Fiscal Year

2021

Case Number

A-20246-95120

Case Status

Certified

Received Date

2020-09-10

Decision Date

2021-04-16

Refile

N

Original File Date

2021-01-01 09:14:04

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

VIDANT MEDICAL GROUP

Employer Name Slug

vidant-medical-group

Employer Address 1

2100 STANTONSBURG ROAD

Employer Address 2

Employer City

GREENVILLE

Employer City Slug

greenville

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27834

Employer Phone

2528470802

Employer Number of Employees

1518

Employer Year Commenced Business

2006

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Beverly Walker

Employer Contact Address 1

1 Medical Drive

Employer Contact Address 2

Doctors Park 1 AB

Employer Contact City

Greenville

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27834

Employer Contact Phone

252-847-6607

Employer Contact Email

bwalker@vidanthealth.com

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10020134568084

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

147909.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-08-28

PW Expiration Date

2021-06-30

Wage Offer From

151498.00

Wage Offer To

240000.00

Average Salary

195749.00

Wage Unit of Pay

Year

Worksite Address 1

3724 Raleigh Road Parkway

Worksite Address 2

Worksite City

Wilson

Worksite City Slug

wilson

Worksite State

NORTH CAROLINA

Worksite Postal Code

27896

Job Title

Family Practice Physician

Job Title Slug

family-practice-physician

Minimum Education

Other

Major Field of Study

medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Medical degree or foreign equivalent. Completion of 36month Family Medicine residency training program. Board Certified or Board Eligible BCBE in Family Medicine. Physician is board eligible upon completion of residency training program. Able to obtain North Carolina medical license prior to commencement of employment.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-05-20

SWA Job Order End Date

2020-06-25

Sunday Edition Newspaper

Y

First Newspaper Name

The Daily Reflector

First Advertisement Start Date

2020-04-26

Second Newspaper Ad Name

The Daily Reflector

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-03

Employer Website From Date

2020-04-21

Employer Website To Date

2020-04-30

Professional Organization Ad From Date

2021-01-01 09:14:04

Professional Organization Advertisement To Date

2021-01-01 09:14:04

Job Search Website From Date

2020-04-21

Job Search Website To Date

2020-04-30

Employee Referral Program From Date

2021-01-01 09:14:04

Employee Referral Program To Date

2021-01-01 09:14:04

Local Ethnic Paper From Date

2021-01-01 09:14:04

Local Ethnic Paper To Date

2021-01-01 09:14:04

Radio/TV Ad From Date

2021-01-01 09:14:04

Radio/TV Ad To Date

2021-01-01 09:14:04

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

ST. MATTHEWS UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

LIME TREE BAY AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

WEST BAY

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

CAYMAN ISLANDS

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Anthony Bartholomew

Employer Information Declaration Title

VP Operations