9900054
Active
No
01/23/1999
06/01/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Anderson, Natasha Ray
| Nurse Practitioner |
Active
|
12/08/2021
|
|
|
Arruda, Amy Lynn
| Physician Assistant |
Active
|
01/03/2018
|
|
|
Bizub, Barbara Jo
| Physician Assistant |
Active
|
10/08/2020
|
|
|
Boekel, Beryl
| Nurse Practitioner |
Active
|
05/14/2025
|
|
|
Bradford, Melanie Aldridge
| Nurse Practitioner |
Active
|
12/14/2025
|
|
|
Carey, Bryan James
| Physician Assistant |
Active
|
01/21/2026
|
|
|
Clark, Meghan Rosilae
| Physician Assistant |
Active
|
11/25/2024
|
|
|
Cobb, Kelly Lynn
| Nurse Practitioner |
Active
|
11/23/2016
|
|
|
Couch, Christopher Evan
| Physician Assistant |
Active
|
06/03/2025
|
|
|
Couch-Bah, Shauntil Denise
| Nurse Practitioner |
Active
|
05/07/2026
|
|
|
Delabastide, Dayne Tristan
| Physician Assistant |
Active
|
08/04/2019
|
|
|
Evans, Molly Mccoy
| Physician Assistant |
Active
|
02/08/2023
|
|
|
Feldman, James Henry
| Physician Assistant |
Active
|
10/10/2024
|
|
|
Graham, Kenneth Daniel
| Physician Assistant |
Active
|
02/22/2024
|
|
|
Guthrie, Joseph Clark
| Physician Assistant |
Active
|
02/26/2026
|
|
|
Hancock, Katie Gould
| Physician Assistant |
Active
|
01/05/2018
|
|
|
Joelin, Vineetha Ebi
| Nurse Practitioner |
Active
|
11/29/2016
|
|
|
Joshi, Bhavik Nikhil
| Physician Assistant |
Active
|
12/12/2023
|
|
|
Juopperi, Thomas Douglass
| Physician Assistant |
Active
|
10/27/2021
|
|
|
Mccormick, Barry Dodd
| Physician Assistant |
Active
|
04/03/2025
|
|
|
Ouellette, Tina
| Nurse Practitioner |
Active
|
05/14/2024
|
|
|
Pace, Jennifer Dawn
| Physician Assistant |
Active
|
12/03/2025
|
|
|
Prestwich, David
| Nurse Practitioner |
Active
|
11/14/2019
|
|
|
Ryan, Brandon Keith
| Physician Assistant |
Active
|
08/01/2019
|
|
|
Schumann, Nicholas Peter
| Physician Assistant |
Active
|
12/16/2025
|
|
|
Suehs, Audrey Lynne
| Physician Assistant |
Active
|
12/08/2025
|
|
|
Tanner, Van Edward
| Physician Assistant |
Active
|
08/04/2025
|
|
|
Tomczyk, David
| Physician Assistant |
Active
|
03/16/2020
|
|
|
Witkowski, Mary G
| Physician Assistant |
Active
|
02/26/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Person Memorial Hospital |
Out of State Active/Inactive Licenses
| State |
| Michigan |
| North Carolina |
| Virginia |
Out of Country Active/Inactive Licenses
Address
FastMed
910 N Madison Blvd
Roxboro, NC 27573
336-592-2230
Information
Sat-Sun
Yes
Yes
No
Yes
Medical School
| School | Graduation |
| Univ. Of Osteopathic Med. | 1997 |
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 |
| UNC-Chapel Hill | Other - FP |
NC, US
| Residency | 2000 |
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 | 2023 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
| Emergency Medicine - Hospice and Palliative Medicine | |
| Family Medicine | |
| Hospice and Palliative Me | |
| Public Health & General | |
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 |