Apply for Initial PA/AA Licensure?

• Login: Begin by logging in to the Georgia Composite Medical Board Licensure Gateway, which is located at this link: https://gateway.medicalboard.georgia.gov/
• Select Application: Choose “Physician Assistant Application” from the list of available applications in the top right-hand corner of your screen.
• Navigation: You will then see a left-hand menu listing all application sections. You must complete each section in order to proceed.

Personal Address:

• Enter your primary (residential) address. This must be a physical address (no P.O. Boxes allowed).
• Fields include:
  • Type (e.g., Primary)
  • Country
  • Address 1 and Address 2 (if needed)
  • Zip/Postal Code
  • City
  • State (select from dropdown)
  • County
• Tip: This address is for the Board’s records and will not be made public.

• If your name differs on any submitted documentation, add all previous names here.
• For each previous name:
  • Enter First, Middle, Last, and Suffix (if applicable).
• You will be required to submit notarized evidence of name change(s) as part of the process.

• If you have ever served in the U.S. military, add a record for each period of service.
• For each service period:
  • Branch (select from dropdown)
  • Start Date (MM/DD/YYYY)
  • End Date (MM/DD/YYYY)

• Answer the mandatory affidavit questions.
  • Example questions include:
    • Was your medical degree granted by a medical or osteopathic school in the U.S. or Canada?
    • Are you suffering from any untreated condition that impairs your ability to practice?
  • For any "YES" answers, provide a detailed explanation in the comments box and, if needed, upload supporting documents at the end of the application.
• Acknowledge: Check the box to affirm your answers are truthful and complete.

• Read the Board’s health policy statement regarding health conditions that could impair practice.
• Acknowledge: Check the box indicating that you have read and understand this policy.

• Current Practice Address: If you are currently practicing, provide a practice address (no P.O. Boxes).
  • Practice Name
  • Practice Type
  • Country
  • Address 1 and Address 2 (if needed)
  • Zip/Postal Code
  • City
  • State (dropdown)
  • County
• Note: You must enter at least one primary practice address before continuing.

Add a record for each educational institution attended.

• Country
• Attendance Start Date (MM/DD/YYYY)
• Attendance End Date (MM/DD/YYYY)
• Graduation Date (MM/DD/YYYY)
• School Name (as applicable)

List all current or prior licenses held in any U.S. state or Canadian province/territory (including training, temporary, provisional, limited, and full licenses).

• Enter state, license type, license number, issue date, and expiration date for each.
• You must submit official verification for each license directly from the issuing authority.

Enter all relevant examination information (typically NCCPA for PAs).

• Type (e.g., NCCPA)
• Date (MM/DD/YYYY)
• Score (as provided by the testing authority)
• Indicate whether you passed (Yes/No)

• List all hospitals where you currently hold staff privileges.
  • Hospital Name
  • Country
  • Address 1 and Address 2 (if needed)
  • Zip/Postal Code
  • City
  • State (dropdown)
  • Start Date (MM/DD/YYYY)
  • End Date (MM/DD/YYYY, if applicable)
• Note: The combination of dates for education, privileges, and activities must cover all time since graduation from PA school without a gap exceeding 90 days.

List all professional activities since PA school graduation.

• Facility/Activity
• Country
• Address 1 and Address 2 (if needed)
• Zip/Postal Code
• City
• State (dropdown)
• Start Date and End Date (MM/DD/YYYY)
• Explanation of Activity (if not self-explanatory or if there was a gap)

If you hold or have held a DEA registration, enter all current DEA numbers and the states in which they were issued.

• DEA Number
• Issue Date (MM/DD/YYYY)
• Expiration Date (MM/DD/YYYY)
• State (dropdown)

• Complete background check information as required.
  • First Name, Middle Name, Last Name
  • Date of Birth
  • Citizenship status
  • Country of Birth, City of Birth, State of Birth
  • Language, Gender, Race (including "Other" if applicable)
  • Height, Weight, Eye Color, Hair Color
• Acknowledge: Certify that all background check information is true and correct, and agree to the use of the information for this application only.

• Carefully read the attestation statements, which include:
  • Familiarity with laws and rules
  • Authorization for investigation and release of records
  • Understanding of penalties for false statements
• Acknowledge: Check the box to affirm understanding and agreement under penalty of law.

• Review all entered information for accuracy.
• If changes are needed, use the left menu to navigate back and correct the relevant section.
• Proceed past the Verification page to complete the final review.

• Payment: The application fee must be paid by credit card (Visa/MasterCard/Amex/Discover) or e-check.
  • There is a small non-refundable convenience fee for credit card payments.
• Once payment is submitted:
  • A confirmation page will display your submission date and confirmation number.
  • You may print your application at this stage.
• Important: Submission does not guarantee licensure. After submission, check your application checklist for further steps (such as uploading documents or responding to Board requests).