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New Accounts - Provider | Member

Wellcare of Georgia Medicaid Dental

Wellcare of Georgia Medicaid Dental Program

As of January 1, 2013, Avesis Third Party Administrators, Inc. will be the dental program administrator for Wellcare of Georgia, a contracted managed care organization with the Georgia Department of Community Health. Avesis will be administering services for eligible Georgia Medicaid members enrolled in the plan.

If you are interested in participating in the Medicaid program please complete the Credentialing and Contracting paperwork by clicking here . If you have any questions please contact one of our Provider Services Representatives at 800-231-0979.

Please click here to access Georgia Medicaid Dental Care Program Provider Forms.

Providers wanting to participate in the Georgia Medicaid program administered by Avesis must have a NPI number as well as an active Georgia Medicaid ID number. To apply for a NPI number click here; to apply for a Georgia Medicaid ID number click here.

Send Completed Materials by mail to Provider Services:

Mail To:

Avesis Third Party Administrators, Inc.
Attn: Georgia Network Development
10324 South Dolfield Road
Owings Mills, MD 21117