103319
Active
Yes
08/03/2012
12/07/2026
See: Actions-Adverse & Administrative Tab
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
American Family Care
1653 New Garden Rd
Greensboro, NC 27410
336-609-6000
Information
weekdays, weekends- varied
Urgent and Occupational Care Medicine
Spanish
none
Yes
Yes
Yes
Yes
Yes
PA School
| School | Graduation |
| Wake Forest University School of Medicine Physician Assistant Program | 2001 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
| Occupational Medicine | |
| Urgent Care | |
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 |
|
04/01/2015
| Partial Relief of Consent Order Obligations |
View
|
|
07/17/2014
| Full and Unrestricted License |
View
|
|
07/18/2013
| Temporary Medical License |
View
|
|
05/22/2013
| Partial Relief of Consent Order Obligations |
View
|
|
01/17/2013
| Temporary Medical License |
View
|
|
08/03/2012
| Consent Order |
View
|
|
08/03/2012
| Temporary Medical License |
View
|
|
05/06/2011
| Consent Order |
View
|
|
01/05/2011
| Voluntary Surrender Acknowledgement |
View
|
|
01/04/2011
| Voluntary Surrender of License |
View
|
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
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 |