2016-01474
Active
No
06/24/2016
10/29/2026
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bloomfield, Blake David
| Physician Assistant |
Active
|
08/14/2025
|
|
|
Clark, Lyndsay Marie
| Physician Assistant |
Active
|
08/15/2019
|
|
|
Curran, Richard John
| Physician Assistant |
Active
|
01/16/2023
|
|
|
Ernest, Allison Shannon
| Physician Assistant |
Active
|
08/31/2025
|
|
|
Forrest, Grace Judith
| Nurse Practitioner |
Active
|
06/12/2026
|
|
|
Grinchak, Taras Aleksandrovich
| Nurse Practitioner |
Active
|
09/11/2025
|
|
|
Healey, Megan Rebecca
| Physician Assistant |
Active
|
02/05/2026
|
|
|
Kemp, Jessica Maclaurin
| Physician Assistant |
Active
|
09/24/2025
|
|
|
Nuccio, Madison Dee
| Nurse Practitioner |
Active
|
09/11/2025
|
|
|
Polsgrove, Madison Skye Mclellan
| Physician Assistant |
Active
|
08/07/2025
|
|
|
Poor, Madison Dawn
| Physician Assistant |
Active
|
01/30/2026
|
|
|
Putman, Sara Caroline
| Physician Assistant |
Active
|
08/20/2026
|
|
|
Roy, Samuel Arthur
| Physician Assistant |
Active
|
03/02/2026
|
|
|
Self, Janey Cathrine
| Physician Assistant |
Active
|
03/17/2026
|
|
|
Selig, Jacob
| Nurse Practitioner |
Active
|
09/05/2023
|
|
|
Stadnicki, Sara Kathryn
| Physician Assistant |
Active
|
03/13/2026
|
|
|
Taunton, Charlotte Smith
| Nurse Practitioner |
Active
|
09/18/2025
|
|
|
Uchil, Sharanya Sunil
| Physician Assistant |
Active
|
09/11/2025
|
|
|
Wyckoff, Maranda Paige
| Physician Assistant |
Active
|
02/26/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Carolinas Medical Center |
| Carolinas Medical Center- NE |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Carolinas Medical Center
1000 Blythe Blvd
Charlotte, NC 28203
Information
Medical School
| School | Graduation |
| University of Cincinnati College of Medicine | 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 |
| University of Maryland Shock Trauma | Other - Surgical Critical Care |
MD, US
| Fellowship | 2015 |
| University of Tennessee -Chattanooga | General Surgery |
TN, US
| Residency | 2014 |
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 |
| Surgery (general) | 2025 |
| Surgical Critical Care | 2015 |
Area of Practice
| Area Of Practice | Primary |
| Abdominal Surgery | |
| Colon and Rectal Surgery | |
| Critical Care Surgery | |
| General Surgery | Yes |
| Surgery | |
| Surgery - Surgical Critical Care | |
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 |