Physician Assistants

Our physician assistants support patient care across our clinics and work closely with our physicians. They evaluate symptoms, assist with procedures, and help you understand next steps.

The goal is simple: you feel heard, informed, and confident about your next step.

Review

History and symptoms

Exam

Focused evaluation

Plan

Next steps and follow-up

Austin L. Dages, PA-C

Austin is a dedicated physician assistant with extensive experience in spine surgery and neurosurgery (brain surgery) before transitioning to interventional pain medicine.

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Amy Horton, PA-C

Ms. Horton is a certified Physician Assistant from Methodist University in Fayetteville, NC. She worked in Family Medicine for several years, in both private practice and rural health settings.

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Jennifer Louloudes, PA-C

Mrs. Louloudes is a certified physician assistant from the physician assistant program at Massachusetts College of Pharmacy and Health Sciences in Boston. She gained valuable experience while working many years in both private practice and Hospital Medicine.

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Julia Marki, PA-C

Ms. Marki is a certified Physician Assistant from Beaver County, Pennsylvania. She graduated from the Physician Assistant program at Gannon University in Erie, PA.

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Michael Roche, MPAS, PA-C

Michael Roche is a board certified Physician Assistant with over 20 years of experience, having worked in Neurosurgery and Spinal Orthopedics before coming to Pain Management in 2017.

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Find Our North Carolina Pain Management Clinics

At Wake Spine & Pain, we serve the communities of Raleigh, Cary, Garner, Clayton, Wake Forest, Morrisville, Smithfield, Willow Springs, Holly Springs, Fuquay-Varina, Lexington, Asheville, Clemons, High Point, Winston-Salem, Reidsville, Greensboro, Kernersville, Fayetteville, and Greenville and surrounding areas. We work hard to see patients promptly, often within 48 hours of your initial call.