Paula Shearin Elias, AGNP

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Unc Health Nash Hospital · Rocky Mount, NC

Colleagues at Rural Health Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 62 clinicians in the practice; 12 are shown here.

• Laquita Balmer, NP Family Nurse Practitioner · Jackson, NC
• Mrs. Mary Lamonica Cooper, FNP-C Family Nurse Practitioner · Roanoke Rapids, NC
• Mohammad Ali Esmaeil Pour, MD Internal Medicine Physician · Henderson, NC
• Amanda Aydelette Futrell, PA-C Physician Assistant · Scotland Neck, NC
• Dr. Holly Virginia Mackenna, MD Psychiatry Physician · Roanoke Rapids, NC
• Dr. Vijayalakshmi Mamedi, MD Family Medicine Physician · Roanoke Rapids, NC
• Virginia Lelle Niver, PA Physician Assistant · Roanoke Rapids, NC
• Mrs. Jennifer Pernesky, FNP Family Nurse Practitioner · Roanoke Rapids, NC
• Stephanie Renee Pierce, MD Obstetrics & Gynecology Physician · Winston Salem, NC
• Mrs. Rebecca Stone Ramey, PA-C Physician Assistant · Whitakers, NC
• Shelly Hilliard Shearin, FNP-BC Family Nurse Practitioner · Norlina, NC
• Cassandra D Storey, PA-C Physician Assistant · Weldon, NC

Other providers in Roanoke Rapids

• Sherby Brown, ARNP-C

  Individual Adult Health Nurse Practitioner · NPI 1376638312

  2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 · (252) 536-5000

• Ellen Ashley Dickens Duke, A-GNP-C

  Individual Adult Health Nurse Practitioner · NPI 1528468394

  244 Smith Church Rd Bldg 5, Roanoke Rapids, NC 27870-4956 · (252) 535-2350

• Jennifer Tetterton May, ANP

  Individual Adult Health Nurse Practitioner · NPI 1730334145

  721 Jefferson St, Roanoke Rapids, NC 27870-2817 · (912) 602-0083