101517
Active
No
10/16/1992
05/04/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
| Location |
| Wake Forest Baptist Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Atrium Health Wake Forest Baptist Emergency Physicians
3120 Northline Ave
Suite 103
Greensboro, NC 27408
336-713-0818
www.wakehealth.edu
Information
Yes
Yes
Yes
Yes
Yes
PA School
| School | Graduation |
| Bowman Gray | 1992 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | |
| Urgent Care | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Physician Assistants |
| North Carolina Academy of Physician Assistants |
| Physician Assistant Education Association |
| Piedmont Association of Physician Assistants |
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| Archdale United Methodist Church | Volunteer work with youth and children at church | 3-5 days/month |
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 |