BFLSNHP Agreements (covering all departments)
|
|
Laurel Heights
Byrdine F Lewis School of Nursing and Health Professions
Cheryl Wright
Phone: 404-888-7865
934 Briarcliff Road
Atlanta GA 30306
Agency Email: Cheryl.Wright@uhsinc.com
Expiration Date: 2023-01-31
Sent to Facility: 2022-09-30
Sent to Provost/Legal: 2019-12-19
Completed: 2020-02-10
Requester Name: Lisa Williams
Comment: 8/17 - template to Caroline and Kelli. LYW
10/17/19 Facility returned with more edits. To c. lombard
for
review.
12/18/19 Edits approved. to Provost for signature
1/21/20 to facility for final signature
1-31-23 Sent template to Joi sent coi request to Bibbs and Lajanda
12-02-23 Sent W-9 to facility
|
| |
|
|
Cobb Community Service Board
Byrdine F Lewis School of Nursing and Health Professions
Foster Norman
Phone: 770-429-5000
3830 South Cobb Drive Suite 300
Smyrna GA 30080
Agency Email: ijlittle@cobbcsb.com
Expiration Date:
Sent to Facility: 2019-08-28
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Piedmont Athens Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Kelley Claas
Phone: 706-475-4569
1199 Prince Avenue
Athens GA 30606-2793
Agency Email: Kelley.claas@piedmont.org
Expiration Date: 2019-03-21
Sent to Facility: 2019-03-05
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: kclaas@armc.org undeliverable 3/2/19
3/5/19 sent to new email: Kelley.claas@piedmont.org
|
| |
|
|
Atlanta Heart Specialists
Byrdine F Lewis School of Nursing and Health Professions
Fatima Spark
Phone: 770-638-1411
1468 Montreal Road
Tucker GA 30084
Agency Email:
Expiration Date: 2013-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Cranwell-Bruce
|
| |
|
|
Candler County Hospital
Byrdine F Lewis School of Nursing and Health Professions
Ashley Fulmer
Phone: 912-685-5741
P O Box 597
Metter GA 30439
Agency Email: afulmer@candlercountyhospital.com
Expiration Date: 2026-02-28
Sent to Facility: 2019-02-28
Sent to Provost/Legal:
Completed: 2023-07-14
Requester Name: Carla Huggins
Comment: Please copy Masiki Williamson on communication at
ptclinicaleducation@gsu.edu. Thank you.
|
| |
|
|
Coffee Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Denise Mooney
Phone: 912-383-5645
PO Box 1287
Douglas GA 31534
Agency Email: denise.mooney@coffeeregional.org
Expiration Date: 2015-11-30
Sent to Facility: 2019-03-28
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
|
| |
|
|
DBHDD Georgia Regional Hospital at Savannah
Byrdine F Lewis School of Nursing and Health Professions
Barbara E Medeiros
Phone: 912-356-2546
1915 Eisenhower Boulevard
Savannah GA 31406
Agency Email: Barbara.Medeiros@dbhdd.ga.gov
Expiration Date:
Sent to Facility: 2019-04-26
Sent to Provost/Legal: 2019-03-04
Completed:
Requester Name: Lisa Williams
Comment: 3/4/19 to legal for review of their document
4/26/19 Provost signed, to facility for signatures
|
| |
|
|
DeKalb County Board of Health
Byrdine F Lewis School of Nursing and Health Professions
Linda O Sullivan
Phone: 404-294-3798
445 Winn Way Suite 527
Decatur GA 30030
Agency Email: Linda.OSullivan@dph.ga.gov
Expiration Date: 2023-12-31
Sent to Facility: 2019-09-18
Sent to Provost/Legal:
Completed: 2022-10-12
Requester Name: Lisa Williams
Comment: 1/13/23-Contract will exp 12/31/23 with option to renew for 4
additional years
11/22/19 Cannot agree to contract terms. Facility requires GSU
provide free classes to their staff.
|
| |
|
|
DeKalb Regional Health System
Byrdine F Lewis School of Nursing and Health Professions
Joel Schuessler
Phone: 404-501-5790
2701 North Decatur Road
Decatur GA 30033
Agency Email: joel.schuessler@dekalbmedical.org
Expiration Date: 2021-12-31
Sent to Facility: 2021-07-30
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Merged with Emory.
|
| |
|
|
District Four Health Services
Byrdine F Lewis School of Nursing and Health Professions
Roxanne Gay
Phone: (706) 845-4035
122A Gordon Commercial Drive
LaGrange GA 30240
Agency Email: roxanne.gay@dph.ga.gov
Expiration Date: 2023-02-05
Sent to Facility: 2019-12-20
Sent to Provost/Legal:
Completed: 2020-01-02
Requester Name: Jessica Todd
Comment: covers Butts, Carroll, Coweta, Fayette, Heard, Henry,
Lamar,Merriweather, Pike, Spalding, Troup, and Upson.
12/20 provost signed, sent to facility for signature
|
| |
|
|
Georgia Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Michelle Woods
Phone: 912-486-1000
1499 Fair Road
Statesboro GA 30458
Agency Email:
Expiration Date: 2015-09-30
Sent to Facility: 2016-05-04
Sent to Provost/Legal: 2016-05-16
Completed:
Requester Name: Carla Huggins
Comment: Sent to Legal for Provost 5/11/16. Sent to facility for
5/18. Followed up with Ms. Ray 6/29/16.
|
| |
|
|
Ridgeview Institute
Byrdine F Lewis School of Nursing and Health Professions
Nandini Kamalaker
Phone: (844) 350-8800
709 Breedlove Drive
Monroe GA 30655
Agency Email: nkamalaker@ridgeviewmonroe.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet
|
| |
|
|
Emory-Adventist Hospital at Smyrna
Byrdine F Lewis School of Nursing and Health Professions
Tenia Nichols
Phone: (770) 438-5241
Administrative Office 3949 South Cobb Drive
Smyrna GA 30080-6300
Agency Email:
Expiration Date: 2015-11-30
Sent to Facility: 2012-11-13
Sent to Provost/Legal: 2012-11-28
Completed: 2012-12-13
Requester Name: Jennifer Cline
Comment: Will cease operation on 10/31/2014.
|
| |
|
|
Anchor Hospital
Byrdine F Lewis School of Nursing and Health Professions
Nora Sinyard
Phone: 678-251-3200
1000 Eagles Landing Parkway
Stockbridge Georgia 30281
Agency Email: nora.sinyard@uhsinc.com
Expiration Date: 2024-08-10
Sent to Facility: 2020-09-08
Sent to Provost/Legal:
Completed: 2021-08-17
Requester Name: Lisa Williams
Comment: Includes Stockbridge and Anchor Campuses
UHS of Anchor, LP, d/b/a Anchor Hospital
|
| |
|
|
Southside Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Donna Sinclair
Phone: (404) 688-1350, ext 540
1046 Ridge Avenue, SW
Atlanta GA 30315
Agency Email: DSinclair@smcmed.com
Expiration Date: 2024-06-30
Sent to Facility: 2018-07-12
Sent to Provost/Legal:
Completed: 2021-06-23
Requester Name: Lisa Williams
Comment:
|
| |
|
|
Sandy Springs Pediatrics and Adolescent Medicine, PC
Byrdine F Lewis School of Nursing and Health Professions
Janee Lowery
Phone: 404-252-4611
993 Johnson Ferry Road NE
Atlanta GA 30342
Agency Email: Jlowery@sspediatrics.com
Expiration Date: 2024-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 06/23/2021
Requester Name: Lisa Williams
|
| |
|
|
Avant Gynecology
Byrdine F Lewis School of Nursing and Health Professions
Jenny Davis
Phone: 404-352-2850
105 Collier Road Suite 1080
Atlanta GA 30309
Agency Email: jenny@avantgynecology.com
Expiration Date: 2022-12-31
Sent to Facility: 2019-12-19
Sent to Provost/Legal: 2020-01-14
Completed: 2020-01-17
Requester Name: Lisa Williams
|
| |
|
|
Tennova Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Hope Hubbard
Phone: 865-545-3145
Tennova Healthcare - Physicians Regional Medical Center 900 E Oak Hill Avenue
Knoxville TN 37917
Agency Email: Anna.hubbard@hma.com
Expiration Date: 2015-02-15
Sent to Facility: 2015-02-10
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Metro knoxville HMA; Physicians Regional Medical Center
Renewal emailed.
|
| |
|
|
Spalding Regional Medical Center, inc
Byrdine F Lewis School of Nursing and Health Professions
Cortney Whitehouse
Phone: 770-229-6463
601 S 8th Street P O Drawer V
Griffin GA 30224
Agency Email: cortney.whitehouse@tenethealth.com
Expiration Date: 2017-01-31
Sent to Facility: 2014-11-14
Sent to Provost/Legal: 2015-01-09
Completed:
Requester Name: Carla Huggins
Comment: NS, RT, NT, PT, Spalding Regional Hospital
Covered under Wellstar agreement
|
| |
|
|
WellStar Atlanta Medical Center Inc.
Byrdine F Lewis School of Nursing and Health Professions
Wendy Jones
Phone: 404-265-4641
303 Parkway Drive, NE Box 403
Atlanta GA 30312-1212
Agency Email: Wendy.jones@wellstar.org
Expiration Date: 2018-09-11
Sent to Facility: 2018-08-06
Sent to Provost/Legal:
Completed:
Requester Name: Sheryl Newberry
Comment: Previously known as Tenet Healthsystem Gb, INC
Atlanta Medical Center; South Fulton Medical Center,
includes Georgia State Health Clinic
Wendy Jones is contract person however it will be signed
by Kim Ryan, Hospital President.
renewal document sent 8/6/18
|
| |
|
|
Evans Memorial Hospital, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Dennis Fischer
Phone: 912-739-5025
310 North River Street
Claxton GA 30417
Agency Email:
Expiration Date:
Sent to Facility: 2015-09-14
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: 2nd request initially sent renewal request 8/14/13.3rd
request mailed 9/14/15.
|
| |
|
|
Fairview Park Hospital
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Davidson
Phone: 478-274-3672
P O Box 1408
Dublin GA 31040
Agency Email: Jennifer.Davidson@hcahealthcare.com
Expiration Date: 2022-03-31
Sent to Facility: 2019-03-29
Sent to Provost/Legal:
Completed: 2019-05-09
Requester Name: Carla Huggins
Comment: Copy ptclinicaleducation@gsu.edu
|
| |
|
|
Fayette Community Hospital, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Jill M Fenimore
Phone: 770-719-7027
1255 Hwy 43 West
Fayetteville GA 30214
Agency Email: JillFenimore@piedmont.org
Expiration Date: 2015-12-18
Sent to Facility: 2012-11-01
Sent to Provost/Legal: 2012-12-10
Completed: 2012-12-18
Requester Name: Caroline Lombard
Comment: SEE PIEDMONT HEALTHCARE, INC., Piedmont Fayette Hospital
|
| |
|
|
Floyd Healthcare Management, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Shannon Johnson
Phone: 706-509-5136
304 Turner McCall Blvd.
Rome GA 30165
Agency Email: shjohnson@floyd.org
Expiration Date: 2026-02-08
Sent to Facility: 2019-02-19
Sent to Provost/Legal:
Completed: 2019-03-29
Requester Name: Carla Huggins
Comment: Following the Initial Term, this Agreement shall automatically
renew for additional one-(1) year terms (each, a “Renewal
Term”) unless either party gives written
|
| |
|
|
Piedmont Newnan Hospital, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Jo Ann Mitchell
Phone: 770-254-3475
PO Box 997
Newnan GA 30264-0997
Agency Email:
Expiration Date: 2015-12-18
Sent to Facility: 2012-11-01
Sent to Provost/Legal: 2012-12-04
Completed: 2012-12-18
Requester Name: Caroline Lombard
Comment: SEE PIEDMONT HEALTHCARE, INC
|
| |
|
|
Forever Care Ob/Gyn
Byrdine F Lewis School of Nursing and Health Professions
Shirley Cau
Phone: 770-495-4935
3635 Peachtree Industrial Boulevard Suite 150
Duluth GA 30096
Agency Email: forevercareobgyn@gmail.com
Expiration Date: 2026-06-30
Sent to Facility: 2019-12-18
Sent to Provost/Legal: 2020-01-21
Completed: 2023-11-30
Requester Name: Lisa Williams
|
| |
|
|
Gordon Hospital
Byrdine F Lewis School of Nursing and Health Professions
Kathie Hartley
Phone: 706-879-4710
PO Box 12938
Calhoun GA 30703-7013
Agency Email: kathie.hartley@ahss.org
Expiration Date: 2022-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Joan Smith joan.smith@adventhealth.com (admin asst to
Kathie Hartley)
|
| |
|
|
Gwinnett Health System, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Brooks
Phone: 678-312-3431
Learning Resources 100 Medical Center Boulevard, Suite 115
Lawrenceville GA 30046 -
Agency Email: Jbrooks@gwinnettmedicalcenter.org
Expiration Date: 2021-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Northside Hospital, Inc. has acquired Gwinnett Health System, Inc.
Please copy Masiki Williamson on communication at
ptclinicaleducation@gsu.edu. Thank you.
MOU expires April 30, 2021 under Gwinnett Health
Systems Inc. See file for included colleges & programs.
Includes SummitRidge, Joan Glancy, Gwinnett Womens
Pavillion, Mason Clinic, Kids Clinic, OB/GYN clinic,
Wound Care Clinic,etc- includes associated physicians
|
| |
|
|
Habersham County Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Elizabeth Smith
Phone: 706-754-0029
P O Box 37 Rehab Services Department
Demorest GA 30535
Agency Email: elizabeth.smith@hcmcmed.org
Expiration Date: 2026-06-30
Sent to Facility: 2019-03-28
Sent to Provost/Legal: 2019-04-18
Completed: 2023-04-21
Requester Name: Carla Huggins
Comment: Copy ptclinicaleducation@gsu.edu
Contract renewal requests contact:
samantha.nanartowicz@nghs.com
|
| |
|
|
Encompass Health Corporation
Byrdine F Lewis School of Nursing and Health Professions
Angela Shook
Phone: 205-970-5595
Corporate Human Resources 3660 Grandview Parkway, Suite 200
Birmingham AL 35216
Agency Email: angela.shook@encompasshealth.com
Expiration Date: 2020-02-29
Sent to Facility: 2019-10-17
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: NEW process for Encompass Health:
As national agreements expire, they will be replaced with a hospital specific agreement listing only the hospital where the student(s) will be placed. It will auto renew each year, so even though you may now have to sign multiple agreements if you send students to more than one hospital, they will not have the three year term like the national agreements. Once it is signed with a hospital, it will remain in place unless you or the hospital deem it necessary to terminate it.
|
| |
|
|
Houston Hospitals,INC d/b/a Houston Medical Center, Pavilion Rehab
Byrdine F Lewis School of Nursing and Health Professions
Cindy Watson
Phone: 478-975-6740
Organizational Development 1601 Watson Blvd
Warner Robins GA 31093
Agency Email: tclark@hhc.org
Expiration Date: 2026-10-31
Sent to Facility: 2023-03-24
Sent to Provost/Legal: 2018-02-14
Completed: 2024-01-11
Requester Name: Carla Huggins
Comment: Perry Hospital and Pavilion Rehab
Received no response-Sent emails in March and May 2023
|
| |
|
|
Hughes Spalding of Children's
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Bay
Phone: 404-785-7640
Childrens Healthcare of Atlanta 1600 Tullie Circle
Atlanta GA 30329
Agency Email: jenniferbay@choa.org
Expiration Date: 2015-04-30
Sent to Facility: 2012-03-08
Sent to Provost/Legal: 2012-03-22
Completed: 2012-04-19
Requester Name: Carla Huggins
Comment: Hughes Spalding/ Managed by CHOA
|
| |
|
|
John D Archbold Memorial Hospital
Byrdine F Lewis School of Nursing and Health Professions
Donna C. McMillan
Phone: 229-228-2821
PO Box 1018 3 East
Thomasville GA 31799-1018
Agency Email: dmcmillan@archbold.org
Expiration Date: 2022-12-31
Sent to Facility: 2018-03-08
Sent to Provost/Legal: 2018-04-09
Completed: 2018-04-19
Requester Name: Carla Huggins
Comment: Waiting on facility to accept edits 3-05-2024
Covers:John D. Archbold Memorial Hospital, Inc. (Including
operations D/B/A Archbold Memorial, Archbold Brooks,
Archbold Grady, Archbold Mitchell, Archbold Living
Thomasville, Archbold Living Camilla, Archbold Living
Pelham, Archbold Living Cairo); Archbold Foundation, Inc.;
and Archbold Medical Group
Submitted Review Request to Legal 1/16/2024
Please copy ptclinicaleducation@gsu.edu
|
| |
|
|
Medical College of Georgia Health, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Celeste Ray
Phone: 706-721-2482
MCG Health Systemdba Georgia Regents Medical Center 1120 15th Street, Biw-6045
Augusta GA 30912-6200
Agency Email:
Expiration Date: 2016-06-30
Sent to Facility: 2016-04-12
Sent to Provost/Legal: 2016-05-17
Completed:
Requester Name: Sheryl McManus
Comment: Sent to facility for signature 5/18/16.
|
| |
|
|
Columbia Basin Health Association
Byrdine F Lewis School of Nursing and Health Professions
Devyn Lynch
Phone: 509-488-5253
1515 Columbia Street
Othello WA 99344
Agency Email: DulcyeF@cbha.org
Expiration Date: 2022-05-31
Sent to Facility: 2019-05-23
Sent to Provost/Legal:
Completed: 2019-07-08
Requester Name: Lisa Williams
Comment: send final to Devyn Lynch (devynl@cbha.org) and Gina Saldana
(ginas@cbha.org) –
|
| |
|
|
Newton Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Valorie Patrick
Phone: 770-786-7053
5126 Hospital Drive, NE
Covington GA 30014
Agency Email: jdial@newtonmedical.com
Expiration Date: 2017-03-31
Sent to Facility: 2013-03-12
Sent to Provost/Legal: 2014-03-19
Completed: 2014-04-10
Requester Name: Sheryl Newberry
Comment: NOW PART OF PIEDMONT HEALTHCARE, INC. Amendment sent to
Legal for Provost signature 11/13/15.
|
| |
|
|
North Fulton Medical Center, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Yvelina Rasado
Phone: (770) 751-2780
3000 Hospital Boulevard
Roswell GA 30076
Agency Email: yvelina.rosado@tenethealth.com
Expiration Date: 2018-12-31
Sent to Facility: 2015-11-02
Sent to Provost/Legal: 2015-11-16
Completed: 2015-11-30
Requester Name: JoAnn Bacon
Comment: North Fulton Regional Hospital, Tenet HealthSystem;
|
| |
|
|
Oconee Regional Health Systems, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Marlena Waddell
Phone: 478-454-3505
P. O. Box 690 821 North Cobb Street
Milledgeville GA 31059
Agency Email: mwaddell@ormcinc.org
Expiration Date: 2017-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
|
| |
|
|
Peachford Behavioral Health System of Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Dixi Belen
Phone: 770-454-2355
2151 Peachford Road
Atlanta GA 30338
Agency Email: Dixi.Belen@uhsinc.com
Expiration Date: 2024-03-08
Sent to Facility:
Sent to Provost/Legal: 2018-01-22
Completed: 2021-04-16
Requester Name: Lisa Williams
|
| |
|
|
CarePlus Family Medicine - Riverdale
Byrdine F Lewis School of Nursing and Health Professions
Alia Carter
Phone: 770-907-7222
83 Upper Riverdale Road Suite 135
Riverdale GA 30274
Agency Email: aliacarter.apc@gmail.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-09
Sent to Provost/Legal:
Completed: 2021-04-16
Requester Name: Lisa Williams
|
| |
|
|
Rockdale Medical Center, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Ruth Roebuck
Phone: 770-918-3876
1412 Milstead Avenue NE
Conyers GA 30012
Agency Email:
Expiration Date: 2017-05-31
Sent to Facility: 2017-02-23
Sent to Provost/Legal:
Completed:
Requester Name: Vedica Eastman
Comment: According to Ruth Roebuck, Clinical Nurse Educator,
Rockdale
decided not to renew the contract with GSU. No explanation
was given.
|
| |
|
|
Saint Francis Hospital, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Tammy Shelly
Phone: 706-595-4152
2122 Manchester Expressway
Columbus GA 31904
Agency Email: ShelleyT@sfhga.com
Expiration Date: 2019-01-03
Sent to Facility: 2018-11-27
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: renewal sent 11/27/18
|
| |
|
|
Saint Josephs Hospital of Atlanta, Inc. and Saint Josephs Mercy Care Services, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Allison Hager
Phone: 678-843-7977
Organizational Development & Education 5665 Peachtree Dunwoody Road, NE
Atlanta GA 30342
Agency Email: Allison.Hager@emoryhealthcare.org
Expiration Date: 2025-04-30
Sent to Facility: 2012-12-14
Sent to Provost/Legal: 2013-01-07
Completed: 2022-06-09
Requester Name: Chip Zimmerman
Comment: brandied.mcclain@mercyatlanta.com (Brandied McClain handled
contract processing 6-09-2022
ncl St Joseph Primary Care Network & Mercy Mobile Health
Care; Sent e-
mail to Allison Hager to renew 6/3/14
|
| |
|
|
St. Josephs/Candler
Byrdine F Lewis School of Nursing and Health Professions
Lisa Alvarez
Phone: 912-819-8364
5353 Reynolds Street
Savannah GA 31405
Agency Email: alvarezl@sjchs.org
Expiration Date: 2024-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-08-20
Requester Name: Carla Huggins
Comment: Please copy ptclinicaleducation@gsu.edu on communication
|
| |
|
|
The University of Chicago Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Marla Robinson
Phone: 773-795-7192
5841 South Maryland Avenue MC1081, Therapy Services
Chicago IL 60637
Agency Email: Marla.Robinson@uchospitals.edu
Expiration Date: 2026-09-29
Sent to Facility: 2016-12-13
Sent to Provost/Legal:
Completed: 2023-10-13
Requester Name: Carla Huggins
Comment: Copy ptclinicaleducation@gsu.edu
|
| |
|
|
Upson Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Sue Adams
Phone: (706) 647-8111 x1337
PO Drawer 1059
Thomaston GA 30286-0013
Agency Email:
Expiration Date:
Sent to Facility: 2012-08-20
Sent to Provost/Legal: 2012-08-21
Completed: 2012-08-28
Requester Name: Jennifer Cline
Comment: The site cancelled the MOU by letter as of July 1, 2014
|
| |
|
|
Walton Rehabilitation Health Systems
Byrdine F Lewis School of Nursing and Health Professions
Cheryl Howard
Phone: 706-724-7746
1355 Independence Drive Outpatient Building
Augusta GA 30901-1037
Agency Email:
Expiration Date: 2017-05-12
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: COVERED UNDER HEALTHSOUTH CORPORATION.
|
| |
|
|
Hospital Authority of Wayne County (The)
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Deal
Phone: 912-530-3183
865 South First Street PO Box 410
Jesup GA 31545
Agency Email: jdeal@wmhweb.com
Expiration Date: 2020-06-30
Sent to Facility: 2020-02-04
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
|
| |
|
|
Visiting Nurse Health System
Byrdine F Lewis School of Nursing and Health Professions
Andrea Marks-Stevenson
Phone: 404-215-6092
5775 Glenridge Drive, NE Suite E200
Atlanta GA 30328
Agency Email: andrea.stevenson@vnhs.org
Expiration Date: 2017-04-30
Sent to Facility: 2019-05-23
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
|
| |
|
|
Creative Care Concepts, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Karen Cheeseman
Phone: 770-478-6091
3889 Easy Circle
Marietta GA 30066
Agency Email: kcheeseman@creativecareconcepts.com
Expiration Date:
Sent to Facility: 2019-05-29
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 6/13/19 LYW Requested contract from Jennifer Brooks
|
| |
|
|
Helping Hands Outreach Clinic
Byrdine F Lewis School of Nursing and Health Professions
Janice Morris
Phone: 678-607-0759
1733 Lake Rockaway Road NW
Conyers GA 30012
Agency Email: jmorris.hhoc@gmail.com
Expiration Date:
Sent to Facility: 2019-05-07
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Do not mail MOU; please forward MOU to Lisa Williams via e-
mail for delivery to the site.
5/7/19 to Lisa Williams
|
| |
|
|
Positive Balance Wellness Center
Byrdine F Lewis School of Nursing and Health Professions
Angela Shannon
Phone: 404-647-9478
2031 Austin Road
Atlanta GA 30331
Agency Email: positivebalancewellness@gmail.com
Expiration Date: 2022-07-31
Sent to Facility: 2022-06-15
Sent to Provost/Legal: 2020-01-21
Completed: 2020-01-30
Requester Name: Lisa Williams
|
| |
|
|
Princeton Lakes Internal Medicine
Byrdine F Lewis School of Nursing and Health Professions
Cassandra Treadway
Phone: 404-344-0059
3885 Princeton Lakes Way Suite 300
Atlanta GA 30331
Agency Email:
Expiration Date: 2015-01-31
Sent to Facility: 2012-01-20
Sent to Provost/Legal: 2012-01-20
Completed: 2012-3-05
Requester Name: Janet Dortch
|
| |
|
|
Atlas Internal Medicine
Byrdine F Lewis School of Nursing and Health Professions
Richard Stevens
Phone: 229-273-8501
201 16th Avenue East
Cordele GA 31015
Agency Email: DrStevens@atlasinternalmedicine.com
Expiration Date:
Sent to Facility: 2019-10-30
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Driftwood Recovery
Byrdine F Lewis School of Nursing and Health Professions
Rebecca Wolpert
Phone: 713-449-4616
1905 Elder Hill Road
Driftwood TX 78619
Agency Email: Rwolpert@driftwoodrecovery.com
Expiration Date: 2025-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-01-14
Requester Name: Lisa Williams
|
| |
|
|
St. Marys Health Care System
Byrdine F Lewis School of Nursing and Health Professions
Kim Hemphill
Phone: 706-389-2150
1230 Baxter Street
Athens Georgia 30606
Agency Email: klawrence@stmarysathens.org
Expiration Date: 2024-08-31
Sent to Facility: 2024-03-25
Sent to Provost/Legal: 2019-07-18
Completed: 2019-11-11
Requester Name: Carla Huggins
Comment: klawrence@stmarysathens.org email address is no longer valid 3-
25-2024
7/16/20 updated COI requested from GSU Risk Mgmt
Please copy ptclinicaleducation@gsu.edu
|
| |
|
|
Quality Living Services, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Irene Richardson
Phone: 4043493026
P.O. Box 311045
Atlanta GA 30331
Agency Email: qls1@co.fulton.ga.us
Expiration Date: 2022-04-30
Sent to Facility: 2022-03-17
Sent to Provost/Legal: 2019-05-02
Completed: 2019-05-09
Requester Name: Lisa Williams
Comment: Please carbon copy the following email on all email
correspondence: lacefies@bellsouth.net
|
| |
|
|
Landmark Hospital
Byrdine F Lewis School of Nursing and Health Professions
Marie Saylor
Phone: 215-237-4197
775 Sunset Drive
Athens GA 30606
Agency Email: masaylor@landmarkhospitals.com
Expiration Date: 2026-06-30
Sent to Facility: 2020-04-30
Sent to Provost/Legal: 2020-05-18
Completed: 2023-06-06
Requester Name: Lisa Williams
|
| |
|
|
University of West Georgia
Byrdine F Lewis School of Nursing and Health Professions
Karen Duke
Phone: 678-839-2450
1601 Maple Street
Carrollton GA 30118
Agency Email: kduke@westga.edu
Expiration Date: 2022-09-30
Sent to Facility: 2019-09-13
Sent to Provost/Legal: 2019-09-19
Completed: 2019-10-08
Requester Name: Lisa Williams
Comment: 9/14/2022 - UWG as facility. LYW
|
| |
|
|
K B Solutions and Behavioral Support Services, LLC
Byrdine F Lewis School of Nursing and Health Professions
Laquanda Spince
Phone: 470-878-1691
3200 N Henry Blvd Suite C
Stockbridge GA 30281
Agency Email: Kbsbonline@gmail.com
Expiration Date: 2025-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-11-30
Requester Name: Lisa Williams
|
| |
|
|
Medical Missions Outreach
Byrdine F Lewis School of Nursing and Health Professions
Kelly Edmondson
Phone: 410.391.7000
150 Oak Shores Drive
McDonough GA 30253
Agency Email: kelly@medical-outreach.com
Expiration Date: 2024-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-15
Requester Name: Lisa Williams
|
| |
|
|
Camp Twin Lakes
Byrdine F Lewis School of Nursing and Health Professions
Paige Smith
Phone: 706-557-9070 ext 204
1391 Keencheefoonee Road
Rutledge Ga 30663
Agency Email: paige@camptwinlakes.org
Expiration Date:
Sent to Facility: 2017-07-19
Sent to Provost/Legal:
Completed:
Requester Name: Carolyn Podolski
Comment: This will be a great opportunity for all of our
departments!
MOU emailed 7/19/17
|
| |
|
|
Southeastern Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Lisa Hesser
Phone: 770-400-6690
600 Celebrate Life Parkway
Newnan GA 30265
Agency Email: lisa.hesser@ctca-hope.com
Expiration Date: 2020-01-22
Sent to Facility:
Sent to Provost/Legal: 2018-12-12
Completed: 2019-01-22
Requester Name: Jessica Todd
Comment: 12/12/18 Sent facilitys documents to legal for review.
1/10/19 Sent back to facility with Lombard changes
|
| |
|
|
Great Expectations Unlimited
Byrdine F Lewis School of Nursing and Health Professions
Salena Barnes
Phone: 478.254.6091
640 Plum Street Units 202 and 203
Macon GA 31201
Agency Email: sbarnes@greatexpectationsga.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-16
Sent to Provost/Legal:
Completed: 2021-03-29
Requester Name: Lisa Williams
|
| |
|
|
City Schools of Decatur
Byrdine F Lewis School of Nursing and Health Professions
Bruce Roaden
Phone: 404-371-3601
125 Electric Avenue
Decatur GA 30030
Agency Email: broaden@csdecatur.net
Expiration Date: 2026-08-31
Sent to Facility: 2018-06-21
Sent to Provost/Legal: 2024-01-16
Completed: 2024-01-19
Requester Name: Lisa Williams
Comment: Delivered to B.Roaden on 6/21. lyw
7/30/18 to legal - 9/12/18 Asked Kisha again re: MOU
|
| |
|
|
IJB Healthcare Services, PC
Byrdine F Lewis School of Nursing and Health Professions
Olugbemiga Osoba
Phone: 404-953-5348
4028 Holcomb Bridge Rd 204
Peachtree Corners GA 30092
Agency Email: drosoba@ijbhealthcare.com
Expiration Date: 2022-07-31
Sent to Facility: 2022-06-15
Sent to Provost/Legal: 2019-08-22
Completed: 2019-08-29
Requester Name: Lisa Williams
|
| |
|
|
HCTec
Byrdine F Lewis School of Nursing and Health Professions
Briana Skinner
Phone: 615-627-1014
5106 Maryland Way
Brentwood TN 37027
Agency Email: bskinner@hctec.com
Expiration Date: 2020-03-31
Sent to Facility: 2017-03-23
Sent to Provost/Legal: 2017-05-01
Completed: 2017-05-15
Requester Name: Lisa Williams
|
| |
|
|
Ridgeview Institute - dba Vest Monroe LLC
Byrdine F Lewis School of Nursing and Health Professions
Amy Alexander
Phone: 6786353500
709 Breedlove Drive
Monroe GA 30655
Agency Email: aalexander@ridgeviewmonroe.com
Expiration Date: 2025-05-31
Sent to Facility: 2019-06-14
Sent to Provost/Legal: 2019-08-12
Completed: 2022-04-25
Requester Name: Charlette DeLoach
Comment: Please cc the following person on all correspondence,
Dr. Tamara Thompson
Email: tthompson@ridgeviewmonroe.com
Kimberly Hyatt CNO
8/9/19 Faith Connell sent MOU to Kyra Dunson for signature
|
| |
|
|
Clayton County Public Schools - Nursing Perimeter
Byrdine F Lewis School of Nursing and Health Professions
Angela Horrison-Collier
Phone: 770-473-2700
1058 Fifth Ave.
Jonesboro GA 30236
Agency Email: angela.horrison-collier@clayton.k12.ga.us
Expiration Date:
Sent to Facility: 2019-09-16
Sent to Provost/Legal: 2019-09-11
Completed:
Requester Name: Charlette DeLoach
Comment: This contract is for the purpose of conducting scoliosis
and hearing/vision screenings with Clayton County Board of
Health.
9/10/19 C. Lombard approved TERM edits, to provost for
signature
9/26/19 to facility for final signature.
|
| |
|
|
Community Friendship Incorporated
Byrdine F Lewis School of Nursing and Health Professions
Beth Boersma
Phone: 404-875-0381 ext 252
85 Renaissance Parkway, NE
Atlanta Ga 30308
Agency Email: bboersma@communityfriendship.org
Expiration Date: 2024-05-14
Sent to Facility: 2020-04-08
Sent to Provost/Legal:
Completed: 2024-06-08
Requester Name: Carolyn Podolski
Comment: Please include Shana Finks in the email when you send it
to the site: sfinks@gsu.edu. Carolyn uses them for Level
1 placements but Shana should be kept in the loop on its
status as well. Thanks! -Letitia
8/3/20 Followed up with facility as to status of the
contract
|
| |
|
|
Athens Pulmonary & Sleep Medicine
Byrdine F Lewis School of Nursing and Health Professions
Hallie Epps
Phone: 706-549-5560
3320 Old Jefferson Road
Athens GA 30607
Agency Email: hepps@athenspulmonary.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
North Fulton OB-GYN
Byrdine F Lewis School of Nursing and Health Professions
Lisa Vinokur
Phone: 770-754-4445
3400C Old Milton Parkway Suite 585
Alpharetta GA 30342
Agency Email: 1babydoc@bellsouth.net
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
|
| |
|
|
Decatur Center for Nursing & Healing, LLC
Byrdine F Lewis School of Nursing and Health Professions
Betsy Hill
Phone: (678) 365-3032
2722 North Decatur Road
Decatur GA 30033
Agency Email: bhill@decaturnursing.com
Expiration Date: 2026-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2026-02-24
Requester Name: Anne Cadet
Comment: Manorcare changed ownership and the new name is Decatur Center
for Nursing and Healing - A new affiliation is warranted.
2/16/2023
|
| |
|
|
Physicians Pointe
Byrdine F Lewis School of Nursing and Health Professions
Brenda Schmitt
Phone: 770-339-5999
1925 Old Peachtree Rd NE
Lawrenceville GA 30043
Agency Email: admin@physicianspointe.com
Expiration Date: 2025-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-26
Requester Name: Lisa Williams
Comment:
|
| |
|
|
Jewish Family & Career Services of Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Mikki Hollinger
Phone: 7706779347
4549 Chamblee Dunwoody Rd,
Atlanta Ga 30338
Agency Email: mhollinger@jfcsatl.org
Expiration Date: 2024-04-30
Sent to Facility: 2018-08-14
Sent to Provost/Legal:
Completed: 2021-05-20
Requester Name: Carolyn Podolski
Comment: 8/14/18 non-clinical agreement emailed
|
| |
|
|
Barnesville Urgent Care and Family Practice
Byrdine F Lewis School of Nursing and Health Professions
Angie Bennett
Phone: 770-872-3663
522 Greenwood Street Suite A
Barnesville GA 30204
Agency Email: Abenn001@yahoo.com
Expiration Date: 2021-08-31
Sent to Facility: 2021-11-18
Sent to Provost/Legal: 2018-08-29
Completed: 2018-09-07
Requester Name: Lisa Williams
Comment: 8/16/18 MOU Emailed
8/29/18 to Legal
9/17/18 received from legal, emailed to all parties
|
| |
|
|
Metro Health & Wellness
Byrdine F Lewis School of Nursing and Health Professions
Kirstie Cunningham
Phone: 470-203-1856
2950 Stone Hogan Connector Building 3 - Suite B
Atlanta GA 30331
Agency Email: metrohealthandwellness@gmail.com
Expiration Date: 2021-08-31
Sent to Facility: 2021-07-21
Sent to Provost/Legal: 2018-09-17
Completed: 2018-09-18
Requester Name: Lisa Williams
Comment:
|
| |
|
|
Marcus Jewish Community Center of Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Ashley Cohen
Phone: 678-812-3861
5342 Tilly Mill Rd
Atlanta Ga 30338
Agency Email: ashley.cohen@atlantajcc.org
Expiration Date: 2021-08-31
Sent to Facility: 2021-07-02
Sent to Provost/Legal: 2018-08-29
Completed: 2018-09-07
Requester Name: Carolyn Podolski
Comment: The signature name will be:
Janice Wolf, Chief Financial & Administrative Officer
Marcus Jewish Community Center of Atlanta
8/17/18 MOU Emailed - 8/29/18 to Legal
9/17/18 received from legal, emailed all parties
|
| |
|
|
Oscar Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Ike Oneyekaba
Phone: 470-355-2340
3375 Memorial Drive
Decatur GA 30032
Agency Email: info@oscarmedicalcenter.com
Expiration Date: 2021-08-31
Sent to Facility: 2021-07-21
Sent to Provost/Legal: 2018-09-12
Completed: 2018-09-18
Requester Name: Lisa Williams
|
| |
|
|
ManorCare Rehabilitation Center -Decature
Byrdine F Lewis School of Nursing and Health Professions
Betsy Hill
Phone: 678.365.3032
2722 North Decatur Road
Decatur GA 30033
Agency Email: Elizabeth.hill@hcr-manorcare.com
Expiration Date: 2025-06-03
Sent to Facility:
Sent to Provost/Legal:
Completed: 204-06-30
Requester Name: Anne Cadet-Baker
Comment: Contract Start date 06-04-2021 with a 4 year term. Exp.
date 06-03-2025 agreement completed 06-30-2021
|
| |
|
|
Pathways Transition Programs, Inc
Byrdine F Lewis School of Nursing and Health Professions
Lee Gobbel
Phone: 404.378.2300
120 East Trinity Place
Decatur GA 30030
Agency Email: lgobbel@pathwaystp.com
Expiration Date: 2021-08-31
Sent to Facility: 2021-07-21
Sent to Provost/Legal: 2018-09-14
Completed: 2018-09-27
Requester Name: Lisa Williams
|
| |
|
|
Physicians Care Centers of Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Natasha Williamson
Phone: 404-501-7940
285 Boulevard NE Suite 435
Atlanta GA 30312
Agency Email: tashawillie@hotmail.com
Expiration Date:
Sent to Facility: 2018-09-05
Sent to Provost/Legal: 2018-09-12
Completed: 2018-10-26
Requester Name: Lisa Williams
|
| |
|
|
Correct Health
Byrdine F Lewis School of Nursing and Health Professions
Linda John
Phone: 770.692.4750
3384 Peachtree Road Suite #700
Atlanta GA 30326
Agency Email: linda.john@correcthealth.org
Expiration Date:
Sent to Facility: 2018-09-13
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 9/13/18 MOU emailed
1/8/19 facilitys edits were sent to wrong email. Sent to
C.Lombard for review
|
| |
|
|
Trinity Community Ministries
Byrdine F Lewis School of Nursing and Health Professions
Derek Duncan
Phone: 404-577-6651 X 243
21 Bell Street NE
Atlanta GA 30303
Agency Email: derekd@tcmatlanta.org
Expiration Date: 2021-08-31
Sent to Facility: 2021-07-21
Sent to Provost/Legal: 2018-09-24
Completed: 2018-09-27
Requester Name: Lisa Williams
|
| |
|
|
Marvelous Light Consulting, LLC
Byrdine F Lewis School of Nursing and Health Professions
Dewanda Jackson
Phone: 404-286-0054
4319 Covington Highway Suite 110
Decatur GA 30036
Agency Email: djackson@mlccounselingservices.com
Expiration Date: 2024-10-31
Sent to Facility: 2018-09-19
Sent to Provost/Legal: 2018-10-15
Completed: 2021-12-14
Requester Name: Lisa Williams
|
| |
|
|
Ronnie Blount MD
Byrdine F Lewis School of Nursing and Health Professions
Ronnie Blount
Phone: 478-787-6910
125A 1st Street
Macon GA 31201
Agency Email: rblount57@msn.com
Expiration Date: 2021-09-30
Sent to Facility: 2021-10-27
Sent to Provost/Legal: 2018-10-02
Completed: 2018-10-26
Requester Name: Lisa Williams
|
| |
|
|
Shady Grove Fertility
Byrdine F Lewis School of Nursing and Health Professions
Mark Perloe
Phone: 404-843-2229
5445 Meridian Mark Road
Atlanta GA 30342
Agency Email: mark.perloe@integramed.com
Expiration Date:
Sent to Facility: 2018-12-19
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 12/19/18 Dr. Perloe responded they are in a stressful
period of transition and ask that we contact them in 6
months.
|
| |
|
|
Urban Health and Wellness
Byrdine F Lewis School of Nursing and Health Professions
Susan Whatley
Phone: 404-618-6983
859 Metropolitan Parkway, SW
Atlanta GA 30310
Agency Email: susanw.uhw@gmail.com
Expiration Date: 2021-09-30
Sent to Facility: 2021-10-29
Sent to Provost/Legal: 2018-10-29
Completed: 2018-11-30
Requester Name: Lisa Williams
|
| |
|
|
Mission Health System
Byrdine F Lewis School of Nursing and Health Professions
Brooke Wetzel
Phone: 828 213 3950
1 Hospital Drive Suite 6300
Asheville North Carolina 28801
Agency Email: brooke.wetzel@msj.org
Expiration Date: 2021-05-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Please copy Masiki Williamson on communication at ptclinicaleducation@gsu.edu. Thank you.
|
| |
|
|
Healthstat
Byrdine F Lewis School of Nursing and Health Professions
Jill Patton
Phone: 704-936-5546
4651 Charlotte Park Drive Suite 300
Charlotte NC 28217
Agency Email: jill.patton@healthstatinc.com
Expiration Date: 2021-10-09
Sent to Facility:
Sent to Provost/Legal:
Completed: 2018-10-11
Requester Name: Lisa Williams
|
| |
|
|
Womens Specialists of Fayette (The)
Byrdine F Lewis School of Nursing and Health Professions
Rita Hooper
Phone: 770-632-9900
1267 Hwy 54 West Suite 3200
Fayetteville GA 30214
Agency Email: rhooper@wsfayette.com
Expiration Date: 2021-10-31
Sent to Facility: 2021-10-31
Sent to Provost/Legal: 2018-11-13
Completed: 2018-11-30
Requester Name: Lisa Williams
|
| |
|
|
Womens Specialists of North Georgia
Byrdine F Lewis School of Nursing and Health Professions
Raquel Montanez
Phone: 770-676-5878
2169 Lawrenceville Highway
Lawrenceville GA 30044
Agency Email: raquel@doctoresteves.com
Expiration Date: 2024-06-30
Sent to Facility: 2021-06-23
Sent to Provost/Legal:
Completed: 2021-08-20
Requester Name: Lisa Williams
|
| |
|
|
Dzung Tran MD
Byrdine F Lewis School of Nursing and Health Professions
Michelle Bromelia
Phone: 702-876-0186 x209
6960 Cimarron Road Suite 100
Las Vegas NV 89113
Agency Email: michelle@drtranmdlasvegas.com
Expiration Date: 2021-11-30
Sent to Facility: 2018-11-21
Sent to Provost/Legal:
Completed: 2018-12-18
Requester Name: Lisa Williams
|
| |
|
|
Middle Georgia Medical Associates
Byrdine F Lewis School of Nursing and Health Professions
Sharon Culpepper
Phone: 478-923-6633
623 S. Houston Lake Road Suite 200
Warner Robins GA 31088
Agency Email: sharon.mgma@yahoo.com
Expiration Date: 2021-11-30
Sent to Facility: 2021-10-27
Sent to Provost/Legal: 2018-12-19
Completed: 2019-02-21
Requester Name: Lisa Williams
|
| |
|
|
Fannin Regional Hospital
Byrdine F Lewis School of Nursing and Health Professions
Lori Barker
Phone: 706-258-4640
2855 Old Hwy 5
Blue Ridge GA 30513
Agency Email: Lori_Barker@QuorumHealth.com
Expiration Date: 2019-12-31
Sent to Facility: 2020-08-10
Sent to Provost/Legal: 2020-07-06
Completed:
Requester Name: Lisa Williams
Comment: 3/4/2020 asked facility to renew, they use their own
template.
6/26/20 Facility sent amendment to extend current/recently
expired agreement. to C. Lombard for review.
8/10/20 to facility for final signature
|
| |
|
|
Memorial Hospital and Manor
Byrdine F Lewis School of Nursing and Health Professions
Karen Williams
Phone: 229-243-6100 x423
1500 East Shotwell Street
Bainbridge GA 39819
Agency Email: HR-spec2@mh-m.org
Expiration Date: 2026-02-28
Sent to Facility: 2020-03-04
Sent to Provost/Legal: 2020-03-06
Completed: 2023-02-28
Requester Name: Lisa Williams
Comment: 3/8/20 Karen Williams forwarded to Deborah Brown
DeborahB@mh-m.org
|
| |
|
|
OB-GYN Associates
Byrdine F Lewis School of Nursing and Health Professions
Robin Franklin
Phone: 770-422-8700
699 Church Street Suite 300
Marietta GA 30060
Agency Email: RHF515@gmail.com
Expiration Date: 2021-11-30
Sent to Facility: 2018-11-30
Sent to Provost/Legal: 2018-12-07
Completed: 2018-12-14
Requester Name: Lisa Williams
|
| |
|
|
Pediatric Infectious Disease Associates, P.C.
Byrdine F Lewis School of Nursing and Health Professions
Kristy Flockert
Phone: 404-252-4611
6100 Lake Forrest Drive
Atlanta GA 30338
Agency Email: KFlockert@sspediatrics.com
Expiration Date:
Sent to Facility: 2018-12-19
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 1/24/19 On hold per Lisa Williams
|
| |
|
|
College of Coastal Georgia
Byrdine F Lewis School of Nursing and Health Professions
Lydia Watkins
Phone: 912-279-5906
1 College Drive Health Sciences 210
Brunswick GA 31520
Agency Email: lwatkins@ccga.edu
Expiration Date: 2022-12-31
Sent to Facility: 2018-12-19
Sent to Provost/Legal: 2019-01-17
Completed: 2019-01-30
Requester Name: Lisa Williams
|
| |
|
|
Prime Healthcare Foundation - Southern Regional, LLC., dba Southern Regional Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Sharon Lawson-Mathis
Phone: 770-991-8392
11 Upper Riverdale Road, SW
Riverdale GA 30274
Agency Email: slawson-mathis@primehealthcare.com
Expiration Date: auto renews
Sent to Facility: 2019-08-16
Sent to Provost/Legal: 2019-09-05
Completed: 2019-09-03
Requester Name: Carla Huggins
|
| |
|
|
Grace Village Medical Clinic
Byrdine F Lewis School of Nursing and Health Professions
Michael Sorrells
Phone: 770-979-7000
4002 E. Ponce de Leon Avenue
Clarkston GA 30021
Agency Email: Sorr1135@bellsouth.net
Expiration Date: 2025-01-31
Sent to Facility: 2019-01-11
Sent to Provost/Legal: 2019-01-17
Completed: 2022-03-14
Requester Name: Lisa Williams
|
| |
|
|
Greater Atlanta Womens Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Vincent Williams
Phone: 404-589-2670
550 Peachtree Street NE Suite 1470
Atlanta GA 30308
Agency Email: vincent.williams@gawhc.com
Expiration Date: 2022-01-31
Sent to Facility: 2022-01-19
Sent to Provost/Legal: 2019-01-30
Completed: 2019-02-12
Requester Name: Lisa Williams
|
| |
|
|
Lotus Family Wellness Clinic
Byrdine F Lewis School of Nursing and Health Professions
Qiana Johnson
Phone: 470-575-6588
1240 Highway 138
Riverdale GA 30296
Agency Email: info@lotusfamilywellnessclinic.com
Expiration Date: 2022-07-31
Sent to Facility: 2022-06-15
Sent to Provost/Legal: 2019-08-09
Completed: 2019-08-19
Requester Name: Lisa Williams
Comment: Facility charges a fee. Marking inactive. -Kelli
7/31/19 - Site is no longer charging a fee Please re-send
contract.
|
| |
|
|
Southern Crescent Family Practice
Byrdine F Lewis School of Nursing and Health Professions
Michelle Tyson
Phone: 678-705-0100
455 Forest Parkway
Forest Park GA 30297
Agency Email: SCFPLLCTYSON@COMCAST.NET
Expiration Date: 2022-02-28
Sent to Facility: 2022-02-02
Sent to Provost/Legal: 2019-02-22
Completed: 2019-03-01
Requester Name: Lisa Williams
|
| |
|
|
Buford Norcross Primary Care
Byrdine F Lewis School of Nursing and Health Professions
Christine Li-Qun Bao
Phone: 770-246-6100
777 West Peachtreet Street
Norcross GA 30071
Agency Email: bnpc777@yahoo.com
Expiration Date: 2025-10-31
Sent to Facility: 2019-10-29
Sent to Provost/Legal: 2019-11-06
Completed: 2023-11-10
Requester Name: Lisa Williams
|
| |
|
|
Regenerative Orthopedics and Spine Institute, PC
Byrdine F Lewis School of Nursing and Health Professions
Robin Swords
Phone: 770-892-0300
135 North Park Place Suite 101
Stockbridge GA 30281
Agency Email: rswords@rosi.us
Expiration Date: 2022-01-31
Sent to Facility: 2019-01-17
Sent to Provost/Legal: 2019-01-28
Completed: 2019-01-30
Requester Name: Lisa Williams
|
| |
|
|
Cobb Medical Clinic
Byrdine F Lewis School of Nursing and Health Professions
Chandresh Shah
Phone: 770-941-0010
2615 East-West Connector Suite 106
Austell GA 30106
Agency Email: care@cobbmedicalclinic.com
Expiration Date: 2025-01-31
Sent to Facility: 2019-01-17
Sent to Provost/Legal: 2019-01-22
Completed: 2022-04-04
Requester Name: Lisa Williams
|
| |
|
|
Reproductive Health Medicine and Gynecology
Byrdine F Lewis School of Nursing and Health Professions
Nicholas Kongoasa
Phone: 770-450-8677
3965 Holcomb Bridge Road Suite 100
Norcross GA 30092
Agency Email: info@rhmgyn.com
Expiration Date: 2022-01-31
Sent to Facility: 2019-01-25
Sent to Provost/Legal: 2019-02-12
Completed: 2019-02-14
Requester Name: Lisa Williams
|
| |
|
|
Alpha Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Tkeyah Dooley
Phone: 678-619-1974
480 N. Main Street suite 202
Alpharetta GA 30009
Agency Email: info@alphafm.net
Expiration Date: 2023-03-31
Sent to Facility: 2019-01-28
Sent to Provost/Legal: 2019-01-30
Completed: 2022-04-04
Requester Name: Lisa Williams
|
| |
|
|
Georgia Center for Female Health
Byrdine F Lewis School of Nursing and Health Professions
Nannette Camacho
Phone: 404-243-7777
3660 Flat Shoals Road Suite 180
Decatur GA 30034
Agency Email: NannetteC@gafemalehealthandmedspa.com
Expiration Date: 2022-01-31
Sent to Facility: 2019-02-07
Sent to Provost/Legal: 2019-07-08
Completed: 2019-07-08
Requester Name: Lisa Williams
|
| |
|
|
A Q Medical Associates, LLC
Byrdine F Lewis School of Nursing and Health Professions
Irfan Qazi
Phone: 470-589-1065
4485 Tench Road Suite 740
Suwanee GA 30024
Agency Email: dranjumqazi@hotmail.com
Expiration Date: 2022-01-31
Sent to Facility: 2019-02-07
Sent to Provost/Legal: 2019-02-19
Completed: 2019-03-01
Requester Name: Lisa Williams
|
| |
|
|
Womens Health Professionals
Byrdine F Lewis School of Nursing and Health Professions
Lynette Talley
Phone: 229-883-4555
414 5th Avenue
Albany GA 31701-1976
Agency Email: info@womenshealthalbany.com
Expiration Date: 2022-01-31
Sent to Facility: 2022-01-19
Sent to Provost/Legal: 2019-02-12
Completed: 2019-02-14
Requester Name: Lisa Williams
|
| |
|
|
Cobb Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
DeeDee Varner
Phone: 770-425-5331
3405 Dallas Highway
Marietta GA 30064
Agency Email: dvarner@cobbpeds.com
Expiration Date: 2022-03-31
Sent to Facility: 2023-03-08
Sent to Provost/Legal: 2019-03-14
Completed: 2019-03-29
Requester Name: Lisa Williams
|
| |
|
|
Family Care Clinic PC
Byrdine F Lewis School of Nursing and Health Professions
Renzo Fornasini
Phone: 770-622-3948
3985 Steve Reynolds Boulevard
Norcross GA 30093
Agency Email: Fornasinipediatrics@gmail.com
Expiration Date: 2025-03-31
Sent to Facility: 2019-03-13
Sent to Provost/Legal: 2019-03-26
Completed: 2022-04-13
Requester Name: Lisa Williams
|
| |
|
|
Bruce J. Beeber MD
Byrdine F Lewis School of Nursing and Health Professions
Amy Moon
Phone: 770-922-1400
1009 Milstead Avenue Suite 110
Conyers GA 30012
Agency Email: frontoffice@beebermd.com
Expiration Date: 2022-03-31
Sent to Facility: 2019-03-13
Sent to Provost/Legal: 2019-03-25
Completed: 2019-03-29
Requester Name: Lisa Williams
|
| |
|
|
PruittHealth Therapy Services
Byrdine F Lewis School of Nursing and Health Professions
Penny Wheeler
Phone: 770-507-3848
1050 Hospital Dr.
Stockbridge GA 30281
Agency Email: pestoker@pruitthealth.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Carla Huggins
Comment: Clinical Education Director for all of Pruitt Health
Facilities is Penny Wheeler pestoker@pruitthealth.com
704-439-6198
Copy ptclinicaleducation@gsu.edu
|
| |
|
|
The Asthma Allergy and Sinus Center
Byrdine F Lewis School of Nursing and Health Professions
Meredith Pippin
Phone: 770-534-0534
528 Broad Street SE Suite B
Gainesville GA 30501
Agency Email: mpippin@allergyasc.com
Expiration Date: 2022-03-31
Sent to Facility: 2023-03-08
Sent to Provost/Legal: 2019-04-09
Completed: 2019-05-09
Requester Name: Lisa Williams
|
| |
|
|
Graham Pediatrics of Woodstock
Byrdine F Lewis School of Nursing and Health Professions
Maylor Graham
Phone: 770-485-9670
105 Mirramont Lake Drive
Woodstock GA 30189
Agency Email: maylorgraham@grahampediatrics.com
Expiration Date: 2022-03-31
Sent to Facility: 2023-03-08
Sent to Provost/Legal: 2019-04-09
Completed: 2019-04-17
Requester Name: Lisa Williams
|
| |
|
|
Mountainside Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Khawaja Raza Mahmood
Phone: 706-253-9898
12 Sammy McGhee Boulevard Suite 102
Jasper GA 30143
Agency Email: krazam@gmail.com
Expiration Date: 2025-04-30
Sent to Facility: 2019-04-12
Sent to Provost/Legal: 2019-04-30
Completed: 2022-05-20
Requester Name: Lisa Williams
|
| |
|
|
Northside Anesthesiology Consultants, LLC
Byrdine F Lewis School of Nursing and Health Professions
Mark Panfel
Phone: 770-645-5092
3155 North Point Parkway Building F-100
Alpharetta GA 30005
Agency Email: mpanfel@gaanes.com
Expiration Date:
Sent to Facility: 2019-10-31
Sent to Provost/Legal: 2019-10-21
Completed:
Requester Name: Lisa Williams
Comment: Updated clinic name from Envision Physicians Services
10/31/19 To facility for final signature
|
| |
|
|
Walmart Care Clinics, LLC
Byrdine F Lewis School of Nursing and Health Professions
Tracey Kniess
Phone: 412-500-3722
702 SW 8th Street
Bentonville AR 72716-0445
Agency Email: Tracey.Kniess@walmart.com
Expiration Date: auto renews
Sent to Facility: 2019-05-19
Sent to Provost/Legal:
Completed: 2019-05-20
Requester Name: Lisa Williams
Comment: 4/12/19 - template to Caroline Lombard for review.LYW
4/16/19 - to facility with changes from legal
5/19/19 - Provost signed, to facility for final signatures
Auto Renews annually
|
| |
|
|
Sandy Springs Family Medicine And Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Beatris Dragonu
Phone: 770-696-2697
8640 Roswell Road
Sandy Springs GA 30350
Agency Email: bdragonu@fammed.org
Expiration Date: 2025-04-30
Sent to Facility: 2019-04-26
Sent to Provost/Legal: 2019-07-24
Completed: 2022-08-08
Requester Name: Lisa Williams
|
| |
|
|
Impact Church
Byrdine F Lewis School of Nursing and Health Professions
Erin White
Phone: 404-577-2826
2323 Sylvan Road
East Point GA 30344
Agency Email: erin@impactdcd.org
Expiration Date: 2023-04-30
Sent to Facility: 2020-05-12
Sent to Provost/Legal:
Completed: 2020-07-29
Requester Name: Lisa Williams
|
| |
|
|
La Vista Norcross Clinic
Byrdine F Lewis School of Nursing and Health Professions
Juana Braverman
Phone: 770-446-2820
2625 Beaver Ruin Road
Norcross GA 30071
Agency Email: lavistamed@yahoo.com
Expiration Date: 2022-04-30
Sent to Facility: 2022-03-17
Sent to Provost/Legal: 2019-05-20
Completed: 2019-10-23
Requester Name: Lisa Williams
Comment: 5/15/19 - MOU e-mailed. LYW
|
| |
|
|
Woodstock Family Practice & Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Hyeon Kang
Phone: 770-726-3601
310 Gold Creek Trail Suite 200
Woodstock GA 30188
Agency Email: wfauc100@gmail.com
Expiration Date: 2022-09-30
Sent to Facility: 2022-09-16
Sent to Provost/Legal: 2019-10-22 and 2020-01-21
Completed: 2020-01-30
Requester Name: Lisa Williams
|
| |
|
|
La Vista Norcross Clinic
Byrdine F Lewis School of Nursing and Health Professions
Juana Braverman
Phone: 770-446-2820
2625 Beaver Ruin Road
Norcross GA 30071
Agency Email: non
Expiration Date:
Sent to Facility: 2022-03-17
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Please forward contract to Lisa Williams
(lwilliams106@gsu.edu) and I will get to the practice.
|
| |
|
|
Just Us Kids Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Liz Holcomb
Phone: 770-683-5437
2462 Highway 34 East
Newnan GA 30265
Agency Email: frontdesk@justuskidspeds.com
Expiration Date: 2022-05-31
Sent to Facility: 2022-04-21
Sent to Provost/Legal: 2019-05-28
Completed: 2019-06-28
Requester Name: Lisa Williams
|
| |
|
|
Clarkston Primary and Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Lydia Lydia Tadesse
Phone: 678-705-9685
4600 E. Ponce De Leon Avenue Suite A
Clarkston GA 30021-1839
Agency Email: clarkstonprimary@gmail.com
Expiration Date: 2025-05-31
Sent to Facility: 2019-05-23
Sent to Provost/Legal: 2019-06-17
Completed: 05/31/2022
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Pediatric Partners
Byrdine F Lewis School of Nursing and Health Professions
Carin Lanier
Phone: 404-699-1339
4579 South Cobb Drive Suite 300
Smyrna GA 30080
Agency Email: clanier@atlantapeds.com
Expiration Date:
Sent to Facility: 2022-03-17
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Integrated Psychiatric Services
Byrdine F Lewis School of Nursing and Health Professions
Sonali Bora
Phone: 678-335-6020
3255 North Point Parkway
Alpharetta GA 30005
Agency Email: sbora@int-psy.com
Expiration Date: 2027-02-28
Sent to Facility: 2024-03-12
Sent to Provost/Legal:
Completed: 2024-03-25
Requester Name: Lisa Williams
|
| |
|
|
Pediatric Associates of Thomaston
Byrdine F Lewis School of Nursing and Health Professions
Eric Schubert
Phone: 706-646-4543
331 West Main Street Suite 2600
Thomaston GA 30286
Agency Email: ejschubenp@gmail.com
Expiration Date: 2022-06-30
Sent to Facility: 2022-06-01
Sent to Provost/Legal: 2019-07-08
Completed: 2019-07-09
Requester Name: Lisa Williams
|
| |
|
|
Hidden Valley Medical Center dba Blue Ridge Medical Group
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Ewing
Phone: 706-851-4915
101 Riverstone Vista
Blue Ridge GA 30513
Agency Email: jennifer_ewing@quorumhealth.com
Expiration Date:
Sent to Facility: 2019-07-03
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: This facility operates under Fannin Regional Hospital.
|
| |
|
|
Willow Brook
Byrdine F Lewis School of Nursing and Health Professions
Dulnar Bandukwala
Phone: 706-235-5722
314 Shorter Avenue
Rome GA 30168
Agency Email: BandukwalaQMD@bellsouth.net
Expiration Date:
Sent to Facility: 2019-07-09
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 8/22/19 On hold. Per Lisa Williams Please place this on the
backburner. The practice is affiliated with Floyd Healthcare and
we have an agreement with them.
|
| |
|
|
D2kare Prenatal and Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Ann Drayton
Phone: 770-734-0999
6409 Jimmy Carter Boulevard Suite 900
Norcross GA 30071
Agency Email: D2kareservices@gmail.com
Expiration Date: 2026-03-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-04-25
Requester Name: Lisa Williams
|
| |
|
|
The Groover Clinic
Byrdine F Lewis School of Nursing and Health Professions
Ann Groover
Phone: 706-602-9234
2945 Miller Ferry Road, SW
Calhoun GA 30701
Agency Email: grooverclinic@live.com
Expiration Date: 2025-07-31
Sent to Facility: 2019-08-07
Sent to Provost/Legal: 2019-08-08
Completed: 2022-07-22
Requester Name: Lisa Williams
|
| |
|
|
Lakeview Behavioral Health
Byrdine F Lewis School of Nursing and Health Professions
William Benifield
Phone: 770-766-7006
1 Technology Parkway South
Norcross GA 30092
Agency Email: William.benifield@lakeviewbehavioralhealth.com
Expiration Date: 2022-07-31
Sent to Facility: 2022-06-15
Sent to Provost/Legal: 2019-08-14
Completed: 2019-08-29
Requester Name: Lisa Williams
|
| |
|
|
WHASN Desert Inn
Byrdine F Lewis School of Nursing and Health Professions
Tikva Butler
Phone: 702-796-9997
2860 E. Desert Inn Road
Las Vegas NV 89121
Agency Email: Tikvabutler@gmail.com
Expiration Date: 2022-08-31
Sent to Facility: 2019-08-22
Sent to Provost/Legal: 2019-09-13 and 2020-01-21
Completed: 2020-01-30
Requester Name: Lisa Williams
|
| |
|
|
Primary Care Pediatrics, P.C.
Byrdine F Lewis School of Nursing and Health Professions
Amanda Kern
Phone: 678-478-0167
763 Peachtree Parkway Suite 2
Cumming GA 30041
Agency Email: office@primarycarepediatrics.com
Expiration Date: 2022-08-31
Sent to Facility: 2022-09-16
Sent to Provost/Legal: 2019-10-17
Completed: 2019-10-23
Requester Name: Lisa Williams
|
| |
|
|
Pediatric Associates of Lawrenceville
Byrdine F Lewis School of Nursing and Health Professions
Michelle Dixon
Phone: 770-277-6725
738 Old Norcross Road
Lawrenceville GA 30046
Agency Email: mldixon0927@gmail.com
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-12
Requester Name: Lisa Williams
|
| |
|
|
Modern Internal Medicine Urgent and Primary Care
Byrdine F Lewis School of Nursing and Health Professions
Rosalyn Primus
Phone: 678-515-8154
2457 Martin Luther King Jr Dr SW Unit A
A GA 30311
Agency Email: Rosalyn@mimurgentcare.com
Expiration Date: 2025-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-06-08
Requester Name: Lisa Williams
|
| |
|
|
Marietta West Cobb Counseling Center, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Terri Abraham
Phone: 770-415-0880
707 Whitlock Avenue SW Suite H-10
Marietta GA 30064
Agency Email: TerriAbraham@MariettaCounselingCenter.com
Expiration Date: 2022-09-30
Sent to Facility: 2019-09-25
Sent to Provost/Legal: 2019-10-01
Completed: 2019-10-03
Requester Name: Lisa Williams
|
| |
|
|
Eastside Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Adrienne Gasper
Phone: 770-982-0255
2311 Henry Clower Boulevard Suite D
Snellville GA 30078
Agency Email: Agasper.eastside@yahoo.com
Expiration Date: 2022-08-31
Sent to Facility: 2022-07-19
Sent to Provost/Legal: 2019-10-01
Completed: 2019-10-03
Requester Name: Lisa Williams
|
| |
|
|
Hill Country Family Clinic
Byrdine F Lewis School of Nursing and Health Professions
Maria Hooper
Phone: 512-991-5570
400 W US Hwy 290 Suite B 105
Dripping Springs TX 78620
Agency Email: mar2002a@yahoo.com
Expiration Date: 2024-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-07-29
Requester Name: Lisa Williams
|
| |
|
|
North Pointe OB/GYN of Cumming, LLC
Byrdine F Lewis School of Nursing and Health Professions
Kawonaca Washington
Phone: 770-886-3555 x1195
1800 Northside Forsyth Drive, Suite 350
Cumming GA 30041
Agency Email: Kawonaca@npobgyn.com
Expiration Date: 2022-09-30
Sent to Facility: 2022-09-16
Sent to Provost/Legal: 2019-10-25
Completed: 2019-10-29
Requester Name: Lisa Williams
|
| |
|
|
Malinda Graham & Associates, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Malinda Graham
Phone: 912-559-5536
5105 Paulsen Street
Savannah GA 31405
Agency Email: lgraham@mgrahaminc.com
Expiration Date: 2025-09-30
Sent to Facility: 2019-10-02
Sent to Provost/Legal: 2019-10-08
Completed: 2022-10-19
Requester Name: Lisa Williams
|
| |
|
|
St. Francis Health, LLC d/b/a St. Francis Hospital
Byrdine F Lewis School of Nursing and Health Professions
Tricia Hamid
Phone: 706.596.4032
2122 Manchester Expressway
Columbus GA 31904
Agency Email: hamidt@sfhga.com
Expiration Date: No expiration date
Sent to Facility: 2020-01-21
Sent to Provost/Legal: 2019-12-13
Completed: 2020-03-02
Requester Name: Lisa Williams
|
| |
|
|
White-Wilson Medical Center, P.A.
Byrdine F Lewis School of Nursing and Health Professions
Brigitte Sullivan
Phone: 850-863-8131 x8502
1005 Mar-Walt Drive
Fort Walton Beach FL 32547-6796
Agency Email: bsullivan@white-wilson.com
Expiration Date: 2023-08-16
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-26
Requester Name: Lisa Williams
Comment: 8/26/22 Contract auto renews annually. LYW
|
| |
|
|
West Georgia Cardiology Associates
Byrdine F Lewis School of Nursing and Health Professions
Candice Brown
Phone: 770-838-8440
129 Bankhead Highway
Carrollton GA 30117
Agency Email: cbrown@westgacardiology.com
Expiration Date: 2025-10-31
Sent to Facility: 2019-10-17
Sent to Provost/Legal: 2019-10-22
Completed: 2023-01-04
Requester Name: Lisa Williams
|
| |
|
|
Breakthrough Recovery Outreach
Byrdine F Lewis School of Nursing and Health Professions
Tameka Harris-James
Phone: 770-493-7750
3648 Chamblee Tucker Road Suite F
Atlanta GA 30341
Agency Email: tharrisjames@my-breakthrough.com
Expiration Date: 2022-10-31
Sent to Facility: 2022-10-31
Sent to Provost/Legal: 2019-11-11
Completed: 2019-11-11
Requester Name: Lisa Williams
|
| |
|
|
Suburban Womens Specialists
Byrdine F Lewis School of Nursing and Health Professions
Bonnie Hoag
Phone: 770-766-1498
6300 Hospital Parkwayy Suite 200
Johns Creek GA 30097
Agency Email: bhoag1@hotmail.com
Expiration Date: 2022-10-31
Sent to Facility: 2019-10-31
Sent to Provost/Legal: 2019-11-06
Completed: 2019-11-07
Requester Name: Lisa Williams
|
| |
|
|
Whitley Pediatric ENT
Byrdine F Lewis School of Nursing and Health Professions
Crystal Henson
Phone: 770-691-9000
12020 Etris Road Suite B-140
Roswell GA 30075
Agency Email: chenson@entofga.com
Expiration Date: 2025-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-06-02
Requester Name: Lisa Williams
|
| |
|
|
South University - Savannah
Byrdine F Lewis School of Nursing and Health Professions
Deborah Samay
Phone: 912-201-8000
1250 Penn Avenue
Pittsburgh PA 15222
Agency Email: AffiliationAgreements@southuniversity.edu
Expiration Date:
Sent to Facility: 2020-02-20
Sent to Provost/Legal: 2020-01-06
Completed: 2020-02-27
Requester Name: Lisa Williams
Comment: 11/12- fwd agreement to C. Lombard for review. LYW
11/13 also sent printed to kisha
2/13/20 left message inquiring with Kisha
2/27/20 - final
|
| |
|
|
Generations Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Katherine Vickers
Phone: 725-251-6390
8225 W.Sahara Avenue Suite C
Las Vegas NV 89117
Agency Email: Kvickers@mystbeautybar.com
Expiration Date: 2022-11-30
Sent to Facility: 2019-11-22
Sent to Provost/Legal: 2020-01-14
Completed: 2020-01-17
Requester Name: Lisa Williams
|
| |
|
|
Pandya Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Mindy Roark
Phone: 770-373-7704
3970 Deputy Bill Cantrell Memorial Road Suite 220
Cumming GA 30040
Agency Email: mroark@pandyamedicalcenter.com
Expiration Date: 2023-07-31
Sent to Facility: 2023-06-13
Sent to Provost/Legal: 2020-08-17
Completed: 2020-08-20
Requester Name: Lisa Williams
|
| |
|
|
Creekview Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Anna Vitucci
Phone: 770-622-7742
3925 Johns Creek Court Suite D
Suwannee GA 30024
Agency Email: creekviewpediatrics@gmail.com
Expiration Date: 2022-11-30
Sent to Facility: 2022-11-03
Sent to Provost/Legal:
Completed: 2020-01-14
Requester Name: Lisa Williams
|
| |
|
|
Marathon Health, LLC
Byrdine F Lewis School of Nursing and Health Professions
Christine Ritchey
Phone: 814-329-9142
20 Winooski Falls Way Suite 400
Winooski VT 05404
Agency Email: critchey@marathon-health.com
Expiration Date: 2022-11-30
Sent to Facility: 2022-11-03
Sent to Provost/Legal: 2019-12-18
Completed: 2019-12-19
Requester Name: Lisa Williams
|
| |
|
|
Northside Hospital Gwinnett ACNP_Lance B. Friedland MD
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Brooks
Phone: 678-312-3431
100 Medical Center Boulevard
Lawrenceville GA 30046
Agency Email: jennifer.brooks.nh@gmail.com
Expiration Date: 2021-12-31
Sent to Facility: 2019-12-16
Sent to Provost/Legal: 2019-12-13
Completed: 2020-01-09
Requester Name: Lisa Williams
Comment: 1/22/2020 final contract received. LYW
|
| |
|
|
William McGarity Jr MD PC
Byrdine F Lewis School of Nursing and Health Professions
Mary Griffom
Phone: 770-981-3511
5243 Snapfinger Woods Drive Suite 103
Decatur GA 30035
Agency Email: mcgaritystaff@gmail.com
Expiration Date: 2022-12-31
Sent to Facility: 2019-12-18
Sent to Provost/Legal: 2020-01-30
Completed: 2020-01-30
Requester Name: Lisa Williams
Comment: 1/14/20 Facility sending signed agreement via USPS
|
| |
|
|
Peachstate Psychiatric Services
Byrdine F Lewis School of Nursing and Health Professions
James Belk
Phone: 404-381-1973
1720 Peachtree Street NW Suite 640
Atlanta GA 30309
Agency Email: jbelk@drowensmd.com
Expiration Date: 2022-12-31
Sent to Facility: 2020-01-08
Sent to Provost/Legal: 2020-01-08
Completed: 2020-01-14
Requester Name: Lisa Williams
|
| |
|
|
Sugarloaf Medical, PC
Byrdine F Lewis School of Nursing and Health Professions
Shukri George Makhlouf
Phone: 770-831-3018
1300 Peachtree Industrial Boulevard Suite4203
Suwanee GA 30024
Agency Email: Shukrimakhloufmd@sugarloafmedical.com
Expiration Date: 2022-12-31
Sent to Facility: 2020-01-08
Sent to Provost/Legal: 2020-01-09
Completed: 2020-01-14
Requester Name: Lisa Williams
|
| |
|
|
Select Specialty Hospital – Midtown, Atlanta, LLC
Byrdine F Lewis School of Nursing and Health Professions
Adam Principe
Phone: (404) 873-2871
705 Juniper Street NE
Atlanta GA 30308
Agency Email: APrincipe@selectmedical.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet
Comment: Final signed copies to be sent to
THE HOSPITAL:
Select Specialty Hospital – Midtown, Atlanta, LLC
705 Juniper Street NE
Atlanta, GA 30308
Attn: Chief Executive Officer
With a copy to:
Select Medical Corporation
4714 Gettysburg Road
P.O. Box 2034
Mechanicsburg, PA 17055
Attn: Melinda C. Bechtel, Vice President
& Senior Counsel, Hospital Operations
|
| |
|
|
GardaWorld Federal Services - Childrens Camp
Byrdine F Lewis School of Nursing and Health Professions
Reef Gillum
Phone: 564-217-3853
4217 NW 61st Court
Coconut Creek FL 33073
Agency Email: Reef.gillum@garda-federal.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
My Family Clinic
Byrdine F Lewis School of Nursing and Health Professions
Erroll Wilson
Phone: 760-342-4200
81709 Doctor Carreon Boulevard Suite C5
Indio CA 99201
Agency Email: myfamilyclinic15@gmail.com
Expiration Date: 2022-12-31
Sent to Facility: 2020-01-08
Sent to Provost/Legal: 2020-01-09
Completed: 2020-01-14
Requester Name: Lisa Williams
|
| |
|
|
Peachstate Family Clinic
Byrdine F Lewis School of Nursing and Health Professions
Changchun Wu
Phone: 678-583-8888
4319 Lawrence Hwy NW
Lilburn GA 30047
Agency Email: peachstatefamilyclinic@gmail.com
Expiration Date: 2025-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-03
Requester Name: Lisa Williams
|
| |
|
|
Good Samaritan Health Center of Cobb
Byrdine F Lewis School of Nursing and Health Professions
Aime Piligian
Phone: 770-419-3120 x176
1605 Roberta Drive SW
Marietta GA 30008
Agency Email: Aime.Piligian@goodsamhc.org
Expiration Date: 2023-01-31
Sent to Facility: 2023-01-18
Sent to Provost/Legal: 2020-02-24
Completed: 2020-02-26
Requester Name: Lisa Williams
|
| |
|
|
Oasis Healthcare Service, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Troy Taylor
Phone: 470-444-1005
2195 Pace Street Suite E
Covington GA 30014
Agency Email: troytaylor@oasishealthcareservice.com
Expiration Date: 2023-05-31
Sent to Facility: 2023-08-08
Sent to Provost/Legal: 2020-06-08
Completed: 2020-07-02
Requester Name: Lisa Williams
Comment: Includes Conyers, GA location
|
| |
|
|
World of Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Debbie Daugherty
Phone: 770-442-5701
3005 Royal Boulevard S Suite 110
Alpharetta GA 30022
Agency Email: ddaugherty@rayman.com
Expiration Date: 2022-10-31
Sent to Facility: 2022-10-13
Sent to Provost/Legal: 2020-01-21
Completed: 2020-01-30
Requester Name: Lisa Williams
|
| |
|
|
Cooper Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Tanji Wills
Phone: 678-473-4738
3045 Howell Ferry Road
Duluth GA 30098
Agency Email: tanji@cooperpediatrics.com
Expiration Date: 2022-12-31
Sent to Facility: 2020-01-16
Sent to Provost/Legal: 2020-01-21
Completed: 2020-01-30
Requester Name: Lisa Williams
|
| |
|
|
Emory University Student Health Services
Byrdine F Lewis School of Nursing and Health Professions
Eleanore Reiss
Phone: 404-727-7551
1525 Clifton Road
Atlanta GA 30329
Agency Email: ereis01@emory.edu
Expiration Date:
Sent to Facility: 2020-08-25
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 8/25/20 Sent again to Eleanore Reiss.
|
| |
|
|
Better Health Greater Life
Byrdine F Lewis School of Nursing and Health Professions
Alicia Lovelady
Phone: 404-999-2742
494 Boulevard SE
Atlanta GA 30312
Agency Email: Drlovelady@betterhealthgreaterlife.com
Expiration Date:
Sent to Facility: 2020-01-21
Sent to Provost/Legal: 2020-02-04
Completed:
Requester Name: Lisa Williams
Comment: 1/16 - contract sent. LYW
|
| |
|
|
Meadow Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Sridevi Muthukumar
Phone: 770-870-1085
10710 Medlock Bridge Road Suite 250
Johns Creek GA 30097
Agency Email: info@meadowpediatrics.com
Expiration Date: 2024-05-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-05-12
Requester Name: Lisa Williams
|
| |
|
|
U.S. Renal Care
Byrdine F Lewis School of Nursing and Health Professions
Kelly Bush
Phone: 4046685327
5851 Legacy Circle Suite 900
Plano Texas 75024
Agency Email: kbush@usrenalcare.com
Expiration Date: 2025-6-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-18
Requester Name: Anne Cadet
|
| |
|
|
Rosemont at Stone Mountain
Byrdine F Lewis School of Nursing and Health Professions
Calvonne Pittman
Phone: 770-498-4144
5160 Spring View Avenue
Stone Mountain GA 30083
Agency Email: CalvonnePittman@gmail.com
Expiration Date:
Sent to Facility: 2020-02-18
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Qubed Health Services LLC
Byrdine F Lewis School of Nursing and Health Professions
Heather Quaile
Phone: 678-673-3953
1275 Shiloh Road NW Suite 2030
Kennesaw GA 30144
Agency Email: drhcquaile@gmail.com
Expiration Date: 2025-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-07-06
Requester Name: Lisa Williams
|
| |
|
|
University of North Georgia
Byrdine F Lewis School of Nursing and Health Professions
Elaina Butler
Phone: 706-867-2997
82 College Circel
Dahlonega GA 30597
Agency Email: elaina.butler@ung.edu
Expiration Date: 2023-01-26
Sent to Facility: 2023-08-08
Sent to Provost/Legal: 2020-01-29
Completed: 2020-03-03
Requester Name: Lisa Williams
Comment: 1/27/2020 UNG is initiating this contract. Sent to
Caroline for review with copy to Kelli. LYW
1/28/2020 Caroline approved with no corrections to
Provost
for signature -Kelli
2/27/20 to facility for final signatures
|
| |
|
|
Potts Pediatrics and Adolescent Medicine
Byrdine F Lewis School of Nursing and Health Professions
Deborah Staats
Phone: 770-461-5003
365 N. Jeff Davis Drive
Fayetteville GA 30214
Agency Email: deborah@pottspediatrics.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-07
Sent to Provost/Legal:
Completed: 2021-04-21
Requester Name: Lisa Williams
|
| |
|
|
Western Governors University
Byrdine F Lewis School of Nursing and Health Professions
Kelly Love
Phone: 385-428-5167
4001 South 700 East Suite 700
Salt Lake City UT 84107
Agency Email: kelly.love@wgu.edu
Expiration Date: Auto Renews
Sent to Facility: 2020-03-06
Sent to Provost/Legal: 2020-02-13
Completed: 2020-03-06
Requester Name: Lisa Williams
Comment: 2/4 - to Legal for Review. LYW
3/6 provost signed. to facility for final signatures
|
| |
|
|
Clayton County Fire and Emergency Services
Byrdine F Lewis School of Nursing and Health Professions
Landry Merkison
Phone: 770-473-3831
7810 Hwy 85
Riverdale GA 30274
Agency Email: landry.merkison@ccfes.org
Expiration Date: 2023-01-31
Sent to Facility: 2020-02-14
Sent to Provost/Legal: 2020-07-02
Completed: 2020-07-08
Requester Name: Kristen Lingle
Comment: Also copy Dr. Sudha Reddy sudha.reddy@ccfes.org
|
| |
|
|
Northside Hospital Gwinnett PMHNP_Neil A. Kahn, MD
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Brooks
Phone: 678-312-3431
100 Medical Center Boulevard
Lawrenceville GA 30046
Agency Email: jennifer.brooks@northside.come
Expiration Date:
Sent to Facility: 2020-03-04
Sent to Provost/Legal: 2020-02-13
Completed:
Requester Name: Lisa Williams
Comment: 2/6 - to Caroline for review. LYW
2/12 ok to route for signature per C. Lombard
|
| |
|
|
Pediatrics and Genetics
Byrdine F Lewis School of Nursing and Health Professions
Kim Lovelace
Phone: 770.346.0132
3180 North Point Parkway Suite 202
Alpharetta GA 30005
Agency Email: kim@pedgen.com
Expiration Date:
Sent to Facility: 2020-02-17
Sent to Provost/Legal: 2020-02-19
Completed: 2020-02-25
Requester Name: Lisa Williams
|
| |
|
|
Fayette C.A.R.E. Clinic
Byrdine F Lewis School of Nursing and Health Professions
Barbara Conlon
Phone: (770) 719-4620
1260 Hwy 54 W. Suite 101
Fayetteville GA 30214
Agency Email: Barbara.conlon@piedmont.org
Expiration Date:
Sent to Facility: 2020-02-12
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 2/12 - emailed to Patrick Washington. LYW
|
| |
|
|
My Health Reassurance
Byrdine F Lewis School of Nursing and Health Professions
Kayona Moreland
Phone: 404-480-2783
5526 Old National Highway Bldg A, Ste C
Atlanta GA 30349
Agency Email: kayonaljones@yahoo.com
Expiration Date: 2026-01-31
Sent to Facility:
Sent to Provost/Legal: 2020-03-17
Completed: 2023-02-16
Requester Name: Lisa Williams
Comment: 2/12 - MOU mailed. LYW
|
| |
|
|
Physical Therapy & Rehabilitation Services, PC dba Rehab Without Walls Neuro Rehabilitation
Byrdine F Lewis School of Nursing and Health Professions
Joshua Wilt
Phone: 303-430-2490
8501 Turnpike Drive Suite 100
Westminster Colorado 80031
Agency Email: Siobhan.Nelson@rehabwithoutwalls.com
Expiration Date: 2026-08
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-12-12
Requester Name: Karen McWaters
Comment: Facility returned contract on 12/10/23- Forwarded to Wanda to
be countersigned
by provost
|
| |
|
|
Ardeshir Rohani, MD, LTD
Byrdine F Lewis School of Nursing and Health Professions
Ardeshir Rohan
Phone: 702-463-3000
3824 S. Jones Blvd Suite A
Las Vegas NV 89103
Agency Email: Referrals4rohanimd@gmail.com
Expiration Date: 2023-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2020-02-26
Requester Name: Lisa Williams
Comment: 2/20 - contract sent. LYW
|
| |
|
|
Emory University-Nell Hodgson Woodruff School of Nursing
Byrdine F Lewis School of Nursing and Health Professions
Diminga Boglin
Phone: 404-778-0679
17 Executive Park Suite 650
Atlanta GA 30329
Agency Email: diminga.boglin@emory.edu
Expiration Date: 2023-07-31
Sent to Facility: 2020-04-08
Sent to Provost/Legal:
Completed: 2020-06-23
Requester Name: Lisa Williams
|
| |
|
|
Advent Health Medical Group
Byrdine F Lewis School of Nursing and Health Professions
Jessica Gallman
Phone: 706-879-5770
170 Curtis Parkway NE Suite 1
Calhoun GA 30701
Agency Email: jessica.gallman@adventhealth.com
Expiration Date: 2022-07-31
Sent to Facility: 2020-03-17
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Owned and operated by Adventist Health System Georgia, Inc.
|
| |
|
|
The James A. Watson Wellness Center
Byrdine F Lewis School of Nursing and Health Professions
Genine Turner
Phone: 510-444-9460
5709 Market Street
Oakland CA 94608
Agency Email: genineturner@gmail.com
Expiration Date: 2024-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-08
Requester Name: Lisa Williams
|
| |
|
|
Emory University School of Medicine
Byrdine F Lewis School of Nursing and Health Professions
Deidre Tindal
Phone: 404-778-7548
100 Woodruff Circle NE
Atlanta GA 30322
Agency Email: deidre.tindal@emoryhealthcare.org
Expiration Date: 2025-06-30
Sent to Facility: 2020-08-10
Sent to Provost/Legal: 2020-07-06
Completed: 2022-05-22
Requester Name: Lisa Williams
Comment: 8/4/20 MOU amended to include all Lewis College routed to
provost for signature
8/10/20 to facility for final signatures
final MOU uploaded 02-02-21
|
| |
|
|
Dr. Angela Dawson
Byrdine F Lewis School of Nursing and Health Professions
Angela Dawson
Phone: 229-312-7000
306 Shorter Avenue
Rome GA 30165
Agency Email: Adawson@floyd.org
Expiration Date:
Sent to Facility: 2020-06-30
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: August 2020 marked inactive, preceptor is not available
|
| |
|
|
Byron Family Healthcare Center
Byrdine F Lewis School of Nursing and Health Professions
Gina Kirk
Phone: 478-956-2648
200 Highway GA 49
Byron GA 31008
Agency Email: gina@byronfamilyhealthcare.com
Expiration Date: 2026-06-30
Sent to Facility: 2020-07-13
Sent to Provost/Legal: 2020-07-14
Completed: 2023-09-27
Requester Name: Lisa Williams
|
| |
|
|
Palmetto Health Council dba YourTown Health
Byrdine F Lewis School of Nursing and Health Professions
Luke Putnam
Phone: 770-626-4029
643 Main Street
Palmetto GA 30268
Agency Email: l.putnam@yourtownhealth.com
Expiration Date:
Sent to Facility: 2020-08-03
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 8/25/20 This site is not taking students at this time.
|
| |
|
|
Faebris Medical and Community Education
Byrdine F Lewis School of Nursing and Health Professions
Karen Crews-Brown
Phone: 404-390-3647
285 Boulevard NE
Atlanta GA 30312
Agency Email: kcrewsbrown@faebris.com
Expiration Date:
Sent to Facility: 2020-07-15
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 8/14/20 Facility is not accepting students at this time
|
| |
|
|
Clinica Union Medical Centers
Byrdine F Lewis School of Nursing and Health Professions
Melissa Salicado
Phone: 404-321-4692
3369 Buford Hwy Suite 810
Atlanta GA 30329
Agency Email: msalcido@unionhcn.com
Expiration Date:
Sent to Facility: 2020-08-10
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 9/1/20 Clinic is not accepting students at this time. marking in
active
|
| |
|
|
Divine Healthcare Services
Byrdine F Lewis School of Nursing and Health Professions
Jerwanda Johnson
Phone: 678-829-3812
11764 Hastings Bridge Road
Hampton GA 30228
Agency Email: Divine.jmedcare@gmail.com
Expiration Date: 2023-07-31
Sent to Facility: 2023-06-13
Sent to Provost/Legal: 2020-08-14
Completed: 2020-08-20
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Dermatology & Laser Surgery
Byrdine F Lewis School of Nursing and Health Professions
Rhonda Howard
Phone: 404-296-8000
1462 Montreal Road Suite 411
Tucker GA 30084
Agency Email: rhoward@atlderm.com
Expiration Date:
Sent to Facility: 2020-08-12
Sent to Provost/Legal: 2020-09-01
Completed: 2020-09-11
Requester Name: Lisa Williams
|
| |
|
|
Northeast Georgia Gynecology at Luminous Med Spa and Gynaesthetics
Byrdine F Lewis School of Nursing and Health Professions
Helen Klassen
Phone: 770-532-9250
440 Washington Street
Gainesville GA 30501
Agency Email: Helen@negagyn.com
Expiration Date: 2023-10-31
Sent to Facility: 2020-08-25
Sent to Provost/Legal:
Completed: 2020-10-16
Requester Name: Lisa Williams
Comment: send signed MOU to Legal Affairs 10-14-20
|
| |
|
|
Khair Family Practice
Byrdine F Lewis School of Nursing and Health Professions
Christen Cochran
Phone: 770-213-3366
125 Eagle Spring Drive
Stockbridge GA 30281
Agency Email: ccochran@khairfp.com
Expiration Date:
Sent to Facility: 2020-09-01
Sent to Provost/Legal: 2020-09-03
Completed: 2020-09-11
Requester Name: Lisa Williams
Comment: cchochran@khairfp.com undeliverable
9/1 - resent to correct e-mail address -
ccochran@khairfp.com. lyw
|
| |
|
|
E.P.Y.S Empower YourSelf Behavioral Health Services, LLC
Byrdine F Lewis School of Nursing and Health Professions
Damion Brooks, Sr
Phone: 478- 273- 1086
108 Olympia Drive Suite 104D
Warner Robins GA 31093
Agency Email: info@epysbehavioralhealth.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Sulton Pediatric Group
Byrdine F Lewis School of Nursing and Health Professions
Jacqueline Sulton
Phone: 770-670-6100
2258 Northlake Pkwy Suite 100
Tucker GA 30084
Agency Email: DrSulton@sultonpeds.com
Expiration Date: 2026-08-31
Sent to Facility: 2020-09-03
Sent to Provost/Legal: 2020-09-08
Completed: 2023-09-12
Requester Name: Lisa Williams
|
| |
|
|
DeKalb Pediatric Group
Byrdine F Lewis School of Nursing and Health Professions
Denise Manigault
Phone: 404-296-7133
3065 S. Cobb Drive SE
Smyrna GA 30080
Agency Email: denisepnp@aol.com
Expiration Date:
Sent to Facility: 2020-09-08
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Spectrum Pediatric Group
Byrdine F Lewis School of Nursing and Health Professions
Kola Ologunja
Phone: 770-966-0778
3150 Cobb Parkway Suite 130
Kennesaw GA 30152
Agency Email: info@spectrumpeds.com
Expiration Date: 2023-09-14
Sent to Facility: 2020-09-09
Sent to Provost/Legal: 2020-09-22
Completed: 2020-11-23
Requester Name: Lisa Williams
|
| |
|
|
Peach Pediatric
Byrdine F Lewis School of Nursing and Health Professions
Amy Zimmerman
Phone: 404-591-1426
3280 Howell Mill Road Suite 309
Atlanta GA 30327
Agency Email: azimmerman@entofga.com
Expiration Date: 2023-09-14
Sent to Facility: 2024-03-12
Sent to Provost/Legal: 2020-09-09
Completed: 2020-09-11
Requester Name: Lisa Williams
|
| |
|
|
Premier Family Clinic
Byrdine F Lewis School of Nursing and Health Professions
Nipun Patel
Phone: 770-493-6767
3646 Chamblee Tucker Road Suite B
Atlanta GA 30341
Agency Email: Rutvaprutha@yahoo.com
Expiration Date: 2026-08-31
Sent to Facility: 2020-09-16
Sent to Provost/Legal: 2020-09-22
Completed: 2023-12-01
Requester Name: Lisa Williams
|
| |
|
|
Imagine Pediatrics, PC
Byrdine F Lewis School of Nursing and Health Professions
Erica Paez
Phone: 706-528-4949
18 Riverbend Drive SW Suite 210
Rome GA 30161
Agency Email: ericapaez18@gmail.com
Expiration Date:
Sent to Facility: 2020-09-22
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Mindset Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Omolola Otubaga
Phone: 470-646-3738
135 Bradford Square Suite B
Fayetteville GA 30215
Agency Email: info@mindsethealthcare.com
Expiration Date: 2023-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
|
| |
|
|
Tangu Inc.
Byrdine F Lewis School of Nursing and Health Professions
Walter Brooks
Phone: 404-220-7362
1820 Water Place Suite 250
Atlanta GA 30339
Agency Email: Drwalterbrooks1820@hotmail.com
Expiration Date: 2023-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
Comment: 10/12/20 - sent contract. LYW
|
| |
|
|
Centro International de Maternidad
Byrdine F Lewis School of Nursing and Health Professions
Maria Francis
Phone: 770-451-3100
2000 Clearview Avenue Suite 111
Doraville GA 30340
Agency Email: mfrancis@cimasalud.net
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: locations in Doraville and Norcross.
10/28-contract sent by LYW
|
| |
|
|
Willing Helpers Medical, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Belinda Herndon
Phone: 678-625-8317
P.O. Box 2508
Covington GA 30015
Agency Email: info@willinghelpersclinic.com
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2020-11-20
Requester Name: Charlette DeLoach
|
| |
|
|
Kennestone Internal Medicine Associates
Byrdine F Lewis School of Nursing and Health Professions
Renae Forrester
Phone: 770-419-7074
790 Church Street Suite 325
Marietta GA 30060
Agency Email: R_Forrester@bellsouth.net
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
|
| |
|
|
Health1Care Medical Group
Byrdine F Lewis School of Nursing and Health Professions
Heidi Joung
Phone: 770-497-4188
10710 Medlock Bridge Road Suite 150
Johns Creek GA 30097
Agency Email: heidijoung@yahoo.com
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2020-12-03
Requester Name: Lisa Williams
|
| |
|
|
John Lee MD OBGYN
Byrdine F Lewis School of Nursing and Health Professions
John Lee
Phone: 678-753-7084
4310 Johns Creek Parkway Suite 180
Suwanee GA 30024
Agency Email: manager@johnleeobgyn.com
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2020-12-04
Requester Name: Lisa Williams
|
| |
|
|
Centura Health
Byrdine F Lewis School of Nursing and Health Professions
Angela Shopp
Phone: 303.673.8225
9100 E. Mineral Circle
Centennial CO 80112
Agency Email: angelashopp@centura.org
Expiration Date: 2023-12-2
Sent to Facility:
Sent to Provost/Legal:
Completed: 2020-12-15
Requester Name: Shana Finks
|
| |
|
|
Valley Pediatric & Specialty Center
Byrdine F Lewis School of Nursing and Health Professions
Teresita Melocoton
Phone: 702-388-4428
3701 W. Charleston Boulevard
Las Vegas GA 89102
Agency Email: Doc159747@yahoo.com
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 21-03-10
Requester Name: Lisa Williams
|
| |
|
|
Centro Prenatal de Georgia
Byrdine F Lewis School of Nursing and Health Professions
Maria Miranda
Phone: 470-514-5818
5195 Jimmy Carter Boulevard P.O. Box 937
Norcross GA 30093
Agency Email: mirandacpdg@gmail.com
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
|
| |
|
|
Albany State University
Byrdine F Lewis School of Nursing and Health Professions
Sherry Koster
Phone: 229-500-2336
504 College Drive
Albany GA 31705
Agency Email: skoster@asurams.edu
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: 12/4/2020 - requested contract template. LYW
|
| |
|
|
Albany State University
Byrdine F Lewis School of Nursing and Health Professions
Robbin Burriss
Phone: 229.500.3022
2400 Gillionville Road
Albany GA 31707
Agency Email: robbin.burriss@asurams.edu
Expiration Date: 2023-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 21-03-10
Requester Name: Lisa Williams
|
| |
|
|
Premise Health
Byrdine F Lewis School of Nursing and Health Professions
Michele Crawford
Phone: 404-785-2185
1575 Northeast Expressway
Atlanta GA 30329
Agency Email: michele.crawford@premisehealth.com
Expiration Date: 2024-01-31
Sent to Facility: 2024-01-18
Sent to Provost/Legal:
Completed: 2021-03-10
Requester Name: Lisa Williams
|
| |
|
|
Ethne Health
Byrdine F Lewis School of Nursing and Health Professions
Esther Kim
Phone: 470-799-0044
4122 E Ponce de Leon Ave Suite 5
Clarkston GA 30021
Agency Email: esther.kim@ethnehealth.org
Expiration Date: 2024-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-25
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Psychiatry and Addiction
Byrdine F Lewis School of Nursing and Health Professions
Stephen Dudley
Phone: 404-901-8142
2150 Peachford Road Suite 1
Dunwoody GA 30338
Agency Email: atlantapsychiatryandaddiction@gmail.com
Expiration Date: 2024-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
Comment: 1/22 - contract delivered to practice by student. LYW
|
| |
|
|
Ideal Gynecology
Byrdine F Lewis School of Nursing and Health Professions
Kathryn Garren
Phone: 404-334-9103
3200 Downwood Circle NW Suite 220
Atlanta Georgia 30327
Agency Email: kgarren@idealgynecology.com
Expiration Date: 2024-01-31
Sent to Facility: 2024-01-18
Sent to Provost/Legal:
Completed: 2021-01-28
Requester Name: Lisa Williams
|
| |
|
|
Prime Health Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Bunmi Folarinde
Phone: 678-288-9740
3616 S. Bogan Road Suite 202
Buford GA 30519
Agency Email: info@primehealthsystem.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-09
Sent to Provost/Legal:
Completed: 2021-03-18
Requester Name: Lisa Williams
|
| |
|
|
GloFusion Urgent and Primary Care
Byrdine F Lewis School of Nursing and Health Professions
Judith Ngulefac
Phone: 678-603-2898
1705 Williamson Road Suite 101
Griffin GA 30224
Agency Email: info@glofusionhealth.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Childrens Medicine, P.C.
Byrdine F Lewis School of Nursing and Health Professions
Trudy Hunley
Phone: 770-921-7386
3685 Lawrenceville Highway Suite 100
Lawrenceville GA 30044
Agency Email: trudy.hunley@childrensmedicine.net
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-07
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Beautiful Minds Mental Health Services
Byrdine F Lewis School of Nursing and Health Professions
Shakeitha Colvard
Phone: 678-269-7865
3200 Highlands Parkway Suite 400
Smyrna GA 30082
Agency Email: scolvard@mymindsbeauty.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-07
Sent to Provost/Legal: 2024-03-26
Completed: 2021-03-17
Requester Name: Lisa Williams
|
| |
|
|
Truths Community Clinic
Byrdine F Lewis School of Nursing and Health Professions
Mamie Outler
Phone: 770-277-4675
250 Langley Drive Suite 1315
Lawrenceville GA 30046
Agency Email: info@truthsclinic.org
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-07
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Gwinnett County Board of Health
Byrdine F Lewis School of Nursing and Health Professions
Connie Russell
Phone: 770-339-4260
2570 Riverside Pkwy
Lawrenceville GA 30046-0897
Agency Email: info@gnrhealth.com
Expiration Date: 2025-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-02-21
Requester Name: Anne Cadet
Comment: alana.sulka@gnrhealth.com 4/5/22 - requesting renewal
The number below was also listed as a contact -
B. June Brown, CIO
P | 770.339.4260
F | 770.339.2334
Beverly June Brown
Chief Information Officer
Audrey Arona, M.D
District Health Director, CEO
|
| |
|
|
Northeast Atlanta Ear Nose & Throat, PC
Byrdine F Lewis School of Nursing and Health Professions
Mary Budrock
Phone: 770-237-3000
766 Walther Road Suite 300
Lawrenceville GA 30046
Agency Email: mbudrock@myents.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-07
Sent to Provost/Legal:
Completed: 2021-04-30
Requester Name: Lisa Williams
|
| |
|
|
OMS Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Ashley Carter
Phone: 770-672-6267
2145 Roswell Road Suite 60
Marietta GA 30062
Agency Email: PM1@oms-urgentcare.com
Expiration Date: 2024-02-29
Sent to Facility: 2024-02-09
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Augusta University Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Wyatt Mobley
Phone: 706.721.3771
1120 15th Street BA4230
Augusta GA 30319
Agency Email: wymobley@augusta.edu
Expiration Date: 2024-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Fyzical Therapy and Balance Centers
Byrdine F Lewis School of Nursing and Health Professions
Erin Brandl
Phone: 402-330-3211
4614 S. 132nd St.
Omaha Nebraska 68137
Agency Email: ebrandl@fyzicalnebraska.com>
Expiration Date: 2025-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2025-12-08
Requester Name: Shana Finks
Comment: Owner of Business:
Owner/President: Michael Bryant, PT, DPT, OCS
4614 S. 132nd St.
Omaha, NE 68137
|
| |
|
|
MAJL Diagnostic Laboratories
Byrdine F Lewis School of Nursing and Health Professions
Lisa Cloud
Phone: 877-272-5008
6290 McDonough Drive Suite D
Norcross GA 30093
Agency Email: lisa@majldiagnostics.com
Expiration Date: 2024-03-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-03-29
Requester Name: Lisa Williams
|
| |
|
|
Elite Medical Associates
Byrdine F Lewis School of Nursing and Health Professions
Lisa Cloud
Phone: 877-272-5008
6290 McDonough Drive Suite D
Norcross GA 30093
Agency Email: lisa@majldiagnostics.com
Expiration Date:
Sent to Facility: 2021-03-25
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Sunrise Senior Living
Byrdine F Lewis School of Nursing and Health Professions
Terrell Brown
Phone: 703-659-7024
7902 Westpark Drive
McLean VA 22102
Agency Email: terrell.brown@sunriseseniorliving.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet-Baker
|
| |
|
|
Northside Hospital Gwinnett
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Brooks
Phone: 678-312-3431
100 Medical Center Boulevard 115
Lawrenceville GA 30046
Agency Email: Jbrooks@gwinnettmedicalcenter.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet-Baker
Comment: Northside Hospital, Inc. has acquired Gwinnett Health
System, Inc and the renewal should reflect the new name.
Please include Charlette DeLoach in all communications
cdeloach@gsu.edu.
|
| |
|
|
Northside Hospital Duluth
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Brooks
Phone: (678) 312-3431
100 Medical Center Boulevard 115
Lawrenceville GA 30046
Agency Email: Jbrooks@gwinnettmedicalcenter.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet
Comment: Northside Hospital, Inc. has acquired Gwinnett Health
System, Inc. The Duluth location was part of that chain,
but it seems to be a stand alone entity of Northside now.
The renewal should reflect the new name. Please include
cdeloach@gsu.edu in all communications.
|
| |
|
|
Sunshine Home Health Care
Byrdine F Lewis School of Nursing and Health Professions
Gretchen Anderson
Phone: 509-321-9050
10410 E 9th
Spokane Valley Washington 99206
Agency Email: gretchena@shfi.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Shana Finks
Comment: This request is for a placement that will need to begin no later than May 10th. The
student is scheduled to begin this rotation on April 26th. This late request is due to
difficulties with locating sites during the pandemic at an out of state location.
|
| |
|
|
Craig Wellness & Recovery
Byrdine F Lewis School of Nursing and Health Professions
James Craig
Phone: 770-720-5011
2205 Riverstone Blvd. Suite 205
Canton GA 30114
Agency Email: jamesccraig4@msn.com
Expiration Date: 2024-04-30
Sent to Facility: 2024-04-11
Sent to Provost/Legal:
Completed: 2021-04-20
Requester Name: Lisa Williams
|
| |
|
|
Bortolazzo Group, LLC
Byrdine F Lewis School of Nursing and Health Professions
Nina Nguyen
Phone: 404-961-6548
5665 New Northside Drive Suite 200
Atlanta GA 30328
Agency Email: nnguyen@apollomd.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Cobb, Douglas and Paulding locations
|
| |
|
|
Bortolazzo Group LLC
Byrdine F Lewis School of Nursing and Health Professions
Nina Nguyen
Phone: 404-961-6548
5665 New Northside Drive Suite 200
Atlanta GA 30328
Agency Email: nnguyen@apollomd.com
Expiration Date: 2025-04-20
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-04-23
Requester Name: Lisa Williams
Comment: Cobb, Douglas and Paulding locations
|
| |
|
|
Bortolazzo Group LLC
Byrdine F Lewis School of Nursing and Health Professions
Nina Nguyen
Phone: 404-961-6548
5665 New Northside Drive Suite 200
Atlanta GA 30328
Agency Email: nnguyen@apollomd.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Cobb, Douglas and Paulding locations
|
| |
|
|
Kindred Healthcare Operating, LLC (“Kindred”)
Byrdine F Lewis School of Nursing and Health Professions
Meeya Hill
Phone: (502) 596-7300
680 South Fourth Street
Louisville Kentucky 40202
Agency Email: scheduleyourclinical@kindred.com
Expiration Date: 2024-05-03
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-05-05
Requester Name: Shana Finks
Comment: Student would like to begin clinical rotation no later
than 5/17 in order to still graduate on schedule.
Student may have another option depending on timing of
contract. This contract would benefit multiple future
students across the country even if current student is
not able to complete a clinical rotation with this
company next semester.
|
| |
|
|
Kaiser Foundation Helath Plan Georgia, Inc & The Southeast Permanente Medical Group, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Tina Smith
Phone: 4043643721
3495 Piedmont Road, NE
Atlanta Georgia 30305
Agency Email: Tina.M2.Smith@kp.org
Expiration Date: 2024-08-14
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-05-23
Requester Name: Anne Cadet
Comment: The old MOU is attached - This MOU needs to be amended and
renewed. Please make sure the new MOU includes the
Associate Degree Nursing Program.
|
| |
|
|
Peachtree Womens Specialists
Byrdine F Lewis School of Nursing and Health Professions
Michele Brandt
Phone: 404-355-1285
3925 Peachtree Road Suite 240
Atlanta GA 30319
Agency Email: MBrandt@atlwhs.com
Expiration Date: 2025-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-08
Requester Name: Lisa Williams
|
| |
|
|
Walton Foundation for Independence, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Cara Knollenberg
Phone: 706-823-8584
928 Walton Way
Augusta GA 30901
Agency Email: mailto:carac@waltonfoundation.net
Expiration Date: 2024-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-05-04
Requester Name: Shana Finks
Comment: Fieldwork will occur the last week of July for
approximately 8-10 students.
|
| |
|
|
UMG Internal Medicine Partners
Byrdine F Lewis School of Nursing and Health Professions
Sadiqa Walton
Phone: 706-792-5063
3121 Peach Orchard Road Suite 103
Augusta GA 30906
Agency Email: SadiqaWalton@uh.org
Expiration Date: 2024-04-30
Sent to Facility: 2024-04-11
Sent to Provost/Legal:
Completed: 2021-04-30
Requester Name: Lisa Williams
|
| |
|
|
Piedmont HealthCare, Inc
Byrdine F Lewis School of Nursing and Health Professions
Marci Hanson
Phone: (404) 985-8930
1968 Peachtree Road N.W
Atlanta GA 30309
Agency Email: marci.hanson@piedmont.org
Expiration Date: 2024-12-12
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-9-15
Requester Name: Anne Cadet-Baker
|
| |
|
|
Piedmont HealthCare, Inc
Byrdine F Lewis School of Nursing and Health Professions
Marci Hanson
Phone: (404) 985-8930
1968 Peachtree Road N.W
Atlanta GA 30309
Agency Email: marci.hanson@piedmont.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet-Baker
|
| |
|
|
Piedmont Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Niaira Taylor
Phone: 404-351-6662
105 Collier Road Suite 4060
Atlanta GA 30309
Agency Email: niaira.taylor@piedmontpediatrics.org
Expiration Date: 2024-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-05-25
Requester Name: Lisa Williams
|
| |
|
|
Barrow Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Danell Gonzalez
Phone: 770-867-7616
561 Jefferson Hwy
Winder GA 30680
Agency Email: danell.bpediatrics@gmail.com
Expiration Date: 2024-04-30
Sent to Facility: 2024-04-11
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Reagan Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Sabrina Boyd
Phone: 678-546-9800
3685 Braselton Highway Suite 100
Dacula GA 30019
Agency Email: Sboydreagan@yahoo.com
Expiration Date: 2024-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-17
Requester Name: Lisa Williams
Comment: Locations: Hamilton Mill, Five Forks, Johns Creek, Suwanee,
Grayson Hwy
|
| |
|
|
Decatur Health and Wellness
Byrdine F Lewis School of Nursing and Health Professions
Meyer Harrington
Phone: 678-705-8695
1370 Montreal Road Suite 112
Tucker GA 30084
Agency Email: mharringtonhwlc@gmail.com
Expiration Date: 2024-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-06-15
Requester Name: Lisa Williams
|
| |
|
|
Howard Center for Womens Health
Byrdine F Lewis School of Nursing and Health Professions
Shara Greer
Phone: 229-391-3500
4143 Hospital Drive
Covington GA 30014
Agency Email: Shara.Greer@howardcenter.com
Expiration Date: 2025-05-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-06-06_exp_5-31-25
Requester Name: Lisa Williams
|
| |
|
|
Ascension Sacred Heart Rehabilitation
Byrdine F Lewis School of Nursing and Health Professions
Wendy Miller
Phone: 850-416-2477
7720 US-98
Miramar Beach FL 32550
Agency Email: wendy.miller1@ascension.org
Expiration Date: 2025-01-25
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-14
Requester Name: Shana Finks
Comment: Wendy will send the Ascension contract after she receives
the following:Please send her the correct facility address,
the name and title for the person who has signatory
authority and lastly, the GSU W9.
Ascension Sacred Heart Rehabilitation agreement
automatically renews
|
| |
|
|
Neuro Behavioral Health Associates LLC
Byrdine F Lewis School of Nursing and Health Professions
Olufunke Adewunmi
Phone: 770-554-2999
367 Athens Hwy Suite 1800
Loganville GA 30052
Agency Email: olunp20@gmail.com
Expiration Date: 2024-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-08-05
Requester Name: Lisa Williams
|
| |
|
|
Georgia Southwestern State University
Byrdine F Lewis School of Nursing and Health Professions
Lynn Bailey
Phone: 229-931-2275
800 Georgia Southwestern State University Drive
Americus GA 31709
Agency Email: lynn.bailey@gsw.edu
Expiration Date: 2024-08-17
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-07
Requester Name: Anne Cadet
|
| |
|
|
Memorial Drive Family Medicine, PC
Byrdine F Lewis School of Nursing and Health Professions
Tassew Tesfay
Phone: 404-809-2480
4958 Memorial Drive
Stone Mountain GA 30083
Agency Email: memorialfammed@yahoo.com
Expiration Date: 2024-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-15
Requester Name: Lisa Williams
|
| |
|
|
Crescent Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Cho Moe
Phone: 408-356-1111
2504 Samaritan Drive
San Jose CA 95124
Agency Email: MCho@crescentmedicalcenter.com
Expiration Date: 2024-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-15
Requester Name: Lisa Williams
|
| |
|
|
Friends of Disabled Adults and Children (FODAC)
Byrdine F Lewis School of Nursing and Health Professions
Bryan Clever
Phone: 17704919014
4900 Lewis Rd.
Tucker GA 30083
Agency Email: chrisbrand@fodac.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Shana Finks
Comment: Please send all MOU Communications to both: chrisbrand@fodac.org and
bryanclever@fodac.org. The MOU database shows that Cedric Truss initiated a
contract in 2018 that was never finished. FODAC agreed to complete this MOU
ASAP. We have students starting in September,so Carolyn Podolski has asked that
this MOU be rushed to be completed as quickly as possible via standard contract.
Please contact her if there are questions or concerns. Thanks so much!
|
| |
|
|
Golden Isles Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Patsy Hill
Phone: 229-868-7342
144 East Oak Street
McRae GA 31055
Agency Email: patsy.hill@goldenisleshc.com
Expiration Date: 2024-09-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-23
Requester Name: Lisa Williams
|
| |
|
|
Athiya Javid MD
Byrdine F Lewis School of Nursing and Health Professions
Athiya Javid
Phone: (408) 729-8111
200 Jose Figueres Avenue Ste 320
San Jose CA 95116
Agency Email: jaymedicalgroup@gmail.com
Expiration Date: 2025-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-14
Requester Name: Lisa Williams
|
| |
|
|
Zaman Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Cindy Zimmerman
Phone: 770-979-2600
2800 Main St West
Snellville GA 30078-3157
Agency Email: cindy@zamanpediatrics.com
Expiration Date: 2025-02-25
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-14
Requester Name: Lisa Williams
|
| |
|
|
Alpha OBGYN Inc
Byrdine F Lewis School of Nursing and Health Professions
Ramya Janakiraman
Phone: 678-335-9223
2905 Jordan Court Suite G
Alpharetta GA 30004
Agency Email: officeadmin@alphaobgyn.com
Expiration Date: 2024-09-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-09-17
Requester Name: Lisa Williams
|
| |
|
|
Spencer Family Medicine and Aesthetics
Byrdine F Lewis School of Nursing and Health Professions
Cheryl Fountain
Phone: 770-607-9032
650 Henderson Drive Suite 504
Cartersville GA 30120
Agency Email: SpencerFamilyMedicine@gmail.com
Expiration Date: 2024-09-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-11-11
Requester Name: Lisa Williams
|
| |
|
|
Ochsner Health
Byrdine F Lewis School of Nursing and Health Professions
Melissa McDowell
Phone: 504-703-9360
1514-A Jefferson Highway
New Orleans LA 70121
Agency Email: mmcdowell@ochsner.org
Expiration Date: 2026-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-10-20
Requester Name: Jennifer Nelson
Comment: IMPORTANT: see email message
|
| |
|
|
Dr. Nannette Cook Gynecologist
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Hardimon
Phone: 770-431-2322
3692 Highlands Parkway
Smyrna GA 30082
Agency Email: Admin@cookgyn.com
Expiration Date: 2024-09-30
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Plus Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Savonia Grant
Phone: 770-679-4360
2121 Salem Road SE
Conyers GA 30012
Agency Email: savoniagrant@yahoo.com
Expiration Date: 2024-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-10-13
Requester Name: Lisa Williams
|
| |
|
|
WellMed/Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Roger Carter II
Phone: 678-522-6086
3469 Lawrenceville Highway Ste. 103
Tucker GA 30084
Agency Email: carterr@wellmedatlanta.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Pediatric Otolaryngology – Head and Neck Surgery at Children’s Hospital of Richmond at VCU
Byrdine F Lewis School of Nursing and Health Professions
Susan Bodin
Phone: 804.828.3966
1000 E Broad Street
Richmond VA 23219
Agency Email: susan.bodin@vcuhealth.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Greater Atlanta Family Counseling
Byrdine F Lewis School of Nursing and Health Professions
Williams Smith
Phone: 770-421-5271
165 DeKalb Industrial Way Suite D-1
Decatur GA 30030
Agency Email: Wsmith@gafamilycounseling.com
Expiration Date: 2025-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-23
Requester Name: Lisa Williams
|
| |
|
|
Crosslinks Family Practice & Vein Center
Byrdine F Lewis School of Nursing and Health Professions
Alicia Ash
Phone: 404-296-8500
1475 Montreal Road East
Tucker GA 30084
Agency Email: info@crosslinksfp.com
Expiration Date: 2024-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-11-04
Requester Name: Lisa Williams
|
| |
|
|
Gwinnett County School District - Board of Regents of University System of Georgia
Byrdine F Lewis School of Nursing and Health Professions
Kim Baumann
Phone: (404) 413-1181
437 Old Peachtree Road NW,
Suwanee GA 30024
Agency Email: kim.baumann@gcpsk12.org
Expiration Date: 2024-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-07-12
Requester Name: Anne Cadet
Comment: 4/5/22 - requesting renewal
|
| |
|
|
Brookhaven Innovation Academy
Byrdine F Lewis School of Nursing and Health Professions
Julie Tolbert
Phone: 7705381550
186 Hunter Street
Norcross GA 30071
Agency Email: jtolbert@biaschool.org
Expiration Date: 2024-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-11-01
Requester Name: Anne Cadet
|
| |
|
|
Integrity Psychiatry and Wellness
Byrdine F Lewis School of Nursing and Health Professions
Lois Schwarz
Phone: 404-998-3795
108 E. Ponce de Leon Avenue Suite 212
Decatur GA 30030
Agency Email: lschwarze1@gsu.edu
Expiration Date: 2024-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-14
Requester Name: Lisa Williams
|
| |
|
|
Dalton State College
Byrdine F Lewis School of Nursing and Health Professions
Patricia Findley
Phone: 706-272-2658
650 College Drive
Dalton GA 30720
Agency Email: pfindley@daltonstate.edu
Expiration Date: 2024-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-01-18
Requester Name: Lisa Williams
|
| |
|
|
Stepping Stones Psychiatric Care
Byrdine F Lewis School of Nursing and Health Professions
Julie Burke
Phone: 678-552-2713
318 Newman Road
Carrollton GA 30117
Agency Email: jburke197138@yahoo.com
Expiration Date: 2024-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-11
Requester Name: Lisa Williams
|
| |
|
|
Columbus State University
Byrdine F Lewis School of Nursing and Health Professions
Jessica Bauer
Phone: 706-507-8588
4225 University Avenue
Columbus GA 31907
Agency Email: Bauer_jessica@columbusstate.edu
Expiration Date: 2024-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-3-3
Requester Name: Lisa Williams
|
| |
|
|
Rainbow Pediatric Clinic, LLC
Byrdine F Lewis School of Nursing and Health Professions
Aarti Raina
Phone: 770-781-1606
1735 Buford Hwy Suite 225
Cumming GA 30041
Agency Email: araina@rainbowpedclinic.com
Expiration Date: 2025-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-01-20
Requester Name: Lisa Williams
|
| |
|
|
Tucker Medical Associates of Georgia
Byrdine F Lewis School of Nursing and Health Professions
Amber Syed
Phone: 770-938-5552
1462 Montreal Road Suite 307
Tucker GA 30084
Agency Email: backoffice@medassocga.com
Expiration Date: 2025-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-01-14
Requester Name: Lisa Williams
|
| |
|
|
Greenwood Obstetrics & Gynecology, P.A.
Byrdine F Lewis School of Nursing and Health Professions
Denise Balentine
Phone: 864-227-6371
106 Liner Drive
Greenwood SC 29646
Agency Email: dbalentine@gwdobgyn.com
Expiration Date: 2025-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2021-12-08
Requester Name: Lisa Williams
|
| |
|
|
Village Medical at Morrow Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Lizeth Gomez
Phone: 770-781-8004
3970 Deputy Bill Cantrell Memorial Road Suite 150
Cumming GA 30040
Agency Email: westforsythinternalmedicine@gmail.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
The Walk In Clinic
Byrdine F Lewis School of Nursing and Health Professions
Tanya Jefferson
Phone: 770-929-9150
2890 Hwy 212 Suite E
Conyers GA 30094
Agency Email: thewalkinclinic@gmail.com
Expiration Date:
Sent to Facility: 2022-01-10
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
West Forsyth Internal Medicine, P.C.
Byrdine F Lewis School of Nursing and Health Professions
A. Brook Santizo
Phone: 770-415-2515
5971 Parkway North Blvd
Cumming GA 30040
Agency Email: westforsythinternalmedicine@gmail.com
Expiration Date: 2025-12-31
Sent to Facility: 01/11/2022
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment:
|
| |
|
|
Pediatric Partners of Gwinnett
Byrdine F Lewis School of Nursing and Health Professions
Sonia Varghese
Phone: 770-923-6400
4120 Five Forks Trickum Road
Lilburn GA 30047
Agency Email: Sonia.varghese@gwinnettchildren.org
Expiration Date: 2025-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-03
Requester Name: Lisa Williams
|
| |
|
|
Professional Park Medical Services PC
Byrdine F Lewis School of Nursing and Health Professions
Sebastian Mason
Phone: 770-832-6891
100 Professional Place Suite 202
Carrollton GA 30117
Agency Email: mason.ppms@gmail.com
Expiration Date: 2025-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-04
Requester Name: Lisa Williams
|
| |
|
|
Duluth Urgent Care
Byrdine F Lewis School of Nursing and Health Professions
Caitlin Tilden
Phone: 678-821-5377
2320 Peachtree Industrial Boulevard Suite 101
Duluth GA 30097
Agency Email: manager@advanceduca.com
Expiration Date: 2025-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Nova Medical Services, LLC
Byrdine F Lewis School of Nursing and Health Professions
Richard Glass
Phone: 404-858-1063
20 Herrell Road
Villa Rica GA 30180
Agency Email: rglass@tanner.org
Expiration Date: 2025-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-06-09
Requester Name: Lisa Williams
|
| |
|
|
Commerce Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Valerie Swafford
Phone: 706-335-7909
687 Hospital Road
Commerce GA 30529
Agency Email: valerieswafford115@gmail.com
Expiration Date: 2025-01-31
Sent to Facility: 2022-02-21
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
iCareAssociates LLC
Byrdine F Lewis School of Nursing and Health Professions
Jamil Davis
Phone: 770-217-5168
7574 Highway 85
Riverdale GA 30274
Agency Email: iCareAssociatesLLC@gmail.com
Expiration Date: 2025-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-02-22
Requester Name: Lisa Williams
|
| |
|
|
Ortho Virginia
Byrdine F Lewis School of Nursing and Health Professions
Kelly Koogler
Phone: 804-915-1910
1115 Boulders Parkway 100
N. Chesterfield VA 23225
Agency Email: Kelly.koogler@orthovirginia.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Someone Cares
Byrdine F Lewis School of Nursing and Health Professions
Maria Bell
Phone: 678-921-2706
1950 Spectrum Circle Suite 200
Marietta GA 30067
Agency Email: Mariabell@s1catl.org
Expiration Date: 2025-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-14
Requester Name: Lisa Williams
|
| |
|
|
Clínica Mi Familia Seebaby
Byrdine F Lewis School of Nursing and Health Professions
Ed T. Cota
Phone: (770) 613-0670
5050 Jimmy Carter Blvd Suite 250
Norcross, GA GA 30093
Agency Email: cotaman22@gmail.com
Expiration Date:
Sent to Facility: 2023-03-03
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Womens Health Associates of Walton PC
Byrdine F Lewis School of Nursing and Health Professions
Lara Hannay
Phone: (770) 267-8368
513A Great Oaks Dr
Monroe GA 30655
Agency Email: whawmonroega@aol.com
Expiration Date: 2025-03-14
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-03-22
Requester Name: Lisa Williams
|
| |
|
|
Encompass Health Rehabilitation Hospital of Cumming
Byrdine F Lewis School of Nursing and Health Professions
Michael Boscia
Phone: 470.533.4223
1165 Sanders Road
Cumming georgia 30041
Agency Email: Michael.Boscia@encompasshealth.com
Expiration Date: 2025-01-11
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-01-24
Requester Name: Wanda Little
|
| |
|
|
North Augusta Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Jameka Hankinson
Phone: 803-510-0007
140 Allen Court
North Augusta SC 29860
Agency Email: jhankinson@napeds.pcc.com
Expiration Date: 2025-04-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-05-5
Requester Name: Lisa Williams
|
| |
|
|
Georgia Department of Public Health North Georgia Health District 1-2
Byrdine F Lewis School of Nursing and Health Professions
Ylonda Campbell
Phone: 706.529.5757 Ext. 13011
1710 Whitehouse Court
Dalton GA 30720
Agency Email: ylonda.campbell@dph.ga.gov
Expiration Date: 2027-03-31
Sent to Facility:
Sent to Provost/Legal: 2024-03-20
Completed: 2024-03-25
Requester Name: Lisa Wiliams
|
| |
|
|
Monroe Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
MacKenzie Toney
Phone: 770-207-7916
517 Great Oaks Drive
Monroe GA 30655
Agency Email: Mackenzietoney9@gmail.com
Expiration Date: 2025-05-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-05-20
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Independent School System
Byrdine F Lewis School of Nursing and Health Professions
Marilyn Hughes
Phone: 404-802-1599
130 Trinity Avenue
Atlanta GA 30303
Agency Email: mhhughes@atlanta.k12.ga.us
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anita Nucci
|
| |
|
|
The Howard Center for Womens Health - Tifton
Byrdine F Lewis School of Nursing and Health Professions
Kristin Merritt
Phone: 229-391-3500
1948 Old Ocilla Road
Tifton GA 31794
Agency Email: kristin.merritt@howardcenter.com
Expiration Date:
Sent to Facility: 2022-05-19
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Greenwillow Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Seema Bisht-Nadler
Phone: 678-450-0747
3030 McEvers Road Suite 130
Gainesville GA 30504
Agency Email: none@gmail.com
Expiration Date: 2025-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-06-22
Requester Name: Lisa Williams
Comment: Wanda - please forward contract to me and I will fax to the
provider. Thanks. Lisa
|
| |
|
|
Cobblestone Therapy Group
Byrdine F Lewis School of Nursing and Health Professions
Alyssa Yount
Phone: (770) 998-9599
12060 Etris Road Ste F-100
Roswell Georgia 30075
Agency Email: alyssa@cobblestonetherapy.com
Expiration Date: 2025-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-8
Requester Name: Carla Huggins
|
| |
|
|
Caduceus USA
Byrdine F Lewis School of Nursing and Health Professions
Thomas Grondin
Phone: 727-687-0726
535 North Central Avenue
Hapeville GA 30354
Agency Email: tgrondin@caduceusoccmed.com
Expiration Date: 2025-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-08
Requester Name: Lisa Williams
|
| |
|
|
SP-OT On Therapy Group, LLC
Byrdine F Lewis School of Nursing and Health Professions
Crystal M. Donaldson
Phone: (770) 559-9498
1726 Oakbrook Lake Drive
Norcross GA 30093
Agency Email: spoton2021@spotontg.com
Expiration Date: 2025-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-07-20
Requester Name: Shana Finks
|
| |
|
|
AbsoluteCare
Byrdine F Lewis School of Nursing and Health Professions
Christopher Walton
Phone: 404-231-4431
2140 Peachtree Road NW Suite 232
Atlanta GA 30309
Agency Email: cwalton@absolutecare.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Therapy Partner Solutions Holdings, LLC
Byrdine F Lewis School of Nursing and Health Professions
Thomas McLeod
Phone: (706) 868-1707
5003 Steiner Way- Suite
Grovetown GA 30813
Agency Email: tsmcleod@evansrehab.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Wanda Little
|
| |
|
|
PediaSpeech
Byrdine F Lewis School of Nursing and Health Professions
Maria OFarrell
Phone: (770)209-9826
495 Winn Way
Decatur GA 30030
Agency Email: mofarrell@pediaspeech.com
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-08-26
Requester Name: Wanda Little
Comment: 770-209-9826 Ext. 48
|
| |
|
|
Cartersville Ob/Gyn Associates
Byrdine F Lewis School of Nursing and Health Professions
Janet Rosser
Phone: 770-386-4824
958-A Joe Frank Harris Parkway Building 2 Suite 102
Cartersville GA 30120
Agency Email: Jrosser@cartersvilleobgyn.com
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-07
Requester Name: Lisa Williams
|
| |
|
|
Field Trip Health, GA, PC
Byrdine F Lewis School of Nursing and Health Professions
Michael Muench
Phone: 305-323-7116
750 Glenwood Avenue SE Bldg. 200 Suite 210
Atlanta GA 30316
Agency Email: michael.muench@fieldtriphealth.com
Expiration Date: 2025-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-08
Requester Name: Lisa Williams
|
| |
|
|
Balance Behavioral Health
Byrdine F Lewis School of Nursing and Health Professions
Pamela Chanin
Phone: 404-736-1410
1010 Huntcliff NE Suite 1230
Atlanta GA 30350
Agency Email: info@balancebehavioral.health
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-07
Requester Name: Lisa Williams
|
| |
|
|
Norwood Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Allson Miller
Phone: 678-358-5933
1136 Cleveland Avenue Suite 308
East Point GA 30344
Agency Email: allison.np@norwoodpediatrics.org
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-09-26
Requester Name: Lisa Williams
Comment: 9/9 - Contract sent out by LYW. This is just to put site in
database
|
| |
|
|
Devereux Advanced Behavioral Health Georgia
Byrdine F Lewis School of Nursing and Health Professions
Elizabeth Shirk
Phone: 770-427-0147
1291 Stanley Road NW
Kennesaw GA 30152
Agency Email: BethShirk3b@gmail.com
Expiration Date: 2025-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Womens Specialty Group
Byrdine F Lewis School of Nursing and Health Professions
Nannette Camacho
Phone: 678-500-1066
2678 Buford Highway NE
Atlanta GA 30324
Agency Email: nannettec@npclinicalsassist.com
Expiration Date: 2025-09-30
Sent to Facility: 2024-02-27
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Dr Miguel Cossio MD-PC
Byrdine F Lewis School of Nursing and Health Professions
Tina Greenway
Phone: 706-342-9664
1075 S Main St STE 400
Madison GA 30650
Agency Email: GreenwayT@bellsouth.net
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Cabarrus Rowan Community Health Centers
Byrdine F Lewis School of Nursing and Health Professions
Jamie Stevens
Phone: 704-792-2242
202 McGill Ave NW
Concord NC 28028
Agency Email: jstevens@crchc.org
Expiration Date: 2025-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-12-14
Requester Name: Lisa Williams
|
| |
|
|
Prospect Behavioral Pediatrics and Psychiatry
Byrdine F Lewis School of Nursing and Health Professions
Angie Trombley
Phone: 828-552-3504
600 Julian Lane Suite 640
Arden NC 28704
Agency Email: aktrombley76@gmail.com
Expiration Date: 2026-06-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-08-24
Requester Name: Lisa Williams
|
| |
|
|
Acworth Primary Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Zarana Patel
Phone: 770-529-7478
4465 Lemon Street
Acworth GA 30101
Agency Email: acworthprimaryhealthcare@gmail.com
Expiration Date: 2025-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-02-02
Requester Name: Lisa Williams
|
| |
|
|
Russell Medical
Byrdine F Lewis School of Nursing and Health Professions
Tonya Smith
Phone: 770-771-5050
4355 Browns Bridge Rd
Cumming GA 30041
Agency Email: tyms71@msn.com
Expiration Date: 2025-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-01-27
Requester Name: Lisa Williams
|
| |
|
|
Childrens Wellness Center
Byrdine F Lewis School of Nursing and Health Professions
Stephanie Toole
Phone: 404-303-1314
5883 Glenridge Drive NE Suite 100
Sandy Springs GA 30328
Agency Email: stephls13@gmail.com
Expiration Date: 2026-12-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-01-25
Requester Name: Lisa Williams
|
| |
|
|
Alliance Family Care LLC
Byrdine F Lewis School of Nursing and Health Professions
Kimberly Bennett
Phone: 770-255-0123
1775 Access Road Suite C
Covington GA 30014
Agency Email: kimberly@alliancefamilycare.com
Expiration Date:
Sent to Facility: 2022-12-16
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
TempleMedHealth
Byrdine F Lewis School of Nursing and Health Professions
Nakia Fields
Phone: 770-462-1170
503 Main Street
Villa Rica GA 30179
Agency Email: templemedhealth@yahoo.com
Expiration Date: 2026-01-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-02-23
Requester Name: Lisa Williams
|
| |
|
|
Veritas Collaborative
Byrdine F Lewis School of Nursing and Health Professions
Katherine Norris
Phone: 855-875-5812
41 Perimeter Center East Suite 250
Dunwoody GA 30346
Agency Email: Katherine.norris@accanto.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Griffin OB-GYN Clinic
Byrdine F Lewis School of Nursing and Health Professions
Taylor Chastain
Phone: 770-227-5505
503 S.8th Street
Griffin GA 30224
Agency Email: tchastain@griffinobgyn.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Winston Psychiatry Integrative Medicine
Byrdine F Lewis School of Nursing and Health Professions
Deana Robinson
Phone: 770-457-7994
4546 Barclay Drive
Dunwoody GA 30338
Agency Email: client.services@georgiabehavioral.com
Expiration Date:
Sent to Facility: 2023-01-18
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
CAPOE, LLC
Byrdine F Lewis School of Nursing and Health Professions
Cecil Poe
Phone: 404-436-4597
5609 Fox Den Trail
Lithonia GA 30038
Agency Email: capcivic@att.net
Expiration Date:
Sent to Facility: 2023-02-23
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Heart Associates, P.C.
Byrdine F Lewis School of Nursing and Health Professions
Andrea Gibson
Phone: 770-692-4000
350 Country Club Drive Suite A
Stockbridge GA 30281
Agency Email: agibson@communitynp.org
Expiration Date: 2026-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-04-04
Requester Name: Lisa Williams
|
| |
|
|
The Center for Discovery
Byrdine F Lewis School of Nursing and Health Professions
Lacey Clemmons
Phone: 855-984-4176
3390 Peachtree Rd NE Suite 1150
Atlanta Georgia 30326
Agency Email: lacey.clemmons@centerfordiscovery.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
First Class Healthcare
Byrdine F Lewis School of Nursing and Health Professions
Alison Yeoman
Phone: 770-619-6448
2900 University Pkwy
Lawrenceville GA 30043-4588
Agency Email: alison@firstclasshealthcare.com
Expiration Date:
Sent to Facility: 2023-04-21
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Georgia Urology
Byrdine F Lewis School of Nursing and Health Professions
Catherine Carman
Phone: (770) 942-2478
4645 Timber Ridge Drive Suite 120
Douglasville GA 30135
Agency Email: CCarman@gaurology.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Nissi Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
George Nwang
Phone: 678-540-7597
1810 Mulkey Road SW
Austell GA 30106
Agency Email: cs@nissifamilymedicine.net
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Sheltering Arms
Byrdine F Lewis School of Nursing and Health Professions
Tyra Massey
Phone: (470)530-4133
385 Centennial Olympic Park Drive
Atlanta GA 30313
Agency Email: tmassey@shelteringarmsforkids.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet
|
| |
|
|
Kaiser Permanente
Byrdine F Lewis School of Nursing and Health Professions
Lesia Jackson
Phone: (404) 695-1043
3495 Piedmont Road NE.
Atlanta GA 30305
Agency Email: lesia.jackson@kp.org
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: anne cadet
Comment: This is a renewal request - the current MOU end on 08/2023
|
| |
|
|
Favor Family Medical Practice, LLC
Byrdine F Lewis School of Nursing and Health Professions
Eunice Momeh
Phone: 678-880-8893
103 Mountain Brook Drive Unit 100
Canton GA 30115
Agency Email: FNPstudentsFFMP@gmail.com
Expiration Date:
Sent to Facility: 2023-05-11
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Pediatric Choice Clinic - Lenoir City
Byrdine F Lewis School of Nursing and Health Professions
Amy Keener
Phone: 865-986-1400
5505 Creekwood Park Blvd
Lenoir City TN 37772
Agency Email: amyk@pediatricchoice.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Sweetwater Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Nikki Strickland
Phone: 423-351-7000
205 Summitt Street
Sweetwater TN 37874
Agency Email: sweetwaterfamilymedicine@gmail.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Solomons Temple
Byrdine F Lewis School of Nursing and Health Professions
Valerie Hampton
Phone: 678-766-5752
2836 Springdale Road SW
Atlanta GA 30315
Agency Email: Vhampton@solomonstempleinc.org
Expiration Date: 2026-06-08
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-06-13
Requester Name: Lisa Williams
|
| |
|
|
GoCare Walk in and Primary Care Center
Byrdine F Lewis School of Nursing and Health Professions
Angela Pieri
Phone: (281) 932-8554
905 La Gotera Place
El Paso TX 79912
Agency Email: angelapieri86@hotmail.com
Expiration Date:
Sent to Facility: 2023-06-16
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Ross Memorial Health Care Center
Byrdine F Lewis School of Nursing and Health Professions
Marrissa Bryan
Phone: (770) 427-7256
1780 Old 41 Highway NW
Kennesaw GA 30152
Agency Email: mbryan@mdspc.org
Expiration Date: 2026-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-08-24
Requester Name: Lisa Williams
|
| |
|
|
WellBe Senior Medical
Byrdine F Lewis School of Nursing and Health Professions
Britni Bolstad
Phone: 404-436-2759
5 Concourse Parkway NE Suite 3100
Sandy Springs GA 30328
Agency Email: britni.bolstad@wellbe.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Please send a Word version as well. Thanks. LYW.
|
| |
|
|
Village Medical of Griffin
Byrdine F Lewis School of Nursing and Health Professions
Linda Cunningham
Phone: 770-227-1587
619 S 8th St Ste 200
Griffin GA 30224
Agency Email: lcunningham@villagemedical.com
Expiration Date: 2026-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-09-12
Requester Name: Lisa Williams
|
| |
|
|
Planned Parenthood Southeast
Byrdine F Lewis School of Nursing and Health Professions
Chanta Wyatt
Phone: 404-567-8355 x387
241 Peachtree Street NE Suite 400
Atlanta GA 30303
Agency Email: chantavious.wyatt@ppse.org
Expiration Date: 2026-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-09-12
Requester Name: Lisa Williams
|
| |
|
|
AFYA Primary Care
Byrdine F Lewis School of Nursing and Health Professions
Sonia Francis
Phone: (470)645-2849
1215 Eagles Landing Pkwy, 202
Stockbridge GA 30281
Agency Email: info@afyapc.com
Expiration Date: 2026-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-11-30
Requester Name: Lisa Williams
|
| |
|
|
HCA Primary Care Ocala
Byrdine F Lewis School of Nursing and Health Professions
Gina Hopgood
Phone: 352-351-0120
2300 SE 17the Street Suite 402
Ocala FL 34471
Agency Email: Gina.hopgood@hcahealthcare.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Phoenix Medical Office at College Park
Byrdine F Lewis School of Nursing and Health Professions
Deldra Ross
Phone: (678) 788-8950
1631 Phoenix Blvd. Ste. 4
College Park GA 30349
Agency Email: Phoenixmedicalcp@gmail.com
Expiration Date: 2026-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-09-12
Requester Name: Lisa Williams
|
| |
|
|
Avant Interventional Psychiatry
Byrdine F Lewis School of Nursing and Health Professions
Xavier Hicks
Phone: 770-694-6349
1121 Johnson Ferry Road Suite 450
Marietta GA 30068
Agency Email: students@avantpsychiatry.com
Expiration Date: 2026-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-11-06
Requester Name: Lisa Williams
|
| |
|
|
Johnstown Heights Behavioral
Byrdine F Lewis School of Nursing and Health Professions
Jessica Soued
Phone: 305-807-163
4770 Larimer Parkway
Johnstown CO 80534
Agency Email: jsoued@compass.md
Expiration Date: 2026-08-31
Sent to Facility:
Sent to Provost/Legal: 2024-01-08
Completed: 2024-03-25
Requester Name: Lisa Williams
Comment: sent partially executed agreement 1/11/2024
Message from facility: we have decided to halt rotations and
preceptorships at this time. If in the future, we decide to
partner with this hospital again, I will definitely keep you
in
the loop! 12/06/23
|
| |
|
|
Georgia Academy for the Blind
Byrdine F Lewis School of Nursing and Health Professions
Cindy Gibson
Phone: 478.752.1853
895 Vineville Ave
Macon GA 31204
Agency Email: CGibson@doe.k12.ga.us
Expiration Date: 2027-12-31
Sent to Facility:
Sent to Provost/Legal: 2023-12-11
Completed: 2023-12-12
Requester Name: Karen McWaters
Comment: sent routing memo to Joi 12/11/2023
Georgia Board of Education on Behalf of Georgia Academy of the
Blind
|
| |
|
|
Midwife ME, LTD
Byrdine F Lewis School of Nursing and Health Professions
Victoria Gordon
Phone: 229-234-2505
3338 Country Club Road Ste LI PMB 252
Valdosta GA 31605
Agency Email: victoriagordoncnm@outlook.com
Expiration Date: 2026-09-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-11-07
Requester Name: Lisa Williams
|
| |
|
|
Ocala Family Medical Center
Byrdine F Lewis School of Nursing and Health Professions
Karen DeStephens
Phone: 352-237-4133
2230 SW 19th Avenue Road
Ocala FL 34471
Agency Email: Kjeffers@ocalafmc.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Family Physicians of Greeley, PLLP
Byrdine F Lewis School of Nursing and Health Professions
Kyle Lynch
Phone: 970-378-8007
6801 W. 20th Street Unit 101
Greeley CO 80634
Agency Email: Kyle.lynch@fpgreeley.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment:
|
| |
|
|
Florida Dept of Health in Holmes & Washington County
Byrdine F Lewis School of Nursing and Health Professions
Delicia Gainer
Phone: 850-614-6059
603 Scenic Hill Circle
Bonifay FL 32425
Agency Email: Delicia.Gainer@flhealth.gov
Expiration Date: 2025-07-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-09-12
Requester Name: Lisa Williams
|
| |
|
|
Bowdon Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Chris Salter
Phone: 678-257-5182
307 West College Street P.O. Box 937
Bowdon GA 30108
Agency Email: bfmedicine@gmail.com
Expiration Date: 2026-09-30
Sent to Facility:
Sent to Provost/Legal: 2023-11-29
Completed: 2023-12-13
Requester Name: Lisa Williams
|
| |
|
|
Atlanta Childrens Shelter
Byrdine F Lewis School of Nursing and Health Professions
Allison Griffith
Phone: 404.937.5429
P.O. Box 54322
Atlanta GA 30308
Agency Email: AGriffith@acsatl.org
Expiration Date: 2026-08-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-10-06
Requester Name: Karen McWaters
Comment: Signed agreement already sent to provost on 10/4/23 -Karen
|
| |
|
|
Gateway Center
Byrdine F Lewis School of Nursing and Health Professions
Drew Benton
Phone: (404)215-6600
75 Pryor St. SW
Atlanta GA 30303
Agency Email: dbenton@gatewayctr.org
Expiration Date: 2026-11-30
Sent to Facility:
Sent to Provost/Legal:
Completed: 2023-11-30
Requester Name: Lisa Williams
Comment:
|
| |
|
|
GYN CARE Womens Healthcare Center
Byrdine F Lewis School of Nursing and Health Professions
Shwanda Marshall
Phone: 770-434-3800
264 19th Street Suite 2230
Atlanta GA 30363
Agency Email: Sm.gyncare@gmail.com
Expiration Date: 2026-11-30
Sent to Facility: 2023-11-10
Sent to Provost/Legal:
Completed: 2023-11-30
Requester Name: Lisa Yvette Williams
|
| |
|
|
Fletcher Hospital, Inc., d/b/a AdventHealth Hendersonville
Byrdine F Lewis School of Nursing and Health Professions
Akshara Olson
Phone: 828-681-2388
100 Hospital Drive
Hendersonville NC 28792
Agency Email: AKSHARA.OLSON@AdventHealth.com
Expiration Date: 2026-10-31
Sent to Facility:
Sent to Provost/Legal: 2023-12-11
Completed: 2024-01-03
Requester Name: Lisa Williams
Comment: Waiting on final approval from Joi/legal counselor. 12/12/23
Sent partially exec agreement to facility 12/12/23
|
| |
|
|
Physical Therapy & Rehabilitation Services, PC dba Rehab Without Walls Neuro Rehabilitation
Byrdine F Lewis School of Nursing and Health Professions
Joshua Wilt
Phone: 303-430-2490
8501 Turnpike Drive Suite 100
Westminster Colorado 80031
Agency Email: Siobhan.Nelson@rehabwithoutwalls.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Karen McWaters
Comment: Facility returned contract on 12/10/23- Forwarded to Wanda to be countersigned
by provost
|
| |
|
|
River Parc Internal Medicine
Byrdine F Lewis School of Nursing and Health Professions
Young Kang
Phone: 678-417-0077
4855 River Green Parkway
Duluth GA 30096
Agency Email: Ywk0077@gmail.com
Expiration Date: 2026-12-31
Sent to Facility: 2024-01-02
Sent to Provost/Legal: 2024-01-11
Completed: 2024-01-18
Requester Name: Lisa Williams
|
| |
|
|
St. Vincents Health System, Inc dba Ascension Florida & Gulf Coast
Byrdine F Lewis School of Nursing and Health Professions
Hallie McKay Wynn
Phone: 850-897-0110
4586 East Hwy 20 Suite A
Niceville FL 32578
Agency Email: student.onboarding@shhpens.org
Expiration Date:
Sent to Facility: 2023-12-15
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
Comment: Auto-response: Thank you for your email. You will receive a
reply within 5 business days. As we help to improve
efficiencies, we are transitioning to a new email address for
this location.
Please send future responses to:
flpenacademic_center@ascension.org This email is also being
forwarded at this time.
Sincerely, Ascension FLMKT Student Onboarding
|
| |
|
|
Alive Health and Wellness Clinic
Byrdine F Lewis School of Nursing and Health Professions
Esther Gensinger
Phone: 470-635-2225
377 West Pike Street Suite A3
Lawrenceville GA 30046
Agency Email: you@alivehealthnwellness.com
Expiration Date: 2027-01-31
Sent to Facility:
Sent to Provost/Legal: 2024-01-30
Completed: 2024-02-08
Requester Name: Lisa Williams
|
| |
|
|
Ivydale Wellness Center, LLC
Byrdine F Lewis School of Nursing and Health Professions
Ablavi Agomessou
Phone: 770-291-0419
367 Resource Parkway
Winder GA 30680
Agency Email: ivydalewellnesscenter@gmail.com
Expiration Date: 2027-01-31
Sent to Facility: 2024-01-10
Sent to Provost/Legal: 2024-01-10
Completed: 2024-01-18
Requester Name: Lisa Williams
|
| |
|
|
Braselton Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Audra Rauton
Phone: 678-820-7979
1897 GA Hwy 211
Hoschton GA 30548
Agency Email: Account@braseltonpediatrics.com
Expiration Date:
Sent to Facility: 2024-01-19
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
State of Florida, Dept of Health, Okaloosa County Health Department
Byrdine F Lewis School of Nursing and Health Professions
Amber Irons
Phone: (850) 833-9245
221 Hospital Drive NE
Forth Walton Beach FL 32548
Agency Email: Amber.Irons@flhealth.gov
Expiration Date:
Sent to Facility:
Sent to Provost/Legal: 2024-03-12
Completed:
Requester Name: Lisa Williams
Comment: Sent partially executed agreement to facility 3/25/2024
Sent edits to facility 1/17/2024
sent edits to Joi - 1-10-24
|
| |
|
|
Macon Gyn-Ob Associates PA
Byrdine F Lewis School of Nursing and Health Professions
Byron Brooks
Phone: 478-745-7935
650 Coliseum Drive
Macon GA 31217
Agency Email: drbabrooks@gmail.com
Expiration Date: 2024-01-31
Sent to Facility: 2024-01-23
Sent to Provost/Legal: 2024-01-30
Completed: 2024-02-08
Requester Name: Lisa Williams
|
| |
|
|
True Care Physicians
Byrdine F Lewis School of Nursing and Health Professions
Muhammad Hashmi
Phone: 770-564-1399
1324 Rockbridge Road
Stone Mountain GA 30087
Agency Email: visit@truecarephysicians.com
Expiration Date: 2027-01-31
Sent to Facility: 2024-01-23
Sent to Provost/Legal: 2024-01-30
Completed: 2024-02-08
Requester Name: Lisa Williams
|
| |
|
|
Northside Hospital, INC
Byrdine F Lewis School of Nursing and Health Professions
Marsha Blakey Temple
Phone: (404) 845-5162
1000 Medical Center Boulevard
Lawrenceville GA 30046
Agency Email: marsha.blakey@northside.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Anne Cadet
Comment: Need to renew ASAP - This affiliation expires in March 2024.
|
| |
|
|
Marietta Medical Clinic
Byrdine F Lewis School of Nursing and Health Professions
India Devu
Phone: 770-955-1814
2520 Windy Hill Road SW Suite 306
Marietta GA 30067
Agency Email: mariettaclinic@yahoo.com
Expiration Date:
Sent to Facility: 2024-01-29
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Georgia Act and Healthcare Services Inc.
Byrdine F Lewis School of Nursing and Health Professions
Peace Ezeobika
Phone: 404-963-5526
2049 Metropolitan Parkway SW
Atlanta GA 30315
Agency Email: info@gahscare.com
Expiration Date: 2027-01-31
Sent to Facility: 2024-02-06
Sent to Provost/Legal: 2024-02-22
Completed: 2024-03-06
Requester Name: Lisa Williams
Comment: 2/27/2024 - it has been determined that this is not an
appropriate site for GSU FNP students. As such, the contract was
not fully executed. LYW
|
| |
|
|
Southeast Medical Group Walnut Creek
Byrdine F Lewis School of Nursing and Health Professions
Shelby Rider
Phone: 770-898-7840
4303 Jodeco Road
McDonough GA 30253
Agency Email: srider@southeastpcp.com
Expiration Date: 2027-01-31
Sent to Facility: 2024-02-06
Sent to Provost/Legal: 2024-02-20
Completed: 2024-03-06
Requester Name: Lisa Williams
|
| |
|
|
Muscular Dystrophy Association, Inc.
Byrdine F Lewis School of Nursing and Health Professions
Sami Eron
Phone: 800-572-1717
1016 W Jackson Blvd #1073 #1073
Chicago IL 60607
Agency Email: seron@mdausa.org
Expiration Date:
Sent to Facility: 2024-02-15
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Total Life Care Center
Byrdine F Lewis School of Nursing and Health Professions
Bernard Royal
Phone: 404-691-8880
315 14th St. NW
Atlanta GA 30318
Agency Email: bernardr@naesminc.org
Expiration Date:
Sent to Facility: 2024-02-28
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
University of Colorado Health
Byrdine F Lewis School of Nursing and Health Professions
Anetria Cain
Phone: 720-848-0000
2500 Rocky Mountain Avenue
Loveland CO 80538
Agency Email: studentsuchealthnorth@uchealth.org
Expiration Date: 2027-02-28
Sent to Facility:
Sent to Provost/Legal:
Completed: 2024-03-08
Requester Name: Lisa Williams
Comment: UCHealth
|
| |
|
|
District 2 Gainesville North Health District
Byrdine F Lewis School of Nursing and Health Professions
Jay Sessions
Phone: 706-384-5575
1280 Athens Street
Gainesville GA 30507-7000
Agency Email: Jay.Sessions@dph.ga.gov
Expiration Date:
Sent to Facility: 2024-03-12
Sent to Provost/Legal: 2024-03-13
Completed:
Requester Name: Lisa Williams
|
| |
|
|
KEITH FAMILY MEDICINE
Byrdine F Lewis School of Nursing and Health Professions
Erica Neely
Phone: 770-929-1115
1025 East Freeway Drive Southeast
Conyers GA 30094
Agency Email: KFMConyers@gmail.com
Expiration Date:
Sent to Facility: 2024-03-21
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Avita Care Atlanta
Byrdine F Lewis School of Nursing and Health Professions
Allison Roberts
Phone: 404-231-4431
2140 Peachtreet Road Suite 232
Alpharetta GA 30309
Agency Email: Allison.Roberts@avitacaresolution.com
Expiration Date:
Sent to Facility: 2024-03-28
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Pleasant Hill Family Medicine
Byrdine F Lewis School of Nursing and Health Professions
Mina Kim
Phone: 678-417-0332
3610 Peachtree Industrial Blvd Suite 100
Duluth GA 30096
Agency Email: phfm0332@gmail.com
Expiration Date:
Sent to Facility: 2024-03-26
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Norcross Pediatrics Clinic
Byrdine F Lewis School of Nursing and Health Professions
Jimmy Yeon
Phone: 770-938-6966
4608 Jimmy Carter Blvd Suite 7
Norcross GA 30093
Agency Email: npclinicmanager@gmail.co m
Expiration Date:
Sent to Facility: 2024-04-11
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Monarch Pediatrics
Byrdine F Lewis School of Nursing and Health Professions
Jamie Fuller
Phone: 770-922-1460
1015 Milstead Ave Suite 100
Conyers GA 30012
Agency Email: jfuller@monarchteams.com
Expiration Date:
Sent to Facility:
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
University Health Services - Clayton State University
Byrdine F Lewis School of Nursing and Health Professions
Polly Parks
Phone: (678) 466-4941
2000 Clayton State Boulevard
Morrow GA 30260
Agency Email: pollyparks@clayton.edu
Expiration Date: 2025-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-12-05
Requester Name: Lisa Williams
|
| |
|
|
Legacy Medical, LLC
Byrdine F Lewis School of Nursing and Health Professions
Colette Bullock
Phone: 678-765-7147
5422 GA 20 Suite 104
Sugar Hill GA 30518
Agency Email: colette.bullock@legacymedllc.com
Expiration Date: 2025-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-11-30
Requester Name: Lisa Williams
|
| |
|
|
Womens Integrative OBGYN
Byrdine F Lewis School of Nursing and Health Professions
Marcia Schmitt
Phone: 404-388-6219
3280 Howell Mill Road NW Suite 304
Atlanta GA 30327
Agency Email: marcia@wihobgyn.com
Expiration Date: 2025-10-31
Sent to Facility:
Sent to Provost/Legal:
Completed: 2022-11-30
Requester Name: Lisa Williams
|
| |
|
|
Dr. Miniyars Pediatrics, PC - Cartersville
Byrdine F Lewis School of Nursing and Health Professions
Cody Jennings
Phone: 706-232-1300
962 Joe Frank Harris Pkwy SE Suite 105
Cartersville GA 30121
Agency Email: Miniyarpediatrics@gmail.com
Expiration Date: 2026-11-30
Sent to Facility: 2023-11-01
Sent to Provost/Legal:
Completed: 2024-01-18
Requester Name: Lisa Williams
|
| |
|
|
Magnolia Medical Clinic
Byrdine F Lewis School of Nursing and Health Professions
Maria Arevalo
Phone: 770-931-1333
1235 Indian Trail Lilburn Road NW Suite 200
Norcross GA 30093
Agency Email: help@magnoliamd.com
Expiration Date:
Sent to Facility: 2023-11-27
Sent to Provost/Legal:
Completed:
Requester Name: Lisa Williams
|
| |
|
|
Arlington Progressive Health Center
Byrdine F Lewis School of Nursing and Health Professions
Jennifer Asaboro
Phone: 817-697-4619
306 Randal Mill Road Suite 136
Arlington TX 76011
Agency Email: info@arlingtonphc.org
Expiration Date: 2026-11-30
Sent to Facility: 2023-11-28
Sent to Provost/Legal: 2024-01-10
Completed: 2024-01-18
Requester Name: Lisa Williams
|
| |