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Licensee Information

Anna Margaret Chauncey Jazayeri - PA-C
104023
Active
No
06/16/2004
12/30/2026

Active Supervisor

NameTypeStatusApprovedInactive
Gottschalk, Bernard Joseph, MD MD Active 09/11/2018
Odibo, Michael Chukwuma, MD MD Active 06/30/2020

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida
Hawaii
South Carolina

Out of Country Active/Inactive Licenses

Country
Georgia

Address

Blue TelePsych Urgent Care
24 Marble Dr
Rocky Point, NC 28457
910-604-6863

Information

Mon-Fri
To try and reach out to individuals struggling with addiction and mental health problems to give them a better chance at having a positive life; this goal also includes reaching out to pregnant patients as well.
Yes
Yes
Yes
Yes
Yes

PA School

SchoolGraduation
East Carolina University Physician Assistant Program2004

Area of Practice

Area Of PracticePrimary
Addiction Psychiatry 
Internal MedicineYes
Psychiatry 

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction 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

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 10/22/2026 3:28:14 PM

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