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Provider Entity Registration

Entity Registration

Nursing Home and IID

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:

Provider Registration
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.