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The following documents are required when applying for initial licensure as a Physician Assistant (including Anesthesia Assistants) in the State of Georgia: NEW PA/AA GRADUATE LICENSURE APPLICATION INFORMATION. CLICK HERE FOR CHECKLIST AND FORMS. PRIOR PA/AA LICENSEE (ANY STATE) LICENSURE APPLICATION INFORMATION. CLICK HERE FOR CHECKLIST AND FORMS.
Below you will find the listing of information specifically related to being a provider in our system, which includes disability-specific applications to become a provider for DBHDD, and disability-specific instructions for completing the application.
21 Απρ 2016 · You will be required to REGISTER first before you can apply for this license. PAPER APPLICATION: If you prefer to apply by paper application, you may visit our website
29 Αυγ 2024 · In order to renew, the licensee must: (a) Complete the renewal application; (b) Complete the Board approved continuing education requirements; (c) If intending to continue active practice have a Board approved primary supervising physician and approved job description, or if seeking an inactive license, meet the applicable requirements of 360-5 ...
Licenses expired for three months or less may be late renewed by meeting all the requirements for renewal and paying a late renewal fee.
Complete this section for Renewal Application of current ADAP PA Provider: 1) Number of HIV patients managed in the past 12 months: 2) PA's current Georgia Composite Medical Board (Board) approved job description (attach copy if changed
Individuals or agencies seeking to become a provider of services under the NOW must submit two (2) provider applications: one (1) for becoming a Medicaid provider under the DCH; and one (1) for becoming a DBHDD provider. Both applications can be accessed on the DBHDD website at www.dbhdd.georgia.gov.