A physician facing criminal allegations may find themselves dealing with two separate proceedings:

The criminal case AND a Georgia Composite Medical Board matter.

Those proceedings operate under different rules, serve different purposes, and can create very different consequences.

For a Georgia physician, successfully defending the criminal case is critically important—but protecting the medical license may require a coordinated strategy from the beginning.

Does an Arrest Automatically Cause a Georgia Doctor to Lose Their Medical License?

No.

An arrest is an allegation. It is not a conviction and does not establish that the physician committed the alleged offense.

A physician should therefore not assume that being arrested automatically results in suspension or revocation of a Georgia medical license.

But the analysis does not end there.

The Georgia Composite Medical Board has broad regulatory authority over physicians, and criminal allegations can potentially lead to Board scrutiny or investigation depending upon the circumstances.

The Board identifies criminal violations among matters that can warrant formal investigation.

The important distinction is:

An arrest does not automatically equal license discipline—but a criminal case can create a separate licensing problem.

Can the Georgia Medical Board Investigate a Doctor Before the Criminal Case Is Over?

Potentially, yes.

A Medical Board proceeding does not necessarily have to follow the same timeline as the criminal prosecution.

That creates a difficult strategic situation.

The physician may simultaneously have Conaway & Strickler, PC assist with:

prosecutors, agents and investigators and also the the licensing matter requiring interaction with the Georgia Composite Medical Board.

Those proceedings should be coordinated carefully.

Be Careful About Explaining the Arrest to the Medical Board

Physicians are trained to document, explain, and solve problems. After an arrest, that instinct can sometimes create additional risk.

A doctor may want to immediately write a detailed explanation establishing why the allegations are wrong.

That explanation could become important.

But when a criminal investigation or prosecution remains pending, counsel should consider how substantive statements concerning the allegations could affect the criminal case.

The physician may have constitutional protections in the criminal proceeding that do not translate neatly into a professional licensing investigation.

A statement intended to save the medical license should not inadvertently damage the criminal defense.

This is one of the strongest reasons for retaining counsel early on.

What Can the Georgia Medical Board Do?

The consequences of a Board proceeding depend upon the facts, applicable law, and procedural posture.

Potential professional consequences can include conditions or restrictions on practice, probation, suspension, surrender, revocation, and other disciplinary or remedial action authorized by Georgia law.

Not every complaint or investigation results in public discipline.

But once a matter develops into formal public disciplinary action, the consequences may extend beyond the Georgia license itself.

Public discipline can potentially affect credentialing, employment, hospital privileges, other state licenses, malpractice coverage, and future professional opportunities.

Can the Medical Board Act While Criminal Charges Are Still Pending?

The existence of an unresolved criminal case does not necessarily mean that licensing issues must remain frozen until the prosecution ends.

The Georgia Composite Medical Board’s published orders demonstrate that interim restrictions can arise while criminal charges remain pending.

That does not mean that every physician who is arrested will have their license suspended.

The nature of the allegations matters enormously.

A criminal allegation involving medical practice, patient safety, controlled substances, fraud, dishonesty, impairment, or other conduct directly connected to professional responsibilities may present different licensing issues from an unrelated allegation.

The individual facts matter.

What Types of Criminal Charges Can Create Medical-License Problems?

There is no single category of criminal charge that automatically determines the outcome of a Georgia licensing matter.

But allegations that can raise significant professional concerns include:

• health care fraud;
• Medicare or Medicaid fraud;
• unlawful prescribing;
• controlled-substance diversion;
• prescription fraud;
• theft or embezzlement;
• false statements and fraud offenses;
• patient abuse or neglect;
• sexual offenses;
• criminal allegations involving patients;
• offenses allegedly committed through the medical practice; and
• substance-related allegations that raise questions concerning professional practice or patient safety.

The connection between the alleged conduct and the practice of medicine may be particularly important.

What About a DUI Arrest?

A DUI arrest should not automatically be equated with loss of a medical license.

But depending upon the circumstances, a DUI or other substance-related case can raise issues extending beyond the traffic or criminal proceeding.

For example, facts suggesting impairment in connection with patient care or a broader professional-practice issue could create different concerns from an isolated allegation unrelated to medical practice.

The individual circumstances should be evaluated rather than assuming that every DUI produces the same licensing result.

What If the Criminal Charges Are Dismissed?

A dismissal is obviously significant to the criminal case, but physicians should not automatically assume that every licensing issue disappears solely because prosecutors dismiss the charge.

The criminal justice system and professional licensing system apply different procedures and standards.

Conversely, an arrest or allegation should not be treated as proof of professional misconduct merely because it occurred.

Counsel should determine whether a licensing investigation exists and, if so, what steps are necessary to bring it to a favorable conclusion after the criminal matter is resolved.

A Plea Agreement Must Be Reviewed for Medical-License Consequences

This is one of the most important considerations for a physician charged with a crime.

Imagine that the prosecutor offers:

No jail. Reduced charge. Probation. Case closed.

For some clients, that might sound like an excellent resolution.

A physician needs to ask another question:

“What does this plea do to my medical license?”

The exact offense, statutory language, factual basis, plea terminology, and ultimate disposition can potentially affect professional consequences.

The answer should be investigated before the physician enters the plea.

Once a plea has been entered and sentence imposed, attempting to undo an unexpected professional consequence can be considerably more difficult.

Could Medical Board Discipline Affect Hospital Privileges?

Potentially.

A licensing action can create consequences outside the Medical Board proceeding itself.

Hospitals, employers, insurers, and credentialing organizations may have disclosure requirements concerning disciplinary actions.

Certain adverse professional actions may also implicate reporting requirements involving the National Practitioner Data Bank.

This creates a potential domino effect:

Criminal case → licensing proceeding → professional discipline → credentialing or privileges issues.

Avoiding or minimizing that cascade requires thinking several steps ahead. It is important to divulge the arrest and surrounding circumstances on all applications for renewal. Conaway & Strickler, PC can assist with these applications.

What Should a Georgia Doctor Do Immediately After an Arrest?

First, do not assume the criminal case and medical license are separate problems that can be addressed independently.

Before making substantive statements concerning the allegations, the physician should determine what criminal, licensing, employment, credentialing, and reporting obligations may apply.

Physicians should also preserve relevant records and communications and should never alter medical records, create misleading retrospective documentation, destroy evidence, or attempt to influence potential witnesses.

And before accepting any criminal disposition, the physician should understand what that resolution may mean for the medical license.

The Goal Is to Protect Both the Criminal Case and the Medical Career

A physician facing criminal charges has often invested more than a decade in education and training before beginning independent practice.

The consequences of a criminal case therefore cannot be measured solely by the potential sentence.

At Conaway & Strickler, P.C., we understand that representing a physician requires looking beyond the criminal courtroom.

When a Georgia doctor is arrested or placed under investigation, the defense strategy should consider:

the criminal allegations, the Georgia medical license, DEA registration where applicable, hospital privileges, credentialing, federal health care program participation, and the potential long-term impact on the physician’s career.

Georgia Doctor Arrested or Under Investigation? Talk to Counsel Before You Talk to Anyone Else About the Allegations.

If you are a Georgia physician who has been arrested, charged with a crime, contacted by law enforcement, served with a subpoena, or learned that you are under criminal investigation, do not wait until the criminal case is resolved to determine what it means for your medical license.

The decisions made early in the case can affect both proceedings.

Conaway & Strickler, P.C. represents physicians and other professionals facing serious state and federal criminal investigations and prosecutions in Georgia.

If your freedom, medical license, professional reputation, and career are at stake, the defense needs to account for all of them.

Contact Conaway & Strickler, P.C. to discuss the criminal case and the potential consequences for your Georgia medical license before making decisions that may be difficult—or impossible—to reverse.

Frequently Asked Questions About Georgia Medical Licenses and Criminal Charges

Does an arrest automatically cause a Georgia doctor to lose their medical license?

No. An arrest is not a conviction and should not be treated as an automatic license revocation. Criminal allegations can, however, potentially lead to investigation or other action by the Georgia Composite Medical Board depending upon the circumstances.

Can the Georgia Medical Board investigate a physician while criminal charges are pending?

A licensing matter can potentially proceed while a criminal matter remains unresolved. This makes coordination between the criminal-defense and licensing strategies particularly important.

Should I respond to the Medical Board without a lawyer if criminal charges are pending?

A physician should consider obtaining legal advice before making substantive statements about allegations that are also the subject of an active criminal investigation or prosecution. Statements made in one proceeding can potentially have consequences in another.

Can a felony conviction affect a Georgia medical license?

Yes. A felony conviction can have significant professional-licensing consequences. The specific consequences depend upon the offense, facts, applicable Georgia law, and action taken by the Georgia Composite Medical Board.

Will a DUI cause a Georgia physician to lose their medical license?

A DUI arrest does not automatically mean a physician will lose a medical license. The particular circumstances, including whether the allegations implicate professional practice or patient safety, can matter.

What happens if the criminal charges against the doctor are dismissed?

Dismissal of the criminal charge is highly significant but does not necessarily answer every question in a separate licensing proceeding. If a Board investigation has already begun, counsel should determine what remains necessary to resolve it.

Should a physician consider medical-license consequences before accepting a plea?

Absolutely. A proposed plea should be analyzed for licensing and other professional consequences before it is entered. A resolution that appears favorable from a sentencing perspective may have separate consequences for a physician’s career.

A doctor facing criminal allegations may also have to worry about hospital privileges, DEA registration, employment, credentialing, Medicare and Medicaid participation, the National Practitioner Data Bank, malpractice insurance, and professional reputation, among other issues.

And some of those problems can develop before the criminal case is over.

At Conaway & Strickler, P.C., we represent professionals facing serious state and federal criminal investigations and prosecutions. When the client is a physician, criminal defense requires understanding something prosecutors may not be focused on:

The way a criminal case is resolved can affect the physician’s ability to practice medicine for years to come.

An Arrest Is Not a Conviction

Being arrested does not mean a physician is guilty.

Charges can be dismissed. Evidence can be suppressed. Prosecutors can decline prosecution. Charges can be reduced. Cases can end without a traditional conviction.

But physicians are different from many criminal defendants because their careers are regulated by numerous entities outside the criminal justice system.

A criminal matter may potentially implicate the Georgia Composite Medical Board, DEA, hospitals, employers, credentialing organizations, Medicare and Medicaid, HHS-OIG, malpractice insurers, and the National Practitioner Data Bank.

That makes it essential to investigate collateral consequences before resolving the criminal case.

The Plea That Avoids Jail Could Still Damage a Medical Career

For some clients, a plea offer involving probation and no incarceration may appear extremely favorable.

But for a physician, that is not necessarily the end of the analysis.

The exact offense of conviction, factual basis for the plea, and form of disposition can potentially determine whether other professional consequences follow.

One particularly important example involves the National Practitioner Data Bank.

For qualifying health-care-related offenses, federal NPDB rules use a definition of “conviction” that can encompass guilty and nolo contendere pleas as well as certain deferred-adjudication and first-offender arrangements in which judgment has been withheld.

That means:

“You won’t have a traditional conviction on your record” does not necessarily mean “this disposition won’t affect your medical career.”

The professional consequences should be analyzed before the plea is entered.

DEA Registration Can Become a Separate Problem

Criminal cases involving controlled substances create another level of risk for physicians.

Physicians who prescribe controlled substances generally depend upon DEA registration in addition to their state authority.

Federal law gives DEA authority to pursue suspension or revocation of registration on specified grounds, including certain felony controlled-substance convictions and loss of state authority to handle controlled substances. If you receive an Order to Show Cause and Immediate Suspension of Registration, it is imperative to seek legal counsel immediately.

This can be particularly important in cases involving allegations of:

unlawful prescribing, diversion, prescription fraud, controlled substances, pill mills, Schedule II medications, or improper distribution.

For physicians whose specialties depend heavily upon prescribing authority, a DEA problem can make continued practice extremely difficult even if the criminal sentence itself is relatively limited.

Medicare and Medicaid Exclusion Can Be Devastating

Certain criminal convictions can result in exclusion from federal health care programs.

HHS-OIG has mandatory exclusion authority for specified offenses, including certain Medicare and Medicaid fraud offenses, felony health care fraud offenses, patient abuse or neglect offenses, and felony controlled-substance offenses.

Several categories carry a minimum five-year exclusion period.

Other criminal offenses may create grounds for permissive exclusion.

The consequences can extend far beyond a physician’s ability to submit a Medicare claim personally. Federal exclusion rules can prohibit federal health care program payment for services furnished, ordered, or prescribed by an excluded physician.

For physicians whose practices depend on federal health care program reimbursement, exclusion can threaten the economic viability of the practice.

Hospital Privileges and Credentialing May Also Be Affected

Hospitals, medical groups, insurers, and credentialing organizations maintain their own rules concerning criminal matters.

The actual language matters.

There is a significant difference between a policy requiring disclosure of:

an arrest; criminal charges; an indictment; a conviction; or disciplinary action against a medical license.

A physician should not assume either that disclosure is required or that nothing needs to be disclosed.

Conaway & Strickler, PC can assist in reviewing the applicable hospital bylaws, employment agreements, medical-staff policies, credentialing applications, and insurance agreements.

The National Practitioner Data Bank Can Follow a Physician for Years

Certain licensing actions, clinical-privilege actions, exclusions, and health-care-related criminal convictions can be reported to the National Practitioner Data Bank.

An arrest alone is not the same thing as an NPDB criminal-conviction report.

But what happens after the arrest may create a reportable event.

That distinction makes the structure of the ultimate criminal disposition particularly important.

Federal Physician Investigations Often Begin Before an Arrest

Many federal investigations involving physicians begin quietly.

The first indication may be:

• an FBI or DEA interview request;
• an HHS-OIG inquiry;
• a grand jury subpoena;
• a search warrant;
• seizure of electronic devices;
• interviews of employees;
• requests for medical or billing records; or
• a federal target letter.

A physician does not need to wait for an indictment to retain criminal defense counsel.

The pre-indictment period may provide important opportunities to investigate the allegations, preserve favorable evidence, communicate with prosecutors, and identify professional consequences before the case reaches a critical stage.

Physicians Need a Criminal Defense Strategy Designed for Physicians

Medical school. Residency. Fellowship. Board certification. Hospital privileges. DEA registration. A medical practice. Patients.

A physician may have spent decades building a career before a criminal investigation begins.

The defense strategy therefore cannot be limited to:

“How do we keep you out of jail?”

It should also ask:

Can we prevent charges from being filed?

Can the charge be dismissed or defeated?

Is it possible for negotiaion on the wording of the offense or factual basis to reduce collateral consequences?

Could the resolution affect DEA registration?

Could it result in federal health care program exclusion?

Is there an NPDB consequence?

Could it affect hospital privileges or credentialing?

And, critically:

What does it mean for the physician’s Georgia medical license?

That last issue deserves its own analysis. See our related article: Can a Georgia Doctor Lose Their Medical License if Arrested

Georgia Physician Under Investigation? Protect Your Career Before Making Irreversible Decisions.

If you are a physician who has been arrested, indicted, subpoenaed, contacted by federal agents, served with a search warrant, or informed that you are under investigation, obtaining counsel early can matter.

At Conaway & Strickler, P.C., we represent professionals in serious state and federal criminal matters and understand that physicians have professional consequences at stake beyond the criminal courtroom.

Before speaking to your employer or an investigator, or answering a subpoena, it is very important to understand both the criminal and collateral consequences.

Contact Conaway & Strickler, P.C. to discuss your case and the steps that may be available to protect your freedom, your reputation, and your medical career.

Although it is not required, having an attorney assist you in physician license defense usually helps you achieve a better outcome than if you were on your own.

WHAT CAN AN ATTORNEY DO TO ASSIST?

If you have had an arrest for any crime, it is important to consult with an attorney to understand your duties to inform the Georgia Composite Medical Board. You may need to immediately self report if the arrest involved substance abuse or moral turpitude issues. How and when you communicate with the Board is crucial to your future success in maintaining your license.

In addition, when it comes time to renewal, you must answer the question about any interactions with law enforcement with a YES and attach a narrative. Again, having an attorney assist you with any and all communications with the Composite Board will help your ultimate success in maintaining your license as a physician.

WHAT IF MY LICENSE IS UNDER INVESTIGATION?

If you have been notified by the Georgia Composite Medical Board that you are under investigation, you should immediately contact an experienced health care physician license defense lawyer. We can assist you in all communications with the Board so that you don’t make any statements or submit any documents that could inadvertently hurt you. You will also need to contact your malpractice insurance carrier right away and be sure to document everything involved in what is alleged in the allegations.

WHAT IF I AM ASKED TO SURRENDER MY DEA REGISTRATION?

Has your clinic been subject to a search warrant? At the time of the execution of the search warrant, did one of the agents ask you to voluntarily surrender your DEA registration? You need to consult an attorney immediately not only because a search warrant was executed on your clinic, but, also because there are long term effects of surrendering your DEA registration. Submitting a DEA Form 104 (“Voluntary Surrender of Controlled Substances Registration”) without legal advice is not a good idea. Voluntary surrenders are also typically reported to the National Practitioner Data Bank (NPBD).

WHAT IS THE NPBD?

The National Practitioner Data Bank was created by Congress in 1986 in order to prevent practitioners with histories of misconduct or incompetence from moving state to state without disclosure. Hospitals, state boards, malpractice insurers, and federal agencies are now legally required to report certain actions. There is an online guidebook that provides details on what specific actions are reported. Most importantly, any and all adverse restrictions or surrenders of privileges and adverse state licensing actions are reported.

Contact us immediately so that we can answer all of your questions and so that we can assist you in properly defend ing your physician license defense.