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Licensing requirements for Georgia healthcare and pharmaceutical companies and
individuals.
This page provides an overview of healthcare and pharmaceutical industry licensing
in Georgia for individuals and businesses. You will find state requirements, application
fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and
managed license services.
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
Every 3 or 5 years depending on the type of services provided. Providers have 60 days from the date of their revalidation letter to complete the revalidation process.
Georgia Medicaid Provider Enrollment - Out of State Facility
Agency:
Georgia Department of Community Health - Medical Assistance Plans Division
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
Every 3 or 5 years depending on the type of services provided. Providers have 60 days from the date of their revalidation letter to complete the revalidation process.
Georgia Medicaid Provider Enrollment - Pharmacy
Agency:
Georgia Department of Community Health - Medical Assistance Plans Division
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
Every 3 or 5 years depending on the type of services provided. Providers have 60 days from the date of their revalidation letter to complete the revalidation process.
SUBMIT APPLICATION IN A 9X12 or LARGER ENVELOP E – Do not staple pages or check/money order.
Do not fold pages of the application
A GDNA inspection is not required for out-of-state facilities. However, if dispensing sterile or non-sterile compounding for practitioners to use inpatient care in the practitioner’s office, you must provide a copy of the most recent inspection report that is no older than two (2) years before the date of application was submitted and which is from an inspection conducted by the regulatory or licensing agencies of the jurisdiction in which the applicant is located that indicates compliance with Georgia law and the Board’s rules and regulations and compliance with USP- NF standards for pharmacies performing sterile and non-sterile compounding, or another inspection approved by or conducted by the Board. GDNA will process the personnel certification forms that non -resident pharmacies submit with their applications.
Required Attachments:
Verification of valid and unexpired licensure to operate a pharmacy in compliance with the laws and rules of each state in which the applicant receives and dispenses prescription drug orders
Verification of valid and unexpired pharmacist licensure of the pharmacist-in-charge in the state of their location
Verification of valid and unexpired pharmacist licensure of the pharmacist-in-charge in the state in which the pharmacy receives and dispenses prescription drug orders
An affidavit of citizenship and appropriate secure and verifiable documents
Ownership
(i) If a person, the name of the person;
(ii) If a partnership, the name of each partner and the name of the partnership;
(iii) If a corporation, the name and title of each corporate officer and director, the corporate names, and the name of the incorporation, and the name of the parent company, if any; or
(iv) If a sole proprietorship, the full name of the sole proprietorship and the name of the business entity.
If you are dispensing sterile or non-sterile compounding for practitioners to use in patient care in the practitioner’s office
A copy of the most recent inspection report that is no older than two (2) years before the date of application was submitted and which is from an inspection conducted by the regulatory or licensing agencies of the jurisdiction in which the applicant is located that indicates compliance with Georgia law and the Board’s rules and regulations and compliance with USP-NF standards for pharmacies performing sterile and non-sterile compounding, or another inspection approved by or conducted by the Board.
Affidavit of applicant
A copy of the applicant's ID (list of acceptable ID's listed on the application)
Presonnel Certification Form
Completed by each person named on the application as an owners of the firm as well as the President/CEO, Vice President, Secretary/Treasurer, the Pharmacist-in-Charge and the individual who is the company’s contact person for the Board and GDNA
For larger corporations with multiple divisions and officers, limit the contact personnel to 5 individuals, including the President/CEO, Vice Presidents and/or others directly responsible for drug acquisition and distribution, and the responsible person for contact with the Georgia State Board of Pharmacy and GDNA.
Every 3 or 5 years depending on the type of services provided. Providers have 60 days from the date of their revalidation letter to complete the revalidation process.
Georgia Medicaid Provider Enrollment - Out of State Individual
Agency:
Georgia Department of Community Health - Medical Assistance Plans Division
Every 3 or 5 years depending on the type of services provided. Providers have 60 days from the date of their revalidation letter to complete the revalidation process.
Controlled Substance Registration - In addition to a pharmacy license, controlled substance registration registration is required in many states for pharmacies that distribute controlled substances.
NABP (National Association of Boards of Pharmacy) - Host a variety of programs and resources relating to pharmacist and pharmacy licensure and examination.
Pharmacist in Charge - A licensed pharmacist designated by a pharmacy to act as the party responsible for compliance with regulations.
VPP (Verified Pharmacy Program) - A program run by NABP that allows state boards to share information and more easily register out-of-state pharmacies.
Filing fees depend on your individual situation. We do our best to calculate your filing fees
upfront and collect those fees today so we can get started. Your specialist will determine your
exact filing fees and invoice additional fees if required.
