Licensee Information

Information as of 05/25/2013

Last Updated by Licensee on 06/24/2011

Adam C Coleman - PA

License#:	0010-01168	License Status:	Inactive	Expire Date:	10/09/2012
Issue Date:	12/11/2007	Renewal Date:	06/23/2012

Licensee General InformationPractice Information Education, Certifications & Area of Practice Memberships, Honors, Awards, & Public Service Academic Appointments & Publications Actions – Regulatory Board, Agency, & Health Care Institution Malpractice Convictions

Licensee General Information

Licensee Limitations

License Limitations:

North Carolina Hospital Admitting Privileges

Duke University Hospital

Out of State Active/Inactive Licenses

Massachusetts

Out of Country Active/Inactive Licenses

None Reported

Year of Birth: 1978

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken public action regarding the licensee. Actions may or may not be disciplinary in nature. Click on the link or links below to see an electronic copy of public documents associated with the licensee.

Certain public documents, such as hearing transcripts, are not posted on this site but may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

Date	Description	Link
10/09/2012	Consent Order	View
04/17/2012	Surrender Acknowledgement Letter	View
04/16/2012	Voluntary Surrender	View

North Carolina Medical Board Reentry Agreement

None Reported

Other Regulatory Board or Agency Public Actions

None Reported

Health Care Institution Suspensions and Revocations

None Reported

Duke University Medical Center	919-681-4186
Box 3096
Durham, NC 27710-3096

Days patients are seen at this practice:
Practice Philosophy:
Non-English languages spoken by licensee:
Non-English languages spoken in office:
Participates in Medicare:
Accepting new Medicare Patients:
Participates in Medicaid:
Accepting new Medicaid Patients:
Uses electronic medical records:

Area Of Practice	Primary Area of Practice
Emergency Medicine	Yes

Licensee Information

Licensee General Information

Licensee Limitations

Active License

Inactive License

North Carolina Hospital Admitting Privileges

Out of State Active/Inactive Licenses

Out of Country Active/Inactive Licenses

Year of Birth: 1978

Practice Information

Address

Information

Education, Certifications & Area of Practice

PA Program

Area of Practice

Memberships, Honors, Awards, & Public Service

Current Membership in Medical Professional Organizations

Honors and Awards

Professional Service

Academic Appointments & Publications

Current Academic Appointments

Publications

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

North Carolina Medical Board Reentry Agreement

Other Regulatory Board or Agency Public Actions

Health Care Institution Suspensions and Revocations

Malpractice

Malpractice Information

Convictions

Misdemeanor/DUI/DWI Conviction Information

Felony Conviction Information

Reason Code	License Number	Subcategory	Issue Date	Expire Date
Surrendered	0010-01168	PA-C	12/11/2007	04/16/2012
Suspended Indefinitely	0010-01168	PA-C	12/11/2007	10/09/2012