Nominate a Provider: The Healthcare Network of Georgia

If you have a provider that you would like to see added to 1st Medical Network, please follow the link to print an application request form.

Please print the Provider Application Request Form and share it with your provider.
If your physician is interested in joining the network, he/she must complete the information and return the form to 1st Medical Network via fax.
Please note that completion of this form will not result in automatic inclusion in the network.
The provider must meet certain criteria and agree to accept our fee schedule before he or she is eligible for the recruitment process review.
The provider must also be credentialed by the network before he or she can see 1st MN members.
Note: The credentialing process takes approximately 60-90 days to complete from receipt of a completed application (including all requested documents).