Executive Leadership Team

"Leadership is about being a servant first" 

-Allen West

Preston Smith, JD, FACHE


Preston brings over twenty years of healthcare leadership experience to the Premier Anesthesia and is board certified in healthcare management as a Fellow in the American College of Healthcare Executives. Preston began his career as a healthcare attorney representing hospitals and medical practices - specializing in hospital law, medical malpractice defense, physician practices, dispute resolution and litigation. He also served as a Senator in the Georgia General Assembly for four consecutive terms and was the Chairman of the Senate Judiciary Committee. As a result of his patient-centered advocacy and healthcare reforms, Preston was designated ‘Legislator of the Year’ by a broad spectrum of healthcare organizations. He was named to the list of ‘100 Most Influential Georgians’ by Georgia Trend and was ranked number one, nationally, by the American Justice Partnership as a ‘National Hero’ of the legal reform movement. Preston originally joined the Jackson Healthcare family of companies as President of Tyler & Company, a healthcare executive search firm, focused on recruiting senior leadership for healthcare systems, hospitals and medical practices. Prior to joining Jackson Healthcare, Preston was President of Anesthesia at a national, multi-specialty professional medical service company, later holding the roles of Chief Revenue Officer and Chief Compliance Officer for its parent company.

Stephanie Black, RN, MBA

Vice President of Operations

Stephanie has over a decade of experience working in healthcare. Before being promoted to her current role, Stephanie served Premier Anesthesia as a Regional Vice President for over 3 years after having worked with Apollo MD for 6 years prior. At the end of her tenure at Apollo MD, Stephanie had earned the role of Vice President of Operations before finally joining Premier Anesthesia’s team as a Regional Director. Her work has led her to be involved with several hospitals where she was able to learn how to provide hands-on care to patients in need. Stephanie holds a bachelor’s degree in Economics and Finance at Kennesaw State University, a bachelor’s degree of Science in Nursing at Chamberlain College of Nursing, a Master of Business Administration with a concentration in Healthcare Management at Shorter University, and a clinical nursing license in the state of Georgia, which has allowed her to gain both a passion for, and commitment to, clinical quality, customer service, and practice management.

Randy Walker


Randy has an extensive background in healthcare and physician practice management with over 25 years of experience in Finance and Accounting. Prior to joining Premier Anesthesia, he was a partner with a financial advisory services firm. Randy has held leadership roles such as regional vice president of finance and vice president of finance. Randy's experience also includes nine years with an international accounting firm. He holds a B.S. degree in Accounting from the University of South Carolina.