0010-08986
Active
Yes
03/29/2019
09/26/2026
See: Actions-Adverse & Administrative Tab
Licensee Photograph
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
| Country |
| Afghanistan |
| Chad |
| Iraq |
| Kenya |
| Liberia |
| Pakistan |
Address
Coastline Wellness, LLC
1003 Olde Waterford Way
Suite 1C
Leland, NC 28451
910-834-2240
www.coastlinewellnessnc.com
Information
Mon-Fri
Yes
Yes
No
No
PA School
| School | Graduation |
| University Of Nebraska Medical Center Physician Assistant Program | 2007 |
Area of Practice
| Area Of Practice | Primary |
| Addiction Psychiatry | |
| Alcohol and Drug Abuse | |
| Endocrinology, Internal Medicine | |
| Geriatrics | |
| Immunology Diagnostic Laboratory, Internal Medicine | |
| Internal Medicine - Endocrinology, Diabetes & Metabolism | |
| Internal Medicine - Sleep Medicine | |
| Internal Medicine, Geriatric | |
| Psychiatry | Yes |
| Psychiatry, Forensic | |
| Psychiatry, Geriatric | |
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
This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the
licensee. Click on the link or links below to see an electronic copy of public documents associated with the
licensee.
Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record
indicates a transcript is available, it may be obtained by contacting the Board.
NCMB public actions are posted on this site indefinitely.
| Date | Description | Link |
|
03/06/2024
| Public Letter of Concern |
View
|
|
03/29/2019
| Public Letter of Concern |
View
|
Other Regulatory Board or Agency Public Actions
This section indicates whether a regulatory authority other than NCMB has taken public action against the
licensee. Out-of-state medical board actions are posted on this website indefinitely. Actions by regulatory
agencies such as Medicare, Medicaid, the U.S. Drug Enforcement Administration, the U.S. Food and Drug Administration,
etc., are posted for a period of seven years, from the date of the action.
| Date | Name of Board/Agency | Action Taken | Link |
|
03/05/2026
| Florida Board of Medicine | Issued Letter of Concern; Required to complete additional five hours continuing medical education in drug prescribing based on action taken by North Carolina Medical Board |
View
|
|
11/13/2024
| State Medical Board of Ohio | Sixty-day suspension of Physician Assistant license; $3,500 fine; Required to successfully complete a course or courses on maintaining adequate and appropriate medical records based on action taken by North Carolina Medical Board |
View
|
|
04/08/2009
| State Medical Board of Ohio | Physician Assistant license suspended; (10/10/2012 Reprimand; Suspension remains in effect); (01/10/2018 Physician assistant license fully reinstated) |
View
|
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 |