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  1. www.mmis.georgia.gov › portal › PubAccessEnrollment - Georgia

    For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. Call the local number (770) 325-9600. Call the toll-free number (800) 766-4456.

  2. 31. I am a Physician Assistant and I would like to enroll in Georgia Medicaid. Which application do I submit? 41. 32. May a provider request retroactive enrollment? 33. I am a provider who is more than 50 miles from the Georgia border. How do I enroll in Georgia Medicaid so I can be reimbursed for emergency services rendered to a Georgia ...

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