Raymond Dwight Cook, 43, was re-arrested Tuesday after a grand jury handed down the indictment.
Cook was previously charged with second-degree murder and driving while impaired in the September 11, 2009 crash. He’s now also charged with felony death by motor vehicle.
Investigators say Cook was at the Raleigh Country Club and Piper's Tavern for hours before the crash that killed Elena Bright Shapiro of Winston-Salem.
Managers of Piper’s Tavern have told ABC11 in previous interviews that bartenders refused to serve Cook when he appeared to be impaired.
Cook surrendered his medical license and gave up positions at the UNC-Chapel Hill School of Medicine and Wake Med after the accident.
He is out of jail on $250,000 bond.