200400621
Active
No
05/20/2004
08/10/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bundy, Amanda Dancy
| Nurse Practitioner |
Active
|
02/05/2024
|
|
|
Colvin, Brandy Leigh
| Nurse Practitioner |
Active
|
06/24/2026
|
|
|
Gilligan, Amanda Kayanna
| Nurse Practitioner |
Active
|
06/24/2026
|
|
|
Herman, Heather Morgan Mullinax
| Nurse Practitioner |
Active
|
08/28/2021
|
|
|
Jones, Charles Bernard
| Physician Assistant |
Active
|
12/15/2020
|
|
|
Jordan, Miranda Lyalls
| Nurse Practitioner |
Active
|
01/02/2019
|
|
|
Paszkowski, Suzanne Marie
| Nurse Practitioner |
Active
|
02/13/2018
|
|
|
Peters, Heather Barker
| Nurse Practitioner |
Active
|
11/06/2019
|
|
|
Phipps, Tina Renee
| Nurse Practitioner |
Active
|
07/01/2024
|
|
|
Ramirez, Alyssa Michele
| Physician Assistant |
Active
|
06/22/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Ashe Memorial Hospital, Inc. |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Mount Jefferson Family Medicine
200 Hospital Ave, Ste 3
Jefferson, NC 28640
336-846-7433
ashememorial.org
Information
Monday-Friday
I provide care to children, adults, elderly and obstetric patients. I feel prevention is key to maintaining good health and wellbeing. My special area of interest is weomen's health and pediatrics. I am fellowshiped trained to provide both natural and surgical obstetrics.
Yes
Yes
Yes
Yes
No
Medical School
| School | Graduation |
| Wright State University School of Medicine | 2000 |
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 |
| Aultman Hospital | Obstetrics |
OH, US
| Fellowship | 2004 |
| Aultman Hospital | Family Medicine |
OH, US
| Residency | 2003 |
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 | 2022 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| Academy of Family Physicians member |
Honors & Awards
| Honor/Award | Given By | Date |
| Volunteer of the Year | Ashe County | 2008 |
| Alpha Omega Alpha Medical Honor Society | N.E.Ohio University School of Medicine | 2004 |
Public Service
| Name of Clinic | Service Description | Date |
| Ashe County Free Medical Clinic | Volunteer Medical Director | since 2005 |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
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 |