2008-01349
Active
No
07/28/2008
04/08/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Baker, Amanda Rae
| Physician Assistant |
Active
|
12/06/2023
|
|
|
Baldwin, Ronnisha Dioana
| Nurse Practitioner |
Active
|
12/19/2024
|
|
|
Bharde, Sana Noor
| Physician Assistant |
Active
|
01/18/2024
|
|
|
Camastra, Danielle Florence
| Physician Assistant |
Active
|
01/04/2025
|
|
|
Diakalela, Sydney Thames
| Physician Assistant |
Active
|
01/12/2025
|
|
|
Dickerson, Carol Ann
| Nurse Practitioner |
Active
|
12/03/2018
|
|
|
Gonzalez, Eugenio Dejesus
| Physician Assistant |
Active
|
11/04/2025
|
|
|
Locklear, Priscilla Anne
| Nurse Practitioner |
Active
|
01/22/2026
|
|
|
Martin-Frazier, Brandon Alexander
| Physician Assistant |
Active
|
05/29/2026
|
|
|
Mathis, Rebekah Randall
| Physician Assistant |
Active
|
04/24/2025
|
|
|
Miner, Sarah Miranda
| Physician Assistant |
Active
|
05/01/2024
|
|
|
Newkirk, Ketoyia Chicquet
| Physician Assistant |
Active
|
03/19/2025
|
|
|
Santiago-Mejia, Alondra Lizet
| Physician Assistant |
Active
|
11/08/2025
|
|
|
Stallings, Melissa Jordan
| Physician Assistant |
Active
|
12/28/2023
|
|
|
Wilson, Kristen Heffelfinger
| Physician Assistant |
Active
|
01/09/2024
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| District of Columbia |
| Indiana |
| Maryland |
| South Carolina |
Out of Country Active/Inactive Licenses
Address
Veteran Affairs Charlotte Healthcare Center
3506 W. Tyvola Road
Charlotte, NC 28208
704-329-1300
Information
Medical School
| School | Graduation |
| University of North Carolina at Chapel Hill School of Medicine | 2004 |
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 |
| Morehouse School of Medicine | Family Medicine |
GA, US
| Residency | 2007 |
| Morehouse School of Medicine | Family Medicine |
GA, US
| Internship | 2005 |
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 |
| None Reported |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | 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 |