2013-00280
Active
No
02/26/2013
02/25/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Ammons, Jenna Whittington
| Physician Assistant |
Active
|
03/20/2025
|
|
|
Bollenbach, Kathie Ella
| Physician Assistant |
Active
|
03/01/2024
|
|
|
Braima, Andre Nazar
| Physician Assistant |
Active
|
07/10/2024
|
|
|
Crouse, Erica Lynn
| Physician Assistant |
Active
|
03/06/2024
|
|
|
Dement, Jared K
| Physician Assistant |
Active
|
02/22/2023
|
|
|
Fondaw, Wylder Shepherd
| Physician Assistant |
Active
|
07/30/2024
|
|
|
Horney, Michael Patrick
| Physician Assistant |
Active
|
10/08/2025
|
|
|
Huggins, Louis Imhotep
| Physician Assistant |
Active
|
04/04/2023
|
|
|
Johnson, Curtis Henry
| Physician Assistant |
Active
|
09/27/2021
|
|
|
Lewis, Michael Tyrone
| Physician Assistant |
Active
|
07/10/2024
|
|
|
Macko, Katherine Agnes
| Physician Assistant |
Active
|
07/14/2025
|
|
|
Maier, Zachary Davis
| Physician Assistant |
Active
|
11/30/2025
|
|
|
Millsaps, Rebecca Marie
| Physician Assistant |
Active
|
09/30/2021
|
|
|
O'meara, Aaron Edward
| Physician Assistant |
Active
|
10/11/2024
|
|
|
Osedo, David Ouma
| Physician Assistant |
Active
|
01/13/2023
|
|
|
Pace, Matthew Tyler
| Physician Assistant |
Active
|
10/21/2022
|
|
|
Peregrin, Peter A.
| Physician Assistant |
Active
|
09/28/2021
|
|
|
Peyton, Lauren Brianne
| Physician Assistant |
Active
|
01/04/2023
|
|
|
Rodgers, Caitlin Jernigan
| Physician Assistant |
Active
|
08/02/2022
|
|
|
Sanford, Joanna Gloria
| Physician Assistant |
Active
|
08/11/2025
|
|
|
Stenberg, Erin Mcclorey
| Physician Assistant |
Active
|
05/04/2023
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Sampson Regional Medical Center |
Out of State Active/Inactive Licenses
| State |
| Alaska |
| California |
| New Hampshire |
| New York |
Out of Country Active/Inactive Licenses
Address
Raleigh, NC
Information
Medical School
| School | Graduation |
| CUNY - University at Buffalo SUNY School of Medicine | 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 |
| Sutter merced medical center | Family Practice |
CA, 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 | 2014 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | |
| Family Medicine | |
| Family Medicine - Sports 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 |