Physician

For questions about renewing your active Physician license, contact us at [email protected] or at 404-656-3913.

Initial Physician Licensure

When you apply, your application and the additional documents will be needed to complete your file. In order to ensure a smooth process send these documents to the Board in a single envelope ( Download this pdf file. instructions ). 

Once a licensed professional and DEA holder in Georgia, you will be required to register with the Georgia PDMP

Checklist for Initial Physician

All applications for Physician Licensure should be completed online through the Board's online portal (click HERE).  Applicable fees can be paid through the portal as well.  Below are forms to complete and send to the Board:
 

Download this pdf file. FORM A- Certificate of Postgraduate Training
Download this pdf file. FORM B- Reference Form

Download this pdf file. FORM D- Affidavit of Applicant
Download this pdf file. FORM D2- Affidavit for Medical Board License
Download this pdf file. FORM E- Mandatory Malpractice Questionnaire

Download this pdf file. FORM G- Specific Power of Attorney

 

Links to other Physician license types:

Institutional Physician License

Volunteer-in-Medicine License

Physician Teacher License

Educational Training Certificate

Other Physician Forms and Information

Physician Profile Information and Forms

Download this pdf file. Inactive Status Application

Download this pdf file. Decorative Wall License Certificate (Physician)

Frequently Asked Questions

For questions about your pending application for Physician licensure (Initial or Reinstatement), if your last name begins with the alphabetic character:

Contact Licensure Specialist

Katonya Reynolds

Contact for Physician applicants (with last names A - D)

Contact Licensure Specialist

Dwana Robinson

Contact for Physician applicants (with last names E - K) and Genetic Counselor applicants

Contact Licensure Specialist

Philip Hamilton

Contact for Physician applicants (with last names L - P)

Contact Licensure Specialist

Debi Bruce

Contact for Physician applicants (with last names Q - Z)