Palmetto GBA (Jurisdiction J/M)
Credentialing and enrollment guides for Palmetto GBA (Jurisdiction J/M) across 6 states.
Quick Overview
Timeline
45 - 120 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
6
How Palmetto GBA (Jurisdiction J/M) Credentialing Actually Works
Verified July 2026Apply Through
Timeline
PECOS web runs about 45 to 60 days typical; paper or applications with information requests run 90 to 180 days
Recredentialing
Revalidation every 5 years with no grace period
Palmetto GBA is the Medicare Administrative Contractor that processes Part A and B enrollment (the 855 series) for Alabama, Georgia, and Tennessee (JJ) plus North Carolina, South Carolina, Virginia, and West Virginia (JM). You do not apply to the MAC directly: PECOS auto routes your application to it based on your practice state.
The stall to avoid: PECOS web always beats paper, and a development request unanswered for 30 days is a rejection. Track your revalidation due date: CMS posts it about 7 months ahead.
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.
About Palmetto GBA (Jurisdiction J/M)
Medicare Administrative Contractor for Jurisdictions J and M. Subsidiary of BlueCross BlueShield of South Carolina.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Palmetto GBA (Jurisdiction J/M)'s provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Palmetto GBA (Jurisdiction J/M). Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-120 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Palmetto GBA (Jurisdiction J/M)?
Our specialists handle the entire Palmetto GBA (Jurisdiction J/M) enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
CV/Resume
DEA License
Required if applicable
Malpractice Insurance
Medical License
NPI Certificate
Contact Information
Claims Inquiry
1-855-696-0705
Medicare Enrollment
1-866-837-0241
Medicare Appeals
1-855-696-0705
Need Help?
Let PayerReady handle your Palmetto GBA (Jurisdiction J/M) credentialing and enrollment.
Get Started NowAvailable 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.
Select Your State
Choose your state for Palmetto GBA (Jurisdiction J/M)-specific credentialing details including timelines, contacts, and local requirements.
Palmetto GBA (Jurisdiction J/M) credentialing requirements by state
Palmetto GBA (Jurisdiction J/M) enrollment is not identical everywhere. The table below lists what actually differs across the 6 states Palmetto GBA (Jurisdiction J/M) operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Alabama | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for Alabama. Providers must enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Alabama has a significant rural provider population, and CMS may conduct site visits to verify practice locations, particularly for newly enrolling providers. Enhanced screening, including fingerprint-based background checks, applies to high-risk provider categories per ACA Section 6401. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days. |
| Georgia | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for Georgia. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Georgia, particularly the Atlanta metropolitan area, has been designated by CMS as a high-risk geographic area for certain provider types including home health agencies. Enhanced screening measures—fingerprint-based background checks, application fees, and site visits—may apply to providers in high-risk categories. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| North Carolina | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for North Carolina. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). North Carolina has a large and growing provider network, with significant Medicare populations in both urban centers (Charlotte, Raleigh-Durham) and rural eastern counties. CMS standard screening applies for most provider types. A valid NPI is required, and revalidation is every 5 years. Initial enrollment processing typically takes 60–90 days; revalidation takes 30–60 days. |
| South Carolina | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for South Carolina. Palmetto GBA is headquartered in South Carolina, offering local familiarity with the state's provider community. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). CMS standard screening applies for most categories; enhanced screening may apply to high-risk provider types. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes approximately 60–90 days. |
| Tennessee | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for Tennessee. Providers must enroll via PECOS using CMS-855I (individual) or CMS-855B (group). Tennessee has major provider concentrations in Nashville (a national healthcare hub), Memphis, and Knoxville. CMS standard screening applies, with enhanced screening for high-risk categories. Providers should note that Nashville's healthcare industry infrastructure can be helpful for credentialing support services. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days. |
| Virginia | Open | 60–90 days |
Provider portal
1-855-696-0705
|
Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for Virginia. Enrollment is through PECOS using CMS-855I (individual) or CMS-855B (group). Virginia has a diverse provider landscape, from the densely populated Northern Virginia area (near DC) to rural Appalachian communities. Providers near DC who also practice in the District should be aware that DC is under a different MAC (Novitas/JH). CMS standard screening applies. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Palmetto GBA (Jurisdiction J/M) credentialing
How long does Palmetto GBA (Jurisdiction J/M) credentialing take?
Palmetto GBA (Jurisdiction J/M) credentialing typically takes 45–120 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Palmetto GBA (Jurisdiction J/M) require CAQH?
No. Palmetto GBA (Jurisdiction J/M) does not enroll through CAQH ProView, so credentialing data is submitted directly on Palmetto GBA (Jurisdiction J/M)'s own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Palmetto GBA (Jurisdiction J/M) operate in?
Palmetto GBA (Jurisdiction J/M) has credentialing operations in 6 states. 6 of those 6 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.