Meet the GPs we support and the Tenambit Medical Centre team

Dr Tracy Markham grew up in Limerick Ireland and has been living in Australia for 18 years. Dr Markham has completed both her Irish and Australian GP examinations, has her advanced certificate in skin cancer medicine and has experience worked as a GP on three continents. Dr Markham joined the team at Tenambit Medical Centre in 2011 and became Practice Principal in November 2021. Dr Markham’s priority is her patients and caring for their families. Dr Markham is interested in all areas of GP and whole patient care is a priority.

Dr Armi Aganan finished her Emergency Medicine training in the Philippines before going onto work in Singapore for 2 years. She finally settled in Australia where she finished her ACRRM (Australian College of Rural and Remote Medicine) fellowship.

Armi has extensive knowledge in working as a Designated Examiner (DAME). Whilst she enjoys doing Children and Womens Health, she has a new found interest in Aesthetic and Nutritional Medicine, doing facial enhancement, skin care ( including skin check and simple skin cancer treatments) and IV nutrition, treating patients in a hoilistic manner.

Armi is also passionate about medical missions and in giving back She is an active member of the Philippine Australian Medical Association (PAMA) and joins medical missions in the indigent areas of the Philippines every year.

Armi loves supporting local businesses around the area and getting out in nature and music in her spare time.

Areas on interest:

• General Family Medicine (including Children and Women)
• Aviatoin Medicine
• Aesthetic and Nutritional Medicine

Dr Nicole Payne completed her fellowship in 2024. Nicole is an Indigenous doctor who enjoys having a chat and getting to know her patients. Nicole has a special interest in women's health and sexual health. When Nicole is not working, she is spending time with her family and her dogs.

• Anxiety and Depression
• Grief and Loss
• Anger Management
• Alcohol and Other Drugs
• Bullying and Harassment
• Return to Work/Workers Compensation
• Trauma
• Adolescent issues
• Relationship/Family Issues
• Stress Management and Adjustment Issues
Paul has a particular interest in supporting current and former Military Personnel and members of the Emergency Services.  Paul is a practicing Christian and, if requested, is able to incorporate faith issues into the counselling process.   Treatment options include Medicare, NSW Worker's Compensation, DVA and Employee Assistance Program (EAP) Please ring Robyn Causley (Practice Manager) on 0406 362 449 for an appointment or if you have any questions. More detail is available on our website: www.causleypsychology.com.au