Carolina Dermatology & Endocrinology, PA
244 Medspring Drive, Clayton, NC 27520
Phone: 919-359-0291 Fax: 919-553-2907


Sanjay Tomar, MD, Co-Founder
Sanjay Tomar, MD is a board certified dermatologist. He began his medical career with an M.D. degree in Dermatology, Venereology, and Leprology which he received in India in 1994. After moving to the United States, he completed an Internal Medicine residency and practiced Internal Medicine for a few years before further pursuing his career in dermatology. He then earned his M.D. Dermatology training from the State University of New York at Buffalo, NY in 2008. He was the chief resident during both medicine and dermatology training.
His training at Roswell Cancer Park in Buffalo, NY has given him extensive experience in treating skin cancers of many different kinds. He also received extensive training in pediatric dermatology at the Childrens Hospital in Buffalo, NY. He is an expert in this area with many years experience in treating skin disease in all ages. Dr. Tomar is a board certified MOHS Micrographic Dermatologic Surgeon (MDS).
He is a member of the American Academy of Dermatology, American Society of Dermatological Surgery, American Society of MOHS Surgery, American Society of Laser Medicine and Surgery, NC Dermatology Association, NC Medical Society, and Johnston County Medical Society.
He is married to Dr. Rashmi Tomar and his hobbies include music, sports, and playing the Lap Steel guitar.
Jessica Wagoner, MHS, PA-C
Jessica Wagoner, MHS, PA-C completed her Master's Degree in Physician Assistant Studies from Duke University, where she graduated with honors and earned a degree in Masters of Health Sciences. She was also a member of Pi Alpha, the American Physician Assistant Honors Society. She received her undergraduate degree from the University of Missouri, majoring in Biochemistry with a minor in Psychology, and graduating with University Honors. She is also a Clinical Preceptor for the Duke Physician Assistant Program. Jessica is a Diplomate Fellow and member of the Society of Dermatology Physician Assistants as well as an active member of the American Society for Laser Medicine & Surgery. Passionate about continuing medical education, she actively pursues advanced training and stays current with emerging innovations in dermatologic care to ensure the highest standard of practice and has strong interests in preventative skin cancer screenings, surgical and cosmetic dermatology.
In her free time, she enjoys hiking, gardening, traveling and spending time with her husband and dog. She joined Carolina Dermatology and Endocrinology in 2013 and works with Dr. Sanjay Tomar.
Shannon Crowley, MHS, PA-C
Shannon Crowley, MHS, PA-C completed her Master’s Degree in Health Sciences from Duke University. She received her Bachelor of Science degree from Virginia Tech, majoring in Biological Sciences with a minor in Leadership and Social Change, and graduating Cum Laude. Shannon is a member of the Society of Dermatology Physician Assistants, the American Academy of Physician Assistants and the North Carolina Academy of Physician Assistants. Shannon specializes in Dermatology care and is passionate about providing the highest quality care to her patients. She is fluent in the English and Thai languages.
In her free time, Shannon enjoys traveling, cooking, painting and playing tennis. She joined Carolina Dermatology and Endocrinology in 2018 and works with Dr. Sanjay Tomar.
Martha (Lilly) Ingram, MS, PA-C
"Lilly" Ingram, MS, PA-C completed her Master’s Degree in Physician Assistant Studies at Northeastern University. She received her Bachelor of Science degree from North Carolina State University, majoring in Human Biology with a minor in Nutrition, and graduating Summa Cum Laude. Lilly is a Diplomate Fellow and member of the Society of Dermatology Physician Assistants and is also a member of the American Academy of Physician Assistants. She specializes in Dermatology care and is committed to providing compassionate and high-quality care to her patients.
In her free time, Lilly enjoys traveling, hiking, running and spending time with her family. She joined Carolina Dermatology and Endocrinology in 2019 and works with Dr. Sanjay Tomar.
Mary Sheldon Beckwith, MHS, PA-C
“Mary Sheldon” Beckwith, MHS, PA-C completed her Master's Degrees in Physician Assistant Studies and Health Sciences from Duke University. Prior to attending the Duke PA Program, she received her Bachelor's degree from Stetson University. She joined Duke Pediatric Dermatology in 2013 and was in practice there for over 10 years. During her time at Duke, she was selected as APP Team Lead for the department of Dermatology and precepted for the Duke Physician Assistant Program, Duke Pediatric Nurse Practitioner Program, Duke APP Pediatric Dermatology Fellowship and Duke APP Primary Care Fellowship. Mary Sheldon is a member of the Society of Dermatology Physician Assistants and Society for Pediatric Dermatology. She enjoys all aspects of medical dermatology and specializes in pediatric and adolescent dermatology.
Outside of her professional life, she enjoys spending time with her husband and two young children. She spends free time watching NCAA basketball and football, traveling, and cooking. She joined Carolina Dermatology and Endocrinology in 2024 and works with Dr. Sanjay Tomar.
Shivani Kaushik, MD, FAAD
Shivani Kaushik, MD, FAAD, is a board-certified dermatologist. She began her medical career in India, where she completed her medical school as well as residency training in dermatology. After moving to the United States, she pursued dermatology research for a few years prior to completing her dermatology residency at one of the highest-ranked dermatology residency programs, the Icahn School of Medicine in New York City, serving as a chief resident. She worked as an Assistant Professor in Dermatology at Robert Wood Johnson Medical School in NJ, before she decided to move to the Triangle area in NC.
She enjoys all aspects of dermatology, including medical, surgical, and cosmetic. She brings with her extensive training and experience in treating all dermatologic conditions, both common and rare. Her focus is on creating a customized approach to the treatment of skin diseases based on individual patient needs.
She has authored more than 20 peer-reviewed articles, and she is an active member of the American Academy of Dermatology, American Society of Mohs Surgery, American Society for Laser Medicine and Surgery, NC Dermatology Society, and NC Medical Society.
In her free time, she enjoys spending time with her husband and 2 kids. She also enjoys traveling, baking, eating out, and reading.
Rashmi Tomar, MD, Co-Founder
Rashmi Tomar, MD is a board certified endocrinologist. She graduated from the Internal Medicine and Endocrinology fellowship program from the State University of New York at Buffalo, NY. She then worked as an Assistant Professor of Endocrinology at Buffalo, NY. On moving to North Carolina, she joined Johnston Health as the staff Endocrinologist. In 2010, she started her own practice in Clayton, NC.
She has extensive training and experience in diabetes management and provides the best diabetes care possible. She also performs in-office thyroid ultrasounds, biopsies, and treatment of thyroid disorders and cancers. Additionally, she has expertise in other areas of endocrinology with hormonal and metabolic disorders. She has published many articles in reputed journals.
She is a member of The Endocrine Society, American Association of Clinical Endocrinologists, and the Carolina Chapter of American Association of Clinical Endocrinologists.
She is married to Dr. Sanjay Tomar, and they have two daughters. She enjoys reading and cooking in her free time.