9901385
Active
No
11/09/2005
04/21/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Ahrens, Chelsea Elizabeth
| Physician Assistant |
Active
|
04/27/2026
|
|
|
Carmichael, Brooke Lynn Ellie
| Physician Assistant |
Active
|
02/14/2025
|
|
|
Eshenbaugh, Brooklyn Nicole
| Physician Assistant |
Active
|
03/20/2024
|
|
|
Faber, Taylor
| Physician Assistant |
Active
|
05/13/2021
|
|
|
Garner, Holly Reavis
| Nurse Practitioner |
Active
|
03/12/2024
|
|
|
Householder, Nikki Rae
| Physician Assistant |
Active
|
11/06/2025
|
|
|
Kwiatkowski, Grace Charlotte
| Physician Assistant |
Active
|
05/18/2026
|
|
|
Macaluso, Anna Victoria
| Physician Assistant |
Active
|
07/08/2026
|
|
|
Shiflett, Heather Elizabeth
| Physician Assistant |
Active
|
07/24/2025
|
|
|
Tyler, Casey Marie
| Physician Assistant |
Active
|
06/08/2024
|
|
|
Wagner, Ashley Morgan
| Physician Assistant |
Active
|
03/04/2016
|
|
|
Wilson, Katherine Lynn
| Physician Assistant |
Active
|
06/09/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Atrium Health Mercy |
| Carolinas Medical Center |
Out of State Active/Inactive Licenses
| State |
| Minnesota |
| Wisconsin |
Out of Country Active/Inactive Licenses
Address
Atrium Health Carolinas Medical Center
Dept of Transplant
1025 Morehead Medical Drive
Charlotte, NC 28203
704-355-6649
Information
Medical School
| School | Graduation |
| Eastern Virginia Medical School | 1998 |
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 |
| University of Minnesota | Other - Transplant Surgery |
MN, US
| Fellowship | 2005 |
| Carolinas Medical Center | General Surgery |
NC, 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 |
| Surgery | 2024 |
Area of Practice
| Area Of Practice | Primary |
| Abdominal Surgery | |
| Adult and Pediatric Trans | |
| General Surgery | Yes |
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
| 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 |