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APRN and Delegating Physician - Active Reviewed Nurse Protocol Agreements
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/5/2011
David Dean, MD
64808
RN116808
Aaron, Stephanie
9854
95 Collier Rd, Suite 5015 Atlanta, GA 30309
6/4/2015
Sherica Rosser, MD
61157
RN215132
Abbey, Ophelia
15665
3459 Holcomb Bridge Rd, Ste 100 Norcross, GA 30092
9/11/2014
Melinda Willingham, MD
45669
RN215132
Abbey, Ophelia Alice
13872
4112 E. Ponce De Leon Ave. Clarkston, GA 30021
8/7/2014
Freeman Montaque, MD
28123
RN236531
Abdullahi, Antoinette
13606
896 Highway East McDonough, GA 30252
9/11/2014
Santanu Das, MD
42560
RN205283
Abernathy, Taylor M
13871
1049 N. Houston Rd. Warner Robins, GA 31093
5/4/2012
Dark, Jennifer MD
66016
RN107241
Abernathy, Pamela
10682
1012 Burleyson Road Dalton, GA 30710
5/4/2012
Schaefer, Timothy MD
47524
RN079832
Abernathy, Deborah
10688
1700 Hospital South Drive, Ste 500 Austell, GA 30106
5/8/2015
Jeremy Ackerman, MD
59584
RN192840
Abid, Martha
15249
1364 Clifton Rd NE Altanta, GA 30322
7/9/2015
Armando Salazar, MD
73055
RN186519
Abiodun, Dolapo
15753
5151 Brook Hollow Pkwy, Ste 145 Norcross, GA 30071
10/5/2012
Albert Anderson, MD
58136
RN141176
Abon, Moradeke
11082
341 Ponce deLeon Ave. Atlanta, GA 30308
10/10/2013
Jonathan Ehrlich, MD
15580
RN178502
Abraham, Linda M.
12325
993-D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342
2/7/2013
Josephine Lopez, MD
44125
RN204958
Abraham, Rennie Juanillo
11647
1500 Oglethorpe Ave, Suite 100 Athens, GA 3
Wednesday, August 12, 2015
Page 1 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Daniel Dubovsky, MD
29866
RN108696
Abramson, Cara Rothfield
13455
5670 Peachtree Dunwoody Rd, Ste 1100 Atlanta, GA 30342
2/5/2015
Edward Matthews, DO
34896
RN177275
Absalom, Kaci LaDawn
11864
2300 Manchester Expwy, Ste 2001 Columbus, GA 31909
6/4/2015
Darshak Pandya, DO
58995
RN126710
Acree, Lisa
15634
501 Redmond Rd Rome, GA 30165
10/10/2013
Melissa Dillmon, MD
54073
RN126710
Acree, Lisa Pinkard
12389
255 West Fifth St Rome, GA 30165
1/6/2012
Winston, Alan Daniel MD
41245
RN124420
Acton, Patricia
10018
200 South Enota, Suite 380 Gainesville, GA 30501
7/9/2015
Anthony Captain, MD
39300
RN176258
Adams, Matthew
15884
2955 Cleveland Hwy, Ste A Dalton, GA 30721
6/4/2015
Dean Karampelas, MD
26141
RN164623
Adams, Kelli
15695
743 Spring St NE Gainesville, GA 30501
9/11/2014
Christopher Sward, MD
45638
RN240230
Adams, Jamie E
13737
150 Gentilly Blvd Cartersville, GA 30120
7/11/2013
Paul Guichard, DO
54386
RN176923
Adams, Holly Scott
11963
55 Whitcher St, Suite 350 Marietta, GA 30060
11/2/2012
Asit K. Jha, MD
55248
RN158173
Adams, Angela D.
11189
1706 Alice St. Waycross, GA 31501
10/2/2012
Donald Davis, MD
19506
RN079253
Adams, Jewel Ann
7726
1525 Clifton Road Atlanta, GA 30322
12/3/2010
James Lindley, MD
33138
RN157995
Adams, Jennifer Campbell
7908
4 Jackson Blvd Savannah, GA 31405
9/11/2014
Dean Karampelas, MD
26141
RN226384
Adamski, Jennifer
13842
743 Spring St Gainesville, GA 30501
4/4/2013
Dean Karampelas, MD
26141
RN226384
Adamski, Jennifer Lynn
11780
743 Spring St Gainesville, GA 30501
Wednesday, August 12, 2015
Page 2 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/7/2010
William Morris Brown, MD
29309
RN063419
Adcock, Leslie Hollowell
8855
95 Collier Rd, Suite 5015 Atlanta, GA 30309
6/4/2015
Susan Schayes, MD
43278
RN191759
Adderley, Gilda
15659
2124 Candler Rd Decatur, GA 30310
6/4/2015
Sheryl Canady, MD
50999
RN185219
Adderley, Kisha
15543
1775 Parker Rd, Ste C-240 Conyes, GA 30094
5/6/2011
Michael Connor, MD
31581
RN114338
Addison, Nivenann Townsend
5020
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
12/7/2012
Edward Matthews, MD
34896
RN218443
Addy, Sharon N.
11238
2525 Williams Rd. Columbus, GA 31909
11/2/2012
Jada Bussey-Jones, MD
47306
RN144155
Adebayo, Monsurat M.
11218
80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303
2/5/2015
Cedrella Jones-Taylor, MD
26313
RN161498
Adegbuji, OmoRonke
14908
1670 Clairmont Rd Decatur, GA 30033
12/4/2009
Madhu Vishwanath, MD
56499
RN161498
Adegbuji, Omoronke Olufunmil
8869
595 Piedmont Ave, Suite 1000 Atlanta, GA 30308
5/8/2015
Ritz Claxton, MD
66584
RN211077
Adekoya, Chrisianah
14500
1133 Eagles Landing Pkwy Stockbridge, GA 66584
8/10/2012
Lloydstone Jacobs II, MD
49179
RN175655
Adeshigbin, Alaba
10949
2980 University Parkway Lawrenceville, GA 30043
11/1/2007
Lee Grose, MD
46856
RN175655
Adeshigbin, Alaba Risikat
22
2900 University Parkway Lawrenceville, GA 30045
2/5/2015
Mehmood Mehdi, MD
57725
RN202394
Adeyemi, Afusat
14765
367 Athens Hwy, Ste 1050 Loganville, Ga 30052
11/5/2010
Douglas Stuart, MD
35527
RN208832
Adham, Sarah Christin
9475
95 Collier Rd, Suite 4045 Atlanta, GA 30309
9/11/2014
Hany Atallah, MD
52678
RN111866
Adibe, Josephine Obiy
13869
80 Jessie Hill Dr. SE P.O. Box 26178 Atlanta, GA 30303
Wednesday, August 12, 2015
Page 3 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Kasey Berman, MD
55095
RN168399
Adkins, Jessica R
13809
400 Mall Blvd Ste.410B Savannah, GA 31406
6/7/2013
Eric Hall, MD
45814
RN183996
Adkins, India Marcell
11965
512 South Main St, Suite A Hinesville, GA 31313
9/14/2007
Robersteen Howard, MD
40103
RN117328
Adkins, Amelia Rose Craighead
24
330 Turner McCall Blvd, Suite 4000 Rome, GA 30165
11/8/2013
Frank Casey, MD
59614
RN181617
Adkinson, Lauren Aaron
12519
5400 Bowman Rd Macon, GA 31210
9/13/2013
Hassan Sayegh, MD
36066
RN131199
Aerstin, Monica Christine
195
95 Collier Rd, Suite 300 Atlanta, GA 30309
5/8/2015
Titu Das, MD
61838
RN054192
Agnew, Greta
15359
6335 Hospital Parkway, Ste 310 John Creek, GA 30097
1/9/2014
Frank Bynes, MD
36932
RN158183
Agyemang, Dora Agyei
12702
106 East Broad St Savannah, GA 31401
10/8/2010
Eric Fogam, MD
47902
RN154407
Agyemang, William O. B.
9138
PO Box 7150 Garden City, GA 31418
3/5/2015
Clyde Simmons, MD
17301
RN109364
Agyepong, Dorothy Dee
15108
5488 Alabama Ave Omega, GA 31775
4/4/2014
Douglas Perry, MD
40753
RN211307
Ahearn, Nanci Lee Brinn
13164
89 Interchange Dr Richmond hill, GA 31324
3/4/2011
Wallace Holland, MD
24438
RN211307
Ahearn, Nanci Lee Brinn
9647
10055 Ford Ave, Suite 5A Richmond Hill, GA 31324
3/1/2012
Robinowitz, Michael MD
17274
rn153656
Aina, Joan
10528
1255 Highway 54 West Fayetteville, GA 30214
8/6/2015
Sara Sambandham, MD
64964
RN231437
Akins, Scott
16127
5673 Peachtree-Dunwoody Rd 5th floor Atlanta, GA 30342
7/10/2014
David Brantley, MD
28506
RN081701
Akins, Katharine L Reeves
13512
200 North River St. Claxton, GA 30417
7/9/2015
John Ogundipe, MD
39193
RN165259
Alaka, Olushola
15890
2130 Anderson Mill Rd Austell, GA 30106
Wednesday, August 12, 2015
Page 4 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Melissa Schepp, MD
50221
RN165259
Alaka, Olushola Denai
14504
677 Church St. Marietta, GA 30060
10/10/2013
Melissa Schepp, MD
50221
RN165259
Alaka, Olushola Denai
12390
5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342
3/6/2014
James Palazzolo, MD
37637
RN174507
Albritton, Amber Laine
13022
804 13th Ave Albany, GA 31707
1/9/2014
Josephine Tan, MD
19193
RN195292
Alcius, Martine Eliette
12701
106 East Broad St Savannah, GA 31401
11/1/2007
Jennifer Miller, MD
46996
RN061053
Alday, Vicky W.
8081
390 E H Court Brunswick, GA 31520
6/8/2007
Tom Vann Willis, Jr., MD
10695
RN061053
Alday, Vicky Lynn Whittington
27
1131 Chapel Crossing Rd, Bldg 252 Glynco, GA 31524
4/4/2014
Jorge Pisarello, MD
58914
RN212358
Alderman, Troy Drawdy
13091
701 North Slappey Blvd Albany, GA 31701
7/12/2012
Gutierrez, Raymond MD
57983
RN212358
Alderman, Troy
10892
701 N. Slappey Blvd Albany, GA 31701
5/3/2013
Charles Johnson, MD
7504
RN119193
Ales, Lisa Marie
11886
6392 Murphy Dr Morrow, GA 30260
8/9/2013
Colville Ferdinand, MD
53439
RN140383
Alexander, Cassie Rae
12189
1120 15th Street, BA-4416 Augusta, GA 30912
8/5/2011
Margaret White, MD
36482
RN168429
Alexander, Shona Rasheeda
33
500 Springhouse Circle Stone Mountain, GA 30087
11/1/2007
Robert Hall, MD
45234
RN059514
Alexander, Gary Richard
29
231 Graefe Street Griffin, GA 30223
5/8/2015
Anne Grant, MD
70244
RN198438
Alexis-Destin, Bernadette
15323
5294 Adams St Covington, GA 30014
10/9/2014
Ray Paris, MD
19855
RN198438
Alexis-Destin, Bernadette
14382
101 Commerce Place Barnesville, GA 30204
Wednesday, August 12, 2015
Page 5 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/6/2013
Melody Palmore, MD
33679
RN188235
Al-Haroun, Katherine Melton
12631
341 Ponce de Leon Ave Atlanta, GA 30308
8/9/2013
Christopher Oldfield, MD
46195
RN229841
Ali, Idris Pasha
12069
1326 Eisenhower Dr Savannah, GA 31406
12/6/2013
Nathan Neufeld, DO
70135
RN089463
Aliffi, Kathy Jeanette Castille
12615
600 Parkway North Newnan, GA 30265
10/4/2007
George Vellanikaran, MD
33219
RN089463
Aliffi, Kathy Jeanette Castille
36
20 Francis Way, Suite 101 Sharpsburg, GA 30277
2/5/2009
William Osborne, MD
33664
RN142957
Aliotta, Brandy Taylor
37
4750 Waters Avenue, Suite 400 Savannah, GA 31404
1/11/2013
Marc J. Harringan, MD
56719
RN225178
Allain, Lauren C.
11404
35 Collier Rd., Ste 500 Atlanta, GA 30309
4/3/2008
Michael Sharkey, MD
38609
RN052669
Allcott, Mary Alice Giblin
8182
510 East Oglethorpe Hwy Hinesville, GA 31313
8/6/2015
Mark Elam, MD
36147
RN077192
Allen, Sonya
15949
755 S Perry St 2nd floor Lawrenceville, GA 30046
8/6/2015
Jack Dawson, MD
11945
RN185582
Allen, Harriett
15979
1968 Peachtree Rd NW Atlanta, GA 30309
7/9/2015
William Blincoe, MD
23018
RN195213
Allen, Jacob
15816
1968 Peachtree Rd NW Atlanta, GA 30309
7/9/2015
Guilda Saint Fleur, MD
69627
RN184598
Allen, Michelle Marie
15834
774 GA Hwy 96 Bonaire, GA 31005
6/4/2015
Paul Giles, MD
25159
RN087452
Allen, Jeanie
15637
1006 Mt Vernon Highway Vidalia, GA 30474
6/4/2015
Anna Woodbury, MD
67188
RN058026
Allen, Mary
15569
1670 Clairmont Rd Decatur, GA 30033
5/8/2015
Bill Moore Smith, MD
59963
RN077192
Allen, Sonya M.
15412
755 South Perry St., 2nd Flr Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 6 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Tamer Middleton, Md
51987
RN222518
Allen, Renai A
15355
2988 Shallowford Rd. Marietta, GA 30066
4/2/2015
Meenakshi Hari, MD
49026
RN233995
Allen, Mary Chandler
15342
2520 Windy Hill Rd, Ste 104 Marietta, GA 30067
3/5/2015
George Arimah, MD
42787
RN195025
Allen, Terrie Hattie
15160
121 Northcrest Blvd. Macon, GA 31210
11/7/2014
Elizabeth Norwood, MD
46192
RN201380
Allen, Carrie Boswell
12926
2739 Felton Dr East Point, GA 30344
9/11/2014
Glendon Rougeou, MD
70764
RN072414
Allen, Jane Nix
13440
108 Prominence Ct Ste 100 Dawsonville, GA 30534
12/6/2013
Robert Kelly, MD
34384
RN072414
Allen, Jane Nix
12427
5875 Thompson Mill Rd, Suite 100 Hoschton, GA 30548
5/3/2013
Terry Hansen, MD
47330
RN072414
Allen, Jane Nix
48
184-A Professional Dr Baldwin, GA 30511
9/1/2011
Virginia Price, MD
19897
RN184309
Allen, Amber Beth
9914
705 Dallas Hwy, Suite 101 Villa Rica, GA 30180
3/4/2011
William Adcox, MD
31376
RN065074
Allen, Nancy Leigh Ward
52
100 Genevieve Court, Suite A Fayetteville, GA 30215
4/1/2010
Carl Foster, MD
57618
RN162545
Allen, Bryan Patrick
8852
6400 Flat Rock Rd Columbus, GA 31907
2/5/2010
Rose Cesar, MD
48217
RN190740
Allen, Deborah C.
8927
1497 Fair Rd, Suite 201 Statesboro, GA 30458
8/8/2008
Herman Levy, MD
34010
RN134633
Allen, Vivian Lynn
7821
2500 Starling St, Suite 504 Brunswick, GA 31520
6/6/2008
Rani Reddy, MD
34450
RN190740
Allen, Deborah C.
8201
106 Briarwood Road Statesboro, GA 30458
12/7/2007
Lindsay Crawford, MD
56531
RN081047
Allen, Beth Ann
42
614 Patterson Road Lafayette, GA 30728
Wednesday, August 12, 2015
Page 7 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2007
Joseph Watlington, MD
25685
RN081047
Allen, Beth Ann
8124
201 Thomas Road Ft. Oglethorpe, GA 30742
11/7/2014
Andrew Magnet
60215
RN198722
Allicock, Alisa Natasha
14277
813 E 68th St, Ste B Savannah, GA 31401
12/6/2013
Vida Reklaitis, MD
34718
RN226437
Allman, Danielle Kristin Renee
12498
1000 Johnson Ferry Rd, Emer Dept Atlanta, GA 30342
9/13/2013
Deborah Griffiths, MD
35888
RN226437
Allman, Danielle Kristin Renee
12289
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
1/9/2014
Troy Murphy, DO
53290
RN175707
Almeida, Tammy Renee
12451
9 Chatham Center South, Suite C Savannah, GA 31405
3/1/2012
Trefts, Lori MD
66093
RN087708
Alston, Marion
10484
2500 Starling St, Ste 503 Brunswick, GA 31520
10/9/2014
Michelle Perry, MD
53017
RN131761
Altringer, Joanne May Gensel
14084
2040 Dan Proctor Dr., Ste 250 St Marys, GA 31558
12/4/2008
Riba Kelsey-Harris, MD
53833
RN041284
Amaker, Iris
59
3740 Cascade Road Atlanta, GA 30331
5/1/2014
Courtney Shelton, MD
50559
RN195776
Amankwah, Pearl Opokua
13232
315 Boulevard NE, Suite 200 Atlanta, GA 30312
9/11/2014
Morgan McLemore, MD
59290
RN234264
Amanti, Michael Gerard
13992
80 Jesse Hill Jr Dr. SE, Ground Atlanta, GA 30303
9/11/2014
Laurence Lesser, MD
14194
RN100568
Amason, Jeryi Lyn Pankov
13709
2160 Fountain Drive, Ste 5 Snellville, GA 30078
12/1/2011
Baker, Roy MD
25096
RN186569
Amato, Juliet Renee
10213
4 Jackson Blvd Savannah, GA 31405
8/9/2013
Deborah Griffiths, MD
35888
RN091643
Amatriain, Valerie Renee
62
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
11/5/2010
Jae Pak, MD
40185
RN096082
Amazon, Jody Lee
9396
2160 Fountain Dr, Suite 200 Snellville, GA 30078
Wednesday, August 12, 2015
Page 8 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2009
Naresh Parikh, MD
28851
RN096082
Amazon-Leece, Jody Lee
63
6330 Primrose Hill Court Norcross, GA 30092
8/9/2013
Robert Cook, MD
26087
RN208577
Amba, Katheryne Tifuh
12123
707 Old Dalton Elijay Rd, Emer Dept Chatsworth, GA 30705
9/11/2014
Alan Cheng, MD
66271
RN147435
Amidei, Tina Marie
13867
55 Whitcher St. Ste 350 Marietta, GA 30060
8/9/2013
Daniel Kleinman, MD
25627
RN147435
Amidei, Tina Marie
64
55 Whitcher St, Suite 350 Marietta, GA 30060
6/4/2015
Sallu Jabati, MD
58572
RN201832
Amukamara, Ernest
15487
5820 Old National Highway College Park, GA 30349
7/9/2015
David Wyatt, MD
42979
RN135346
Anaele, Caroline
15886
2121 Fairburn Rd, Ste B Douglasville, GA 30135
5/3/2013
Luzmira Torres, MD
54287
RN135346
Anaele, Caroline Chika Obasi
11869
2121 Fairburn Rd, Suite B Douglasville, GA 30135
5/8/2015
Xiaofeng Zhong, MD
69466
RN222372
Anders, Onitisha
15404
100 Goshen Rd Rincon, GA 31326
3/5/2015
Toni Sylvester, MD
58933
RN222372
Anders, Onitisha Vondese
15161
110 Goshen Rd. Rincon, GA 31326
3/5/2015
Matthew Wisdom, MD
69150
RN183773
Anderson, Tasha
15099
1000 Johnson Ferry Rd N E Atlanta, GA 30342
9/11/2014
David Sydner Lockman, MD
63798
RN176811
Anderson, Letitia Belinda
13067
728 Cobb Street Athens, GA 30606
5/1/2014
Sheila Southerland, MD
55894
RN115669
Anderson, Geraldine Jackson
13180
902 7th Street North Cordele, GA 31015
9/13/2013
David Celestial, DO
54990
RN107552
Anderson, Sherry L
7757
610 19th st Columbus, GA 31901-1528
3/8/2013
Sidney Morgan, Jr, MD
21262
RN101306
Anderson, Karen Beale
74
105 Rocky Ford Rd Sylvania, GA 30467
Wednesday, August 12, 2015
Page 9 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2012
Harold D. Hubert, MD
6355
RN139756
Anderson, Christine G.
11376
820 St. Sebastian Way, Ste *-A Augusta, GA 30901
11/2/2012
Kecia J. Jones, MD
55247
RN149791
Anderson, Tabatha P.
11286
638 Historic Hwy 441, Ste. B Demorest, GA 30535
1/6/2012
Anderson, Michael MD
54532
RN173488
Anderson, Stephanie Heaton
77
391 East Main street Canton, GA 301114
12/1/2011
Grundfast, Matthew DO
52944
RN189512
Anderson, Laura
10260
1009 N. Monroe Street Albany, GA 31701
11/3/2011
Jones, Ernest DO
41851
RN115669
Anderson, Geraldine
10194
216 Hospital Drive Cordele, GA 31015
4/1/2011
Sidney Smith, MD
38615
RN105862
Anderson, Christopher James
71
900 Mohawk St Savannah, GA 31419
9/2/2010
Andrew Michas, MD
49065
RN146734
Anderson, Alana Dee Austin
9307
1001 N. Monroe Street Albany, GA 31701
1/7/2010
Tonya Fordham, DO
49292
RN127974
Anderson, Cynthia Lynne
8937
277 Lackawanna Street Baxley, GA 31513
11/5/2009
Harrison Carter, MD
50575
RN154703
Anderson, Caroline Carter
8696
1126 West 12th Street Alma, GA 31510
9/11/2008
Brian DeLoach, MD
51216
RN060007
Anderson, Mae Kelly
76
PO Box 8043 Statesboro, GA 30460-8043
3/7/2008
Mark Smith, MD
37908
RN139756
Anderson, Christine Gayle
70
1303 D'Antignac Street, Suite 2500 Augusta, GA 30901
12/7/2007
Robert Dambach, DO
30039
RN183773
Anderson, Tasha LC
78
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
1/11/2013
Ernest Han, MD
62511
RN178688
Anderson-Reid, Marlene
11532
663 Lanier Park Dr. Gainesville, GA 30501
4/13/2007
Nydia Maria Bladuell, MD
38429
RN157084
Andler, Pamela Joy Salett
79
55 Whitcher St, Suite 350 Marietta, GA 30060
Wednesday, August 12, 2015
Page 10 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2009
Sherry Taylor, MD
35151
RN159210
Andres, Garland R. S.
8483
5780 P'tree Dunwoody Rd, #295 Atlanta, GA 30342
3/5/2015
Jeff Wilkins, MD
51402
RN238281
Andrews, Nancy
15094
3421 Mike Padgett Hwy Augusta, GA 30906
8/9/2013
Raj Gupta, MD
33345
RN154122
Andrews, Regina Lynn
12188
308 Coliseum Dr, Suite 120 Macon, GA 31217
7/9/2015
Jose Ruiz-Lagos, MD
63948
RN246634
Angevine, Margaret McGarrity
15933
35 Collier Rd, Ste 635 Atlanta, GA 30309
3/6/2014
Lisa Ruschak, MD
59956
RN046318
Ansley, Diane H
85
1022 Miller Lane SW Darien, GA 31305
7/9/2015
Sharon Tuckett, DO
36309
RN156181
Anyanwu, Justina Ngozi
15940
4028 Hwy 5 Douglasville, GA 30135
8/6/2015
Tariq Noohani, MD
66975
RN210012
Anyaoha, Forstina Nneka
16135
677 Church St. Marietta, GA 30060
3/7/2008
James Cox, MD
34323
RN138437
Aplin, Brooke Johnson
88
6918 McGinnis Ferry Road Suwanee, GA 30024
6/6/2014
Yolanda Hacker, MD
45811
RN185422
Appiah-Kubi, Mavis
13329
855 Veterans Memorial Hwy SE Mableton, GA 30126
8/6/2015
Holmes Marchman, MD
37021
RN124097
Archer, Holly
15968
655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501
8/6/2010
Alison Krause, MD
40443
RN133688
Archer, Ava Dawn
9178
4040 Hospital West Drive Austell, GA 30106
6/4/2015
Linda Arnold, MD
40299
RN070092
Ard, Cheryl
15696
260 West Clinton St Gray, GA 31032
2/5/2015
Alice House, MD
43065
RN070092
Ard, Cheryl Jean
15152
100 College Station Dr. Macon, GA 31206
12/7/2012
Hubert R. Smith, MD
18745
RN070092
Ard, Cheryl J.
11206
412 Northside Dr., East Statesboro, GA 30458
Wednesday, August 12, 2015
Page 11 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
William Cross, DO
62831
RN183299
Armand, Jean Marie
16040
710 Center St., Emer. Dept Columbus, GA 31901
11/7/2014
Kory Vaughn, MD
69457
RN183299
Armand, Jean Marie
14282
745 Poplar Rd Newnan, GA 30265
10/9/2014
Jamie Walraven, MD
45023
RN183299
Armand, Jean Marie
14330
1275 Hwy 54 W Ste 201 Fayetteville, Ga 30214
11/3/2011
Jackson, William MD
35913
RN183299
Armand, Jean
10217
1365 Rock Quarry Road, Ste 200 Stockbridge, GA 30281
4/1/2011
Shakira Thomas, MD
64729
RN183299
Armand, Jean Marie
9615
60 Hospital Rd, Emer Dept Newnan, GA 30263
3/4/2011
Michael Flueckiger, MD
35869
RN183299
Armand, Jean Marie
96
1968 Peachtree Rd, Emer Dept Atlanta, GA 30309
8/6/2015
Molly Vicchrilli, MD
58364
RN247289
Armstrong, Hailey
16119
304 Turner McCall Blvd Rome, GA 30165
10/9/2014
Laurence Greenbaum, MD
57171
RN239601
Armstrong, Lindsay Leigh
14061
2015 Uppergate Dr. NE Atlanta, GA 30322
9/11/2014
James Wheeler, MD
17903
RN176012
Armstrong, Lisa Kristen
13865
993F Johnson Ferry Rd Ste 210 Atlanta, GA 30342
8/7/2014
James Kauten, MD
24830
RN144348
Armstrong, Christine Beauvais
13612
95 Collier Rd., NW, Ste 5015 Atlanta, GA 30309
6/6/2014
Pamela Clanton, MD
61221
RN200896
Armstrong, Helen Victoria
13143
745 Poplar Rd Newnan, GA 30265
8/7/2009
Lathan Overstreet, MD
36659
RN126964
Arp, Michelle Aimee
5033
340 Boulevard NE, Suite 103 Atlanta, GA 30312
11/2/2012
Matthew A. Wheatley, MD
57702
RN187913
Arrington, John Davis
10994
80 Jesse Hill Jr. Dr. Atlanta, GA 30303
8/6/2015
Sekhar Sankaran, MD
31549
RN234732
Arthur, Emily
16111
101 Regency PK Dr, Ste 140 McDonough, GA 30253
Wednesday, August 12, 2015
Page 12 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Betsy S. Horton, MD
40693
RN170388
Asa, Michele
11188
745 S. Glynn St. Fayetteville, GA 30214
8/5/2011
Crystal Comeau, MD
61224
RN142933
Asher, Sue
9868
101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513
9/14/2007
Robert Stahlkuppe, MD
17089
RN142933
Asher, Sue
102
56 Hospital St. Hiawassee, GA 30546
9/13/2013
David Propp, MD
40521
RN198739
Ashton, Christine O'Rourke
12299
1525 Clifton Rd Atlanta, GA 30322
6/8/2012
Underset, Craig MD
29961
RN198739
Ashton, Christine O'Rourke
10745
5579 Maleton Pkwy Mableton, GA 30126
12/4/2014
Kitasha Bumey, MD
55931
RN198848
Ashu, Lyna
14556
3885 Princeton Lakes Way Atlanta, GA 30331
9/2/2010
Jeffrey Tharp, MD
35153
RN080564
Ashworth, Susan Elizabeth Lest
107
176 Marietta Hwy Hiram, GA 30141
9/13/2013
William Swofford, MD
46262
RN084786
Askew, Susan Lee Michelle Bro
12215
210 West Main St, Suite 4 Colquitt, GA 39837
1/8/2015
Raymond McKoy, DO
44536
RN191965
Atchley, Torrey
14601
2510 Redmond Cir N W Rome, GA 30165
1/11/2008
Edward Clark, MD
36700
RN118404
Atherton, Ann Ritchie
109
744 First Street Macon, GA 31201
4/2/2015
Paul Allen, MD
28490
RN194301
Atigbi-Hansen, Jueth
15065
2795 Main St.W, Ste 27 Snellville, GA 30078
9/11/2014
Venkatappa Rangaraj, MD
58633
RN194301
Atigbi-Hansen, Jueth
13942
2795 Main St. W, Ste 27 Snellville, GA 30078
7/9/2015
Donna Burrell, MD
38704
RN202095
Atkins, Denise
15821
610 19th St, SF Columbus Clinic Columbus, GA 31901
3/5/2015
Flavia Rossi, MD
69623
RN195940
Atkins, Rebekah Renee
15095
2225 US Hwy 41 North Tifton, GA 31794
Wednesday, August 12, 2015
Page 13 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
David Turfler, MD
24255
RN204317
Atkins, Bethany Woodruff
13415
209 S. Tallahassee St, PO Box 770 Hazlehurst, GA 31539
10/5/2012
Jill W. Kitchens
60516
RN157938
Atkins, Letisha
11100
150 Gentilly Blvd. Cartersville, GA 30120
11/5/2010
Richard Wheeler, MD
46277
RN124759
Atkins, David Ryan
7797
416-A East McPherson Ave Nashville, GA 31639
8/6/2010
Jatinder Bhatia, MD
18784
RN170658
Atkinson, Julie Ellen
9189
1120 15th Street, BIW-6033 Augusta, GA 30912
2/5/2009
Martha Ward, MD
20360
RN123829
Atkinson, Denise F
7793
400 S. Pinetree Blvd Thomasville, GA 31792
7/9/2015
Robert Dambach, DO
30039
RN206701
Augestad, Allison
15875
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
6/4/2015
William Almon, MD
30938
RN206701
Augestad, Allison
14496
5755 North Point Parkway, Ste 72 Alpharetta, GA 30022
2/6/2014
Miriam Gwathney, DO
63343
RN181184
Augustine-Akpan, Inemienyu
12804
931 Lower Fayetteville Rd, Suite J Newnan, GA 30263
6/8/2012
Garrot, Louis Crain MD
59157
RN113740
Auriemma, Kimberly
10761
790 Church St, Suite 335 Marietta, GA 30060
8/6/2015
Onkar Kaur, MD
47103
RN195200
Austin, Sekeithia
16114
618 East Lamar St Americus, GA 31709
4/4/2014
Pete Williams, MD
59940
RN162994
Austin, Nancy MacCrae
114
743 Spring St Gainesville, GA 30501
12/6/2013
Jonathan Hall, MD
59655
RN145096
Austin, Valerie Anne
12467
12192 Augusta Rd Lavonia, GA 30553
3/29/2012
Clark, Robert DO
40887
RN128161
Austin, Barbara
10565
1701 Magnolia Way, Ste 101 Augusta, GA 30909
10/7/2011
McCoy, Frank MD
RN187723
Austin, Jennifer
10063
340 Kennestone Hospital Blvd, Ste 200 Marietta, GA 30060
Wednesday, August 12, 2015
Page 14 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/1/2011
Menchion, Kenneth MD
47236
RN128161
Austin, Barbara
10013
350 Country Club Dr, Suite B Stockbridge, GA 30281
6/6/2008
Thomas Olson, MD
40180
RN065814
Austin, Colleen Mccoy
113
1405 Clifton Rd, Tower I,4th Floor Atlanta, GA 30322
4/2/2015
Anthony Clavo, MD
45425
RN189154
Avinger, Shanetia Sontavia
15354
1975 West Hwy 54 Fayetteville, GA 30214
7/12/2012
Pak, Jae MD
40185
RN115997
Avist, Dana Marie
118
2160 Fountain Drive Ste 101 Snellville, GA 30078
5/7/2009
Richard Robinson, MD
38936
RN139568
Aycox, Melissa Dawn McElreath
5036
3240 Avalon Blvd Conyers, GA 30013
10/10/2013
Clarence Hendrix, MD
28569
RN143045
Ayeni, Regina Foluke
12454
1825 County Services Pkwy Marietta, GA 30060
3/29/2012
Bleacher, John MD
42182
RN199510
Ayer, Adam
10257
5455 Meridian Mark Road, Ste 570 Atlanta, GA 30342
3/5/2015
Jodi Vann, MD
41988
RN216654
Ayyagari, Krishnaveni
14971
696 Grayson Hwy Lawrenceville, GA 30046
2/5/2015
Naghma Khan, MD
37252
RN123161
Bachtel, Mary Kathleen
14792
1645 Tullie Circle Atlanta, GA 30329
2/5/2015
David Quintero Bustos, MD
61149
RN168366
Bacot, Eliza
14886
600 Celebrate Life Pwy Newnan, GA 30265
8/5/2011
Pradeep Jolly, MD
22798
RN089038
Badnin, Martha Ellen
9946
1100 Johnson Ferry Rd, Ste 600 Atlanta, GA 30342
11/7/2014
Leslie Cottrell, MD
45194
RN065906
Baggett, Patricia Robin
14171
4248 Mt. Zion Rd Carrollton, GA 30150
6/8/2007
Andy F. Williamson, MD
25402
RN159515
Baggett, Krystal E.
5467
908 Hillcrest Parkway Dublin, GA 31021
10/7/2011
Badea, Calin MD
55918
RN089010
Baggs, Florence
10058
213 N. McDonald Street, Suite A & B Ludowici, GA 31316
Wednesday, August 12, 2015
Page 15 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/13/2007
Olugbenga A. Awe, MD
48329
RN089010
Baggs, Florence Oralee
5461
PO Box 52 Hinesville, GA 31310
7/9/2015
Fred Hood MD
45071
RN247639
Bailey, Erin
15880
1050 Eagles Landing Pkwy, Ste 200 Stockbridge, GA 30281
9/11/2014
Prakul Chandra, MD
66006
RN092042
Bailey, Jean Marie
13863
961 East Winthrope Ave Millen, GA 30442
6/7/2013
Eric Mitchell, MD
46177
RN186045
Bailey, Courtney Ann Mels
11917
1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214
3/29/2012
Shields, James MD
27911
RN135442
Bailey, Natisha
10566
200 s. Houston Lake Rd, Ste A Warner Robins, GA 31088
8/8/2008
Benjamin Bailon, MD
27025
RN073825
Bailon, Melva Curameng Blanq
131
890 W. Main Street Lakeland, GA 31635
5/3/2013
Robert Wilson, MD
38133
RN051587
Baird, Kim Andrea Timmerman
133
308 Bedell Ave Woodbine, GA 31569
10/2/2008
Arvind Gupta, MD
33344
RN156046
Baize, Theresa Elaine
134
3207 Country Club Drive Valdosta, GA 31605
7/9/2015
Mahmood Mahmood
42008
RN202254
Baker, Benjamin Jermaine
15746
231 Graefe St Griffin, GA 30224
3/5/2015
Edward Olsen, MD
55160
RN057106
Baker, Carol Dean
14949
175 Emery Hwy Macon, GA 31217
4/4/2014
Lawrence Zottoli, MD
36639
RN175998
Baker, Nidsa Doris
13019
4704 Augusta Rd Garden City, GA 31408
12/6/2013
Richard Rickman, MD
49332
RN072455
Baker, Vanessa Young
12627
3200-C North Ashley St Valdosta, GA 31602
1/11/2013
Ellen E. Courson, MD
34089
RN072455
Baker, Vanessa Y.
11535
3811 Old US Hwy 41 North Valdosta, GA 31604
1/11/2013
Eduard Docu, MD
56426
RN175998
Baker, Nidsa D.
11513
St. Marys Hlth Center, 1302 Drayton St Savannah, GA 31401
Wednesday, August 12, 2015
Page 16 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
James Terry Greene, MD
32741
RN146348
Baker, Chester Riley
8727
130 Magnolia Lane Cornelia, GA 30531
11/7/2014
Todd Hold, MD
46126
RN111133
Baldridge, Robert Lee
14177
1035 Redbud Rd (ER) Clhoun, GA 30701
5/3/2013
Karen Wasilewski, MD
53203
RN107598
Ballard, Linda Kozak
11887
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
7/9/2015
Gary Fischer, MD
57804
RN220937
Banasik, Stephanie Eileen
15762
10200 Ford Ave, Ste 101 Richmond Hill, GA 31324
4/2/2015
Milanieva Latorre, MD
38032
RN230719
Bandell, Jaclyn Marie
14985
643 Main St. Palmetto, GA 30268
6/4/2015
Franklin Lin, MD
52461
RN221793
Bandoquillo, Kirby
15565
61 Whitcher St, Ste 3110 Marietta, GA 30060
2/5/2015
William Kolhoff, MD
63706
RN144607
Banister, Anna Lee
14860
800 Towne Park Dr, Ste 100 Rincon, GA 31326
5/6/2011
James Cornwell, MD
50608
RN144607
Banister, Anna Lee
9773
3 Hidden Creek Guyton, GA 30312
1/9/2014
Naghma Khan, MD
37252
RN226809
Banks, Kai Lynneice
12761
1645 Tullie Cir Atlanta, GA 30329
3/8/2013
Elizabeth Norwood, MD
46192
RN226809
Banks, Kai Lynniece
11697
2739 Felton Dr East Point, GA 30344
2/5/2009
Benjamin Epstein, MD
35044
RN123620
Banks, Elizabeth Davidson
151
2665 N. Decatur Road, Suite 255 Decatur, GA 30033
1/7/2011
Alison Lauber, MD
22812
RN169953
Banks-Blades, Paulette Rena
9434
1120 15th St, HB-4022 Augusta, GA 30909
7/10/2014
Shaena Blevins, MD
60242
RN198626
Banner, Laura J
13566
743 Spring Street Gainesville, GA 30501
6/6/2014
Oladapo Fawihe, MD
43608
RN185747
Bannister, Brandis K Singleton
13340
811 13th St., Ste 11 Augusta, GA 30901
Wednesday, August 12, 2015
Page 17 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/6/2012
Bailey, Marion MD
10469
RN120593
Baran, Susan
10379
109 Industrial Drive, Ste B St. Mary's, GA 31558
2/5/2009
Michael Sims, MD
19775
RN166195
Barbaree, Leigh Ann
8464
3934 Woodruff Road Columbus, GA 31904
2/3/2012
Duke, Michael MD
42041
RN159846
Barbee, Leah
10420
134 West Campus Drive, Cbox 091 Milledgeville, GA 31061
8/6/2015
Ann Ward, MD
23242
RN089020
Barber, Babette
16031
48 Hill Creek Rd Taylorsville, GA 30178
3/1/2012
Roberts, Michael MD
26367
RN049419
Barber, Charlotte
10541
750 N. Cobb Street, Ste 110 Milledgeville, GA 31061
8/7/2009
Yolanda Wade, MD
58345
RN135629
Barber, Ronald Blake
8675
40 Jefferson Street Newnan, GA 30263
7/10/2009
Barry Morgan, MD
25554
RN135629
Barber, Ronald Blake
8601
1755 Hwy 34, Suite 2150 Newnan, GA 30265
7/9/2015
Troy Akers, MD
67924
RN221722
Barco, Angela
15911
2260 Wrightboro Augusta, GA 30904
5/8/2015
Rolando Torres, MD
43138
RN221722
Barco, Angela Marie
15018
2460 Washington Rd, NE Thomson, GA 30824
11/7/2014
David Brosnahan, MD
59132
RN221722
Barco, Angela Marie
14215
1350 Walton Way Augusta, GA 30901
7/10/2014
Bozeman Sherwood, MD
26379
RN221722
Barco, Angela Marie
13434
5176 Wrightsboro Road Grovetown, GA 30818
12/7/2012
Mihaela Saler, MD
66316
RN221722
Barco, Angela Marie
11053
1350 Walton Way Augusta, GA 30901
10/5/2012
Amy Lucas, MD
65452
RN101335
Barfield, John
11148
1062 Forsyth St., Ste 1-B Macon, GA 31201
2/5/2015
Shaun Franklin, MD
40663
RN037609
Barker, Susan
14779
325 W Montgomery Crossroads Savannah, GA 31406
Wednesday, August 12, 2015
Page 18 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Karen Muro, MD
37304
RN108439
Barkhaus, Corby Lynn
14823
497 Winn Way, Ste A 210 Decatur, GA 30030
4/2/2015
Isioma Okwumabua, MD
70256
RN079838
Barlow, Paula
15118
2464 Roswell Rd Marietta, GA 30062-4954
7/10/2014
Miriam Gwathney, DO
63343
RN079838
Barlow, Paula Carol Stiller
12803
931 Lower Fayetteville Rd, Suite J Newnan, GA 302563
8/6/2010
Thomas Hatchett, MD
36984
RN119659
Barlowe, Brenda Jane Harvel
5040
870-A Austin Dr Demorest, GA 30535
9/11/2014
Vincent Galan, MD
28685
RN096995
Barnard, Angela C
13810
1365 Rock Quarry Rd Stockbridge, GA 30281
3/5/2015
Robert Hall, MD
45234
RN205112
Barnes, Allison Maxwell
15026
231 Graefe St. Griffin, GA 30224
9/11/2014
William Harper, MD
20726
RN241927
Barnes, Abby S
13861
1021 Talbotton Rd Columbus, GA 31904
9/11/2014
Peter Barrett, MD
69372
RN197164
Barnes, Christopher
13860
95 Collier Rd, NW, Ste 5015 Atlanta, GA 30309
7/11/2013
Mahaveer Vakharia, MD
38390
RN165438
Barnes, Wendy Denise
11843
4171 Marietta St, Suite 300-A Powder Springs, GA 30127
1/11/2008
Wayne Richey, MD
50910
RN105904
Barnes, Susan McGraw
7753
160 Central Avenue Trion, GA 30753
1/11/2008
Raulnina Uzzle, MD
43499
RN125306
Barnes, Maria Martinez
7800
770 Village Square Drive Stone Mountain, GA 30083
10/4/2007
Dennis Estep, MD
25429
RN138894
Barnes, Dawn Kyla Daw
160
2366 Battlefield Parkway Ft Oglethorpe, GA 30742
5/3/2013
Daniela Rojas-Molina, MD
55331
RN060038
Barnett, Toni Odom
164
772 Maddox Dr, Suite 122 Ellijay, GA 30540
9/3/2009
Jeremy Goodwin, MD
59416
RN147543
Barnett, Tammy Lynn
8713
97 Martin Luther King Dr Forsyth, GA 31029
Wednesday, August 12, 2015
Page 19 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2008
Thad Riley, MD
28637
RN060037
Barnett, Connie J.
8371
PO Box 957 Statesboro, GA 30459
11/2/2012
Matthew A. Wheatley, MD
57702
RN176758
Barnette, Katherine
11039
80 Jesse Hill Jr., Dr., Ste 127 Atlanta, GA 30303
7/9/2015
Henry Lewis, MD
49052
RN080586
Barrett, Karen
15849
1990 Limestone Pkwy, Ste 100 Gainesville, GA 30501
3/5/2015
Gary Smith Sr, MD
10666
RN093282
Barrett, Patricia Annette
15000
204 North Duke St. LaFayette, GA 30728
8/9/2013
Bryan Cheever, MD
34120
RN149515
Barrett, Kasie Deann
372
1107 Memorial Dr, Suite 200 Dalton, GA 30720
1/11/2013
Herman V. Barnes, MD
12029
RN080586
Barrett, Karen L.
11484
1314 West Ridge Rd. Gainesville, GA 30501
11/5/2010
Abdullah Kutlar, MD
34751
RN143515
Barrett, Nadine Janice Fearon
9380
1120 15th Street Augusta, GA 30912
5/8/2015
David Quintero Bustos, MD
61149
RN128594
Barrett-Brown, Angela
15433
600 Celebrate Life Parkway Newnan, GA 30265
12/3/2010
James Spivey, MD
51848
RN128594
Barrett-Brown, Angela Dian
9444
1365 Clifton Rd, Suite 6400 Atlanta, GA 30322
1/8/2015
Kevin Rodbell, MD
57998
RN140084
Barrington, Elizabeth
14633
1799 Briarcliff Rd N E, Ste X Atlanta, GA 30306
8/6/2010
Thomas Hatchett, MD
36984
RN132239
Barron, Britteny Lee
9179
870 A. Austin Drive Demorest, GA 30535
4/2/2015
Antonio Remollino, MD
57994
RN135517
Barrow, Bridget April
14983
103 GA Hwy 27 E Americus, GA 31709
12/4/2014
Luis Murrain, DO
57747
RN135517
Barrow, Bridget April
14583
260 College St Blakely, GA 39823
3/8/2013
Serena D. Tidwell, MD
51192
RN135517
Barrow, Bridget A.
11423
1538 13th Ave. Columbus, GA 31907
Wednesday, August 12, 2015
Page 20 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/7/2010
John Bergsagel, MD
29407
RN156491
Barry, Amy Elizabeth Gartner
8928
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
5/8/2015
Scott Clay, MD
52698
RN246968
Barth, Bethanie
15466
3222-A Shrine Rd Brunswick, GA 31520
3/6/2014
Michael Papciak, MD
16823
RN225792
Barthold, Nichole Marie
13005
3400-A Old Milton Pkwy, Suite 330 Alpharetta, GA 30005
3/6/2014
Victor Thomas, MD
40574
RN097337
Bartlett, Katherine Evans
12898
1200 Memorial Drive Dalton, GA 30720
2/3/2012
Cullison, James MD
45057
RN130291
Bartlett, Donya
10426
150 Clinic Avenue, Ste 202 Carrollton, GA 30117
2/5/2015
Cecil Sharp, MD
27662
RN160240
Bartley, Ashley
14553
1350 Waalton Way Augusta, GA 30901
10/9/2014
William Cash, MD
64344
RN221390
Bartock, Dawn
14318
1405 Clifton Rd N E Atlanta, GA 30022
2/5/2015
Kiran Kanji, MD
54761
RN145757
Bartolomei, Rachel Ayers
14894
1265 Hwy 54 West, Ste 402 Fayetteville, GA 30214
8/6/2015
Arthur Reisman, MD
30421
RN136131
Barton, Michele
15919
5501 Dunwoody Village Pkwy Dunwoody, GA 30338
9/11/2014
Miriam Gentin, MD
53311
RN206894
Basel, Catherine Nicole
13859
663 Lanier Pk. Dr. Gainesville, GA 30501
8/6/2015
Craig Bishop, DO
45725
RN128236
Bass, Pollyanna
15981
2412 N Oak St Valdosta, GA 31602
5/8/2015
Jonathan Sule, MD
60329
RN222875
Batson, Joshua
15431
3790 Old US 41 N, Ste B Valdosta, GA 31602
8/5/2011
Scott Leibowitz, MD
53477
RN090604
Batson, Anne Richards Watson
7736
275 Collier Rd, Suite 300 Atlanta, GA 30309
2/4/2011
Robert Collins, DO
48034
RN138008
Batten, Lisa Ann Tyre
9556
1101 Ocilla Rd Douglas, GA 31534
Wednesday, August 12, 2015
Page 21 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Kenneth Healey, MD
24689
RN036923
Battle, Juanita
15619
205 Rees St Americus, GA 31709
1/8/2015
Mark Coker, MD
56276
RN230516
Bauch, Marie Lynn
14787
14557 Highway 19, Ste A Griffin, GA 30224
11/2/2012
Kelly C. Grow, MD
51353
RN203867
Baughcum, Milissa B.
11241
740 Prince Ave., Bldg 15 Athens, GA 30606
4/4/2014
Kartik Reddy, MD
69700
RN189178
Baumann, Joni Leigh
13060
600 West Memorial Dr Dallas, GA 30132
3/5/2015
Frank Mott, MD
70674
RN176760
Beagles, Rebekah
15023
1411 Laney Walker Blvd. Augusta, GA 30912
9/13/2013
Lawrence Berman, MD
35374
RN112931
Beaird, Carrie M.
179
413 Pottery Factory Dr Commerce, GA 30529
1/11/2008
Ronald Forehand, MD
22760
RN040301
Beall, Frances Margaret Eicher
181
University Health Ctr, 370 River Rd Athens, GA 30602
1/11/2013
Julie Segal, MD
50260
RN129550
Bean, Heather M.
11540
755 Mt. Vernon Hwy. NE, #150 Atlanta, GA 30328
1/7/2011
Anozie Ukaonu, MD
53729
RN159427
Beasley, Kitty Marie
9561
48 US Hwy 19 South Camilla, GA 31730
9/3/2009
Robert Mullins, MD
49835
RN145084
Beasley, Jocelyn Hills
1350
1220 George C. Willson Drive Augusta, GA 30909
2/5/2015
Mehmood Mehdi, MD
57725
RN193787
Beaubrun, Shelley
14766
367 Athens Hwy, Ste 1050 Loganville, GA 30052
2/5/2010
Kirk Kanter, MD
30631
RN120701
Bechler-Karsch, Abby
184
1405 Clifton Rd Atlanta, GA 30322
1/8/2015
Parviz Brahman, MD
66576
RN207208
Beck, Jeremy Wayne
14627
1401 N Tift Ave, Ste B Tifton, GA 31794
7/11/2013
Bruce S. Ribner, MD
49086
RN190666
Beck, Emily Marie
11514
1364 Clifton Rd. NE Atlanta, GA 30322
Wednesday, August 12, 2015
Page 22 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Gariat Ajayi, MD
47776
RN066734
Becker, Deborah A
14200
250 North Ave Athens, GA 30601
12/4/2014
William Warren, MD
54181
RN225162
Becklenberg, Amy M
14272
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
1/6/2012
Bohnstengel, Sandra MD
38692
RN132814
Beckworth, Jill
10274
132 Stephenson Ave, Ste 102 Savannah, GA 31405
8/6/2015
Tameka Walker-Blake, MD
62448
RN182810
Beddard, Crystal
16077
5126 Hospital Dr Covington, GA 30014
8/5/2011
Lawrence Devoe, MD
24929
RN046188
Bedingfield, Amy P.
9829
1120 15th St, BA-7410 Augusta, GA 30912
6/4/2015
Raghava Bhaskaran, MD
25580
RN100419
Beerman, Pastora
15641
606 Academy Ave Dublin, GA 31021
11/5/2009
Bennie Johnson, DO
23999
RN100419
Beerman, Pastora Amparo
8811
18 Cumming St Alpharetta, GA 30009
9/11/2008
Rhett Bergeron, MD
44683
RN100419
Beerman, Pastora Amparo
8283
555 Sun Valley Drive, Suite D-1 Roswell, GA 30076
8/6/2015
Kanwar Gill, MD
71952
RN154156
Behunin, Jennifer
16032
743 Spring St NE Gainesville, GA 30501
2/5/2009
O W Stephaine Yap, MD
55044
RN154156
Behunin, Jennifer Shrum
8458
1462 Montreal Road, Suite 403 Tucker, GA 30084
5/3/2013
Gordon Leslie Walters, MD
30919
RN148859
Beilman, John Patrick
194
818 St Sebastian Way, Suite 311 Augusta, GA 30901
5/8/2015
Amit Patel, MD
62929
RN203310
Belcher, Dalandra Cavada
15048
455 Philip Blvd, Bldg 100, Ste 140 Lawrenceville, GA 30046
8/6/2015
Steven Durocher, MD
56051
RN076464
Bell, Gilbert
15784
4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 30044
5/8/2015
Zandraetta Tims-Cook, MD
63616
RN106630
Bell, Hermeyone
15403
2215 Cheshire Bridge Rd Atlanta, GA 30324
Wednesday, August 12, 2015
Page 23 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2014
Ronnie Hendrix, MD
24690
RN076464
Bell, Gilbert Lawrence
14271
4835 Sugarloaf Pkwy Lawrenceville, GA 30045
9/13/2013
Anupama Ravikanth, MD
48297
RN181266
Bell, Sally N.
11866
335 Roselane St, Suite 203 Marietta, GA 30060
3/4/2011
Obinnaya Emerole, MD
41550
RN162894
Bell, LaCheisa Sherell
9424
654 First St Macon, GA 31201
10/8/2010
Raymond Rudolph, MD
30205
RN116708
Bell, Catie Miller
197
4700 Waters Ave, Suite 405 Savannah, GA 31404
7/10/2014
Delquis Mendoza, MD
40486
RN119661
Bellamy, Dene Ruth
13563
3073 Panthersville Rd Decatur, GA 30034
2/5/2015
Marcel Lacoste, MD
65836
RN164849
Belton, Rosalyn
14812
1 Freedom Way Augusta, GA 30904
10/2/2009
Ronald Forehand, MD
22760
RN124223
Beltran, Beverly E.
433
370 River Road, Univ Health Center Athens, GA 30602
12/4/2014
Garland Martin
47233
RN149999
Bembry, Earl Dan
14368
7828 River Rd Waynesboro, GA 30830
8/6/2015
John Layher, MD
46692
RN217373
Bemid, Stephanie Witt
16037
2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606
12/4/2014
Wendy Wright
52658
RN230334
Bendall, Misty Leigh
14216
235 Grand Isle Ct McDonough, GA 30252
7/9/2015
John Ogundipe, MD
39193
RN172939
Bender, NaToya
15649
2130 Anderson Mill Rd Austell, GA 30106
1/9/2014
Tsung Hsu, MD
62220
RN172939
Bender, NaToya Nicola
12728
677 Church St, 310 Bldg Marietta, GA 30060
7/9/2015
Yolanda Borders, MD
66547
RN063022
Benek, Mary Faye
15839
505 City Blvd Waycross, GA 31501
4/1/2010
Terri McFadden, MD
32110
RN116279
Benjamin, Valerie Lynne
206
35 Jesse Hill Jr Dr Atlanta, GA 30303
Wednesday, August 12, 2015
Page 24 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Darshana Sheth, MD
58642
RN237110
Bennett, Carrie
15950
3822 Roswell Rd, Ste 12 Marietta, GA 30062
11/7/2014
Tamara New, MD
58712
RN242160
Bennett, Anna Brandon
14266
1405 Clifton Rd NE (Aflac Cancer Center) Atlanta, GA 30322
10/9/2014
Kiera von Besser
66837
RN237110
Bennett, Carrie Heather
14025
5665 Peachtree Dunwoody Rd. Atlanta, GA 30342
10/9/2014
Larry Elam, MD
53491
RN202172
Bennett, Alisha Salo
14096
10055 Ford Ave, Ste 4A Richmond Hill, GA 31324
8/7/2014
Raymond Jarvis, MD
45505
RN186285
Bennett, Alison Nicole
13554
330 Turner McCall Blvd, Suite 3000 Rome, GA 30165
3/8/2013
Jeffrey Lamp, MD
56736
RN077666
Bennett, Stephanie Leigh Stock
11699
2151 West Spring St Monroe, GA 30655
8/6/2015
Timothy Troyer, MD
33898
RN093585
Benston, Janna
16035
1000 Johnson Ferry Rd NE Atlanta, GA 30342
7/10/2014
Todd Vermeer, MD
49505
RN203453
Bentley, Melissa Paige
13562
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
5/4/2012
Rowley, Lawrence MD
35992
RN044253
Benvenue, Pamela
10683
1700 Hospital South Drive, Ste 500 Austell, GA 30106
4/4/2014
Jeffery Reid, MD
55792
RN113194
Berg, Shawna Marie Aukerman
13049
100 Professional Place, Suite 204 Carrollton, GA 20117
5/8/2015
Derrell Anglyn Jr., MD
24198
RN242003
Berglin, Allison Kate
15444
55 Sims St McDonough, GA 30253
11/8/2013
Shriprasad Deshpande, MD
64531
RN225497
Berkowitz, Katie Ann
12450
1405 Clifton Rd NE, Heart Transplant Dept Atlanta, GA 3032
5/8/2015
Frank Keller, MD
#####
RN185976
Bernardo, Stephanie Marie
15169
1405 Clifton Rd NE Alfac Clinic 4th Flr Atlanta, GA 30322
3/5/2015
Akinkunmi Ogundipe, MD
50237
RN218258
Berndt, Angela Susanne
15005
55 Whitcher St, Ste 460 Marietta, GA 30060
Wednesday, August 12, 2015
Page 25 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Ray Paris, MD
19855
RN158389
Berry, Marian Adale
15058
202 Croft St Carrollton, GA 30117
4/2/2015
Johnathan Gore, MD
36164
RN158389
Berry, Marian Adale
15336
6135 Roosevelt Hwy Warm Springs, GA 31830
10/10/2013
Kesha Allen, MD
57920
RN164502
Berry, Jennifer Peters
11867
417 Third Ave, Emer Dept Albany, GA 317101
9/13/2012
Warren, Brandi DO
61681
RN164502
Berry, Jennifer
10857
44 11th St SW Moultrie, GA 31768
1/7/2010
Benjamin Andrews, Jr, MD
31867
RN164502
Berry, Jennifer Peters
8887
126 Hwy 280 West Americus, GA 31719
5/9/2008
John West, MD
28915
RN087583
Bertram, Monica Clare Ninaber
219
2295 Henry Clower Blvd, Suite 101 Snellville, GA 30078
8/7/2009
Vincent Brawley, MD
33283
RN042166
Bertucci, Rosalee C
220
1350 Walton Way - 3rd Floor Augusta, GA 30901
8/10/2012
Edsworth John, MD
65012
RN221907
Bethea, Bridget
10918
811 13th St, Ste 10 Augusta, GA 30901
1/9/2009
Arnold Mellits, MD
41168
RN036066
Beverly, Joan Mckee
222
3400-C Old Milton Pkwy, Suite 500 Alpharetta, GA 30005
10/9/2014
Michael Vavrik, MD
47859
RN159472
Bexley, LaToya Pulliam
13972
410 Dixie St. Carrollton, GA 30117
10/7/2011
Alli, Renee MD
51424
RN214759
Bhimani, Anila
10065
11 Dunwoody Park, Ste 190 Dunwoody, GA 30338
10/10/2013
Steven Diamond, MD
36135
RN186980
Bice, Amanda Michelle
12415
100 Doctor's Dr, Suite 202 Douglas, GA 31533
3/5/2015
James Gore, MD
36384
RN160586
Biggs, Leslie
15138
1657 North Expressway Griffin, A 30223
11/2/2012
Bharatkumar Patel, MD
48693
RN058793
Biglow, Anicia S
10966
390 17th Street NW, Unit 2020 Atlanta, GA 30363
Wednesday, August 12, 2015
Page 26 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2010
Linda Casteel, MD
43346
RN069002
Bird, Patricia Anne Keesee
9448
3725 Zoar Rd Snellville, GA 30039
8/7/2009
William Delp, DO
17791
RN069002
Bird, Patricia Anne Keesee
8618
4589 Lawrenceville Rd Loganville, GA 30052
9/13/2013
Aashish Patel, MD
62410
RN211598
Biron, Jose Lee Belandres
12283
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
12/1/2011
Friedman, Mark MD
38488
RN212857
Bishara, Melody
10253
5673 Peachtree Dunwoody Road Ste 775 Atlanta, GA 30342
5/8/2015
Rhonda Wachsmuth, MD
56664
RN184335
Bishop, Diana
15362
780 Canton Rd, Ste 410 Marietta, GA 30060
9/11/2014
David Fieseler, MD
17756
RN201329
Bishop, Cassie Leigh
13715
523 West Main Street Thomaston, GA 30286
11/8/2013
Andrea Hill, MD
51332
RN102177
Bishop, Joy Elaine Miller
12462
517 Great Oaks Dr, Suite 103 Monroe, GA 30655
7/9/2015
Stephanie Poole, MD
47011
RN094302
Bivins, Laurie
15752
611 Campbell Hill Rd, Ste 103 Marietta, GA 30060
9/14/2007
Walter Wilson, MD
27947
RN155124
Bizzell, Nicole Phaye
232
129 Carl Vinson Parkway Warner Robins, GA 31088
7/9/2015
James Chappuis, MD
29604
RN232904
Black, Gidget
15794
3161 Howell Mill Rd NW, Ste 400 Atlanta, GA 30327
7/10/2014
Freeman Montaque, Jr, MD
28123
RN214831
Black, Tekesa Michell
13428
695 Crossville Rd, Healthcare Clinic Roswell, GA 30075
2/6/2014
William Cleveland, MD
17375
RN214831
Black, Tekesa Michell
12904
3620 Martin Luther King Jr Dr SW Atlanta, GA 30331
1/11/2013
Scott J. Cahoon, MD
48492
RN146749
Black, Casey R.
11534
6635 Lake Dr. Morrow, GA 30260
3/5/2015
Reed Pitre, MD
49707
RN152997
Blackburn, Karen
15014
1701 Hardee Ave SW Atlanta, GA 30310
Wednesday, August 12, 2015
Page 27 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2010
George Brown, MD
30275
RN152997
Blackburn, Karen Foster
233
141 Piedmont Ave, Suite D Atlanta, GA 30303
7/9/2015
Kelly McCants, MD
72798
RN184648
Blackmon, Ashley
15693
95 Collier Rd NW, Ste 3000 Atlanta, GA 30309
8/7/2014
Randall Brown, MD
31884
RN124057
Blackmon, Kelly Costello
13591
2409 N Patterson St, Ste 230 Valdosta, GA 31602
4/2/2015
James Turner, MD
55349
RN203869
Blackstock, Terrilyn Lamb
15237
100 Willowbrook Way Calhoun, GA 30701
6/6/2014
Shirish Amrutia, MD
70034
RN144610
Blackwood, Elizabeth Pangman
12900
55 Whitcher St, Ste 160 Marietta, GA 30060
12/4/2009
Thomas Seay, MD
30884
RN164653
Blaesser, Marian
235
1505 Northside Blvd, Suite 4600 Cumming, GA 30041
6/4/2015
Lloyd Rimer, MD
30665
RN169896
Blair, Timothy
15556
3541Chattahooga Rd Tunnel Hill, GA 30755
4/2/2015
Randy Robinson, MD
35987
RN169896
Blair, Timoth Robert
15284
1507 Broomtown Rd Lafayette, GA 30728
6/6/2014
Richard Gillett, MD
34142
RN111994
Blair, Ann Marie Joyner
13341
1800 10th Ave. Columbus, GA 31901
11/1/2007
William Cook, MD
32461
RN147139
Blair, Tammie Mae
238
1267 Hwy 54 West, Suite 3200 Fayetteville, GA 30214
11/7/2014
Rajesh Jasani, MD
49905
RN199200
Blake, Opal Mullings
14196
631 Profesonal Dr, Ste 350 Lawrenceville, GA 30046
4/2/2015
Amanda Cowan, MD
50793
RN183563
Blakey, Mary Jo Christrine
15317
5 Executive Circle Savannah, GA 31406
6/6/2014
Sinan Haddad, MD
56455
RN149435
Blalock, Jamie Rivkin
13225
1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501
2/3/2012
Merlino, John MD
27868
RN089049
Blalock, Dedra
10254
550 Peachtree St, 6th Floor MOT Atlanta, GA 30308
Wednesday, August 12, 2015
Page 28 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/5/2012
Andre Schoeffler, MD
39463
RN149435
Blalock
11133
294 Highway 515 W., Unit L Blairsville, GA 30512
8/6/2015
Kevin Napier, MD
40749
RN164599
Bland, Loren
16129
231 Graefe St Griffin, GA 30224
11/5/2010
Jon Trankina, MD
30681
RN105484
Blankenship, Kimberly Jo
9308
4595 Towne Lake Pkwy, Bldg 300, #200 Woodstock, GA 3018
4/1/2011
Timothy Brown, MD
32100
RN118524
Blanks, Evelinn Suarez
9655
83 Upper Riverdale Rd, Bldg 2, #135 Riverdale, GA 30274
8/7/2009
Phillip Bannister, MD
16503
RN118524
Blanks, Evelinn Suarez
2901
401 West Pike St, Suite A Lawrenceville, GA 30045
3/29/2012
Retterbush, David MD
20145
rn093010
Blanton, Carla
10605
403 Cowart Avenue Valdosta, GA 31604
3/29/2012
Lalla, Michael MD
66204
RN093010
Blanton, Carla
10557
2330 N. Ashley Street Valdosta, GA 31602
8/5/2011
Eric Anderson, MD
51577
RN093010
Blanton, Carla Arlene Gustin
9810
PO Box 1727 Valdosta, GA 31602
5/6/2011
Jeff Reinhardt, MD
47250
RN093785
Blasingame, Kim P
5061
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
3/7/2008
Edward Meier, MD
43426
RN039694
Blevins, Joann H
245
2112 Shorter Avenue, Suite 200 Rome, GA 30165
10/8/2010
Crystal Owens, MD
48854
RN143856
Blick, Susan Katherine
247
144 E. Main St Irwinton, GA 31042
7/11/2013
Christopher Dente, MD
51873
RN179749
Blomquist, Tyler Jean
12030
69 Jesse Hill Jr Dr SE, Suite 307 Atlanta, GA 30303
7/9/2015
James Sinclair, MD
36457
RN169897
Boatright, Amanda
15751
203 South Wayne St Alma, GA 31510
1/6/2012
Carter, Harrison MD
50575
RN169897
Boatright, Amanda
10278
1126 West 12th Street Alma, GA 31510
4/2/2015
Allison Dupont, MD
63856
RN230744
Bobbitt, Charlotte
15116
200 S Enota Dr, Ste 200 Gainesville, GA 30501
Wednesday, August 12, 2015
Page 29 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Sean Delaney, MD
49001
RN100238
Bobon, Marguerite Horen
12995
631 Professional Dr, Suite 360 Lawrenceville, GA 30046
4/2/2015
Vance Boddy, MD
49160
RN234875
Boddy, Alexis
15202
6084 Professional Pkwy, Ste C Douglasville, GA 30135
3/8/2013
Bruce Bode, MD
23909
RN228010
Bode, Justine Alexandra
11690
1800 Howell Mil Rd, Suite 450 Atlanta, GA 30318
10/9/2014
Connie Dupre, MD
31675
RN149754
Boggs, Heather Marie
14077
1657 North Expressway Griffin, GA 30223
2/3/2012
Hodges, Sharon MD
40759
RN053871
Bogle, Regina
10471
1372 Wellbrook Circle Conyers, GA 30012
10/2/2008
Ellis Malone, MD
13773
RN106498
Boland, Susan Harper
253
1680 Hospital South Drive Austell, GA 30106
1/11/2013
Mary DeVaul-Eshleman, DO
68402
RN151817
Boles, Shaheedah
11536
1915 Eisenhower Dr. Savannah, GA 31406
6/4/2015
Song Na, MD
38059
RN200066
Bolger, Angela
15628
4995 Lanier Islands Pkwy, Ste A Buford, GA 30519
10/9/2014
Daniel Henson, MD
25173
RN200066
Bolger, Angela Y
14058
1600 N. Brown Rd. Lawrenceville, GA 30043
1/7/2011
Brett Bowie, MD
54552
RN149753
Bolt, Stephanie White
9457
1602 Vernon Rd, suite 200 LaGrange, GA 30240
12/6/2013
Divya Gupta, MD
59652
RN135828
Bolton-Harris, Elizabeth Kay
12594
550 Peachtree St Atlanta, GA 30308
3/7/2008
Harold Carlson, MD
27508
RN135828
Bolton-Harris, Elizabeth Kay
255
275 Collier Rd., NW Ste 300 Atlanta, GA 30309
4/2/2015
Hannibal Edwards, MD
52552
RN245379
Bond, Barbara Ann
15222
791 Oak St. Hapeville, GA 30354
9/11/2014
Sergio Mejias, MD
40737
RN155479
Bond, Rebecca Bowie
13858
740 Prince Ave. Ste 2 Athens, GA 30606
Wednesday, August 12, 2015
Page 30 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Cynthia Jane Libert, MD
59457
RN175506
Bond, Nicole Penland
12927
48 Haralson Place, Ste. 1 Blairsville, GA 30512
5/8/2015
Haolat Babalakin, MD
62467
RN243441
Bonds, Kalisha
15052
3550 Old Milton Pkw Alpharetta, GA 30005
8/9/2013
Saleem Malik, MD
44523
RN177260
Bonhaus, Stephanie R
12141
1700 Hospital South Dr, Suite 500 Austell, GA 30106
11/2/2012
Raymond R. Jarvis, MD
45505
RN174045
Bonk, Donna M.
11225
330 Turner McCall Blvd, Ste 3000 Rome, GA 30165
3/4/2010
Honorio Bulos, MD
48029
RN076497
Booher, Peggy Jane Webb
9039
300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534
5/7/2009
Robert David Thomson, MD
47166
RN076497
Booher, Peggy Jane Webb
258
3619 Braselton Hwy, Suite 103 Dacula, GA 30019
8/10/2012
Leli Gail Matthews, MD
52182
RN099067
Boone, Karen
10919
2988 shallowford Road Marietta, GA 30066
1/7/2010
Joyce Drayton, MD
38737
RN160520
Boone, Nicole Michelle
8856
PO Box 1536 Lawrenceville, GA 30046
10/9/2014
Bridgette Guthrie, MD
69122
RN208838
Booth, Kristin Ann
14449
710 Center St Columbus, GA 31901
9/11/2014
Hernando Moreno, MD
59473
RN112063
Booth, Carmen
13803
3120 North Oak St Ext. Ste. C Valdosta, GA 31602
2/6/2014
Wendy Vandemark, MD
57511
RN112063
Booth, Carmen Diana
12935
3116 N Oak Street Ext Valdosta, GA 31602
3/5/2015
Nathan Samras, MD
72113
RN227783
Bootle, Jennifer
15056
110 Medical Park Dr Pooler, GA 31322
5/8/2015
Annisha Ellis, MD
53849
RN197237
Borders, Amber McMillian
15234
1810 Mulkey Rd, Ste 201 Austell, GA 30106
4/4/2014
Crystal Bailey-Gary, MD
58943
RN194520
Boring, Tiffany Elizabeth
13113
123 Weaver Rd., Ste. A Blairsville, GA 30512
Wednesday, August 12, 2015
Page 31 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
John Reed, MD
24719
RN156861
Borkovich, Eileen Clare
12990
1475 Holcomb Bridge Rd, Suite 129 Roswell, GA 30076
8/9/2013
Stuart Handelsman, MD
21512
RN165608
Boros, Barbara Judith
12176
980 Johnson Ferry Rd, Suite 410 Atlatna, GA 30342
12/4/2008
Charles Sow, MD
55343
RN173279
Bosse, Adelyne
264
4398 Atlanta Hwy Loganville, GA 30052
6/8/2007
Carlos Zayas-Montalvo, MD
36668
RN112876
Bossie, Andrea Elizabeth Logan
265
1968 Peachtree Rd. NW 5th Fl Bldg 77 Atlanta, GA 30309
3/8/2013
Andrew Cordista, MD
51451
RN181134
Bostick, Ashley Lacey
11452
8 Live Oak Court Moultrie, GA 31768
3/8/2013
Venu Madhipatla, MD
65559
RN181134
Bostick, Ashley Lacey
11451
3131 South Main St Moultrie, GA 31768
3/8/2013
Howard Melton, MD
35697
RN181134
Bostick, Ashley
11449
3004 2nd St SE Moultrie, GA 31768
3/8/2013
Chauncey Herrington, MD
22559
RN181134
Bostick, Ashley Lacey
11450
3131 South Main St Moultrie, GA 31768
10/10/2013
Nancy Dawson, MD
68719
RN229289
Bosworth, Veronica A
12378
1900 Tebeau St Waycross, GA 31501
9/13/2013
Gregory Zakers, MD
49847
RN145040
Botah-Oduro, Ophelia Anane
12133
6455 Tara Blvd, Suite 7-A Jonesboro, GA 30236
2/5/2015
Kim House, MD
49491
RN188218
Botchey, Faith Adzo
14972
1670 Clairmont Rd, CLC-Bldg D Decatur, GA 30033
3/1/2012
Dott, Andrew MD
33314
RN165964
Botelho, Kathryn
10500
993D Johnson Ferry Rd, Ste 360 Atlanta, GA 30342
7/9/2015
Steven Durocher, MD
56051
RN207415
Botero, John David
15781
4835 Sugarloaf Pkwy, Ste 300 Lawrenceville, GA 207415
7/10/2014
Wasiu Adisa, DO
67525
RN207415
Botero, John David
13517
1255 Hwy 54 W Fayetteville, GA 30214
Wednesday, August 12, 2015
Page 32 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Ronnie Hendrix, MD
24690
RN207415
Botero, John David
13256
4835 Sugarloaf Pkwy, Suite 200-300 Lawrenceville, GA 3004
4/4/2014
Lisa Amodio, DO
67272
RN207415
Botero, John David
12274
417 Third Ave, Emer Dept Albany, GA 31701
4/4/2013
David Stone, MD
24501
RN207415
Botero, John David
11816
367 Clear Creek Pkwy, Emer Dept Lavonia, GA 30553
2/5/2010
Mahendra Shah, MD
34466
RN118785
Botnick, Beth S.
8963
227-A Scenic Hwy, Suite A Lawrenceville, GA 30046
10/7/2011
Williams, Jr., Byron MD
18974
RN106754
Botters, Kara
10090
550 Peachtree St, 5th floor MOT, Ste 4411 Atlanta, GA 3030
10/9/2014
Michael Lindsay, MD
27602
RN237911
Boucher, Andrea Marie
14320
80 Jess Hill Jr Dr SE Atlanta, GA 30303
1/8/2015
Salil Patel, MD
44305
RN172317
Boulware, Angel Brown
14564
755 Walther Rd Lawrenceville, GA 30046
7/11/2013
Marcus Sims, MD
60507
RN172317
Boulware, Angel Brown
12013
5 Dunwoody Park Place, Suite 118 Atlanta, GA 30338
8/6/2015
Virna Simmons, MD
60614
RN184484
Bourova-Brazier, Lloudmila
16067
10945 State Bridge Rd Alpharetta, GA 30022
11/7/2014
Peter Ulbrich
28696
RN184484
Bourova-Brazier, Lioudmilla Yur
14188
2950 Buford Hwy, Ste 140 Cumming, GA 30041
8/7/2014
Trent Schueneman, MD
51731
RN173597
Bowen, Nancy Hodges
13584
7130 Wellness Way St Simons Island, GA 31522
2/6/2014
Manjushree Ghose, MD
42827
RN146042
Bowen, Cindy Jo-Ann
12799
Walgreens Clinic, 2990 Five Forks Trickum Rd Lawrenceville,
3/29/2012
Reinheimer, Susan MD
31493
RN084864
Bowen, Mark
10567
100 Main Street, Annex II Garden City, GA 31408
9/14/2007
Cari Ouderkirk, MD
32730
RN124766
Bowen, Sally Winifred
276
Northside Hsp - Em Dpt, 1000 J'son Ferry Rd Atlanta, GA 303
Wednesday, August 12, 2015
Page 33 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Kalambur Panchapakesan,
MD
42912
RN119753
Bower, Bonnie Gayle
14329
777 Hemlock St MSC 142 Macon, GA 31201
5/4/2012
House, Alice MD
43065
RN119753
Bower, Bonnie
10645
100 College Station Drived Macon, GA 31206
12/4/2009
Rana Munna, MD
52466
RN119753
Bower, Bonnie Gayle
277
330 Hospital Dr, Bldg C, Suite 302 Macon, GA 31217
10/9/2014
Toby Bond, Md
43880
RN178996
Bowers, Thomas Andrew
14018
1181 Langford Dr., Bldg 200, Ste 105 Bogart, GA 30622
10/10/2013
Toby Bond, MD
43880
RN178996
Bowers, Thomas Andrew
12444
1181 Langford Dr, Bldg 200, Suite 105 Bogart, GA 30622
6/30/2011
Meena Shah, MD
21464
RN128899
Bowie, Myra Annette
9843
475 Philip Blvd, Suite 100 Lawrenceville, GA 30045
4/1/2011
Wanda Guy-Craft, MD
64224
RN128899
Bowie, Myra Annette
279
1315 Delaunay Ave, Suite 201 Columbus, GA 31901
5/4/2012
Leach, Andrew MD
49051
RN209511
Bowling, Rhonda
10698
1000 Hawthorn Drive, Ste G Athens, GA 30606
4/1/2010
Elliot Raizes, MD
24478
RN088489
Bowman, Patricia Smith
280
135 Athens West Pkwy, Suite B Athens, GA 30606
9/11/2014
Hernando Moreno, MD
59473
RN101527
Bowser, Karen Alene
13804
3120 North Oak St. Ext. Ste. C Valdosta, GA 31602
4/4/2014
Wendy Vandermark, MD
57511
RN101527
Bowser, Karen Alene
12936
3116 N Oak Street Ext Valdosta, GA 31602
12/3/2010
Wendy Vandemark, MD
57511
RN101527
Bowser, Karen Alene
9437
2310 W. Patterson St, Unit B Valdosta, GA 31602
1/9/2014
Dragos Vladesczu, MD
66098
RN060082
Boyd, Pamela Amelia
12763
2594 Loganville Hwy, Suite 101 Grayson, GA 30017
8/5/2011
Michelle Evans, MD
52171
RN214860
Boye-Doe, Sylvia B
9932
35 Collier Rd NW, Ste 150 Atlanta, GA 30309
Wednesday, August 12, 2015
Page 34 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/11/2008
Devender Reddy, MD
38589
RN059048
Boyers, Jane Gilbert
282
1010 Johnson Ferry Rd Marietta, GA 30068
2/5/2009
Benjamin Epstein, MD
35044
RN135750
Boyette, Eric Lawrence
8462
2665 N. Decatur Road, Suite 255 Decatur, GA 30033
6/8/2012
Sheth, Darshana MD
58642
RN105979
Boyle, Lynn
10686
3822 Roswell Road Marietta, GA 30062
2/7/2008
Sharon Fitzgerald-Soapes,
MD
16509
RN091497
Boyles, Sandra Grace Paterson
286
3685 Lawrenceville Hwy, Suite 100 Lawrenceville, GA 30044
9/11/2014
William Brooks, MD
63299
RN184674
Bozarth, Melissa Erin
13745
1600 Forsyth St. Macon, GA 31201
1/7/2011
Stephen Pitts, MD
24066
RN175716
Bozeman, Lindsey Jo
9249
550 Peachtree St NE Atlanta, GA 30308
12/4/2014
Nitasha Burney, MD
55931
RN212484
Braaten, Rachael
14466
3885 Princeton Lake Way, Ste 306 Atlanta, GA 30331
7/10/2009
Wiley Perry Ballard, MD
30265
RN130261
Braatz, Stephanie Stephens
8645
275 Collier Rd NW, Suite 400 Atlanta, GA 30309
4/4/2013
Claudele Souffrant-Razo,
MD
68002
RN217510
Bracewell, Joanne Ellen
11821
607 Fourth St West Darien, GA 31305
10/5/2012
Lourdes deArmas, MD
43917
RN217510
Bracewell, Joanne Ellen
11054
607 4th Street West Darien, GA 31305
12/1/2011
Bailey, Marion MD
10467
RN217510
Bracewell, Joanne
10214
107 Industrial Drive, Ste B St. Mary's, GA 31558
6/4/2015
Brandee Urrutia, MD
66661
RN101397
Brackett, Robin
15663
4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041
5/7/2015
Jorge Leguizamo, MD
61479
RN148400
Bradley, Tajuana
15476
698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045
3/6/2014
Daniel Martin, MD
62255
RN164831
Bradley, Jennifer Holloway
13014
425 3rd Ave, Suite 510 Albany, GA 31701
Wednesday, August 12, 2015
Page 35 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2013
Sharon C. Tuckett, MD
36309
RN150905
Bradley, Janice May
11247
88 Wellstar Douglasville Medical Center Douglasville, GA 301
2/5/2009
Anthony Sussman, MD
30388
RN093726
Bradley, Catherine M
291
4750 Waters Avenue, Suite 500 Savannah, GA 31404
3/1/2012
Ochsner, M. Gage MD
38894
RN219030
Bradshaw, Denise
10493
4750 Waters Avenue, 2nd floor Savannah, GA 31404
3/5/2015
Marina Demetrashvili, MD
51310
RN141141
Bradshaw-Small, Lisa Yvonne
14991
180 Martin Drive, Ste E030 Carrollton, GA 30117
6/8/2012
Richardson, Tommie MD
31313
RN141141
Bradshaw-Small, Lisa
10738
4-15 South Cobb Drive #115 Palmetto, GA 30268
11/7/2014
Floyd Soriano, MD
54941
RN195811
Brady, Mary
14140
154 South Leroy St Metter, GA 30349
11/7/2008
Mark Coker, MD
56276
RN088662
Brady, Linda L.
8353
212 Cherokee Road Thomaston, GA 30286
3/5/2015
Joshua Chern, MD
66010
RN170003
Braender, Corinne W
15049
5455 Meridian Mar, Ste 540 Atlanta, GA 30342
10/7/2011
Halwig, John MD
27558
RN101050
Braker, Susan
10116
1620 Mulkey Road Austell, GA 30106
2/5/2015
Robert Burkich, MD
46372
RN193417
Branam, Misty Michelle
14944
148 Cobb Pkwy Ringgold, GA 30736
1/8/2015
Edward Matthews, DO
34896
RN209150
Branch, Adam Michael
14301
2300 Manchester Expressway, Ste 2001 Columbus, GA 3190
2/5/2009
Bryan Weatherspoon, MD
33482
RN160904
RN160904
Brandeberry, Thomas Keith
300
51 Lindsay Lane Kingsland, GA 31548
12/4/2014
Mary Barfield, MD
50495
RN105979
Brandt, Lynn Michele
14604
970 Joe Fark Harris Pkwy S E, Ste 100 Cartersville, GA 30120
8/6/2010
Stephen Pastan, MD
39196
RN089072
Brannon, Laura Elizabeth
302
1365 Clifton Rd, 6th Floor, B-6400 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 36 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Brian Cross, MD
43190
RN201303
Brantley, Arian Marrel
15324
231 Graefe St Griffin, GA 30224
10/5/2012
Amy Hardin, MD
35307
RN214358
Brantley, Amanda M.
11165
1140 Hammond Dr., Ste E5250 Atlanta, GA 30328
12/4/2009
Ian Crocker, MD
28391
RN150354
Brat, Donna Ashlee
7869
1365 Clifton Rd NE Atlanta, GA 30322
1/9/2014
Hina Hussain, MD
55063
RN205338
Bratoeva, Maria D
12773
2440 Sandy Plains Rd, Suite 100, Bldg 6 Marietta, GA 30066
1/9/2014
Ilya Wolfson, MD
51860
RN205338
Bratoeva, Maria D
12762
3353 Trickum Rd, Suite 201 Woodstock, GA 30188
6/6/2014
Paul Donnan, MD
47892
RN143102
Braxton, Charisswe Alene Gath
13251
477 Windsor St SW, Suite 309 Atlanta, GA 30312
9/11/2014
Onkar Kaur, MD
47103
RN177281
Bray, Onie
13841
218 Hwy 49 North Ste A Byron, GA 31008
1/9/2014
Parviz Brahman, MD
66576
RN177281
Bray, Onie Beatrice Diane
12764
1401 N Tift Ave, Suite B Tifton, GA 31794
8/5/2011
John Clark Hill, III MD
46122
RN135396
Breedlove, Rene Richardson
9863
1935-A Homer Road, Suite A Commerce, GA 30529
9/3/2009
Frances Owen, MD
40973
RN174289
Brennan, Laura Ann
311
172 Follins Lane St. Simon's Island, GA 31522
8/7/2014
Patrick Eagleson, MD
65102
RN224644
Brewer, Selena O
13624
1230 Baxter St. Athens, GA 30606
10/10/2013
Bradley Goldberg, MD
40079
RN101667
Brewer, Angela Evans
2809
2010 Ocilla Rd Douglas, GA 31533
11/7/2008
Beverly Hyacinth, MD
57003
RN042077
Brewer, Deborah Ann
313
1050 Delta Blvd SW Atlanta, GA 30354
2/5/2015
Joseph Korwin, MD
34878
RN124332
Brezial-Mincey, Yumeka Sherell
14749
One Freedom Way Augusta, GA 30904
Wednesday, August 12, 2015
Page 37 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Vicki Morgan, MD
25645
RN149012
Brickhouse, Tammie Vincent
12658
3815 Harrison Rd Loganville, GA 30052
9/11/2008
Brian DeLoach, MD
51216
RN076524
Bridges, Kathleen Rose Dunha
316
PO Box 8043 Statesboro, GA 30460-8043
2/5/2015
Muhammad Ahmed, MD
61687
RN164274
Bridgman, Kelli Nicole
14891
1637 Athens Hwy Grayson, GA 30017
5/9/2008
Russell Wagner, MD
33740
RN164274
Bridgman, Kelli Nicole
8220
2160 Fountain Drive, Suite D Snellville, GA 30078
4/2/2015
Mohammed Abubaker, MD
45683
RN107666
Brier, Janie
14531
670 North Ave, Ste 100 Marietta, GA 30060
7/10/2014
Jim Barlow, MD
30717
RN221422
Briggs, Natalie Renee
13429
235 Peachtree St Ne, North Tower, #2100 Atlanta, GA 30303
5/8/2015
Rajeswari Natarajan, MD
55501
RN161055
Bright, Constance Ann
15534
1255 Hwy 54 West Fayetteville, GA 30214
8/6/2015
Richard Antonio, MD
74176
RN218514
Brill, Natalie
16080
484 Irvin Court Decatur, GA 30030
1/9/2014
Glen Lew, MD
41457
RN171528
Brill, Pamela Beth
10363
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
8/6/2015
Swati Johnson, DO
73940
RN250502
Brink, Tracey
16125
5353 Reynolds St Savannah, GA 31405
3/5/2015
Terry Landford, DO
45867
RN183113
Britt, Calee Stephens
14964
1899 Lake Rd, Ste 212 Hiram, GA 30141
10/9/2014
Jane Elllis, MD
44208
RN215985
Britt, Abby Johanna
14332
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
9/11/2014
Yuan-Xiang Meng, MD
51257
RN072541
Britt, Sarah Eugenie
13944
120 Marietta Hwy Canton, GA 30014
4/4/2013
Brion V. Randolph, MD
68281
RN216589
Britt, Latoya Denique
11585
600 Parkway North Newnan, GA 30265
Wednesday, August 12, 2015
Page 38 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/3/2012
Matthews, Graham MD
41883
RN072541
Britt, Sarah
10378
100 Stone Forest Drive, Ste 240 Woodstock, GA 30189
7/13/2007
Errol Graham, MD
32388
RN115507
Britt, Janey Butler
321
105 E. Tollison St. Baxley, GA 31513
11/8/2013
William Parrish, MD
47989
RN177270
Brock, Chasity Cowart
12494
204 Allen Memorial Dr, Suite 201 Bremen, GA 30110
7/11/2013
Ruth O'Regan, MD
53350
RN167836
9
Brock, La-Urshalar Beausheniqu
12070
1365 Clifton Rd NE, Bldg C Atlanta, GA 30322
8/6/2015
Carlos Zayas, MD
36668
RN207596
Brockman, Hailey
16087
1120 15th St, Ste BA4236 Augusta, GA 30912
1/8/2015
Perry Wells, MD
20498
RN050475
Brooks, Rhonda
14642
214 Cherokee Rd Thomaston, GA 30286
1/8/2015
Frank Mott, MD
70674
RN201527
Brooks, Amy Danielle
14821
1120 15th St. Augusta, GA 30912
10/9/2014
Stephen Souther, MD
44108
RN129516
Brooks, James Michael
14019
425 W-Third Ave., Ste 600 Albany, GA 31701
6/6/2014
Jeffrey Siegelman, MD
65891
RN183382
Brooks, Kristal Javon
13316
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 0303
5/1/2014
John Tapp, MD
53188
RN129994
Brooks, Lisa Mae Vickers
13069
2205 McCollie Avenue Chattanooga, TN 37404
9/13/2013
Srinivasa Ayinala, MD
52531
RN200229
Brooks, Chundra Brown
12277
301 Philip Blvd NW, Suiote A Lawrenceville, GA 30046
7/11/2008
Marcus Simmons, MD
49946
RN040914
Broom, Sharon Kaye Mullins
331
4226 Hartley Bridge Rd, Suite 104 Macon, GA 31216
4/2/2015
Palanisamy Rajasekaran,
MD
52204
RN174173
Browder, Kelly
15166
500 Medical Center Blvd Lawrenceville, GA 30042
8/8/2008
Charles Crabbe, MD
22132
RN137975
Brower, Patricia Anne
332
320 Kennestone Hosp Blvd, Suite 201 Marietta, GA 30060
Wednesday, August 12, 2015
Page 39 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Peter Lee, MD
38545
RN204127
Brown, Carla
16061
34 Upper Riverdale Rd, Ste 100 Riverdale, GA 30274
8/6/2015
Michael Ross, MD
59506
RN191333
Brown, Andrea
15830
1364 Clifton Rd NE Atlanta, GA 30322
7/9/2015
Dennis O'Brien, MD
25893
RN191333
Brown, Andrea
15546
125 Clairemont Ave, Ste 380 Decator, GA 30030
7/9/2015
Atif lqbal, MD
61971
RN134877
Brown, Takaya Lashun
15885
2300 A Manchester Expwy, Ste 006 Columbus, GA 31904
6/4/2015
Faith Andrews, MD
44158
RN197433
Brown, Brandy
15593
525 Forest Pkwy, Ste 100 Forest Park, GA 30297
5/8/2015
Rhonda Wachsmuth, MD
56664
RN165268
Brown, Lisa
15360
780 Canton Rd NE, Ste 410 Marietta, GA 30060
5/8/2015
Thomas Moriarity, DO
58080
RN154896
Brown, Susan
15474
1326 Elsenhower Dr Bldg 1 Savannah, GA 31406
5/8/2015
Himanshu Patel, MD
58116
RN188943
Brown, Esther
15501
504 Redmond Rd Rome, GA 30165
4/2/2015
George Wilmox, MD
44608
RN084599
Brown, Pamela
14651
1670 Clairmont Rd Decatur, GA 30033
4/2/2015
Adebola Adeogan, MD
42157
RN177029
Brown, Eric Jay
14221
3016 N Broad St Winder, GA 30680
3/5/2015
Usama Kanaan, MD
60618
RN191969
Brown, Amanda
15011
1405 Clifton Rd NE Atlanta, G 30322
3/5/2015
Alexis Cutchins, MD
67925
RN225307
Brown, Renee
15123
1525 Clifton Rd, Ste 408 Atanta, GA 30322
12/4/2014
Ahmad Jingo, MD
45842
RN197433
Brown, Brandy Rose
14605
4150 Snapfinger Kloods Dr, Ste 208 Decatur, GA 30035
12/4/2014
Matthew Goldstein, MD
48115
RN177029
Brown, Eric Jay
14606
1700 Medical Way Snellville, GA 30070
Wednesday, August 12, 2015
Page 40 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Omari Hodge, MD
70459
RN163812
Brown, Camille
14133
2154 Johson Ferry Rd NE Atlanta, GA 30319-2558
10/9/2014
Michel Pare, MD
45569
RN174936
Brown, Suzanne Elizabeth
14384
1107 Memorial Dr, Ste 100 Dalton, GA 30720
9/11/2014
Adolfo R Suarez, MD
53614
RN163094
Brown, Lachandra Felice
13854
687 Hospital Rd. Commerce, GA 30529
8/7/2014
Cassandra Donnelly, DO
68144
RN171398
Brown, Yvonne
13667
3617 Roswell Rd NE, Suite A Atlanta, GA 30305
7/10/2014
James Price, MD
35117
RN158257
Brown, Darlene Turner
336
51 Lindsey Lane Kingsland, GA 31548
5/1/2014
Rifquat Giwa, MD
63198
RN160388
Brown, Mignon Delores
13070
3950 Austell Rd. Austell, GA 30106
12/6/2013
Victor Thomas, MD
40574
RN166498
Brown, Melinda Hope Cain-Mar
12449
1200 Memorial Dr Dalton, GA 30720
12/6/2013
Donato Roman, MD
12855
RN038371
Brown, Cynthia Jo Martin
334
3259 Valtech Rd Valdosta, GA 31602
12/6/2013
Michael Powell, MD
23663
RN212391
Brown, Tranika Charisse
12612
464 Mt Pleasant Rd Thomson, GA 30824
10/10/2013
James Sipp, MD
53880
RN218652
Brown, Danelle Leigh
12433
54556 Meridian mark Rd, Suite 130 Atlanta, GA 30342
11/2/2012
Angela J. Hale, MD
37230
RN67038
Brown, Michelle
11179
655 First St. Macon, GA 31201
6/8/2012
Costley, Chad MD
54263
RN209213
Brown, Kara
10763
402 W. Ponce de Leon Ave Decatur, GA 30030
11/3/2011
Gupta, Daisy DO
64946
RN064864
Brown, Ludella
10172
114 Canal Street Pooler, GA 31322
8/5/2011
Alvaro Velasquez, MD
45020
RN171398
Brown, Yvonne
9898
550 Peachtree St NE, 6th Floor Atlanta, GA 30308
6/30/2011
Eric Manahan, MD
48916
RN080547
Brown, Lee Ann Lancaster
9842
1504 Broadrick Dr Dalton, GA 30720
Wednesday, August 12, 2015
Page 41 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/6/2011
Andrew Toledo, MD
27933
RN144959
Brown, Virginia Corley
9711
1150 Lake Hearn Dr, Suite 400 Atlanta, GA 30342
2/4/2011
S. Thomas Greenstone, MD
17812
RN163094
Brown, Lachanda Felice
9426
374 Coats Dr Toccoa, GA 30577
2/4/2011
Alice House, MD
43065
RN112057
Brown, Monica Renee'
9572
100 College Station Dr Macon, GA 31206
9/2/2010
R. Brian Raybon, MD
38339
RN117303
Brown, Sandra Hemphill
5076
79 Doyle Street Toccoa, GA 30577
7/10/2009
Daniel Wu, MD
51572
RN177029
Brown, Eric Jay
8621
49 Jesse Hill Jr Dr, Emergency Dept Atlanta, G 30303
8/8/2008
Miles Johnson, MD
38817
RN119715
Brown, Andrea Elaine
8277
4115 Glenwood Road Decatur, GA 30032
8/8/2008
Shaun Franklin, MD
40663
RN064864
Brown, Ludella
8249
14089 Abercorn Street Savannah, GA 31406
7/11/2008
Nicole Franks, MD
49691
RN171398
Brown, Yvonne
8203
550 Peachtree St NE Atlanta, GA 30308
4/2/2015
Bridgette Dingle, MD
64532
RN190606
Brown, II, Charles E
15337
340 Turner McCall Blvd, Ste 103 Rome, GA 30165
8/9/2013
Judith Cauvin, MD
59135
RN050915
Browne, Vickie H
12108
1260 Hwy 54 West, Suite 101 Fayetteville, GA 30214
11/2/2012
Ralph C. Lyons, MD
25217
RN050915
Browne, Vickie H.
11227
34 Upper Riverdale Rd., Ste 201 Riverdale, GA 30274
7/11/2013
Monica Hoffmeister-
Becerra, MD
68209
RN229413
Browning, Harvey Dewayne
12060
2122 Manchester Pkwy Columbus, GA 31904
6/5/2009
Beatrice Gee, MD
45468
RN180036
Broyard, Enid P.
361
35 Jesse Hill Jr Dr SE Atlanta, GA 30303
11/8/2013
Devin Handley, MD
48356
RN117972
Bruce, Myra Patricia Lane
12473
2659 Abutment Rd Dalton, GA 30720
Wednesday, August 12, 2015
Page 42 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/1/2011
Blache, Charlene MD
45728
RN086371
Bruce, Anne
10247
130 W. Screven Street Quitman, GA 31643
9/2/2010
Charlene Blache, MD
45728
RN086371
Bruce, Anne Louise
362
1309 W. Screven St Quitman, GA 31643
7/10/2014
Petro Nikolinakos, MD
63106
RN204034
Brueshaber Jr., John Henry
13469
3320 Old Jefferson Rd. Bldg 700 Athen, GA 30607
4/2/2015
Brian Childers, MD
42212
RN197324
Brulte, Amanda Hall
15329
100 Doctors Dr, Ste 104 Douglas, GA 31533
12/6/2013
Charles Campbell, MD
69772
RN047850
Bruner, Kim J
12555
86 South Cobb Dr, MZ 0454 Marietta, GA 30063
1/7/2011
Rodothea Milatou, MD
43713
RN047850
Bruner, Kim J.
9523
86 S. Cobb Dr Marietta, GA 30063
7/1/2010
David Lawson, MD
17231
RN167522
Brutcher, Edith Anastasia Poste
7937
1365 Clifton Rd NE, Bldg C Atlanta, GA 30322
8/6/2015
Catherine Morris, MD
32435
RN213727
Bryan, Ashley
16124
5345 Crossroads Dr Acworth, GA 30102
1/8/2015
Dan Suskin, MD
36883
RN122946
Bryan, Angelan
14611
550 Medical Center Blvd Lawrenceville, GA 30046
1/8/2015
Manfred Sandler, MD
38353
RN148378
Bryan, Shawneka Denise
14566
755 Walther Rd Lawrenceville, GA 30046
3/6/2014
Robert Kaufmann, MD
30115
RN213727
Bryan, Ashley Ruth
12992
2001 Professional Way, suite 220 Woodstock, GA 30188
2/7/2013
Romeo R. Moriles, MD
#####
RN158290
Bryan-Grant, Sharon
11459
236 Arrowhead Blvd Jonesboro, GA 30236
11/7/2008
Ann Eggert, MD
28972
RN158290
Bryan-Grant, Sharon May
367
12 Eastbrook Bend Peachtree City, GA 30269
9/11/2014
Dwayne Watkins, MD
53054
RN216403
Bryant, Zanetta Renea
13853
327 S. 9th St. Griffin, GA 30224
Wednesday, August 12, 2015
Page 43 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Anita Johnson, MD
53464
RN165380
Bryant, Allison Adcock
12977
600 Parkway North Newnan, GA 30265
3/8/2013
Muhammad Khan, MD
63080
RN128293
Bryant, Charles W, Jr
11732
915 Gordon Ave Thomasville, GA 31792
10/7/2011
Talley, Thomas MD
33895
RN152834
Bryant, Natalie
10062
414 5th Avenue Albany, GA 31707
2/4/2011
Vanessa Cabaron, MD
53843
RN082727
Bryant, Roxanne Rush
9513
1350 Walton Way, POB II, Suite 200 Augusta, GA 30901
2/4/2011
William Callaghan, MD
27974
RN082727
Bryant, Roxanne Rush
9512
1350 Walton Way, POB II, Suite 200 Augusta, GA 30901
2/5/2010
James Butts, MD
9103
RN082044
Bryant, Jacquelyn Rose Evans
371
PO Box 2683 Gainesville, GA 30503
9/11/2008
Stephen Salmieri, DO
49151
RN061119
Bryant, Beth Susan Cohen
368
759 Old Norcross Road Lawrenceville, GA 30045
9/14/2007
Kenneth Deaton, MD
31585
RN154368
Bryant, Summer M
5540
233 North Houston Rd. Suite 141 Warner Robins, GA 31093
12/4/2014
Roy Reardon, MD
42402
RN128293
Bryant Jr, Charles W
14576
209 N Cuthbert St Colquitt, GA 39837
5/1/2014
Jonathan Wade, DO
66666
RN128293
Bryant Jr., Charles W.
13248
100 S. Madison St. Thomasville, GA 31792
7/11/2013
Mohamad Kassem, MD
40934
RN229758
Bryant, Jr., Lawrence Earl
12009
3580 Cameron Pkwy Stockbridge, GA 30281
9/11/2014
Angela Lynn Beninga, DO
68481
RN241242
Brzycky, Sara Jane
13852
2020 Peachtree Rd NW Atlanta, GA 30309
9/11/2014
Una Scruggs, MD
69636
RN160752
Buchanan, Stacy Briana
13755
CHOA, 2660 Satellite Blvd Duluth, GA 30096
3/8/2013
Gerald Bohn, MD
30957
RN149616
Buchanan, Theresa Kassack
11677
1857 West McIntosh Rd Griffin, GA 30223
Wednesday, August 12, 2015
Page 44 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Ahmed, Mahmood MD
42008
RN149616
Buchanan, Theresa
10173
231 Graefe Street Griffin, GA 30224
10/4/2007
Marie Baudean, MD
23898
RN160752
Buchanan, Stacy Briana
381
980 Hwy 29 South Lawrenceville, GA 30045
12/4/2014
Sunderraj Kamaleson, MD
42622
RN209702
Buck, Allison
14467
210 E DeRenne Ave Savannah, GA 31405
9/11/2014
Edward Rydzak, MD
38941
RN072464
Buck, Mary Elizabeth
1991
1139 Lexington Ave Savannah, GA 31404
3/8/2013
Jeffrey Esslinger, MD
45455
RN123889
Buckley, Sheri Sullins
11678
300 Courtyard Dr, Suite A Cartersville, GA 30120
2/6/2014
Henry Perez, MD
29990
RN199198
Buckman, Laura Lee
12948
5665 Peachtree-Dunwoody Rd NE, Emer Dept Atlanta, GA 30
6/5/2009
Mohamad Kassem, MD
40934
RN101831
Buckner, Joretta Ann Harvey
8565
3580 Cameron Pkwy Stockbridge, GA 30231
12/7/2012
John A. Pablo, MD
42102
RN221955
Buckovich, Veronica M.
11358
225 Candler Dr., Ste 100 Savannah, GA 31405
3/4/2010
Mohammad Kamran, MD
59535
RN177114
Buendia, Allyson Joy
8896
700 Church Street Marietta, GA 30060
7/10/2009
Anu Murthy, MD
54867
RN078274
Buist, Nancy Naucke
8650
One CNN Ctr, NT1008D Atlanta, GA 30303
12/6/2013
Suzanne Turner, MD
47772
RN202943
Bukshteyn, Irina
12569
1357 Hembree Rd, Suite 240 Roswell, GA 30076
4/4/2014
John Blumer, MD
53101
RN137184
Bulatao, Elizabeth Aguanta
12845
3222 Shrine Road Suite A Brunswick, GA 31520
5/6/2011
Carl Shenkman, MD
36000
RN137184
Bulatao, Elizabeth Aguanta
7825
1111 Glynco Pkwy, Suite 400 Brunswick, GA 31525
9/11/2014
Habigaile Cribe, MD
50874
RN212576
Bullet, Ouenshanta Rasheda
14328
550 Peachtree St., NE 7200 Atlanta, GA 30308
Wednesday, August 12, 2015
Page 45 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
William Kolhoff, MD
63706
RN192027
Bumgardner, Heather
15731
7306 Hwy 21, Ste 105 Port Wentworth, GA 31326
12/4/2014
Daryl McCartney, MD
68067
RN177195
Bunch, Jana
14609
2/3/2012
Vevera, Elizabeth MD
41990
RN050495
Bundy, Virginia
10380
3400A Old Milton Parkway, Ste 130 Alpharetta, GA 30005
10/9/2014
Lee Jacobs, MD
28283
RN173575
Bunker, Kimberly LeAnn
14085
107 Mountail Dr., Ste 100 Canton, GA 30115
3/5/2015
Thaddeus Lynn, MD
59670
RN176757
Bupp, Melissa
15077
501 Mt Vernon Rd Monroe, GA 30655
10/5/2012
Ronald Nash, MD
58909
RN176757
Bupp, Melissa Jones
7956
501 Mt. Vernon Rd., NW Monroe, GA 30655
6/4/2015
David Dillard, MD
40364
RN136571
Burch, Erin
15393
1719 Russell Pkwy Bldg 300 Warner Robbins, GA 31088
5/8/2015
Stewart Grizzard, MD
43948
RN136571
Burch, Erin
15135
1365 D Sam Nunn Blvd Perry, GA 31069
3/5/2015
Mark Wulkan, MD
45676
RN223487
Burch, Katelyn Faith
15154
1405 Clifton Rd NE Atlanta, GA 30322
9/11/2014
Danielle Epanchin, DO
68769
RN084921
Burch, Mary Catherine Cobb
13946
1650 chattahoochee Dr. Rockmart, GA 30153
8/5/2011
Alain Toland, DO
22901
RN136571
Burch, Erin Tapley
393
1719 Russell Parkway, Ste 300 Warner Robins, GA 31088
10/5/2012
Randy Warner, MD
53905
RN126100
Burke, Julie
11035
690 Dallas Hwy, Ste 201 Villa Rick, GA 30180
12/7/2007
Suzanne Molock, MD
26344
RN177306
Burke, Colleen E.
7957
601-A Professional Drive, Suite 370 Lawrenceville, GA 30045
10/5/2012
Dale M. Lawson, MD
54233
RN104337
Burkes, Henry
11105
126 Hwy 280 West Americus, GA 31719
Wednesday, August 12, 2015
Page 46 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Philip Beegle Jr.
17773
RN093687
Burks, Olivia
15792
975 Johnson Ferry Rd, Ste 100 Atlanta, GA 30342
5/8/2015
Rajeswari Natarajan, MD
55501
RN093687
Burks, Olivia
14950
1255 Hwy 54 Fayetteville, GA 30214
1/9/2014
William Lyday, II, MD
49859
RN093687
Burks, Olivia Good Mentzer
12778
600 Parkway North Newnan, GA 30265
6/4/2015
Lisa Ortenzi, MO
23395
RN124541
Burman, Holly
15639
880 Crestmark Dr, Ste 200 Lithia Springs, GA 30122
10/5/2012
Carley S. Ebanks, MD
35619
RN155040
Burnett, Tonya
11038
610 Third St., Ste. 100 Macon, GA 31201
2/3/2012
Al-Shroof, Mohammad MD
45158
RN185246
Burnett, Erica
10414
2054 Watson Blvd Warner Robins, A 31093
1/7/2010
Christopher Riddell, MD
21796
RN063097
Burnett, Lillie Kathryn
8891
2540 Windy Hill Rd Marietta, GA 30067
10/9/2014
Naomi Kirkman-Bey, MD
47610
RN124312
Burnette, Sharon Denise
403
777 Hemlock St. Macon, GA 31201
9/13/2013
Gregory Patterson, MD
45106
RN231977
Burns, Rachel Ann
12222
100 Mimosa Dr, 3rd Floor Thomasville, GA 31792
11/3/2011
Keating, William MD
52971
RN073196
Burns, Kimberly
10190
1800 Lumpkin Campground Road, Ste 300 Dawsonville, GA 3
10/9/2014
William Paxton, MD
46206
RN198894
Burris, Ashley Cornellson
14335
170 Camden Hill Rd, Ste F Lawernceville, GA 30046
5/1/2014
Panyavee Khan, MD
54756
RN133692
Burris, Robin Asay
406
777 Franklin Rd Marietta, GA 30067
6/6/2014
Aseem Shrivastava, MD
70426
RN194654
Burse, Julia LaToya
12902
55 Whitcher St., Ste. 160 Marietta, GA 30060
10/5/2012
Alan Muster, MD
45305
RN194654
Burse, Julia LaToya
11004
55 Whitcher St, Suite 160 Marietta, GA 30060
Wednesday, August 12, 2015
Page 47 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Alfred Brannen ll, MD
30584
RN093515
Burt, Victoria
15394
1350 Walton Way Augusta, GA 30901
5/4/2012
Spencer, Louis MD
61351
RN191802
Burt, Kristie
10647
4159 Martha Berry Hwy, NW Rome, GA 30165
4/3/2008
Arthur Chandler, MD
27513
RN093515
Burt, Victoria McShell
7739
1348 Walton Way, Suite 5100 Augusta, GA 30901
7/12/2012
Tamaddon, Houman MD
63032
RN162227
Burton, Julyn
10764
1350 Walton Way Augusta, GA 30901
8/6/2015
Bantwal Baliga, MD
56680
RN060034
Bush, Karon
16076
6440 West Hamilton Park Dr, Ste F Columbus, GA 31909
8/7/2014
Ifeoma Nnaji, MD
63931
RN148840
Bush, Kelly Otisha
13669
1300 Joseph E Boone Blvd Atlanta, GA 30314
3/8/2013
Michael Pinell, MD
58102
RN060034
Bush, Karon J Pearson
409
6440 W Hamilton Park Dr, Suite F Columbus, GA 31919
1/9/2014
Brandi Weaver Warren, DO
61681
RN160658
Bussey, Schvon Yvette May
12244
809 11th Ave, Suite A East Cordele, GA 31015
2/7/2013
Diana M. Whiteman, MD
37729
RN115674
Bussoletti, April J.
11229
748 Old Norcross, Ste 150 Lawrenceville, GA 30045
5/8/2015
Amanda Cowan, MD
50793
RN093087
Butler, Patricia
15318
5 Executive Circle Savannah, GA 31406
1/8/2015
Barry Jones, MD
12495
RN129146
Butler, Kathryn Vargo
14219
5965 Parkway N Blvd Cummings, GA 30040
12/4/2014
David Martin, MD
21757
RN184069
Butler, Yentl Camile
14535
34 Upper Riverdale RD Riverdale, GA 30274
11/7/2014
Kashif Ahmed, MD
61547
RN155412
Butler, Amanda Lynn
14199
2200 Hwy 155 N McDonough, GA 30252
10/9/2014
Charles Campbell, MD
69772
RN184069
Butler, Yentl Camile
14098
86 South Cobb Dr, M20454 Marietta, GA 30063
Wednesday, August 12, 2015
Page 48 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Brian Kornblatt, MD
38029
RN093087
Butler, Patricia B
422
5 Executive Circle Savannah, GA 31406
3/4/2011
Carlos Martinez, MD
31793
RN096331
Butler, Sheila Wilmore
9612
165 Emery Hwy, Suite 100 Macon, GA 31217
11/7/2008
Richard LoCicero, MD
48535
RN121419
Butler, Jennifer Marie
8351
725 Jesse Jewell Pkwy, Suite 150 Gainesville, GA 30501
1/11/2008
Frank Cole, MD
28520
RN156529
Butler, Erin Brantley
419
101 Yorktown Drive Fayetteville, GA 30214
8/7/2014
Brian Deloach, MD
51216
RN144570
Byczkoski, Christy Natasha
13632
P.O. Box 8043 Statesboro, GA 30458
7/10/2014
Shaena Blevins, MD
60242
RN221894
Byers, Ann Marie
13564
743 Spring Street Gainesville, GA 30501
8/6/2015
Marisol Sanlnocencio, MD
47654
RN149798
Byrd, Jenifer
15898
1001 Fernwood Dr Milledgeville, GA 31061
10/5/2012
Shelley A. Griffin, MD
16238
RN149798
Byrd, Jenifer J.
11166
305 Jones Ave. Waynesboro, GA 30830
2/5/2009
Maria Mascolo, MD
52469
RN165617
Byrd, Lorraine Lott
8317
PO Box 14417 Savannah, GA 31416
2/5/2009
William McDonald, MD
37292
RN081218
Byrd, Eve Heemann
427
1841 Clifton Rd NE Atlanta, GA 30329
4/13/2007
Mahaveer C. Vakharia, MD
38390
RN179366
Byrd, Mary Elizabeth
428
4171 Marietta Street Powder Springs, GA 30127
11/3/2011
Perez, Pablo MD
47502
RN206214
Caban, Mariana
10196
1102 West Waugh Street Dalton, GA 30720
11/7/2014
Susanna Meredith, MD
62561
RN212474
Cabe, Carolyn Rose
14118
101 Harrison Industrial Blvd, Ste C Vidalia, GA 30474
9/13/2012
Brian Kogon, MD
53322
RN146346
Cabrera, Maria Elena
10993
1405 Clifton Rd Atlanta, GA 30322
Wednesday, August 12, 2015
Page 49 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/3/2012
Cabrera, Anthony MD
42538
RN128826
Cabrera, Tammy
10467
200 West Gordon Dalton, GA 30710
7/10/2009
Kevin Smith, MD
41961
RN149820
Cadle, Harriet Eyvonne
8378
PO Box 4128 Canton, GA 30114
1/11/2008
Jorge Simmonds-Diaz, MD
34947
RN149820
Cadle, Harriet E yvonne
8120
3379 Trickum Road Woodstock, GA 30188
6/3/2011
Kevin Lanclos, MD
47109
RN100014
Cady, Christlaen Elizabeth
9743
6175 Newton Dr Covington, GA 30014
3/5/2015
Wendy Greenberg, MD
35641
RN083997
Cahill-Roberts, Mary Elizabeth
15022
777 Franklin Rd Marietta, GA 30067
10/7/2011
Snell, William DO
24495
RN054027
Cain, Trina
10146
880 Canton Road, Ste 300 Marietta, GA 30152
7/10/2014
Kevin Smith, MD
57272
RN115517
Caldwell, Cindy M.
13526
2410 Sylvester Rd. Albany, GA 31750
1/9/2014
Lisa Amodio, DO
67272
RN115517
Caldwell, Cindy
12303
417 Third Avenue Albany, GA 31701
5/4/2012
Smith, Christopher MD
20820
rn115517
Caldwell, Cindy
10699
401 Fourth Avenue Albany, GA 31701
4/1/2011
Vito Bagnato, MD
45711
RN115517
Caldwell, Cindy M.
9702
810 13th Ave Albany, GA 31701
4/1/2011
Joseph Burnette, MD
33286
RN115517
Caldwell, Cindy M.
9704
401 Fourth Ave Albany, GA 31701
4/1/2011
Joseph Stubbs, MD
24105
RN115517
Caldwell, Cindy M.
9696
2402 Osler Court Albany, GA 31707
8/2/2007
Michael Banov, MD
37945
RN072598
Calhoun, Cathleen
8053
108 Margaret Avenue Marietta, GA 30060
11/8/2013
Hitendra Patel, MD
45312
RN232017
Calkin, Valerie Ann
12423
55 Whitcher St, Suite 160 Marietta, GA 30060
7/10/2014
Dennis Spencer Jr, DO
47663
RN150230
Callahan, Kimberly Anne
13427
1077 South Main St. Madison, GA 30650
Wednesday, August 12, 2015
Page 50 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2008
Patrick Spafford, MD
38971
RN141273
Callison, James Robert
440
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
2/5/2015
Niruopama Natarajan, MD
66723
RN226129
Calvert, Helen
14552
1640 Powers Ferry Rd Bldg 9, Ste 330 Marietta, GA 30067
2/5/2015
Michael Lebow, MD
61114
RN221721
Calvert, Angela Mary
12979
1856 Thompson Bridge Rd Gainesville, GA 30548
5/1/2014
Elbridge Bills, MD
37139
NP226129
Calvert, Helen Hardie
13163
3365 Piedmont Rd NE, Suite 1250 Atlanta, GA 30305
2/5/2015
David Beech, MD
56091
RN218393
Cameron, April Camille
14887
80 Jessie Hiill Jr Dr SE Atlanta, GA 30303
1/8/2015
Beverly Taylor, MD
25053
RN218393
Cameron, April
14536
1513 East Cleveland Ave Bldg 500 East Point, GA 30344
7/9/2015
Barbara Weissman, MD
32082
RN135678
Campbell, Jennifer Guerrero
12846
1605 Chantilly Dr. NE, Ste 300 Atlanta, GA 30324
4/2/2015
Eugene Morris, MD
63922
RN198704
Campbell, Hailey
15176
1088 (A) Baxter St Atherns, GA 30606
10/9/2014
Robert Mullins, MD
49835
RN077336
Campbell, Lisa Owens
14059
3675 J. Dewey Gray Circle, Ste 300 Augusta, GA 30909
9/11/2014
Travon Jasper, MD
45506
RN121520
Campbell, Sharon
13929
896 Hwy 81 East McDonough, GA 30252
9/11/2014
Mark Lewis, MD
35932
RN190551
Campbell, Jimmy Rex
12818
865 South 1st St Jesup, GA 31545
6/6/2014
Alan Cu-Chiam, MD
42554
RN121520
Campbell, Sharon Lesley
13218
1188 Ralph David Abernathy Blvd, West End Atlanta, GA 303
1/9/2014
Jeremy Pantin, MD
66390
RN077336
Campbell, Lisa Owens
12565
1120 15th St, BA-5407 Augusta, GA 30912
1/6/2012
Smith, Jason MD
52635
RN145376
Campbell, Jennifer
10237
550 Professional Drive Macon, GA 31201
Wednesday, August 12, 2015
Page 51 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/1/2011
Smith, Jason MD
52635
RN145376
Campbell, Jennifer
10263
550 Professional Drive Macon, GA 31201
10/7/2011
Vicki Knight-Mathis, MD
47337
RN126988
Campbell, Lynnda Joy Brooks
449
2920 Marietta Hwy, Suite 142 Canton, GA 30114
11/5/2010
Nicolas Krawiecki, MD
22804
RN135678
Campbell, Jennifer Guerrero
1185
1605 Chantilly Dr Atlanta, GA 30324
2/5/2010
Vicente Galan, MD
28685
RN198068
Campbell, Melissa Anne
8969
1365 Rock Quarry Rd, Suite 304 Stockbridge, GA 30281
1/7/2010
David Vann, MD
37919
RN179027
Campbell, Kimberly Michael
8908
2959 Sharpsburg-McCollum Rd Newnan, GA 30265
9/11/2008
Sandy Jun, MD
37005
RN150649
Campbell, Kathleen Anne
8287
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
5/6/2011
Thomas Gore, MD
27553
RN201888
Campbell Dunlap, Jane Lynn
9698
1551 Doctors Dr LaGrange, GA 30240
3/5/2015
Mana Kasongo, MD
57753
RN190551
Campbell Jr, Jimmy
15149
417 W. 3rd Ave Albany, GA 31701
11/7/2014
Sean Dariushnia, MD
61724
RN169061
Campbell-Brown, Erica Dawn
14204
80 Jesse Hill Jr. Dr. SE, PO Box 26278 Atlanta, GA 30303
8/6/2015
Amy Clemons, MD
57058
RN221018
Cannady, Kyle
16059
380 Cedar St Metter, GA 30439
9/11/2014
Leo Noragbon, MD
60014
RN051954
Cannon, Robert D
13778
227 Mountain Dr. Dahlonega, GA 30533
8/9/2013
Mahendra R. Shah, MD
34466
RN051954
Cannon, Robert D.
11435
227 Scenic Hwy, Suite A Lawrenceville, GA 30046
4/2/2009
Avril Beckford, MD
35814
RN157546
Cannon, Rebecca Lynn
452
1810 Mulkey Road, Suite 201 Austell, GA 30106
3/5/2015
Danni Suskin, MD
36883
RN182648
Cannova, Dawn
15085
550 Medical Center Blvd Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 52 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2012
Cook, William MD
32461
RN135756
Cano Johnson, Claudia
10747
1340 Boulevard SE Atlanta, GA 30315
10/9/2014
Gina Maxey, MD
56136
RN166999
Cantrell, Jennifer Suzanne
13987
1862 Auburn Rd, Ste 107 Dacula, GA 30019
6/6/2014
Sharmila Thadani, MD
55801
RN145760
Canty, Regina King
13259
550 Peachtree St NE, Ste 7000 Atlanta, GA 30308
9/2/2010
R. Brian Raybon, MD
38339
RN101692
Cape, Wanda Ivy
5136
79 Doyle St Toccoa, GA 30577
4/4/2013
Margot B. Cseley, MD
20523
RN176831
Carasick, Terry A.
11347
78 Atlanta St. Marietta, GA 30060
6/5/2009
Amer Al-Rafati, MD
42160
RN044419
Caraway, Elaine Bowen
454
116 South Houston Rd Warner Robins, GA 31088
6/6/2014
Avril Beckford, MD
35814
RN187703
Cargal, Allison L
13342
4581 South Cobb Dr., Ste 100 Smyrna, GA 30080
10/9/2014
Ifeoma Eke, MD
52350
RN168656
Cargill, Martha Nadine
14097
1510 Hudson Bridge Rd. Stockbridge, GA 30281
3/8/2013
John Cheng, MD
53117
RN168656
Cargill, Martha Nadine
11693
1645 Tullie Circle Atlanta, GA 30329
1/8/2015
Jennifer Gottschalk, MD
62991
RN185530
Carlson, Alyssa Nolan
14477
320 Parkway Dr, Ste 222 Atlanta, GA 30318
8/6/2015
Georga Stickney, MD
54128
RN202283
Carlton, Amanda
15951
601 A Professional Dr Lawrenceville, GA 30046
6/4/2015
Mark Winokur, MD
36317
RN171371
Carman, Catherine
15670
1401 Johnson Ferry Rd, Ste 390 Marietta, GA 30062
10/9/2014
Christopher Killingsworth
67666
RN171371
Carman, Catherine Michelle
14431
9700 Medlock Bridge Rd, Ste 182 John Creek, GA 30097
11/5/2010
Stephen Messner, MD
59282
RN171371
Carman, Catherine Michelle
9445
1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 53 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2010
James Campagna, MD
33806
RN117177
Carnegie, Serenia Porter
9306
2418 North Oak St, Suite B-1 Valdosta, GA 31602
9/11/2008
Joseph Burnette, MD
33286
RN117177
Carnegie, Serenia Porter
8179
401 4th Avenue Albany, GA 31701
7/12/2012
Elia, Hany MD
30055
RN043286
Carnes, Michelle
10899
3421 Mike Padgett Hwy Augusta, GA 30906
9/11/2008
Sandy Jun, MD
37005
RN084947
Carnes, Betty Darlene
463
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
8/9/2013
Deborah Griffiths, MD
35888
RN169432
Caron, Jason
464
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
2/5/2015
Talmadge Bowden, MD
11288
RN053788
Carpenter, Francine
14747
1 Freedom Way Augusta, GA 30904
8/5/2011
Joseph Hand, MD
49984
RN109260
Carpenter, Barbie Jenine Hackl
9892
247 S Main St Reidsville, GA 30453
9/14/2007
Kathleen Funk, MD
37997
RN038702
Carper, Brenda Carol Campbell
468
Northside Hosp - ER, 1000 Johnson Ferry Rd Atlanta, GA 303
3/1/2012
Davis, Mitchell MD
35030
RN120116
Carpinello, Jeniffer
10488
200 E.Enota Drive, Ste 200 Gainesville, GA 30501
10/9/2014
Richard Robinson, MD
38936
RN121940
Carr, Margery McMichael
14135
3240 Avalon Blvd Conyers, GA 30013
10/7/2011
Melissa Bruhn, MD
43565
RN077674
Carr, Lisa S
471
918 South Broad St Thomasville, GA 31792
9/13/2013
Candice Wallace, MD
30918
RN151657
Carrega, Timothy Norman
12282
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
6/8/2012
Grossman, Jeffrey MD
46109
RN196773
Carrithers, Natalie
10765
5555 Peachtree Dunwoody Rd, Ste 201 Atlanta, GA 30342
6/6/2014
James Vick III, MD
37720
RN119358
Carroll, Suni H
13343
15 Riverbend Dr. SW Rome, GA 30161
Wednesday, August 12, 2015
Page 54 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
William T. Mahle, MD
50110
RN198991
Carroll, Mallory Erin
11625
1405 N. Clifton Rd. Atlanta, GA 30322
2/5/2015
Jose Justiniano-Ayala, MD
#####
RN091674
Carson, Jasmine Denise
14882
11638 Hwy 27, Ste 8 Summerville, GA 30747
7/9/2015
Timothy Graves, MD
26859
RN145535
Carswell, Tiffany
15768
770 Walnut St Macon, GA 31201
9/11/2014
Ajay Kumar, MD
42326
RN175135
Carswell, Chasity Jana'
13727
132 Sparta Hwy Eatonton, GA 31024
5/4/2012
Palmore, Melody MD
33679
RN128437
Cartagena, Rhonda
10678
341 Ponce de Leon Avenue Atlanta, GA 30308
4/2/2015
William Grow, MD
13752
RN187228
Carter, Byron
15038
203 Woodrow Wilson Dr Valdosta, G 31602
2/5/2015
Parker Grow, MD
52943
RN172705
Carter, Stephanie Ann
14902
1199 Prince Ave MSB Bldg, 2nd Floor Athens, GA 30606
6/6/2014
Omari Hodge, MD
70459
RN186538
Carter, Kariba DeJuanshae
13344
2945 Panola Rd. Lithonia, GA 30038
11/8/2013
Fredrick O'Neal, Jr, MD
33419
RN155084
Carter, Mary Kelly
12532
1825 Martha Berry Blvd Rome, GA 30165
1/11/2013
David C. Snyder, MD
33711
RN186538
Carter, Kariba D.
11481
1490 Milstead Rd., NE, #A Conyers, GA 30013
11/5/2010
Salim Osta, MD
15631
RN047967
Carter, Michael A.
9401
1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524
10/4/2007
Carlos Zayas-Montalvo, MD
36668
RN135657
Carter, Janis Kristine
478
1968 Peachtree Rd. NW Bldg 77 5th Flr Atlanta, GA 30309
9/11/2014
Peter Steckl, MD
36296
RN072622
Cartledge, Tracy
13798
235 Peactree St. North Tower Ste.2100 Atlanta, GA 30303
3/6/2014
Woody Francis, MD
48325
RN072622
Cartledge, Tracy Ann
12997
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
Wednesday, August 12, 2015
Page 55 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
Mark Waterman, MD
21214
RN072622
Cartledge, Tracy Ann
8702
303 Parkway Dr NE, Emergency Dept Atlanta, GA 30312
8/5/2011
William Lambert, MD
35926
RN044369
Carusi, Gloria Jean
482
110 Lloyd Ave Tyrone, GA 30290
6/6/2014
Joseph Bona, MD
43331
RN114781
Casaday, Julie Choe
13310
3807 Clairmont Rd, Suite 2008 Chamblee, GA 30341
2/6/2014
Raushamah Hud-Aleem, DO
62999
RN114781
Casaday, Julie Choe
12783
3110 Clifton Springs Rd Dacatur, GA 30034
9/11/2008
Joshua Wolf, MD
59792
RN117028
Casanova, Christiana Sipper
7776
1968 Peachtree Rd, Bldg 77, 5thFloor Atlanta, GA 30309
12/7/2012
Joe W. Bateman, MD
51019
RN139341
Casbourne, Daniela J.
11317
1360 Upper Hembree Rd., Ste 100 Roswell, GA 30076
3/6/2009
Jonathan Kaufman, MD
53470
RN139341
Casbourne, Daniela Jordon
483
1365 Clifton Rd NE, Bldg C, Plaza Floor Atlanta, GA 30322
8/6/2015
Ashok Kancharla, MD
48250
RN210468
Casey, Kellie
15944
1061 Dowdy Rd Athens, GA 30606
10/5/2012
Richard Robinson, MD
38936
RN159440
Cash, Alecia
11134
3240 Avalon Blvd Conyers, GA 30013
12/7/2012
James Thomsen, MD
34485
RN138794
Casheba, Janet L.
11311
5455 Meridian Mark Rd., Ste 130 Atlanta, GA 30342
11/5/2010
Walter Ingram, MD
31766
RN130675
Cason, Evelyn Maria
9378
80 Jesse Hill Dr, Suite 3B Atlanta, GA 30303
8/2/2007
John Harsch, MD
28566
RN060504
Casper, Tamra Jo James
486
1050 Eagles Ldg Pkwy, Suite 102 Stockbridge, GA 30218
4/4/2013
William Norris Little, MD
24288
RN115513
Cassara, Pamela Sue
11783
6175 Newton Dr Covington, GA 30014
8/6/2015
Zulfiqar Ali, MD
68694
RN247812
Cassel, Krista
16103
140 Merrell St Cusseta, GA 31805
Wednesday, August 12, 2015
Page 56 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Scott Johnson, MD
39831
RN170289
Cassels, Melinda Jill
14892
1255 Hwy 54 West Fayetteville, GA 30214
2/3/2012
Parry, Bryan
43734
RN215260
Cassidy, Beau
10273
4181 Hospital Drive, Suite 204 Covington, GA 30014
11/5/2010
Ashwinkumar Patel, MD
38326
RN156994
Cassman, June
9325
1130 Talbotton Rd Columbus, GA 31904
4/2/2015
Marvin Nix, MD
60227
RN216124
Castano, Olga Lucia
15279
3950 Austell Rd Austell, GA 30106
6/6/2014
Marion Owen, MD
52800
RN155688
Castle, Susan Laney
13345
465 Winn Way, Ste 215 Decatur, GA 30030
9/13/2013
William Griffith, MD
40675
RN150641
Castle, Karen Reese
12262
4904 Timber Ridge Dr, Suite 104 Douglasville, GA 30135
5/1/2014
Thomas Oliver, MD
27624
RN198897
Castro, Brittany Dawn
13290
1500 Oglethorpe Ave., 2000 Athens, GA 30606
5/4/2012
Francis, Milele MD
55218
RN152933
Castro, Gina
10703
1700 Hospital South Drive Ste 500 Austell, GA 30106
4/13/2007
Anthony Mark Landis, DO
21733
RN172224
Catlin, Theresa Lynn
490
600 Professional Drive, Ste 210 Lawrenceville, GA 30045
1/9/2014
Daniel Singleton, MD
68857
RN041402
Catrett, Judy Hallman
12755
131 East 6th Ave Buena Vista, GA 31803
3/8/2013
Alluri Raju, MD
22626
RN041402
Catrett, Judy Hallman
11735
131 East 6th Ave Buena Vista, GA 31803
6/4/2015
Melissa Warner, MD
33480
RN159917
Caudell, Jennifer
15585
310 Black Bear Ridge Sautee Nacooche, GA 30571
7/12/2012
Haddad, Sinan MD
56455
RN154971
Caudell, Jason
10864
1250 Jesse Jewell Pkwy, Ste 400 Gainesville, GA 30501
6/7/2013
Henry Lonnie Gardiner, MD
39346
RN133307
Caulley, Kelly Danette
493
11459 Johns Creek Pkwy, Suite 250 Johns Creek, GA 30097
Wednesday, August 12, 2015
Page 57 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Oscar Espetia, MD
65358
RN112129
Causbey, Faith Enetta
12847
2501 N Patterson St Valdosta, GA 31602
8/7/2009
Alfred Woodard, MD
40592
RN112129
Causbey, Faith Enetta
494
417 W. 3rd Avenue Albany, GA 31705
10/8/2010
James Polhill, MD
18066
RN170411
Cave, Melissa Morgan
9376
1067 Peachtree St Louisville, GA 30434
8/7/2014
Mary Bell Vaughn, MD
49552
RN184009
Caves, Erin Faulkner
13589
3448 Vineville Ave. Macon, GA 31204
7/12/2012
Chunduri, Ananda MD
64911
RN089149
Cawley, Ramona
10865
39 Kent Rd, Ste 5 Tifton, GA 31794
4/2/2009
Sreeroop Sen, MD
41667
RN072630
Cawthon, Wanda Alane
496
77 W. Gibson Street Hartwell, GA 30643
10/5/2012
Curtis Clark, MD
47068
RN165331
Ceasar, Robbyn
11116
610 19th St. Columbus, GA 31901
8/9/2013
Mark Bradshaw, MD
66574
RN155230
Cecil, Hannah Rae
12028
315 South 12th St Griffin, GA 30224
6/5/2009
James Lah, MD
41863
RN131301
Cellar, Janet Cecilia Schilling
8595
1841 Clifton Road Atlanta, GA 30329
11/7/2008
Allan Levey, MD
34885
RN131301
Cellar, Janet Cecilia Schilling
8358
1841 Clifton Road NE Atlanta, GA 30329
3/5/2015
Ayman Fareed, MD
58740
RN232564
Cenerizio, Michelle
14797
1670 Clairmont Rd Decatur, GA 30033
1/8/2015
John Bleacher, MD
42182
RN196917
Center, Andrea Mitchell
14375
5455 Meridian Mark Rd, Ste 570 Atlanta, GA 30342
7/10/2014
Charles Outz, MD
53302
RN132549
Chabot, Judith Takem
13393
367 Clear Creek Pkwy Lavonia, GA 30553
1/9/2014
Billy Greening, MD
42585
RN208967
Chaffin, Dana Reynolds
12713
7285 Hwy 16, Suite C Senoia, GA 30276
Wednesday, August 12, 2015
Page 58 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/11/2013
Dwayne Watkins, MD
53054
RN208967
Chaffin, Dana Reynolds
12071
327 S 9th St Griffin, GA 30224
5/3/2013
Kesha L. Allen, MD
57920
RN135836
Chaffin, Timothy B.
11596
417 Third Ave. Albany, GA 31701
9/12/2012
Prince, Bobby MD
35735
RN135836
Chaffin, Timothy
10736
2311 Lake Park Dr Albany, GA 31707
9/11/2008
Larry Clements, MD
21489
RN067693
Chaffins, Carolyn Sue Lambert
501
760 Kennesaw Avenue Marietta, GA 30060
9/11/2014
Pete Williams, MD
59940
RN063135
Chafin, Sonja Elaine
13801
743 Spring St. NE Gainesville, GA 30501
7/12/2012
Ghosn, Ramzi MD
57974
RN063135
Chafin, Sonja
10888
1078 Lumpkin Campground Rd, Ste 100 Dawsonville, GA 305
7/12/2012
Petro, George MD
62155
RN063135
Chafin, Sonja
10890
59 Tifton Drive Dahlonega, GA 30533
12/4/2009
Subodh Lal, MD
52771
RN123599
Chalk, Suzanne Marie
8625
1700 Hospital South Dr, Suite 502 Austell, GA 30106
3/6/2009
Raymond Rubin, MD
41204
RN123599
Chalk, Suzanne Marie
8470
95 Collier Rd NW, #4085 Atlanta, GA 30309
9/11/2014
John Kludt, MD
34876
RN058004
Chalmers, Sharon Waits
12848
3700 Club Drive Lawrenceville, GA 30044
7/9/2015
Margot Cseley, MD
20523
RN198927
Chambers, Brittany
15664
2655 Northwinds Parkway Alpharetta, GA 30009
6/6/2014
Janet Memark, MD
64415
RN059901
Chambers, Donna Marie
13202
1790 Mulkey Rd., Ste 10 Austell, GA 30106
10/5/2012
Hina Hussain, MD
55063
RN059901
Chambers, Donna Marie
506
2440 Sandy Plains, Suite 100, Bldg 6 Marietta, GA 30066
7/12/2012
Geary Jr., Franklyn MD
30306
RN120392
Chambers, Terri
10866
80 Jesse Hill Jr. Drive Atlanta, GA 30303
Wednesday, August 12, 2015
Page 59 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/1/2012
Conley, Jason MD
54602
RN145959
Chamlee, Gina
10479
960 Joe Frank Harris Parkway Cartersvville, GA 30120
7/11/2013
Dale Wing, MD
68022
RN195224
Champion, Heather Michelle
12012
116 Mimosa Dr Thomasville, GA 31792
10/5/2012
Josephine Dunagan, MD
15553
RN113163
Chandler, Laurie
11042
1700 Tree Lane Snellville, GA 30078
9/11/2008
Sandy Jun, MD
37005
RN061123
Chandler, Barbara Jean
8286
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
1/11/2008
Steve Daugherty, DO
28259
RN184560
Chandler, Beryl Jo
8102
313 Boynton Drive Ringgold, GA 30736
9/11/2008
Richard Dent, MD
17
RN170578
Chang, Kai Yuan
8288
310 Eisenhower Drive, Suite 5 Savannah, GA 31406
7/11/2013
Shannon Meeks, MD
54163
RN080752
Chapman, Robin Lee
12073
2015 Uppergate Dr, Suite 400 Atlanta, GA 30322
6/7/2013
Polow, Sarah DO
24067
RN066554
Chapman, Vickie
10586
824 G I Maddox Pkwy Chatsworth, GA 30705
3/8/2013
James A. Sexson, MD
38362
RN134966
Chapman, Sarah C.
11573
1810 Mulkey Rd., #200 Austell, GA 30106
2/3/2012
McIncrow, Richard DO
59099
RN176461
Chapman, Samuel
10416
5354 Reynolds St, Ste 424 Savannah, GA 31405
10/7/2011
Chase, Richard DO
17784
RN139882
Chapman, Shelby Colquitt
10022
509 Sumter Street Montezuma, GA 31063-1733
4/1/2011
Obaid Rehman, MD
44990
RN176461
Chapman, Samuel David
9436
11700 Mercy Blvd, Bldg #5 Savannah, GA 31419
5/7/2010
Christine Kempton, MD
56189
RN080752
Chapman, Robin Lee
9092
2015 Upper Gate Dr, Suite 400 Atlanta, GA 30322
6/6/2014
Thomas Meyer, MD
16394
RN201632
Chappell-Stokes, Brittany Aman
13200
360 Hospital Dr, Bldg D, Ste. 200 Macon, GA 31217
Wednesday, August 12, 2015
Page 60 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Roger Branch, MD
30272
RN241333
Charles, Jenny Lee
14541
10 Doctors St Metter, GA 30459
12/6/2013
Sherri Barton, MD
48595
RN192517
Charles, Venyette A.
12309
6158 Hwy 92, Suite 101 Acworth, GA 30102
9/11/2014
Rodger Chapman, MD
16769
RN187056
Charlot, Mary Jane
13708
191 S. Main St Luthersville, GA 30251
11/8/2013
Divina Dyer, MD
57161
RN187056
Charlot, Mary Jane
12487
Take Care Clinic, 780 North Glynn Fayetteville, GA 30214-11
8/7/2009
Kim Lipscomb, MD
58696
RN099786
Charlton, Julie Ann Salsbury
5085
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
4/4/2013
Dorel Bidiuc, MD
51296
RN217048
Charrance, Penny Lynn
11793
707 Old Dalton Ellijay Rd Chatsworth, GA 30705
11/8/2013
Andrew Green, MD
58961
RN139247
Chase, Kelly
12436
1498 Jesse Jewell Pkwy, Suite C Gainesville, GA 30501
7/9/2015
Erin London, MD
45440
RN153918
Chatman, Shannon
15799
11 Business Center Dr, Ste 205 Eastanolle, GA 30538
8/9/2013
Kimberly Champney, MD
53115
RN144252
Chausmer, Jaimie Klein
12117
980 Johnson Ferry Rd NE, Suite 520 Atlanta, GA 30342
5/1/2014
Africa Alvarez-McLeod, MD
35733
RN146277
Cheeks, Miyesha A.
529
1605 Peachtree St., NE Atlanta, GA 30309
4/2/2015
Jose Cangiano, MD
44182
RN101507
Cheeseman, Karen Marion War
15225
1 Technology Pkwy South, Ste 1 Norcross, GA 30092
7/10/2014
Asaf Aleem, MD
30260
RN101507
Cheeseman, Karen Marion War
13447
2150 Peachford Rd. Atlanta, GA 30338
8/6/2010
Franklin Brown, MD
62315
RN187042
Chen, Huey Jen
9194
445 Winn Way Decatur, GA 30030
11/7/2014
Eric Powell, MD
49081
066069
Cheney, Teresa
14138
586 Brannen St Statesboro, GA 30458
2/3/2012
Bohlke, William MD
37490
RN066069
Cheney, Teresa
10428
9945 US Hwy 301 S Statesboro, GA 30458
Wednesday, August 12, 2015
Page 61 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/7/2008
Donna Fearing, MD
29447
RN137932
Chernik, Christine Ann
534
120 Stonebridge Pkwy Woodstock, GA 30189
5/4/2012
Ganapathy, Malliga MD
32734
RN189928
Chery, Yves
10667
1120 15th Street, The Pavilion I, AE-3038 Augusta, GA 3091
8/6/2015
Victor Thomas, MD
40574
RN046227
Chesnutt, Judy Denise
15235
1200 Memorial Dr Dalton, GA 30720
3/5/2015
Susan Platt, MD
#####
RN080757
Chesnutt, Margaret America
14646
755 Commerce Dr Decatur, GA 30030
12/3/2010
Parker Grow, MD
52943
RN123120
Chesser, Yvonne Allen
539
PO Box 5860 Athens, GA 30604
1/9/2014
Barbara S Nelson, MD
54628
RN225780
Chessor, Misty Lynn
12807
508 East Morris St Dalton, GA 30721
10/5/2012
Emanuel Soyoola, MD
53032
RN145607
Chetty, Sundari
11084
1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504
12/4/2014
Joseph Parks lll, MD
20586
RN155127
Child, Chris
14548
32 Jackson St Newnan, GA 30263
9/2/2010
Eugene Hurwitz, MD
24694
RN155127
Child, Chris Buchanan
9182
690 Dallas Hwy, Suite 101 Villa Rica, GA 30180
11/8/2013
Monica Newton, DO
64874
RN179111
Childers, Suzanne Amanda
12478
950-A South Enota Dr Gainesville, GA 30501
1/11/2013
Theltonia Howard, MD
66186
RN175483
Childers, Tabitha A.
11501
1170 Cleveland Ave. East Point, GA 30344
7/12/2012
Richardson, Matthew MD
53023
RN175483
Childers, Tabitha
10813
5555 Peachtree Dunwoody Rd, Ste 201 Atlanta, GA 30342
10/4/2007
Ann Ward, MD
23242
RN097177
Childers, Dona Faye Earwood
542
97 Church Street Taylorville, GA 30178
7/11/2008
William Bohlke, MD
37490
RN043261
Childree, Rene B.
8252
PO Box 487 Brooklet, GA 30415
Wednesday, August 12, 2015
Page 62 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2012
Edward J. Kruse, DO
58055
RN185501
Childress, Irene M.
11015
1120 15th St, BA-4107 Augusta, GA 30912
3/4/2011
Eugene Hurwitz, MD
24694
RN141373
Childress-Rodriquez, Robin Ren
9568
690 Dallas Hwy, Suite 101 Villa Rica, GA 30180
9/11/2014
Damon Kimes, MD
50322
RN039908
Childs, Eileen
13764
695 Crossville Rd Roswell, GA 30075
9/11/2014
Kory Vaughn, MD
69457
RN197564
Chitoh, John Achibuem
13722
745 Poplar Rd. Newnan, GA 30265
10/7/2011
Ghiathi, A.S. DO
40908
RN197564
Chitoh, John
10163
125 McDonald Avenue Cuthbert, GA 39840
7/9/2015
Francis Jenkins, MD
25988
RN118797
Chitwood, Connie
15823
3320 Old Jefferson Rd, Ste 200 A Athens, GA 30607
6/6/2014
Donna Groover, Md
40676
RN160445
Chitwood, Kimberly Allison Clay
13346
7143 Turner Lake Rd Covington, GA 30014
7/9/2015
Charles Roman, Do
43757
RN195897
Cho, Ki-hyun
15807
2737 Warm Springs Rd Columbus, GA 31904
12/4/2014
Young Kang, MD
56302
Rn211009
Cho, Haeseon
14455
4855 River Green Pkwy, Ste 140 Duluth, GA 30096
2/5/2009
Stephen Clements, MD
11305
RN134174
Choate, Elizabeth Thompson
548
1365 Clifton Rd NE, #A-2432 Atlanta, GA 30322
9/11/2008
Patrick Spafford, MD
38971
RN155231
Choate, Tara Nicole
549
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
8/6/2015
Sekhar Sankaran, MD
31549
RN234129
Choe, Unchong
15989
101 Regency Pkwy Rd, Ste 140 McDonough, GA 30253
8/6/2010
Paul Zolty, MD
54142
RN170392
Chosewood, Christa Ryan
9108
55 Whitcher St, Suite 160 Marietta, GA 30060
8/6/2015
Ramesh Amin, MD
28242
RN240115
Chrena, Helen
16093
853 Battlecreek Rd Jonesboro, GA 30236
9/14/2007
James Capes, MD
38438
RN128856
Christian, Dana Lorraine
550
550 Peachtree Street Atlanta, GA 30308
Wednesday, August 12, 2015
Page 63 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Lesley Cown, MD
36129
RN215879
Christie, Byerly
16070
4061 Vinerille Ave Macon, GA 31210-5039
10/2/2008
William Watkins, MD
32076
RN159008
Christie, Melville Devon
554
235 P'tree St NE, North Tower, #2100 Atlanta, GA 30303
1/11/2008
Donovan Christie, MD
44432
RN151674
Christie, Jacqueline Thomas
7876
725 North Central Avenue, Suite 1 Atlanta, GA 30354
10/9/2014
Chester Lapeza, MD
44263
RN119135
Christmas, Marcy Ann
14415
602 East 16th Ave, Ste B Cordele, GA 31015
6/7/2013
Gaston Moran-Celayes, MD
64675
RN119135
Christmas, Marcy Ann Herringt
555
602 East 16th Ave, Suite B Cordele, GA 31015
11/1/2007
James Roth, MD
46525
RN142649
Christodoulos, Rozalinde B
358
3925 Johns Creek Court, Suite A Suwanee, GA 30024
1/8/2015
Dennis Wiles, MD
44865
RN138578
Chukoian, Lois
14710
410 Peachtree Parkway, Ste 300 Cumming, GA 30041
3/6/2009
John Bergsagel, MD
29407
RN138578
Chukoian, Lois Eleanor Skinner
558
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30322
3/6/2009
Frances Decker, MD
33953
RN085064
Chumley, Angela Deloach
559
241 Silverwood Comm Dr Rincon, GA 31326
6/4/2010
James Butts, MD
9103
RN127763
Chung, Judith P Hart
560
PO Box 2683 Gainesville, GA 30503
5/8/2015
Joseph Philippe, MD
44056
RN171397
Clairvil, Sherly
15283
5825 Glendridge Dr Atlanta, GA 30328
5/4/2012
Box, James Brent MD
31566
RN051923
Clardy, Nancy Lucille Ennis
565
1035 Red Bud Road Calhoun, GA 30701
7/9/2015
Robert Marler, MD
35947
RN128881
Clark, Kara
15756
1314 West Ridge Rd Gainesville, GA 30501
4/2/2015
Sharkoora Omonuwa, MD
37895
RN047714
Clark, Linda K
14919
1826 Veterans Blvd, Bldg 9B Dublin, GA 31021
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Ayisha Jameel, MD
69471
RN030832
Clark, Ann Marie
15081
80 Jesse Hill Jr. S E Atlanta, GA 30303
1/8/2015
Cassandra Donnelly, DO
68144
RN231360
Clark, Zaccardo Kentrell
14768
3617 Roswell Rd N E, Ste A Atlanta, GA 30305
12/4/2014
Ramon Ramos, MD
33683
RN194331
Clark, Sommer
14570
460 Mall Blvd Savannah, GA 31406
9/11/2014
Jason Bailey, MD
51619
RN093663
Clark, Michele Poole
13820
1498 Jesse Jewell Pkwy Ste D Gainesville, GA 30501
7/10/2014
Garland Martin, MD
47233
RN238230
Clark, Tiffany Guyton
13558
One Chemical Plant Rd Riceboro, GA 31323
1/6/2012
Meier, Edward MD
#####
RN173733
Clark, Jennifer
10349
2112 Shorter Ave NW, Ste 200 Rome, GA 30165
12/7/2007
Andre Kallab, MD
45259
RN128712
Clark, Mark Douglas
572
1240 Jesse Jewell Rd. Suite 600 Gainesville, GA 30501
8/5/2011
Richard Young, MD
21218
RN180285
Clarke-Hall, Renee Marie
9901
958-A J F Harris Pkwy, Suite 105 Cartersville, GA 30120
1/7/2011
Gwendolyn Delaney, MD
49380
RN180285
Clarke-Hall, Renee Marie
9459
410 Peachtree Pkwy, Suite 4260 Cumming, GA 30041
3/5/2015
Douglas Epps, MD
48349
RN128161
Clark-Jenkins, Barbara Renell
14988
1445 Old McDonough Hwy SE Conyers, GA 30094
6/4/2015
Andrew Leach, MD
49051
RN244899
Clay, Alexa
15200
355 Hawthorne Lane Athens, GA 30606
9/2/2010
Stanley Fineman, MD
16229
RN140016
Clay, Kimberly George
9285
895 Canton Rd, Bldg 200, Suite 200 Marietta, GA 30060
8/7/2014
Mary Bell Vaughn, MD
49552
RN160625
Clay-Austin, Cherrice
13588
3448 Vineville Ave. Macon, GA 31204
6/6/2008
Michael Steinbook, MD
26661
RN113665
Clayton, Sonie Marie
578
1117 20th Street Columbus, GA 31901
Wednesday, August 12, 2015
Page 65 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2014
Sarvotham Kini, MD
34170
RN200233
Claytor, Kathryn
14557
108 Spear Rd Athens, GA 30602
3/6/2009
Anthony Harbin, MD
29665
RN200259
Clemmons, Lori Anne
5451
1525 Chattanooga Road Dalton, GA 30720
10/9/2014
Albert Thompson, MD
22338
RN174980
Cleveland, Lauren Mary-Marie
14043
1375 E. King Ave. Hwy 40, Ste A Kingsland, GA 31548
5/1/2014
Farris Johnson, MD
27580
RN043294
Cleveland, Janna B
580
496 Reese St Athens, GA 30601
10/7/2011
Stoughton-Doherty,
Kimberly MD
55981
RN174980
Cleveland, Lauren
10091
2040 Dan Proctor Drive, Ste 140 St. Mary's, GA 31558
3/5/2015
Ihab Hajjar, MD
70835
RN153941
Clevenger, Carolyn
15119
1821 Clifton Rd NE Atlanta, GA 30329
10/5/2012
Mark A. Matthews, MD
54861
RN153940
Clevenger, Zachary Allen
584
200 S.Enota Dr., Ste 200 Gainesville, GA 30501
5/7/2010
Anne Lule, MD
51507
RN120899
Clevenger, Gina Price
9099
330 Turner McCall Blvd, Suite 206 Rome, GA 30165
11/5/2009
Thomas Ryan, MD
42415
RN120899
Clevenger, Gina Price
583
20 Collins Drive, Suite B Cartersville, GA 30120
11/7/2014
Elizabeth Adamiak, MD
33015
RN065545
Cline, Nyla Faye
14186
804 Dixie St Carrollton, GA 30117
3/6/2009
Elizabeth Adamiak, MD
33015
RN065545
Cline, Nyla Faye Clifford
8463
804 Dixie Street Carrollton, GA 30117
7/9/2015
Catherine James-Peters, MD
63671
RN040042
Clinton, Mymie
15802
118 Alice Coleman Dr Vidalio, GA 30474
1/7/2010
Donald Gates, MD
53915
RN165558
Close, Mary Jennifer
8925
6602 Abercorn St, Suite 102 Savannah, GA 31405
9/14/2007
James Gore, Jr., MD
36384
RN146108
Cloud, Paulette Marie Dyson
589
1512 Highway 19 North Thomaston, GA 30286
Wednesday, August 12, 2015
Page 66 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/5/2012
Joseph Slappey, MD
3447
RN077688
Clubb, Karen
11085
1600 Forsyth St. Macon, GA 31201
5/9/2008
Charles Brown, III, MD
28383
RN113899
Clymer, Emily Susan Jones
8181
275 Collier Road, Suite 500 Atlanta, GA 30309
4/2/2015
Gururaj Nayak, MD
44033
RN185308
Coar, Jaekea Teshea
15063
701 Bluebird Blvd Fort Valley, GA 31030
10/5/2012
Keathem Malone, MD
44524
RN185308
Coar, Jaekea
11064
301 Watson Blvd, Ste 525 Warner Robins, GA 31093
2/5/2015
Marat Plotkin, MD
46473
RN193814
Cobb, Amy Beckman
14762
105 Greencastle Rd, Ste A Tyrone, GA 30290
9/13/2013
Clifford Tumambing, MD
68326
RN193814
Cobb, Amy Beckman
12252
380 South Davis Rd, Suites E&F LaGrange, GA 30240
6/4/2010
Jonathan Ehrlich, MD
15580
RN198926
Coburn, Allison Inga Buri
9114
993-D Johnson Ferry Rd, Suite 360 Atlanta, GA 30342
5/8/2015
Bradley Ward, MD
21115
RN069910
RN069910
Cochran, Renee
15435
78 Opal St Cartersoille, GA 30120
7/10/2014
Scott Kelly, MD
44256
RN119943
Cochran, Angela Elaine
13529
6635 Lake Dr Morrow, GA 30260
5/1/2014
James Box, MD
31566
RN139566
Cochran, Charma Louise
13168
1035 Red Bud Rd Calhoun, GA 30701
9/2/2010
Charlene Blache, MD
45728
RN154552
Cochran, Virginia Parramore
594
406-M Northside Dr Valdosta, GA 31602
7/9/2015
Chantrapa Bunyapen, MD
19243
RN192162
Cockfield, Christy
15599
1120 15th St, Ste BIW 6033 Augusta, GA 30912
8/6/2015
David Samuels, DO
49521
RN117919
Cody, Regina
15975
117 Kile Rd Swainsboro, GA 30401
7/10/2009
Traceyan Mendez, MD
57831
RN117919
Cody, Regina G.
1179
316 North Main Street Swainsboro, GA 30401
Wednesday, August 12, 2015
Page 67 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Deborah Henry, MD
41950
RN160446
Coffee, LaChaka S
15335
1670 Clairmont Rd. Decatur, GA 30033
8/7/2014
Thomas Emerson, MD
26772
RN192147
Coffey, Alice Margaret
13646
55 Witcher St, Ste 250 Marietta, GA 30060
9/1/2011
Vadelund, Karin MD
58934
RN137838
Coggins, Brenna Jean Williford
9997
235 Peachtree St NE, Ste 2100 Atlanta, GA 30303
3/1/2012
Merchen, Todd MD
58986
RN193985
Cohan, Amy
10494
1120 15th St BA 4407 Augusta, GA 30912
7/9/2015
Michele Henson, MD
73306
RN204554
Cohen, Herchelle
15881
5400 Waters Ave Savannah, GA 31404
5/7/2009
Joel Cohen, DO
60359
RN201143
Cohen, Bonni S.
8557
3207 Country Club Drive Valdosta, GA 31605
12/3/2010
Lee Woodall, MD
22917
RN097198
Coke, Sallie Poole
600
101 Houston Street Barnesville, GA 30204
9/2/2010
Irandathy Rodrigo, MD
42715
RN185318
Colac, Olga
9257
2522 Cruse Rd, Suite C-2 Lawrenceville, GA 30044
6/7/2013
G. Walden Garriss, III, MD
51134
RN145608
Cole, Valerie M
11984
3939 Roswell Rd, Suite 200 Marietta, GA 30062
7/9/2015
Maurice Solis, MD
30673
RN144943
Coleman, Dakshaben
15763
2409 N Patterson St, Ste 230 Valdosta, GA 31602
1/9/2014
Vijitha Prasad, MD
40520
RN198551
Coleman, Megan Delane
12718
544 W Church St Swainsboro, GA 30401
8/9/2013
Eric Fan, DO
49615
RN094148
Coleman, Glendell Bradley
12151
1102 Smith Ave Thomasville, GA 31792
12/3/2010
Thomas Murphy, MD
30158
RN065066
Coleman, Julie W
603
PO Box 5860 Athens, GA 30604
5/8/2015
Juliana Nahas, MD
44549
RN184597
Colley, April
15443
4181 Hospital Dr, Ste 202 Covington, GA 30014
Wednesday, August 12, 2015
Page 68 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Rolando Torres, MD
43138
RN090997
Collier, Pamela Lee
14858
1350 Walton Way Augusta, GA 30901
3/8/2013
Clyde Granville Simmons,
MD
17301
RN076675
Collier, Pamela Crownover
11715
5488 Alabama Ave Omega, GA 31775
5/7/2010
Faiz Rahman, MD
63433
RN090997
Collier, Pamela Lee Bowman
9107
404 Savannah Ave Statesboro, GA 30458
7/9/2015
William Grubb, MD
16606
RN133916
Collins, Mary Katherine
15604
3025 Shrine Rd, Ste 450 Brunswick, GA 31520
5/1/2014
Michael McDaniel, MD
57398
RN117850
Collins, Janice M
13236
5780 Peachtree Dunwoody Rd, #200 Atlanta, GA 30342
4/4/2014
Archna Poddar, MD
50827
RN081190
Collins, Linda Savage
13082
3685 Brasleton Hwy, Suite 100 Dacula, GA 30019
7/12/2012
Nooka, Ajay MD
63380
RN185288
Collins, Hannah
10847
1365 Clifton Road NE, Bldg C, Plaza Level Atlanta, GA 30322
3/29/2012
Bergrab, Peggy MD
64330
RN162833
Collins, Jessica
10568
417 Third Avenue Albany, GA 31702
11/3/2011
Maxa, Richard MD
42655
RN152165
Collins, Krista
10191
3505 Duluth Park Lane, Ste 400 Duluth, GA 30096
6/4/2010
Kevin Davis, MD
45765
RN130301
Collins, Christy Michelle
9064
77 Weaver Road Blairsville, GA 30512
11/5/2009
Paul Cox, MD
49762
RN130301
Collins, Christy Michelle
8839
101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513
7/11/2008
Tania Morgan, MD
48172
RN117850
Collins, Janice M.
5096
5354 Reynolds St, Suite 303 Savannah, GA 31419
3/4/2011
Michael Avidano, MD
39722
RN113723
Colton, Wendy Marley
613
1101 Hospital Dr, Suite100-A Stockbridge, GA 30281
2/5/2010
Asher Galloway, MD
16511
RN144273
Colvin, Shannon Leigh Bentley
8947
6095 Professional Pkwy, Suite A-210 Douglasville, GA 30134
Wednesday, August 12, 2015
Page 69 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Morhtar Hacena, MD
55062
RN242145
Comer, Angelin
14689
2054 Watson Blvd Warner Robins, GA 31093
12/4/2014
Anthony Howard, MD
34616
RN073864
Comer, Judith Lynn
14366
119-A Victory Dr, Ste A Swainsboro, GA 30401
7/10/2014
Jeffrey Dowis, MD
68199
RN073864
Comer, Judith Lynn
13536
3193 East First St Vidalia, GA 30474
10/10/2013
Nathan Spell, MD
45012
RN166066
Comer, Rosalynn Nadia Miller
12406
1364 Clifton Rd, Suite D-218 Atlanta, GA 30322
10/5/2012
Herbert Carter, MD
41409
RN166066
Comer, Rosalynn
11092
550 Peachtree St., NE, MOT 7th Flr. Atlanta, GA 30308
1/7/2010
Ronald Hart, MD
46115
RN073864
Comer, Judith Lynn
615
11 Charlie Morris Rd Colbert, GA 30628
6/6/2014
Dennis Welch, MD
33922
RN219725
Compaan, Kyle Peter
13347
5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342
2/7/2013
Diane V. Duvall, MD
33739
RN211468
Compton, Anne B.
11630
1800 Howell Mill Rd., #680 Atlanta, GA 30318
8/7/2014
Gururaj Nayak, MD
44033
RN103622
Conforti, Elisabeth Ludwig Kieb
13665
1909 N Columbia St, Suite D Milledgeville, GA 31061
11/7/2014
Steven Yang, MD
65438
RN121290
Conley, Gail Dykhouse
14181
2740 Ray Knight Way, Ste 100 Albany, GA 31707
10/5/2012
Adam Kennah, MD
56578
RN137050
Conley, Becky Ann
11073
865 South First ST Jesup, GA 31545
10/5/2012
Robert Herrington, MD
31942
RN137050
Conley, Becky Ann
11072
462 E G Miles Pkwy Hinesville, GA 31313
10/5/2012
Timothy Osborne, MD
68085
RN137050
Conley, Becky Ann
11071
One Meadows Pkwy - Emergency Dept Vidalia, GA 30475
12/7/2007
Nimish N. Dhruva, MD
45200
RN157373
Conlon, Barbara Jean Ruff
617
20 Francis Way, Suite 101 Sharpsburg, GA 30277
Wednesday, August 12, 2015
Page 70 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/4/2011
Dolly Aguilera, MD
55386
RN171851
Connelly, Erin Lynaugh
9584
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
6/6/2014
Kalpit Patel, MD
70398
RN196237
Conners, Julie Beth
13348
2464 Roswell Rd. Marietta, GA 30062
5/8/2015
Vikash Modi, MD
70226
RN209853
Connors, Christina Renee
15273
80 Vinings Dr McDonough, GA 30253
3/6/2009
Andrew Muir, MD
52079
RN170580
Consedine, Megan Alexander
623
2015 Uppergate Road Atlanta, GA 30322
9/11/2014
Slavko Kukucka, MD
46877
RN072672
Conway, Valerie Kim
13936
119 Chimney Rd Rincon, GA 31326
9/14/2007
Alison Wright, MD
46017
RN081259
Conway, Julie Michelle Hooks
626
1025 North Houston Road Warner Robins, GA 31093
3/5/2015
Micheal Sumner, MD
63062
RN225002
Conyers, Shanika
14835
1120 15 th, Ste B I Augusta, GA 30912
4/4/2014
Joseph A. Bishop, MD
10372
RN163150
Conyers, Babara Jean
13137
100 Peters St., Ste. 38 Calhoun, GA 30701
6/4/2015
Kenneth Williams, MD
44381
RN218993
Cook, Jennifer
15710
633 Stephenson Ave Savannah, GA 31405
10/9/2014
Paul Bradley, MD
30016
RN218993
Cook, Jennifer Michele
13729
340 Eisenhower Dr, Suite 1200 Savannah, GA 31405
9/11/2014
Andrew Waldman, MD
48001
RN154894
Cook, Christopher Lee
13875
710 Center St Columbus, GA 31901
9/11/2014
Robert Nelson, MD
65037
RN128463
Cook, Jennifer Sue
13794
110 South Chestatee St. Ste. 100 Dahlonega, GA 30597
7/11/2013
Suzanne Manley, MD
46167
RN191725
Cook, Erin Elizabeth Norton
12017
148 Clinic Ave Carrollton, GA 30117
3/8/2013
Husham P. Mishu, MD
40740
RN209855
Cook, Calli Leighann
11607
285 Boulevard NE, #345 Atlanta, GA 30312
Wednesday, August 12, 2015
Page 71 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/1/2011
Firas Bannout, MD
55176
RN143588
Cook, Kerri Anne
9662
455 S. Main St, Suite 201 Hinesville, GA 31313
5/7/2010
Charles Burton, Jr, MD
23025
RN154812
Cook, Sheryl L.
9090
1587 Phoenix Blvd, Suite 6 College Park, GA 30349
1/11/2008
Nicola Botley-Lee, MD
52106
RN104354
Cook, Camille Pleshette
629
5026 Snapfinger Woods Dr, Suite 112 Decatur, GA 30035
11/1/2007
John Sladky, MD
41219
RN059531
Cook, William Byron
7705
2015 Uppergate Drive NE Atlanta, GA 30022
2/5/2009
Carolyn Sigman, MD
37904
RN084993
Cooksey, Karen Paula Rice
636
10745 Westside Way, Suite 125 Alpharetta, GA 30009
9/11/2008
Sandy Jun, MD
37005
RN095692
Cooley, Kim Verleigh
8164
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
8/8/2008
Avril Beckford, MD
35814
RN159289
Coon, Melanie B.
1988
1810 Mulkey Road, Suite 201 Austell, GA 30106
6/4/2015
Paul Hawkins, MD
54741
RN175935
Cooper, N'Kema Jernee
15616
4421 Carnes St Acworth, GA 30101
4/2/2015
Robert Springer lll
37081
RN136292
Cooper, Chandra
15216
50 Executive Park South, Ste 5012 Atlanta, GA 30329
9/11/2014
James Peterzell, DO
53868
RN136292
Cooper, Chandra M
13817
200 Galleria Pkwy Ste.100 Atlanta, GA 30339
7/10/2014
David Wyatt, MD
42979
RN202449
Cooper, Layla Lahuti
13337
4199 Paces Ferry Rd SE, Suite 200 Atlanta, GA 30339
1/9/2014
Howard Snapper, MD
38970
RN234191
Cooper, Sarah Callander
12758
55 whitcher St, Suite 350 Marietta, GA 30060
9/13/2013
Faiz Rehman, MD
43270
RN197896
Cooper, Erin Timmerman
12278
818 St Sebastian Way, Suite 307 Augusta, GA 30901
2/5/2010
Fernando Burstein, MD
32141
RN084801
Cooper, Debra Denise
8972
975 Johnson Ferry Rd NE, Suite 100 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 72 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
Connie DuPre, MD
31675
RN084801
Cooper, Debra Denise
8706
1512 Hwy 19 West Thomaston, GA 30286
2/5/2009
Tania Morgan, MD
48172
RN125895
Cope, Mary Christine
7801
5354 Reynolds St, Suite 303 Savannah, GA 31405
5/1/2014
David Fletcher, MD
59718
RN199904
Copeland, Christina Danielle
13083
1075 South Main St., Suite 100 Madison, GA 30650
8/6/2010
Frank Bixler, MD
34779
RN066094
Copeland, Sherry C.
9164
15 Yarbrough St Hazlehurst, GA 31539
4/2/2009
Haley Manley, MD
42079
RN102110
Copeland, Sandra Davis
5505
101 Houston Street Barnesville, GA 30204
1/7/2011
Scott Cooper, MD
27696
RN112198
Corbett, Tarra Lea Mccullar
641
1400 Northside Forsyth Dr, Suite 250 Cumming, GA 30041
8/7/2014
Tasneem Bhatia, MD
49025
RN216234
Corbin, Kristin Marie
13653
1401 Dresden Dr. Atlanta, GA 30319
10/9/2014
Bennie Brown, DO
65085
RN093591
Corcoran, Patricia Ann
14020
925 Branch Court, Ste 101 Grovetown, GA 30813
9/11/2014
Ioana Chirca, MD
69285
RN093591
Corcoran, Patricia Ann
13876
1350 Walton Way Augusta, GA 30901
4/4/2013
Kevin Nash, MD
68078
RN093591
Corcoran, Patricia Ann
11760
1350 Walton Way, Medical Staff Office Augusta, GA 30910
7/12/2012
Hunter, Timothy MD
66702
RN093591
Corcoran, Patricia
10885
1348 Walton Way Augusta, GA 30910
9/1/2011
Reginald Nesbitt, MD
58300
RN093591
Corcoran, Patricia Ann
9873
1350 Walton Way Augusta, GA 30910
4/1/2010
William Callaghan, MD
27974
RN093591
Corcoran, Patricia Ann
9030
818 St. Sebastian Way, POB II, Suite 200 Augusta, GA 30901
11/7/2008
Faiz Rehman, MD
43270
RN093591
Corcoran, Patricia Ann
2985
1348 Walton Way, Suite 5100 Augusta, GA 30901
Wednesday, August 12, 2015
Page 73 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Sushma Chandan, MD
22984
RN100590
Cordi, Francesca
14657
1670 Clairmont Rd Decatur, GA 30033
4/4/2013
James Douglas, MD
33569
RN168452
Cordle, Emma Walker
11777
15 Riverbend Dr SW, Suite 100 Rome, GA 30161
5/8/2015
Lance Slade, MD
52488
RN160643
Corley, Caitlin
15477
550Professional Dr Macon, GA 31201
4/4/2013
Nancy Lefever, MD
50205
RN122788
Correia, Wanda Denise Wall
648
PO Box 680 Tate, GA 30177
7/11/2008
Marisa Gadea, MD
41802
RN049752
Cossman, Barbara H
650
1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068
11/1/2007
Michael Miles, MD
52082
RN146776
Costanzo, Erin Reynolds
8095
7869 Villa Rica Hwy Dallas, GA 30157
9/11/2014
Allison Enter, MD
71699
RN158279
Costello, Phyllis Pelfrey
13793
1416 Wainbrook Dr Augusta, GA 30909
11/8/2013
John Affronti, MD
45686
RN158279
Costello, Phyllis Pelfry
12435
1120 15th St, Suite BBR-2538 Augusta, GA 30912
10/7/2011
Martin, Garland
47233
RN073478
Cote, Wilma
10126
391 South lst Street Jesup, GA 31545
9/11/2008
Sandy Jun, MD
37005
RN080800
Cotroneo, Mia
654
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
4/2/2015
Leslie Leigh, MD
34752
RN184383
Cotto Jr., Thomas
15125
500 Medical Center Blvd Lawrecneville, GA 30042
2/5/2009
Peter Lee, MD
38545
RN124073
Couch, Mark Edward
657
34 Upper Riverdale Rd, #100A Riverdale, GA 30274
8/8/2008
James Brennan, MD
19645
RN051998
Coulombe, Serena
5442
303 Smith Street LaGrange, GA 30240
1/9/2014
Cheryl Perkins, MD
36430
RN195756
Coulter, Kirsten Baum
12549
1497 Fair Rd, Suite 200 Statesboro, GA 30458
Wednesday, August 12, 2015
Page 74 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/10/2007
Brook Bearden, MD
56527
RN186396
186396
Courington, Aaron S.
5475
5116 Northwind Blvd. Valdosta, GA 31605
7/9/2015
Robb Fulton, DO
73325
RN190877
Courson, Jessica Lynne
15938
903 west Ward St, Ste A Douglas, GA 31533
6/4/2015
Saurabh Desai, MD
27530
RN204335
Cousins, Valerie
15549
6025 Professional Pkwy Douglasville, GA 30134
4/4/2014
Luther Vance, Jr, MD
19354
RN204335
Cousins, Valerie Jean
12968
8470 Senoia Rd Fairburn, GA 30213
11/5/2010
Hermogenes Pagsisihan, MD
50666
RN204335
Cousins, Valerie Jean
9447
100 Professional Park, Suite 204 Carrollton, GA 30117
2/5/2015
Robert Mooney, MD
36828
RN135671
Coussons-Dyches, Angela Vawn
14588
1203 Brampton Ave Statesboro, GA 30458
1/9/2014
Angela Gerguis, MD
47261
RN135671
Coussons-Dyches, Angela Vawn
12690
586 Brannon St Statesboro, GA 30458
1/9/2014
Emory Powers Smith, MD
25281
RN135671
Coussons-Dyches, Angela Vawn
12808
1203 Brampton Ave Statesboro, GA 30458
8/5/2011
Amy Clemons, MD
57058
RN135671
Coussons-Dyches, Angela Vawn
9960
300 Cedar St Metter, GA 30439
10/10/2013
David Markham, MD
69311
RN141005
Cowan, Karen Demesa
12403
5673 Peachtree-Dunwoody Rd, Suite 650 Atlanta, GA 30342
2/5/2015
David Kunz, MD
29703
RN157695
Cowart, Rebecca
14760
1655 Lebanon Rd, Ste A Lawrenceville, GA 30043
5/7/2009
Thomas Gearhard, MD
27193
RN051252
Cowart, Linda Rae
8461
1790 Mulkey Road, Suite 8 Austell, GA 30106
10/10/2013
Obaid Rehman, MD
44990
RN181784
Cowgill, Bryce Simpson
12370
PO Box 14417 Savannah, GA 31416
6/4/2015
Debra Lister, MD
38849
RN101986
Cox, Virginia
15594
1101 Ocilla Rd Douglas, GA 31533
Wednesday, August 12, 2015
Page 75 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Haais Mir, MD
70812
RN170047
Cox, Laura Lynn
14673
3675 J Dewey Gray Cir, Ste 300 Augusta, GA 30909
9/11/2014
Armene Vanoyan, MD
46508
RN063181
Cox, Judith Parson
13878
275 Collier Rd Ste 100-C Atlanta, GA 30309
5/1/2014
Robert Taylor, DO
31338
RN175357
Cox, Erin Marie
13084
5281 Cleveland Hwy Clermont, GA 30527
10/5/2012
Corrigan, Victor MD
26489
RN145683
Cox, Cynthia
10914
1301 Sigman Rd NE, Ste 200 Conyers, GA 30012
3/1/2012
Mills, Robert MD
32252
RN150316
Cox, Stacey
10524
120 Hickory Road Canton, GA 30115
7/11/2008
Eric Karlen, MD
37584
RN047904
Coyne, Darlene Mendenhall
668
1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068
9/13/2013
Pravinchandra Patel, MD
27888
RN160794
Cozart, Angela Lynn Jones
12302
1130 Talbotton Rd Columbus, GA 31904
9/11/2014
Laura Conger, MD
42031
RN112575
Crabb, Jolyn Blackwell
13753
1200 Memorial Dr. Dalton, GA 30720
5/1/2014
John W. McCravey, MD
29048
RN161354
Craft, Hope Michell
13086
4750 Battlefield Pkwy Ringgold, GA 30736
3/4/2010
Dennis Williams, MD
38402
RN057080
Craft, Kathryn Smithwick
670
339 Fury's Fewrry Rd, Suite 2 Martinez, GA 30907
1/7/2010
Jibike Adegbile, MD
48967
RN169370
Crafton, Julie Witt
8773
7196 Northlake Dr, Suite B Columbus, GA 31909
5/8/2015
Amanda Davis-Herin, MD
50152
RN144337
Craig, Jessica
15440
1200 Memonal Dr Dalton, BGA 30720
3/8/2013
Julaine B. Cross, MD
56037
RN107717
Craig, Karen J.
11542
255 W. 5th Street, #300 Rome, GA 30165
9/11/2008
Dee Russell, MD
19593
RN107717
Craig, Karen J.
8310
255 W. 5th St, Suite 300 Rome, GA 30165
Wednesday, August 12, 2015
Page 76 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/6/2012
Farquhar, Scott MD
41290
RN186759
Crance, Jessica
10350
3316 Greystone Way Valdosta, GA 31605
7/10/2014
Naresh Parikh, MD
28851
RN173213
Crandall, Lisa Marie
13222
6330 Primrose Hill Crt, Ste 208 Norcross, GA 30092
9/11/2014
Richard Dukes, MD
51875
RN210385
Crane, Esther Joy
13791
11705 Jones Bridge RD Ste. A201 Johns Creek, GA 30005
9/13/2013
Alan Moy, DO
58990
RN147995
Crane, Christina Reese
12327
501 Redmond Rd NW, Emer Dept Rome, GA 30165
2/7/2013
David Wharton, MD
25310
RN147995
Crane, Christina
11117
100 Gross Crescent Cr. Ft. Oglethorpe, GA 30742
11/5/2009
William Lynds, MD
33140
RN080107
Cranwell-Bruce, Lisa Ann
676
5320 Memorial Dr Stone Mountain, GA 30083
8/6/2015
Brandi Wynne, MD
60635
RN123659
Cravey, Amy
16095
150 E Peacock St Cochran, GA 31014
9/2/2010
Michele Pennington, MD
63003
RN123659
Cravey, Amy Elizabeth Harrell
9303
817 Griffin Ave Eastman, GA 31023
6/6/2014
Elizabeth Sekul, MD
39230
RN192423
Crawford, Miranda Wallace
13390
1446 Harper St., BT2840 Augusta, GA 30912
6/6/2014
James Carroll, MD
26236
RN192423
Crawford, Miranda Wallace
13389
1446 Harper St, BT2840 Augusta, GA 30912
6/6/2014
Suzanne Strickland, MD
60620
RN192423
Crawford, Miranda Wallace
13391
1446 Harper St. Augusta, GA 30912
2/5/2015
David Hatmaker, MD
26300
RN195783
Crawford Jr, Randall Terry
14756
One Meddows Pkwy Vidalia, GA 30474
5/8/2015
Michael Metry MD
71977
RN184601
Creed, Whitney
15484
2122 Manchester Expwy, Critical Care Columbus, GA 31904
7/11/2013
Kevin King, MD
56310
RN184601
Creed, Whitney Lauren
11840
2122 Manchester Expway, Hosp Med Dept Columbus, GA 31
Wednesday, August 12, 2015
Page 77 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Heindel, N. Hadley MD
31939
RN140894
Creed, Tracy
10192
710 Newnan Crossing Bypass, Ste # Newnan, GA 30263
8/6/2015
Charles Holley, MD
41833
RN221254
Creel, Stacy Lynn Bohannon
16042
225 Candler Dr, Ste 301 Savannah, GA 31405
10/9/2014
Padmushree Woodham, MD
63306
RN176345
Crenshaw, Catherine Regina
14321
840 Pine St Ste 990 Macon, GA 31201
5/4/2012
Reynolds, Scott MD
59009
RN139554
Cressy, Stacey
10704
1700 Hospital South Drive, Ste 500 Austell, GA 301006
2/5/2015
Kevin Kirchner, MD
40439
RN059028
Crews, Barbara
14859
5455 Meridian Mark Rd, Ste 200 Atlanta, GA 30342
9/11/2014
Daniel Collipp, DO
55740
RN183545
Cribbs, Cuyler Daniel
13970
176 Memorial Drive Jesup, GA 31545
6/7/2013
Troy Coon, MD
56422
RN151479
Criswell, Robin Annette
11970
618 Ponder Place, Suite 2 Evans, GA 30809
11/3/2011
John Oester, MD
54021
RN151479
Criswell, Robin Annette
9739
3651 Wheeler Rd, MOB I, #205 Augusta, GA 30909
4/4/2013
Brandee Urrutia, MD
66661
RN160548
Crites, Julie Brooks
11814
4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041
10/8/2010
Kenneth Rice, MD
47251
RN160548
Crites, Julie Brooks
9371
1628 Market Place Blvd Cumming, GA 30041
2/5/2009
Sinan Haddad, MD
56455
RN160548
Crites, Julie Brooks
7916
1250 Jesse Jewell Pkwy, #400 Gainesville, GA 30501
2/6/2014
Paul Hanna, DO
59161
RN106186
Crittenden, Darlene Rene Seldo
12802
2122 Manchester Exprwy, Hosp Med Dept Columbus, GA 31
6/6/2014
Ram Reddy, MD
24178
RN049428
Croft, Sheila Darlene Hill
13338
1061 Dowdy Rd, Suite 100 Athens, GA 30606
9/2/2010
Christopher McLeroy, MD
39865
RN067104
Cromer, Pamela Richardson
7712
465 N. Belair Rd, Suite 2B Evans, GA 30809
Wednesday, August 12, 2015
Page 78 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Daxis Banit, MD
52884
RN143740
Crook, Kimberly Ann
13466
3051 Watson Blvd, Ste 400 Warner Robins, GA 31093
11/3/2011
Alvarado, Alan MD
37463
RN132708
Crosby, Melissa
10174
3440 North Valdosta Road Valdosta, GA 31605
3/4/2011
William Snell, DO
24495
RN208438
Crosen, Kanina Diane
9580
880 Canton Rd, Suite 300 Marietta, GA 30060
7/10/2014
Thomas Davis, MD
12079
RN038518
Crouse, Sharon L.
13438
634 Peachtree Pkwy, Ste 210 Cumming, GA 30041
5/8/2015
Andrea Hill, MD
51332
RN171418
Crowe, Julia
15513
517 Great Oaks Dr, Ste 103 Monroe, GA 30655
5/8/2015
Patrick Eagleson, MD
65702
RN171418
Crowe, Julia
15389
1230 Baxter St Athens, GA 30606
1/6/2012
Wells, Jr., Charles MD
19807
RN153999
Crowe, Lora
10411
435 Second Street, Ste 430 Macon, GA 31201
10/2/2009
Ronald Forehand, MD
22760
RN171418
Crowe, Julia Rosdeutscher
2567
370 River Rd, Univ Health Ctr Athens, GA 30602
3/8/2013
David Wharton, MD
25310
RN089205
Crowe, Jr., William Charles
10957
100 Gross Crescent Circle Fort Oglethorpe, GA 30742
1/6/2012
Love, Michael MD
64856
RN089205
Crowe, Jr., William Charles
10299
979 East Third Street, Ste 520 Chattanooga, TN 37403
4/2/2015
Anthony Marchetti, MD
31471
RN145300
Cruel, Vernendia
15250
801 W Gordon St Thomaston, GA 30286
3/6/2014
James Taylor, MD
65189
RN155758
Crump, Christie Rae
13025
541 Historic Hwy 441 North Demorest, GA 30535
3/5/2015
Ilene Grossman, MD
51089
RN221042
Crumpler, Carolyn Dohme
15024
487 Winn Way, Ste 202 Decatur, GA 30030
12/4/2014
Swapna Madhavan, MD
57098
RN221042
Crumpler, Carolyn Dohme
14622
260 Elm St. Cumming, GA 30040
Wednesday, August 12, 2015
Page 79 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Anne Todd, MD
51395
RN221042
Crumpler, Carolyn Dohme
13673
220 Oakside Lane Canton, GA 30120
10/9/2014
Shawn Kim, MD
60393
RN226144
Cruz, Do Hyeon
14021
3525 Gwinnett Place Dr. Duluth, GA 30096
9/11/2014
Janet Lee Griffin, DO
46597
RN085019
Cruz, Erwin Osiris
13879
3 Washington Ave Ste C Gainesville, GA 30501
5/1/2014
Matthew Britton, MD
26067
RN085019
Cruz, Erwin Osiris
13209
3 Washington Ave, Suite C Gainesville, GA 30501
4/4/2014
Lawrence Zottoli, MD
36639
RN169066
Cruz, Yvette Nicole McLloyd
13008
4704 Augusta Rd Garden City, GA 31408
5/3/2013
Eduard Docu, MD
56426
RN169066
Cruz, Yvette Nicole McLloyd
11842
1302 Drayton St Savannah, GA 31401
5/3/2013
Stephanie Keller, MD
64120
RN188328
Cruz-Harris, Jennifer Anne
11822
975 Johnson Ferry Rd, Suite 340 Atlanta, GA 30342
11/8/2013
Jesse Jones, MD
35072
RN219464
Cruz-Morales, Esmerardo
12514
4300 Buford Hwy, Suite 216 Atlanta, GA 30345
3/5/2015
Clarence Morgan, MD
33410
RN220894
Cuadrado-Barrera, Diana
14791
5944 Buford Hwy Norcross, GA 30071
9/11/2014
Adolfo Molina, MD
24166
RN220894
Cuadrado-Barrera, Diana
13812
3182 Shallowford Rd. NE Chamblee, GA 30341
10/9/2014
Travis Bowles, MD
68374
RN203087
Cueto, Jonathan
14083
3939 Roswell Rd, Ste 200 Marietta, GA 30062
1/11/2013
Folake Aminu, MD
62871
RN203087
Cueto, Jonathan
11504
584 Lanier Park Dr. Gainesville, GA 30501
4/4/2013
Marilyn Lavallee, MD
53263
RN188387
Culbreth, Jennifer Lauren
11828
1001 Memorial Lane Savannah, GA 31410
6/6/2014
Dan Ioanitescu, MD
51476
RN109284
Culpa-Bondal, Maria Flordesol
13314
940 GA Hwy 96 Warner Ronins, GA 31088
Wednesday, August 12, 2015
Page 80 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Davey Deal, Jr, MD
46076
RN217465
Cummins, Doniece Ross
12643
310 Hospital Dr, Suite 305 Macon, GA 31217
5/7/2009
Thomas Hurd, MD
27070
RN149914
Cummins, Emily Annette Sasser
8546
400 Tower Road, Suite 350 Marietta, GA 30060
7/9/2015
Lester Johnston, MD
55605
RN115548
Cunningham, Thomas
15888
116 Main St. Lincolnton, GA 30817
8/6/2010
Jeffrey Tharp, MD
35153
RN084875
Cunningham, Sylvia Shannon
9238
176 Marietta Hwy, Bldg A Hiram, Ga 30141
8/6/2010
Muhammad Sheikh, MD
59195
RN084875
Cunningham, Sylvia Shannon
703
2500 Dallas Hwy SW Marietta, GA 30064
10/2/2009
Daniela Rojas Molina, MD
55331
RN033755
Cunningham, Deloris Hefner
702
526 Maddox Drive Ellijay, GA 30540
1/11/2008
Ronald Forehand, MD
22760
RN036369
Cunningham, Benna E.
701
University Health Ctr, 370 River Rd Athens, GA 30602
9/11/2014
Pablo Balboa, MD
55409
RN199165
Curtis, Tommy Charles
13880
100 Hospital Ct. Calhoum, GA 30701
7/10/2014
Kelvin Moss, MD
54634
RN199165
Curtis, Tommy Charles
13301
60 Old Hwy 5 South Ellijay, GA 30540
2/5/2015
Michael Hamm, DO
49021
RN177851
Cutia, James Robert
15069
5248 Newjesup Hwy Brunswick, GA 31523
7/10/2014
David Subich, MD
69971
RN186907
Dada, Olasumbo Oluwekemi
13439
5210 Armour Rd, Ste 200 Columbus, GA 31904
1/11/2013
Ali Z. Fakhri, MD
39567
RN186907
Dada, Olasumbo O.
11522
3000 Schatulga Rd. Columbus, GA 31917
11/5/2009
Lathan Overstreet, MD
36659
RN094340
Dalcour, Lori Anita
711
340 Boulevard NE, Suite 103 Atlanta, GA 30312
12/7/2012
Henry J. Baughman, MD
45395
RN188679
Dale, Amanda A.
11362
375 Boynton Dr. Ringgold, GA 30736
Wednesday, August 12, 2015
Page 81 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Ajai Kalla, MD
51880
RN048295
Daley, Lydia Lee
13350
1727 Wrightsboro Rd, Ste B Augusta, GA 30904
6/6/2014
Sarita Sharma, MD
32294
RN048295
Daley, Lydia Lee
13351
1727 Wrightsboro Rd, Ste B Augusta, GA 30904
12/7/2012
Mary L. Tyson, MD
30683
RN048295
Daley, Lydia L.
11346
1727 Wrightsboro Rd., Ste. B Augusta, GA 30904
7/10/2009
David Bate, MD
34291
RN048295
Daley, Lydia Lee
8582
PO Box 1505 Sylvania, GA 30467
7/12/2012
Hubbard, John MD
30787
RN044035
Dalton, Ceree
10867
1763 Fernside Drive Toccoa, GA 30577
7/11/2013
William Benedict, Jr, MD
59122
RN160363
Daly, Serena Holder
12074
61 Whitcher St, Suite 3110 Marietta, GA 30060
9/2/2010
Ibrez Bandukwala, MD
46036
RN093201
D'Amico Thomas, Elizabeth Ann
9186
5673 Peachtree Dunwoody, Suite 775 Atlanta, ga 30342
6/4/2015
Jeffrey Kingsley, Do
52973
RN085223
Daniel, Colette
15563
800 Talbotton Rd Columbus, GA 31904
4/4/2014
David Persaud, MD
70703
RN169909
Daniel, Julia Fabrycy
13156
772 Maddox Dr., Ste. 122 Ellijay, GA 30540
8/9/2013
Nadia Cameron, MD
53982
RN153645
Daniels, Christina Dawn
11919
3760 Sixes Rd, Suite 120 Canton, GA 30114
12/1/2011
Fernandez, Eusebio MD
12038
RN153645
Daniels, Christina
10258
772 Maddux Drive, Ste 110 East Ellijay, GA 30540
1/7/2010
Paul Cox, MD
49762
RN153645
Daniels, Christina Dawn
8911
101 Riverstone Vista, Ssuite 111 Blue Ridge, GA 30513
10/9/2014
Kevin Goodlow, MD
57977
RN238024
RN238024
Dankyi, Edward Osei
14022
1133 Eagle's Landing Pkwy Stockbridge, GA 30281
5/7/2010
Marty Sellers, MD
56925
RN155782
D'Annunzio, Shannan Hoyt
724
1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309
Wednesday, August 12, 2015
Page 82 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
Daniel Green, MD
53230
RN226208
Dansby, Elisha Marchette
11774
865 1st Street Jesup, GA 31545
6/4/2015
Johnathan Henderson, MD
54898
RN069143
D'Antignac, Veronica
15019
7138 Hwy 212, Ste A Covington, GA 30016
1/11/2013
Nicola B. Lee, MD
52106
RN222649
Dark, Lela K.
11494
4223 Highway 42 Conley, GA 30288
7/11/2013
Raul Santos, MD
41662
RN135450
Darley, Clayton Barkley
12052
334 Smith Ave Thomasville, GA 31792
1/11/2013
Musaddid Waheed, MD
61368
RN135450
Darley, Clayton B.
11455
914 Gordon Ave. Thomasville, GA 31792
10/10/2013
Crandall Chambers, MD
43182
RN205657
Darty, Monica Shyrell
12440
811 22nd St Columbus, GA 31904
11/7/2008
Vimala Nair, MD
18058
RN170840
Daskal, Kathleen Theresa
728
100 Lacy Street Marietta, GA 30060
9/11/2014
Rami Azzouz, MD
50126
RN199555
Daughdrill, Elizabeth Adgent
13881
1507 Professional CT Dalton, GA 30720
3/4/2010
Darwin Brown, MD
46531
RN170152
Davage, Lindsay Marie
8999
2665 N. Decatur Rd, Suite 520 Decatur, GA 30033
2/6/2014
Anil Yadav, MD
53898
RN149848
Davenport, Lottie S
12951
51 Gordon Rd Jasper, GA 30143
12/3/2010
Crystal Comeau, MD
61224
RN149848
Davenport, Lottie S.
731
PO Box 306 East Ellijay, GA 30539
11/1/2007
Rahil Kazi, MD
41593
RN134353
Davey, Julie Ann
733
1707 Watson Boulevard Warner Robins, GA 31093
12/4/2014
Vicki Knight-Mathis, MD
47337
RN222180
David, Jennifer
14497
2920 Marietta Way, Ste 142 Canton, GA 30189
5/8/2015
Sunil John, MD
50530
RN172048
Davila, Teresa
15373
2122 Manchester Expwy Columbus, GA 31908
Wednesday, August 12, 2015
Page 83 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Richard Gluckman, MD
13982
RN217188
Davis, Michelle
15682
3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064
2/5/2015
Jeremy Ackerman, MD
59584
RN209698
Davis, Philip Virgil
15191
1364 Clifton Rd. Atlanta, GA 30322
2/5/2015
Muhammad Hashmi, MD
70303
RN191859
Davis, Sarah Kelley
14581
2900 University Parkway Lawrenceville, GA 30043
1/8/2015
Sinan Haddad, MD
56455
RN171127
Davis, Jennifer
14490
12580 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501
10/9/2014
Ifeoma Nnaji, MD
63931
RN237100
Davis, Larry Matthew
14081
1300 Joseph E Boone Blvd, NW Atlanta, GA 30314
8/7/2014
Ashley Cavalier, MD
55556
RN198699
Davis, Hannah Leigh
13602
7000 Wellness Way, Ste 7120 St. Simons Island, GA 31522
8/7/2014
Eamon Dutta, MD
46593
RN188113
Davis, Jamil Eman
13462
2150 Peachford Rd. Atlanta, GA 30338
7/10/2014
Anthony Hoots, MD
33114
RN198314
Davis, Michelle Marietta
13548
425 W 3rd Ave, Ste 510 Albany, GA 31701
4/4/2014
Dennis Harper, MD
53749
RN057110
Davis, Jennifer Flanders
742
1400 N Peterson Ave, Suite C Douglas, GA 31533
1/9/2014
Garland Martin, MD
47233
RN120009
Davis, Kimberly Ann Faulk
12617
23 Tippins St Baxley, GA 31513
11/8/2013
Phillip Potter, MD
34220
RN177687
Davis, Daisy Bisola
12256
699 Church St, Suite 320 Marietta, GA 30060
9/13/2013
Sunil John, MD
50530
RN155517
Davis, R. Tim
12295
2122 Manchester Exprwy Columbus, GA 31904
11/2/2012
Louis E. Hempel, MD
33106
RN201662
Davis, Lindsey N.
11213
6918 McGinnis Ferry Rd. Suwanee, GA 30024
8/10/2012
Wade, Jim MD
22664
RN174985
Davis, Charlotte Ann Hawley
10912
58 Big A Road Toccoa, GA 30577
Wednesday, August 12, 2015
Page 84 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/29/2012
Jenkins II, John MD
62726
RN144410
Davis, Cassandra
10591
612 West Gordon Street, Ste C Thomaston, GA 30286
12/1/2011
Kestin, Sharon MD
34990
RN143842
Davis, Jaqueline
10252
11700 Mercy Blvd, Ste 1-B Savannah, GA 31419
10/7/2011
Earl Young, MD
46338
RN176709
Davis, Margaret
10014
915 Thornton Road Lithia Springs, GA 30122
4/1/2011
Catherine Bonk, MD
30435
RN181221
Davis, Sarah Louise
9682
315 Winn Way Decatur, GA 30030
4/1/2011
Kay Entrekin, MD
42817
RN181221
Davis, Sarah Louise
9683
315 Winn Way Decatur, GA 30030
4/1/2011
Lisa Dawn Mandeville, MD
46987
RN181221
Davis, Sarah Louise
9681
315 Winn Way Decatur, GA 30030
4/1/2011
Jennifer Meyer-Carper, MD
64604
RN181221
Davis, Sarah Louise
9679
315 Winn Way Decatur, GA 30030
4/1/2011
Mark Kats, MD
61275
RN050862
Davis, Sherry Annice Harwell
9595
1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501
3/4/2011
Dennis Estep, MD
25429
RN148442
Davis, Jennifer Cross
9609
2366 Battlefield Pkwy Ft Oglethorpe, GA 30742
2/5/2010
Gregory Fountain, MD
34593
RN069177
Davis, Priscilla Ann Edwards
748
766 Walther Rd, Suite 100 Lawrenceville, GA 30045
4/3/2008
Bridgett Asbury, MD
48752
RN089222
Davis, Shelly Denice
749
1806 Lee Avenue Tifton, GA 31793
10/5/2012
Deepti Munjal, MD
46627
RN171108
Dawe, Jennifer J.
11163
4586 Timber Ridge Dr, Suite 200 Douglasville, GA 30135
12/3/2010
Brett Cannon, MD
46053
RN168036
Dawson, Christopher Michael
9460
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
7/9/2015
Suzanne Storey, MD
49845
RN122559
Day, Cynthia
15835
611 E. Villanow St LaFayette, GA 30728
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Armene Vanoyan, MD
46508
RN174953
Day, Julie Marie
13884
275 Collier Rd Ste 100 C Atlanta, GA 30309
9/11/2014
Christopher Bussler, MD
55813
RN164139
Day, Hannah Shope
13849
1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501
2/3/2012
Ross, Priscilla MD
58635
RN090084
Day, Claudia
10418
210 E. DeRenne Avenue Savannah, GA 31405
1/6/2012
Kadum, Fareed MD
22993
RN064251
Day, Elizabeth
10298
970 Joe Frank Harris Pkwy, Ste 240 Cartersville, GA 30120
6/4/2010
James Butts, MD
9103
RN121449
Day, Leigh Anne Smith
755
PO Box 2683 Gainesville, GA 30503
11/3/2011
Michael Schmitz, MD
40542
RN190298
De Jager, Stephanie Detamore
8039
5445 Meridian Mark, Ste 250 Atlanta, GA 30342
5/1/2014
Joseph Zarge, MD
44150
RN180824
De Meglio, Naomi Ann
13228
5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342
4/2/2015
Loy Cowart, MD
37979
RN135390
Deal, Karen
15207
127 North College St Statesboro, GA 30458
11/7/2014
Hubert Smith, MD
18745
RN135390
Deal, Karen L
14143
412 Northside Dr E Statesboro, GA 30458
5/8/2015
Tasha Feaster, MD
#####
RN168240
Dean, Rhett
15457
235 Peachtree St NE, N Tower, Ste 2100 Atlanta, GA 30303
3/6/2014
Victor Corrigan, MD
26489
RN080864
Dean, Lynn Dixon
12985
275 Collier Rd, Suite 500 Atlanta, GA 30309
6/4/2015
Zenobia Day, MD
61959
RN170709
Dearmas, Karla
15386
491 Carter Ave Atlanta, GA 30317
4/4/2014
Maziar Rezvani, MD
53937
RN170709
deArmas, Karla Vanessa
13058
1000 Johnson Ferry Rd, Suite E-200 Marietta, GA 30068
7/9/2015
Karl Schultz Jr
37676
RN100964
Deavers, Katherine
15735
1240 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501
Wednesday, August 12, 2015
Page 86 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Christine Kempton, MD
56189
RN084438
Debalsi, Anthony Joseph
13007
2015 Uppergate Dr, 4th Floor Atlanta, GA 30322
4/2/2015
Riad Ahmad, MD
54203
RN152548
DeBerry, Ashely
15126
500 Medical Center Blvd Lawernceville, GA 30042
11/5/2010
R. Bradley Bedgood, DO
52054
RN137169
deBey, Susan Meredith
9339
420 Charter Blvd, Suite 303 Macon, GA 31210
5/7/2009
Yolanda Hacker, MD
45811
RN089225
Decamp, Cynthia Cherie
8561
5320 Memorial Drive Stone Mountain, GA 30083
12/4/2014
Mary Hunter, MD
25985
RN114872
Decarlo, Marilyn Sue Gonzalez
14310
80 Jesse Hill Jr. Dr. SE Atlanta, GA 30303
8/6/2015
Jeffery Dowis, MD
68199
RN123457
Decker, Laura
15824
1205 Russell Parkway Warner Robins, GA 31088
4/2/2015
Maria Jauhar, MD
62898
RN168565
Dees, Kristi Deanna
14503
100 Blue Fin Savannah, GA 30043
7/10/2014
Mitzi Rubin, MD
49592
RN235188
Dees, Latasha Roshelle
13532
3939 Roswell Rd, Suite 200 Marietta, GA 30062
7/11/2008
Edward Salzberg, MD
34460
RN111248
Degnan, Ellen Dri
765
3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005
5/1/2014
Jayson Fields, MD
49794
RN144344
DeGuia, Susan Elaine
13199
150 Gentilly Blvd. Cartersville, GA 30120
8/8/2008
Khawaja Mahmood, MD
42648
RN144344
Deguia, Susan Elaine
8226
12 Sammy McGhee Blvd, Suite 102 Jasper, GA 30143
6/6/2014
Andrew Waldman, MD
48001
RN092845
Dehner, Carissa Francine Buttru
13291
710 Center St, Emer Dept Columbus, GA 31901
6/7/2013
Keith A. Blanks, DO
52042
RN092845
RN092845
Dehner, Carissa F.
11490
710 Center St., Emer Dept Columbus, GA 31901
6/5/2009
Anthony Royek, MD
50914
RN111884
Dekle, Angelyn A
766
4750 Waters Ave, Suite 202 Savannah, GA 31404
Wednesday, August 12, 2015
Page 87 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/8/2010
Richard Kerensky, MD
57236
RN122291
Delaney, Donna Collins
3070
100 Mimosa Dr, 2nd Floor Thomasville, GA 31792
2/5/2009
Andrew Kirsch, MD
45518
RN194057
Delaney, Christina Lynn
8430
5445 Meridian Mark Rd, #420 Atlanta, GA 30342
12/1/2011
Harbin, Anthony MD
29665
RN202030
Delestowicz, Victoria
10218
1525 Chattanooga Road Dalton, GA 30720
4/2/2015
Sanjay Nariani, MD
49861
RN245371
Dell, Megan Jean
15174
3457 Lawrenceville Suwanee Rd, Ste C Suwanee, GA 30024
10/9/2014
Dale McGregor, DO
25220
RN107350
Dell, Karen Strickland
13983
3131 South Main St. Moultrie, GA 31771
11/8/2013
Langston Cleveland, MD
46584
RN107350
Dell, Karen Strickland
1936
4468 Union Rd Tifton, GA 31794
8/7/2014
Syed Zaidi, MD
60489
RN191912
Delnoce, Jennifer Lyndsey
13635
528 Broad St. SE, Ste B Gainesville, GA 30501
8/9/2013
Robert Raybon, MD
38339
RN216236
DeLoach, Shana Barker
12161
79 Doyle St Toccoa, GA 30577
1/11/2013
Jill Bryant, MD
43375
RN072616
DeLoach, Andrea M.
11538
711 Knight Ave. Waycross, GA 31501
9/13/2013
Linda Moore, MD
55849
RN225396
Demarest, Lauren Whitney
12242
610 19th St Columbus, GA 31901-1528
4/4/2014
Thomas DeMaro, DO
58665
RN229838
DeMaro, Erica Ann
13146
710 Center St , Emer Dept Columbus, GA 31801
10/9/2014
Dingane Baruti, MD
55411
232647
Demby, Taheerah Denise
14082
100 Yorktown Dr., Ste 110 Fayetteville, GA 30214
6/4/2015
Kenneth Williams Jr, MD
44381
RN096491
Demott, Jennifer
15711
633 Stephenson Ave Savannah, GA 31405
6/6/2014
Ebony Gaffney, MD
68732
RN096491
Demott, Jennifer Marie Smith
13352
633 Stephenson Ave. Savannah, GA 31405
5/1/2014
Michele Musto, MD
59790
RN096491
Demott, Jennifer Marie Smith
13214
633 Stephenson Ave Savannah, GA 31405
Wednesday, August 12, 2015
Page 88 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/9/2013
Paul Bradley, MD
30016
RN096491
Demott, Jennifer Marie Smith
12037
340 Eisenhower Dr, Suite 1200 Savannah, GA 31406
7/10/2014
Oscar Espetia, MD
65358
RN186485
Denley, Gregory Paul
13479
2501 N Patterson St, Emer Dept Valdosta, GA 31602
12/7/2012
Ethan R. Rogers, MD
59926
RN186485
Denly, Gregory P.
11303
743 Spring St. Gainesville, GA 30501
3/6/2009
Tracey Lemon, MD
50723
RN136934
Dennis-Crooks, Hyacinth
8431
315 Boulevard NE, Suite 328 Atlanta, GA 30312
7/13/2007
Tressa Acineaux, MD
49499
RN136934
Dennis-Crooks, Hyacinth Isolyn
771
936 Holcomb Bridge Rd, Suite 2 Roswell, GA 30076
3/5/2015
Samuel Erinne, MD
35622
RN152771
Dennis-Griggs, Diane
14162
1029 Cleveland Ave East Point, GA 30344
4/2/2009
Leslie Matthews, MD
58705
RN152771
Dennis-Griggs, Diane Mae
7881
720 Westview Dr SW, Surgery Dept Atlanta, GA 30310
11/5/2010
Jeffrey Haller, MD
55826
RN116008
Denny-Smith, Tammy Jane
9382
104 Prominence Point Pkwy, Suite 108 Canton, GA 30114
8/6/2015
Akita Evans, MD
64372
RN098506
Denson, Freda Jeannine
16136
1227 Rockbridge Rd. Stone Mountain, GA 30087
10/10/2013
Anthony Olofintuyi, MD
45309
RN055775
Dent-Johnson, Lowanda
12411
2009 Warm Springs Rd Columbus, GA 31904
8/6/2015
Warren Oberle, MD
62752
RN106233
Denton, Sherry
16051
790 Church St Ext, Ste 430 Marietta, GA 30060
8/6/2015
Trent Schueneman, MD
51731
RN138582
Denton, Diane
15924
2927 Demere Rd St Simons Island, GA 31523
6/8/2007
William Hudson, MD
25619
RN108911
Depetrillo, Merrill Elizabeth
774
1400 Northside Forsyth Dr. Cumming, GA 30041
4/4/2014
Timothy Lin, MD
60401
RN230271
Derby, Ashley Nicole
12849
21 Pointe North Drive Cartersville, GA 30120
Wednesday, August 12, 2015
Page 89 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Emem Udo, MD
63142
RN218179
Deringer, Ashley Cannon
13307
743 Spring St Gainesville, GA 30501
12/4/2008
William Barber, MD
25525
RN146512
Deriso, Anna Tallman
777
77 Collier Road NW, Suite 2050 Atlanta, GA 30309
6/4/2015
Reemon Bishara, MD
63759
RN245640
Derosa, Caroline
15694
1915 Eisenhower St Savannah, GA 31406
2/6/2014
Felissa Goldstein, MD
57467
RN219197
Derrick, John Westly
12628
CHOA, 1920 Briarcliff Rd NE Atlanta, GA 30329
7/10/2014
Christine Danforth, MD
42503
RN113863
Desandre, Carolynn Anne
13458
1008 N. 3rd Ave. Chatsworth, GA 30705
3/5/2015
Saudiqa Hoossainy, MD
68179
RN208973
Desaulniers, Genevieve
15103
5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152
6/4/2010
Bruce Ribner, MD
49086
RN136363
DesRoches, Paula Marie Gilmer
9130
1364 Clifton Rd NE Atlanta, GA 30322
8/2/2007
Louis G. Lee, MD
21540
RN123631
Deutsch, Kristin Elizabeth
781
301 West Hansell Street Thomasville, GA 31792
7/11/2013
Eric Deal, DO
24226
RN194703
Dew, Patricia L
11925
316 N Broad St, Emer Dept Winder, GA 30680
7/10/2009
George Fredrick, MD
61736
RN149567
Dew, Brandy Pellicano
784
2336 Dawson Rd, Suite 1500 Albany, GA 31707
7/13/2007
Cathy Larrimore, MD
38836
RN172870
Dewberry, Kerry Garcia
786
4181 Hospital Drive, Ste 104 Covington, GA 30014
1/7/2010
Hal Scherz, MD
38357
RN145318
Dewhurst, Marja-Liisa Liv
7844
5445 Meridian Mark Rd, Suite 420 Atlanta, GA 30342
3/29/2012
Sarin, Sanjay MD
60501
RN182779
Dews, Stephanie
10570
1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214
8/9/2013
Naren Logendra, MD
42336
RN148538
Dexter, Susan Elizabeth Raglan
12149
2151 West Spring St, Emer Dept Monroe, GA 30655
Wednesday, August 12, 2015
Page 90 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2010
Andrew Mecca, MD
36574
RN148538
Dexter, Susan Elizabeth Raglan
9245
5612 Whitesville Rd Columbus, GA 31904
7/1/2010
Muthu Kuttappan, MD
37851
RN148538
Dexter, Susan Elizabeth Raglan
9206
14779 Brown Bridge Rd Covington, GA 30016
1/7/2010
William Delp, DO
17791
RN148538
Dexter, Susan Elizabeth Raglan
790
4589 Lawrenceville Road Loganville, GA 30052
3/1/2012
Young, Raymond MD
53381
RN054079
Dey, Sherry
10543
1841 Clifton Rd, Atlanta, GA 30329
1/8/2015
Joseph Ricotta, MD
64452
RN242399
Diana, Fabrizio
14285
980 Johnson Ferry Rd, Ste 1040 Atlanta, GA 30342
3/4/2011
Husham Mishu, MD
40740
RN199729
Diaz, Maria Teresa
9446
285 Boulevard NE, Suite 345 Atlanta, GA 30312
9/11/2014
Larry Elam, MD
53491
RN198332
Dickerson, Haley Nicole
13660
10055 Ford Ave, Ste 4A Richmond Hill, GA 31324
10/10/2013
Medel Reyes, MD
48815
RN188543
Dickinson, Elizabeth Crook
12355
55 Whitcher St, Suite 160 Marietta, GA 30060
2/7/2008
Kristi Mulchahey, MD
34209
RN120829
Diehl, Paula Kim Nader
794
2550 Windy Hill Drive, Suite 115 Marietta, GA 30067
1/7/2011
Charles Okolo, MD
48686
RN125161
Dietz Lindo, Karan Antoinette
1766
1151 Cleveland Ave, Suite D East Point, GA 30344
6/6/2014
Jennifer Christie, MD
60162
RN125161
Dietz-Lindo, Karan Antoinette
13105
1365 Clifton Rd NE, Suite 1200 Atlanta, GA 30322
5/8/2015
Emile Risby, MD
30869
RN196911
Dill, Winston
15429
3000 Schatulga Rd Columbus, GA 31907
8/9/2013
Douglas Cooper, MD
37180
RN196911
Dill, Winston Elmer
11894
600 Coastal Village Dr Brunswick, GA 31520
6/5/2009
Frank Shelp, MD
62166
RN196911
Dill, Winston Elmer
8537
1915 Eisenhower Drive Savannah, GA 31406
Wednesday, August 12, 2015
Page 91 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2010
Sharon Amaya, MD
47182
RN163507
Diller, Jeffrey Duane
8991
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
5/1/2014
Mark Hancock, MD
67750
RN169332
Dillon, Laura
13238
163 Hospital Dr. Toccoa, GA 60577
7/11/2013
Collyn Steele, MD
66424
RN218672
Din, Erica Shozaki
11962
50 Kelly Rd McDonough, GA 30253
12/6/2013
Nana Kwaku Opare, MD
58113
RN064892
Dinkins-Learmont, Beverly Ann
12572
6062 Buford Hwy, Suite 114 Norcross, GA 30071
12/6/2013
Vickie James, MD
31032
RN064892
Dinkins-Learmont, Beverly Ann
12571
1897 Godby Rd College Park, GA 30349
7/11/2008
Husham Mishu, MD
40740
RN104267
Dirico, Laura Anne
8268
285 Boulevard NE, Suite 345 Atlanta, GA 30312
6/4/2015
James Kauten, MD
24830
RN246944
Ditty, Clay
15552
1968 Peachtree Rd NW Atlanta, GA 30309
2/5/2015
Myrtho Ceran, MD
65346
RN063195
Dixon, Martha
14920
1826 Veterans Blvd Dublin, GA 31021
3/1/2012
Sheth, Anuradha MD
40547
RN170285
Dixon, Michelle
10499
755 Old Norcross Road Lawrenceville, GA 30046
9/11/2008
Patrick Spafford, MD
38971
RN050751
Doan, Cynthia Louise Lively
807
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
7/10/2014
Richard Baldwin, MD
23894
RN173287
Dobbs, Monica Kathryn
13411
9280 Hwy 5, Ste A Douglasville, GA 30134
9/11/2014
Jordana Heaven, MD
49697
RN112293
Dobson, Shannon N
13813
2000 Professional Way Ste 200 Woodstock, GA 30188
7/9/2015
Tamika Bryant, MD
65940
RN164138
Dodd, Martha
15913
975 Johnson Ferry Rd NE, Ste 350 Atlanta, GA 30342
5/4/2012
Hancock, William MD
47089
RN117801
Dodd, John
10632
907 E. l8th Street, Ste 100 Tifton, GA 31794
Wednesday, August 12, 2015
Page 92 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Raymond Easley, DO
20987
RN203965
Doedens, Danielle Lane
14160
260 Elm St Cumming, GA 30040
11/5/2009
Ben Thrower, MD
50311
RN139444
Doepel, Colby Bixby
8774
2020 Peachtree Rd NW Atlanta, GA 30309
9/11/2008
Sandy Jun, MD
37005
RN112295
Doherty-Chandler, Diane Arlen
810
590-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
8/25/2010
Charles Burke, MD
58876
RN036308
Dollar, Susan Elisabeth
9287
1008 North 3rd Avenue Chatsworth, GA 30705
2/5/2010
Teresa Baysden, DO
57348
RN036308
Dollar, Susan Elisabeth
8885
450 Clarence King Pkwy Calhoun, GA 30701
1/8/2015
Rani Reddy
34450
RN047984
Donaldson, Yvonne Crosby
14846
106 Briarwood Rd Statesboro, GA 30458
5/8/2015
Daniel Zapko, MD
70021
RN197662
Doneski, Christopher
15441
1200 Memonal Dr Dalton, GA 30720
9/3/2009
Annette Hinchcliffe, MD
42607
RN155467
Donkar, Lauren Marie
816
3915 Johns Creek Court, Suite 120 Suwanee, GA 30024
4/1/2010
Robert Spruill, MD
59026
RN064894
Donnan, Judith Ann Ferguson
9049
8 Laurel Court Moultrie, GA 31768
4/1/2010
Rhonda Bedell, MD
36097
RN064894
Donnan, Judith Ann Ferguson
817
633 Veteran's Pkwy South Moultrie, GA 31788
7/9/2015
David Ziemer, MD
23252
RN234610
Donovan, Michelle
15759
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
9/13/2013
Michelle Schofield, MD
55885
RN227986
Dooley, Mary Ellen
12177
600 Parkway North Newnan, GA 30265
6/4/2015
Norris Burton, MD
31888
RN176798
Dorman, Deidre
15410
907 E. 18th St, Ste 140 Tifton, GA 31794
5/8/2015
Parviz Brahman, MD
66576
RN177603
Dorsey, Rachel
15454
107 Main Street Plains, GA 31780
Wednesday, August 12, 2015
Page 93 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
David Rimland, MD
13998
RN047265
Dorsey, Martha
14647
1670 Clairmont Rd Decatur, GA 30033
11/7/2008
Amy Hardin, MD
35307
RN152697
Dorsey, Sara Dawn
827
4595 Towne Lake Pkwy, Bldg 400, #100 Woodstock, GA 3018
4/13/2007
Gregory S. Smith, MD
47532
RN085083
Dotson, Mary
5436
21 Jefferson Place, Ste 1 Athens, GA 30601
5/8/2015
Anjali Parish, MD
49082
RN226465
Doub, Kelly
15371
2122 Manchester Expressway Columbus, GA 31904
8/9/2013
Lora Efaw, MD
36727
RN160818
Douglas, Christy Nichole
12118
39 Kent Rd, Suite 2 Tifton, GA 31794
7/9/2015
Kalpana Nayak, MD
26049
RN218345
Douthit, Melissa Anne
15745
1912 Memorial Dr, Ste E Waycross, GA 31501
8/7/2009
Satya Suddala, MD
35148
RN187527
Dover, Eileen Ann
8657
135 Eagle's Walk, Suite 200 Stockbridge, GA 30281
4/4/2013
Michael Frankel, MD
34832
RN169902
Dow, Andrew Ryan
11762
80 Jesse Hill Jr, 8th Foor Atlanta, GA 30303
12/4/2014
James Splichal, MD
57021
RN135297
Dowd, Melissa
14476
3320 Old Jefferson Rd Bldg 700 Athens, GA 30607
10/9/2014
Eastlyn Harding-Marin, MD
56841
RN188812
Dowden, Margaret Phyllis
13982
3812 Salem Rd Covington, GA 30016
7/11/2013
Leigh Barrell, MD
40777
RN175134
Dowdy, Regina Marie
12090
1608 Martha Berry Blvd Rome, GA 30165
8/9/2013
Steven Niergarth, DO
44553
RN222121
Drakeford, Torrence Tremayne
12132
1201North Columbia Dr Milledgeville, GA 31061
9/13/2013
Meena Shah, MD
21464
RN203207
Draucek, Mary Jeanette
12291
475 Philip Blvd, Suite 100 Lawrenceville, GA 30046
7/10/2014
Teresa Thompson, MD
58650
RN164946
Dressler, Susan Alyce Brock
13468
63 Pleasant Hill Rd. Blairsville, GA 30512
Wednesday, August 12, 2015
Page 94 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/1/2011
Syed, Imran MD
44117
RN211572
Driscoll, Erin Caitrin
10017
11820 Northfall Lane Alpharetta, GA 30009
9/11/2014
Ross Jacobson, MD
57204
RN137545
Driskell, Amanda Turner
5122
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
3/5/2015
Albert Edwards II, MD
30053
RN068981
Driver, Patsy Virginia Bell
15155
9280 Hwy 5, Ste D Douglasville, GA 30134
3/5/2015
Warlito Rollolazo, MD
17551
RN068981
Driver, Patsy Virgina Bell
15162
809 West Bankhead Hwy Villa Rica, GA 30180
9/11/2014
Charles Hitson, MD
26554
RN102335
Driver, Walline Thurmond
12931
231 Graefe Street Griffin, GA 30223
11/2/2012
Zanthia E. Wiley. MD
54293
RN102335
Driver, Walline T.
11249
550 Peachtree Street Atlanta, GA 30308
3/6/2009
Robert Campbell, MD
53429
RN129426
Driver, Katherine Ann Johnson
842
1226 D'Antignac Street Augusta, GA 30901
1/7/2011
Jeremy London, MD
50403
RN097897
Drown, Cynthia Crockett
844
11706 Mercy Blvd, Plaza A, Bldg 7 Savannah, GA 31419
8/6/2015
Maiysha Clairborne, MD
55194
RN192005
Drucker, Kathryne
16122
1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068
10/2/2009
Brian Griner, MD
46966
RN141047
Drumheller, Kelly Wilson
8760
117 West Northside Dr Valdosta, GA 31602
7/10/2009
Edwin Hiatt, MD
12920
RN141047
Drumheller, Kelly Wilson
846
200 Georgia Ave Valdosta, GA 31698
11/7/2014
Jonathon Allen, MD
56949
RN243336
Drumm, Jonathan Aaron
14256
100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742
1/9/2014
Igor Legostaev, MD
58067
RN137657
Dryer, Sheba
12488
501 Redmond Rd Rome, GA 30165
5/3/2013
John Layher, MD
46692
RN194227
Duane, Danielle Sikes
11847
2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/7/2008
Michael Lindsay, MD
27602
RN129528
Dubin, Cynthia E.
8138
69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303
1/11/2008
Michael Maloney, MD
24982
RN092409
Ducote, Mary Donell Moreland
850
520 Jesse Jewell Pkwy Gainesville, GA 30501
11/8/2013
Robert Vandermeer, MD
26670
RN121801
Dudley, Susan Gail
12317
2950 Buford Hwy, Suite 140 Cumming, GA 30041
4/2/2015
Ann Groover, MD
36765
RN184535
Duggan, Meredith
15211
2945 Miller Ferry Rd, Ste D Calhoun, GA 30701
6/30/2011
Thomas Simpson, Jr., MD
34949
RN130310
Duggar, Gina Darlene
9793
255 West Fifth St Rome, GA 30165
5/9/2008
Bradley Larson, MD
54449
RN130310
Duggar, Gina Darlene
852
157 Clinic Avenue, Suite 101 Carrollton, GA 30117
7/12/2012
Keilin, Steven MD
52408
RN202278
Dugue, Michele
10874
1365 Clifton Rd, Ste 1200 Atlanta, GA 30322
2/5/2010
Karthik Ramaswamy, MD
40525
RN204460
Dukes, Deanna May
8859
200 S. Enota Dr NE, Suite 200 Gainesville, GA 30501
8/5/2011
Thomas Morrow, MD
39879
RN172907
Dumas, Therese Williams
9954
5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004
10/2/2009
Andrew Pippas, MD
53806
RN153544
Dumbuya, Angela Memuna Kor
854
1831 5th Avenue Columbus, GA 31904
9/2/2010
Honorio Bulos, MD
48029
RN169649
Dumphy, Deborah Ann
9260
300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534
11/7/2014
Oscar Salvat, MD
49742
RN129997
Duncan, Tammy Rebecca
14208
80 West Main St. butler, GA 31006
9/13/2012
Ballay, Tereasa MD
56027
RN064975
Duncan, Philicia
10845
735 Glynn Street Fayetteville, GA 30214
9/2/2010
Benjamin Rucker, MD
17877
RN078954
Duncan, Patricia Williams
9253
1448 Lee Beard Way Augusta, GA 30901
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/7/2010
Edwin Hiatt, MD
12920
RN163035
Duncan, Kristen Lee
9098
200 Georgia Ave, Student Hlth Ctr Valdosta, GA 31698
2/5/2010
Marion Dudley Weems, MD
33223
RN134435
Duncan, Laura Murray
8984
55 Carlton St, Univ Health Ctr Athens, GA 30602
6/5/2009
Suvrat Bhargave, MD
47297
RN138799
Duncan, Cynthia Abbott
8573
120 Handley Rd, Suite 310 Tyrone, GA 30290
9/11/2008
Bobby Smith, MD
38966
RN149029
Duncan, Sandy Marchas Joseph
8213
275 Collier Rd, Suite 500 Atlanta, GA 30309
12/7/2007
William C. Jacobs, MD
18679
RN149029
Duncan, Sandy Marchas Joseph
857
275 Collier Road, NW Ste 300 Atlanta, GA 30309
6/4/2015
Rita Claxton, MD
66584
RN105176
Dunn, Ida
15705
1133 Eagles Landing Pkwy Stockbridge, GA 30281
2/5/2015
Grace Crawford, MD
60571
RN089253
Dunn, Dorothy
14753
One Freedom Way Augusta, GA 30904
12/4/2014
Collyn Steele, MD
66424
RN181866
Dunn, Tamaria Elizabeth
14573
50 Kelly Rd McDonough, GA 30253
2/7/2013
Samantha Benson, MD
47699
RN039868
Dunn, Sara Karon P.
861
3340 Paddocks Pkwy Suwanee, GA 30024
12/4/2014
Edward Meier, MD
43426
RN209324
Dunwiddie, Jessica Lauren
14226
2112 Shorter Ave, Ste 200 Rome, GA 30165
9/3/2009
Edward Meier, MD
43426
RN063689
Dunwoody, Paula Suzanne Perr
863
501 Redmond Rd Rome, GA 30165
5/8/2015
Stewart Grizzard, MD
43948
RN153403
Dupraw, Virginia
14937
151 South Houstion Lake, Ste 190 Warner Robins, GA 31088
2/4/2011
Jesse Ray Grant, MD
21510
RN153403
DuPraw, Virginia Ann Pearson
9539
124 Third St Macon, GA 31201
4/4/2013
Ruchir Khurana, MD
53772
RN193186
Dupree, Susan Lee
11813
960 Joe F Harris Pkwy, Emer Dept Cartersville, GA 30120
Wednesday, August 12, 2015
Page 97 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Madhurima Uppalapati, MD
57509
RN171820
Duprey, Cynthia Elizabeth
12476
100 Market Place Blvd, Suite 200 Cartersville, GA 30121
6/4/2015
Ewal Persaud, MD
40754
RN212880
Duran, Maximo
15600
3885 Princeton Lakes Way, Ste 412 Atanta, GA 30331
6/6/2014
Paul J Jarrett, MD
23069
RN213380
Durden, Linda Tatman
13353
3051 Watson Blvd, ste525 Warner Robins, GA 31088
10/7/2011
Jin, Erica DO
64396
RN048536
Durdin, Joan
10054
1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043
6/4/2010
W. Perry Ballard, MD
30265
RN180719
Durham, Angela Melissa
9103
1800 Howell Mill Rd, Suite 800 Atlanta, GA 30318
10/9/2014
Jennifer Duke, MD
50615
RN116991
Durkee, Kate Moore
14023
540 Charter Blvd, Ste 100 Macon, GA 31210
6/7/2013
Amy K. Pearson, MD
47638
RN193961
Duverger-Juleus, Sandy
11487
2481 Hwy 17 Richmond Hill, GA 31324
2/6/2014
William Grow, MD
13752
RN185734
Dyal, Brenda Sue
12789
203 Woodrow Wilson Dr Valdosta, GA 31602
7/9/2015
Lajos Toth, MD
47545
RN162233
Dyer, Juli Mickelle
15767
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
4/1/2010
Debora Quigley, MD
36601
RN164989
Dyer, Elizabeth Marie
9042
178 Hospital Circle Blairsville, GA 30512
6/6/2014
Mark Hancock, MD
67750
RN204806
Dykeman, Elizabeth Anne
13403
163 Hospital Dr. Toccoa, GA 60577
12/6/2013
Bounthavy Homsombath,
MD
68031
RN228108
Dykes, Angela Renee
12408
3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909
5/3/2013
Shahriar Sedghi, MD
37678
RN192090
Dykes, Lauren Mathews
11876
610 Third St, Suite 204 Macon, GA 31201
1/6/2012
Dean, R. Jonathan MD
31403
RN192090
Dykes, Lauren
10354
380 Hospital Drive, Bldg A, Ste 430 Macon, GA 31217
Wednesday, August 12, 2015
Page 98 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Raymond Bedgood, DO
52054
RN186685
Earl, Adrienne Kathleen
13183
610 Third St., Ste 206 Macon, GA 31201
4/4/2014
Leilani Shivers, MD
57507
RN188112
Earl, Merri Anderson
13153
900 Dallis St, Suite D LaGrange, GA 30240
2/6/2014
George Katsitadze, MD
52456
RN217816
Earnest, Nina Choi
12699
4120 Five Forks Trickum Rd, Suite 102 Lilburn, GA 30047
4/2/2015
Wallace Ajakiaye, MD
72271
RN113560
East, Missy Michelle
15172
1014 W Franklin St Sylvester, GA 31791
6/7/2013
Barbara Weissman, MD
32082
RN195095
Eaton, Lynnfield Massey
11899
2015 Uppergate Dr Atlanta, GA 30322
3/5/2015
Allison Dupont, MD
63856
RN180727
Eberhart, Veronica C
15010
200 S Enota Dr, Ste 200 Gainesville, GA 30501
6/6/2014
Salman Ashfaq, MD
47878
RN207743
Eckler, Peggy Dawn
13355
1287 Sims St. Gainesville, GA 30501
1/11/2008
Matthew Keadey, MD
49143
RN156896
Economy, Lee Nicky
874
1364 Clifton Road Atlanta, GA 30322
3/4/2010
Glenda Wright, MD
62456
RN134734
Edds, Crystal Michele
875
125-B Victory Dr Swainsboro, GA 30401
2/5/2015
Steven Currier, MD
65231
RN184707
Edenfield, Monica
14772
1350 Walton Way Augusta, GA 30901
11/7/2014
Troy Coon, MD
56422
RN184707
Edenfield, Monica Phillips
14158
618 Ponder Place, Ste 2 Evans, GA 30809
2/5/2015
Loni Jenkins, MD
63358
RN161809
Edge, Naph'tali Brandon
14483
1010 Hospital Dr, Bldg B Stockbridge, GA 30281
3/4/2011
Francis Kwarteng, MD
61792
RN054422
Edge, Elois Lewis
5126
401 South Madison St Albany, GA 31701
8/6/2015
James Southerland, MD
24632
RN112337
Edmonds, Peggy
16026
803 South Main St Greensboro, GA 30642
Wednesday, August 12, 2015
Page 99 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Rifquat Giwa, MD
63198
RN177285
Edwards, Heather Leigh
13115
3950 Austell Rd. Austell, GA 30106
6/7/2013
Dennis Thomas, MD
22898
RN113560
Edwards, Michelle East
11895
3374 Greystone Way Valdosta, GA 31605
11/3/2011
Friedman, Brenda MD
54709
RN207801
Edwards, Michele
10193
6325 Hospital Parkway ER Johns Creek, GA 30097
10/7/2011
Jose Acevedo, MD
25499
RN172925
Edwards, Kilauna Marisa
9816
1299 Interstate Pkwy Augusta, GA 30909
6/30/2011
W. Perry Ballard, MD
30265
RN211927
Edwards, Annalee Skelton
9802
1800 Howell Mill Rd, Suite 800 Atlanta, GA 30318
2/4/2011
Gopala Derebail, MD
14307
RN113560
Edwards, Michelle East
2984
2336 Dawson Rd Albany, Ga 31707
2/7/2008
David Arnall, MD
36916
RN183206
Edwards, Patricia Ann
881
101 Yorktown Drive, Suite 100 Fayetteville, GA 30214
7/10/2009
Lisa Mandeville-Brown, MD
46987
RN164522
Eichenlaub, Gretchen Dean
8611
315 Winn Way Decatur, GA 30030
1/9/2014
Josephine Tan, MD
19193
RN119402
Eiland, Carolyn A.
12703
106 East Broad St Savannah, GA 31401
5/7/2010
Shahzad Hashmi, MD
53239
RN042548
Ekard, Charlotte Ann Hodges
8961
PO Box 263 Lawrenceville, GA 30046
4/13/2007
Robin M. Johnson, MD
51410
RN042548
Ekard, Charlotte Ann
5463
1014 Main Street Stone Mountain, GA 30083
4/4/2013
Sara O'Heron, MD
41632
Rn161701
Elango, Theresa Elena
11801
1201 Georgian Park Peachtree City, GA 30269
5/9/2008
David Kunz, MD
29703
RN134366
Eldred, Susan Elaine
7818
1655 Lebanon Rd, Suite A Lawrenceville, GA 30043
10/10/2013
Douglas Olson, MD
51073
RN209871
Eller, Tanya Haydee
12260
1200 Northside-Forsyth Dr, Emer Dept Cumming, GA 30041
10/5/2012
Uchenna Kalu, MD
62127
RN186595
Ellington, Rosina
11138
157 Burke St. Stockbridge, GA 30281
Wednesday, August 12, 2015
Page 100 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/12/2012
Robinowitz, Michael MD
17274
RN186595
Ellington, Rosina
10875
1255 Hwy 54 West Fayetteville, GA 30214
11/7/2014
Gaston Morah Celayes, MD
64675
RN198479
Elliot, Anita Simpson
14202
618 E Lamar St Americus, GA 31079
8/6/2015
Ralph Bowers, MD
57436
RN234218
Elliott, Taylor
16089
3824 South Hwy 27 Lafayette, GA 30728
6/4/2015
Omar Al Haddad, MD
65987
RN133023
Elliott, Karren Lynn
15365
505 Amelia Ave Baindridge, GA 39819
6/4/2015
Kumud Rangaraj, MD
59007
RN109322
Elliott, Brian
15520
3131 South Main St Moultrie, GA 31768
1/8/2015
Seth Berl, MD
24390
RN109322
Elliott, Brian Allen
14374
9 Hospital Park Moultrie, GA 311768
1/9/2014
Robert Holland, MD
59662
RN225477
Elliott, J. Carol
12661
2927 Demere Rd St Simons Island, GA 31522
1/11/2013
Anthony Captain, MD
39300
RN115578
Elliott, Kelly R.
11202
400 Timms Rd., NE Calhoun, GA 30701
5/8/2015
Akita Evans, MD
64372
RN165019
Ellis, LaTrese
15293
700 US HWY 29 N Athens, GA 30601
2/6/2014
Thomas Whitesell, MD
52854
RN184088
Ellis, Robyn Nicole
12814
2060 Dan Proctor Dr, Suite 210 St Marys, GA 31558
3/6/2009
Linda Sacks, MD
24724
RN154735
Ellis, Kyndra Lenee
8506
4750 Waters Avenue, Suite 206 Savannah, GA 31404
6/4/2015
Jennifer Starnes, MD
66016
RN197661
Ellis Hasty, Angel Brooke
15615
1012 Burleyson, Rd. Dalton, GA 30720
4/2/2015
Keith Seibert
66638
RN186166
Elmore, Carisa
15330
10055 Ford Ave, Ste 4A Richmond Hill, GA 31324
11/7/2014
Kelvin White, MD
33753
RN169582
Elmore, William
14473
5505 Bells Ferry Rd Acworth, GA 30102-7527
Wednesday, August 12, 2015
Page 101 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Wyatt Blake, MD
47702
RN164926
Elrod, Leah
14136
4421 Carnes St Acworth, GA 30101
6/7/2013
Jane Ellis, MD
44208
RN204492
Elsinga, Elysia Nicole
11980
69 Jesse Hill Jr Dr SE, OB/GYN Dept, 4th Floor Atlanta, GA 30
8/6/2010
Jeffrey Esslinger, MD
45455
RN154628
Emery, Tonya Leigh
9228
300 Court Yard Drive Cartersville, GA 30120
7/10/2009
Nichole LeBoyd, MD
54452
RN064364
Emery, Marie Kerr
8648
5985 Peachtree Pkwy Norcross, GA 30092
6/4/2015
James Malcolm, MD
44781
RN229514
Endsley, Lynelle
15586
300 Tower Rd, Ste 200 Marietta, GA 30060
5/7/2010
Joe Harris Morgan, III, MD
53503
RN130096
Enfinger, Lesley Johnson
9063
2402 Osler Court, Suite 200 Albany, GA 31707
3/6/2009
Luis Murrain, DO
57747
RN144558
Enfinger, Casidy Davis
8484
360 College Street Blakely, GA 39823
7/9/2015
Braxton Turner lll, MD
51094
RN183909
Engel, Bryan
15857
1250 Jesse Jewell Pkwy, Ste 200 Gainesville, GA 30501
1/9/2014
Brenda Hott, MD
41441
RN183909
Engel, Bryan Scott
12740
200 S Enota Dr, Suite 200 Gainesville, GA 30501
5/8/2015
Bill Smith, MD
59963
RN238324
England, Megan
15405
101 McFarland Rd Lookout, GA 30750
12/6/2013
Tyrone Malloy, MD
23086
RN111252
Enrique-Lofton, Laverne Juanita
903
4201 Rainbow Dr Decatur, GA 30034
9/11/2014
Micheal Hale, MD
54571
RN077047
Ensley, Deirdre W
13886
1409 Chattanooga ave Dalton, GA 30720
8/5/2011
Kirti Shah, MD
27248
RN180187
Enworom, Chinyere D.
9890
605 Old Norcross Rd Lawrenceville, GA 30019
1/11/2013
Stephanie H. Gordon, MD
49382
RN164147
Epling, Maria Goenaga
11433
2750 Owens Dr., Suite A Conyers, GA 30094
Wednesday, August 12, 2015
Page 102 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2009
Robert Younger, III, MD
31373
RN152483
Erhard, Darla Rae
909
1107 Memorial Dr, Suite G-2 Dalton, GA 30720
3/6/2014
William Whitten, MD
42770
RN162446
Ernest, Michelle Kelly
12952
3934 Woodruff Rd Columbus, GA 31904
2/4/2011
Raushanah Hud-Aleem, DO
62999
RN049625
Ervin, Nora
9543
3110 Clifton Springs Rd, Suite B Decatur, GA 30034
3/5/2015
Mana Rasongo, MD
57753
RN210109
Eschmann, Ray Wills
15136
417 W. 3rd Ave Albany, GA 31701
6/6/2014
Adolfo Molina, MD
24166
RN225443
Escobarduque, Carlos Alberto
12749
3182 Shallowford Rd Chamblee, GA 30341
10/10/2013
Lester Freeman, MD
47431
RN128018
Esezobor, Cherri Denise
12358
2600 MLK Jr Dr, Suite 206 Atlanta, GA 30311
11/8/2013
Ruth O'Regan, MD
53350
RN185062
Estabrook, Christine M
12485
490 Jesse Hill Dr SE, Room 120 Atlanta, GA 30303
1/6/2012
Kauh, John MD
52970
RN185062
Estabrook, Christine
10283
80 Jesse Hill Jr Drive SE Atlanta, GA 30303
6/6/2014
Leslie Lawley, MD
52985
RN142360
Estes, Shaquita Nichole Lewis
13356
1525 Clifton Rd. NE, 3rd Flr Atlanta, GA 30322
10/10/2013
Joy Smith, MD
38968
RN142360
Estes, Shaquita Nichole Lewis
12353
35 Jesse Hill Jr Dr Atlanta, GA 303063
10/10/2013
Najaz Woods-Bishop, MD
58350
RN142360
Estes, Shaquita Nichole Lewis
12385
1510 Hudson Bridge Rd Stockbridge, GA 30281
2/7/2013
Dekisha Drayton, MD
53016
RN142360
Estes, Shaquita Nichole Lewis
11648
3885 Princeton Lakes Way, Suite 302 Atlanta, GA 30331
12/1/2011
Flowers, Runette MD
18297
RN142360
Estes, Shaquita
10264
2855 Candler Rd, Ste 9 Decatur, GA 30034
9/14/2007
E. Wynn Kallay, MD
27395
RN125688
Estes, Sandi Waits
913
550 Professional Drive Macon, GA 31201
Wednesday, August 12, 2015
Page 103 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Jason Chapman, MD
66581
RN081198
Etheridge, Christy Rebecca
14803
575 First St Macon, GA 31201
1/9/2014
Eric K Davis, MD
63648
RN076629
Ethridge, Susan Rachel
12809
235 E Washington Ave Ashburn, GA 31714
3/4/2010
Patrina Lockette-Smith, MD
48855
RN076629
Ethridge, Rachel Susan
8967
354 E. Washington Ave Ashburn, GA 31714
7/9/2015
Clarice Bell-Strayhorn, MD
39730
RN185846
Etienne-Marseille, Valencia
15833
505 Dacula Rd Dacula, GA 30019-2125
11/5/2009
Dong Shin, MD
54026
RN063255
Etris, Sharon Ann Reid
8818
1365-C Clifton Rd NE Atlanta, GA 30322
7/9/2015
Stewart Grizzard, DO
43948
RN113548
Evans, Kimberly
15812
621 East First St, Ste B Vidalia, GA 30475
3/5/2015
Terry Landford, DO
45867
RN183099
Evans, Amy
14963
1899 Lake Rd Ste 212 Hiram, GA 30141
10/9/2014
Frederick Burton, MD
38434
RN168361
Evans, Natalie Fulford
14066
6020 Harrison Rd. Macon, GA 31206
6/6/2014
Ronald Forehand, MD
22760
RN138783
Evans, Ann Marie Ostrander
13431
55 Carlton St. Athens, GA 30602
6/6/2014
Thomas Self, MD
21587
RN145456
Evans, Rebecca Berrier
13198
1825 Martha Berry Blvd. Rome, GA 30165
3/29/2012
Moore, Helen-Louise MD
45098
RN150100
Evans, Monica
10573
116 S. Houston Road Warner Robins, GA 31088
12/1/2011
Munsayac, Lumawig MD
15028
RN113548
Evans, Kimberly
10206
111 North 3rd Street Glenwood, GA 30428
6/6/2008
Josephine Lopez, MD
44125
RN138783
Evans, Ann Marie Ostrander
915
650 Oglethorpe Avenue, Suite 4 Athens, GA 30606
1/11/2008
David Warren, MD
32492
RN145456
Evans, Rebecca Berrier
1796
150 Gentilly Blvd Cartersville, GA 30120
Wednesday, August 12, 2015
Page 104 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2007
Hal Herd, MD
13140
RN120377
Evavold, Kristine Marie Kenney
920
601-A Professional Dr, Ste 370 Lawrenceville, GA 30045
7/1/2010
Charles McCord, MD
39409
RN145552
Everett, Kendra Davis
9175
3345 Hwy 34 East, Suite 102 Sharpsburg, GA 30277
4/2/2015
Robert Tuck, MD
33217
RN207232
Ezell, Rachel
15310
777 Hemlock St Macon, GA 31201
8/6/2015
Harry Ferrran Jr.
26111
RN152048
Ezzell, Trevor
16023
655 Jesse Jewell Pkwy SE, Ste B Gainesville, GA 30501
3/5/2015
Samir Belagaje, MD
64896
RN168130
Fadli, Nadia Maria
15036
80 Jesse Hill Jr.Dr SE, 11G028 Atlanta, GA 30303
6/4/2015
William Delp, DO
70084
RN210303
Fagan, Melissa Necole
15325
2215 Exchange Place Conyers, GA 30013
9/11/2014
John Adamski, MD
68873
RN205146
Fairchilds, Mary Elizabeth
14002
743 Spring St. Gainesville, GA 30501
7/11/2013
James Richardson, MD
53601
RN205146
Fairchilds, Mary Elizabeth
12005
743 Spring St Gainesville, GA 30501
3/1/2012
Fussell, Melvin MD
52565
RN154242
Faircloth, Lisa
10530
1770 Watson Blvd Warner Roins, GA 31093
8/5/2011
Richard Wheeler, MD
46227
RN122237
Faircloth, John Myron
9889
416-A E. McPherson Street Nashville, GA 31639
6/3/2011
Alberto Garcia, MD
54374
RN122237
Faircloth, John Myron
925
209 E. Main St Hahira, GA 31632
10/10/2013
John Attokaren, MD
29575
RN203210
Fairfield, Lois Arlou
12329
11600 Atlantis Place, Suite B Alpharetta, GA 30022
9/3/2009
James Sipp, MD
53880
RN062189
Fairlamb, Catherine Lois Visha
3083
5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342
7/9/2015
Michael Pinell, MD
58102
RN153816
Faison, Yulanda
15769
227 Merchants Way Brunswick, GA 31525
Wednesday, August 12, 2015
Page 105 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
James Black, MD
57777
RN124556
Fallin, Tiffany Merritt
13721
471 3rd Ave. West Albany, GA 31701
6/6/2014
Eric Fan, DO
49615
RN147926
Fan, Michelle Brown
2492
1102 Smith Ave, Suite M Thomasville, GA 31792
11/1/2007
David Weinkle, MD
38645
RN048537
Fannon, Marjorie Ann Pryor
929
PO Box 422002 Atlanta, GA 30342
5/8/2015
Lynette Stewart, MD
39681
RN092866
Fareed, Surayyah
15385
2855 Candler Rd, Ste 14A Decatur, GA 30034
10/5/2012
Precious Braswell, MD
55729
RN092866
Fareed, Surayyuh W
931
2885 Headland Dr. East Point, GA 30344
5/7/2009
Joseph Boveri, MD
38693
RN198099
Fargason, Danielle Nicole
8523
5430 Glenridge Drive Atlanta, GA 30342
1/9/2014
Amyn Hirani, MD
64388
RN188848
Fargnoli, Marisa Lee
12644
55 Whitcher St, Suite 160 Marietta, GA 30060
6/4/2015
Lenora Allen, MD
21473
RN231734
Farnum, Marsha
15380
713 Andrews Dr Thomaston, GA 30286
1/9/2014
Chrissie Clure, MD
49281
RN231734
Farnum, Marsha Delaine
12660
800 E. 70th St Savannah, GA 31405
3/5/2015
Raymond McKoy, DO
44536
RN244839
Farrell, Vincent
15084
815 Shugart Rd Dalton, GA 30720
3/5/2015
Leli, Matthews
52182
RN244839
Farrell, Vincent Bernard
14831
2701 North Decatur Rd Decatur, GA 30030
2/5/2010
Christpher Riddell, MD
21796
RN136220
Farris, Scott Penn
8893
2540 Windy Hill Rd Marietta, GA 30062
12/4/2014
Suzanne Anderson, MD
57922
RN118892
Faudree, Cyndi Bletzacker
14343
5354 Reynolds St, Ste 424 Savannah, GA 31405
8/7/2014
Marion Bailey, Jr, MD
10467
RN212187
Faudree, Ronald E
13688
210 E Derenne Ave Savannah, GA 31405
Wednesday, August 12, 2015
Page 106 of 400
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Marion Bailey Jr., MD
10467
RN118892
Faudree, Cyndi Bletzacker
934
1101 North Way Darien, GA 31305
3/29/2012
Martinez, Frederick MD
60185
RN118892
Faudree, Cyndi
10559
5354 Reynolds Street Ste 424 Savannah, GA 31405
1/9/2014
Donald V Baker, DO
46667
RN069262
Faulkner, Linda Leigh
12810
745 Poplar Rd.- Emergency Dept Newnan, GA 30265
6/30/2011
John Vu, MD
40813
RN069262
Faulkner, Linda Leigh
9715
4861 Bill Gardner Pkwy Locust Grove, GA 30248
7/10/2009
Martha Schuh, MD
37488
RN069262
Faulkner, Linda Leigh
8600
1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214
9/11/2014
John Ouderkirk, MD
49992
RN195879
Favis, Tara Lynn
13703
9925 Haynes Bridge Rd, Suite 320 Alpharetta, GA 30022
12/4/2014
Thomas Deering, MD
32170
RN184264
Favorov, Alena
14482
275 Collier Rd N W, Ste 500 Atlanta, GA 30309
11/7/2014
Joseph Nichols, MD
35712
191529
Fawbush, Megan
14132
35 collier Rd, Ste 475 Atlanta, GA 30309
10/9/2014
Damon Kimes, MD
50322
RN173878
Fears, Stacey Lorriane
14324
5985 Peachree Pkwy Norcross, GA 30092-2818
3/8/2013
Derrell Anglyn, Jr, MD
24198
RN173878
Fears, Stacey Lorraine
11696
55 Sims St McDonough, GA 30253
11/2/2012
Lee D. Jacobs, MD
28283
RN154172
Fegely, Karen J.
11212
107 Mountain Brook Dr., Ste 100 Canton, GA 30115
4/1/2011
William Chastain, MD
65091
RN154172
Fegely, Karen Joy Krasley
9689
400 Timms Rd NE Calhoun, GA 30701
7/11/2013
Ram Reddy, MD
24178
RN226586
Fekadu, Aynaddis
12058
132 Franklin Springs St Royston, GA 30662
11/3/2011
Beard, Charlene MD
20513
RN080116
Fell, Jeanne
10100
1510 Hudson Bridge Rd Stockbridge, GA 30281
8/6/2015
Jennifer Goedken, MD
49234
RN199640
Felton, Tasha
16066
1670 Clairmont Rd Decatur, GA 30033
Wednesday, August 12, 2015
Page 107 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Bonnie Ellenoff, DO
51644
Rn207428
Fenceroy, Megan Louise
13887
6309 Roswell Rd ste ZB Sandy Springs, GA 30328
5/1/2014
Eyal Meiri, MD
70324
RN207428
Fenceroy, Megan Louise
13197
600 Parkway North Newnan, GA 30265
1/9/2014
Ekan Essian, MD
61772
RN207428
Fenceroy, Megan Louise
12725
5815 Windward Pkwy, Suite 205 Alpharetta, GA 30005
4/4/2013
Dennis Conrad Harper, MD
53749
RN194077
Fender, Justin Marcus
11820
1400 N Peterson Ave Douglas, GA 31533
12/7/2012
Justin F. Harrell, MD
59162
RN194077
Fender, Justin M.
11385
Coffee Family Medicine, 200 Doctors Dr., Ste 224 Douglas, G
10/5/2012
Jeffery Winge, MD
59530
RN194077
Fender, Justin
11107
1101 Ocilla Rd. Douglas, GA 31533
12/4/2014
Sandra Mager, MD
38043
RN210229
RN210229
Fenn, Kristin Lamb
14161
1007 South Macon St Jesup, GA 31545
8/6/2015
Olu Babatola, MD
50598
RN106333
Ferguson, Debbie Ann
14810
2370 S Houstion Lake Rd Kathleen, GA 31047
8/7/2009
Vincent Brawley, MD
33283
RN039700
Ferguson, Kathy Patterson
943
1350 Walton Way - 3rd floor Augusta, GA 30901
8/6/2015
Gabriel Onofre, MD
56904
RN213865
Fernandez, Joy
15658
3367 Buford Highway, Ste 910 Atlanta, GA 30319
10/9/2014
Oscar H. Salvat, MD
49742
RN040735
Ferra, Mary Gail Little
13089
1111 Griffin Ave., Ste. 1A Eastman, GA 31023
1/11/2013
Pierre J. Fontaine, MD
62686
RN040735
Ferra, Mary G.
11460
1153 North Liberty St. Nicholls, GA 31554
5/1/2014
Fariborz Zaer, MD
45679
RN052324
Ferrelle, Christine Bruyette
947
106 East Broad St. Savannah, GA 31401
5/8/2015
William Webb, MD
58238
RN212021
Ferry, Erin Michelle
15332
10055 Ford Ave, Ste 4 A Richmond Hill, GA 31324
Wednesday, August 12, 2015
Page 108 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
John Northup, MD
16651
RN212021
Ferry, Erin
15312
12345 Mercy Blvd Savannah, GA 31419
7/11/2008
Marisa Gadea, MD
41802
RN136405
Fetsch, Deanna Marlene
948
1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068
8/7/2009
Amy Wetter, MD
57701
RN071233
Fielder, Judy Parsons
950
980 Johnson Ferry Rd, #620 Atlanta, GA 303472
11/7/2014
Timothy Ward, MD
23125
Rn189454
Fields, Jessica Chastain
13204
500 Gordon Ave Thomasville, GA 31792
9/13/2013
Thomas Ho, MD
44748
RN228752
Figueroa, Susan Woollen
12199
7494 Battlefield Pkwy Ringgold, GA 30736
6/3/2011
Edward Himot, MD
18388
RN143128
Figueroa, Renee Sunshine
951
55 Whitcher St, Suite 460 Marietta, GA 30060
7/11/2008
William Early, MD
20694
RN144625
Figueroa, Virgil
952
320 Hospital Road Canton, GA 30114
10/4/2007
Tan-Loc Nguyen, MD
52213
RN159627
Fingles, Debra
955
1025 N. Houston Road Warner Robins, GA 31093
2/6/2014
Vicki Morgan, MD
25645
RN071833
Finkenhoefer, Patricia S
12714
3815 Harrison Rd Loganville, GA 30052
11/7/2014
Tasneem Bhatia MD
49025
RN180071
Finn, Stephanie Marlene
14187
1401 Dresden Dr, Ste 200 Atlanta, GA 30319
12/7/2012
Robert P. Dourron, MD
48617
RN112386
Finnegan, Kimberly L.
11309
2675 N. Decatur Rd., Ste. 301 Decatur, GA 30033
6/6/2008
Benjamin Cheek, MD
25332
RN067040
Fish, Melissa Terry
5138
2300 Manchester Expwy, Ste B001 Columbus, GA 31904
4/2/2015
Everett Walker, MD
31682
RN089376
Fisher, Dorothy
14918
1826 Veterans Blvd Dublin, GA 31021
6/4/2010
George Brown, MD
30275
RN129326
Fisher, Mary Grace
959
141 Piedmont Ave, Suite D Atlanta, GA 30303
3/6/2009
Robert Taylor, DO
31338
RN062903
Fisher, Nancy Elizabeth Morse
8468
5281 Cleveland Hwy Clermont, GA 30527
Wednesday, August 12, 2015
Page 109 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2009
Kelly Davillier, MD
60168
RN197580
Fishman, Nicole Beth
8666
51 Hiram Dr, Bldg B Hiram, GA 30141
10/9/2014
Dawn Simon, MD
58644
RN168632
Fitzpatrick, Anne Mentro
964
1605 Chantilly Dr. NE Atlanta, GA 30324
10/9/2014
Yolanda Wade, MD
58345
RN096592
Fitzpatrick, Kathleen
14068
1735 S Hwy 27 Carrollton, GA 30117
6/6/2014
William Reisman, MD
61510
RN160118
Flachbarth, Lisa Cody
12954
80 Jesse Hill Jr Dr Atlanta, GA 30303
2/5/2015
Stanley Smith, MD
19604
RN039034
Flanigan, Mona Lisa Redd
14946
1 Freedon Way Augusta, GA 30904
3/4/2010
Honorio Bulos, MD
48029
RN095260
Flax, Debra S.
9038
300 Dawson Commons Cir, Suite 320 Dawsonville, GA 30534
8/6/2015
Tameka Walker-Blake, MD
62448
RN145614
Fleming, Carrie
16078
5126 Hospital Dr Covington, GA 30014
5/1/2014
Michael Banov, MD
37945
RN142299
Fleming, Marla Kaye Yancey
13192
11755 Pointe Place, Suite A-1 Roswell, GA 30076
5/10/2007
Paul Behrmann, MD
19638
RN057211
Fleming, Janice Hardin
969
224 Reagan Circle Dawsonville, GA 30534
4/4/2013
Verlia Gower, MD
38499
RN191589
Fletcher, Natalie Nason
11775
5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342
6/3/2011
James Stillerman, MD
31515
RN046271
Flicek, Barbara Lynn
974
4181 Hospital Dr, Suite 401 Covington, GA 30014
1/7/2011
Stuart Brooker, MD
36929
RN196619
Flint, Deborah N Chika
9418
550 Peachtree Street Atlanta, GA 30308
3/5/2015
Virgina Wight, MD
32839
RN112394
Flood, Vernell Rene
15153
250 North Ave Athens, GA 30605
12/4/2014
Clifford Tumambing, MD
68326
RN134967
Flory, Tracy Ann Woodard
975
380 South Davis Rd, Suites E & F LaGrange, GA 30241
Wednesday, August 12, 2015
Page 110 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Romulo Navarro, MD
23646
RN175893
Flory, Michael
13742
100 Doctor's Dr. Ste. C Douglas, GA 31533
2/3/2012
Lister, Debra MD
38849
RN175893
Flory, Michael
10463
1101 Ocilla Road Douglas, GA 31533
8/8/2008
Warren Henderson, MD
20734
RN134967
Flory, Tracy
5444
303 Smith Street LaGrange, GA 30240
1/11/2013
Mandy Moye, MD
65589
RN112395
Flowers, Deborah H.
11370
603 S. Wheat Ave., #450 Bainbridge, GA 39819
8/6/2015
Naresh Parikh, MD
28851
RN123475
Floyd, Tommie
15853
845 Scenic Hwy, Ste 100 Lawrenceville, GA 30046
5/8/2015
Howard McMahan, MD
22824
RN169929
Floyd, Dawn
15322
907 18th St East, Ste 290 Tifton, GA 31794
1/8/2015
Gayoung Hong, MD
67467
RN200664
Floyd, Kaci
14679
13570 N Main St Trenton, GA 30752
1/8/2015
Eugene Sun, MD
62170
RN060566
RN060566
Floyd, Linda Gayle
14847
1120 W Broad Ave, Ste 13-4 Albany, GA 31707
12/4/2014
James Graham
30071
Rn169929
Floyd, Dawn Marie
14598
2225 US Hwy 41 N Tifton, GA 31794
10/9/2014
Dixie Griffin, MD
63661
RN169929
Floyd, Dawn Marie
14423
2225 U S Hwy 41 N Tifton, GA 31794
9/11/2014
Dhanraj Padhiar, MD
22615
RN060566
Floyd, Linda Gayle
13888
2209 Pineview Dr Valdosta, GA 31602
8/7/2014
Jaymal Patel, MD
50984
RN060566
Floyd, Linda Gayle
13630
3120 North Oak St Ext, C Valdosta, GA 31602
7/10/2014
Livingstone Rasalam, MD
33437
RN060566
Floyd, Linda Gayle
13525
303 Woodrow Wilson Dr. Valdosta, GA 31602
6/7/2013
Rajeshkumar Miniyar, MD
51597
RN181122
Floyd, Kortney Melissa
11879
140 Three Rivers Dr Rome, GA 30161
Wednesday, August 12, 2015
Page 111 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/8/2013
John DeSimone, MD
19930
RN169929
Floyd, Dawn Marie
11738
611 East Washington Ave Ashburn, GA 31794
1/9/2009
Harvey Harris, MD
37825
RN112396
Fluker, Janet Gay
978
1900 10th Avenue, Suite 211 Columbus, GA 31901
11/7/2008
Lisa Wannamaker, DO
55462
RN163789
Fly, Mary Donaldson
8367
1384 Greene Street Augusta, GA 30901
3/7/2008
Sean Lynch, DO
49186
RN163789
Fly, Mary Donaldson
979
3736 Mike Padgett Hwy, Suite A Augusta, GA 30906
10/9/2014
Brooks Whitney, MD
36903
RN155984
Foarde, Sheila Coleen Garry
13997
5671 Peachtree Dunwoody Rd NE, Ste 620 Atlanta, GA 3034
4/2/2015
Jeremy Ackerman, MD
59584
RN209243
Fodor, Whitney Anne
15067
1364 Clifton Rd NE Atlanta, GA 30322
6/6/2014
Kashif Ahmed, MD
61547
RN209243
Fodor, Whitney Anne
13357
2200 Hwy 155 North McDonough, GA 30252
7/10/2014
Woody Francis, MD
48325
RN183076
Folds, Hannah Carline
13579
235 Peachtree St, NE North Tower Atlanta, GA 30303
6/6/2014
Freeman Montague, Jr, MD
28123
RN049093
Foley, Kathryn Liedtke
13336
5320 Memorial Dr Stone Mountain, GA 30083
7/11/2008
Lori Corley, MD
34251
RN088862
Follmer, Diane Marie Schaefer
982
3707 Largent Way Marietta, GA 30064
9/13/2013
Candice Wallace, MD
30918
RN162306
Foote, Regina Marie
12296
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
12/4/2014
Robert Burton, MD
33543
RN212023
Forbrick, Jeffery Andrew
12868
545 old Norcross Rd, Ste 300 Lawernceville, GA 30045
4/2/2015
Randolph Summer, MD
28323
RN183571
Ford, Jina Lynn
15268
1825 Martha Berry Blvd Rome, GA 30165
3/5/2015
Darrell Muray, MD
44797
RN111299
RN111299
Ford, Deborah Patrice
14896
2795 Mainstreet West, Ste 26 Snellville, GA 30078
Wednesday, August 12, 2015
Page 112 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
James Haymore, MD
9721
RN139406
Ford, Nicole
14450
11973 Augusta Rd Lavonia, GA 30553
9/11/2014
John Vance Jr., MD
53383
RN132706
Ford, Patricia Carol
13947
P.O. Box 542 Leesburg, GA 31763
9/11/2014
Jack Heneisen, MD
22780
RN057176
Ford, Janice E
13848
1214 N. Columbia Ave. Ste D Rincon, Ga 31326
3/6/2014
Swapna Madhavan, MD
57098
RN207084
Ford, Ashley Kathleen
12970
260 Elm St Cumming, GA 30040
5/3/2013
Charis Trench-Simmons, MD
58337
RN066207
Ford, Marsha Denise
11438
386 Princeton Lakes Way, Suite 280 Atlanta, GA 30331
5/7/2010
Wesley Smith, MD
45971
RN139406
Ford, Nicole Ruff
9005
11973 Augusta Road Lavonia, GA 30553
7/11/2008
Christopher Mathews, MD
49133
RN057176
RN057176
Ford, Janice E.
8245
1451 Hwy 21 South, Suite H Springfield, GA 31329
12/4/2014
James Haymore, MD
9721
RN144697
Ford Jr, William
14452
11973 Augusta Rd Lavpmoa, GA 30553
8/9/2013
John Kludt, MD
34876
RN144697
Ford, Jr., William Chester
11922
3700 Club Dr Lawrenceville, GA 30044
7/9/2015
Chandresh Viradia, MD
53050
RN209646
Forehand, Brett
15818
100 Jim Mason Court, Ste A Warner Robins, GA 31088
9/13/2012
Lee, Mark MD
59451
RN214205
Forehand, Michael
10926
1221 E. McPherson Avenue Nashville, GA 31639
9/1/2011
Peters, Howard MD
51530
RN021405
Forehand, Michael A.
9999
2501 N. Patterson Street Valdosta, GA 31602
9/11/2008
Leslie Gray, MD
40083
RN154091
Foreman, Lisa Marie
2394
9900 Medlock Bridge Road Duluth, GA 30097
3/5/2015
Thomas Jackson, MD
25184
RN234266
Forest, Sabrina
14805
1 Freedom Way Augusta, GA 30904
Wednesday, August 12, 2015
Page 113 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Wayne Harris, MD
34150
RN085152
Fort, Brenda
14684
1670 Clairmont Rd Decatur, GA 30033
10/9/2014
Candi Nobles-James, MD
47985
RN204328
Forte, Briana E
14050
777 Hemlock St. Macon, GA 31201
1/8/2015
Daniel Torrez, MD
61177
RN106665
Fortenberry, April Lynn
14481
1605 Chantilly Dr, Ste 305 Atlanta, GA 30324
3/4/2010
Ramzi Ghosn, MD
57974
RN164301
Fortenberry, Melanie Renea
9003
278 Hwy 400 North, Suite 1160 Dawsonville, GA 30533
1/8/2015
Karen Kinsell, MD
42630
RN131505
Fortson, Nedra Speight
14358
305 Washington St South Fort Gaines, GA 39851
11/7/2014
Michael Satchell, MD
49593
RN131505
Fortson, Nedra Speight
14149
806 14th Ave Albany, GA 31701
2/5/2015
Joseph Korwin, MD
34878
RN131812
Foss, Tammy
14755
1 Freedom Way Augusta, GA 30904
8/9/2013
James Smith, MD
59763
RN118689
Foss, Merry-Lynn
12125
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
1/9/2009
James Capes, MD
38438
RN118689
Foss, Merry-Lynn
994
550 Peachtree St, Emergency Dept Atlanta, GA 30308
10/9/2014
Michael Hoffstetter, MD
50023
RN115596
Foster, Michal Aimee
14069
200 Doctor's Drive, Ste L Douglas, GA 31533
9/11/2014
Romulo Navarro, MD
23646
RN115596
Foster, Michal Aimee
13743
100 Doctor's Dr., Ste C Douglas, GA 31533
10/10/2013
Tami Breton, MD
38695
RN159786
Foster, Jessica Lyn Albano
12455
3805 Cherokee St Kennesaw, GA 30144
5/3/2013
Joshua King, MD
52116
RN173330
Foster, Amber Brooke
11794
5126 Hospital Dr Covington, GA 30014
2/7/2013
Samantha Benson, MD
47699
RN157997
Foster-Hall, Tracy Michelle
11651
3340 Paddocks Pkwy Suwanee, GA 30024
Wednesday, August 12, 2015
Page 114 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/6/2013
John Vu, MD
40813
RN119706
Foston, Tenita Phillips
12606
3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326
8/6/2010
James Spivey, MD
51848
RN119706
Foston, Tenita Phillips
998
1365-B Clifton Rd Atlanta, GA 30322
2/5/2015
Rizwan Khan, DO
63251
RN201885
Fountain, Amber Linnet
14376
2000 16th Ave Columbus, GA 31901
12/4/2009
James Daly, MD
36358
RN101700
Fountain, Athena Joann Sinopol
1000
PO Box 14417 Savannah, GA 31416
2/5/2015
Woodwin Weeks, DO
68866
RN170964
Fowler, Carolyn
14722
139 E Broad St Norman Park, GA 31771
11/7/2014
Calin Badea, MD
55918
RN206545
Fowler, Elizabeth Ashley
14275
303 Fraser Dr Hinesvillie, GA 31313
10/9/2014
Salvko Kukucka, Md
46877
RN206545
Fowler, Elizabeth Ashley
13986
119 Chimney Rd. Rincon, GA 31326
7/10/2014
Emile Risby, MD
30869
RN050746
Fowler, David H.
13511
3000 Schatulga Rd Columbus, GA 31907
11/7/2014
Andrea Dabney, MD
66274
RN076847
Fox, Jennifer Ann
14122
274 Big A Rd Toccoa, GA 30577
8/9/2013
Joseph Sentef, Jr, MD
32816
RN084674
Fox, Bruce Michael
12109
513 Benjamin Way, Suite 200 Dalton, GA 30721
11/5/2009
Barbara D'Orio, MD
33956
RN038536
Fox, Stephanie Elaine
1003
PO Box 26238 Atlanta, GA 30303
9/11/2008
Wendy Troyer, MD
33786
RN047729
Fox, Vickie Pendley
1004
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
9/14/2007
David Morris, MD
28828
RN138434
Fox, Rodney Paul
1002
3280 Howell Mill Rd. NW, Suite 326 Atlanta, GA 30327
10/9/2014
Emily Herndon, MD
35902
RN103393
Fraher, Margaret Mary McCart
14024
Stdnt Hlth and Counseling 1525 Clifton Rd. Atlanta, GA 3032
Wednesday, August 12, 2015
Page 115 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/1/2011
Sandra Maryman, MD
24035
RN103393
Fraher, Margaret Mary McCart
9657
1525 Clifton Rd, Student Health Atlanta, GA 30322
3/6/2009
Theresa Berry, MD
49355
RN103393
Fraher, Margaret Mary M
8434
1525 Clifton Road NE Atlanta, GA 30047
5/9/2008
Michael Huey, MD
50962
RN103393
Fraher, Margaret McCarthy
8157
1525 Clifton Road ND, 2nd Floor Atlanta, GA 30322
5/9/2008
Dawn Mielke, MD
37752
RN103393
Fraher, Margaret McCarthy
8158
1525 Clifton Road NE, 2nd Floor Atlanta, GA 30322
5/9/2008
Michael Allan, MD
33511
RN103393
Fraher, Margaret McCarthy
8160
1525 Clifton Road NE,2nd Floor Atlanta, GA 30322
5/7/2009
Arunas Urbonas, MD
54135
RN149522
Fralick, Ivy Duncan
8559
3564 N. Crossing Cir, Suite B Valdosta, GA 31602
10/9/2014
John Frederick, MD
62983
RN204611
Frame, Amanda Leigh
14095
630 13th St., Ste 250 Augusta, GA 30901
8/5/2011
Yahya Siddiq, MD
18954
RN195296
Francisco, Geraldine Ann Del Ca
9902
1700 Hospital South Dr, Suite 200 Austell, GA 30106
3/5/2015
John Mix, MD
55271
RN207843
Francois, Erica
14800
575 First St Macon, GA 31201
7/11/2013
John Mix, MD
55271
RN207843
Francois, Erica Nicole
12100
575 First St Macon, GA 31201
10/9/2014
Frank Mott, MD
70674
RN208981
Frankhouser, Brittany Ruth
14104
1411 Laney Walker Blvd, AN-2206 Augusta, GA 30912
7/11/2008
Marisa Gadea, MD
41802
RN114621
Frankhouser, Kimberly Elizabet
1007
1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068
2/7/2013
Walt Reid, MD
39663
RN164239
Frawley, Stacy Lyn
11652
705 Dixie St Carrollton, GA 30117
4/2/2015
Malathi Ginjupalli, MD
58415
RN070540
Frazier, Linda
15247
1310 13th Ave Columbus, GA 31901
Wednesday, August 12, 2015
Page 116 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/3/2012
Zaidi, Syed MD
60489
RN208616
Frazier, Rhonda
10425
1211 Sherwood Park Drive NE Gainesville, GA 30501
9/11/2008
Felix Sogade, MD
42444
RN149395
Frazier, Kathy Stephens
8295
639 Hemlock Street, Suite 100 Macon, GA 31201
2/5/2015
Charlene Robinson, MD
34233
RN183877
Freckleton, Annie Rose
14560
1220 Caroline St, Ste A 230 Atlanta, GA 30307-2749
2/5/2015
Alan CuChiam, MD
42554
RN183877
Freckleton, Annie Rose
14559
1188 Araloh David Abernathy Blvd Atlanta, GA 30310-1716
2/5/2015
Lonnie Jenkins, MD
17209
RN183877
Freckleton, Annie Rose
14712
315 Boulevard N E #516 Atlanta, GA 30312-1200
8/7/2014
William Keeling, MD
60650
RN178750
Frederick, Alexis Taylor
13586
80 Jesse Hill Jr. Drive Atlanta, GA 30303
7/10/2014
Emile Risby, MD
30869
RN095043
Frederick, Carlie Ann
13509
3000 Schatulga Rd. Columbus, GA 31907
9/13/2013
Michael Ellis, DO
62835
RN095043
Frederick, Carlie Ann
12206
2000 16th Ave Columbus, GA 31901
8/5/2011
Nisha Chande, MD
61454
RN057224
Frederick, Jane Anne
9840
3213 Campus Loop Rd NW, Hse 53 Kennesaw, GA 30144
2/5/2015
Niraj Sharma, MD
54276
RN218331
Freeberg, Casey Rhea
14817
755 Walther Rd Lawrenceville, GA 30046
9/11/2015
Erin London, MD
45440
RN168338
Freeman, Rasheeda Japaka
15398
415 Pottery Factory Dr. Commerce, GA 30529
1/8/2015
Thomas Self, MD
21587
RN134889
Freeman, Christi Renee
14829
1825 Martha Berry Blvd Rome, GA 30165
1/8/2015
Carlo Oller, MD
65719
RN134889
Freeman, Christi Renee
14317
960 Joe Frank Harris Pkwy Cartersville, GA 30120
5/1/2014
Michael McDaniel, MD
57398
RN154520
Freeman, Jennifer Wendy
5144
5780 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Russell Jones, MD
68177
RN104531
Freeman, Pamela Phillips
12978
425 Third Ave, Suite 600 Albany, GA 31701
6/7/2013
Barry Munn, MD
54167
RN181566
Freeman, Karen Jeanette Buice
11943
655 Jesse Jewell Pkwy, Suite B Gainesville, GA 30501
8/10/2012
Sung Chang, MD
52693
RN163543
Freeman, Kirstie
10948
7351 Old Moon Road Columbus, GA 31909
10/2/2008
James Freeman, MD
8764
RN024690
Freeman, Shannon Lois Mccoy
1019
803 N Jefferson Albany, GA 31701
8/2/2007
Mark M. Beaty, MD
45169
RN113806
Frena, Colette Busko
1020
3823 Roswell Rd., Ste 101 Marietta, GA 30062
7/9/2015
Cheryl Perkins, MD
36430
RN232398
French, Jessica
15773
1497 Fair Rd, Ste 200 Statesboro, GA 30458
7/11/2008
Barry Mangel, MD
38296
RN106388
French-Mirtschink, Teri Elaine T
1021
55 Whitcher Street, Suite 350 Marietta, GA 30060
1/11/2013
Juliana Nahas, MD
44549
RN167990
Frey, Janet
11195
4181 Hospital Dr., Ste 202 Covington, GA 30014
5/4/2012
Matricia, Daniel DO
31289
RN211812
Fricke, Susan
10640
214 Professional Circle, Ste A St. Marys, GA 31558
12/7/2012
Verlia C. Gower, MD
38499
RN140297
Friedman, Paula W
11366
5455 Meridian Mark Rd., NE Atlanta, GA 30342
4/1/2011
Eric Felner, MD
52564
RN212251
Fritz, Heather Lynn
9620
2015 Uppergate Dr Atlanta, GA 30322
8/7/2009
Ketan Desai, DO
57600
RN165016
Frost-Johnson, Genieve
8614
3820 Medical Park Dr, Ste 2200 Austell, GA 30106
9/11/2014
Dixie Griffin, MD
63661
RN186644
Fry, Melanie Ann
13889
39 Kent Rd. Ste 5 Tifton, GA 31794
6/8/2012
Tolliver, Cheryl MD
53040
RN186644
Fry, Melanie
10735
2941-D N. Ashley Street, Ste D Valdosta, GA 31602
Wednesday, August 12, 2015
Page 118 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Holly Krysiak, MD
65583
RN230823
Fuentes, Allison
15384
5665 New Northside Dr, Ste 320 Atlanta, GA 30328
9/2/2010
Christopher Borrego, DO
52259
RN158316
Fukuda, Cristiane Lemos
9247
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
8/6/2015
William Mills, MD
50901
RN248833
Fulaytar, Sarah
16102
58 Big A Rd Toccoa, GA 30577
10/7/2011
Levit, Ronald MD
59268
RN137639
Fulcher, Sheila
10118
4425 Paulsen Street Savannah, GA 31405
5/8/2015
Stephanie Keller, MD
64120
rn170842
Fuller, Jamie
15430
975 Johnson Ferry Rd Atlanta, GA 30342
2/5/2015
Stephen Felton, MD
30996
RN147639
Fuller, Jana Allen
13002
1445 Old McDonough Hwy, Suite E Conyers, GA 30094
5/1/2014
Michael Duke, MD
42041
RN093416
Fuller, Wendy Brannan
13189
120 Barnet Dr Milledgeville, GA 31061
11/8/2013
Andrea Hill, MD
51332
RN147639
Fuller, Jana Allen
12463
517 Great Oaks Dr, Suite 103 Monroe, GA 30655
11/8/2013
Madhu Vishwanath, MD
56499
RN172405
Fuller, Selena Nekita
12522
Take Care, 181 S Clayton St Lawrenceville, GA 30045
5/3/2013
Cynthia Libert, MD
59457
RN227177
Fuller, Jaynee Lee
11862
48 Haralson Place, Suite 1 Blairsville, GA 30512
5/9/2008
Kevin Lanclos, MD
47109
RN082682
Fuller, Wendy Susan Damcott
1031
6175 Newton Drive Covington, GA 30014
11/1/2007
Bradford Lipman, MD
28596
RN093416
Fuller, Wendy Brannan
1030
275 Collier Road NW, Suite 300 Atlanta, GA 30309
3/5/2015
Rhonda Williams, MD
44647
RN176193
Fullmore, Teawka
15053
711 Knight Ave Waycross, GA 31503
5/1/2014
Mokhtar Hacena, MD
55062
RN167969
Fults, Selvi
13239
2054 Watson Blvd. Warner Robins, GA 31093
12/7/2012
Ae Seon Cha, MD
66463
RN209383
Furlong, Sarah C.
11353
1942 Atkinson Rd., Ste 100 Lawrenceville, GA 30043
Wednesday, August 12, 2015
Page 119 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Mahendrakumar Amin, MD
27483
RN051276
Futch, Nancy Williams
1036
1022 W. Bryan St. Douglas, GA 31533
9/13/2013
Rembert Williams, MD
28105
RN106397
Futrell, Lisa Marie Rowe
1037
2122 Manchester Exprwy Columbus, GA 31904
5/7/2010
James Butts, MD
9103
RN143523
Gabrels, Dorothy A.
9079
PO Box 2683 Gainesville, GA 30503
8/2/2007
Henry Lewis, MD
49052
RN143523
Gabrels, Dorothy A.
1038
1208A Sherwood Park Drive Gainesville, GA 30501
9/11/2014
Cynthia Murray, MD
58374
RN198713
Gaddis, Stepanie Marie
14341
3686 Wheeler Rd Augusta, GA 30909
2/3/2012
Galan, Vincent MD
28685
RN186624
Gaddis, Funlola
10466
1365 Rock Quarry Road, Ste 202 Stockbridge, GA 30281
11/8/2013
Tania Edwards,DO
53462
RN060447
Gaillard, Denotra Hicks
12352
1110 Farr Rd, Suite C Columbus, GA 31906
12/7/2012
Javed H. Fazal, MD
57457
RN091787
Gainer, Judy R.
11359
1860 Watson Blvd. Warner Robins, GA 31093
6/4/2015
Linda Neale, DO
49070
RN175270
Gainey, Tyronjala
15406
1255 Hwy 54 West Fayetteville, GA 30214
3/5/2015
Donald Manning, MD
23635
RN175270
Gainey, Tyronjala
14948
1968 Peachtree Rd NW Atlanta, GA 30309
9/2/2010
William Meadows, MD
30513
RN114111
Gallagher, Joanne Marie
9261
1507 Broomtown Rd LaFayette, GA 30728
1/8/2015
Suzanne Rehrne, MD
65051
RN200274
Galland, Elizabeth
14585
960 Joe Frank Harris Parkway Cartersville, GA 30120
1/9/2014
Randolph Sumner, MD
28323
RN200274
Galland, Elizabeth Hamrick
12737
1825 Martha Berry Blvd Rome, GA 30165
9/2/2010
Cynthia Rust, MD
35132
RN058116
Gallaway, Dorothy Kay Clark
1044
634 McDonough Blvd SE Atlanta, GA 30315
Wednesday, August 12, 2015
Page 120 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Channing Hampton, MD
72028
RN084817
Galliano, Donna Michelle
14863
2225 US Hwy 41 North Tifton, GA 31794
6/8/2007
James Meadows, MD
25641
RN112436
Gamble, Kathy Cooper
1046
PO Box14417 Savannah, GA 31416
11/7/2014
Jeffrey Lamp
56736
RN050877
Gambrell, Patricia Healy
14280
2151 West Spring St Monroe, GA 30655
5/1/2014
Mark Hancock, MD
67750
RN050877
Gambrell, Patricia Healy
12170
163 Hospital Dr Toccoa, GA 30577
6/8/2012
Gore, James MD
36384
rn139591
Gamel, Mary Suzanne
10742
1657 North Expressway Griffin, GA 30223
11/5/2009
Robert Younger, III, MD
31373
RN144204
Gannaway, Geri Lauraine Mathi
1048
1107 Memorial Dr, Suite G-2 Dalton, GA 30720
9/11/2014
Christopher Horn, MD
66120
RN191056
Garber, Courtney S
13891
55 Whitcher St Marietta, GA 30060
9/13/2012
Gretchen Collins, MD
32712
RN190223
Garcia, Cheryl Anita
11030
8201 Hazelbrand Rd. Covington, GA 30014
8/6/2015
James Holcomb, MD
27065
RN177499
Gardner, Christy
15966
1120 15th St, BIW 6033 Augusta, GA 30912
11/7/2014
Charles Stewart, MD
54037
Rn 198306
Gardner, Jennifer Ann
14142
95 Collier Rd, Ste 4075 Atlanta, GA 30309
8/9/2013
David Allen, MD
24773
RN185338
Gardner, Katherine Elizabeth
12164
120 Trinity Place Athens, GA 30607
12/7/2012
Joon Ahn, MD
48750
RN022359
Gardner, Alana M.
11399
200 S. Enota Dr., Ste. 200 Gainesville, GA 30501
11/3/2011
Gimpelevich, Akiva DO
64219
RN082384
Gardner, Colleen
10200
2398 Mt. Vernon Road Ste 150 Dunwoody, GA 30338
8/7/2009
Gail Gross, MD
23161
RN082384
Gardner, Colleen Chace
1051
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
3/5/2015
Saudiqa Hoossainy, MD
68179
RN170685
Garfield, Jennifer
15104
5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152
Wednesday, August 12, 2015
Page 121 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Jagdeep Singh, MD
59761
RN203458
Garmon, Lindsey
14139
1168 North Main St, Ste 110 Cedartown, GA 30125
6/4/2015
Michael Hahowell, MD
61846
RN215633
Garner, Kaylin
15530
5126 Hospial Dr Covington, GA 30014
4/4/2014
Patrick Bowen, MD
48982
RN174395
Garner, Danielle LaTese
13065
1365 Clifton Rd NE, Suite A-4 Atlanta, GA 30322
2/7/2008
Jill Pottinger, MD
42601
RN112439
Garner, William Martin
1054
304 Turner McCall Blvd Rome, GA 30165
7/1/2010
Ward Warren, MD
63045
RN100396
Garnett, Laura Marie Nofziger
9208
1350 Walton Way Augusta, GA 30901
2/5/2015
Charles Hope ll, MD
43962
RN188785
Garrard, Jeremy
14790
210 E DeRenne Ave Savannah, GA 31405
5/8/2015
Edward Young, MD
36325
RN123276
RN123276
Garrett, Kerry
15400
777 Hemlock St, MSC 104 Macon, GA 31201
2/5/2015
Anil Yadav, MD
53898
RN216084
Garrett, Caroline
14913
51 Gordon Rd, Ste 201 Jasper, GA 30143
6/6/2014
Manjushree Ghose, MD
42827
RN207237
Garrison, Margarita
13359
2988 Shallowford Rd. Marietta, GA 30066
4/2/2015
Earl Martin, MD
28602
RN244297
Garvey, Janet Ellen
15147
701 Charles Gllman Jr. Ave, Ste B Kingsland, GA 31548
10/5/2012
Andrew Wickliffe
47868
RN159613
Gaskill, Catherine
11140
275 Collier Rd., Ste 500 Atlanta, GA 30309
1/8/2015
Channing Hampton, MD
72028
RN201181
Gaskin, Allison Lynn
14616
2225 US Hwy N Tifton, GA 31794
3/29/2012
Sexson, James MD
38362
RN138448
Gaskin, Kara
10606
1810 Mulkey Rd, Ste 200 Austell, GA 30106
11/5/2009
Jordan Greenbaum, MD
57172
RN140352
Gaskin, Kelley Lynn
1063
1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 122 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/6/2012
Medina-Bairan, Jose MD
41166
RN066224
Gaskins, Rebecca
10284
3334 Greystone Wayh Valdosta, GA 31605
12/6/2013
Eva Beaulieu, MD
66254
RN186817
Gass, Deborah K
12552
3600 Dallas Hwy SW Marietta, GA 30064
3/8/2013
Karina Belinfante, MD
55726
RN186817
Gass, Deborah K
11672
3903 South Cobb Dr, Suite 120 Smyrna, GA 30080
1/11/2013
Brendee N. Urrutia, MD
66661
RN186817
Gass, Deborah K.
11469
4355 Browns Bridge Rd., #1 Cumming, GA 30041
10/5/2012
Daniel Sims, MD
57323
RN063960
Gaston, Jeanette
11048
550 Peachtree St., MOT 4 Atlanta, GA 30308
8/9/2013
Erskine James, MD
47980
RN085176
Gates, Yolanda April
12121
777 Hemlock St Macon, GA 31201
7/11/2013
Tamika J. Bryant, MD
65940
RN173289
Gates, Mary Alisha
11463
1001 Johnson Ferry Rd, #500 Atlanta, GA 30342
5/8/2015
Johnny Christian, MD
35026
RN116254
Gatliff-Holley, Karen
15462
305 Jones Ave Waynesboro, GA 30830
5/8/2015
Usama Kanaan, MD
60648
RN191509
Gay, Anna
15437
1405 Clifton Rd NE Atlanta, GA 30322
3/6/2014
Frank Saucier, MD
28880
RN210406
Gay, Sarah Elizabeth
13001
2122 Manchester Exprwy, Emer Dept Columbus, GA 31904
10/7/2011
Niebaum, Kevin DO
47353
RN039869
Gay, Judith
10151
306 Corder Road Warner Robins, GA 31088
4/3/2008
Edward Clark, MD
36700
RN039869
Gay, Judith Ann
1068
744 First Street Macon, GA 31201
1/8/2015
William Coleman, MD
31577
RN31577
RN31577
Gay Giddens, Ashley
14848
1211 Palmyra Rd Albany, GA 31701
8/6/2015
Robert Burnham, MD
31886
RN108005
Gaynor, Deborah
15973
3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005
Wednesday, August 12, 2015
Page 123 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/6/2013
Thomas Taylor, MD
33212
RN144324
Gaynor, Amy Lempyne
12589
477 Windsor St SW, Suite 309 Atlanta, GA 30312
7/11/2008
Melissa Eaton, MD
48507
RN108005
Gaynor, Deborah Anne Hertz
1071
110 N Corners Pkwy, Suite 100 Cumming, GA 30040
2/5/2009
Hal Scherz, MD
38357
RN090045
Geers, Christine Maria
1072
5445 Meridian Mark Road, #420 Atlanta, GA 30342
8/6/2015
Andrew Yen, MD
63554
RN213762
Geiger, Jennifer
15954
200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466
12/4/2014
Mark Winokur
36317
RN122957
Geiger, Roberta Lynn
14156
1401 Johnson Ferry, Ste 390 Marietta, GA 30062
7/9/2015
Paul Schriever, MD
40781
RN178373
Geimer, Connie
15873
330 Turner McCall Blvd Rome, GA 30165
6/6/2014
Angela Floyd, MD
65546
RN183088
Geller, Daniel Edward
13254
477 Windsor St SW, Suite 309 Atlanta, GA 30312
6/4/2010
George Brown, MD
30275
RN089319
Gentry, John Mitchell
1077
141 Piedmont Ave, Suite D Atlanta, GA 30303
6/4/2015
Resha Allen, MD
57920
RN102350
George, Deborah
15691
417 W 3rd Ave Albany, GA 31701
10/9/2014
Dinesh Chatoth, MD
50004
RN179444
George, Binumol
14336
575 Professional Dr, Ste 250 Lawrenceville, GA 30044
7/12/2012
Fontaine, Pierre MD
62686
RN102350
George, Deborah
10815
1153 North Liberty St,. PO Box 650 Nicholls, GA 31554
4/2/2015
Sherri Barton, MD
48595
RN149930
George Dalmida, Safiya A
14228
6158 Hwy 92, Ste 101 Acworth, GA 30102
6/8/2012
Joseph, Kirpich MD
54904
RN149930
George Dalmida, Safiya
10275
969 Windy Hill Rd Ste E Smyrna, GA 30080
5/8/2015
Lloyd Rimer, MD
30665
RN197890
Gephart, Rebecca
15422
3541 Chattanooga Rd Tunnel Hill, GA 30755
Wednesday, August 12, 2015
Page 124 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Randy Robinson, MD
35987
RN197890
Gephart, Rebecca
15220
1507 Broomtown Rd Lafayette, GA 30728
12/4/2014
Pablo Perez, MD
47502
RN197890
Gephart, Rebecca
14608
815 Shugart Rd Dalton, GA 30720
3/5/2015
Jeffrey Reznik, MD
53872
RN231331
Gerken, Molly Kayla
15078
2520 Windy Hill Rd S E, Ste301 Marietta, GA 30067
4/2/2015
Joseph Joyave, MD
43977
RN118577
Gerrin, Rebecca
15181
100 Market Place Blvd, Ste 302 Cartersville, GA 30121
6/5/2009
Benjamin Andrews, MD
31867
RN124581
Gervin, Coretta Delia Keith
8531
1048 E. Forsyth Street Americus, GA 31709
9/14/2007
Alfred Woodard, MD
40592
RN124581
Gervin, Coretta Delia Keith
1081
417 West 3rd Ave. Albany, GA 31701
9/13/2013
Tamara New, MD
58712
RN106417
Geter, Jacqueline Jones
12280
1405 Clifton Rd NE, AFLAC Cancer Center Atlanta, GA 30322
9/11/2014
Cynthia Brown, MD
49876
RN114596
Giammarella, Nancy Drown
1085
815 Curtis Pkway Calhoun, GA 30701
9/11/2014
Reemon Bishara, MD
63759
RN096231
Giaraffa, Phyllis A
13892
1915 Eisenhower Dr Savannah, GA 31406
5/1/2014
Courtney Middleton, MD
57295
RN069862
Gibbons, Wanda L. Rogler
5155
11975 Morris Rd, Suite 300 Alpharetta, GA 30005
10/5/2012
Hetal Thakore
53556
RN093348
Gibbons-Berry, Karen
11101
811 13th Street, Ste 10 Augusta, GA 30901
4/1/2011
Vanessa Cabaron, MD
53843
RN093348
Gibbons-Berry, Karen Leigh
9567
1350 Walton Way Augusta, GA 30901
8/7/2014
Amy Nance, MD
65452
RN154629
Gibbs, Jennifer Nicole
13577
800 First St., Ste 410 Macon, GA 31201
10/10/2013
Thomas Ho, MD
44748
RN233060
Gibbs, Jennifer Dokupil
12442
7494 Battlefield Pkwy Ringgold, GA 30736-7306
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
Kim Blevens, MD
32131
RN149561
Gibbs, Stephanie
1091
116 South Houston Rd Warner Robins, GA 31088
2/5/2009
Daniel Williams, MD
37926
RN050776
Gibbs, Martha K.
8449
1128 Southpark street Carrollton, GA 30119
12/4/2014
Bruce Wood, DO
23516
RN039884
Gibson, Belinda Joyce
14488
259 Jonesboro Rd McDonough, GA 30253
11/7/2014
Edward Meier, MD
43426
RN073501
Gibson, Barbara
14193
2112 Shorter Ave N W, Ste 200 Rome, GA 30165
8/7/2014
Travan Jasper, MD
45506
RN162475
Gibson, Christy Howard
13682
3116 Hwy 34 East Newnan, GA 30265
5/3/2013
William Lytollis, MD
57392
RN189614
Giedd, Ann Marie Beckwith
11846
316 North Broad St Winder, GA 30680
6/7/2013
Travis Bowles, MD
68374
RN181533
Gifford, Virginia L.
11987
3939 Roswell Rd, Suite 200 Marietta, GA 30062
1/9/2014
William Edwards, MD
47079
RN051556
Gilbert, Cindy Gail Tarrer
12811
800 Professional Blvd Dalton, GA 30720
4/4/2013
Olufemi Taiwo, MD
51606
RN150994
Gilfillan, Kelly West
11757
222 Arrowhead Blvd Jonesboro, GA 30236
4/4/2013
Aly Ahmed, MD
39026
RN150994
Gilfillan, Kelly West
11758
2340 Patrick Henry Pkwy, Suite 225 McDonough, GA 30253
12/1/2011
Paxton, William MD
46206
RN188635
Gill, Sherry
10268
170 Camden Hill Rd Lawrenceville, GA 30046
4/2/2009
Kevin King, MD
56310
RN124898
Gill, Nicole K.
1100
2122 Manchester Expwy Columbus, GA 31904
11/8/2013
Edwin Bello, MD
36099
RN233119
Gillette, Tiffany Celeste
12536
1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214
10/9/2014
David Hocker, MD
41138
RN075780
Gilliam, Stephen Darrell
1103
8564 Highway 17 S Toccoa, GA 30577
Wednesday, August 12, 2015
Page 126 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/4/2010
Douglas Joyner, MD
31039
RN149543
Gilliard, Candace Usry
8973
151 E. Mayo St Americus, GA 31709
5/8/2015
Gregory Sfakianos, MD
67770
RN143502
Gilliland, Tammy
15375
2300 Manchester Expwy, Ste C001 Columbus, GA 31904
2/7/2013
Caroline D. Yaphockun, MD
53213
RN089950
Gillis, Hollie T.
11576
330 Turner McCall Blvd, Suite 4000 Rome, GA 30165
11/5/2009
Thomas Ryan, MD
42415
RN089950
Gillis, Hollie Thacker
1104
20 Collins Dr, Suite B Cartersville, GA 30120
9/11/2014
Walter Smith, DO
28895
RN054192
Gilson Agnew, Greta M
13893
6330 Riverdale RD Riverdale, GA 30274
8/6/2015
Todd Martin, MD
67824
RN225872
Gipson, Tonya
16063
201 Hospital Rd Canton, GA 30114
2/5/2015
Kumud Smith, MD
41181
RN121825
Giron, Lorena Alicia
14811
1 Freedom Way Augusta, GA 30904
9/11/2008
Daniel Wu, MD
51572
RN064140
Gisness, Christine Marie Miller
1107
49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303
9/11/2014
Adithya Reddy, MD
61509
RN229466
Gladden, Brandi Nichole
13955
2550 Windy Hill Rd., Ste 206 Marietta, GA 30067
12/7/2007
Shannon Vaughn, MD
46000
RN106430
Gladney, Tammy Annette
1112
310 W. 10th Street Rome, GA 30165
12/4/2009
Craig Kerins, MD
21170
RN145311
Gladue, Clara Ann
8846
1384 Greene St Augusta, GA 30901
2/6/2014
Brooks Moore, MD
53336
RN208103
Glasheen, Debra Ann
12959
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
2/6/2014
Phillip Gray, MD
33340
RN149595
Glaze, Rachel Toi
12836
450 Clarence King Pkwy Calhoun, GA 30701
3/6/2009
Sagar Lonial, MD
44007
RN139408
Gleason, Charise Lyn
1113
1365 Clifton Rd NE, Bldg C, Plaza Level Atlanta, GA 30322
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2010
Margaret Boudreaux, MD
44172
RN135128
Glebikowska, Iwona Violetta
9156
763 Peachtree Pkwy, Suite 2 Cumming, GA 30041
3/6/2014
Oswaldo Henriquez, MD
70141
RN155519
Glover, Shontreka Akisha
13027
80 Jesse Hill Jr Dr SE, Ste 3J ENT Clinic Atlanta, GA 30303
11/8/2013
Dudley Stone, MD
51088
RN217049
Glover, Jessica Brandt
12545
2 Wheeler St Savannah, GA 31405
11/1/2007
Tammy Williams, MD
51563
RN087807
Gnann, Kathryn Ann Kohn
1116
150 Gentilly Blvd Cartersville, GA 30120
10/10/2013
Sean Delaney, MD
49001
RN178818
Gobeille-Dormio, Rosalee
12259
755 Walther Rd Lawrenceville, GA 30046
6/6/2014
Andrew Hester, MD
66172
RN145415
Goble, Anne-Marie
12903
106 Hospital Crt. Calhoun, GA 30701
7/11/2013
Douglas Brewer, MD
38696
RN165613
Goddard, Tami Marie
12010
240 Sheraton Blvd Macon, GA 31210
9/13/2013
Frederick Roberts, MD
42113
RN155713
Godfrey, Chandra Tucwann
12294
2122 Manchester Exprwy Columbus, GA 31904
2/4/2011
Jonathan Williams, DO
59237
RN130256
Godwin, Cristi Leigh
9571
1733 Gornto Rd, Suite 101-C Valdosta, GA 31601
6/4/2015
David Quintero Bustos, MD
61149
RN226582
Goergen, Jacob
15592
600 Celebrate Life Parkway Newnan, GA 30265
12/7/2007
Hugo Ribot, MD
30196
RN124928
Goff, Macie Lane
8109
958-A J F Harris Pkwy, Suite 102 Cartersville, GA 30120
8/7/2014
Stephen Odom, MD
38895
RN178156
Gohacki, Robin Christine Jernig
13633
1700 Hospital South Dr, Suite 202 Austell, GA 30106
9/11/2014
Ioana Chirca, MD
69285
RN208644
Gokal, Payal Vasantrai
14339
1350 Walton Way 4 West Augusta, GA 30901
6/4/2015
Maiysha Clairborne, MD
55194
RN230566
Golan, Tail
15578
1000 Johnson Ferry Rd, Ste B155 Barietta, GA 30068
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Riba Kelsy-Harris, MD
53833
RN230566
Golan, Tali
12523
2670 Cobb Pkwy SE Smyrna, GA 30080
8/5/2011
Alex Rikhter, MD
44070
RN113630
Gold, Kara Waldrop
9961
1140 Hammond Drive, Ste G7105 Atlanta, GA 30328
12/3/2010
Harriette Perlstein, MD
31098
RN161827
Goldklang, Michelle Marie
9482
4395 Johns Creek Pkwy, Suite 150 Suwanee, GA 30024
1/6/2012
Duke, Michael MD
42041
RN129746
Goldsberry, Jennifer
10391
134 W. Campus Dr, CBX 091 Milledgeville, GA 31061
6/7/2013
Dawn Simon, MD
58644
RN127360
Golubic, Sharon Louise
11961
1605 Chantilly Dr, Suite 305 Atlanta, GA 30324
1/9/2014
Deborah Rodriguez, MD
62599
RN200412
Gonzalez-Roepke, Raquel Idalis
12719
771 Old Norcross Rd, Suite 250 Lawrenceville, GA 30046
12/4/2014
John Pittman, MD
37045
RN069392
Gooch, Carole
14555
715 E 2nd Ave Rome, GA 30161
8/5/2011
Michael Hartley, MD
63668
RN212025
Gooch, Michelle E. Wright
9803
1109 Burleyson Rd, Suite 202 Dalton, GA 30720
8/5/2011
Ian Hamilton, Jr., MD
47329
RN212025
Gooch, Michelle E. Wright
9804
1109 Burleyson Rd, Suite 202 Dalton, GA 30720
3/6/2014
Stephen Frohwein, MD
34834
RN073439
Goode, Robbie Poore
1129
5669 Peachtree Dunwoody Rd, Suite 315 Atlanta, GA 30342
3/5/2015
Nicole Sroka, MD
57191
RN174056
Gooding, Karen Elaine
15091
1267 Hwy 54 West, Ste 210 Fayetteville, GA 30214
3/5/2015
Charles Myers, MD
69314
RN157565
Goodman, Susannah
14979
100 Duplainville Rd The Rock, GA 30285
7/10/2014
Jonathan Hundley, MD
69029
RN207405
Goodman, Erin Marie
13503
1968 Peachtree Rd, NW Atlanta, GA 30309
12/1/2011
Lee, Clay DO
46610
RN164651
Goodno, Shana
10224
207 31st Ave SE Moultrie, GA 31768
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/7/2011
Rhonda Bedell, MD
36097
RN164651
Goodno, Shana Leigh
9477
633 Veteran's Pkwy South Moultrie, GA 31788
3/6/2014
John Schuler, MD
37364
RN124143
Goodson, Jennifer Moore
12972
600 Parkway North Newnan, GA 30265
1/6/2012
Smith, Ronnie MD
45338
RN180693
Goodwin, Dara
10303
543 Jonesboro Rd McDonough, GA 30253
12/3/2010
Oladapo Odujebe, MD
60950
RN154592
Goodwin, Willie James
9362
550 Peachtree St NE, Emer Room Atlanta, GA 30308
8/2/2007
Leslie Cotrell, MD
45194
RN118448
Goodwin, Amy Catherine
1132
1600 Maple St. Carrollton, GA 30118
7/9/2015
Mark Elam, MD
36147
RN158213
Gordon, Bridgette
15717
1000 Medical Center Blvd 100, Ste 290 Lawrenceville, GA 30
9/13/2013
Thomas Gary, MD
60264
RN191108
Gordon, Catherine Doan
12308
123 Weaver Rd, Suite A Blairsville, GA 30512
6/8/2012
Goldstein, Matthew MD
48115
RN158213
Gordon, Bridgette
10739
1700 Medical Way, Emer Dept Snellville, GA 30078
4/2/2009
John Abell, MD
33014
RN188412
Gordon, Jane Louise
5528
521 W. 3rd Avenue Albany, GA 31701
4/2/2015
Aldrich Mendoza, MD
62916
RN231607
Gordy, Bridget Nicole
15307
1480 Hwy 27 South Carrollton, GA 30117
6/6/2014
Regina Justice, MD
47777
RN231607
Gordy, Bridget Nicole
13257
2462 Hwy 34 East, Suite A Newnan, GA 30265
2/5/2015
William Dasher lll, MD
51453
RN118105
Gore, Holly Paige
14898
3708 Northside Dr Macon, GA 31210
2/5/2010
Mathew Ciechan, II, MD
24217
RN121027
Gore, Victoria Ferlita
8993
400 Town Park Blvd, Suite 300 Evans, GA 30809
8/5/2011
Peter Rossi, MD
57833
RN185676
Gorgens, Ulrike
9886
1365 Clifton Road Atlanta, GA 30322
Wednesday, August 12, 2015
Page 130 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2010
Riba Kelsey-Harris, MD
53833
RN105044
Gorgor, Saye Zunpudolo
8990
9465 Hwy 5 Douglasville, GA 30135
8/7/2014
John Bucholtz, DO
25116
RN060198
Gosa, Josephine Elaine Fisher
1141
1800 10th Ave Columbus, GA 31901
5/8/2015
Beena Patel, MD
37322
RN225920
Goyal, Geetika
15452
8095 Roswell Rd, Ste A Sandy Springs, GA 30004
10/9/2014
Taylor Graves, MD
40082
RN166965
Graber, Karolina Hope
1145
1821 Clifton Rd. NE Atlanta, GA 30329
6/6/2014
Melissa White, MD
54363
RN215164
Graff, Jennifer Ann
13315
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
7/9/2015
Oscar Espetia, MD
65358
RN165086
Graham, Vickie L
16021
2501 N Patterson St. Valdosta, GA 31602
12/4/2014
Glenn Valladares, MD
72152
RN165086
Graham, Vickie
14361
2501 North Patterson St Valdosta, GA 31602
11/3/2011
Robertson, Gregory MD
52203
RN176480
Graham, Jennifer
10202
6325 Hospital Parkway Johns Creek, GA 30097
3/4/2011
Raymond Gutierrez, MD
57983
RN165086
Graham, Vickie L.
9510
417 W. 3rd Ave, Emer Dept Albany, GA 31701
4/13/2007
Thomas David Yates, MD
26417
RN136905
Grahn, Jody J.
1150
58 Big A Rd Toccoa, GA 30577
3/29/2012
Gillespie, Lisa MD
41433
RN116530
Granger, Elaine
10561
1412 Milstead Avenue Conyers, GA 30012
12/3/2010
Karim Godamunne, MD
51652
RN116530
Granger, Elaine Frances Green
9466
1170 Cleveland Ave East Point, GA 30344
3/4/2010
Joel Megli, MD
49244
RN116530
Granger, Elaine Frances Green
8975
11 Upper Riverdale Rd Riverdale, GA 30274
6/5/2009
Rodrick Lawton, MD
55766
RN116530
Granger, Elaine Frances Green
1152
790 341 Blvd Hawkinsville, GA 31036
Wednesday, August 12, 2015
Page 131 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Jason Nicely, MD
67693
RN117085
Grant, Shayni
15291
1200 Memorial Dr Dalton, GA 30720-2529
3/5/2015
Jatinder Bhatia, MD
18784
RN152353
Grant, April R.
15013
1120 15th St., BIW 633 Augusta, GA 30912
3/5/2015
Samrajya Gogineni, MD
25160
RN139828
Grasman, Amy Joyce
14941
1390 Hwy 19 South Leesburg, GA 31763
1/6/2012
Crick, Mark MD
41421
RN139828
Grasman, Amy
10356
2709 Meredyth Drive SW, Ste 330 Albny, GA 31707
4/1/2011
Joseph Burnette, MD
33286
RN139828
Grasman, Amy Joyce
9703
401 Fourth Ave Albany, GA 31701
6/5/2009
Vito John Bagnato, MD
45711
RN139828
Grasman, Amy Joyce
8591
810 13th Avenue, Suite 108 Albany, GA 31701
3/5/2015
Saudiqa Hoossainy, MD
68179
RN191607
Graves, Mary
15105
5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152
8/7/2014
Laura Conger, MD
42031
RN097443
Gravitt, Pamela Mae Wooten
13670
1200 Memorial Dr Dalton, GA 30720
2/5/2015
Lera Fina, DO
66488
RN191658
Graw, Kimberly Hope
14269
2040 Dan Proctor Dr, Ste 140 St. Marys, GA 31558
1/9/2014
Kimberly Stoughton-
Doherty, MD
55981
RN191658
Graw, Kimberly Hope Young
12685
2040 Dan Proctor Dr, Suite 140 St Mary's, GA 31558
8/6/2015
Thomas Bloodworth, MD
18124
RN167348
Gray, Rebecca
16112
6794 Bill Carruth Pkwy Hiram, GA 30141
3/6/2014
Nick Vlachos, MD
62624
RN229260
Gray, Wendy Leigh
12856
100 Glenn Bass Road LaGrange, GA 30240
3/8/2013
Victor W. Rosenfeld, MD
64752
RN168105
Gray, Jennifer H.
11614
1326 Eisenhower Dr. Savannah, GA 31405
12/7/2012
Colin Brinkmann, MD
59131
RN059012
Gray, Leah D.
11177
1984 Peachtree Rd., Ste 515 Atlanta, GA 30309
Wednesday, August 12, 2015
Page 132 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/2/2008
Randall Berinhout, MD
34777
RN121625
Gray, Eleasha R.
8302
210 Medical Blvd Stockbridge, GA 30281
11/1/2007
Stephen Pastan, MD
39196
RN143701
Gray, Carol Ann Ferguson
1157
35 Collier Road NW, Suite 610 Atlanta, GA 30309
11/1/2007
Michael Katz, MD
40116
RN143701
Gray, Carol Ann Ferguson
8092
35 Collier Road NW, Suite 610 Atlanta, GA 30309
11/1/2007
Edward Frederickson, MD
32384
RN143701
Gray, Carol Ann Ferguson
8093
35 Collier Road NW, Suite 610 Atlanta, GA 30309
5/10/2007
Michael Powell, MD
23663
RN094164
Gray, Pamela Ann Ansley
1159
PO Box 840 Thomson, GA 30824
4/2/2015
Paul Allen, MD
28490
RN167539
Gray-Smith, Patricia Theresa
14459
2795 Main St. W, Ste 27 Snellville, GA 30078
3/8/2013
Venkatappa R. Rangaraj,
MD
58633
RN167539
Gray-Smith, Patricia
11480
2795 Main St. W, #27 Snellville, GA 30078
11/5/2010
Jae Pak, MD
40185
RN167539
Gray-Smith, Patricia Theresa
9399
2160 Fountain Dr, Suite 200 Snellville, GA 30078
2/5/2009
Naresh Parikh, MD
28851
RN167539
Gray-Smith, Patricia Theresa
1160
6330 Primrose Hill Court Norcross, GA 30092
11/3/2011
Jones, Andrew ND
65467
RN189878
Greco, Lindsay
10152
2701 North Decatur Road Decatur, GA 30033
1/7/2010
Samuel Szumstein, MD
55796
RN189878
Greco, Lindsay Elizabeth
5482
3820 Medical Park Dr Austell, GA 30106
7/9/2015
Joy Nwadike, MD
56863
RN069351
Green, Linda
15729
110 Hospital Dr Calhoun, GA 30701
11/7/2014
James Mossell, MD
44028
RN215381
Green, GerLana Shanea
14157
901 East 18 th St, Ste 490 Tifton, GA 31794
10/9/2014
Ethan Tolbert, MD
46265
RN196523
Green, Marla Carolyn
13622
550 Peachtree St, NE, Ste 1185 Atlanta, GA 30308
Wednesday, August 12, 2015
Page 133 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Pradeep Jolly, MD
22798
RN196523
Green, Marla Carolyn
14063
1100 Johnson Ferry Rd., Ste 600 Atlanta, GA 30342
9/11/2014
Rao Moravineni, MD
51360
RN196523
Green, Marla Carolyn
13621
747 S. 8th St., Ste C Griffin, GA 30224
6/6/2014
Jagdeep Singh, MD
59761
RN175761
Green, Alisha Moses
13360
501 Redmond Rd. Rome, GA 30165
6/6/2014
Carlton Lancaster, MD
15392
RN115738
Green, Jennifer Brooke Miles
12851
1109 Burleyson Road Suite 104 Dalton, GA 30720
9/13/2013
Robert Del Pozo, MD
35853
RN198522
Green, Amanda Joy
12196
2540 Windy Hill Rd Marietta, GA 30067
7/11/2013
Ryan Moody, MD
59284
RN073914
Greenbush, Rita Marie Clonan
12075
138 Canal St, Suites 304-305 Pooler, GA 31322
1/11/2008
John Rathbun, MD
23665
RN073914
Greenbush, Rita Marie Clonan
7718
11700 Mercy Blvd #6 Savannah, GA 31419
6/4/2015
Micah Riegner, MD
47991
RN190789
Greene, Alania
15676
310 Eisenhower Dr, Bldg 16 Savannah, GA 31406
2/5/2015
Kevin Johnson, MD
70497
RN196671
Greene, Margaret Elizabeth
14260
1000 University Center Lane, Ste 3106 Lawrenceville, GA 300
3/6/2014
Stacie Schmidt, MD
63811
RN171320
Greene, Maloma Abidemi
12963
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
9/11/2008
Jonathan Parrott, MD
36246
RN117817
Greene, Priscilla Rowan
8254
2501 N. Patterson Street Valdosta, GA 31602
11/1/2007
Lora Efaw, MD
36727
RN117817
Greene, Priscilla Rowan
1164
1807 Old Ocilla Road Tifton, GA 31794
6/6/2008
Michael Banov, MD
37945
RN046959
Greenhood, Karen E. Richards
8212
108 Margaret Avenue Marietta, GA 30060
9/11/2014
David Goo, MD
31924
RN208848
Greenwald, Codi Lynn
13894
100 Medical Center Blvd. Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 134 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2012
Clifton, James DO
23926
RN144604
Greenway, Mary
10722
PO Box 1199, 305 Kite Road Swainsboro, GA 30401
4/2/2015
Darshana Sheth, MD
58642
RN145206
Greer, Jean Smith
14845
2476 Canton Rd Marietta, GA 30066-5377
7/10/2014
James Lah, MD
41863
RN201437
Gregory, Shalia Shani
13451
1821 Clifton Rd, NE Atlanta, GA 30329
7/10/2014
Ihab Hajjar, MD
70835
RN201437
Gregory, Shalia Shani
13449
1821 Clifton Rd, NE Atlanta, GA 30329
7/10/2014
Krishnankutty Sathian, MD
37903
RN201437
Gregory, Shalia Shani
13452
1821 Clifton Rd, NE Atlanta, GA 30329
7/10/2014
William Hu, MD
63701
RN201437
Gregory, Shalia Shani
13453
1821 Clifton Rd., NE Atlanta, GA 30329
7/10/2014
Allan Levey, MD
34885
RN201437
Gregory, Shalia Shani
13448
1821 Clifton Rd. Atlanta, GA 30329
7/10/2014
Chadwick Hales, MD
60739
RN201437
Gregory, Shalia Shah
13450
1821 Clifton Rd, NE Atlanta, GA 30329
1/7/2010
Bryan Cheever, MD
34120
RN159818
Grenon, Suzanne Victoria Smith
2785
1107 Memorial Dr, Suite 200 Dalton, GA 30720
8/9/2013
Edwin Bello, MD
36099
RN226492
Griffaw, Laura Ann
12154
1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214
6/4/2015
Trent Schueneman, MD
51731
RN131706
Griffeth, Susan
15681
2927 Demere Rd St. Simons Island, GA 31522
3/5/2015
Cassandra Donnelly, DO
68144
RN193727
Griffin, Shuvory Chyann
14881
3617 Roswell Rd NE, Ste A Atlanta, GA 30305
6/6/2014
John House, MD
11959
RN203059
Griffis, Jr., Donald Neal
13269
218 Quarterman St Waycross, GA 31501
8/7/2014
David Quintero-Bustos, MD
61149
RN106463
Grigg, Carolyn W.
13555
600 Parkway North Newnan, GA 30265
Wednesday, August 12, 2015
Page 135 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2007
Michael Litrel, MD
39623
RN059057
Griggs, Susan Flanagan
5168
227 Riverstone Dr Canton, GA 30114
5/8/2015
Akita Evans, MD
64372
RN186490
Grigsby, John
15294
700 US Hwy 29 North Athens, GA 30601
9/11/2014
Andrew Doris, MD
49005
RN183224
Grimes, Ashley Upchurch
13971
761 Old Norcross Rd. Lawrenceville, GA 30046
10/5/2012
Jose Aristizabal, MD
51206
RN197394
Grindlay, Ashley Marie
11076
2665 N Decatur Rd, Suite 430 Decatur, GA 30033
4/1/2011
John Currie, MD
63768
RN112041
Griner, Dell Renee Britt
9648
1831 5th Ave Columbus, GA 31904
6/4/2015
Anuradha Subramanian, MD
56774
RN206831
Grossman, Michael Paul
12975
69 Jesse Hill Jr Dr SE, Suite 312-A Atlanta, GA 30303
5/8/2015
Amanda Cowan, MD
50793
RN053441
Grove, Lindsay Ann
15320
5 Executive Circle Savannah, GA 31406
11/1/2007
Alison Wright, MD
46017
RN039862
Grube, Kathy Dimeler
8091
1025 North Houston Road Warner Robins, GA 31093
5/8/2015
Teresa Stewart, MD
57022
RN180155
Grummer-Smith, Kelly
15473
39 Kent Rd Tifton, GA 31794
6/8/2012
Thompson, Sonya MD
37402
RN197647
Guercio, Cynthia
10723
1700 Hospital South Drive, Ste 500 Austell, GA 30106
11/5/2009
Lathan Overstreet, MD
36659
RN197647
Guercio, Cynthia Vaughn
8731
340 Boulevard, Suite 103 Atlanta, GA 30312
4/4/2013
Eric Paulk, MD
62271
RN123486
Guest, Sara
11819
901 E. 18th St, Emer Dept Tifton, GA 31793
7/10/2009
Mohak Dave', MD
51128
RN123486
Guest, Sara
1186
743 Spring St, Emergency Dept Gainesville, GA 30501
3/6/2014
Megan Bowles, MD
68486
RN095654
Guice, Emma Mae
13028
3215 Campus Loop Rd NW, House 52 Kennesaw, GA 30144
Wednesday, August 12, 2015
Page 136 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/1/2014
Paula Brathwaite, MD
62476
RN091759
Guidry, Angela Marie
13184
2 West Main St Hampton, GA 30228
6/7/2013
Romeo Moriles, MD
39639
RN091759
Guidry, Angela Marie
11988
236 Arrowhead Blvd Jonesboro, GA 30236
2/7/2013
Jamie L. Walraven, MD
45023
RN091759
Guidry, Angela Marie
11482
1418 Scott Blvd Decatur, GA 30030
9/13/2012
Pena, Gullermo MD
59493
RN078829
Guild, Rene
10829
75 Bypass Road Morganton, GA 30560
1/8/2015
Kambiz Aflatoon, DO
66238
180218
Guillaume, Chales Peguy
14813
885 Buford Dr Lawrenceville, GA 30043
1/8/2015
Muhammad Ahmed, MD
61687
RN180218
Guillaume, Charles
14738
1637 Athens Hwy Grayson, GA 30017
1/6/2012
Trivedi, Nimisha MD
53715
RN210215
Guinoo, Gregory
10302
3778 Hwy 42 Locust Grove, GA 30248
10/7/2011
Savage, Valeria MD
52724
RN063401
Guldenschuh, Tanya
10055
1942 Atkinson Road, Suite 100 Lawrenceville, GA 30043
3/5/2015
Imani Vannoy, MD
24225
RN054217
Gullatte, Mary
15062
741 Chance Rd Marietta, GA 30066
10/9/2014
Ranjit Mathew, MD
37286
RN209319
Gulsby, Tara Phelps
14060
170 Hawthorne Park Athens, GA 30606
12/4/2014
Reza Sutandi, MD
66908
RN203047
Gunby, Julie Dotterweich
15182
1942 Atkinson Rd., Ste 100 Lawrenceville, GA 30043
8/6/2015
Dennis Spencer, DO
47663
RN164900
Gunter, Amanda
15917
1075 S Main St, Ste 100 Madison, GA 30650
7/9/2015
Andrew Magnet, MD
60215
RN164900
Gunter, Amanda
15822
813 E 68th St, Ste 8 Savannah, ga 31405
2/5/2015
Courtney Shelton, MD
50559
RN164900
Gunter, Amanda Jo
14655
315 Boulevard N E # 200 Atlanta, GA 30312
2/5/2015
Kimberly Curseen, MD
72890
RN052101
Gunter, Debbie
14928
1462 Clifton Rd Atllanta, GA 30322
Wednesday, August 12, 2015
Page 137 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Ihab Hajjar, MD
70835
RN052101
Gunter, Debbie
14929
1821 Clifton Rd NE Atlanta, GA 30329
9/11/2014
Randy Robinson, MD
35987
RN164900
Gunter, Amanda Jo
13991
1507 Broomtown Rd. Lafayette, GA 30728
12/1/2011
Lue, John MD
40145
RN205597
Gustin, Courtney
10239
1120 15th Street Augusta, `GA 30912
7/11/2013
Randy Durbin, DO
64776
RN202617
Gutknecht, Adrienne Nicole
11931
4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004
11/8/2013
Judith Cauvin, MD
59135
RN212085
Guzi, Toni R
12144
1260 Hwy 54 West, Suite 101 Fayetteville, GA 30214
7/10/2014
Nasser Tehrani, MD
53044
RN203390
H Hughes, Tammy
13421
1117 Morningside Dr. Perry, GA 31069
1/6/2012
Merlino, John MD
27868
RN075216
Haack, Martha
10289
550 Peachtree St NE, MOT 6th Floo Atlanta, GA 30308
3/1/2012
Swartz, Amy MD
33718
RN143003
Hackworth, Terry
10525
3280 Howell Mill Rd NW Atlanta, GA 30327
10/7/2011
Morgan III, Joe Harris MD
53503
RN152867
Haggerty, Sharon
10050
2300 Dawson Rd, Suite 101 Albany, GA 31707
4/2/2015
Michael Raines, Md
35979
RN118093
Hagins, Linda Banks
15356
1035 East Forsyth St Americus, GA 31709
3/8/2013
Amy Sprague, MD
35145
RN097428
Haid, Jeanne Ann
11747
3651 Wheeler Rd Augusta, GA 30919
7/10/2014
William Cooper, MD
37977
RN237958
Hails, Catherine Anne
13398
61 Whitcher St, Suite 4100 Marietta, GA 30060
10/4/2007
Caroline Yaphockun, MD
53213
RN094798
Hairel, Tammy Michelle Beason
1205
330 Turner McCall Blvd, Suite 4000 Rome, GA 30165
9/11/2014
Barbara J. Simmons, MD
34716
RN136404
Haizlip, Leslie Anne
13092
833 Campbell Hill St., Ste. 400 Marietta, GA 30060
Wednesday, August 12, 2015
Page 138 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Debra Johnson-Jordan, DO
32592
RN162753
Hajjaji, Sarah Najjar
14102
2739 Felton Dr. East Point, GA 30344
10/9/2014
Tonya Fordham, DO
49292
RN154708
Hale, Jeanette Lynn
13749
277 Lackawanna ST Baxley, GA 31513
1/11/2013
Mark V. Hendricks, MD
43061
RN175434
Hale, Ashley S.
11465
840 Pine St., #780 Macon, GA 31201
11/2/2012
John C. Blankenship, MD
49529
RN086905
Hale, Tina Marie
11253
1500 Oglethorpe Ave. Athens, GA 30606
11/2/2012
Anil Modi, MD
48066
RN197929
Hale, Jessi
11110
300 Medical Dr., Ste 701 LaGrange, GA 30240
12/4/2015
Bridgette Guthrie, MD
69122
RN235394
Hall, Sarah Kathryn
14124
710 Center St Columbus, GA 31901
7/9/2015
Thenmozhi Singaram, MD
65060
RN180217
Hall, Anna
15522
3850 Windermer Pkwy, Ste 105 Cumming, GA 30041
4/2/2015
Riad Ahmad, MD
54203
RN189087
Hall, Jaclyn Nicole
15100
500 Medical Center Blvd Lawrenceville, GA 30042
1/8/2015
Haolat Babalakin, MD
62467
RN185035
Hall, Deirdre
14508
4720 Peachtree Ind Blvd, Ste 4101 Norcross, GA 30071
11/7/2014
Anozie Ukaonu, MD
53729
RN162539
Hall, Peggy L
14183
2000 North Monroe St Albany, GA 31701
9/11/2014
Yvonne Neau, MD
60947
RN118934
Hall, Debra Lee
13896
1950 N. Broad St Alamo, GA 30411
7/10/2014
Anekwe Onwuanyi, MD
58088
RN199006
Hall, Koreen Brenda-Joy
13474
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
6/6/2014
Eric Powell, MD
49081
RN123491
Hall, Linda M
13287
111 Colonial Way Jesup, GA 31545
5/1/2014
Andre Haynes, MD
68818
RN118934
Hall, Debra Lee
13181
195 N Broad St Alamo, GA 30411
Wednesday, August 12, 2015
Page 139 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/6/2013
Gary Olson, MD
20465
RN187338
Hall, Kristina Lynn Nelson
12363
1436 Broadrick Dr, Suite B Dalton, GA 30720
7/11/2013
Michael Raines, MD
35979
RN051703
Hall, Sharon Lee
12059
122 Hwy 280 West, Suite A Americus, GA 31719
6/7/2013
Geetha R. Soodini, MD
59025
RN198776
Hall, Brandi Elizabeth
11588
1505 Northside Blvd, #2800 Cumming, GA 30041
3/8/2013
Kent Ford, DO
40063
RN086005
Hall, Nora Marie
11713
616 Ferncrest Dr Sandersville, GA 31082
9/13/2012
Allan Dias, MD
65759
RN199078
Hall, Adriana Sanchez
11013
1100 Lake Hearn Dr, Suite 450 Atlanta, GA 30342
6/8/2012
Franco, Carlos MD
47748
RN162539
Hall, Peggy
10786
507 Third Ave, Ste 2-3 Albany, GA 31701
3/29/2012
Thompson, Jonathan MD
52646
RN090459
Hall, Cynthia
10626
1012 Burleyson Road Dalton, GA 30720
2/3/2012
Kendrick, John MD
26883
RN219086
Hall, Reagan
10441
3527 North Valdosta Road Valdosta, GA 31602
1/6/2012
Highbaugh-Battle, Agnela
MD
59076
RN123491
Hall, Linda
10368
143 S. Tallahassee St. Hazelhurst, GA 31539
6/5/2009
James Hornsby, MD
54389
RN088093
Hall, Marylin Doreen
8487
1605 Roberta Drive Marietta, GA 30008
2/5/2009
Kirpich Joseph, MD
54904
RN088093
Hall, Marylin Doreen
1213
969 Windy Hill Road, Suite E Smyrna, GA 30080
8/6/2015
Ravin Talati, MD
67172
RN192628
Hallford, Jennifer
15957
1070 Historic Hwy 441, Ste D&E Demorest, GA 30535
7/10/2014
Brenda Hott, MD
41441
RN189107
Halvey, Kathleen Ann
13441
1200 Northside Forsyth Dr, Heart Failure Clinic Cumming, GA
7/9/2015
Troy Akers, MD
#####
RN235848
Hamilton, Doreen
15910
2260 Wrightsboro Rd Augusta, GA 30904
Wednesday, August 12, 2015
Page 140 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/1/2014
Blake Illston, DO
68035
RN235848
Hamilton, Doreen Cynteta
12826
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
3/6/2014
Ahmad Jingo, MD
45842
RN210732
Hamilton, Heather Brown
12980
3424 Flat Shoals Rd Decatur, GA 30035
10/5/2012
Zada Y. Weston-Hill, MD
39009
RN197737
Hamilton, Earla D.
11302
2453 Powder Springs Rd., Ste 210 Marietta, GA 30064
3/4/2010
Jack Dawson, MD
11945
RN099535
Hamilton, Cherille Elizabeth
8826
275 Collier Rd NW, Suite 320 Atlanta, GA 30309
5/8/2015
Jeffry Peters, MD
40514
RN122055
Hamilton-Anderson, Brenda
15388
1815 Old Ocilla Rd Tifton, GA 31794
9/13/2013
Steven Rigdon, MD
22873
RN122055
Hamilton-Anderson, Brenda Ga
12213
2225 US Hwy 41 North Tifton, GA 31794
8/5/2011
Howard McMahan, MD
22824
RN122055
Hamilton-Anderson, Brenda Ga
9851
361 Cargile Rd Ocilla, GA 31774
2/4/2011
Johnathan Gaskins, MD
56836
RN122055
Hamilton-Anderson, Brenda Ga
9592
1101 Ocilla Rd, Emer Dept Douglas, GA 31533
5/7/2009
Richard Lepanto, MD
58694
RN122055
Hamilton-Anderson, Brenda Ga
8547
901 E. 18th St, Emergency Med Svcs Tifton, GA 31794
5/7/2009
Raymond Gutierrez, MD
57983
RN122055
Hamilton-Anderson, Brenda Ga
8533
701 N. Slappey Blvd Albany, GA 31701
3/7/2008
Sandra Brickman, MD
45043
RN122055
Hamilton-Anderson, Brenda Ga
1221
1806 Lee Avenue Tifton, GA 31794
11/7/2014
Dwayne Gard, MD
60731
RN166815
Hammack, Mary Jane
14231
4700 Water Ave Savannah, GA 31403
10/9/2014
Alan Brown, MD
57782
RN132831
Hammack, Rebecca Murphy
12905
425 Third Ave., Ste. 500 Albany, GA 31701
7/11/2013
Dauda Griffin, MD
57468
RN226179
Hammaker, Teresa Suzette
12101
643 Main St Palmetto, GA 30268
Wednesday, August 12, 2015
Page 141 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Richard Gluckman, MD
13982
RN138345
Hammock, Mary
15644
3911 Mary Eliza Trace, Ste 200 Marietta, GA 30064
8/5/2011
Reinaldo Verson, MD
38120
RN127086
Hammock, Jodi Renee Taylor
9955
610 19th Street Columbus, GA 31901
8/5/2011
Jeffrey Cooper, MD
32895
RN138345
Hammock, Mary Frances
9849
3645-A Howell Ferry Rd Duluth, GA 30096
1/9/2009
William Jackson, MD
35913
RN127086
Hammock, Jodi Renee Taylor
8437
2990 Five Forks Trickum Rd SW Lawrenceville, GA 30044
11/1/2007
Dana Hogan, MD
44236
RN127086
Hammock, Jodi Renee Taylor
8089
146 W. Athens Street Winder, GA 30680
5/1/2014
Patrick Coleman, MD
36354
RN232621
Hammond, Leigh Anne
13160
232 19th St., Ste 7220 Atlanta, GA 30363
7/12/2012
Deganian, Javad MD
16053
RN051972
Hammond, Elizabeth
10876
1700 Tree Lane Rd, Ste 110A Snellville, GA 30078
1/7/2010
Rodger Chapman, MD
16769
RN048900
Hammond, Rebecca M Westbr
7700
2890 Delk Road Marietta, GA 30067
11/1/2007
James Beiter, MD
40003
RN079839
Hammond, Myrna B
378
PO Box 422002 Atlanta, GA 30342
6/4/2015
Mehrdad Toosi, MD
67089
RN229929
Hampton, Amber
15602
1200 Northside Forsyth Cumming, GA 30041
5/3/2013
Dixie Griffin, MD
63661
RN116013
RN116013
Hampton, Brigitte
11857
2225 US Hwy 41 North Tifton, GA 31794
10/5/2012
Richard Young
21218
RN195922
Hamrick, Theresa
11088
958-A Joe Frank Harris Pkwy, Ste 101 & 105 Cartersville, GA
10/8/2010
Mark Stovroff, MD
37088
RN159447
Hamrick, Ellen Elizabeth
9329
755 Mount Vernon Hwy, Suite 460 Atlanta, GA 30328
Wednesday, August 12, 2015
Page 142 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Richard Chase, DO
17784
RN11
RN113167
Hamsley, Linda
16075
93 South Broad St Ellaville, GA 31806
11/7/2014
Naresh Parikh, MD
28851
RN210849
Han, Stephanie Bonglae
14201
6330 Primrose Hill Ct Norcross, GA 30092
1/8/2015
Aloysius Mangan, MD
15023
RN213708
Hancock, Crystal
14484
12978 N Main St. Trenton, GA 30752
8/7/2014
Martha Arellano, MD
53698
RN203620
Hancock, Carmen Cristina
13645
1365C Clifton Rd NE, C11520 Atlanta, GA 30322
9/13/2013
Noel Battle, MD
54549
RN177312
Hand, Kristi Lashun
12226
176 Charles Hardy Pkwy, Unit C Hiram, GA 30141
7/9/2015
Jacquelin Miller, MD
43098
RN152732
Handley, Jeana
15754
1035 Red Bud Rd Calhoun, GA 30701
10/9/2014
Michelle Huggins, MD
34368
RN135542
Haney, James Beaumont
14105
870 Crestmark Dr., Ste 202 Lithia Springs, GA 30122
7/11/2013
Deitrick Cox, MD
65394
RN135542
Haney, James Beaumont
12056
8811 Hwy 92, Suite 114 Woodstock, GA 30189
4/2/2015
Jason Smith, MD
57188
RN082087
Hanna, Martha
15241
259 US Hwy 19 N Camilla, GA 31730
1/9/2014
William Macheski, MD
28038
RN233370
Hanna, Mary N
12420
2300 Manchester Expwy, Ste 2001 Columbus, GA 31904
7/9/2015
Felissa Goldstein, MD
57467
RN217488
Hannah, Monica McKeon
15939
1920 Briarcliff Rd. Atlanta, GA 30329
6/6/2014
Yolanda Hacker, MD
45811
RN147193
Hannah, Julie Anne
13361
1650 Buford Hwy Cumming, GA 30041
6/30/2011
Gary Minkiewicz, MD
39182
RN150842
Hannon, Shelley Kristina
9824
200 S. Enota Dr, Suite 200 Gainesville, GA 30501
11/7/2014
Divina Dyer, MD
57161
RN167622
Hannor, Tahisha Batrice
14210
4120 Austell Rd Austell GA, GA 30106-1841
Wednesday, August 12, 2015
Page 143 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2013
James Lantz, MD
28028
RN167622
Hannor, Tanisha Batrice
11745
8820 Hospital Dr Douglasville, GA 30134
2/6/2014
Shahriar Sedghi, MD
37678
RN198740
Hanse, Megan Michelle
12666
610 Third St, Suite 204 Macon, GA 31201
10/9/2014
Kristina Bowen, MD
48981
RN121522
Happe, Anne Marie
14093
3330 Preston Ridge, Ste 110 Alpharetta, GA 30005
9/11/2014
Laura Weakland, MD
39505
RN121522
Happe, Anne Marie
13767
550 Peachtree St NE, Suite 1185 Atlanta, GA 30308
9/11/2014
Rao Moravinei, MD
51360
RN121522
Happe, Anne Marie
13765
747 South 8th St, Suite C Griffin, GA 30224
7/11/2013
John Kauh, MD
52970
RN121522
Happe, Anne Marie
12079
1365-C Clifton Rd Atlanta, GA 30322
5/7/2009
Deneta Sells, MD
58200
RN125164
Harbaugh, Christine M.
8521
494 Boulevard SE Atlanta, GA 30312
9/11/2014
Yolanda Wade, MD
58345
RN029160
Harden, Patricia Faye
13897
1735 S. Hwy 27 Carrollton, GA 30117
6/4/2015
Scott Fantz, MD
12034
RN220318
Hardin, Kelli
15672
175 Samaritan Dr Jasper, GA 30143
6/4/2015
Sharon Hamre, MD
34364
RN197567
Hardin, Jo Lynn
13739
1001 Johnson Ferry Rd. NE, PICU Atlanta, GA 30342
12/6/2013
Johnny Peeples, MD
33427
RN169970
Hardison, Melissa Anne
12596
1223 Plaza Ave Eastman, GA 31023
7/11/2013
Alexander Kessler, MD
50647
RN157897
Hardison, Heather Smith
12076
50 Medical Lane Canton, GA 30114
8/7/2009
Lathan Overstreet, MD
36659
RN188351
Hardtman, Pandora Tamara
8693
340 Boulevard NE, Suite 103 Atlanta, GA 30312
4/2/2015
Shawn Fagan, MD
73150
RN183834
Hardy, Jennifer
15115
3675 J. Dewey Gray Cir, Ste 300 Augusta, GA 30909
Wednesday, August 12, 2015
Page 144 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Tammy Williams, MD
51563
RN165263
Hardy, Luticia
14752
150 Gentilly Blvd Cartersville, GA 30120
1/9/2014
Michael Pompey, MD
23097
RN083197
Hardy, Jennie M Johnson
1246
901 Rice Street Atlanta, GA 30318
5/4/2012
Levy, Howard MD
36207
RN118464
Hardy, Paula
10709
59 Executive Park South Atlanta, GA 30329
5/1/2014
Lisa Robinson, DO
60863
RN163941
Hargett, April Pulliam
13224
1601 Fair Rd., Ste 600 Statesboro, GA 30458
8/5/2011
Melissa Bruhn, MD
43565
RN148927
Hargraves, Andrea Marsha Ker
5176
916 South Broad St Thomasville, GA 31792
2/7/2008
Kimberly Williams, MD
32063
RN185930
Harlow, Andrea Christine
8121
460 West Main Street, Suite 100 Blue Ridge, GA 30513
7/9/2015
Charles Betz, MD
17130
RN075610
Harmon, Jacqueline
15852
1345 Redmond Cirle Rome, GA 30165
8/7/2014
Nicholas Pietrzak, MD
44308
RN213627
Harmon, Amanda Joanne
13637
3951 Ridge Ave, Ste B Macon, GA 31210
4/1/2010
Stephanie Gordon, MD
49382
RN079076
Harmon, Marcia Roberts
9066
2750 Owens Dr, Suite A Conyers, GA 30094
6/4/2015
Palmer Johnston, MD
67656
RN151201
Harper, Amanda Kay
15007
4700 Waters Ave. Savannah, GA 31404
8/9/2013
Kenneth Harper, MD
25983
RN044250
Harper, Terri F
12147
556 Third St, Suite A Macon, GA 31201
8/9/2013
William Kriegel, DO
31962
RN177721
Harper, Katharine Marie
12035
3707 Largent Way Marietta, GA 30064
12/7/2012
Beena Patel, MD
37322
RN177721
Harper, Katharine M.
11356
8095 Roswell Rd Sandy Springs, GA 30350
8/7/2009
Vincent Brawley, MD
33283
RN042192
Harper, Joan Daniel
1251
1350 Walton Way - 3rd floor Augusta, GA 30901
Wednesday, August 12, 2015
Page 145 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2009
Jeffrey Klopper, MD
26321
RN024557
Harper, Mary C.
8472
3188 Atlanta Road SE Smyrna, GA 30080
7/9/2015
Erik Prasatik, MD
61456
RN071579
Harrell, Lori
15912
2260 Wrightsboro Augusta, GA 30904
2/3/2012
Cowart, Charles MD
29161
RN056220
Harrell, Shirley
10427
1101 Ocilla Road Douglas, GA 31533
1/11/2013
Henry Perez, MD
29990
RN204505
Harrington, Meghan
11475
5665 Peachtree Dunwoody Rd. Atlanta, GA 30322
7/9/2015
Ermina Mujadzic, MD
64868
RN228995
Harris, Jessica
15800
447 N Belair Rd, Ste 101 Evans, GA 30809
6/4/2015
Palmer Johnston, MD
67656
RN081306
Harris, Lydia J Boston
15008
4700 Waters Ave. Savannah, GA 31404
5/8/2015
Fritz Jean-Pierre, MD
62725
RN179660
Harris, Katrice
15512
55 Whitcher St, Ste 410 Marietta, GA 30060
3/5/2015
Alexis Cutchins, MD
67925
RN153892
Harris, Kyle
15122
1525 Clifton Rd, Ste 408 Atlanta, GA 30322
1/8/2015
Louis Heller, MD
45238
RN149407
Harris, Mandy
14667
755 Walther Rd Lawrenceville, GA 30046
1/8/2015
Margaret Frank, MD
68775
RN167607
Harris, Sarah Kay
14635
1670 Clairemont Ave Decatur, GA 30033
12/4/2014
John Eanes, MD
56433
RN113723
6
Harris, Wendy
14499
1510 Hudson Bridge Rd Stockbridge, GA 30281
11/7/2014
Bennie Brown
65085
RN228995
Harris, Jessica Mary
14205
925 Branch Ct, Ste 101 Grovetown, GA 30813
9/11/2014
Jose Justiniano-Ayala, MD
46773
RN200398
Harris, Jaime Cherie
15215
1430 Suggs St. Rossville, GA 30741
2/6/2014
Stephen Frohwein, MD
34834
RN096458
Harris, Kim Sheree Sturdivant
12687
5669 Peachtree Dunwoody Rd, Suite 315 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 146 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Erik Shaw, DO
58012
RN165597
Harris, Delecia Monique
12509
2020 Peachtree Rd NW Atlanta, GA 30309
9/13/2013
Mac Bowman, MD
21647
RN228995
Harris, Jessica Mary
12134
818 St Sebastian Way, #308 Augusta, GA 30901
7/12/2012
Waters, Renee MD
35782
RN177469
Harris, Heather
10870
75 Elliot Rd., Ste 210 Dawsonville, GA 30534
8/5/2011
Alan McDonald III, MD
51509
RN146291
Harris, Elizabeth Marie
9878
2001 Peachtree Road, Suite 705 Atlanta, GA 30309
9/14/2007
Suzanne Storey, MD
49845
RN189150
Harris, Leah B
5503
611 E. Villanow St, Bldg 3 Lafayette, GA 30728
6/8/2007
Cheryl Jones, MD
34865
RN109366
Harris, Jeffrey Alan
1259
308 Coliseum Dr Macon, GA 31217
8/6/2015
Pramod Kakarala, MD
72312
RN198333
Harrison, Jessica Marie
16090
745 Poplar Rd Newnan, GA 30265
1/8/2015
Gordon Waters, MD
52849
RN135444
Harrison, Christina Marie
14637
120 E Carter Ave Blackshear, GA 31516
10/9/2014
Amy Case, MD
66176
RN155058
Harrison, Mary Allene
14057
400 Tower Rd., Ste 200 Marietta, GA 30060
10/9/2014
James Cornwell, MD
50608
RN113434
Harrison, Susan Neidlinger
13996
3 Hidden Creek Dr Guyton, GA 31312
9/11/2014
Mokhtar Hacena, MD
55062
RN195227
Harrison, Kristi Lynn
13963
2054 Watson Blvd Warner Robins, GA 31093
7/10/2014
Crystal Owens, MD
48854
RN083533
Harrison, Shirley Dianne
13410
4274 Gray Hwy, Ste E Gray, GA 31032
7/9/2015
Julian Hutchins, MD
18677
RN081204
Harrison-Smith, Kemberly Jean
15934
675 Hamilton St. Sparta, GA 31087
7/10/2014
Richard Baldwin, MD
23894
RN119459
Hart, Kimberly Womack
13483
9280 Hwy 5, Ste A Douglasville, GA 30134
Wednesday, August 12, 2015
Page 147 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Anthony Costrini, MD
14476
RN198296
Hart, Rebecca
11040
PO Box 14417 Savannah, GA 31416
8/7/2009
Norman Novelly, DO
40500
RN119459
Hart, Kimberly Womack
1268
5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342
5/1/2014
Hailu Demissachew, MD
54072
RN234345
Hartfield, Satoya Loreen
12580
19 Redmond Rd. Rome, GA 30165
3/8/2013
Avril Beckford, MD
35814
RN188547
Hartley, Christina Marie
11739
4581 South Cobb Dr, Suite 100 Smyrna, GA 30080
11/5/2009
Thomas Morrow, MD
39879
RN174554
Hartley, Shanda Thompson
1270
5530 Windward Pkwy, Bldg One, #1210 Alpharetta, GA 3000
12/3/2010
Alan Einstein, DO
40900
RN134198
Hartman, Lisa Lou
9465
5400 Laurel Springs Pkwy, Suite 1401 Suwanee, GA 30024
3/6/2009
Craig Johnson, MD
29689
RN134198
Hartman, Lisa Lou
8379
5775 P'tree Dunwoody Rd, #C-200 Atlanta, GA 30342
10/5/2012
Jennifer Wootten, MD
35791
RN036560
Hartsfield, Barbara
11159
10 Park Place Atlanta, GA 30305
10/9/2014
Muhammad Akram, MD
48476
RN170256
Harvell, Katherine Ganas
14026
1921 Alice St, Ste 4A Waycross, GA 31501
2/7/2013
Charles Galea, MD
55229
RN170256
Harvell, Katherine Ganas
11638
615-A Pendleton St. Waycross, GA 31501
5/1/2014
Prashant Mishra, MD
55281
RN175742
Harvey, Maisha Nilanja
13182
3950 Austell Rd Austell, GA 30106
6/6/2014
Becky Campbell, MD
48105
RN160142
Harvill, Star Annette
13261
500 Spillers Way Warner Robins, GA 31088
6/6/2014
Kevin Baggett, DO
48410
RN160142
Harvill, Starr Annette
13260
500 Spillers Way Warner Robins, GA 31088
12/6/2013
Scott Reynolds, MD
59009
RN218149
Harwell, Christina Louise
12620
1700 Hospital Dr, Suite 500 Austell, GA 30106
Wednesday, August 12, 2015
Page 148 of 400
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Susan Jordan, MD
66169
RN142510
Haskew, Barbara
15093
354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265
7/9/2015
Ton deGrauw, MD
66687
RN229345
Hass, Kristen
15889
1605 Chantilly Dr NE, Ste 300 Atlanta, GA 30324
4/2/2015
George Katsitadze, MD
52456
RN229345
Hass, Kristen B
15101
1235 Indian Trail Rd, Ste A 100 Norcross, GA 30093
10/10/2013
Quyen Luu, MD
25216
RN125871
Hastings, Judy Lynn
12387
639 Hemlock St, Suite 200 Macon, GA 31201
7/10/2009
Edward Young, MD
36325
RN125871
Hastings, Judy Lynn
8624
777 Hemlock St, MSC 117 Macon, GA 31201
8/2/2007
Leslie Cottrell, MD
45194
RN057772
Hastings, Judith Ann Rainey
1275
1600 Maple St. Carrollton, GA 30118
8/6/2015
Emile Risby, MD
30869
RN154558
Hatcher, Kimberly
15920
3000 Schatulga Rd Columbus, GA 31907
2/5/2015
Dale Lawson, MD
54233
RN130534
Hatcher, Jenny Marie
14286
126 HWY 280 West Americus, GA 31709
12/1/2011
Woods, W. Jason MD
44383
RN138819
Hatcher, Katherine
10236
220 North Macon Street Macon, GA 3110
8/6/2010
Samuel Johnson, MD
37841
RN118661
Hatcher, Laurie Denise
9207
5300 Memorial Dr, Suite 112 Stone Mountain, GA 30083
7/11/2013
Arnold Gaskin, MD
36382
RN073560
Hatfield, Susan Lynn
11998
3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326
9/11/2014
Richard Chase, DO
17784
RN079347
Hatten, Karen Patricia
13788
300 Medical Ct. Oglethorpe, GA 31068
3/8/2013
Christopher Richards, MD
58316
RN079347
Hatten, Karen Patricia Dumprof
11742
300 Medical Court Oglethorpe, GA 31068
10/8/2010
Richard Chase, DO
17784
RN079347
Hatten, Karen Patricia Dumprof
9323
300 Medical Court Oglethorpe, GA 31063
Wednesday, August 12, 2015
Page 149 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Saghar Navid, MD
63274
RN072965
RN072965
Haupt, Sandra
15712
1045 Bateman Dr Social Circle, GA 30025
3/8/2013
Annette Hinchcliffe, MD
42607
RN225760
Haupt, Vivien G
11731
6300 Hospital Pkwy, Suite 125 Johns Creek, GA 30097
1/8/2015
Bahaaldin Alsoufi, MD
69085
RN192437
Hauserman, Sarah Ashley
14279
1405 Clifton Rd Atlanta, GA 30322
2/7/2013
Marty Sellers, MD
56925
RN189625
Hausner, Julie
11562
1968 Peachtree Rd., NW, Bldg 77, Flr 5 Atlanta, GA 30309
4/1/2011
Akiva Gimpelevich, DO
64219
RN048204
Hawk, Virginia Margaret
9691
2398 Mt Vernon Rd, Suite 150 Dunwoody, GA 30338
1/9/2009
Thomas Murray, MD
23194
RN101168
Hawkins, Theron Edward
1284
1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501
5/8/2015
Ashley Davis, MD
58161
RN174596
Hayek, Brenda
15446
1111 Bullsboro Dr, Ste 6-7 Newan, GA 30265
9/13/2013
Ifeoma Eke, MD
52350
RN174596
Hayek, Brenda Carole
12238
1510 Hudson Bridge Rd Stockbridge, GA 30281
11/7/2008
Eric Hoffler, MD
32752
RN174596
Hayek, Brenda Carole
8319
735 Glen Street South Fayetteville, GA 30214
5/8/2015
Douglas Josephson, MD
46603
RN216264
Hayes, Traci
15449
3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005
1/8/2015
Dexter Page, MD
40974
RN072974
Hayes, Carol Elizabeth
14346
238 Professional Ct, Ste A Riverdale, GA 30274
11/7/2014
Maria Jauhar, MD
62898
RN113495
Hayes, Olivia
14137
2000 Tebeau St Waycross, GA 31501
10/9/2014
James Haymore, MD
9721
RN085278
Haymore, Janet Leah
1291
479 Hwy 98 E Danielsville, GA 30633
10/9/2014
Mark Elam, MD
36147
RN101149
Haynes, Kathleen Norris Colden
14051
1000 Medical Center Blvd, Ste 290 Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 150 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2007
Leslie Cottrell, MD
45194
RN045227
Haynes, Mackie Lee Teate
1293
1600 Maple St. Carrollton, GA 30118
3/8/2013
James Gore, MD
36384
RN144931
Head, Amy Marie
11725
1657 North Expressway Griffin, GA 30223
2/3/2012
Vevera, Elizabeth MD
41990
RN149423
Head, Leslie
10385
3400A Old Milton Pkwy, Ste 130 Alpharetta, GA 30005
1/6/2012
Cunningham, William MD
62325
RN144931
Head, Amy
10308
PO Box 1000 Warm Springs, GA 31830
1/11/2013
Mandy S. Moye, MD
65589
RN129224
Heard, April G.
11407
603 S. Wheat Ave. Bainbridge, GA 39819
10/9/2014
Frederick Burton, MD
38434
RN168023
Hearn, Sherryl Amanda
14065
6020 Harrison Rd. Macon, GA 31206
4/2/2015
Milanieva Latorre, MD
38032
RN234314
Heath, Ashieigh
15304
16201 Barnesville St Zebulon, GA 30295-3250
8/2/2007
Leslie Cottrell, MD
45194
RN144729
Heath, Thomas Gregory
1303
1600 Maple St. Carrollton, GA 30118
4/4/2014
Robert Whipple, MD
46279
RN180320
Heavin, Jennifer Ashley
13145
775 Poplar Rd., Ste. 150 Newnan, GA 30265
3/6/2014
Lisa McMath, MD
53332
RN180320
Heavin, Jennifer Ashley
13029
4000 Shakerag Hill, Suite 201 Peachtree City, GA 30269
1/9/2009
Joel Rosenstock, MD
32036
RN116170
Hebert, Mark G
1304
2484 Briarcliff Road, Suite 24 Atlanta, GA 30329
6/8/2012
Nulph, Michael MD
57735
RN129700
Hedden, Danielle
10638
222 Perry Hwy Hawkinsville, GA 31036
6/8/2012
Kopacz, Sandra MD
32179
RN129700
Hedden, Danielle
10767
222 Perry Hwy Hawkinsville, GA 31092
2/4/2011
Mark Senger, DO
58006
RN129700
Hedden, Danielle K.
9538
PO Box 485 Unadilla, GA 31091
Wednesday, August 12, 2015
Page 151 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Rami Azzouz, MD
50126
RN087760
Hedrick, Caroline M.
11288
1507 Professional Court Dalton, GA 30720
2/5/2009
Daniel Barrow, MD
28110
RN054432
Heeke, Sheila Hope Little
1306
1364 Clifton Rd NE, #B-2200 Atlanta, GA 30322
8/7/2009
Varnada Karriem-Norwood,
MD
48902
RN176347
Heier, Lauren Phyllis
8684
2701 N. Decatur Road Decatur, GA 30033
11/2/2012
Robert D. Mixson, MD
39415
RN194996
Heinrich, Patricia Wood
11221
104 Lakeshore Dr., Ste A St. Marys, GA 31558
7/9/2015
Juliana Nahas, MD
44549
RN132478
Hellam, Patricia
15895
4181 Hospital Dr, Ste 202 Covington, GA 30014
7/9/2015
Chandra Armstrong, MD
43562
RN135983
Hellmer, Carol
15899
1862 Candler Rd Decatur, G 30032
8/10/2012
Edward Meier, MD
43426
RN106534
Hellriegel, Karen
10943
2112 Shorter Ave, Ste 200 Rome, GA 30165
2/4/2011
Monica Hum, MD
53247
RN142576
Helm, Jansen Pryor
1311
95 Collier Rd NW, Suite 4025 Atlanta, GA 30309
12/4/2014
Jon Gibbs, MD
38493
RN203177
Helmly, Crystal
14554
3651 Wheeler Rd Augusta, GA 30909
10/9/2014
Tarak Patel, MD
66394
RN203177
Helmly, Crystal Whitaker
14044
1224 Augusta West Pkwy Augusta, GA 30909
10/9/2014
Brandon Mednick, MD
56138
RN204741
Helms, Rachel Ann
13979
1255 Hwy 54 W, Emer. Dept. Fayetteville, GA 30214
8/7/2014
Jagdeep Singh, MD
59761
RN081220
Helms, Pamela Beth
13608
1168 North Main St., Ste 110 Cedartown, GA 30125
9/14/2007
Wayne Richey, MD
50910
RN081220
Helms, Pamela Beth
1312
160 Central Avenue Trion, GA 30753
10/9/2014
Albert Thompson, MD
22338
RN227468
Helton, Sara Renee
14027
1375 East King Ave. Hwy 40 Kingsland, GA 31548
Wednesday, August 12, 2015
Page 152 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Gregory Martin, MD
47801
RN134376
Helton, Amy Leigh
5229
1498 Jesse Jewell Pkwy, Suite D Gainesville, GA 30501
4/4/2013
Michael Hagues, DO
23977
RN170748
Helton, Tamika LaShun
11782
2300 Manchester Expwy, Emer Dept Columbus, GA 31904
4/3/2008
Michael Butler, MD
35833
RN180038
Hemenway, Shannon Jean
1313
3226-A Hampton Avenue Brunswick, GA 31520
7/9/2015
John Byers, MD
50076
RN246307
Henderson, Jessica
15808
2300 Manchester Expy, Ste 2001 Columbus, GA 31904
6/4/2015
Howard Seeman, MD
34709
RN191332
Henderson, Corie
15706
157 Clinic Ave, Ste 201 Carrollton, GA 30117
6/8/2012
Page, Dexter MD
40974
RN098527
Henderson, Ruby
10748
550 Peachtree S, Ste 1275 Atlanta, GA 30308
10/7/2011
West, Robert MD
43818
RN078420
Henderson, Margo
10141
465 North Belair Rd, Ste 2B Evans, GA 30809
3/5/2015
William Tidmore Jr, MD
41978
RN203841
Hendley, Caroline Perry
14915
2412 North Oak St Valdosta, GA 31602-7567
11/8/2013
Sharne Hampton, MD
30375
RN185352
Henry-Ladge, Nadine Shahine
12479
901 Rice St Atlanta, GA 30318
4/1/2010
Ethan Tolbert, MD
46265
RN185352
Henry-Ladge, Nadine Shahine
8809
550 Peachtree St NE, Suite 1185 Atlanta, GA 30308
10/2/2009
Henry Baughman, MD
45395
RN171049
Hensley, Tinsley Miller
1324
375 Boynton Drive Ringgold, GA 30736
9/1/2011
Catherine Yeagley, MD
46018
RN122848
Henson, Chelsea Skye
1325
2665 N Decatur Rd, Suite 750 Decatur, GA 30033
2/7/2013
Michael D. Hagues, DO
23977
RN170417
Herczeg, Katherine I.
11506
2122 Manchester Expwy, PO Box 7000, ER Columbus, GA 31
6/6/2014
Brooks Moore, MD
53336
RN160044
Hern, Cynthia L
13319
49 Jess Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
Wednesday, August 12, 2015
Page 153 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/9/2014
Hyun Cho-Steinberg, MD
35226
RN160044
Hern, Cynthia L.
12676
1030 Delta Blvd Atlanta, GA 30354
5/6/2011
Michael Frankel, MD
34832
RN137143
Hernaiz, Lizzette
9701
80 Jesse Hill Jr Dr, 8th Floor Atlanta, GA 30303
7/9/2015
Adolfo Molina, MD
24166
RN220723
Hernandez, Patricia
15786
3182 Shallowford Rd Chamblee, GA 30341
11/1/2007
James Beiter, MD
40003
RN071356
Hernandez, Erin
3328
PO Box 422002 Atlanta, GA 30342
8/6/2015
John House, MD
11959
RN197793
Herndon, Courtney
16091
711 Charles Gilman Jr Ave, Ste B Kingsland, GA 31548
10/9/2014
Candi Nobles-Jones, MD
47985
RN191445
Herren, Alexandra Mary
14327
777 Hemlock St Macon, GA 31201
5/1/2014
Atulkumar Patel, MD
30179
RN164161
Herrick, Amy Lynn Hinton
13210
600 Parkway North Newnan, GA 30265
1/8/2015
Hosam Saad-Naguib
39456
RN115942
Herring, Meredith Lynn
14309
1504 N Thornton Ave Dalton, GA 30720
9/2/2010
Benjamin Epstein, MD
35044
RN141123
Herring, Gina Bailey
9256
2665 N. Decatur Rd, Suite 255 Decatur, GA 30033
5/9/2008
Mahaveer Vakharia, MD
38390
RN095672
Herring, Belinda King
8172
4171 Marietta Street, Suite 300A Powder Springs, GA 30127
1/11/2008
Melody Palmore, MD
33679
RN141123
Herring, Gina Bailey
8126
341 Ponce de Leon Ave NE Atlanta, GA 30308
12/7/2007
Minhly Nguyen, MD
49149
RN141123
Herring, Gina Bailey
1331
341 Ponce de Leon Ave NE Atlanta, GA 30308
9/13/2012
Jonathan Ehrlich, MD
15580
RN155556
Herring James, Sherrenah
5183
993-D Johnson Ferry Rd, #360 Atlanta, GA 30042
9/11/2014
Gail Leli Matthews, MD
52182
RN125069
Herrington, Angela Cornelia
13900
2154 Johnson Ferry Rd. NE Atlanta, GA 30319
Wednesday, August 12, 2015
Page 154 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
Kriegel, William DO
31962
RN125069
Herrington, Angela
10002
3707 Largent Way Marietta, GA 30064
12/4/2014
Joseph Verdun, MD
61675
RN115103
Herron, Lesia L
14123
868 York Ave S.W Atlanta, GA 30310
11/7/2008
Matthew Burrell, MD
17998
RN118553
Hess, Carole Jean Zoccolillo
1335
980 Johnson Ferry Rd NE, Suite 900 Atlanta, GA 30342
6/7/2013
Ian Crocker, MD
28391
RN089022
Heup, Lynn D Leandro
11969
1365 Clifton Rd NE Atlanta, GA 30322
11/7/2008
Pudipeddi Sarma, MD
18073
RN089022
Heup, Lynn D Leandro
1338
1700 Tree Lane, Suite 490 Snellville, GA 30078
2/5/2015
Franklyn Geary Jr, MD
30306
RN215271
Hewitt, Yvonne Lucely
14890
80 Jesse Hill Jr. Dr, Box 26134 Atlanta, GA 30303
6/6/2008
Benjamin Cheek, MD
25332
RN160603
Heynen, Courtney-Maree
5187
2300 Manchester Expwy, Ste B001 Columbus, GA 31904
10/9/2014
Kaizad Shroff, MD
62002
RN241773
Hickerson-Jones, Stephanie Nic
14028
705 17th St, Ste 410 Columbus, GA 31901
3/5/2015
William Childs, DO
55116
RN193160
Hickman, Dana Hull
15159
1200 Northside Forsyth Dr. Cumming, GA 30041
11/7/2014
James Walker, DO
32834
Hickman, Kimberly R
14172
1019 Keith Dr. Ste A Perry, GA 31069
9/11/2014
Ann Marie Stokes, MD
63963
RN193160
Hickman, Dana Hull
13782
2000 Building 10th Ave. Ste 410 Columbus, GA 31901
3/8/2013
Brett A. Krummert, MD
65976
RN193160
Hickman, Dana Hull
11401
2033 Buford Hwy, Ste. 109 Buford, GA 30518
10/7/2011
Thenmozhi Singaram, MD
65060
RN193160
Hickman, Dana Hull
9861
3850 Windermere Pkwy, Suite 105 Cumming, GA 30041
6/30/2011
Todd Kelley, MD
47781
RN194193
Hickman, Heather Renee
9830
330 Turner McCall Blvd Rome, GA 30165
4/2/2015
Christopher Crooker, MD
39315
RN158733
Hicks, Robert Francis
15142
748 Old Norcross Rd, Ste 185 Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 155 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/11/2013
Cynthia B. Chamless, MD
30975
RN188989
Hicks, Amy F.
11521
6501 Peake Rd., #200 Macon, GA 31210
10/5/2012
Bobby Harrington, MD
31942
RN097435
Hicks, Violeta Elizabeth Trail
1341
462 E. G. Miles Pkwy Hinesville, GA 31313
1/9/2014
Devica Alappan, MD
49526
RN167875
Higgins, Amy Outlaw
12695
1900 11th Ave, Suite A Columbus, GA 31901
7/11/2013
Michael McDaniel, MD
54841
RN119881
Higgins, Lisbeth
12000
1364 Clifton Rd, Suite F-606 Atlanta, GA 30322
9/11/2014
Andrew Pandya, MD
55323
RN149476
Higgs, Angela Odom
13730
210 East DeRenne Ave Savannah, GA 31405
5/4/2012
Richardson, Eddie MD
52047
RN149476
Higgs, Angela
10660
105 Harmony Crossing, Ste 3 Eatonton, GA 31024
9/13/2013
Kenneth Goolsby, MD
25162
RN196899
Highsmith, Wykeisha Latrice
12272
1990 Limestone Cir, Suite 110 Gainesville, GA 30501
3/6/2014
Sharon Amaya, MD
47182
RN149802
Hightower, Kimberly Copeland
12673
146 Bill Carruth Parkway, Emer Dept Hiram, GA 30141
9/11/2008
Brian DeLoach, MD
51216
RN142352
Hilde, Karen Renea
8298
PO Box 8043 Statesboro, GA 30460-8043
9/11/2008
Brian DeLoach, MD
51216
RN040814
Hilde, Eldonna Marie Chase
1342
PO Box 8043 Statesboro, GA 30460-8043
12/7/2012
Steven A. Durocher, MD
56051
RN123498
Hildebrand, Maria A.
11233
2151 W. Spring St. Monroe, GA 30655
12/3/2010
Henry Philip Morris, MD
30353
RN123498
Hildebrand, Maria A
7791
1010 Prince Ave, Suite 17 Athens, GA 30606
8/7/2009
Leon Martin, MD
26594
RN149041
Hildebrand, Sara Eisen
8697
2701 N. Decatur Rd Decatur, GA 30033
1/9/2009
Earl Grubbs, MD
32742
RN149041
Hildebrand, Sara Eisen
1343
1700 Medical Way Snellville, GA 30078
Wednesday, August 12, 2015
Page 156 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Wyatt Blake, MD
47702
RN168131
Hill, Calita
15918
4421 Carnes St Acworth, GA 30101
3/5/2015
Jamya Pittman, MD
54864
RN158433
Hill, Sylena
14923
1980 Martin Dr Carollton, GA 30117
9/11/2014
Alicia Weksler, MD
37924
RN168131
Hill, Calita suzanne
13927
1012 Burleyson Rd Dalton, GA 30720
6/6/2014
Sheryl Heron, MD
41828
RN212586
Hill, Asha
13318
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
2/6/2014
Steven Wolinsky, DO
47175
RN159234
Hill, Cara C
12653
425 W Third Ave, Suite 600 Albany, GA 31701
8/5/2011
Jennifer Duke, MD
50615
RN060452
Hill, Patricia Cannington
9911
540 Charter Blvd, Suite 100 Macon, GA 31210
12/4/2009
Lee Woodall, MD
22917
RN060452
Hill, Patricia Cannington
8872
101 Houston St Barnesville, GA 30204
1/9/2009
Boykin Robinson, MD
46229
RN106566
Hill, Eric Shannon
1346
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
1/9/2014
Duane Moores, MD
46998
RN195040
Hiller, Nicole Ann
12649
2500 Starling St, Suite 506 Brunswick, GA 31520
1/9/2009
Gregory Zakers, MD
49847
RN183075
Hill-Mekoba, Carmen Sharon
1349
550 Fairburn Road, Suite B-4 Atlanta, GA 30331
8/6/2015
William Watkins, MD
32076
RN183072
Hill-Smith, Qumara
16098
235 Peachtree St NE North Tower Atlanta, GA 30303
11/5/2010
Mary East, MD
63187
RN191957
Hinds, Misty Meredith
9355
539 Hardee St Dallas, GA 30132
1/11/2008
Marat Plotkin, MD
46473
RN090519
Hint, Harriet Carleen Panduro
1353
105 Greencastle Road, Suite A Tyrone, GA 30290
6/4/2010
Margaret Boudreaux, MD
44172
RN158856
Hiser, Melissa Sharon Johnson
9155
763 Peachtree Pkwy, Suite 2 Cumming, GA 30041
Wednesday, August 12, 2015
Page 157 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Harriette Perlstein, MD
31098
RN225115
Hobbs, Laura Elizabeth
13771
4395 Johns Creek Pkwy, Ste 150 Suwanee, GA 30024
6/6/2014
David Goo, MD
31924
RN225115
Hobbs, Laura Elizabeth
13362
1000 Medical Ctr Blvd. Lawrenceville, GA 30046
11/3/2011
Sedghi, Shahriar MD
37678
RN177607
Hobbs, Sarah
10179
610 Third Street, Ste 204 Macon, GA 31201
5/8/2015
Frank Lopez, MD
30132
RN220322
Hochkins, Mary
15367
134 Mountainside Village Pkwy, Bldg 500 Jasper, GA 30143
1/8/2015
Edward Gotlieb, MD
14500
RN242574
Hochstetler, Trinity Joy
14510
5405 D Memorial Dr, Ste D Stone Mountain, GA 30083
10/10/2013
Andrew Waldman, MD
48001
RN151941
Hocking, Timothy Kevin
12381
710 Center St, Emer Dept Columbus, GA 31901
3/7/2008
Daisy Lim, MD
38847
RN151941
Hocking, Timothy Kevin
1356
2705 Airport Road, Suite 101 Dalton, GA 30721
2/6/2014
Candi Nobles-James, MD
47985
RN217912
Hockstedler, Marita Ann
12160
777 Hemlock St, Suite 118 Macon, GA 31201
4/2/2015
Michael Raines, MD
35979
RN210361
Hodges, Jami Nicole
15357
1035 East Forsyth St. Americus, GA 31709
7/10/2014
Michael Deal, MD
29623
RN104429
Hodnicki, Deanna Renee O'Don
13263
112 Hill Pond Lane Statesboro, GA 30458
9/11/2014
Sandeep Khurana, MD
70813
RN175854
Hodo, Michael Paul
13901
1120 Fifteen St BBR2538 Augusta, GA 30912
7/11/2013
Theresa Christie, MD
42543
RN069440
Hoehn, Nancy Lee
1359
2258 Wrightsboro Rd, Suite 150 Augusta, GA 30904
5/1/2014
Courtney Middleton, MD
57295
RN218934
Hoepfner, Marianne Vera
13107
11975 Morris Rd, Suite 300 Alpharetta, GA 30005
8/6/2015
Magdalena Soldanska, MD
3733
RN205683
Hoffman, Jocelyn
15891
975 Johnson Ferry Rd NE, Ste 100 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 158 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Altee Johnson, MD
60387
RN169860
Hoffman, Judy
15909
101 Yorktown Dr, Ste 110 Fayetteville, GA 30214
9/11/2014
Jameson Estes, MD
48852
RN169860
Hoffman, Judy Lynn
13978
5454 Venture Ct. Monticello, GA 31064
8/5/2011
Kamlesh Patel, MD
52481
RN169860
Hoffman, Judy Lynn
9953
303 Parkway Dr Atlanta, GA 30312
4/1/2011
Kathy Mansfield, MD
38299
RN169860
Hoffman, Judy Lynn
9599
210 Hannah's Mill Rd Thomaston, GA 30286
7/1/2010
William Jackson, MD
35913
RN169860
Hoffman, Judy Lynn
9150
1365 Rock Quarry Rd, Suite 200 Stockbridge, GA 30281
2/5/2010
Dong Trang, DO
57691
RN169860
Hoffman, Judy Lynn
8966
801 West Gordon Street Thomaston, GA 30286
1/6/2012
Budlong, Brenda MD
34749
RN060455
Hoffmann, Linda
10328
304 Shorter Avenue Rome, GA 30165
11/7/2014
Randall Meredith, MD
50821
RN134384
Hogg, Leigh Ann
14145
811 13th St, Ste 20 Augusta, GA 30901
6/6/2008
James Kinahan, MD
35277
RN087295
Hogue-Kinahan, Janice Kaye
1366
5471 Chamblee Dunwoody Road Dunwoody, GA 30338
8/9/2013
William Boydston, MD
34112
RN191603
Holbrook, Blaire Hatcher
12150
5455 Meridian Mark Rd NE, Suite 540 Atlanta, GA 30342
6/6/2014
Paul Donnan, MD
47892
RN099217
Holcomb, Carole Strohm
1368
477 Windsor St SW, Suite 309 Atlanta, GA 30312
3/6/2014
Sara Harbin MD
66353
RN187563
Holcomb, Mindy Lynn
13030
14-A Legacy Way Adairsville, GA 30103
3/8/2013
Julaine B. Cross, MD
56037
RN101888
Holcomb, LaDonna L.
11543
255 W 5th Street, #300 Rome, GA 30165
3/5/2015
Melissa Warner, MD
33480
RN184767
Holdsworth, Noel
15073
310 Black Bear Ridge Sautee Nacoochee, GA 30571
Wednesday, August 12, 2015
Page 159 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Annmarie Books, MD
56806
RN146949
Holiday, Demetrius Denise
13744
35 Jessie Hill Jr. Dr Atlanta, GA 30303
5/8/2015
Paul King, MD
36198
RN071958
Holland, Kathleen
15361
285 Boulevard, Ste 415 Atlanta, GA 30312
4/1/2010
William Garrett, MD
43373
RN102280
Holland, Wendy Jean Olmstead
8860
6602 Waters Ave, Bldg C Savannah, GA 31406
6/4/2010
Samuel Griffin, MD
26287
RN123667
Hollett, Mary Elizabeth
1375
700 Sunset Dr, Suite 101 Athens, GA 30606
11/1/2007
Jasmina Warren, MD
29555
RN111917
Holley, Sherry Perkins
1376
189 Jefferson Parkway Newnan, GA 30263
7/11/2013
John Corbin, MD
34800
RN197148
Hollifield, Jr, Anthony Theodore
11958
2122 Manchester Expry, Emer Dept Columbus, GA 31904
8/10/2012
Foster, Carl MD
57618
RN197148
Hollifield, Jr, Anthony
10909
6400 Flat Rock Road Columbus, GA 31907
1/8/2015
Cheryl Reinhardt, MD
60316
RN093472
Hollingsworth, Kimberly Jean
14584
2800 Overlook, MD Atlanta, GA 30339
9/13/2013
Norvin Ona, DO
37634
RN171362
Hollingsworth, Crichton Anne
12307
1925 Old Peachtree Rd Lawrenceville, GA 30043
9/11/2014
D. Shawn Surratt, MD
55984
RN138048
Hollis, Elizabeth Maria
13712
505 Amelia Ave. Bainbridge, GA 39819
6/4/2010
Gloria Kayfan, DO
48431
RN138048
Hollis, Elizabeth Maria
1378
PO Box 1908 Albany, GA 31701
3/6/2009
Michael Brooks, MD
29420
RN196128
Hollis, Nila Erica
8424
868 York Avenue Atlanta, GA 30310
6/6/2014
James Douglas, MD
33569
RN201389
Holloway, Ashley Ann
13364
15 Riverbend Dr, SW Rome, GA 30161
3/1/2012
Smith, Jason MD
52635
RN170114
Holloway, Hollie
10553
550 Professional Drive Macon, GA 31201
Wednesday, August 12, 2015
Page 160 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Olawale Osunsanya, MD
72784
RN245596
Holman, Melissa
15860
2136 Delores St Colguitt, GA 39837
8/7/2014
Jaymal Patel, MD
50984
RN047369
Holmes, Jennifer Cassiel Spires
13627
3120 North Oak St Ext, C Valdosta, GA 31602
10/2/2009
Foster Brin, MD
29980
RN047369
Holmes, Jennifer Cassiel Spires
8667
175 Emery Hwy Macon, GA 31217
10/2/2009
Nathan Feibelman, MD
28768
RN047369
Holmes, Jennifer Cassiel Spires
8668
175 Emery Hwy Macon, GA 31217
10/2/2009
James Fenley, MD
34584
RN047369
Holmes, Jennifer Cassiel Spires
8691
175 Emery Hwy Macon, GA 31217
8/2/2007
Thomas R. Rumble, MD
13078
RN047369
Holmes, Jennifer Cassiel Spires
1381
2121-A Bellevue Road Dublin, GA 31021
8/10/2012
Patrick Dorvilus, MD
60450
RN152873
Holsey, Angela
10947
380 Sconyers Street Metter, GA 30439
12/7/2007
Melody Palmore, MD
33679
RN048542
Holstad, Marcia McDonnell
1384
341 Ponce de Leon Avenue NE Atlanta, GA 30308
10/8/2010
Grace Davis, MD
39770
RN118735
Holt, Stacy Exum
9344
203 W. Kelley St Sylvester, GA 31791
6/5/2009
Samantha Anderson, MD
49158
RN081255
Holt, Lisa Renee
5193
4360 Chamblee Dunwoody Road, Ste 370 Atlanta, GA 30341
5/1/2014
F Geoffery Conner, MD
33555
RN164616
Holton, Cynthia Kaye
11989
1608 Meadows Lane, Suite 1 Vidalia, GA 30474
10/5/2012
Peter Higgins, MD
65260
RN164616
Holton, Cynthia
11146
101 Harris Industrial Blvd., Suite A Vidalia, GA 30474
8/7/2009
Cecil Sharp, MD
27662
RN149723
Holton, Rhonda Lynn
7864
1350 Walton Way - 3rd Floor Augusta, GA 30901
11/7/2014
Yvonne Smith, MD
42443
RN170654
Homa, Gina Rene
14129
4910 Jonesboro Rd, Ste 701 Union City, GA 30291
Wednesday, August 12, 2015
Page 161 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/3/2011
Henry Patton, MD
22861
RN057108
Homeyer, Dana Carole Davis
9787
6175 Newton Dr Covington, GA 30014
8/6/2015
Jocelyne Tadros, MD
61652
RN159919
Honeycutt, Stephanie
16099
743 Spring St NE Gainesville, GA 30501-3715
2/5/2010
Kirk Kanter, MD
30631
RN159919
Honeycutt, Stephanie W.
8977
1405 Clifton Rd Atlanta, GA 30322
5/8/2015
Kemisha Key, MD
70663
RN145867
RN145867
Hood, Marian
15436
2122 Manchester Expressway Columbus, GA 31908
7/10/2014
Sangha Sumandeep, MD
56222
RN141343
Hooker, Tanisha Renae
13567
1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214
11/8/2013
Felix Amoa-Bonsu, MD
55916
RN141343
Hooker, Tanisha Renae
12409
5185 Old National Hwy Atlanta, GA 30349
2/6/2014
Janise Whitesell, MD
47867
RN115975
Hooks, Donna Jean Joiner
12816
501 N Kings Bay Rd Kingsland, GA 31548
12/1/2011
Pierzchajlo, Richard MD
22620
RN118682
Hooks, Julie
10225
1489 Kennedy Road Tifton, GA 31794
5/8/2015
David Morris, MD
28828
RN097494
Hooks Jr., Jerry Dwayne
15464
3280 Howell Mill Rd, Ste 326 Atlanta, GA 30327
4/2/2015
Alicia Weksler, MD
37924
RN095695
Hooper, Tracy
15256
1012 Burleyson Dalton, GA 30720
6/7/2013
Polow, Sarah DO
24067
RN095695
Hooper, Tracy
10585
824 G I Maddox Pkwy Chatsworth, GA 30705
8/6/2015
Matthew Johnston, MD
30109
RN155541
Hoover, Abigail
15974
3025 Shrine Rd, Ste 150 Brunswick, GA 31520
5/6/2011
Jennifer Miller, MD
46996
RN155541
Hoover, Abigail Currier
9613
390 EH Court Brunswick, GA 31520
4/2/2015
Jessica Stepp, DO
69261
RN188946
Horn, Lauren Bramlett
15338
48 Hills Creek Rd. Taylorsville, GA 30178
Wednesday, August 12, 2015
Page 162 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2008
David Jacobson, MD
21405
RN182990
Horn, Martha Tallman
7964
2665 N. Decatur Rd, Suite 520 Decatur, GA 30033
4/2/2015
Anthony Olofintuy, MD
45309
RN243697
Horne, Katherine Marie
15180
118 Enterprise Court, Ste B Columbus, GA 31904
5/4/2012
Sells, Deneta MD
58200
RN198433
Horne, Allie
10692
490 Bill Kennedy Way Atlanta, GA 30316
11/5/2009
Anuj Manocha, MD
45876
RN200954
Horne, Wanda Yejide
8704
1700 Hospital South Dr, Suite 502 Austell, GA 30100
3/8/2013
Larry A. Fritchman, MD
57970
RN159649
Horner, Rose Marie I.
11610
843 Falls Rd. Toccoa, GA 30577
1/8/2015
Vincent Barker, MD
66252
Rn131042
Hornsby, Juile Tiner
14591
11045 Columbia Rd Blakely, GA 39823
1/8/2015
Jennifer Beckman, MD
66453
RN176163
RN176163
Hornsby, Lauren Elane
14795
523 Dixie St, Ste 3 Carrollton, GA 30117
3/4/2011
Mallory McRae, MD
50218
RN131042
Hornsby, Julie Tiner
9585
1518 Miluli Ave Bainbridge, GA 39819
9/11/2014
Damon Kimes, MD
50322
RN116039
Hostetler, Joy
13758
1490 Pleasant Hill Rd. Duluth, GA 30096
6/5/2009
Medel Reyes, MD
48815
RN165675
Hough, Kenyetta Mashanna
8569
55 Whitcher St, Suite 420 Marietta, GA 30060
9/11/2014
Richard Maxa, MD
42655
RN192388
Houlday, Lauren Kremer
13902
3505 Dulth Pk LN Ste 400 Dulth, GA 30096
8/7/2014
Rishi Gupta, MD
64947
RN226014
Houser, Scarlett Marie
13223
61 Whitcher St, Suite 3110 Marietta, GA 30060
5/8/2015
Hans Yehnert, MD
72516
RN226783
Howard, Patricia
15377
251 N lyerly St Ste 100 Chattanooga, TN 37404
2/5/2015
Josephine Ediale, MD
50514
Rn168272
Howard, Heather Hendon
14873
626 Dallas Hwy Villa Rica, GA 30180
Wednesday, August 12, 2015
Page 163 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Rhonda Wachsmuth, MD
56664
RN192503
Howard, Christi Nicole
14989
780 Canton Rd, Ste 410 Marietta, GA 30060
9/13/2013
Idopise Umana, MD
62295
RN208802
Howard, Christie Jane
12320
1515 River Place Braselton, GA 30517
4/13/2007
Michael Walter Szpak, MD
34256
RN143388
Howard, Jacqueline Elaine
1412
1009 N. Monroe St. Albany, GA 31701
7/9/2015
Omari Hodge, MD
70459
RN073038
Howell, Charlotte
15757
120 Marietta Hwy Canton, GA 30014
5/8/2015
Charles Semones, MD
51737
RN186042
Howell, Allen Blaine
15448
56 Ebenezer Rd Ellaville, GA 31806
8/7/2014
George Powell, MD
37046
RN201410
Howell, Susan Bellinger
13664
3207 Country Club Dr. Valdosta, GA 31605
4/4/2014
Craig Fredericks, MD
32907
RN198780
Howell, Rachel Hearon
12305
704 South Broad St. Thomasville, GA 31792
5/4/2012
Lee, Clay DO
46610
RN206614
Howell, Jennifer
10664
207 31st Avenue SE Moultrie, GA 31768
3/1/2012
Berl, Seth MD
24390
RN206614
Howell, Jennifer
10554
#9 Hospital Park Moultrie, GA 31768
5/7/2009
Jeffrey Gallups, MD
33774
RN189639
Howell, Sarah Lynn
2057
2365 Old Milton Pkwy Alpharetta, GA 30004
11/8/2013
Michelle Morgan, DO
51694
RN142462
Howell-Philip, Vanessa
12528
Take Care, 9465 Hwy 5 Douglasville, GA 30135
7/10/2009
Alvin Cheatham, MD
22732
RN142462
Howell-Philip, Vanessa
1423
6000 N. Terminal Pkwy, Suite ATR-R3 Atlanta, GA 30320
4/4/2014
Shalini Reddy, MD
45935
RN205032
Hoyt, Heather Smith
13057
1825 Martha Berry Blvd Rome, GA 30165
8/6/2015
Nicholas Lembo, MD
28430
RN206671
Hu, Yuan
16028
275 Collier Rd NW, Ste 500 Atlanta, GA 30309
Wednesday, August 12, 2015
Page 164 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/12/2012
Ralph Jackson, MD
22794
RN206671
Hu, Yuan
10853
771 Old Norcross Road Ste 110 Lawrenceville, GA 30046
5/6/2011
Morgan McLemore
59290
RN121854
Hu, Qiuping
9759
1365-C Clifton Rd, Suite 3078 Atlanta, GA 30322
3/4/2011
Stanley Jones, MD
47607
RN169681
Hubbard, Mandy D. Brinson
9654
391 Peacdhtree St Jesup, GA 31545
9/2/2010
Eddie Thomas, MD
53192
RN169681
Hubbard, Mandy D. Brinson
9272
391 Peachtree St Jesup, GA 31545
4/1/2010
Viranuj Sueblinvong, MD
61664
RN197288
Hubbard-Green, Deneek B.
9045
1365 Clifton Rd NE, Clinic A, Suite 4346 Atlanta, GA 30322
8/7/2009
Michael Szpak, MD
34256
RN048168
Hubble, Wanda Ann Bland
8628
1009 N. Monroe Street Albany, GA 31701
8/6/2015
Marisol Sanlnocencio, MD
47654
RN157685
Hudson, Jessica
15894
1001 Fernwood Dr Milledgevilole, GA 31061
8/6/2015
Melissa Sanchez, MD
64056
RN093576
Hudson, Kelly
15976
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318-6653
2/5/2015
Tom Bledsoe, MD
41730
RN101917
Hudson, Lori Ann
14688
509 Alabama Ave Bremen, GA 30110
7/10/2014
William Cunningham, MD
62325
RN064157
Hudson, Virginia N
13423
PO Box 68, 5919 Spring St. Warm Springs, GA 31830
10/4/2007
Duan Huang, MD
55058
RN064157
Hudson, Virginia N
1431
6135 Roosevelt Hwy, PO Box 1000 Warm Springs, GA 31830
9/14/2007
Ronald Pirtle, MD
13784
RN093576
Hudson, Kelly Kruegler
1429
239 Ivan Allen, Jr. Blvd Atlanta, GA 30313
7/10/2014
Christine Danforth, MD
42503
RN097026
Hudson-Gallogly, Wanda Kim
13539
1008 N. 3rd Ave. Chatsworth, GA 30705
4/2/2015
Tamer Middleton, MD
24856
RN168244
Huenink, Laura
15189
1762 Mars Hill Rd. NW Acworth, GA 30101
Wednesday, August 12, 2015
Page 165 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/2/2008
Carl Goolsby, MD
34144
RN168244
Huenink, Laura Carlisle
8224
176 Marietta Hwy, Bldg A, Suite A Hiram, GA 30141
10/10/2013
Michael Tucker, MD
57695
RN203094
Huff, Patrick Demond
12374
6262 Veterans Pkwy Columbus, GA 31909
7/9/2015
Mark Coker, MD
56276
RN215455
Hughes, Jolee
15877
14557 Griffin Highway 19 Ste A Griffin, GA 30224-9582
5/8/2015
Debora Quigley, MD
36601
RN208019
Hughes, Jaclyn
15311
2257 Hwy 515, Ste B Blairsville, GA 30512
4/2/2015
Mohamed Elhassan, MD
72970
RN119281
Hughes, Wendy Lynn
14904
5398 Thomaston Rd, Ste B Macon, GA 31220
2/5/2015
George Gowder, MD
25163
RN208019
RN208019
Hughes, Jaclyn Camille
14869
35 Hospital Rd Blairsville, GA 30512
2/5/2015
Cynthia Libert, MD
59457
RN213917
Hughes, Michael
14794
48 Haralson Place, Ste One Blairsville, GA 30512
5/3/2013
Edwin Hiatt, MD
12920
RN194267
Hughes, Joshua Emmett
11792
VSU Student Health, 200 Georgia Ave Valdosta, GA 31698
12/4/2009
Keith Sanders, MD
34237
RN190189
Hughes, Brandy Jeanne
8857
993 Johnson Ferry Rd NE, Bldg F, #120 Atlanta, GA 30342
8/7/2009
Mobolaji Ogunsakin, MD
55136
RN203390
Hughes, Tammy H.
8699
1118 Morningside Dr, Suite A Perry, GA 31069
8/2/2007
Debora Quigley, MD
36601
RN123670
Hughes, Leslie Lynn
7792
130 Hospital Circle Blairsville, GA 30512
3/6/2014
Jennifer Adu-Frimpong, MD
51901
RN225315
Huliganga, Christina Rimando
12722
710 Center St, Emer Dept Columbus, GA 31901
10/8/2010
David Bosshardt, MD
26225
RN113447
Hullender, Loma Teems
1437
128 Battlefield Crossing Ct Ringgold, GA 30736
2/5/2015
Jason Mount, MD
55847
RN195261
Hume, Kimberly
14799
200 Allen Memorial Dr Bermen, GA 30110
Wednesday, August 12, 2015
Page 166 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/9/2013
Richard Warren, MD
54956
RN195261
Hume, Kimberly Renee
12130
705 Dixie St Carrollton, GA 30117
7/10/2014
Christine Danforth, MD
42503
RN053488
Hummel, Elaine Dubel
13459
1008 N. 3rd Ave Chatsworth, GA 30705
2/7/2013
Charles E. Allen, MD
20644
RN089263
Humphries, Marcella J.
11626
2324 Limestone Overlok Gainesville, GA 30501
5/7/2009
Louellen Gurley, MD
42263
RN175845
Humphries, Rebecca Fondren
8064
303 Smith Street LaGrange, GA 30240
3/5/2015
Nidia Meyer, MD
66528
RN241969
Hunnicutt, Kenneth Dawson
14263
306 Shorter Ave Rome, GA 30165
4/2/2015
Tracey Lemon, MD
50723
RN224876
Hunt, Hope
15140
315 Boulevard NE, Ste 224 Atlanta, GA 30312
10/9/2014
Michael Sumner, MD
63062
RN199404
Hunt, Valencia Ciara
14042
1120 15th St. BI5092 Augusta, GA 30912
7/10/2014
Loren Hunt, MD
20549
RN112687
Hunter, Tamara Stewart
13476
330 Hawthorne Lane Athens, GA 30606
6/8/2012
Sheth, Anuradha MD
40547
RN173796
Hunter, Elizabeth
10636
755 Old Norcross Road Lawrenceville, GA 30046
6/8/2012
Reynolds, Scott MD
59009
RN073046
Hunter, Vicky
10726
1700 Hospital South Drive, Ste 500 Austell, GA 30106
7/9/2015
Marc Kornfield, MD
28807
RN139521
Hurd, Deborah Luann
15937
1335 Canton Rd, Ste C Marietta, GA 30066
7/11/2013
Daniel Moore, MD
38562
RN139521
Hurd, Deborah Luann Aldridge
11796
790 Church St, Suite 330 Marietta, GA 30060
5/6/2011
Jeff Reinhardt, MD
47250
RN113074
Hurdelbrink, Tappie Faye
5200
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
7/9/2015
Donald Manning, MD
23635
RN081291
Hurlebaus, Anna Elizabeth
15790
1968 Peachtree Rd NW Atlanta, GA 30309
12/4/2014
Sean Lambert, MD
30336
106631
Hurley, Robin Diane
14579
260 Elm St Cumming, GA 30040
Wednesday, August 12, 2015
Page 167 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Tasha Feaster, MD
62690
RN182617
Hurst, Sabine
15660
235 Peachtree St NE North Tower, Ste 2100 Atlanta, GA 303
7/10/2014
Kevin Clearly, MD
52263
RN182617
Hurst, Sabine Cary
13518
1255 Hwy 54 W Fayettevile, GA 30214
1/6/2012
Jones, Ernest DO
41851
RN117835
Hurt, Beatrice
10311
216 Hospital Drive Cordele, GA 31015
12/4/2009
Ram Reddy, MD
24178
RN134515
Hurt, Jason B.
8672
132 Franklin Springs Street Royston, GA 30662
8/6/2015
Reden Delgado, MD
65957
RN061331
Huston, Treasa
16062
80 Redmond Rd Rome, GA 30165
1/8/2015
Roger Hiser, MD
48899
RN061331
Huston, Treasa Diane
12720
962 Joe Frank Harris Pkwy, #104 Cartersville, GA 30120
5/3/2013
Albert Lintel, III, MD
28595
RN061331
Huston, Treasa Diane
11786
958 Joe Frank Harris Pkwy, #100 Cartersville, GA 30120
1/7/2010
Steven Schwartz, MD
26025
RN061331
Huston, Treasa Diane
1458
Occup Med 958 Joe Frank Harris Pkwy NW, #100 Cartersville
5/1/2014
Franklin Geoffery Conner,
MD
33555
RN154042
Hutcheson, Ladonna Marie
13171
1608 Meadows Lane, Suite 1 Vidalia, GA 30474
12/7/2007
Lumawig Munsayac, MD
15028
RN154042
Hutcheson, Ladonna Marie
8104
441 W. Broad Street Mt. Vernon, GA 30445
2/5/2015
Theodora Mbanefo, MD
56596
RN156504
Hutchins, Georgia
14743
9249 Hwy 29-N Athens, GA 30601
9/2/2010
Kaveh Khajavi, MD
51201
RN181652
Hutchison, Anthony Lauren
9255
2001 Peachtree Rd NE, Ste 550 Atlanta, GA 30309
12/7/2012
Dillon D. Miller, MD
67508
RN125716
Hyde, Douglas A.
11454
4799 Blue Ridge Dr., Ste 104 Blue Ridge, GA 30513
2/4/2011
Crystal Comeau, MD
61224
RN125716
Hyde, Douglas Anderson
9579
4799 Blue Ridge Hwy, Suite 104 Blue Ridge, GA 30513
Wednesday, August 12, 2015
Page 168 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Ghari Richardson, MD
59948
RN206962
RN206962
Hyers, Heather
14372
2804-C N Oak St Valdosta, GA 31602
9/11/2014
James Clabby, MD
16042
RN232024
Hyman, Rhona Alesia
14010
9280 Hwy 5, Ste H Douglasville, GA 30134
3/8/2013
Rahim Gul, MD
52073
RN118753
Ibeanusi, Grace Nwachukwu
1465
3945 Lawrenceville Hwy Lilburn, GA 30047
5/8/2015
Sandra Gibbs, MD
32192
RN145774
Idowu, Frances
15455
3240 South Cobb Dr Smyrna, GA 30082
6/6/2014
Hany Atallah, MD
52678
RN144525
Idusuyi, Esohe
1466
49 Jesse Hill Jr. Dr., Box 26178 Atlanta, GA 30303
2/5/2015
Corie Tewari, MD
67695
RN157568
Ighile, Faith
14874
2701 North Decatur Rd Decatur, GA 30033
8/6/2015
Bamidele Adeyemo, MD
69744
RN201775
Igunbor, Oluwadamilola
16050
303 Parkway Dr NE Atlanta, GA 30312
1/8/2015
Kenneth Sanford, MD
36449
RN132218
Ikeakanam, Roseline
14461
2989 W Rockquarry Rd Buford, GA 30518
9/11/2014
Angela Evans, DO
66597
RN197583
Ikonne, Blessing Ada
13904
871 Forest Pkwy Forest Park, GA 30297
3/4/2010
Syamala Erramilli, MD
47896
RN171553
Ikwueme, Seraphine
8976
4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084
2/3/2012
Warren, William MD
23126
RN047165
Ilgenfritz, Nancy
10447
1015 1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
8/7/2014
William Redwood, MD
33180
RN170392
Ingle, Christa Hunton
13596
677 Church St. Marietta, GA 30060
8/6/2015
Robb Fulton, DO
73325
RN063917
Ingram, Cynthia
16064
1365-D Sam Nunn Blvd Perry, GA 31069
7/12/2012
Schmidt, Michael MD
58500
RN063917
Ingram, Cynthia
10814
633 Veterans Pkwy, Ste 6 Moultrie, GA 31768
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Rosalind Womack, MD
72171
RN163089
Ingram-Jones, Trinity Lynn
15231
303 Fraser Dr Hinesville, GA 31313
7/11/2013
Stephen Morgan, MD
63714
RN064849
Irick, Susan A.
12006
743 Spring St Gainesville, GA 30501
3/4/2010
Barry Jones, MD
12495
RN120987
Irwin, Christine Lynn Miller
9026
5965 Parkway North Blvd, Suite C Cumming, GA 30040
5/1/2014
Brion Randolph, MD
68281
RN185361
Isaac, Jessica Joy
13211
600 Parkway North Newnan, GA 30265
1/11/2013
Karlsson, Gottfrid Jona MD
66380
RN136301
Isaac, David
10727
745 Poplar Road Newnan, GA 30265
9/1/2011
Obiorah, Samuel MD
42379
RN136301
Isaac, David
10016
350 Hospital Drive Macon, GA 31217
4/2/2015
Leslie Leigh, MD
34752
RN122247
Ivemeyer, Joy
15128
500 Medical Center Blvd Lawrenceville, GA 30042
4/2/2015
Anilkumar Pillai, MD
45914
RN207536
Ivey, Sharonda Lasha
15184
707 N Houston Rd Warner Robins, GA 31093
4/2/2015
Kennon McLendon, MD
33393
RN106643
Ivey, Karen Belinda
15219
710 Center St. Columbus, GA 31901
9/11/2014
Jim Barlow, MD
30717
RN106643
Ivey, Karen Belinda
13779
235 Peachtree St. NE, N Tower, Ste 2100 Atlanta, GA 30303
8/6/2010
Erik Bauer, MD
57425
RN188532
Ivie, Abigail Dahl
9241
5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342
11/8/2013
Pamella Charles-Pryce, MD
58155
RN108038
Iwhere, Lovinda Ihuoma
12503
2464 Roswell Rd Marietta, GA 30062-4954
1/7/2011
Larry Tune, MD
37409
RN108038
Iwhere, Lovinda Ihuoma
9335
1841 Clifton Rd Atlanta, GA 30329
12/3/2010
Dolapa Babalola, MD
59119
RN109484
Iwotor, Esther Ijeoma
9496
1595 West Cleveland Ave East Point, GA 30344
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/11/2008
Melissa Eaton, MD
48507
RN138990
Jacchia, Kelly Michelle
1483
110 N. Corners Pkwy, Suite 100 Cumming, GA 30040
5/8/2015
Ayhan Haddad, MD
50628
RN142499
Jacek, Wendy
15391
1250 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501
11/8/2013
Dustin Russell, MD
66541
RN142499
Jacek, Wendy
12457
4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041
8/6/2015
Walter Watkins, MD
29260
RN071218
Jackson, Stephanie
15943
2260 Wrightsboro Rd Augusta, GA 30904
4/2/2015
Javed Fazal, MD
57457
RN190639
Jackson, Teri Holloway
15092
1860 Watson Blvd. Warner Robins, GA 31093
10/9/2014
Dave Ringer, MD
30368
RN139599
Jackson, Missy Leigh
14442
803 South Main St Greensboro, GA 30642
9/13/2013
Lisa Miller, MD
38874
RN063451
Jackson, Joy
1493
4152 Baker St NE Covington, GA 30014
7/11/2013
Patrick Fenlon, MD
27373
RN045920
Jackson, Beverly Kay Root
1486
119 West Hill St Thomasville, GA 31792
7/12/2012
Ikpe, Chinedum MD
66121
RN071218
Jackson, Stephanie
10903
745 Poplar Road Newnan, GA 30265
6/8/2012
Donnan, Paul MD
47892
RN140032
Jackson, Antonina
10752
100 Edgewood Avenue NE, Ste 1020 Atlanta, GA 30303-3065
1/6/2012
Lynn Flowers, MD
56708
RN071218
Jackson, Stephanie
10282
601 South 8th Street Griffin, GA 30224
5/6/2011
Michael Connor, MD
31581
RN136000
Jackson, Rebecca Suzanne Brig
5203
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
3/4/2011
David Robertson, MD
27244
RN140032
Jackson, Antonina Gabrielle
9645
77 Collier Rd, Suite 2080 Atlanta, GA 30309
8/6/2010
Alton Pilcher, MD
27238
RN110128
Jackson, Nancy Ellen Champion
1495
3652 J Dewey Gray Circle Augusta, GA 30909
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2009
Rachel Velez, DO
39500
RN154383
Jackson, David Ray
1488
PO Box 845 Quitman, GA 31643
11/5/2009
Reginald Nesbitt, MD
58300
RN071218
Jackson, Stephanie B.
8641
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
6/5/2009
Jamie Walraven, MD
45023
RN071218
Jackson, Stephanie B.
8588
7285 Hwy 16, Suites C & D Senoia, GA 30276
4/2/2009
Michael Satchell, MD
49593
RN128152
Jackson, Hope Cherisse
1490
806 14th Ave, Suite C Albany, GA 31701
3/6/2009
Gary Orris, MD
37636
RN194439
Jackson, Anitra Lauche
8177
6160 P'tree Dunwoody Rd NE, #100A Atlanta, GA 30328
1/9/2009
Alexander Saker, Jr, MD
33187
RN143526
Jackson, Kelly Len
8338
600 Professional Drive, Suite 210 Lawrenceville, GA 30045
3/5/2015
Bradley Heiges, MD
50479
RN218070
Jackson, Jr., Harold Eugene
15158
210 E. DeRene Ave. Savannah, GA 31405
5/8/2015
Maria Aaron, MD
42086
RN126358
Jacob, Christine
15515
1365B Clifton Rd 5th Flr, Clinic B Atlanta, GA 30322
7/9/2015
Timothy Ward, MD
23125
RN211599
Jacobs, Laura
15841
500 Gordon Ave Thomasville, GA 31799
11/7/2014
Warren Theis, MD
55345
RN121991
Jacobs, Robert Scott
14113
403 A Lister St Waycross, GA 31501
2/6/2014
Eric Davis, MD
63648
RN121991
Jacobs, Robert Scott
12949
13202 Cleveland St West, Suite 200 Nahunta, GA 31553
9/14/2007
Lina Harper, MD
55237
RN121991
Jacobs, Robert Scott
1501
303 Darling Ave. Waycross, GA 31501
11/8/2013
Devin Handley, MD
48356
RN230675
Jacobs-Kalick, Maria Anz
12474
2659 Abutment Rd Dalton, GA 30720
4/2/2015
Claude Sportes, MD
71418
RN225668
Jacobson, Stephanie
15133
1120 15th St, Ste BA-5407 Augusta, GA 30912
Wednesday, August 12, 2015
Page 172 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Charles Roman, DO
43757
RN246514
James, Tiffany
15697
2737 Warm Springs Rd Columbus, GA 31904
7/9/2015
Ginari Price, MD
56712
RN172395
James, Melody
15738
223 Medical Center Dr Riverdale, GA 30274
5/8/2015
Richard Morse Jr, MD
42094
RN243022
James, Alexcia
15510
2122 Manchester Expressway Columbus, GA 31904
1/8/2015
Prima Foster, MD
57619
RN114907
James, Angela
14788
6400 Flat Rock Rd Columbus, GA 31907
10/10/2013
Rupert Dyer, DO
51314
RN102411
James, Rita Robinson
12230
PO Box 391 Dawson, GA 39842
5/6/2011
Matthew Grundfast, DO
52944
RN169998
James, Chandra Marie Robinso
9736
1009 N. Monroe St, Suite 102 Albany, GA 31701
1/7/2011
Jayanthi Srinivasiah, MD
33204
RN106466
James, Mylene Perez
9537
2712 Lawrenceville Hwy Decatur, GA 30033
3/1/2012
Reisman, William MD
61510
RN218868
Jamieson, Sarah
10544
80 Jesse Hill Jr Drive Atlanta, GA 30303
11/3/2011
Sung Chang, MD
52693
RN078803
Janney, Magenia Walker
9982
7351 Old Moon Rd Columbus, GA 31909
8/6/2010
Benedict Benigno, MD
17010
RN130879
Jaramillo, Martha Cecilia
9190
960 Johnson Ferry Rd, Suite 130 Atlanta, GA 30342
7/9/2015
Mary Huber, MD
36399
RN088693
Jarboe, Kathleen
15847
3520 Piedmont Rd, Ste 330 Atlanta, GA 30305
5/8/2015
Claudia Venable, MD
50455
RN141087
Jardina, Joanna
15414
1001 Johnson Ferry Rd Atlanta, GA 30342
11/8/2013
Anthony Hoots, MD
33114
RN198077
Jarrett, Jared Lewis
12486
425 W 3rd Ave, Suite 510 Albany, GA 31707
11/2/2012
Gail Matthews, MD
52182
RN140219
Jasper, Lisa
11201
1855 Hudson Bridge Rd. Stockbridge, GA 30281-5000
Wednesday, August 12, 2015
Page 173 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
Solomon Tafari, MD
42956
RN192215
Jayakumar, Bhanu
11938
2701 N Decatur Rd Decatur, GA 30033
10/9/2014
Leo Ovadje, MD
55143
RN195618
Jefferson, Latasha D
13766
105 North Park Trail Ste. 300 Stockbridge, GA 30281
9/11/2014
Zada Weston-Hill, MD
39009
RN195618
Jefferson, Latasha Devonne
13895
1810 GA Hwy 20 SE, Suite 172 Conyers, GA 30013
6/7/2013
Zada Weston-Hill, MD
39009
RN157741
Jefferson, Tonya Kay Smythwic
11769
2890 Hwy 212, Suite E Conyers, GA 30094
10/8/2010
Alvin Griffin, MD
32107
RN157741
Jefferson, Tonya Kay Smythwic
1515
1039 E. Freeway Drive Conyers, GA 30094
4/2/2015
Zandraetta Tims-Cook, MD
63616
RN103467
Jefferson-Saboor, Andrea Rene
15254
285 Boulevard NE, Ste 525 Atlanta, GA 30312
1/8/2015
James Short, MD
23877
RN103467
Jefferson-Saboor, Andrea Rene
14708
882 Ponce De Leon Atlanta, GA 30306
2/5/2015
Yvonne Carter, MD
73208
RN139560
Jeffers-Smith, Jennifer Ann
14938
1650 County Services Pkw Marietta, GA 30008
9/11/2014
Africa Alvarez-McLeod, MD
35733
RN139560
Jeffers-Smith, Jennifer Ann
1513
1650 County Services Pkwy Marietta, GA 30008
7/9/2015
Rami Arfoosh, MD
63559
RN091095
Jenkins, Melinda
15734
30 Satellite Dr, Ste 200 Winder, GA 30680
10/9/2014
Julie Braddy-Roberts, MD
68759
RN183344
Jenkins, Catherine Alysia
14048
7830 Veterans Pkwy, Ste H Columbus, GA 31909
1/11/2013
Anthony J. Marchetti, MD
31471
RN100176
Jenkins, Lisa M.
11502
801 West Gordon St. Thomaston, GA 30286
1/11/2013
Foloshade Omole, MD
49074
RN166060
Jenkins, Brandy G.
11461
Take Care Clinic, 794 S. Park St. Carrollton, GA 30117
8/6/2010
John Layher, MD
46692
RN091095
Jenkins, Melinda Sue Hunter
1521
2470 Daniells Bridge Rd, Suite 251 Athens, GA 30606
Wednesday, August 12, 2015
Page 174 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2007
Vintonne' Naiden, MD
31482
RN108642
Jenkins, Michelle R.
1522
3951 Snapfinger Pkwy #350 Ste 350 Decatur, GA 30035
5/10/2007
Jonathan F. Busbee, MD
40336
RN100176
Jenkins, Lisa Marie
1519
615 South Center Street Thomaston, GA 30286
5/10/2007
Joseph R. Shaver, MD
42430
RN117622
Jenkins, Dana Michelle Ramer
1518
3630 J. Dewey Gray Circle Augusta, GA 30909
10/10/2013
Matthew Wheatley, MD
57702
RN143268
Jenkins, III, Charles
11941
49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303
6/30/2011
Sarvotham Kini, MD
34170
RN143268
Jenkins, III, Charles
9809
4930 Governors Dr, Suite 409 Forest Park, GA 30297
10/5/2012
David Arnall, MD
36916
RN099810
Jennings, Melinda
11122
101 Yorktown Dr., Ste 100 Rayetteville, GA 30214
1/9/2014
Jin Kim, MD
54442
RN205660
Jeon, Jenny H
12624
1325 Satellite Blvd, Suite 701-A Suwanee, GA 30024
8/7/2009
Jill Purdie, MD
61324
RN161911
Jeon, Won Sun
5205
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
11/7/2014
Mark Senger, DO
58006
RN149163
Jernander, Brandi
14184
222 Perry Hwy, Building A Hawkinsville, GA 31036
6/8/2007
William McGarity, MD
21747
RN169469
Jestel, Jennifer Lynn Waller
3109
5243 Snapfinger Woods Dr. Decatur, GA 30035
12/6/2013
Gary Harvey, MD
20728
RN194643
Jett, Sunni Lea
12593
3219 College St, Box 20448 Savannah, GA 31404
7/10/2014
Collyn Steele, MD
66424
RN221418
Jewell, Lisa Kristine
13486
50 Kelly Rd. McDonough, GA 30253
5/8/2015
Guilda Saint-Fleur, MD
69627
RN214076
Jha, Shashank
15288
10945 State Bridge Rd Alpharetta, GA 30022
4/2/2015
Douglas Laipple, MD
21410
RN214076
Jha, Shashank
15313
2849 B Henderson Mill Rd Atlanta, GA 30341
Wednesday, August 12, 2015
Page 175 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
Fidias DeLeon, MD
63891
RN214076
Jha, Shashank Kumar
11896
2484 Briarcliff Rd, Suite 24 Atlanta, GA 30329
11/8/2013
Thomas Armistead, MD
69086
RN230014
Jividen, Elaine Beth
12458
915 Interstate Ridge Rd Gainesville, GA 30501
2/5/2015
Aziz Pirani, MD
61934
RN139623
Jiwani, Rehana Jamaluddin
14942
4025 Lawrenceville Hwy NW, Ste A Lilburn, GA 30047
7/9/2015
Paul Harvey, MD
48960
RN204511
Jobe, Susan
15804
2650 GA-138 Jonesboro, GA 30236
12/4/2014
Collyn Steele, MD
66424
RN204511
Jobe, Susan Leanne
14574
50 Kelly Rd McDonough, GA 30253
5/8/2015
George Pursley, MD
31308
RN218349
Jock, Kirkley
15419
511 Pleasant Home Rd Augusta, GA 30907
6/8/2012
Shah, Nikhil DO
57674
RN174399
John, Leena
10728
1800 Howell Mill Rd, Ste 500 Atlanta, GA 30318
12/3/2010
Karina Belinfante, MD
55726
RN192936
RN192936
John, Sarah Katherine
9417
3903 South Cobb Dr, Suite 120 Smyrna, GA 30080
8/6/2015
Gary Stewart, MD
57845
RN197812
Johnson, Carol
16041
105 Regency Park Dr McDonough, GA 30253
8/6/2015
Toosi Seilanian, MD
67089
RN074598
Johnson, Eva
15862
200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466
7/9/2015
Andrew Magnet, MD
60215
RN055775
Johnson, Lowanda
15771
1 Aflac Parkway Columbus, GA 31907
6/4/2015
Ella Amador, MD
70033
RN139652
Johnson, Kristie
15690
616 19th St, Ste 200 Columbus, GA 31901
6/4/2015
Aloysius Mangan, MD
15023
RN109410
Johnson, Stephanie
15575
615 E Villanow St Lafayette, GA 30728
5/8/2015
Melody Palmore, MD
33679
RN226151
Johnson, Brandon
15387
341 Ponce De Leon Ave Atanta, GA 30308
Wednesday, August 12, 2015
Page 176 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Tamika Bryant, MD
65940
RN185555
Johnson, Qiana
15416
975 Johnson Ferry Rd, Ste 350 Atlanta, GA 30342
5/8/2015
Clark Colvard, MD
28388
RN193587
Johnson, Erin
15381
102 Gross Crescent Circle Fort Oglethorpe, GA 30742
4/2/2015
Catherine Burley, MD
26230
RN180553
Johnson, Claudette Angella
15221
868 York Ave., SW Atlanta, GA 30310
4/2/2015
Walter Hill, MD
9835
RN116219
Johnson, Angeletta
15327
PCCA 3201 Atlanta Industrial Blvd, Ste 303 Atlanta, GA 3033
4/2/2015
Arvind Chakravarthy, MD
68991
RN181532
Johnson, Courtney Kate
14943
1514 Vernon Rd LaGrange, GA 30240
12/4/2014
Catherine Apaloo, MD
71964
RN242242
Johnson, Pamela
14469
1500 Oglethorpe Ave, Ste 600 E/F Athens, GA 30606
10/9/2014
Tammy McLean, MD
53496
RN162979
Johnson, Brandilyn Kay
13689
705 17th St Columbus, GA 31901
9/11/2014
Ira Robinson, MD
47830
RN197812
Johnson, Carol C
13846
1240 Eagles Landings Pkwy Ste. 100 Stockbridge, GA 30281
9/11/2014
Jennifer Adu-Frimpong, MD
51901
RN139652
Johnson, Kristie Michelle
13948
1514 Vernon Rd., ER Lagrange, GA 30240
9/11/2014
Bennie Brown, DO
65085
RN190791
Johnson, Jennifer Lynn
13750
151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088
9/11/2014
Ernest Kamara, MD
60285
RN074598
Johnson, Eva P
13800
743 Spring St Gainesville, GA 30501
9/11/2014
Dorothy Stewart, MD
46565
RN185555
Johnson, Qiana Aidah
13857
5820 Old National Hwy College Park, GA 30349
9/11/2014
Jong Choi, MD
52043
RN123212
Johnson, Denise
13966
413 Pottery Factory Dr. Commerce, GA 30529
7/10/2014
Kennon McLendon, MD
33393
RN181532
Johnson, Courtney Kate
12994
710 Center St, Emer Dept Columbus, GA 31904
Wednesday, August 12, 2015
Page 177 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Stanford Voegele, MD
57201
RN027354
Johnson, Mae D
13444
1107 Memorial Dr, Suite 300 Dalton, GA 30720
6/6/2014
Michael Early, MD
27806
RN176056
Johnson, Christina Susanne
13366
201 Avera Drive Fort Valley, GA 31030
4/4/2014
Ashfaq Saiyed, MD
44833
RN195771
Johnson, Whitney Brooks
13078
202 S Cherry St Ocilla, GA 31774
3/6/2014
David Elwood, MD
57963
RN175391
Johnson, Anita Joyce
1526
55 Whitcher Street, Ste 130 Marietta, GA 30060
3/6/2014
Jennifer Adu-Frimpong, MD
51901
RN181532
Johnson, Courtney Kate
12721
710 Center St, emer Dept Columbus, GA 31901
2/6/2014
Anekwe Onwuanyi, MD
58088
RN229652
Johnson, Jasmine Jevon
12598
80 Jesse Hill Dr Atlanta, GA 30303
9/13/2013
Peter Holliday, III, MD
26557
RN101726
Johnson, Laurie Faye Garfield
12324
420 Charter Blvd, Suite 402 Macon, GA 31210
9/13/2013
Lawrence Berman, MD
35374
RN123212
Johnson, Denise
12198
413 Pottery Factory Dr Commerce, GA 30529
4/4/2013
Anthony Ditaranto, MD
29865
RN190791
Johnson, Jennifer Lynn
11823
915 Elmo St Americus, GA 31709
3/8/2013
Catherine Schwender, MD
59189
RN083477
Johnson, Stephanie Michelle Fi
1544
1500 Oglethorpe Ave, Suite 2000 Athens, GA 30606
6/8/2012
Senger, Mark DO
58006
RN093193
Johnson, Kimberly
10768
2809 Pine Street Unadilla, GA 31091
1/6/2012
Irfan, Ahmad MD
41584
RN195771
Johnson, Whitney
10312
2003-A Pioneer Street, Ste A Waycross, GA 31501
1/6/2012
Blache, Charlene MD
45728
RN139381
Johnson, Kirsten
10307
406 M Northside Drive Valdosta, GA 31602
1/6/2012
Moore, Linda MD
55849
RN162979
Johnson, Brandilyn
10348
610 19th Street Columbus, GA 31901
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
William Macheski, MD
28038
RN162979
Johnson, Brandilyn Kay
9639
2525 Williams Rd Columbus, GA 31909
8/5/2011
Quyen Luu, MD
25216
RN052724
Johnson, Christy Lynn Rodehea
9837
639 Hemlock St, Suite 200 Macon, GA 31201
6/30/2011
James Metcalf, MD
28188
RN164766
Johnson, Heather Constance
9813
409 W Fourth Ave Albany, GA 31701-1915
5/6/2011
Leonard Heffner, MD
15780
RN112745
Johnson, Paul Douglas
1543
1365-C Clifton Rd NE Atlanta, GA 30322
5/6/2011
Errol Graham, MD
32388
RN106778
Johnson, Beverly Kay
9699
105 E. Tollison St, Suite B Baxley, GA 31513
10/8/2010
Maged Abdelmalik, MD
55077
RN113824
Johnson, Angela Dawn
9298
36261 Okefenokee Dr Folkston, GA 31537
8/6/2010
Evelyn Johnson, MD
56182
RN106778
Johnson, Beverly Kay
9172
510 South Main St, Suite B Baxley, GA 31513
9/3/2009
Connie DuPre, MD
31675
RN052724
Johnson, Christy Lynn Rodehea
1529
1657 North Expressway Griffin, GA 30223
8/7/2009
Mohamad Kassem, MD
40934
RN179949
Johnson, Nicole Tamara
8687
3580 Cameron Pkwy Stockbridge, GA 30281
7/10/2009
Edwin Hiatt, MD
12920
RN078675
Johnson, Teresa W.
1545
200 Georgia Avenue Valdosta, GA 31698
6/5/2009
Robert Hudec, MD
40104
RN040414
Johnson, Margaret Jeanne Hails
1540
145 N. Medical Pkwy Woodstock, GA 30189
2/5/2009
Frenesa Hall, MD
35892
RN170210
Johnson, Christie Pheona
8372
5979 Buford Hwy, Suite B-4 Doraville, GA 30340
1/9/2009
Albert Thompson, MD
22338
RN113824
Johnson, Angela Dawn
8354
1001 N. Third Street Folkston, GA 31537
10/2/2008
Timothy Daugherty, MD
37781
RN077029
Johnson, Laura Kristen Jones
1534
4451 Paulsen Street Savannah, GA 31405
Wednesday, August 12, 2015
Page 179 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2008
G. Edgar Anderson, MD
33263
RN054352
Johnson, Juanita Onbey
5456
4700 Battlefield Pkwy, Suite 220 Ringgold, GA 30736
4/4/2014
Bruce Gioia, MD
38774
RN081322
Johnson, Jr., Robert Howard
13042
1110 Hillcrest Pkwy Dublin, GA 31021
6/4/2015
Virna Simmons, MD
60614
RN183331
Johnson-Ruise, Kimberlyn
15642
1355 S Park St. Carrollton, GA 30117
7/9/2015
Udaya Moti, MD
51362
RN123293
Johnson-Young, LaTonja
15583
2249 Vinson Hwy Milledgeville, GA 31061
8/6/2015
Kenneth Taylor, MD
38985
RN117517
Johnston, Susan
16092
275 Collier Rd NW, Ste 500 Atlanta, GA 30309
12/4/2014
Sarvotham Kini, MD
34170
RN176049
Johnston, Amanda
14462
108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602
7/11/2013
Tami Breton, MD
38695
RN215247
Johnston, Jennifer Beasley
11878
3805 Cherokee St Kennesaw, GA 30144
7/12/2012
Deganian, Javad MD
16053
RN155547
Joiner, Juanita
10877
1700 Tree Lane, Ste 110A/B & 360 Snellville, GA 30078
11/7/2014
Arthur Chandler Jr., MD
27513
RN144235
Jolly, Erin Ann Halford
1549
1238 D'Atignac St Augusta, GA 30901
8/6/2015
Paul Zolty, MD
54142
RN147388
RN147388
Jones, Cecile
15994
3820 Medical Park Dr Austell, GA 30106
8/6/2015
Mopelola Isola, MD
#####
RN112762
Jones, Tracy
15948
600 West Memorial Dr Dallas, GA 30132
7/9/2015
Andrew Darlington, MD
71597
RN165239
Jones, Tarvorshae
15743
745 Poplar Rd Newnan, GA 30265
4/2/2015
Ronnie Smith. MD
45338
RN203521
Jones, Jena Marie
15239
543 Jonesboro Rd McDonough, GA 30253
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Louis Casal, MD
35579
RN180743
Jones, Shauna Rae
14917
1405 Clifton Rd NE Atlanta, GA 30322
1/8/2015
Robert Forster, MD
36969
RN170338
Jones, Jasmynn
14638
1670 Clairmont Rd Decath, GA 30033
10/9/2014
George Katsitadze, MD
52456
RN217169
Jones, Sydney Catherine
14052
6450 Spalding Dr., Ste A Norcross, GA 30092
10/9/2014
Dana Kumjian, MD
35673
RN196846
Jones, Codi Brianne
14029
1115 Lexington Ave. Savannah, GA 31404
9/11/2014
Eduardo Rojas, MD
30370
RN151386
Jones, Anna Christine
13680
1035 Red Bud Rd, Ste 201 Calhoun, GA 30701
6/6/2014
Angela Floiyd, MD
65546
RN189118
Jones, Sherri Lynn
13253
477 Windsor St SW, Suite 309 Atlanta, GA 30312
10/10/2013
Pete Williams, MD
59940
RN176548
Jones, Lisa Varney
12333
743 Spring St Gainesville, GA 30501
4/4/2013
Valarie Manley, MD
32783
RN224915
Jones, Lisa Michelle
11830
101 Beckett Lane, Suite 502 Fayetteville, GA 30214
2/7/2013
Erica Jin, DO
64396
RN093541
Jones, Janine Roxanne Coleman
11655
1942 Atkinson Rd, Suite 100 Lawrenceville, GA 30043
2/3/2012
Bush, Stanley MD
48846
RN066948
Jones, Anita
10313
1508-B Hardeman Ave Macon, GA 31201
1/6/2012
Nayudu, Sasi MD
47932
RN134343
Jones, Floia
10315
1112 N. Madison Albany, GA 31701
10/7/2011
Wu, Jonathan MD
53967
rn047344
Jones, Mary
10046
2665 N. Decatur Road #430 Decatur, GA 30033
8/5/2011
Erskine James, MD
47980
RN130471
Jones, Angela Queen
1552
707 Pine St Macon, GA 31210
6/30/2011
Jonathon Molnar, MD
54914
RN176230
Jones, Dustin T.
9831
550 Redmond Rd Rome, GA 30165
11/5/2010
Rahil Kazi, MD
41593
RN167974
Jones, April Gretchen Gaddy
9326
1707 Watson Blvd Warner Robins, GA 31093
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/8/2010
William Boydston, MD
34112
RN176256
Jones, Anne Marie
9357
5455 Meridian Mark Rd, Suite 540 Atlanta, GA 30342
9/2/2010
Cynthia Rust, MD
35132
RN047344
Jones, Mary I.
9318
634 McDonough Blvd SE Atlanta, GA 30315
8/6/2010
David Brand, MD
46045
RN028735
Jones, Marie E.
9216
103 R E Jennings Ave SE Arlington, GA 39813
12/4/2009
Karen Fehr-D'Alessandro,
MD
35178
RN073104
Jones, Rhonda Dee
1562
5354 Reynolds St, Suite 222 Savannah, GA 31405
12/4/2009
Shreedhar Nagnur, MD
49192
RN112762
Jones, Tracy Kathleen
8835
600 West Memorial Dr Dallas, GA 30132
9/3/2009
LaSonya Roberts, MD
52818
RN166594
Jones, Tanya D.
1566
340 Kennestone Hosp Blvd, Suite 150 Marietta, GA 30060
6/5/2009
William Shilling, III, MD
47841
RN066948
Jones, Anita Carole Waller
1553
426 Hwy 26 East Cochran, GA 31014
3/6/2009
Todd Robinson, MD
41937
RN104371
Jones, Paula Deloach
1561
241 Silverwood Commercial Dr Rincon, GA 31326
1/9/2009
Anuj Manocha, MD
45876
RN112762
Jones, Tracy Kathleen
1567
1700 Hospital South Drive, Suite 502 Austell, GA 30106
5/9/2008
Charles Brown, III, MD
28383
RN153007
Jones, Nikisha Sharina
7882
275 Collier Road, Suite 500 Atlanta, GA 30309
6/8/2007
Victor E. Corrigan, MD
26489
RN047344
Jones, Mary I
1558
5665 P'tree D'woody Rd, Ste 172 Atlanta, GA 30342
12/4/2014
Oscar Salvat, MD
49742
RN159335
Jordan, Diana Sanders
13557
602 East 16th Ave, Ste B Cordele, GA 31015
9/11/2014
Dale Lawson, MD
54233
RN094008
Jordan, Sarah Lee
13787
1048 E. Forsyth St Americus, GA 31709
9/11/2014
Paula Greaves, MD
43631
RN093291
Jordan, Wronda Jo Williams
13777
833 Campbell Hill St., Ste 400 Marietta, GA 30060
Wednesday, August 12, 2015
Page 182 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Mana Kasongo, MD
57753
RN094008
Jordan, Sarah Jean Lee
13293
2000 Palmyra Rd. Albany, GA 31701
8/9/2013
George Yared, MD
46662
RN094008
Jordan, Sarah Jean Lee
12104
2225 US Hwy 41 North Tifton, GA 31794
5/3/2013
Bryan Philbrook, MD
47009
RN044779
Jordan, Mary Catherine
11754
975 Johnson Ferry Rd Atlanta, GA 30342
3/4/2011
James Palazzolo, MD
37637
RN148424
Jordan, Michelle Marie Chase
9591
804 13th Ave Albany, GA 31707
2/5/2010
Marsha Pierdinock, MD
36846
RN148424
Jordan, Michelle Marie Chase
8959
1009 N. Monroe St Albany, GA 31701
1/7/2010
Roy Sanders, MD
50837
RN061785
Jordan, Dorothy Henry
8889
160 Clairemont Ave, Ste 445 Decatur, GA 30030
1/11/2008
Dan Dan, MD
39084
RN165700
Jordan, Lucynda Reaves
8133
275 Collier Road NW, Suite 300 Atlanta, GA 30309
3/6/2009
Shahzad Hashmi, MD
53239
RN098399
Jorgensen, Maria Connie
5536
250 North Avenue Athens, GA 30601
3/4/2010
William Parrish, MD
47989
RN204912
Joseph, Elsie F.
8946
200 Allen Memorial Drive Bremen, GA 30110
3/4/2010
Beena Patel, MD
37322
RN165867
Joseph, Jessica Susan Garland
9012
8095-A Roswell Rd Atlanta, GA 30350
2/5/2015
Charles Green, MD
17456
RN118331
Josman, Saul
14808
1 Freedom Way Augusta, GA 30904
7/10/2009
Ronald Wayne Williams, MD
60338
RN155568
Joyner, Amber Nobles
8643
1707 Meadows Lane, Suite C Vidalia, GA 30474
1/8/2015
Stephen Rohn, MD
40212
RN213303
RN213303
Jumper, Hannah Rebeccah
14639
1436 Broadrick Dr, Ste B Dalton, GA 30720
4/2/2015
Shahed Brown, MD
61400
RN105837
Jurado, Steffanee
15041
1670 Clairmont Rd Decatur, GA 30033
Wednesday, August 12, 2015
Page 183 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
James Haymore, MD
9721
RN205599
Jurgensen, Katharine
14451
11973 Augusta Rd Lavonia, GA 30553
4/4/2014
Licheng Tian, MD
47853
RN204732
Kaddour-Djebbar, Benaissa
13055
3405 Mike Padgett Hwy Augusta, GA 30906
3/6/2014
Carla Bedford-Dixon, MD
60239
RN115671
Kagha, Esther C.
1578
2797 Campbellton Rd SW, Suite C-2 Atlanta, GA 30311
7/9/2015
Dolapo Babalola, MD
59119
RN143541
Kaimachiande, Finda
15817
595 Piedmont Ave, Ste 100 Atlanta, GA 30308-2480
6/6/2014
Manjushree Ghose, MD
42827
RN143541
Kaimachiande, Finda-Mani Mar
13292
595 Piedmont Ave, Suite 100 Atlanta, GA 30308
1/8/2015
Rajeswari Natarajan, MD
55501
RN189926
Kalen, Jennifer
14734
1255 Hwy 54 West Fayetteville, GA 30214
3/8/2013
Manish Vig, MD
67829
RN189926
Kalen, Jennifer Michelle
11683
745 Poplar Rd, Emer Dept Newnan, GA 30265
3/8/2013
Kevin Cleary, MD
52263
RN189926
Kalen, Jennifer Michelle
11682
1255 Hwy 54 West Fayetteville, GA 30214
3/7/2008
Stephen Prater, MD
41929
RN189926
Kalen, Jennifer Michelle
8030
95 Collier Road, Suite 5015 Atlanta, GA 30319
2/3/2012
Obenshain, Michael MD
36839
RN119187
Kallis, Kelly
10461
4000 Shakerag Hill, Ste 301 Peachtree City, GA 30269
4/2/2015
Raxit Patel, MD
64951
RN244318
Kallon, Seibattu
15269
55 Witcher St, Ste 160 Marietta, GA 30060
10/5/2012
Matthew A. Wheatley, MD
57702
RN152416
Kalm, Heather
11154
80 Jesse Hill Jr. Dr. Atlanta, GA 30303
9/11/2014
Uchenna Kalu, MD
62127
RN206385
Kalu, Eberechi Linda
13905
3904 N Druid Hills Rd Ste 269 Decatur, GA 30033
7/9/2015
Lee Wilkes, MD
41033
RN162951
Kamali, Esmaeil Ben
15709
4426 Hugh Howell Rd, B 303 Tucker, GA 30084
Wednesday, August 12, 2015
Page 184 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Ahmad Jingo, MD
45842
RN169167
Kamara, Asata
15684
3424 Flat Shoals Rd Decatur, GA 30034
5/8/2015
Rebecca Fasano, MD
72541
RN196611
Kamel, Nada
15498
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
5/8/2015
Raymond Faught, MD
63347
RN196611
Kamel, Nada
15497
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
5/8/2015
Ioannis Karakis, MD
67662
RN196611
Kamel, Nada
15496
1365 Clifton Rd NE Bldge B Ste 2200 Atlanta, GA 30322
5/8/2015
Naymee Velez-Ruz, MD
66733
RN196611
Kamel, Nada
15495
1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322
5/8/2015
Andres Rodriguez-Ruez, MD
72103
RN196611
Kamel, Nada
15494
1365 Clifton Rd NE Bldg B ste 2200 Atlanta, GA 30322
5/8/2015
Maria Silva, MD
65059
RN196611
Kamel, Nada
15493
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
5/8/2015
Suzette LaRoche, MD
46149
RN196611
Kamel, Nada
15492
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
5/8/2015
Sandra Helmers, Md
48784
RN196611
Kamel, Nada
15491
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
5/8/2015
Charles Epstein, MD
16228
RN196611
Kamel, Nada
15490
1365 Clifton Rd NE, Ste 2200 Bldg B Altanta, GA 30322
5/8/2015
Evan Gedzelman, MD
64544
RN196611
RN196611
Kamel, Nada
15489
1365 Clifton Rd NE Bldg B Ste 2200 Atlanta, GA 30322
12/4/2014
Prashant Mishra, MD
55281
RN153313
Kanyuira, Jane Wangeci
13266
3950 Austell Rd Austell, GA 30106
4/2/2015
Safia Pirani, MD
56624
RN226485
Kapoor, Ritu
14921
3330 Peachtree Corners Cir, Ste H Norcross, GA 30092
7/10/2014
Robert Campbell, MD
53429
RN149215
Kappes, Julie Nora
13454
1226 D'Antignac St Augusta, GA 30901
Wednesday, August 12, 2015
Page 185 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2009
Arun Pol, MD
39907
RN132103
Karaga, Joann
8435
6290 Abbotts Bridge Rd, Suite 502 Johns Creek, GA 30097
6/6/2014
Bryan Hooker, MD
32586
RN090147
Karr, Nance Carol
12750
220 J L White Dr, Suite 110 Jasper, GA 30143
8/6/2015
Maiysha Clairborne, MD
55194
RN135364
Karraker, Barbara
16123
1000 Johnson Ferry Rd, Ste B155 Marietta, GA 30068
12/6/2013
Lawrence Dudas, MD
66026
RN167541
Kartchner, Elizabeth Ann Maug
12583
743 Spring St Gainesville, GA 30501
12/4/2008
Beverly Hyacinth, MD
57003
RN105066
Kassens, Jane Marie
1585
2670 Cobb Pkwy SE Smyrna, GA 30080
11/8/2013
Dave Ringer, MD
30368
RN098045
Kauffman, Donna Amanda Ridl
1586
803 South Main St Greensboro, GA 30642
8/6/2015
Rekha Singh, MD
38154
RN141621
Kaur, Balwinder
16113
1300 Peachtree Industrial Blvd, Ste 4105 Suwanee, GA 3002
9/11/2014
Manjushree Ghose, MD
42827
RN141621
Kaur, Balwinder
13780
5985 Peachtree Pkwy Norcross, GA 30092
9/2/2010
John Hostetler, MD
35907
RN112764
Kaye, Leslie Anne
9277
1825 Martha Berry Blvd Rome, GA 30165
8/7/2009
Ivan Diamond, MD
23040
RN144801
Kayler, Amy Elizabeth
5216
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
8/7/2014
John Manfredi, MD
16101
RN107500
Keaton, Tina Shelleen West
13576
308 Deep South Farm Rd, Suite 200 Blairsville, GA 30512
2/5/2015
Michael Lipsitt, MD
18924
RN152429
Kededa, Berhanu
14517
766 Walther Rd, Ste 100 Lawrenceville, GA 30046
12/7/2012
Jimson Smith, MD
62289
RN152429
Kededa, Berhanu
11125
2201 North Decatur Rd. Decatur, GA 30033
6/30/2011
Vasilis Babaliaros, MD
44160
RN181512
Keegan, Patricia Ann
9800
1364 Clifton Rd, Suite F-606 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 186 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Lee Jacobs, MD
28283
RN189072
Keeley, Sara
15921
107 Mountain Brook Dr, Ste 100 Canton, GA 30115
8/7/2014
Freeman Montaque Jr., MD
28123
RN189072
Keeley, Sara B
13625
695 Crossville Rd. Roswell, GA 30075
8/5/2011
Allen Hoffman, MD
24822
RN189072
Keeley, Sara B.
9908
52 Tower Rd Marietta, GA 30060
5/7/2010
Samuel Erinne, MD
35622
RN087305
Keels, Barbara J.
9076
1136 Cleveland Ave, Suite 308 East Point, GA 30344
10/7/2011
O'Shea, Kevin MD
38574
RN193399
Keesling, Mark
10103
811 13th Street, Ste 20 Augusta, GA 30901
6/4/2015
Yulianty Kusuma, MD
61279
RN206799
RN206799
Kehoe, Doreen
15725
130 Stephenson Ave, Ste 102 Savannah, GA 31405
5/1/2014
Edward Kruse, DO
58055
RN184401
Keip, Shelly Renee
13233
1120 15th St Augusta, GA 30912
10/9/2014
Ryan Crisel, MD
69788
RN106717
Keith, Leah Veronica
14062
1267 Hwy 54 W, Ste 2200 Fayetteville, GA 30214
9/11/2014
James Wheeler, MD
17903
RN075194
Keith, Catherine Richardson
1594
993 F Johnson Ferry Rd, Ste 210 Atlanta, GA 30342
7/9/2015
Frederick Burton, MD
38434
RN116927
Kelker, Cassandra
15793
5448 Whittlesey Blvd, Ste B Columbus, GA 31909
8/6/2015
John Layher, MD
46692
RN215688
Keller, Christina
15961
2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606
8/7/2014
Scott Parry, DO
39899
RN185663
Keller, Gina Bernstein
13592
730 Ponce de Leon Place, Ste B Atlanta, GA 30306
2/3/2012
Hernandez-Aviles, Milca
MD
61749
RN205011
Keller, Haley
10438
1933 Shields Road Dalton, GA 30720
7/10/2014
Gayoung Hong, MD
67467
RN205011
Keller-Vice, Hayley Lauren
13573
13570 N. Main St Trenton, GA 30752
Wednesday, August 12, 2015
Page 187 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Michael Burke, MD
54798
RN178702
Kelley, Brandy
15505
1414 Dug Gap Rd Dalton, GA 30720
5/1/2014
Terry Melvin, MD
35951
RN085412
Kelley, Angela Denise Kitchens
13185
1217 Lafayette Rd Rossville, GA 30741
2/5/2010
Karen Clarke, MD
60570
RN159555
Kelley, Vivian Ann
1600
1514 Vernon Rd LaGrange, GA 30240
8/6/2015
Chad Asplunp, MD
58438
RN087400
Kelly, Karyn
15905
1120 15th St. Pavilion AF-1040 Augusta, GA 30912
3/5/2015
Ambrous Findley, DO
28267
RN184994
Kelly, Monique Diane
14996
563 Mountain City Rd Clayton, GA 30525
10/9/2014
Anekwe Onwuanyi, MD
58088
RN218214
Kelly, Susan Elizabeth
13751
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
6/6/2014
Kim Champney, MD
53115
RN205972
Kelly, Linda Jeanne
13367
1000 Johnson Ferry Rd NE, Ste 340 Atlanta, GA 30342
6/6/2014
Sheryl Heron, MD
41828
RN205908
Kelly, Ursula Ann
13321
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
11/8/2013
Scott Bell, MD
69174
RN228991
Kelly, Sean Patrick
12505
1538 13th Ave, Suite B-300 Columbus, GA 31901
2/3/2012
Hott, Brenda MD
41441
RN205972
Kelly, Linda
10459
1200 Northside Forsyth Dr Cumming, GA 30041
8/6/2010
David Brand, MD
46045
RN050989
Kelly, Elizabeth Ann S.
9233
PO Box 496 Arlington, GA 39813
2/5/2010
Mathew Ciechan, II, MD
24217
RN087400
Kelly, Karyn Elayne
8995
400 Town Park Blvd, Suite 300 Evans, GA 30809
10/2/2009
Jill Miller, MD
45891
RN087400
Kelly, Karyn Elayne
8752
1384 Greene Street Augusta, GA 30901
1/9/2009
William Thompson, MD
40575
RN050989
Kelly, Elizabeth Ann S.
1602
PO Box 496 Arlington, GA 39813-0496
Wednesday, August 12, 2015
Page 188 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Nicole Ash-Mapp, MD
42993
RN209521
Kemp, Mieshia
15831
275-D Upper Riverdale Rd Riverdale, GA 30274
9/11/2014
Darla Morgan, MD
39878
RN144327
Kendrick, Tara Darlene
13910
170 Curtis Pkwy Ste 1 Calhoun, GA 30701
11/8/2013
Brandee Urrutia, MD
66661
RN152378
Kendrick, Patricia Rose
11975
4355 Browns Bridge Rd, Suite 1 Cumming, GA 30041
12/4/2009
Sinan Haddad, MD
56455
RN152378
Kendrick, Patricia Rose
8864
1250 Jesse Jewell Pkwy, Suite 400 Gainesville, GA 30501
8/7/2009
William Lynds, MD
33140
RN152378
Kendrick, Patricia Rose
8682
649 Shallowford Rd Gainesville, GA 30504
8/6/2015
Sampath Prahalad, MD
61817
RN048660
Kennedy, Christine
15945
2015 Uppergate Dr Atlanta, GA 30322
4/2/2015
Christopher McLendon, MD
31627
RN190959
Kennedy, Trisha Lynn
15236
200 Westpark Dr Peachtree City, GA 30269
11/7/2014
Saurabh Desai, MD
27530
RN070145
Kennedy, Sheryl Ann
12910
6025 Professional Pkwy., Ste. 200 Douglasville, GA 30134
7/12/2012
Burson, James MD
34785
RN176824
Kennedy, Erica
10759
4000 Shakerag Hill, Ste 204 Peachtree City, GA 30269
6/8/2012
Patel, Rajendra MD
21781
RN070145
Kennedy, Sheryl
10753
2965 Johnson Ferry Road, Ste D Marietta, GA 30067
8/8/2008
Mark Ling, MD
34647
RN190959
Kennedy, Trisha Lynn
8255
710 Newnan Crossing By-pass Newnan, GA 30263
4/2/2015
Sherma Peter, MD
66306
RN209683
Kent, Kendall Lynn
15246
201 DeRene Ave Savannah, GA 31405
7/10/2014
Deepali Agarwal, MD
54783
RN106726
Kent, Yolanda Michelle
13267
1110 13th St Columbus, GA 31901
4/4/2013
Laurette Ho, MD
41831
RN191560
Kerr, Joanna Heden
11729
3225 Shallowford rd, Bldg 1300 Marietta, GA 30062
Wednesday, August 12, 2015
Page 189 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Howard Stirne, MD
25050
RN177718
Kerr, Lakisha J.
11204
316 N. Broad St. Winder, GA 30680
6/7/2013
Romualda Klicius, MD
46305
RN201497
Kesselman, Alyssa Lauren
11893
145 North Medical Pkwy Woodstock, GA 30189
5/7/2010
Nalini Narayan, MD
44287
RN187457
Kessler, Cathleen Ellen
9082
705 Dixie Street Carrollton, GA 30117
2/5/2015
Connie Trello, MD
43495
RN084616
Key, Jennifer Leigh
14826
1350 Walton Way 3rd FL Augusta, GA 30901
11/7/2014
Mac Bowman, MD
21647
RN084616
Key, Jennifer Leigh Bryan
14209
1350 Walton Way Augusta, GA 30901
10/9/2014
Ioana Chirca, MD
69285
RN084616
RN084616
Key, Jennifer Leigh
14420
1350 Walton Way Augusta, GA 30901
5/3/2013
Kevin Nash, MD
68078
RN084616
Key, Jennifer Leigh Bryan
11831
1350 Walton Way Augusta, GA 30901
9/11/2008
Franc Wallace, MD
48582
RN107136
Key, Dawn Waddell
7756
624 Martin Luther King, Jr Drive Milledgeville, GA 31061
6/8/2007
Al Soltan, MD
45011
RN107136
Key, Dawn Waddell
1618
308 Coliseum Dr. Macon, GA 31217
1/8/2015
Chinedum Ikpe, MD
66121
RN215846
Keys, Hunter Masengill
14737
745 Poplar Rd Newnan, GA 30265
9/11/2014
John Kludt, MD
34876
RN197582
Khalil, Karen D.
13662
3700 Club Dr Lawrenceville, GA 30044
6/30/2011
Donna Sinclair, MD
64733
RN160821
Khan, Rani Sheereen
9841
1046 Ridge Ave Atlanta, GA 30315
7/10/2009
Jonathan Ehrlich, MD
15580
RN160821
Khan, Rani Sheereen
5221
9937 Johnson Ferry Rd, #360 Atlanta, GA 30342
3/8/2013
B Krishna Mohan, MD
19407
RN207437
Khanna, Dipti
11727
6507 Professional Place Riverdale, GA 30274
Wednesday, August 12, 2015
Page 190 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Rifquat Giwa, MD
63198
RN212851
Kidane, Layla
13672
3950 Austell Rd. Austell, GA 30106
8/7/2014
Daniel Marcadis, MD
41881
RN237390
Kidd, Lindsey Marie
13605
302 Point North Place Dalton, GA 30720
1/9/2009
Vincent Viscomi, MD
32320
RN200047
Kidd, Keith L.
8376
83 Crye Leike Drive Ft. Oglethorpe, GA 30742
7/9/2015
Andrew Yen, MD
63554
RN208948
Kidwell, Natisha
15863
200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466
6/4/2015
Richard VanDam, MD
71296
RN227529
Kiewit, Devra
15482
1266 Highway 515 South Jasper, GA 30143
2/5/2015
Charles Well Jr, MD
19807
RN131629
Kilgore, Priscilla
14763
435 Second St, Ste 430 Macon, GA 31201
7/10/2014
Michael Baron, DO
33273
RN089707
Kilgore, Catherine Martin
13395
1505 Lilburn Stone Mountain Rd, Suite 100 Stone Mountain,
11/5/2009
Lynley Durrett, MD
44912
RN185537
Killeen, Jessica Guilfoil
8832
105 Collier Rd NW, Suite 1080 Atlanta, GA 30309
9/11/2014
Armene Vanoyan, MD
46508
RN069540
Kilroy, Mariae Damien
13911
275 Collier Rd Ste 100C Atlanta, GA 30309
6/30/2011
Robert Hoff, MD
22784
RN118947
Kim, Hyo Jin
1628
1357 Hembree Rd, Suite 150 Roswell, Ga 30076
9/11/2008
Elizabeth McGee, MD
33633
RN077063
Kimball, Kay Ann
1629
760 Kennesaw Avenue Marietta, GA 30060
12/4/2014
Josh Uptigrove, DO
67452
RN123684
Kimbrell, Holly Devonda
14513
201 Hospital Rd, (ER) Canton, GA 30114
10/5/2012
Jonathan Gore, MD
59417
RN123684
Kimbrell, Holly Devonda
11074
960 Joe F Harris Pkwy Cartersville, GA 30121
9/11/2014
Anu Murthy, MD
54867
RN198554
Kinard, Amy Cupples
13757
Turner Health/Wellness (CNS), One CNN Ctr, NT100BD Atlant
Wednesday, August 12, 2015
Page 191 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2012
Springer, Robert MD
37081
RN198554
Kinard, Amy
10791
50 Executive Park South, Ste 5012 Atlanta, GA 30329
7/9/2015
Olawale Osunsanya, MD
72784
RN246701
Kincey, Stefanie
15791
213 Delores St Colquitt, GA 39837
3/5/2015
Bridgette Dingle, MD
64532
RN120898
King, Jeannie Paige
14954
420 East 2nd Ave Rome, GA 30161
5/1/2014
Praveen Reddy, MD
56471
RN151113
King, Mackenzie Jackson
13217
1000 Johnson Ferry Rd. NE Atlanta, GA 30342
4/4/2014
Vijith Prasad, MD
40520
RN142732
King, Angela Bridget
13096
131- B Victory Drive Swainsboro, GA 30401
2/6/2014
Stephen Frohwein, MD
34834
RN185557
King, Stephanie Marie
12688
5671 Peachtree Dunwoody Rd. Suite 300 Atlanta, GA 30342
11/3/2011
Antin, Todd MD
36495
RN076787
King, Garnet
10184
465 Winn Way Decatur, GA 30030
7/10/2009
Matthews Gwynn, MD
34147
RN114535
King, Sharon D
1636
993 Johnson Ferry Rd, Suite F-120 Atlanta, GA 30342
12/7/2007
Donna Fearing, MD
29447
RN123523
King, Deborah Ann
1633
120 Stone Bridge Pkwy, Ste 410 Woodstock, GA 30189
8/6/2015
Mae Morgan, MD
22902
RN160719
King-Marshall, Damali
15688
275 Pryor St SW Atlanta, GA 30303
9/11/2014
Teresa Coleman, MD
37975
RN239541
Kinsinger, Tonya Jo
13912
919 South Broad ST Thomasville, GA 31792
2/5/2015
Paul Browne, MD
30967
RN226018
Kinton, Jillian Elizabeth
14879
1120 15th St Augusta, GA 30912
4/1/2011
William Hu, MD
63701
RN065116
Kippels, Andrea Jean
9656
1841 Clifton Rd NE Atlanta, GA 30329
6/5/2009
James Lah, MD
41863
RN065116
Kippels, Andrea Jean
8594
1841 Clifton Road Atlanta, GA 30329
Wednesday, August 12, 2015
Page 192 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2008
Allan Levey, MD
34885
RN065116
Kippels, Andrea Jean
1639
1841 Clifton Road NE Atlanta, GA 30329
3/6/2009
William Mills, MD
50901
RN163585
Kirby, Robert Steven
5453
58 Big A Road Toccoa, GA 30577
8/7/2014
Lisa Welch, MD
42486
RN090840
Kirkby, Dawn Anne Marie
13636
1290 Columbia Dr. Decatur, GA 30032
8/5/2011
Mitchell Hecht, MD
40405
RN116772
Kirkley, Stephanie Renee King
1643
1305 Henbree Rd, Ste 201 Roswell, GA 30076
9/11/2014
Bryan Cheever, MD
34120
RN203897
Kirkpatrick, Justin L.
13713
1107 Memorial Dr., Ste 200 Dalton, GA 30720
8/7/2014
Kancharla Ashok, MD
48250
RN135069
Kiser, Laurie Ann
1644
132 Franklin Springs St Royston, GA 30662
8/7/2014
Paul King, MD
36198
RN203522
Kitchens, Charles Earl
13613
285 Boulevard NE, Suite 415 Atlanta, ga 30312
9/13/2012
Jean Sumner, MD
30225
RN076916
Kitchens, Layne Harvey
11000
2257 West Elm St., Ste C Wrightsville, GA 31096
1/11/2008
Wentzelle Kitchens, MD
38277
RN076916
Kitchens, Layne Barrett Harvey
1646
501 Sparta Road, Suite F Sandersville, GA 31082
3/6/2014
Calin Badea, MD
55918
RN022690
Kitchings, Martha Helen Branne
13016
455 South Main St, Suite 104 Hinesville, GA 31313
4/13/2007
Olugbenga A. Awe, MD
48329
RN022690
Kitchings, Martha Helen Branne
1647
PO Box 52 Hinesville, GA 31310
6/4/2015
Cedrella Jones-Taylor, MD
26313
RN133502
Kiwanuka, Sarah Cissy
15020
1670 Clairmont Rd. Decatur, GA 30033
8/5/2011
Franklin Von Hack, MD
39501
RN133502
Kiwanuka, Sarah Cissy
9962
861 Holcomb Bridge Rd, Ste 200 Roswell, GA 30076
8/6/2015
Reginald Davis, MD
27720
RN168411
Kline, Jennifer
15956
5 Execuive Circle Savannah, GA 31406
Wednesday, August 12, 2015
Page 193 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Eric Lincoln, DO
67343
RN110772
Kline, Gail Ann Mullin
12018
840 Pine St, Suite 500 Macon, GA 31201
11/8/2013
Todd Albinger, MD
33509
RN166274
Knee, Laura Kay
12541
5665 Peachtree Dunwoody Rd NE, Emer Dept Atlanta, GA 30
8/6/2010
Snehal Dalal, MD
57297
RN166274
Knee, Laura Kay
9132
5955 State Bridge Rd, Suite 200 Johns Creek, GA 30097
5/8/2015
Dana Cason, MD
39302
RN238878
Knight, Kristan Baker
15372
2122 Manchester Expressway Columbus, GA 31904
1/8/2015
Rani Reddy, MD
34450
RN141779
Knight, Tristia
14849
106 Briarwood Rd Statesboro, GA 30458
9/13/2013
Stephanie Eaton, MD
44204
RN159369
Knight, Ann Beecher
12092
1000 Johnson Ferry Rd Atlanta, GA 30342
9/13/2012
Lance Stein, MD
56368
RN215036
Knight, Lorraine
10928
1968 Peachtree Rd NW, Bldg 77, 5tgh floor Atlanta, GA 3030
4/2/2009
Jeffrey Proctor, MD
43267
RN143310
Knight, Brandi Dawn
1651
970 J F Harris Pkwy, Suite 260 Cartersville, GA 30120
10/9/2014
Samier Belagaje
64896
RN101384
Knott, Allison
14427
80 Jesse Hill Jr Dr S E Atlanta, GA 30303
6/6/2014
Wyatt Blake, MD
47702
RN111915
Knowles, Constance Bailey
13369
4421 Carnes St. Acworth, GA 30101
8/7/2014
Christopher Atkins, MD
45708
RN060943
Knox, Sharon Paulette
13583
1266 Hwy 15 South, Emer Dept Jasper, GA 30143
7/11/2013
Jonathan Gore, MD
59417
RN060943
Knox, Sharon Paulette
11997
960 Joe Frank Harris, Pkwy, Emer Dept Cartersville, GA 3012
6/8/2012
Camp, Barbara MD
41747
RN060943
Knox, Sharon
10769
33 Nacoochee Way PO Box 485 Sautee Nacoochee, GA 3057
5/7/2010
Shawn Holsonback, DO
45242
RN060943
Knox, Sharon Paulette
9096
1200 Memorial Dr, Emergency Dept Dalton, GA 30720
Wednesday, August 12, 2015
Page 194 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Dong Shin, MD
54026
RN139660
Knudsen, Irina M
1658
1365 C Clifton Rd. Atlanta, GA 30322
8/9/2013
Hampton Groover, MD
35059
RN185605
Ko, Jung Yung
12105
1626 Jeurgens Court Norcross, GA 30093
7/11/2013
Gerald Staton, MD
22473
RN185605
Ko, Jung Yung
11968
1821 Clifton Rd NE Atlanta, GA 30329
4/2/2015
David Vann, MD
37919
RN195430
Kobia, Sonya Hart
15353
2959 Sharpsburg McCollum Rd Newnan, GA 30265
7/1/2010
Ruth Shim, MD
55889
RN055134
Koblasz, Mary Bassett
9131
PO Box 26238 Atlanta, GA 30303
12/3/2010
Elliot Raizes, MD
24478
RN207747
Kohler, Patricia Lynn
9495
3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096
11/8/2013
Elizabeth Killebrew, MD
29898
RN233062
Kohring, Kasey Elizabeth
12535
1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214
7/11/2008
Michael Ogden, MD
46893
RN194621
Kolsky, Jillian Morgan
8240
148 Clinic Avenue Carrollton, GA 30117
4/4/2014
Prashant V. Mishra, MD
55281
RN204145
Kombe, Marie- Louise Njonjo
13139
3950 Austell Rd., Box 22 Austell, GA 30106
10/10/2013
Jeremy Hess, MD
57818
RN210228
Konieczka, Carl Heinz
12404
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
8/5/2011
Philip Spandorfer, MD
55977
RN121158
Konter, Roslyn P
9951
1100 Lake Hearn Dr, Ste 100 Atlanta, GA 30342
7/13/2007
Susan W. Harrell, MD
33100
RN121158
Konter, Roslyn Pollard
5535
1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342
7/13/2007
Tama Y. Fuller, MD
21981
RN121158
Konter, Roslyn Pollard
1660
1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342
7/13/2007
Philip S. Weiss, MD
38398
RN121158
Konter, Roslyn Pollard
5534
1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 195 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/13/2007
John C. Knox, MD
22575
RN121158
Konter, Roslyn Pollard
5533
1100 Lake Hearn Dr., NE Ste 100 Atlanta, GA 30342
6/8/2012
Mercadel, Thaedra MD
63061
RN081378
Kopp, Laurie
10754
3872 Hwy 5 Douglasville, GA 30135
3/5/2015
Richard Hansen, MD
24152
RN243166
Kotti, Michelle Marie
15110
1100 Johnson Ferry Rd, Ste 460 Bld. 2 Atlanta, GA 30342
9/11/2014
Laura Harris, MD
54494
RN144368
Koval, Barbara K
13906
105 Collier Rd Ste 4060 Atlanta, GA 30309
5/8/2015
Hyunmi Kim, MD
56119
228524
Kovitch, Eliana
15447
1605 Chantilly Dr NE, Ste 300 Atlanta, GA 30324
9/11/2014
Goga Vukotic, MD
47576
RN237238
Kowalski, Tracy Jean
13663
11050 Crabapple Rd., Bldg A, Ste 104B Roswell, GA 30075
4/2/2009
Steven Schuster, DO
31661
RN160612
Kozma, Kellie Jo
1775
5800 Windward Pkwy, Suite A-211 Alpharetta, GA 30005
1/8/2015
Louis Heller, MD
45238
RN151196
RN151196
KracKenberger, Denise Kathryn
14670
755 Walther Rd Lawrenceville, GA 30046
11/3/2011
Heller, Louis MD
45238
RN151196
Krackenberger, Denise
10182
755 Walther Road Lawrenceville, GA 30046
4/2/2009
James Capes, MD
38438
RN146180
Krechmery, Karen Lynn
7850
550 Peachtree St NE, Emergency Dept Atlanta, GA 30308
6/8/2012
Flacker, Jonathan MD
48148
RN125419
Kress, Karen
10755
1821 Clifton Road Atlanta, GA 30329
4/2/2015
Andrew Cichelli, MD
44433
RN205413
Kreun, Tiffany Brooke
15112
1601 Fair Rd, Ste 600 Statesboro, GA 30458
3/29/2012
Williams, Stewart MD
30242
RN131953
Krispin, Andrea
10575
2412 N. Oak Street Valdosta, GA 31602
9/11/2014
Geetha R. Soodini, MD
59025
RN152993
Kroening, Sara Alexious
13913
1505 Northside Blvd Ste 2800 Cumming, GA 30041
Wednesday, August 12, 2015
Page 196 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Marlene Zetzer, MD
33236
RN106135
Kroll, Sherri Cofield
12659
121 Burgess Rd Brunswick, GA 31520
6/6/2014
Jeffrey Siegelman, MD
65891
RN226020
Krueger, Patrick James
13320
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
10/9/2014
Eugene Paul, MD
60305
RN232921
Kubay, Jacquelynn Marie
14418
176 Lyons St Jackson, GA 30233
1/8/2015
Todd Taylor, MD
68322
RN186355
Kubik, Lauren
14757
49 Jesse Hill Jr Dr S E Atlanta, GA 30303
12/4/2014
Armin Oskouei, MD
63721
RN107885
Kuebler, Kim Kathleen
14518
310 Eisenhower Dr Bldg 12, Ste C Savannah, GA 31410
12/7/2012
Anu Murthy, MD
54867
RN125915
Kulkin, Charlotte Virginia Cona
10976
2255 Cumberland Pkwy, Suite 1400 Atlanta, GA 30339
1/11/2008
Tom Fariss, MD
55747
RN125915
Kulkin, Charlotte Virginia Cona
1677
1400 Holcomb Bridge Road Roswell, GA 30076
5/3/2013
Dillon Miller, MD
67508
RN206803
Kunkel, Judith Ann
11851
101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513
5/4/2012
Rowley, Lawrence MD
35992
RN089519
Kunkel, Lynn
10706
1700 Hospsital South Drive Austell, GA 30106
1/7/2011
Jason Holbrook, MD
44237
RN075453
Kurtz, Laura Leigh Alsbury
9494
2050 Cumming Hwy, Suite 100 Canton, GA 30114
5/7/2009
Nagwa Eskander-Demian,
MD
46297
RN075453
Kurtz, Laura Leigh Alsbury
8513
553 Riverstone Pkwy, Suite B Canton, GA 30114
12/7/2012
Greaves, Paula MD
43631
RN131245
Kushner, Lauren
10594
833 Campbell Hill St NE, Ste 400 Marietta, GA 30060
6/30/2011
Donna Sinclair, MD
64733
RN131245
Kushner, Lauren M.
9811
1046 Ridge Ave SW Atlanta, GA 30315
12/6/2013
Steven Urken
36030
RN180822
Kuttukaran, Lijy John
12574
1670 Clairmont Rd Decatur, GA 30033
Wednesday, August 12, 2015
Page 197 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2010
Danny Branstetter, MD
63175
RN150116
Kyle, Alison Walter
9470
341 Ponce de Leon Ave Atlanta, GA 30308
12/7/2007
Laura Broyles, MD
53839
RN150116
Kyle, Alison Walter
1682
341 Ponce de Leon Avenue NE Atlanta, GA 30308
7/9/2015
Nicholas Lembo, MD
28430
RN123691
Labrador, Babs Rene
15838
1968 Peachtree Road NW Atlanta, GA 30309
7/12/2012
Johnson, Miles MD
38817
RN114591
LaCoste, Kathalina
10817
3001 S. Cobb Drive, Ste 103 Smyrna, GA 30080
5/1/2014
Nadia Cameron, MD
53982
RN106756
LaCount, Sharon Lynn Ragsdale
13240
961 Green St, NE Gainesville, GA 30501
8/6/2015
Wendy Goza, MD
32476
RN152769
Lagarde, Nina
15764
110 Brandywine Blvd Fayetteville, GA 30214
6/4/2015
Altee Johnson, MD
60387
RN152769
Lagarde, Nina
15562
101 Yorktown Dr, Ste 110 Fayetteville, GA 30214
9/2/2010
Roy Reardon, MD
42402
RN127193
Laing, Denise Cloud
9221
208 North Cuthbert Street Colquitt, GA 39837
12/4/2008
Nimisha Trivedi, MD
53715
RN117444
Lake-Thomas, Jacinta
1687
3778 Hwy 42 Locust Grove, GA 30248
7/9/2015
Tong Huynh, MD
20172
RN215993
Lam, Jade Tiffany
15758
4775 Jimmy Carter Blvd, Ste 201 Norcross, GA 30093
12/6/2012
Thomas N. Mullen, MD
39882
RN221471
Laman, Barbara C.
11428
126 Sequoyah Tr. Ringgold, GA 30736
8/6/2015
Charles Hitson, MD
26554
RN181187
Lamar, Exie
16060
409 W. Solomon Griffin, GA 30223
4/1/2010
Gyula Soos, MD
49093
RN163024
Lamb, Jessica Mullis
9072
230 Industrial Blvd, Suite 3 Dublin, GA 31021
5/3/2013
Allen Hoffman, MD
24822
RN174546
Lambert, Cynthia Augereau
11848
8954 Hospital Dr, Bldg B, #115 Douglasville, GA 30134
Wednesday, August 12, 2015
Page 198 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2010
Edward Chen, MD
48884
RN173739
Lambeth, Shannon Tomlinson
9197
1365 Clifton Rd, A-2232 Atlanta, GA 30322
7/9/2015
James Fordyce, DO
47318
RN131631
Lancaster, Michael
15736
1707 Meadows Lane Vidalia, GA 30474
9/11/2014
Georgia Theriot, MD
42539
RN119030
Lancaster, Sabrina M
13818
406 East Lee ST Thomaston, GA 30286
1/8/2015
Travan Jasper, MD
45506
RN181646
Lance, Robyn Johnson
14740
2990 Five Forks Trickum Rd. Lawrenceville, GA 30044
9/11/2008
Linda Casteel
43346
RN096607
Landers, Phyllis Nadeau
8225
3725 Zoar Road Snellville, GA 30039
2/7/2008
Mark Mittenthal, MD
17864
RN096607
Landers, Phyllis Nadeau
8118
5669 P'tree D'woody Rd, Ste 100 Atlanta, GA 30342
6/6/2014
Ortelio Bosch, MD
51119
RN170492
Landing, Stephanie Rachel
13194
7450 Skidaway Rd Savannah, GA 31406
9/11/2014
Cheryl Trowell, MD
63035
RN173390
Landor, Misty Dawn
13571
4900 Ivey Rd, Suite 1826 Acworth, GA 30101
10/7/2011
Wu, Jonathan MD
53967
RN173390
Landor, Misty
10045
265 N. Decatur Blvd, Ste 430 Decatur, GA 30033
4/1/2010
Bob Agbogu, MD
43839
RN173390
Landor, Misty Dawn
9044
1136 Cleveland Ave, Suite 500 East Point, GA 30344
10/9/2014
Saeed Zafar, Md
45370
RN109950
Landrum, Bobby Gene
14041
2032 Wynnton Rd., SteA Columbus, GA 31906
8/7/2014
Charles Hitson, MD
26554
RN164310
Landrum, Frances Marie
13593
231 Graefe St Griffin, GA 30223
9/13/2013
John Corbin, MD
34800
RN109950
Landrum, Bobby Gene
12136
2122 Manchester Expy, Emer Dept Columbus, GA 31904
7/11/2013
Kevin King, MD
56310
RN109950
Landrum, Bobby Gene
11839
2122 Manchester Expressway Columbus, GA 31904
Wednesday, August 12, 2015
Page 199 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Lakshmanan Krishnamurti,
MD
71385
RN195729
RN195729
Landry, Kelly Anne
15185
1405 Clifton Rd NE, Ste 4th floor Atlanta, GA 30322
5/8/2015
Regina Justice, MD
47777
RN163766
Lane, Teresa
15499
2462 Hwy 34 E, Ste A Newnan, GA 30265
5/8/2015
Jeffrey Winston, MD
28337
RN074324
Lane, Teresa
15472
800 Kennesaw Ave Bldg 100, Ste 130 Marietta, GA 30060
8/5/2011
Charles Hendry, MD
10422
RN074324
Lane, Teresa Elaine
9887
1900 The Exchange, Suite 420 Atlanta, GA 30339
2/7/2008
Michael Gladson, MD
21506
RN074324
Lane, Teresa P.
7719
70 Ada Street Blue Ridge, GA 30513
8/6/2015
Marc Unterman, MD
19800
RN162694
Lanford, Tiffany
15557
766 Walther Rd Lawrenceville, GA 30046
10/10/2013
Byron Williams, III, MD
53894
RN170212
Langdon, Kristan N Drake
12412
1365 Clifton Rd NE Atlanta, GA 30322
3/4/2011
Francis Kwarteng, MD
61792
RN206784
Langford, Da'na Michelle
9601
401 South Madison St Albany, GA 31707
7/10/2014
Bola Sogade, MD
47875
RN229672
Langston, Lydia Michelle
12180
639 Hemlock St, Suite 101 Macon, GA 31201
12/4/2014
Eric Powell, MD
49081
RN159370
Lanier, Courtenay Renae
14152
586 Brannen St Stateboro, GA 30458
11/1/2007
Barry Jones, MD
12495
RN119081
Lanier, Kimberly Tyra
8097
5965 Pkwy North Blvd, Ste C Cumming, GA 30040
1/6/2012
Hess, Amy MD
65821
RN176566
Lantaff, Tracy
10377
960 Joe Frank Harris Pkwy Cartersville, GA 30120
2/5/2010
William Mahle, MD
50110
RN194084
Laporte, Kelci Jane
8979
1405 Clifton Rd Atlanta, GA 30322
6/4/2015
Robert Schultz, MD
18949
RN155491
Larisch, Sandra
15704
1100 Lake Heard Dr, Ste 350 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 200 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/7/2010
Sidney Paul Chastang, MD
41094
RN170174
Larson, Deborah Ann
1704
3921 Shallowford Rd Marietta, GA 30062
10/10/2013
Mark Majoch, MD
36651
RN198754
Lashley, Laura Elizabeth
12219
3855 Pleasant Hill Rd, Suite 100 Duluth, GA 30096
4/2/2015
Cecil Bennett, MD
48844
RN180512
Lassiter-Stephens, Michelle
15114
440 Prime Point Peachtree City, GA 30269
10/5/2012
John Blumer, MD
53101
RN115534
Latham, Cassandra Coe
7770
3222 Shrine Rd, Suite A Brunswick, GA 31520
7/9/2015
Melissa Sanchez, MD
64056
RN184089
Lathrop, Breanna
15870
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
8/6/2010
William Warren, MD
23126
RN184089
Lathrop, Breanna Lynn
9173
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
1/9/2009
Joshua Perkel, MD
56343
RN112839
Lathrop, Barbara Lynn Wells
8412
1062 Forsyth Street, Suite 2A Macon, GA 31201-8639
9/11/2014
Lina Harper, MD
55237
RN203218
Lattany, Tiffany Mashalle
13308
303 Darling Ave. Waycross, GA 31501
5/7/2010
Eric Gibney, MD
61884
RN200417
Latterell, Brooke Linn
9078
1968 Peachtree Rd NW, Bldg 77, 5th Floor Atlanta, GA 30309
5/1/2014
Alfred Woodard, MD
40592
RN102042
Lattimore, Willie Lee
12490
417 Third Ave, Emer Dept Albany, GA 31701
11/8/2013
Oscar Espetia, MD
65358
RN102042
Lattimore, Willie Lee
12466
2501 North Patterson St, Emer Dept Valdosta, GA 31602
1/11/2008
Thomas Bozzuto, DO
56978
RN095679
Laue, Donna Jean Wills
1706
803 North Jefferson Street, Suite A Albany, GA 31701
8/6/2015
Leah Helton, MD
60741
RN213219
Lausch, Tara
15995
102 Bowling Lane Dublin, GA 31021
7/9/2015
John Chipley, MD
61406
RN213219
Lausch, Tara Hutchinson
15828
200 Industrial Blvd Dublin, GA 31021
Wednesday, August 12, 2015
Page 201 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Pamela Clanton, MD
61221
RN214862
Lavallo, Joseph
14514
745 Poplar Rd Newnan, GA 30265
5/1/2014
Gopal Rao, MD
32892
RN214862
Lavallo, Joseph
13219
350 Country Club Dr. Ste A Stockbridge, GA 30281
1/8/2015
Adam Meadows, MD
67504
Rn224963
RN224963
Law, Latonya Patrice
14617
2540 Windy Hill Rd Marietta, GA 30067
8/9/2013
Hubert Smith, MD
18745
RN073174
Law, Patricia Velda Lee
12135
412 Northside Drive East Statesboro, GA 30458
1/11/2013
Angela H. Coleman, MD
61717
RN224963
Law, Latonya P.
11329
1140 Hammond Dr., Ste K110 Atlanta, GA 30328
3/5/2015
Usama Kanaan, MD
60648
RN216297
Lawrence, Patricia R
15033
1405 Clifton Rd NE Atlanta, GA 30322
3/5/2015
Rehha Desai, MD
19665
RN134018
Lawrence, James Fletcher
15025
3000 Lenora Church Rd Snellville, GA 30078
3/5/2015
Donald Fordham, MD
44718
RN161643
Lawrence, Jeriene
14952
865 Austin Dr Demorest, GA 30535
3/5/2015
Tamer Middleton, MD
51987
RN207425
Lawrence, Tionya Nitara
14984
2075 Grayson Hwy Grayson, GA 30017
1/8/2015
Amaush Kapasi, MD
54759
RN134018
Lawrence, James
14850
1670 Clairmont Rd Decatur, GA 30022
11/8/2013
Valens Plummer, MD
49496
RN207425
Lawrence, Tionya Nitara
12542
1510 Milstead Ave NE Conyers, GA 30012
6/7/2013
Robert King, MD
53835
RN176980
Lawrence, Sara Amanda Beth
11991
1825 Martha Berry Blvd Rome, GA 30165
6/4/2015
Erick Bournigal, MD
33280
RN146311
Lawson, Donna
15646
3025 Shrine Rd, Ste 280 Brunswick, GA 31520
8/7/2014
Adrienne Fabrizio, MD
50365
RN192522
Lawson, Leslie Elizabeth Johnso
13657
300 Bull St, Ste 102 Savannah, GA 31401
Wednesday, August 12, 2015
Page 202 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Bobbie Kumar, MD
68197
RN192522
Lawson, Leslie Elizabeth Johnso
13655
11935 Abercorn St Savannah, GA 31419
8/7/2014
Marilyn Lavallee, MD
53263
RN192522
Lawson, Leslie Elizabeth Johnso
13658
1001 Memorial Lane Savannah, GA 31410
1/9/2014
Rita Livingston, MD
63494
RN192522
Lawson, Leslie Elizabeth Johnso
12675
109 Minus Ave, Suite C-10 Garden City, GA 31408
5/6/2011
Cecil Sharp, MD
27662
RN141032
Layfield, Nicole K.
9726
1350 Walton Way, NICU Augusta, GA 30901
6/8/2012
Rab, Tamveer MD
28451
RN163404
Le, Dung Kim
10770
1364 Clifton Rd, Ste F606 Atlanta, GA 30322
3/6/2014
Jason Beland, MD
55920
RN195450
Leak, Xaviera Jonee
12974
600 Parkway North Newnan, GA 30265
4/2/2015
Mark Griffiths, MD
67223
RN177231
Leake, Deborah Lynn
15141
1645 Tullie Circle Atlanta, GA 30329
1/7/2010
Wendy Wright, MD
52658
RN064892
Learmont, Beverly Ann Dinkins
8827
6550 Roswell Road Sandy Springs, GA 30328
7/10/2009
Alvin Cheatham, MD
22732
RN064892
Learmont, Beverly Ann Dinkins
8597
6000 N. Termonal Pkwy, Suite 315 Atlanta, GA 30320
7/10/2014
Felix Sogade, MD
42444
RN176398
Leary, Bridget Josephine
1717
639 Hemlock St, Suite 100 Macon, GA 31201
1/7/2011
Laura Bleekrode, MD
34514
RN211057
211057
Leathers, Breanne Nunnally
9542
1100 Northmeadow Pkwy, Suite 108 Roswell, GA 30076
1/7/2011
Phillip Nowlin, MD
36588
RN211057
Leathers, Breanne Nunnally
9508
4480 S. Cobb Dr SE Smyrna, GA 30080
7/11/2008
Marisa Gadea, MD
41802
RN055732
Lebedin, Sharon Capelouto
1718
1121 Johnson Ferry Rd, Suite 220 Marietta, GA 30068
8/6/2015
Bradford Lipman, MD
28596
RN109435
Lebon, Linda
15787
6392 Murphy Dr Morrow, GA 30260
Wednesday, August 12, 2015
Page 203 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2012
Jon Trankina
30681
RN123214
LeCroy, Tiffany
11031
4595 Town Lake Pkwy, Bldg. 300, Ste 100 Woodstock, GA 30
3/4/2010
Mary East, MD
63187
RN123214
LeCroy, Tiffany Reichert
9021
300 Cherokee Place Cartersville, GA 30121
8/6/2010
Muhammad Sheikh, MD
59195
RN038288
Ledbetter, Sharon E.
9214
2774 North Cobb Pkwy Kennesaw, GA 30152
2/5/2010
Daryl Sherrod, MD
49976
RN038288
Ledbetter, Sharon E.
8982
1910 Hwy 20 Conyers, GA 30013
6/4/2015
Scott Hopkins, MD
72831
RN202959
Ledford, Anna
15614
196 Ridgecrest Circle Clayton, GA 30525
6/4/2015
Daniel Kosobucki, MD
45857
RN131920
Ledford, Ladonna
15479
106 Enterprise Court, Ste A Columbus, GA 31904
9/13/2013
Barbara Camp, MD
41747
RN202959
Ledford, Anna Michelle
12140
33 Nacoochee Way Sautee, GA 30571
1/8/2015
Christopher Daniels, MD
71484
RN198797
Ledger, Kelly
14851
100 Mimosa Dr, Ste 2nd Floor Thomasville, GA 31792
3/29/2012
Ward, Martha MD
20360
RN198797
Ledger, Kelly
10574
916 S Broad St, Thomasville, GA 31792
3/5/2015
Jennifer Collier-Madon
57592
RN196360
Ledwitch lll, John William
15088
101 W Northside Dr, Ste F Valdosta, GA 31602
8/6/2015
Adam Meadows, MD
67504
rn124583
Lee, Jamie
16046
2540 Windy Hill Rd Marietta, GA 30067
7/9/2015
Chester Lapeza, MD
44263
RN211429
Lee, Kyung Woon
15932
148 East Peacock St. Cochran, GA 31014
7/9/2015
Jose Justiniano-Ayala, MD
46773
RN209627
Lee, Melissa
15906
1430 Suggs St Rossville, GA 307471
3/5/2015
Patrick Amar, MD
49403
RN124583
Lee, Jamie
15079
80 Jesse Hill Jr.,Ste 13th floor Atlanta, GA 30303
2/5/2015
Jinahn Kim, MD
54442
RN244828
Lee, Jaesuk
14940
1325 Satellite Blvd, Bldg 700, Ste 701 A Suwanee, GA 30024
Wednesday, August 12, 2015
Page 204 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
John Affronti, MD`
45686
RN203487
Lee, Amanda Treston
14206
1120 15th St Augusta, GA 30912
9/11/2014
Odell Stil, DO
37085
RN116307
Lee, Knicole Ann
13840
388 South Main St Baxley, GA 31513
6/6/2014
Rohit Panchal, MD
69918
RN202161
Lee, Ming Howard
13063
55 Whitcher St, Suite 160 Marietta, GA 30060
10/10/2013
Winston Clark Connell, MD
58733
RN145509
Lee, Karen Burke
12432
915 Gordon Ave, Emer Dept Thomasville, GA 31792
10/10/2013
Howard Stirne, MD
25050
RN153452
Lee, Younju
12407
2151 W Spring St, Emer Dept Monroe, GA 30655
2/7/2013
Teresa Cezar, MD
48031
RN116307
Lee, Knicole Ann
11657
755 S Main St Baxley, GA 31513
10/5/2012
Bruce Ramsdell, MD
18722
RN221512
Lee, Erin
11108
3145 Peachtree Rd., NE, Ste 165 Atlanta, GA 30305
3/29/2012
Ferrari, Thomas MD
34829
RN116307
Lee, Knicole Ann
10607
110 R.T. Stanley Sr. Place Lyons, GA 3-436
4/1/2011
Keith Seibert, MD
51733
RN079062
Lee, Elizabeth Boatright
9690
10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324
11/8/2013
Andrew Green, MD
58961
RN172094
Leech, Jennifer Tompkins
1733
1498 Jesse Jewell Pkwy, Suite C Gainesville, GA 30501
8/5/2011
Kashyap Patel, MD
57230
RN171688
Leech, Christopher L
9976
200 S Enota Dr, Ste 200 Gainesville, GA 30501
9/11/2014
Jonathan Kaufman, MD
53470
RN234904
Leeson, Deborah Kay
13915
1365 Clifton Rd NE Bldg C Plaza Floor Atlanta, GA 30322
8/10/2012
Beverly Hyacinth, MD
57003
RN141240
Leffall, Para
10954
9465 Hwy 5 Douglasville, GA 30135
4/2/2015
Martha Clabby, MD
50095
RN191595
Lehr, Nicole
15244
1405 Clifton Rd NE Atlanta, GA 30322
Wednesday, August 12, 2015
Page 205 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Naghma Khan, MD
37252
RN139769
Leidel, Laura Beth
12912
1645 Tullie Circle Atlanta, GA 30329
7/10/2014
David Goo, MD
31924
RN129499
Leigh, Stacy Diann
13477
1000 Medical Center Blvd. Lawrenceville, GA 30046
9/11/2014
Brandon Hicks, MD
46683
RN117120
Leighty, Susan Hardy
13916
5401 Lake Oconee Pkwy (ER Dept.) Greensboro, GA 30642
7/10/2014
Anant Dalvi, MD
63849
RN205388
Lemberg, Robert Seth
13500
55 Witcher St, Ste 160 Marietta, GA 30060
2/6/2014
Laura Beaty, MD
45168
RN233740
Lemene, Kristina Eder
12906
755 Mt Vernon Hwy, Suite 120 Sandy Springs, GA 30328
6/7/2013
Philip Henderson, MD
47601
RN164788
Lemons, Maria Linda
11920
3696 Lawrenceville-Suwanee Rd Suwanee, GA 30024
3/8/2013
Donna Haley, MD
40916
RN193714
Lenaz, Leona Rausch
11644
687 Marietta Hwy Canton, GA 30114
12/1/2011
Vola-Redd, Gena MD
45356
RN193714
Lenaz, Leona
10240
790 Church St, Suite 335 Marietta, GA 30060
10/5/2012
Mark Beaty, MD
45169
RN192239
Lentsch, Rolvin
11104
3823 Roswell Rd. Ste 101 Marietta, GA 30062
11/5/2010
Wesley Smith, MD
45971
RN192239
Lentsch, Rolvin Charles
9404
11973 Augusta Rd Lavonia, GA 30553
5/8/2015
William Blincoe, MD
23018
RN177086
Lentz, Alexandra
15469
1968 Peachtree Rd NW Atlanta, GA 30309
4/2/2009
Richard Gorman, MD
31008
RN143499
Leoffler, Kathleen Ann Collins
1741
1401 Georgian Park, Suite 200 Peachtree City, GA 30269
8/7/2014
David Faulk, MD
39787
RN044413
Leonard, Nina Julia Coleman
13640
2060 Dan Proctor Dr, Ste 3300 St Marys, GA 31558
5/1/2014
Nazario Villasenors, Jr, MD
64985
RN123700
Leonard, Lori Michele
13212
18 Riverbend Dr SW, Suite 120 Rome, GA 30161
Wednesday, August 12, 2015
Page 206 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2012
Thomas Hobby, DO
48647
RN155655
Lerstang, MaryAlyson
11267
3207 Country Club Valdosta, GA 31605
2/5/2015
Syed Zafar, MD
58814
RN093485
Lertpenmaeta, Della
14676
180 Martin Dr. Carrollton, GA 30117
12/4/2008
Christopher Wizner, MD
37734
RN093485
Lertpenmaeta, Della Lanette
1744
4250 BrownsvilleRoad Powder Springs, GA 30127
4/2/2015
Mihaela Ille, MD
62895
RN244409
Lettley, Thea
15054
896 Hwy 81 East McDonough, GA 30252
10/9/2014
Richard Rickman, MD
49332
RN210815
Leverett, MeSheal LaVerne
14039
3200-C N Ashley St. Valdosta, GA 31602
11/7/2008
Shahzad Hashmi, MD
53239
RN140100
Leverett, Kim Rebecca
8348
301 Gwinnett Dr, Suite 150 Lawrenceville, GA 30046
7/9/2015
Melissa Sanchez Quiros, MD
64056
RN225854
Levine, Lori
15879
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
11/7/2014
Abiodun Olatidoye, MD
48556
RN225854
Levine, Lori Ann
14109
6507 Professional Place Riverdale, GA 30274
10/9/2014
Marc-Andre Jean-Gilles, DO
62720
RN091404
Levy, Deborah Sommers
13993
3540 Duluth Park Ln., Ste 290 Duluth, GA 30096
3/5/2015
Tammie Quest, MD
45590
RN143524
Lewis, Donna
14678
1670 Clairmont Rd Decatur, GA 30033
7/10/2014
Suneel Katragadda, MD
59255
RN116778
Lewis, Ellen Lee Ann
13463
2150 Peachford Rd. Atlanta, GA 30338
4/4/2014
Yuan-Xiang Meng, MD
51257
RN171645
Lewis, Terri Maddrey
13150
2670 Cobb Pkwy SE Smyrna, GA 30080
12/6/2013
George Waldon Garriss, III,
MD
51134
RN148871
Lewis, Robert Lewis
12557
3939 Roswell Rd, Suite 200 Marietta, GA 30062
11/8/2013
Taofeek Owonikoko, MD
60953
RN177160
Lewis, Colleen Margaret
12464
1365 Clifton Rd NE, Bldg C Atlanta, GA 30322
Wednesday, August 12, 2015
Page 207 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Joseph Lavori, DO
39619
RN148871
Lewis, Robert Michael
12220
220 North Cobb Pkwy, Suite 400 Marietta, GA 30062
2/7/2013
Samantha Benson, MD
47699
RN197350
Lewis, Samantha McWilliams
11658
3340 Paddocks Pkwy Suwanee, GA 30024
5/4/2012
Mchezagi, Tayari MD
50409
RN148871
Lewis, Robert
10669
1360 Upper Hembree Rd, Ste 100 Roswell, GA 30076
5/4/2012
Stone, Dudley MD
51088
RN191733
Lewis, Elizabeth
10665
2 Wheeler Street Savannah, GA 31405
3/29/2012
Lupi, Michael DO
38152
RN161641
Lewis, Leanna
10629
3408 Trout St Brunswick, GA 31520
2/3/2012
Oldham, Benjamin MD
56210
RN184063
Lewis, Nikiya
10451
1497 Fair Road, Ste 300 Statesboro, GA 30458
4/1/2011
Habigaile Cribe, MD
50874
RN118481
Lewis, Tonya Yawn
9725
911 Plaza Ave, Suite B Eastman, GA 31023
10/8/2010
Bryan Cheever, MD
34120
RN068366
Lewis, Rod Lee
9310
1107 Memorial Dr, Suite 200 Dalton, GA 30720
7/11/2008
Jeffrey Donohue, MD
46540
RN148871
Lewis, Robert Michael
1759
3755 Sixes Road, Suite 202 Canton, GA 30114
12/6/2013
Jeffrey Winter, MD
36044
RN155957
Lewis-Austin, Michelle Abigal
12613
1700 Hospital South Dr, Suite 502 Austell, GA 30106
4/1/2011
Lisa Vinokur, MD
38394
RN116759
Lewitt, Maryjane Massey
5233
2500 Hospital Blvd, Suite 290 Roswell, GA 30076
7/9/2015
Ben Holland, MD
67710
RN201110
Ley, Kristin
15744
1199 Prince Ave Athens, GA 30606
7/10/2014
Tiffany Kumpel, MD
54448
RN162601
Ley, Kristen Strickland
13481
2409 N Patterson St, Suite 200 Valdosta, GA 31602
8/9/2013
Mitchell Jones, MD
35448
RN145239
LeZotte, Ashley Willis
12184
2500 Starling St, Suite 404 Brunswick, GA 31520
Wednesday, August 12, 2015
Page 208 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2010
Salim Osta, MD
15631
RN145239
LeZotte, Ashley Willis
9402
1131 Chapel Crossing Rd, Bldg 759 Glynco, GA 31524
1/9/2014
Kalpesh Patel, MD
59106
RN191159
Li, Dan
12654
810 13th Ave, Suite 106 Albany, GA 31701
7/12/2012
Buchhammer, Carlos MD
29598
RN097756
Liggins-Spikes, Irona
1762
111 Fieldstone Drive, Ste 114 Milledgeville, GA 31061
6/8/2012
Allotey, Peter MD
45643
RN097756
Liggins-Spikes, Irona
10794
2660 Montpelier Avenue Macon, GA 31204
8/6/2015
Bill Smith, MD
59963
RN246513
Light, Mary Ann
16036
91 Fourth St Trion, GA 30753
5/8/2015
Mark Elam, MD
36147
RN246513
Light, Mary Ann
15358
800 Professional Blvd Dalton, GA 30720
5/7/2009
Andrew Doris, II, MD
49005
RN092698
Lilly, Alice June West
1764
761 Old Norcross Road Lawrenceville, GA 30045
3/4/2011
Huitt Mattox, MD
33402
RN166817
Lindahl, Deborah Ann
9652
3217 4th Street Brunswick, GA 31525
7/9/2015
Kenneth Jones Jr, MD
31037
RN198957
Lindley, Jessica
15483
304 Turner McCall Blvd Rome, GA 30165
4/4/2014
Yousef Hindi, MD
55372
RN198957
Lindley, Jessica Cherie
13110
600 West Memorial Dr Dallas, GA 30132
9/11/2008
Shelley Dunson-Allen, MD
33316
RN187037
Lindsay, Angela Schmidt
8284
1305 Hembree Road, Suite 101 Roswell, GA 30076
8/6/2015
Jason Levy, MD
49802
RN185072
Lindsey, Towanda
16128
1000 Johnson Ferry Rd Atlanta, GA 30342
8/6/2015
Nitasha Burney, MD
55931
RN171612
Lindsey, JoAnn D. Flot
16137
505 Dacula Rd Dacula, GA 30019
2/5/2015
Onkar Kaur, MD
47103
RN106795
Lindsey, Lee
14789
636 2nd Avenue, S W Rochelle, GA 31079
Wednesday, August 12, 2015
Page 209 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Jim Barlow, MD
30717
RN130014
Lindsey, Charlotte Lynn
13634
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
9/3/2009
Alberto Garcia, MD
54374
RN061439
Lindsey, Melanie E.
8729
209 East Main St Hahira, GA 31632
5/1/2014
Joseph Watlington, MD
25685
RN103785
Lingerfelt, Kimbra Leigh White
1767
102 Erlanger South Dr. Ringgold, GA 30736
5/7/2009
Kimberley Wilson, MD
31363
RN150295
Lingle, Kristen Anne
1768
2001 Peachtree Rd NE, #205 Atlanta, GA 30309
5/10/2007
Joseph R. Shaver, MD
42430
RN172995
Linticum, Kimberly M.
5471
3630 J. Dewey Gray Circle Augusta, GA 30909
4/2/2015
Muhammad Akram, MD
48476
RN209537
Linton, Lindsay
15139
1921 Aliu St, 3A Waycross, GA 31501
11/7/2014
Stephanie Reese, DO
71743
RN209537
RN71743
Linton, Lindsay
12875
1421 Alice St, Ste 4B Waycross, GA 31501
10/8/2010
William Boydston, MD
34112
RN176752
Linville, Melissa Anne
9356
5455 Meridian Mark Rd, Suite 540 Atlanta, GA 30342
4/2/2015
Jan Mayfield, MD
51355
RN087156
Litchfield, Mary Ann
15198
49 Hosiery Mill Rd, Ste 124 Dallas, GA 30157
7/12/2012
Burke, Michael MD
54798
RN087156
Litchfield, Mary
10895
125 Clairemont Ave, Ste 170 Decaatur, GA 30030
7/9/2015
Thomas Locke, MD
36409
RN196707
Little, Patrice
15866
4500 North Point Pkwy Alpharetta, GA 30022
9/11/2014
Frank Lake, MD
40716
RN226022
Little, Morgan Elizabeth
13805
668 Lanier Pk DR Gainesville, GA 30501
1/9/2014
Sohail Ejaz, MD
60065
RN234444
Little, Mishell Carmela
12772
663 Lanier Park Dr Gainesville, GA 30501
7/11/2013
Dinakara Shetty, MD
42431
RN138016
Little, Deborah Jean Bailey
12055
1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088
Wednesday, August 12, 2015
Page 210 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/5/2011
John Declue, DO
37522
RN131473
Little, Valerie Jean Smart
9900
2024 6th Ave Columbus, GA 31904
9/2/2010
Michael Rallo, MD
54655
RN131473
Little, Valerie Jean Smart
9297
7020 Moon Road Columbus, GA 31909
3/6/2014
Robert Spruill, MD
59026
RN128152
Littleton, Hope Cherisse
12964
8 Laurel Ct Moultrie, GA 31768
12/4/2009
Stephen Preas, MD
19752
RN060422
Littrell, Kimberly Lyn Harrell
8858
2430 Tucker Dr, Bldg A Loganville, GA 30052
1/8/2015
Benjamin Bailon, MD
27025
RN130337
Livingston, Tracey
14457
3328 Bemiss Rd Valdosta, GA 31602
11/3/2011
Abdulbaaqee, Nailah MD
63829
RN056238
Lloyd, Kathleen
10144
122 West Athens Street Winder, GA 30680
4/4/2013
Jonathan Chen, DO
60811
RN209184
Locher, Kim Elizabeth
11457
55 Whitcher St, Suite 160 Marietta, GA 30060
1/7/2010
Dinesh Patel, MD
46798
RN125749
Lockhart, Christine Marie Strike
8895
34 S. Ellis St Camilla, GA 31730
1/7/2010
Stephen Rubendall, MD
57320
RN125749
Lockhart, Christine Marie Strike
1774
259 US Hwy 19 North Camilla, GA 31730
1/9/2014
Stephanie Keller, MD
64120
RN149644
Loeffel, Laura Jean
12813
975 Johnson Ferry Rd NE Atlanta, GA 30342
11/2/2012
Antonius J. DeGrauw
66687
RN149644
Loeffel, Laura Jean
11191
975 Johnson Ferry Rd., Ste. 340 Atlanta, GA 30342
5/1/2014
Michael McDaniel, MD
57398
RN124123
Loft, Brenda Curd
5234
5780 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342
11/5/2010
Michael Flueckiger, MD
35869
RN157417
Loftus, Nina Derieta
9324
1968 Peachtree Rd NW Atlanta, GA 30309
1/11/2008
Matthew Keadey, MD
49143
RN157417
Loftus, Nina Derieta
7905
1364 Clifton Road Atlanta, GA 30022
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/4/2012
Das, Santanu MD
42560
RN189571
Logan, Janet K
8023
1049 N. Houston Road Warner Robins, GA 31093
9/11/2014
Jeremy Pantin, MD
66390
RN196130
Logue, Laura
13918
1120 15th St. Ste BA5414 Augusta, GA 30912
12/6/2013
Charles Nash, MD
48068
RN049489
Logue, Lisa Clair Parker
12548
725 Jesse Jewell Pkwy, Suite 390 Gainesville, GA 30501
6/4/2015
Ian Munger, DO
70661
RN166752
Lomami, Ida
15555
One Meadows Parkway Vidalia, GA 30474
11/3/2011
McLean, Ronald MD
30163
RN166752
Lomami, Mwingi Ida
10220
Rosedale Avenue Thomasville, GA 31792
5/3/2013
F. Clark Cantrell, MD
28948
RN117846
Lomax, Susan Elizabeth
11884
777 Franklin Rd Marietta, GA 30067
8/6/2015
Omar Al Haddad, MD
65987
RN210080
London, Brittney
16105
509 Wheat Ave Bainbridge, GA 39818
6/4/2015
Amita Dave, MD
23724
RN077139
Long, Mary
15561
3825 Medical Park Dr, Ste 201 Austell, GA 30106-1337
5/1/2014
Cathy Lipton, MD
29028
RN063853
Long, Carol S
1779
3720 Davinci Ct, Ste 400 Norcross, GA 30092
7/11/2013
Melissa Davis, MD
59141
RN175517
Long, Mary Ann
12002
1013 North 5th Ave Rome, GA 30165
5/3/2013
Patrick Eagleson, MD
65102
RN170974
Long, Barbara Fay
11868
1230 Baxter St, Emer Dept Athens, GA 30606
3/29/2012
Moss, Kelvin MD
54634
RN093574
Long, Marsha
10576
60 Old Highway 5 South Ellijay, GA 30540
9/2/2010
Crystal Comeau, MD
61224
RN093574
Long, Marsha Nadine
9292
101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513
3/7/2008
Jeffery Hines, MD
47443
RN175274
Long, Kelly
5480
116 Upper Riverdale Road Riverdale, GA 30274
Wednesday, August 12, 2015
Page 212 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/1/2007
Evangelio Gonzalez, MD
16234
RN032975
Long, Ellen Kay
1782
690 Dallas Hwy, Suite 303 Villa Rica, GA 30180
1/6/2012
Duke, Michael MD
42041
RN070694
Loper, Alice
10392
134 W. Campus Dr, CBX 091 Milledgeville, GA 31061
4/2/2015
Dellys Soler Rodriquez, MD
72132
RN134913
Lopez, Leidys
15204
2015 Uppergak Dr NE Atlanta, GA 30322
2/6/2014
Barry Warshaw, MD
15435
RN134913
Lopez, Leidys
12798
1405 Clifton Rd NE Atlanta, GA 30329
4/1/2011
Ashley Davis, MD
58161
RN087816
Lord, Resa Anne Wilson
1789
5555 Whittlesey Blvd, Suite L-1 Columbus, GA 31909
5/8/2015
Jeffery Bulter, MD
68488
RN057626
Lott, Patsy
15471
821 South Main St, Ste C Baxley, GA 31513
8/6/2015
Clarice Bell, MD
39730
RN142821
Louis, LaTalya
16133
774 GA Hwy 96 Banaire, GA 31005
10/9/2014
Andrew Yen, MD
63554
RN183882
Love, Elizabeth Differ
14003
200 S. Enota Dr, Suite 200 Gainesville, GA 30501-3466
12/7/2012
Ryan P. Carrick
65941
RN225897
Lovering, Carole J.
11211
3820 Medical Park Dr. Austell, GA 30106
10/5/2012
Jeffrey Pearce, MD
60963
RN063558
Lovett, Megan
11061
195 King Ave. Athens, GA 30606
1/9/2009
Jeffrey Kim, MD
56117
RN191241
Lovett, Michelle Marie
8441
1700 Hospital South Drive, Suite 502 Austell, GA 30106
4/4/2014
Javad Deganian, MD
16053
RN192194
Lovvorn, Mackenzie Lyn
13162
1700 Tree Lane Rd, Suite 110-A Snellville, GA 30078
5/9/2008
Tod Bethea, MD
42016
RN024085
Lowe, Peggy Joyce Yarbrough
1795
536 Hwy 441 South Clayton, GA 30525
11/3/2011
Bagheri, Bob MD
40865
RN176229
Lowman, Janice
10183
204 Canton Road Cumming, GA 30040
Wednesday, August 12, 2015
Page 213 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
Renee Waters, MD
35782
RN176229
Lowman, Janice Elaine
9875
3651Dawson Forest Rd, Suite 100 Dawsonville, GA 30533
9/11/2014
Omari Hodge, MD
70459
RN168434
Lowman-Kedzierski, Denise
13786
1762 Mars Hill Rd. NW Acworth, GA 30101
1/11/2013
Lyla Correoso-Thomas, MD
6886
RN168434
Lowman-Kedzierski, Denise
11527
1395 Marietta Pkwy, #902 Marietta, GA 30067
4/1/2010
Sonjoy Laskar, MD
54772
RN168434
Lowman-Kedzierski, Denise
9065
550 Peachtree St, Med Off Tower, 4th Floor Atlanta, GA 303
4/2/2009
Dennis Incorvati, DO
50527
RN168434
Lowman-Kedzierski, Denise
5511
355 Tower Road, Suite 300 Marietta, GA 30060
4/2/2015
Matthew Astin, MD
66248
RN117999
Lucas, Bobby Gene
15057
5665 New Northside Dr. Suite 320 Atlanta, GA 30328
8/6/2015
Douglas Josephson, MD
46603
RN067905
Ludwick, Faith
15915
3400 C Old Milton Pkwy, Ste 545 Alpharetta, GA 30005
8/7/2009
Daniel Eller, MD
39563
RN149205
Luedecke, Eleanor Rogers
2554
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
9/11/2014
John Kludt, MD
34876
RN188378
Luke, Cynthia Dee Anne
13802
3700 Club Dr Lawrenceville, GA 30044
9/11/2014
Emmanuel Soyoola, MD
53032
RN188378
Luke, Cynthia Dee Anne
13724
1870 Atlanta Hwy Ste J-K Gainesville, GA 30504
1/11/2013
John D. Arnett, MD
38423
RN089566
Luke, Debra C.
11551
200 Doctor's Dr., Suite 106 Douglas, GA 31533
7/12/2012
Rumble, Thomas MD
13078
RN109444
Lumansoc, Rita
10844
2121-A Bellevue Road Dublin, GA 31021
8/6/2010
Todd Kelley, MD
47781
RN181046
Lumpkin, Mary Caroline
9187
330 Turner McCall Blvd, Suite 4000 Rome, GA 30165
5/4/2012
Perkins, Cheryl MD
36430
RN218596
Lund, Christine
10633
1497 Fair Road, Ste 200 Statesboro, GA 30458
Wednesday, August 12, 2015
Page 214 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Jeremiah Bivins, MD
69545
RN201612
Lundi, Camille
15626
304 Margie Dr Warner Robins, GA 31088
11/8/2013
Eva Beaulieu, MD
66254
RN038269
Lunsford, Jeanne Rankine
1805
3600 Dallas Hwy Marietta, GA 30064
6/6/2014
Denise Pecht, MD
34436
RN072457
Lupa, Julia Suzanne Ball
13370
771 Old Norcross Rd, Ste 305 Lawrenceville, GA 30046
6/6/2014
Rene Romero, MD
37060
RN217917
Lutin, Amanda Melanie
13281
2015 Uppergate Dr NE, 6th Floor Atlanta, GA 30322
6/6/2008
Ann Haight, MD
50522
RN150285
Lutterman, Deborah Hartman
1271
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
12/4/2008
Tara Hammond, MD
52183
RN068675
Luttrell, Barbara K.
8289
2250 Satellite Blvd, Ssuite 115 Duluth, GA 30097
8/7/2014
Andrew Wyckliffe, MD
47868
RN124797
Lyda, Kenneth E
13406
275 Collier Rd, Suite 500 Atlanta, GA 30309
1/8/2015
Louis Heller, MD
45238
RN057538
RN057538
Lyden, Margaret
14669
755 Walther Rd Lawrenceville, GA 30046
5/9/2008
Walter Mashman, MD
32956
RN057538
Lyden, Margaret Ann
8208
275 Collier Rd, Suite 300 Atlanta, GA 30309
3/8/2013
Nandana Reddy, MD
55641
RN116155
Lyerly, Linda Carol Phillips
11694
4415 Front Nine Dr Cumming, GA 30041
5/7/2010
Robert Campbell, MD
53429
RN202480
Lyle, Rebecca S.
8909
1226 D'Antignac St Augusta, GA 30901
10/9/2014
Martha Millan-Sanchez, MD
66223
RN180751
Lyles, Linda Michelle
13981
3015 Veterans Pkwy Moultrie, GA 31788
6/4/2015
Nicole Jasper, MD
49572
RN209232
Lynch, Alexis
15620
350 Hospital Dr Macon, GA 31217
3/6/2014
Ella Amador, MD
70033
RN097779
Lynch, Gail L
12510
7301 Blackmon Rd. Columbus, GA 31909
Wednesday, August 12, 2015
Page 215 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2013
Michael Hagues, DO
23977
RN097779
Lynch, Gail L.
11613
2122 Manchester Exprway Columbus, GA 31904
10/5/2012
Jason Smith, MD
52635
RN196622
Lyons, Lori
11049
550 Professional Dr. Macon, GA 31201
12/4/2008
James Odom, Jr., MD
42984
RN146046
Mac Kean, Thomas Alexander
8366
416 E. McPherson Street Nashville, GA 31639
4/13/2007
Robert Sasine, MD
25389
RN146046
Mac Kean, Thomas Alexander
1816
217 Broad Street Doerun, GA 31744
10/5/2012
Bharatkumar Patel
48693
RN109088
Macauley, Quintina
11024
4015 South Cobb Dr, Suite 110 Smyrna, GA 30080
5/8/2015
Niels Engberding, MD
64534
RM15918
5
MacCallum, Elleen Mary
15240
80 Jesse Hill Dr Atlanta, GA 30303
12/4/2014
Himalee Sabnis, MD
61514
RN201149
MacDonald, Kelly Lynne
14623
1405 Clifton Rd NE Atlanta, GA 30322
10/2/2008
Christopher Rittmeyer, MD
42407
RN073225
MacDonald, Patti Mcgee
8323
4750 Waters Avenue, Suite 307 Savannah, GA 31404
11/2/2012
Thomas W. Hobby, DO
48647
RN127219
Macera, Tana M.
11180
2501 N. Patterson St. Valdosta, GA 31602
9/13/2013
Dennis Spencer, DO
47663
RN077194
Mackel, George Scott
12319
1077 South Main St, Emer Dept Madison, GA 30650
9/13/2012
Caruso, Michael MD
57558
RN077194
Mackel, George
10819
196 Ridgecrest Circle Clayton, GA 30525
8/5/2011
Jaykrishna Darji, MD
58862
RN077194
Mackel, George Scott
9958
196 Ridgecrest Circle Clayton, GA 30525
1/9/2014
Timothy Helton, MD
29669
RN064087
Mackenzie, Christine Mary Scan
12824
1010 Johnson Ferry Rd Marietta, GA 30068
5/4/2012
Blache, Charlene MD
45728
RN151220
Mackey-Burns, Susan
10676
406 M Northside Drive Valdosta, GA 31602
Wednesday, August 12, 2015
Page 216 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Regina Justice, MD
47777
RN134284
Macoy, Lisa S.
14006
2462 Hwy 34 East, Ste A Newnan, GA 30265
2/7/2008
John Potts, MD
17642
RN134284
Macoy, Lisa S.
1823
365 North Jeff Davis Drive Fayetteville, GA 30214
4/2/2015
Charles Galea, MD
55229
RN205935
Macy ll, Ronald Tilton
15233
615-A Pedleton Waycross, GA 31501
9/11/2014
Kenneth Matthews
64626
RN097785
Madaris, Brently Todd
1824
101 South Duke St. Lafayette, GA 30728
7/11/2013
Jonathan Popler, MD
64052
RN191035
Madden, Ellen Patricia
12025
1100 Lake Hearn Dr, Suite 450 Atlanta, GA 30342
6/5/2009
Alexander Kessler, MD
50647
RN168142
Maddox, Leigh Catherine
8570
50 Medical Lane, Suite A Canton, GA 30114
4/4/2014
Carl Lift, MD
50206
RN166580
Maddox, Jr., Jimmy Harold
13056
129 Admiralty Way NW Milledgeville, GA 31061
10/9/2014
Karen Walson, MD
61015
RN206519
Magaletti, Karalyn Rose
13941
1001 Johnson Ferry Rd NE, PICU Atlanta, GA 30342
3/1/2012
McGowan, James MD
28833
RN121320
MaGill, Marlis
10496
303 Smith Street, lst floor Lagrange, GA 30240
10/2/2009
Karin Vadelund, MD
58934
RN118599
Maharaj, Rajendra Kuldeep
8751
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
10/2/2009
Brian Mason, MD
41460
RN118599
Maharaj, Rajendra Kuldeep
8750
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
4/1/2011
David Dean, MD
64808
RN133358
Mahek, Amber Daley
9649
95 Collier Rd, Suite 5015 Atlanta, GA 30309
3/8/2013
Thuy Bui, MD
49276
RN174074
Maher, Anne R.
11635
PO Box 422002 Atlanta, GA 30342
12/1/2011
Fleming, Alesia MD
34841
RN174074
Maher, Anne
10222
1645 Tullie Circle Atlanta, GA 30329
Wednesday, August 12, 2015
Page 217 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Sreeni Gangasani, MD
48777
RN147038
Maina, Catherine
14939
766 Walther Rd, Ste 100 Lawrenceville, GA 30046
3/8/2013
Michael O'Grady, MD
41189
RN147038
Maina, Catherine Wangari
11748
7100 Peachtree Dunwoody Rd, #100 Atlanta, GA 30328
8/7/2014
Scott Clark, MD
52157
RN190660
Majors, Jaime Lou
13603
2324 Limestone Overlook Gainesville, GA 30501
1/7/2011
Mary East, MD
63187
RN162552
Makinde, Roseline A.
9560
5805 State Bridge Rd Johns Creek, GA 30097
4/4/2014
Stephen F. Finn, MD
46961
RN234796
Malave, Mirei
13119
1825 Martha Berry Blvd. Rome, GA 30165
10/7/2011
Fletcher, David MD
59718
RN171386
Malcom, Amelia
10135
1075 South Main Street, Ste 100 Madison, GA 30650
1/9/2014
Tyrone Malloy, MD
23086
RN170995
Maldin, Melissa Paige
12065
1924 Cliff Valley Way Atlanta, GA 30329
7/13/2007
Harvey Sanders, MD
16975
RN112902
Mallard, Shelley Hendrix
1834
305 Jones Ave. Waynesboro, GA 30830
5/8/2015
Guilda Saint-Fleur, MD
69627
RN246122
Mallett, Nina Diane
15289
1227 Rockbridge Rd Stone Mountain, GA 30087
5/7/2010
Kathleen Funk, MD
37997
RN103102
Malloy, Jacqueline A.
8962
1000 Johnson Ferry Rd Atlanta, GA 30342
5/7/2010
Bradley Stearns, MD
53380
RN103102
Malloy, Jacqueline A.
8806
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
4/13/2007
Raymond E. Tidman, MD
32826
Malloy, Jacqueline A.
1835
101 RiverStone Vista Blue Ridge, GA 30513
6/8/2007
Victoria Green, MD
38240
RN049304
Malone, Mary Marcella
5510
69 Jesse Hill Jr. DR. SE 4th FL Atlanta, GA 30303
8/7/2014
Maxwell Prempeh, MD
64054
RN177773
Malstrom, Stacey Glass
13685
150 Gentilly Blvd. Cartersville, GA 30120
10/7/2011
Suh, David MD
57848
RN117790
Mancao, Caroline
10083
1468 Montreal Road Tucker, GA 30084
Wednesday, August 12, 2015
Page 218 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Londa Cannon, MD
30972
RN234199
Mancini, Mackenzie
15984
2600 Martin Luther King Jr. Dr SW, Ste 100 Atlanta, GA 3031
5/8/2015
Emmanuel Soyoola, MD
53032
100057
Manga, Mercy
15344
2169 Lawrenceville Hwy Lawrenceville, GA 30044
1/7/2011
Kent Plowman, MD
17872
RN110631
Manghram, Diane Anthony
1840
987 St. Sebastian Way, EB-105 Augusta, GA 30912
8/7/2014
Gregory Smith, MD
47532
RN164166
Mann, Robert Jason
13572
21 Jefferson Place, Ste 1 Athens, GA 30601
11/2/2012
Michelle Morgan, DO
51694
RN053615
Mann, Linda J.
11200
5320 Memorial Dr. Stone Mountain, GA 30083
12/4/2014
Charles Sow, MD
55343
RN181831
Manning, Tiffany Renee
14387
9465 Hwy 5 Douglasville, GA 30135-1509
1/8/2015
David Brand, MD
46045
RN183513
Mansfield, Elizabeth
14590
11045 Columbia St Blakely, GA 39823
5/8/2015
Rishi Gupta, MD
64947
RN247071
Manuel, Marissa
15439
Wellstar Neurosurg, 61 Whitcher St, Ste 3110 Marietta, GA 3
2/7/2013
Todd R. Kelley, MD
47781
RN132924
Maples, Melissa L.
11575
Harbin Clinic, 330 Turner McCall Blvd, #4000 Rome, GA 301
5/6/2011
James Graham, MD
57979
RN129055
Marat, Patti Lorri
9712
331 South Main St Baxley, GA 31513
1/7/2010
R. Neal Boswell, MD
16170
RN129055
Marat, Patti Lorri
8950
2605 Parkwood Drive Brunswick, GA 31520
2/5/2015
Donald Fordham, MD
44718
RN214493
Marbut, Holly
14947
865 Austin Dr Demorest, GA 30535
5/8/2015
William Hudson, MD
30484
155003
Marcel, Solange
15509
2000 16th Avenue Columbus, GA 31901
4/4/2013
Gary Billingsley, MD
29582
RN204200
Marchant, Whitney Mimbs
11785
1215 West Wheeler Pkwy Augusta, GA 30909
9/11/2014
Alicia Weksler, MD
37924
RN186421
Marcius, Marva Monrose
13926
1012 Burleyson Rd Dalton, GA 30720
Wednesday, August 12, 2015
Page 219 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
Thomas Morrow, MD
39879
RN161635
Marcum, Christian Leigh
11940
5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004
7/11/2008
Melissa Eaton, MD
48507
RN139669
Marcus, Tara Leigh
1846
3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005
11/8/2013
Roger Hill, DO
28277
RN197666
Margrave, Amy Rebecca Danfor
12511
114 Cherry St, Suite A Marietta, GA 30060
10/8/2010
Jermaine Jackson, MD
60278
RN187059
Markos, Yodit Katrell
9334
3820 Medical Park Dr Austell, GA 30106
6/4/2015
Whitney Denton, MD
52266
RN112271
Marks, Victoria
15701
3747 Roswell Rd, Ste 216 Marietta, GA 30062
8/6/2015
Connie Trello, MD
43495
RN129040
Markwalter, Gena
15867
1350 Walton Way 3rd Floor Critical Care Augusta, GA 30901
10/9/2014
Ellen Shaver, MD
41670
RN129040
Markwalter, Gena Lynn Johnso
14078
840 Stevens Creek Rd. Augusta, GA 30907
4/1/2011
Bruce Friedman, MD
40066
RN129040
Markwalter, Gena Lynn Johnso
1852
3630 J. Dewey Gray Cir Augusta, GA 30909
3/5/2015
Mark Wulkan, Md
45676
RN209008
Marquez, Orlin Yared
15157
1405 Clifton Rd. NE Atlanta, GA 30322
3/5/2015
Jimmy Graham, MD
17811
RN209008
Marquez, Orlin Yared
14303
1362 S Main St, N Georgia Med Cernter Ellijay, GA 30540
8/6/2015
Ibrahim Opaleye, MD
72878
RN171405
Marrero, Isla
15958
2531 Briarcliff Rd, Ste 210A Atlanata, GA 30329
11/8/2013
Lawrence Powell, MD
38915
RN171405
Marrero, Isla Starr
12526
Take Care, 1490 Pleasant Hill Rd Duluth, GA 30096
9/11/2014
John Chung, MD
41532
RN233824
Marrs, Carol Beth
13691
1107 Memorial Dr, Suite 201 Dalton, GA 30720
4/2/2015
Paul Hawkins, MD
54741
RN140924
Marsh, Helen Marie
15302
4421 Carnes St Acworth, GA 30101
Wednesday, August 12, 2015
Page 220 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Thomas Bozzuto, DO
56978
RN133957
Marshall, Patricia Ann
12937
803 North Jefferson St, Suite A Albany, GA 31701
4/4/2014
Stephen Weiss, MD
56391
RN133957
Marshall, Patricia Ann
13045
803 N Jefferson St, Suite A Albany, GA 31701
3/6/2014
Raymond Jarvis, MD
45505
RN199472
Marshall, Shawanda Latrece
12996
330 Turner McCall Blvd, Suite 300 Rome, GA 30165
11/8/2013
Kesha Allen, MD
57920
RN133957
Marshall, Patricia Ann
12417
417 Third Ave, Emer Dept Albany, GA 31701
6/8/2012
Burkich, Robert MD
46372
RN054505
Marshall, Valeriann
10756
171 Mount Paran Road Sandy Springs, GA 30342
5/6/2011
Vithal Kusuma, MD
21536
RN133957
Marshall, Patricia Ann
9731
1009 N. Monroe St Albany, GA 31701
9/3/2009
Donovan Christie, MD
44432
RN155764
Marshall, Tracey Tamar
1855
725 N. Central Ave Hapeville, GA 30354
4/2/2015
Cedrella Taylor-Jones, MD
26313
RN129013
Martin, Jacqueline Marie
15333
1670 Clairmont Rd. Decatur, GA 30033
4/2/2015
Amy Hardin, MD
35307
RN160199
Martin, Jennifer Susanne
15272
250 Parkbrooke Place, Ste 200 Woodstock, GA 30189
1/8/2015
Carlos Martinez, MD
31793
RN210538
Martin, Danielle
14464
2400 Bellene Rd, Ste 29 B Dublin, GA 31021
1/8/2015
Charles Betz
#####
Rn240100
Martin, Laura Mae
14284
100 John Maddox Dr Rome, GA 306165
9/11/2014
Bryan Woods, MD
34273
RN072776
Martin, Carol Ann Dunson
14665
1265 West Hwy 54, Ste 402 Fayetteville, GA 30214
9/11/2014
Richard Kim, MD
62129
RN229442
Martin, Stephanie
14319
One Coca Cola Plaza Atlanta, GA 30313
9/11/2014
Kirpich Joseph, MD
54904
RN133278
Martin, Sharalyn Marrion
14393
990 Peachtree Ind Blvd Suwanee, GA 30024
9/11/2014
Bruce Ribner, MD
49086
RN201381
Martin, Lindsay Leigh
13507
1364 Clifton Rd, Ste B-705 Atlanta, GA 30322
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/4/2011
Michelle Morgan, MD
51694
RN052052
Martin, Jacquelyn Denise
9563
3800 Princeton Lake Pkwy Sw Atlanta, GA 30331
2/4/2011
Hillary Hahm, MD
48051
RN116159
Martin, Cynthia Louise Walls
9530
340 Kennestone Hosp Blvd, Suite 200 Marietta, GA 30060
8/8/2008
Leslie Cottrell, MD
45194
RN112921
Martin, Jim Glen
1868
1600 Maple Street, UWG Health Svcs Carrollton, GA 30118
6/6/2008
Bradley George, MD
46408
RN167333
Martin, Melissa Anne
1872
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
1/9/2014
Andre Haynes, MD
68818
RN197990
Martyn, Elizabeth A
12817
1153 N. Liberty St Nicholls, GA 31554
2/5/2015
Cheryl Perkins, MD
36430
RN216845
Marucco, Kathryn Mary
14643
1497 Fair Rd, Ste 200 Statesboro, GA 30458
12/4/2014
Judith Bennett, MD
33026
RN135286
Marvets, Patricia Diane
14369
1600 Fort Benning Rd Columbus, GA 31903-2834
6/8/2012
Johnson, Paul MD
46132
RN193287
Mason, Emily
10771
1001 Johnson Ferry Rd Atlanta, GA 30342
1/6/2012
Duke, Michael MD
42041
RN089586
Mason, Angelia
10394
134 W. Campus Dr CBX 091 Milledgeville, GA 31061
4/3/2008
Sarah Ghayouri, MD
39109
RN124340
Mason, Kelly Cassedy
8170
1800 Tree Lane Road, Suite 290-A Snellville, GA 30078
1/11/2008
Jack Dawson, Jr, MD
11945
RN124340
Mason, Kelly Cassedy
8135
275 Collier Road NW, Suite 300 Atlanta, GA 30309
9/11/2014
Bridget Bailey, DO
58390
RN143548
Massengale, Sharon Stanley
13989
116 Smith St. Tennille, GA 31089
3/5/2015
John DeSimone, MD
19930
RN144412
Massey, Kimberly
14951
611 E Washington Ave Ashburn, GA 31714
12/4/2014
Nalini Narayan, MD
#####
RN159762
Rn159762
Massey, Emily
14478
705 Dixie St Carrollton, GA 30117
Wednesday, August 12, 2015
Page 222 of 400
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Dixie Griffin, MD
63661
RN144412
Massey, Kimberly D
14091
39 Kent Rd, Ste 5 Tifton, GA 31794
1/9/2014
James Graham, MD
30071
RN144412
Massey, Kimberly D.
12674
2225 Hwy 41 North Tifton, GA 31794
5/10/2007
Ann E. Eggert, MD
28972
RN111687
Mastin, Janet Kay Martin
1885
12 Eastbrook Bend Peachtree City, GA 30269
4/2/2015
Peter Barrett, MD
69372
RN217253
Matey, Andrew Simon
15278
95 Collier Rd NW, Ste 5015 Atlanta, GA 30309
7/9/2015
Richard Prokesch, MD
19754
RN164716
Mathis, Jessica
15907
6285 Garden Walk Blvd, Ste A Riverdale, GA 30274
5/8/2015
Bernardine King, MD
42071
RN241940
Mathis, Elizabeth
15401
535 Jesse Jewell Parkway, Ste C Gainesville, GA 30501
2/5/2015
Kenneth Patric, MD
69243
RN115936
Mathis, Stephanie
14924
3600 Dallas Hwy SW Marietta, GA 30064
8/7/2014
Samuel Edelman, DO
70804
RN160912
Mathis, Elizabeth Ruth McKnig
13546
710 Center St. Columbus, GA 31901
3/6/2014
Jennifer Frimpong, MD
51901
RN160912
Mathis, Elizabeth Ruth McKnig
12723
710 Center St, Emer Dept Columbus, GA 31901
9/13/2013
Scott McKee, MD
58908
RN170479
Mathis, Sarah Naomi
11912
55 Whitcher St, Suite 350 Marietta, GA 30060
5/3/2013
Kalpana Nayak, MD
26049
RN138004
Mathis, Scott Eugene
11841
1912 Memorial Dr Waycross, GA 31501
4/2/2009
Forte David McEachin, MD
44017
RN142973
Mathis, Jessica Hunter
1889
PO Box 929 Tifton, GA 31793
5/9/2008
Donald Waters, MD
13804
RN138004
Mathis, Scott Eugene
1890
120-A Carter Avenue Blackshear, GA 31516
5/8/2015
Aja McCutchen, MD
58645
RN147300
Matthews, Teresa
15502
1498 Jesse Jewell Parkway, Ste A Ginesville, GA 30501
Wednesday, August 12, 2015
Page 223 of 400
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/9/2014
Olaitan Adeniji, MD
52670
RN147300
Matthews, Teresa Rebekah
12698
1498 Jesse Jewell Pkwy SE, Suite A Gainesville, GA 30501
6/8/2012
Hicks, Claire MD
29466
RN095379
Matthews, Marianne
10799
1290 Athens Street Gainesville, GA 30507
1/6/2012
Jacob, Mina MD
51477
RN135902
Matthews, Cheri
10371
1700 Hospital South Drive Ste 302 Austell, GA 30106
1/8/2015
Darwin Brown, MD
46531
RN195457
Mattox, Stephanie Joy
14832
2665 N Decatur Rd, Ste 520 Decatur, GA 30033
12/7/2012
Sidney P. Smith, MD
38615
RN211306
Mattox, Julie G.
11360
900 Mohawk St. Savannah, GA 31419
9/11/2014
Muhammad Akram, MD
48476
RN187791
Maul, Lindsay
12877
1921 Alice St. Ste.4A Waycross, GA 31501
4/2/2009
Adriana Hermida, MD
59074
RN044942
Maxwell, Thomas Everett
1897
1821 Clifton Road Atlanta, GA 30329
8/8/2008
Brad Prybis, MD
54427
RN161634
Maxwell, Andrea Marie
8151
150 Clinic Avenue, Suite 101 Carrollton, GA 30117
6/6/2014
Ram Reddy, MD
24178
RN201747
May, Amie Patricia
13289
1061 Dowdy Rd, Suite 100 Athens, GA 30606
1/7/2010
Mallory Smith, MD
22471
RN149530
May, Sherry Richardson
8899
125 Memorial Drive Reidsville, GA 30453
5/1/2014
Veronica Garrett, MD
39106
RN159998
Mayfield, Shannon Marie
13249
1415 Milstead Rd, Ste A Conyers, GA 30012
8/6/2010
Robert Blackwell, MD
50128
RN097258
Mayhue, Michelle Day
1899
3708 Northside Dr Macon, GA 31210
6/6/2014
Charles Stephens, MD
58785
RN177268
Maynard, Jennifer Kay Baldwin
13282
960 Joe Frank Harris Pkwy, Emer Dept Cartersville, GA 30120
7/11/2013
David Lawson, MD
17231
RN081599
Maynard, Necia Louise
1900
1365 Clifton Rd NE, Bldg C Atlanta, GA 30322
Wednesday, August 12, 2015
Page 224 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Dorel Bidiuc, MD
51296
RN169618
Mayo, Jesse Ray
12543
707 Old Dalton Ellijay Rd, Emer Dept Chatsworth, GA 30705
12/7/2012
Dillon D. Miller, MD
67508
RN169618
Mayo, Jesse R.
11453
101 Riverstone Vista Blue Ridge, GA 30513
3/8/2013
Thuy T. Bui, MD
49276
RN085532
Mayton, Melinda
11510
P.O. Box 422022 Atlanta, GA 30542
8/6/2015
Richard Antonio, MD
74176
RN155427
Mbah, Linda
16079
484 Irvin Court Decatur, GA 30030
12/4/2008
Eddie Atwell, MD
29303
RN050410
McAfee, Laurene Barrett
1904
15 Medical Drive Cartersville, GA 30121
6/6/2008
Charles Cha, MD
49531
RN050410
McAfee, Laurene Barrett
8229
15 Medical Drive Cartersville, GA 30121
1/9/2009
Joseph Miller, MD
45892
RN152221
McAlister, Janice Louise
1905
275 Collier Road, Suite 500 Atlanta, GA 30309
9/13/2012
Brian Kogon, MD
53322
RN160103
McBrayer, Melanie Higgins
10930
1405 Clifton Road Atlanta, GA 30322
8/6/2015
James Conkright, MD
40829
RN117722
McBride, Susanna
15991
1417 Pednleton Rd Augusta, GA 30904
9/11/2014
Amber Zafar, MD
47384
RN095698
McBride, Veronica Elaine
13921
5448 Whittlesey Blvd Ste B Columbus, GA 31909
8/5/2011
Omer Kucuk, MD
61470
RN165190
McBride, Irene B.
9881
1365-C Clifton Rd NE Atlanta, GA 30329
5/4/2012
Shah, Mehendra MD
34466
RN050734
McCall, Nancy
10653
227A Scenic Hwy Lawrenceville, GA 30046
12/1/2011
Brandi Warren, DO
61681
RN093653
McCall, Laurie
10207
809A 11th Avenue East Cordele, GA 31015
12/4/2009
Jason Griffin, MD
47325
RN093653
McCall, Laurie A. McLeod
8843
454 Smith Ave Thomasville, GA 31792
Wednesday, August 12, 2015
Page 225 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Harris Tyra, MD
61249
RN139162
McCall-Gaston, Natalie
15188
794 S Park St Carrollton, GA 30117-3826
9/13/2013
Bruce Wood, DO
23516
RN139162
McCall-Gaston, Natalie Yvonne
12281
259 Jonesboro Rd McDonough, GA 30253
7/11/2013
Wondiful Colbert, MD
68389
RN139162
McCall-Gaston, Natalie Yvonne
12072
830 Eagles Landing Pkwy, Suite 203 Stockbridge, GA 30281
5/4/2012
Malik, Saleem MD
44523
RN065692
McCann, Michael
10707
1700 Hospital South Drive, Ste 500 Austell, GA 30106
8/7/2014
Erich Randolph, MD
27190
RN115980
McCarthy, Andrea Patricia
13677
320 Parkway NE Atlanta, GA 30312
1/9/2014
Stephanie Eaton, MD
44204
RN192261
McCarthy, Melissa Smith
12742
5505 Peachtree-Dunwoody Rd, Suite 370 Atlanta, GA 30342
7/12/2012
Griner, Brian MD
46966
RN173621
McClain, Lindsey
10822
117 West Northside Drive Valdosta, GA 31602
9/11/2014
Gail Hurley, MD
18990
RN228744
McClaude, Anamaria
13839
675 College Ave Thens, GA 30603
9/11/2014
William Watkins, MD
32076
RN073978
McCloud-Forbes, Donna
13862
235 Peachtree St NE, North Tower, Suite 2100 Atlanta, GA 3
1/9/2014
Louis Fernandez, MD
39790
RN054949
McCollum, Joyce Ann Wilkinson
12707
274 Big A Rd Toccoa, GA 30577
2/4/2011
Padrica Hopkins-Menchion,
MD
47446
RN102128
RN102128
McCollum, Kennon Howard
9438
1045 Southcrest Dr, Suite 200 Stockbridge, GA 30281
9/1/2011
John Byers, MD
50076
RN171520
McConnell, Carrie F.
1923
2525 Williams Rd Columbus, GA 31909
2/7/2013
M. Frank Powell, MD
23663
RN149422
McCord, Frances A.
11579
464 Mt. Plesant Rd. homson, GA 30824
5/7/2009
Donald Gates, MD
53915
RN157075
McCorkle, Laurel Williams
7904
6602 Abercorn St, Suite 102 Savannah, GA 31405
Wednesday, August 12, 2015
Page 226 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/6/2012
Jha, Asit MD
55248
RN214963
McCormick, Marie
10305
1451 Church Street Waycross, GA 31501
1/6/2012
Holzman, Martin MD
65824
RN214963
McCormick, Marie
10285
1451 Church Street Waycross, GA 31501
12/4/2008
Stephanie Riemann, MD
40362
RN111872
Mccormick, Marsha A Alexande
1928
3755 Sixes Road, Suite 300 Canton, GA 30114
4/1/2010
Paul Bradley, MD
30016
RN046664
Mccourt, Mary Elizabeth
1929
315 Eisenhower Drive Savannah, GA 31406
3/5/2015
Saira Tarig Niaz, MD
58550
RN171315
McCown, Penelope
14819
5900 Hillandale Dr, Ste 215 Lithonia, GA 30058
9/11/2014
Jason Berner, MD
48322
RN181259
McCoy, Tami Star Trinkle
13676
120 Oakside Crt, Ste H Canton, GA 30114
9/11/2014
Morris Pulliam, MD
34223
RN179017
McCoy, Nancy Sue
13838
1244 Historic Homer Hwy Homer, GA 30547
1/9/2014
Muhammad Alam, MD
69167
RN096899
McCoy, Sherry Marie Hay
12679
3015 Veternas Pkwy Moultrie, GA 31788
5/7/2009
Roshan Shrestha, MD
56765
RN171151
McCoy, Caroline Paige
8539
1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309
11/1/2007
Serena Tidwell, MD
51192
RN050560
McCrary, Judy Lynn Hay
1933
1538 13th Avenue, Suite B200 Columbus, GA 31901
2/6/2014
Joseph Kim, MD
69682
RN057553
McCullough, Michael Allen
12784
745 Poplar Rd, Emer Dept Newnan, GA 30265
2/6/2014
Paula Brathwaite, MD
62476
RN057553
McCullough, Michael Allen
12785
1255 Hwy 54 West, Emer Dept Fayetteville, GA 30214
1/9/2014
Paula Brathwaite, MD
62476
RN191822
McCullough Vieira, Megan Mari
12831
1255 HY 54 W. Emergency Department Fayetteville, GA 302
1/8/2015
Brandi Warren, DO
61681
RN225409
McCurdy, Brenda W.
14778
1 N Main St., Ste 104 Moultrie, GA 31768
Wednesday, August 12, 2015
Page 227 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Douglass Moss, MD
41178
RN127394
McDade, Sharon Renee
13012
814 Northwood Park Dr Valdosta, GA 31602
7/9/2015
Rubal Patel, MD
64707
RN207209
McDaniel, Stephanie
15591
901 E 18th St Tifton, GA 31794
8/7/2014
James Gore, MD
36384
RN122985
McDaniel, Rebecca Lea Palmer
13610
1657 North Expressway Griffin, GA 30223
2/4/2011
Sheri Campbell, MD
58445
RN191724
McDaniel, Linda R.
9540
690 Dallas Hwy, Suite 301 Villa Rica, GA 30180
5/9/2008
Michael Fortson, MD
35051
RN038289
McDaniel, Wanda Ruth Shell
1940
1058 Bear Creek Blvd Hampton, GA 30228
10/9/2014
Sonal Hazariwala, MD
54151
RN120924
McDonald, Jennifer
14000
5211 Hwy 278 NE Covington, GA 30014
7/11/2013
Stephanie Keller, MD
64120
RN180967
McDonald, Lyndsey Lea
11795
975 Johnson Ferry Rd, Suite 340 Atlanta, GA 30342
6/7/2013
Honorio Bulos, MD
48029
RN180967
McDonald, Lyndsey Lea
11904
300 Dawson Commons Cir, #320 Dawsonville, GA 30534
1/11/2013
Richard L. Baldwin, MD
23894
RN226556
McDonald, Jenna N.
11436
9280 Hwy 5, Suite A Douglasville, GA 30134
5/3/2013
Robin Fowler, MD
52931
RN154424
McDowell, Kelly Marie
11705
1388-A Wellbrook Circle Conyers, GA 30012
5/4/2012
McMath, Lisa MD
53332
RN177697
McDowell, Jacquelyn
10673
4000 Shakerag Hill, Ste 200 Peachtree City, GA 30265
1/6/2012
Briones, Michael DO
42192
RN096562
McElfresh, Patricia
10373
1405 Clifton Rd NE, 4th floor Atlanta, GA 30322
3/5/2015
Akram Shibani, MD
72809
RN198710
McElroy, Colleen Mary
14966
55 Witcher St, Ste 160 Marietta, GA 30060
8/7/2014
Jose Justiniano-Ayala, MD
46773
RN093196
McFarland, Carla Sue
13620
118 East Girard St. Cedartown, GA 30125
Wednesday, August 12, 2015
Page 228 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/8/2013
Dale McGregor, DO
25220
RN181453
McFarland, Jade Griffin
11680
3131 South Main St Moultrie, GA 31768
1/8/2015
David Dobson, MD
57160
RN057561
McGaha, Delaine
14852
300 First Ave South Reidsville, GA 30453
3/8/2013
Julaine Cross, MD
56037
RN205330
McGee, Joy Richardson
11692
255 West 5th St, Suite 300 Rome, GA 30165
12/4/2014
Christopher Morgan, MD
66151
RN066539
McGill, Wanda Lee Broome
13409
1514 Vernon Rd, Emer Dept LaGrange, GA 30240
4/4/2014
Julia Ballard, MD
21637
RN066539
McGill, Wanda Lee Broome
13103
130 Sam Walker Dr, Medical Unit LaGrange, GA 30240
8/10/2012
Vlachos, Nick MD
62624
RN066539
McGill, Wanda
10932
1514 Vernon Road LaGrange, GA 30240
9/11/2014
Adithya Reddy, MD
61509
RN149268
McGowan, Monica Trechele Sp
13950
2550 Windy Hill Rd., Ste 206 Marietta, GA 30067
8/7/2014
Christopher Stevens, MD
54515
RN149268
McGowan, Monica Trachele Sp
13647
3800 Princeton Lake Pkwy SW Atlanta, GA 30331
2/6/2014
Frank Bynes, MD
36932
RN059933
McGowan, Valerie Elaine James
1954
106 Wast Broad St Savannah, GA 31401
12/6/2012
Robert Earl Windsor, MD
31857
RN149268
McGowan, Monica Trechele Sp
10977
2550 Windy Hill Road, Suite 215 Marietta, GA 30067
11/5/2009
Miles Johnson, MD
38817
RN201165
McGowan, Maxine Alberta Eur
8804
3001 South Cobb Dr, Susite 103 Smyrna, GA 30080
11/5/2009
Eric Felner, MD
52564
RN150349
McGrath, Maureen Therese
8792
2015 Upper Gate Drive Atlanta, GA 30322
5/6/2011
Ross Jacobson, MD
57204
RN053124
McGuire, John F.
5259
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
1/6/2012
Davillier, Kelly MD
60168
RN191762
McHargue, Nicole
10333
1 Hiram Blvd, Bldg B Hiram, GA 30141
Wednesday, August 12, 2015
Page 229 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Gerald Bohn, MD
30957
RN123403
McIlwain, Margaret Ann Linkou
14934
1857 West McIntosh Rd. Griffin, GA 30223
4/4/2013
Harry A. Linkous, MD
31465
RN123403
McIlwain, Margaret A.
11620
320 Forest Hill Rd. Macon, GA 31210
6/4/2015
Kirpich Joseph, MD
54904
RN189290
McIntosh, Marcia
15680
990 peachtree Ind Blvd Suwanee, GA 30024
9/13/2013
Monica Hoffmeister-
Becerra, MD
68209
RN112961
McIntosh, Marie Kathlyn
12292
2122 Mnchester Exprwy, Hosp Med Dept Columbus, GA 319
9/11/2008
Wendy Troyer, MD
33786
RN092844
McIntosh, Modupe Deas
1957
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
8/5/2011
Joseph DeVeau, MD
52706
RN211545
McIntyre, Jennifer Gregg
9909
101 Yorktown Dr, Suite 100 Fayetteville, GA 30214
5/1/2014
Omari Hodge, MD
70459
RN180990
McIntyre-McKay, Florence Ang
13250
2988 Shallowford Rd Marietta, GA 30066
6/6/2014
Robert Kaufmann, MD
30115
RN109974
McIver, Linda
13354
550 Peachtree St NE, Ste 1700 Atlanta, GA 30308
6/6/2014
Robert Kaufmann, MD
30115
RN109974
McIver, Linda
13277
220 A Sandy Springs Place Atlanta, GA 30328
11/2/2012
Victoria A. Shirley, DO
50921
RN162144
McKay, Angela C.
11285
109 Ostgian Blvd, Ste. 400 Warner Robins, GA 31088
10/5/2012
Herbert Carter, MD
41409
RN063586
McKee-Waddle, Rebecca
11078
550 Peachtree St. NE, 7th flr Medical Office Tower Atlanta, G
6/8/2007
Victoria Green, MD
38240
RN032055
McLaughlin, Denise
5514
69 Jesse Hill Jr. SE 4th Fl Atlanta, GA 30303
9/13/2013
Jack Ross, MD
27302
RN139185
McLaurin, Laura Varga
1963
610 19th St Columbus, GA 31909
9/14/2007
Frank DeMarco, MD
44442
RN098801
McLear, Barbara Sharp
1966
1100 N'side Forsyth Dr, Ste 450 Cumming, GA 30041
Wednesday, August 12, 2015
Page 230 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Aja McCutchen, MD
58645
RN151929
McLeish, Elizabeth
15559
299 North Broad St Winder, GA 30680
5/1/2014
William Lytollis, MD
57392
RN151929
McLeish, Elizabeth R.
12852
316 N. Broad Street Winder, GA 30680
1/8/2015
Habigaile Cribe, MD
50874
RN126278
McLendon, Bridget R
14305
1 Baltimore Place Atlanta, GA 30308
11/2/2012
Thomas Buice, MD
51758
RN102736
McLendon, Angela L.
3255
URMC Wound Healing Center, P.O. Box 1059 Thomaston, GA
8/10/2012
Thomas Ferrari, MD
34829
RN060662
McLendon, Susan
10910
110 RT Stanley Senior Place Lyons, GA 3-436
11/7/2014
Guy Augustin, MD
70852
RN198320
McLeod, Melissa Danielle
14276
1153 North Liberty St Nicholls, GA 31554
7/10/2014
James Sinclair, MD
36457
RN198320
McLeod, Melissa Danielle
13535
306 Westside Dr. Douglas, GA 31533
8/2/2007
Gary Broadnax, DO
16213
RN091604
McLeskey, Theodora Jean Frud
1969
1944 Walton Way Augusta, GA 30904
9/2/2010
Tracey St. Julian, MD
54127
RN117155
McLester, Kendra
9163
155 Medical Way, Suite B Riverdale, GA 30274
6/4/2015
Rebecca Loomis, MD
46984
RN117269
McMahon, Angela
15714
1515 River Place, Ste 100 Braselton, GA 30517
8/7/2014
Laura Conger-Moore, MD
42031
RN181173
McMahon, James Adam
13102
1200 Memorial Drive, Hospitalist Dept Dalton, GA 30720
3/4/2010
James Newlon, DO
26606
RN134308
McMillan, Vickie Ann Swad
9001
145 N. Medical Pkwy Woodstock, GA 30189
3/6/2009
Nagalakshmi Suryadevara,
MD
58515
RN134308
McMillan, Vickie Ann Swad
1975
145 N. Medical Pkwy Woodstock, GA 30189
12/4/2008
Richard Schlossberg, MD
44330
RN102265
McMillan, Trina Louise Nobles
1974
12 Seventh Street Auburn, GA 30011
Wednesday, August 12, 2015
Page 231 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Dean Broome, MD
48604
RN127929
McMunn, Michael David
13272
300 1st Ave South Reidsville, GA 30453
8/7/2014
Woody Francis, MD
48325
RN189661
McNair, Deborah Ruth
8025
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
7/12/2012
Sams III, Ferrol MD
19767
RN189661
McNair, Deborah
10873
101 Yorktown Drive, Ste 100 Fayetteville, GA 30214
7/10/2014
Edward Ajayi, MD
37935
RN100656
McNeal, Virginia Maxine Voyles
12258
6133 Love St Austell, GA 30168
2/5/2015
Joseph Hathaway, MD
49797
RN089620
McNeely, Pamela Karen
14927
114 Hill Pond Lane Statesboro, GA 30458
10/10/2013
James B White, MD
39510
RN165033
McNeese, Haley Bree
12391
705 Dixie St Carrollton, GA 30117
7/10/2014
Robert Wilson, MD
38133
RN218786
McNulty, Amanda Rebecca
13537
308 Bedell Ave. Woodbine, GA 31569
7/9/2015
John Ouderkirk, MD
49992
RN235357
McPeak, Justin
15809
735 Piedmont Rd Atlanta, GA 30808
2/5/2015
James Stevick, MD
34481
RN135666
RN135666
McPhail, Melissa
14802
575 First St Macon, GA 31201
6/7/2013
Shelley D. Samuel, MD
57248
RN135666
McPhail, Melissa
11369
218 Hwy 49 North, Suite A Byron, GA 31008
4/2/2015
Suzanne Manley, MD
46167
RN195222
McPherson, Elisabeth M
15341
148 Clinic Ave Carrollton, GA 30117
12/6/2013
Chandresh Viradia, MD
53050
RN131500
McPherson, Christi Ambrose
12576
100 Jim Mason Ct, Suite A Warner Robins, GA 31088
1/7/2011
Robert Bowman, MD
31387
RN112980
McPherson, Fran Annette Hann
9551
1430 Hwy 82 West, Suite 105 Tifton, GA 31793
6/8/2012
Darrin Strickland, MD
38105
RN130343
McQuigg, Lesli
10751
3025 Shrine Rd, Suite 190 Brunswick, GA 31520
Wednesday, August 12, 2015
Page 232 of 400
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/7/2008
Juanita Lott, MD
19847
RN130343
McQuigg, Lesli Gowen
1986
418 E H Court Brunswick, GA 31520
1/6/2012
Duke, Michael MD
42041
RN123207
McRae, Britt
10393
134 W. Campus Dr CBX 091 Milledgeville, GA 31061
7/9/2015
Michael Lee, MD
52082
RN168031
McRae-Spencer, Aribell
15798
7863 Villa Rica Hwy Dallas, GA 30157
6/8/2012
Jacobs, Theresa MD
46864
RN168031
McRae-Spencer, Aribell
10733
868 York Avenue Atlanta, GA 30310
12/4/2008
Madhu Vishwanath, MD
56499
RN091649
Mcroyal, Nancy Cathaleen Aver
1990
2779 Cobb Pkwy NW Kennesaw, GA 30152
2/6/2014
Rene Romero, MD
37060
RN227080
McSherry, Amalia Heneghan
12637
1405 Clifton Rd NE, 6th Floor Atlanta, GA 30322
2/5/2010
Tania Morgan, MD
48172
RN184986
McVay, Amanda Kaye
8960
5354 Reynolds St, Suite 303 Savannah, GA 31405
3/29/2012
Conner, Franklin Geoffery
MD
33555
RN029227
Mead, Hazel
10532
300 Arlington Dr Vidalia, GA 30474
3/5/2015
Fionan O'Griofa, MD
40179
RN148484
RN148484
Meadows, Kendaly
15113
1670 Clairmont Rd Decatur, GA 30033
5/7/2009
Richard Robinson, MD
38936
RN112536
Meadows, Elizabaeth Hall
5262
3240 Avalon Blvd Conyers, GA 30013
5/9/2008
Charles Brown, III, MD
28383
RN166826
Mealing, Tatum Sherrell
1996
275 Collier Road, Suite 500 Atlanta, GA 30309
1/8/2015
Brian Adams, MD
70842
RN209080
Mealor, Andrea
14736
1620 Prince Ave Athens, GA 30606
7/10/2014
D. Janene Holladay, MD
37199
RN209080
Mealor, Andrea Maclin
13544
601 Broad St, Suite B Gainesville, GA 30501
7/10/2014
Zenobia Day, MD
61959
RN070135
Medlin, Helen Clair
13482
255 Prosperity Way Adairsville, GA 30103
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Bobbie Kumar, MD
68197
RN112985
Medlin, Tammy Lynn Hostetler
13038
11935 Abercorn St, Suite 7106 Savannah, GA 31419
1/11/2013
Huggins, Michelle MD
34368
RN070135
Medlin, Helen
10329
870 Crest Mark Drive, Ste 202 Lithia Springs, GA 30122
7/10/2009
Franklin Lin, MD
52461
RN111315
Meekins, Jacqueline Loriann
1998
61 Whitcher St, Suite 4100 Marietta, GA 30060
9/11/2014
Lisa Ruschak, MD
59956
RN235429
Meeks, Samantha Rae Slagle
13720
3300 Fourth St. Brunswick, GA 31520
11/7/2008
Christopher Parman, MD
53803
RN131825
Meeks-Sjostrom, Diana Joan
1999
100 Stone Forest Drive, Suite 130 Woodstock, GA 30189
4/4/2014
Yuan-Xiang Meng, MD
51257
RN157541
Mehta, Rovi-Jane Ranada
13147
4398 Atlanta Hwy Loganville, GA 30052
2/5/2015
Jianhua Cheng, MD
46063
RN112988
Meister, Lisa
14809
1 Freedom Way Augusta, GA 30904
12/6/2013
Victor Corrigan, MD
26489
RN186511
Mekhoukh, Jennifer Liechty
12578
275 Collier Rd, Suite 300 Atlanta, GA 30309
11/2/2012
Randy J. Yanda, MD
36638
RN186511
Mekhoukh, Jennifer Liechty
11263
95 Collier Road Suite 4075 Atlanta, GA 30309
1/9/2014
Fiona Blair, MD
41729
RN091317
Melde, Karen Joan Dianora
12618
2240 West Park Pl, Suite A Stone Mountain, GA 30087
7/11/2013
Elizabeth Norwood, MD
46192
RN091317
Melde, Karen Joan Dianora
12029
2739 Felton Dr East Point, GA 30344
4/2/2015
Joseph Korwin, MD
34878
RN235296
Melvin, Tonisha Jeane
14746
1 Freedom Way Augusta, GA 30907
4/4/2014
John E. Gee, MD
60732
RN162600
Melvin, Darin Jay
13112
3527 North Valdosta Rd. Valdosta, GA 31602
4/4/2014
James R. Goss, DO
27381
RN162600
Melvin, Darin Jay
13111
3527 North Valdosta Rd. Valdosta, GA 31602
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Jarod Bailey, DO
65929
RN162600
Melvin, Darin Jay
13170
2704 North Oak St., Ste A-2 Valdosta, GA 31602
9/13/2013
Joseph Slappey, MD
34473
RN164346
Melvin, Heather Woodward
10998
1610 Forsyth St Macon, GA 31201
7/12/2012
Pena, Guillermo MD
59493
RN105216
Mercer, Gayle
10828
75 Bypass Road Morganton, GA 30560
6/6/2008
Michael Briones, DO
42192
RN113523
Merck, Tara Taneski
2012
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
10/2/2009
Vijitha Prasad, MD
40520
RN156565
Meritt-Iten, Lisa Michele
1478
117 Kite Road Swainsboro, GA 30401
1/8/2015
Leslie Cottrell. MD
45194
RN152283
Merrill, Christy Erin Cotney
14362
1601 Maple St Carrollton, GA 30118
7/9/2015
Dingane Baruti, MD
55411
RN201661
Merritt, Amanda
15855
664 N Main St Pearson, GA 31642
6/4/2015
Robert Cella, MD
58336
RN176738
RN176738
Merritt, Marcie
15574
200 Perry House Rd Fitzgerald, GA 31750
6/4/2015
Mark Brulte, MD
48490
RN176738
Merritt, Marcle
15573
200 Perry House Rd Fitzgerald, GA 31750
1/8/2015
Julian McLendon, MD
38557
RN209446
Merritt, Kayla Cook
14758
1502 West 3rd St Jackson, GA 30233
9/11/2014
Timothy Graves, MD
26859
RN155336
Merritt, Shannon Elizabeth
13922
770 Walnut St Macon, GA 31201
7/10/2014
Thomas Mann, MD
37607
RN176738
Merritt, Marcie LeAnn
13516
4/4/2013
Joel Greenberg, MD
28560
RN184377
Merritt, Amanda Lynn
11759
6602 Waters Ave, Bldg C Savannah, GA 31406
11/2/2012
Phlilp I. Reese, DO
66407
RN176738
Merritt, Marcie LeAnn
11264
118 Norman Dorminy Dr. Fitzgerald, GA 31750
Wednesday, August 12, 2015
Page 235 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2013
Russell Brown, MD
39743
RN224477
Merriweather, Kenyatta Chevel
11973
2001 Martin Luther King Jr Dr, # 418-430 Atlanta, GA 30310
1/8/2015
James Crane, MD
36519
RN237132
Messer, Tara Megan
14612
1825 Martha Berry Blvd Rome, GA 30165
2/5/2015
Milagros Keh, MD
18509
RN112998
Metheny, David Roy
14905
601 W 11th Ave Albany, GA 31701
9/11/2014
Jonathan Williams, DO
59237
RN112998
Metheny, David Roy
13762
1120 W. Broad Ave. Ste. B-4 Albany, GA 31705
11/3/2011
Gobin, Wanda DO
53912
RN112998
Metheny, David
10197
601 West 11th Ave Albany, GA 31763
2/5/2015
Joseph Korwin, MD
34878
RN045066
Metz, Linda
14748
One Freedom Way Augusta, GA 30904
6/4/2015
Jolaade Adebayo, MD
72496
RN176382
Meyer, Rebecca
15686
601 Broad St SE, Ste B Gainesville, GA 30501
7/10/2014
Shaena Blevins, MD
60242
RN176382
Meyer, Rebecca E.
13565
743 Spring St. Gainsville, GA 30501
4/13/2007
David Villasana, MD
34973
RN116908
Meyer, Heidi Rae
2021
790 Church Street, Ste #400 Marietta, GA 30060
4/4/2013
Michael Dant, MD
23936
RN218891
Meyers, Michelle Emily
11708
4700 Battlefield Pkwy, Suite 200 Ringgold, GA 30736
3/6/2014
William Hudson, MD
30484
RN210777
Meyers-Prosyniuk, Stacey Mari
13015
2000 16th Ave Columbus, GA 31901
10/5/2012
Wayne Kelley, Jr., MD
65447
RN093691
Michael, Garry
11090
3708 Northside Dr. Macon, GA 31210
9/3/2009
Sabin Tomus, MD
45994
RN135637
Miclat, Cristine Palacios
8710
455 South Main St, Suite 203 Hinesville, GA 31313
5/10/2007
Ricardo Raul Riesco, MD
44069
RN113005
Middleton, Connie Dianne Cole
2027
711 Shileds Road Dalton, GA 30720
Wednesday, August 12, 2015
Page 236 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Raul Nogueira, MD
64876
RN185538
Milam, Adrienne Marie
14880
80 Jesse Hill Jr Dr, Ste 11 C Atlanta, GA 30303
6/6/2014
Muhammad Khan, MD
63080
RN162466
Milam, Lindsay Smith
7923
915 Gordon Ave Thomasville, GA 31792
1/6/2012
Ward, Timothy MD
23125
RN162466
Milam, Lindsay
10361
947 South Broad Street Thomasville, GA 31792
9/13/2012
Husham Mishu, MD
40740
RN209012
Milburn, Terri Lynn
10991
285 Boulevard NE, Ste. 345 Atlanta, GA 30312
6/8/2012
Goldstein, Matthew MD
48115
RN209012
Milburn, Terri
10749
1700 Medical Way Snellville, GA 30078
3/29/2012
Vadelund, Karin MD
58934
rn209012
Milburn, Terri
10618
235 Peachtree St NE, North Tower, Ste 2100 Atlanta, G 3030
5/4/2012
Hughes, Brian MD
31029
RN135390
Miles, Karen
10597
One Meadows Parkway Vidalia, GA 30474
2/5/2015
Antony Labady, MD
63084
RN170081
Miley, Kathryn Lynn
14953
200 Industrial Blvd Dublin, GA 31021
8/6/2015
Zia Khan, MD
62533
RN146822
Miller, Sheila Ann Moore
16045
5470 Meridian Marks Rd NE Atlanta, GA 30342
7/9/2015
Paul Johnson, MD
46132
RN159327
Miller, Brandi Nicole
15936
677 Church St. NE Marietta, GA 30060
5/8/2015
Jorge Leguizamo, MD
61479
RN111545
Miller, Jenifer
15475
698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045
9/11/2014
Richard Loyd, DO
37446
RN111545
Miller, Jenifer Susan Van Brack
13774
125 King Ave, Suite 200 Athens, GA 30606
9/11/2014
Terry Melvin, MD
35951
RN189150
Miller, Leah Harris
13187
4411 Oakwood Drive Chattanooga, TN 37416
6/6/2014
Joshua Vova, MD
60484
RN170287
Miller, Andrea Joslin
13054
1001 Johnson Ferry Rd NE Atlanta, GA 30342
3/6/2014
Michael Busman, MD
40628
RN051585
Miller, Elizabeth Ann Tillman
2037
800 GSW State University Dr Americus, GA 31709
Wednesday, August 12, 2015
Page 237 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Anthony O'Meara, MD
63386
RN198269
Miller, Angela DeAnne
12841
4303 Jodeco Rd McDonough, GA 30253
1/9/2014
Dominique Smith, MD
42439
RN221171
Miller, Treecie Lee
12453
5404 Hillandale Park Court Lithonia, GA 30058
1/9/2014
Lisa Gantner, MD
27690
RN183390
Miller, Gwendolyn Giddings
12662
7901 Veterans Pkwy Columbus, GA 31909
9/13/2013
Martha Millan Sanchez, MD
66223
RN228457
Miller, Tonya D
12234
3015 Verterans Pkwy Moultrie, GA 31788
8/9/2013
Louellen Gurley, MD
42263
RN182120
Miller, Laura Southern
12169
303 Smith St LaGrange, GA 30240
7/11/2013
Frederick Roberts, MD
42113
RN212631
Miller, Vashti Gift
11957
2122 Manchester Expry Columbus, GA 31908
10/7/2011
Kingsley, Jeffery DO
52973
RN212631
Miller, Vashti
10160
5210 Armour Road Columbus, GA 31904
10/7/2011
Boss-Cole, Etta MD
55541
RN217874
Miller, Macy
10122
414 Lugenia Blvd Vidalia, GA 30474
6/30/2011
Maurice Sholas, MD
60314
RN170287
Miller, Andrea Joslin
9819
1001 Johnson Ferry Rd Atlanta, GA 30342
6/3/2011
Michael Sharkey, MD
38609
RN187026
Miller, Kelly Jena
9792
212 Hospital Dr, Suite C Warner Robins, GA 31088
1/7/2011
Kathleen McKie, MD
52362
RN199861
Miller, Jocelyn Rae
9527
1445 Harper St, Suite BG-1104 Augusta, GA 30912
7/1/2010
Richard Young, MD
21218
RN089642
Miller, Nancy Elizabeth
2045
958-A Joe F Harris Pkwy, Suites 101 & 105 Cartersville, GA 30
5/7/2009
Lance Wiist, MD
33754
RN064231
Miller, Kristine Elizabeth Atkins
2043
761 Old Norcross Road Lawrenceville, GA 30045
12/4/2008
Antonio Rios, MD
45114
RN179064
Miller, Lisa Ann
3186
669 Lanier Park Drive Gainesville, GA 30501
Wednesday, August 12, 2015
Page 238 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/14/2007
Kevin Smith, MD
41961
RN078351
Miller, Susan Jane Borich
2047
100 Chastain Rd., Hse 52 #5200 Kennesaw, GA 30144
3/8/2013
Susan Wheatley, MD
31357
RN150727
Miller-Tso, Denise A.
11633
6385 McGinnis Ferry Rd., #202 Johns Creek, GA 30005
4/13/2007
Frank Trigg, MD
30556
RN129911
Millhouse, Paula W.
2051
101 RiverStone Vista, Suite 203 Blue Ridge, GA 30513
7/9/2015
Thomas Bloodworth, MD
18124
RN186725
Millican, Ashley
15901
6794 Bill Carruth Pkwy Hiram, GA 30141
5/8/2015
Gretta Flaherty, DO
69114
RN186725
Millican, Ashley
15413
1501 Shorter Ave Rome, GA 30165
5/4/2012
Parmer, Keith MD
15200
RN186725
Millican, Ashley
10672
1501 Shorter Avenue Rome, GA 30165
4/1/2010
James Brennan, MD
19645
RN132926
Milliman, Dana Lynn
8954
303 Smith Street LaGrange, GA 30240
9/13/2013
Shawn P. Allen, MD
38168
RN081528
Millington-Upshaw, Venus D.
11618
3006 Clairmont Rd., #115 Atlanta, GA 30329
10/5/2012
Dominic Nkwocha, MD
55280
RN081528
Millington-Upshaw, Venus
11043
4015 South Cobb Dr., Suite 110B Smyrna, GA 30080
10/9/2014
Kay Oso, MD
44049
RN229054
Mills, Elizabeth Renee
14325
3890 Redwine Rd SW Atlanta, GA 30331
3/29/2012
Becton, Elizabeth MD
38178
RN077228
Mills, Leslie
10595
1303 d'Antignac Street, Ste 2600 Augusta, GA 30901
7/10/2014
Lee Battle, III, MD
20858
RN102683
Millsap, Lori Ann Waters
13549
775 West Ave, Suite A Cartersville, GA 30120
11/2/2012
Safia Pirani, MD
56624
RN102683
Millsap, Lori W.
11266
220 Oakside Lane Canton, GA 30114
7/10/2009
Steven Spivey, MD
50737
RN178269
Millsap, Kimberly Dawn
8646
150 Gentilly Blvd Cartersville, GA 30120
Wednesday, August 12, 2015
Page 239 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Irvine Duplan, MD
57066
RN149041
Millwee, Sara Eisen
13157
743 Spring St., NE Gainesville, GA 30501
2/4/2011
Jason Smith, MD
52635
RN134487
Milner, Joni Reba Dixon
9488
550 Professional Dr Macon, GA 31201
3/4/2011
Hina Hussain, MD
55063
RN090178
Milstead, Cynthia Nan
9587
4526 Clubhouse Dr Marietta, GA 30066
5/9/2008
William Godfrey, MD
28552
RN090178
Milstead, Cynthia Nan
2055
3525 Busbee Drive, Suite 100 Kennesaw, GA 30144
2/5/2015
Arvind Aggarwal, MD
56400
RN135482
Mimbs, Andriea
14865
206 Hospital Dr Dublin, GA 31021
1/11/2008
Brian Griner, MD
46966
RN140594
Miner, Katie Elizabeth
2056
117 W. Northside Drive Valdosta, GA 31602
7/9/2015
Felissa Goldstein, MD
57467
RN081530
Minter, Bonnie
15882
1920 Briarcliff Rd NE Atlanta, GA 30329
5/3/2013
Larry Stewart, MD
27123
RN052474
Mishra, Margaret M.
11491
116 S. Houston Rd. Warner Robins, GA 31088
8/6/2015
Terry Banks, MD
48206
RN249104
Missildine, Audrea
15959
1 Aflac Way Columbus, GA 31907
11/7/2014
Allen Beecham, DO
25102
RN104197
Mitcham, Betsy Kirkpatrick
14192
2000 Vilage Professional Dr, Ste 110 Canton, GA 30114
8/6/2015
Sandra Gibbs, MD
32192
RN206296
Mitchell, Aundre Roucha
15930
774 GA Hwy 96 Bonaire, GA 31005
11/7/2014
Onkar Kaur, MD
47103
RN206296
Mitchell, Aundre Roucha
14203
602 East 16th Ave, Ste B Cordele, GA 31015
9/11/2014
Derek Pendarvis, MD
49933
RN073201
Mitchell, Mary McCartney
13718
725 Jessee Jewell Pkwy, Ste 350 Gainesville, GA 30501
8/9/2013
Ian Davis, MD
64203
RN168369
Mitchell, Trekesha Deshon
12201
1120 15th Street, BI-5092 Augusta, GA 30912
Wednesday, August 12, 2015
Page 240 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/11/2013
Gayoung Hong, MD
67467
RN208361
Mitchell, Patricia Gayle
12050
13570 N Main St Trenton, GA 30752
6/7/2013
Michael Riley, MD
59949
RN151092
Mitchell, Bridgette Anne
11914
55 Whitcher St, Suite 350 Marietta, GA 30060
1/11/2013
Dan Ioanitescu, MD
51476
RN063812
Mitchell, Joan
11354
Phoenix Center, 940 Georgia Highway 96 Warner Robins, GA
10/5/2012
Jackie Cox Thompson, MD
12446
RN063812
Mitchell, Joan
11109
2927 Demere Rd. St. Simons Island, GA 31522
10/8/2010
Kyaw Minn, MD
46455
RN063812
Mitchell, Joan Sapp
9364
3575 Fulton Mill Rd Macon, GA 31207
9/2/2010
Willie Hillson, MD
20737
RN159656
Mitchell, Jamerall
9266
2357 Tobacco Rd Augusta, GA 30906
8/6/2010
Thomas Rumble, MD
13078
RN063812
Mitchell, Joan Sapp
9244
2121-A Bellevue Rd Dublin, GA 31021
11/5/2009
Jordan Greenbaum, MD
57172
RN114580
Mitchell, Roberta Ann Leinweb
2062
1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342
11/5/2009
James Fenley, MD
34584
RN063812
Mitchell, Joan Sapp
8671
175 Emery Hwy Macon, GA 31217
11/5/2009
Foster Brin, MD
29980
RN063812
Mitchell, Joan Sapp
8669
175 Emery Hwy Macon, GA 31217
4/2/2009
Dave Ringer, MD
30368
RN089650
Mitchell-Powell, Sally-Ann Mar
2064
1041 Park Drive Greensboro, GA 30642
12/7/2012
Anil Yadav, MD
53898
RN118764
Mitton, Amy L.
11405
Prestige Primary Care, 51 Gordon Rd. Jasper, GA 30143
5/3/2013
Tidence Prince, MD
37339
RN225124
Mix, Kristin L
11824
3951 Ridge Ave, Suite C Macon, GA 31210
3/5/2015
Robert Mazur, MD
37864
RN115484
Mixon, Angela Jane
15071
60 Exchange St, Ste B-7 Richmond Hill, GA 31324
Wednesday, August 12, 2015
Page 241 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Joseph Lomboy, MD
47921
RN190811
Mize, Candace Cherie
14878
1018 Keith Dr, Ste A Perry, GA 31069
10/9/2014
Marie Baudean, MD
23898
RN170835
Mobbs, Mary Cardina
12917
980 Lawrenceville Hwy Lawrenceville, GA 30046
8/6/2015
Charles Lodge, DO
24019
RN192380
Mobley, Rebecca
15904
6 Hospital Park Moultrie, GA 31768
8/5/2011
George Pursley, MD
31308
RN154040
Mobley, Jennifer Bailie
9903
1219 West Wheeler Pkwy Augusta, GA 30309
3/4/2011
Francis Kwarteng, MD
61792
RN083558
Mock, Maria
5269
401 South Madison St Albany, GA 31701
8/6/2015
Jocelyne Tadros, MD
61652
RN201247
Modly, Lori Angeleene
16053
743 Spring St NE Gainesville, GA 30501-3715
11/8/2013
William Richards, MD
67939
RN063326
Moesch, Julie Graham
2999
5353 Reynolds St, Suite 200 Savannah, GA 31405
1/8/2015
Morgan Garrett, DO
72255
RN228614
Mohazab, Elahe
14013
960 Joe Frank Harris Pkwy, Emer Dept Cartersville, GA 30120
2/7/2008
Mark Hutson, MD
35908
RN114838
Mohiuddin, Suzanne Graybeal
2068
1875 Century Blvd NE, suite 150 Atlanta, GA 30345
12/7/2012
John Y. Chung, MD
41532
RN222009
Mohr, Amanda L.
11326
1107 Memorial Dr., Ste. 201 Dalton, GA 30720
9/13/2013
Jayashree John, MD
62125
RN227657
Mohren-Graves, Shirley E
12207
2000 16th Ave Columbus, GA 31901
8/6/2015
Andrew Magnet, MD
60215
RN200088
Molet, Tamiko
16117
1932 Wynnton Rd Columbus, GA 31999
12/4/2014
Safia Pirani, MD
56624
RN203131
Momin, Almas Soyal
14236
3330 Peachtree Corner Cir, Ste H Peachtree Corners, GA 300
7/10/2014
Matthew Hogan, MD
61895
RN136010
Momoh, Isata Celia
13148
2675 North Decatur Rd, Suite 410 Decatur, GA 30033
Wednesday, August 12, 2015
Page 242 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
Benjamin Epstein, MD
35044
RN136010
Momoh, Isata Celia
8715
2665 North Decatur Rd, Suite 255 Decatur, GA 30033
5/6/2011
Ross Jacobson, MD
57204
RN086301
Monroe, Sally A. Scott
5270
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
1/6/2012
Sharma, Chetan MD
64272
RN154006
Monteilh, Caridad
10314
1620 Bass Road Macon, GA 31201
4/1/2010
Nimisha Trivedi, MD
53715
RN154006
Monteilh, Caridad Mercedes
8873
3778 Hwy 42 Locust grove, GA 30248
6/4/2015
Lisa Mack, MD
47115
RN181462
Montgomery, Jocelyn
15623
550 Peachtree St Atlanta, GA 30308
1/8/2015
Andrea Dabney, MD
66274
RN243094
Montgomery, Kristen Sue
14600
274 Big A Rd Toccoa, GA 30577
6/6/2014
Terry Melvin, MD
35951
RN207357
Montgomery, Jennifer Anne
13186
1217 Lafayette Rd. Rossville, GA 30741
1/9/2014
Pamela Gordon, MD
69815
RN208251
Montgomery, Ginger Platte
12729
677 Church St, 310 Bldg Marietta, GA 30060
8/5/2011
Michael Raines, MD
35979
RN160145
Montgomery, Samantha Helton
9984
122 Highway 280 West, Ste A Americus, GA 31719
9/2/2010
Michael Busman, MD
40628
RN160145
Montgomery, Samantha Helton
9254
72 South Broad St Ellaville, GA 31806
3/29/2012
Pierce, David MD
29930
RN177186
Moody, Zakiyyah
10577
2412 N. Oak Street Valdosta, GA 31602
1/11/2008
Georgia Theriot, MD
24357
RN189877
Moody, Susan E.
8136
51 Hospital Road Newnan, GA 30263
7/13/2007
Michael P. Baker, MD
36497
RN055947
Moody, Andrea Denise Mobley
2076
2101 Tebeau St Waycross, GA 31501
2/5/2015
Abarmard Zafari, MD
39018
RN181827
Moonjeli, Shaini
14827
1670 Clairmont Rd Decatur, GA 30033
Wednesday, August 12, 2015
Page 243 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Byron Evans, MD
53850
RN207446
Moore, Ayjanah
16109
81 Upper Riverdale Rd Ste 100 Riverdale, GA 30274
7/9/2015
James Greene, MD
29657
RN247244
Moore, Kerry
15770
1111 Glynco Parkway Bldg1, Ste 10 Brunswick, GA 31525
7/9/2015
Michael Streleckis, MD
41490
RN173142
Moore, Alisha Denise
15218
4175 Tanners Creek Dr Flowery Branch, GA 30542
6/4/2015
Dean Karampelas, MD
26141
RN171792
Moore, Kathryn
15608
743 Spring St NE Gainesville, GA 30501
6/4/2015
Richard Oster, DO
50238
RN123301
Moore, Dana
15638
200 Industrial Blvd Dublin, GA 31021
6/4/2015
Douglas Olson, MD
51073
RN191172
Moore, Shawn
15617
201 Hospital Rd Canton, GA 30114
5/8/2015
James Kauten, MD
24830
RN211348
Moore, Wesley
15518
1968 Peachtree Rd NW Atlanta, GA 30309
4/2/2015
Walter Kuhn, MD
33851
RN220229
Moore, Lindsay Nicole
14251
120 15th St, Ste AF-2039 Augusta, GA 30912
2/5/2015
Kim House, MD
49491
RN144115
Moore, Laurie Denise
14793
1670 Clairmont Rd, Ste CLC-BLDG D Decatur, GA 30033
12/4/2014
Tarsem Gupta, MD
28410
RN227918
Moore, Leslie Michelle
14306
138 Peach Dr McDonough, GA 30253
11/7/2014
James Cornwell, MD
50608
RN
191998
Moore, Kristie Gail
12879
3 Hidden Creek Dr Guyton, GA 31312
9/11/2014
Lavon Thurmon Jr., MD
19791
RN093755
Moore, Cheryl Lynn Andrews
13973
94 McCrary Rd. Fortson, GA 31808
9/11/2014
Nancy Cox, MD
66364
RN203996
Moore, Joyce Marie
13726
400 Canterbury Dr. Wrens, GA 30833
8/7/2014
Brenda Hott, MD
41441
RN170740
Moore, Carolyn Meredith Cam
13568
1200 Northside Forsyth Dr. Cumming, GA 30041
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Thomas O'Barr, MD
24472
RN181455
Moore, Kelsey Elizabeth
12921
1810 White Circle Marietta, GA 30060
5/1/2014
Michael Rogers, MD
45482
RN195252
Moore, Terri Tonisha
13241
1941 Phinizy Rd-Webster Det. Ctr Augusta, GA 30906
3/6/2014
Robert Hummer, MD
44242
RN191172
Moore, Shawn William
13032
541 Historic Hwy 441 North Demorest, GA 30535
10/10/2013
Clay Lee, DO
46610
RN127868
Moore, Vernita Jena
11947
207 31st Ave SE Moultrie, GA 31768
9/13/2013
David Carlton, MD
41749
RN189608
Moore, Megan Elizabeth
12221
15 Riverbend Dr SW, Suite 120 Rome, GA 30161
5/3/2013
Paul Walker, DO
46272
RN181455
Moore, Kelsey Elizabeth
11827
1810 White Circle, Suite 155 Marietta, GA 30066
11/2/2012
Kenneth Taylor, MD
38985
RN170740
Moore, C. Meredith
11228
275 Collier Rd., Ste 500 Atlanta, GA 30309
3/1/2012
Taylor, William MD
33213
RN138492
Moore, Chaquita
10526
160 Spring Branch Drive Dublin, GA 31021
4/1/2011
William Shilling, III, MD
47841
RN164184
Moore, Tara Thompson
9722
426 Hwy 26 East Cochran, GA 31014
2/5/2010
Joseph Joyave, MD
43977
RN137979
Moore, Rebecca Mcwhorter
2086
204 Professional Court Calhoun, Ga 30701
9/11/2008
Michael Maley, MD
34410
RN134600
Moore, Cecilia Pickett
2080
58 Big A Road Toccoa, GA 30577
3/5/2015
M. Rabiul Alam, MD
61549
RN146822
Moore Miller, Sheila
15044
11660 Alhparetta Hwy, Ste 430 Roswell, GA 30076
9/3/2009
Rodney M. Dourron, MD
36143
RN087831
Morales, Evelyn Rosa
2092
2675 N. Decatur Rd, Suite 301 Decatur, GA 30033
6/6/2014
Anna Elmers, MD
60248
RN146905
Morawski, Jr, John Joseph
13191
2020 Peachtree Rd NW Atlanta, GA 30309
Wednesday, August 12, 2015
Page 245 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Shahina Mirza, MD
27297
RN030220
Moree, June Powell
15059
3807 Clairmont Rd. NE, 2nd Flr. Chamblee, GA 30341
8/6/2015
Mary Moore, MD
41902
RN196356
RN196356
RN196356
Morgan, Traci
15689
424 Decatur St SE Atlanta, GA 30312
2/5/2015
Daniel Sandler, MD
42420
RN237798
Morgan, Vanessa
14884
4700 Waters Ave Savannah, GA 31404
1/8/2015
George Miller, MD
56901
RN161547
Morgan, Melissa Marchelle
12422
2300 Manchester Expwy, Ste 2001 Columbus, GA 31904
12/4/2014
Michael Pinell, MD
58102
RN187630
Morgan, Jackie Lynn
14434
114 Canal St, Ste 302 Pooler, GA 31322
10/9/2014
Joseph Joyave, MD
43977
RN211260
Morgan, Stephanie Cordell
13984
100 Market Place Blvd, Ste 201 Cartersville, GA 30121
10/9/2014
Lawrence Zottoli, MD
36639
RN187630
Morgan, Jackie Lynn
14040
4704 Augusta Rd. Garden City, GA 31408
4/4/2014
Francis Gonzalez, MD
57810
RN198744
Morgan, Amy Danielle
12795
677 Church st Marietta, GA 30060
6/8/2012
Stout, Robert MD
25835
rn134518
Morgan, Kelly
10729
1602 Vernon Rd, Ste 400 LaGrange, GA 30240
10/7/2011
Bonk, Catherine MD
30435
RN178238
Morgan, Sarah
10114
315 Winn Way Decatur, GA 30030
1/7/2010
Paresh Patel, MD
37325
RN106080
Morgan, Dawn Nicole Carlton
2096
58 Big A Rd Toccoa, GA 30577
6/5/2009
Derrick Phillips, MD
29514
RN097019
Morgan, Regina Laffonne
2098
3051 Watson Blvd Warner Robins, GA 31093
9/11/2008
Brian DeLoach, MD
51216
RN052821
Morgan, Constance Elaine
2095
PO Box 8043 Statesboro, GA 30460-8043
Wednesday, August 12, 2015
Page 246 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2007
Vundyala Reddy, MD
25022
RN081555
Morgan, Edith Millicent
2097
308 Coliseum Drive Macon, GA 31217
1/7/2011
Thomas Karisny, MD
50029
RN093714
Morgan, Jr, James Horace
9517
202 Hospital Rd Blairsville, GA 30512
1/9/2014
Andrew Toledo, MD
27933
RN183526
Morin, Julie Marie
12597
1100 Johnson Ferry Rd, Suite 200 Atlanta, GA 30342
9/11/2014
John R. Kludt, MD
34876
RN209720
Morison, Laura Martino
13128
3700 Club Drive Lawrenceville, GA 30044
3/5/2015
Crystal Slade, MD
53881
RN193496
Morrell, Emily Anne
15021
1279 Hwy 54 West, Ste 220 Fayettevile, GA 30214
10/9/2014
Aman Kakkar, MD
56303
RN153095
Morris, Laura Priest
13760
1505 Northside Blvd. Ste 4000 Cumming, GA 30041
9/11/2014
Howard McMahan, MD
22824
RN165649
Morris, Octavia DeChandra
13837
361 Cargile Rd Ocilla, GA 31774
7/10/2014
Maria Batlle, MD
34772
RN191040
Morris, Katherine Olivia
13502
3497 Duluth Park Ln, Ste 200 Duluth, GA 30096
10/10/2013
Dennis Estep, MD
25429
RN123310
Morris, Linda Pam
12340
2366 Battlefield Pkwy Ft Oglethorpe, GA 30742
12/1/2011
Fisher, Neil MD
61733
RN178709
Morris, Lori
10226
3262 Hwy 252 East Folkston, GA 31537
5/10/2007
Ricardo Raul Riesco, MD
44069
RN163378
Morris, Helen Celeste
2104
711 Shileds Road Dalton, GA 30720
1/8/2015
Howard Silverboard
45965
Rn178192
Morrison, Melissa Suzanne
14578
5505 Peachtree Dunwoody Rd, Ste 370 Atlanta, GA 30342
7/1/2010
Benita Bonser, MD
53980
RN187113
Morrison, Karen Lydia
9212
1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214
7/12/2012
Ann Haight, MD
50522
RN184142
Morrison Spencer, Kathleen Ma
11005
1405 Clifton Rd, AFLAC Admin Suite Atlanta, GA 30322
10/5/2012
Heather Turner, MD
55714
RN143857
Morrow, Maria
11145
1279 Highway 54 West, Ste 220 Fayetteville, GA 30214
Wednesday, August 12, 2015
Page 247 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/1/2011
Edward Matthews, DO
34896
RN117861
Morse, Teresa Renee
2398
2525 Williams Rd Columbus, GA 31909
8/5/2011
Michael Hilton, MD
52581
RN208550
Morse, Kathy Sue Baxendale
9845
1485 Jesse Jewel Pkwy, Ste 200 Gainesville, GA 30501
10/9/2014
Elizabeth Young, MD
48101
RN069532
Morton, Carla Jean Kemper
14038
744 1st Street Macon, GA 31201
6/6/2014
Rohit Panchal, MD
69918
RN171906
Morton, Jennifer Lynn
13220
55 Whitcher St, Suite 160 Marietta, GA 30060
10/9/2014
Sridhar Srinivasan, MD
62292
RN113050
Moseley, Vanessa Verhel
14334
176 Alice St Wycross, GA 31501
1/9/2014
Rita Mezzatesta, MD
58371
RN230692
Moss, Serena Nichole
12751
550 Redmond Rd Rome, GA 30165
1/6/2012
Carter, Cynthia MD
56534
RN174589
Most, Anny
10383
1000 Towne Center Blvd, Ste 705 Pooler, GA 31322
7/11/2013
Anthony Captain, MD
39300
RN170080
Mosteller, Buffy Saxon
11983
3957 Cleveland Hwy Dalton, GA 30721
9/11/2008
Patricia Baines, MD
53092
RN150892
Mott, Michelle Cousins
2115
49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303
4/1/2010
David Martin, MD
52410
RN091202
Moughrabi, Marwan Mohamm
9028
80 Oakwood Ave Trenton, GA 30752
1/7/2010
William Meadows, MD
30513
RN091202
Moughrabi, Marwan Mohamm
8884
14 Fort Town Dr Ft. Oglethorpe, GA 30742
9/11/2014
John Adamski, MD
68873
RN203629
Moulder, Nicole Taylor
14001
200 South Enota Dr., Ste 150 Gainesville, GA 30501
9/11/2014
Aziz Pirani, MD
61934
RN177036
Moya, Verushcka G
13752
4025 Lawrenceville Hwy., Ste A Lilburn, GA 30047
7/11/2008
Jodi Bayley, MD
57575
RN173415
Moya, Sherry Rayne
8257
1101 Nor Tec Drive Conyers, GA 30013
Wednesday, August 12, 2015
Page 248 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
John Cowan Jr, MD
60167
RN136093
Mueller, Katherine Michelle
15267
550 Redmond Rd Rome, GA 30165
3/5/2015
Adewunmi Kazeem, MD
64735
RN160397
Muhia, Naomi Wairimu
15130
5655 Lake Acworth Dr, Ste 120 Acworth, GA 30101
3/5/2015
Theodore Johnson, MD
49656
RN194661
Muirhead, Lisa
15029
1670 Clairmont Rd. Decatur, GA 30033
9/11/2014
Jinah Kim, MD
54442
RN199201
Mulkey, Emily Beteag
13808
1325 Satellite Blvd Ste.700 Suwanee, GA 30024
4/13/2007
Jeffrey Donohue, MD
46540
RN042463
Mulkey, Marie Hagood
2117
3755 Sixes Road, Ste 202 Canton, GA 30114
6/7/2013
Sarita Kansal, MD
52587
RN168141
Mull, Erin Christine
11913
55 Whitcher St, Suite 350 Marietta, GA 30060
8/6/2015
Mae Morgan, MD
22902
RN146011
Mullen, Bridget Yvette
15654
424 Decatur St SE Atlanta, GA 30312
3/5/2015
Dellys Soler Rodriguez, MD
72132
RN183915
Mullen, Lauren Alyse
15074
1405 Clifton Rd NE, 6th floor Atlanta, GA 30322
4/4/2014
Hewatt M. Sims, MD
48965
RN196567
Mullins, Rodney Amos
13140
1622 Madison Avenue Tifton, GA 31794
8/6/2015
Brian Cross, MD
43190
RN155767
Mullis, Lisa Renee
15296
231 Graefe St Griffin, GA 30224
8/6/2015
Barry Warshaw, MD
15435
RN246371
Mullis, Rachael
16054
1405 Clifton Rd NE Atlanta, GA 30322
3/5/2015
Mary McKinley, MD
51256
RN167847
Mullis, Tabitha
15134
360 Hospital Dr, Bldg D, Ste 130 Macon, GA 31217
9/11/2014
Gururaj Nayak, MD
44033
RN167847
Mullis, Tabitha Hendrix
13828
1909 North Columbia St Ste D Milledgeville, GA 31061
7/10/2014
W. Dennis Taylor, MD
33213
RN123086
Mullis, Laura Denise Dubois
13575
160 Spring Branch Dr Dublin, GA 31021
Wednesday, August 12, 2015
Page 249 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/8/2013
Gerald J. Bohn, MD
30957
RN155767
Mullis, Lisa R.
11581
1857 West McIntosh Rd. Griffin, GA 30223
5/3/2013
Richard Schwartz, MD
42935
RN227568
Mulry, Robert Francis
11863
1120 15th St, AF-2039 Augusta, GA 30912
10/7/2011
Jeffery Wadsworth, MD
62088
RN214873
Mundy, Martha J
9919
1365A Clifton Rd NE Atlanta, GA 30322
4/1/2010
Jatinder Bhatia, MD
18784
RN139537
Mundy, Cynthia Allyson
2122
1120 15th Street, BIW-6033 Augusta, GA 30912
10/9/2014
Ryan Bozof, MD
61213
RN170513
Munna, Melissa Ann
13738
11975 Morris Rd. Ste. 140 Alpharetta, GA 30005
3/5/2015
Daniel Sandler, MD
42420
RN182123
Munoz, Recia
15006
4700 Waters Ave. Savannah, GA 31404
5/4/2012
Gladin, Collier MD
30609
RN138265
Murdock, Kimberly
10621
140 North Crest Blvd Macon, GA 31210
8/6/2015
Akita Evans, MD
64372
RN244491
Murphy, Jason Daniel
16138
505 Dacula Rd. Dacula, GA 30019
4/2/2015
Danni Suskin, MD
36883
RN188105
Murphy, Melissa Bell
15183
550 Medical Center Blvd. Lawrenceville, Ga 30046
8/9/2013
Travis Bowles, MD
68374
RN191449
Murphy, Evelyn Ann
12181
3939 Roswell Rd, Suite 200 Marietta, GA 30062
10/2/2008
Rahil Kazi, MD
41593
RN187836
Murphy, Dorothy L.
8005
1707 Watson Blvd, Suite 200 Warner Robins, GA 31093
6/4/2010
William Fackler, MD
40830
RN160381
Murray, Tina Marie
9055
1014 Forsyth St, Suite 300 Macon, GA 31201
3/7/2008
Gregory McHan, MD
34654
RN062691
Murray, Patricia Ann Stranahan
2126
787 Main Street Blue Ridge, GA 30513
10/5/2012
William Shivers, MD
30214
RN97900
Musselman, Margaret
11045
600 Coastal Village Dr. Brunswick, GA 31520
7/12/2012
Kancharla, Ashok MD
48250
RN184372
Musser, Alexis
10904
132 Franklin Spring Street Royston, GA 30662
Wednesday, August 12, 2015
Page 250 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2007
Richard Levitt, MD
21541
RN092707
Musto, Patricia
5494
1285 Hembree Rd. Suite 100 Roswell, GA 30076
2/5/2009
Kirpich Joseph, MD
54904
RN162748
Mwangi, Dorcas Wangari
7924
969 Windy Hill Road, Suite E Smyrna, GA 30080
7/13/2007
Joyce R. Drayton, MD
38737
RN162748
Mwangi, Dorcas Wangari
5526
465 Winn Way, Ste 201 Decatur, GA 30030
12/4/2008
Lawrence Powell, MD
38915
RN150943
Mwaniki, Helen Wambui
2131
4120 Austell Road SW Austell, GA 30106
2/5/2015
Kambiz Aflatoon, DO
66238
135298
Mwansa, Kym
14742
885 Buford Dr Lawrenceville, GA 30043
3/8/2013
Luther Vance, Jr., MD
19354
RN135298
Mwansa, Kym
11169
1150 Grimes Bridge Rd, Suite 400 Roswell, GA 30075
12/7/2012
Julius B. Oderinde, MD
36658
RN135298
Mwansa, Kym L.
11320
2400 Pleasant Hill Rd., NW, Ste. 300 Duluth, GA 30096
10/5/2012
Emmanuel Soyoola, MD
#####
RN135298
Mwansa, Kym
11157
7050 Jimmy Carter Blvd, Ste 212 Peachtree Corners, GA 300
3/5/2015
Mark Wulkan, MD
45676
RN204891
Myers, Ashley Anne
15163
1405 Clifton Rd NE Atlanta, GA 30322
9/11/2014
Haaris Mir, MD
70812
RN103949
Myers, Trisha
13924
3675 J. Dewey Gray Circle Ste 300 Augusta, GA 30909
9/3/2009
Claus Brandigi, MD
43004
RN103949
Myers, Trisha Ann
7751
1220 George C. Wilson Drive Augusta, GA 30909
12/7/2007
William Little, MD
24288
RN145952
Myers, Sherie Diane
2135
6175 Newton Drive Covington, GA 30014
4/3/2008
James Cox, MD
34323
RN127464
Mynatt, Candace Leigh
2136
6918 McGinnis Ferry Road Suwanee, GA 30024
7/9/2015
Jack Dawson, MD
11945
RN143014
Naab, Kimberly Williams
15935
1968 Peachtree Rd, NW Atlanta, GA 30309
6/7/2013
Allen Randle Beecham, DO
25102
RN143014
Naab, Kimberly Michelle Willia
11930
2000 Village Professional Dr, Suite 200 Canton, GA 30114
Wednesday, August 12, 2015
Page 251 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Rajeshkumar Miniyar, MD
51597
RN236841
Naddy, Jennifer Tischler
13943
140 Three Rivers Dr, Ste 140 Rome, GA 30161
6/4/2015
Christopher Borrego, DO
52259
RN215537
Nadeau, Stephanie Jo
15595
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
8/6/2015
Janet Fason, DO
48773
RN143664
Nagaddya, Lillian
16017
1762 Mars Hill Rd NW Acworth, GA 30101-8091
11/7/2014
Nicole Ash-Mapp, MD
42993
RN143664
Nagaddya, Lillian M
14151
9465 Hwy 5 Douglasville, GA 30135-1509
6/4/2015
Vivian Lennon, MD
43121
RN192816
Nakasone, Alma
15605
4166 Buford Highway, Ste 1102 Atlanta, GA 30345
5/3/2013
Janet Fason, DO
48773
RN196422
Namakula, Judith
11872
Take Care Clinic, 2990 Five Forks Trickum Rd Lawrenceville,
7/12/2012
Jingo, Ahmad MD
45842
RN196422
Namakula, Judith
10860
3424 Flat Shoals Road Decatur, GA 30034
4/1/2010
Girish Shroff, MD
19103
RN167533
Nana, Hina Rajesh
9068
6025 Professional Pkwy, Suite 200 Douglasville, GA 30134
5/8/2015
Charles Lassiter, MD
52984
RN245697
Nannini, Laura
15470
745 Poplar Rd Newnan, GA 30265
10/9/2014
Seema Bisht-Nedler, MD
46361
RN216463
Narmani-Mohammadi, Foroogh
14045
3030 McEver Rd., Ste 130 Gainseville, GA 30504
4/2/2015
Mohammad Khan, MD
42315
RN166755
Nation, Sherri
15321
1407Chattanooga Ave, Ste A Dalton, GA 30720
5/3/2013
Naseer Humayun, MD
52583
RN183337
Nation, Jody Christian
11858
1420 Mineral Springs Rd Dalton, GA 30720
1/6/2012
Oyebanjo, Mobolaji MD
53509
RN197721
Nation, Rebekah
10334
307 Old Stone Road Villa Rica, GA 30180
10/7/2011
Gardner, S. Lynn MD
44220
RN102308
Nation, Dawnmarie
10080
1300 Joseph E. Boone Blvd. Atlant, GA 30314
Wednesday, August 12, 2015
Page 252 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2008
Joshua Wolf, MD
59792
RN149109
Nde, Beatrice Anih
8324
1968 Peachtree Rd NW Atlanta, GA 30309
8/7/2014
Robert Guerreso, DO
38787
RN062577
Neal, Paul Sue Eskridge
2148
1730 Lawrenceville - Suwanee Rd Lawrenceville, GA 30043
2/6/2014
James Heery, MD
40094
RN202198
Neal, Olivia Rambo
12655
3226-A Hampton Ave Brunswick, GA 31520
5/4/2012
Norwood, Elizabeth MD
46192
RN097909
Neeman, Ruth
10635
2739 Pelton Drive East Point, GA 30344
4/3/2008
Laurette Ho, MD
41831
RN057680
Nejedly, Maureen Devaney
2152
3225 Shallowford Road, Suite 1300 Marietta, GA 30062
2/5/2015
David Shore, MD
41671
RN207580
Nejem, Rachel Elizabeth
14885
758 Old Norcross Rd, Ste 175 Lawrenceville, GA 30046
7/9/2015
Scott Cooper, MD
27696
RN112198
Nelson, Tarra McCullar
15698
1200 Northside Forsyth Dr Cumming, GA 30041
12/4/2014
Kartik Reddy, MD
69700
RN160608
Nelson, Christy Dawn
14436
146 Bill Carruth Pky Hiram, GA 30141
8/7/2014
Andrew Pippas, MD
53806
RN077713
Nelson, Karen Thomaston
2154
1831 5th Ave Columbus, GA 31904
7/10/2014
Van Hill, MD
33103
RN160608
Nelson, Christy Dawn
13467
8954 Hospital Dr. Douglasville, GA 30134
12/6/2013
Joel Morgan, MD
31295
RN190528
Nelson, Stephanie Lynn
12602
3541 North Crossing Cir Valdosta, GA 31602
10/7/2011
Lal, Subodh MD
52771
RN129463
Nelson, Stacie
10136
1700 Hospital South Drive Austell, GA 30106
9/1/2011
Stephen Pastan MD
39196
RN212157
Nelson, Melissa Marie
9987
Emory Transplant Ctr, 1365 Clifton Rd, Clinic B Atlanta, GA 3
9/11/2014
Abdul Sheikh, MD
52017
RN157237
Nerestil, Sandra
13925
144 Bill Carruth Pkwy Ste 4200 Hiram, Ga 30141
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
David Caras, MD
34552
RN157237
Nerestil, Sandra
11915
55 Whitcher St, Suite 350 Marietta, GA 30060
3/4/2010
Mary East, MD
63187
RN157237
Nerestil, Sandra
9024
300 Cherokee Place Cartersville, GA 30121
3/4/2010
Joseph Miller, MD
45892
RN189528
Nesbitt, Charkes Chaketha
9027
275 Collier Rd NW, Suite 300 Atlanta, GA 30309
7/9/2015
Glen Dasher, MD
43354
RN173353
NeSmith, Kacy Lee Hickman
15788
1044 Bermuda Run Stateboro, GA 30458
7/11/2013
Willis McVay, MD
54833
RN159829
NeSmith, Nikki Renee
12044
501 East Long St Claxton, GA 30417
10/9/2014
Paton Hathcox, MD
52744
RN057577
Nessing, Cynthia
14340
777 Hemlock St Macon, GA 31201
7/9/2015
Mary Dailey-Smith, MD
50472
RN215180
Neu, Lovie
15826
5610 Wendy Bagwell Pkwy, Ste 103 Hiram, GA 30141
3/6/2014
Christopher Atkins, MD
45708
RN155378
Newberry, Brtittany Marie
12853
1266 HWY 515 South Jasper, GA 30143526
3/6/2014
Dorel Bidiuc, MD
51296
RN155378
Newberry, Brittany Marie
13017
707 Old Dalton Ellijay Rd Chatsworth, GA 30705
2/7/2013
Paula J. Boyle, MD
55928
RN155378
Newberry, Brittany M.
11587
101 Riverstone Vista, #111 Blue Ridge, GA 30513
7/12/2012
Shuman, Robert MD
18253
RN054589
Newberry, Linda
10846
2121A Bellevue Road Dublin, GA 31021
5/8/2015
Claudia Venable, MD
54044
RN241679
Newell, Jodee
15409
1001 Johnson Ferry Rd NE Atlanta, GA 30342
6/6/2014
Abdullah Kutlar, MD
34751
RN201648
Newton, Tyra LaShaye
13303
1120 15th St, BAA-5407 Augusta, GA 30912
6/6/2014
Paul Donnan, MD
47892
RN146013
Newton, Maureen Edythe
13252
477 Windsor St SW, Suite 309 Atlanta, GA 30312
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Patrick Eagleson, MD
65102
RN161976
Nguyen, Nga
15485
1230 Baxter St Athens, GA 30606
9/11/2014
Timothy Graves, MD
26859
RN188608
Nguyen, Mariana Thuyen
14108
770 Walnut Street Macon, GA 31201
6/6/2014
Dawn Simon, MD
58644
RN180354
Nguyen, Kun Hui
13371
1405 Clifton Rd. Atlanta, GA 30322
8/9/2013
Kenneth DiNella, MD
36716
RN188608
Nguyen, Mariana Thuyen
12032
415 North Jackson St Americus, GA 31709
3/8/2013
Brenda Friedman, MD
54709
RN161976
Nguyen, Nga
11720
6325 Hospital Pkwy Johns Creek, GA 30097
3/8/2013
James Lee, DO
56583
RN184991
Nguyen, Sophie Tranh
11675
310 Gold Creek Trail, Suite 200 Woodstock, GA 30188
12/7/2012
Dinakara B. Shetty, MD
42431
RN188608
Nguyen, Mariana T.
11361
1719 Russell Pkwy, Suite 700 Warner Robins, GA 31088
11/3/2011
Fleming, Alesia MD
34841
RN161976
Nguyen, Nga
10188
1645 Tullie Circle Atlanta, GA 30329
6/3/2011
Edward Himot, MD
18388
RN177230
Nguyen, Trang Mai
9734
55 Whitcher St, Suite 460 Marietta, GA 30060
4/2/2015
Virginia Wight, MD
32839
RN216874
Niazi, Abdul Hai
15165
250 North Ave Athens, GA 30605
3/8/2013
Kenneth DiNella, MD
36716
RN216874
Niazi, Abdul Hai
11749
415 N Jackson St Americus, Ga 31709
10/5/2012
Emmanuel Soyoola, MD
53032
RN216874
Niazi, Abdul
11161
1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504
10/7/2011
Khusrow Niazi, MD
42676
RN185022
Nicholas, Tracy Purcell
9848
875 Johnson Ferry Rd Atlanta, GA 30342
6/6/2008
Joshua Wolf, MD
59792
RN185022
Nicholas, Tracy Purcell
7975
1968 Peachtree Road Atlanta, GA 30309
Wednesday, August 12, 2015
Page 255 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Aman Kakkar, MD
56303
RN156613
Nichols, Kristina Gail
13693
130 Riverstone Terr, Suite 102 Canton, GA 30114
8/7/2014
Nelson Yuen, MD
63984
RN168367
Nichols, Lindsey Ann
13671
3617 Roswell Rd NE, Suite A Atlanta, GA 30305
1/9/2014
William R Edwards, MD
47079
RN029126
Nichols, Carol S
12819
800 Professional Blvd-Health Dept Dalton, GA 30720
11/8/2013
Muhammad Khan, MD
63080
RN184239
Nichols, Sandra Walker
12472
Archbold Hosp, 915 Gordon Ave Thomasville, GA 31792
6/7/2013
Winston C. Connell, Jr, MD
58733
RN184239
Nichols, Sandra Walker
11429
915 Gordon Ave Thomasville, GA 31792
5/3/2013
Thomas Park, MD
56205
RN184239
Nichols, Sandra Walker
11850
603 Wheat Ave, Suite 800 Bainbridge, GA 39819
7/12/2012
Rayapudi, Madhavi MD
50861
RN200861
Nichols, Laura
10859
1400 Northside Forsyth Drive Cumming, GA 30041
3/29/2012
Durrett, Lynley MD
44912
RN168367
Nichols, Lindsey
10562
105 Collier Road, Ste 1080 Atlanta, GA 30309
9/2/2010
Mark Gay, MD
46852
RN184239
Nichols, Sandra Walker
9301
2000 Palmyra Rd, Emer Dept Albany, GA 31701
5/7/2010
Mark Boles, MD
45731
RN131379
Nicholson, Tonya Blankenship
9101
2400 Bellevue Rd, Suite 26 Dublin, GA 31021
11/3/2011
Gill, Jasbir MD
31429
RN143057
Niehanke, Kristina
10137
105 W. Crawford Avenue Valdosta, GA 31602
9/14/2007
Mary Wiles, MD
19625
RN107010
Nielsen, Jill Marie
2166
PO Box 1000 Blairsville, GA 30514
12/4/2014
Yousef Hindi, MD
55372
RN209869
Nikhill, Sheela Jayaraman
14599
146 Bill Carruth Parkway Hiram, GA 30141
5/9/2008
Eduard Docu, MD
56426
RN077978
Nivens, Alice Anita Stokes
8185
102 Bryan Woods Road Savannah, GA 31410
Wednesday, August 12, 2015
Page 256 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2009
James Clabby, MD
16042
RN112048
Nix, Kelly Brumbelow
5502
3825 Medical Park Dr, Suite 201 Austell, GA 30106
7/9/2015
Rami Arfoosh, MD
63559
RN150406
Nix-Beddingfield, Billie
15785
30 Satellite Dr, Ste 200 Winder, GA 30680
4/13/2007
Riaz A. Syed, MD
43791
RN150406
Nix-Beddingfield, Billie
5465
870 Collins Hill Road Lawrenceville, GA 30043
9/11/2014
Mitzi Clayton, MD
61408
RN213561
213561
Njungwe, Eric Ngonji
13716
145 Eagle's Walk, Ste A McDonough, GA 30281
12/6/2013
Richard Eaton, MD
40370
RN185511
Nobles, Erin Grace
12321
632 Ferncrest Dr Sandersville, GA 31082
12/4/2009
Christopher Crooker, MD
39315
RN144708
Noblett, Heather Dawn
8841
748 Old Norcross Rd, Suite 185 Lawrenceville, GA 30046
5/1/2014
Ashley Thompson, MD
66830
RN140654
Nodine, Jan Kay Thomason
13130
55 Carlton St. Athens, GA 30602
8/6/2015
George Kerr, MD
24831
RN154626
Noe, Amanda
15969
2709 Airport Rd, Ste 101 Dalton, GA 30721
6/5/2009
Fuad Fakhreddine, MD
18294
RN185530
Nolan, Alyssa Jill
8527
315 Boulevard NE, Suite 500 Atlanta, GA 30312
11/8/2013
Gregory Martin, MD
47801
RN084333
Nored, Sherry Lynn Moak
5282
1498 Jesse Jewell Pkwy, Suite D Gainesville, GA 30501
10/5/2012
Olabisi Pearse, MD
49717
RN205009
Noronha, Preeti
11137
CHOA 2660 Satellite Blvd Duluth, GA 30096
10/9/2014
Curtis Sorensen, MD
39947
RN236963
Norris, Wendy
14421
100 Brookstone Center Pkwy Columbus, GA 31904
6/8/2007
Rodolfo Bordoni, MD
31167
RN136924
Norris, Cheryl Lynn
2178
790 Church St, Suite 335 Marietta, GA 30060
4/13/2007
Michael Maley, MD
34410
RN075091
Norris, Juanita Pitts
1413
58 Big A Rd Toccoa, GA 30577
Wednesday, August 12, 2015
Page 257 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/10/2014
Stephen Tafor, MD
57329
RN195079
Northcutt, Torre Shaunte
13190
101 Preston Court, Suite 103 Macon, GA 31210
12/7/2012
Chukwuemeka Nwabuebo,
MD
48553
RN195079
Northcutt, Torre S.
11298
654 First St. Macon, GA 31201
3/6/2014
Nancy Lefever, MD
50205
RN107851
Northover, Jill Marie Ernst
12942
PO Box 680 Tate, GA 30177
4/1/2011
Satish Cuddapah, MD
48997
RN107851
Northover, Jill Marie Ernst
9636
551 Riverstone Pkwy, Suite 100 Canton, GA 30114
12/6/2013
Divina Dyer, MD
57161
RN098033
Norton, Carol B
12629
4398 Atlanta Hwy Locanville, GA 30052-7314
9/13/2012
Robert Williams
29263
RN098033
Norton, Carol
11021
21 W. Robert Toombs Ave. Washington, GA 30673
1/9/2009
Shameka McElhaney, MD
54854
RN057688
Norvell, Barbara Lynn
2182
2464 Roswell Road Marietta, GA 30062
8/6/2015
Rodney Smith, MD
18553
RN204069
Norwood, Bethany Rennaye
16139
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
6/6/2014
Kalpit Patel, MD
70398
RN209239
Nourparvar, Lauren Eichel
13302
2154 Johnson Ferry Rd NE Atlanta, GA 30319
2/7/2013
Linda S. Couture, MD
36518
RN209239
Nourparvar, Lauren E.
11569
550 Peachtree St NE Atlanta, GA 30308
11/8/2013
Joseph Slappey, MD
34473
RN175422
Nowell, Michelle Leigh
12507
1600 Forsyth St Macon, GA 31201
4/2/2015
Robert Sasine, MD
25389
RN168109
Nowland, Beckie Annette
15066
3131 South Main St Moultrie, GA 31768
10/9/2014
Robert Brown, MD
56269
RN174175
Nowlin, Andrea Nicole
14446
5455 Meridian Mark Rd, Ste 400 Atlanta, GA 30342
9/11/2008
James French, MD
58959
RN134347
Nunziata, Mary Catherine
2188
2365 Old Milton Pkwy, Suite 300 Alpharetta, GA 30004
Wednesday, August 12, 2015
Page 258 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Tania Smith, MD
51602
RN222173
Nussbaum, Elaine F
13949
2420 Westgate Dr., Ste 102 Albany, GA 31707
4/13/2007
Miguel E. Stubbs, MD
37708
RN113098
Nwogu, Cecilia Adamma
5439
3001 South Cobb Dr, Ste 103 Smyrna, GA 30080
7/9/2015
Afolarin Banjoko, MD
49267
RN172573
Oates, Christi
15692
836 E 65th St, Ste 10 Savannah, GA 31405
1/8/2015
Aloysius Mangan, MD
15023
RN241445
Obear, Paula
14720
615 E Villanow St LaFayette, GA 30728
6/4/2015
April Madu, DO
66175
RN206149
Obialor, Naomi
15564
845 Scenic Hwy, Ste 100 Lawrenceville, GA 30046
7/10/2014
Kelvin Burton, MD
32101
RN228348
Obuba, Joseph Kalu
13530
2022 Fairburn Rd, Suite D Douglasville, GA 301135
2/4/2011
Christopher Hagenstad, MD
52738
RN139570
O'Callaghan, Barbara Butler
9487
3855 Pleasant Hill Rd, Suite 480 Duluth, GA 30096
4/2/2015
Sanjeer Tendolkar, MD
63066
RN203523
O'Connell, Dana
15144
4589 Lawrenceville Loganville, GA 30052
1/6/2012
Nguyen, Elizabeth MD
55862
RN164836
O'Connell, Erin
10335
980 Johnson Ferry Rd Ste 410 Atlanta, GA 30342
5/1/2014
Margot Cseley, MD
20523
RN182395
O'Conner, Whitney Renee
13131
268 Lawrence St. Marietta, GA 30060
4/2/2015
Eugene Hurwitz, MD
24694
RN188468
O'Connor, Diane Marie
15282
37 Calumet Pkwy Bldg F, Ste 201 Newnan, GA 30263
4/13/2007
Barry K. Hull, MD
47096
RN081010
Odell, Teresa Mary Milton
2198
3000 Shakerag Hill Peachtree City, GA 30269
4/1/2011
Amar Patel, MD
52803
RN138231
Odom, Cicily Montina
9668
55 Whitcher St, Suite 350 Marietta, GA 30060
10/4/2007
William Douglas Knopf, MD
23469
RN138231
Odom, Cicily Montina
5519
5665 Peachtree Dunwoody Rd. Atlanta, GA 30342
Wednesday, August 12, 2015
Page 259 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/8/2012
Whitesell, Thomas MD
52854
RN062128
O'Donoghue, Cheryl
10774
2060 Dan Proctor Dr, Suite 2100 St. Marys, GA 31558
5/9/2008
Andrew Green, MD
58961
RN191946
Odum, Jacqueline Turner
8090
725 Jesse Jewell Parkway, Suite 300 Gainesville, GA 30501
1/9/2014
Michael Litrel, MD
39623
RN122151
Oess, Barbara Ellen Ohlman
12820
227 Riverstone Dr Canton, GA 30114
7/10/2014
David Faulk, MD
39787
RN238103
O'Flynn, Tamsyn Catherine
13578
2712 Parkwood Dr. Brunswick, GA 31520
6/4/2015
Rekha Desai, MD
19665
RN183911
Ofori, Isabelle Mouchia
15229
3000 Lenora Church Rd. Snellville, GA 30078
7/11/2013
Clarence Hendrix, MD
28569
RN189070
Ogbomoh, Evelyn Nwangulor
12019
1825 County Services Pkwy Marietta, GA 30008
4/2/2015
Altee Johnson, MD
60387
RN242902
Oglesby, Virginia
15045
101 Yorktown Dr, Ste 110 Fayetteville, GA 30214
4/2/2015
Herschel Kessler, DO
69501
RN195091
Oglesby, Amber Dell
15334
1514 Vernon Rd LaGrange, GA 30240
12/6/2013
Huitt Mattox, MD
33402
RN215726
Oglesby, LeVinchi C
12568
3217 4th St Brunswick, GA 31520
8/6/2015
Maxcene Oreus, MD
55486
RN166228
Ogoo, Millicent Raydette
16141
1133 Eagles Landing Pkwy Stockbridge, GA 30281
7/9/2015
Amanda Cowan, MD
50793
RN095296
O'Hara, Janet D
15316
5 Executive Circle Savannah, GA 31406
7/10/2014
Brian Kornblatt, MD
38029
RN095296
O'Hara, Janet Denise Smithberg
13456
5 Executive Circle Savannah, GA 31406
8/9/2013
Darryl Harris, MD
32920
RN079770
O'Hara-West, Patricia Shannon
12127
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
4/4/2014
Yuan-Xiang Meng, MD
51257
RN210195
Ohawa, Joan Akinyi
13149
2779 N Cobb Pkwy Kennesaw, GA 30152
Wednesday, August 12, 2015
Page 260 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2008
Shameka McElhaney, MD
54854
RN124521
Okeani, Ngozi
2208
5230 Dallas Hwy SW Powder Springs, GA 30127
1/8/2015
Adam Meadow, MD
67504
RN234013
Okibedi-Ahanotu, Alphonsa
14680
2540 Windy Hill Rd Marietta, GA 30067
5/1/2014
Jayashree John, MD
62125
RN234013
Okibedi-Ahanotu, Alphonsa Ad
13152
2000 16th Ave. Columbus, GA 31901
7/10/2014
Jan Mayfield, MD
51355
RN149536
Okoro, Ngozi Gloria
13545
49 Hosiery Mill Rd, Suite 124 Dallas, GA 30157
6/4/2015
Crystal Nelson, MD
66157
RN177155
RN177155
Okoye, Beatrice
15627
250 Coporate Center Court Stockbridge, GA 30281
8/9/2013
Dolapo Babalola, MD
59119
RN150491
Oladokun, Frederica Modupe
12157
Take Care Clinic, 181 S Clayton St Lawrenceville, GA 30045
9/2/2010
Gopala Derebail, MD
14307
RN126090
Oladunjoye, Busurat Kikelomo
7802
2336 Dawson Rd Albany, GA 31707
4/13/2007
Lomboy, Joseph Romarate
47921
RN118138
Olaivar-Lomboy, Marietta Pana
2210
1031 Keith Drive, Suite B Perry, GA 31069
5/8/2015
Donald Evans, MD
9810
RN193864
Olawuyi, Tiwalade Aderayo
15537
811 Kennesaw Avenue Marietta, GA 30060
12/1/2011
Snell, William DO
24495
RN193864
Olawuyi, Tiwalade
10211
811 Kennesaw Ave. Marietta, GA 30060
5/3/2013
Phillip Potter, MD
34220
RN063656
Olsen, Susan Kimberly
5284
1700 Hospital South Dr, Suite 504 Austell, GA 30106
11/7/2014
Firas Bannout, MD
55176
RN206693
Olson, Dacia Ranee
14419
455 South Main St, Ste 201 Hinesville, GA 31313-4354
6/6/2008
Ann Haight, MD
50522
RN125237
Olson, Ellen Ann Carlson
2215
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
9/1/2011
Rittmeyer, Christopher
42407
RN168282
Olsson, Alesha
9996
4750 Waters Avenue, Suiite 307 Savannah, GA 31404
Wednesday, August 12, 2015
Page 261 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/11/2013
Kristina L. Lundberg, MD
62393
RN104520
Olubuyide, Taiye A.
11217
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
12/4/2014
Sandra Helmers, MD
48784
RN238690
Olvera, Victoria Dawn
14238
12 Executive Park Dr. Atlanta, GA 30329
12/4/2014
Andres Rodriguez-Ruiz, MD
72103
RN238690
Olvera, Victoria Dawn
14239
12 Executive Park Dr Atlanta, GA 30329
12/4/2014
Evan Gedzelman, MD
64544
RN238690
2
Olvera, Victoria Dawn
14224
12 Executive Park Dr. Atlanta, GA 30329
12/4/2014
Naymee Velez-Ruiz, MD
66733
RN238690
Olvera, Victoria Dawn
14189
12 Executive Park Dr. Atlanta, GA 30329
11/7/2014
Suzette LaRoche, MD
46149
RN238690
Olvera, Victoria Dawn
14198
12 Executive Park Dr. Atlanta, GA 30329
3/1/2012
Sigman, Steven MD
36612
RN182004
Omodele, Sarah
10508
275 Collier Road, Suite 300 Atlanta, GA 30309
3/4/2011
Jasmine Jeffers, MD
39136
RN182004
Omodele, Sarah Awolesi
9581
3825 Medical Park Dr, Suite 300 Austell, GA 30106
3/5/2015
Rejeshkumar Miniyar, MD
51597
RN242864
Omondi, Erica Leigh
15001
140 Three Rivers Dr., Ste 140 Rome, GA 30161
1/7/2011
Ahmad Jingo, MD
45842
RN094938
Onunka, Evelyn Ihuoma Enyinn
2218
5898 Jonesboro Rd Morrow, GA 30260
7/9/2015
John Ogundipe, MD
39193
RN162813
Onwusibe, Joy
15721
2130 Anderson Mill Rd Austell, GA 30106
12/7/2012
Yousef Hindi, MD
55372
RN162813
Onwusibe, Joy C.
11419
600 W. Memorial Dr. Dallas, GA 30132
1/7/2011
Folashade Omole, MD
49074
RN084496
Oparah, Theresa
9566
780 North Glynn Fayetteville, GA 30214
9/11/2014
Melissa Magill, MD
57218
RN154025
Opeka, Julie A
13834
1132 athens Hwy Ste. 201 Grayson, GA 30014
Wednesday, August 12, 2015
Page 262 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/29/2012
Fleming, Alesia MD
34841
RN154025
Opeka, Julie
10579
1645 Tullie Circle Atlanta, GA 30329
6/30/2011
Lawrence Devoe, MD
24929
RN181678
Orfield, Christeen M.
9828
1120 15th St, BA-7410 Augusta, GA 30912
6/8/2007
Jayanthi Srinivasiah, MD
33204
RN147222
Oropo, Sikirat Yetunde
2223
2675 North Decatur Rd. Decatur, GA 30033
9/11/2014
Jerry Roberts, MD
25657
RN203398
O'Rourke, Caroline Darnell
13967
4000 Shakerag Hill, ste 201 Peachtree City, GA 30269
11/7/2014
Abdollatif Ghiathi, DO
40903
Rn220672
Osim, Blessing Dickson
14175
7 Taylor St Cuthbert, GA 39840-6127
12/7/2007
Robert Dambach, DO
30039
RN144234
Ostaszewski, Mary Eva Leboeuf
8103
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
4/2/2015
Martha Clabby, MD
50095
RN205412
Osuri, Adriane Marie
15340
1405 Clifton Rd, NE Atlanta, GA 30322
2/5/2015
Lakshmanan Krishnamurti,
MD
71385
RN125760
RN125760
Ott, Karman Michelle
14750
1405 Clifton Rd Atlanta, GA 30322
2/6/2014
William Grow, MD
13752
RN153118
Ott, Lynda Dee Davis
12788
203 Woodrow Wilson Dr Valdosta, GA 31602
7/9/2015
Robb Fulton, DO
73325
RN112116
Outlaw, Melanie
15813
903 West Ward St, Ste A Douglas, GA 31533
11/2/2012
David A. Stone, MD
24501
RN191947
Outz, Mary A.
11193
367 Clear Creek Pkwy Lavonia, GA 30353
9/13/2012
Ashok Kancharla, MD
48250
RN191947
Outz, Mary Allison
10906
132 Frnklin Spring Street Royston, GA 30662
4/4/2014
John O. Pittman, MD
37045
RN200411
Owen, Audrey Griffin
13141
715 E. 2nd Ave., SW Rome, GA 30161
7/9/2015
Lajos Toth, MD
47545
RN124242
Owens, Paige Eley
15766
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
Wednesday, August 12, 2015
Page 263 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Sreedeyl Vayalapalli, MD
59226
RN115796
Owens, Jacquelyn
15506
1 Technology Parkway South Norcross, GA 30092
4/2/2015
Rajeswari Natarajan, MD
55501
RN164879
Owens, Javacia
15305
1255 Highway 54 West Fayetteville, GA 30214
8/7/2014
Shahzad Hashmi, MD
53239
RN115796
Owens, Jacquelyn Denise
13674
175 Gwinnett Dr. Lawrenceville, GA 30046
7/12/2012
Evans, Bryon MD
53850
RN115796
Owens, Jacquelyn
10880
1835 Savoy Drive, Ste 101 Atlanta, GA 30341
1/6/2012
Klopper, Jeffrey MD
26321
RN115796
Owens, Jacquelyn
10322
3188 Atlanta Rd SE Smyrna, GA 30080
10/9/2014
Nimisha Trivedi, MD
53715
RN228627
Oyewo, Agnes Pukande
13617
3778 Hwy 42 Locust Grove, GA 30248
3/6/2014
Peter Jungblut, MD
69056
RN099451
Pacitti, Elise Hurley
13033
1000 Chastain Rd, House 52 Kennesaw, Ga 30144
10/7/2011
Atallah, Hany MD
52678
RN050884
Pacitti, Tryphena
10056
80 Jesse Hill Jr Drive SE Atlanta, GA 30303
8/6/2010
Amber Orquia, MD
38899
RN099451
Pacitti, Elise Hurley
9231
3707 Largent Way Marietta, GA 30064
12/3/2010
Woody Francis, MD
48325
RN104525
Pafford, Robert Lamar
9503
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
2/5/2009
Tayari Mchezaji, MD
50409
RN104525
Pafford, Robert Lamar
2238
235 Peachtree St NE, North Tower, #2100 Atlanta, GA 30303
2/5/2009
Ehi Osehobo, MD
49075
RN104525
Pafford, Robert Lamar
8448
230 West College Street, Suite B Griffin, GA 30224
10/9/2014
Bridgette Guthrie, MD
69122
RN172490
Pagano, Linda Lane
14032
710 Center St Columbus, GA 31901
11/2/2012
Brian K. Jordan, DO
53561
RN212002
Page, Douglas L.
11244
126 Highway 280 Americus, GA 31719
Wednesday, August 12, 2015
Page 264 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Raymond McKoy, DO
44536
RN212022
Page Jr, Douglas Lamar
14603
2510 Redmond Cir N W Rome, GA 30165
9/11/2014
Kenneth Howard, Md
40412
RN212022
Page, Jr, Douglas Lamar
13717
11766 Hwy 27, Ste A Summerville, GA 30747
1/9/2014
Randolph Sumner, MD
28323
RN212022
Page, Jr, Douglas Lamar
12738
1825 Martha Berry Blvd Rome, GA 30165
4/2/2015
Jose Cangiano, MD
44182
RN073954
Painter, Susan Gail
15226
1 Technology Pkwy South, Ste 1 Norcross, GA 30092
7/10/2014
Asaf Aleem, MD
30260
RN073954
Painter, Susan Gail
13464
2150 Peachford Rd. Atlanta, GA 30338
6/6/2014
Cary Sauer, MD
61159
RN194830
Painter, Amy Ruth Elizabeth
13133
2015 Uppergate Dr, Suite 250 Atlanta, GA 30322
6/6/2014
Roy Rajan, MD
66553
RN194830
Painter, Amy Ruth Elizabeth
13132
2015 Uppergate Dr Atlanta, GA 30322
4/4/2013
Dawn Simon, MD
58644
RN194830
Painter, Amy Ruth Elizabeth
11787
1605 Chantilly Dr, Suite 405 Atlanta, GA 30324
5/8/2015
Clarice Bell-Strayhorn, MD
39730
RN237096
Palakodeti, Connie
14502
6001 Cumming Hwy Sugar Hill, GA 30518
8/8/2008
Robert Palerino, MD
28848
RN077219
Palerino, Lesa Kay
2243
106 Enterprise Court, Suite B Columbus, GA 31904
9/11/2014
Bobbie Kumar, MD
68197
RN107561
Palmer, Elizabeth Lynn
13046
11935 Abercorn St. Savannah, GA 31419
2/5/2009
Mahendra Shah, MD
34466
RN066649
Palmer, Corinne Lynn
8454
227 Scenic Hwy, Suite A Lawrenceville, GA 30045
2/5/2009
Shripal Makim, MD
39861
RN066649
Palmer, Corinne Lynn
8455
227 Scenic Hwy, Suite A Lawrenceville, GA 30045
5/8/2015
Abigail Kamishlian, MD
44580
RN202063
Palomino, Antoinette
15383
4905 Courtney Dr Forest Park, GA 30297
Wednesday, August 12, 2015
Page 265 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/3/2012
Hernandez-Aviles, Milca
MD
61749
RN135303
Panigua, Kelli
10439
1933 Shields Road Dalton, A 30720
8/6/2015
Robi Goswami, MD
69600
RN204629
Panjwani, Ashraf
16132
1968 Peachtree Rd Atlanta, GA 30309
4/2/2009
Larry Payne, MD
34217
RN070748
Panter, Theresa Marie
8509
535 Jessie Jewel Pkwy, Suite C Gainesville, GA 30501
5/8/2015
Raulnina Uzzle, MD
43499
RN219551
Park, Song
15456
1760 Candler Rd Decatur, GA 30032
9/11/2014
Jinahn Kim, MD
54442
RN237528
Park, Hyeon Hui
13736
1325 Satellite Blvd. Bldg.700 Ste, 701A Suwanee, GA 30024
9/11/2014
Christopher Hagenstad, MD
52738
RN190483
Park, Nanyoung
13833
3855 Pleasant Hill RD Ste 480 Duluth, GA 30096
1/9/2014
Chang Soo Kim, MD
59806
RN190483
Park, Nanyoung
12648
3590 Peachtree Industrial Blvd Duluth, GA 30096
5/8/2015
Judith Dennis, MD
33068
RN064159
Parker, Gail Lynne
15064
660 W Crossville Rd, Ste 110 Roswell, GA 30075
3/5/2015
Elliot Raizes, MD
24478
RN151818
Parker, Curtisia Denise
14686
345 N Harris St, Ste 100 Athens, GA 30601
11/7/2014
John Bucholtz, DO
25116
RN041452
Parker, Pamela Ellen
14166
1800 10th Ave, Ste 100 Columbus, GA 31901
7/10/2014
Peter Rossi, MD
57833
RN173169
Parker, Sandra Salcedo
2265
5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342
8/5/2011
Lynn Flowers, MD
56708
RN064159
Parker, Gail Lynne
9971
601 South 8th Street Griffin, GA 30224
12/4/2009
James Criner, MD
54179
RN084681
Parker, Jami Louise
2259
2945 Panola Rd Lithonia, GA 30038
12/7/2007
Nicole Franks, MD
49691
RN064159
Parker, Gail Lynne
2258
550 Peachtree Street NE Atlanta, GA 30308
Wednesday, August 12, 2015
Page 266 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Jay A. Schecter, MD
30879
RN137055
Parks, Melissa D.
11185
550 Redmond Rd. Rome, GA 30165
9/11/2014
Tyra Harris, MD
61249
RN171690
Parra, Monica
13644
6131 S. Norcross Tucker Rd, Suite 700 Norcross, GA 30093
5/8/2015
Charles Cowart, MD
29161
RN176061
Parrish, Heath
15426
1101 Ocilla Rd Douglas, GA 31533
1/8/2015
Dale McGregor
25220
RN176061
Parrish, Heath Jackson
14232
3131 S Main St Moultrie, GA 31768
12/4/2014
James Graham, MD
30071
RN066656
Parrish, Patricia Ann McDonnell
13216
22225 US Hwy 41 North Tifton, GA 31794
11/7/2014
Dixie Griffin, MD
63661
RN066656
Parrish, Patricia Ann
14130
39 Kent Rd, Ste 5 Tifton, GA 31794
11/8/2013
Thomas Mann, MD
37607
RN176061
Parrish, Heath Jackson
11798
Phoebe Dorminy Med Ctr, 200 Perry House Rd Fitzgerald, GA
10/10/2013
Donna Edmond-King, MD
44711
RN187697
Parrish, Frances Heard
12231
PO Box 50098 Albany, GA 31703
3/8/2013
Robert Ludwick, MD
37277
RN176061
Parrish, Heath Jackson
11686
118 Norman Dorminy Dr Fitzgerald, GA 31750
11/2/2012
Douglas K. Epps, MD
48349
RN113642
Parrish, Wendy
11289
1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281
11/7/2008
Edd Jones, III, MD
33123
RN066656
Parrish, Patricia Ann McDonnell
7709
PO Box 929 Fitzgerald, GA 31750
9/14/2007
David Van, MD
29545
RN113642
Parrish, Wendy
2273
747 South Hill Street Griffin, GA 30224
6/8/2012
Stewart, Teresa MD
57022
RN106229
Parson, Carrie
10760
2225 US Hwy 41 N. Tifton, GA 31794
12/4/2008
Riba Kelsey-Harris, MD
53833
RN062697
Parsons, Lisa Kay Douthitt
2275
3740 Cascade Road Atlanta, GA 30331
Wednesday, August 12, 2015
Page 267 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2014
Linda Arnold, MD
40299
RN060102
Paschal, Debra Ann Brooks
14355
260 West Clinton St Gray, GA 31032
6/30/2011
Kimberly Phillips, MD
51711
RN060102
Paschal, Debra Ann Brooks
9775
142 Hospital Perimeter Rd Eatonton, GA 31024
5/3/2013
Laura Harris, MD
54494
RN129904
Pasley, Jennifer Mason
11722
105 Collier Rd, Suite 4060 Atlanta, GA 30309
4/2/2015
Jennifer Starnes, MD
66016
RN069645
Pass, Sherry Jo Manley
15223
1012 Burleyson Rd. Dalton, GA 30720
4/4/2013
Donald Evans, MD
9810
RN153266
Pastorino, Cynthia A.
11524
572 W. Main Cartersville, GA 30120
2/3/2012
Kelly, Robert MD
34384
RN164623
Pastrick, Kelli
10443
5875 Thompson Mill Road, Ste 100 Hoschton, GA 30548
11/5/2010
Pierpont Brown, MD
30018
RN164623
Pastrick, Kelli Nichole
9345
1075-B Jesse Jewell Pkwy Gainesville, GA 30501
5/8/2015
Dharmeshkumar Patel, MD
55264
RN218169
Patel, Roshni
15516
2491 Panola Rd Lithonia, GA 30058
12/4/2014
Susan Thomas, MD
67173
RN213374
Patel, Divyalata Vishal
14316
950 Towne Lake Parkway Woodstock, GA 30189-1601
10/9/2014
Chester Lapeza, MD
44263
RN221100
Patel, Falguni
14101
602 East 16th Ave, Ste B Cordele, GA 31015
11/8/2013
Vafa Rekaby, MD
62598
RN213374
Patel, Divyalata Vishal
12484
6334 Roswell Rd NE Sandy Springs, GA 30328
8/9/2013
Arthur Reitman, MD
51416
RN102301
Patel, Davdatt Vinod
12145
55 Whitcher St, Suite 350 Marietta, GA 30060
10/7/2011
Lee, Hans MD
58269
RN149650
Patel, Dharti
10088
55 Whichter Street #350 Marietta, GA 30060
2/4/2011
Stephen Pastan, MD
39196
RN207436
Patel, Minal J.
9559
1365 Clifton Rd, Clinic B, B-6400 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 268 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/4/2010
Christopher Riddell, MD
21796
RN145957
Patel, Namita G.
8894
2540 Windy Hill Rd Marietta, GA 30067
6/6/2008
Stratton Kearns, MD
32218
RN102301
Patel, Davdatt Vinod
2281
597 South Enota Drive Gainesville, GA 30501
2/6/2014
Ramprasad Subramaniam,
MD
56489
RN228425
Patil, Porsche Prashant
12518
677 Church St, Box 111 Marietta, GA 30060
8/7/2014
Jeffrey Lamp, MD
56736
RN170614
Patrick, Selisha Michelle
13582
2151 Wset Spring St Monroe, GA 30655
6/6/2014
Kenneth Grotz, MD
37820
RN209751
Patrick, Aubrie Michelle
13298
4150 Washington Rd, Suite 11 Evans, GA 30809
9/13/2013
Kenneth Taylor, MD
38985
RN113814
Patrick, David Anthony
12253
95 Collier Rd, Suite 3000 Atlanta, GA 30309
6/7/2013
James Mossell, DO
44028
RN205538
Patrick, Jessica L
11918
907 E 18th St, Suite 490-A Tifton, GA 31794
2/5/2015
Heather Currier, MD
61719
RN133361
Patterson, Mary Lucas
14804
1 Freedom Way, Ste DD 22 Augusta, GA 30904
2/5/2015
Manuel Ramirez, MD
25254
RN133361
Patterson, Mary Lucas
14973
1 Freedom Way, DD-22 Augusta, GA 30904
12/4/2014
Zada Weston-Hill, MD
39009
RN191854
Patterson, Anitra Delores
14240
2453 Powder Springs Rd, Ste 215 Marietta, GA 30064
12/4/2008
Mitchell Davis, MD
35030
RN164844
Patterson, Ansleigh Remon
5459
200 S. Enota Drive, NE Ste 200 Gainesville, GA 30501
7/11/2008
Gopal Rao, MD
32892
RN105305
Patterson, Jauna D.
2285
350 Country Club Drive, Suite A Stockbridge, GA 30281
4/2/2015
Mitzi Rubun, MD
49592
RN164071
Patton, David Garrett
15232
3747 Roswell Rd, Ste 216 Marietta, GA 30062
9/13/2012
Bhumiben S. Purohit MD
58812
RN164071
RN164071
Patton, David
11014
3600 Dallas Hwy, SW Marietta, GA 30064
Wednesday, August 12, 2015
Page 269 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
Mehta, Jyotir MD
45887
RN036987
Patton, Deanna
10155
8014 13th Ave, Ste A Albany, GA 31701
7/13/2007
Thomas R. Rumble, MD
13078
RN116807
Patton, Beverly Lanell
5291
2121-A Bellevue Road Dublin, GA 31021
2/5/2015
John Vu, MD
40813
RN150120
Paulk, Tina
14289
4861 Bill Gardner Pkwy Locust Grove, GA 30248
1/6/2012
Nelson, Donald MD
24847
RN167096
Paulk, Rhonda
10290
200 Industrial Blvd Dublin, GA 31021
3/4/2011
Walter Smith, MD
37078
RN150120
Paulk, Tina Baker
9583
4861 Bill Gardner Pkwy Locust Grove, GA 30248
2/7/2008
David Turfler, MD
29255
RN052908
Paulk, Jane
2289
PO Box 770 Hazlehurst, GA 31539
1/6/2012
Cheek, Kathryn MD
26080
RN164177
Paulson, Tabatha
10292
2416 Capstone Court Columbus, GA 31909-0795
10/7/2011
Foster, Prima MD
57619
RN164177
Paulson, Tabatha
10078
6400 Flat Rock Road Columbus, GA 31907
7/9/2015
Gary Smith, MD
10666
RN191676
Payne, Andrea
15541
P.O Box 729 Ringgold, GA 30736
12/4/2014
Sean Lambert, MD
30336
RN029266
Payne, Carole
14577
260 Elm St Cumming, GA 30040
8/9/2013
Donna C. Whitfield, MD
48130
RN122561
Payne, Teresa A.
11470
134 Ansley Dr., #400 Dahlonega, GA 30533
6/7/2013
Ralph Warnock, MD
17337
RN137097
Payne, Melissa Kirkland
2295
4421 Carnes St Acworth, GA 30101
12/7/2012
Lawton C. Davis, MD
21669
RN077594
Payne, Shelia E.
11434
2121-B Bellevue Rd. Dublin, GA 31021
5/4/2012
Corn, Stephanie MD
33810
RN068135
Payne, Margaret Ann
2294
1055 Grove Street North Dahlonega, GA 30533
Wednesday, August 12, 2015
Page 270 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/5/2009
Paul Sutej, MD
55030
RN183181
Payne, Jennifer
8590
980 Johnson Ferry Rd NE, Suite 220 Atlanta, GA 30342
9/11/2008
David Gose, MD
49694
RN084011
Payton, Ramona
2297
176 Marietta Hwy Hiram, GA 30141
3/6/2014
Stanley Morgan, MD
35106
RN085963
Peacock, Barbara Tucker
2299
101 Harris Industrial Blvd, Suite C Vidalia, GA 30474
7/12/2012
Eutzler, James DO
49729
RN054555
Pearce, Barbara
10881
520 Griffin Avenue Valdosta, GA 31601
3/4/2011
Edwin Hiatt, MD
12920
RN054555
Pearce, Barbara Ann Patterson
9631
200 Georgia Ave Valdosta, GA 31698
2/5/2015
Brian Coleman, MD
60360
RN166226
Pearlman, Brett Parsons
14347
4700 Walers Ave (ER) Savannah, GA 31404
8/6/2015
Raxit Patel, MD
64951
RN220235
Pearson, Jessica
16033
55 Whitcher St, Ste 160 Marietta, GA 30060
1/8/2015
Ricardo Riesco, MD
44069
RN076877
Pearson, Christina Lynn
14311
1933 Shields Rd Dalton, GA 30720
8/7/2009
Terry Feng, MD
26264
RN122509
Pearson, Nicole Haynes
1294
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
1/8/2015
Teresa Clark, MD
20417
RN137049
Peart, Adrienne Collins
14169
2920 Pharr Ct South, NW Atlanta, GA 30305
5/1/2014
Jelunder Clark, MD
42544
RN137049
Peart, Adrienne Collins
13242
990 Bear Creek Blvd, Ste. G Hampton, GA 30228
9/2/2010
Nelson Madrazo, MD
49862
RN074675
Pease, Margaret Ann
9275
105 Walnut St Montezuma, GA 31063
1/9/2009
Olabisi Pearse, MD
49717
RN113720
Peay, Jennifer Williamson
8385
2660 Satellite Blvd Duluth, GA 30096
10/4/2007
Marie Baudean, MD
23898
RN113720
Peay, Jennifer Williamson
2308
980 Hwy 29 South Lawrenceville, GA 30045
Wednesday, August 12, 2015
Page 271 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2010
Thomas Hatchett, MD
36984
RN134282
Peck, Ann Marie
2310
870-A Austin Dr Demorest, GA 30535
9/13/2013
Muhammad Alam, MD
69167
RN162464
Peckham, Richard Anthony
12311
3015 Veterans Pkwy Moultrie, GA 31788
7/11/2013
Sivasanker
Bakthavachalam, MD
62182
RN168014
Pecot, Jennifer Young
12023
5455 Meridian Mark Rd, Suite 130 Atlanta, GA 30342
9/11/2014
Alicia Weksler, MD
37924
RN181612
Peden, Alison Cardell
13909
1012 Burleyson Rd Dalton, GA 30720
3/5/2015
Fred Fritzsche, MD
48045
RN206978
Peek, Sarah Merree
15060
14949 U.S. Hwy 19 South, Ste B Thomasville, GA 31792
1/11/2013
Kenneth M. Mathews, MD
64626
RN079019
Peeples, Elizabeth Ann Bethea
2312
118 Howard St., PO Box 766 Rossville, GA 30741
1/11/2008
Joseph Khouri, MD
24698
RN095733
Peeples, Angela Fay
2311
3080 Highlands Pkwy, Suite A Smyrna, GA 30082
7/9/2015
Cline Jackson, MD
59246
RN164838
Pence, Wendy
15351
340 Turner McCall Blvd Rome, GA 30161
5/3/2013
Dawn Simon, MD
58644
RN139571
Pendley, Stephanie
11890
1605 Chantilly Dr, Suite 305 Atlanta, GA 30324
4/1/2011
Robert King, MD
53835
RN210799
Pendley, Kimberly Ann
9719
1825 Martha Berry Blvd Rome, GA 30165
4/1/2011
Sidney Smith, III, MD
38615
RN101568
Penrose, Karen C
2317
900 Mohawk St, Suite E Savannah, GA 31419
6/7/2013
Fernando Burstein, MD
32141
RN061498
Pepper, Bonnie Beth Snider
2318
975 Johnson Ferry Rd NE, Suite 100 Atlanta, GA 30342
2/5/2010
W. Morris Brown, III, MD
29309
RN172230
Perez, Jenina Sampang
2320
95 Collier Rd, Suite 5015 Atlanta, GA 30309
7/10/2014
Susan Thomas, MD
67173
RN096269
Perkins, Gloria Jean Allen
13495
2945 Panola Rd. Lithonia, GA 30038
Wednesday, August 12, 2015
Page 272 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Ronald Watts, MD
44862
RN201965
Perry, Tracy
15836
1050 Eagles Landing Pkwy, Ste 302 Stockbridge, GA 30281
3/5/2015
Alesiam Fleming, MD
34848
RN166520
Perry, Venester
15035
1645 Tullie Circle Atlanta, GA 30329
1/9/2014
Josephine Tan, MD
19193
RN121310
Perry, Merry Lynn
7787
106 East Broad St Savannah, GA 31401
1/7/2011
Nancy Fajman, MD
36732
RN166520
Perry, Venester A
9554
35 Jesse Hill Jr Dr Atlanta, GA 30303
11/5/2009
Stephen Messner, MD
59282
RN166520
Perry, Venester A.
8769
1001 Johnson Ferry Rd, Suite 500 Atlanta, GA 30342
9/11/2008
James McGowan, MD
28833
RN090323
Perry, Nancy
5446
303 Smith Street LaGrange, GA 30240
8/2/2007
Lisa Mandeville-Brown, MD
46987
RN107663
Persky, Lizette
8056
315 Winn Way Decatur, GA 30030
8/2/2007
Catherine Bonk, MD
30435
RN107663
Persky, Lizette Simone Sellers
2329
315 Winn Way Decatur, GA 30030
8/2/2007
Kay Entrekin, MD
42817
RN107663
Persky, Lizette
8054
315 Winn Way Decatur, GA 30030
7/9/2015
William van Laar, DO
33733
RN097976
Pesce, Jodi
15805
68 Hampton ST McDonough, GA 30253
3/6/2014
Shazib Khawaja, MD
58888
RN115803
Peshel, Tabatha Michele
13034
705 Dixie St, Suite 401 Carrollton, GA 30117
11/7/2014
Ken Santord, MD
36449
RN199089
Petca, Persida Livia
14017
2989 W Rock Quary Rd Buford, GA 30519
6/8/2012
Nariani, Sanjay MD
49861
RN199089
Petca, Persida
10750
3463 Lawrenceville Suwanee Rd, Ste 109 Suwanee, GA 3002
3/29/2012
Joseph, Kirpich MD
54904
RN199089
Petca, Persida
10603
3795 Buford Drive Buford, GA 30519
Wednesday, August 12, 2015
Page 273 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2014
Todd Lilje, DO
55784
RN122988
RN122988
Peterman, Gerald Cliford
14438
901 E 18th St Tifton, GA 31794
3/6/2009
Mohammad Al-Shroof, MD
45158
RN122988
Peterman, Gerald Clifford
2332
2054 Watson Blvd Warner Robins, GA 31088
9/11/2014
Charles Fox, MD
56056
RN237921
Peters, Chanya
14380
488 Kennesaw Ave N W, Ste 200 Marietta, GA 30060
9/11/2014
Richard Friedman, MD
19382
RN237921
Peters, Chanya
14381
488 Kennesaw Ave N W, Ste 200 Marietta, GA 30060
7/10/2014
Charles Nesmith, MD
54629
RN237921
Peters, Cnanya
13523
488 Kennesaw Ave, Ste 200 Marietta, GA 30060
12/4/2009
Eric Gibney, MD
61884
RN124526
Peters, Zelda Regina
8803
1968 Peachtree Rd NW, Bldg 77, 6th Floor Atlanta, GA 30309
4/13/2007
Matthew Grundfast, DO
52944
RN124526
Peters, Zelda Regina
2334
1009 North Monroe Street Albany, GA 31707
5/1/2014
Jeffrey Peretz, MD
65780
RN200031
Petersen, Dana Alice
13178
5671 Peachtree Dunwoody Rd, #700 Atlanta, GA 30342
6/4/2015
Daniel Valancius, MD
72151
RN205837
Peterson, Rachel
15679
330 Turner McCall, Ste 201 Rome, GA 30165
5/8/2015
Kamille Brown, MD
66000
RN234033
Peterson, Elisabeth
15461
2660 Satellite Blvd Duluth, GA 30096
3/5/2015
Monica Hum, MD
53247
RN216265
Peterson, Tyressa
15075
95 Collier Rd Atlanta, GA 30309
4/2/2015
Eugene Jackson, MD
22793
RN203692
Petrie, Kathryn
15178
118 NomanDorminy Dr Fitzgerald, GA 31750
4/2/2015
Thomas Mann, MD
37607
RN203692
Petrie, Kathryn
15177
118 Norman Dorminy Dr Fitzgerald, GA 31750
8/7/2014
Hyun Cho-Steinberg, MD
35226
RN107083
Pettay, John Alton
13649
1030 Delta Blvd. Atlanta, GA 30354
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/9/2008
John West, MD
28915
RN107083
Pettay, John Alton
2339
2295 Henry Clower Blvd, Suite 101 Snellville, GA 30078
12/6/2013
Anurag Sahu, MD
65174
RN200011
Peverini, Christine Marie
12603
1365 Clifton Rd NE, Suite A-2447 Atlanta, GA 30322
5/8/2015
Daniel Valancius, MD
72151
RN186333
Pflugrad, Aimee
15390
304 Turner McCall Boulevard Rome, GA 30165
6/7/2013
Jamika Hallman-Cooper, MD
65120
RN198199
Philip, Sandra Milena
11967
2015 Uppergate Dr Atlanta, GA 30322
8/6/2015
Terry Melvin, MD
35951
RN248581
Philipose, Minu
15970
1217 Lafayette Rd Rossville, GA 30741
6/4/2015
Holly Clemons, MD
71921
RN116540
Phillips, Karen
15622
1050 Eagles Landing Parkway, Ste 200 Stockbridge, GA 3028
5/8/2015
Christopher Thompson, MD
70621
RN141185
8
Phillips, China
15395
7020 Moon Rd Columbus, GA 31909
4/2/2015
Kenneth Howard, MD
40412
RN215472
RN215472
Phillips, Roxanne
15266
1060 Redbud Rd Calhoun, GA 30701
3/5/2015
Michael Clifford, MD
37508
RN183566
Phillips, Stephanie
14926
208 N Cuthbert Rd Colguitt, GA 39837
1/8/2015
Troy Bond, MD
43880
RN218061
Phillips, Kristin Maureen
14312
1181 Langford Dr Bldg 200 Ste 105 Bogart, GA 30622
12/4/2014
Henry Purvis, MD
48703
RN183668
Phillips, Shelly
14370
658 Northside Dr East, Ste A Statesboro, GA 30459
7/10/2014
Carmine Oddis, MD
51072
RN154237
Phillips, Amanda Corrine
13522
682 Hemlock St, Suite 490 Macon, GA 31201
3/6/2014
Christopher Arant, MD
60698
RN130803
Phillips, Ronda Stewart
12982
705 Dixie St, Suite 401 Carrollton, GA 30117
12/6/2013
John Mynatt, Jr, MD
41469
RN169956
Phillips, Shanon Renee
12582
5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
John Arnett, MD
38423
RN133630
Phillips, Jana
11058
200 Doctor's Dr., #106 Douglas, GA 31533
9/13/2012
Geoffrey Deutsch, MD
45061
RN162571
RN162571
Phillips, Nancy Elanore
11010
100 Mimosa Dr. Thomasville, GA 31792
8/10/2012
Roy Reardon, MD
42402
RN183566
Phillips, Stephanie
10936
208 North Cuthbert Street Colquitt, GA 39837
10/8/2010
Andrew Leach, MD
49051
RN209679
Phillips, Anika Schulte
9403
1000 Hawthorne Ave, Suite G Athens, GA 30606
8/8/2008
Mark Vrana, MD
22663
RN161741
Phillips, Kimberly Dawn
2341
3320 Old Jefferson Road, Bldg 700 Athens, GA 30607
1/6/2012
Poling, John MD
50051
RN129070
NP
Philpot, Holly Kimball
9994
1086A Baxter Street Athens, GA 30606
1/8/2015
Monita Seawell, MD
70582
RN088054
Philson, Beverly Lynn
14853
10 Park Place South Atlanta, GA 30303
6/4/2015
Shahram Rezaiamin, MD
49939
RN137164
Pickens, Herretta
15596
900 Eagles Landing Pkwy Stockbridge, GA 30281
12/4/2014
Anthany Claro, MD
45425
RN137164
Pickens, Herretta La'Chell
14254
1975 Hwy 54 West, Ste 100 Peachtree City, GA 30269
2/6/2014
Syed Rizvi, MD
44073
RN137164
Pickens, Herretta La'Chell
12940
4343 Shallowford Rd, Suite B4-A Marietta, GA 30062
2/7/2013
Adrian Douglass, MD
36522
RN137164
Pickens, Herretta La'Chell
11660
35 Collier Rd, Suite 500 Atlanta, GA 30309
8/5/2011
Otis Powell Jr., MD
25814
RN137164
Pickens, Herretta LaChell
9920
2391 Benjamin E Mays Dr SW, Second Fl, Ste A Atlanta, GA 3
4/2/2015
Jan Mayfield, MD
51355
RN186812
Pickett, Angelique
15195
49 Hosiery Mill Rd, Ste 124 Dallas, GA 30157
2/5/2015
Reden Delgado, MD
65957
RN243778
Pickett, Halima Ama
14857
1168 North Main St, Ste 120 Cedatown, GA 30125
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Dingane Baruti, MD
55411
RN186812
Pickett, Angelique Schultz
14274
100 Yorktown Dr, Ste 110 Fayetteville, GA 30214
4/2/2015
Kelly McCants, MD
72798
RN244034
Pierce, Caroline Elizabeth
14945
95 Collier Rd, Ste 3000 Atlanta, GA 30309
9/11/2014
Kevin Niebaum, DO
47353
RN106291
Pierce, April Marie Edenfield
13958
107 Peacock Dr. Warner Robins, GA 31088
7/11/2013
Sandra Brickman, MD
45043
RN089608
Pierce, Donna Michelle
7735
1806 Lee Ave Tifton, GA 31794
5/1/2014
Thomas Cobb, MD
59699
RN167855
Pihera, Rebecca Anne Pride
13275
5775 Peachtree Dunwoody Rd., C200 Atlanta, GA 30342
6/7/2013
Bryon Evans, MD
53850
RN167855
Pihera, Rebecca Anne Pride
11883
1835 Savoy Dr, Suite 101 Atlanta, GA 30341
10/7/2011
Wheeler, George MD
33751
RN123572
Pike, Dawn
10123
1218 Alice Streeet Waycross, GA 31501
2/5/2009
Naresh Parikh, MD
28851
RN072278
Pilcher, Linnea Marie Haas
8465
6330 Primrose Hill Court Norcross, GA 30092
5/9/2008
Syamala Erramilli, MD
47896
RN072278
Pilcher, Linnea Marie Haas
8188
4500 Hugh Howell Rd, Suite 110 Tucker, GA 30084
4/1/2010
Terri McFadden, MD
32110
RN051329
Pilgrim, Teresa K
2348
35 Jesse Hill Jr Dr Atlanta, GA 30303
3/8/2013
Barbara Nichols, DO
59835
RN144793
Pindling, Andrea Flo
11685
745 Poplar Rd, Emer Dept Newnan, GA 30265
7/9/2015
Alan Wang, MD
48017
RN114408
Pingeton, Robin
15755
601 Notholt Pkwy Suwannee, GA 30024
9/11/2014
Uchenna Kalu, MD
62127
RN114408
Pingeton, Robin Ann
13832
1117 Perimeter Center West Ste 500N Atlanta, GA 30338
3/6/2009
Wesley McDaniel, MD
26588
RN114408
Pingeton, Robin Ann
2350
11685 Alpharetta Hwy, Suite 155 Roswell, GA 30076
Wednesday, August 12, 2015
Page 277 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
George Pursley, MD
31308
RN194511
Pinner, Andrea Elizabeth
15295
1219 West Wheeler Pkwy, Ste A Augusta, GA 30909
4/2/2015
Michael Burke, MD
54798
RN135264
RN135264
Pipkin, Lisa Hocker
15107
2849 B Henderson Mill Rd Atlanta, GA 30341
5/4/2012
Lassiter, Richard MD
54917
RN210817
Pirkey, Daniel
10695
2701 North Decatur Rd, Emer Dept Decatur, GA 30033
7/9/2015
Lajos Toth, MD
47545
RN106182
RN106182
Pirkle, Jeanette Susan
15796
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
1/7/2011
Richard Robinson, MD
38936
RN156539
Pittman, Stephanie Renee
9548
3240 Avalon Blvd Conyers, GA 30013
6/4/2015
Ortelio Bosch, MD
51119
RN124333
Pitts, Andrea
15577
7450 Skidaway Rd Savannah, GA 31406
9/13/2013
Robert Clark Brown, MD
56269
RN081207
Pitts, Robin Diane Harshman
12249
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
9/11/2014
David Markham, MD
69311
RN174442
PL Montes, Marie-Daniel
14107
5673 Peachtree Dunwoody Rd NE, Ste 650 Atlanta, GA 3034
8/6/2015
Felissa Goldstein, MD
57467
RN178205
Planeaux, Michelle
15967
1920 Briarcliff Rd NE Atlanta, GA 30329
6/6/2008
Tamara New, MD
58712
RN178205
Planeaux, Michelle B.
2356
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
12/1/2011
Yalamanchili, Gandhiji MD
25312
RN135055
Plant, Kelley
10261
1009 N. Monroe Street Albany, GA 31701
6/4/2015
Nicole Jasper, MD
49572
RN171306
Plaxico, Elisha
15675
350 Hospital Dr Macon, GA 31217
5/8/2015
Dipesh Patel, ND
53512
RN171306
Plaxico, Elisha
15459
3780 Eisenhower Pkwy Macon, GA 31206
Wednesday, August 12, 2015
Page 278 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2009
Barry Jones, MD
12495
RN190060
Player, Susan Elizabeth
8838
5965 Parkway North Blvd, Suite C Cumming, GA 30040
7/10/2009
Anthony Miller, MD
32433
RN075180
Plock, Lisa Renee Mills
8467
3465-D Macon Road Columbus, GA 31907
9/14/2007
Jefferson C. Jones, MD
26766
RN075180
Plock, Lisa Renee Mills
2358
2000 10th Ave, Suite 200 Columbus, GA 31901
2/5/2010
Kenneth Harper, MD
35182
RN154249
Poindexter, Tina Louise
2360
5910 Hillandale Dr, Suite 301 Lithonia, GA 30058
8/6/2015
Xuexin Tang, MD
50916
RN074932
Poirier-Elliott, Elaine
16084
3807 Clairmont Rd Chamblee, GA 30341
11/3/2011
Malone, Randolph MD
34412
RN215571
Polivka, Dwight
10124
511 Gordon Avenue Thomasville, GA 31792
8/6/2015
Kevin King, MD
56310
RN154808
Polk-Seldon, Gabriele
16116
2122 Manchester Expressway Columbus, GA 31908
4/4/2014
Bess Schoen, MD
31120
RN234981
Pollard-Manigault, M. Denise
12987
2015 Uppergate Dr, Suite 252 Atlanta, GA 30322
8/6/2015
Robert Deimler, DO
38728
RN196129
Ponniah, Shivanthi
16108
3555 Centerville Hwy Snellville, GA 30039
6/6/2014
Jonathan Chen, DO
60811
RN125435
Pool, Suzanne Laurel
12581
55 Whitcher St, Suite 160 Marietta, GA 30060
12/7/2012
William D. Taylor, MD
33213
RN118322
Pool, Shelley H.
11330
160 Springbranch Dr. Dublin, GA 31021
1/7/2010
John Polak, DO
31100
RN045012
Poole, Sally Wright
8824
3121 Peach Orchard Rd, Suite 201 Augusta, GA 30906
5/10/2007
William E. Callaghan, MD
27974
RN045012
Poole, Sally Wright
2364
1348 Walton Way, Ste 5100 Augusta, GA 30901
6/6/2014
Richard Warren, MD
54956
RN203790
Pope, Rebecca Jill
13265
705 Dixie St, Emer Dept Carrollton, GA 30117
Wednesday, August 12, 2015
Page 279 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Patsy Mitchell, DO
64606
RN203157
Pope, Bianca Rae Germano
12413
118 Northpark Dr Brunswick, GA 31520
7/12/2012
Reddy, Bhaskar MD
55440
RN107104
Pope, Ohridia Amaki
2367
1400 Northside Forsyth Dr, Ste 380 Cumming, GA 30041
8/6/2015
Yolanda Wade, Md
58345
RN144810
Porter, Laura
16030
240 Chadmore Lane Tyrone, GA 30290
2/5/2015
W. Stanley Arnold, MD
20400
RN170616
Porter, Erin James
12265
275 Collier Rd, Suite 500 Atlanta, GA 30309
9/1/2011
George Miller, MD
56901
RN170616
Porter, Erin James
9640
2525 Williams Rd Columbus, GA 31909
4/4/2014
Martha Millan-Sanchez, MD
66223
RN201646
Posey, Julie Marie
13144
3015 Veterans Pkwy Moultrie, GA 31788
10/5/2012
Bryan Philbrook, MD
47009
RN
171224
Post, Heather
11047
975 Johnson Ferry Rd, Ste 340 Atlanta, GA 30342
2/3/2012
Osborne, Anwar MD
60778
RN186958
Postell, Pamela
10473
550 Peachtree Street Atlanta, GA 30308
1/11/2013
Pablo E. Balboa-Marciack,
MD
55409
RN170471
Poteet, Tara A.
11181
100 Hospital Ct. Calhoun, GA 30701
5/8/2015
Dorothy Stewert, MD
46565
RN192280
Potter, Betty Jean
15514
5398 Thomaston Rd, Ste B Macon, GA 31220
1/8/2015
Manfred Sandler, MD
38353
RN117011
Povolny, Angela Michelle
14565
755 Walther Rd Lawrenecville, GA 30046
8/7/2014
Randall Brown, MD
31884
RN063932
Powell, Pamela Westberry
13651
2409 North Patterson St, ste 230 Valdosta, GA 31602
10/5/2012
Anna Marie Cabeca, DO
42537
RN068688
Powell, Mary Elizabeth
5128
2712 Parkwood Drive Brunswick, GA 31520
3/1/2012
Ford, James MD
14489
RN106617
Powell, Laura
10556
501 Broad Street Wrens, GA 30833
Wednesday, August 12, 2015
Page 280 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
Carter, Kelli MD
41529
RN106617
Powell, Laura Huff
10026
1113 Washington Road Thomson, GA 30824
3/6/2009
S. K. Naidu, MD
19570
RN170035
Powell, Tanika Ramsey
8466
6564 Professional Place, Suite A Riverdale, GA 30274
6/6/2008
Thomas Olson, MD
40180
RN110996
Powell, Christie Lee
2375
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
9/13/2013
Regis Haid, MD
37229
RN122652
Prado, Laura Ellen
2770
2001 Peachtree Rd, Suite 575 Atlanta, GA 30309
4/4/2014
Amyn Hirani, MD
64388
RN200370
Prata, Nina
12957
55 Whitcher St, Suite 160 Marietta, GA 30060
12/4/2014
Shehnaz Makhani, MD
43694
RN185543
Prater, Kimberly Dale
14571
1058 Bear Creek Blvd Hampton, GA 30228
5/4/2012
Moreno, Jorge MD
46792
RN123825
Prather, Deborah
10691
1631 Hwy 20 W Donough, GA 30253
12/4/2014
Curtis Sorensen, MD
39947
RN162398
Prator, Amanda Marie
12684
100 Frist Ct Columbus, GA 31909
7/11/2008
James Lantz, MD
28028
RN066085
Pratt, Cindy Ann Clower
2387
8820 Hospital Drive Douglasville, GA 30134
3/6/2014
Christopher Stevens, MD
54515
RN094003
Prayter, Susan Marie
13035
1762 MarsHill Rd NW Acworth, GA 30101
2/5/2010
James Butts, MD
9103
RN147000
Preissler, Dianne Lynne Woods
2389
PO Box 2683 Gainesville, GA 30503
9/14/2007
James Smith, MD
22644
RN063723
Prescott, Susan
2391
15 Cavender Street Newnan, GA 30263
7/11/2008
Thomas Gearhard, MD
27193
RN061901
Pressell, Louann
2392
1790 Mulkey Road, Suite 8 Austell, GA 30106
6/7/2013
Barbara D'Orio, MD
33956
RN071143
Prest, Lois Marie
11992
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
Wednesday, August 12, 2015
Page 281 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2012
Kevin Napier, MD
40749
RN183505
Prestidge, Taryn
11156
231 Graefe St. Griffin, GA 30224
11/7/2014
Elizabeth Norwood, MD
46192
RN191412
Preston, Rachel Ellse
14125
2739 Felton Dr East Point, GA 30344
7/9/2015
Nadia Cameron, MD
53982
RN244445
Price, Tasha
15648
3760 Sixes Rd, Ste 120 Canton, GA 30114
6/4/2015
Victor Rosenfeld, MD
64752
RN161346
Price, Jennifer
15674
1326 Eisenhower Dr Savannah, GA 31406
5/8/2015
Hai Trinh, MD
55991
RN234158
Price, Mary Macon
15458
2118 Scenic Highway, Ste H Snellville, GA 30078
4/2/2015
William Barnes, MD
26449
RN200058
Price, Lauren Ann
15080
4660 Riverside Pk Blvd Macon, GA 31210
2/5/2015
Kamlesh Patel, MD
52481
RN188132
Price, Lisa Marie
14784
5665 New Northside Dr, Ste 320 Atlanta, GA 30328
2/5/2015
Clinton Carter, MD
36695
RN188132
Price, Lisa Marie
14785
3730 Camia Dr South west, Ste 110 Atlanta, GA 30331
1/8/2015
Frank McCoferty, MD
38862
RN225038
Price, Gloria
14613
550 Eagles Landing Pkwy, Ste 110 Stockbridge, GA 30281
10/9/2014
Ulas Camsari, MD
69774
RN242170
Price, Deborah Lynn
14033
1707 Boulevard Square, Ste A Waycross, GA 31501
5/7/2009
Gyula Soos, MD
49093
RN107117
Price, Amber Grace
8534
102 Bowling Lane Dublin, GA 31021
5/3/2013
John Coleman, MD
48498
RN171232
Prieto, Dana Lynn
11856
1720 Peachtree St NE, Suite 200 Atlanta, GA 30309
3/4/2011
Lawrence Powell, MD
38915
RN155811
Pringle, Tawnya Lynette
9635
3800 Princeton Lake Pkwy SW Atlanta, GA 30331
2/6/2014
George Palmer, MD
30658
RN217055
Pritham, Ursula Anna
12947
1012 Bermuda Run Rd Statesboro, GA 30458
Wednesday, August 12, 2015
Page 282 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Brian DeLoach, MD
51216
RN217055
Pritham, Ursula Anna
12456
250 Forest Dr, Room #1004 Statesboro, GA 30460-0001
10/9/2014
Michael Hanowell, MD
61846
RN213432
Prudhomme, Maria Gabriella
13940
5126 Hospital Dr NE Covington, GA 30014
6/4/2015
John Ogundipe, MD
39193
RN151379
Pruitt, Barbara
15650
2130 Anderson Mill Rd Austell, GA 30106
3/5/2015
Russel Pruitt, MD
41931
RN151379
Pruitt, Barbara Lynn Senterfitt
14993
4900 Ivey Rd Bldg 1000, Ste 1025 Acworth, GA 30101
1/9/2014
Pamela Gordon, MD
69815
RN151379
Pruitt, Barbara Lynn Senterfitt
12730
677 Church St, 310 Bldg Marietta, GA 30060
9/13/2012
Jennifer Marrast-Host, MD
49313
RN102357
Pryor, Anita
11032
601 South 8th Street Griffin, GA 30224
5/6/2011
Bill Greening, MD
42585
RN102357
Pryor, Anita Lynn Rigsby
9732
7285 Hwy 16, Suites B & C Senoia, GA 30276
9/3/2009
Muthusamy Sekar, MD
47152
RN102357
Pryor, Anita Lynn Rigsby
8536
350 Country Club Dr, Suite A Stockbridge, GA 30281
6/5/2009
Jamie Walraven, MD
45023
RN102357
Pryor, Anita Lynn Rigsby
7843
601 South 8th St, Emergency Dept Griffin, GA 30224
8/8/2008
Heather Henry, MD
44231
RN102357
Pryor, Anita Lynn Rigsby
8217
327 S. 9th Street Griffin, GA 30224
8/6/2015
Ronnika Harley, MD
60848
RN235162
Puckett, Jennifer
16121
736 Whitlock Ave, Ste 600 Marietta, GA 30064
8/9/2013
James Smith, MD
59763
RN160924
Puckett, Catherine Zuber
2409
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
6/6/2014
Shahriar Sedghi, MD
37678
RN138402
Pugh, Kami Bonner
13374
610 Third St, Ste 204 Macon, GA 31201
2/6/2014
Stephen Salmieri, MD
49151
RN208906
Pugh, Jena Daneen
12681
759 Old Norcross Rd Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 283 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/7/2008
Vernon Henderson, MD
44746
RN097978
Pugmire, Karen Yarborough
2335
285 Boulevard NE, Suite 535 Atlanta, GA 30312
2/5/2015
Barbara Simmons, MD
34716
RN137019
Pulaski, Sandra Brubaker
14165
833 Campbell Hill St N W, Ste 400 Marietta, GA 30060
6/8/2012
Latif, Rhonda MD
30127
RN137019
Pulaski, Sandra
10785
2550 Windy Hill Rd, Ste 115 Marietta, GA 30067
12/7/2012
Todd H. Robinson, MD
40773
RN174219
Pullen, Stacey L.
11357
14 Cherokee Rd. Cedartown, GA 30125
12/7/2007
Manoj Hiralal Shah, MD
28077
RN184471
Pullen, Ashlie Lynn
5430
1021 N. Houston Road Warner Robins, GA 31093
3/1/2012
Sankaran, Sekhar MD
31549
RN160206
Purcell, Kimberly
10534
101 Regency Park Drive, Ste 140 McDonough, GA 30253
6/6/2014
Beverly Hyacinth, MD
57003
RN225420
Purrman, Kathryn Christine
13304
855 Veternas Memorial Hwy Mableton, GA 30126
12/7/2012
Audra E. Ford, MD
61581
RN225420
Purrman, Kathryn C.
11315
6334 Roswell Rd., Ste C Sandy Springs, GA 30328
4/2/2015
Gifford Lorenz, MD
30816
RN117924
Purvis, Stacey
15168
5354 Reynolds St, Ste 318 Savannah, GA 31405
7/12/2012
Whipple, Oliver MD
52035
RN140169
Purvis, Shali
10777
4700 Waters Avenue, Ste 403 Savannah, GA 31404
11/5/2009
Jerry Purvis, Sr, MD
9235
RN124737
Purvis, Juliet Elizabeth Waugh
8664
106 West Northside Dr Valdosta, GA 31602
9/11/2008
Randolph Bishop, MD
41516
RN140169
Purvis, Shali Michelle
2417
4 Jackson Blvd Savannah, GA 31405
8/6/2015
Carmine Oddis, MD
51072
RN164959
Pye Jr., Robert
15916
1062 Forsyth St, Ste 1B Macon, GA 31201
4/4/2014
Eileen Javellana, MD
45841
RN143497
Qin, Ling
7837
725 Jesse Jewell Pkyw SE Gainesville, GA 30501
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
William Burak, MD
68527
RN234874
Quaile, Heather C
13418
790 Church St., Ste 410 Marietta, GA 30060
8/7/2009
Vincent Brawley, MD
33283
RN063713
Quinn, Karen
2419
1350 Walton Way - 3rd Floor Augusta, GA 30901
3/8/2013
Shazia Khan, MD
48905
RN186321
Quinn-Freeman, Lasagna Alaine
11716
32 Calumet Pkwy, Bldg H, #100 Newnan, GA 30263
7/12/2012
Willard-Jelks, Kim MD
29123
RN186321
Quinn-Freeman, Lasagna
10674
51 Gay Connector Greenville, GA 30222
12/4/2014
Ramon Ramos, MD
33683
RN203691
Quirimit, Charmaine Lim
14242
460 Mall Blvd Savannah, GA 31406
10/10/2013
Anthony Mills, MD
44023
RN168805
Rabayeva, Irina A
12441
4651 Chamblee-Dunwoody Rd, Suite A Dunwoody, GA 3033
2/3/2012
DeMarini, Thomas MD
32171
RN168805
Rabayeva, Irina
10424
2665 N. Decatur Rd, Ste 430 Decatur, GA 30033
2/5/2009
Vassily Assikis, MD
52530
RN085945
Rabern, Tammy Thompson
8445
128 Millard Farmer Ind. Blvd Newnan, GA 30263
10/5/2012
William Callaghan, MD
27974
RN136892
Raborn, Nancy
11158
1348 Walton Way, Ste 5100 Augusta, GA 30901
9/11/2008
Fawzi Himada, MD
47442
RN109339
Raburn, Martha Brown
2422
811 N. 4th Street Cordele, GA 31015
11/7/2014
Charles Sow, MD
55343
RN243120
Rachide, Marjorie Anne
14213
7530 Roswell Rd Atlanta, GA 30350-4837
11/7/2014
George Hall, MD
55669
RN219574
Rackley, Emmeril
14155
1050 Carl Griffin Dr Savannah, GA 31405
9/13/2013
Kenneth Taylor, MD
38985
RN116771
Radke, Rebecca Linton
12301
95 Collier Rd, Suite 3000 Atlanta, GA 30309
7/11/2013
Sean Delaney, MD
49001
RN104540
Raduszewski, Thomas Chester
12102
631 Professional Dr, Suite 360 Lawrenceville, GA 30046
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Stephanie Reese, DO
71743
RN235259
Rafus, Jennifer
15742
1921 Alice St, Ste B4 Waycross, GA 31501
4/2/2015
Bill Smith, MD
59963
RN048215
Ragains, Susan
15281
1351 Scarboro Hwy Sylvania, GA 30467
9/11/2014
Caroline Gibbons, MD
67735
RN144473
Ragan, Carson Basham
13785
833 Campbell Hill St Ste.400 marietta, GA 30060
6/4/2015
Kavita Kongara, MD
63678
RN160356
Ragland, Kenya Monee
15733
980 Johnson Ferry Rd NE, Ste 820 Atlanta, GA 30342
10/9/2014
Jamie Walraven, MD
45023
RN160356
Ragland, Kenya Monee
14331
1275 Hwy 54 W Fayetteville, GA 30214
11/2/2012
Jeffrey Oyler, MD
41191
RN160356
Ragland, Kenya
11242
1968 Peachtree Rd., NW Atlanta, GA 30309
6/30/2011
Eugene Harris, MD
59658
RN160356
Ragland, Kenya Monee
9823
60 Hospital Rd Newnan, GA 30263
7/9/2015
Onkar Kaur, MD
47103
RN157693
Ragsdale, Cynthia
15887
101 Mayo St, Ste B Americus, GA 31709
9/11/2014
Kathryn Neely, MD
46189
RN097737
Ragsdale, Maria
13831
310 Paper Trail Way Ste. 306 Canton, GA 30115
3/5/2015
David Walker, MD
37415
RN243573
Rai, Suneeta
14511
1 Sweet Boy Court, Ste B Moultrie, GA 31768
2/5/2015
Anthony Martin, MD
72873
RN105806
Raines, Terri Lynn
14754
1 Freedom Way Augusta, GA 309904
3/8/2013
Jeffrey Lamp, MD
56736
RN176596
Rainey, Tiffany
11565
2151 West Spring St. Monroe, GA 30655
10/7/2011
Papciak, Michael MD
16823
RN112656
Rainey, Patricia
10111
3400A Old Milton Parkway #330 Alpharetta, GA 30005
4/13/2007
William D. Tumlin, MD
12014
RN068772
Rainey, Jessica Keith
2428
774 Athens Road/P.O. Box 69 Lexington, GA 30648
Wednesday, August 12, 2015
Page 286 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Wendy Greenberg, MD
35641
RN229960
Rains, Dianna
15017
777 Franklin Rd Marietta, GA 30067
11/1/2007
Joseph Weissman, MD
32083
RN057774
Raiser, Cathy Conwell
7704
2665 N. Decatur Road, Suite 630 Decatur, GA 30033
7/10/2014
Thomas Runyan, MD
41205
RN229934
Ralph, Amanda Jo
13580
3221 Glynn Ave. Brunswick, GA 31520
2/4/2011
Louis Battey, MD
21141
RN140212
Ramasamy, Kanniammal
9573
275 Collier Rd, Suite 500 Atlanta, GA 30309
3/4/2010
William Mahle, MD
50110
RN150908
Ramaswamy, Vandana
2433
1405 Clifton Rd Atlanta, GA 30322
1/9/2014
Rene Romero, MD
37060
RN199760
Rambo-Martin, Christine Monic
12759
2015 Uppergate Dr NE Atlanta, GA 30322
8/2/2007
Tammy Williams, MD
51563
RN155483
Ramey, Alice Crowe
2436
150 Gentilly Blvd Cartersville, GA 30120
9/11/2014
Sheila Southerland, MD
55894
RN104542
Ramseur, Meleia Sue Green
13695
902 North 7th St, Emer Dept Cordele, GA 31015
6/6/2014
Kalpit Patel, MD
70398
RN170346
Ramsey, Edwina Antoinnette
13375
7530 Roswell Rd. Atlanta, GA 30350
12/7/2012
Allen Maxwell Hoffman, MD
24822
RN170346
Ramsey, Edwina Antoinette
11272
1150 Powder Springs Road Mariettia, GA 30008
6/4/2015
Licheng Tian, MD
47853
RN162511
Rand, Avonelle
15678
3405 Mike Padgett Highway Augusta, GA 30909
7/10/2014
Anthony Captain, MD
39300
RN088363
Randall, Rhonda T.
13422
1 Tennessee St. Cartersville, GA 30120
4/2/2015
Paul Mathieu, MD
65453
RN230003
Randolph, Bridget
15206
130 Eagle Spring CT, Ste A Stockbridge, GA 30281
3/6/2014
Xavier Moore, MD
55619
RN230003
Randolph, Bridget N.
12863
1133 Eagles landing Parkway Stockbridge, GA 30281
Wednesday, August 12, 2015
Page 287 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2013
Eva Beaulieu, MD
66254
RN230003
Randolph, Bridget N
12297
5185 Old National Hwy Atlanta, GA 30349
3/8/2013
Jeffrey Metts, MD
68070
RN226334
Randolph, Kimberly Michele
11709
600 Parkway North Newnan, GA 30265
7/10/2014
Daniel Faith, MD
51798
RN185110
Rangnow, Katie Elizabeth
13498
745 Poplar Rd Newnan, GA 30265
3/1/2012
Cleary, Kevin MD
52263
RN185110
Rangnow, Katie
10509
1255 Highway 54 West Emer Room Fayetteville, GA 30214
9/2/2010
David Eric Jones, MD
45257
RN185110
Rangnow, Katie Elizabeth
9268
8 Eastbrook Bend, Suite B Peachtree City, GA 30269
8/2/2007
Vinod Mehta, MD
29913
RN128950
Rankin, Lisa Renee
2440
546 South 8th Street, Suite B Griffin, GA 30224
10/8/2010
Angela Swayne, MD
53421
RN151163
Ranna, Diane Elizabeth
2441
1255 Hwy 54 West Fayetteville, GA 30214
8/6/2015
Helen Panarites, MD
35493
RN158967
Rapkin, Karen
16085
1920 Briarcliff Rd Atlanta, GA 30329
6/6/2014
Menelaos Demestihas, MD
64357
RN204366
Raptopoulos, Richard Louis
13317
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
1/8/2015
Richard Ambrozic, MD
43851
RN115567
Rasmussen, Kim Gay
14480
3321 N Valdosta Rd, Ste B Valdosta, GA 31602
12/7/2007
Michael Litrel, MD
39623
RN139510
Rasmussen, Katherine Bowen
2444
227 Riverstone Dr Canton, GA 30114
7/10/2009
William Brown, MD
21653
RN102372
Rast, Jean Louise
8631
355 Tower Rd, Suite 300 Marietta, GA 30060
9/14/2007
Ronald Alvarez, MD
51405
RN102372
Rast, Jean Louise
2445
1100 N'side Forsyth Dr, Ste 250 Cumming, GA 30076
11/7/2014
William Ballard, MD
35554
RN242397
Rattray, Katie Ellisabeth
14173
1968 Peachtree Rd. N W Atlanta, GA 30309
Wednesday, August 12, 2015
Page 288 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/1/2010
Kenneth Sobel, MD
24099
RN120774
Rawlings, Jane Paige
2447
575 Professional Dr, Suite 510 Lawrenceville, GA 30046
11/5/2010
Wallace Mays, MD
21258
RN029455
Rawlins, Frances H
2448
151-B Mayo St Americus, GA 31709
3/29/2012
Welch, Dennis MD
33922
RN204073
Ray, Melanie
10580
5665 Peachtree Dunwoody Rd Atlanta, GA 30342
12/1/2011
Hargraves, Joshua MD
62216
RN204073
Ray, Melanie
10233
1364 Clifton Road Atlanta, GA 30322
8/5/2011
Melissa Bruhn, MD
43565
RN043729
Ray, Rita Marie Birgen
5305
916 South Broad St Thomasville, GA 31792
5/6/2011
Michael Connor, MD
31581
RN124867
Ray, Shelley L.
5306
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
12/3/2010
Teresa Baysden, MD
57348
RN134959
Ray, Trena Dawn
9519
450 Clarence King Pkwy Calhoun, GA 30701
8/8/2008
Joel Greenburg, MD
28560
RN164257
Ray, Angie E.
8247
5356 Reynolds St, Suite 300 Savannah, GA 31405
8/7/2014
Andrew Magnet, MD
60215
RN108050
Raynes, Rebecca Ann
2453
813 E 68th St, Ste B Savannah, GA 31401
12/4/2014
Bhavesh Patel, MD
56163
RN093831
Reagan, Deborah McDonald
14244
2209 Pineview Dr Valdosta, GA 31602
9/11/2014
Nitin Patel, MD
37324
RN093831
Reagan, Deborah
14397
2209 Pineview Dr Valdosta, GA 31602
7/10/2009
Edwin Hiatt, MD
12920
RN093831
Reagan, Deborah McDonald
8630
200 Georgia Avenue Valdosta, GA 31698
12/7/2007
Lisa Hasty, MD
35648
RN150756
Reagan, Mirrin Elizabeth
7872
100 Stone Forest Drive, Suite 300 Woodstock, GA 30189
5/1/2014
Ronald Forehand, MD
22760
RN205000
Reagin, Hilari Alysia
12866
UGA Health Center 95 Carlton St Athens, GA 30602
Wednesday, August 12, 2015
Page 289 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/5/2012
Bryan Blake, MD
40613
RN205000
Reagin, Hilari
11128
3509 Braselton Hwy, Bldg F Dacula, GA 30019
8/6/2015
Tyra Harris, MD
61249
RN089784
Reardon, Thomas
16019
1490 Pleasant Hill Rd Duluth, GA 30096-4674
7/10/2014
Nicole Ash-Mapp, MD
42993
RN089784
Reardon, Thomas Randall
13540
1490 Pleasant Hill Rd Duluth, GA 30096
5/4/2012
Weselman, Kelly MD
47377
RN077989
Reardon, Elizabeth
10681
4480 North Cooper Lake Road, Ste 201 Smyrna, GA 30082
12/4/2014
William McAlvany, MD
31625
RN171259
Rease, Lashandra Nichole
14575
1000 Johnson Ferry Rd (ER) Atlanta, GA 30342
7/10/2014
Dion David, MD
66775
RN171259
Rease, Lashandra Nichole
13416
1170 Cleveland Ave. Atlanta, GA 30344
7/9/2015
Stephen Raborn, MD
36602
RN197961
Rebuck, Lorraine
15795
1942 North Ave Columbus, GA 31901
8/6/2015
Michael Dant, MD
23936
RN234548
RN234548
Record, Geneva
16101
4700 Battlefield Parkway, Ste 200 Ringgold, GA 30736
5/4/2012
Wasilewski, Karen MD
53203
RN083762
Record, Elizabeth
10675
5455 Meridian Mark Rd, Ste 400 Atlanta, GA 30342
2/5/2015
Charles McCord, MD
39409
RN195027
Redden, Laura Leigh
14801
3345 E Hwy 34, Ste 102 Sharpsburg, GA 30277
10/7/2011
Ahmed, Kashif MD
61547
RN054604
Redding, Evelyn
10140
2200 Hwy 155 North McDonough, Ga 30252
9/11/2008
Fred Hood, MD
45071
RN054604
Redding, Evelyn Patricia O'Lear
2457
65 Old Jackson Road McDonough, GA 30252
1/11/2008
Matthew Keadey, MD
49143
RN182025
Reddy, Tonya L.
8130
1364 Clifton Road Atlanta, GA 30322
9/3/2009
Jeffrey Kim, MD
56117
RN160834
Redjamand, Mojgan
8626
1700 Hospital South Dr, Suite 502 Austell, GA 30106
Wednesday, August 12, 2015
Page 290 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Patricia Thompson, MD
69987
RN231240
Redmond, Terri Lynn
12328
600 Parkway North Newnan, GA 30265
2/5/2010
Karen Demuth, MD
59707
RN170766
Reece, J. Shannon
8968
2015 Uppergate Drive Atlanta, GA 30322
11/5/2009
Darshana Sheth, MD
58642
RN170766
Reece, J. Shannon
8784
2550 Windy Hill Rd, Suite 309 Marietta, GA 30067
5/8/2015
Dorel Bidivc, MD
51296
RN140837
Reed, Mitzi
15290
707 Old Dalton Ellijay Rd Chatsworth, GA 30705
9/11/2014
Adrienne Fabrizio, MD
50365
RN085648
Reed, Karen Lynn Pope
2462
300 Bull St., Ste 102 Savannah, GA 31401
8/7/2014
Ethan Rogers, MD
59926
RN190938
Reed, Laura Pomrenke
13628
4/4/2014
William Early, MD
20694
RN129274
Reed, Janice Denise
13066
320 Hospital Rd Canton, GA 30114
8/5/2011
Yassar Kanawati, MD
49237
RN102945
Reed, Deborah Ann
9912
848 Hiram Acworth Hwy Hiram, GA 30141
2/5/2010
Angel Acevedo, MD
60149
RN149133
Reed, Lisa Adams
13
100 Market Place Blvd, Suite 201 Cartersville, GA 30121
6/5/2009
Kingsley Iyamu, MD
44493
RN102945
Reed, Deborah Ann
8515
34 Peachtree St, Suite 770 Atlanta, GA 30303
12/4/2014
Josh Uptigrove, Do
67452
RN124766
Reeder, Sally Bowen
14512
201 Hospital Rd (ER) Canton, GA 30114
5/4/2012
Johnston, Lester MD
55605
RN124766
Reeder, Sally
10708
212 Hospital Drive Washington, GA 30673
11/1/2007
Charles I. Wilmer, MD
29394
RN063216
Reedus, Cheryl Denise
761
275 Collier Road, NW, Ste 300 Atlanta, GA 30309
1/8/2015
Irandathy Rodrigo, MD
42715
RN174285
Reese, Shataundia
14775
2522 Cruse Rd, Ste C-2 Lawrenceville, GA 30044
Wednesday, August 12, 2015
Page 291 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/9/2014
Mitzi Rubin, MD
49592
RN174285
Reese, Shataundia Nyrae
12365
3939 Roswell Rd, Suite 200 Marietta, GA 30062
2/5/2015
John Vu
40813
RN045410
Reeves, Merrilea Ward
14291
4861 Bill Gardner Pkwy Locust Grove, GA 30248
2/5/2009
David Van, MD
29545
RN045410
Reeves, Merrilea Ward
8331
747 S. Hill Street Griffin, GA 30224
10/9/2014
Maggie Ross, MD
65604
RN237273
Regan, Kiara Marie
14414
633 Stepenson Ave Savannah, GA 31405
4/3/2008
Shobha Rao, MD
32893
RN168464
Regis, Sonja Allison
5025
350 Country Club Drive, Suite D Stockbridge, GA 30281
3/29/2012
Steis, Ronald MD
34479
RN063845
Register, Mary
10617
3400-C Old Milton Pkwy Ste 400 Alpharetta, GA 30005
8/5/2011
Kenneth Miller, MD
20776
RN063845
Register, Mary Stiger
2468
5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342
2/5/2015
Jay Erdman, MD
32177
RN128880
Reid, Verona Andrea
14931
235 Peachtree St. NE, N Tower Ste 2100 Atlanta, GA 30303
12/4/2014
William Watkins, MD
32076
RN128880
Reid, Verona Andrea
14479
235 Peachtree St N E North Tower, Ste 2100 Atlanta, GA 303
11/7/2014
Michael Burke, MD
54798
RN222007
Reid, Maria Ayesha
14074
2849-B Henderson Mill Rd Atlanta, GA 30341
5/1/2014
Xavier Moore, MD
55619
RN192897
Reid, Andrea Nicole
12815
1133 Eagles Landing Pkwy Stockbridge, GA 30281
1/9/2014
Sundus Lodhi, MD
65021
RN143210
Reid, Julianne Marie Bissett
12732
1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta, GA 30322
1/9/2014
Kenneth Newell, MD
49631
RN143210
Reid, Julianne Marie Bissett
12731
1365 Clifton Rd NE, Bldg B, 6th Floor Atlanta, GA 30322
8/9/2013
Sharne Hampton, MD
30375
RN128880
Reid, Verona Andrea
12162
Fulton Co Jail, 901 Rice St Atlanta, GA 30318
Wednesday, August 12, 2015
Page 292 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2009
Edwin Hiatt, MD
12920
RN165481
Reid, Stacy Cason
8805
200 Georgia Ave Valdosta, GA 31698
9/11/2014
Paul Whitlock Jr., MD
12592
205143
Reinhardt, Jessica Bradshaw
13954
210 E Derenne Ave. Savannah, GA 31405
2/5/2009
Keith Kirby, MD
40438
RN127281
Reinhart, Margaret Greenwaid
8450
8 Wheeler Street Savannah, GA 31405
10/7/2011
Brown III, Charles MD
28383
RN149081
Reis, Maureen
10143
275 Collier Road, Ste 300 Atlanta, GA 30309
4/2/2015
Arthur Reisman, MD
30421
RN081008
Reisman, Lisa
15209
1725 Mt. Vernon Rd, Ste 4 Dunwoody, GA 30338
10/9/2014
Emily Herndon
35902
RN070451
Reiss, Eleanore
14333
1525 Clifton Rd Atlanta, GA 35902
4/1/2011
Sandra Maryman, MD
24035
RN070451
Reiss, Eleanore
9658
1525 Clifton Rd, Student Health Atlanta, GA 30322
5/7/2010
LaJune Oliver, MD
47986
RN070451
Reiss, Eleanore
8964
1525 Clifton Road Atlanta, GA 30322
11/5/2009
Theresa Berry, MD
49355
RN070451
Reiss, Eleanore
8815
1525 Clifton Rd Atlanta, GA 30322
11/5/2009
Carol Rappaport, MD
31435
RN070451
Reiss, Eleanore
8816
1525 Clifton Road Atlanta, GA 30322
11/5/2009
Michael Allan, MD
33511
RN070451
Reiss, Eleanore
8817
1525 Clifton Road Atlanta, GA 30322
11/5/2009
Dawn Mielke, MD
37752
RN070451
Reiss, Eleanore
8813
1525 Clifton Road Atlanta, GA 30322
11/5/2009
Michael Huey, MD
50962
RN070451
Reiss, Eleanore
8814
1525 Clifton Road, Suite 240 Atlanta, GA 30322
8/6/2015
Chionesu Sonyika, MD
63817
RN134673
Releford, Steve
15953
601 South 8th St Griffin, GA 30224
2/5/2015
Robert Norvel Jr, MD
55630
RN134637
Releford, Steven
14773
180 Martin Dr Carrollton, GA 30117
Wednesday, August 12, 2015
Page 293 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/9/2014
Kevin D Lokkesmoe, MD
32941
RN183768
Renales, Felicia Renee
13740
4328 Armour Rd. Columbus, GA 31904
7/10/2014
Francis Herrbold, MD
55825
RN113439
Rentz, Anna Victoria Westerma
13397
425 3rd Ave, Suite 510 Albany, GA 31701
2/6/2014
Kamil Hanna, MD
59422
RN113439
Rentz, Anna Victoria Westerma
12792
425 W 3rd Ave, Suite 600 Albany, GA 31701
6/8/2012
Forbes, Robert MD
34341
RN104510
Renz, Deanna
10731
410 Villa Rica Way Marietta, GA 30064
9/11/2014
Harrison Carter, MD
50575
RN073465
Revels, Selina Elizabeth Altman
12667
1126 West 12th St Alma, GA 31510
7/9/2015
Garrett Barnes, MD
44163
RN208910
Reyes, Nancy
15260
420 East 2nd Ave Rome, GA 30161
10/2/2009
Vivian Lennon, MD
43121
RN192592
Reyes, Imelda
8741
4166 Buford Hwy NE Atlanta, GA 30345
10/10/2013
Matthew Lyon, MD
50972
RN092750
Reyka, Ladonna Darlene
12431
2260 Wrightsboro Rd, Emer Dept Augusta, GA 30904
5/8/2015
Amanda Nguyen, MD
64424
RN205796
Reynolds, Keatrina Tarsha
15299
148 Clinic Ave Carrollton, GA 30117
5/8/2015
Dawn Wilson, MD
47279
RN217693
Reynolds, Elysia
15434
545 Old Norcross Rd, Ste 300 Lawrenceville, GA 30046
11/7/2014
Sandeep Datla, MD
50473
RN173458
Reynolds, Shannon Lee
14114
111 Fieldstone Dr, Ste 104 Milledgeville, GA 31061
11/7/2014
Priscilla Ross, MD
58635
RN140169
Reynolds, Shali Michelle
14194
8880 Abercorn St Savannah, GA 31406
10/9/2014
Clifton Youngblood, MD
36050
RN057361
Reynolds, Patricia Ann Hicks
14014
81 Upper Riverdale Rd., Ste 210 Riverdale, GA 30274
7/10/2014
James Vernell, MD
15204
RN187854
Reynolds, Sharon DeHart
8006
77 Weaver Rd, Suite B Blairsville, GA 30512
Wednesday, August 12, 2015
Page 294 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/9/2013
Sharon Amaya, MD
47182
RN215732
Reynolds, Ryan Elizabeth
12185
5665 New Northside Dr, Suite 320 Atlanta, GA 30328
1/11/2013
Dillon D. Miller, MD
67508
RN103757
Reynolds, Deborah A.
11509
101 Riverstone Vista, Ste. 111 Blkue Ridge, GA 30513
1/7/2011
Steven Eubanks, MD
57608
RN205796
Reynolds, Keatrina Tarsha
9431
148 Clinic Ave Carrollton, GA 30117
9/11/2008
Reuben Reynolds, MD
25822
RN057361
Reynolds, Patricia Ann Hicks
2482
906 Hampton Rd McDonough, GA 30253
8/8/2008
Reed Seligman, MD
42427
RN120844
Reynolds, Denise Skelton
2481
5815 Windward Parkway, Suite 207 Alpharetta, GA 30005
4/2/2015
Patrick Amar, MD
49403
RN098042
Rhiver, Debra Elizabeth
15120
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
10/5/2012
William M. McDonald, MD
37292
RN098042
Rhiver, Debra
11129
P.O. Box 26238, 80 Jesse Hill Fr. Dr., SE Atlanta, GA 30303
3/4/2011
Niels Engberding, MD
64535
RN119314
Rhoads, Barbara Jean Metz
9618
80 Jesse Hill Jr Dr Atlanta, GA 30303
8/6/2015
Marion Horton, MD
28788
RN107764
Rhodes, Alison
15667
125 Church St Vidalla, GA 30474
1/8/2015
Edgar Rhodes, MD
12085
RN047639
Rhodes, Lila Kay
14352
2304 Shorter Ave Rome, GA 30165
10/5/2012
Mark Matthews, MD
54861
RN170221
Rhodes, Kristen Hollis
11001
200 S. Enota Dr., Ste. 200 Gainesville, GA 30501
3/29/2012
Norwood, Elizabeth MD
46192
RN066876
Rhodes-Bigham, Anderia
10613
2739 Felton Drive East Point, GA 30344
3/1/2012
Flowers, Runette MD
18297
RN066876
Rhodes-Bigham, Anderia
10501
2855 Candler Rd, Ste 9 Decatur, GA 30034
11/8/2013
Dennis Spencer, DO
47663
RN197319
Rhymes, Monica Vanessa
12521
1077 South Main St Madison, GA 30650
Wednesday, August 12, 2015
Page 295 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/6/2012
Appavuchetty Soundappan,
MD
44107
RN197319
Rhymes, Monica V.
11464
1115 Morningside Dr. Perry, GA 31069
8/7/2014
Olubunkola Olubi, MD
56613
RN169986
Rhynes, Sharon Chatman
13599
1267 Hwy 54, W. Fayetteville, GA 30214
4/13/2007
Marvin Reid, MD
39663
RN169986
Rhynes, Sharon Chatham
5457
705 Dixie Street Carrollton, GA 30117
7/9/2015
Edward Boland, MD
40826
RN247715
Rice, Edward Johnathan
15874
5000 Wrightsboro Rd Grovetown, GA 30813
6/6/2014
Rajwinder Manhiani, MD
56604
RN133053
Rice, Rebecca Michele Yates
13376
1355 Independence Dr. Augusta, GA 30901
3/1/2012
Sperling, Laurence MD
34250
RN062144
Rice, Claire
10511
1365 Clifton Rd,Bldg A, Ste 2200 Emory Clinic Atlanta, GA 30
12/4/2009
Hiba Tamim, MD
38156
RN148997
Rice, Sandra Kay Futhey
2490
2665 North Decatur Rd, Suite 740 Decatur, GA 30033
9/13/2013
Harmon Smith, MD
41486
RN133612
Richards, Edecia Alexandria
12306
1301 Sigmon Rd NE, Suite 230 Conyers, GA 30012
9/13/2013
Consuelo Fernandez, MD
39789
RN133612
Richards, Edecia Alexandria
12113
2699 Klondike Rd Lithonia, GA 30058
1/9/2009
Henry Watson, Jr, MD
25399
RN136523
Richards, Sonia Erica
2494
3652 Chamblee Dunwoody Rd, Suite 4 Chamblee, GA 30341
6/4/2015
Pablo Quintanilla, MD
17546
RN240818
Richardson, Anna
15618
5151 Brook Hollow Pkwy, Ste 145 Norcross, GA 30071
2/5/2015
Dannis Hood, MD
35267
RN229273
Richardson, Erynn Marks
14867
132 Battlefield Crossing Court Ringgold, GA 30736
7/10/2014
Julian McLendon Jr, MD
38557
RN083527
Richardson, Cynthia Jones
13487
1502 West 3rd St. Jackson, GA 30233
5/1/2014
Michael Christa, MD
40637
RN194397
Richardson, Lindsay Suzanne
13227
4250 Brownsville Rd. Powder Springs, GA 30127
Wednesday, August 12, 2015
Page 296 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/7/2011
Wu, Changhun MD
61537
RN083527
Richardson, Cynthia
10138
65 Old Jackson Road McDonough, GA 30252
11/5/2010
Elliot Raizes, MD
24478
RN073504
Richardson, Susan Alden
9415
3075 Breckinridge Blvd, Suite 415 Duluth, GA 30096
4/1/2010
Elliot Raizes, MD
24478
RN073504
Richardson, Susan Alden
2499
135 Athens West Pkwy, Suite B Athens, GA 30606
1/9/2009
Folashade Omole, MD
49074
RN097935
Richardson, Deanna O
2496
2988 Shallowford Road Marietta, GA 30066
8/8/2008
N. Spencer Welch, MD
24508
RN041850
Richardson, Patricia L
2498
77 Collier Road, Suite 2080 Atlanta, GA 30309
7/13/2007
Jamison Roberts, MD
38347
RN145030
Richardson, Amanda Lynn
2495
2959 Sharpsburg McCollum Rd Unit A Newnan, GA 30265
5/8/2015
Kashif Ahmed, MD
61547
RN154504
Richards-Reynolds, Karen
15399
2200 Hwy 155 North McDonough, GA 30252
7/11/2008
Michael Fortson, MD
35051
RN154504
Richards-Reynolds, Karen Ingrid
8258
1058 Bear Creek Blvd Hampton, GA 30228
8/7/2014
Dustin Russell, MD
66541
RN139349
Richins, Robin Rene Taylor
13661
4355 Browns Bridge Rd, Ste 1 Cumming, GA 30041
3/7/2008
James Roth, MD
46525
RN139349
Richins, Robin Rene Taylor
2500
4360 Chamblee D'woody Rd, Ste 515 Atlanta, GA 30341
3/5/2015
James Bailey, MD
28368
RN102391
Rider, Tracy Leigh
11417
743 Spring St. N E Gainesville, GA 30501
12/4/2014
Robyn Wirsing -Black, MD
71747
RN156030
Ridgeway, Sarah Suzanne
14292
5 Church St, Ste 300 Nahunta, GA 31553
5/4/2012
Sulton, Jacqueline MD
27675
RN199479
Ridore, Chanon
10601
5700 Hillandale Drive, Ste 150 Lithonia, GA 30058
6/3/2011
James Turner, MD
55349
RN211322
Riemer, Amy Nicole Bryan
9751
400 Timms Rd NE Calhoun, GA 30701
Wednesday, August 12, 2015
Page 297 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/6/2012
Owens, Crystal MD
48854
RN049330
Riggins, Gwendolyn
10396
144 E. Main Street Irwinton, GA 31042
3/5/2015
Tammie Quest, MD
45590
RN070706
Riley, Margaret
14671
1670 Clairmont Rd, Ste 11 B Decatur, GA 30033
9/11/2014
Onkar Kaur, MD
47103
RN164620
Riley, Amanda Jenkins
12950
218 Hwy 49 North Ste. A Byron, GA 31008
9/11/2014
Onkar Kaur, MD
47103
RN164620
Riley, Amanda
14398
80 West Main St. Butler, GA 31006
9/11/2014
Walter Hill, MD
9835
RN163734
Riley, Cynthia Darlene
13899
4255 Wade Green Rd Kennesaw, GA 30144
9/11/2014
Gaston Moran Celayes, MD
64675
RN164620
Riley, Amanda Jenkins
13792
618 East Lamar St. Americus, GA 31709
3/7/2008
Thaddeus Riley, MD
28637
RN084374
Riley, Susan Joan Braun
2506
PO Box 957 Statesboro, GA 30461
10/4/2007
Michael Gladson, MD
21506
RN163734
Riley, Cynthia Darlene
2505
1100 Cambridge Square, Suite B Alpharetta, GA 30004
3/5/2015
Swapna Madhavan, MD
57098
RN157240
Rinehart, Cynthia Jean N
14994
260 Elm Street Cumming, GA 30040
7/10/2014
Safia Pirani, MD
56624
RN157240
Rinehart, Cynthia Jean N.
13550
260 Elm St Cumming, GA 30040
2/7/2013
Brinkley F. Goodson, DO
24680
RN157240
Rinehart, Cynthia
11598
260 Elm St. Cumming, GA 30040-2467
11/7/2014
Paul Hawkins, MD
54741
RN144955
Riner, Betty Louyul
14127
4421 Carnes St Acworth, GA 30101
2/4/2011
Ann Drayton, MD
49512
RN084634
Ringstaff, Marilyn Teresa
9550
1870 Atlanta Hwy, Suite J Gainesville, GA 30504
11/5/2009
Tamer Middleton, MD
51987
RN084634
Ringstaff, Marilyn Teresa
5317
1924 Cliff Valley Way Atlanta, GA 30329
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2009
Claud Brandigi, MD
43004
RN168317
Riordan, Elizabeth Dawn
7938
1220 George C Wilson Dr Augusta, GA 30909
11/7/2014
Carroll Cooper, MD
63309
RN116666
Rittenhouse, Sharri Khay
14359
1938 Peachtree Rd, Ste 610 Atlanta, GA 30309
11/7/2014
Carroll Cooper, MD
63309
RN116666
Rittenhouse, Sharri Khay
14179
1431 Riverside Pkwy Lawrenceville, GA 30043
5/8/2015
Stephen Pastan, MD
39196
RN204304
Rittle, Ashley
15468
1365 Clifton Rd NE Atlanta, GA 30322
9/13/2013
Jack Ross, MD
27302
RN088485
Rivera, Jose Fernando
2510
610 19th st Columbus, GA 31901
8/6/2015
Ann Drayton, MD
49512
RN185080
Rivers, Tammy
15897
1870 Atlanta Hwy, Ste J-K Gainesville, GA 30504
6/6/2014
Christy Wagner, MD
50067
RN097864
Roark, Jennifer Anne Mims
13296
1856-14 Thompson Bridge Rd Gainesville, GA 30501
2/5/2009
Thomas Hatchett, MD
36984
RN057807
Robb, Sandra Wagner
2514
870-A Austin Drive Demorest, GA 30535
9/11/2014
Bryan Blake, MD
40613
RN172358
Robbins, Christine
13953
939 Thornton Rd. Lithia Springs, GA 30122
8/9/2013
Robert Dean, MD
31403
RN160532
Robbins, Alison Martell
12166
840 Pine St, Suite 780 Macon, GA 31201
2/4/2011
William Brown, MD
29309
RN192418
Robbins, Kristen Ruth
9598
95 Collier Rd, Suite 5015 Atlanta, GA 30309
10/4/2007
Arnold Negrin, MD
31544
RN070928
Robbins, Susan Vanagel
8084
304 Commercila Drive, Suite A savannah, GA 31406
7/11/2013
Rohit Khanna, MD
56188
RN073844
Roberson, Pamela Buckley
11880
1640 Powers Ferry Rd, Bldg 17, #100 Marietta, GA 30067
3/6/2009
Svathi Reddy, MD
56352
RN073844
Roberson, Pamela Buckley
8501
PO Box 26238 Atlanta, GA 30303
Wednesday, August 12, 2015
Page 299 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Steven Toro, MD
49113
RN228776
Roberts, Ashley
15806
3950 Austell Rd. Box 22 Austell, GA 30160
5/8/2015
Rhonda Wachsmuth, MD
56664
RN188947
Roberts, Heather
15363
780 Canton Rd, Ste 410 Marietta, GA 30060
1/9/2014
Anupama Ravikanth, MD
48297
RN099303
Roberts, Jo Persis
12823
335 Roseland St. Suite 203 Marietta, GA 30060
3/1/2012
Burns, Bruce MD
48882
RN180140
Roberts, Jessica
10472
800 First St., Ste 410 Macon, GA 31201
8/5/2011
Richard Dukes, MD
51875
RN178157
Roberts, Jessica E
9947
235 Peachtree St NE, North Tower Ste 2100 Atlanta, GA 303
3/6/2009
J. Michael Ware, MD
29967
RN200814
Roberts, Karen Jean
8337
504 Redmond Road Rome, GA 30165
11/7/2008
Timothy Helton, MD
29669
RN099303
Roberts, Jo Persis
2521
1010 Johnson Ferry Road Marietta, GA 30068
10/4/2007
Vicki Morgan, MD
25645
RN070413
Roberts, Lori Jeanne Gardner
2523
980 Hwy 29 South Lawrenceville, GA 30045
7/9/2015
Toosi Seilanian, MD
67089
RN233535
Robertson, Shelley
15864
200 S Enota Dr, Ste 200 Gainesville, GA 30501-3466
9/11/2008
Gary Broadnax, DO
16213
RN149275
Robillard, Diane Larson
2529
1944 Walton Way, Suite F Augusta, GA 30904
7/9/2015
Kimberly Martin, FM
69223
RN154343
Robinson, Shannon
15776
896 Hwy 441 South Clayton, GA 30525
4/2/2015
James Eutzler, DO
49729
RN081735
Robinson, Annette Sirmans
14914
520 Griffin Ave Valdosta, GA 31601
12/4/2014
John Bleacher, MD
42182
RN191143
RN191143
Robinson, Jennifer
14509
5455 Meridian Mark Rd, Ste 570 Atlanta, GA 30342
6/6/2014
Monica Hoffmeister-
Becerra, MD
68209
RN236695
Robinson, Karen Lynn
13273
2122 Manchester Expwy, Hospital Med Columbus, GA 31904
Wednesday, August 12, 2015
Page 300 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/1/2014
Seymour Solodar, MD
14956
RN158648
Robinson, Elizabeth Lauren Scu
12871
4015 South Cobb Drive Suite 10 Smyrna, GA 30080
8/9/2013
Arif Patni, DO
42916
RN195029
Robinson, Deena Maria
12106
260 Elm St Cumming, GA 30040
6/7/2013
Fred Hood, MD
45071
RN110950
Robinson, Andrea Jo Smock
11881
830 Eagles Landing Pkwy, Suite 203 Stockbridge, GA 30281
3/8/2013
Bharatkumar Patel, MD
48693
RN158648
Robinson, Elizabeth Lauren Scu
2534
4015 South Cobb Dr, Suite 110 Smyrna, GA 30080
1/11/2013
Ugochi K. Ohuabunwo, MD
55776
RN036342
Robinson, Aileen G.
11216
80 Jesse Hill Jr., Dr., SE Atlanta, GA 30303
11/2/2012
William Lynds, MD
33140
RN149710
Robinson, Lisa Bridwell
11171
794 S Park St Carrollton, GA 30117
11/2/2012
Morris Clayton Pulliam, MD
34223
RN154343
Robinson, Shannon Latrelle
11273
896 Highway 441 South Clayton, GA 30525
1/6/2012
Oller, Carlo MD
65719
RN083852
Robinson, Lisa
10405
960 Joe Frank Harris Parkway Cartersville, GA 30120
10/7/2011
Boyle, Paula MD
55928
RN213047
Robinson, Marianne
10061
4799 Blue Ridge Drive, Suite 10 Blue Ridge, GA 30513
6/30/2011
Kenneth Franco, MD
58671
RN202034
Robinson, Cordelia
9666
80 Jesse Hill Dr, Suite D-332 Atlanta, GA 30303
10/8/2010
Clyde Watkins, Jr., MD
36033
RN036342
Robinson, Aileen G.
9248
5900 Hillandale Dr, Annex E Lithonia, GA 30058
3/6/2009
Phillip McGhee, MD
18043
RN149710
Robinson, Lisa Bridwell
8418
2906 Franklin Pkwy Franklin, GA 30817
4/1/2010
Terri McFadden, MD
32110
RN104552
Robledo, Luz Marina
2543
35 Jesse Hill Jr Dr Atlanta, GA 30303
7/12/2012
Falconer III, James MD
44213
RN186115
Rodd, Amber
10883
119 W. Hill Street Thomasville, GA 31792
Wednesday, August 12, 2015
Page 301 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
Tidence Prince, MD
37339
RN227114
Roden, Karen P
12515
3951 Ridge Ave, Suite C Macon, GA 31210
7/9/2015
M Mohabubar Rahman, MD
44065
RN247707
Roderick, June
15872
505 Coliseum Dr Macon, GA 31217
3/8/2013
Jody Velie, MD
57029
RN224906
Rodgers, Allyson M.
11583
1025 Keith Dr. Perry, GA 31069
3/5/2015
Tracy Barr, MD
58030
RN118621
Rodriguez, Jodie Ann
14875
11800 Barrett Parkway Kennesaw, GA 30144
2/7/2013
Jamie Rollins, MD
60467
RN118621
Rodriguez, Jodie Ann Blons
11661
684 Sixes Rd, Suite 220 Holly Springs, GA 30115
12/3/2010
Annmarie Brooks, MD
56806
RN118621
Rodriguez, Jodie Ann Blons
9422
35 Jesse Hill Jr Dr SE Atlanta, GA 30303
7/9/2015
Anthony Captain, MD
39300
RN097481
Roe, Robin
15869
2976 Hwy 76, Ste B&C Chatsworth, GA 30705
5/7/2009
Edmund Kim, MD
38273
RN074697
Roebuck, Victoria Anne Holland
2550
761 Old Norcross Road Lawrenceville, GA 30045
7/9/2015
Stewart Grizzard, MD
43948
RN168119
Rogers, Candice
15783
621 East First St Vidalia, GA 30475
1/8/2015
Ioana Bonta, MD
63295
RN159456
Rogers, Locianna
14786
600 Celebrate Life Pkwy Newnan, GA 30265
1/8/2015
Christian Hyde, MD
67765
RN125593
Rogers, Dana Maris
14830
600 Celebrate Life Parkway Newnan, GA 30265
7/10/2014
Glen Dasher, MD
43354
RN168119
Rogers, Candice Tillman
13485
1044 Bermuda Run Rd. Stateboro, GA 30458
6/6/2014
Daniel Matricia, DO
31289
RN075846
Rogers, Robin Carol Jones
13313
1481 Hwy 40 East Kingsland, GA 31548
1/9/2014
Laura Larson, MD
54450
RN159909
Rogers, Angela Michelle
12680
819 Dixie St Carrollton, GA 30017
Wednesday, August 12, 2015
Page 302 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/12/2012
Portee, Simone MD
33177
RN125593
Rogers, Dana Maria Kinard
2553
4791 Jonesboro Road Union City, GA 30291
3/29/2012
Shelton, Joseph MD
65795
RN125593
Rogers, Dana
10581
145 Edgewood Avenue Atlanta, GA 30303
8/5/2011
John Lipman, MD
34012
RN159456
Rogers, Locianna Cheree
9864
3903 South Cobb Dr, Suite 230 Smyrna, GA 30080
1/7/2010
Asit Jha, MD
55248
RN160902
Rogers, Augusta Danielle
8863
1400 N. Peterson Ave, Suite 3 Douglas, GA 31533
11/5/2009
Rebecca Tarlton, MD
28470
RN160902
Rogers, Augusta Danielle
8728
2406 Bellevue Ave, Suite 7 Dublin, GA 31021
7/9/2015
Mark Elam, MD
36147
RN191958
Rollins, Kalita
15718
1000 Medical Ctr Blvd Bldg 100, Ste 290 Lawrenceville, GA 3
12/4/2009
Deepak Kapoor, MD
51957
RN086235
Rollins, Margaret Rose Bowers
2562
1120 15th St, Suite BBR-6518 Augusta, GA 30912
3/6/2009
Melissa Anderson, MD
49786
RN150996
Romines, Natalie Kathleen Sipf
2564
1181 Langford Dr, Bldg 300, #101 Bogart, GA 30622
1/9/2014
Jean Philippe, MD
44056
RN183825
Romulus, Rose Laure
12638
5825 Glenridge Dr, Suite 2-120 Atlanta, GA 30328
6/6/2014
Amy Eubanks, MD
#####
RN123329
Rooks, Jean Renee Mashburn
2565
101 Quartz Dr., Ste 201 Villa Rica, GA 30180
5/8/2015
John Reed, MD
24719
RN204746
Rooney, Melissa
15346
1475 Holcomb Bridge Rd. Roswell, GA 30076
3/4/2010
Brian Kogon, MD
53322
RN139930
Rootare, Margrethe Ann
2566
1405 Clifton Rd Atlanta, GA 30322
8/6/2015
Nitasha Burney, MD
55931
RN184167
Roper, Christine Thomas
16140
1685 Old Pendergrass Rd. Jefferson, GA 30549
12/4/2014
Lloydstone Jacobs II, MD
49179
RN179490
Roscoe, Lori E
14252
9157 Tara Blvd Jonesboro, GA 30236
Wednesday, August 12, 2015
Page 303 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Roderick Rhyant, MD
53560
RN134082
Rose, Karen
15955
176 Charles Hardy Pkwy Unit C Hirm, GA 30141
11/7/2014
Willian Kriegel, DO
31962
RN
134082
Rose, Karen R
14119
3707 Largent Way Marietta, GA 30064
1/9/2009
James Freemont, MD
16343
RN065472
Roseberry, Beverly D
2568
1136 Cleveland Avenue, Suite 208 East Point, GA 30344
6/7/2013
John Knox, MD
22575
RN135881
Rosen, Jill Margulies
11723
1100 Lake Hearn Dr, Suite 100 Atlanta, GA 30342
8/7/2009
Annette Hinchcliffe, MD
42607
RN146598
Rosenberg, Stacey E.
882
3915 Johns Creek Court, Suite 120 Suwanee, GA 30024
1/11/2008
Ronald Forehand, MD
22760
RN053910
Rosenberger, Chandler Brooks
2569
Univ Hlth Ctr, 370 River Rd Athens, GA 30602
9/11/2014
Wanda Guy-Craft, MD
64224
RN186831
Ross, Shannon Christie
13587
725 N. Central Avenue Hapeville, GA 30354
12/1/2011
Ludwick, Robert MD
37277
RN102271
Ross, Anita
10230
118 Norman Dorminy Drive Fitzgerald, GA 31750
6/6/2008
Jagdeep Singh, MD
59761
RN070037
Ross, Janet Lorene
8205
118 E. Girard Avenue, Suite 104 Cedartown, GA 30125
1/8/2015
Mary Bergh, MD
41776
RN243174
Rosu, Rafael Florin
14563
755 Walther Rd Lawernceville, GA 30046
5/8/2015
Wendy Davis-Mitchell, MD
45442
RN154553
Rotella, Melissa Rayburn
15536
3999 Austll Rd, Ste 901 Austell, GA 30106
11/3/2011
Patel, Zara MD
65779
RN154553
Rotella, Melissa
10201
550 Peachtree St NE, 9th Floor MOT Atlanta, GA 30308
8/7/2009
Sarah Wise, MD
53208
RN154553
Rotella, Melissa Rayburn
8683
550 P'tree St NE, 9th Floor MOT, #4400 Atlanta, GA 30308
8/7/2009
John Delgaudio, MD
39772
RN154553
Rotella, Melissa Rayburn
7886
550 P'tree St NE, 9th Floor MOT, #4400 Atlanta, GA 30308
Wednesday, August 12, 2015
Page 304 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2014
Jeffery Dowis, MD
68199
RN169765
Round, Sally Arnold
14356
1205 Russell Pkwy Warner Robins, GA 31088
7/10/2014
Jared Fazal, MD
57457
RN169765
Round, Sally Arnold
13473
1860 Watson Blvd Warner Robins, GA 31093
3/4/2011
Timothy Graves, MD
26859
RN105840
Rountree, Rhonda Lynn
2579
770 Walnut St Macon, GA 31201
6/4/2015
Aristotle Cochon, MD
66344
RN140401
Rouse, William
15703
1900 Tebeam St Waycross, GA 31501
12/4/2009
Ahmad Irfan, MD
41584
RN140401
Rouse, William Monroe
8842
2003-A Pioneer St Waycross, GA 31501
3/5/2015
Tammie Quest, MD
45590
RN126199
RN129199
Roush lll, William
14672
1670 Clairmont Rd, Ste 11 B Decatur, GA 30033
3/29/2012
Taylor, Kenneth MD
38985
RN191082
Roux, LaToya
10582
275 Collier Road, Ste 500 Atlanta, GA 30309
2/5/2015
Mark McElhannon, MD
40154
RN190694
Rowe, Daniel Alan
14974
501 Redmond Rd Rome, GA 30165
10/10/2013
Danny Vaughn, MD
65622
RN113302
Rowell, Michelle Frances
12349
3964 Elnora Dr Macon, GA 31210
12/4/2014
Jameson Estes
48852
RN085782
Rowell-Crane, Nancy
14390
3334 Hwy 155 S, Ste A/B Locust Grove, GA 30248
9/1/2011
John Vu, MD
40813
RN085782
Rowell-Crane, Nancy Gay
9915
4861 Bill Gardner Pkwy Locust Grove, GA 30248
2/6/2014
Phillip Gray, MD
33340
RN213704
Rowland, Myriam
12834
2001 Antioch Rd Dalton, GA 30720
8/8/2008
Kenneth Boss, MD
52425
RN186906
Rowland, Lisa E.
7994
705 Dallas Hwy, Suite 101 Villa Rica, GA 30180
1/11/2008
David Monson, MD
31074
RN140214
Roy, Andre' J.
2587
59 Executive Park South, Suite 2000 Atlanta, GA 30329
Wednesday, August 12, 2015
Page 305 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Molly Vicchrilli, MD
58364
RN207612
Royal, Kyung
15554
304 Turner McCall Blvd Rome, GA 30165
1/8/2015
Peter Thule, MD
33727
RN077505
Royal, Linda
14658
1670 Clairmont Rd Decatur, GA 30033
9/13/2013
Marshall Tanner, MD
56658
RN077506
Royal, Shirlene Daniel
12279
357 Cargile Rd Ocilla, GA 31774
4/1/2010
Robert D. Lott, MD
26000
RN077506
Royal, Shirlene Daniel
9054
609 1/2 N. Irwin Ave Ocilla, GA 31774
9/3/2009
Douglas Ash, MD
49138
RN077506
Royal, Shirlene Daniel
2589
609 1/2 N. Irwin Avenue Ocilla, GA 31774
9/2/2010
Muhammad Sheikh, MD
59195
RN160500
Royster, Merissa Neshun
9315
2774 North Cobb Pkwy Kennesaw, GA 30152
4/2/2015
Edward DiPreta, MD
52707
RN200773
Rozman, Jacqueline
15205
3008 East Park Ave Brunswick, GA 31520
8/6/2015
Mary Moore, MD
41902
RN210856
Rozo-Rivera, Astrid
15655
424 Decatur St SE Atlanta, GA 30312
10/9/2014
Salim Osta, MD
15631
RN098072
Rubke, Patricia
13731
106 Shoppers Way, Suite 1 Brunswick, GA 31525
2/7/2013
Noemi A. Carcar, MD
41526
RN098072
Rubke, Patricia C.
11503
303 Frasier Dr. Hinesville, GA 31313
8/6/2010
Olugbenga Awe, MD
48329
RN098072
Rubke, Patricia
2593
PO Box 554 Ludowici, GA 31316
1/8/2015
Diane Dunston, MD
29631
RN181893
Rubner, Jennifer Kay
14495
675 College Ave Athens, GA 30603
5/8/2015
James Bailey, MD
28368
RN202359
Ruch, Bridgette
15040
743 Spring St NE Gainesville, GA 30501
3/1/2012
Proctor, Robert MD
8863
RN080409
Rudolph, Barbara
10520
310 Eisenhower Drive, Ste 5 Savannah, GA 31406
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Haiba Sonjika, MD
33713
RN206754
RN139828
Ruffin, Angelina
14264
2719 Felton Dr East Point, GA 30344
9/11/2014
Reemon Bishara, MD
63759
RN223241
Ruis-Thompson, Margaret E
14409
1915 Eisenhower Dr Savannah, GA 31406
8/6/2015
Carla McLean-Joseph, MD
39411
RN185083
Ruiz, Oscar Manuel Segovia
15982
1650 County Services Pkwy SW Marietta, GA 30008-4010
7/9/2015
Robert Guerreso, DO
38787
RN216273
Ruiz, Alexandra Leigh
15004
1730 Lawrenceville-Suwaner Rd Lawrenceville, GA 30043
9/13/2012
Eric Hoffler, MD
32752
RN142052
Ruiz Stogner, Clara
7835
735 Glynn St. South Fayetteville, GA 30214
9/11/2014
Mark Coker, MD
56276
RN239999
Rush, Amy Elizabeth
13697
14557 Hwy 19, Suite A Griffin, GA 30224
8/7/2009
Vincent Brawley, MD
33283
RN075017
Rushton, Bonita B
2599
1350 Walton Way - 3rd floor Augusta, GA 30901
5/9/2008
Thippeswamy Murthy, MD
52470
RN116405
Russell, Tangella Evette
2794
20 Francis Way, Suite 101 Sharpsburg, GA 30277
4/2/2015
Charles Craton, MD
41539
RN241941
Rustin, Corey Dwayne
14870
8820 Hospital Dr Douglasville, Ga 30134
6/8/2012
Cabeca, Anna DO
42537
RN113495
Ruth Hayes, Olivia
10737
2712 Parkwood Drive Brunswick, GA 31520
3/5/2015
Richard Mansfield, DO
44526
RN103741
Ryan, Nancy Josephine
14936
2001 Brookstone Centre Pkwy Columbus, GA 31909
9/11/2014
Edward Lloyd, MD
44269
RN188323
Ryan, Stacy L
13734
4791 S. Main St. Ste. 100 Acworth, GA 30101
4/2/2015
Salem Sayar, MD
47834
RN209699
Rylee, Kayla
15243
200 S Enota Dr, Ste 200 Gainesville, GA 30501
3/1/2012
Vimala Nair, MD
18058
RN168965
Saboura, Jennifer Anne
9544
100 Lacy St, Suite 150 Marietta, GA 30060
Wednesday, August 12, 2015
Page 307 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/1/2010
David Martin, MD
52410
RN092473
Sager, Elmira Nora Faller
9029
80 Oakwood Ave Trenton, GA 30752
2/5/2010
William Meadows, MD
30513
RN092473
Sager, Elmira Nora Faller
2605
80 Oakwood Ave Trenton, GA 30752
4/2/2015
Jose Cangiano, MD
44182
RN176776
Sahatevasukont, Chitchawal
15227
1 Technology Pkwy South, Ste 1 Norcross, GA 30092
12/4/2014
Patrice Harris, MD
38794
RN176776
Sahatevasukont, Chitchawal
14389
1636 Connally Dr EastPoint, GA 30344
7/10/2014
Asaf Aleem, MD
30260
RN176776
Sahatevasukont, Chitchawal
13461
2150 Peachford Rd Atlanta, GA 30338
6/4/2015
Sreevedi Vayalapalli, MD
59226
RN176776
Sahatevaukont, Chitchawal
15669
950 Scales Rd, Ste 302 Suwanee, GA 30024
3/1/2012
Mixson, Robert MD
39415
RN161279
Sahrphillips, Jacqueline
10512
104 Lakeshore Drive, Ste A St. Marys, GA 31558
2/5/2010
Alan Justice, MD
32405
RN115797
Saiani, Tina
8901
446 Poplar St, Suite B Macon, GA 31201
1/7/2011
Hugo Ribot, MD
30196
RN199330
Saint, Ashley Nicole
9504
958-A Joe Frank Harris Pkwy, #102 Cartersville, GA 30120
7/9/2015
Alex Liugminas, MD
68236
RN223454
Saint Juste, Uduak
15854
100 Lacy St, Ste 150 Marietta, GA 30060
5/1/2014
Gunter Kurrle, MD
50396
RN158218
Saintil, Marianne E
12843
677 Church St Marietta, GA 30060
2/7/2013
Locke III, Thomas MD
36409
RN159225
Sakor, Uvienome Linda
10593
3311 Highway 5, Ste C Douglasville, GA 30135
10/5/2012
Maiysha Clairborne, MD
55194
RN159225
Sakor, Uvienome
11155
3311 Highway 5 Douglasville, GA 30135
7/10/2009
Hermogenes Pagsisihan, MD
50666
RN159225
Sakor, Uvienome Linda
8581
100 Professional Park, Suite 204 Carrollton, GA 30117
Wednesday, August 12, 2015
Page 308 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Nishan Fernando, MD
56286
RN210374
Salawu, Kafilat Olajumoke
13776
1505 Northside Forsyth Dr, Suite 4300 Cumming, GA 30041
9/11/2014
Laura Weakland, MD
39505
RN210374
Salawu, Kafilat Olajumoke
13763
550 Peachtree St NE, Suite 1185 Atlanta, GA 30308
9/11/2014
Patricia Hopkins-Menchion,
MD
47446
RN210374
Salawu, Kafilat Olajumoke
13761
1045 Southcrfesty Dr, Suite 200 Stockbridge, GA 30281
12/6/2013
Michael Gaines, MD
22762
RN141751
Salter, Robert Christopher
12577
307 West College St Bowden, GA 30108
10/10/2013
Peter Litchfield, MD
65367
RN141751
Salter, Robert Christopher
12342
117 Kite Rd, Emer Dept Swainsboro, GA 30401
11/5/2009
Martha Schuh, MD
37488
RN116950
Salter, Sandra Nicole
2610
1275 Hwy 54 West, Suite 200 Fayetteville, GA 30214
2/6/2014
Gerard McGorisk, MD
39866
RN192014
Samai, Emily Taylor
12689
1365 Clifton Rd Atlanta, GA 30322
2/5/2015
Fionan O'Griofa, MD
40179
RN121879
Samter, Jeanne
14868
1670 Clairmont Rd Decatur, GA 30033
11/8/2013
David Roberts, MD
30199
RN172768
Samuel, Tseday
2613
1365 Clifton Rd NE Atlanta, GA 30322
5/3/2013
Venkatappa R. Rangaraj,
MD
58633
RN133706
Samuels, Angella Veronica
11306
5675 Jimmy Carter Blvd, Box 20 Norcross, GA 30071
7/10/2009
Benjamin Abraham, DO
34757
RN133706
Samuels, Angella Veronica
8589
3020 Hwy 124 Snellville, GA 30039
11/2/2012
Shameka McElhaney, MD
54854
RN084728
Sanchez, Victoria
11205
7530 Roswell Rd. Atlanta, GA 30350-4837
4/2/2015
Manuel Lucero, MD
29031
102131
RN102131
Sanders, Julie McCoy
15314
Park 60, Georgia 22 Milledgeville, GA 30161
11/7/2014
Lee Jacobs, MD
28283
RN
185902
Sanders, Amanda Arrants
14121
107 Mountain Brook Dr, Ste 100 Canton, GA 30115
Wednesday, August 12, 2015
Page 309 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Martha Ward, MD
20360
RN124327
Sanders, Rebecca Bailey
11993
915 Gordon Ave Thomasville, GA 31792
9/13/2012
Debra Osborne, MD
44297
RN102131
Sanders, Julie V.
10824
175 Emery Hwy Macon, GA 31217
1/6/2012
Ward, Martha MD
20360
RN124327
Sanders, Rebecca
10397
916 South Broad Street Thomasville, GA 31792
3/5/2015
Todd Merchen, MD
58986
RN063813
Sanderson, Catherine S
14995
1120 15th St. Augusta, GA 30912
9/11/2014
Clement Anthony, MD
27752
RN174948
Sanderson, Amy Askew
13446
710 Center St, Emer Dept Columbus, GA 31901
4/2/2015
Michael Carter, MD
34119
RN209939
Sandford, Monica Ann
15171
1075 Cooper Rd, Ste. 101 Grayson, GA 30017
6/4/2015
Jorge Lequizamo, MD
61479
RN120356
Sandiford, Janice
15677
698 Duluth Hwy, Ste 201 Lawrenceville, GA 30045
2/7/2013
Celia Mamby, MD
39629
RN120356
Sandiford, Janice Elizabeth
11662
2745 Dekalb Medical Pkwy, Suite 110 Lithonia, GA 30058
6/4/2015
Daniel Sandler, MD
42420
RN211625
Sands, Tami Kelin
14883
4700 Waters Ave Savannah, GA 31404
7/10/2014
Donald Evans, MD
9810
RN072580
Sanford, Sally Jo
12874
321 N. Main Street Adairsville, GA 30103
7/10/2014
Eduardo Rojas, MD
30370
RN072580
Sanford, Sally Jo
12873
1035 Redbud Road Suite 201 Calhoun, GA 30701
7/11/2013
Gena Volas-Redd, MD
45356
RN084872
Sanford, Ola Beth
12031
340 Kennestone Hospital Blvd, Suite 100 Marietta, GA 30060
8/6/2010
Thomas Deering, MD
32170
RN084872
Sanford, Ola Beth
9193
275 Collier Rd NW, Suite 300 Atlanta, GA 30309
8/6/2015
Sekhar Sankaran, MD
31549
RN170673
Santee, Tara
15990
101 Regency Pkwy Dr, Ste 140 McDonough, GA 30253
Wednesday, August 12, 2015
Page 310 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/8/2013
Saeid Khansarinia, MD9
50649
RN151614
Santos, Andrea Dee
11666
95 Collie Rd, Suite 5015 Atlanta, GA 30309
7/9/2015
Michael Rogers, MD
46482
RN157231
Sapp, Audrey
15789
1941 Phinizy Rd Augusta, GA 30906
12/4/2014
Eric Zanghi, MD
30248
RN085794
RN085794
Sapp, Julie
14463
222 Perry Hwy Hawkinsville, GA 31035
5/9/2008
Sandra Kopacz, MD
32179
RN085794
Sapp, Julie Joiner
2622
Hwy 341 S, Pulaski Prof Bldg A Hawkinsville, GA 31036
6/6/2014
Carl McCurdy, MD
21745
RN155923
Saranthus, Jill Ann Landry
13378
1020 JL White Dr., Ste 170 Jasper, GA 30143
3/7/2008
Bradley Goff, MD
43944
RN155923
Saranthus, Jill Ann Landry
8149
962 J F Harris Pkwy, Ste 202 Cartersville, GA 30120
9/11/2015
Abhishek Gaur, MD
52174
RN203368
Sargent, Jennifer Johanna
14399
200 South Enota Dr, Ste 200 Gainesville, GA 30501
4/2/2015
Jeffrey Lamp, MD
56736
RN164488
Sargent, Amy
15242
2151 West Spring St Monroe, GA 30655
10/5/2012
Scott Parry, DO
39899
RN185009
Sariev, Michelle
11160
730 Ponce DeLeon Pl. NE Atlanta, GA 30306
3/5/2015
Lionel Bryan, MD
22725
RN243632
Sather, Jaime Lynn
15016
1007 Mary St. Waycross, GA 31501
9/11/2014
Jose Justiniano-Ayala, MD
46773
RN228612
Satterfeild, Lena M
13935
1430 Suggs St Rossville, GA 30741
3/5/2015
James Black, MD
57777
RN170526
Saucedo, Israel
15151
417 W 3rd Ave Albany, GA 31701
9/11/2014
Richard Ambrozic, MD
43851
RN170526
Saucedo, Isreal
13710
130 Moore St. Omega, GA 31775
Wednesday, August 12, 2015
Page 311 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Huiming Hon, MD
63074
RN242834
Sauer, Aviva
15450
980 Johnson Ferry Rd NE, Ste 820 Atlanta, GA 30342
11/7/2014
Dave Ringer, MD
30368
RN150495
Savage, Lisa Stewart
14211
803 South Main St Greensboro, GA 30642
8/7/2014
Xavier Moore, MD
55619
RN139517
Savage, Kimberly Anne
13659
1133 Eagles Landing Pkwy Stockbridge, GA 30281
7/10/2014
Christopher Brown, MD
50705
RN139517
Savage, Kimberly Ann
13413
7402 Davidson Pkwy Stockbridge, GA 30281
5/8/2015
AnilKumar Pillai, MD
45914
RN113335
Saxon, Jo Ann Harris
15535
707 N. Houston Rd Warner Robins, GA 31093
9/11/2014
Bradley Shepherd, MD
66420
RN177223
Sayers, Carly Wham
13274
740 Prince Ave Building 15 Athens, GA 30606
11/5/2010
Christopher Houk, MD
57644
RN085319
Sayers, Barbara Jean
2631
1120 15th St, BG-1012 Augusta, GA 30912
11/2/2012
John C. Bleacher, MD
42182
RN182668
Sayewich, Laura Handley
11277
5455 Meridian Mark Road, Ste 570 Atlanta, GA 30342
8/8/2008
Paul Johnson, MD
46132
RN182668
Sayewich, Laura Handley
8251
PO Box 422002 Atlanta, GA 30342
8/6/2015
Lucretia Barker, MD
42013
RN134148
Scarborough, Joy
15856
1112 Plaza Ave, Ste B Eastman, GA 31023
5/8/2015
Dinakara Shetty, MD
42431
RN154220
Scarborough, Michele
15465
1719 Russell Pkwy, Ste 700 Warner Robins, GA 31088
5/1/2014
Timothy Graves, MD
26859
RN154220
Scarborough, Michele Susanne
13175
770 Walnut St Macon, GA 31201
6/6/2008
Johnny Peeples, MD
33427
RN134148
Scarborough, Joy Renew
8221
PO Box 698 Eastman, GA 31023
9/11/2014
Samuel Gilbert, MD
41563
RN143233
Schafer, Frances Georgina
14378
4791 S Main St, Ste 100 Acworth, GA 30101
Wednesday, August 12, 2015
Page 312 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Michael Lindsay, MD
27602
RN218959
Schatten, Kimary Vigliano
14981
69 Jesse Hill Jr Dr SE, Glenn Bldg Flr 4 Atlanta, GA 30303
12/6/2013
Charles Campbell, MD
69772
RN206788
Scheffer, Steven Rudolf
12584
86 South Cobb Dr, MZ-0454 Marietta, GA 30063
3/1/2012
Pirtle, Ronald MD
13784
RN206788
Scheffer, Steven
10156
1015 Donald Lee Hollowell Parkway Atlanta, GA 30318
2/4/2011
Donna Fearing, MD
29447
RN206621
Scheffer, Elizabeth Anne
9553
2155 Post Oak Tritt Rd, Suite 100 Marietta, GA 30062
8/6/2010
James Sams, MD
22180
RN206788
Scheffer, Steven Rudolf
9177
1968 Peachtree Rd NW, Bldg 1984, Suite 300 Atlanta, GA 30
2/7/2013
Janet T. Fason, DO
48773
RN184398
Schempp, Catherine
11577
Take Care Clinic, 2988 Shallowford Rd. Marietta, GA 30066-3
7/11/2013
William David Breedlove,
MD
26465
RN200480
Schiff, Ella Schwartz
11815
PO Box 1907 Blairsville, GA 30512
12/7/2012
Julian Hutchins, Sr., MD
18677
RN178149
Schiffbauer, Christopher T.
11371
4150 Washington Rd., Ste. 11 Evans, GA 30809
10/2/2009
G. Craig Heigerick, DO
24947
RN192983
Schlenger, Alison Anthony
8707
615-B Beaver Ruin Road Lilburn, GA 30047
2/5/2015
Paul Conrad, Md
41761
RN167495
Schlienger, Rhonda Sue
14872
110 S Main St Hiawassee, GA 30546
1/11/2013
Angela L. Beninga, DO
68481
RN102451
Schmeier, Laura
11421
Shepherd Center, 2020 Peachtree Rd. Atlanta, GA 30309
1/6/2012
Taubin, Rhonda MD
32482
RN102451
Schmeier, Laura
10295
2020 Peachtree Rd NW Atlanta, GA 30309
10/7/2011
Dennison, Andrew MD
62676
RN102451
Schmeier, Laura
10076
2020 Peachtree Road Atlanta, GA 30303
11/5/2009
Payal Fadia, MD
61773
RN102451
Schmeier, Laura Jean Blanchard
8797
2020 Peachtree Rd NW Atlanta, GA 30309
Wednesday, August 12, 2015
Page 313 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/5/2009
Brock Bowman, MD
45177
RN102451
Schmeier, Laura Jean Blanchard
8793
2020 Peachtree Rd NW Atlanta, GA 30309
11/5/2009
Anna Elmers, MD
60248
RN102451
Schmeier, Laura Jean Blanchard
8799
2020 Peachtree Rd NW Atlanta, GA 30309
11/5/2009
Arthur Simon, MD
31125
RN102451
Schmeier, Laura Jean Blanchard
8795
2020 Peachtree Rd NW Atlanta, GA 30309
11/5/2009
John Lin, MD
50208
RN102451
Schmeier, Laura Jean Blanchard
8800
2020 Peachtree Rd NW Atlanta, GA 30309
8/7/2009
Gerald Bilsky, MD
31701
RN102451
Schmeier, Laura Jean Blanchard
8654
2020 Peachtree Road Atlanta, GA 30309
11/5/2009
Donald Leslie, MD
25785
RN102451
Schmeirer, Laura Jean Blanchar
8798
2020 Peachtree Rd NW Atlanta, GA 30309
8/9/2013
John Kludt, MD
34876
RN184832
Schmidt, Mirel Aline
11924
3700 Club Dr Lawrenceville, GA 30044
3/5/2015
Christopher Ludlow, MD
30501
RN064088
Schmitz, Catherine Low
14997
325 W Montgomery Crossroads Savannah, GA 31406
2/7/2008
Michael Lindsay, MD
27602
RN133708
Schnedl, Anne Marie
8140
69 Jesse Hill Jr Dr SE, 4th Flr Atlanta, GA 30303
12/4/2014
Reden Delgado, MD
65957
RN129282
RN129282
Schneider, Kathy Ann
14283
1168 North Main St, Ste 120 Polk, GA 30125
6/8/2012
Gregory, Donna MD
51227
RN129282
Schneider, Kathy
10783
906 South Wall Street Calhoun, GA 30701
10/2/2009
Pablo Balboa-Marciack, MD
55409
RN183005
Schnell, Kathryn Jean
8749
100 Hospital Court Calhoun, GA 30701
8/6/2015
Alan Wang, MD
48017
RN176656
Schnitzeler, Erica
16044
601 Northolt Pkwy Suwanee, GA 30024
11/7/2014
Colleen Austin, MD
22506
RN176656
Schnitzeler, Erica Ann
14115
3400-C Old Milton Pkwy, Ste 400 Alpharetta, GA 30005
Wednesday, August 12, 2015
Page 314 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Timothy Catchings, MD
30030
RN243523
Schnur, Jeffrey
14711
2004 Pioneer St Waycross, GA 31501
6/6/2014
William Chafin III, MD
67542
RN201966
Schofield, Emily Rankin
13379
1270 Prince Ave, Ste A Athens, GA 30606
12/6/2013
Stephanie Kong, MD
39388
RN136627
Schornack, Theresa Ann
12460
210 Hannah's Mill Rd Thomaston, GA 30286
12/7/2007
Eric Hoffler, MD
32752
RN136627
Schornack, Theresa Ann
2647
735 South Glynn Street Fayetteville, GA 30214
10/10/2013
Ki Hon Lin, MD
51885
RN150422
Schuchman, Alisha Michelle
12354
812 South Park St, Suite 3 Carrollton, GA 30117
8/9/2013
Reginald Strother, MD
44597
RN204214
Schultz, Lindsay Chesley
12139
1620 Prince Ave Athens, GA 30606
5/7/2010
Hanna Khoury, MD
55253
RN199188
Schultz, Alicia McCasland
9081
1365 Clifton Rd, Bldg C Atlanta, GA 30322
4/2/2015
John Lentz, MD
17573
RN137918
Schwartz, Tamara Lee
15197
2121 Fountain Drive, Ste A Snellville, GA 30078
12/6/2013
Robert Mullins, MD
49835
RN194375
Schwartz, Heather J
12546
3675 J Dewey Gray Cir, Suite 300 Augusta, GA 30909
6/7/2013
David Stewart, MD
41489
RB123081
Schwartz, Karen Ann Crooke
11942
1600 Medical Way, Suite 100 Snellville, GA 30078
10/7/2011
McElroy, Christopher MD
39865
RN194375
Schwartz, Heather
10142
465 North Belair Rd, Ste 2B Evans, GA 30809
4/1/2011
Lynette Stewart, MD
39681
RN123081
Schwartz, Karen Ann Crooke
9569
4775 Jimmy Carter Blvd, Suite 300 Norcross, GA 30093
6/7/2013
Sharon R. Rabinovitz, MD
46806
RN134791
Schwarze, Elizabeth A.
11199
141 Piedmont Ave., Ste D Atlanta, GA 30303
12/7/2007
Minhly Nguyen, MD
49149
RN134791
Schwarze, Elizabeth Ann Smith
2654
341 Ponce de Leon Avenue NE Atlanta, GA 30308
11/8/2013
Christopher Borrego, DO
52259
RN193905
Schweiker, Melissa Perry
12516
4720 Nelson Brogdon Blvd Sugar Hill, GA 30518
Wednesday, August 12, 2015
Page 315 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2008
Patricia Baines, MD
53092
RN145815
Schwendinger, James Edward
2655
49 Jesse Hill Jr Dr SE, Suite 127 Atlanta, GA 30303
7/11/2013
Joseph Mondy, MD
44546
RN168251
Schwerin, Kay Sandra Stevens
12089
4750 Waters Ave, Suite 500 Savannah, GA 31404
11/2/2012
Greg Schlegel, MD
23222
RN112607
Scoggins, Kelly W.
11239
100 Medical Center Blvd, Ste 165 Lawrenceville, GA 30046
10/8/2010
Leigh Barrell, MD
40777
RN175735
Scoggins, Savannah Smith
9322
1608 Martha Berry Blvd Rome, GA 30165
7/9/2015
Lisa Miller, MD
38874
RN179096
Scott, Suzette
15761
4152 Baker Covington, GA 30014
4/2/2015
Claude Sportes, MD
71418
RN107176
Scott, Donna
15109
1120 15th St, Ste BA-5407 Augusta, GA 30912
4/4/2014
Melissa Schepp, MD
50221
RN197872
Scott, Jessica Elisabeth
13053
677 Church St, 310 Bldg Marietta, GA 30060
10/10/2013
Mukesh Kumar, MD
68447
RN210416
Scott, Amanda Sara Riley
12335
743 Spring St Gainesville, GA 30501
2/3/2012
Hansen, Terry MD
47330
RN184467
Scott, Linda
10449
184-A Professional Drive Baldwin, GA 30511
1/6/2012
St. Clair, Jane
24485
RN122867
Scott, Michael
10340
131 Ponce de Leon Ave NE, Ste 230 Atlanta, GA 30308
10/7/2011
Chastain, William MD
65091
RN140254
Scott, Denise
10021
400 Timms Road NE Calhoun, GA 30701
8/7/2009
Sara Marder, MD
36814
RN170607
Scott, Christine Manning
8703
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
5/7/2009
Micah Tepper, MD
57687
RN140254
Scott, Denise Ann
8517
1700 Hospital South Drive, Suite 302 Austell, GA 30106
10/2/2008
Ronald McLean, MD
30163
RN145522
Scott-King, Geneva Michelle
2662
116 Rosedale Avenue Thomasville, GA 31792
Wednesday, August 12, 2015
Page 316 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/14/2007
Carlos Zayas-Montalvo, MD
36668
RN161095
Scouller, Thomas Harmon
2663
1968 P'tree Rd NW,5th Fl,Bldg 77 Atlanta, GA 30309
3/8/2013
Lee Chisolm, MD
55115
RN141155
Scruggs, Carrie Jackson
11643
1500 Oglethorpe Ave, Suite 3300 Athens, GA 30606
1/7/2011
Jared Griffis, MD
57469
RN141155
Scruggs, Carrie Jackson
2664
PO Box 5860 Athens, GA 30604
1/8/2015
Walid Nassaif, MD
57904
RN152213
RN152213
Scully, Cathleen
14448
1670 Clairmont Rd Decatur, GA 30033
6/6/2014
Kalpit Patel, MD
70398
RN151311
Scully, Carol Joy Wesley
13380
2444 Dallas Hwy SW Marietta, GA 30064
10/5/2012
Franklin Brown MD
62315
RN197620
Scully, Rosemarie
11020
445 Winn Way, 2nd Floor Decatur, GA 30030
9/11/2014
James Poindexter Jr., MD
29071
RN192373
Seaborn, Chelsea L
13747
1718 Peachtree St. NW Ste. 360 Atlanta, GA 30309
10/9/2014
John Wood, MD
59239
RN165136
Seabrooks, Kimberly Frazier
14322
777 Hemlock St MSC 142 Macon, GA 31201
5/8/2015
Firas Bannout, MD
55176
RN176789
Seagraves, Kendra
15407
455 South Main St, Ste 201 Hinesville, GA 31313-4354
11/8/2013
Robert Yarbrough, MD
58242
RN179255
Searcy, Danny Frank
12468
1100 Northside Forsyth Dr, Suite 340 Cumming, GA 30041
10/5/2012
George Galloway, MD
13275
RN153721
Searcy, Ann-Maxwell
11033
101 Riverstone Vista, Ste 111 Blue Ridge, GA 30513
7/10/2009
Romualda Klicius, MD
46305
RN055005
Searcy, Laura J
2670
145 N. Medical Pkwy Woodstock, GA 30189
4/13/2007
Alan M. Sanders, MD
39223
RN153721
Searcy, Ann-Maxwell
2668
231 Hwy 515, Ste. 5 Blairsville, GA 30512
9/11/2014
Isioma Okwumabua, MD
70256
RN187693
Sears-Truss, Krystal
13930
1855 Hudson Bridge Rd Stockbridge, GA 30281
Wednesday, August 12, 2015
Page 317 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/8/2015
Clarice Bell-Strayhorn, MD
39730
RN186436
Sebastian, Vini
15378
400 Peachtree Industrial Blvd Suwanee, GA 30024
9/11/2008
Neely Dean, MD
59401
RN033268
Segal, Linda Marie
8303
59 Hospital Road Newnan, GA 30263
8/7/2014
Suzana Montana, MD
45097
RN185083
Segovia Ruiz, Oscar Manuel
13675
3780 Holcomb Bridge Rd., Ste C Peachtree Corners, GA 3009
11/2/2012
James L. Beiter, MD
40003
RN185083
Segovia Ruiz
11274
1001 Johnson Ferry Road N.E. Atlanta, GA 30342
3/7/2008
William Strain, MD
27921
RN143913
Seiler, Jan Marie
2671
1265 W. Hwy 54, Stes 402 & 409 Fayetteville, GA 30214
2/4/2011
Joshua Hargraves, MD
62216
RN185556
Seitz, Roslyn Marie
9480
531 Asbury Cir, Suite N-340 Atlanta, GA 30322
11/3/2011
Joyce-Bailey, Sharon MD
50770
RN100226
Selby, June
10158
1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043
12/4/2014
Hiren Shah, MD
62433
RN241736
Self, Amanda Rachel
14304
2300 Manchester Expressway, Ste 2001 Columbus, GA 3190
8/7/2014
Robert Sullivan, MD
42742
RN173974
Self, Janna Deneen Novotny
13616
14-A Legacy Way Adairsville, GA 30103
7/1/2010
Robert David Thomson, MD
47166
RN207951
Self, Julia Murdoch
9166
3619 Braselton Hwy, Suite 103 Dacula, GA 30019
3/5/2015
Timothy Thomson, MD
46526
RN208930
Sellers, Rainey Brooke
15030
951 S Broad St Thomasville, GA 31792
2/4/2011
Edward Gotlieb, MD
14500
RN204724
Sellers, Lucinda Johnson
9547
5405-D Memorial Dr, Suite D Stone Mountain, GA 30083
2/5/2015
Jay Erdman, MD
32177
RN119115
Seltenright, Joan Lee Oliver
14930
235 Peachtree St NE, N Tower #2100 Atlanta, GA 30303
2/5/2015
Jeff Donohue, MD
46540
RN119115
Seltenright, Joan Lee Oliver
14965
3755 Sixes Rd, Ste 202 Canton, GA 30114
Wednesday, August 12, 2015
Page 318 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/9/2013
Michael Christa, MD
40637
RN119115
Seltenright, Joan Lee Oliver
12063
4250 Brownsville Rd Powder Springs, GA 30127
8/6/2010
George Galloway, MD
13275
RN119115
Seltenright, Joan Lee Oliver
9199
101 Riverstone Vista, Suite 111 Blue Ridge, GA 30513
10/5/2012
Karen Godette, MD
35884
RN073553
Sencer, Ann
2673
550 Peachtree St., Glenn Bldg. Lobby level Atlanta, GA 30308
6/8/2012
O'Regan, Ruth
53350
RN155684
Senior-Crosby, Diana
10778
80 Jesse Hill Jr Drive Atlanta, GA 30303
6/6/2008
Frank Keller, MD
57091
RN128997
Senn, Stacy L
2674
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
10/5/2012
Joseph Sentef, MD
32816
RN73026
Sentef, Susan F.
11008
513 Benjamin Way, Ste 200 Dalton, GA 30721
1/11/2013
John P. Gott, MD
28989
RN175608
Seok, Rebecca
11556
95 Collier Rd., #5015 Atlanta, GA 30309
1/8/2015
Kenneth Healey, MD
24689
RN184152
Settle, Crystal Nicole
14709
205 Rees St Americus, GA 31709
9/13/2013
Bruce Ribner, MD
49086
RN218012
Settle, Xanthia Monquett
12228
1364 Clifton Rd NE Atlanta, GA 30322
9/13/2013
Charis Trench-Simmons, MD
58337
RN218012
Settle, Xanthia Monquett
12240
3886 Princeton Lakes Way, Suite 280 Atlanta, GA 30331
8/5/2011
Douglas Moss, MD
41178
RN134946
Seyfried, Lavenia Juanita
9959
814 Northwood Park Drive Valdosta, GA 31602
3/4/2010
James Eutzler, DO
49729
RN080625
Shackelford, Dilleta Andree
2679
520 Griffin Ave Valdosta, GA 31601
11/8/2013
Wiley Smith, MD
63133
RN137113
Shafer, Kristi Lynn
12359
218 North Fredrick St Dalton, GA 30721
11/7/2014
Satish Rao, MD
66739
RN202000
Shaffer, Nicole Michelle
14207
1120 15th St Augusta, GA 30912
7/10/2014
Dharmeshkumar Patel, MD
55264
RN181347
Shah, Payal N.
13470
2491 Panola Rd. Lithonia, GA 30058
Wednesday, August 12, 2015
Page 319 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Baljinder Mudahar, MD
54321
RN208844
Shahpar, Jessica Lynn
13188
303 Parkway Dr NE, Emer Dept Atlanta, GA 30312
9/11/2014
Karen Dewling, MD
44445
RN235660
Shanahan, Sara Ratchford
13772
4395 Johns Creek Pkwy, Ste150 Suwanee, GA 30024
4/4/2014
Roger Morales, MD
55771
RN235660
Shanahan, Sara Ratchford
13159
333 Alcovy St, Suite 1 Monroe, GA 30655
10/5/2012
Brian Kogan,MD
53322
RN197727
Shapin, Melanie Hull
11063
1405 Clifton Rd. NE Atlanta, GA 30322
9/11/2014
Kola Ologunja, MD
50548
RN192158
Sharp, Jennie Babara
13725
3104 Creekside Village Dr., Ste 504 Kennesaw, GA 30144
10/10/2013
Thuy Bui, MD
49276
RN195511
Sharpless, Sarah A
12345
1001 Johnson Ferry Rd NE Atlanta, GA 30342
2/5/2015
David Fletcher, MD
59718
RN203698
Shaw, Christine
14589
1550 Eaton RD Madison, GA 30650
9/11/2014
Athanasios Verras, MD
22908
RN059632
Shaw, Margaret Anne
2687
2007 Montreal Rd. Tucker, GA 30084
10/7/2011
Papciak, Michael MD
16823
RN171700
Shaw, Kelley
10110
3400A Old Milton Parkway Ste 330 Alpharetta, GA 30005
11/2/2012
Cedric Porter, MD
29363
RN184339
Shaw McMillan, Lauren
11240
124 Victory Dr. Swainsboro, GA 30401
1/6/2012
Osborne, Debra MD
44297
RN078122
Shaw-Brown, Luann
10338
175 Emery Highway Macon, GA 31217
4/2/2015
Edward Minor, MD
45095
RN070808
Shaw-Grant, Pamela
15271
1215 2nd Ave Columbus, GA 31901
10/5/2012
Valeria Savage, MD
52724
RN081672
Shea, Kimberly
10968
1942 Atkinson Road Lawrenceville, GA 30043
10/7/2011
Rowland, Ceylon MD
52202
RN081672
Shea, Kimberly
10038
1942 Atkinson Road, Ste 100 Lawrenceville, GA 30043
Wednesday, August 12, 2015
Page 320 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/5/2012
Antonio Rios, MD
45114
RN037691
Shedd, Cheryl
11130
1315 Jesse Jewell Pkwy, Ste 110 Gainesville, GA 30501
8/8/2008
Timothy Flynn, MD
41795
RN037691
Shedd, Cheryl Evans
2688
3931 Mundy Mill Road Oakwood, GA 30566
6/4/2015
Rama Gangaiah, MD
41805
RN055630
Sheffield, Dian
15629
3073 Panthersville Rd Decatur, GA 30034
11/8/2013
Vanderlyn Sewell, MD
51547
RN055630
Sheffield, Dian Thornton
12290
2591 Candler Rd Decatur, GA 30032
9/13/2013
Alan Justice, MD
32405
RN180629
Sheldon, Jennifer Jean
12187
446 Poplar St, Suite B Macon, GA 31201
6/6/2014
Samuel Bleuez, MD
60241
RN203906
Shell, Hannah Katherine
13381
1267 Hwy 54 West, Ste 2200 Fayetteville, GA 30214
6/5/2009
Ehteshamul Huque, MD
39597
RN140662
Shepherd, Melissa Ann
2694
6095 Professional Pkwy, Suite 100 Douglasville, GA 30134
12/7/2007
James Vick, III, MD
37720
RN149693
Shepherd, Shannon Elizabeth
5336
1105 North 5th Avenue Rome, GA 30165
8/5/2011
Paul Martin, MD
29034
RN184901
Sheridian, Marissa Cook
9941
1950 Riverside Parkway, Ste 100 Lawrenceville, GA 30043
6/4/2015
Timothy Paul, MD
45581
RN223885
Sheriff, Kristen
15547
705 Dixie St Carrollton, GA 30117
1/8/2015
David Dillard, MD
40364
RN113226
Sherman, Carmen Judith Ramir
14732
771 Old Norcross Rd, Ste 135 Lawrenceville, GA 30046
3/1/2012
Duke, Michael MD
42041
RN140155
Sherman, Penny
10545
800 West Thomas Street Milledgeville, GA 31061
6/8/2012
Lew, Glen MD
41457
RN172913
Sherrod, Amy
10514
5455 Meridian Mark Rd, Ste 400 AFLAC Center Atlanta, GA 3
8/5/2011
Melissa Bruhn, MD
43565
RN123110
Sherrod, Elizabeth Robin
9844
918 South Broad St Thomasville, GA 31792
Wednesday, August 12, 2015
Page 321 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/6/2011
Ross Jacobson, MD
57204
RN064092
Sherry, Ruth
5337
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
6/6/2014
Eyal Ben-Arie, MD
56520
RN156421
Shields, Allison Baker Thomas
13278
95 Collier Rd, Suite 5015 Atlanta, GA 30309
5/1/2014
Akin Ogundipe, MD
50237
RN195642
Shields, Heather Renee
13206
55 Whitcher St, Suite 460 Marietta, GA 30060
1/6/2012
Hardin, Amy MD
35307
RN139815
Shifflett, Maureen
10339
1140 Hammond Drive, Ste E5250 Atlanta, GA 30328
11/1/2007
Benjamin Oldham, MD
56210
RN069911
Shilling, Dellarie Lane
8098
1497 Fair Road, Suite 300 Statesboro, GA 30458
10/5/2012
Sarvenaz Danesh, MD
65396
RN177287
Shiver, Kristi
11164
55 Whitcher St., Ste 160 Marietta, GA 30060
2/3/2012
Akiki, Hanna MD
56670
RN177287
Shiver, Kristi
10421
1700 Hospitl South Drive Austell, GA 30106
5/8/2015
Kimberly Carr, MD
52062
RN159492
Shockley, Naiomi
15463
1115 Mt. Zion Rd, Ste E Morrow, GA 30260
1/8/2015
John McKnight, MD
69894
RN209439
Shoemaker, Savannah
14782
600 Celebrate Life Parkway Newnan, GA 30265
11/7/2014
Bridgette Guthrie, MD
69122
RN229830
Shoemaker, Ashlee Quick
14117
710 Center St Columbus, GA 31901
1/11/2008
Philip Macon, MD
11414
RN075946
Shoemaker, Kathryn Goles
2705
11940 Alpharetta Hwy, Suite 110 Alpharetta, GA 30004
3/7/2008
Bradley Pierce, MD
54306
RN113383
Shook-Payne, Michele D.
2706
1240 Jesse Jewell Pkwy, Ste 500 Gainesville, GA 30501
2/5/2015
Muhammad Hashmi, MD
70303
RN148855
Shore, Karen Elizabeth
14582
2900 University Parkway Lawrenceville, GA 30043
9/11/2008
Wendy Troyer, MD
33786
RN139907
Shorter, Brenda Leigh Smith
2707
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
Wednesday, August 12, 2015
Page 322 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/9/2015
Venkateswara Dikkala, MD
48226
RN246981
Shrader, Shanda
15942
2775 Cruse Rd, Ste 1801 Lawrenceville, GA 30044
1/8/2015
Nasser Tehrani, MD
53044
RN215813
Shroof, Lina Al
14621
1117 Morningside Dr Perry, GA 31069
12/3/2010
Cheryl Perkins, MD
36430
RN196656
Shropshire, Ali Michelle
9483
1497 Fair Rd, Suite 200 Statesboro, GA 30458
6/6/2014
Reden Delgado, MD
65957
RN111878
Shuler, Linda J
13382
2293 Rome Hwy Rockmart, GA 30153
1/6/2012
Singh, Brij MD
43777
RN111878
Shuler, Linda
10341
1181 Old Summerville Road Rome, GA 30165
8/5/2011
Michael Hartley, MD
63668
RN123324
Shuler, Cynthia Ann
9805
1109 Burleyson Rd, Suite 202 Dalton, GA 30720
4/13/2007
William Mills, MD
53547
RN113834
Shuler, Shannon
5433
58 Big A Rd Toccoa, GA 30577
2/7/2013
Teresa Thompson, MD
58650
RN107256
Shuman, Sherry
10516
63 Pleasant Hill Road Blairsville, GA 30512
8/29/2012
Patrick McDougal, MD
57110
RN175443
Shumate, Donald H
10970
100 Gross Crescent Circle Fort Oglethorpe, GA 30742
12/6/2013
Pablo Perez, MD
47502
RN207614
Shumway, Gina Hiatt
12622
1102 W Waugh St Dalton, GA 30720
8/6/2015
Terry Sharpe, MD
25826
RN214000
Shupe, Leah
16126
175 Country Club Dr, Ste 200 Stockbridge, GA 30281
11/7/2008
Rex Ajayi, MD
19123
RN100140
Siau, Rodney Kenneth
2713
803 N. Jackson Street Albany, GA 31701
4/4/2014
Meena Shah, MD
21464
RN178422
Siddle, Jennifer Elizabeth
13076
475 Philip Blvd, Suite 100 Lawrenceville, GA 30046
4/2/2015
Victor Thomas, MD
40574
RN215026
Sides, Scott Anthony
15255
1200 Memorial Dr Dalton, GA 30720
Wednesday, August 12, 2015
Page 323 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Yolanda Wade, MD
58345
RN027377
Siefferman, Patricia Anne Thom
14005
1735 S. Hwy 27 Carrollton, GA 30117
10/9/2014
Debra Johnson-Jordan , DO
32592
RN141684
Sigouin, Anne Sirey
14424
2739 Felton Dr East Point, GA 30344
4/3/2008
Andrew Dott, MD
33314
RN069917
Silberstein, Debra Janis
5339
993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342
8/6/2015
Shameka McElhaney, MD
54854
RN177691
Simcox, Jordan
15893
1605 Roberta Dr Marietta, GA 30008
4/2/2015
Nancy Watson, MD
42766
RN217876
Simmons, Ginger Elaine
15082
700 S Enota, Ste 202 Gainesville, GA 30501
2/5/2015
Crystal Bright, MD
67869
RN069115
Simmons, Carol
14796
452 Second St Soperton, GA 30457
2/5/2015
Tasha Feaster, MD
62690
RN235628
Simmons, Jennilyn Alexis
14909
2000 Clayton State Blvd, Bld 1000 Morrow, GA 30260
2/6/2014
Barbara Nelson, MD
54628
RN188913
Simmons, Pamela Jean
12838
531 Duvall Rd Chatsworth, GA 30705
8/5/2011
Ramzi Ghosn, MD
57974
RN077582
Simmons, Vickie Lynn Miller
9862
1078 Lumpkin Campgrd Rd, Suite 100 Dawsonville, GA 3053
8/5/2011
George Petro, MD
62155
RN077582
Simmons, Vickie Lynn
9885
59 Tipton Drive Dahlonega, GA 30533
7/11/2008
Robert Wirt, DO
26686
RN077582
Simmons, Vickie L.
5441
597 South Enota Drive Gainesville, GA 30501
12/7/2007
Richard Wherry, MD
17341
RN077582
Simmons, Vickie Lynn Miller
2722
59 Tipton Drive Dahlonega, GA 30533
6/6/2014
Changchun Wu, MD
61537
RN198170
Simokaitis, Sabrina Maria
13383
65 old Jackson Rd. McDonough, GA 30252
2/5/2015
Marcel Lacoste, MD
65836
RN093496
RN65836
Simonds, Jennifer Huls
14815
1 Freedom Way Augusta, GA 30904
Wednesday, August 12, 2015
Page 324 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/12/2012
King, Paul MD
36198
RN179700
Simonishvili, Suzana
10816
285 Boulevard NE, Ste 640/415 Atlanta, GA 30312
5/1/2014
Gayoung Hong, MD
67467
RN203796
Simpson, William Andrew
13196
13570 N. Main St Trenton, GA 30752
12/6/2013
W. Clark Connell, MD
58733
RN172839
Simpson, Melissa Ann
11800
915 Gordon Ave, Emer Dept Thomasville, GA 31792
6/7/2013
George Kramer, MD
30807
RN141041
Simpson, Utopia Teresa
11911
55 Whitcher St, Suite 350 Marietta, GA 30060
2/7/2013
Michael O'Grady, MD
41189
RN141041
Simpson, Utopia T.
11627
5422 Hwy 20 Sugar Hill, GA 30518
12/3/2010
Gary Minkiewicz, MD
39182
RN176728
Simpson, Rebecca Ashley Evans
9456
200 S. Enota Dr, Suite 200 Gainesville, GA 30501
5/1/2014
Nalini Narayan, MD
44287
RN176715
Sims, Melanie Wester
12782
705 Ambulance Dr Carrollton, GA 30116
4/4/2014
Philip Ploska, MD
36848
RN155250
Sims, Lisa Nicole
13161
105 Regency Park Dr McDonough, GA 30253
10/10/2013
Lee Wilkes, MD
41033
RN179410
Sinclair, Kayon Ayton
12402
4426 Hugh Howell Rd, Suite B-303 Tucker, GA 30084
5/3/2013
James A. Sirleaf, MD
67036
RN226825
Singer, Lamarquis D.
11594
417 Third Ave. Albany, GA 31701
2/5/2010
Brij Singh, MD
43777
RN134406
Singh, Kelli Leigh
8985
1181 Old Summerville Rd Rome, GA 30165
3/5/2015
Tarak Patel, MD
66394
RN241413
Singletary, Decca
14925
1224 Augusta West Parkway Augusta, GA 30909
9/11/2014
Anil Yadav, MD
53898
RN123413
Singleton, Sandy Lynn Anderso
13850
51 Gordon Rd, Suite 201 Jasper, GA 30143
9/13/2013
John Reed, MD
35506
RN152508
Singleton, Kimberly Lynn
12284
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
Wednesday, August 12, 2015
Page 325 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Kesha L. Allen, MD
57920
RN175972
Singleton, Dawn B.
11222
417 Third Ave. Albany, GA 31701
6/8/2012
Robinson, Todd MD
40773
RN109487
Singleton, Cynthia
10779
14 Cherokee Road Cedartown, GA 30125
12/7/2007
James Collins, Jr, MD
29833
RN091620
Singleton, Judy Fay Keener
2731
330 Turner McCall Blvd, Ste 101 Rome, GA 30165
9/14/2007
David Warren, MD
32492
RN135490
Siniard, Susan Ashley
8075
150 Gentilly Blvd Cartersville, GA 30120
9/14/2007
Jennifer Lawrence, MD
44001
RN098278
Sinnott, Anita D.
2732
3018 N. Patterson St. Valdosta, GA 31602
10/7/2011
Vicki Knight-Mathis, MD
47337
RN167888
Sipe, Erin Brooke Harris
9916
2920 Marietta Hwy, Suite 142 Canton, GA 30114
5/8/2015
Mark Moers, MD
45555
RN144549
Sisk, Carrie Sue
15345
95 Morrison Moore Pkwy West, Ste 100 Dahlonega, GA 3053
2/5/2015
Lloyd Rimer, MD
30665
RN185647
Sissom, Kasey Nicole
14841
3541 Chattanooga Rd Tunnel Hill, GA 30755
2/5/2009
Thomas Murray, MD
23194
RN102486
Sisson, April Buffington
2734
1240 Jesse Jewell Pkwy, Suite 500 Gainesville, GA 30501
6/4/2015
Susamma Mathew, MD
45881
246163
Sivewright, Amanda
15603
3525 Sugarloaf Parkway Lawrenceville, GA 30044
9/11/2008
Frances Owen, MD
40973
RN186468
Sizer, Cathy Jean
7990
172 Follins Lane St. Simon's Island, GA 31522
6/4/2015
Loy Cowart, MD
37979
RN175214
Skipper, Alan
15542
127 North College St Statesboro, GA 30458
1/11/2013
David Weems, MD
28100
RN175214
Skipper, Alan
11363
27 Lester Rd. Statesboro, GA 30458-4764
3/6/2009
Jacques Dion, MD
45201
RN144854
Skukalek, Susana Libhaber
8510
1365-B Clifton Rd, # 2200 Atlanta, GA 30322
2/5/2009
Charles Cawley, MD
45741
RN144854
Skukalek, Susana Libhaber
1761
1365-B Clifton Rd, #2200 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 326 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/3/2009
Emmett Berry, MD
23905
RN117428
Slade, Jennifer Johnson
2739
3888 Northside Dr Macon, GA 31210
4/3/2008
Andrew Dott, MD
33314
RN193511
Slade, Ashley Pierce
8168
993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342
8/7/2014
Vita Goei, MD
49533
RN149527
Slagle, Kathleen Marie Hiland
13643
1446 Harper St., Ste B6-1104 Augusta, GA 30912
10/9/2014
Keith Raziano, MD
50988
RN129557
Slappey, Susan Dolores
13994
5730 Glenridge Dr., Ste 100 Sandy Springs, GA 303028
12/6/2013
Susan Thomas, MD
67173
RN107276
Slaughter, Traci Lynn
2560
2464 Roswell Rd Marietta, GA 30062
5/4/2012
Weatherspoon, Bryan MD
33482
RN051489
Slay-Chipp, Cathy
10641
51 Lindsey Lane Kingsland, GA 31548
8/2/2007
Olugbenga Awe, MD
48329
RN051489
Slay-Chipp, Cathy Elizabeth
546
242 South Coastal Hwy 17 Brunswick, GA 31320
2/7/2008
Mark Hutson, MD
35908
RN054948
Slemp, Marietta Shell
2742
1875 Century Blvd NE, Suite 150 Atlanta, GA 30345
10/9/2014
Cynthia Giles, DO
48778
RN198355
Slocumb, Shannon Elizabeth
14034
555 Blue Bird Blvd. Fort Valley, GA 31030
5/1/2014
Thaddeus L. Chapman, MD
64380
RN155251
Smarr, Sherishe
11295
550 Peachtree St., Ste 1615 Atlanta, GA 30308
5/8/2015
Timothy Ashburn, MD
68698
RN127602
Smeltzer, Melissa
15517
102 Gross Crescent Cir, Ste 501 Fort Oglethorpe, GA 30742
4/1/2010
Terri McFadden, MD
32110
RN060906
Smikle, Gloria V
2744
35 Jesse Hill Jr Dr Atlanta, GA 30303
8/6/2015
Richard Antonio, MD
74176
RN183730
Smith, Margena
16081
484 Irvin Court Decatur, GA 30030
8/6/2015
Ann Eggert, MD
28972
RN234034
Smith, Holly
16104
12 Eastbrook Bend Peachtree City, GA 30269
Wednesday, August 12, 2015
Page 327 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Caryn Masterman-Smith,
DO
63712
RN188916
Smith, Jessica
15666
125 Church St Vidalia, GA 30474
7/9/2015
Paul Guichard, DO
54386
RN204485
Smith, Tiffany
15843
55 Whitcher St, Ste 350 Marietta, GA 30060
7/9/2015
Andrea Hill, MD
51332
RN145936
Smith, Melissa Ann
14546
517 Great Oaks Dr, Ste 103 Monroe, GA 30655
5/8/2015
Debra Johnson-Jordan, MD
32592
RN233567
Smith, Fitima
14538
2739 Felton Dr East Point, GA 30344
5/8/2015
Robert Wynn, MD
56939
RN175547
Smith, Fawn Barnard
15533
7120 Hodgson Memmorial Dr. Savannah, GA 31406
5/8/2015
Lenora Allen, MD
21473
RN184094
Smith, Jamie
15415
713 Andrews, Dr Thomaston, GA 30286
5/8/2015
Richard Rickman, MD
49332
RN124380
Smith, James Craig
15055
151 South Houston Lake Rd Warner Robins, GA 31088
4/2/2015
Sharad Ghamande, MD
49173
RN244129
Smith, Natalie Nicole
15068
1120 15th St. Augusta, GA 30912
4/2/2015
Grace Ma, MA
47345
RN203991
Smith, Lindsey
15245
3131 Maple Dr Atlanta, GA 30305
3/5/2015
Charles Edenfield, MD
30052
RN157256
RN157256
Smith, Jennifer Lynn
14990
623 South Houston Lake Rd, Ste 200 Warner Robins, GA 310
2/5/2015
Sharad Ghamande, MD
49173
RN082793
Smith, Anne Leslie
14897
1120 15th St Augusta, GA 30912
2/5/2015
Daryl McCartney, MD
68067
RN081837
Smith, Kathryn Anne
14866
215 North Coleman St Swainsboro, GA 30401
1/8/2015
Louis Heller, MD
45238
RN135643
Smith, Kimberly
14668
755 Walther Rd Lawrenceville, GA 30046
1/8/2015
Christopher Cawley, MD
58858
RN215333
Smith, Carrie Lynn
14854
550 Professional Dr Macon, GA 31201
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
1/8/2015
Jennifer Gould, MD
33974
RN057008
Smith, Janet Lynn
14677
690 Courtenay Dr N E Atlanta, GA 30306
11/7/2014
Freeman Montaque, MD
28123
RN218740
Smith, Lorna Murrine
14259
1510 Milstead Ave NE Conyers, GA 30012-8030
10/9/2014
Bridgett Asbury, MD
48752
RN176448
Smith, Lisa Dian Mixon
13166
1806 Lee Ave Tifton, GA 31794
10/9/2014
James Peterzell, DO
53868
RN195010
Smith, Brianne Clare
14100
200 Galleria Pkwy, Ste 100 Atlanta, GA 30339
10/9/2014
Whitney Feinberg, MD
42100
RN089788
Smith, Allison
14422
3795 Mansell Rd Alpharelta, GA 30022
9/11/2014
Jestina Mason, MD
57888
RN113417
Smith, Daniel Joe
13870
1255 Hwy 54 W, Emer Dept. Fayetteville, GA 30214
8/7/2014
John Gerguis, MD
47085
RN144996
Smith, Jennifer Lynn
13615
1203 Brampton Ave Statesboro, GA 30458
8/7/2014
Cynthia Brown, MD
49876
RN102046
Smith, Jennifer Martinez
13595
815 Curtis Pkwy Calhoun, GA 30701
8/7/2014
Craig Underset, MD
29961
195010
Smith, Brianne Clare
13597
5579 Mableton Pkwy Mableton, GA 30126
7/10/2014
Emile Risby, MD
30869
RN237608
Smith, Melissa Faye
13510
3000 Schatulga Rd Columbus, GA 31907
7/10/2014
Jan Mayfield, MD
51355
RN057008
Smith, Janet Lynn Campbell
13419
4685 Dorsett Shoals Rd. Douglasville, GA 30135
4/4/2014
Eileen Javellana, MD
45841
RN148808
Smith, Melissa Lynn
3309
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
3/6/2014
Kevin Kurey, MD
45862
RN162256
Smith, Rachel Stallings
2778
101 Regency Park Dr, Suite 130 McDonough, GA 30253
1/9/2014
Chloe Armstead, DO
70699
RN128471
Smith, Tara Newman
12733
500 18th St, Suite B-20 Columbus, GA 31901
10/10/2013
Nathan Feibelman, MD
28768
RN184094
Smith, Jamie Alice
12236
144 Pierce Ave Macon, GA 31204
Wednesday, August 12, 2015
Page 329 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
Laura Mulloy, DO
33412
RN140291
Smith, Robert Scott
11845
1120 15th St, Suite BA-9413 Augusta, GA 30912
9/13/2013
Eddie Richardson, MD
52047
RN113417
Smith, Daniel Joe
12326
105 Harmony Crossing, Suite 3 Eatonton, GA 31024
8/9/2013
Yolanda Graham, MD
38001
RN057008
Smith, Janet Lynn Campbell
12045
1291 Stanley Rd NW Kennesaw, GA 30152
8/9/2013
Cynthia Libert, MD
59457
RN181932
Smith, Deborah Jean
12171
48 Haralson Pl, Suite 1 Blairsville, GA 30512
8/9/2013
Candice Wallace, MD
30918
RN135643
Smith, Kimberly Marie Montroy
7823
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
8/9/2013
Brian DeLoach, MD
51216
RN118154
Smith, Beverly Blige
12153
GSU, Bldg 0404 Forest Dr, PO Box 8043 Statesboro, GA 3046
8/9/2013
James Smith, MD
59763
RN154813
Smith, Alisha Aikens
7891
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
8/9/2013
Cameron Nixon, MD
55155
RN188644
Smith, Elizabeth E
12115
907 E 18th St, Suite 209 Tifton, GA 31794
8/9/2013
Jeffrey Oyler, MD
41191
RN195010
Smith, Brianne Clare
12194
1968 Peachtree Rd NW Atlanta, GA 303096
4/4/2013
Abiola Babalakin, MD
62467
RN185152
Smith, Brenda Simpson
11803
4720 Peachtree Industrial Blvd, #4101 Norcross, GA 30071
1/11/2013
Dan Ioanitescu, MD
51476
RN184094
Smith, Jamie A.
11442
940 GA Hwy 96 Warner Robins, GA 31088
11/2/2012
Anthony J. Marchetti, MD
31471
RN113417
RN113417
Smith, Daniel J.
11196
801 W. Goram St. Thomaston, GA 30286
10/5/2012
Clyde Simmons, MD
17301
RN060915
Smith, Lynne D.
11065
330 Benjamin H Hill Dr Fitzgerald, GA 31750
9/13/2012
David Dean, MD
64808
RN
182748
Smith, Meghan
2709
95 Collier Rd, Suite 5015 Atlanta, GA 30309
Wednesday, August 12, 2015
Page 330 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2012
Van, David MD
29545
RN113417
Smith, Daniel
10940
747 S. Hill St Griffin, GA 30224
8/10/2012
Battey, Patrick MD
24388
RN080577
Smith, Cherie
10939
95 Collier Rd, Ste 5015 Atlanta, GA 30309
7/12/2012
Ahmed, Kashjf MD
61547
RN218375
Smith, Stephanie
10861
2200 Hwy 155 North McDonough, GA 30252
12/1/2011
Webb, Lawrence MD
63230
RN113417
Smith, Daniel
10249
840 Pine Street Ste 500 Macon, GA 31201
11/3/2011
Robin Fowler, MD
52931
RN150223
Smith, Allison Leigh
9893
1388 Wellbrook Circle, Suite A Conyers, GA 30012
10/7/2011
Keown, Kevin MD
29897
RN085868
Smith, Tandy
10157
330 Peachtree St Jesup, GA 31545
4/1/2011
Lynn Flowers, MD
56708
RN207746
Smith, Clover Jean
9670
601 South 8th St, Emer Dept Griffin, GA 30224
9/2/2010
Olakunle Aina, MD
48968
RN113417
Smith, Daniel Joe
9282
2000 Palmyra Rd Albany, GA 31701
8/6/2010
Titus Duncan, MD
20692
RN173666
Smith, Kathryn Olivia
9191
285 Boulevard NE, Ste 120 Atlanta, GA 30312
7/1/2010
Debora Quigley, MD
36601
RN181932
Smith, Deborah Jean
2757
178 Hospital Cir Blairsville, GA 30512
2/5/2010
Terry Hansen, MD
47330
RN063641
Smith, Tina Carita
2787
184-A Professional Dr Baldwin, GA 30511
12/4/2009
David Suh, MD
57848
RN169748
Smith, Jennifer Bedwell
8834
1468 Montreal Road Tucker, GA 30084
11/5/2009
Quyen Luu, MD
25216
RN154107
Smith, Amanda Kelley
8782
639 Hemlock St, Suite 200 Macon, GA 31201
1/9/2009
David Kocherla, MD
45855
RN113417
Smith, Daniel Joe
8190
PO Box 908 Albany, GA 31707
Wednesday, August 12, 2015
Page 331 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/2/2008
Jeffrey Grossman, MD
46109
RN150223
Smith, Allison Leigh
2746
5555 Peachtree Dunwoody Rd, Suite G99 Atlanta, GA 30342
7/11/2008
Howard Silverman, MD
35521
RN133503
Smith, Susan Leigh Algood
2784
3400-C Old Milton Pkwy, Suite 545 Alpharetta, GA 30005
6/6/2008
Cherilyn Zellner, MD
43153
RN125326
Smith, Olivia P.
2775
508 W. Elm Street Wrightsville, GA 31096
5/9/2008
Benjamin Andrews, MD
31867
RN113417
Smith, Daniel Joe
8191
100 Wheatley Drive Americus, GA 31709
12/7/2007
Derrick Phillips, DO
29514
RN124380
Smith, James Craig
2763
3051 Watson Blvd Warner Robins, GA 31093
12/7/2007
Jeffrey Easom, DO
54269
RN124380
Smith, James Craig
8115
3051 Watson Blvd Warner Robins, GA 31093
12/7/2007
Paul Jarrett, MD
23069
RN124380
Smith, James Craig
8116
3051 Watson Blvd Warner Robins, GA 31093
10/4/2007
Marie Baudean, MD
23898
RN089788
Smith, Allison Bernice Reeves
2745
980 Hwy 29 South Lawrenceville, GA 30045
9/14/2007
Clifford Cranford, MD
22738
RN112907
Smith, Marlo Patrice
8076
1755 Hwy 34 East, Suite 2400 Newnan, GA 30263
9/14/2007
Theodore Lee, MD
24014
RN115453
Smith, Ellen Gray
8045
1938 Peachtree Rd. Atlanta, GA 30309
9/14/2007
Evelyn Johnson, MD
56182
RN038139
Smith, Wanda Gail Hollis
2788
105 E. Tollison St. Baxley, GA 31513
6/8/2007
Umbreen Lodi, MD
45284
RN115453
Smith, Ellen Gray
2759
82 Jesse Hill Drive Atlanta, GA 30303
1/8/2015
Pablo Perez, MD
47502
RN206506
Smith-Vaughn, Mellissa Joy
14721
815 Shugart Rd Dalton, GA 30720
1/9/2014
Kenneth Hayman, MD
29182
RN206506
Smith-Vaughn, Melissa Joy
12665
100 Gross Crescent Cir, Emer Dept Ft Oglethorpe, GA 30742
Wednesday, August 12, 2015
Page 332 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Boyd, Ronald MD
9438
RN155696
Snead, Keshana
10215
Blandy Way Office Park 60, Hwy 22 W Milledgeville, GA 3106
4/3/2008
Andrew Dott, MD
33314
RN058761
Snead, Laurie Johnston
2793
993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342
7/10/2009
Derron Jones, MD
59983
RN073598
Snider, Teresa Gale Oldham
2795
6000 N. Terminal Pkwy, Suite 315 Atlanta, GA 30320
7/9/2015
Tina Flanagan, MD
47605
RN133811
Snow, Kimberly
15411
3131 South Main St Moultric, GA 31768
7/10/2009
Edwin Hiatt, MD
12920
RN133811
Snow, Kimberly Sheree Tucker
8629
200 Georgia Ave Valdosta, GA 31698
1/9/2014
Christopher Hagenstad, MD
52738
RN069952
Snyder, Cynthia Tucker
12372
631 Professional Dr, Suite 450 Lawrenceville, GA 30046
8/13/2012
David Fieseler, MD
17756
RN176058
Snyder, Amanda
10942
523 West Main street Thomaston, GA 30286
8/7/2009
William Delp, DO
17791
RN069952
Snyder, Cynthia Tucker
2799
4589 Lawrenceville Rd Loganville, GA 30052
6/30/2011
Hillary Hahn, MD
48051
RN138753
Sobolik, Kim Elise Wakely
9820
340 Kennestone Hosp Blvd, #200 Marietta, GA 30060
1/7/2011
Folashade Omole, MD
49074
RN111832
Soehnlein, Regina Louise
9564
5985 Peachtree Pkwy Norcross, GA 30092
9/11/2014
Jorge Pisarello, MD
58914
RN115875
Soles, Stanley Ferrell
13699
1120 W. Broad Ave, Suite B-4 Albany, GA 31705
5/3/2013
Edward Himot, MD
18388
RN197261
Sollie, Michael Eland
11808
55 Whitcher St, Suite 460 Marietta, GA 30060
11/2/2012
Thomas M. Pantino, MD
3904
RN080808
Sommers, Tanya C.
11294
3795 Mnsell Rd. Alpharetta, GA 30022
11/7/2014
Michael Vaughn, MD
22660
RN176209
Sone, Gladys Epote
13465
2150 Peachford Rd. Atlanta, GA 30338
Wednesday, August 12, 2015
Page 333 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/1/2014
Charles Betz, MD
17130
RN176209
Sone, Gladys Epote
13134
809 S Broad St Rome, GA 30161
2/5/2015
Roberty Swerlick, MD
30906
RN139832
Sones, Sharon Elizabeth
14916
1670 Clairmont Rd Atlanta, GA 30033
6/4/2015
Tara Howell, MD
61839
RN198316
Sons, Kristi
15702
25 West Lyon St Tallapoosa, GA 30176
1/8/2015
Stephen Cox, DO
66940
RN183659
Sorace, Breanna
14687
5610 Bethelview Rd, Ste S 500 Cumming, GA 30040
9/11/2014
John Pearson, MD
42104
RN183659
Sorace, Breanna Leigh
13325
1200 Northside Forsyth Dr. Cummings, GA 30041
12/7/2012
David L. Dickensheets, MD
45769
RN183659
Sorace, Breanna L.
11367
1100 Northside Forsyth Dr., Ste 250 Cumming, GA 30041
6/4/2015
Eric Powell, MD
49081
RN218133
Soriano, Sr., Dino Vincent
15700
586 Brannen St Statesboro, GA 30458
9/11/2008
John Henson, MD
29885
RN123875
Sosebee, Dawn Mooney
2807
108 Prominence Ct, Suite 200 Dawsonville, GA 30534
8/10/2012
William Lynds, MD
33140
RN124958
Sostre, Maria
10953
3003 Old Alabama Road Alpharetta, GA 30022
6/4/2015
Henry Lewis, MD
49052
RN203226
Southerland, Shanita
15645
774 GA Hwy 96 Bonaire, GA 31005
8/9/2013
Dennis Estep, MD
25429
RN229423
Spada, Mary Kathryn
12165
2366 Battlefield Pkwy Ft Oglethorpe, GA 30742
5/8/2015
Peter Barrett
69372
RN216062
Sparks, Kristin
15396
95 Collier Rd NW Atlanta, GA 30309
9/11/2014
Highbaugh-Battle, Agnela
MD
59076
RN107315
Sparks, Tony Lewis
13847
143 S. Tallahassee St Hazlehurst, GA 31539
7/10/2014
David Hatmaker, MD
26300
RN107315
Sparks, Tony Lewis
13543
One Meadows Parkwy, Emer Dept Vidalia, GA 30474
Wednesday, August 12, 2015
Page 334 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/12/2012
Aicher, John MD
26432
RN107315
Sparks, Tony
10830
2712 Hwy 411 SE Fairmount, GA 30139
2/3/2012
Oller, Carlo MD
65719
RN107305
Sparks, Tony
10465
960 Joe Frank Harris Pkwy Cartersville, GA 30120
6/30/2011
Byron Littlefield, DO
28810
RN107315
Sparks, Tony Lewis
9838
2712 Hwy 411 SE Fairmount, GA 30319
7/11/2008
John Sparti, DO
16148
RN065096
Sparti, Frances Lillian
8241
PO Box 89 Dallas, GA 30132
8/6/2015
Todd Hold, MD
#####
RN096054
Spaulding, Micah
15524
1035 Redbud Rd Calhoun, GA 30701
5/8/2015
Garrett Barnes, MD
44163
RN096054
Spaulding, Micah
15503
420 East 2nd Ave Rome, GA 30161
2/7/2008
Garrett Barnes, MD
44163
RN096054
Spaulding, Micah Derrick
2813
304 Turner McCall Blvd Rome, GA 30165
8/6/2015
Mae Morgan, MD
22902
RN088491
Spearman, Pamela
15656
424 Decatur St SE Atlanta, GA 30312
1/9/2014
G W Garriss, III, MD
51134
RN154322
Spearman, Amy Louise
12368
3939 Roswell Rd, Suite 200 Marietta, GA 30062
2/5/2015
Randolph Sumner, MD
28323
RN243415
RN243415
Speights, Charlanna
14780
1825 Martha Berry Blvd Rome, GA 30165
12/3/2010
Gary Minkiewicz, MD
39182
RN145966
Spell, Samantha Suzanne
2818
200 S. Enota Dr, Suite 200 Gainesville, GA 30501
4/2/2015
Janet Memark, MD
64415
RN123614
Spencer, Ivy
15072
52 Tower Rd Marietta, GA 30060
9/11/2008
Patrick Spafford, MD
38971
RN139992
Spencer, Leigh Winter
2821
5901-C P'tree Dunwoody Rd, #C-65 Atlanta, GA 30328
10/10/2013
Langston Cleveland, MD
46584
RN066989
Spicer, William Troy
12426
4468 Union Rd Tifton, GA 31794
Wednesday, August 12, 2015
Page 335 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
7/11/2008
James Logan, MD
40465
RN131673
Spinks, Victoria Sanvidge
2824
1062 Forsyth St, Suite 2C Macon, GA 31201
3/1/2012
Honeycutt, Deborah MD
38633
RN135827
Spinolo, Julia
10535
2000 Clayton State Blvd SC 211 Morrow, GA 30260
5/1/2014
Robert Blackwell, MD
50128
RN145338
Spires, Kimberly Warren
13177
3708 Northside Dr Macon, GA 31210
4/2/2015
James Sinclair, MD
36457
RN138202
Spivey, Jennifer Wildes
15275
306 Westside Dr Douglas, GA 31533
7/11/2013
Robert Clark Brown, MD
56269
RN167104
Springman, Courtney Louise
12024
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
10/5/2012
Brian Kogon, MD
53322
RN167104
Springman, Courtney
11028
1405 Clifton Rd. Atlanta, GA 30322
9/13/2013
Rembert Williams, MD
28105
RN162398
Sprout, Amanda Marie Baldwin
12312
2122 Manchester Exprwy, Emer Dept Columbus, GA 31904
1/8/2015
Frini Shah, MD
57489
RN106133
Sprung, Melanie
14675
2000 Professional Way, Ste 200 Woodstock, GA 30188
9/11/2014
Ermina Mujadzic, MD
64868
RN070342
Spurr, Melissa Marie
13711
447 N Belair Rd., Ste 101 Evans, GA 30809
12/6/2013
Vanessa Stewart, MD
55201
RN070342
Spurr, Melissa Marie
12014
820 St Sebastian Way, Suite 4-A Augusta, GA 30901
4/2/2009
Grace Chin-Yut, MD
40886
RN170535
St. Louis, Latersha Sherrell
7874
2100 Comer Avenue, Plaza G Columbus, GA 31902
10/9/2014
Isioma Okwumabua, MD
70256
RN241694
St. Vil-Joseph, Carline
14099
7530 Roswell Rd Atlanta, GA 30350
1/8/2015
David Carlton, MD
28738
RN237262
Staebler, Suzanne Lynn
14580
80 Jesse Hill Jr Dr Atlanta, GA 30303
4/2/2015
Daniel Holtz, MD
62891
RN146014
Stallings, Judith
15087
4550 Cobb Parkway N W, Ste 309 B Acworth, GA 30101
Wednesday, August 12, 2015
Page 336 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/30/2011
Sackdinanh Keomahathai,
MD
51054
RN147939
Stallings, Kimberly Ann
9827
550 Redmond Rd Rome, GA 30165
2/5/2010
Christopher Riddell, MD
21796
RN127250
Stamegna, Lynn Mary
8892
2540 Windy Hill Rd Marietta, GA 30067
4/1/2011
Gretchen Diaz-Lopez, MD
52918
RN052926
Stamm, Alice Marie Nash
9606
2709 Airport Rd, Suite 101 Dalton, GA 30721
4/13/2007
Daryl Carson Wiley, MD
32327
RN113457
Stamper, Michael Scott
2834
315 Fluker Street Thomson, GA 30824
11/8/2013
Byron Sizemore, MD
63959
RN205273
Stanaland, Leslie Carrie
12483
100 Mimosa Dr, 2nd Floor Thomasville, GA 31792
6/6/2014
Vicki Morgan, MD
25645
RN169676
Stancel, Stephanie Tara
13258
3815 Harrison Rd Loganville, GA 30052
1/6/2012
Smith, Ronnie MD
45338
RN169676
Stancel, Stephanie
10304
543 Jonesb oro Road McDonough, GA 30263
7/10/2014
Lawrence Zottoli, MD
36639
RN175956
Standiford, Christen Faith
13020
4704 Augusta Rd Garden City, GA 31408
4/4/2014
Eduard Docu, MD
56426
RN175956
Standiford, Christen Faith
13021
1302 Drayton St Savannah, GA 31410
3/5/2015
Ashwini Gore, MD
65776
RN135249
Stanfield, Jennifer Michele Free
15015
265 Sheraton Blvd Macon, GA 31210
11/7/2008
James McAvoy, MD
18696
RN077658
Stanfill, Teresa Lyn Bradberry
2836
109 College Avenue Elberton, GA 30635
11/7/2014
Nandlal Chainani, MD
44893
RN209175
Stanley, Robin Chavon
14153
1610 John Orr Dr, Ste E Tifton, GA 31794
11/7/2014
Navdeepa Chainani, MD
63840
RN209175
Stanley, Robin Chavon
14360
72 Kent Rd., Ste 4 Tifton, GA 31794
7/10/2014
James Brad White, MD
39510
RN160119
Stargell, Elizabeth Ann
13519
119 Ambulance Dr, Suite 202 Carrollton, GA 30117
Wednesday, August 12, 2015
Page 337 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2009
Robert Strauss, MD
27307
RN042551
Stariha, Linda Sadler
2841
1700 Hospital South Drive, Suite 502 Austell, GA 30106
6/6/2014
Oscar Salvat, MD
49742
RN066998
Stark, Suzanne
13208
220 Alston St. Richland, GA 31825
12/4/2009
John Shoffner, MD
32655
RN159717
Starnes, Maureen E.
8776
1 Dunwoody Park South, Suite 250 Atlanta, GA 30338
10/5/2012
Amy Bailey, MD
62809
RN093153
Starrett, Laura Lynn Collins
10995
7850 Hwy 145 Carnesville, GA 30521
8/6/2015
Rodney Smith, MD
18553
RN081873
Staub, Laurie M
2847
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
1/7/2010
Kristy Carter, MD
62666
RN169008
Stauff, Bertha Nichols
2848
11 Charlie Morris Rd Colbert, GA 30628
3/29/2012
Huff, Philip MD
26872
RN187046
Steding, Dawnelle
10624
6385 McGinnis Ferry Rd, Ste 202 Johns Creek, GA 30005
11/7/2014
Velens Plummer, MD
49496
RN064448
Steele, Katherine Long
14257
6410 W John Xing Duluth, GA 30097-1507
5/4/2012
Kinsey, Gary MD
30637
RN209945
Steerman, Holly
10658
4 North Main Street Maysville, GA 30558
1/8/2015
Alonzo Jones, MD
36787
RN229397
Steff, Ryan David
12421
2300 Manchester Expwy, Ste 2001 Columbus, GA 31904
2/5/2015
Kavieh Ehsanipoor, MD
20309
RN181599
Stegall, Kelly
14807
4750 Waters Ave, Ste 452 Savannah, GA 452
10/9/2014
Jonathan Stegall, MD
69967
RN230998
Stegall, Carolyn Lovejoy
14086
10700 Medlock Bridge Rd, Ste 207 Johns Creek, GA 30097
12/6/2013
Bruce Ramsdell, MD
18722
RN230998
Stegall, Carolyn Lovejoy
12633
3145 Peachtree Rd NE, Suite 165 Atlanta, GA 30305
7/9/2015
Steven Bouldin, MD
67110
RN197545
Stein, Charles
15480
304 Turner McCall Blvd Rome, GA 30165
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2013
Ariana Buchanan, MD
48323
RN076478
RN076478
Stein, Christina Lynn Bisca
11781
1800 Peachtree St NW, Suite 720 Atlanta, GA 30309
7/9/2015
Brian Herrmann, MD
54219
RN245855
RN245855
Steinberg, Kimberly
15774
5455 Meridian Mark Rd, Ste 130 Atlanta, GA 30342
9/13/2013
William Mahle, MD
50110
RN124632
Steinmetz, Jami Dearmon
12250
1405 Clifton Rd NE, Heart Transplant Atlanta, GA 30322
6/4/2010
Claudia Venable, MD
50455
RN124632
Steinmetz, Jami Dearmon
9127
1001 Johnson Ferry Rd Atlanta, GA 30342
11/7/2014
Joseph Griffin, MD
14811
RN203151
Steinmeyer, Ashleigh Lauren
14150
423 Crawford Ave Augusta, GA 30904
10/8/2010
Jay Prakash, MD
25986
RN145780
Stemberger, Jennifer Williams
2854
4865 Bill Gardener Pkwy Locust Grove, GA 30248
3/8/2013
Chandresh Viradia, MD
53050
RN207096
Stembridge, Fredicia LaSandra
11641
100 Jim Mason Ct, Suite A Warner Robins, GA 31088
11/8/2013
George Rafeedie, MD
67591
RN170552
Stemp, Linda Denise
12397
2878 Five Forks-Trickum Rd, Suite 2A Lawrenceville, GA 3004
11/2/2012
Bryan D. Blake, MD
40613
RN170552
Stemp, Linda D.
11293
1650 Honey Creek Commons, Ste F Conyers, GA 30013
9/13/2012
Brian Kogon, MD
53322
RN160130
Stephan, Karen Marie
10972
1405 Clifton Rd Atlanta, GA 30322
7/9/2015
Song Na, MD
38059
RN189936
Stephens, Bryan
15730
4995 Lanier Island Pkwy Buford, GA 30518
2/5/2015
Stepen Finn, MD
46961
RN238076
Stephens, Andrea
14781
1825 Martha Berry Blvd Rome, GA 30165
9/11/2014
David Allen, MD
24773
RN175504
Stephens, Amanda Meeler
13700
120 Trinity Place Athens, GA 30607
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/7/2013
Angelica James-Herry, MD
48362
RN167716
Stephens, Melia Ann
11900
1405 Clifton Rd, 4th Floor, AFLAC Atlanta, GA 30322
2/7/2013
Arif Patni, DO
42916
RN069200
Stephens, Cheryl L.
11563
260 Elm St. Cumming, GA 30040-2467
7/12/2012
Lopez, Daniel MD
64597
RN211903
Stephens, Ceretha
10848
643 Main Street Palmetto, GA 30268
3/1/2012
Sinclair, Courtney MD
45208
RN069200
Stephens, Cheryl
10519
310 Paper Trail Way, Ste 109 Canton, GA 30115
10/8/2010
Joy Smith, MD
38968
RN167716
Stephens, Melia Ann
9406
35 Jesse Hill Jr Dr Atlanta, GA 30303
11/7/2014
Satish Rao, MD
66739
RN167843
Sterling, Kristen Heather
14190
1120 15th St Augusta, GA 30912
1/9/2014
Jeremy Pantin, MD
66390
RN167843
Sterling, Kristen Heather
12564
1120 15th St, BA-5409 Augusta, GA 30912
8/6/2015
Jyoti Sharma, MD
69709
RN185213
Stern, Christina
16118
275 Collier Rd, Ste 300 Atlanta, GA 30309
6/3/2011
John Blankenship, MD
49529
RN201841
Stevens, Lacey Nicole
9752
1500 Oglethorpe Ave, Suite 2000 Athens, GA 30606
1/9/2009
Cynthia Dolan, MD
35615
RN108425
Stevens, Joy Manry
8419
565 Old Norcross Road, Suite 200 Lawrenceville, GA 30045
11/7/2008
Joenie Almeida, MD
45694
RN069281
Stevens, Deena Pierce
2863
527 Eisenhower Drive Savannah, GA 31406
11/1/2007
Michelle Futral, MD
36378
RN108425
Stevens, Joy Manry
8083
2045 Peachtree Rd, Ste 525 Atlanta, GA 30309
4/4/2014
Roy Rajan, MD
66553
RN193370
Steves, Amy Brewster
13077
2015 Uppergate Dr NE Atlanta, GA 30322
5/7/2009
Deborah Burton, MD
39297
RN193370
Steves, Amy Brewster
8518
2550 Windy Hill Rd, Suite 307 Marietta, GA 30067
Wednesday, August 12, 2015
Page 340 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Eric Anderson, MD
51577
RN115879
Stevick, Jennifer Ann
14806
209 Pendleton Dr Valdosta, GA 31602
8/6/2015
Peter Hinds, MD
71130
RN170295
Stewart, Cassandra
15922
1950 Palmyra Albony, GA 31707
4/2/2015
Peter Wrobel, MD
40285
RN124133
Stewart, Deborah Margaret
15252
1406 Alice St Wycross, GA 31501
2/5/2015
Shahed Brown, MD
61400
RN111294
Stewart, Jacquelyn
14767
1670 Clairmont Rd Decatur, GA 30033
2/5/2015
Kenneth Grotz
37820
RN189558
Stewart, Shalonna Nonique
14888
4150 Washington Rd, Ste 11 Evan, GA 30809
2/5/2015
Joshua Vova, MD
60484
RN226921
Stewart, Fallon Kay
14836
1001 Johnson Ferry Rd N E Atlanta, GA 30342
12/4/2014
Sendhil Subramanian, MD
49107
RN170667
Stewart, Yancey
14470
1000 Johnson Ferry Rd, Ste B 155 Marietta, GA 30068
7/10/2014
Paul Weinberg, MD
23244
RN218645
Stewart, Martha Lynn
13538
631 Professional Dr, Ste 350 Lawrenceville, GA 30046
6/6/2014
Lisa Miller, MD
38874
RN112736
Stewart, Daphnee Leigh Johnso
2868
4152 Baker St., NE Covington, GA 30014
2/6/2014
Thomas Chun, MD
47580
RN170096
Stewart, Natalie Holland
12800
55 Whitcher St, Suite 250 Marietta, GA 30060
10/10/2013
Robert West, MD
43818
RN205580
Stewart, Merry Ann
12251
465 North Belair Rd, Suite 2-B Evans, GA 30809
8/9/2013
Cynthia Brown, MD
49876
RN145278
Stewart, Dana Michelle
12143
815 Curtis Pkwy SE Calhoun, GA 30701
3/4/2010
Sharad Ghamande, MD
49173
RN175513
Stewart, Katherine Anna
9004
1120 15th Street, Suite BA-7411 Augusta, GA 30912
9/13/2013
Jeff Reinhardt, MD
47250
RN176064
Stillman, Elizabeth Bernice
12276
725 Jesse Jewell Pkwy SE, Suite 200 Gainesville, GA 30501-3
Wednesday, August 12, 2015
Page 341 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Busman, Michael MD
40628
RN169306
Stinchcum, Anna
10042
922 E. Jefferson Street, Suite B Americus, GA 31709
10/5/2012
Sydney Hendrix, MD
56459
RN119496
Stively, Deborah
11144
228 Memorial Dr. Jesup, GA 31545
9/11/2014
Saman Ghaffari, DO
56446
RN169713
Stivers, Amy Louise
13969
2121 Fountain Dr., Ste D Snellville, GA 30078
7/7/2012
Akintoye, Adebukola MD
38164
RN184595
Stocker, Melody Love
10812
3420 Buford Dr, Ste E-780 Buford, GA 30519
12/4/2009
Gurinderjit Kaur-Sidhu, MD
35275
RN102555
Stoddard, Samantha Denice Jet
2876
7444 Hannover Pkwy, Suite 100 Stockbridge, GA 30281
5/8/2015
Altee Johnson, MD
60387
RN220700
Stokes, Kelly Christina
15208
101 Yorktown Dr, Ste 110 Fayetteville, GA 30214
2/6/2014
Anurupa Damineni, MD
47419
RN103931
Stokes, Marcia Lynette
7750
1670 Clairmont Rd Decatur, GA 30033
12/1/2011
Chen, Jonathen DO
60811
RN183437
Stoll, Sarah
10205
55 Whitcher Street, Ste 160 Marietta, GA 30066
3/5/2015
Jeffrey Grimes, MD
58673
RN081884
Stone, Karon Lynn Merritt
15012
326 W Montgomery Crossroad Savannah, GA 31406
6/6/2008
Thomas Olson, MD
40180
RN065002
Stone, Kathleen Nissly
2880
1405 Clifton Rd, Tower I, 4th Floor Atlanta, GA 30322
1/8/2015
Craig Bishop, DO
45725
RN213604
Storey, Amber Brooke
14618
2412 N Oak St Valdosta, GA 31602
6/8/2012
Proctor, Robert MD
8863
RN060668
Storey, susan
10521
310 Eisenhower Drive, Ste 5 Savannah, GA 31406
6/4/2015
Thomas Gary, MD
60264
RN212978
Storms, Katherine
15727
123 Weaver Rd, Ste A Blairsville, GA 30512
7/10/2014
Fabian Franco, MD
47430
RN149564
Story, Heather Lynne
13574
1743 Watson Blvd, Suite A Warner Robins, GA 31093
Wednesday, August 12, 2015
Page 342 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/10/2013
James Dunaway, Jr, MD
31588
RN095778
Story, Leigh Ann Woods
5358
305 South 8th St Griffin, GA 30224
5/8/2015
Cheryl McGowan, MD
70484
RN182841
Stough, Ashley
15460
11705 Jones Bridge Rd, Ste A 201 Johns Creek, GA 30005
7/10/2014
Alan Moy, DO
58990
RN206377
Stout, Mandy Rees
13556
501 Redmond Rd Rome, GA 30165
1/7/2010
Brij Singh, MD
43777
RN063851
Stovall, Susan Melinda McPhers
8822
1181 Old Summerville Rd Rome, GA 30165
10/4/2007
Ernest Jones, DO
41851
RN022471
Stowe, Patricia A
2881
135 Dogwood Street Warwick, GA 31796
6/4/2015
Oscar Salvat, MD
49742
RN104589
Stoyle, Sheryl
15636
618 East Lamar St Americus, GA 31709
2/3/2012
Hunsel, Ryan MD
66508
RN202333
Straach, Brittany
10423
1170 Cleveland, South Fulton Medical Center East Point, GA
2/5/2015
Michaele Brown, MD
57052
RN077156
Straub, Sharnee Elizabeth
14569
2487 Cedarcrest RD, Ste 714 Acworth, GA 30101
8/6/2015
Kevin Smith, MD
41961
RN146690
Strickland, Kelleigh Jean
14960
4450 Nelson Brogdon Blvd Buford, GA 30518
11/8/2013
Devin Handley, MD
48356
RN064327
Strickland, Thomas
12475
2659 Abutment Rd Dalton, GA 30720
7/1/2010
Jay Thomas, MD
47997
RN064327
Strickland, Thomas
9185
5764New Calhoun Hwy NE Shannon, GA 30172
12/4/2008
Eric Jensen, MD
50304
RN064327
Strickland, Thomas E.
8237
1107 Memorial Dr, Suite 300 Dalton, GA 30720
5/9/2008
Michael Witt, MD
26045
RN064327
Strickland, Thomas
2887
1289 Gi Maddox Pkwy Chatsworth, GA 30705
11/1/2007
Margaret Still, MD
31332
RN127023
Strickland, Tina Michele Huie
2888
1380 Upper Hembree Road Roswell, GA 30076
Wednesday, August 12, 2015
Page 343 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Louis Hempel, MD
33106
RN215756
Strigle, Catherine Marshall
12920
6918 McGinnis Ferry Road Suwanee, GA 30024
7/9/2015
Robert Marler, MD
35947
RN134286
Stringer, Marsha
15797
2435 Old Cornelia Hwy Gainesville, GA 30507
11/5/2010
Ui Ho Park, MD
18938
RN145301
Stroud, Melissa F.
9379
3889 Cobb Pkwy NW Acworth, GA 30101
1/9/2014
Gifford Lorenz, MD
30816
RN112208
Stubbs, Rachel Cowan
12752
310 Eisenhower Dr, Suite 5 Savannah, GA 31406
1/6/2012
Owen, Frances MD
40973
RN135494
Stubbs, Allison
10386
7000 Wellnes Way, Ste 7230 St. Simon's Island, GA 31522
8/5/2011
Jerry Williams, Jr, MD
63231
RN112208
Stubbs, Rachel Cowan
9897
602 1st Ave Tybee Island, GA 31328
9/13/2013
Daryl Wiley, MD
32327
RN199743
Stuckey, Megan Danielle
12257
315 Fluker St Thomson, GA 30824
9/2/2010
Teresa Luhrs, MD
32778
RN148291
Stuckey, Jennifer Tade
5363
682 Hemlock St, Suite 210 Macon, GA 31201
12/4/2014
Holly Clemons, MD
71921
RN043103
Stull, Mildred
14493
747 SouthHill St Griffin, GA 30224
7/9/2015
Melissa Sanchez Quiroz, MD
64056
RN192344
Stump, Catherine
15878
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
6/3/2011
William Warren, IV, MD
23126
RN192344
Stump, Catherine Elizabeth
9797
1015 Donald Lee Hollowell Pkwy Atlanta, GA 30318
9/13/2012
Michelle Evans, MD
52171
RN191978
Stuparits, Melissa Lynn
10973
35 Collier Road NW Atlanta, GA 30309
5/10/2007
Mark Todd Smith, MD
37908
RN067070
Sturcken, Doris Jean Junkin
2898
1303 D'Antignac St., Ste 2500 Augusta, GA 30901
10/9/2014
Ifeoma Nnaji, MD
63931
RN194195
Sturdivant, Shuconda Kanta
14090
1300 Joseph E. Boone Blvd, NW Atlanta, GA 30314
Wednesday, August 12, 2015
Page 344 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/6/2011
David Smith, DO
33707
RN102569
Suao-Castleberry, Tania
9661
13081 Hwy 9 Alpharetta, GA 30004
12/3/2010
Kenneth Rice, MD
47251
RN102569
Suao-Castleberry, Tania
9347
1628 Market Place Blvd Cumming, GA 30041
9/14/2007
Douglas Olson, MD
51073
RN102569
Suao-Castleberry, Tania
2900
Northside Hosp - ER, 1000 Johnson Ferry Rd Atlanta, GA 303
5/4/2012
Weinkle, David MD
38645
RN205834
Suchanek, Brittany
10671
PO Box 422002 Atlanta, GA 30342=9002
6/4/2015
Carl Orquia, MD
51074
RN113269
Suddeth, Misty
15601
2001 Antioch Rd Dalton, GA 30721
9/2/2010
Josephine Lopez, MD
44125
RN202534
Suggs, Melisa A
9196
1500 Oglethorpe Ave, Suite 100 Athens, GA 30606
5/8/2015
James Rogan, MD
37662
RN112143
Sullins, Lisia
15507
700 Park Regency Place, Ste 2502 Atlanta, GA 30326
12/4/2009
Scott Tarplee, DO
21057
RN112143
Sullins, Lisia Ann
2902
2300 Parkwood Drive Brunswick, GA 31520
1/9/2014
Steven Leichter, MD
40452
RN197605
Sullivan, Haley Patterson
12746
2425 Brookstone Centre Pkwy Columbus, GA 31904
1/6/2012
Blatt, Jacob MD
57935
RN116948
Sullivan, Virginia
10362
55 Whitcher Street, Ste 350 Marietta, GA 30060
4/2/2009
William Brown, MD
21653
RN116948
Sullivan, Virginia Therese
2906
355 Tower Road, Suite 300 Marietta, GA 30060
6/6/2014
Jeffrey Silveira, MD
41953
RN127085
Sumler, Todd Alan
13330
312 Westside Dr Douglas, GA 31533
6/6/2014
Wilson DuMornay, MD
68723
RN127085
Sumler, Todd Alan
13331
312 Westside Dr Douglas, GA 31533
8/10/2012
Douglas Moss, MD
41178
RN127085
Sumler, Todd
10908
814 Northwood Park Valdosta, GA 31602
Wednesday, August 12, 2015
Page 345 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
James Graham, MD
30071
RN174048
Summerlin, Jill
15829
2225 U.S HWY 41 N Tifton, GA 31794
6/4/2015
Sanford Hawkins, MD
44229
RN174048
Summerlin, Jill
15532
915 Gordon Ave Thomasville, GA 31792
4/2/2015
Flavia Rossi, MD
69623
RN174048
Summerlin, Jill Marie
15143
2225 US Hwy 41 North Tifton, GA 31794
5/1/2014
Vasily Assikis, MD
52530
RN186148
Summerlin, Aurelia King
7983
775 Poplar Rd, Suite 310 Newnan, GA 30265
6/3/2011
Frank Lake, III, MD
11972
RN174484
Summerlin, Melissa Davis
9761
743 Spring St Gainesville, GA 30501
7/9/2015
Bradwell McAlister, MD
40480
RN130632
Summerour, Lanissa Rae
14545
340 Exchange Blvd Bethlehem, GA 30620
11/7/2008
Carl Goolsby, MD
34144
RN129461
Summerville, Glenda June
2908
176 Marietta Hwy Hiram, GA 30141
11/8/2013
Caroline Yaphockun, MD
53213
RN162508
Summey, Kristin Bryson
12534
330 Turner McCall Blvd, Suite 4000 Rome, Ga 30165
9/11/2008
James Douglas, MD
33569
RN162508
Summey, Kristin Bryson
8292
15 Riverbend Drive, Suite 100 Rome, GA 30161
6/4/2015
Carlos Osmon, MD
16653
RN063858
Sumner, Karen
15687
1700 Hospital South Dr, Ste 300 Austell, GA 30106-8116
4/4/2013
Michael B. Sumner, Jr, MD
63062
RN146794
Sumner, Melissa Lampp
11476
3002 Allen Dr, Suite C Evans, GA 30809
11/2/2012
Israel B.D. Bryson, MD
54797
RN177081
Sumner, Erin
11215
2251 W. Elm St.; P.O. Box 371 Wrightsville, GA 31096
2/5/2010
Mathew Ciechan, II, MD
24217
RN146794
Sumner, Melissa Lampp
8996
400 Town Park Blvd, Suite 300 Evans, GA 30809
11/1/2007
Timothy Mecredy, MD
30652
RN146794
Sumner, Melissa Lampp
7853
393 North Belair Road Evans, GA 30809
Wednesday, August 12, 2015
Page 346 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Samir Belagaje, MD
64896
RN218916
Sunara-Waters, Adriana Karen
14741
80 Jesse Hill Jr Dr SE, Box 11G028 Atlanta, GA 30303
7/11/2013
James Harbin, MD
38507
RN116490
Susin, Barbara Leeanne Weitzel
5365
10155 Eagle Dr Covington, GA 30014
10/5/2012
Ellner, James MD
35861
RN110992
Sutherland, Joanna
10983
120 Stone Bridge Parkway Woodstock, GA 30189
4/4/2014
Gary Smith, MD
10666
RN171885
Sutton, Stephanie Le Ann
13004
615 East Villanow St Lafayette, GA 30728
10/10/2013
Wiley Smith, MD
63133
RN035712
Sutton, Beverly Lorraine Head
12362
218 North Fredrick St Dalton, GA 30721
5/3/2013
Haritha Pabbathi, MD
64236
RN152000
Sutton-Aransevia, Joylene Winif
11861
600 Parkway North, 1st Floor Newnan, GA 30265
3/6/2009
Renwick Hood, MD
24265
RN091126
Sveum, Jonne
5366
761 Old Norcross Road Lawrenceville, GA 30045
6/4/2010
Julia Gaines, MD
40384
RN124349
Swain, Angela Denise Dunsmor
2914
5041 Dallas Hwy, Bldg 2, Suite D Powder Springs, GA 30127
9/14/2007
James Capes, MD
38438
RN081904
Swartzberg, Barbara Jane Brow
2916
550 Peachtree Street Atlanta, GA 30308
9/13/2013
John Jenkins, II, MD
62726
RN190818
Swatts, Brandi Jackson
12214
612 West Gordon St, Suite C Thomaston, GA 30286
9/11/2014
Marc Coan, MD
33295
RN215104
Sweat, Robin Leanne
13826
58 Big A RD Toccoa, Ga 30577
1/8/2015
William Waren, MD
23126
RN046828
Sweeney, Barbara A
14392
1015 Donald Lee Holloway Pkwy Atlanat, GA 30318
4/2/2009
Brooks Moore, MD
53336
RN071880
Sweigart, Valorie Ann Wilson
2920
550 Peachtree St NE Atlanta, GA 30308
6/7/2013
Kavita Patel, MD
68850
RN175610
Swerdlin, Rachel Felice
11901
1405 Clifton Rd NE, 4th Floor, Tower 1 Atlanta, GA 30322
Wednesday, August 12, 2015
Page 347 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/2/2010
Jay Thomas, MD
47997
RN116714
Swiger, Nicole Belcher
9314
6000 Joe Frank Harris Pkwy, NW Adairsville, GA 30103
4/2/2015
Heather Henry, MD
44231
RN140778
Swilling-Nobles, Ericka
14820
1255 Hwy 54 West Fayetteville, GA 30214
3/4/2011
Heather Henry, MD
44231
RN140778
Swilling-Nobles, Ericka Denise
9603
327 S. 9th St Griffin, GA 30224
12/3/2010
Henry Watson, Jr, MD
25399
RN140778
Swilling-Nobles, Ericka Denise
8754
1795 Washington Rd East Point, GA 30344
5/1/2014
Mark El-Deiry, MD
66483
RN108709
Switzer, Traci Larue Warner
13123
550 Peachtree Rd, 9th Floor, MOT Atlanta, GA 30308
3/6/2009
William Swofford, MD
46262
RN132537
Swofford, Lisa Ann Staib
2831
210 W. Main Street, Suite 2 Colquitt, GA 39837
9/1/2011
Nizar Eskandar, MD
47425
RN184840
Swords, Christine Ann
9794
455 South Main St, Suite 201 Hinesville, GA 31313
7/9/2015
Michael Satchell, MD
49593
RN081905
Sykes, Mary Elizabeth
15713
2822 Nottingham Way, Ste 4 Albany, GA 31707
6/4/2015
Angela Dawson, MD
40895
RN081905
Sykes, Mary
15347
2734 Ledo Rd., Ste 15 Albany, GA 31707
7/11/2013
Dwayne Watkins, MD
53054
RN081905
Sykes, Mary Elizabeth Werne
12080
2734 Ledo Rd, Suite 15 Albany, GA 31707
6/8/2012
Jordan, Brian MD
53561
RN081905
Sykes, Mary
10343
1048 E. Forsythe Street Americus, GA 31709
10/7/2011
Aina, Olakunle MD
48968
RN081905
Sykes, Mary Elizabeth
10094
200 Palmyra Road Emer Dept Albany, GA 31701
10/9/2014
Whitney Feinberg, MD
42100
RN200358
Symes-Gilbert, Sandra
14046
3795 Mansell Rd. Alpharetta, GA 30022
12/6/2013
Melissa Davis, MD
59141
RN233644
Szabo, Christa Lauren
12560
1013 N 5th Ave Rome, GA 30165
Wednesday, August 12, 2015
Page 348 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/6/2015
Bryan Morse, MD
62396
RN176079
Szczepanski, Crystal
15908
80 Jesse Hill Jr Dr SE Atlanta, GA 30303
12/3/2010
Damon Kimes, MD
50322
RN176079
Szczepanski, Crystal Renee
9450
60 Hospital Rd, Emer Dept Newnan, GA 30263
11/1/2007
Jeffrey Nicholas, MD
48377
RN176079
Szczepanski, Crystal Renee
7953
69 Jesse Hill Jr Dr SE, Glenn Mem Bdg Rm 308 Atlanta, GA 30
8/6/2010
Kingsley Iyamu, MD
44493
RN024079
Taff, Audie Jean
9209
1850 Lake Park Dr, Suite 218 Smyrna, GA 30080
9/11/2014
Una Scruggs, MD
69636
RN183964
Tai, Eva Chen
13956
2660 Satellite Blvd Duluth, GA 30096
3/8/2013
Amy Pattishall, MD
60781
RN183964
Tai, Eva Chen
11701
1645 Tullie Circle Atlanta, GA 30329
10/7/2011
Talley, Thomas MD
33895
RN156813
Talley, Lynette
10093
414 5th Avenue Albany, GA 31701
3/8/2013
Nelson Madrazo, MD
49862
RN180141
Tan, Grace Madrazo
11741
103 Ga Hwy 27 East Americus, GA 31709
5/8/2015
Neha Soni, MD
60096
RN224625
Tangban, Frances
15417
5139 Jimmy Carter Blvd, Ste 205 Norcross, GA 30093
9/11/2014
Nneka Unachukwu, MD
61715
RN224625
Tangban, Frances Adaeze
14379
603 Old Norcross Rd, Ste A Lawrenceville, GA 30046
4/1/2011
Anne White, MD
30240
RN186677
Tant, Erin Molly
9651
909 North 5th Ave Rome, GA 30165
9/11/2014
Stephanie Reid, MD
72643
RN148036
Tarabicos, Anna-Lisa Marie
14405
1001 Johnson Ferry Rd Atlanta, GA 30342
6/6/2014
Joshua Vova, MD
60484
RN148036
Tarabicos, Anna-Lisa Marie Dec
13059
1001 Johnson Ferry Rd NE Atlanta, GA 30342
4/4/2014
Amy Elsass, MD
63188
RN159761
Tarpley, Amy Elaine
12989
55 Whitcher St, Suite 350 Marietta, GA 30060
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Jonathan Wu, MD
53967
RN164778
Tarver, Pamela Gordon
13823
2665 North Decatur Rd. Ste430 Decatur, GA 30033
10/7/2011
Snyder, David MD
33711
RN164778
Tarver, Pamela
10120
1490 Milstead Road, Ste A Conyers, GA 30012
5/8/2015
Christopher Cawley, MD
58858
RN183587
Tate, Stefanie
15420
550 Professional Dr Macon, GA 31201
8/6/2015
Joan Ifarinde, MD
62122
RN145142
Taylor, Delisha
15972
125 Victory Dr, Ste B Swainsboro, GA 30401
7/9/2015
Jameson Estes, MD
48852
RN154709
Taylor, Jaimi
15883
545 Venture Ct Monticello, GA 31064
5/8/2015
Charles Cowart, MD
29161
RN191831
Taylor, Linda
15382
1101 Ocilla Rd Douglas, GA 31533
5/8/2015
Dana Cason, MD
39302
RN038362
Taylor, Warene
15370
2122 Manchester Expressway Columbus, GA 31904
4/2/2015
Mahendra Mandawat, MD
47348
RN124210
Taylor, Sylvester
14745
1 Freedom Way Augusta, GA 30904
3/5/2015
Justin Harrell, MD
59162
RN191831
Taylor, Linda Michelle
14267
200 Doctors Dr, Ste 106 Douglas, GA 31533
2/5/2015
Jeremiah McClure, MD
66228
RN154709
Taylor, Jaimi Marie
14900
6501 Peake Rd Macon, GA 31210
2/5/2015
Mef Galle, MD
59722
Rn178955
Taylor, Gaynell
14771
6300 Jimmy Carter Blvd, Ste 110 Norcross, ga 30071
12/4/2014
Kevin Whitworth, MD
71910
RN197160
RN197160
Taylor, Larissa Ann
14373
200 Doctors Dr, Ste P Douglas, GA 31533
11/7/2014
Robert Whipple, MD
46279
RN209597
Taylor, Elizabeth Susann
14147
775 Poplar Rd Newnan, GA 30265
10/9/2014
Debra Lister, MD
38849
RN197160
Taylor, Larissa Ann
14056
1101 Ocilla Rd. Douglas, GA 31533
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Alan Cheng, MD
66271
RN164955
Taylor, Shelley Sharon
13696
148 Bill Carruth Pkwy Hiram, GA 30141
7/10/2014
Robert Marler, MD
35947
RN184594
Taylor, Kelly Elizabeth
13323
725 Jesse Jewell Pkwy, Suite 300 Gainesville, GA 30501
8/9/2013
Benjamin Cheek, MD
25332
RN176264
Taylor, Nicole DeWeese
12146
2300 Manchester Expwy, Ste B001 Columbus, GA 31904
8/9/2013
Lina Harper, MD
55237
RN169794
Taylor, Crystal Leigh
11955
303 Darling Ave Waycross, GA 31501
12/7/2012
Kristin Walsh, MD
68019
RN169794
Taylor, Crystal L.
11337
1912 Memorial Dr., Ste. 300 Waycross, GA 31501
11/2/2012
Warren J. Henderson, MD
20734
RN154560
Taylor, Wendy L.
11192
303 Smith St. LaGrange, GA 30240
2/3/2012
Washington, Kevin MD
62629
RN188938
Taylor, Lyndsey
10442
1170 Cleveland Avenue, Emer Dept East Point, GA 30344
12/1/2011
Rogers, John MD
21040
RN154709
Taylor, Jaimi
10132
400 Charter Blvd, Emer Dept Macon, GA 31210
11/3/2011
Wrobel, Peter MD
40285
RN159262
Taylor, Leslie
10168
409 Uvalida Street Waycross, GA 31501
6/30/2011
Rajnish Prasad, MD
55850
RN164955
Taylor, Shelley Sharon
7931
55 Whitcher St, Suite 350 Marietta, GA 30060
5/6/2011
Olabisi Pearse, MD
49717
RN074994
Taylor, Tina Armstrong
9672
2660 Satellite Blvd Duluth, GA 30097
9/2/2010
Paresh Patel, MD
37325
RN101845
Taylor, Kristie Denese Helton
9269
101-B Adams Dr Demorest, GA 30523
4/1/2010
Mohak Dave', MD
51128
RN098212
Taylor, Danielle Marie
9025
743 Spring St, Emergency Dept Gainesville, GA 30501
12/4/2009
Wallace Anderson, DO
28708
RN126365
Taylor, Stephanie Purvis
2929
1311 Ocilla Road Douglas, GA 31533
Wednesday, August 12, 2015
Page 351 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2008
Robert Brown, MD
56269
RN074994
Taylor, Tina Armstrong
2944
5455 Meridian Mark Rd, Suite 400 Atlanta, GA 30342
6/6/2008
George Wheeler, MD
33751
RN045223
Taylor, Alice Ruth Wajick
2928
1218 Alice Street Waycross, GA 31501
11/1/2007
Rahil Kazi, MD
41593
RN151696
Taylor, Sharon Louise Webster
2941
1707 Watson Warner Robins, GA 31093
7/13/2007
Mohan Papudesu, MD
29063
RN174968
Taylor, Shalu Renee
2940
610 Ferncrest Drive Sandersville, GA 31082
7/12/2012
Elia, Hany MD
30055
RN157407
Taylor-Jones, Antoinette
10900
3421 Mike Padgett Hwy Augusta, GA 30906
11/8/2013
Pamella Charles-Pryce, MD
58155
RN172042
Tchaya, Sylvie V
12504
7530 Roswell Rd Atlanta, GA 30350-4837
3/6/2009
Charles Epstein, MD
16228
RN105822
Teagarden, Diane Leigh Agosti
8496
1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322
3/6/2009
Suzette LaRoche, MD
46149
RN105822
Teagarden, Diane Leigh Agosti
8497
1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322
3/6/2009
Sandra Helmers, MD
48784
RN105822
Teagarden, Diane Leigh Agosti
2947
1365 Clifton Rd NE, Suite A-3400 Atlanta, GA 30322
12/3/2010
Larry Stewart, Jr., MD
27123
RN045228
Tedder, Cathy M.
9507
1024 Keith Dr Perry, GA 31069
12/4/2014
Clement Anthony, MD
27752
RN175477
RN175477
Teel, Lesley Dale
14544
710 Center St Columbus, GA 31901
8/9/2013
John Marshall, MD
45877
RN175477
Teel, Lesley Dale
11959
1200 Memorial Dr, Emer Dept Dalton, GA 30720
9/13/2012
Eva Takacs-di Lorenzo, MD
48859
RN128774
Teffault, April Lynn
10987
202A Lakeshore Dr St Mary's, GA 31558
4/4/2013
Kathryn Neely, MD
46189
RN175665
Tejeda, Grace Powell
11817
310 Paper Trail Way, Suite 306 Canton, GA 30115
Wednesday, August 12, 2015
Page 352 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Thenmozhi Sinjaram, MD
65060
RN184550
Telemaque, Coyette
15523
3850 Windermere Pkwy, Ste 105 Cumming, GA 30041
10/9/2014
Isioma Okwumabua, MD
70256
RN184550
Telemaque, Coyette Annisee
14087
4397 Sudderth Rd Sugar Hill, GA 30518
12/6/2013
Alexander Osowa, MD
57551
RN184550
Telemaque, Coyette Annisee
12562
3331 Hamilton Mill Rd, Syite 1102 Buford, GA 30519
1/11/2013
David A. Stone, MD
24501
RN205639
Tellano-Daniel, Ruth L.
11537
367 Clear Creek Pkwy Lavonia, GA 30553
8/9/2013
John Blumer, MD
53101
RN171345
Terrell, Karen Jean
12152
3222 Shrine Rd, Suite A Brunswick, GA 31520
9/11/2014
Keisha Callins, MD
65643
RN098219
Terry, Clare Soileau
13728
401 S. Madison St. Albany, GA 31701
7/1/2010
Richard Young, MD
21218
RN134412
Terry, Barbara Vaughan
2952
958-A Joe F. Harris Pkwy, Suites 101 & 105 Cartersville, GA 3
5/3/2013
F. Clark Cantrell, MD
28948
RN140783
Tesh, Ana Lynn
11885
777 Franklin Rd Marietta, GA 30067
5/4/2012
Francis, Milele MD
55218
RN150205
Tetreault, Colette
10702
1700 Hospital South Drive, Ste 500 Austell, GA 30106
8/6/2015
Janet Fason, MD
48773
RN154255
Thackston, Tricia
16018
1762 Mars Hill Rd NW Acworth, GA 30101-8091
7/10/2014
Nicole Ash-Mapp, MD
42993
RN154255
Thackston, Tricia Williamson
13553
1762 Mars Hill Rd NW Acworth, GA 30101-8091
2/6/2014
Ed Childs, MD
67203
RN154255
Thackston, Tricia Williamson
12271
80 Jesse Hill Dr SW Atlanta, GA 30303
8/6/2015
Shahram Rezaiamiri, MD
49939
RN122730
Thames, Linda
16131
900 Eagles Landing Pkwy Stockbridge, GA 30281
3/5/2015
Rina Eisenstein, MD
58466
RN087692
Tharp, Charles
14735
1010 Clairmont Rd Decatur, GA 30033
Wednesday, August 12, 2015
Page 353 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/1/2007
Robersteen Howard, MD
40103
RN104841
Tharp, Mary Beth Bruner
2955
330 Turner McCall Blvd, Suite 4000 Rome, GA 30165
5/8/2015
Donna Yeiser, MD
42981
RN149771
Theobald, Kamie
15442
802 22nd St Columbus, GA 31904
9/13/2013
Curtis Clark, DO
47068
RN151127
Theobald, David Alan
12293
610 19th St Columbus, GA 31901-1528
12/3/2010
Mark Oliver, MD
48557
RN149771
Theobald, Kamie Dawn
9484
2416 Capstone Court Columbus, GA 30919
2/6/2014
Mehrdad Seilanian Toosi,
MD
67089
RN206952
Theus, Heather Michelle
12938
200 S Enota Dr, Suite 200 Gainesville, GA 30501
5/1/2014
Cathy Lipton, MD
29028
RN073654
Thiel, Shelba Jean Riddle
13234
3720 Davinci Ct, Ste 400 Norcross, GA 30092
2/7/2013
Taylor Graves, MD
40082
RN073654
Thiel, Shelba Jean Riddle
2958
1821 Clifton Rd NE Atlanta, GA 30329
10/10/2013
Tania Edwards, DO
53465
RN201767
Thigpen, Judith Lee
12350
7413 Whitesville Rd, Suite 700 Columbus, GA 31904
6/8/2007
Indrani Bongu, MD
49418
RN135792
Thomae, Maria Carmen
2961
2804 Hill Creek Drive Augusta, GA 30909
8/6/2015
Joel Ransom, MD
71749
RN177598
Thomas, Tanya
16110
745 Poplar Rd Newnan, GA 30265
6/4/2015
Prasad Rao, MD
55640
RN210259
Thomas, Megan
15653
677 Church St, Box 111 Marietta, GA 30060
5/8/2015
Alexis Cutchins, MD
67925
RN208915
Thomas, Sushmita
15297
1525 Clifton Rd, Ste 408 Atlanta, GA 30322
4/2/2015
Kenneth Grotz, MD
37820
RN156631
Thomas, Genver
15217
4150 Washington Rd, Ste 11 Evans, GA 30809
2/5/2015
Gertrude Arrington, MD
27036
RN219545
Thomas, Robin
14764
1720 Phoenix Blvd, Ste 900,600 College Park, GA 30349
Wednesday, August 12, 2015
Page 354 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Lynn Schlanger, MD
32289
RN143191
Thomas, Anita
14683
1670 Clarimont Rd Decatur, GA 30033
9/11/2014
Amber Zafar, MD
47384
RN156089
Thomas, Tawya Scherri
14064
5448 Whittlesey Blvd., Ste B Columbus, GA 31909
4/4/2014
Thomas Taylor, MD
33212
RN154661
Thomas, Maquissa LaShanta
13104
477 Windsor St SW, Suite 309 Atlanta, GA 30312
8/9/2013
Candice Wallace, MD
30918
RN076259
Thomas, Patricia Ann
12124
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
2/7/2013
Stephen Messner, MD
59282
RN219545
Thomas, Robin Althea
11663
1001 Johnson Ferry RD NE, Suite 500 Atlanta, GA 30342
10/5/2012
Tanjela M. Jackson, MD
54755
RN053639
Thomas, Carol Ann
10975
3620 M.L. King Jr. Drive., SW Atlanta, GA 30331
4/1/2011
David Arkin, MD
28136
RN192999
Thomas, Hyacinth
9621
758 Old Norcross Rd, Suite 175 Lawrenceville, GA 30046
1/9/2009
Philip Cannon, MD
29853
RN076259
Thomas, Patricia Ann
2970
1000 Medical Center Blvd Lawrenceville, GA 30045
11/7/2008
William Michael Brown, MD
21653
RN163447
Thomas, Charmaine Betty
8328
355 Tower Road, Suite 300 Marietta, GA 30060
9/14/2007
Jacob Ward, MD
32075
RN060973
Thomas, Constance Faye Coker
2965
1200-B Buckhead Crossing, Suite B Woodstock, GA 30189
8/6/2015
Samuel Bleuez, MD
60241
RN150780
Thomas-Cloud, Rosemary
15978
745 Poplar Rd Newnan, GA 30265
10/5/2012
Richard Wright, MD
46927
RN150780
Thomas-Cloud, Rosemary
10985
1103 Forest Parkway Forest Park, GA 30297
12/1/2011
Odujebe, Oladapo MD
60950
RN150780
Thomas-Cloud, Rosemary
10238
1103 Forest Park Forest Park, GA 30297
9/3/2009
Joyce Drayton, MD
38737
RN150780
Thomas-Cloud, Rosemary
8655
PO Box 1536 Lawrenceville, GA 30046
Wednesday, August 12, 2015
Page 355 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/7/2014
Anuj Chandra, MD
41753
RN169994
Thomason, Thera Sumner
13425
111 Pine St. Trenton, GA 30752
5/6/2011
Gerald Feuer, MD
RN171973
Thomas-Osuntokun, Heather R
9768
980 Johnson Ferry Rd, Suite 900 Atlanta, GA 30342
9/11/2014
MELISSA SCHEPP, MD
50221
RN226912
THOMAS-SHAW, LASHONTE
13784
677 CHURCH ST MARIETTA, GA 30060
10/8/2010
Edward Young, MD
36325
RN180911
Thompkins, Fabia Brown
9360
777 Hemlock St, MSC 104 Macon, GA 31201
7/9/2015
Steven Leichter, MD
40452
RN237918
Thompson, Leslie
15553
2425 Brookstone Centre Pkwy Columbus, GA 31904
7/9/2015
Franklin Conner, MD
33555
RN070005
Thompson, Brenda
15568
1608 Meadows Lane, Ste 1 Vidalia, GA 30474
6/4/2015
Margaret Richardson-
Nixon, MD
55015
RN209023
Thompson, Kathryn
15558
2225 US Hwy 41 North Tifton, GA 31794
1/8/2015
Cathy Harper-Hogan, MD
44228
RN139742
Thompson, Andrea
14648
124 Third St Macon, GA 31201
1/8/2015
Katrina Parker, MD
40510
RN237918
Thompson, Leslie
14728
2425 Brookstone Ctr Pkwy Columbus, GA 31904
12/4/2014
Lisa Rudolph-Watson, MD
42414
RN077718
Thompson, James Arthur
14524
401 Old Albany Rd Thomasville, GA 31792
8/7/2014
Ray Bennett, MD
56526
RN170568
Thompson, Natalie Nicole
13426
1325 Commerce Dr, Ste 200 Peachtree, GA 30269
8/7/2014
Michael Miller, DO
27869
RN049631
Thompson, Joyce S
13642
1670 Clairmont Rd, Ste 508 (MC170) Decatur, GA 30033
7/10/2014
Julian McLendon, MD
38557
RN142971
Thompson, Jennifer Smith
13541
1502 West 3rd St. Jackson, GA 30233
5/1/2014
William Pullen, MD
17270
RN183921
Thompson, Rebecca Lynn
12890
1200 Memorial Drive Dalton, GA 30720
Wednesday, August 12, 2015
Page 356 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/6/2014
Suzana Montana, MD
45097
RN147104
Thompson, Alexa Denise
2973
3780 Holcomb Bridge Rd, Suite C Norcross, GA 30092
11/8/2013
Shameka McElhaney, MD
54854
RN170568
Thompson, Natalie Nicole
12527
2670 Cobb Pkwy SE Smyrna, GA 30080
11/8/2013
Yvonne Smith, MD
42443
RN153018
Thompson, Johnetta
11907
3600 Dallas Hwy SW Marietta, GA 30064
1/6/2012
Narayan, Nalini MD
44287
RN134604
Thompson, Kelly
10318
705 Dixie Street Carrollton, GA 30117
10/7/2011
Hart, Ronald MD
46115
RN067355
Thompson, Colette
10145
247 Union Point Street Lexington, GA 30648
10/7/2011
Griffin, Kerry MD
62042
RN164801
Thompson, Jill
10133
1942 Atkinson Road, Suite 100 Lawrenceville, GA 30043
10/7/2011
Keith Lencher MD
54234
RN161642
NP
Thompson, Amy Elizabeth
9990
2110 Powers Ferry Road SE Suite 302 Atlanta, GA 30339
2/4/2011
Alice House, MD
43065
RN120888
Thompson, Darrel Winifred
9596
100 College Station Dr Macon, GA 31206
8/6/2010
Vijitha Prasad, MD
40520
RN070005
Thompson, Brenda Meadows
9139
544 W. Church Street Swainsboro, GA 30401
8/6/2010
Muhammad Sheikh, MD
59195
RN153018
Thompson, Johnetta
9215
2774 North Cobb Pkwy Kennesaw, GA 30152
4/1/2010
Sam Khair, MD
35194
RN142971
Thompson, Jennifer Smith
9071
145 Eagle's Walk, Suite A Stockbridge, GA 30281
2/5/2010
Daryl Sherrod, MD
49976
RN153018
Thompson, Johnetta
8983
4480 South Cobb Dr SE Smyrna, GA 30080
7/9/2015
Donald Siegel, MD
11475
RN078351
Thomson, Susan
15723
555 N Indian Creek Dr Clarkston, GA 30021
8/7/2014
David Capallo, MD
19649
RN190461
Thomson, Caitlin Bachler
13626
11806 Mercy Blvd. Savannah, GA 31419
Wednesday, August 12, 2015
Page 357 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Jeffrey Brewster, MD
52896
RN235312
Thornbury, Sarah
15707
1/8/2015
John Mersereau, MD
14936
RN207895
Thorne, Julia
14542
2050 Cumming Hwy, Ste 100 Canton, GA 30115
10/5/2012
Craig Banta, MD
48873
RN207895
Thorne, Julia
11112
2050 Cumming Hwy, Ste 100 Canton, GA 30115
12/3/2010
Donna Haley, MD
40916
RN207895
Thorne, Julia McClellan
9515
100 Medical Lane, #1-3 Canton, GA 30114
6/7/2013
Julian Isakow, MD
52750
RN222716
9
Thornsberry, Joshua Dane
11909
1700 Hospital South Dr, Suite 409 Austell, GA 30106
10/9/2014
Sidney Greenstone, DO
17812
RN081936
Thornton, Anita Lyn
13975
374 Coats Drive Toccoa, GA 30577
4/4/2014
Luther Vance, MD
19354
RN145384
Thornton, Lisa Kathryn
12892
3065 South Cobb Drive Suite B Smyrna, GA 30080
3/8/2013
Jeffrey Esslinger, MD
45455
RN145384
Thornton, Lisa Kathryn
11679
300 Courtyard Dr, Suite A Cartersville, GA 30120
6/8/2012
Nehmetallah, Jules MD
55262
RN104839
Thornton, Lois
10536
410 Darling Avenue Waycross, GA 31501
2/5/2015
Paul Walker, DO
46272
RN174775
Thrasher, MaryAnn
14839
1150 Powder Springs Rd Marietta, GA 30069
5/4/2012
Schaefer, Timothy MD
47524
RN082194
Thrower, Eileen
10705
1700 Hospital South Drive, Ste 500 Austell, GA 30106
6/3/2011
Thomas Chun, MD
47580
RN190553
Tichy, Claire Elise
9753
55 Whitcher St, Suite 250 Marietta, GA 30060
4/4/2014
Carolyn Bennett, MD
58729
RN228738
Tickle, Kelly Marie
13000
1405 Clifton Rd NE, 4th floor, Tower 1 Atlanta, GA 30322
4/13/2007
Raymond E. Tidman, MD
32826
RN043489
Tidman, Lee Ann Palmer
2995
101 RiverStone Vista, Suite 206 Blue Ridge, GA 30513
Wednesday, August 12, 2015
Page 358 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Jennifer Beckman, MD
66453
RN125386
Tidwell, Amber Nickolina
13701
523 Dixie St Ste. 3 Carrollton, GA 30117
3/8/2013
Thomas Jensen, MD
67654
RN125386
Tidwell, Amber Nickolina
11728
101 Quartz Dr, Suite 103 Villa Rica, GA 30180
8/7/2014
Cynthia Murray, MD
58374
RN208126
Tierney, Chasity Christina
13650
3686 Wheeler Rd. Augusta, GA 30909
7/9/2015
Shannon Vaughn, MD
46000
RN106991
Tillery, Traci
15778
304 Turner McCall Blvd Rome, GA 30165
4/2/2015
Danni Suskin, MD
36883
RN102011
Tillman, Suzanne
15127
500 Midical Center Blvd, Ste NICU Lawrenceville, GA 30046
11/5/2010
Beverly Brown, MD
42534
RN142932
Tillman, Candace M.
7836
477 Windsor St, Suite 309 Atlanta, GA 30312
10/2/2008
Robert Blackwell, MD
50128
RN101937
Tillman, Judith Jacobs
8296
3708 Northside Drive Macon, GA 31204
4/4/2014
David R. Persaud, MD
70703
RN202115
Timmins, Christopher Louis
13155
772 Maddox Dr., Ste. 122 Ellijay, GA 30513
3/8/2013
Thuy T. Bui, MD
49276
RN187007
Timmons, Lauren B.
11512
P.O. Box 422022 Atlanta, GA 30542
10/2/2008
Steven Lenhard, MD
39153
RN079447
Tinsley, Pamela Ruth Dorris
8305
790 Church Street, Suite 250 Marietta, GA 30060
10/10/2013
Andrea Bretal, MD
64777
RN121032
Tinson, Aretha Marie
12393
618 East Lamar St Americus, GA 31709
10/10/2013
Salvador Ramos-Camacho,
MD
69937
RN121032
Tinson, Aretha Marie
12394
23 Old School Rd. Georgetown, GA 39854
7/12/2012
Marler, Robert MD
35947
RN102211
Tipton, Anga-Lee
10833
725 Jesse Jewell Pkwy, Ste 300 Gainesville, GA 30501
4/13/2007
Benedict Benigno, MD
17010
RN057356
Tobia, Sherry Hoefling
3003
980 Johnson Ferry Road, NE Atlanta, GA 30342
Wednesday, August 12, 2015
Page 359 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/3/2013
Michael Ikeler, MD
44942
RN113267
Toburen, Kathryn Dale Ricks
11849
465 N Belair Rd, Suite B Evans, GA 30809
3/5/2015
Jeffrey Switzer, DO
53184
RN165626
RN082793
Todd, William Lewis
14977
1120 15th St. Augusta, GA 30912
10/9/2014
Conrado Tojino, DO
72145
RN238441
Tojino, Samantha Shoemaker
14035
3623 J. Dewwey Gray Circle, Ste 210 Augusta, GA 30909
11/7/2014
Sanjeen Tenkolkar, MD
63066
RN175489
Tolbert, Gentry Elizabeth Broac
14120
4589 Lawrenceville Rd Loganville, GA 30052
2/3/2012
Elmers, Anna MD
60248
RN148026
Tolcher, Maria
10344
2020 Peachtree Road NW Atlanta, GA 30309
10/4/2007
John Potts, MD
17642
RN119473
Tolcher, Kelly Lynn Languell
3005
365 N. Jeff Davis Drive Fayetteville, GA 30214
5/8/2015
Ralph Warnock, MD
17337
RN118107
Tolleson, Brenda
15424
4421 Carnes St Acworth, GA 30101
2/5/2015
Joe Robinson Jr. MD
22465
RN203228
Tolliver-Epps, Stephanie
14751
840 Pine St, Ste 880 Macon, GA 31201
4/2/2015
Jay Goldstein, MD
45229
RN216775
Tomlinson, Daniel Patrick
15303
4700 Waters Ave, ER Savannah, GA 31404
1/9/2014
Guillermo Saurina, MD
48570
RN183464
Tomlinson, Lori Gordon
12686
2301 N Ashley St Valdosta, GA 31602
6/8/2007
Leslie Cottrell, MD
45194
RN047891
Toney, Cheryl Virginia Warren
3010
1600 Maple St. Carrollton, GA 30118
8/7/2014
Mary Bell Vaughn, MD
49552
RN113445
Toole, Ronda Speir
13590
3448 Vineville Ave. Macon, GA 31204
2/5/2015
Scott Parry, DO
#####
RN190875
Torres, Lorena
14932
730 Ponce de Leon Place, Ste B Atlanta, GA 30306
12/4/2014
Reuben Ellis, MD
55819
RN189159
Torres, Daniela
14551
1445 Georgia Ave, Ste 3 Macon, GA 31201
Wednesday, August 12, 2015
Page 360 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/5/2011
John Layher, MD
46692
RN176177
Towler, April Pearson
9922
2470 Daniells Bridge Rd, Ste 251 Athens, GA 30606
3/5/2015
Doreen Luis, MD
37601
RN053829
Towner, Susan
14723
1350 Walton Way Augusta, GA 30901
7/10/2009
Reginald Nesbitt, MD
58300
RN053829
Towner, Susan B.
8578
1350 Walton Way Augusta, GA 30901
8/9/2013
Michael Sumner, MD
63062
RN192270
Towns, Lisa Spencer
12138
1120 15th St, BI-5092 Augusta, GA 30912
7/10/2014
Catherine Strickland, MD
65819
RN093580
Townsell, Barbara Anne Schwe
13560
304 Shorter Ave, Suite 103 Rome, GA 30165
7/10/2014
Brenda Budlong, MD
34749
RN093580
Townsell, Barbara Anne Schwe
13559
304 Shorter Ave, Suite 102 Rome, GA 30165
12/4/2014
Angelica James-Henry, MD
48362
RN176609
Townsend, Natalia Monique
14367
1405 Clifton Rd NE, Tower 1 4th Floor Atlanta, GA 30322
1/9/2014
Sandra Diehl, MD
31237
RN183339
Townsend, Stephanie Tia
12588
709 Canton Rd, Suite 200 Marietta, GA 30060
2/5/2009
Larry Tune, MD
37409
RN183339
Townsend, Stephanie Tia
8481
1821 Clifton Road NE Atlanta, GA 30329
5/1/2014
Jeffrey Klick, MD
65581
RN218122
Tracewski, Meghan Anne
13195
1001 Johnson Ferry Rd NE Atlanta, GA 30342
3/7/2008
Thomas Hurd, MD
27070
RN119757
Trapp Jr, Lester Phillip
3018
55 Whitcher Street, Suite 130 Marietta, GA 30060
10/9/2014
Habigaile Cribe, MD
50874
RN144873
Trawick, Latonia Michelle
14073
550 Peachtree St, NE 7th Flr Atlanta, GA 30308
9/11/2014
George Harrison, MD
62116
RN201356
Traylor, Ashley Ellen
13702
222 Perry Hwy Hawkinsville, GA 31035
5/1/2014
Michael Groover, MD
35059
RN151832
Traylor, Winnifred Ann
13246
7345 Red Oak Rd Union City, GA 30291
Wednesday, August 12, 2015
Page 361 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Gordon Turner, MD
59524
RN154502
Trent, Amy
15606
743 Spring St. NE Gainesville, GA 30501
7/10/2014
Emem Udo, MD
63142
RN154502
Trent, Amy Reilly
13504
743 Spring St. Gainesville, GA 30501
11/8/2013
Nick A. Vlachos, MD
62624
RN203487
Treston, Amanda Kathryn
11425
100 Glenn Bass Rd LaGrange, GA 30240
6/8/2012
Hatcher, James MD
14634
RN203487
Treston, Amanda
10775
900 Dallas Street, Ste D LaGrange, GA 30240
7/10/2014
Hetal Thakore, MD
53556
RN160040
Tripp, Sarah Sabri
13475
3651 Wheeler Rd. Augusta, GA 30909
4/2/2015
John Budell, MD
17369
RN188936
Trivedi, Tran B
15042
5019 Lavista Rd Tucker, GA 30084
11/7/2014
Nipun Patel, MD
46800
RN
188936
Trivedi, Tran B
12351
3646 Chamblee-Tucker Rd, STE B Chamblee, GA 30341
9/13/2013
Anupama Ravikanth, MD
48297
RN188936
Trivedi, Tran B
12195
335 Roselane St, Suite 203 Marietta, GA 30060
11/2/2012
Steven G. Dawson, MD
62198
RN140275
Trouille, Lori
11057
2501 Patterson St. Valdosta, GA 31603
1/9/2014
Paul Steinwachs, MD
42736
RN135047
Trouse, Shannon Ashlee
7822
1336 3rd Ave Columbus, GA 31901
1/8/2015
Satishchandra Patel, MD
28058
RN212011
Truelove, Eddie
14614
3000 Schatulga Rd Columbus, GA 31907
6/6/2014
Chrissie Clure, MD
49281
RN212011
Truelove, Eddie Jean Eckford
13384
800 E, 70th St. Savannah, GA 31405
3/29/2012
Perkel, Joshua MD
56343
RN107422
Trull, Frieda
10623
1062 Forsyth Street, Ste 2A Macon, GA 31201
6/8/2012
Frances Ferguson, MD
35625
RN084787
Trussell, Sharl Ann
10757
1212 E. Union St, PO Box 679 Vienna, GA 31092
Wednesday, August 12, 2015
Page 362 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2010
Thomas Morrow, MD
39879
RN156557
Tu, Cindy Lao
9137
5530 Windward Pkwy, Suite 1210 Alpharetta, GA 30004
5/9/2008
Eduard Docu, MD
56426
RN045697
Tuck, Linda J.
8184
102 Bryan Woods Road Savannah, GA 31410
3/7/2008
F. Geoffery Conner, MD
33555
RN021526
Tuck, Mildred Elizabeth Wall
3026
1608 Meadows Lane Vidalia, GA 30474
5/8/2015
Gerald Filmore, MD
50288
RN137050
Tucker, Becky Conley
15392
865 South 1st St Jesup, GA 31545
11/8/2013
Clayton Cox, MD
28523
RN140294
Tucker, Tiffany Jones
5381
668 Lanier Park Dr Gainesville, GA 30501
6/8/2012
Hassanyeh, Akram MD
29881
RN162699
Tucker, Jason
10718
1058 Bermuda Run Rd Statesboro, GA 30458
6/4/2015
James Bailey, MD
28368
RN198112
Tupko Maloy, Anna
15607
743 Spring St NE Gainesville, GA 30501
6/4/2015
John Arnett, MD
38423
RN101998
Turk, Pamela Diane Kight
15070
200 Doctors Dr, Ste. 106 Douglas, GA 31533
7/9/2015
Faith Andrews, MD
44158
RN182755
Turner, Camille
15582
525 Forest Pkwy, Ste 100 Forest Park, GA 30297
4/2/2015
Mihaela Ille, MD
62895
RN150217
Turner, Martricia
15277
855 Veterans Memorial Hwy SE Mableton, GA 30126-2733
12/4/2014
Michael Christa, MD
40637
RN150217
Turner, Matricia
14558
4250 Brownsville Rd Powder Springs, GA 30127
10/9/2014
Jason Smith, MD
32302
RN202294
Turner, Rachel Anthony
14070
103 John Maddox Dr. NW Rome, GA 30165
9/11/2014
Laura Conger, MD
42031
RN234559
Turner, Darryl Erik
13754
1200 Memorial Dr. Dalton, GA 30720
9/11/2014
Caralee Forseen, MD
56054
RN188149
Turner, Marion Alicia
13807
1120 15th ST Ste.BBR5513 Augusta, GA 30912
Wednesday, August 12, 2015
Page 363 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Karina Belinfante, MD
55726
RN182755
Turner, Camille Smith
13271
3903 S Cobb Dr, Suite 120 Smyrna, GA 30080
6/6/2014
Kenneth Grotz, MD
37820
RN165588
Turner, Callie Jo Yassney
13299
4150 Washington Rd, Suite 11 Evans, GA 30809
3/6/2014
Joshua McNatt, MD
66688
RN054880
Turner, Judith Ann Herndon
13003
3193 Howell Mill Rd, Suite 306 Atlanta, GA 30327
11/8/2013
Louis Battey, MD
21141
RN155163
Turner, Ashli
10649
275 Collier Road, Ste 500 Atlanta, GA 30309
8/9/2013
Partricia Meadors, MD
21006
RN193966
Turner, Zachary Paul
12193
1968 Peachtree Rd Atlanta, GA 30309
9/13/2012
Paul D. Forney MD
23155
RN079807
Turner, Saundra L.
11016
1119 15th St. Family Medicine Center Augusta, GA 30912
2/3/2012
Vasantha-Kumar,
Sinnathurai MD
44131
RN077334
Turner, Iris
10476
21300 Hwy 82, Ste C Waynesville, GA 31566
6/3/2011
Julian Hutchins, Sr., MD
18677
RN165588
Turner, Callie Jo Yassney
9786
4150 Washington Rd, Suite 11 Evans, GA 30809
6/5/2009
Anne Wiskind, MD
29013
RN073684
Turner, Christine Elaine
8593
1800 Peachtree Rd, Suite 650 Atlanta, GA 30309
5/7/2009
Stephanie Allen, MD
50090
RN196955
Turner, Meredith Bobb
8524
1000 Hawthorne Ave, Suite G Athens, GA 30606
7/11/2008
Tami Breton, MD
38695
RN150217
Turner, Martricia
2003
380 Cherokee Street Kennesaw, GA 30144
7/13/2007
Nathan Mordel, MD
45895
RN073684
Turner, Christine Elaine
3036
105 Collier Rd. Suite 1010 Atlanta, GA 30309
1/9/2009
Samuel Palmer, MD
29061
RN140344
Tuten, Michelle Webb
3044
233 North Houston Rd, Suite 140-F Warner Robins, GA 3109
6/4/2015
Michael Manning, MD
33397
RN176628
Tuttle, Scottie Lauren
15326
2215 Exchange Place Conyers, GA 30013
Wednesday, August 12, 2015
Page 364 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/7/2014
Janet Fason, DO
48773
RN186816
Twumas, Gifty Owusu
14146
1762 Mars Mill Rd N W Acworth, GA 30101-8091
12/7/2012
Kristen M. Walsh, MD
68019
RN170702
Tyre, Mitzi B.
11412
1912 Memorial Dr., Ste E Waycross, GA 31501
4/1/2011
Linda Jones, MD
30111
RN143534
Tyus, Angela Frances
9536
1500 E. Shotwell St Bainbridge, GA 39819
4/1/2011
D. Shawn Surratt, MD
55984
RN143534
Tyus, Angela Frances
9533
603 S. Wheat Ave, Suite 700 Bainbridge, GA 39819
7/10/2014
Angela Dawson, MD
40895
RN220844
Uba, Sabo
13457
500 Third Ave, Ste 105 Albany, GA 31701
2/5/2015
Timothy Lin, MD
60401
RN189945
Uhl, Nichole Anne
14861
21 Pointe North Dr Cartersville, GA 30120
6/4/2015
Deborah Shepard, MD
58330
RN208240
Ulmer, Stacy
15131
1279 Highway 54 West, Ste 220 Fayetteville, GA 30214
8/6/2015
Henry Lewis, MD
49052
RN192047
Underwood, Ashley
16068
6001 Cumming Hwy, Ste 1 Sugar Hill, GA 30518
8/6/2015
Mae Morgan, MD
22902
RN097437
Unongo, Cindy
15657
424 Decatur St SE Atlanta, GA 30312
3/8/2013
Jane Ellis, MD
44208
RN184301
Ura, Chiemi Amanda
11737
69 Jesse Hill Jr Dr SE, OB/GYN Dept Atlanta, GA 30303
7/9/2015
William Coleman, MD
#####
RN167457
Usher, Madeline
15876
1211 Palmyra Rd Albany, GA 31701
7/9/2015
Angela Dawson, MD
40895
RN167457
Usher, Madeline
15842
500 W Third Ave, Ste 105 Albany, GA 31701
2/5/2015
Cassandra Wanzo, MD
35165
RN185085
Uwazie, Nkeiru
14776
601 Bombay Lane Roswell, GA 30076
2/6/2014
Miles Johnson, MD
38817
RN185085
Uwazie, Nkeiru Ngozi
12953
150 Fiddlers Ridge Fayetteville, GA 30214
Wednesday, August 12, 2015
Page 365 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/8/2013
David Wyatt, MD
42979
RN145805
Uzokwe, Helen Onyedikachi
12489
5337 Old National Hwy, Suite 100 College Park, GA 30349
1/8/2015
Shahed Brown, MD
61400
RN145066
Uzuegbunam, Florence
14641
1670 Clairmont Rd Decatur, GA 30033
9/11/2014
Feoderis Basilio, MD
50092
RN138569
Vael, Aimee Corley
13964
104 14th Street Columbus, GA 31901
8/6/2015
Tyra Harris, MD
61249
RN102635
Vafaeian, Safiah
16020
950 Towne Lake Parkway Woodstock, GA 30189-1601
8/7/2014
Nicole Ash-Mapp, MD
42993
RN102635
Vafaeian, Safiah
13607
950 Towne Lake Pkwy Woodstock, GA 30189
10/7/2011
Amaya, Sharon MD
47182
RN175879
Vail, Sara
10167
5665 New Northside Drive, Ste 320 Atlanta, GA 30328
6/7/2013
Robert B. Copeland, MD
11745
RN192534
Valenzona, Julieta Gilda
11528
301 Medical Dr. LaGrange, GA 30240
12/4/2014
Annette Hinchcliffe, MD
42607
RN234253
Vali, Holly Rachelle
14485
3400 A Old Milton Pkwy, Ste 510 Alpharetta, GA 30005
12/1/2011
Williams, Stewart MND
30242
RN154901
Van Jura, Brandy
10228
2412 N. Oak Street Valdosta, GA 31602
12/4/2014
Mitzi Clayton, MD
61408
RN184337
Van Lear lll, Murray Martin
14572
145 Eagles Walk, Ste A Stockbridge, GA 30281
6/5/2009
Sanjay Sharma, MD
42119
RN087348
Van Liew, Sybil Lynn Stewart
8572
341 Ponce de Leon Ave NE Atlanta, GA 30308
10/10/2013
Walter James, MD
31948
RN149681
Van Patten, Laura Elizabeth
12424
275 Collier Rd, Suite 500 Atlanta, GA 30309
2/4/2011
David Robertson, MD
27244
RN149681
Van Patten, Laura Elizabeth
9428
77 Collier Rd, Suite 2080 Atlanta, GA 30309
5/1/2014
John Marshall, MD
45877
RN224765
Vandenburg, George
13050
1200 Memorial Dr, Emer Dept Dalton, GA 30720
Wednesday, August 12, 2015
Page 366 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
Roger A. Brooksbank, MD
68120
RN224765
VanDenburg, George
11153
501 Redmond Rd. Rome, GA 30165
11/5/2010
Daniel Sandler, MD
42420
RN208749
Vanderstraeten, Delphine
9389
4700 Waters Ave, Suite 206 Savannah, GA 31404
3/6/2009
Stephen Rosenberg, MD
25661
RN064751
Vanlooy, Christine Elizabeth W
3068
5780 P'tree Dunwoody Rd, #295 Atlanta, GA 30342
9/11/2014
Tommy Thomas, MD
66829
RN214917
Vardaman, ll, Robert Michael
14410
80 Jessie Hill Jr Dr Atlanta, GA 30303
8/6/2015
Benedict Benigno, MD
17010
RN076035
Vardman, Marguerite
15996
5670 Peachtree Dunwoody, Ste 1150 Atlanta, GA 30342
5/8/2015
Sunil John, MD
50530
RN076035
Vardman, Marguerite
15374
2122 Manchester Expressway Columbus, GA 31908
5/8/2015
Steven Eisenberg, MD
36146
RN169364
Varghese, Susan
15308
5673 Peachtree Dunwoody Rd, Ste 650 Atlanta, GA 30342
1/9/2014
David Markham, MD
69311
RN169364
Varghese, Susan
12777
5673 Peachtree Dunwoody Rd, Suite 650 Atlanta, GA 30342
8/9/2013
Eman Kaldas, MD
49579
RN201564
Varghese, Mary Laurel
12200
3121 Peach Orchard Rd, Suite 103 Augusta, GA 30906
9/11/2014
Amber Zafar, Md
47384
RN224930
Varnum, Allison Renee
14067
5448 Whittlesey Blvd, Ste B Columbus, GA 31909
12/4/2014
Kashyap Patel, MD
57230
RN155488
Vaughan, Emily
14534
200 S Enota Dr, Ste 200 Gainesville, GA 30501
4/2/2015
Bob Bagheri, MD
40865
RN172992
Vaz, Denise
15201
204 Canton Rd Cumming, GA 30040
10/10/2013
Manuel Vega, MD
28227
RN095541
Vega, Alicia Luisa
12416
206-A Hospital Dr Dublin, GA 31021
5/8/2015
Craig Shapiro, MD
62285
RN245398
Vera, Casey
15511
1001 Johnson Ferry Rd Atlanta, GA 30342
Wednesday, August 12, 2015
Page 367 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/6/2014
Gulshan Harjee, MD
26865
RN182347
Verme, Mirose Philistin
12641
2536 Lawrenceville Hwy Decatur, GA 30033
5/6/2011
Mary Dailey-Smith, MD
50472
RN129147
Vincent, Sandra Kay
3082
5610 Wendy Bagwell Pkwy, Suite 103 Hiram, GA 30141
8/9/2013
Darryl Harris, MD
32920
RN198125
Vizinat, David Craig
12126
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
11/2/2012
Bradley S. Buckler, MD
58853
RN124495
Von Herbulis, Kelly A.
11194
4750 Waters Ave., Ste. 206 Savannah, GA 31404
9/2/2010
George Wheeler, MD
33751
RN168259
Voyles, Bonny Sue Wood
9304
1218 Alice Street Waycross, GA 31501
1/11/2008
Joseph Khouri, MD
24698
RN135333
Vreeland, Christopher Allen
8127
3080 Highlands Pkwy, Suite A Smyrna, GA 30082
11/7/2014
Scott Shapiro, MD
32469
RN076432
Vrooman, Linda
14131
3075 Tower Rd, Ste F Columbus, GA 31909
12/6/2013
William Harper, MD
20726
RN076432
Vrooman, Linda August
12604
1021 Talbotton Rd Columbus, GA 31904
1/9/2009
Stephanie Gordon, MD
49382
RN134131
Vu, Lan Thi
3086
2750 Owens Drive, Suite A Conyers, GA 30094
12/7/2007
Jeffrey Lennox, MD
38844
RN035686
Vuchetich, Marion Angelica
3087
341 Ponce de Leon Avenue NE Atlanta, GA 30308
7/10/2009
James Lah, MD
41863
RN170635
Vyverberg, Stephanie Leigh
8640
1841 Cliftin Road Atlanta, GA 30329
11/7/2008
Allan Levey, MD
34885
RN170635
Vyverberg, Stephanie Leigh
8359
1841 Clifton Road NE Atlanta, GA 30329
8/6/2015
Dave Ringer, MD
30368
RN220439
Wade, Nathan
16025
803 South Main St Greensboro, GA 30642
7/12/2012
Hampton, Sharne MD
30375
RN210808
Wadud, Mir
10849
901 Rice Street Atlanta, GA 30318
Wednesday, August 12, 2015
Page 368 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Rajinder Chhokar, MD
21486
RN216537
Waggoner, Kristina
15598
2300 Manchester Expwy Butler Pavilion, Ste1001 Columbus,
5/3/2013
Gretchen Collins, MD
32712
Rn063518
Waggoner, Lynda Lee
11789
8201 Hazelbrand Rd Covington, GA 30014
5/8/2015
Raymond McKoy, Do
44536
RN155078
Wagner, Muna
15478
815 Shugart Rd Dalton, GA 30720
7/10/2014
Daniel Faith, MD
51798
RN206617
Wagner, Jaclyn Anne
13499
745 Poplar Rd Newnan, GA 30264
8/9/2013
D Eric Jones, MD
45257
RN206617
Wagner, Jaclyn Anne
11964
8 Eastbrook Bend, Suite B Peachtree City, GA 30269
8/5/2011
Brandon Mednick, MD
56138
RN206617
Wagner, Jaclyn Anne
9929
1255 Highway 54 West Fayetteville, GA 30214
7/9/2015
William White, MD
32326
RN217684
Wagnon, Justin
15722
105 East 4th Ave Cordele, GA 31015
11/3/2011
Warner, Randy MD
53905
RN218274
Waid, Anita
10216
690 Dallas Hwy, Ste 201 Villa Rica, GA 30180
1/9/2014
Eric Davis, MD
63648
RN183455
Waite, Laura Sumner
12830
116 W. Thigpen Ave Suite D Lakeland, GA 31635
12/4/2009
Maurice Clifton, MD
61053
RN033697
Waits, Cornelia Evelyn Davis
3094
MSC Health Clinic - 100 College Station Dr Macon, GA 31206
2/7/2008
Keith Hannay, MD
25760
RN073413
Walden-McBride, Deborah Lyn
3095
304 Shorter Avenue, Suite 201 Rome, GA 30165
7/9/2015
Dennis Incorvati, DO
50527
RN190974
Walker, Carrie
15432
53 Whiteher St, Ste 350 Marietta, GA 30064
5/8/2015
Deborah Henry, MD
41950
rn155384
Walker, Linda Faye
15098
1670 Clairmont Rd Decatur, GA 30033
4/2/2015
Joan James, MD
65263
RN044181
Walker, Jewell
14540
5582 Memonal Dr Stone Mountain, GA 30083
1/8/2015
Roger Morales
55771
RN159359
Walker, Erica Mercedes
14298
333 Alcovy St, Ste 1 Monroe, GA 30655
Wednesday, August 12, 2015
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RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Divina Dyer, MD
57161
RN197090
Walker, Jenny Maria
13328
2800 Overlook Pkwy Atlanta, GA 30339
2/6/2014
Mubbashir Khan, MD
54327
RN162692
Walker, Sandra Lenette
12908
1007 Mary St Waycross, GA 31501
10/10/2013
Jeremy Hess, MD
57818
RN171841
Walker, Richard Jerome
12405
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
9/13/2012
Kelvin Burton, MD
32101
RN186102
Walker, Elizabeth Lathrop
10974
8464 Adair Street, # B Douglasville, GA 30134
5/4/2012
Cotton, Byron MD
41098
RN159359
Walker, Erica
10650
2785 Lawrenceville Hwy, Ste 207 Decatur, GA 30033
11/3/2011
Harper, William MD
20726
RN129698
Walker, Jennifer
10203
1021 Talbotton Road Columbus, GA 31904
9/1/2011
G. Timothy Park MD
22859
RN118369
Walker, Carol
10011
6175 Newton Drive Covington, GA 30014
5/6/2011
Bradley Larson, MD
54449
RN170353
Walker, Melissa D.
9766
157 Clinic Ave, Suite 101 Carrollton, GA 30117
2/5/2010
Ben Thrower, MD
50311
RN090005
Walker, Tracy Lynn
3103
2020 Peachtree Rd NW Atlanta, GA 30309
11/7/2008
Roger Branch, MD
30272
RN094080
Walker, James Leland
3098
PO Box 538 Metter, GA 30439
2/7/2008
Heath Hampton, MD
52273
RN118369
Walker, Carol Walden
3097
5278 Adams Street Covington, GA 30014
4/13/2007
Michael Maley, MD
34410
RN091762
Walker, Regina Ellen Elliott
3101
269 Ridgecrest Circle Clayton, GA 30525
6/4/2015
Charmaine Ramsay-
Thomas, MD
45321
RN162692
Walker Anderson, Sandra
15630
1111 Glynco Parkway Building 2 Brunswick, GA 31525
5/8/2015
Terry Banks, MD
48206
RN141043
Wall, Wendy
15298
3518 Veteran's Parkway Colunbus, GA 48206
Wednesday, August 12, 2015
Page 370 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2013
Kathleen Long, MD
38549
RN134321
Wall, Donna Van Bladel
12183
148 Bill Gardner Pkwy, Suite 260 Hiram, GA 30141
8/5/2011
Navin Wadehra, MD
58346
RN134321
Wall, Donna Van Bladel
9822
6002 Professional Pkwy, Suite 220 Douglasville, GA 30134
4/2/2009
John Michael West, MD
20621
RN045285
Wall, Anthony B
3104
740 Prince Ave, Bldg 15 Athens, GA 30606
11/7/2014
Stephen Nickisch, MD
67257
RN046062
Wallace, Cynthia S
14176
203 Lakeshore Point St Marys, GA 31558
4/4/2014
Melissa Schepp, MD
50221
RN136273
Wallace, Stephanie Ruth
3108
677 Church St Marietta, GA 30060
7/10/2009
Fareed Kadum, MD
22993
RN046062
Wallace, Cynthia S
8622
203 Lakeshore Point, Suite A St. Mary's, GA 31558
9/11/2014
Scott Leibowitz, MD
53477
RN140799
Walsh, Laurie Ann Gagliano
13974
5673 Peachtree Dunwoody, Ste 775 Atlanta, GA 30342
5/6/2011
Alexander Gross, MD
30078
RN164556
Walsh, Janette J.
3113
1505 Northside Blvd, Suite 1500 Cumming, GA 30041
2/5/2015
Elizabeth Messulam, MD
44786
RN242754
Walston, Pastelle
14958
3421 Mike Padgett Hwy Augusta, GA 30906
7/9/2015
Pat Eagleson, MD
65102
RN134482
Walter, Sherry
15720
1230 Baxter St Athens, GA 30606
11/1/2007
Charles Hitson, MD
26554
RN078025
Walter, Susan Wheeler
3115
231 Graefe Street Griffin, GA 30223
4/2/2015
Eugene Jackson, MD
22793
RN146103
Walters, Bridget M
15179
118 Norman Dorminy Dr Fitzgerald, GA 31750
10/9/2014
Thomas Mann, MD
37607
RN
Walters, Bridget M
14323
182 Perry House Rd Fitzgerald, GA 31750
5/1/2014
Paul Harvey, MD
48960
RN186508
Walton, Nurah Jamilah
13174
6572 River Park Dr, Suite 102 Riverdale, GA 30274
5/1/2014
Richard Wright, MD
46927
RN186508
Walton, Nurah Jamilah
13176
315 Upper Riverdale Rd Riverdale, GA 30274
Wednesday, August 12, 2015
Page 371 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/10/2007
Joe K. Griffin, Jr., MD
38501
RN077768
Walz, Tammie Elizabeth Way
3119
1326 Eisenhower Dr. Savannah, GA 31406
10/8/2010
Carlton Kemp, Jr., MD
46870
RN184702
Wanager, Ashley McKinney
9316
4700 Waters Ave, Suite 507 Savannah, GA 31404
1/9/2014
Kristin Delahanty, MD
50878
RN203584
Wandurraga, Megan Mewborn
12833
2450 Atlanta Hwy Suite 103 Cumming, GA 30040
12/6/2013
Randy Durbin, DO
64776
RN229572
Wanner, Heather Brown
12630
4914 Atlanta Hwy, Suite 14 Alpharetta, GA 30004-2921
6/4/2015
Sean Miles, MD
52084
RN147488
Ward, Kevin
15673
1605 Hwy 34 E, Ste A2 Newnan, GA 30265
3/5/2015
Alexis Cutchins, MD
67925
RN130649
Ward, Antionette
15124
1525 Cliftion Rd, Ste 408 Atlanta, GA 30045
4/4/2014
Suzette Chin, MD
58955
RN235092
Ward, Jennifer Carol
13167
21 Pointe North Drive Cartersville, GA 30120
11/2/2012
Charles Allen Semones
51737
RN148845
Ward, Sandra A.
11255
8453 Queen Anna Drive Tallahassee, FL 3237
10/7/2011
Moss, Douglas MD
41178
RN148845
Ward, Sandra
10112
415 Woodrow Wilson Street Valdosta, GA 31602
10/7/2011
Padhiar, Dhanraj MD
22615
RN148845
Ward, Sandra
10113
207 Northside Drive Valdosta, GA 31602
6/4/2010
Bennett Hogan, MD
50024
RN148845
Ward, Sandra Lynn Asher
9057
117 W. Northside Drive Valdosta, GA 31602
6/4/2010
Benjamin Cheek, MD
25332
RN148659
Ward, Julie Jenell
9048
2300 Manchester Expwy, Ste B001 Columbus, GA 31904
8/7/2009
Arunas Urbonas, MD
54135
RN148845
Ward, Sandra Lynn Asher
8700
3564 N. Crossing Circle Valdosta, GA 31602
9/11/2008
Jonathan Parrott, MD
36246
RN148845
Ward, Sandra Lynn Asher
3123
2501 N Patterson Street Valdosta, GA 31602
Wednesday, August 12, 2015
Page 372 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/4/2007
J. Connor Smith, MD
27916
RN147488
Ward, Kevin
5447
303 Smith Street LaGrange, GA 30240
1/8/2015
Frederick Burton, MD
38434
rn142278
Ware, Althela
14730
6020 Harrison Rd Macon, GA 31206
9/11/2014
Bennie Brown, DO
65085
RN142278
Ware, Altheia Bass
13230
151 S Houston Lake Rd, Suite 110 Warner Robins, GA 31088
1/6/2012
Ditaranto, Anthony MD
29865
RN142278
Ware, Altheia
10262
915 Elmo Street Americus, GA 31709
7/10/2009
Howard Willis, MD
30693
RN142278
Ware, Altheia Bass
8564
1005 Talbottom Rd, Suite B Columbus, GA 31904
12/4/2008
Nichole LeBoyd, MD
54452
RN106324
Warner, Amy Elizabeth
3126
3003 Old Alabama Road Alpharetta, GA 30022
8/6/2015
Patrick Eagleson, MD
65102
RN203092
Warnock, Kimberly
15566
1230 Baxter St Athens, GA 30666
10/9/2014
Samuel Willimon, MD
65811
RN210341
Warnock, Kirsten Halle
13706
5445 Meridian Mark Rd, Suite 250 Atlanta, GA 30342
5/1/2014
Dennis Spencer, DO
47663
RN203092
Warnock, Kimberly Goodwin
13173
1077 South Main St, Emer Dept Madison, GA 30650
8/7/2014
Ronald Allen, MD
39274
RN173772
Warren, Courtney Dee
13686
2910 N. Patterson St. Valdosta, GA 31602
2/6/2014
Larry Elam, MD
53491
RN127202
Warren, Sarah Elizabeth Reiche
12697
10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324
8/6/2015
Maxwell Prempeh, MD
64054
RN221832
Washington, Kiara
15445
150 Gentilly Blvd Cartersville, GA 30120
4/4/2014
Janet Griffin, DO
46597
RN137952
RN137952
Washington, Patrick Lynn
12991
5885 Glenridge Dr, Suite 200 Atlanta, GA 30328
10/10/2013
Benedict Benigno, MD
17010
RN102681
Washington, Renice Andrea
3129
960 Johnson Ferry Rd, Suite 130 Atlanta, GA 30342
Wednesday, August 12, 2015
Page 373 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2013
Chandra B. Armstrong, MD
43562
RN198365
Washington, Tonita R.
11496
1862 Candler Rd. Decatur, GA 30032
4/4/2013
Jacqueline Sulton, MD
27675
RN145575
Washington, Barbara Jean
11805
5700 Hillandale Dr, Suite 150 Lithonia, GA 30058
3/1/2012
Jacob, Mina MD
51477
RN137952
Washington, Patrick
10522
1700 Hospital South Drive, Ste 302 Austell, GA 30106
3/4/2011
Sasidhar Guthikonda, MD
57471
RN137952
Washington, Patrick Lynn
9532
1267 Hwy 54 West, Suite 2200 Fayetteville, GA 30214
11/5/2010
Bruce Ramsdell, MD
18722
RN137952
Washington, Patrick Lynn
9225
2225 Godby Road College Park, GA 30349
7/10/2009
Benjamin Camp, MD
44691
RN137952
Washington, Patrick Lynn
8584
705 Dixie Street Carrollton, GA 30117
4/2/2015
Vitaliy Gavrikov, MD
61430
RN206177
Waters, Danielle
15170
1810 GA Hwy 20 SE, Ste 172 Conyers, GA 30013
10/10/2013
Zada Weston-Hill, MD
39009
RN206177
Waters, Danielle Nicole
11768
1810 Hwy 20 Suite 172 Conyers, GA 30013
10/8/2010
Alvin Griffin, MD
32107
RN206177
Waters, Danielle Nicole
9302
1039 E. Freeway Drive Conyers, GA 30094
7/9/2015
Lisa Ortenzi, MD
23395
RN083309
Watkins, Cathy Elizabeth
15737
3405 Dallas Hwy, Ste 505 Marietta, GA 30064
4/2/2015
Iheuwa Ezeh, MD
68509
RN170663
Watkins, Nicole
15253
1826 Veterans Blvd Dublin, GA 31021
4/2/2009
Richard Gorman, MD
31008
RN144200
Watkiss, Amy Odom
5523
1401 Georgian Park, Suite 200 Peachtree City, GA 30269
10/9/2014
Samir Belagaje, MD
64896
RN057926
Watson, Margaret
14430
80 Jesse Hill Jr Dr S E Atlanta, GA 30303
10/5/2012
Carl Johnson, MD
28796
RN050405
Watson, Vivian Elaine
158
1950 Old Ocilla Rd. Tifton, GA 31794
Wednesday, August 12, 2015
Page 374 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
10/5/2012
Edward Hellman, MD
45823
RN201031
Watson, James
11131
1610 John Orr Dr., Ste A Tifton, GA 31794
6/8/2012
Badre, Shenon MD
52532
RN112289
Watson, Elizabeth K
3136
2500 Starling Street Ste 501 Brunswick, GA 31520
10/8/2010
Mark Hendricks, MD
43061
RN193806
Watson, Jennifer G.
9331
380 Hospital Dr, Bldg A, Suite 430 Macon, GA 31217
4/1/2010
Dennis Ashley, MD
33266
RN117565
Watson, Anita Carver
9060
777 Hemlock St, Hosp Box 103 Macon, GA 31201
9/3/2009
Rodger Chapman, MD
16769
RN087567
Watson, Donna M.H.
3135
2890 Delk Road Marietta, GA 30067
8/8/2008
Laura Verigan, MD
54043
RN152146
Watson, Holly Leo
7877
51 Hiram Drive, Bldg B Hiram, GA 30141
7/11/2008
Lee Herman, MD
43644
RN142904
Watson, Pamela Kaye Parham
3141
4365 John's Creek Pkwy, Suite 400 Suwanee, GA 30024
4/3/2008
Veronica Garrett, MD
39106
RN107940
Watson, Marcia Ava Pyne
3139
1567 Milstead Road, Suite B Conyers, GA 30012
4/13/2007
C. Allen Woods, MD
26688
RN170324
Watt, Kathryn Coleman
5466
410 Connell Road, Ste A Valdosta, GA 31602
9/11/2014
TAYLOR GRAVES, MD
40082
RN196933
WATTKIS, EVON ROSILYN
13783
1821 CLIFTON RD. NE ATLANTA, GA 30329
8/6/2015
Michael Sumner, MD
63062
RN128926
Watts, Shawn
16100
1120 15th St Augusta, GA 30912
5/8/2015
George Pursley, MD
31308
RN128926
Watts, Shawn
15418
820 Stevens Greek Rd Augusta, GA 30907
6/4/2015
Suzanne Storey, MD
49845
RN113658
Weaver, Leslie
15525
611 Evillanow St Lafayette, GA 30728
8/9/2013
Kathryn Dudas, MD
66025
RN197635
Weaver, Rachel Elizabeth
12142
1856-14 Thompson Bridge Rd Gainesville, GA 30501
Wednesday, August 12, 2015
Page 375 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Bethea, Todd MD
42016
RN117742
Weaver, Gail
10178
536 Hwy 441 South Clayton, GA 30525
6/4/2010
Mohak Dave', MD
51128
RN117742
Weaver, Gail Marner
3148
743 Spring St Gainesville, GA 30501
4/1/2010
Karen Muro, MD
37304
RN091813
Weaver, Valencia Lavon
8970
497 Winn Way, Suite A-210 Decatur, GA 30030
4/2/2009
Georgina Kalaitzidis, MD
56186
RN092374
Weaver, Doris Munford
8514
1292 Athens Street Gainesville, GA 30507
10/2/2008
Joel Johnson, MD
30799
RN089815
Weaver, Judy Elaine
3149
1007 Greenfield Drive Tifton, GA 31794
9/11/2008
David Blomert, MD
40870
RN092374
Weaver, Doris Munford
3147
1292 Athens Street Gainesville, GA 30507
8/6/2015
John George, MD
27815
RN094097
Webb, Terrance
16088
210 E DeRenne Ave Savannah, GA 31405
7/9/2015
Jack Copeland, MD
30289
197364
Webb, Danny
15749
725 Jesse Jewell Pkwy SE Gainesville, GA 30501
1/8/2015
Jaymal Patel, MD
50984
RN091563
Webb, Dorraine
14777
3120 N Oak St Ext 3 Valdosta, GA 31602
1/8/2015
James Butts, MD
9103
RN197364
Webb, Danny Shane
14855
810 Pine St Gainerville, GA 30501
12/4/2014
Nelson Madazo, MD
49862
RN175520
Webb, Leah Dawn
14523
103 GA Hwy 7 E Americus, GA 31709
1/9/2014
Frances Ferguson, MD
35625
RN169815
Webb, Mary Elizabeth Howell
12601
1212 East Union St Vienna, GA 31092
11/8/2013
Paresh Thanki, MD
55344
RN091563
Webb, Dorraine Baker
12330
3120 North Oak St Ext, Suite C Valdosta, GA 31602
9/13/2013
Muhammad Alam, MD
69167
RN091563
Webb, Dorraine Baker
12323
3015 Veterans Pkwy Moultrie, GA 31788
12/7/2012
Teddy A. Scoggins, MD
29089
RN213372
Webb, Emily T.
11220
611 Villanow St. LaFayette, GA 30728
Wednesday, August 12, 2015
Page 376 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/2/2012
James Palazzolo, MD
37637
RN175520
Webb, Leah Dawn
11036
804 13th Ave. Albany, GA 31701
2/5/2010
Edwin Hiatt, MD
12920
RN091563
Webb, Dorraine Baker
8974
200 Georgia Ave Valdosta, GA 31698
2/5/2009
Ifeyinwa Osunkwo, MD
55681
RN198044
Webb, Lindley Banner
8446
1405 Clifton Rd, Tower 1, 4th Floor Atlanta, GA 30322
9/13/2012
Eubanks, Amy
52922
RN148627
Weber, Julie Dorsch
10935
101 Quartz Drive, Ste 201 Villa Rica, GA 30180
5/7/2009
Linda Sacks, MD
24724
RN144617
Weber, Jennifer Lynn
3153
4750 Waters Ave, Suite 206 Savannah, GA 31404
7/13/2007
Stephen H. Kahler, MD
30330
RN148627
Weber, Julie Dorsch
5474
150 Henry Burson Drive, Ste 200 Carrollton, GA 30117
5/1/2014
Courtney Middleton, MD
57295
RN081776
Webster, Carol Anne
12907
11975 Morris Road Suite 300 Alpharetta, GA 30005
9/13/2013
Hassan Sayegh, MD
36066
RN083512
Webster, Julie Hilliard
3155
95 Collier Rd, Suite 300 Atlanta, GA 30309
11/1/2007
Brian Cross, MD
43190
RN104626
Webster, Robert Bruce
3156
231 Graefe Street Griffin, GA 30223
5/10/2007
Suzanne Palmer, MD
25007
RN166485
166485
Webster, Katherine H.
5476
750 North Cobb St. Milledgeville, GA 31061
12/3/2010
O. Goga Vukotic, MD
47576
RN155393
Weeks, Keela Kathleen
9474
11050 Crabapple Rd, Bldg A, #104-B Roswell, GA 30075
12/4/2008
Bruce Burns, MD
48882
RN190495
Wegner, Jill Yatcko
8357
800 First St., Ste 410 Macon, GA 31201
9/11/2014
Christopher Wommack, MD
48583
RN198261
Weierick, Leslie Kay
13962
106 Enterprise Crt, Ste A Columbus, GA 31904
7/10/2014
Walter Smith, DO
28895
RN128678
Weinberger, Ellen Dodie Binder
3160
6330 Riverdale Rd Riverdale, GA 30274
Wednesday, August 12, 2015
Page 377 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/6/2014
Janet Fason, DO
48773
RN153196
Weir, Karene Gaile
13385
5435 Five Forks Trickum Rd. Stone Mountain, GA 30087
4/4/2013
Eastlyn Harding-Marin, MD
56841
RN153196
Weir, Karene Gaile
11615
15151 Alvovy Jersey Rd. Covington, GA 30014
5/9/2008
Olubunkola Olubi, MD
56613
RN051662
Weitzel, Sybil Stone
8193
20 Francis Way, Suite 101 Sharpsburg, GA 30277
4/4/2014
Jeffrey Dowis, MD
68199
RN175924
Welch, Lanie Demolfetto
13165
3193 East First St Vidalia, GA 30474
1/11/2013
Theresa M. Courtney, MD
#####
RN102154
Welch, Stephanie A.
11415
Park 60 Georgia 22 Milledgeville, GA 31061
1/6/2012
Duke, Michael MD
42041
RN102154
Welch, Stephanie
10403
134 W. Campus Drive, Cbox 091 Milledgeville, GA 31061
10/7/2011
Moore, Xavier MD
55619
RN208091
Welch, Natasha
10033
4340 Georgetown Square, Ste 608 Atlanta, GA 30338
1/8/2015
Thomas Guest, MD
40393
RN218032
Weldon, Kathleen
14682
5671 Peachtree Dunwoody Rd, Ste 300 Atlanta, GA 30342
6/8/2012
Tidmore Jr., William C. MD
41978
RN154254
Weldon , Lisa
10801
2412 North Oak Street Valdosta, GA 31602
6/8/2012
Tidmore Jr., William C. MD
41978
RN115879
Weldon, Jennifer
10800
2412 North Oak Street Valdosta, GA 31602
3/1/2012
Slade, Lance MD
52488
RN169965
Weldon, Abby
10552
550 Professional Drive Macon, GA 31201
12/7/2007
Paul Weinberg, MD
23244
RN094541
Weller, Ruby Ann Haddock
7742
600 Professional Drive, Suite 160 Lawrenceville, GA 30045
6/4/2015
Henry Lewis, MD
49052
RN216891
Wells, Tierra
15643
774 Highway 96 Bonaire, GA 31005
4/2/2015
Sunderraj Kamaleson, MD
#####
RN140888
Wells, Jamie Elijah
15343
210 E DeRenne Ave. Savannah, GA 31405
Wednesday, August 12, 2015
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Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/13/2013
Don Heacock, MD
37564
RN149563
Wells, Angela Gail Gordon
12205
345 North Cobb St Milledgeville, GA 31061
9/14/2007
Nicole Franks, MD
49691
RN135621
Wells, Stephanie Marie
3170
550 Peachtree Street Atlanta, GA 30308
2/7/2008
Keith Hannay, MD
25760
RN137037
Wempe, Elizabeth Talcott
3172
304 Shorter Avenue, Suite 201 Rome, GA 30165
12/4/2008
Folashade Omole, MD
49074
RN169089
Wermers, Victoria Mignon
3174
2988 Shallowford Road Marietta, GA 30066
8/7/2009
Madhu Vishwanath, MD
56499
RN130480
Werner, Melody Kellogg
3175
4398 Atlanta Hwy Loganville, GA 30052
6/6/2014
Barbara Simmons, MD
34716
RN108574
Wertz, Lana Michelle Layman
13386
833 Campbell Hill St, Ste 400 Marietta, GA 30060
9/13/2013
Naghma Khan, MD
37252
RN143311
Wesley, Stacie Allyn Reed
12209
1645 Tullie Circle Atlanta, GA 30329
8/7/2014
Nicolle Martin, MD
62555
RN036503
West, Carolyn Delores Green
12492
2021 N Druid Hills, Suite 100 Atlanta, GA 30329
3/8/2013
Sara Mobasseri, MD
57112
RN170279
West, Adrienne
10934
95 Collier Rd, Ste 2035 Atlanta, GA 30309
10/7/2011
Rouse, Charlie MD
44076
RN170279
West, Adrianne
10092
100 Professional Place, Ste 303 Carrollton, GA 30117
8/5/2011
Donna Van Schuyver, DO
42754
RN122688
West, Pamela LM
9935
13570 N Main St Trenton, GA 30752
3/4/2011
Medel Reyes, MD
48815
RN185014
West, Heather Lynn
9549
55 Whitcher St, Suite 420 Marietta, GA 30060
2/7/2008
Sharon Fitzgerald-Soapes,
MD
16509
RN033891
West, Jo Ann
3178
3685 Lawrenceville Hwy, Suite 100 Lawrenceville, GA 30044
2/5/2010
James Butts, MD
9103
RN072824
Westbrook, Patricia Gay
3180
PO Box 2683 Gainesville, GA 30503
Wednesday, August 12, 2015
Page 379 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/7/2008
Jane Ellis, MD
44208
RN120210
Westdahl, Claire M.
8142
69 Jesse Hill Jr Drive SE, 4th Floor Atlanta, GA 30303
7/12/2012
Arunachalam, Krishnan MD
24649
RN051666
Weston, Candace
10887
800 Virginia Avenue, Ste 200 Hapeville, GA 30354
5/30/2012
Halleck, Sylvia MD
16356
RN051666
Weston, Candace
10720
3955 Harrison Park Rd, Ste 400 Loganville, GA 30052
2/3/2012
Brown, Beverly MD
42534
RN051666
Weston, Candace
10436
3955 Harrison Rd, Ste 400 Loganville, GA 30052
7/9/2015
Donald Siegel, MD
11475
RN154784
Wetter, Suzanne
15837
2101 Womack Rd Dunwooy, GA 30338
7/9/2015
Yard Fattouh, MD
53522
RN224092
Whaley, Lorna
15814
1115 Hwy 76 Chatsworth, GA 30705
11/7/2014
John Vender, MD
42475
RN193006
Whaley, Marjorie Nicole
14128
1120 15 S,t Ste BI 3088 Augusta, GA 30912
6/6/2014
Shirish Amrutia, MD
70034
RN169622
Whaley, Lucie S
12930
55 Whitcher St. Marietta, GA 30060
9/13/2013
James Smith, MD
59763
RN188449
Whaley, Janet Lorraine
12287
1000 Medical Center Blvd, Emer Dept Lawrenceville, GA 300
9/13/2012
Dowdell, William MD
27535
RN169622
Whaley, Lucie
10854
55 Whitcher Street, Ste 160 Marietta, GA 30060
10/7/2011
Voccio, Gary MD
29550
rn169622
Whaley, Lucie
10087
1825 Martha Berry Blvd Rome, GA 30165
6/3/2011
Sreeni Gangasani, MD
48777
RN188449
Whaley, Janet Lorraine
9798
755 Walther Rd Lawrenceville, GA 30046
8/7/2009
John Spaulding, MD
42448
RN188449
Whaley, Janet Lorraine
8545
2701 North Decatur Rd Decatur, GA 30033
9/11/2008
Scott Keller, DO
24445
RN113675
Wharton, Kelley Sue
8278
4120 Five Forks Trickum Road, Suite 105 Lilburn, GA 30047
10/8/2010
Robert Kaufmann, MD
30115
RN183030
Whatley, Susan Porter
9413
2001 Professional Pkwy, Suite 220 Woodstock, GA 30188
Wednesday, August 12, 2015
Page 380 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
6/4/2015
Jeffrey Blackmon, MD
55917
RN037416
Wheeler, Cheryl
15292
1200 Memorial Dr Dalton, GA 30720-2529
2/5/2015
Jason Hefner, MD
61444
RN165493
Wheeler, Amy Marie
14907
104 Prominence Point Pkwy, Ste 104 Canton, GA 30114
9/11/2014
Kathirae Severson
46909
RN165493
Wheeler, Amy Marie
12915
89 Clinic Road Tate, GA 30177
9/11/2014
Peter Bolan, MD
40825
RN077840
Wheeler, Melanie Jones
13961
688 Walnut St. Ste 200 Macon, GA 31201
9/11/2014
Sadiq Sohani, MD
45010
RN135072
Wheeler, Sherrie Lynn
14407
1413 Chattanooga Ave Dalton, GA 30720
1/11/2013
David R. Wharton, MD
25310
RN037416
RN037416
Wheeler, Cheryl A.
11232
100 Gross Crescent Cr. Ft. Oglethorpe, GA 30742
1/8/2015
James Palazzolo, MD
37637
RN165002
Whiddon, Teri Suzanne
14856
804 13th Avenue Albany, GA 31701
11/7/2014
Anozie Ukaonu, MD
53729
RN171380
Whiddon, Andrea Lane
14174
2000 N. Monroe St Albany, Ga 31701
2/4/2011
Todd Antin, MD
36495
RN151734
Whiddon, Alexandra Lee
9577
465 Winn Way, Suite 221 Decatur, GA 30030
4/2/2015
Laurel Murrow, MD
63376
RN169930
Whitaker, Mauree Harper
15213
700 Oglethorpe Ave, Ste C7 Athens, GA 30606
7/11/2013
Paul Buczynsky, MD
44891
RN169930
Whitaker, Mauree Harper
11960
700 Oglethorpe Ave, Suite C-7 Athens, GA 30606
5/8/2015
Paul Hawkins, MD
54741
RN112970
White, Amanda
15428
4421 Carnes St Acworth, GA 30101
4/2/2015
Shahed Brown, MD
61400
RN122830
White, Myrtle
15186
1670 Clairmont Rd Decatur, GA 30033
4/2/2015
Nichole LeBoyd, MD
54452
RN136717
White, Katharine
15190
2945 Panola Rd Lithonia, GA 30038-2313
Wednesday, August 12, 2015
Page 381 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Ralph Warnock, MD
17337
RN221863
White, Dianna Lynn
13959
4421 Carnes St Acworth, GA 30101
9/11/2014
Robert Albin, MD
33018
RN070921
White, Susan Lynne
14377
993 Johnson Ferry Rd Bldg C, Ste 300 Atlanta, GA 30342
5/1/2014
David Parks, MD
27887
RN117058
White, Deidra K
2715
148 Bill Carruth Pkwy, Suite 220 Hiram, GA 30141
8/9/2013
Patrick Battey, MD
24388
RN113401
White, Sara Barron
12190
95 Collier Rd, Suite 5015 Atlanta, GA 30309
12/1/2011
Levin, Fred MD
22434
RN136717
White, Katharine
10210
1269 Wellbrook Circle NE Conyers, GA 30012
6/4/2010
Dawn Wilson, MD
47279
RN142311
White, Opal Williams
9158
245 Peachtree Ind Blvd, Suite 100 Sugar Hill, GA 30518
1/9/2009
Fareha Rahim, MD
47505
RN142311
White, Opal Williams
8438
613 Hospital Road Commerce, GA 30529
4/2/2015
Carmine Oddis, MD
51072
RN154923
Whitehead, Janet Leigh
15146
143 Hampton Ridge Rd Macon, GA 31220
6/5/2009
Gary Olson, MD
20465
RN058514
Whitehead, Joanne Marion Tru
8623
1436 Broadrick Dr, Suite B Dalton, GA 30720
8/7/2014
Joon Ahn, MD
48750
RN159770
Whiten, Peggy Gail
13604
2005 S. Enota Dr, Suite 200 Gainesville, GA 30501
11/7/2014
Alana Kent, MD
51241
RN138301
Whitener, Bethany
12859
14244 Highway 515 N Ste 100 Ellijay, GA 30540
6/30/2011
William Breedlove, MD
26465
RN094116
Whitener, Sheila Lynne Butts
5406
162 Hospital Rd Blairsville, GA 30512
12/7/2007
Saundra Maass-Robinson,
MD
24621
RN167681
Whiting, Gwen Hatley
8117
KSU Hlth Clinic - 1000 Chastain Rd, Hse 52, #520 Kennesaw,
5/8/2015
Thomas Smith, MD
46254
RN244479
Whitlock, Jennifer
15364
304 Turner McCall Blvd Rome, GA 30165
Wednesday, August 12, 2015
Page 382 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/11/2014
Armene Vanoyan, MD
46508
RN061514
Whitlock, Susan Westphal
13960
275 Collier Rd., Ste 100 C Atlanta, GA 30309
6/6/2014
Patrick Battey, MD
24388
RN180564
Whitlock, Kimberly Jo
13387
95 Collier Rd., Ste 5015 Atlanta, GA 30309
5/6/2011
Michael Frankel, MD
34832
RN180564
Whitlock, Kimberly Jo
9724
80 Jessie Hill Jr Dr, 8th Floor Atlanta, GA 30303
4/4/2014
Tania Edwards, DO
53465
RN214290
Whitlow, Angie Michelle
12932
2000 10th Ave, Ste 410 Columbus, GA 31901
7/12/2012
Dawson, Gary MD
53857
RN214290
Whitlow, Angie
10871
2300 13th Street, Ste A Columbus, GA 31906
7/11/2013
Paul Steinwachs, MD
42736
RN117775
Whitted, Kelli Lynette Bellew
3203
1336 3rd Ave Columbus, GA 31901
3/8/2013
Kent Ford, DO
40063
RN117082
Whitten, Shannon Elizabeth
11712
616 Ferncrest Dr Sandersville, GA 31082
12/4/2009
Richard Donadio, MD
42232
RN129474
Whitten, Sarah Ann
8878
550 Redmond Rd Rome, GA 30165
8/2/2007
Guillermo Saurina, MD
48570
RN114700
Whyte, Maria De Los Angeles
3208
201 Pendleton Dr, Suite 250 Valdosta, GA 31602
5/6/2011
Saied Murphy, MD
39187
RN045532
Wickstrom, Betty R
3210
1350 Montreal Rd, Suite 210 Tucker, GA 30084
9/13/2013
Joel Greenberg, MD
28560
RN113693
Widener, Wallette Gwen
12039
6602 Waters Ave, Bldg C Savannah, GA 31406
10/8/2010
Howard Willis, MD
30693
RN042301
Wieczorek, Susan Carol Karm
9408
5353 Veterans Pkwy, Suite C Columbus, GA 31904
12/7/2012
Robert E. Taylor, DO
31338
RN126531
Wiegand, Jennifer C.
11439
5281 Cleveland Hwy Clermont, GA 30527
7/9/2015
Kimberly Carr, MD
52062
RN145899
Wiegmann-Ross, Michele
15861
1115 Mt Zion Rd, Ste E Morrow, GA 30260
Wednesday, August 12, 2015
Page 383 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Joseph Ricotta, MD
64452
RN165716
Wiggins, Andronica McCoy
15228
1505 Northside Blvd, Ste 2400 Cumming, GA 30041
3/6/2009
John DeSimone, MD
19930
RN104534
Wiggins, Sonia Coleman
8491
611 E. Washington Ave Ashburn, GA 31714
6/8/2012
Singh, Amar MD
52227
RN190699
Wilbanks, Ashley
10782
550 Redmond Road Rome, GA 30165
3/5/2015
Saudiqa Hoossainy, MD
68179
RN143313
Wilcox, Tanya
15106
5150 Stilesboro Rd, Ste 220 Kennesaw, GA 30152
5/8/2015
David Dean, MD
64808
RN197955
Wilder, Angela
15397
95 Collier Rd NW Atlanta, GA 30309
3/5/2015
Bridgette Dingle, MD
64532
RN060359
Wilder, Teresa Garvin
14933
304 Turner McCall Blvd. Rome, GA 30161
2/5/2015
MaryKutty Thomas, MD
21111
RN201759
Wilder, Erin Simmons
14744
1 Freedom Way (28) Augusta, GA 30904
1/9/2009
David Williams, MD
29997
RN071972
Wilder, Myrtle Mai
3218
1046 Ridge Avenue Atlanta, GA 30315
5/8/2015
John Cole, MD
65951
RN076912
Wildes, Terri
15348
247-B Northside Dr. Valdosta, GA 31602
6/8/2012
Avino, Anthony
47185
RN077963
Wildes, Deanna
10796
4750 Waters Avenue Ste 500 Savannah, GA 31404
11/7/2014
Kenneth Hardigan, MD
39120
RN241067
Wild-Mcleod, Vicki Lynnette
14178
4700 Waters Ave Savannah, GA 31404
10/8/2010
Jonathan Hall, MD
59655
RN192545
Wiley, Kerri Leigh
9359
12192 Augusta Rd Lavonia, GA 30553
9/11/2014
Julian Sharpton, MD
17084
RN127940
Wilkerson, Deborah M
14012
138 west Gibson St. Hartwell, GA 30643
1/9/2014
Christopher Stevens, MD
54515
RN043510
Wilkerson, Evelyn P
12835
9465 HWY 5 Douglasville, GA` 30135
Wednesday, August 12, 2015
Page 384 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2015
Clay Lee, MD
46610
RN201017
Wilkes, Rebecca Lynn
14724
207 31 St Ave S E Moultrie, GA 31768
6/8/2012
Kitchens, Wentzelle MD
38277
RN164167
Wilkes, Erin
10798
501 Sparta Road, Ste F Sandersville, GA 31082
6/8/2012
Sumner, Jean MD
30225
RN164167
Wilkes, Erin
10797
2257 West Elm Street, Ste C Wrightsville, GA 31096
10/9/2014
Mark Rosing, DO
39453
RN205836
Wilkinson, Tammie Jo Keith
14037
1514 Vernon Rd. LaGrange, GA 30041
10/9/2014
George Capo, DO
42539
RN205836
Wilkinson, Tammie Jo Keith
14036
1512 Hwy 19 W Thomaston, GA 30286
5/8/2015
Dana Cason, MD
39302
RN082035
Wilks, Melody
15369
2122 Manchester Expressway Columbus, GA 31904
11/7/2014
LaFayette Burks, MD
50502
RN058876
Willamson, Susan
14191
386 E Cypress Ste Bldg A PO Box 765 Ludowici, GA 31316
3/5/2015
Paul Rodon, MD
56476
RN184536
Willard, Karen
15111
2700 Clairmont Rd Atlanta, GA 30329
1/8/2015
Ronnie Hendrix, MD
24690
RN149632
Willard, Brandi
14814
4835 Sugarloaf Pkwy, Ste 200 Lawrenceville, GA 30044
7/10/2014
Debra Houry, MD
50889
RN184536
Willard, Karen K
13442
49 Jesse Hill Jr Dr SE, Emer Dept Atlanta, GA 30303
1/9/2014
Ashok Kancharla, MD
48250
RN190879
Willard, Sonya Lynn
12745
132 Franklin Springs St Royston, GA 30662
7/11/2013
Naren Logendra, MD
42336
RN149632
Willard, Brandi Hartman
12057
2151 West Spring St, Emer Dept Monroe, GA 30655
4/4/2013
Mark Hancock, MD
67750
RN190879
Willard, Sonya L.
11511
163 Hospital Dr. Toccoa, GA 60577
4/4/2013
Gottfrid Karlsson, MD
66380
RN184536
Willard, Karen K
11806
745 Poplar Rd Newnan, GA 302685
Wednesday, August 12, 2015
Page 385 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/1/2011
Hatmaker, David MD
26300
RN149632
Willard, Brandi
10265
555 Old Norcross Road, Ste 100 Lawrenceville, GA 30046
4/1/2011
Edward Shanik, MD
20484
RN149632
Willard, Brandi Hartman
9663
555 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046
5/7/2010
Leslie David, MD
60363
RN149632
Willard, Brandi Hartman
7859
115 Towne Center Pkwy, Suite 113 Hoschton, GA 30548
7/9/2015
Kabir Das, MD
62867
RN187229
Williams, Amanda
15748
231 Graefe St Griffin, GA 30224
6/4/2015
Gordon Turner, MD
59524
RN149347
Williams, Mitzi
15609
743 Spring St NE Gainesville, GA 30501
5/8/2015
Jeffery Butler, MD
68488
RN147732
Williams, Greg Lee
15274
950 South Main St Baxley, GA 31513
5/8/2015
David Kaiser, MD
71353
RN174560
Williams, Natalie
15376
2000 16th Avenue Columbus, GA 31901
4/2/2015
Leilani Shivers, MD
57507
RN242269
Williams, Tracee
15175
130 Sam Walker Rd Lagrange, GA 30240
4/2/2015
Henry Morris, MD
30353
RN102733
Williams, Mary Lynn
15339
1450 Barnett Shoals Rd. Athens, GA 30605
3/5/2015
Alan Alvarado, MD
37463
RN237105
Williams, Christy
14970
3440 Noth Valdosta Rd Valdosta, GA 31602
3/5/2015
E Dorsey Norwood, MD
46192
RN160574
Williams, Jill
14505
2739 Felton Dr East Point, GA 30344
12/4/2014
Charles Sow, MD
55343
RN243438
Williams, Kimberley Michelle
14437
1513 E Cleveland East Point, GA 55343
11/7/2014
Cameron Nixon, MD
55155
RN177719
Williams, Lakesha Alexia
14159
2225 U.S. 41 N Tifton, GA 31794
8/7/2014
Ifeoma Nnaji, MD
63931
RN192734
Williams, Tina
13648
1300 Joseph E Boone Blvd Atlanta, GA 30314
Wednesday, August 12, 2015
Page 386 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/6/2014
William Webb, MD
58238
RN140903
Williams, Sheila M
12696
10055 Ford Ave, Suite 4-A Richmond Hill, GA 31324
10/10/2013
Apurva Shah, MD
64742
RN232850
Williams, Patricia C.
12310
1623 Madison Ave Tifton, GA 31794
10/10/2013
Paul Dainer, MD
35233
RN103047
Williams, Lovoria Breckley Whit
3240
GRU Cancer Center, 1411 Laney Walker Blvd Augusta, GA 30
10/10/2013
Mark Vrana, MD
22663
RN230053
Williams, Karen Paige
12346
3320 Old Jefferson Rd, Bldg 700 Athens, GA 30607
8/9/2013
Mark Elam, MD
36147
RN066681
Williams, Betty Lynn Phillips
12174
800 Professional Blvd Dalton, GA 30720
7/11/2013
Evelyn Johnson, MD
56182
RN147732
Williams, Greg Lee
11976
950 South Main St, Suite 2 Baxley, GA 31513
7/11/2013
Dolapo Babalola, MD
59119
RN150777
Williams, Natasha Renee
12097
Take Care Clinic, 3003 Old Alabama Rd Alpharetta, GA 30022
4/4/2013
Dean Karampelas, MD
26141
RN149347
Williams, Mitzi Marie
11784
743 Spring St Gainesville, GA 30501
3/8/2013
John Mynatt, Jr, MD
41469
RN205403
Williams, Whitney Nicole
11743
5040 Bill Gardner Pkwy, Suite 100 Locust Grove, GA 30248
1/11/2013
Angela L. Beninga, DO
68481
RN056087
Williams, Sandra
11420
2020 Peachtree Rd Atlanta, GA 30309
5/4/2012
Brown, Timothy MD
32100
RN163873
Williams, Shirley
10696
83 Upper Riverdale Road, Ste 135 Riverdale, GA 30274
2/3/2012
Deen, Michael MD
58459
RN147732
Williams, Greg
10454
950 South Main Street, Ste 2 Baxley, GA 31513
1/6/2012
Taubin, Rhonda MD
32482
RN056087
Williams, Sandra
10296
2020 Peachtree Rd NW Atlanta, GA 30309
1/6/2012
Williams, Benjamin MD
31686
RN136002
Williams, Tammie
10345
202 Cherokee Road Thomaston, GA 30286
Wednesday, August 12, 2015
Page 387 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
11/3/2011
Mason, Kein MD
28604
RN163073
Williams, Tasheeka
10186
1405 Franklin Road Marietta, GA 30067
10/7/2011
Murali, Sujatha MD
54085
RN142141
Williams, Felicia
10037
550 Peachtree St NE, Glenn Bldg Atlanta, GA 30308
6/30/2011
Michael Hardee, MD
57634
RN140322
Williams, Inger Ferguson
9821
6001 Professional Park, Suite 2080 Douglasville, GA 30134
6/3/2011
Steven Macheers, MD
34187
RN094494
Williams, Kellie Sue Kratzer
9602
5665 Peachtree Dunwoody Rd, Suite 200 Atlanta, GA 30342
4/1/2011
Anthony Harbin, MD
29665
RN077012
Williams, Trina Denise Johnson
9723
1525 Chattanooga Rd Dalton, GA 30720
2/4/2011
Michael Nulph, MD
57735
RN147732
Williams, Greg Lee
9574
204 E. 15th St Alma, GA 31510
1/7/2011
Michael Deen, MD
58459
RN147732
Williams, Greg Lee
9472
143 Hwy 32 By-Pass Alma, GA 31510
12/3/2010
Theresa Jacobs, MD
46864
RN192734
Williams, Tina
9419
868 York Ave Atlanta, GA 30310
12/3/2010
Susan Kinsella, MD
31618
RN192734
Williams, Tina
9349
2953 Cobb Pkwy NW Kennesaw, GA 30152
10/8/2010
Warren Henderson, MD
20734
RN036755
Williams, Mary K. Hart
9337
303 Smith St LaGrange, GA 30240
6/4/2010
Pablo Balboa, MD
55409
RN107543
Williams, Teresa Diane
3254
2712 Hwy 411 Fairmount, GA 30139
6/4/2010
Michael Hamm, DO
49021
RN147732
Williams, Greg Lee
9008
410 Darling Ave, Emerg Dept Waycross, GA 31501
10/2/2009
Sam Khair, MD
35194
RN107542
Williams, Sharon
8764
145 Eagle's Walk, Suite A Stockbridge, GA 30281
8/8/2008
David Kent, MD
25625
RN115938
Williams, Todd Michael
8228
308 Coliseum Drive, Suite 200 Macon, GA 31217
Wednesday, August 12, 2015
Page 388 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/8/2008
William Pullen, MD
17270
RN165285
Williams, Shelly Renea
7932
1200 Memorial Drive Dalton, GA 30722
11/1/2007
Roberto Pereira, MD
58303
RN189268
Williams, Sara Lynn
8021
220 J L White Drive, Suite 100 Jasper, GA 30143
11/1/2007
Juliana Raymaker, MD
53706
RN115938
Williams, Todd Michael
8079
1390 US Hwy 19 South Leesburg, GA 31763
9/14/2007
Thomas DiFulco, MD
18215
RN057924
Williams, Rita Teresa Stinson
3247
1462 Montreal Road, Suite 303 Tucker, GA 30084
9/14/2007
Catherine Emeruwa, MD
49008
RN125883
Williams, Janet Elizabeth
3234
1240 Hwy 54, Bldg 100, Suite 100 Fayetteville, GA 30214
4/13/2007
Raymond E. Tidman, MD
32826
RN066872
Williams, Marilyn Ann Parker
3243
101 RiverStone Vista, Suite 206 Blue Ridge, GA 30513
7/9/2015
Courtney Shelton, MD
50559
RN194813
Williamson, Natasha
15851
285 Boulevard NE, Ste 435 Atlanta, GA 30312
3/5/2015
Richard Mansfield, DO
44526
RN090062
Williamson, Trina Marie
14935
2001 Brookstone Centre Pkwy Columbus, GA 31909
7/10/2014
Paul Whitlock, MD
12592
RN072778
Williamson, Ronda Durrence
12918
36671 HWY 23 Cobbtown, GA 30420
1/6/2012
Badea, Calin MD
55918
RN169751
Williamson, Suzannah
10346
213 N. McDonald Street Ludowici, GA 31316
11/7/2008
Timothy Brown, MD
32100
RN145364
Williamson, Judy Gale Tillman
5410
83 Upper Riverdale Rd, Suite 135 Riverdale, GA 30274
4/4/2013
Eugene Hurwitz, MD
24694
RN086758
Williard, Julie
3259
690 Dallas Hwy, Ste 101 Villa Rica, GA 30180
10/10/2013
Edward McDavid, MD
26794
RN149431
Williford, Stacey Hodges
12425
205 Medical Arts Dr Sandersville, GA 31082
3/5/2015
James Sirleaf, MD
67036
RN141960
Willis, Beverly
15150
417 3rd Ave West Albany, GA 31707
Wednesday, August 12, 2015
Page 389 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/1/2014
Sean Sheff, MD
65888
RN177038
Willis, Misty Faulk
13118
120 Hwy 280 W, Ste C Americus, GA 31719
11/8/2013
Peggy Bergrab, MD
64330
RN141960
Willis, Beverly Ann Waldon
12434
417 Third Ave Albany, GA 31702
10/10/2013
Langston Cleveland, MD
46584
RN151609
Willis, Micah Aaron
12245
6648 Union Rd Tifton, GA 31794
10/10/2013
Eric Paulk, MD
62271
RN151609
Willis, Micah Aaron
12270
901 East 18th St, Emer Dept Tifton, GA 31794
9/11/2014
Susan Thomas, MD
67173
RN199241
Wilmer, Kathleen
13781
595 Piedmont Ave. Ste. 100 Atlanta, GA 30308
7/9/2015
Kenneth Jones, MD
31037
RN140128
Wilson, Jaci
15264
304 Turner McCall Rome, Ga 30161
6/4/2015
Melissa Bruhn, MD
43565
RN123110
Wilson, Elizabeth
15579
916 South Broad St Thomasville, GA 31792
6/4/2015
Kenneth Healey, MD
24689
RN183884
Wilson, Ashley
15612
205 Rees St Americus, GA 31709
5/8/2015
Federico Milla, MD
69356
RN188929
Wilson, Stacey Peverell
15539
95 Collier Rd, Ste 5015 Atlanta, GA 30309
5/8/2015
Forrest Smith, MD
23230
RN158720
Wilson, Vinette
15368
45 West Crossville Rd, Ste 501 Roswell, GA 30075
3/5/2015
Bradley Buckler, MD
58853
RN145211
Wilson, Jeanine Parks
14992
4700 Waters Avenue Savannah, GA 31404
2/5/2015
Fred Hodges lll, MD
13754
RN062856
Wilson, Deborah
14659
1670 Clairmont Rd Decatur, GA 30033
10/9/2014
Thaddeus Riley, MD
28637
RN198560
Wilson, Alexandra Byers
13938
23702 US Hwy 80 East Statesboro, GA 30461
10/9/2014
Ralph Warnock, MD
17337
RN186801
Wilson, Catherine Marie
13977
4421 Carnes St. Acworth, GA 30101
Wednesday, August 12, 2015
Page 390 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/4/2014
Danielle Epanchin, DO
68769
RN045387
Wilson, Susan B
13142
1650 Chattahoochee Dr. Rockmart, GA 30153
9/13/2013
Millard Collier, Jr, MD
28114
RN208918
Wilson, Lavona Constancia
12224
1046 Ridge Ave Atlanta, GA 30315
9/13/2013
Michael Austin, MD
25937
RN193733
Wilson, Joy Stanetrice
12107
2010 Beaver Ruin Rd Norcross, GA 30071
7/11/2013
Anna Kalynych, MD
38527
RN188929
Wilson, Stacey Peverell
12077
95 Collier Rd, Suite 2055 Atlanta, GA 30309
10/5/2012
Daniel Robitshek, MD
63804
RN140128
Wilson, Jaci
11096
330 Turner McCall Blvd., Ste 201 Rome, GA 30165
2/3/2012
Sinclair, James MD
36457
RN098350
Wilson, Teresa
10422
306 Westside Drive Douglas, GA 31533
12/3/2010
David Woodard, MD
59977
RN164618
Wilson, Cynthea Marie
9516
PO Box 5860 Athens, GA 30604
12/3/2010
Derex Stewart, MD
59209
RN193733
Wilson, Joy Stanetrice
9492
5239 Hwy 278 NE Covington, GA 30014
9/2/2010
Dana Kumjian, MD
35673
RN165425
Wilson, Ashley Ritter
9219
1115 Lexington Ave Savannah, GA 31404
8/7/2009
Vincent Brawley, MD
33283
RN145211
Wilson, Jeanine Parks
8632
1350 Walton Way - 3rd Floor Augusta, GA 30901
11/1/2007
James Beiter, MD
40003
RN103701
Wilson, Patty Jean
3268
PO Box 422002 Atlanta, GA 30342
12/6/2013
Lawrence Powell, MD
38915
RN135948
Wilson-Burris, Tiny
3271
1510 Milstead Ave NE Conyers, GA 30012
7/11/2013
James Sirleaf, MD
67036
RN229271
Wimberly, Donna Frances
12001
417 Third Ave Albany, GA 31701
10/2/2009
Valera Hudson, MD
30622
RN134467
Wimmer, Nicole Scalise
3276
1446 Harper St, BG-1104 Augusta, GA 30912
Wednesday, August 12, 2015
Page 391 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/7/2008
Stanley Tenenbaum, MD
11493
RN193467
Wing, Jennifer Elizabeth
7706
1805 Parke Plaza Circle, Suite 103 Stone Mountain, GA 3008
1/9/2014
William Reisman, MD
61510
RN184664
Wingo, Jennifer Downin
12776
49 Jesse Hill Jr Dr Atlanta, GA 30303
5/7/2010
Vasudev Kulkarni, MD
18512
RN066278
Winn, Sheryl H
3279
902 Smith Street Dublin, GA 31021
2/5/2015
Daryl McCartney, MD
68067
RN152637
Winnette, Gina Frances
14864
1570 Brampton Ave Statesboro, GA 30458
6/7/2013
Kyauna Miller, MD
68071
RN152637
Winnette, Gina Frances
11966
222 South Main St Reidsville, GA 3.453
1/9/2014
Shreedhar Naghur, MD
49192
RN216279
Winston, Brette Cha
12837
600 West Memorial Drive Dallas, GA 30132
4/4/2013
Shreedhar Nagnur, MD
49192
RN216279
Winston, Brette Cha
11790
900 Wylie Rd SE Marietta, GA 30067
2/5/2015
Roxanne Williams, MD
66338
RN175692
Winter, Joni Lee
14956
600 Celebrate Life Parkway Newnan, GA 30265
4/4/2014
Christopher Morgan, MD
66151
RN175692
Winter, Joni Lee
12965
1514 Vernon Rd, Emer Dept LaGrange, GA 30240
3/5/2015
Marrus Simmons, MD
49946
RN082052
Winters, Rhonda Lynn
14522
4226 Hartley Bridge Rd Macon, GA 31216
4/4/2013
Kenneth Harper, MD
25983
RN082052
Winters, Rhonda Lynn Toole
11746
556 Third St, Suite A Macon, GA 31201
11/5/2010
Richard Thomas, MD
59217
RN082052
Winters, Rhonda Lynn Toole
9435
3708 Northside Dr Macon, GA 31210
1/9/2014
Panyavee Khan, MD
54756
RN203289
Wintersgill, Joanne Marie
12839
1505 Northside Blvd Suite 3600 Cumming, GA 30041
10/9/2014
Allen Dollar, MD
35244
RN108564
Wirth, Diane Lynn
14445
80 Jesse Hill Jr, Ste C233 Atlanta, GA 30303
Wednesday, August 12, 2015
Page 392 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
3/5/2015
Mobolaji Oyebanjo, MD
53509
RN211259
Wise, Louise
15083
5604 Wendy Bagwell Pkwy Hiram, GA 30141-7815
4/4/2014
Michael Holman, MD
26558
RN213344
Wise, Mary Elizabeth
13120
818 St Sebastian Way, Suite 308 Augusta, GA 30901
6/4/2015
Gary Smith, MD
10660
RN045044
Witt, Connie
15545
2968 Hwy 337 Menho, GA 30731
5/8/2015
Carla Roberts, MD
41061
RN165405
Witt, Cynthia
15423
1800 Northside Forsyth Dr, Ste 380 Cumming, GA 30041
2/5/2015
Aloysius Mangan, MD
15023
RN045044
Witt, Connie
14666
615 E Villahow St Lafayette, GA 30728
5/1/2014
Mark McElhannon, MD
40154
RN045044
Witt, Connie Louise
13179
501 Redmond Rd Rome, GA 30165
10/8/2010
Elizabeth Killebrew, MD
29898
RN180347
Witt, Lindsey Leigh
9234
1279 Hwy 54 West, Suite 220 Fayetteville, GA 30214
9/13/2013
Afroz Rahman, MD
17940
RN168546
Woessner, Charlotte Grealy
12223
325 Lester Rd, Suite C Lawrenceville, GA 30044
11/8/2013
Ian Heger, MD
63870
RN191945
Wood, Miranda Harris
12482
1120 15th St, BP-3111 August, GA 30912
11/8/2013
Charles Sow, MD
55343
RN113945
Wood, Leanne Debra Amelio
12529
Take Care, 2670 Cobb Pkwy SE Smyrna, GA 30080
6/8/2012
Stone, David MD
24501
RN113945
Wood, Leanne
10776
521 Franklin Springs Street Royston, GA 30662
5/6/2011
Jeff Reinhardt, MD
#####
RN144656
Wood, Kelly Michelle
5415
725 Jesse Jewell Pkwy, Suite 200 Gainesville, GA 30501
11/5/2010
Jeffrey Klopper, MD
26321
RN045109
Wood, Carol Anne Kahl
9386
3188 Atlanta Rd SE Smyrna, GA 30080
6/4/2015
John Lue, MD
40145
RN160860
Woodall, Tara
15647
1120 15th St Augusta, GA 30912
Wednesday, August 12, 2015
Page 393 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
2/5/2010
Kirk Kanter, MD
30631
RN142316
Woodall, Kimberly Janece
3289
1405 Clifton Rd Atlanta, GA 30322
4/3/2008
William Bilek, MD
41514
RN162935
Woodall, Heather Marie
8167
993-D Johnson Ferry Road, Suite 360 Atlanta, GA 30342
3/5/2015
Thomas Self, MD
21587
RN082783
Woodard, Katrina Anne Calhou
15002
1825 Martha Berry Blvd Rome, GA 30165
9/14/2007
Shereef Girgis, MD
45476
RN082783
Woodard, Katrina Anne Calhou
3290
550 Redmond Road Rome, GA 30165
8/6/2015
Michael McHenry, MD
65285
RN069357
Woodie, Jo Ann
15923
354 Newnan Crossing Bypass, Ste 200 Newnan, GA 30265
3/5/2015
Jay Goldstein, MD
45229
RN195346
Woodley, Joshua James
14348
4700 Waters Ave Savannah, GA 31404
3/29/2012
McHugh, John MD
24023
RN061075
Woodruff, Christie
10608
660 Lanier Park Drive, Ste A Gainesville, GA 30501
9/14/2007
Charles White, DO
26682
RN061075
Woodruff, Christie Lee Ryder
3294
PO Box 876 Cleveland, GA 30528
9/11/2014
Paul LoDuca, MD
64595
RN221754
Woods, Jennifer Dania
13619
705 17th St, Suite 106 Columbus, GA 31901
8/6/2010
Eduard Docu, MD
56426
RN074147
Woods, Judith A
3298
4849 Paulsen St., Ste 314 Savannah, GA 31405
11/8/2013
Frank Lake, MD
40716
RN208762
Woody, Heather Lauren
12248
668 Lanier Park Dr Gainesville, GA 30501
3/4/2010
Robert Cossio, MD
36357
RN115523
Wooley, Angela Carter
8956
322 Stephenson Ave Savannah, GA 31405
5/8/2015
Munit Emlael, MD
63322
RN195585
Woolfolk, Kalemah
15438
600 Celebrate Life Parkway Newnan, GA 30265
1/6/2012
Carter, Cynthia MD
56534
RN107568
Woo-Sheffield, Marci
10381
1000 Towne Center Blvd, Ste 705 Pooler, GA 31322
Wednesday, August 12, 2015
Page 394 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
9/2/2010
William Brown, III, MD
29309
RN120846
Wooten, Kelleen Michele
3300
95 Collier Rd, Suite 5015 Atlanta, GA 30309
2/5/2009
Michael Poole, MD
30190
RN193536
Work, Asia Ann
8426
4700 Waters Avenue Savannah, GA 31404
4/2/2015
April Hartman, MD
50887
RN236689
Works, Lesley
14959
2000 10th Ave, Ste 400 Columbus, GA 31901
7/10/2014
David Flowers, MD
43045
RN236689
Works, Lesley Hebson
13412
2000 10th Ave., Ste 400 Columbus, GA 31901
12/6/2013
Srinivas Bramhadevi, MD
61946
RN100010
Wortham, Candace H
12605
1497 Lafayette Pkwy LaGrange, GA 30241
9/11/2014
Thomas Armistead, MD
69086
RN205309
Woughter, Linda
12922
150A Johnson Street Dahlonega, GA 30533
8/9/2013
John Hubbard, MD
30787
RN205309
Woughter, Linda
12114
150-A Johnson St Dahlonega, GA 30533
12/1/2011
Brannen, James MD
10485
RN205309
Woughter, Linda
10242
105-A Johnson Street Dahlonega, GA 30533
3/8/2013
Ruth O'Regan, MD
53350
RN169458
Wrammert, Kathryn Anne Carls
458
1365 Clifton Rd Atlanta, GA 30322
4/2/2015
Brian Griner
46966
RN238742
Wright, Olivia Hope
15089
117 W Northside Dr Valdosta, GA 31602
12/4/2014
Atif Iqbal, MD
61971
RN133687
Wright, Cindy R.
13547
2300 A. Manchester Expressway, Ste 006 Columbus, GA 319
8/9/2013
Ian Davis, DO
64203
RN149121
Wright, Latanya Kay
12186
1120 15th Street, BI 5092 Augusta, GA 30912
6/7/2013
Robert C. Bowman, MD
31387
RN118839
Wright, Daniel B.
11580
1430 Hwy 82 West, #105 Tifton, GA 31793
9/1/2011
Catherine James-Peters, MD
63671
RN118839
Wright, Daniel B.
9735
454 Smith Ave Thomasville, GA 31792
Wednesday, August 12, 2015
Page 395 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
5/6/2011
Marion Bailey, Jr, MD
10467
RN165440
Wright, Margaret A.
9619
107 Industrial Dr, Suite B St. Mary's, GA 31558
5/6/2011
Cliphane McLeod, MD
29212
RN165440
Wright, Margaret A.
9646
4540 E. Oglethorpe Hinesville, GA 31313
6/4/2015
Lance Slade, MD
52488
RN241881
Wyatt, Lauren
15708
550 Professional Dr Macon, GA 31201
11/3/2011
Busman, Michael MD
40628
RN085059
Wysochansky, Mary Helen
10041
922 E. Jefferson Street, Suite B Americus, GA 31709
4/2/2015
James Rheudasil, MD
26926
RN170864
Xavier, Tatiana
14521
5673 Peachtree Dunwoody Rd, Ste 675 Atlanta, GA 30342
2/5/2015
Sean Delaney, MD
49001
RN191551
Xiang, Abegail Delez
14816
755 Walther Rd Lawrencelille, Ga 30046
11/8/2013
Meena Shah, MD
21464
RN204641
Xue, Mei
12469
475 Philip Blvd, Suite 100 Lawrenceville, GA 30045
1/7/2011
Kimberlynn Richards, MD
38930
RN115022
Yandel, Susan Eileen
9433
1773 Sweetwater St Austell, GA 30106
5/8/2015
Josephine Dunagan, MD
15553
RN204281
Yandle, Amber Nicole
15212
1700 Tree Lane, Ste 110 Snellville, GA 30078
7/11/2013
F Clark Cantrell, MD
28948
RN216896
Yang, Young Jin
12047
3911 Mary Eliza Trace, Suite 200 Marietta, GA 30064
2/4/2011
Anthony Landis, DO
21733
RN153534
Yang, Wan Li
9486
631 Peofessional Dr, Suite 450 Lawrenceville, GA 30046
7/10/2014
Edward Middlebrooks, MD
47624
RN108692
Yarnall, Richard Clark
13399
758 Old Norcross Rd, Suite 100 Lawrenceville, GA 30046
9/11/2014
Tambrea Ellison, MD
69187
RN105921
Yates, Susan Marina
13937
2550 Windy Hill Rd. , Ste 206 Marietta, GA 30067
6/4/2015
James Sirleaf, MD
67036
RN093579
Yawn, Traci
15671
417 W 3rd Ave Albany, GA 31701
Wednesday, August 12, 2015
Page 396 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
4/2/2015
Christopher Cawley, MD
58858
RN193823
Yawn, Julia
14770
550 Professional Dr Macon, GA 31201
10/9/2014
Shelile Southerland, MD
55894
RN093579
Yawn, Traci Kurpe
14015
902 7th St. N Cordele, GA 31015
9/11/2014
Jorge Pisarello, MD
58914
RN093566
Yawn, Melanie Kay
13796
701 N Slappey Blvd Albany, GA 31701-1413
9/11/2014
Jorge Pisarello, MD
58914
RN093566
Yawn, Melanie Kay
13698
1120 W. Broad Ave, Suite B-4 Albany, GA 31705
3/29/2012
Gibbs, Sandra MD
32192
RN104649
Yawn, Anthony
10592
145 E. Peacock St, Ste 3 Cochran, GA 31014
5/10/2007
Henry Edward Roberts, MD
30200
RN104649
Yawn, Anthony Jackson
3321
146 East Peacock Street Cochran, GA 31014
1/9/2014
John A Glenn, MD
38495
RN118481
Yawn-Lewis, Tonya
12840
840 Professional Center Dr Eastman, GA 31023
7/10/2014
Paula Greaves, MD
43631
RN135168
Yelton, Pepita "Patty" Bianca
5417
833 Campbell Hill St., Ste 400 Marietta, GA 30060
7/9/2015
James Collins, MD
29833
RN145132
Yerke, Julie
15779
304 Turner McCall Blvd Rome, GA 30165
11/7/2014
Alan Moy, DO
58990
RN145132
Yerke, Juile Leanne
14185
501 Redmond RD Rome, GA 30165
11/2/2012
Roger A. Brooksbank, MD
68120
RN145132
Yerke, Julie
11231
501 Redmond Rd. Rome, GA 30165
4/4/2014
Anthony Olofintuyi, MD
45309
RN076381
Yesbick, Elizabeth Anne
3324
915 Elmo St. Americus, GA 31709
12/4/2008
Nichole LeBoyd, MD
54452
RN099033
Yi, Chai Y Kim
3325
7530 Roswell Road Atlanta, GA 30350
6/6/2014
David Harris, MD
31015
RN128635
York, Buffy Lee
3326
819 Church St Royston, GA 30662
Wednesday, August 12, 2015
Page 397 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
8/9/2013
Mark Elam, MD
36147
RN061087
York, Deborah Sue
12173
800 Professional Blvd Dalton, GA 30720
5/4/2012
Dark, Jennifer MD
66016
RN061087
York, Deborah Sue
3327
1012 Burleyson Road Dalton, GA 30720
1/9/2014
William Grow, MD
13752
RN073220
Youmans, Frances McDowell
12780
203 Woodrow Wilson Dr Valdosta, GA 31602
7/9/2015
Joseph Hannan, MD
25759
RN214447
Young, Angelique
15832
2722 North Decatur Rd Decatur, GA 30031
5/8/2015
Virna Simmon, MD
60614
RN192017
Young, Shante
15379
1355 South Park St US Hwy 27 Carrollton, GA 30117
3/5/2015
Tyra Harris, MD
61249
RN148404
Young, Nancy
14986
780 North Glynn Fayetteville, GA 30214-1193
2/5/2015
Wood Pope, MD
57741
RN173347
Young, Joshua Shana
14899
1600 Forsyth St Macon, GA 31201
10/9/2014
Joseph Verdun, MD
61675
RN148404
Young, Nancy
14326
868 York Ave SW Atlanta, GA 30310
8/7/2014
Jeffrey Lamp, MD
56736
RN047409
Young, Beth Burch
13581
2151 West Spring St Monroe, GA 30655
5/1/2014
Jon Stahlman, MD
49207
RN046139
Young, Glenda D
13205
565 Old Norcross Rd Lawrenceville, GA 30677
3/6/2014
Constance Enmon, MD
67561
RN151008
Young, Holly Stiehm
12988
625 Big Shanty Rd NW Kennesaw, GA 30144
11/8/2013
Valens Plummer, MD
49496
RN148404
Young, Nancy
12538
780 North Glynn Fayetteville, GA 30214
9/13/2013
Charles P. Catron, MD
66362
RN218687
Young, Bradley H.
11236
1707 Meadows Lane, Ste F & H Vidalia, GA 30474
3/8/2013
Deepti Bhasin, MD
59979
RN173347
Young, Joshua
11278
402 Osigian Blvd., Ste 400 Warner Robins, GA 31088
Wednesday, August 12, 2015
Page 398 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/4/2009
Daniela Rojas Molina, MD
55331
RN080340
Young, Suzanne
8753
526 Maddox Dr, Suite 101 Ellijay, GA 30540
6/7/2013
Michael Hagues, DO
23977
RN150142
Youngblood, Leigh Ann
11834
2122 Manchester Expressway, Emer Dept Columbus, GA 319
9/14/2007
Robert Stahlkuppe, MD
17089
RN053003
Youngblood, Shirley Nell Wood
3337
56 Hospital Street Hiawassee, GA 30546
6/6/2014
Kevin Lokkesmoe, MD
32941
RN145165
Youngstrom, Carol Anne
13600
4328 Armour Rd. Columbus, GA 31904
10/10/2013
Stephen Kissinger, MD
30493
RN086363
Younker, Marcia Lynn McMulle
11999
3384 Peachtree Rd NE, Suite 700 Atlanta, GA 30326
8/7/2009
Manjeeri Sangvai, MD
44083
RN170286
Yowler, Deena Marie
5418
980 Johnson Ferry Rd, #620 Atlanta, GA 30342
1/8/2015
Howard Silk, MD
29785
RN188712
Yu, Fang
14640
1240 Hwy 54 W Bldg 300, Ste 310 Fayetteville, GA 30214
10/10/2013
Ferrol Sams, III, MD
19767
RN188712
Yu, Fang
12348
101 Yorktown Dr, Suite 100 Fayetteville, GA 30214
12/4/2014
Sarvotham Kini, MD
34170
RN188604
Yufenyuy, Mamboh
14549
108 Spear Rd, Ste 309 Winnie Davis Athens, GA 30602
3/6/2014
Timothy Helton, MD
29669
RN139657
Yung, Melissa Marie
3338
1010 Johnson Ferry Rd Marietta, GA 30068
1/8/2015
Eric Zanghi, MD
30248
121880
Zanghi, Wila
14650
222 Perry Hwy Hawkinsville, GA 31035
8/7/2014
Hatem Asad, MD
49978
RN121880
Zanghi, Wila
13641
105 Briarcliff Rd. Warner Robins, GA 31088
2/5/2009
Waters Hicks, Jr., MD
38251
RN063876
Zebley, Helen Darlene Thomps
3341
334 Smith Avenue Thomasville, GA 31792
12/4/2014
Hitesh Chokshi, MD
42542
RN112750
Zebrowski, Michelle Leigh
14253
7402 Davidson Pkwy Stockbridge, GA 30281
7/12/2012
Barlow, James MD
29304
RN112750
Zebrowski, Michelle
10855
226 East College Street, Ste B Griffin, GA 30224
Wednesday, August 12, 2015
Page 399 of 400
Effective
RN#
Delgating Physician
Protocol Address
PHY#
APRN Name
Protocol #
12/7/2007
Lyudmila Vayman, MD
27318
RN067932
Zehnder, Sandra Victoria Smith
8105
3005 Royal Blvd South Alpharetta, GA 30022
5/10/2007
Bleekrode, Laura M.
34514
RN067932
Zehnder, Sandra Victoria Smith
3342
11660 Alpharetta Hwy, Ste 290 Roswell, GA 30076
2/5/2015
Hai Trinh, MD
55991
RN184748
Zelano, Patricia Joy
14843
2118 Scenic Highway Snellville, GA 30078
1/8/2015
Manfred Sandler, MD
38353
RN184748
Zelano, Patricia Joy
14567
755 Walther Rd Lawrenceville, GA 30046
6/6/2014
Ragheed Alturkmani, MD
67889
RN131883
Zhang, Weihua Zhang
12933
55 Whitcher St., Ste 160 Marietta, GA 30060
4/4/2013
Morohunfolu Akinnusi, MD
64741
RN131883
Zhang, Weihua
11446
55 Whitcher St, Sute 160 Marietta, GA 30060
10/9/2014
Murtaza Cassoobhoy, MD
43014
RN101498
Ziegler, Elizabeth Ann
14047
1000 Medical Ctr Blvd Lawrenceville, GA 30045
3/1/2012
McDonald, Edward MD
41890
RN190851
Zimmerman, Ashley
10523
655 Jesse Jewell Pkwy, SE, Ste C Gainesville, GA 30501
8/7/2009
Reynaldo Polk, MD
48928
RN137086
Zollinger, Leigh Anne
8544
7950 Martin Loop, Emergency Rm Ft. Benning, GA 31905
Wednesday, August 12, 2015
Page 400 of 400