Credentialing by state / Georgia
Nurse Practitioner Credentialing in Georgia
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
| NP practice environment | Restricted Practice (AANP) |
|---|---|
| Licensing authority | The Georgia board of nursing, with physician collaboration or supervision required |
| Medicare contractor | Palmetto GBA, jurisdiction JJ |
| Medicaid | Georgia Medicaid, enrolled through the GAMMIS provider portal (Gainwell) |
| Medicaid managed care | 3 plans, 1,594,095 members (2024) |
| Blue Cross Blue Shield plan | Anthem Blue Cross and Blue Shield of Georgia |
Georgia Is a Restricted Practice State
The American Association of Nurse Practitioners classifies Georgia as restricted practice: state law requires career-long supervision, delegation or team management by another health provider for the NP to provide patient care. 11 of the 50 states and DC have that classification, and they are where NP applications most often stall on agreement paperwork.
For credentialing, restricted practice means the supervising physician is effectively part of your application. Georgia Medicaid and the commercial plans, including Anthem Blue Cross and Blue Shield of Georgia, typically ask for the supervision or delegation agreement, the physician's name, NPI and license, and sometimes the physician's own attestation. Some plans in restricted states credential NPs only as members of a physician-led group, so an NP-owned entity may be told the panel is limited even when the application is complete.
Medicare enrolls the NP on the CMS-855I without asking for the agreement, but its NP rule (42 CFR 410.75) requires compliance with Georgia law, so supervision has to be in place before you bill Palmetto GBA. When the supervising physician leaves, the NP's ability to practice and to be paid depends on a new agreement being signed and reported to every plan, which makes that change the single biggest credentialing risk for a Georgia NP.
Georgia Medicaid Managed-Care Plans for NPs
After the state enrollment, each managed-care plan credentials you as its own application. The largest in Georgia by 2024 enrollment:
- Peach State Health Plan: 729,962 members, owned by Centene
- Amerigroup Community Care: 485,998 members, owned by Elevance Health
- CareSource Georgia: 378,135 members, owned by CareSource
Neighboring States
If you practice near the border or by telehealth, the rules change at the state line: Alabama is reduced practice. Florida, North Carolina, South Carolina, Tennessee share Georgia's classification.
- Alabama NP credentialing (Reduced Practice)
- Florida NP credentialing (Restricted Practice)
- North Carolina NP credentialing (Restricted Practice)
- South Carolina NP credentialing (Restricted Practice)
- Tennessee NP credentialing (Restricted Practice)
The full NP checklist, the entity decision and where applications stall are in our nurse practitioner credentialing guide. For Medicare, Medicaid and commercial plans for every clinician type in the state, see credentialing in Georgia.
Questions Georgia NPs Ask
Do Georgia nurse practitioners need a collaborating physician to get credentialed?
Yes in practice. AANP classifies Georgia as restricted practice, and Georgia Medicaid and most commercial plans ask for the supervision or delegation agreement and the physician's name and NPI with the application.
How does a Georgia NP join Georgia Medicaid?
Enroll with the Georgia Department of Community Health through the GAMMIS provider portal (Gainwell). Most Georgia Medicaid members are in managed care (1,594,095 enrolled across 3 plans in 2024), so after the state enrollment is active, each plan you want, such as Peach State Health Plan, Amerigroup Community Care, CareSource Georgia, credentials you separately.
Can an NP licensed in Georgia see patients in a neighboring state?
Only with a license from that state, and each state's practice rules apply to the patients there. Alabama is reduced practice; Florida is restricted practice; North Carolina is restricted practice; South Carolina is restricted practice; Tennessee is restricted practice. Payer enrollment is also per state, so seeing patients across the line means a separate Medicaid enrollment and separate commercial applications there.
What does PECS charge a Georgia NP?
CAQH (DataSpring) profile build $500; Medicare enrollment $500; Georgia Medicaid enrollment $500; each commercial application, including Anthem Blue Cross and Blue Shield of Georgia, $200 per provider. Enrollment services bill 50% at engagement and 50% at submission.
Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources: American Association of Nurse Practitioners, State Practice Environment (updated May 2026); KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Practice classification is AANP's; confirm current rules with the Georgia board of nursing. Updated October 7, 2026.