Andrew N. Illobre PA-C
Kimberly J. Martin PA-C
Gary M. Toppin, PA-C
Emily Mackovjak, FNP
Dr. Charlie Henry Foster, Jr.
~ Medical Director ~

Mr. Andrew N. Illobre, PA-C

Mr. Illobre grew up in Lebanon, Tennessee. He joined the U.S. Coast Guard after high school and became a Health Services Technician.  In 1985, he was selected to attend the  Physician Assistant Program at Duke University.  He graduated in 1987 with a PA certificate and went on to complete his baccalaureate degree at University of the State of New York in 1991.  Mr. Illobre practiced Family Medicine as a PA with the U.S. Coast Guard for 9 years in places such as Governor’s Island, New York, Petaluma, California, and Yorktown, Virginia before retiring in 1996.  His assignment in California was as Director of the Coast Guard’s Emergency Medical Technician and Health Services Technician training programs where all future Coast Guard medical personnel are trained.

After retiring from the Coast Guard, Mr. Illobre joined a large primary care group in Wilmington, North Carolina.  After practicing there for 7 years, he and another Physician Assistant, Kimberly Martin, opened Masonboro Family Medicine in Wilmington in November 2003.  He has been and is currently a clinical preceptor for the Duke University PA program.   

Having been in Family Practice for over 20 years, he enjoys all aspects of pediatric, adolescent, and adult medicine from well child care to diabetes, cholesterol management, and hypertension.  He has special interests in sports medicine and in skin cancer detection and treatment.

Andy lives on the south side of Wilmington with Margo, his wife of over 28 years.  He is an avid boater, offshore fisherman, and scuba diver / spear fisherman.  He also enjoys golf, travel, and cooking with family and friends.

Ms. Kimberly J. Martin PA-C

Ms. Kimberly J. Martin PA-C

Ms. Martin graduated from Ohio University with a degree in Biological Science and went on to pursue a Physician Assistant degree from Kettering College of Medical Arts. She met her husband, Jeff, in college and they were married in Wilmington in 1999. They absolutely love the area and plan to retire here.

Once in Wilmington, she worked with an internal medicine physician for a year, and then joined a family practice in Carolina Beach where she worked for 4 years. In 2003 she co-founded Masonboro Family Medicine with fellow PA Andy Illobre. Kim practices general family medicine and has a special interest in Women’s and Children’s Health.

Kim is a member of St. Mary’s Church in Wilmington and is a former Army Reservist. She enjoys boating, camping, hiking, swimming and running with her husband and two children. Most days she can be found at Veteran’s Park either on the baseball, football or soccer fields.

Being active in the community, she is involved with multiple fundraisers, whether as a participant, volunteer or sponsor. She mentors Ashley High School students seeking careers in the medical field and is a preceptor for Duke Physician Assistant students.

Kim is a member of the North Carolina Medical Society, American Academy of Physician Assistants and the North Carolina Academy of Physician Assistants. She also currently holds a faculty position with Duke University.

Mr. Gary M. Toppin, PA-C

Gary M. Toppin, PA-C

A native of Elizabeth City, NC, Mr. Toppin graduated from North Carolina State University earning a degree in Electrical Engineering. He then worked for Cisco Systems as a software engineer and volunteered as an Emergency Medical Technician during his free time. He also developed an interest in scuba diving and obtained his Dive Control Specialist certification.

While volunteering as an EMT in Durham Gary became increasing more interested in medicine and decided to change careers to become a healthcare provider. He attended Eastern Virginia Medical School in Norfolk, Virginia, where he earned a Master of Physician Assistant degree.

Mr. Toppin has been working primarily in emergency room environments, specializing in emergency medicine, and has decided to focus on family medicine and urgent care.

His medical interests are in all aspects of family practice and urgent care with special interests in wilderness medicine and men’s health. He is a member of the American Academy of Physician Assistants.

Gary lives in Kure Beach with his wife and their two active daughters. They are members of Carolina Beach Presbyterian Church and volunteers at Carolina Beach Elementary School. He enjoys the outdoors and when not in the office he is often on the beach, PISA soccer fields, in the pool, running, or biking with his family.

Ms. Emily Mackovjak, FNP

Emily Mackovjak, FNP

Emily Mackovjak, FNP, joined our practice in July 2014. Emily grew up in a small town near Cleveland, Ohio then left to attend college at University of North Carolina Wilmington where she earned her bachelors in Biology. She then completed the Family Nurse Practitioner program at Case Western Reserve University in Cleveland, OH, earning a Masters for Science in Nursing degree.

While studying at UNCW, Emily fell in love with the people and the beauty of the area and decided to make it her permanent home. She worked as a registered nurse on the cardiac floor at New Hanover Medical Center for three years while completing her nurse practitioner clinical rotations at various practices in New Hanover and Brunswick counties. Cardiology remains a special interest of Emily's, as well as pediatric health.

Emily is a member of the American Association of Nurse Practitioners. She enjoys spending time with family and friends, running, and being on the water and beaches. She attends Port City Community Church and volunteers at Coastal Therapeutic Riding Center.

Behavioral Health Providers

Family Works 910-509-0588


Guy Kashgarian, PhD, Clinical Director, is a licensed clinical psychologist with over 35 years of experience working with adults, children, couples and families. Dr. Kashgarian provided clinical direction and supervision to psychotherapists as the Clinical Teams Manager of Eastpointe Human Services (Duplin, Sampson, Wayne, Lenoir Area Programs, NC), the Director of Adult Mental Health and Substance Abuse Services (Wayne County Mental Health Center, Goldsboro, NC), Clinical Supervisor of Therapeutic Services of Three Rivers Youth (Pittsburgh, PA), and Program Director at the Eden Day Program, a progressive addiction treatment center in Minneapolis, MN. Dr. Kashgarian has trained psychotherapists at a number of colleges and universities as well as state and national professional meetings, and has trained and supervised hundreds of psychotherapists who work in community behavioral health clinics.


  • Couples psychotherapy
  • Relationship problems
  • Parent and child psychotherapy
  • Adolescent psychotherapy
  • Adult individual psychotherapy
  • Psychological evaluations and testing

Deb Kalnen is originally from the Wilmington area. She received her Bachelor’s and Master’s degrees in Psychology from the University of North Carolina Wilmington, graduating summa cum laude. Her professional experience includes several years as a psychotherapist and psychological tester in a private facility in Jacksonville, NC. Deb’s past experience has included working with adults, adolescents, and children. She offers special care in the areas of stress management, anxiety, and depression.


  • Stress management
  • Anxiety and depression
  • Individual psychotherapy for children, adolescents, and adults
  • Substance abuse
  • Relational problems
  • Interactive therapy
  • Adjustment disorders and mood disorders
  • PTSD and OCD
  • Substance counseling


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