2010-01252
Active
No
07/12/2010
07/09/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Beverly Howard, Lashawn Lashea
| Nurse Practitioner |
Active
|
02/15/2023
|
|
|
Delucas, John Stephen
| Physician Assistant |
Active
|
01/21/2023
|
|
|
England, Michael Allen
| Physician Assistant |
Active
|
01/17/2023
|
|
|
Glass, Kathleen Anne
| Nurse Practitioner |
Active
|
02/27/2024
|
|
|
Harley, Lisa Tamara
| Physician Assistant |
Active
|
12/29/2025
|
|
|
Henkel, Amy Jo
| Nurse Practitioner |
Active
|
01/11/2026
|
|
|
Parnell, Paula B.
| Nurse Practitioner |
Active
|
02/01/2023
|
|
|
Rivera, Golfran Alejandro
| Physician Assistant |
Active
|
01/11/2025
|
|
|
Sampson, Dawn Marie
| Physician Assistant |
Active
|
06/30/2024
|
|
|
Samutsakorn, Disney Kulachati
| Physician Assistant |
Active
|
09/09/2024
|
|
|
White, Pasley Morgan
| Nurse Practitioner |
Active
|
07/25/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Columbus Regional Healthcare System |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Columbus Regional Medical Center
500 Jefferson Street
Whiteville, NC 28472
910-642-1799
Information
Medical School
| School | Graduation |
| Philadelphia College of Osteopathic Medicince- GA Campus | 2009 |
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 |
| Womack Army Medical Center | Other - Family Medicine Residency |
NC, US
| Residency | 2012 |
| Eisenhower Army Medical Center | Other - Transitional year intern |
GA, US
| Internship | 2010 |
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 | 2013 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
| Family Medicine | |
| Family Practice (and OMT) | |
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 |