North Carolina doctor charged with shooting two sisters during alleged road rage incident on Interstate 77

By 
, August 25, 2026

A 61-year-old Charlotte emergency medicine physician faces multiple felony charges after he allegedly fired into a moving Jeep on a Virginia interstate, striking two sisters, ages 12 and 20, in the legs.

Virginia State Police arrested Dr. Richard Thomas Arriviello on Aug. 22 after troopers tracked his Mercedes-Benz roughly 15 miles from the scene of the shooting on Interstate 77, about three miles north of the North Carolina-Virginia state line. Both victims were airlifted to a hospital. Their injuries were not considered life-threatening, Fox News Digital reported.

Arriviello now sits in the New River Valley Regional Jail without bond. He faces charges of malicious shooting into an occupied vehicle, maliciously causing bodily harm to another with intent to maim, and use of a firearm while committing a felony, all felonies under Virginia law. A court date is set for Sept. 29.

Gunfire erupted at 8:50 a.m. on a busy interstate

The shooting happened around 8:50 a.m. while both vehicles were in motion on I-77, a major north-south corridor connecting Charlotte to southwestern Virginia. Police said Arriviello fired from his Mercedes-Benz into the Jeep carrying the two sisters, hitting both in the legs.

Arriviello then allegedly fled the scene. Troopers located and stopped the Mercedes-Benz approximately 15 miles from where the shots were fired and took him into custody.

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State police have not disclosed what sparked the confrontation. They also have not said whether investigators recovered a firearm from Arriviello's vehicle. The Jeep's driver, whose identity authorities have not released, was separately cited for reckless driving, though police did not elaborate on the circumstances of that citation.

The two sisters have not been publicly identified. No information beyond "not life-threatening" has been released about their conditions, and the hospital where they were taken has not been named.

Arriviello held a clean medical license for 15 years

North Carolina Medical Board records show Arriviello has been licensed as an emergency medicine physician in the state since 2010. No public disciplinary actions appear on his record. The same records list him as the owner of Family Urgent Care in Monroe, a city about 30 miles southeast of Charlotte.

Fox News Digital reached out to both Family Urgent Care and Virginia State Police for additional comment. No responses were reported.

Road rage incidents involving firearms have become a persistent concern across the country. Just this year, shootings in Chicago left at least 11 wounded and two dead in a single weekend, a reminder of how quickly gun violence can shatter ordinary routines.

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The Arriviello case stands out partly because of the suspect's professional standing. Emergency medicine physicians take an oath to preserve life. Firing into a vehicle carrying a 12-year-old girl, allegedly over a traffic dispute, is the opposite of that oath in every way that matters.

Key questions remain unanswered ahead of the Sept. 29 hearing

Several gaps in the public record leave important questions open. Police have not explained the sequence of events that escalated a highway encounter into gunfire. They have not confirmed whether Arriviello owned the weapon used or whether it was legally possessed. And the reckless driving citation issued to the Jeep's driver raises its own questions, was that driving connected to the confrontation, or a separate matter?

Arriviello has not been reported to have retained counsel, and no attorney has spoken publicly on his behalf. The North Carolina Medical Board has not indicated whether it will take any licensing action in response to the arrest.

Incidents like this one underscore the broader pattern of violence that has prompted law enforcement agencies to rethink their approach to public safety. In Tennessee, authorities recently investigated a National Guard shooting of an armed man in Memphis, while the White House ordered ICE to resume traffic stops after two fatal shootings earlier this year.

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Virginia's felony charges carry serious prison time. Malicious shooting into an occupied vehicle alone can result in years behind bars. For a licensed physician with no prior public disciplinary record, a conviction would almost certainly end his medical career.

A 12-year-old and her 20-year-old sister were riding in a Jeep on a summer morning. They ended up airlifted to a hospital with bullet wounds in their legs. If the charges hold, the man responsible was a doctor, someone the public trusts to save lives, not to endanger them over a traffic dispute.

Accountability starts with the facts, and the facts here are damning enough on their own.

" A free people [claim] their rights, as derived from the laws of nature."
Thomas Jefferson