Provider Entity Registration
The link above is to provide Provider Entities access to the necessary application, documents and other forms needed for obtaining a Tennessee Medicaid ID or updating your existing Medicaid ID. If you are a provider person or Group (single / multi-specialty) please return to provider home page and select the appropriate link.
For provider entities, complete the information in the application packet and submit to:
310 Great Circle Road
Nashville, TN 37243
To avoid processing delays, please ensure you submit a complete packet. A checklist is included to provide information regarding what is needed.