Skip to main content

Join Our Network

Thank you for your interest in joining WellCare's provider network. If you are submitting this form on behalf of a group, please note that your group only needs to complete and submit this information once.

Effective August 1, 2015, an NCQA certified Centralized Credentialing Verification Organization (CVO), will be responsible for credentialing Georgia Medicaid providers seeking to enroll with WellCare of Georgia. Please review the Frequently Asked QuestionsThis PDF document will open in a new window. for more information. If you are seeking to enroll in WellCare of Georgia’s Medicare plan only, a representative will help guide you through our formal application process

Please note, this form is an inquiry for consideration and not an official registration. We will review your request and if we are in need of your specialty, a representative will contact you to help guide you through our formal application process.

Thank you again for your interest in WellCare!

Please complete the form:

Your Contact Information ?

Print Form
contac-us

Need help? We're here for you.

Contact Us
Last Updated On: 5/9/2016