2025-01069
Active
No
04/16/2025
09/05/2026
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Alexander, Mia Darya
| Nurse Practitioner |
Active
|
10/20/2025
|
|
|
Bogenrieder, Nancy Elizabeth
| Nurse Practitioner |
Active
|
12/04/2025
|
|
|
Boucherle, Leslie Jean
| Physician Assistant |
Active
|
09/25/2025
|
|
|
Chambliss, Jasmine Nicole
| Nurse Practitioner |
Active
|
07/22/2026
|
|
|
Chatmon, Jennifer Lynn
| Nurse Practitioner |
Active
|
09/30/2025
|
|
|
Goodyear, Catherine Walter
| Physician Assistant |
Active
|
10/03/2025
|
|
|
Jackson, Chelsea Nicole
| Nurse Practitioner |
Active
|
09/29/2025
|
|
|
Jamison, Holly Anne
| Nurse Practitioner |
Active
|
09/30/2025
|
|
|
Lide, Keisha Latrice
| Nurse Practitioner |
Active
|
04/08/2026
|
|
|
Matkovich, Matthew Ralph
| Physician Assistant |
Active
|
07/16/2026
|
|
|
Morris, Carey Diann Marshall
| Nurse Practitioner |
Active
|
10/01/2025
|
|
|
Munger, Misty Severt
| Nurse Practitioner |
Active
|
02/13/2026
|
|
|
Thompson, Nicole Michelle
| Nurse Practitioner |
Active
|
07/28/2026
|
|
|
Wheeler, Hugh Avery
| Physician Assistant |
Active
|
03/12/2026
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Columbia, SC
Information
Medical School
| School | Graduation |
| Boston University School of Medicine [Boston, MA] | 2000 |
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 North Carolina Chapel Hill Family Medicine Faculty Development Fellowship | Family Medicine |
NC, US
| Fellowship | 2006 |
| Palmetto Health Family Medicine Residency | Family Medicine |
SC, US
| Residency | 2003 |
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 | 2023 |
Area of Practice
| Area Of Practice | Primary |
| Family 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 |