Georgia Medical Board Supervising Physician
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Each line for alternate physicians must be completed.
Georgia medical board supervising physician. The following documents will assist you with any additions or changes to your supervising physician or alternate physician. Physician profile rules. About the board purpose and mission statement.
Physician assistant rules chapter 360 5. A current georgia medical license number. Before sharing sensitive or personal information make sure youre on an official state website.
Please note that this is a 2 step process and that the supervising physician must complete the registration. When you apply your application and the additional documents will be needed to complete your file. The georgia composite medical board is the agency that licenses physicians physician assistants respiratory care professionals perfusionists acupuncturists orthotists prosthetists auricular ear detoxification specialists genetic counselors cosmetic laser practitioners and pain management clinics.
The board shall have the authority to approve or deny any primary or alternate supervising physicians. State of georgia government websites and email systems use georgiagov or gagov at the end of the address. Local state and federal government websites often end in gov.
State of georgia government websites and email systems use georgiagov or gagov at the end of the address. The professional association for physician assistants is the american academy of physician assistants. How does a pa register a supervising physician with the board.
They are formally trained to examine patients diagnose injuries and illnesses and provide treatment. About the board purpose and. In order to ensure a smooth process send these documents to the board in a single envelope.
You can register a new supervising physician through the online supervisions and prescriptive delegation registration system. State of georgia government websites and email systems use georgiagov or gagov at the end of the address. Please add the following physicians as alternate supervising physicians for the physicians assistant listed above.
Georgia composite medical board 2 peachtree street nw 36th floor atlanta ga 30303 attn. Physician licensing rules chapter 360. Once a licensed professional and dea holder in georgia you will be required to register with the georgia pdmp.
The georgia composite medical board gcmb as a matter of policy and in its effort to protect the integrity of information received by georgia health care consumers posts these lists after each board meeting. Local state and federal government websites often end in gov. The lists of conforming protocols include the name license number and address of the nurse practitioner and the delegating physician.
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