How to Get Credentialed with Kaiser Permanente in Georgia
Kaiser Permanente in Georgia: by the numbers
Verified figures for this state, not national averages.
- Counties containing at least one member
- 23
- Distinct plans
- 12
- Counties with a plan offered
- 18
- Medicare Advantage service area
- offers Medicare Advantage plans in 18 of the 159 counties in this state that have any MA plan
- Largest counties by enrollment
- DeKalb (7,938), Fulton (7,445), Gwinnett (7,230), Cobb (6,345), Clayton (3,836)
- Medicare Advantage members in state
- 44,047
Source: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07) · CMS Medicare Advantage Plan Landscape (CY2026) · Verified July 2026
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
How Kaiser Permanente Credentialing Actually Works
Verified July 2026Apply Through
Timeline
When Kaiser has a network need, community credentialing typically runs 90 to 180 days through a peer physician committee
Recredentialing
Not published by the payer
There is no open application. Most Kaiser clinicians are employed by the regional Permanente Medical Groups, and community contracts are need based and negotiated regionally: California, Colorado, Georgia, Hawaii, Mid Atlantic, Northwest, and Washington each run their own network development.
Behavioral health routing: Behavioral health is delivered primarily by employed clinicians inside the regional Permanente groups. External behavioral contracting is limited to specialty or geographic gaps, often through single case agreements.
The stall to avoid: Kaiser is not an apply and wait payer. The realistic path is contacting the regional network team, demonstrating that Kaiser needs your specialty in that market, or working under single case agreements. Set that expectation before promising a panel.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
Georgia-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Georgia.
Complete Your CAQH ProView Profile
Kaiser Permanente requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Kaiser Permanente.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Kaiser Permanente?
Our specialists handle the entire Kaiser Permanente enrollment process: applications, follow-ups, and approvals in Georgia.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
RequiredKaiser Permanente Provider Application
RequiredFree Tools for Your Kaiser Permanente Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to Kaiser Permanente.
View Physician Credentialing Checklist →Contact Information
EDI Support
National1-888-767-4670
ITEISSupportDL@kp.org
EFT/ERA (InstaMed)
National1-877-833-6821
connect@instamed.com
Initial Credentialing (Northern CA)
National1-888-767-4670
Fax: 1-866-214-7584
Recredentialing (Northern CA)
National1-888-767-4670
Fax: 1-866-232-0147
Provider Services (WA)
National1-888-767-4670
kpwa.provider-services@kp.org
Permanente Advantage
National1-888-767-4670
PermAdvantageTeam-KPPA@kp.org
Fax: 1-866-338-0266
Quick Links
Kaiser Permanente in Other States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.