2023-00160
Active
No
01/31/2023
02/04/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bachmann, Stacy Griffin
| Physician Assistant |
Active
|
07/08/2025
|
|
|
Baggett, Bradley Nathaniel
| Physician Assistant |
Active
|
07/08/2025
|
|
|
Belaya, Maria Andreyevna
| Physician Assistant |
Active
|
10/02/2025
|
|
|
Casey, Anna Catherine
| Nurse Practitioner |
Active
|
11/07/2025
|
|
|
Chapman, Jasmine Renee
| Nurse Practitioner |
Active
|
06/27/2026
|
|
|
Cockerham, Stacie Smith
| Nurse Practitioner |
Active
|
09/12/2025
|
|
|
Currin, Ann Teass
| Physician Assistant |
Active
|
08/22/2025
|
|
|
Kim, So Young
| Physician Assistant |
Active
|
07/21/2025
|
|
|
Kouri, Elyse Rae
| Physician Assistant |
Active
|
10/02/2025
|
|
|
Labrano, Jennifer Michelle
| Physician Assistant |
Active
|
09/03/2025
|
|
|
Lott, Erika Morgan
| Physician Assistant |
Active
|
07/28/2026
|
|
|
Mattox, Blake Alexander
| Physician Assistant |
Active
|
09/02/2025
|
|
|
Mayes, Skylar Selene
| Physician Assistant |
Active
|
08/05/2025
|
|
|
Osorio, Nataly Bullock
| Physician Assistant |
Active
|
07/21/2025
|
|
|
Reid, Indira Rianna
| Nurse Practitioner |
Active
|
07/12/2025
|
|
|
Roberts, Alexis Victoria
| Physician Assistant |
Active
|
07/18/2025
|
|
|
Seminara, Luke
| Nurse Practitioner |
Active
|
11/21/2025
|
|
|
Simpson, Katelynne Poole
| Physician Assistant |
Active
|
07/08/2025
|
|
|
Thomas, Aaron Shaun
| Physician Assistant |
Active
|
08/06/2025
|
|
|
Vacchiano, Micaiah Brianne
| Physician Assistant |
Active
|
08/17/2026
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Wake Forest Baptist Health - High Point Regional Medical Center |
| Wake Forest Baptist Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Wake Forest University Health Sciences
1 Medical Center Blvd
Winston Salem, NC 27157
Information
Medical School
| School | Graduation |
| University of North Carolina at Chapel Hill School of Medicine | 2019 |
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 |
| Atrium Health Wake Forest Baptist | Critical Care-Internal Medicine |
NC, US
| Fellowship | 2024 |
| University of North Carolina Hospitals | Emergency Medicine |
NC, US
| Residency | 2022 |
| University of North Carolina Hospitals | Emergency Medicine |
NC, US
| Internship | 2019 |
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 |
| Critical Care Medicine | 2024 |
| Emergency Medicine | 2023 |
Area of Practice
| Area Of Practice | Primary |
| Critical Care-Internal Medicine | Yes |
| Emergency Medicine | |
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 |