30025
Active
No
05/03/1986
05/26/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Adhikari, Susmita
| Nurse Practitioner |
Active
|
01/30/2025
|
|
|
Amato, Ashley Michele
| Nurse Practitioner |
Active
|
04/30/2026
|
|
|
Ciccolini, Darren Anthony
| Physician Assistant |
Active
|
06/17/2026
|
|
|
Evans, Crystal Whitley
| Nurse Practitioner |
Active
|
06/13/2023
|
|
|
Flinchum, Bethany Shaffer
| Physician Assistant |
Active
|
11/05/2022
|
|
|
Landreth, Annelise Barbara Yvonne
| Nurse Practitioner |
Active
|
01/14/2025
|
|
|
Lore, Dianne Mary
| Nurse Practitioner |
Active
|
03/07/2024
|
|
|
Mciver, Angela Miki
| Physician Assistant |
Active
|
11/07/2023
|
|
|
Ringoot, Celeste Breanne
| Physician Assistant |
Active
|
08/29/2025
|
|
|
Song, Sarah
| Physician Assistant |
Active
|
03/06/2023
|
|
|
Van Ooteghem, Christopher James
| Physician Assistant |
Active
|
08/08/2025
|
|
|
Willson, Kathryn Lynn
| Physician Assistant |
Active
|
01/22/2025
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
WakeMed Physician Practices
6800 Glenwood Avenue
Raleigh, NC 27612
919-235-1939
MyCare365 Glenwood
Information
Monday through Saturday.
Services on-site include cardiac rehabilitation, cardiac stress testing, x-ray, bone density, weight loss program,laboratory, nutritional counseling, behavioral specialist, fitness center.
None
None
Yes
Yes
Yes
No
Yes
Medical School
| School | Graduation |
| East Carolina Univ | 1983 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| East Carolina University | Family Medicine |
NC, US
| Residency | 1986 |
| East Carolina University | Family Medicine |
NC, US
| Internship | 1984 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Family Medicine | 2025 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
| Family Medicine - Adolescent Medicine | |
| Family Medicine - Geriatric Medicine | |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Family Practice |
Honors & Awards
| Honor/Award | Given By | Date |
| Family Physician of the year - 2009 | NC Academy of Family Physicians | 2009 |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| Adjunct professor of family medicine | Wake Forest University |
Winston-Salem, NC, US
|
| Adjunct professor of family medicine | UNC School of Medicine |
Chapel Hill, NC, US
|
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
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 |