2013-01010
Active
No
05/29/2013
07/01/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Allen, Ellen Elizabeth
| Nurse Practitioner |
Active
|
02/25/2026
|
|
|
Bielski, Amee Jo
| Nurse Practitioner |
Active
|
01/06/2019
|
|
|
Bradley, Pamela Denise
| Nurse Practitioner |
Active
|
08/21/2025
|
|
|
Colleton-Livingston, Kia Latea
| Nurse Practitioner |
Active
|
11/02/2025
|
|
|
Colson, Shenita Renea
| Nurse Practitioner |
Active
|
07/07/2025
|
|
|
Dalalau, Victoria Abbie
| Nurse Practitioner |
Active
|
09/30/2025
|
|
|
Dupre, Lindsey Mae
| Physician Assistant |
Active
|
02/25/2026
|
|
|
Floyd, Samuel Steven
| Physician Assistant |
Active
|
05/18/2026
|
|
|
Frieda, Frankie
| Nurse Practitioner |
Active
|
03/16/2026
|
|
|
Gaffney, Tracy Wardlow
| Nurse Practitioner |
Active
|
06/02/2023
|
|
|
Genovese, Lisa Marie
| Nurse Practitioner |
Active
|
05/14/2026
|
|
|
Hutchinson, Kari Rae
| Physician Assistant |
Active
|
09/08/2025
|
|
|
Igbenehi, Rachael Oluwabukunmi
| Nurse Practitioner |
Active
|
05/21/2026
|
|
|
Johnson, Brittany
| Nurse Practitioner |
Active
|
09/01/2025
|
|
|
Joseph, Olusola
| Nurse Practitioner |
Active
|
11/01/2025
|
|
|
Lewis, Jami
| Nurse Practitioner |
Active
|
12/12/2025
|
|
|
Lowery, Michelle Lynette
| Nurse Practitioner |
Active
|
12/12/2019
|
|
|
Lucas, Emma
| Physician Assistant |
Active
|
03/12/2026
|
|
|
Mathador, Andrea Yvette
| Nurse Practitioner |
Active
|
03/20/2025
|
|
|
Quach, Vania
| Nurse Practitioner |
Active
|
05/01/2026
|
|
|
Russ, Joshua Daniel
| Physician Assistant |
Active
|
01/14/2026
|
|
|
Samudio, Helene Katherine
| Nurse Practitioner |
Active
|
02/03/2025
|
|
|
Scalone, Ginger Dee
| Nurse Practitioner |
Active
|
01/23/2026
|
|
|
Self, Sandra Hughes
| Nurse Practitioner |
Active
|
01/23/2018
|
|
|
Smith, Elizabeth
| Nurse Practitioner |
Active
|
11/15/2021
|
|
|
Syroney, Lynn Marie
| Nurse Practitioner |
Active
|
04/15/2026
|
|
|
Woodard, Tiara
| Nurse Practitioner |
Active
|
12/02/2025
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| Alabama |
| Alaska |
| Arkansas |
| California |
| Colorado |
| Delaware |
| Georgia |
| Idaho |
| Illinois |
| Iowa |
| Kentucky |
| Maryland |
| Massachusetts |
| Michigan |
| Minnesota |
| Montana |
| Nebraska |
| New Jersey |
| New Mexico |
| New York |
| Ohio |
| Oklahoma |
| Pennsylvania |
| South Carolina |
| South Dakota |
| Tennessee |
| Texas |
| Utah |
| Vermont |
| Virginia |
| Washington |
| West Virginia |
| Wisconsin |
| Wyoming |
Out of Country Active/Inactive Licenses
Address
Atrium Health Urgent Care Ballantyne
14214 Ballantyne Lake Road
Charlotte, NC 28277
704-667-2650
Information
Medical School
| School | Graduation |
| Wake Forest University School of Medicine | 2010 |
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 |
| University of Pittsburgh Medical Center | Emergency Medicine |
PA, US
| Residency | 2013 |
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 | 2017 |
Area of Practice
| Area Of Practice | Primary |
| Emergency 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 |