Internal Medicine
Nathan “Nate” Spell, MD
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Davidson College
Medical School: Harvard
Residency: Brigham and Women’s Hospital, Boston, MA
Professor Emeritus: Emory University School of Medicine
Dr. Nathan Spell served 4 years in the U.S. Air Force Medical Corps immediately after residency and then joined the department of medicine at Emory University as a general internist. In his 25 years at Emory, he held several education leadership roles—resident clinic director in his ambulatory practice, then associate program director, and ultimately associate dean for education and professional development, including oversight of CME (Continuing Medical Education). He held administrative positions as medical director of his practice and 10 years as Chief Quality Officer for Emory University Hospital, including starting the Emory Quality Academy for professional development in quality improvement. He joined MAHEC in August 2023 as department chair.
My professional passions are in the growth and development of physicians, interprofessional education, quality and safety, and addressing professional and health disparities. I was attracted to MAHEC because of how well the role of chair fits my experience and because of the infectious passion for the mission among everyone I’ve met here. My outlets are mountain trail running and spending weekends planning, shopping, and cooking meals for family and friends.
Stephanie Call, MD, MSPH
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: University of North Carolina, Chapel Hill
Medical School: University of Maryland at Baltimore
Internship: Internal Medicine, University of Alabama at Birmingham
Residency: Internal Medicine, University of Alabama at Birmingham
Chief Resident: Internal Medicine, University of Alabama at Birmingham
Fellowship: General Internal Medicine, University of Alabama at Birmingham
Past faculty appointments: University of Alabama at Birmingham (Associate Program Director), University of Louisville (Associate Program Director), Virginia Commonwealth University (Program Director, Associate Chair)
Dr. Stephanie Call was recruited to start the MAHEC Department of Internal Medicine and the Internal Medicine Training Program in the fall of 2019. She brings with her a passion for General Internal Medicine, both in the office and in the hospital, and a wealth of clinical and educational experience. Her clinical interests include primary care for patients infected with HIV, behavioral health, health coaching for the management of chronic disease and promotion of healthy lifestyle, and health screening. Dr. Call is a nationally recognized educator, recently receiving the national Associate of Program Directors in Internal Medicine Distinguished Medical Educator Award. She was also a recipient of the Parker J. Palmer Courage to Teach Award - one of the highest honors bestowed by the medical education national community. Dr. Call was also recognized as Working Mother of the Year in 2012 for demonstrating that you don’t have to choose between a fulfilling career and a wonderful personal life (And, her three daughters Alex, Katie and Emma agree!).
Keelan Dorn, MSN, RN, FNP-BC
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Keelan is a Family Nurse Practitioner and has worked with patients in multiple nursing roles across Tennessee and North Carolina. She works in the same-day Access Clinic and the Medication-Assisted Treatment Clinic. Keelan’s clinical passions are centered around providing affordable and accessible medical care to every patient population and educating patients on preventative care.
Taylor Fie, MD, MPH
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Western Carolina University
Medical School: University of North Carolina, Chapel Hill
Master’s in Public Health: University of North Carolina, Chapel Hill
Residency: Internal Medicine, University of Virginia
Dr. Taylor Fie is originally from Clyde, NC, and graduated with her English Literature degree from Western Carolina University. After completing her residency at the University of Virginia in Charlottesville, she moved back to Western North Carolina to practice as a primary care physician and to help train the next generation of doctors. She serves as the Internal Medicine site director for the UNC School of Medicine Asheville campus and has a special interest in rural health, medical education, and resident procedure training.
Ritch Greene, LCSW
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Ritch came to MAHEC from Los Angeles where he led the gender care program for Kaiser in his service area. He has a background in community mental health, addiction medicine, and outdoor education. Ritch spent most of the 90s in Asheville working for North Carolina Outward Bound, using experiential education to provide healing experiences for his students. He and his husband are mountain bikers and rock climbers. They moved back to the area to enjoy their outdoor pursuits and start a fiber farm.
Vinendra Gupta, MD
MAHEC Endocrinology Clinic
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Dr. Gupta is an Endocrinologist with more than 25 years of experience. Initially, he trained in India where he had extensive experience with a variety of Endocrine disorders, including pituitary and thyroid conditions. He then participated in an Endocrinology Fellowship at the University of Minnesota where he conducted research on pancreatic islet cells. Endocrinology is Dr. Gupta's passion due to the intricacies of the Endocrine systems that do so much in our bodies. He finds that there is a lot of confusion and uncertainty amongst people with endocrine disorders and he aims to help patients understand their medical condition(s) and work with them to find the best possible treatment. He is also a diplomate of the American Board of Internal Medicine. Dr. Gupta has lived in Asheville, NC, for almost 25 years. His wife runs a Neurology practice locally and their two sons were raised in Asheville. Outside of work, he likes to garden, hike, and paint. Recently, he picked up pickleball as a new hobby.
Ellie Hartye, PA-C
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Ellie is a Physician Assistant and local of WNC, raised in Asheville, NC. She recently graduated from Wingate University's Physician Assistant Studies Program in Hendersonville and is excited to jump-start her new career as a PA-C with MAHEC. As a patient with type 1 diabetes, she has a passion for diabetes and endocrine care. She will be serving patients in both the Endocrinology and Internal Medicine clinics. In her off time, she enjoys playing soccer, biking, woodworking, and playing music.
Kelsey Hines, PA-C
MAHEC at Givens
2360 Sweeten Creek Road
Asheville, NC 28803
(828) 271-6946
Kelsey earned a Bachelor of Science at Northwestern University. She completed Physician Assistant training at Duke University Medical School where she earned a Masters in Health Sciences. Kelsey has been part of the Givens care team since 2022 and will continue providing care in all three settings. She is a proactive, forward-thinking, and inclusive physician assistant with nine years’ experience with adult and geriatric populations including in skilled nursing facilities. She has directed and delivered outstanding comprehensive patient care as the primary care provider across three skilled nursing facilities encompassing primary care, urgent care, post-acute care, palliative care, and end of life comfort care.
Nancy Kubiak, MD, FACP
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Texas A&M University
Medical School: Baylor University College of Medicine
Internship: Internal Medicine, Primary Care, University of Coloradol
Residency: Internal Medicine, University of Mississippi
Chief Resident: Internal Medicine, University of Mississippi
Past faculty appointments: University of Louisville (Associate Program Director, Medical Director)
Dr. Nancy Kubiak moved to western North Carolina to direct the MAHEC Internal Medicine practice as it grows to train the next generation of great general internal medicine specialists for the area. Her clinical interests include quality improvement and endocrinology in primary care.
Carissa Lau-Julien, MD
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Walla Walla University Medical School: Loma Linda University Residency: Internal Medicine, University of Alabama at Birmingham Fellowship: Geriatrics, University of North Carolina at Chapel Hill
Dr. Lau-Julien moved to Asheville to become a clinical educator and to practice geriatrics in a variety of settings. Her clinical interests include whole-person care, complex medical-psychosocial situations, care transitions, and collaborative interprofessional care. Current practice sites include: Givens Estates Health Center, Givens Estates Clinic, MAHEC Home-Based Primary Care and Mission Hospital.
Schuyler Livingston, MD
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Amherst College Medical School: Emory University School of Medicine Residency: University of Colorado Internal Medicine Residency, Primary Care Track Past Faculty Appointments: Assistant Professor, Emory University School of Medicine at Grady Memorial Hospital and the Grady Infectious Disease Program (IDP)
Dr. Livingston has spent his career providing high-quality, comprehensive care in communities that are often overlooked by our healthcare system. He enjoyed outstanding educational opportunities at Emory University and the University of Colorado. After residency, he returned to Atlanta to become a clinician-educator in the Grady Health System, Georgia’s premier safety-net hospital. He focused on providing care for people living with HIV at the Grady Ponce Center for Infectious Disease. At Grady, he honed his skills as a physician and teacher, serving as a clinical mentor to medical students and residents. More recently, he served as a primary care physician for low-income seniors in Atlanta. He provided HIV and hepatitis C care within his clinic system, effectively expanding access to needed specialty care. Dr. Livingston believes in meeting patients where they are, becoming their partner in navigating illness and promoting health. He believes in going the extra mile to reach out to patients when they face a health crisis. He is fluent in Spanish and greatly enjoys providing cross-cultural care.
Jorgen Madsen, MD
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: Utah State University Medical School: University of Utah Residency: Internal Medicine/Pediatrics at University of Cincinnati
Dr. Madsen completed a residency in Internal Medicine and Pediatrics at the University of Cincinnati and Cincinnati Children's Hospital. He has been recognized for his focus in providing compassionate care and advocating for underserved populations. He is passionate about providing comprehensive LGBTQ Health and has been focusing on building medical education surrounding LGBTQ care. Having grown up in a rural community himself, Jorgen believes that everyone should have access to quality care regardless of where they live or how they identify. He believes in patient centered care with shared decision making, empowering patients to make an informed decision about their own care.
Caroline Mueller, MD, MEd, FACP, FAAP
MAHEC Internal Medicine
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Undergraduate: University of Illinois
Medical School: University of Cincinnati, College of Medicine
Residency: Internal Medicine-Pediatrics, University of Cincinnati
Past faculty appointments: University of Cincinnati, (Program Director of the Cincinnati Hospital Group Combined Internal Medicine-Pediatrics Residency)
Dr. Mueller has been a primary care doctor since she finished residency in 1994. She trained as both an internist and pediatrician at the University of Cincinnati and Cincinnati Children’s Hospital Medical Center. She has a special interest in patient wellbeing as well as complex medical care, chronic care management, shared decision making with patients, and genetics. With more than 30 years in clinical practice, she is considered a master clinician/diagnostician. In the management of chronic disorders such as chronic insomnia and chronic pain, she believes in the integrative approach which focuses on exercise, nutrition and mental health and minimizes medicinal interventions. While these approaches require maximum patient engagement, they are also the most rewarding in pursuing our greatest health potential!
Stephen Weinrib, MD
MAHEC Endocrinology Clinic
123-A Hendersonville Road
Asheville, NC 28803
(828) 771-3500
Dr. Weinrib has practiced general adult endocrinology in Asheville since 2002, after first practicing in his hometown of Montgomery, AL, for five years. He has long taught healthcare professionals-in-training, given professional lectures and community talks, conducted clinical research, and provided endocrine care for the uninsured in Buncombe (ABCCM), Henderson, and Polk (The Free Clinics) counties over the last two decades. Dr. Weinrib enjoys educating patients about their endocrine conditions and offering options for individualized treatment. He has a special interest in the treatment of Polycystic Ovary Syndrome (PCOS), thyroid nodules, thyroid cancer, and the many forms of diabetes mellitus. He looks forward to expanding MAHEC’s endocrine services across WNC through partnerships, technology, and innovation.
