100, Ste 290 Lawrenceville, GA 3 7/9/2015

Rollins, Margaret Rose Bowers

RN086235

Deepak Kapoor, MD

51957

2562

1120 15th St, Suite BBR-6518 Augusta, GA 30912

12/4/2009

Romines, Natalie Kathleen Sipf

RN150996

Melissa Anderson, MD

49786

2564

1181 Langford Dr, Bldg 300, #101 Bogart, GA 30622

3/6/2009

Romulus, Rose Laure

RN183825

Jean Philippe, MD

44056

12638

5825 Glenridge Dr, Suite 2-120 Atlanta, GA 30328

1/9/2014

Rooks, Jean Renee Mashburn

RN123329

Amy Eubanks, MD

#####

2565

101 Quartz Dr., Ste 201 Villa Rica, GA 30180

6/6/2014

Rooney, Melissa

RN204746

John Reed, MD

24719

15346

1475 Holcomb Bridge Rd. Roswell, GA 30076

5/8/2015

Rootare, Margrethe Ann

RN139930

Brian Kogon, MD

53322

2566

1405 Clifton Rd Atlanta, GA 30322

3/4/2010

Roper, Christine Thomas

RN184167

Nitasha Burney, MD

55931

16140

1685 Old Pendergrass Rd. Jefferson, GA 30549

8/6/2015

Roscoe, Lori E

RN179490

Lloydstone Jacobs II, MD

49179

14252

9157 Tara Blvd Jonesboro, GA 30236

12/4/2014

Wednesday, August 12, 2015

Page 303 of 400

APRN Name
Rose, Karen

RN#
RN134082

Rose, Karen R

RN
134082

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Roderick Rhyant, MD

53560

15955

176 Charles Hardy Pkwy Unit C Hirm, GA 30141

8/6/2015

Willian Kriegel, DO

31962

14119

3707 Largent Way Marietta, GA 30064

11/7/2014

Roseberry, Beverly D

RN065472

James Freemont, MD

16343

2568

1136 Cleveland Avenue, Suite 208 East Point, GA 30344

1/9/2009

Rosen, Jill Margulies

RN135881

John Knox, MD

22575

11723

1100 Lake Hearn Dr, Suite 100 Atlanta, GA 30342

6/7/2013

Rosenberg, Stacey E.

RN146598

Annette Hinchcliffe, MD

42607

882

3915 Johns Creek Court, Suite 120 Suwanee, GA 30024

8/7/2009

Rosenberger, Chandler Brooks

RN053910

Ronald Forehand, MD

22760

2569

Univ Hlth Ctr, 370 River Rd Athens, GA 30602

1/11/2008

Ross, Shannon Christie

RN186831

Wanda Guy-Craft, MD

64224

13587

725 N. Central Avenue Hapeville, GA 30354

9/11/2014

Ross, Anita

RN102271

Ludwick, Robert MD

37277

10230

118 Norman Dorminy Drive Fitzgerald, GA 31750

12/1/2011

Ross, Janet Lorene

RN070037

Jagdeep Singh, MD

59761

8205

118 E. Girard Avenue, Suite 104 Cedartown, GA 30125

6/6/2008

Rosu, Rafael Florin

RN243174

Mary Bergh, MD

41776

14563

755 Walther Rd Lawernceville, GA 30046

1/8/2015

Rotella, Melissa Rayburn

RN154553

Wendy Davis-Mitchell, MD

45442

15536

3999 Austll Rd, Ste 901 Austell, GA 30106

5/8/2015

Rotella, Melissa

RN154553

Patel, Zara MD

65779

10201

550 Peachtree St NE, 9th Floor MOT Atlanta, GA 30308

11/3/2011

Rotella, Melissa Rayburn

RN154553

Sarah Wise, MD

53208

8683

550 P'tree St NE, 9th Floor MOT, #4400 Atlanta, GA 30308

8/7/2009

Rotella, Melissa Rayburn

RN154553

John Delgaudio, MD

39772

7886

550 P'tree St NE, 9th Floor MOT, #4400 Atlanta, GA 30308

8/7/2009

Wednesday, August 12, 2015

Page 304 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Round, Sally Arnold

RN169765

Jeffery Dowis, MD

68199

14356

1205 Russell Pkwy Warner Robins, GA 31088

12/4/2014

Round, Sally Arnold

RN169765

Jared Fazal, MD

57457

13473

1860 Watson Blvd Warner Robins, GA 31093

7/10/2014

Rountree, Rhonda Lynn

RN105840

Timothy Graves, MD

26859

2579

770 Walnut St Macon, GA 31201

3/4/2011

Rouse, William

RN140401

Aristotle Cochon, MD

66344

15703

1900 Tebeam St Waycross, GA 31501

6/4/2015

Rouse, William Monroe

RN140401

Ahmad Irfan, MD

41584

8842

2003-A Pioneer St Waycross, GA 31501

12/4/2009

Roush lll, William

RN126199
RN129199

Tammie Quest, MD

45590

14672

1670 Clairmont Rd, Ste 11 B Decatur, GA 30033

3/5/2015

Roux, LaToya

RN191082

Taylor, Kenneth MD

38985

10582

275 Collier Road, Ste 500 Atlanta, GA 30309

3/29/2012

Rowe, Daniel Alan

RN190694

Mark McElhannon, MD

40154

14974

501 Redmond Rd Rome, GA 30165

2/5/2015

Rowell, Michelle Frances

RN113302

Danny Vaughn, MD

65622

12349

3964 Elnora Dr Macon, GA 31210

10/10/2013

Rowell-Crane, Nancy

RN085782

Jameson Estes

48852

14390

3334 Hwy 155 S, Ste A/B Locust Grove, GA 30248

12/4/2014

Rowell-Crane, Nancy Gay

RN085782

John Vu, MD

40813

9915

4861 Bill Gardner Pkwy Locust Grove, GA 30248

9/1/2011

Rowland, Myriam

RN213704

Phillip Gray, MD

33340

12834

2001 Antioch Rd Dalton, GA 30720

2/6/2014

Rowland, Lisa E.

RN186906

Kenneth Boss, MD

52425

7994

705 Dallas Hwy, Suite 101 Villa Rica, GA 30180

8/8/2008

Roy, Andre' J.

RN140214

David Monson, MD

31074

2587

59 Executive Park South, Suite 2000 Atlanta, GA 30329

1/11/2008

Wednesday, August 12, 2015

Page 305 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Royal, Kyung

RN207612

Molly Vicchrilli, MD

58364

15554

304 Turner McCall Blvd Rome, GA 30165

7/9/2015

Royal, Linda

RN077505

Peter Thule, MD

33727

14658

1670 Clairmont Rd Decatur, GA 30033

1/8/2015

Royal, Shirlene Daniel

RN077506

Marshall Tanner, MD

56658

12279

357 Cargile Rd Ocilla, GA 31774

9/13/2013

Royal, Shirlene Daniel

RN077506

Robert D. Lott, MD

26000

9054

609 1/2 N. Irwin Ave Ocilla, GA 31774

4/1/2010

Royal, Shirlene Daniel

RN077506

Douglas Ash, MD

49138

2589

609 1/2 N. Irwin Avenue Ocilla, GA 31774

9/3/2009

Royster, Merissa Neshun

RN160500

Muhammad Sheikh, MD

59195

9315

2774 North Cobb Pkwy Kennesaw, GA 30152

9/2/2010

Rozman, Jacqueline

RN200773

Edward DiPreta, MD

52707

15205

3008 East Park Ave Brunswick, GA 31520

4/2/2015

Rozo-Rivera, Astrid

RN210856

Mary Moore, MD

41902

15655

424 Decatur St SE Atlanta, GA 30312

8/6/2015

Rubke, Patricia

RN098072

Salim Osta, MD

15631

13731

106 Shoppers Way, Suite 1 Brunswick, GA 31525

10/9/2014

Rubke, Patricia C.

RN098072

Noemi A. Carcar, MD

41526

11503

303 Frasier Dr. Hinesville, GA 31313

2/7/2013

Rubke, Patricia

RN098072

Olugbenga Awe, MD

48329

2593

PO Box 554 Ludowici, GA 31316

8/6/2010

Rubner, Jennifer Kay

RN181893

Diane Dunston, MD

29631

14495

675 College Ave Athens, GA 30603

1/8/2015

Ruch, Bridgette

RN202359

James Bailey, MD

28368

15040

743 Spring St NE Gainesville, GA 30501

5/8/2015

Rudolph, Barbara

RN080409

Proctor, Robert MD

8863

10520

310 Eisenhower Drive, Ste 5 Savannah, GA 31406

3/1/2012

Wednesday, August 12, 2015

Page 306 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Ruffin, Angelina

RN206754
RN139828

Haiba Sonjika, MD

33713

14264

2719 Felton Dr East Point, GA 30344

7/9/2015

Ruis-Thompson, Margaret E

RN223241

Reemon Bishara, MD

63759

14409

1915 Eisenhower Dr Savannah, GA 31406

9/11/2014

Ruiz, Oscar Manuel Segovia

RN185083

Carla McLean-Joseph, MD

39411

15982

1650 County Services Pkwy SW Marietta, GA 30008-4010

8/6/2015

Ruiz, Alexandra Leigh

RN216273

Robert Guerreso, DO

38787

15004

1730 Lawrenceville-Suwaner Rd Lawrenceville, GA 30043

7/9/2015

Ruiz Stogner, Clara

RN142052

Eric Hoffler, MD

32752

7835

735 Glynn St. South Fayetteville, GA 30214

9/13/2012

Rush, Amy Elizabeth

RN239999

Mark Coker, MD

56276

13697

14557 Hwy 19, Suite A Griffin, GA 30224

9/11/2014

Rushton, Bonita B

RN075017

Vincent Brawley, MD

33283

2599

1350 Walton Way - 3rd floor Augusta, GA 30901

8/7/2009

Russell, Tangella Evette

RN116405

Thippeswamy Murthy, MD

52470

2794

20 Francis Way, Suite 101 Sharpsburg, GA 30277

5/9/2008

Rustin, Corey Dwayne

RN241941

Charles Craton, MD

41539

14870

8820 Hospital Dr Douglasville, Ga 30134

4/2/2015

Ruth Hayes, Olivia

RN113495

Cabeca, Anna DO

42537

10737

2712 Parkwood Drive Brunswick, GA 31520

6/8/2012

Ryan, Nancy Josephine

RN103741

Richard Mansfield, DO

44526

14936

2001 Brookstone Centre Pkwy Columbus, GA 31909

3/5/2015

Ryan, Stacy L

RN188323

Edward Lloyd, MD

44269

13734

4791 S. Main St. Ste. 100 Acworth, GA 30101

9/11/2014

Rylee, Kayla

RN209699

Salem Sayar, MD

47834

15243

200 S Enota Dr, Ste 200 Gainesville, GA 30501

4/2/2015

Saboura, Jennifer Anne

RN168965

Vimala Nair, MD

18058

9544

100 Lacy St, Suite 150 Marietta, GA 30060

3/1/2012

Wednesday, August 12, 2015

Page 307 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sager, Elmira Nora Faller

RN092473

David Martin, MD

52410

9029

80 Oakwood Ave Trenton, GA 30752

4/1/2010

Sager, Elmira Nora Faller

RN092473

William Meadows, MD

30513

2605

80 Oakwood Ave Trenton, GA 30752

2/5/2010

Sahatevasukont, Chitchawal

RN176776

Jose Cangiano, MD

44182

15227

1 Technology Pkwy South, Ste 1 Norcross, GA 30092

4/2/2015

Sahatevasukont, Chitchawal

RN176776

Patrice Harris, MD

38794

14389

1636 Connally Dr EastPoint, GA 30344

12/4/2014

Sahatevasukont, Chitchawal

RN176776

Asaf Aleem, MD

30260

13461

2150 Peachford Rd Atlanta, GA 30338

7/10/2014

Sahatevaukont, Chitchawal

RN176776

Sreevedi Vayalapalli, MD

59226

15669

950 Scales Rd, Ste 302 Suwanee, GA 30024

6/4/2015

Sahrphillips, Jacqueline

RN161279

Mixson, Robert MD

39415

10512

104 Lakeshore Drive, Ste A St. Marys, GA 31558

3/1/2012

Saiani, Tina

RN115797

Alan Justice, MD

32405

8901

446 Poplar St, Suite B Macon, GA 31201

2/5/2010

Saint, Ashley Nicole

RN199330

Hugo Ribot, MD

30196

9504

958-A Joe Frank Harris Pkwy, #102 Cartersville, GA 30120

1/7/2011

Saint Juste, Uduak

RN223454

Alex Liugminas, MD

68236

15854

100 Lacy St, Ste 150 Marietta, GA 30060

7/9/2015

Saintil, Marianne E

RN158218

Gunter Kurrle, MD

50396

12843

677 Church St Marietta, GA 30060

5/1/2014

Sakor, Uvienome Linda

RN159225

Locke III, Thomas MD

36409

10593

3311 Highway 5, Ste C Douglasville, GA 30135

2/7/2013

Sakor, Uvienome

RN159225

Maiysha Clairborne, MD

55194

11155

3311 Highway 5 Douglasville, GA 30135

10/5/2012

Sakor, Uvienome Linda

RN159225

Hermogenes Pagsisihan, MD 50666

8581

100 Professional Park, Suite 204 Carrollton, GA 30117

7/10/2009

Wednesday, August 12, 2015

Page 308 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Salawu, Kafilat Olajumoke

RN210374

Nishan Fernando, MD

56286

13776

1505 Northside Forsyth Dr, Suite 4300 Cumming, GA 30041

9/11/2014

Salawu, Kafilat Olajumoke

RN210374

Laura Weakland, MD

39505

13763

550 Peachtree St NE, Suite 1185 Atlanta, GA 30308

9/11/2014

Salawu, Kafilat Olajumoke

RN210374

Patricia Hopkins-Menchion,
MD

47446

13761

1045 Southcrfesty Dr, Suite 200 Stockbridge, GA 30281

9/11/2014

Salter, Robert Christopher

RN141751

Michael Gaines, MD

22762

12577

307 West College St Bowden, GA 30108

12/6/2013

Salter, Robert Christopher

RN141751

Peter Litchfield, MD

65367

12342

117 Kite Rd, Emer Dept Swainsboro, GA 30401

10/10/2013

Salter, Sandra Nicole

RN116950

Martha Schuh, MD

37488

2610

1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214

11/5/2009

Samai, Emily Taylor

RN192014

Gerard McGorisk, MD

39866

12689

1365 Clifton Rd Atlanta, GA 30322

2/6/2014

Samter, Jeanne

RN121879

Fionan O'Griofa, MD

40179

14868

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Samuel, Tseday

RN172768

David Roberts, MD

30199

2613

1365 Clifton Rd NE Atlanta, GA 30322

11/8/2013

Samuels, Angella Veronica

RN133706

Venkatappa R. Rangaraj,
MD

58633

11306

5675 Jimmy Carter Blvd, Box 20 Norcross, GA 30071

5/3/2013

Samuels, Angella Veronica

RN133706

Benjamin Abraham, DO

34757

8589

3020 Hwy 124 Snellville, GA 30039

7/10/2009

Sanchez, Victoria

RN084728

Shameka McElhaney, MD

54854

11205

7530 Roswell Rd. Atlanta, GA 30350-4837

11/2/2012

Sanders, Julie McCoy

102131
RN102131

Manuel Lucero, MD

29031

15314

Park 60, Georgia 22 Milledgeville, GA 30161

4/2/2015

Lee Jacobs, MD

28283

14121

107 Mountain Brook Dr, Ste 100 Canton, GA 30115

11/7/2014

Sanders, Amanda Arrants

RN
185902

Wednesday, August 12, 2015

Page 309 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sanders, Rebecca Bailey

RN124327

Martha Ward, MD

20360

11993

915 Gordon Ave Thomasville, GA 31792

10/10/2013

Sanders, Julie V.

RN102131

Debra Osborne, MD

44297

10824

175 Emery Hwy Macon, GA 31217

9/13/2012

Sanders, Rebecca

RN124327

Ward, Martha MD

20360

10397

916 South Broad Street Thomasville, GA 31792

1/6/2012

Sanderson, Catherine S

RN063813

Todd Merchen, MD

58986

14995

1120 15th St. Augusta, GA 30912

3/5/2015

Sanderson, Amy Askew

RN174948

Clement Anthony, MD

27752

13446

710 Center St, Emer Dept Columbus, GA 31901

9/11/2014

Sandford, Monica Ann

RN209939

Michael Carter, MD

34119

15171

1075 Cooper Rd, Ste. 101 Grayson, GA 30017

4/2/2015

Sandiford, Janice

RN120356

Jorge Lequizamo, MD

61479

15677

698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045

6/4/2015

Sandiford, Janice Elizabeth

RN120356

Celia Mamby, MD

39629

11662

2745 Dekalb Medical Pkwy, Suite 110 Lithonia, GA 30058

2/7/2013

Sands, Tami Kelin

RN211625

Daniel Sandler, MD

42420

14883

4700 Waters Ave Savannah, GA 31404

6/4/2015

Sanford, Sally Jo

RN072580

Donald Evans, MD

9810

12874

321 N. Main Street Adairsville, GA 30103

7/10/2014

Sanford, Sally Jo

RN072580

Eduardo Rojas, MD

30370

12873

1035 Redbud Road Suite 201 Calhoun, GA 30701

7/10/2014

Sanford, Ola Beth

RN084872

Gena Volas-Redd, MD

45356

12031

340 Kennestone Hospital Blvd, Suite 100 Marietta, GA 30060 7/11/2013

Sanford, Ola Beth

RN084872

Thomas Deering, MD

32170

9193

275 Collier Rd NW, Suite 300 Atlanta, GA 30309

8/6/2010

Santee, Tara

RN170673

Sekhar Sankaran, MD

31549

15990

101 Regency Pkwy Dr, Ste 140 McDonough, GA 30253

8/6/2015

Wednesday, August 12, 2015

Page 310 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Santos, Andrea Dee

RN151614

Saeid Khansarinia, MD9

50649

11666

95 Collie Rd, Suite 5015 Atlanta, GA 30309

3/8/2013

Sapp, Audrey

RN157231

Michael Rogers, MD

46482

15789

1941 Phinizy Rd Augusta, GA 30906

7/9/2015

Sapp, Julie

RN085794

Eric Zanghi, MD

30248

14463

222 Perry Hwy Hawkinsville, GA 31035

12/4/2014

RN085794

Sapp, Julie Joiner

RN085794

Sandra Kopacz, MD

32179

2622

Hwy 341 S, Pulaski Prof Bldg A Hawkinsville, GA 31036

5/9/2008

Saranthus, Jill Ann Landry

RN155923

Carl McCurdy, MD

21745

13378

1020 JL White Dr., Ste 170 Jasper, GA 30143

6/6/2014

Saranthus, Jill Ann Landry

RN155923

Bradley Goff, MD

43944

8149

962 J F Harris Pkwy, Ste 202 Cartersville, GA 30120

3/7/2008

Sargent, Jennifer Johanna

RN203368

Abhishek Gaur, MD

52174

14399

200 South Enota Dr, Ste 200 Gainesville, GA 30501

9/11/2015

Sargent, Amy

RN164488

Jeffrey Lamp, MD

56736

15242

2151 West Spring St Monroe, GA 30655

4/2/2015

Sariev, Michelle

RN185009

Scott Parry, DO

39899

11160

730 Ponce DeLeon Pl. NE Atlanta, GA 30306

10/5/2012

Sather, Jaime Lynn

RN243632

Lionel Bryan, MD

22725

15016

1007 Mary St. Waycross, GA 31501

3/5/2015

Satterfeild, Lena M

RN228612

Jose Justiniano-Ayala, MD

46773

13935

1430 Suggs St Rossville, GA 30741

9/11/2014

Saucedo, Israel

RN170526

James Black, MD

57777

15151

417 W 3rd Ave Albany, GA 31701

3/5/2015

Saucedo, Isreal

RN170526

Richard Ambrozic, MD

43851

13710

130 Moore St. Omega, GA 31775

9/11/2014

Wednesday, August 12, 2015

Page 311 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sauer, Aviva

RN242834

Huiming Hon, MD

63074

15450

980 Johnson Ferry Rd NE, Ste 820 Atlanta, GA 30342

5/8/2015

Savage, Lisa Stewart

RN150495

Dave Ringer, MD

30368

14211

803 South Main St Greensboro, GA 30642

11/7/2014

Savage, Kimberly Anne

RN139517

Xavier Moore, MD

55619

13659

1133 Eagles Landing Pkwy Stockbridge, GA 30281

8/7/2014

Savage, Kimberly Ann

RN139517

Christopher Brown, MD

50705

13413

7402 Davidson Pkwy Stockbridge, GA 30281

7/10/2014

Saxon, Jo Ann Harris

RN113335

AnilKumar Pillai, MD

45914

15535

707 N. Houston Rd Warner Robins, GA 31093

5/8/2015

Sayers, Carly Wham

RN177223

Bradley Shepherd, MD

66420

13274

740 Prince Ave Building 15 Athens, GA 30606

9/11/2014

Sayers, Barbara Jean

RN085319

Christopher Houk, MD

57644

2631

1120 15th St, BG-1012 Augusta, GA 30912

11/5/2010

Sayewich, Laura Handley

RN182668

John C. Bleacher, MD

42182

11277

5455 Meridian Mark Road, Ste 570 Atlanta, GA 30342

11/2/2012

Sayewich, Laura Handley

RN182668

Paul Johnson, MD

46132

8251

PO Box 422002 Atlanta, GA 30342

8/8/2008

Scarborough, Joy

RN134148

Lucretia Barker, MD

42013

15856

1112 Plaza Ave, Ste B Eastman, GA 31023

8/6/2015

Scarborough, Michele

RN154220

Dinakara Shetty, MD

42431

15465

1719 Russell Pkwy, Ste 700 Warner Robins, GA 31088

5/8/2015

Scarborough, Michele Susanne

RN154220

Timothy Graves, MD

26859

13175

770 Walnut St Macon, GA 31201

5/1/2014

Scarborough, Joy Renew

RN134148

Johnny Peeples, MD

33427

8221

PO Box 698 Eastman, GA 31023

6/6/2008

Schafer, Frances Georgina

RN143233

Samuel Gilbert, MD

41563

14378

4791 S Main St, Ste 100 Acworth, GA 30101

9/11/2014

Wednesday, August 12, 2015

Page 312 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Schatten, Kimary Vigliano

RN218959

Michael Lindsay, MD

27602

14981

69 Jesse Hill Jr Dr SE, Glenn Bldg Flr 4 Atlanta, GA 30303

3/5/2015

Scheffer, Steven Rudolf

RN206788

Charles Campbell, MD

69772

12584

86 South Cobb Dr, MZ-0454 Marietta, GA 30063

12/6/2013

Scheffer, Steven

RN206788

Pirtle, Ronald MD

13784

10156

1015 Donald Lee Hollowell Parkway Atlanta, GA 30318

3/1/2012

Scheffer, Elizabeth Anne

RN206621

Donna Fearing, MD

29447

9553

2155 Post Oak Tritt Rd, Suite 100 Marietta, GA 30062

2/4/2011

Scheffer, Steven Rudolf

RN206788

James Sams, MD

22180

9177

1968 Peachtree Rd NW, Bldg 1984, Suite 300 Atlanta, GA 30 8/6/2010

Schempp, Catherine

RN184398

Janet T. Fason, DO

48773

11577

Take Care Clinic, 2988 Shallowford Rd. Marietta, GA 30066-3 2/7/2013

Schiff, Ella Schwartz

RN200480

William David Breedlove,
MD

26465

11815

PO Box 1907 Blairsville, GA 30512

7/11/2013

Schiffbauer, Christopher T.

RN178149

Julian Hutchins, Sr., MD

18677

11371

4150 Washington Rd., Ste. 11 Evans, GA 30809

12/7/2012

Schlenger, Alison Anthony

RN192983

G. Craig Heigerick, DO

24947

8707

615-B Beaver Ruin Road Lilburn, GA 30047

10/2/2009

Schlienger, Rhonda Sue

RN167495

Paul Conrad, Md

41761

14872

110 S Main St Hiawassee, GA 30546

2/5/2015

Schmeier, Laura

RN102451

Angela L. Beninga, DO

68481

11421

Shepherd Center, 2020 Peachtree Rd. Atlanta, GA 30309

1/11/2013

Schmeier, Laura

RN102451

Taubin, Rhonda MD

32482

10295

2020 Peachtree Rd NW Atlanta, GA 30309

1/6/2012

Schmeier, Laura

RN102451

Dennison, Andrew MD

62676

10076

2020 Peachtree Road Atlanta, GA 30303

10/7/2011

Payal Fadia, MD

61773

8797

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmeier, Laura Jean Blanchard RN102451

Wednesday, August 12, 2015

Page 313 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Schmeier, Laura Jean Blanchard RN102451

Brock Bowman, MD

45177

8793

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmeier, Laura Jean Blanchard RN102451

Anna Elmers, MD

60248

8799

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmeier, Laura Jean Blanchard RN102451

Arthur Simon, MD

31125

8795

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmeier, Laura Jean Blanchard RN102451

John Lin, MD

50208

8800

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmeier, Laura Jean Blanchard RN102451

Gerald Bilsky, MD

31701

8654

2020 Peachtree Road Atlanta, GA 30309

8/7/2009

Schmeirer, Laura Jean Blanchar RN102451

Donald Leslie, MD

25785

8798

2020 Peachtree Rd NW Atlanta, GA 30309

11/5/2009

Schmidt, Mirel Aline

RN184832

John Kludt, MD

34876

11924

3700 Club Dr Lawrenceville, GA 30044

8/9/2013

Schmitz, Catherine Low

RN064088

Christopher Ludlow, MD

30501

14997

325 W Montgomery Crossroads Savannah, GA 31406

3/5/2015

Schnedl, Anne Marie

RN133708

Michael Lindsay, MD

27602

8140

69 Jesse Hill Jr Dr SE, 4th Flr Atlanta, GA 30303

2/7/2008

Schneider, Kathy Ann

RN129282
RN129282

Reden Delgado, MD

65957

14283

1168 North Main St, Ste 120 Polk, GA 30125

12/4/2014

Schneider, Kathy

RN129282

Gregory, Donna MD

51227

10783

906 South Wall Street Calhoun, GA 30701

6/8/2012

Schnell, Kathryn Jean

RN183005

Pablo Balboa-Marciack, MD

55409

8749

100 Hospital Court Calhoun, GA 30701

10/2/2009

Schnitzeler, Erica

RN176656

Alan Wang, MD

48017

16044

601 Northolt Pkwy Suwanee, GA 30024

8/6/2015

Schnitzeler, Erica Ann

RN176656

Colleen Austin, MD

22506

14115

3400-C Old Milton Pkwy, Ste 400 Alpharetta, GA 30005

11/7/2014

Wednesday, August 12, 2015

Page 314 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Schnur, Jeffrey

RN243523

Timothy Catchings, MD

30030

14711

2004 Pioneer St Waycross, GA 31501

1/8/2015

Schofield, Emily Rankin

RN201966

William Chafin III, MD

67542

13379

1270 Prince Ave, Ste A Athens, GA 30606

6/6/2014

Schornack, Theresa Ann

RN136627

Stephanie Kong, MD

39388

12460

210 Hannah's Mill Rd Thomaston, GA 30286

12/6/2013

Schornack, Theresa Ann

RN136627

Eric Hoffler, MD

32752

2647

735 South Glynn Street Fayetteville, GA 30214

12/7/2007

Schuchman, Alisha Michelle

RN150422

Ki Hon Lin, MD

51885

12354

812 South Park St, Suite 3 Carrollton, GA 30117

10/10/2013

Schultz, Lindsay Chesley

RN204214

Reginald Strother, MD

44597

12139

1620 Prince Ave Athens, GA 30606

8/9/2013

Schultz, Alicia McCasland

RN199188

Hanna Khoury, MD

55253

9081

1365 Clifton Rd, Bldg C Atlanta, GA 30322

5/7/2010

Schwartz, Tamara Lee

RN137918

John Lentz, MD

17573

15197

2121 Fountain Drive, Ste A Snellville, GA 30078

4/2/2015

Schwartz, Heather J

RN194375

Robert Mullins, MD

49835

12546

3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909

12/6/2013

Schwartz, Karen Ann Crooke

RB123081

David Stewart, MD

41489

11942

1600 Medical Way, Suite 100 Snellville, GA 30078

6/7/2013

Schwartz, Heather

RN194375

McElroy, Christopher MD

39865

10142

465 North Belair Rd, Ste 2B Evans, GA 30809

10/7/2011

Schwartz, Karen Ann Crooke

RN123081

Lynette Stewart, MD

39681

9569

4775 Jimmy Carter Blvd, Suite 300 Norcross, GA 30093

4/1/2011

Schwarze, Elizabeth A.

RN134791

Sharon R. Rabinovitz, MD

46806

11199

141 Piedmont Ave., Ste D Atlanta, GA 30303

6/7/2013

Schwarze, Elizabeth Ann Smith

RN134791

Minhly Nguyen, MD

49149

2654

341 Ponce de Leon Avenue NE Atlanta, GA 30308

12/7/2007

Schweiker, Melissa Perry

RN193905

Christopher Borrego, DO

52259

12516

4720 Nelson Brogdon Blvd Sugar Hill, GA 30518

11/8/2013

Wednesday, August 12, 2015

Page 315 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Schwendinger, James Edward

RN145815

Patricia Baines, MD

53092

2655

49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303

9/11/2008

Schwerin, Kay Sandra Stevens

RN168251

Joseph Mondy, MD

44546

12089

4750 Waters Ave, Suite 500 Savannah, GA 31404

7/11/2013

Scoggins, Kelly W.

RN112607

Greg Schlegel, MD

23222

11239

100 Medical Center Blvd, Ste 165 Lawrenceville, GA 30046

11/2/2012

Scoggins, Savannah Smith

RN175735

Leigh Barrell, MD

40777

9322

1608 Martha Berry Blvd Rome, GA 30165

10/8/2010

Scott, Suzette

RN179096

Lisa Miller, MD

38874

15761

4152 Baker Covington, GA 30014

7/9/2015

Scott, Donna

RN107176

Claude Sportes, MD

71418

15109

1120 15th St, Ste BA-5407 Augusta, GA 30912

4/2/2015

Scott, Jessica Elisabeth

RN197872

Melissa Schepp, MD

50221

13053

677 Church St, 310 Bldg Marietta, GA 30060

4/4/2014

Scott, Amanda Sara Riley

RN210416

Mukesh Kumar, MD

68447

12335

743 Spring St Gainesville, GA 30501

10/10/2013

Scott, Linda

RN184467

Hansen, Terry MD

47330

10449

184-A Professional Drive Baldwin, GA 30511

2/3/2012

Scott, Michael

RN122867

St. Clair, Jane

24485

10340

131 Ponce de Leon Ave NE, Ste 230 Atlanta, GA 30308

1/6/2012

Scott, Denise

RN140254

Chastain, William MD

65091

10021

400 Timms Road NE Calhoun, GA 30701

10/7/2011

Scott, Christine Manning

RN170607

Sara Marder, MD

36814

8703

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Scott, Denise Ann

RN140254

Micah Tepper, MD

57687

8517

1700 Hospital South Drive, Suite 302 Austell, GA 30106

5/7/2009

Scott-King, Geneva Michelle

RN145522

Ronald McLean, MD

30163

2662

116 Rosedale Avenue Thomasville, GA 31792

10/2/2008

Wednesday, August 12, 2015

Page 316 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Scouller, Thomas Harmon

RN161095

Carlos Zayas-Montalvo, MD

36668

2663

1968 P'tree Rd NW,5th Fl,Bldg 77 Atlanta, GA 30309

9/14/2007

Scruggs, Carrie Jackson

RN141155

Lee Chisolm, MD

55115

11643

1500 Oglethorpe Ave, Suite 3300 Athens, GA 30606

3/8/2013

Scruggs, Carrie Jackson

RN141155

Jared Griffis, MD

57469

2664

PO Box 5860 Athens, GA 30604

1/7/2011

Scully, Cathleen

RN152213
RN152213

Walid Nassaif, MD

57904

14448

1670 Clairmont Rd Decatur, GA 30033

1/8/2015

Scully, Carol Joy Wesley

RN151311

Kalpit Patel, MD

70398

13380

2444 Dallas Hwy SW Marietta, GA 30064

6/6/2014

Scully, Rosemarie

RN197620

Franklin Brown MD

62315

11020

445 Winn Way, 2nd Floor Decatur, GA 30030

10/5/2012

Seaborn, Chelsea L

RN192373

James Poindexter Jr., MD

29071

13747

1718 Peachtree St. NW Ste. 360 Atlanta, GA 30309

9/11/2014

Seabrooks, Kimberly Frazier

RN165136

John Wood, MD

59239

14322

777 Hemlock St MSC 142 Macon, GA 31201

10/9/2014

Seagraves, Kendra

RN176789

Firas Bannout, MD

55176

15407

455 South Main St, Ste 201 Hinesville, GA 31313-4354

5/8/2015

Searcy, Danny Frank

RN179255

Robert Yarbrough, MD

58242

12468

1100 Northside Forsyth Dr, Suite 340 Cumming, GA 30041

11/8/2013

Searcy, Ann-Maxwell

RN153721

George Galloway, MD

13275

11033

101 Riverstone Vista, Ste 111 Blue Ridge, GA 30513

10/5/2012

Searcy, Laura J

RN055005

Romualda Klicius, MD

46305

2670

145 N. Medical Pkwy Woodstock, GA 30189

7/10/2009

Searcy, Ann-Maxwell

RN153721

Alan M. Sanders, MD

39223

2668

231 Hwy 515, Ste. 5 Blairsville, GA 30512

4/13/2007

Sears-Truss, Krystal

RN187693

Isioma Okwumabua, MD

70256

13930

1855 Hudson Bridge Rd Stockbridge, GA 30281

9/11/2014

Wednesday, August 12, 2015

Page 317 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sebastian, Vini

RN186436

Clarice Bell-Strayhorn, MD

39730

15378

400 Peachtree Industrial Blvd Suwanee, GA 30024

5/8/2015

Segal, Linda Marie

RN033268

Neely Dean, MD

59401

8303

59 Hospital Road Newnan, GA 30263

9/11/2008

Segovia Ruiz, Oscar Manuel

RN185083

Suzana Montana, MD

45097

13675

3780 Holcomb Bridge Rd., Ste C Peachtree Corners, GA 3009 8/7/2014

Segovia Ruiz

RN185083

James L. Beiter, MD

40003

11274

1001 Johnson Ferry Road N.E. Atlanta, GA 30342

11/2/2012

Seiler, Jan Marie

RN143913

William Strain, MD

27921

2671

1265 W. Hwy 54, Stes 402 & 409 Fayetteville, GA 30214

3/7/2008

Seitz, Roslyn Marie

RN185556

Joshua Hargraves, MD

62216

9480

531 Asbury Cir, Suite N-340 Atlanta, GA 30322

2/4/2011

Selby, June

RN100226

Joyce-Bailey, Sharon MD

50770

10158

1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043

11/3/2011

Self, Amanda Rachel

RN241736

Hiren Shah, MD

62433

14304

2300 Manchester Expressway, Ste 2001 Columbus, GA 3190 12/4/2014

Self, Janna Deneen Novotny

RN173974

Robert Sullivan, MD

42742

13616

14-A Legacy Way Adairsville, GA 30103

8/7/2014

Self, Julia Murdoch

RN207951

Robert David Thomson, MD

47166

9166

3619 Braselton Hwy, Suite 103 Dacula, GA 30019

7/1/2010

Sellers, Rainey Brooke

RN208930

Timothy Thomson, MD

46526

15030

951 S Broad St Thomasville, GA 31792

3/5/2015

Sellers, Lucinda Johnson

RN204724

Edward Gotlieb, MD

14500

9547

5405-D Memorial Dr, Suite D Stone Mountain, GA 30083

2/4/2011

Seltenright, Joan Lee Oliver

RN119115

Jay Erdman, MD

32177

14930

235 Peachtree St NE, N Tower #2100 Atlanta, GA 30303

2/5/2015

Seltenright, Joan Lee Oliver

RN119115

Jeff Donohue, MD

46540

14965

3755 Sixes Rd, Ste 202 Canton, GA 30114

2/5/2015

Wednesday, August 12, 2015

Page 318 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Seltenright, Joan Lee Oliver

RN119115

Michael Christa, MD

40637

12063

4250 Brownsville Rd Powder Springs, GA 30127

8/9/2013

Seltenright, Joan Lee Oliver

RN119115

George Galloway, MD

13275

9199

101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513

8/6/2010

Sencer, Ann

RN073553

Karen Godette, MD

35884

2673

550 Peachtree St., Glenn Bldg. Lobby level Atlanta, GA 30308 10/5/2012

Senior-Crosby, Diana

RN155684

O'Regan, Ruth

53350

10778

80 Jesse Hill Jr Drive Atlanta, GA 30303

6/8/2012

Senn, Stacy L

RN128997

Frank Keller, MD

57091

2674

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Sentef, Susan F.

RN73026

Joseph Sentef, MD

32816

11008

513 Benjamin Way, Ste 200 Dalton, GA 30721

10/5/2012

Seok, Rebecca

RN175608

John P. Gott, MD

28989

11556

95 Collier Rd., #5015 Atlanta, GA 30309

1/11/2013

Settle, Crystal Nicole

RN184152

Kenneth Healey, MD

24689

14709

205 Rees St Americus, GA 31709

1/8/2015

Settle, Xanthia Monquett

RN218012

Bruce Ribner, MD

49086

12228

1364 Clifton Rd NE Atlanta, GA 30322

9/13/2013

Settle, Xanthia Monquett

RN218012

Charis Trench-Simmons, MD 58337

12240

3886 Princeton Lakes Way, Suite 280 Atlanta, GA 30331

9/13/2013

Seyfried, Lavenia Juanita

RN134946

Douglas Moss, MD

41178

9959

814 Northwood Park Drive Valdosta, GA 31602

8/5/2011

Shackelford, Dilleta Andree

RN080625

James Eutzler, DO

49729

2679

520 Griffin Ave Valdosta, GA 31601

3/4/2010

Shafer, Kristi Lynn

RN137113

Wiley Smith, MD

63133

12359

218 North Fredrick St Dalton, GA 30721

11/8/2013

Shaffer, Nicole Michelle

RN202000

Satish Rao, MD

66739

14207

1120 15th St Augusta, GA 30912

11/7/2014

Shah, Payal N.

RN181347

Dharmeshkumar Patel, MD

55264

13470

2491 Panola Rd. Lithonia, GA 30058

7/10/2014

Wednesday, August 12, 2015

Page 319 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Shahpar, Jessica Lynn

RN208844

Baljinder Mudahar, MD

54321

13188

303 Parkway Dr NE, Emer Dept Atlanta, GA 30312

6/6/2014

Shanahan, Sara Ratchford

RN235660

Karen Dewling, MD

44445

13772

4395 Johns Creek Pkwy, Ste150 Suwanee, GA 30024

9/11/2014

Shanahan, Sara Ratchford

RN235660

Roger Morales, MD

55771

13159

333 Alcovy St, Suite 1 Monroe, GA 30655

4/4/2014

Shapin, Melanie Hull

RN197727

Brian Kogan,MD

53322

11063

1405 Clifton Rd. NE Atlanta, GA 30322

10/5/2012

Sharp, Jennie Babara

RN192158

Kola Ologunja, MD

50548

13725

3104 Creekside Village Dr., Ste 504 Kennesaw, GA 30144

9/11/2014

Sharpless, Sarah A

RN195511

Thuy Bui, MD

49276

12345

1001 Johnson Ferry Rd NE Atlanta, GA 30342

10/10/2013

Shaw, Christine

RN203698

David Fletcher, MD

59718

14589

1550 Eaton RD Madison, GA 30650

2/5/2015

Shaw, Margaret Anne

RN059632

Athanasios Verras, MD

22908

2687

2007 Montreal Rd. Tucker, GA 30084

9/11/2014

Shaw, Kelley

RN171700

Papciak, Michael MD

16823

10110

3400A Old Milton Parkway Ste 330 Alpharetta, GA 30005

10/7/2011

Shaw McMillan, Lauren

RN184339

Cedric Porter, MD

29363

11240

124 Victory Dr. Swainsboro, GA 30401

11/2/2012

Shaw-Brown, Luann

RN078122

Osborne, Debra MD

44297

10338

175 Emery Highway Macon, GA 31217

1/6/2012

Shaw-Grant, Pamela

RN070808

Edward Minor, MD

45095

15271

1215 2nd Ave Columbus, GA 31901

4/2/2015

Shea, Kimberly

RN081672

Valeria Savage, MD

52724

10968

1942 Atkinson Road Lawrenceville, GA 30043

10/5/2012

Shea, Kimberly

RN081672

Rowland, Ceylon MD

52202

10038

1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043

10/7/2011

Wednesday, August 12, 2015

Page 320 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Shedd, Cheryl

RN037691

Antonio Rios, MD

45114

11130

1315 Jesse Jewell Pkwy, Ste 110 Gainesville, GA 30501

10/5/2012

Shedd, Cheryl Evans

RN037691

Timothy Flynn, MD

41795

2688

3931 Mundy Mill Road Oakwood, GA 30566

8/8/2008

Sheffield, Dian

RN055630

Rama Gangaiah, MD

41805

15629

3073 Panthersville Rd Decatur, GA 30034

6/4/2015

Sheffield, Dian Thornton

RN055630

Vanderlyn Sewell, MD

51547

12290

2591 Candler Rd Decatur, GA 30032

11/8/2013

Sheldon, Jennifer Jean

RN180629

Alan Justice, MD

32405

12187

446 Poplar St, Suite B Macon, GA 31201

9/13/2013

Shell, Hannah Katherine

RN203906

Samuel Bleuez, MD

60241

13381

1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214

6/6/2014

Shepherd, Melissa Ann

RN140662

Ehteshamul Huque, MD

39597

2694

6095 Professional Pkwy, Suite 100 Douglasville, GA 30134

6/5/2009

Shepherd, Shannon Elizabeth

RN149693

James Vick, III, MD

37720

5336

1105 North 5th Avenue Rome, GA 30165

12/7/2007

Sheridian, Marissa Cook

RN184901

Paul Martin, MD

29034

9941

1950 Riverside Parkway, Ste 100 Lawrenceville, GA 30043

8/5/2011

Sheriff, Kristen

RN223885

Timothy Paul, MD

45581

15547

705 Dixie St Carrollton, GA 30117

6/4/2015

Sherman, Carmen Judith Ramir

RN113226

David Dillard, MD

40364

14732

771 Old Norcross Rd, Ste 135 Lawrenceville, GA 30046

1/8/2015

Sherman, Penny

RN140155

Duke, Michael MD

42041

10545

800 West Thomas Street Milledgeville, GA 31061

3/1/2012

Sherrod, Amy

RN172913

Lew, Glen MD

41457

10514

5455 Meridian Mark Rd, Ste 400 AFLAC Center Atlanta, GA 3 6/8/2012

Sherrod, Elizabeth Robin

RN123110

Melissa Bruhn, MD

43565

9844

918 South Broad St Thomasville, GA 31792

Wednesday, August 12, 2015

8/5/2011

Page 321 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sherry, Ruth

RN064092

Ross Jacobson, MD

57204

5337

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Shields, Allison Baker Thomas

RN156421

Eyal Ben-Arie, MD

56520

13278

95 Collier Rd, Suite 5015 Atlanta, GA 30309

6/6/2014

Shields, Heather Renee

RN195642

Akin Ogundipe, MD

50237

13206

55 Whitcher St, Suite 460 Marietta, GA 30060

5/1/2014

Shifflett, Maureen

RN139815

Hardin, Amy MD

35307

10339

1140 Hammond Drive, Ste E5250 Atlanta, GA 30328

1/6/2012

Shilling, Dellarie Lane

RN069911

Benjamin Oldham, MD

56210

8098

1497 Fair Road, Suite 300 Statesboro, GA 30458

11/1/2007

Shiver, Kristi

RN177287

Sarvenaz Danesh, MD

65396

11164

55 Whitcher St., Ste 160 Marietta, GA 30060

10/5/2012

Shiver, Kristi

RN177287

Akiki, Hanna MD

56670

10421

1700 Hospitl South Drive Austell, GA 30106

2/3/2012

Shockley, Naiomi

RN159492

Kimberly Carr, MD

52062

15463

1115 Mt. Zion Rd, Ste E Morrow, GA 30260

5/8/2015

Shoemaker, Savannah

RN209439

John McKnight, MD

69894

14782

600 Celebrate Life Parkway Newnan, GA 30265

1/8/2015

Shoemaker, Ashlee Quick

RN229830

Bridgette Guthrie, MD

69122

14117

710 Center St Columbus, GA 31901

11/7/2014

Shoemaker, Kathryn Goles

RN075946

Philip Macon, MD

11414

2705

11940 Alpharetta Hwy, Suite 110 Alpharetta, GA 30004

1/11/2008

Shook-Payne, Michele D.

RN113383

Bradley Pierce, MD

54306

2706

1240 Jesse Jewell Pkwy, Ste 500 Gainesville, GA 30501

3/7/2008

Shore, Karen Elizabeth

RN148855

Muhammad Hashmi, MD

70303

14582

2900 University Parkway Lawrenceville, GA 30043

2/5/2015

Shorter, Brenda Leigh Smith

RN139907

Wendy Troyer, MD

33786

2707

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Wednesday, August 12, 2015

Page 322 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Shrader, Shanda

RN246981

Venkateswara Dikkala, MD

48226

15942

2775 Cruse Rd, Ste 1801 Lawrenceville, GA 30044

7/9/2015

Shroof, Lina Al

RN215813

Nasser Tehrani, MD

53044

14621

1117 Morningside Dr Perry, GA 31069

1/8/2015

Shropshire, Ali Michelle

RN196656

Cheryl Perkins, MD

36430

9483

1497 Fair Rd, Suite 200 Statesboro, GA 30458

12/3/2010

Shuler, Linda J

RN111878

Reden Delgado, MD

65957

13382

2293 Rome Hwy Rockmart, GA 30153

6/6/2014

Shuler, Linda

RN111878

Singh, Brij MD

43777

10341

1181 Old Summerville Road Rome, GA 30165

1/6/2012

Shuler, Cynthia Ann

RN123324

Michael Hartley, MD

63668

9805

1109 Burleyson Rd, Suite 202 Dalton, GA 30720

8/5/2011

Shuler, Shannon

RN113834

William Mills, MD

53547

5433

58 Big A Rd Toccoa, GA 30577

4/13/2007

Shuman, Sherry

RN107256

Teresa Thompson, MD

58650

10516

63 Pleasant Hill Road Blairsville, GA 30512

2/7/2013

Shumate, Donald H

RN175443

Patrick McDougal, MD

57110

10970

100 Gross Crescent Circle Fort Oglethorpe, GA 30742

8/29/2012

Shumway, Gina Hiatt

RN207614

Pablo Perez, MD

47502

12622

1102 W Waugh St Dalton, GA 30720

12/6/2013

Shupe, Leah

RN214000

Terry Sharpe, MD

25826

16126

175 Country Club Dr, Ste 200 Stockbridge, GA 30281

8/6/2015

Siau, Rodney Kenneth

RN100140

Rex Ajayi, MD

19123

2713

803 N. Jackson Street Albany, GA 31701

11/7/2008

Siddle, Jennifer Elizabeth

RN178422

Meena Shah, MD

21464

13076

475 Philip Blvd, Suite 100 Lawrenceville, GA 30046

4/4/2014

Sides, Scott Anthony

RN215026

Victor Thomas, MD

40574

15255

1200 Memorial Dr Dalton, GA 30720

4/2/2015

Wednesday, August 12, 2015

Page 323 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Siefferman, Patricia Anne Thom RN027377

Yolanda Wade, MD

58345

14005

1735 S. Hwy 27 Carrollton, GA 30117

9/11/2014

Sigouin, Anne Sirey

RN141684

Debra Johnson-Jordan , DO

32592

14424

2739 Felton Dr East Point, GA 30344

10/9/2014

Silberstein, Debra Janis

RN069917

Andrew Dott, MD

33314

5339

993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

4/3/2008

Simcox, Jordan

RN177691

Shameka McElhaney, MD

54854

15893

1605 Roberta Dr Marietta, GA 30008

8/6/2015

Simmons, Ginger Elaine

RN217876

Nancy Watson, MD

42766

15082

700 S Enota, Ste 202 Gainesville, GA 30501

4/2/2015

Simmons, Carol

RN069115

Crystal Bright, MD

67869

14796

452 Second St Soperton, GA 30457

2/5/2015

Simmons, Jennilyn Alexis

RN235628

Tasha Feaster, MD

62690

14909

2000 Clayton State Blvd, Bld 1000 Morrow, GA 30260

2/5/2015

Simmons, Pamela Jean

RN188913

Barbara Nelson, MD

54628

12838

531 Duvall Rd Chatsworth, GA 30705

2/6/2014

Simmons, Vickie Lynn Miller

RN077582

Ramzi Ghosn, MD

57974

9862

1078 Lumpkin Campgrd Rd, Suite 100 Dawsonville, GA 3053 8/5/2011

Simmons, Vickie Lynn

RN077582

George Petro, MD

62155

9885

59 Tipton Drive Dahlonega, GA 30533

8/5/2011

Simmons, Vickie L.

RN077582

Robert Wirt, DO

26686

5441

597 South Enota Drive Gainesville, GA 30501

7/11/2008

Simmons, Vickie Lynn Miller

RN077582

Richard Wherry, MD

17341

2722

59 Tipton Drive Dahlonega, GA 30533

12/7/2007

Simokaitis, Sabrina Maria

RN198170

Changchun Wu, MD

61537

13383

65 old Jackson Rd. McDonough, GA 30252

6/6/2014

Simonds, Jennifer Huls

RN093496
RN65836

Marcel Lacoste, MD

65836

14815

1 Freedom Way Augusta, GA 30904

2/5/2015

Wednesday, August 12, 2015

Page 324 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Simonishvili, Suzana

RN179700

King, Paul MD

36198

10816

285 Boulevard NE, Ste 640/415 Atlanta, GA 30312

7/12/2012

Simpson, William Andrew

RN203796

Gayoung Hong, MD

67467

13196

13570 N. Main St Trenton, GA 30752

5/1/2014

Simpson, Melissa Ann

RN172839

W. Clark Connell, MD

58733

11800

915 Gordon Ave, Emer Dept Thomasville, GA 31792

12/6/2013

Simpson, Utopia Teresa

RN141041

George Kramer, MD

30807

11911

55 Whitcher St, Suite 350 Marietta, GA 30060

6/7/2013

Simpson, Utopia T.

RN141041

Michael O'Grady, MD

41189

11627

5422 Hwy 20 Sugar Hill, GA 30518

2/7/2013

Simpson, Rebecca Ashley Evans RN176728

Gary Minkiewicz, MD

39182

9456

200 S. Enota Dr, Suite 200 Gainesville, GA 30501

12/3/2010

Sims, Melanie Wester

RN176715

Nalini Narayan, MD

44287

12782

705 Ambulance Dr Carrollton, GA 30116

5/1/2014

Sims, Lisa Nicole

RN155250

Philip Ploska, MD

36848

13161

105 Regency Park Dr McDonough, GA 30253

4/4/2014

Sinclair, Kayon Ayton

RN179410

Lee Wilkes, MD

41033

12402

4426 Hugh Howell Rd, Suite B-303 Tucker, GA 30084

10/10/2013

Singer, Lamarquis D.

RN226825

James A. Sirleaf, MD

67036

11594

417 Third Ave. Albany, GA 31701

5/3/2013

Singh, Kelli Leigh

RN134406

Brij Singh, MD

43777

8985

1181 Old Summerville Rd Rome, GA 30165

2/5/2010

Singletary, Decca

RN241413

Tarak Patel, MD

66394

14925

1224 Augusta West Parkway Augusta, GA 30909

3/5/2015

Singleton, Sandy Lynn Anderso

RN123413

Anil Yadav, MD

53898

13850

51 Gordon Rd, Suite 201 Jasper, GA 30143

9/11/2014

Singleton, Kimberly Lynn

RN152508

John Reed, MD

35506

12284

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Wednesday, August 12, 2015

Page 325 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Singleton, Dawn B.

RN175972

Kesha L. Allen, MD

57920

11222

417 Third Ave. Albany, GA 31701

11/2/2012

Singleton, Cynthia

RN109487

Robinson, Todd MD

40773

10779

14 Cherokee Road Cedartown, GA 30125

6/8/2012

Singleton, Judy Fay Keener

RN091620

James Collins, Jr, MD

29833

2731

330 Turner McCall Blvd, Ste 101 Rome, GA 30165

12/7/2007

Siniard, Susan Ashley

RN135490

David Warren, MD

32492

8075

150 Gentilly Blvd Cartersville, GA 30120

9/14/2007

Sinnott, Anita D.

RN098278

Jennifer Lawrence, MD

44001

2732

3018 N. Patterson St. Valdosta, GA 31602

9/14/2007

Sipe, Erin Brooke Harris

RN167888

Vicki Knight-Mathis, MD

47337

9916

2920 Marietta Hwy, Suite 142 Canton, GA 30114

10/7/2011

Sisk, Carrie Sue

RN144549

Mark Moers, MD

45555

15345

95 Morrison Moore Pkwy West, Ste 100 Dahlonega, GA 3053 5/8/2015

Sissom, Kasey Nicole

RN185647

Lloyd Rimer, MD

30665

14841

3541 Chattanooga Rd Tunnel Hill, GA 30755

2/5/2015

Sisson, April Buffington

RN102486

Thomas Murray, MD

23194

2734

1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501

2/5/2009

Susamma Mathew, MD

45881

15603

3525 Sugarloaf Parkway Lawrenceville, GA 30044

6/4/2015

Sivewright, Amanda

246163

Sizer, Cathy Jean

RN186468

Frances Owen, MD

40973

7990

172 Follins Lane St. Simon's Island, GA 31522

9/11/2008

Skipper, Alan

RN175214

Loy Cowart, MD

37979

15542

127 North College St Statesboro, GA 30458

6/4/2015

Skipper, Alan

RN175214

David Weems, MD

28100

11363

27 Lester Rd. Statesboro, GA 30458-4764

1/11/2013

Skukalek, Susana Libhaber

RN144854

Jacques Dion, MD

45201

8510

1365-B Clifton Rd, # 2200 Atlanta, GA 30322

3/6/2009

Skukalek, Susana Libhaber

RN144854

Charles Cawley, MD

45741

1761

1365-B Clifton Rd, #2200 Atlanta, GA 30322

2/5/2009

Wednesday, August 12, 2015

Page 326 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Slade, Jennifer Johnson

RN117428

Emmett Berry, MD

23905

2739

3888 Northside Dr Macon, GA 31210

9/3/2009

Slade, Ashley Pierce

RN193511

Andrew Dott, MD

33314

8168

993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

4/3/2008

Slagle, Kathleen Marie Hiland

RN149527

Vita Goei, MD

49533

13643

1446 Harper St., Ste B6-1104 Augusta, GA 30912

8/7/2014

Slappey, Susan Dolores

RN129557

Keith Raziano, MD

50988

13994

5730 Glenridge Dr., Ste 100 Sandy Springs, GA 303028

10/9/2014

Slaughter, Traci Lynn

RN107276

Susan Thomas, MD

67173

2560

2464 Roswell Rd Marietta, GA 30062

12/6/2013

Slay-Chipp, Cathy

RN051489

Weatherspoon, Bryan MD

33482

10641

51 Lindsey Lane Kingsland, GA 31548

5/4/2012

Slay-Chipp, Cathy Elizabeth

RN051489

Olugbenga Awe, MD

48329

546

242 South Coastal Hwy 17 Brunswick, GA 31320

8/2/2007

Slemp, Marietta Shell

RN054948

Mark Hutson, MD

35908

2742

1875 Century Blvd NE, Suite 150 Atlanta, GA 30345

2/7/2008

Slocumb, Shannon Elizabeth

RN198355

Cynthia Giles, DO

48778

14034

555 Blue Bird Blvd. Fort Valley, GA 31030

10/9/2014

Smarr, Sherishe

RN155251

Thaddeus L. Chapman, MD

64380

11295

550 Peachtree St., Ste 1615 Atlanta, GA 30308

5/1/2014

Smeltzer, Melissa

RN127602

Timothy Ashburn, MD

68698

15517

102 Gross Crescent Cir, Ste 501 Fort Oglethorpe, GA 30742

5/8/2015

Smikle, Gloria V

RN060906

Terri McFadden, MD

32110

2744

35 Jesse Hill Jr Dr Atlanta, GA 30303

4/1/2010

Smith, Margena

RN183730

Richard Antonio, MD

74176

16081

484 Irvin Court Decatur, GA 30030

8/6/2015

Smith, Holly

RN234034

Ann Eggert, MD

28972

16104

12 Eastbrook Bend Peachtree City, GA 30269

8/6/2015

Wednesday, August 12, 2015

Page 327 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Smith, Jessica

RN188916

Caryn Masterman-Smith,
DO

63712

15666

125 Church St Vidalia, GA 30474

8/6/2015

Smith, Tiffany

RN204485

Paul Guichard, DO

54386

15843

55 Whitcher St, Ste 350 Marietta, GA 30060

7/9/2015

Smith, Melissa Ann

RN145936

Andrea Hill, MD

51332

14546

517 Great Oaks Dr, Ste 103 Monroe, GA 30655

7/9/2015

Smith, Fitima

RN233567

Debra Johnson-Jordan, MD

32592

14538

2739 Felton Dr East Point, GA 30344

5/8/2015

Smith, Fawn Barnard

RN175547

Robert Wynn, MD

56939

15533

7120 Hodgson Memmorial Dr. Savannah, GA 31406

5/8/2015

Smith, Jamie

RN184094

Lenora Allen, MD

21473

15415

713 Andrews, Dr Thomaston, GA 30286

5/8/2015

Smith, James Craig

RN124380

Richard Rickman, MD

49332

15055

151 South Houston Lake Rd Warner Robins, GA 31088

5/8/2015

Smith, Natalie Nicole

RN244129

Sharad Ghamande, MD

49173

15068

1120 15th St. Augusta, GA 30912

4/2/2015

Smith, Lindsey

RN203991

Grace Ma, MA

47345

15245

3131 Maple Dr Atlanta, GA 30305

4/2/2015

Smith, Jennifer Lynn

RN157256
RN157256

Charles Edenfield, MD

30052

14990

623 South Houston Lake Rd, Ste 200 Warner Robins, GA 310 3/5/2015

Smith, Anne Leslie

RN082793

Sharad Ghamande, MD

49173

14897

1120 15th St Augusta, GA 30912

2/5/2015

Smith, Kathryn Anne

RN081837

Daryl McCartney, MD

68067

14866

215 North Coleman St Swainsboro, GA 30401

2/5/2015

Smith, Kimberly

RN135643

Louis Heller, MD

45238

14668

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Smith, Carrie Lynn

RN215333

Christopher Cawley, MD

58858

14854

550 Professional Dr Macon, GA 31201

1/8/2015

Wednesday, August 12, 2015

Page 328 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Smith, Janet Lynn

RN057008

Jennifer Gould, MD

33974

14677

690 Courtenay Dr N E Atlanta, GA 30306

1/8/2015

Smith, Lorna Murrine

RN218740

Freeman Montaque, MD

28123

14259

1510 Milstead Ave NE Conyers, GA 30012-8030

11/7/2014

Smith, Lisa Dian Mixon

RN176448

Bridgett Asbury, MD

48752

13166

1806 Lee Ave Tifton, GA 31794

10/9/2014

Smith, Brianne Clare

RN195010

James Peterzell, DO

53868

14100

200 Galleria Pkwy, Ste 100 Atlanta, GA 30339

10/9/2014

Smith, Allison

RN089788

Whitney Feinberg, MD

42100

14422

3795 Mansell Rd Alpharelta, GA 30022

10/9/2014

Smith, Daniel Joe

RN113417

Jestina Mason, MD

57888

13870

1255 Hwy 54 W, Emer Dept. Fayetteville, GA 30214

9/11/2014

Smith, Jennifer Lynn

RN144996

John Gerguis, MD

47085

13615

1203 Brampton Ave Statesboro, GA 30458

8/7/2014

Smith, Jennifer Martinez

RN102046

Cynthia Brown, MD

49876

13595

815 Curtis Pkwy Calhoun, GA 30701

8/7/2014

Smith, Brianne Clare

195010

Craig Underset, MD

29961

13597

5579 Mableton Pkwy Mableton, GA 30126

8/7/2014

Smith, Melissa Faye

RN237608

Emile Risby, MD

30869

13510

3000 Schatulga Rd Columbus, GA 31907

7/10/2014

Smith, Janet Lynn Campbell

RN057008

Jan Mayfield, MD

51355

13419

4685 Dorsett Shoals Rd. Douglasville, GA 30135

7/10/2014

Smith, Melissa Lynn

RN148808

Eileen Javellana, MD

45841

3309

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

4/4/2014

Smith, Rachel Stallings

RN162256

Kevin Kurey, MD

45862

2778

101 Regency Park Dr, Suite 130 McDonough, GA 30253

3/6/2014

Smith, Tara Newman

RN128471

Chloe Armstead, DO

70699

12733

500 18th St, Suite B-20 Columbus, GA 31901

1/9/2014

Smith, Jamie Alice

RN184094

Nathan Feibelman, MD

28768

12236

144 Pierce Ave Macon, GA 31204

10/10/2013

Wednesday, August 12, 2015

Page 329 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Smith, Robert Scott

RN140291

Laura Mulloy, DO

33412

11845

1120 15th St, Suite BA-9413 Augusta, GA 30912

10/10/2013

Smith, Daniel Joe

RN113417

Eddie Richardson, MD

52047

12326

105 Harmony Crossing, Suite 3 Eatonton, GA 31024

9/13/2013

Smith, Janet Lynn Campbell

RN057008

Yolanda Graham, MD

38001

12045

1291 Stanley Rd NW Kennesaw, GA 30152

8/9/2013

Smith, Deborah Jean

RN181932

Cynthia Libert, MD

59457

12171

48 Haralson Pl, Suite 1 Blairsville, GA 30512

8/9/2013

Smith, Kimberly Marie Montroy RN135643

Candice Wallace, MD

30918

7823

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Smith, Beverly Blige

RN118154

Brian DeLoach, MD

51216

12153

GSU, Bldg 0404 Forest Dr, PO Box 8043 Statesboro, GA 3046 8/9/2013

Smith, Alisha Aikens

RN154813

James Smith, MD

59763

7891

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Smith, Elizabeth E

RN188644

Cameron Nixon, MD

55155

12115

907 E 18th St, Suite 209 Tifton, GA 31794

8/9/2013

Smith, Brianne Clare

RN195010

Jeffrey Oyler, MD

41191

12194

1968 Peachtree Rd NW Atlanta, GA 303096

8/9/2013

Smith, Brenda Simpson

RN185152

Abiola Babalakin, MD

62467

11803

4720 Peachtree Industrial Blvd, #4101 Norcross, GA 30071

4/4/2013

Smith, Jamie A.

RN184094

Dan Ioanitescu, MD

51476

11442

940 GA Hwy 96 Warner Robins, GA 31088

1/11/2013

Smith, Daniel J.

RN113417
RN113417

Anthony J. Marchetti, MD

31471

11196

801 W. Goram St. Thomaston, GA 30286

11/2/2012

Smith, Lynne D.

RN060915

Clyde Simmons, MD

17301

11065

330 Benjamin H Hill Dr Fitzgerald, GA 31750

10/5/2012

Smith, Meghan

RN
182748

David Dean, MD

64808

2709

95 Collier Rd, Suite 5015 Atlanta, GA 30309

9/13/2012

Wednesday, August 12, 2015

Page 330 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Smith, Daniel

RN113417

Van, David MD

29545

10940

747 S. Hill St Griffin, GA 30224

9/13/2012

Smith, Cherie

RN080577

Battey, Patrick MD

24388

10939

95 Collier Rd, Ste 5015 Atlanta, GA 30309

8/10/2012

Smith, Stephanie

RN218375

Ahmed, Kashjf MD

61547

10861

2200 Hwy 155 North McDonough, GA 30252

7/12/2012

Smith, Daniel

RN113417

Webb, Lawrence MD

63230

10249

840 Pine Street Ste 500 Macon, GA 31201

12/1/2011

Smith, Allison Leigh

RN150223

Robin Fowler, MD

52931

9893

1388 Wellbrook Circle, Suite A Conyers, GA 30012

11/3/2011

Smith, Tandy

RN085868

Keown, Kevin MD

29897

10157

330 Peachtree St Jesup, GA 31545

10/7/2011

Smith, Clover Jean

RN207746

Lynn Flowers, MD

56708

9670

601 South 8th St, Emer Dept Griffin, GA 30224

4/1/2011

Smith, Daniel Joe

RN113417

Olakunle Aina, MD

48968

9282

2000 Palmyra Rd Albany, GA 31701

9/2/2010

Smith, Kathryn Olivia

RN173666

Titus Duncan, MD

20692

9191

285 Boulevard NE, Ste 120 Atlanta, GA 30312

8/6/2010

Smith, Deborah Jean

RN181932

Debora Quigley, MD

36601

2757

178 Hospital Cir Blairsville, GA 30512

7/1/2010

Smith, Tina Carita

RN063641

Terry Hansen, MD

47330

2787

184-A Professional Dr Baldwin, GA 30511

2/5/2010

Smith, Jennifer Bedwell

RN169748

David Suh, MD

57848

8834

1468 Montreal Road Tucker, GA 30084

12/4/2009

Smith, Amanda Kelley

RN154107

Quyen Luu, MD

25216

8782

639 Hemlock St, Suite 200 Macon, GA 31201

11/5/2009

Smith, Daniel Joe

RN113417

David Kocherla, MD

45855

8190

PO Box 908 Albany, GA 31707

1/9/2009

Wednesday, August 12, 2015

Page 331 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Smith, Allison Leigh

RN150223

Jeffrey Grossman, MD

46109

2746

5555 Peachtree Dunwoody Rd, Suite G99 Atlanta, GA 30342 10/2/2008

Smith, Susan Leigh Algood

RN133503

Howard Silverman, MD

35521

2784

3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005

7/11/2008

Smith, Olivia P.

RN125326

Cherilyn Zellner, MD

43153

2775

508 W. Elm Street Wrightsville, GA 31096

6/6/2008

Smith, Daniel Joe

RN113417

Benjamin Andrews, MD

31867

8191

100 Wheatley Drive Americus, GA 31709

5/9/2008

Smith, James Craig

RN124380

Derrick Phillips, DO

29514

2763

3051 Watson Blvd Warner Robins, GA 31093

12/7/2007

Smith, James Craig

RN124380

Jeffrey Easom, DO

54269

8115

3051 Watson Blvd Warner Robins, GA 31093

12/7/2007

Smith, James Craig

RN124380

Paul Jarrett, MD

23069

8116

3051 Watson Blvd Warner Robins, GA 31093

12/7/2007

Smith, Allison Bernice Reeves

RN089788

Marie Baudean, MD

23898

2745

980 Hwy 29 South Lawrenceville, GA 30045

10/4/2007

Smith, Marlo Patrice

RN112907

Clifford Cranford, MD

22738

8076

1755 Hwy 34 East, Suite 2400 Newnan, GA 30263

9/14/2007

Smith, Ellen Gray

RN115453

Theodore Lee, MD

24014

8045

1938 Peachtree Rd. Atlanta, GA 30309

9/14/2007

Smith, Wanda Gail Hollis

RN038139

Evelyn Johnson, MD

56182

2788

105 E. Tollison St. Baxley, GA 31513

9/14/2007

Smith, Ellen Gray

RN115453

Umbreen Lodi, MD

45284

2759

82 Jesse Hill Drive Atlanta, GA 30303

6/8/2007

Smith-Vaughn, Mellissa Joy

RN206506

Pablo Perez, MD

47502

14721

815 Shugart Rd Dalton, GA 30720

1/8/2015

Smith-Vaughn, Melissa Joy

RN206506

Kenneth Hayman, MD

29182

12665

100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742 1/9/2014

Wednesday, August 12, 2015

Page 332 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Snead, Keshana

RN155696

Boyd, Ronald MD

9438

10215

Blandy Way Office Park 60, Hwy 22 W Milledgeville, GA 3106 11/3/2011

Snead, Laurie Johnston

RN058761

Andrew Dott, MD

33314

2793

993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

4/3/2008

Snider, Teresa Gale Oldham

RN073598

Derron Jones, MD

59983

2795

6000 N. Terminal Pkwy, Suite 315 Atlanta, GA 30320

7/10/2009

Snow, Kimberly

RN133811

Tina Flanagan, MD

47605

15411

3131 South Main St Moultric, GA 31768

7/9/2015

Snow, Kimberly Sheree Tucker

RN133811

Edwin Hiatt, MD

12920

8629

200 Georgia Ave Valdosta, GA 31698

7/10/2009

Snyder, Cynthia Tucker

RN069952

Christopher Hagenstad, MD 52738

12372

631 Professional Dr, Suite 450 Lawrenceville, GA 30046

1/9/2014

Snyder, Amanda

RN176058

David Fieseler, MD

17756

10942

523 West Main street Thomaston, GA 30286

8/13/2012

Snyder, Cynthia Tucker

RN069952

William Delp, DO

17791

2799

4589 Lawrenceville Rd Loganville, GA 30052

8/7/2009

Sobolik, Kim Elise Wakely

RN138753

Hillary Hahn, MD

48051

9820

340 Kennestone Hosp Blvd, #200 Marietta, GA 30060

6/30/2011

Soehnlein, Regina Louise

RN111832

Folashade Omole, MD

49074

9564

5985 Peachtree Pkwy Norcross, GA 30092

1/7/2011

Soles, Stanley Ferrell

RN115875

Jorge Pisarello, MD

58914

13699

1120 W. Broad Ave, Suite B-4 Albany, GA 31705

9/11/2014

Sollie, Michael Eland

RN197261

Edward Himot, MD

18388

11808

55 Whitcher St, Suite 460 Marietta, GA 30060

5/3/2013

Sommers, Tanya C.

RN080808

Thomas M. Pantino, MD

3904

11294

3795 Mnsell Rd. Alpharetta, GA 30022

11/2/2012

Sone, Gladys Epote

RN176209

Michael Vaughn, MD

22660

13465

2150 Peachford Rd. Atlanta, GA 30338

11/7/2014

Wednesday, August 12, 2015

Page 333 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sone, Gladys Epote

RN176209

Charles Betz, MD

17130

13134

809 S Broad St Rome, GA 30161

5/1/2014

Sones, Sharon Elizabeth

RN139832

Roberty Swerlick, MD

30906

14916

1670 Clairmont Rd Atlanta, GA 30033

2/5/2015

Sons, Kristi

RN198316

Tara Howell, MD

61839

15702

25 West Lyon St Tallapoosa, GA 30176

6/4/2015

Sorace, Breanna

RN183659

Stephen Cox, DO

66940

14687

5610 Bethelview Rd, Ste S 500 Cumming, GA 30040

1/8/2015

Sorace, Breanna Leigh

RN183659

John Pearson, MD

42104

13325

1200 Northside Forsyth Dr. Cummings, GA 30041

9/11/2014

Sorace, Breanna L.

RN183659

David L. Dickensheets, MD

45769

11367

1100 Northside Forsyth Dr., Ste 250 Cumming, GA 30041

12/7/2012

Soriano, Sr., Dino Vincent

RN218133

Eric Powell, MD

49081

15700

586 Brannen St Statesboro, GA 30458

6/4/2015

Sosebee, Dawn Mooney

RN123875

John Henson, MD

29885

2807

108 Prominence Ct, Suite 200 Dawsonville, GA 30534

9/11/2008

Sostre, Maria

RN124958

William Lynds, MD

33140

10953

3003 Old Alabama Road Alpharetta, GA 30022

8/10/2012

Southerland, Shanita

RN203226

Henry Lewis, MD

49052

15645

774 GA Hwy 96 Bonaire, GA 31005

6/4/2015

Spada, Mary Kathryn

RN229423

Dennis Estep, MD

25429

12165

2366 Battlefield Pkwy Ft Oglethorpe, GA 30742

8/9/2013

Sparks, Kristin

RN216062

Peter Barrett

69372

15396

95 Collier Rd NW Atlanta, GA 30309

5/8/2015

Sparks, Tony Lewis

RN107315

Highbaugh-Battle, Agnela
MD

59076

13847

143 S. Tallahassee St Hazlehurst, GA 31539

9/11/2014

Sparks, Tony Lewis

RN107315

David Hatmaker, MD

26300

13543

One Meadows Parkwy, Emer Dept Vidalia, GA 30474

7/10/2014

Wednesday, August 12, 2015

Page 334 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Sparks, Tony

RN107315

Aicher, John MD

26432

10830

2712 Hwy 411 SE Fairmount, GA 30139

7/12/2012

Sparks, Tony

RN107305

Oller, Carlo MD

65719

10465

960 Joe Frank Harris Pkwy Cartersville, GA 30120

2/3/2012

Sparks, Tony Lewis

RN107315

Byron Littlefield, DO

28810

9838

2712 Hwy 411 SE Fairmount, GA 30319

6/30/2011

Sparti, Frances Lillian

RN065096

John Sparti, DO

16148

8241

PO Box 89 Dallas, GA 30132

7/11/2008

Spaulding, Micah

RN096054

Todd Hold, MD

#####

15524

1035 Redbud Rd Calhoun, GA 30701

8/6/2015

Spaulding, Micah

RN096054

Garrett Barnes, MD

44163

15503

420 East 2nd Ave Rome, GA 30161

5/8/2015

Spaulding, Micah Derrick

RN096054

Garrett Barnes, MD

44163

2813

304 Turner McCall Blvd Rome, GA 30165

2/7/2008

Spearman, Pamela

RN088491

Mae Morgan, MD

22902

15656

424 Decatur St SE Atlanta, GA 30312

8/6/2015

Spearman, Amy Louise

RN154322

G W Garriss, III, MD

51134

12368

3939 Roswell Rd, Suite 200 Marietta, GA 30062

1/9/2014

Speights, Charlanna

RN243415
RN243415

Randolph Sumner, MD

28323

14780

1825 Martha Berry Blvd Rome, GA 30165

2/5/2015

Spell, Samantha Suzanne

RN145966

Gary Minkiewicz, MD

39182

2818

200 S. Enota Dr, Suite 200 Gainesville, GA 30501

12/3/2010

Spencer, Ivy

RN123614

Janet Memark, MD

64415

15072

52 Tower Rd Marietta, GA 30060

4/2/2015

Spencer, Leigh Winter

RN139992

Patrick Spafford, MD

38971

2821

5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328

9/11/2008

Spicer, William Troy

RN066989

Langston Cleveland, MD

46584

12426

4468 Union Rd Tifton, GA 31794

10/10/2013

Wednesday, August 12, 2015

Page 335 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Spinks, Victoria Sanvidge

RN131673

James Logan, MD

40465

2824

1062 Forsyth St, Suite 2C Macon, GA 31201

7/11/2008

Spinolo, Julia

RN135827

Honeycutt, Deborah MD

38633

10535

2000 Clayton State Blvd SC 211 Morrow, GA 30260

3/1/2012

Spires, Kimberly Warren

RN145338

Robert Blackwell, MD

50128

13177

3708 Northside Dr Macon, GA 31210

5/1/2014

Spivey, Jennifer Wildes

RN138202

James Sinclair, MD

36457

15275

306 Westside Dr Douglas, GA 31533

4/2/2015

Springman, Courtney Louise

RN167104

Robert Clark Brown, MD

56269

12024

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

7/11/2013

Springman, Courtney

RN167104

Brian Kogon, MD

53322

11028

1405 Clifton Rd. Atlanta, GA 30322

10/5/2012

Sprout, Amanda Marie Baldwin RN162398

Rembert Williams, MD

28105

12312

2122 Manchester Exprwy, Emer Dept Columbus, GA 31904

9/13/2013

Sprung, Melanie

RN106133

Frini Shah, MD

57489

14675

2000 Professional Way, Ste 200 Woodstock, GA 30188

1/8/2015

Spurr, Melissa Marie

RN070342

Ermina Mujadzic, MD

64868

13711

447 N Belair Rd., Ste 101 Evans, GA 30809

9/11/2014

Spurr, Melissa Marie

RN070342

Vanessa Stewart, MD

55201

12014

820 St Sebastian Way, Suite 4-A Augusta, GA 30901

12/6/2013

St. Louis, Latersha Sherrell

RN170535

Grace Chin-Yut, MD

40886

7874

2100 Comer Avenue, Plaza G Columbus, GA 31902

4/2/2009

St. Vil-Joseph, Carline

RN241694

Isioma Okwumabua, MD

70256

14099

7530 Roswell Rd Atlanta, GA 30350

10/9/2014

Staebler, Suzanne Lynn

RN237262

David Carlton, MD

28738

14580

80 Jesse Hill Jr Dr Atlanta, GA 30303

1/8/2015

Stallings, Judith

RN146014

Daniel Holtz, MD

62891

15087

4550 Cobb Parkway N W, Ste 309 B Acworth, GA 30101

4/2/2015

Wednesday, August 12, 2015

Page 336 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stallings, Kimberly Ann

RN147939

Sackdinanh Keomahathai,
MD

51054

9827

550 Redmond Rd Rome, GA 30165

6/30/2011

Stamegna, Lynn Mary

RN127250

Christopher Riddell, MD

21796

8892

2540 Windy Hill Rd Marietta, GA 30067

2/5/2010

Stamm, Alice Marie Nash

RN052926

Gretchen Diaz-Lopez, MD

52918

9606

2709 Airport Rd, Suite 101 Dalton, GA 30721

4/1/2011

Stamper, Michael Scott

RN113457

Daryl Carson Wiley, MD

32327

2834

315 Fluker Street Thomson, GA 30824

4/13/2007

Stanaland, Leslie Carrie

RN205273

Byron Sizemore, MD

63959

12483

100 Mimosa Dr, 2nd Floor Thomasville, GA 31792

11/8/2013

Stancel, Stephanie Tara

RN169676

Vicki Morgan, MD

25645

13258

3815 Harrison Rd Loganville, GA 30052

6/6/2014

Stancel, Stephanie

RN169676

Smith, Ronnie MD

45338

10304

543 Jonesb oro Road McDonough, GA 30263

1/6/2012

Standiford, Christen Faith

RN175956

Lawrence Zottoli, MD

36639

13020

4704 Augusta Rd Garden City, GA 31408

7/10/2014

Standiford, Christen Faith

RN175956

Eduard Docu, MD

56426

13021

1302 Drayton St Savannah, GA 31410

4/4/2014

Stanfield, Jennifer Michele Free RN135249

Ashwini Gore, MD

65776

15015

265 Sheraton Blvd Macon, GA 31210

3/5/2015

Stanfill, Teresa Lyn Bradberry

RN077658

James McAvoy, MD

18696

2836

109 College Avenue Elberton, GA 30635

11/7/2008

Stanley, Robin Chavon

RN209175

Nandlal Chainani, MD

44893

14153

1610 John Orr Dr, Ste E Tifton, GA 31794

11/7/2014

Stanley, Robin Chavon

RN209175

Navdeepa Chainani, MD

63840

14360

72 Kent Rd., Ste 4 Tifton, GA 31794

11/7/2014

Stargell, Elizabeth Ann

RN160119

James Brad White, MD

39510

13519

119 Ambulance Dr, Suite 202 Carrollton, GA 30117

7/10/2014

Wednesday, August 12, 2015

Page 337 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stariha, Linda Sadler

RN042551

Robert Strauss, MD

27307

2841

1700 Hospital South Drive, Suite 502 Austell, GA 30106

2/5/2009

Stark, Suzanne

RN066998

Oscar Salvat, MD

49742

13208

220 Alston St. Richland, GA 31825

6/6/2014

Starnes, Maureen E.

RN159717

John Shoffner, MD

32655

8776

1 Dunwoody Park South, Suite 250 Atlanta, GA 30338

12/4/2009

Starrett, Laura Lynn Collins

RN093153

Amy Bailey, MD

62809

10995

7850 Hwy 145 Carnesville, GA 30521

10/5/2012

Staub, Laurie M

RN081873

Rodney Smith, MD

18553

2847

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

8/6/2015

Stauff, Bertha Nichols

RN169008

Kristy Carter, MD

62666

2848

11 Charlie Morris Rd Colbert, GA 30628

1/7/2010

Steding, Dawnelle

RN187046

Huff, Philip MD

26872

10624

6385 McGinnis Ferry Rd, Ste 202 Johns Creek, GA 30005

3/29/2012

Steele, Katherine Long

RN064448

Velens Plummer, MD

49496

14257

6410 W John Xing Duluth, GA 30097-1507

11/7/2014

Steerman, Holly

RN209945

Kinsey, Gary MD

30637

10658

4 North Main Street Maysville, GA 30558

5/4/2012

Steff, Ryan David

RN229397

Alonzo Jones, MD

36787

12421

2300 Manchester Expwy, Ste 2001 Columbus, GA 31904

1/8/2015

Stegall, Kelly

RN181599

Kavieh Ehsanipoor, MD

20309

14807

4750 Waters Ave, Ste 452 Savannah, GA 452

2/5/2015

Stegall, Carolyn Lovejoy

RN230998

Jonathan Stegall, MD

69967

14086

10700 Medlock Bridge Rd, Ste 207 Johns Creek, GA 30097

10/9/2014

Stegall, Carolyn Lovejoy

RN230998

Bruce Ramsdell, MD

18722

12633

3145 Peachtree Rd NE, Suite 165 Atlanta, GA 30305

12/6/2013

Stein, Charles

RN197545

Steven Bouldin, MD

67110

15480

304 Turner McCall Blvd Rome, GA 30165

7/9/2015

Wednesday, August 12, 2015

Page 338 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stein, Christina Lynn Bisca

RN076478
RN076478

Ariana Buchanan, MD

48323

11781

1800 Peachtree St NW, Suite 720 Atlanta, GA 30309

4/4/2013

Steinberg, Kimberly

RN245855
RN245855

Brian Herrmann, MD

54219

15774

5455 Meridian Mark Rd, Ste 130 Atlanta, GA 30342

7/9/2015

Steinmetz, Jami Dearmon

RN124632

William Mahle, MD

50110

12250

1405 Clifton Rd NE, Heart Transplant Atlanta, GA 30322

9/13/2013

Steinmetz, Jami Dearmon

RN124632

Claudia Venable, MD

50455

9127

1001 Johnson Ferry Rd Atlanta, GA 30342

6/4/2010

Steinmeyer, Ashleigh Lauren

RN203151

Joseph Griffin, MD

14811

14150

423 Crawford Ave Augusta, GA 30904

11/7/2014

Stemberger, Jennifer Williams

RN145780

Jay Prakash, MD

25986

2854

4865 Bill Gardener Pkwy Locust Grove, GA 30248

10/8/2010

Stembridge, Fredicia LaSandra

RN207096

Chandresh Viradia, MD

53050

11641

100 Jim Mason Ct, Suite A Warner Robins, GA 31088

3/8/2013

Stemp, Linda Denise

RN170552

George Rafeedie, MD

67591

12397

2878 Five Forks-Trickum Rd, Suite 2A Lawrenceville, GA 3004 11/8/2013

Stemp, Linda D.

RN170552

Bryan D. Blake, MD

40613

11293

1650 Honey Creek Commons, Ste F Conyers, GA 30013

11/2/2012

Stephan, Karen Marie

RN160130

Brian Kogon, MD

53322

10972

1405 Clifton Rd Atlanta, GA 30322

9/13/2012

Stephens, Bryan

RN189936

Song Na, MD

38059

15730

4995 Lanier Island Pkwy Buford, GA 30518

7/9/2015

Stephens, Andrea

RN238076

Stepen Finn, MD

46961

14781

1825 Martha Berry Blvd Rome, GA 30165

2/5/2015

Stephens, Amanda Meeler

RN175504

David Allen, MD

24773

13700

120 Trinity Place Athens, GA 30607

9/11/2014

Wednesday, August 12, 2015

Page 339 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stephens, Melia Ann

RN167716

Angelica James-Herry, MD

48362

11900

1405 Clifton Rd, 4th Floor, AFLAC Atlanta, GA 30322

6/7/2013

Stephens, Cheryl L.

RN069200

Arif Patni, DO

42916

11563

260 Elm St. Cumming, GA 30040-2467

2/7/2013

Stephens, Ceretha

RN211903

Lopez, Daniel MD

64597

10848

643 Main Street Palmetto, GA 30268

7/12/2012

Stephens, Cheryl

RN069200

Sinclair, Courtney MD

45208

10519

310 Paper Trail Way, Ste 109 Canton, GA 30115

3/1/2012

Stephens, Melia Ann

RN167716

Joy Smith, MD

38968

9406

35 Jesse Hill Jr Dr Atlanta, GA 30303

10/8/2010

Sterling, Kristen Heather

RN167843

Satish Rao, MD

66739

14190

1120 15th St Augusta, GA 30912

11/7/2014

Sterling, Kristen Heather

RN167843

Jeremy Pantin, MD

66390

12564

1120 15th St, BA-5409 Augusta, GA 30912

1/9/2014

Stern, Christina

RN185213

Jyoti Sharma, MD

69709

16118

275 Collier Rd, Ste 300 Atlanta, GA 30309

8/6/2015

Stevens, Lacey Nicole

RN201841

John Blankenship, MD

49529

9752

1500 Oglethorpe Ave, Suite 2000 Athens, GA 30606

6/3/2011

Stevens, Joy Manry

RN108425

Cynthia Dolan, MD

35615

8419

565 Old Norcross Road, Suite 200 Lawrenceville, GA 30045

1/9/2009

Stevens, Deena Pierce

RN069281

Joenie Almeida, MD

45694

2863

527 Eisenhower Drive Savannah, GA 31406

11/7/2008

Stevens, Joy Manry

RN108425

Michelle Futral, MD

36378

8083

2045 Peachtree Rd, Ste 525 Atlanta, GA 30309

11/1/2007

Steves, Amy Brewster

RN193370

Roy Rajan, MD

66553

13077

2015 Uppergate Dr NE Atlanta, GA 30322

4/4/2014

Steves, Amy Brewster

RN193370

Deborah Burton, MD

39297

8518

2550 Windy Hill Rd, Suite 307 Marietta, GA 30067

5/7/2009

Wednesday, August 12, 2015

Page 340 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stevick, Jennifer Ann

RN115879

Eric Anderson, MD

51577

14806

209 Pendleton Dr Valdosta, GA 31602

2/5/2015

Stewart, Cassandra

RN170295

Peter Hinds, MD

71130

15922

1950 Palmyra Albony, GA 31707

8/6/2015

Stewart, Deborah Margaret

RN124133

Peter Wrobel, MD

40285

15252

1406 Alice St Wycross, GA 31501

4/2/2015

Stewart, Jacquelyn

RN111294

Shahed Brown, MD

61400

14767

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Stewart, Shalonna Nonique

RN189558

Kenneth Grotz

37820

14888

4150 Washington Rd, Ste 11 Evan, GA 30809

2/5/2015

Stewart, Fallon Kay

RN226921

Joshua Vova, MD

60484

14836

1001 Johnson Ferry Rd N E Atlanta, GA 30342

2/5/2015

Stewart, Yancey

RN170667

Sendhil Subramanian, MD

49107

14470

1000 Johnson Ferry Rd, Ste B 155 Marietta, GA 30068

12/4/2014

Stewart, Martha Lynn

RN218645

Paul Weinberg, MD

23244

13538

631 Professional Dr, Ste 350 Lawrenceville, GA 30046

7/10/2014

Stewart, Daphnee Leigh Johnso RN112736

Lisa Miller, MD

38874

2868

4152 Baker St., NE Covington, GA 30014

6/6/2014

Stewart, Natalie Holland

RN170096

Thomas Chun, MD

47580

12800

55 Whitcher St, Suite 250 Marietta, GA 30060

2/6/2014

Stewart, Merry Ann

RN205580

Robert West, MD

43818

12251

465 North Belair Rd, Suite 2-B Evans, GA 30809

10/10/2013

Stewart, Dana Michelle

RN145278

Cynthia Brown, MD

49876

12143

815 Curtis Pkwy SE Calhoun, GA 30701

8/9/2013

Stewart, Katherine Anna

RN175513

Sharad Ghamande, MD

49173

9004

1120 15th Street, Suite BA-7411 Augusta, GA 30912

3/4/2010

Stillman, Elizabeth Bernice

RN176064

Jeff Reinhardt, MD

47250

12276

725 Jesse Jewell Pkwy SE, Suite 200 Gainesville, GA 30501-3

9/13/2013

Wednesday, August 12, 2015

Page 341 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Stinchcum, Anna

RN169306

Busman, Michael MD

40628

10042

922 E. Jefferson Street, Suite B Americus, GA 31709

11/3/2011

Stively, Deborah

RN119496

Sydney Hendrix, MD

56459

11144

228 Memorial Dr. Jesup, GA 31545

10/5/2012

Stivers, Amy Louise

RN169713

Saman Ghaffari, DO

56446

13969

2121 Fountain Dr., Ste D Snellville, GA 30078

9/11/2014

Stocker, Melody Love

RN184595

Akintoye, Adebukola MD

38164

10812

3420 Buford Dr, Ste E-780 Buford, GA 30519

7/7/2012

Stoddard, Samantha Denice Jet RN102555

Gurinderjit Kaur-Sidhu, MD

35275

2876

7444 Hannover Pkwy, Suite 100 Stockbridge, GA 30281

12/4/2009

Stokes, Kelly Christina

RN220700

Altee Johnson, MD

60387

15208

101 Yorktown Dr, Ste 110 Fayetteville, GA 30214

5/8/2015

Stokes, Marcia Lynette

RN103931

Anurupa Damineni, MD

47419

7750

1670 Clairmont Rd Decatur, GA 30033

2/6/2014

Stoll, Sarah

RN183437

Chen, Jonathen DO

60811

10205

55 Whitcher Street, Ste 160 Marietta, GA 30066

12/1/2011

Stone, Karon Lynn Merritt

RN081884

Jeffrey Grimes, MD

58673

15012

326 W Montgomery Crossroad Savannah, GA 31406

3/5/2015

Stone, Kathleen Nissly

RN065002

Thomas Olson, MD

40180

2880

1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322

6/6/2008

Storey, Amber Brooke

RN213604

Craig Bishop, DO

45725

14618

2412 N Oak St Valdosta, GA 31602

1/8/2015

Storey, susan

RN060668

Proctor, Robert MD

8863

10521

310 Eisenhower Drive, Ste 5 Savannah, GA 31406

6/8/2012

Storms, Katherine

RN212978

Thomas Gary, MD

60264

15727

123 Weaver Rd, Ste A Blairsville, GA 30512

6/4/2015

Story, Heather Lynne

RN149564

Fabian Franco, MD

47430

13574

1743 Watson Blvd, Suite A Warner Robins, GA 31093

7/10/2014

Wednesday, August 12, 2015

Page 342 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Story, Leigh Ann Woods

RN095778

James Dunaway, Jr, MD

31588

5358

305 South 8th St Griffin, GA 30224

10/10/2013

Stough, Ashley

RN182841

Cheryl McGowan, MD

70484

15460

11705 Jones Bridge Rd, Ste A 201 Johns Creek, GA 30005

5/8/2015

Stout, Mandy Rees

RN206377

Alan Moy, DO

58990

13556

501 Redmond Rd Rome, GA 30165

7/10/2014

Stovall, Susan Melinda McPhers RN063851

Brij Singh, MD

43777

8822

1181 Old Summerville Rd Rome, GA 30165

1/7/2010

Stowe, Patricia A

RN022471

Ernest Jones, DO

41851

2881

135 Dogwood Street Warwick, GA 31796

10/4/2007

Stoyle, Sheryl

RN104589

Oscar Salvat, MD

49742

15636

618 East Lamar St Americus, GA 31709

6/4/2015

Straach, Brittany

RN202333

Hunsel, Ryan MD

66508

10423

1170 Cleveland, South Fulton Medical Center East Point, GA 2/3/2012

Straub, Sharnee Elizabeth

RN077156

Michaele Brown, MD

57052

14569

2487 Cedarcrest RD, Ste 714 Acworth, GA 30101

2/5/2015

Strickland, Kelleigh Jean

RN146690

Kevin Smith, MD

41961

14960

4450 Nelson Brogdon Blvd Buford, GA 30518

8/6/2015

Strickland, Thomas

RN064327

Devin Handley, MD

48356

12475

2659 Abutment Rd Dalton, GA 30720

11/8/2013

Strickland, Thomas

RN064327

Jay Thomas, MD

47997

9185

5764New Calhoun Hwy NE Shannon, GA 30172

7/1/2010

Strickland, Thomas E.

RN064327

Eric Jensen, MD

50304

8237

1107 Memorial Dr, Suite 300 Dalton, GA 30720

12/4/2008

Strickland, Thomas

RN064327

Michael Witt, MD

26045

2887

1289 Gi Maddox Pkwy Chatsworth, GA 30705

5/9/2008

Strickland, Tina Michele Huie

RN127023

Margaret Still, MD

31332

2888

1380 Upper Hembree Road Roswell, GA 30076

11/1/2007

Wednesday, August 12, 2015

Page 343 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Strigle, Catherine Marshall

RN215756

Louis Hempel, MD

33106

12920

6918 McGinnis Ferry Road Suwanee, GA 30024

3/6/2014

Stringer, Marsha

RN134286

Robert Marler, MD

35947

15797

2435 Old Cornelia Hwy Gainesville, GA 30507

7/9/2015

Stroud, Melissa F.

RN145301

Ui Ho Park, MD

18938

9379

3889 Cobb Pkwy NW Acworth, GA 30101

11/5/2010

Stubbs, Rachel Cowan

RN112208

Gifford Lorenz, MD

30816

12752

310 Eisenhower Dr, Suite 5 Savannah, GA 31406

1/9/2014

Stubbs, Allison

RN135494

Owen, Frances MD

40973

10386

7000 Wellnes Way, Ste 7230 St. Simon's Island, GA 31522

1/6/2012

Stubbs, Rachel Cowan

RN112208

Jerry Williams, Jr, MD

63231

9897

602 1st Ave Tybee Island, GA 31328

8/5/2011

Stuckey, Megan Danielle

RN199743

Daryl Wiley, MD

32327

12257

315 Fluker St Thomson, GA 30824

9/13/2013

Stuckey, Jennifer Tade

RN148291

Teresa Luhrs, MD

32778

5363

682 Hemlock St, Suite 210 Macon, GA 31201

9/2/2010

Stull, Mildred

RN043103

Holly Clemons, MD

71921

14493

747 SouthHill St Griffin, GA 30224

12/4/2014

Stump, Catherine

RN192344

Melissa Sanchez Quiroz, MD 64056

15878

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

7/9/2015

Stump, Catherine Elizabeth

RN192344

William Warren, IV, MD

23126

9797

1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318

6/3/2011

Stuparits, Melissa Lynn

RN191978

Michelle Evans, MD

52171

10973

35 Collier Road NW Atlanta, GA 30309

9/13/2012

Sturcken, Doris Jean Junkin

RN067070

Mark Todd Smith, MD

37908

2898

1303 D'Antignac St., Ste 2500 Augusta, GA 30901

5/10/2007

Sturdivant, Shuconda Kanta

RN194195

Ifeoma Nnaji, MD

63931

14090

1300 Joseph E. Boone Blvd, NW Atlanta, GA 30314

10/9/2014

Wednesday, August 12, 2015

Page 344 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Suao-Castleberry, Tania

RN102569

David Smith, DO

33707

9661

13081 Hwy 9 Alpharetta, GA 30004

5/6/2011

Suao-Castleberry, Tania

RN102569

Kenneth Rice, MD

47251

9347

1628 Market Place Blvd Cumming, GA 30041

12/3/2010

Suao-Castleberry, Tania

RN102569

Douglas Olson, MD

51073

2900

Northside Hosp - ER, 1000 Johnson Ferry Rd Atlanta, GA 303 9/14/2007

Suchanek, Brittany

RN205834

Weinkle, David MD

38645

10671

PO Box 422002 Atlanta, GA 30342=9002

5/4/2012

Suddeth, Misty

RN113269

Carl Orquia, MD

51074

15601

2001 Antioch Rd Dalton, GA 30721

6/4/2015

Suggs, Melisa A

RN202534

Josephine Lopez, MD

44125

9196

1500 Oglethorpe Ave, Suite 100 Athens, GA 30606

9/2/2010

Sullins, Lisia

RN112143

James Rogan, MD

37662

15507

700 Park Regency Place, Ste 2502 Atlanta, GA 30326

5/8/2015

Sullins, Lisia Ann

RN112143

Scott Tarplee, DO

21057

2902

2300 Parkwood Drive Brunswick, GA 31520

12/4/2009

Sullivan, Haley Patterson

RN197605

Steven Leichter, MD

40452

12746

2425 Brookstone Centre Pkwy Columbus, GA 31904

1/9/2014

Sullivan, Virginia

RN116948

Blatt, Jacob MD

57935

10362

55 Whitcher Street, Ste 350 Marietta, GA 30060

1/6/2012

Sullivan, Virginia Therese

RN116948

William Brown, MD

21653

2906

355 Tower Road, Suite 300 Marietta, GA 30060

4/2/2009

Sumler, Todd Alan

RN127085

Jeffrey Silveira, MD

41953

13330

312 Westside Dr Douglas, GA 31533

6/6/2014

Sumler, Todd Alan

RN127085

Wilson DuMornay, MD

68723

13331

312 Westside Dr Douglas, GA 31533

6/6/2014

Sumler, Todd

RN127085

Douglas Moss, MD

41178

10908

814 Northwood Park Valdosta, GA 31602

8/10/2012

Wednesday, August 12, 2015

Page 345 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Summerlin, Jill

RN174048

James Graham, MD

30071

15829

2225 U.S HWY 41 N Tifton, GA 31794

8/6/2015

Summerlin, Jill

RN174048

Sanford Hawkins, MD

44229

15532

915 Gordon Ave Thomasville, GA 31792

6/4/2015

Summerlin, Jill Marie

RN174048

Flavia Rossi, MD

69623

15143

2225 US Hwy 41 North Tifton, GA 31794

4/2/2015

Summerlin, Aurelia King

RN186148

Vasily Assikis, MD

52530

7983

775 Poplar Rd, Suite 310 Newnan, GA 30265

5/1/2014

Summerlin, Melissa Davis

RN174484

Frank Lake, III, MD

11972

9761

743 Spring St Gainesville, GA 30501

6/3/2011

Summerour, Lanissa Rae

RN130632

Bradwell McAlister, MD

40480

14545

340 Exchange Blvd Bethlehem, GA 30620

7/9/2015

Summerville, Glenda June

RN129461

Carl Goolsby, MD

34144

2908

176 Marietta Hwy Hiram, GA 30141

11/7/2008

Summey, Kristin Bryson

RN162508

Caroline Yaphockun, MD

53213

12534

330 Turner McCall Blvd, Suite 4000 Rome, Ga 30165

11/8/2013

Summey, Kristin Bryson

RN162508

James Douglas, MD

33569

8292

15 Riverbend Drive, Suite 100 Rome, GA 30161

9/11/2008

Sumner, Karen

RN063858

Carlos Osmon, MD

16653

15687

1700 Hospital South Dr, Ste 300 Austell, GA 30106-8116

6/4/2015

Sumner, Melissa Lampp

RN146794

Michael B. Sumner, Jr, MD

63062

11476

3002 Allen Dr, Suite C Evans, GA 30809

4/4/2013

Sumner, Erin

RN177081

Israel B.D. Bryson, MD

54797

11215

2251 W. Elm St.; P.O. Box 371 Wrightsville, GA 31096

11/2/2012

Sumner, Melissa Lampp

RN146794

Mathew Ciechan, II, MD

24217

8996

400 Town Park Blvd, Suite 300 Evans, GA 30809

2/5/2010

Sumner, Melissa Lampp

RN146794

Timothy Mecredy, MD

30652

7853

393 North Belair Road Evans, GA 30809

11/1/2007

Wednesday, August 12, 2015

Page 346 of 400

APRN Name
Sunara-Waters, Adriana Karen

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Samir Belagaje, MD

64896

14741

80 Jesse Hill Jr Dr SE, Box 11G028 Atlanta, GA 30303

3/5/2015

Susin, Barbara Leeanne Weitzel RN116490

James Harbin, MD

38507

5365

10155 Eagle Dr Covington, GA 30014

7/11/2013

Sutherland, Joanna

RN110992

Ellner, James MD

35861

10983

120 Stone Bridge Parkway Woodstock, GA 30189

10/5/2012

Sutton, Stephanie Le Ann

RN171885

Gary Smith, MD

10666

13004

615 East Villanow St Lafayette, GA 30728

4/4/2014

Sutton, Beverly Lorraine Head

RN035712

Wiley Smith, MD

63133

12362

218 North Fredrick St Dalton, GA 30721

10/10/2013

Sutton-Aransevia, Joylene Winif RN152000

Haritha Pabbathi, MD

64236

11861

600 Parkway North, 1st Floor Newnan, GA 30265

5/3/2013

Sveum, Jonne

RN091126

Renwick Hood, MD

24265

5366

761 Old Norcross Road Lawrenceville, GA 30045

3/6/2009

Swain, Angela Denise Dunsmor

RN124349

Julia Gaines, MD

40384

2914

5041 Dallas Hwy, Bldg 2, Suite D Powder Springs, GA 30127

6/4/2010

Swartzberg, Barbara Jane Brow RN081904

James Capes, MD

38438

2916

550 Peachtree Street Atlanta, GA 30308

9/14/2007

Swatts, Brandi Jackson

RN190818

John Jenkins, II, MD

62726

12214

612 West Gordon St, Suite C Thomaston, GA 30286

9/13/2013

Sweat, Robin Leanne

RN215104

Marc Coan, MD

33295

13826

58 Big A RD Toccoa, Ga 30577

9/11/2014

Sweeney, Barbara A

RN046828

William Waren, MD

23126

14392

1015 Donald Lee Holloway Pkwy Atlanat, GA 30318

1/8/2015

Sweigart, Valorie Ann Wilson

RN071880

Brooks Moore, MD

53336

2920

550 Peachtree St NE Atlanta, GA 30308

4/2/2009

Swerdlin, Rachel Felice

RN175610

Kavita Patel, MD

68850

11901

1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta, GA 30322

6/7/2013

RN218916

Wednesday, August 12, 2015

Page 347 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Swiger, Nicole Belcher

RN116714

Jay Thomas, MD

47997

9314

6000 Joe Frank Harris Pkwy, NW Adairsville, GA 30103

9/2/2010

Swilling-Nobles, Ericka

RN140778

Heather Henry, MD

44231

14820

1255 Hwy 54 West Fayetteville, GA 30214

4/2/2015

Swilling-Nobles, Ericka Denise

RN140778

Heather Henry, MD

44231

9603

327 S. 9th St Griffin, GA 30224

3/4/2011

Swilling-Nobles, Ericka Denise

RN140778

Henry Watson, Jr, MD

25399

8754

1795 Washington Rd East Point, GA 30344

12/3/2010

Switzer, Traci Larue Warner

RN108709

Mark El-Deiry, MD

66483

13123

550 Peachtree Rd, 9th Floor, MOT Atlanta, GA 30308

5/1/2014

Swofford, Lisa Ann Staib

RN132537

William Swofford, MD

46262

2831

210 W. Main Street, Suite 2 Colquitt, GA 39837

3/6/2009

Swords, Christine Ann

RN184840

Nizar Eskandar, MD

47425

9794

455 South Main St, Suite 201 Hinesville, GA 31313

9/1/2011

Sykes, Mary Elizabeth

RN081905

Michael Satchell, MD

49593

15713

2822 Nottingham Way, Ste 4 Albany, GA 31707

7/9/2015

Sykes, Mary

RN081905

Angela Dawson, MD

40895

15347

2734 Ledo Rd., Ste 15 Albany, GA 31707

6/4/2015

Sykes, Mary Elizabeth Werne

RN081905

Dwayne Watkins, MD

53054

12080

2734 Ledo Rd, Suite 15 Albany, GA 31707

7/11/2013

Sykes, Mary

RN081905

Jordan, Brian MD

53561

10343

1048 E. Forsythe Street Americus, GA 31709

6/8/2012

Sykes, Mary Elizabeth

RN081905

Aina, Olakunle MD

48968

10094

200 Palmyra Road Emer Dept Albany, GA 31701

10/7/2011

Symes-Gilbert, Sandra

RN200358

Whitney Feinberg, MD

42100

14046

3795 Mansell Rd. Alpharetta, GA 30022

10/9/2014

Szabo, Christa Lauren

RN233644

Melissa Davis, MD

59141

12560

1013 N 5th Ave Rome, GA 30165

12/6/2013

Wednesday, August 12, 2015

Page 348 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Szczepanski, Crystal

RN176079

Bryan Morse, MD

62396

15908

80 Jesse Hill Jr Dr SE Atlanta, GA 30303

8/6/2015

Szczepanski, Crystal Renee

RN176079

Damon Kimes, MD

50322

9450

60 Hospital Rd, Emer Dept Newnan, GA 30263

12/3/2010

Szczepanski, Crystal Renee

RN176079

Jeffrey Nicholas, MD

48377

7953

69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Rm 308 Atlanta, GA 30 11/1/2007

Taff, Audie Jean

RN024079

Kingsley Iyamu, MD

44493

9209

1850 Lake Park Dr, Suite 218 Smyrna, GA 30080

8/6/2010

Tai, Eva Chen

RN183964

Una Scruggs, MD

69636

13956

2660 Satellite Blvd Duluth, GA 30096

9/11/2014

Tai, Eva Chen

RN183964

Amy Pattishall, MD

60781

11701

1645 Tullie Circle Atlanta, GA 30329

3/8/2013

Talley, Lynette

RN156813

Talley, Thomas MD

33895

10093

414 5th Avenue Albany, GA 31701

10/7/2011

Tan, Grace Madrazo

RN180141

Nelson Madrazo, MD

49862

11741

103 Ga Hwy 27 East Americus, GA 31709

3/8/2013

Tangban, Frances

RN224625

Neha Soni, MD

60096

15417

5139 Jimmy Carter Blvd, Ste 205 Norcross, GA 30093

5/8/2015

Tangban, Frances Adaeze

RN224625

Nneka Unachukwu, MD

61715

14379

603 Old Norcross Rd, Ste A Lawrenceville, GA 30046

9/11/2014

Tant, Erin Molly

RN186677

Anne White, MD

30240

9651

909 North 5th Ave Rome, GA 30165

4/1/2011

Tarabicos, Anna-Lisa Marie

RN148036

Stephanie Reid, MD

72643

14405

1001 Johnson Ferry Rd Atlanta, GA 30342

9/11/2014

Tarabicos, Anna-Lisa Marie Dec RN148036

Joshua Vova, MD

60484

13059

1001 Johnson Ferry Rd NE Atlanta, GA 30342

6/6/2014

Tarpley, Amy Elaine

Amy Elsass, MD

63188

12989

55 Whitcher St, Suite 350 Marietta, GA 30060

4/4/2014

RN159761

Wednesday, August 12, 2015

Page 349 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Tarver, Pamela Gordon

RN164778

Jonathan Wu, MD

53967

13823

2665 North Decatur Rd. Ste430 Decatur, GA 30033

9/11/2014

Tarver, Pamela

RN164778

Snyder, David MD

33711

10120

1490 Milstead Road, Ste A Conyers, GA 30012

10/7/2011

Tate, Stefanie

RN183587

Christopher Cawley, MD

58858

15420

550 Professional Dr Macon, GA 31201

5/8/2015

Taylor, Delisha

RN145142

Joan Ifarinde, MD

62122

15972

125 Victory Dr, Ste B Swainsboro, GA 30401

8/6/2015

Taylor, Jaimi

RN154709

Jameson Estes, MD

48852

15883

545 Venture Ct Monticello, GA 31064

7/9/2015

Taylor, Linda

RN191831

Charles Cowart, MD

29161

15382

1101 Ocilla Rd Douglas, GA 31533

5/8/2015

Taylor, Warene

RN038362

Dana Cason, MD

39302

15370

2122 Manchester Expressway Columbus, GA 31904

5/8/2015

Taylor, Sylvester

RN124210

Mahendra Mandawat, MD

47348

14745

1 Freedom Way Augusta, GA 30904

4/2/2015

Taylor, Linda Michelle

RN191831

Justin Harrell, MD

59162

14267

200 Doctors Dr, Ste 106 Douglas, GA 31533

3/5/2015

Taylor, Jaimi Marie

RN154709

Jeremiah McClure, MD

66228

14900

6501 Peake Rd Macon, GA 31210

2/5/2015

Taylor, Gaynell

Rn178955

Mef Galle, MD

59722

14771

6300 Jimmy Carter Blvd, Ste 110 Norcross, ga 30071

2/5/2015

Taylor, Larissa Ann

RN197160
RN197160

Kevin Whitworth, MD

71910

14373

200 Doctors Dr, Ste P Douglas, GA 31533

12/4/2014

Taylor, Elizabeth Susann

RN209597

Robert Whipple, MD

46279

14147

775 Poplar Rd Newnan, GA 30265

11/7/2014

Taylor, Larissa Ann

RN197160

Debra Lister, MD

38849

14056

1101 Ocilla Rd. Douglas, GA 31533

10/9/2014

Wednesday, August 12, 2015

Page 350 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Taylor, Shelley Sharon

RN164955

Alan Cheng, MD

66271

13696

148 Bill Carruth Pkwy Hiram, GA 30141

9/11/2014

Taylor, Kelly Elizabeth

RN184594

Robert Marler, MD

35947

13323

725 Jesse Jewell Pkwy, Suite 300 Gainesville, GA 30501

7/10/2014

Taylor, Nicole DeWeese

RN176264

Benjamin Cheek, MD

25332

12146

2300 Manchester Expwy, Ste B001 Columbus, GA 31904

8/9/2013

Taylor, Crystal Leigh

RN169794

Lina Harper, MD

55237

11955

303 Darling Ave Waycross, GA 31501

8/9/2013

Taylor, Crystal L.

RN169794

Kristin Walsh, MD

68019

11337

1912 Memorial Dr., Ste. 300 Waycross, GA 31501

12/7/2012

Taylor, Wendy L.

RN154560

Warren J. Henderson, MD

20734

11192

303 Smith St. LaGrange, GA 30240

11/2/2012

Taylor, Lyndsey

RN188938

Washington, Kevin MD

62629

10442

1170 Cleveland Avenue, Emer Dept East Point, GA 30344

2/3/2012

Taylor, Jaimi

RN154709

Rogers, John MD

21040

10132

400 Charter Blvd, Emer Dept Macon, GA 31210

12/1/2011

Taylor, Leslie

RN159262

Wrobel, Peter MD

40285

10168

409 Uvalida Street Waycross, GA 31501

11/3/2011

Taylor, Shelley Sharon

RN164955

Rajnish Prasad, MD

55850

7931

55 Whitcher St, Suite 350 Marietta, GA 30060

6/30/2011

Taylor, Tina Armstrong

RN074994

Olabisi Pearse, MD

49717

9672

2660 Satellite Blvd Duluth, GA 30097

5/6/2011

Taylor, Kristie Denese Helton

RN101845

Paresh Patel, MD

37325

9269

101-B Adams Dr Demorest, GA 30523

9/2/2010

Taylor, Danielle Marie

RN098212

Mohak Dave', MD

51128

9025

743 Spring St, Emergency Dept Gainesville, GA 30501

4/1/2010

Taylor, Stephanie Purvis

RN126365

Wallace Anderson, DO

28708

2929

1311 Ocilla Road Douglas, GA 31533

12/4/2009

Wednesday, August 12, 2015

Page 351 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Taylor, Tina Armstrong

RN074994

Robert Brown, MD

56269

2944

5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342

6/6/2008

Taylor, Alice Ruth Wajick

RN045223

George Wheeler, MD

33751

2928

1218 Alice Street Waycross, GA 31501

6/6/2008

Taylor, Sharon Louise Webster

RN151696

Rahil Kazi, MD

41593

2941

1707 Watson Warner Robins, GA 31093

11/1/2007

Taylor, Shalu Renee

RN174968

Mohan Papudesu, MD

29063

2940

610 Ferncrest Drive Sandersville, GA 31082

7/13/2007

Taylor-Jones, Antoinette

RN157407

Elia, Hany MD

30055

10900

3421 Mike Padgett Hwy Augusta, GA 30906

7/12/2012

Tchaya, Sylvie V

RN172042

Pamella Charles-Pryce, MD

58155

12504

7530 Roswell Rd Atlanta, GA 30350-4837

11/8/2013

Teagarden, Diane Leigh Agosti

RN105822

Charles Epstein, MD

16228

8496

1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

3/6/2009

Teagarden, Diane Leigh Agosti

RN105822

Suzette LaRoche, MD

46149

8497

1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

3/6/2009

Teagarden, Diane Leigh Agosti

RN105822

Sandra Helmers, MD

48784

2947

1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322

3/6/2009

Tedder, Cathy M.

RN045228

Larry Stewart, Jr., MD

27123

9507

1024 Keith Dr Perry, GA 31069

12/3/2010

Teel, Lesley Dale

RN175477
RN175477

Clement Anthony, MD

27752

14544

710 Center St Columbus, GA 31901

12/4/2014

Teel, Lesley Dale

RN175477

John Marshall, MD

45877

11959

1200 Memorial Dr, Emer Dept Dalton, GA 30720

8/9/2013

Teffault, April Lynn

RN128774

Eva Takacs-di Lorenzo, MD

48859

10987

202A Lakeshore Dr St Mary's, GA 31558

9/13/2012

Tejeda, Grace Powell

RN175665

Kathryn Neely, MD

46189

11817

310 Paper Trail Way, Suite 306 Canton, GA 30115

4/4/2013

Wednesday, August 12, 2015

Page 352 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Telemaque, Coyette

RN184550

Thenmozhi Sinjaram, MD

65060

15523

3850 Windermere Pkwy, Ste 105 Cumming, GA 30041

6/4/2015

Telemaque, Coyette Annisee

RN184550

Isioma Okwumabua, MD

70256

14087

4397 Sudderth Rd Sugar Hill, GA 30518

10/9/2014

Telemaque, Coyette Annisee

RN184550

Alexander Osowa, MD

57551

12562

3331 Hamilton Mill Rd, Syite 1102 Buford, GA 30519

12/6/2013

Tellano-Daniel, Ruth L.

RN205639

David A. Stone, MD

24501

11537

367 Clear Creek Pkwy Lavonia, GA 30553

1/11/2013

Terrell, Karen Jean

RN171345

John Blumer, MD

53101

12152

3222 Shrine Rd, Suite A Brunswick, GA 31520

8/9/2013

Terry, Clare Soileau

RN098219

Keisha Callins, MD

65643

13728

401 S. Madison St. Albany, GA 31701

9/11/2014

Terry, Barbara Vaughan

RN134412

Richard Young, MD

21218

2952

958-A Joe F. Harris Pkwy, Suites 101 & 105 Cartersville, GA 3 7/1/2010

Tesh, Ana Lynn

RN140783

F. Clark Cantrell, MD

28948

11885

777 Franklin Rd Marietta, GA 30067

5/3/2013

Tetreault, Colette

RN150205

Francis, Milele MD

55218

10702

1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/4/2012

Thackston, Tricia

RN154255

Janet Fason, MD

48773

16018

1762 Mars Hill Rd NW Acworth, GA 30101-8091

8/6/2015

Thackston, Tricia Williamson

RN154255

Nicole Ash-Mapp, MD

42993

13553

1762 Mars Hill Rd NW Acworth, GA 30101-8091

7/10/2014

Thackston, Tricia Williamson

RN154255

Ed Childs, MD

67203

12271

80 Jesse Hill Dr SW Atlanta, GA 30303

2/6/2014

Thames, Linda

RN122730

Shahram Rezaiamiri, MD

49939

16131

900 Eagles Landing Pkwy Stockbridge, GA 30281

8/6/2015

Tharp, Charles

RN087692

Rina Eisenstein, MD

58466

14735

1010 Clairmont Rd Decatur, GA 30033

3/5/2015

Wednesday, August 12, 2015

Page 353 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Tharp, Mary Beth Bruner

RN104841

Robersteen Howard, MD

40103

2955

330 Turner McCall Blvd, Suite 4000 Rome, GA 30165

11/1/2007

Theobald, Kamie

RN149771

Donna Yeiser, MD

42981

15442

802 22nd St Columbus, GA 31904

5/8/2015

Theobald, David Alan

RN151127

Curtis Clark, DO

47068

12293

610 19th St Columbus, GA 31901-1528

9/13/2013

Theobald, Kamie Dawn

RN149771

Mark Oliver, MD

48557

9484

2416 Capstone Court Columbus, GA 30919

12/3/2010

Theus, Heather Michelle

RN206952

Mehrdad Seilanian Toosi,
MD

67089

12938

200 S Enota Dr, Suite 200 Gainesville, GA 30501

2/6/2014

Thiel, Shelba Jean Riddle

RN073654

Cathy Lipton, MD

29028

13234

3720 Davinci Ct, Ste 400 Norcross, GA 30092

5/1/2014

Thiel, Shelba Jean Riddle

RN073654

Taylor Graves, MD

40082

2958

1821 Clifton Rd NE Atlanta, GA 30329

2/7/2013

Thigpen, Judith Lee

RN201767

Tania Edwards, DO

53465

12350

7413 Whitesville Rd, Suite 700 Columbus, GA 31904

10/10/2013

Thomae, Maria Carmen

RN135792

Indrani Bongu, MD

49418

2961

2804 Hill Creek Drive Augusta, GA 30909

6/8/2007

Thomas, Tanya

RN177598

Joel Ransom, MD

71749

16110

745 Poplar Rd Newnan, GA 30265

8/6/2015

Thomas, Megan

RN210259

Prasad Rao, MD

55640

15653

677 Church St, Box 111 Marietta, GA 30060

6/4/2015

Thomas, Sushmita

RN208915

Alexis Cutchins, MD

67925

15297

1525 Clifton Rd, Ste 408 Atlanta, GA 30322

5/8/2015

Thomas, Genver

RN156631

Kenneth Grotz, MD

37820

15217

4150 Washington Rd, Ste 11 Evans, GA 30809

4/2/2015

Thomas, Robin

RN219545

Gertrude Arrington, MD

27036

14764

1720 Phoenix Blvd, Ste 900,600 College Park, GA 30349

2/5/2015

Wednesday, August 12, 2015

Page 354 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Thomas, Anita

RN143191

Lynn Schlanger, MD

32289

14683

1670 Clarimont Rd Decatur, GA 30033

2/5/2015

Thomas, Tawya Scherri

RN156089

Amber Zafar, MD

47384

14064

5448 Whittlesey Blvd., Ste B Columbus, GA 31909

9/11/2014

Thomas, Maquissa LaShanta

RN154661

Thomas Taylor, MD

33212

13104

477 Windsor St SW, Suite 309 Atlanta, GA 30312

4/4/2014

Thomas, Patricia Ann

RN076259

Candice Wallace, MD

30918

12124

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Thomas, Robin Althea

RN219545

Stephen Messner, MD

59282

11663

1001 Johnson Ferry RD NE, Suite 500 Atlanta, GA 30342

2/7/2013

Thomas, Carol Ann

RN053639

Tanjela M. Jackson, MD

54755

10975

3620 M.L. King Jr. Drive., SW Atlanta, GA 30331

10/5/2012

Thomas, Hyacinth

RN192999

David Arkin, MD

28136

9621

758 Old Norcross Rd, Suite 175 Lawrenceville, GA 30046

4/1/2011

Thomas, Patricia Ann

RN076259

Philip Cannon, MD

29853

2970

1000 Medical Center Blvd Lawrenceville, GA 30045

1/9/2009

Thomas, Charmaine Betty

RN163447

William Michael Brown, MD 21653

8328

355 Tower Road, Suite 300 Marietta, GA 30060

11/7/2008

Thomas, Constance Faye Coker

RN060973

Jacob Ward, MD

32075

2965

1200-B Buckhead Crossing, Suite B Woodstock, GA 30189

9/14/2007

Thomas-Cloud, Rosemary

RN150780

Samuel Bleuez, MD

60241

15978

745 Poplar Rd Newnan, GA 30265

8/6/2015

Thomas-Cloud, Rosemary

RN150780

Richard Wright, MD

46927

10985

1103 Forest Parkway Forest Park, GA 30297

10/5/2012

Thomas-Cloud, Rosemary

RN150780

Odujebe, Oladapo MD

60950

10238

1103 Forest Park Forest Park, GA 30297

12/1/2011

Thomas-Cloud, Rosemary

RN150780

Joyce Drayton, MD

38737

8655

PO Box 1536 Lawrenceville, GA 30046

9/3/2009

Wednesday, August 12, 2015

Page 355 of 400

APRN Name

RN#

Delgating Physician

Thomason, Thera Sumner

RN169994

Anuj Chandra, MD

Thomas-Osuntokun, Heather R

RN171973

Gerald Feuer, MD

THOMAS-SHAW, LASHONTE

RN226912

MELISSA SCHEPP, MD

Thompkins, Fabia Brown

RN180911

Thompson, Leslie

PHY#

Protocol #

Protocol Address

Effective

13425

111 Pine St. Trenton, GA 30752

8/7/2014

9768

980 Johnson Ferry Rd, Suite 900 Atlanta, GA 30342

5/6/2011

50221

13784

677 CHURCH ST MARIETTA, GA 30060

9/11/2014

Edward Young, MD

36325

9360

777 Hemlock St, MSC 104 Macon, GA 31201

10/8/2010

RN237918

Steven Leichter, MD

40452

15553

2425 Brookstone Centre Pkwy Columbus, GA 31904

7/9/2015

Thompson, Brenda

RN070005

Franklin Conner, MD

33555

15568

1608 Meadows Lane, Ste 1 Vidalia, GA 30474

7/9/2015

Thompson, Kathryn

RN209023

Margaret RichardsonNixon, MD

55015

15558

2225 US Hwy 41 North Tifton, GA 31794

6/4/2015

Thompson, Andrea

RN139742

Cathy Harper-Hogan, MD

44228

14648

124 Third St Macon, GA 31201

1/8/2015

Thompson, Leslie

RN237918

Katrina Parker, MD

40510

14728

2425 Brookstone Ctr Pkwy Columbus, GA 31904

1/8/2015

Thompson, James Arthur

RN077718

Lisa Rudolph-Watson, MD

42414

14524

401 Old Albany Rd Thomasville, GA 31792

12/4/2014

Thompson, Natalie Nicole

RN170568

Ray Bennett, MD

56526

13426

1325 Commerce Dr, Ste 200 Peachtree, GA 30269

8/7/2014

Thompson, Joyce S

RN049631

Michael Miller, DO

27869

13642

1670 Clairmont Rd, Ste 508 (MC170) Decatur, GA 30033

8/7/2014

Thompson, Jennifer Smith

RN142971

Julian McLendon, MD

38557

13541

1502 West 3rd St. Jackson, GA 30233

7/10/2014

Thompson, Rebecca Lynn

RN183921

William Pullen, MD

17270

12890

1200 Memorial Drive Dalton, GA 30720

5/1/2014

Wednesday, August 12, 2015

41753

Page 356 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Thompson, Alexa Denise

RN147104

Suzana Montana, MD

45097

2973

3780 Holcomb Bridge Rd, Suite C Norcross, GA 30092

2/6/2014

Thompson, Natalie Nicole

RN170568

Shameka McElhaney, MD

54854

12527

2670 Cobb Pkwy SE Smyrna, GA 30080

11/8/2013

Thompson, Johnetta

RN153018

Yvonne Smith, MD

42443

11907

3600 Dallas Hwy SW Marietta, GA 30064

11/8/2013

Thompson, Kelly

RN134604

Narayan, Nalini MD

44287

10318

705 Dixie Street Carrollton, GA 30117

1/6/2012

Thompson, Colette

RN067355

Hart, Ronald MD

46115

10145

247 Union Point Street Lexington, GA 30648

10/7/2011

Thompson, Jill

RN164801

Griffin, Kerry MD

62042

10133

1942 Atkinson Road, Suite 100 Lawrenceville, GA 30043

10/7/2011

Thompson, Amy Elizabeth

RN161642
NP

Keith Lencher MD

54234

9990

2110 Powers Ferry Road SE Suite 302 Atlanta, GA 30339

10/7/2011

Thompson, Darrel Winifred

RN120888

Alice House, MD

43065

9596

100 College Station Dr Macon, GA 31206

2/4/2011

Thompson, Brenda Meadows

RN070005

Vijitha Prasad, MD

40520

9139

544 W. Church Street Swainsboro, GA 30401

8/6/2010

Thompson, Johnetta

RN153018

Muhammad Sheikh, MD

59195

9215

2774 North Cobb Pkwy Kennesaw, GA 30152

8/6/2010

Thompson, Jennifer Smith

RN142971

Sam Khair, MD

35194

9071

145 Eagle's Walk, Suite A Stockbridge, GA 30281

4/1/2010

Thompson, Johnetta

RN153018

Daryl Sherrod, MD

49976

8983

4480 South Cobb Dr SE Smyrna, GA 30080

2/5/2010

Thomson, Susan

RN078351

Donald Siegel, MD

11475

15723

555 N Indian Creek Dr Clarkston, GA 30021

7/9/2015

Thomson, Caitlin Bachler

RN190461

David Capallo, MD

19649

13626

11806 Mercy Blvd. Savannah, GA 31419

8/7/2014

Wednesday, August 12, 2015

Page 357 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Thornbury, Sarah

RN235312

Jeffrey Brewster, MD

52896

15707

Thorne, Julia

RN207895

John Mersereau, MD

14936

14542

2050 Cumming Hwy, Ste 100 Canton, GA 30115

1/8/2015

Thorne, Julia

RN207895

Craig Banta, MD

48873

11112

2050 Cumming Hwy, Ste 100 Canton, GA 30115

10/5/2012

Thorne, Julia McClellan

RN207895

Donna Haley, MD

40916

9515

100 Medical Lane, #1-3 Canton, GA 30114

12/3/2010

Thornsberry, Joshua Dane

RN222716
9

Julian Isakow, MD

52750

11909

1700 Hospital South Dr, Suite 409 Austell, GA 30106

6/7/2013

Thornton, Anita Lyn

RN081936

Sidney Greenstone, DO

17812

13975

374 Coats Drive Toccoa, GA 30577

10/9/2014

Thornton, Lisa Kathryn

RN145384

Luther Vance, MD

19354

12892

3065 South Cobb Drive Suite B Smyrna, GA 30080

4/4/2014

Thornton, Lisa Kathryn

RN145384

Jeffrey Esslinger, MD

45455

11679

300 Courtyard Dr, Suite A Cartersville, GA 30120

3/8/2013

Thornton, Lois

RN104839

Nehmetallah, Jules MD

55262

10536

410 Darling Avenue Waycross, GA 31501

6/8/2012

Thrasher, MaryAnn

RN174775

Paul Walker, DO

46272

14839

1150 Powder Springs Rd Marietta, GA 30069

2/5/2015

Thrower, Eileen

RN082194

Schaefer, Timothy MD

47524

10705

1700 Hospital South Drive, Ste 500 Austell, GA 30106

5/4/2012

Tichy, Claire Elise

RN190553

Thomas Chun, MD

47580

9753

55 Whitcher St, Suite 250 Marietta, GA 30060

6/3/2011

Tickle, Kelly Marie

RN228738

Carolyn Bennett, MD

58729

13000

1405 Clifton Rd NE, 4th floor, Tower 1 Atlanta, GA 30322

4/4/2014

Tidman, Lee Ann Palmer

RN043489

Raymond E. Tidman, MD

32826

2995

101 RiverStone Vista, Suite 206 Blue Ridge, GA 30513

4/13/2007

Wednesday, August 12, 2015

6/4/2015

Page 358 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Tidwell, Amber Nickolina

RN125386

Jennifer Beckman, MD

66453

13701

523 Dixie St Ste. 3 Carrollton, GA 30117

9/11/2014

Tidwell, Amber Nickolina

RN125386

Thomas Jensen, MD

67654

11728

101 Quartz Dr, Suite 103 Villa Rica, GA 30180

3/8/2013

Tierney, Chasity Christina

RN208126

Cynthia Murray, MD

58374

13650

3686 Wheeler Rd. Augusta, GA 30909

8/7/2014

Tillery, Traci

RN106991

Shannon Vaughn, MD

46000

15778

304 Turner McCall Blvd Rome, GA 30165

7/9/2015

Tillman, Suzanne

RN102011

Danni Suskin, MD

36883

15127

500 Midical Center Blvd, Ste NICU Lawrenceville, GA 30046

4/2/2015

Tillman, Candace M.

RN142932

Beverly Brown, MD

42534

7836

477 Windsor St, Suite 309 Atlanta, GA 30312

11/5/2010

Tillman, Judith Jacobs

RN101937

Robert Blackwell, MD

50128

8296

3708 Northside Drive Macon, GA 31204

10/2/2008

Timmins, Christopher Louis

RN202115

David R. Persaud, MD

70703

13155

772 Maddox Dr., Ste. 122 Ellijay, GA 30513

4/4/2014

Timmons, Lauren B.

RN187007

Thuy T. Bui, MD

49276

11512

P.O. Box 422022 Atlanta, GA 30542

3/8/2013

Tinsley, Pamela Ruth Dorris

RN079447

Steven Lenhard, MD

39153

8305

790 Church Street, Suite 250 Marietta, GA 30060

10/2/2008

Tinson, Aretha Marie

RN121032

Andrea Bretal, MD

64777

12393

618 East Lamar St Americus, GA 31709

10/10/2013

Tinson, Aretha Marie

RN121032

Salvador Ramos-Camacho,
MD

69937

12394

23 Old School Rd. Georgetown, GA 39854

10/10/2013

Tipton, Anga-Lee

RN102211

Marler, Robert MD

35947

10833

725 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501

7/12/2012

Tobia, Sherry Hoefling

RN057356

Benedict Benigno, MD

17010

3003

980 Johnson Ferry Road, NE Atlanta, GA 30342

4/13/2007

Wednesday, August 12, 2015

Page 359 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Toburen, Kathryn Dale Ricks

RN113267

Michael Ikeler, MD

44942

11849

465 N Belair Rd, Suite B Evans, GA 30809

5/3/2013

Todd, William Lewis

RN165626
RN082793

Jeffrey Switzer, DO

53184

14977

1120 15th St. Augusta, GA 30912

3/5/2015

Tojino, Samantha Shoemaker

RN238441

Conrado Tojino, DO

72145

14035

3623 J. Dewwey Gray Circle, Ste 210 Augusta, GA 30909

10/9/2014

Tolbert, Gentry Elizabeth Broac RN175489

Sanjeen Tenkolkar, MD

63066

14120

4589 Lawrenceville Rd Loganville, GA 30052

11/7/2014

Tolcher, Maria

RN148026

Elmers, Anna MD

60248

10344

2020 Peachtree Road NW Atlanta, GA 30309

2/3/2012

Tolcher, Kelly Lynn Languell

RN119473

John Potts, MD

17642

3005

365 N. Jeff Davis Drive Fayetteville, GA 30214

10/4/2007

Tolleson, Brenda

RN118107

Ralph Warnock, MD

17337

15424

4421 Carnes St Acworth, GA 30101

5/8/2015

Tolliver-Epps, Stephanie

RN203228

Joe Robinson Jr. MD

22465

14751

840 Pine St, Ste 880 Macon, GA 31201

2/5/2015

Tomlinson, Daniel Patrick

RN216775

Jay Goldstein, MD

45229

15303

4700 Waters Ave, ER Savannah, GA 31404

4/2/2015

Tomlinson, Lori Gordon

RN183464

Guillermo Saurina, MD

48570

12686

2301 N Ashley St Valdosta, GA 31602

1/9/2014

Toney, Cheryl Virginia Warren

RN047891

Leslie Cottrell, MD

45194

3010

1600 Maple St. Carrollton, GA 30118

6/8/2007

Toole, Ronda Speir

RN113445

Mary Bell Vaughn, MD

49552

13590

3448 Vineville Ave. Macon, GA 31204

8/7/2014

Torres, Lorena

RN190875

Scott Parry, DO

#####

14932

730 Ponce de Leon Place, Ste B Atlanta, GA 30306

2/5/2015

Torres, Daniela

RN189159

Reuben Ellis, MD

55819

14551

1445 Georgia Ave, Ste 3 Macon, GA 31201

12/4/2014

Wednesday, August 12, 2015

Page 360 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Towler, April Pearson

RN176177

John Layher, MD

46692

9922

2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606

8/5/2011

Towner, Susan

RN053829

Doreen Luis, MD

37601

14723

1350 Walton Way Augusta, GA 30901

3/5/2015

Towner, Susan B.

RN053829

Reginald Nesbitt, MD

58300

8578

1350 Walton Way Augusta, GA 30901

7/10/2009

Towns, Lisa Spencer

RN192270

Michael Sumner, MD

63062

12138

1120 15th St, BI-5092 Augusta, GA 30912

8/9/2013

Townsell, Barbara Anne Schwe

RN093580

Catherine Strickland, MD

65819

13560

304 Shorter Ave, Suite 103 Rome, GA 30165

7/10/2014

Townsell, Barbara Anne Schwe

RN093580

Brenda Budlong, MD

34749

13559

304 Shorter Ave, Suite 102 Rome, GA 30165

7/10/2014

Townsend, Natalia Monique

RN176609

Angelica James-Henry, MD

48362

14367

1405 Clifton Rd NE, Tower 1 4th Floor Atlanta, GA 30322

12/4/2014

Townsend, Stephanie Tia

RN183339

Sandra Diehl, MD

31237

12588

709 Canton Rd, Suite 200 Marietta, GA 30060

1/9/2014

Townsend, Stephanie Tia

RN183339

Larry Tune, MD

37409

8481

1821 Clifton Road NE Atlanta, GA 30329

2/5/2009

Tracewski, Meghan Anne

RN218122

Jeffrey Klick, MD

65581

13195

1001 Johnson Ferry Rd NE Atlanta, GA 30342

5/1/2014

Trapp Jr, Lester Phillip

RN119757

Thomas Hurd, MD

27070

3018

55 Whitcher Street, Suite 130 Marietta, GA 30060

3/7/2008

Trawick, Latonia Michelle

RN144873

Habigaile Cribe, MD

50874

14073

550 Peachtree St, NE 7th Flr Atlanta, GA 30308

10/9/2014

Traylor, Ashley Ellen

RN201356

George Harrison, MD

62116

13702

222 Perry Hwy Hawkinsville, GA 31035

9/11/2014

Traylor, Winnifred Ann

RN151832

Michael Groover, MD

35059

13246

7345 Red Oak Rd Union City, GA 30291

5/1/2014

Wednesday, August 12, 2015

Page 361 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Trent, Amy

RN154502

Gordon Turner, MD

59524

15606

743 Spring St. NE Gainesville, GA 30501

6/4/2015

Trent, Amy Reilly

RN154502

Emem Udo, MD

63142

13504

743 Spring St. Gainesville, GA 30501

7/10/2014

Treston, Amanda Kathryn

RN203487

Nick A. Vlachos, MD

62624

11425

100 Glenn Bass Rd LaGrange, GA 30240

11/8/2013

Treston, Amanda

RN203487

Hatcher, James MD

14634

10775

900 Dallas Street, Ste D LaGrange, GA 30240

6/8/2012

Tripp, Sarah Sabri

RN160040

Hetal Thakore, MD

53556

13475

3651 Wheeler Rd. Augusta, GA 30909

7/10/2014

Trivedi, Tran B

RN188936

John Budell, MD

17369

15042

5019 Lavista Rd Tucker, GA 30084

4/2/2015

Trivedi, Tran B

RN
188936

Nipun Patel, MD

46800

12351

3646 Chamblee-Tucker Rd, STE B Chamblee, GA 30341

11/7/2014

Trivedi, Tran B

RN188936

Anupama Ravikanth, MD

48297

12195

335 Roselane St, Suite 203 Marietta, GA 30060

9/13/2013

Trouille, Lori

RN140275

Steven G. Dawson, MD

62198

11057

2501 Patterson St. Valdosta, GA 31603

11/2/2012

Trouse, Shannon Ashlee

RN135047

Paul Steinwachs, MD

42736

7822

1336 3rd Ave Columbus, GA 31901

1/9/2014

Truelove, Eddie

RN212011

Satishchandra Patel, MD

28058

14614

3000 Schatulga Rd Columbus, GA 31907

1/8/2015

Truelove, Eddie Jean Eckford

RN212011

Chrissie Clure, MD

49281

13384

800 E, 70th St. Savannah, GA 31405

6/6/2014

Trull, Frieda

RN107422

Perkel, Joshua MD

56343

10623

1062 Forsyth Street, Ste 2A Macon, GA 31201

3/29/2012

Trussell, Sharl Ann

RN084787

Frances Ferguson, MD

35625

10757

1212 E. Union St, PO Box 679 Vienna, GA 31092

6/8/2012

Wednesday, August 12, 2015

Page 362 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Tu, Cindy Lao

RN156557

Thomas Morrow, MD

39879

9137

5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004

6/4/2010

Tuck, Linda J.

RN045697

Eduard Docu, MD

56426

8184

102 Bryan Woods Road Savannah, GA 31410

5/9/2008

Tuck, Mildred Elizabeth Wall

RN021526

F. Geoffery Conner, MD

33555

3026

1608 Meadows Lane Vidalia, GA 30474

3/7/2008

Tucker, Becky Conley

RN137050

Gerald Filmore, MD

50288

15392

865 South 1st St Jesup, GA 31545

5/8/2015

Tucker, Tiffany Jones

RN140294

Clayton Cox, MD

28523

5381

668 Lanier Park Dr Gainesville, GA 30501

11/8/2013

Tucker, Jason

RN162699

Hassanyeh, Akram MD

29881

10718

1058 Bermuda Run Rd Statesboro, GA 30458

6/8/2012

Tupko Maloy, Anna

RN198112

James Bailey, MD

28368

15607

743 Spring St NE Gainesville, GA 30501

6/4/2015

Turk, Pamela Diane Kight

RN101998

John Arnett, MD

38423

15070

200 Doctors Dr, Ste. 106 Douglas, GA 31533

6/4/2015

Turner, Camille

RN182755

Faith Andrews, MD

44158

15582

525 Forest Pkwy, Ste 100 Forest Park, GA 30297

7/9/2015

Turner, Martricia

RN150217

Mihaela Ille, MD

62895

15277

855 Veterans Memorial Hwy SE Mableton, GA 30126-2733

4/2/2015

Turner, Matricia

RN150217

Michael Christa, MD

40637

14558

4250 Brownsville Rd Powder Springs, GA 30127

12/4/2014

Turner, Rachel Anthony

RN202294

Jason Smith, MD

32302

14070

103 John Maddox Dr. NW Rome, GA 30165

10/9/2014

Turner, Darryl Erik

RN234559

Laura Conger, MD

42031

13754

1200 Memorial Dr. Dalton, GA 30720

9/11/2014

Turner, Marion Alicia

RN188149

Caralee Forseen, MD

56054

13807

1120 15th ST Ste.BBR5513 Augusta, GA 30912

9/11/2014

Wednesday, August 12, 2015

Page 363 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Turner, Camille Smith

RN182755

Karina Belinfante, MD

55726

13271

3903 S Cobb Dr, Suite 120 Smyrna, GA 30080

6/6/2014

Turner, Callie Jo Yassney

RN165588

Kenneth Grotz, MD

37820

13299

4150 Washington Rd, Suite 11 Evans, GA 30809

6/6/2014

Turner, Judith Ann Herndon

RN054880

Joshua McNatt, MD

66688

13003

3193 Howell Mill Rd, Suite 306 Atlanta, GA 30327

3/6/2014

Turner, Ashli

RN155163

Louis Battey, MD

21141

10649

275 Collier Road, Ste 500 Atlanta, GA 30309

11/8/2013

Turner, Zachary Paul

RN193966

Partricia Meadors, MD

21006

12193

1968 Peachtree Rd Atlanta, GA 30309

8/9/2013

Turner, Saundra L.

RN079807

Paul D. Forney MD

23155

11016

1119 15th St. Family Medicine Center Augusta, GA 30912

9/13/2012

Turner, Iris

RN077334

Vasantha-Kumar,
Sinnathurai MD

44131

10476

21300 Hwy 82, Ste C Waynesville, GA 31566

2/3/2012

Turner, Callie Jo Yassney

RN165588

Julian Hutchins, Sr., MD

18677

9786

4150 Washington Rd, Suite 11 Evans, GA 30809

6/3/2011

Turner, Christine Elaine

RN073684

Anne Wiskind, MD

29013

8593

1800 Peachtree Rd, Suite 650 Atlanta, GA 30309

6/5/2009

Turner, Meredith Bobb

RN196955

Stephanie Allen, MD

50090

8524

1000 Hawthorne Ave, Suite G Athens, GA 30606

5/7/2009

Turner, Martricia

RN150217

Tami Breton, MD

38695

2003

380 Cherokee Street Kennesaw, GA 30144

7/11/2008

Turner, Christine Elaine

RN073684

Nathan Mordel, MD

45895

3036

105 Collier Rd. Suite 1010 Atlanta, GA 30309

7/13/2007

Tuten, Michelle Webb

RN140344

Samuel Palmer, MD

29061

3044

233 North Houston Rd, Suite 140-F Warner Robins, GA 3109 1/9/2009

Tuttle, Scottie Lauren

RN176628

Michael Manning, MD

33397

15326

2215 Exchange Place Conyers, GA 30013

Wednesday, August 12, 2015

6/4/2015

Page 364 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Twumas, Gifty Owusu

RN186816

Janet Fason, DO

48773

14146

1762 Mars Mill Rd N W Acworth, GA 30101-8091

11/7/2014

Tyre, Mitzi B.

RN170702

Kristen M. Walsh, MD

68019

11412

1912 Memorial Dr., Ste E Waycross, GA 31501

12/7/2012

Tyus, Angela Frances

RN143534

Linda Jones, MD

30111

9536

1500 E. Shotwell St Bainbridge, GA 39819

4/1/2011

Tyus, Angela Frances

RN143534

D. Shawn Surratt, MD

55984

9533

603 S. Wheat Ave, Suite 700 Bainbridge, GA 39819

4/1/2011

Uba, Sabo

RN220844

Angela Dawson, MD

40895

13457

500 Third Ave, Ste 105 Albany, GA 31701

7/10/2014

Uhl, Nichole Anne

RN189945

Timothy Lin, MD

60401

14861

21 Pointe North Dr Cartersville, GA 30120

2/5/2015

Ulmer, Stacy

RN208240

Deborah Shepard, MD

58330

15131

1279 Highway 54 West, Ste 220 Fayetteville, GA 30214

6/4/2015

Underwood, Ashley

RN192047

Henry Lewis, MD

49052

16068

6001 Cumming Hwy, Ste 1 Sugar Hill, GA 30518

8/6/2015

Unongo, Cindy

RN097437

Mae Morgan, MD

22902

15657

424 Decatur St SE Atlanta, GA 30312

8/6/2015

Ura, Chiemi Amanda

RN184301

Jane Ellis, MD

44208

11737

69 Jesse Hill Jr Dr SE, OB/GYN Dept Atlanta, GA 30303

3/8/2013

Usher, Madeline

RN167457

William Coleman, MD

#####

15876

1211 Palmyra Rd Albany, GA 31701

7/9/2015

Usher, Madeline

RN167457

Angela Dawson, MD

40895

15842

500 W Third Ave, Ste 105 Albany, GA 31701

7/9/2015

Uwazie, Nkeiru

RN185085

Cassandra Wanzo, MD

35165

14776

601 Bombay Lane Roswell, GA 30076

2/5/2015

Uwazie, Nkeiru Ngozi

RN185085

Miles Johnson, MD

38817

12953

150 Fiddlers Ridge Fayetteville, GA 30214

2/6/2014

Wednesday, August 12, 2015

Page 365 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Uzokwe, Helen Onyedikachi

RN145805

David Wyatt, MD

42979

12489

5337 Old National Hwy, Suite 100 College Park, GA 30349

11/8/2013

Uzuegbunam, Florence

RN145066

Shahed Brown, MD

61400

14641

1670 Clairmont Rd Decatur, GA 30033

1/8/2015

Vael, Aimee Corley

RN138569

Feoderis Basilio, MD

50092

13964

104 14th Street Columbus, GA 31901

9/11/2014

Vafaeian, Safiah

RN102635

Tyra Harris, MD

61249

16020

950 Towne Lake Parkway Woodstock, GA 30189-1601

8/6/2015

Vafaeian, Safiah

RN102635

Nicole Ash-Mapp, MD

42993

13607

950 Towne Lake Pkwy Woodstock, GA 30189

8/7/2014

Vail, Sara

RN175879

Amaya, Sharon MD

47182

10167

5665 New Northside Drive, Ste 320 Atlanta, GA 30328

10/7/2011

Valenzona, Julieta Gilda

RN192534

Robert B. Copeland, MD

11745

11528

301 Medical Dr. LaGrange, GA 30240

6/7/2013

Vali, Holly Rachelle

RN234253

Annette Hinchcliffe, MD

42607

14485

3400 A Old Milton Pkwy, Ste 510 Alpharetta, GA 30005

12/4/2014

Van Jura, Brandy

RN154901

Williams, Stewart MND

30242

10228

2412 N. Oak Street Valdosta, GA 31602

12/1/2011

Van Lear lll, Murray Martin

RN184337

Mitzi Clayton, MD

61408

14572

145 Eagles Walk, Ste A Stockbridge, GA 30281

12/4/2014

Van Liew, Sybil Lynn Stewart

RN087348

Sanjay Sharma, MD

42119

8572

341 Ponce de Leon Ave NE Atlanta, GA 30308

6/5/2009

Van Patten, Laura Elizabeth

RN149681

Walter James, MD

31948

12424

275 Collier Rd, Suite 500 Atlanta, GA 30309

10/10/2013

Van Patten, Laura Elizabeth

RN149681

David Robertson, MD

27244

9428

77 Collier Rd, Suite 2080 Atlanta, GA 30309

2/4/2011

Vandenburg, George

RN224765

John Marshall, MD

45877

13050

1200 Memorial Dr, Emer Dept Dalton, GA 30720

5/1/2014

Wednesday, August 12, 2015

Page 366 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

VanDenburg, George

RN224765

Roger A. Brooksbank, MD

68120

11153

501 Redmond Rd. Rome, GA 30165

11/2/2012

Vanderstraeten, Delphine

RN208749

Daniel Sandler, MD

42420

9389

4700 Waters Ave, Suite 206 Savannah, GA 31404

11/5/2010

Vanlooy, Christine Elizabeth W

RN064751

Stephen Rosenberg, MD

25661

3068

5780 P'tree Dunwoody Rd, #295 Atlanta, GA 30342

3/6/2009

Vardaman, ll, Robert Michael

RN214917

Tommy Thomas, MD

66829

14410

80 Jessie Hill Jr Dr Atlanta, GA 30303

9/11/2014

Vardman, Marguerite

RN076035

Benedict Benigno, MD

17010

15996

5670 Peachtree Dunwoody, Ste 1150 Atlanta, GA 30342

8/6/2015

Vardman, Marguerite

RN076035

Sunil John, MD

50530

15374

2122 Manchester Expressway Columbus, GA 31908

5/8/2015

Varghese, Susan

RN169364

Steven Eisenberg, MD

36146

15308

5673 Peachtree Dunwoody Rd, Ste 650 Atlanta, GA 30342

5/8/2015

Varghese, Susan

RN169364

David Markham, MD

69311

12777

5673 Peachtree Dunwoody Rd, Suite 650 Atlanta, GA 30342

1/9/2014

Varghese, Mary Laurel

RN201564

Eman Kaldas, MD

49579

12200

3121 Peach Orchard Rd, Suite 103 Augusta, GA 30906

8/9/2013

Varnum, Allison Renee

RN224930

Amber Zafar, Md

47384

14067

5448 Whittlesey Blvd, Ste B Columbus, GA 31909

9/11/2014

Vaughan, Emily

RN155488

Kashyap Patel, MD

57230

14534

200 S Enota Dr, Ste 200 Gainesville, GA 30501

12/4/2014

Vaz, Denise

RN172992

Bob Bagheri, MD

40865

15201

204 Canton Rd Cumming, GA 30040

4/2/2015

Vega, Alicia Luisa

RN095541

Manuel Vega, MD

28227

12416

206-A Hospital Dr Dublin, GA 31021

10/10/2013

Vera, Casey

RN245398

Craig Shapiro, MD

62285

15511

1001 Johnson Ferry Rd Atlanta, GA 30342

5/8/2015

Wednesday, August 12, 2015

Page 367 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Verme, Mirose Philistin

RN182347

Gulshan Harjee, MD

26865

12641

2536 Lawrenceville Hwy Decatur, GA 30033

3/6/2014

Vincent, Sandra Kay

RN129147

Mary Dailey-Smith, MD

50472

3082

5610 Wendy Bagwell Pkwy, Suite 103 Hiram, GA 30141

5/6/2011

Vizinat, David Craig

RN198125

Darryl Harris, MD

32920

12126

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 8/9/2013

Von Herbulis, Kelly A.

RN124495

Bradley S. Buckler, MD

58853

11194

4750 Waters Ave., Ste. 206 Savannah, GA 31404

11/2/2012

Voyles, Bonny Sue Wood

RN168259

George Wheeler, MD

33751

9304

1218 Alice Street Waycross, GA 31501

9/2/2010

Vreeland, Christopher Allen

RN135333

Joseph Khouri, MD

24698

8127

3080 Highlands Pkwy, Suite A Smyrna, GA 30082

1/11/2008

Vrooman, Linda

RN076432

Scott Shapiro, MD

32469

14131

3075 Tower Rd, Ste F Columbus, GA 31909

11/7/2014

Vrooman, Linda August

RN076432

William Harper, MD

20726

12604

1021 Talbotton Rd Columbus, GA 31904

12/6/2013

Vu, Lan Thi

RN134131

Stephanie Gordon, MD

49382

3086

2750 Owens Drive, Suite A Conyers, GA 30094

1/9/2009

Vuchetich, Marion Angelica

RN035686

Jeffrey Lennox, MD

38844

3087

341 Ponce de Leon Avenue NE Atlanta, GA 30308

12/7/2007

Vyverberg, Stephanie Leigh

RN170635

James Lah, MD

41863

8640

1841 Cliftin Road Atlanta, GA 30329

7/10/2009

Vyverberg, Stephanie Leigh

RN170635

Allan Levey, MD

34885

8359

1841 Clifton Road NE Atlanta, GA 30329

11/7/2008

Wade, Nathan

RN220439

Dave Ringer, MD

30368

16025

803 South Main St Greensboro, GA 30642

8/6/2015

Wadud, Mir

RN210808

Hampton, Sharne MD

30375

10849

901 Rice Street Atlanta, GA 30318

7/12/2012

Wednesday, August 12, 2015

Page 368 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Waggoner, Kristina

RN216537

Rajinder Chhokar, MD

21486

15598

2300 Manchester Expwy Butler Pavilion, Ste1001 Columbus,

6/4/2015

Waggoner, Lynda Lee

Rn063518

Gretchen Collins, MD

32712

11789

8201 Hazelbrand Rd Covington, GA 30014

5/3/2013

Wagner, Muna

RN155078

Raymond McKoy, Do

44536

15478

815 Shugart Rd Dalton, GA 30720

5/8/2015

Wagner, Jaclyn Anne

RN206617

Daniel Faith, MD

51798

13499

745 Poplar Rd Newnan, GA 30264

7/10/2014

Wagner, Jaclyn Anne

RN206617

D Eric Jones, MD

45257

11964

8 Eastbrook Bend, Suite B Peachtree City, GA 30269

8/9/2013

Wagner, Jaclyn Anne

RN206617

Brandon Mednick, MD

56138

9929

1255 Highway 54 West Fayetteville, GA 30214

8/5/2011

Wagnon, Justin

RN217684

William White, MD

32326

15722

105 East 4th Ave Cordele, GA 31015

7/9/2015

Waid, Anita

RN218274

Warner, Randy MD

53905

10216

690 Dallas Hwy, Ste 201 Villa Rica, GA 30180

11/3/2011

Waite, Laura Sumner

RN183455

Eric Davis, MD

63648

12830

116 W. Thigpen Ave Suite D Lakeland, GA 31635

1/9/2014

Waits, Cornelia Evelyn Davis

RN033697

Maurice Clifton, MD

61053

3094

MSC Health Clinic - 100 College Station Dr Macon, GA 31206 12/4/2009

Walden-McBride, Deborah Lyn

RN073413

Keith Hannay, MD

25760

3095

304 Shorter Avenue, Suite 201 Rome, GA 30165

2/7/2008

Walker, Carrie

RN190974

Dennis Incorvati, DO

50527

15432

53 Whiteher St, Ste 350 Marietta, GA 30064

7/9/2015

Walker, Linda Faye

rn155384

Deborah Henry, MD

41950

15098

1670 Clairmont Rd Decatur, GA 30033

5/8/2015

Walker, Jewell

RN044181

Joan James, MD

65263

14540

5582 Memonal Dr Stone Mountain, GA 30083

4/2/2015

Walker, Erica Mercedes

RN159359

Roger Morales

55771

14298

333 Alcovy St, Ste 1 Monroe, GA 30655

1/8/2015

Wednesday, August 12, 2015

Page 369 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Walker, Jenny Maria

RN197090

Divina Dyer, MD

57161

13328

2800 Overlook Pkwy Atlanta, GA 30339

6/6/2014

Walker, Sandra Lenette

RN162692

Mubbashir Khan, MD

54327

12908

1007 Mary St Waycross, GA 31501

2/6/2014

Walker, Richard Jerome

RN171841

Jeremy Hess, MD

57818

12405

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

10/10/2013

Walker, Elizabeth Lathrop

RN186102

Kelvin Burton, MD

32101

10974

8464 Adair Street, # B Douglasville, GA 30134

9/13/2012

Walker, Erica

RN159359

Cotton, Byron MD

41098

10650

2785 Lawrenceville Hwy, Ste 207 Decatur, GA 30033

5/4/2012

Walker, Jennifer

RN129698

Harper, William MD

20726

10203

1021 Talbotton Road Columbus, GA 31904

11/3/2011

Walker, Carol

RN118369

G. Timothy Park MD

22859

10011

6175 Newton Drive Covington, GA 30014

9/1/2011

Walker, Melissa D.

RN170353

Bradley Larson, MD

54449

9766

157 Clinic Ave, Suite 101 Carrollton, GA 30117

5/6/2011

Walker, Tracy Lynn

RN090005

Ben Thrower, MD

50311

3103

2020 Peachtree Rd NW Atlanta, GA 30309

2/5/2010

Walker, James Leland

RN094080

Roger Branch, MD

30272

3098

PO Box 538 Metter, GA 30439

11/7/2008

Walker, Carol Walden

RN118369

Heath Hampton, MD

52273

3097

5278 Adams Street Covington, GA 30014

2/7/2008

Walker, Regina Ellen Elliott

RN091762

Michael Maley, MD

34410

3101

269 Ridgecrest Circle Clayton, GA 30525

4/13/2007

Walker Anderson, Sandra

RN162692

Charmaine RamsayThomas, MD

45321

15630

1111 Glynco Parkway Building 2 Brunswick, GA 31525

6/4/2015

Wall, Wendy

RN141043

Terry Banks, MD

48206

15298

3518 Veteran's Parkway Colunbus, GA 48206

5/8/2015

Wednesday, August 12, 2015

Page 370 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wall, Donna Van Bladel

RN134321

Kathleen Long, MD

38549

12183

148 Bill Gardner Pkwy, Suite 260 Hiram, GA 30141

9/13/2013

Wall, Donna Van Bladel

RN134321

Navin Wadehra, MD

58346

9822

6002 Professional Pkwy, Suite 220 Douglasville, GA 30134

8/5/2011

Wall, Anthony B

RN045285

John Michael West, MD

20621

3104

740 Prince Ave, Bldg 15 Athens, GA 30606

4/2/2009

Wallace, Cynthia S

RN046062

Stephen Nickisch, MD

67257

14176

203 Lakeshore Point St Marys, GA 31558

11/7/2014

Wallace, Stephanie Ruth

RN136273

Melissa Schepp, MD

50221

3108

677 Church St Marietta, GA 30060

4/4/2014

Wallace, Cynthia S

RN046062

Fareed Kadum, MD

22993

8622

203 Lakeshore Point, Suite A St. Mary's, GA 31558

7/10/2009

Walsh, Laurie Ann Gagliano

RN140799

Scott Leibowitz, MD

53477

13974

5673 Peachtree Dunwoody, Ste 775 Atlanta, GA 30342

9/11/2014

Walsh, Janette J.

RN164556

Alexander Gross, MD

30078

3113

1505 Northside Blvd, Suite 1500 Cumming, GA 30041

5/6/2011

Walston, Pastelle

RN242754

Elizabeth Messulam, MD

44786

14958

3421 Mike Padgett Hwy Augusta, GA 30906

2/5/2015

Walter, Sherry

RN134482

Pat Eagleson, MD

65102

15720

1230 Baxter St Athens, GA 30606

7/9/2015

Walter, Susan Wheeler

RN078025

Charles Hitson, MD

26554

3115

231 Graefe Street Griffin, GA 30223

11/1/2007

Walters, Bridget M

RN146103

Eugene Jackson, MD

22793

15179

118 Norman Dorminy Dr Fitzgerald, GA 31750

4/2/2015

Walters, Bridget M

RN

Thomas Mann, MD

37607

14323

182 Perry House Rd Fitzgerald, GA 31750

10/9/2014

Walton, Nurah Jamilah

RN186508

Paul Harvey, MD

48960

13174

6572 River Park Dr, Suite 102 Riverdale, GA 30274

5/1/2014

Walton, Nurah Jamilah

RN186508

Richard Wright, MD

46927

13176

315 Upper Riverdale Rd Riverdale, GA 30274

5/1/2014

Wednesday, August 12, 2015

Page 371 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Walz, Tammie Elizabeth Way

RN077768

Joe K. Griffin, Jr., MD

38501

3119

1326 Eisenhower Dr. Savannah, GA 31406

5/10/2007

Wanager, Ashley McKinney

RN184702

Carlton Kemp, Jr., MD

46870

9316

4700 Waters Ave, Suite 507 Savannah, GA 31404

10/8/2010

Wandurraga, Megan Mewborn

RN203584

Kristin Delahanty, MD

50878

12833

2450 Atlanta Hwy Suite 103 Cumming, GA 30040

1/9/2014

Wanner, Heather Brown

RN229572

Randy Durbin, DO

64776

12630

4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004-2921

12/6/2013

Ward, Kevin

RN147488

Sean Miles, MD

52084

15673

1605 Hwy 34 E, Ste A2 Newnan, GA 30265

6/4/2015

Ward, Antionette

RN130649

Alexis Cutchins, MD

67925

15124

1525 Cliftion Rd, Ste 408 Atlanta, GA 30045

3/5/2015

Ward, Jennifer Carol

RN235092

Suzette Chin, MD

58955

13167

21 Pointe North Drive Cartersville, GA 30120

4/4/2014

Ward, Sandra A.

RN148845

Charles Allen Semones

51737

11255

8453 Queen Anna Drive Tallahassee, FL 3237

11/2/2012

Ward, Sandra

RN148845

Moss, Douglas MD

41178

10112

415 Woodrow Wilson Street Valdosta, GA 31602

10/7/2011

Ward, Sandra

RN148845

Padhiar, Dhanraj MD

22615

10113

207 Northside Drive Valdosta, GA 31602

10/7/2011

Ward, Sandra Lynn Asher

RN148845

Bennett Hogan, MD

50024

9057

117 W. Northside Drive Valdosta, GA 31602

6/4/2010

Ward, Julie Jenell

RN148659

Benjamin Cheek, MD

25332

9048

2300 Manchester Expwy, Ste B001 Columbus, GA 31904

6/4/2010

Ward, Sandra Lynn Asher

RN148845

Arunas Urbonas, MD

54135

8700

3564 N. Crossing Circle Valdosta, GA 31602

8/7/2009

Ward, Sandra Lynn Asher

RN148845

Jonathan Parrott, MD

36246

3123

2501 N Patterson Street Valdosta, GA 31602

9/11/2008

Wednesday, August 12, 2015

Page 372 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Ward, Kevin

RN147488

J. Connor Smith, MD

27916

5447

303 Smith Street LaGrange, GA 30240

10/4/2007

Ware, Althela

rn142278

Frederick Burton, MD

38434

14730

6020 Harrison Rd Macon, GA 31206

1/8/2015

Ware, Altheia Bass

RN142278

Bennie Brown, DO

65085

13230

151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088

9/11/2014

Ware, Altheia

RN142278

Ditaranto, Anthony MD

29865

10262

915 Elmo Street Americus, GA 31709

1/6/2012

Ware, Altheia Bass

RN142278

Howard Willis, MD

30693

8564

1005 Talbottom Rd, Suite B Columbus, GA 31904

7/10/2009

Warner, Amy Elizabeth

RN106324

Nichole LeBoyd, MD

54452

3126

3003 Old Alabama Road Alpharetta, GA 30022

12/4/2008

Warnock, Kimberly

RN203092

Patrick Eagleson, MD

65102

15566

1230 Baxter St Athens, GA 30666

8/6/2015

Warnock, Kirsten Halle

RN210341

Samuel Willimon, MD

65811

13706

5445 Meridian Mark Rd, Suite 250 Atlanta, GA 30342

10/9/2014

Warnock, Kimberly Goodwin

RN203092

Dennis Spencer, DO

47663

13173

1077 South Main St, Emer Dept Madison, GA 30650

5/1/2014

Warren, Courtney Dee

RN173772

Ronald Allen, MD

39274

13686

2910 N. Patterson St. Valdosta, GA 31602

8/7/2014

Warren, Sarah Elizabeth Reiche RN127202

Larry Elam, MD

53491

12697

10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324

2/6/2014

Washington, Kiara

RN221832

Maxwell Prempeh, MD

64054

15445

150 Gentilly Blvd Cartersville, GA 30120

8/6/2015

Washington, Patrick Lynn

RN137952
RN137952

Janet Griffin, DO

46597

12991

5885 Glenridge Dr, Suite 200 Atlanta, GA 30328

4/4/2014

Washington, Renice Andrea

RN102681

Benedict Benigno, MD

17010

3129

960 Johnson Ferry Rd, Suite 130 Atlanta, GA 30342

10/10/2013

Wednesday, August 12, 2015

Page 373 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Washington, Tonita R.

RN198365

Chandra B. Armstrong, MD

43562

11496

1862 Candler Rd. Decatur, GA 30032

9/13/2013

Washington, Barbara Jean

RN145575

Jacqueline Sulton, MD

27675

11805

5700 Hillandale Dr, Suite 150 Lithonia, GA 30058

4/4/2013

Washington, Patrick

RN137952

Jacob, Mina MD

51477

10522

1700 Hospital South Drive, Ste 302 Austell, GA 30106

3/1/2012

Washington, Patrick Lynn

RN137952

Sasidhar Guthikonda, MD

57471

9532

1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214

3/4/2011

Washington, Patrick Lynn

RN137952

Bruce Ramsdell, MD

18722

9225

2225 Godby Road College Park, GA 30349

11/5/2010

Washington, Patrick Lynn

RN137952

Benjamin Camp, MD

44691

8584

705 Dixie Street Carrollton, GA 30117

7/10/2009

Waters, Danielle

RN206177

Vitaliy Gavrikov, MD

61430

15170

1810 GA Hwy 20 SE, Ste 172 Conyers, GA 30013

4/2/2015

Waters, Danielle Nicole

RN206177

Zada Weston-Hill, MD

39009

11768

1810 Hwy 20 Suite 172 Conyers, GA 30013

10/10/2013

Waters, Danielle Nicole

RN206177

Alvin Griffin, MD

32107

9302

1039 E. Freeway Drive Conyers, GA 30094

10/8/2010

Watkins, Cathy Elizabeth

RN083309

Lisa Ortenzi, MD

23395

15737

3405 Dallas Hwy, Ste 505 Marietta, GA 30064

7/9/2015

Watkins, Nicole

RN170663

Iheuwa Ezeh, MD

68509

15253

1826 Veterans Blvd Dublin, GA 31021

4/2/2015

Watkiss, Amy Odom

RN144200

Richard Gorman, MD

31008

5523

1401 Georgian Park, Suite 200 Peachtree City, GA 30269

4/2/2009

Watson, Margaret

RN057926

Samir Belagaje, MD

64896

14430

80 Jesse Hill Jr Dr S E Atlanta, GA 30303

10/9/2014

Watson, Vivian Elaine

RN050405

Carl Johnson, MD

28796

158

1950 Old Ocilla Rd. Tifton, GA 31794

10/5/2012

Wednesday, August 12, 2015

Page 374 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Watson, James

RN201031

Edward Hellman, MD

45823

11131

1610 John Orr Dr., Ste A Tifton, GA 31794

10/5/2012

Watson, Elizabeth K

RN112289

Badre, Shenon MD

52532

3136

2500 Starling Street Ste 501 Brunswick, GA 31520

6/8/2012

Watson, Jennifer G.

RN193806

Mark Hendricks, MD

43061

9331

380 Hospital Dr, Bldg A, Suite 430 Macon, GA 31217

10/8/2010

Watson, Anita Carver

RN117565

Dennis Ashley, MD

33266

9060

777 Hemlock St, Hosp Box 103 Macon, GA 31201

4/1/2010

Watson, Donna M.H.

RN087567

Rodger Chapman, MD

16769

3135

2890 Delk Road Marietta, GA 30067

9/3/2009

Watson, Holly Leo

RN152146

Laura Verigan, MD

54043

7877

51 Hiram Drive, Bldg B Hiram, GA 30141

8/8/2008

Watson, Pamela Kaye Parham

RN142904

Lee Herman, MD

43644

3141

4365 John's Creek Pkwy, Suite 400 Suwanee, GA 30024

7/11/2008

Watson, Marcia Ava Pyne

RN107940

Veronica Garrett, MD

39106

3139

1567 Milstead Road, Suite B Conyers, GA 30012

4/3/2008

Watt, Kathryn Coleman

RN170324

C. Allen Woods, MD

26688

5466

410 Connell Road, Ste A Valdosta, GA 31602

4/13/2007

WATTKIS, EVON ROSILYN

RN196933

TAYLOR GRAVES, MD

40082

13783

1821 CLIFTON RD. NE ATLANTA, GA 30329

9/11/2014

Watts, Shawn

RN128926

Michael Sumner, MD

63062

16100

1120 15th St Augusta, GA 30912

8/6/2015

Watts, Shawn

RN128926

George Pursley, MD

31308

15418

820 Stevens Greek Rd Augusta, GA 30907

5/8/2015

Weaver, Leslie

RN113658

Suzanne Storey, MD

49845

15525

611 Evillanow St Lafayette, GA 30728

6/4/2015

Weaver, Rachel Elizabeth

RN197635

Kathryn Dudas, MD

66025

12142

1856-14 Thompson Bridge Rd Gainesville, GA 30501

8/9/2013

Wednesday, August 12, 2015

Page 375 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Weaver, Gail

RN117742

Bethea, Todd MD

42016

10178

536 Hwy 441 South Clayton, GA 30525

11/3/2011

Weaver, Gail Marner

RN117742

Mohak Dave', MD

51128

3148

743 Spring St Gainesville, GA 30501

6/4/2010

Weaver, Valencia Lavon

RN091813

Karen Muro, MD

37304

8970

497 Winn Way, Suite A-210 Decatur, GA 30030

4/1/2010

Weaver, Doris Munford

RN092374

Georgina Kalaitzidis, MD

56186

8514

1292 Athens Street Gainesville, GA 30507

4/2/2009

Weaver, Judy Elaine

RN089815

Joel Johnson, MD

30799

3149

1007 Greenfield Drive Tifton, GA 31794

10/2/2008

Weaver, Doris Munford

RN092374

David Blomert, MD

40870

3147

1292 Athens Street Gainesville, GA 30507

9/11/2008

Webb, Terrance

RN094097

John George, MD

27815

16088

210 E DeRenne Ave Savannah, GA 31405

8/6/2015

Jack Copeland, MD

30289

15749

725 Jesse Jewell Pkwy SE Gainesville, GA 30501

7/9/2015

Webb, Danny

197364

Webb, Dorraine

RN091563

Jaymal Patel, MD

50984

14777

3120 N Oak St Ext 3 Valdosta, GA 31602

1/8/2015

Webb, Danny Shane

RN197364

James Butts, MD

9103

14855

810 Pine St Gainerville, GA 30501

1/8/2015

Webb, Leah Dawn

RN175520

Nelson Madazo, MD

49862

14523

103 GA Hwy 7 E Americus, GA 31709

12/4/2014

Webb, Mary Elizabeth Howell

RN169815

Frances Ferguson, MD

35625

12601

1212 East Union St Vienna, GA 31092

1/9/2014

Webb, Dorraine Baker

RN091563

Paresh Thanki, MD

55344

12330

3120 North Oak St Ext, Suite C Valdosta, GA 31602

11/8/2013

Webb, Dorraine Baker

RN091563

Muhammad Alam, MD

69167

12323

3015 Veterans Pkwy Moultrie, GA 31788

9/13/2013

Webb, Emily T.

RN213372

Teddy A. Scoggins, MD

29089

11220

611 Villanow St. LaFayette, GA 30728

12/7/2012

Wednesday, August 12, 2015

Page 376 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Webb, Leah Dawn

RN175520

James Palazzolo, MD

37637

11036

804 13th Ave. Albany, GA 31701

11/2/2012

Webb, Dorraine Baker

RN091563

Edwin Hiatt, MD

12920

8974

200 Georgia Ave Valdosta, GA 31698

2/5/2010

Webb, Lindley Banner

RN198044

Ifeyinwa Osunkwo, MD

55681

8446

1405 Clifton Rd, Tower 1, 4th Floor Atlanta, GA 30322

2/5/2009

Weber, Julie Dorsch

RN148627

Eubanks, Amy

52922

10935

101 Quartz Drive, Ste 201 Villa Rica, GA 30180

9/13/2012

Weber, Jennifer Lynn

RN144617

Linda Sacks, MD

24724

3153

4750 Waters Ave, Suite 206 Savannah, GA 31404

5/7/2009

Weber, Julie Dorsch

RN148627

Stephen H. Kahler, MD

30330

5474

150 Henry Burson Drive, Ste 200 Carrollton, GA 30117

7/13/2007

Webster, Carol Anne

RN081776

Courtney Middleton, MD

57295

12907

11975 Morris Road Suite 300 Alpharetta, GA 30005

5/1/2014

Webster, Julie Hilliard

RN083512

Hassan Sayegh, MD

36066

3155

95 Collier Rd, Suite 300 Atlanta, GA 30309

9/13/2013

Webster, Robert Bruce

RN104626

Brian Cross, MD

43190

3156

231 Graefe Street Griffin, GA 30223

11/1/2007

Webster, Katherine H.

RN166485
166485

Suzanne Palmer, MD

25007

5476

750 North Cobb St. Milledgeville, GA 31061

5/10/2007

Weeks, Keela Kathleen

RN155393

O. Goga Vukotic, MD

47576

9474

11050 Crabapple Rd, Bldg A, #104-B Roswell, GA 30075

12/3/2010

Wegner, Jill Yatcko

RN190495

Bruce Burns, MD

48882

8357

800 First St., Ste 410 Macon, GA 31201

12/4/2008

Weierick, Leslie Kay

RN198261

Christopher Wommack, MD 48583

13962

106 Enterprise Crt, Ste A Columbus, GA 31904

9/11/2014

Walter Smith, DO

3160

6330 Riverdale Rd Riverdale, GA 30274

7/10/2014

Weinberger, Ellen Dodie Binder RN128678

Wednesday, August 12, 2015

28895

Page 377 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Weir, Karene Gaile

RN153196

Janet Fason, DO

48773

13385

5435 Five Forks Trickum Rd. Stone Mountain, GA 30087

6/6/2014

Weir, Karene Gaile

RN153196

Eastlyn Harding-Marin, MD

56841

11615

15151 Alvovy Jersey Rd. Covington, GA 30014

4/4/2013

Weitzel, Sybil Stone

RN051662

Olubunkola Olubi, MD

56613

8193

20 Francis Way, Suite 101 Sharpsburg, GA 30277

5/9/2008

Welch, Lanie Demolfetto

RN175924

Jeffrey Dowis, MD

68199

13165

3193 East First St Vidalia, GA 30474

4/4/2014

Welch, Stephanie A.

RN102154

Theresa M. Courtney, MD

#####

11415

Park 60 Georgia 22 Milledgeville, GA 31061

1/11/2013

Welch, Stephanie

RN102154

Duke, Michael MD

42041

10403

134 W. Campus Drive, Cbox 091 Milledgeville, GA 31061

1/6/2012

Welch, Natasha

RN208091

Moore, Xavier MD

55619

10033

4340 Georgetown Square, Ste 608 Atlanta, GA 30338

10/7/2011

Weldon, Kathleen

RN218032

Thomas Guest, MD

40393

14682

5671 Peachtree Dunwoody Rd, Ste 300 Atlanta, GA 30342

1/8/2015

Weldon , Lisa

RN154254

Tidmore Jr., William C. MD

41978

10801

2412 North Oak Street Valdosta, GA 31602

6/8/2012

Weldon, Jennifer

RN115879

Tidmore Jr., William C. MD

41978

10800

2412 North Oak Street Valdosta, GA 31602

6/8/2012

Weldon, Abby

RN169965

Slade, Lance MD

52488

10552

550 Professional Drive Macon, GA 31201

3/1/2012

Weller, Ruby Ann Haddock

RN094541

Paul Weinberg, MD

23244

7742

600 Professional Drive, Suite 160 Lawrenceville, GA 30045

12/7/2007

Wells, Tierra

RN216891

Henry Lewis, MD

49052

15643

774 Highway 96 Bonaire, GA 31005

6/4/2015

Wells, Jamie Elijah

RN140888

Sunderraj Kamaleson, MD

#####

15343

210 E DeRenne Ave. Savannah, GA 31405

4/2/2015

Wednesday, August 12, 2015

Page 378 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wells, Angela Gail Gordon

RN149563

Don Heacock, MD

37564

12205

345 North Cobb St Milledgeville, GA 31061

9/13/2013

Wells, Stephanie Marie

RN135621

Nicole Franks, MD

49691

3170

550 Peachtree Street Atlanta, GA 30308

9/14/2007

Wempe, Elizabeth Talcott

RN137037

Keith Hannay, MD

25760

3172

304 Shorter Avenue, Suite 201 Rome, GA 30165

2/7/2008

Wermers, Victoria Mignon

RN169089

Folashade Omole, MD

49074

3174

2988 Shallowford Road Marietta, GA 30066

12/4/2008

Werner, Melody Kellogg

RN130480

Madhu Vishwanath, MD

56499

3175

4398 Atlanta Hwy Loganville, GA 30052

8/7/2009

Wertz, Lana Michelle Layman

RN108574

Barbara Simmons, MD

34716

13386

833 Campbell Hill St, Ste 400 Marietta, GA 30060

6/6/2014

Wesley, Stacie Allyn Reed

RN143311

Naghma Khan, MD

37252

12209

1645 Tullie Circle Atlanta, GA 30329

9/13/2013

West, Carolyn Delores Green

RN036503

Nicolle Martin, MD

62555

12492

2021 N Druid Hills, Suite 100 Atlanta, GA 30329

8/7/2014

West, Adrienne

RN170279

Sara Mobasseri, MD

57112

10934

95 Collier Rd, Ste 2035 Atlanta, GA 30309

3/8/2013

West, Adrianne

RN170279

Rouse, Charlie MD

44076

10092

100 Professional Place, Ste 303 Carrollton, GA 30117

10/7/2011

West, Pamela LM

RN122688

Donna Van Schuyver, DO

42754

9935

13570 N Main St Trenton, GA 30752

8/5/2011

West, Heather Lynn

RN185014

Medel Reyes, MD

48815

9549

55 Whitcher St, Suite 420 Marietta, GA 30060

3/4/2011

West, Jo Ann

RN033891

Sharon Fitzgerald-Soapes,
MD

16509

3178

3685 Lawrenceville Hwy, Suite 100 Lawrenceville, GA 30044 2/7/2008

Westbrook, Patricia Gay

RN072824

James Butts, MD

9103

3180

PO Box 2683 Gainesville, GA 30503

Wednesday, August 12, 2015

2/5/2010

Page 379 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Westdahl, Claire M.

RN120210

Jane Ellis, MD

44208

8142

69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303

2/7/2008

Weston, Candace

RN051666

Arunachalam, Krishnan MD 24649

10887

800 Virginia Avenue, Ste 200 Hapeville, GA 30354

7/12/2012

Weston, Candace

RN051666

Halleck, Sylvia MD

16356

10720

3955 Harrison Park Rd, Ste 400 Loganville, GA 30052

5/30/2012

Weston, Candace

RN051666

Brown, Beverly MD

42534

10436

3955 Harrison Rd, Ste 400 Loganville, GA 30052

2/3/2012

Wetter, Suzanne

RN154784

Donald Siegel, MD

11475

15837

2101 Womack Rd Dunwooy, GA 30338

7/9/2015

Whaley, Lorna

RN224092

Yard Fattouh, MD

53522

15814

1115 Hwy 76 Chatsworth, GA 30705

7/9/2015

Whaley, Marjorie Nicole

RN193006

John Vender, MD

42475

14128

1120 15 S,t Ste BI 3088 Augusta, GA 30912

11/7/2014

Whaley, Lucie S

RN169622

Shirish Amrutia, MD

70034

12930

55 Whitcher St. Marietta, GA 30060

6/6/2014

Whaley, Janet Lorraine

RN188449

James Smith, MD

59763

12287

1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300 9/13/2013

Whaley, Lucie

RN169622

Dowdell, William MD

27535

10854

55 Whitcher Street, Ste 160 Marietta, GA 30060

9/13/2012

Whaley, Lucie

rn169622

Voccio, Gary MD

29550

10087

1825 Martha Berry Blvd Rome, GA 30165

10/7/2011

Whaley, Janet Lorraine

RN188449

Sreeni Gangasani, MD

48777

9798

755 Walther Rd Lawrenceville, GA 30046

6/3/2011

Whaley, Janet Lorraine

RN188449

John Spaulding, MD

42448

8545

2701 North Decatur Rd Decatur, GA 30033

8/7/2009

Wharton, Kelley Sue

RN113675

Scott Keller, DO

24445

8278

4120 Five Forks Trickum Road, Suite 105 Lilburn, GA 30047

9/11/2008

Whatley, Susan Porter

RN183030

Robert Kaufmann, MD

30115

9413

2001 Professional Pkwy, Suite 220 Woodstock, GA 30188

10/8/2010

Wednesday, August 12, 2015

Page 380 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wheeler, Cheryl

RN037416

Jeffrey Blackmon, MD

55917

15292

1200 Memorial Dr Dalton, GA 30720-2529

6/4/2015

Wheeler, Amy Marie

RN165493

Jason Hefner, MD

61444

14907

104 Prominence Point Pkwy, Ste 104 Canton, GA 30114

2/5/2015

Wheeler, Amy Marie

RN165493

Kathirae Severson

46909

12915

89 Clinic Road Tate, GA 30177

9/11/2014

Wheeler, Melanie Jones

RN077840

Peter Bolan, MD

40825

13961

688 Walnut St. Ste 200 Macon, GA 31201

9/11/2014

Wheeler, Sherrie Lynn

RN135072

Sadiq Sohani, MD

45010

14407

1413 Chattanooga Ave Dalton, GA 30720

9/11/2014

Wheeler, Cheryl A.

RN037416
RN037416

David R. Wharton, MD

25310

11232

100 Gross Crescent Cr. Ft. Oglethorpe, GA 30742

1/11/2013

Whiddon, Teri Suzanne

RN165002

James Palazzolo, MD

37637

14856

804 13th Avenue Albany, GA 31701

1/8/2015

Whiddon, Andrea Lane

RN171380

Anozie Ukaonu, MD

53729

14174

2000 N. Monroe St Albany, Ga 31701

11/7/2014

Whiddon, Alexandra Lee

RN151734

Todd Antin, MD

36495

9577

465 Winn Way, Suite 221 Decatur, GA 30030

2/4/2011

Whitaker, Mauree Harper

RN169930

Laurel Murrow, MD

63376

15213

700 Oglethorpe Ave, Ste C7 Athens, GA 30606

4/2/2015

Whitaker, Mauree Harper

RN169930

Paul Buczynsky, MD

44891

11960

700 Oglethorpe Ave, Suite C-7 Athens, GA 30606

7/11/2013

White, Amanda

RN112970

Paul Hawkins, MD

54741

15428

4421 Carnes St Acworth, GA 30101

5/8/2015

White, Myrtle

RN122830

Shahed Brown, MD

61400

15186

1670 Clairmont Rd Decatur, GA 30033

4/2/2015

White, Katharine

RN136717

Nichole LeBoyd, MD

54452

15190

2945 Panola Rd Lithonia, GA 30038-2313

4/2/2015

Wednesday, August 12, 2015

Page 381 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

White, Dianna Lynn

RN221863

Ralph Warnock, MD

17337

13959

4421 Carnes St Acworth, GA 30101

9/11/2014

White, Susan Lynne

RN070921

Robert Albin, MD

33018

14377

993 Johnson Ferry Rd Bldg C, Ste 300 Atlanta, GA 30342

9/11/2014

White, Deidra K

RN117058

David Parks, MD

27887

2715

148 Bill Carruth Pkwy, Suite 220 Hiram, GA 30141

5/1/2014

White, Sara Barron

RN113401

Patrick Battey, MD

24388

12190

95 Collier Rd, Suite 5015 Atlanta, GA 30309

8/9/2013

White, Katharine

RN136717

Levin, Fred MD

22434

10210

1269 Wellbrook Circle NE Conyers, GA 30012

12/1/2011

White, Opal Williams

RN142311

Dawn Wilson, MD

47279

9158

245 Peachtree Ind Blvd, Suite 100 Sugar Hill, GA 30518

6/4/2010

White, Opal Williams

RN142311

Fareha Rahim, MD

47505

8438

613 Hospital Road Commerce, GA 30529

1/9/2009

Whitehead, Janet Leigh

RN154923

Carmine Oddis, MD

51072

15146

143 Hampton Ridge Rd Macon, GA 31220

4/2/2015

Whitehead, Joanne Marion Tru

RN058514

Gary Olson, MD

20465

8623

1436 Broadrick Dr, Suite B Dalton, GA 30720

6/5/2009

Whiten, Peggy Gail

RN159770

Joon Ahn, MD

48750

13604

2005 S. Enota Dr, Suite 200 Gainesville, GA 30501

8/7/2014

Whitener, Bethany

RN138301

Alana Kent, MD

51241

12859

14244 Highway 515 N Ste 100 Ellijay, GA 30540

11/7/2014

Whitener, Sheila Lynne Butts

RN094116

William Breedlove, MD

26465

5406

162 Hospital Rd Blairsville, GA 30512

6/30/2011

Whiting, Gwen Hatley

RN167681

Saundra Maass-Robinson,
MD

24621

8117

KSU Hlth Clinic - 1000 Chastain Rd, Hse 52, #520 Kennesaw,

12/7/2007

Whitlock, Jennifer

RN244479

Thomas Smith, MD

46254

15364

304 Turner McCall Blvd Rome, GA 30165

5/8/2015

Wednesday, August 12, 2015

Page 382 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Whitlock, Susan Westphal

RN061514

Armene Vanoyan, MD

46508

13960

275 Collier Rd., Ste 100 C Atlanta, GA 30309

9/11/2014

Whitlock, Kimberly Jo

RN180564

Patrick Battey, MD

24388

13387

95 Collier Rd., Ste 5015 Atlanta, GA 30309

6/6/2014

Whitlock, Kimberly Jo

RN180564

Michael Frankel, MD

34832

9724

80 Jessie Hill Jr Dr, 8th Floor Atlanta, GA 30303

5/6/2011

Whitlow, Angie Michelle

RN214290

Tania Edwards, DO

53465

12932

2000 10th Ave, Ste 410 Columbus, GA 31901

4/4/2014

Whitlow, Angie

RN214290

Dawson, Gary MD

53857

10871

2300 13th Street, Ste A Columbus, GA 31906

7/12/2012

Whitted, Kelli Lynette Bellew

RN117775

Paul Steinwachs, MD

42736

3203

1336 3rd Ave Columbus, GA 31901

7/11/2013

Whitten, Shannon Elizabeth

RN117082

Kent Ford, DO

40063

11712

616 Ferncrest Dr Sandersville, GA 31082

3/8/2013

Whitten, Sarah Ann

RN129474

Richard Donadio, MD

42232

8878

550 Redmond Rd Rome, GA 30165

12/4/2009

Whyte, Maria De Los Angeles

RN114700

Guillermo Saurina, MD

48570

3208

201 Pendleton Dr, Suite 250 Valdosta, GA 31602

8/2/2007

Wickstrom, Betty R

RN045532

Saied Murphy, MD

39187

3210

1350 Montreal Rd, Suite 210 Tucker, GA 30084

5/6/2011

Widener, Wallette Gwen

RN113693

Joel Greenberg, MD

28560

12039

6602 Waters Ave, Bldg C Savannah, GA 31406

9/13/2013

Wieczorek, Susan Carol Karm

RN042301

Howard Willis, MD

30693

9408

5353 Veterans Pkwy, Suite C Columbus, GA 31904

10/8/2010

Wiegand, Jennifer C.

RN126531

Robert E. Taylor, DO

31338

11439

5281 Cleveland Hwy Clermont, GA 30527

12/7/2012

Wiegmann-Ross, Michele

RN145899

Kimberly Carr, MD

52062

15861

1115 Mt Zion Rd, Ste E Morrow, GA 30260

7/9/2015

Wednesday, August 12, 2015

Page 383 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wiggins, Andronica McCoy

RN165716

Joseph Ricotta, MD

64452

15228

1505 Northside Blvd, Ste 2400 Cumming, GA 30041

4/2/2015

Wiggins, Sonia Coleman

RN104534

John DeSimone, MD

19930

8491

611 E. Washington Ave Ashburn, GA 31714

3/6/2009

Wilbanks, Ashley

RN190699

Singh, Amar MD

52227

10782

550 Redmond Road Rome, GA 30165

6/8/2012

Wilcox, Tanya

RN143313

Saudiqa Hoossainy, MD

68179

15106

5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152

3/5/2015

Wilder, Angela

RN197955

David Dean, MD

64808

15397

95 Collier Rd NW Atlanta, GA 30309

5/8/2015

Wilder, Teresa Garvin

RN060359

Bridgette Dingle, MD

64532

14933

304 Turner McCall Blvd. Rome, GA 30161

3/5/2015

Wilder, Erin Simmons

RN201759

MaryKutty Thomas, MD

21111

14744

1 Freedom Way (28) Augusta, GA 30904

2/5/2015

Wilder, Myrtle Mai

RN071972

David Williams, MD

29997

3218

1046 Ridge Avenue Atlanta, GA 30315

1/9/2009

Wildes, Terri

RN076912

John Cole, MD

65951

15348

247-B Northside Dr. Valdosta, GA 31602

5/8/2015

Wildes, Deanna

RN077963

Avino, Anthony

47185

10796

4750 Waters Avenue Ste 500 Savannah, GA 31404

6/8/2012

Wild-Mcleod, Vicki Lynnette

RN241067

Kenneth Hardigan, MD

39120

14178

4700 Waters Ave Savannah, GA 31404

11/7/2014

Wiley, Kerri Leigh

RN192545

Jonathan Hall, MD

59655

9359

12192 Augusta Rd Lavonia, GA 30553

10/8/2010

Wilkerson, Deborah M

RN127940

Julian Sharpton, MD

17084

14012

138 west Gibson St. Hartwell, GA 30643

9/11/2014

Wilkerson, Evelyn P

RN043510

Christopher Stevens, MD

54515

12835

9465 HWY 5 Douglasville, GA` 30135

1/9/2014

Wednesday, August 12, 2015

Page 384 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wilkes, Rebecca Lynn

RN201017

Clay Lee, MD

46610

14724

207 31 St Ave S E Moultrie, GA 31768

2/5/2015

Wilkes, Erin

RN164167

Kitchens, Wentzelle MD

38277

10798

501 Sparta Road, Ste F Sandersville, GA 31082

6/8/2012

Wilkes, Erin

RN164167

Sumner, Jean MD

30225

10797

2257 West Elm Street, Ste C Wrightsville, GA 31096

6/8/2012

Wilkinson, Tammie Jo Keith

RN205836

Mark Rosing, DO

39453

14037

1514 Vernon Rd. LaGrange, GA 30041

10/9/2014

Wilkinson, Tammie Jo Keith

RN205836

George Capo, DO

42539

14036

1512 Hwy 19 W Thomaston, GA 30286

10/9/2014

Wilks, Melody

RN082035

Dana Cason, MD

39302

15369

2122 Manchester Expressway Columbus, GA 31904

5/8/2015

Willamson, Susan

RN058876

LaFayette Burks, MD

50502

14191

386 E Cypress Ste Bldg A PO Box 765 Ludowici, GA 31316

11/7/2014

Willard, Karen

RN184536

Paul Rodon, MD

56476

15111

2700 Clairmont Rd Atlanta, GA 30329

3/5/2015

Willard, Brandi

RN149632

Ronnie Hendrix, MD

24690

14814

4835 Sugarloaf Pkwy, Ste 200 Lawrenceville, GA 30044

1/8/2015

Willard, Karen K

RN184536

Debra Houry, MD

50889

13442

49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303

7/10/2014

Willard, Sonya Lynn

RN190879

Ashok Kancharla, MD

48250

12745

132 Franklin Springs St Royston, GA 30662

1/9/2014

Willard, Brandi Hartman

RN149632

Naren Logendra, MD

42336

12057

2151 West Spring St, Emer Dept Monroe, GA 30655

7/11/2013

Willard, Sonya L.

RN190879

Mark Hancock, MD

67750

11511

163 Hospital Dr. Toccoa, GA 60577

4/4/2013

Willard, Karen K

RN184536

Gottfrid Karlsson, MD

66380

11806

745 Poplar Rd Newnan, GA 302685

4/4/2013

Wednesday, August 12, 2015

Page 385 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Willard, Brandi

RN149632

Hatmaker, David MD

26300

10265

555 Old Norcross Road, Ste 100 Lawrenceville, GA 30046

12/1/2011

Willard, Brandi Hartman

RN149632

Edward Shanik, MD

20484

9663

555 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046

4/1/2011

Willard, Brandi Hartman

RN149632

Leslie David, MD

60363

7859

115 Towne Center Pkwy, Suite 113 Hoschton, GA 30548

5/7/2010

Williams, Amanda

RN187229

Kabir Das, MD

62867

15748

231 Graefe St Griffin, GA 30224

7/9/2015

Williams, Mitzi

RN149347

Gordon Turner, MD

59524

15609

743 Spring St NE Gainesville, GA 30501

6/4/2015

Williams, Greg Lee

RN147732

Jeffery Butler, MD

68488

15274

950 South Main St Baxley, GA 31513

5/8/2015

Williams, Natalie

RN174560

David Kaiser, MD

71353

15376

2000 16th Avenue Columbus, GA 31901

5/8/2015

Williams, Tracee

RN242269

Leilani Shivers, MD

57507

15175

130 Sam Walker Rd Lagrange, GA 30240

4/2/2015

Williams, Mary Lynn

RN102733

Henry Morris, MD

30353

15339

1450 Barnett Shoals Rd. Athens, GA 30605

4/2/2015

Williams, Christy

RN237105

Alan Alvarado, MD

37463

14970

3440 Noth Valdosta Rd Valdosta, GA 31602

3/5/2015

Williams, Jill

RN160574

E Dorsey Norwood, MD

46192

14505

2739 Felton Dr East Point, GA 30344

3/5/2015

Williams, Kimberley Michelle

RN243438

Charles Sow, MD

55343

14437

1513 E Cleveland East Point, GA 55343

12/4/2014

Williams, Lakesha Alexia

RN177719

Cameron Nixon, MD

55155

14159

2225 U.S. 41 N Tifton, GA 31794

11/7/2014

Williams, Tina

RN192734

Ifeoma Nnaji, MD

63931

13648

1300 Joseph E Boone Blvd Atlanta, GA 30314

8/7/2014

Wednesday, August 12, 2015

Page 386 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Williams, Sheila M

RN140903

William Webb, MD

58238

12696

10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324

2/6/2014

Williams, Patricia C.

RN232850

Apurva Shah, MD

64742

12310

1623 Madison Ave Tifton, GA 31794

10/10/2013

Williams, Lovoria Breckley Whit RN103047

Paul Dainer, MD

35233

3240

GRU Cancer Center, 1411 Laney Walker Blvd Augusta, GA 30 10/10/2013

Williams, Karen Paige

RN230053

Mark Vrana, MD

22663

12346

3320 Old Jefferson Rd, Bldg 700 Athens, GA 30607

10/10/2013

Williams, Betty Lynn Phillips

RN066681

Mark Elam, MD

36147

12174

800 Professional Blvd Dalton, GA 30720

8/9/2013

Williams, Greg Lee

RN147732

Evelyn Johnson, MD

56182

11976

950 South Main St, Suite 2 Baxley, GA 31513

7/11/2013

Williams, Natasha Renee

RN150777

Dolapo Babalola, MD

59119

12097

Take Care Clinic, 3003 Old Alabama Rd Alpharetta, GA 30022 7/11/2013

Williams, Mitzi Marie

RN149347

Dean Karampelas, MD

26141

11784

743 Spring St Gainesville, GA 30501

4/4/2013

Williams, Whitney Nicole

RN205403

John Mynatt, Jr, MD

41469

11743

5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248

3/8/2013

Williams, Sandra

RN056087

Angela L. Beninga, DO

68481

11420

2020 Peachtree Rd Atlanta, GA 30309

1/11/2013

Williams, Shirley

RN163873

Brown, Timothy MD

32100

10696

83 Upper Riverdale Road, Ste 135 Riverdale, GA 30274

5/4/2012

Williams, Greg

RN147732

Deen, Michael MD

58459

10454

950 South Main Street, Ste 2 Baxley, GA 31513

2/3/2012

Williams, Sandra

RN056087

Taubin, Rhonda MD

32482

10296

2020 Peachtree Rd NW Atlanta, GA 30309

1/6/2012

Williams, Tammie

RN136002

Williams, Benjamin MD

31686

10345

202 Cherokee Road Thomaston, GA 30286

1/6/2012

Wednesday, August 12, 2015

Page 387 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Williams, Tasheeka

RN163073

Mason, Kein MD

28604

10186

1405 Franklin Road Marietta, GA 30067

11/3/2011

Williams, Felicia

RN142141

Murali, Sujatha MD

54085

10037

550 Peachtree St NE, Glenn Bldg Atlanta, GA 30308

10/7/2011

Williams, Inger Ferguson

RN140322

Michael Hardee, MD

57634

9821

6001 Professional Park, Suite 2080 Douglasville, GA 30134

6/30/2011

Williams, Kellie Sue Kratzer

RN094494

Steven Macheers, MD

34187

9602

5665 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342

6/3/2011

Williams, Trina Denise Johnson

RN077012

Anthony Harbin, MD

29665

9723

1525 Chattanooga Rd Dalton, GA 30720

4/1/2011

Williams, Greg Lee

RN147732

Michael Nulph, MD

57735

9574

204 E. 15th St Alma, GA 31510

2/4/2011

Williams, Greg Lee

RN147732

Michael Deen, MD

58459

9472

143 Hwy 32 By-Pass Alma, GA 31510

1/7/2011

Williams, Tina

RN192734

Theresa Jacobs, MD

46864

9419

868 York Ave Atlanta, GA 30310

12/3/2010

Williams, Tina

RN192734

Susan Kinsella, MD

31618

9349

2953 Cobb Pkwy NW Kennesaw, GA 30152

12/3/2010

Williams, Mary K. Hart

RN036755

Warren Henderson, MD

20734

9337

303 Smith St LaGrange, GA 30240

10/8/2010

Williams, Teresa Diane

RN107543

Pablo Balboa, MD

55409

3254

2712 Hwy 411 Fairmount, GA 30139

6/4/2010

Williams, Greg Lee

RN147732

Michael Hamm, DO

49021

9008

410 Darling Ave, Emerg Dept Waycross, GA 31501

6/4/2010

Williams, Sharon

RN107542

Sam Khair, MD

35194

8764

145 Eagle's Walk, Suite A Stockbridge, GA 30281

10/2/2009

Williams, Todd Michael

RN115938

David Kent, MD

25625

8228

308 Coliseum Drive, Suite 200 Macon, GA 31217

8/8/2008

Wednesday, August 12, 2015

Page 388 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Williams, Shelly Renea

RN165285

William Pullen, MD

17270

7932

1200 Memorial Drive Dalton, GA 30722

8/8/2008

Williams, Sara Lynn

RN189268

Roberto Pereira, MD

58303

8021

220 J L White Drive, Suite 100 Jasper, GA 30143

11/1/2007

Williams, Todd Michael

RN115938

Juliana Raymaker, MD

53706

8079

1390 US Hwy 19 South Leesburg, GA 31763

11/1/2007

Williams, Rita Teresa Stinson

RN057924

Thomas DiFulco, MD

18215

3247

1462 Montreal Road, Suite 303 Tucker, GA 30084

9/14/2007

Williams, Janet Elizabeth

RN125883

Catherine Emeruwa, MD

49008

3234

1240 Hwy 54, Bldg 100, Suite 100 Fayetteville, GA 30214

9/14/2007

Williams, Marilyn Ann Parker

RN066872

Raymond E. Tidman, MD

32826

3243

101 RiverStone Vista, Suite 206 Blue Ridge, GA 30513

4/13/2007

Williamson, Natasha

RN194813

Courtney Shelton, MD

50559

15851

285 Boulevard NE, Ste 435 Atlanta, GA 30312

7/9/2015

Williamson, Trina Marie

RN090062

Richard Mansfield, DO

44526

14935

2001 Brookstone Centre Pkwy Columbus, GA 31909

3/5/2015

Williamson, Ronda Durrence

RN072778

Paul Whitlock, MD

12592

12918

36671 HWY 23 Cobbtown, GA 30420

7/10/2014

Williamson, Suzannah

RN169751

Badea, Calin MD

55918

10346

213 N. McDonald Street Ludowici, GA 31316

1/6/2012

Williamson, Judy Gale Tillman

RN145364

Timothy Brown, MD

32100

5410

83 Upper Riverdale Rd, Suite 135 Riverdale, GA 30274

11/7/2008

Williard, Julie

RN086758

Eugene Hurwitz, MD

24694

3259

690 Dallas Hwy, Ste 101 Villa Rica, GA 30180

4/4/2013

Williford, Stacey Hodges

RN149431

Edward McDavid, MD

26794

12425

205 Medical Arts Dr Sandersville, GA 31082

10/10/2013

Willis, Beverly

RN141960

James Sirleaf, MD

67036

15150

417 3rd Ave West Albany, GA 31707

3/5/2015

Wednesday, August 12, 2015

Page 389 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Willis, Misty Faulk

RN177038

Sean Sheff, MD

65888

13118

120 Hwy 280 W, Ste C Americus, GA 31719

5/1/2014

Willis, Beverly Ann Waldon

RN141960

Peggy Bergrab, MD

64330

12434

417 Third Ave Albany, GA 31702

11/8/2013

Willis, Micah Aaron

RN151609

Langston Cleveland, MD

46584

12245

6648 Union Rd Tifton, GA 31794

10/10/2013

Willis, Micah Aaron

RN151609

Eric Paulk, MD

62271

12270

901 East 18th St, Emer Dept Tifton, GA 31794

10/10/2013

Wilmer, Kathleen

RN199241

Susan Thomas, MD

67173

13781

595 Piedmont Ave. Ste. 100 Atlanta, GA 30308

9/11/2014

Wilson, Jaci

RN140128

Kenneth Jones, MD

31037

15264

304 Turner McCall Rome, Ga 30161

7/9/2015

Wilson, Elizabeth

RN123110

Melissa Bruhn, MD

43565

15579

916 South Broad St Thomasville, GA 31792

6/4/2015

Wilson, Ashley

RN183884

Kenneth Healey, MD

24689

15612

205 Rees St Americus, GA 31709

6/4/2015

Wilson, Stacey Peverell

RN188929

Federico Milla, MD

69356

15539

95 Collier Rd, Ste 5015 Atlanta, GA 30309

5/8/2015

Wilson, Vinette

RN158720

Forrest Smith, MD

23230

15368

45 West Crossville Rd, Ste 501 Roswell, GA 30075

5/8/2015

Wilson, Jeanine Parks

RN145211

Bradley Buckler, MD

58853

14992

4700 Waters Avenue Savannah, GA 31404

3/5/2015

Wilson, Deborah

RN062856

Fred Hodges lll, MD

13754

14659

1670 Clairmont Rd Decatur, GA 30033

2/5/2015

Wilson, Alexandra Byers

RN198560

Thaddeus Riley, MD

28637

13938

23702 US Hwy 80 East Statesboro, GA 30461

10/9/2014

Wilson, Catherine Marie

RN186801

Ralph Warnock, MD

17337

13977

4421 Carnes St. Acworth, GA 30101

10/9/2014

Wednesday, August 12, 2015

Page 390 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wilson, Susan B

RN045387

Danielle Epanchin, DO

68769

13142

1650 Chattahoochee Dr. Rockmart, GA 30153

4/4/2014

Wilson, Lavona Constancia

RN208918

Millard Collier, Jr, MD

28114

12224

1046 Ridge Ave Atlanta, GA 30315

9/13/2013

Wilson, Joy Stanetrice

RN193733

Michael Austin, MD

25937

12107

2010 Beaver Ruin Rd Norcross, GA 30071

9/13/2013

Wilson, Stacey Peverell

RN188929

Anna Kalynych, MD

38527

12077

95 Collier Rd, Suite 2055 Atlanta, GA 30309

7/11/2013

Wilson, Jaci

RN140128

Daniel Robitshek, MD

63804

11096

330 Turner McCall Blvd., Ste 201 Rome, GA 30165

10/5/2012

Wilson, Teresa

RN098350

Sinclair, James MD

36457

10422

306 Westside Drive Douglas, GA 31533

2/3/2012

Wilson, Cynthea Marie

RN164618

David Woodard, MD

59977

9516

PO Box 5860 Athens, GA 30604

12/3/2010

Wilson, Joy Stanetrice

RN193733

Derex Stewart, MD

59209

9492

5239 Hwy 278 NE Covington, GA 30014

12/3/2010

Wilson, Ashley Ritter

RN165425

Dana Kumjian, MD

35673

9219

1115 Lexington Ave Savannah, GA 31404

9/2/2010

Wilson, Jeanine Parks

RN145211

Vincent Brawley, MD

33283

8632

1350 Walton Way - 3rd Floor Augusta, GA 30901

8/7/2009

Wilson, Patty Jean

RN103701

James Beiter, MD

40003

3268

PO Box 422002 Atlanta, GA 30342

11/1/2007

Wilson-Burris, Tiny

RN135948

Lawrence Powell, MD

38915

3271

1510 Milstead Ave NE Conyers, GA 30012

12/6/2013

Wimberly, Donna Frances

RN229271

James Sirleaf, MD

67036

12001

417 Third Ave Albany, GA 31701

7/11/2013

Wimmer, Nicole Scalise

RN134467

Valera Hudson, MD

30622

3276

1446 Harper St, BG-1104 Augusta, GA 30912

10/2/2009

Wednesday, August 12, 2015

Page 391 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wing, Jennifer Elizabeth

RN193467

Stanley Tenenbaum, MD

11493

7706

1805 Parke Plaza Circle, Suite 103 Stone Mountain, GA 3008 2/7/2008

Wingo, Jennifer Downin

RN184664

William Reisman, MD

61510

12776

49 Jesse Hill Jr Dr Atlanta, GA 30303

1/9/2014

Winn, Sheryl H

RN066278

Vasudev Kulkarni, MD

18512

3279

902 Smith Street Dublin, GA 31021

5/7/2010

Winnette, Gina Frances

RN152637

Daryl McCartney, MD

68067

14864

1570 Brampton Ave Statesboro, GA 30458

2/5/2015

Winnette, Gina Frances

RN152637

Kyauna Miller, MD

68071

11966

222 South Main St Reidsville, GA 3.453

6/7/2013

Winston, Brette Cha

RN216279

Shreedhar Naghur, MD

49192

12837

600 West Memorial Drive Dallas, GA 30132

1/9/2014

Winston, Brette Cha

RN216279

Shreedhar Nagnur, MD

49192

11790

900 Wylie Rd SE Marietta, GA 30067

4/4/2013

Winter, Joni Lee

RN175692

Roxanne Williams, MD

66338

14956

600 Celebrate Life Parkway Newnan, GA 30265

2/5/2015

Winter, Joni Lee

RN175692

Christopher Morgan, MD

66151

12965

1514 Vernon Rd, Emer Dept LaGrange, GA 30240

4/4/2014

Winters, Rhonda Lynn

RN082052

Marrus Simmons, MD

49946

14522

4226 Hartley Bridge Rd Macon, GA 31216

3/5/2015

Winters, Rhonda Lynn Toole

RN082052

Kenneth Harper, MD

25983

11746

556 Third St, Suite A Macon, GA 31201

4/4/2013

Winters, Rhonda Lynn Toole

RN082052

Richard Thomas, MD

59217

9435

3708 Northside Dr Macon, GA 31210

11/5/2010

Wintersgill, Joanne Marie

RN203289

Panyavee Khan, MD

54756

12839

1505 Northside Blvd Suite 3600 Cumming, GA 30041

1/9/2014

Wirth, Diane Lynn

RN108564

Allen Dollar, MD

35244

14445

80 Jesse Hill Jr, Ste C233 Atlanta, GA 30303

10/9/2014

Wednesday, August 12, 2015

Page 392 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wise, Louise

RN211259

Mobolaji Oyebanjo, MD

53509

15083

5604 Wendy Bagwell Pkwy Hiram, GA 30141-7815

3/5/2015

Wise, Mary Elizabeth

RN213344

Michael Holman, MD

26558

13120

818 St Sebastian Way, Suite 308 Augusta, GA 30901

4/4/2014

Witt, Connie

RN045044

Gary Smith, MD

10660

15545

2968 Hwy 337 Menho, GA 30731

6/4/2015

Witt, Cynthia

RN165405

Carla Roberts, MD

41061

15423

1800 Northside Forsyth Dr, Ste 380 Cumming, GA 30041

5/8/2015

Witt, Connie

RN045044

Aloysius Mangan, MD

15023

14666

615 E Villahow St Lafayette, GA 30728

2/5/2015

Witt, Connie Louise

RN045044

Mark McElhannon, MD

40154

13179

501 Redmond Rd Rome, GA 30165

5/1/2014

Witt, Lindsey Leigh

RN180347

Elizabeth Killebrew, MD

29898

9234

1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214

10/8/2010

Woessner, Charlotte Grealy

RN168546

Afroz Rahman, MD

17940

12223

325 Lester Rd, Suite C Lawrenceville, GA 30044

9/13/2013

Wood, Miranda Harris

RN191945

Ian Heger, MD

63870

12482

1120 15th St, BP-3111 August, GA 30912

11/8/2013

Wood, Leanne Debra Amelio

RN113945

Charles Sow, MD

55343

12529

Take Care, 2670 Cobb Pkwy SE Smyrna, GA 30080

11/8/2013

Wood, Leanne

RN113945

Stone, David MD

24501

10776

521 Franklin Springs Street Royston, GA 30662

6/8/2012

Wood, Kelly Michelle

RN144656

Jeff Reinhardt, MD

#####

5415

725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501

5/6/2011

Wood, Carol Anne Kahl

RN045109

Jeffrey Klopper, MD

26321

9386

3188 Atlanta Rd SE Smyrna, GA 30080

11/5/2010

Woodall, Tara

RN160860

John Lue, MD

40145

15647

1120 15th St Augusta, GA 30912

6/4/2015

Wednesday, August 12, 2015

Page 393 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Woodall, Kimberly Janece

RN142316

Kirk Kanter, MD

30631

3289

1405 Clifton Rd Atlanta, GA 30322

2/5/2010

Woodall, Heather Marie

RN162935

William Bilek, MD

41514

8167

993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342

4/3/2008

Woodard, Katrina Anne Calhou

RN082783

Thomas Self, MD

21587

15002

1825 Martha Berry Blvd Rome, GA 30165

3/5/2015

Woodard, Katrina Anne Calhou

RN082783

Shereef Girgis, MD

45476

3290

550 Redmond Road Rome, GA 30165

9/14/2007

Woodie, Jo Ann

RN069357

Michael McHenry, MD

65285

15923

354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265

8/6/2015

Woodley, Joshua James

RN195346

Jay Goldstein, MD

45229

14348

4700 Waters Ave Savannah, GA 31404

3/5/2015

Woodruff, Christie

RN061075

McHugh, John MD

24023

10608

660 Lanier Park Drive, Ste A Gainesville, GA 30501

3/29/2012

Woodruff, Christie Lee Ryder

RN061075

Charles White, DO

26682

3294

PO Box 876 Cleveland, GA 30528

9/14/2007

Woods, Jennifer Dania

RN221754

Paul LoDuca, MD

64595

13619

705 17th St, Suite 106 Columbus, GA 31901

9/11/2014

Woods, Judith A

RN074147

Eduard Docu, MD

56426

3298

4849 Paulsen St., Ste 314 Savannah, GA 31405

8/6/2010

Woody, Heather Lauren

RN208762

Frank Lake, MD

40716

12248

668 Lanier Park Dr Gainesville, GA 30501

11/8/2013

Wooley, Angela Carter

RN115523

Robert Cossio, MD

36357

8956

322 Stephenson Ave Savannah, GA 31405

3/4/2010

Woolfolk, Kalemah

RN195585

Munit Emlael, MD

63322

15438

600 Celebrate Life Parkway Newnan, GA 30265

5/8/2015

Woo-Sheffield, Marci

RN107568

Carter, Cynthia MD

56534

10381

1000 Towne Center Blvd, Ste 705 Pooler, GA 31322

1/6/2012

Wednesday, August 12, 2015

Page 394 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wooten, Kelleen Michele

RN120846

William Brown, III, MD

29309

3300

95 Collier Rd, Suite 5015 Atlanta, GA 30309

9/2/2010

Work, Asia Ann

RN193536

Michael Poole, MD

30190

8426

4700 Waters Avenue Savannah, GA 31404

2/5/2009

Works, Lesley

RN236689

April Hartman, MD

50887

14959

2000 10th Ave, Ste 400 Columbus, GA 31901

4/2/2015

Works, Lesley Hebson

RN236689

David Flowers, MD

43045

13412

2000 10th Ave., Ste 400 Columbus, GA 31901

7/10/2014

Wortham, Candace H

RN100010

Srinivas Bramhadevi, MD

61946

12605

1497 Lafayette Pkwy LaGrange, GA 30241

12/6/2013

Woughter, Linda

RN205309

Thomas Armistead, MD

69086

12922

150A Johnson Street Dahlonega, GA 30533

9/11/2014

Woughter, Linda

RN205309

John Hubbard, MD

30787

12114

150-A Johnson St Dahlonega, GA 30533

8/9/2013

Woughter, Linda

RN205309

Brannen, James MD

10485

10242

105-A Johnson Street Dahlonega, GA 30533

12/1/2011

Wrammert, Kathryn Anne Carls RN169458

Ruth O'Regan, MD

53350

458

1365 Clifton Rd Atlanta, GA 30322

3/8/2013

Wright, Olivia Hope

RN238742

Brian Griner

46966

15089

117 W Northside Dr Valdosta, GA 31602

4/2/2015

Wright, Cindy R.

RN133687

Atif Iqbal, MD

61971

13547

2300 A. Manchester Expressway, Ste 006 Columbus, GA 319 12/4/2014

Wright, Latanya Kay

RN149121

Ian Davis, DO

64203

12186

1120 15th Street, BI 5092 Augusta, GA 30912

8/9/2013

Wright, Daniel B.

RN118839

Robert C. Bowman, MD

31387

11580

1430 Hwy 82 West, #105 Tifton, GA 31793

6/7/2013

Wright, Daniel B.

RN118839

Catherine James-Peters, MD 63671

9735

454 Smith Ave Thomasville, GA 31792

9/1/2011

Wednesday, August 12, 2015

Page 395 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Wright, Margaret A.

RN165440

Marion Bailey, Jr, MD

10467

9619

107 Industrial Dr, Suite B St. Mary's, GA 31558

5/6/2011

Wright, Margaret A.

RN165440

Cliphane McLeod, MD

29212

9646

4540 E. Oglethorpe Hinesville, GA 31313

5/6/2011

Wyatt, Lauren

RN241881

Lance Slade, MD

52488

15708

550 Professional Dr Macon, GA 31201

6/4/2015

Wysochansky, Mary Helen

RN085059

Busman, Michael MD

40628

10041

922 E. Jefferson Street, Suite B Americus, GA 31709

11/3/2011

Xavier, Tatiana

RN170864

James Rheudasil, MD

26926

14521

5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342

4/2/2015

Xiang, Abegail Delez

RN191551

Sean Delaney, MD

49001

14816

755 Walther Rd Lawrencelille, Ga 30046

2/5/2015

Xue, Mei

RN204641

Meena Shah, MD

21464

12469

475 Philip Blvd, Suite 100 Lawrenceville, GA 30045

11/8/2013

Yandel, Susan Eileen

RN115022

Kimberlynn Richards, MD

38930

9433

1773 Sweetwater St Austell, GA 30106

1/7/2011

Yandle, Amber Nicole

RN204281

Josephine Dunagan, MD

15553

15212

1700 Tree Lane, Ste 110 Snellville, GA 30078

5/8/2015

Yang, Young Jin

RN216896

F Clark Cantrell, MD

28948

12047

3911 Mary Eliza Trace, Suite 200 Marietta, GA 30064

7/11/2013

Yang, Wan Li

RN153534

Anthony Landis, DO

21733

9486

631 Peofessional Dr, Suite 450 Lawrenceville, GA 30046

2/4/2011

Yarnall, Richard Clark

RN108692

Edward Middlebrooks, MD

47624

13399

758 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046

7/10/2014

Yates, Susan Marina

RN105921

Tambrea Ellison, MD

69187

13937

2550 Windy Hill Rd. , Ste 206 Marietta, GA 30067

9/11/2014

Yawn, Traci

RN093579

James Sirleaf, MD

67036

15671

417 W 3rd Ave Albany, GA 31701

6/4/2015

Wednesday, August 12, 2015

Page 396 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Yawn, Julia

RN193823

Christopher Cawley, MD

58858

14770

550 Professional Dr Macon, GA 31201

4/2/2015

Yawn, Traci Kurpe

RN093579

Shelile Southerland, MD

55894

14015

902 7th St. N Cordele, GA 31015

10/9/2014

Yawn, Melanie Kay

RN093566

Jorge Pisarello, MD

58914

13796

701 N Slappey Blvd Albany, GA 31701-1413

9/11/2014

Yawn, Melanie Kay

RN093566

Jorge Pisarello, MD

58914

13698

1120 W. Broad Ave, Suite B-4 Albany, GA 31705

9/11/2014

Yawn, Anthony

RN104649

Gibbs, Sandra MD

32192

10592

145 E. Peacock St, Ste 3 Cochran, GA 31014

3/29/2012

Yawn, Anthony Jackson

RN104649

Henry Edward Roberts, MD

30200

3321

146 East Peacock Street Cochran, GA 31014

5/10/2007

Yawn-Lewis, Tonya

RN118481

John A Glenn, MD

38495

12840

840 Professional Center Dr Eastman, GA 31023

1/9/2014

Yelton, Pepita "Patty" Bianca

RN135168

Paula Greaves, MD

43631

5417

833 Campbell Hill St., Ste 400 Marietta, GA 30060

7/10/2014

Yerke, Julie

RN145132

James Collins, MD

29833

15779

304 Turner McCall Blvd Rome, GA 30165

7/9/2015

Yerke, Juile Leanne

RN145132

Alan Moy, DO

58990

14185

501 Redmond RD Rome, GA 30165

11/7/2014

Yerke, Julie

RN145132

Roger A. Brooksbank, MD

68120

11231

501 Redmond Rd. Rome, GA 30165

11/2/2012

Yesbick, Elizabeth Anne

RN076381

Anthony Olofintuyi, MD

45309

3324

915 Elmo St. Americus, GA 31709

4/4/2014

Yi, Chai Y Kim

RN099033

Nichole LeBoyd, MD

54452

3325

7530 Roswell Road Atlanta, GA 30350

12/4/2008

York, Buffy Lee

RN128635

David Harris, MD

31015

3326

819 Church St Royston, GA 30662

6/6/2014

Wednesday, August 12, 2015

Page 397 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

York, Deborah Sue

RN061087

Mark Elam, MD

36147

12173

800 Professional Blvd Dalton, GA 30720

8/9/2013

York, Deborah Sue

RN061087

Dark, Jennifer MD

66016

3327

1012 Burleyson Road Dalton, GA 30720

5/4/2012

Youmans, Frances McDowell

RN073220

William Grow, MD

13752

12780

203 Woodrow Wilson Dr Valdosta, GA 31602

1/9/2014

Young, Angelique

RN214447

Joseph Hannan, MD

25759

15832

2722 North Decatur Rd Decatur, GA 30031

7/9/2015

Young, Shante

RN192017

Virna Simmon, MD

60614

15379

1355 South Park St US Hwy 27 Carrollton, GA 30117

5/8/2015

Young, Nancy

RN148404

Tyra Harris, MD

61249

14986

780 North Glynn Fayetteville, GA 30214-1193

3/5/2015

Young, Joshua Shana

RN173347

Wood Pope, MD

57741

14899

1600 Forsyth St Macon, GA 31201

2/5/2015

Young, Nancy

RN148404

Joseph Verdun, MD

61675

14326

868 York Ave SW Atlanta, GA 30310

10/9/2014

Young, Beth Burch

RN047409

Jeffrey Lamp, MD

56736

13581

2151 West Spring St Monroe, GA 30655

8/7/2014

Young, Glenda D

RN046139

Jon Stahlman, MD

49207

13205

565 Old Norcross Rd Lawrenceville, GA 30677

5/1/2014

Young, Holly Stiehm

RN151008

Constance Enmon, MD

67561

12988

625 Big Shanty Rd NW Kennesaw, GA 30144

3/6/2014

Young, Nancy

RN148404

Valens Plummer, MD

49496

12538

780 North Glynn Fayetteville, GA 30214

11/8/2013

Young, Bradley H.

RN218687

Charles P. Catron, MD

66362

11236

1707 Meadows Lane, Ste F & H Vidalia, GA 30474

9/13/2013

Young, Joshua

RN173347

Deepti Bhasin, MD

59979

11278

402 Osigian Blvd., Ste 400 Warner Robins, GA 31088

3/8/2013

Wednesday, August 12, 2015

Page 398 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Young, Suzanne

RN080340

Daniela Rojas Molina, MD

55331

8753

526 Maddox Dr, Suite 101 Ellijay, GA 30540

Youngblood, Leigh Ann

RN150142

Michael Hagues, DO

23977

11834

2122 Manchester Expressway, Emer Dept Columbus, GA 319 6/7/2013

Youngblood, Shirley Nell Wood

RN053003

Robert Stahlkuppe, MD

17089

3337

56 Hospital Street Hiawassee, GA 30546

9/14/2007

Youngstrom, Carol Anne

RN145165

Kevin Lokkesmoe, MD

32941

13600

4328 Armour Rd. Columbus, GA 31904

6/6/2014

Younker, Marcia Lynn McMulle RN086363

Stephen Kissinger, MD

30493

11999

3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326

10/10/2013

Yowler, Deena Marie

RN170286

Manjeeri Sangvai, MD

44083

5418

980 Johnson Ferry Rd, #620 Atlanta, GA 30342

8/7/2009

Yu, Fang

RN188712

Howard Silk, MD

29785

14640

1240 Hwy 54 W Bldg 300, Ste 310 Fayetteville, GA 30214

1/8/2015

Yu, Fang

RN188712

Ferrol Sams, III, MD

19767

12348

101 Yorktown Dr, Suite 100 Fayetteville, GA 30214

10/10/2013

Yufenyuy, Mamboh

RN188604

Sarvotham Kini, MD

34170

14549

108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602

12/4/2014

Yung, Melissa Marie

RN139657

Timothy Helton, MD

29669

3338

1010 Johnson Ferry Rd Marietta, GA 30068

3/6/2014

12/4/2009

Zanghi, Wila

121880

Eric Zanghi, MD

30248

14650

222 Perry Hwy Hawkinsville, GA 31035

1/8/2015

Zanghi, Wila

RN121880

Hatem Asad, MD

49978

13641

105 Briarcliff Rd. Warner Robins, GA 31088

8/7/2014

Zebley, Helen Darlene Thomps

RN063876

Waters Hicks, Jr., MD

38251

3341

334 Smith Avenue Thomasville, GA 31792

2/5/2009

Zebrowski, Michelle Leigh

RN112750

Hitesh Chokshi, MD

42542

14253

7402 Davidson Pkwy Stockbridge, GA 30281

12/4/2014

Zebrowski, Michelle

RN112750

Barlow, James MD

29304

10855

226 East College Street, Ste B Griffin, GA 30224

7/12/2012

Wednesday, August 12, 2015

Page 399 of 400

APRN Name

RN#

Delgating Physician

PHY#

Protocol #

Protocol Address

Effective

Zehnder, Sandra Victoria Smith

RN067932

Lyudmila Vayman, MD

27318

8105

3005 Royal Blvd South Alpharetta, GA 30022

12/7/2007

Zehnder, Sandra Victoria Smith

RN067932

Bleekrode, Laura M.

34514

3342

11660 Alpharetta Hwy, Ste 290 Roswell, GA 30076

5/10/2007

Zelano, Patricia Joy

RN184748

Hai Trinh, MD

55991

14843

2118 Scenic Highway Snellville, GA 30078

2/5/2015

Zelano, Patricia Joy

RN184748

Manfred Sandler, MD

38353

14567

755 Walther Rd Lawrenceville, GA 30046

1/8/2015

Zhang, Weihua Zhang

RN131883

Ragheed Alturkmani, MD

67889

12933

55 Whitcher St., Ste 160 Marietta, GA 30060

6/6/2014

Zhang, Weihua

RN131883

Morohunfolu Akinnusi, MD

64741

11446

55 Whitcher St, Sute 160 Marietta, GA 30060

4/4/2013

Ziegler, Elizabeth Ann

RN101498

Murtaza Cassoobhoy, MD

43014

14047

1000 Medical Ctr Blvd Lawrenceville, GA 30045

10/9/2014

Zimmerman, Ashley

RN190851

McDonald, Edward MD

41890

10523

655 Jesse Jewell Pkwy, SE, Ste C Gainesville, GA 30501

3/1/2012

Zollinger, Leigh Anne

RN137086

Reynaldo Polk, MD

48928

8544

7950 Martin Loop, Emergency Rm Ft. Benning, GA 31905

8/7/2009

Wednesday, August 12, 2015

Page 400 of 400



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