South Georgia
Physicians Association, LLC

An Independent Physician Association Dedicated to Quality and Value in Health Care

Membership Application

1. Print the SGPA Credentialing Addendum.
   
   Mail the completed addendum and application fee to:
   South Georgia Physicians Association, LLC
   P.O. Box 71887
   Albany, GA 31708-1887
    
2. The SGPA utilizes the CAQH online application system:

• If you already have a CAQH application, please visit the CAQH site to ensure that your attestation is current so your application can be downloaded.
  https://upd.caqh.org/oas/
   
• If you do not already have a CAQH application, the SGPA will create a request for you to complete it when your Credentialing Addendum is received.When you receive your letter from CAQH, please visit the CAQH site with your Provider ID to complete your application.
  https://upd.caqh.org/oas/

The SGPA will then download your application directly from CAQH to start the credentialing process.