Our Leadership Team

Clinical Training Specialist

Jamie Smith is a certified Family Nurse Practitioner (FNP) who provides direct patient care to residents in Roanoke, Virginia, and serves as Premier Geriatric Solutions' Chief Education Officer. She completed her undergraduate education at Liberty University in 2007 and, in 2013, graduated from James Madison University with her FNP. Her vast nursing experience includes medical-surgical, neurology and surgical intensive care, long-term acute care, and emergency medicine. She and Dr. Bradley Goad published a manual for students and new providers who provide care to older adults in the outpatient setting, Geriatric Notes. In addition, she contributed to other publications, published by GAPNA (renal failure), and developed CMEs for other companies (cardiac-related).

Jamie is passionate about improving clinical documentation per CMS guidelines, strives to improve practices through her role and is an educational liaison between PGS and the facilities served. In addition, she has developed and distributed a series of educational tools targeting post-acute-care providers to ensure best practices in the clinical setting.

Jamie lives in VA, with her husband family. When she isn’t working, she enjoys spending time with her family, reading, exercising, and playing the banjo.

Senior Director of Clinical Pharmacy

Barbara Pereira, RPh is a seasoned Clinical Pharmacist with over 23 years of dedicated experience in the post-acute space. After receiving her pharmacy degree from Massachusetts College of Pharmacy in 1989, her career has spanned from roles as an independent pharmacy owner, a Consultant Pharmacist and Clinical Manager for a large national long-term care pharmacy provider, to most recently holding an executive leadership role where she pioneered the development and implementation of a medication optimization and deprescribing program for a post-acute physicians practice across the country. Her career trajectory has equipped her with a comprehensive understanding of the CMS regulations and survey procedures that govern our industry.

One of Barbara's passions is addressing the complex nature of geriatric medication therapy and reducing the prevalence of polypharmacy in this population. Her mission revolves around educating both providers and clients on potential pitfalls and, more crucially, the available solutions to this widespread industry issue. Barbara is an integral part of the educational initiatives at Premier Geriatric Solutions, collaborating on clinical projects and outcomes-based activities with our leadership team.

Barbara currently resides in MA with her husband and family. In her free time, Barbara enjoys hiking, exploring new dining options, and traveling.

Operations Manager - North

Heather started her medical career as a pharmacy technician, with a long-term care pharmacy which serviced ALF and LTC facilities. She worked as receptionist in the dermatology field, where she created her own position of referral coordinator, working closely with patients and family care practices. Her most enjoyable experience was her 9 years as Medical Supplies Clerk at VMRC. In this position, she was able to have many meaningful one on one experiences with residents that she would meet daily. She collectively has 18 plus years in the medical field, and enjoys being a part of a company that strives to enrich the lives of the geriatric community.

Heather lives in VA with her husband and family. In her free time, she enjoys spending time with her family at the lake or beach or “thrifting”.

Certified Professional Coder - A

Tabitha is a licensed physical therapy assistant, LPTA and Certified Professional Coder, CPC-A. Her passion for serving others began at the age of 16 when she first became a clinical transporter and receptionist in the imaging department at a hospital. Tabitha later received her PTA degree from Jefferson College of Health Sciences in Roanoke, Virginia (2002). She has over 20 years of post-acute care experience and switched career paths to serve as a scribe for our CEO, Dr. Bradley Goad, in 2021.

Tabitha quickly recognized her passion for serving as a medical scribe and dedicated her time to improving processes for that role. Her streamlined approach served not only the provider but offered timely, complete, and accurate documentation for meeting the resident’s needs.
In her new role as an Auditing and Monitoring Specialist, she provides feedback on provider’s documentation for compliant billing and coding. Tabitha resides in VA with her husband and their family. In her spare time, she enjoys spending time with her family, vacationing in the mountains, scrapbooking, reading, and working on home projects.