0010-06769
Inactive
Yes
09/26/2016
03/22/2024
See: Actions-Adverse & Administrative Tab
Active Supervisor
| Name | Type | Status | Approved | Inactive |
| None Reported |
North Carolina Hospital Admitting Privileges
| Location |
| Watauga Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Ooltewah, TN
Information
Providing care for chronic and acute diseases in patients from newborns to geriatrics, as an independent primary care rural health provider. Interpret labs, initial x-ray read and splinting. Performing minor in office surgical procedures; removal of ingrown nails, suturing wounds, shave and punch biopsies. Provider for the mobile unit to deliver care to school age children, parents and teachers on site.
Yes
Yes
Yes
Yes
Yes
PA School
| School | Graduation |
| South College, School of Physician Assistant Studies | 2012 |
Area of Practice
| Area Of Practice | Primary |
| Undetermined | Yes |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the
licensee. Click on the link or links below to see an electronic copy of public documents associated with the
licensee.
Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record
indicates a transcript is available, it may be obtained by contacting the Board.
NCMB public actions are posted on this site indefinitely.
| Date | Description | Link |
|
11/25/2024
| Consent Order |
View
|
Other Regulatory Board or Agency Public Actions
This section indicates whether a regulatory authority other than NCMB has taken public action against the
licensee. Out-of-state medical board actions are posted on this website indefinitely. Actions by regulatory
agencies such as Medicare, Medicaid, the U.S. Drug Enforcement Administration, the U.S. Food and Drug Administration,
etc., are posted for a period of seven years, from the date of the action.
| Date | Name of Board/Agency | Action Taken | Link |
|
09/13/2024
| Tennessee Board of Medical Examiners | Physician assistant license placed on probation |
View
|
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |