Our Team

Dr. Thrash obtained his bachelor’s degree from Emory University and attended the Medical College of Georgia. He performed his internship and three years of Internal Medicine Residency at Parkland Memorial Hospital in Dallas, Texas. He was a Flight Surgeon in the US Air Force for two years and joined Biltmore Medical in 1976. He is board certified in Internal Medicine. Dr. Thrash has been married for 48 years to his wife, Nancy. He has two grown children and five grandchildren. He enjoys the beach and spending time with the grandchildren.

Dr. Ladd obtained his bachelor’s degree from the University of North Carolina at Chapel Hill and attended medical school there as well. He performed his internship and residency at Washington Hospital Center, in Washington, DC. Dr. Ladd is board certified in internal medicine and joined Biltmore Medical in 1990.

Dr. Andrews obtained his bachelor’s degree from Wake Forest University and attended Bowman Gray School of Medicine in Winston-Salem, NC. He performed his internship and residency at the University of Virginia Health Sciences Center in Charlottesville, Virginia. Dr. Andrews is board certified in internal medicine and joined Biltmore Medical in 1998.

Dr. Largent obtained her bachelor’s degree from Wheaton College and attended the University of Minnesota Medical School. She performed her internship and residency at the University of Wisconsin Hospital and Clinics in Madison, WI. Dr. Largent is board certified in internal medicine and joined Biltmore Medical in 2008.

Dr. Sims obtained his bachelors degree from Clemson University and attended the Medical University of South Carolina College of Medicine in Charleston, SC. He performed his internship and residency at the University of North Carolina at Chapel Hill, and stayed on to complete an additional year as Chief Resident there as well. He is currently a fellow in geriatric medicine at Duke University Medical Center. Dr. Sims is board certified in internal medicine and will join Biltmore Medical in August 2018. He enjoys spending his free time with his wife and two young children, especially outdoors.

Dr. Thielman went to medical school at Duke University School of Medicine and did his psychiatry and fellowship training at Duke University Medical Center. He is certified by the American Board of Psychiatry and Neurology and Life Fellow of the American Psychiatric Association. Before returning to North Carolina, he was a senior psychiatrist at the U. S. Department of State where he served as Director of Mental Health Services. Dr. Thielman has broad expertise in the treatment of mood disorders, post-traumatic stress disorder, anxiety disorders, and problems related to complex work and personal situations. His behavior health care approach involves a careful behavioral health assessment, and using a variety of approaches to behavioral health problems, including psychotherapy and pharmacotherapy. He closely collaborates with Biltmore Medical Associates’ primary care providers. He is licensed to practice medicine in North Carolina and Virginia. He joined BMA in 2018.

Peggy obtained her bachelor’s degree from Duke University School of Nursing and attended the University of North Carolina School of Nursing for her Family Nurse Practitioner Certification. Peggy was born and raised in Hendersonville, NC. She has lived in the town of Weaverville for 31 years. She is married with one grown son. She enjoys gardening, walking and hanging out at the lake with family and friends.