FAKE AGENT CALLS
The Board Staff has received several phone calls from multiple licensees stating that someone is calling pretending to be an agent of the Medical Board and trying to obtain personal information. These calls are scams. Information regarding your licensure number, issue date, expiration date, and address of record is available on the Board’s website. Your NPI number is also available on the Internet. The Board would not contact you by phone to obtain your personal information. We would contact you to set up a time that you can contact us and give you a valid call back number or schedule an in-person meeting.
The Board is located in Atlanta, GA and all phone numbers from the Board will have Atlanta area codes. (404, 470, 678 or 770) *Update* The Board has received new information that the its main phone number is being spoofed. If you feel you have received this type of call, please ask for information to call the person back.
If you need any additional information, please contact Jonathan McGehee, Director of Investigations at jmcgehee@dch.ga.gov.
Initial Physician Licensure
The following forms must be completed and submitted with your payment to apply for an initial license as a Physician in the State of Georgia. Please note: your application will not be processed without payment of appropriate fees have been submitted and is not deemed to be "complete" until all documents have been received. You may also apply for your license online.
Apply Online (Note: You must still send certain forms and documents. Click here to download the forms: Application Checklists and Forms)
To apply by mail, please print and complete the following forms:
Initial Licensure General Information and Checklists
FORM A - Certificate of Postgraduate Training
FORM C - State Verification of License
FORM D - Affidavit of Applicant
FORM D2 - Affidavit of Citizenship
FORM E - Mandatory Malpractice Questionnaire