2006-00387
Active
No
04/12/2006
05/16/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Aziz, Tasnia Zarifa
| Physician Assistant |
Active
|
03/23/2022
|
|
|
Bullaro, Andrew Neumann
| Nurse Practitioner |
Active
|
01/30/2024
|
|
|
Coburn, Derek Kelly
| Physician Assistant |
Active
|
02/25/2020
|
|
|
Ghannam, Sandy
| Physician Assistant |
Active
|
11/04/2023
|
|
|
Grushkin, Lauren Peeler
| Nurse Practitioner |
Active
|
07/28/2022
|
|
|
Kebles, Caraline Pierce
| Physician Assistant |
Active
|
05/03/2023
|
|
|
Lucas, Margaret Katharine
| Physician Assistant |
Active
|
01/10/2023
|
|
|
Mckearn, David Kendrick
| Physician Assistant |
Active
|
12/23/2021
|
|
|
Spence, Katharine Harford
| Physician Assistant |
Active
|
07/17/2025
|
|
|
Thomas, Lauren Elizabeth
| Physician Assistant |
Active
|
09/21/2024
|
|
|
Winfrey, George
| Physician Assistant |
Active
|
03/26/2020
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Atrium Health Mercy |
| Atrium Health SouthPark Emergency Department |
| Carolinas Medical Center |
| Carolinas Medical Center - Union |
| Carolinas Medical Center Mercy/Pineville |
| Carolinas Medical Center University |
| Carolinas Medical Center-Lincoln |
Out of State Active/Inactive Licenses
| State |
| District of Columbia |
| Maryland |
| New York |
Out of Country Active/Inactive Licenses
Address
Wake Forest Emergency Providers
6965 Fairview Rd
Charlotte
Charlotte, NC 28210
336-716-9253
Information
N/A
I treat patients in the acute care situation within the Emergency Department.
N/A
Yes
Yes
Yes
Yes
Yes
Medical School
| School | Graduation |
| Duke University School of Medicine | 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 |
| Mount Sinai Hospital and Elmhurst Hospital Center | Emergency Medicine |
NY, US
| Residency | 2002 |
| Mount Sinai School of Medicine | Internal Medicine |
NY, US
| Internship | 1999 |
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 |
| Emergency Medicine | 2024 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| American College of Emergency Physicians |
| National Medical Association |
Honors & Awards
| Honor/Award | Given By | Date |
| Outstanding Physician Award | CMC-Pineville Department of Emergency Medicine | 2007 |
| Dean's Tuition Scholarship | Duke Medical School | 1994 |
| Graduate with Distinction | University of Minnesota Morris | 1994 |
Public Service
| Name of Clinic | Service Description | Date |
| Largo Maryland Boys and Girls Club | Volunteer Coach and Mentor | 2003 - 2005 |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
| Title |
| A Comparison of the Response of Saline Tonometry and an Automated Air Tonometry Device to a Change in CO2. Critical Care Medicine, 2000;28:3728-33 |
| Clinical Policy: Neuroimaging and Decision Making in Adult Mild Traumatic Brain Injury in the Acute Setting. Annals of Emergency Medicine, August 2002; 40(2):231-49 |
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 |